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PB 120 of 2015 Specifications as amended, taking into account amendments up to National Health (Pharmaceutical Benefits – early supply) Amendment Instrument 2019 (No. 6) (PB 47 of 2019)
This instrument specifies the pharmaceutical items that are pharmaceutical benefits to which Pharmaceutical Benefits Scheme (PBS) Safety Net entitlements will not apply for early and to specify the period following previous supply.
Administered by: Health
Registered 26 Jul 2019
Start Date 01 Jul 2019
End Date 31 Jul 2019
Table of contents.

Commonwealth Coat of Arms of Australia

National Health (Pharmaceutical benefits—early supply) Instrument 2015 (PB 120 of 2015)

made under subsection 84AAA(2) of the

National Health Act 1953

Compilation No. 37

Compilation date:                           1 July 2019

Includes amendments up to:         PB 47 of 2019

Registered:                                      26 July 2019

 

About this compilation

This compilation

This is a compilation of the National Health (Pharmaceutical benefits—early supply) Instrument 2015 (PB 120 of 2015) that shows the text of the law as amended and in force on 1 July 2019 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register (www.legislation.gov.au). The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Editorial changes

For more information about any editorial changes made in this compilation, see the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.

Self‑repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

  

  

  


Contents

1............ Name of Instrument....................................................................................................... 1

4............ Definitions..................................................................................................................... 1

5............ Specification of pharmaceutical items............................................................................ 1

6............ Circumstances relating to specification of pharmaceutical items.................................... 1

7............ Specification of period relating to a pharmaceutical benefit........................................... 2

Schedule 1—Pharmaceutical items and circumstances specified under subsection 84AAA(2) for purposes of early supply             3

Endnotes                                                                                                                                                               80

Endnote 1—About the endnotes                                                                                                      80

Endnote 2—Abbreviation key                                                                                                          81

Endnote 3—Legislation history                                                                                                       82

Endnote 4—Amendment history                                                                                                     84


1  Name of Instrument

          (1)     This Instrument is the National Health (Pharmaceutical benefits—early supply) Instrument 2015.

          (2)     This Instrument may also be cited as PB 120 of 2015.

4  Definitions

          In this Instrument:

Act means the National Health Act 1953.

I.U. means international unit.

mg means milligram.

mL means millilitre.

g means grams.

pharmaceutical item has the meaning given by section 84AB of the Act.

pharmaceutical benefit has the meaning given by section 84 of the Act.

5  Specification of pharmaceutical items

          For paragraph 84AAA(1)(a) of the Act, a pharmaceutical item in a pharmaceutical benefit is specified if:

                   (a)     the listed drug and the form of that listed drug are mentioned in Schedule 1; and

                   (b)     all the circumstances identified in section 6 as applying to the benefit exist in relation to a benefit that has the listed drug and form in Schedule 1.

Note:          All pharmaceutical items have a manner of administration determined under subsection 85(5) of the Act, so the listed drug in that form with that manner of administration is specified.

6  Circumstances relating to specification of pharmaceutical items

          For paragraph 5(b), the circumstances are as follows:

                   (1)     the form mentioned in the table in Schedule 1 of a pharmaceutical benefit that has the listed drug is the same as the form determined under subsection 85(3) of the Act;

                   (2)     the maximum quantity or number of units mentioned in the table in Schedule 1 for a benefit that has the listed drug and form is the same as the maximum quantity or number of units determined under paragraph 85A(2)(a) of the Act;

                   (3)     the maximum number of repeats mentioned in the table in Schedule 1 for a benefit that has the listed drug and form is the same as the maximum number of repeats determined under paragraph 85A(2)(b) of the Act; and

                   (4)     any other circumstance for paragraph 84AAA(3)(b) of the Act that is mentioned in the table in Schedule 1 for a benefit that has the listed drug and form.

7  Specification of period relating to a pharmaceutical benefit

          For a pharmaceutical benefit that has the listed drug, the form of the listed drug, and the circumstances identified for section 6 in the table in Schedule 1, the number mentioned under the heading ‘Period’ is the period in days for paragraph 84AAA(1)(b) of the Act.


Schedule 1Pharmaceutical items and circumstances specified under subsection 84AAA(2) for purposes of early supply

  

 

Listed drug

Form

Period

(days)

Circumstances:

Maximum quantity or number of units

Maximum number of repeats

Other circumstances (if any)

Abatacept

Injection 125 mg in 1 mL single dose autoinjector

20

4

5

 

 

Injection 125 mg in 1 mL single dose pre-filled syringe

20

4

5

 

Abiraterone

Tablet containing abiraterone acetate 250 mg

20

120

2

 

 

Tablet containing abiraterone acetate 500 mg

20

60

2

 

Aciclovir

Tablet 200 mg

20

90

5

 

Aclidinium

Powder for oral inhalation in breath actuated device 322 micrograms (as bromide) per dose, 60 doses

20

1

5

 

Aclidinium with formoterol

Powder for oral inhalation in breath actuated device containing aclidinium 340 micrograms (as bromide) with formoterol fumarate dihydrate 12 micrograms per dose, 60 doses

20

1

5

 

Adalimumab

Injection 20 mg in 0.4 mL pre-filled syringe

20

2

0

 

 

 

20

2

3

 

 

 

20

2

5

 

 

Injection 40 mg in 0.8 mL pre-filled pen

20

2

0

 

 

 

20

2

2

 

 

 

20

2

5

 

 

Injection 40 mg in 0.8 mL pre-filled pen, 4

20

1

5

 

 

Injection 40 mg in 0.8 mL pre-filled pen, 6

20

1

0

 

 

Injection 40 mg in 0.8 mL pre-filled syringe

20

2

0

 

 

 

20

2

2

 

 

 

20

2

5

 

 

Injection 40 mg in 0.8 mL pre-filled syringe, 6

20

1

0

 

Alendronic acid

Tablet 70 mg (as alendronate sodium)

20

4

5

 

Alendronic acid with colecalciferol

Tablet 70 mg (as alendronate sodium) with 70 micrograms colecalciferol

20

4

5

 

 

Tablet 70 mg (as alendronate sodium) with 140 micrograms colecalciferol

20

4

5

 

Alendronic acid with colecalciferol and calcium

Pack containing 4 tablets containing alendronic acid 70 mg (as alendronate sodium) with 140 micrograms colecalciferol and 48 tablets calcium 500 mg (as carbonate)

20

1

5

 

Allopurinol

Tablet 100 mg

20

200

2

 

 

Tablet 300 mg

20

60

2

 

Alogliptin

Tablet 6.25 mg (as benzoate)

20

28

5

 

 

Tablet 12.5 mg (as benzoate)

20

28

5

 

 

Tablet 25 mg (as benzoate)

20

28

5

 

Alogliptin with metformin

Tablet containing 12.5 mg alogliptin (as benzoate) with 500 mg metformin hydrochloride

20

56

5

 

 

Tablet containing 12.5 mg alogliptin (as benzoate) with 850 mg metformin hydrochloride

20

56

5

 

 

Tablet containing 12.5 mg alogliptin (as benzoate) with 1 g metformin hydrochloride

20

56

5

 

Amantadine

Capsule containing amantadine hydrochloride 100 mg

20

100

5

 

Amlodipine

Tablet 5 mg (as besilate)

20

30

5

 

 

Tablet 10 mg (as besilate)

20

30

5

 

Amlodipine with atorvastatin

Tablet 5 mg amlodipine (as besilate) with 10 mg atorvastatin (as calcium)

20

30

5

 

 

Tablet 5 mg amlodipine (as besilate) with 20 mg atorvastatin (as calcium)

20

30

5

 

 

Tablet 5 mg amlodipine (as besilate) with 40 mg atorvastatin (as calcium)

20

30

5

 

 

Tablet 5 mg amlodipine (as besilate) with 80 mg atorvastatin (as calcium)

20

30

5

 

 

Tablet 10 mg amlodipine (as besilate) with 10 mg atorvastatin (as calcium)

20

30

5

 

 

Tablet 10 mg amlodipine (as besilate) with 20 mg atorvastatin (as calcium)

20

30

5

 

 

Tablet 10 mg amlodipine (as besilate) with 40 mg atorvastatin (as calcium)

20

30

5

 

 

Tablet 10 mg amlodipine (as besilate) with 80 mg atorvastatin (as calcium)

20

30

5

 

Amlodipine with valsartan

Tablet 5 mg (as besilate)-80 mg

20

28

5

 

 

Tablet 5 mg (as besilate)-160 mg

20

28

5

 

 

Tablet 5 mg (as besilate)-320 mg

20

28

5

 

 

Tablet 10 mg (as besilate)-160 mg

20

28

5

 

 

Tablet 10 mg (as besilate)-320 mg

20

28

5

 

Amlodipine with valsartan and hydrochlorothiazide

Tablet 5 mg (as besilate)-160 mg-12.5 mg

20

28

5

 

 

Tablet 5 mg (as besilate)-160 mg-25 mg

20

28

5

 

 

Tablet 10 mg (as besilate)-160 mg-12.5 mg

20

28

5

 

 

Tablet 10 mg (as besilate)-160 mg-25 mg

20

28

5

 

 

Tablet 10 mg (as besilate)-320 mg-25 mg

20

28

5

 

Anastrozole

Tablet 1 mg

20

30

5

 

Apixaban

Tablet 2.5 mg

20

60

0

 

 

 

20

60

5

 

 

Tablet 5 mg

20

28

0

 

 

 

20

60

5

 

Armodafinil

Tablet 50 mg

20

60

5

 

 

Tablet 150 mg

20

30

5

 

 

Tablet 250 mg

20

30

5

 

Aspirin

Tablet 100 mg

20

112

1

 

 

Tablet, dispersible, 300 mg

20

96

0

 

Atazanavir with cobicistat

Tablet containing 300 mg atazanavir and 150 mg cobicistat

20

60

5

 

Atenolol

Oral solution 50 mg in 10 mL, 300 mL

20

1

5

 

 

Tablet 50 mg

20

30

5

 

Atomoxetine

Capsule 10 mg (as hydrochloride)

20

56

5

 

 

Capsule 18 mg (as hydrochloride)

20

56

5

 

 

Capsule 25 mg (as hydrochloride)

20

56

5

 

 

Capsule 40 mg (as hydrochloride)

20

56

5

 

 

Capsule 60 mg (as hydrochloride)

20

56

5

 

 

Capsule 80 mg (as hydrochloride)

20

28

5

 

 

Capsule 100 mg (as hydrochloride)

20

28

5

 

Atorvastatin

Tablet 10 mg (as calcium)

20

30

5

 

 

 

20

30

11

 

 

Tablet 20 mg (as calcium)

20

30

5

 

 

 

20

30

11

 

 

Tablet 40 mg (as calcium)

20

30

5

 

 

 

20

30

11

 

 

Tablet 80 mg (as calcium)

20

30

5

 

 

 

20

30

11

 

Auranofin

Capsule 3 mg

20

60

5

 

 

Tablet 3 mg

20

60

5

 

Aurothiomalate

Injection containing sodium aurothiomalate 20 mg

20

10

1

 

 

Injection containing sodium aurothiomalate 50 mg

20

10

1

 

Azathioprine

Tablet 25 mg

20

100

5

 

 

Tablet 50 mg

20

100

5

 

Baclofen

Tablet 10 mg

20

100

5

 

 

Tablet 25 mg

20

100

5

 

Balsalazide

Capsule containing balsalazide sodium 750 mg

20

280

5

 

Baricitinib

Tablet 2 mg

20

28

5

 

 

Tablet 4 mg

20

28

5

 

Betaine

Oral powder 180 g

20

1

5

 

Betamethasone

Injection containing betamethasone acetate 3 mg with betamethasone sodium phosphate 3.9 mg in 1 mL

20

5

0

 

Bicalutamide

Tablet 50 mg

20

28

5

 

Bictegravir with emtricitabine with tenofovir alafenamide

Tablet containing bictegravir 50 mg with emtricitabine 200 mg with tenofovir alafenamide 25 mg

20

60

5

 

Biperiden

Tablet containing biperiden hydrochloride 2 mg

20

200

2

 

Bisoprolol

Tablet containing bisoprolol fumarate 2.5 mg

20

28

5

 

 

Tablet containing bisoprolol fumarate 5 mg

20

28

5

 

 

Tablet containing bisoprolol fumarate 10 mg

20

28

5

 

Brexpiprazole

Tablet 1 mg

20

30

0

 

 

Tablet 2 mg

20

30

5

 

 

Tablet 3 mg

20

30

5

 

 

Tablet 4 mg

20

30

5

 

Brivaracetam

Oral solution 10 mg per mL, 300 mL

20

1

5

 

 

Tablet 25 mg

20

56

5

 

 

Tablet 50 mg

20

56

5

 

 

Tablet 75 mg

20

56

5

 

 

Tablet 100 mg

20

56

5

 

Bupropion

Tablet containing bupropion hydrochloride 150 mg (sustained release)

20

30

0

 

 

 

20

90

0

 

Cabergoline

Tablet 1 mg

20

30

5

 

 

Tablet 2 mg

20

30

5

 

Cabozantinib

Tablet 20 mg

20

30

2

 

 

 

20

30

5

 

 

Tablet 40 mg

20

30

2

 

 

 

20

30

5

 

 

Tablet 60 mg

20

30

2

 

 

 

20

30

5

 

Calcitonin salmon

Injection 100 I.U. in 1 mL

20

15

5

 

Calcitriol

Capsule 0.25 microgram

20

100

3

 

Calcium

Tablet 600 mg (as carbonate)

20

240

1

 

 

Tablet, chewable, 500 mg (as carbonate)

20

240

1

 

Candesartan

Tablet containing candesartan cilexetil 4 mg

20

30

5

 

 

Tablet containing candesartan cilexetil 8 mg

20

30

5

 

 

Tablet containing candesartan cilexetil 16 mg

20

30

5

 

 

Tablet containing candesartan cilexetil 32 mg

20

30

5

 

Candesartan with hydrochlorothiazide

Tablet containing candesartan cilexetil 16 mg with hydrochlorothiazide 12.5 mg

20

30

5

 

 

Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 12.5 mg

20

30

5

 

 

Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 25 mg

20

30

5

 

Captopril

Tablet 12.5 mg

20

90

5

 

 

Tablet 25 mg

20

90

5

 

 

Tablet 50 mg

20

90

5

 

Carbamazepine

Tablet 100 mg

20

200

0

 

 

 

20

200

2

 

 

Tablet 200 mg

20

200

0

 

 

 

20

200

2

 

 

Tablet 200 mg (controlled release)

20

200

0

 

 

 

20

200

2

 

 

Tablet 400 mg (controlled release)

20

200

0

 

 

 

20

200

2

 

Carvedilol

Tablet 6.25 mg

20

60

5

 

 

Tablet 12.5 mg

20

60

5

 

 

Tablet 25 mg

20

60

5

 

Certolizumab pegol

Injection 200 mg in 1 mL single use pre-filled syringe

20

2

5

 

 

Solution for injection 200 mg in 1 mL pre-filled pen

20

2

5

 

Cimetidine

Tablet 400 mg

20

60

5

 

Citalopram

Tablet 20 mg (as hydrobromide)

20

28

5

 

 

Tablet 40 mg (as hydrobromide)

20

28

5

 

Clonazepam

Tablet 2 mg

20

200

2

 

 

Tablet 500 micrograms

20

200

2

 

Clonidine

Tablet containing clonidine hydrochloride 100 micrograms

20

100

5

 

 

Tablet containing clonidine hydrochloride 150 micrograms

20

100

5

 

Clopidogrel

Tablet 75 mg (as besilate)

20

28

5

 

 

Tablet 75 mg (as hydrogen sulfate)

20

28

5

 

Clopidogrel with aspirin

Tablet 75 mg (as hydrogen sulfate)-100 mg

20

30

5

 

Dabigatran etexilate

Capsule 75 mg (as mesilate)

20

60

0

 

 

Capsule 110 mg (as mesilate)

20

60

0

 

 

 

20

60

5

 

 

Capsule 150 mg (as mesilate)

20

60

5

 

Daclatasvir

Tablet 30 mg

20

28

2

 

 

 

20

28

5

 

 

Tablet 60 mg

20

28

2

 

 

 

20

28

5

 

Dalteparin

Injection containing dalteparin sodium 7,500 I.U. (anti-Xa) in 0.75 mL single dose pre-filled syringe

20

30

5

 

 

Injection containing dalteparin sodium 10,000 I.U. (anti-Xa) in 1 mL single dose pre-filled syringe

20

30

5

 

 

Injection containing dalteparin sodium 12,500 I.U. (anti-Xa) in 0.5 mL single dose pre-filled syringe

20

30

5

 

 

Injection containing dalteparin sodium 15,000 I.U. (anti-Xa) in 0.6 mL single dose pre-filled syringe

20

30

5

 

 

Injection containing dalteparin sodium 18,000 I.U. (anti-Xa) in 0.72 mL single dose pre-filled syringe

20

30

5

 

Dapagliflozin

Tablet 10 mg (as propanediol monohydrate)

20

28

5

 

Dapagliflozin with metformin

Tablet (modified release) containing 5 mg dapagliflozin (as propanediol monohydrate) with 1000 mg metformin hydrochloride

20

56

5

 

 

Tablet (modified release) containing 10 mg dapagliflozin (as propanediol monohydrate) with 500 mg metformin hydrochloride

20

28

5

 

 

Tablet (modified release) containing 10 mg dapagliflozin (as propanediol monohydrate) with 1000 mg metformin hydrochloride

20

28

5

 

Dapsone

Tablet 25 mg

20

100

1

 

 

Tablet 100 mg

20

100

1

 

Dasatinib

Tablet 20 mg

20

60

2

 

 

 

20

60

5

 

 

Tablet 50 mg

20

60

2

 

 

 

20

60

5

 

 

Tablet 70 mg

20

60

2

 

 

 

20

60

5

 

 

Tablet 100 mg

20

30

2

 

 

 

20

30

5

 

Degarelix

Powder for injection 80 mg (as acetate), injection set

20

1

5

 

 

Powder for injection 120 mg (as acetate), 2, injection set

20

1

0

 

Denosumab

Injection 60 mg in 1 mL pre-filled syringe

20

1

0

 

Desmopressin

Tablet containing desmopressin acetate 200 micrograms

20

30

5

 

 

 

20

90

5

 

 

Wafer 120 micrograms (as acetate)

20

30

5

 

 

Wafer 240 micrograms (as acetate)

20

30

5

 

Desvenlafaxine

Tablet (extended release) 50 mg (as succinate)

20

28

5

 

 

Tablet (extended release) 100 mg (as succinate)

20

28

5

 

 

Tablet (modified release) 50 mg

20

28

5

 

 

Tablet (modified release) 50 mg (as benzoate)

20

28

5

 

 

Tablet (modified release) 100 mg

20

28

5

 

 

Tablet (modified release) 100 mg (as benzoate)

20

28

5

 

Digoxin

Tablet 62.5 micrograms

20

200

1

 

 

Tablet 250 micrograms

20

100

1

 

Diltiazem

Capsule (controlled delivery) containing diltiazem hydrochloride 180 mg

20

30

5

 

 

Capsule (controlled delivery) containing diltiazem hydrochloride 240 mg

20

30

5

 

 

Capsule (controlled delivery) containing diltiazem hydrochloride 360 mg

20

30

5

 

 

Tablet containing diltiazem hydrochloride 60 mg

20

90

5

 

Dimethyl fumarate

Capsule (modified release) 240 mg

20

56

5

 

Dipyridamole

Capsule 200 mg (sustained release)

20

60

5

 

Dipyridamole with aspirin

Capsule 200 mg (sustained release)-25 mg

20

60

5

 

Dolutegravir with rilpivirine

Tablet containing dolutegravir 50 mg (as sodium) with rilpivirine 25 mg (as hydrochloride)

20

60

5

 

Donepezil

Tablet containing donepezil hydrochloride 5 mg

20

28

5

 

 

Tablet containing donepezil hydrochloride 10 mg

20

28

5

 

Dulaglutide

Injection 1.5 mg in 0.5 mL single dose pre-filled pen

20

4

5

 

Duloxetine

Capsule 60 mg (as hydrochloride)

20

28

5

 

Dutasteride

Capsule 500 micrograms

20

30

5

 

Dutasteride with tamsulosin

Capsule containing dutasteride 500 micrograms with tamsulosin hydrochloride 400 micrograms

20

30

5

 

Empagliflozin

Tablet 10 mg

20

30

5

 

 

Tablet 25 mg

20

30

5

 

Empagliflozin with linagliptin

Tablet containing 10 mg empagliflozin with 5 mg linagliptin

20

30

5

 

 

Tablet containing 25 mg empagliflozin with 5 mg linagliptin

20

30

5

 

Empagliflozin with metformin

Tablet containing 5 mg empagliflozin with 500 mg metformin hydrochloride

20

60

5

 

 

Tablet containing 5 mg empagliflozin with 1 g metformin hydrochloride

20

60

5

 

 

Tablet containing 12.5 mg empagliflozin with 500 mg metformin hydrochloride

20

60

5

 

 

Tablet containing 12.5 mg empagliflozin with 1 g metformin hydrochloride

20

60

5

 

Enalapril

Tablet containing enalapril maleate 5 mg

20

30

5

 

 

Tablet containing enalapril maleate 10 mg

20

30

5

 

 

Tablet containing enalapril maleate 20 mg

20

30

5

 

Enalapril with hydrochlorothiazide

Tablet containing enalapril maleate 20 mg with hydrochlorothiazide 6 mg

20

30

5

 

Entacapone

Tablet 200 mg

20

200

4

 

Enzalutamide

Capsule 40 mg

20

112

2

 

Eplerenone

Tablet 25 mg

20

30

5

 

 

Tablet 50 mg

20

30

5

 

Eprosartan

Tablet 400 mg (as mesilate)

20

56

5

 

 

Tablet 600 mg (as mesilate)

20

28

5

 

Eprosartan with hydrochlorothiazide

Tablet 600 mg eprosartan (as mesilate) with 12.5 mg hydrochlorothiazide

20

28

5

 

Erlotinib

Tablet 25 mg (as hydrochloride)

20

30

3

 

 

Tablet 100 mg (as hydrochloride)

20

30

3

 

 

Tablet 150 mg (as hydrochloride)

20

30

3

 

Ertugliflozin

Tablet 5 mg

20

28

5

 

 

Tablet 15 mg

20

28

5

 

Ertugliflozin with metformin

Tablet containing 2.5 mg ertugliflozin with 500 mg metformin hydrochloride

20

56

5

 

 

Tablet containing 2.5 mg ertugliflozin with 1 g metformin hydrochloride

20

56

5

 

 

Tablet containing 7.5 mg ertugliflozin with 500 mg metformin hydrochloride

20

56

5

 

 

Tablet containing 7.5 mg ertugliflozin with 1 g metformin hydrochloride

20

56

5

 

Ertugliflozin with sitagliptin

Tablet containing 5 mg ertugliflozin with 100 mg sitagliptin

20

28

5

 

 

Tablet containing 15 mg ertugliflozin with 100 mg sitagliptin

20

28

5

 

Escitalopram

Tablet 10 mg (as oxalate)

20

28

5

 

 

Tablet 20 mg (as oxalate)

20

28

5

 

Esomeprazole

Capsule (enteric) 20 mg (as magnesium) 

20

30

5

 

 

Capsule (enteric) 40 mg (as magnesium)

20

30

5

 

 

Tablet (enteric coated) 20 mg (as magnesium trihydrate)

20

30

5

 

 

Tablet (enteric coated) 40 mg (as magnesium trihydrate)

20

30

5

 

Esomeprazole and clarithromycin and amoxicillin

Pack containing 14 tablets (enteric coated) containing esomeprazole 20 mg (as magnesium), 14 tablets clarithromycin 500 mg and 28 capsules amoxicillin 500 mg (as trihydrate)

20

1

0

 

 

Pack containing 14 tablets (enteric coated) containing esomeprazole 20 mg (as magnesium trihydrate), 14 tablets clarithromycin 500 mg and 28 capsules amoxicillin 500 mg (as trihydrate)

20

1

0

 

Estradiol

Tablet 2 mg

20

56

2

 

 

Tablet containing estradiol valerate 1 mg

20

56

2

 

 

Tablet containing estradiol valerate 2 mg

20

56

2

 

 

Transdermal gel 1 mg (as hemihydrate) in 1 g sachet, 28

20

1

5

 

 

Transdermal patches 390 micrograms, 8

20

1

5

 

 

Transdermal patches 585 micrograms, 8

20

1

5

 

 

Transdermal patches 750 micrograms (as hemihydrate), 8

20

1

5

 

 

Transdermal patches 780 micrograms, 8

20

1

5

 

 

Transdermal patches 1.17 mg, 8

20

1

5

 

 

Transdermal patches 1.5 mg (as hemihydrate), 8

20

1

5

 

 

Transdermal patches 1.56 mg, 8

20

1

5

 

 

Transdermal patches 2 mg, 4

20

1

5

 

 

Transdermal patches 3 mg (as hemihydrate), 8

20

1

5

 

 

Transdermal patches 3.8 mg, 4

20

1

5

 

 

Transdermal patches 5.7 mg, 4

20

1

5

 

 

Transdermal patches 7.6 mg, 4

20

1

5

 

Estradiol and estradiol with dydrogesterone

Pack containing 14 tablets estradiol 1 mg and 14 tablets estradiol 1 mg with dydrogesterone 10 mg

20

1

5

 

 

Pack containing 14 tablets estradiol 2 mg and 14 tablets estradiol 2 mg with dydrogesterone 10 mg

20

1

5

 

Estradiol and estradiol with norethisterone

Pack containing 4 transdermal patches 780 micrograms estradiol (as hemihydrate) and 4 transdermal patches 510 micrograms estradiol (as hemihydrate) with 4.8 mg norethisterone acetate

20

1

5

 

 

Pack containing 4 transdermal patches 780 micrograms estradiol (as hemihydrate) and 4 transdermal patches 620 micrograms estradiol (as hemihydrate) with 2.7 mg norethisterone acetate

20

1

5

 

Estradiol with dydrogesterone

Tablet 1 mg-5 mg

20

28

5

 

Estradiol with norethisterone

Transdermal patches containing 510 micrograms estradiol (as hemihydrate) with 4.8 mg norethisterone acetate, 8

20

1

5

 

 

Transdermal patches containing 620 micrograms estradiol (as hemihydrate) with 2.7 mg norethisterone acetate, 8

20

1

5

 

Etanercept

Injection 50 mg in 1 mL single use auto-injector, 4

20

1

3

 

 

 

20

1

5

 

 

Injection set containing 4 vials powder for injection 25 mg and 4 pre-filled syringes solvent 1 mL

20

2

3

 

 

 

20

2

5

 

 

Injections 50 mg in 1 mL single use pre-filled syringes, 4

20

1

3

 

 

 

20

1

5

 

Ethosuximide

Capsule 250 mg

20

200

2

 

Etonogestrel

Subcutaneous implant 68 mg

20

1

0

 

Evolocumab

Injection 140 mg in 1 mL single use pre-filled pen

20

2

5

 

 

 

20

3

5

 

 

Injection 420 mg in 3.5 mL single use pre-filled cartridge

20

1

5

 

Exenatide

Injection (modified release) 2 mg single dose pre-filled pen

20

4

5

 

 

Injection solution 5 micrograms per dose in pre-filled pen, 60 doses

20

1

5

 

 

Injection solution 10 micrograms per dose in pre-filled pen, 60 doses

20

1

5

 

Ezetimibe

Tablet 10 mg

20

30

5

 

Ezetimibe and rosuvastatin

Pack containing 30 tablets ezetimibe 10 mg and 30 tablets rosuvastatin 5 mg (as calcium)

20

1

5

 

 

Pack containing 30 tablets ezetimibe 10 mg and 30 tablets rosuvastatin 10 mg (as calcium)

20

1

5

 

 

Pack containing 30 tablets ezetimibe 10 mg and 30 tablets rosuvastatin 20 mg (as calcium)

20

1

5

 

 

Pack containing 30 tablets ezetimibe 10 mg and 30 tablets rosuvastatin 40 mg (as calcium)

20

1

5

 

Ezetimibe with atorvastatin

Tablet 10 mg-10 mg

20

30

5

 

 

Tablet 10 mg-20 mg

20

30

5

 

 

Tablet 10 mg-40 mg

20

30

5

 

 

Tablet 10 mg-80 mg

20

30

5

 

Ezetimibe with simvastatin

Tablet 10 mg-10 mg

20

30

5

 

 

Tablet 10 mg-20 mg

20

30

5

 

 

Tablet 10 mg-40 mg

20

30

5

 

 

Tablet 10 mg-80 mg

20

30

5

 

Famciclovir

Tablet 250 mg

20

56

5

 

 

Tablet 500 mg

20

56

5

 

Famotidine

Tablet 20 mg

20

60

5

 

 

Tablet 40 mg

20

30

5

 

Febuxostat

Tablet 80 mg

20

28

5

 

Felodipine

Tablet 2.5 mg (extended release)

20

30

5

 

 

Tablet 5 mg (extended release)

20

30

5

 

 

Tablet 10 mg (extended release)

20

30

5

 

Fenofibrate

Tablet 48 mg

20

60

5

 

 

 

20

60

11

 

 

Tablet 145 mg

20

30

5

 

 

 

20

30

11

 

Fingolimod

Capsule 500 micrograms (as hydrochloride)

20

28

5

 

Fludarabine

Tablet containing fludarabine phosphate 10 mg

20

20

5

 

Fludrocortisone

Tablet containing fludrocortisone acetate 100 micrograms

20

200

1

 

Flutamide

Tablet 250 mg

20

100

5

 

Fluticasone furoate with umeclidinium and vilanterol

Powder for oral inhalation in breath actuated device containing fluticasone furoate 100 micrograms with umeclidinium 62.5 micrograms (as bromide) and vilanterol 25 micrograms (as trifenatate) per dose, 30 doses

20

1

5

 

Fluvastatin

Tablet (prolonged release) 80 mg (as sodium)

20

28

5

 

 

 

20

28

11

 

Fluvoxamine

Tablet containing fluvoxamine maleate 50 mg

20

30

5

 

 

Tablet containing fluvoxamine maleate 100 mg

20

30

5

 

Folic acid

Tablet 500 micrograms

20

200

0

 

 

Tablet 5 mg

20

200

1

 

Fosinopril

Tablet containing fosinopril sodium 10 mg

20

30

5

 

 

Tablet containing fosinopril sodium 20 mg

20

30

5

 

Fosinopril with hydrochlorothiazide

Tablet containing fosinopril sodium 20 mg with hydrochlorothiazide 12.5 mg

20

30

5

 

Furosemide

Tablet 20 mg

20

100

1

 

 

Tablet 40 mg

20

100

1

 

Gabapentin

Capsule 100 mg

20

100

5

 

 

Capsule 300 mg

20

100

5

 

 

Capsule 400 mg

20

100

5

 

 

Tablet 600 mg

20

100

5

 

 

Tablet 800 mg

20

100

5

 

Galantamine

Capsule (prolonged release) 8 mg (as hydrobromide)

20

28

5

 

 

Capsule (prolonged release) 16 mg (as hydrobromide)

20

28

5

 

 

Capsule (prolonged release) 24 mg (as hydrobromide)

20

28

5

 

Gemfibrozil

Tablet 600 mg

20

60

5

 

 

 

20

60

11

 

Gliclazide

Tablet 60 mg (modified release)

20

60

5

 

 

Tablet 80 mg

20

100

5

 

Glimepiride

Tablet 3 mg

20

30

5

 

 

Tablet 4 mg

20

30

5

 

Glyceryl trinitrate

Transdermal patch 18 mg

20

30

5

 

 

Transdermal patch 25 mg

20

30

5

 

 

Transdermal patch 36 mg

20

30

5

 

 

Transdermal patch 50 mg

20

30

5

 

 

Transdermal patch 54 mg

20

30

5

 

Glycopyrronium

Capsule containing powder for oral inhalation 50 micrograms (as bromide) (for use in Breezhaler)

20

30

5

 

Golimumab

Injection 50 mg in 0.5 mL single use pre-filled pen

20

1

5

 

 

Injection 50 mg in 0.5 mL single use pre-filled syringe

20

1

5

 

 

Injection 100 mg in 1 mL single use pre-filled pen

20

1

5

 

Goserelin

Subcutaneous implant 3.6 mg (as acetate) in pre-filled injection syringe

20

1

5

 

 

Subcutaneous implant (long acting) 10.8 mg (as acetate) in pre-filled injection syringe

20

1

1

 

Goserelin and bicalutamide

Pack containing 1 subcutaneous implant containing goserelin 3.6 mg (as acetate) in pre-filled injection syringe and 28 tablets bicalutamide 50 mg

20

1

5

 

 

Pack containing 1 subcutaneous implant containing goserelin 10.8 mg (as acetate) in pre-filled injection syringe and 28 tablets bicalutamide 50 mg

20

1

0

 

 

Pack containing 1 subcutaneous implant containing goserelin 10.8 mg (as acetate) in pre-filled injection syringe and 84 tablets bicalutamide 50 mg

20

1

1

 

Griseofulvin

Tablet 125 mg

20

100

2

 

Guanfacine

Tablet 1 mg (as hydrochloride)

20

28

5

 

 

Tablet 2 mg (as hydrochloride)

20

28

5

 

 

Tablet 3 mg (as hydrochloride)

20

28

5

 

 

Tablet 4 mg (as hydrochloride)

20

28

5

 

Hydrochlorothiazide

Tablet 25 mg

20

100

1

 

Hydrochlorothiazide with amiloride

Tablet containing hydrochlorothiazide 50 mg with amiloride hydrochloride 5 mg

20

100

1

 

Hydrochlorothiazide with triamterene

Tablet 25 mg-50 mg

20

100

1

 

Hydroxocobalamin

Injection 1 mg (as acetate) in 1 mL

20

3

0

 

 

Injection 1 mg (as chloride) in 1 mL

20

3

0

 

Hydroxychloroquine

Tablet containing hydroxychloroquine sulfate 200 mg

20

100

1

 

Ibandronic acid

Tablet 50 mg (as ibandronate sodium monohydrate)

20

28

2

 

Ibrutinib

Capsule 140 mg

20

90

5

 

 

 

20

120

5

 

Idelalisib

Tablet 100 mg

20

60

5

 

 

Tablet 150 mg

20

60

5

 

Imatinib

Capsule 100 mg (as mesilate)

20

60

2

 

 

 

20

60

5

 

 

Capsule 400 mg (as mesilate)

20

30

2

 

 

 

20

30

5

 

 

Tablet 100 mg (as mesilate)

20

60

2

 

 

 

20

60

5

 

 

Tablet 400 mg (as mesilate)

20

30

2

 

 

 

20

30

5

 

Indacaterol

Capsule containing powder for oral inhalation 150 micrograms (as maleate) (for use in Breezhaler)

20

30

5

 

 

Capsule containing powder for oral inhalation 300 micrograms (as maleate) (for use in Breezhaler)

20

30

5

 

Indacaterol with glycopyrronium

Capsule containing powder for oral inhalation indacaterol 110 micrograms (as maleate) with glycopyrronium 50 micrograms (as bromide) (for use in Breezhaler)

20

30

5

 

Indapamide

Tablet containing indapamide hemihydrate 1.5 mg (sustained release)

20

90

1

 

 

Tablet containing indapamide hemihydrate 2.5 mg

20

90

1

 

Insulin aspart

Injection (human analogue) (fast acting) 100 units per mL, 10 mL vial

20

5

2

 

 

Injection (human analogue) 100 units per mL, 10 mL vial

20

5

2

 

 

Injections (human analogue), cartridges, 100 units per mL, 3 mL, 5

20

5

1

 

 

Injections (human analogue) (fast acting), pre-filled pen, 100 units per mL, 3 mL, 5

20

5

1

 

Insulin aspart with insulin aspart protamine suspension

Injections (human analogue), cartridges, 30 units-70 units per mL, 3 mL, 5

20

5

1

 

Insulin detemir

Injections (human analogue), cartridges, 100 units per mL, 3 mL, 5

20

5

1

 

Insulin glargine

Injections (human analogue), cartridges, 100 units per mL, 3 mL, 5

20

5

1

 

Insulin glulisine

Injection (human analogue) 100 units per mL, 10 mL

20

5

2

 

 

Injections (human analogue), cartridges, 100 units per mL, 3 mL, 5

20

5

1

 

Insulin isophane

Injection (bovine) 100 units per mL, 10 mL

20

5

2

 

 

Injection (human) 100 units per mL, 10 mL

20

5

2

 

 

Injections (human), cartridges, 100 units per mL, 3 mL, 5

20

5

1

 

Insulin lispro

Injection (human analogue) 100 units per mL, 10 mL vial

20

5

2

 

 

Injections (human analogue), cartridges, 100 units per mL, 3 mL, 5

20

5

1

 

 

Injections (human analogue), pre-filled pen, 200 units per mL, 3 mL, 5

20

5

1

 

Insulin lispro with insulin lispro protamine suspension

Injections (human analogue), cartridges, 25 units-75 units per mL, 3 mL, 5

20

5

1

 

 

Injections (human analogue), cartridges, 50 units-50 units per mL, 3 mL, 5

20

5

1

 

Insulin neutral

Injection (bovine) 100 units per mL, 10 mL

20

5

2

 

 

Injection (human) 100 units per mL, 10 mL

20

5

2

 

 

Injections (human), cartridges, 100 units per mL, 3 mL, 5

20

5

1

 

Insulin neutral with insulin isophane

Injection (human) 30 units-70 units per mL, 10 mL

20

5

2

 

 

Injections (human), cartridges, 30 units-70 units per mL, 3 mL, 5

20

5

1

 

 

Injections (human), cartridges, 50 units-50 units per mL, 3 mL, 5

20

5

1

 

Irbesartan

Tablet 75 mg

20

30

5

 

 

Tablet 150 mg

20

30

5

 

 

Tablet 300 mg

20

30

5

 

Irbesartan with hydrochlorothiazide

Tablet 150 mg-12.5 mg

20

30

5

 

 

Tablet 300 mg-12.5 mg

20

30

5

 

 

Tablet 300 mg-25 mg

20

30

5

 

Isosorbide mononitrate

Tablet 60 mg (sustained release)

20

30

5

 

 

Tablet 120 mg (sustained release)

20

30

5

 

Ivabradine

Tablet 5 mg (as hydrochloride)

20

56

5

 

 

Tablet 7.5 mg (as hydrochloride)

20

56

5

 

Ixekizumab

Injection 80 mg in 1 mL single dose pre-filled pen

20

2

2

 

Ketoprofen

Capsule 200 mg (sustained release)

20

28

0

 

 

 

20

28

3

 

Labetalol

Tablet containing labetalol hydrochloride 100 mg

20

100

5

 

 

Tablet containing labetalol hydrochloride 200 mg

20

100

5

 

Lacosamide

Tablet 100 mg

20

56

5

 

 

Tablet 150 mg

20

56

5

 

 

Tablet 200 mg

20

56

5

 

Lamotrigine

Tablet 5 mg

20

56

5

 

 

Tablet 25 mg

20

56

5

 

 

Tablet 50 mg

20

56

5

 

 

Tablet 100 mg