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Sheet1 Mediscor PBM

VIEWS: 480 PAGES: 3

									                                                                                                             Mediscor Core Formulary
                                                                                                               Publication date : 11/06/


                Medicine Name                                Active Ingredient


      BENZAC AC 5 GEL                       Benzoyl Peroxide Gel 5%
      CREME CLASSIQUE ACNE 5 GE             Benzoyl Peroxide Gel 5%
      PANOXYL ACNE 5% GEL                   Benzoyl Peroxide Gel 5%
      BETAPEN 250MG TAB                     Penicillin V Potassium Tab 250 MG
      ADCO-CO-TRIMOXAZOLE TABS              Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      BACTRIM TABS                          Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      CASICOT TABS                          Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      COZOLE TABS                           Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      DUROBAC TABS                          Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      ILVITRIM TABS                         Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      LAGATRIM TABS                         Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      MICRO CO-TRIMOXAZOLE                  Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      NUCOTRIM 480MG TABS                   Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      PURBAC TABS                           Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      TRIMETHOX TABS                        Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      TRIXAZOLE 480MG TABS                  Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      XEROPRIM 480MG TABS                   Sulfamethoxazole-Trimethoprim Tab 400-80 MG
      BACTRIM DS TABS                       Sulfamethoxazole-Trimethoprim Tab 800-160 MG
      DUROBAC DS TABS                       Sulfamethoxazole-Trimethoprim Tab 800-160 MG
      PURBAC DS TABS                        Sulfamethoxazole-Trimethoprim Tab 800-160 MG
      SANDOZ CO-TRIMOXAZOLE                 Sulfamethoxazole-Trimethoprim Tab 800-160 MG
      A-LENNON DOXYCYCLINE HCL              Doxycycline Hyclate Cap 100 MG
      CYCLIDOX 100MG CAPS                   Doxycycline Hyclate Cap 100 MG
      DOXYCYL 100MG CAPS                    Doxycycline Hyclate Cap 100 MG
      DOXYTET 100MG CAPS                    Doxycycline Hyclate Cap 100 MG
      CYCLIDOX EC 100MG CAPS                Doxycycline Hyclate Cap DR Particles 100 MG
      DOXITAB                               Doxycycline Hyclate Tab 100 MG
      BE-OXYTET 250MG CAPS                  Oxytetracycline HCl Cap 250 MG
      NUCOTET                               Oxytetracycline HCl Cap 250 MG
      O-4 CYCLINE 250MG CAPS                Oxytetracycline HCl Cap 250 MG
      OXY 250MG CAPS                        Oxytetracycline HCl Cap 250 MG
      OXYPAN 250MG CAPS                     Oxytetracycline HCl Cap 250 MG
      PHARMATET 250MG CAPS                  Oxytetracycline HCl Cap 250 MG
      ROXY 250MG CAPS                       Oxytetracycline HCl Cap 250 MG
      TETRACEM 250MG CAPS                   Oxytetracycline HCl Cap 250 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 Core Formulary : Acne
                                     Publication date : 11/06/2011
                                                                                         SEP Unit
                                                                               Product            MRP Unit
                                                                                           Cost
                                   Therapeutic Group                 NAPPI Code Auth              Cost (Incl
                                                                                           (Incl
                                                                                 Req                VAT)
                                                                                          VAT)
                       ACNE                                            807842    No        3.12     2.01
                       ACNE                                            896079    No          2      2.01
                       ACNE                                            835366    No        1.85     2.01
                       PENICILLINS                                     780081    No        0.22      N/A
                       SULPHONAMIDES AND COMBINATIONS                  780464    No        0.27     0.23
                       SULPHONAMIDES AND COMBINATIONS                  706434    No        3.24     0.23
                       SULPHONAMIDES AND COMBINATIONS                  706948    No        0.19     0.23
                       SULPHONAMIDES AND COMBINATIONS                  716731    No        0.15     0.23
                       SULPHONAMIDES AND COMBINATIONS                  721751    No        0.83     0.23
                       SULPHONAMIDES AND COMBINATIONS                  704095    No        0.13     0.23
                       SULPHONAMIDES AND COMBINATIONS                  735698    No        0.15     0.23
                       SULPHONAMIDES AND COMBINATIONS                  701754    No        0.16     0.23
                       SULPHONAMIDES AND COMBINATIONS                  867977    No        0.11     0.23
                       SULPHONAMIDES AND COMBINATIONS                  758248    No        0.22     0.23
                       SULPHONAMIDES AND COMBINATIONS                  789836    No        0.17     0.23
                       SULPHONAMIDES AND COMBINATIONS                  715609    No        0.15     0.23
                       SULPHONAMIDES AND COMBINATIONS                  793698    No         0.6     0.23
                       SULPHONAMIDES AND COMBINATIONS                  706442    No        6.92     0.87
                       SULPHONAMIDES AND COMBINATIONS                  721778    No        1.66     0.87
                       SULPHONAMIDES AND COMBINATIONS                  758256    No        0.87     0.87
                       SULPHONAMIDES AND COMBINATIONS                  782793    No        0.66     0.87
                       TETRACYCLINES                                   893402    No        0.39     0.46
                       TETRACYCLINES                                   716944    No        0.38     0.46
                       TETRACYCLINES                                   809667    No        0.46     0.46
                       TETRACYCLINES                                   714192    No        0.35     0.46
                       TETRACYCLINES                                   812692    No        1.86     0.46
                       TETRACYCLINES                                   838691    No        0.88     0.46
                       TETRACYCLINES                                   787434    No        0.15     0.22
                       TETRACYCLINES                                   884167    No        0.11     0.22
                       TETRACYCLINES                                   752045    No        0.62     0.22
                       TETRACYCLINES                                   895029    No        4.56     0.22
                       TETRACYCLINES                                   751987    No        0.22     0.22
                       TETRACYCLINES                                   703224    No        0.14     0.22
                       TETRACYCLINES                                   761532    No        2.23     0.22
                       TETRACYCLINES                                   812072    No         0.4     0.22

arly by the Mediscor Pharmaceutical and Therapeutics Committee
ment of the listed conditions. Mediscor PBM Pty Ltd reserves
s for the treatment of the listed conditions. Mediscor PBM Pty Ltd
n important or new information is made available,


ights in or in respect of the Mediscor Formularies.
d, recorded or stored in any retrieval system, or transmitted by
ermission of Mediscor PBM.




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Mediscor PBM Copyright

								
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