ICON FORMULARY LIST 2012
icon formulary list 2012 quarter 1 - Spectramed Medical Scheme
icon formulary list 2012 quarter 1 - Spectramed Medical Scheme
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QUARTER 1<br />
<strong>ICON</strong> <strong>FORMULARY</strong> <strong>LIST</strong> <strong>2012</strong><br />
TREATMENT GENERIC NAME NAPPI CODE NAPPI DESCRIPTION MANUFACTURER TYPE<br />
PACLITAXEL 716180001 CIPLA-PACLITAXEL 300MG/50ML INJ CIPLA-MEDPRO PHARMACEUTICALS STANDARD<br />
PACLITAXEL<br />
PEGYLATED DOXORUBICIN 867411007 CAELYX 20MG 10ML VIA MSD ENHANCED<br />
PEGYLATED DOXORUBICIN 899468001 CAELYX 2MG/ML 25ML INJ JANSSEN PHARMACEUTICALS ENHANCED<br />
PEGYLATED DOXORUBICIN<br />
PEMETREXED 705833001 ALIMTA 500MG ELI-LILLY SA (PTY) LTD STANDARD<br />
PEMETREXED<br />
PREDNISONE 703603003 PULMISON ORAL 5MG/ML 50ML SOL INGELHEIM PHARMACEUTICALS STANDARD<br />
PREDNISONE 752304119 PANAFCORT 5MG TAB ADCOCK GENERICS STANDARD<br />
PREDNISONE 788783009 PREDNISONE BE-TABS 5MG TAB RANBAXY - BE-TABS STANDARD<br />
PREDNISONE 818267038 TROLIC 5MG TAB GULF DRUG COMPANY STANDARD<br />
PREDNISONE 836826019 PULMISON 20MG TAB INGELHEIM PHARMACEUTICALS STANDARD<br />
PREDNISONE 742759008 METICORTEN 50MG TAB MSD STANDARD<br />
PREDNISONE<br />
PROCARBAZINE 746037007 PROCARBAZINE YUGOSUN MEDICAL STANDARD<br />
PROCARBAZINE<br />
RETINOIC ACID 820008001 VESANOID 10MG CAP ROCHE PRODUCTS STANDARD<br />
RETINOIC ACID<br />
RITUXIMAB 853224005 MABTHERA 10MG/ML 10ML INF ROCHE PRODUCTS ENHANCED<br />
RITUXIMAB 853232008 MABTHERA 10MG/ML 50ML INF ROCHE PRODUCTS ENHANCED<br />
RITUXIMAB<br />
SORAFENIB 708482002 NEXAVAR 200 MG TAB BAYER SCHERING PHARMA ENHANCED<br />
SORAFENIB<br />
SUNITINIB MALATE 710179001 SUTENT 12.5MG TAB PFIZER LABORATORIES ENHANCED<br />
SUNITINIB MALATE 710181001 SUTENT 25MG TAB PFIZER LABORATORIES ENHANCED<br />
SUNITINIB MALATE 710182001 SUTENT 50MG TAB PFIZER LABORATORIES ENHANCED<br />
SUNITINIB MALATE<br />
KEY<br />
Standard<br />
Enhanced Scheme rules apply / May need special motivation<br />
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