Drug Benefit List

10:00 ANTINEOPLASTIC AGENTS

10:00.00 ANTINEOPLASTIC AGENTS

ALTRETAMINE

50MG Capsule

02126230     HEXALEN     LIL

ANASTROZOLE

1MG Tablet

02224135     ARIMIDEX     AZC

BICALUTAMIDE

50MG Tablet

02184478     CASODEX     AZC

02274337     CO-BICALUTAMIDE     COB

02270226     NOVO-BICALUTAMIDE     NOP

02275589     PMS-BICALUTAMIDE     PMS

02277700     RATIO-BICALUTAMIDE     RPH

02276089     SANDOZ-BICALUTAMIDE     SDZ

BUSERELIN ACETATE

1MG/ML Injection

02225166     SUPREFACT     SAC

1MG/ML Nasal Solution

02225158     SUPREFACT     SAC

6.3MG/IMPLANT Subcutaneous Injection

02228955     SUPREFACT DEPOT 2 MONTHS     SAC

9.45MG/IMPLANT Subcutaneous Injection

02240749     SUPREFACT DEPOT 3 MONTHS     SAC

BUSULFAN

2MG Tablet

00004618     MYLERAN     GSK

CAPECITABINE

150MG Tablet

02238453     XELODA     HLR

500MG Tablet

02238454     XELODA     HLR

CHLORAMBUCIL

2MG Tablet

00004626     LEUKERAN     GSK

CYCLOPHOSPHAMIDE

25MG Tablet

00344877     CYTOXAN     BMS

02241795     PROCYTOX     BAT

50MG Tablet

00344885     CYTOXAN     BMS

02241796     PROCYTOX     BAT

CYPROTERONE ACETATE

50MG Tablet

00704431     ANDROCUR     BEX

02245898     APO-CYPROTERONE     APX

02229723     GEN-CYPROTERONE     GEN

02232872     NOVO-CYPROTERONE     NOP

ETOPOSIDE

50MG Capsule

00616192     VEPESID     BMS

EXEMESTANE

25MG Tablet

02242705     AROMASIN     PFI

FLUDARABINE PHOSPHATE

10MG Tablet

02246226     FLUDARA     BEX

FLUTAMIDE

250MG Tablet

02238560     APO-FLUTAMIDE     APX

00637726     EUFLEX     SCH

02230089     NOVO-FLUTAMIDE     NOP

02239388     PDL-FLUTAMIDE     PDL

02230104     PMS-FLUTAMIDE     PMS

GOSERELIN ACETATE

3.6MG/DEPOT Injection

02049325     ZOLADEX     AZC

10.8MG/DEPOT Injection

02225905     ZOLADEX LA     AZC

HYDROXYUREA

500MG Capsule

02247937     APO-HYDROXYUREA     APX

02242920     GEN-HYDROXYUREA     GEN

500MG Tablet

00465283     HYDREA     BMS

IDARUBICIN HCL

5MG Capsule

02166100     IDAMYCIN HCL     PMJ

10MG Capsule

02166119     IDAMYCIN HCL     PMJ

25MG Capsule

02166127     IDAMYCIN HCL     PMJ

IMATINIB MESYLATE

Limited use benefit (prior approval required).

a.- For the treatment of patients with chronic myeloid leukemia in blast crisis, accelerated phase, or in chronic phase after failure of interferon-alpha therapy.
b.- For the treatment of patients with gastrointestinal stromal tumour.
c.- For newly diagnosed adult patients with Philadelphia chromosome-positive chronic myeloid leukemia (CML).

100MG Capsule

02244725     GLEEVEC     NVR

100MG Tablet

02253275     GLEEVEC     NVR

INTERFERON ALFA-2A

9,000,000IU/ML Injection

02217058     ROFERON-A     HLR

INTERFERON ALFA-2B

6,000,000IU/ML Injection

02238674     INTRON A     SCH

10,000,000IU/ML Injection

02238675     INTRON A     SCH

10,000,000IU/VIAL Injection

02223406     INTRON A     SCH

15,000,000IU/ML Injection

02240693     INTRON A     SCH

18,000,000IU/VIAL Injection

02231651     INTRON A     SCH

25,000,000IU/ML Injection

02240694     INTRON A     SCH

50,000,000IU/ML Injection

02240695     INTRON A     SCH

LETROZOLE

2.5MG Tablet

02231384     FEMARA     NVR

LEUPROLIDE ACETATE

3.75MG/VIAL Injection

00884502     LUPRON DEPOT     ABB

7.5MG/VIAL Injection

02248239     ELIGARD     SAC

00836273     LUPRON DEPOT     ABB

11.25MG/VIAL Injection

02239834     LUPRON DEPOT     ABB

22.5MG/VIAL Injection

02248240     ELIGARD     SAC

02230248     LUPRON DEPOT     ABB

30MG/VIAL Injection

02248999     ELIGARD     SAC

02239833     LUPRON DEPOT     ABB

56.3MG/VIAL Injection

02268892     ELIGARD     SAC

LOMUSTINE

10MG Capsule

00360430     CEENU     BMS

40MG Capsule

00360422     CEENU     BMS

100MG Capsule

00360414     CEENU     BMS

MEGESTROL ACETATE

40MG/ML Suspension

02168979     MEGACE     BMS

40MG Tablet

02195917     APO-MEGESTROL     APX

02176092     LIN-MEGESTROL     LIN

02223104     MEGESTROL     PDL

02185415     NU-MEGESTROL     NXP

160MG Tablet

02195925     APO-MEGESTROL     APX

02176106     LIN-MEGESTROL     LIN

00731323     MEGACE     BMS

02223112     MEGESTROL     PDL

02185423     NU-MEGESTROL     NXP

MELPHALAN

2MG Tablet

00004715     ALKERAN     GSK

MERCAPTOPURINE

50MG Tablet

00004723     PURINETHOL     NOP

METHOTREXATE SODIUM

10MG/ML Injection

02182947     METHOTREXATE     MAY

25MG/ML Injection

02182777     METHOTREXATE     MAY

02182955     METHOTREXATE     MAY

02161168     METHOTREXATE SODIUM     PMJ

02099705     NOVO-METHOTREXATE     NOP

2.5MG Tablet

02182963     APO-METHOTREXATE     APX

02170698     METHOTREXATE     WAY

02244798     RATIO-METHOTREXATE     RPH

10MG Tablet

02182750     METHOTREXATE     MAY

MITOTANE

500MG Tablet

00463221     LYSODREN     BMS

NILUTAMIDE

50MG Tablet

02221861     ANANDRON     SAC

PROCARBAZINE HCL

50MG Capsule

00012750     NATULAN     SIG

TAMOXIFEN CITRATE

10MG Tablet

00812404     APO-TAMOX     APX

02088428     GEN-TAMOXIFEN     GEN

00851965     NOVO-TAMOXIFEN     NOP

02237459     PMS-TAMOXIFEN     PMS

01926624     TAMOFEN     SAC

20MG Tablet

00812390     APO-TAMOX     APX

02089858     GEN-TAMOXIFEN     GEN

02048485     NOLVADEX D     AZC

00851973     NOVO-TAMOXIFEN     NOP

02237460     PMS-TAMOXIFEN     PMS

01926632     TAMOFEN     SAC

TEMOZOLOMIDE

Limited use benefit (prior approval required).

For treatment of adult patients with glioblastoma multiforme or anaplastic astrocytoma, and documented evidence of recurrence or progression after standard therapy (resection, radiotherapy, and chemotherapy).

5MG Capsule

02241093     TEMODAL     SCH

20MG Capsule

02241094     TEMODAL     SCH

100MG Capsule

02241095     TEMODAL     SCH

250MG Capsule

02241096     TEMODAL     SCH

THIOGUANINE

40MG Tablet

00282081     LANVIS     GSK

TRETINOIN

10MG Capsule

02145839     VESANOID     HLR

VINCRISTINE SULFATE

1MG/ML Injection

02143305     VINCRISTINE SULFATE     NOP

02183013     VINCRISTINE SULFATE     MAY