Part I Drugs And Preparations With Tariff Prices Part I Drugs And Preparations With Tariff Prices Special Container Item requiring reconstitution § Selected List Scheme (SLS) I Indicates an amendment Indicates price increase Indicates price decrease Category A Drugs which are readily available. Category C Drugs which are not readily available as a generic. Category M Drugs which are readily available. February 2013 1 Part I Drugs And Preparations With Tariff Prices Drug Quantity Basic Category Price Acacia spray dried powder 250 g 1524 C J M Loveridge Ltd Acamprosate 333mg gastro-resistant tablets 168 2880 C Campral EC Acarbose 100mg tablets 90 1287 A Acarbose 50mg tablets 90 700 A Acebutolol 100mg capsules 84 1497 C Sectral Acebutolol 200mg capsules 56 1918 C Sectral Acebutolol 400mg tablets 28 1792 A Aceclofenac 100mg tablets 60 941 A Acemetacin 60mg capsules 90 2820 C Emflex Acenocoumarol 1mg tablets 100 462 C Sinthrome Acetazolamide 250mg modified-release 30 1666 C Diamox SR capsules Acetazolamide 250mg tablets 112 2397 A Acetic acid 2% ear spray 5 ml 410 C EarCalm Acetic acid 33% liquid 500 ml 524 C Alliance Healthcare (Distribution) Ltd Acetone liquid 50 ml 66 A Aciclovir 200mg dispersible tablets 25 258 M Aciclovir 200mg tablets 25 270 M Aciclovir 200mg/5ml oral suspension sugar 125 ml 2927 A free Aciclovir 3% eye ointment 4.5 g 934 C Zovirax Aciclovir 400mg dispersible tablets 56 1164 A Aciclovir 400mg tablets 56 512 M Aciclovir 400mg/5ml oral suspension sugar 100 ml 3177 A free Aciclovir 5% cream 2 g 102 M 10 g 510 M Aciclovir 800mg dispersible tablets 35 1035 A Aciclovir 800mg tablets 35 600 M Acipimox 250mg capsules 90 4633 C Olbetam Adapalene 0.1% cream 45 g 1369 C Differin Adapalene 0.1% gel 45 g 1369 C Differin Adrenaline (base) 1mg/1ml (1 in 1,000) 10 406 A solution for injection ampoules Adrenaline (base) 500micrograms/0.5ml (1 in 10 1153 A 1,000) solution for injection ampoules Agomelatine 25mg tablets 28 3000 C Valdoxan Alclometasone 0.05% cream 50 g 268 C Modrasone Alendronic acid 10mg tablets 28 144 M Alendronic acid 70mg / Colecalciferol 4 2280 C Fosavance 70microgram tablets Alendronic acid 70mg tablets 4 79 M Alendronic acid 70mg/100ml oral solution unit 4 2280 C Rosemont dose sugar free Pharmaceuticals Ltd Alfacalcidol 1microgram capsules 30 921 M Alfacalcidol 250nanogram capsules 30 372 M Alfacalcidol 2micrograms/ml oral drops sugar 10 ml 2130 C One-Alpha free Alfacalcidol 500nanogram capsules 30 927 A Alfuzosin 10mg modified-release tablets 30 1251 C Alfuzosin 2.5mg tablets 60 670 M Alimemazine 10mg tablets 28 627 A Alimemazine 30mg/5ml oral solution 100 ml 4188 A Alimemazine 7.5mg/5ml oral solution 100 ml 1436 A Aliskiren 150mg tablets 28 2376 C Rasilez Aliskiren 300mg tablets 28 2856 C Rasilez Allopurinol 100mg tablets 28 100 M Allopurinol 300mg tablets 28 106 M Almond oil liquid 50 ml 69 C Thornton & Ross Ltd Almotriptan 12.5mg tablets 6 1814 C Almogran Alprostadil 10microgram powder and solvent 1 924 C Caverject for solution for injection vials February 2013 2 Part I Drugs And Preparations With Tariff Prices Alprostadil 1mg urethral sticks 1 1156 C Muse Alprostadil 20microgram powder and solvent 1 1194 C Caverject for solution for injection vials Alprostadil 250microgram urethral sticks 1 1130 C Muse Alprostadil 40microgram powder and solvent 1 2158 C Caverject for solution for injection vials Alprostadil 500microgram urethral sticks 1 1130 C Muse Alprostadil 5microgram powder and solvent for 1 773 C Caverject solution for injection vials Alum powder 500 g 487 C Alliance Healthcare (Distribution) Ltd Aluminium hydroxide 475mg capsules 120 914 C Alu-Cap Alverine 120mg capsules 60 1362 A Alverine 60mg capsules 100 1133 A Amantadine 100mg capsules 56 990 C Symmetrel Amantadine 50mg/5ml oral solution sugar free 150 ml 533 C Symmetrel Syrup Amiloride 2.5mg / Cyclopenthiazide 28 324 C Navispare 250microgram tablets Amiloride 5mg / Bumetanide 1mg tablets 28 3099 A Amiloride 5mg tablets 28 98 M Aminophylline 250mg/10ml solution for 10 654 A injection ampoules Amiodarone 100mg tablets 28 150 M Amiodarone 200mg tablets 28 201 M Amisulpride 100mg tablets 60 657 M Amisulpride 100mg/ml oral solution sugar free 60 ml 3309 A Amisulpride 200mg tablets 60 1030 M Amisulpride 400mg tablets 60 8122 A Amisulpride 50mg tablets 60 388 M Amitriptyline 10mg tablets 28 73 M Amitriptyline 25mg tablets 28 74 M Amitriptyline 25mg/5ml oral solution sugar free 150 ml 1722 A Amitriptyline 50mg tablets 28 82 M Amitriptyline 50mg/5ml oral solution sugar free 150 ml 1833 A Amlodipine 10mg / Valsartan 160mg tablets 28 2209 C Exforge Amlodipine 10mg tablets 28 94 M Amlodipine 5mg / Valsartan 160mg tablets 28 2209 C Exforge Amlodipine 5mg / Valsartan 80mg tablets 28 1676 C Exforge Amlodipine 5mg tablets 28 87 M Ammonia and Ipecacuanha mixture 200 ml 129 C Thornton & Ross Ltd Ammonia solution aromatic 500 ml 809 C J M Loveridge Ltd Ammonium bicarbonate powder 500 g 364 C J M Loveridge Ltd Amorolfine 5% medicated nail lacquer 5 ml 1135 C Loceryl Lacquer Amoxicillin 125mg/1.25ml oral suspension 20 ml 318 C Amoxil paediatric Amoxicillin 125mg/5ml oral suspension 100 ml 106 M Amoxicillin 125mg/5ml oral suspension sugar 100 ml 115 M free Amoxicillin 1g powder for solution for injection 10 1096 C Amoxil vials Amoxicillin 250mg capsules 15 88 M 21 123 M Amoxicillin 250mg/5ml oral suspension 100 ml 120 M Amoxicillin 250mg/5ml oral suspension sugar 100 ml 142 M free Amoxicillin 3g oral powder sachets sugar free 2 919 A Amoxicillin 500mg capsules 15 106 M 21 148 M Amoxicillin 500mg powder for solution for 10 548 C Amoxil injection vials Ampicillin 125mg/5ml oral suspension 100 ml 788 A Ampicillin 250mg capsules 28 513 A Ampicillin 250mg/5ml oral suspension 100 ml 1184 A Ampicillin 500mg capsules 28 2312 A Anastrozole 1mg tablets 28 194 M February 2013 3 Part I Drugs And Preparations With Tariff Prices Anise oil liquid 100 ml 929 C J M Loveridge Ltd Anise water concentrated 100 ml 1037 A Antazoline 0.5% / Xylometazoline 0.05% eye 10 ml 235 C Otrivine-Antistin drops Apraclonidine 5mg/ml eye drops 5 ml 1088 C Iopidine Aqueous cream 100 g 104 M 500 g 520 M Arachis oil liquid 200 ml 329 A Aripiprazole 10mg tablets 28 9604 C Abilify Aripiprazole 15mg tablets 28 9604 C Abilify Aripiprazole 30mg tablets 28 19208 C Abilify Aripiprazole 5mg tablets 28 9604 C Abilify Ascorbic acid 100mg tablets 28 103 A Ascorbic acid 200mg tablets 28 123 A Ascorbic acid 500mg tablets 28 251 A Ascorbic acid 50mg tablets 28 127 A Ascorbic acid powder 100 g 449 A Asenapine 10mg sublingual tablets sugar free 60 10260 C Sycrest Asenapine 5mg sublingual tablets sugar free 60 10260 C Sycrest Aspirin 300mg dispersible tablets 32 128 M 100 400 M Aspirin 300mg gastro-resistant tablets 100 1189 A Aspirin 300mg tablets 32 223 A Aspirin 75mg dispersible tablets 28 69 M 100 246 M Aspirin 75mg gastro-resistant tablets 28 77 M Aspirin 75mg tablets 28 82 C Alissa Healthcare Research Ltd Aspirin 900mg / Metoclopramide 10mg oral 6 661 C Migramax powder sachets sugar free Aspirin powder 250 g 774 C J M Loveridge Ltd Atenolol 100mg tablets 28 77 M Atenolol 25mg tablets 28 71 M Atenolol 25mg/5ml oral solution sugar free 300 ml 603 A Atenolol 50mg tablets 28 72 M Atomoxetine 10mg capsules 28 6246 C Strattera Atomoxetine 18mg capsules 28 6246 C Strattera Atomoxetine 25mg capsules 28 6246 C Strattera Atomoxetine 40mg capsules 28 6246 C Strattera Atomoxetine 60mg capsules 28 6246 C Strattera Atorvastatin 10mg chewable tablets sugar free 30 1380 C Lipitor Atorvastatin 10mg tablets 28 130 M Atorvastatin 20mg chewable tablets sugar free 30 2640 C Lipitor Atorvastatin 20mg tablets 28 176 M Atorvastatin 40mg tablets 28 199 M Atorvastatin 80mg tablets 28 373 M Atropine 1% eye drops 10 ml 950 C Martindale Pharmaceuticals Ltd Atropine 1% eye drops 0.5ml unit dose 20 1377 C Minims preservative free Atropine 600microgram tablets 28 2380 A Atropine 600micrograms/1ml solution for 10 432 A injection ampoules Azathioprine 25mg tablets 28 441 M Azathioprine 50mg tablets 56 436 M Azelaic acid 15% gel 30 g 748 C Finacea Azelaic acid 20% cream 30 g 374 C Skinoren Azelastine 140micrograms/dose nasal spray 22 ml 1048 C Rhinolast Azilsartan medoxomil 20mg tablets 28 1680 C Edarbi Azilsartan medoxomil 40mg tablets 28 1680 C Edarbi Azilsartan medoxomil 80mg tablets 28 1995 C Edarbi Azithromycin 15mg/g eye drops 0.25g unit 6 699 C Azyter dose preservative free Azithromycin 200mg/5ml oral suspension 15 ml 406 C Zithromax 22.5 ml 610 C Zithromax February 2013 4 Part I Drugs And Preparations With Tariff Prices 30 ml 1104 C Zithromax Azithromycin 250mg capsules 6 1394 A Azithromycin 250mg tablets 4 339 M Azithromycin 500mg tablets 3 234 M Drug Quantity Basic Category Price Baclofen 10mg tablets 84 188 M Baclofen 5mg/5ml oral solution sugar free 300 ml 601 M Balsalazide 750mg capsules 130 3042 C Colazide Bambuterol 10mg tablets 28 1446 C Bambec Bambuterol 20mg tablets 28 1577 C Bambec Beclometasone 100micrograms/dose / 120 dose 2932 C Fostair Formoterol 6micrograms/dose inhaler CFC free Beclometasone 100micrograms/dose breath 200 dose 1721 C Qvar Autohaler actuated inhaler CFC free Beclometasone 250micrograms/dose dry powder 100 dose 1231 C Asmabec 250 inhaler Clickhaler Beclometasone 50micrograms/dose breath 200 dose 787 C Qvar Autohaler actuated inhaler CFC free Beclometasone 50micrograms/dose nasal spray 200 dose 235 M Beeswax white solid 500 g 580 C J M Loveridge Ltd Beeswax yellow solid 500 g 580 C J M Loveridge Ltd Bendroflumethiazide 2.5mg / Potassium chloride 100 899 C Neo-Naclex-K 630mg (potassium 8.4mmol)