COMPLETE LIST OF HIGH TECH PRODUCTS BY NON PROPRIETARY NAME AS AT 1st JULY 2024.
DMA
CODE
NON-PROPRIETARY NAME DMA NAME FORM STRENGTH
UNIT OF
MEAS.
PACK
SIZE
PACK SIZE NAME DRUG DESCRIPTION
REIMBURSEMENT
PRICE
88555 ABATACEPT ORENCIA SOLN FOR INJ (CLICKJECT) IN PRE FILLED PEN 125 MG/ML 4 4 X 1 ML
Orencia Soln. for Inj. in Pre-filled Pen (ClickJect) 125 mg./ml. 1 ml. 4
€976.32
88782 ABATACEPT ORENCIA SOLN FOR INJ IN PRE-FILLED SYRINGE 125 MG/ML. 4 1 ml. x 4
Orencia Soln. for Inj. in Pre-filled Syringe 125 mg./ml. 1 ml. 4
€976.32
89335 ABEMACICLIB VERZENIOS FILM COATED TABS 50 MG 56 56
Verzenios Film Coated Tabs. 50 mg. 56
€2,525.55
89336 ABEMACICLIB VERZENIOS FILM COATED TABS 100 MG 56 56
Verzenios Film Coated Tabs. 100 mg. 56
€2,521.96
89337 ABEMACICLIB VERZENIOS FILM COATED TABS 150 MG 56 56
Verzenios Film Coated Tabs. 150 mg. 56
€2,521.96
89211 ABIRATERONE ABIRATERONE (CLONMEL) FILM COATED TABS 500 MG 56 56
Abiraterone (Clonmel) Film Coated Tabs. 500 mg. 56
€824.95
89213 ABIRATERONE ABIRATERONE MYLAN FILM COATED TABS 1000 MG 28 28
Abiraterone Mylan Film Coated Tabs. 1000 mg. 28
€824.95
89229 ABIRATERONE ABIRATERONE TEVA FILM COATED TABS 500 MG 56 56
Abiraterone TEVA Film Coated Tabs. 500 mg. 56
€824.95
88019 ABIRATERONE ZYTIGA FILM COATED TABS 500 MG 56 56
Zytiga Film Coated Tabs. 500 mg. 56
€824.95
89209 ABIRATERONE ABIRATERONE (ACCORD HEALTHCARE LTD.) FILM COATED TABS 500 MG 56 56
Abiraterone (Accord Healthcare Ltd.) Film Coated Tabs. 500 mg. 56
€824.95
89212 ABIRATERONE ABIRATERONE (KRKA PHARMA) FILM COATED TABS 500 MG 56 56
Abiraterone (KRKA Pharma) Film Coated Tabs. 500 mg. 56
€824.95
89220 ABIRATERONE ABIRATERONE (ROWA) FILM COATED TABS 500 MG 56 56
Abiraterone (Rowa) Film Coated Tabs. 500 mg. 56
€824.95
89221 ABIRATERONE ABIRATERONE ARISTO (JED PHARMA) FILM COATED TABS 500 MG 56 56
Abiraterone Aristo (JED Pharma) Film Coated Tabs. 500 mg. 56
€824.95
89195 ABROCITINIB CIBINQO FILM COATED TABS 50 MG 28 28
Cibinqo Film Coated Tabs. 50 mg. 28
€1,085.40
89196 ABROCITINIB CIBINQO FILM COATED TABS 100 MG 28 28
Cibinqo Film Coated Tabs. 100 mg. 28
€1,085.40
89198 ABROCITINIB CIBINQO FILM COATED TABS 200 MG 28 28
Cibinqo Film Coated Tabs. 200 mg. 28
€1,085.40
89284 ACALABRUTINIB CALQUENCE FILM COATED TABS 100 MG 60 60
Calquence Film Coated Tabs. 100 mg. 60
€5,899.83
88950 ADALIMUMAB AMGEVITA SOLN FOR INJ IN PRE FILLED PEN 40 MG 2 2
Amgevita Soln. for Inj. in Pre-filled Pen 40 mg. 2
€607.60
88951 ADALIMUMAB AMGEVITA SOLN FOR INJ IN PRE FILLED SYRINGE 20 MG 1 1
Amgevita Soln. for Inj. in Pre-filled Syringe 20 mg. 1
€151.90
88952 ADALIMUMAB AMGEVITA SOLN FOR INJ IN PRE FILLED SYRINGE 40 MG 2 2
Amgevita Soln. for Inj. in Pre-filled Syringe 40 mg. 2
€607.60
89288 ADALIMUMAB HUKYNDRA (STADA) SOLN. FOR INJ. IN PRE FILLED SYR 40 MG/0.4ML 2 2 X 0.4 ML
Hukyndra (Stada) Soln. for Inj. in Pre-Filled Syr. 40 mg./0.4 ml. 0.4 ml. 2
€486.08
89289 ADALIMUMAB HUKYNDRA (STADA) SOLN. FOR INJ. IN PRE FILLED PEN 40 MG/0.4 ML 2 2 X 0.4ML
Hukyndra (Stada) Soln. for Inj. in Pre-Filled Pen 40 mg./0.4 ml. 0.4 ml. 2
€486.08
88938 ADALIMUMAB HULIO SOLN FOR INJ (MULTIPACK) VIAL 40 MG/0.8 ML 2 2
Hulio Soln. for Inj. 40 mg./0.8 ml. 0.8 ml. (Multipack) Vial 2
€607.60
88955 ADALIMUMAB HULIO SOLN FOR INJ IN PRE FILLED PEN 40 MG 2 2
Hulio Soln. for Inj. in Pre-filled Pen 40 mg. 2
€607.60
88956 ADALIMUMAB HULIO SOLN FOR INJ IN PRE FILLED SYR 40 MG 2 2
Hulio Soln. for Inj. in Pre-filled Syr. 40 mg. 2
€607.60
88879 ADALIMUMAB HUMIRA SOLN FOR INJ IN PRE FILLED PEN 80 MG/0.8ML 1 1 X 0.8 ML
Humira Soln. for Inj. in Pre-filled Pen 80 mg./0.8 ml. 0.8 ml. 1
€486.08
88565 ADALIMUMAB HUMIRA SOLN FOR INJ IN PRE FILLED SYRINGE 40 MG/0.4 ML 2 0.4 ML. X 2
Humira Soln. for Inj. in Pre-filled Syringe 40 mg./0.4 ml. 0.4 ml. 2
€607.60
88570 ADALIMUMAB HUMIRA SOLN FOR INJ IN PRE FILLED PEN 40 MG/0.4 ML 2 0.4 ML. X 2
Humira Soln. for Inj. in Pre-filled Pen 40 mg./0.4 ml. 0.4 ml. 2
€607.60
88892 ADALIMUMAB HUMIRA SOLN. FOR INJ. IN PRE FILLED SYR FOR PAED USE 20 MG/0.2 ML 2 2 X 0.2ML
Humira Soln. for Inj. in Pre-filled Syr. for Paed. Use 20 mg./0.2 ml. 0.2 ml. 2
€441.89
89200 ADALIMUMAB HYRIMOZ SOLN. FOR INJ. IN PRE FILLED PEN 40 MG/0.8 ML 2 2
Hyrimoz Soln. for Inj. in Pre-filled Pen 40 mg./0.8 ml. 2
€617.07
88816 ADALIMUMAB IDACIO SOLN FOR INJ IN PREFILLED SYR 40 MG/0.8 ML 2 2 X 0.8 ML
Idacio Soln. for Inj. in Pre-filled Syringe 40 mg./0.8 ml. 0.8 ml. 2
€607.60
88800 ADALIMUMAB IDACIO SOLN. FOR INJ. PREFILLED PEN 40 MG/0.8 ML 2 2X0.8 ML
Idacio Soln. for Inj. in Pre-filled Pen 40 mg./0.8 ml. 0.8 ml. 2
€607.60
88817 ADALIMUMAB IDACIO SOLN. FOR INJ. FOR PAEDIATRIC USE VIAL 40 MG/0.8 ML 1 1 X 0.8 ML.
Idacio Soln. for Inj. for Paediatric Use Vial 40 mg./0.8 ml. 0.8 ml. 1
€303.80
88953 ADALIMUMAB IMRALDI SOLN FOR INJ IN PRE FILLED PEN 40 MG 2 2
Imraldi Soln. for Inj. in Pre-filled Pen 40 mg. 2
€607.60
88954 ADALIMUMAB IMRALDI SOLN FOR INJ IN PRE FILLED SYRINGE 40 MG 2 2
Imraldi Soln. for Inj. in Pre-filled Syringe 40 mg. 2
€607.60
89272 ADALIMUMAB IMRALDI SOLN FOR INJ IN PRE FILLED SYRINGE 40 MG/0.4 ML 2 2 x 0.4 ML.
Imraldi Soln. for Inj. in Pre-filled Syringe 40 mg./0.4 ml. 0.4 ml 2
€486.08
89273 ADALIMUMAB IMRALDI SOLN FOR INJ IN PRE FILLED PEN 40 MG/0.4 ML 2 2 X 0.4 ML
Imraldi Soln. for Inj. in Pre-filled Pen 40 mg./0.4 ml. 0.4 ml. 2
€486.08
89110 ADALIMUMAB YUFLYMA SOLN. FOR INJ. IN PRE FILLED PEN 40 MG/0.4 ML 2 2
Yuflyma Soln. for Inj. in Pre-filled Pen 40 mg./0.4 ml. 2
€607.60
89228 ADALIMUMAB YUFLYMA SOLN. FOR INJ. IN PRE FILLED PEN 80 MG/0.8 ML 1 1
Yuflyma Soln. for Inj. in Pre-filled Pen 80 mg./0.8 ml. 1
€486.08
88011 AFATINIB GIOTRIF FILM COATED TABS 20 MG 28 28
Giotrif Film Coated Tabs. 20 mg. 28
€2,021.13
88028 AFATINIB GIOTRIF FILM COATED TABS 30 MG 28 28
Giotrif Film Coated Tabs. 30 mg. 28
€2,021.13
88037 AFATINIB GIOTRIF FILM COATED TABS 40 MG 28 28
Giotrif Film Coated Tabs. 40 mg. 28
€2,021.13
88108 AFATINIB GIOTRIF FILM COATED TABS 50 MG 28 28
Giotrif Film Coated Tabs. 50 mg. 28
€2,082.57
88867 ALECTINIB ALECENSA HARD CAPS 150 MG 224 224
Alecensa Hard Caps. 150 mg. 224
€5,315.06
89070 ALIROCUMAB PRALUENT SOLN. FOR INJ IN PRE FILLED PEN 75 MG/ML 2 1 ML X 2
Praluent Soln. for Inj. in Pre-filled Pen 75 mg./ml. 1 ml. 2
€421.24
89071 ALIROCUMAB PRALUENT SOLN. FOR INJ IN PRE FILLED PEN 150 MG/ML 2 1 ML X 2
Praluent Soln. for Inj. in Pre-filled Pen 150 mg./ml. 1ml. 2
€421.24
89032 AMBRISENTAN AMBRISENTAN (ACCORD HEALTHCARE LTD.) FILM COATED TABS 5 MG 30 30
Ambrisentan (Accord Healthcare Ltd.) Film Coated Tabs. 5 mg. 30
€986.32
89033 AMBRISENTAN AMBRISENTAN (ACCORD HEALTHCARE LTD.) FILM COATED TABS 10 MG 30 30
Ambrisentan (Accord Healthcare Ltd.) Film Coated Tabs. 10 mg. 30
€994.40
88517 AMBRISENTAN VOLIBRIS TABS 5 MG 30 30
Volibris Tabs. 5 mg. 30
€1,054.54
88518 AMBRISENTAN VOLIBRIS TABS 10 MG 30 30
Volibris Tabs. 10 mg. 30
€1,095.77
89294 AMIKACIN ARIKAYCE LIPOSOMAL NEBULISER DISPERSION VIALS 590 MG 28 28
ARIKAYCE Liposomal Nebuliser Dispersion Vials. 590 mg. 28
€10,570.00
88375 ANAGRELIDE XAGRID CAPS 0.5 MG 100 100
Xagrid Caps. 0.5 mg. 100
€295.57
89095 ANAGRELIDE XAGRID (IMED HEALTHCARE LTD.) HARD CAPS 0.5 MG 100 100
Xagrid (iMED Healthcare Ltd.) Hard Caps. 0.5 mg. 100
€286.71
89300 ANAGRELIDE XAGRID (ORIGNALIS B.V.) HARD CAPS 0.5 MG 100 100
Xagrid (Orignalis B.V.) Hard Caps. 0.5 mg. 100
€286.71
89210 ANAGRELIDE XAGRID (P.C.O. MFG.) HARD CAPS 0.5 MG 100 100
Xagrid (P.C.O. Mfg.) Hard Caps. 0.5 mg. 100
€286.71
88936 ANAKINRA KINERET SOLN FOR INJ IN PREFILLED SYR 100 MG/0.67ML 7 7 X 0.67ML
Kineret Soln. for Inj. in Pre-filled Syr. 100 mg./0.67 ml. 7
€224.11
89087 APALUTAMIDE ERLEADA FILM COATED TABS 60 MG 112 112
Erleada Film Coated Tabs. 60 mg. 112
€2,985.85
89305 APALUTAMIDE ERLEADA FILM COATED TABS 240 MG 28 28
Erleada Film Coated Tabs. 240 mg. 28
€3,068.37
88873 APREMILAST OTEZLA 14 DAY INITIATION (10 MG. X 4; 20 MG. X 4 AND 30 MG. X 19) FILM COATED TABS INITIATION PACK 1 1
Otezla 14 Day Initiation (10 mg. x 4; 20 mg. x 4 and 30 mg. x 19) Film Coated Tabs. Pack 1
€329.25
88872 APREMILAST OTEZLA FILM COATED TABS 30 MG 56 56
Otezla Film Coated Tabs. 30 mg. 56
€692.00
89307 ASCIMINIB SCEMBLIX FILM COATED TABS 40 MG 60 60
Scemblix Film Coated Tabs. 40 mg. 60
€4,875.57
89306 ASCIMINIB SCEMBLIX FILM COATED TABS 20 MG 60 60
Scemblix Film Coated Tabs. 20 mg. 60
€4,875.57
88946 ATALUREN TRANSLARNA GRANULES FOR ORAL SUSP SACHET 125 MG 30 30
Translarna Granules for Oral Susp. 125 mg. Sachet 30
€3,199.25
88948 ATALUREN TRANSLARNA GRANULES FOR ORAL SUSP SACHET 250 MG 30 30
Translarna Granules for Oral Susp. 250 mg. Sachet 30
€6,398.47
88949 ATALUREN TRANSLARNA GRANULES FOR ORAL SUSP SACHET 1000 MG 30 30
Translarna Granules for Oral Susp. 1000 mg. Sachet 30
€25,593.81
89053 AVACOPAN TAVNEOS HARD CAPS 10 MG 180 180
Tavneos Hard Caps. 10 mg. 180
€5,765.91
89034 AVATROMBOPAG DOPTELET FILM COATED TABS 20 MG 10 10
Doptelet Film Coated Tabs. 20 mg. 10
€650.60
89035 AVATROMBOPAG DOPTELET FILM COATED TABS 20 MG 15 15
Doptelet Film Coated Tabs. 20 mg. 15
€975.92
89098 AVATROMBOPAG DOPTELET FILM COATED TABS 20 MG 30 30
Doptelet Film Coated Tabs. 20 mg. 30
€1,951.83
88116 AXITINIB INLYTA FILM COATED TABS 1 MG 56 56
Inlyta Film Coated Tabs. 1 mg. 56
€722.14
88117 AXITINIB INLYTA FILM COATED TABS 5 MG 56 56
Inlyta Film Coated Tabs. 5 mg. 56
€3,611.42
89310 AXITINIB INLYTA (ORIGINALIS B.V.) FILM COATED TABS 1 MG 56 56
Inlyta (Originalis B.V.) Film Coated Tabs. 1 mg. 56
€700.48
89311 AXITINIB INLYTA (ORIGINALIS B.V.) FILM COATED TABS 5 MG 56 56
Inlyta (Originalis B.V.) Film Coated Tabs. 5 mg. 56
€3,503.08
89312 AZACITIDINE ONUREG FILM COATED TABS 200 MG 7 7
Onureg Film Coated Tabs. 200 mg. 7
€7,020.00
89313 AZACITIDINE ONUREG FILM COATED TABS 300 MG 7 7
Onureg Film Coated Tabs. 300 mg. 7
€7,020.00
88132 AZTREONAM CAYSTON PDR. & SOLV. FOR NEBULISER SOLN 75 MG 84 84
Cayston Pdr. & Solv. for Nebuliser Soln. 75 mg. 84
€2,589.21
88875 BARICITINIB OLUMIANT FILM COATED TABS 2 MG 28 28
Olumiant Film Coated Tabs. 2 mg. 28
€825.97
88876 BARICITINIB OLUMIANT FILM COATED TABS 4 MG 28 28
Olumiant Film Coated Tabs. 4 mg. 28
€825.97
89108 BENRALIZUMAB FASENRA SOLN. FOR INJ. IN PRE FILLED PEN 30 MG 1 1
Fasenra Soln. for Inj. in Pre-filled Pen 30 mg. 1
€1,999.24
88403 BEXAROTENE TARGRETIN CAPS 75 MG 100 100
Targretin Caps. 75 mg. 100
€1,140.28
88654 BICALUTAMIDE BICALUTAMIDE (ACCORD HEALTHCARE LTD.) FILM COATED TABS 50 MG 28 28
Bicalutamide (Accord Healthcare Ltd.) Film Coated Tabs. 50 mg. 28
€44.99
88727 BICALUTAMIDE BICALUTAMIDE TEVA TABS 50 MG 28 28
Bicalutamide TEVA Tabs. 50 mg. 28
€56.98
88721 BICALUTAMIDE BILUTA TABS 50 MG 28 28
Biluta Tabs. 50 mg. 28
€56.98
88020 BICALUTAMIDE CASODEX TABS 50 MG 28 28
Casodex Tabs. 50 mg. 28
€58.15
88439 BICALUTAMIDE CASODEX (IMED HEALTHCARE LTD.) FILM COATED TABS 50 MG 28 28
Casodex (iMED Healthcare Ltd.) Film Coated Tabs. 50 mg. 28
€56.40
88021 BICALUTAMIDE CASODEX (P.C.O. MFG.) TABS 50 MG 28 28
Casodex (P.C.O Mfg.) Tabs. 50 mg. 28
€57.56
89277 BIMEKIZUMAB BIMZELX SOLN FOR INJ IN PRE FILLED PEN 160 MG 2 2
Bimzelx Soln. for Inj. in Pre-filled Pen. 160 mg. 2
€2,193.72
89278 BIMEKIZUMAB BIMZELX SOLN FOR INJ IN PRE FILLED SYR 160 MG 2 2
Bimzelx Soln. for Inj. in Pre-filled Syr. 160 mg. 2
€2,193.72
88989 BINIMETINIB MEKTOVI FILM COATED TABS 15 MG 84 84
Mektovi Film Coated Tabs. 15 mg. 84
€2,535.36
88208 BOSENTAN TRACLEER TABS 62.5 MG 56 56
Tracleer Tabs. 62.5 mg. 56
€1,166.58
88209 BOSENTAN TRACLEER TABS 125 MG 56 56
Tracleer Tabs. 125 mg. 56
€1,227.03
88032 BOSUTINIB BOSULIF FILM COATED TABS 500 MG 28 28
Bosulif Film Coated Tabs. 500 mg. 28
€3,569.24
88107 BOSUTINIB BOSULIF FILM COATED TABS 100 MG 28 28
Bosulif Film Coated Tabs. 100 mg. 28
€785.52
89246 BOSUTINIB BOSULIF (ORIGINALIS B.V.) FILM COATED TABS 100 MG 28 28
Bosulif (Originalis B.V.) Film Coated Tabs. 100 mg. 28
€761.95
89247 BOSUTINIB BOSULIF (ORIGINALIS B.V.) FILM COATED TABS 500 MG 28 28
Bosulif (Originalis B.V.) Film Coated Tabs. 500 mg. 28
€3,462.16
89174 BOSUTINIB BOSULIF (P.C.O. MFG.) FILM COATED TABS 100 MG 28 28
Bosulif (P.C.O. Mfg.) Film Coated Tabs. 100 mg. 28
€761.95
88987 BRIGATINIB ALUNBRIG FILM COATED TABS 30 MG 28 28
Alunbrig Film Coated Tabs. 30 mg. 28
€1,139.85
88988 BRIGATINIB ALUNBRIG FILM COATED TABS 90 MG 28 28
Alunbrig Film Coated Tabs. 90 mg. 28
€3,416.74
88995 BRIGATINIB ALUNBRIG FILM COATED TABS 180 MG 28 28
Alunbrig Film Coated Tabs. 180 mg. 28
€4,965.83
88996 BRIGATINIB ALUNBRIG TREATMENT INITIATION (90 MG X 7 AND 180 MG X 21) FILM COATED TABS 1 1 PACK
Alunbrig Treatment Initiation Pack (90 mg. x 7 and 180 mg. x 21) Film Coated Tabs. Pack 1
€4,981.16
88881 BRODALUMAB KYNTHEUM SOLN FOR INJ PREFILLED SYRINGE 140 MG/ML 2 2 X 1.5 ML SYRINGES
Kyntheum Soln. for Inj. in Pre-filled Syringe 140 mg./ml. 1.5 ML. 2
€1,115.18
88196 BUSERELIN SUPREFACT DEPOT SYRINGE 6.6 MG 1 1
Suprefact Depot Syr. 6.6 mg. 1
€271.52
88840 CABOZANTINIB CABOMETYX FILM COATED TABS 20 MG 30 30
Cabometyx Film Coated Tabs. 20 mg. 30
€5,807.55
88841 CABOZANTINIB CABOMETYX FILM COATED TABS 40 MG 30 30
Cabometyx Film Coated Tabs. 40 mg. 30
€5,807.55
1
COMPLETE LIST OF HIGH TECH PRODUCTS BY NON PROPRIETARY NAME AS AT 1st JULY 2024.
DMA
CODE
NON-PROPRIETARY NAME DMA NAME FORM STRENGTH
UNIT OF
MEAS.
PACK
SIZE
PACK SIZE NAME DRUG DESCRIPTION
REIMBURSEMENT
PRICE
88842 CABOZANTINIB CABOMETYX FILM COATED TABS 60 MG 30 30
Cabometyx Film Coated Tabs. 60 mg. 30
€5,807.55
89117 CANNABIDIOL EPIDYOLEX ORAL SOLN 100 MG/ML 100 100 ML
Epidyolex Oral Soln. 100 mg./ml. 100 ml.
€1,131.79
89296 CANNABINOID SATIVEX OROMUCOSAL SPRAY 3 3 x 10 ML
Sativex Oromucosal Spray 10 ml. 3.
€385.56
88097 CAPECITABINE CAPECITABINE (ACCORD HEALTHCARE LTD) FILM COATED TABS 150 MG 60 60
Capecitabine (Accord Healthcare Ltd.) Film Coated Tabs. 150 mg. 60
€20.74
88139 CAPECITABINE CAPECITABINE (ACCORD HEALTHCARE LTD) FILM COATED TABS 500 MG 120 120
Capecitabine (Accord Healthcare Ltd.) Film Coated Tabs. 500 mg. 120
€123.12
88366 CAPECITABINE CAPECITABINE (ACCORD HEALTHCARE LTD.) FILM COATED TABS 300 MG 60 60
Capecitabine (Accord Healthcare Ltd.) Film Coated Tabs. 300 mg. 60
€47.11
88349 CAPECITABINE CAPECITABINE SANDOZ (ROWEX) FILM COATED TABS 150 MG 60 60
Capecitabine Sandoz (Rowex) Film Coated Tabs. 150 mg. 60
€20.74
88358 CAPECITABINE CAPECITABINE SANDOZ (ROWEX) FILM COATED TABS 500 MG 120 120
Capecitabine Sandoz (Rowex) Film Coated Tabs. 500 mg. 120
€123.12
88378 CAPECITABINE ECANSYA FILM COATED TABS 150 MG 60 60
Ecansya Film Coated Tabs. 150 mg. 60
€20.74
88379 CAPECITABINE ECANSYA FILM COATED TABS 500 MG 120 120
Ecansya Film Coated Tabs. 500 mg. 120
€123.12
88502 CERTOLIZUMAB PEGOL CIMZIA SOLN FOR INJ PRE FILLED SYR 200 MG/ML 2 2 X 1ML
Cimzia Soln. for Inj. Pre-filled Syr. 200 mg./ml. 1 ml. 2
€853.39
88677 CERTOLIZUMAB PEGOL CIMZIA SOLN FOR INJ (AUTOCLICK) PRE FILLED PEN 200 MG/ML 2 2 X 1ML
Cimzia Soln. for Inj. (Autoclick) Pre-filled Pen 200 mg./ml. 1 ml. x 2
€865.13
88819 CETRORELIX CETROTIDE (P.C.O. MFG.) PDR. AND SOLV. FOR SOLN FOR INJ 0.25 MG 1 1
Cetrotide (P.C.O. Mfg.) Pdr. and Solv. for Soln. for Inj. 0.25 mg. 1
€32.19
88452 CETRORELIX CETROTIDE PDR. AND SOLV. FOR SOLN. FOR INJ 0.25 MG 1 1
Cetrotide Pdr. and Solv. for Soln. for Inj. 0.25 mg. 1
€33.20
89262 CHOLIC ACID ORPHACOL HARD CAPS 50 MG 30 30
Orphacol Hard Caps. 50 mg. 30
€2,519.09
89263 CHOLIC ACID ORPHACOL HARD CAPS 250 MG 30 30
Orphacol Hard Caps. 250 mg. 30
€9,575.53
88404 CHORIOGONADOTROPIN ALFA OVITRELLE SOLN. FOR INJ. PRE-FILLED PEN 250 MCG/0.5ML 1 1
Ovitrelle Soln. for Inj. Pre-filled Pen 250 mcg./0.5 ml. 1
€32.99
88100 CICLOSPORIN NEORAL CAPS 25 MG 30 30
Neoral Caps. 25 mg.30
€18.91
88101 CICLOSPORIN NEORAL CAPS 50 MG 30 30
Neoral Caps. 50 mg. 30
€37.00
88102 CICLOSPORIN NEORAL CAPS 100 MG 30 30
Neoral Caps. 100 mg. 30
€67.62
88103 CICLOSPORIN NEORAL 50ML ORAL SOLN 100 MG/ML 50 50
Neoral Oral Soln. 100 mg./ml. 50 ml.
€123.41
88166 CICLOSPORIN SANDIMMUN CAPS 25 MG 30 30
Sandimmun Caps. 25 mg. 30
€26.63
88167 CICLOSPORIN SANDIMMUN CAPS 50 MG 30 30
Sandimmun Caps. 50 mg. 30
€49.36
88168 CICLOSPORIN SANDIMMUN CAPS 100 MG 30 30
Sandimmun Caps. 100 mg. 30
€96.85
88165 CICLOSPORIN SANDIMMUN I.V. INFUSION 1ML AMPS 50 MG/ML 10 10
Sandimmun I.V. Infusion 1 ml. Amps 50 mg./ml. 10
€23.28
88169 CICLOSPORIN SANDIMMUN ORAL SOLN. 50ML ORAL SOLN 100 MG/ML 50 50
Sandimmun Oral Soln. 100 mg./ml. 50 ml.
€150.47
89046 CINACALCET CINACALCET (ACCORDPHARMA) FILM COATED TABS 30 MG 28 28
Cinacalcet (Accordpharma) Film Coated Tabs. 30 mg. 28
€72.95
89047 CINACALCET CINACALCET (ACCORDPHARMA) FILM COATED TABS 60 MG 28 28
Cinacalcet (Accordpharma) Film Coated Tabs. 60 mg. 28
€136.43
89048 CINACALCET CINACALCET (ACCORDPHARMA) FILM COATED TABS 90 MG 28 28
Cinacalcet (Accordpharma) Film Coated Tabs. 90 mg. 28
€200.48
89014 CINACALCET CINACALCET (CLONMEL) FILM COATED TABS 30 MG 28 28
Cinacalcet (Clonmel) Film Coated Tabs. 30 mg. 28
€72.95
89015 CINACALCET CINACALCET (CLONMEL) FILM COATED TABS 60 MG 28 28
Cinacalcet (Clonmel) Film Coated Tabs. 60 mg. 28
€136.43
89016 CINACALCET CINACALCET (CLONMEL) FILM COATED TABS 90 MG 28 28
Cinacalcet (Clonmel) Film Coated Tabs. 90 mg. 28
€200.48
89078 CINACALCET CINACALCET (ROWEX) FILM COATED TABS 30 MG 28 28
Cinacalcet (Rowex) Film Coated Tabs. 30 mg. 28
€72.95
89079 CINACALCET CINACALCET (ROWEX) FILM COATED TABS 60 MG 28 28
Cinacalcet (Rowex) Film Coated Tabs. 60 mg. 28
€136.43
89080 CINACALCET CINACALCET TEVA FILM COATED TABS 30 MG 28 28
Cinacalcet TEVA Film Coated Tabs. 30 mg. 28
€72.95
89081 CINACALCET CINACALCET TEVA FILM COATED TABS 60 MG 28 28
Cinacalcet TEVA Film Coated Tabs. 60 mg. 28
€136.43
89082 CINACALCET CINACALCET TEVA FILM COATED TABS 90 MG 28 28
Cinacalcet TEVA Film Coated Tabs. 90 mg. 28
€200.48
88409 CINACALCET MIMPARA TABS 30 MG 28 28
Mimpara Tabs. 30 mg. 28
€78.62
88422 CINACALCET MIMPARA TABS 60 MG 28 28
Mimpara Tabs. 60 mg. 28
€145.14
88463 CINACALCET MIMPARA TABS 90 MG 28 28
Mimpara Tabs. 90 mg. 28
€217.46
89293 CINACALCET MIMPARA (ORIGINALIS B.V.) FILM COATED TABS 30 MG 28 28
Mimpara (Originalis B.V.) Film Coated Tabs. 30 mg. 28
€76.26
88724 CINACALCET MIMPARA (P.C.O. MFG.) TABS 30 MG 28 28
Mimpara (P.C.O. Mfg.) Tabs. 30 mg. 28
€76.26
88966 CLADRIBINE MAVENCLAD TABS 10 MG 1 1
Mavenclad Tabs. 10 mg. 1
€2,160.60
88967 CLADRIBINE MAVENCLAD TABS 10 MG 4 4
Mavenclad Tabs. 10 mg. 4
€8,621.53
88968 CLADRIBINE MAVENCLAD TABS 10 MG 6 6
Mavenclad Tabs. 10 mg. 6
€12,843.45
88885 COBIMETINIB COTELLIC FILM COATED TABS 20 MG 63 63
Cotellic Film Coated Tabs. 20 mg. 63
€5,651.48
89285 COLISTIN COLOBREATHE (P.C.O. MFG.) INHALATION POWDER HARD CAPS 1,662,500 IU 56 56
Colobreathe (P.C.O. Mfg.) 1,662,500 IU Inhalation Powder, Hard Caps. 56
€1,177.32
88254 COLISTIN COLOBREATHE INHALATION POWDER HARD CAPS 1,662,500 IU 56 56
Colobreathe 1,662,500 IU Inhalation Powder, Hard Caps. 56
€1,213.74
88783 CRIZOTINIB XALKORI HARD CAPS 200 MG 60 60
Xalkori Hard Caps. 200 mg. 60
€4,630.26
88784 CRIZOTINIB XALKORI HARD CAPS 250 MG 60 60
Xalkori Hard Caps. 250 mg. 60
€5,066.43
88430 DABRAFENIB TAFINLAR HARD CAPS 50 MG 120 120
Tafinlar Hard Caps. 50 mg. 120
€4,430.20
88432 DABRAFENIB TAFINLAR HARD CAPS 75 MG 120 120
Tafinlar Hard Caps. 75 mg. 120
€6,586.55
88829 DACOMITINIB VIZIMPRO FILM COATED TABS 45 MG 30 30
Vizimpro Film Coated Tabs. 45 mg. 30
€2,538.00
88827 DACOMITINIB VIZIMPRO FILM COATED TABS 15 MG 30 30
Vizimpro Film Coated Tabs. 15 mg. 30
€2,538.00
88828 DACOMITINIB VIZIMPRO FILM COATED TABS 30 MG 30 30
Vizimpro Film Coated Tabs. 30 mg. 30
€2,538.00
89268 DARBEPOETIN ALFA ARANESP (ORIGINALIS B.V.) SOLN FOR INJ. SURECLICK PRE FILLED PEN 150 MCG 1 1
Aranesp (Originalis B.V.) Soln. for Inj. in Pre-filled Pen SureClick 150 mcg. 1
€252.72
89269 DARBEPOETIN ALFA ARANESP (ORIGINALIS B.V.) SOLN FOR INJ. WITH NEEDLEGUARD PRE FILLED SYR 300 MCG 1 1
Aranesp (Originalis B.V.) Soln. for Inj. in Pre-filled Syringe with Needleguard 300 mcg. 1
€478.97
88350 DARBEPOETIN ALFA ARANESP SOLN FOR INJ INJ 10 MCG 4 4
Aranesp Soln. for Inj. 10 mcg. 4
€71.34
88766 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. ANG PRE FILLED SYR 20 MCG 4 4
Aranesp Soln. For Inj. Pre-filled Syr. ANG 20 mcg. 4
€138.73
88767 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. ANG PRE FILLED SYR 30 MCG 4 4
Aranesp Soln. for Inj. Pre-filled Syr. ANG 30 mcg. 4
€209.57
88768 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. ANG PRE FILLED SYR 40 MCG 4 4
Aranesp Soln. for Inj. Pre-filled Syr. ANG. 40 mcg. 4
€276.10
88769 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. ANG PRE FILLED SYR 50 MCG 4 4
Aranesp Soln. for Inj. Pre-filled Syr. ANG 50 mcg. 4
€346.86
88770 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. ANG PRE FILLED SYR 60 MCG 4 4
Aranesp Soln. for Inj. Pre-filled Syr. 60 mcg. 4
€418.71
88776 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. ANG PRE FILLED SYR 80 MCG 4 4
Aranesp Soln. for Inj. Pre-filled Syr. 80 mcg. 4
€557.88
88777 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. ANG PRE FILLED SYR 100 MCG 4 4
Aranesp Soln. for Inj. Pre-filled Syr. ANG. 100 mcg. 4
€692.74
88778 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. ANG PRE FILLED SYR 150 MCG 4 4
Aranesp Soln. for Inj. Pre-filled Syr. ANG 150 mcg. 4
€1,024.11
88779 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. ANG PRE FILLED SYR 300 MCG 1 1
Aranesp Soln. for Inj. Pre-filled Syr. ANG 300 mcg. 1
€493.79
88780 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. ANG PRE FILLED SYR 500 MCG 1 1
Aranesp Soln. for Inj. Pre-filled Syr. ANG 500 mcg. 1
€814.55
88658 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. SURECLICK PRE FILLED PEN 20 MCG. 1 1
Aranesp Soln. for Inj. pre-filled pen SureClick 20 mcg. 1
€36.43
88671 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. SURECLICK PRE FILLED PEN 40 MCG 1 1
Aranesp Soln. for Inj. pre-filled pen SureClick 40 mcg. 1
€66.66
88696 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. SURECLICK PRE FILLED PEN 60 MCG 1 1
Aranesp Soln. for Inj. pre-filled pen SureClick 60 mcg. 1
€99.06
88723 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. SURECLICK PRE FILLED PEN 80 MCG 1 1
Aranesp Soln. for Inj. pre-filled pen SureClick 80 mcg. 1
€133.63
88736 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. SURECLICK PRE FILLED PEN 100 MCG 1 1
Aranesp Soln. for Inj. pre-filled pen SureClick 100 mcg. 1
€164.01
88747 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. SURECLICK PRE FILLED PEN 150 MCG 1 1
Aranesp Soln. for Inj. Pre-filled Pen SureClick 150 mcg. 1
€260.54
88763 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. SURECLICK PRE FILLED PEN 300 MCG 1 1
Aranesp Soln. for Inj. pre-filled pen SureClick 300 mcg. 1
€500.86
88785 DARBEPOETIN ALFA ARANESP SOLN. FOR INJ. SURECLICK PRE FILLED PEN 500 MCG 1 1
Aranesp Soln. for Inj. pre-filled pen SureClick 500 mcg. 1
€823.11
89172 DAROLUTAMIDE NUBEQA FILM COATED TABS 300 MG 112 112
Nubeqa Film Coated Tabs. 300 mg. 112
€3,194.23
89017 DASATINIB DASATINIB (CLONMEL) FILM COATED TABS 20 MG 60 60
Dasatinib (Clonmel) Film Coated Tabs. 20 mg. 60
€779.00
89018 DASATINIB DASATINIB (CLONMEL) FILM COATED TABS 50 MG 60 60
Dasatinib (Clonmel) Film Coated Tabs. 50 mg. 60
€1,571.27
89019 DASATINIB DASATINIB (CLONMEL) FILM COATED TABS 70 MG 60 60
Dasatinib (Clonmel) Film Coated Tabs. 70 mg. 60
€1,514.34
89021 DASATINIB DASATINIB (CLONMEL) FILM COATED TABS 100 MG 30 30
Dasatinib (Clonmel) Film Coated Tabs. 100 mg. 30
€1,572.78
89231 DASATINIB DASATINIB TEVA FILM COATED TABS 20 MG 60 60
Dasatinib TEVA Film Coated Tabs. 20 mg. 60
€744.96
89232 DASATINIB DASATINIB TEVA FILM COATED TABS 50 MG 60 60
Dasatinib TEVA Film Coated Tabs. 50 mg. 60
€1,505.78
89233 DASATINIB DASATINIB TEVA FILM COATED TABS 70 MG 60 60
Dasatinib TEVA Film Coated Tabs. 70 mg. 60
€1,413.27
89234 DASATINIB DASATINIB TEVA FILM COATED TABS 100 MG 30 30
Dasatinib TEVA Film Coated Tabs. 100 mg. 30
€1,498.13
88549 DASATINIB SPRYCEL FILM COATED TABS 100 MG 30 30
Sprycel Film Coated Tabs. 100 mg. 30
€1,498.13
88577 DASATINIB SPRYCEL TABS 20 MG 60 60
Sprycel Tabs. 20 mg. 60
€744.96
88578 DASATINIB SPRYCEL TABS 50 MG 60 60
Sprycel Tabs. 50 mg. 60
€1,505.78
88579 DASATINIB SPRYCEL TABS 70 MG 60 60
Sprycel Tabs. 70 mg. 60
€1,413.27
89164 DEFERASIROX DEFERASIROX (ACCORD HEALTHCARE LTD.) FILM COATED TABS 90 MG 30 30
Deferasirox (Accord Healthcare Ltd.) Film Coated Tabs. 90 mg. 30
€72.49
89165 DEFERASIROX DEFERASIROX (ACCORD HEALTHCARE LTD.) FILM COATED TABS 180 MG 30 30
Deferasirox (Accord Healthcare Ltd.) Film Coated Tabs. 180 mg. 30
€146.55
89166 DEFERASIROX DEFERASIROX (ACCORD HEALTHCARE LTD.) FILM COATED TABS 360 MG 30 30
Deferasirox (Accord Healthcare Ltd.) Film Coated Tabs. 360 mg. 30
€288.47
88687 DEFERASIROX EXJADE FILM COATED TABS 90 MG 30 30
Exjade Film Coated Tabs. 90 mg. 30
€72.49
88688 DEFERASIROX EXJADE FILM COATED TABS 180 MG 30 30
Exjade Film Coated Tabs. 180 mg. 30
€146.55
88689 DEFERASIROX EXJADE FILM COATED TABS 360 MG 30 30
Exjade Film Coated Tabs. 360 mg. 30
€288.47
88262 DEFERIPRONE FERRIPROX ORAL SOLN 100 MG/ML 500 500ML
Ferriprox Oral Soln. 100 mg./ml. 500 ml.
€201.11
88263 DEFERIPRONE FERRIPROX TABS 500 MG 100 100
Ferriprox Tabs. 500 mg. 100
€190.98
89291 DEGARELIX FIRMAGON (IMED HEALTHCARE LTD.) PDR. & SOLV. FOR SOLN. FOR INJ 80 MG 1 1
Firmagon (iMED Healthcare Ltd.) Pdr. & Solv. for Soln. for Inj. 80 mg. 1
€150.68
89093 DEGARELIX FIRMAGON (P.C.O. MFG.) PDR. & SOLV. FOR SOLN. FOR INJ 80 MG 1 1
Firmagon (P.C.O. Mfg.) Pdr. & Solv. for Soln. for Inj. 80 mg. 1
€150.68
88363 DEGARELIX FIRMAGON PDR. & SOLV. FOR SOLN. FOR INJ 80 MG 1 1
Firmagon Pdr. & Solv. for Soln. for Inj. 80 mg. 1
€155.35
88364 DEGARELIX FIRMAGON PDR. & SOLV. FOR SOLN. FOR INJ 120 MG 2 2
Firmagon Pdr. & Solv. for Soln. for Inj. 120 mg. 2
€297.00
89106 DELAFLOXACIN QUOFENIX TABS 450 MG 10 10
Quofenix Tabs. 450 mg. 10
€648.00
88309 DENOSUMAB XGEVA SOLN FOR INJ 120 MG 1 1
Xgeva Soln. for Inj. 120 mg. 1
€310.41
89340 DENOSUMAB XGEVA SOLN. FOR INJ. IN PRE FILLED SYRINGE 120 MG 1 1
Xgeva Soln. for Inj. in Pre-filled Syringe 120 mg. 1
€310.41
89324 DEUCRAVACITINIB SOTYKTU FILM COATED TABS 6 MG 28 28
SOTYKTU Film Coated Tabs. 6 mg. 28
€887.08
2
COMPLETE LIST OF HIGH TECH PRODUCTS BY NON PROPRIETARY NAME AS AT 1st JULY 2024.
DMA
CODE
NON-PROPRIETARY NAME DMA NAME FORM STRENGTH
UNIT OF
MEAS.
PACK
SIZE
PACK SIZE NAME DRUG DESCRIPTION
REIMBURSEMENT
PRICE
89280 DIMETHYL FUMARATE TECFIDERA (IMED HEALTHCARE LTD.) GASTRO-RESISTANT HARD CAPS 240 MG 56 56
Tecfidera (iMED Healthcare Ltd.) Gastro-Resistant Hard Caps. 240 mg. 56
€965.61
89207 DIMETHYL FUMARATE TECFIDERA (ORIGINALIS B.V.) GASTRO RESISTANT HARD CAPS 120 MG 14 14
Tecfidera (Originalis B.V.) Gastro-Resistant Hard Caps. 120 mg. 14
€181.65
89208 DIMETHYL FUMARATE TECFIDERA (ORIGINALIS B.V.) GASTRO RESISTANT HARD CAPS 240 MG 56 56
Tecfidera (Originalis B.V.) Gastro-Resistant Hard Caps. 240 mg. 56
€965.61
89276 DIMETHYL FUMARATE TECFIDERA (P.C.O. MFG.) GASTRO-RESISTANT HARD CAPS 240 MG 56 56
Tecfidera (P.C.O. Mfg.) Gastro-Resistant Hard Caps. 240 mg. 56
€965.61
88464 DIMETHYL FUMARATE TECFIDERA GASTRO-RESISTANT HARD CAPS 120 MG 14 14
Tecfidera Gastro-resistant Hard Caps. 120 mg. 14
€187.26
88491 DIMETHYL FUMARATE TECFIDERA GASTRO-RESISTANT HARD CAPS 240 MG 56 56
Tecfidera Gastro-resistant Hard Caps. 240 mg. 56
€995.47
89266 DIROXIMEL FUMARATE VUMERITY GASTRO RESISTANT HARD CAPS 231 MG 120 120
Vumerity Gastro Resistant Hard Caps. 231 mg. 120
€1,104.42
89123 DORNASE ALFA (DESOXYRIBONUCLEASE) PULMOZYME (P.C.O. MFG.) NEBULISER SOLN AMPOULES 2500 U/2.5ML 6 6
Pulmozyme (P.C.O. Mfg.) Nebuliser Soln. Ampoules 2500 U/2.5 ml. 6
€131.31
88135 DORNASE ALFA (DESOXYRIBONUCLEASE) PULMOZYME 2.5MG AMP 2.5 MG/2.5ML 6 6
Pulmozyme Amp 2.5 mg./2.5 ml. 6
€135.37
89074 DUPILUMAB DUPIXENT SOLN. FOR INJ IN. PRE FILLED SYRINGE 200 MG 2 2
Dupixent Soln. for Inj. in Pre-filled Syringe 200 mg. 2
€1,222.64
89072 DUPILUMAB DUPIXENT SOLN. FOR INJ. IN PRE FILLED PEN 200 MG 2 2
Dupixent Soln. for Inj. in Pre-filled Pen 200 mg. 2
€1,232.34
89073 DUPILUMAB DUPIXENT SOLN. FOR INJ. IN PRE FILLED PEN 300 MG 2 2
Dupixent Soln. for Inj. in Pre-filled Pen 300 mg. 2
€1,228.07
89075 DUPILUMAB DUPIXENT SOLN. FOR INJ. IN PRE FILLED SYRINGE 300 MG 2 2
Dupixent Soln. for Inj. in Pre-filled Syringe 300 mg. 2
€1,227.32
88969 ELIGLUSTAT CERDELGA HARD CAPS 84 MG 56 56
Cerdelga Hard Caps. 84 mg. 56
€20,753.41
88313 ELTROMBOPAG REVOLADE TABS 25 MG 28 28
Revolade Tabs. 25 mg. 28
€930.71
88314 ELTROMBOPAG REVOLADE TABS 50 MG 28 28
Revolade Tabs. 50 mg. 28
€1,860.41
88984 ENCORAFENIB BRAFTOVI HARD CAPS 50 MG 28 28
Braftovi Hard Caps. 50 mg. 28
€705.09
88985 ENCORAFENIB BRAFTOVI HARD CAPS 75 MG 42 42
Braftovi Hard Caps. 75 mg. 42
€1,515.54
88700 ENTECAVIR BARACLUDE TABS 0.5 MG 30 30
Baraclude Tabs. 0.5 mg. 30
€209.56
88732 ENTECAVIR BARACLUDE TABS 1 MG 30 30
Baraclude Tabs. 1 mg. 30
€211.76
88733 ENTECAVIR BARACLUDE ORAL SUSP 0.05 MG/ML 210 210 ml
Baraclude Oral Susp. 0.05 mg./ml. 210 ml.
€561.19
89333 ENTECAVIR BARACLUDE (IMED HEALTHCARE LTD.) FILM COATED TABS 0.5 MG 30 30
Baraclude (iMED Healthcare Ltd.) Film Coated Tabs. 0.5 mg. 30
€203.28
89000 ENTECAVIR BARACLUDE (ORIGINALIS B.V.) FILM COATED TABS 0.5 MG 30 30
Baraclude (Originalis B.V.) Film Coated Tabs. 0.5 mg. 30
€203.28
89049 ENTECAVIR BARACLUDE (P.C.O. MFG.) FILM COATED TABS 0.5 MG 30 30
Baraclude (P.C.O. Mfg.) Film Coated Tabs. 0.5 mg. 30
€203.28
88986 ENTECAVIR ENTECAVIR (ACCORD HEALTHCARE LTD.) FILM COATED TABS 0.5 MG 30 30
Entecavir (Accord Healthcare Ltd.) Film Coated Tabs. 0.5 mg. 30
€180.37
88878 ENTECAVIR ENTECAVIR (ROWEX) FILM COATED TABS 0.5 MG 30 30
Entecavir (Rowex) Film Coated Tabs. 0.5 mg. 30
€180.37
88189 ENTECAVIR ENTECAVIR MYLAN (GERARD LABS.) FILM COATED TABS 0.5 MG 30 30
Entecavir Mylan (Gerard Labs.) Film Coated Tabs. 0.5 mg. 30
€180.37
89193 ENTRECTINIB ROZLYTREK HARD CAPS 100 MG 30 30
Rozlytrek Hard Caps. 100 mg. 30
€989.23
89194 ENTRECTINIB ROZLYTREK HARD CAPS 200 MG 90 90
Rozlytrek Hard Caps. 200 mg. 90
€5,934.23
89025 ENZALUTAMIDE XTANDI FILM COATED TABS 40 MG 112 112
Xtandi Film Coated Tabs. 40 mg. 112
€3,044.24
88751 EPOPROSTENOL FLOLAN PDR & SOLV FOR SOLN FOR INF 1.5 MG 1 1
Flolan Pdr. & Solv. for Soln. for Inf. 1.5 mg. 1
€147.14
88748 EPOPROSTENOL FLOLAN PDR. & SOLV FOR SOLN FOR INF 0.5 MG 1 1
Flolan Pdr. & Solv. for Soln. for Inf. 0.5 mg. 1
€66.90
88772 EPOPROSTENOL VELETRI PDR FOR SOLN FOR INF VIAL 0.5 MG 1 1
Veletri Pdr. for Soln. for Inf. 0.5 mg. Vial 1
€53.77
88773 EPOPROSTENOL VELETRI PDR FOR SOLN FOR INF VIAL 1.5 MG 1 1
Veletri Pdr. for Soln. for Inf. 1.5 mg. Vial 1
€86.80
89090 ERENUMAB AIMOVIG SOLN. FOR INJ. IN PRE FILLED PEN 70 MG 1 1
Aimovig Soln. for Inj. in Pre-filled Pen 70 mg. 1
€436.11
89091 ERENUMAB AIMOVIG SOLN. FOR INJ. IN PRE FILLED PEN 140 MG 1 1
Aimovig Soln. for Inj. in Pre-filled Pen 140 mg. 1
€441.88
88411 ERLOTINIB TARCEVA TABS 25 MG 30 30
Tarceva Tabs. 25 mg. 30
€437.99
88424 ERLOTINIB TARCEVA TABS 100 MG 30 30
Tarceva Tabs. 100 mg. 30
€1,562.34
88473 ERLOTINIB TARCEVA TABS 150 MG 30 30
Tarceva Tabs. 150 mg. 30
€1,909.21
88477 ERYTHROPOIETIN EPORATIO SOLN. FOR INJ. PRE FILLED SYR 4,000 IU/0.5 ML 6 6 X 0.5 ML
Eporatio Soln. for Inj. in Pre-filled Syringe 4,000 IU/0.5 ml. 6
€129.60
88478 ERYTHROPOIETIN EPORATIO SOLN. FOR INJ. PRE FILLED SYR 5,000 IU/0.5 ML 6 6 X 1 ML.
Eporatio Soln. for Inj. in Pre-filled Syringe 5,000 IU/0.5 ml. 6
€162.00
88479 ERYTHROPOIETIN EPORATIO SOLN. FOR INJ. PRE FILLED SYR 10,000 IU/1 ML 6 6 X 1 ML.
Eporatio Soln. for Inj. in Pre-filled Syringe 10,000 IU/1 ml. 6
€324.00
88474 ERYTHROPOIETIN EPORATIO SOLN. FOR INJ. PRE FILLED SYR 1,000 IU/0.5 ML 6 6 X 0.5 ML
Eporatio Soln. for Inj. in Pre-filled Syringe 1,000 IU/0.5 ml. 6
€32.40
88475 ERYTHROPOIETIN EPORATIO SOLN. FOR INJ. PRE FILLED SYR 2,000 IU/0.5ML 6 6 X 0.5 ml.
Eporatio Soln. for Inj. in Pre-filled Syringe 2,000 IU/0.5 ml. 6
€64.80
88476 ERYTHROPOIETIN EPORATIO SOLN. FOR INJ. PRE FILLED SYR 3,000 IU/0.5 ML 6 6 x 0.5 ml.
Eporatio Soln. for Inj. in Pre-filled Syringe 3,000 IU/0.5 ml. 6
€97.20
88480 ERYTHROPOIETIN EPORATIO SOLN. FOR INJ. PRE FILLED SYR 20,000 IU/1 ML 6 6 X 1 ML.
Eporatio Soln. for Inj. in Pre-filled Syringe 20,000 IU/1 ml. 6
€921.94
88482 ERYTHROPOIETIN EPORATIO SOLN. FOR INJ. PRE FILLED SYR 30,000 IU/1 ML 4 4
Eporatio Soln. for Inj. in Pre-filled Syringe 30,000 IU/1 ml. 4
€907.69
88792 ERYTHROPOIETIN NEO RECORMON PRE FILLED SYR 30,000 IU/0.6 ML 4 4 X 0.6 ML
Neo Recormon Pre-filled Syr. 30,000/0.6 ml. 0.6 ml. 4
€823.61
89002 ERYTHROPOIETIN NEO RECORMON (ORIGINALIS B.V.) SOLN FOR INJ IN PRE FILLED SYR 30,000 IU/0.6 ML 4 4 X 0.6 ML
Neo Recormon (Originalis B.V.) Soln. for Inj. in Pre-filled Syr. 30,000 iu/0.6 ml. 4
€798.90
89250 ERYTHROPOIETIN NEO RECORMON (ORIGINALIS B.V.) SOLN. FOR INJ. IN PRE FILLED SYR 10000 IU/0.6 ML 6 6 X 0.6 ML
Neo Recormon (Originalis B.V.) Soln. for Inj. in Pre-filled Syr. 10,000 iu/0.6 ml. 6
€378.06
88281 ERYTHROPOIETIN NEO RECORMON PRE-FILLED SYRINGE 4000 IU 6 6
Neo Recormon Pre-filled Syr. 4000 iu 6
€186.07
88282 ERYTHROPOIETIN NEO RECORMON PRE-FILLED SYRINGE 6000 IU 6 6
Neo Recormon Pre-filled Syr. 6000 iu 6
€272.35
88273 ERYTHROPOIETIN NEO RECORMON PREFILLED 0.3ML SYRINGE 500 IU/0.3ML 6 6
Neo Recormon Prefilled 0.3 ml. Syringe 500 iu/0.3 ml. 6
€21.35
88275 ERYTHROPOIETIN NEO RECORMON PREFILLED 0.3ML SYRINGE 2000 IU/0.3ML 6 6
Neo Recormon Prefilled 0.3 ml. Syringe 2000 iu/0.3 ml. 6
€85.77
88276 ERYTHROPOIETIN NEO RECORMON PREFILLED 0.3ML SYRINGE 3000 IU/0.3ML 6 6
Neo Recormon Prefilled 0.3 ml. Syringe 3000 iu/0.3 ml. 6
€131.64
88277 ERYTHROPOIETIN NEO RECORMON PREFILLED 0.3ML SYRINGE 5000 IU/0.3ML 6 6
Neo Recormon Pre-filled 0.3 ml Syringe 5000 iu/0.3 ml. 6
€221.53
88278 ERYTHROPOIETIN NEO RECORMON PREFILLED 0.3ML SYRINGE 10000 IU/0.6ML 6 6
Neo Recormon Pre-filled 0.3 ml. Syringe 10000 iu/0.6 ml. 6
€389.76
88653 ERYTHROPOIETIN RETACRIT SOLN. FOR INJ. IN PRE FILLED SYR 20,000 IU/0.5 ML 1 1
Retacrit Soln. for Inj. in Pre-filled Syr. 20,000 iu/0.5 ml. 1
€81.46
88679 ERYTHROPOIETIN RETACRIT SOLN. FOR INJ. IN PRE FILLED SYR 30,000 IU/0.75 ML 1 1
Retacrit Soln. for Inj. in Pre-filled Syr. 30,000 iu/0.75 ml. 1
€122.19
88720 ERYTHROPOIETIN RETACRIT SOLN. FOR INJ. IN PRE FILLED SYR 1000 IU/0.3 ML 6 6
Retacrit Soln. for Inj. in Pre-filled Syr. 1000 iu/0.3 ml. 6
€25.92
88798 ERYTHROPOIETIN RETACRIT SOLN. FOR INJ. IN PRE FILLED SYR 40000 IU/1.0 ML 1 1
Retacrit Soln. for Inj. in Pre-filled Syr. 40000 iu/1.0 ml. 1
€162.92
88862 ETANERCEPT BENEPALI SOLN FOR INJ IN PRE FILLED SYRINGE 25 MG 4 4
Benepali Soln. for Inj. in Pre-filled Syringe 25 mg. 4
€278.58
88635 ETANERCEPT BENEPALI SOLN. FOR INJ. IN PREFILLED PEN 50 MG 4 4
Benepali Soln. for Inj. in Pre-filled Pen 50 mg. 4
€557.13
88640 ETANERCEPT BENEPALI SOLN. FOR INJ. IN PREFILLED SYRINGE 50 MG 4 4
Benepali Soln. for Inj. in Pre-filled Syr. 50 mg. 4
€557.13
88039 ETANERCEPT ENBREL
POWDER AND SOLVENT FOR SOLN FOR INJ
25 MG 4 4
Enbrel Powder and Solvent for Soln. for Inj. 25 mg. 4
€405.19
88863 ETANERCEPT ENBREL (MYCLIC) SOLN FOR INJ IN PRE FILLED PEN 25 MG 4 4
Enbrel (MYCLIC) Soln. for Inj. in Pre-filled Pen 25 mg. 4
€405.19
88245 ETANERCEPT ENBREL (MYCLIC) SOLN. FOR INJ. PRE-FILLED PEN 50 MG 4 4
Enbrel (Myclic) Soln. for Inj. Pre-filled Pen 50 mg. 4
€810.37
88095 ETANERCEPT ENBREL PAED. SOLN. FOR INJ. PRE-FILLED SYRINGE 25 MG 4 4
Enbrel Paed. Soln. for Inj. Pre-filled Syr. 25 mg. 4
€524.12
88246 ETANERCEPT ENBREL PDR. & SOLV. FOR PAED USE SOLN FOR INJ 10 MG 4 4
Enbrel Pdr. & Solv. for Soln. for Inj. for Paed. Use 10 mg. 4
€167.51
88098 ETANERCEPT ENBREL SOLN FOR INJ PRE-FILLED SYRINGE 25 MG 4 4
Enbrel Soln. for Inj. Pre-Filled Syr. 25 mg. 4
€405.19
88099 ETANERCEPT ENBREL SOLN FOR INJ PRE-FILLED SYRINGE 50 MG 4 4
Enbrel Soln. for Inj. Pre-Filled Syr. 50 mg. 4
€810.37
89170 ETANERCEPT ERELZI SOLN. FOR INJ. IN PRE FILLED PEN 50 MG/1.0 ML 4 4
Erelzi Soln. for Inj. in Pre-filled Pen 50 mg./1.0 ml. 4
€646.17
88205 ETOPOSIDE VEPESID CAPS 50 MG 20 20
Vepesid Caps. 50 mg. 20
€143.28
88206 ETOPOSIDE VEPESID CAPS 100 MG 10 10
Vepesid Caps. 100 mg. 10
€125.18
88009 EVEROLIMUS AFINITOR TABS 2.5 MG 30 30
Afinitor Tabs. 2.5 mg. 30
€1,189.56
88304 EVEROLIMUS AFINITOR TABS 5 MG 30 30
Afinitor Tabs. 5 mg. 30
€1,677.37
88305 EVEROLIMUS AFINITOR TABS 10 MG 30 30
Afinitor Tabs. 10 mg. 30
€2,297.79
89050 EVEROLIMUS AFINITOR (IMED HEALTHCARE LTD.) TABS 2.5 MG 30 30
Afinitor (iMED Healthcare Ltd.) Tabs. 2.5 mg. 30
€1,153.87
89243 EVEROLIMUS AFINITOR (ORIGINALIS B.V.) TABS 2.5 MG 30 30
Afinitor (Originalis B.V.) Tabs. 2.5 mg. 30
€1,153.87
89244 EVEROLIMUS AFINITOR (ORIGINALIS B.V.) TABS 5 MG 30 30
Afinitor (Originalis B.V.) Tabs. 5 mg. 30
€1,627.05
89245 EVEROLIMUS AFINITOR (ORIGINALIS B.V.) TABS 10 MG 30 30
Afinitor (Originalis B.V.) Tabs. 10 mg. 30
€2,228.85
89308 EVEROLIMUS AFINITOR (P.C.O. MFG.) TABS 10 MG 30 30
Afinitor (P.C.O. Mfg.) Tabs. 10 mg. 30
€2,228.85
88993 EVOLOCUMAB REPATHA SOLN FOR INJ SURECLICK PRE FILLED PEN 140 MG 2 2
Repatha Soln. for Inj. Pre-filled Pen SureClick 140 mg. 2
€409.85
89258 FEDRATINIB INREBIC HARD CAPS 100 MG 120 120
Inrebic Hard Caps. 100 mg. 120
€4,616.45
88252 FIDAXOMICIN DIFICLIR FILM COATED TABS 200 MG 20 20
Dificlir Film Coated Tabs. 200 mg. 20
€1,574.96
89127 FIDAXOMICIN DIFICLIR GRANULES FOR ORAL SUSP 40 MG/ML 1 1 X 7.7 G. BOTTLE
Dificlir Granules for Oral Susp. 40 mg./ml. 7.7 G. Bottle 1
€1,554.35
89060 FILGOTINIB JYSELECA FILM COATED TABS 200 MG 30 30
Jyseleca Film Coated Tabs. 200 mg. 30
€859.52
89059 FILGOTINIB JYSELECA FILM COATED TABS 100 MG 30 30
Jyseleca Film Coated Tabs. 100 mg. 30
€861.22
88569 FILGRASTIM ACCOFIL (ACCORD HEALTHCARE LTD.) SOLN. FOR INJ./INF. IN PRE-FILLED SYRINGE 48 MU/0.5 ML 5 0.5 ML. X 5
Accofil (Accord Healthcare Ltd.) Soln. for Inj./Inf. in Pre-filled Syringe 48 MU/0.5 ml. 0.5 ml. 5
€368.18
88568 FILGRASTIM ACCOFIL SOLN. FOR INJ./INF. IN PRE-FILLED SYRINGE 30 MU/0.5 ML 5 0.5 ML. X 5
Accofil Soln. for Inj./Inf. in Pre-filled Syringe 30 MU/0.5 ml. 0.5 ml. 5
€234.38
88120 FILGRASTIM NEUPOGEN 1ML VIAL 30 MU 5 5
Neupogen 1 ml. Vial 30 MU 5
€240.86
88126 FILGRASTIM NEUPOGEN SINGLEJECT SYRINGE 30 MU 1 1
Neupogen Singleject Syr. 30 MU 1
€53.58
88127 FILGRASTIM NEUPOGEN SINGLEJECT SYRINGE 48 MU 1 1
Neupogen Singleject Syr. 48 MU 1
€84.16
88128 FILGRASTIM NEUPOGEN SINGLEJECT SYRINGE 30 MU 5 5
Neupogen Singleject Syr. 30 MU 5
€267.88
88129 FILGRASTIM NEUPOGEN SINGLEJECT SYRINGE 48 MU 5 5
Neupogen Singleject Syr. 48 MU 5
€420.80
88537 FILGRASTIM NIVESTIM SOLN FOR INJ/INF PRE FILLED SYR 12 MU/0.2 ML 5 5 X 0.2 ML PACK
Nivestim Soln. for Inj./Inf. Pre-filled Syr. 12 MU/0.2 ml. 0.2 ml. Pack 5
€188.84
88538 FILGRASTIM NIVESTIM SOLN FOR INJ/INF PRE FILLED SYR 30 MU/0.5 ML 5 5 X 0.5 ML PACK
Nivestim Soln. for Inj./Inf. Pre-filled Syr. 30 MU/0.5 ml. 0.5 ml. Pack 5
€234.38
88539 FILGRASTIM NIVESTIM SOLN FOR INJ/INF PRE FILLED SYR 48 MU/0.5 ML 5 5 X 0.5 ML PACK
Nivestim Soln. for Inj./Inf. Pre-filled Syr. 48 MU/0.5 ml. 0.5 ml. Pack 5
€368.18
88544 FILGRASTIM TEVAGRASTIM SOLN FOR INJ OR INFUSION PRE FILLED SYR 48 MIU/0.8 ML 5 5 X 0.8 ML
Tevagrastim Soln. for Inj. or Infusion 48 MIU/0.8 ml. 0.8 ml. Pre-filled Syr. 5
€368.18
88543 FILGRASTIM TEVAGRASTIM SOLN. FOR INJ. OR INFUSION PRE FILLED SYR 30 MIU/0.5 ML 5 5 x 0.5 ML.
Tevagrastim Soln. for Inj. or Infusion 30 MIU/0.5 ml. 0.5 ml. Pre-filled Syr. 5
€234.38
89223 FINGOLIMOD FINGOLIMOD (ACCORD HEALTHCARE LTD.) HARD CAPS 0.5 MG 28 28
Fingolimod (Accord Healthcare Ltd.) Hard Caps. 0.5 mg. 28
€670.28
89192 FINGOLIMOD FINGOLIMOD (MYLAN) HARD CAPS 0.5 MG 28 28
Fingolimod (Mylan) Hard Caps. 0.5 mg. 28
€670.28
88407 FINGOLIMOD GILENYA HARD CAPS 0.5 MG 28 28
Gilenya Hard Caps. 0.5 mg. 28
€1,474.87
89270 FINGOLIMOD GILENYA (ORIGINALIS B.V.) HARD CAPS 0.5 MG 28 28
Gilenya (Originalis B.V.) Hard Caps. 0.5 mg. 28
€1,430.62
89287 FINGOLIMOD GILENYA (P.C.O. MFG.) HARD CAPS 0.5 MG 28 28
Gilenya (P.C.O. Mfg.) Hard Caps. 0.5 mg. 28
€1,430.62
3
COMPLETE LIST OF HIGH TECH PRODUCTS BY NON PROPRIETARY NAME AS AT 1st JULY 2024.
DMA
CODE
NON-PROPRIETARY NAME DMA NAME FORM STRENGTH
UNIT OF
MEAS.
PACK
SIZE
PACK SIZE NAME DRUG DESCRIPTION
REIMBURSEMENT
PRICE
88249 FLUDARABINE FLUDARA ORAL TABS 10 MG 20 20
Fludara Oral Tabs. 10 mg. 20
€484.80
88433 FOLLITROPIN ALFA BEMFOLA SOLN FOR INJ IN PRE-FILLED PEN 75 IU 1 1
Bemfola Soln. for Inj. in Pre-filled Pen 75 IU 1
€16.26
88434 FOLLITROPIN ALFA BEMFOLA SOLN FOR INJ IN PRE-FILLED PEN 150 IU 1 1
Bemfola Soln. for Inj. in Pre-filled Pen 150 IU 1
€48.99
88436 FOLLITROPIN ALFA BEMFOLA SOLN FOR INJ IN PRE-FILLED PEN 225 IU 1 1
Bemfola Soln. for Inj. in Pre-filled Pen 225 IU 1
€73.95
88437 FOLLITROPIN ALFA BEMFOLA SOLN FOR INJ IN PRE-FILLED PEN 300 IU 1 1
Bemfola Soln. for Inj. in Pre-filled Pen 300 IU 1
€67.93
88438 FOLLITROPIN ALFA BEMFOLA SOLN FOR INJ IN PRE-FILLED PEN 450 IU 1 1
Bemfola Soln. for Inj. in Pre-filled Pen 450 IU 1
€101.83
88485 FOLLITROPIN ALFA GONAL F (P.C.O. MFG.) SOLN. FOR INJ. PRE FILLED PEN 900 IU 1 1
Gonal F (P.C.O. Mfg.) Soln. for Inj. Pre-filled Pen 900 iu 1
€229.10
88465 FOLLITROPIN ALFA GONAL F PDR. AND SOLV. FOR SOLN. FOR INJ 75 IU 1 1
Gonal F Pdr. and Solv. for Soln. for Inj. 75 iu 1
€18.59
88469 FOLLITROPIN ALFA GONAL F SOLN FOR INJ PRE-FILLED PEN 300 IU 1 1
Gonal F Soln. for Inj. Pre-filled Pen 300 iu 1
€77.64
88470 FOLLITROPIN ALFA GONAL F SOLN. FOR INJ. PRE-FILLED PEN 450 IU 1 1
Gonal F Soln. for Inj. Pre-filled Pen 450 iu 1
€116.39
88471 FOLLITROPIN ALFA GONAL F SOLN. FOR INJ. PRE-FILLED PEN 900 IU 1 1
Gonal F Soln. for Inj. Pre-filled Pen 900 iu 1
€229.10
89186 FOLLITROPIN ALFA OVALEAP SOLN FOR INJ 300 IU/0.5 ML 1 1
Ovaleap Soln. for Inj. 300 IU/0.5 mL. 1
€67.23
89187 FOLLITROPIN ALFA OVALEAP SOLN FOR INJ 450 IU/0.75 ML 1 1
Ovaleap Soln. for Inj. 450 IU/0.75 mL. 1
€100.85
89188 FOLLITROPIN ALFA OVALEAP SOLN FOR INJ 900 IU/1.5 ML 1 1
Ovaleap Soln. for Inj. 900 IU/1.5 mL. 1
€200.45
89254 FOLLITROPIN ALFA AND LUTROPIN ALFA PERGOVERIS (ORIGINALIS B.V.) SOLN. FOR INJ. IN PRE FILLED PEN 900/450 IU/1.44 ML 1 1
Pergoveris (Originalis B.V.) Soln. for Inj. in Pre-filled Pen 900 iu/450 iu 1.44 mL. 1
€430.59
89290 FOLLITROPIN ALFA AND LUTROPIN ALFA PERGOVERIS (P.C.O MFG.) SOLN. FOR INJ. IN PRE FILLED PEN 900 + 450 IU/1.44 ML 1 1
Pergoveris (P.C.O Mfg.) Soln. for Inj. in Pre-Filled Pen (900 IU + 450 IU) 1.44 mL. 1
€430.60
88839 FOLLITROPIN ALFA AND LUTROPIN ALFA PERGOVERIS SOLN FOR INJ IN PRE FILLED PEN 900/450 IU/1.44ML 1 1
Pergoveris Soln. for Inj. in Pre-filled Pen 900 iu/450 iu 1.44 mL. 1
€443.91
89026 FOLLITROPIN ALFA AND LUTROPIN ALFA PERGOVERIS SOLN. FOR INJ. IN PRE FILLED PEN 300 + 150 IU/0.48 ML 1 1
Pergoveris Soln. for Inj. in Pre-filled Pen (300 IU + 150 IU)/0.48 mL. 1
€147.97
89173 FOLLITROPIN ALFA AND LUTROPIN ALFA PERGOVERIS SOLN. FOR INJ. IN PRE FILLED PEN 450 + 225 IU/0.72 ML 1 1
Pergoveris Soln. for Inj. in Pre-filled Pen (450 IU + 225 IU) 0.72 mL. 1
€221.96
88833 FOLLITROPIN BETA PUREGON (ORIGINALIS B.V.) SOLN. FOR INJ. CARTRIDGE 900 IU/1.08 ML 1 1
Puregon (Originalis B.V.) Soln. for Inj. Cartridge 900 iu/1.08 ml. 1
€269.00
88820 FOLLITROPIN BETA PUREGON (ORIGINALIS B.V.) SOLN. FOR INJ. CARTRIDGE 600 IU/0.72 ML 1 1
Puregon (Originals B.V.) Soln. for Inj. Cartridge 600 iu/0.72 ml. 1
€179.00
88761 FOLLITROPIN BETA PUREGON (P.C.O. MFG.) SOLN. FOR INJ. CARTRIDGE 600 IU 1 1
Puregon (P.C.O. Mfg.) Soln. for Inj. Cartridge 600 iu 1
€203.05
88762 FOLLITROPIN BETA PUREGON (P.C.O. MFG.) SOLN. FOR INJ. CARTRIDGE 900 IU 1 1
Puregon (P.C.O. Mfg.) Soln. for Inj. Cartridge 900 iu 1
€300.22
88930 FOLLITROPIN DELTA REKOVELLE (1 MULTIDOSE CARTRIDGE + 3 PEN INJ. NEEDLES) SOLN FOR INJ 12
MCG/0.36ML
1 PACK1
Rekovelle Soln. for Inj. 12 mcg./0.36 mL. (1 Multidose Cartridge + 3 Pen Inj. Needles) Pack 1
€76.20
88931 FOLLITROPIN DELTA REKOVELLE (1 MULTIDOSE CARTRIDGE + 6 PEN INJ. NEEDLES) SOLN FOR INJ 36
MCG/1.08ML
1 PACK 1
Rekovelle Soln. for Inj. 36 mcg./1.08 mL. (1 Multidose Cartridge + 6 Pen Inj. Needles) Pack 1
€228.61
88937 FOLLITROPIN DELTA REKOVELLE (1 MULTIDOSE CARTRIDGE + 9 PEN INJ. NEEDLES) SOLN FOR INJ 72
MCG/2.16ML
1 PACK 1
Rekovelle Soln. for Inj. 72 mcg./2.16 mL. (1 Multidose Cartridge + 9 Pen Inj. Needles) Pack 1
€457.23
89323 FOSLEVODOPA AND FOSCARBIDOPA PRODUODOPA SOLN FOR INF VIAL 240/12 MG/ML 7 7 X 10 ML
Produodopa Soln. for Inf. 240 mg./ml. + 12 mg./ml. 10 ml. Vial 7
€677.19
89094 FREMANEZUMAB AJOVY SOLN. FOR INJ. IN PRE FILLED SYRINGE 225 MG 1 1
Ajovy Soln. for Inj. in Pre-filled Syringe 225 mg. 1
€432.00
89109 FREMANEZUMAB AJOVY SOLN. FOR INJ. IN PRE FILLED PEN 225 MG 1 1
Ajovy Soln. for Inj. in Pre-filled Pen 225 mg. 1
€432.00
89030 FULVESTRANT FASLODEX (ORIGINALIS B.V.) SOLN FOR INJ PRE FILLED SYR 250 MG/5 ML 2 2 x 5 ML
Faslodex (Originalis B.V.) Soln. for Inj. Pre-filled Syr. 250 mg./5 ml. 5 ml. 2
€339.20
88793 FULVESTRANT FASLODEX (P.C.O. MFG.) FOR INJ FOR PREFILLED SYR 250 MG/5 ML 2 2 X 5 ML
Faslodex (P.C.O. Mfg.) for Inj. for Pre-filled Syr. 250 mg./5 ml. 5 ml. 2
€339.20
88501 FULVESTRANT FASLODEX SOLN FOR INJ PRE FILLED SYR 250 MG/5 ML 2 2 X 5 ML
Faslodex Soln. for Inj. Pre-Filled Syr. 250 mg./5 ml. 5 ml. 2
€349.68
89121 FULVESTRANT FULVESTRANT (ACCORD HEALTHCARE LTD.) SOLN. FOR INJ. IN PRE FILLED SYR 250 MG/5 ML 2 2 X 5 ML
Fulvestrant (Accord Healthcare Ltd.) Soln. for Inj. in Pre-filled Syr. 250 mg./5 ml. 2
€231.93
89309 FULVESTRANT FULVESTRANT (EVER PHARMA) SOLN. FOR INJ. PRE FILLED SYR 250 MG/5 ML 2 2 x 5 ML
Fulvestrant (EVER Pharma) Soln. for Inj. in Pre-Filled Syr. 250 mg./5 ml. 5 ml. 2
€231.93
89041 FULVESTRANT FULVESTRANT (ROWEX) SOLN FOR INJ PRE FILLED SYR 250 MG/5 ML 2 2 x 5 ML
Fulvestrant (Rowex) Soln. for Inj. Pre-filled Syr. 250 mg./ml. 5 ml. 2
€231.93
89054 FULVESTRANT FULVESTRANT TEVA SOLN. FOR INJ. PRE FILLED SYR 250 MG/5 ML 2 2 X 5 ML
Fulvestrant Teva Soln. for Inj. in Pre-filled Syr. 250 mg./5 ml. 2
€231.93
88933 FUMARIC ACID DERIVATIVES, COMBINATIONS SKILARENCE GASTRO RESISTANT TABS 30 MG 42 42
Skilarence Gastro Resistant Tabs. 30 mg. 42
€90.72
88934 FUMARIC ACID DERIVATIVES, COMBINATIONS SKILARENCE GASTRO RESISTANT TABS 120 MG 90 90
Skilarence Gastro Resistant Tabs. 120 mg. 90
€200.79
88935 FUMARIC ACID DERIVATIVES, COMBINATIONS SKILARENCE GASTRO RESISTANT TABS 120 MG 180 180
Skilarence Gastro Resistant Tabs. 120 mg. 180
€394.87
89169 GALCANEZUMAB EMGALITY SOLN FOR INJ. IN PRE FILLED PEN 120 MG 1 1
Emgality Soln. for Inj. in Pre-filled Pen 120 mg. 1
€414.03
89286 GANIRELIX GANIRELIX (GEDEON RICHTER) SOLN FOR INJ IN PRE FILLED SYR 0.25 MG/0.5 ML 1 1
Ganirelix (Gedeon Richter) Soln. for Inj. in Pre-Filled Syr. 0.25 mg./0.5 ml. 1
€23.66
88884 GLATIRAMER ACETATE BRABIO SOLN FOR INJ PRE FILLED SYR 40 MG/ML 12 12 X 1 ML
Brabio Soln. for Inj., Pre-filled Syr. 40 mg./ml. 1 ml. 12
€557.59
88774 GLATIRAMER ACETATE BRABIO SOLN FOR INJ., PREFILLED SYR 20 MG/ML 28 28 X 1ML
Brabio Soln. for Inj., Pre-filled Syr. 20 mg./ml. 1 ml. 28
€557.59
89230 GLATIRAMER ACETATE COPAXONE (P.C.O. MFG.) SOLN. FOR INJ. IN PREFILLED SYRINGE 40 MG/ML 12 12
Copaxone (P.C.O. Mfg.) Soln. for Inj. in Pre-filled Syr. 40 mg./ml. 12
€888.84
88575 GLATIRAMER ACETATE COPAXONE SOLN FOR INJ PRE FILLED SYR 20 MG/ML 28 28 X 1 ML
Copaxone Soln. for Inj. 20 mg./ml. 1 ml. 28
€916.33
88580 GLATIRAMER ACETATE COPAXONE SOLN FOR INJ 1 ML. PRE FILLED SYR 40 MG/ML 12 12
Copaxone Soln. for Inj., Pre-filled Syr. 40 mg./ml. 1 ml. 12
€916.33
88894 GLYCEROL PHENYLBUTYRATE RAVICTI ORAL LIQUID 1.1 G/ML 1 1 X 25 ML BOTTLE
Ravicti Oral Liquid 1.1 G./ml. 25 ml. Bottle
€185.01
88900 GOLIMUMAB SIMPONI (ORIGINALIS B.V.) SOLN. FOR INJ. IN PRE FILLED PEN 50 MG/0.5 ML 1 1 x 0.5 ML
Simponi (Originalis B.V.) Soln. for Inj. in Pre-filled Pen 50 mg./0.5 ml. 0.5 ml. 1
€920.40
89020 GOLIMUMAB SIMPONI (ORIGINALIS B.V.) SOLN. FOR INJ. IN PRE FILLED SYR 50 MG/0.5 ML 1 1 X 0.5 ML.
Simponi (Originalis B.V.) Soln. for Inj. in Pre-filled Syr. 50 mg./0.5 ml. 0.5 ml. 1
€938.69
89096 GOLIMUMAB SIMPONI (ORIGINALIS B.V.) SOLN. FOR INJ. IN PRE FILLED PEN 100 MG 1 1
Simponi (Originalis B.V.) Soln. for Inj. in Pre-filled Pen 100 mg. 1
€1,052.84
88994 GOLIMUMAB SIMPONI (P.C.O. MFG.) SOLN FOR INJ IN PRE FILLED SYR 50 MG/0.5 ML 1 1 X 0.5 ML.
Simponi (P.C.O. Mfg.) Soln. for Inj. in Pre-filled Syr. 50 mg./0.5 ml. 0.5 ml. 1
€938.69
89204 GOLIMUMAB SIMPONI (P.C.O. MFG.) SOLN. FOR INJ. IN PRE FILLED PEN 50 MG/0.5 ML 1 1 X 0.5 ML.
Simponi (P.C.O. Mfg.) Soln. for Inj. in Pre-filled Pen 50 mg./0.5 ml. 0.5 ml. 1
€920.40
88512 GOLIMUMAB SIMPONI SOLN FOR INJ PRE FILLED PEN 50 MG/0.5 ML 1 1 X 0.5 ML
Simponi Soln. for Inj. Pre-Filled Pen 50 mg./0.5 ml. 0.5 ml. 1
€948.87
88513 GOLIMUMAB SIMPONI SOLN FOR INJ PRE FILLED SYR 50 MG/0.5 ML 1 1 X 0.5 ML
Simponi Soln. for Inj. Pre-Filled Syr. 50 mg./0.5 ml. 0.5 ml. 1
€967.72
88331 GOLIMUMAB SIMPONI SOLN FOR INJ IN PREFILLED PEN 100 MG/ML 1 1 X 1ML
Simponi Soln. for Inj. in Pre-filled Pen 100 mg./ml. 1 ml. 1
€1,085.40
88325 GOSERELIN ZOLADEX (P.C.O. MFG.) IMPLANT 3.6 MG 1 1
Zoladex (P.C.O. Mfg.) Implant 3.6 mg. 1
€74.21
88230 GOSERELIN ZOLADEX DEPOT SYRINGE 3.6 MG 1 1
Zoladex Depot Syr. 3.6 mg. 1
€76.51
89302 GOSERELIN ZOLADEX LA (ORIGINALIS B.V.) IMPLANT 10.8 MG 1 1
Zoladex LA (Originalis B.V.) Implant. 10.8 mg. 1
€216.05
88392 GOSERELIN ZOLADEX LA (P.C.O. MFG.) IMPLANT 10.8 MG 1 1
Zoladex LA (P.C.O. Mfg.) Implant 10.8 mg. 1
€216.05
88231 GOSERELIN ZOLADEX LA DEPOT SYRINGE 10.8 MG 1 1
Zoladex LA Depot Syr. 10.8 mg. 1
€222.74
88939 GUSELKUMAB TREMFYA SOLN FOR INJ IN PRE FILLED PEN 100 MG 1 1
Tremfya Soln. for Inj. in Pre-filled Pen 100 mg. 1
€2,083.95
88406 HISTRELIN VANTAS IMPLANT 50 MG 1 1
Vantas Implant 50 Mg. Pack 1
€1,334.84
89055 HUMAN MENOPAUSAL GONADOTROPHIN MENOPUR (P.C.O. MFG.) PDR. & SOLV. FOR SOLN FOR INJ 600 IU 1 1
Menopur (P.C.O. Mfg.) Pdr. & Solv. for Soln. for Inj. 600 IU 1
€165.63
89236 HUMAN MENOPAUSAL GONADOTROPHIN MENOPUR (P.C.O. MFG.) PDR. & SOLV. FOR SOLN FOR INJ 1200 IU 1 1
Menopur (P.C.O. Mfg.) Pdr. & Solv. for Soln. for Inj. 1200 IU 1
€331.26
88398 HUMAN MENOPAUSAL GONADOTROPHIN MENOPUR PDR. & SOLV. FOR SOLN FOR INJ 1200 IU 1 1
Menopur Pdr. & Solv. for Soln. for Inj. 1200 IU 1
€341.51
88396 HUMAN MENOPAUSAL GONADOTROPHIN MENOPUR PDR. & SOLV. FOR SOLN FOR INJ 75 IU 10 10
Menopur Pdr. & Solv. for Soln. for Inj. 75 iu 10
€213.44
88397 HUMAN MENOPAUSAL GONADOTROPHIN MENOPUR PDR. & SOLV. FOR SOLN FOR INJ 600 IU 1 1
Menopur Pdr. & Solv. for Soln. for Inj. 600 IU 1
€170.75
88835 IBRUTINIB IMBRUVICA FILM COATED TABS 140 MG 28 28
Imbruvica Film Coated Tabs. 140 mg. 28
€1,781.49
88836 IBRUTINIB IMBRUVICA FILM COATED TABS 280 MG 28 28
Imbruvica Film Coated Tabs. 280 mg. 28
€3,546.19
88837 IBRUTINIB IMBRUVICA FILM COATED TABS 420 MG 28 28
Imbruvica Film Coated Tabs. 420 mg. 28
€5,345.18
88838 IBRUTINIB IMBRUVICA FILM COATED TABS 560 MG 28 28
Imbruvica Film Coated Tabs. 560 mg. 28
€7,148.35
88148 ICATIBANT FIRAZYR SOLN. FOR INJ. IN PRE FILLED SYR 30 MG 1 1 X 3ML
Firazyr Soln. for Inj. in Pre-filled Syringe 30 mg. 10 mg./ml. 3 ml. 1
€699.48
89122 ICATIBANT ICATIBANT (ACCORD HEALTHCARE LTD.) SOLN FOR INJ IN PRE FILLED SYR 30 MG/3ML 1 1
Icatibant (Accord Healthcare Ltd.) Soln. for Inj. in Pre-filled Syr. 30 mg./3 ml. 1
€699.48
55533 IDARUBICIN ZAVEDOS SOLN FOR INJ 1 MG/ML 1 5 ML X 1
Zavedos Soln for Inj. 1 mg./ml. 5 ml. 1
€82.27
88947 IDEBENONE
RAXONE FILM COATED (RESTRICTED PRESCRIBING TO ROYAL VICTORIA EYE AND EAR HOSPITAL)
TABS 150 MG 180 180
Raxone Film Coated Tabs. 150 mg. 180 (Restricted Prescribing to Royal Victoria Eye and Ear Hospital)
€5,501.56
88299 IDELALISIB ZYDELIG FILM COATED TABS 100 MG 60 60
Zydelig Film Coated Tabs. 100 mg. 60
€3,985.12
88333 IDELALISIB ZYDELIG FILM COATED TABS 150 MG 60 60
Zydelig Film Coated Tabs. 150 mg. 60
€3,985.12
88520 ILOPROST VENTAVIS NEBULISER SOLN AMP 10 MCG/ML 30 30 X 1ML
Ventavis Amp Nebuliser Soln. 10 mcg./ml. 1 ml. 30
€485.75
88550 IMATINIB GLIVEC FILM COATED TABS 100 MG 60 60
Glivec Film Coated Tabs. 100 mg. 60
€508.53
88581 IMATINIB GLIVEC FILM COATED TABS 400 MG 30 30
Glivec Film Coated Tabs. 400 mg. 30
€1,017.05
89295 IMATINIB GLIVEC (P.C.O. MFG.) FILM COATED TABS 400 MG 30 30
Glivec (P.C.O. Mfg.) Film Coated Tabs. 400 mg. 30
€986.54
88017 IMATINIB IMATINIB (ACCORD HEALTHCARE LTD.) FILM COATED TABS 100 MG 60 60
Imatinib (Accord Healthcare Ltd.) Film Coated Tabs. 100 mg. 60
€507.03
88018 IMATINIB IMATINIB (ACCORD HEALTHCARE LTD.) FILM COATED TABS 400 MG 30 30
Imatinib (Accord Healthcare Ltd.) Film Coated Tabs. 400 mg. 30
€1,013.48
88646 IMATINIB IMATINIB (KRKA PHARMA) FILM COATED TABS 100 MG 60 60
Imatinib (KRKA Pharma) Film Coated Tabs. 100 mg. 60
€508.52
88662 IMATINIB IMATINIB (KRKA PHARMA) FILM COATED TABS 400 MG 30 30
Imatinib (KRKA Pharma) Film Coated Tabs. 400 mg. 30
€1,017.05
88664 IMATINIB IMATINIB (ROWEX) FILM COATED TABS 100 MG 60 60
Imatinib (Rowex) Film Coated Tabs. 100 mg. 60
€508.53
88665 IMATINIB IMATINIB (ROWEX) FILM COATED TABS 400 MG 30 30
Imatinib (Rowex) Film Coated Tabs. 400 mg. 30
€1,017.05
88675 IMATINIB IMATINIB TEVA FILM COATED TABS 100 MG 60 60
Imatinib Teva Film Coated Tabs. 100 mg. 60
€508.53
88676 IMATINIB IMATINIB TEVA FILM COATED TABS 400 MG 30 30
Imatinib Teva Film Coated Tabs. 400 mg. 30
€1,017.05
89177 INFLIXIMAB REMSIMA SOLN. FOR INJ. IN PRE FILLED PEN 120 MG/ML 2 2
Remsima Soln. for Inj. in Pre-filled Pen 120 mg./ml. 2
€540.00
89227 INOTERSEN TEGSEDI SOLN. FOR INJ. IN PRE FILLED SYR 284 MG 4 4
Tegsedi Soln. for Inj. in Pre-filled Syringe 284 mg. 4
€23,641.42
88285 INTERFERON BETA-1A AVONEX SOLN FOR INJ PRE FILLED PEN 30/0.5 UG/ML 4 4
Avonex Soln. for Inj. 30 ug./0.5 ml. Pre-filled Pen 4
€803.60
88286 INTERFERON BETA-1A AVONEX SOLN FOR INJ PRE FILLED PEN 30/0.5 UG/ML 12 12
Avonex Soln. for Inj. 30 ug./0.5 ml. Pre-filled Pen 12
€2,862.80
88251 INTERFERON BETA-1A AVONEX SOLN. FOR INJ. PRE FILLED SYR 30 MCG/0.5ML 4 4 X 0.5 ML.
Avonex Soln. for Inj. 30 mcg./0.5 ml. Pre-filled Syringe 4
€835.40
88834 INTERFERON BETA-1A REBIF MULTIDOSE (ORIGINALIS B.V.) SOLN. FOR INJ. 1.5 ML. CARTRIDGE 44 MCG/0.5 ML 4 4 X 1.5 ML
Rebif Multidose (Originalis B.V.) Soln. for Inj. Cartridge 44 mcg./0.5 ml. 1.5 ml. 4
€900.93
88556 INTERFERON BETA-1A REBIF MULTIDOSE (P.C.O. MFG.) SOLN. FOR INJ. 1.5 ML CARTRIDGE 44 MCG/0.5 ML 4 4 X 1.5 ML
Rebif Multidose (P.C.O. Mfg.) Soln. for Inj. Cartridge 44 mcg./0.5 ml. 1.5 ml. 4
€941.24
88367 INTERFERON BETA-1A REBIF MULTIDOSE SOLN. FOR INJ. CARTRIDGE INJ 22 MCG/0.5 ML 4 4
Rebif Multidose Soln. For Inj. Cartridge 22 Mcg./0.5 Ml. 1.5 Ml. 4
€762.19
88368 INTERFERON BETA-1A REBIF MULTIDOSE SOLN. FOR INJ. CARTRIDGE 44 MCG./0.5 ML. 1.5 ML. INJ 44 MCG/0.5 ML 4 4
Rebif Multdose Soln. for Inj. Cartridge 44 mcg./0.5 ml. 1.5 ml. 4
€970.35
88292 INTERFERON BETA-1A REBIF PRE-FILLED SYRINGE 44 MCG/0.5ML 12 12
Rebif Pre-filled Syringe 44 mcg./0.5 ml. 12
€946.06
88291 INTERFERON BETA-1A REBIF PRE-FILLED 0.5 ML SYRINGE 22 MCG 12 12
Rebif Pre-filled 0.5 ml Syringe 22 mcg. 12
€785.18
88369 INTERFERON BETA-1A REBIF SOLN. FOR INJ. 2 MULTIDOSE CARTRIDGE INITIATION PACK PACK 1
1 X 2 MULTIDOSE CARTR. PK
Rebif Soln. for Inj. 2 Multidose Cartridge Initiation Pack
€546.03
89331 INTERFERON BETA-1B BETAFERON (IMED HEALTHCARE LTD.) PDR. & SOLV. SOLN FOR INJ 250 MCG./ML 15 15
Betaferon (iMED Healthcare Ltd.) Pdr. & Solv. for Soln. for Inj. 250 mcg./ml. 15
€710.39
89116 INTERFERON BETA-1B BETAFERON (P.C.O. MFG.) PDR. & SOLV. FOR SOLN FOR INJ 250 MCG/ML 15 15
Betaferon (P.C.O. Mfg.) Pdr. & Solv. for Soln. for Inj. 250 mcg./ml. 15
€710.35
88001 INTERFERON BETA-1B BETAFERON 3ML INJ 0.25 MG/ML 15 15
Betaferon 3ml. Inj. 0.25 mg./ml. 15
€732.36
88899 ISAVUCONAZOLE CRESEMBA HARD CAPS 100 MG 14 14
Cresemba Hard Caps. 100 mg. 14
€671.19
4
COMPLETE LIST OF HIGH TECH PRODUCTS BY NON PROPRIETARY NAME AS AT 1st JULY 2024.
DMA
CODE
NON-PROPRIETARY NAME DMA NAME FORM STRENGTH
UNIT OF
MEAS.
PACK
SIZE
PACK SIZE NAME DRUG DESCRIPTION
REIMBURSEMENT
PRICE
88134 IVACAFTOR KALYDECO FILM COATED TABS 150 MG 56 56
Kalydeco Film Coated Tabs. 150 mg. 56
€13,571.67
88846 IVACAFTOR KALYDECO FILM COATED TABS 150 MG 28 28
Kalydeco Film Coated Tabs. 150 mg. 28
€5,431.79
89042 IVACAFTOR KALYDECO FILM COATED TABS 75 MG 28 28
Kalydeco Film Coated Tabs. 75 mg. 28
€5,431.79
89329 IVACAFTOR KALYDECO GRANULES SACHET 59.5 MG 28 28
Kalydeco Granules in Sachet 59.5 mg. 28
€6,290.41
89330 IVACAFTOR KALYDECO GRANULES SACHET 75 MG 28 28
Kalydeco Granules in Sachet 75 mg. 28
€6,290.41
89010 IVACAFTOR KALYDECO ORAL GRANULES SACHETS 25 MG 56 56
Kalydeco Sachets, Oral Granules 25 mg. 56
€14,191.78
88797 IVACAFTOR KALYDECO ORAL GRANULES SACHETS 50 MG 56 56
Kalydeco Sachets, Oral Granules 50 mg. 56
€13,571.67
88799 IVACAFTOR KALYDECO ORAL GRANULES SACHETS 75 MG 56 56
Kalydeco Sachets, Oral Granules 75 mg. 56
€13,571.67
88791 IVACAFTOR AND LUMACAFTOR ORKAMBI FILM COATED TABS 200/125 MG 112 112
Orkambi Film Coated Tabs. 200 mg./125 mg. 112
€11,140.52
88889 IVACAFTOR AND LUMACAFTOR ORKAMBI FILM COATED TABS 100/125 MG 112 112 (4 x 28)
Orkambi Film Coated Tabs. 100 mg./125 mg. 112
€10,510.36
88843 IVACAFTOR AND LUMACAFTOR ORKAMBI GRANULES IN SACHETS 100/125 MG 56 56
Orkambi Granules in Sachet 100 mg./125 mg. 56
€10,510.36
88844 IVACAFTOR AND LUMACAFTOR ORKAMBI GRANULES IN SACHETS 150/188 MG 56 56
Orkambi Granules in Sachet 150 mg./188 mg. 56
€10,510.36
89314 IVACAFTOR AND LUMACAFTOR ORKAMBI GRANULES IN SACHETS 75/94 MG 56 56
Orkambi Granules in Sachet. 75 mg./94 mg. 56
€10,805.30
88845 IVACAFTOR AND TEZACAFTOR SYMKEVI FILM COATED TABS 100/150 MG 28 28
Symkevi Film Coated Tabs. 100 mg./150 mg. 28
€5,307.08
89045 IVACAFTOR AND TEZACAFTOR SYMKEVI FILM COATED TABS 50/75 MG 28 28
Symkevi Film Coated Tabs. 50 mg./75 mg. 28
€5,217.19
89031 IVACAFTOR,TEZACAFTOR,ELEXACAFTOR KAFTRIO FILM COATED TABS 75/50/100 MG 56 56
Kaftrio Film Coated Tabs. 75 mg./50 mg./100 mg. 56
€9,138.94
89191 IVACAFTOR,TEZACAFTOR,ELEXACAFTOR KAFTRIO FILM COATED TABS 37.5/25/50 MG 56 56
Kaftrio Film Coated Tabs. 37.5 mg./25 mg./50 mg. 56
€9,138.94
89327 IVACAFTOR,TEZACAFTOR,ELEXACAFTOR KAFTRIO GRANULES SACHET 60/40/80 MG 28 28
Kaftrio Granules in Sachet 60 mg./40 mg./80 mg. 28
€9,819.18
89328 IVACAFTOR,TEZACAFTOR,ELEXACAFTOR KAFTRIO GRANULES SACHET 75/50/100 MG 28 28
Kaftrio Granules in Sachet 75 mg./50 mg./100 mg. 28
€9,819.18
88737 IXEKIZUMAB TALTZ SOLN FOR INJ IN PRE FILLED PEN 80 MG/ML 1 1 ML X 1
Taltz Soln. for Inj. in Pre-filled Pen 80 mg./ml. 1 ml. 1
€1,025.07
88600 IXEKIZUMAB TALTZ SOLN FOR INJ IN PRE-FILLED SYRINGE 80 MG/ML 1 1 ML. X 1
Taltz Soln. for Inj. in Pre-filled Syringe 80 mg./ml. 1 ml. 1
€1,033.27
89248 KETOCONAZOLE KETOCONAZOLE HRA TABS 200 MG 60 60
Ketoconazole HRA Tabs. 200 mg. 60
€597.24
88260 LAMIVUDINE ZEFFIX TABS TABS 100 MG 28 28
Zeffix Tabs. 100 mg. 28
€49.19
89097 LANADELUMAB TAKHZYRO SOLN. FOR INJ. IN PRE FILLED SYRINGE 300 MG 1 2 ML X 1
Takhzyro Soln. for Inj. in Pre-filled Syringe 300 mg. 2 ml. 1
€13,292.93
88007 LANREOTIDE SOMATULINE AUTOGEL SOLN FOR INJ 60 MG 1 1
Somatuline Autogel Soln. For Inj. 60 mg. 1
€722.39
88056 LANREOTIDE SOMATULINE AUTOGEL SOLN FOR INJ 90 MG 1 1
Somatuline Autogel Soln. for Inj. 90 mg. 1
€959.58
88173 LANREOTIDE SOMATULINE AUTOGEL SOLN FOR INJ 120 MG 1 1
Somatuline Autogel Soln. for Inj. 120 mg. Pack 1
€1,203.75
89315 LANREOTIDE SOMATULINE AUTOGEL (ORIGINALIS B.V.) SOLN. FOR INJ. PRE FILLED SYR 60 MG 1 1
Somatuline Autogel (Originalis B.V.) Soln. for Inj. in Pre-filled Syringe. 60 mg. 1
€700.71
89316 LANREOTIDE SOMATULINE AUTOGEL (ORIGINALIS B.V.) SOLN. FOR INJ. PRE FILLED SYR 120 MG 1 1
Somatuline Autogel (Originalis B.V.) Soln. for Inj. in Pre-filled Syringe. 120 mg. 1
€1,167.63
89189 LANREOTIDE SOMATULINE AUTOGEL (P.C.O. MFG.) SOLN. FOR INJ. IN PRE FILLED SYR 120 MG 1 1
Somatuline Autogel (P.C.O. Mfg.) Soln. for Inj. in Pre-filled Syr. 120 mg. 1
€1,167.63
88670 LAPATINIB TYVERB FILM COATED TABS 250 MG 70 70
Tyverb Film Coated Tabs. 250 mg. 70
€1,129.08
89281 LAROTRECTINIB VITRAKVI HARD CAPS 25 MG 56 56
Vitrakvi Hard Caps. 25 mg. 56
€2,492.10
89282 LAROTRECTINIB VITRAKVI HARD CAPS 100 MG 56 56
Vitrakvi Hard Caps. 100 mg. 56
€9,968.40
89283 LAROTRECTINIB VITRAKVI ORAL SOLN 20 MG/ML 100 100 ML
Vitrakvi Oral Soln. 20 mg./ml. 100 ml.
€3,560.14
89112 LENALIDOMIDE LENALIDOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 10 MG 21 21
Lenalidomide (Accord Healthcare Ltd.) Hard Caps. 10 mg. 21
€584.24
89114 LENALIDOMIDE LENALIDOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 20 MG 21 21
Lenalidomide (Accord Healthcare Ltd.) Hard Caps. 20 mg. 21
€1,068.23
89115 LENALIDOMIDE LENALIDOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 25 MG 21 21
Lenalidomide (Accord Healthcare Ltd.) Hard Caps. 25 mg. 21
€1,068.45
89111 LENALIDOMIDE LENALIDOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 5 MG 21 21
Lenalidomide (Accord Healthcare Ltd.) Hard Caps. 5 mg. 21
€550.22
89113 LENALIDOMIDE LENALIDOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 15 MG 21 21
Lenalidomide (Accord Healthcare Ltd.) Hard Caps. 15 mg. 21
€1,066.19
89159 LENALIDOMIDE LENALIDOMIDE (KRKA PHARMA) HARD CAPS 5 MG 21 21
Lenalidomide (KRKA Pharma) Hard Caps. 5 mg. 21
€550.22
89160 LENALIDOMIDE LENALIDOMIDE (KRKA PHARMA) HARD CAPS 10 MG 21 21
Lenalidomide (KRKA Pharma) Hard Caps. 10 mg. 21
€584.24
89161 LENALIDOMIDE LENALIDOMIDE (KRKA PHARMA) HARD CAPS 15 MG 21 21
Lenalidomide (KRKA Pharma) Hard Caps. 15 mg. 21
€1,066.19
89162 LENALIDOMIDE LENALIDOMIDE (KRKA PHARMA) HARD CAPS 25 MG 21 21
Lenalidomide (KRKA Pharma) Hard Caps. 25 mg. 21
€1,068.45
89150 LENALIDOMIDE LENALIDOMIDE TEVA HARD CAPS 5 MG 21 21
Lenalidomide Teva Hard Caps. 5 mg. 21
€550.22
89151 LENALIDOMIDE LENALIDOMIDE TEVA HARD CAPS 10 MG 21 21
Lenalidomide Teva Hard Caps. 10 mg. 21
€584.24
89152 LENALIDOMIDE LENALIDOMIDE TEVA HARD CAPS 20 MG 21 21
Lenalidomide Teva Hard Caps. 20 mg. 21
€1,068.23
89153 LENALIDOMIDE LENALIDOMIDE TEVA HARD CAPS 15 MG 21 21
Lenalidomide Teva Hard Caps. 15 mg. 21
€1,066.19
89154 LENALIDOMIDE LENALIDOMIDE TEVA HARD CAPS 25 MG 21 21
Lenalidomide Teva Hard Caps. 25 mg. 21
€1,068.45
88008 LENALIDOMIDE REVLIMID CAPS 5 MG 21 21
Revlimid Caps. 5 mg. 21
€550.22
88717 LENALIDOMIDE REVLIMID CAPS 10 MG 21 21
Revlimid Caps. 10 mg. 21
€584.24
88729 LENALIDOMIDE REVLIMID CAPS 15 MG 21 21
Revlimid Caps. 15 mg. 21
€1,066.19
88781 LENALIDOMIDE REVLIMID CAPS 25 MG 21 21
Revlimid Caps. 25 mg. 21
€1,068.45
88932 LENALIDOMIDE REVLIMID CAPS 20 MG 21 21
Revlimid Caps. 20 mg. 21
€1,068.23
89136 LENALIDOMIDE LENALIDOMIDE (CLONMEL) HARD CAPS 5 MG 21 21
Lenalidomide (Clonmel) Hard Caps. 5 mg. 21
€550.22
89137 LENALIDOMIDE LENALIDOMIDE (CLONMEL) HARD CAPS 10 MG 21 21
Lenalidomide (Clonmel) Hard Caps. 10 mg. 21
€584.24
89138 LENALIDOMIDE LENALIDOMIDE (CLONMEL) HARD CAPS 15 MG 21 21
Lenalidomide (Clonmel) Hard Caps. 15 mg. 21
€1,066.19
89139 LENALIDOMIDE LENALIDOMIDE (CLONMEL) HARD CAPS 20 MG 21 21
Lenalidomide (Clonmel) Hard Caps. 20 mg. 21
€1,068.23
89140 LENALIDOMIDE LENALIDOMIDE (CLONMEL) HARD CAPS 25 MG 21 21
Lenalidomide (Clonmel) Hard Caps. 25 mg. 21
€1,068.45
89146 LENALIDOMIDE LENALIDOMIDE (ROWEX) HARD CAPS 5 MG 21 21
Lenalidomide (Rowex) Hard Caps. 5 mg. 21
€550.22
89147 LENALIDOMIDE LENALIDOMIDE (ROWEX) HARD CAPS 10 MG 21 21
Lenalidomide (Rowex) Hard Caps. 10 mg. 21
€584.24
89148 LENALIDOMIDE LENALIDOMIDE (ROWEX) HARD CAPS 15 MG 21 21
Lenalidomide (Rowex) Hard Caps. 15 mg. 21
€1,066.19
89149 LENALIDOMIDE LENALIDOMIDE (ROWEX) HARD CAPS 25 MG 21 21
Lenalidomide (Rowex) Hard Caps. 25 mg. 21
€1,068.45
88076 LENOGRASTIM GRANOCYTE 13 INJ 13.4 MIU 5 5
Granocyte 13 Inj. 13.4 MIU 5
€191.02
88075 LENOGRASTIM GRANOCYTE 34 INJ 33.6 MIU 5 5
Granocyte 34 Inj. 33.6 MIU 5
€319.45
88391 LENVATINIB LENVIMA HARD CAPS 10 MG 30 30
Lenvima Hard Caps. 10 mg. 30
€1,704.22
88386 LENVATINIB LENVIMA HARD CAPS 4 MG 30 30
Lenvima Hard Caps. 4 mg. 30
€1,632.46
89063 LETERMOVIR PREVYMIS FILM COATED TABS 240 MG 28 28
Prevymis Film Coated Tabs. 240 mg. 28
€4,644.66
89064 LETERMOVIR PREVYMIS FILM COATED TABS 480 MG 28 28
Prevymis Film Coated Tabs. 480 mg. 28
€9,113.73
88531 LEUPRORELIN ELIGARD PDR. & SOLV. FOR SOLN. FOR INJ 7.5 MG 1 1
Eligard Pdr. & Solv. for Soln. for Inj. 7.5 mg. 1
€108.89
88534 LEUPRORELIN ELIGARD PDR. & SOLV. FOR SOLN. FOR INJ 22.5 MG 1 1
Eligard Pdr. and Solvent for Soln. for Inj. 22.5 mg. 1
€286.98
88598 LEUPRORELIN ELIGARD PDR. & SOLV. FOR SOLN. FOR INJ 45 MG 1 1
Eligard Pdr. and Solv. for Soln. for Inj. 45 mg. 1
€543.71
88561 LEUPRORELIN LEUPREX 3 IMPLANT 5 MG 1 1 x 5 mg.
Leuprex 3 Implant 5 mg. 1
€312.12
89205 LEUPRORELIN PROSTAP (P.C.O. MFG.) 3 DCS PDR. & SOLV. FOR PROLONGED RELEASE SUSP. FOR INJ. IN PRE FILLED SYR 11.25 MG 1 1
Prostap (P.C.O. Mfg.) 3 DCS Pdr. & Solv. for Prolonged Release Susp. for Inj. in Pre-filled Syr. 11.25 mg. 1
€277.97
88137 LEUPRORELIN PROSTAP 3 DCS PDR. & SOLV. FOR PROLONGED RELEASE SUSP. FOR INJ. IN PRE FILLED SYR 11.25 MG 1 1
Prostap 3 DCS Pdr. & Solv. for Prolonged Release Susp. for Inj. in Pre-filled Syr. 11.25 mg. 1
€286.57
88174 LEUPRORELIN PROSTAP 6 DCS PDR. & SOLV. FOR PROLONGED RELEASE SUSP. FOR INJ. IN PRE FILLED SYR 30 MG 1 1
Prostap 6 DCS Pdr. & Solv. for Prolonged Release Susp. for Inj. in Pre-filled Syr. 30 mg. Pack 1
€634.80
88136 LEUPRORELIN PROSTAP SR DCS PDR. & SOLV. FOR PROLONGED RELEASE SUSP. FOR INJ. PRE FILLED SYR 3.75 MG 1 1
Prostap SR DCS Pdr. & Solv. for Prolonged Release Susp. for Inj. in Pre-filled Syr. 3.75 mg. 1
€110.58
89058 LEVODOPA CARBIDOPA *DUODOPA INTESTINAL GEL CASSETTE 20/5 MG/ML 7 7 X 100 ML
Duodopa Intestinal Gel Cassette 20 mg./ml. + 5 mg./ml. 100 ml. x 7
€682.85
89235 LEVODOPA, CARBIDOPA AND ENTACAPONE *LECIGON INTESTINAL GEL CARTRIDGE 20/5/20 MG/ML 7 7 X 47 ML
Lecigon Intestinal Gel Cartridge 20 mg./ml. + 5 mg./ml. + 20 mg./ml. 47 ml. 7
€687.69
88576 LEVOFLOXACIN QUINSAIR NEB SOLN HANDSET 240 MG 56 1 x 56 AMPS + 1 HANDSET
Quinsair Nebuliser Soln. 240 mg. 56 Amps + 1 Handset
€3,172.76
88564 LINEZOLID LINEZOLID (ACCORD HEALTHCARE LTD.) FILM COATED TABS 600 MG 10 10
Linezolid (Accord Healthcare Ltd.) Film Coated Tabs. 600 mg. 10
€226.79
88413 LINEZOLID LINEZOLID (CLONMEL) FILM COATED TABS 600 MG 10 10
Linezolid (Clonmel) Film Coated Tabs. 600 mg. 10
€226.78
88416 LINEZOLID LINEZOLID (KRKA PHARMA) FILM COATED TABS 600 MG 10 10
Linezolid (KRKA Pharma) Film Coated Tabs. 600 mg. 10
€226.78
88410 LINEZOLID LINEZOLID (ROWEX LTD.) FILM COATED TABS 600 MG 10 10
Linezolid (Rowex Ltd.) Film Coated Tabs. 600 mg. 10
€226.78
88412 LINEZOLID LINEZOLID TEVA FILM COATED TABS 600 MG 10 10
Linezolid TEVA Film Coated Tabs. 600 mg. 10
€226.78
88361 LINEZOLID ZYVOX TABS 600 MG 10 10
Zyvox Tabs. 600 mg. 10
€226.79
88362 LINEZOLID ZYVOX ORAL SUSP 100 MG/5 ML 150 150 ml
Zyvox Oral Susp. 100 mg./5 ml. 150 ml.
€246.36
88171 LIPEGFILGRASTIM LONQUEX SOLN FOR INJ 6 MG 1 1
Lonquex Soln. for Inj. 6 mg. 1
€441.44
89271 LIPEGFILGRASTIM LONQUEX (ORIGINALIS B.V.) SOLN FOR INJ IN PRE FILLED SYRINGE 6 MG 1 1
Lonquex (Originalis B.V.) Soln. for Inj. in Pre-filled Syringe 6 mg. 1
€570.93
89202 LIPEGFILGRASTIM LONQUEX (P.C.O. MFG.) SOLN. FOR INJ. IN PRE FILLED SYRINGE 6 MG 1 1
Lonquex (P.C.O. Mfg.) Soln. for Inj. in Pre-filled Syringe 6 mg. 1
€570.94
88822 LORLATINIB LORVIQUA FILM COATED TABS 100 MG 30 30
Lorviqua Film Coated Tabs. 100 mg. 30
€4,954.52
88823 LORLATINIB LORVIQUA FILM COATED TABS 25 MG 90 90
Lorviqua Film Coated Tabs. 25 mg. 90
€4,800.61
89083 LUTROPIN ALFA LUVERIS (P.C.O. MFG.) PDR. AND SOLV. FOR SOLN. FOR INJ 75 IU 1 1
Luveris (P.C.O. Mfg.) Pdr. and Solv. for Soln. for Inj. 75 iu 1
€36.66
88440 LUTROPIN ALFA LUVERIS PDR. AND SOLV. FOR SOLN. FOR INJ 75 IU 1 1
Luveris Pdr. and Solv. for Soln. for Inj. 75 iu 1
€37.79
89052 MACITENTAN OPSUMIT (IMED HEALTHCARE LTD.) FILM COATED TABS 10 MG 30 30
Opsumit (iMED Healthcare Ltd.) Film Coated Tabs. 10 mg. 30
€2,439.70
89253 MACITENTAN OPSUMIT (ORIGINALIS B.V.) FILM COATED TABS 10 MG 30 30
Opsumit (Originalis B.V.) Film Coated Tabs. 10 mg. 30
€2,439.70
89185 MACITENTAN OPSUMIT (P.C.O. MFG.) FILM COATED TABS 10 MG 30 30
Opsumit (P.C.O. Mfg.) Film Coated Tabs. 10 mg. 30
€2,439.70
89322 MARIBAVIR LIVTENCITY FILM COATED TABS 200 MG 56 56
LIVTENCITY Film Coated Tabs. 200 mg. 56
€13,338.00
88405 MECASERMIN INCRELEX SOLN FOR INJ 10 MG/ML 1 1 X 4 ML
Increlex Soln. for Inj. 10 mg./ml. 4 ml. 1
€646.98
89101 MEPOLIZUMAB NUCALA SOLN. FOR INJ. IN PRE FILLED PEN 100 MG 1 1
Nucala Soln. for Inj. in Pre-filled Pen 100 mg. 1
€1,027.37
89102 MEPOLIZUMAB NUCALA SOLN. FOR INJ. IN PRE FILLED SYRINGE 100 MG 1 1
Nucala Soln. for Inj. in Pre-filled Syringe 100 mg. 1
€1,027.36
*Duodopa and Lecigon - Restricted dispensing to HSE approved pharmacy.
5
COMPLETE LIST OF HIGH TECH PRODUCTS BY NON PROPRIETARY NAME AS AT 1st JULY 2024.
DMA
CODE
NON-PROPRIETARY NAME DMA NAME FORM STRENGTH
UNIT OF
MEAS.
PACK
SIZE
PACK SIZE NAME DRUG DESCRIPTION
REIMBURSEMENT
PRICE
88990 MERCAPTAMINE PROCYSBI GASTRO RESISTANT HARD CAPS 25 MG 60 60
Procysbi Gastro Resistant Hard Caps. 25 mg. 60
€446.19
88991 MERCAPTAMINE PROCYSBI GASTRO RESISTANT HARD CAPS 75 MG 250 250
Procysbi Gastro Resistant Hard Caps. 75 mg. 250
€5,563.99
89103 MIDOSTAURIN RYDAPT SOFT CAPS 25 MG 56 56
Rydapt Soft Caps. 25 mg. 56
€7,144.11
88870 MIGALASTAT GALAFOLD HARD CAPS 123 MG 14 14
Galafold Hard Caps. 123 mg. 14
€17,388.22
88229 MIGLUSTAT ZAVESCA CAPS 100 MG 84 84
Zavesca Caps. 100 Mg. 84
€4,422.22
88024 MYCOPHENOLIC ACID CELLCEPT ORAL SUSP 1 G/5ML 175 175 ML
Cellcept Oral Susp. 1 G./5 ml. 175 ml.
€143.72
88026 MYCOPHENOLIC ACID CELLCEPT CAPS 250 MG 100 100
Cellcept Caps 250 mg. 100
€55.47
88027 MYCOPHENOLIC ACID CELLCEPT TABS 500 MG 50 50
Cellcept Tabs. 500 mg. 50
€55.47
88345 MYCOPHENOLIC ACID CELLCEPT (IMED HEALTHCARE LTD.) CAPS 250 MG 100 100
Cellcept (iMED Healthcare Ltd.) Caps. 250 mg. 100
€53.81
88419 MYCOPHENOLIC ACID CELLCEPT (IMED HEALTHCARE LTD.) TABS 500 MG 50 50
Cellcept (iMED Healthcare Ltd.) Tabs. 500 mg. 50
€53.79
89004 MYCOPHENOLIC ACID CELLCEPT (ORGINALIS B.V.) FILM COATED TABS 500 MG 50 50
Cellcept (Originalis B.V.) Film Coated Tabs. 500 mg. 50
€53.79
89003 MYCOPHENOLIC ACID CELLCEPT (ORIGINALIS B.V.) CAPS 250 MG 100 100
Cellcept (Originalis B.V.) Caps. 250 mg. 100
€53.79
88013 MYCOPHENOLIC ACID CELLCEPT (P.C.O. MFG.) CAPS 250 MG 100 100
Cellcept (P.C.O. Mfg.) Caps. 250 mg. 100
€54.91
88014 MYCOPHENOLIC ACID CELLCEPT (P.C.O. MFG.) TABS 500 MG 50 50
Cellcept (P.C.O. Mfg.) Tabs. 500 mg. 50
€54.92
88507 MYCOPHENOLIC ACID MYCOLAT CAPS 250 MG 100 100
Mycolat Caps. 250 mg. 100
€55.47
88509 MYCOPHENOLIC ACID MYCOLAT TABS 500 MG 50 50
Mycolat Tabs. 500 mg. 50
€55.47
88858 MYCOPHENOLIC ACID MYCOPHENOLATE MOFETIL (ACCORD HEALTHCARE LTD) CAPS 250 MG 100 100
Mycophenolate Mofetil (Accord Healthcare Ltd.) Caps. 250 mg. 100
€55.47
88322 MYCOPHENOLIC ACID MYCOPHENOLATE MOFETIL (ACCORD HEALTHCARE LTD.) FILM COATED TABS 500 MG 50 50
Mycophenolate Mofetil (Accord Healthcare Ltd.) Film Coated Tabs. 500 mg. 50
€55.47
88532 MYCOPHENOLIC ACID MYFENAX CAPS 250 MG 100 100
Myfenax Caps. 250 mg. 100
€55.47
88533 MYCOPHENOLIC ACID MYFENAX TABS 500 MG 50 50
Myfenax Tabs. 500 mg. 50
€55.47
88719 MYCOPHENOLIC ACID MYFORTIC TABS 180 MG 120 120
Myfortic Tabs. 180 mg. 120
€96.77
88725 MYCOPHENOLIC ACID MYFORTIC TABS 360 MG 120 120
Myfortic Tabs. 360 mg. 120
€190.12
88190 NAFARELIN SYNAREL 8ML NASAL SPRAY 2 MG/ML 1 1
Synarel Nasal Spray 2 mg./ml. 8 ml. 1
€72.86
89171 NERATINIB NERLYNX FILM COATED TABS 40 MG 180 180
Nerlynx Film Coated Tabs. 40 mg. 180
€4,845.05
88486 NILOTINIB TASIGNA CAPS 200 MG 112 112
Tasigna Caps. 200 mg. 112
€3,424.08
88490 NILOTINIB TASIGNA CAPS 150 MG 112 112
Tasigna Caps. 150 mg. 112
€2,581.60
88795 NINTEDANIB OFEV SOFT CAPS 100 MG 60 60
Ofev Soft Caps. 100 mg. 60
€1,943.85
88796 NINTEDANIB OFEV SOFT CAPS 150 MG 60 60
Ofev Soft Caps. 150 mg. 60
€2,356.12
88458 NINTEDANIB VARGATEF SOFT CAPS 100 MG 120 120
Vargatef Soft Caps. 100 mg. 120
€2,481.28
88459 NINTEDANIB VARGATEF SOFT CAPS 150 MG 60 60
Vargatef Soft Caps. 150 mg. 60
€2,402.58
89065 NIRAPARIB ZEJULA HARD CAPS 100 MG 56 56
Zejula Hard Caps. 100 mg. 56
€4,669.75
89325 NIRAPARIB ZEJULA FILM COATED TABS 100 MG 56 56
Zejula Film Coated Tabs. 100 mg. 56
€4,236.78
89303 NIRAPARIB/ABIRATERONE ACETATE AKEEGA FILM COATED TABS 50/500 MG/MG 56 56
Akeega Film Coated Tabs. 50 mg./500 mg. 56
€5,340.93
89304 NIRAPARIB/ABIRATERONE ACETATE AKEEGA FILM COATED TABS 100/500 MG/MG 56 56
Akeega Film Coated Tabs. 100 mg./500 mg. 56
€5,340.93
88393 NITISINONE ORFADIN HARD CAPS 2 MG 60 60
Orfadin Hard Caps. 2 mg. 60
€684.13
88394 NITISINONE ORFADIN HARD CAPS 5 MG 60 60
Orfadin Hard Caps. 5 mg. 60
€1,366.41
88395 NITISINONE ORFADIN HARD CAPS 10 MG 60 60
Orfadin Hard Caps. 10 mg. 60
€2,445.18
88414 NITISINONE ORFADIN ORAL SUSP 4 MG/ML 90 90 ML
Orfadin Oral Susp. 4 mg./ml. 90 ml.
€2,215.02
88421 NITISINONE ORFADIN HARD CAPS 20 MG 60 60
Orfadin Hard Caps. 20 mg. 60
€4,714.44
89240 OBETICHOLIC ACID OCALIVA FILM COATED TABS 10 MG 30 30
Ocaliva Film Coated Tabs. 10 mg. 30
€2,892.33
89239 OBETICHOLIC ACID OCALIVA FILM COATED TABS 5 MG 30 30
Ocaliva Film Coated Tabs. 5 mg. 30
€2,892.33
88175 OCTREOTIDE SANDOSTATIN 1ML AMPS 50 MCG/ML 5 5
Sandostatin 1 ml. Amps 50 mcg./ml. 1 ml. 5
€3.81
88176 OCTREOTIDE SANDOSTATIN 1ML AMPS 100 MCG/ML 5 5
Sandostatin 1 ml. Amps 100 mcg./ml. 1 ml. 5
€7.18
88177 OCTREOTIDE SANDOSTATIN 1ML AMPS 500 MCG/ML 5 5
Sandostatin 1 ml. Amps 500 mcg./ml. 1 ml. 5
€34.80
88179 OCTREOTIDE SANDOSTATIN LAR INJ 10 MG 1 1
Sandostatin Lar Inj. 10 mg. 1
€507.91
88180 OCTREOTIDE SANDOSTATIN LAR INJ 20 MG 1 1
Sandostatin Lar Inj. 20 mg. 1
€729.87
88181 OCTREOTIDE SANDOSTATIN LAR INJ 30 MG 1 1
Sandostatin Lar Inj. 30 mg. 1
€936.09
89128 OFATUMUMAB KESIMPTA SOLN. FOR INJ. IN PRE FILLED PEN 20 MG 1 1
Kesimpta Soln. for Inj. in Pre-filled Pen 20 mg. 1
€1,296.00
89038 OLAPARIB LYNPARZA FILM COATED TABS 100 MG 56 56
Lynparza Film Coated Tabs. 100 mg. 56
€2,606.04
89039 OLAPARIB LYNPARZA FILM COATED TABS 150 MG 56 56
Lynparza Film Coated Tabs. 150 mg. 56
€2,641.47
89023 OSIMERTINIB TAGRISSO FILM COATED TABS 80 MG 30 30
Tagrisso Film Coated Tabs. 80 mg. 30
€6,163.79
89022 OSIMERTINIB TAGRISSO FILM COATED TABS 40 MG 30 30
Tagrisso Film Coated Tabs. 40 mg. 30
€6,166.20
89089 OZANIMOD ZEPOSIA HARD CAPS 0.92 MG 28 28
Zeposia Hard Caps. 0.92 mg. 28
€1,321.05
89088 OZANIMOD ZEPOSIA TREATMENT INITIATION PACK (0.23 MG X 4 AND 0.46 MG X 3) HARD CAPS 1 1 PACK
Zeposia Treatment Initiation Pack (0.23 mg. x 4 and 0.46 mg. x 3) Hard Caps. Pack 1
€330.61
88896 PALBOCICLIB IBRANCE HARD CAPS 75 MG 21 21
Ibrance Hard Caps. 75 mg. 21
€2,365.20
88897 PALBOCICLIB IBRANCE HARD CAPS 100 MG 21 21
Ibrance Hard Caps. 100 mg. 21
€2,365.20
88898 PALBOCICLIB IBRANCE HARD CAPS 125 MG 21 21
Ibrance Hard Caps. 125 mg. 21
€2,365.20
89178 PALBOCICLIB IBRANCE FILM COATED TABS 75 MG 21 21
Ibrance Film Coated Tabs. 75 mg. 21
€2,365.20
89179 PALBOCICLIB IBRANCE FILM COATED TABS 100 MG 21 21
Ibrance Film Coated Tabs. 100 mg. 21
€2,365.20
89180 PALBOCICLIB IBRANCE FILM COATED TABS 125 MG 21 21
Ibrance Film Coated Tabs. 125 mg. 21
€2,365.20
88557 PALIVIZUMAB SYNAGIS SOLN FOR INJ 0.5 ML VIAL 100 MG/ML 1 1 X 0.5 ML
Synagis Soln. for Inj. 100 mg./ml. 0.5 ml. Vial 1
€491.02
88563 PALIVIZUMAB SYNAGIS SOLN FOR INJ 1 ML VIAL 100 MG/1 ML 1 1 X 1ML
Synagis Soln. for Inj. 100 mg./1 ml. 1 ml. Vial 1
€864.70
88226 PARICALCITOL ZEMPLAR CAPS 1 MCG 28 28
Zemplar Caps. 1 mcg. 28
€78.09
88284 PARICALCITOL ZEMPLAR CAPS 2 MCG 28 28
Zemplar Caps. 2 mcg. 28
€163.96
88558 PAZOPANIB VOTRIENT FILM COATED TABS 200 MG 30 30
Votrient Film Coated Tabs. 200 mg. 30
€757.97
88559 PAZOPANIB VOTRIENT FILM COATED TABS 400 MG 30 30
Votrient Film Coated Tabs. 400 mg. 30
€1,493.07
88484 PEGFILGRASTIM NEULASTA SOLN. FOR INJ. ANG PRE FILLED SYR 6 MG/0.6ML 1 1
Neulasta Soln. for Inj. Pre-filled Syr. ANG 6 mg./0.6 ml. 0.6 ml. 1
€699.31
89056 PEGFILGRASTIM PELGRAZ (ORIGINALIS B.V.) SOLN. FOR INJ. IN PRE FILLED SYRINGE 6 MG/0.6ML 1 1 x 0.6 ML
Pelgraz (Originalis B.V.) Soln. for Inj. in Pre-filled Syringe 6 mg./0.6 ml. 1
€593.03
88826 PEGFILGRASTIM PELGRAZ SOLN FOR INJ IN PRE FILLED INJECTOR 6 MG/0.6ML 1 1 X 0.6 ML
Pelgraz Soln. for Inj. in Pre-filled Injector 6 mg./0.6 ml. 0.6 ml. 1
€611.87
88961 PEGFILGRASTIM PELGRAZ SOLN. FOR INJ. IN PRE FILLED SYRINGE 6 MG/0.6 ML 1 0.6 ML. X 1
Pelgraz Soln. for Inj. in Pre-filled Syringe 6 mg./0.6 ml. 0.6 ml. 1
€611.87
89301 PEGFILGRASTIM ZIEXTENZO SOLN. FOR INJ. IN PRE FILLED SYRINGE 6 MG/0.6 ML 1 1 x 0.6 ML
Ziextenzo Soln. for Inj. in Pre-filled Syringe 6 mg./0.6 mL. 0.6 ml. 1
€428.31
88365 PEGINTERFERON ALFA-2A PEGASYS SOLN FOR INJ INJ 135 MCG/0.5ML 1 1 X 0.5ML
Pegasys Soln. for Inj. 135 mcg./0.5 mg. 0.5 ml. 1
€157.83
88402 PEGINTERFERON ALFA-2A PEGASYS SOLN FOR INJ INJ 180 MCG/0.5ML 4 4 X .5ML
Pegasys Soln. for Inj. 180 mcg./0.5 ml. 0.5 ml. 4
€660.11
88461 PEGINTERFERON BETA-1A PLEGRIDY (63 MCG. X 1 PRE-FILLED PEN AND 94 MCG. X 1 PRE-FILLED PEN) STARTER PACK 1 1
Plegridy Starter (63 mcg. x 1 Pre-filled Pen and 94 mcg. x 1 Pre-filled Pen) Pack 1
€747.63
88462 PEGINTERFERON BETA-1A PLEGRIDY SOLN FOR INJ PRE FILLED PEN 125 MCG 2 2
Plegridy Soln. for Inj. Pre-filled Pen 125 mcg. 2
€830.11
89061 PEGINTERFERON BETA-1A PLEGRIDY SOLN FOR INJ IN PRE FILLED SYRINGE 125 MCG 2 2
Plegridy Soln. for Inj. in Pre-filled Syringe 125 mcg. 2
€858.06
88854 PEGVISOMANT SOMAVERT PDR & SOLV FOR SOLN FOR INJ IN PREFILLED SYR 10 MG 30 30
Somavert Pdr. & Solv. for Soln. for Inj. in Pre-filled Syringe 10 mg. 30
€2,024.34
88855 PEGVISOMANT SOMAVERT PDR & SOLV FOR SOLN FOR INJ IN PREFILLED SYR 15 MG 30 30
Somavert Pdr. & Solv. for Soln. for Inj. in Pre-filled Syringe 15 mg. 30
€3,030.21
88856 PEGVISOMANT SOMAVERT PDR & SOLV FOR SOLN FOR INJ IN PREFILLED SYR 20 MG 30 30
Somavert Pdr. & Solv. for Soln. for Inj. in Pre-filled Syringe 20 mg. 30
€4,010.71
88857 PEGVISOMANT SOMAVERT PDR & SOLV FOR SOLN FOR INJ IN PREFILLED SYR 30 MG 30 30
Somavert Pdr. & Solv. for Soln. for Inj. in Pre-filled Syringe 30 mg. 30
€6,031.42
88864 PIRFENIDONE ESBRIET FILM COATED TABS 801 MG 84 84
Esbriet Film Coated Tabs. 801 mg. 84
€950.11
88869 PIRFENIDONE ESBRIET FILM COATED TABS INITIATION PACK 267 MG 1 1
Esbriet Film Coated Tabs. 267 mg. Initiation Pack 1
€237.58
89001 PIRFENIDONE ESBRIET MULTIPACK FILM COATED TABS 267 MG 252 252 (3 X 84)
Esbriet Film Coated Tabs. 267 mg. Multipack (3 x 84) 252
€971.07
89259 PIRFENIDONE PIRFENIDONE (CLONMEL HEALTHCARE) FILM COATED TABS 267 MG 252 252
Pirfenidone (Clonmel Healthcare) Film Coated Tabs. 267 mg. 252
€971.69
89260 PIRFENIDONE PIRFENIDONE (CLONMEL HEALTHCARE) FILM COATED TABS 801 MG 84 84
Pirfenidone (Clonmel Healthcare) Film Coated Tabs. 801 mg. 84
€950.11
89256 PIRFENIDONE PIRFENIDONE AXUNIO (ROWEX) FILM COATED TABS 801 MG 84 84
Pirfenidone axunio (Rowex) Film Coated Tabs. 801 mg. 84
€950.11
89255 PIRFENIDONE PIRFENIDONE AXUNIO (ROWEX) FILM COATED TABS 267 MG 252 252
Pirfenidone axunio (Rowex) Film Coated Tabs. 267 mg. 252
€971.69
89241 PIRFENIDONE PIRFENIDONE TEVA FILM COATED TABS 267 MG 252 252
Pirfenidone TEVA Film Coated Tabs. 267 mg. 252
€935.64
89242 PIRFENIDONE PIRFENIDONE TEVA FILM COATED TABS 801 MG 84 84
Pirfenidone TEVA Film Coated Tabs. 801 mg. 84
€943.76
88183 PITOLISANT WAKIX FILM COATED TABS 4.5 MG 30 30
Wakix Film Coated Tabs. 4.5 mg. 30
€296.56
88861 PITOLISANT WAKIX FILM COATED TABS 18 MG 30 30
Wakix Film Coated Tabs. 18 mg. 30
€314.95
89338 PITOLISANT WAKIX (IMED HEALTHCARE LTD.) FILM COATED TABS 18 MG 30 30
Wakix (iMED Healthcare Ltd.) Film Coated Tabs. 18 mg. 30
€305.50
89321 PITOLISANT WAKIX (ORIGINALIS B.V.) FILM COATED TABS 18 MG 30 30
Wakix (Originalis B.V.) Film Coated Tabs. 18 mg. 30
€328.37
89299 PITOLISANT WAKIX (P.C.O. MFG.) FILM COATED TABS 18 MG 30 30
Wakix (P.C.O. Mfg.) Film Coated Tabs. 18 mg. 30
€305.50
88418 POMALIDOMIDE IMNOVID HARD CAPS 4 MG 21 21
Imnovid Hard Caps. 4 mg. 21
€8,883.08
88298 POMALIDOMIDE IMNOVID HARD CAPS 1 MG 21 21
Imnovid Hard Caps. 1 mg. 21
€8,554.68
88332 POMALIDOMIDE IMNOVID HARD CAPS 2 MG 21 21
Imnovid Hard Caps. 2 mg. 21
€8,652.03
88377 POMALIDOMIDE IMNOVID HARD CAPS 3 MG 21 21
Imnovid Hard Caps. 3 mg. 21
€8,859.52
89130 PONESIMOD PONVORY FILM COATED TABS 20 MG 28 28
Ponvory Film Coated Tabs. 20 mg. 28
€979.26
89129 PONESIMOD PONVORY (2 MG, 3 MG, 4 MG, 5 MG, 6 MG, 7 MG, 8 MG, 9 MG, 10 MG.) FILM COATED TABS. TREATMENT INITIATION PACK 14 14 PACK
Ponvory Treatment Initiation Pack (2 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7 mg, 8 mg, 9 mg, 10 mg.) Film Coated Tabs. Pack 14
€489.63
88380 POSACONAZOLE NOXAFIL ORAL SUSP 40 MG/ML. 105 105ML
Noxafil Oral Susp. 40 mg/ml. 105 ml.
€575.21
88420 POSACONAZOLE NOXAFIL GASTRO RESISTANT TABS 100 MG 24 24
Noxafil Gastro-Resistant Tabs. 100 mg. 24
€688.75
6
COMPLETE LIST OF HIGH TECH PRODUCTS BY NON PROPRIETARY NAME AS AT 1st JULY 2024.
DMA
CODE
NON-PROPRIETARY NAME DMA NAME FORM STRENGTH
UNIT OF
MEAS.
PACK
SIZE
PACK SIZE NAME DRUG DESCRIPTION
REIMBURSEMENT
PRICE
88818 POSACONAZOLE POSACONAZOLE (ACCORD HEALTHCARE LTD) GASTRO RESISTANT TABS 100 MG 24 24
Posaconazole (Accord Healthcare Ltd.) Gastro Resistant Tabs. 100 mg. 24
€315.39
89029 POSACONAZOLE POSACONAZOLE (CLONMEL) GASTRO RESISTANT TABS 100 MG 24 24
Posaconazole (Clonmel) Gastro-Resistant Tabs. 100 mg. 24
€315.39
89040 POSACONAZOLE POSACONAZOLE MYLAN (GERARD LABS.) GASTRO RESISTANT TABS 100 MG 24 24
Posaconazole Mylan (Gerard Labs.) Gastro-Resistant Tabs. 100 mg. 24
€315.39
89062 POSACONAZOLE POSACONAZOLE TEVA GASTRO RESISTANT TABS 100 MG 24 24
Posaconazole Teva Gastro-Resistant Tabs. 100 mg. 24
€315.39
88493 REGORAFENIB STIVARGA FILM COATED TABS 40 MG 84 3 X 28
Stivarga Film Coated Tabs. 40 mg. 84
€3,086.54
89319 RELUGOLIX ORGOVYX (ACCORD HEALTHCARE LTD.) FILM COATED TABS 120 MG 30 30
Orgovyx (Accord Healthcare Ltd.) Film Coated Tabs. 120 mg. 30
€155.35
88847 RIBOCICLIB KISQALI FILM COATED TABS 200 MG 42 42
Kisqali Film Coated Tabs. 200 mg. 42
€2,185.38
88848 RIBOCICLIB KISQALI FILM COATED TABS 200 MG 63 63
Kisqali Film Coated Tabs. 200 mg. 63
€3,131.33
88150 RILUZOLE RILUTEK TABS 50 MG 56 56
Rilutek Tabs. 50 mg. 56
€165.11
89013 RILUZOLE RILUTEK (ORIGINALIS B.V.) FILM COATED TABS 50 MG 56 56
Rilutek (Originalis B.V) Film Coated Tabs. 50 mg. 56
€160.15
88734 RILUZOLE RILUTEK (P.C.O. MFG.) TABS 50 MG 56 56
Rilutek (P.C.O. Mfg.) Tabs. 50 mg. 56
€160.15
88599 RIOCIGUAT ADEMPAS FILM COATED TABS 0.5 MG 42 42
Adempas Film Coated Tabs. 0.5 mg. 42
€1,273.05
88690 RIOCIGUAT ADEMPAS FILM COATED TABS 1 MG 42 42
Adempas Film Coated Tabs. 1 mg. 42
€1,264.26
88692 RIOCIGUAT ADEMPAS FILM COATED TABS 1.5 MG 42 42
Adempas Film Coated Tabs. 1.5 mg. 42
€1,264.26
89068 RIOCIGUAT ADEMPAS FILM COATED TABS 2 MG 42 42
Adempas Film Coated Tabs. 2 mg. 42
€1,264.26
89069 RIOCIGUAT ADEMPAS FILM COATED TABS 2.5 MG 42 42
Adempas Film Coated Tabs. 2.5 mg. 42
€1,253.34
89175 RISANKIZUMAB SKYRIZI SOLN. FOR INJ. IN PRE FILLED PEN 150 MG 1 1
Skyrizi Soln. for Inj. in Pre-filled Pen 150 mg. 1
€3,027.21
89334 RISANKIZUMAB SKYRIZI SOLN. FOR INJ. IN CARTRIDGE 360 MG 1 1
Skyrizi Soln. for Inj. in Cartridge 360 mg. 1
€1,983.40
89292 RISDIPLAM EVRYSDI PDR. FOR ORAL SOLN 0.75 MG/ML 1 1 x 60 MG. Bottle
Evrysdi Pdr. for Oral Soln. 0.75 mg./mL. 60 mg. Bottle 1
€8,911.35
89214 ROXADUSTAT EVRENZO FILM COATED TABS 20 MG 12 12
Evrenzo Film Coated Tabs. 20 mg. 12
€72.80
89215 ROXADUSTAT EVRENZO FILM COATED TABS 50 MG 12 12
Evrenzo Film Coated Tabs. 50 mg. 12
€182.02
89216 ROXADUSTAT EVRENZO FILM COATED TABS 70 MG 12 12
Evrenzo Film Coated Tabs. 70 mg. 12
€254.83
89217 ROXADUSTAT EVRENZO FILM COATED TABS 100 MG 12 12
Evrenzo Film Coated Tabs. 100 mg. 12
€364.04
89218 ROXADUSTAT EVRENZO FILM COATED TABS 150 MG 12 12
Evrenzo Film Coated Tabs. 150 mg. 12
€546.06
88170 RUXOLITINIB JAKAVI TABS 5 MG 56 56
Jakavi Tabs. 5 mg. 56
€1,796.71
88182 RUXOLITINIB JAKAVI TABS 15 MG 56 56
Jakavi Tabs. 15 mg. 56
€3,569.50
88279 RUXOLITINIB JAKAVI TABS 10 MG 56 56
Jakavi Tabs. 10 mg. 56
€3,549.81
88289 RUXOLITINIB JAKAVI TABS 20 MG 56 56
Jakavi Tabs. 20 mg. 56
€3,566.27
88945 SAPROPTERIN KUVAN SOLUBLE TABS 100 MG 30 30
Kuvan Soluble Tabs. 100 mg. 30
€524.97
89092 SECUKINUMAB COSENTYX SOLN. FOR INJ. IN PRE FILLED PEN 300 MG 1 2 ML X 1
Cosentyx Soln. for Inj. in Pre-filled Pen 300 mg. 2 ml. 1
€1,115.22
88096 SECUKINUMAB COSENTYX SOLN. FOR INJ. IN PRE-FILLED PEN 150 MG 1 1
Cosentyx Soln. for Inj. in Pre-filled Pen 150 mg. 1
€548.96
88975 SELEXIPAG UPTRAVI FILM COATED TABS 200 MCG 60 60
Uptravi Film Coated Tabs. 200 mcg. 60
€3,450.04
88977 SELEXIPAG UPTRAVI FILM COATED TABS 400 MCG 60 60
Uptravi Film Coated Tabs. 400 mcg. 60
€3,456.26
88978 SELEXIPAG UPTRAVI FILM COATED TABS 600 MCG 60 60
Uptravi Film Coated Tabs. 600 mcg. 60
€3,433.84
88979 SELEXIPAG UPTRAVI FILM COATED TABS 800 MCG 60 60
Uptravi Film Coated Tabs. 800 mcg. 60
€3,450.04
88980 SELEXIPAG UPTRAVI FILM COATED TABS 1000 MCG 60 60
Uptravi Film Coated Tabs. 1000 mcg. 60
€3,456.26
88981 SELEXIPAG UPTRAVI FILM COATED TABS 1200 MCG 60 60
Uptravi Film Coated Tabs. 1200 mcg. 60
€3,456.26
88982 SELEXIPAG UPTRAVI FILM COATED TABS 1400 MCG 60 60
Uptravi Film Coated Tabs. 1400 mcg. 60
€3,456.26
88983 SELEXIPAG UPTRAVI FILM COATED TABS 1600 MCG 60 60
Uptravi Film Coated Tabs. 1600 mcg. 60
€3,420.62
88976 SELEXIPAG UPTRAVI (TITRATION) FILM COATED TABS 200 MCG 140 140
Uptravi (Titration) Film Coated Tabs. 200 mcg. 140
€7,750.54
88759 SILDENAFIL GRANPIDAM FILM COATED TABS 20 MG 90 90
Granpidam Film Coated Tabs. 20 mg. 90
€203.41
88239 SILDENAFIL REVATIO TABS 20 MG 90 90
Revatio Tabs. 20 mg. 90
€203.41
88233 SILDENAFIL REVATIO PDR. FOR ORAL SUSP 10 MG./ML. 112 112 ML
Revatio Pdr. for Oral Susp. 10 mg./ml. 112 ml.
€268.34
88455 SILDENAFIL SILCARFIL FILM COATED TABS 20 MG 90 90
Silcarfil Film Coated Tabs. 20 mg. 90
€203.41
88138 SILDENAFIL SILDENAFIL (CLONMEL) FILM COATED TABS 20 MG 90 90
Sildenafil (Clonmel) Film Coated Tabs. 20 mg. 90
€203.41
88451 SILDENAFIL SILDENAFIL TEVA FILM COATED TABS 20 MG 90 90
Sildenafil Teva Film Coated Tabs. 20 mg. 90
€203.41
89249 SIPONIMOD MAYZENT FILM COATED TABS 1 MG 28 28
Mayzent Film Coated Tabs. 1 mg. 28
€1,529.15
89118 SIPONIMOD MAYZENT FILM COATED TABS 0.25 MG 120 120
Mayzent Film Coated Tabs. 0.25 mg. 120
€1,592.03
89119 SIPONIMOD MAYZENT FILM COATED TABS 2 MG 28 28
Mayzent Film Coated Tabs. 2 mg. 28
€1,644.89
89120 SIPONIMOD MAYZENT (TITRATION PACK) FILM COATED TABS 0.25 MG 12 12
Mayzent (Titration Pack) Film Coated Tabs. 0.25 mg. 12
€217.81
88343 SIROLIMUS RAPAMUNE TABS 1 MG 30 30
Rapamune Tabs. 1 mg. 30
€121.06
88415 SIROLIMUS RAPAMUNE TABS 2 MG 30 30
Rapamune Tabs. 2 mg. 30
€249.80
88340 SIROLIMUS RAPAMUNE ORAL SOLUTION PACK 1 MG/ML 1 1 X 60 ML
Rapamune Oral Soln. 1 mg./ml. 60 ml. 1
€241.61
88567 SODIUM OXYBATE XYREM ORAL SOLN 500 MG/ML 180 180 ML
Xyrem Oral Soln 500 mg./ml. 180 ml.
€285.71
88238 SODIUM PHENYLBUTYRATE AMMONAPS TABS 500 MG 250 250
Ammonaps Tabs. 500 mg. 250
€764.21
88264 SODIUM PHENYLBUTYRATE PHEBURANE GRANS PACK 483 MG/G 1 1 X 174 G
Pheburane Grans. 483 mg./G. 174 G. Pack 1
€512.69
89238 SOMATROGON NGENLA SOLN. FOR INJ. IN PRE FILLED PEN 60 MG 1 1
Ngenla Soln. for Inj. in Pre-filled Pen 60 mg. 1
€482.76
89237 SOMATROGON NGENLA SOLN. FOR INJ. IN PRE FILLED PEN 24 MG 1 1
Ngenla Soln. for Inj. in Pre-filled Pen 24 mg. 1
€193.10
88068 SOMATROPIN GENOTROPIN MINIQUICK SYR 0.2 MG 7 7
Genotropin Miniquick Syr. 0.2 mg. 7
€41.13
88069 SOMATROPIN GENOTROPIN MINIQUICK SYR 0.4 MG 7 7
Genotropin Miniquick Syr. 0.4 mg. 7
€81.76
88070 SOMATROPIN GENOTROPIN MINIQUICK SYR 0.6 MG 7 7
Genotropin Miniquick Syr. 0.6 mg. 7
€115.91
88071 SOMATROPIN GENOTROPIN MINIQUICK SYR 0.8 MG 7 7
Genotropin Miniquick Syr. 0.8 mg. 7
€156.16
88072 SOMATROPIN GENOTROPIN MINIQUICK SYR 1.0 MG 7 7
Genotropin Miniquick Syr. 1.0 mg. 7
€196.56
88073 SOMATROPIN GENOTROPIN MINIQUICK SYR 1.2 MG 7 7
Genotropin Miniquick Syr. 1.2 mg. 7
€234.27
88074 SOMATROPIN GENOTROPIN MINIQUICK SYR 1.4 MG 7 7
Genotropin Miniquick Syr. 1.4 mg. 7
€275.41
88301 SOMATROPIN GENOTROPIN MINIQUICK SYR 1.6 MG 7 7
Genotropin Miniquick Syr. 1.6 mg. 7
€315.68
88302 SOMATROPIN GENOTROPIN MINIQUICK SYR 1.8 MG 7 7
Genotropin Miniquick Syr. 1.8 mg. 7
€356.12
88303 SOMATROPIN GENOTROPIN MINIQUICK SYR 2.0 MG 7 7
Genotropin Miniquick Syr. 2.0 mg. 7
€396.58
88527 SOMATROPIN GENOTROPIN PRE-FILLED (GO QUICK) PEN 5.3 MG 1 1
Genotropin Pre-Filled Pen (Go Quick) 5.3 mg. 1
€122.59
88528 SOMATROPIN GENOTROPIN PRE-FILLED (GO QUICK) PEN 12 MG 1 1
Genotropin Pre-Filled Pen (Go Quick) 12 mg. 1
€297.05
88830 SOMATROPIN NORDITROPIN FLEXPRO SOLN FOR INJ IN PRE FILLED PEN 5 MG/1.5 ML 1 1 X 1.5 ML
Norditropin FlexPro Soln. for Inj. in Pre-filled Pen 5 mg./1.5 ml. 1.5 ml. 1
€145.40
88831 SOMATROPIN NORDITROPIN FLEXPRO SOLN FOR INJ IN PRE FILLED PEN 10 MG/1.5 ML 1 1 X 1.5 ML
Norditropin FlexPro Soln. for Inj. in Pre-filled Pen 10 mg./1.5 ml. 1.5 ml. 1
€291.72
88832 SOMATROPIN NORDITROPIN FLEXPRO SOLN FOR INJ IN PRE FILLED PEN 15 MG/1.5 ML 1 1 X 1.5 ML
Norditropin FlexPro Soln. for Inj. in Pre-filled Pen 15 mg./1.5 ml. 1.5 ml. 1
€445.59
88483 SOMATROPIN NUTROPINAQ SOLN. FOR INJ. CARTRIDGE 10 MG/2 ML. 1 1 X 2 ML.
NutropinAq Soln. for Inj. 10 mg./2 ml. 2 ml. Cartridge 1
€257.22
88202 SOMATROPIN SAIZEN SOLN FOR INJ 6 MG 1 1
Saizen Soln. for Inj. 6 mg. Pack 1
€153.18
88259 SOMATROPIN SAIZEN SOLN FOR INJ 12 MG 1 1
Saizen Soln. for Inj. 12 mg. Pack 1
€311.65
88311 SOMATROPIN SAIZEN SOLN FOR INJ 20 MG 1 1
Saizen Soln. for Inj. 20 mg. Pack 1
€563.76
88133 SORAFENIB NEXAVAR TABS 200 MG 112 112
Nexavar Tabs. 200 mg. 112
€1,449.92
89012 SORAFENIB NEXAVAR (ORGINALIS B.V.) FILM COATED TABS 200 MG 112 112
Nexavar (Originalis B.V.) Film Coated Tabs. 200 mg. 112
€1,406.42
89203 SORAFENIB NEXAVAR (P.C.O. MFG.) FILM COATED TABS 200 MG 112 112
Nexavar (P.C.O. Mfg.) Film Coated Tabs. 200 mg. 112
€1,406.42
89279 SORAFENIB SORAFENIB (ACCORD HEALTHCARE LTD.) FILM COATED TABS 200 MG 112 112
Sorafenib (Accord Healthcare Ltd.) Film Coated Tabs. 200 mg. 112
€1,449.92
89131 SUNITINIB SUNITINIB (ACCORD HEALTHCARE LTD.) HARD CAPS 25 MG 28 28
Sunitinib (Accord Healthcare Ltd.) Hard Caps. 25 mg. 28
€981.86
89132 SUNITINIB SUNITINIB (ACCORD HEALTHCARE LTD.) HARD CAPS 50 MG 28 28
Sunitinib (Accord Healthcare Ltd.) Hard Caps. 50 mg. 28
€1,958.84
89133 SUNITINIB SUNITINIB (ACCORD HEALTHCARE LTD.) HARD CAPS 12.5 MG 28 28
Sunitinib (Accord Healthcare Ltd.) Hard Caps. 12.5 mg. 28
€492.50
89084 SUNITINIB SUNITINIB (ROWEX) HARD CAPS 12.5 MG 28 28
Sunitinib (Rowex) Hard Caps. 12.5 mg. 28
€492.50
89085 SUNITINIB SUNITINIB (ROWEX) HARD CAPS 25 MG 28 28
Sunitinib (Rowex) Hard Caps. 25 mg. 28
€981.86
89086 SUNITINIB SUNITINIB (ROWEX) HARD CAPS 50 MG 28 28
Sunitinib (Rowex) Hard Caps. 50 mg. 28
€1,958.84
88684 SUNITINIB SUTENT CAPS 12.5 MG 28 28
Sutent Caps. 12.5 mg. 28
€492.51
88685 SUNITINIB SUTENT CAPS 25 MG 28 28
Sutent Caps. 25 mg. 28
€981.86
88686 SUNITINIB SUTENT CAPS 50 MG 28 28
Sutent Caps. 50 mg. 28
€1,958.84
88004 TACROLIMUS ADVAGRAF PROLONGED RELEASE CAPS 0.5 MG 50 50
Advagraf Prolonged Release Caps. 0.5 mg. 50
€49.71
88012 TACROLIMUS ADVAGRAF PROLONGED RELEASE CAPS 1 MG 50 50
Advagraf Prolonged Release Caps. 1 mg. 50
€82.60
88023 TACROLIMUS ADVAGRAF PROLONGED RELEASE CAPS 5 MG 50 50
Advagraf Prolonged Release Caps. 5 mg. 50
€389.48
88444 TACROLIMUS ADVAGRAF PROLONGED RELEASE CAPS 3 MG 50 50
Advagraf Prolonged Release Caps. 3 mg. 50
€258.01
88551 TACROLIMUS ENVARSUS PROLONGED RELEASE TABS 0.75 MG 30 30
Envarsus Prolonged Release Tabs. 0.75 mg. 30
€47.14
88552 TACROLIMUS ENVARSUS PROLONGED RELEASE TABS 1 MG 30 30
Envarsus Prolonged Release Tabs. 1 mg. 30
€62.86
88553 TACROLIMUS ENVARSUS PROLONGED RELEASE TABS 4 MG 30 30
Envarsus Prolonged Release Tabs. 4 mg. 30
€251.42
88504 TACROLIMUS MODIGRAF GRANS FOR ORAL SUSP SACHETS 0.2 MG 50 50
Modigraf Grans. for Oral Susp. Sachets 0.2 mg. 50
€58.07
88505 TACROLIMUS MODIGRAF GRANS FOR ORAL SUSP SACHETS 1 MG 50 50
Modigraf Grans. for Oral Susp. Sachets 1 mg. 50
€286.46
88240 TACROLIMUS PROGRAF CAPS 1 MG 50 50
Prograf Caps 1 mg. 50
€86.43
88241 TACROLIMUS PROGRAF CAPS 5 MG 50 50
Prograf Caps 5 mg. 50
€384.64
88243 TACROLIMUS PROGRAF CAPS 0.5 MG 50 50
Prograf Caps 0.5 mg. 50
€53.04
89125 TACROLIMUS PROGRAF (IMED HEALTHCARE LTD.) HARD CAPS 0.5 MG 30 30
Prograf (iMED Healthcare Ltd.) Hard Caps. 0.5 mg. 30
€30.87
88992 TACROLIMUS PROGRAF (P.C.O. MFG.) HARD CAPS 0.5 MG 30 30
Prograf (P.C.O. Mfg.) Hard Caps. 0.5 mg. 30
€30.87
88242 TACROLIMUS PROGRAF CONC FOR INJ AMPS 5 MG/ML 10 1 ML. X 10
Prograf Conc. For Inj. Amps 5 mg./ml. 1 ml. 10
€593.43
7
COMPLETE LIST OF HIGH TECH PRODUCTS BY NON PROPRIETARY NAME AS AT 1st JULY 2024.
DMA
CODE
NON-PROPRIETARY NAME DMA NAME FORM STRENGTH
UNIT OF
MEAS.
PACK
SIZE
PACK SIZE NAME DRUG DESCRIPTION
REIMBURSEMENT
PRICE
88530 TADALAFIL ADCIRCA TABS 20 MG 56 56
Adcirca Tabs. 20 mg. 56
€559.01
89176 TAFAMIDIS VYNDAQEL SOFT CAPS 61 MG 30 30
Vyndaqel Soft Caps. 61 mg. 30
€9,180.00
89076 TALAZOPARIB TALZENNA HARD CAPS 0.25 MG 30 30
Talzenna Hard Caps. 0.25 mg. 30
€1,440.00
89077 TALAZOPARIB TALZENNA HARD CAPS 1 MG 30 30
Talzenna Hard Caps 1 mg. 30
€4,320.00
89044 TEDUGLUTIDE REVESTIVE PDR. AND SOLV. FOR SOL FOR INJ 5 MG 28 28
Revestive Pdr. and Solv. for Soln. for Inj. 5 mg. 28
€16,907.14
89043 TEDUGLUTIDE REVESTIVE PDR. AND SOLV. FOR SOLN FOR INJ 1.25 MG 28 28
Revestive Pdr. and Solv. for Soln. for Inj. 1.25 mg. 28
€8,377.87
88328 TEGAFUR, COMBINATIONS TEYSUNO HARD CAPS 15 MG 126 126
Teysuno Hard Caps. 15 mg. 126
€379.50
88329 TEGAFUR, COMBINATIONS TEYSUNO HARD CAPS 20 MG 84 84
Teysuno Hard Caps. 20 mg. 84
€343.67
88192 TEMOZOLOMIDE TEMODAL CAPS 5 MG 5 5
Temodal Caps. 5 mg. 5
€9.46
88198 TEMOZOLOMIDE TEMODAL CAPS 20 MG 5 5
Temodal Caps. 20 mg. 5
€37.84
88203 TEMOZOLOMIDE TEMODAL CAPS 100 MG 5 5
Temodal Caps. 100 mg. 5
€120.60
88204 TEMOZOLOMIDE TEMODAL CAPS 250 MG 5 5
Temodal Caps. 250 mg. 5
€473.04
88215 TEMOZOLOMIDE TEMODAL CAPS 140 MG 5 5
Temodal Caps. 140 mg. 5
€216.00
88253 TEMOZOLOMIDE TEMODAL CAPS 180 MG 5 5
Temodal Caps. 180 mg. 5
€367.68
88648 TEMOZOLOMIDE TEMOZOLOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 5 MG 5 5
Temozolomide (Accord Healthcare Ltd.) Hard Caps. 5 mg. 5
€9.46
88649 TEMOZOLOMIDE TEMOZOLOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 20 MG 5 5
Temozolomide (Accord Healthcare Ltd.) Hard Caps. 20 mg. 5
€37.84
88650 TEMOZOLOMIDE TEMOZOLOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 100 MG 5 5
Temozolomide (Accord Healthcare Ltd.) Hard Caps. 100 mg. 5
€120.60
88656 TEMOZOLOMIDE TEMOZOLOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 140 MG 5 5
Temozolomide (Accord Healthcare Ltd.) Hard Caps. 140 mg. 5
€172.80
88657 TEMOZOLOMIDE TEMOZOLOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 180 MG 5 5
Temozolomide (Accord Healthcare Ltd.) Hard Caps. 180 mg. 5
€367.68
88661 TEMOZOLOMIDE TEMOZOLOMIDE (ACCORD HEALTHCARE LTD.) HARD CAPS 250 MG 5 5
Temozolomide (Accord Healthcare Ltd.) Hard Caps. 250 mg. 5
€473.04
88497 TEMOZOLOMIDE TEMOZOLOMIDE (CLONMEL HEALTHCARE) HARD CAPS 5 MG 5 5
Temozolomide (Clonmel Healthcare) Hard Caps. 5 mg. 5
€9.46
88498 TEMOZOLOMIDE TEMOZOLOMIDE (CLONMEL HEALTHCARE) HARD CAPS 20 MG 5 5
Temozolomide (Clonmel Healthcare) Hard Caps. 20 mg. 5
€37.84
88499 TEMOZOLOMIDE TEMOZOLOMIDE (CLONMEL HEALTHCARE) HARD CAPS 100 MG 5 5
Temozolomide (Clonmel Healthcare) Hard Caps. 100 mg. 5
€120.60
88500 TEMOZOLOMIDE TEMOZOLOMIDE (CLONMEL HEALTHCARE) HARD CAPS 140 MG 5 5
Temozolomide (Clonmel Healthcare) Hard Caps. 140 mg. 5
€172.80
88516 TEMOZOLOMIDE TEMOZOLOMIDE (CLONMEL HEALTHCARE) HARD CAPS 180 MG 5 5
Temozolomide (Clonmel Healthcare) Hard Caps. 180 mg. 5
€367.68
88519 TEMOZOLOMIDE TEMOZOLOMIDE (CLONMEL HEALTHCARE) HARD CAPS 250 MG 5 5
Temozolomide (Clonmel Healthcare) Hard Caps. 250 mg. 5
€473.04
88586 TEMOZOLOMIDE TEMOZOLOMIDE TEVA CAPS 5 MG 5 5
Temozolomide TEVA Caps. 5 mg. 5
€9.46
88587 TEMOZOLOMIDE TEMOZOLOMIDE TEVA CAPS 20 MG 5 5
Temozolomide TEVA Caps. 20 mg. 5
€37.84
88589 TEMOZOLOMIDE TEMOZOLOMIDE TEVA CAPS 140 MG 5 5
Temozolomide TEVA Caps. 140 mg. 5
€172.80
88591 TEMOZOLOMIDE TEMOZOLOMIDE TEVA CAPS 250 MG 5 5
Temozolomide TEVA Caps. 250 mg. 5
€473.04
88588 TEMOZOLOMIDE TEMOZOLOMIDE TEVA CAPS 100 MG 5 5
Temozolomide TEVA Caps. 100 mg. 5
€120.60
89027 TENOFOVIR DISOPROXIL TENOFOVIR DISOPROXIL (ACCORDPHARMA) FILM COATED TABS 245 MG 30 30
Tenofovir Disoproxil (Accordpharma) Film Coated Tabs. 245 mg. 30
€147.90
88860 TENOFOVIR DISOPROXIL TENOFOVIR DISOPROXIL MYLAN (GERARD LABS) FILM COATED TABS 245 MG 30 30
Tenofovir Disoproxil Mylan (Gerard Labs.) Film Coated Tabs. 245 mg. 30
€147.90
88149 TENOFOVIR DISOPROXIL TENOFOVIR DISOPROXIL TEVA FILM COATED TABS 245 MG 30 30
Tenofovir Disoproxil Teva Film Coated Tabs. 245 mg. 30
€147.90
88408 TENOFOVIR DISOPROXIL VIREAD TABS 245 MG 30 30
Viread Tabs. 245 mg. 30
€180.14
89265 TENOFOVIR DISOPROXIL VIREAD (ORIGINALIS B.V.) FILM COATED TABS 245 MG 30 30
Viread (Originalis B.V.) Film Coated Tabs. 245 mg. 30
€174.74
89190 TENOFOVIR DISOPROXIL VIREAD (P.C.O. MFG.) FILM COATED TABS 245 MG 30 30
Viread (P.C.O. Mfg.) Film Coated Tabs. 245 mg. 30
€174.74
88698 TERIFLUNOMIDE AUBAGIO FILM COATED TABS 14 MG 28 28
Aubagio Film Coated Tabs. 14 mg. 28
€824.95
88718 TERIPARATIDE FORSTEO (P.C.O. MFG.) SOLN. FOR INJ. PRE FILLED PEN 20
MCG/80 MCL
1 1 X 2.4 ML
Forsteo (P.C.O. Mfg.) Soln. for Inj. in Pre-filled Pen 20 mcg./80 mcl. 2.4 ml. 1
€237.78
88494 TERIPARATIDE FORSTEO SOLN. FOR INJ. PRE FILLED PEN 20
MCG/80 MCL
1 1 x 2.4 ml
Forsteo Soln. for Inj. Pre-filled Pen 20 mcg./80 mcl. 2.4 ml.1
€245.14
88997 TERIPARATIDE MOVYMIA SOLN FOR INJ CARTRIDGE 20
MCG/80 MCL
1 1
Movymia Soln. for Inj. Cartridge 20 mcg./80 mcl. 1
€142.64
88998 TERIPARATIDE MOVYMIA SOLN FOR INJ STARTER (2.4 ML. CARTRIDGE + 1 PEN) STARTER PACK 20
MCG/80 MCL
1 PACK 1
Movymia Soln. for Inj. Starter Pack (1 x 20 mcg./80 mcl. 2.4 ml. Cartridge + 1 Pen) 1
€142.64
89206 TERIPARATIDE SONDELBAY (ACCORD HEALTHCARE LTD.) SOLN. FOR INJ. IN PRE FILLED PEN 20
MCG/80 MCL
1 1
Sondelbay (Accord Healthcare Ltd.) Soln. for Inj. in a Pre-filled Pen 20 mcg./80 mcL. 1
€171.59
89067 TERIPARATIDE TERROSA SOLN. FOR INJ. CARTRIDGE 20
MCG/80 MCL
1 1
Terrosa Soln. for Inj. Cartridge 20 mcg./80 mcl. 1
€214.49
89066 TERIPARATIDE TERROSA SOLN. FOR INJ. STARTER (2.4 ML CARTRIDGE + 1 PEN) STARTER KIT 20
MCG/80 MCL
1 1
Terrosa Soln. for Inj. Starter Kit (1 x 20 mcg./80 mcl. 2.4 ml. Cartridge + 1 Pen) 1
€214.49
89028 TERIPARATIDE TETRIDAR SOLN FOR INJ IN PRE FILLED PEN 20
MCG/80 MCL
1 1
Tetridar Soln. for Inj. in Pre-filled Pen 20 mcg./80 mcL. 1
€142.64
88741 THALIDOMIDE THALIDOMIDE CELGENE CAPS 50 MG 28 28
Thalidomide Celegene Caps. 50 mg. 28
€364.76
89183 TILDRAKIZUMAB ILUMETRI SOLN. FOR INJ. IN PRE FILLED SYR 100 MG 1 1
Ilumetri Soln. for Inj. in Pre-filled Syr. 100 mg. 1
€3,075.60
89184 TILDRAKIZUMAB ILUMETRI SOLN. FOR INJ. IN PRE FILLED SYR 100 MG 2 2
Ilumetri Soln. for Inj. in Pre-filled Syr. 100 mg. 2
€3,138.23
88824 TIVOZANIB FOTIVDA HARD CAPS 890 MCG 21 21
Fotivda Hard Caps. 890 mcg. 21
€2,916.00
88825 TIVOZANIB FOTIVDA HARD CAPS 1340 MCG 21 21
Fotivda Hard Caps. 1340 mcg. 21
€2,916.00
88749 TOBRAMYCIN BRAMITOB NEBULISER SOLN 300 MG/4 ML 56 56 SINGLE DOSE VIALS
Bramitob 300 mg./4 ml. Nebuliser Soln. Single Dose Vials 56
€1,703.69
88370 TOBRAMYCIN TOBI AMPS 300 MG/5 ML 56 56 X 5 ML
Tobi Amps 300 mg./5 ml. 5 ml. 56
€1,352.89
88882 TOBRAMYCIN TOBI (P.C.O. MFG.) PODHALER INHALATION PDR., HARD CAPS, 224 CAPS + 5 INHALERS PODHALER 28 MG 1 PACK 1
TOBI (P.C.O. Mfg.) Podhaler Inhalation Pdr., Hard Caps. 28 mg. 224 Caps. + 5 Inhalers Pack 1
€2,272.22
88373 TOBRAMYCIN TOBI PODHALER INHALATION PDR., HARD CAPS 224 CAPS. + 5 INHALERS PODHALER 28 MG 1 1 PACK
TOBI Podhaler Inhalation Pdr., Hard Caps. 28 mg. 224 Caps. + 5 Inhalers Pack 1
€2,319.84
88893 TOBRAMYCIN TYMBRINEB NEBULISER SOLN AMPOULES 300 MG/5 ML 56 56
Tymbrineb Nebuliser Soln. Ampoules 300 mg./5 ml. 56
€955.80
88456 TOCILIZUMAB ROACTEMRA SOLN FOR INJ IN PRE FILLED SYRINGE 162 MG 4 0.9ML. X 4
RoActemra Soln. for Inj. in Pre-filled Syringe 162 mg. 0.9 ml. Pack 4
€656.23
88964 TOCILIZUMAB ROACTEMRA SOLN FOR INJ IN (ACTPEN) PRE FILLED PEN 162 MG/0.9 ML 4 4
RoActemra Soln. for Inj. in Pre-filled Pen (ACTPen) 162 mg./0.9 ml. 4
€656.23
89317 TOCILIZUMAB TYENNE SOLN. FOR INJ. PRE FILLED PEN 162 MG 4 4
Tyenne Soln. for Inj. in Pre-filled Pen 162 mg. 4
€574.18
89318 TOCILIZUMAB TYENNE SOLN. FOR INJ. PRE FILLED SYR 162 MG 4 4
Tyenne Soln. for Inj. in Pre-filed Syringe 162 mg. 4
€574.18
88874 TOFACITINIB XELJANZ FILM COATED TABS 5 MG 56 56
Xeljanz Film Coated Tabs. 5 mg. 56
€769.88
89036 TOFACITINIB XELJANZ FILM COATED TABS 10 MG 56 56
Xeljanz Film Coated Tabs. 10 mg. 56
€1,466.04
89219 TOFACITINIB XELJANZ ORAL SOLN 1 MG/ML 250 250 ML
Xeljanz Oral Soln. 1 mg./ml. 250 ml.
€718.20
89024 TOFACITINIB XELJANZ PROLONGED RELEASE TABS 11 MG 28 28
Xeljanz Prolonged Release Tabs. 11 mg. 28
€789.98
88940 TOLVAPTAN JINARC TABS 45 & 15 MG 56 56 (45mg x 28 & 15mg x 28
Jinarc (45 mg. x 28 & 15 mg. x 28) Tabs. 56
€1,388.66
88941 TOLVAPTAN JINARC TABS 60 & 30 MG 56 56 (60mg x 28 & 30mg x 28
Jinarc (60 mg. x 28 & 30 mg. x 28) Tabs. 56
€1,402.65
88942 TOLVAPTAN JINARC TABS 90 & 30 MG 56 56 (90mg x 28 & 30mg x 28
Jinarc (90 mg. x 28 & 30 mg. x 28) Tabs. 56
€1,416.64
88943 TOLVAPTAN JINARC TABS 15 MG 7 7
Jinarc Tabs. 15 mg. 7
€362.71
88944 TOLVAPTAN JINARC TABS 30 MG 7 7
Jinarc Tabs. 30 mg. 7
€368.49
88560 TOPOTECAN HYCAMTIN CAPS 0.25 MG 10 10
Hycamtin Caps. 0.25 mg. 10
€86.98
88585 TOPOTECAN HYCAMTIN CAPS 1 MG 10 10
Hycamtin Caps. 1 mg. 10
€370.48
89167 TRALOKINUMAB ADTRALZA (MULTIPACK) SOLN. FOR INJ. IN PRE FILLED SYRINGE 150 MG 4 4
Adtralza Soln. for Inj. in Pre-filled Syringe 150 mg. (Multipack) 4
€1,185.05
88886 TRAMETINIB MEKINIST FILM COATED TABS 0.5 MG 30 30
Mekinist Film Coated Tabs. 0.5 mg. 30
€1,463.82
88887 TRAMETINIB MEKINIST FILM COATED TABS 2 MG 30 30
Mekinist Film Coated Tabs. 2 mg. 30
€5,761.31
89011 TRIENTINE CUFENCE (UNIVAR) HARD CAPS 200 MG 100 100
Cufence (Univar) Hard Caps. 200 mg. 100
€3,787.19
89008 TRIENTINE CUPRIOR FILM COATED TABS 150 MG 72 72
Cuprior Film Coated Tabs. 150 mg. 72
€3,339.98
89320 TRIENTINE TRIENTINE TILLOMED (AZURE PHARMACEUTICALS) HARD CAPS 167 MG 100 100
Trientine Tillomed (Azure Pharmaceuticals) Hard Caps. 167 mg. 100
€2,111.93
88850 TRIFLURIDINE, COMBINATIONS LONSURF FILM COATED TABS 15/6.14 MG 20 20
Lonsurf Film Coated Tabs. 15 mg./6.14 mg. 20
€644.08
88851 TRIFLURIDINE, COMBINATIONS LONSURF FILM COATED TABS 15/6.14 MG 60 60
Lonsurf Film Coated Tabs. 15 mg./6.14 mg. 60
€1,951.51
88852 TRIFLURIDINE, COMBINATIONS LONSURF FILM COATED TABS 20/8.19 MG 20 20
Lonsurf Film Coated Tabs. 20 mg./8.19 mg. 20
€839.31
88853 TRIFLURIDINE, COMBINATIONS LONSURF FILM COATED TABS 20/8.19 MG 60 60
Lonsurf Film Coated Tabs. 20 mg./8.19 mg. 60
€2,528.74
89126 TRIPTORELIN DECAPEPTYL (IMED HEALTHCARE LTD.) 6 MONTH PACK 22.5 MG PDR. AND SOLV. FOR SUSP. FOR INJ 22.5 MG 1 1
Decapeptyl (iMed Healthcare Ltd.) 6 month Pack 22.5 mg. Pdr. and Solv. for Susp. for Inj. 1
€552.65
89009 TRIPTORELIN DECAPEPTYL (ORIGINALIS B.V.) 3 MONTH PACK POWDER AND SOLVENT FOR SUSPENSION FOR INJECTION 11.25 MG 1 1
Decapeptyl (Originalis B.V.) 3 Month Pack Powder and Solvent for Suspension for Injection 11.25 mg. 1
€282.15
88716 TRIPTORELIN DECAPEPTYL (P.C.O. MFG.) 3 MONTH PACK PDR. AND SOLV. FOR SUSP. FOR INJ 11.25 MG 1 1
Decapeptyl (P.C.O. Mfg.) 3 Month Pack 11.25 mg. Pdr. and Solv. for Susp. for Inj. 1
€282.15
89037 TRIPTORELIN DECAPEPTYL (P.C.O. MFG.) 6 MONTH PACK PDR. AND SOLV. FOR SUSP. FOR INJ 22.5 MG 1 1
Decapeptyl (P.C.O. Mfg.) 6 Month Pack 22.5 mg. Pdr. and Solv. for Susp. for Inj. 1
€552.65
88031 TRIPTORELIN DECAPEPTYL 3 MONTH PACK PDR. AND SOLV. FOR SUSP. FOR INJ 11.25 MG 1 1
Decapeptyl 3 Month Pack Powder and Solvent for Suspension for Injection 11.25 mg. 1
€290.88
88632 TRIPTORELIN DECAPEPTYL 6 MONTH PACK PDR. AND SOLV. FOR PR SUSP. FOR INJ 22.5 MG 1 1
Decapeptyl 6 Month Pack 22.5 mg. Pdr. And Solv. for PR Susp. for Inj. 1
€569.74
88030 TRIPTORELIN DECAPEPTYL S.R. INJ 3 MG 1 1
Decapeptyl S.R. Inj. 3 mg. 1
€95.26
88821 TRIPTORELIN DECAPEPTYL (IMED HEALTHCARE LTD.) 3 MONTH PACK PDR. AND SOLV. FOR SUSP. FOR INJ 11.25 MG 1 1
Decapeptyl (iMED Healthcare Ltd.) 3 Month Pack Powder and Solvent for Suspension for Injection 11.25 mg. 1
€282.15
88109 ULIPRISTAL ESMYA TABS 5 MG 28 28
Esmya Tabs. 5 mg. 28
€139.86
89057 UPADACITINIB RINVOQ PROLONGED RELEASE TABS 15 MG 28 28
Rinvoq Prolonged Release Tabs. 15 mg. 28
€846.16
89257 UPADACITINIB RINVOQ PROLONGED RELEASE TABS 45 MG 28 28
Rinvoq Prolonged Release Tabs. 45 mg. 28
€1,869.24
89155 UPADACITINIB RINVOQ PROLONGED RELEASE TABS 30 MG 28 28
Rinvoq Prolonged Release Tabs. 30 mg. 28
€1,246.16
88521 USTEKINUMAB STELARA SOLN FOR INJ PRE FILLED SYR 45 MG/0.5 ML 1 1 x 0.5 ML PACK
Stelara Soln. for Inj. Pre-Filled Syr. 45 mg./0.5 ml. 0.5 ml. pack
€2,797.31
88522 USTEKINUMAB STELARA SOLN FOR INJ PRE FILLED SYR 90 MG/1 ML 1 1 X 1 ML
Stelara Soln. for Inj. Pre-Filled Syr. 90 mg./1 ml. 1 ml. Pack
€2,822.74
88525 USTEKINUMAB STELARA SOLN FOR INJ VIAL 45 MG/0.5 ML 1 1 X 0.5 ML
Stelara Soln. for Inj. 45 mg./0.5 ml. 0.5 ml. Vial 1
€2,927.90
89297 USTEKINUMAB STELARA SOLN FOR INJ PRE FILLED PEN 45 MG/0.5 ML 1 1 x 0.5 ML
Stelara Soln. for Inj. in Pre-Filled Pen. 45. mg./0.5 mL. 0.5 ml. 1
€2,766.72
89298 USTEKINUMAB STELARA SOLN FOR INJ PRE FILLED PEN 90 MG/1 ML 1 1 x 1 ML
Stelara Soln. for Inj. in Pre-Filled Pen. 90 mg./1 mL. 1 ml. 1
€2,874.64
88639 VALGANCICLOVIR VALCYTE TABS 450 MG 60 60
Valcyte Tabs. 450 mg. 60
€717.49
88596 VALGANCICLOVIR VALCYTE PDR. FOR ORAL SOLN 50 MG/ML 1 1 PACK
Valcyte Pdr. for Oral Soln. 50 mg./ml. Pack 1
€283.48
88633 VALGANCICLOVIR VALGANCICLOVIR (ACCORD HEALTHCARE LTD.) FILM COATED TABS 450 MG 60 60
Valganciclovir (Accord Healthcare Ltd.) Film Coated Tabs. 450 mg. 60
€635.05
88753 VALGANCICLOVIR VALGANCICLOVIR (GENERICS UK) MYLAN FILM COATED TABS 450 MG 60 60
Valganciclovir (Generics UK) Mylan Film Coated Tabs. 450 mg. 60
€572.36
88786 VANDETANIB CAPRELSA FILM COATED TABS 100 MG 30 30
Caprelsa Film Coated Tabs. 100 mg. 30
€2,107.70
88787 VANDETANIB CAPRELSA FILM COATED TABS 300 MG 30 30
Caprelsa Film Coated Tabs. 300 mg. 30
€4,866.45
89099 VEDOLIZUMAB ENTYVIO SOLN. FOR INJ. IN PRE FILLED PEN 108 MG 1 1
Entyvio Soln. for Inj. in Pre-filled Pen 108 mg. 1
€550.12
8
COMPLETE LIST OF HIGH TECH PRODUCTS BY NON PROPRIETARY NAME AS AT 1st JULY 2024.
DMA
CODE
NON-PROPRIETARY NAME DMA NAME FORM STRENGTH
UNIT OF
MEAS.
PACK
SIZE
PACK SIZE NAME DRUG DESCRIPTION
REIMBURSEMENT
PRICE
88248 VEMURAFENIB ZELBORAF FILM COATED TABS 240 MG 56 56
Zelboraf Film Coated Tabs. 240 mg. 56
€1,704.78
88970 VENETOCLAX VENCLYXTO FILM COATED TABS 10 MG 14 14
Venclyxto Film Coated Tabs. 10 mg. 14
€71.06
88971 VENETOCLAX VENCLYXTO FILM COATED TABS 50 MG 7 7
Venclyxto Film Coated Tabs. 50 mg. 7
€178.22
88972 VENETOCLAX VENCLYXTO FILM COATED TABS 100 MG 7 7
Venclyxto Film Coated Tabs. 100 mg. 7
€355.97
88973 VENETOCLAX VENCLYXTO FILM COATED TABS 100 MG 14 14
Venclyxto Film Coated Tabs. 100 mg. 14
€719.56
88974 VENETOCLAX VENCLYXTO FILM COATED TABS 100 MG 112 112
Venclyxto Film Coated Tabs. 100 mg. 112
€5,676.87
88431 VINORELBINE NAVELBINE SOFT CAPS 20 MG 1 1
Navelbine Soft Caps. 20 mg. 1
€48.39
88492 VINORELBINE NAVELBINE SOFT CAPS 30 MG 1 1
Navelbine Soft Caps. 30 mg. 1
€72.93
88868 VISMODEGIB ERIVEDGE HARD CAPS 150 MG 28 28
Erivedge Hard Caps. 150 mg. 28
€4,710.96
88212 VORICONAZOLE VFEND TABS 50 MG 28 28
Vfend Tabs. 50 mg. 28
€177.88
88213 VORICONAZOLE VFEND TABS 200 MG 28 28
Vfend Tabs. 200 mg. 28
€709.43
88429 VORICONAZOLE VFEND PDR. FOR ORAL SUSP 40 MG./ML. 75 75 ML
Vfend Pdr. for Oral Susp. 40 mg./ml. 75 ml.
€585.83
88637 VORICONAZOLE VORICONAZOLE (ACCORD HEALTHCARE LTD.) FILM COATED TABS 50 MG 28 28
Voriconazole (Accord Healthcare Ltd.) Film Coated Tabs. 50 mg. 28
€130.93
88638 VORICONAZOLE VORICONAZOLE (ACCORD HEALTHCARE LTD.) FILM COATED TABS 200 MG 28 28
Voriconazole (Accord Healthcare Ltd.) Film Coated Tabs. 200 mg. 28
€515.17
88593 VORICONAZOLE VORICONAZOLE TEVA FILM COATED TABS 200 MG 28 28
Voriconazole Teva Film Coated Tabs. 200 mg. 28
€515.17
89182 ZANUBRUTINIB BRUKINSA HARD CAPS 80 MG 120 120
Brukinsa Hard Caps. 80 mg. 120
€5,824.31
88347 ZINC ACETATE WILZIN ZINC ACETATE CAPS 25 MG 250 250
Wilzin Zinc Acetate Caps. 25 mg. 250
€215.14
88348 ZINC ACETATE WILZIN ZINC ACETATE CAPS 50 MG 250 250
Wilzin Zinc Acetate Caps. 50 mg. 250
€395.39
9
