SCRIPTPHARM RISK MANAGEMENT CHRONIC MEDICINE FORMULARY Nedgroup Traditional, Traditional plus and Platinum non-pmb Formulary CHRONIC CONDITIONS ACNE (Cystic Nodular ONLY) Acne 21 beige tabs: Cyproterone acetate 2mg; ethinylestradiol 0.035mg 7 placebo tabs 897214 GINETTE TABS Dermatologist prescription ONLY L70.1 Acne Isotretinoin 10mg 701469 ORATANE 10MG Motivation, including history of therapy & patient's weight,. Dermalologist prescription ONLY. Acne Isotretinoin 20mg 701471 ORATANE 20MG Sulphonamides and combinations Trimethoprim 80 mg; sulphamethoxazole 400 mg 700972 MEDITRIM 480MG Tetracyclines Doxycycline HCl 100mg 716944 CYCLIDOX 100MG Tetracyclines Minocycline 100mg 788295 CYCLIMYCIN 100MG Tetracyclines Minocycline 50mg 788287 CYCLIMYCIN 50MG Tetracyclines Oxytetracycline HCl 250mg 895029 OXY 250MG Motivation, including history of therapy & patient's weight,. Dermalologist prescription ONLY. Dermatologist prescription ONLY Dermatologist prescription ONLY. Maximum 30 per month. Dermatologist prescription ONLY. Maximum 60 per month. Dermatologist prescription ONLY. Maximum 60 per month. Dermatologist prescription ONLY. Maximum 60 per month. ALLERGIC RHINITIS (With Asthma / <12 years old) Anti-Histamines Cetirizine dihydrochloride 10mg tab 704359 AUSTELL CETIRIZINE 10MG Clinical motivation if prescribed together with Nasal Corticosteroid Spray J30 Anti-Histamines Cetirizine 1mg/ml syrup 708117 CETIRIZINE-HEXAL 1MG/1ML Clinical motivation if prescribed together with Nasal Corticosteroid Spray 1
SIMAYLA LORATADINE Anti-Histamines Loratadine 10mg tab 707313 10MG Clinical motivation if prescribed together with Nasal Corticosteroid Spray Anti-Histamines Loratadine 5mg/5ml 704886 AP LORATADINE 5MG/5ML Anti-Histamines Desloratadine 5mg 709843 DAZIT 5MG TAB Anti-Histamines Desloratadine 2.5mg/5ml 720028 NEOCLARITYNE 2.5MG/5ML Clinical motivation if prescribed together with Nasal Corticosteroid Spray Patient must have tried and failed on formulary Loratadine Patient must have tried and failed on formulary Loratadine Glucocorticosteroids Beclomethasone dipropionate 50ug Aqueous 897937 CLENIL AQUEOUS NASAL SPRAY Clinical motivation if prescribed together with antihistamine tablets Glucocorticosteroids Fluticasone 50mcg 714595 FLONASE Clinical motivation if prescribed together with antihistamine tablets ALZHEIMER'S DISEASE Alzheimer's disease Donepezil HCl 10mg 722445 CURLOVON 10MG 715040 DONECEPT 10MG prescription G30 Alzheimer's disease Donepezil HCl 5mg 722444 CURLOVON 5MG 715039 DONECEPT 5MG prescription Alzheimer's disease Galantamine 8mg 714432 REMINYL CR 8MG prescription Alzheimer's disease Galantamine 16mg 714433 REMINYL CR 16MG prescription Alzheimer's disease Galantamine 24mg 714434 REMINYL CR 24MG prescription Alzheimer's disease Rivastigamine 1.5mg 848557 EXELON 1.5 MG CAPS prescription 2
Alzheimer's disease Rivastigamine 3.0mg 848565 EXELON 3.0 MG CAPS Alzheimer's disease Rivastigamine 4.5mg 848573 EXELON 4.5 MG CAPS Alzheimer's disease Rivastigamine 6.0mg 848581 EXELON 6.0 MG CAPS prescription prescription prescription Alzheimer's disease Memantine HCL 10mg 705592 EBIXA 10MG TABS 721208 MEMOR 10MG prescription Alzheimer's disease Memantine HCL 10mg/g 706181 EBIXA 10MG/G DROPS 50G prescription ANXIETY Others Buspirone HCl 10mg 825719 PASRIN 10MG TAB F41 SSRI Fluoxetine 20mg 894303 DEPROZAN 20MG 840653 NUZAK 20MG ATTENTION DEFICIT DISORDER (ADHD) Only for patients under 18 years of age SSRI Citalopram hydrobromide 20mg 713583 ARROW CITALOPRAM 702769 TALOMIL 20MG SSRI Paroxetine 20mg 705122 SERRAPRESS 20MG 705633 XET 20MG Beta-blockers Propranolol 40mg 806560 INDOBLOK 40MG TAB Others Methylphenidate HCl 10mg 761044 RITALIN 10MG TABS 702505 METHYLPHENIDATE HCL- DOUGLAS (If linked to any other Psychiatric conditions) Benzodiazepines will not be considered (If linked to any other Psychiatric conditions) Benzodiazepines will not be considered (If linked to any other Psychiatric conditions) Benzodiazepines will not be considered (If linked to any other Psychiatric conditions) Benzodiazepines will not be considered (If linked to any other Psychiatric conditions) Benzodiazepines will not be considered Paediatrician/Neurologist/Psyc hiatrist prescription. 3
F90 Others Methylphenidate HCl 20mg 701627 RITALIN LA 20MG CAPS Others Methylphenidate HCl 18mg 704161 CONCERTA 18MG Paediatrician/Neurologist/Psyc hiatrist prescription. Motivation, including history of therapy,. Paediatrician/Neurologist/Psyc hiatrist prescription. Others Methylphenidate HCl 27mg 714559 CONCERTA 27MG Motivation, including history of therapy,. Paediatrician/Neurologist/Psyc hiatrist prescription. Others Methylphenidate HCl 36mg 704162 CONCERTA 36MG Others Methylphenidate HCl 54mg 704163 CONCERTA 54MG Motivation, including history of therapy,. Paediatrician/Neurologist/Psyc hiatrist prescription. Motivation, including history of therapy,. Paediatrician/Neurologist/Psyc hiatrist prescription. Behcet's Disease M35.2 Immunosuppressants Azathioprine 50mg 712609 AZATHIOPRINE PCH 50MG TABS 701252 AZAMUM 50MG TABS Topical Cortico-steroids Hydrocortisone 25g 720011 DILUCORT CREAM 720038 DILUCORT CREAM Topical Cortico-steroids Hydrocortisone 1g/100g 745472 MYLOCORT 1MG/100MG CREAM 745448 Topical Cortico-steroids Betamethasone 1mg/g 833037 TOPIVATE 1MG/MG CREAM 708348 Topical Cortico-steroids Betamethasone 0.1% 800171 LENOVATE 0.1% OINT 800163 Corticosteroids Hydrocortisone 10mg 716693 COVOCORT 10MG Corticosteroids Fludrocortisone, 0.1mg 726540 FLORINEF 0.1MG Corticosteroids Prednisone 5mg 788783 BE-TABS PREDNISONE 5MG Corticosteroids Hydrocortisone 10mg 716693 COVOCORT 10MG Corticosteroids Fludrocortisone, 0.1mg 726540 FLORINEF 0.1MG Cytostatic Cyclophosphomide 50mg 723274 ENDOXAN 50MG Cytostatic Methotrexate 2.5 742465 METHOTREXATE 2.5MG Other Chloroquine phosphate 794333 PLASMOQUINE 200MG Anti-gout Colchicine 0.5mg 715271 LENNON-COLCHICINE 0.5MG Corticosteroid Eye drops Dexamethasone 1mg/ml 740446 MAXIDEX 1MG/ML 5ML DROPS MYLOCORT 1MG/100MG OINT BETNOVATE 1MG/MG OINTMENT LENOVATE 0.1% CREAM 4
Corticosteroid Eye drops Prednisolone 10mg/ml 756458 PRED-FORT 5ML DROPS DEPRESSION, MAJOR F33 Mono-Amine Oxidase Mono-Amine Oxidase Moclobemide 150mg Moclobemide 300mg 703544 CLORIX 150MG TAB 703547 CLORIX 300MG TAB Citalopram hydrobromide 20mg 713583 ARROW CITALOPRAM 702769 TALOMIL 20MG 1st Line Agent. Fluoxetine HCI 20mg cap 894303 DEPROZAN 20MG 840653 NUZAK 20MG 1st Line Agent. Paroxetine 20mg 705122 SERRAPRESS 20MG 705633 XET 20MG 1st Line Agent. Escitalopram 10mg 710303 LEXAMIL 10MG 718743 ZITOLEX 10mg 2nd Line Agent. Therapy must be initiated by a Serotonin and Noradrenaline re-uptake Serotonin and Noradrenaline re-uptake Serotonin and Noradrenaline re-uptake Serotonin and Noradrenaline re-uptake Escitalopram 20mg 710304 LEXAMIL 20MG 718744 ZITOLEX 20MG Sertraline 50mg 719972 DYNA-SERTRALINE 50MG 705420 SERDEP 50MG TAB Sertraline 100mg 719973 DYNA-SERTRALINE 100MG 715935 SERDEP100MG TAB Venlafaxine HCL 37.5mg Venlafaxine HCL 37.5mg 710972 ODIVEN 37.5MG TABS 719402 ADCO VENLAFAXINE XR 37.5MG 706399 VENLOR XR 37.5MG Venlafaxine HCL 75mg 706402 VENLOR XR 75MG 718361 VENLAFAXINE UNICORN XR 75mg Venlafaxine HCL 150mg 706404 VENLOR XR 150MG 718362 VENLAFAXINE UNICORN XR 150mg Tricyclics Amitriptyline HCI 25mg 784230 TREPILINE 25MG TAB 718746 Tricyclics Clomipramine HCI 10mg 847410 EQUINORM 10MG Tricyclics Clomipramine HCI 25mg 703381 CLOMIDEP 25MG Tricyclics Dothiepin HCI 25mg 800198 THADEN 25MG CAPS Tricyclics Dothiepin HCI 75mg 800201 THADEN 75MG CAPS Tricyclics Imipramine HCI 10mg 724661 ETHIPRAMINE 10MG TAB Tricyclics Imipramine HCI 25mg 724688 ETHIPRAMINE 25MG TAB GULF AMIRIPTYLINE 25MG 2nd Line Agent. Therapy must be initiated by a 5
Other Bupropion 150mg 704070 WELLBUTRIN SR 150MG TAB Other Bupropion 300mg 711009 WELLBUTRIN XL 300MG TAB Other Mirtazapine 15mg 721209 MIRADEP 15MG 710802 MYLAN-MIRTAZAPINE 15MG Other Mirtazapine 30mg 721210 MIRADEP 30MG 710803 MYLAN-MIRTAZAPINE 30MG Anti-epileptics Lamotrigine 25mg 709539 DYNA-LAMOTRIGINE 25MG Psych motivation Psych motivation Anti-epileptics Lamotrigine 50mg 709537 DYNA-LAMOTRIGINE 50MG 710885 LAMIDUS 50MG Anti-epileptics Lamotrigine 100mg 709540 DYNA-LAMOTRIGINE 100MG 710887 LAMIDUS 100MG Anti-epileptics Lamotrigine 200mg 709541 DYNA-LAMOTRIGINE 200MG 710888 LAMIDUS 200MG Anti-epileptics Topiramate 25mg 710240 ADCO-TOPIRAMATE 25MG 710899 EPITOZ 25MG TAB Anti-epileptics Topiramate 50mg 710241 ADCO-TOPIRAMATE 50MG 710900 EPITOZ 50MG TAB Anti-epileptics Topiramate 100mg 710242 ADCO-TOPIRAMATE 100MG 710901 EPITOZ 100MG TAB Anti-epileptics Topiramate 100mg 710243 ADCO-TOPIRAMATE 200MG Anti-psychotics Risperidone 1mg 717997 RISNIA 1MG 711512 ZOXADON 1MG Psych motivation Anti-psychotics Risperidone 2mg 717998 RISNIA 2MG 711513 ZOXADON 2MG Psych motivation Other Agomelatine 25mg 716215 VALDOXANE 25MG TAB ECZEMA Emoliients and Lotion Aqueous Cream 400g 711963 EPI-MAX JUNIOR L20.9 Emoliients and Lotion Aqueous Cream 500g 723800 Epizone A L30.9 Emoliients and Lotion Emulsifying ointment 500g 883164 UNG EMULSIFICANS Limited to 400 gram per month Limited to 500 gram per month Limited to 500 gram per month Emoliients and Lotion Emulsifying ointment 500g 727797 EPIZONE E Limited to 500g per month Cortico-steroids Hydrocortisone 25g 720011 DILUCORT CREAM 720038 DILUCORT OINTMENT Cortico-steroids Hydrocortisone 1g/100g MYLOCORT 1GM/100GM 745472 745448 MYLOCORT CREAM 1GM/100GM OINT Cortico-steroids Betamethasone 1mg/g 833037 TOPIVATE 1MG/GM CREAM BETNOVATE 1MG/GM 708348 OINTMENT Cortico-steroids Betamethasone 0.1% 800171 LENOVATE 0.1% OINT LENOVATE 0.1% 800163 CREAM Cortico-steroids Methylprednisolone 1mg/g 793108 ADVANTAN CREAM 793086 ADVANTAN OINTMENT Limited to 30g per month Cortico-steroids Methylprednisolone 1mg/g 793116 ADVANTAN FATTY OINT Limited to 30g per month 6
Anti-Histamines Chlorpheniramine 2mg/5ml SYR 702145 ALLERGEX 2MG/5ML SYR Anti-Histamines Chlorpheniramine 4mg 702072 ALLERGEX 4mg tablet 702129 ALLERHIST 4MG CAP Anti-Histamines Chlorpheniramine 4mg 703162 RHINETON 4MG TABS Fungicide Selenium 25mg/ml 763179 SELSUN SHAMPOO 2.5% Limited to 100ml per month Topical Cortico-steroids Fluocinolone 0.25mg/g 768294 SYNALAR GEL 0.25MG/G Limited to 30g per month Cortico-steroids Betamethason 1mg/g 824208 BETNOVATE SCALP Limited to 30ml per month GASTRO- OESOPHAGEAL REFLUX DISEASE Histamine-2 receptor antagonists Cimetidine 200mg 854247 CIMLOK 200MG Gastroscopy results - K21 Histamine-2 receptor antagonists Cimetidine 200mg 886978 BIO-CIMETIDINE 200MG Gastroscopy results - Histamine-2 receptor antagonists Cimetidine 400mg 854255 CIMLOK 400MG Gastroscopy results - Histamine-2 receptor antagonists Cimetidine 400mg 887003 BIO-CIMETIDINE 400MG Gastroscopy results - Histamine-2 receptor antagonists Ranitidine HCI 150mg 712134 AUSTAC 150MG Gastroscopy results - Histamine-2 receptor antagonists Ranitidine HCI 300mg 712135 AUSTAC 300MG Gastroscopy results - Proton pump Lansoprazole 15mg 708052 LANCAP 15MG Gastroscopy results - Proton pump Lansoprazole 30mg 708053 LANCAP 30MG Gastroscopy results - Proton pump Omeprazole 10mg 703461 OMEZ 10MG Proton pump Omeprazole 20mg 704629 NOZER 20mg Proton pump Pantoprazole 20mg 715610 PANTOCID 20MG 715610 PANTOCID 20MG Proton pump Pantoprazole 40mg 708031 PANTOCID 40MG 708031 PANTOCID 40MG Gastroscopy results - Gastroscopy results - Gastroscopy results - Gastroscopy results - 7
GOUT Anti-gout Colchicine 0.5mg 715271 LENNON-COLCHICINE 0.5MG Only if associated with Diabetes or Hypertension M10.99 Anti-gout Allopurinol 300mg 758329 PURICOS 300MG TABS Only if associated with Diabetes or Hypertension Anti-gout Allopurinol 100mg 758310 PURICOS 100MG TABS Only if associated with Diabetes or Hypertension Hyperfunction of Pituitary Gland Hormone Cabergoline 0.5mg 842109 DOSTINEX 0.5MG TAB E22.8 Hormone Quinagolide 150mcg 829048 NORPROLAC 150MCG TAB Hormone Quinagolide 75mcg 829021 NORPROLAC 75MCG TABS Hormone Bromocriptine 2.5mg 845639 APO-BROMOCRIPTINE 2.5MG 704593 ASPEN BROMOCRIPTINE 2.5MG prescription prescription prescription prescription INSOMNIA Others Zolpidem 10mg 703986 ZOLNOXS G47.0 Others Zopiclone 7.5mg 700722 ZOPIVANE 7.5MG TAB (If linked to Psychiatric PMB Condition ONLY) (If linked to Psychiatric PMB Condition ONLY) MIGRAINE(Prophylaxis ONLY) Anti-Migraine agents Clonidine HCl 0.025mg 788317 MENOGRAINE 0.025MG G43 Beta-receptor blockers Propranolol HCl 10mg 806552 INDOBLOK 10MG Beta-receptor blockers Propranolol HCl 40mg 806560 INDOBLOK 40MG Tricyclics Amitriptyline HCI 25mg 784230 TREPILINE 25MG TAB 718746 Tricyclics Imipramine HCI 10mg 724661 ETHIPRAMINE 10MG TAB Tricyclics Imipramine HCI 25mg 724688 ETHIPRAMINE 25MG TAB GULF AMIRIPTYLINE 25MG Obsessive Compulsive Disorder F42 Citalopram hydrobromide 20mg 713583 ARROW CITALOPRAM 702769 TALOMIL 20MG Iniated by Fluoxetine HCI 20mg cap 894303 DEPROZAN 20MG 840653 NUZAK 20MG Iniated by Paroxetine 20mg 705122 SERRAPRESS 20MG 705633 XET 20MG Iniated by Escitalopram 10mg 710303 LEXAMIL 10MG 718743 ZITOLEX 10mg Iniated by Escitalopram 20mg 710304 LEXAMIL 20MG 718744 ZITOLEX 20MG Iniated by Sertraline 50mg 719972 DYNA-SERTRALINE 50MG 705420 SERDEP 50MG TAB Iniated by 8
Sertraline 100mg 719973 DYNA-SERTRALINE 100MG 715935 SERDEP100MG TAB Iniated by OSTEOARTHRITIS Analgesic and Antipyretics Paracetamol 500mg tab 745723 NAPAMOL 500MG TAB M15 Diclofenac sod. 100mg Diclofenac sod. 100mg Diclofenac sod 25mg Diclofenac sod 50mg tab Indomethacin 25mg Ibuprofen 200mg Ibuprofen 400mg Ibuprofen 600mg Naproxen 250mg Naproxen 500mg 827592 PANAMOR SR 100MG TAB 706314 DIFEN SR 100MG 786012 MERCK-DICLOFENAC 25MG 786020 MERCK-DICLOFENAC 50MG 704725 ARTHREXIN 25MG 824852 RANFEN 200MG 701654 RANFEN 400MG 782807 SANDOZ IBUPROFEN 600MG TAB 806447 NAPFLAM 250MG 808474 NAPFLAM 500MG Selective COX2 Meloxicam 15mg 704828 FLEXOCAM 15MG 711325 Selective COX2 Meloxicam 7.5mg 704829 FLEXOCAM 7.5MG 711324 ARROW MELOXICAM 15MG ARROW MELOXICAM 7.5MG Specific COX2 - COXIB Etoricoxib 60mg 709108 ARCOXIA 60MG TAB Motivation indicating the risk factors considered for their use over conventional antiinflammatory therapy OSTEOPOROSIS Biphosphonates Alendronate 10mg 703937 OSTEOBON 10MG TAB 715713 OSTENA M80 Biphosphonates Alendronate 70mg 715712 OSTENA 718742 FEMAX 70MG TAB Biphosphonates Alendronate 70mg; Cholecalciferol 70ug 721628 FOSAVANCE 70MG TAB Biphosphonates Ibandronic acid 150mg tab 721721 BONIVA 150MG TAB Vitamin D2 Ergocalciferol 50 000iu 71640 CALCIFEROL Calcium Calcium carbonate 1250mg; Vitamin D3 400iu factors factors factors factors 889211 B-CAL-D TAB Only in proven osteoporosis 9
Selective oestrogen receptor modulators Raloxifene HCl 60mg 847461 EVISTA 60MG Dual action bone agents Strontium ranelate 705534 PROTOS 2g/sachet Paget's Disease Biphosphonates Alendronate 10mg 703937 OSTEOBON 10MG TAB M88 Biphosphonates Alendronate 70mg 715712 OSTENA 718742 FEMAX 70MG TAB Biphosphonates Alendronate 70mg; Cholecalciferol 70ug 721628 FOSAVANCE 70MG TAB Biphosphonates Ibandronic acid 150mg tab 721721 BONIVA 150MG TAB Vitamin D2 Ergocalciferol 50 000iu 71640 CALCIFEROL Calcium Calcium carbonate 1250mg; Vitamin D3 400iu 889211 B-CAL-D TAB Selective oestrogen receptor modulators Raloxifene HCl 60mg 847461 EVISTA 60MG Dual action bone agents Strontium ranelate 705534 PROTOS 2g/sachet PSORIASIS Emoliients and Lotion Aqueous Cream 400g 711963 EPI-MAX JUNIOR L40 Emoliients and Lotion Aqueous Cream 500g 723800 Epizone A Emoliients and Lotion Emulsifying ointment 500g 883164 UNG EMULSIFICANS factors factors factors factors factors factors factors factors Limited to 400 gram per month Limited to 500 gram per month Limited to 500 gram per month Emoliients and Lotion Emulsifying ointment 500g 727797 EPIZONE E Limited to 500g per month Cortico-steroids Hydrocortisone 25g 720011 DILUCORT CREAM 720038 DILUCORT OINTMENT Cortico-steroids Hydrocortisone 1g/100g 745472 MYLOCORT 1GM/100GM CREAM 745448 MYLOCORT 1GM/100GM OINT BETNOVATE 1MG/GM Cortico-steroids Betamethasone 1mg/g 833037 TOPIVATE 1MG/GM CREAM 708348 OINTMENT LENOVATE 0.1% Cortico-steroids Betamethasone 0.1% 800171 LENOVATE 0.1% OINT 800163 CREAM Cortico-steroids Cortico-steroids Cortico-steroids Calcipotriol 50mcg, betamethasone dipropiante 0,5mg/g Betamethasone [as dipropionate] 0;5mg; salicylic acid 20mg/g Betamethasone [as dipropionate] 0;5mg; salicylic acid 30mg/g 717191 XAMIOL GEL 828726 DIPROSALIC LOTION 720380 DIPROSALIC OINT Cortico-steroids Betamethasone as valerate 824208 BETNOVATE SCALP LOTION prescription. Limited to 30gram per month prescription prescription prescription 10
Cortico-steroids Clobetasol 0.5mg/g 807249 DOVATE 0.5MG/G CREAM Cortico-steroids Clobetasol 0.5mg/g 807230 DOVATE 0.5MG/G OINTMENT Dermatologicals Calcipotriol 837393 DOVONEX SCALP Dermatologicals Coal tar 835595 POLYTAR prescription prescription prescription prescription Dermatologicals Coal tar 707906 EPIZONE LPC CREAM Dermatologicals Coal tar 772615 TRITAR SHAMPOO prescription Dermatologicals Coal tar 885596 COAL TAR SOLUTION Dermatologicals Tazarotene 0.05% 837474 ZORAC 0.05% GEL Sjögren's Disease Analgesics Paracetamol 500mg 745723 Napamol 500mg 5 Aminosalycilic acid M35.0 derivative Sulphasalazine 500mg 762008 Salazopyrin 500mg 5 Aminosalycilic acid derivative Sulphasalazine 500mg 762016 Salazopyrin EN 500 Corticosteroids Prednisone 5mg 788783 Be-tabs prednisone Cytostatic Methotrexate 2.5 742465 Methotrexate 2.5mg Immunosuppressive Azathioprine 50mg 701252 Azamun 50mg Immunosuppressive Chloroquine 200mg 794333 Plasmoquine 200mg NSAID'S Indomethacin 100mg 704741 Arthrexin 100mg supp. NSAID'S Indomethacin 25mg 787833 Betacin 25mg NSAID'S Ibuprofen 200mg 824852 Ranfen 200mg 704725 Arthrexin 25mg NSAID'S Ibuprofen 400mg 701654 Ranfen 400mg NSAID'S Ibuprofen 600mg 782807 Sandoz ibuprofen 600 mg Selective COX II Meloxicam 15mg 704828 Flexocam 15mg Selective COX II Meloxicam 7.5mg 704829 Flexocam 7.5mg 711325 NSAID'S Naproxen 250mg 806447 Napflam 250mg 711324 NSAID'S Naproxen 500mg 808474 Napflam 500mg Arrow Meloxicam 15mg Arrow Meloxicam 7.5mg prescription 11
NSAID'S Diclofenac 25mg 752371 Panamor 25mg NSAID'S Diclofenac 50mg 752398 Panamor 50mg NSAID'S Diclofenac SR 100mg 827592 Panamor sr Vitamins Folic acid 5mg 810967 Be-tabs folic 5mg Other Ophthalmics Other Ophthalmics White petrolatum 573mg; minoil 425mg; lanolin alcohols 2mg/g Dextran-70 1mg; hydroxypropyl methylcellulose 3mg/ml 721719 Duratears 3.5G eye oint 817562 Tears Naturale eye drops 12