Schedule Update - effective 1 February 2003 (text extract)

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PHARMAC

Pharmaceutical Management Agency

New Zealand Pharmaceutical Schedule

UPDATE

Effective 1 February 2003

Cumulative Update for January & February 2003

Contents

Summary of decisions effective 1 February 2003 ............................................ 3 Reference pricing of Flixotide (fluticasone) MDIs ........................................... 4 Timolol and Betaxolol eye drops .................................................................... 4 Erythropoietin – Special Authority Numbers .................................................. 4 Gemfibrozil capsules 300 mg (Gemizol) – delisting ......................................... 5 Tender News .................................................................................................. 5 Possible decisions for implementation 1 March 2003 ..................................... 7 Sole Subsidised Supply products cumulative to February 2003 ...................... 8 New Listings ................................................................................................. 15 Changes to Restrictions ................................................................................ 16 Changes to Subsidy and Manufacturer’s Price ............................................. 17 Changes to Sole Subsidised Supply .............................................................. 21 Changes to PSO ........................................................................................... 21 Delisted Items ............................................................................................... 22 Items to be Delisted ..................................................................................... 28 Index ............................................................................................................ 32

Summary of PHARMAC decisions

EFFECTIVE 1 FEBRUARY 2003

New Listings (page 15) • Ondansetron hydrochloride tab disp 4 mg and 8 mg (Zofran Zydis) – Hospital pharmacy [HP3]-specialist • Triazolam tab 250 µg (Hypam) – Month restriction • Timolol maleate eye drops 0.25% and 0.5% (Timoptol) – Retail pharmacyspecialist Changes to Sole Subsidised Supply (pages 8–14) • Refer to the bold entries in the sole supply tables Changes to PSO (page 21) • Beclomethasone dipropionate aerosol inhalers 50 µg, 100 µg and 250 µg per dose no longer subsidised on PSO Increased subsidy (page 17) • Ferrous gluconate oral liq 300 mg per 5 ml (Fergon) Decreased subsidy (pages 17–19) • Gliclazide tab 80 mg (Apo-Gliclazide and Diamicron) • Triamcinolone acetonide with gramicidin, neomycin and nystatin cream and ointment. Only on a prescription (Viaderm KC and Kenacomb) • Pamidronate disodium inj 3 mg per ml, 10 ml and 6 mg per ml,10 ml (Baxter) Special Authority • Ceftriaxone sodium inj 250 mg (Rocephin IV) – Hospital pharmacy [HP3]specialist • Ciprofloxacin tab 250 mg, 500 mg and 750 mg (Cipflox and Ciproxin) – Retail pharmacy-specialist • Ibuprofen tab 200 mg (I-Profen and Panafen), tab 400 mg and 600 mg (Brufen) • Naproxen tab 250 mg and 500 mg (Naprosyn and Naxen) and tab EC 250 mg and 500 mg (Naprosyn Enteric) • Trimipramine maleate tab and cap 25 mg and cap 50 mg (Surmontil and Tripress) • Ondansetron tab 4 mg and 8 mg (Zofran) – Hospital pharmacy [HP3 ]-specialist • Fluticasone aerosol inhaler 25 µg, 50 µg, 125 µg and 250 µg per dose (Flixotide)

All decisions related to news items are effective from 1 February unless otherwise indicated 3

Reference pricing of Flixotide (fluticasone) MDIs

On 1 October 2002 a contract between PHARMAC and GlaxoSmithKline (GSK) protecting the subsidy for fluticasone (Flixotide) metered dose inhalers (MDIs) from reference pricing expired. PHARMAC deferred the application of reference pricing until 1 February 2003 to provide time to make any prescribing changes that may be necessary. The new subsidies for Flixotide MDIs will be the same per dose as for the relevant formulations of beclomethasone. Please refer to page 19 for full details of new subsidises. No additional cost to patients GSK, the supplier of Flixotide MDIs, has notified PHARMAC that although Flixotide MDIs will not be fully subsidised in the Pharmaceutical Schedule GSK is temporarily discounting stock to wholesalers so there should be no manufacturer’s surcharge to patients.

Timolol and Betaxolol eye drops

On 15 January 2003 Medsafe requested that Apotex recall specified batches of Apo-Betaxolol (0.5%) and Apo-Timolol (0.25% and 0.5%) eye drops. To ensure that there is no interruption in the supply of timolol eye drops PHARMAC has listed, fully subsidised, the Timoptol brand of timolol 0.25% and 0.5% eye drops on the Pharmaceutical Schedule effective 1 January 2003. However pharmacists should note that claims for Timolol eye drops dispensed before 1 February 2003 should be submitted with their 1–15 February 2003 claim. There is an alternative strength of betaxolol hydrochloride eye drops listed on the Pharmaceutical Schedule, Betoptic S (betaxolol 0.25%). PHARMAC has been informed that additional doses may not be required if patients switch to the lower strength (Betoptic S) but this must be checked with the prescriber before the prescription is dispensed. All queries regarding therapeutic equivalence should be referred to Medsafe (04) 496 2000.

Erythropoietin – Special Authority Numbers

Valid Special Authority numbers approved prior to 1 December 2002 for erythropoietin, whether the application was for erythropoietin alpha (Eprex) or erythropoietin beta (Recormon) are interchangeable between the two products. Please note that erythropoietin alpha (Eprex) is only partially subsidised even with a Special Authority approval. Patients who have been prescribed erythropoietin alpha (Eprex) with a valid Special Authority for erythropoietin approved prior to 1 December 2002 can be switched to erythropoietin beta (Recormon) without re-applying for a Special Authority approval.

All decisions related to news items are effective from 1 February unless otherwise indicated 4

Gemfibrozil capsules 300 mg (Gemizol) – delisting

Pacific Pharmaceuticals has notified pharmacy of its decision to discontinue supply of its brand of gemfibrozil (Gemizol) capsules 300 mg. There is no other brand of this chemical listed on the Pharmaceutical Schedule. PHARMAC understands that there is now very limited stock available of this product and it will be delisted from the Pharmaceutical Schedule on 1 August 2003. There are currently no applications to list an alternative brand of gemfibrozil. However there are a number of, currently, fully subsidised lipid modifying agents available on the Pharmaceutical Schedule including bezafibrate, simvastatin, acipimox, nicotinic acid and colestipol hydrochloride.

Tender News

New Listings

Chemical Name Presentation; Pack size and type Current subsidy Date of new listing New Tender subsidy Date of new subsidy Sole Supply brand (and supplier) Date of sole supply Brands affected by reference pricing and delisting

Fluphenazine Inj 100 mg per ml; Decanoate 5 inj

$168.00 1 March 2003

$154.50 1 May 2003

Modecate (Bristol-Meyer)

1 August Baxter 2003

Subsidy Changes

Chemical Name Presentation; Pack size and type Amoxycillin clavulanate Current New subsidy tender subsidy $6.40 Date of new subsidy 1 March 2003 Sole supply brand (and supplier) Augmentin (GSK) Date of Sole Supply 1 June 2003 Brands affected by reference pricing and delisting Synermox

Tab amoxycillin 500 mg $7.48 with potassium clavulanate 125 mg; 20 tabs Grans for oral liquid $3.43 amoxycillin 125 mg with potassium clavulanate 31.25 mg per 5 ml; 100 ml Grans for oral liquid $5.89 amoxycillin 250 mg with potassium clavulanate 62.5 mg per 5 ml; 100 ml 500 µg tabs; 100 tabs 2 mg tabs; 100 tabs $9.85 $18.58

Amoxycillin clavulanate

$2.75

1 March 2003

Augmentin (GSK)

1 June 2003

Synermox

Amoxycillin clavulanate

$4.75

1 March 2003

Augmentin (GSK)

1 June 2003

Synermox

Clonazepam Clonazepam Fluphenazine Decanoate Fluphenazine Decanoate

$6.00 $11.00 $17.60 $27.90

1 March 2003 1 March 2003 1 March 2003 1 March 2003

Paxam (Pacific) Paxam (Pacific) Modecate (Bristol-Meyer) Modecate (Bristol-Meyer)

1 June 2003 1 June 2003 1 June 2003 1 June 2003

Rivotril Rivotril Baxter Baxter

Inj 12.5 mg per 0.5 ml; $29.00 5 inj Inj 25 mg per ml; 5 inj $48.75

All decisions related to news items are effective from 1 February unless otherwise indicated 5

Sole Supply Changes

Chemical Name Presentation; Pack size Sole Supply brand (and supplier) Amitrip (Pacific) Amitrip (Pacific) Fibalip (Pacific) Pacific (Pacific) Pacific (Pacific) Coloxyl (Sigma) Coloxyl (Sigma) Coloxyl Oral Drops 10% (Sigma) Coloxyl (Sigma) Coloxyl (Sigma) Metoclopramide HCl (AstraZeneca) Synflex (Roche) Synflex (Roche) Pacimol (Multichem) Date of Sole Supply Brands affected by reference pricing and delisting 1 March 2003 1 March 2003 1 March 2003 1 March 2003 1 March 2003 1 March 2003 1 March 2003 1 March 2003 1 March 2003 1 March 2003 1 March 2003 1 March 2003 1 March 2003 1 March 2003 Panadol Pharmacia Bezalip Biron Biron Buspar

Amitriptyline Amitriptyline Bezafibrate Buspirone hydrochloride Buspirone hydrochloride Docusate Sodium Docusate Sodium Docusate Sodium Docusate Sodium Docusate Sodium with Bisacodyl Metoclopramide hydrochloride Naproxen Sodium Naproxen Sodium Paracetamol

Tab 25 mg; 100 tablets Tab 10 mg; 100 tablets Tab 200 mg; 90 tablets Tab 5 mg; 100 tablets Tab 10 mg; 100 tablets Tab 50 mg; 100 tablets Tab 120 mg; 100 tablets Oral drops 10%; 30 ml Enema conc 18%; 100 ml Suppository 100 mg with bisacodyl 10 mg; 5 suppositories Inj 5 mg per ml 2ml; 50 inj Tab 550 mg; 100 tablets Tab 275 mg; 100 tablets 500 mg tablets; 1,000 tablets

All decisions related to news items are effective from 1 February unless otherwise indicated 6

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. Proposals under consideration The following areas of health care funding are currently under consideration. The PHARMAC Board will be reviewing these proposals, and the decisions taken will be published in future Updates. The dates represented below are the earliest date that these proposals may be implemented. Possible decisions for implementation 1 March 2003 • Blood glucose test strips – reference pricing • Alpha blockers – reference pricing

All decisions related to news items are effective from 1 February unless otherwise indicated 7

Sole Subsidised Supply products cumulative to February 2003

Sole Subsidised Supply Products – cumulative to February 2003

Generic Name

Acipimox Acitretin Aciclovir

Presentation

Cap 250 mg Cap 10 mg & 25 mg Tab 200 mg Tab 400 mg & 800 mg Tab dispersible 200 mg, 400 mg & 800 mg Cream Tab 100 mg & 300 mg Oral liquid 1 mg per ml Tab 5 mg with hydrochlorothiazide 50 mg Tab 50 mg Cap 250 mg & 500 mg Grans for oral liq 125 mg per 5 ml & 250 mg per 5 ml Inj 250 mg Inj 500 mg Inj 1 g Oral drops 125 mg per 1.25 ml Inj 10 mg per ml, 1 ml Tab 50 mg & 100 mg Inj 400 µg 1 ml Inj 600 µg 1 ml Inj 1200 µg 1 ml Eye drops 0.5% Eye drops 1.0% Tab 10 mg Metered aqueous nasal spray, 50 µg per dose & 100 µg per dose Tab 16 mg Oint 0.1%, 30 g & 100 g Crm 0.1%, 30 g & 100 g Eye drops 0.5% Suppos 10 mg Tab 2.5 mg Tab 10 mg Metered aqueous nasal spray, 50 µg per dose & 100 µg per dose Tab 12.5 mg, 25 mg & 50 mg Cap 250 mg Grans for oral liq 125 mg per 5 ml Inj 1 g Inj 500 mg Inj 1 g

Brand Name Expiry Date*

Olbetam Neotigason Apo-Aciclovir Alpha-Aciclovir Acicvir AFT Progout Biomed Amizide 2004 2004 2003

Aqueous Cream Allopurinol Amiloride Amiloride with hydrochlorothiazide Amitriptyline Amoxycillin

2005 2003 2005 2003 2005 2003

Apomorphine hydrochloride Atenolol Atropine sulphate

Baclofen Beclomethasone dipropionate Betahistine dihydrochloride Betamethasone valerate Betaxolol hydrochloride Bisacodyl Bromocriptine mesylate Budesonide Captopril Cefaclor monohydrate Cefamandole nafate Ceftriaxone sodium

Amitrip Ospamox Ospamox Ospamox Ibiamox Ibiamox Ibiamox Ospamox Paediatric Drops Baxter Loten AstraZeneca AstraZeneca AstraZeneca Atropt Atropt Pacifen Alanase Aqueous Vergo Beta Ointment Beta Cream Apo-Betaxolol Fleet Alpha-Bromocriptine Alpha-Bromocriptine Butacor t Aqueous Captohexal Clorotir Clorotir Mandol Novar tis Novar tis

2005

2005 2003 2005

2003 2003 2003 2005 2004 2004 2005 2003 2004 2004 2005 2005

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

Sole Subsidised Supply Products – cumulative to February 2003

Generic Name

Cefuroxime sodium Celiprolol Cephalexin monohydrate

Presentation

Brand Name Expiry Date*

2005 2004 2005

Cephazolin sodium Cetirizine hydrochloride Charcoal Clomipramine hydrochloride Chloramphenicol Chlorothiazide Clindamycin hydrochloride Clindamycin phosphate Clobetasol propionate

Clomipramine hydrochloride Clonidine Clonidine hydrochloride Clotrimazole

Colestipol hydrochloride Co-Trimoxazole

Cyclizine lactate Cyclophosphamide Cyproterone acetate Cyproterone acetate with ethinyloestradiol Danazol Danthron with poloxamer

Inj 750 mg Zinacef Tab 200 mg Celol Tab 500 mg Keflex Cap 250 mg Keflex Grans for oral liquid 125 mg per 5 ml Keflex Grans for oral liquid 250 mg per 5 ml Keflex Inj 500 mg Novartis Inj 1 g Novartis Tab 10 mg Razene 50 g per 300 ml oral liquids Carbosorb Tab 10 mg Clopress Eye drops 0.5% Chlorsig Eye oint 1% Chlorsig Oral liq 50 mg per ml Biomed Cap 150 mg Dalacin C Inj 150 mg per ml Dalacin C Crm 0.05% Dermol Oint 0.05% Dermol Scalp app 0.05% Dermol Tab 25 mg Clopress Tab 150 µg Catapres Tab 25 µg Dixarit Vaginal crm 1% with applicators Clocreme Vaginal crm 2% with applicators Clotrimaderm 2% Pessaries 100 mg with applicator Clotrihexal Pessary 500 mg with applicator Clotrihexal Crm 1% Clocreme Sachets 5 g Colestid Tab Trimethoprim 80 mg and Trisul sulphamethoxazole 400 mg Oral liq sugar-free trimethoprim 40 mg Trisul and sulphamethoxazole 200 mg per 5 ml Inj 50 mg per ml, 1 ml Valoid Tab 50 mg Cycloblastin Tab 50 mg Siterone Tab 2 mg with ethinyloestradiol Estelle 35 35 µg and 7 inert tabs Cap 100 mg D-Zol Cap 200 mg D-Zol Oral liq 25 mg with Conthram poloxamer 200 mg per 5 ml Oral liq 75 mg with Conthram Forte poloxamer 1g per 5 ml

2005 2005 2005 2005 2005 2005 2005 2005 2003 2005 2003 2005 2005 2004

2005 2004 2005 2005 2004 2005 2003 2004 2005 2004

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

Sole Subsidised Supply Products – cumulative to February 2003

Generic Name

Desferrioxamine mesylate Dexamethasone Diaphragm Diazepam Dicyclomine hydrochloride Diphenoxylate hydrochloride with atropine sulphate Diltiazem hydrochloride Docusate sodium with sennosides Doxazosin mesylate Doxycycline hydrochloride Emulsifying Ointment BP Ergometrine maleate Erythromycin estolate Erythromycin ethyl succinate

Presentation

Inj 500 mg per 10 ml vial Oral liq 1 mg per ml Range of sizes Tab 5 mg & 10 mg Tab 10 mg Tab 2.5 mg with 25 µg atropine sulphate Tab 30 mg & 60 mg Cap long-acting 120 mg Tab 50 mg with total sennosides 8 mg Tab 2 mg & 4 mg Tab 100 mg Ointment Inj 500 µg per ml, 1 ml Tab 500 mg Grans for oral liquid 200 mg per 5 ml Grans for oral liquid 400 mg per 5 ml Tab 400 mg Tab 500 µg Tab 200 mg Cap 50 mg & 100 mg Cap 250 mg & 500 mg Inj 250 mg, 500 mg & 1 g Inj 500 mg per 10 ml Inj 500 mg per 20 ml Tab dispersible 20 mg Cap 20 mg Tab 5 mg 50 µg per ml oral liquid Tab 40 mg Tab 500 mg Inj 40 mg per ml, 2 ml Tab 2.5 mg Tab 5 mg TDDS 5 mg & TDDS 10 mg Inj 50 mg per ml, 1 ml Inj 100 mg per ml, 1 ml Inj 10 iu per ml, 5 ml Inj 50 mg per ml, 2 ml

Brand Name Expiry Date*

Desferal 2004 Biomed 2005 Ortho All-flex, Ortho Coil 2005 Pro-Pam 2003 Merbentyl 2005 Diastop 2005 Dilzem Dilzem SR Laxsol Dosan Doxine AFT Baxter Eromycin E-Mycin E-Mycin E-Mycin Femulen Etidrate Vepesid Staphlex Flucloxin Baxter Baxter Fluox Fluox Apo-Folic Acid Biomed Diurin 40 Diurin Pharmacia Gliben Gliben Nitroderm TTS Haldol Haldol Concentrate AstraZeneca Solu-Cor tef 2004 2004 2004 2003 2005 2005 2004 2005

Ethynodiol diacetate Etidronate disodium Etoposide Flucloxacillin sodium Fluorouracil sodium Fluoxetine hydrochloride Folic acid Frusemide Gentamicin sulphate Glibenclamide Glyceryl trinitrate Haloperidol decanoate Heparinised saline Hydrocortisone

2005 2003 2004 2003 2004 2004 2004 2003 2005 2003 2005 2005 2004 2005 2005 2003

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

Sole Subsidised Supply Products – cumulative to February 2003

Generic Name

Hydrocortisone with cinchocaine

Presentation

Oint 5 mg with cinchocaine hydrochloride 5 mg per g Suppos 5 mg with cinchocaine hydrochloride 5 mg per g Crm 1% with miconazole nitrate 2%

Brand Name Expiry Date*

Proctosedyl Proctosedyl Micreme H DP Lotn HC Hydrea Methopt Methopt Forte Poly-Tears Ipra 250 Ipra 500 Atrovent Nasal Aqueous Naplin Ismo 20 Duride Lactulose Dicap Lora-tabs Lorapam Baxter Depo-Provera Provera HD Megace K Thrombin Metomin Baxter Baxter Baxter Baxter Methoblastin Methoblastin Prodopa Rubifen Medrol Medrol Depo-Medrol Depo-Medrol with lidocaine 2004 2003 2004 2003 2005 2004 2005 2003 2003 2003 2004 2004 2003 2005 2004 2005 2004 2005 2003 2004 2004

Hydrocortisone with miconazole Hydrocortisone with wool fat and mineral oil Hydroxyurea Hypromellose

Lotn 1% with wool fat hydrous 3% and mineral oil Cap 500 mg Eye drops 0.5% Eye drops 1% Eye drops 0.3% Ipratropium bromide Nebuliser soln 250 µg per ml, 1 ml Nebuliser soln 500 µg per 2 ml, 2 ml Aqueous nasal spray, 0.03% Indapamide Tab 2.5 mg Isosorbide mononitrate Tab 20 mg Tab long-acting 60 mg Lactulose Oral liq 10 g per 15 ml Loperamide hydrochloride Cap 2 mg Loratadine Tab 10 mg Lorazepam Tab 1 mg & 2.5 mg Magnesium sulphate Inj 49.3% Medroxyprogesterone acetate Inj 150 mg per ml, 1 ml syringe Tab 100 mg Megestrol acetate Tab 160 mg Menadione sodium Tab 10 mg Metformin hydrochoride Tab 500 mg & 850 mg Methotrexate Inj 5 mg per 2 ml vial Inj 20 mg per 2 ml vial Inj 50 mg per 2 ml vial Inj 100 mg per 4 ml vial Tab 10 mg Tab 2.5 mg Methyldopa Tab 125 mg, 250 mg & 500 mg Methylphenidate hydrochloride Tab 10 mg Methylprednisolone Tab 4 mg Tab 100 mg Methylprednisolone acetate Inj 40 mg per ml, 1 ml Methylprednisolone Inj 40 mg per ml, acetate with lignocaine with lignocaine 1 ml

2005 2003 2003 2005 2005 2005

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

Sole Subsidised Supply Products – cumulative to February 2003

Generic Name

Methylprednisolone sodium succinate

Presentation

Brand Name Expiry Date*

Solu Medrol Solu Medrol Solu Medrol Solu Medrol Paramax Daktarin Micreme Hypnovel Hypnovel Cytotec RA Morph RA Morph RA Morph RA Morph Baxter Baxter Apo-Nadolol Naphcon Forte Naprosyn SR Naprosyn SR Apo-Nicotinic Acid Nyefax Retard Noriday Primolut N Norpress Norpress Mycostatin Baxter Dipentum Dipentum Tiberal Baxter Panadol Panadol Permax Permax AFT AFT 2005

Inj 40 mg per ml, 1 ml Inj 62.5 mg per ml, 2 ml Inj 500 mg Inj 1 g Metoclopramide hydrochloride Tab 5 mg with 500 mg paracetamol with paracetamol Miconazole Oral gel 20 mg per g Miconazole nitrate Crm 2% Midazolam Inj 1 mg per ml, 5 ml Inj 5 mg per ml, 3 ml Misoprostol Tab 200 µg Morphine hydrochloride Oral liq 1 mg per ml Oral liq 2 mg per ml Oral liq 5 mg per ml Oral liq 10 mg per ml Morphine tartrate Inj 80 mg per ml, 1.5 ml Inj 80 mg per ml 5 ml Nadolol Tab 40 mg & 80 mg Naphazoline hydrochloride Eye drops 0.1% Naproxen Tab long-acting 750 mg Tab long-acting 1,000 mg Nicotinic acid Tab 25 mg, 50 mg, 100 mg & 500 mg Nifedipine Tab long-acting 20 mg Norethisterone Tab 350 µg Tab 5 mg Nortriptyline hydrochloride Tab 10 mg Nortriptyline Tab 25 mg Nystatin Oral liq 100,000 u per ml Oily phenol Inj 5%, 5 ml Olsalazine Cap 250 mg Tab 500 mg Ornidazole Tab 500 mg Pamidronate disodium Inj 30 mg per 10 ml Paracetamol Suppos 125 mg Suppos 250 mg Pergolide Tab 0.25 mg Tab 1 mg Phenoxymethylpenicillin Grans for oral liquid benzathine (Penicillin V) 125 mg per 5 ml Grans for oral liquid benzathine 250 mg per 5 ml

2005 2004 2005 2005 2005 2005

2005 2004 2005 2005 2004 2003 2005 2005 2005 2005 2005 2005 2004 2005 2005 2005 2004

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

Sole Subsidised Supply Products – cumulative to February 2003

Generic Name

Pilocarpine

Presentation

Eye drops 0.5% Eye drops 1% Eye drops 2% Eye drops 3% Eye drops 4% Eye drops 6% Tab 5 mg Tab dispersible 10 mg & 20 mg Inj 75 mg per ml, 10 ml Inj 150 mg per ml, 10 ml Tab 1 mg, 2 mg & 5 mg Tab 1 mg Tab 2.5 mg Tab 5 mg Tab 20 mg Inj 1.5 mega u Tab 5 mg Tab 200 mg Tab 300 mg Nebuliser soln, 1 mg per ml, 2.5 ml Nebuliser soln, 2 mg per ml, 2.5 ml Nebuliser soln, 2.5 mg with ipratropium bromide 0.5 mg per 2.5 ml vial, 2.5 ml Tab 5 mg 16% enema with 8% sodium phosphate Inj 0.9% 5 ml, 10 ml & 20 ml Tab 25 mg & 100 mg Oral liquid 5 mg per ml Eye drops 10% Tab 500 mg Tab EC 500 mg Tab 10 mg & 20 mg Soln 2.3% with triethanolamine lauryl sulphate and fluorescein sodium Cap 20 mg Cap 10 mg Inj long-acting 100 mg per ml, 10 ml Eye drops 0.25% & 0.5% Tab 500 mg

Brand Name Expiry Date*

Pilopt Pilopt Pilopt Pilopt Pilopt Pilopt Pindol Piram-D AstraZeneca AstraZeneca Hyprosin Apo-Prednisone Apo-Prednisone Apo-Prednisone Apo-Prednisone Cilicaine Antinaus Q 200 Q 300 Ventolin Nebules Ventolin Nebules Duolin 2005

Pindolol Piroxicam Potassium chloride Prazosin hydrochloride Prednisone

2004 2003 2005 2004 2005

Procaine penicillin Prochlorperazine Quinine sulphate Salbutamol Salbutamol with ipratropium bromide Selegiline hydrochloride Sodium acid phosphate Sodium chloride Spironolactone Sulphacetamide sodium Sulphasalazine Tamoxifen citrate Tar with triethanolamine lauryl sulphate and fluorescein Temazepam Testosterone cypionate Timolol maleate Tranexamic acid

2005 2004 2003 2004 2004

Selgene Fleet Pharmacia Spirotone Biomed Acetopt Salazopyrin Salazopyrin-EN Genox Pinetarsol

2003 2005 2004 2003 2005 2005 2005 2003 2005

Euhypnos Euhypnos Depo Testosterone Apo-Timop Cyklokapron

2005 2005 2005 2004 2004

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

Sole Subsidised Supply Products – cumulative to February 2003

Generic Name

Triazolam Triamcinolone acetonide Triamterene with hydrochlorothiazide Trimethoprim Urea Vancomycin hydrochloride Verapamil hydrochloride Verapamil hydrochloride Vitamins Vitamin B complex Water Zinc and castor oil Zopiclone

Presentation

Tab 0.125 mg Dental Paste USP 0.1% Tab 50 mg with hydrochlorothiazide 25 mg Tab 300 mg Crm 10% Cap 125 mg & 250 mg Inj 50 mg per ml, 10 ml Tab 40 mg & 80 mg Tab long-acting 240 mg Tab long-acting 120 mg Tab (BPC cap strength) Tab, strong, BPC Purified for inj 5 ml, 10 ml & 20 ml Ointment BP Tab 7.5 mg

Brand Name Expiry Date*

Halcion Oracort Triamizide TMP Nutraplus Vancocin Vancocin Verpamil Verpamil SR Verpamil SR Healtheries Multivitamin tablets Apo-B-Complex Pharmacia Sigma Imovane 2005 2005 2003 2005 2005 2004 2003 2005 2004 2003 2004 2005 2005

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

Check your Schedule for full details Schedule page ref

Subsidy (Mnfr’s Price) $ Per

Brand or Generic Mnfr fully subsidised

New Listings

Effective 1 February 2003

125 ONDANSETRON HYDROCHLORIDE - Hospital pharmacy [HP3]-specialist

a) Not to exceed 6 tablets per prescription; and b) Not more than one prescription per month. Tab disp 4 mg ................................................................. 86.00 Tab disp 8 mg ................................................................ 123.80 Zofran Zydis Zofran Zydis Hypam

10 10

131 TRIAZOLAM - Month restriction

Tab 250 µg ........................................................................ 5.20 100

161 TIMOLOL MALEATE - Retail pharmacy-specialist

L L

Eye drops 0.25% ............................................................... 4.30 Eye drops 0.5% ................................................................. 4.30

5 ml OP Timoptol 5 ml OP Timoptol

Note: Listing effective 1 January 2003 – 31 March 2003.

Effective 1 January 2003

32 GLUCOSE OXIDASE

Blood diagnostic test with peroxidase .............................. 26.95 50 test OP Ascensia Glucodisc

Note: Ascensia Glucodisc replaces Glucometer Esprit. 89 NAFARELIN ACETATE - Special Authority

Nasal soln 2 mg per ml ................................................... 221.60 (311.63) 8 ml OP Synarel

Note: Synarel 8 ml OP replaces Synarel 10 ml OP . 95 AMOXYCILLIN CLAVULANATE - Available on a PSO

Tab amoxycillin 500 mg with potassium clavulanate 125 mg ....................................... 7.48 Grans for oral liq amoxycillin 125 mg with potassium clavulanate 31.25 mg per 5 ml ...................................... 3.43 Grans for oral liq amoxycillin 250 mg with potassium clavulanate 62.5 mg per 5 ml ............................................ 5.89 20 100 ml 100 ml Augmentin Augmentin Augmentin

Note: Listing effective 12 December 2002 122 CLONAZEPAM

L L

Tab 500 µg ........................................................................ 9.85 Tab 2 mg ......................................................................... 18.58

100 100

Paxam Paxam Modecate Modecate

129 FLUPHENAZINE DECANOATE - Retail pharmacy-specialist

Inj 12.5 mg per 0.5 ml, 0.5 ml - Available on a PSO ......... 29.00 Inj 25 mg per ml, 1 ml - Available on a PSO ..................... 48.75 5 5

L Three months supply may be dispensed at one time

“IMM” Interchangeable Multi-source Medicines

if endorsed “certified exemption” by the prescriber.

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 January 2003

39 ERYTHROPOIETIN BETA- Special Authority

Inj 1,000 u, pre-filled syringe ........................................... 76.02 6 Recormon Recormon Inj 2,000 u pre-filled syringe ........................................... 152.04 6 Inj 3,000 u pre-filled syringe ........................................... 228.06 6 Recormon Inj 4,000 u pre-filled syringe ........................................... 304.08 6 Recormon Recormon Inj 5,000 u pre-filled syringe ........................................... 380.10 6 Inj 6,000 u pre-filled syringe ........................................... 456.12 6 Recormon Inj 10,000 u pre-filled syringe .......................................... 760.20 6 Recormon Special Authority - Hospital pharmacy [HP3] a) Erythropoietin beta is indicated in the treatment of anaemia associated with chronic renal failure (CRF) where no cause for anaemia other than CRF is detected and there is adequate monitoring of iron stores and iron replacement therapy. b) Erythropoietin beta is to be given only to patients in chronic renal failure with haemoglobin ≤ 100 g/l; and i) glomerular filtration rate ≤ 30 ml/min in non diabetic patients; or ii) glomerular filtration rate ≤ 45 ml/min in diabetic patients iii)haemodialysis or peritoneal dialysis patients. c) Specialist must make application – renal physicians Note. The Cockroft-Gault Formula may be used to estimate glomerular filtration rate (GFR) in persons 18 years and over: (140 – age) x Ideal Body Weight (kg) (ml/min) GFR (male) = 814 x serum creatinine (mmol/l) GFR (female) = Estimated GFR (male) x 0.85

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

‡ safety cap reimbursed Sole Subsidised Supplier

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 2003

31 GLICLAZIDE (↓subsidy)

Tab 80 mg ....................................................................... 39.08 (78.80) 500 Apo-Gliclazide Diamicron

34 GLYCEROL - Only on a prescription (↓price)

Suppos 3.6 g ..................................................................... 5.15 20 PSM

36 HYDROGEN PEROXIDE (↑price)

Soln 10 vol ........................................................................ 0.75 (1.40) 100 ml PSM

37 PYRIDOXINE HYDROCHLORIDE (↑price)

a) Only on a prescription not exceeding a strength of 100 mg per dose. Tab 100 mg ....................................................................... 5.38 100 (11.35)

Apo-Pyridoxine

40 FERROUS GLUCONATE (↑subsidy)

‡ Oral liq 300 mg per 5 ml .................................................... 5.90 100 ml Fergon

64 MICONAZOLE NITRATE - Not in combination (↑price)

Lotn 2% ............................................................................ 4.36 30 ml OP (10.32) Tincture 2% ....................................................................... 4.36 30 ml OP (12.46) Daktarin Daktarin

65 MENTHOL (↓price)

Crystals .......................................................................... 32.20 (32.80) 100 g PSM

68 TRIAMCINOLONE ACETONIDE WITH GRAMICIDIN, NEOMYCIN AND NYSTATIN Only on a prescription (↓subsidy)

Crm 1 mg with nystatin 100,000 u, neomycin sulphate 2.5 mg and gramicidin 250 µg per g ............................... 3.49 (6.09) Oint 1 mg with nystatin 100,000 u, neomycin sulphate 2.5 mg and gramicidin 250 µg per g ............................... 3.49 (6.09) 15 g OP Viaderm KC Kenacomb 15 g OP Viaderm KC Kenacomb

L Three months supply may be dispensed at one time

“IMM” Interchangeable Multi-source Medicines

if endorsed “certified exemption” by the prescriber.

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 2003 (continued)

73 FLUOCINOLONE ACETONIDE (↑price)

Gel 0.02% ......................................................................... 5.23 (7.95) 30 g OP Synalar Gel

83 PAMIDRONATE DISODIUM - Special Authority (↓subsidy)

Inj 3 mg per ml, 10 ml ..................................................... 76.00 Inj 6 mg per ml, 10 ml .................................................... 152.00 1 1 Baxter Baxter

91 CEFTRIAXONE SODIUM - Hospital pharmacy [HP3]-specialist (↓subsidy)

a) Subsidised only if prescribed for a dialysis or cystic fibrosis patient; and b) The prescription is endorsed accordingly. Inj 250 mg ......................................................................... 4.00 1 Rocephin IV Cipflox Ciproxin Cipflox Ciproxin Cipflox Ciproxin

96 CIPROFLOXACIN - Retail pharmacy-specialist (↓subsidy)

Tab 250 mg ..................................................................... 11.42 (48.16) Tab 500 mg ..................................................................... 20.44 (86.68) Tab 750 mg ..................................................................... 29.87 (138.16) 28 28 28

110 IBUPROFEN - Special Authority available (↓subsidy)

Tab 200 mg ....................................................................... 2.07 (2.90) Tab 400 mg ....................................................................... 3.55 (15.20) Tab 600 mg ....................................................................... 5.32 (22.80) 100 100 Brufen 100 Brufen I-Profen Panafen

110 NAPROXEN - Special Authority available (↓subsidy)

Tab 250 mg ..................................................................... 26.50 Tab EC 250 mg .................................................................. 6.36 Tab 500 mg ..................................................................... 53.00 Tab EC 500 mg .................................................................. 6.36 500 120 500 60 Naprosyn IMM Naxen IMM Naprosyn Enteric Naprosyn IMM NaxenIMM Naprosyn EntericIMM

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

‡ safety cap reimbursed Sole Subsidised Supplier

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 2003 (continued)

116 DEXTROPROPOXYPHENE WITH PARACETAMOL (↑price)

Tab napsylate 50 mg with paracetamol 325 mg ................ 14.50 (22.50) 500 Paradex

119 TRIMIPRAMINE MALEATE (↓subsidy)

Tab 25 mg ......................................................................... 3.19 (6.58) Cap 25 mg ........................................................................ 6.38 Cap 50 mg ...................................................................... 12.00 (23.00) 50 100 100 Surmontil Tripress Tripress Surmontil

125 ONDANSETRON - Hospital pharmacy [HP3]-specialist (↓subsidy)

a) Not to exceed 6 tablets per prescription; and b) Not more than one prescription per month. Tab 4 mg ......................................................................... 86.00 Tab 8 mg ........................................................................ 247.60 Zofran Zofran

10 20

146 FLUTICASONE (↓subsidy)

Aerosol inhaler, 25 µg per dose ......................................... 5.12 120 dose OP (8.67) Aerosol inhaler, 50 µg per dose CFC-free ........................... 7.50 120 dose OP (10.03) Aerosol inhaler, 125 µg per dose CFC-free ....................... 13.60 120 dose OP (22.79) Aerosol inhaler, 250 µg per dose CFC-free ....................... 27.20 120 dose OP (41.95) Flixotide Flixotide Flixotide Flixotide

Note: GlaxoSmithKline (GSK) has notified PHARMAC that although Flixotide is not fully subsidised in the Pharmaceutical Schedule, GSK is temporarily discounting stock to wholesalers so that there should be no surcharge to patients.

L Three months supply may be dispensed at one time

“IMM” Interchangeable Multi-source Medicines

if endorsed “certified exemption” by the prescriber.

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 2003

23 CALCIUM CARBONATE (↑price)

Tab 420 mg and aminoacetic acid 180 mg with or without dimethicone 21 mg ...................................... 30.00 (35.10) 1,000 Titralac

31 GLIPIZIDE (↓subsidy)

Tab 5 mg ........................................................................... 3.65 (6.10) 100 Minidiab Glipid

33 MUCILAGINOUS LAXATIVES - Only on a prescription (↓price)

Dry .................................................................................. 7.92 450 g OP (11.75) Isogel

35 BENZYDAMINE HYDROCHLORIDE - Retail pharmacy-specialist prescription (↑price)

Soln 0.15% ....................................................................... 9.00 (14.20) 500 ml Difflam

41 TRANEXAMIC ACID (↓subsidy)

Tab 500 mg ..................................................................... 49.14 100 Cyklokapron Apo-Hydrocortisone m-Hydrocortisone Pharmacia PSM

67 HYDROCORTISONE - Only on a prescription (↓subsidy)

Powder ........................................................................... 46.20 (47.87) (69.00) 25 g

70 WOOL FAT WITH MINERAL OIL - Only on the prescription of a doctor (↑price)

Lotn hydrous 3% with mineral oil ....................................... 0.70 125 ml OP (5.01) Lotn hydrous 3% with mineral oil ....................................... 1.40 250 ml OP ................................................................................. (7.22) Lotn hydrous 3% with mineral oil ....................................... 5.60 1,000 ml (22.35) BK Lotion BK Lotion BK Lotion

81 PREGNANCY TEST - HCG URINE - Only on a WSO (↓subsidy)

25 ................................................................................ 29.50 (43.75) 25 tests MDS Quick Card MDS Quick Stick

96 COLISTIN SULPHOMETHATE - Hospital pharmacy [HP3]-specialist (↑subsidy)

a) Only if prescribed for a dialysis or cystic fibrosis patient; and b) The prescription is endorsed accordingly. Inj 150 mg ....................................................................... 49.54 Colymycin-M

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

‡ safety cap reimbursed Sole Subsidised Supplier

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 2003 (continued)

108 HEXAMINE HIPPURATE (↑price)

Tab 1 g ........................................................................... 18.40 (34.57) 100 Hiprex

110 IBUPROFEN (↑subsidy)

Tab 400 mg ..................................................................... 15.20 Tab 600 mg ..................................................................... 22.80 100 100 Brufen Brufen

Note: Full subsidy only available until 31 January 2003. 110 NAPROXEN (↓price)

Tab 250 mg ....................................................................... 6.00 Tab 500 mg ..................................................................... 12.00 100 100 Naxen IMM Naxen IMM Rheumacin Rheumacin SR Arthrexin BironIMM Avonex Betaferon

111 INDOMETHACIN (↑subsidy)

Cap 25 mg ........................................................................ 5.50 Cap long-acting 75 mg .................................................... 12.50 Suppos 100 mg ............................................................... 12.00 100 100 30

130 BUSPIRONE HYDROCHLORIDE - Special Authority (↓price)

Tab 10 mg ......................................................................... 5.95 100

139 INTERFERON BETA-1-ALPHA - Access by application (↓subsidy)

Inj 6 million iu per vial .................................................. 1,219.26 4

139 INTERFERON BETA-1-BETA - Access by application (↓subsidy)

Inj 8 million iu per 1 ml ................................................. 1,347.26 15

Changes to Sole Subsidised Supply

Effective 1 February 2003

For the list of new Sole Subsidised Supply products effective 1 February 2003 refer to the bold entries in the cumulative Sole Subsidised Supply products table pages 8–14.

Changes to PSO

Effective 1 February 2003

Beclomethasone dipropionate aerosol inhalers 50 µg, 100 µg and 250 µg per dose no longer subsidised on PSO.

L Three months supply may be dispensed at one time

“IMM” Interchangeable Multi-source Medicines

if endorsed “certified exemption” by the prescriber.

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 2003

46 FLUVASTATIN

Cap 20 mg ........................................................................ 6.38 (23.10) Cap 40 mg ........................................................................ 7.51 (27.00) 30 Vastin 30 Vastin

69 & 169 AQUEOUS CREAM ........................................................ 2.65

(2.97)

500 g David Craig

69 & 169

EMULSIFYING OINTMENT BP ................................................. 4.09 (4.18) 500 g David Craig

74 & 168 PODOPHYLLIN

Paint 20% ....................................................................... CE a) Maximum 20 ml per prescription 20 ml

78 ETHINYLOESTRADIOL WITH LEVONORGESTREL - Available on a PSO

Tab ethinyloestradiol 50 µg with levonorgestrel 50 µg (11) and tab ethinyloestradiol 50 µg with levonorgestrel 125 µg (10) and 7 inert tab ........................................ 3.15 (4.60)

28 Biphasil 28

96 CO-TRIMOXAZOLE

Tab trimethoprim 80 mg and sulphamethoxazole 400 mg (Available on a PSO) .................................................. 20.80 500 Apo-Sulfatrim

118 AMOXAPINE

Tab 50 mg ....................................................................... 26.00 100 Asendin

118 CLOMIPRAMINE HYDROCHLORIDE - Retail pharmacy-specialist

Tab 10 mg ....................................................................... 10.00 (17.50) 100 Anafranil

119 NORTRIPTYLINE HYDROCHLORIDE

Tab 10 mg ......................................................................... 4.50 (9.60) 100 Allegron

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

‡ safety cap reimbursed Sole Subsidised Supplier

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 2003 (continued)

120 FLUOXETINE HYDROCHLORIDE

Tab dispersible 20 mg, scored ........................................... 4.90 (33.60) 30 Lovan Prozac 20

131 TEMAZEPAM - Month restriction

Cap 20 mg ........................................................................ 5.50 100 Somapam

131 ZOPICLONE - Month restriction

Tab 7.5 mg ........................................................................ 2.25 (2.80) 30 Zo-Tab

144 CETIRIZINE HYDROCHLORIDE

Tab 10 mg ......................................................................... 2.50 (26.00) 30 Zyrtec

149 FENOTEROL HYDROBROMIDE - Special Authority

Aerosol inhaler, 200 µg per dose ...................................... 15.00 300 dose OP (18.00) Berotec

152 FENOTEROL HYDROBROMIDE WITH IPRATROPIUM BROMIDE - Special Authority

Aerosol inhaler, 100 µg with ipratropium bromide, 40 µg per dose ............................................................ 13.50 200 dose OP (18.00) Duovent Inhaler

154 THEOPHYLLINE

Tab long-acting 200 mg ................................................... 11.00 (12.00) 100 Theo-Dur

74 & 171 PODOPHYLLIN RESIN .................................................. 31.40

(34.50)

25 g PSM 227 g OP

179 RESOURCE THICKEN UP .............................................. 4.00

L Three months supply may be dispensed at one time

“IMM” Interchangeable Multi-source Medicines

if endorsed “certified exemption” by the prescriber.

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 2003

23 & 116 CODEINE PHOSPHATE

Tab 15 mg ......................................................................... 7.60 Tab 30 mg ....................................................................... 10.60 Tab 60 mg ....................................................................... 20.10 (22.00) 100 100 100 Douglas Douglas Douglas

24 SULPHASALAZINE

Suppos 500 mg ................................................................. 6.99 (7.50) 10 Salazopyrin

34 MUCILAGINOUS LAXATIVES - Only on a prescription

Dry .................................................................................. 2.64 150 g OP (4.75) Isogel

35 TRIAMCINOLONE ACETONIDE

0.1% in Dental Paste USP ................................................. 4.66 (8.08) 5 g OP Kenalog in Orabase

46 SIMVASTATIN

Tab 10 mg ....................................................................... 11.10 Tab 20 mg ....................................................................... 13.50 Tab 40 mg ....................................................................... 24.00 30 30 30 Zocor Zocor Zocor

53 LISINOPRIL

Tab 5 mg ........................................................................... 4.91 (12.28) Tab 10 mg ......................................................................... 7.14 (17.86) Tab 20 mg ....................................................................... 10.10 (25.27) 30 Zestril 30 Zestril 30 Zestril

54 LISINOPRIL WITH HYDROCHLOROTHIAZIDE

Tab 20 mg with hydrochlorothiazide 12.5 mg .................... 10.70 (38.04) 30 Prinzide Zestoretic

57 PINDOLOL WITH CLOPAMIDE

Tab 10 mg with clopamide 5 mg ........................................ 3.15 (7.10) 30 Viskaldix

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

‡ safety cap reimbursed Sole Subsidised Supplier

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 2003 (continued)

59 VERAPAMIL HYDROCHLORIDE

Tab long-acting 120 mg ................................................... 16.38 (20.65) Cap long-acting 120 mg .................................................. 16.38 (63.30) 250 Isoptin SR 250 Civicor Retard

66 BETAMETHASONE DIPROPIONATE

Crm 0.05% in propylene glycol base .................................. 4.33 (12.20) Note: Diprosone OV listed 1 July 2002 to replace Diprolene cream. 30 g OP Diprolene

66 BETAMETHASONE VALERATE

Oint 0.1% .......................................................................... 1.20 (5.38) 30 g OP Bivate

73 TAR WITH TRIETHANOLAMINE LAURYL SULPHATE AND FLUORESCEIN - Only on the prescription of a doctor

Soln 2.3% with triethanolamine lauryl sulphate and fluorescein sodium .................................................. 0.44 100 ml OP (2.42) Soln 2.3% with triethanolamine lauryl sulphate and fluorescein sodium .................................................. 0.88 200 ml OP (4.43)

Pinetarsol

Pinetarsol Pinetarsol Shower Pack

80 TIOCONAZOLE

Pessaries 100 mg with applicator ...................................... 2.75 (9.20) 3 Gyno-Trosyd

83 PAMIDRONATE DISODIUM - Special Authority

Inj 3 mg per ml, 10 ml ..................................................... 79.95 (157.50) 1 Aredia

84 & 113 METHYLPREDNISOLONE SODIUM SUCCINATE - Retail pharmacy-specialist

Inj 500 mg ....................................................................... 39.16 Inj 1 g ............................................................................. 70.95 1 1 Baxter Baxter

89 NAFARELIN ACETATE - Special Authority

Nasal soln 2 mg per ml ................................................... 277.00 10 ml OP Synarel

L Three months supply may be dispensed at one time

“IMM” Interchangeable Multi-source Medicines

if endorsed “certified exemption” by the prescriber.

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 2003 (continued)

90 DANAZOL - Retail pharmacy-specialist

Cap 100 mg .................................................................... 18.00 (21.11) Cap 200 mg .................................................................... 26.00 (34.85) 30 Danocrine 30 Danocrine

94 AMOXYCILLIN

Drops 125 mg per 1.25 ml ................................................. 3.17 20 ml OP Amoxil

97 GENTAMICIN SULPHATE - Hospital pharmacy [HP3]

a) Only if prescribed for a dialysis or cystic fibrosis patient or for prophylaxis of endocarditis and; b) The prescription is endorsed accordingly. Inj 40 mg per ml, 2 ml ....................................................... 5.70 10 (10.00) Baxter

107 ZALCITABINE (ddC) - Special Authority

Tab 750 µg ..................................................................... 344.50 100 Hivid

130 CHLORDIAZEPOXIDE HYDROCHLORIDE - Month restriction

Cap 5 mg .......................................................................... 4.77 (5.35) Cap 10 mg ........................................................................ 4.95 (5.54) 100 Nova-Pam 100 Nova-Pam

133 CYTARABINE - Retail pharmacy-specialist

Inj 1 g ............................................................................ 118.00 Inj 2 g ............................................................................ 150.00 each each Pharmacia Pharmacia

134 METHOTREXATE - Hospital pharmacy [HP1]-specialist

Inj 500 mg, 20 ml vial [HP1] ............................................ 80.25 (82.66) each Pharmacia

147 BECLOMETHASONE DIPROPIONATE

Powder for inhalation, 200 µg per dose, 8 doses per disk .......................................................... 13.50 (18.90) 15 disks Becodisk 200

149 SALBUTAMOL - Available on a PSO

Powder for inhalation, 50 µg per dose, breath activated ......... 10.61 200 dose OP Salbutamol Turbuhaler

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

‡ safety cap reimbursed Sole Subsidised Supplier

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 2003 (continued)

154 PHOLCODINE

‡ Linctus BP ...................................................................... 11.00 2,000 ml (22.00) ‡ Linctus strong BP ........................................................... 13.00 2,000 ml (27.50) Douglas Douglas

156 & 158 BETAMETHASONE SODIUM PHOSPHATE

Ear/Eye drops 0.1% ........................................................... 4.50 5 ml OP Betnesol

156 & 158 BETAMETHASONE SODIUM PHOSPHATE WITH NEOMYCIN

Ear/Eye drops 0.1% with neomycin sulphate 0.5% .............. 4.50 5 ml OP Betnesol-N

159 DIPIVEFRIN HYDROCHLORIDE - Retail pharmacy-specialist

Eye drops 0.1% ................................................................. 5.90

10 ml OP

Dipoquin

L Three months supply may be dispensed at one time

“IMM” Interchangeable Multi-source Medicines

if endorsed “certified exemption” by the prescriber.

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 August 2003

33 MUCILAGINOUS LAXATIVES - Only on a prescription

Dry .................................................................................. 5.72 325 g OP Konsyl D Gemizol

44 GEMFIBROZIL

Cap 300 mg ...................................................................... 9.58 100

65 & 170 PHENOL

Liquified .......................................................................... 21.20 (29.70) 500 ml PSM

74 FORMALDEHYDE

Soln 37% .......................................................................... 8.50 500 ml 1 OP PSM Dumas Vault Vimule Prentif

76 CERVICAL CAP - Only on a WSO ................................... 6.71

116 PARACETAMOL

‡ Oral liq 120 mg per 5 ml .................................................... 8.10 a) Available on a PSO (9.15) b) Not in combination 1,000 ml PSM Paracetamol Elixir Paediatric

133 CALCIUM FOLINATE - Hospital pharmacy [HP1] or [HP3]-specialist

Inj 50 mg [HP1] ............................................................... 29.95 (48.50) each Leucovorin 100 g PSM

170 METHYLCELLULOSE ....................................................... 16.11

(19.59)

170 METHADONE HYDROCHLORIDE

a) Only on a controlled drug form. b) Extemporaneously compounded methadone will only be reimbursed at the rate of the cheapest form available (methadone powder, not methadone tablets). Powder ........................................................................ 10.70 1g PSM

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

‡ safety cap reimbursed Sole Subsidised Supplier

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 July 2003

32 GLUCOSE OXIDASE

Blood diagnostic test with peroxidase .............................. 27.85 50 test OP Glucometer Esprit (36.11) Glucometer Elite

65 & 170 MENTHOL

Crystals ............................................................................ 8.05 (10.60) 25 g David Craig

65 & 170 PHENOL

Liquified .......................................................................... 21.20 (37.00) 500 ml David Craig

87 OESTRADIOL WITH NORETHISTERONE

TDDS 50 µg (10) and 1 mg norethisterone tab (12) ........... 5.40 (17.75) 1 OP Estrapak

97 FUSIDIC ACID - Hospital pharmacy [HP3]-specialist

Oral liq 250 mg per 5 ml .................................................. 50.15 90 ml Fucidin Neosulf Dilantin Forte

97 NEOMYCIN SULPHATE - Hospital pharmacy [HP3]

Tab 500 mg ....................................................................... 9.95 25

122 PHENYTOIN SODIUM

L‡

Oral liq 100 mg per 5 ml ............................................... 15.83

500 ml

123 ERGOTAMINE TARTRATE WITH DIPHENHYDRAMINE

Cap 1 mg with caffeine citrate 100 mg and diphenhydramine hydrochloride 25 mg ...................................................... 8.81 50 Ergodryl Theo-Dur

154 THEOPHYLLINE

Tab long-acting 300 mg ................................................... 14.07 100

156 COLISTIN SULPHATE WITH NEOMYCIN AND HYDROCORTISONE

Ear drops 3 mg with neomycin sulphate 3.3 mg and hydrocortisone acetate 10 mg per ml ............................. 9.00 5 ml OP Colymycin-S Otic

L Three months supply may be dispensed at one time

“IMM” Interchangeable Multi-source Medicines

if endorsed “certified exemption” by the prescriber.

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 May 2003

31 GLICLAZIDE

Tab 80 mg ....................................................................... 39.08 (78.80) 500 Diamicron

68 TRIAMCINOLONE ACETONIDE WITH GRAMICIDIN, NEOMYCIN AND NYSTATIN Only on a prescription

96 CIPROFLOXACIN - Retail pharmacy-specialist

110 IBUPROFEN - Special Authority available

Tab 200 mg ....................................................................... 2.07 (2.90) 100 Panafen

110 NAPROXEN - Special Authority available

119 TRIMIPRAMINE MALEATE

Tab 25 mg ......................................................................... 3.19 (6.58) Cap 50 mg ...................................................................... 12.00 (23.00) 50 Surmontil 100 Surmontil

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

‡ safety cap reimbursed Sole Subsidised Supplier

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 2003

31 GLIPIZIDE

Tab 5 mg ........................................................................... 3.65 (6.10) 100 Glipid 25 g Apo-Hydrocortisone Pharmacia PSM

67 HYDROCORTISONE - Only on a prescription

Powder ........................................................................... 46.20 (47.87) (69.00)

81 PREGNANCY TEST - HCG URINE - Only on a WSO

25 ................................................................................ 29.50 (43.75) 25 tests MDS Quick Stick

L Three months supply may be dispensed at one time

“IMM” Interchangeable Multi-source Medicines

if endorsed “certified exemption” by the prescriber.

Index

Pharmaceuticals and brands

Allegron .............................................................. 22 Amoxapine .......................................................... 22 Amoxil ................................................................ 26 Amoxycillin ......................................................... 26 Amoxycillin clavulanate ...................................... 15 Anafranil ............................................................. 22 Apo-Gliclazide .................................................... 17 Apo-Hydrocortisone .................................... 20, 31 Apo-Pyridoxine ................................................... 17 Apo-Sulfatrim ..................................................... 22 Aqueous cream .................................................. 22 Aredia ................................................................. 25 Arthrexin ............................................................. 21 Ascensia Glucodisc ........................................... 15 Asendin .............................................................. 22 Augmentin .......................................................... 15 Avonex ............................................................... 21

Clomipramine hydrochloride ............................... 22 Clonazepam ........................................................ 15 Co-trimoxazole ................................................... 22 Codeine phosphate ............................................. 24 Colistin sulphate with neomycin and hydrocortisone ......................................... 29 Colistin sulphomethate ....................................... 20 Colymycin-M ...................................................... 20 Colymycin-S Otic ............................................... 29 Cyklokapron ....................................................... 20 Cytarabine .......................................................... 26

Daktarin .............................................................. 17 Danazol ............................................................... 26 Danocrine ........................................................... 26 ddC ..................................................................... 26 Dextropropoxyphene with paracetamol ............... 19 Diamicron .................................................... 17, 30 Difflam ................................................................ 20 Dilantin Forte ...................................................... 29 Dipivefrin hydrochloride ...................................... 27 Dipoquin ............................................................. 27 Diprolene ............................................................ 25 Dumas Vault ....................................................... 28 Duovent Inhaler .................................................. 23

Beclomethasone dipropionate ...................... 21, 26 Becodisk 200 ...................................................... 26 Benzydamine hydrochloride ............................... 20 Berotec ............................................................... 23 Betaferon ............................................................ 21 Betamethasone dipropionate .............................. 25 Betamethasone sodium phosphate .................... 27 Betamethasone sodium phosphate with neomycin ................................................ 27 Betamethasone valerate .................................... 25 Betnesol ............................................................. 27 Betnesol-N ......................................................... 27 Biphasil 28 .......................................................... 22 Biron ................................................................... 21 Bivate ................................................................. 25 BK Lotion ............................................................ 20 Brufen ......................................................... 18, 21 Buspirone hydrochloride ..................................... 21

Emulsifying ointment BP .................................... 22 Ergodryl .............................................................. 29 Ergotamine tartrate with diphenhydramine ......... 29 Erythropoietin beta ............................................. 16 Estrapak ............................................................. 29 Ethinyloestradiol with levonorgestrel .................. 22

Fenoterol hydrobromide ...................................... 23 Fenoterol hydrobromide with ipratropium bromide ........................................ 23 Fergon ................................................................ 17 Ferrous gluconate .............................................. 17 Flixotide .............................................................. 19 Fluocinolone acetonide ....................................... 18 Fluoxetine hydrochloride ..................................... 23 Fluphenazine decanoate ..................................... 15 Fluticasone ......................................................... 19 Fluvastatin .......................................................... 22 Formaldehyde ..................................................... 28 Fucidin ................................................................ 29 Fusidic acid ........................................................ 29

Calcium carbonate ............................................. 20 Calcium folinate ................................................. 28 Ceftriaxone sodium ............................................. 18 Cervical cap ....................................................... 28 Cetirizine hydrochloride ...................................... 23 Chlordiazepoxide hydrochloride ........................... 26 Cipflox ................................................................ 18 Ciprofloxacin ................................................ 18, 30 Ciproxin ........................................................ 18, 30 Civicor Retard .................................................... 25

Gemfibrozil ......................................................... 28 Gemizol .............................................................. 28 Gentamicin sulphate .......................................... 26 Gliclazide ..................................................... 17, 30 Glipid ........................................................... 20, 31 Glipizide ....................................................... 20, 31 Glucometer Elite ................................................. 29 Glucometer Esprit .............................................. 29 Glucose oxidase .......................................... 15, 29 Glycerol .............................................................. 17 Gyno-Trosyd ....................................................... 25

Naproxen ............................................. 18, 21, 30 Naxen .......................................................... 18, 21 Neomycin sulphate ............................................. 29 Neosulf ............................................................... 29 Nortriptyline hydrochloride ................................. 22 Nova-Pam .......................................................... 26

Oestradiol with norethisterone ............................ 29 Ondansetron ....................................................... 19 Ondansetron hydrochloride ................................. 15

Pamidronate disodium ................................. 18, 25 Panafen ....................................................... 18, 30 Paracetamol ....................................................... 28 Paradex .............................................................. 19 Paxam ................................................................ 15 Phenol ......................................................... 28, 29 Phenytoin sodium .............................................. 29 Pholcodine .......................................................... 27 Pindolol with clopamide ..................................... 24 Pinetarsol ........................................................... 25 Pinetarsol Shower Pack ..................................... 25 Podophyllin ......................................................... 22 Podophyllin resin ................................................ 23 Pregnancy test - HCG urine ........................ 20, 31 Prentif ................................................................ 28 Prinzide ............................................................... 24 Prozac 20 ........................................................... 23 PSM Paracetamol Elixir Paediatric ..................... 28 Pyridoxine hydrochloride .................................... 17

Hexamine hippurate ............................................ 21 Hiprex ................................................................. 21 Hivid ................................................................... 26 Hydrocor tisone ............................................ 20, 31 Hydrogen peroxide .............................................. 17 Hypam ................................................................ 15

I-Profen .............................................................. 18 Ibuprofen ............................................. 18, 21, 30 Indomethacin ...................................................... 21 Interferon beta-1-alpha ...................................... 21 Interferon beta-1-beta ........................................ 21 Isogel ........................................................... 20, 24 Isoptin SR ........................................................... 25

Kenacomb ................................................... 17, 30 Kenalog in Orabase ............................................ 24 Konsyl D ............................................................. 28

Recormon ........................................................... 16 Resource Thicken Up ......................................... 23 Rheumacin ......................................................... 21 Rheumacin SR .................................................... 21 Rocephin IM or IV ............................................... 18

Leucovorin .......................................................... 28 Lisinopril ............................................................. 24 Lisinopril with hydrochlorothiazide ...................... 24 Lovan ................................................................. 23

m-Hydrocortisone .............................................. 20 MDS Quick Card ................................................. 20 MDS Quick Stick ......................................... 20, 31 Menthol ....................................................... 17, 29 Methadone Hydrochloride .................................. 28 Methotrexate ...................................................... 26 Methylcellulose .................................................. 28 Methylprednisolone sodium succinate ............... 25 Miconazole nitrate .............................................. 17 Minidiab .............................................................. 20 Modecate ........................................................... 15 Mucilaginous laxatives ........................ 20, 24, 28

Salazopyrin ......................................................... 24 Salbutamol ......................................................... 26 Salbutamol Turbuhaler ........................................ 26 Simvastatin ........................................................ 24 Somapam ........................................................... 23 Sulphasalazine ................................................... 24 Surmontil ..................................................... 19, 30 Synalar Gel ......................................................... 18 Synarel ........................................................ 15, 25

Tar with triethanolamine lauryl sulphate and fluoroscein ............................................... 25 Temazepam ........................................................ 23 Theo-Dur ..................................................... 23, 29 Theophylline ................................................ 23, 29 Timolol maleate .................................................. 15

Nafarelin acetate ......................................... 15, 25 Naprosyn ..................................................... 18, 30 Naprosyn Enteric ......................................... 18, 30

Timoptol ............................................................. 15 Tioconazole ......................................................... 25 Titralac ............................................................... 20 Tranexamic acid ................................................. 20 Triamcinolone acetonide ..................................... 24 Triamcinolone acetonide with gramicidin, neomycin and nystatin ............................ 17, 30 Triazolam ............................................................ 15 Trimipramine maleate .................................. 19, 30 Tripress ............................................................... 19

Vimule ................................................................ 28 Viskaldix ............................................................. 24

Wool fat with mineral oil .................................... 20

Zalcitabine .......................................................... 26 Zestoretic ........................................................... 24 Zestril ................................................................. 24 Zo-Tab ................................................................ 23 Zocor .................................................................. 24 Zofran ................................................................. 19 Zofran Zydis ....................................................... 15 Zopiclone ............................................................ 23 Zyr tec ................................................................ 23

Vastin ................................................................. 22 Verapamil hydrochloride ..................................... 25 Viaderm KC ........................................................ 17

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. Pharmaceutical Management Agency Level 1 Old Bank Chambers 98 Customhouse Quay PO Box 10 254 Wellington New Zealand Telephone 64 4 460 4990 Facsimile 64 4 460 4995 Freephone information line (9 am – 4 pm weekdays) 0800 66 00 50 http://www.pharmac.govt.nz

Metadata

Title

Schedule Update - effective 1 February 2003

Abstract

PHARMAC Pharmaceutical Management Agency New Zealand Pharmaceutical Schedule UPDATE Effective 1 February 2003 Cumulative Update for January & February 2003 Contents Summary of decisions effective 1 February 2003 ….. 3 Reference pricing of Flixotide (fluticasone) MDIs …. 4 Timolol and…

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