netFormulary
 Report : A-Z HCD items in Formulary 06/08/2020 11:19:51
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Section Status HCD Name
05.03.01 Formulary Cancer Drugs Fund Abacavir 
05.03.01 Formulary Cancer Drugs Fund Abacavir and Lamivudine Tablet
10.01.03 Formulary Cancer Drugs Fund Abatacept Orencia®
08.01.05 Formulary Cancer Drugs Fund Abemaciclib 
08.03.04.02 Formulary Cancer Drugs Fund Abiraterone 
01.05.03 Formulary Cancer Drugs Fund Adalimumab Imraldi®Amgevita®Humira®
10.01.03 Formulary Cancer Drugs Fund Adalimumab Imraldi®Amgevita®Humira®
11.04.02 Non Formulary Cancer Drugs Fund Adalimumab  Imraldi®Amgevita® Humira®
13.05.03 Formulary Cancer Drugs Fund Adalimumab Imraldi® Amgevita® Humira®
05.03.03.01 Formulary Cancer Drugs Fund Adefovir Dipivoxil Hepsera®
08.01.05 Formulary Cancer Drugs Fund Afatinib 
11.08.02 Formulary Cancer Drugs Fund Aflibercept Eylea®
08.02.03 Formulary Cancer Drugs Fund Alemtuzumab 
02.12 Formulary Cancer Drugs Fund Alirocumab Praluent®
13.05.01 Formulary Cancer Drugs Fund Alitretinoin 
02.05.01 Non Formulary Cancer Drugs Fund Ambrisentan 
10.02.01 Non Formulary Cancer Drugs Fund Amifampridine Firdapse
05.02 Formulary Cancer Drugs Fund Amphotericin liposomal Ambisome ®
05.02.04 Formulary Cancer Drugs Fund Anidulafungin 
02.11 Non Formulary Cancer Drugs Fund Antithrombin III Kybemin®
09.01.03 Non Formulary Cancer Drugs Fund Antithymocyte Immunoglobulin (Equine) 
10.01.03 Formulary Cancer Drugs Fund Apremilast Otezla®
13.05.03 Formulary Cancer Drugs Fund Apremilast 
08.01.05 Formulary Cancer Drugs Fund Arsenic Trioxide 
05.03.01 Formulary Cancer Drugs Fund Atazanavir Reyataz®
05.03.01 Formulary Cancer Drugs Fund Atazanavir + Cobicistat Evotaz®
08.01.05 Formulary Cancer Drugs Fund Atezolizumab 
08.01.05 Formulary Cancer Drugs Fund Axitinib 
08.01.03 Formulary Cancer Drugs Fund Azacitidine 
05.01.02.03 Non Formulary Cancer Drugs Fund Aztreonam nebuliser solution Cayston®
10.01.03 Formulary Cancer Drugs Fund Baricitinib Olumiant®
05.01.09 Non Formulary Cancer Drugs Fund Bedaquiline Sirturo®
10.01.03 Formulary Cancer Drugs Fund Belimumab Benlysta®
08.01.01 Formulary Cancer Drugs Fund Bendamustine 
03.05.02 Non Formulary Cancer Drugs Fund Beractant Survanta®
05.03.01 Formulary Cancer Drugs Fund Bictegravir, Emtricitabine, Tenofovir alafenamide Biktarvy®
08.02 Formulary Cancer Drugs Fund Blinatumomab 
08.01.05 Formulary Cancer Drugs Fund Bortezomib 
02.05.01 Formulary Cancer Drugs Fund Bosentan 
02.05.01 Non Formulary Cancer Drugs Fund Bosentan 
08.01.05 Formulary Cancer Drugs Fund Bosutinib 
04.07.04.02 Formulary Cancer Drugs Fund Botulinum A toxin botox®
04.09.03 Formulary Cancer Drugs Fund Botulinum A toxin 
08.01.05 Formulary Cancer Drugs Fund Brentuximab 
13.05.03 Formulary Cancer Drugs Fund Brodalumab 
03.04.03 Restricted Use Cancer Drugs Fund C1 esterase inhibitor Cinryze® /Berinert®
08.01.05 Formulary Cancer Drugs Fund Cabazitaxel 
08.01.05 Formulary Cancer Drugs Fund Cabozantinib 
09.08.01 Formulary Cancer Drugs Fund Carnitine 
05.02.04 Formulary Cancer Drugs Fund Caspofungin 
02.11 Non Formulary Cancer Drugs Fund Catridecacog NovoThirteen®
08.01.05 Formulary Cancer Drugs Fund Ceritinib 
13.05.03 Formulary Cancer Drugs Fund Certolizumab 200mg 
10.01.03 Formulary Cancer Drugs Fund Certolizumab Pegol Cimzia®
08.01.05 Formulary Cancer Drugs Fund Cetuximab 
08.02.02 Formulary Cancer Drugs Fund Ciclosporin Capimune ®Deximune®Neoral®
05.03.02.02 Formulary Cancer Drugs Fund Cidofovir 
09.05.01.02 Formulary Cancer Drugs Fund Cinacalcet 
09.05.01.02 Formulary Cancer Drugs Fund Cinacalcet 
08.01.03 Formulary Cancer Drugs Fund Cladribine 
08.01.03 Formulary Cancer Drugs Fund Clofarabine 
04.09.01 Non Formulary Cancer Drugs Fund Co-Careldopa Intestinal Gel Duodopa®
05.01.07 Formulary Cancer Drugs Fund Colistimethate 
05.01.07 Formulary Cancer Drugs Fund Colistimethate  Colobreathe®
03.04.03 Non Formulary Cancer Drugs Fund Conestat Alfa Ruconest®
08.01.05 Formulary Cancer Drugs Fund Crizotinib 
08.01.05 Formulary Cancer Drugs Fund Dabrafenib 
05.03.03.02 Formulary Cancer Drugs Fund Daclatasvir  Daklinza®
08.01.05 Formulary Cancer Drugs Fund Daratumumab 
09.01.03 Formulary Cancer Drugs Fund Darbepoetin Alfa  Non renal indications
05.03.01 Formulary Cancer Drugs Fund Darunavir Prezista®
05.03.01 Formulary Cancer Drugs Fund Darunavir and Cobicistat Rezolsta®
05.03.03.02 Formulary Cancer Drugs Fund Dasabuvir Exviera®
08.01.05 Formulary Cancer Drugs Fund Dasatinib 
09.01.03 Formulary Cancer Drugs Fund Deferasirox 
08.01.05 Restricted Use Cancer Drugs Fund Defibrotide 
05.01.09 Non Formulary Cancer Drugs Fund Delamanid Deltyba®
09.01.03 Formulary Cancer Drugs Fund Desferrioxamine Mesilate 
11.04.01 Formulary Cancer Drugs Fund Dexamethasone  Ozurdex®
08.01 Non Formulary Cancer Drugs Fund Dexrazoxane 
02.01.01 Formulary Cancer Drugs Fund Digoxin specific antibody fragments DigiFab®
08.02.04 Formulary Cancer Drugs Fund Dimethyl fumarate 
13.05.02 Formulary Cancer Drugs Fund Dimethyl Fumarate  Skilarence ®
08.02.04 Formulary Cancer Drugs Fund Dinutuximab 
05.03.01 Formulary Cancer Drugs Fund Dolutegravir 
05.03.01 Formulary Cancer Drugs Fund Dolutegravir, abacavir & lamivudine Triumeq®
03.07 Formulary Cancer Drugs Fund Dornase Alfa Pulmozyme®
08.01.02 Formulary Cancer Drugs Fund Doxorubicin Caelyx®
13.05.03 Formulary Cancer Drugs Fund Dupilumab 
08.01.05 Formulary Cancer Drugs Fund Durvalumab 
09.01.03 Non Formulary Cancer Drugs Fund Eculizumab 
05.03.01 Formulary Cancer Drugs Fund Efavirenz Sustiva®
05.03.03.02 Formulary Cancer Drugs Fund Elbasvir/Grazoprevir Zepatier®
09.01.04 Formulary Cancer Drugs Fund Eltrombopag 
05.03.01 Formulary Cancer Drugs Fund Emtricitabine Emtriva®
05.03.01 Formulary Cancer Drugs Fund Emtricitabine + tenofovir alafenamide Descovy®
05.03.01 Formulary Cancer Drugs Fund Emtricitabine 200mg, Rilpivirine 25mg and Tenofovir 245mg Eviplera®
05.03.01 Formulary Cancer Drugs Fund Emtricitabine, rilpivirine, & tenofovir alafenamide Odefsey ®
05.03.03.01 Formulary Cancer Drugs Fund Entecavir Baraclude®
08.03.04.02 Formulary Cancer Drugs Fund Enzalutamide 
02.08.01 Formulary Cancer Drugs Fund Epoprostenol 
20 Non Formulary Cancer Drugs Fund Eptotermin Alfa  Osigraft®
08.01.05 Formulary Cancer Drugs Fund Eribulin 
08.01.05 Formulary Cancer Drugs Fund Erlotinib 
10.01.03 Formulary Cancer Drugs Fund Etanercept Benepali®, Enbrel®,Erelzi®
13.05.03 Formulary Cancer Drugs Fund Etanercept Benepali®, Enbrel®Erelzi®
09.05.01.02 Non Formulary Cancer Drugs Fund Etelcalcetide 
05.03.01 Formulary Cancer Drugs Fund Etravirine Intelence®
08.01.05 Formulary Cancer Drugs Fund Everolimus Votubia®
08.01.05 Formulary Cancer Drugs Fund Everolimus Afinitor®
02.11 Non Formulary Cancer Drugs Fund Factor IX Fraction, Dried 
02.11 Non Formulary Cancer Drugs Fund Factor VIIa (Recombinant) Novo 7®
02.11 Non Formulary Cancer Drugs Fund Factor VIII Fraction, Dried 
02.11 Non Formulary Cancer Drugs Fund Factor VIII Inhibitor Bypassing Fraction 
02.11 Non Formulary Cancer Drugs Fund Factor XIII Fraction, Dried 
08.02.04 Non Formulary Cancer Drugs Fund Fampridine 
09.01.06 Formulary Cancer Drugs Fund Filgrastim Accofil®
08.02.04 Formulary Cancer Drugs Fund Fingolimod 
11.04.01 Formulary Cancer Drugs Fund Fluocinolone Iluvien®
18 Formulary Cancer Drugs Fund Fomepizole 
05.03.02.02 Formulary Cancer Drugs Fund Ganciclovir 
08.01.05 Formulary Cancer Drugs Fund Gefitinib 
08.02.04 Formulary Cancer Drugs Fund Glatiramer Acetate 
05.03.03.02 Formulary Cancer Drugs Fund Glecaprevir / Pibrentasvir Maviret
01.05.03 Formulary Cancer Drugs Fund Golimumab Simponi®
10.01.03 Formulary Cancer Drugs Fund Golimumab Simponi®
13.05.03 Formulary Cancer Drugs Fund Guselkumab 
09.08.02 Formulary Cancer Drugs Fund Haem Arginate Normasang
14.05 Formulary Cancer Drugs Fund Human normal immunoglobulin 
08.01.05 Formulary Cancer Drugs Fund Ibrutinib 
03.04.03 Formulary Cancer Drugs Fund Icatibant Firazyr®
08.01.05 Formulary Cancer Drugs Fund Idelalisib 
02.05.01 Formulary Cancer Drugs Fund Iloprost injection  
02.05.01 Non Formulary Cancer Drugs Fund Iloprost injection  
08.01.05 Formulary Cancer Drugs Fund Imatinib Gilvec®
08.01.05 Formulary Cancer Drugs Fund Imatinib (Generic) 
01.05.03 Formulary Cancer Drugs Fund Infliximab Remsima®Inflectra®Remicade®
10.01.03 Formulary Cancer Drugs Fund Infliximab Remsima®Inflectra®Remicade®
13.05.03 Formulary Cancer Drugs Fund Infliximab Remsima®Inflectra®
08.01.05 Formulary Cancer Drugs Fund Inotuzumab Ozogamicin 
08.02.04 Non Formulary Cancer Drugs Fund Interferon Alfa Roferon-A®
08.02.04 Formulary Cancer Drugs Fund Interferon Beta 
08.02.04 Formulary Cancer Drugs Fund Interferon Beta Rebif®
08.02.04 Formulary Cancer Drugs Fund Interferon Beta Extavia®
08.01.05 Formulary Cancer Drugs Fund Ipilimumab 
05.02 Formulary Cancer Drugs Fund Isavuconazole 
03.07 Formulary Cancer Drugs Fund Ivacaftor 
08.01.05 Formulary Cancer Drugs Fund Ixazomib 
10.01.03 Formulary Cancer Drugs Fund Ixekizumab  Taltz®
13.05.03 Formulary Cancer Drugs Fund Ixekizumab  
05.03.03.01 Formulary Cancer Drugs Fund Lamivudine 
08.03.04.03 Formulary Cancer Drugs Fund Lanreotide 
09.05.02.02 Formulary Cancer Drugs Fund Lanthanum Fosrenol®
05.03.03.02 Formulary Cancer Drugs Fund Ledipasvir and Sofosbuvir Harvoni®
08.02.04 Formulary Cancer Drugs Fund Lenalidomide 
09.01.06 Formulary Cancer Drugs Fund Lenograstim Granocyte®
08.01.05 Formulary Cancer Drugs Fund Lenvatinib  
08.01.05 Formulary Cancer Drugs Fund Lenvatinib with Everolimus 
09.01.06 Non Formulary Cancer Drugs Fund Lipegfilgrastim Lonquex®
02.12 Non Formulary Cancer Drugs Fund Lomitapide Lojuxta®
05.03.01 Formulary Cancer Drugs Fund Lopinavir and Ritonavir Kaletra®
09.01.04 Formulary Cancer Drugs Fund Lusutrombopag 
08.03.04.03 Formulary Cancer Drugs Fund Lutetium (177Lu) oxodotreotide Lutathera
03.07 Formulary Cancer Drugs Fund Mannitol inhalation Bronchitol ®
05.03.01 Formulary Cancer Drugs Fund Maraviroc Celsentri®
03.04.02 Non Formulary Cancer Drugs Fund Mepolizumab Nucala®
09.08.01 Formulary Cancer Drugs Fund Mercaptamine Cystagon
05.02.04 Non Formulary Cancer Drugs Fund Micafungin Mycamine®
08.01.05 Formulary Cancer Drugs Fund Midostaurin 
08.02.01 Formulary Cancer Drugs Fund Mycophenolate Mofetil 
08.02.04 Formulary Cancer Drugs Fund Natalizumab 
05.03.01 Formulary Cancer Drugs Fund Nevirapine Viramune®
08.01.05 Formulary Cancer Drugs Fund Nilotinib 
03.11 Non Formulary Cancer Drugs Fund Nintedanib Ofev®
08.01.05 Formulary Cancer Drugs Fund Nintedanib 
08.02.04 Formulary Cancer Drugs Fund Niraparib 
08.02.04 Formulary Cancer Drugs Fund Nivolumab 
01.09.01 Restricted Use Cancer Drugs Fund Obeticholic acid Ocaliva®
08.02.03 Formulary Cancer Drugs Fund Obinutuzumab 
08.02.03 Formulary Cancer Drugs Fund Ocrelizumab 
08.03.04.03 Formulary Cancer Drugs Fund Octreotide Sandostatin Lar®
08.03.04.03 Formulary Cancer Drugs Fund Octreotide 
21.02.03 Formulary Cancer Drugs Fund Octreotide 
08.02.04 Formulary Cancer Drugs Fund Olaparib 
08.01.05 Non Formulary Cancer Drugs Fund Olaratumab Lartruvo®
03.04.02 Formulary Cancer Drugs Fund Omalizumab Xolair®
13.05.03 Formulary Cancer Drugs Fund Omalizumab 
05.03.03.02 Formulary Cancer Drugs Fund Ombitasvir/ paritaprevir/ ritonavir Viekirax®
08.02.04 Formulary Cancer Drugs Fund Osimertinib 
08.01.05 Formulary Cancer Drugs Fund Paclitaxel Abraxane®
08.01.05 Formulary Cancer Drugs Fund Palbociclib 
05.03.05 Formulary Cancer Drugs Fund Palivizumab 
08.01.05 Formulary Cancer Drugs Fund Panitumumab 
08.02.04 Formulary Cancer Drugs Fund Panobinostat 
08.01.05 Formulary Cancer Drugs Fund Pazopanib 
11.08.02 Non Formulary Cancer Drugs Fund Pegaptanib Sodium Macugen®
08.02.04 Formulary Cancer Drugs Fund Pegaspargase 
09.01.06 Non Formulary Cancer Drugs Fund Pegfilgrastim Neulasta®
08.02.04 Formulary Cancer Drugs Fund Peginterferon Alfa  
08.02.04 Formulary Cancer Drugs Fund Peginterferon Alfa  
08.02.04 Formulary Cancer Drugs Fund Peginterferon Beta-1a 
06.05.01 Non Formulary Cancer Drugs Fund Pegvisomant Somavert®
08.01.05 Formulary Cancer Drugs Fund Pembrolizumab 
08.01.03 Formulary Cancer Drugs Fund Pemetrexed 
08.01.05 Formulary Cancer Drugs Fund Pertuzumab 
03.11 Non Formulary Cancer Drugs Fund Pirfenidone Esbriet®
08.01.02 Formulary Cancer Drugs Fund Pixantrone 
09.01.07 Formulary Cancer Drugs Fund Plerixafor 
08.02.04 Formulary Cancer Drugs Fund Pomalidomide 
08.01.05 Formulary Cancer Drugs Fund Ponatinib 
03.05.02 Formulary Cancer Drugs Fund Poractant Alfa Curosurf®
05.02 Formulary Cancer Drugs Fund Posaconazole 
05.02 Formulary Cancer Drugs Fund Posaconazole 
02.11 Non Formulary Cancer Drugs Fund Protein C Concentrate Ceprotin®
02.11 Formulary Cancer Drugs Fund Prothrombin Complex Concentrate  
08.03.04.02 Formulary Cancer Drugs Fund Radium-223 dichloride 
05.03.01 Formulary Cancer Drugs Fund Raltegravir 
11.08.02 Formulary Cancer Drugs Fund Ranibizumab Lucentis®
10.01.04 Formulary Cancer Drugs Fund Rasburicase Fastertec®
09.01.03 Formulary Cancer Drugs Fund Recombinant human erythropoietins Non renal indications
09.01.03 Formulary Cancer Drugs Fund Recombinant human erythropoietins Renal indications
08.01.05 Formulary Cancer Drugs Fund Regorafenib 
03.04.02 Non Formulary Cancer Drugs Fund Reslizumab Cinqaero®
05.03.03.02 Formulary Cancer Drugs Fund Ribavirin 
08.03.04.01 Formulary Cancer Drugs Fund Ribociclib 
05.03.01 Formulary Cancer Drugs Fund Rilpivirine hydrochloride Edurant®
02.05.01 Non Formulary Cancer Drugs Fund Riociguat Adempas®
13.05.03 Formulary Cancer Drugs Fund Risankizumab 
05.03.01 Formulary Cancer Drugs Fund Ritonavir 
08.02.03 Formulary Cancer Drugs Fund Rituximab MabThera®
08.02.03 Formulary Cancer Drugs Fund Rituximab Truxima
09.01.04 Formulary Cancer Drugs Fund Rituximab Truxima®
10.01.03 Formulary Cancer Drugs Fund Rituximab MabThera®,Truxima®
09.01.04 Formulary Cancer Drugs Fund Romiplostim 
08.01.05 Formulary Cancer Drugs Fund Ruxolitinib 
10.01.03 Formulary Cancer Drugs Fund Sarilumab Kevzara®
10.01.03 Formulary Cancer Drugs Fund Secukinumab Cosentyx®
13.05.03 Formulary Cancer Drugs Fund Secukinumab 
09.05.02.02 Formulary Cancer Drugs Fund Sevelamer Carbonate Renvela®
02.05.01 Non Formulary Cancer Drugs Fund Sildenafil Revatio ®
02.05.01 Non Formulary Cancer Drugs Fund Sildenafil Revatio ®
02.05.01 Non Formulary Cancer Drugs Fund Sildenafil Revatio®
08.02.02 Non Formulary Cancer Drugs Fund Sirolimus Rapamune®
04.01.01 Non Formulary Cancer Drugs Fund Sodium Oxybate Xyrem®
05.03.03.02 Formulary Cancer Drugs Fund Sofosbuvir Sovaldi®
05.03.03.02 Formulary Cancer Drugs Fund Sofosbuvir/Velpatasvir Epclusa
05.03.03.02 Formulary Cancer Drugs Fund Sofosbuvir+Velpatasvir +Voxilaprevir Vosevi®
06.05.01 Formulary Cancer Drugs Fund Somatropin Growth hormone
08.01.05 Formulary Cancer Drugs Fund Sorafenib 
05.03.01 Non Formulary Cancer Drugs Fund Stavudine 
08.01.05 Formulary Cancer Drugs Fund Sunitinib 
08.02.02 Formulary Cancer Drugs Fund Tacrolimus AdoPORT ®Prograf®Advagraf®
02.05.01 Non Formulary Cancer Drugs Fund Tadalafil Adcirca®
01.04.02 Non Formulary Cancer Drugs Fund Teduglutide Revestive®
08.01.05 Formulary Cancer Drugs Fund Temozolomide 
05.03.01 Formulary Cancer Drugs Fund Tenofovir 245mg, Efavirenz 600mg and Emtricitabine 200mg Tablet
05.03.01 Formulary Cancer Drugs Fund Tenofovir alafenamide, elvitegravir, cobicistat & emtricitabine Genvoya®
05.03.01 Formulary Cancer Drugs Fund Tenofovir and Emtricitabine Tablet
05.03.01 Formulary Cancer Drugs Fund Tenofovir Disproxil Tablet
05.03.03.01 Formulary Cancer Drugs Fund Tenofovir Disproxil Tablet
05.03.01 Formulary Cancer Drugs Fund Tenofovir, cobicistat, darunavir & emtricitabine Symtuza
05.03.01 Formulary Cancer Drugs Fund Tenofovir, cobicistat, elvitegravir & emtricitabine Stribild®
08.02.04 Formulary Cancer Drugs Fund Teriflunomide 
06.06.01 Formulary Cancer Drugs Fund Teriparatide 
08.02.04 Formulary Cancer Drugs Fund Thalidomide 
13.05.03 Formulary Cancer Drugs Fund Tildrakizumab 100mg Dermatology
08.01.05 Formulary Cancer Drugs Fund Tivozanib 
05.01.04 Formulary Cancer Drugs Fund Tobramycin Bramitob®
05.01.04 Formulary Cancer Drugs Fund Tobramycin inhaler TOBI Podhaler®
10.01.03 Formulary Cancer Drugs Fund Tocilizumab RoActemra®
01.05.03 Formulary Cancer Drugs Fund Tofacitinib citrate Xeljanz®
10.01.03 Formulary Cancer Drugs Fund Tofacitinib citrate Xeljanz®
06.05.02 Formulary Cancer Drugs Fund Tolvaptan Samsca®
06.05.02 Formulary Cancer Drugs Fund Tolvaptan Jinarc®
06.05.02 Non Formulary Cancer Drugs Fund Tolvaptan Samsca®
08.01.05 Formulary Cancer Drugs Fund Trametinib 
08.01.05 Formulary Cancer Drugs Fund Trastuzumab 
08.01.05 Formulary Cancer Drugs Fund Trastuzumab emtansine Kadcyla®
09.08.01 Non Formulary Cancer Drugs Fund Trientine Dihydrochloride 
08.01.05 Formulary Cancer Drugs Fund Trifluridine-tipiracil 
01.05.03 Formulary Cancer Drugs Fund Ustekinumab Stelara®
10.01.03 Formulary Cancer Drugs Fund Ustekinumab  Stelara®
13.05.03 Formulary Cancer Drugs Fund Ustekinumab 
05.03.02.02 Formulary Cancer Drugs Fund Valganciclovir 
01.05.03 Formulary Cancer Drugs Fund Vedolizumab Entyvio ®
08.01.05 Formulary Cancer Drugs Fund Vemurafenib 
08.01.05 Formulary Cancer Drugs Fund Venetoclax 
11.08.02 Non Formulary Cancer Drugs Fund Verteporfin Visudyne®
08.01.05 Non Formulary Cancer Drugs Fund Vismodegib 
05.02 Formulary Cancer Drugs Fund Voriconazole 
05.02 Formulary Cancer Drugs Fund Voriconazole 
08.01.05 Non Formulary Cancer Drugs Fund Vosaroxin Qinprezo
05.03.01 Formulary Cancer Drugs Fund Zidovudine 
05.03.01 Formulary Cancer Drugs Fund Zidovudine 
05.03.01 Formulary Cancer Drugs Fund Zidovudine and Lamivudine