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SCLERODERMA - Bestmed

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Benefits are subject to the following:<br />

Pre-authorisation<br />

<strong>Bestmed</strong> guidelines<br />

<strong>Bestmed</strong> protocols<br />

Mediscor Reference Price (MRP)<br />

The MRP sets a maximum price for a generic medicine product, of which the cost is normally lower than that of the original<br />

or ethical product. This means that, should you choose to use the original medicine product and a generic alternative for the<br />

product is available, you will be responsible for paying the difference between the price of the chosen original medicine<br />

product and that of the MRP.<br />

This formulary is effective from 1 January 2013.<br />

This formulary is subject to change without notice.<br />

<strong>SCLERODERMA</strong><br />

MEDICINE NAME<br />

Pace4<br />

MEDICINE NAME<br />

A BETNOVATE HALF STR CREAM<br />

ADCO-BETAMETHASONE CR YES<br />

BETNOVATE SC SCALP APPLIC<br />

ADCO-DICLOFENAC 50MG TAB YES<br />

BIOCORT CREAM<br />

ADCO-DICLOFENAC 100MG CAP YES<br />

BIO-NIFEDIPINE 10MG<br />

ADCO-DICLOFENAC 25MG TAB YES<br />

BRUFEN 200MG TAB<br />

ADCO-IBUPROFEN 400MG TAB YES<br />

BRUFEN 400MG TAB<br />

ADCO-INDOMETHACIN 25 CAP YES<br />

BRUFEN 600MG TAB<br />

AFLAMIN 25MG CAP YES<br />

BRUFEN PAED SUSP<br />

AHA FOLIC ACID 5MG TAB YES C<br />

A-LENNON DICLOFENAC 25MG YES<br />

CAPACE 25MG TAB<br />

A-LENNON DICLOFENAC 50MG YES<br />

CAPOTEN 25MG TAB<br />

AMDOCIN 25MG YES<br />

CARDIFEN TM 10MG CAP<br />

ARTHREXIN 25MG CAP YES<br />

CATAFLAM D 50MG DISP TAB<br />

ASPIRIN 300MG TAB YES<br />

CORTODERM CREAM<br />

AUSTELL-LISINOPRIL 20MG YES<br />

CORTODERM OINT<br />

B D<br />

BAYER ASPIRIN TAB<br />

BECLATE CREAM<br />

BE-TABS ASPIRIN 300MG TAB<br />

BE-TABS FOLIC ACID 5MG<br />

BE-TABS PREDNISONE 5MG TAB<br />

BETACIN 25MG CAP<br />

BETAPROFEN 200MG TAB<br />

BETAPROFEN 400 FC<br />

BETNOVATE 0.1GM/100GM LOT<br />

BETNOVATE 1MG/GM CREAM<br />

BETNOVATE 1MG/GM OINT<br />

DIPROSALIC OINT<br />

DISPRIN<br />

DISPRIN CV 300MG DISP<br />

DOVATE 0.5MG/GM CREAM<br />

DOVATE 0.5MG/GM OINT<br />

YES<br />

DERMOVATE CREAM<br />

YES<br />

DERMOVATE OINTMENT<br />

YES<br />

DERMOVATE SCALP LOT<br />

YES<br />

DICLOFLAM 50MG DISPERS TA<br />

YES<br />

DICLOFLAM BLACKCURRANT<br />

YES<br />

DICLOHEXAL 25MG<br />

YES<br />

DICLOHEXAL 50MG<br />

YES<br />

DIFEN SR 100MG<br />

YES<br />

DILUCORT CREAM<br />

YES<br />

DILUCORT OINT<br />

YES<br />

DIPROSALIC LOT<br />

YES P<br />

1<br />

Pace4<br />

YES PAINIL 200MG TAB YES<br />

YES PANAFCORT 5MG TAB YES<br />

YES PANAMOR 25MG TAB YES<br />

YES PANAMOR AT 50MG TAB YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES


DYNOFEN 200MG TAB<br />

E<br />

EMTHEXATE 2.5MG TAB<br />

F<br />

FAMETACIN 25MG CAP<br />

FLAMECID 25MG CAP<br />

FOLIC ACID 5MG<br />

FORTFEN SR 100MG CAP<br />

G<br />

GULF ASPIRIN<br />

GULF INDOMETHACIN 25MG<br />

I<br />

IBOFLAM 200MG TAB<br />

IBU 200MG TAB<br />

IBUMED 200MG TAB<br />

IBUNATE 200MG<br />

INZA 200MG TAB<br />

INZA 400MG TAB<br />

L<br />

LENAFEN 200MG<br />

LENOVATE 0.1% CREAM<br />

LENOVATE 0.1% OINT<br />

LOCATOP 0.1% CREAM<br />

LOCOID 1MG/ML LOT<br />

M<br />

MEDIFLEX 25MG CAP<br />

MERCK-DICLOF 50MG TAB<br />

MERCK-DICLOFENAC 25MG TAB<br />

METHOCAPS 25MG<br />

METHOTREXATE 2.5MG TAB<br />

MYLOCORT 1GM/100GM CREAM<br />

MYLOCORT 1GM/100GM OINT<br />

N<br />

NIFEDALAT 10MG CAP<br />

NISAID 25MG CAP<br />

NUROFEN CAPLETS 200MG CAP<br />

NUROFEN EXTRA STRENGTH<br />

NUROFEN TAB<br />

YES PANAMOR SR 100MG TAB YES<br />

PANAMOR SR 75MG TAB YES<br />

YES PERSIVATE CREAM YES<br />

PERSIVATE OINT YES<br />

YES PROCUTAN CREAM YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

R<br />

RANFEN 200MG TAB<br />

RANFEN 400MG TAB<br />

RENITEC 10MG TAB<br />

RENITEC 20MG TAB<br />

RENITEC 5MG TAB<br />

REPIVATE CREAM<br />

S<br />

SALAZOPYRIN 500MG TAB<br />

SALAZOPYRIN-EN 500MG<br />

SANDOZ DICLOFENAC 100SR<br />

SANDOZ DICLOFENAC 25<br />

SANDOZ DICLOFENAC 50MG<br />

SANDOZ IBUPROFEN 200MG<br />

SANDOZ IBUPROFEN 400MG<br />

SANDOZ IBUPROFEN 600MG<br />

SANDOZ INDOMETHACIN 25MG<br />

SANDOZ NIFEDIPINE 10MG<br />

SKINCALM CREAM<br />

SOLUSPIRIN 300MG<br />

SYNALAR .25MG/GM CREAM<br />

SYNALAR .25MG/GM OINT<br />

T<br />

TOPIVATE 1MG/GM CREAM<br />

TROLIC 5MG TAB<br />

V<br />

VARI-BETAMETHASONE CR<br />

VARI-HYDROCORTISONE<br />

VELTEX 100MG CAP<br />

VELTEX 75MG CAP<br />

VOLTAREN 25MG TBEC<br />

VOLTAREN 75MG TBCR<br />

VOLTAREN GT 50MG TBEC<br />

VOLTAREN SR 100MG TBCR<br />

X<br />

XENOVATE CREAM<br />

2<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES<br />

YES

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