This is the text extract for Summary of PHARMAC decisions effective 1 February 2003, browse documents here.

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Summary of PHARMAC decisions EFFECTIVE 1 FEBRUARY 2003

This Update to Section H contains a full list of pharmaceuticals that are now subject to national contracts. It can be used to replace Part II (pages 15 and 16) of the December 2002 edition of Section H. It does not replace Parts I, III, IV or V. Due to printing constraints, we have been unable to provide an index. New Listings • Amoxycillin with clavulanic acid (Augmentin) – granules for oral liquid: 100 ml 125 mg with 31.25 mg clavulanic acid per 5 ml & 100 ml 250 mg with 62.5 mg clavulanic acid per 5 ml, Injection: 600 mg vial 500 mg with 100 mg clavulanic acid, 1.2 g vial 1000 mg with 200 mg clavulanic acid & tablet: 625 mg tablet 500 mg with 125 mg clavulanic acid. Atracurium besylate (Tracrium) – 25 mg per 5 ml ampoule & 50 mg per 5 ml ampoule. Beractant (Survanta) – 200 mg per 8 ml suspension. Bupivacaine hydrochloride with fentanyl (Bupivacaine with fentanyl) – 0.125% bupivacaine with 2 µg per ml fentanyl, 15 ml pre -filled syringe & 0.125% bupivacaine with 2 µg per ml fentanyl, 20 ml pre-filled syringe. Bupivacaine hydrochloride with fentanyl (Bupafen) – 0.125% bupivacaine with 2 µg per ml fentanyl, 100 ml infusion bag & 0.125% bupivacaine with 2 µg per ml fentanyl, 200 ml infusion bag. Ceftazidime sodium (Fortum) – 500 mg, 1 g & 2 g injection. Cefuroxime axetil (Zinnat) – 250 mg tablet. Cefuroxime sodium (Zinacef) – 750 mg & 1.5 g injection as powder. Disodium pamidronate (Pamisol) – 30 mg per 10 ml vial, 60 mg per 10 ml vial & 90 mg per 10 ml vial. Gelatin plasma replacer (Gelofusine) – 4% per 500 ml infusion bag. Isoflurane (Forane) – 250 ml liquid bottle. Lipsomal amphotericin (AmBisome) – 50 mg vial. Mivacurium (Mivacron) – 10 mg per 5 ml & 20 mg per 10 ml injection. Morphine sulphate (Biomed) – 10 mg per 10 ml pre -filled syringes, 30 mg per 30 ml pre -filled syringes, 50 mg per 50 ml pre -filled syringes & 60 mg per 30 ml pre -filled syringes. Noradrenaline acid tartrate (Levophed) – 1:1000 per 2 ml injection. Ondansetron hydrochloride (Zofran) – 4 mg per 2 ml ampoule, 8 mg per 4 ml ampoule, 4 mg wafer, 8 mg wafer, 4 mg tablet & 8 mg tablet. Pentastarch plasma expander (Hemohes) – 10% per 500 ml infusion bag. Remifentanil hydrochloride (Ultiva) – 1 mg & 2 mg vial. Salbutamol (Ventolin) – 100 µg per dose 200 dose aerosol inhaler. Sevoflurane (Sevorane) – 250 ml liquid bottle.

• • •

•

• • • • • • • • • • • • • • •

2

Products with Hospital Supply Status (HSS) are in bold. (B) - Subject only to part (b) of the definition of “DV Pharmaceutical”

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Part II - Pharmaceuticals Under National Contracts

Contracted Pharmaceutical Description BRAND Price (ex man., GST excl.) $ Per DV Limit DV Limit applies from DV Phar maceuticals

AMOXYCILLIN WITH CLAVULANIC ACID Gran 125 mg with 31.25 mg clavulanic acid per 5 ml, 100 ml …………………. Augmentin Gran 250 mg with 62.5 mg clavulanic acid per 5 ml, 100 ml …………………. Augmentin Inj 600 mg, 500 mg with 100 mg clavulanic acid ………………………… Augmentin Inj 1.2 g, 1000 mg with 200 mg clavulanic acid ………………..…..…... Augmentin Tab 625 mg, 500 mg with 125 mg clavulanic acid …………………...…... Augmentin

2.75

1

0%

May -03

Alpha Synermox Alpha Synermox (B) (B) Apotex Synermox

4.75

1

0%

May -03

22.60 28.16 6.40

10 10 20

0% 0% 0%

May -03 May -03 May -03

ATRACURIUM BESYLATE Inj 25 mg per 5 ml amp ………………… Tracrium Inj 50 mg per 5 ml amp ………………… Tracrium ATROPINE SULPHATE Inj 0.4 mg per 1 ml polyamp .………..… AstraZeneca Inj 0.6 mg per 1 ml polyamp.………..…. AstraZeneca Inj 1.2 mg per 1 ml polyamp….……..…. AstraZeneca BASILIXIMAB Inj 20 mg amp ………………………..…

29.50 55.00

5 5

0% 0%

May -03 May -03

(B) (B)

29.95 24.00 29.95

50 50 50

0% 0% 0%

Apr-03 Apr-03 Apr-03

(B) Pharmacia (B)

Simulect

3,200.00

1

BERACTANT Inj 200 mg per 8 ml suspension ……… Survanta BUPIVACAINE HYDROCHLORIDE Inf 0.125% per 100 ml polybag TP……. Inf 0.125% per 200 ml polybag TP……. Inf 0.25% per 100 ml polybag TP……... Inj 0.25% per 20 ml polyamp TP…….... Inj 0.375% per 20 ml polyamp TP…..… Inj 0.5% per 10 ml polyamp TP……..… Inj 0.5% per 20 ml polyamp TP……..… Inj 0.5% per 10 ml polyamp..………..… Inj 0.5% per 4 ml amp TP …….……..…

855.00

1

0%

May -03

(B)

Marcain Marcain Marcain Marcain Marcain Marcain Marcain Marcain Marcain

66.50 127.00 115.00 39.00 48.80 28.00 42.00 85.00 25.00

5 5 5 5 5 5 5 50 5

0% 0% 0% 0% 0% 0% 0% 0% 0%

Apr-03 Apr-03 Apr-03 Apr-03 Apr-03 Apr-03 Apr-03 Apr-03 Apr-03

(B) (B) (B) Pharmacia (B) Pharmacia (B) (B) (B)

BUPIVACAINE HYDROCHLORIDE WITH ADRENALINE Inj 0.25% with 1:400,000 of adrenaline 10 ml vial………..………… Marcain 33.50 Inj 0.5% with 1:200,00 with adrenaline 10 ml vial…………..……… Marcain 36.00 Inj 0.5% with 1:200,000 of adrenaline 20 ml vial…………...….….. Marcain 55.00

5 5 5

0% 0% 0%

Apr-03 Apr-03 Apr-03

(B) (B) (B)

Products with Hospital Supply Status (HSS) are in bold. (B) - Subject only to part (b) of the definition of “DV Pharmaceutical”

3

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Contracted Pharmaceutical Description

BRAND

Price (ex man., GST excl.) $

Per

DV Limit

DV Limit applies from

DV Pharmaceuticals

BUPIVACAINE HYDROCHLORIDE WITH FENTANYL Inj 0.125% with 2 µg fentanyl per ml, 15 ml pre-filled syringe ………………. Bupivacaine with fentanyl Inj 0.125% with 2 µg fentanyl per ml, 20 ml pre-filled syringe ………………. Bupivacaine with fentanyl Inf 0.125% with 2 µg fentanyl per ml, 100 ml bag ……………………..…….. Bupafen Inf 0.125% with 2 µg fentanyl per ml,. 200 ml bag ……………………..…….. Bupafen CAPECITABINE Tab 150 mg ……………...…..………… Tab 500 mg …………………………..…

8.50

1

0%

May -03

Baxter

8.95 18.00

1 1

0% 5%

May -03 May -03

Baxter Baxter Marcain Baxter Marcain

22.00

1

5%

May -03

Xeloda Xeloda

115.00 705.00

60 120

0% 0%

Mar-03 Mar-03

(B) (B)

CEFOTAXIME SODIUM Inj 500 mg vial.………...….………....… Cefotaxime Inj 1 g vial ………………………………. Cefotaxime

3.99 5.99

1 1

10% 10%

Apr-03 Apr-03

Aventis Baxter Aventis Baxter Novartis

Inj 2 g vial ………………………….….... Cefotaxime CEFTAZIDIME SODIUM Inj 500 mg ……………..………………. Inj 1 g ……………………..……………. Inj 2 g ………………………..………….

9.99

1

Fortum Fortum Fortum

10.16 20.12 40.18

1 1 1

0% 0% 0%

May -03 May -03 May -03

Novartis Novartis Novartis

CEFTRIAXONE Inj IV 250 mg vial……………..……..…. Rocephin Inj IV 500 mg vial……………..………... Rocephin

20.00 35.00

5 5

5% 5%

Mar-03 Mar-03

Inj IM 1 g vial……………………...…….. Rocephin

45.00

5

5%

Mar-03

Inj IV 1 g vial……………...……..…..…. Rocephin

45.00

5

5%

Mar-03

Inf 2 g ……………………………………. Rocephin

90.00

5

5%

Mar-03

Baxter Novartis AFT Baxter Novartis AFT Baxter Novartis AFT Baxter Novartis AFT Baxter Novartis

CEFUROXIME AXETIL Tab 250 mg …………………………….. CEFUROXIME SODIUM Inj 750 mg ………………………………

Zinnat

42.00

50

0%

May -03

(B)

Zinacef

18.00

5

0%

May -03

Inj 1.5 g ………………………..……….

Zinacef

6.79

1

0%

May -03

AFT Baxter Douglas AFT Baxter Douglas

4

Products with Hospital Supply Status (HSS) are in bold. (B) - Subject only to part (b) of the definition of “DV Pharmaceutical”

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Contracted Pharmaceutical Description

BRAND

Price (ex man., GST excl.) $

Per

DV Limit

DV Limit applies from

DV Pharmaceuticals

CLOZAPINE Tab 25 mg ………………….…..…….... Clozaril Tab 100 mg ………………………..…... Clozaril CYCLOSPORIN Cap 25 mg ……………..………….……. Cap 50 mg ……………..…………….…. Cap 100mg……………...…..……...….. Oral liq 100 mg per ml ..…………….…

22.00 57.00

50 50

Neoral Neoral Neoral Neoral

85.00 169.34 338.69 377.38

50 50 50 50 ml OP

DACLIZUMAB Inj 25 mg per 5 ml vial .…...…...…….… Zenapax DISODIUM PAMIDRONATE Inj 30 mg per 10 ml vial …..…………… Pamisol Inj 60 mg per 10 ml vial ...……..……… Pamisol Inj 90 mg per 10 ml vial ..……………… Pamisol ERYTHROPOIETIN BETA Inj 1,000 iu prefilled syringe ..………... Inj 2,000 iu prefilled syringe …………... Inj 3,000 iu prefilled syringe .…..……... Inj 4,000 iu prefilled syringe ...…….….. Inj 5,000 iu prefilled syringe ...…….….. Inj 6,000 iu prefilled syringe ...……....... Inj 10,000 iu prefilled syringe.…….……

635.00

1

0%

Mar-03

(B)

76.00 152.00 233.00

1 1 1

0% 0% 0%

May -03 May -03 May -03

Aredia (B) Aredia

Recormon Recormon Recormon Recormon Recormon Recormon Recormon

76.02 152.04 228.06 304.08 380.10 456.12 760.20

6 6 6 6 6 6 6

FILGRASTIM Inj 300 µg per 1 ml vial……….…….….. Neupogen Inj 300 µg per 0.5 ml prefilled syringe …………………………………. Neupogen FLUMAZENIL Inj 0.5 mg per 5 ml amp ….….…….….. Anexate IMATINIB MESYLATE Cap 100 mg ……………………………..

650.00 135.00

5 1

0% 0%

Mar-03 Mar-03

(B) (B)

170.10

5

0%

Mar-03

(B)

Glivec

4,800.00

120

GANCYCLOVIR Cap 250 mg ………...………..……..….. Cymevene Inj 500 mg vial ……...…....…..……...… Cymevene GELATIN PLASMA REPLACER Inf 4% per 500 ml bag ……………...… Gelofusine GLYCERYL TRINITRATE Aerosol spray 400 µg per dose 200 dose CFC-free ……..………..…...…… Glytrin

441.00 380.00

84 5

0% 0%

Mar-03 Mar-03

(B) (B)

11.80

1

5%

May -03

Haemaccel

6.99

1

0%

Apr-03

Nitrolingual pumpspray

GOSERELIN ACETATE Inj 3.6 mg syringe …..……..….……..... Zoladex Inj 10.8 mg syringe ……….……….…… Zoladex HEPARINISED SALINE Inj 50 iu per 5 ml polyamp ………….... AstraZeneca

277.00 739.60

1 1

0% 0%

Apr-03 Apr-03

(B) (B)

20.00

50

0%

Apr-03

Baxter Pharmacia

Products with Hospital Supply Status (HSS) are in bold. (B) - Subject only to part (b) of the definition of “DV Pharmaceutical”

5

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Contracted Pharmaceutical Description

BRAND

Price (ex man., GST excl.) $

Per

DV Limit

DV Limit applies from

DV Pharmaceuticals

ISOFLURANE Liq 250 ml bottle ………………..…..… LIGNOCAINE HYDROCHLORIDE Inj 0.5% per 5 ml polyamp …………… Inj 1% per 2 ml polyamp ………….….. Inj 1% per 5 ml polyamp.………………. Inj 1% per 20 ml polyamp.…..……..…. Inj 2% per 2 ml polyamp ...………..….. Inj 2% per 5 ml polyamp .………….….

Forane

99.00

1

0%

May -03

Aerrane

Xylocaine Xylocaine Xylocaine Xylocaine Xylocaine Xylocaine

45.00 48.00 42.00 23.50 52.00 45.00 28.00 56.00

50 50 50 5 50 50 5 1

0% 0% 0% 0% 0% 0% 0% 0%

Apr-03 Apr-03 Apr-03 Apr-03 Apr-03 Apr-03 Apr-03 Apr-03

Inj 2% per 20 ml polyamp…….…….…. Xylocaine Pump spray 10% per 50 ml CFC-free. Xylocaine

(B) (B) Pharmacia (B) (B) Pharmacia CSL Pharmacia (B)

LIGNOCAINE HYDROCHLORIDE WITH ADRENALINE Inj 1% with 1:100,000 adrenaline 5 ml amp………………….…..………….… Xylocaine 60.00 Inj 1% with 1:200,000 adrenaline 20 ml amp ………………….………...….. Xylocaine 40.00 Inj 2% with 1:200,000 adrenaline 20 ml vial ……………………………..…. Xylocaine 45.00 LIGNOCAIINE HYDROCHLORIDE WITH PRILOCAINE Patch 5% …………..…….….……..…. EMLA Patch 5% ………………...…….…..…. EMLA Crm 5% per 5 g with 10 dressings ….. EMLA Crm 5% per 30 g ………..……………. EMLA LIPOSOMAL AMPHOTERICIN Inj 50 mg vial ……………...…...………

50 5 5

0% 0% 0%

Apr-03 Apr-03 Apr-03

(B) (B) (B)

HYDROCHLORIDE 8.85 2 88.50 20 45.00 5 44.50 1

0% 0% 0% 0%

Apr-03 Apr-03 Apr-03 Apr-03

(B) (B) (B) (B)

AmBisome

345.00

1

0%

May -03

(B)

METOCLOPRAMIDE HYDROCHLORIDE Inj 10 mg per 2 ml polyamp ……..…. AstraZeneca MIDAZOLAM Inj 5 mg per ml 3 ml amp .………...….. Hypnovel Inj 1 mg per ml 5 ml amp …..……….… Hypnovel

26.50 14.00 12.65

50 5 10

0% 5% 5%

Apr-03 Mar-03 Mar-03

Pharmacia Baxter Pharmacia Baxter Pharmacia

MIVACURIUM Inj 10 mg per 5 ml …………...……...… Mivacron Inj 20 mg per 10 ml ……………...……. Mivacron MORPHINE SULPHATE Inj 10 mg per 10 ml pre-filled Inj 30 mg per 30 ml pre-filled Inj 50 mg per 50 ml pre-filled Inj 60 mg per 30 ml pre-filled

48.45 95.95

5 5

0% 0%

May -03 May -03

(B) (B)

syringe... syringe... syringe... syringe...

Biomed Biomed Biomed Biomed

4.70 7.50 6.50 9.20

1 1 1 1

0% 0% 0% 0%

May -03 May -03 May -03 May -03

Baxter Baxter Baxter Baxter

MYCOPHENOLATE MOFETIL Inj 500 mg vial ……….….………….….. CellCept Tab 500 mg…………..…..…………..… CellCept Tab 250 mg ………………..……....….. CellCept NEOSTIGMINE METHYLSULPHATE Inj 2.5 mg per 1 ml polyamp..……..….. AstraZeneca NORADRENALINE ACID TARTRATE Inj 1:1000 per 2 ml ……………..…….

133.33 206.66 206.66

4 50 100

0% 0% 0%

Mar-03 Mar-03 Mar-03

(B) (B) (B)

22.50

50

0%

Apr-03

(B)

6

42.00 6 0% Levophed Products with Hospital Supply Status (HSS) are in bold. (B) - Subject only to part (b) of the definition of “DV Pharmaceutical”

May -03

(B)

---

Contracted Pharmaceutical Description

BRAND

Price (ex man., GST excl.) $

Per

DV Limit

DV Limit applies from

DV Pharmaceuticals

OCTREOTIDE Inj 50 µg per ml, 1 ml …….…..…..…... Inj 100 µg per ml, 1 ml …….……....…. Inj 500 µg per ml, 1 ml …..…..……….. Inj LAR, 10 mg ……….…….……….… Inj LAR, 20 mg ……….…….……….… Inj LAR, 30 mg ……….…….……….…

Sandostatin Sandostatin Sandostatin Sandostatin LAR Sandostatin LAR Sandostatin LAR

39.15 72.90 359.10 1,772.50 2,358.75 2,951.25

5 5 5 1 1 1

OMEPRAZOLE Cap 10 mg ……..……………….…...… Cap 20 mg …..…………………...….… Cap 40 mg ……..……………….…...… Inj 40 mg per 10 ml vial .………..…..... Inf 40 mg ………………..……………...

Losec Losec Losec Losec IV Losec IV

17.37 24.81 44.66 19.23 96.15

30 30 30 1 5

0% 0% 0% 0% 0%

Apr-03 Apr-03 Apr-03 Apr-03 Apr-03

(B) (B) (B) (B) (B)

ONDANSETRON HYDROCHLORIDE Inj 4 mg per 2 ml amp ……..…….……. Inj 8 mg per 4 ml amp ………..….……. Wafer 4 mg ……………………....…..... Wafer 8 mg …………………….….…... Tab 4 mg ……………………………….. Tab 8 mg ………………………………..

Zofran Zofran Zofran Zofran Zofran Zofran

50.55 108.29 86.00 123.80 86.00 247.60

5 5 10 10 10 20

0% 0% 0% 0% 0% 0%

May -03 May -03 May -03 May -03 May -03 May -03

(B) (B) (B) (B) (B) (B)

OXYTOCIN Inj 5 iu per ml, 1 ml amp……….……… Syntocinon Inj 10 iu per ml, 1 ml amp…....…..…... Syntocinon OXYTOCIN WITH ERGOMETRINE MALEATE 500 Inj 5 iu with ergometrine maleate 500 µg per ml, 1 ml amp..…...……..…..... Syntometrine PANCURONIUM BROMIDE Inj 4 mg per 2 ml polyamp…...…….…. AstraZeneca PENTASTARCH PLASMA EXPANDER Inf 10% per 500 ml bag …………..…..

4.94 6.18

5 5

8.40

5

125.00

50

0%

Apr-03

Baxter

Hemohes

17.50

1

5%

May -03

Fresenius Haes Steril Pentaspan

POTASSIUM CHLORIDE Inj 750 mg per 10 ml polyamp..…...….. AstraZeneca Inj 1.5 g per 10 ml polyamp…....……... AstraZeneca PRILOCAINE HYDROCHLORIDE Inj 0.5% per 50 ml vial…..……….....…. Citanest Inj 1% per 5 ml polyamp….………..….. Citanest Inj 2% per 5 ml polyamp….…..…...….. Citanest

26.00 26.00

50 50

0% 0%

Apr-03 Apr-03

(B) Pharmacia

155.00 27.00 29.00

10 10 10

0% 0% 0%

Apr-03 Apr-03 Apr-03

(B) (B) (B)

Products with Hospital Supply Status (HSS) are in bold. (B) - Subject only to part (b) of the definition of “DV Pharmaceutical”

7

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Contracted Pharmaceutical Description

BRAND

Price (ex man., GST excl.) $

Per

DV Limit

DV Limit applies from

DV Pharmaceuticals

PROPOFOL +/ - EDTA Inj 1% per 20 ml vial ………….…….…. Diprivan

32.00

5

0%

Apr-03

Inj 1% per 50 ml vial …….………….…. Diprivan Inj 1% per 100 ml vial………...…...…... Diprivan Inj 1% per 50 ml pre-filled syringe …… Diprivan Inj 2% per 50 ml vial………….………... Diprivan Inj 2% per 50 ml pre-filled syringe……. Diprivan

15.00 30.00 35.00 25.50 45.50

1 1 1 1 1

0% 0% 0% 0% 0%

Apr-03 Apr-03 Apr-03 Apr-03 Apr-03

Abbott Baxter (vial and s y ringe) Abbott Baxter Abbott Baxter (B) (B) (B)

QUETIAPINE Tab 25 mg….…………..…..………..…. Tab 100 mg……………..……...………. Tab 150 mg……………..………...….… Tab 200 mg……………….…………….

Seroquel Seroquel Seroquel Seroquel

55.00 110.00 159.00 210.00

60 60 60 60

0% 0% 0% 0%

Apr-03 Apr-03 Apr-03 Apr-03

(B) (B) (B) (B)

RITUXIMAB Inj 100 mg per 10 ml vial….……....…... Mabthera Inj 500 mg per 50 ml vial..….…………. Mabthera REMIFENTANIL HYDROCHLORIDE Inj 1 mg vial ……………………………. Ultiva Inj 2 mg vial ………………..……….…. Ultiva RETEPLASE Inj 10 iu vial……………...………….…... Rapilysin ROPIVACAINE HYDROCHLORIDE Inj 2 mg per ml, 10 ml polyamp…….… Inj 2 mg per ml, 20 ml polyamp…….… Inj 2 mg per ml, 100 ml polybag…....… Inj 2 mg per ml, 200 ml polybag……… Inj 7.5 mg per ml, 10 ml polyamp….…. Inj 7.5 mg per ml, 20 ml polyamp…….. Inj 10 mg per ml, 10 ml polyamp……... Inj 10 mg per ml, 20 ml polyamp……...

1,195.00 2,987.00

2 1

0% 0%

Mar-03 Mar-03

(B) (B)

72.50 145.00

5 5

0% 0%

May -03 May -03

(B) (B)

1,850.00

2

0%

Mar-03

(B)

Naropin Naropin Naropin Naropin Naropin Naropin Naropin Naropin

18.50 31.00 95.50 168.00 33.00 58.00 38.00 68.75

5 5 5 5 5 5 5 5

0% 0% 0% 0% 0% 0% 0% 0%

Apr-03 Apr-03 Apr-03 Apr-03 Apr-03 Apr-03 Apr-03 Apr-03

(B) (B) (B) (B) (B) (B) (B) (B)

ROPIVACAINE HYDRCHLORIDE WITH FENTANYL Inj 2 mg per ml with 2 µg of fentanyl per ml, 100 ml polybag. …………...… Naropin Inj 2 mg per ml with 2 µg of fentanyl per ml, 200 ml polybag .….....…….…. Naropin SALBUTAMOL Inhaler 100 µg dose, 200 doses …..…. Ventolin

132.00 225.00

5 5

0% 0%

Apr-03 Apr-03

(B) (B)

6.00

1

5%

May -03

Buventol Easyhaler Airomir Asmol

SEVOFLURANE Liq 250 ml bottle ……………………..… Sevorane

365.00

1

0%

May -03

(B)

8

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., GST excl.) $

Per

DV Limit

DV Limit applies from

DV Pharmaceuticals

SODIUM CHLORIDE Inj 0.9% per 10 ml polyamp……….….. AstraZeneca Inj 0.9% per 5 ml polyamp ……..…….. AstraZeneca

13.95 12.50

50 50

0% 0%

Apr-03 Apr-03

Pharmacia Pharmacia

SUXAMETHONIUM Inj 100 mg per 2 ml polyamp ……...…. AstraZeneca TRASTUZUMAB Inj 150 mg vial……….…….….……..…. Herceptin Inj 440 mg vial……….…….……...……. Herceptin TROPISETRON Cap 5 mg ……………………..………… Navoban Inj 2 mg amp...…………….……………. Navoban Inj 5 mg amp …………………………… Navoban WATER PURIFIED FOR INJECTION Inj 10 ml polyamp………..…..….……… AstraZeneca Inj 5 ml polyamp………………………... AstraZeneca ZOLEDRONIC ACID Inj 4 mg……………………….………….

34.00

50

0%

Apr-03

(B)

1,350.00 3,875.00

1 1

0% 0%

Mar-03 Mar-03

(B) (B)

154.82 19.20 38.40

5 1 1

13.95 12.50

50 50

0% 0%

Apr-03 Apr-03

Pharmacia Pharmacia

Zometa

550.00

1

Products with Hospital Supply Status (HSS) are in bold. (B) - Subject only to part (b) of the definition of “DV Pharmaceutical”

9