National Health (Commonwealth Price and Conditions for Commonwealth Payments for Supply of Pharmaceutical Benefits) Determination 2019

Contents

Part 1 · Preliminary

1Name#

(1)This instrument is the National Health (Commonwealth Price and Conditions for Commonwealth Payments for Supply of Pharmaceutical Benefits) Determination 2019.

(2)This instrument may also be cited as PB 114 of 2019.

3Authority#

This instrument is made under subsection 98C(1) of the National Health Act 1953.

5Simplified outline of this instrument#

The Commonwealth price for pharmaceutical benefits supplied by an approved medical practitioner is worked out in the same way as the Commonwealth price for those benefits supplied by an approved pharmacist.

The Commonwealth will pay an approved medical practitioner or an approved pharmacist for supply of a pharmaceutical benefit only if certain conditions are met. They are as follows:

(a) if a determination under subsection 85(6) of the Act specifies a brand of the benefit, payment will be made only for supply of that brand of the benefit;

(b) if the benefit is specified in Schedule 4 to this instrument, payment will be made for supply of the benefit only if it is supplied in a complete pack.

Schedules 1, 2, 3 and 5 list pharmaceutical benefits and ingredients of pharmaceutical benefits for which particular rules apply for working out the Commonwealth price (whether the benefits are supplied by an approved medical practitioner or an approved pharmacist).

Schedule 4 lists pharmaceutical benefits that must be supplied in complete packs by an approved medical practitioner or an approved pharmacist for the practitioner or pharmacist to be paid by the Commonwealth for the supply.

6Definitions#

In this instrument:

Act means the National Health Act 1953.

approved medical practitioner has the meaning given by subsection 84(1) of the Act.

approved pharmacist has the meaning given by subsection 84(1) of the Act.

brand has the meaning given by subsection 84(1) of the Act.

extemporaneously-prepared pharmaceutical benefit has the meaning given by subsection 6(1) of the Commonwealth price (Pharmaceutical benefits supplied by approved pharmacists) Determination 2020 (PB 66 of 2020).

listed drug has the meaning given by subsection 84(1) of the Act.

pharmaceutical benefit has the meaning given by subsection 84(1) of the Act.

pharmaceutical item has the meaning given by section 84AB of the Act.

Part 2 · Commonwealth price for pharmaceutical benefits supplied by approved medical practitioners

7Commonwealth price for pharmaceutical benefits supplied by approved medical practitioners#

(1)For the purposes of paragraph 98C(1)(a) of the Act, this section provides for the manner of ascertaining the Commonwealth price for a quantity, or number of units, of a pharmaceutical benefit supplied by an approved medical practitioner, for the purposes of a payment to the practitioner in respect of the supply.

(2)The Commonwealth price is to be ascertained in the same manner as the Commonwealth price for the supply would have been worked out under the Commonwealth price (Pharmaceutical benefits supplied by approved pharmacists) Determination 2020 (PB 66 of 2020) if the supply had been made by an approved pharmacist.

(3)Schedules 1, 2, 3 and 5 identify pharmaceutical benefits and ingredients in relation to which particular rules for ascertaining the Commonwealth price apply.

Note: Those rules are in the Commonwealth price (Pharmaceutical benefits supplied by approved pharmacists) Determination 2020 (PB 66 of 2020), which is relevant because of subsection (2) of this section.

Part 3 · Conditions on payments for pharmaceutical benefits supplied by approved pharmacists and approved medical practitioners

8Scope of this Part#

For the purposes of paragraph 98C(1)(b) of the Act, this Part sets out the conditions subject to which payments will be made by the Commonwealth in respect of the supply of pharmaceutical benefits by approved pharmacists and approved medical practitioners.

9Condition on payment for supply of certain pharmaceutical items#

If a determination under subsection 85(6) of the Act is in force for a brand of a pharmaceutical item consisting of a drug or medicinal preparation, payments will be made by the Commonwealth in respect of the supply of the drug or preparation only if that brand is supplied.

10Payment for supply of certain pharmaceutical benefits in complete packs#

Payments will be made by the Commonwealth in respect of the supply of a listed drug in a form described in columns 1 and 2 of an item of Schedule 4 only if the quantity supplied is the quantity contained in a unit of the size described in column 2 of the item (even if the prescription for the supply is for supply of a lesser quantity).

Schedule 1 · Ready-prepared pharmaceutical benefits that are mixtures of ready-prepared ingredients

Note: See subsection 7(3).

Ready-prepared pharmaceutical benefits that are mixtures of ready-prepared ingredients
Column 1Listed drug with water purified - BP	Column 2Form
Amoxicillin	Powder for oral suspension 125 mg (as trihydrate) per 5 mL, 100 mL
Amoxicillin	Powder for oral suspension 250 mg (as trihydrate) per 5 mL, 100 mL
Amoxicillin	Powder for oral suspension 500 mg (as trihydrate) per 5 mL, 100 mL
Amoxicillin	Powder for paediatric oral drops 100 mg (as trihydrate) per mL, 20 mL
Amoxicillin with clavulanic acid	Powder for oral suspension containing 125 mg amoxicillin (as trihydrate) with 31.25 mg clavulanic acid (as potassium clavulanate) per 5 mL, 75 mL
Amoxicillin with clavulanic acid	Powder for oral suspension containing 400 mg amoxicillin (as trihydrate) with 57 mg clavulanic acid (as potassium clavulanate) per 5 mL, 60 mL
Azithromycin	Powder for oral suspension 200 mg (as dihydrate) per 5 mL, 15 mL
Cefaclor	Powder for oral suspension 125 mg (as monohydrate) per 5 mL, 100 mL
Cefaclor	Powder for oral suspension 250 mg (as monohydrate) per 5 mL, 75 mL
Cefalexin	Granules for oral suspension 125 mg (as monohydrate) per 5 mL, 100 mL
Cefalexin	Granules for oral suspension 250 mg (as monohydrate) per 5 mL, 100 mL
Clarithromycin	Powder for oral liquid 250 mg per 5 mL, 50 mL
Erythromycin	Powder for oral liquid 200 mg (as ethyl succinate) per 5 mL, 100 mL
Erythromycin	Powder for oral liquid 400 mg (as ethyl succinate) per 5 mL, 100 mL
Flucloxacillin	Powder for oral liquid 125 mg (as sodium monohydrate) per 5 mL, 100 mL
Flucloxacillin	Powder for oral liquid 250 mg (as sodium monohydrate) per 5 mL, 100 mL
Fluconazole	Powder for oral suspension 50 mg in 5 mL, 35 mL
Mycophenolic acid	Powder for oral suspension containing mycophenolate mofetil 1 g per 5 mL, 165 mL
Phenoxymethylpenicillin	Powder for oral liquid 125 mg (as potassium) per 5 mL, 100 mL
Phenoxymethylpenicillin	Powder for oral liquid 250 mg (as potassium) per 5 mL, 100 mL
Valganciclovir	Powder for oral solution 50 mg (as hydrochloride) per mL, 100 mL
Voriconazole	Powder for oral suspension 40 mg per mL, 70 mL

Schedule 2 · Unstable or sterile ingredients used for extemporaneously-prepared pharmaceutical benefits

Note: See subsection 7(3).

Unstable or sterile ingredients used for extemporaneously-prepared pharmaceutical benefits
Ingredient
Water for injections—sterilised

Schedule 3 · Pharmaceutical benefits for which a dangerous drug fee applies

Note: See subsection 7(3).

Pharmaceutical benefits for which a dangerous drug fee applies
Column 1Listed drug	Column 2Form
Alprazolam	Tablet 250 micrograms
Alprazolam	Tablet 500 micrograms
Alprazolam	Tablet 1 mg
Buprenorphine	Injection (modified release) 8 mg in 0.16 mL pre-filled syringe
Buprenorphine	Injection (modified release) 16 mg in 0.32 mL pre-filled syringe
Buprenorphine	Injection (modified release) 24 mg in 0.48 mL pre-filled syringe
Buprenorphine	Injection (modified release) 32 mg in 0.64 mL pre-filled syringe
Buprenorphine	Injection (modified release) 64 mg in 0.18 mL pre-filled syringe
Buprenorphine	Injection (modified release) 96 mg in 0.27 mL pre-filled syringe
Buprenorphine	Injection (modified release) 100 mg in 0.5 mL pre-filled syringe
Buprenorphine	Injection (modified release) 128 mg in 0.36 mL pre-filled syringe
Buprenorphine	Injection (modified release) 160 mg in 0.45 mL pre-filled syringe
Buprenorphine	Injection (modified release) 300 mg in 1.5 mL pre-filled syringe
Buprenorphine	Tablet (sublingual) 400 micrograms (as hydrochloride)
Buprenorphine	Tablet (sublingual) 2 mg (as hydrochloride)
Buprenorphine	Tablet (sublingual) 8 mg (as hydrochloride)
Buprenorphine	Transdermal patch 5 mg
Buprenorphine	Transdermal patch 10 mg
Buprenorphine	Transdermal patch 15 mg
Buprenorphine	Transdermal patch 20 mg
Buprenorphine	Transdermal patch 25 mg
Buprenorphine	Transdermal patch 30 mg
Buprenorphine	Transdermal patch 40 mg
Buprenorphine with naloxone	Film (soluble) 2 mg (as hydrochloride)-0.5 mg (as hydrochloride)
Buprenorphine with naloxone	Film (soluble) 8 mg (as hydrochloride)-2 mg (as hydrochloride)
Codeine	Tablet containing codeine phosphate hemihydrate 30 mg
Dexamfetamine	Tablet containing dexamfetamine sulfate 5 mg
Esketamine	Nasal spray device 28 mg in 2 actuations
Fentanyl	Lozenge 200 micrograms (as citrate)
Fentanyl	Lozenge 400 micrograms (as citrate)
Fentanyl	Lozenge 600 micrograms (as citrate)
Fentanyl	Lozenge 800 micrograms (as citrate)
Fentanyl	Tablet (orally disintegrating) 100 micrograms (as citrate)
Fentanyl	Tablet (orally disintegrating) 200 micrograms (as citrate)
Fentanyl	Tablet (orally disintegrating) 400 micrograms (as citrate)
Fentanyl	Tablet (orally disintegrating) 600 micrograms (as citrate)
Fentanyl	Tablet (orally disintegrating) 800 micrograms (as citrate)
Fentanyl	Tablet (sublingual) 100 micrograms (as citrate)
Fentanyl	Tablet (sublingual) 200 micrograms (as citrate)
Fentanyl	Tablet (sublingual) 300 micrograms (as citrate)
Fentanyl	Tablet (sublingual) 400 micrograms (as citrate)
Fentanyl	Tablet (sublingual) 600 micrograms (as citrate)
Fentanyl	Tablet (sublingual) 800 micrograms (as citrate)
Fentanyl	Transdermal patch 2.1 mg
Fentanyl	Transdermal patch 4.2 mg
Fentanyl	Transdermal patch 8.4 mg
Fentanyl	Transdermal patch 12.6 mg
Fentanyl	Transdermal patch 16.8 mg
Hydromorphone	Injection containing hydromorphone hydrochloride 2 mg in 1 mL
Hydromorphone	Injection containing hydromorphone hydrochloride 10 mg in 1 mL
Hydromorphone	Oral solution containing hydromorphone hydrochloride 1 mg per mL, 1 mL
Hydromorphone	Oral solution containing hydromorphone hydrochloride 1 mg per mL, 1 mL (S19A)
Hydromorphone	Tablet containing hydromorphone hydrochloride 2 mg
Hydromorphone	Tablet containing hydromorphone hydrochloride 4 mg
Hydromorphone	Tablet containing hydromorphone hydrochloride 8 mg
Lisdexamfetamine	Capsule containing lisdexamfetamine dimesilate 20 mg
Lisdexamfetamine	Capsule containing lisdexamfetamine dimesilate 30 mg
Lisdexamfetamine	Capsule containing lisdexamfetamine dimesilate 40 mg
Lisdexamfetamine	Capsule containing lisdexamfetamine dimesilate 50 mg
Lisdexamfetamine	Capsule containing lisdexamfetamine dimesilate 60 mg
Lisdexamfetamine	Capsule containing lisdexamfetamine dimesilate 70 mg
Methadone	Injection containing methadone hydrochloride 10 mg in 1 mL
Methadone	Oral liquid containing methadone hydrochloride 25 mg per 5 mL in 200 mL bottle, 1 mL
Methadone	Oral liquid containing methadone hydrochloride 25 mg per 5 mL in 1 L bottle, 1 mL
Methadone	Tablet containing methadone hydrochloride 5 mg
Methadone	Tablet containing methadone hydrochloride 10 mg
Methylphenidate	Capsule containing methylphenidate hydrochloride 10 mg (modified release)
Methylphenidate	Capsule containing methylphenidate hydrochloride 20 mg (modified release)
Methylphenidate	Capsule containing methylphenidate hydrochloride 30 mg (modified release)
Methylphenidate	Capsule containing methylphenidate hydrochloride 40 mg (modified release)
Methylphenidate	Capsule containing methylphenidate hydrochloride 60 mg (modified release)
Methylphenidate	Tablet containing methylphenidate hydrochloride 10 mg
Methylphenidate	Tablet containing methylphenidate hydrochloride 18 mg (extended release)
Methylphenidate	Tablet containing methylphenidate hydrochloride 18 mg (extended release) Concerta (Switzerland) (S19A)
Methylphenidate	Tablet containing methylphenidate hydrochloride 27 mg (extended release)
Methylphenidate	Tablet containing methylphenidate hydrochloride 27 mg (modified release) (Spain) (S19A)
Methylphenidate	Tablet containing methylphenidate hydrochloride 36 mg (extended release)
Methylphenidate	Tablet containing methylphenidate hydrochloride 36 mg (extended release) Concerta (Switzerland) (S19A)
Methylphenidate	Tablet containing methylphenidate hydrochloride 54 mg (extended release)
Methylphenidate	Tablet containing methylphenidate hydrochloride 54 mg (extended release) Concerta (Switzerland) (S19A)
Methylphenidate	Tablet containing methylphenidate hydrochloride 54 mg (modified release) (Spain) (S19A)
Morphine	Capsule containing morphine sulfate pentahydrate 10 mg (containing sustained release pellets)
Morphine	Capsule containing morphine sulfate pentahydrate 20 mg (containing sustained release pellets)
Morphine	Capsule containing morphine sulfate pentahydrate 30 mg (controlled release)
Morphine	Capsule containing morphine sulfate pentahydrate 50 mg (containing sustained release pellets)
Morphine	Capsule containing morphine sulfate pentahydrate 60 mg (controlled release)
Morphine	Capsule containing morphine sulfate pentahydrate 90 mg (controlled release)
Morphine	Capsule containing morphine sulfate pentahydrate 100 mg (containing sustained release pellets)
Morphine	Capsule containing morphine sulfate pentahydrate 120 mg (controlled release)
Morphine	Injection containing morphine hydrochloride trihydrate 10 mg in 1 mL
Morphine	Injection containing morphine hydrochloride trihydrate 20 mg in 1 mL
Morphine	Injection containing morphine hydrochloride trihydrate 50 mg in 5 mL
Morphine	Injection containing morphine hydrochloride trihydrate 100 mg in 5 mL
Morphine	Injection containing morphine sulfate pentahydrate 10 mg in 1 mL
Morphine	Injection containing morphine sulfate pentahydrate 15 mg in 1 mL
Morphine	Injection containing morphine sulfate pentahydrate 30 mg in 1 mL
Morphine	Oral solution containing morphine hydrochloride trihydrate 2 mg per mL, 1 mL
Morphine	Oral solution containing morphine hydrochloride trihydrate 5 mg per mL, 1 mL
Morphine	Oral solution containing morphine hydrochloride trihydrate 10 mg per mL, 1 mL
Morphine	Tablet containing morphine sulfate pentahydrate 5 mg (controlled release)
Morphine	Tablet containing morphine sulfate pentahydrate 10 mg
Morphine	Tablet containing morphine sulfate pentahydrate 10 mg (controlled release)
Morphine	Tablet containing morphine sulfate pentahydrate 15 mg (controlled release)
Morphine	Tablet containing morphine sulfate pentahydrate 20 mg
Morphine	Tablet containing morphine sulfate pentahydrate 30 mg
Morphine	Tablet containing morphine sulfate pentahydrate 30 mg (controlled release)
Morphine	Tablet containing morphine sulfate pentahydrate 60 mg (controlled release)
Morphine	Tablet containing morphine sulfate pentahydrate 100 mg (controlled release)
Morphine	Tablet containing morphine sulfate pentahydrate 200 mg (controlled release)
Oxycodone	Capsule containing oxycodone hydrochloride 5 mg
Oxycodone	Capsule containing oxycodone hydrochloride 10 mg
Oxycodone	Capsule containing oxycodone hydrochloride 20 mg
Oxycodone	Oral solution containing oxycodone hydrochloride 1 mg per mL, 1 mL
Oxycodone	Tablet containing oxycodone hydrochloride 5 mg
Oxycodone	Tablet containing oxycodone hydrochloride 10 mg (controlled release)
Oxycodone	Tablet containing oxycodone hydrochloride 15 mg (controlled release)
Oxycodone	Tablet containing oxycodone hydrochloride 20 mg (controlled release)
Oxycodone	Tablet containing oxycodone hydrochloride 30 mg (controlled release)
Oxycodone	Tablet containing oxycodone hydrochloride 40 mg (controlled release)
Oxycodone	Tablet containing oxycodone hydrochloride 80 mg (controlled release)
Oxycodone with naloxone	Tablet (controlled release) containing oxycodone hydrochloride 2.5 mg with naloxone hydrochloride 1.25 mg
Oxycodone with naloxone	Tablet (controlled release) containing oxycodone hydrochloride 5 mg with naloxone hydrochloride 2.5 mg
Oxycodone with naloxone	Tablet (controlled release) containing oxycodone hydrochloride 10 mg with naloxone hydrochloride 5 mg
Oxycodone with naloxone	Tablet (controlled release) containing oxycodone hydrochloride 15 mg with naloxone hydrochloride 7.5 mg
Oxycodone with naloxone	Tablet (controlled release) containing oxycodone hydrochloride 20 mg with naloxone hydrochloride 10 mg
Oxycodone with naloxone	Tablet (controlled release) containing oxycodone hydrochloride 30 mg with naloxone hydrochloride 15 mg
Oxycodone with naloxone	Tablet (controlled release) containing oxycodone hydrochloride 40 mg with naloxone hydrochloride 20 mg
Oxycodone with naloxone	Tablet (controlled release) containing oxycodone hydrochloride 60 mg with naloxone hydrochloride 30 mg
Oxycodone with naloxone	Tablet (controlled release) containing oxycodone hydrochloride 80 mg with naloxone hydrochloride 40 mg
Tapentadol	Tablet (modified release) 50 mg (as hydrochloride)
Tapentadol	Tablet (modified release) 100 mg (as hydrochloride)
Tapentadol	Tablet (modified release) 150 mg (as hydrochloride)
Tapentadol	Tablet (modified release) 200 mg (as hydrochloride)
Tapentadol	Tablet (modified release) 250 mg (as hydrochloride)

Schedule 4 · Pharmaceutical benefits to be supplied as complete packs only

Note: See section 10.

Pharmaceutical benefits to be supplied as complete packs only
Column 1Listed drug	Column 2Form
Abiraterone and methylprednisolone	Pack containing 120 tablets abiraterone acetate 125 mg and 30 tablets methylprednisolone 4 mg
Abiraterone and methylprednisolone	Pack containing 120 tablets abiraterone acetate 125 mg and 60 tablets methylprednisolone 4 mg
Abiraterone and prednisolone	Pack containing 56 tablets abiraterone acetate 500 mg and 56 tablets prednisolone 5 mg
Aciclovir	Eye ointment 30 mg per g, 4.5 g
Aclidinium	Powder for oral inhalation in breath actuated device 322 micrograms (as bromide) per dose, 60 doses
Aclidinium with formoterol	Powder for oral inhalation in breath actuated device containing aclidinium 340 micrograms (as bromide) with formoterol fumarate dihydrate 12 micrograms per dose, 60 doses
Adapalene with benzoyl peroxide	Gel 1 mg-25 mg per g, 30 g
Amoxicillin	Powder for oral suspension 125 mg (as trihydrate) per 5 mL, 100 mL
Amoxicillin	Powder for oral suspension 250 mg (as trihydrate) per 5 mL, 100 mL
Amoxicillin	Powder for oral suspension 500 mg (as trihydrate) per 5 mL, 100 mL
Amoxicillin	Powder for paediatric oral drops 100 mg (as trihydrate) per mL, 20 mL
Amoxicillin with clavulanic acid	Powder for oral suspension containing 125 mg amoxicillin (as trihydrate) with 31.25 mg clavulanic acid (as potassium clavulanate) per 5 mL, 75 mL
Amoxicillin with clavulanic acid	Powder for oral suspension containing 400 mg amoxicillin (as trihydrate) with 57 mg clavulanic acid (as potassium clavulanate) per 5 mL, 60 mL
Apremilast	Pack containing 4 tablets 10 mg, 4 tablets 20 mg and 19 tablets 30 mg
Aripiprazole	Powder for injection 300 mg (as monohydrate) with diluent in pre-filled dual-chamber syringe
Aripiprazole	Powder for injection 400 mg (as monohydrate) with diluent in pre-filled dual-chamber syringe
Atenolol	Oral solution 50 mg in 10 mL, 300 mL
Atovaquone	Oral suspension 750 mg per 5 mL, 210 mL
Atropine	Eye drops containing atropine sulfate monohydrate 10 mg per mL, 15 mL
Azithromycin	Powder for oral suspension 200 mg (as dihydrate) per 5 mL, 15 mL
Beclometasone	Pressurised inhalation containing beclometasone dipropionate 50 micrograms per dose, 200 doses (CFC-free formulation)
Beclometasone	Pressurised inhalation containing beclometasone dipropionate 100 micrograms per dose, 200 doses (CFC-free formulation)
Beclometasone	Pressurised inhalation in breath actuated device containing beclometasone dipropionate 100 micrograms per dose, 200 doses (CFC-free formulation)
Beclometasone with formoterol	Pressurised inhalation containing beclometasone dipropionate 100 micrograms and formoterol fumarate dihydrate 6 micrograms per dose,120 dose
Beclometasone with formoterol	Pressurised inhalation containing beclometasone dipropionate 200 micrograms and formoterol fumarate dihydrate 6 micrograms per dose, 120 doses
Beclometasone with formoterol and glycopyrronium	Pressurised inhalation containing beclometasone dipropionate 100 micrograms with formoterol fumarate dihydrate 6 micrograms and glycopyrronium 10 micrograms (as bromide) per dose, 120 doses
Beclometasone with formoterol and glycopyrronium	Pressurised inhalation containing beclometasone dipropionate 200 micrograms with formoterol fumarate dihydrate 6 micrograms and glycopyrronium 10 micrograms (as bromide) per dose, 120 doses
Benzydamine	Mouth and throat rinse containing benzydamine hydrochloride 22.5 mg per 15 mL, 500 mL
Betaine	Oral powder 180 g
Bimatoprost	Eye drops 300 micrograms per mL, 3 mL
Bimatoprost	Eye drops 300 micrograms per mL, single dose units 0.4 mL, 30
Bimatoprost with timolol	Eye drops 300 micrograms bimatoprost with timolol 5 mg (as maleate) per mL, 3 mL
Bimatoprost with timolol	Eye drops 300 micrograms bimatoprost with timolol 5 mg (as maleate) per mL, single dose units 0.4 mL, 30
Brigatinib	Pack containing 7 tablets 90 mg and 21 tablets 180 mg
Brimonidine	Eye drops containing brimonidine tartrate 2 mg per mL, 5 mL
Brimonidine with timolol	Eye drops containing brimonidine tartrate 2 mg with timolol 5 mg (as maleate) per mL, 5 mL
Brinzolamide	Eye drops 10 mg per mL, 5 mL
Brinzolamide with brimonidine	Eye drops 10 mg brinzolamide with 2 mg brimonidine tartrate per mL, 5 mL
Brinzolamide with timolol	Eye drops 10 mg brinzolamide with timolol 5 mg (as maleate) per mL, 5 mL
Budesonide	Nebuliser suspension 500 micrograms in 2 mL single dose units, 30
Budesonide	Nebuliser suspension 1 mg in 2 mL single dose units, 30
Budesonide	Powder for oral inhalation in breath actuated device 100 micrograms per dose, 200 doses
Budesonide	Powder for oral inhalation in breath actuated device 200 micrograms per dose, 200 doses
Budesonide	Powder for oral inhalation in breath actuated device 400 micrograms per dose, 200 doses
Budesonide with formoterol	Powder for oral inhalation in breath actuated device containing budesonide 100 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses
Budesonide with formoterol	Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 60 doses
Budesonide with formoterol	Powder for oral inhalation in breath actuated device containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses
Budesonide with formoterol	Powder for oral inhalation in breath actuated device containing budesonide 400 micrograms with formoterol fumarate dihydrate 12 micrograms per dose, 60 doses
Budesonide with formoterol	Pressurised inhalation containing budesonide 100 micrograms with formoterol fumarate dihydrate 3 micrograms per dose, 120 doses
Budesonide with formoterol	Pressurised inhalation containing budesonide 200 micrograms with formoterol fumarate dihydrate 6 micrograms per dose, 120 doses
Budesonide with glycopyrronium and formoterol	Pressurised inhalation containing budesonide 160 micrograms with glycopyrronium 7.2 micrograms and formoterol fumarate dihydrate 5 micrograms per dose, 120 doses
Buprenorphine	Injection (modified release) 100 mg in 0.5 mL pre-filled syringe
Buprenorphine	Injection (modified release) 300 mg in 1.5 mL pre-filled syringe
Calcipotriol with betamethasone	Cream containing calcipotriol 50 micrograms with betamethasone 500 micrograms (as dipropionate) per g, 60 g
Calcipotriol with betamethasone	Foam containing calcipotriol 50 micrograms with betamethasone 500 micrograms (as dipropionate) per g, 60 g
Calcipotriol with betamethasone	Gel containing calcipotriol 50 micrograms with betamethasone 500 micrograms (as dipropionate) per g, 60 g
Calcipotriol with betamethasone	Ointment containing calcipotriol 50 micrograms with betamethasone 500 micrograms (as dipropionate) per g, 30 g
Captopril	Oral solution 5 mg per mL, 95 mL
Carbamazepine	Oral suspension 100 mg per 5 mL, 300 mL
Carbomer	Eye gel 2 mg per g, 10 g
Carmellose	Eye drops containing carmellose sodium 5 mg per mL, 10 mL
Carmustine	Implants 7.7 mg, 8
Cefaclor	Powder for oral suspension 125 mg (as monohydrate) per 5 mL, 100 mL
Cefaclor	Powder for oral suspension 250 mg (as monohydrate) per 5 mL, 75 mL
Cefalexin	Granules for oral suspension 125 mg (as monohydrate) per 5 mL, 100 mL
Cefalexin	Granules for oral suspension 250 mg (as monohydrate) per 5 mL, 100 mL
Chloramphenicol	Eye drops 5 mg per mL, 10 mL
Chlorpromazine	Oral solution containing chlorpromazine hydrochloride 25 mg per 5 mL, 100 mL
Ciclesonide	Pressurised inhalation 80 micrograms per dose, 120 doses (CFC-free formulation)
Ciclesonide	Pressurised inhalation 160 micrograms per dose, 120 doses (CFC-free formulation)
Ciclosporin	Eye drops 1 mg per mL, 2 mL
Ciclosporin	Eye drops 1 mg per mL, single dose units 0.3 mL, 30
Ciprofloxacin	Ear drops 3 mg (as hydrochloride) per mL, 5 mL
Citrulline	Tablet 1 g, 300 (Citrulline Easy)
Clarithromycin	Powder for oral liquid 250 mg per 5 mL, 50 mL
Clobetasol	Cream containing clobetasol propionate 500 micrograms per g, 30 g
Clobetasol	Ointment containing clobetasol propionate 500 micrograms per g, 30 g
Clobetasol	Shampoo containing clobetasol propionate 500 micrograms per mL, 125 mL
Clonazepam	Oral liquid 2.5 mg per mL, 10 mL
Clozapine	Oral liquid 50 mg per mL, 100 mL
Degarelix	Powder for injection 120 mg (as acetate), 2, injection set
Desmopressin	Nasal spray (pump pack) containing desmopressin acetate 10 micrograms per actuation, 50 actuations, 5 mL
Desmopressin	Nasal spray (pump pack) containing desmopressin acetate 10 micrograms per actuation, 60 actuations, 6 mL
Dexamethasone with framycetin and gramicidin	Ear drops containing dexamethasone 500 micrograms (as sodium metasulfobenzoate), framycetin sulfate 5 mg and gramicidin 50 micrograms per mL, 8 mL
Diazepam	Oral liquid 10 mg per 10 mL, 100 mL
Dorzolamide	Eye drops 20 mg (as hydrochloride) per mL, 5 mL
Dorzolamide with timolol	Eye drops containing dorzolamide 20 mg (as hydrochloride) with timolol 5 mg (as maleate) per mL, 5 mL
Drospirenone	Pack containing 24 tablets 4 mg and 4 inert tablets
Electrolyte replacement, oral	Oral rehydration salts containing glucose monohydrate 3.56 g, sodium chloride 470 mg, potassium chloride 300 mg and sodium acid citrate 530 mg per sachet, 10
Erythromycin	Powder for oral liquid 200 mg (as ethyl succinate) per 5 mL, 100 mL
Erythromycin	Powder for oral liquid 400 mg (as ethyl succinate) per 5 mL, 100 mL
Escitalopram	Oral solution 20 mg (as oxalate) per mL, 15 mL
Esomeprazole and clarithromycin and amoxicillin	Pack containing 14 tablets (enteric coated) containing esomeprazole 20 mg (as magnesium), 14 tablets clarithromycin 500 mg and 28 capsules amoxicillin 500 mg (as trihydrate)
Esomeprazole and clarithromycin and amoxicillin	Pack containing 14 tablets (enteric coated) containing esomeprazole 20 mg (as magnesium trihydrate), 14 tablets clarithromycin 500 mg and 28 capsules amoxicillin 500 mg (as trihydrate)
Estradiol	Transdermal gel 1 mg (as hemihydrate) in 1 g sachet, 28
Estradiol	Transdermal gel (pump pack) 750 micrograms (as hemihydrate) per 1.25 g dose, 64 doses
Estradiol	Transdermal patches 390 micrograms, 8
Estradiol	Transdermal patches 390 micrograms, 8 (s19A)
Estradiol	Transdermal patches 390 micrograms, 24 (S19A)
Estradiol	Transdermal patches 585 micrograms, 8
Estradiol	Transdermal patches 750 micrograms (as hemihydrate), 8
Estradiol	Transdermal patches 780 micrograms, 8
Estradiol	Transdermal patches 780 micrograms, 8 (s19A)
Estradiol	Transdermal patches 780 micrograms, 24 (S19A)
Estradiol	Transdermal patches 1.17 mg, 8
Estradiol	Transdermal patches 1.17 mg, 24 (S19A)
Estradiol	Transdermal patches 1.5 mg (as hemihydrate), 8
Estradiol	Transdermal patches 1.56 mg, 8
Estradiol	Transdermal patches 1.56 mg, 24 (Sandoz) (S19A)
Estradiol	Transdermal patches 3 mg (as hemihydrate), 8
Estradiol and estradiol with dydrogesterone	Pack containing 14 tablets estradiol 1 mg and 14 tablets estradiol 1 mg with dydrogesterone 10 mg
Estradiol and estradiol with dydrogesterone	Pack containing 14 tablets estradiol 2 mg and 14 tablets estradiol 2 mg with dydrogesterone 10 mg
Estradiol and estradiol with norethisterone	Pack containing 4 transdermal patches 780 micrograms estradiol (as hemihydrate) and 4 transdermal patches 510 micrograms estradiol (as hemihydrate) with 4.8 mg norethisterone acetate
Estradiol and estradiol with norethisterone	Pack containing 4 transdermal patches 780 micrograms estradiol (as hemihydrate) and 4 transdermal patches 620 micrograms estradiol (as hemihydrate) with 2.7 mg norethisterone acetate
Estradiol with norethisterone	Transdermal patches containing 510 micrograms estradiol (as hemihydrate) with 4.8 mg norethisterone acetate, 8
Estradiol with norethisterone	Transdermal patches containing 620 micrograms estradiol (as hemihydrate) with 2.7 mg norethisterone acetate, 8
Estriol	Pessaries 500 micrograms, 15
Estriol	Vaginal cream 1 mg per g, 15 g
Ethosuximide	Oral solution 250 mg per 5 mL, 200 mL
Ezetimibe and rosuvastatin	Pack containing 30 tablets ezetimibe 10 mg and 30 tablets rosuvastatin 5 mg (as calcium)
Ezetimibe and rosuvastatin	Pack containing 30 tablets ezetimibe 10 mg and 30 tablets rosuvastatin 10 mg (as calcium)
Ezetimibe and rosuvastatin	Pack containing 30 tablets ezetimibe 10 mg and 30 tablets rosuvastatin 20 mg (as calcium)
Ezetimibe and rosuvastatin	Pack containing 30 tablets ezetimibe 10 mg and 30 tablets rosuvastatin 40 mg (as calcium)
Fenfluramine	Oral solution 2.2 mg (as hydrochloride) per mL, 360 mL
Ferrous sulfate	Oral liquid containing 30 mg ferrous sulfate heptahydrate per mL, 250 mL
Flucloxacillin	Powder for oral liquid 125 mg (as sodium monohydrate) per 5 mL, 100 mL
Flucloxacillin	Powder for oral liquid 250 mg (as sodium monohydrate) per 5 mL, 100 mL
Fluticasone furoate	Powder for oral inhalation in breath actuated device containing fluticasone furoate 100 micrograms per dose, 30 doses
Fluticasone furoate	Powder for oral inhalation in breath actuated device containing fluticasone furoate 200 micrograms per dose, 30 doses
Fluticasone furoate with umeclidinium and vilanterol	Powder for oral inhalation in breath actuated device containing fluticasone furoate 100 micrograms with umeclidinium 62.5 micrograms (as bromide) and vilanterol 25 micrograms (as trifenatate) per dose, 30 doses
Fluticasone furoate with umeclidinium and vilanterol	Powder for oral inhalation in breath actuated device containing fluticasone furoate 200 micrograms with umeclidinium 62.5 micrograms (as bromide) and vilanterol 25 micrograms (as trifenatate) per dose, 30 doses
Fluticasone furoate with vilanterol	Powder for oral inhalation in breath actuated device containing fluticasone furoate 100 micrograms with vilanterol 25 micrograms (as trifenatate) per dose, 30 doses
Fluticasone furoate with vilanterol	Powder for oral inhalation in breath actuated device containing fluticasone furoate 200 micrograms with vilanterol 25 micrograms (as trifenatate) per dose, 30 doses
Fluticasone propionate	Powder for oral inhalation in breath actuated device containing fluticasone propionate 100 micrograms per dose, 60 doses
Fluticasone propionate	Powder for oral inhalation in breath actuated device containing fluticasone propionate 250 micrograms per dose, 60 doses
Fluticasone propionate	Powder for oral inhalation in breath actuated device containing fluticasone propionate 500 micrograms per dose, 60 doses
Fluticasone propionate	Pressurised inhalation containing fluticasone propionate 50 micrograms per dose, 120 doses (CFC-free formulation)
Fluticasone propionate	Pressurised inhalation containing fluticasone propionate 125 micrograms per dose, 120 doses (CFC-free formulation)
Fluticasone propionate	Pressurised inhalation containing fluticasone propionate 250 micrograms per dose, 120 doses (CFC-free formulation)
Fluticasone propionate with formoterol	Pressurised inhalation containing fluticasone propionate 50 micrograms with formoterol fumarate dihydrate 5 micrograms per dose, 120 doses
Fluticasone propionate with formoterol	Pressurised inhalation containing fluticasone propionate 125 micrograms with formoterol fumarate dihydrate 5 micrograms per dose, 120 doses
Fluticasone propionate with formoterol	Pressurised inhalation containing fluticasone propionate 250 micrograms with formoterol fumarate dihydrate 10 micrograms per dose, 120 doses
Fluticasone propionate with salmeterol	Powder for oral inhalation in breath actuated device containing fluticasone propionate 100 micrograms with salmeterol 50 micrograms (as xinafoate) per dose, 60 doses
Fluticasone propionate with salmeterol	Powder for oral inhalation in breath actuated device containing fluticasone propionate 250 micrograms with salmeterol 50 micrograms (as xinafoate) per dose, 60 doses
Fluticasone propionate with salmeterol	Powder for oral inhalation in breath actuated device containing fluticasone propionate 500 micrograms with salmeterol 50 micrograms (as xinafoate) per dose, 60 doses
Fluticasone propionate with salmeterol	Pressurised inhalation containing fluticasone propionate 50 micrograms with salmeterol 25 micrograms (as xinafoate) per dose, 120 doses (CFC-free formulation)
Fluticasone propionate with salmeterol	Pressurised inhalation containing fluticasone propionate 125 micrograms with salmeterol 25 micrograms (as xinafoate) per dose, 120 doses (CFC-free formulation)
Fluticasone propionate with salmeterol	Pressurised inhalation containing fluticasone propionate 250 micrograms with salmeterol 25 micrograms (as xinafoate) per dose, 120 doses (CFC-free formulation)
Formoterol	Powder for oral inhalation in breath actuated device containing formoterol fumarate dihydrate 6 micrograms per dose, 60 doses
Formoterol	Powder for oral inhalation in breath actuated device containing formoterol fumarate dihydrate 12 micrograms per dose, 60 doses
Framycetin	Eye or ear drops containing framycetin sulfate 5 mg per mL, 8 mL
Furosemide	Oral solution 10 mg per mL, 30 mL
Glyceryl trinitrate	Sublingual spray (pump pack) 400 micrograms per dose, 200 doses
Glycomacropeptide formula with long chain polyunsaturated fatty acids and docosahexaenoic acid and low in phenylalanine	Sachets containing oral powder 40 g, pack of 30 (PKU GMPro Delight)
Glycopyrronium	Cream containing glycopyrronium (as bromide) 8 mg per g (2.2 mg per actuation), 50 g
Goserelin and bicalutamide	Pack containing 1 subcutaneous implant containing goserelin 3.6 mg (as acetate) in pre-filled injection syringe and 28 tablets bicalutamide 50 mg
Goserelin and bicalutamide	Pack containing 1 subcutaneous implant containing goserelin 10.8 mg (as acetate) in pre-filled injection syringe and 28 tablets bicalutamide 50 mg
Goserelin and bicalutamide	Pack containing 1 subcutaneous implant containing goserelin 10.8 mg (as acetate) in pre-filled injection syringe and 84 tablets bicalutamide 50 mg
Haloperidol	Oral solution 2 mg per mL, 100 mL
Hyaluronic acid	Eye drops containing sodium hyaluronate 1 mg per mL, 10 mL
Hyaluronic acid	Eye drops containing sodium hyaluronate 2 mg per mL, 10 mL
Hydrocortisone	Cream containing hydrocortisone acetate 10 mg per g, 50 g
Hydrocortisone	Eye ointment containing hydrocortisone acetate 10 mg per g, 5 g
Hydrocortisone	Ointment containing hydrocortisone acetate 10 mg per g, 50 g
Hypromellose	0.3% w/v eye drops, 10 mL (preservative free)
Hypromellose	Eye drops 3 mg per mL, 10 mL
Hypromellose	Eye drops 5 mg per mL, 15 mL
Hypromellose with dextran	Eye drops containing 3 mg hypromellose 4500 with 1 mg dextran 70 per mL, 15 mL
IncobotulinumtoxinA	Lyophilised powder for injection 100 units
Lacosamide	Oral solution 10 mg per mL, 200 mL
Latanoprost	Eye drops 50 micrograms per mL, 2.5 mL
Latanoprost with timolol	Eye drops 50 micrograms latanoprost with timolol 5 mg (as maleate) per mL, 2.5 mL
Leuprorelin and bicalutamide	Pack containing 1 syringe containing leuprorelin 7.5 mg (as acetate) and 28 tablets bicalutamide 50 mg
Leuprorelin and bicalutamide	Pack containing 1 syringe containing leuprorelin 22.5 mg (as acetate) and 28 tablets bicalutamide 50 mg
Leuprorelin and bicalutamide	Pack containing 1 syringe containing leuprorelin 22.5 mg (as acetate) and 84 tablets bicalutamide 50 mg
Levetiracetam	Oral solution 100 mg per mL, 300 mL
Lumacaftor with ivacaftor	Sachet containing granules, lumacaftor 75 mg and ivacaftor 94 mg
Lumacaftor with ivacaftor	Sachet containing granules, lumacaftor 100 mg and ivacaftor 125 mg
Lumacaftor with ivacaftor	Sachet containing granules, lumacaftor 150 mg and ivacaftor 188 mg
Lumasiran	Solution for subcutaneous injection 94.5 mg (as sodium) in 0.5 mL
Macrogol 3350	Powder for oral solution 510 g
Macrogol 3350	Sachets containing powder for oral solution 13.125 g with electrolytes, 30
Mercaptopurine	Oral suspension containing mercaptopurine monohydrate 20 mg per mL, 100 mL
Metronidazole	Oral suspension containing metronidazole benzoate 320 mg per 5 mL, 100 mL
Metronidazole	Suppositories 500 mg, 10
Miconazole	Cream containing miconazole nitrate 20 mg per g, 30 g
Miconazole	Cream containing miconazole nitrate 20 mg per g, 70 g
Miconazole	Powder containing miconazole nitrate 20 mg per g, 30 g
Miconazole	Tincture 20 mg per mL, 30 mL
Mifepristone and misoprostol	Pack containing 1 tablet mifepristone 200 mg and 4 tablets misoprostol 200 micrograms
Mupirocin	Nasal ointment 20 mg (as calcium) per g, 3 g
Mupirocin	Nasal ointment 20 mg (as calcium) per g, 5 g
Mycobacterium bovis (Bacillus Calmette and Guerin (BCG)) Danish 1331 strain	Single dose pack containing powder for irrigation 30 mg, 4 vials
Mycophenolic acid	Powder for oral suspension containing mycophenolate mofetil 1 g per 5 mL, 165 mL
Nafarelin	Nasal spray (pump pack) 200 micrograms (as acetate) per dose, 60 doses
Naloxone	Nasal spray 1.8 mg (as hydrochloride dihydrate) in 0.1 mL single dose unit, 2
Naproxen	Oral suspension 125 mg per 5 mL, 474 mL
Netupitant with palonosetron	Capsule containing netupitant 300 mg with palonosetron 500 microgram (as hydrochloride)
Nicorandil	Tablets 10 mg, 60
Nicorandil	Tablets 20 mg, 60
Nirmatrelvir and ritonavir	Pack containing 4 tablets nirmatrelvir 150 mg and 2 tablets ritonavir 100 mg, 5
Nitisinone	Oral suspension 4 mg per mL, 90 mL
Onasemnogene abeparvovec	Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 3 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 4 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 5 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 6 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 7 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 8 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 1 vial solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 3 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 4 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 5 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 6 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 5.5 mL and 7 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 2 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 3 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 4 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 5 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 6 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 7 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 8 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Onasemnogene abeparvovec	Pack containing 9 vials solution for I.V. infusion 20 trillion vector genomes per mL, 8.3 mL
Ondansetron	Syrup 4 mg (as hydrochloride dihydrate) per 5 mL, 50 mL
Oxybutynin	Transdermal patches 36 mg, 8
Ozanimod	Pack containing 4 capsules 230 micrograms and 3 capsules 460 micrograms
Paracetamol	Oral liquid 240 mg per 5 mL, 200 mL
Paraffin	Eye drops containing liquid paraffin, glycerol, tyloxapol, poloxamer-188, trometamol hydrochloride, trometamol, cetalkonium chloride, 10 mL (preservative free)
Paraffin	Pack containing 2 tubes eye ointment, compound, containing white soft paraffin with liquid paraffin, 3.5 g
Peginterferon beta-1a	Pack containing single use injection pens containing 63 micrograms in 0.5 mL and 94 micrograms in 0.5 mL
Permethrin	Cream 50 mg per g, 30 g
Phenytoin	Oral suspension 30 mg per 5 mL, 500 mL
Pilocarpine	Eye drops containing pilocarpine hydrochloride 10 mg per mL, 15 mL
Pilocarpine	Eye drops containing pilocarpine hydrochloride 20 mg per mL, 15 mL
Pilocarpine	Eye drops containing pilocarpine hydrochloride 40 mg per mL, 15 mL
Pimecrolimus	Cream 10 mg per g, 15 g
Pioglitazone	Tablet 15 mg (as hydrochloride), pack of 30
Pioglitazone	Tablet 30 mg (as hydrochloride), pack of 30
Pioglitazone	Tablet 45 mg (as hydrochloride), pack of 30
Polyethylene glycol 400 with propylene glycol	Eye drops 4 mg-3 mg per mL, 15 mL
Prednisolone	Oral solution 5 mg (as sodium phosphate) per mL, 30 mL
Prednisolone with phenylephrine	Eye drops containing prednisolone acetate 10 mg with phenylephrine hydrochloride 1.2 mg per mL, 10 mL
Progesterone and estradiol	Pack containing 30 capsules progesterone 100 mg (micronised) and transdermal gel (pump pack) estradiol 750 micrograms (as hemihydrate) per 1.25 g dose, 64 doses
Propylene glycol	Eye drops 60 micrograms per mL, 10 mL
Rifampicin	Syrup 100 mg per 5 mL, 60 mL
Risdiplam	Powder for oral solution 750 micrograms per mL, 80 mL
Risperidone	Oral solution 1 mg per mL, 100 mL
Salbutamol	Nebuliser solution 2.5 mg (as sulfate) in 2.5 mL single dose units, 20
Salbutamol	Nebuliser solution 2.5 mg (as sulfate) in 2.5 mL single dose units, 30
Salbutamol	Nebuliser solution 5 mg (as sulfate) in 2.5 mL single dose units, 20
Salbutamol	Nebuliser solution 5 mg (as sulfate) in 2.5 mL single dose units, 20 (s19A)
Salbutamol	Nebuliser solution 5 mg (as sulfate) in 2.5 mL single dose units, 30
Salbutamol	Pressurised inhalation 100 micrograms (as sulfate) per dose with dose counter, 200 doses (CFC-free formulation)
Salmeterol	Powder for oral inhalation in breath actuated device 50 micrograms (as xinafoate) per dose, 60 doses
Semaglutide	Solution for injection 4 mg in 3 mL pre-filled pen
Sirolimus	Oral solution 1 mg per mL, 60 mL
Tacrolimus	Ointment 1 mg per g, 30 g
Testosterone	Transdermal cream 50 mg per mL, 50 mL
Testosterone	Transdermal gel 50 mg in 5 g sachet, 30
Testosterone	Transdermal gel (pump pack) 12.5 mg per 1.25 g dose, 60 doses, 2
Testosterone	Transdermal gel (pump pack) 23 mg per 1.15 g dose, 56 doses
Theophylline	Oral solution 133.3 mg per 25 mL, 500 mL
Timolol	Eye drops 5 mg (as maleate) per mL, 5 mL
Timolol	Eye drops (gellan gum solution) 5 mg (as maleate) per mL, 2.5 mL
Tiotropium	Solution for oral inhalation 2.5 micrograms (as bromide monohydrate) per actuation (60 actuations)
Tiotropium	Solution for oral inhalation 2.5 micrograms (as bromide monohydrate) per actuation (60 actuations), pack of 2
Tiotropium with olodaterol	Solution for oral inhalation containing tiotropium 2.5 micrograms (as bromide monohydrate) with olodaterol 2.5 micrograms (as hydrochloride) per dose, 60 doses
Tiotropium with olodaterol	Solution for oral inhalation containing tiotropium 2.5 micrograms (as bromide monohydrate) with olodaterol 2.5 micrograms (as hydrochloride) per dose, 60 doses, pack of 2
Tofacitinib	Oral solution 1 mg per mL, 240 mL
Tramadol	Oral drops containing tramadol hydrochloride 100 mg per mL, 10 mL
Travoprost	Eye drops 40 micrograms per mL, 2.5 mL
Travoprost with timolol	Eye drops 40 micrograms travoprost with timolol 5 mg (as maleate) per mL, 2.5 mL
Triamcinolone with neomycin, gramicidin and nystatin	Ear drops containing triamcinolone acetonide 0.9 mg with neomycin 2.25 mg (as sulfate), gramicidin 225 micrograms and nystatin 90,000 units per mL, 7.5 mL
Triamcinolone with neomycin, gramicidin and nystatin	Ear ointment containing triamcinolone acetonide 1 mg with neomycin 2.5 mg (as sulfate), gramicidin 250 micrograms and nystatin 100,000 units per g, 5 g
Trimethoprim with sulfamethoxazole	Paediatric oral suspension 40 mg-200 mg per 5 mL, 100 mL
Umeclidinium	Powder for oral inhalation in breath actuated device 62.5 micrograms (as bromide) per dose, 30 doses
Umeclidinium with vilanterol	Powder for oral inhalation in breath actuated device containing umeclidinium 62.5 micrograms (as bromide) with vilanterol 25 micrograms (as trifenatate) per dose, 30 doses
Varenicline	Box containing 11 tablets 0.5 mg and 42 tablets 1 mg
Venetoclax	Pack containing 14 tablets venetoclax 10 mg and 7 tablets venetoclax 50 mg and 7 tablets venetoclax 100 mg and 14 tablets venetoclax 100 mg

Schedule 5 · Standard formula preparations

Note: See subsection 7(3).

1Standard formula preparations#

Each extemporaneously-prepared pharmaceutical benefit described in an item of the following table is a standard formula preparation for the purposes of working out the Commonwealth price for supply of the pharmaceutical benefit, unless the benefit:

(a)varies from what is described in the item because of:

(i)addition of an ingredient; or

(ii)omission of an ingredient; or

(iii)variation of the dose; or

(b)is a combination of benefits described in 2 or more items of the table.

Standard formula preparations
Column 1Form of pharmaceutical benefit	Column 2Standard formula preparation	Column 3Pharmaceutical reference standard
Creams	Salicylic Acid and Sulfur Aqueous	APF
Ear Drops	Aluminium Acetate	APF
Ear Drops	Aluminium Acetate	BP
Ear Drops	Sodium Bicarbonate	APF or BP
Ear Drops	Spirit	APF
Inhalations	Benzoin and Menthol	APF
Inhalations	Menthol	APF
Inhalations	Menthol and Eucalyptus	BP 1980
Linctuses containing Codeine Phosphate	Codeine	APF
Lotions	Aluminium Acetate Aqueous	APF
Mixtures, Other	Kaolin	BPC 1968
Mixtures, Other	Magnesium Trisilicate	BPC 1968
Mixtures, Other	Magnesium Trisilicate and Belladonna	BPC 1968
Ointments, Waxes	Benzoic Acid Compound	APF or BP
Ointments, Waxes	Boric Acid, Olive Oil and Zinc Oxide	QHF
Ointments, Waxes	Salicylic Acid	APF
Ointments, Waxes	Salicylic Acid (extemporaneous formula)	BP
Paints	Podophyllin Compound	APF 16 or BP
Paints	Salicylic Acid	APF
Pastes, Other	Zinc	APF or BP
Powders for Internal Use	Magnesium Trisilicate	BP

Sourced from the Federal Register of Legislation at legislation.gov.au, © Commonwealth of Australia, licensed under CC BY 4.0. Compilations may have been reformatted.