PB 10 of 2021
National Health (Pharmaceutical Benefits) (Active Ingredient Prescribing—Excluded Pharmaceutical Benefits) Instrument 2021
I, Thea Connolly, as delegate of the Secretary to the Department of Health, make the following instrument.
Dated 27 January 2021
Thea Connolly
Assistant Secretary
Pricing and PBS Policy Branch
Technology Assessment and Access Division
Department of Health
Contents
1 Name
2 Commencement
3 Authority
4 Pharmaceutical benefits prescribed using “free text” function
5 Particular ready‑prepared pharmaceutical benefits
1 Name
(1) This instrument is the National Health (Pharmaceutical Benefits) (Active Ingredient Prescribing—Excluded Pharmaceutical Benefits) Instrument 2021.
(2) This instrument may also be cited as PB 10 of 2021.
2 Commencement
(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.
Commencement information | ||
Column 1 | Column 2 | Column 3 |
Provisions | Commencement | Date/Details |
1. The whole of this instrument | 1 February 2021. | 1 February 2021 |
Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.
(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.
3 Authority
This instrument is made for the purposes of subparagraphs 40(2A)(a)(iii) and 41(2A)(a)(iv) of the National Health (Pharmaceutical Benefits) Regulations 2017.
4 Pharmaceutical benefits prescribed using “free text” function
A pharmaceutical benefit the prescription for which is prepared using a “free text” function within prescribing software is specified.
5 Particular ready‑prepared pharmaceutical benefits
Each pharmaceutical benefit mentioned in the following table is specified.
Ready‑prepared pharmaceutical benefits | |||
Column 1 | Column 2 | Column 3 | Column 4 |
Listed drug | Form | Manner of administration | Brand |
Aciclovir | Eye ointment 30 mg per g, 4.5 g (Acivision) | Application to the eye | AciVision |
Amino acid formula supplemented with prebiotics, probiotics and long chain polyunsaturated fatty acids | Oral powder 400 g (Neocate Syneo) | Oral | Neocate Syneo |
Amino acid formula with carbohydrate, vitamins, minerals and trace elements without phenylalanine | Sachets containing oral powder 20 g, 30 (PKU Go) | Oral | PKU Go |
Amino acid formula with carbohydrate without phenylalanine | Tablets containing 0.92 g protein, 462 (PKU Easy Tablet) | Oral | PKU Easy Tablet |
Amino acid formula with fat, carbohydrate, vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine and supplemented with docosahexaenoic acid | Oral liquid 500 mL, 20 (PKU Baby) | Oral | PKU Baby |
Amino acid formula with fat, carbohydrate, vitamins, minerals, and trace elements, without methionine and supplemented with docosahexanoic acid | Oral liquid 125 mL, 36 (HCU Anamix junior LQ) | Oral | HCU Anamix junior LQ |
Amino acid formula with fat, carbohydrate, vitamins, minerals and trace elements without phenylalanine | Bottles containing oral powder 34 g, 30 (PKU Easy Shake & Go) | Oral | PKU Easy Shake & Go |
Amino acid formula with fat, carbohydrate, vitamins, minerals and trace elements without phenylalanine and tyrosine, and supplemented with docosahexanoic acid | Oral liquid 125 mL, 36 (TYR Anamix junior LQ) | Oral | TYR Anamix junior LQ |
Amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides | Oral powder 400 g (Alfamino Junior) | Oral | Alfamino Junior |
Amino acid formula with fat, carbohydrate without methionine | Tablets containing 0.91 g protein, 462 (HCU Easy Tablet) | Oral | HCU Easy Tablet |
Amino acid formula with fat, carbohydrate without phenylalanine | Tablets (modified release), 70.8 g protein per 100 g, 110 g, 4 (PKU Easy Microtabs) | Oral | PKU Easy Microtabs |
Amino acid formula with fat, carbohydrate without phenylalanine and tyrosine | Tablets containing 0.91 g protein, 462 (TYR Easy Tablet) | Oral | TYR Easy Tablet |
Amino acid formula with fat, carbohydrate without valine, leucine and isoleucine | Tablets containing 0.91 g protein, 462 (MSUD Easy Tablet) | Oral | MSUD Easy Tablet |
Amino acid formula without phenylalanine | Tablets 1 g, 75 (Phlexy‑10) | Oral | Phlexy‑10 |
Amino acid formula without valine, leucine and isoleucine | Sachets containing oral powder 6 g, 30 (MSUD amino5) | Oral | MSUD amino5 |
Amino acid formula with vitamins and minerals, low phenylalanine and supplemented with docosahexaenoic acid and arachidonic acid | Sachets containing oral powder 12.5 g, 30 (PKU Anamix First Spoon) | Oral | PKU Anamix First Spoon |
Sachets containing oral powder 12.5 g, 30 (PKU Explore 5) | Oral | PKU Explore 5 | |
Sachets containing oral powder 25 g, 30 (PKU Explore 10) | Oral | PKU Explore 10 | |
Amino acid formula with vitamins and minerals without lysine and low in tryptophan | Oral powder 400 g (GA1 Anamix infant) | Oral | GA1 Anamix infant |
Oral powder 500 g (XLYS, LOW TRY Maxamum) | Oral | XLYS, LOW TRY Maxamum | |
Sachets containing oral powder 18 g, 30 (GA1 Anamix Junior) | Oral | GA1 Anamix Junior | |
Sachets containing oral powder 24 g, 30 (GA gel) | Oral | GA gel | |
Sachets containing oral powder 25 g, 30 (GA express 15) | Oral | GA express 15 | |
Amino acid formula with vitamins and minerals without methionine | Oral liquid 87 mL, 30 (HCU cooler 10) | Oral | HCU cooler 10 |
Oral liquid 125 mL, 30 (HCU Lophlex LQ 20) | Oral | HCU Lophlex LQ 20 | |
Oral liquid 130 mL, 30 (HCU cooler 15) | Oral | HCU cooler 15 | |
Oral liquid 174 mL, 30 (HCU cooler 20) | Oral | HCU cooler 20 | |
Oral powder 400 g (HCU Anamix infant) | Oral | HCU Anamix infant | |
Oral powder 500 g (XMET Maxamum) | Oral | XMET Maxamum | |
Sachets containing oral powder 24 g, 30 (HCU gel) | Oral | HCU gel | |
Sachets containing oral powder 25 g, 30 (HCU express 15) | Oral | HCU express 15 | |
Sachets containing oral powder 36 g, 30 (HCU Anamix Junior) | Oral | HCU Anamix Junior | |
Amino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine | Oral powder 400 g (MMA/PA Anamix infant) | Oral | MMA/PA Anamix infant |
Oral powder 500 g (XMTVI Maxamum) | Oral | XMTVI Maxamum | |
Sachets containing oral powder 18 g, 30 (MMA/PA Anamix Junior) | Oral | MMA/PA Anamix Junior | |
Sachets containing oral powder 24 g, 30 (MMA/PA gel) | Oral | MMA/PA gel | |
Sachets containing oral powder 25 g, 30 (MMA/PA express 15) | Oral | MMA/PA express 15 | |
Amino acid formula with vitamins and minerals without phenylalanine | Oral liquid 62.5 mL, 60 (PKU Lophlex LQ 10) | Oral | PKU Lophlex LQ 10 |
Oral liquid 87 mL, 30 (PKU Cooler 10) | Oral | PKU Cooler 10 | |
Oral liquid 125 mL, 30 (PKU Lophlex LQ 20) | Oral | PKU Lophlex LQ 20 | |
Oral liquid 125 mL, 36 (PKU Anamix Junior LQ) | Oral | PKU Anamix Junior LQ | |
Oral liquid 130 mL, 30 (PKU Air 15) | Oral | PKU Air 15 | |
Oral liquid 130 mL, 30 (PKU Cooler 15) | Oral | PKU Cooler 15 | |
Oral liquid 174 mL, 30 (PKU Air 20) | Oral | PKU Air 20 | |
Oral liquid 174 mL, 30 (PKU Cooler 20) | Oral | PKU Cooler 20 | |
Oral liquid 250 mL (Easiphen) | Oral | Easiphen | |
Oral gel 85 g, 30 (PKU squeezie) | Oral | PKU squeezie | |
Oral semi‑solid 109 g, 36 (PKU Lophlex Sensation 20) | Oral | PKU Lophlex Sensation 20 | |
Oral powder 500 g (XP Maxamum) | Oral | XP Maxamum | |
Sachets containing oral powder 24 g, 30 (PKU gel) | Oral | PKU gel | |
Sachets containing oral powder 25 g, 30 (PKU express 15) | Oral | PKU express 15 | |
Sachets containing oral powder 27.8 g, 30 (PKU Lophlex) | Oral | PKU Lophlex | |
Sachets containing oral powder 28 g, 30 (PKU Lophlex) | Oral | PKU Lophlex | |
Sachets containing oral powder 34 g, 30 (PKU express 20) | Oral | PKU express 20 | |
Sachets containing oral powder 36 g, 30 (PKU Anamix Junior) | Oral | PKU Anamix Junior | |
Amino acid formula with vitamins and minerals without phenylalanine and tyrosine | Oral liquid 87 mL, 30 (TYR cooler 10) | Oral | TYR cooler 10 |
Oral liquid 125 mL, 30 (TYR Lophlex LQ 20) | Oral | TYR Lophlex LQ 20 | |
Oral liquid 130 mL, 30 (TYR cooler 15) | Oral | TYR cooler 15 | |
Oral liquid 174 mL, 30 (TYR cooler 20) | Oral | TYR cooler 20 | |
Oral powder 400 g (TYR Anamix infant) | Oral | TYR Anamix infant | |
Oral powder 500 g (XPhen, Tyr Maxamum) | Oral | XPhen, Tyr Maxamum | |
Sachets containing oral powder 24 g, 30 (TYR gel) | Oral | TYR gel | |
Sachets containing oral powder 25 g, 30 (TYR express 15) | Oral | TYR express 15 | |
Sachets containing oral powder 34 g, 30 (TYR express 20) | Oral | TYR express 20 | |
Sachets containing oral powder 36 g, 30 (TYR Anamix Junior) | Oral | TYR Anamix Junior | |
Amino acid formula with vitamins and minerals without valine, leucine and isoleucine | Oral liquid 87 mL, 30 (MSUD cooler 10) | Oral | MSUD cooler 10 |
Oral liquid 125 mL, 30 (MSUD Lophlex LQ 20) | Oral | MSUD Lophlex LQ 20 | |
Oral liquid 130 mL, 30 (MSUD cooler 15) | Oral | MSUD cooler 15 | |
Oral liquid 174 mL, 30 (MSUD cooler 20) | Oral | MSUD cooler 20 | |
Oral powder 400 g (MSUD Anamix infant) | Oral | MSUD Anamix infant | |
Oral powder 500 g (MSUD Maxamum) | Oral | MSUD Maxamum | |
Sachets containing oral powder 24 g, 30 (MSUD gel) | Oral | MSUD gel | |
Sachets containing oral powder 25 g, 30 (MSUD express 15) | Oral | MSUD express 15 | |
Sachets containing oral powder 34 g, 30 (MSUD express 20) | Oral | MSUD express 20 | |
Sachets containing oral powder 36 g, 30 (MSUD Anamix Junior) | Oral | MSUD Anamix Junior | |
Amino acid formula with vitamins and minerals without valine, leucine and isoleucine with fat, carbohydrate and trace elements and supplemented with docosahexanoic acid | Oral liquid 125 mL, 36 (MSUD Anamix Junior LQ) | Oral | MSUD Anamix Junior LQ |
Amino acid formula with vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine | Oral powder 400 g (PKU Anamix infant) | Oral | PKU Anamix infant |
Oral powder 400 g (PKU Start) | Oral | PKU Start | |
Amino acids‑synthetic, formula | Oral powder 400 g (EleCare) | Oral | EleCare |
Oral powder 400 g (Neocate Junior Vanilla) | Oral | Neocate Junior Vanilla | |
Amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids | Oral powder 400 g (EleCare LCP) | Oral | EleCare LCP |
Oral powder 400 g (Neocate LCP) | Oral | Neocate LCP | |
Amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides | Oral powder 400 g (Alfamino) | Oral | Alfamino |
Oral powder 400 g (Neocate Gold) | Oral | Neocate Gold | |
Amylopectin, modified long chain | Sachets containing oral powder 60 g, 30 (Glycosade) | Oral | Glycosade |
Arachidonic acid and docosahexaenoic acid with carbohydrate | Sachets of oral powder 4 g containing 200 mg arachidonic acid and 100 mg docosahexaenoic acid, 30 (keyomega) | Oral | keyomega |
Arginine with carbohydrate | Sachets of oral powder 4 g containing 2 g arginine, 30 (Arginine 2000) | Oral | Arginine 2000 |
Sachets of oral powder 7.6 g containing 5 g arginine, 30 (Arginine 5000) | Oral | Arginine 5000 | |
Atropine | Eye drops containing atropine sulfate monohydrate 10 mg per mL, 15 mL | Application to the eye | Atropt |
Betaxolol | Eye drops, solution, 5 mg (as hydrochloride) per mL, 5 mL | Application to the eye | Betoptic |
BetoQuin | |||
Bimatoprost | Eye drops 300 micrograms per mL, single dose units 0.4 mL, 30 | Application to the eye | Lumigan PF |
Eye drops 300 micrograms per mL, 3 mL | Application to the eye | APO‑Bimatoprost | |
Bimatoprost Sandoz | |||
Bimtop | |||
Lumigan | |||
Bimatoprost with timolol | Eye drops 300 micrograms bimatoprost with timolol 5 mg (as maleate) per mL, single dose units 0.4 mL, 30 | Application to the eye | GANfort PF 0.3/5 |
Eye drops 300 micrograms bimatoprost with timolol 5 mg (as maleate) per mL, 3 mL | Application to the eye | Ganfort 0.3/5 | |
Brimonidine | Eye drops containing brimonidine tartrate 1.5 mg per mL, 5 mL | Application to the eye | Alphagan P 1.5 |
Eye drops containing brimonidine tartrate 2 mg per mL, 5 mL | Application to the eye | Alphagan | |
Enidin | |||
Brimonidine with timolol | Eye drops containing brimonidine tartrate 2 mg with timolol 5 mg (as maleate) per mL, 5 mL | Application to the eye | Combigan |
Brinzolamide | Eye drops 10 mg per mL, 5 mL | Application to the eye | Azopt |
BrinzoQuin | |||
Brinzolamide with brimonidine | Eye drops 10 mg brinzolamide with 2 mg brimonidine tartrate per mL, 5 mL | Application to the eye | Simbrinza 1%/0.2% |
Brinzolamide with timolol | Eye drops 10 mg brinzolamide with timolol 5 mg (as maleate) per mL, 5 mL | Application to the eye | Azarga |
Carbohydrate, fat, vitamins, minerals and trace elements | Oral powder 400 g (Energivit) | Oral | Energivit |
Carbohydrate, fat, vitamins, minerals and trace elements and supplemented with arachidonic acid and docosahexaenoic acid | Sachets containing oral powder 43 g, 30 (basecal 200) | Oral | basecal 200 |
Carbomer | Eye gel 2 mg per g, single dose units 0.6 mL, 30 | Application to the eye | Viscotears Gel PF |
Eye gel 2 mg per g, 10 g | Application to the eye | Optifresh eye gel | |
PAA | |||
Viscotears | |||
Carbomer 974 | Ocular lubricating gel 3 mg per g, single dose units 0.5 g, 30 | Application to the eye | Poly Gel |
Carmellose | Eye drops containing carmellose sodium 5 mg per mL, single dose units 0.4 mL, 30 | Application to the eye | Cellufresh |
Optifresh Tears | |||
Eye drops containing carmellose sodium 5 mg per mL, 10 mL | Application to the eye | Evolve Carmellose | |
Eye drops containing carmellose sodium 5 mg per mL, 15 mL | Application to the eye | Refresh Tears Plus | |
Eye drops containing carmellose sodium 10 mg per mL, single dose units 0.4 mL, 30 | Application to the eye | Celluvisc | |
Optifresh Plus | |||
Eye drops containing carmellose sodium 10 mg per mL, 15 mL | Application to the eye | Refresh Liquigel | |
Carmellose with glycerin | Eye drops containing carmellose sodium 5 mg with glycerin 9 mg per mL, 15 mL | Application to the eye | Optive |
Chloramphenicol | Eye drops 5 mg per mL, 10 mL | Application to the eye | Chlorsig |
Ciprofloxacin | Ear drops 3 mg (as hydrochloride) per mL, 5 mL | Application to the ear | Ciloxan |
Eye drops 3 mg (as hydrochloride) per mL, 5 mL | Application to the eye | CiloQuin | |
Ciloxan | |||
Citrulline | Tablet 1 g, 300 (Citrulline Easy) | Oral | Citrulline Easy |
Citrulline with carbohydrate | Sachets of oral powder 4 g containing 1 g citrulline, 30 (Citrulline 1000) | Oral | Citrulline 1000 |
Dexamethasone | Eye drops 1 mg per mL, 5 mL | Application to the eye | Maxidex |
Diphtheria and tetanus vaccine, adsorbed, diluted for adult use | Injection 0.5 mL in pre‑filled syringe | Injection | ADT Booster |
Docosahexaenoic acid with carbohydrate | Sachets of oral powder 4 g containing 200 mg docosahexaenoic acid, 30 (docomega) | Oral | docomega |
Dorzolamide | Eye drops 20 mg (as hydrochloride) per mL, 5 mL | Application to the eye | APO‑Dorzolamide |
Trusamide | |||
Trusopt | |||
Dorzolamide with timolol | Eye drops containing dorzolamide 20 mg (as hydrochloride) with timolol 5 mg (as maleate) per mL, 5 mL | Application to the eye | APO‑Dorzolamide/Timolol 20/5 |
Cosdor | |||
Cosopt | |||
Essential amino acids formula | Oral powder 200 g (Essential Amino Acid Mix) | Oral | Essential Amino Acid Mix |
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 | Oral | O.R.S. |
restore O.R.S. | |||
Essential amino acids formula with minerals and vitamin c | Oral powder 400 g (Dialamine) | Oral | Dialamine |
Essential amino acids formula with vitamins and minerals | Sachets containing oral powder 12.5 g, 50 (EAA Supplement) | Oral | EAA Supplement |
Ferrous fumarate | Tablet 200 mg (equivalent to 65.7 mg iron) | Oral | Ferro‑tab |
Ferrous fumarate with folic acid | Tablet 310 mg (equivalent to 100 mg iron)‑350 micrograms | Oral | Ferro‑f‑tab |
Fluorometholone | Eye drops 1 mg per mL, 5 mL | Application to the eye | FML Liquifilm |
Eye drops containing fluorometholone acetate 1 mg per mL, 5 mL | Application to the eye | Flarex | |
Framycetin | Eye or ear drops containing framycetin sulfate 5 mg per mL, 8 mL | Application to the eye/ear | Soframycin |
Glucose and ketone indicator‑urine | Test strips, 50 (Keto‑Diastix) | For external use | Keto‑Diastix |
Glucose indicator‑urine | Test strips, 50 (Diastix) | For external use | Diastix |
Glycine with carbohydrate | Sachets of oral powder 4 g containing 500 mg glycine, 30 (Glycine500) | Oral | Glycine500 |
Glycomacropeptide and essential amino acid formula with vitamins, minerals, and low in tyrosine and phenylalanine | Sachets containing oral powder 31 g, 30 (Tylactin Build 20) | Oral | Tylactin Build 20 |
Glycomacropeptide and essential amino acid formula with vitamins, minerals, and low in tyrosine and phenylalanine | Sachets containing oral powder 35 g, 30 (TYR Sphere20) | Oral | TYR Sphere20 |
Glycomacropeptide and essential amino acids with vitamins and minerals | Bars 81 g, 7 (Camino Pro Complete) | Oral | Camino Pro Complete |
Bars 81 g, 14 (Tylactin Complete) | Oral | Tylactin Complete | |
Oral liquid 250 mL, 30 (PKU Glytactin RTD 15) | Oral | PKU Glytactin RTD 15 | |
Oral liquid 250 mL, 30 (PKU Glytactin RTD 15 Lite) | Oral | PKU Glytactin RTD 15 Lite | |
Sachets containing oral powder 49 g, 30 (Camino Pro Bettermilk) | Oral | Camino Pro Bettermilk | |
Oral liquid 250 mL, 30 (Tylactin RTD) | Oral | Tylactin RTD | |
Sachets containing oral powder 16 g, 60 (PKU Build 10) | Oral | PKU Build 10 | |
Sachets containing oral powder 20 g, 60 (PKU Restore) | Oral | PKU Restore | |
Sachets containing oral powder 32 g, 30 (PKU Build 20) | Oral | PKU Build 20 | |
Sachets containing oral powder 51 g, 30 (PKU Bettermilk Lite) | Oral | PKU Bettermilk Lite | |
Glycomacropeptide formula with long chain polyunsaturated fatty acids and docosahexaenoic acid and low in phenylalanine | Oral liquid 250 mL, 18 (PKU GMPro LQ) | Oral | PKU GMPro LQ |
Sachets containing oral powder 27 g, 30 (PKU Sphere15) | Oral | PKU Sphere15 | |
Sachets containing oral powder 35 g, 30 (PKU Sphere20) | Oral | PKU Sphere20 | |
High fat formula with vitamins, minerals and trace elements and low in protein and carbohydrate | Oral liquid 200 mL, 32 (KetoCal 4:1 LQ) | Oral | KetoCal 4:1 LQ |
Oral semi‑solid 100 g, 48 (Keyo) | Oral | Keyo | |
Oral powder 300 g (KetoCal 3:1) | Oral | KetoCal 3:1 | |
Oral powder 300 g (KetoCal 4:1) | Oral | KetoCal 4:1 | |
Hyaluronic acid | Eye drops containing sodium hyaluronate 1 mg per mL, 10 mL | Application to the eye | Hylo‑Fresh |
Eye drops containing sodium hyaluronate 2 mg per mL, 10 mL | Application to the eye | Hylo‑Forte | |
Hydrocortisone | Eye ointment containing hydrocortisone acetate 10 mg per g, 5 g | Application to the eye | Hycor |
Hypromellose | 0.3% w/v eye drops, 10 mL (preservative free) | Application to the eye | Evolve Hypromellose |
Eye drops 3 mg per mL, 10 mL | Application to the eye | Genteal | |
In a Wink Moisturising | |||
Eye drops 5 mg per mL, 15 mL | Application to the eye | Methopt | |
Hypromellose with carbomer 980 | Ocular lubricating gel 3 mg‑2 mg per g, 10 g | Application to the eye | Genteal gel |
HPMC PAA | |||
Hypromellose with dextran | Eye drops containing 3 mg hypromellose 2900 with 1 mg dextran 70 per mL, single dose units 0.4 mL, 28 | Application to the eye | Bion Tears |
Eye drops containing 3 mg hypromellose 4500 with 1 mg dextran 70 per mL, 15 mL | Application to the eye | Poly‑Tears | |
Tears Naturale | |||
Isoleucine with carbohydrate | Sachets of oral powder 4 g containing 1 g isoleucine, 30 (Isoleucine 1000) | Oral | Isoleucine 1000 |
Sachets of oral powder 4 g containing 50 mg isoleucine, 30 (Isoleucine 50) | Oral | Isoleucine 50 | |
Insect allergen extract‑honey bee venom | Injection set containing 550 micrograms | Injection | Albey Bee Venom |
Injection set containing 550 micrograms with diluent | Injection | Hymenoptera Honey Bee Venom | |
Insect allergen extract‑paper wasp venom | Injection set containing 550 micrograms | Injection | Albey Paper Wasp Venom |
Injection set containing 550 micrograms with diluent | Injection | Hymenoptera Paper Wasp Venom | |
Insect allergen extract‑yellow jacket venom | Injection set containing 550 micrograms | Injection | Albey Yellow Jacket Venom |
Injection set containing 550 micrograms with diluent | Injection | Hymenoptera Yellow Jacket Venom | |
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 | Application to the ear | Otodex |
Sofradex | |||
Latanoprost | Eye drops 50 micrograms per mL, 2.5 mL | Application to the eye | APO‑Latanoprost |
Latanoprost Actavis | |||
Latanoprost Sandoz | |||
Xalaprost | |||
Xalatan | |||
Latanoprost with timolol | Eye drops 50 micrograms latanoprost with timolol 5 mg (as maleate) per mL, 2.5 mL | Application to the eye | APO‑Latanoprost/Timolol 0.05/5 |
Latanoprost/Timolol Sandoz 50/5 | |||
Xalacom | |||
Xalamol 50/5 | |||
Milk powder ‑‑ synthetic | Low calcium oral powder 400 g (Locasol) | Oral | Locasol |
Milk protein and fat formula with vitamins and minerals ‑‑ carbohydrate free | Oral powder 225 g (Carbohydrate Free Mixture) | Oral | Carbohydrate Free Mixture |
Paraffin | Eye ointment, compound, containing white soft paraffin with liquid paraffin, 3.5 g | Application to the eye | Poly Visc |
Pack containing 2 tubes eye ointment, compound, containing white soft paraffin with liquid paraffin, 3.5 g | Application to the eye | Ircal | |
Poly Visc | |||
Refresh Night Time | |||
Polyethylene glycol 400 with propylene glycol | Eye drops 4 mg‑3 mg per mL, single dose units 0.8 mL, 28 | Application to the eye | Systane |
Eye drops 4 mg‑3 mg per mL, 15 mL | Application to the eye | Systane | |
Polyvinyl alcohol | Eye drops 14 mg per mL, 15 mL | Application to the eye | Liquifilm Tears |
PVA Tears | |||
Potassium chloride with potassium bicarbonate | Tablet, effervescent, 14 mmol potassium and 8 mmol chloride | Oral | Chlorvescent |
Prednisolone with phenylephrine | Eye drops containing prednisolone acetate 10 mg with phenylephrine hydrochloride 1.2 mg per mL, 10 mL | Application to the eye | Prednefrin Forte |
Protein formula with amino acids, carbohydrates, vitamins and minerals without phenylalanine, and supplemented with docosahexaenoic acid | Oral liquid 130 mL, 30 (PKU Easy) | Oral | PKU Easy |
Protein formula with carbohydrate, fat, vitamins and minerals | Oral liquid 500 mL, 12 (Nutrini Peptisorb Energy) | Oral | Nutrini Peptisorb Energy |
Protein hydrolysate formula with medium chain triglycerides | Oral powder 400 g (Alfaré) | Oral | Alfaré |
Oral powder 450 g (Aptamil Gold+ Pepti‑Junior) | Oral | Aptamil Gold+ Pepti‑Junior | |
Soy protein and fat formula with vitamins and minerals ‑‑ carbohydrate free | Oral liquid 384 mL (RCF) | Oral | RCF |
Timolol | Eye drops (gellan gum solution) 5 mg (as maleate) per mL, 2.5 mL | Application to the eye | Timoptol XE |
Eye drops 5 mg (as maleate) per mL, 5 mL | Application to the eye | Timoptol | |
Tobramycin | Eye drops 3 mg per mL, 5 mL | Application to the eye | Tobrex |
Eye ointment 3 mg per g, 3.5 g | Application to the eye | Tobrex | |
Triglycerides, long chain with glucose polymer | Oral liquid 200 mL, 27 (Sno‑Pro) | Oral | Sno‑Pro |
Oral liquid 250 mL, 18 (ProZero) | Oral | ProZero | |
Oral liquid 1 L, 6 (ProZero) | Oral | ProZero | |
Triglycerides, medium chain | Oil 500 mL (MCT Oil) | Oral | MCT Oil |
Oral emulsion 250 mL (Liquigen) | Oral | Liquigen | |
Oral liquid 225 mL, 15 (betaquik) | Oral | Betaquik | |
Triglycerides, medium chain and long chain with glucose polymer | Oral powder 400 g (Duocal) | Oral | Duocal |
Triglycerides ‑ medium chain, formula | Oral liquid 500 mL, 8 (Nutrini Peptisorb) | Oral | Nutrini Peptisorb |
Oral powder 400 g (Lipistart) | Oral | Lipistart | |
Oral powder 400 g (Monogen) | Oral | Monogen | |
Oral powder 400 g (Peptamen Junior) | Oral | Peptamen Junior | |
Sachets containing oral powder 16 g, 30 (MCT Pro‑Cal) | Oral | MCT Pro‑Cal | |
Tyrosine with carbohydrate | Sachets of oral powder 4 g containing 1 g tyrosine, 30 (Tyrosine 1000) | Oral | Tyrosine 1000 |
Vitamins, minerals and trace elements formula | Sachets containing oral powder 7 g, 30 (Phlexy‑Vits) | Oral | Phlexy‑Vits |
Vitamins, minerals and trace elements with carbohydrate | Oral powder 200 g (Paediatric Seravit) | Oral | Paediatric Seravit |
Sachets containing oral powder 6 g, 30 (FruitiVits) | Oral | FruitiVits | |
Whey protein formula supplemented with amino acids, long chain polyunsaturated fatty acids, vitamins and minerals, and low in protein, phosphate, potassium and lactose | Oral powder 400 g, 6 (Renastart) | Oral | Renastart |
Whey protein formula supplemented with amino acids, vitamins and minerals, and low in protein, phosphate, potassium and lactose | Oral powder 400 g (Kindergen) | Oral | Kindergen |