Special Authority forms - July 2022

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Special Authority Form Chemical Therapeutic Group
SA2118 [PDF] Abiraterone acetate Oncology Agents and Immunosuppressants
SA2024 [PDF] Acitretin Dermatologicals
SA2142 [PDF] Adalimumab (Amgevita) Oncology Agents and Immunosuppressants
SA2101 [PDF] Adalimumab (Humira) Oncology Agents and Immunosuppressants
SA1772 [PDF] Aflibercept Oncology Agents and Immunosuppressants
SA1318 [PDF] Albendazole Infections - Agents for Systemic Use
SA1870 [PDF] Alectinib Oncology Agents and Immunosuppressants
SA1986 [PDF] Alglucosidase Alfa Alimentary Tract and Metabolism
SA1702 [PDF] Ambrisentan Cardiovascular System
SA2092 [PDF] Amino acid formula (Alfamino Junior; Elecare; Neocate) Special Foods
SA2139 [PDF] Antiretrovirals Infections - Agents for Systemic Use
SA0987 [PDF] Aprepitant Nervous System
SA2042 [PDF] Arginine Alimentary Tract and Metabolism
SA2141 [PDF] Azacitidine Oncology Agents and Immunosuppressants
SA1683 [PDF] Azithromycin Infections - Agents for Systemic Use
SA1367 [PDF] Bee or wasp venom allergy treatment Respiratory System and Allergies
SA2046 [PDF] Bendamustine hydrochloride Oncology Agents and Immunosuppressants
SA1963 [PDF] Benzbromarone Musculoskeletal System
SA1987 [PDF] Betaine Alimentary Tract and Metabolism
SA1889 [PDF] Bortezomib Oncology Agents and Immunosuppressants
SA1991 [PDF] Bosentan Cardiovascular System
SA1886 [PDF] Budesonide - Cap 3 mg Controlled Release Alimentary Tract and Metabolism
SA1203 [PDF] Buprenorphine with naloxone Nervous System
SA2070 [PDF] Cabergoline Hormone Preparations - Systemic Excluding Contraceptive Hormones
SA1289 [PDF] Capsaicin Musculoskeletal System
SA1930 [PDF] Carbohydrate (Moducal; Polycal) Special Foods
SA1376 [PDF] Carbohydrate and Fat (Duocal Super Soluble Powder) Special Foods
SA2096 [PDF] Casirivimab and imdevimab Oncology Agents and Immunosuppressants
SA1697 [PDF] Cetuximab Oncology Agents and Immunosuppressants
SA1618 [PDF] Cinacalcet Hormone Preparations - Systemic Excluding Contraceptive Hormones
SA1857 [PDF] Clarithromycin Infections - Agents for Systemic Use
SA2039 [PDF] Coenzyme Q10 Alimentary Tract and Metabolism
SA0500 [PDF] Combined oral contraceptives; Progestogen-only contraceptives Genito-Urinary System
SA1805 [PDF] Dasatinib Oncology Agents and Immunosuppressants
SA1492 [PDF] Deferasirox Various
SA1480 [PDF] Deferiprone Various
SA1777 [PDF] Denosumab Musculoskeletal System
SA1680 [PDF] Dexamethasone 700 mcg ocular implants Sensory Organs
SA1149 [PDF] Dexamfetamine Sulfate Nervous System
SA1095 [PDF] Diabetic products (Diason RTH; Glucerna Select RTH; Diasip; Glucerna Select; Resource Diabetic) Special Foods
SA1320 [PDF] Diazoxide Alimentary Tract and Metabolism
SA1978 [PDF] Dornase Alfa Respiratory System and Allergies
SA1743 [PDF] Eltrombopag Blood and Blood Forming Organs
SA1969 [PDF] Emicizumab Blood and Blood Forming Organs
SA2068 [PDF] Empagliflozin; Empagliflozin with metformin hydrochloride Alimentary Tract and Metabolism
SA2138 [PDF] Emtricitabine with tenofovir disoproxil Infections - Agents for Systemic Use
SA1646 [PDF] Enoxaparin sodium Blood and Blood Forming Organs
SA1953 [PDF] Enteral liquid peptide formula (Nutrini Peptisorb; Nutrini Peptisorb Energy) Special Foods
SA1728 [PDF] Eplerenone Cardiovascular System
SA1696 [PDF] Epoprostenol Cardiovascular System
SA2115 [PDF] Erlotinib Oncology Agents and Immunosuppressants
SA2103 [PDF] Etanercept Oncology Agents and Immunosuppressants
SA2008 [PDF] Everolimus Oncology Agents and Immunosuppressants
SA1557 [PDF] Extensively hydrolysed formula (Aptamil Gold+Pepti Junior; Aptamil AllerPro SYNEO 1; Aptamil AllerPro SYNEO 2) Special Foods
SA1045 [PDF] Ezetimibe Cardiovascular System
SA1046 [PDF] Ezetimibe with Simvastatin Cardiovascular System
SA1523 [PDF] Fat (Calogen; Liquigen; MCT oil (Nutricia)) Special Foods
SA1525 [PDF] Fat Modified Products (Monogen) Special Foods
SA2054 [PDF] Febuxostat Musculoskeletal System
SA1840 [PDF] Ferric carboxymaltose Alimentary Tract and Metabolism
SA1259 [PDF] Filgrastim Blood and Blood Forming Organs
SA0928 [PDF] Finasteride Genito-Urinary System
SA1359 [PDF] Fluconazole oral liquid Infections - Agents for Systemic Use
SA1106 [PDF] Food Thickeners (Karicare Food Thickener; Nutilis) Special Foods
SA1108 [PDF] Foods and Supplements For Inborn Errors Of Metabolism (Easiphen Liquid; Loprofin Mix; Loprofin; Minaphlex; MSUD Maxamaid; MSUD Maxamum; Phlexy 10; PKU Anamix Junior LQ; PKU Lophlex LQ; PKU Anamix Infant; XP Maxamaid; XP Maxamum; XMET Maxamum) Special Foods
SA1895 [PDF] Fulvestrant Oncology Agents and Immunosuppressants
SA2065 [PDF] GLP-1 Agonists Alimentary Tract and Metabolism
SA1988 [PDF] Galsulfase Alimentary Tract and Metabolism
SA2116 [PDF] Gefitinib Oncology Agents and Immunosuppressants
SA2136 [PDF] Gemtuzumab ozogamicin Oncology Agents and Immunosuppressants
SA1729 [PDF] Gluten Free Foods (Bakels Gluten Free Health Bread Mix; Horleys Bread Mix; Horleys Flour; NZB Low Gluten Bread Mix; Orgran; Healtheries Simple Baking Mix) Special Foods
SA1329 [PDF] Glyceryl trinitrate Oint 0.2% Alimentary Tract and Metabolism
SA1195 [PDF] High Calorie Products (Two Cal HN; Nutrison Concentrated) Special Foods
SA1197 [PDF] High fat formula with vitamins, minerals and trace elements and low in protein and carbohydrate (KetoCal) Special Foods
SA1321 [PDF] Hydralazine Cardiovascular System
SA1998 [PDF] Hyoscine (Scopolamine) Nervous System
SA1775 [PDF] Hypoplastic and Haemolytic Blood and Blood Forming Organs
SA1558 [PDF] Icatibant Respiratory System and Allergies
SA1623 [PDF] Idursulfase Alimentary Tract and Metabolism
SA1705 [PDF] Iloprost Cardiovascular System
SA1460 [PDF] Imatinib mesylate (Glivec) for treatment of gastrointestinal stromal tumour (GIST) Oncology Agents and Immunosuppressants
SA1110 [PDF] Infant Formulae - For Williams Syndrome (Locasol) Special Foods
SA2082 [PDF] Infliximab Oncology Agents and Immunosuppressants
SA1985 [PDF] Insulin Pump Consumables Alimentary Tract and Metabolism
SA1603 [PDF] Insulin Pumps Alimentary Tract and Metabolism
SA2023 [PDF] Isotretinoin Dermatologicals
SA1322 [PDF] Itraconazole Infections - Agents for Systemic Use
SA2017 [PDF] Ivacaftor Respiratory System and Allergies
SA1225 [PDF] Ivermectin Dermatologicals
SA1125 [PDF] Lacosamide Nervous System
SA1685 [PDF] Lamivudine Infections - Agents for Systemic Use
SA2035 [PDF] Lapatinib Oncology Agents and Immunosuppressants
SA1695 [PDF] Laronidase Alimentary Tract and Metabolism
SA1605 [PDF] Ledipasvir with sofosbuvir Infections - Agents for Systemic Use
SA2047 [PDF] Lenalidomide Oncology Agents and Immunosuppressants
SA2040 [PDF] Levocarnitine Alimentary Tract and Metabolism
SA1584 [PDF] Long-Acting Muscarinic Antagonists with Long-Acting Beta-Adrenoceptor Agonists Respiratory System and Allergies
SA1666 [PDF] Melatonin Nervous System
SA1896 [PDF] Mepolizumab Oncology Agents and Immunosuppressants
SA1725 [PDF] Mercaptopurine Oncology Agents and Immunosuppressants
SA1691 [PDF] Methylnaltrexone bromide Alimentary Tract and Metabolism
SA1964 [PDF] Methylphenidate Hydrochloride (Rubifen; Rubifen SR; Ritalin; Ritalin SR; Methylphenidate ER - Teva) Nervous System
SA1965 [PDF] Methylphenidate Hydrochloride Extended Release (Concerta; Ritalin LA) Nervous System
SA1474 [PDF] Midodrine Cardiovascular System
SA1355 [PDF] Minocycline hydrochloride Tab 50 mg Infections - Agents for Systemic Use
SA1999 [PDF] Modafinil Nervous System
SA1740 [PDF] Moxifloxacin Infections - Agents for Systemic Use
SA2140 [PDF] Multiple Sclerosis Nervous System
SA1546 [PDF] Multivitamin renal (Clinicians Renal Vit) Alimentary Tract and Metabolism
SA1036 [PDF] Multivitamins (Paediatric Seravit) Alimentary Tract and Metabolism
SA1408 [PDF] Naltrexone Nervous System
SA1489 [PDF] Nilotinib Oncology Agents and Immunosuppressants
SA2012 [PDF] Nintedanib Respiratory System and Allergies
SA2120 [PDF] Nivolumab Oncology Agents and Immunosuppressants
SA1627 [PDF] Obinutuzumab Oncology Agents and Immunosuppressants
SA2119 [PDF] Octreotide long-acting Oncology Agents and Immunosuppressants
SA1428 [PDF] Olanzapine depot injection Nervous System
SA1883 [PDF] Olaparib Oncology Agents and Immunosuppressants
SA1744 [PDF] Omalizumab Oncology Agents and Immunosuppressants
SA1098 [PDF] Paediatric Product For Children Awaiting Liver Transplant (Heparon Junior) Special Foods
SA1099 [PDF] Paediatric Product For Children With Chronic Renal Failure (Kindergen) Special Foods
SA1379 [PDF] Paediatric Products (Nutrini; Pediasure; Fortini) Special Foods
SA1196 [PDF] Paediatric enteral feed with fibre 0.75 kcal/ml (Nutrini Low Energy Multi Fibre) Special Foods
SA1698 [PDF] Paediatric oral/enteral feed 1 kcal/ml (Infatrini) Special Foods
SA1894 [PDF] Palbociclib (Ibrance) Oncology Agents and Immunosuppressants
SA1429 [PDF] Paliperidone depot injection Nervous System
SA2143 [PDF] Palivizumab Oncology Agents and Immunosuppressants
SA1689 [PDF] Paromomycin Infections - Agents for Systemic Use
SA1190 [PDF] Pazopanib Oncology Agents and Immunosuppressants
SA1979 [PDF] Pegaspargase Oncology Agents and Immunosuppressants
SA1912 [PDF] Pegfilgrastim Blood and Blood Forming Organs
SA2034 [PDF] Pegylated Interferon alfa-2A Infections - Agents for Systemic Use
SA2121 [PDF] Pembrolizumab Oncology Agents and Immunosuppressants
SA1679 [PDF] Pemetrexed Oncology Agents and Immunosuppressants
SA1606 [PDF] Pertuzumab Oncology Agents and Immunosuppressants
SA1386 [PDF] Phenobarbitone Nervous System
SA0895 [PDF] Pilocarpine - Eye drops 2% single dose Sensory Organs
SA1970 [PDF] Pimecrolimus Dermatologicals
SA2013 [PDF] Pirfenidone Respiratory System and Allergies
SA1285 [PDF] Posaconazole Infections - Agents for Systemic Use
SA1083 [PDF] Potassium Citrate Genito-Urinary System
SA1715 [PDF] Prednisolone sodium phosphate Sensory Organs
SA2134 [PDF] Preservative Free Ocular Lubricants Sensory Organs
SA1684 [PDF] Primaquine Infections - Agents for Systemic Use
SA1609 [PDF] Progesterone Hormone Preparations - Systemic Excluding Contraceptive Hormones
SA1327 [PDF] Propranolol Cardiovascular System
SA1199 [PDF] Propylthiouracil Hormone Preparations - Systemic Excluding Contraceptive Hormones
SA1524 [PDF] Protein (Protifar; Promod; Resource Beneprotein) Special Foods
SA1328 [PDF] Pyrimethamine Infections - Agents for Systemic Use
SA1779 [PDF] Raloxifene Musculoskeletal System
SA1101 [PDF] Renal Products (Nepro; NovaSource Renal; Renilon 7.5; Suplena) Special Foods
SA2041 [PDF] Riboflavin Alimentary Tract and Metabolism
SA1461 [PDF] Rifaximin Alimentary Tract and Metabolism
SA1403 [PDF] Riluzole Nervous System
SA1427 [PDF] Risperidone microspheres Nervous System
SA1976 [PDF] Rituximab (Mabthera) Oncology Agents and Immunosuppressants
SA2114 [PDF] Rituximab (Riximyo) Oncology Agents and Immunosuppressants
SA1488 [PDF] Rivastigmine patches Nervous System
SA2093 [PDF] Rosuvastatin Cardiovascular System
SA1890 [PDF] Ruxolitinib Oncology Agents and Immunosuppressants
SA1905 [PDF] Sacubitril with valsartan Cardiovascular System
SA1989 [PDF] Sapropterin dihydrochloride Alimentary Tract and Metabolism
SA2084 [PDF] Secukinumab Oncology Agents and Immunosuppressants
SA1992 [PDF] Sildenafil Cardiovascular System
SA1596 [PDF] Siltuximab Oncology Agents and Immunosuppressants
SA2005 [PDF] Sirolimus (Rapamune) Oncology Agents and Immunosuppressants
SA1599 [PDF] Sodium benzoate Alimentary Tract and Metabolism
SA1990 [PDF] Sodium phenylbutyrate Alimentary Tract and Metabolism
SA2053 [PDF] Sodium picosulfate Alimentary Tract and Metabolism
SA2032 [PDF] Somatropin Hormone Preparations - Systemic Excluding Contraceptive Hormones
SA1377 [PDF] Specialised And Elemental Products (Alitraq; Elemental 028 Extra; Peptisorb; Vital; Vivonex TEN) Special Foods
SA1859 [PDF] Standard Supplements (Ensure; Fortisip; Isosource; Jevity; Nutrison; Osmolite; Sustagen) Special Foods
SA1330 [PDF] Stiripentol Nervous System
SA1331 [PDF] Sulfadiazine Infections - Agents for Systemic Use
SA2117 [PDF] Sunitinib Oncology Agents and Immunosuppressants
SA1745 [PDF] Tacrolimus Oncology Agents and Immunosuppressants
SA2074 [PDF] Tacrolimus Ointment Dermatologicals
SA2137 [PDF] Taliglucerase alfa Alimentary Tract and Metabolism
SA1032 [PDF] Tamsulosin Genito-Urinary System
SA2043 [PDF] Taurine Alimentary Tract and Metabolism
SA1741 [PDF] Temozolomide Oncology Agents and Immunosuppressants
SA1139 [PDF] Teriparatide Musculoskeletal System
SA1332 [PDF] Tetracycline Infections - Agents for Systemic Use
SA1124 [PDF] Thalidomide Oncology Agents and Immunosuppressants
SA1955 [PDF] Ticagrelor Blood and Blood Forming Organs
SA2100 [PDF] Tocilizumab Oncology Agents and Immunosuppressants
SA0906 [PDF] Topical local anaesthetics (EMLA; LMX4) Nervous System
SA1632 [PDF] Trastuzumab Oncology Agents and Immunosuppressants
SA2144 [PDF] Trastuzumab emtansine Oncology Agents and Immunosuppressants
SA2079 [PDF] Upadacitinib Oncology Agents and Immunosuppressants
SA1739 [PDF] Ursodeoxycholic Acid Alimentary Tract and Metabolism
SA1993 [PDF] Valganciclovir Infections - Agents for Systemic Use
SA1845 [PDF] Varenicline tartrate Nervous System
SA1868 [PDF] Venetoclax Oncology Agents and Immunosuppressants
SA2088 [PDF] Vigabatrin Nervous System
SA1720 [PDF] Vitabdeck Alimentary Tract and Metabolism
SA1273 [PDF] Voriconazole Infections - Agents for Systemic Use
SA2110 [PDF] Zoledronic acid inj 0.05 mg per ml, 100 ml Musculoskeletal System
SA2109 [PDF] Zoledronic acid inj 4 mg per 5 ml, vial Hormone Preparations - Systemic Excluding Contraceptive Hormones

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Ministry of Health's Sector Operations is responsible for approving Special Authority applications. Contact the Ministry if you have questions about:
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