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									                                                                            Mediscor Extended Formulary :
                                                                                   Publication date : 08/11/


                Medicine Name                      Active Ingredient


      TEGRETOL 100MG/5ML SUSP     CARBAMAZEPINE SUSP 100 MG/5ML
      DEGRANOL 200MG TABS         CARBAMAZEPINE TAB 200 MG
      SANDOZ CARBAMAZEPINE 200M   CARBAMAZEPINE TAB 200 MG
      TEGRETOL 200MG TABS         CARBAMAZEPINE TAB 200 MG
      SANDOZ CARBAMAZEPINE CR 2   CARBAMAZEPINE TAB SR 12HR 200 MG
      TEGRETOL CR 200MG TABS      CARBAMAZEPINE TAB SR 12HR 200 MG
      SANDOZ CARBAMAZEPINE CR 4   CARBAMAZEPINE TAB SR 12HR 400 MG
      TEGRETOL CR 400MG TABS      CARBAMAZEPINE TAB SR 12HR 400 MG
      EPLEPTIN 100MG CAPS         GABAPENTIN CAP 100 MG
      NEUREXAL 100MG CAPS         GABAPENTIN CAP 100 MG
      NEURONTIN 100MG CAPS        GABAPENTIN CAP 100 MG
      RAN-GABAPENTIN 100MG CAPS   GABAPENTIN CAP 100 MG
      EPLEPTIN 300MG CAPS         GABAPENTIN CAP 300 MG
      NEUREXAL 300MG CAPS         GABAPENTIN CAP 300 MG
      NEURONTIN 300MG CAPS        GABAPENTIN CAP 300 MG
      RAN-GABAPENTIN 300MG CAP    GABAPENTIN CAP 300 MG
      EPLEPTIN 400MG CAPS         GABAPENTIN CAP 400 MG
      NEUREXAL 400MG CAPS         GABAPENTIN CAP 400 MG
      NEURONTIN 400MG CAPS        GABAPENTIN CAP 400 MG
      RAN-GABAPENTIN 400MG CAPS   GABAPENTIN CAP 400 MG
      NEURONTIN 600MG TAB         GABAPENTIN TAB 600 MG
      NEURONTIN 800MG TAB         GABAPENTIN TAB 800 MG
      LYRICA 150MG CAP            PREGABALIN CAP 150 MG
      LYRICA 25MG CAP             PREGABALIN CAP 25 MG
      LYRICA 75MG CAP             PREGABALIN CAP 75 MG
      EPILIM 200MG/5ML LIQ        VALPROATE SODIUM LIQD 200 MG/5ML
      CONVULEX 50MG/ML SYR        VALPROATE SODIUM SYRUP 250 MG/5ML (BASE EQUIV)
      EPILIM 100MG CRUSH TAB      VALPROATE SODIUM TAB 100 MG
      EPILIM CR 200MG TAB         VALPROATE SODIUM TAB CR 200 MG
      EPILIM CR 300MG TAB         VALPROATE SODIUM TAB CR 300 MG
      EPILIM CR 500MG TAB         VALPROATE SODIUM TAB CR 500 MG
      CONVULEX 150MG CAPS         VALPROIC ACID CAP 150 MG
      CONVULEX 300MG CAPS         VALPROIC ACID CAP 300 MG
      CONVULEX 500MG CAPS         VALPROIC ACID CAP DELAYED RELEASE 500 MG
      DF-118 30MG TABS            DIHYDROCODEINE BITARTRATE TAB 30 MG
      CYMBALTA 30MG CAPS          DULOXETINE HCL ENTERIC COATED PELLETS CAP 30 MG
      CYMGEN 30MG CAPS            DULOXETINE HCL ENTERIC COATED PELLETS CAP 30 MG
      CYMBALTA 60MG CAPS          DULOXETINE HCL ENTERIC COATED PELLETS CAP 60 MG
      CYMGEN 60MG CAPS            DULOXETINE HCL ENTERIC COATED PELLETS CAP 60 MG
      AUSTELL-TRAMADOL 50MG CAP   TRAMADOL HCL CAP 50 MG
      DOLOTRAM 50MG CAPS          TRAMADOL HCL CAP 50 MG
      DOMADOL 50MG CAPS           TRAMADOL HCL CAP 50 MG
      TRAMAHEXAL 50MG             TRAMADOL HCL CAP 50 MG
      TRAMAL 50MG CAPS            TRAMADOL HCL CAP 50 MG
      TRAMAZAC 50MG CAPS          TRAMADOL HCL CAP 50 MG
      TRAMGESIC FLASHTABS 50MG    TRAMADOL HCL TAB 50 MG
      TRAMAHEXAL SR 100MG SR TA   TRAMADOL HCL TAB CR 100 MG
      TRAMAL SR 100MG TABS        TRAMADOL HCL TAB CR 100 MG
      TRAMAHEXAL SR 150MG SR T    TRAMADOL HCL TAB CR 150 MG
      TRAMAL SR 150MG TABS        TRAMADOL HCL TAB CR 150 MG




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      TRAMAHEXAL SR 200MG SRT               TRAMADOL HCL TAB CR 200 MG
      REMICAINE+UR 2GM/100ML GE             LIDOCAINE HCL GEL 2%
      EMLA 5% PATCH                         LIDOCAINE-PRILOCAINE ANESTHETIC DISC 2.5-2.5%
      EMLA 5%                               LIDOCAINE-PRILOCAINE CREAM 2.5-2.5%
      TOPLA CREAM                           LIDOCAINE-PRILOCAINE CREAM 2.5-2.5%
      AMETHOCAINE CREAM                     TETRACAINE HCL CREAM 1%
      ANETHAINE CREAM                       TETRACAINE HCL CREAM 1%
      TREPILINE 10MG TAB                    AMITRIPTYLINE HCL TAB 10 MG
      SANDOZ AMITRIPTYLINE 25MG             AMITRIPTYLINE HCL TAB 25 MG
      TREPILINE 25MG TABS                   AMITRIPTYLINE HCL TAB 25 MG
      TRYPTANOL 25MG TABS                   AMITRIPTYLINE HCL TAB 25 MG
      ANAFRANIL 10MG TABS                   CLOMIPRAMINE HCL TAB 10 MG

      DISCLAIMER: Please note that these formularies are reviewed regularly by the Mediscor Pharmaceutical and Therapeutics Commi
      to ensure that they comply with the latest industry norms for the treatment of the listed conditions. Mediscor PBM Pty Ltd reserves
      the right to change medicines to comply with the latest industry norms for the treatment of the listed conditions. Mediscor PBM Pty L
      reserves the right to change medicines included in the formulary when important or new information is made available,
      e.g. on new findings regarding the safety of medicine.

      COPYRIGHT: Mediscor PBM reserves its copyright and all its other rights in or in respect of the Mediscor Formularies.
      No part of the Mediscor Formularies may be reproduced, photocopied, recorded or stored in any retrieval system, or transmitted by
      any means, electronic, mechanical or otherwise, without the written permission of Mediscor PBM.




Mediscor PBM Copyright
Mediscor Extended Formulary : Neuropathy
       Publication date : 08/11/2011
                                                      SEP Unit
                                            Product            MRP Unit
                                                        Cost
            Therapeutic Group     NAPPI Code Auth              Cost (Incl Ref Price Indicator
                                                        (Incl
                                              Req                VAT)
                                                       VAT)
       ANTI-EPILEPTICS              769401    No        0.56      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              712493    No        1.65     1.66     MRP NOT applicable
       ANTI-EPILEPTICS              712523    No        0.84     1.66     MRP NOT applicable
       ANTI-EPILEPTICS              769398    No         2.9     1.66       MRP applicable
       ANTI-EPILEPTICS              705597    No        2.36     2.36     MRP NOT applicable
       ANTI-EPILEPTICS              779652    No        3.08     2.36       MRP applicable
       ANTI-EPILEPTICS              705602    No         4.4      4.4     MRP NOT applicable
       ANTI-EPILEPTICS              779660    No         5.7      4.4       MRP applicable
       ANTI-EPILEPTICS              707622    No        1.17     1.19     MRP NOT applicable
       ANTI-EPILEPTICS              708949    No        1.13     1.19     MRP NOT applicable
       ANTI-EPILEPTICS              807443    No        1.93     1.19       MRP applicable
       ANTI-EPILEPTICS              710525    No        1.25     1.19       MRP applicable
       ANTI-EPILEPTICS              707623    No        2.93     2.94     MRP NOT applicable
       ANTI-EPILEPTICS              708994    No        2.82     2.94     MRP NOT applicable
       ANTI-EPILEPTICS              807451    No         4.8     2.94       MRP applicable
       ANTI-EPILEPTICS              710526    No        3.12     2.94       MRP applicable
       ANTI-EPILEPTICS              707624    No        2.93     2.94     MRP NOT applicable
       ANTI-EPILEPTICS              708995    No        2.82     2.94     MRP NOT applicable
       ANTI-EPILEPTICS              807478    No         4.8     2.94       MRP applicable
       ANTI-EPILEPTICS              710527    No        3.12     2.94       MRP applicable
       ANTI-EPILEPTICS              705262    No        9.13      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              705263    No        9.71      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              709806    No        8.77      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              709804    No        2.34      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              709805    No        5.85      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              780545    No        0.72      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              781541    No         0.9      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              821578    No        2.13      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              818666    No        2.96      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              818674    No        4.46      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              818682    No        7.36      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              715980    No        2.29      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              715999    No        3.98      N/A     MRP NOT applicable
       ANTI-EPILEPTICS              781568    No        5.89      N/A     MRP NOT applicable
       NARCOTIC ANALGESICS          719382    No        4.23      N/A     MRP NOT applicable
       NORADRENALINE/SSRIS          703911    No       15.65     12.39      MRP applicable
       NORADRENALINE/SSRIS          713705    No       12.39     12.39    MRP NOT applicable
       NORADRENALINE/SSRIS          703910    No       15.65     12.39      MRP applicable
       NORADRENALINE/SSRIS          712786    No       12.39     12.39    MRP NOT applicable
       OTHER ANALGESICS             710250    No        1.32     1.55     MRP NOT applicable
       OTHER ANALGESICS             705379    No        1.27     1.55     MRP NOT applicable
       OTHER ANALGESICS             705175    No        1.27     1.55     MRP NOT applicable
       OTHER ANALGESICS             864900    No        2.23     1.55       MRP applicable
       OTHER ANALGESICS             797146    No         4.1     1.55       MRP applicable
       OTHER ANALGESICS             706475    No        1.55     1.55     MRP NOT applicable
       OTHER ANALGESICS             706557    No        2.23     1.55       MRP applicable
       OTHER ANALGESICS             705810    No        4.53     4.54     MRP NOT applicable
       OTHER ANALGESICS             891980    No        8.33     4.54       MRP applicable
       OTHER ANALGESICS             705811    No        5.44     5.44     MRP NOT applicable
       OTHER ANALGESICS             891983    No        8.37     5.44       MRP applicable




 Mediscor PBM Copyright
                       OTHER ANALGESICS              705812   No   6.52    N/A    MRP NOT applicable
                       SURFACE ANAESTHETICS          759694   No   4.01    N/A    MRP NOT applicable
                       SURFACE ANAESTHETICS          840106   No   23.48   N/A    MRP NOT applicable
                       SURFACE ANAESTHETICS          826367   No   7.44    4.39     MRP applicable
                       SURFACE ANAESTHETICS          701499   No   4.38    4.39   MRP NOT applicable
                       SURFACE ANAESTHETICS          799211   No   0.71    0.71   MRP NOT applicable
                       SURFACE ANAESTHETICS          703591   No   1.06    0.71     MRP applicable
                       TRICYCLICS                    772003   No   0.74    N/A    MRP NOT applicable
                       TRICYCLICS                    784230   No   0.52    0.76   MRP NOT applicable
                       TRICYCLICS                    771996   No   0.76    0.76   MRP NOT applicable
                       TRICYCLICS                    772860   No   2.52    0.76     MRP applicable
                       TRICYCLICS                    703419   No   3.16    2.21     MRP applicable

 iscor Pharmaceutical and Therapeutics Committee
ed conditions. Mediscor PBM Pty Ltd reserves
ent of the listed conditions. Mediscor PBM Pty Ltd
new information is made available,


spect of the Mediscor Formularies.
stored in any retrieval system, or transmitted by




               Mediscor PBM Copyright
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