YES = formulary NO = non-formulary NO BENEFIT = excluded
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1 Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the reasonable price in the market place for a particular group of generic equivalent medicines which is reviewed and updated regularly. MRP sets a maximum reimbursable price for a list of generically similar medicines with a cost lower than that of the original medicine. There may be instances where a generic alternative costs more than the set MRP. If you opt to use the original medicine and a generic alternative is available, or you use a medicine that costs more than the MRP, you will have to pay the difference between the price of the chosen medicine and that of MRP. This formulary is effective from 1 January This formulary is subject to change without notice. ONLY the following medicine classes will be considered for Beat1 and Beat2: Angiotensin converting enzyme (ACE) inhibitors Beta blockers Cardiac glycosides Diuretics Platelet aggregation inhibitors Potassium supplement = formulary = non-formulary = excluded CARDIAC FAILURE ACTIVE INGREDIENT A AMILORIDE AMILORETIC TAB BETARETIC TAB DEZRETIC 5MG/50MG TAB MODURETIC TAB SPEC-CO-AMILORIDE TAB ASPIRIN ASPIRIN 300MG TAB BAYER ASPIRIN CARDIO 100M BAYER ASPIRIN TAB BE-TABS ASPIRIN 300MG TAB DISPRIN TAB DISPRIN CARDIOCARE 100MG ECOTRIN 81MG TAB GULF ASPIRIN LO-ASPIRIN 125MG TAB MYOPRIN 100MG 1
2 SOLUSPIRIN 300MG ATELOL ADCO-ATELOL 50MG TAB ADCO-ATELOL 100MG TAB B-BLOCK 100MG B-BLOCK 50MG BIO-ATELOL 100 BIO-ATELOL 50 HEXABLOK 50MG TAB HEXABLOK 100MG TAB SANDOZ ATELOL 100 SANDOZ ATELOL 50 TEN-BLOKA 100MG TAB TEN-BLOKA 50MG TAB TEPRESS 100MG TAB TEPRESS 25MG TAB TEPRESS 50MG TAB TERMIN 100MG TAB TERMIN 25MG TAB TERMIN 50MG TAB ZETEL 100MG TAB ZETEL 50MG TAB ATELOL / CHLORTHALIDONE SANDOZ CO-TENIDONE 100/25 SANDOZ CO-TENIDON 50/12.5 TENCHLOR TAB TENCHLOR-HS TAB TERET TAB TERETIC TAB B BISOPROLOL ADCO-BISOCOR 10MG TAB ADCO-BISOCOR 5MG TAB BETACOR 10MG TAB BETACOR 5MG TAB BILOCOR 10 TAB 2
3 BISOPROLOL / HYDROCHLOROTHIAZ BILOCOR 5 TAB BISBETA 10MG TAB BISBETA 5MG TAB BISOHEXAL 10MG TAB BISOHEXAL 5MG TAB BISLO 10MG TAB BISLO 5MG TAB BISOPROLOL HEXAL 10MG TAB BISOPROLOL HEXAL 5MG TAB BISOPROLOL UNICORN 10MG BISOPROLOL UNICORN 5MG BISOPROLOL ZYDUS 10MG TAB BISOPROLOL ZYDUS 5MG TAB CARDICOR 10MG TAB CARDICOR 2.5MG TAB CARDICOR 5MG TAB CONCOR 10MG TAB CONCOR 5MG TAB RETOCAR 10MG TAB RETOCAR 5MG TAB ZIAPRO 10MG TAB ZIAPRO 5MG TABS BILOCOR CO 10MG/6.25MG TAB BILOCOR CO 2.5MG/6.25MG TAB BILOCOR CO 5MG/6.25MG TAB BISOPROLOL HCTZ 10/6.25MG BISOPROLOL HCTZ 2.5/6.25MG BISOPROLOL HCTZ 5/6.25MG ZIABETA 10/6.25MG TAB ZIABETA 2.5/6.25MG TAB ZIABETA 5/6.25MG TAB ZIAK 10MG TAB ZIAK 2.5MG TAB 3
4 ZIAK 5MG TAB ZIRINAK CO 10MG/6.25MG T ZIRINAK CO 2.5MG/6.25MG T ZIRINAK CO 5MG/6.25MG T C CAPTOPRIL BIO-CAPTOPRIL 25MG CAPACE 25MG TAB CAPTOMAX 25MG TAB CAPTOMAX 50MG TAB CAPTOHEXAL 12.5MG CAPTOHEXAL 25MG CAPTOHEXAL 50MG MYLAN CAPTOPRIL 25MG MYLAN CAPTOPRIL 50MG SANDOZ CAPTOPRIL 25MG SANDOZ CAPTOPRIL 50MG ZAPTO 25MG TAB ZAPTO 50MG TAB CARVEDILOL ASPEN-CARVEDILOL 12.5MG ASPEN-CARVEDILOL 25MG ASPEN-CARVEDILOL 6.25MG CARLOC 12.5MG TAB CARLOC 25MG TAB CARLOC 6.25MG TAB CARVEDILOL-HEXAL 12.5MG CARVEDILOL-HEXAL 25MG CARVEDILOL-HEXAL 6.25MG 4
5 CARVEDILOL UNICORN 12.5MG CARVEDILOL UNICORN 25MG CARVEDILOL UNICORN 6.25MG CARVETREND 12.5MG TAB CARVETREND 25MG TAB CARVETREND 6.25MG TAB DILATREND 12.5MG TAB DILATREND 25MG TAB DILATREND 6.25MG TAB VEDIBLOK 12.5MG TAB VEDIBLOK 25MG TAB VEDIBLOK 6.25MG TAB D LAXIN MG PG TAB DIGOXIN LAXIN 0.25MG TAB LAXIN PAED.05MG/ML SYR PURGOXIN 0.25MG TAB E ENALAPRIL ADCO-ENALAPRIL 5MG ADCO-ENALAPRIL 10MG ADCO-ENALAPRIL 20MG ALAPREN 5MG TAB ALAPREN 10MG TAB ALAPREN 20MG TAB CIPLATEC 10MG CIPLATEC 20MG 5
6 ENALAPRIL / HYDROCHLOROTHIAZ CIPLATEC 5MG ENAP 10MG TAB ENAP 20MG TAB ENAP 5MG TAB ENVAS 10MG TABS ENVAS 5MG TABS HR-ENALAPRIL 10MG HR-ENALAPRIL 20MG HR-ENALAPRIL 5MG HYPACE 5MG MG TABS PHARMAPRESS 10MG PHARMAPRESS 20MG PHARMAPRESS 5MG RENITEC 10MG TAB RENITEC 2.5MG TAB RENITEC 20MG TAB RENITEC 5MG TAB CO-RENITEC TAB ENAP CO 20MG/12.5MG TAB PHARMAPRESS CO F FUROSEMIDE AUSTELL-FUROSEMIDE 40MG BEURESIS 40MG TAB DIURESIX 40MG TAB LASIX 40MG TAB LASIX ORAL SOL MYLAN FUROSEMIDE 40MG PURESIS 40MG TAB SANDOZ FUROSEMIDE 40 MG G GLYCERYL TRINITRATE ANGISED 0.5MG TAB 6
7 H HYDROCHLOROTHIAZIDE HEXAZIDE 25MG TAB RIDAQ 12.5MG TAB RIDAQ 25MG TAB HYDRALLAZINE HYPERPHEN 10MG TAB HYPERPHEN 50MG TAB SANDOZ HYDRALAZINE 25 SANDOZ HYDRALAZINE 50 HYDROCHLORTHIAZIDE / KCI URIREX-K TAB I INDAPAMIDE ADCO-DAPAMAX 2.5MG TAB CIPLA-INDAPAMIDE 2.5MG DAPTRIL 2.5MG TAB HYDRO-LESS 2.5MG TAB MYLAN INDAPAMIDE 2.5MG SANDOZ INDAPAMIDE 2.5MG ISOSORBIDE DINITRATE ISORDIL 5MG TAB ISORDIL 10MG TAB ISORDIL 30MG TAB ISORDIL TEMBID 40MG SANDOZ ISOSORBIDE 10 SANDOZ ISOSORBIDE 30 SANDOZ ISOSORBIDE 5 ISOSORBIDE MONITRATE ELANTAN 20MG TAB ELANTAN LA 50MG 7
8 IMDUR 60MG TAB ISMO 20MG TAB MONICOR SR 60MG SRT L LISIPRIL ADCO-ZETOMAX 10MG TAB ADCO-ZETOMAX 20MG TAB ADCO-ZETOMAX 5MG TAB AUSTELL-LISIPRIL 10MG AUSTELL-LISIPRIL 2.5MG AUSTELL-LISIPRIL 20MG HEXAL-LISIPRIL 10MG TAB HEXAL-LISIPRIL 20MG TAB HEXAL-LISIPRIL 5MG TAB LIZRO 10MG TAB LIZRO 20MG TAB LIZRO 5MG TAB LYSIN 20MG TAB LYSIN 5MG TAB SIPREN 10MG TAB SIPREN 20MG TAB SIPREN 5MG TAB ZESTRIL 10MG TAB ZESTRIL 20MG TAB ZESTRIL 5MG TAB LISIPRIL / ADCO-ZETOMAX-CO 10/12.5 HYDROCHLOROTHIAZ ADCO-ZETOMAX-CO 20/12.5 AURO-LISIPRIL CO 10MG AURO-LISIPRIL CO 20MG DIACE CO 20/12.5 MG TAB HEXAL-LISIPRIL CO 10MG HEXAL-LISIPRIL CO 20MG 8
9 LOSARTAN LISIPRIL CO UNIC 10MG/12.5 LISIPRIL CO UNIC 20MG/12.5 LISIZIDE 10MG/12.5MG TAB LISIZIDE 20MG/12.5MG TAB LISORETIC 10/12.5 LISORETIC 20/12.5 LISOZIDE 10MG/12.5MG TAB LISOZIDE 20MG/12.5MG TAB ZESTORETIC 10MG TAB ZESTORETIC 20MG TAB ZESTOZIDE 20MG TAB AURO LOSARTAN 100MG TAB AURO LOSARTAN 50MG TABS AUSTELL LOSARTAN 100MG AUSTELL LOSARTAN 50MG CIPLA LOSARTAN 100MG TAB CIPLA LOSARTAN 50MG TAB CIPLAZAR 100MG TAB CIPLAZAR 50MG TAB COZAAR 100MG TAB COZAAR 50MG TAB HYTENZA 100MG TAB HYTENZA 50MG TAB LOS-ARB 50MG TAB 9
10 LOSARTAN / HYDROCHLOROTHIAZ LOSARTAN-WINTHROP TAB LOZAAN 50MG TAB LOZAAN 100MG TAB RASOL 100MG TAB RASOL 50MG TAB RENICARD 50MG TAB SPEC-LOSARTAN 100MG TAB SPEC-LOSARTAN 50MG TAB ZARTAN 100MG TAB ZARTAN 50MG TAB AUSTELL LOSARTAN CO 50MG/12.5 COZAAR COMP TAB FORTZAAR TAB HYTENZA CO 100MG/25MG HYTENZA CO 50MG/12.5MG LOHYPE FORTE PLUS 100MG/2 LOHYPE PLUS 50MG/12.5MG LOSAAR PLUS 100/25 TAB LOSAAR PLUS 50/12.5 TAB LOZAAN CO 100/25 TAB 10
11 LOZAAN CO 50/12.5 TAB NETRASOL CO 100/25MG TAB NETRASOL CO 50/12.5MG TAB SARTOC 100MG/25MG TAB SARTOC 50/12.5 TAB ZARTAN CO 100MG/25MG ZARTAN CO 50MG/12.5MG P PERINDOPRIL ACESYL 4MG TAB ACTI-PREX 4MG TAB AURO PERINDOPRIL 4MG TAB AURO PERINDOPRIL 8MG TAB BINDACE 4MG TAB BINDACE 8MG TAB CIPLA-PERINDOPRIL 4MG TAB CIPLA-PERINDOPRIL 8MG TAB CIPLASYL 4MG TABS CIPLASYL 8MG TABS COVERSYL 4MG TAB PEARINDA 4MG TABS PEARINDA 8MG TABS PERINDOPRIL UNICORN 4MG PERINDOPRIL UNICORN 8MG PREXUM 4MG TAB PREXUM 5MG TAB RAN-PERINDOPRIL 4MG TAB SPEC-PERINDOPRIL 4MG TAB SPEC-PERINDOPRIL 8MG TAB VECTORYL 4MG TAB 11
12 VECTORYL 8MG TAB ZYDUS PERINDOPRIL 4MG PERINDOPRIL / AMLODIPINE COVERAM 10/10MG TAB COVERAM 10/5MG TAB COVERAM 5/10MG TAB COVERAM 5/5MG TAB PERINDOPRIL / INDAPAMIDE ACESYL CO 2MG/0.625MG TAB ACESYL CO 4MG/1.25MG TAB ARIPREL PLUS 4MG/1.25MG COVERSYL PLUS TAB PEARINDA PLUS 4MG/1.25MG PERINDOPRIL CO UNI 4MG/1.2 PREXUM PLUS TAB PREXUM PLUS 5MG/1.25MG SPEC-PERINDOPRIL PLUS 2MG SPEC-PERINDOPRIL PLUS 4MG VECTORYL PLUS TAB ZYDUS PERINDOPRIL 4MG/1.25 POTASSIUM CHLORIDE PLENISH K 600MG TAB SANDOZ K-600 SLOW-K 600MG TAB ULTIPOT 600MG PROPRALOL INDERAL 10MG TAB INDERAL 40MG TAB INDOBLOK 10MG INDOBLOK 40MG PRODOROL 10MG TAB PRODOROL 40MG TAB PUR-BLOKA 10MG TAB PUR-BLOKA 40MG TAB Q QUINAPRIL ACCUMAX 10MG ACCUMAX 20MG 12
13 QUINAPRIL / HYDROCHLOROTHIAZ ACCUPRIL 10MG TAB ACCUPRIL 20MG TAB ACCUPRIL 40MG TAB ACCUPRIL 5MG TAB QUINACE 10MG TAB QUINACE 20MG TAB QUINAGEN 10MG TAB QUINAGEN 20MG TAB QUINAGEN 40MG TAB QUINAGEN 5MG TAB QUINASPEN 10MG TAB QUINASPEN 20MG TAB ACCUMAX CO 10/12.5MG ACCUMAX CO 20/12.5MG ACCURETIC 10/12.5 TAB ACCURETIC 20/12.5 TAB ADCO-QUINARETIC 10/12.5 ADCO-QUINARETIC 20/12.5 AURO QUINAPRIL CO 10MG/12.5 AURO QUINAPRIL CO 20MG/12.5 BIQURETIC 10MG/12.5MG TAB BIQURETIC 20MG/12.5MG TAB QUINACE CO 10/12.5MG TAB QUINACE CO 20/12.5MG TAB QUINAZIDE 10/12.5 TAB QUINAZIDE 20/12.5 TAB S SPIROLACTONE ALDACTONE 100MG TAB ALDACTONE 25MG TAB SANDOZ SPIROLACTONE 25 SPIRACTIN 100MG TAB SPIRACTIN 25MG TAB 13
14 T TRIAMTERENE / DYAZIDE TAB HYDROCHLOROTHIA RENEZIDE TAB W WARFARIN SODIUM ASPEN-WARFARIN 5MG TAB CIPLA-WARFARIN 1MG TAB CIPLA-WARFARIN 3MG TAB CIPLA-WARFARIN 5MG TAB VACCINES FLUARIX PREFILLED SYRINGE FLUVAX 2009 PRE-FILLED IMOVAX PNEUMO 23 INFLUVAC 0.5ML MUTAGRIP SINGLE DOSE PNEUMOVAX VAC VAXIGRIP PREFIL S/DOSE 0. X-FLU PREFILLED SYR 0.5ML 14
BESTMED MEDICINE FORMULARY FOR CDL-CHRONIC (CHRONIC DISEASE LIST) CONDITIONS
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