1 Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the reasonable price in the market place for a particular group of generic equivalent medicines which is reviewed and updated regularly. MRP sets a maximum reimbursable price for a list of generically similar medicines with a cost lower than that of the original medicine. There may be instances where a generic alternative costs more than the set MRP. If you opt to use the original medicine and a generic alternative is available, or you use a medicine that costs more than the MRP, you will have to pay the difference between the price of the chosen medicine and that of MRP. This formulary is effective from 1 January 2016. This formulary is subject to change without notice. ONLY the following medicine classes will be considered for Beat1 and Beat2: Angiotensin converting enzyme (ACE) inhibitors Beta blockers Cardiac glycosides Diuretics Platelet aggregation inhibitors Potassium supplement YES = formulary NO = non-formulary NO BENEFIT = excluded CARDIAC FAILURE ACTIVE INGREDIENT MEDICINE TRADE NAME Beat4 Beat1 Beat 3 Pace2 Beat2 Pace1 Pace3 Pace4 A AMILORIDE AMILORETIC TAB NO YES YES BETARETIC TAB NO YES YES DEZRETIC 5MG/50MG TAB NO YES YES MODURETIC TAB NO YES YES SPEC-CO-AMILORIDE TAB NO YES YES ASPIRIN ASPIRIN 300MG TAB YES YES YES BAYER ASPIRIN CARDIO 100M YES YES YES BAYER ASPIRIN TAB YES YES YES BE-TABS ASPIRIN 300MG TAB YES YES YES DISPRIN TAB YES YES YES DISPRIN CARDIOCARE 100MG YES YES YES ECOTRIN 81MG TAB NO YES YES GULF ASPIRIN YES YES YES LO-ASPIRIN 125MG TAB YES YES YES MYOPRIN 100MG YES YES YES
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CARDIAC FAILURE - Bestmed...1 Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the
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1
Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP)
This price represents the reasonable price in the market place for a particular group of generic equivalent medicines which is reviewed and updated regularly. MRP sets a maximum reimbursable price for a list of generically similar medicines with a cost lower than that of the original medicine. There may be instances where a generic alternative costs more than the set MRP. If you opt to use the original medicine and a generic alternative is available, or you use a medicine that costs more than the MRP, you will have to pay the difference between the price of the chosen medicine and that of MRP.
This formulary is effective from 1 January 2016.
This formulary is subject to change without notice.
ONLY the following medicine classes will be considered for Beat1 and Beat2: Angiotensin converting enzyme (ACE) inhibitors Beta blockers Cardiac glycosides Diuretics Platelet aggregation inhibitors Potassium supplement
YES = formulary NO = non-formulary NO BENEFIT = excluded
CARDIAC FAILURE
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
A
AMILORIDE AMILORETIC TAB NO YES YES
BETARETIC TAB NO YES YES
DEZRETIC 5MG/50MG TAB NO YES YES
MODURETIC TAB NO YES YES
SPEC-CO-AMILORIDE TAB NO YES YES
ASPIRIN ASPIRIN 300MG TAB YES YES YES
BAYER ASPIRIN CARDIO 100M YES YES YES
BAYER ASPIRIN TAB YES YES YES
BE-TABS ASPIRIN 300MG TAB YES YES YES
DISPRIN TAB YES YES YES
DISPRIN CARDIOCARE 100MG YES YES YES
ECOTRIN 81MG TAB NO YES YES
GULF ASPIRIN YES YES YES
LO-ASPIRIN 125MG TAB YES YES YES
MYOPRIN 100MG YES YES YES
2
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
SOLUSPIRIN 300MG YES YES YES
ATENOLOL ADCO-ATENOLOL 50MG TAB NO YES YES
ADCO-ATENOLOL 100MG TAB NO YES YES
B-BLOCK 100MG NO YES YES
B-BLOCK 50MG NO YES YES
BIO-ATENOLOL 100 NO YES YES
BIO-ATENOLOL 50 NO YES YES
HEXABLOK 50MG TAB NO YES YES
HEXABLOK 100MG TAB NO YES YES
SANDOZ ATENOLOL 100 NO YES YES
SANDOZ ATENOLOL 50 NO YES YES
TEN-BLOKA 100MG TAB NO YES YES
TEN-BLOKA 50MG TAB NO YES YES
TENOPRESS 100MG TAB NO YES YES
TENOPRESS 25MG TAB NO YES YES
TENOPRESS 50MG TAB NO YES YES
TENORMIN 100MG TAB NO YES YES
TENORMIN 25MG TAB NO YES YES
TENORMIN 50MG TAB NO YES YES
ZETENOL 100MG TAB NO YES YES
ZETENOL 50MG TAB NO YES YES
ATENOLOL / CHLORTHALIDONE SANDOZ CO-TENIDONE 100/25 NO YES YES
SANDOZ CO-TENIDON 50/12.5 NO YES YES
TENCHLOR TAB NO YES YES
TENCHLOR-HS TAB NO YES YES
TENORET TAB NO YES YES
TENORETIC TAB NO YES YES
B
BISOPROLOL ADCO-BISOCOR 10MG TAB NO NO YES
ADCO-BISOCOR 5MG TAB NO NO YES
BETACOR 10MG TAB NO NO YES
BETACOR 5MG TAB NO NO YES
BILOCOR 10 TAB NO NO YES
3
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
BILOCOR 5 TAB NO NO YES
BISBETA 10MG TAB NO NO YES
BISBETA 5MG TAB NO NO YES
BISOHEXAL 10MG TAB NO NO YES
BISOHEXAL 5MG TAB NO NO YES
BISLO 10MG TAB NO NO YES
BISLO 5MG TAB NO NO YES
BISOPROLOL HEXAL 10MG TAB NO NO YES
BISOPROLOL HEXAL 5MG TAB NO NO YES
BISOPROLOL UNICORN 10MG NO NO YES
BISOPROLOL UNICORN 5MG NO NO YES
BISOPROLOL ZYDUS 10MG TAB NO NO YES
BISOPROLOL ZYDUS 5MG TAB NO NO YES
CARDICOR 10MG TAB NO NO YES
CARDICOR 2.5MG TAB NO NO YES
CARDICOR 5MG TAB NO NO YES
CONCOR 10MG TAB NO NO YES
CONCOR 5MG TAB NO NO YES
RETOCAR 10MG TAB NO NO YES
RETOCAR 5MG TAB NO NO YES
ZIAPRO 10MG TAB NO NO YES
ZIAPRO 5MG TABS NO NO YES
BISOPROLOL / HYDROCHLOROTHIAZ
BILOCOR CO 10MG/6.25MG TAB NO
NO YES
BILOCOR CO 2.5MG/6.25MG TAB NO NO YES
BILOCOR CO 5MG/6.25MG TAB NO NO YES
BISOPROLOL HCTZ 10/6.25MG NO NO YES
BISOPROLOL HCTZ 2.5/6.25MG NO NO YES
BISOPROLOL HCTZ 5/6.25MG NO NO YES
ZIABETA 10/6.25MG TAB NO NO YES
ZIABETA 2.5/6.25MG TAB NO NO YES
ZIABETA 5/6.25MG TAB NO NO YES
ZIAK 10MG TAB NO NO YES
ZIAK 2.5MG TAB NO NO YES
4
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
ZIAK 5MG TAB NO NO YES
ZIRINAK CO 10MG/6.25MG T NO NO YES
ZIRINAK CO 2.5MG/6.25MG T NO NO YES
ZIRINAK CO 5MG/6.25MG T NO NO YES
C
CAPTOPRIL BIO-CAPTOPRIL 25MG NO YES YES
CAPACE 25MG TAB NO YES YES
CAPTOMAX 25MG TAB NO YES YES
CAPTOMAX 50MG TAB NO YES YES
CAPTOHEXAL 12.5MG NO YES YES
CAPTOHEXAL 25MG NO YES YES
CAPTOHEXAL 50MG NO YES YES
MYLAN CAPTOPRIL 25MG NO YES YES
MYLAN CAPTOPRIL 50MG NO YES YES
SANDOZ CAPTOPRIL 25MG NO YES YES
SANDOZ CAPTOPRIL 50MG NO YES YES
ZAPTO 25MG TAB NO YES YES
ZAPTO 50MG TAB NO YES YES
CARVEDILOL ASPEN-CARVEDILOL 12.5MG NO
BENEFIT YES YES
ASPEN-CARVEDILOL 25MG NO
BENEFIT YES YES
ASPEN-CARVEDILOL 6.25MG NO
BENEFIT YES YES
CARLOC 12.5MG TAB NO
BENEFIT YES YES
CARLOC 25MG TAB NO
BENEFIT YES YES
CARLOC 6.25MG TAB NO
BENEFIT YES YES
CARVEDILOL-HEXAL 12.5MG NO
BENEFIT YES YES
CARVEDILOL-HEXAL 25MG NO
BENEFIT YES YES
CARVEDILOL-HEXAL 6.25MG NO
BENEFIT YES YES
5
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
CARVEDILOL UNICORN 12.5MG NO
BENEFIT YES YES
CARVEDILOL UNICORN 25MG NO
BENEFIT YES YES
CARVEDILOL UNICORN 6.25MG NO
BENEFIT YES YES
CARVETREND 12.5MG TAB NO
BENEFIT YES YES
CARVETREND 25MG TAB NO
BENEFIT YES YES
CARVETREND 6.25MG TAB NO
BENEFIT YES YES
DILATREND 12.5MG TAB NO
BENEFIT YES YES
DILATREND 25MG TAB NO
BENEFIT YES YES
DILATREND 6.25MG TAB NO
BENEFIT YES YES
VEDIBLOK 12.5MG TAB NO
BENEFIT YES YES
VEDIBLOK 25MG TAB NO
BENEFIT YES YES
VEDIBLOK 6.25MG TAB NO
BENEFIT YES YES
D LANOXIN 0.0625MG PG TAB YES YES YES
DIGOXIN LANOXIN 0.25MG TAB YES YES YES
LANOXIN PAED .05MG/ML SYR NO YES YES
PURGOXIN 0.25MG TAB YES YES YES
E
ENALAPRIL ADCO-ENALAPRIL 5MG YES YES YES
ADCO-ENALAPRIL 10MG YES YES YES
ADCO-ENALAPRIL 20MG YES YES YES
ALAPREN 5MG TAB YES YES YES
ALAPREN 10MG TAB YES YES YES
ALAPREN 20MG TAB YES YES YES
CIPLATEC 10MG YES YES YES
CIPLATEC 20MG YES YES YES
6
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
CIPLATEC 5MG YES YES YES
ENAP 10MG TAB YES YES YES
ENAP 20MG TAB YES YES YES
ENAP 5MG TAB YES YES YES
ENVAS 10MG TABS YES YES YES
ENVAS 5MG TABS YES YES YES
HR-ENALAPRIL 10MG YES YES YES
HR-ENALAPRIL 20MG YES YES YES
HR-ENALAPRIL 5MG YES YES YES
HYPACE 5MG MG TABS YES YES YES
PHARMAPRESS 10MG YES YES YES
PHARMAPRESS 20MG YES YES YES
PHARMAPRESS 5MG YES YES YES
RENITEC 10MG TAB YES YES YES
RENITEC 2.5MG TAB YES YES YES
RENITEC 20MG TAB YES YES YES
RENITEC 5MG TAB YES YES YES
ENALAPRIL / HYDROCHLOROTHIAZ
CO-RENITEC TAB YES
YES YES
ENAP CO 20MG/12.5MG TAB YES YES YES
PHARMAPRESS CO YES YES YES
F
FUROSEMIDE AUSTELL-FUROSEMIDE 40MG YES YES YES
BEURESIS 40MG TAB YES YES YES
DIURESIX 40MG TAB YES YES YES
LASIX 40MG TAB YES YES YES
LASIX ORAL SOL NO YES YES
MYLAN FUROSEMIDE 40MG YES YES YES
PURESIS 40MG TAB YES YES YES
SANDOZ FUROSEMIDE 40 MG YES YES YES
G
GLYCERYL TRINITRATE ANGISED 0.5MG TAB NO
BENEFIT YES YES
7
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
H
HYDROCHLOROTHIAZIDE HEXAZIDE 25MG TAB YES YES YES
RIDAQ 12.5MG TAB YES YES YES
RIDAQ 25MG TAB YES YES YES
HYDRALLAZINE HYPERPHEN 10MG TAB NO
BENEFIT YES YES
HYPERPHEN 50MG TAB NO
BENEFIT YES YES
SANDOZ HYDRALAZINE 25 NO
BENEFIT YES YES
SANDOZ HYDRALAZINE 50 NO
BENEFIT YES YES
HYDROCHLORTHIAZIDE / KCI URIREX-K TAB NO NO YES
I
INDAPAMIDE ADCO-DAPAMAX 2.5MG TAB NO YES YES
CIPLA-INDAPAMIDE 2.5MG NO YES YES
DAPTRIL 2.5MG TAB NO YES YES
HYDRO-LESS 2.5MG TAB NO YES YES
MYLAN INDAPAMIDE 2.5MG NO YES YES
SANDOZ INDAPAMIDE 2.5MG NO YES YES
ISOSORBIDE DINITRATE ISORDIL 5MG TAB NO
BENEFIT YES YES
ISORDIL 10MG TAB NO
BENEFIT YES YES
ISORDIL 30MG TAB NO
BENEFIT YES YES
ISORDIL TEMBID 40MG NO
BENEFIT NO YES
SANDOZ ISOSORBIDE 10 NO
BENEFIT YES YES
SANDOZ ISOSORBIDE 30 NO
BENEFIT YES YES
SANDOZ ISOSORBIDE 5 NO
BENEFIT YES YES
ISOSORBIDE MONONITRATE ELANTAN 20MG TAB NO
BENEFIT YES YES
ELANTAN LA 50MG NO
BENEFIT YES YES
8
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
IMDUR 60MG TAB NO
BENEFIT NO YES
ISMO 20MG TAB NO
BENEFIT YES YES
MONICOR SR 60MG SRT NO
BENEFIT NO YES
L
LISINOPRIL ADCO-ZETOMAX 10MG TAB NO YES YES
ADCO-ZETOMAX 20MG TAB NO YES YES
ADCO-ZETOMAX 5MG TAB NO YES YES
AUSTELL-LISINOPRIL 10MG NO YES YES
AUSTELL-LISINOPRIL 2.5MG NO YES YES
AUSTELL-LISINOPRIL 20MG NO YES YES
HEXAL-LISINOPRIL 10MG TAB NO YES YES
HEXAL-LISINOPRIL 20MG TAB NO YES YES
HEXAL-LISINOPRIL 5MG TAB NO YES YES
LIZRO 10MG TAB NO YES YES
LIZRO 20MG TAB NO YES YES
LIZRO 5MG TAB NO YES YES
LYSIN 20MG TAB NO YES YES
LYSIN 5MG TAB NO YES YES
SINOPREN 10MG TAB NO YES YES
SINOPREN 20MG TAB NO YES YES
SINOPREN 5MG TAB NO YES YES
ZESTRIL 10MG TAB NO YES YES
ZESTRIL 20MG TAB NO YES YES
ZESTRIL 5MG TAB NO YES YES
LISINOPRIL / HYDROCHLOROTHIAZ
ADCO-ZETOMAX-CO 10/12.5 NO
YES YES
ADCO-ZETOMAX-CO 20/12.5 NO YES YES
AURO-LISINOPRIL CO 10MG NO YES YES
AURO-LISINOPRIL CO 20MG NO YES YES
DIACE CO 20/12.5 MG TAB NO YES YES
HEXAL-LISINOPRIL CO 10MG NO YES YES
HEXAL-LISINOPRIL CO 20MG NO YES YES
9
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
LISINOPRIL CO UNIC 10MG/12.5 NO YES YES
LISINOPRIL CO UNIC 20MG/12.5 NO YES YES
LISINOZIDE 10MG/12.5MG TAB NO YES YES
LISINOZIDE 20MG/12.5MG TAB NO YES YES
LISORETIC 10/12.5 NO YES YES
LISORETIC 20/12.5 NO YES YES
LISOZIDE 10MG/12.5MG TAB NO YES YES
LISOZIDE 20MG/12.5MG TAB NO YES YES
ZESTORETIC 10MG TAB NO YES YES
ZESTORETIC 20MG TAB NO YES YES
ZESTOZIDE 20MG TAB NO YES YES
LOSARTAN AURO LOSARTAN 100MG TAB NO
BENEFIT YES YES
AURO LOSARTAN 50MG TABS NO
BENEFIT YES YES
AUSTELL LOSARTAN 100MG NO
BENEFIT YES YES
AUSTELL LOSARTAN 50MG NO
BENEFIT YES YES
CIPLA LOSARTAN 100MG TAB NO
BENEFIT YES YES
CIPLA LOSARTAN 50MG TAB NO
BENEFIT YES YES
CIPLAZAR 100MG TAB NO
BENEFIT YES YES
CIPLAZAR 50MG TAB NO
BENEFIT YES YES
COZAAR 100MG TAB NO
BENEFIT YES YES
COZAAR 50MG TAB NO
BENEFIT YES YES
HYTENZA 100MG TAB NO
BENEFIT YES YES
HYTENZA 50MG TAB NO
BENEFIT YES YES
LOS-ARB 50MG TAB NO
BENEFIT YES YES
10
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
LOSARTAN-WINTHROP TAB NO
BENEFIT YES YES
LOZAAN 50MG TAB NO
BENEFIT YES YES
LOZAAN 100MG TAB NO
BENEFIT YES YES
RASOL 100MG TAB NO
BENEFIT YES YES
RASOL 50MG TAB NO
BENEFIT YES YES
RENICARD 50MG TAB NO
BENEFIT YES YES
SPEC-LOSARTAN 100MG TAB NO
BENEFIT YES YES
SPEC-LOSARTAN 50MG TAB NO
BENEFIT YES YES
ZARTAN 100MG TAB NO
BENEFIT YES YES
ZARTAN 50MG TAB NO
BENEFIT YES YES
LOSARTAN / HYDROCHLOROTHIAZ
AUSTELL LOSARTAN CO 50MG/12.5
NO BENEFIT
YES YES
COZAAR COMP TAB NO
BENEFIT YES YES
FORTZAAR TAB NO
BENEFIT YES YES
HYTENZA CO 100MG/25MG NO
BENEFIT YES YES
HYTENZA CO 50MG/12.5MG NO
BENEFIT YES YES
LOHYPE FORTE PLUS 100MG/2 NO
BENEFIT YES YES
LOHYPE PLUS 50MG/12.5MG NO
BENEFIT YES YES
LOSAAR PLUS 100/25 TAB NO
BENEFIT YES YES
LOSAAR PLUS 50/12.5 TAB NO
BENEFIT YES YES
LOZAAN CO 100/25 TAB NO
BENEFIT YES YES
11
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
LOZAAN CO 50/12.5 TAB NO
BENEFIT YES YES
NETRASOL CO 100/25MG TAB NO
BENEFIT YES YES
NETRASOL CO 50/12.5MG TAB NO
BENEFIT YES YES
SARTOC 100MG/25MG TAB NO
BENEFIT YES YES
SARTOC 50/12.5 TAB NO
BENEFIT YES YES
ZARTAN CO 100MG/25MG NO
BENEFIT YES YES
ZARTAN CO 50MG/12.5MG NO
BENEFIT YES YES
P
PERINDOPRIL ACESYL 4MG TAB NO NO YES
ACTI-PREX 4MG TAB NO NO YES
AURO PERINDOPRIL 4MG TAB NO NO YES
AURO PERINDOPRIL 8MG TAB NO NO YES
BINDACE 4MG TAB NO NO YES
BINDACE 8MG TAB NO NO YES
CIPLA-PERINDOPRIL 4MG TAB NO NO YES
CIPLA-PERINDOPRIL 8MG TAB NO NO YES
CIPLASYL 4MG TABS NO NO YES
CIPLASYL 8MG TABS NO NO YES
COVERSYL 4MG TAB NO NO YES
PEARINDA 4MG TABS NO NO YES
PEARINDA 8MG TABS NO NO YES
PERINDOPRIL UNICORN 4MG NO NO YES
PERINDOPRIL UNICORN 8MG NO NO YES
PREXUM 4MG TAB NO NO YES
PREXUM 5MG TAB NO NO YES
RAN-PERINDOPRIL 4MG TAB NO NO YES
SPEC-PERINDOPRIL 4MG TAB NO NO YES
SPEC-PERINDOPRIL 8MG TAB NO NO YES
VECTORYL 4MG TAB NO NO YES
12
ACTIVE INGREDIENT MEDICINE TRADE NAME
Beat4
Beat1 Beat 3 Pace2
Beat2 Pace1 Pace3
Pace4
VECTORYL 8MG TAB NO NO YES
ZYDUS PERINDOPRIL 4MG NO NO YES
PERINDOPRIL / AMLODIPINE COVERAM 10/10MG TAB NO NO YES
COVERAM 10/5MG TAB NO NO YES
COVERAM 5/10MG TAB NO NO YES
COVERAM 5/5MG TAB NO NO YES
PERINDOPRIL / INDAPAMIDE ACESYL CO 2MG/0.625MG TAB NO NO YES
ACESYL CO 4MG/1.25MG TAB NO NO YES
ARIPREL PLUS 4MG/1.25MG NO NO YES
COVERSYL PLUS TAB NO NO YES
PEARINDA PLUS 4MG/1.25MG NO NO YES
PERINDOPRIL CO UNI 4MG/1.2 NO NO YES
PREXUM PLUS TAB NO NO YES
PREXUM PLUS 5MG/1.25MG NO NO YES
SPEC-PERINDOPRIL PLUS 2MG NO NO YES
SPEC-PERINDOPRIL PLUS 4MG NO NO YES
VECTORYL PLUS TAB NO NO YES
ZYDUS PERINDOPRIL 4MG/1.25 NO NO YES
POTASSIUM CHLORIDE PLENISH K 600MG TAB YES YES YES