acute medicine formulary 2013

Transcription

1 medihelp necesse acute medicine formulary 2013 January 2013 version

2 Medihelp s Necesse acute medicine formulary Dear Doctor/Pharmacist Medihelp is pleased to present the latest updated version of the Necesse acute medicine formulary, effective 1 January Please note that a separate formulary is available for chronic (PMB) medicine. For ease of reference a summary page is included to indicate the changes made from the previous version. Please remember that the purpose of this formulary is to cover most of the common ailments encountered in the standard medical practice. It is by no means an attempt to offer a comprehensive list of medicine items available as treatment for these conditions, but is rather a list of the cost-effective medicines that Medihelp will insure to cover your patients basic needs, bearing in mind that Necesse is Medihelp s low-cost benefit option offering access to quality, affordable private healthcare. Medihelp requests doctors to prescribe acute medicine for Necesse beneficiaries according to this formulary, and requests pharmacists to apply generic substitution to remain within the formulary as far as possible, to avoid unnecessary exclusions or co-payments for the patient. Please familiarise yourself with the limitations on quantities and intervals of medicine on this formulary as indicated in the last two columns of the enclosed document, to ensure that you remain within the ambit of acute medicine benefits. You are welcome to send any inputs, suggestions and recommendations on the formulary and how to improve quality healthcare to your patient to jviljoen@medihelp.co.za for consideration. Please bear in mind that the inclusion of additional items will depend on the impact thereof on the overall performance of total medicine expenditure on this benefit option. Medihelp would like to thank you as a valued partner in the healthcare supply chain for rendering quality healthcare to our Necesse beneficiaries. DR FPJ GRIESEL EXECUTIVE MANAGER HEALTHCARE JANUARY 2013

3 medihelp necesse acute medicine formulary January - version ADDITIONS DESCRIPTION ADCO PREDNISOLONE 15MG/5ML SYR ADCO-AMOCLAV S A-LENNON DICLOFENAC 100MG AMOCLAN BID 1000MG TABS AMOCLAN FORTE TABS ANTIPYN FORTE TABS APEX-RANITIDINE 150MG TABS APEX-RANITIDINE 300MG TABS BARRS PARACETAMOL 120MG/5ML SY BARRS POVIDONE-IODINE 10% OINT BENCOLE SUSP BETAMYCIN 125MG SUS BETAMYCIN 250MG TABS BIO-AMOKSILAV CIFRAN 500MG TABS CIPROFLOXACIN ACTOR 250MG TABS CIPROL 500MG TABS CLAMENTIN S CYCLIVEX 200MG TABS DRINASAL DROPS 10ML DRINASAL PAED MET SPRAY DYNAPAYNE SYR ENA-CLEAR ERYKO 250MG TABS ERYTHROCIN 250MG TAB FLAMARYX 15MG TABS FLAMARYX 7.5MG TABS FLEMGO SYRP FLUARIX PREFILLED SYRINGE 0.5M FLUVAX 2009 PRE-FILLED SYR IBUSOR 200MG TABS INNOSPORE 1% VCR LECTRO SOLUTION LOXIFLAM 15MG LOXIP 500MG TABS MOXYPEN 125 SUSP MOXYPEN 250MG/5ML SUSP PONSTAN 10MG/ML SUSP RANCLAV 625MG TABS RANCLAV SUSPENSION TRAMASPEN 50MG CAPS UTIFLOXA 400MG TABS VYROHEXAL 200MG TABS DELETIONS DESCRIPTION ACUNASO 60MG TABS ADCO-LIQUILAX SYRP ADCO-MELOXICAM 15MG TABS ADCO-SALTERPYN TABS ALKAFIZZ GRAN AMDOCIN 25MG A-POR VCR BAO SODA GRANULES BARRS POVIDONE IODINE BETAPHLEM 250MG/5ML SYRP BIO-AMOKSIKLAV TABS BIO-METRONIDAZOLE TABS BRUNAZINE 5MG/5ML BRUNOMOL 120MG/5ML SYRP CIPROGEN 250MG TABS CLAMENTIN 375MG TABS DUROBAC TABS DYNAFLOC 500MG TABS FABU-BENZYL BENZOATE NAMIBIA FABU-COLD (NAMIBIA ONLY) FABU-PARACETAMOL ALC/FREE GENCETAMOL 500MG TABS IBOFLAM 200MG TABS ILIADIN PAED 0.025% DROPS INFLUVAC 0.5ML INNOSPORE 1% TOPICAL LAXETTE SYRP LESSMUSEC 250MG/5ML SYRP MEDIFLEX 25MG CAPS MERCK-ERYTHROMYCIN 250MG TABS MICRO GESIC TABS MICROGESIC 120MG/5ML SYRP PAINAMOL 120MG/5ML SYRP PAINAMOL WHITE 500MG TABS PANAMOR 100MG SUPP PARAPANE 500MG TAB PODINE OINT PONSTEL S 50MG/5ML SUSP RANCLAV 375MG TABS SANDOZ IBUPROFEN 200MG SIMAYLA CIPROFLOXACIN 500MG SMART-SODA GRA SPECTRASONE 250MG CAPS VARI-COCODAMOL 8MG/500MG TABS

4 ANALGESICS & ANTI-PYRETICS DICLOFENAC IBUPROFEN suppositories MEFANAMIC ACID capsules PARACETAMOL suppositories TRAMODOL capsules Combinations PARACETAMOL + COD PHOS PARACETAMOL + COD PHOS + PROMETHAZINE PARACETAMOL + COD PHOS + MEPROBAMATE CENTRAL NERVOUS SYSTEM Anxiolytics ALPRAZOLAM DIAZEPAM OXAZEPAM ANTI-INFECTIVES Penicillins AMOXYCILLIN capsules AMOXYCILLIN / CLAVUNATE Cephalosporins CEPHALEXIN capsules Macrolides CLINDAMYCIN capsules ERYTHROMYCIN capsules Quinolones CIPROFLOXACIN NORFLOXACIN Tetracyclines DOXYCYCLINE capsules OXYTETRACYCLINE capsules Sulphonamides TRIMETHOPRIM/SULPHAMETOXAZOLE Anti-protozoal agents METRONIDAZOLE Anti-fungal agents FLUCONAZOLE capsules NYSTATIN Oral Anti-viral agents ACYCLOVIR topical cream DERMATOLOGICALS Antiseptic / Anti-infective agents SILVER SULPHADIAZINE cream POVIDONE IODINE ointment Anti-scabies BENZYL BENZOATE emulsion MONOSULFIRAM soap Topical corticosteroid with anti-infective HYDROCORTISONE + CHLORBUTOL cream Topical corticosteroid cream / ointment BETAMETHASONE cream ointment HYDROCORTISONE cream Topical anti-allergy / anti-histamine COMBINATION lotion DIPHENHYDRAMINE cream MEPYRAMINE cream Topical anti-fungal CLOTRIMAZOLE cream GASTRO INTESTINAL Anti-acids ANTI-ACIDS H-2 antagonists CIMETIDINE RANITIDINE Enemas SODIUM ACID PHOSPHATE enema Laxitives LACTULOSE SENNA Anti-emetics CYCLIZINE suppositories INVERT SUGAR + PHOSPHORIC ACID METOCLOPRAMIDE PROCHLORPERAZINE

5 GASTRO INTESTINAL (continued) Anti-diarrhoeals KAOLIN + PECTIN KAOLIN+PECTIN+BISMUTH CARBONATE KAOLIN+PECTIN+ELECTROLYTES LOPERAMIDE Anti-spasmodics HYOSCINE Anti-helmintics MEBENDAZOLE Biltricides PRAZIQUANTEL Suppositories and ointments BELLADONNA suppositories BISMUTH SUBGALLATE ointment PRAMOXINE ointment Electrolytes solution URINARY TRACT Urinary alkalinizers URINARY ALKALINIZERS solution granules Vaginal anti-fungal cream CLOTRIMAZOLE cream EYE, EAR AND NOSE Ear drops BENZOCAINE + PHENAZONE + CHLORBUTOL drops BENZOCAINE + PHENAZONE + EPHEDRINE PHENAZONE + BENZOCAINE + GLYCERINE POLYMIXIN B + NEOMYCIN + HYDROCORTISONE Eye - anti-infectives CHLORAMPHENICOL ointment CHLORAMPHENICOL + NEOMYCIN + NAPHAZOLINE drops CHLORAMPHENICOL + NEOMYCIN + DEXAMETHASONE SULPHACETAMIDE SODIUM ointment ORAL ANTI-HISTAMINES CHLORPHENIRAMINE PROMETHAZINE ORAL CORTICOSTEROIDS BETAMETHASONE PREDNISOLONE PREDNISONE ANTI-INFLAMMATORY AGENTS Non-steroidal anti-inflammatory agents (NSAIDS) DICLOFENAC suppositories IBUPROFEN INDOMETHACIN capsules Selective COX-2 inhibitors MELOXICAM COLD AND FLU ANTITUSSIVES AND EXPECTORANTS CARBOCYSTEINE DECONGESTANT + ANALGESIC + ANTI-HISTAMINE capsules PSEUDOEPHEDRINE SALBUTAMOL THEOPHYLLINE VACCINES injection OXYMETAZOLINE nasal drops nasal spray ANTI-TETANUS VACCINE TETANUS TOXOID injection

6 necesse acute medicine formulary ACTIVE INGREDIENT(S) STRENGTH & DOSAGE ANALGESICS & ANTI-PYRETICS DICLOFENAC 12.5mg supps PANAMOR 12.5MG SUPP 25mg supps PANAMOR 25MG SUPP IBUPROFEN 100mg/5ml IBUGESIC 100MG/5ML SUSP IBU SUSP MEFANAMIC ACID 250mg capsules ADCO-MEFENAMIC ACID FENAMIN 250MG CAPS 500mg FENAMIN 500MG TABS PONAC FORTE 500MG TABS PONSTAN FORTE 500 TABS 50mg/5ml ADCO-MEFENAMIC ACID FENAMIN 50MG/5ML SUSP PONAC 50MG/5ML SUSP PONSTAN 10MG/ML SUSP PARACETAMOL 500mg ANTALGIC 500MG TABS GULF PARACETAMOL 500MG JP PARACETAMOL TABS MEDI-PARACETAMOL 500MG TABS NAPAMOL 500MG TABS PAINAMOL GREEN 500MG TABS PAINOGESIC TABS PROLIEF 500MG TABS VON PARACETAMOL TABS ZYDUS-PARACETAMOL 500MG T 120mg/5ml ACTAMOL 120MG/5ML SYRP ACTAMOL RED (UN-BOXED) ADCO-PARACETAMOL ELIX BARRS PARACETAMOL 120MG/5ML SY FEVERPAIN (UNBOXED) FEVERPAIN ELIX GO-PAIN P NAPAMOL 120MG/5ML SYRP PAINBLOK 120MG/5ML SYRP PAINOGESIC SYRP PARACETAMOL ELIX (ALC FREE) PYRALEN 120MG/5ML SYRP 250mg supps EMPAPED 250MG SUPP 125mg supps EMPAPED 125MG SUPP TRAMODOL 50mg capsules AUSTELL-TRAMADOL 50MG CAPS DOLOTRAM 50MG CAPS DOMADOL 50MG CAPS TRAMASPEN 50MG CAPS TRAMAZAC 50MG CAPS ANALGESICS & ANTI-PYRETICS - combinations PARACETAMOL + COD PHOS AMSTIL TABS CODOROL TABS NAPACOD TABS PAINAMOL PLUS PARACETAMOL + COD PHOS ADCO-KIDDIPAYNE PROMETHAZINE ADCO-SALTERPYN SYRP DYNAPAYNE SYR GOLDGESIC SYRP GO-PAIN SYRP INFAPAIN FORTE SYRP KID-EEZE SYRP MEDIPYN S PAINAGON SYRP STILPANE SYRP PARACETAMOL + COD PHOS ADCO-PAYNE TABS MEPROBAMATE ANTIPYN FORTE TABS BRISCOPYN TABS GOLDGESIC TABS GO-PAIN TABS NUCOPAIN TABS PAINAGON TABS

7 ACTIVE INGREDIENT(S) STRENGTH & DOSAGE ANALGESICS & ANTI-PYRETICS - combinations (continued) PARACETAMOL + COD PHOS + MEPROBAMATE PYNMED TABS SPECTRAPAIN FORTE TABS STILPANE TABS CENTRAL NERVOUS SYSTEM Anxiolytics ALPRAZOLAM 0.25mg ADCO-ALZAM 0.25MG TABS AZOR 0.25MG TABS CPL ALNCE ALPRAZOLAM 0.25MG MYLAN ALPRAZOLAM 0.25MG ZOPAX 0.25MG TABS 0.5mg ADCO-ALZAM 0.5MG TABS AZOR 0.5MG TABS CPL ALNCE ALPRAZOLAM 0.5MG MYLAN ALPRAZOLAM 0.5MG ZOPAX 0.5MG TABS 1mg AZOR 1MG TABS MYLAN ALPRAZOLAM 1MG ZOPAX 1MG TABS DIAZEPAM 5mg BETAPAM 5MG TABS DOVAL 5MG TABS PAX 5MG TABS 10mg PAX 10MG TABS OXAZEPAM 10mg MEDOPAM 10MG TABS PURATA 10MG TABS 15mg MEDOPAM 15MG TABS PURATA 15MG TABS SANDOZ OXAZEPAM 15MG TABS 30mg PURATA 30MG TABS SANDOZ OXAZEPAM 30MG ANTI-INFECTIVES Penicillins AMOXYCILLIN 250mg capsules ALLMOX 250MG CAPS AMOCAS 250MG CAPS AMOXICAPS 250MG CAPS AMYN 250MG CAPS AURO-AMOXYCILLIN 250MG CAPS AUSTELL-AMOXICILLIN 250MG CAPS BETAMOX 250MG CAPS IPCAMOX 250MG CAPS MOXY 250MG CAP MOXYPEN 250MG CAPS PROMOXIL 250MG CAPS YO 250MG CAPS 500mg capsules ADCO-AMOX 500MG CAPS ALLMOX 500MG CAPS AMYN 500MG CAPS AURO-AMOXYCILLIN 500MG CAPS AUSTELL-AMOXICILLIN 500MG TABS BETAMOX 500MG CAPS MOXY 500MG CAP MOXYPEN 500MG CAPS PROMOXIL 500MG CAPS RANMOXY 500MG CAPS YO 500MG CAPS ZALOXY 500MG CAPS 125mg/5ml ADCO-AMOX 125MG SUSP ALLMOX S 125MG/5ML SUSP AMYN S 125MG/5ML SUSP BETAMOX S 125MG/5ML SUSP MOXY 125 SUSP MOXYPEN 125 SUSP PROMOXIL S 125MG/5ML RANMOXY SUSP 125MG SALTERMOX S 125MG/5ML ZALOXY 125MG/5ML SUSP ZOXIL S 125MG/5ML SUSP

8 ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Penicillins (continued) AMOXYCILLIN 250mg/5ml ADCO-AMOX 250MG SUSP A-LENNON AMOXYCILLIN 250M ALLMOX SF 250MG/5ML SUSP AMYN SF 250MG/5ML SUSP BETAMOX SF 250MG/5ML SUSP MOXY 250 SUSP MOXYPEN 250MG/5ML SUSP PROMOXIL SF 250MG/5ML RANMOXY SUSP 250MG SALTERMOX SF 250MG/5ML ZALOXY 250MG/5M SUSP ZOXIL SF 250MG/5ML SUSP AMOXYCILLIN / CLAVUNATE 375mg ADCO-AMOCLAV 375MG TABS AMOCLAN TABS APEX-CLAVUTIN 375MG TABS AUGCIL 375MG TABS AURO-AMOXICLAV 375MG TABS AUSTELL-CO-AMOXICLAV 375MG BINDOCLAV 375MG TABS SANDOZ AMOCLAV 375MG TABS 625mg AMOCLAN FORTE TABS APEX-CLAVUTIN 625MG TABS AUGCIL 625MG TABS AURO-AMOXICLAV 625MG TABS AUSTELL-CO-AMOXICLAV 625MG BINDOCLAV 625MG TABS RANCLAV 625MG TABS SANDOZ CO-AMOXICLAV 625MG TABS 1000mg ADCO-AMOCLAV BD 1000MG AMOCLAN BID 1000MG TABS AURO-AMOXICLAV 1000MG TABS BETACLAV 1000MG TABS BINDOCLAV 1000MG TABS BIO-AMOKSIKLAV 1000MG TABS CLAMENTIN 1000MG TABS CURAM 1000GM BD TABS FORCID SOLUTAB 875/ SANDOZ CO-AMOXICLAV BD 1000MG S ADCO-AMOCLAV S AMOCLAN S SUSP AUGCIL S BIO-AMOKSILAV CLAMENTIN S RANCLAV SUSPENSION SANDOZ AMOCLAV S SF AMOCLAN SF SUSP APEX-CLAVUTIN SF AUGCIL SF RANCLAV FORTE SUSPENSION SANDOZ AMOCLAV SF Cephalosporins CEPHALEXIN 250mg capsules CPL ALLIANCE CEPHALEXIN 250MG RANCEPH 250MG CAPS mg capsules BELEX 500MG CAPS CPL ALLIANCE CEPHALEXIN 500MG RANCEPH 500MG CAPS 125mg/5ml CPL ALLIANCE CEPHALEXIN 125MG/ RANCEPH 125MG/5ML SUSP 250mg/5ml RANCEPH 250MG/5ML SUSP Macrolides CLINDAMYCIN 150mg capsules CLINDAHEXAL 150MG DALACIN C 150MG CAPS ERYTHROMYCIN 250mg BETAMYCIN 250MG TABS ERYKO 250MG TABS ERYTHROCIN 250MG TAB 250mg capsules PURMYCIN 250MG CAPS 40 60

9 ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Macrolides (continued) ERYTHROMYCIN 250mg capsules XERAMEL 250MG CAPS mg/5ml BETAMYCIN 125MG SUS PURMYCIN 125MG/5ML SUSP SPECTRASONE 125MG SUS 250mg/5ml ERYMYCIN PF 250MG SUSP PURMYCIN 250MG/5ML SUSP SPECTRASONE 250MG SUSP XERAMEL SF 250MG/5ML SUSP Quinolones CIPROFLOXACIN 250mg AUSTELL CIPROFLOX 250MG TABS BIOCIP 250MG TABS BIOTECH CIPROFLOXACIN 250MG TA CILOFLOC 250MG TABS CIPROFLOXACIN ACTOR 250MG TABS CIPROL 250MG TABS CPL ALLIANCE CIPROFLOXACIN 250MG DYNAFLOC 250MG TABS LOXIP 250MG TABS SIMAYLA CIPROFLOXACIN 250MG 500mg AUSTELL CIPROFLOX 500MG TABS BIOTECH CIPROFLOXACIN 500MG CIFRAN 500MG TABS CILOFLOC 500MG TABS CIPROGEN 500MG TABS CIPROL 500MG TABS CPL ALLIANCE CIPROFLOXACIN LOXIP 500MG TABS ORPIC 500MG TABS NORFLOXACIN 400mg FLOXIN 400MG TABS UTIFLOXA 400MG TABS Tetracyclines DOXYCYCLINE 100mg capsules A-LENNON DOXYCYCLINE HCL CYCLIDOX 100MG CAPS DOXYTET 100MG CAPS OXYTETRACYCLINE 250mg capsules BE-OXYTET 250MG CAPS NUCOTET O-4 CYCLINE 250MG CAPS OXYPAN 250MG CAPS PHARMATET 250MG CAPS TETRACEM 250MG CAPS Sulphonamides TRIMETHOPRIM/SULPHAME- 400mg sulphametoxazole CASICOT TABS TOXAZOLE 80mg trimethoprim COZOLE TABS ILVITRIM TABS LAGATRIM TABS NUCOTRIM 480MG TABS PHARMA-Q CO-TRIMOXAZOLE TRIMETHOX TABS TRIXAZOLE 480MG TABS 800mg sulphametoxazole PURBAC DS TABS 160mg trimethoprim SANDOZ CO-TRIMOXAZOLE mg sulphametoxazole BENCOLE SUSP + 40mg trimethoprim /5ml CASICOT SUSPENSION CO-TRIM SUSP COZOLE SUSP DOCTRIM SUSP ILVITRIM SUSP PURBAC SUSP XERAZOLE SUSP Anti-protozoal agents METRONIDAZOLE 200mg ACUZOLE 200MG TABS ADCO-METRONIDAZOLE 200MG BE-METRAZOLE 200MG TABS MEDAMET 200MG TABS METAZOL 200MG TABS TRICHAZOLE 200MG TABS

10 ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Anti-protozoal agents (continued) METRONIDAZOLE 400mg ACUZOLE 400MG TABS ADCO-METRONIDAZOLE 400MG AMZOLE 400MG TABS ANAEROBYL 400MG TABS BE-METRAZOLE 400MG TABS BIO-METRONIDAZOLE 400MG METAZOL 400MG TABS METRAZOLE 400MG TABS METROSTAT 400MG TABS SUPRAZOLE 400MG TABS TRICHAZOLE 400MG TABS 200mg/5ml FLAGYL 200MG/5ML SUSP Anti-fungal agents FLUCONAZOLE 150mg capsules APEX-FLUCONAZOLE 150MG CAPS ASPEN FLUCONAZOLE 150MG CAPS AUSTELL FLUCON 150MG CAPS DIFLUZOLE 150MG CAPS FLUCORIC 150MG CAPS GULF FLUCONAZOLE 150MG CAPS MYCOREST 150MG CAPS MYLAN FLUCONAZOLE 150MG CAPS SIMAYLA FLUCONAZOLE 150MG CAPS NYSTATIN units/ml CANDACIDE SUSP 30ML CANSTAT ORAL DROPS NYSTACID ORAL SUSP Anti-viral agents ACYCLOVIR 200mg ACITAB-200 DT ADCO-ACYCLOVIR TABS CYCLIVEX 200MG TABS VYROHEXAL 200MG TABS 400mg CYCLIVEX 400MG TABS % topical cream ACITOP 5% CREAM ADCO-ACYCLOVIR 50 CREAM BETA-VIRA 5% CREAM LOVIRE CREAM DERMATOLOGICALS Antiseptic / Anti-infective agents SILVER SULPHADIAZINE 0.01g/g cream BACTRAZINE 10MG/GM CREAM POVIDONE IODINE 100mg/g ointment BARRS POVIDONE-IODINE 10% OINT GERMADINE 10% OINT SEPTADINE ANTISEPT OINT Anti-scabies BENZYL BENZOATE 25g/100ml emulsion APP BENZYL BENZ LOT APP BENZYL BENZ LOT APP BENZYL BENZOATE BENZYL BENZOATE APPL MONOSULFIRAM 5% soap TETMOSOL 5% 75GM BAR 2 90 Topical corticosteroid with anti-infective HYDROCORTISONE + CHLOR- cream VIOCORT CREAM BUTOL Topical corticosteroid cream / ointment BETAMETHASONE 5mg/g cream ADCO-BETAMETHASONE CR BECLATE CREAM LENOVATE 0.1% CREAM PERSIVATE CREAM REPIVATE CREAM TOPIVATE 1MG/GM CREAM VARI-BETAMETHASONE CREAM 5mg/g ointment LENOVATE 0.1% OINT PERSIVATE OINT HYDROCORTISONE 1g/100g cream VARI-HYDROCORTISONE 1% CREAM Topical anti-allergy / anti-histamine COMBINATION lotion BIOHIST LOT DIPHENHYDRAMINE cream HISTODOR CREAM MEPYRAMINE 2g/100g cream MEPYRADERM CREAM MEPYRIMAL 2% CREAM 25 60

11 ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Topical anti-fungal CLOTRIMAZOLE 10mg/g cream CANEX TOPICAL CREAM CLOMADERM CREAM FUNGISPOR CREAM NORMOSPOR CREAM VARI-CLOTRIMAZOLE 1% CREAM XERASPOR-T CREAM GASTRO INTESTINAL Anti-acids ANTI-ACIDS AMGEL SUSP BETACLOMIN GEL CO-GEL SUSP DICYCLOMINE CO GEL MEDIGEL SUSP MICROGEL SUSP NEUTRAGEL D SUSP SPASMOGEL H-2 antagonists CIMETIDINE 200mg BIO-CIMETIDINE 200MG TABS CIMLOK 200MG TABS mg BIO-CIMETIDINE 400MG TABS LENAMET 400MG TABS RANITIDINE 150mg APEX-RANITIDINE 150MG TABS AUSTAC 150MG TABS CPL ALLIANCE RANITIDINE 150MG GULF RANITIDINE 150MG TABS HISTAK 150MG TABS RANIT 150MG TABS SIMAYLA RANITIDINE 150MG TABS 300mg APEX-RANITIDINE 300MG TABS AUSTAC 300MG TABS CPL ALLIANCE RANITIDINE 300MG GULF RANITIDINE 300MG TABS HISTAK 300MG TABS RANIHEXAL 300MG TABS RANIT 300MG TABS SIMAYLA RANITIDINE 300MG TABS Enemas SODIUM ACID PHOSPHATE enema ENA-CLEAR LEN-O-LAX ADULT 135ML LEN-O-LAX PAED 64ML Laxitives LACTULOSE 3.3g/5ml ACULAX 3.3G/5ML SYRUP AGAROL LACTULOSE 3300MG/5ML LACSON SYRP SENNA ADCO-SENNA 13.5MG TABS SOFLAX TAB Anti-emetics CYCLIZINE 50mg ACULOID 50MG TABS COVAMET 50MG TABS NAUZINE 50MG TABS 12.5mg/5ml MEDAZINE-S 12.5MG/ML SYRP NAUZINE S 12.5MG/5 SYRP TRIAZINE PEAD SYRP 50mg supp TRIAZINE 50MG SUPP 6 60 INVERT SUGAR + PHOSPHORIC EMEX SYR ACID METOCLOPRAMIDE 10mg BETACLOPRAMIDE 10MG TABS CLO 10MG TABS CONTROMET 10MG TABS 5mg/5ml CLOPAMON 5MG/5ML SYRP CONTROMET 5MG/5ML SYRP PROCHLORPERAZINE 5mg MITIL 5MG TABS SCRIPTO-METIC 5MG TABS Anti-diarrhoeals KAOLIN + PECTIN BETAPECT SUSP GASTROPECT SUSP

12 ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Anti-diarrhoeals KAOLIN + PECTIN GENPECT SUSP JP PECT SUSP KAOCREAM SUSP KAOPECTIN SUSP PECTIKON SUSP PECTIN-K SUSP KAOLIN+PECTIN+BISMUTH BISKAPECT SUSP CARBONATE KAOLIN+PECTIN+ELECTROLYTES ENTEROLYTE SUSP LOPERAMIDE 2mg GASTRON 2MG TABS NORIMODE 2MG TABS PRODIUM 2MG TABS 1mg/5ml ADCO-LOPERAMIDE SYRP GASTRON 1MG/5ML SYRUP LOPERASTAT 1MG/5ML SYRP Anti-spasmodics HYOSCINE 10mg HYOSPASMOL 10MG TABS SCOPEX 10MG TABS 5mg/5ml HYOSPASMOL 5MG/5ML SYRUP SCOPEX SYRUP MILLERSPAS TAB SCOPEX COMPOUND TABS Anti-helmintics MEBENDAZOLE 100mg WORMGO 100MG TABS WORMSTOP 100MG TABS mg ADCO-WORMEX TABS WORMSTOP 500MG TABS mg/5ml CIPEX SUSP WORMSTOP SUSP Biltricides PRAZIQUANTEL 500mg CYSTICIDE 500MG TABS Suppositories and ointments BELLADONNA supp ANUSOL SUPP BISMUTH SUBGALLATE ointment ANUSOL OINT PRAMOXINE ointment ANUGESIC 10MG/GM OINT Electrolytes solution LECTRO SOLUTION PURITY ORAL REHYDRATION SOLUTI SCRIPTOLYTE SOL URINARY TRACT Urinary alkalinizers URINARY ALKALINIZERS solution GENCIT SIMPLEX MIST POT CIT SB URINARY TR ALK MIX granules ADCO-SODASOL GRAN CITRO-CARB MEDI SODA EFFERVESCENT GRAN QUATRO-SODA GRAN Vaginal anti-fungal cream CLOTRIMAZOLE 10mg/g vaginal cream CANEX VAG CREAM FUNGISPOR VCR GYNEZOL 10MG/GM VCR GYNO-TRIMAZE VCR INNOSPORE 1% VCR EYE, EAR AND NOSE Ear drops BENZOCAINE + PHENAZONE + CHLORBUTOL drops FAMOTIC 20ML EAR DROPS BENZOCAINE + PHENAZONE OTOPHEN FORTE 10ML DRP GLYCERINE EPHEDRINE PHENAZONE + BENZOCAINE OTISED 15ML EAR DROPS 1 90 POLYMIXIN B + NEOMYCIN OTOSPORIN EAR DROPS 10ML HYDROCORTISONE Eye - anti-infectives CHLORAMPHENICOL eye ointment CHLORCOL EYE OINT CHLORNICOL 3.5GM EYE OINT 1 120

13 ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Eye - anti-infectives CHLORAMPHENICOL eye ointment CHLORPHEN 1% 3.5G EYE OINT CHLORAMPHENICOL + NEOMY- drops COVOMYCIN 7.5ML DROPS CIN + DEXAMETHASONE CIN + NAPHAZOLINE CHLORAMPHENICOL + NEOMY COVOMYCIN D 7.5ML DROPS 1 90 SULPHACETAMIDE SODIUM eye ointment SULPHACETAMIDE EYE OINT 3.5G ORAL ANTI-HISTAMINES CHLORPHENIRAMINE 4mg ALLERGEX 4MG TABS RHINETON 4MG TABS 2mg/5ml ALLERGEX 2MG/5ML SYR PROMETHAZINE 10mg RECEPTOZINE 10MG TABS 25mg RECEPTOZINE 25MG TABS 5mg/5ml LENAZINE 5MG/5ML SYRP PROHIST 5MG/5ML SYRP ORAL CORTICOSTEROIDS BETAMETHASONE 0.5mg BETANOID 0.5MG TABS mg/5ml BETANOID 0.6MG/5ML SYR STEROMIEN 0.6MG/5ML SYR PREDNISOLONE 15mg/5ml ADCO PREDNISOLONE 15MG/5ML SYR ASPELONE 15MG/5ML SYRP PREDNISONE 5mg BE-TABS PREDNISONE 5MG TABS PANAFCORT 5MG TABS TROLIC 5MG TABS ANTI-INFLAMMATORY AGENTS Non-steroidal anti-inflammatory agents (NSAIDS) DICLOFENAC 50mg ADCO-DICLOFENAC 50MG TABS A-LENNON DICLOFENAC 50MG MYLAN DICLOFENAC 50MG TABS PANAMOR AT 50MG TABS 100mg supps A-LENNON DICLOFENAC 100MG IBUPROFEN 200mg BETAPROFEN 200MG TABS IBU 200MG TABS IBU 200MG TABS IBUNATE 200MG IBUSOR 200MG TABS INZA 200MG TABS RANFEN 200MG TABS 400mg BETAPROFEN 400 FC BREN 400MG TABS IBUCINE (WAS IBU) 400MG TAB INZA 400MG TABS RANFEN 400MG TABS INDOMETHACIN 25mg capsules ADCO-INDOMETHACIN 25 CAPS ARTHREXIN 25MG CAPS BETACIN 25MG CAPS GULF INDOMETHACIN 25MG METHOCAPS 25MG SANDOZ INDOMETHACIN 25MG 50mg capsules ARTHREXIN 50MG CAP Selective COX-2 inhibitors MELOXICAM 7.5mg ADCO-MELOXICAM 7.5MG TABS ARROW MELOXICAM 7.5MG TABS FLAMARYX 7.5MG TABS FLEXOCAM 7.5MG TABS M-CAM 7.5MG TABS MELOXICAM UNICORN 7.5MG TABS ZYDUS-MELOXICAM 7.5MG TABS 15mg ARROW MELOXICAM 15MG TABS FLAMARYX 15MG TABS FLEXOCAM 15MG TABS LOXIFLAM 15MG M-CAM 15MG TABS MELFLAM TABS 15MG MELOXICAM UNICORN 15MG TABS MOBIC 15MG TABS SANDOZ MELOXICAM 15MG TABS ZYDUS-MELOXICAM 15MG TABS

14 ACTIVE INGREDIENT(S) STRENGTH & DOSAGE COLD AND FLU ANTITUSSIVES AND EXPECTO ADCO-LINCTOPENT SYRP RANTS ALCOPHYLLEX SYR BETALIN SYR BRONKESE CO SYRP COLPHEN SYR COUGHCOD ADULT SYR COUGHCOD JUNIOR SYR DIPHENHYDRAMINE EXPECT SYRP DPH EXPECTORANT SYRP EXPECTALIN WITH COD SYR THEOPHEN CO ELIX (UNBOXED) CARBOCYSTEINE 250mg/5ml BRONCHETTE 250MG/5ML SYRP FLEMGO SYRP MUCOLINCT 250MG/5ML SYRP DECONGESTANT + ANALGESIC COLCLEER(COLD+FLU) TABS ANTI-HISTAMINE SINUCON TABS capsules FAMUCAPS CAPS FLUEND CAPS FLUSTAT CAPS COLCLEER PAED SYR FLUSTAT SYR KIDDYFLU SYR PSEUDOEPHEDRINE 60mg ADCO-SUFEDRIN 60MG TABS SYMPTOFED 60MG TABS 30mg/5ml ADCO-SUFEDRIN 30MG/5ML SYRP DRILIX 30MG/5ML SYRP SALBUTAMOL 2mg/5ml ASTHAVENT 2MG/5ML SYRP VARI-SALBUTAMOL SYRUP VENTEZE 2MG/5ML SYRP THEOPHYLLINE ALCOPHYLLIN 80MG/15ML THEOPHEN ELIX VACCINES injection FLUARIX PREFILLED SYRINGE 0.5M FLUVAX 2009 PRE-FILLED SYR VAXIGRIP PREFIL S/DOSE 0.5ML VAXIGRIP S/DOSE 0.25ML PAED X-FLU PREFILLED SYR 0.5ML OXYMETAZOLINE nasal drops DRINASAL DROPS 10ML 1 60 nasal spray DRINASAL PAED MET SPRAY NAZENE NASAL SPRAY 15ML 1 60 ANTI-TETANUS VACCINE TETANUS TOXOID injection TETAVAX SNGL 0.5ML INJ This formulary is subject to change.

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