This is the text extract for Fax to pharmacy re mid-month listing of digoxin tablets, browse documents here.

FACSIMILE

To Fax From Subject Date All New Zealand Pharmacies, IPA Pharmacy Facilitators and Wholesalers Autodial Kaye Wilson, Senior Schedule Analyst Mid month listing of digoxin tablets 62.5 μg and 250 μg 9 September 2011 Pages 2

Dear Pharmacist and Wholesaler We have been advised by Aspen that it will supply digoxin 62.5 μg and 250 μg (Lanoxin PG and Lanoxin) in different packaging (a 200 tablet bottle and a 100 blister pack respectively), in addition to those currently subsidised. These packs may be particularly useful for patients who have difficulty removing tablets from the current blister packs. PHARMAC will be fully subsidising the alternative packs of digoxin 250 μg and 62.5 μg from Friday 9 September 2011 under new pharmacodes. Details are as follows: Chemical and presentation Digoxin tab 62.5 μg Digoxin tab 250 μg Brand Lanoxin PG Lanoxin Pack Size 200 100 Pharmacode 2390957 2390965 Price and subsidy $5.56 $6.05

Note price and subsidy shown are ex-manufacturer, excl GST

Please note:  The new packs are registered for use in NZ; and will be listed, fully subsidised, in Section B of the Pharmaceutical Schedule from Friday 9 September 2011  Digoxin (Lanoxin PG) tab 62.5 μg, 240 tablet pack, and (Lanoxin) tab 250 μg, 240 tablet pack, remain subsidised until further notice.  PHARMAC is not implementing pharmacist endorsed Close Control on digoxin 62.5 μg and 250 μg tablets. Prescriptions should continue to be dispensed all-at-once (stat) unless Close Control has been initiated by the prescriber.  Instructions on how to amend pharmacy software systems have been provided. Please note that Ministry of Health Sector Services will be unable to process claims for September dispensings of these new pack sizes until the first claim submitted in October. Please hold claims for these dispensings and submit these with the first claim batch for October.

LOTS Users

To download the new Lanoxin drug cards before 1st October 2011 Update

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A452939

Please follow the instructions below: 1. Go to ‘LOTS Start Menu’, ‘Stockcards’ 2. In the ‘Stock Search’ field type in the corresponding ‘Drug Update ID’ (see table below e.g. type in HS8669) and then click on ‘New card’ 3. It will then ask “Do you want to try and download this drug card from the HealthSoft servers?” Answer ‘Yes’. You should now have the new card. 4. If you don’t want to add more cards, click on ‘Exit’ and say ‘Yes’ to “Do you want to record the changes?” If you want to add more cards then click on ‘Search’ 5. Repeat process #2 to #4 for other drug cards Product Name Lanoxin 250 mcg Tabs 100's blister Lanoxin PG 62.5 mcg Tabs 200's bottle PLU 2390965 2390957 Drug Update ID HS8669 HS8670

TONIQ Users

The following digoxin packs are NOT listed on the standard September medicine file. LANOXIN PG LANOXIN 62.5 mcg tabs bottles of 200 250 mcg tabs blister packs of 100 (pharmacode 2390957) (pharmacode 2390965)

To add these to your Toniq system: 1) Go to any Toniq computer and at the main Dispensary Menu       7. Administration, 3. Updates and Downloads 1 Download/check medicine files. F4 Check I/Net Tick Medicine Update 9th Sept and press F7 Dn/Ld Files After a few moments a message advises: Download finished - 1 file downloaded. Click OK and F12 Accept Details 3. Update Medicines to make the new medicine file effective immediately.

Users without Broadband Internet will not be able to download a new medicine file. If either of these newly listed packs are needed before the 1st October 2011 they will need to be added manually, please contact Toniq (03 341 0195) for help. Thank you for your co-operation. We appreciate this is a disruption but thank you for your assistance. If you have any questions regarding the above, please contact PHARMAC on 0800 66 00 50 (9am-5pm Monday to Friday). Yours sincerely

Kaye Wilson Senior Schedule Analyst A452939 2 of 2