| Drug | Form (strength and presentation) | 30 day item code | 60 day item code | Stage |
|---|---|---|---|---|
| adapalene with benzoyl peroxide | adapalene 0.1% + benzoyl peroxide 2.5% gel, 30 g | 08955H | 13363H | 1 |
| alendronate | alendronate 70 mg tablet, 4 | 08511Y | 13499L | 1 |
| allopurinol | allopurinol 100 mg tablet, 200 | 02600W | 13358C | 1 |
| allopurinol | allopurinol 300 mg tablet, 60 | 02604C | 13575L | 1 |
| amiloride and hydrochlorothiazide | amiloride hydrochloride dihydrate 5 mg + hydrochlorothiazide 50 mg tablet, 50 | 01486F | 13410T | 1 |
| amlodipine | amlodipine 5 mg tablet, 30 | 02751T | 13532F | 1 |
| amlodipine | amlodipine 10 mg tablet, 30 | 02752W | 13562T | 1 |
| amlodipine and atorvastatin | amlodipine 5 mg + atorvastatin 10 mg tablet, 30 | 09049G | 13596N | 1 |
| amlodipine and atorvastatin | amlodipine 5 mg + atorvastatin 20 mg tablet, 30 | 09050H | 13567C | 1 |
| amlodipine and atorvastatin | amlodipine 5 mg + atorvastatin 40 mg tablet, 30 | 09051J | 13415C | 1 |
| amlodipine and atorvastatin | amlodipine 5 mg + atorvastatin 80 mg tablet, 30 | 09052K | 13597P | 1 |
| amlodipine and atorvastatin | amlodipine 10 mg + atorvastatin 10 mg tablet, 30 | 09053L | 13479K | 1 |
| amlodipine and atorvastatin | amlodipine 10 mg + atorvastatin 20 mg tablet, 30 | 09054M | 13384K | 1 |
| amlodipine and atorvastatin | amlodipine 10 mg + atorvastatin 40 mg tablet, 30 | 09055N | 13536K | 1 |
| amlodipine and valsartan | amlodipine 10 mg + valsartan 320 mg tablet, 28 | 05460J | 13389Q | 1 |
| amlodipine and valsartan | amlodipine 5 mg + valsartan 80 mg tablet, 28 | 09375K | 13421J | 1 |
| amlodipine and valsartan | amlodipine 5 mg + valsartan 160 mg tablet, 28 | 09376L | 13516J | 1 |
| amlodipine and valsartan | amlodipine 5 mg + valsartan 320 mg tablet, 28 | 5459H | 13604B | 1 |
| amlodipine and valsartan | amlodipine 10 mg + valsartan 160 mg tablet, 28 | 09377M | 13454D | 1 |
| amlodipine and valsartan and hydrochlorothiazide | amlodipine 5 mg + valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 | 05285E | 13448T | 1 |
| amlodipine and valsartan and hydrochlorothiazide | amlodipine 5 mg + valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 | 05286F | 13603Y | 1 |
| amlodipine and valsartan and hydrochlorothiazide | amlodipine 10 mg + valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 | 05287G | 13514G | 1 |
| amlodipine and valsartan and hydrochlorothiazide | amlodipine 10 mg + valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 | 05288H | 13390R | 1 |
| amlodipine and valsartan and hydrochlorothiazide | amlodipine 10 mg + valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 | 05289J | 13573J | 1 |
| apixaban | apixaban 5 mg tablet, 60 | 02735Y | 13525W | 1 |
| apixaban | apixaban 2.5 mg tablet, 60 | 02744K | 13464P | 1 |
| atenolol | atenolol 50 mg tablet, 30 | 01081X | 13540P | 1 |
| atenolol | atenolol 50 mg/10 ml oral liquid, 300 ml | 02243C | 13600T | 1 |
| atorvastatin | atorvastatin 10 mg tablet, 30 | 08213G | 13495G | 1 |
| atorvastatin | atorvastatin 20 mg tablet, 30 | 08214H | 13529C | 1 |
| atorvastatin | atorvastatin 40 mg tablet, 30 | 08215J | 13468W | 1 |
| atorvastatin | atorvastatin 80 mg tablet, 30 | 08521L | 13374X | 1 |
| baclofen | baclofen 10 mg tablet, 100 | 02729P | 13522Q | 1 |
| baclofen | baclofen 25 mg tablet, 100 | 02730Q | 13359D | 1 |
| balsalazide | balsalazide sodium 750 mg capsule, 280 | 11351K | 13484Q | 1 |
| bisoprolol | bisoprolol fumarate 2.5 mg tablet, 28 | 08604W | 13419G | 1 |
| bisoprolol | bisoprolol fumarate 5 mg tablet, 28 | 08605X | 13443M | 1 |
| bisoprolol | bisoprolol fumarate 10 mg tablet, 28 | 08606Y | 13444N | 1 |
| calcipotriol and betamethasone | calcipotriol 0.005% + betamethasone (as dipropionate) 0.05% ointment, 30 g | 09494Q | 13577N | 1 |
| calcipotriol and betamethasone | calcipotriol 0.005% + betamethasone (as dipropionate) 0.05% foam, 60 g | 11091R | 13520N | 1 |
| calcitriol | calcitriol 0.25 microgram capsule, 100 | 02502Q | 13457G | 1 |
| calcium | calcium carbonate 1.5 g (calcium 600 mg) tablet, 240 | 03117C | 13547B | 1 |
| calcium | calcium carbonate 1.25 g (calcium 500 mg) chewable tablet, 120 | 11726E | 13485R | 1 |
| candesartan | candesartan cilexetil 4 mg tablet, 30 | 08295N | 13592J | 1 |
| candesartan | candesartan cilexetil 8 mg tablet, 30 | 08296P | 13436E | 1 |
| candesartan | candesartan cilexetil 16 mg tablet, 30 | 08297Q | 13565Y | 1 |
| candesartan | candesartan cilexetil 32 mg tablet, 30 | 08889W | 13438G | 1 |
| candesartan and hydrochlorothiazide | candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 09314F | 13452B | 1 |
| candesartan and hydrochlorothiazide | candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 08504N | 13391T | 1 |
| candesartan and hydrochlorothiazide | candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 | 09315G | 13392W | 1 |
| carvedilol | carvedilol 6.25 mg tablet, 60 | 08256M | 13417E | 1 |
| carvedilol | carvedilol 12.5 mg tablet, 60 | 08257N | 13418F | 1 |
| carvedilol | carvedilol 25 mg tablet, 60 | 08258P | 13387N | 1 |
| chlortalidone | chlortalidone 25 mg tablet, 50 | 01585K | 13500M | 1 |
| clonidine | clonidine hydrochloride 150 microgram tablet, 100 | 03141H | 13548C | 1 |
| clonidine | clonidine hydrochloride 100 microgram tablet, 100 | 03145M | 13578P | 1 |
| clopidogrel | clopidogrel 75 mg tablet, 28 | 09354H | 13365K | 1 |
| clopidogrel | clopidogrel 75 mg tablet, 28 | 08358X | 13399F | 1 |
| clopidogrel and aspirin | clopidogrel 75 mg + aspirin 100 mg tablet, 30 | 09296G | 13427Q | 1 |
| dabigatran | dabigatran etexilate 110 mg capsule, 60 | 02753X | 13523R | 1 |
| dabigatran | dabigatran etexilate 150 mg capsule, 60 | 02769R | 13489Y | 1 |
| enalapril | enalapril maleate 10 mg tablet, 30 | 01368B | 13465Q | 1 |
| enalapril | enalapril maleate 20 mg tablet, 30 | 01369C | 13401H | 1 |
| enalapril | enalapril maleate 5 mg tablet, 30 | 01370D | 13369P | 1 |
| enalapril + hydrochlorothiazide | enalapril maleate 20 mg + hydrochlorothiazide 6 mg tablet, 30 | 08477E | 13439H | 1 |
| eplerenone | eplerenone 25 mg tablet, 30 | 08879H | 13590G | 1 |
| eplerenone | eplerenone 50 mg tablet, 30 | 08880J | 13379E | 1 |
| ezetimibe | ezetimibe 10 mg tablet, 30 | 08757X | 13440J | 1 |
| ezetimibe and atorvastatin | ezetimibe 10 mg + atorvastatin 80 mg tablet, 30 | 10376D | 13538M | 1 |
| ezetimibe and atorvastatin | ezetimibe 10 mg + atorvastatin 40 mg tablet, 30 | 10377E | 13416D | 1 |
| ezetimibe and atorvastatin | ezetimibe 10 mg + atorvastatin 20 mg tablet, 30 | 10393B | 13622Y | 1 |
| ezetimibe and atorvastatin | ezetimibe 10 mg + atorvastatin 10 mg tablet, 30 | 10392Y | 13539N | 1 |
| ezetimibe and rosuvastatin | ezetimibe 10 mg tablet [30] (&) rosuvastatin 40 mg tablet [30], 60 | 10207F | 13537L | 1 |
| ezetimibe and rosuvastatin | ezetimibe 10 mg tablet [30] (&) rosuvastatin 20 mg tablet [30], 60 | 10201X | 13480L | 1 |
| ezetimibe and rosuvastatin | ezetimibe 10 mg tablet [30] (&) rosuvastatin 10 mg tablet [30], 60 | 10208G | 13569E | 1 |
| ezetimibe and rosuvastatin | ezetimibe 10 mg tablet [30] (&) rosuvastatin 5 mg tablet [30], 60 | 10204C | 13629H | 1 |
| ezetimibe and simvastatin | ezetimibe 10 mg + simvastatin 40 mg tablet, 30 | 08881K | 13535J | 1 |
| ezetimibe and simvastatin | ezetimibe 10 mg + simvastatin 80 mg tablet, 30 | 08882L | 13595M | 1 |
| ezetimibe and simvastatin | ezetimibe 10 mg + simvastatin 10 mg tablet, 30 | 09483D | 13385L | 1 |
| ezetimibe and simvastatin | ezetimibe 10 mg + simvastatin 20 mg tablet, 30 | 09484E | 13442L | 1 |
| febuxostat | febuxostat 80 mg tablet, 28 | 10445R | 13519M | 1 |
| felodipine | felodipine 2.5 mg modified release tablet, 30 | 02361G | 13377C | 1 |
| felodipine | felodipine 5 mg modified release tablet, 30 | 02366M | 13561R | 1 |
| felodipine | felodipine 10 mg modified release tablet, 30 | 02367N | 13531E | 1 |
| fenofibrate | fenofibrate 48 mg tablet, 60 | 09022W | 13469X | 1 |
| fenofibrate | fenofibrate 145 mg tablet, 30 | 09023X | 13587D | 1 |
| fluvastatin | fluvastatin 80 mg modified release tablet, 28 | 02863Q | 13558N | 1 |
| furosemide | furosemide (frusemide) 20 mg tablet, 50 | 01810G | 13501N | 1 |
| furosemide | furosemide (frusemide) 10 mg/ml oral liquid, 30 ml | 02411X | 13504R | 1 |
| furosemide | furosemide (frusemide) 40 mg tablet, 100 | 02412Y | 13472C | 1 |
| furosemide | furosemide (frusemide) 20 mg tablet, 100 | 02414C | 13473D | 1 |
| furosemide | furosemide (frusemide) 500 mg tablet, 50 | 02415D | 13474E | 1 |
| gemfibrozil | gemfibrozil 600 mg tablet, 60 | 01453L | 13618R | 1 |
| glyceryl trinitrate | glyceryl trinitrate 5 mg/24 hours patch, 30 | 01515R | 13490B | 1 |
| glyceryl trinitrate | glyceryl trinitrate 10 mg/24 hours patch, 30 | 01516T | 13580R | 1 |
| glyceryl trinitrate | glyceryl trinitrate 400 microgram/actuation spray, 200 actuations | 08171C | 13549D | 1 |
| hydrochlorothiazide | hydrochlorothiazide 25 mg tablet, 100 | 01484D | 13409R | 1 |
| indapamide | indapamide hemihydrate 2.5 mg tablet, 90 | 02436F | 13378D | 1 |
| indapamide | indapamide hemihydrate 1.5 mg modified release tablet, 90 | 08532C | 13475F | 1 |
| irbesartan | irbesartan 75 mg tablet, 30 | 08246B | 13435D | 1 |
| irbesartan | irbesartan 150 mg tablet, 30 | 08247C | 13380F | 1 |
| irbesartan | irbesartan 300 mg tablet, 30 | 08248D | 13564X | 1 |
| irbesartan and hydrochlorothiazide | irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 08404H | 13572H | 1 |
| irbesartan and hydrochlorothiazide | irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 08405J | 13545X | 1 |
| irbesartan and hydrochlorothiazide | irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 | 02136K | 13446Q | 1 |
| isosorbide dinitrate | isosorbide dinitrate 5 mg sublingual tablet, 100 | 02588F | 13491C | 1 |
| isosorbide mononitrate | isosorbide mononitrate 60 mg modified release tablet, 30 | 01558B | 13461L | 1 |
| isosorbide mononitrate | isosorbide mononitrate 120 mg modified release tablet, 30 | 08273K | 13611J | 1 |
| lercanidipine | lercanidipine hydrochloride 10 mg tablet, 28 | 08534E | 13411W | 1 |
| lercanidipine | lercanidipine hydrochloride 20 mg tablet, 28 | 08679T | 13412X | 1 |
| lercanidipine and enalapril | lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 | 09144G | 13507X | 1 |
| lercanidipine and enalapril | lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 | 09145H | 13477H | 1 |
| lisinopril | lisinopril 5 mg tablet, 30 | 02456G | 13583X | 1 |
| lisinopril | lisinopril 10 mg tablet, 30 | 02457H | 13584Y | 1 |
| lisinopril | lisinopril 20 mg tablet, 30 | 02458J | 13402J | 1 |
| mesalazine | mesalazine 250 mg enteric tablet, 100 | 01611T | 13423L | 1 |
| mesalazine | mesalazine 500 mg modified release tablet, 100 | 02214M | 13396C | 1 |
| mesalazine | mesalazine 2 g modified release granules, 60 sachets | 02287J | 13397D | 1 |
| mesalazine | mesalazine 1 g modified release tablet, 60 | 03413P | 13576M | 1 |
| mesalazine | mesalazine 500 mg modified release granules, 100 sachets | 08598M | 13361F | 1 |
| mesalazine | mesalazine 1 g modified release granules, 100 sachets | 08599N | 13398E | 1 |
| mesalazine | mesalazine 500 mg enteric tablet, 100 | 08731M | 13362G | 1 |
| mesalazine | mesalazine 1.5 g modified release granules, 60 sachets | 09206M | 13460K | 1 |
| mesalazine | mesalazine 1.2 g modified release tablet, 60 | 09353G | 13487W | 1 |
| mesalazine | mesalazine 4 g modified release granules, 30 sachets | 10254Q | 13456F | 1 |
| mesalazine | mesalazine 3 g modified release granules, 30 sachets | 10257W | 13518L | 1 |
| mesalazine | mesalazine 800 mg enteric tablet, 90 | 11210B | 13422K | 1 |
| mesalazine | mesalazine 1 g enteric tablet, 60 | 11554D | 13394Y | 1 |
| mesalazine | mesalazine 1 g modified release granules, 100 sachets | 12203G | 13355X | 1 |
| mesalazine | mesalazine 1.6 g enteric tablet, 60 | 12463Y | 13395B | 1 |
| mesalazine | mesalazine 1.2 g modified release tablet, 120 | 13247F | 13356Y | 1 |
| metoprolol succinate | metoprolol succinate tablet 47.5 mg (controlled release), 30 | 08733P | 13543T | 1 |
| metoprolol succinate | metoprolol succinate tablet 95 mg (controlled release), 30 | 08734Q | 13544W | 1 |
| metoprolol succinate | metoprolol succinate tablet 190 mg (controlled release), 30 | 08735R | 13420H | 1 |
| metoprolol tartrate | metoprolol tartrate tablet 50 mg, 100 | 01324Q | 13598Q | 1 |
| metoprolol tartrate | metoprolol tartrate tablet 100 mg, 60 | 01325R | 13541Q | 1 |
| moxonidine | moxonidine 200 microgram tablet, 30 | 09019Q | 13579Q | 1 |
| moxonidine | moxonidine 400 microgram tablet, 30 | 09020R | 13552G | 1 |
| nebivolol | nebivolol 5 mg tablet, 28 | 09311C | 13510C | 1 |
| nebivolol | nebivolol 10 mg tablet, 28 | 09312D | 13441K | 1 |
| nebivolol | nebivolol 1.25 mg tablet, 28 | 09316H | 13568D | 1 |
| nicorandil | nicorandil 10 mg tablet, 60 | 08228C | 13550E | 1 |
| nicorandil | nicorandil 20 mg tablet, 60 | 08229D | 13551F | 1 |
| nifedipine | nifedipine 30 mg modified release tablet, 30 | 01906H | 13502P | 1 |
| nifedipine | nifedipine 60 mg modified release tablet, 30 | 01907J | 13376B | 1 |
| olmesartan | olmesartan medoxomil 20 mg tablet, 30 | 02147B | 13505T | 1 |
| olmesartan | olmesartan medoxomil 40 mg tablet, 30 | 02148C | 13533G | 1 |
| olmesartan and amlodipine | olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 | 05292M | 13449W | 1 |
| olmesartan and amlodipine and hydrochlorothiazide | olmesartan medoxomil 40 mg + amlodipine 10 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 02836G | 13482N | 1 |
| olmesartan and amlodipine and hydrochlorothiazide | olmesartan medoxomil 40 mg + amlodipine 5 mg + hydrochlorothiazide 25 mg tablet, 30 | 02864R | 13512E | 1 |
| olmesartan and amlodipine and hydrochlorothiazide | olmesartan medoxomil 40 mg + amlodipine 5 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 02880N | 13513F | 1 |
| olmesartan and amlodipine and hydrochlorothiazide | olmesartan medoxomil 20 mg + amlodipine 5 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 10005N | 13481M | 1 |
| olmesartan and amlodipine and hydrochlorothiazide | olmesartan medoxomil 20 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 02161R | 13447R | 1 |
| olmesartan and hydrochlorothiazide | olmesartan medoxomil 40 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 02166B | 13601W | 1 |
| olmesartan and hydrochlorothiazide | olmesartan medoxomil 40 mg + hydrochlorothiazide 25 mg tablet, 30 | 02170F | 13602X | 1 |
| pancreatic extract | pancreatic extract 5000 units/100 mg enteric coated granules, 20 g | 05453B | 13375Y | 1 |
| pancreatic extract | pancreatic extract 10 000 units modified release capsule, 100 | 08020D | 13560Q | 1 |
| pancreatic extract | pancreatic extract 25 000 units modified release capsule, 100 | 08021E | 13470Y | 1 |
| pancreatic extract | pancreatic extract 35 000 units modified release capsule, 100 | 12595X | 13407P | 1 |
| penicillamine | penicillamine 125 mg tablet, 100 | 02721F | 13458H | 1 |
| penicillamine | penicillamine 250 mg tablet, 100 | 02838J | 13425N | 1 |
| perindopril | perindopril erbumine 2 mg tablet, 30 | 03050M | 13404L | 1 |
| perindopril | perindopril erbumine 4 mg tablet, 30 | 03051N | 13371R | 1 |
| perindopril | perindopril erbumine 8 mg tablet, 30 | 08704D | 13372T | 1 |
| perindopril | perindopril arginine 2.5 mg tablet, 30 | 09006B | 13494F | 1 |
| perindopril | perindopril arginine 5 mg tablet, 30 | 09007C | 13585B | 1 |
| perindopril | perindopril arginine 10 mg tablet, 30 | 09008D | 13555K | 1 |
| perindopril and amlodipine | perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 | 09346X | 13508Y | 1 |
| perindopril and amlodipine | perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 | 09347Y | 13381G | 1 |
| perindopril and amlodipine | perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 | 09348B | 13478J | 1 |
| perindopril and amlodipine | perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 | 09349C | 13382H | 1 |
| perindopril and indapamide | perindopril arginine 2.5 mg + indapamide hemihydrate 625 microgram tablet, 30 | 02190G | 13413Y | 1 |
| perindopril and indapamide | perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 | 02845R | 13506W | 1 |
| perindopril and indapamide | perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 | 08449Q | 13476G | 1 |
| potassium | potassium chloride 600 mg (potassium 8 mmol) modified release tablet, 200 | 01841X | 13357B | 1 |
| potassium | potassium chloride 595 mg + potassium bicarbonate 384 mg + potassium carbonate 152 mg (total potassium 14 mmol) effervescent tablet, 60 | 03012M | 13486T | 1 |
| pravastatin | pravastatin sodium 10 mg tablet, 30 | 02833D | 13496H | 1 |
| pravastatin | pravastatin sodium 20 mg tablet, 30 | 02834E | 13497J | 1 |
| pravastatin | pravastatin sodium 40 mg tablet, 30 | 08197K | 13432Y | 1 |
| pravastatin | pravastatin sodium 80 mg tablet, 30 | 08829Q | 13527Y | 1 |
| prazosin | prazosin 5 mg tablet, 100 | 01478T | 13367M | 1 |
| prazosin | prazosin 1 mg tablet, 100 | 01479W | 13553H | 1 |
| prazosin | prazosin 2 mg tablet, 100 | 01480X | 13400G | 1 |
| propranolol | propranolol hydrochloride 10 mg tablet, 100 | 02565B | 13386M | 1 |
| propranolol | propranolol hydrochloride 40 mg tablet, 100 | 02566C | 13542R | 1 |
| raloxifene | raloxifene hydrochloride 60 mg tablet, 28 | 08363E | 13426P | 1 |
| ramipril | ramipril 10 mg tablet, 30 | 01316G | 13368N | 1 |
| ramipril | ramipril 1.25 mg tablet, 30 | 01944H | 13582W | 1 |
| ramipril | ramipril 2.5 mg tablet, 30 | 01945J | 13466R | 1 |
| ramipril | ramipril 5 mg tablet, 30 | 01946K | 13526X | 1 |
| ramipril | ramipril 10 mg capsule, 30 | 08470T | 13430W | 1 |
| ramipril | ramipril 1.25 mg capsule, 30 | 09120B | 13431X | 1 |
| ramipril | ramipril 2.5 mg capsule, 30 | 09121C | 13405M | 1 |
| ramipril | ramipril 5 mg capsule, 30 | 09122D | 13556L | 1 |
| ramipril and felodipine | ramipril 2.5 mg + felodipine 2.5 mg modified release tablet, 30 | 02626F | 13563W | 1 |
| ramipril and felodipine | ramipril 5 mg + felodipine 5 mg modified release tablet, 30 | 02629J | 13534H | 1 |
| risedronate | risedronate sodium 5 mg tablet, 28 | 08481J | 13360E | 1 |
| risedronate | risedronate sodium 35 mg tablet, 4 | 08621R | 13459J | 1 |
| risedronate | risedronate sodium 35 mg enteric tablet, 4 | 08972F | 13364J | 1 |
| risedronate | risedronate sodium 150 mg tablet, 1 | 09391G | 13488X | 1 |
| rivaroxaban | rivaroxaban 20 mg tablet, 28 | 02268J | 13462M | 1 |
| rivaroxaban | rivaroxaban 15 mg tablet, 28 | 02691P | 13463N | 1 |
| rivaroxaban | rivaroxaban 10 mg tablet, 30 | 11633G | 13521P | 1 |
| rivaroxaban | rivaroxaban 2.5 mg tablet, 60 | 12192Q | 13366L | 1 |
| rosuvastatin | rosuvastatin 20 mg tablet, 30 | 02574L | 13588E | 1 |
| rosuvastatin | rosuvastatin 40 mg tablet, 30 | 02594M | 13589F | 1 |
| rosuvastatin | rosuvastatin 5 mg tablet, 30 | 02606E | 13406N | 1 |
| rosuvastatin | rosuvastatin 10 mg tablet, 30 | 02628H | 13586C | 1 |
| sacubitril and valsartan | sacubitril 97.2 mg + valsartan 102.8 mg tablet, 56 | 11122J | 13445P | 1 |
| sacubitril and valsartan | sacubitril 24.3 mg + valsartan 25.7 mg tablet, 56 | 11123K | 13570F | 1 |
| sacubitril and valsartan | sacubitril 48.6 mg + valsartan 51.4 mg tablet, 56 | 11131W | 13511D | 1 |
| simvastatin | simvastatin 10 mg tablet, 30 | 02011W | 13528B | 1 |
| simvastatin | simvastatin 20 mg tablet, 30 | 02012X | 13373W | 1 |
| simvastatin | simvastatin 5 mg tablet, 30 | 02013Y | 13559P | 1 |
| simvastatin | simvastatin 40 mg tablet, 30 | 08173E | 13471B | 1 |
| simvastatin | simvastatin 80 mg tablet, 30 | 08313M | 13498K | 1 |
| spironolactone | spironolactone 25 mg tablet, 100 | 02339D | 13503Q | 1 |
| sulfasalazine | sulfasalazine 500 mg tablet, 100 | 02093E | 13557M | 1 |
| sulfasalazine | sulfasalazine 500 mg enteric tablet, 100 | 02096H | 13433B | 1 |
| telmisartan | telmisartan 40 mg tablet, 28 | 08355R | 13437F | 1 |
| telmisartan | telmisartan 80 mg tablet, 28 | 08356T | 13593K | 1 |
| telmisartan and amlodipine | telmisartan 40 mg + amlodipine 5 mg tablet, 28 | 08978M | 13483P | 1 |
| telmisartan and amlodipine | telmisartan 40 mg + amlodipine 10 mg tablet, 28 | 08979N | 13515H | 1 |
| telmisartan and amlodipine | telmisartan 80 mg + amlodipine 5 mg tablet, 28 | 08980P | 13450X | 1 |
| telmisartan and amlodipine | telmisartan 80 mg + amlodipine 10 mg tablet, 28 | 08981Q | 13451Y | 1 |
| telmisartan and hydrochlorothiazide | telmisartan 40 mg + hydrochlorothiazide 12.5 mg tablet, 28 | 8622T | 13546Y | 1 |
| telmisartan and hydrochlorothiazide | telmisartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 | 08623W | 13574K | 1 |
| telmisartan and hydrochlorothiazide | telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 | 09381R | 13607E | 1 |
| thiamine | thiamine hydrochloride 100 mg tablet, 100 | 01070H | 13354W | 1 |
| ticagrelor | ticagrelor 90 mg tablet, 56 | 01418P | 13524T | 1 |
| trandolapril | trandolapril 500 microgram capsule, 28 | 02791X | 13554J | 1 |
| trandolapril | trandolapril 1 mg capsule, 28 | 02792Y | 13429T | 1 |
| trandolapril | trandolapril 2 mg capsule, 28 | 02793B | 13403K | 1 |
| trandolapril | trandolapril 4 mg capsule, 28 | 08758Y | 13467T | 1 |
| trandolapril and verapamil | trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 | 02857J | 13591H | 1 |
| trandolapril and verapamil | trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 | 09387C | 13594L | 1 |
| valsartan | valsartan 80 mg tablet, 28 | 09369D | 13414B | 1 |
| valsartan | valsartan 160 mg tablet, 28 | 09370E | 13566B | 1 |
| valsartan | valsartan 320 mg tablet, 28 | 09371F | 13383J | 1 |
| valsartan and hydrochlorothiazide | valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 | 09372G | 13393X | 1 |
| valsartan and hydrochlorothiazide | valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 | 09373H | 13606D | 1 |
| valsartan and hydrochlorothiazide | valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 | 09374J | 13453C | 1 |
| valsartan and hydrochlorothiazide | valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 | 09481B | 13517K | 1 |
| valsartan and hydrochlorothiazide | valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 | 09482C | 13455E | 1 |
| verapamil | verapamil hydrochloride 240 mg modified release tablet, 30 | 01241H | 13408Q | 1 |
| verapamil | verapamil hydrochloride 80 mg tablet, 100 | 01250T | 13530D | 1 |
| verapamil | verapamil hydrochloride 180 mg modified release tablet, 30 | 02208F | 13434C | 1 |
Date last updated: