Discovery Health PBR formulary and benchmark pricing Period: 2017 Quarter 1 and 2 Implementation date: 1 January 2017 PBR is a voluntarily program which is designed to additionally remunerate pharmacists for increased compliance with the Scheme s formulary. Continually rising costs creates a greater need for formulary compliance and member protection against co-payments. The formulary, together with reference price benchmarking, is necessary for the Scheme to manage cost inflation of Prescribed Minimum Benefits. The model aims to create additional funding through added prescription price efficiency and through reduced remuneration on non-formulary items. The inclusion of a broader set of products allowed for a more affordable cross-funding mechanism. While prescriber preferences may compromise formulary compliance from time to time, this is adequately compensated for by lower compliance thresholds. Depending on the availability of preferentially priced generics, there may not always be a generic replacement item on the PBR formulary. Out of stock products: Please substitute with alternative formulary or benchmark items as most items do not need re-authorization. Where necessary, please obtain authorization for a replacement item by calling Add-A-Line at 0860 44 55 66. Core, Saver and Priority incl One alpha 0,25mcg CAP ALFACALCIDOL Yes Yes 7.89533 7.89533 One alpha 1mcg CAP ALFACALCIDOL Yes Yes 23.48733 23.48733 Symadin (was Flu-stop) 100mg CAP AMANTADINE Yes Yes 3.64950 3.64950 Hexarone 100mg TAB AMIODARONE Yes Yes 7.16833 7.16833 Arycor 100mg TAB AMIODARONE Yes Yes 7.16833 7.16833 Bio-amiodarone 200mg TAB AMIODARONE Yes Yes 12.77000 12.77000 Hexarone 200mg TAB AMIODARONE Yes Yes 12.77000 12.77000 Arycor 200mg TAB AMIODARONE Yes Yes 12.77000 12.77000 Trepiline 10mg TAB AMITRIPTYLINE Yes Yes 0.96020 0.96020 Gulf amitriptyline 25mg TAB AMITRIPTYLINE Yes Yes 0.67720 0.67720 Sandoz amitriptyline 25mg TAB AMITRIPTYLINE Yes Yes 0.67720 0.67720 Gulf amlodipine 10mg TAB AMLODIPINE Yes Yes 3.19000 3.19000 Lomanor 10mg TAB AMLODIPINE Yes Yes 3.19000 3.19000 Amtas 10mg TAB AMLODIPINE Yes Yes 3.19000 3.19000 Austell-amlodipine 10mg TAB AMLODIPINE Yes Yes 3.19000 3.19000 1 24/11/2016
and Priority incl Ciplavasc 10mg TAB AMLODIPINE Yes Yes 3.19000 3.19000 Pendine 10mg TAB AMLODIPINE Yes Yes 3.19000 3.19000 Pharma dynamics amlodipine besylate 10mg TAB AMLODIPINE Yes Yes 3.19000 3.19000 Gulf amlodipine 5mg TAB AMLODIPINE Yes Yes 2.05000 2.05000 Amtas 5mg TAB AMLODIPINE Yes Yes 2.05000 2.05000 Austell-amlodipine 5mg TAB AMLODIPINE Yes Yes 2.05000 2.05000 Ciplavasc 5mg TAB AMLODIPINE Yes Yes 2.05000 2.05000 Lomanor 5mg TAB AMLODIPINE Yes Yes 2.05000 2.05000 Pendine 5mg TAB AMLODIPINE Yes Yes 2.05000 2.05000 Pharma dynamics amlodipine besylate 5mg TAB AMLODIPINE Yes Yes 2.05000 2.05000 Haemosolvate viii 300u INJ COAGULATION FACTOR VIII Yes Yes 968.08000 968.08000 Haemosolvate viii 10ml 500u INJ COAGULATION FACTOR VIII Yes Yes 1,522.88000 1,522.88000 Myoprin 100mg TAB ACETYLSALICYLIC ACID Yes Yes 0.68367 0.68367 Tenopress 100mg TAB ATENOLOL Yes Yes 1.03667 1.12714 B-block 100mg TAB ATENOLOL Yes Yes 1.03667 1.12714 Zetenol 100mg TAB ATENOLOL Yes Yes 1.03667 1.12714 Bio-atenolol (was Norton-atenolol) 100mg TAB ATENOLOL Yes Yes 1.03667 1.12714 Gulf atenolol 100mg TAB ATENOLOL Yes Yes 1.03667 1.12714 Tenopress 50mg TAB ATENOLOL Yes Yes 0.66286 0.66286 Zetenol 50mg TAB ATENOLOL Yes Yes 0.66286 0.66286 Bio-atenolol (was Ivax-atenolol) 50mg TAB ATENOLOL Yes Yes 0.66286 0.66286 Gulf atenolol 50mg TAB ATENOLOL Yes Yes 0.66286 0.66286 Atolip 10mg TAB ATORVASTATIN Yes Yes 1.12133 1.12133 Adco atorvastatin 10mg TAB ATORVASTATIN Yes Yes 1.12133 1.12133 Aspavor 10mg TAB ATORVASTATIN Yes Yes 1.12133 1.12133 Atorvastatin unicorn 10mg TAB ATORVASTATIN Yes Yes 1.12133 1.12133 Lestavor 10mg TAB ATORVASTATIN Yes Yes 1.12133 1.12133 Atolip 20mg TAB ATORVASTATIN Yes Yes 1.19133 1.19133 Adco atorvastatin 20mg TAB ATORVASTATIN Yes Yes 1.19133 1.19133 2 24/11/2016
and Priority incl Aspavor 20mg TAB ATORVASTATIN Yes Yes 1.19133 1.19133 Atorvastatin unicorn 20mg TAB ATORVASTATIN Yes Yes 1.19133 1.19133 Lestavor 20mg TAB ATORVASTATIN Yes Yes 1.19133 1.19133 Atolip 40mg TAB ATORVASTATIN Yes Yes 2.00000 2.00000 Adco atorvastatin 40mg TAB ATORVASTATIN Yes Yes 2.00000 2.00000 Astor 40mg TAB ATORVASTATIN Yes Yes 2.00000 2.00000 Dynator 40mg TAB ATORVASTATIN Yes Yes 2.00000 2.00000 Lestavor 40mg TAB ATORVASTATIN Yes Yes 2.00000 2.00000 Aspavor 40mg TAB ATORVASTATIN Yes Yes 2.00000 2.00000 Atorvastatin unicorn 40mg TAB ATORVASTATIN Yes Yes 2.00000 2.00000 Aspavor 80mg TAB ATORVASTATIN Yes Yes 4.07700 4.07700 Atolip 80mg TAB ATORVASTATIN Yes Yes 4.07700 4.07700 Dynator 80mg TAB ATORVASTATIN Yes Yes 4.07700 4.07700 Astor 80mg TAB ATORVASTATIN Yes Yes 4.07700 4.07700 Lestavor 80mg TAB ATORVASTATIN Yes Yes 4.07700 4.07700 Azathioprine pch 50mg TAB AZATHIOPRINE Yes Yes 7.03420 7.03420 Azamun 50mg TAB AZATHIOPRINE Yes Yes 7.03420 7.03420 Teva baclofen 10mg TAB BACLOFEN Yes Yes 6.43233 6.43233 Bio-baclofen (was Norton-baclofen) 10mg TAB BACLOFEN Yes Yes 6.43233 6.43233 Beceze 100 cfc free 200dose 100mcg INH BECLOMETASONE Yes Yes 143.32000 143.32000 Beclate 200dose 100mcg INH BECLOMETASONE Yes Yes 143.32000 143.32000 Beclate 200dose 200mcg INH BECLOMETASONE Yes Yes 228.84000 228.84000 Beclate aquanase 150dose 50mcg AQS BECLOMETASONE Yes Yes 61.50000 61.50000 Clenil aqueous 200dose 50mcg AQS BECLOMETASONE Yes Yes 61.19000 61.19000 Vari-betamethasone 0,1% CRE BETAMETHASONE Yes Yes 0.60733 0.60733 Repivate 0,1% CRE BETAMETHASONE Yes Yes 0.60733 0.60733 Topivate 0,1% CRE BETAMETHASONE Yes Yes 0.60733 0.60733 Dyna-bezafibrate sr 400mg SRT BEZAFIBRATE Yes Yes 7.00600 7.00600 Sandoz bezafibrate 400mg SRT BEZAFIBRATE Yes Yes 7.00600 7.00600 3 24/11/2016
and Priority incl Lennon-biperiden 2mg TAB BIPERIDEN Yes Yes 3.22520 3.22520 Akineton 2mg TAB BIPERIDEN Yes Yes 3.22520 3.22520 Bisoprolol zydus 10mg TAB BISOPROLOL Yes Yes 2.89233 2.89233 Bislo 10mg TAB BISOPROLOL Yes Yes 2.89233 2.89233 Retocar 10mg TAB BISOPROLOL Yes Yes 2.89233 2.89233 Bisoprolol unicorn 10mg TAB BISOPROLOL Yes Yes 2.89233 2.89233 Adco-bisocor 10mg TAB BISOPROLOL Yes Yes 2.89233 2.89233 Bilocor 10mg TAB BISOPROLOL Yes Yes 2.89233 2.89233 Mylan bisoprolol 10mg TAB BISOPROLOL Yes Yes 2.89233 2.89233 Ziapro 10mg TAB BISOPROLOL Yes Yes 2.89233 2.89233 Bisoprolol zydus 5mg TAB BISOPROLOL Yes Yes 1.72000 1.72000 Bislo 5mg TAB BISOPROLOL Yes Yes 1.72000 1.72000 Retocar 5mg TAB BISOPROLOL Yes Yes 1.72000 1.72000 Bisoprolol unicorn 5mg TAB BISOPROLOL Yes Yes 1.72000 1.72000 Adco-bisocor 5mg TAB BISOPROLOL Yes Yes 1.72000 1.72000 Bilocor 5mg TAB BISOPROLOL Yes Yes 1.72000 1.72000 Mylan bisoprolol 5mg TAB BISOPROLOL Yes Yes 1.72000 1.72000 Ziapro 5mg TAB BISOPROLOL Yes Yes 1.72000 1.72000 Combigan 2mg/5mg 5ml OPD TIMOLOL, COMBINATIONS Yes Yes 221.58000 221.58000 Brimoct 5ml 2mg/1mL OPD BRIMONIDINE Yes Yes 211.44000 211.44000 Alphagan purite 5ml 1,5mg/1mL OPD BRIMONIDINE Yes Yes 211.44000 211.44000 Budeflam hfa 300dose 100mcg INH BUDESONIDE Yes Yes 216.00000 216.00000 Pulmicort turbuhaler 200dose 100mcg TBH BUDESONIDE Yes Yes 106.52000 106.52000 Symbicord turbohaler 60dose 160mcg/4.5mcg TBH FORMOTEROL AND BUDESONIDE Yes Yes 432.40000 432.40000 Symbicord turboh 120dose 160mcg/4,5mcg TBH FORMOTEROL AND BUDESONIDE Yes Yes 432.40000 432.40000 Entocord ENE BUDESONIDE Yes Yes 62.67429 62.67429 Budeflam hfa 300dose 200mcg INH BUDESONIDE Yes Yes 308.28000 308.28000 Inflammide novolizer refill 200dose 200mcg REF BUDESONIDE Yes Yes 216.74000 216.74000 Pulmicort turbuhaler 200dose 200mcg TBH BUDESONIDE Yes Yes 326.75000 326.75000 4 24/11/2016
and Priority incl Inflammide novolizer complete 200dose 200mcg TBH BUDESONIDE Yes Yes 326.75000 326.75000 Symbicord 320/9mcg per inhalation 60dose TBH FORMOTEROL AND BUDESONIDE Yes Yes 319.75000 319.75000 Inflammide novolizer refill 100dose 400mcg REF BUDESONIDE Yes Yes 216.74000 216.74000 Inflammide novolizer complete 100dose 400mcg TBH BUDESONIDE Yes Yes 326.75000 326.75000 B-cal CHU CALCIUM CARBONATE Yes Yes 0.87680 0.87680 Mylan captopril 25mg TAB CAPTOPRIL Yes Yes 0.33467 0.33467 Adco-captomax 25mg TAB CAPTOPRIL Yes Yes 0.33467 0.33467 Bio-captopril 25mg TAB CAPTOPRIL Yes Yes 0.33467 0.33467 Adco-captomax 50mg TAB CAPTOPRIL Yes Yes 0.41167 0.41167 Mylan captopril 50mg TAB CAPTOPRIL Yes Yes 0.41167 0.41167 Tegretol cr 200mg SRT CARBAMAZEPINE Yes Yes 3.96700 3.96700 Zeptol 200mg TAB CARBAMAZEPINE Yes Yes 2.13410 2.13410 Degranol 200mg TAB CARBAMAZEPINE Yes Yes 2.13410 2.13410 Tegretol cr 400mg SRT CARBAMAZEPINE Yes Yes 7.33733 7.33733 Teva carbi-levo 25/100 TAB LEVODOPA AND DECARBOXYLASE INHIBYes Yes 3.84240 3.84240 Sinemet 25mg/100mg TAB LEVODOPA AND DECARBOXYLASE INHIBYes Yes 3.84240 3.84240 Teva carbi-levo 25/250 TAB LEVODOPA AND DECARBOXYLASE INHIBYes Yes 5.25530 5.25530 Sinemet 25mg/250mg 25mg;250mg TAB LEVODOPA AND DECARBOXYLASE INHIBYes Yes 5.25530 5.25530 Carvetrend 12,5mg TAB CARVEDILOL Yes Yes 2.54767 2.54767 Carvedilol unicorn 12,5mg TAB CARVEDILOL Yes Yes 2.54767 2.54767 Vediblok 12,5mg TAB CARVEDILOL Yes Yes 2.54767 2.54767 Carloc 12,5mg TAB CARVEDILOL Yes Yes 2.54767 2.54767 Vediblok 25mg TAB CARVEDILOL Yes Yes 3.30000 3.30000 Carvetrend 25mg TAB CARVEDILOL Yes Yes 3.30000 3.30000 Carvedilol unicorn 25mg TAB CARVEDILOL Yes Yes 3.30000 3.30000 Carloc 25mg TAB CARVEDILOL Yes Yes 3.30000 3.30000 Carvetrend 6,25mg TAB CARVEDILOL Yes Yes 2.36000 2.36000 Vediblok 6,25mg TAB CARVEDILOL Yes Yes 2.36000 2.36000 Carvedilol unicorn 6,25mg TAB CARVEDILOL Yes Yes 2.36000 2.36000 5 24/11/2016
and Priority incl Carloc 6,25mg TAB CARVEDILOL Yes Yes 2.36000 2.36000 Plasmoquine 200mg CAP CHLOROQUINE Yes Yes 2.32000 2.32000 Largactil 100mg TAB CHLORPROMAZINE Yes Yes 4.48940 4.48940 Largactil 25mg TAB CHLORPROMAZINE Yes Yes 1.62660 1.62660 Ciclovent 60 dose 160mcg INH CICLESONIDE Yes Yes 183.54000 183.54000 Ciclovent 60 dose 80mcg INH CICLESONIDE Yes Yes 111.15000 111.15000 Adco-talomil 20mg TAB CITALOPRAM Yes Yes 2.52567 2.52567 Bio citalopram 20mg TAB CITALOPRAM Yes Yes 2.52567 2.52567 Austell-citalopram 20mg TAB CITALOPRAM Yes Yes 2.52567 2.52567 Arrow citalopram 40mg TAB CITALOPRAM Yes Yes 3.54667 3.54667 Clonam 0,5mg TAB CLONAZEPAM Yes Yes 1.63589 1.63589 Rivotril 0,5mg TAB CLONAZEPAM Yes Yes 1.63589 1.63589 Clonam 2mg TAB CLONAZEPAM Yes Yes 3.75756 3.75756 Rivotril 2mg TAB CLONAZEPAM Yes Yes 3.75756 3.75756 Aspen clozapine 100mg TAB CLOZAPINE Yes Yes 9.85250 9.85250 Cloment 100mg TAB CLOZAPINE Yes Yes 9.85250 9.85250 Aspen clozapine 25mg TAB CLOZAPINE Yes Yes 3.49080 3.49080 Cloment 25mg TAB CLOZAPINE Yes Yes 3.49080 3.49080 Haemosolvex ix 500u INJ COAGULATION FACTOR IX Yes Yes 1,788.25000 1,788.25000 Aranesp prefilled syringe 0.4ml 10mcg/0,4mL INJ DARBEPOETIN ALFA Yes Yes 193.87000 193.87000 Aranesp prefilled syringe 0.5ml 20mcg/0,5mL INJ DARBEPOETIN ALFA Yes Yes 387.74000 387.74000 Aranesp prefilled syringe 0.3ml 30mcg/0,3mL INJ DARBEPOETIN ALFA Yes Yes 581.62000 581.62000 Aranesp prefilled syringe 0.3ml 60mcg/0,3mL INJ DARBEPOETIN ALFA Yes Yes 1,163.23000 1,163.23000 Ddavp nasal spray 5ml 0,1mg/1mL NSS DESMOPRESSIN Yes Yes 854.57000 854.57000 Ddavp 0,1mg TAB DESMOPRESSIN Yes Yes 15.12867 15.12867 Ddavp 0,2mg TAB DESMOPRESSIN Yes Yes 20.06233 20.06233 Diclofenac biotech 25mg TAB DICLOFENAC Yes Yes 0.16204 0.16204 Mylan diclofenac 25mg TAB DICLOFENAC Yes Yes 0.16204 0.16204 6 24/11/2016
and Priority incl A-lennon diclofenac 25mg TAB DICLOFENAC Yes Yes 0.16204 0.16204 A-lennon diclofenac 50mg TAB DICLOFENAC Yes Yes 0.47933 0.47933 Mylan diclofenac 50mg TAB DICLOFENAC Yes Yes 0.47933 0.47933 Adco-diclofenac 50mg TAB DICLOFENAC Yes Yes 0.47933 0.47933 Panamor at 50mg TAB DICLOFENAC Yes Yes 0.47933 0.47933 Lanoxin paed 0,05mg/1mL SYR DIGOXIN Yes Yes 1.41980 1.41980 Lanoxin 0,0625mg TAB DIGOXIN Yes Yes 0.70440 0.70440 Lanoxin 0,25mg TAB DIGOXIN Yes Yes 0.38250 0.38250 Adco-zildem sr 180mg SRC DILTIAZEM Yes Yes 8.61500 8.61500 Adco-zildem sr 240mg SRC DILTIAZEM Yes Yes 8.64833 8.64833 Adco-zildem 60mg TAB DILTIAZEM Yes Yes 2.89100 2.89100 Glaumide-co 5ml OPD TIMOLOL, COMBINATIONS Yes Yes 162.70000 213.14000 Cosopt 5ml 0,5% OPD TIMOLOL, COMBINATIONS Yes Yes 162.70000 213.14000 Glaucopress 5ml 0.02 OPD DORZOLAMIDE Yes Yes 120.29000 150.55000 Trusopt 5ml owi 0.02 OPD DORZOLAMIDE Yes Yes 120.29000 150.55000 Cardugen (was merck-doxazosin) 1mg TAB DOXAZOSIN Yes Yes 1.54467 1.54467 Cardugen (was merck-doxazosin) 4mg TAB DOXAZOSIN Yes Yes 1.93600 1.93600 Alapren 10mg TAB ENALAPRIL Yes Yes 1.51467 1.51467 Enalapril unicorn 10mg TAB ENALAPRIL Yes Yes 1.51467 1.51467 Envas 10mg TAB ENALAPRIL Yes Yes 1.51467 1.51467 Enap co 20mg/12.5mg 20mg;12,5mg TAB ENALAPRIL AND DIURETICS Yes Yes 3.48900 3.48900 Pharmapress co 20mg/12.5mg TAB ENALAPRIL AND DIURETICS Yes Yes 3.48900 3.48900 Alapren 20mg TAB ENALAPRIL Yes Yes 2.33000 2.33000 Enalapril unicorn 20mg TAB ENALAPRIL Yes Yes 2.33000 2.33000 Alapren 5mg TAB ENALAPRIL Yes Yes 1.03033 1.03033 Envas 5mg TAB ENALAPRIL Yes Yes 1.03033 1.03033 Eprex prefill 2000u/0,5mL INJ ERYTHROPOIETIN Yes Yes 170.00000 170.00000 Recormon 2000 pre-filled syringe 2000unit/0,3mLINJ ERYTHROPOIETIN Yes Yes 169.74667 169.74667 Recormon 4000 iu/0.3ml prefilled syringe 4000u/0,3mL INJ ERYTHROPOIETIN Yes Yes 339.49667 339.49667 7 24/11/2016
and Priority incl Recormon 500 iu/0.3ml prefilled syringe INJ ERYTHROPOIETIN Yes Yes 44.28167 44.28167 Zitolex 10mg TAB ESCITALOPRAM No Yes 2.94000 Accord escitalopram 10mg TAB ESCITALOPRAM No Yes 2.94000 Escitalopram be-tabs 10mg TAB ESCITALOPRAM No Yes 2.94000 Zytomil 10mg TAB ESCITALOPRAM No Yes 2.94000 Zitolex 20mg TAB ESCITALOPRAM No Yes 3.79367 Accord escitalopram 20mg TAB ESCITALOPRAM No Yes 3.79367 Zytomil 20mg TAB ESCITALOPRAM No Yes 3.79367 Felodipine-hexal 10mg SRT FELODIPINE No Yes 4.09767 Plendil 2,5mg SRT FELODIPINE No Yes 3.30000 Plendil 5mg SRT FELODIPINE No Yes 3.30000 Pregamal TAB FERROUS FUMARATE Yes Yes 0.50670 0.50670 Tambocor 100mg TAB FLECAINIDE Yes Yes 9.35317 9.35317 Florinef acetate 0,1mg TAB FLUDROCORTISONE Yes Yes 2.79190 2.79190 Deprozan 20mg CAP FLUOXETINE Yes Yes 0.93800 0.93800 Prolax 20mg CAP FLUOXETINE Yes Yes 0.93800 0.93800 Fluoxetine actor 20mg CAP FLUOXETINE Yes Yes 0.93800 0.93800 Ranflocs 20mg CAP FLUOXETINE Yes Yes 0.93800 0.93800 Fluanxol 0,5mg TAB FLUPENTIXOL Yes Yes 7.00000 7.00000 Fluanxol 1mg TAB FLUPENTIXOL Yes Yes 9.86500 9.86500 Fluanxol depot 2ml 40mg INJ FLUPENTIXOL Yes Yes 55.47000 55.47000 Fluanxol depot 1ml 20mg INJ FLUPENTIXOL Yes Yes 71.15000 71.15000 Foxair accuhaler 60 dose 50/100 ACC SALMETEROL AND FLUTICASONE Yes Yes 232.14000 232.14000 Sereflo 25/125 hfa 120 dose INH SALMETEROL AND FLUTICASONE Yes Yes 172.72000 172.72000 Flixotide 125 cfc free 120 actuations 125mcg INH FLUTICASONE No Yes 199.33000 Sereflo 25/250 hfa 120 dose INH SALMETEROL AND FLUTICASONE Yes Yes 232.34000 232.34000 Flixotide cfc free 120dose 250mcg INH FLUTICASONE No Yes 338.50000 Foxair accuhaler 60 dose 50/250 ACC SALMETEROL AND FLUTICASONE Yes Yes 321.82000 321.82000 Foxair accuhaler 60 dose 50/500 ACC SALMETEROL AND FLUTICASONE Yes Yes 428.30000 428.30000 8 24/11/2016
and Priority incl Sereflo 25/50 hfa 120 dose INH SALMETEROL AND FLUTICASONE Yes Yes 128.51000 128.51000 Flonase 120 dose 50mcg AQS FLUTICASONE Yes Yes 71.68000 71.68000 Flixotide cfc free 120dose 50mcg INH FLUTICASONE No Yes 107.21000 Folic acid 0,5mg TAB FOLIC ACID Yes Yes 0.03420 0.03420 Folic acid 0,5mg TAB FOLIC ACID Yes Yes 0.03420 0.03420 Be-tabs folic acid 5mg TAB FOLIC ACID Yes Yes 0.57000 0.57000 Foratec hfa 120dose 12mcg/1dose INH FORMOTEROL Yes Yes 123.47000 123.47000 Mylan furosemide 40mg TAB FUROSEMIDE Yes Yes 0.21668 0.21668 Furobe 40mg TAB FUROSEMIDE Yes Yes 0.21668 0.21668 Dino-retic 40mg TAB FUROSEMIDE Yes Yes 0.21668 0.21668 Diuresix 40mg TAB FUROSEMIDE Yes Yes 0.21668 0.21668 Dyna gliclazide sr 30mg SRT GLICLAZIDE Yes Yes 0.96200 0.96200 Diaran mr 30mg SRT GLICLAZIDE Yes Yes 0.96200 0.96200 Gliclazide unicorn mr 30mg SRT GLICLAZIDE Yes Yes 0.96200 0.96200 Sandoz gliclazide 80mg TAB GLICLAZIDE Yes Yes 0.96000 0.96000 Austell-gliclazide 80mg TAB GLICLAZIDE Yes Yes 0.96000 0.96000 Adco-glucomed 80mg TAB GLICLAZIDE Yes Yes 0.96000 0.96000 Diaglucide 80mg TAB GLICLAZIDE Yes Yes 0.96000 0.96000 Glygard 80mg TAB GLICLAZIDE Yes Yes 0.96000 0.96000 Glycron 80mg TAB GLICLAZIDE Yes Yes 0.96000 0.96000 Mylan gliclazide 80mg TAB GLICLAZIDE Yes Yes 0.96000 0.96000 Bio-glibenclamide 5mg TAB GLIBENCLAMIDE Yes Yes 0.28999 0.28999 Glycomin 5mg TAB GLIBENCLAMIDE Yes Yes 0.28999 0.28999 Sandoz glibenclamide 5mg TAB GLIBENCLAMIDE Yes Yes 0.28999 0.28999 Diacare 5mg TAB GLIBENCLAMIDE Yes Yes 0.28999 0.28999 Repotin 1ml ampoule 2000iu INJ ERYTHROPOIETIN Yes Yes 103.88400 103.88400 Repotin 1ml ampoule 4000iu INJ ERYTHROPOIETIN Yes Yes 192.94800 192.94800 Eprex prefill 4000u/0,4mL INJ ERYTHROPOIETIN Yes Yes 340.00000 340.00000 Hyperphen 10mg TAB HYDRALAZINE Yes Yes 0.80190 0.80190 9 24/11/2016
and Priority incl Sandoz hydralazine 25mg TAB HYDRALAZINE Yes Yes 0.87633 0.87633 Hyperphen 50mg TAB HYDRALAZINE Yes Yes 0.75310 0.75310 Zestoretic 10mg/12.5mg 10mg;12,5mg TAB LISINOPRIL AND DIURETICS No Yes 1.84900 Lisozide 10mg/12.5mg TAB LISINOPRIL AND DIURETICS No Yes 1.84900 Lisoretic 10/12.5 TAB LISINOPRIL AND DIURETICS No Yes 1.84900 Adco-zetomax co 10/12.5 TAB LISINOPRIL AND DIURETICS No Yes 1.84900 Zestoretic 20mg/12.5mg 20mg;12,5mg TAB LISINOPRIL AND DIURETICS No Yes 3.07433 Lisozide 20mg/12.5mg TAB LISINOPRIL AND DIURETICS No Yes 3.07433 Lisoretic 20/12.5 TAB LISINOPRIL AND DIURETICS No Yes 3.07433 Adco-zetomax co 20/12.5 TAB LISINOPRIL AND DIURETICS No Yes 3.07433 Netrasol co 50/12.5mg TAB LOSARTAN AND DIURETICS Yes Yes 2.64100 2.93000 Losacar co 50mg/12,5mg TAB LOSARTAN AND DIURETICS Yes Yes 2.64100 2.93000 Losaar plus 50mg/12.5mg TAB LOSARTAN AND DIURETICS Yes Yes 2.64100 2.93000 Losartan co unicorn 50mg/12.5mg TAB LOSARTAN AND DIURETICS Yes Yes 2.64100 2.93000 Hytenza co 50mg/12.5mg TAB LOSARTAN AND DIURETICS Yes Yes 2.64100 2.93000 Zartan co 50mg/12.5mg TAB LOSARTAN AND DIURETICS Yes Yes 2.64100 2.93000 Dynaval co 160mg/12.5mg TAB VALSARTAN AND DIURETICS No Yes 3.14400 Dynaval co 80mg/12.5mg TAB VALSARTAN AND DIURETICS No Yes 3.14400 Ridaq 12,5mg TAB HYDROCHLOROTHIAZIDE Yes Yes 0.41000 0.41000 Losaar plus 100mg/25mg TAB LOSARTAN AND DIURETICS Yes Yes 2.90300 2.90300 Netrasol co 100/25mg TAB LOSARTAN AND DIURETICS Yes Yes 2.90300 2.90300 Zartan co 100mg/25mg TAB LOSARTAN AND DIURETICS Yes Yes 2.90300 2.90300 Losartan co unicorn 100mg/25mg TAB LOSARTAN AND DIURETICS Yes Yes 2.90300 2.90300 Dynaval co 160mg/25mg TAB VALSARTAN AND DIURETICS No Yes 3.14400 Hexazide 25mg TAB HYDROCHLOROTHIAZIDE Yes Yes 0.43900 0.43900 Covocort 10mg TAB HYDROCORTISONE Yes Yes 1.44030 1.44030 Ibucine (was Ibumax) 200mg TAB IBUPROFEN Yes Yes 0.39917 0.39917 Betaprofen 200mg TAB IBUPROFEN Yes Yes 0.39917 0.39917 Ibunate 200mg TAB IBUPROFEN Yes Yes 0.39917 0.39917 10 24/11/2016
and Priority incl Ibu 200mg TAB IBUPROFEN Yes Yes 0.39917 0.39917 Ibucine (was Ibumax) 400mg TAB IBUPROFEN Yes Yes 0.78917 0.78917 Betaprofen fc 400mg TAB IBUPROFEN Yes Yes 0.78917 0.78917 Bren 400mg TAB IBUPROFEN Yes Yes 0.78917 0.78917 Ranfen 400mg TAB IBUPROFEN Yes Yes 0.78917 0.78917 Ciplasyl plus 4mg/1.25mg TAB PERINDOPRIL AND DIURETICS No Yes 3.14000 Pearinda plus 4mg/1.25mg TAB PERINDOPRIL AND DIURETICS No Yes 3.14000 Perindopril co unicorn 4mg/1.25mg TAB PERINDOPRIL AND DIURETICS No Yes 3.14000 Mylan indapamide 2,5mg TAB INDAPAMIDE Yes Yes 0.53967 0.53967 Cipla-indapamide 2,5mg TAB INDAPAMIDE Yes Yes 0.53967 0.53967 Daptril 2,5mg TAB INDAPAMIDE Yes Yes 0.53967 0.53967 Methocaps 25mg CAP INDOMETACIN Yes Yes 0.13873 0.13873 Betacin 25mg CAP INDOMETACIN Yes Yes 0.13873 0.13873 Gulf indomethacin 25mg CAP INDOMETACIN Yes Yes 0.13873 0.13873 Influvac 0.5ml VAC INFLUENZA, PURIFIED ANTIGEN Yes Yes 65.19500 65.19500 Vaxigrip single dose 0.5ml pre-filled VAC INFLUENZA, PURIFIED ANTIGEN Yes Yes 65.19500 65.19500 Novomix 30 flexpen 3ml 100u/1mL INJ INSULIN ASPART No Yes 117.27400 Biosulin 30-70 cartridge 3ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 91.59800 91.59800 Humulin 30/70 kwikpen 3ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 91.59800 91.59800 Insuman comb 30/70 cartridge 3ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 91.59800 91.59800 Humulin n vial 10ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 299.78000 299.78000 Humalog vial 10ml 100u/1mL INJ INSULIN LISPRO Yes Yes 266.04000 266.04000 Humalog mix 25 cartridge 3ml 100u/1mL INJ INSULIN LISPRO Yes Yes 91.40600 91.40600 Humalog mix 50 kwikpen 3ml INJ INSULIN LISPRO No Yes 108.46200 Rebif 22 pre-filled syringe 0.5ml 22mcg/0,5mL INJ INTERFERON BETA-1A Yes Yes 3,245.06333 3,245.06333 Rebif 22 rebidose pre-filled pen 0.5ml 22mcg/0,5mL INJ INTERFERON BETA-1A Yes Yes 3,245.06333 3,245.06333 Avonex prefilled syringe 0.5ml 30mcg/0,5mL INJ INTERFERON BETA-1A Yes Yes 2,627.13750 2,627.13750 Rebif 44 pre-filled syringe 0.5ml 44mcg/0,5mL INJ INTERFERON BETA-1A Yes Yes 875.54583 875.54583 Rebif 44 rebidose pre-filled pen 0.5ml 44mcg/0,5mL INJ INTERFERON BETA-1A Yes Yes 875.54583 875.54583 11 24/11/2016
and Priority incl Betaferon pre-filled syringe 1ml 9600000u/1mL INJ INTERFERON BETA-1B Yes Yes 734.41867 734.41867 Ganfort 3ml OPD TIMOLOL, COMBINATIONS Yes Yes 236.05000 236.05000 Atrovent HFA 200dose 20mcg INH IPRATROPIUM BROMIDE Yes Yes 168.95000 168.95000 Ipvent HFA 200 dose 40mcg/1dose INH IPRATROPIUM BROMIDE Yes Yes 138.15000 138.15000 Dynarb 150mg TAB IRBESARTAN No Yes 2.90267 Dynarb 300mg TAB IRBESARTAN No Yes 3.07033 Zypiron 5ml vial 20mg/1mL INJ IRON, PARENTERAL PREPARATIONS Yes Yes 116.24600 116.24600 Sucrofer 5ml 20mg/1mL INJ IRON, PARENTERAL PREPARATIONS Yes Yes 116.24600 116.24600 Rautevene solution for injection ampoule 5ml 100mg/5mL INJ IRON, PARENTERAL PREPARATIONS Yes Yes 116.24600 116.24600 Cosmofer ampoule 2ml 50mg/1mL INJ IRON, PARENTERAL PREPARATIONS Yes Yes 130.46200 130.46200 Sandoz isosorbide dinitrate 10mg TAB ISOSORBIDE DINITRATE Yes Yes 0.70720 0.70720 Isordil 30mg TAB ISOSORBIDE DINITRATE Yes Yes 1.91040 1.91040 Sandoz isosorbide dinitrate 5mg SLT ISOSORBIDE DINITRATE Yes Yes 0.78640 0.78640 Elantan 20mg TAB ISOSORBIDE MONONITRATE Yes Yes 2.45333 2.45333 Elantan la 50mg SRC ISOSORBIDE MONONITRATE Yes Yes 4.27300 4.27300 Monicor sr 60mg SRT ISOSORBIDE MONONITRATE Yes Yes 5.00367 5.00367 Epitec 100mg TAB LAMOTRIGINE Yes Yes 4.34400 4.34400 Dyna-lamotrigine 100mg TAB LAMOTRIGINE Yes Yes 4.34400 4.34400 Lamitor 100mg TAB LAMOTRIGINE Yes Yes 4.34400 4.34400 Dyna-lamotrigine 200mg TAB LAMOTRIGINE Yes Yes 5.85200 5.85200 Lamitor 200mg TAB LAMOTRIGINE Yes Yes 5.85200 5.85200 Epitec 200mg TAB LAMOTRIGINE Yes Yes 5.85200 5.85200 Dyna-lamotrigine 25mg TAB LAMOTRIGINE Yes Yes 1.57200 1.57200 Epitec 25mg TAB LAMOTRIGINE Yes Yes 1.57200 1.57200 Lamitor 25mg TAB LAMOTRIGINE Yes Yes 1.57200 1.57200 Lamitor 50mg TAB LAMOTRIGINE Yes Yes 2.18333 2.18333 Lamidus 50mg TAB LAMOTRIGINE Yes Yes 2.18333 2.18333 Epitec 50mg TAB LAMOTRIGINE Yes Yes 2.18333 2.18333 Dyna-lamotrigine 50mg TAB LAMOTRIGINE Yes Yes 2.18333 2.18333 12 24/11/2016
and Priority incl Xalacom 2.5ml OPD TIMOLOL, COMBINATIONS Yes Yes 225.25000 225.25000 Atana 2.5ml 50mcg/1mL OPD LATANOPROST Yes Yes 151.43000 182.37000 Xalatan 2.5ml 50mcg/1mL OPD LATANOPROST Yes Yes 151.43000 182.37000 Ocuprost 3ml 50mcg/1mL OPD LATANOPROST Yes Yes 151.43000 182.37000 Euthyrox 100mcg TAB LEVOTHYROXINE SODIUM Yes Yes 0.94000 0.94000 Euthyrox 25mcg TAB LEVOTHYROXINE SODIUM Yes Yes 0.49280 0.49280 Euthyrox 50mcg TAB LEVOTHYROXINE SODIUM Yes Yes 0.66000 0.66000 Sinopren 10mg TAB LISINOPRIL Yes Yes 0.81500 0.81500 Austell-lisinopril 10mg TAB LISINOPRIL Yes Yes 0.81500 0.81500 Sinopren 20mg TAB LISINOPRIL Yes Yes 0.81500 0.81500 Austell-lisinopril 20mg TAB LISINOPRIL Yes Yes 0.81500 0.81500 Sinopren 5mg TAB LISINOPRIL Yes Yes 0.81467 0.81467 Camcolit 250mg TAB LITHIUM Yes Yes 3.29080 3.29080 Camcolit 400mg TAB LITHIUM Yes Yes 3.52700 3.52700 Quilonum retard 450mg TAB LITHIUM Yes Yes 4.08383 4.08383 Spec-losartan 100mg TAB LOSARTAN No Yes 3.15033 Zartan 100mg TAB LOSARTAN No Yes 3.15033 Ciplazar 100mg TAB LOSARTAN No Yes 3.15033 Losartan unicorn 100mg TAB LOSARTAN No Yes 3.15033 Austell losartan 100mg TAB LOSARTAN No Yes 3.15033 Adco-meloxicam 15mg TAB MELOXICAM Yes Yes 1.25800 1.25800 Medoxicam 7,5mg TAB MELOXICAM Yes Yes 1.11967 1.14000 Flexocam 7,5mg TAB MELOXICAM Yes Yes 1.11967 1.14000 Zydus-meloxicam 7,5mg TAB MELOXICAM Yes Yes 1.11967 1.14000 Arrow meloxicam 7,5mg TAB MELOXICAM Yes Yes 1.11967 1.14000 Coxflam 7,5mg TAB MELOXICAM Yes Yes 1.11967 1.14000 Flamaryx 7,5mg TAB MELOXICAM Yes Yes 1.11967 1.14000 Pentasa 1000mg SUP MESALAZINE Yes Yes 33.80036 33.80036 Asacol 400mg TAB MESALAZINE Yes Yes 6.34722 6.34722 13 24/11/2016
and Priority incl Asacol 500mg SUP MESALAZINE Yes Yes 18.69000 18.69000 Pentasa 500mg TAB MESALAZINE Yes Yes 5.51210 5.51210 Diaphage 1000mg TAB METFORMIN Yes Yes 0.83033 0.83033 Bigsens 1000mg TAB METFORMIN Yes Yes 0.83033 0.83033 Romidab 1000mg TAB METFORMIN Yes Yes 0.83033 0.83033 Mengen 1000mg TAB METFORMIN Yes Yes 0.83033 0.83033 Metored 1000mg TAB METFORMIN Yes Yes 0.83033 0.83033 Accord metformin 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Metchek 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Romidab 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Bigsens 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Mengen 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Metformin alkem 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Apex-metformin 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Mylan metformin 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Diaformin 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Diamin 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Diaphage 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Gluconorm 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Metphage 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Arrow metformin 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Metored 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Sandoz metformin 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Sandoz metformin FCT 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Austell-metformin 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Metforal 500mg TAB METFORMIN Yes Yes 0.44270 0.44270 Accord metformin 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Bigsens 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Diaphage 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 14 24/11/2016
and Priority incl Metchek 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Metformin alkem 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Romidab 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Mylan metformin 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Diamin 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Metphage 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Diaformin forte 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Mengen 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Metored 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Metforal 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Arrow metformin 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Austell-metformin 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Gluconorm 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Sandoz metformin FCT 850mg TAB METFORMIN Yes Yes 0.80000 0.80000 Abitrexate 2,5mg TAB METHOTREXATE Yes Yes 1.76140 1.76140 Methotrexate 2,5mg TAB METHOTREXATE Yes Yes 1.76140 1.76140 Mircera prefilled syringe 0.3ml 100mcg/0,3mL INJ METHOXY POLYETHYLENE GLYCOL-EPOETIN BYes Yes 3,800.00000 3,800.00000 Mircera prefilled syringe 0.3ml 150mcg/0,3mL INJ METHOXY POLYETHYLENE GLYCOL-EPOETIN BYes Yes 3,800.00000 3,800.00000 Mircera prefilled syringe 0.3ml 200mcg/0,3mL INJ METHOXY POLYETHYLENE GLYCOL-EPOETIN BYes Yes 4,000.00000 4,000.00000 Mircera prefilled syringe 0.3ml 250mcg/0,3mL INJ METHOXY POLYETHYLENE GLYCOL-EPOETIN BYes Yes 4,250.00000 4,250.00000 Mircera prefilled syringe 0.3ml 50mcg/0,3mL INJ METHOXY POLYETHYLENE GLYCOL-EPOETIN BYes Yes 1,900.00000 1,900.00000 Mircera prefilled syringe 0.3ml 75mcg/0,3mL INJ METHOXY POLYETHYLENE GLYCOL-EPOETIN BYes Yes 2,849.72000 2,849.72000 Sandoz methyldopa 250mg TAB METHYLDOPA (LEVOROTATORY) Yes Yes 0.93300 0.93300 Mylan methyldopa 250mg TAB METHYLDOPA (LEVOROTATORY) Yes Yes 0.93300 0.93300 Hypotone 250mg TAB METHYLDOPA (LEVOROTATORY) Yes Yes 0.93300 0.93300 Naproscript 250mg TAB NAPROXEN Yes Yes 0.48992 0.48992 Mylan naproxen 250mg TAB NAPROXEN Yes Yes 0.48992 0.48992 Cipalat retard 20mg TAB NIFEDIPINE Yes Yes 1.00617 1.00617 Angised 0,5mg SLT GLYCERYL TRINITRATE Yes Yes 0.95840 0.95840 15 24/11/2016
and Priority incl Olawin oradispersible 10mg MLT OLANZAPINE Yes Yes 18.24000 18.24000 Prexolan odt 10mg MLT OLANZAPINE Yes Yes 18.24000 18.24000 Olawin 10mg TAB OLANZAPINE Yes Yes 19.84133 19.84133 Zylena 10mg TAB OLANZAPINE Yes Yes 19.84133 19.84133 Prexolan 10mg TAB OLANZAPINE Yes Yes 19.84133 19.84133 Olexar 10mg TAB OLANZAPINE Yes Yes 19.84133 19.84133 Olawin oradispersible 5mg MLT OLANZAPINE Yes Yes 14.22633 14.22633 Prexolan odt 5mg MLT OLANZAPINE Yes Yes 14.22633 14.22633 Olawin 5mg TAB OLANZAPINE Yes Yes 14.47133 14.47133 Zylena 5mg TAB OLANZAPINE Yes Yes 14.47133 14.47133 Prexolan 5mg TAB OLANZAPINE Yes Yes 14.47133 14.47133 Dipentum 250mg CAP OLSALAZINE Yes Yes 3.53290 3.53290 Mylan oxybutynin 5mg TAB OXYBUTYNIN Yes Yes 1.71850 1.71850 Lenditro 5mg TAB OXYBUTYNIN Yes Yes 1.71850 1.71850 Cetapon 500mg TAB PARACETAMOL Yes Yes 0.07986 0.07986 Painogesic 500mg TAB PARACETAMOL Yes Yes 0.07986 0.07986 Adco-napamol 500mg TAB PARACETAMOL Yes Yes 0.07986 0.07986 Adco-prolief 500mg TAB PARACETAMOL Yes Yes 0.07986 0.07986 Prexum 5mg TAB PERINDOPRIL No Yes 2.66000 Ran-perindopril 4mg TAB PERINDOPRIL Yes Yes 2.00000 2.65000 Ciplasyl 4 4mg TAB PERINDOPRIL Yes Yes 2.00000 2.65000 Pearinda 4mg TAB PERINDOPRIL Yes Yes 2.00000 2.65000 Perindopril unicorn 4mg TAB PERINDOPRIL Yes Yes 2.00000 2.65000 Peristar 4mg TAB PERINDOPRIL Yes Yes 2.00000 2.65000 Spec-perindopril 4mg TAB PERINDOPRIL Yes Yes 2.00000 2.65000 Spec-perindopril 8mg TAB PERINDOPRIL No Yes 4.15200 Peristar 8mg TAB PERINDOPRIL No Yes 4.15200 Ciplasyl 8 8mg TAB PERINDOPRIL No Yes 4.15200 Pearinda 8mg TAB PERINDOPRIL No Yes 4.15200 16 24/11/2016
and Priority incl Sedabarb 30mg TAB PHENOBARBITAL Yes Yes 0.17133 0.17133 Lethyl 30mg TAB PHENOBARBITAL Yes Yes 0.17133 0.17133 Phenytoin sod 100mg TAB PHENYTOIN Yes Yes 0.54453 0.54453 Accord pioglitazone 15mg TAB PIOGLITAZONE Yes Yes 3.14933 3.14933 Cipla-pioglitazone 15mg TAB PIOGLITAZONE Yes Yes 3.14933 3.14933 Accord pioglitazone 30mg TAB PIOGLITAZONE Yes Yes 5.29067 5.29067 Cipla-pioglitazone 30mg TAB PIOGLITAZONE Yes Yes 5.29067 5.29067 Roxifen 20mg CAP PIROXICAM Yes Yes 0.93333 0.93333 Pyrocaps 20mg CAP PIROXICAM Yes Yes 0.93333 0.93333 Imovax pneumo 23 VAC PNEUMOCOCCUS, PURIFIED POLYSACCHARID Yes Yes 122.03000 122.03000 Plenish k 600mg TAB POTASSIUM CHLORIDE Yes Yes 1.22310 1.22310 Ultipot 600mg TAB POTASSIUM CHLORIDE Yes Yes 1.22310 1.22310 Sandoz k-600 600mg TAB POTASSIUM CHLORIDE Yes Yes 1.22310 1.22310 Potassium chloride unicorn 600mg TAB POTASSIUM CHLORIDE Yes Yes 1.22310 1.22310 Pramex 0,125mg TAB PRAMIPEXOLE Yes Yes 2.69070 2.69070 Oxpola 0,125mg TAB PRAMIPEXOLE Yes Yes 2.69070 2.69070 Pramex 0,25mg TAB PRAMIPEXOLE Yes Yes 3.27810 3.27810 Oxpola 0,25mg TAB PRAMIPEXOLE Yes Yes 3.27810 3.27810 Pramex 1mg TAB PRAMIPEXOLE Yes Yes 10.79100 10.79100 Oxpola 1mg TAB PRAMIPEXOLE Yes Yes 10.79100 10.79100 Panafcort 5mg TAB PREDNISONE Yes Yes 0.18372 0.18372 Trolic 5mg TAB PREDNISONE Yes Yes 0.18372 0.18372 Be-tabs prednisone 5mg TAB PREDNISONE Yes Yes 0.18372 0.18372 Rythmol 150mg TAB PROPAFENONE Yes Yes 7.20780 7.20780 Rythmol 300mg TAB PROPAFENONE Yes Yes 14.53850 14.53850 Purbloka 10mg TAB PROPRANOLOL Yes Yes 1.89800 1.89800 Inderal 10mg TAB PROPRANOLOL Yes Yes 1.89800 1.89800 Purbloka 40mg TAB PROPRANOLOL Yes Yes 0.23780 0.23780 Dopaquel 100mg TAB QUETIAPINE Yes Yes 4.83544 4.83544 17 24/11/2016
and Priority incl Kizofrin 100mg TAB QUETIAPINE Yes Yes 4.83544 4.83544 Spec quetiapine 100mg TAB QUETIAPINE Yes Yes 4.83544 4.83544 Quetiapine biotech 100mg TAB QUETIAPINE Yes Yes 4.83544 4.83544 Sizonorm 100mg TAB QUETIAPINE Yes Yes 4.83544 4.83544 Psyquet 100mg TAB QUETIAPINE Yes Yes 4.83544 4.83544 Serez 100mg TAB QUETIAPINE Yes Yes 4.83544 4.83544 Quetoser 100mg TAB QUETIAPINE Yes Yes 4.83544 4.83544 Mylan quetiapine 100mg TAB QUETIAPINE Yes Yes 4.83544 4.83544 Mylan quetiapine 200mg TAB QUETIAPINE Yes Yes 7.60000 7.60000 Quetiapine biotech 200mg TAB QUETIAPINE Yes Yes 7.60000 7.60000 Kizofrin 200mg TAB QUETIAPINE Yes Yes 7.60000 7.60000 Sizonorm 200mg TAB QUETIAPINE Yes Yes 7.60000 7.60000 Spec quetiapine 200mg TAB QUETIAPINE Yes Yes 7.60000 7.60000 Dopaquel 200mg TAB QUETIAPINE Yes Yes 7.60000 7.60000 Psyquet 200mg TAB QUETIAPINE Yes Yes 7.60000 7.60000 Quetoser 200mg TAB QUETIAPINE Yes Yes 7.60000 7.60000 Serez 200mg TAB QUETIAPINE Yes Yes 7.60000 7.60000 Spec quetiapine 25mg TAB QUETIAPINE Yes Yes 2.53000 2.53000 Kizofrin 25mg TAB QUETIAPINE Yes Yes 2.53000 2.53000 Dopaquel 25mg TAB QUETIAPINE Yes Yes 2.53000 2.53000 Quetiapine biotech 25mg TAB QUETIAPINE Yes Yes 2.53000 2.53000 Psyquet 25mg TAB QUETIAPINE Yes Yes 2.53000 2.53000 Sizonorm 25mg TAB QUETIAPINE Yes Yes 2.53000 2.53000 Serez 25mg TAB QUETIAPINE Yes Yes 2.53000 2.53000 Mylan quetiapine 25mg TAB QUETIAPINE Yes Yes 2.53000 2.53000 Quetoser 25mg TAB QUETIAPINE Yes Yes 2.53000 2.53000 Accumax 10mg TAB QUINAPRIL No Yes 1.48567 Accumax 20mg TAB QUINAPRIL No Yes 2.25367 Reserpine 0,25mg TAB RESERPINE Yes Yes 0.69071 0.69071 18 24/11/2016
and Priority incl Risnia 0,5mg TAB RISPERIDONE Yes Yes 5.42067 5.42067 Rispacor 0,5mg TAB RISPERIDONE Yes Yes 5.42067 5.42067 Zoxadon 0,5mg TAB RISPERIDONE Yes Yes 5.42067 5.42067 Perizal 0,5mg TAB RISPERIDONE Yes Yes 5.42067 5.42067 Schizorol 0,5mg TAB RISPERIDONE Yes Yes 5.42067 5.42067 Risnia 1mg TAB RISPERIDONE Yes Yes 9.62967 9.62967 Perizal 1mg TAB RISPERIDONE Yes Yes 9.62967 9.62967 Risponz 1mg TAB RISPERIDONE Yes Yes 9.62967 9.62967 Rispacor 1mg TAB RISPERIDONE Yes Yes 9.62967 9.62967 Zoxadon 1mg TAB RISPERIDONE Yes Yes 9.62967 9.62967 Risnia 2mg TAB RISPERIDONE Yes Yes 16.42200 16.42200 Risponz 2mg TAB RISPERIDONE Yes Yes 16.42200 16.42200 Rispacor 2mg TAB RISPERIDONE Yes Yes 16.42200 16.42200 Perizal 2mg TAB RISPERIDONE Yes Yes 16.42200 16.42200 Zoxadon 2mg TAB RISPERIDONE Yes Yes 16.42200 16.42200 Risnia 3mg TAB RISPERIDONE Yes Yes 24.36467 24.36467 Rispacor 3mg TAB RISPERIDONE Yes Yes 24.36467 24.36467 Rispevon 3mg TAB RISPERIDONE Yes Yes 24.36467 24.36467 Risponz 3mg TAB RISPERIDONE Yes Yes 24.36467 24.36467 Perizal 3mg TAB RISPERIDONE Yes Yes 24.36467 24.36467 Rispevon 4mg TAB RISPERIDONE Yes Yes 31.50000 31.50000 Risponz 4mg TAB RISPERIDONE Yes Yes 31.50000 31.50000 Accord ropinirole 0,25mg TAB ROPINIROLE Yes Yes 1.68557 1.68557 Requip 0,25mg TAB ROPINIROLE Yes Yes 1.68557 1.68557 Accord ropinirole 0,5mg TAB ROPINIROLE Yes Yes 3.14798 3.14798 Requip 0,5mg TAB ROPINIROLE Yes Yes 3.14798 3.14798 Accord ropinirole 1mg TAB ROPINIROLE Yes Yes 4.16000 4.16000 Requip 1mg TAB ROPINIROLE Yes Yes 4.16000 4.16000 Accord ropinirole 2mg TAB ROPINIROLE Yes Yes 8.00821 8.00821 19 24/11/2016
and Priority incl Requip 2mg TAB ROPINIROLE Yes Yes 8.00821 8.00821 Accord ropinirole 5mg TAB ROPINIROLE Yes Yes 12.80286 12.80286 Requip 5mg TAB ROPINIROLE Yes Yes 12.80286 12.80286 Venteze cfc free 200 dose 100mcg INH SALBUTAMOL Yes Yes 28.13000 28.13000 Asthavent ecohaler 200dose 100mcg INH SALBUTAMOL Yes Yes 26.20000 26.20000 Serevent cfc-free 120dose 25mcg INH SALMETEROL Yes Yes 377.93000 377.93000 Serevent accuhaler 60dose 50mcg ACC SALMETEROL Yes Yes 377.93000 377.93000 Dyna sertraline 100mg TAB SERTRALINE Yes Yes 2.62000 3.59467 Serdep 100mg TAB SERTRALINE Yes Yes 2.62000 3.59467 Dyna sertraline 50mg TAB SERTRALINE Yes Yes 2.45600 2.91300 Serlife 50mg TAB SERTRALINE Yes Yes 2.45600 2.91300 Serdep 50mg TAB SERTRALINE Yes Yes 2.45600 2.91300 Austell-simvastatin 10mg TAB SIMVASTATIN Yes Yes 1.08033 1.08033 Zysim 10mg TAB SIMVASTATIN Yes Yes 1.08033 1.08033 Cipla-simvastatin 10mg TAB SIMVASTATIN Yes Yes 1.08033 1.08033 Adco-simvastatin 10mg TAB SIMVASTATIN Yes Yes 1.08033 1.08033 Aspen simvastatin 10mg TAB SIMVASTATIN Yes Yes 1.08033 1.08033 Austell-simvastatin 20mg TAB SIMVASTATIN Yes Yes 1.13200 1.13200 Zysim 20mg TAB SIMVASTATIN Yes Yes 1.13200 1.13200 Adco-simvastatin 20mg TAB SIMVASTATIN Yes Yes 1.13200 1.13200 Aspen simvastatin 20mg TAB SIMVASTATIN Yes Yes 1.13200 1.13200 Cipla-simvastatin 20mg TAB SIMVASTATIN Yes Yes 1.13200 1.13200 Choleste 20mg TAB SIMVASTATIN Yes Yes 1.13200 1.13200 Aspen simvastatin 40mg TAB SIMVASTATIN Yes Yes 1.22933 1.22933 Adco-simvastatin 40mg TAB SIMVASTATIN Yes Yes 1.22933 1.22933 Austell-simvastatin 40mg TAB SIMVASTATIN Yes Yes 1.22933 1.22933 Choleste 40mg TAB SIMVASTATIN Yes Yes 1.22933 1.22933 Simvacor 40mg TAB SIMVASTATIN Yes Yes 1.22933 1.22933 Cipla-simvastatin 40mg TAB SIMVASTATIN Yes Yes 1.22933 1.22933 20 24/11/2016
and Priority incl Zysim 40mg TAB SIMVASTATIN Yes Yes 1.22933 1.22933 Sotahexal 160mg TAB SOTALOL Yes Yes 3.08670 3.08670 Sotahexal 80mg TAB SOTALOL Yes Yes 2.28660 2.28660 Aldactone 25mg TAB SPIRONOLACTONE Yes Yes 1.33367 1.33367 Sandoz spironolactone 25mg TAB SPIRONOLACTONE Yes Yes 1.33367 1.33367 Spiractin 25mg TAB SPIRONOLACTONE Yes Yes 1.33367 1.33367 Salazopyrin en 500mg ECT SULFASALAZINE Yes Yes 3.57280 3.57280 Salazopyrin 500mg TAB SULFASALAZINE Yes Yes 3.57280 3.57280 Sandoz theophylline anhydrous 200mg SRT THEOPHYLLINE Yes Yes 0.77683 0.77683 Sandoz theophylline anhydrous 300mg SRT THEOPHYLLINE Yes Yes 1.13733 1.13733 Duotrav 2.5ml OPD TIMOLOL, COMBINATIONS Yes Yes 219.03000 219.03000 Occumol 0,5% OPD TIMOLOL Yes Yes 67.03000 67.03000 Glaucosan 5ml 0,5% OPD TIMOLOL Yes Yes 67.03000 67.03000 Epitoz 100mg TAB TOPIRAMATE Yes Yes 7.17817 7.17817 Epitoz 25mg TAB TOPIRAMATE Yes Yes 2.61017 2.61017 Epitoz 50mg TAB TOPIRAMATE Yes Yes 5.15283 5.15283 Tranexamic acid medwich 500mg TAB TRANEXAMIC ACID Yes Yes 4.55940 4.55940 Travatan 2,5ml 0,004% OPD TRAVOPROST Yes Yes 177.55000 177.55000 Epilim crushable 100mg TAB VALPROIC ACID Yes Yes 2.74740 2.74740 Epilim sugar free 200mg/5mL SYR VALPROIC ACID Yes Yes 0.92290 0.92290 Eprolep cr 200 200mg SRT VALPROIC ACID Yes Yes 3.07350 3.07350 Navalpro cr 200mg SRT VALPROIC ACID Yes Yes 3.07350 3.07350 Epilizine cr 200mg SRT VALPROIC ACID Yes Yes 3.07350 3.07350 Convulex 250mg/5mL SYR VALPROIC ACID Yes Yes 1.10080 1.10080 Valeptic cr 300mg SRT VALPROIC ACID Yes Yes 4.60780 4.60780 Eprolep cr 300 300mg SRT VALPROIC ACID Yes Yes 4.60780 4.60780 Navalpro cr 300mg SRT VALPROIC ACID Yes Yes 4.60780 4.60780 Epilizine cr 300mg SRT VALPROIC ACID Yes Yes 4.60780 4.60780 Valeptic cr 500mg SRT VALPROIC ACID Yes Yes 7.62640 7.62640 21 24/11/2016
and Priority incl Eprolep cr 500 500mg SRT VALPROIC ACID Yes Yes 7.62640 7.62640 Navalpro cr 500mg SRT VALPROIC ACID Yes Yes 7.62640 7.62640 Epilizine cr 500mg SRT VALPROIC ACID Yes Yes 7.62640 7.62640 Convulex 150mg CAP VALPROIC ACID Yes Yes 2.95230 2.95230 Verahexal 240 sr 240mg SRT VERAPAMIL Yes Yes 4.52800 4.52800 Vasomil 40mg TAB VERAPAMIL Yes Yes 0.52240 0.52240 Vasomil 80mg TAB VERAPAMIL Yes Yes 1.11740 1.11740 Cipla-warfarin 1mg TAB WARFARIN Yes Yes 0.75150 0.75150 Cipla-warfarin 5mg TAB WARFARIN Yes Yes 1.41650 1.41650 Biosulin l cartridge 3ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 67.29600 67.29600 Clopixol 10mg TAB ZUCLOPENTHIXOL Yes Yes 2.92070 2.92070 Clopixol depot 200mg INJ ZUCLOPENTHIXOL Yes Yes 87.93000 87.93000 Clopixol 2mg TAB ZUCLOPENTHIXOL Yes Yes 1.17240 1.17240 Glucose tests strips easymax ZZZ GLUCOSE Yes Yes 2.94120 2.94120 Glucose blood test strips diamond ZZZ GLUCOSE Yes Yes 2.94120 2.94120 Caresens n glucose test strips 29g ZZZ GLUCOSE Yes Yes 2.94120 2.94120 Freestyle optium glucose test strips ZZZ GLUCOSE Yes Yes 2.94120 2.94120 Glucocheck strips 50s ZZZ GLUCOSE Yes Yes 2.94120 2.94120 Glucoplus STR GLUCOSE Yes Yes 2.94120 2.94120 Glucoplus provider strips STR GLUCOSE Yes Yes 2.94120 2.94120 Accu chek active strips ZZZ GLUCOSE Yes Yes 2.94120 2.94120 Onetouch select glucose test strips ZZZ GLUCOSE Yes Yes 2.94120 2.94120 Onetouch select plus test strip ZZZ GLUCOSE Yes Yes 2.94120 2.94120 On-call plus ez strips STR GLUCOSE Yes Yes 2.94120 2.94120 Quetiapine biotech 300mg TAB QUETIAPINE Yes Yes 9.00633 9.00633 Spec quetiapine 300mg TAB QUETIAPINE Yes Yes 9.00633 9.00633 Kizofrin 300mg TAB QUETIAPINE Yes Yes 9.00633 9.00633 Mylan quetiapine 300mg TAB QUETIAPINE Yes Yes 9.00633 9.00633 Sizonorm 300mg TAB QUETIAPINE Yes Yes 9.00633 9.00633 22 24/11/2016
and Priority incl Quetoser 300mg TAB QUETIAPINE Yes Yes 9.00633 9.00633 Psyquet 300mg TAB QUETIAPINE Yes Yes 9.00633 9.00633 Serez 300mg TAB QUETIAPINE Yes Yes 9.00633 9.00633 Dopaquel 300mg TAB QUETIAPINE Yes Yes 9.00633 9.00633 Aranesp prefilled syringe 0.4ml 40mcg/0,4mL INJ DARBEPOETIN ALFA Yes Yes 775.49000 775.49000 Aranesp prefilled syringe 0.5ml 50mcg/0,5mL INJ DARBEPOETIN ALFA Yes Yes 969.36000 969.36000 Salofalk 1000mg SAC MESALAZINE Yes Yes 8.52280 8.52280 Lumigan 0,01% OPD BIMATOPROST Yes Yes 182.36000 182.36000 Mircera prefilled syringe 0.3ml 30mcg/0,3mL INJ METHOXY POLYETHYLENE GLYCOL-EPOETIN BYes Yes 1,140.00000 1,140.00000 Mircera prefilled syringe 0.3ml 120mcg/0,3mL INJ METHOXY POLYETHYLENE GLYCOL-EPOETIN BYes Yes 3,800.00000 3,800.00000 Azarga 5ml OPD TIMOLOL, COMBINATIONS Yes Yes 188.14000 188.14000 Onbrez breezhaler (30 caps & inhaler) KIT INDACATEROL Yes Yes 309.88000 309.88000 Accord pioglitazone 45mg TAB PIOGLITAZONE Yes Yes 7.10933 7.10933 Tambocor cr 100mg SRC FLECAINIDE Yes Yes 9.35333 9.35333 Tambocor cr 200mg SRC FLECAINIDE Yes Yes 18.70633 18.70633 Asacol 800mg TAB MESALAZINE Yes Yes 12.69400 12.69400 Diaglucide mr 60mg SRT GLICLAZIDE Yes Yes 1.93800 1.93800 Duolin hfa 200dose INH SALBUTAMOL AND IPATROPRIUM BROMIDE Yes Yes 135.91000 135.91000 Coveram 10/10 TAB PERINDOPRIL AND AMLODIPINE No Yes 6.72600 Coveram 10/5 TAB PERINDOPRIL AND AMLODIPINE No Yes 5.77600 Coveram 5/10 TAB PERINDOPRIL AND AMLODIPINE No Yes 5.62400 Coveram 5/5 TAB PERINDOPRIL AND AMLODIPINE No Yes 4.67400 Vannair 160/4.5mcg per inhalation 120 dose INH FORMOTEROL AND BUDESONIDE Yes Yes 319.75000 319.75000 Vannair 80/4.5mcg per inhalation 120 dose INH FORMOTEROL AND BUDESONIDE Yes Yes 216.20000 216.20000 Haemosolvate viii 2x10ml 1000u INJ COAGULATION FACTOR VIII Yes Yes 3,045.76000 3,045.76000 Biosulin r cartridge 3ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 84.47600 84.47600 Humulin r cartridge 3ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 84.47600 84.47600 Humulin r vial 10ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 264.83000 264.83000 Biosulin n cartridge 3ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 88.34200 88.34200 23 24/11/2016
and Priority incl Humulin n cartridge 3ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 88.34200 88.34200 Humulin n kwickpen 3ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 88.34200 88.34200 Humalog cartridge 3ml 100u/1mL INJ INSULIN LISPRO Yes Yes 84.86800 84.86800 Humalog kwikpen 3ml INJ INSULIN LISPRO Yes Yes 84.86800 84.86800 Humalog mix 25 kwikpen 3ml INJ INSULIN LISPRO No Yes 108.46000 Humalog mix 25 vial 10ml 100u/1mL INJ INSULIN LISPRO Yes Yes 301.17000 301.17000 Humalog mix 50 cartridge 3ml 100u/1mL INJ INSULIN LISPRO Yes Yes 91.40600 91.40600 Adco-vascard 20 sr 20mg SRC NIFEDIPINE Yes Yes 0.75133 0.75133 Humulin 30/70 vial 10ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 299.78000 319.65000 Actraphane hm(ge) vial 10ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 299.78000 319.65000 Humulin 30/70 cartridge 3ml 100u/1mL INJ INSULIN (HUMAN) Yes Yes 88.34200 88.34200 Mezavant 1200mg ERT MESALAZINE Yes Yes 16.32783 16.32783 Prexum plus 5mg/1.25mg TAB PERINDOPRIL AND DIURETICS No Yes 3.14000 Bioprexum plus 10mg/2.5mg TAB PERINDOPRIL AND DIURETICS No Yes 4.52200 Basaglar cartridge 3ml INSULIN GLARGINE Yes Yes 102.66000 102.66000 Basaglar pre-filled pen 3ml INSULIN GLARGINE No Yes 117.32600 Estro-pause n TAB NORETHISTERONE AND ESTROGEN Yes Yes 4.07679 4.07679 Estro-pause 1mg TAB ESTRADIOL Yes Yes 3.35250 3.35250 Estro-pause 2mg TAB ESTRADIOL Yes Yes 3.54464 3.54464 Hexal-MPA 10mg TAB MEDROXYPROGESTERONE Yes Yes 5.12467 5.12467 Hexal-MPA 5mg TAB MEDROXYPROGESTERONE Yes Yes 3.39133 3.39133 24 24/11/2016