Zie het toch echt goed...., RUCONEST als ´preferred option for EXCLUDED Berinert!!!!!!!!!!!! (Vanaf January 2018)
PREFERRED OPTIONS FOR EXCLUDED SPECIALTY MEDICATIONS 3
DRUG NAME(S) PREFERRED OPTION(S)*
ADCIRCA sildenafil
BERINERT RUCONEST
BRAVELLE GONAL-F
DAKLINZA EPCLUSA (genotypes 1, 2, 3, 4, 5, 6),
HARVONI (genotypes 1, 4, 5, 6)
ELELYSO CERDELGA, CEREZYME
EUFLEXXA GEL-ONE, GELSYN-3, SUPARTZ FX, VISCO-3
EXTAVIA glatiramer, AUBAGIO, BETASERON, COPAXONE 40 MG, GILENYA,
REBIF, TECFIDERA, TYSABRI
FOLLISTIM AQ GONAL-F
GENOTROPIN HUMATROPE
GLEEVEC imatinib mesylate, BOSULIF, SPRYCEL
HELIXATE FS KOGENATE FS, KOVALTRY, NOVOEIGHT, NUWIQ
HYALGAN GEL-ONE, GELSYN-3, SUPARTZ FX, VISCO-3
MAVYRET EPCLUSA (genotypes 1, 2, 3, 4, 5, 6),
HARVONI (genotypes 1, 4, 5, 6), VOSEVI 2
MONOVISC GEL-ONE, GELSYN-3, SUPARTZ FX, VISCO-3
NEUPOGEN ZARXIO
NORDITROPIN HUMATROPE
NUTROPIN AQ HUMATROPE
OLYSIO EPCLUSA (genotypes 1, 2, 3, 4, 5, 6),
HARVONI (genotypes 1, 4, 5, 6)
OMNITROPE HUMATROPE
DRUG NAME(S) PREFERRED OPTION(S)*
ORTHOVISC GEL-ONE, GELSYN-3, SUPARTZ FX, VISCO-3
OTREXUP RASUVO
PEGASYS Consult doctor
PROGRAF tacrolimus
REVATIO sildenafil
SAIZEN HUMATROPE
SANDOSTATIN LAR SOMATULINE DEPOT, SOMAVERT
SYNVISC,
SYNVISC-ONE
GEL-ONE, GELSYN-3, SUPARTZ FX, VISCO-3
TASIGNA imatinib mesylate, BOSULIF, SPRYCEL
TECHNIVIE EPCLUSA (genotypes 1, 2, 3, 4, 5, 6),
HARVONI (genotypes 1, 4, 5, 6)
TOBI tobramycin inhalation solution, BETHKIS
TOBI PODHALER tobramycin inhalation solution, BETHKIS
VIEKIRA PAK EPCLUSA (genotypes 1, 2, 3, 4, 5, 6),
HARVONI (genotypes 1, 4, 5, 6)
VIEKIRA XR EPCLUSA (genotypes 1, 2, 3, 4, 5, 6),
HARVONI (genotypes 1, 4, 5, 6)
XENAZINE tetrabenazine
ZEPATIER EPCLUSA (genotypes 1, 2, 3, 4, 5, 6),
HARVONI (genotypes 1, 4, 5, 6)