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 />
FOLINIC ACID 846627019 ISOVORIN RTU 25MG INJ WYETH S A (PTY) LTD STANDARD<br />
FOLINIC ACID 788511009 RESCUVOLIN 50MG/VIAL INJ TEVA PHARMACHEMIE STANDARD<br />
FOLINIC ACID 846635003 ISOVORIN RTU 175MG INJ WYETH S A (PTY) LTD STANDARD<br />
FOLINIC ACID<br />
FULVESTRANT 707442001 FASLODEX 250MG INJ PREFILL ASTRAZENECA ENHANCED<br />
FULVESTRANT<br />
GEMCITABINE 715323001 CYTIGEM 1G/50ML EUROLAB STANDARD<br />
GEMCITABINE 715322001 CYTIGEM 200MG/10ML EUROLAB STANDARD<br />
GEMCITABINE 713874001 ACCORD GEMCITABINE 200MG/10ML MYLAN STANDARD<br />
GEMCITABINE 715251001 GEMTAZ 200MG/5ML INJ PHARMAPLAN STANDARD<br />
GEMCITABINE 815799004 GEMZAR 200MG INJ ELI-LILLY SA (PTY) LTD STANDARD<br />
GEMCITABINE 713873001 ACCORD GEMCITABINE 1G/50ML MYLAN STANDARD<br />
GEMCITABINE 715252001 GEMTAZ 1G/25ML INJ PHARMAPLAN STANDARD<br />
GEMCITABINE 815802005 GEMZAR 1G INJ ELI-LILLY SA (PTY) LTD STANDARD<br />
GEMCITABINE<br />
GOSERELIN 781215005 ZOLADEX DEPOT 3.6MG INJ ASTRAZENECA STANDARD<br />
GOSERELIN 834270005 ZOLADEX DEPOT 10.8MG INJ ASTRAZENECA STANDARD<br />
GOSERELIN<br />
HYDROCORTISONE SODIUM SUCCINAT 765074001 SOLU-CORTEF 100MG 2ML INJ PFIZER LABORATORIES STANDARD<br />
HYDROCORTISONE SODIUM SUCCINAT 765120003 SOLU-CORTEF 500MG 4ML INJ PFIZER LABORATORIES STANDARD<br />
HYDROCORTISONE SODIUM SUCCINAT<br />
HYDROCORTISONE-TABS 716693003 COVOCORT 10MG PER 100 BOX ADCOCK GENERICS STANDARD<br />
HYDROCORTISONE-TABS<br />
HYDROXYUREA 731706005 HYDREA 500MG CAP BM SQUIB STANDARD<br />
HYDROXYUREA<br />
IBRITUMOMAB 705892001 ZEVALIN INJECTION BAYER SCHERING PHARMA ENHANCED<br />
IBRITUMOMAB<br />
KEY<br />
Standard<br />
Enhanced Scheme rules apply / May need special motivation<br />
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