1816 1990/826

THE DRUG TARIFF 1990

PURSUANT to section 99 of the Social Security Act 1964, the Minister of Health hereby gives the following direction.

ANALYSIS

I. Title and commencement 15. Disputes 2. Interpretation PART I PART III GENERAL RULES AFFECTING DIRECTION MISCELLANEOUS PROVISIONS 3. Scope of direction 16. Claims on Department 4. Standards I 7. Allergy treatment sets 5. Charges for requirements 18. Payment for non·disposable syringes and needles PART 11 19. Payment for plastic syringes RULES FOR PRICING 20. Period and quantity of supply for 6. Calculation of payments doctors' and midwives' prescriptions 7. Application of Pricing Schedules 21. Period and quantity of supply for 8. Computation of selling price prescriptions for oral contraceptives 9. Rounding calculations 22. Period and quantity of supply for 10. Minimum charges dentist's prescriptions 11. Adjustment of dose volumes of oral 23. Original packs, and certain antibiotics liquid requirements 24. Bulk supply orders 12. Water 25. Practitioner's supply orders 13. Payment for bulk supply orders 26. Wholesale supply orders 14. Payment for practitioners' supply 27. Revocations and savings orders Schedule

DIRECTION 1. Tide and commencement-(I) This direction may be cited as the Drug Tariff 1990. (2) This direction shall come into force on the 1st day of December 1990. 2. Interpretation-(1) In this direction, unless the context otherwise requires,- "The Act" means the Social Security Act 1964: "Board" means an Area Health Board under the Area Health Boards Act 1983 or a Hospital Board under the Hospitals Act 1952: 1990/326 Drug Tariff 1990 1817

"Class B controlled drug" means a Class B controlled drug within the meaning of the Misuse of Drugs Act 1975: "Controlled drug" means a controlled drug within the meaning of the Misuse of Drugs Act 1975 (other than a controlled drug specified in Part VI of the Third Schedule to that Act): "Dentist" means a person registered as a dentist under the Dental Act 1988: "The Department" means the Department of Health: "Doctor' means a medical practitioner registered under the Medical Practitioners Act 1968: "Director-General" means the chief executive of the Department: "Family group" means either- (a) One person, and one or more children in respect of whom the family benefit- (i) Is being paid to that person; or (ii) Would be paid to that person under Part I of the Act if the Director-General of Social Welfare were satisfied that the child or children concerned were likely to remain in New Zealand; or (b) Two persons (being persons who are legally married to each other or are regarded as husband and wife under section 63 (b) of the Act), and one or more children in respect of whom the (arnily benefit- (i) Is being paid to one or other of those persons; or (ii) Would be paid to one or other of those persons under Part I of the Act if the Director-General of Social Welfare were satisfied that the child or children concerned were likely to remain in New Zealand: "GST" means goods and services tax under the Goods and Services Tax Act 1985: "Licensed hospital" means a place or institution that is- (a) A licensed hospital within the meaning of Part V of the Hospitals Act 1957; or (b) Recognised and approved as a hospital for the purposes of Part 11 of the Act: "Midwife" means a person whose name appears for the time being in that part of the Register of Nurses kept under section 16 of the Nurses Act 1977 relating to registered midwives: "Month" means a period of 30 consecutive days: "Outpatient", in relation to a requirement, means a rerson who, as part of treatment at a hospital under the contro of a Board, is prescribed the requirement for consumption or use in the person's home: "Payment" means payment by the Department in accordance with this direction: "Practitioner" means a person who is a doctor, a dentist, or a midwife: "Pricing Schedules" means the official schedules for prescription pricing issued by the Department from time to time for the purpose of determining the prices to be paid to contractors in respect of requirements supplied by them: "Proprietary preparation" means a requirement that is supplied by reference to a trade mark or trade name or by reference to the name of its manufacturer: 1818 Drug Tariff 1990 1990/326 "The regulations" means the Social Security (Pharmaceutical Benefits) Regulations 1965*: "Requirement" means a pharmaceutical requirement: "The Schedule", means the Schedule to this direction. (2) Except as provided in subclause (1) of this clause, expressions defined in section 88 of the Act or regulation 2 of the regulations have the meanings so defined.

PART I GENERAL RULES AFFECTING DIRECTION 8. Scope of direction-(I) Subject to- (a) Subclause (2) of this clause; and (b) The conditions (if any) specified in the second column of Part 11 of the Schedule opposite the reference to it in the first column of that Part,- every medicine, drug, and material specified in the first column of Part 11 of the Schedule, and every preparation (having an inert base) of any of them, is hereby declared to be included in this direction and to be a requirement for its purposes. (2) Medicines, drugs, and materials of the following classes are not included in this direction and are not requirements: (a) Substances, or combinations of substances, ordered for any purpose other than- (i) Treatment of a patient's medical or dental condition; or (ii) Pregnancy tests; or (iii) The prevention of sexually transmitted disease; or (iv) Contraception: (b) Unless it is specified in Part 11 of the Schedule that they may be so packed, substances, and combinations of substances, packed under pressure in aerosol cans or other similar devices: (c) Electrode jellies: (d) Unless it is specified in Part 11 of the Schedule that they may be so packed, eye drops packed in single· dose units: (e) Insect repellants and similar preparations: (f) Unless it is specified in Part 11 of the Schedule that they may be in such a form, oral preparations in long. acting form: (g) Unless it is specified in Part 11 of the Schedule that they may be in such a form, substances or combinations of substances, in lozenge or similar form: (h) Machine·spread plasters: (i) Preparations prescribed as foods: (j) Unless they are deemed or declared to be requirements elsewhere in this direction, substances, combinations of substances, or articles, in the form of proprietary medicines or proprietary articles: (k) Shampoos (other than extemporaneously prepared medicated shampoos, or shampoos specified in Part 11 of the Schedule, intended for the treatment of a patient's medical condition): (I) Toilet preparations: (m) Tooth pastes and powders: (n) Lubricating jellies and catheter lubricants: (0) Sterile diluents for nebulising solutions: ·S.R. 1965/41 1990/326 Drug Tariff 1990 1819

(p) Unless it is specified in Part 11 of the Schedule that they may be in such a form, substances in a form intended to enable delivery by transdermal diffusion or osmosis or by the insertion of any solid object or substance into the eye cavity: (q) Unless it is specified in Part 11 of the Schedule that they may be in such a form, substances in a form intended for intravenous delivery (otherwise than by injection): (r) Unless it is specified in Part 11 of the Schedule that they may be so packed, substances packed in pre-Ioaded syringes known as Min­ IJets: (s) Unless they are specified in Part 11 of the Schedule otherwise than in combination with other ingredients, requirements prescribed as cough mixtures: (t) Unless they are specified in Part 11 of the Schedule, vitamin preparations in capsule form: (u) Unless it is specified in Part 11 of the Schedule that they may be prescribed for such use, substances prescribed for use as irrigating solutions_ 4. Standards-No claim by a contractor for payment in respect of the supply of requirements shall be allowed unless the requirements so supplied- (a) Comply with the appropriate standards prescribed by regulations for the time being in force under the Medicines Act 1981; or (b) In the absence of any such standards, comply with the appropriate standards for the time being prescribed by the British Pharmacopoeia; or (c) In the absence of the standards described in paragraphs (a) and (b) of this clause, comply with the appropriate standards for the time being prescribed by the British Pharmaceutical Codex; or (d) In the absence of the standards described in paragraphs (a) to (c) of this clause, are of a grade and quality not lower than those usually applicable to requirements intended to be used for medical purposes. 5. Charges for requirements-(l) Subject to subclauses (2) to (4) of this clause, if any requirements are supplied to a patient as pharmaceutical benefits, they shall be so supplied free of charge to the patient, except that, if the requirements are to be delivered to the patient elsewhere than at the pharmacy or other place of business of the contractor, a reasonable charge in accordance with regulation 14 (2) of the regulations may be made for their delivery. (2) A contractor may charge a customer with- (a) The price of any requirements that are supplied in excess of the maximum quantities specified in this direction: (b) The lesser of- (i) Any amount by which payment for it is required to be reduced under any of clauses 6, 18, and 19 of this direction; and (ii) The total payment due (or any part of it): (c) In the case of a preparation specifically ordered by a practitioner and supplied by the contractor, all or any part of the sum of- (i) Any amount by which the price the contractor paid for it exceeds 0.80 of its selling price; and (ii) Half of that amount,- 1820 Drug Tariff 1990 1990/326

together with any GST payable in respect of the amount charged under subparagraphs (i) and (ii) of this paragraph. (3) Where a requirement is dispensed as a pharmaceutical benefit in a pharmacy to which section 46 of the Pharmacy Act 1970 applies, the contractor concerned may charge the customer 40 cents (inclusive of any GST) for it. (4) Where a requirement is dispensed as a pharmaceutical benefit (otherwise than in a pharmacy to which section 46 of the Pharmacy Act 1970 applies) at any time not within the ordinary hours of shop trading in the locality in which the contractor concerned carries on business, the contractor may charge the customer $1.85 (inclusive of any GST) for it. (5) For the purposes of clauses 6 (3),18 (5), and 19 (3) of this direction, requirements prescribed on a prescription shall be treated as having been prescribed consecutively; and where in any year ending with the 31st day of January- (a) A person has received fewer than 25 requirements (or a family group has received fewer than 40 paid requirements); and (b) There are prescribed on a prescription sufficient requirements to increase that number to more than 25 (or 40),- in calculating payment for the requirements, no sum shall be subtracted in respect of requirements in excess of 25 (or 40).

PART 11

RULES FOR PRICING 6. Calculation of payments-(I) Except in the case of requirements supplied on bulk supply orders or practitioners' supply order, payments for a requirement when dispensed shall be calculated by- ('1) Adding together- (i) The total selling price of the requirement's ingredients; and (ii) The amount specified in the Second Schedule to the Pricing Schedules for the average container charge; and (iii) If the requirement is dispensed in a container having a child-resistant cfosure, the amount specified in that schedule for such a closure; and (iv) The appropriate professional fee set out in the Third Schedule to tne Pricing Schedules; and (v) If the requirement is the residue of a quantity of a Class B controlled drug that was prescribed as an initial supply but could not, at the time of initial dispensing, be supplied in that quantity, the appropriate additional fee set out in that schedule; and (vi) The amount (if any) of GST payable in respect of the dispensing of the requirement; and (b) Subject to subclauses (2) and (3) of this clause, subtracting $5. (2) Subject to subclause (3) of this clause, in calculating payment for a requirement, only $2 shall be subtracted- (a) If- (i) The person for whom the requirement is prescribed belongs to a class of person specified in regulation 4 or regulation 5 of the Social Security (Medical Fees) Regulations 1986; and (ii) The prescription concerned is either endorsed to that effect by the jractitioner concerned or (where the contractor concerne is satisfied that the endorsement or lack of 1990/326 Drug Tariff 1990 1821

endorsement of the practitioner is erroneous) endorsed to that effect and initialled by the contractor; and (iii) The prescription relates only to requirements prescribed for the person; or (b) If- (i) The requirement is dispensed after the 31st day of January 1991; and (ii) The person for whom it is prescribed does not belong to a class of person specified in regulation 4 or regulation 5 of the Social Security (Medical Fees) Regulations 1986; and (iii) The contractor concerned is satisfied that the person is enrolled in a full· time programme at a college of education, a polytechnic, a university, or a wananga, (as defined in section 159 of the Education Act 1989); and (iv) The prescription relates only to requirements prescribed for the person; or (c) If- (i) The person for whom the requirement is prescribed does not belong to a class of person specified in regulation 4 or regulation 5 of the Social Security (Medical Fees) Regulations 1986; and (ii) The contractor concerned is satisfied that the Director· General has exempted the person from the payment of the full flat prescription charge; ana (iii) The prescription relates only to requirements prescribed for the person; or (d) The requirement is a contraceptive prescribed on a prescription relating only to contraceptives prescribed for one person. (3) In calculating payment for a requirement, no sum shall be subtracted if- (a) The contractor- (i) Is satisfied that the person for whom the requirement is prescribed has already obtained 25 or more requirements in the year ending with the following 31st day of January; and (ii) Has endorsed the prescription to that effect and initialled the endorsement; or (b) The contractor- (i) Is satisfied that the person for whom the requirement is prescribed is a member of a family group that has already obtained 40 or more requirements in respect of which a payment (of an amount not less than an amount subtracted under this direction) was made by a member of the group in the year ending with the following 31st day of January; and (ii) Has endorsed the prescription to that effect and initialled the endorsement.

7. Application of Pricing ScheduleS-Notwithstanding anything in clause 6 of this direction, payments in respect of claims for requirements received by the Department on or after the 16th day after the effective date of any new or revised Pricing Schedules shall be calculated in accordance with those schedules, whatever the date of the claims.

8. Computation of selling price-(I) The selling price for any requirement listed in the Pricing Schedules dispensed in any quantity shall 1822 Drug Tariff 1990 1990/326

be the price specified (in the column headed "Prescription Selling Price") in the First Schedule to the Pricing Schedules for the requirement when dispensed in that quantity. (2) The selling price for any requirement not listed in the Pricing Schedules shall be 142 percent of the selling price of the manufacturer or importer (as the case may be). (3) The principal quantities for the calculation of the selling price of requirements shall be 1 gram, 1 millilitre, a specified number, and a specified pack. (4) If a requirement can be purchased in quantities other than those specified in subclause (3) of this clause, the selling price shall be calculated in proportion to those quantities. (5) Where a liquid requirement is purchased by weight and dispensed by volume, an appropriate adjustment, based on its specific gravity, shall be made in computing its selling price. (6) Subject to subclause (7) of this clause, all computations concerned with quantities of requirements that are specified in the Schedule shall be made using the metric system. (7) If a requirement is prescribed or ordered in terms other than those of the metric system, computations shall follow the Apothecaries to Metric Conversion Tables for the time being approved for this purpose by the Minister. (8) Where a prescription for an injection orders the supply of a dry pack of a requirement together with one or more ampoules or vials of a sterile diluent, payment for the composite items shall be made as for one prescription. (9) Where, for special reasons concerned with the protection of the patient concerned, a practitioner directs on a prescription that a requirement is to be dispensed daily or at such other regular intervals as the practitioner considers necessary, payment shall be made by adding together the total selling price of the quantity of the requirement dispensed on each occasion, and the appropriate professional fee; but the Department may in its discretion refuse to pay the container allowance in respect of any second or subsequent dispensing. (10) Where the strength of a requirement is not indicated on a prescription the contractor shall endorse on it the strength supplied; and if the strength supplied is not endorsed payment shall be based on the price of the lowest strength available. (11) The selling price of a broken quantity of any requirement dispensed by number whose price is not specified in the Pricing Schedules shall be computed as the appropriate proportion of the selling price of the nearest greater quantity available.

9. Rounding calculations-(I) Calculations for the price of each ingredient shall be rounded to the nearest cent, but exact half cents shall be so expressed. The final half cent shall be rounded upwards to the nearest cent. (2) Calculations for proportionate prices of requirements (other than ingredients) shall be rounded upwards to the nearest cent.

10. Minimum charges-(I) The minimum charge for any ingredient in a mixture shall be 1 cent. (2) Subject to subclause (3) of this clause, the minimum total charge for all ingredients in a mixture shall be 5 cents. 1990/326 Drug Tariff 1990 1823

(3) Where the total selling price of all the ingredients in a mixture, including any that are not specified in this direction, exceeds 5 cents, payment shall be made for the total value of the ingredients that are specified in this direction rounded upwards to the nearest cent. (4) For the purposes of this clause the tenn "mixture" means any prescribed preparation requiring the admixture of 2 or more ingredients, including a verucle or excipient. 11. Adjustment of dose volumes of oral liquid requirements­ (1) Subject to subclause (2) of this clause, where there is prescribed a dose of an oral liquid requirement, and- (a) It is not a multiple of 5 ml; and (b) It is not to be administered by way of a dropper or similar device,­ payment shall be made for the quantity of diluent (being diluent that is a requirement) required to make the volume of that dose up to the nearest higber multiple of 5 ml, and of the appropriate professional fee for extemporaneously compounded preparations set out in the Third Schedule to the Pricing Schedules. (2) No payment shall be made under subclause (1) of this clause unless the contractor concerned has noted on the prescription concerned the quantity and description of the diluent dispensed. 12. Water-(I) Where the tenn "aqua" is used without qualification in a prescription, it shall be interpreted to mean wholesome drinking water. (2) Wholesome drinking water shall not be an ingredient bearing a charge on a prescription. IS. Payment for bulk supply orders-(I) Subject to subclauses (2) and (3) of this clause, there shall be made for requirements supplied on bulk supply orders the following payments: (a) For requirements (other than insulin preparations) listed in the Pricing Schedules, the selling price, plus 17.39 percent: (b) For requirements (other than insulin preparations) not so listed, the price charged to the contractor, plus 46.54 percent: (c) For insulin preparations, the price charged to the contractor, plus 34.62 percent. (2) No payment shall be made for containers supplied with requirements ordered on a bulk supply order. (3) Subject to subclause (4) of this clause, no payment shall be made for a professional fee in respect of requirements so ordered. (4) There shall be payable in respect of requirements so ordered compounded by the contractor concerned the fee specified in the Third Schedule to the Pricing Schedules, less 10 percent. 14. Payment for practitioners' supply orders-(I) There shall be made for requirements supplied on practitioners' supply orders the following payments: (a) The total selling price of those requirements: (b) Every time a professional fee is paid in respect of any such requirement, the average container charge specified in the Second Schedule to the Pricing Schedules: (c) The appropriate professional fee as set out in the Pricing Schedules. (2) For the purposes of subclause (1) (c) of this clause, the appropriate professional fee in respect of any requirement dispensed shall oe- 1824 Drug Tariff 1990 1990/326

(a) For oral contraceptives, and all other items dispensed by count in packs of sizes listed in the column headed "Prescription Wholesale Price" in the First Schedule to the Pricing Schedules, the class I professional fee specified in those Schedules, in respect of each dispensing of the item concerned regardless of the number of such packs dispensed: (b) For all requirements (other than oral contraceptives) dispensed by count in packs of sizes not so listed, the class I professional fee as aforesaid in respect of each such pack dispensed: (c) Subject to paragraph (d) of this subclause, for requirements extemporaneously comf>ounded by the contractor, the appropriate professional fee specified in the Third Schedule to those Schedules: (d) For multiple packs of requirements extemporaneously compounded by the contractor on a single occasion, the appropriate professional fee as aforesaid for the first pack, and the c1ass I professional fee as aforesaid for each additional pack dispensed with it. 15. Disputes-A contractor who disagrees with the Department's view in relation to any payment may apply in writing to the Director·General to have the matter reviewed; and in that case- (a) The Director·General shall refer the application to the appropriate committee for consideration and decision: (b) The committee shall consider the application and make to the Director-General any decision it thinks fit: (c) The Director-General shall notifY the contractor of the decision: (d) The decision shall be final and binding on the contractor and the Director-General.

PART III MISCElLANEOUS PROVISIONS 16. Claims on Department-(I) Pursuant to regulations 14 and 15 of the regulations, a contractor may submit claims for payment in respect of requirements supplied during half-monthly or monthly periods. (2) Subject to subclause (3) of this clause, where a claim for payment in respect of requirements supplied relates to or includes any prescription or order that was last dispensed more than 3 months before the date on which the claim is first received by the Department, the amount due to the contractor in respect of every such prescription or order so dispensed shall, unless the contractor satisfies the Department that the contractor has a reasonable excuse for the delay in submitting the claim, and subject to any general or special directions given by the Director-General, be reduced by a discount of 20 percent. (3) No amount shall be reduced under subclause (2) of this clause, where the prescription concerned specifies that requirements are to be supplied for a period not exceeding 3 months and is fulfilled in part only and is received by the Department for payment within 6 months of the date of initial dispensing, or within 9 months in the case of a prescription form including an oral contraceptive. (4) Notwithstanding anything in this clause, any prescription or order that was last dispensed more than one year before the claim is received by the Department shall not be a charge to the Department unless the 1990/326 Drug Tariff 1990 1825 appropriate committee has considered the circumstances and recommended that it should be a charge. (5) For the purposes of this clause,- "Half.monthly period" means any period beginning with the 1st day and ending with the 15th day, or beginning with the 16th day and ending with the last day, of any calendar momh: "Monthly period" means a period beginning with the 1st day and ending with the last day of any calendar month.

17. Allergy treatment sets-( 1) Subject to subclause (2) of this clause, payment in respect of an allergy treatment set shall be the amount specified from time to time in the Pricing Schedules or the amount approved from time to time by the Director·General. (2) In the case of a person for the time being approved by the Director­ General as the manufacturer of approved allergy treatment sets, the amount payable in respect of any allergy treatment set shall be the amount approved from time to time by the Director-General.

18. Payment for non-disposable syringes and needles-( 1) A contractor may submit claims for payment in respect of non-disposable syringes and non-disposable needles. (2) Every such claim shall be submitted on a form supplied by the Department and shall specifY the patient's name and address, details of the items supplied, and the date of supply. (3) Payment for any such claim shall be computed by­ (a) Adding together- (i) The importer's selling price for the items concerned; and (ii) 46.75 percent of that price; and (iii) The appropriate professional fee; and (b) Subject to subclauses (4) and (5) of this clause, subtracting $5. (4) Subject to subclause (5) of this clause, in calculating payment for any such claim, only $2 shall be subtracted- (a) If- (i) The person for whom the items concerned are prescribed belongs to a class of person specified in regulation 4 or regulation 5 of the Social Security (Medical Fees) Regulations 1986; and (ii) The prescription concerned is either endorsed to that effect by the lractitioner concerned or (where the contractor concerne is satisfied that the endorsement or lack of endorsement of the practitioner is erroneous) endorsed to that effect and initialled by the contractor; and (iii) The prescription relates only to requirements prescribed for the person; or (b) If- (i) The items concerned are dispensed after the 31st day of January 1991; and (ii) The person for whom they are prescribed does not belong to a class of person specified in regulation 4 or regulation 5 of the Social Security (Medical Fees) Regulations 1986; and (iii) The contractor concerned is satisfied that the person is enrolled in a full-time programme at a college of education, a polytechnic, a university, or a wananga, (as defined in section 159 of the Education Act 1989); and 1826 Drug Tariff 1990 1990/326 (iv) The prescription relates only to requirements prescribed for the person; or (c) If- (i) The person for whom the items concerned are prescribed does not belong to a class of person specified in regufation 4 or regulation 5 of the Social Security (Medical Fees) Regulations 1986; and (ii) The contractor concerned is satisfied that the Director· General has exempted the person from the payment of the full flat prescription charge; and (iii) The prescription relates only to requirements prescribed for the person. (5) In calculating payment for any such claim, no sum shall be subtracted if- (a) The contractor- (i) Is satisfied that the person for whom the requirement is prescribed has already obtained 25 or more requirements in the year ending with the following 31st day of January; and (ii) Has endorsed the prescription to that effect and initialled the endorsement; or (b) The contractor- (i) Is satisfied that the person for whom the requirement is prescribed is a member of a family group that has already obtained 40 or more requirements in respect of which a payment (of an amount not less than an amount subtracted under this direction) was made by a member of the group in the year ending with the following 31st day of January; and (ii) Has endorsed the prescription to that effect and initialled the endorsement. 19. Payment for plastic syringes-(I) Payment to a contractor for plastic syringes shall be computed by- (a) Adding together- (i) The importer's selling price for those syringes; and (ii) 46.75 percent of that price; and (iii) The appropriate professional fee; and (b) Subject to subclauses (2) and (3) of this clause, subtracting $5. (2) Subject to subclause (3) of this clause, in calculating payment for plastic syringes, only $2 shall be subtracted if- (a) If- (i) The person for whom the syringes are prescribed belongs to a class of person specified in regulation 4 or regulation 5 of the Social Security (Medical Fees) Regulations 1986; and (ii) The prescription concerned is either endorsed to that effect by the jractitioner concerned or (where the contractor concerne is satisfied that the endorsement or lack of endorsement of the practitioner is erroneous) endorsed to that effect and initialled by the contractor; and (iii) The prescription relates only to requirements prescribed for the person; or (b) If- 1990/326 Drug Tariff 1990 1827

(i) The syringes are dispensed after the 31st day of January 1991; and (ii) The person for whom they are prescribed does not belong to a class of person specified in regulation 4 or regulation 5 of the Social Security (Medical Fees) Regulations 1986; and (iii) The contractor concerned is satisfied that the person is enrolled in a full·time programme at a college of education, a polytechnic, a university, or a wananga, (as defined in section 159 of the Education Act 1989); and (iv) The prescription relates only to requirements prescribed for the person; or (c) If- (i) The person for whom the syringes are prescribed does not belong to a class of person specified in regulation 4 or regulation 5 of the Social Security (Medical Fees) Regulations 1986; and (ii) The contractor concerned is satisfied that the Director· General has exempted the person from the payment of the full flat prescription charge; and (iii) The prescription relates only to requirements prescribed for the person. (3) In calculating payment for a requirement, no sum shall be subtracted if- (a) The contractor- (i) Is satisfied that the person for whom the requirement is prescribed has already obtained 25 or more requirements in the year ending with the following 31st day of January; and (ii) Has endorsed the prescription to that effect and initialled the endorsement; or (b) The contractor- (i) Is satisfied that the person for whom the requirement is prescribed is a member of a family group that has already obtained 40 or more requirements in respect of which a payment (of an amount not less than an amount subtracted under this direction) was made by a member of the group in the year ending with the following 31st day of January; and (ii) Has endorsed the prescription to that effect and initialled the endorsement. 20. Period and quantity of supply for doctors' and midwives' prescriptions-In the case of a prescription for a requirement (other than an oral contraceptive) written by a doctor or midwife, the following provisions shall apply: (a) Payment may be made for only such amount of the requirement as is sufficient to provide treatment for a period not exceeding 3 months, or, in the case of a Class B controlled drug, a quantity sufficient to provide treatment for a period not exceeding 1 month: (b) Where the doctor or midwife has prescribed a quantity sufficient to provide treatment for more than 1 month, the requirement shall be dispensed in monthly lots, unless- (i) The doctor or midwife endorses the prescription with the quantity to be dispensed on one or more occasions or with a 1828 Drug Tariff 1990 1990/326 statement of the period for which one or more lots is to be dispensed; or (ii) The contractor or the patient endorses the back of the prescription with a statement of the special reasons why a greater quantity is required to be dispensed: (c) Notwithstanding paragraph (a) of this clause, where the doctor or midwife prescribes a requirement specified in the Schedule as being subject to "antibiotic restriction", payment may be made for only such amount of the requirement as is sufficient to provide treatment for a period not exceeding 4 days and, where the prescription specifies a repeat, for only such further amount of the requirement as is sufficient to provide treatment for one further period not exceeding 4 days unless the doctor or midwife endorses the prescription with the words "extended supply", and specifies in it the quantity required or the period fOr which treatment is required, in which case payment may be made for the actual quantity dispensed if that quantity does not exceed that necessary to provide treatment for a period of 3 months; but where a patient is receiving an extended supply of such a requirement, that requirement shall be dispensed in monthly lots, unless- (i) The doctor or midwife endorses the prescription with the quantity to be dispensed on one or more occasions or with a statement of the period for which one or more lots is to be dispensed; or (ii) The contractor or the Jatient endorses the prescription with a statement of the speci reasons why a greater quantity is required to be dispensed: (d) Any prescription that is not presented to a contractor for dispensing within 7 days of its being written in the case of a Class B controlled drug, or within 3 months of its being written in any other case, shall cease to be a charge to the Department: (e) A repeat on a prescription that remains unfulfilled after- (i) Three months from the date of first dispensing in the case of a prescription for a pharmaceutical requirement for a total supply of from 1 to 3 months; or (ii) One month from the date of first dispensing in any other case- shall cease to be a charge to the Department; but the contractor concerned may submit a claim for the part fulfilment of the total quantity ordered in respect of the part that is due for payment and payment may be made accordingly. 21. Period and quantity of supply for prescriptions for oral contraceptives-In the case of a prescription for a requirement that is an oral contraceptive, the following provisions shall apply: (a) The doctor concerned shall specify in the prescription the period of treatment for which the requirement is to be supplied (not exceeding 6 months) and payment may be made for the actual quantity dispensed: (b) Subject to paragraph (d) of this clause, where a period not exceeding 3 months has so been specified, the requirement shall be dispensed- (i) In lots specified in the prescription; or 1990/326 Drug Tariff 1990 1829 (ii) Where no lots are so specified, in one lot: (c) Subject to paragraph (d) of this clause where a period exceeding 3 months or more has so been specified, the requirement shall be dispensed- (i) Where the doctor has endorsed the prescription with a direction that it be so dispensed, in such lots as may be specified in the direction; or (ii) Where the doctor has not so endorsed the prescription, in one lot sufficient to provide treatment for 3 months and one further lot: (d) Where a contractor is satisfied that there are exceptional reasons for the requirement to be supplied in lots larger than those specified in the prescription or, as the case may be, larger than those sufficient to provide treatment for periods of 3 months, and endorses the prescription to that effect, the requirement shall be dispensed in such lots as the contractor thinks fit: (e) If the prescription is not presented to a contractor for dispensing witbin 3 months of its being written, the requirements on it shall cease to be a charge to the Department: (f) Where the prescription specifies a period of treatment for which the requirement is to be supplied that exceeds 3 months, a repeat on the prescription that remains unfulfilled- (i) Where the first lot was sufficient to provide treatment for 3 months, after 4 months; and (ii) Where the first lot was not sufficient to provide treatment for 3 months, after 6 months- from the date of first dispensing shall cease to be a charge to the Department; but the contractor concerned may submit a claim for the part fulfilment of the total quantity ordered in respect of the part that is due for payment, and payment may be made accordingly. 22. Period and quantity of supply for dentist's prescriptions-In the case of a prescription for a requirement written by a dentist, the following provisions shall apply: (a) Payment may be made for only such amount of the requirement as is sufficient to provide treatment for- (i) A period not exceeding 5 days, where the requirement is a controlled drug; and (ii) A period not exceeding 5 days and, where the prescription specifies a repeat, for only such further amount of the requirement as is sufficient to provide treatment for one further period not exceeding 5 days, in every other case: (b) Notwithstanding paragraph (a) of this clause, where the dentist prescribes a requirement specified in the Schedule as being subject to "antibiotic restriction", payment may be made for only such amount of the requirement as is sufficient to provide treatment for a .eeriod not exceeding 4 days and, where the prescription specffies a repeat, for only such further amount of the requirement as is sufficient to provide treatment for one further period not exceeding 4 days: (c) Notwithstanding paragraph (a) of this clause, where, in the opinion of the dentist a patient needs extended treatment with sodium 1830 Drug Tariff 1990 1990/326 fluoride for a period of 1 month or more, a supply of sodium fluoride, not exceeding a quantity sufficient to provide that patient with treatment for a specified period of from 1 to 3 months, may be made on anyone prescription; and, if the dentist specifies on it the period for which that requirement is to be supplied, payment shall be made in respect of a claim made accordingly; but where a patient is receiving an extended supply of sodium fluoride, it shall be dispensed in monthly lots, unless- (i) The dentist endorses the prescription with a statement of the period for which each lot is to be dispensed; or (ii) The contractor or the patient endorses the back of the prescription with a statement of the special reasons why a quantity greater or less than a monthly lot is required to be dispensed: (d) Any prescription that is not presented to the contractor for dispensing within 7 days of its being written in the case of a Class B controlled drug, or 3 months of its being written in any other case, shall cease to be a charge to the Department: (e) A repeat on a prescription that remains unfulfilled after 3 months from the date of first dispensing of any requirement named in the prescription in the case of a prescription for sodium fluoride, or after 1 month in any other case, shall cease to be a charge to the Department; but the contractor concerned may submit a claim for the part fulfilment of the total quantity ordered in respect of the part that is due for payment, and payment shall be made accordingly.

25. Original packs, and certain antibiotics-(I) Notwithstanding clauses 20 and 22 of this direction, if a practitioner orders a requirement that is packed in a special container from which it is not practicable to dispense lesser amounts, or in a collapsible tube, every reference in those clauses to an amount for which payment may be made shall be deemed to be a reference- (a) Where an amount by weight or volume of the requirement is specified in the prescription, to the smallest container of the requirement, or the smallest number of containers of the requirement, sufficient to provide that amount; and (b) In every other case, to the amount contained in the smallest container of the requirement that is manufactured in or imported into New Zealand. (2) If a practitioner orders, in an amount that does not coincide with the amount of a standard pack or any number of standard packs a requirement that is the liquid oral form of an antibiotic that requires the addition of a diluent at the time of dispensing, payment may be made for a standard pack or a combination of standard packs (instead of for the quantity prescribed in accordance with clause 20 or clause 22 of this direction, as the case may be) only if the contractor satisfies the Department that the contractor has not been able to dispense the balance of the pack or packs.

24. Bulk supply orders-(I) Notwithstanding anything in this direction, the licensee or manager of a licensed hospital or the matron or other person in charge of an institution approved by the Director·General may obtain, pursuant to a bulk supply order on a form to be supplied by 1990/326 Drug Tariff 1990 1831 the Department, such requirements as are expected to be required for the treatment of persons who are under medical or dental supervision in the hospital or institution; but- (a) Payment shall not be made for any requirement that is specifically restricted in the Schedule: (b) The licensee or manager or, as the case may be, the matron or other person, may be called upon to justify the amount ordered: (c) No Class B controlled drug shall be obtained on a bulk supply order by any institution that is not a licensed hospital: (d) No item specified in Part I of the First Schedule to the Medicines Regulations 1984 shall be obtained on a bulk supply order by any institution that is not a licensed hospital, unless- (i) A registered general nurse, within the meaning of the Nurses Act 1977, is employed by the institution; and (ii) The order is supported by a written requisition signed by a practitioner. (2) Payment shall be made to the contractor on the presentation of the appropriate copy of a bulk supply order form (or, in the case of a bulk supply of a Class B controlled drug or for buprenorphine hydrochloride, a special bulk supply order form) supplied by the Department that- (a) Specifies the requirements that have been supplied; and (b) Has endorsed on it a receipt, signed and dated by the licensee or manager or, as the case may be, the matron or other person, indicating that the requirements have been received. (3) The quantities ordered on a bulk supply order shall be limited to those quantities that are sufficient to meet reasonable needs for a period not exceeding 1 month, after taking into account stock on hand at the time of preparing the requisition. (4) The Minister may at any time, by notice given in such manner as the Minister thinks proper, declare that any hospital or other approved institution shall not be entitled to obtain supplies of requirements under this clause; and on the making of any such declaration this clause shall cease to apply with respect to that hospital or other approved institution. Any such notice may in like manner be revoked. 25. Practitioner's supply orders-(l) Notwithstanding anything in this direction, a practitioner may obtain, pursuant to a practitioner's supply order, such requirements as the practitioner expects to be required for personal administration to patients under the practitioner's care, if the quantities ordered are reasonable for up to 1 month's supply in the conditions obtaining in the practitioner's practice; but no payment will be made for any requirement that is specifically restricted in the Schedule. The practitioner may be called upon to justify the amounts ordered. (2) Payment shall be made to the contractor on the presentation of the practitioner's supply order if at the time of supply it­ (a) Is signed personally by the practitioner; and (b) Is dated in the practitioner's own handwriting; and (c) Sets out the address of the practitioner; and (d) Sets out the requirements (not being requirements that may only be supplied by a Board) that the practitioner requires at the time. Any order for a Class B controlled drug or for buprenorphine hydrochloride shall be written on a form to be supplied by the Department. 1832 Drug Tariff 1990 1990/326

(3) A practitioner may, except in exceptional circumstances, order only those requirements that the practitioner requires to administer personally to a patient or requires for emergency use until a supply can be obtained by the patient pursuant to a prescription. (4) The Minister may at any time, on the recommendation of the appropriate committee appointed under section 121 of the Act, by notice given in such manner as the Minister thinks proper, declare that any practitioner whose name is specified in the notice shall not be entitled to obtain supplies of requirements under this clause; and on the making of any such declaration this clause shall cease to apply with respect to that practitioner. Any such notice may in like manner be revoked. 26. Wholesale supply orders-(l) Notwithstanding anything in this direction, but subject to subclause (4) of this clause, a practitioner may obtain, pursuant to a wholesale supply order on a form to be supplied by the Department, any requirement specified in the Schedule as being availabfe on such an order. (2) Payment shall be made to the wholesaler or distributor on the presentation of the appropriate copy of the order form- (a) Signed and dated by the practitioner; and (b) Signed and dated by a person acting on behalf of the wholesaler or distributor concerned, at the time the pharmaceutical requirements specified on the form are supplied. (3) Payment for a requirement obtained on a wholesale supply order shall be made at a rate not exceeding the wholesaler's selling price agreed by the Department, and in respect of a quantity no greater than is sufficient to meet the reasonable needs of the practitioner concerned (assessed in the light of stock in hand when the order is made) for a month. (4) The Minister may at any time, on the recommendation of the appropriate committee, by notice in writing given in such manner as the Minister thinks fit, declare that subclause (1) of this clause no longer applies to a specified practitioner; and in that case, until that notice is in like manner revoked, that subclause shall not apply to that practitioner. 27. Revocations and savings-(l) The Drug Tariff 1987" and the Drug Tariff 1987, Amendment No. 8t are hereby consequentially revoked. (2) Without limiting the provisions of the Acts Interpretation Act 1924, it is hereby declared that the revocation of any provision by this direction shall not affect any document made or anything whatsoever done under the provision so revoked or any corresponding former provision, and every such document or thing, so far as it is subsisting or in force at the time of the revocation and could have been made or done under this direction, shall continue and have effect as if it had been made or done under the corresponding provision of this direction and as if that provision had been in force when the document was made or the thing was done.

·S.R. 1987/303 tS.R. 1990/230 1990/326 Drug Tariff 1990 1833 SCHEDULE LIST OF REQ.UIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED Part I-Definitions 1. "Antibiotic restriction" means that payment for prescriptions for oral forms of the requirement shall not be made unless it is dispensed in accordance with clause 20 (c) or clause 22 (b) ofthis direction (as the case requires).

2. "Approved type" means that payment shall not be made unless the requirement is of a type approved by the Director·General for the purposes of this direction.

3. "Diabetic supplies" means that payment shall not be made unless there is produced to the contractor a certificate that gives the name, address, and age of the patient and that- (a) Is signed by a medical practitioner; and (b) Is dated less than 2 years previously; and (c) States that the patient is receiving insulin therapy.

4. "Diabetic syringes" means that payment may be made for not more than 26 plastic syringes with attached needles as a single supply if the prescription is written on the same prescription form as a prescription for 3 months supply of insulin vials, or as a single supply, for not more than 2 plastic syringes with attached needle for every week's supply of insulin vials prescribed if the prescription for insulin calls for less than 3 months supply. 5. "Hospital Pharmacy" means that payment shall not be made unless the requirement is supplied by a Board to an outpatient on the prescription of a practitioner.

6. "Hospital Pharmacy-dermatologist" means that payment shall not be made unless the requirement is supplied by a Board­ (a) To an outpatient; and (b) On the prescription of a specialist in dermatology.

7. "Hospital Pharmacy-specialist" means that payment shall not be made unless the requirement is supplied by a Board- (a) To an outpatient; and (b) On the prescription of a specialist,- or if the treatment of an outpatient with the requirement has been recommended by a specialist, on the prescription of a practitioner endorsed with the words "recommended by [Name of speCialist and year of authorisation]" written in the practitioner's own handwriting or signed or initialled by the practitioner. A recommendation is valid until the expiration of the second year following the year of authorisation. For the purposes of this definition it makes no difference whether the specialist is employed by the Board or not.

8. "Hospital pharmacy· specialist prescription" means that payment will not be made unless the requirement is supplied by a Board- 1834 Drug Tariff 1990 1990/326

SCHEDULE-continued

LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued Part 1-Dqinitions-continued (a) To an outpatient; and (b) On a prescription signed by a specialist.

9. "In combination" means that payment shall not be made unless the requirement is included in a prescription in combination with other requirements that are specified in Part 11 of the Schedule as being available otherwise than "in combination", and then only to the extent specified.

10. "Maternity hospital" means that payment shall not be made unless the requirement is supplied pursuant to a bulk supply order to a maternity hospital licensed under the Hospitals Act 1957.

11. "Month restriction" means that- (a) Payment shall not be made unless the requirement is dispensed on the prescription of a practitioner; and (b) Payment shall not be made for any quantity of the requirement concerned dispensed on the prescription (whether or not dispensed as a repeat) in excess of a quantity that is a supply for one month.

12. "Not in combination" means that- (a) Payment shall not be made unless the requirement is dispensed on the prescription of a practitioner; and (b) Payment shall not be made for any prescription containing the requirement in combination with other ingredients unless the particular combination of ingredients is separately specified in Part 11 of the Schedule, and then only to the extent specified.

13. "Retail pharmacy-radiotherapist" means that payment shall not be made unless the requirement is supplied on a prescription signed by a specialist in radiotherapy, or, in the case of treatment recommended by a specialist in radiotherapy, a prescription signed by a practitioner and endorsed with the words "recommended by [Name of specialist and year of authorisation]" written in the practitioner's own handwriting or signed or initialled by the practitioner. A recommendation shall be valid until the expiration of the second year following the year of authorisation.

14. "Retail Pharmacy-specialist" means that payment shall not be made unless the requirement is supplied on a prescription, or practitioner's supply order, signed by a specialist, or, in the case of treatment recommended by a specialist, a prescription or practitioner's supply order signed by a practitioner and endorsed with the words "recommended by [Name of specialist and year of authorisation]" written in the practitioner's own handwriting or signed or initialled by the practitioner. A recommendation shall be valid until the expiration of the second year following the year of authorisation. 1990/326 Drug Tariff 1990 1835 SCHEDULE-continued

LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDmONALLY ALLOWED-continued Part I-Dtjinitiom-continued 15. "Retail Pharmacy-specialist prescription" means that payment shall not be made unless the requirement is supplied on a prescription, or practitioner's supply order, signed by a specialist. 16. "Wholesale supply order" means that payment shall not be made unless the requirement is supplied pursuant to a wholesale supply order in accordance with clause 26 of this direction. 17. Only those medical practitioners who are "specialists" within the meaning of section 88 of the Act, or who are specialists for the purposes of any determination issued under section 52 of the Hospitals Act 1957, shall be specialists for the purposes of this Schedule, and then only to the extent of the speciality in respect of which they are registered or recognised, as the case may require. 1836 Drug Tariff 1990 1990/326 SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II Availability

Requirements Conditions

Acacia In combination Acebutolol hydrochloride Acebutolol hydrochloride with hydrochloro- thiazide tablets Acetazolamide and its salts Acetazolamide long acting capsules Acetic acid and acetic acid, glacial Acetic acid with boric acid, hydroxyquinoline sulphate and ricinoleic acid vaginal jelly Acetic acid with 1,2-propanediol diacetate and benzethonium chloride ear drops Acetone Not if ordered on a practitioner's supply order or a bulk supply order Acipimox capsules Retail Pharmacy-specialist Acitretin capsules Hospital Pharmacy-dermatologist Acriflavine hyrochloride Acyclovir eye ointment Retail Pharmacy-specialist Acyclovir skin cream (a) Not on a bulk supply order, a practitioner's supply order, or a wholesale supply order (b) Not for any quantity exceeding 4 g, inclusive of any repeat, per prescription form Acyclovir tablets 200 mg Hospital Pharmacy-specialist Acyclovir tablets 400 mg Hospital Pharmacy-specialist Adrenaline not exceeding a strength of 0_ 5 Retail Pharmacy-specialist percent with guanethidine sulphate not exceeding a strength of 3 percent as eye drops Adrenaline eye drops Retail Pharmacy-specialist Adrenaline acid tartrate Adrenaline hydrochloride Adrenaline hydrochloride eye drops Retail Pharmacy-specialist Alclometasone dipropionate cream and ointment Alfacalcidol capsules and oral drops Retail Pharmacy-specialist Alginic acid with magnesium trisilicate, aluminium hydroxide gel, dried, and sodium bicarbonate infant powder Alginic acid with magnesium trisilicate, aluminium hydroxide gel, dried, and sodium bicarbonate tablets Alkaline compound tablets (milk dextrin type) Approved type Allantoin with sulphur, menthol, phenol and coal tar solution cream Allergy treatment sets Only if prepared and supplied by a manufacturer approved by the Director-General for the purposes of this direction Allopurinol tablets Alprazolam tablets Retail Pharmacy-specialist Alprenolol benzoate long-acting tablets and tablets Alprenolol hydrochloride long acting tablets Aluminium acetate solution BPC 1973 Aluminium chloride Aluminium powder Aluminium hydroxide and belladonna mixture, BPC 1990/326 Drug T arijf 1990 1837

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Aluminium hydroxide gel Aluminium hydroxide gel, dried Aluminium hydroxide gel with kaolin mixture Aluminium hydroxide gel with magnesium hydroxide mixture Aluminium hydroxide gel with magnesium hydroxide and activated dimethicone mixture and tablets Aluminium hydroxide gel, dried, with magnesium hydroxide tablets Aluminium hydroxide gel dried, with magnesium trisilicate, magnesium hydroxide and dimethicone tablets Aluminium paste, compound BPC Aluminium sulphate Amantadine hydrochloride Retail Pharmacy-specialist Amaranth solution Amiloride hydrochloride tablets Amiloride hydrochloride with frusemide tablets Amiloride hydrochloride with hydrochlorothiazide Aminacrine hydrochloride Aminobenzoic acid Aminocaproic acid syrup and tablets Hospital Pharmacy-specialist Aminoglutethimide tablets Retail Pharmacy-specialist Aminophylline Amiodarone hydrochloride injection and tablets Retail Pharmacy-specialist Amitriptyline hydrochloride Amitriptyline pamoate syrup Ammonia solution, dilute BP Ammonia solution, strong BP Ammonia spirit, aromatic Ammonium acetate solution, strong BP Ammonium chloride tablets Amoxapine tablets Amoxycillin with potassium clavulanate syrup and Antibiotic restriction tablets Amoxycillin sodium only as injection Amoxycillin trihydrate (a) Antibiotic restriction (b) Not in any topical application Amphetamine sulphate Hospital Pharmacy Amphotericin Amphotericin lozenges Ampicillin sodium only as injection Amyl nitrite Amylobarbitone and its sodium salt Month restriction Amylobarbitone sodium injection Amylobarbitone sodium with quinalbarbitone Month restriction sodium capsules Anise water and anise water, concentrated In combination Apomorphine hydrochloride Aprotinin Hospital Pharmacy-specialist Aqueous cream BP Ascorbic acid Only on a prescription not exceeding a strength of 100 mg per dose Argipressin spray 1838 Drug Tariff 1990 1990/326

SCHEDULE-continued

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PART II-continued Availability-continued

Requirements Conditions

Aspirin (a) In combination (b) Only in extemporaneously compounded oral liquid mixtures Aspirin tablets 300 mg and 650 mg Aspirin long-acting tablets 650 mg Aspirin soluble tablets 300 mg Aspirin with chloroform (a) Only on a prescnptlOn when extemroraneously compounded (b) For topica use only Aspirin 250 mg with paracetamol 250 mg and codeine phosphate 8 mg tablets Aspirin, soluble, with codeine phosphate tablets Approved type Astemizole only as tablets Only on a prescription Atenolol Atenolol with chlorthalidone tablets Atropine methonitrate Atropine sulphate Atropine sulphate single dose eye drops Only on a practitioner's supply order Auranofin tablets Retail Pharmacy-specialist Azatadine maleate oral liquid and tablets Not in combination Azathioprine Retail Pharmacy-specialist Bacitracin and its salts with neomycin sulphate in proprietary preparations Bacitracin and its salts with neomycin sulphate and polymyxin B sulphate proprietary preparations Baclofen tablets Beclamide Beclomethasone dipropionate aerosol for oral use, aerosol for nasal use, nasal spray and powder for oral inhalation Beeswax, white Beeswax, yellow Belladonna liquid extract BPC Belladonna tincture BP Belladonna and ephedrine mixture for infants BPC Belladonna and ipecacuanha mixture for infants BPC Belladonna mixture for infants BPC Bendrofluazide Benserazide hydrochloride with levodopa capsules and tablets Benserazide with levodopa long-acting capsules Retail Pharmacy-specialist Bentonite Benzathine penicillin injection Benzoic acid .. Benzoic acid solution BP Benzoic acid ointment, compound BP Benzoin inhalation BP Benzoin tincture, BPC Benzoin tincture, compound, BP Benzoyl peroxide .. Benzoyl peroxide lotion with or without sulphur 1990/326 Drug Tariff 1990 1839

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Benztropine mesylate injection Only on a practitioner's supply order Benztropine mesylate tablets Benzydamine hydrochloride solution Retail Pharmacy-specialist Benzyl benzoate Benzyl benzoate application, BP Benzylpenicillin and its salts Not if in any topical application, unless it is separately specified in this Part of the Schedule Benzylpenicillin sodium injection and eye drops Benzylpenicillin and its salts, with or without procaine penicillin, benethamine penicillin, or benzathine penicillin, for injection Beta-carotene capsules Retail Pharmacy-specialist Betahistine hydrochloride tablets Retail pharmacy-specialist Betamethasone and its salts and esters, with or Retail Pharmacy-specialist without neomycin sulphate when supplied in the form of proprietary eye preparations Betamethasone ana its salts and esters, with or without neomycin sulphate when supplied in the form of proprietary ear preparations Betamethasone with betamethasone sodium phosphate, intra-articular injection Betamethasone dipropionate cream, ointment and scalp lotion Betamethasone sodium phosphate injection Only on a practitioner's supply order Betamethasone sodium phosphate as tablets Betamethasone sodium phosphate with betamethasone acetate injection Betamethasone sodium phosphate with or without naphazoline nitrate nasal preparations Betamethasone valerate scalp lotion Betamethasone valerate with or without chlortetracycline hydrochloride, clioquinol, or neomycin sulphate, as a skin preparation Betamethasone valerate with fusidic acid cream Only on a prescnptlOn and when prescribed in a quantity not exceeding 15g per form Betamethasone valerate with gentamicin sulphate Only on a prescription and when skin preparations prescribed in a quantity not exceeding 15g per form Betaxolol hydrochloride eye drops Retail Pharmacy-specialist Bethanidine sulphate Bezafibrate tablets Retail Pharmacy-specialist Biperiden lactate injection Bisacodyl enema, suppositories and tablets Only on a prescription Bismuth carbonate Bismuth subgallate Bismuth subgallate, compound suppositories with Approved type hydrocortisone Bismuth subgallate suppositiories, compound BP Bismuth subgallate compound, ointment, and Approved type suppositories Bismuth subnitrate 1840 Drug Tariff 1990 1990/326

SCHEDULE-continued

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Requirements Conditions

Bismuth subnitrate with frangula bark, Month restriction magnesium carbonate and sodium bicarbonate tabfets Black currant s)'IllP BP In combination Borax Boric acid Brilliant green Brilliant green and crystal violet paint BP Bromazepam tablets Month restriction Bromocriptine mesylate capsules and tablets Budesonide aerosol inhaler for nasal use, aerosol inhaler for oral use, nasal spray and powder for oral inhalation Buffered cream BP Bumetanide injection and tablets Buprenorphine hydrochloride injection Buprenorphine hydrochloride tablets Hospital Pharmacy-specialist Busulphan Retail Pharmacy-specialist Cade oil Calamine Calamine colloidal Calamine application, compound BPC Calamine cream aqueous BPC Calamine lotion BP Calamine lotion, oily BP Calamine ointment BP Calamine and coal tar ointment BP Calciferol Calcitonin injection Hospital Pharmacy-specialist Calcitriol capsules .. Retail Pharmacy-specialist Calcium carbimide tablets Calcium carbonate Calcium carbonate powder, compound BPC Calcium carbonate tablets . . Calcium carbonate with aminoacetic acid Calcium carbonate with aminoacetic acid and dimethicone oral liquid and tablets Calcium chloride . . . . Calcium folinate Hospital Pharmacy-specialist Calcium gluconate injection Calcium glucono·galacto·gluconate Calcium hydroxide .. Calcium lactate-gluconate tablets Calcium polystyrene sulphonate Retail Pharmacy-specialist Camphor spirit BPC 1959 Camphor water BPC and camphor water, In combination concentrate BPC Capreomycin injection Retail Pharmacy-specialist Capsules, empty gelatin Only if dispensed with a requirement specified in this Part of the Schedule Captopril tablets Captopril with hydrochlorothiazide tablets Caramel In combination Carbachol eye drops Retail Pharmacy-specialist 1990/326 Drug Tariff 1990 1841

SCHEDULE-continued LIST OF REQ.UIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Carbamazepine long-acting tablets, tablets and syrup Carbidopa with levodopa long-acting tablets Retail Pharmacy specialist Carbidopa with levodopa tablets Carbimazole Cardamon tincture, compound BP Castor oil In combination Castor oil single dose eye drops Only on a practitioner's supply order Castor oil with resorcinol, salicylic acid and undecylenic alkanolamide scalp solution Catechu tincture BP Cefaclor monohydrate capsules and oral Antibiotic restriction suspension 125mg per 5ml Cefamandole nafate injection (a) Hospital Pharmacy-specialist (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Cefoxitin sodium injection (a) Hospital Pharmacy-specialist (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Ceftriaxone sodium injection (a) Hospital Pharmacy-specialist (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Cefuroxime sodium injection (a) Hospital Pharmacy-specialist (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Celiprolol hydrochloride tablets Cephalexin monohydrate (a) Hospital Pharmacy (b) Antibiotic restriction Cephalothin sodium injection (a) Hospital Pharmacy (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Cephazolin sodium injection (a) Hospital Pharmacy (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Cephadrine capsules (a) Hospital Pharmacy (b) Antibiotic restriction Cephadrine injection (a) Hospital Pharmacy (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Cetomacrogol 1000 Cetomacrogol cream BP 1842 Drug Tariff 1990 1990/326

SCHEDULE-continued

LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDmONALLy ALLOWED-Continued PART II-continued Availability-continued

Requirements Conditions

Cetomacrogol emulsifYing ointment BP Cetomacrogol emulsifYing wax BP Cetostearyl alcohol . . . . Cetrimide powder Only on a prescnpuon for an extemporaneously compounded mouthwash or shampoo Cetrimide with chlorhexidine gluconate cream Maternity hospital Cetyl alcohol Chalk Chalk mixture for infants, BP Chalk and opium mixture, aromatic BP Charcoal Chloral hydrate (a) Month restriction (b) Not if in any proprietary liquid oral form, unless it is separately specified in this Part of the Schedule Chloral hydrate capsules Month restriction Chloral mixture BP Month restriction Chloral syrup B.P.C. 1968 Month restriction Chlorambucil Retail Pharmacy-specialist Chloramphenicol, its salts and esters Subject to- (a) Antibiotic restriction; and (b) Retail Pharmacy specialist,- unless prescribed as an ingredient of a chloramphenicol topical preparation separately specified in this Part of the Schedule Chloramphenicol ear drops Chloramphenicol eye drops Chloramphenicol eye ointment Chloramphenicol single dose eye drops .. Only on a practitioner's supply order Chloramphenicol with hydrocortisone and its salts Retail Pharmacy-specialist as eye preparations Chloramphenicol with polymyxin B sulphate proprietory ear drops, eye drops, eye ointment Chlorbutol...... ChlordiazepOxide and its hydrochloride Month restriction Chlorhexidine diacetate powder .. Only on a prescnptlOn for an extemporaneously compounded mouthwash or shampoo Chlorhexidine gluconate Only- (a) When prescribed (alone or in combination) for renal dialysis in the home of the patient concerned; or (b) On a prescription for an extemporaneously compounded mouthwash or sl'\ampoo (c) In a quantity not exceeding 500rnls per month Chlorhexidine gluconate obstetric cream Only­ (a) Maternity hospital; or 1990/326 Drug Tariff 1990 1843

SCHEDULE-continued

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PART II-continued Availability-continued

Requirements Conditions

(b) On a practitioner's supply order; or (cl On a prescription (cl) In a quantity not exceeding 500ml per form Chlorhexidine gluconate solution 5 percent Only- (a) Maternity hospital; or (b) On a practitioner's supply order; or (c) On a prescription (d) In a quantity not exceeding 100ml per form Chlorhexidine gluconate with methylated spirits, Only when extemporaneously industrial, or with isopropyl alcohol compounded and prescribed in a quantity not exceeding 500ml per month for dialysis patients Chlorinated lime Chlorinated lime and boric acid solution BP Chlormethiazole and its esters Month restriction Chlormethiazole edisylate intravenous infusion Chlorocresol Chloroform Only in combination for topical application or as an ingredient in a preparation for oral administration Chloroform and morphine tincture BP Chloroform spirit BP Chloroform water BP In combination Chloroquine phosphate Chloroquine sulphate Chlorothiazide Chlorpheniramine maleate long-acting capsules, Not in combination long-acting tablets, oral liquid and tablets Chlorpromazine and its salts and esters Chlorprothixene Chlorquinadol Chlortetracycline hydrochloride proprietary cream, proprietary ointment and proprietary topical powder Chlortetracycline hydrochloride topical preparations with or without other pharmaceutical requirements when extemporaneously prepared Chlorthalidone Chlorthalidone with metoprolol tartrate tablets Cholestyramine resin Retail Pharmacy-specialist Choline salicylate with cetalkonium chloride adhesive gel Choline theophyllinate . . . . Choline theophyllinate with guaiaphenesin elixir Ciclopirox olamine cream and solution Cimetidine injection Cimetidine tablets (a) Only on a prescription with a daily dose not exceeding 400 mg; or (b) Month restriction Cinnamon oil In combination 1844 Drug Tariff 1990 1990/326

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART 11 -continued Availability-continued

Requirements Conditions

Cinnamon water In combination Ciprofloxacin tablets Hospital Pharmacy-specialist Citric acid .. Citronella oil In combination Clindamycin hydrochloride capsules (a) Retail Pharmacy-specialist (b) Antibiotic restriction Clindamycin palmitate·hydrochloride syrup (a) Retail Pharmacy-specialist (b) Antibiotic restriction Clindamycin phosphate only as an injection Retail Pharmacy-specialist Clindamycin phosphate as a proprietary topical solution or lotion Clobazam tablets Retail Pharmacy-specialist Clobetasol propionate cream, ointment, and scalp lotion Clobetasone butyrate cream and ointment Clobetasone butyrate with or without nemocyin Retail Pharmacy-specialist sulphate as eye drops Clofazimine Clofibrate Retail Pharmacy-specialist Clomiphene citrate tablets (a) Retail Pharmacy-specialist (b) Only on a prescription for a female patient Clomipramine hydrochloride tablets Retail Pharmacy-specialist Clonazepam Clonidine hydrochloride tablets and injection Clonidine transdermal delivery system Only on a prescnptlOn and not exceeding 1 patch per week Clopamide with pindolol tablets Clotrimazole lotion, skin cream, solution, vaginal cream and vaginal tablets Clove oil In combination Cloxacillin sodium only as an injection Coal tar Coal tar, prepared BPC Coal tar paint BP Coal tar paste BP Coal tar solution BP Coal tar, strong, solution BPC with tar gel Coal tar and salicylic acid ointment BP Coal tar and zinc ointment BP Cocoa In combination Coconut oil In combination Codeine linctus BP Not in combination Codeine linctus, diabetic BPC Not in combination Codeine linctus for infants BPC Not in combination Codeine phosphate Codeine phosphate syrup BPC Co·dergocrine mesylate tablets Coffee, prepared In combination Colchicine Colestipol hydrochloride Retail Pharmacy-specialist Colistin sulphate with neomycin sulphate and hydrocortisone acetate eardrops Colistin sulphomethate sodium injection (a) Hospital Pharmacy-specialist 1990/326 Drug Tariff 1990 1845

SCHEDULE-continued

LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDmONALLY AllOWED-continued PART II-continued Availability-continued

Requirements Conditions

(b) Only if prescribed for a dialysis patient or a cystic fibrosis patient and the prescription is endorsed accordingly Collodion, flexible Contraceptives, caps (a) Approved type (b) Orily on a wholesale supply order Contraceptives, condoms Approved type Contraceptives, condoms with a spennicidal agent Approved type Contraceptives, diaphragms Approved type Contraceptives, intra·uterine devices (a) Approved type (b) OIlly on a wholesale supply order Contraceptives, spennicidal agents (together with Approved type applicator when specified) Copper diagnostic tablets . . . . (a) Only in 36 tablet pack or packs (b) Not available on a bulk supply order Copper sulphate . . . . Copper and zinc sulphates lotion BPC Corticotrophin gelatin injection Cortisone acetate tablets Co·trimoxazole oral mixture and tablets Antibiotic restriction Crotamiton Crystal violet Cyclandelate Cyclizine, its salts and esters Cyclopenthiazide Cycopentolate hydrochloride eye drops Only if not exceeding 1 percent strength Cyclopentolate hydrochloride single dose Only if not exceeding 1 percent eyedrops strength, and on a pracutioners supply order Cyclophosphamide . . . . Retail Pharmacy-specialist Cyproheptadine hydochloride tablets (a) Only on a prescription (b) Not in combination Cyproterone acetate tablets . . .. Hospital Phartnacy-specialist Cyproterone acetate with ethinyloestradiol tablets Only on a prescription and if not more than 3 months supply is prescribed Cytarabine Retail Pharmacy-specialist Danazol capsules .. Retail Pharmacy-specialist Dantrolene sodium capsules Retail Pharmacy-specialist Dapsone ...... Dapsone with pyrimethamine as tablets Deoxycortone and its esters Desferrioxamine mesylate Hospital Phartnacy Desipramine hydrochloride Hospital Phartnacy Desmopressin acetate nasal drops and nasal spray Retail Pharmacy-specialist Desogestrel with ethinyloestradiol tablets .. Dettol solution ...... Only- (a) Maternity hospital; or (b) On a practitioner'S supply order (c) In a quantity not exceeding lOOml per form Dexamethasone and its salts and esters, except Retail Pharmacy-specialist preparations listed elsewhere in this direction 1846 Drug Tariff 1990 1990/326

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLoWED-continued PART II-continued Availability-continued

Requirements Conditions

Dexamethasone as proprietary eye preparations Retail Pharmacy-specialist Dexamethasone with framycetin and gramicidin Retail Pharmacy-specialist proprietary eye preparations Dexamethasone with framycetin and gramicidin proprietary ear preparations Dexamethasone with neomycin sul?hate and Retail Pharmacy-specialist polymyxin B sulphate as propnetary eye preparations Dexamethasone sodium phosphate injection Only on a wholesale supply order Dexamphetamine sulphate .. Hospital Pharmacy Dextrochlorphenirarnine maleate long·acting Not in combination tablets, oral liquid and tablets Dextromoramide tartrate Dextropropoxyphene napsylate as capsules Dextropropoxyphene hydrochlonde with paracetamol capsules Dextropropoxyphene napsylate with paracetamol tablets Dextrose In combination Dextrose, anhydrous as an ingredient of an injection Dextrose, injection Only- (a) In containers not exceeding 50 ml capacity (b) If prescribed in respect of ny?oglycaemia Diazepam capsules, syrup and tablets Month restriction Diazepam injection Only if ordered otherwise than for anaesthetic procedures on a practitioners supply order form of a doctor Diazepam rectal tubes and suppositories Dibromopropamidine isethionate .. Diclofenac sodium injection, long·acting capsules, long.acting tablets, suppositories and tablets Dicyclomine hydrochloride long-acting tablets, tablets and syrup Dienoestrol cream, together with applicator when specified Diethylcarbamazine citrate Diflucortolone valerate Diflucortolone valerate with chlorquinaldol cream Diflunisal tablets ...... ~~d:ergot~e mesyl~~e Dihydrotachysterol Di-iodohydroxyquinoline compound vaginal tablets Dill water Diltiazem hydrochloride tablets and long.acting capsules Dimenhydrinate Dimercaprol Dimethicone Dimethicone cream BPC 1990/326 Drug Tariff 1990 1847

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Dimethicone creams Approved type Diphemanil methylsulphate powder Only if prescribed for an amputee with an artificial limb, or for a paraplegic patient on a prescription endorsed accordingly Diphenhydramine hydrochloride capsules and Not in combination oral liquid Diphenoxylate hydrochloride with atropine sulphate only as tablets Diphenylpyraline hydrochloride only as long· Only on a prescription acting tablets Dipivefrin hydrochloride eye drops in packs of Retail Pharmacy-specialist 7.5 ml Dipotassium hydrogen phosphate Dipyridamole injection, tablets and long· acting Retail Pharmacy-specialist capsules Disopyramide and its phosphate as capsules or long·acting tablets Disopyramide phosphate injection Retail Pharmacy-specialist Dispersa wax Distigmine bromide Hospital Pharmacy-specialist Disulfiram .. Dithranol Only in extemporaneously compounded preparations, unless separately specified in this Part of the Schedule Dithranol paste, strong BPC Dithranol paste, weak BPC Docusate sodium enema, and tablets Only on a prescription Docusate sodium with bisacodyl suppositories Only on a prescription Docusate sodium with senna standardised tablets Only on a prescription Domperidone tablets Dothiepin hydrochloride Doxazosin mesylate tablets Doxepin hydrochloride capsules and tablets Doxycycline hydrochloride capsules lOOmg, Antibiotic restriction tablets 50mg and lOOmg, and mjection Drostanolone propionate Retail Pharmacy-specialist Dydrogesterone tablets Econazole foaming solution Econazole nitrate Ecothiophate iodide Retail Pharmacy-specialist Edrophonium chloride Electrolyte lowder, for solution for oral use as approve by the Director·General Electrolyte solution for oral use (e.g., Darrow's According to a prescribed formula, or solution non·sterile; Hartmann's solution, non· by title sterile) Emepronium carrageenate tablets Retail Pharmacy-specialist Emetine hydrochloride EmulsifYing wax BP .. EmulsifYing ointment BP Enalapril maleate tablets Enoxacin tablets Hospital Pharmacy-specialist Ephedrine hydrochloride tablets 1848 Drug Tariff 1990 1990/326

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Ephedrine nasal drops BPC Ergometrine and its salts Ergotamine tartrate .. Ergotamine tartrate aerosol inhaler Ergotamine tartrate with belladonna, caffeine and allylbarbituric acid suppositories Ergotamine tartrate with belladonna and phenobarbitone tablets and long·acting tablets Ergotamine tartrate with caffeine tablets Ergotamine tartrate with caffeine and cyclizine hydrochloride Ergotamine tartrate with caffeine citrate and diphenhydramine hydrochloride Erythromycin and its salts and esters (a) Antibiotic restriction (b) Not in any topical application unless it is separately specified in this Part of the Schedule Ethambutol Retail Pharmacy-specialist Ethambutol with isoniazid tablets Retail Pharmacy-specialist Ethanol 90 percent Only in combination in oral mixtures Ethanol for injection Ether, solvent BPC Not on a practitioner's supply order or a bulk supply order Ethinyloestradiol Ethinyloestradiol with gestodene tablets Ethinyloestradiol with fevonorgestrel Ethinyloestradiol with lynoestrenol tablets Ethinyloestradiol with norethisterone Ethisterone Ethosuximide Ethylnoradrenaline hydrochloride injection Ethynodiol diacetate tablets Ethynodiol diacetate with ethinyloestradiol Ethynodiol diacetate with mestranol Etidronate disodium tablets Retail Pharmacy-specialist Etoposide capsules and injection Hospital Pharmacy-specialist Etretinate capsules Hospital Pharmacy-dermatologist Famotidine tablets Month restriction unless on a prescription with a daily dose not exceeding 20mg Felodipine long.acting tablets Fenbufen capsules and tablets Fenoprofen calcium capsules of 300 mg and tablets of 600 mg Ferrous gluconate Ferrous phosphate syrup, compound BPC 1968 Ferrous sulphate Ferrous sulphate, dried Ferrous sulphate long·acting tablets Ferrous sulphate mixture BPC Ferrous sulphate mixture for infants BP Ferrous sulphate with folic acid long·acting tablets Fibrinolysin with desoxyribonuclease powder and ointment. Applicator to be supplied with ointment when specified 1990/326 Drug Tariff 1990 1849

SCHEDULE-continued

LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Fish liver oil ointment Flecainide acetate injection and tablets Retail Pharmacy-specialist Flucloxacillin magnesium syrup Antibiotic restriction Flucloxacillin sodium capsules, injection and syrup Antibiotic restriction Flucytosine tablets Hospital Pharmacy-specialist Fludrocortisone tablets of 0.1 mg strength .. Fludrocortisone tablets of 1 mg strength .. Retail Pharmacy-specialist Flumethasone pivalate with clioquinoT ear drops Flunisolide nasal spray Fluocinolone acetonide scalp lotion Fluocinolone acetonide not exceeding 0.025 percent strength as skin preparations Fluocinonide cream Fluocortolone with fluocortolone hexanoate ointment Fluocortolone hexanoate with fluocortolone pivalate cream and ointment Fluocortolone hexanoate with fluocortolone pivalate, cinchocaine hydrochloride, and clemizole undecylate ointment and suppositories Fluocortolone pivalate with lidocaine hydrochloride suppositories Fluocortolone rivaIate with lidocaine and chlorquinaldo cream Fluorescein sodium Fluorescein sodium single dose eye drops Only a practitioner'S supply order Fluorometholone eye drops .. Retail Pharmacy-speciitIist Fluorometholone with neomycin sulphate eye Retail Pharmacy-specialist drops Fluorouracil topical solution and topical cream Retail Pharmacy-specialist Fluorouracil sodium injection and oral solution Retail Pharmacy-specialist Fluoxetine hydrochloride capsules Retail Pharmacy-specialist Fluoxymesterone Retail Pharmacy-specialist Flupenthixol decanoate injection Retail Pharmacy-specialist Fluphenazine decanoate injection Retail Pharmacy-specialist Fluphenazine hydrochloride Flurbiprofen tablets and long· acting capsules Flutamide tablets Hospital Pharmacy-specialist Folic acid and its sodium salt Formaldehyde solution Not available on a practitioner's supply order or a bulk supply order Framycetin sulphate tablets (a) Hosp'ital Pharmacy (b) Antibiotic restriction Framycetin sulphate injection (a) Hospital Pharmacy (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Framycetin sulphate proprietary eye and ear preparations Framycetin sulphate with gramicidin ointment and cream Frusemide injection, tablets of 40 mg strength and oral liquids 1850 Drug Tariff 1990 1990/326

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART 11 -continued Availability-continued

Requirements Conditions

Frusemide infusion 250 mg and tablets exceeding Retail Pharmacy-specialist 40 mg strength Fusidic acid cream and gel Only on a prescription form and when prescribed in a quantity not exceeding 15g per form Fusidic acid, diethanolamine salt injection (a) Hospital Pharmacy-specialist (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Fusidic acid, diethanolamine salt oral suspension Hospital Pharmacy-specialist Fusidic acid eye-drops Fusidic acid, sodium salt tablets Hospital Pharmacy-specialist Fusidic acid, sodium salt ointment Only on a prescription form and when prescribed in a quantity not exceeding 15g per form Gamma benzene hexachloride Gamma benzene hexachloride application, BP Gelatin Gemfibrozil capsules _ . Retail Pharmacy-specialist Gentamicin sulphate eye drops Retail Pharmacy-specialist Gentamicin sulphate injection (a) Hospital Pharmacy (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Gentamicin sulphate cream and ointment Only on a prescription form and when prescribed in a quantity not exceeding 15g per form Ginger syrup BPC Ginger tincture weak BP Ginger tincture, strong BP Glibenclamide .. Gliclazide tablets Glipizide tablets Glucagon hydrochloride injection Glucose·oxidase with peroxidase diagnostic strips Not on a bulk supply order and sticks as approved by the Director-General (urine testing) Glucose oxidase with peroxidase diagnostic strips for insulin using diabetics as approved by the Director·General (blood testing) Glucose oxidase with peroxidase diagnostic sticks Not on a bulk supply order and sodium nitroprusside with aminoacetic acid diagnostic sticks as approved by the Director·General Glycerol In combination Glycerol suppositories . . . . Only on a prescription Glycerol with paraffin liquid and cetyl alcohol skin Only on the prescription of a medical lotion practitioner Glycerorhosphates syrup, compound BPC 1963 Glycery trinitrate aerosol inhaler, tablets, transdermal delivery system 5 mg, and ointment 1990/326 Drug Tariff 1990 1851

SCHEDULE-continued

LIST OF REQ.UIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Glyceryl trinitrate transdermal delivery system Not more than 30 patches per month IOmg Glycopyrronium bromide tablets Griseofulvin . . Guanethidine sulphate Halibut·liver oil Haloperidol Haloperidol decanoate injection Retail Pharmacy-specialist Halquinol with tar .. Hamamelis water In combination Hard Fat suppository base In combination Heparin sodium .. Heparinoid hyaluronidase cream Not more than 14g per form Hexachlorophane powder Only on a prescription for an extemporaneously compounded mouthwash or shampoo Hexamine Hexamine hippurate tablets Hexamine mandelate tablets Hexoprenaline hydrochloride solution .. Hexoprenaline sulphate aerosol inhaler, injection, and tablets Homatropine hydrobromide Homatropine hydrobromide single dose eye drops Only on a practitioner's supply order Honey In combination Hyaluronidase Hydralazine hydrochloride Hydrochloric acid BP and hydrochloric acid, dilute BP Hydrochlorothiazide with metoprolol tartrate tablets Hydrocortisone and its acetate for intra·articular injection Hydrocortisone and hydrocortisone acetate tablets Hydrocortisone and its acetate alone or in combination with other pharmaceutical requirements when extemporaneously prepared as a skin preparation and when supplied in the form of proprietary skin preparations Hydrocortisone and its acetate alone or in combination with other pharmaceutical requirements when extemporaneously prepared as a suppository Hydrocortisone and its salts and esters, alone or in Retail Pharmacy-specialist combination with other pharmaceutical requirements when supplied as eye preparations Hydrocortisone and its salts and esters alone or in combination with other pharmaceutical requirements when supplied as ear, nose, or throat preparations Hydrocortisone with aesculin and cinchocaine hydrochloride ointment and suppositories 1852 Drug Tariff 1990 1990/326

SCHEDULE-continued

LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Hydrocortisone with framycetin sulphate and cinchocaine hydrochloride Hydrocortisone with lignocaine hydrochoride, aluminium subacetate and zinc oxide ointment and suppositories Hydrocortisone with miconazole nitrate cream Hydrocortisone with natamycin and neomycin skin preparations Hydrocortisone with wool fat, hydrous and Only on the prescription of a doctor mineral oil lotion Hydrocortisone acetate foam as an aerosol Hydrocortisone acetate with oxytetracycline hydrochloride ear drops Hydrocortisone butyrate cream, ointment, and lotion Hydrocortisone butyrate with chlorquinaldol cream and ointment Hydrocortisone sodium succinate intravenous Only a practitioner's supply order injection Hydrocortisone sodium succinate tablets 2_5 mg Hydrogen peroxide solution __ Hydroxocobalamin only as an injection Hydroxychloroquine sulphate Hydroxyurea capsules Retail Pharmacy-specialist Hydroxyzine hyarochloride tablets HY'.scine hydrobromide __ Hyoscine hydrobromide single dose eyedrops Only on a practitioner's supply order Hyoscine methobromide Hyoscine N-butylbromide injection and tablets Hyoscyamus tincture BP Hypromellose eye drops Ibuprofen oral mixture and tablets Ichthammol Ichthammol glycerin BPC Ichthammol ointment BP Idoxuridine eye preparations Retail Pharmacy-specialist Idoxuridine skin ointment Idoxuridine topical solution __ Idoxuridine with dimethyl sulphoxide Only if extemporaneously prerared, and not exceeding 10 m per prescription form Imipramine hydrochloride tablets Indapamide tablets Indomethacin capsules, long-acting capsules and Not in topical application suppositories Injections supplied in cartridge vial Only if separately specified in this Part of the Schedule Insulin injection 100 units per ml Insulin biphasic injection 100 units per ml Insulin isophane injection 100 units per ml Insulin isophane with insulin neutral injection 100 units per ml Insulin neutral injection 100 units per ml __ Insulin zinc suspension injection 100 units per ml 1990/326 Drug Tariff 1990 1853

SCHEDULE-continued LIST OF REQ.UIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Insulin zinc suspension amorphous injection 100 units per ml Insulin zinc suspension crystalline injection 100 units per ml Insulin isophane, human, injection lOO units per ml Insulin isophane, human, with insulin neutral, human, injection lOO units per ml Insulin neutral, human, injection lOO units per ml Insulin zinc suspension, human, injection 100 units per ml InsUlin zinc suspension, cystalline, human, injection 100 units per ml Intravenous fluids Only if the requirement is prescribed for renal dialysis, maternity or post natal care in the home of the patient concerned and the order is endorsed accordingly Iodine Not in any proprietary preparation Iodine ointment, non-staining BPC 1968 Iodine paint, compound BPC 1968 Iodine solution, aqueous BP Iodine solution, weak BP Only- (a) On the prescnpaon of a practitioner; or (b) On a practitioner's supply order; or (c) On a bulk supply order Ipecacuanha extract liquid BP Ipecacuanha functive BP Ipratropium bromide aerosol inhaler for oral use, aerosol inhaler for nasal use and nebuliser solution in single dose units Iron carbohydrate complex intra-muscular Approved type injection Iron polymaltose injection __ Isoconazole nitrate skin cream and pessaries Isoniazid Retail Pharmacy-specialist Isoniazid with rifampicin _ _ _ _ Retail Pharmacy-specialist Isoprenaline hydrochloride _ _ _ _ Isopropamide iodide liquid and tablets __ Isopropyl myristate with mineral oil and synthetic Only on the prescription of a doctor pine needle oil bath oil Isosorbide dinitrate tablets and long-acting tablets Isosorbide mononitrate long-acting capsules and lon~-acting tablets Isotretmoin capsules Hospital Pharmacy-dermatologist Kanamycin sulphate (a) Hospital Pharmacy-specialist (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Kaolin, colloidal Kaolin and morphine mixture BP Kaolin, heavy __ 1854 Drug Tariff 1990 1990/326

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Kaolin, light Kaolin mixture BP Kaolin mixture for infants BP Ketoconazole tablets Retail Pharmacy-specialist Ketoconazole cream Ketoprofen capsules, long· acting capsules, suppositiories and tablets Ketotifen oral liquid and tablets (a) Only on a prescription when prescribed for the prophylaxis of asthma (b) Not in combination Labetalol hydrochloride Lactic acid Lactose In combination Lactulose syrup Only on a prescription Lavender oil In combination Lavender oil, spike In combination Lead acetate Lead lotion BPC 1973 Lead lotion, compund BNF 1963 Lead lotion, evaporating BPC 1973 Lead subacetate solution, dilute BPC 1973 Lead subacetate solution, strong BPC 1973 Lemon oil In combination Lemon spirit Lemon syrup BP Levobunolof eye drops Retail Pharmacy-specialist Levodopa Levonorgestrel Lignocaine hydrochloride injection (a) When ordered by a medical practitioner on a practitioner's supply order for ventricular arrhythmias and the order is endorsed accordingly; (b) When ordered for a dialysis patient or a child with rheumatic fever and the order is endorsed accordingly Lincomycin hydrodoride (a) Not in any topical application (b) Antibiotic restriction Liothyronine sodium Liquorice extract BPC Liquorice extract, dry, compound, tablets Approved type Liquorice extract, liquid BP Lisinopril tablets .. Lisuride tablets .. Lithium carbonate capsules, tablets and long· acting tablets Loperamide hydrochoride only as capsules Loprazolam mesylate tablets .. Month restriction Loratadine tablets (a) Not in combination (b) Only on a prescription Lorazepam tablets Month restriction Lormetazepam capsules and tablets Month restriction Loxapine succinate Retail Pharmacy-specialist 1990/326 Drug Tariff 1990 1855

SCHEDULE-continued

LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued

PART II-continued Availability-continued

Requirements Conditions

Lymecycline capsules 150 mg and capsules Antibiotic restriction 300mg Lypressin spray Macrogol aerivatives Macrogol ointment BP Macrogol polymers Magenta paint BPC 1973 Magnesium carbonate, heavy Magnesium carbonate, light In combination Magnesium carbonate mixture BPC Magnesium carbonate mixture, aromatic BP Magnesium carbonate powder, compound BPC Magnesium chloride Magnesium hydroxide mixture BP Only on a prescription Magnesium hydroxide tablets Only when prescribed for a dialysis patient Magnesium oxide, light Magnesium sulphate, dried Magnesium sulphate paste BPC Magnesium trisilicate Magnesium trisilicate mixture BP Magnesium trisilicate with aluminium hydroxide Approved type gel, dried tablets Magnesium trisilicate and belladonna mixture BPC Magnesium trisilicate powder, compound BP Maldison shampoo . . . . Malt extract BPC In combination Malt extract, liquid BPC 1954 In combination Malt extract with cod·liver oil BPC Malt extract with halibut·liver oil BPC 1973 Malt extract with vitamins Maprotiline hydrochloride tablets Retail Phannacy-specialist Mebendazole oral suspension Only on a prescription not exceeding 30 rnl per person Mebendazole tablets Only on a prescription not exceeding 6 tablets per person Mebeverine hydrochloride tablets Retail Pharmacy-specialist Mebhydrolin napadisylate only as tablets Only on a prescription Mecillinam injection Medroxyprogesterone acetate injection Medroxyprogesterone acetate oral suspension Retail Pharmacy-specialist Medroxyprogesterone acetate tablets Medroxyprogesterone acetate tablets exceeding Retail Pharmacy-specialist 5 mg strength Medrysone eye drops Retail Pharmacy-specialist Mefenamic acid capsules Only- (a) On a prescription for a female patient; and (b) If not more than 30 capsules per month are prescribed; and (c) If not more than 3 months supply is prescribed Mefruside tablets 1856 Drug Tariff 1990 1990/326

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LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Megestrol acetate tablets Retail Pharmacy-specialist Melphalan _ _ __ Retail Pharmacy-specialist Menaphthone sodium bisulphate Menthol _ _ __ Menthol and benzoin inhalation BP Menthol and eucalyptus inhalation BP Menthol inhalation BNF 1963 Meprobamate Mercaptopurine Retail Pharmacy-specialist Mercuric iodide, red Mercuric oxide eye ointment Mercurochrome Mercury, ammoniated Mercury, ammoniated, and coal tar ointment BPC Mercury, ammoniated, and coal tar with salicylic acid ointment BPC Mesalazine enema and long-acting tablets Retail Pharmacy-specialist Mesterolone tablets Retail Pharmacy-specialist Metaraminol tartrate Metergoline tablets Metformin hydrochloride Methadone hydrochloride Methadone linctus BPC Methdilazine hydrochloride oral liquid Not in combination Methotrexate Hospital Pharmacy-specialist Methotrexate sodium Hospital Pharmacy-specialist Methotrimeprazine and its salts and esters Methoxsalen Retail Pharmacy-specialist Methydothiazide tablets Methyl hydroxybenzoate Methyicellulose In combination Methyicellulose sterile eye drops Methyldigoxin injection and tablets Methyldopa Methyldopa with hydrochlorothiazide tablets Methylphenidate hydrochloride __ Hospital Pharmacy Methylprednisolone and its salts and esters except Retail Pharmacy-specialist preparations elsewhere listed in this direction Methylprednisolone acetate injection, with or without li!?"ocaine hydrochloride Methylpredmsolone sodium succinate injection Retail Pharmacy-specialist Methysergide dimaleate __ Retail Pharmacy-specialist Metoclopramide suppositories Metociopramide hydrochloride Metociopramide hydrochloride with paracetamol tablets Metoprolol succinate long-acting tablets Metropolol tartrate Metoprolol tartrate long-acting tablets Metronidazole suppositories and tablets Metronidazole, benzoyl, oral suspension Metyrapone capsules Hospital Pharmacy-specialist Mexiletine hydrochloride capsules and long acting capsules Miconazole tincture and oral gel 1990/326 Drug Tariff 1990 1857

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Miconazole nitrate lotion, powder, pessaries, skin cream and vaginal cream Midazolam tablets Month restriction Minocycline hydrochloride capsules 100 mg and Antibiotic restriction tablets 50 mg Misoprostol tablets (a) Retail Pharmacy-specialist (b) Month restriction Moclobemide tablets Retail Pharmacy-specialist Monostearin, self-emulsifYing BPC Morphine hydrochloride Morphine sulphate Morphine sulphate long-acting tablets Morphine tartrate injection Mouth-wash solution tablets BP Mucilaginous laxatives, dry (a) Only on a prescription (b) Approved type Mucopolysaccharide polysulphuric acid ester Not more than 14g per form ointment Mupirocin ointment Only on a prescription, and when prescribed in a quantity not exceeding 15g per form Mustine hydrochloride injection Retail Pharmacy-specialist Nadolol tablets Nalidixic acid Nalorphine hydrobromide Naloxone hydrochloride injection Only on a practitioner's supply order Naphazoline hydrochloride Naphazoline nitrate Naproxen long-acting tablets 750 mg, oral liquid, suppositories, and tablets Naproxen sodium capsules and tablets Natamycin Not in a suspension exceeding 1 percent strength Needles, non-disposable as approved by the (a) Approved type Director-General (b) Diabetic supplies Nefopam hydrochloride injection and tablets Neomycin and its salts as skin preparations Neomycin and its salts as eye drops Neomycin and its salts as eye ointment Neomycin sulphate injection (a) Hospital Pharmacy (b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Neomycin sulphate tablets (a) Hospital Pharmacy (b) Antibiotic restriction Neomycin sulphate, with or without other pharmaceutical requirements, in extemporaneously compounded preparations Neomycin sulphate with polymyxin B sulphate Only on a practitioner's supply order and bacitracin zinc aerosol Neomycin sulphate single dose eye drops Only on a practitioner's supply order Neostigmine bromide _ _ _ _ Neostigmine methylsulphate Niclosarnide tablets 1858 Drug Tariff 1990 1990/326

SCHEDULE-continued

LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOwED-continued PART II-continued Availability-continued

Requirements Conditions

Nicotinamide Only on a prescription not exceeding a strength of 50 mg per dose Nicotinic acid Nicotinyl alcohol long. acting tablets of 150 mg Nifedipine capsules and tablets . . . . Nimorazole tablets ...... Nitrazepam capsules and tablets Month restriction Nitric acid Nitrofurantoin Nitrofurazone cream and ointment Nizatidine capsules Month restnctlon unless on a prescription with a daily dose not exceeding 150mg Norethisterone tablets 0.35 mg Norethisterone tablets 5 mg Norethisterone with mestranol tablets Norethisterone acetate Norethisterone acetate with ethinyloestradiol Norfloxacin tablets . . . . Hospital Pharmacy-specialist Norgestrel with ethinyloestradiol Nortriptyline hydrochloride Nystatin as cream, dusting powder, ointment, oral Not sterile powder drops, oral suspension, paste, pastille,vaginal cream, vaginal pessaries and vaginal tablets Nystatin only proprietory tablets and capsules Maximum of 42 per form Nystatin oral powder Maximum of one pack per month Oestradiol implant tablets .. Oestradiol benzoate injections and nasal preparations Oestradiol transdermal delivery system (a) Retail Pharmacy-specialist (b) Only on a prescription and not exceeding 2 patches per week Oestradiol transdermal delivery systems with (a) Retail Pharmacy-specialist norethisterone tablets (b) Only on a prescription and not exceeding I pack (ID patches) per month Oestradiol valerate tablets Oestradiol valerate tablets and oestradiol valerate with norgestrel tablets Oestrogens, conjugated equine, tablets and vaginal cream Oestrogens, conjugated equine tablets with norgestrel tablets Oestrone pessaries, suppositories, and nasal preparations Ofloxacin tablets Hospital Pharmacy-specialist Oily cream BPC or BP Oleic acid Olive oil Only- (a) On the prescription of a practitioner; or (b) Maternity hospital (c) Not more than IOOml per form Olsalazine sodium capsules Retail Pharmacy-specialist Omeprazole capsules and injection Retail Pharmacy-specialist 1990/326 Drug Tariff 1990 1859

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Opiate squill linctus BP Not in combination Opiate squill linctus for infants BP Not in combination Opium tincture BP Orange spirit, compound BP Orange syrup BP Orange tincture BP Orciprenaline sulphate Orciprenaline sulphate aerosol inhaler Omidazole oral tablets with a pessary Omidazole pessaries, suppositories and tablets Orphenadrine citrate tablets and injection Orphenadrine hydrochloride tablets Ortho-tolidine, compound, diagnostic sticks Approved type Oxazepam tablets Month restriction Oxprenolol hydrochloride Oxprenolol hydrochloride long-acting tablets Oxybutynin chloride syrup and tablets Retail Pharmacy-specialist Oxycodone pectinate suppositories Oxymetazoline hydrochloride eye drops Oxymetazoline hydrochloride nasal preparations Oxymetholone Retail Pharmacy-specialist Oxytetracycline suppositories, extemporaneously prepared Oxytetracycline hydrochloride capsule 250 mg Antibiotic restriction Oxytetracycline hydrochloride topical preparations with or without other pharmaceutical requirements, when extemporaneously prepared Oxytocin Oxytocin with ergometrine maleate injection Pancreatic enzyme preparations (a) Approved type (b) Retail Pharmacy-specialist Pancreatic enzyme preparations Approved type Papaveretum Papaveretum with hyoscine hydrobromide injection Papaverine hydrochloride Paracetamol Except proprietary oral drops Paracetamol elixir for infants BP Paracetamol with codeine phosphate tablets Paraffin, hard Paraffin liquid Only on a prescription Paraffin liquid, light Paraffin liquid, light, as a bath oil Only on the prescription of a doctor Paraffin liquid and phenolphthalein emulsion BP Only on a prescription Paraffin liquid with paraffin white soft eye ointment Paraffin liquid with wool fat liquid eye ointment Paraffin, white, soft Paraffin, yellow, soft Paraffin ointment, BP 1963 Paraldehyde Peak flow meters (a) Approved type (b) Only on a wholesale supply order Peanut oil (a) Only on a prescription 1860 Drug Tariff 1990 1990/326

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Requirements Conditions

(b) Not more than IOOmI per form Penicillamine tablets Retail Pharmacy-specialist Pentaerythritol tetranitrate long-acting tablets and tablets Pentazocine and its salts as an injection and tablets Only on a practitioner's supply order Peppermint emulsion concentrated BP Peppermint oil In combination Peppermint spirit Peppermint water and peppermint water, In combination concentrated Perhexiline maleate tablets Retail Pharmacy-specialist Pericyazine Perphenazine Pethidine hydrochloride Phenelzine sulphate ______Pheniramine maleate long-acting tablets and oral Not in combination li'luid Pheruramine para-aminosalicylate only as tablets Only on a prescription Phenobarbitone Phenobarbitone elixir BP Phenobarbitone sodium Phenol Phenol and hydrogen peroxide gargle NZF 1953 Phenol ear drops BPC _ _ _ _ Phenol gargle BPe Phenol glycerin BP Phenol, liquefied Phenoxybenzamine capsules __ Phenoxymethylpenicillin benzathine (a) Not in any topical application (b) Antibiotic restriction Phenoxymethylpenicillin potassium salt (a) Not in any topical application (b) Antibiotic restriction Phenoxymethylpenicillin hydrabamine (a) Not in any topical application (b) Antibiotic restriction Phentolamine mesylate Phenylephrine hydrochloride Phenylephrine hydrochloride single dose eye Only on a practitioner's supply order drops Phenylephrine hydrochloride with zinc sulphate eye drops Phenylmercuric acetate Phenylmercuric nitrate Phenytoin tablets Phenytoin sodium Phenytoin sodium with phenobarbitone sodium tablets Pholcodine Pholcodine linctus BP Not in combination Pholcodine linctus, strong BP Not in combination Phthalylsulphathiazole Antibiotic restriction Physostigmine salicylate Phytomenadione Pilocarpine eye inserts Retail Pharmacy-specialist Pilocarpine hydrochloride _ _ Pilocarpine nitrate single dose eye drops Only on a practitioner's supply order 1990/326 Drug T arii! 1990 1861

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Requirements Conditions

Pimozide tablets Retail Pharmacy-specialist Pindolol injection and tablets Piperazine citrate elixir BP Piperonyl butoxide with pyrethrins I and II shampoo Pipothiazine palmitate injection Retail Pharmacy-specialist Pirenzepine hydrochloride tablets (a) On a prescription with a daily dose not exceeding 50 mg; or (b) Month restriction Piroxicam only as capsules, injections, suppositories or tablets Pivampicillin and its salts (a) Not in any topical application (b) Antibiotic restriction Pivmecillinam hydrochloride Antibiotic restriction Pizotifen Podophyllin compound paint BP Podophyllotoxin solution Only on a p~escription and when prescribed ill a quantity not exceeding 3.5ml per form Podophyllum resin Polawax Poloxalkol as paediatric oral drops (a) Only on a prescription (b) For oral use only Polymyxin B sulphate For injection only Polymyxin B sulphate proprietary ear drops Polymyxin B sulphate with neomycin sulphate and gramicidin as proprietary eye drops Polymyxin B sulphate with neomycin sulphate as proprietary rowders Polynoxylin ge Polysorbate 80 BP Polyvinyl alcohol eye drops Polyvinyl alcohol with povidone eye drops Potassium acid phosphate Potassium bicarbonate Potassium bicarbonate with sodium acid Retail Pharmacy-specialist phosphate and sodium bicarbonate effervescent tablets Potassium chlorate Not lozenges Potassium chlorate and phenol gargle BPC Potassium chloride Not soluble tablets of 500 mg Potassium chloride long acting tablets Potassium citrate Potassium citrate mixture BP Potassium citrate and belladonna mixture for infants BPC 1959 Potassium citrate and hyoscyamus mixture BPC Potassium citrate mixture for infants BPC 1959 Potassium hydroxide Potassium iodide Potassium iodide ammoniated mixture BPC 1973 Potassium permanganate Potassium with chloride, effervescent tablets 1862 Drug Tariff 1990 1990/326

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Requirements Conditions

Povidone iodine alcoholic skin preparation Only when prescribed in a quantity not exceeding 500ml per month for a dialysis patient Povidone iodine antiseptic solution Only when prescribed in a quantity not exceeding 500ml per month for a dialysis patient Povidone iodine ointment Only on a prescription and not exceeding 100 g per form Prazosin hydrochloride tablets Prednisolone tablets Prednisolone tablets, enteric coated Retail pharmacy-specialist Prednisolone and its salts and esters alone or in Retail Pharmacy-specialist combination with other pharmaceutical requirements as proprietary eye preparations Prednisolone acetate WIth neomycin sulphate and Retail Pharmacy-specialist polymyxin B sulphate proprietary eye drops Prednisolone sodium phosphate for use as an enema Prednisolone sodium phosphate suppositories Prednisone tablets . . . . Pregnancy tests (a) Approved type (b) Only on a wholesale supply order Primaquine phosphate Primidone Probenecid Probucol tablets Retail Pharmacy-specialist Procainamide hydrochloride .. Procainamide hydrochloride long·acting tablets Retail Pharmacy-specialist Procaine penicillin . . . . Procarbazine hydrochloride Hospital Pharmacy-specialist Prochlorperazine, its salts and esters Procyclidine hydrochloride Progesterone .. Proguanil hydrochloride tablets Promethazine hydrochloride injection Promethazine hydrochloride oral liquid and Not in combination tablets Promethazine theoclate Propamidine isethionate ophthalmic solution Propantheline bromide tablets Propranolol hydrochloride injection and long. acting capsules, long.acting tablets and tablets Propyl hydroxybenzoate Propylthiouracil Protamine sulphate injection Protriptyline liydrochloride tablets Pseudoephedrine hydrolchloride oral liquid and Not in combination tablets Pumilio pine oil Pyrantel embonate Pyrazinamide Retail Pharmacy-specialist Pyridostigmine bromide Pyridoxine hydrochloride injection Not exceeding 50 mg per 2 ml each Pyridoxine hydrochloride Only on a prescription not, exceeding a strength of 100 mg per dose 1990/326 Drug Tariff 1990 1863

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Requirements Conditions

Pyrimethamine with sulphadoxine tablets Hospital Pharmacy-specialist Quinalbarbitone sodium Month restriction Q)linidine bisulphate long acting capsules and long-acting tablets Quinidine sulphate Quinine sulphate Ranitidine hydrochloride capsules and tablets (a) Only on a prescription with a daily dose not exceeding 150mg; or (b) Month restriction Ranitidine hydrochloride injection Raspberry syrup In combination Reserpine Resorcinol Resorcinol and sulphur paste BPC Riboflavine Only on a prescription not exceeding a strength of 10 mg per dose Rifampicin Retail Pharmacy-specialist Rimiterol hydrobromide aerosol inhaler Rolitetracycline and its nitrate, with or without lignocaine hydrochloride, for injection Rose bengal single dose eye drops Only on a practitioner's supply order Rose water, and rose water concentrated In combination Rosemary oil In combination Saccharin and saccharin sodium In combination Salbutamol aerosol inhaler Salbutamol sulphate as aerosol inhaler, injection, long-acting tablets, nebulising solution in single dose units, oral liquid, powder for oral inhalation, respirator solution and tablets Salicylic acid Salicylic acid and sulphur ointment BPC Salicylic acid collodion BP Salicylic acid lotion BP Salicylic acid ointment BP Salicylic acid and dithranol paste, strong Salicylic acid and dithranol paste, weak Salicylic acid and mercuric chloride lotion BPC Salicylic acid and sulphur cream BP Saliva substitutes in any form Only on a prescnptlOn when extemporaneously compounded Selegiline hydrochloride tablets Retail Pharmacy-specialist Senna, standardised tablets Only on a prescription Silver nitrate Silver nitrate, toughened BP Silver protein, mild BPC 1968 Silver sulphadiazine with chlorhexidine Only on a practitioner's supply order digluconate cream Simple linctus BP _ . Not in combination Simple linctus for infants BP Not in combination Simple eye ointment BP Simple ointment BP Simple syrup In combination Soap, soft In combination Soap, solution, ethereal Soap solution, compound NZF 1953 1864 Drug Tariff 1990 1990/326

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Soap spirit, industrial In combination Soap spirit, potash, industrial In combination Sodium acid phosphate with sodium phosphate Only on a prescription enema Sodium alginate with sodium bicarbonate oral mixture Sodium aurothiomalate Sodium benzoate Sodium bicarbonate Sodium bicarbonate ear drops BP Sodium bicarbonate mixture for infants BPC 1973 Sodium bicarbonate tablets, compound BP Sodium calciumedetate Sodium carboxymethycellulose In combination Sodium carboxymethycellulose with pectin and gelatin paste and powder Sodium chloride .. Sodium chloride injection Only in quantities of 50 ml or less per unit Sodium chloride single dose eye drops Only on a practitioner's supply order Sodium chloride mixture, compound BPC Sodium chloride mouth wash, compound BP Sodium citrate . . . . Sodium citrate mixture BPC Sodium citrate with sodium lauryl sulphoacetate Only on a prescription and sorbitol enema Sodium citro·tartrate effervescent granules .. Sodium cromoglycate aerosol inhaler for oral use, capsules for oral inhalation, capsules for nasal inhalation, nebuliser solution, nasal drops and nasal spray Sodium cromoglycate capsules Hospital Pharmacy-specialist Sodium cromoglycate eye drops and eye ointment Hospital Pharmacy Sodium cromoglycate nebuliser solution, nasal spray and nasal drops SodIUm cyclamate In combination Sodium fluoride Sodium hydroxide Sodium hypochlorite solution Only if- (a) Of a type approved by the Director· General for the purposes of this direction; and (b) Prescribed for renal dialysis in the home of the patient concerned Sodium iodide Sodium lauryl sulphate Sodium metabisulphite Sodium nitroprusside, buffered, diagnostic strips (a) Not available on a bulk supply order (b) Approved type Sodium nitroprusside with aminoacetic acid (a) Not available on a bulk supply order diagnostic tablets (b) Approved type Sodium folyhydroxyaluminium monocarbonate hexito complex tablets Sodium polystyrene sulphonate Retail Pharmacy-specialist Sodium salicylate 1990/326 Drug Tariff 1990 1865

SCHEDULE-continued LIST OF REQUIREMENTS FOR WHICH PAYMENT IS ALLOWED OR CONDITIONALLY ALLOWED-continued PART II-continued Availability-continued

Requirements Conditions

Sodium polystyrene sulphonate Retail Pharmacy-specialist Sodium salicylate Sodium salicylate mixture BP Sodium salicylate mixture, strong BP Sodium tetradecyl sulphate injection Sodium thiosulphate . . . . Sodium valproate Sorbitan derivatives Sotalol hydrochloride injection and tablets Soyabean oil (a) Only on the prescription of a practitioner (b) Not more than 100ml per form Spectinomycin hydrochloride Retail Pharmacy-specialist Spiramycin .. Spirit, bay, compound, industrial In combination Spironolactone tablets Starch In combination Stearic acid Stilboestrol Stilboestrol diphosphate Retail Pharmacy-specialist Streptokinase and streptodornase Not oral tablets Streptomycin sulphate Not in any skin preparation Sucralfate tablets (a) Only on the prescription of a practitioner (b) Month restriction Sugar .. In combination Sulindac tablets Sulphacetamide sodium Sulphacetamide sodium single dose eye drops Only on a practitioner's supply order Sulphadiazine sodium only as an injection Sulphamethizole Antibiotic restriction Sulphasalazine enema Retail Pharmacy-specialist Sulphasalazine suppositories and tablets Sulphinpyrazone .. Sulphur lotion, compound BPC Sulphur, precipitated .. Sulphur, sublime Sulphur with phenol and titanium dioxide cream Sulphurated potash Sulthiame Sunscreen preparations, proprietary (a) Approved type (b) Retail Pharmacy-specialist Syringes, non.disposable (a) Approved type (b) Diabetic supplies Syringes, plastic for insulin, with attached needle (a) Approved type (b) Diabetic syringes Talc, purified .. Talc dusting powder BP Tamoxifen citrate Tannic acid glycerin BPC 1973 Tar Tar, compound, bath oils (a) Approved type (b) Only on the prescription of a doctor Tartaric acid Temazepam capsules Month restriction 1866 Drug Tariff 1990 1990/326

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Requirements Conditions

Tenoxicam injection, suppositories and tablets Terazosin hydrochloride tablets .. Terbutaline sulphate aerosol inhaler, injection, oral liquid, powder for oral inhalation, respiratory solution, tablets and long·acting tablets Terfenadine oral liquid and tablets Not in combination Testosterone enanthate ointment Retail Pharmacy-specialist Testosterone propionate ointment Retail Pharmacy-specialist Tetrabenazine Tetrabromophenol blue diagnostic sticks .. Approved type Tetracosactrin injection and long.acting injection Tetracycline suppositories, extemporaneously prepared Tetracycline hydrochloride capsules 250 mg and Antibiotic restriction capsules 500 mg Tetracycline hydrochloride eye ointment Tetracycline hydrochloride tablets 250 mg and Antibiotic restriction tablets 500 mg Tetracycline hydrochloride topical preparations with or without other pharmaceutical requirements when extemporaneously prepared Tetracycline hydrochloride, phosphate buffered, Antibiotic restriction capsules 250 mg Theobroma oil Theophylline Theophylline long·acting capsules and long·acting tablets Thiamine hydrochloride Only on a prescription not exceeding a strength of 50 mg per dose Thiethylperazine maleate Thioguanine tablets Hospital Pharmacy-specialist Thiomersal Thiopropazate hydrochloride tablets Thioridazine hydrochloride Thioridazine hydrochloride long acting tablets Thiotepa Retail Pharmacy-specialist Thiothixene tablets 2 mg and 10 mg Thiothixene oral solution Retail Pharmacy-specialist Thiothixene hydrochloride injection Thymol Thymol glycerin, compound BP Thyroxine sodium .. Tiaprofenic acid tablets and long. acting capsules Tiemonium iodide injection and tablets .. Timolol maleate eye drops .. Retail Pharmacy-specialist Timolol maleate injection and tablets Tinidazole tablets Tioconazole skin cream, skin lotion, vaginal ointment and pessaries Titanium dioxide Titanium dioxide paste BP .. Tobramycin eye drops and eye ointment Retail Pharmacy-specialist Tobramycin sulphate injection .. (a) Hospital Pharmacy 1990/326 Drug Tariff 1990 1867

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Requirements Conditions

(b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Tocainide hydrochloride injection and tablets Retail Pharmacy-specialist Tolazamide tablets Tolbutamide Tolciclate cream, lotion and powder Tolnaftate cream, powder and solution Tragacanth In combination Tragacanth, powder, compound BP In combination Tragacanth mucilage BPC 1973 In combination Tranexamic acid tablets Hospital Pharmacy-specialist Tranylcypromine sulphate Tretinoin Not impregnated swabs Triacetyloleandomycin (a) Not in any topical application (b) Antibiotic restriction Triamcinolone tablets Retail Pharmacy-specialist Triamcinolone acetonide as injection, proprietary cream and ointment Triamcinolone acetonide with nystatin and lignocaine hydrochloride ointment and suppositories Triamcinolone acetonide with nystatin, neomycin sulphate and gramicidin proprietary skin cream and proprietary skin ointment and ear drops Triamcinolone hexacetonide injection Triamterene Triamterene with hydrochlorothiazide Triazolam tablets of 0.125 mg and 0.25 mg Month restriction Trichloroacetic acid Trichloroethylene (a) Not exceeding 25 ml (b) Not on a practitioner's supply order or a bulk supply order Triethanolamine Trifluoperazine hydrochloride IDJection, tablets, long acting capsuJes and syrup Trimeprazine tartrate oral liquid and tablets Not in combination Trimetaphan camsylate Only on a practitioner's supply order Trimethoprim tablets Antibiotic restriction Trimipramine maleate Trioxsalen tablets RetaiJ Pharmacy-specialist Tripotassium dicitratobismuthate, tablets Month restriction Triprolidine hydrochloride long·acting tablets and Not in combination oral liquid Tropicamide eye drops Tropicamide single dose eye drops Only on a practitioner's supply order Tyloxapol eye drops Undecenoic acid Urea Not in any proprietary preparation unless it is separately specified in this Part of the Schedule Urea 10 percent proprietary cream Vancomycin hydrochloride (a) Hospital Pharmacy 1868 Drug Tariff 1990 1990/326

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Requirements Conditions

(b) Only if prescribed for a dialysis patient or a cystic fibrosis patient, and the prescription is endorsed accordingly Vanillin In combination Vasopressin and its salts and esters as an injection Verapamil hydrochloride long. acting capsules, long·acting tablets, injection and tablets Vidarabine eye ointment . . . . Retail Pharmacy-specialist Vinblastine sulphate Retail Pharmacy-specialist Vincristine sulphate Retail Pharmacy-specialist Vitamin A capsules of 50,000 i.u. strength Vitamin A tablets of 50,000 i.u. strength Vitamin A solution, concentrated BPe Vitamin A acetate tablets Vitamin A palmitate extemporaneously prepared Retail Pharmacy-specialist ear drops Vitamin A and D capsules BPe Vitamins A, D, and e solution Vitamin B complex injection (a) Approved type (b) OIlly on a bulk supply order Vitamin B tablets, compound BPC Vitamin B tablets, compound, strong BPC Vitamins tablets (BPC capsule strength) Warfarin sodium Water for injections (a) In quantities of 50 ml or less per unit, only when prescribed on the same prescription form or practitioner's supply order as mjections mentioned in this direction and requiring a solvent or diluent, or on a bulk supply order (b) When used in the extemporaneous compounding of eye drops Wild cherry syrup BP Wool alcohols BP Wool alcohols ointment BP Wool fat BP Wool fat, hydrous BP Wool fat, hydrous, with mineral oil bath oil and Only on the prescription of a doctor lotion Wool fat ointment, hydrous BPe Xamoterol fumarate tablets Hospital Pharmacy-specialist Xylometazoline hydrochloride nasal preparations Zinc chloride ...... Zinc oxide Zinc oxide, colloidal Zinc and castor oil ointment BP Zinc and coal tar paste BP Zinc and ichthammol cream BP Zinc and salicyclic acid paste BP Zinc cream BP Zinc gelatin BPe 1968 Zinc ointment BP 1990/326 Drug Tariff 1990 1869

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Requirements Conditions

Zinc paste, compound BP .. Zinc, starch, and talc dusting powder BPC Zinc sulphate . . . . Zinc sulphate and adrenaline eye drops, BP Zinc sulphate lotion BP .. Zinc sulphide lotion BPC 1973 Zinc undecenoate Zinc undecenoate dusting powder BPC Zinc undecenoate ointment BPC .. Zopiclone tablets Month restriction

Dated at Wellington this 26th day of October 1990.

H. E. CLARK, Minister of Health. 1870 Drug Tariff 1990 1990/326

EXPLANATORY NOTE This note is not part of the direction, but is intended to indicate its general effect. This direction, which comes into force on I December 1990, sets out the drugs, medicines, and materials that may be supplied at the cost of the Department of Health by pharmacists and others who have contracted to supply them under the Social Security (Pharmaceutical Benefits) Regulations 1965. It also sets out the terms and conditions of supply, the procedure for the lodging and payment of claims by contractors, and the rules for fixing the prices payable to contractors. The Schedule to the Tariff specifies the materials and classes of material that are allowed or conditionally allowed at the cost of the Department of Health. Some trade names of the drugs that were not included in any previous Drug Tariff are- Trade Name OffiCial Name Aurorix Tablets (Retail Pharmacy- Moclobemide tablets specialist) Ceiestone Chronodose injection Betamethasone sodium phosphate with betamethasone acetate injection Doloproct suppositories Fluocortolone pivalate with lidocaine hydrochloride suppositories Doloproct cream Fluocortolane pivalate with lidocaine and chlorquinaldol cream Eldepryl tablets (Retail Pharmacy-specialist) Seiegiline hydrochloride tablets Losec (Retail Pharmacy-specialist) .. Omeprazole capsules and injection Nizoral cream Ketoconazole cream Prozac capsules (Retail Pharmacy-specialist) Fluoxetine hydrochloride capsules Ranix capsules Ranitidine capsules Tears Plus Polyvinyl alchohol with povidone eyedrops Xanax tablets (Retail Pharmacy-specialist) Alprazolam tablets

Issued under the authority of the Acts and Regulations Publication Act 1989. Date of notification in Gautte: I November 1990. This direction is administered in the Department of Health.