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Rheumatoid Arthritis - Mediscor PBM

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Rheumatoid Arthritis - Mediscor PBM Powered By Docstoc
					                                                                                          Namibian Standard Formu
                                                                                                     Publication da

                Medicine Name                        Active Ingredient

      BRUFEN PAED SUSP            Ibuprofen Susp 100 MG/5ML
      IBUGESIC 100MG/5ML SUSP     Ibuprofen Susp 100 MG/5ML
      IBUMAX SUSP                 Ibuprofen Susp 100 MG/5ML
      NUROFEN CHILDREN SUGAR FR   Ibuprofen Susp 100 MG/5ML
      NUROFEN FOR CHILD STRAWBE   Ibuprofen Susp 100 MG/5ML
      PLASMOQUINE 200MG CAPS      Chloroquine Sulfate Cap 200 MG
      PLASMOQUINE 200MG CAPS      Chloroquine Sulfate Cap 200 MG
      PLASMOQUINE 200MG CAPS      Chloroquine Sulfate Cap 200 MG
      FABU-CHLOROQUINE SYR        Chloroquine Sulfate Syrup 50 MG/5ML (Base Equivalent)
      MIRQUIN SYR                 Chloroquine Sulfate Syrup 50 MG/5ML (Base Equivalent)
      NIVAQUINE 200MG TABS        Chloroquine Sulfate Tab 200 MG
      NIVAQUINE 200MG TABS        Chloroquine Sulfate Tab 200 MG
      QUININE SULPH 300MG TAB     Quinine Sulfate Tab 300 MG
      BETANOID 0.6MG/5ML SYR      Betamethasone Syrup 0.6 MG/5ML
      STEROMIEN 0.6MG/5ML SYR     Betamethasone Syrup 0.6 MG/5ML
      BE-TABS PREDNISONE 5MG TA   Prednisone Tab 5 MG
      METICORTEN 5MG TABS         Prednisone Tab 5 MG
      METICORTEN 5MG TABS         Prednisone Tab 5 MG
      PANAFCORT 5MG TABS          Prednisone Tab 5 MG
      TROLIC 5MG TABS             Prednisone Tab 5 MG
      FORTFEN SR 100MG CAPS       Diclofenac Sodium Cap SR 24HR 100 MG
      VELTEX 100MG CAPS           Diclofenac Sodium Cap SR 24HR 100 MG
      VELTEX 75MG CAPS            Diclofenac Sodium Cap SR 24HR 75 MG
      VELTEX 75MG CAPS            Diclofenac Sodium Cap SR 24HR 75 MG
      A-LENNON DICLOFENAC 25MG    Diclofenac Sodium Tab Delayed Release 25 MG
      ADCO-DICLOFENAC 25MG TABS   Diclofenac Sodium Tab Delayed Release 25 MG
      ADCO-DICLOFENAC 25MG TABS   Diclofenac Sodium Tab Delayed Release 25 MG
      DICLOHEXAL 25MG TABS        Diclofenac Sodium Tab Delayed Release 25 MG
      MYLAN DICLOFENAC 25 MG TA   Diclofenac Sodium Tab Delayed Release 25 MG
      PANAMOR 25MG TABS           Diclofenac Sodium Tab Delayed Release 25 MG
      PANAMOR 25MG TABS           Diclofenac Sodium Tab Delayed Release 25 MG
      SANDOZ DICLOFENAC 25MG TA   Diclofenac Sodium Tab Delayed Release 25 MG
      VOLTAREN 25MG TABS          Diclofenac Sodium Tab Delayed Release 25 MG
      A-LENNON DICLOFENAC 50MG    Diclofenac Sodium Tab Delayed Release 50 MG
      ADCO-DICLOFENAC 50MG TAB    Diclofenac Sodium Tab Delayed Release 50 MG
      ADCO-DICLOFENAC 50MG TABS   Diclofenac Sodium Tab Delayed Release 50 MG
      DICLOHEXAL 50MG TABS        Diclofenac Sodium Tab Delayed Release 50 MG
      MYLAN DICLOFENAC 50MG TAB   Diclofenac Sodium Tab Delayed Release 50 MG
      MYLAN DICLOFENAC 50MG TAB   Diclofenac Sodium Tab Delayed Release 50 MG
      PANAMOR AT 50MG TABS        Diclofenac Sodium Tab Delayed Release 50 MG
      PANAMOR AT 50MG TABS        Diclofenac Sodium Tab Delayed Release 50 MG
      PANAMOR AT 50MG TABS        Diclofenac Sodium Tab Delayed Release 50 MG
      SANDOZ DICLOFENAC 50MG TA   Diclofenac Sodium Tab Delayed Release 50 MG
      VOLTAREN GT 50MG TABS       Diclofenac Sodium Tab Delayed Release 50 MG
      DIFEN SR 100MG              Diclofenac Sodium Tab SR 24HR 100 MG
      PANAMOR SR 100MG TABS       Diclofenac Sodium Tab SR 24HR 100 MG
      SANDOZ DICLOFENAC 100SR     Diclofenac Sodium Tab SR 24HR 100 MG
      VOLTAREN SR 100MG TBCR      Diclofenac Sodium Tab SR 24HR 100 MG
      PANAMOR SR 75MG TABS        Diclofenac Sodium Tab SR 24HR 75 MG
      VOLTAREN 75MG TBCR          Diclofenac Sodium Tab SR 24HR 75 MG
      ADVIL LIQUI-GEL 200MG CAP   Ibuprofen Cap 200 MG




Mediscor PBM Copyright
      NUROFEN CAPLETS 200MG CA    Ibuprofen Cap 200 MG
      NUROFEN CAPLETS 200MG CAP   Ibuprofen Cap 200 MG
      BETAGESIC 200MG TABS        Ibuprofen Tab 200 MG
      BETAGESIC 200MG TABS        Ibuprofen Tab 200 MG
      BETAPROFEN 200MG TABS       Ibuprofen Tab 200 MG
      IBOFLAM 200MG TABS          Ibuprofen Tab 200 MG
      IBOFLAM 200MG TABS          Ibuprofen Tab 200 MG
      IBU 200MG TABS              Ibuprofen Tab 200 MG
      IBUMAX 200MG TABS           Ibuprofen Tab 200 MG
      IBUMED 200MG TABS           Ibuprofen Tab 200 MG
      IBUMED 200MG TABS           Ibuprofen Tab 200 MG
      IBUNATE 200MG               Ibuprofen Tab 200 MG
      INZA 200MG TABS             Ibuprofen Tab 200 MG
      INZA 200MG TABS             Ibuprofen Tab 200 MG
      LENAFEN 200MG               Ibuprofen Tab 200 MG
      LENAFEN 200MG               Ibuprofen Tab 200 MG
      NORFLAM T 200MG             Ibuprofen Tab 200 MG
      NUROFEN TABS                Ibuprofen Tab 200 MG
      NUROFEN TABS                Ibuprofen Tab 200 MG
      NUROFEN TABS                Ibuprofen Tab 200 MG
      NUROFEN TABS                Ibuprofen Tab 200 MG
      PAINIL 200MG TABS           Ibuprofen Tab 200 MG
      RANFEN 200MG TABS           Ibuprofen Tab 200 MG
      SANDOZ IBUPROFEN 200MG      Ibuprofen Tab 200 MG
      ADCO-IBUPROFEN 400MG TAB    Ibuprofen Tab 400 MG
      ADCO-IBUPROFEN 400MG TAB    Ibuprofen Tab 400 MG
      BETAPROFEN 400 FC           Ibuprofen Tab 400 MG
      BREN 400MG TABS             Ibuprofen Tab 400 MG
      IBUCINE (WAS IBUMAX) 400M   Ibuprofen Tab 400 MG
      INZA 400MG TABS             Ibuprofen Tab 400 MG
      INZA 400MG TABS             Ibuprofen Tab 400 MG
      NUROFEN EXTRA STRENGTH      Ibuprofen Tab 400 MG
      RANFEN 400MG TABS           Ibuprofen Tab 400 MG
      SANDOZ IBUPROFEN 400MG TA   Ibuprofen Tab 400 MG
      SANDOZ IBUPROFEN 600MG TA   Ibuprofen Tab 600 MG
      ADCO-INDOMETHACIN 25 CAPS   Indomethacin Cap 25 MG
      AMDOCIN 25MG                Indomethacin Cap 25 MG
      AMDOCIN 25MG                Indomethacin Cap 25 MG
      AMDOCIN 25MG                Indomethacin Cap 25 MG
      ARTHREXIN 25MG CAPS         Indomethacin Cap 25 MG
      ARTHREXIN 25MG CAPS         Indomethacin Cap 25 MG
      BETACIN 25MG CAPS           Indomethacin Cap 25 MG
      FLAMECID 25MG CAPS          Indomethacin Cap 25 MG
      GULF INDOMETHACIN 25MG      Indomethacin Cap 25 MG
      MEDIFLEX 25MG CAPS          Indomethacin Cap 25 MG
      MEDIFLEX 25MG CAPS          Indomethacin Cap 25 MG
      METHOCAPS 25MG              Indomethacin Cap 25 MG
      SANDOZ INDOMETHACIN 25MG    Indomethacin Cap 25 MG
      ALEVE 220MG                 Naproxen Sodium Cap 220 MG
      ALEVE 220MG                 Naproxen Sodium Cap 220 MG
      ASPEN NAPROXEN 275MG TABS   Naproxen Sodium Tab 275 MG
      SYNFLEX 275MG TABS          Naproxen Sodium Tab 275 MG
      SYNFLEX 550MG TAB           Naproxen Sodium Tab 550 MG
      ADCO-NAPROXEN 250MG TABS    Naproxen Tab 250 MG
      BE-TABS NAPROXEN 250        Naproxen Tab 250 MG
      BIO-NAPROXEN 250MG TABS     Naproxen Tab 250 MG




Mediscor PBM Copyright
      MYLAN NAPROXEN TABS         Naproxen Tab 250 MG
      NAPFLAM 250MG TABS          Naproxen Tab 250 MG
      NAPREL 250MG TABS           Naproxen Tab 250 MG
      NAPREL 250MG TABS           Naproxen Tab 250 MG
      NAPROSCRIPT 250MG TABS      Naproxen Tab 250 MG
      NAPFLAM 500MG TABS          Naproxen Tab 500 MG
      NAPFLAM 500MG TABS          Naproxen Tab 500 MG
      NAFASOL EC 250MG            Naproxen Tab EC 250 MG
      NAFASOL EC 250MG            Naproxen Tab EC 250 MG
      NAFASOL EC 500MG            Naproxen Tab EC 500 MG
      NAFASOL EC 500MG            Naproxen Tab EC 500 MG
      BREXECAM 20MG TABS          Piroxicam Betadex Tab 20 MG (Base Equiv)
      ADCO-PIROXICAM 10MG CAPS    Piroxicam Cap 10 MG
      ADCO-PIROXICAM 20MG CAPS    Piroxicam Cap 20 MG
      PYROCAPS 20MG CAPS          Piroxicam Cap 20 MG
      ROXIFEN 20MG                Piroxicam Cap 20 MG
      XYCAM 20MG CAPS             Piroxicam Cap 20 MG
      XYCAM 20MG CAPS             Piroxicam Cap 20 MG
      PIXICAM 20MG DISP TABS      Piroxicam Tab Disp 20 MG
      RHEUGESIC DI 20MG TABS      Piroxicam Tab Disp 20 MG
      XYCAM DISP 20MG             Piroxicam Tab Disp 20 MG
      ENDOXAN 50MG TAB            Cyclophosphamide Tab 50 MG
      ABITREXATE 1000MG/10ML      Methotrexate Sodium Inj 100 MG/ML
      ABITREXATE-5G 50ML          Methotrexate Sodium Inj 100 MG/ML
      ABITREXATE 500MG/20ML       Methotrexate Sodium Inj 25 MG/ML
      ABITREXATE 50MG/2ML         Methotrexate Sodium Inj 25 MG/ML
      EMTHEXATE RTU 1000-40 40M   Methotrexate Sodium Inj 25 MG/ML
      EMTHEXATE RTU 50-2 2ML IN   Methotrexate Sodium Inj 25 MG/ML
      EMTHEXATE RTU 500-20 20ML   Methotrexate Sodium Inj 25 MG/ML
      EMTHEXATE RTU-5000-200      Methotrexate Sodium Inj 25 MG/ML
      METHACHOR VIAL 2ML 25MG/M   Methotrexate Sodium Inj 25 MG/ML
      P&U METHOTREXATE 500MG      Methotrexate Sodium Inj 25 MG/ML
      P&U METHOTREXATE 50MG/2ML   Methotrexate Sodium Inj 25 MG/ML
      EMTHEXATE 2.5MG TABS        Methotrexate Tab 2.5 MG
      METHOTREXATE 2.5MG TABS     Methotrexate Tab 2.5 MG
      AZAMUN 50MG TABS            Azathioprine Tab 50 MG
      AZAPRESS 50MG TABS          Azathioprine Tab 50 MG
      AZATHIOPRINE PCH 50MG TAB   Azathioprine Tab 50 MG
      IMURAN 50MG TABS            Azathioprine Tab 50 MG
      ZAPRINE 50MG TABS           Azathioprine Tab 50 MG
      SALAZOPYRIN 500MG TAB       Sulfasalazine Tab 500 MG
      ARAVA 10MG                  Leflunomide Tab 10 MG
      ARAVA 20MG                  Leflunomide Tab 20 MG
      SALAZOPYRIN-EN 500MG        Sulfasalazine Tab Delayed Release 500 MG
      FOLIC ACID 5MG              Folic Acid Cap 5 MG
      AHA FOLIC ACID 5MG TABS     Folic Acid Tab 5 MG
      BE-TABS FOLIC ACID 5MG      Folic Acid Tab 5 MG
      BE-TABS FOLIC ACID 5MG      Folic Acid Tab 5 MG
      BE-TABS FOLIC ACID 5MG      Folic Acid Tab 5 MG
      FOLIC ACID 5MG TABS         Folic Acid Tab 5 MG
      FOLIC ACID 5MG TABS         Folic Acid Tab 5 MG
      ADCO-MELOXICAM 15MG TABS    Meloxicam Tab 15 MG
      ARROW MELOXICAM 15MG TABS   Meloxicam Tab 15 MG
      ARROW MELOXICAM 15MG TABS   Meloxicam Tab 15 MG
      ARTHROCOX 15MG TABS         Meloxicam Tab 15 MG
      COXFLAM 15MG                Meloxicam Tab 15 MG




Mediscor PBM Copyright
      COXFLAM 15MG                           Meloxicam Tab 15 MG
      FLEXOCAM 15MG TABS                     Meloxicam Tab 15 MG
      FLEXOCAM 15MG TABS                     Meloxicam Tab 15 MG
      LOXIFLAM 15MG                          Meloxicam Tab 15 MG
      LOXIFLAM 15MG                          Meloxicam Tab 15 MG
      M-CAM 15MG TABS                        Meloxicam Tab 15 MG
      MELFLAM TABS 15MG                      Meloxicam Tab 15 MG
      MELOXICAM UNICORN 15MG TA              Meloxicam Tab 15 MG
      MOBIC 15MG TABS                        Meloxicam Tab 15 MG
      SANDOZ MELOXICAM 15MG TAB              Meloxicam Tab 15 MG
      ZYDUS-MELOXICAM 15MG TABS              Meloxicam Tab 15 MG
      ZYDUS-MELOXICAM 15MG TABS              Meloxicam Tab 15 MG
      ADCO-MELOXICAM 7.5MG TABS              Meloxicam Tab 7.5 MG
      ARROW MELOXICAM 7.5MG TA               Meloxicam Tab 7.5 MG
      ARTHROCOX 7.5MG TABS                   Meloxicam Tab 7.5 MG
      COXFLAM 7.5MG                          Meloxicam Tab 7.5 MG
      FLEXOCAM 7.5MG TABS                    Meloxicam Tab 7.5 MG
      LOXIFLAM 7.5MG                         Meloxicam Tab 7.5 MG
      M-CAM 7.5MG TABS                       Meloxicam Tab 7.5 MG
      MELFLAM 7.5 MG TABS                    Meloxicam Tab 7.5 MG
      MELOXICAM UNICORN 7.5MG T              Meloxicam Tab 7.5 MG
      MOBIC 7.5MG TABS                       Meloxicam Tab 7.5 MG
      SANDOZ MELOXICAM 7.5MG T               Meloxicam Tab 7.5 MG
      ZYDUS-MELOXICAM 7.5MG TAB              Meloxicam Tab 7.5 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
         Namibian Standard Formulary : Rheumatoid arthritis
                    Publication date : 10/09/2011
                                                                 Product
                                                                           Pack SEP Cost
                    Therapeutic Group               NAPPI Code    Auth
                                                                           size (Incl tax)
                                                                   Req
      ANALGESIC AND ANTIPYRETICS                     710857004     Yes     100    37.97
      ANALGESIC AND ANTIPYRETICS                     704781001     Yes     100    26.66
      ANALGESIC AND ANTIPYRETICS                     700315001     Yes     100    18.07
      ANALGESIC AND ANTIPYRETICS                     700695001     Yes     100    41.98
      ANALGESIC AND ANTIPYRETICS                     712683001     Yes     100    41.98
      ANTI-PROTOZOAL AGENTS                          794333001     No       20    39.55
      ANTI-PROTOZOAL AGENTS                          794333028     No      100    197.77
      ANTI-PROTOZOAL AGENTS                          794333036     No      500    988.84
      ANTI-PROTOZOAL AGENTS                          820407003     Yes     100     5.75
      ANTI-PROTOZOAL AGENTS                          878790004     Yes     100    24.77
      ANTI-PROTOZOAL AGENTS                          747297010     No      100    311.6
      ANTI-PROTOZOAL AGENTS                          747297029     No       14    43.64
      ANTI-PROTOZOAL AGENTS                          758884028     No      100    292.62
      CORTICOSTEROIDS                                826936008     No      100    42.19
      CORTICOSTEROIDS                                797596003     No      100    42.24
      CORTICOSTEROIDS                                788783009     No      1000   103.81
      CORTICOSTEROIDS                                742732002     No       30    102.09
      CORTICOSTEROIDS                                742732030     No       90    306.26
      CORTICOSTEROIDS                                752304119     No      1000   103.8
      CORTICOSTEROIDS                                818267038     No      1000   98.28
      COX INHIBITORS                                 791547078     Yes      30    82.55
      COX INHIBITORS                                 787272019     Yes      30    202.55
      COX INHIBITORS                                 793663008     Yes      10    34.68
      COX INHIBITORS                                 793663016     Yes      30    104.04
      COX INHIBITORS                                 893390003     Yes     500    63.45
      COX INHIBITORS                                 786594004     Yes      30     6.41
      COX INHIBITORS                                 786594012     Yes     500    106.88
      COX INHIBITORS                                 853240019     Yes     500    81.08
      COX INHIBITORS                                 786012013     Yes     500     58.8
      COX INHIBITORS                                 752371002     Yes      30    21.62
      COX INHIBITORS                                 752371010     Yes     100    72.06
      COX INHIBITORS                                 719811023     Yes     500     67.6
      COX INHIBITORS                                 778206018     Yes      50    52.64
      COX INHIBITORS                                 893391006     Yes     500    90.63
      COX INHIBITORS                                 788597027     Yes     500    187.05
      COX INHIBITORS                                 788597019     Yes      21     7.84
      COX INHIBITORS                                 841153019     Yes      20    12.08
      COX INHIBITORS                                 786020008     Yes      21     6.85
      COX INHIBITORS                                 786020016     Yes     500     71.4
      COX INHIBITORS                                 752398008     Yes      15     5.64
      COX INHIBITORS                                 752398016     Yes      21     7.89
      COX INHIBITORS                                 752398105     Yes     105    39.42
      COX INHIBITORS                                 719838046     Yes      20    12.44
      COX INHIBITORS                                 778222013     Yes      20    42.84
      COX INHIBITORS                                 706314001     Yes      30    74.45
      COX INHIBITORS                                 827592019     Yes      30    88.45
      COX INHIBITORS                                 834327007     Yes      30     56.1
      COX INHIBITORS                                 778230015     Yes      30    160.19
      COX INHIBITORS                                 827584008     Yes      30    104.1
      COX INHIBITORS                                 789240009     Yes      30    152.26
      COX INHIBITORS                                 892302005     Yes      20    32.09




Mediscor PBM Copyright
      COX INHIBITORS     711948001   Yes    12    15.35
      COX INHIBITORS     711948002   Yes    24    30.66
      COX INHIBITORS     708186009   Yes    20    20.13
      COX INHIBITORS     708186010   Yes   100    100.67
      COX INHIBITORS     787426016   Yes   1000   97.05
      COX INHIBITORS     895196005   Yes    30     4.8
      COX INHIBITORS     895196006   Yes   1000   205.68
      COX INHIBITORS     705940001   Yes   1000   96.78
      COX INHIBITORS     700316002   Yes   1000   90.03
      COX INHIBITORS     809268019   Yes    12     4.84
      COX INHIBITORS     809268027   Yes    24     9.91
      COX INHIBITORS     868221007   Yes   1000   98.28
      COX INHIBITORS     733741002   Yes    30     5.55
      COX INHIBITORS     733741010   Yes   1000   185.28
      COX INHIBITORS     868469009   Yes    12    10.56
      COX INHIBITORS     868469017   Yes    24    21.08
      COX INHIBITORS     863394019   Yes    24    13.21
      COX INHIBITORS     748560009   Yes    12    15.36
      COX INHIBITORS     748560017   Yes    24    30.68
      COX INHIBITORS     748560025   Yes    48    61.31
      COX INHIBITORS     748560033   Yes    96    122.59
      COX INHIBITORS     897060001   Yes    20     16.8
      COX INHIBITORS     824852002   Yes    28     4.54
      COX INHIBITORS     703966006   Yes    30     6.19
      COX INHIBITORS     780596005   Yes   100    36.18
      COX INHIBITORS     780596013   Yes   1000   361.79
      COX INHIBITORS     701975001   Yes   1000   176.23
      COX INHIBITORS     708290001   Yes   1000   181.49
      COX INHIBITORS     700318002   Yes   1000   218.94
      COX INHIBITORS     733768008   Yes    30     7.11
      COX INHIBITORS     733768016   Yes   1000   236.85
      COX INHIBITORS     897984005   Yes    24    47.83
      COX INHIBITORS     701654003   Yes   1000   206.59
      COX INHIBITORS     703974009   Yes    30    10.42
      COX INHIBITORS     782807003   Yes    30    52.99
      COX INHIBITORS     701106026   Yes   500    82.54
      COX INHIBITORS     701891001   Yes   100    23.92
      COX INHIBITORS     701891002   Yes   500     98.9
      COX INHIBITORS     701891003   Yes   1000   84.84
      COX INHIBITORS     704725002   Yes   100    19.57
      COX INHIBITORS     704725010   Yes   500    97.89
      COX INHIBITORS     787833010   Yes   500    52.22
      COX INHIBITORS     726389110   Yes   500    111.77
      COX INHIBITORS     868213012   Yes   1000   108.63
      COX INHIBITORS     788996003   Yes   1000   102.35
      COX INHIBITORS     788996002   Yes   100    36.03
      COX INHIBITORS     814393012   Yes   500    51.96
      COX INHIBITORS     704776006   Yes   100    18.75
      COX INHIBITORS     864692005   Yes    10    17.31
      COX INHIBITORS     864692013   Yes    20    34.63
      COX INHIBITORS     705300001   Yes    60    218.5
      COX INHIBITORS     768448018   Yes    30    152.17
      COX INHIBITORS     838039006   Yes    10    126.01
      COX INHIBITORS     785245014   Yes   250    259.84
      COX INHIBITORS     799459011   Yes   250    62.59
      COX INHIBITORS     715831001   Yes   140    70.61




Mediscor PBM Copyright
      COX INHIBITORS                         810185024   Yes   250     97.97
      COX INHIBITORS                         806447036   Yes   250    134.55
      COX INHIBITORS                         789267004   Yes   100     69.94
      COX INHIBITORS                         789267012   Yes   250    168.12
      COX INHIBITORS                         805238026   Yes   500    152.89
      COX INHIBITORS                         808474006   Yes    30     35.27
      COX INHIBITORS                         808474014   Yes   100    117.59
      COX INHIBITORS                         812625005   Yes    30     33.09
      COX INHIBITORS                         812625013   Yes   250    275.78
      COX INHIBITORS                         812633008   Yes    30     88.25
      COX INHIBITORS                         812633016   Yes   100    294.17
      COX INHIBITORS                         800724003   Yes    30     95.53
      COX INHIBITORS                         785253009   Yes    60     47.07
      COX INHIBITORS                         785261001   Yes    30     23.1
      COX INHIBITORS                         799432008   Yes    30     21.93
      COX INHIBITORS                         701072001   Yes    30     19.42
      COX INHIBITORS                         797030018   Yes    30     23.1
      COX INHIBITORS                         797030026   Yes   500    384.71
      COX INHIBITORS                         827428006   Yes    30     28.65
      COX INHIBITORS                         821144006   Yes    30     50.7
      COX INHIBITORS                         797049002   Yes    30     28.55
      CYTOSTATICS                            723274002   No     50    173.89
      CYTOSTATICS                            782564003   No     1     506.29
      CYTOSTATICS                            701110001   No     1     2531.44
      CYTOSTATICS                            782556019   No     1     251.16
      CYTOSTATICS                            782548009   No     1      34.29
      CYTOSTATICS                            837830002   No     1     461.68
      CYTOSTATICS                            825565007   No     1      23.08
      CYTOSTATICS                            825557004   No     1     230.89
      CYTOSTATICS                            828157006   No     1      2369
      CYTOSTATICS                            711328001   No     1      22.13
      CYTOSTATICS                            840807007   No     1     315.51
      CYTOSTATICS                            840815018   No     5     157.76
      CYTOSTATICS                            712504001   No    100    116.74
      CYTOSTATICS                            742465004   No    100    137.93
      IMMUNOSUPPRESSANTS                     701252001   No    100    562.58
      IMMUNOSUPPRESSANTS                     706108019   No    100    695.28
      IMMUNOSUPPRESSANTS                     712609001   No    100      460
      IMMUNOSUPPRESSANTS                     732516005   No    100    1321.74
      IMMUNOSUPPRESSANTS                     700777007   No    100    586.96
      OTHER GASTRO-INTESTINAL TRACT AGENTS   762008008   No    100    299.46
      OTHER MUSCULO-SKELETAL AGENTS          898171008   Yes    30    771.52
      OTHER MUSCULO-SKELETAL AGENTS          898175005   Yes    30    788.47
      OTHER MUSCULO-SKELETAL AGENTS          762016019   No    100    299.46
      PRENATAL VITAMINS                      702348003   No     30     18.56
      PRENATAL VITAMINS                      709874001   No    100     6.33
      PRENATAL VITAMINS                      810967006   No    1000    60.4
      PRENATAL VITAMINS                      810967014   No    5000   258.35
      PRENATAL VITAMINS                      810967015   No    100     9.63
      PRENATAL VITAMINS                      711922001   No    1000    43.53
      PRENATAL VITAMINS                      711922002   No    100     34.5
      SELECTIVE COX2 INHIBITORS              705376001   Yes    10     32.84
      SELECTIVE COX2 INHIBITORS              711325001   Yes    10     32.53
      SELECTIVE COX2 INHIBITORS              711325002   Yes    30     97.6
      SELECTIVE COX2 INHIBITORS              707374001   Yes    10     32.84
      SELECTIVE COX2 INHIBITORS              899070019   Yes    10     32.88




Mediscor PBM Copyright
                      SELECTIVE COX2 INHIBITORS           899070020   Yes   30   98.62
                      SELECTIVE COX2 INHIBITORS           704828001   Yes   30   60.04
                      SELECTIVE COX2 INHIBITORS           704828002   Yes   10   20.01
                      SELECTIVE COX2 INHIBITORS           701522001   Yes   30   98.52
                      SELECTIVE COX2 INHIBITORS           701522002   Yes   10   32.84
                      SELECTIVE COX2 INHIBITORS           705177002   Yes   30   75.58
                      SELECTIVE COX2 INHIBITORS           705297001   Yes   10   31.02
                      SELECTIVE COX2 INHIBITORS           716169001   Yes   30   82.82
                      SELECTIVE COX2 INHIBITORS           842052003   Yes   10   93.31
                      SELECTIVE COX2 INHIBITORS           704589001   Yes   10   31.58
                      SELECTIVE COX2 INHIBITORS           705230001   Yes   10   26.04
                      SELECTIVE COX2 INHIBITORS           705230002   Yes   30   78.12
                      SELECTIVE COX2 INHIBITORS           705375001   Yes   30   28.14
                      SELECTIVE COX2 INHIBITORS           711324001   Yes   30   29.95
                      SELECTIVE COX2 INHIBITORS           707373002   Yes   30   36.81
                      SELECTIVE COX2 INHIBITORS           899066005   Yes   30   38.12
                      SELECTIVE COX2 INHIBITORS           704829001   Yes   30   22.88
                      SELECTIVE COX2 INHIBITORS           701520001   Yes   30   38.46
                      SELECTIVE COX2 INHIBITORS           705176001   Yes   30   29.52
                      SELECTIVE COX2 INHIBITORS           705296001   Yes   30   35.82
                      SELECTIVE COX2 INHIBITORS           716168001   Yes   30   29.96
                      SELECTIVE COX2 INHIBITORS           818615001   Yes   30   163.82
                      SELECTIVE COX2 INHIBITORS           704588001   Yes   30    36.1
                      SELECTIVE COX2 INHIBITORS           705229001   Yes   30   30.06

e Mediscor Pharmaceutical and Therapeutics Committee
 e listed conditions. Mediscor PBM Pty Ltd reserves
 eatment of the listed conditions. Mediscor PBM Pty Ltd
nt or new information is made available,


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




              Mediscor PBM Copyright
       NRP Cost (Incl tax)   Ref Price Indicator

              27.6             NRP applicable
              27.6              Below NRP
              27.6              Below NRP
              27.6             NRP applicable
              27.6             NRP applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
              N/A            NRP NOT applicable
             88.665             Below NRP
             88.665            NRP applicable
             34.73              Below NRP
             104.19             Below NRP
             103.5              Below NRP
              6.21              Below NRP
             103.5             NRP applicable
             103.5              Below NRP
             103.5              Below NRP
              6.21             NRP applicable
              20.7             NRP applicable
             103.5              Below NRP
             10.35             NRP applicable
             195.5              Below NRP
             195.5              Below NRP
             8.211              Below NRP
              7.82             NRP applicable
             8.211              Below NRP
             195.5              Below NRP
             5.865             NRP applicable
             8.211             NRP applicable
             41.055             Below NRP
              7.82             NRP applicable
              7.82             NRP applicable
             88.665             Below NRP
             88.665             Below NRP
             88.665             Below NRP
             88.665            NRP applicable
             104.19            NRP applicable
             104.19            NRP applicable
              4.14             NRP applicable




Mediscor PBM Copyright
             2.484         NRP applicable
             4.968         NRP applicable
             4.14          NRP applicable
             20.7          NRP applicable
              207           Below NRP
             6.21           Below NRP
              207           Below NRP
              207           Below NRP
              207           Below NRP
             2.484         NRP applicable
             4.968         NRP applicable
              207           Below NRP
             6.21          NRP applicable
              207           Below NRP
             2.484         NRP applicable
             4.968         NRP applicable
             4.968         NRP applicable
             2.484         NRP applicable
             4.968         NRP applicable
             9.936         NRP applicable
            19.872         NRP applicable
             4.14          NRP applicable
             5.796          Below NRP
             6.21           Below NRP
             35.65         NRP applicable
             356.5         NRP applicable
             356.5          Below NRP
             356.5          Below NRP
             356.5          Below NRP
            10.695          Below NRP
             356.5          Below NRP
             8.556         NRP applicable
             356.5          Below NRP
            10.695          Below NRP
              N/A        NRP NOT applicable
             103.5          Below NRP
             20.7          NRP applicable
             103.5          Below NRP
              207           Below NRP
             20.7           Below NRP
             103.5          Below NRP
             103.5          Below NRP
             103.5         NRP applicable
              207           Below NRP
              207           Below NRP
             20.7          NRP applicable
             103.5          Below NRP
             20.7           Below NRP
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
            218.73         NRP applicable
            109.365        NRP applicable
              N/A        NRP NOT applicable
            135.125        NRP applicable
            135.125         Below NRP
             75.67          Below NRP




Mediscor PBM Copyright
            135.125         Below NRP
            135.125         Below NRP
             54.05         NRP applicable
            135.125        NRP applicable
            270.25          Below NRP
             35.19          Below NRP
             117.3         NRP applicable
            16.215         NRP applicable
            135.125        NRP applicable
             35.19         NRP applicable
             117.3         NRP applicable
            23.115         NRP applicable
              N/A        NRP NOT applicable
            23.115       NRP NOT applicable
            23.115          Below NRP
            23.115          Below NRP
            23.115          Below NRP
            385.25          Below NRP
            23.115         NRP applicable
            23.115         NRP applicable
            23.115         NRP applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
             117.3       NRP NOT applicable
             117.3         NRP applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
              N/A        NRP NOT applicable
             31.05         NRP applicable
             31.05         NRP applicable
             93.15         NRP applicable
             31.05         NRP applicable
             31.05         NRP applicable




Mediscor PBM Copyright
              93.15      NRP applicable
              93.15       Below NRP
              31.05       Below NRP
              93.15      NRP applicable
              31.05      NRP applicable
              93.15       Below NRP
              31.05      NRP applicable
              93.15       Below NRP
              31.05      NRP applicable
              31.05      NRP applicable
              31.05       Below NRP
              93.15       Below NRP
              30.36       Below NRP
              30.36      NRP applicable
              30.36      NRP applicable
              30.36      NRP applicable
              30.36       Below NRP
              30.36      NRP applicable
              30.36       Below NRP
              30.36      NRP applicable
              30.36       Below NRP
              30.36      NRP applicable
              30.36      NRP applicable
              30.36       Below NRP




Mediscor PBM Copyright

				
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