Schedule Update - effective 1 March 2008 (text extract)

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Pharmaceutical Management Agency

Update

New Zealand Pharmaceutical Schedule

Effective 1 March 2008 Cumulative for January, February and March 2008 Section H cumulative for December 2007 and January, February and March 2008

Contents

Summary of PHARMAC decisions effective 1 March 2008 ............................. 3 Nicotine replacement therapy subsidised on Quitline Exchange Cards .......... 4 Habitrol gum – possible out-of-stock ............................................................ 4 Pharmac Seminar Series – Upcoming Seminar............................................... 5 Who can dispense [HP3] Special Foods ......................................................... 5 New ampoule size of apomorphine............................................................... 6 Tender News .................................................................................................. 6 Looking Forward ........................................................................................... 7 Sole Subsidised Supply products cumulative to February 2008 ..................... 8 New Listings ................................................................................................ 17 Changes to Restrictions ............................................................................... 20 Changes to Subsidy and Manufacturer’s Price............................................. 21 Changes to Brand Name ............................................................................. 27 Changes to PSO........................................................................................... 27 Changes to Sole Subsidised Supply ............................................................. 27 Delisted Items ............................................................................................. 28 Items to be Delisted .................................................................................... 31 Section H changes to Part II ........................................................................ 34 Section H changes to Part IV ....................................................................... 38 Index ........................................................................................................... 39

Summary of PharmaC decisions

effeCtIve 1 marCh 2008 New listing (pages 17 – 18) • Phenoxybenzamine hydrochloride (Dibenyline) cap 10 mg, 30 cap pack – listed under Section 29 • Prazosin hydrochloride (Apo-Prazo) tab 1 mg, 2 mg and 5 mg • Verapamil hydrochloride (Ispotin) tab 40 mg and 80 mg • Nicotine (Nicotinell) gum (fruit and mint) 2 mg and 4 mg – only on a Quitline Exchange Card • Salicylic acid (ABM) powder – only in combination • Sulphur (ABM) precipitated – only in combination • Sunscreeens, proprietary (Marine Blue Lotion SPF 30+) lotn – subsidy by endorsement • Apomorphine hydrochloride (APO-go) inj 10 mg per ml, 2 ml – listed under Section 29 • Glycerol (ABM) liquid – only in combination • Methyl hydroxybenzoate (ABM) powder • Methylcellulose (ABM) powder • Propylene glycol (ABM) liq – only in extemporaneously compounded methyl hydroxybenzoate 10% solution • Sodium bicarbonate (ABM) powder BP – only in extemporaneously compounded omeprazole suspension Changes to restriction (page 20) • Sunscreens, proprietary – removal of Retail pharmacy – Specialist restriction and addition of Subsidy by endorsement Increased subsidy (page 21) • Paraldehyde (AFT) inj 5 ml • Arsenic trioxide (AFT) inj 10 mg Decreased subsidy (page 21) • Famotidine (Famox) tab 20 mg and 40 mg • Omeprazole (Omezol) cap 10 mg, 20 mg and 40 mg • Pantoprazole (Somac) tab 20 mg and 40 mg • Condoms 53 mm (Gold Knight, Shield Blue) • Clarithromcyin (Clarac) tab 250 mg

4 Pharmaceutical Schedule - Update News

Nicotine replacement therapy subsidised on Quitline Exchange Cards

All practitioners are now able to provide patients with a Quitline Exchange Card for subsidised nicotine patches and gum. The Ministry of Health distributed Quitline Exchange Cards to all practitioners in late January 2008. The subsidy restrictions for nicotine patches and gum have not changed. Nicotine patches and gum are only subsidised when ordered on a Quitline Exchange Card. They are not subsidised when prescribed on a prescription. Subsidised nicotine lozenges will also be subsidised from mid-2008. This will require changes to the Quitline Exchange Cards and further information on the changes will be provided at the time.

Habitrol gum – possible out-of-stock

Habitrol gum may go out-of-stock for a short period during March 2008. The Nicotinell brand of nicotine gum will be subsidised on a Quitline Exchange Card from 1 March 2008 to help cover any stock shortages during this time. Please only dispense the Nicotinell brand when Habitrol is unavailable. Please note that although there is no current delisting date for Nicotinell gum, PHARMAC will give a short notice period of the delist as Nicotinell is an over-the-counter medicine.

Pharmaceutical Schedule - Update News

PHARMAC Seminar Series – Upcoming Seminar

Topic: When: Where:

Cardiovascular Disease – Risk Factors Thursday 3 April 2008 Duxton Hotel, Wellington

Seminar Facilitator Norman Sharpe, Medical Director of the National Heart Foundation and Margaret Horsburgh, Associate Professor of Nursing at the University of Auckland will facilitate this seminar. About the seminar: This seminar focuses on cardiovascular disease (CVD) and disease progression, including understanding laboratory investigations and their significance. The seminar builds on previous CVD risk assessment seminars which have focussed on implementation of the CVD Guidelines.

If you are a primary care nurse working in the area of CVD risk reduction, this seminar will help broaden your understanding of the relationship of lipids, diet and other risk factors on CVD. The scope of the presentation will reflect the needs of the audience – come with your questions and cases. Anyone interested can register on-line at http://seminarseries.pharmac.govt.nz/ registration/register The cost is $100 +GST. Morning tea, lunch, and afternoon tea are provided. PHARMAC will also cover the cost of travel to and from the seminar. If you have any queries please contact Kyle Reid at PHARMAC on 04-916-7561 or kyle. reid@pharmac.govt.nz.

Who can Dispense [HP3] Special Foods

Only pharmacies that have the Special Foods service appended to their Pharmacy Services Agreement may dispense and claim for HP3 special foods . Dispensing of Special Foods is not covered by the base Pharmacy Services Agreement. Pharmacists should contact their DHB for clarification if they are unsure if their pharmacy has a Special Foods service appendix. All special foods listed in Section D of the Pharmaceutical Schedule carry the Special Authority – Hospital pharmacy [HP3] restriction, except for a small number of infant formulae.

New ampoule size of apomorphine

We are listing a new ampoule size of apomorphine from 1 March 2008. It is the same strength as the currently listed product 10 mg per ml but is a 2 ml injection rather than a 1 ml. It is supplied by Hospira under the brand name APO-go. This product is being listed to cover an out-of-stock on the currently listed apomorphine 1 ml injection, also supplied by Hospira. The APO-go brand is an unregistered product and will be supplied under the exemption set out in section 29 of the Medicines Act.

tender News

Sole Subsidised Supply changes – effective 1 April 2008

Chemical Name Aspirin Codeine phosphate Codeine phosphate Codeine phosphate Doxazosin mesylate Doxazosin mesylate Ferrous sulphate Fluoxetine hydrochloride Fluoxetine hydrochloride Ranitidine hydrochloride Presentation; Pack size Tab 100 mg; 990 tab Tab 15 mg; 100 tab Tab 30 mg; 100 tab Tab 60 mg; 100 tab Tab 2 mg; 100 tab Tab 4 mg; 100 tab Oral liq 150 mg per 5 ml; 500 ml Cap 20 mg; 90 cap Tab disp 20 mg, scored; 30 tab Oral liq 150 mg per 10 ml; 300 ml Sole Subsidised Supply brand (and supplier) Ethics Aspirin EC (Multichem) PSM (API) PSM (API) PSM (API) Apo-Doxazosin (Apotex) Apo-Doxazosin (Apotex) Ferodan (Pacific) Fluox (Pacific) Fluox (Pacific) Peptisoothe (AFT)

Looking forward

This section is designed to alert both pharmacists and prescribers to possible future changes. It may assist pharmacists to manage stock levels and keep prescribers up-to-date with proposals to change the Pharmaceutical Schedule. Possible decisions for implementation 1 april 2008 • Alprazolam tab 250 µg, 500 µg and 1 mg – removal of Retail pharmacy – Specialist restriction • Clomipramine hydrochloride tab 10 mg and 25 mg – removal of Retail pharmacy – Specialist restriction • Condoms (Gold Knight) 49 mm, 55 mm and 53 mm extra strength – new listing, available on a PSO • Condoms 52 mm (Marquis Supalite), 52 mm extra strength (Marquis Protecta), 54 mm shaped (Lifestyles Flared), and 56 mm shaped (Durex Confidence) – subsidy decrease • Dexamphetamine sulphate – amended Special Authority criteria • Flupenthixol decanoate inj 20 mg per ml, 1 ml and 2 ml and 100 mg per ml, 1 ml – removal of Retail pharmacy – Specialist restriction • Fluphenazine decanoate inj 12.5 mg per 0.5 ml, 0.5 ml, 25 mg per ml, 1 ml and 100 mg per ml, 1 ml – removal of Retail pharmacy – Specialist restriction • Haloperidol decanoate inj 50 mg per ml, 1 ml and 100 mg per ml, 1 ml – removal of Retail pharmacy – Specialist restriction • Levodopa with benserazide cap long-acting 100 mg with benserazide 25 mg – removal of Retail pharmacy – Specialist restriction • Lignocaine with prilocaine crm 2.5% with prilocaine 2.5% - amended Special Authority criteria • Maprotiline hydrochloride tab 25 mg and 75 mg – removal of Retail pharmacy – Specialist restriction • Methylphenidate hydrochloride – amended Special Authority criteria • Moclobemide tab 150 mg and 300 mg – removal of Retail pharmacy – Specialist restriction • Naltrexone hydrochloride tab 50 mg – amended Special Authority criteria • Ondansetron tab 4 mg and 8 mg and tab disp 4 mg and 8 mg – removal of maximum of 6 tablets per dispensing rule • Pipothiazine palmitate inj 50 mg per ml, 1 ml and 2 ml – removal of Retail pharmacy – Specialist restriction • Zuclopenthixol decanoate inj 200 mg per ml, 1 ml – removal of Retail pharmacy – Specialist restriction

Sole Subsidised Supply Products – cumulative to March 2008

Generic Name

Acetazolamide Acipimox Acitretin Allopurinol Amitriptyline Amlodipine Apomorphine hydrochloride Amoxycillin

Presentation

Tab 250 mg Cap 250 mg Cap 10 mg & 25 mg Tab 100 mg & 300 mg Tab 10 mg, 25 mg & 50 mg Tab 5 mg & 10 mg Inj 10 mg per ml, 1 ml Cap 250 mg & 500 mg Grans for oral liq 125 mg per 5 ml Grans for oral liq 250 mg per 5 ml Inj 250 mg, 500 mg & 1 g Device Cream Tab 100 mg Tab 50 mg & 100 mg Inj 600 µg, 1 ml Inj 1200 µg, 1 ml Eye drops 1% Tab 500 mg Metered aqueous nasal spray 50 µg Metered aqueous nasal spray 100 µg Scalp app 0.1% Crm 0.1% Oint 0.1% Tab 200 mg Tab 5 mg Eye drops 0.2% Tab 2.5 mg & 10 mg Inj 0.5%, 4 ml Inj 0.5%, 8% glucose, 4 ml Lotion BP Crm, aqueous, BP Cap 0.25 µg & 0.5 µg Tab dispersible 2.5 g Tab 1.25 g Tab 1.5 g Inj 50 mg Tab 12.5 mg, 25 mg & 50 mg

Brand Name Expiry Date*

Diamox Olbetam Neotigason Progout Amitrip Calvasc Mayne Apo-Amoxi Ranbaxy Amoxicillin Ranbaxy Amoxicillin Ibiamox Ortho Multichem Apo-Ascorbic Acid Loten AstraZeneca AstraZeneca Atropt Arrow-Azithromycin Alanase Alanase Beta Scalp Beta Cream Beta Ointment Fibalip Lax-Tab AFT Alpha-Bromocriptine Marcain Isobaric Marcain Heavy ABM ABM Calcitriol-AFT Calci-Tab Effervescent Calci-Tab 500 Calci-Tab 600 Calcium Folinate Ebewe Apo-Captopril 2008 2008 2008 2008 2008 2008 2009 2010 2009 2008 2008 2008 2009 2009 2009 2008 2009 2009 2009 2008 2008 2010 2008 2008 2010 2009 2009 2008

Applicator Aqueous cream Ascorbic acid Atenolol Atropine sulphate

Azithromycin Beclomethasone dipropionate Betamethasone valerate

Bezafibrate Bisacodyl Brimonidine tartrate Bromocriptine mesylate Bupivicaine hydrochloride Calamine Calcitriol Calcium carbonate

Calcium folinate Captopril

2008 2010

*Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated. 8

Sole Subsidised Supply Products – cumulative to March 2008

Generic Name

Cefaclor monohydrate Cefazolin sodium Ceftriaxone sodium Cetirizine hydrochloride Cetomacrogol Chloramphenicol Chlorhexidine gluconate

Presentation

Cap 250 mg Grans for oral liq 125 mg per 5 ml Inj 500 mg & 1 g Inj 500 mg & 1 g Oral liq 1 mg per ml Tab 10 mg Crm BP Eye drops 0.5% Eye oint 1% Handrub 1% with ethanol 70% Mouthwash 0.2% Soln 4% Tab 25 mg Tab 250 mg, 500 mg & 750 mg Grans for oral liq 125 mg per 5 ml Cap hydrochloride 150 mg Inj phosphate 150 mg per ml, 4 ml Crm 0.05% Scalp app 0.05% Oint 0.05% Tab 500 µg & 2 mg TDDS 2.5 mg, 100 µg per day TDDS 5 mg, 200 µg per day TDDS 7.5 mg, 300 µg per day Tab 25 µg Tab 150 µg Inj 150 µg per ml, 1 ml Vaginal crm 1% with applicator(s) Crm 1% Tab 500 µg Sach 5 g Inj 150 mg Powder for soln for oral use Oral liq sugar-free trimethoprim 40 mg and sulphamethoxazole 200 mg per 5 ml Tab trimethoprim 80 mg and sulphamethoxazole 400 mg Tab 50 mg Inj 50 mg per ml, 1 ml

Brand Name Expiry Date*

Ranbaxy Cefaclor Ranbaxy Cefaclor m-Cefazolin AFT Allerid C Razene PSM Chlorsig Chlorsig Orion Orion Orion Hygroton Cipflox Klacid Dalacin C Dermol Dermol Dermol Paxam Catapres-TTS-1 Catapres-TTS-2 Catapres-TTS-3 Dixarit Catapres Catapres Clomazol Clomazol Colgout Colestid Colistin-Link Enerlyte Trisul 2010 2008 2008 2008 2010 2009 2009 2008 2009 2008 2010 2008 2009 2008 2008 2008

Chlorthalidone Ciprofloxacin Clarithromycin Clindamycin Clobetasol propionate

Clonazepam Clonidine

Clonidine hydrochloride

2008

Clotrimazole Colchicine Colestipol hydrochloride Colistin sulphomethate Compound electrolytes Co-trimoxazole

2010 2008 2010 2010 2010 2010 2008

Cyclizine hydrochloride Cyclizine lactate

Nausicalm Valoid (AFT)

2009 2008

*Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated. 9

Sole Subsidised Supply Products – cumulative to March 2008

Generic Name

Cyclophosphamide Cyproterone acetate Dantrolene sodium Desferrioxamine mesylate Desmopressin Dexamethasone sodium phosphate Dextrose with electrolytes

Presentation

Tab 50 mg Tab 50 mg Cap 25 mg & 50 mg Inj 500 mg Nasal spray 10 µg per dose Inj 4 mg per ml, 1 ml Inj 4 mg per ml, 2 ml Oral soln with electrolytes

Brand Name Expiry Date*

Cycloblastin Siterone Dantrium Mayne Desmopressin-PH&T Mayne Pedialyte – Plain Pedialyte – Bubblegum Pedialyte – Fruit Ortho All-flex & Ortho Coil Apo-Diclo Apo-Diclo SR Videx EC DHC Continus Diastop Pytazen SR Coloxyl AFT m-Enalapril Mayne Cafergot E-Mycin E-Mycin Myambutol New Zealand Medical and Scientific Brevinor 21 Brevinor 1/21 Brevinor 1/28 Norimin Vepesid 2008 2009 2010 2009 2009 2010 2008 2009 2010

Diaphragm Dicloflenac sodium Didanosine (DDI) Dihydrocodeine tartrate Diphenoxylate hydrochloride with atropine sulphate Dipyridamole Docusate sodium Emulsifying ointment BP Enalapril Ergometrine maleate Ergotamine tartrate with caffeine Erythromycin ethyl succinate Ethambutol hydrochloride Ethinyloestradiol Ethinyloestradiol with norethisterone

Range of sizes Tab EC 25 mg & 50 mg Tab long-acting 75 mg & 100 mg Cap 125 mg, 200 mg, 250 mg & 400 mg Tab long-acting 60 mg Tab 2.5 mg with atropine sulphate 25 µg Tab long-acting 150 mg Tab 50 mg & 120 mg Ointment Tab 5 mg, 10 mg & 20 mg Inj 500 µg per ml, 1 ml Tab 1 mg with caffeine 100 mg Grans for oral liq 200 mg per 5 ml Grans for oral liq 400 mg per 5 ml Tab 400 mg Tab 10 µg Tab 35 µg with norethisterone 500 µg Tab 35 µg with norethisterone 1 mg Tab 35 µg with norethisterone 1 mg and 7 inert tab Tab 35 µg with norethisterone 500 µg and 7 inert tab Cap 50 mg & 100 mg

2008 2009 2009 2008 2008 2008 2008 2008 2009 2009 2009 2008 2008 2009 2010

Etoposide

*Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated. 10

Sole Subsidised Supply Products – cumulative to March 2008

Generic Name

Flucloxacillin sodium

Presentation

Cap 250 mg & 500 mg Grans for oral liq 125 mg per 5 ml Grans for oral liq 250 mg per 5 ml Cap 50 mg, 150 mg & 200 mg Oint 950 µg, with fluocortolone pivalate 920 µg, and cinchocaine hydrochloride 5 mg per g Suppos 630 µg, with fluocortolone pivalate 610 µg, and cinchocaine hydrochloride 1 mg Eye drops 0.1% Inj 12.5 mg per 0.5 ml, 0.5 ml Inj 25 mg per ml, 1 ml Inj 100 mg per ml, 1 ml Tab 0.8 mg & 5 mg Crm 2% & Oint 2% Inj 40 mg per ml, 2 ml Tab 80 mg Tab 5 mg Oral liq 2 mg per ml Tab 500 µg, 1.5 mg & 5 mg Inj 5 mg per ml, 1 ml Inj 50 mg per ml, 1 ml Inj 100 mg per ml, 1 ml Inj 10 iu per ml, 5 ml Tab 5 mg & 20 mg Powder 25 g Rectal foam 10%, CFC-Free Scalp lotn 0.1% Lotn 1% with wool fat hydrous 3% and mineral oil Tab 10 mg Inj 20 mg Eye drops 0.3% Eye drops 0.5% Oral liq 100 mg per 5 ml, 200 ml Tab 200 mg Tab 10 mg & 25 mg Tab 2.5 mg Cap 25 mg & 50 mg

Brand Name Expiry Date*

Staphlex AFT AFT Pacific Ultraproct Ultraproct 2009

Fluconazole Fluocortolone caproate with fluocortolone pivalate and cinchocaine

2008 2010

Fluorometholone Fluphenazine decanoate

Flucon Modecate Modecate Modecate Apo-Folic Acid Foban Pfizer Apo-Gliclazide Minidiab Serenace Serenace Serenace Haldol Haldol Concentrate AstraZeneca Douglas m-Hydrocortisone Colifoam Locoid DP Lotn HC Gastrosoothe Buscopan Poly-Tears Methopt Fenpaed I-Profen Tofranil Napamide Rheumacin

2009 2008

Folic Acid Fusidic acid Gentamicin sulphate Gliclazide Glipizide Haloperidol

2009 2010 2009 2008 2008 2010 2009 2008 2009 2009 2008 2009 2010 2008 2008 2008 2010 2008 2009 2009 2008

Haloperidol decanoate Heparinised saline Hydrocortisone Hydrocortisone acetate Hydrcortisone butyrate Hydrocortisone with wool fat and mineral oil Hyoscine N-butylbromide Hypromellose Ibuprofen Imipramine hydrochloride Indapamide Indomethacin

*Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated. 11

Sole Subsidised Supply Products – cumulative to March 2008

Generic Name

Ipratropium bromide

Presentation

Aqueous nasal spray, 0.03% Nebuliser soln, 250 µg per ml, 1 ml Nebuliser soln, 250 µg per ml, 2 ml Aerosol inhaler, 20 µg per dose CFC-free Tab long-acting 60 mg Cap 10 mg Cap 20 mg Cap 100 mg Shampoo 2% Oral liq 10 g per 15 ml Eye drops 0.25% & 0.5% Cap 50 mg with benserazide 12.5 mg Tab dispersible 50 mg with benserazide 12.5 mg Cap 100 mg with benserazide 25 mg Cap long-acting 100 mg with benserazide 25 mg Cap 200 mg with benserazide 50 mg Inj 0.5%, 5 ml Inj 1%, 5 ml Inj 1%, 20 ml Crm 2.5% with prilocaine 2.5%; 30 g OP Crm 2.5% with prilocaine 2.5%; 5 g Tab 5 mg, 10 mg & 20 mg Tab 2 mg Tab 10 mg Oral liq 1 mg per ml

Brand Name Expiry Date*

Apo-Ipravent Ipratripium Steri-Neb Ipratripium Steri-Neb Atrovent Duride Isotane 10 Isotane 20 Sporanox Ketopine Duphalac Betagan Madopar 62.5 Madopar Dispersible Madopar 125 Madopar HBS Madopar 250 Xylocaine Xylocaine Xylocaine EMLA EMLA Arrow-Lisinopril Nodia Loraclear Hayfever Relief Lorapaed Ativan Mayne Derbac M A-Lices Ludiomil Provera Pentasa Arrow-Metformin Methatabs AFT 2009 2010 2010 2010 2010 2008 2009 2009 2010 2008 2010 2010 2009

Isosorbide mononitrate Isotretinoin Itraconazole Ketoconazole Lactulose Levobunolol Levodopa with benserazide

Lignocaine hydrochloride

Lignocaine with prilocaine

2010

Lisinopril Loperamide hydrochloride Loratadine

Lorazepam Magnesium sulphate Malathion Maldison Maprotiline hydrochloride Medroxyprogesterone acetate Mesalazine Metformin hydrochloride Methadone hydrochloride

Tab 1 mg & 2.5 mg Inj 49.3% Liq 0.5% Shampoo 1% Tab 25 mg & 75 mg Tab 2.5 mg, 5 mg, 10 mg, 100 mg & 200 mg Enema 1 g per 100 ml Tab 500 mg & 850 mg Tab 5 mg Powder 1 g

2009 2009 2010 2010 2009 2010 2009 2009 2010 2009

*Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated. 12

Sole Subsidised Supply Products – cumulative to March 2008

Generic Name

Methotrexate

Presentation

Tab 2.5 mg & 10 mg Inj 100 mg per ml, 5 ml Inj 100 mg per ml, 10 ml Inj 100 mg per ml, 50 ml Tab 125 mg, 250 mg & 500 mg Tab long-acting 20 mg Tab 5 mg & 20 mg Tab 10 mg Tab 4 mg & 100 mg Crm 0.1% and oint 0.1% Inj 40 mg per ml, 1 ml Inj 40 mg per ml with lignocaine 1 ml Inj 40 mg per ml, 1 ml Inj 62.5 mg per ml, 1 ml Inj 500 mg & 1 g Inj 5 mg per ml, 2 ml Tab long-acting 200 mg Cap 250 mg Cap 50 mg & 200 mg Crm 2% Tab 2.5 mg & 5 mg Tab 200 µg Tab 150 mg & 300 mg Oral liq 1 mg per ml Oral liq 2 mg per ml Oral liq 5 mg per ml Oral liq 10 mg per ml Inj 5 mg per ml, 1 ml Inj 15 mg per ml, 1 ml Cap long-acting 10 mg, 30 mg, 60 mg, 100 mg & 200 mg Tab immediate release 10 mg & 20 mg Inj 80 mg per ml, 1.5 ml & 5 ml Tab 40 mg & 80 mg Tab 50 mg Eye drops 0.1%

Brand Name Expiry Date*

Methoblastin Methotrexate Ebewe Methotrexate Ebewe Methotrexate Ebewe Prodopa Rubifen SR Rubifen Rubifen Medrol Advantan Depo-Medrol Depo-Medrol with Lidocaine Solu-Medrol Solu-Medrol Solu-Medrol Pfizer Slow-Lopressor Metopirone Mexitil Multichem Gutron Cytotec Apo-Moclobemide RA-Morph RA-Morph RA-Morph RA-Morph Mayne Mayne m-Eslon Sevredol Mayne Apo-Nadolol ReVia Naphcon Forte 2009 2010 2010 2008 2009 2008

Methyldopa Methylphenidate hydrochloride

2008 2009

Methylprednisolone Methylprednisolone aceponate Methylprednisolone acetate Methylprednisolone acetate with lignocaine Methylprednisolone sodium succinate Metoclopramide hydrochloride Metoprolol tartrate Metyrapone Mexiletine hydrochloride Miconazole nitrate Midodrine Misoprostol Moclobemide Morphine hydrochloride

2009 2009 2008 2008 2009

2008 2009 2009 2008 2008 2009 2009 2009 2009

Morphine sulphate

2009

Morphine tartrate Nadolol Naltrexone hydrochloride Naphazoline hydrochloride

*Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated. 13

Sole Subsidised Supply Products – cumulative to March 2008

Generic Name

Naproxen

Presentation

Tab 250 mg Tab 500 mg Tab long-acting 750 mg Tab long-acting 1000 mg Inj 2.5 mg per ml, 1 ml Oral suspension 10 mg per ml Tab 50 mg & 500 mg Tab long-acting 20 mg Jelly 2% Tab 350 µg Tab 5 mg Tab 400 mg Tab 10 mg & 25 mg Cap 500,000 u Tab 500,000 u Vaginal crm 100,000 u per 5 g with applicators Oral liq 100,000 u per ml Tab 4 mg & 8 mg Tab disp 4 mg & 8 mg Tab 5 mg Oral liq 5 mg per 5 ml Inj 10 mg per ml, 1 ml and 2 ml Oral liq 5 mg per 5 ml Inj 5 iu per ml, 1 ml Inj 10 iu per ml, 1 ml Inj 5 iu with ergometrine maleate 500 µg per ml, 1 ml Inj 3 mg per ml, 5 ml Inj 3 mg per ml, 10 ml Inj 6 mg per ml, 10 ml Tab 500 mg Suppos 125 mg & 250 mg Oral liq 120 mg per 5 ml Oral liq 250 mg per 5 ml Tab 500 mg with 8 mg codeine Eye oint with soft white paraffin Tab 20 mg Tab 0.25 mg & 1 mg Tab 100 mg

Brand Name Expiry Date*

Noflam 250 Noflam 500 Naprosyn SR 750 Naprosyn SR 1000 AstraZeneca Viramune Suspension Apo-Nicotinic Acid Nyefax Retard Gynol II Noriday 28 Primolut-N Arrow-Norfloxacin Norpress Nilstat Nilstat Nilstat Nilstat Zofran Zofran Zydis Apo-Oxybutynin Apo-Oxybutynin OxyNorm OxyNorm Syntocinon Syntocinon Syntometrine Pamisol Pamisol Pamisol Panadol Panadol Junior Parapaed Six Plus Parapaed Codalgin Laci-Lube Loxamine Permax Pexsig 2009 2008 2010 2009 2009 2009 2008 2009 2008 2008 2008 2010 2009 2008 2010 2010 2010 2009

Neostigmine Nevirapine Nicotinic acid Nifedipine Nonoxynol-9 Norethisterone Norfloxacin Nortriptyline Nystatin

Ondansetron Oxybutynin Oxycodone hydrochloride Oxytocin

Pamidronate disodium

2008

Paracetamol

2008

Paracetamol with codeine Paraffin liquid with soft white paraffin Paroxetine hydrochloride Pergolide Perhexiline maleate

2008 2010 2010 2008 2009

*Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated. 14

Sole Subsidised Supply Products – cumulative to March 2008

Generic Name

Phenoxymethylpenicillin (Penicillin V)

Presentation

Grans for oral liq 125 mg per 5 ml Grans for oral liq 250 mg per 5 ml Cap potassium salt 250 mg Cap potassium salt 500 mg Eye drops 0.12% Eye drops 0.5%, 1%, 2%, 4% & 6% Oral drops 10% Tab long-acting 600 mg Inj 75 mg per ml, 10 ml Inj 150 mg per ml, 10 ml Tab 1 mg, 2.5 mg, 5 mg & 20 mg Cassette Inj 1.5 mega u Tab 10 mg & 25 mg Tab 50 mg Tab 5 mg, 10 mg & 20 mg Tab 10 mg with hydrochlorothiazide 12.5 mg Tab 20 mg with hydrochlorothiazide 12.5 mg Tab 200 mg Tab 300 mg Tab 150 mg & 300 mg Cap 150 mg Tab 150 mg & 300 mg Nebuliser soln 1 mg per ml, 2.5 ml Nebuliser soln 2 mg per ml, 2.5 ml Oral liq 2 mg per 5 ml Nebuliser soln, 2.5 mg with ipratropium bromide 0.5 mg Tab 5 mg Inj 0.9%, 5 ml & 10 ml Grans eff 4 g sachets Nasal spray 4% Eye drops 2% Tab 500 mg Tab EC 500 mg Liq Soln 2.3% with triethanolamine lauryl sulphate and fluorescein sodium

Brand Name Expiry Date*

AFT AFT Cilicaine VK Cilicaine VK Prefrin Pilopt Coloxyl Span-K AstraZeneca AstraZeneca Apo-Prednisone MDS Quick Card Cilicaine Allersoothe Apo-Pyridoxine Accupril Accuretic 10 Accuretic 20 Q 200 Q 300 Arrow Ranitidine Mycobutin Arrow-Roxithromycin Asthalin Asthalin Salapin Duolin Apo-Selegiline AstraZeneca Ural Rex Cromolux Salazopyrin Salazopyrin EN Midwest Pinetarsol 2009 2008 2010 2009 2009 2010 2009 2009 2009 2010 2009 2008 2009 2010 2008 2010

Phenylephrine hydrochloride Pilocarpine Poloxamer Potassium chloride

2010 2008 2008 2009 2008 2008 2009 2008 2008 2009 2008 2008

Prednisone Pregnancy tests - HCG urine Procaine penicillin Promethazine hydrochloride Pyridoxine hydrochloride Quinapril Quinapril with hydrochlorothiazide

Quinine sulphate Ranitidine hydrochloride Rifabutin Roxithromycin Salbutamol

Salbutamol with ipratropium bromide Selegiline hydrochloride Sodium chloride Sodium citro-tartrate Sodium cromoglycate Sulphasalazine Syrup (pharmaceutical grade) Tar with triethanolamine lauryl sulphate and fluorescein

*Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated. 15

Sole Subsidised Supply Products – cumulative to March 2008

Generic Name

Temazepam Terbinafine Timolol maleate Thiamine hydrochloride Triamcinolone acetonide Triamcinolone acetonide with gramicidin, neomycin and nystatin

Presentation

Tab 10 mg Tab 250 mg Tab 10 mg Tab 50 mg Crm & Oint 0.02% Dental Paste USP 0.1% Ear drops 1 mg with nystatin 100,000 u, neomycin sulphate 2.5 mg and gramicidin 250 mcg per g Oint 1 mg with nystatin 100,000 u, neomycin sulphate 2.5 mg and gramicidin 250 µg per g Tab 125 µg Tab 250 µg Tab 300 mg Cap 25 mg & 50 mg Crm 10% Cap 300 mg Inj 50 mg per ml, 10 ml Tab long-acting 120 mg Inj 1 mg per ml, 1 ml Inj 1 mg per ml, 2 ml Tab (BPC cap strength) Tab, strong, BPC Purified for injection 20 ml Oint BP Cap 220 mg Tab 7.5 mg

Brand Name Expiry Date*

Normison Apo-Terbinafine Apo-Timol Apo-Thiamine Aristocort Oracort Kenacomb Kenacomb 2008 2008 2009 2009 2008 2009 2008

Triazolam Trimethoprim Trimipramine maleate Urea Ursodeoxycholic acid Vancomycin hydrochloride Verapamil hydrochloride Vincristine sulphate Vitamins Vitamin B complex Water Zinc and castor oil Zinc sulphate Zopiclone March changes are in bold type

Hypam Hypam TMP Tripress Nutraplus Actigall Pacific Verpamil SR Mayne Mayne Healtheries Apo-B-Complex Multichem Multichem Zincaps Apo-Zopiclone

2008 2008 2008 2008 2008 2008 2008 2009 2009 2009 2009 2008 2008 2008

*Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated. 16

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

New Listings

Effective 1 March 2008

53 53 PHENOXYBENZAMINE HYDROCHLORIDE ❋ Cap 10 mg ............................................................................... 7.82 PRAZOSIN HYDROCHLORIDE ❋ Tab 1 mg ................................................................................. 5.53 ❋ Tab 2 mg ................................................................................. 7.00 ❋ Tab 5 mg ............................................................................... 11.70 VERAPAMIL HYDROCHLORIDE ❋ Tab 40 mg ............................................................................... 7.01 ❋ Tab 80 mg ............................................................................. 11.74 NICOTINE – Only on a Quitline Exchange Card Gum 2 mg (Fruit) .................................................................... 23.41 Gum 2 mg (Mint) .................................................................... 23.41 Gum 4 mg (Fruit) .................................................................... 23.41 Gum 4 mg (Mint) .................................................................... 23.41 30 100 100 100 100 100 96 96 96 96 ✔ Dibenyline S29 ✔ Apo-Prazo ✔ Apo-Prazo ✔ Apo-Prazo ✔ Isoptin ✔ Isoptin ✔ Nicotinell ✔ Nicotinell ✔ Nicotinell ✔ Nicotinell

SALICYLIC ACID Powder – Only in combination ................................................. 15.00 500 g ✔ ABM 1) Only in combination with a dermatological base or proprietary Topical Corticosteroid – Plain or collodion flexible, refer, page 157 2) With or without other dermatological galenicals. 3) Maximum 20 g or 20 ml per prescription when prescribed with white soft paraffin or collodion flexible. SULPHUR Precipitated – Only in combination ............................................. 6.50 100 g ✔ ABM 1) Only in combination with a dermatological base or proprietary Topical Corticosteroid – Plain, refer, page 157 2) With or without other dermatological galenicals. SUNSCREENS, PROPRIETARY – Subsidy by endorsement Only if prescribed for a patient with severe photosensitivity secondary to a defined clinical condition and the prescription is endorsed accordingly. Lotn .......................................................................................... 2.55 100 ml OP ✔ Marine Blue Lotion SPF 30+ 5.10 200 ml OP ✔ Marine Blue Lotion SPF 30+ APOMORPHINE HYDROCHLORIDE ▲ Inj 10 mg per ml, 2 ml ............................................................ 50.43 GLYCEROL ❋ Liquid – Only in combination ................................................... 19.80 Only in extemporaneously compounded oral liquid preparations. METHYL HYDROXYBENZOATE Powder ................................................................................... 10.00 METHYLCELLULOSE Powder ................................................................................... 14.00 5 2,000 ml ✔ APO-go S29 ✔ ABM

115 161

161 161

▲

25 g 100 g

✔ ABM ✔ ABM

Three months supply may be dispensed at one time if endorsed “certified exemption” by the prescriber.

❋ Three months or six months, as applicable, dispensed all-at-once

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

New Listings - effective 1 March 2008 (continued)

161 PROPYLENE GLYCOL Only in extemporaneously compounded methylhydroxybenzoate 10% solution. Liq .......................................................................................... 12.00 500 ml SODIUM BICARBONATE Powder BP – Only in combination ............................................. 9.80 Only in extemporaneously compounded omeprazole suspension. 500 g

✔ ABM ✔ ABM

162

Effective 1 February 2008

71 177 CONDOMS ❋ 49 mm – Available on a PSO ................................................... 13.36 144 ✔ Shield 49

GLUTEN FREE PASTA – Special Authority see SA0722 – Hospital pharmacy [HP3] Rice and corn spaghetti noodles ................................................ 2.00 375 g OP (2.63)

Orgran

Effective 1 January 2008

24 BUDESONIDE Cap 3 mg – Special Authority see SA0698 – Retail pharmacy ................................................................ 166.50 MEBEVERINE HYDROCHLORIDE – Retail pharmacy-Specialist ❋ Tab 135 mg .............................................................................. 3.57 (8.58) PANTOPRAZOLE ❋ Tab 20 mg ............................................................................... 2.24 ❋ Tab 40 mg ............................................................................... 3.36 75 METHYLERGOMETRINE MALEATE Inj 200 µg per ml, 1 ml – Available on a PSO ............................. 9.28

90 30

✔ Entocort CIR

Colofac 28 28 ✔ Dr Reddy’s Pantoprazole ✔ Dr Reddy’s Pantoprazole

✔ Hospira S29

CLARITHROMYCIN – Maximum of 500 mg per prescription; can be waived by Special Authority see SA0657 Tab 250 mg ............................................................................. 7.75 14 ✔ Klamycin

Patients pay a manufacturer’s surcharge when the Manufacturer’s Price is greater than the Subsidy

S29 Unapproved medicine supplied under Section 29 ‡ safety cap reimbursed Sole Subsidised Supply

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

New Listings - effective 1 January 2008 (continued)

98 INFLUENZA VACCINE – Hospital pharmacy [Xpharm] A) is available between 1 March and 30 June each year for patients who meet the following criteria, as set by the Ministry of Health: a) all people 65 years of age and over; b) people under 65 years of age with: i) the following cardiovascular disease: 1) ischaemic heart disease, 2) congestive heart disease, 3) rheumatic heart disease, 4) congenital heart disease, or 5) cerebo-vascular disease; ii) the following chronic respiratory disease: 1) asthma, if on a regular preventative therapy, or 2) other chronic respiratory disease with impaired lung function; iii) diabetes; iv) chronic renal disease; v) any cancer, excluding basal and squamous skin cancers if not invasive; vi) the following other conditions: a) autoimmune disease, b) immune suppression, c) HIV, d) transplant recipients, e) neuromuscular and CNS diseases, f) haemoglobinopathies, or g) children on long term aspirin. The following conditions are excluded from funding: a) asthma not requiring regular preventative therapy, b) hypertension and/or dyslipidaemia without evidence of end-organ disease, c) pregnancy in the absence of another risk factor. B) Doctors are the only Contractors entitled to claim payment from the Funder for the supply of influenza vaccine to patients eligible under the above criteria for subsidised immunisation and they may only do so in respect of the influenza vaccine listed in the Pharmaceutical Schedule. C) Individual DHBs may fund patients over and above the above criteria. The claiming process for these additional patients should be determined between the DHB and Contractor. D) Influenza Vaccine does not fall within the definition Community Pharmaceutical as it is not funded directly from the Pharmaceutical Budget. Pharmacists are unable to claim for the dispensing of influenza vaccine from the Funder. Inj ........................................................................................... 90.00 10 ✔ Vaxigrip MESNA – PCT only – Specialist Inj 1 mg for ECP ........................................................................ 0.02 1 mg ✔ Baxter

131

▲

Three months supply may be dispensed at one time if endorsed “certified exemption” by the prescriber.

❋ Three months or six months, as applicable, dispensed all-at-once

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Changes to Restrictions

Effective 1 March 2008

69 SUNSCREENS, PROPRIETARY – Retail pharmacy-Specialist Subsidy by endorsement Only if prescribed for a patient with severe photosensitivity secondary to a defined clinical condition and the prescription is endorsed accordingly. Crm........................................................................................... 3.39 100 g OP (5.89) Hamilton Sunscreen 1.74 50 g OP (5.53) Aquasun Oil Free Faces SPF30+ Lotn .......................................................................................... 2.55 100 ml OP ✔ Marine Blue Lotion SPF 30+ 5.10 200 ml OP ✔ Marine Blue Lotion SPF 30+ 4.80 125 ml OP (8.82) Aquasun Sensitive SPF 30+ (9.38) Aquasun 30+

Effective 1 January 2008

68 162 MALDISON MALATHION Shampoo 1%............................................................................. 2.83 WATER Tap – Only in combination ........................................................ 0.00 30 ml OP 1 ml ✔ A-Lices ✔ Tap water

Patients pay a manufacturer’s surcharge when the Manufacturer’s Price is greater than the Subsidy

S29 Unapproved medicine supplied under Section 29 ‡ safety cap reimbursed Sole Subsidised Supply

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Changes to Subsidy and Manufacturer’s Price

Effective 1 March 2008

24 SODIUM ALGINATE ( price) ❋ Oral liq 500 mg with sodium bicarbonate 267 mg per 10 ml (aniseed) .............................................................................. 1.50 (8.08) FAMOTIDINE – Only on a prescription ( subsidy) ❋ Tab 20 mg ............................................................................... 8.10 ❋ Tab 40 mg ............................................................................. 11.35 OMEPRAZOLE ( subsidy) ❋ Cap 10 mg ............................................................................... 5.95 ❋ Cap 20 mg ............................................................................... 5.95 ❋ Cap 40 mg ............................................................................... 8.84 PANTOPRAZOLE ( subsidy) ❋ Tab 20 mg ............................................................................... 2.40 (22.00) ❋ Tab 40 mg ............................................................................... 3.60 (28.00) CHOLINE SALICYLATE WITH CETALKONIUM CHLORIDE ( price) ❋ Adhesive gel 8.7% with cetalkonium chloride 0.01% .................. 2.06 (5.05) SODIUM CHLORIDE ( price) Inj 0.9%, 20 ml ........................................................................ 11.79 CONDOMS ( subsidy) ❋ 53 mm – Available on a PSO ................................................... 13.36 (14.84)

500 ml Gaviscon 250 250 30 30 30 30 Somac 30 Somac 15 g OP Bonjela 30 144 ✔ Pharmacia ✔ Gold Knight Shield Blue ✔ Famox ✔ Famox ✔ Omezol ✔ Omezol ✔ Omezol

48 71

CLARITHROMYCIN – Maximum of 500 mg per prescription; can be waived by Special Authority see SA0657 ( subsidy) Tab 250 mg ............................................................................. 7.75 14 (9.85) Clarac PARALDEHYDE ( subsidy) ❋ Inj 5 ml .............................................................................. 1,595.00 PROCHLORPERAZINE ( price) ❋ Tab 3 mg buccal ...................................................................... 5.97 (15.00) ARSENIC TRIOXIDE – PCT only – Specialist ( subsidy) Inj 10 mg .......................................................................... 2,475.55 5 50 Buccastem 10 ✔ AFT S29 ✔ AFT

109 115 129

Effective 1 February 2008

66 HYDROCORTISONE WITH NATAMYCIN AND NEOMYCIN – Only on a prescription ( subsidy) Crm 1% with natamycin 1% and neomycin sulphate 0.5% .......... 4.40 15 g OP ✔ Pimafucort Oint 1% with natamycin 1% and neomycin sulphate 0.5% .......... 4.40 15 g OP ✔ Pimafucort Three months supply may be dispensed at one time if endorsed “certified exemption” by the prescriber. ❋ Three months or six months, as applicable, dispensed all-at-once

▲

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Changes to Subsidy and Manufacturer’s Price - effective 1 February 2008 (continued)

68 CALCIPOTRIOL ( subsidy) Crm 50 µg per g...................................................................... 20.76 57.89 Oint 50 µg per g ...................................................................... 20.76 57.89 Soln 50 µg per ml ................................................................... 20.78 34.72 PODOPHYLLOTOXIN ( subsidy &  price) Soln 0.5% ............................................................................... 33.60 a) Maximum of 3.5 ml per prescription b) Only on a prescription FUSIDIC ACID ( subsidy) Tab 250 mg – Hospital pharmacy [HP3]-Specialist ................. 34.50 NAPROXEN SODIUM ( subsidy) ❋ Tab 275 mg ............................................................................. 5.00 DOXEPIN HYDROCHLORIDE ( subsidy) Cap 10 mg ................................................................................ 5.24 Cap 25 mg ................................................................................ 5.46 Cap 50 mg ................................................................................ 7.34 LAMOTRIGINE ( subsidy) ▲ Tab dispersible 25 mg ............................................................ 20.40 ▲ Tab dispersible 50 mg ............................................................ 34.70 ▲ Tab dispersible 100 mg .......................................................... 59.90 ▲ Tab dispersible 200 mg ........................................................ 101.80 117 CLOZAPINE – Hospital pharmacy [HP4]-Specialist prescription ( subsidy) Tab 25 mg .............................................................................. 17.60 Tab 50 mg .............................................................................. 22.80 Tab 100 mg ............................................................................ 45.60 Tab 200 mg ........................................................................... 72.96 121 ALPRAZOLAM – Retail pharmacy-Specialist ( subsidy) Month Restriction Tab 500 µg .............................................................................. 8.60 (16.26) ‡ Safety cap for extemporaneously compounded oral liquid preparations. Tab 1 mg ............................................................................... 15.70 (32.51) ‡ Safety cap for extemporaneously compounded oral liquid preparations. 30 g OP 100 g OP 30 g OP 100 g OP 30 ml OP 60 ml OP ✔ Daivonex ✔ Daivonex ✔ Daivonex ✔ Daivonex ✔ Daivonex ✔ Daivonex

3.5 ml OP ✔ Condyline

90 100 107

12 100 100 100 100 56 56 56 56

✔ Fucidin ✔ Synflex ✔ Anten ✔ Anten ✔ Anten ✔ Arrow-Lamotrigine ✔ Mogine ✔ Arrow-Lamotrigine ✔ Mogine ✔ Arrow-Lamotrigine ✔ Mogine ✔ Arrow-Lamotrigine ✔ Mogine ✔ Clopine ✔ Clozaril ✔ Clopine ✔ Clopine ✔ Clozaril ✔ Clopine

111

50 50 50 50

100 Xanax 100 Xanax

Patients pay a manufacturer’s surcharge when the Manufacturer’s Price is greater than the Subsidy

S29 Unapproved medicine supplied under Section 29 ‡ safety cap reimbursed Sole Subsidised Supply

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Changes to Subsidy and Manufacturer’s Price - effective 1 February 2008 (continued)

122 DEXAMPHETAMINE SULPHATE – Special Authority see SA0696 – Retail pharmacy ( subsidy) Only on a controlled drug form Tab 5 mg ............................................................................... 17.00 100 ✔ PSM MITOZANTRONE – PCT only – Specialist ( subsidy) Inj 1 mg for ECP ..................................................................... 12.43 FLUMETASONE PIVALATE ( price) Ear drops 0.02% with clioquinol 1% .......................................... 4.46 SODIUM CROMOGLYCATE ( subsidy) Eye drops 2% ............................................................................ 3.95 1 mg ✔ Baxter

131 151 152 176

7.5 ml OP ✔ Locorten-Vioform 10 ml OP ✔ Cromolux

GLUTEN FREE BREAD MIX – Special Authority see SA0722 – Hospital pharmacy [HP3] ( price) Powder ..................................................................................... 3.93 1,000 g OP (6.73) NZB Low Gluten Bread Mix 4.77 (8.97) Bakels Gluten Free Health Bread Mix 3.51 (7.95) Horleys Bread Mix GLUTEN FREE FLOUR – Special Authority see SA0722 – Hospital pharmacy [HP3] ( price) Powder ..................................................................................... 5.62 2,000 g OP (13.06) Horleys Flour

176

Effective 1 January 2008

26 RANITIDINE HYDROCHLORIDE – Only on a prescription ( subsidy) ❋ Oral liq 150 mg per 10 ml – Subsidy by endorsement ................ 7.95 300 ml (20.04) Zantac Oral liquid is subsidised only for patients: 1) with oesophageal stricture, or 2) in terminal care, or 3) who are either too young or too old to swallow conventional tablets and the prescription is endorsed accordingly. Note: the cost of treatment with ranitidine oral liquid is more than 10 times higher than that of ranitidine tablets. Following the derestriction of access PHARMAC will be monitoring expenditure on ranitidine oral liquid more closely and may, subject to consultation and PHARMAC Board approval, restrict access again if the expenditure was to grow substantially. 36 37 ALPHA TOCOPHERYL ACETATE – Special Authority see SA0264 – Hospital pharmacy [HP3] ( subsidy) Water solubilised soln 156 iu/ml, with calibrated dropper ........ 18.30 50 ml OP ✔ Micelle E FERROUS SULPHATE ( subsidy) ❋‡ Oral liq 150 mg per 5 ml ......................................................... 5.15 (7.95) 250 ml Ferro-liquid

▲

Three months supply may be dispensed at one time if endorsed “certified exemption” by the prescriber.

❋ Three months or six months, as applicable, dispensed all-at-once

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Changes to Subsidy and Manufacturer’s Price - effective 1 January 2008 (continued)

45 ASPIRIN ( subsidy) ❋ Tab 100 mg ............................................................................. 2.86 (5.70) 0.51 (1.02) SODIUM CHLORIDE ( subsidy) Inj 0.9%, 20 ml ....................................................................... 11.79 (23.58) SIMVASTATIN – See prescribing guideline ( subsidy) ❋ Tab 10 mg ............................................................................... 1.27 ❋ Tab 20 mg ............................................................................... 1.54 ❋ Tab 40 mg ............................................................................... 2.74 DOXAZOSIN MESYLATE ( subsidy) ❋ Tab 2 mg ............................................................................... 12.03 ❋ Tab 4 mg ............................................................................... 15.93 FLUOROURACIL SODIUM – Retail pharmacy-Specialist ( price) Crm 5% ................................................................................... 23.89 (32.71) THYROXINE ( subsidy) ❋ Tab 50 µg .............................................................................. 64.28 ‡ Safety cap for extemporaneously compounded oral liquid preparations. ❋ Tab 100 µg ............................................................................ 66.78 ‡ Safety cap for extemporaneously compounded oral liquid preparations. INFLUENZA VACCINE – Hospital pharmacy [Xpharm] ( subsidy) Inj ............................................................................................. 9.00 CODEINE PHOSPHATE ( subsidy) Tab 15 mg ................................................................................ 5.50 Tab 30 mg ................................................................................ 8.50 Tab 60 mg .............................................................................. 18.50 168 Cartia 30 Ethics Aspirin EC 30 Pharmacia 30 30 30 250 250 20 g OP Efudix 1,000 1,000 ✔ Eltroxin ✔ Eltroxin ✔ SimvaRex ✔ SimvaRex ✔ SimvaRex ✔ Dosan ✔ Dosan

98 105

1 100 100 100

✔ Fluvax ✔ PSM ✔ PSM ✔ PSM

108

FLUOXETINE HYDROCHLORIDE ( subsidy) ❋ Tab dispersible 20 mg, scored – Subsidy by endorsement ......... 5.50 30 ✔ Fluox Subsidised by endorsement 1) When prescribed for a patient who cannot swallow whole tablets or capsules and the prescription is endorsed accordingly; or 2) When prescribed in a daily dose that is not a multiple of 20 mg in which case the prescription is deemed to be endorsed. Note: Tablets should be combined with capsules to facilitate incremental 10 mg doses. ❋ Cap 20 mg ............................................................................... 4.39 90 ✔ Fluox CARBOPLATIN – PCT only – Specialist ( subsidy) Inj 1 mg for ECP ....................................................................... 0.13 CARMUSTINE – PCT only – Specialist ( subsidy) Inj 100 mg for ECP ............................................................... 204.13 1 mg ✔ Baxter

125 125

100 mg OP ✔ Baxter

Patients pay a manufacturer’s surcharge when the Manufacturer’s Price is greater than the Subsidy

S29 Unapproved medicine supplied under Section 29 ‡ safety cap reimbursed Sole Subsidised Supply

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Changes to Subsidy and Manufacturer’s Price - effective 1 January 2008 (continued)

125 125 125 125 126 127 127 CISPLATIN – PCT only – Specialist ( subsidy) Inj 1 mg for ECP ....................................................................... 0.46 CYCLOPHOSPHAMIDE ( subsidy) Inj 1 mg for ECP – PCT only – Specialist ................................... 0.02 IFOSFAMIDE – PCT only – Specialist ( subsidy) Inj 1 mg for ECP ....................................................................... 0.09 1 mg 1 mg 1 mg ✔ Baxter ✔ Baxter ✔ Baxter ✔ Baxter ✔ Baxter

OXALIPLATIN – PCT only – Specialist – Special Authority see SA0900 ( subsidy) Inj 1 mg for ECP ....................................................................... 8.74 1 mg CALCIUM FOLINATE ( subsidy) Inj 1 mg for ECP – PCT only – Specialist .................................... 0.16 CLADRIBINE – PCT only – Specialist ( subsidy) Inj 10 mg for ECP ................................................................. 749.96 CYTARABINE ( subsidy) Inj 1 mg for ECP – PCT only – Specialist ................................... 0.03 Inj 100 mg intrathecal syringe for ECP – PCT only – Specialist 16.00 FLUDARABINE PHOSPHATE – PCT only – Specialist ( subsidy) Inj 50 mg for ECP ................................................................. 299.25 1 mg

10 mg OP ✔ Baxter 1 mg ✔ Baxter 100 mg OP ✔ Baxter 50 mg OP ✔ Baxter ✔ Baxter ✔ Baxter ✔ Baxter ✔ Baxter

127 128 128

IRINOTECAN – PCT only – Specialist – Special Authority see SA0878 ( subsidy) Inj 1 mg for ECP ....................................................................... 3.19 1 mg METHOTREXATE ( subsidy) ❋ Inj 1 mg for ECP – PCT only – Specialist ................................... 0.10 ❋ Inj 5 mg intrathecal syringe for ECP – PCT only – Specialist ....... 4.73 BLEOMYCIN SULPHATE – PCT only – Specialist ( subsidy) Inj 1,000 iu for ECP .................................................................. 5.26 1 mg 5 mg OP 1,000 iu

129 129 129 129 129 129 130

COLASPASE (L-ASPARAGINASE) – PCT only – Specialist ( subsidy) Inj 10,000 iu for ECP ............................................................ 102.32 10,000 iu OP ✔ Baxter DACARBAZINE – PCT only – Specialist ( subsidy) Inj 200 mg for ECP ................................................................. 43.86 DACTINOMYCIN (ACTINOMYCIN D) – PCT only – Specialist ( subsidy) Inj 0.5 mg for ECP .................................................................. 13.52 DAUNORUBICIN – PCT only – Specialist ( subsidy) Inj 20 mg for ECP ................................................................... 99.00 200 mg OP ✔ Baxter 0.5 mg OP ✔ Baxter 20 mg OP ✔ Baxter ✔ Baxter ✔ Baxter

DOCETAXEL – PCT only – Specialist – Special Authority see SA0880 ( subsidy) Inj 1 mg for ECP ..................................................................... 23.81 1 mg DOXORUBICIN – PCT only – Specialist ( subsidy) Inj 1 mg for ECP ....................................................................... 0.87 1 mg

▲

Three months supply may be dispensed at one time if endorsed “certified exemption” by the prescriber.

❋ Three months or six months, as applicable, dispensed all-at-once

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Changes to Subsidy and Manufacturer’s Price - effective 1 January 2008 (continued)

130 130 130 130 131 131 131 131 132 132 132 139 139 152 EPIRUBICIN – PCT only – Specialist ( subsidy) Inj 1 mg for ECP ....................................................................... 2.74 ETOPOSIDE ( subsidy) Inj 1 mg for ECP – PCT only – Specialist ................................... 0.30 ETOPOSIDE PHOSPHATE – PCT only – Specialist ( subsidy) Inj 1 mg (of etoposide base) for ECP ........................................ 0.47 IDARUBICIN HYDROCHLORIDE – PCT only – Specialist ( subsidy) Inj 1 mg for ECP ..................................................................... 37.74 MITOMYCIN C – PCT only – Specialist ( subsidy) Inj 1 mg for ECP ..................................................................... 11.85 MITOZANTRONE – PCT only – Specialist ( subsidy) Inj 1 mg for ECP ..................................................................... 18.65 PACLITAXEL – PCT only – Specialist ( subsidy) Inj 1 mg for ECP ....................................................................... 3.39 TENIPOSIDE – PCT only – Specialist ( subsidy) Inj 50 mg for ECP ................................................................... 84.51 VINBLASTINE SULPHATE ( subsidy) Inj 1 mg for ECP – PCT only – Specialist ................................... 3.05 VINCRISTINE SULPHATE ( subsidy) Inj 1 mg for ECP – PCT only – Specialist ................................. 21.46 1 mg 1 mg 1 mg 1 mg 1 mg 1 mg 1 mg ✔ Baxter ✔ Baxter ✔ Baxter ✔ Baxter ✔ Baxter ✔ Baxter ✔ Baxter

50 mg OP ✔ Baxter 1 mg 1 mg ✔ Baxter ✔ Baxter ✔ Baxter

VINORELBINE – PCT only – Specialist – Special Authority see SA0901 ( subsidy) Inj 1 mg for ECP ........................................................................ 4.75 1 mg RITUXIMAB – PCT only – Specialist – Special Authority see SA0884 ( subsidy) Inj 1 mg for ECP ....................................................................... 6.27 1 mg TRASTUZUMAB – PCT only – Specialist – Special Authority see SA0885 ( subsidy) Inj 1 mg for ECP ....................................................................... 9.36 1 mg TIMOLOL MALEATE ( subsidy) ❋ Eye drops 0.25%, gel forming .................................................... 3.30 ❋ Eye drops 0.5%, gel forming ...................................................... 3.78 LATANOPROST – Retail pharmacy-Specialist ( price) See prescribing guideline ▲ Eye drops 50 µg per ml, 2.5ml ............................................... 19.50 SODIUM BICARBONATE ( price) Powder BP – Only in combination ........................................... 11.99 (29.50) Only in extemporaneously compounded omeprazole suspension.

✔ Baxter ✔ Baxter

2.5 ml OP ✔ Timoptol XE 2.5 ml OP ✔ Timoptol XE

153

2.5 ml OP ✔ Xalatan 500 g David Craig

162

Patients pay a manufacturer’s surcharge when the Manufacturer’s Price is greater than the Subsidy

S29 Unapproved medicine supplied under Section 29 ‡ safety cap reimbursed Sole Subsidised Supply

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Changes to Brand Name

Effective 1 January 2008

105 METHADONE HYDROCHLORIDE a) Only on a controlled drug form b) No patient co-payment payable c) Extemporaneously compounded methadone will only be reimbursed at the rate of the cheapest form available (methadone powder, not methadone tablets). d) For methadone hydrochloride oral liquid refer, page 160 Tab 5 mg ................................................................................. 2.10 10 ✔ Methatabs PSM

Changes to PSO

Effective 1 February 2008

183 GENITO-URINARY SYSTEM Condoms ...................................49 mm 144

Effective 1 January 2008

183 GENITO-URINARY SYSTEM Methylergometrine maleate ........ Inj 200 µg per ml, 1 ml 10

Changes to Sole Subsidised Supply

Effective 1 March 2008

For the list of new Sole Subsidised Supply products effective 1 March 2008 refer to the bold entries in the cumulative Sole Subsidised Supply table pages 8-16.

▲

Three months supply may be dispensed at one time if endorsed “certified exemption” by the prescriber.

❋ Three months or six months, as applicable, dispensed all-at-once

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Delisted Items

Effective 1 March 2008

28 INSULIN ISOPHANE WITH INSULIN NEUTRAL ▲ Inj human with neutral insulin 100 u per ml .............................. 25.26 ▲ Inj human with neutral insulin 100 u per ml, 3 ml .................... 42.66 LACTULOSE – Only on a prescription ❋ Oral liq 10 g per 15 ml .............................................................. 6.60 ACEBUTOLOL ❋ Tab 400 mg ........................................................................... 27.63 POVIDONE IODINE Oint 10% .................................................................................. 2.88 6.87 (7.02) a) Maximum of 100 g per prescription b) Only on a prescription Antiseptic soln 10% .................................................................. 6.42 64.20 PIMOZIDE – Retail pharmacy-Specialist Tab 4 mg ............................................................................... 11.78 LORATADINE ❋ Tab 10 mg ............................................................................... 3.58 (6.70) IPRATROPIUM BROMIDE Aqueous nasal spray, 0.03% .................................................... 6.33 (11.79) 10 ml OP 5 ✔ Mixtard 50 ✔ PenMix 10 ✔ PenMix 20 ✔ Laevolac ✔ ACB ✔ Biocil Betadine 500 ml 5,000 ml ✔ Biocil ✔ Biocil

34 57 67

1,000 ml 100 25 g OP 100 g OP

118

20 100

✔ Orap Forte S29

145

Apo-Loratadine 15 ml OP Atrovent Nasal Aqueous

149

Effective 1 February 2008

31 GLUCOSE BLOOD DIAGNOSTIC TEST METER – Subsidy by endorsement a) Maximum of 1 meter per prescription b) A diagnostic blood glucose test meter is subsidised for patients who begin insulin or sulphonylurea therapy after 1 March 2005. Only one meter per patient. No further prescriptions will be subsidised. The prescription must be endorsed accordingly. Meter ....................................................................................... 9.00 1 ✔ Optium ASPIRIN ❋ Tab 100 mg ............................................................................. 3.06 90 ✔ Ethics Aspirin EC

Patients pay a manufacturer’s surcharge when the Manufacturer’s Price is greater than the Subsidy

S29 Unapproved medicine supplied under Section 29 ‡ safety cap reimbursed Sole Subsidised Supply

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Delisted Items - effective 1 February 2008 (continued)

88 AZITHROMYCIN – Subsidy by endorsement a) Maximum of 2 tab per prescription b) Available on a PSO c) Subsidised only if prescribed for patients with uncomplicated urethritis or cervicitis proven or presumed to be due to Chlamydia trachomatis and their sexual contacts and prescription or PSO is endorsed accordingly. Tab 500 mg ............................................................................. 9.90 2 OP (15.53) Zithromax LOPINAVIR WITH RITONAVIR – Special Authority see SA0779 – Hospital pharmacy [HP1] Cap 133.3 mg with ritonavir 33.3 mg ..................................... 735.00 180 ✔ Kaletra METHADONE HYDROCHLORIDE a) Only on a controlled drug form b) No patient co-payment payable c) Extemporaneously compounded methadone will only be reimbursed at the rate of the cheapest form available (methadone powder, not methadone tablets). d) For methadone hydrochloride oral liquid refer, page 160 Tab 5 mg ................................................................................. 2.10 10 (2.78) Pallidone THIORIDAZINE HYDROCHLORIDE Tab 25 mg ............................................................................... 7.85 FLUOROURACIL SODIUM Inj 500 mg per 10 ml – PCT – Retail pharmacy-Specialist. ....... 28.75 Inj 50 mg per ml, 20 ml – PCT only – Specialist ....................... 52.31 Inj 50 mg per ml, 50 ml – PCT only – Specialist ....................... 26.16 THEOPHYLLINE ❋ Tab long-acting 350 mg ......................................................... 29.28 90 5 5 1 100 ✔ Aldazine ✔ Mayne ✔ Mayne ✔ Mayne ✔ Nuelin-SR

96 105

118 127

148 168

DIABETIC ENTERAL FEED 1KCAL/ML – Special Authority see SA0594 – Hospital pharmacy [HP3] Liquid ........................................................................................ 7.50 1,000 ml OP ✔ Resource Diabetic RTH

Effective 1 January 2008

29 METFORMIN HYDROCHLORIDE ❋ Tab 500 mg ............................................................................. 9.75 ❋ Tab 850 mg ............................................................................. 8.00 HYDROXOCOBALAMIN ❋ Inj 1 mg per ml, 1 ml .............................................................. 10.84 DIPYRIDAMOLE ❋ Tab 25 mg – Additional subsidy by Special Authority see SA0648 – Retail pharmacy ................................................... 0.19 (9.95) 500 250 ✔ Metomin ✔ Metomin

✔ Goldshield S29

100 Persantin

▲

Three months supply may be dispensed at one time if endorsed “certified exemption” by the prescriber.

❋ Three months or six months, as applicable, dispensed all-at-once

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Delisted Items - effective 1 January 2008 (continued)

48 DEXTROSE WITH ELECTROLYTES Soln with electrolytes ................................................................ 6.30 (6.66) 3.33 (3.44) DICLOXACILLIN Grans for oral liq 125 mg per 5 ml ............................................ 3.55 (4.10) Inj 500 mg ............................................................................... 5.45 Inj 1 g ...................................................................................... 7.54 CARBAMAZEPINE ❋ Tab 200 mg ........................................................................... 14.53 THIORIDAZINE HYDROCHLORIDE Tab 10 mg ............................................................................... 6.88 946 ml OP Pedialyte - Fruit 500 ml OP Plasma-Lyte Oral 100 ml 5 5 100 90 Diclocil ✔ Diclocil ✔ Diclocil ✔ Teril ✔ Aldazine

109 118

Patients pay a manufacturer’s surcharge when the Manufacturer’s Price is greater than the Subsidy

S29 Unapproved medicine supplied under Section 29 ‡ safety cap reimbursed Sole Subsidised Supply

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Items to be Delisted

Effective 1 April 2008

26 RANITIDINE HYDROCHLORIDE – Only on a prescription ❋ Oral liq 150 mg per 10 ml – Subsidy by endorsement ................ 7.95 300 ml (20.04) Zantac Oral liquid is subsidised only for patients: 1) with oesophageal stricture, or 2) in terminal care, or 3) who are either too young or too old to swallow conventional tablets and the prescription is endorsed accordingly. Note: the cost of treatment with ranitidine oral liquid is more than 10 times higher than that of ranitidine tablets. Following the derestriction of access PHARMAC will be monitoring expenditure on ranitidine oral liquid more closely and may, subject to consultation and PHARMAC Board approval, restrict access again if the expenditure was to grow substantially. FERROUS SULPHATE ❋‡ Oral liq 150 mg per 5 ml ......................................................... 5.15 (7.95) ASPIRIN ❋ Tab 100 mg ............................................................................. 2.86 (5.70) 0.51 (1.02) DOXAZOSIN MESYLATE ❋ Tab 2 mg ............................................................................... 12.03 ❋ Tab 4 mg ............................................................................... 15.93 250 ml Ferro-liquid 168 Cartia 30 Ethics Aspirin EC 250 250 ✔ Dosan ✔ Dosan

Effective 1 May 2008

100 121 NAPROXEN SODIUM ❋ Tab 275 mg ............................................................................. 5.00 ALPRAZOLAM – Retail pharmacy-Specialist Month Restriction Tab 250 µg .............................................................................. 4.77 (8.11) ‡ Safety cap for extemporaneously compounded oral liquid preparations. Tab 500 µg .............................................................................. 8.60 (16.26) ‡ Safety cap for extemporaneously compounded oral liquid preparations. Tab 1 mg ............................................................................... 15.70 (32.51) ‡ Safety cap for extemporaneously compounded oral liquid preparations. 100 ✔ Synflex

100 Xanax 100 Xanax 100 Xanax

▲

Three months supply may be dispensed at one time if endorsed “certified exemption” by the prescriber.

❋ Three months or six months, as applicable, dispensed all-at-once

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Items to be Delisted - effective 1 June 2008

27 PANTOPRAZOLE ❋ Tab 20 mg ............................................................................... 2.40 (22.00) ❋ Tab 40 mg ............................................................................... 3.60 (28.00) 30 Somac 30 Somac

Effective 1 July 2008

24 BUDESONIDE Cap 3 mg – Special Authority see SA0698 – Retail pharmacy................................................................. 185.00 MEBEVERINE HYDROCHLORIDE – Retail pharmacy-Specialist ❋ Tab 135 mg .............................................................................. 3.57 (8.58) INSULIN ISOPHANE ▲ Inj animal (pork) 100 u per ml ................................................. 25.26 MUCILAGINOUS LAXATIVES WITH STIMULANTS ❋ Dry ........................................................................................... 4.40 (12.00) METHOXSALEN – Retail pharmacy-Specialist Cap 10 mg ............................................................................. 11.66 NELFINAVIR – Special Authority see SA0779 – Hospital pharmacy [HP1] Tab 250 mg .......................................................................... 600.00 Powder 50 mg per g ................................................................ 55.44 MORPHINE SULPHATE a) Only on a controlled drug form b) No patient co-payment payable Suppos 10 mg ........................................................................ 11.08 Suppos 20 mg ........................................................................ 20.31 TRIFLUOPERAZINE HYDROCHLORIDE ‡ Oral liq 1 mg per ml ................................................................ 74.80

100 30

✔ Entocort CIR

Colofac 10 ml OP 250 g OP Granocol 25 270 144 g OP ✔ Oxsoralen ✔ Viracept ✔ Viracept ✔ Protaphane

28 33

69 96

106

12 12 1,000 ml

✔ Martindale S29 ✔ Martindale S29 ✔ Stelazine

118

Effective 1 August 2008

177 GLUTEN FREE PASTA – Special Authority see SA0722 – Hospital pharmacy [HP3] Rice and Maize Spaghetti .......................................................... 2.00 250 g OP (2.63)

Orgran

Patients pay a manufacturer’s surcharge when the Manufacturer’s Price is greater than the Subsidy

S29 Unapproved medicine supplied under Section 29 ‡ safety cap reimbursed Sole Subsidised Supply

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s price) $

Per

Brand or Generic Mnfr ✔ fully subsidised

Items to be Delisted - effective 1 September 2008

36 ASCORBIC ACID AND SODIUM ASCORBATE a) No more than 100 mg per dose b) Only on a prescription ❋ Tab 100 mg .............................................................................. 2.60 PERMETHRIN Lotion 5% ................................................................................. 4.50 (7.00) ECONAZOLE NITRATE Pessaries 150 mg with applicators ........................................... 2.75 (9.71) BENZATHINE BENZYLPENICILLIN Inj 1.2 mega u per 2 ml – Available on a PSO ........................... 16.00 ASPIRIN ❋ Tab EC 650 mg ........................................................................ 6.88

100

✔ Healtheries Vitamin C

50 ml OP Quellada-P 3 Pevaryl Ovules 1 100 ✔ Bicillin ✔ Ecotrin

89 104

▲

Three months supply may be dispensed at one time if endorsed “certified exemption” by the prescriber.

❋ Three months or six months, as applicable, dispensed all-at-once

Contracted Pharmaceutical Description

Brand

Price ($) (ex man. excl. GST)

Per

DV Limit

DV Limit DV applies Pharmaceutical from

Section H changes to Part II

Effective 1 March 2008

BENZATHINE BENZYLPENICILLIN Inj 1.2 mgea u per 2 ml...................Bicillin Note - Bicillin delisted 1 March 2008 GLYCEROL Liquid .............................................ABM HYDROCORTISONE BUTYRATE Milky emulsion 0.1% ......................Locoid Crelo MANGAFODIPIR Inf 0.01 mmol per ml, 50 ml ...........Teslascan Note – Teslascan inf delisted 1 March 2008 METHYL HYDROXYBENZOATE Powder ..........................................ABM METHYLCELLULOSE Powder ..........................................ABM OMEPRAZOLE ( price) Cap 10 mg .....................................Omezol Cap 20 mg .....................................Omezol Cap 40 mg .....................................Omezol PRAZOSIN HYDROCHLORIDE Tab 1 mg........................................Apo-Prazo Tab 2 mg........................................Apo-Prazo Tab 5 mg........................................Apo-Prazo PROPYLENE GLYCOL Liquid .............................................ABM SALICYLIC ACID Powder ..........................................ABM SULPHUR Precipitated ....................................ABM 16.00 1

19.80 15.00 250.00

2000 ml 100 ml 1

10.00 14.00 5.95 5.95 8.84 5.53 7.00 11.70 12.00 15.00 6.50

25 g 100 g 30 30 30 100 100 100 500 ml 500 g 100 g 1% 1% 1% May-08 May-08 May-08 (B) (B) (B)

SUNSCREENS, PROPRIETARY Lotn ...............................................Marine Blue Lotion SPF 30+ 2.55 Lotn ...............................................Marine Blue Lotion SPF 30+ 5.10 VERAPAMIL HYDROCHLORIDE Tab 40 mg......................................Isoptin Tab 80 mg......................................Isoptin 7.01 11.74

100 g 200 g 100 100

Products with Hospital Supply Status (HSS) are in bold.

(B) – Subject only to part (b) of the definition of “DV Pharmaceutical”

Contracted Pharmaceutical Description

Brand

Price ($) (ex man. excl. GST)

Per

DV Limit

DV Limit DV applies Pharmaceutical from

Section H changes to Part II - effective 1 February 2008

BUMETANIDE Tab 1 mg .......................................Burinex CALCIPOTRIOL ( price) Crm 50 µg per g .............................Daivonex Oint 50 µg per g .............................Daivonex Crm 50 µg per g .............................Daivonex Oint 50 µg per g .............................Daivonex Soln 50 µg per ml...........................Daivonex Soln 50 µg per ml...........................Daivonex CLOZAPINE ( price) Tab 25 mg......................................Clozaril Clopine Tab 50 mg......................................Clopine Tab 100 mg....................................Clozaril Clopine Tab 200 mg....................................Clopine 16.36 20.76 20.76 57.89 57.89 20.78 34.72 17.60 17.60 22.80 45.60 45.60 72.96 100 30 g 30 g 100 g 100 g 30 ml 60 ml 50 50 50 50 50 50 100 12 1% Apr-08 (B)

DEXAMPHETAMINE SULPHATE ( price and addition of HSS) Tab 5 mg........................................PSM 17.00 FUSIDIC ACID ( price) Tab 250 mg....................................Fucidin LAMOTRIGINE ( price) Tab dispersible 25 mg ....................ArrowLamotrigine Mogine Tab dispersible 50 mg ....................ArrowLamotrigine Mogine Tab dispersible 100 mg ..................ArrowLamotrigine Mogine Tab dispersible 200 mg ..................ArrowLamotrigine Mogine NICOTINE (amended description and addition of HSS) Gum 2 mg (mint flavour) ................Habitrol Gum 2 mg (fruit flavour) .................Habitrol Gum 4 mg (mint flavour) ................Habitrol 34.50

20.40 20.40 34.70 34.70 59.90 59.90 101.80 101.80 14.97 14.97 20.02

56 56 56 56 56 56 56 56 96 96 96 10% 10% 10% Apr-08 Apr-08 Apr-08 Nicorette Nicotinell Nicotrol Nicorette Nicotinell Nicotrol Nicorette Nicotinell Nicotrol

Products with Hospital Supply Status (HSS) are in bold.

(B) – Subject only to part (b) of the definition of “DV Pharmaceutical”

Contracted Pharmaceutical Description

Brand

Price ($) (ex man. excl. GST)

Per

DV Limit

DV Limit DV applies Pharmaceutical from

Section H changes to Part II - effective 1 February 2008 (continued)

NICOTINE (amended description and addition of HSS) (continued) Gum 4 mg (fruit flavour) .................Habitrol 20.02 Patch 7 mg.....................................Habitrol Patch 14 mg...................................Habitrol Patch 21 mg...................................Habitrol PODOPHYLLOTOXIN ( price) Soln 0.5%.......................................Condyline SAQUNAVIR Tab 500 mg....................................Invirase 10.53 11.63 12.32 96 7 7 7 10% 10% 10% 10% Apr-08 Apr-08 Apr-08 Apr-08 Nicorette Nicotinell Nicotrol Nicorette Nicotrol Nicorette Nicotrol Nicorette Nicotrol

33.60 556.59

3.5 ml 120

Effective 1 January 2008

BUPIVACAINE HYDROCHLORIDE WITH ADRENALINE Inj 0.25% with 1:400,000 of adrenaline, 10 ml .......................Marcain 45.00 5 Inj 0.5% with 1:200,000 of adrenaline, 10 ml .......................Marcain 48.00 5 Inj 0.5% with 1:200,000 of adrenaline, 20 ml .......................Marcain 75.00 5 Note – Marcain, bupivacaine hydrochloride with adrenaline inj, delisted 1 January 2008 CLARITHROMYCIN Tab 250 mg....................................Klamycin Note – Clarac tab 250 mg to be delisted 1 March 2008 CODEINE PHOSPHATE ( price and addition of HSS) Tab 15 mg......................................PSM Tab 30 mg......................................PSM Tab 60 mg......................................PSM 5.50 8.50 18.50 100 100 100 1% 1% 1% Mar-08 Mar-08 Mar-08 (B) (B) (B) 7.75 14 1% Mar-08 Clarac Klacid

DEXTRAN 40 WITH SODIUM CHLORIDE Inf 10% with 0.9% sodium chloride, 500 ml .......................................Baxter 18.55 1 Note - Baxter’s brand of dextran 40 with sodium chloride to be delisted 1 April 2008 FENTANYL Inj 50 µg per ml, 2 ml .....................Mayne 4.60 5 AstraZeneca 7.60 10 Inj 50 µg per ml, 10 ml ...................Mayne 10.95 5 AstraZeneca 10.60 10 Note – AstraZeneca’s brand of fentanyl 50 µg per ml, 2 ml and 10 ml delisted from 1 January 2008. The Mayne brand remains listed.

Products with Hospital Supply Status (HSS) are in bold.

(B) – Subject only to part (b) of the definition of “DV Pharmaceutical”

Contracted Pharmaceutical Description

Brand

Price ($) (ex man. excl. GST)

Per

DV Limit

DV Limit DV applies Pharmaceutical from

Section H changes to Part II - effective 1 January 2008 (continued)

FLUOXETINE HYDROCHLORIDE ( price and addition of HSS) Cap 20 mg .....................................Fluox 4.39 Tab disp 20 mg, scored ..................Fluox METHADONE HYDROCHLORIDE (amended brand name) Tab 5 mg........................................Methatabs PSM 5.50 90 30 1% 1% Mar-08 Mar-08 Apo-Fluoxetine Flexetor Prozac Lovan Prozac Pallidone

2.10

Nov-07

METHYLPREDNISOLONE SODIUM SUCCINATE (amended product description) Inj 62.5 mg per ml, 2 1 ml ..............Solu-Medrol 412.59 25 PANTOPRAZOLE Tab 20 mg......................................Dr Reddy’s Pantoprazole Tab 40 mg......................................Dr Reddy’s Pantoprazole PROPOFOL ( price) Inj 1%, 20 ml .................................Diprivan 2.24 3.36 28 28

1% 1% 1%

Sept-06 Mar-08 Mar-08

Mayne Somac Somac

17.02

Dec-06

Inj 1%, 50 ml .................................Diprivan

9.26

Dec-06

Inj 1%, 100 ml ................................Diprivan

15.46

Dec-06

Inj 1%, 50 ml prefilled syringe .........Diprivan Inj 2%, 50 ml prefilled syringe .........Diprivan SIMVASTATIN ( price) Tab 10 mg......................................SimvaRex Tab 20 mg......................................SimvaRex Tab 40 mg......................................SimvaRex SODIUM CHLORIDE ( price) Inj 0.9% per 5 ml ............................AstraZeneca Inj 0.9% per 10 ml ..........................AstraZeneca

14.19 15.43 1.27 1.54 2.74 8.77 8.77

1 1 30 30 30 50 50

1% 1%

Dec-06 Dec-06

Fresenius InterMed Mayne Recofol Fresenius InterMed Mayne Recofol Fresenius InterMed Mayne Recofol (B) (B)

1% 1%

Sept-06 Sept-06

Pharmacia Pharmacia

Effective 1 December 2007

CALCIUM GLUCONATE Inj 10%, 10 ml ................................Mayne 21.40 Inj 10%, 10 ml ................................Mayne 106.99 Note – Mayne, 50 inj pack size delisted 1 December 2007 Products with Hospital Supply Status (HSS) are in bold. 10 50 (B) – Subject only to part (b) of the definition of “DV Pharmaceutical”

Contracted Pharmaceutical Description

Brand

Price ($) (ex man. excl. GST)

Per

DV Limit

DV Limit DV applies Pharmaceutical from

Section H changes to Part II - effective 1 December 2007 (continued)

CEFOXITIN SODIUM ( price) Powder for inj 1 g ...........................Mayne ERYTHROMYCIN LACTOBIONATE Inj 1 g.............................................Erythrocin IV Inj 1 g.............................................ERA Note – ERA inj 1 g delisted 1 December 2007 MITOZANTRONE Inj 2 mg per ml, 5 ml ......................Mitozantrone Ebewe Inj 2 mg per ml, 10 ml ....................Mitozantrone Ebewe 48.48 6.50 6.50 5 1 1

110.00 220.00

1 1

1% 1%

Feb-08 Feb-08

Onkotrone Mayne Novatrone Onkotrone

Note – Onkotrone inj 2 mg per ml, 10 ml to be delisted 1 February 2008 NAPROXEN SODIUM Tab 275 mg....................................Sonaflam 6.00 120 1% Feb-08 Synflex

Section H changes to Part IV

Effective 1 March 2008

LIGNOCAINE Viscous solution 2% For patients with head, neck and oesophageal cancer for up to 9 weeks following radiation therapy.

Products with Hospital Supply Status (HSS) are in bold.

(B) – Subject only to part (b) of the definition of “DV Pharmaceutical”

Index

Pharmaceuticals and brands A ACB ................................................................... 28 Acebutolol.......................................................... 28 Aldazine ....................................................... 29, 30 A-Lices .............................................................. 20 Alpha tocopheryl acetate .................................... 23 Alprazolam ................................................... 22, 31 Anten ................................................................. 22 APO-go .............................................................. 17 Apo-Loratadine .................................................. 28 Apomorphine hydrochloride ............................... 17 Apo-Prazo.................................................... 17, 34 Aquasun 30+ .................................................... 20 Aquasun Oil Free Faces SPF30+ ........................ 20 Aquasun Sensitive SPF 30+ .............................. 20 Arrow-Lamotrigine ....................................... 22, 35 Arsenic trioxide .................................................. 21 Ascorbic acid and sodium ascorbate .................. 33 Aspirin ............................................. 24, 28, 31, 33 Atrovent Nasal Aqueous ..................................... 28 Azithromycin ...................................................... 29 B Bakels Gluten Free Health Bread Mix ................... 23 Benzathine benzylpenicillin ........................... 33, 34 Betadine............................................................. 28 Bicillin .......................................................... 33, 34 Biocil ................................................................. 28 Bleomycin sulphate ............................................ 25 Bonjela .............................................................. 21 Buccastem......................................................... 21 Budesonide .................................................. 18, 32 Bumetanide........................................................ 35 Bupivacaine hydrochloride with adrenaline .......... 36 Burinex .............................................................. 35 C Calcipotriol................................................... 22, 35 Calcium folinate ................................................. 25 Calcium gluconate ............................................. 37 Carbamazepine .................................................. 30 Carboplatin ........................................................ 24 Carmustine ........................................................ 24 Cartia ........................................................... 24, 31 Cefoxitin sodium ................................................ 38 Choline salicylate with cetalkonium chloride........ 21 Cisplatin............................................................. 25 Cladribine........................................................... 25 Clarac .......................................................... 21, 32 Clarithromycin.................................. 18, 21, 32, 36 Clopine ........................................................ 22, 35 Clozapine ..................................................... 22, 35 Clozaril ........................................................ 22, 35 Codeine phosphate ...................................... 24, 36 Colaspase (l-asparaginase) ................................ 25 Colofac ........................................................ 18, 32 Condoms ............................................... 18, 21, 27 Condyline..................................................... 22, 36 Cromolux ........................................................... 23 Cyclophosphamide ............................................ 25 Cytarabine ......................................................... 25 D Dacarbazine ....................................................... 25 Dactinomycin (actinomycin D) ........................... 25 Daivonex ...................................................... 22, 35 Daunorubicin ..................................................... 25 Dexamphetamine sulphate............................ 23, 35 Dextran 40 with sodium chloride ........................ 36 Dextrose with electrolytes................................... 30 Diabetic enteral feed 1kcal/ml ............................. 29 Dibenyline .......................................................... 17 Diclocil .............................................................. 30 Dicloxacillin........................................................ 30 Diprivan ............................................................. 37 Dipyridamole...................................................... 29 Docetaxel ........................................................... 25 Dosan .......................................................... 24, 31 Doxazosin mesylate ..................................... 24, 31 Doxepin hydrochloride........................................ 22 Doxorubicin ....................................................... 25 Dr Reddy’s Pantoprazole .............................. 18, 37 E Econazole nitrate ................................................ 33 Ecotrin ............................................................... 33 Efudix ................................................................ 24 Eltroxin .............................................................. 24 Entocort CIR ................................................ 18, 32 Epirubicin........................................................... 26 ERA ................................................................... 38 Erythrocin IV ...................................................... 38 Erythromycin lactobionate .................................. 38 Ethics Aspirin EC.................................... 24, 28, 31 Etoposide........................................................... 26 Etoposide phosphate .......................................... 26 F Famotidine ......................................................... 21 Famox................................................................ 21 Fentanyl ............................................................. 36 Ferro-liquid .................................................. 23, 31 Ferrous sulphate .......................................... 23, 31 Fludarabine phosphate ....................................... 25 Flumetasone pivalate .......................................... 23 Fluorouracil sodium...................................... 24, 29 Fluox............................................................ 24, 37 Fluoxetine hydrochloride ............................... 24, 37 Fluvax ................................................................ 24

Index

Pharmaceuticals and brands Fucidin ......................................................... 22, 35 Fusidic acid.................................................. 22, 35 G Gaviscon ........................................................... 21 Genito-urinary system ........................................ 27 Glucose blood diagnostic test meter ................... 28 Gluten free bread mix ......................................... 23 Gluten free flour ................................................. 23 Gluten free pasta .......................................... 18, 32 Glycerol ....................................................... 17, 34 Gold Knight ........................................................ 21 Granocol ............................................................ 32 H Habitrol ........................................................ 35, 36 Hamilton Sunscreen ........................................... 20 Healtheries Vitamin C ......................................... 33 Horleys Bread Mix .............................................. 23 Horleys Flour...................................................... 23 Hydrocortisone butyrate ..................................... 34 Hydrocortisone with natamycin and neomycin .... 21 Hydroxocobalamin ............................................. 29 I Idarubicin hydrochloride ..................................... 26 Ifosfamide.......................................................... 25 Influenza vaccine.......................................... 19, 24 Insulin isophane ................................................. 32 Insulin isophane with insulin neutral.................... 28 Invirase .............................................................. 36 Ipratropium bromide ........................................... 28 Irinotecan........................................................... 25 Isoptin ......................................................... 17, 34 K Kaletra ............................................................... 29 Klamycin...................................................... 18, 36 L Lactulose ........................................................... 28 Laevolac ............................................................ 28 Lamotrigine.................................................. 22, 35 Latanoprost........................................................ 26 Lignocaine ......................................................... 38 Locoid Crelo ...................................................... 34 Locorten-Vioform ............................................... 23 Lopinavir with ritonavir ....................................... 29 Loratadine.......................................................... 28 M Malathion ........................................................... 20 Maldison ............................................................ 20 Mangafodipir ...................................................... 34 Marcain ............................................................. 36 Marine Blue Lotion SPF 30+ .................. 17, 20, 34 Mebeverine hydrochloride ............................ 18, 32 Mesna ............................................................... 19 Metformin hydrochloride .................................... 29 Methadone hydrochloride ....................... 27, 29, 37 Methatabs .................................................... 27, 37 Methotrexate ...................................................... 25 Methoxsalen ...................................................... 32 Methylcellulose ............................................ 17, 34 Methylergometrine maleate .......................... 18, 27 Methyl hydroxybenzoate ............................... 17, 34 Methylprednisolone sodium succinate ................ 37 Metomin ............................................................ 29 Micelle E ............................................................ 23 Mitomycin C ...................................................... 26 Mitozantrone .......................................... 23, 26, 38 Mitozantrone Ebewe ........................................... 38 Mixtard 50 ......................................................... 28 Mogine ........................................................ 22, 35 Morphine sulphate.............................................. 32 Mucilaginous laxatives with stimulants ............... 32 N Naproxen sodium ................................... 22, 31, 38 Nelfinavir............................................................ 32 Nicotine ................................................. 17, 35, 36 Nicotinell ............................................................ 17 Nuelin-SR .......................................................... 29 NZB Low Gluten Bread Mix ................................. 23 O Omeprazole.................................................. 21, 34 Omezol ........................................................ 21, 34 Optium............................................................... 28 Orap Forte .......................................................... 28 Orgran ......................................................... 18, 32 Oxaliplatin .......................................................... 25 Oxsoralen........................................................... 32 P Paclitaxel ........................................................... 26 Pallidone ............................................................ 29 Pantoprazole .................................... 18, 21, 32, 37 Paraldehyde ....................................................... 21 Pedialyte - Fruit .................................................. 30 PenMix 10 ......................................................... 28 PenMix 20 ......................................................... 28 Permethrin ......................................................... 33 Persantin ........................................................... 29 Pevaryl Ovules ................................................... 33 Phenoxybenzamine hydrochloride....................... 17 Pimafucort ......................................................... 21 Pimozide ............................................................ 28 Plasma-Lyte Oral................................................ 30 Podophyllotoxin ........................................... 22, 36 Povidone iodine ................................................. 28 Prazosin hydrochloride ................................. 17, 34 Prochlorperazine ................................................ 21

Index

Pharmaceuticals and brands Propofol ............................................................. 37 Propylene glycol .......................................... 18, 34 Protaphane ........................................................ 32 Q Quellada-P ......................................................... 33 R Ranitidine hydrochloride ............................... 23, 31 Resource Diabetic RTH ...................................... 29 Rituximab .......................................................... 26 S Salicylic acid ................................................ 17, 34 Saqunavir........................................................... 36 Shield 49 ........................................................... 18 Shield Blue ......................................................... 21 SimvaRex .................................................... 24, 37 Simvastatin .................................................. 24, 37 Sodium alginate ................................................. 21 Sodium bicarbonate ..................................... 18, 26 Sodium chloride ..................................... 21, 24, 37 Sodium cromoglycate ........................................ 23 Solu-Medrol ....................................................... 37 Somac ......................................................... 21, 32 Sonaflam ........................................................... 38 Stelazine ............................................................ 32 Sulphur .............................................................. 17 Sulphur, precipitated .......................................... 34 Sunscreens, proprietary ......................... 17, 20, 34 Synflex......................................................... 22, 31 T Tap water........................................................... 20 Teniposide ......................................................... 26 Teril ................................................................... 30 Teslascan .......................................................... 34 Theophylline ...................................................... 29 Thioridazine hydrochloride............................ 29, 30 Thyroxine ........................................................... 24 Timolol maleate.................................................. 26 Timoptol XE ....................................................... 26 Trastuzumab ...................................................... 26 Trifluoperazine hydrochloride .............................. 32 V Vaxigrip ............................................................. 19 Verapamil hydrochloride ............................... 17, 34 Vinblastine sulphate ........................................... 26 Vincristine sulphate ............................................ 26 Vinorelbine ......................................................... 26 Viracept ............................................................. 32 W Water ................................................................. 20 X Xalatan............................................................... 26 Xanax........................................................... 22, 31 Z Zantac.......................................................... 23, 31 Zithromax........................................................... 29

Pharmaceutical Management Agency Level 14, Cigna House, 40 Mercer Street, PO Box 10-254, Wellington 6143, New Zealand Phone: 64 4 460 4990 - Fax: 64 4 460 4995 - www.pharmac.govt.nz Freephone Information line (9am-5pm weekdays) 0800 66 00 50

While care has been taken in compiling this Update, Pharmaceutical Management Agency takes no responsibility for any errors or omissions and shall not be liable to any person for any damages or loss arising out of reliance by that person for any purpose on any of the contents of this Update. Errors and omissions brought to the attention of Pharmaceutical Management Agency will be corrected if necessary by an erratum or otherwise in the next edition of the Update.

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Title

Schedule Update - effective 1 March 2008

Abstract

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