core chronic medication formulary

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CORE CHRONIC MEDICATION FORMULARY

This formulary represents drugs covered for chronic use for the 25 Chronic Disease List (CDL) conditions and individual Diagnostic Treatment Pairs (DTP) conditions.

The examples below serve as a guide on the trade names available for the active ingredients listed and not for marketing a specific brand.

Unless stipulated, all active ingredients listed in this formulary are subject to the Metropolitan Health Reference Price (MetRef) in line with scheme rules.

IMPORTANT: Please note that the medication on this list is published on an annual basis. Medication and prices are subject to change based on new clinical information and/or pricing updates which may not be reflected on the list below.

KEY:

Treatment designated as "Accepted treatment" indicates that this is a medicine covered as first line; i.e. without additional clinical information required, according to Metropolitan Health Risk Management Medicine Reimbursement Policies.

For treatment designated as "Motivation required", certain criteria as specified in the Metropolitan Health Risk Management Medicine Reimbursement Policies should be met.

For treatment designated as “Special investigations", the relevant clinical investigation reports as specified in the Metropolitan Health Risk Management Medicine Reimbursement Policy are required.

Abbreviations of dosage form

CAP Capsule ENE Enema OPD Eye drops

CPS Capsule (Inhaler) INH Inhaler SLN Sublingual

CRM Cream INJ Injection SRC Slow release capsule

DRP Drops LOT Lotion SRT Slow release tablet

DSP Dispersible NAS Nasal spray SUP Suppository

SYR Syrup TAB Tablet UNG Ointment

ECT Enteric-coated tablet NOD Nasal drops SUS Suspension

ACTIVE INGREDIENT STRENGTH DOSAGE

FORM EXAMPLE 1 EXAMPLE 2 CLASS COMMENT

CHRONIC DISEASE LIST CONDITIONS (CDLs) ADDISON'S DISEASE

ICD10: E27.1

Fludrocortisone 0.1mg TAB Florinef acetate Corticosteroids , oral Motivation required; Specialist initiation

Hydrocortisone 10mg TAB Covocort Corticosteroids , oral Accepted treatment

Prednisolone 5mg TAB Prelone Lenisolone Corticosteroids , oral Accepted treatment

Prednisone 5mg TAB Be-tabs prednisone Panafcort Corticosteroids , oral Accepted treatment

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ASTHMA

ICD10: J45.0, J45.1, J45.8, J45.9

Aminophylline 225mg SRT Phyllocontin Xanthines Motivation required

Beclometasone 100mcg INH Beclate 100 Becotide 100 comp Corticosteroids, inhaled Accepted treatment

Beclometasone 200mcg INH Beclate 200 Corticosteroids, inhaled Accepted treatment

Beclometasone 50mcg INH Beclate 50 Becotide complete Corticosteroids, inhaled Accepted treatment

Budesonide 100mcg INH Budeflam 300 dose gentle-haler hfa

Pulmicort Turbohaler 200d Corticosteroids, inhaled Accepted treatment


Pulmicort Turbohaler 200d Corticosteroids, inhaled Accepted treatment

Budesonide 200mcg CPS Budeflam DP Caps Inflacor 200 Corticosteroids, inhaled Accepted treatment

Budesonide 100mcg CPS Inflacor 100 Corticosteroids, inhaled Accepted treatment

Budesonide 400mcg CPS Inflacor 400 Corticosteroids, inhaled Accepted treatment

Budesonide 400mcg INH Inflammide 400 Novolizer Complete

Corticosteroids, inhaled Accepted treatment

Budesonide 400mcg INH Inflammide 400 Novolizer refill Corticosteroids, inhaled Accepted treatment

Fenoterol and ipratropium bromide

200mcg INH Duovent HFA 200 dose Beta agonists , short acting Accepted treatment

Formoterol 12mcg CPS Foradil dry powder inhalation Beta agonists, long acting Accepted treatment

Formoterol 12mcg INH Foratec HFA Beta agonists, long acting Accepted treatment

Formoterol and Budesonide combination

80/4.5mcg INH Symbicord turboh 120 dose 160mcg;45mcg

Vannair 120d Formoterol and other drugs fro obstructive airway disease

Accepted treatment

Formoterol and Budesonide combination

160/4.5mg INH Symbicord turboh 120 dose 160: 4.5mcg

Vannair 120d Formoterol and other drugs fro obstructive airway disease

Accepted treatment

Montelukast 10mg TAB Monte-air Sintrine Leukotriene receptor antagonists Motivation required

Montelukast 5mg CHU Monte-air Sintrine Leukotriene receptor antagonists Motivation required

Montelukast 4mg CHU Monte-air Sintrine Leukotriene receptor antagonists Accepted treatment

Montelukast 4mg SAC Monte-air Sintrine Leukotriene receptor antagonists Accepted treatment

Ipratropium bromide 40mcg INH Ipvent anticholinergics Accepted treatment

Ipratropium bromide 20mcg INH Atrovent anticholinergics Accepted treatment

Salbutamol 100mcg INH Asthavent 200 dose Beta agonists , short acting Accepted treatment

Salbutamol 100mcg INH Asthavent 300d ecohaler cfc free Beta agonists , short acting Accepted treatment

Salbutamol 200mcg CAP Asthavent DP Beta agonists , short acting Accepted treatment

Salbutamol 100mcg INH Venteze CFC free Beta agonists , short acting Accepted treatment

Salbutamol 100mcg INH Venteze complete Beta agonists , short acting Accepted treatment

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Salbutamol 100mcg INH Ventolin inhaler 200 cfc-free Beta agonists , short acting Accepted treatment

Salmeterol and fluticasone 25/125mcg INH Foxair Sereflo HFA 25/125 Dose 120

Salmeterol and other drugs used in obstructive airway disease

Accepted treatment



Accepted treatment

Salmeterol and fluticasone 25/50mcg INH Foxair Sereflo HFA 25/50 120 Dose


Accepted treatment

Salmeterol and fluticasone 50/100mcg ACC Foxair Seretide accuhaler 50/100 Salmeterol and other drugs used in obstructive airway disease

Accepted treatment

Salmeterol and fluticasone 50/250mcg ACC Foxair Seretide accuhaler 25/250 120 dose


Accepted treatment


Motivation required

Theophylline 250mg SRT Euphyllin retard Xanthines Motivation required

Theophylline 125mg SRC Microphyllin Xanthines Motivation required

Theophylline 250mg SRC Microphyllin Xanthines Motivation required

Theophylline 250mg SRT Nuelin sa 250 Xanthines Motivation required

Theophylline 300mg SRT Pulmophyllin sr 300 Xanthines Motivation required

Theophylline 200mg SRT SANDOZ Theophyllin Anhydrous SR Xanthines Motivation required

Theophylline 300mg SRT SANDOZ Theophyllin Anhydrous SR Xanthines Motivation required

Theophylline 200mg SRT Theoplus Xanthines Motivation required

Theophylline 300mg SRT Theoplus Xanthines Motivation required

Theophylline 400mg SRT Uniphyl 400 Xanthines Motivation required

Theophylline 600mg SRT Uniphyl 600 Xanthines Motivation required

BIPOLAR MOOD DISORDER (initial diagnosis and treatment to be confirmed by a psychiatrist)

ICD10: F31.0, F31.1, F31.2, F31.3, F31.4, F31.5, F31.6, F31.8, F31.9

Amitriptyline 25mg TAB SANDOZ Amitryptyline Trepiline Heterocyclic antidepressant Accepted treatment

Carbamazepine 200mg TAB CPL-Carbamazepine Degranol Antimanic agent Accepted treatment

Carbamazepine 400mg SRT SANDOZ Cabamazepine CR Tegretol CR Antimanic agent Accepted treatment

Carbamazepine 200mg SRT SANDOZ Carbamazepine CR Tegretol CR Antimanic agent Accepted treatment

Chlorpromazine 100mg TAB Largactil Antipsychotics Accepted treatment



Citalopram 20mg TAB Adco-Talomil Arrow Citalopram Selective serotonin receptor inhibitors

Accepted treatment

Citalopram 10mg TAB Austell-Citalopram Selective serotonin receptor inhibitors

Accepted treatment

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Citalopram 40mg TAB DRL-Citalopram Depramil Selective serotonin receptor inhibitors

Accepted treatment

Clomipramine 10mg TAB Equinorm Clomidep Heterocyclic antidepressants Accepted treatment


Clozapine 100mg TAB Cloment Leponex Antipsychotics Accepted treatment


Dosulepin 25mg CAP Prothiaden Thaden Heterocyclic antidepressants Accepted treatment

Dosulepin 75mg TAB Thaden Selective serotonin receptor inhibitors

Accepted treatment

Fluoxetine 20mg TAB Lorien Selective serotonin receptor inhibitors

Accepted treatment

Fluoxetine 20mg CAP Nuzak Lilly-fluoxetine Selective serotonin receptor inhibitors

Accepted treatment

Fluoxetine 20mg DSP Prohexal 20t Selective serotonin receptor inhibitors

Accepted treatment

Haloperidol 1.5mg TAB SANDOZ Haloperidol Antipsychotics Accepted treatment

Haloperidol 5mg TAB SANDOZ Haloperidol Serenace Antipsychotics Accepted treatment

Haloperidol 0.5mg CAP Serenace Antipsychotics Accepted treatment

Haloperidol 10mg TAB Serenace Antipsychotics Accepted treatment

Imipramine 25mg TAB Ethipramine Tofranil Heterocyclic antidepressants Accepted treatment

Lamotrigine 100mg TAB Aspen Lamotrigine Arrow lamotrigine Antimanic agent Accepted treatment

Lamotrigine 50mg TAB Dyna-Lamotrigine Austell-Lamotrigine Antimanic agent Accepted treatment

Lamotrigine 200mg TAB Mylan-Lamotrigine Lamitor Antimanic agent Accepted treatment

Lamotrigine 25mg TAB SANDOZ Lamotrigine Austell-Lamotrigine Antimanic agent Accepted treatment

Lithium 250mg TAB Camcolit Antimanic agent Accepted treatment


Lithium 450mg TAB Quilonum retard Antimanic agent Accepted treatment

Maprotiline 25mg TAB Ludiomil Heterocyclic antidepressants Motivation required


Olanzapine 2.5mg TAB Olexar Redilanz Antipsychotics Accepted treatment

Olanzapine 5mg TAB Olexar Redilanz Antipsychotics Accepted treatment


Quetiapine 25mg TAB Quetoser 25 Serez 25 Antipsychotics Accepted treatment

Quetiapine 100mg TAB Truvalin Quetoser Antipsychotics Accepted treatment

Quetiapine 200mg TAB Mylan Quetiapine Dopaquel Antipsychotics Accepted treatment

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Quetiapine 300mg TAB Serez Truvalin Antipsychotics Accepted treatment

Quetiapine 200mg TAB Seroquel XR 200 Antipsychotics Accepted treatment

Quetiapine 300mg TAB Seroquel XR 300 Antipsychotics Motivation required


Risperidone 0.5mg TAB Aspen Risperidone Risperlet Antipsychotics Accepted treatment

Risperidone 2mg TAB Aspen Risperidone Risperdal Quicklet Antipsychotics Accepted treatment

Risperidone 3mg TAB Aspen Risperidone Risperidone-Hexal Antipsychotics Accepted treatment

Risperidone 1.0mg TAB DRL-Risperidone Auroperdal Antipsychotics Accepted treatment

Risperidone 1mg/ml SYR Risperdal Antipsychotics Accepted treatment

Risperidone 4mg TAB Risperdal Risponz Antipsychotics Accepted treatment

Sulpiride 200mg TAB Bio-Sulpiride Substituted benzamide Accepted treatment

Sulpiride 50mg CAP Espiride SANDOZ Sulpiride Substituted benzamide Accepted treatment

Trifluoperazine 1mg TAB Stelazine Antipsychotics Motivation required

Trifluoperazine 5mg TAB Stelazine Antipsychotics Motivation required

Valproic acid 150mg CAP Convulex Antimanic agent Accepted treatment



Valproic acid 200mg SRT Epilim cr 200 Antimanic agent Accepted treatment



Zuclopenthixol 10mg TAB Clopixol Antipsychotics Accepted treatment


Zuclopenthixol 200mg/ml INJ Clopixol depot Antipsychotics Motivation required

BRONCHIECTASIS

ICD10: Q33.4, J47

Oral antibiotics will be reimbursed in the treatment of Bronchiectasis. Limited durations authorisation periods may apply.

Aminophylline 100mg TAB Norstan-ted Xanthines Accepted treatment


Aminophylline 225mg SRT Phyllocontin Xanthines Accepted treatment

Beclometasone 100mcg INH Beclate 100 Becotide 100 comp Corticosteroids, inhaled special investigations, Lung Function Test (LFT)

Beclometasone 200mcg INH Beclate 200 Corticosteroids, inhaled special investigations, LFT

Beclometasone 50mcg INH Beclate 50 Becotide complete Corticosteroids, inhaled special investigations, LFT

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Pulmicort Turbohaler 200d Corticosteroids, inhaled special investigations, LFT


Pulmicort Turbohaler 200d Corticosteroids, inhaled special investigations, LFT

Budesonide 200mcg CPS Budeflam DP Caps Corticosteroids, inhaled special investigations, LFT

Budesonide 100mcg CPS Inflacor 100 Corticosteroids, inhaled special investigations, LFT




Corticosteroids, inhaled special investigations, LFT

Budesonide 400mcg INH Inflammide 400 Novolizer refill Corticosteroids, inhaled special investigations, LFT


200mcg INH Duovent HFA 200 dose Beta agonists, short-acting Accepted treatment

Formoterol 12mcg CPS Foradil dry powder inhalation Beta agonists, long-acting Accepted treatment

Formoterol 12mcg INH Foratec HFA Beta agonists, long-acting Accepted treatment

Formoterol and budesonide combination

80/4.5mg INH Symbicord turboh 120d 80/4.5mg Vannair 120d Formoterol and other drugs used in obstructive airway disease

special investigations, LFT


160mg/4.5mg INH Symbicord turboh 120d 160/4.5mg Vannair 120d Formoterol and other drugs used in obstructive airway disease



320/9mcg INH Symbicord turboh 60dose 320:9mcg

Formoterol and other drugs used in obstructive airway disease


Ipratropium bromide 20mcg INH Atrovent 20 HFA MDI 200dose 10ml

Beta agonists, short-acting Accepted treatment

Ipratropium bromide 40mcg INH Ipvent-40 300 dose Beta agonists, short-acting Accepted treatment

Salbutamol 100mcg INH Asthavent 200 dose Beta agonists, short-acting Accepted treatment

Salbutamol 100mcg INH Asthavent 300d ecohaler cfc free Beta agonists, short-acting Accepted treatment

Salbutamol 200mcg CAP Asthavent DP Beta agonists, short-acting Accepted treatment

Salbutamol 100mcg INH Venteze CFC free Venteze complete Beta agonists, short-acting Accepted treatment

Salmeterol and fluticasone combination

25/125mcg INH Foxair Sereflo HFA 25/125 Dose 120






Salmeterol and fluticasone 25/50mcg INH Foxair Sereflo HFA 25/50 120 Dose





Salmeterol and fluticasone 50/250mcg ACC Foxair Seretide Accuhaler 50/250 Salmeterol and other drugs used in obstructive airway disease




Theophylline SYR Alcophyllin Xanthines Accepted treatment

Theophylline 25mg/5ml SYR Nuelin liquid Xanthines Accepted treatment

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Theophylline 250mg SRT Euphyllin retard Xanthines Accepted treatment

Theophylline 125mg SRC Microphyllin Xanthines Accepted treatment


Theophylline 250mg SRT Nuelin sa 250 Xanthines Accepted treatment

Theophylline 300mg SRT Pulmophyllin sr 300 Xanthines Accepted treatment

Theophylline 200mg SRT SANDOZ Theophyllin Anhydrous SR Xanthines Accepted treatment


Theophylline 200mg SRT Theoplus Xanthines Accepted treatment


Theophylline 400mg SRT Uniphyl 400 Xanthines Accepted treatment


CARDIOMYOPATHY/HEART FAILURE

ICD10: I42.0, I42.1

Acetylsalicylic acid 81mg ECT Ecotrin

Aspirin Accepted treatment

Acetylsalicylic acid 100mg TAB Disprin CV 100 disp TAB 100mg Bayer aspirin cardio Aspirin Accepted treatment

Acetylsalicylic acid 300mg DSP Disprin cv 300 disp Bayer aspirin Aspirin Accepted treatment

Amlodipine 10mg TAB Almadin Amloc Calcium channel blockers Accepted treatment

Amlodipine 5mg TAB Amlodac Amlosyn Calcium channel blockers Accepted treatment

Amlodipine besylate 10mg TAB Austell-Amlodipine Calbloc Calcium channel blockers Accepted treatment

Amlodipine Besylate 5mg TAB Lomanor Ciplavasc Calcium channel blockers Accepted treatment

Amlodipine maleate 10mg TAB Amlate Calcium channel blockers Accepted treatment


Atenolol 100mg TAB Adco-atenolol B-Block Beta blockers Accepted treatment

Atenolol 50mg TAB Bio-atenolol Gulf Atenolol Beta blockers Accepted treatment

Atenolol and other diuretics 100mg/25mg TAB Tenoret Tenchlor Beta blockers and combinations Accepted treatment

Atenolol and other diuretics 50mg/12.5mg TAB Tenoret Tenchlor hs Beta blockers and combinations Accepted treatment

Atenolol and thiazides 100mg/25mg TAB Adco-loten Beta blockers and combinations Accepted treatment

Bisoprolol 5mg TAB Bisoprolol Unicorn Adco-Bisocor Beta blockers Accepted treatment

Bisoprolol 10mg TAB Adco-Bisocor Betacor Beta blockers Accepted treatment

Captopril 25mg TAB Bio-Captopril Capace ACE-inhibitors Accepted treatment

Captopril 12.5mg TAB Capoten hs Captohexal ACE-inhibitors Accepted treatment

Captopril 50mg TAB Captohexal Captomax ACE-inhibitors Accepted treatment

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Captopril and diuretics 50mg/25mg TAB Captoretic Zapto-co ACE-inhibitors and combinations Accepted treatment

Carvedilol 12.5mg TAB Aspen-Carvidelol Carloc 12 5 Alpha/beta blockers Accepted treatment

Carvedilol 25mg TAB Aspen-Carvidelol Carloc 25 Alpha/beta blockers Accepted treatment

Carvedilol 6.25mg TAB Aspen-Carvidelol Carloc 6 25 Alpha/beta blockers Accepted treatment

Digoxin 0.0625mg TAB Lanoxin Cardiac glycosides Accepted treatment


Digoxin 0.05mg/ml SYR Lanoxin paed Cardiac glycosides Accepted treatment

Digoxin 0.25mg TAB Purgoxin Cardiac glycosides Accepted treatment

Diltiazem 180mg TAB Adco-Zildem 180 SR Calcium channel blockers Accepted treatment

Diltiazem 240mg TAB Adco-Zildem 240 SR Calcium channel blockers Accepted treatment

Enalapril 10mg TAB Enap Alapren 10 ACE-inhibitors Accepted treatment

Enalapril 20mg TAB Ciplatec Alapren 20 ACE-inhibitors Accepted treatment

Enalapril 5mg TAB Alapren 5 Ciplatec 5 ACE-inhibitors Accepted treatment

Enalapril 2.5mg TAB Renitec 2 5 ACE-inhibitors Accepted treatment

Enalapril and diuretics 20mg/12.5mg TAB Co-renitec Enap co ACE-inhibitors Accepted treatment

Felodipine 10mg SRT Felodipine-Hexal Calcium channel blockers Accepted treatment

Felodipine 5mg SRT Felodipine-Hexal Plendil Calcium channel blockers Accepted treatment

Felodipine 2.5mg SRT Plendil Calcium channel blockers Accepted treatment

Furosemide 40mg TAB Austell- Furosemide Beurises Diuretics Accepted treatment

Furosemide 10mg/ml SYR Lasix oral Diuretics Motivation required

Hydralazine 10mg TAB Hyperphen Vasodilators Accepted treatment

Hydralazine 50mg TAB SANDOZ Hydralazine Hyperphen Vasodilators Accepted treatment

Hydrochlorothiazide 12.5mg TAB Ridaq Diuretics Accepted treatment

Hydrochlorothiazide 25mg TAB Ridaq Hexazide Diuretics Accepted treatment

Hydrochlorothiazide and potassium

50mg/300mg TAB Urirex-k Diuretics Accepted treatment

Hydrochlorothiazide and potassium-sparing agents

50mg/5mg TAB Adco-retic Betaretic Diuretics Accepted treatment


25mg/2.5mg TAB Amiloretic hs Diuretics Accepted treatment


50mg/25mg TAB Dyazide Renezide Diuretics Accepted treatment

Indapamide 2.5mg TAB Cipla-Indapamide Dapamax Diuretics Accepted treatment

Irbesartan 150mg TAB Iberwin Aprovel Angiotension receptor antagonist Accepted treatment


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Irbesartan and diuretics 150mg/12.5mg TAB Co-Iberwin Coaprovel Angiotensin receptor blockers and combinations

Accepted treatment


Accepted treatment

Isosorbide dinitrate 40mg TAB Isordil tembid Organic nitrates Accepted treatment

Isosorbide dinitrate 30mg TAB SANDOZ Isosorbide Isordil Organic nitrates Accepted treatment

Isosorbide dinitrate 10mg TAB SANDOZ Isosorbide Dinitrate Isordil Organic nitrates Accepted treatment

Isosorbide dinitrate 5mg TAB SANDOZ Isosorbide Dinitrate Isordil sublingual Organic nitrates Accepted treatment

Lisinopril 10mg TAB Auro-Lisinopril Austell-Lisinopril ACE-inhibitors Accepted treatment

Lisinopril 5mg TAB Auro-Lisinopril Hexal-lisinopril 5 ACE-inhibitors Accepted treatment

Lisinopril 2.5mg TAB Austell-lisinopril ACE-inhibitors Accepted treatment

Lisinopril 20mg TAB Zestril Zetomax ACE-inhibitors Accepted treatment

Lisinopril and diuretics 10mg/12.5mg TAB Auro-Lisinopril Co HEXAL-Lisinopril Co ACE-inhibitors and combinations Accepted treatment

Lisinopril and diuretics 20mg/12.5mg TAB Auro-Lisinopril Co HEXAL-Lisinopril Co ACE-inhibitors and combinations Accepted treatment

Losartan 100mg TAB Cipla Losartan Cozaar Angiotensin receptor blockers Accepted treatment

Losartan 50mg TAB Cipla Losartan Cozaar Angiotensin receptor blockers Accepted treatment

Losartan and diuretics 50mg/12.5mg TAB Zartan Co Losaar plus 50/12.5 Angiotensin receptor blockers and combinations

Accepted treatment

Losartan and diuretics 100mg/25mg TAB Zartan Co Hytenza Angiotensin receptor blockers and combinations

Accepted treatment

Nifedipine 20mg SRT Adco-Nifedpine Nifedalat SR 20mg Calcium channel blockers Accepted treatment

Nifedipine 30mg TAB Adco-Vascard Fedaloc SR Calcium channel blockers Accepted treatment

Nifedipine 60mg TAB Adco-Vascard Fedaloc SR Calcium channel blockers Accepted treatment

Perindopril 4mg TAB Cipla Perindopril Peristar ACE-inhibitors Accepted treatment

Perindopril 8mg TAB Cipla-Perindopril Ciplasyl ACE-inhibitors Accepted treatment

Perindopril 10mg TAB Prexum Coversyl ACE-inhibitors Accepted treatment

Perindopril 5mg TAB Prexum 5 ACE-inhibitors Accepted treatment

Perindopril 5mg/1.25mg TAB Prexum 5 Plus ACE-inhibitors Accepted treatment

Perindopril and diuretics 2mg/0.625mg TAB Acesyl Co Preterax ACE-inhibitors and combinations Accepted treatment

Perindopril and diuretics 4mg/1.25mg TAB Acesyl Co 4/1.25 BiPreterax ACE-inhibitors and combinations Accepted treatment

Perindorpil and Amlodipine 5mg/5mg TAB Coveram 5/5 ACE-inhibitors and Calcium Channel Blockers

Accepted treatment

Perindopril and diuretics 10mg/2.5mg TAB BioPrexum plus ACE-inhibitors and combinations Accepted treatment


Accepted treatment


Accepted treatment

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Accepted treatment

Potassium chloride 600mg TAB Plenish k SANDOZ K-600 Potassium supplements Accepted treatment

Propranolol 10mg TAB Indoblok Purbloka Beta blockers Accepted treatment

Propranolol 40mg TAB INdoblok Purbloka Beta blockers Accepted treatment

Quinapril 10mg TAB Accumax Accupril ACE-inhibitors Accepted treatment

Quinapril 20mg TAB Accumax Accupril ACE-inhibitors Accepted treatment

Ramipril 10mg CAP Austell-Ramipril ACE-inhibitors Accepted treatment


Ramipril 5mg CAP Apex-Ramipril 5mg ACE-inhibitors Accepted treatment


Ramipril 2.5mg TAB Retace RamiprilHexal ACE-inhibitors Accepted treatment

Ramipril 5mg TAB Apex-Ramipril RamiprilHexal ACE-inhibitors Accepted treatment

Ramipril 2.5mg CAP Ramiwin Rampil ACE-inhibitors Accepted treatment

Ramipril 5mg CAP RamiWin Rampil ACE-inhibitors Accepted treatment

Ramipril 10mg CAP Simayla Ramipril Ran-Ramipril ACE-inhibitors Accepted treatment

Spironolactone 25mg TAB Spiractin SANDOZ Spironolactone Diuretics Accepted treatment

Telimisartan 40mg TAB Pritor Micardis ACE-Inhibitor Accepted treatment


Telimisatan and diuretic 40mg/12.5mg TAB Co-Pritor Co-Micardis ACE-Inhibitor and diuretic Accepted treatment


Telimisatan and diuretic 80mg/25mg TAB Co-Pritor Co-Micardis ACE-Inhibitor and diuretic Accepted treatment

Trandolapril 0.5mg CAP Mavik (was Gopten) ACE-inhibitors Accepted treatment

Trandolapril 2mg CAP Mavik (was Gopten) ACE-inhibitors Accepted treatment

Valsartan 160mg TAB Migroben Diovan Angiotensin receptor blockers Accepted treatment

Valsartan 80mg TAB Migroben Diovan Angiotensin receptor blockers Accepted treatment

Valsartan and amlodipine 10mg/160mg TAB Exforge Angiotensin receptor blockers and combinations

Accepted treatment


Accepted treatment

Valsartan and diuretics 320/12.5mg TAB Co-Diovan Angiotensin receptor blockers and combinations

Accepted treatment

Valsartan and diuretics 320mg/25mg TAB Co-Diovan Angiotensin receptor blockers and combinations

Accepted treatment

Valsartan and diuretics 160mg/12.5mg TAB Co-Migroben Co-diovan Angiotensin receptor blockers and combinations

Accepted treatment

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Valsartan and diuretics 160mg/25mg TAB Co-Migroben Co-Diovan Plus Angiotensin receptor blockers and combinations

Accepted treatment

Valsartan and diuretics 80mg/12.5mg TAB Co-Migroben Co-diovan Angiotensin receptor blockers and combinations

Accepted treatment

Verapamil 240mg SRT Calcicard sr 240 Verahexal 240 sr Calcium channel blockers Accepted treatment

Verapamil 40mg TAB Vasomil Isoptin Calcium channel blockers Accepted treatment


Warfarin 1mg TAB Cipla Warfarin Anticoagulants Accepted treatment

Warfarin 3mg TAB Cipla-Warfarin Anticoagulants Accepted treatment

Warfarin 5mg TAB Warfarin Cipla Warfarin Anticoagulants Accepted treatment

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (Initial diagnosis to be confirmed by lung function test)

ICD10: J43.0, J43.1, J43.2, J43.8, J43.9, J44.0, J44.1, J44.8, J44.9



Aminophylline 225mg SRT Phyllocontin Xanthines Accepted treatment

Beclometasone 200mcg INH Beclate 200 Corticosteroids, inhaled special investigations, LFT

Beclometasone 100mcg INH Becotide 100 comp Beclate 100 Corticosteroids, inhaled special investigations, LFT

Beclometasone 50mcg INH Becotide complete Beclate 50 Corticosteroids, inhaled special investigations, LFT


Pulmicort 200d Corticosteroids, inhaled special investigations, LFT

Budesonide 200mcg CPS Budeflam DP Caps Pulmicort 200d Corticosteroids, inhaled special investigations, LFT



Budesonide 200mcg INH Inflammide 200 Novolizer Budeflam 300 dose gentle-haler hfa




Budesonide 400mcg INH Inflammide 400 Novolizer refill Corticosteroids, inhaled special investigations, LFT


200mcg INH Duovent HFA 200 dose Fenoterol and other drugs for obstructive airway disease

Accepted treatment

Formoterol 12mcg CPS Foradil dry powder inhalation Beta agonists, long-acting Accepted treatment

Formoterol 12mcg INH Foratec HFA Beta agonists, long-acting Accepted treatment

Fomoterol and Budesonide combination

160/4.5mg INH Symbicord Turbohaler 120d Vannair 120d Formoterol and other drugs for obstructive airway disease



80/4.5mg INH Symbicord Turbohaler 120d Vannair 120d Formoterol and other drugs for obstructive airway disease



160/4.5mg INH Symbicord Turbohaler 60d Formoterol and other drugs for obstructive airway disease


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320/9mg INH Symbicord Turbohaler 60d Formoterol and other drugs for obstructive airway disease


Ipratropium bromide 20mcg INH Atrovent 20 HFA MDI 200dose 10ml

Anticholinergic agent Accepted treatment

Ipratropium bromide 40mcg INH Ipvent-40 300 dose Anticholinergic agent Accepted treatment

Salbutamol 100mcg INH Asthavent 200 dose Beta agonists, short-acting Accepted treatment

Salbutamol 100mcg INH Asthavent 300d ecohaler cfc free Beta agonists, short-acting Accepted treatment

Salbutamol 200mcg CAP Asthavent DP Beta agonists, short-acting Accepted treatment

Salbutamol 100mcg INH Venteze CFC free Beta agonists, short-acting Accepted treatment

Salbutamol 100mcg INH Venteze complete Beta agonists, short-acting Accepted treatment

Salbutamol 100mcg INH Ventolin inhaler 200 cfc-free Beta agonists, short-acting Accepted treatment



Salmeterol and other drugs for obstructive airway disease







25/50mcg INH Foxair Sereflo HFA 25/50 120 Dose




50/100mcg ACC Foxair Seretide accuhaler 50/100 Salmeterol and other drugs for obstructive airway disease



50/250mcg ACC Foxair Seretide Accuhaler 50/250 Salmeterol and other drugs for obstructive airway disease



50/500mcg ACC Foxair Seretide accuhaler 50/500 Salmeterol and other drugs for obstructive airway disease


Theophylline SYR Alcophyllin Xanthines Accepted treatment

Theophylline 25mg/5ml SYR Nuelin liquid Xanthines Accepted treatment

Theophylline 250mg SRT Euphyllin retard Xanthines Accepted treatment



Theophylline 250mg SRT Nuelin sa 250 Xanthines Accepted treatment

Theophylline 300mg SRT Pulmophyllin sr 300 Xanthines Accepted treatment







Tiotropium Bromide 18mcg CPS Forvent Spiriva Anticholinergic agent Motivation required

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CHRONIC RENAL FAILURE (initial diagnosis to be confirmed by an appropriate specialist)

ICD10: N03.0, N03.1, N03.2, N03.4, N03.5, N03.6, N03.7, N03.8, N03.9, N11.0, N11.1, N11.8, N11.9, N18.0, N18.1, N18.2, N18.3, N18.4, N18.5, N18.9, I12.0, I13.2, I13.2, O10.2

See "Hypertension" for a list of diuretics and antihypertensive agents

Alfacalcidol 0.25mcg CAP One alpha Alfacalcidol Accepted treatment

Alfacalcidol 1mcg CAP One alpha Alfacalcidol Accepted treatment

Calcium acetate 660mg TAB Phosphorb Phosphate binder Accepted treatment

Calcitriol 0.25mcg CAP Rocaltrol Calcitriol Accepted treatment

Darbepoetin alfa 10mcg INJ Aranesp Darbepoetin alfa special investigations, Specialist initiation






Dextriferron 50mg/ml INJ CosmoFer Iron Supplements Special investigations; Specialist initiation

Dextriferron 50mg/2ml INJ CosmoFer Iron Supplements Special investigations; Specialist initiation

Ergocalciferol 1.25mg TAB Calciferol Ergocalciferol Accepted treatment

Erythropoietin 6000iu INJ Eprex Recormon Pre-Filled Erythropoietin special investigations, Specialist initiation

Erythropoietin 40000iu INJ Eprex 1ml Prefilled Erythropoietin special investigations, Specialist initiation

Erythropoietin 10000u/ml INJ Eprex prefill Recormon Pre-Filled Erythropoietin special investigations, Specialist initiation

Erythropoietin 2000u/05ml INJ Eprex prefill Erythropoietin special investigations, Specialist initiation

Erythropoietin 4000u/04ml INJ Eprex prefill Erythropoietin special investigations, Specialist initiation

Erythropoietin 2000iu INJ Recormon Pre-Filled Repotin 1ml Erythropoietin special investigations, Specialist initiation

Erythropoietin 30000iu INJ Recormon Pre-filled Erythropoietin special investigations, Specialist initiation

Erythropoietin 4000iu INJ Recormon Pre-Filled Repotin 1ml Erythropoietin special investigations, Specialist initiation

Erythropoietin 500iu INJ Recormon Pre-Filled Erythropoietin special investigations, Specialist initiation

Erythropoietin 6000iu INJ Recormon Pre-Filled Erythropoietin special investigations, Specialist initiation

Ferrous sulfate TAB Ferrous sulph co Iron Supplements Accepted treatment

Ferrous sulfate 100mg TAB Ferrous sulphate Iron Supplements Accepted treatment

Ferrous sulfate 30mg TAB Ferrous sulphate Iron Supplements Accepted treatment

Ferrous Lactate 25mg DRP Ferro L drops Iron Supplements Motivation required

Folic acid 0.5mg TAB Folic acid Folic acid Accepted treatment

Folic acid CAP Folic acid forte Folic acid Accepted treatment

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Folic acid 5mg TAB Be-tabs folic acid Folic acid Accepted treatment

Folic acid 5mg CAP Folic acid Folic acid Accepted treatment

Iron in other combinations 20mg/ml INJ Venofer Iron in other combinations Special investigation; specialist initiation

Iron Sucrose 20mg/ml INJ Zypiron Rautevene Iron Supplement Special investigation; specialist initiation

Iron multivitamins and folic acid

CAP Autrin Iron Supplements Special investigation

Iron vitamin B12 and folic acid

TAB Foliglobin Iron Supplements Special investigation

Erythropoietin 0.05mg/03ml INJ Mircera Erythropoeitin Special investigation; specialist initiation

Erythropoietin 0.075mg/0.3ml INJ Mircera Erythropoeitin Special investigation; specialist initiation




CORONARY ARTERY DISEASE

ICD10: I20.0, I20.1, I20.8, I20.9, I25.0, I25.1, I25.2, I25.3, I25.4, I25.5, I25.6, I25.8, I25.9




Acetylsalicylic acid 300mg TAB Be-tabs aspirin (white) Disprin Aspirin Accepted treatment

Amlodipine 10mg TAB Amlodac Keysal Calcium channel blockers Accepted treatment

Amlodipine 5mg TAB Klodip Stamlo Calcium channel blockers Accepted treatment

Amlodipine besylate 5mg TAB Austell-Amlodipine Lomanor Calcium channel blockers Accepted treatment

Amlodipine besylate 10mg TAB Calbloc Pharma Dynamics Amlodipine Besylate

Calcium channel blockers Accepted treatment




Atenolol 100mg TAB Gulf Atenolol 100 Sandoz Atenolol Beta blockers Accepted treatment

Atenolol 25mg TAB Tenopress Tenormin 25 Beta blockers Accepted treatment

Atenolol and other diuretics 100mg/25mg TAB Tenchlor Tenoretic Beta blocker and diuretics Accepted treatment

Atenolol and other diuretics 50mg/12.5mg TAB Tenchlor hs Tenoret 50 Beta blocker and diuretics Accepted treatment

Bisoprolol 2.5mg TAB Cardicor Beta blockers Accepted treatment

Bisoprolol 5mg TAB Cardicor Concor Beta blockers Accepted treatment

Bisoprolol 10mg TAB Concor Bilocor Beta blockers Accepted treatment

Carvedilol 12.5mg TAB Carvedilol-Hexal Carvetrend Alpha/beta blockers Accepted treatment

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Carvedilol 25mg TAB Carvedilol-Hexal Carvetrend Alpha/beta blockers Accepted treatment


Diltiazem 180mg SRC Adco-Zildem 180 SR Calcium channel blockers Accepted treatment


Dipyridimole 100mg TAB Plato Antithrombotic agent Motivation required

Dipyridimole 200mg SRC Persantin 200 Antithrombotic agent Motivation required

Dipyridimole & Acetylsalicylic acid

200mg/25 CAP Assasantin Antithrombotic agent Motivation required




Glyceryl trinitrate 0.5mg TAB Angised Organic nitrates Accepted treatment





Isosorbide mononitrate 20mg TAB Elantan Ismo 20 Organic nitrates Accepted treatment

Isosorbide mononitrate 50mg SRC Elantan la Organic nitrates Accepted treatment

Isosorbide-5-mononitrate 60mg SRT Imdur Monicor SR Organic nitrates Accepted treatment

Nifedipine 60mg SRT Fedaloc Macorel 60 SR Calcium channel blockers Accepted treatment

Nifedipine 60mg SRT Macorel 60 SR Calcium channel blockers Accepted treatment

Nifedipine 30mg SRT Spec Nifedipine SR Macorel 30 SR Calcium channel blockers Accepted treatment



Verapamil 240mg SRT Calcicard sr 240 Calcium channel blockers Accepted treatment

Verapamil 240mg SRT Isoptin sr Calcium channel blockers Accepted treatment

Verapamil 240mg SRT Ravamil sr Calcium channel blockers Accepted treatment


Verapamil 80mg TAB Vasomil Calcium channel blockers Accepted treatment

Verapamil 240mg SRT Verahexal 240 sr Calcium channel blockers Accepted treatment



Warfarin 5mg TAB Cipla Warfarin Aspen Warfarin Anticoagulants Accepted treatment

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CROHN'S DISEASE

ICD10: K50.0, K50.1, K50.8, K50.9

Azathioprine 50mg TAB Azapress Azathioprine Immunosuppressants Accepted treatment; Specialist initiation



Hydrocortisone 10mg TAB Covocort Corticoseriod, oral Accepted treatment

Loperamide 10mg TAB Prodium Imodium Antipropulsives Accepted treatment

Mesalazine 800mg TAB Asacol 5-ASA agents Motivation required

Mesalazine 2g/50ml ENE Asacol 5-ASA agents Motivation required


Mesalazine 500mg TAB Pentasa 5-ASA agents Motivation required

Methotrexate 2.5mg TAB Methotrexate Emthexate Immunosuppressants Accepted treatment; Specialist initiation

Metronidazole 200mg TAB Bemetrazole Acuzole Antibacterial Accepted treatment

Metronidazole 400mg TAB Adco-Metronidazole Metazol Antibacterial Accepted treatment

Olsalazine 250mg CAP Dipentum 5-ASA agents Motivation required

Prednisolone 5mg TAB Prelone Lenisolone Corticosteroids , oral Accepted treatment

Prednisone 5mg TAB Be-tabs prednisone Panafcort Corticosteroids, oral Accepted treatment

Sulfasalazine 500mg TAB Salazopyrin 5-ASA agents Accepted treatment; Specialist initiation

Sulfasalazine 500mg ECT Salazopyrin e n 5-ASA agents Accepted treatment; Specialist initiation

DIABETES INSIPIDUS

ICD10: E23.2

Carbamazepine 200mg TAB Degranol SANDOZ Carbamazepine Anticonvulsants Motivation required; Specialist initiation

Carbamazepine 400mg SRT SANDOZ Carbamazepine CR Tegretol CR Anticonvulsants Motivation required; Specialist initiation

Carbamazepine 200mg SRT SANDOZ Carbamazepine CR Tegretol CR Anticonvulsants Motivation required; Specialist initiation

Desmopressin 0.1mg TAB Ddavp Vasopressin analogues Motivation required; Specialist initiation

Desmopressin 0.2mg TAB Ddavp Vasopressin analogues Motivation required; Specialist initiation

Desmopressin 0.1mg/ml NOD Ddavp 2 5ml Vasopressin analogues Motivation required; Specialist initiation

Desmopressin 0.1mg/ml NAS Ddavp nasal spray 5ml Vasopressin analogues Motivation required; Specialist initiation

DYSRHYTHMIAS

ICD10: I47.2, I48.0, I48.1, I48.2, I48.3, I48.4, I48.9




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Acetylsalicylic acid 300mg DSP Disprin cv 300 disp Aspirin Accepted treatment

Acetylsalicylic acid 300mg TAB Gulf aspirin Bayer aspirin Aspirin Accepted treatment

Amiodarone 100mg TAB AryCor Hexarone Antiarrhythmics Motivation required; Specialist initiation

Amiodarone 200mg TAB Hexarone Bio-Amiodarone Antiarrhythmics Motivation required; Specialist initiation

Atenolol 100mg TAB Hexa-blok Ten-bloka Beta blockers Accepted treatment

Atenolol 25mg TAB Tenormin 25 Tenopress Beta blockers Accepted treatment

Bisoprolol 5mg TAB Bilocor Bisoprolol Hexal Beta blockers Accepted treatment

Bisoprolol 10mg TAB Bisohexal 10 Betacor Beta blockers Accepted treatment




Digoxin 0.05mg/ml SYR Lanoxin paed Cardiac glycosides Motivation required




Magnesium chloride 535mg TAB Slow-Mag Mag-SR Magnesium supplements Accepted treatment



Quinidine 200mg TAB Quinidine sulph Antiarrhythmics Motivation required; Specialist initiation










EPILEPSY

ICD10: G40.0, G40.1, G40.2, G40.3, G40.4, G40.5, G40.6, G40.7, G40.8, G40.9, G41.0, G41.2, G41.8, G41.9

Carbamazepine 100mg/5ml SUS Tegretol s Anticonvulsants Accepted treatment

Carbamazepine 200mg TAB Degranol SANDOZ Carbamazepine Anticonvulsants Accepted treatment

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Carbamazepine 400mg SRT SANDOZ Cabamazepine CR Tegretol CR Anticonvulsants Accepted treatment

Carbamazepine 200mg SRT SANDOZ Carbamazepine CR Tegretol CR Anticonvulsants Accepted treatment

Clonazepam 0.5mg TAB Rivotril Benzodiazepine derivatives Motivation required

Clonazepam 2.5mg DRP Rivotril Benzodiazepine derivatives Motivation required

Clonazepam 2mg TAB Rivotril Benzodiazepine derivatives Motivation required

Ethosuximide 250mg/5ml SYR Zarontin Ethosuximide Accepted treatment





Gabapentin 100mg CAP Epleptin Ran-Gabapentin Anticonvulsants Motivation required

Gabapentin 300mg CAP Epleptin Anticonvulsants Motivation required

Gabapentin 600mg TAB Neurontin Anticonvulsants Motivation required

Gabapentin 800mg TAB Neurontin Anticonvulsants Motivation required

Gabapentin 400mg CAP Ran-Gabapentin Anticonvulsants Motivation required

Lamotrigine 2mg DSP Lamictin P 2 Anticonvulsants Accepted treatment

Lamotrigine 5mg DSP Lamictin p5 Anticonvulsants Accepted treatment

Lamotrigine 100mg TAB Aspen Lamotrigine Epitec Anticonvulsants Accepted treatment

Lamotrigine 200mg TAB Dyna-Lamotrigine Lamidus Anticonvulsants Accepted treatment

Lamotrigine 25mg TAB Epitec Lamitor Anticonvulsants Accepted treatment

Lamotrigine 50mg TAB Epitec SANDOZ Lamotrigine Anticonvulsants Accepted treatment

Levetiracetam 100mg/ml SOL Keppra Anticonvulsants Motivation required

Levetiracetam 250mg TAB Keppra Redilev Anticonvulsants Motivation required

Levetiracetam 750mg TAB Keppra Redilev Anticonvulsants Motivation required

Levetiracetam 500mg TAB Redilev Anticonvulsants Motivation required

Oxcarbazepine 300mg TAB Trileptal fct Mylan Oxcarbazepine Anticonvulsants Accepted treatment

Oxcarbazepine 600mg TAB Trileptal fct Mylan Oxcarbazepine Anticonvulsants Accepted treatment

Phenobarbital SYR Adco-phenobarb vital Anticonvulsants Accepted treatment

Phenobarbital 30mg TAB Lethyl Sedabarb Anticonvulsants Accepted treatment

Phenytoin 100mg CAP Epanutin Anticonvulsants Accepted treatment

Phenytoin 125mg/5ml SUS Epanutin Anticonvulsants Accepted treatment

Phenytoin 100mg TAB Phenytoin sod Anticonvulsants Accepted treatment

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Phenytoin 100mg CAP Epanutin Anticonvulsants Accepted treatment

Topiramate 15mg CAP Topamax sc sprinkle Anticonvulsants Motivation required

Topiramate 200mg TAB Adco-topiramate Piramax Anticonvulsants Motivation required

Topiramate 25mg TAB Adco-topiramate Epitoz Anticonvulsants Motivation required

Topiramate 50mg TAB Epitoz Topalex Anticonvulsants Motivation required



Topiramate 100mg TAB Toplep Topalex Anticonvulsants Motivation required

Valproic acid 50mg/ml SYR Convulex Anticonvulsants Accepted treatment

Valproic acid 100mg TAB Epilim 100 crushable Anticonvulsants Accepted treatment

Valproic acid 200mg/5ml SYR Epilim sugar free Anticonvulsants Accepted treatment

Valproic acid 150mg CAP Convulex Anticonvulsants Accepted treatment



Valproic acid 200mg SRT Epilim cr 200 Anticonvulsants Accepted treatment



GLAUCOMA

ICD10:H40.0, H40.1, H40.2, H40.3, H40.4, H40.5, H40.6, H40.8, H40.8, H40.9, Q15.0

Acetazolamide 250mg TAB Azomid Diamox Carbonic anhydrase inhbitor Motivation required

Betaxolol 5mg/ml OPD Betoptic 5ml Beta blockers Accepted treatment

Betaxolol 0.25% OPD Betoptic s 5ml Beta blockers Accepted treatment

Bimatoprost 0.3mg/3ml OPD Lumigan 3ml Prostaglandin analogues Accepted treatment

Brimonidine 1.5mg/1ml OPD Alphagan 5ml Sympathomimetics Motivation required

Brinzolamide 1% OPD Azoptic 5ml eye suspension Carbonic anhydrase inhbitor Motivation required

Carteolol 2% OPD Teoptic 5ml Beta blockers Accepted treatment

Dorzolamide 2% OPD Trusopt 5ml owi Caronic anhydrase inhibitors Motivation required

Latanoprost 50ug OPD Xalatan 2 5ml Ocuprost Prostaglandin analogues Accepted treatment

Levobunolol 0.50% OPD Betagan 7 5ml Beta blockers Accepted treatment

Metipranolol 3% OPD Beta-opthiole 5ml Beta blockers Accepted treatment

Metipranolol 6% OPD Beta-opthiole 5ml Beta blockers Accepted treatment

Pilocarpine 10mg/ml OPD Isopto carpine 1% 15ml Parasympathomimetics Accepted treatment

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Pilocarpine 40mg/g OPD Pilogel gel 5gm Parasympathomimetics Accepted treatment

Timolol 5mg/ml OPD Glaucosan 5ml Beta blockers Accepted treatment

Timolol 1mg/g OPD Nyogel eye gel 5g Beta blockers Accepted treatment

Timolol 2.5mg/ml OPD Timoptol 5ml Beta blockers Accepted treatment

Timolol 5mg/ml OPD Timoptol 5ml Beta blockers Accepted treatment

Timolol 2.5mg/ml OPD Timoptol-xe 2 5ml Beta blockers Accepted treatment

Timolol 5mg/ml OPD Timoptol-xe 2 5ml Beta blockers Accepted treatment

Timolol combinations 10mg/5mg OPD Azarga Beta blockers combination Motivation required

Timolol combinations 0.50% OPD Cosopt 5ml Beta blockers Combination Motivation required

Timolol combinations 2mg/5mg OPD Combigan Beta blockers combination Motivation required

Timolol combinations OPD DuoTrav 2.5ml Beta blockers Combination Motivation required

Timolol combinations 0.3mg/5mg/ml OPD Ganfort Beta blockers Combination Motivation required

Timolol combinations OPD Xalacom 2 5ml Beta blockers Combination Motivation required

Travoprost 40ug/ml OPD Travatan 25ml Prostaglandin analogues Accepted treatment

HAEMOPHILIA

ICD10: D66, D67

Paracetamol will be reimbursed in the treatment of Haemophilia

Coagulation factor VIII 500iu INJ Kogenate fs powder for injection vial

Blood coagulation factor special investigations, Specialist initiation

Coagulation factor VIII 500iu INJ Haemosolvate viii Blood coagulation factor special investigations, Specialist initiation

Coagulation factor IX 1000iu/10ml INJ Octanine F1000 Blood coagulation factor special investigations, Specialist initiation



Coagulation Factor II, VII, IX, X

1000iu INJ Haemosolvex Factor IX Blood coagulation factor special investigations, Specialist initiation





Desmopressin 0.2mg TAB DDAVP Desmopressin special investigations, Specialist initiation

Desmopressin 0.1mg TAB DDAVP Desmopressin special investigations, Specialist initiation

Phytomenadion 10mg/ml INJ Konakion Vitamin K special investigations, Specialist initiation

Tranexamic acid 500mg TAB Cyklokapron Tranexamic acid Medwich Antifibrinolytics special investigations, Specialist initiation

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HYPERLIPIDAEMIA

ICD10: E78.0,E78.1, E78.2, E78.3, E78.4, E78.5

Acetylsalicylic acid 81mg ECT Ecotrin Aspirin Accepted treatment

Acetylsalicylic acid 100mg TAB Bayer aspirin cardio Disprin CV 100 disp TAB 100mg


Acetylsalicylic acid 300mg TAB Be-tabs aspirin (white) Bayer aspirin Aspirin Accepted treatment

Bezafibrate 400mg TAB Bezachole SR SANDOZ Bezafibrate Fibrates special investigations, lipogram

Bezafibrate 200mg TAB Bezalip Fibrates special investigations, lipogram

Simvastatin 10mg TAB Adco-Simvastatin Arrow Simvastatin Statins special investigations, lipogram

Simvastatin 20mg TAB Aspen Simvastatin Austell-Simvastatin Statins special investigations, lipogram

Simvastatin 40mg TAB Simvacor Michol Statins special investigations, lipogram

Simvastatin 80mg TAB Zysim Michol Statins special investigations, lipogram

Atorvastatin 10mg TAB Lipogen Atolip Statins special investigations, lipogram

Atorvastatin 20mg TAB Aspavor Atorvastatin Winthrop Statins special investigations, lipogram

Atorvastatin 40mg TAB Aspavor Lipogen Statins special investigations, lipogram

Atorvastatin 80mg TAB Atolip Lipogen Statins special investigations, lipogram

Nicotinic acid 100mg TAB Be-tabs nicotinic acid Niciotinic acid derivatives Special investigations, lipogram

HYPERTENSION

ICD10: I10, I11.0, I11.9, I12.0, I12.9, I13.0, I13.1, I13.2, I13.9, I15.0, I15.1, I15.2, I15.8< I15.9, O10.0, O10.1, O10.2, O10.3, O10.4, O10.9, O11

Acetylsalicylic acid 81mg ECT Ecotrin Aspirin Accepted treatment

Acetylsalicylic acid 100mg TAB Bayer aspirin cardio Disprin CV 100 disp TAB 100mg


Acetylsalicylic acid 300mg TAB Gulf aspirin Bayer aspirin Aspirin Accepted treatment

Amlodipine 5mg TAB Keysal Indo-Amlodipine Calcium channel blockers Accepted treatment

Amlodipine 10mg TAB Amtas Calcium channel blockers Accepted treatment

Amlodipine besylate 5mg TAB Calbloc Lomanor Calcium channel blockers Accepted treatment

Amlodipine besylate 10mg TAB Ciplavasc Pharma Dynamics Amlodipine Besylate




Atenolol 50mg TAB SANDOZ Atenolol Bio-atenolol Beta blockers Accepted treatment

Atenolol 100mg TAB Tenopress Gulf Atenolol 100 Beta blockers Accepted treatment


Atenolol and other diuretics 100mg/25mg TAB Tenoret Tenchlor Beta blockers and combinations Accepted treatment

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Atenolol and other diuretics 50mg/12.5mg TAB Tenoret Tenchlor hs Beta blockers and combinations Accepted treatment

Atenolol and thiazides 100mg/25mg TAB Adco-loten Beta blockers and combinations Accepted treatment

Bisoprolol 5mg TAB Bisoprolol Unicorn Adco-Bisocor Beta blockers Accepted treatment

Bisoprolol 10mg TAB Cardicor Betacor Beta blockers Accepted treatment


Captopril 12.5mg TAB Capoten hs Captohexal ACE-inhibitors Accepted treatment

Captopril 50mg TAB Captomax Captohexal ACE-inhibitors Accepted treatment

Captopril 25mg TAB Zapto Capoten ACE-inhibitors Accepted treatment

Captopril 50mg TAB Zapto Mylan-captopril 50 ACE-inhibitors Accepted treatment

Captopril and diuretics 50mg/25mg TAB Zapto-co Captoretic ACE-inhibitors and combinations Accepted treatment

Carvedilol 6.25mg TAB Carvedilol-Hexal Carloc 6.25 Alpha/beta blockers Accepted treatment

Carvedilol 12.5mg TAB Carvetrend Carloc 12.5 Alpha/beta blockers Accepted treatment

Carvedilol 25mg TAB Vediblok Carvedilol-Hexal Alpha/beta blockers Accepted treatment



Doxazosin 1mg TAB Cardugen (Prev Mylan-Doxasozin) Alpha blockers Motivation required

Doxazosin 4mg TAB Cardugen (prev Mylan-Doxasozin) Alpha blockers Motivation required

Doxazosin extended release 4mg TAB Cardura XL Carzin XL Alpha blockers Motivation required

Doxazosin 8mg TAB Cardura xl Alpha blockers Motivation required

Enalapril 5mg TAB Alapren 5 Renitec 5 ACE-inhibitors Accepted treatment

Enalapril 10mg TAB Envas Hr-enalapril 10 ACE-inhibitors Accepted treatment

Enalapril 20mg TAB Pharmapress Renitec 20 ACE-inhibitors Accepted treatment

Enalapril 2.5mg TAB Renitec 2 5 ACE-inhibitors Accepted treatment

Enalapril and diuretics 20mg/12.5mg TAB Co-renitec Enap co ACE-inhibitors and combinations Accepted treatment





Furosemide 40mg TAB Puresis SANDOZ Furosemide Diuretics Accepted treatment

Furosemide 20mg TAB Lasix Austell Furosemide Diuretics Accepted treatment


Hydralazine 50mg TAB SANDOZ Hydralazine Hyperphen Vasodilators Accepted treatment

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Hydrochlorothiazide 25mg TAB Ridaq Hexazide Diuretics Accepted treatment

Hydrochlorothiazide and potassium

50mg/300mg TAB Urirex-k Diuretics Accepted treatment


50mg/5mg TAB Adco-retic Betaretic Diuretics Accepted treatment





Indapamide 2.5mg TAB SANDOZ Indapamide Dapamax Diuretics Accepted treatment




Accepted treatment


Accepted treatment

Lisinopril 20mg TAB Auro-Lisinopril Hexal-lisinopril 20 ACE-inhibitors Accepted treatment

Lisinopril 2.5mg TAB Austell-lisinopril ACE-inhibitors Accepted treatment

Lisinopril 5mg TAB Zestril Zetomax ACE-inhibitors Accepted treatment

Lisinopril and diuretics 10mg/12.5mg TAB Zestoretic 10 Zetomax-Co ACE-inhibitors and combinations Accepted treatment

Lisinopril and diuretics 20mg/12.5mg TAB Zestozide Zetomax-Co ACE-inhibitors and combinations Accepted treatment

Losartan 100mg TAB Spec Losartan 100 Zartan Angiotensin receptor blockers Accepted treatment

Losartan 50mg TAB Zartan Cipla Losartan Angiotensin receptor blockers Accepted treatment

Losartan and diuretics 50mg/12.5mg TAB Losaar plus 50/12.5 Zartan Co Angiotensin receptor blockers and combinations

Accepted treatment

Losartan and diuretics 100mg/25mg TAB Lozaan Co Zartan Co Angiotensin receptor blockers and combinations

Accepted treatment

Methyldopa (levorotatory) 250mg TAB Hypotone SANDOZ Methyldopa Antiadrenegic agents, centrally acting

Accepted treatment

Methyldopa (levorotatory) 500mg TAB Hypotone Antiadrenegic agents, centrally acting

Accepted treatment

Minoxidil 10mg TAB Loniten Vasodilators Motivation required

Minoxidil 5mg TAB Loniten Vasodilators Motivation required

Nifedipine 30mg SRT Adco-Vascard SR Fedaloc Calcium channel blockers Accepted treatment

Nifedipine 60mg SRT Fedaloc Calcium channel blockers Accepted treatment


Nifedipine 20mg SRT Nifedalat SR Cipalat Retard Calcium channel blockers Accepted treatment

Nifedipine 60mg SRT Spec Nifedipine SR Calcium channel blockers Accepted treatment

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Perindopril 10mg TAB Prexum Coversyl ACE-inhibitors Accepted treatment

Perindopril 4mg TAB Vectoryl Acesyl ACE-inhibitors Accepted treatment

Perindopril 8mg TAB Vectoryl Spec-Perindopril ACE-inhibitors Accepted treatment

Perindopril 5mg TAB Prexum 5 ACE-inhibitors Accepted treatment

Perindopril 5mg/1.25mg TAB Prexum 5 Plus ACE-inhibitors Accepted treatment

Perindopril and diuretics 2mg/0.625mg TAB Spec-Perindopril Plus 2 Preterax ACE-inhibitors and combinations Accepted treatment

Perindopril and diuretics 4mg/1.25mg TAB Vectoryl plus Prexum Plus ACE-inhibitors and calcium channel blockers

Accepted treatment

Perindopril and diuretics 10mg/2.5mg TAB BioPrexum plus ACE-inhibitors and combinations Accepted treatment

Perindopril and Amlodipine 5mg/5mg TAB Coveram 5/5 ACE-inhibitors and calcium channel blockers

Accepted treatment


Accepted treatment


Accepted treatment


Accepted treatment

Potassium chloride 600mg TAB Slow-k Plenish k Potassium supplements Accepted treatment

Prazosin 1mg TAB Pratsiol Alpha blockers Motivation required





Quinapril 10mg TAB Quinaspen Quinagen ACE-inhibitors Accepted treatment

Quinapril 20mg TAB Quinaspen Quinagen ACE-inhibitors Accepted treatment


Ramipril 2.5mg CAP Austell-Ramipril ACE-inhibitors Accepted treatment


Ramipril 2.5mg CAP Apex-Ramipril 2.5mg ACE-inhibitors Accepted treatment



Ramipril 5mg TAB Retace RamiprilHexal ACE-inhibitors Accepted treatment

Ramipril 2.5mg CAP Ramiwin ACE-inhibitors Accepted treatment

Ramipril 5mg CAP RamiWin ACE-inhibitors Accepted treatment

Ramipril 10mg CAP Rampil ACE-inhibitors Accepted treatment

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Ramipril 2.5mg CAP Rampil ACE-inhibitors Accepted treatment

Ramipril 5mg CAP Rampil ACE-inhibitors Accepted treatment

Ramipril 10mg CAP Ran-Ramipril ACE-inhibitors Accepted treatment

Ramipril 10mg CAP Simayla Ramipril ACE-inhibitors Accepted treatment

Ramipril 10mg CAP Tritace ACE-inhibitors Accepted treatment

Ramipril 2.5mg TAB Tritace Retace ACE-inhibitors Accepted treatment

Reserpine 0.25mg TAB Reserpine Antiadrenegic agents, centrally acting

Accepted treatment

Reserpine and diuretics TAB Brinerdin Antiadrenegic agents, centrally acting

Motivation required

Spironolactone 25mg TAB Spiractin SANDOZ Spironolactone Diuretics Accepted treatment





Telimisatan and diuretic 80mg/25mg TAB Co-Pritor Co-Micardis ACE-Inhibitor and diuretic Accepted treatment

Trandolapril 0.5mg CAP Mavik (was Gopten) ACE-inhibitors and combinations Accepted treatment

Trandolapril 2mg CAP Mavik (was Gopten) ACE-inhibitors and combinations Accepted treatment

Valsartan 160mg TAB Zomevek Tareg Angiotensin receptor blockers Accepted treatment

Valsartan 80mg TAB Zomevek Tareg Angiotensin receptor blockers Accepted treatment


Accepted treatment


Accepted treatment

Valsartan and diuretics 320/12.5mg TAB Co-Diovan Angiotensin receptor blockers and combinations

Accepted treatment

Valsartan and diuretics 320mg/25mg TAB Co-Diovan Angiotensin receptor blockers and combinations

Accepted treatment

Valsartan and diuretics 160mg/25mg TAB Co-Zomevek Co-Tareg Plus Angiotensin receptor blockers and combinations

Accepted treatment

Valsartan and diuretics 80mg/12.5mg TAB Co-Zomevek Co-Tareg Angiotensin receptor blockers and combinations

Accepted treatment

Valsartan and diuretics 160mg/12.5mg TAB Co-Zomevek Co-Tareg Angiotensin receptor blockers and combinations

Accepted treatment





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HYPOTHYROIDISM

ICD10: E01.8, E02, E03.0, E03.1, E03.2, E03.3, E03.4, E03.5, E03.8, E03.9, E89.0

Levothyroxine sodium 0.05mg TAB Eltroxin Thyroid hormones Accepted treatment


Levothyroxine sodium 100mcg TAB Euthyrox Thyroid hormones Accepted treatment



Liothyronine sodium TAB Diotroxin Thyroid hormones Accepted treatment

Liothyronine sodium 20mcg TAB Tertroxin Thyroid hormones Accepted treatment

INSULIN-DEPENDENT DIABETES

ICD10: E E10.0, E10.1, E10.2, E10.3, E10.4, E10.5, E 10.6, E10.7, E10.8, E10.9, E12.3-E12.9, O24.0, O24.2, O24.3

Insulin (human) INJ Insu Humulin 30/70 3 0ml pre-fill disp

Insu Actraph HM ge 3 0ml Pensets+syringe

Insulin Accepted treatment

Insulin aspart 100U/ml INJ Insu Novomix 30 Flexpen 3ml pf device

Insu Novorapid Insulin Accepted treatment

Insulin detemir 100U/ml INJ Insu Levemir Insulin Accepted treatment

Insulin glargine 100iu/ml INJ Lantus Insulin Accepted treatment

Insulin glulisine 100iu/ml INJ Insu Apidra Insulin Accepted treatment

Insulin lispro 100IU/ml INJ Insu Humalog 10ml Insu humalog mix Insulin Accepted treatment

Diabetes Strips, lancets and neddles

Various Various Accepted treatment

MULTIPLE SCLEROSIS (Specialist initiation of therapy required)

ICD10: G35

Amitriptyline 10mg TAB Trepiline Heterocyclic antidepressant Accepted treatment

Azathioprine 50mg TAB Azamun Imuran Immunosuppressants Accepted treatment; Specialist initiation

Baclofen 10mg TAB Bio-Baclofen Lioresal Muscle relaxants Accepted treatment


Carbamazepine 200mg TAB SANDOZ Carbamazepine Degranol Anticonvulsants Accepted treatment


Clomipramine 10mg TAB Equinorm Anafranil Heterocyclic antidepressant Accepted treatment

Cyclophosphamide 50mg TAB Endoxan Immunosuppresant Accepted treatment; Specialist initiation




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Interferon beta-1a 30mcg INJ Avonex powder for injection Interferons Motivation required; Specialist initiation

Interferon beta-1a 22mcg INJ Rebiff 22 Interferons Motivation required; Specialist initiation

Interferon beta-1a 44mcg INJ Rebiff 44 Interferons Motivation required; Specialist initiation

Methotrexate 2.5mg TAB Emthexate Emthexate Immunosuppressants Accepted treatment; Specialist initiation

Orphenadrine (citrate) 100mg TAB Norflex Muscle relaxants Accepted treatment

Oxybutynin 5mg TAB Urihexal Lenditro Anticholinergics, oral Accepted treatment

Prednisolone 5mg TAB Lenisolone Prelone Corticosteroids , oral Accepted treatment


NON-INSULIN-DEPENDENT DIABETES

ICD10: E11.0, E11.1, E11.02, E11.3, E11.4, E11.5, E11.6, E11.7, E11.8, E11.9, E12.0, E12.1, E12.5-E12.9, O24.1-O24.3

Gliclazide 40mg TAB Austell-Gliclazide Suphonylureas Accepted treatment

Gliclazide 80mg TAB Glucomed Diaglucide Suphonylureas Accepted treatment

Gliclazide 60mg TAB Diaglucide MR 60 Diamicron MR 60 Suphonylureas Accepted treatment

Gliclazide 30mg SRT Diaran Dyna-Gliclazide SR Suphonylureas Accepted treatment

Insulin (human) INJ Insu Humulin 30/70 3 0ml pre-fill disp

Insu Actraph HM ge 3 0ml Pensets+syringe

Insulin Accepted treatment

Insulin aspart 100U/ml INJ Insu Novomix 30 Flexpen 3ml pf device

Insu Novorapid Insulin Accepted treatment

Insulin detemir 100U/ml INJ Insu Levemir Insulin Accepted treatment

Insulin glargine 100iu/ml INJ Lantus Insulin Accepted treatment

Insulin glulisine 100iu/ml INJ Insu Apidra Insulin Accepted treatment

Insulin lispro 100IU/ml INJ Insu Humalog 10ml Insu humalog mix Insulin Accepted treatment

Metformin 500mg TAB Arrow Metformin SANDOZ Metformin HCL FC

Biguanides Accepted treatment

Metformin 850mg TAB Auro-Metformin Mylan-metformin Biguanides Accepted treatment

Metformin 1000mg TAB Bigsens Glucophage Biguanides Accepted treatment

Diabetes strips, lancets and needles

Various Various Accepted treatment

PARKINSON'S DISEASE

ICD10: G20, G21.0, G21.1, G21.2, G21.3, G21.4, G21.8, G21.9

Amantadine 100mg CAP Symmetrel Symadin (was Flu-stop) Amantadine derivate Accepted treatment

Bromocriptine 2.5mg TAB Aspen Bromocriptine Dopamine agonists Motivation required

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Biperiden 2mg TAB Akineton Anticholinergics, oral Accepted treatment

Levodopa and Carbidopa 25mg/100mg TAB Carbilev 25/100 Sinemet Dopa and dopa derivatives Accepted treatment

Levodopa and Carbidopa 200mg/50mg TAB Madopar Dopa and dopa derivatives Accepted treatment

Levodopa and Benserazide 100mg/25mg CAP Madopar hbs Dopa and dopa derivatives Accepted treatment

Levodopa and Benserazide 25mg/250mg TAB Sinemet Teva Carbi-Levo Dopa and dopa derivatives Accepted treatment

Levodopa and Carbidopa 50mg/200mg SRT Sinemet cr Dopa and dopa derivatives Accepted treatment

Orphenadrine (chloride) 50mg TAB Disipal Muscle relaxants Accepted treatment


Pramipexole 0.125mg TAB Oxpola Pramex Dopamine agonists Motivation required

Pramipexole 0.25mg TAB Oxpola Pazoram Dopamine agonists Motivation required

Pramipexole 1mg TAB Oxpola Oxpola Dopamine agonists Motivation required

Ropinirole 0.25mg TAB Requip 025 Dopamine agonists Motivation required

Ropinirole 0.5mg TAB Requip 05 Dopamine agonists Motivation required

Ropinirole 1mg TAB Requip 10 Dopamine agonists Motivation required



Selegiline 5mg TAB Parkilyne Monoamine oxidase type B inhibitors

Accepted treatment

Trihexyphenidyl 2mg TAB Benzhexol Anticholinergics, oral Accepted treatment

RHEUMATOID ARTHRITIS (Initial diagnosis to be confirmed by a Rheumatologist)

ICD10:M05.00-M05.39 M05.80-M05.99, M06.00-M06.49, M06.80-M06.99, M08.00-M08.09, M05

Paracetamol will be reimbursed in the treatment of Rheumatoid Arthritis.

Azathioprine 50mg TAB Zaprine Azathioprine 50 PCH Immunosuppressants Accepted treatment; Specialist initiation

Chloroquine 200mg TAB Nivaquine Plasmoquine Aminoquinolines Accepted treatment; Specialist initiation

Chloroquine 250mg TAB SANDOZ Chloroquine phosphate Aminoquinolines Accepted treatment; Specialist initiation

Ciclosprine 100mg/ml SYR Sandimmun Neoral Immunosuppressants Accepted treatment; Specialist initiation

Ciclosprine 100mg/ml CAP Sandimmun Neoral Immunosuppressants Accepted treatment; Specialist initiation

Ciclosprine 25mg CAP Sandimmun Neoral Immunosuppressants Accepted treatment; Specialist initiation

Cyclophosphamide 50mg TAB Endoxan Immunosuppressants Motivation required

Diclofenac 25mg TAB Adco-diclofenac Panamor-25 Non-steroidal anti-inflammatory drugs

Accepted treatment

Diclofenac 50mg TAB Dynak Panamor at-50 Non-steroidal anti-inflammatory drugs

Accepted treatment

Diclofenac 100mg CAP Fortfen SR Non-steroidal anti-inflammatory drugs

Accepted treatment

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Diclofenac 100mg SRT Panamor-100 sr SANDOZ Diclofenac Sodium SR

Non-steroidal anti-inflammatory drugs

Accepted treatment

Diclofenac 75mg SRT Panamor-75 sr Voltaren 75 Non-steroidal anti-inflammatory drugs

Accepted treatment





Ibuprofen 400mg TAB Inza Ranfen Non-steroidal anti-inflammatory drugs

Accepted treatment

Ibuprofen 100mg/5ml SUS Brufen for children Ibugesic Non-steroidal anti-inflammatory drugs

Accepted treatment

Ibuprofen 200mg TAB Ibuflam Inza Non-steroidal anti-inflammatory drugs

Accepted treatment

Indomethacin 25mg CAP SANDOZ Idomethacin Arthrexin Non-steroidal anti-inflammatory drugs

Accepted treatment

Leflunomide 10mg TAB Arava Immunosuppressants Motivation required

Leflunomide 20mg TAB Arava Immunosuppressants Motivation required

Mefanamic acid 250mg CAP Fenamin Adco Mefanamic acid Non-steroidal anti-inflammatory drugs

Accepted tretment


Accepted treatment

Meloxicam 15mg TAB Loxiflam Arrow Meloxicam Non-steroidal anti-inflammatory drugs

Accepted treatment

Meloxicam 7.5mg TAB SANDOZ Meloxicam Coxflam Non-steroidal anti-inflammatory drugs

Accepted treatment

Methotrexate 2.5mg TAB Emthexate Emthexate Immunosuppressants Accepted treatment

Naproxen 250mg TAB Adco-naproxen Mylan-naproxen Non-steroidal anti-inflammatory drugs

Accepted treatment

Naproxen 500mg TAB Napflam Non-steroidal anti-inflammatory drugs

Accepted treatment

Piroxicam 10mg CAP Adco-piroxicam Non-steroidal anti-inflammatory drugs

Accepted treatment

Piroxicam 20mg CAP Adco-piroxicam Xycam Non-steroidal anti-inflammatory drugs

Accepted treatment

Piroxicam 20mg DSP Pixicam Xycam dispers Non-steroidal anti-inflammatory drugs

Accepted treatment

Prednisolone 5mg TAB Lenisolone Prelone Corticosteroids , oral Motivation required

Prednisone 5mg TAB Be-tabs prednisone Panafcort Corticosteroids, oral Motivation required



SCHIZOPHRENIA (Diagnosis and all initiation of treatment to be done by a Psychiatrist)

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ICD10: F20.0, F20.1, F20.2, F20.3, F20.4, F20.5, F20.6, F20.8, F20.9

Amisulpride 200mg TAB Solian Antipsychotics Accepted treatment

Amisulpride 50mg TAB Solian Antipsychotics Accepted treatment


Aripiprazole 5mg TAB Abilify Antipsychotics Accepted treatment






Citalopram 20mg TAB Auro-Citalopram Austell-Citalopram Selective serotonin receptor inhibitors

Accepted treatment


Accepted treatment

Citalopram 40mg TAB Depramil Arrow Citalopram Selective serotonin receptor inhibitors

Accepted treatment





Dothiepin 25mg CAP Prothiaden Thaden Heterocyclic antidepressants Accepted treatment

Dothiepin 75mg TAB Thaden Heterocyclic antidepressants Accepted treatment


Accepted treatment

Fluoxetine 20mg TAB Lorien Prolax Selective serotonin receptor inhibitors

Accepted treatment


Accepted treatment

Flupenthixol 0.5mg TAB Fluanxol Antipsychotics Accepted treatment

Flupenthixol 1mg TAB Fluanxol Antipsychotics Accepted treatment






Olanzapine 10mg TAB Olexar Olawin Antipsychotics Accepted treatment

of 58




Olanzapine 2.5mg TAB Redilanz Zyprexa Antipsychotics Accepted treatment

Paliperidone 3mg TAB Invega Antipsychotics Accepted treatment



Paliperidone 75mg, 150mg INJ Xeplion Antipsychotics Motivation required

Pimozide 1mg TAB Orap Antipsychotics Accepted treatment

Pimozide 4mg TAB Orap Antipsychotics Accepted treatment

Quetiapine 25mg TAB Dopaquel Serez Antipsychotics Accepted treatment



Quetiapine 300mg TAB Serez Truvalin Antipsychotics Motivation required

Quetiapine 200mg SRT Seroquel XR 200 Antipsychotics Motivation required










Sulpiride 50mg CAP Eglonyl Substituted benzamide Accepted treatment

Sulpiride 50mg CAP Espiride Substituted benzamide Accepted treatment

Sulpiride 50mg CAP SANDOZ Sulpiride Substituted benzamide Accepted treatment

Trifluoperazine 1mg TAB Stelazine Selective serotonin receptor inhibitors

Accepted treatment


Accepted treatment

Ziprasidone 20mg CAP Geodon Antipsychotics Accepted treatment




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Zuclopenthixol 200mg/ml INJ Clopixol depot Antipsychotics Motivation required

SYSTEMIC LUPUS ERYTHEMATOSUS (Specialist initiation of therapy required)

ICD10: L93.0, L93.1, L93.2, M32.0, M32.1†I32.8*, M32.1†I39.0*, M32.1†I39.1*, M32.1†I39.2*, M32.1†I39.3*, M32.1†I39.4*, M32.1†I39.8*, M32.1†N08.5*, M32.1†N16.4* , M32.1†J99.1*

Paracetamol will be reimbursed for Systemic Lupus Erythematosus

Azathioprine 50mg TAB Zaprine Azathioprine 50 PCH Immunosuppressants Accepted treatment; Specialist initiation

Betamethasone 0.10% CRE Adco-betamethasone Betamethasone valer Corticosteroids, topical Accepted treatment

Betamethasone 0.05g/100g CRE Betnovate Corticosteroids, topical Accepted treatment

Betamethasone 0.1g/100g OIN Persivate Lenovate Corticosteroids, topical Accepted treatment

Betamethasone 0.1g/100g LOT Betnovate scalp Corticosteroids, topical Accepted treatment

Chloroquine 200mg TAB Nivaquine Plasmoquine Other Accepted treatment; Specialist initiation

Chloroquine 250mg TAB SANDOZ Chloroquine phosphate Other Accepted treatment; Specialist initiation

Clobetasol 0.5mg CRE Dermovate Xenovate Corticosteroids, topical Accepted treatment; Specialist initiation

Clobetasol 0.5mg OIN Dermovate Dovate Corticosteroids, topical Accepted treatment; Specialist initiation

Clobetasone CRE Eumovate Corticosteroids, topical Motivation required

Clobetasone OIN Eumovate Corticosteroids, topical Motivation required


Accepted treatment

Diclofenac 50mg TAB Dynak Panamor at-50 Non-steroidal anti-inflammatory drugs

Accepted treatment


Accepted treatment



Accepted treatment


Accepted treatment

Fluocinolone acetonide 0.25mg/g CRE CORTODERM (PPF) Synalar Corticosteroids, topical Accepted treatment

Fluocinolone acetonide 0.25mg/g OIN CORTODERM (PPF) Synalar Corticosteroids, topical Accepted treatment





Hydrocortisone 0.5g OIN Dilucort Corticosteroids, topical Accepted treatment

Hydrocortisone 5mg/g CRE Dilucort Skincalm Corticosteroids, topical Accepted treatment

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Hydrocortisone 10mg/g OIN Mylocort Procutan Corticosteroids, topical Accepted treatment

Hydrocortisone 10mg/g CRE Mylocort Procutan Corticosteroids, topical Accepted treatment


Accepted treatment


Accepted treatment

Ibuprofen 200mg TAB Ranfen Inza Non-steroidal anti-inflammatory drugs

Accepted treatment


Accepted treatment

Loperamide 2mg TAB Adco-loperamide Betaperamide Antipropulsives Accepted treatment


Accepted tretment


Accepted treatment


Accepted treatment


Accepted treatment

Methotrexate 2.5mg TAB Emthexate Emthexate Immunosuppressants Accepted treatment; Specialist initiation


Accepted treatment


Accepted treatment

Piroxicam 10mg CAP Adco-piroxicam Rolab-piroxicam Non-steroidal anti-inflammatory drugs

Accepted treatment


Accepted treatment


Accepted treatment

Prednisolone 5mg TAB Lenisolone Prelone Corticosteroids , oral Motivation required

Prednisone 5mg TAB Be-tabs prednisone Panafcort Corticosteroids, oral Motivation required

Salicylic acid PWD Salicylic acid BP Salicylic Acid Accepted treatment

ULCERATIVE COLITIS

ICD10: K51.0, K51.1, K51.2, K51.3, K51.4, K51.5, K51.8, K51.9

Azathioprine 50mg TAB Azapress Imuran Immunosuppressants Accepted treatment; Specialist initiation



Mercaptopurine 50mg TAB Purinethol Immunosuppressants Accepted treatment; Specialist initiation


Mesalazine 2g/50ml ENE Asacol 5-ASA agents Motivation required

of 58




Mesalazine 500mg TAB Pentasa 5-ASA agents Motivation required


Olsalazine 250mg CAP Dipentum 5-ASA agents Motivation required





DIAGNOSES AND TREATMENT PAIRS (DTP) CONDITIONS ADRENOCORTICAL HYPERSECRETION

ICD 10: E25.0 E25.8 E25.9 E26.0 E26.1 E26.8 E26.9


50mg/5mg TAB Amiloretic Betaretic Diuretics Accepted treatment





Spironolactone 25mg TAB SANDOZ Spironolactone Spiractin Diuretics Accepted treatment

ADRENOCORTICAL INSUFFICIENCY

ICD 10: E27.0 E27.1 E27.2 E27.3 E27.4 E27.5 E27.8 E27.9

Fludrocortisone 0.1mg TAB Florinef acetate Corticosteroids , oral Motivation required




ANAEMIA

ICD 10: D50.0 D51.0 D50.1 D50.8 D50.9 D51.0 D51.1 D51.2 D51.3 D51.8 D51.9 D52.0 D52.1 D52.8 D52.9 D53.0 D53.1 D53.2 D53.8 D53.9 D55.0 D55.1 D55.2 D55.3 D55.8 D55.9 D57.0 D57.1 D57.2 D57.8 D58.0 D58.1 D59.0 D59.1 D59.2 D59.3 D59.4 D59.6 D59.8 D59.9 D60.0 D60.1 D60.8 D60.9 D61.0 D61.1 D61.2 D61.3 D61.8 D61.9 D62 D63.0

Cyanocobalamin 1000mcg/ml INJ Vitamin b12 10ml Iron supplementation, oral special investigations, Full blood count

Cyanocobalamin 1000mcg/ml INJ Vitamin b12 1ml Iron supplementation, oral special investigations, Full blood count

Ferrous fumarate TAB Pregamal Iron Supplements special investigations, Full blood count

Ferrous Lactate 25mg DRP Ferro L drops special investigations, Full blood count

Ferrous sulfate TAB Ferrous sulph co Iron Supplements special investigations, Full blood count

Ferrous sulfate 100mg TAB Ferrous sulphate Iron Supplements special investigations, Full blood count

Ferrous sulfate 30mg TAB Ferrous sulphate Iron Supplements special investigations, Full blood count


of 58







100mg TAB Foliferr Iron multivitamins and folic acid special investigations, Full blood count

Iron Polymaltose 50mg CAP Ferrimed Iron Supplements special investigations, Full blood count


CAP Autrin Iron preparations special investigations, Full blood count

Iron vitamin B12 and folic acid

TAB Foliglobin Iron preparations special investigations, Full blood count

ARRHYTHMIAS

ICD 10: I44.0 I44.1 I44.2 I44.3 I44.4 I44.5 I44.6 I44.7 I45.0 I45.0 I45.1 I45.2 I45.3 I45.4 I45.5 I45.6 I45.8 I46.0 I46.9 I47.0 I47.1 I47.2 I47.9 I48 I49.0 I49.1 I49.2 I49.3 I49.4 I49.5 I49.8 I49.9 P29.1





Amiodarone 100mg TAB AryCor Cordarone x Antiarrhythmics Motivation required; Specialist initiation

Amiodarone 200mg TAB Bio-Amiodarone Hexarone Antiarrhythmics Motivation required; Specialist initiation

Atenolol 100mg TAB Sandoz Atenolol Tenopress Beta blockers Accepted treatment

Atenolol 50mg TAB Sandoz Atenolol Tenopress Beta blockers Accepted treatment


Bisoprolol 10mg TAB Cardicor Bilocor Beta blockers Accepted treatment


Bisoprolol 5mg TAB Cardicor Bilocor Beta blockers Accepted treatment

Bisoprolol 10mg TAB Concor Beta blockers Accepted treatment





Digoxin 0.05mg/ml SYR Lanoxin paed Cardiac glycosides Motivation required


Dipyridamole 100mg TAB Plato Antithrombotic agents Motivation required

Magnesium chloride 535mg TAB Slow-Mag Mag-SR Magnesium supplements Accepted treatment


Propranolol 10mg TAB Indoblok 10 Purbloka Beta blockers Accepted treatment

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Quinidine 200mg TAB Quinidine sulph Antiarrhythmics Motivation required; Specialist initiation

Verapamil 40mg TAB Isoptin Vasomil Calcium channel blockers Accepted treatment






BENIGN PROSTATIC HYPERTROPHY

ICD 10: N40 N42.3

Doxazosin 1mg TAB Cardugen (Prev Mylan-Doxasozin) Alpha-adrenoreceptor antagonists Accepted treatment

Doxazosin 4mg TAB Cardugen (prev Mylan-Doxasozin) Alpha-adrenoreceptor antagonists Accepted treatment

Doxazosin (extended release)

4mg TAB Cardura XL Carzin XL Alpha-adrenoreceptor antagonists Motivation required

Silodosin 4mg TAB Silodyx 4 Alpha-adrenoreceptor antagonists Accepted treatment

Silodosin 8mg TAB Silodyx 8 Alpha-adrenoreceptor antagonists Accepted treatment

Tamsulosin 0,4mg SRC Prostaflo sr Beniprosin Testosterone-5-alpha reductase inhibitors

Motivation required

COAGULATION DEFECTS

ICD 10: D68.0 D68.1 D68.2 D68.3 D68.4 D68.8 D68.9 D69.1 D69.3 D69.4 D69.5 D69.6 D69.8





Heparin 5000u/ml INJ Bio-heparin Antithrombotic Motivation required, Special investigations

Heparin 5000u/ml INJ Bio-Heparin 5000 Antithrombotic Motivation required, Special investigations

Heparin 100ml INF Trasylol Antithrombotic Motivation required, Special investigations

Heparin 1000u/ml INJ Heparin sod 1ml-fresenius Antithrombotic Motivation required, Special investigations




Tranexamic acid 500mg TAB Tranexamic acid Medwich Cyklokapron Antifibrinolytics Motivation required, Special investigations



of 58




COMPLICATIONS OF HYPERTENSION

ICD 10: I27.0 I27.2 I67.4 Q27.1





Amlodipine 10mg TAB Almadin Gulf Amlodipine Calcium channel blockers Accepted treatment

Amlodipine 5mg TAB Almadin Gulf Amlodipine Calcium channel blockers Accepted treatment


Digoxin 0.25mg TAB Lanoxin Purgoxin Cardiac glycosides Accepted treatment


Diltiazem 180mg SRC Adco Zildem 180 SR Calcium channel blockers Accepted treatment

Diltiazem 240mg SRC ADco Zildem 240 SR Calcium channel blockers Accepted treatment

Dipyridamole 200mg SRC Persantin 200 Antithrombotic agents Motivation required


Dipyridamole ad acetylsalicylic acid

200mg/25mg CAP Assasantin Retard Antithrombotic agents Accepted treatment



Furosemide 10mg/ml SYR Lasix oral Diuretics Motivation required;

Furosemide 40mg TAB Mylan-furosemide Beurises Diuretics Accepted treatment

Furosemide 20mg TAB Lasix Austell-Furosemide Diuretics Accepted treatment


50mg/5mg TAB Adco-retic Spec-Co-Amiloride Diuretics Accepted treatment







Indapamide 2.5mg TAB Cipla-Indapamide Daptril Diuretics Accepted treatment




Accepted treatment

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Accepted treatment

Methyldopa (levorotatory) 250mg TAB Hypotone SANDOZ Methyldopa Antiadrenegic agents, centrally acting

Accepted treatment

Methyldopa (levorotatory) 500mg TAB Hypotone Antiadrenegic agents, centrally acting

Accepted treatment

Nifedipine 20mg SRT Cipalat Retard Nifedalat SR Calcium channel blockers Accepted treatment

Nifedipine 30mg SRT Fedaloc Spec Nifedipine SR Calcium channel blockers Accepted treatment

Nifedipine 60mg SRT Fedaloc Spec Nifedipine SR Calcium channel blockers Accepted treatment

Reserpine 0.25mg TAB Reserpine Antiadrenegic agents, centrally acting

Accepted treatment

Spironolactone 100mg TAB Aldactone Diuretics Accepted treatment

Spironolactone 25mg TAB Aldactone SANDOZ Spironolactone Diuretics Accepted treatment

Verapamil 40mg TAB Isoptin Vasomil Calcium channel blockers Accepted treatment






CONGENITAL IODINE DEFICIENCY

ICD 10: E00.0 E00.1 E00.2 E00.9






Liothyronine sodium 90mcg TAB Diotroxin Thyroid hormones Accepted treatment


CUSHING'S SYNDROME

ICD 10: E24.0 E24.1 E24.2 E24.3 E24.8 E24.9

Octreotide 0.05mg INJ Sandostatin Growth hormone release inhibitor Motivation required; Specialist initiation



Octreotide 10mg INJ Sandostatin LAR prefilled Growth hormone release inhibitor Motivation required; Specialist initiation

Octreotide 20mg INJ Sandostatin LAR prefilled Growth hormone release inhibitor Motivation required; Specialist initiation

of 58



DELUSIONAL DISORDERS

ICD 10: F22.0 F22.8 F22.9

Amisulpiride 50mg TAB Solian Antipsychotics Accepted treatment



Aripiprazole 5mg TAB Abilify Antipsychotics Motivation required







Accepted treatment


Accepted treatment


Accepted treatment



Clozapine 100mg TAB Cloment Leponex Antimanic agent Accepted treatment





Accepted treatment

Fluoxetine 20mg TAB Lorien Selective serotonin receptor inhibitors

Accepted treatment


Accepted treatment








of 58








Paliperidone 3mg TAB Invega Antipsychotics Motivation required













Risperidone 3mg TAB Auropidone Antipsychotics Accepted treatment




Risperidone 1mg TAB Risperlet Rispacor Antipsychotics Accepted treatment






Accepted treatment


Accepted treatment

Ziprasidone 20mg CAP Geodon Antipsychotics Motivation required


of 58







DISSEMINATED BULLOUS SKIN DISEASE

ICD 10: L10.0 L10.1 L10.2 L10.3 L10.4 L10.5 L10.8 L10.9 L12.0 L12.1 L12.2 L12.3 L12.8 L12.9 L13.0 L13.1 L13.8 L13.9 Q81.0 Q81.1 Q81.2 Q81.8 Q81.9

Ciclosporin 100mg CAP Sandimmun Neoral soft gel Immuosuppressants Motivation required

Ciclosporin 25mg CAP Sandimmun Neoral soft gel Immuosuppressants Motivation required

Methotrexate 2.5mg TAB Emthexate Methotrexate Immunosuppressants Accepted treatment



ENDOMETRIOSIS

ICD 10: N80.0 N80.1 N80.2

Cyproterone & Estrogen 2mg TAB Ginette Minerva Hormonal preparations, oral Accepted treatment; specialist initiation

Cyproterone acetate 50mg TAB Cipla-cyproterone acetate Cyproplex Hormonal preparations, oral Accepted treatment; specialist initiation

Cyproterone acetate 2mg TAB Adco-fem Diane-35 Hormonal preparations, oral Accepted treatment; specialist initiation

Danazol 100mg CAP Danogen Ladazol (Ladogar) Antigonadotropins Accepted treatment; specialist initiation

Desogestrel and estrogen TAB Marvelon 150/30 Hormonal preparations, oral Accepted treatment; specialist initiation

Desogestrel and estrogen TAB Mercilon Hormonal preparations, oral Accepted treatment; specialist initiation

Dienogest 2mg TAB Visanne Hormonal preparations, oral Accepted treatment; specialist initiation

Drospirenone and estrogen TAB Yasmin Ruby Hormonal preparations, oral Accepted treatment; specialist initiation

Drospirenone and estrogen TAB Yaz Hormonal preparations, oral Accepted treatment; specialist initiation

Gestodene and estrogen TAB Femodene ed Minulette Hormonal preparations, oral Accepted treatment; specialist initiation

Gestodene and estrogen TAB Melodene Hormonal preparations, oral Accepted treatment; specialist initiation

Gestodene and estrogen TAB Mirelle Minesse Hormonal preparations, oral Accepted treatment; specialist initiation

Gestodene and estrogen TAB Tri-minulet Hormonal preparations, oral Accepted treatment; specialist initiation

Gestodene and estrogen TAB Triodene ed Hormonal preparations, oral Accepted treatment; specialist initiation

Goserelin 10.8mg INJ Zoladex Gonadotropin releasing hormone analogues

Motivation required; Specialist initiation

Goserelin 3.6mg INJ Zoladex Gonadotropin releasing hormone analogues

Motivation required; Specialist initiation

Levonorgestrel and estrogen

TAB Biphasil Hormonal preparations, oral Accepted treatment; specialist initiation


TAB Logynon ed Hormonal preparations, oral Accepted treatment; specialist initiation

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TAB Triphasil Hormonal preparations, oral Accepted treatment; specialist initiation

Medroxyprogesterone 10mg TAB HEXAL-MPA 10 Provera Hormone replacement therapy Accepted treatment; specialist initiation

Medroxyprogesterone 5mg TAB HEXAL-MPA 5 Provera Hormone replacement therapy Accepted treatment; specialist initiation

Medroxyprogesterone 10mg TAB HEXAL-MPA 10 Provera Hormonal preparations, oral Accepted treatment; specialist initiation

Medroxyprogesterone 5mg TAB HEXAL-MPA 5 Provera Hormonal preparations, oral Accepted treatment; specialist initiation

Norethisterone 5mg TAB Primolut n Hormonal preparations, oral Accepted treatment; specialist initiation

Norethisterone 5mg TAB Primolut n Hormonal preparations, oral Accepted treatment; specialist initiation

Norethisterone and estrogen

0.5mg TAB Trinovum Hormonal preparations, oral Accepted treatment; specialist initiation

HYPERPARATHYROIDISM

ICD 10: E21.0 E21.1 E21.2 E21.3 E21.4 E21.5

Chloroquine 200mg TAB Nivaquine Aminoquinolines Accepted treatment

Chloroquine 200mg CAP Plasmoquine Aminoquinolines Accepted treatment

Chloroquine 250mg TAB SANDOZ Chloroquine phosphate Aminoquinolines Accepted treatment

HYPERTHYROIDISM

ICD 10: E05.0 E05.1 E05.2 E05.3 E05.4 E05.5 E05.8 E05.9

Carbimazole 5mg TAB Neo-mercazole Imidazole derivatives Motivation required



HYPOPARATHYROIDISM

ICD 10: E20.0 E20.1 E20.8 E20.9 E89.2 P71.4

Alfacalcidol 0.25mcg CAP One alpha Vitamin supplement Accepted treatment

Alfacalcidol 1mcg CAP One alpha Vitamin supplement Accepted treatment

Calcium 500mg CHU B-cal Mineral Supplement Accepted treatment

Calcium carbonate 500mg SAC Calcidose vit d oral powder Mineral Supplement Accepted treatment

Calcium carbonate 500mg EFT Calcium-hexal 500 Fizzical 500 Mineral Supplement Accepted treatment

Calcium carbonate 500mg TAB Calsuba calcium Mineral Supplement Accepted treatment

Calcium carbonate 300mg CHU Caltrate 300 Link calcium Mineral Supplement Accepted treatment

Calcium carbonate 600mg EFT Caltrate 600 + D effervescent Mineral Supplement Accepted treatment

Calcium carbonate 600mg TAB Caltrate d Mineral Supplement Accepted treatment

Calcium gluconate 300mg TAB Calcium gluconate (fams) Calcium gluconate chew Mineral Supplement Accepted treatment

Calcium, combinations with other drugs

500mg CHU B-cal-d vitamin & Mineral Supplement Accepted treatment

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Calcium, combinations with other drugs

500mg TAB B-cal-d vitamin & Mineral Supplement Accepted treatment

Calcitriol 0.25mg CAP Rocaltrol Vitamin supplement Accepted treatment

Ergocalciferol 50000u TAB Calciferol Vitamin supplement Accepted treatment

Ergocalciferol DRP Calciferol oily Vitamin supplement Accepted treatment

Hydrochlorothiazide 25mg TAB Hexazide Ridaq Diuretics Accepted treatment


ISCHAEMIC HEART DISEASE

ICD 10: I21.0 I21.1 I21.2 I21.3 I21.4 I21.9 I22.0 I22.1 I22.8 I22.9 I23.0 I23.1 I23.2 I23.5 I23.6 I23.8 I24.1 I24.8 I24.9 I51.0 I51.1 I51.2 I51.3 I51.5 I51.7




Acetylsalicylic acid 300mg TAB Be-tabs aspirin (white) Disprin Aspirin Accepted treatment

Amlodipine 10mg TAB Amlodac Keysal Calcium channel blockers Accepted treatment

Amlodipine 5mg TAB Klodip Stamlo Calcium channel blockers Accepted treatment

Amlodipine besylate 5mg TAB Austell-Amlodipine Lomanor Calcium channel blockers Accepted treatment

Amlodipine besylate 10mg TAB Calbloc Pharma Dynamics Amlodipine Besylate





Atenolol 100mg TAB Gulf Atenolol 100 Sandoz Atenolol Beta blockers Accepted treatment


Atenolol and other diuretics 100mg/25mg TAB Tenchlor Tenoretic Beta blocker and diuretics Accepted treatment

Atenolol and other diuretics 50mg/12.5mg TAB Tenchlor hs Tenoret 50 Beta blocker and diuretics Accepted treatment


Bisoprolol 5mg TAB Cardicor Concor Beta blockers Accepted treatment

Bisoprolol 10mg TAB Concor Bilocor Beta blockers Accepted treatment


Carvedilol 25mg TAB Carvedilol-Hexal Carvetrend Alpha/beta blockers Accepted treatment


Diltiazem 180mg SRC Adco Zildem 180 SR Calcium channel blockers Accepted treatment

Diltiazem 240mg SRC ADco Zildem 240 SR Calcium channel blockers Accepted treatment

Dipyridamole 200mg SRC Persantin 200 Antithrombotic agents Motivation required

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Dipyridamole ad acetylsalicylic acid

200mg/25mg CAP Assasantin Retard Antithrombotic agents Accepted treatment

Dipyridimole 100mg TAB Plato Antithrombotic agent Motivation required



Glyceryl trinitrate 0.5mg TAB Angised Organic nitrates Accepted treatment





Isosorbide mononitrate 20mg TAB Elantan Ismo 20 Organic nitrates Accepted treatment

Isosorbide mononitrate 50mg SRC Elantan la Organic nitrates Accepted treatment

Isosorbide-5-mononitrate 60mg SRT Imdur Monicor SR Organic nitrates Accepted treatment

Nifedipine 60mg SRT Fedaloc Calcium channel blockers Accepted treatment


Nifedipine 20mg SRT Nifedalat SR Cipalat Retard Calcium channel blockers Accepted treatment

Nifedipine 30mg SRT Spec Nifedipine SR Macorel 30 SR Calcium channel blockers Accepted treatment

Nifedipine 60mg SRT Spec Nifedipine SR Calcium channel blockers Accepted treatment












MENOPAUSE

ICD 10: N95.0 N95.1 N95.2 N95.3 N95.8 N95.9

Clonidine 0.025mg TAB Dixarit Menograine Alpha-2 agonists Accepted treatment

Conjugated estrogens 0.3mg TAB Premarin Hormonal preparations, oral Accepted treatment

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Conjugated estrogens 0.625mg/g VCR Premarin Hormonal preparations, oral Motivation required


Estradiol 7.8mg PAD Climara 100 Hormonal preparations, oral Accepted treatment

Estradiol 3.9mg PAD Climara 50 Hormonal preparations, oral Accepted treatment

Estradiol 37.5mcg PAD Estradot Hormonal preparations, oral Accepted treatment

Estradiol 50mcg PAD Estradot Evorel 50 tts Hormonal preparations, oral Accepted treatment

Estradiol 75mcg PAD Estradot Evorel 75 tts Hormonal preparations, oral Accepted treatment

Estradiol 1mg TAB Estrofem Estro-pause 1mg Hormonal preparations, oral Accepted treatment

Estradiol 2mg TAB Estrofem Estro-pause 2mg Hormonal preparations, oral Accepted treatment

Estradiol JEL Femigel pump Hormonal preparations, oral Accepted treatment

Estradiol; combinations TAB Menoflush Hormonal preparations, oral Accepted treatment

Estriol 2mg TAB Synapause-e3 Hormonal preparations, oral Accepted treatment

Medroxyprogesterone 10mg TAB HEXAL-MPA 10 Provera Hormonal preparations, oral Motivation required

Medroxyprogesterone 5mg TAB HEXAL-MPA 5 Provera Hormonal preparations, oral Motivation required


TAB Activelle Hormonal preparations, oral Accepted treatment


50/140 PAD Estalis Hormonal preparations, oral Motivation required


TAB Novofem Hormonal preparations, oral Accepted treatment


TAB Estro-pause n Hormonal preparations, oral Accepted treatment


TAB Estro-pause n forte Hormonal preparations, oral Accepted treatment


TAB Trisequens Hormonal preparations, oral Accepted treatment

Norgestrel and estrogen TAB Postoval Hormonal preparations, oral Accepted treatment

MINERAL & ELECTROLYTE DEFICIENCIES

E87.6


MUSCULAR DYSTROPHY

ICD 10: G71.0

See "Hypertension" for a list if diuretics and antihypertensive agents

See "Epilepsy" for a list of anticonvulsants Prednisone 5mg/ml SYR Pulmison paed oral solution Corticosteroids , oral Motivation required


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MYCOBACTERIAL INFECTION (EXCL TB)

ICD 10: A30.0 A30.1 A30.2 A30.3 A30.4 A30.5 A30.8 A30.9 A31.0

Ethambutol 400mg TAB Sandoz ethambutol Antimycobacterial special investigations

Ethionamide 250mg TAB Ethatyl Antimycobacterial Motivation required

Isoniazid 100mg TAB Norstan Isoniazid Antimycobacterial special investigations

Moxifloxacin 400mg TAB Numoxx DRL Moxifloxacin Quinolone antibacterial Motivation required

Pyrazinamide 500mg TAB Pyrazide Sandoz pyrazinamide Antimycobacterial special investigations

Pyridoxine (vit B6) 25mg TAB Be-tabs pyridoxine hcl Pyridoxine Vitamin supplement Accepted treatment

Pyridoxine (vit B6) 25mg TAB Pyridoxine Vitamin B6 Vitamin supplement Accepted treatment

Rifampicin 150mg CAP Rimactane Antimycobacterial special investigations

Rifampicin 450mg TAB Rimactane Antimycobacterial special investigations

Rifampicin 600mg TAB Rimactane Antimycobacterial special investigations

Rifampicin & isoniazid 150/150mg TAB Rifinah Antimycobacterial special investigations

Rifampicin & isoniazid 300mg TAB Rifinah Antimycobacterial special investigations

Rifampicin & isoniazid 60/30mg TAB Rimactazid paed Antimycobacterial special investigations

Rifampicin & isoniazid 60/60mg TAB Rimactazid paed Antimycobacterial special investigations

Rifampicin, isoniazid, pyrazinamide & ethambutol

150/75/400/275mg TAB Rifafour E-275 Rimstar 4-FDC Antimycobacterial special investigations

NEONATAL CARDIAC DYSRHYTHMIA

ICD 10: P29.1

Amiodarone 100mg TAB AryCor Hexarone Antiarrhythmics Motivation required

Amiodarone 200mg TAB AryCor Hexarone Antiarrhythmics Motivation required

Atenolol 50mg TAB Gulf Atenolol Tenopress Beta blockers Accepted treatment

Atenolol 100mg TAB Gulf Atenolol 100 Tenopress Beta blockers Accepted treatment


Bisoprolol 10mg TAB Bilocor Cardicor Beta blockers Accepted treatment

Bisoprolol 5mg TAB Bilocor Cardicor Beta blockers Accepted treatment



Nicotinic acid 100mg TAB Be-tabs nicotinic acid Peripheral vasodilator special investigations, Pathology report indicating deficiency



Quinidine 200mg TAB Quinidine sulph Antiarrhythmics Motivation required

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Sotalol 160mg TAB Sotahexal Beta blockers Motivation required

Sotalol 80mg TAB Sotahexal Beta blockers Motivation required

NEONATAL CARDIAC FAILURE

ICD 10: P29.0



NEPHRITIC SYNDROME

ICD 10: N01.0 N01.1 N01.2 N01.3 N01.4 N01.5 N01.6 N01.7 N01.8 N01.9 N04.0 N04.1 N04.2 N04.3 N04.4 N04.5 N04.6 N04.7 N04.8 N04.9 N11.8 N11.9 N12

See under "Chronic Renal Failure"

NEPHROGENIC DIABETES INSIPIDUS

ICD 10: N25.1





Accepted treatment

Diclofenac 50mg TAB Diclohexal Panamor at-50 Non-steroidal anti-inflammatory drugs

Accepted treatment


Accepted treatment



Accepted treatment


Accepted treatment

Hydrochlorothiazide 25mg TAB Hexazide Ridaq Diuretics Accepted treatment



50mg/5mg TAB Adco-retic Moduretic Diuretics Accepted treatment




Accepted treatment


Motivation required


Accepted treatment


Accepted treatment


Accepted treatment

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Accepted treatment



Accepted treatment


Accepted treatment


Accepted treatment


Accepted treatment


Accepted treatment

NEUROLOGICAL ABNORMALITIES OF THE NEWBORN

ICD 10: G80.0 G80.1 G80.2 G80.3 G80.4 G80.8 G80.9

Baclofen 10mg TAB Bio-Baclofen Teva Baclofen Muscle relaxants Accepted treatment

Carbamazepine 100mg/5ml SUS Tegretol s Anticonvulsants Accepted treatment



Phenobarbitone 30mg TAB Lethyl Anticonvulsants Accepted treatment

Valproic acid 50mg/ml SYR Convulex Anticonvulsants Accepted treatment

Valproic acid 100mg TAB Epilim 100 crushable Anticonvulsants Accepted treatment

Valproic acid 200mg/5ml SYR Epilim sugar free Anticonvulsants Accepted treatment





Valproic acid 300mg SRT Epilim cr 300 Navalpro Anticonvulsants Accepted treatment

Valproic acid 500mg SRT Epilim cr 500 Navalpro Anticonvulsants Accepted treatment

NUTRITIONAL DEFICIENCIES

ICD 10: E40 E41 E42 E43 E46 E50.0-E50.9 E51.1 E51.2 E51.8 E51.9 E52 E53.0 E53.1 E53.8 E53.9 E54 E55.0 E55.9 E56.1 E56.9 E61.1 E61.7 E63.0

Ascorbic acid (vit C) 100mg TAB Ascorbic acid Ascorbic acid (xpressmed) Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 200mg TAB Ascorbic acid Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 250mg TAB Ascorbic acid Ascorbic acid (xpressmed) Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 50mg TAB Ascorbic acid Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 250mg CHU Ascorbic Acid Vitamin supplement Motivation required, Pathology report indicating deficiency

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Ascorbic acid (vit C) 500mg TAB Ascorbic Acid Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 100mg TAB Ascorbic acid (fams) Vitaforce acerola Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 500mg TAB Be-tabs ascorbic acid Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 300mg TAB Vitaforce Acerola Vital vit c Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 600mg TAB Vital vit c hp Vitamin c Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 150mg TAB Vitamin c (150mg) bio-organics Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 1000mg TAB Vitamin C 1000mg Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 500mg TAB Vitamin c 500 Vitamin supplement Motivation required, Pathology report indicating deficiency

Ascorbic acid (vit C) 500mg CAP Vitamin c 500 Vitamin supplement Motivation required, Pathology report indicating deficiency

Calcitriol 0.25mg CAP Rocaltrol Calcitriol Motivation required, Pathology report indicating deficiency

Ergocalciferol 50000u TAB Calciferol Ergocalciferol Motivation required, Pathology report indicating deficiency

Ergocalciferol DRP Calciferol oily Ergocalciferol Motivation required, Pathology report indicating deficiency

MULTIVITAMINS COMBINATIONS

TAB VIT B CO CHOCOLATE MULTIVITAMINS COMBINATIONS Motivation required, Pathology report indicating deficiency

Nicotinamide 100mg TAB Be-tabs nicotinamide Vitaforce nicotinamide Vitamin supplement Motivation required, Pathology report indicating deficiency

Nicotinic acid 100mg TAB Holland and barrett niacin b3 Vitamin supplement Motivation required, Pathology report indicating deficiency

Nicotinic acid 330mg CAP Niacin (flush free) Vitamin supplement Motivation required, Pathology report indicating deficiency

Nicotinic acid 100mg TAB Niacin(Nicotinic Acid)(Vitamin B3) Be-tabs nicotinic acid Vitamin supplement Motivation required, Pathology report indicating deficiency

Nicotinic acid CAP Vitamin B3 Vitamin supplement Motivation required, Pathology report indicating deficiency

Pyridoxine (vit B6) 25mg TAB Be-tabs pyridoxine hcl Vitamin supplement Motivation required, Pathology report indicating deficiency

Pyridoxine (vit B6) 25mg TAB Pyridoxine Vitamin supplement Motivation required, Pathology report indicating deficiency

Pyridoxine (vit B6) 25mg TAB Pyridoxine Vitamin supplement Motivation required, Pathology report indicating deficiency

Pyridoxine (vit B6) 25mg TAB Vitamin B6 Vitamin supplement Motivation required, Pathology report indicating deficiency

Retinol (vit A) 50000u TAB Arovit Vitamin supplement Motivation required, Pathology report indicating deficiency

Thiamine (vit B1) 100mg TAB Thiamine hcl Vitamin supplement Motivation required, Pathology report indicating deficiency

Tocopherol (vit E) 1000iu CAP Vital vit e Vitamin supplement Motivation required, Pathology report indicating deficiency



Tocopherol (vit E) TAB Vitamin e bio-organics Vitamin supplement Motivation required, Pathology report indicating deficiency

Vitamin B-complex; plain SYR Vitamin b co Vitamin b co syrup Vitamin supplement Motivation required, Pathology report indicating deficiency

Vitamin B-complex; plain TAB Vitamin b co chocolate Vitamin supplement Motivation required, Pathology report indicating deficiency

Vitamin B-complex; plain SYR VITAMIN B CO SYRUP Vitamin b co syrup(fams) Vitamin supplement Motivation required, Pathology report indicating deficiency

Vitamin B-complex; plain TAB Vitamin B Complex Vitamin supplement Motivation required, Pathology report indicating deficiency

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Vitamin B-complex; plain CAP Vitamin b complex Vitamin supplement Motivation required, Pathology report indicating deficiency

Vitamin B-complex; plain INJ Vitamin b complex Vitamin supplement Motivation required, Pathology report indicating deficiency

OTHER DIABETES MELLITUS

E13.0 E13.1 E14.0 E14.1 E15 E16.0 E16.2

Glucagon 1mg INJ Glucagen Hypokit Glycogenolytic hormone Motivation required

OVARIAN DYSFUNCTION

ICD 10: E28.0 E28.1 E28.2 E28.3 E28.8 E28.9 L68.0 N34.2 N83.3 N91.0 N91.1 N91.2 N91.4

Cyproterone & Estrogen 2mg TAB Ginette Minerva Hormonal preparations, oral Motivation required

Cyproterone acetate 50mg TAB Androcur Hormonal preparations, oral Motivation required

Cyproterone acetate 50mg TAB Cipla-cyproterone acetate Hormonal preparations, oral Motivation required

Cyproterone acetate 2mg TAB Diane-35 Ginette Hormonal preparations, oral Motivation required

Desogestrel and estrogen TAB Marvelon 150/30 Hormonal preparations, oral Motivation required

Desogestrel and estrogen TAB Mercilon Hormonal preparations, oral Motivation required

Drospirenone and estrogen TAB Yasmin Ruby Hormonal preparations, oral Motivation required

Drospirenone and estrogen TAB Yaz Hormonal preparations, oral Motivation required

Gestodene and estrogen TAB Femodene ed Minulette Hormonal preparations, oral Motivation required

Gestodene and estrogen TAB Melodene Hormonal preparations, oral Motivation required

Gestodene and estrogen TAB Mirelle Hormonal preparations, oral Motivation required

Gestodene and estrogen TAB Minesse Hormonal preparations, oral Motivation required

Gestodene and estrogen TAB Triodene ed Hormonal preparations, oral Motivation required


TAB Biphasil Hormonal preparations, oral Motivation required


TAB Logynon ed Hormonal preparations, oral Motivation required


TAB Triphasil Hormonal preparations, oral Motivation required


TAB Trinovum Hormonal preparations, oral Motivation required

PEPTIC ULCER DISEASE

ICD 10: K25.0 K25.1 K25.2 K25.4 K25.5 K25.6 K26.0 K26.1 K26.2 K26.4 K26.5 K27.0 K27.1 K27.2 K27.4 K27.5 K27.6 K28.0 K28.1 K28.2 K28.4 K28.5 K28.6 K29.0 K26.6 K26.6

Cimetidine 200mg TAB Bio-cimetidine Cimlok H2-receptor antagonists Accepted treatment

Cimetidine 400mg TAB Bio-cimetidine Cimlok H2-receptor antagonists Accepted treatment

Omeprazole 10mg CAP Altosec Omez Proton Pump Inhibitors Accepted treatment

Omeprazole 20mg CAP Altosec Omez Proton Pump Inhibitors Accepted treatment

Omeprazole 40mg TAB Omez Proton Pump Inhibitors Motivation required

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Ranitidine 75mg TAB Histak 75 Austac-75 H2-receptor antagonists Accepted treatment

Ranitidine 150mg TAB Ranihexal 150 Ranit H2-receptor antagonists Accepted treatment

Ranitidine 300mg TAB Ranihexal 300 Ranit H2-receptor antagonists Accepted treatment

Ranitidine 150mg/10ml SYR Zantac H2-receptor antagonists Motivation required

PERIPHERAL VASCULAR DISEASE

ICD 10: I73.1








PITUITARY HYPERFUNCTION

ICD 10: E22.0 E22.1 E22.2 E22.8 E22.9 E23.7

Bromocriptine 2.5mg TAB Aspen Bromocriptine Dopamine agonists Motivation required

Carbegoline 0.5mg TAB Dostinex Prolactin inhibitors Motivation required; Special investigations

PITUITARY HYPOFUNCTION

ICD 10: E23.7

Conjugated estrogens 0.3mg TAB Premarin Hormone replacement therapy Accepted treatment

Conjugated estrogens 0.625mg TAB Premarin Hormone replacement therapy Accepted treatment

Estradiol 7.8mg PAD Climara 100 Hormone replacement therapy Accepted treatment

Estradiol 3.9mg PAD Climara 50 Hormone replacement therapy Accepted treatment

Estradiol 37.5mcg PAD Estradot Hormone replacement therapy Accepted treatment

Estradiol 50mcg PAD Estradot Evorel 50 tts Hormone replacement therapy Accepted treatment

Estradiol 75mcg PAD Estradot Evorel 75 tts Hormone replacement therapy Accepted treatment

Estradiol 1mg TAB Estrofem Hormone replacement therapy Accepted treatment

Estradiol 2mg TAB Estrofem Hormone replacement therapy Accepted treatment

Estradiol 1mg TAB Estro-pause 1mg Hormone replacement therapy Accepted treatment

Estradiol 2mg TAB Estro-pause 2mg Hormone replacement therapy Accepted treatment

Estradiol JEL Femigel pump Hormone replacement therapy Accepted treatment

Estradiol 1mg TAB Progynova Hormone replacement therapy Accepted treatment

Estradiol 2mg TAB Progynova Hormone replacement therapy Accepted treatment

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Liothyronine sodium 90mcg TAB Diotroxin Thyroid hormones Accepted treatment


Testosterone cypionate 100mg/ml IMP Depo-testosterone 10ml androgens Motivation required

SCHIZOAFFECTIVE DISORDER

ICD 10: F25.0 F25.1 F25.2 F25.8 F25.9











Accepted treatment


Accepted treatment


Accepted treatment








Accepted treatment

Fluoxetine 20mg TAB Lorien Selective serotonin receptor Accepted treatment

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inhibitors


Accepted treatment















Olanzapine 2.5mg TAB Redilanz Zyprexa Antipsychotics Accepted treatment














Risperidone 3mg TAB Auropidone Antipsychotics Accepted treatment


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Risperidone 1mg TAB Risperlet Rispacor Antipsychotics Accepted treatment






Accepted treatment


Accepted treatment







SPINAL CORD INJURIES

ICD 10: G81.0 G81.1 G81.9 G82.0 G82.1 G82.2 G82.3 G82.4 G82.5 N31.0 N31.1 N31.2 N31.8 N31.9

Paracetamol will be reimbursed in the treatment of Rheumatoid Arthritis.

Amitriptyline 10mg TAB Trepiline Heterocyclic antidepressant Accepted treatment


Baclofen 10mg TAB Bio-Baclofen Teva Baclofen Muscle relaxants Accepted treatment

Bisacodyl 5mg TAB Dulcolax Laxatives Accepted treatment

Bisacodyl paed SUP Dulcolax Laxatives Accepted treatment





Accepted treatment

Diclofenac 50mg TAB Mylan Diclofenac Panamor at-50 Non-steroidal anti-inflammatory drugs

Accepted treatment


Accepted treatment



Accepted treatment

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Accepted treatment

Diphenoxylate/Atropine 2.5mf/0.025mg TAB Lomotil Antipropulsives Accepted treatment

Gabapentin 300mg CAP Epleptin Anticonvulsants Motivation required

Gabapentin 400mg CAP Ran-Gabapentin Anticonvulsants Motivation required

Glycerol SUP Glycerine Adult Glycerine Infant Laxatives Accepted treatment


Accepted treatment


Accepted treatment


Accepted treatment




Accepted treatment

Ispaghula 3.5g GRA Ispagel Agiobulk Laxatives Accepted treatment

Lactulose 3.3g/5ml SYR Aculax Duphalac Laxatives Accepted treatment

Laurilsulfate; incl. combinations

ENE Microlax 5ml Laxatives Accepted treatment


Loperamide 1mg/5ml SYR Gastron Imodium Antipropulsives Accepted treatment

Loperamide 2mg TAB Gastron Antipropulsives Accepted treatment

Lornoxicam 4mg TAB Xefo 4 Non-steroidal anti-inflammatory drugs

Accepted treatment

Lornoxicam 8mg TAB Xefo 8 Non-steroidal anti-inflammatory drugs

Accepted treatment

Macrogol, combinations SAC Movicol Laxatives Accepted treatment


Accepted treatment


Accepted treatment



Accepted treatment


Accepted treatment

Oxybutynin 5mg TAB Urihexal Lenditro Anticholinergics, oral Accepted treatment


Accepted treatment


Accepted treatment

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Accepted treatment

Mineral salts in combination PDR Golytely Laxatives Accepted treatment

Mineral salts in combination POW Go-lytely 68 5775g Laxatives Accepted treatment

Mineral salts in combination SAC Klean-prep Laxatives Accepted treatment

Nalidixic acid 500mg TAB Puromylon Quinolone antibacterial Motivation required

Nalidixic acid SUS Winlomylon susp Quinolone antibacterial Motivation required

Nitrofurantoin 25mg/5ml SUS Furadantin Antibiotics, oral Motivation required

Nitrofurantoin 100mg CAP Macrodantin Antibiotics, oral Motivation required

Nitrofurantoin 50mg CAP Macrodantin Antibiotics, oral Motivation required

Nitroxoline TAB Nicene-n Other antibacterial Motivation required


Senna glycosides TAB Senokot Soflax Laxatives Accepted treatment

Senna glycosides combinations

SAC AgioGel Agiolax Laxatives Accepted treatment

Senna glycosides combinations

GRA Agiolax Laxatives Accepted treatment

Sodium phosphate ENE Fosenema enema 150ml Lenolax(fleet) Laxatives Accepted treatment

Sodium phosphate ENE Lenolax paed enema Laxatives Accepted treatment

Sorbitol PDR Sorbitol Laxatives Accepted treatment

Sterculia GRA Normacol/special Laxatives Accepted treatment

Sterculia; combinations GRA Normacol plus Laxatives Accepted treatment

STROKE

ICD 10: :G93.1 I67.6 I61.0 I61.1 I61.2 I61.3 I61.4 I61.5 I61.6 I61.8 I61.9 I63.1 I63.2 I63.3 I63.4 I63.5 I63.6 I63.8 I63.9 I64 I67.6





Dipyridamole 200mg CAP Persantin 200 Antithrombotic agents Accepted treatment

Dipyridamole and acetylsalicylic acid

200mg/25mg CAP Asasantin 200/25 retard Antithrombotic agents Accepted treatment





THALASSEMIA

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ICD 10: D56.0 D56.1 D56.2 D56.3 D56.4 D56.8 D56.9 D58.2 D74.0 D74.8 D74.9

Ascorbic acid 250mg TAB Be-tabs ascorbic acid Vitamin Supplement Motivation required; Specialist initiation

Deferasirox 125mg DSP Exjade Iron Chelating agents Motivation required; Specialist initiation



Deferoxamine 500mg INJ Desferal Iron Chelating agents Motivation required; Specialist initiation

THROMBOEMBOLIC DISEASE

ICD 10: G08 I26.0 I26.9 I67.6 I70.2 I70.00 I70.01 I70.10 I70.11 I70.20 I70.21 I70.80 I70.81 I74.0 I74.1 I74.4 I74.5 I74.8 I80.1 I80.2 I80.3 I80.8 I82.1 I82.2 I82.3 I82.8 K75.1





Dipyridamole 200mg SRC Persantin 200 retard Antithrombotic agents Accepted treatment







TRANSIENT ISCHAEMIC ATTACK

ICD 10: G45.0 G45.1 G45.2 G45.3 G45.4 G45.8 G45.9 I65.0 I65.1 I65.2 I65.3 I65.8 I65.9 I66.0 I66.1 I66.2 I66.3 I66.4 I66.8 I66.9





Dipyridamole 200mg src Persantin 200 retard Antithrombotic agents Accepted treatment







TUBERCULOSIS

ICD 10: A15.0-A15.9 A16.0 A16.1 A16.2 A16.3 A16.4 A16.5 A16.7 A16.8 A16.9 A17.8 A17.9 A18.0 A18.8 A18.9 A31.0 A98.0 A37.0 A19.0 A19.1 A19.2 A19.8 A19.9 U50.00 U50.01 U50.9 U50.90 U50.91 U50.10 U50.11 U50.20 U50.21 U50.30 U50.31 U50.40 U50.41 U50.50 U50.51 U50.60 U50.61 U84.3 U50.90 U50.91

Ethambutol 400mg TAB Sandoz ethambutol Antimycobacterial special investigations, Sputum Test

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Ethionamide 250mg TAB Ethatyl Antimycobacterial Motivation required, Sputum Test

Isoniazid 100mg TAB Norstan Isoniazid Antimycobacterial special investigations, Sputum Test

Moxifloxacin 400mg TAB Numoxx DRL Moxifloxacin Quinolone antibacterial Motivation required, Sputum Test

Pyrazinamide 500mg TAB Pyrazide Sandoz pyrazinamide Antimycobacterial special investigations, Sputum Test

Pyridoxine (vit B6) 25mg TAB Be-tabs pyridoxine hcl Pyridoxine Vitamin supplement special investigations, Pathology report indicating deficiency

Pyridoxine (vit B6) 25mg TAB Pyridoxine Vitamin B6 Vitamin supplement special investigations, Pathology report indicating deficiency

Rifampicin 150mg CAP Rimactane Antimycobacterial special investigations, Sputum Test

Rifampicin 450mg TAB Rimactane Antimycobacterial special investigations, Sputum Test

Rifampicin 600mg TAB Rimactane Antimycobacterial special investigations, Sputum Test

Rifampicin & isoniazid 150/150mg TAB Rifinah Antimycobacterial special investigations, Sputum Test

Rifampicin & isoniazid 300mg/150mg TAB Rifinah Antimycobacterial special investigations, Sputum Test

Rifampicin & isoniazid 60/30mg TAB Rimactazid paed Antimycobacterial special investigations, Sputum Test

Rifampicin & isoniazid 60/60mg TAB Rimactazid paed Antimycobacterial special investigations, Sputum Test

Rifampicin, isoniazid, pyrazinamide & ethambutol

150/75/400/275mg TAB Rifafour E-275 Antimycobacterial special investigations, Sputum Test

VALVULAR HEART DISEASE

ICD 10: I05.0 I05.1 I05.2 I05.8 I05.9 I09.0 I09.1 I09.2 I09.8 I09.9 I34.0 I34.2 I34.8 I34.9 I35.0 I35.1 I35.1 I35.2 I35.8 I35.9

Note: medicines under "heart failure" will also be reimbursed under this condition.

Benzylpenicillin INJ Bio-Pen 5 M U Antibiotics Accepted treatment

Erythromycin 250mg TAB/CAP Racemin Adco-erythromycin Antibiotics, oral Accepted treatment

Phenoxymethylpenicillin 125mg/5mg SUSP Athlone phoxymethyl peniillin Motivation required

Phenoxymethylpenicillin 250mg/mg SUSP Athlone phoxymethyl peniillin Motivation required

core chronic medication formulary

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