BIPOLAR - bestmed.co.za · bipolar mood disorder active ingredient medicine trade name beat1 beat2 beat3 pace1 pulse1 beat4 pace2 pace3 pace4 pulse2 a amitriptyline gulf amitriptyline

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 2017.

This formulary is subject to change without notice.

ONLY the following medicine classes will be considered for Beat1 and Beat2: Atypical antipsychotics Butyrophenones Lithium Mood stabilizers Selective serotonin re-uptake inhibitors

YES = formulary NO = non-formulary NO BENEFIT = excluded

BIPOLAR MOOD DISORDER

ACTIVE INGREDIENT MEDICINE TRADE NAME

Beat1 Beat2

Beat3 Pace1 Pulse1

Beat4 Pace2 Pace3 Pace4 Pulse2

A

AMITRIPTYLINE GULF AMITRIPTYLINE 25MG T NO BENEFIT YES YES

SANDOZ AMITRIPTYLINE 25 NO BENEFIT YES YES

TREPILINE 25MG TAB NO BENEFIT YES YES

TRYPTANOL 25MG TAB NO BENEFIT YES YES

C

CARBAMAZEPINE DEGRANOL 200MG TAB NO YES YES

SANDOZ CARBAMAZEPINE NO YES YES

SANDOZ CARBAMAZE CR 200 NO YES YES

SANDOZ CARBAMAZE CR 400 NO YES YES

TEGRETOL 200MG TAB NO YES YES

TEGRETOL CR 200MG TAB NO YES YES

2


Beat1 Beat2

Beat3 Pace1 Pulse1


TEGRETOL CR 400MG TAB NO YES YES

ZEPTOL 200MG TAB NO YES YES

CHLORPROMAZINE LARGACTIL 100MG TAB NO BENEFIT YES YES

LARGACTIL 25MG TAB NO BENEFIT YES YES

LARGACTIL 25MG/5ML SYR NO BENEFIT YES YES

LARGACTIL 50MG TAB NO BENEFIT YES YES

CITALOPRAM ARROW CITALOPRAM 20MG TAB

NO YES YES

AURO-CITALOPRAM 20MG TAB NO YES YES

AUSTELL-CITALOPRAM 10MG NO YES YES



BIO CITALOPRAM 20MG TAB NO YES YES

CILATE 20MG TAB NO YES YES

CILIFT 20MG TAB NO YES YES

CILORAM 20MG TAB NO YES YES

CIPRAMIL 20MG TAB NO YES YES

CITALOHEXAL 20MG TAB NO YES YES

CITALOPRAM ACTOR 20MG TAB

NO YES YES

CITALOPRAM-WINTHROP 20MG NO YES YES

CITALOPRAM-WINTHROP 40MG NO YES YES

DEPRAMIL 20MG TAB NO YES YES

DEPRAMIL 40MG TAB NO YES YES

DRL CITALOPRAM 20MG TAB NO YES YES

DRL CITALOPRAM 40MG TAB NO YES YES

GLENMARK CITALOPRAM 20M NO YES YES

3


Beat1 Beat2

Beat3 Pace1 Pulse1


MERCK-CITALOPRAM 20MG NO YES YES

RAN-CITALOPRAM 20MG TAB NO YES YES

SANDOZ CITALOPRAM 20MG NO YES YES

SIMAYLA CITALOPRAM 20MG NO YES YES

TALOMIL 20MG TAB NO YES YES

CLOMIPRAMINE ANAFRANIL 10MG TAB NO BENEFIT YES YES

ANAFRANIL 25MG TAB NO BENEFIT YES YES

ANAFRANIL SR 75MG TAB NO BENEFIT YES YES

CLOMIDEP 25MG NO BENEFIT YES YES

EQUINORM 10MG NO BENEFIT YES YES

EQUINORM 25MG NO BENEFIT YES YES

CLOZAPINE ASPEN CLOZAPINE 100MG TAB NO YES YES

ASPEN CLOZAPINE 25MG TAB NO YES YES

CLOMENT 100MG TAB NO YES YES

CLOMENT 25MG TAB NO YES YES

CLOZAPINE-HEXAL 100MG TAB NO YES YES

CLOZAPINE-HEXAL 25MG NO YES YES

LEPONEX 100MG TAB NO YES YES

LEPONEX 25MG TAB NO YES YES

D

DOTHIEPIN SANDOZ DOTHIEPIN 25MG CAP NO BENEFIT YES YES

SANDOZ DOTHIEPIN 75MG TAB NO BENEFIT YES YES

THADEN 25MG CAP NO BENEFIT YES YES

THADEN 75MG TAB NO BENEFIT YES YES

E

ESCITALOPRAM ACCORD ESCITALOPRAM 10MG

NO YES YES

4


Beat1 Beat2

Beat3 Pace1 Pulse1


ACCORD ESCITALOPRAM 20MG

NO YES YES

ASPEN ESCITALOPRAM 10MG NO YES YES

CIPRALEX 10MG TAB NO YES YES

CIPRALEX 20MG TAB NO YES YES

CITRAZ 10MG TAB NO YES YES



DOLIN 10MG TAB NO YES YES

DOLIN 20MG TAB NO YES YES

ESCITALOPRAM 10MG BE-TAB NO YES YES

ESCITALOPRAM 20MG BE-TAB NO YES YES

ESCITALOPRAM WINTHROP 10 NO YES YES



LEXAMIL 10MG TAB NO YES YES



MACLEODS ESCITALOPRAM 10 NO YES YES

MACLEODS ESCITALOPRAM 20 NO YES YES

MARPREM 10MG TAB NO YES YES



MYLAN ESCITALOPRAM 10MG NO YES YES

NEXITO 10MG TAB NO YES YES

ZITOLEX 10MG TAB NO YES YES

ZITOLEX 20MG TAB NO YES YES

5


Beat1 Beat2

Beat3 Pace1 Pulse1


ZYDUS ESCITALOPRAM 10MG T

NO YES YES

ZYTOMIL 10MG TAB NO YES YES

ZYTOMIL 20MG TAB NO YES YES

F

FLUOXETINE A-LENNON FLUOXETINE 20MG YES YES YES

DEPROZAN CAP YES YES YES

FLUOXETINE ACTOR 20MG CAP

YES YES YES

LILLY-FLUOXETINE 20MG YES YES YES

LORIEN 20MG CAP YES YES YES

LORIEN 20MG TAB YES YES YES

NUZAK 20MG CAP YES YES YES

PROHEXAL 20MG CAP YES YES YES

PROHEXAL 20T NO YES YES

PROHEXAL 40T NO YES YES

PROLAX 20MG CAP YES YES YES

PROZAC 20MG CAP YES YES YES

PROZAC 20MG TAB YES YES YES

RANFLOCS 20 YES YES YES

REZAK 20MG CAP YES YES YES

SANDOZ FLUOXETINE 20MG YES YES YES

TRIZAC 20MG CAP YES YES YES

ZYDUS-FLUOXETINE 20MG YES YES YES

FLUPENTHIXOL FLUANXOL DEP 20MG/1ML INJ NO BENEFIT YES YES

FLUPHENAZINE MODECATE 25MG INJ 10ML NO BENEFIT YES YES

MODECATE 25MG INJ 1ML NO BENEFIT YES YES

6


Beat1 Beat2

Beat3 Pace1 Pulse1


MODECATE+SYRIN 25MG INJ NO BENEFIT YES YES

FLUVOXAMINE FAVERIN 100MG TAB NO NO YES

FLUVOXAMINE HEXAL 100MG NO NO YES

LUVOX 100MG TAB NO NO YES

G

GABAPENTIN BIOTECH GABAPENTIN 100MG NO YES YES

BIOTECH GABAPENTIN 300MG NO YES YES

BIOTECH GABAPENTIN 400MG NO YES YES

EPLEPTIN 100MG CAP NO YES YES



NEUREXAL 100MG CAP NO YES YES



NEURONTIN 100MG CAP NO YES YES



NEURONTIN 600MG TAB NO YES YES

NEURONTIN 800MG TAB NO YES YES

RAN-GABAPENTIN 100MG CAP NO YES YES



H

HALOPERIDOL SANDOZ HALOPERIDOL 1.5MG YES YES YES

SANDOZ HALOPERIDOL 5MG YES YES YES

SERENACE 0.5MG CAP YES YES YES

SERENACE 10MG TAB YES YES YES

7


Beat1 Beat2

Beat3 Pace1 Pulse1


SERENACE 5MG TAB YES YES YES

I

IMIPRAMINE ETHIPRAMINE 10MG TAB NO BENEFIT YES YES

ETHIPRAMINE 25MG TAB NO BENEFIT YES YES

TOFRANIL 10MG TAB NO BENEFIT YES YES

TOFRANIL 25MG TAB NO BENEFIT YES YES

L

LAMOTRIGINE ARROW LAMOTRIGINE 100MG YES YES YES

ARROW LAMOTRIGINE 200MG YES YES YES



ASPEN LAMOTRIGINE 100MG YES YES YES




AUSTELL-LAMOTRIGINE 100MG YES YES YES




DYNA-LAMOTRIGINE 200MG YES YES YES




EPITEC 100MG TAB YES YES YES




8


Beat1 Beat2

Beat3 Pace1 Pulse1


LAMICTIN 25MG TAB YES YES YES




LAMICTIN P 100MG DISP TAB NO YES YES






LAMIDUS 100MG TAB YES YES YES



LAMITOR 200MG TAB YES YES YES

LAMITOR-100 YES YES YES



MERCK-LAMOTRIGINE 100MG YES YES YES




SANDOZ LAMOTRIGINE 100MG YES YES YES




LITHIUM CAMCOLIT 250MG TAB YES YES YES

CAMCOLIT 400MG TAB YES YES YES

9


Beat1 Beat2

Beat3 Pace1 Pulse1


QUILONUM RET 450MG TAB YES YES YES

LOFEPRAMINE EMDALEN 70MG TAB NO BENEFIT YES YES

M

MAPROTILINE LUDIOMIL 25MG TAB NO BENEFIT NO YES

LUDIOMIL 75MG TAB NO BENEFIT NO YES

MIANSERIN LANTANON 10MG TAB NO BENEFIT NO YES

LANTANON 30MG TAB NO BENEFIT NO YES

O

OLANZAPINE ADCO OLANZAPINE 10MG TAB YES YES YES

ADCO OLANZAPINE 2.5MG TAB YES YES YES

ADCO OLANZAPINE 5MG TAB YES YES YES

LANAZYP 10MG TAB YES YES YES

LANAZYP 2.5MG TAB YES YES YES

LANAZYP 5MG TAB YES YES YES

MYLAN OLANZAPINE 10MG YES YES YES

MYLAN OLANZAPINE 2.5MG YES YES YES

MYLAN OLANZAPINE 5MG YES YES YES

OLAWIN 10MG TAB YES YES YES

OLAWIN 2.5MG TAB YES YES YES

OLAWIN 5MG TAB YES YES YES

OLAWIN 10MG ORADISPERSIB YES YES YES




OLEANZ 10MG TAB YES YES YES

OLEANZ 2.5MG TAB YES YES YES

OLEANZ 5MG TAB YES YES YES

10


Beat1 Beat2

Beat3 Pace1 Pulse1


OLEANZ RAPITAB 10MG TAB YES YES YES

OLEANZ RAPITAB 5MG TAB YES YES YES

OLEXAR 10MG TAB YES YES YES

OLEXAR 2.5MG TAB YES YES YES

OLEXAR 5MG TAB YES YES YES

PREXOLAN 2.5MG TAB YES YES YES

PREXOLAN 5MG TAB YES YES YES

PREXOLAN 10MG TAB YES YES YES

PREXOLAN 5MG OD TAB YES YES YES

PREXOLAN 10MG OD TAB YES YES YES

REDILANZ 2.5MG TAB YES YES YES

REDILANZ 5MG TAB YES YES YES

REDILANZ 10MG TAB YES YES YES

ZYLENA 5MG TAB YES YES YES

ZYLENA 10MG TAB YES YES YES

ZYPREXA 10MG TAB YES YES YES

ZYPREXA 2.5MG TAB YES YES YES

ZYPREXA 5MG TAB YES YES YES

ZYPREXA VELOTAB 10MG MLT YES YES YES

ZYPREXA VELOTAB 5MG MLT YES YES YES

OXCARBAZEPINE MYLAN OXCARBAZEPINE 300 NO YES YES

MYLAN OXCARBAZEPINE 600 NO YES YES

TRILEPTAL FCT 300MG NO YES YES

TRILEPTAL FCT 600MG NO YES YES

P

PAROXETINE ADCO-PAROXETINE 20MG TAB NO NO YES

APEX-PAROXETINE 20MG TAB NO NO YES

11


Beat1 Beat2

Beat3 Pace1 Pulse1


AROPAX 20MG TAB NO NO YES

AROPAX 30MG TAB NO NO YES

AUSTELL-PAROXETINE 20MG NO NO YES

AUSTELL-PAROXETINE 30MG NO NO YES

AURO PAROXETINE 20MG TAB NO NO YES

DEPAROC 20MG TAB NO NO YES

HEXAL-PAROXETINE 20MG NO NO YES

PARAX 20MG TAB NO NO YES

PAROXETINE UNICORN 20MG NO NO YES

PAXIL 20MG TAB NO NO YES

SANDOZ PAROXETINE 20MG NO NO YES

SERRAPRESS 20MG NO NO YES

SERRAPRESS 30MG NO NO YES

TEXINE 20MG TAB NO NO YES

XET 20MG TAB NO NO YES

ZYDUS-PAROXETINE 20MG NO NO YES

PIMOZIDE ORAP 1MG TAB NO BENEFIT YES YES

ORAP 4MG TAB NO BENEFIT YES YES

Q

QUETIAPINE BIOTECH QUETIAPINE 25MG TAB

NO YES YES

BIOTECH QUETIAPINE 100MG TAB

NO YES YES


NO YES YES


NO YES YES

DOPAQUEL 25MG TAB NO YES YES

12


Beat1 Beat2

Beat3 Pace1 Pulse1





KIZOFRIN 25MG TAB NO YES YES




MYLAN QUETIAPINE 25MG NO YES YES




QUETOSER 25MG TAB NO YES YES




SEREZ 25MG TAB NO YES YES




SEROQUEL 100MG NO YES YES




SEROQUEL XR 50MG SRT NO YES YES




13


Beat1 Beat2

Beat3 Pace1 Pulse1



SIZONORM 100MG TAB NO YES YES




SPEC QUETIAPINE 25MG TAB NO YES YES





TRUVALIN 25MG TAB NO YES YES




R

RISPERIDONE ASPEN RISPERIDONE 0.5MG NO YES YES

ASPEN RISPERIDONE 1MG NO YES YES




AUROPERDAL 0.5MG TAB NO YES YES

AUROPERDAL 1MG TAB NO YES YES




DRL RISPERIDONE 0.5MG TAB NO YES YES

DRL RISPERIDONE 1MG TAB NO YES YES

14


Beat1 Beat2

Beat3 Pace1 Pulse1




MYLAN RISPERIDONE 0.5MG NO YES YES

MYLAN RISPERIDONE 1MG NO YES YES

MYLAN RISPERIDONE 2MG NO YES YES

PERIDA 0.5MG TAB NO YES YES

PERIDA 1MG TAB NO YES YES

PERIZAL 0.5MG TAB NO YES YES

PERIZAL 1MG TAB NO YES YES



RISNIA 0.5MG TAB NO YES YES

RISNIA 1MG TAB NO YES YES



RISPACOR 0.5MG TAB NO YES YES

RISPACOR 1MG TAB NO YES YES




RISPERDAL 0.5MG TAB NO YES YES

RISPERDAL 1MG TAB NO YES YES




RISPERDAL QUICKLET 0.5MG NO YES YES

RISPERDAL QUICKLET 1MG NO YES YES

15


Beat1 Beat2

Beat3 Pace1 Pulse1




RISPERIDONE HEXAL 0.5MG NO YES YES

RISPERIDONE HEXAL 1MG TAB NO YES YES



RISPERLET 0.5MG TAB NO YES YES

RISPERLET 1MG TAB NO YES YES

RISPERLET 2MG TAB NO YES YES

RISPEVON 1MG TAB NO YES YES




RISPONZ 1MG TAB NO YES YES




SCHIZOROL 0.5MG TAB NO YES YES

SCHIZOROL 1MG TAB NO YES YES

SCHIZOROL 2MG TAB NO YES YES

ZOXADON 0.5MG NO YES YES

ZOXADON 1MG NO YES YES




16


Beat1 Beat2

Beat3 Pace1 Pulse1


T

TOPIRAMATE ADCO-TOPIRAMATE 100MG TAB

NO YES YES

ADCO-TOPIRAMATE 200MG TAB

NO YES YES

ADCO-TOPIRAMATE 25MG TAB NO YES YES

ADCO-TOPIRAMATE 50MG TAB NO YES YES

EPIMATE 100MG TAB NO YES YES




EPITOZ 100MG TAB NO YES YES



PAMIRAM 100MG TAB NO YES YES




PIRAMAX 100MG TAB NO YES YES



SANDOZ TOPIRAMATE 100MG NO YES YES




TOPALEX 25MG TAB NO YES YES

TOPAMAX 25MG TAB NO YES YES

17


Beat1 Beat2

Beat3 Pace1 Pulse1





TOPAMAX SC SPRIN 15MG NO YES YES



TOPIROL 100MG TAB NO YES YES



TOPLEP 100MG TAB NO YES YES






TRIFLUOPERAZINE STELAZINE 1MG TAB NO BENEFIT YES YES

STELAZINE 5MG TAB NO BENEFIT YES YES

TRIMIPRAMINE TYDAMINE 25MG TAB NO BENEFIT YES YES

TYDAMINE 50MG CAP NO BENEFIT YES YES

V

VALPROATE EPILIM 100MG CRUSH TAB YES YES YES

EPILIM CR 200MG TAB YES YES YES



EPILIZINE CR 200MG TAB YES YES YES



18


Beat1 Beat2

Beat3 Pace1 Pulse1


EPROLEP CR 200MG TAB YES YES YES



NAVALPRO CR 200MG TAB YES YES YES



VANAPRO 300MG TAB YES YES YES

VANAPRO 500MG TAB YES YES YES

VALPROIC ACID CONVULEX 150MG CAP YES YES YES

CONVULEX 300MG CAP YES YES YES

CONVULEX 500MG CAP YES YES YES

CONVULEX 50MG/ML SYR YES YES YES



Z

ZUCLOPENTHIXOL CLOPIXOL ACUPH 50MG INJ NO BENEFIT YES YES

CLOPIXOL DEPOT 200MG INJ NO BENEFIT YES YES

Documents

BIPOLAR - bestmed.co.za · bipolar mood disorder active ingredient medicine trade name beat1 beat2 beat3 pace1 pulse1 beat4 pace2 pace3 pace4 pulse2 a amitriptyline gulf amitriptyline