MANNER OF DISPENSING: Republic of the Philippines Office of the President PHILIPPINE DRUG ENFORCEMENT AGENCY 2 ND Floor PDEA Bldg. NIA Northsite Road National Government Center, Brgy. Pinyahan, Quezon City 927-9702 Loc 144/197/198 GUIDE TO MEDICAL/ PARAMEDICAL PRACTITIONERS LIST OF DANGEROUS DRUGS PREPARATIONS To be purchased through a LOCAL PURCHASE ORDER FORM duly approved by the Philippine Drug Enforcement Agency. To be dispensed through a Special DOH Prescription Form (Yellow Rx) of a PDEA licensed prescribing physician, dentist & veterinarian. Only one dangerous drug preparation shall be prescribed in one single prescription form. STRICTLY NO REFILL. MANNER OF RECORDING: To be recorded in the Dangerous Drugs Record Book (DDRB) to be registered prior to use or a computer generated print out certified to be true copy by the authorized pharmacist. LICENSE REQUIRED: Prescribing Physician/Dentist/Veterinarian Dealer of Dangerous Drug Preparations (DDPs) Current S-2 License Number Current S-5I/ S-4/ S-3 License Number NATURE OF PREPARATION DRUG CONTENT DISTRIBUTOR/IMPORTER/ MANUFACTURERE * Anxionil Ampule 2mL Diazepam 5mg/mL United Lab., Inc. Codipront N Capsule Codeine 30mg Concerta Tablet Methylphenidate 18mg 36mg Johnson & Johnson/ Demerol Ampule 2mL Pethidine HCl 50mg/mL Abbott/ AB Sandoval Demerol Vial 30mL Pethidine HCl 50mg/mL Abbott/ AB Sandoval * Diazepam Ampule 2mL Diazepam 5mg/mL JERRMED/ Phil. Pharmawealth Endure Medical, Inc * Dormicum Ampule 5mL Midazolam 1mg/mL Roche / * Dormicum Ampule Midazolam 5mg/mL Roche / 1mL, 3mL Durogesic Patch Fentanyl Citrate 25mcg, 50mcg Johnson & Johnson/ / Alstar Fentanyl Citrate Ampule 2mL Fentanyl Citrate 50mcg/mL Abbott/ AB Sandoval * Lorcam Ampule 2mL Diazepam 5mg/mL Lord & Lady Sales * Luminal Sodium Amp 1Ml Phenobarbital Sodium 130mg/mL Abbott/ page 1/6 (Sep 2005)
M-Dolor Controlled- Release Morphine Sulfate 10 mg,30 Hexal Phils.Inc., Diethem Tablet mg, 60 mg (Phils.)Inc. * Midazolam Ampule 1mL, 5mL Midazolam 5mg/mL Baxter Phils./ * Midazolam Ampule 5mL Midazolam 1mg/Ml Pfizer, Inc./ Zuellig Pharam Int l Apex Pharm l * Midazolam Ampule1ml,3ml Midazolam 5 mg/ml United Lab.,Biomedis * Midazolam Ampule 1mL 5mL, 10mL * Midazolam Ampule 1mL, 3mL Morphine Sulfate Tablet Morphine Sulfate Ampule 1mL MST Continus Tablet Oxycontin Tablet Midazolam 5mg/mL Midazolam 5mg/mL Morphine Sulfate 10mg, 20mg 30mg Morphine Sulfate 1/4gr (16mg) 1/6gr (10mg) Morphine Sulfate 10mg, 30mg, 60mg, 100mg Oxycodone 10mg, 20mg, 40mg, 80mg Pfizer, Inc./ Intn l Apex Pharm l Hizon Lab./ Medecia/ Orbimjay Hizon Lab./ Medecia/ Orbimjay ADP Pharma/ ADP Pharma/ Pethidine Ampule 1mL/2mL Pethidine HCl 50mg/mL Int l Apex Pharm l Pentobrim Vial Thiopental 500mg Duopharma/ Apotek-Asia Pentothal Sodium Vial Thiopental 1gm Abbott/ Relimal CR Tab Morphine Sulfate 10mg, 30mg, Marketlink/Metro Drug Corp 60mg Ritalin Tablet Methylphenidate HCl 10mg Novartis/ Sublimaze Ampule 2mL, 10mL Fentanyl Citrate 50mcg/mL Johnson & Johnson/ /Alstar Sufenta Amp 1mL Sufentanil 50mcg/mL Johnson & Johnson/ * Trankil Ampule 2mL Diazepam 5mg/mL Duopharma Trade Phils. * Valium Ampule 2 Diazepam 5mg/mL Roche/ *Pursuant to Board Resolution No.8,s.2004. 2/6 (as of Sep 2005)
Republic of the Philippines Office of the President PHILIPPINE DRUG ENFORCEMENT AGENCY 2 ND Floor PDEA Bldg. NIA Northsite Road National Government Center, Brgy. Pinyahan, Quezon City 927-9702 Loc 144/197/198 MANNER OF DISPENSING: GUIDE TO MEDICAL/ PARAMEDICAL PRACTITIONERS LIST OF DANGEROUS DRUGS PREPARATIONS To be dispensed through Personalized Prescription Form issued by PDEA licensed prescribing physician, dentist & veterinarian wherein the name, address, current PTR, PRC and Dangerous Drugs License (S-2) of the practitioner; name and address of the patient are indicated. Only one drug preparation shall be prescribed in one single prescription in triplicate copy. STRICTLY NO REFILL. MANNER OF RECORDING: To be recorded in the Dangerous Drugs Record Book (DDRB) to be registered prior to use or a computer generated print out certified to be true copy by the authorized pharmacist.. LICENSE REQUIRED: Prescribing Physician/Dentist/Veterinarian Dealer of Dangerous Drug Preparations (DDP/s) Current S-2 License Number Current S5I/ S-4/ S-3/S1 License Number NATURE OF PREPARATION DRUG CONTENT DISTRIBUTOR/IMPORTER/ MANUFACTURERE Altraxic Tablet Alprazolam 250mcg, 500mcg PNF Pharm l Inc Anxionil Tablet Diazepam 2mg, 5mg United Lab., Inc. Codipront N Suspension Codeine 11mg/5mL Dalmane Capsule Flurazepam 15mg ICN Phils./ Dormicum Tablet Midazolam 15mg Roche/ Duromine Capsule Phentermine Resin 15mg/ 30mg 3M/ Metro Drug Corp. Esilgan Tablet Estazolam 1mg / Boie Takeda Swiss Pharma Ionamin Capsule Phentermine Resin 15mg/30mg Pfizer/ Lexotan Tablet Bromazepam 1.5mg Roche/ Librax Tablet Chlordiazepoxide 5mg ICN Phils./ Limbitrol Capsule Chlordiazepoxide 5mg ICN Phils./ Lomotil Tablet Diphenoxylate HCl 2.5mg Pfizer/ Mazindol Tablet Mazindol 500 mcg,1 mg,2 mg. St. Carlos Pharma/ e.l. Labs., Inc page 3/6 (as of Sep 2005) Mazindol Capsule Mazindol 2 mg. St. Carlos Pharma/ e.l. Labs., Inc
Phenobarbital Tablet Phenobarbital ¼gr, ½gr 1gr, 1 ½gr Philusa Corp/ Gen Drug & Chemical Co. Phentermine HCl Capsule Phentermine HCl 15mg, 30mg St. Carlos Pharma/ e.l. Labs., Inc Rivotril Tablet Clonazepam 2mg Roche/ Stilnox Tablet Zolpidem 10mg Sanofi-Synthelabo/ Metro Drug Corp. Tranxene Capsule Dipotassium Chlorazepate 5mg Sanofi-Synthelabo/ Metro Drug Corp. Trazepam Tablet Diazepam 2mg, 5mg, 10mg United Lab. Inc. Valzep Tablet Diazepam 5mg San Marino Lab., Inc. Xanor Tablet Alprazolam 250mcg, 500mcg, 1mg Pfizer, Inc./ page 4/6 (as of Sep 2005)
Republic of the Philippines Office of the President PHILIPPINE DRUG ENFORCEMENT AGENCY 2 ND Floor PDEA Bldg. Pinyahan, Quezon City 927-9702 loc 144/197/198 GUIDE TO MEDICAL/ PARAMEDICAL PRACTITIONERS LIST OF Drug Preparations cont g. Table I Controlled Chemicals (1988 UN Convention Against Illicit Traffic in Narcotic Drugs & Psychotropic Substances ) MANNER OF DISPENSING: To be dispensed through Personalized Prescription issued by a PDEA licensed prescribing physician, dentist & veterinarian wherein the name, address, current PTR and Dangerous Drugs License (S-2) of the practitioner; name and address of the patient are indicated. Only one drug preparation shall be prescribed in one single prescription form. STRICTLY NO REFILL. MANNER OF RECORDING: To be recorded in the Additional Dangerous Drugs Record Book (ADDRB) to be registered prior to use or a computer generated print out certified to be true copy by the authorized pharmacist. LICENSE REQUIRED: Prescribing Physician/Dentist/Veterinarian Dealer of Table I Drug Preparations Current S-2 License Number Current S-5I/S4//S-3/S-1 License Number NATURE OF PREPARATION DRUG CONTENT DISTRIBUTOR/IMPORTER/ MANUFACTURERE Avamigram Tab Ergotamine Tartrate 1mg Asta Medica/ Clarinase Tablet Pseudoephedrine SO4 120mg Schering-Plough/ Clarinase Syrup 60mL Pseudoephedrine SO4 12mg/5mL Schering-Plough/ Ephedrine Sulfate Amp 1mL Ephedrine Sulfate 50mg Hizon Lab/ Quinosil lab/ Medecia/ Orbimjay LBS Methylergometrine Amp Mergotrex Amp Methergin Amp/ Tab Methylergometrine Hydrogen Maleate 125mcg/tab Doupharma Pharm l Corp. Novartis Healthcare Phils. page 5/6 (as of Sep 2005) Methylergometrine Amp Mexytrine Tab 125mcg/mL EuroHealth/ IAE * Nalbuphine Amp 1mL Nalbuphine HCl 10mg/mL Nalbuphine HCl 10mg/mL Abbott/
* Nalbuphine Amp 1mL, 10mL Nalbuphine HCl 10mg/mL Intn l Apex Pharm l * Nubain Amp 1mL Nalbuphine HCl 10mg/mL The Boots Co./ Rhinase Tablet Pseudoephedrine SO4 120mg Essex/ Rhinase Syrup 60mL Pseudoephedrine SO4 12mg/5mL Essex/ Stimutrine Amp Astrapin Usamema Tab Methylergometrine 125mcg Icon * Not included in the list of Dangerous Drugs,Dangerous Drugs Prepn/s&/or Drug Prepn/s cont g Table 1 Controlled Chemicals to be prescribed through ordinary prescription with S-2 license of a practitioner. page 6/6 (as of Sep 2005)