National Health (Price and Special Patient Contribution) Amendment Determination 2016 (No. 8) (PB 91 of 2016) (Cth)

PB 91 of 2016

National Health (Price and Special Patient Contribution) Amendment Determination 2016 (No. 8)

National Health Act 1953

I, PENNY SHAKESPEARE, First Assistant Secretary, Pharmaceutical Benefits Division, Department of Health, delegate of the Minister for Health and Aged Care, make this Determination under section 85B of the National Health Act 1953.

Dated 26 October 2016

PENNY SHAKESPEARE
First Assistant Secretary
Pharmaceutical Benefits Division
Department of Health

1 Name of Instrument

(1) This Instrument is the National Health (Price and Special Patient Contribution) Amendment Determination 2016 (No. 8).
(2) This Instrument may also be cited as PB 91 of 2016.

2 Commencement

This Instrument commences on 1 November 2016.

3 Amendment of the National Health (Price and Special Patient Contribution) Determination 2010 (PB 109 of 2010)
Schedule 1 amends the National Health (Price and Special Patient Contribution) Determination 2010 (PB 109 of 2010).

Schedule 1 Amendments

[1] Schedule 1, entry for Aciclovir in the form Tablet 200 mg [Pricing Quantity/Pack Quantity: 25]

omit from the column headed “Determined Price”: 8.30 substitute: 7.13

[2] Schedule 1, entry for Aciclovir in the form Tablet 200 mg [Pricing Quantity/Pack Quantity: 90]

omit from the column headed “Claimed Price”:          30.99     substitute:             26.62
[3]Schedule 1, entry for Alendronic acid with colecalciferol in the form Tablet 70 mg (as alendronate sodium) with 70 micrograms colecalciferol
(a)   omit from the column headed “Determined Price”:             26.91     substitute:             4.06
(b)   omit from the column headed “Claimed Price”:                 29.23     substitute:             4.41
[4]Schedule 1, entry for Alendronic acid with colecalciferol in the form Tablet 70 mg (as alendronate sodium) with 140 micrograms colecalciferol
(a)   omit from the column headed “Determined Price”:             26.91     substitute:             4.06
(b)   omit from the column headed “Claimed Price”:                 29.22     substitute:             4.41
[5]Schedule 1, entry for Alendronic acid with colecalciferol and calcium
(a)   omit from the column headed “Determined Price”:             27.50     substitute:             4.06
(b)   omit from the column headed “Claimed Price”:                 29.83     substitute:             4.40
[6]Schedule 1, entry for Bisoprolol in the form Tablet containing bisoprolol fumarate 2.5 mg
(a)   omit from the column headed “Determined Price”:             10.64     substitute:             8.33
(b)   omit from the column headed “Claimed Price”:                 13.96     substitute:             10.93
[7]Schedule 1, entry for Bisoprolol in the form Tablet containing bisoprolol fumarate 5 mg
(a)   omit from the column headed “Determined Price”:             13.30     substitute:             10.41
(b)   omit from the column headed “Claimed Price”:                 16.62     substitute:             13.01
[8]Schedule 1, entry for Bisoprolol in the form Tablet containing bisoprolol fumarate 10 mg
(a)   omit from the column headed “Determined Price”:             16.63     substitute:             13.01
(b)   omit from the column headed “Claimed Price”:                 19.95     substitute:             15.61
[9]Schedule 1, entry for Candesartan in the form Tablet containing candesartan cilexetil 4 mg
(a)   omit from the column headed “Determined Price”:             0.74        substitute:             0.61
(b)   omit from the column headed “Claimed Price”:                 2.60        substitute:             2.14

Schedule 1, entry for Candesartan in the form Tablet containing candesartan cilexetil 8 mg
(a) omit from the column headed “Determined Price”: 2.20 substitute: 1.81
(b) omit from the column headed “Claimed Price”: 4.06 substitute: 3.34
Schedule 1, entry for Candesartan in the form Tablet containing candesartan cilexetil 16 mg
(a) omit from the column headed “Determined Price”: 6.58 substitute: 5.42
(b) omit from the column headed “Claimed Price”: 8.44 substitute: 6.95
Schedule 1, entry for Candesartan in the form Tablet containing candesartan cilexetil 32 mg
(a) omit from the column headed “Determined Price”: 7.95 substitute: 6.56
(b) omit from the column headed “Claimed Price”: 9.81 substitute: 8.10
Schedule 1, entry for Candesartan with Hydrochlorothiazide in the form Tablet containing candesartan cilexetil 16 mg with hydrochlorothiazide 12.5 mg
(a) omit from the column headed “Determined Price”: 8.09 substitute: 6.29
(b) omit from the column headed “Claimed Price”: 9.95 substitute: 7.74
Schedule 1, entry for Candesartan with Hydrochlorothiazide in the form Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 12.5 mg
(a) omit from the column headed “Determined Price”: 9.46 substitute: 7.48
(b) omit from the column headed “Claimed Price”: 11.32 substitute: 8.95
Schedule 1, entry for Candesartan with Hydrochlorothiazide in the form Tablet containing candesartan cilexetil 32 mg with hydrochlorothiazide 25 mg
(a) omit from the column headed “Determined Price”: 10.97 substitute: 8.05
(b) omit from the column headed “Claimed Price”: 12.83 substitute: 9.41
Schedule 1, entry for Captopril in the form Tablet 12.5 mg
(a) omit from the column headed “Determined Price”: 4.30 substitute: 3.59
(b) omit from the column headed “Claimed Price”: 7.97 substitute: 6.65
Schedule 1, entry for Captopril in the form Tablet 25 mg [Brand: Capoten]
(a) omit from the column headed “Determined Price”: 6.22 substitute: 5.19
(b) omit from the column headed “Claimed Price”: 9.83 substitute: 8.20
Schedule 1, entry for Captopril in the form Tablet 25 mg [Brand: Zedace]
(a) omit from the column headed “Determined Price”: 6.22 substitute: 5.19
(b) omit from the column headed “Claimed Price”: 9.90 substitute: 8.26
Schedule 1, entry for Captopril in the form Tablet 50 mg [Brand: Capoten]
(a) omit from the column headed “Determined Price”: 12.27 substitute: 10.24
(b) omit from the column headed “Claimed Price”: 15.07 substitute: 12.58
Schedule 1, entry for Captopril in the form Tablet 50 mg [Brand: Zedace]
(a) omit from the column headed “Determined Price”: 12.27 substitute: 10.24
(b) omit from the column headed “Claimed Price”: 15.94 substitute: 13.30
Schedule 1, entry for Citalopram
(a) omit from the column headed “Determined Price”: 1.60 substitute: 1.36
(b) omit from the column headed “Claimed Price”: 7.40 substitute: 6.29
Schedule 1, entry for Clomipramine
(a) omit from the column headed “Determined Price”: 6.25 substitute: 5.52
(b) omit from the column headed “Claimed Price”: 8.80 substitute: 7.77
Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 50 mg [Pricing Quantity/Pack Quantity: 20]
(a) omit from the column headed “Determined Price”: 17.01 substitute: 14.90
(b) omit from the column headed “Claimed Price”: 19.85 substitute: 17.39
Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 50 mg [Pricing Quantity/Pack Quantity: 50]
omit from the column headed “Claimed Price”: 43.87 substitute: 38.43
Schedule 1, entry for Cyproterone in the form Tablet containing cyproterone acetate 100 mg
(a) omit from the column headed “Determined Price”: 66.25 substitute: 58.02
(b) omit from the column headed “Claimed Price”: 67.92 substitute: 59.48
Schedule 1, entry for Donepezil in the form Tablet containing donepezil hydrochloride 5 mg
(a) omit from the column headed “Determined Price”: 17.59 substitute: 11.45
(b) omit from the column headed “Claimed Price”: 23.17 substitute: 16.21
Schedule 1, entry for Donepezil in the form Tablet containing donepezil hydrochloride 10 mg
(a) omit from the column headed “Determined Price”: 17.59 substitute: 11.45
(b) omit from the column headed “Claimed Price”: 23.17substitute:16.21
Schedule 1, entry for Duloxetine in the form Capsule 30 mg (as hydrochloride)
(a) omit from the column headed “Determined Price”: 6.08 substitute: 4.62
(b) omit from the column headed “Claimed Price”: 8.87 substitute: 6.74
Schedule 1, entry for Duloxetine in the form Capsule 60 mg (as hydrochloride)
(a) omit from the column headed “Determined Price”: 8.67 substitute: 6.60
(b) omit from the column headed “Claimed Price”: 11.46 substitute: 8.72
Schedule 1, entry for Enalapril in the form Tablet containing enalapril maleate 10 mg
(a) omit from the column headed “Determined Price”: 3.74 substitute: 3.21
(b) omit from the column headed “Claimed Price”: 8.06 substitute: 6.92
Schedule 1, entry for Enalapril in the form Tablet containing enalapril maleate 20 mg
(a) omit from the column headed “Determined Price”: 4.76 substitute: 4.09
(b) omit from the column headed “Claimed Price”: 9.10 substitute: 7.82
Schedule 1, entry for Escitalopram in the form Tablet 10 mg (as oxalate)
(a) omit from the column headed “Determined Price”: 2.73 substitute: 2.35
(b) omit from the column headed “Claimed Price”: 9.28 substitute: 7.99
Schedule 1, entry for Escitalopram in the form Tablet 20 mg (as oxalate)
(a) omit from the column headed “Determined Price”: 2.75 substitute: 2.38
(b) omit from the column headed “Claimed Price”: 9.62 substitute: 8.33
Schedule 1, entry for Exemestane
(a) omit from the column headed “Determined Price”: 71.67 substitute: 58.26
(b) omit from the column headed “Claimed Price”: 75.11 substitute: 61.06
Schedule 1, entry for Fluconazole in the form Capsule 50 mg
(a) omit from the column headed “Determined Price”: 13.51 substitute: 11.87
(b) omit from the column headed “Claimed Price”: 17.23 substitute: 15.14
Schedule 1, entry for Fluvoxamine in the form Tablet containing fluvoxamine maleate 50 mg
(a) omit from the column headed “Determined Price”: 5.97 substitute: 5.26
(b) omit from the column headed “Claimed Price”: 9.23 substitute: 8.13
Schedule 1, entry for Fluvoxamine in the form Tablet containing fluvoxamine maleate 100 mg
(a) omit from the column headed “Determined Price”: 9.05 substitute: 7.97
(b) omit from the column headed “Claimed Price”: 12.30 substitute: 10.83
Schedule 1, entry for Glimepiride in the form Tablet 1 mg
(a) omit from the column headed “Determined Price”: 1.02 substitute: 0.90
(b) omit from the column headed “Claimed Price”: 3.10 substitute: 2.74
Schedule 1, entry for Glimepiride in the form Tablet 2 mg
(a) omit from the column headed “Determined Price”: 1.95 substitute: 1.72
(b) omit from the column headed “Claimed Price”: 3.98 substitute: 3.51
Schedule 1, entry for Glimepiride in the form Tablet 3 mg
(a) omit from the column headed “Determined Price”: 2.48 substitute: 2.19
(b) omit from the column headed “Claimed Price”: 4.52 substitute: 3.99
Schedule 1, entry for Glimepiride in the form Tablet 4 mg
(a) omit from the column headed “Determined Price”: 3.05 substitute: 2.70
(b) omit from the column headed “Claimed Price”: 5.09 substitute: 4.51
Schedule 1, entry for Imiquimod in the form Cream 50 mg per g, 2 g, 2
(a) omit from the column headed “Determined Price”: 83.11 substitute: 70.25
(b) omit from the column headed “Claimed Price”: 88.11 substitute: 74.48
Schedule 1, entry for Imiquimod in the form Cream 50 mg per g, 250 mg single use sachets, 12
(a) omit from the column headed “Determined Price”: 83.11 substitute: 70.25
(b) omit from the column headed “Claimed Price”: 85.61 substitute: 72.37
Schedule 1, entry for Indapamide
(a) omit from the column headed “Determined Price”: 7.14 substitute: 5.55
(b) omit from the column headed “Claimed Price”: 10.97 substitute: 8.53
Schedule 1, entry for Irbesartan in the form Tablet 75 mg [Brands: Avapro; Karvea]
(a) omit from the column headed “Determined Price”: 1.96 substitute: 1.34
(b) omit from the column headed “Claimed Price”: 3.73 substitute: 2.55
Schedule 1, entry for Irbesartan in the form Tablet 150 mg [Brands: Avapro; Karvea]
(a) omit from the column headed “Determined Price”: 2.80 substitute: 1.91
(b) omit from the column headed “Claimed Price”: 4.57 substitute: 3.12
Schedule 1, entry for Irbesartan in the form Tablet 300 mg [Brands: Avapro; Karvea]
(a) omit from the column headed “Determined Price”: 5.58 substitute: 3.82
(b) omit from the column headed “Claimed Price”: 7.35 substitute: 5.03
Schedule 1, entry for Irbesartan with hydrochlorothiazide in the form Tablet 150 mg-12.5 mg [Brands: Avapro HCT 150/12.5;
Karvezide 150/12.5]
(a) omit from the column headed “Determined Price”: 3.98 substitute: 2.19
(b) omit from the column headed “Claimed Price”: 5.75 substitute: 3.16
Schedule 1, entry for Irbesartan with hydrochlorothiazide in the form Tablet 300 mg-12.5 mg [Brands: Avapro HCT 300/12.5;
Karvezide 300/12.5]
(a) omit from the column headed “Determined Price”: 7.09 substitute: 4.02
(b) omit from the column headed “Claimed Price”: 8.85 substitute: 5.02
Schedule 1, entry for Irbesartan with hydrochlorothiazide in the form Tablet 300 mg-25 mg [Brands: Avapro HCT 300/25;
Karvezide 300/25]
(a) omit from the column headed “Determined Price”: 7.96 substitute: 4.38
(b) omit from the column headed “Claimed Price”: 9.73 substitute: 5.35
Schedule 1, entry for Lansoprazole in the form Tablet 15 mg (orally disintegrating)
(a) omit from the column headed “Determined Price”: 4.57 substitute: 3.52
(b) omit from the column headed “Claimed Price”: 10.05 substitute: 7.74
Schedule 1, entry for Lansoprazole in the form Tablet 30 mg (orally disintegrating)
(a) omit from the column headed “Determined Price”: 8.22 substitute: 6.32
(b) omit from the column headed “Claimed Price”: 13.70 substitute: 10.53
Schedule 1, entry for Lercanidipine in the form Tablet containing lercanidipine hydrochloride 10 mg
(a) omit from the column headed “Determined Price”: 2.47 substitute: 2.17
(b) omit from the column headed “Claimed Price”: 5.73 substitute: 5.03
Schedule 1, entry for Lercanidipine in the form Tablet containing lercanidipine hydrochloride 20 mg
(a) omit from the column headed “Determined Price”: 4.12 substitute: 3.62
(b) omit from the column headed “Claimed Price”: 7.38 substitute: 6.48
Schedule 1, entry for Levonorgestrel with Ethinyloestradiol in the form Pack containing 21 tablets 150 micrograms-30 micrograms and 7 inert tablets [Brand: Microgynon 30 ED]
(a) omit from the column headed “Determined Price”: 7.18 substitute: 6.39
(b) omit from the column headed “Claimed Price”: 17.79 substitute: 15.83
Schedule 1, entry for Levonorgestrel with Ethinyloestradiol in the form Pack containing 21 tablets 150 micrograms-30 micrograms and 7 inert tablets [Brand: Nordette 28]
(a) omit from the column headed “Determined Price”: 7.18 substitute: 6.39
(b) omit from the column headed “Claimed Price”: 19.46 substitute: 17.32
Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 500 mg
(a) omit from the column headed “Determined Price”: 2.79 substitute: 2.50
(b) omit from the column headed “Claimed Price”: 6.37 substitute: 5.71
Schedule 1, entry for Metformin in the form Tablet (extended release) containing metformin hydrochloride 500 mg
(a) omit from the column headed “Determined Price”: 4.47 substitute: 4.01
(b) omit from the column headed “Claimed Price”: 8.05 substitute: 7.22
Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 850 mg [Brand: Diabex 850]
(a) omit from the column headed “Determined Price”: 2.79 substitute: 2.50
(b) omit from the column headed “Claimed Price”: 6.37 substitute: 5.71
Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 850 mg [Brand: Glucophage]
(a) omit from the column headed “Determined Price”: 2.79 substitute: 2.50
(b) omit from the column headed “Claimed Price”: 3.25 substitute: 2.91
Schedule 1, entry for Metformin in the form Tablet containing metformin hydrochloride 1 g
(a) omit from the column headed “Determined Price”: 4.86 substitute: 4.36
(b) omit from the column headed “Claimed Price”: 8.44 substitute: 7.57
Schedule 1, entry for Metformin in the form Tablet (extended release) containing metformin hydrochloride 1 g
(a) omit from the column headed “Determined Price”: 4.47 substitute: 4.01
(b) omit from the column headed “Claimed Price”: 8.05 substitute: 7.22
Schedule 1, entry for Metoprolol in the form Tablet containing metoprolol tartrate 50 mg [Brand: Betaloc]
(a) omit from the column headed “Determined Price”: 1.98 substitute: 1.77
(b) omit from the column headed “Claimed Price”: 5.48 substitute: 4.90

Schedule 1, entry for Metoprolol in the form Tablet containing metoprolol tartrate 50 mg [Brand: Lopresor 50]
(a) omit from the column headed “Determined Price”: 1.98 substitute: 1.77
(b) omit from the column headed “Claimed Price”: 3.85 substitute: 3.44
Schedule 1, entry for Metoprolol in the form Tablet containing metoprolol tartrate 100 mg [Brand: Betaloc]
(a) omit from the column headed “Determined Price”: 2.52 substitute: 2.26
(b) omit from the column headed “Claimed Price”: 6.02 substitute: 5.40
Schedule 1, entry for Metoprolol in the form Tablet containing metoprolol tartrate 100 mg [Brand: Lopresor 100]
(a) omit from the column headed “Determined Price”: 2.52 substitute: 2.26
(b) omit from the column headed “Claimed Price”: 4.38 substitute: 3.93
Schedule 1, entry for Montelukast
(a) omit from the column headed “Determined Price”: 12.39 substitute: 8.50
(b) omit from the column headed “Claimed Price”: 14.25 substitute: 9.78
Schedule 1, entry for Paroxetine
(a) omit from the column headed “Determined Price”: 4.59 substitute: 3.77
(b) omit from the column headed “Claimed Price”: 6.63 substitute: 5.45
Schedule 1, entry for Perindopril [Brands: Coversyl 2.5mg; PREXUM 2.5]
(a) omit from the column headed “Determined Price”: 2.05 substitute: 1.70
(b) omit from the column headed “Claimed Price”: 3.86 substitute: 3.20
Schedule 1, entry for Perinopril with amlodipine in the form Tablet containing 5 mg perindopril arginine with 5 mg amlodipine
(as besylate)
(a) omit from the column headed “Determined Price”: 4.82 substitute: 4.17
(b) omit from the column headed “Claimed Price”: 9.42 substitute: 8.15
Schedule 1, entry for Perinopril with amlodipine in the form Tablet containing 5 mg perindopril arginine with 10 mg amlodipine
(as besylate)
(a) omit from the column headed “Determined Price”: 5.58 substitute: 4.93
(b) omit from the column headed “Claimed Price”: 10.18 substitute: 8.99
Schedule 1, entry for Perinopril with amlodipine in the form Tablet containing 10 mg perindopril arginine with 5 mg amlodipine
(as besylate)
(a) omit from the column headed “Determined Price”: 6.85 substitute: 5.85
(b) omit from the column headed “Claimed Price”: 11.46 substitute: 9.79
Schedule 1, entry for Perinopril with amlodipine in the form Tablet containing 10 mg perindopril arginine with 10 mg amlodipine
(as besylate)
(a) omit from the column headed “Determined Price”: 7.61 substitute: 6.61
(b) omit from the column headed “Claimed Price”: 12.21 substitute: 10.61
Schedule 1, entry for Prochlorperazine
(a) omit from the column headed “Determined Price”: 1.15 substitute: 1.01
(b) omit from the column headed “Claimed Price”: 3.94 substitute: 3.46
Schedule 1, entry for Simvastatin in the form Tablet 10 mg [Brands: Lipex 10; Zocor]
(a) omit from the column headed “Determined Price”: 1.38 substitute: 1.17
(b) omit from the column headed “Claimed Price”: 6.03 substitute: 5.11
Schedule 1, entry for Simvastatin in the form Tablet 20 mg [Brands: Lipex 20; Zocor]
(a) omit from the column headed “Determined Price”: 2.00 substitute: 1.69
(b) omit from the column headed “Claimed Price”: 6.65 substitute: 5.62
Schedule 1, entry for Simvastatin in the form Tablet 40 mg [Brands: Lipex 40; Zocor]
(a) omit from the column headed “Determined Price”: 2.87 substitute: 2.43
(b) omit from the column headed “Claimed Price”: 7.52 substitute: 6.37
Schedule 1, entry for Simvastatin in the form Tablet 80 mg [Brands: Lipex 80; Zocor]
(a) omit from the column headed “Determined Price”: 4.12 substitute: 3.48
(b) omit from the column headed “Claimed Price”: 8.77 substitute: 7.41
Schedule 1, entry for Sumatriptan in the form Tablet 50 mg (as succinate) [Pricing Quantity/Pack Quantity: 2]
(a) omit from the column headed “Determined Price”: 3.22 substitute: 2.69
(b) omit from the column headed “Claimed Price”: 4.87 substitute: 4.07
Schedule 1, entry for Sumatriptan in the form Tablet 50 mg (as succinate) [Pricing Quantity/Pack Quantity: 4]
omit from the column headed “Claimed Price”: 9.75 substitute: 8.15
Schedule 1, entry for Sumatriptan
omit:

Tablet (fast disintegrating) 50 mg (as succinate)

Oral

Imigran FDT

3.22

4.87

substitute:

Tablet (fast disintegrating) 50 mg (as succinate)	Oral	Imigran FDT	2	2.69	4.07
4	8.15

Schedule 1, entry for Telmisartan in the form Tablet 40 mg
(a) omit from the column headed “Determined Price”: 3.34 substitute: 2.50
(b) omit from the column headed “Claimed Price”: 4.84 substitute: 3.62
Schedule 1, entry for Telmisartan in the form Tablet 80 mg
(a) omit from the column headed “Determined Price”: 9.67 substitute: 7.24
(b) omit from the column headed “Claimed Price”: 11.17 substitute: 8.36
Schedule 1, entry for Telmisartan with amlodipine in the form Tablet 40 mg-5 mg (as besylate)
(a) omit from the column headed “Determined Price”: 4.27 substitute: 3.43
(b) omit from the column headed “Claimed Price”: 5.77 substitute: 4.64
Schedule 1, entry for Telmisartan with amlodipine in the form Tablet 40 mg-10 mg (as besylate)
(a) omit from the column headed “Determined Price”: 4.98 substitute: 4.14
(b) omit from the column headed “Claimed Price”: 6.48 substitute: 5.39
Schedule 1, entry for Telmisartan with amlodipine in the form Tablet 80 mg-5 mg (as besylate)
(a) omit from the column headed “Determined Price”: 10.60 substitute: 8.17
(b) omit from the column headed “Claimed Price”: 12.10 substitute: 9.33
Schedule 1, entry for Telmisartan with amlodipine in the form Tablet 80 mg-10 mg (as besylate)
(a) omit from the column headed “Determined Price”: 11.31 substitute: 8.88
(b) omit from the column headed “Claimed Price”: 12.81 substitute: 10.06
Schedule 1, entry for Telmisartan with hydrochlorothiazide in the form Tablet 40 mg-12.5 mg
(a)   omit from the column headed “Brand”:                 Micardis Plus 40/12.5    substitute:             Micardis Plus 40/12.5 mg
(b)   omit from the column headed “Determined Price”:             4.45        substitute:             3.67
(c)   omit from the column headed “Claimed Price”:                 5.95        substitute:             4.91
Schedule 1, entry for Telmisartan with hydrochlorothiazide in the form Tablet 80 mg-12.5 mg
(a)   omit from the column headed “Brand”:                 Micardis Plus 80/12.5   substitute:          Micardis Plus 80/12.5 mg
(b)   omit from the column headed “Determined Price”:             11.08     substitute:             8.65
(c)   omit from the column headed “Claimed Price”:                 12.58     substitute:             9.82
Schedule 1, entry for Telmisartan with hydrochlorothiazide in the form Tablet 80 mg-25 mg
(a)   omit from the column headed “Brand”:                 Micardis Plus 80/25      substitute:          Micardis Plus 80/25 mg
(b)   omit from the column headed “Determined Price”:          12.07    substitute:          9.94
(c)   omit from the column headed “Claimed Price”:             13.57    substitute:          11.17
Schedule 1, entry for Valproic Acid in the form Tablet (enteric coated) containing sodium valproate 200 mg
(a) omit from the column headed “Determined Price”: 6.40 substitute: 5.46
(b) omit from the column headed “Claimed Price”: 7.33 substitute: 6.25
Schedule 1, entry for Valproic Acid in the form Tablet (enteric coated) containing sodium valproate 500 mg
(a) omit from the column headed “Determined Price”: 12.67 substitute: 10.81
(b) omit from the column headed “Claimed Price”: 13.60 substitute: 11.60