Report : A-Z HCD items in Formulary 26/03/2019 12:26:34

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Section Status HCD Name 05.03.01 Formulary Abacavir  05.03.01 Formulary Abacavir & Lamivudine  05.03.01 Formulary Abacavir & Lamivudine & Dolutegravir  05.03.01 Formulary Abacavir & Lamivudine & Zidovudine  08.03.04.02 Formulary Abiraterone  01.05.03 Formulary Adalimumab Humira® 11.04.02 Formulary Adalimumab  Humira® 13.05.03 Formulary Adalimumab Humira® 08.01.05 Formulary Afatinib   11.08.02 Formulary Aflibercept 4mg/0.1ml injection Eylea® 02.12 Formulary Alirocumab  13.05.01 Formulary Alitretinoin Toctino® 02.05.01 Formulary Ambrisentan  05.02.03 Formulary Amphotericin  05.02.04 Formulary Anidulafungin  08.02.02 Formulary Antithymocyte immunoglobulin (rabbit)  Thymoglobuline® 10.01.03 Formulary Apremilast Otezla® 13.05.03 Formulary Apremilast Otezla® 05.03.01 Formulary Atazanavir  05.03.01 Formulary Atazanavir sulfate and cobicistat  08.01.05 Formulary Atezolizumab  08.01.05 Formulary Axitinib   05.01.02.03 Formulary Aztreonam nebuliser solution Cayston® 10.01.03 Formulary Baricitinib Olumiant® 05.01.09 Formulary Bedaquiline  02.05.01 Formulary Bosentan  08.01.05 Formulary Bosutinib Bosulif® 04.09.03 Formulary Botulinum Toxi Type A injection Xeomin ® 04.09.03 Formulary Botulinum Toxin Type A Botox® 04.09.03 Formulary Botulinum Toxin Type A Vistabel® 04.09.03 Formulary Botulinum Toxin Type A Dysport® 04.09.03 Formulary Botulinum Toxin Type B NeuroBloc® 08.01.05 Formulary Brentuximab vedotin Adcetris® 13.05.03 Formulary Brodalumab Kyntheum® 03.04.03 Formulary C1 Esterase Inhibitor  08.01.05 Formulary Cabozantinib Cometriq® 09.08.01 Formulary Carnitine   05.02.04 Formulary Caspofungin  08.01.05 Formulary Ceritinib   09.08.01 Formulary Chenodexoycholic acid Xenbilox® 05.03.02.02 Formulary Cidofovir infusion  09.05.01.02 Formulary Cinacalcet  05.03.01 Formulary Cobicistat Tybost® 08.01.05 Formulary Crizotinib   05.03.03.02 Formulary Daclatasvir   08.02.04 Formulary Daclizumab Zinbryta® 09.01.03 Formulary Darbepoetin Alfa  05.03.01 Formulary Darunavir  05.03.01 Formulary Darunavir and Cobicistat  05.03.03.02 Formulary Dasabuvir Exviera® 20 Non Formulary DAUNORUBICIN saline pre-filled syringe  08.01.03 Formulary Daunorubicin/cytarabine Vyxeos® 09.01.03 Formulary Deferasirox  20 Non Formulary DEFIBROTIDE  20 Non Formulary DEFIBROTIDE Capsules 400 mg  05.01.09 Formulary Delamanid  09.01.03 Formulary Desferrioxamine Mesilate  11.04.01 Formulary Dexamethasone 700 microgram intravitreal implant Ozurdex® 05.03.01 Formulary Didanosine  08.02.04 Formulary Dimethyl fumarate Tecfidera® 13.05.03 Formulary Dimethyl fumarate Skilarence® 08.01.05 Formulary Dinutuximab beta Qarziba® 05.03.01 Formulary Dolutegravir  03.07 Formulary Dornase Alfa  09.01.03 Formulary Eculizumab   05.03.01 Formulary Efavirenz Sustiva® 05.03.03.02 Formulary Elbasvir & grazoprevir Zepatier® 09.01.04 Formulary Eltrombopag  05.03.01 Formulary Emtricitabine  05.03.01 Formulary Enfuvirtide  05.03.03.01 Formulary Entecavir  09.01.03 Formulary Epoetin alfa Eprex® 09.01.03 Formulary Epoetin beta NeoRecormon® 02.05.01 Formulary Epoprostenol  02.08.01 Formulary Epoprostenol  20 Non Formulary Eptotermin Alfa  Osigraft® 08.01.05 Formulary Eribulin Halaven® 10.01.03 Formulary Etanercept  13.05.03 Formulary Etanercept Enbrel®, Benapali® & Erelzi® 09.05.01.02 Formulary Etelcalcetide Parsabiv® 05.03.01 Formulary Etravirine Intelence® 02.12 Formulary Evolocumab  02.11 Formulary Factor VIIa (Recombinant)  05.01.07 Formulary Fidaxomicin  09.01.06 Formulary Filgrastim (G-CSF) Neupogen®, Ratiograstim® 08.02.04 Formulary Fingolimod  11.04.01 Formulary Fluocinolone 190 microgram intravitreal implant  16 Formulary Fomepizole  05.03.01 Formulary Fosamprenavir  05.03.02.02 Formulary Foscarnet Sodium  05.03.02.02 Formulary Ganciclovir  08.02.04 Formulary Glatiramer Acetate  05.03.03.02 Formulary Glecaprevir & Pibrentasvir Maviret® 01.05.03 Formulary Golimumab  10.01.03 Formulary Golimumab Simponi® 13.05.03 Formulary Guselkumab Tremfya® 11.08.02.04 Formulary Holoclar®  08.01.05 Formulary Ibrutinib Imbruvica® 03.04.03 Formulary Icatibant Firazyr® 08.01.05 Formulary Idelalisib   02.05.01 Formulary Iloprost   09.08.01 Formulary Imiglucerase Cerezyme® 05.03.01 Formulary Indinavir  01.05.03 Formulary Infliximab Remicade® 01.05.03 Formulary Infliximab Inflectra® 01.05.03 Formulary Infliximab Remicade®, Inflectra®, Remsima® 13.05.03 Formulary Infliximab Remsima®, Inflectra®, Remicade® 08.02.04 Formulary Interferon Alfa-2b Roferon-A® 08.02.04 Formulary Interferon Beta Avonex® 08.02.04 Formulary Interferon Beta Rebif® 08.02.04 Formulary Interferon Beta Betaferon® 08.02.04 Formulary Interferon beta Extavia® 05.02.01 Formulary Isavuconazole Cresemba® 03.07 Formulary Ivacaftor  13.05.03 Formulary Ixekizumab Taltz® 05.03.03.01 Formulary Lamivudine  09.05.02.02 Formulary Lanthanum Fosrenol ® 09.01.06 Formulary Lenograstim (rHuG-CSF) Granocyte® 08.01.05 Formulary Lenvatinib Kisplyx® 05.03.01 Formulary Lopinavir and Ritonavir Kaletra® 02.05.01 Formulary Macitentan  03.07 Formulary Mannitol inhalation Bronchitol ® 05.03.01 Formulary Maraviroc  03.04.02 Formulary Mepolizumab Nucala® 09.08.01 Formulary Mercaptamine  09.01.03 Formulary Methoxy Polyethylene Glycol-Epoetin Beta Mircera®, Pegzerepoetin® alfa 04.07.03 Formulary Mexiletine  05.02.04 Formulary Micafungin  08.02.04 Formulary Natalizumab  05.03.01 Formulary Nelfinavir  05.03.01 Formulary Nevirapine  03.11 Formulary Nintedanib Ofev® 20 Non Formulary Nitazoxanide  08.01.05 Formulary Nivolumab   14.05.01 Formulary Normal Immunoglobulin Subcuvia® 14.05.01 Formulary Normal Immunoglobulin Privigen® 14.05.01 Formulary Normal Immunoglobulin Octagam® 14.05.01 Formulary Normal Immunoglobulin Gammunex® 14.05.01 Formulary Normal Immunoglobulin Iqymune® 14.05.01 Formulary Normal Immunoglobulin Intratect® 14.05.01 Formulary Normal Immunoglobulin Cuvitru® 14.05.01 Formulary Normal Immunoglobulin Gammanorm® 14.05.01 Formulary Normal Immunoglobulin Kiovig® 14.05.01 Formulary Normal immunoglobulin for Intramuscular use  01.09.01 Formulary Obeticholic acid  08.02.03 Formulary Obinutuzumab  08.02.03 Formulary Ocrelizumab Ocrevus® 11.08.02 Formulary Ocriplasmin Jetrea® 08.01.05 Formulary Olaparib 50mg capsules  08.01.05 Formulary Olaratumab Lartuvo® 03.04.02 Formulary Omalizumab  05.03.03.02 Formulary Ombitasvir & paritaprevir & ritonavir Viekirax® 08.03.04.01 Formulary Palbociclib Ibrance® 05.03.05 Formulary Palivizumab  08.01.05 Formulary Panitumumab Vectibix® 08.03.04.03 Formulary Pasireotide Signifor® 09.01.06 Formulary Pegfilgrastim (G-CSF)  08.02.04 Formulary Peginterferon Beta-1a Plegridy® 08.01.05 Formulary Pertuzumab Perjeta® 03.11 Formulary Pirfenidone Esbriet® 09.01.07 Formulary Plerixafor Mozobil® 08.02.04 Formulary Pomalidomide Imnovid® 08.01.05 Formulary Ponatinib Iclusig® 03.05.02 Formulary Poractant Alfa  05.02.01 Formulary Posaconazole  Noxafil® 08.03.04.02 Formulary Radium-223 dichloride  05.03.01 Formulary Raltegravir  11.08.02 Formulary Ranibizumab 10mg/1ml injection Lucentis® 08.01.05 Formulary Regorafenib Stivarga® 05.03.03.02 Formulary Ribavirin  08.03.04.01 Formulary Ribociclib Kisqali® 05.03.01 Formulary Rilpivirine hydrochloride  04.09.03 Formulary Riluzole  02.05.01 Formulary Riociguat  05.03.01 Formulary Ritonavir  09.01.04 Formulary Romiplostim  05.03.01 Formulary Saquinavir  10.01.03 Formulary Sarilumab  Kevzara® 13.05.03 Formulary Secukinumab Cosentyx® 09.05.02.02 Formulary Sevelamer Carbonate  20 Non Formulary Sipuleucel- T  04.01.01 Formulary Sodium Oxybate 500mg/1ml oral solution Xyrem® 05.03.03.02 Formulary Sofosbuvir Sovaldi® 05.03.03.02 Formulary Sofosbuvir & Ledipasvir  Harvoni® 05.03.03.02 Formulary Sofosbuvir & velpatasvir  Epclusa® 05.03.03.02 Formulary Sofosbuvir, Velpatasvir & Voxilaprevir  Vosevi® 08.01.05 Formulary Sorafenib Nexavar® 05.03.01 Formulary Stavudine  09.05.02.02 Formulary Sucroferric oxyhydroxide Velphoro® 08.01.05 Formulary Sunitinib   20 Non Formulary Taribavirin  05.03.01 Formulary Tenofovir alafenamide & Cobicistat & Emtricitabine & Elvitegravir  Genvoya® 05.03.01 Formulary Tenofovir Disoproxil & Emtricitabine  05.03.01 Formulary Tenofovir Disoproxil & Emtricitabine & Rilpivirine  05.03.03.01 Formulary Tenofovir Disproxil Viread® 05.03.01 Formulary Tenofovir Disproxil & Cobicistat & Elvitegravir & Emtricitabine  05.03.01 Formulary Tenofovir Disproxil & Efavirenz & Emtricitabine  08.02.04 Formulary Teriflunomide  20 Non Formulary TETRAHYDROBIOPTERIN Tablets 10 mg  05.03.01 Formulary Tipranavir  05.01.04 Formulary Tobramycin  10.01.03 Formulary Tofacitinib Xeljanz® 06.05.02 Formulary Tolvaptan  08.01.05 Formulary Trametinib   08.01.05 Formulary Trastuzumab emtansine Kadcyla® 20 Non Formulary Treprostinil   09.08.01 Formulary Trientine Dihydrochloride  01.05.03 Formulary Ustekinumab Stelara® 13.05.03 Formulary Ustekinumab Stelara® 05.03.02.02 Formulary Valganciclovir Valcyte® 01.05.03 Formulary Vedolizumab  11.08.02 Formulary Verteporfin 15mg Injection Visudyne® 05.03.01 Formulary Zidovudine  05.03.01 Formulary Zidovudine & Lamivudine

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