acute medicine formulary 2013

medihelp necesse acute medicine formulary 2013 January 2013 version 1.2013

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 2013. 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

medihelp necesse acute medicine formulary January - version 2013.1 ADDITIONS DESCRIPTION 716381 ADCO PREDNISOLONE 15MG/5ML SYR 899097 ADCO-AMOCLAV S 893398 A-LENNON DICLOFENAC 100MG 704484 AMOCLAN BID 1000MG TABS 707185 AMOCLAN FORTE TABS 786780 ANTIPYN FORTE TABS 717160 APEX-RANITIDINE 150MG TABS 717159 APEX-RANITIDINE 300MG TABS 717187 BARRS PARACETAMOL 120MG/5ML SY 717217 BARRS POVIDONE-IODINE 10% OINT 795070 BENCOLE SUSP 793329 BETAMYCIN 125MG SUS 707437 BETAMYCIN 250MG TABS 865540 BIO-AMOKSILAV 892147 CIFRAN 500MG TABS 716518 CIPROFLOXACIN ACTOR 250MG TABS 704775 CIPROL 500MG TABS 842524 CLAMENTIN S 824313 CYCLIVEX 200MG TABS 702618 DRINASAL DROPS 10ML 702620 DRINASAL PAED MET SPRAY 798134 DYNAPAYNE SYR 701518 ENA-CLEAR 710310 ERYKO 250MG TABS 724114 ERYTHROCIN 250MG TAB 717092 FLAMARYX 15MG TABS 717091 FLAMARYX 7.5MG TABS 789739 FLEMGO SYRP 711737 FLUARIX PREFILLED SYRINGE 0.5M 711345 FLUVAX 2009 PRE-FILLED SYR 708536 IBUSOR 200MG TABS 711138 INNOSPORE 1% VCR 787191 LECTRO SOLUTION 701522 LOXIFLAM 15MG 713362 LOXIP 500MG TABS 830291 MOXYPEN 125 SUSP 830305 MOXYPEN 250MG/5ML SUSP 756156 PONSTAN 10MG/ML SUSP 867381 RANCLAV 625MG TABS 894123 RANCLAV SUSPENSION 717391 TRAMASPEN 50MG CAPS 717382 UTIFLOXA 400MG TABS 884972 VYROHEXAL 200MG TABS DELETIONS DESCRIPTION 792276 ACUNASO 60MG TABS 878707 ADCO-LIQUILAX SYRP 705376 ADCO-MELOXICAM 15MG TABS 809055 ADCO-SALTERPYN TABS 816256 ALKAFIZZ GRAN 701891 AMDOCIN 25MG 826960 A-POR VCR 712393 BAO SODA GRANULES 702549 BARRS POVIDONE IODINE 708151 BETAPHLEM 250MG/5ML SYRP 865532 BIO-AMOKSIKLAV TABS 707241 BIO-METRONIDAZOLE TABS 710873 BRUNAZINE 5MG/5ML 789526 BRUNOMOL 120MG/5ML SYRP 703043 CIPROGEN 250MG TABS 842516 CLAMENTIN 375MG TABS 721751 DUROBAC TABS 700518 DYNAFLOC 500MG TABS 702851 FABU-BENZYL BENZOATE NAMIBIA 702866 FABU-COLD (NAMIBIA ONLY) 702871 FABU-PARACETAMOL ALC/FREE 824992 GENCETAMOL 500MG TABS 895196 IBOFLAM 200MG TABS 732281 ILIADIN PAED 0.025% DROPS 732826 INFLUVAC 0.5ML 711138 INNOSPORE 1% TOPICAL 817309 LAXETTE SYRP 737798 LESSMUSEC 250MG/5ML SYRP 788996 MEDIFLEX 25MG CAPS 709334 MERCK-ERYTHROMYCIN 250MG TABS 701746 MICRO GESIC TABS 706192 MICROGESIC 120MG/5ML SYRP 752118 PAINAMOL 120MG/5ML SYRP 752142 PAINAMOL WHITE 500MG TABS 807621 PANAMOR 100MG SUPP 752878 PARAPANE 500MG TAB 755834 PODINE OINT 810398 PONSTEL S 50MG/5ML SUSP 867373 RANCLAV 375MG TABS 703966 SANDOZ IBUPROFEN 200MG 708014 SIMAYLA CIPROFLOXACIN 500MG 711378 SMART-SODA GRA 765651 SPECTRASONE 250MG CAPS 713688 VARI-COCODAMOL 8MG/500MG TABS

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

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

necesse acute medicine formulary ACTIVE INGREDIENT(S) STRENGTH & DOSAGE ANALGESICS & ANTI-PYRETICS DICLOFENAC 12.5mg supps 807605 PANAMOR 12.5MG SUPP 25mg supps 807613 PANAMOR 25MG SUPP IBUPROFEN 100mg/5ml 704781 IBUGESIC 100MG/5ML SUSP 700315 IBU SUSP MEFANAMIC ACID 250mg capsules 883102 ADCO-MEFENAMIC ACID 797707 FENAMIN 250MG CAPS 500mg 797715 FENAMIN 500MG TABS 794201 PONAC FORTE 500MG TABS 756164 PONSTAN FORTE 500 TABS 50mg/5ml 875643 ADCO-MEFENAMIC ACID 797014 FENAMIN 50MG/5ML SUSP 793264 PONAC 50MG/5ML SUSP 756156 PONSTAN 10MG/ML SUSP PARACETAMOL 500mg 805467 ANTALGIC 500MG TABS 867950 GULF PARACETAMOL 500MG 894212 JP PARACETAMOL TABS 704719 MEDI-PARACETAMOL 500MG TABS 745723 NAPAMOL 500MG TABS 799629 PAINAMOL GREEN 500MG TABS 704465 PAINOGESIC TABS 757403 PROLIEF 500MG TABS 885863 VON PARACETAMOL TABS 710211 ZYDUS-PARACETAMOL 500MG T 120mg/5ml 792101 ACTAMOL 120MG/5ML SYRP 704093 ACTAMOL RED (UN-BOXED) 894281 ADCO-PARACETAMOL ELIX 717187 BARRS PARACETAMOL 120MG/5ML SY 703820 FEVERPAIN (UNBOXED) 863742 FEVERPAIN ELIX 895199 GO-PAIN P 745715 NAPAMOL 120MG/5ML SYRP 889772 PAINBLOK 120MG/5ML SYRP 704450 PAINOGESIC SYRP 707583 PARACETAMOL ELIX (ALC FREE) 758558 PYRALEN 120MG/5ML SYRP 250mg supps 819700 EMPAPED 250MG SUPP 125mg supps 819697 EMPAPED 125MG SUPP TRAMODOL 50mg capsules 710250 AUSTELL-TRAMADOL 50MG CAPS 705379 DOLOTRAM 50MG CAPS 705175 DOMADOL 50MG CAPS 717391 TRAMASPEN 50MG CAPS 706475 TRAMAZAC 50MG CAPS ANALGESICS & ANTI-PYRETICS - combinations PARACETAMOL + COD PHOS 700742 AMSTIL TABS 787043 CODOROL TABS 745707 NAPACOD TABS 707910 PAINAMOL PLUS PARACETAMOL + COD PHOS + 894289 ADCO-KIDDIPAYNE PROMETHAZINE 807583 ADCO-SALTERPYN SYRP 798134 DYNAPAYNE SYR 793566 GOLDGESIC SYRP 823511 GO-PAIN SYRP 732753 INFAPAIN FORTE SYRP 836605 KID-EEZE SYRP 833746 MEDIPYN S 752185 PAINAGON SYRP 766801 STILPANE SYRP PARACETAMOL + COD PHOS + 894282 ADCO-PAYNE TABS MEPROBAMATE 786780 ANTIPYN FORTE TABS 800325 BRISCOPYN TABS 793574 GOLDGESIC TABS 823538 GO-PAIN TABS 892662 NUCOPAIN TABS 752177 PAINAGON TABS 5 60 300 90 30 90 30 90 300 90 300 90 5 60 300 90

ACTIVE INGREDIENT(S) STRENGTH & DOSAGE ANALGESICS & ANTI-PYRETICS - combinations (continued) PARACETAMOL + COD PHOS + MEPROBAMATE 789992 PYNMED TABS 834440 SPECTRAPAIN FORTE TABS 766828 STILPANE TABS CENTRAL NERVOUS SYSTEM Anxiolytics ALPRAZOLAM 0.25mg 821071 ADCO-ALZAM 0.25MG TABS 823244 AZOR 0.25MG TABS 897929 CPL ALNCE ALPRAZOLAM 0.25MG 897965 MYLAN ALPRAZOLAM 0.25MG 826685 ZOPAX 0.25MG TABS 0.5mg 821098 ADCO-ALZAM 0.5MG TABS 823252 AZOR 0.5MG TABS 897930 CPL ALNCE ALPRAZOLAM 0.5MG 895173 MYLAN ALPRAZOLAM 0.5MG 826693 ZOPAX 0.5MG TABS 1mg 823260 AZOR 1MG TABS 897968 MYLAN ALPRAZOLAM 1MG 826707 ZOPAX 1MG TABS DIAZEPAM 5mg 708062 BETAPAM 5MG TABS 721174 DOVAL 5MG TABS 753173 PAX 5MG TABS 10mg 753181 PAX 10MG TABS OXAZEPAM 10mg 783242 MEDOPAM 10MG TABS 758183 PURATA 10MG TABS 15mg 783250 MEDOPAM 15MG TABS 758191 PURATA 15MG TABS 751758 SANDOZ OXAZEPAM 15MG TABS 30mg 758205 PURATA 30MG TABS 751766 SANDOZ OXAZEPAM 30MG ANTI-INFECTIVES Penicillins AMOXYCILLIN 250mg capsules 704443 ALLMOX 250MG CAPS 706950 AMOCAS 250MG CAPS 704401 AMOXICAPS 250MG CAPS 714185 AMYN 250MG CAPS 713363 AURO-AMOXYCILLIN 250MG CAPS 707499 AUSTELL-AMOXICILLIN 250MG CAPS 788155 BETAMOX 250MG CAPS 815268 IPCAMOX 250MG CAPS 806579 MOXY 250MG CAP 744689 MOXYPEN 250MG CAPS 808741 PROMOXIL 250MG CAPS 716122 YO 250MG CAPS 500mg capsules 811440 ADCO-AMOX 500MG CAPS 704444 ALLMOX 500MG CAPS 714184 AMYN 500MG CAPS 713364 AURO-AMOXYCILLIN 500MG CAPS 705637 AUSTELL-AMOXICILLIN 500MG TABS 788546 BETAMOX 500MG CAPS 806587 MOXY 500MG CAP 744697 MOXYPEN 500MG CAPS 808768 PROMOXIL 500MG CAPS 824879 RANMOXY 500MG CAPS 716123 YO 500MG CAPS 708397 ZALOXY 500MG CAPS 125mg/5ml 829099 ADCO-AMOX 125MG SUSP 714179 ALLMOX S 125MG/5ML SUSP 714182 AMYN S 125MG/5ML SUSP 829358 BETAMOX S 125MG/5ML SUSP 830275 MOXY 125 SUSP 830291 MOXYPEN 125 SUSP 830488 PROMOXIL S 125MG/5ML 701380 RANMOXY SUSP 125MG 830534 SALTERMOX S 125MG/5ML 708396 ZALOXY 125MG/5ML SUSP 830739 ZOXIL S 125MG/5ML SUSP 60 120

ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Penicillins (continued) AMOXYCILLIN 250mg/5ml 829102 ADCO-AMOX 250MG SUSP 893409 A-LENNON AMOXYCILLIN 250M 714180 ALLMOX SF 250MG/5ML SUSP 714183 AMYN SF 250MG/5ML SUSP 829366 BETAMOX SF 250MG/5ML SUSP 830283 MOXY 250 SUSP 830305 MOXYPEN 250MG/5ML SUSP 830496 PROMOXIL SF 250MG/5ML 701383 RANMOXY SUSP 250MG 830542 SALTERMOX SF 250MG/5ML 708395 ZALOXY 250MG/5M SUSP 830747 ZOXIL SF 250MG/5ML SUSP AMOXYCILLIN / CLAVUNATE 375mg 893218 ADCO-AMOCLAV 375MG TABS 707184 AMOCLAN TABS 707663 APEX-CLAVUTIN 375MG TABS 861936 AUGCIL 375MG TABS 713381 AURO-AMOXICLAV 375MG TABS 707407 AUSTELL-CO-AMOXICLAV 375MG 716124 BINDOCLAV 375MG TABS 878766 SANDOZ AMOCLAV 375MG TABS 625mg 707185 AMOCLAN FORTE TABS 707665 APEX-CLAVUTIN 625MG TABS 861944 AUGCIL 625MG TABS 713382 AURO-AMOXICLAV 625MG TABS 707408 AUSTELL-CO-AMOXICLAV 625MG 716125 BINDOCLAV 625MG TABS 867381 RANCLAV 625MG TABS 701736 SANDOZ CO-AMOXICLAV 625MG TABS 1000mg 703229 ADCO-AMOCLAV BD 1000MG 704484 AMOCLAN BID 1000MG TABS 713383 AURO-AMOXICLAV 1000MG TABS 714704 BETACLAV 1000MG TABS 716126 BINDOCLAV 1000MG TABS 708387 BIO-AMOKSIKLAV 1000MG TABS 709232 CLAMENTIN 1000MG TABS 704049 CURAM 1000GM BD TABS 703903 FORCID SOLUTAB 875/125 703356 SANDOZ CO-AMOXICLAV BD 1000MG S 899097 ADCO-AMOCLAV S 707186 AMOCLAN S SUSP 861952 AUGCIL S 865540 BIO-AMOKSILAV 842524 CLAMENTIN S 894123 RANCLAV SUSPENSION 878774 SANDOZ AMOCLAV S SF 707187 AMOCLAN SF SUSP 707666 APEX-CLAVUTIN SF 861960 AUGCIL SF 894125 RANCLAV FORTE SUSPENSION 878782 SANDOZ AMOCLAV SF Cephalosporins CEPHALEXIN 250mg capsules 897880 CPL ALLIANCE CEPHALEXIN 250MG 830909 RANCEPH 250MG CAPS 40 60 500mg capsules 706327 BELEX 500MG CAPS 897887 CPL ALLIANCE CEPHALEXIN 500MG 40 60 837253 RANCEPH 500MG CAPS 125mg/5ml 897892 CPL ALLIANCE CEPHALEXIN 125MG/ 860603 RANCEPH 125MG/5ML SUSP 250mg/5ml 860611 RANCEPH 250MG/5ML SUSP Macrolides CLINDAMYCIN 150mg capsules 849960 CLINDAHEXAL 150MG 717347 DALACIN C 150MG CAPS 40 60 ERYTHROMYCIN 250mg 707437 BETAMYCIN 250MG TABS 710310 ERYKO 250MG TABS 40 60 724114 ERYTHROCIN 250MG TAB 250mg capsules 758388 PURMYCIN 250MG CAPS 40 60

ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Macrolides (continued) ERYTHROMYCIN 250mg capsules 824682 XERAMEL 250MG CAPS 40 60 125mg/5ml 793329 BETAMYCIN 125MG SUS 758396 PURMYCIN 125MG/5ML SUSP 765678 SPECTRASONE 125MG SUS 250mg/5ml 787086 ERYMYCIN PF 250MG SUSP 758418 PURMYCIN 250MG/5ML SUSP 783277 SPECTRASONE 250MG SUSP 848409 XERAMEL SF 250MG/5ML SUSP Quinolones CIPROFLOXACIN 250mg 704353 AUSTELL CIPROFLOX 250MG TABS 704459 BIOCIP 250MG TABS 713792 BIOTECH CIPROFLOXACIN 250MG TA 707886 CILOFLOC 250MG TABS 716518 CIPROFLOXACIN ACTOR 250MG TABS 704777 CIPROL 250MG TABS 700284 CPL ALLIANCE CIPROFLOXACIN 250MG 700516 DYNAFLOC 250MG TABS 713361 LOXIP 250MG TABS 708015 SIMAYLA CIPROFLOXACIN 250MG 500mg 704351 AUSTELL CIPROFLOX 500MG TABS 713793 BIOTECH CIPROFLOXACIN 500MG 892147 CIFRAN 500MG TABS 707887 CILOFLOC 500MG TABS 703045 CIPROGEN 500MG TABS 704775 CIPROL 500MG TABS 700287 CPL ALLIANCE CIPROFLOXACIN 500 713362 LOXIP 500MG TABS 701210 ORPIC 500MG TABS NORFLOXACIN 400mg 702524 FLOXIN 400MG TABS 717382 UTIFLOXA 400MG TABS 12 120 Tetracyclines DOXYCYCLINE 100mg capsules 893402 A-LENNON DOXYCYCLINE HCL 716944 CYCLIDOX 100MG CAPS 20 90 714192 DOXYTET 100MG CAPS OXYTETRACYCLINE 250mg capsules 787434 BE-OXYTET 250MG CAPS 884167 NUCOTET 752045 O-4 CYCLINE 250MG CAPS 751987 OXYPAN 250MG CAPS 40 90 703224 PHARMATET 250MG CAPS 812072 TETRACEM 250MG CAPS Sulphonamides TRIMETHOPRIM/SULPHAME- 400mg sulphametoxazole + 706948 CASICOT TABS TOXAZOLE 80mg trimethoprim 716731 COZOLE TABS 704095 ILVITRIM TABS 735698 LAGATRIM TABS 867977 NUCOTRIM 480MG TABS 40 60 701754 PHARMA-Q CO-TRIMOXAZOLE 789836 TRIMETHOX TABS 715609 TRIXAZOLE 480MG TABS 800mg sulphametoxazole + 758256 PURBAC DS TABS 160mg trimethoprim 782793 SANDOZ CO-TRIMOXAZOLE 960 200mg sulphametoxazole 795070 BENCOLE SUSP + 40mg trimethoprim /5ml 703865 CASICOT SUSPENSION 779881 CO-TRIM SUSP 793310 COZOLE SUSP 894842 DOCTRIM SUSP 705259 ILVITRIM SUSP 758221 PURBAC SUSP 816337 XERAZOLE SUSP Anti-protozoal agents METRONIDAZOLE 200mg 792284 ACUZOLE 200MG TABS 742872 ADCO-METRONIDAZOLE 200MG 821705 BE-METRAZOLE 200MG TABS 784710 MEDAMET 200MG TABS 793159 METAZOL 200MG TABS 772216 TRICHAZOLE 200MG TABS

ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Anti-protozoal agents (continued) METRONIDAZOLE 400mg 792292 ACUZOLE 400MG TABS 701076 ADCO-METRONIDAZOLE 400MG 702148 AMZOLE 400MG TABS 715866 ANAEROBYL 400MG TABS 788708 BE-METRAZOLE 400MG TABS 707242 BIO-METRONIDAZOLE 400MG 793167 METAZOL 400MG TABS 779822 METRAZOLE 400MG TABS 783544 METROSTAT 400MG TABS 792136 SUPRAZOLE 400MG TABS 772224 TRICHAZOLE 400MG TABS 200mg/5ml 726338 FLAGYL 200MG/5ML SUSP Anti-fungal agents FLUCONAZOLE 150mg capsules 707684 APEX-FLUCONAZOLE 150MG CAPS 703624 ASPEN FLUCONAZOLE 150MG CAPS 704357 AUSTELL FLUCON 150MG CAPS 703635 DIFLUZOLE 150MG CAPS 700149 FLUCORIC 150MG CAPS 3 120 713556 GULF FLUCONAZOLE 150MG CAPS 711530 MYCOREST 150MG CAPS 705384 MYLAN FLUCONAZOLE 150MG CAPS 707315 SIMAYLA FLUCONAZOLE 150MG CAPS NYSTATIN 100 000 units/ml 701100 CANDACIDE SUSP 30ML 835056 CANSTAT ORAL DROPS 835285 NYSTACID ORAL 100000 SUSP Anti-viral agents ACYCLOVIR 200mg 704778 ACITAB-200 DT 827282 ADCO-ACYCLOVIR TABS 824313 CYCLIVEX 200MG TABS 30 120 884972 VYROHEXAL 200MG TABS 400mg 860581 CYCLIVEX 400MG TABS 30 120 5% topical cream 873551 ACITOP 5% CREAM 824674 ADCO-ACYCLOVIR 50 CREAM 713942 BETA-VIRA 5% CREAM 3 120 701035 LOVIRE CREAM DERMATOLOGICALS Antiseptic / Anti-infective agents SILVER SULPHADIAZINE 0.01g/g cream 791725 BACTRAZINE 10MG/GM CREAM 50 120 POVIDONE IODINE 100mg/g ointment 717217 BARRS POVIDONE-IODINE 10% OINT 715022 GERMADINE 10% OINT 25 90 821713 SEPTADINE ANTISEPT OINT Anti-scabies BENZYL BENZOATE 25g/100ml emulsion 707716 APP BENZYL BENZ LOT 841080 APP BENZYL BENZ LOT 700205 APP BENZYL BENZOATE 200 120 885588 BENZYL BENZOATE APPL MONOSULFIRAM 5% soap 770116 TETMOSOL 5% 75GM BAR 2 90 Topical corticosteroid with anti-infective HYDROCORTISONE + CHLOR- cream 776297 VIOCORT CREAM BUTOL Topical corticosteroid cream / ointment BETAMETHASONE 5mg/g cream 827290 ADCO-BETAMETHASONE CR 878200 BECLATE CREAM 800163 LENOVATE 0.1% CREAM 754064 PERSIVATE CREAM 882934 REPIVATE CREAM 833037 TOPIVATE 1MG/GM CREAM 701138 VARI-BETAMETHASONE CREAM 5mg/g ointment 800171 LENOVATE 0.1% OINT 754072 PERSIVATE OINT HYDROCORTISONE 1g/100g cream 700445 VARI-HYDROCORTISONE 1% CREAM Topical anti-allergy / anti-histamine COMBINATION lotion 794120 BIOHIST LOT 100 60 DIPHENHYDRAMINE cream 731269 HISTODOR CREAM 25 60 MEPYRAMINE 2g/100g cream 701102 MEPYRADERM CREAM 800511 MEPYRIMAL 2% CREAM 25 60

ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Topical anti-fungal CLOTRIMAZOLE 10mg/g cream 824011 CANEX TOPICAL CREAM 878421 CLOMADERM CREAM 846422 FUNGISPOR CREAM 793493 NORMOSPOR CREAM 20 90 709885 VARI-CLOTRIMAZOLE 1% CREAM 816299 XERASPOR-T CREAM GASTRO INTESTINAL Anti-acids ANTI-ACIDS 700771 AMGEL SUSP 707899 BETACLOMIN GEL 782173 CO-GEL SUSP 702725 DICYCLOMINE CO GEL 740683 MEDIGEL SUSP 500 30 743054 MICROGEL SUSP 786810 NEUTRAGEL D SUSP 765538 SPASMOGEL H-2 antagonists CIMETIDINE 200mg 886978 BIO-CIMETIDINE 200MG TABS 854247 CIMLOK 200MG TABS 60 30 400mg 887003 BIO-CIMETIDINE 400MG TABS 736260 LENAMET 400MG TABS 60 30 RANITIDINE 150mg 717160 APEX-RANITIDINE 150MG TABS 712134 AUSTAC 150MG TABS 700119 CPL ALLIANCE RANITIDINE 150MG 713553 GULF RANITIDINE 150MG TABS 60 30 841765 HISTAK 150MG TABS 705361 RANIT 150MG TABS 707308 SIMAYLA RANITIDINE 150MG TABS 300mg 717159 APEX-RANITIDINE 300MG TABS 712135 AUSTAC 300MG TABS 700120 CPL ALLIANCE RANITIDINE 300MG 713554 GULF RANITIDINE 300MG TABS 841773 HISTAK 300MG TABS 30 30 841617 RANIHEXAL 300MG TABS 705360 RANIT 300MG TABS 707309 SIMAYLA RANITIDINE 300MG TABS Enemas SODIUM ACID PHOSPHATE enema 701518 ENA-CLEAR 726443 LEN-O-LAX ADULT 135ML 1 120 726435 LEN-O-LAX PAED 64ML Laxitives LACTULOSE 3.3g/5ml 708722 ACULAX 3.3G/5ML SYRUP 713232 AGAROL LACTULOSE 3300MG/5ML 500 60 797723 LACSON SYRP SENNA 709275 ADCO-SENNA 13.5MG TABS 868078 SOFLAX TAB 90 60 Anti-emetics CYCLIZINE 50mg 792217 ACULOID 50MG TABS 809322 COVAMET 50MG TABS 40 90 799424 NAUZINE 50MG TABS 12.5mg/5ml 792845 MEDAZINE-S 12.5MG/ML SYRP 820571 NAUZINE S 12.5MG/5 SYRP 100 90 796700 TRIAZINE PEAD SYRP 50mg supp 772135 TRIAZINE 50MG SUPP 6 60 INVERT SUGAR + PHOSPHORIC 784346 EMEX SYR ACID METOCLOPRAMIDE 10mg 787817 BETACLOPRAMIDE 10MG TABS 700712 CLO 10MG TABS 715875 CONTROMET 10MG TABS 5mg/5ml 714844 CLOPAMON 5MG/5ML SYRP 783064 CONTROMET 5MG/5ML SYRP 200 90 PROCHLORPERAZINE 5mg 744182 MITIL 5MG TABS 762849 SCRIPTO-METIC 5MG TABS Anti-diarrhoeals KAOLIN + PECTIN 799408 BETAPECT SUSP 728284 GASTROPECT SUSP 300 60

ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Anti-diarrhoeals KAOLIN + PECTIN 822043 GENPECT SUSP 813737 JP PECT SUSP 734853 KAOCREAM SUSP 734934 KAOPECTIN SUSP 300 60 892661 PECTIKON SUSP 823546 PECTIN-K SUSP KAOLIN+PECTIN+BISMUTH 708976 BISKAPECT SUSP CARBONATE 300 60 KAOLIN+PECTIN+ELECTROLYTES 723428 ENTEROLYTE SUSP 300 60 LOPERAMIDE 2mg 810916 GASTRON 2MG TABS 796697 NORIMODE 2MG TABS 791768 PRODIUM 2MG TABS 1mg/5ml 811467 ADCO-LOPERAMIDE SYRP 810908 GASTRON 1MG/5ML SYRUP 100 60 820563 LOPERASTAT 1MG/5ML SYRP Anti-spasmodics HYOSCINE 10mg 731951 HYOSPASMOL 10MG TABS 762725 SCOPEX 10MG TABS 5mg/5ml 707213 HYOSPASMOL 5MG/5ML SYRUP 703383 SCOPEX SYRUP 743348 MILLERSPAS TAB 60 60 762717 SCOPEX COMPOUND TABS Anti-helmintics MEBENDAZOLE 100mg 810533 WORMGO 100MG TABS 845671 WORMSTOP 100MG TABS 6 120 500mg 703063 ADCO-WORMEX TABS 845701 WORMSTOP 500MG TABS 1 120 100mg/5ml 828297 CIPEX SUSP 845698 WORMSTOP SUSP 60 120 Biltricides PRAZIQUANTEL 500mg 717169 CYSTICIDE 500MG TABS 100 365 Suppositories and ointments BELLADONNA supp 704148 ANUSOL SUPP BISMUTH SUBGALLATE ointment 826375 ANUSOL OINT PRAMOXINE ointment 704083 ANUGESIC 10MG/GM OINT 25 60 Electrolytes solution 787191 LECTRO SOLUTION 701466 PURITY ORAL REHYDRATION SOLUTI 60 120 762873 SCRIPTOLYTE SOL URINARY TRACT Urinary alkalinizers URINARY ALKALINIZERS solution 839760 GENCIT SIMPLEX 805130 MIST POT CIT 859869 SB URINARY TR ALK MIX granules 820059 ADCO-SODASOL GRAN 837601 CITRO-CARB 712312 MEDI SODA EFFERVESCENT GRAN 1 855227 QUATRO-SODA GRAN Vaginal anti-fungal cream CLOTRIMAZOLE 10mg/g vaginal cream 831913 CANEX VAG CREAM 846341 FUNGISPOR VCR 878448 GYNEZOL 10MG/GM VCR 50 90 839620 GYNO-TRIMAZE VCR 711138 INNOSPORE 1% VCR EYE, EAR AND NOSE Ear drops BENZOCAINE + PHENAZONE + CHLORBUTOL drops 840009 FAMOTIC 20ML EAR DROPS BENZOCAINE + PHENAZONE + 839981 OTOPHEN FORTE 10ML DRP GLYCERINE EPHEDRINE PHENAZONE + BENZOCAINE + 751537 OTISED 15ML EAR DROPS 1 90 POLYMIXIN B + NEOMYCIN + 820717 OTOSPORIN EAR DROPS 10ML HYDROCORTISONE Eye - anti-infectives CHLORAMPHENICOL eye ointment 713759 CHLORCOL EYE OINT 713872 CHLORNICOL 3.5GM EYE OINT 1 120

ACTIVE INGREDIENT(S) STRENGTH & DOSAGE Eye - anti-infectives CHLORAMPHENICOL eye ointment 817201 CHLORPHEN 1% 3.5G EYE OINT 1 120 CHLORAMPHENICOL + NEOMY- drops 716634 COVOMYCIN 7.5ML DROPS CIN + DEXAMETHASONE CIN + NAPHAZOLINE CHLORAMPHENICOL + NEOMY- 716626 COVOMYCIN D 7.5ML DROPS 1 90 SULPHACETAMIDE SODIUM eye ointment 767360 SULPHACETAMIDE EYE OINT 3.5G 1 120 ORAL ANTI-HISTAMINES CHLORPHENIRAMINE 4mg 702072 ALLERGEX 4MG TABS 703162 RHINETON 4MG TABS 2mg/5ml 702145 ALLERGEX 2MG/5ML SYR PROMETHAZINE 10mg 803065 RECEPTOZINE 10MG TABS 25mg 803073 RECEPTOZINE 25MG TABS 5mg/5ml 736244 LENAZINE 5MG/5ML SYRP 757373 PROHIST 5MG/5ML SYRP ORAL CORTICOSTEROIDS BETAMETHASONE 0.5mg 826928 BETANOID 0.5MG TABS 40 90 0.6mg/5ml 826936 BETANOID 0.6MG/5ML SYR 797596 STEROMIEN 0.6MG/5ML SYR 100 90 PREDNISOLONE 15mg/5ml 716381 ADCO PREDNISOLONE 15MG/5ML SYR 714552 ASPELONE 15MG/5ML SYRP 100 90 PREDNISONE 5mg 788783 BE-TABS PREDNISONE 5MG TABS 752304 PANAFCORT 5MG TABS 50 90 818267 TROLIC 5MG TABS ANTI-INFLAMMATORY AGENTS Non-steroidal anti-inflammatory agents (NSAIDS) DICLOFENAC 50mg 788597 ADCO-DICLOFENAC 50MG TABS 893391 A-LENNON DICLOFENAC 50MG 786020 MYLAN DICLOFENAC 50MG TABS 30 90 752398 PANAMOR AT 50MG TABS 100mg supps 893398 A-LENNON DICLOFENAC 100MG 10 90 IBUPROFEN 200mg 787426 BETAPROFEN 200MG TABS 705940 IBU 200MG TABS 700316 IBU 200MG TABS 868221 IBUNATE 200MG 708536 IBUSOR 200MG TABS 733741 INZA 200MG TABS 824852 RANFEN 200MG TABS 400mg 701975 BETAPROFEN 400 FC 708290 BREN 400MG TABS 700318 IBUCINE (WAS IBU) 400MG TAB 733768 INZA 400MG TABS 701654 RANFEN 400MG TABS INDOMETHACIN 25mg capsules 701106 ADCO-INDOMETHACIN 25 CAPS 704725 ARTHREXIN 25MG CAPS 787833 BETACIN 25MG CAPS 868213 GULF INDOMETHACIN 25MG 814393 METHOCAPS 25MG 704776 SANDOZ INDOMETHACIN 25MG 50mg capsules 704733 ARTHREXIN 50MG CAP Selective COX-2 inhibitors MELOXICAM 7.5mg 705375 ADCO-MELOXICAM 7.5MG TABS 711324 ARROW MELOXICAM 7.5MG TABS 717091 FLAMARYX 7.5MG TABS 704829 FLEXOCAM 7.5MG TABS 15 90 705176 M-CAM 7.5MG TABS 716168 MELOXICAM UNICORN 7.5MG TABS 705229 ZYDUS-MELOXICAM 7.5MG TABS 15mg 711325 ARROW MELOXICAM 15MG TABS 717092 FLAMARYX 15MG TABS 704828 FLEXOCAM 15MG TABS 701522 LOXIFLAM 15MG 705177 M-CAM 15MG TABS 705297 MELFLAM TABS 15MG 10 90 716169 MELOXICAM UNICORN 15MG TABS 842052 MOBIC 15MG TABS 704589 SANDOZ MELOXICAM 15MG TABS 705230 ZYDUS-MELOXICAM 15MG TABS

ACTIVE INGREDIENT(S) STRENGTH & DOSAGE COLD AND FLU ANTITUSSIVES AND EXPECTO- 827304 ADCO-LINCTOPENT SYRP RANTS 701742 ALCOPHYLLEX SYR 708054 BETALIN SYR 710687 BRONKESE CO SYRP 715484 COLPHEN SYR 716510 COUGHCOD ADULT SYR 716529 COUGHCOD JUNIOR SYR 810649 DIPHENHYDRAMINE EXPECT SYRP 720291 DPH EXPECTORANT SYRP 805351 EXPECTALIN WITH COD SYR 700238 THEOPHEN CO ELIX (UNBOXED) CARBOCYSTEINE 250mg/5ml 710520 BRONCHETTE 250MG/5ML SYRP 789739 FLEMGO SYRP 400 60 787078 MUCOLINCT 250MG/5ML SYRP DECONGESTANT + ANALGESIC + 715301 COLCLEER(COLD+FLU) TABS ANTI-HISTAMINE 764264 SINUCON TABS capsules 725544 FAMUCAPS CAPS 726710 FLUEND CAPS 807648 FLUSTAT CAPS 704332 COLCLEER PAED SYR 807656 FLUSTAT SYR 873322 KIDDYFLU SYR PSEUDOEPHEDRINE 60mg 796972 ADCO-SUFEDRIN 60MG TABS 794872 SYMPTOFED 60MG TABS 30mg/5ml 796964 ADCO-SUFEDRIN 30MG/5ML SYRP 799440 DRILIX 30MG/5ML SYRP SALBUTAMOL 2mg/5ml 824186 ASTHAVENT 2MG/5ML SYRP 700920 VARI-SALBUTAMOL SYRUP 775452 VENTEZE 2MG/5ML SYRP THEOPHYLLINE 701750 ALCOPHYLLIN 80MG/15ML 770388 THEOPHEN ELIX VACCINES injection 711737 FLUARIX PREFILLED SYRINGE 0.5M 711345 FLUVAX 2009 PRE-FILLED SYR 813338 VAXIGRIP PREFIL S/DOSE 0.5ML 1 365 836591 VAXIGRIP S/DOSE 0.25ML PAED 702733 X-FLU PREFILLED SYR 0.5ML OXYMETAZOLINE nasal drops 702618 DRINASAL DROPS 10ML 1 60 nasal spray 702620 DRINASAL PAED MET SPRAY 746126 NAZENE NASAL SPRAY 15ML 1 60 ANTI-TETANUS VACCINE TETANUS TOXOID injection 832693 TETAVAX SNGL 0.5ML INJ 1 365 This formulary is subject to change.

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