Document ID: chunk:federal_register_of_legislation:F2025C00217:schedule:1:p9
Version: federal_register_of_legislation:F2025C00217
Segment Type: schedule
Provision Reference: sch 1 (pt 9/13)
Character Range: 96119–106908

28                               9.52                20.36
                                                      Wafer 20 mg                                                                                                                                                                               Oral                      Zyprexa Zydis                                         28                               12.69               23.52
Olmesartan                                            Tablet containing olmesartan medoxomil 20 mg                                                                                                                                              Oral                      Olmetec                                               30                               3.83                7.55
                                                      Tablet containing olmesartan medoxomil 40 mg                                                                                                                                              Oral                      Olmetec                                               30                               5.67                9.39
Olmesartan with amlodipine                            Tablet containing olmesartan medoxomil 20 mg with amlodipine 5 mg (as besilate)                                                                                                           Oral                      Sevikar 20/5                                          30                               3.62                6.41
                                                      Tablet containing olmesartan medoxomil 40 mg with amlodipine 5 mg (as besilate)                                                                                                           Oral                      Sevikar 40/5                                          30                               5.18                7.97
                                                      Tablet containing olmesartan medoxomil 40 mg with amlodipine 10 mg (as besilate)                                                                                                          Oral                      Sevikar 40/10                                         30                               5.56                8.35
Olmesartan with amlodipine and hydrochlorothiazide    Tablet containing olmesartan medoxomil 20 mg with amlodipine 5 mg (as besilate) and hydrochlorothiazide 12.5 mg                                                                           Oral                      Sevikar HCT 20/5/12.5                                 30                               5.57                8.36
                                                      Tablet containing olmesartan medoxomil 40 mg with amlodipine 5 mg (as besilate) and hydrochlorothiazide 12.5 mg                                                                           Oral                      Sevikar HCT 40/5/12.5                                 30                               8.21                10.65
                                                      Tablet containing olmesartan medoxomil 40 mg with amlodipine 5 mg (as besilate) and hydrochlorothiazide 25 mg                                                                             Oral                      Sevikar HCT 40/5/25                                   30                               9.66                12.15
                                                      Tablet containing olmesartan medoxomil 40 mg with amlodipine 10 mg (as besilate) and hydrochlorothiazide 12.5 mg                                                                          Oral                      Sevikar HCT 40/10/12.5                                30                               8.59                12.56
                                                      Tablet containing olmesartan medoxomil 40 mg with amlodipine 10 mg (as besilate) and hydrochlorothiazide 25 mg                                                                            Oral                      Sevikar HCT 40/10/25                                  30                               10.02               12.50
Olmesartan with hydrochlorothiazide                   Tablet containing olmesartan medoxomil 20 mg with hydrochlorothiazide 12.5 mg                                                                                                             Oral                      Olmetec Plus                                          30                               4.00                6.79
                                                      Tablet containing olmesartan medoxomil 40 mg with hydrochlorothiazide 12.5 mg                                                                                                             Oral                      Olmetec Plus                                          30                               5.49                9.21
                                                      Tablet containing olmesartan medoxomil 40 mg with hydrochlorothiazide 25 mg                                                                                                               Oral                      Olmetec Plus                                          30                               6.20                9.92
Omeprazole                                            Tablet 20 mg (as magnesium)                                                                                                                                                               Oral                      Losec Tablets                                         30                               4.00                10.65
Ondansetron                                           Wafer 4 mg                                                                                                                                                                                Oral                      Zofran Zydis                                          10                               8.75                11.97
                                                      Wafer 8 mg                                                                                                                                                                                Oral                      Zofran Zydis                                          10                               13.38               16.59
Oxazepam                                              Tablet 30 mg                                                                                                                                                                              Oral                      Murelax                                               25                               2.50                3.30
                                                                                                                                                                                                                                                                          Serepax                                               25                               2.50                6.17
Oxycodone                                             Tablet containing oxycodone hydrochloride 5 mg                                                                                                                                            Oral                      Endone                                                10                               1.25                2.25
                                                                                                                                                                                                                                                Oral                      Endone                                                20                               2.50                4.50
Paraffin                                              Pack containing 2 tubes eye ointment, compound, containing white soft paraffin with liquid paraffin, 3.5 g                                                                                Application to the eye    Refresh Night Time                                    1                                7.86                9.03
Paroxetine                                            Tablet 20 mg (as hydrochloride)                                                                                                                                                           Oral                      Aropax                                                30                               3.50                5.90
Perindopril                                           Tablet containing perindopril arginine 2.5 mg                                                                                                                                             Oral                      Coversyl 2.5mg                                        30                               2.50                11.58
                                                      Tablet containing perindopril arginine 5 mg                                                                                                                                               Oral                      Coversyl 5mg                                          30                               3.16                11.95
                                                      Tablet containing perindopril arginine 10 mg                                                                                                                                              Oral                      Coversyl 10mg                                         30                               4.07                13.30
Perindopril with amlodipine                           Tablet containing 5 mg perindopril arginine with 5 mg amlodipine (as besilate)                                                                                                            Oral                      Coveram 5/5                                           30                               3.50                13.80
                                                      Tablet containing 5 mg perindopril arginine with 10 mg amlodipine (as besilate)                                                                                                           Oral                      Coveram 5/10                                          30                               4.13                14.72
                                                      Tablet containing 10 mg perindopril arginine with 5 mg amlodipine (as besilate)