Prime Cure HIV Formulary 2026

PLEASE NOTE: Provider Trade Names are not listed on formulary, allowing for any generic substitution below or equal to Mediscor Reference Pricing (MRP).

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Abbreviations used:

HAART – Highly Active Antiretroviral Therapy
NRTI’S – Nucleotide Reverse Transcriptase Inhibitors
NNRTI’s – Non-Nucleotide Reverse Transcriptase Inhibitors
PI – Protease Inhibitor
PEP – Post-Exposure Prophylaxis
PrEP – Pre-Exposure Prophylaxis
CHR – Chronic

KEY TO QUANTITIES AND LIMITATIONS

  1. “Therapeutic-ChroniLineTM” means the 1st months chronic medication (on formulary) can be obtained from the DSP (Designated Service Provider), there after registration with HIVDMP is required.
  2. “Therapeutic-ChroniLineTM Pre-Auth” means the medication is approved subject to registration with HIV Disease Management Programme.
  3. “Consumables – Clinic use only” means the medication may only be administrated by a DSP at the rooms. Injectables are consumables. No scripting to patients to collect from DSP pharmacies.
  4. “HIV DMP” means Prime Cure’s HIV/AIDS Disease Management Programme.
  5. All items marked as either Chronic or PMB, to be supplied by a Registered DSP Chronic Medication Supplier (DSP Pharmacy, approved GP or contracted Courier Pharmacy).
  6. Benefits for medicine are subject to Mediscor Reference Price (MRP). Should the cost of the item exceed the MRP, the patient will be liable for payment of the difference in cost. If this is the case, please inform the patient that the cost difference will be for his/her own personal account.
  7. Medication formulary contact details: Tel: 0861 665 665 OR Email: hivdmp@www.primecure.co.za.

Prime Cure HAART Formulary 2026

wdt_ID wdt_created_by wdt_created_at wdt_last_edited_by wdt_last_edited_at Single vs Combination Medicine Class Abbreviation Active Ingredient Dosage Route of admin Formulation Mims Description Nappi Indication Quantities and Limitations
1 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs Didanosine 250mg PO Capsule Deladex 250mg 715.073 C Max 60 tabs per month
2 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs Didanosine 400mg PO Capsule Deladex 400mg 715.074 C Max 60 tabs per month
3 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs d4T Stavudine 30mg PO Capsule Aspen-Stavudine 30mg 701.174 C Max 60 tabs per month
4 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs d4T Stavudine 30mg PO Capsule Vari-Stavudine 30mg 709.880 C Max 60 tabs per month
5 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs d4T Stavudine 15mg PO Capsule Aspen Stavudine15mg 704.885 C Max 60 tabs per month
6 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs d4T Stavudine 20mg PO Capsule Aspen Stavudine 20mg 701.172 C Max 60 tabs per month
7 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs ABC Abacavir 20mg/ml PO SOL/Syringe Adco-abacavir 20MG/1ml 720.866 C Min 240 mls bottle
8 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs ABC Abacavir 60mg PO Tablet Kavimun Paeds 60mg 718.160 C Max 60 tabs per month
9 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs ABC Abacavir 300mg PO Tablet Adco Abacavir 715.347 C Max 60 tabs per month
10 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs AZT Zidovudine 100mg PO Capsule Aspen Zidovudine 100mg 705.452 C Max 60 tabs per month
11 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs AZT Zidovudine 100mg PO Tablet Zidomat 100mg 717.982 C Max 60 tabs per month
12 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs AZT Zidovudine 50mg/5ml PO Syringe Adco-Zidovudine 50mg/5ml 708.709 C Min 200mls per bottle
13 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs AZT Zidovudine 250mg PO Capsule Aspen -Zidovudine 250mg 705.455 C Max 60 tabs per month
14 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs AZT Zidovudine 300mg PO Tablet Adco-Zidovudine 300mg 707.960 C Max 60 tabs per month
15 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs TDF Tenofovir Disoproxil Fumarate 300mg PO Tablet Adco-tenofovir 300mg 715.993 C Max 30 tabs per month
16 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs TAF Tenofovir Alafenamide 25mg PO Tablet Vemlidy 3.003.289 C Max 30 tabs per month
17 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs 3TC Lamivudine 10mg/ml PO SOL Adco-lamivudine 10MG/1ML 708.708 C Therapeutic
18 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs 3TC Lamivudine 150mg PO Tablet Adco-lamivudine 150mg 707.962 C Max 60 tabs per month
19 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs NNRTI EFV Efavirenz 50mg PO Capsule Adco-efavirenz 50mg 715.585 C Max 30 tabs per month
20 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs NNRTI EFV Efavirenz 200mg PO Capsule Adco-efavirenz 200mg 712.932 C Max 30 tabs per month
21 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs NNRTI EFV Efavirenz 600mg PO Capsule Adco-efavirenz 600mg 709.545 C Max 30 tabs per month
22 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs NNRTI NVP Nevirapine 50mg/ml PO SOL Aspen Nevirapine 50mg/5ml 704.731 C Min 240 mls bottle
23 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs NNRTI NVP Nevirapine 50mg/ml PO SOL Viropon 50mg/5ml 710.604 C Min 240 mls bottle
24 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs NNRTI NVP Nevirapine 200mg PO Tab Adco-nevirapine 200mg 707.961 C Max 60 tabs per month
25 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs NNRTI RPV Rilpivirine 25mg PO Tablet Edurant 25mg 720.029 C Max 30 tabs per month
26 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs PI LPV/r Lopinavir/ritonovir 200/50mg PO Tablet Aluvia 200mg/50mg 710.028 C Max 120 tabs per month
27 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs PI LPV/r Lopinavir/ritonovir 100/25mg PO Tablet Aluvia 100mg/25mg 715.433 C Max 60 tabs per month
28 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs PI LPV/r Lopinavir/ritonovir 80/20 mg/ml PO SOL Kaletra 700.924 C Max 480mls per 30 days
29 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs PI LPV/r Lopinavir/ritonovir 40mg/10mg PO Capsules (pellets) Lopimune oral pellets 3.001.450 C
30 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs PI RTV Ritonavir 100mg PO Tablet Norvir 100mg 721.595 C Max 60 tabs per month
31 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs PI RTV Ritonavir 100mg/packet PO Oral powder Norvir oral powder 3.000.740 C
32 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs PI ATV Atazanavir 150mg PO Capsule Atazor150mg 716.208 C Max 60 tabs per month
33 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs PI ATV Atazanavir 200mg PO Capsule Atazor 200mg 716.209 C Max 60 tabs per month
34 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs PI ATV Atazanavir 300mg PO Capsule Atazor 300mg 718.217 C Max 30 tabs per month
35 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs InSTI RAL Raltegravir 400mg PO Tablet Isentress 400mg 715.825 C Max 60 tabs per month
36 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs InSTI RAL Dolutegravir 50mg PO Tablet Dalimune 3.001.418 C Max 30 tabs per month
37 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs InSTI RAL Dolutegravir 50mg PO Tablet Myltega 3.002.263 C Max 30 tabs per month
38 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs InSTI RAL Dolutegravir 50mg PO Tablet Hetvir 50 3.001.470 C Max 30 tabs per month
39 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Single drugs InSTI RAL Dolutegravir 10mg PO Dispersable tablet Odinsti Dispersable tablets 3.006.429 C Max 30 tabs per month
40 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC ABC/3TC Abacavir/Lamivudine 120/60mg PO Tablet Divudine 3.002.829 C Max 30 tabs per month
41 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC ABC/3TC Abacavir/Lamivudine 600/300mg PO Tablet C Max 30 tabs per month
42 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC ABC/3TC/DTG Abacavir/Lamivudine/Dolutegravir 600/300/50mg PO Tablet C Max 30 tabs per month
43 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC ABC/3TC/LPV/r Abacavir/Lamivudine/Lopinavir/ritonavir 30/15/40/10mg PO Capsule Quadrimune 3.005.900 C Max 120 tabs per month
44 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC TLD Tenofovir disoproxil fumarate/Lamivudine/Dolutegravir 300/300/50mg PO Tablet C Max 30 tabs per month
45 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC DTG/FTC/TAF Dolutegravir/Emtracitabine/Tenofovir alafenamide 50/200/25mg PO Tablet Altaeda 3.006.720 C Max 30 tabs per month
46 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC DTG/FTC/TAF Dolutegravir/Emtracitabine/Tenofovir alafenamide 50/200/25mg PO Tablet Mylataf 3.005.457 C Max 30 tabs per month
47 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC AZT/3TC Zidovudine/Lamivudine 300/150mg PO Tablet Adco lamivudine & zidovudine 150mg/300mg 715.992 C Max 60 tabs per month
48 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC TDF/FTC Tenofovir disoproxil fumarate/Emtracitabine 300/200mg PO Tablet Adco emtevir 200mg/300mg 715.997 C Max 30 tabs per month
49 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC TEE Tenofovir disoproxil fumarate/Emtracitabine/Efavirenz 300/200/600mg PO Tablet C Max 30 tabs per month
50 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC ATV/RTV Atazanavir/ritonavir 300/100mg PO Tablet C Max 30 tabs per month
51 KirstyKF 22/12/2025 02:23 PM KirstyKF 22/12/2025 02:23 PM Fixed dose combinations FDC EFV/TDF/3TC Efavirenz/Tenofovir disoproxil fumarate/Lamivudine 600/300/300mg PO Tablet C Max 30 tabs per month
Single vs Combination Medicine Class Abbreviation Active Ingredient Mims Description Nappi

Disclaimer:
Please note that the formulary will be reviewed regularly by clinical and pharmaceutical advisors to ensure it complies with the latest industry norms for the treatment of these conditions. Prime Cure reserves the right to change medication on the formulary when important information comes to light that requires us to do so – for instance, new findings regarding safety of medicine.