PB 120 of 2015

National Health (Pharmaceutical benefits – early supply) Instrument 2015

National Health Act 1953

 

I, SUSSAN LEY, Minister for Health, make this Instrument under subsection 84AAA(2) of the National Health Act 1953.

Dated   15 December 2015

 

 

 

 

 

 

 

 

 

SUSSAN LEY

Minister for Health

 

_____________________________________________________________________

 

 

Contents

 

1  Name of Instrument

2  Commencement

3  Revocation

4  Definitions

5  Specification of pharmaceutical items

6  Circumstances relating to specification of pharmaceutical items

7  Specification of period relating to a pharmaceutical benefit

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

1  Name of Instrument

 (1) This Instrument is the National Health (Pharmaceutical benefitsearly supply) Instrument 2015.

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

2  Commencement

 This Instrument commences on 1 January 2016.

3  Revocation

 The National Health Act (Pharmaceutical Benefits – Early Supply) Instrument 2009specification under subsection 84AAA(2) (PB 30 of 2009) is revoked.

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 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 1 - Pharmaceutical 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 pre-filled syringe

20

4

5

 

Abiraterone

Tablet containing abiraterone acetate 250 mg

20

120

2

 

Aciclovir

Tablet 200 mg

20

90

5

 

Aciclovir

Tablet 800 mg

20

120

5

 

Aclidinium

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

20

1

5

 

Aclidinium with eformoterol

Powder for oral inhalation in breath actuated device containing aclidinium 340 micrograms (as bromide) with eformoterol 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

 

Adalimumab

Injection 20 mg in 0.4 mL pre-filled syringe

20

2

3

 

Adalimumab

Injection 20 mg in 0.4 mL pre-filled syringe

20

2

5

 

Adalimumab

Injection 40 mg in 0.8 mL pre-filled pen

20

2

0

 

Adalimumab

Injection 40 mg in 0.8 mL pre-filled pen

20

2

2

 

Adalimumab

Injection 40 mg in 0.8 mL pre-filled pen

20

2

5

 

Adalimumab

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

20

1

0

 

Adalimumab

Injection 40 mg in 0.8 mL pre-filled syringe

20

2

0

 

Adalimumab

Injection 40 mg in 0.8 mL pre-filled syringe

20

2

2

 

Adalimumab

Injection 40 mg in 0.8 mL pre-filled syringe

20

2

5

 

Adalimumab

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 140 micrograms colecalciferol

20

4

5

 

Alendronic acid with colecalciferol

Tablet 70 mg (as alendronate sodium) with 70 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

 

Allopurinol

Tablet 300 mg

20

60

2

 

Alogliptin

Tablet 12.5 mg (as benzoate)

20

28

5

 

Alogliptin

Tablet 25 mg (as benzoate)

20

28

5

 

Alogliptin

Tablet 6.25 mg (as benzoate)

20

28

5

 

Alogliptin with metformin

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

20

56

5

 

Alogliptin with metformin

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

20

56

5

 

Alogliptin with metformin

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

20

56

5

 

Amantadine

Capsule containing amantadine hydrochloride 100 mg

20

100

5

 

Amlodipine

Tablet 10 mg (as besylate)

20

30

5

 

Amlodipine

Tablet 5 mg (as besylate)

20

30

5

 

Amlodipine with atorvastatin

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

20

30

5

 

Amlodipine with atorvastatin

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

20

30

5

 

Amlodipine with atorvastatin

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

20

30

5

 

Amlodipine with atorvastatin

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

20

30

5

 

Amlodipine with atorvastatin

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

20

30

5

 

Amlodipine with atorvastatin

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

20

30

5

 

Amlodipine with atorvastatin

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

20

30

5

 

Amlodipine with atorvastatin

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

20

30

5

 

Amlodipine with valsartan

Tablet 10 mg (as besylate)-160 mg

20

28

5

 

Amlodipine with valsartan

Tablet 10 mg (as besylate)-320 mg

20

28

5

 

Amlodipine with valsartan

Tablet 5 mg (as besylate)-160 mg

20

28

5

 

Amlodipine with valsartan

Tablet 5 mg (as besylate)-320 mg

20

28

5

 

Amlodipine with valsartan

Tablet 5 mg (as besylate)-80 mg

20

28

5

 

Amlodipine with valsartan and hydrochlorothiazide

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

20

28

5

 

Amlodipine with valsartan and hydrochlorothiazide

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

20

28

5

 

Amlodipine with valsartan and hydrochlorothiazide

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

20

28

5

 

Amlodipine with valsartan and hydrochlorothiazide

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

20

28

5

 

Amlodipine with valsartan and hydrochlorothiazide

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

20

28

5

 

Anastrozole

Tablet 1 mg

20

30

5

 

Apixaban

Tablet 2.5 mg

20

60

0

 

Apixaban

Tablet 2.5 mg

20

60

5

 

Apixaban

Tablet 5 mg

20

28

0

 

Apixaban

Tablet 5 mg

20

60

5

 

Aspirin

Tablet 100 mg

20

112

1

 

Aspirin

Tablet, dispersible, 300 mg

20

96

0

 

Atenolol

Oral solution 50 mg in 10 mL, 300 mL

20

1

5

 

Atenolol

Tablet 50 mg

20

30

5

 

Atomoxetine

Capsule 10 mg (as hydrochloride)

20

56

5

 

Atomoxetine

Capsule 100 mg (as hydrochloride)

20

28

5

 

Atomoxetine

Capsule 18 mg (as hydrochloride)

20

56

5

 

Atomoxetine

Capsule 25 mg (as hydrochloride)

20

56

5

 

Atomoxetine

Capsule 40 mg (as hydrochloride)

20

56

5

 

Atomoxetine

Capsule 60 mg (as hydrochloride)

20

56

5

 

Atomoxetine

Capsule 80 mg (as hydrochloride)

20

28

5

 

Atorvastatin

Tablet 10 mg (as calcium)

20

30

5

 

Atorvastatin

Tablet 10 mg (as calcium)

20

30

11

 

Atorvastatin

Tablet 20 mg (as calcium)

20

30

5

 

Atorvastatin

Tablet 20 mg (as calcium)

20

30

11

 

Atorvastatin

Tablet 40 mg (as calcium)

20

30

5

 

Atorvastatin

Tablet 40 mg (as calcium)

20

30

11

 

Atorvastatin

Tablet 80 mg (as calcium)

20

30

5

 

Atorvastatin

Tablet 80 mg (as calcium)

20

30

11

 

Atorvastatin and ezetimibe

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

20

1

5

 

Atorvastatin and ezetimibe

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

20

1

5

 

Atorvastatin and ezetimibe

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

20

1

5

 

Atorvastatin and ezetimibe

Pack containing 30 tablets atorvastatin 80 mg (as calcium) and 30 tablets ezetimibe 10 mg

20

1

5

 

Auranofin

Capsule 3 mg

20

60

5

 

Auranofin

Tablet 3 mg

20

60

5

 

Aurothiomalate

Injection containing sodium aurothiomalate 20 mg

20

10

1

 

Aurothiomalate

Injection containing sodium aurothiomalate 50 mg

20

10

1

 

Azathioprine

Tablet 25 mg

20

100

5

 

Azathioprine

Tablet 50 mg

20

100

5

 

Baclofen

Tablet 10 mg

20

100

5

 

Baclofen

Tablet 25 mg

20

100

5

 

Balsalazide

Capsule containing balsalazide sodium 750 mg

20

180

5

 

Benzhexol

Tablet containing benzhexol hydrochloride 2 mg

20

200

2

 

Benzhexol

Tablet containing benzhexol hydrochloride 5 mg

20

200

1

 

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

 

Biperiden

Tablet containing biperiden hydrochloride 2 mg

20

200

2

 

Bisoprolol

Tablet containing bisoprolol fumarate 10 mg

20

28

5

 

Bisoprolol

Tablet containing bisoprolol fumarate 2.5 mg

20

28

5

 

Bisoprolol

Tablet containing bisoprolol fumarate 5 mg

20

28

5

 

Bupropion

Tablet containing bupropion hydrochloride 150 mg (sustained release)

20

30

0

 

Bupropion

Tablet containing bupropion hydrochloride 150 mg (sustained release)

20

90

0

 

Cabergoline

Tablet 1 mg

20

30

5

 

Cabergoline

Tablet 2 mg

20

30

5

 

Calcitriol

Capsule 0.25 microgram

20

100

3

 

Calcium

Tablet 600 mg (as carbonate)

20

240

1

 

Calcium

Tablet, chewable, 500 mg (as carbonate)

20

240

1

 

Candesartan

Tablet containing candesartan cilexetil 16 mg

20

30

5

 

Candesartan

Tablet containing candesartan cilexetil 32 mg

20

30

5

 

Candesartan

Tablet containing candesartan cilexetil 4 mg

20

30

5

 

Candesartan

Tablet containing candesartan cilexetil 8 mg

20

30

5

 

Candesartan with hydrochlorothiazide

Tablet containing candesartan cilexetil 16 mg with hydrochlorothiazide 12.5 mg

20

30

5

 

Candesartan with hydrochlorothiazide

Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 12.5 mg

20

30

5

 

Candesartan with hydrochlorothiazide

Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 25 mg

20

30

5

 

Captopril

Tablet 12.5 mg

20

90

5

 

Captopril

Tablet 25 mg

20

90

5

 

Captopril

Tablet 50 mg

20

90

5

 

Carbamazepine

Tablet 100 mg

20

200

0

 

Carbamazepine

Tablet 100 mg

20

200

2

 

Carbamazepine

Tablet 200 mg

20

200

0

 

Carbamazepine

Tablet 200 mg

20

200

2

 

Carbamazepine

Tablet 200 mg (controlled release)

20

200

0

 

Carbamazepine

Tablet 200 mg (controlled release)

20

200

2

 

Carbamazepine

Tablet 400 mg (controlled release)

20

200

0

 

Carbamazepine

Tablet 400 mg (controlled release)

20

200

2

 

Carvedilol

Tablet 12.5 mg

20

60

5

 

Carvedilol

Tablet 25 mg

20

60

5

 

Carvedilol

Tablet 6.25 mg

20

60

5

 

Certolizumab pegol

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

20

2

5

 

Cimetidine

Tablet 400 mg

20

60

5

 

Citalopram

Tablet 20 mg (as hydrobromide)

20

28

5

 

Citalopram

Tablet 40 mg (as hydrobromide)

20

28

5

 

Clonazepam

Tablet 2 mg

20

200

2

 

Clonazepam

Tablet 500 micrograms

20

200

2

 

Clonidine

Tablet containing clonidine hydrochloride 100 micrograms

20

100

5

 

Clonidine

Tablet containing clonidine hydrochloride 150 micrograms

20

100

5

 

Clopidogrel

Tablet 75 mg

20

28

5

 

Clopidogrel

Tablet 75 mg (as besilate)

20

28

5

 

Clopidogrel

Tablet 75 mg (as hydrogen sulfate)

20

28

5

 

Clopidogrel with aspirin

Tablet 75 mg (as hydrogen sulfate)-100 mg

20

30

5

 

Colestipol

Oral powder, sachets containing colestipol hydrochloride 5 g, 120

20

1

5

 

Colestipol

Oral powder, sachets containing colestipol hydrochloride 5 g, 120

20

1

11

 

Cyproheptadine

Tablet containing cyproheptadine hydrochloride 4 mg (anhydrous)

20

100

2

 

Dabigatran etexilate

Capsule 110 mg (as mesilate)

20

60

0

 

Dabigatran etexilate

Capsule 110 mg (as mesilate)

20

60

5

 

Dabigatran etexilate

Capsule 150 mg (as mesilate)

20

60

5

 

Dabigatran etexilate

Capsule 75 mg (as mesilate)

20

60

0

 

Dabrafenib

Capsule 50 mg (as mesilate)

20

120

3

 

Dabrafenib

Capsule 50 mg (as mesilate)

20

120

5

 

Dabrafenib

Capsule 75 mg (as mesilate)

20

120

3

 

Dabrafenib

Capsule 75 mg (as mesilate)

20

120

5

 

Dalteparin

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

20

30

5

 

Dalteparin

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

20

30

5

 

Dalteparin

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

20

30

5

 

Dalteparin

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

20

30

5

 

Dalteparin

Injection containing dalteparin sodium 7,500 I.U. (anti-Xa) in 0.75 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 10 mg dapagliflozin (as propanediol monohydrate) with 1000 mg metformin hydrochloride

20

28

5

 

Dapagliflozin with metformin

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

20

28

5

 

Dapagliflozin with metformin

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

20

56

5

 

Dapsone

Tablet 100 mg

20

100

1

 

Dapsone

Tablet 25 mg

20

100

1

 

Dasatinib

Tablet 100 mg

20

30

2

 

Dasatinib

Tablet 100 mg

20

30

5

 

Dasatinib

Tablet 20 mg

20

60

2

 

Dasatinib

Tablet 20 mg

20

60

5

 

Dasatinib

Tablet 50 mg

20

60

2

 

Dasatinib

Tablet 50 mg

20

60

5

 

Dasatinib

Tablet 70 mg

20

60

2

 

Dasatinib

Tablet 70 mg

20

60

5

 

Degarelix

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

20

1

0

 

Degarelix

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

20

1

5

 

Denosumab

Injection 60 mg in 1 mL pre-filled syringe

20

1

0

 

Desmopressin

Tablet containing desmopressin acetate 200 micrograms

20

30

5

 

Desmopressin

Tablet containing desmopressin acetate 200 micrograms

20

90

5

 

Desmopressin

Wafer 120 micrograms (as acetate)

20

30

5

 

Desmopressin

Wafer 240 micrograms (as acetate)

20

30

5

 

Desvenlafaxine

Tablet (extended release) 100 mg (as succinate)

20

28

5

 

Desvenlafaxine

Tablet (extended release) 50 mg (as succinate)

20

28

5

 

Desvenlafaxine

Tablet (modified release) 100 mg

20

28

5

 

Desvenlafaxine

Tablet (modified release) 100 mg (as benzoate)

20

28

5

 

Desvenlafaxine

Tablet (modified release) 50 mg

20

28

5

 

Desvenlafaxine

Tablet (modified release) 50 mg (as benzoate)

20

28

5

 

Digoxin

Tablet 250 micrograms

20

100

1

 

Digoxin

Tablet 62.5 micrograms

20

200

1

 

Diltiazem

Capsule (controlled delivery) containing diltiazem hydrochloride 180 mg

20

30

5

 

Diltiazem

Capsule (controlled delivery) containing diltiazem hydrochloride 240 mg

20

30

5

 

Diltiazem

Capsule (controlled delivery) containing diltiazem hydrochloride 360 mg

20

30

5

 

Diltiazem

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

 

Donepezil

Tablet containing donepezil hydrochloride 10 mg

20

28

5

 

Donepezil

Tablet containing donepezil hydrochloride 5 mg

20

28

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

 

Empagliflozin

Tablet 25 mg

20

30

5

 

Enalapril

Tablet containing enalapril maleate 10 mg

20

30

5

 

Enalapril

Tablet containing enalapril maleate 20 mg

20

30

5

 

Enalapril

Tablet containing enalapril maleate 5 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

 

Eplerenone

Tablet 50 mg

20

30

5

 

Eprosartan

Tablet 400 mg (as mesylate)

20

56

5

 

Eprosartan

Tablet 600 mg (as mesylate)

20

28

5

 

Eprosartan with hydrochlorothiazide

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

20

28

5

 

Erlotinib

Tablet 100 mg (as hydrochloride)

20

30

3

 

Erlotinib

Tablet 150 mg (as hydrochloride)

20

30

3

 

Erlotinib

Tablet 25 mg (as hydrochloride)

20

30

3

 

Escitalopram

Tablet 10 mg (as oxalate)

20

28

5

 

Escitalopram

Tablet 20 mg (as oxalate)

20

28

5

 

Esomeprazole

Capsule (enteric) 20 mg (as magnesium)

20

30

1

 

Esomeprazole

Capsule (enteric) 20 mg (as magnesium)

20

30

5

 

Esomeprazole

Capsule (enteric) 40 mg (as magnesium)

20

30

1

 

Esomeprazole

Capsule (enteric) 40 mg (as magnesium)

20

30

5

 

Esomeprazole

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

20

30

1

 

Esomeprazole

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

20

30

5

 

Esomeprazole

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

20

30

1

 

Esomeprazole

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

20

30

5

 

Esomeprazole and clarithromycin and amoxycillin

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

20

1

0

 

Etanercept

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

20

1

5

 

Etanercept

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

20

2

5

 

Etanercept

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

20

1

5

 

Ethosuximide

Capsule 250 mg

20

200

2

 

Etonogestrel

Subcutaneous implant 68 mg

20

1

0

 

Exenatide

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

20

1

5

 

Exenatide

Injection solution 5 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 10 mg (as calcium)

20

1

5

 

Ezetimibe and rosuvastatin

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

20

1

5

 

Ezetimibe and rosuvastatin

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

20

1

5

 

Ezetimibe and rosuvastatin

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

20

1

5

 

Ezetimibe with atorvastatin

Tablet 10 mg-10 mg

20

30

5

 

Ezetimibe with atorvastatin

Tablet 10 mg-20 mg

20

30

5

 

Ezetimibe with atorvastatin

Tablet 10 mg-40 mg

20

30

5

 

Ezetimibe with atorvastatin

Tablet 10 mg-80 mg

20

30

5

 

Ezetimibe with simvastatin

Tablet 10 mg-10 mg

20

30

5

 

Ezetimibe with simvastatin

Tablet 10 mg-20 mg

20

30

5

 

Ezetimibe with simvastatin

Tablet 10 mg-40 mg

20

30

5

 

Ezetimibe with simvastatin

Tablet 10 mg-80 mg

20

30

5

 

Famciclovir

Tablet 250 mg

20

56

5

 

Famciclovir

Tablet 500 mg

20

56

5

 

Famotidine

Tablet 20 mg

20

60

5

 

Famotidine

Tablet 40 mg

20

30

5

 

Febuxostat

Tablet 80 mg

20

28

5

 

Felodipine

Tablet 10 mg (extended release)

20

30

5

 

Felodipine

Tablet 2.5 mg (extended release)

20

30

5

 

Felodipine

Tablet 5 mg (extended release)

20

30

5

 

Fenofibrate

Tablet 145 mg

20

30

5

 

Fenofibrate

Tablet 145 mg

20

30

11

 

Fenofibrate

Tablet 48 mg

20

60

5

 

Fenofibrate

Tablet 48 mg

20

60

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

 

Fluvastatin

Tablet (prolonged release) 80 mg (as sodium)

20

28

5

 

Fluvastatin

Tablet (prolonged release) 80 mg (as sodium)

20

28

11

 

Fluvoxamine

Tablet containing fluvoxamine maleate 100 mg

20

30

5

 

Fluvoxamine

Tablet containing fluvoxamine maleate 50 mg

20

30

5

 

Folic acid

Tablet 5 mg

20

200

1

 

Folic acid

Tablet 500 micrograms

20

200

0

 

Fosinopril

Tablet containing fosinopril sodium 10 mg

20

30

5

 

Fosinopril

Tablet containing fosinopril sodium 20 mg

20

30

5

 

Fosinopril with hydrochlorothiazide

Tablet containing fosinopril sodium 10 mg with hydrochlorothiazide 12.5 mg

20

30

5

 

Fosinopril with hydrochlorothiazide

Tablet containing fosinopril sodium 20 mg with hydrochlorothiazide 12.5 mg

20

30

5

 

Frusemide

Tablet 20 mg

20

100

1

 

Frusemide

Tablet 40 mg

20

100

1

 

Gabapentin

Capsule 100 mg

20

100

5

 

Gabapentin

Capsule 300 mg

20

100

5

 

Gabapentin

Capsule 400 mg

20

100

5

 

Gabapentin

Tablet 600 mg

20

100

5

 

Gabapentin

Tablet 800 mg

20

100

5

 

Galantamine

Capsule (prolonged release) 16 mg (as hydrobromide)

20

28

5

 

Galantamine

Capsule (prolonged release) 24 mg (as hydrobromide)

20

28

5

 

Galantamine

Capsule (prolonged release) 8 mg (as hydrobromide)

20

28

5

 

Gemfibrozil

Tablet 600 mg

20

60

5

 

Gemfibrozil

Tablet 600 mg

20

60

11

 

Gestrinone

Capsule 2.5 mg

20

8

5

 

Glatiramer

Injection containing glatiramer acetate 20 mg in 1 mL single dose pre-filled syringe

20

28

5

 

Gliclazide

Tablet 60 mg (modified release)

20

60

5

 

Gliclazide

Tablet 80 mg

20

100

5

 

Glimepiride

Tablet 3 mg

20

30

5

 

Glimepiride

Tablet 4 mg

20

30

5

 

Glyceryl trinitrate

Transdermal patch 120 mg

20

30

5

 

Glyceryl trinitrate

Transdermal patch 18 mg

20

30

5

 

Glyceryl trinitrate

Transdermal patch 25 mg

20

30

5

 

Glyceryl trinitrate

Transdermal patch 36 mg

20

30

5

 

Glyceryl trinitrate

Transdermal patch 40 mg

20

30

5

 

Glyceryl trinitrate

Transdermal patch 50 mg

20

30

5

 

Glyceryl trinitrate

Transdermal patch 54 mg

20

30

5

 

Glyceryl trinitrate

Transdermal patch 80 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

 

Golimumab

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

20

1

5

 

Goserelin

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

20

1

1

 

Goserelin

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

20

1

5

 

Goserelin and bicalutamide

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

 

Goserelin and bicalutamide

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

 

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

 

Griseofulvin

Tablet 125 mg

20

100

2

 

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

 

Hydroxocobalamin

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

 

Imatinib

Tablet 100 mg (as mesylate)

20

60

2

 

Imatinib

Tablet 100 mg (as mesylate)

20

60

5

 

Imatinib

Tablet 400 mg (as mesylate)

20

30

2

 

Imatinib

Tablet 400 mg (as mesylate)

20

30

5

 

Indacaterol

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

20

30

5

 

Indacaterol

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

 

Indapamide

Tablet containing indapamide hemihydrate 2.5 mg

20

90

1

 

Insulin aspart

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

20

5

2

 

Insulin aspart

Injections (human analogue), cartridges, 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

 

Insulin glulisine

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

 

Insulin isophane

Injection (human) 100 units per mL, 10 mL

20

5

2

 

Insulin isophane

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

 

Insulin lispro

Injections (human analogue), cartridges, 100 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

 

Insulin lispro with insulin lispro protamine suspension

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

 

Insulin neutral

Injection (human) 100 units per mL, 10 mL

20

5

2

 

Insulin neutral

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

 

Insulin neutral with insulin isophane

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

20

5

1

 

Insulin neutral with insulin isophane

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

20

5

1

 

Irbesartan

Tablet 150 mg

20

30

5

 

Irbesartan

Tablet 300 mg

20

30

5

 

Irbesartan

Tablet 75 mg

20

30

5

 

Irbesartan with hydrochlorothiazide

Tablet 150 mg-12.5 mg

20

30

5

 

Irbesartan with hydrochlorothiazide

Tablet 300 mg-12.5 mg

20

30

5

 

Irbesartan with hydrochlorothiazide

Tablet 300 mg-25 mg

20

30

5

 

Isosorbide mononitrate

Tablet 120 mg (sustained release)

20

30

5

 

Isosorbide mononitrate

Tablet 60 mg (sustained release)

20

30

5

 

Isotretinoin

Capsule 10 mg

20

60

3

 

Isotretinoin

Capsule 20 mg

20

60

3

 

Isotretinoin

Capsule 40 mg

20

30

3

 

Ivabradine

Tablet 5 mg (as hydrochloride)

20

56

5

 

Ivabradine

Tablet 7.5 mg (as hydrochloride)

20

56

5

 

Ketoprofen

Capsule 200 mg (sustained release)

20

28

0

 

Ketoprofen

Capsule 200 mg (sustained release)

20

28

3

 

Labetalol

Tablet containing labetalol hydrochloride 100 mg

20

100

5

 

Labetalol

Tablet containing labetalol hydrochloride 200 mg

20

100

5

 

Lacosamide

Tablet 100 mg

20

56

5

 

Lacosamide

Tablet 150 mg

20

56

5

 

Lacosamide

Tablet 200 mg

20

56

5

 

Lamotrigine

Tablet 100 mg

20

56

5

 

Lamotrigine

Tablet 200 mg

20

56

5

 

Lamotrigine

Tablet 25 mg

20

56

5

 

Lamotrigine

Tablet 5 mg

20

56

5

 

Lamotrigine

Tablet 50 mg

20

56

5

 

Lansoprazole

Capsule 15 mg

20

30

5

 

Lansoprazole

Capsule 30 mg

20

28

1

 

Lansoprazole

Capsule 30 mg

20

28

5

 

Lansoprazole

Tablet 15 mg (orally disintegrating)

20

28

5

 

Lansoprazole

Tablet 30 mg (orally disintegrating)

20

28

1

 

Lansoprazole

Tablet 30 mg (orally disintegrating)

20

28

5

 

Leflunomide

Tablet 10 mg

20

30

5

 

Leflunomide

Tablet 20 mg

20

30

5

 

Lercanidipine

Tablet containing lercanidipine hydrochloride 10 mg

20

28

5

 

Lercanidipine

Tablet containing lercanidipine hydrochloride 20 mg

20

28

5

 

Lercanidipine with enalapril

Tablet containing lercanidipine hydrochloride 10 mg with enalapril maleate 10 mg

20

28

5

 

Lercanidipine with enalapril

Tablet containing lercanidipine hydrochloride 10 mg with enalapril maleate 20 mg

20

28

5

 

Letrozole

Tablet 2.5 mg

20

30

5

 

Leuprorelin

I.M. injection (3 month modified release), powder for injection containing leuprorelin acetate 30 mg with diluent in pre-filled dual-chamber syringe

20

1

1

 

Leuprorelin

I.M. injection (modified release), powder for injection containing leuprorelin acetate 22.5 mg with diluent in pre-filled dual-chamber syringe

20

1

1

 

Leuprorelin

I.M. injection (modified release), powder for injection containing leuprorelin acetate 30 mg with diluent in pre-filled dual-chamber syringe

20

1

1

 

Leuprorelin

I.M. injection (modified release), powder for injection containing leuprorelin acetate 7.5 mg with diluent in pre-filled dual-chamber syringe

20

1

5

 

Leuprorelin

Suspension for subcutaneous injection (modified release) containing leuprorelin acetate 22.5 mg, injection set

20

1

1

 

Leuprorelin

Suspension for subcutaneous injection (modified release) containing leuprorelin acetate 30 mg, injection set

20

1

1

 

Leuprorelin

Suspension for subcutaneous injection (modified release) containing leuprorelin acetate 45 mg, injection set

20

1

0

 

Leuprorelin

Suspension for subcutaneous injection (modified release) containing leuprorelin acetate 7.5 mg, injection set

20

1

5

 

Levetiracetam

Oral solution 100 mg per mL, 300 mL

20

1

5

 

Levetiracetam

Tablet 1 g

20

60

5

 

Levetiracetam

Tablet 250 mg

20

60

5

 

Levetiracetam

Tablet 500 mg

20

60

5

 

Levodopa with carbidopa and entacapone

Tablet 100 mg-25 mg-200 mg

20

200

4

 

Levodopa with carbidopa and entacapone

Tablet 125 mg-31.25 mg-200 mg

20

200

4

 

Levodopa with carbidopa and entacapone

Tablet 150 mg-37.5 mg-200 mg

20

200

4

 

Levodopa with carbidopa and entacapone

Tablet 200 mg-50 mg-200 mg

20

200

4

 

Levodopa with carbidopa and entacapone

Tablet 50 mg-12.5 mg-200 mg

20

200

4

 

Levodopa with carbidopa and entacapone

Tablet 75 mg-18.75 mg-200 mg

20

200

4

 

Levonorgestrel

Intrauterine drug delivery system 52 mg

20

1

0

 

Levonorgestrel

Tablets 30 micrograms, 28

20

4

2

 

Levonorgestrel with ethinyloestradiol

Pack containing 21 tablets 100 micrograms-20 micrograms and 7 inert tablets

20

4

2

 

Levonorgestrel with ethinyloestradiol

Pack containing 21 tablets 125 micrograms-50 micrograms and 7 inert tablets

20

4

2

 

Levonorgestrel with ethinyloestradiol

Pack containing 21 tablets 150 micrograms-30 micrograms and 7 inert tablets

20

4

2

 

Levonorgestrel with ethinyloestradiol

Pack containing 6 tablets 50 micrograms-30 micrograms, 5 tablets 75 micrograms-40 micrograms, 10 tablets 125 micrograms-30 micrograms and 7 inert tablets

20

4

2

 

Linagliptin

Tablet 5 mg

20

30

5

 

Linagliptin with metformin

Tablet containing 2.5 mg linagliptin with 1000 mg metformin hydrochloride

20

60

5

 

Linagliptin with metformin

Tablet containing 2.5 mg linagliptin with 500 mg metformin hydrochloride

20

60

5

 

Linagliptin with metformin

Tablet containing 2.5 mg linagliptin with 850 mg metformin hydrochloride

20

60

5

 

Liothyronine

Tablet containing liothyronine sodium 20 micrograms

20

100

2

 

Lisdexamfetamine

Capsule containing lisdexamfetamine dimesilate 50 mg

20

30

5

 

Lisinopril

Tablet 10 mg

20

30

5

 

Lisinopril

Tablet 20 mg

20

30

5

 

Lisinopril

Tablet 5 mg

20

30

5

 

Losartan

Tablet containing losartan potassium 25 mg

20

30

5

 

Losartan

Tablet containing losartan potassium 50 mg

20

60

5

 

Medroxyprogesterone

Injection containing medroxyprogesterone acetate 150 mg in 1 mL

20

1

1

 

Medroxyprogesterone

Tablet containing medroxyprogesterone acetate 10 mg

20

30

2

 

Medroxyprogesterone

Tablet containing medroxyprogesterone acetate 10 mg

20

100

2

 

Medroxyprogesterone

Tablet containing medroxyprogesterone acetate 5 mg

20

56

2

 

Megestrol

Tablet containing megestrol acetate 160 mg

20

30

2

 

Meloxicam

Capsule 15 mg

20

30

3

 

Meloxicam

Tablet 15 mg

20

30

3

 

Memantine

Tablet containing memantine hydrochloride 10 mg

20

56

5

 

Memantine

Tablet containing memantine hydrochloride 20 mg

20

28

5

 

Mesalazine

Sachet containing granules, 1 g per sachet

20

100

5

 

Mesalazine

Sachet containing granules, 1.5 g per sachet

20

60

5

 

Mesalazine

Sachet containing granules, 3 g per sachet

20

30

5

 

Mesalazine

Sachet containing granules, 500 mg per sachet

20

200

5

 

Mesalazine

Sachet containing prolonged release granules, 1 g per sachet

20

120

5

 

Mesalazine

Sachet containing prolonged release granules, 2 g per sachet

20

60

5

 

Mesalazine

Sachet containing prolonged release granules, 4 g per sachet

20

30

5

 

Mesalazine

Tablet 1 g (prolonged release)

20

120

5

 

Mesalazine

Tablet 1.2 g (prolonged release)

20

60

5

 

Mesalazine

Tablet 250 mg (enteric coated)

20

100

5

 

Mesalazine

Tablet 500 mg (enteric coated)

20

200

5

 

Mesalazine

Tablet 500 mg (prolonged release)

20

200

5

 

Metformin

Tablet (extended release) containing metformin hydrochloride 1 g

20

60

5

 

Metformin

Tablet (extended release) containing metformin hydrochloride 500 mg

20

120

5

 

Metformin

Tablet containing metformin hydrochloride 1 g

20

90

5

 

Metformin

Tablet containing metformin hydrochloride 500 mg

20

100

5

 

Metformin

Tablet containing metformin hydrochloride 850 mg

20

60

5

 

Metformin with glibenclamide

Tablet containing metformin hydrochloride 250 mg with glibenclamide 1.25 mg

20

90

5

 

Metformin with glibenclamide

Tablet containing metformin hydrochloride 500 mg with glibenclamide 2.5 mg

20

90

5

 

Metformin with glibenclamide

Tablet containing metformin hydrochloride 500 mg with glibenclamide 5 mg

20

90

5

 

Methyldopa

Tablet 250 mg

20

100

5

 

Methylprednisolone

Injection containing methylprednisolone acetate 40 mg in 1 mL

20

5

0

 

Metoprolol

Tablet containing metoprolol tartrate 100 mg

20

60

5

 

Metoprolol

Tablet containing metoprolol tartrate 50 mg

20

100

5

 

Metoprolol succinate

Tablet 190 mg (controlled release)

20

30

5

 

Metoprolol succinate

Tablet 47.5 mg (controlled release)

20

30

5

 

Metoprolol succinate

Tablet 95 mg (controlled release)

20

30

5

 

Minocycline

Tablet 50 mg (as hydrochloride)

20

60

5

 

Minoxidil

Tablet 10 mg

20

100

5

 

Mirtazapine

Tablet 45 mg

20

30

5

 

Mirtazapine

Tablet 45 mg (orally disintegrating)

20

30

5

 

Moclobemide

Tablet 150 mg

20

60

5

 

Moclobemide

Tablet 300 mg

20

60

5

 

Modafinil

Tablet 100 mg

20

120

5

 

Montelukast

Tablet, chewable, 4 mg (as sodium)

20

28

5

 

Montelukast

Tablet, chewable, 5 mg (as sodium)

20

28

5

 

Moxonidine

Tablet 200 micrograms

20

30

5

 

Moxonidine

Tablet 400 micrograms

20

30

5

 

Nafarelin

Nasal spray (pump pack) 200 micrograms (as acetate) per dose, 60 doses

20

1

5

 

Naproxen

Tablet 1 g (sustained release)

20

28

0

 

Naproxen

Tablet 1 g (sustained release)

20

28

3

 

Naproxen

Tablet 750 mg (sustained release)

20

28

0

 

Naproxen

Tablet 750 mg (sustained release)

20

28

3

 

Nebivolol

Tablet 1.25 mg (as hydrochloride)

20

56

5

 

Nebivolol

Tablet 10 mg (as hydrochloride)

20

28

5

 

Nebivolol

Tablet 5 mg (as hydrochloride)

20

28

5

 

Nicorandil

Tablets 10 mg, 60

20

1

5

 

Nicorandil

Tablets 20 mg, 60

20

1

5

 

Nifedipine

Tablet 10 mg

20

60

5

 

Nifedipine

Tablet 20 mg

20

60

5

 

Nifedipine

Tablet 20 mg (controlled release)

20

30

5

 

Nifedipine

Tablet 30 mg (controlled release)

20

30

5

 

Nifedipine

Tablet 60 mg (controlled release)

20

30

5

 

Nilotinib

Capsule 150 mg (as hydrochloride monohydrate)

20

120

5

 

Nilotinib

Capsule 200 mg (as hydrochloride monohydrate)

20

120

5

 

Nilutamide

Tablet 150 mg

20

30

5

 

Nizatidine

Capsule 150 mg

20

60

5

 

Nizatidine

Capsule 300 mg

20

30

5

 

Norethisterone

Tablets 350 micrograms, 28

20

4

2

 

Norethisterone with ethinyloestradiol

Pack containing 21 tablets 1 mg-35 micrograms and 7 inert tablets

20

4

2

 

Norethisterone with ethinyloestradiol

Pack containing 21 tablets 500 micrograms-35 micrograms and 7 inert tablets

20

4

2

 

Norethisterone with mestranol

Pack containing 21 tablets 1 mg-50 micrograms and 7 inert tablets

20

4

2

 

Oestradiol

Tablet 2 mg

20

56

2

 

Oestradiol

Tablet containing oestradiol valerate 1 mg

20

56

2

 

Oestradiol

Tablet containing oestradiol valerate 2 mg

20

56

2

 

Oestradiol

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

20

1

5

 

Oestradiol

Transdermal patches 1.17 mg, 8

20

1

5

 

Oestradiol

Transdermal patches 1.5 mg (as hemihydrate), 8

20

1

5

 

Oestradiol

Transdermal patches 1.56 mg, 8

20

1

5

 

Oestradiol

Transdermal patches 2 mg, 4

20

1

5

 

Oestradiol

Transdermal patches 3 mg (as hemihydrate), 8

20

1

5

 

Oestradiol

Transdermal patches 3.8 mg, 4

20

1

5

 

Oestradiol

Transdermal patches 390 micrograms, 8

20

1

5

 

Oestradiol

Transdermal patches 5.7 mg, 4

20

1

5

 

Oestradiol

Transdermal patches 585 micrograms, 8

20

1

5

 

Oestradiol

Transdermal patches 7.6 mg, 4

20

1

5

 

Oestradiol

Transdermal patches 750 micrograms (as hemihydrate), 8

20

1

5

 

Oestradiol

Transdermal patches 780 micrograms, 8

20

1

5

 

Oestradiol and oestradiol with dydrogesterone

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

20

1

5

 

Oestradiol and oestradiol with dydrogesterone

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

20

1

5

 

Oestradiol and oestradiol with norethisterone

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

20

1

5

 

Oestradiol and oestradiol with norethisterone

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

20

1

5

 

Oestradiol with dydrogesterone

Tablet 1 mg-5 mg

20

28

5

 

Oestradiol with norethisterone

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

20

1

5

 

Oestradiol with norethisterone

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

20

1

5

 

Olmesartan

Tablet containing olmesartan medoxomil 20 mg

20

30

5

 

Olmesartan

Tablet containing olmesartan medoxomil 40 mg

20

30

5

 

Olmesartan with amlodipine

Tablet containing olmesartan medoxomil 20 mg with amlodipine 5 mg (as besylate)

20

30

5

 

Olmesartan with amlodipine

Tablet containing olmesartan medoxomil 40 mg with amlodipine 10 mg (as besylate)

20

30

5

 

Olmesartan with amlodipine

Tablet containing olmesartan medoxomil 40 mg with amlodipine 5 mg (as besylate)

20

30

5

 

Olmesartan with amlodipine and hydrochlorothiazide

Tablet containing olmesartan medoxomil 20 mg with amlodipine 5 mg (as besilate) and hydrochlorothiazide 12.5 mg

20

30

5

 

Olmesartan with amlodipine and hydrochlorothiazide

Tablet containing olmesartan medoxomil 40 mg with amlodipine 10 mg (as besilate) and hydrochlorothiazide 12.5 mg

20

30

5

 

Olmesartan with amlodipine and hydrochlorothiazide

Tablet containing olmesartan medoxomil 40 mg with amlodipine 10 mg (as besilate) and hydrochlorothiazide 25 mg

20

30

5

 

Olmesartan with amlodipine and hydrochlorothiazide

Tablet containing olmesartan medoxomil 40 mg with amlodipine 5 mg (as besilate) and hydrochlorothiazide 12.5 mg

20

30

5

 

Olmesartan with amlodipine and hydrochlorothiazide

Tablet containing olmesartan medoxomil 40 mg with amlodipine 5 mg (as besilate) and hydrochlorothiazide 25 mg

20

30

5

 

Olmesartan with hydrochlorothiazide

Tablet containing olmesartan medoxomil 20 mg with hydrochlorothiazide 12.5 mg

20

30

5

 

Olmesartan with hydrochlorothiazide

Tablet containing olmesartan medoxomil 40 mg with hydrochlorothiazide 12.5 mg

20

30

5

 

Olmesartan with hydrochlorothiazide

Tablet containing olmesartan medoxomil 40 mg with hydrochlorothiazide 25 mg

20

30

5

 

Olsalazine

Capsule containing olsalazine sodium 250 mg

20

100

5

 

Olsalazine

Tablet containing olsalazine sodium 500 mg

20

100

5

 

Omeprazole

Capsule 20 mg

20

30

1

 

Omeprazole

Capsule 20 mg

20

30

5

 

Omeprazole

Tablet 10 mg (as magnesium)

20

30

5

 

Omeprazole

Tablet 20 mg

20

30

1

 

Omeprazole

Tablet 20 mg

20

30

5

 

Omeprazole

Tablet 20 mg (as magnesium)

20

30

1

 

Omeprazole

Tablet 20 mg (as magnesium)

20

30

5

 

Oxcarbazepine

Tablet 600 mg

20

100

5

 

Oxprenolol

Tablet containing oxprenolol hydrochloride 40 mg

20

100

5

 

Oxybutynin

Tablet containing oxybutynin hydrochloride 5 mg

20

100

5

 

Oxybutynin

Transdermal patches 36 mg, 8

20

1

5

 

Pantoprazole

Sachet containing granules 40 mg (as sodium sesquihydrate)

20

30

2

 

Pantoprazole

Sachet containing granules 40 mg (as sodium sesquihydrate)

20

30

5

 

Pantoprazole

Tablet (enteric coated) 20 mg (as sodium sesquihydrate)

20

30

5

 

Pantoprazole

Tablet (enteric coated) 40 mg (as sodium sesquihydrate)

20

30

2

 

Pantoprazole

Tablet (enteric coated) 40 mg (as sodium sesquihydrate)

20

30

5

 

Paracetamol

Tablet 500 mg

20

300

0

 

Paracetamol

Tablet 665 mg (modified release)

20

192

5

 

Paroxetine

Tablet 20 mg (as hydrochloride)

20

30

5

 

Paroxetine

Tablet 20 mg (as mesilate)

20

30

5

 

Pazopanib

Tablet 200 mg (as hydrochloride)

20

30

5

 

Pazopanib

Tablet 200 mg (as hydrochloride)

20

90

2

 

Pazopanib

Tablet 200 mg (as hydrochloride)

20

90

5

 

Pazopanib

Tablet 400 mg (as hydrochloride)

20

30

5

 

Pazopanib

Tablet 400 mg (as hydrochloride)

20

60

2

 

Pazopanib

Tablet 400 mg (as hydrochloride)

20

60

5

 

Perampanel

Tablet 10 mg (as hemisesquihydrate)

20

28

5

 

Perampanel

Tablet 12 mg (as hemisesquihydrate)

20

28

5

 

Perampanel

Tablet 4 mg (as hemisesquihydrate)

20

28

5

 

Perampanel

Tablet 6 mg (as hemisesquihydrate)

20

28

5

 

Perampanel

Tablet 8 mg (as hemisesquihydrate)

20

28

5

 

Perhexiline

Tablet containing perhexiline maleate 100 mg

20

100

5

 

Perindopril

Tablet containing perindopril arginine 10 mg

20

30

5

 

Perindopril

Tablet containing perindopril arginine 2.5 mg

20

30

5

 

Perindopril

Tablet containing perindopril arginine 5 mg

20

30

5

 

Perindopril

Tablet containing perindopril erbumine 2 mg

20

30

5

 

Perindopril

Tablet containing perindopril erbumine 4 mg

20

30

5

 

Perindopril

Tablet containing perindopril erbumine 8 mg

20

30

5

 

Perindopril with amlodipine

Tablet containing 10 mg perindopril arginine with 10 mg amlodipine (as besylate)

20

30

5

 

Perindopril with amlodipine

Tablet containing 10 mg perindopril arginine with 5 mg amlodipine (as besylate)

20

30

5

 

Perindopril with amlodipine

Tablet containing 5 mg perindopril arginine with 10 mg amlodipine (as besylate)

20

30

5

 

Perindopril with amlodipine

Tablet containing 5 mg perindopril arginine with 5 mg amlodipine (as besylate)

20

30

5

 

Perindopril with indapamide

Tablet containing perindopril arginine 2.5 mg with indapamide hemihydrate 0.625 mg

20

30

5

 

Perindopril with indapamide

Tablet containing perindopril arginine 5 mg with indapamide hemihydrate 1.25 mg

20

30

5

 

Perindopril with indapamide

Tablet containing perindopril erbumine 4 mg with indapamide hemihydrate 1.25 mg

20

30

5

 

Phenobarbitone

Tablet 30 mg

20

200

4

 

Phenoxybenzamine

Capsule containing 10 mg phenoxybenzamine hydrochloride

20

100

5

 

Phenoxybenzamine

Capsule containing phenoxybenzamine hydrochloride 10 mg

20

100

5

 

Phenytoin

Capsule containing phenytoin sodium 100 mg

20

200

2

 

Phenytoin

Capsule containing phenytoin sodium 30 mg

20

200

2

 

Phenytoin

Tablet 50 mg

20

200

2

 

Pindolol

Tablet 15 mg

20

50

5

 

Pindolol

Tablet 5 mg

20

100

5

 

Pioglitazone

Tablet 45 mg (as hydrochloride)

20

28

5

 

Pizotifen

Tablet 500 micrograms (as malate)

20

100

2

 

Potassium chloride

Tablet 600 mg (sustained release)

20

200

1

 

Potassium chloride with potassium bicarbonate

Tablet, effervescent, 14 mmol potassium and 8 mmol chloride

20

60

1

 

Pramipexole

Tablet (extended release) containing pramipexole hydrochloride 1.5 mg

20

30

5

 

Pramipexole

Tablet (extended release) containing pramipexole hydrochloride 2.25 mg

20

30

5

 

Pramipexole

Tablet (extended release) containing pramipexole hydrochloride 3 mg

20

30

5

 

Pramipexole

Tablet (extended release) containing pramipexole hydrochloride 3.75 mg

20

30

5

 

Pramipexole

Tablet (extended release) containing pramipexole hydrochloride 4.5 mg

20

30

5

 

Prasugrel

Tablet 10 mg (as hydrochloride)

20

28

5

 

Prasugrel

Tablet 5 mg (as hydrochloride)

20

28

5

 

Pravastatin

Tablet containing pravastatin sodium 10 mg

20

30

5

 

Pravastatin

Tablet containing pravastatin sodium 10 mg

20

30

11

 

Pravastatin

Tablet containing pravastatin sodium 20 mg

20

30

5

 

Pravastatin

Tablet containing pravastatin sodium 20 mg

20

30

11

 

Pravastatin

Tablet containing pravastatin sodium 40 mg

20

30

5

 

Pravastatin

Tablet containing pravastatin sodium 40 mg

20

30

11

 

Pravastatin

Tablet containing pravastatin sodium 80 mg

20

30

5

 

Pravastatin

Tablet containing pravastatin sodium 80 mg

20

30

11

 

Prazosin

Tablet 1 mg (as hydrochloride)

20

100

5

 

Prazosin

Tablet 2 mg (as hydrochloride)

20

100

5

 

Prazosin

Tablet 5 mg (as hydrochloride)

20

100

5

 

Pregabalin

Capsule 300 mg

20

56

5

 

Primidone

Tablet 250 mg

20

200

2

 

Probenecid

Tablet 500 mg

20

100

5

 

Propantheline

Tablet containing propantheline bromide 15 mg

20

200

5

 

Propranolol

Tablet containing propranolol hydrochloride 10 mg

20

100

5

 

Propranolol

Tablet containing propranolol hydrochloride 160 mg

20

50

5

 

Propranolol

Tablet containing propranolol hydrochloride 40 mg

20

100

5

 

Quinagolide

Tablet 75 micrograms (as hydrochloride)

20

30

5

 

Quinapril

Tablet 10 mg (as hydrochloride)

20

30

5

 

Quinapril

Tablet 20 mg (as hydrochloride)

20

30

5

 

Quinapril

Tablet 5 mg (as hydrochloride)

20

30

5

 

Quinapril with hydrochlorothiazide

Tablet 10 mg quinapril (as hydrochloride) with 12.5 mg hydrochlorothiazide

20

30

5

 

Quinapril with hydrochlorothiazide

Tablet 20 mg quinapril (as hydrochloride) with 12.5 mg hydrochlorothiazide

20

30

5

 

Rabeprazole

Tablet containing rabeprazole sodium 10 mg (enteric coated)

20

28

5

 

Rabeprazole

Tablet containing rabeprazole sodium 20 mg (enteric coated)

20

30

2

 

Rabeprazole

Tablet containing rabeprazole sodium 20 mg (enteric coated)

20

30

5

 

Raloxifene

Tablet containing raloxifene hydrochloride 60 mg

20

28

5

 

Ramipril

Capsule 1.25 mg

20

30

5

 

Ramipril

Capsule 10 mg

20

30

5

 

Ramipril

Capsule 2.5 mg

20

30

5

 

Ramipril

Capsule 5 mg

20

30

5

 

Ramipril

Tablet 1.25 mg

20

30

5

 

Ramipril

Tablet 10 mg

20

30

5

 

Ramipril

Tablet 2.5 mg

20

30

5

 

Ramipril

Tablet 5 mg

20

30

5

 

Ramipril with felodipine

Tablet 2.5 mg-2.5 mg (modified release)

20

30

5

 

Ramipril with felodipine

Tablet 5 mg-5 mg (modified release)

20

30

5

 

Ranitidine

Syrup 150 mg (as hydrochloride) per 10 mL, 300 mL

20

2

5

 

Ranitidine

Tablet 150 mg (as hydrochloride)

20

60

5

 

Ranitidine

Tablet 300 mg (as hydrochloride)

20

30

5

 

Ranitidine

Tablet, effervescent, 150 mg (as hydrochloride)

20

60

5

 

Rasagiline

Tablet 1 mg (as mesilate)

20

30

5

 

Reboxetine

Tablet 4 mg (as mesilate)

20

60

5

 

Rifaximin

Tablet 550 mg

20

56

5

 

Riluzole

Tablet 50 mg

20

56

5

 

Risedronic acid

Tablet (enteric coated) containing risedronate sodium 35 mg

20

4

5

 

Risedronic acid

Tablet containing risedronate sodium 150 mg

20

1

5

 

Risedronic acid

Tablet containing risedronate sodium 30 mg

20

28

1

 

Risedronic acid

Tablet containing risedronate sodium 35 mg

20

4

5

 

Risedronic acid

Tablet containing risedronate sodium 5 mg

20

28

5

 

Risedronic acid and calcium

Pack containing 4 enteric coated tablets risedronate sodium 35 mg and 24 tablets calcium 500 mg (as carbonate)

20

1

5

 

Risedronic acid and calcium

Pack containing 4 tablets risedronate sodium 35 mg and 24 tablets calcium 500 mg (as carbonate)

20

1

5

 

Risedronic acid and calcium with colecalciferol

Pack containing 4 enteric coated tablets risedronate sodium 35 mg and 24 sachets containing granules of calcium carbonate 2.5 g with colecalciferol 22 micrograms

20

1

5

 

Rivaroxaban

Tablet 15 mg

20

28

5

 

Rivaroxaban

Tablet 20 mg

20

28

5

 

Rivastigmine

Capsule 1.5 mg (as hydrogen tartrate)

20

56

5

 

Rivastigmine

Capsule 3 mg (as hydrogen tartrate)

20

56

5

 

Rivastigmine

Capsule 4.5 mg (as hydrogen tartrate)

20

56

5

 

Rivastigmine

Capsule 6 mg (as hydrogen tartrate)

20

56

5

 

Rivastigmine

Transdermal patch 18 mg

20

30

5

 

Rivastigmine

Transdermal patch 27 mg

20

30

5

 

Rivastigmine

Transdermal patch 9 mg

20

30

5

 

Rosiglitazone

Tablet 8 mg (as maleate)

20

28

5

 

Rosiglitazone with metformin

Tablet containing 2 mg rosiglitazone (as maleate) with 1 g metformin hydrochloride

20

56

5

 

Rosiglitazone with metformin

Tablet containing 2 mg rosiglitazone (as maleate) with 500 mg metformin hydrochloride

20

56

5

 

Rosiglitazone with metformin

Tablet containing 4 mg rosiglitazone (as maleate) with 1 g metformin hydrochloride

20

56

5

 

Rosiglitazone with metformin

Tablet containing 4 mg rosiglitazone (as maleate) with 500 mg metformin hydrochloride

20

56

5

 

Rosuvastatin

Tablet 10 mg (as calcium)

20

30

5

 

Rosuvastatin

Tablet 10 mg (as calcium)

20

30

11

 

Rosuvastatin

Tablet 20 mg (as calcium)

20

30

5

 

Rosuvastatin

Tablet 20 mg (as calcium)

20

30

11

 

Rosuvastatin

Tablet 40 mg (as calcium)

20

30

5

 

Rosuvastatin

Tablet 40 mg (as calcium)

20

30

11

 

Rosuvastatin

Tablet 5 mg (as calcium)

20

30

5

 

Rosuvastatin

Tablet 5 mg (as calcium)

20

30

11

 

Rotigotine

Transdermal patch 13.5 mg

20

28

5

 

Rotigotine

Transdermal patch 4.5 mg

20

28

5

 

Rotigotine

Transdermal patch 9 mg

20

28

5

 

Salcatonin

Injection 100 I.U. in 1 mL ampoule

20

15

5

 

Sapropterin

Tablet (soluble) containing sapropterin dihydrochloride 100 mg

20

180

0

 

Sapropterin

Tablet (soluble) containing sapropterin dihydrochloride 100 mg

20

180

5

 

Saxagliptin

Tablet 2.5 mg (as hydrochloride)

20

28

5

 

Saxagliptin

Tablet 5 mg (as hydrochloride)

20

28

5

 

Saxagliptin with metformin

Tablet (modified release) containing 2.5 mg saxagliptin (as hydrochloride) with 1000 mg metformin hydrochloride

20

56

5

 

Saxagliptin with metformin

Tablet (modified release) containing 5 mg saxagliptin (as hydrochloride) with 1000 mg metformin hydrochloride

20

28

5

 

Saxagliptin with metformin

Tablet (modified release) containing 5 mg saxagliptin (as hydrochloride) with 500 mg metformin hydrochloride

20

28

5

 

Selegiline

Tablet containing selegiline hydrochloride 5 mg

20

100

5

 

Sertraline

Tablet 100 mg (as hydrochloride)

20

30

5

 

Sertraline

Tablet 50 mg (as hydrochloride)

20

30

5

 

Sevelamer

Tablet containing sevelamer hydrochloride 800 mg

20

180

5

 

Simvastatin

Tablet 10 mg

20

30

5

 

Simvastatin

Tablet 10 mg

20

30

11

 

Simvastatin

Tablet 20 mg

20

30

5

 

Simvastatin

Tablet 20 mg

20

30

11

 

Simvastatin

Tablet 40 mg

20

30

5

 

Simvastatin

Tablet 40 mg

20

30

11

 

Simvastatin

Tablet 5 mg

20

30

5

 

Simvastatin

Tablet 5 mg

20

30

11

 

Simvastatin

Tablet 80 mg

20

30

5

 

Simvastatin

Tablet 80 mg

20

30

11

 

Sitagliptin

Tablet 100 mg (as phosphate monohydrate)

20

28

5

 

Sitagliptin

Tablet 25 mg (as phosphate monohydrate)

20

28

5

 

Sitagliptin

Tablet 50 mg (as phosphate monohydrate)

20

28

5

 

Sitagliptin with metformin

Tablet (modified release) containing 100 mg sitagliptin (as phosphate monohydrate) with 1000 mg metformin hydrochloride

20

28

5

 

Sitagliptin with metformin

Tablet (modified release) containing 50 mg sitagliptin (as phosphate monohydrate) with 1000 mg metformin hydrochloride

20

56

5

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin (as phosphate monohydrate) with 1000 mg metformin hydrochloride

20

56

5

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin (as phosphate monohydrate) with 500 mg metformin hydrochloride

20

56

5

 

Sitagliptin with metformin

Tablet containing 50 mg sitagliptin (as phosphate monohydrate) with 850 mg metformin hydrochloride

20

56

5

 

Sorafenib

Tablet 200 mg (as tosylate)

20

120

2

 

Sorafenib

Tablet 200 mg (as tosylate)

20

120

5

 

Spironolactone

Tablet 100 mg

20

100

5

 

Spironolactone

Tablet 25 mg

20

100

5

 

Strontium

Sachet containing granules for oral suspension containing strontium ranelate 2 g

20

28

5

 

Sucralfate

Tablet equivalent to 1 g anhydrous sucralfate

20

120

2

 

Sulfasalazine

Tablet 500 mg

20

200

5

 

Sulfasalazine

Tablet 500 mg

20

200

11

 

Sulfasalazine

Tablet 500 mg (enteric coated)

20

200

5

 

Sulfasalazine

Tablet 500 mg (enteric coated)

20

200

11

 

Sulthiame

Tablet 200 mg

20

200

2

 

Sulthiame

Tablet 50 mg

20

200

2

 

Sunitinib

Capsule 12.5 mg (as malate)

20

28

1

 

Sunitinib

Capsule 12.5 mg (as malate)

20

28

2

 

Sunitinib

Capsule 12.5 mg (as malate)

20

28

3

 

Sunitinib

Capsule 12.5 mg (as malate)

20

28

5

 

Sunitinib

Capsule 25 mg (as malate)

20

28

1

 

Sunitinib

Capsule 25 mg (as malate)

20

28

2

 

Sunitinib

Capsule 25 mg (as malate)

20

28

3

 

Sunitinib

Capsule 25 mg (as malate)

20

28

5

 

Sunitinib

Capsule 37.5 mg (as malate)

20

28

1

 

Sunitinib

Capsule 37.5 mg (as malate)

20

28

2

 

Sunitinib

Capsule 37.5 mg (as malate)

20

28

3

 

Sunitinib

Capsule 37.5 mg (as malate)

20

28

5

 

Sunitinib

Capsule 50 mg (as malate)

20

28

1

 

Sunitinib

Capsule 50 mg (as malate)

20

28

2

 

Sunitinib

Capsule 50 mg (as malate)

20

28

3

 

Sunitinib

Capsule 50 mg (as malate)

20

28

5

 

Tacrolimus

Capsule 0.5 mg (once daily prolonged release)

20

30

3

 

Tacrolimus

Capsule 1 mg (once daily prolonged release)

20

60

3

 

Tacrolimus

Capsule 5 mg (once daily prolonged release)

20

30

3

 

Tamoxifen

Tablet 10 mg (as citrate)

20

60

5

 

Tamoxifen

Tablet 20 mg (as citrate)

20

60

5

 

Telmisartan

Tablet 40 mg

20

28

5

 

Telmisartan

Tablet 80 mg

20

28

5

 

Telmisartan with amlodipine

Tablet 40 mg-10 mg (as besylate)

20

28

5

 

Telmisartan with amlodipine

Tablet 40 mg-5 mg (as besylate)

20

28

5

 

Telmisartan with amlodipine

Tablet 80 mg-10 mg (as besylate)

20

28

5

 

Telmisartan with amlodipine

Tablet 80 mg-5 mg (as besylate)

20

28

5

 

Telmisartan with hydrochlorothiazide

Tablet 40 mg-12.5 mg

20

28

5

 

Telmisartan with hydrochlorothiazide

Tablet 80 mg-12.5 mg

20

28

5

 

Telmisartan with hydrochlorothiazide

Tablet 80 mg-25 mg

20

28

5

 

Temozolomide

Capsule 100 mg

20

5

5

 

Temozolomide

Capsule 100 mg

20

15

2

 

Temozolomide

Capsule 140 mg

20

5

5

 

Temozolomide

Capsule 140 mg

20

15

2

 

Temozolomide

Capsule 180 mg

20

5

5

 

Temozolomide

Capsule 20 mg

20

5

5

 

Temozolomide

Capsule 20 mg

20

15

2

 

Temozolomide

Capsule 250 mg

20

5

5

 

Temozolomide

Capsule 5 mg

20

5

5

 

Temozolomide

Capsule 5 mg

20

15

2

 

Terbinafine

Tablet 250 mg (as hydrochloride)

20

42

0

 

Terbinafine

Tablet 250 mg (as hydrochloride)

20

42

1

 

Teriflunomide

Tablet 14 mg

20

28

5

 

Teriparatide

Injection 250 micrograms per mL, 2.4 mL in multi-dose pre-filled pen

20

1

5

 

Testosterone

Capsule containing testosterone undecanoate 40 mg

20

60

5

 

Testosterone

I.M. injection containing testosterone undecanoate 1,000 mg in 4 mL

20

1

1

 

Testosterone

Injection containing testosterone enanthate 250 mg in 1 mL

20

3

3

 

Testosterone

Transdermal cream 50 mg per mL, 50 mL

20

1

6

 

Testosterone

Transdermal gel (pump pack) 12.5 mg per 1.25 g dose, 60 doses, 2

20

1

4

 

Testosterone

Transdermal gel 50 mg in 5 g sachet, 30

20

1

5

 

Testosterone

Transdermal patches 12.2 mg, 60

20

1

5

 

Testosterone

Transdermal patches 24.3 mg, 30

20

1

5

 

Testosterone

Transdermal solution (pump pack) 30 mg per 1.5 mL dose, 60 doses

20

1

5

 

Tetrabenazine

Tablet 25 mg

20

112

5

 

Theophylline

Tablet 200 mg (sustained release)

20

100

5

 

Theophylline

Tablet 250 mg (sustained release)

20

100

5

 

Theophylline

Tablet 300 mg (sustained release)

20

100

5

 

Thyroxine

Tablet containing 100 micrograms anhydrous thyroxine sodium

20

200

1

 

Thyroxine

Tablet containing 200 micrograms anhydrous thyroxine sodium

20

200

1

 

Thyroxine

Tablet containing 50 micrograms anhydrous thyroxine sodium

20

200

1

 

Thyroxine

Tablet containing 75 micrograms anhydrous thyroxine sodium

20

200

1

 

Tiagabine

Tablet 10 mg (as hydrochloride)

20

100

5

 

Tiagabine

Tablet 15 mg (as hydrochloride)

20

100

5

 

Tiagabine

Tablet 5 mg (as hydrochloride)

20

100

5

 

Ticagrelor

Tablet 90 mg

20

56

5

 

Tiludronic acid

Tablet 200 mg (as tiludronate disodium)

20

56

2

 

Tiotropium

Capsule containing powder for oral inhalation 18 micrograms (as bromide monohydrate) (for use in HandiHaler)

20

30

5

 

Tiotropium

Solution for oral inhalation 2.5 micrograms (as bromide monohydrate) per actuation (60 actuations)

20

1

5

 

Tiotropium with olodaterol

Solution for oral inhalation containing tiotropium 2.5 micrograms (as bromide monohydrate) with olodaterol 2.5 micrograms (as hydrochloride) per dose, 60 doses

20

1

5

 

Topiramate

Capsule 15 mg

20

60

5

 

Topiramate

Capsule 25 mg

20

60

5

 

Topiramate

Capsule 50 mg

20

60

5

 

Topiramate

Tablet 100 mg

20

60

5

 

Topiramate

Tablet 200 mg

20

60

5

 

Topiramate

Tablet 25 mg

20

60

5

 

Topiramate

Tablet 50 mg

20

60

5

 

Trandolapril

Capsule 1 mg

20

28

5

 

Trandolapril

Capsule 2 mg

20

28

5

 

Trandolapril

Capsule 4 mg

20

28

5

 

Trandolapril

Capsule 500 micrograms

20

28

5

 

Trandolapril with verapamil

Tablet containing trandolapril 2 mg with verapamil hydrochloride 180 mg (sustained release)

20

28

5

 

Trandolapril with verapamil

Tablet containing trandolapril 4 mg with verapamil hydrochloride 240 mg (sustained release)

20

28

5

 

Triamcinolone

Injection containing triamcinolone acetonide 10 mg in 1 mL

20

5

0

 

Triptorelin

Powder for I.M. injection (prolonged release) 11.25 mg (as embonate) with solvent, syringe and needles

20

1

1

 

Triptorelin

Powder for I.M. injection (prolonged release) 22.5 mg (as embonate) with solvent, syringe and needles

20

1

0

 

Triptorelin

Powder for I.M. injection (prolonged release) 3.75 mg (as embonate) with solvent, syringe and needles

20

1

5

 

Umeclidinium

Powder for oral inhalation in breath actuated device 62.5 micrograms (as bromide) per dose, 30 doses

20

1

5

 

Umeclidinium with vilanterol

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

20

1

5

 

Ustekinumab

Injection 45 mg in 0.5 mL

20

1

1

 

Valaciclovir

Tablet 500 mg (as hydrochloride)

20

30

5

 

Valproic acid

Tablet (enteric coated) containing sodium valproate 200 mg

20

200

2

 

Valproic acid

Tablet (enteric coated) containing sodium valproate 500 mg

20

200

2

 

Valsartan

Tablet 160 mg

20

28

5

 

Valsartan

Tablet 320 mg

20

28

5

 

Valsartan

Tablet 80 mg

20

28

5

 

Valsartan with hydrochlorothiazide

Tablet 160 mg-12.5 mg

20

28

5

 

Valsartan with hydrochlorothiazide

Tablet 160 mg-25 mg

20

28

5

 

Valsartan with hydrochlorothiazide

Tablet 320 mg-12.5 mg

20

28

5

 

Valsartan with hydrochlorothiazide

Tablet 320 mg-25 mg

20

28

5

 

Valsartan with hydrochlorothiazide

Tablet 80 mg-12.5 mg

20

28

5

 

Varenicline

Box containing 11 tablets 0.5 mg (as tartrate) and 14 tablets 1 mg (as tartrate) in the first pack and 28 tablets 1 mg (as tartrate) in the second pack

20

1

0

 

Varenicline

Tablet 1 mg (as tartrate)

20

56

2

 

Varenicline

Tablet 1 mg (as tartrate)

20

112

0

 

Venlafaxine

Capsule (modified release) 150 mg (as hydrochloride)

20

28

5

 

Venlafaxine

Capsule (modified release) 75 mg (as hydrochloride)

20

28

5

 

Verapamil

Capsule containing verapamil hydrochloride 160 mg (sustained release)

20

30

5

 

Verapamil

Capsule containing verapamil hydrochloride 240 mg (sustained release)

20

30

5

 

Verapamil

Tablet containing verapamil hydrochloride 180 mg (sustained release)

20

30

5

 

Verapamil

Tablet containing verapamil hydrochloride 240 mg (sustained release)

20

30

5

 

Verapamil

Tablet containing verapamil hydrochloride 40 mg

20

100

5

 

Verapamil

Tablet containing verapamil hydrochloride 80 mg

20

100

5

 

Vigabatrin

Oral powder, sachet 500 mg

20

60

5

 

Vigabatrin

Tablet 500 mg

20

100

5

 

Vildagliptin

Tablet 50 mg

20

60

5

 

Vildagliptin with metformin

Tablet containing 50 mg vildagliptin with 1000 mg metformin hydrochloride

20

60

5

 

Vildagliptin with metformin

Tablet containing 50 mg vildagliptin with 500 mg metformin hydrochloride

20

60

5

 

Vildagliptin with metformin

Tablet containing 50 mg vildagliptin with 850 mg metformin hydrochloride

20

60

5

 

Zonisamide

Capsule 100 mg

20

112

5

 

Zonisamide

Capsule 25 mg

20

56

5

 

Zonisamide

Capsule 50 mg

20

56

5