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DRUG CLASS GROUP NAPPI FORMULARY PRODUCT ACTIVE INGREDIENT COMMENTS

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DRUG CLASS GROUP NAPPI FORMULARY PRODUCT ACTIVE INGREDIENT COMMENTS

ANALGESICS Analgesic and Antipyretics 720577 DISPRIN Acetylsalicylic acid EFT

ANALGESICS Analgesic and Antipyretics 706930 BAYER ASPIRIN Acetylsalicylic acid TAB ANALGESICS Analgesic and Antipyretics 700909 GULF ASPIRIN Acetylsalicylic acid 300MG TAB

ANALGESICS Analgesic and Antipyretics 705266 DENTOPAIN Ibuprofen, combinations CAP

ANALGESICS Analgesic and Antipyretics 705264 DENTOPAIN FORTE Ibuprofen, combinations CAP

ANALGESICS Analgesic and Antipyretics 704606 GEN-PAYNE Ibuprofen, combinations CAP

ANALGESICS Analgesic and Antipyretics 704791 MYBULEN Ibuprofen, combinations CAP

ANALGESICS Analgesic and Antipyretics 705245 MYBULEN Ibuprofen, combinations SUS

ANALGESICS Analgesic and Antipyretics 703719 IBUMOL Ibuprofen, combinations TAB

ANALGESICS Analgesic and Antipyretics 704586 IBUPAIN Ibuprofen, combinations 450MG CAP

ANALGESICS Analgesic and Antipyretics 704587 IBUPAIN FORTE Ibuprofen, combinations 460MG CAP ANALGESICS Analgesic and Antipyretics 807435 PONSTAN PAED SUPP Mefenamic acid 125MG SPP ANALGESICS Analgesic and Antipyretics 883102 ADCO-MEFENAMIC ACID Mefenamic acid 250MG CAP

ANALGESICS Analgesic and Antipyretics 797707 FENAMIN Mefenamic acid 250MG CAP

ANALGESICS Analgesic and Antipyretics 875643 ADCO-MEFENAMIC ACID Mefenamic acid 50MG/5ML SUS

ANALGESICS Analgesic and Antipyretics 797014 FENAMIN Mefenamic acid 50MG/5ML SUS

ANALGESICS Analgesic and Antipyretics 793264 PONAC Mefenamic acid 50MG/5ML SUS

ANALGESICS Analgesic and Antipyretics 704093 ACTAMOL RED (UN-BOXED) Paracetamol 120MG/5ML SYR ANALGESICS Analgesic and Antipyretics 863742 FEVERPAIN (BOXED) Paracetamol 120MG/5ML SYR The formulary is subject to regular review. CareCross Health reserves the right to update and change the formulary when new information becomes available, prices change or when new medicines are released.

While every effort has been made to ensure that products listed are available on the market, it is possible that some products may be discontinued by the manufacturers during the course of the year.

ONECARE HEALTH

ACUTE MEDICINE FORMULARY

2016

Reference pricing is applied. If a product is prescribed that is more expensive than the reference price, the patient will need to pay the difference in price at the point of dispensing.

Quantity limits apply to some items on this formulary. Quantities in excess of this limit will need to be funded by the member at the point of dispensing, unless an authorisation has been obtained for a greater quantity.

The examples below serve as a guide to the prescriber. Other generic products not specifically listed will be reimbursed in full if the price falls within the reference price range for that group.

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ANALGESICS Analgesic and Antipyretics 704450 PAINOGESIC Paracetamol 120MG/5ML SYR

ANALGESICS Analgesic and Antipyretics 758558 PYRALEN Paracetamol 120MG/5ML SYR

ANALGESICS Analgesic and Antipyretics 819697 EMPAPED Paracetamol 125MG SPP

ANALGESICS Analgesic and Antipyretics 819700 EMPAPED Paracetamol 250MG SPP

ANALGESICS Analgesic and Antipyretics 745723 ADCO-NAPAMOL Paracetamol 500MG TAB

ANALGESICS Analgesic and Antipyretics 757403 ADCO-PROLIEF Paracetamol 500MG TAB

ANALGESICS Analgesic and Antipyretics 805467 ANTALGIC Paracetamol 500MG TAB

ANALGESICS Analgesic and Antipyretics 799629 PAINAMOL (GREEN) Paracetamol 500MG TAB

ANALGESICS Analgesic and Antipyretics 894289 ADCO-KIDDIPAYNE Paracetamol, combinations SYR

ANALGESICS Analgesic and Antipyretics 793566 GOLDGESIC Paracetamol, combinations SYR

ANALGESICS Analgesic and Antipyretics 732753 INFAPAIN FORTE Paracetamol, combinations SYR

ANALGESICS Analgesic and Antipyretics 836605 KID-EEZE Paracetamol, combinations SYR

ANALGESICS Analgesic and Antipyretics 833746 MEDIPYN S Paracetamol, combinations SYR

ANALGESICS Analgesic and Antipyretics 752185 PAINAGON Paracetamol, combinations SYR

ANALGESICS Analgesic and Antipyretics 807583 SALTERPYN Paracetamol, combinations SYR

ANALGESICS Analgesic and Antipyretics 766801 STILPANE Paracetamol, combinations SYR

ANALGESICS Analgesic and Antipyretics 745707 ADCO-NAPACOD 500MG/10MG Paracetamol, combinations TAB

ANALGESICS Analgesic and Antipyretics 787043 CODOROL Paracetamol, combinations TAB

ANALGESICS Analgesic and Antipyretics 707910 PAINAMOL PLUS Paracetamol, combinations TAB

ANALGESICS Analgesic and Antipyretics 894282 ADCO-PAYNE

Paracetamol, combinations with psycholeptics TAB

ANALGESICS Analgesic and Antipyretics 809055 ADCO-SALTERPYN

Paracetamol, combinations with psycholeptics TAB

ANALGESICS Analgesic and Antipyretics 793574 GOLDGESIC

Paracetamol, combinations with psycholeptics TAB

ANALGESICS Analgesic and Antipyretics 823538 GO-PAIN

Paracetamol, combinations with psycholeptics TAB

ANALGESICS Analgesic and Antipyretics 800325 HOPYN (BRISCOPYN)

Paracetamol, combinations with psycholeptics TAB

ANALGESICS Analgesic and Antipyretics 892662 NUCOPAIN

Paracetamol, combinations with psycholeptics TAB

ANALGESICS Analgesic and Antipyretics 789992 PYNMED

Paracetamol, combinations with psycholeptics TAB

ANALGESICS Analgesic and Antipyretics 834440 SPECTRAPAIN FORTE

Paracetamol, combinations with psycholeptics TAB

ANALGESICS Analgesic and Antipyretics 766828 STILPANE

Paracetamol, combinations with psycholeptics TAB

ANALGESICS Analgesic and Antipyretics 823511 GO-PAIN

Paracetamol, combinations120MG/5ML SYR

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ANALGESICS Others 705379 DOLOTRAM Tramadol 50MG CAP

ANALGESICS Others 705175 DOMADOL Tramadol 50MG CAP

ANALGESICS Others 706475 TRAMAZAC Tramadol 50MG CAP

ANALGESICS Others 719052 TRAMAZAC CO 37.5MG/325MG Tramadol, combinations TAB

ANTIHELMINTICS Antihelmintics 703063 ADCO-WORMEX Mebendazole 100MG TAB

ANTIHELMINTICS Antihelmintics 810533 WORMGO Mebendazole 100MG TAB

ANTIHELMINTICS Antihelmintics 845671 WORMSTOP Mebendazole 100MG TAB

ANTIHELMINTICS Antihelmintics 828297 CIPEX Mebendazole 100MG/5ML SUS

ANTIHELMINTICS Antihelmintics 845698 WORMSTOP Mebendazole 100MG/5ML SUS

ANTIHELMINTICS Antihelmintics 704656 ADCO-WORMEX Mebendazole 500MG TAB

ANTIHELMINTICS Antihelmintics 845701 WORMSTOP Mebendazole 500MG TAB

ANTIHELMINTICS Antihelmintics 717169 CYSTICIDE Praziquantel 500MG TAB

ANTIHELMINTICS Antihelmintics 708607 BILTRICIDE Praziquantel 600MG TAB

ANTIMICROBIALS Antifungal Agents 703624 ASPEN FLUCONAZOLE Fluconazole 150MG CAP

Maximum 4 capsules per month

ANTIMICROBIALS Antifungal Agents 703635 DIFLUZOLE Fluconazole 150MG CAP

Maximum 4 capsules per month

ANTIMICROBIALS Antifungal Agents 711530 MYCOREST Fluconazole 150MG CAP

Maximum 4 capsules per month

ANTIMICROBIALS Antifungal Agents 705384 MYLAN FLUCONAZOLE Fluconazole 150MG CAP

Maximum 4 capsules per month

ANTIMICROBIALS Antifungal Agents 875368 KETAZOL Ketoconazole 200MG TAB

Maximum 30 tablets per month

ANTIMICROBIALS Antiprotozoal Agents 821705 BEMETRAZOLE Metronidazole 200MG TAB

ANTIMICROBIALS Antiprotozoal Agents 784710 MEDAMET Metronidazole 200MG TAB

ANTIMICROBIALS Antiprotozoal Agents 793159 METAZOL Metronidazole 200MG TAB

ANTIMICROBIALS Antiprotozoal Agents 772216 TRICHAZOLE Metronidazole 200MG TAB

ANTIMICROBIALS Antiprotozoal Agents 726338 FLAGYL Metronidazole 200MG/5ML SUS

Only for children < 10 years of age

ANTIMICROBIALS Antiprotozoal Agents 788708 BEMETRAZOLE Metronidazole 400MG TAB

ANTIMICROBIALS Antiprotozoal Agents 793167 METAZOL Metronidazole 400MG TAB

ANTIMICROBIALS Antiprotozoal Agents 779822 METRAZOLE Metronidazole 400MG TAB

ANTIMICROBIALS Antiprotozoal Agents 783544 METROSTAT Metronidazole 400MG TAB

ANTIMICROBIALS Antiprotozoal Agents 772224 TRICHAZOLE Metronidazole 400MG TAB

ANTIMICROBIALS Antiviral Agents 704778 ACITAB-200 DT Aciclovir 200MG DSP

(4)

ANTIMICROBIALS Antiviral Agents 827282 ADCO-ACYCLOVIR Aciclovir 200MG TAB

ANTIMICROBIALS Antiviral Agents 824313 CYCLIVEX Aciclovir 200MG TAB

ANTIMICROBIALS Antiviral Agents 704779 ACITAB-400 DT Aciclovir 400MG DSP

ANTIMICROBIALS Antiviral Agents 838233 LOVIRE Aciclovir 400MG DSP

ANTIMICROBIALS Antiviral Agents 860581 CYCLIVEX Aciclovir 400MG TAB

ANTIMICROBIALS Cephalosporins 830658 VERCEF Cefaclor 187MG/5ML SUS

ANTIMICROBIALS Cephalosporins 838217 VERCEF MR Cefaclor 375MG TAB

ANTIMICROBIALS Cephalosporins 830666 VERCEF Cefaclor 375MG/5ML SUS

ANTIMICROBIALS Cephalosporins 829781 DACEF Cefadroxil 250MG/5ML SUS

ANTIMICROBIALS Cephalosporins 821519 DACEF Cefadroxil 500MG CAP

ANTIMICROBIALS Cephalosporins 829803 DACEF Cefadroxil 500MG/5ML SUS

ANTIMICROBIALS Cephalosporins 897892 CPL ALLIANCE CEPHALEXIN Cefalexin 125MG/5ML SUS

ANTIMICROBIALS Cephalosporins 860603 RANCEPH Cefalexin 125MG/5ML SUS

ANTIMICROBIALS Cephalosporins 897880 CPL ALLIANCE CEPHALEXIN Cefalexin 250MG CAP

ANTIMICROBIALS Cephalosporins 830909 RANCEPH Cefalexin 250MG CAP

ANTIMICROBIALS Cephalosporins 860611 RANCEPH Cefalexin 250MG/5ML SUS

ANTIMICROBIALS Cephalosporins 897887 CPL ALLIANCE CEPHALEXIN Cefalexin 500MG CAP

ANTIMICROBIALS Cephalosporins 837253 RANCEPH Cefalexin 500MG CAP

ANTIMICROBIALS Cephalosporins 718333 ASPEN CEFPODOXIME Cefpodoxime 100MG TAB

ANTIMICROBIALS Cephalosporins 716657 DYNA CEFPODOXIME Cefpodoxime 100MG TAB

ANTIMICROBIALS Cephalosporins 718334 ASPEN CEFPODOXIME Cefpodoxime 200MG TAB

ANTIMICROBIALS Cephalosporins 716658 DYNA CEFPODOXIME Cefpodoxime 40MG/5ML SUS

ANTIMICROBIALS Cephalosporins 710077 SANDOZ CEFUROXIME Cefuroxime 125MG/5ML SUS

ANTIMICROBIALS Cephalosporins 713006 ZEFURIME Cefuroxime 250MG TAB

ANTIMICROBIALS Cephalosporins 717992 ORCHID CEFUROXIME Cefuroxime 500MG TAB

ANTIMICROBIALS Cephalosporins 713007 ZEFURIME Cefuroxime 500MG TAB

ANTIMICROBIALS Fluoroquinolones 704777 CIPROL Ciprofloxacin 250MG TAB

ANTIMICROBIALS Fluoroquinolones 700284 CPL ALLIANCE CIPROFLOXACIN Ciprofloxacin 250MG TAB

ANTIMICROBIALS Fluoroquinolones 700516 DYNAFLOC Ciprofloxacin 250MG TAB

ANTIMICROBIALS Fluoroquinolones 701208 ORPIC Ciprofloxacin 250MG TAB

ANTIMICROBIALS Fluoroquinolones 703045 CIPROGEN Ciprofloxacin 500MG TAB

ANTIMICROBIALS Fluoroquinolones 704775 CIPROL Ciprofloxacin 500MG TAB

(5)

ANTIMICROBIALS Fluoroquinolones 701210 ORPIC Ciprofloxacin 500MG TAB

ANTIMICROBIALS Fluoroquinolones 713786 ASPEN LEVOFLOXACIN Levofloxacin 250MG TAB

ANTIMICROBIALS Fluoroquinolones 717359 TAVALOXX Levofloxacin 250MG TAB

ANTIMICROBIALS Fluoroquinolones 702524 FLOXIN Norfloxacin 400MG TAB

ANTIMICROBIALS Fluoroquinolones 717382 UTIFLOXA Norfloxacin 400MG TAB

ANTIMICROBIALS Macrolides 705100 ASPEN AZITHROMYCIN Azithromycin 500MG TAB

ANTIMICROBIALS Macrolides 717181 ZEEMIDE Azithromycin 500MG TAB

ANTIMICROBIALS Macrolides 704649 KLARITHRAN Clarithromycin 125MG/5ML SUS

ANTIMICROBIALS Macrolides 707255 KLARIZON Clarithromycin 250MG TAB

ANTIMICROBIALS Macrolides 704650 KLARITHRAN Clarithromycin 250MG/5ML SUS

ANTIMICROBIALS Macrolides 707761 KLARITHRAN MR Clarithromycin 500MG SRT

ANTIMICROBIALS Macrolides 704464 KLARITHRAN Clarithromycin 500MG TAB

ANTIMICROBIALS Macrolides 793329 BETAMYCIN Erythromycin 125MG/5ML SUS

ANTIMICROBIALS Macrolides 758396 PURMYCIN Erythromycin 125MG/5ML SUS

ANTIMICROBIALS Macrolides 758388 PURMYCIN Erythromycin 250MG CAP

ANTIMICROBIALS Macrolides 824682 XERAMEL Erythromycin 250MG CAP

ANTIMICROBIALS Macrolides 761613 RUBIMYCIN Erythromycin 250MG TAB

ANTIMICROBIALS Macrolides 758418 PURMYCIN Erythromycin 250MG/5ML SUS

ANTIMICROBIALS Macrolides 848409 XERAMEL SF Erythromycin 250MG/5ML SUS

ANTIMICROBIALS Macrolides 704614 THROSYN Roxithromycin 150MG TAB

ANTIMICROBIALS Other Antibacterial Agents 849960 CLINDAHEXAL Clindamycin 150MG CAP

ANTIMICROBIALS Penicillins 830291 MOXYPEN S Amoxicillin 125MG/5ML SUS

ANTIMICROBIALS Penicillins 830739 ZOXIL S Amoxicillin 125MG/5ML SUS

ANTIMICROBIALS Penicillins 806579 MOXYMAX Amoxicillin 250MG CAP

ANTIMICROBIALS Penicillins 744689 MOXYPEN Amoxicillin 250MG CAP

ANTIMICROBIALS Penicillins 830305 MOXYPEN SF Amoxicillin 250MG/5ML SUS

ANTIMICROBIALS Penicillins 830747 ZOXIL SF Amoxicillin 250MG/5ML SUS

ANTIMICROBIALS Penicillins 788546 BETAMOX Amoxicillin 500MG CAP

ANTIMICROBIALS Penicillins 806587 MOXYMAX Amoxicillin 500MG CAP

ANTIMICROBIALS Penicillins 744697 MOXYPEN Amoxicillin 500MG CAP

ANTIMICROBIALS Penicillins 707186 AMOCLAN S

Amoxicillin/ clavulanic acid 156,25MG/5ML SUS

ANTIMICROBIALS Penicillins 861952 AUGMAXCIL S

Amoxicillin/ clavulanic acid 156,25MG/5ML SUS

ANTIMICROBIALS Penicillins 707187 AMOCLAN SF

Amoxicillin/ clavulanic acid 312,5MG/5ML SUS

(6)

ANTIMICROBIALS Penicillins 861960 AUGMAXCIL SF

Amoxicillin/ clavulanic acid 312,5MG/5ML SUS

ANTIMICROBIALS Penicillins 707184 AMOCLAN Amoxicillin/ clavulanic acid 375MG TAB

ANTIMICROBIALS Penicillins 861936 AUGMAXCIL Amoxicillin/ clavulanic acid 375MG TAB

ANTIMICROBIALS Penicillins 705832 CURAM BD

Amoxicillin/ clavulanic acid 457MG/5ML SUS

ANTIMICROBIALS Penicillins 705471 SANDOZ CO-AMOXYCLAV BD SF

Amoxicillin/ clavulanic acid 457MG/5ML SUS

ANTIMICROBIALS Penicillins 861944 AUGMAXCIL Amoxicillin/ clavulanic acid 625MG TAB

ANTIMICROBIALS Penicillins 707408 AUSTELL-CO-AMOXICLAV Amoxicillin/ clavulanic acid 625MG TAB

ANTIMICROBIALS Penicillins 704484 AMOCLAN BID Amoxicillin/acid 1000MG TAB

ANTIMICROBIALS Penicillins 708387 BIO-AMOKSIKLAV Amoxicillin/acid 1000MG TAB

ANTIMICROBIALS Penicillins 709232 CLAMENTIN Amoxicillin/acid 1000MG TAB

ANTIMICROBIALS Penicillins 829307 BE-AMPICIL Ampicillin 125MG/5ML SUS

ANTIMICROBIALS Penicillins 784583 AMPIPEN Ampicillin 250MG CAP

ANTIMICROBIALS Penicillins 783188 BE-AMPICIL Ampicillin 250MG CAP

ANTIMICROBIALS Penicillins 809632 CLOXIN Cloxacillin 250MG CAP

ANTIMICROBIALS Penicillins 809640 CLOXIN Cloxacillin 500MG CAP

ANTIMICROBIALS Penicillins 829250 APEN S Combinations of penicillins 250MG SUS

ANTIMICROBIALS Penicillins 830208 MACROPEN S

Combinations of penicillins 250MG/5ML SUS

ANTIMICROBIALS Penicillins 797553 APEN Combinations of penicillins 500MG CAP

ANTIMICROBIALS Penicillins 797561 MACROPEN Combinations of penicillins 500MG CAP

ANTIMICROBIALS Penicillins 781231 SANDOZ FLUCLOXACILLIN Flucloxacillin 250MG CAP

ANTIMICROBIALS Penicillins 751111 BETAPEN Phenoxymethylpenicillin 125MG/5ML SUS

ANTIMICROBIALS Penicillins 780081 BETAPEN Phenoxymethylpenicillin 250MG TAB

ANTIMICROBIALS Sulfonamides 779881 CO-TRIM Cotrimoxazole SUS

ANTIMICROBIALS Sulfonamides 758221 PURBAC Cotrimoxazole SUS

ANTIMICROBIALS Sulfonamides 816337 XERAZOLE Cotrimoxazole SUS

ANTIMICROBIALS Sulfonamides 867977 NUCOTRIM Cotrimoxazole TAB

(7)

ANTIMICROBIALS Sulfonamides 782793

SANDOZ CO-TRIMOXAZOLE

800MG/160MG Cotrimoxazole TAB

ANTIMICROBIALS Sulfonamides 789836 TRIMETHOX Cotrimoxazole TAB

ANTIMICROBIALS Sulfonamides 735698 LAGATRIM Cotrimoxazole 480MG TAB

ANTIMICROBIALS Sulfonamides 758256 PURBAC DS Cotrimoxazole 960MG TAB

ANTIMICROBIALS Tetracyclines 893402 A-LENNON DOXYCYCLINE HCL Doxycycline 100MG CAP

ANTIMICROBIALS Tetracyclines 716944 CYCLIDOX Doxycycline 100MG CAP

ANTIMICROBIALS Tetracyclines 809667 DOXYCYL Doxycycline 100MG CAP

ANTIMICROBIALS Tetracyclines 884167 NUCOTET Oxytetracycline 250MG CAP

ANTIMICROBIALS Tetracyclines 751987 OXYPAN Oxytetracycline 250MG CAP

ANTIMICROBIALS Tetracyclines 703224

PHARMATET

(YELLOW/ORANGE) Oxytetracycline 250MG CAP

AUTONOMIC Anticholinergics 872253 LENDITRO Oxybutynin 5MG TAB

AUTONOMIC Anticholinergics 701893 MYLAN OXYBUTYNIN Oxybutynin 5MG TAB

BLOOD AND HAEMOPOEITIC Haematinics 835072 FERRO DROPS L Ferrous lactate DRP

BLOOD AND HAEMOPOEITIC Haematinics 705853 AUTRIN Various combinations CAP

BLOOD AND HAEMOPOEITIC Haematinics 727024 FOLIGLOBIN Various combinations TAB

CARDIOVASCULAR AGENTS Organic Nitrates 703605 ANGISED Glyceryl trinitrate 0,5MG SLT

CENTRAL NERVOUS SYSTEM Antimigraine Agents 702167 RELPAX Eletriptan 20MG TAB maximum 4 per month

CENTRAL NERVOUS SYSTEM Antimigraine Agents 702165 RELPAX Eletriptan 40MG TAB maximum 4 per month

CENTRAL NERVOUS SYSTEM Antimigraine Agents 743283 MIGRIL Ergotamine, combinations TAB maximum 10 per month

CENTRAL NERVOUS SYSTEM Antimigraine Agents 848808 NARAMIG Naratriptan 2,5MG TAB maximum 3 per month

CENTRAL NERVOUS SYSTEM Antimigraine Agents 711182 TRIPTAM Sumatriptan 100MG TAB maximum 4 per month

CENTRAL NERVOUS SYSTEM Antimigraine Agents 711181 TRIPTAM Sumatriptan 50MG TAB maximum 4 per month

CENTRAL NERVOUS SYSTEM Antimigraine Agents 897005 ZOMIG RAPIMELT Zolmitriptan 2,5MG SLT maximum 6 per month

CENTRAL NERVOUS SYSTEM Anti-Vertigo and Anti-Emetic Agents 704024 SANDOZ CINNARIZINE Cinnarizine 25MG TAB

CENTRAL NERVOUS SYSTEM Anti-Vertigo and Anti-Emetic Agents 744182 MITIL Prochlorperazine 5MG TAB

CENTRAL NERVOUS SYSTEM Anti-Vertigo and Anti-Emetic Agents 762849 SCRIPTO-METIC Prochlorperazine 5MG TAB

CENTRAL NERVOUS SYSTEM Benzodiazepines 821071 ADCO-ALZAM Alprazolam 0,25MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 823244 AZOR Alprazolam 0,25MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 897929 CPL ALLIANCE ALPRAZOLAM Alprazolam 0,25MG TAB

Maximum 60 tablets per month

(8)

CENTRAL NERVOUS SYSTEM Benzodiazepines 897965 MYLAN ALPRAZOLAM Alprazolam 0,25MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 826685 ZOPAX Alprazolam 0,25MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 821098 ADCO-ALZAM Alprazolam 0,5MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 823252 AZOR Alprazolam 0,5MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 897930 CPL ALLIANCE ALPRAZOLAM Alprazolam 0,5MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 895173 MYLAN ALPRAZOLAM Alprazolam 0,5MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 826693 ZOPAX Alprazolam 0,5MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 823260 AZOR Alprazolam 1MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 897968 MERCK-ALPRAZOLAM Alprazolam 1MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 826707 ZOPAX Alprazolam 1MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 753181 PAX Diazepam 10MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 708062 BETAPAM Diazepam 5MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 721174 DOVAL Diazepam 5MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 753173 PAX Diazepam 5MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 704482 AREM Nitrazepam 5MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 758183 PURATA Oxazepam 10MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 758191 PURATA Oxazepam 15MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 751758 SANDOZ OXAZEPAM Oxazepam 15MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 758205 PURATA Oxazepam 30MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 751766 SANDOZ OXAZEPAM Oxazepam 30MG TAB

Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Hypnotics 706737 MYLAN ZOLPIDEM Zolpidem 10MG TAB

maximum 30 tablets in 90 days

CENTRAL NERVOUS SYSTEM Hypnotics 874728 ALCHERA Zopiclone 7,5MG TAB

maximum 30 tablets in 90 days

(9)

CENTRAL NERVOUS SYSTEM Hypnotics 705115 ZOPIGEN Zopiclone 7,5MG TAB

maximum 30 tablets in 90 days

DERMATOLOGICALS Acne 863939 DIFFERIN Adapalene CRE 1 tube per month

DERMATOLOGICALS Acne 703471 SKINOREN GEL Azelaic acid JEL 1 tube per month

DERMATOLOGICALS Acne 794171 SKINOREN ACNE CREAM Azelaic acid 20% CRE 1 tube per month

DERMATOLOGICALS Acne 700221 BREVOXYL Benzoyl peroxide CRE 1 tube per month

DERMATOLOGICALS Acne 796131 CLEOCIN Clindamycin LOT 30ml per month

DERMATOLOGICALS Antibacterial Antiseptic Agents 839019 WOUND-A-SEPT (STX) Cetrimide CRE DERMATOLOGICALS Antibacterial Antiseptic Agents 715837 SUPIROBAN Mupirocin 20MG/1G OIN DERMATOLOGICALS Antibacterial Antiseptic Agents 784524 FURASEPT Nitrofural OIN

DERMATOLOGICALS Antibacterial Antiseptic Agents 805416 FUREX Nitrofural OIN

DERMATOLOGICALS Antibacterial Antiseptic Agents 871885 BIOCREAM Povidone-iodine CRE DERMATOLOGICALS Antibacterial Antiseptic Agents 821713 SEPTADINE ANTISEPTIC Povidone-iodine OIN DERMATOLOGICALS Antibacterial Antiseptic Agents 791725 BACTRAZINE Silver sulfadiazine 1% CRE DERMATOLOGICALS Antibacterial Antiseptic Agents 776300 VIODOR Various combinations CRE

DERMATOLOGICALS Antihistamines 800511

ALLERGEX MEPYRAMINE (WAS

MEPYRIMAL) Mepyramine CRE

DERMATOLOGICALS Antihistamines 897334 ALSAN Mepyramine 2% CRE

DERMATOLOGICALS Antihistamines 701102 MEPYRADERM Mepyramine 2% CRE

DERMATOLOGICALS Antihistamines 731269 HISTODOR Various combinations CRE

DERMATOLOGICALS Antiparasitics 707716 APP BENZYL BENZ BPC Benzyl benzoate LOT

DERMATOLOGICALS Antiparasitics 700205

ALPHA BENZYL BENZOATE

APPLICATION Benzyl benzoate 25% LOT

DERMATOLOGICALS Antiparasitics 885588 APP BENZYL BENZ - ALLIED Benzyl benzoate 25% SCL

DERMATOLOGICALS Antiviral Agents 824674 ADCO-ACYCLOVIR Aciclovir CRE 1 tube per month

DERMATOLOGICALS Antiviral Agents 873551 ACITOP Aciclovir 5% CRE 1 tube per month

DERMATOLOGICALS Antiviral Agents 713942 BETA-VIRA Aciclovir 5% CRE 1 tube per month

DERMATOLOGICALS Corticosteroids 878200 BECLATE CREAM Beclometasone CRE maximum 50g per month

DERMATOLOGICALS Corticosteroids 882934 REPIVATE Betamethasone 0,1% CRE maximum 50g per month

DERMATOLOGICALS Corticosteroids 833037 TOPIVATE Betamethasone 0,1% CRE maximum 50g per month

DERMATOLOGICALS Corticosteroids 701138 VARI-BETAMETHASONE Betamethasone 0,1% CRE maximum 50g per month

(10)

DERMATOLOGICALS Corticosteroids 807249 DOVATE Clobetasol 0,05% CRE maximum 50g per month

DERMATOLOGICALS Corticosteroids 807230 DOVATE Clobetasol 0,05% OIN maximum 50g per month

DERMATOLOGICALS Corticosteroids 716278 CORTODERM Fluocinolone acetonide CRE maximum 50g per month

DERMATOLOGICALS Corticosteroids 716286 CORTODERM Fluocinolone acetonide OIN maximum 50g per month

DERMATOLOGICALS Corticosteroids 807834 BIOCORT (STX) Hydrocortisone CRE maximum 50g per month

DERMATOLOGICALS Corticosteroids 826642 LINK MEZZODERM Hydrocortisone CRE maximum 50g per month

DERMATOLOGICALS Corticosteroids 810223 STOPITCH Hydrocortisone 1% CRE maximum 50g per month

DERMATOLOGICALS Corticosteroids 700445 VARI-HYDROCORTISONE Hydrocortisone 1% CRE maximum 50g per month

DERMATOLOGICALS

Corticosteroids With Anti-Infective

Age 776297 VIOCORT Hydrocortisone and antiseptics CRE

DERMATOLOGICALS Fungicides 826952 A-POR Clotrimazole CRE

DERMATOLOGICALS Fungicides 878421 CLOMADERM Clotrimazole CRE

DERMATOLOGICALS Fungicides 824011 CANEX TOPICAL Clotrimazole 1% CRE

DERMATOLOGICALS Fungicides 846422 FUNGISPOR Clotrimazole 1% CRE

DERMATOLOGICALS Fungicides 877719 COVAREX Miconazole CRE

DERMATOLOGICALS Fungicides 784966 CANSTAT Nystatin CRE

DERMATOLOGICALS Fungicides 797022 NYSTACID Nystatin OIN

DERMATOLOGICALS Fungicides 711199 TERBANE Terbinafine 1% CRE

DERMATOLOGICALS Fungicides 706073 TERBICIL Terbinafine 1% CRE

DERMATOLOGICALS Fungicides 705114 MYLAN TERBINAFINE Terbinafine 250MG TAB

DERMATOLOGICALS Others 711594 CALADRYL Various combinations CRE

DERMATOLOGICALS Others 711624 CALASTHETIC Various combinations CRE

DERMATOLOGICALS Others 794120 BIOHIST LOTION Various combinations LOT

EAR, NOSE AND THROAT Antimicrobial and Combinations 787000 BACTROBAN NASAL 3G Mupirocin NAG

EAR, NOSE AND THROAT Corticosteroids 820709 BECLATE AQUANASE 150DOSE Beclometasone 50MCG AQS maximum 1 per month

EAR, NOSE AND THROAT Corticosteroids 702939

CIPLANAZE MULTICARE

150DOSE Beclometasone 50MCG AQS maximum 1 per month

EAR, NOSE AND THROAT Corticosteroids 897937 CLENIL AQUEOUS 200DOSE Beclometasone 50MCG AQS maximum 1 per month

EAR, NOSE AND THROAT Corticosteroids 864145

BUDEFLAM AQUANASE

150DOSE Budesonide 100MCG AQS maximum 1 per month

(11)

EAR, NOSE AND THROAT Corticosteroids 714595 FLONASE 120 DOSE Fluticasone 50MCG AQS maximum 1 per month

EAR, NOSE AND THROAT Decongestants 746126 NAZENE Z 20ML Oxymetazoline NAS

EAR, NOSE AND THROAT Decongestants 702620

DRINASAL (WAS

MERCK-P-NASAL) METERED 10M Oxymetazoline 0,025% NAS EAR, NOSE AND THROAT Decongestants 702618 DRINASAL PAEDIATRIC 10ML Oxymetazoline 0,025% NOD EAR, NOSE AND THROAT Decongestants 732281 ILIADIN NOSE PAED 10ML Oxymetazoline 0,025% NOD

EAR, NOSE AND THROAT Decongestants 721441 DRIXINE 20ML Oxymetazoline 0,05% NAS

EAR, NOSE AND THROAT Decongestants 732303 ILIADIN 20ML Oxymetazoline 0,05% NAS

EAR, NOSE AND THROAT Decongestants 732257 ILIADIN NOSE ADULT Oxymetazoline 0,05% NOD

EAR, NOSE AND THROAT Decongestants 723363 ENT 25ML Phenylephrine NOD

EAR, NOSE AND THROAT Decongestants 745871 NASDRO 15ML Phenylephrine NOD

EAR, NOSE AND THROAT Decongestants 783579 SINUCON NASAL 20ML Phenylephrine NOD

EAR, NOSE AND THROAT Decongestants 764175 SINUS S 25ML Phenylephrine NOD

EAR, NOSE AND THROAT Ear Drops and Ointments 704127 OTALGON Antiinfectives, combinations EAR EAR, NOSE AND THROAT Ear Drops and Ointments 716596 COVANCAINE 20ML Antiinfectives, combinations EAR EAR, NOSE AND THROAT Ear Drops and Ointments 839981 OTOPHEN FORTE 10ML Antiinfectives, combinations EAR EAR, NOSE AND THROAT Ear Drops and Ointments 716634 COVOMYCIN 7.5ML Antiinfectives, combinations EEN

EAR, NOSE AND THROAT Ear Drops and Ointments 705780 AURONE 15ML Combinations EAR

EAR, NOSE AND THROAT Ear Drops and Ointments 705799 AURONE FORTE 15ML Combinations EAR EAR, NOSE AND THROAT Ear Drops and Ointments 713430 CERUMOL 10ML Combinations EAR EAR, NOSE AND THROAT Ear Drops and Ointments 751537 OTISED 15ML Combinations EAR EAR, NOSE AND THROAT Ear Drops and Ointments 751561 OTOPHEN 10ML Combinations EAR EAR, NOSE AND THROAT Ear Drops and Ointments 773859 UNIVERSAL EAR 15ML Combinations EAR EAR, NOSE AND THROAT Ear Drops and Ointments 778567 WAXSOL NF 10ML Combinations EAR

EAR, NOSE AND THROAT Ear Drops and Ointments 764868 SOFRADEX 8ML Dexamethasone and antiinfectives EED

EAR, NOSE AND THROAT Ear Drops and Ointments 820717 OTOSPORIN 10ML Hydrocortisone and antiinfectives EAR

EAR, NOSE AND THROAT Ear Drops and Ointments 769878 TERRACORTRIL 5G Hydrocortisone and antiinfectives EEO EAR, NOSE AND THROAT Mouth and Throat Preparations 835307 DAKTARIN ORAL Miconazole GEO

EAR, NOSE AND THROAT Mouth and Throat Preparations 799688 DERMADINE ORAL GARG Povidone-iodine MOW EAR, NOSE AND THROAT Mouth and Throat Preparations 819859 SEPTADINE ORAL ANTISEPTIC Povidone-iodine MOW

EAR, NOSE AND THROAT Mouth and Throat Preparations 890365

STERIDINE MOUTHWASH AND

GARGLE LIQUID Povidone-iodine MOW EAR, NOSE AND THROAT Mouth and Throat Preparations 835404 TEEJEL Various GEO

(12)

EAR, NOSE AND THROAT Mouth and Throat Preparations 826391 DYNEXAN Various combinations OIN

ENDOCRINE SYSTEM Corticosteroids 826928 BETANOID Betamethasone 0,5MG TAB

ENDOCRINE SYSTEM Corticosteroids 826936 BETANOID Betamethasone 0,6MG/5ML SYR

ENDOCRINE SYSTEM Corticosteroids 714552 ASPELONE Prednisolone 15MG/5ML LIQ

ENDOCRINE SYSTEM Corticosteroids 716381 ADCO PREDNISOLONE Prednisolone 15MG/5ML SYR

ENDOCRINE SYSTEM Corticosteroids 814407 CAPSOID Prednisolone 5MG TAB

ENDOCRINE SYSTEM Corticosteroids 800155 LENISOLONE Prednisolone 5MG TAB

ENDOCRINE SYSTEM Corticosteroids 788783 BE-TABS PREDNISONE Prednisone 5MG TAB

ENDOCRINE SYSTEM Corticosteroids 752304 PANAFCORT Prednisone 5MG TAB

ENDOCRINE SYSTEM Corticosteroids 818267 TROLIC Prednisone 5MG TAB

ENDOCRINE SYSTEM Progestogens 757012 PRIMOLUT N Norethisterone 5MG TAB

GASTRO-INTESTINAL TRACT Antacids and Combinations 890357 GELACID Alginic acid SUS GASTRO-INTESTINAL TRACT Antacids and Combinations 700460 ACIDEX (STX) Various

GASTRO-INTESTINAL TRACT Antacids and Combinations 892654 MAGASIL Various

GASTRO-INTESTINAL TRACT Antacids and Combinations 700101 TELAMENT PAED GRIPE WATER Various

GASTRO-INTESTINAL TRACT Antacids and Combinations 700771 AMGEL Various SUS

GASTRO-INTESTINAL TRACT Antacids and Combinations 782173 CO-GEL Various SUS

GASTRO-INTESTINAL TRACT Antacids and Combinations 702725 DICYCLOMINE CO GEL Various SUS GASTRO-INTESTINAL TRACT Antacids and Combinations 789933 GELUMEN Various SUS GASTRO-INTESTINAL TRACT Antacids and Combinations 786810 NEUTRAGEL D Various SUS GASTRO-INTESTINAL TRACT Antacids and Combinations 757675 PROPAN GEL S Various SUS GASTRO-INTESTINAL TRACT Antacids and Combinations 765538 SPASMOGEL Various SUS

GASTRO-INTESTINAL TRACT Antidiarrhoeals 708976 BISKAPECT Combinations SUS

GASTRO-INTESTINAL TRACT Antidiarrhoeals 728284 GASTROPECT Combinations SUS

GASTRO-INTESTINAL TRACT Antidiarrhoeals 734853 KAOCREAM (STX) Combinations SUS

GASTRO-INTESTINAL TRACT Antidiarrhoeals 892661 PECTIKON Combinations SUS

GASTRO-INTESTINAL TRACT Antidiarrhoeals 823546 PECTIN-K Combinations SUS

GASTRO-INTESTINAL TRACT Antidiarrhoeals 813737 TUMMY-PECT Combinations SUS

GASTRO-INTESTINAL TRACT Antidiarrhoeals 811467 ADCO-LOPERAMIDE Loperamide 1MG/5ML SYR

GASTRO-INTESTINAL TRACT Antidiarrhoeals 810908 GASTRON Loperamide 1MG/5ML SYR

GASTRO-INTESTINAL TRACT Antidiarrhoeals 791768 ADCO-PRODIUM Loperamide 2MG TAB

GASTRO-INTESTINAL TRACT Antidiarrhoeals 810916 GASTRON Loperamide 2MG TAB

(13)

GASTRO-INTESTINAL TRACT Antiemetics and Antinauseants 796700

TRIAZINE PAEDIATRIC (WAS

NORIZINE) Cyclizine SYR

GASTRO-INTESTINAL TRACT Antiemetics and Antinauseants 809322 COVAMET Cyclizine TAB GASTRO-INTESTINAL TRACT Antiemetics and Antinauseants 772143 TRIAZINE Cyclizine TAB GASTRO-INTESTINAL TRACT Antiemetics and Antinauseants 774626 VALOID Cyclizine 100MG SUP GASTRO-INTESTINAL TRACT Antiemetics and Antinauseants 792845 MEDAZINE-S Cyclizine 12,5MG/5ML SYR GASTRO-INTESTINAL TRACT Antiemetics and Antinauseants 820571 NAUZINE S Cyclizine 12,5MG/5ML SYR GASTRO-INTESTINAL TRACT Antiemetics and Antinauseants 792217 ACULOID Cyclizine 50MG TAB GASTRO-INTESTINAL TRACT Antiemetics and Antinauseants 799424 NAUZINE Cyclizine 50MG TAB

GASTRO-INTESTINAL TRACT Antiemetics and Antinauseants 723037 EMETROL

Invert sugar 3g; phosphoric acid 25mg SYR

GASTRO-INTESTINAL TRACT Antiemetics and Antinauseants 784346 EMEX

Invert sugar 3g; phosphoric acid 25mg SYR

GASTRO-INTESTINAL TRACT Antifungal Agents 835056 CANSTAT ORAL Nystatin SUS

GASTRO-INTESTINAL TRACT Antifungal Agents 835285 NYSTACID Nystatin SUS

GASTRO-INTESTINAL TRACT Antifungal Agents 701100 CANDACIDE Nystatin 100000U/1ML SUS

GASTRO-INTESTINAL TRACT Antispasmodics 731951 HYOSPASMOL Butylscopolamine 10MG TAB

GASTRO-INTESTINAL TRACT Antispasmodics 762725 SCOPEX Butylscopolamine 10MG TAB

GASTRO-INTESTINAL TRACT Antispasmodics 707213 HYOSPASMOL Butylscopolamine 5MG/5ML SYR

GASTRO-INTESTINAL TRACT Antispasmodics 703383 SCOPEX SYRUP Butylscopolamine 5MG/5ML SYR

GASTRO-INTESTINAL TRACT Antispasmodics 822019 BEVISPAS Mebeverine 135MG TAB

GASTRO-INTESTINAL TRACT Antispasmodics 701892 MYLAN MEBEVERINE Mebeverine 135MG TAB

GASTRO-INTESTINAL TRACT Electrolytes 713526 ELECTROMAX BERRY FLAVOUR Electrolytes with carbohydrates

GASTRO-INTESTINAL TRACT Electrolytes 713527

ELECTROMAX ORANGE

FLAVOUR Electrolytes with carbohydrates

GASTRO-INTESTINAL TRACT Electrolytes 711128

ELECTRAL WITH ORANGE

FLAVOUR 4.4G Electrolytes with glucose SAC GASTRO-INTESTINAL TRACT Electrolytes 781444 ELECTROPAK SACHETS Electrolytes with glucose SAC

GASTRO-INTESTINAL TRACT Electrolytes 708294 HYDRASSIST Electrolytes with glucose SAC

GASTRO-INTESTINAL TRACT Electrolytes 709762 PIN-HYDRATE (BLACKCURRANT) Electrolytes with glucose SAC GASTRO-INTESTINAL TRACT Electrolytes 709761 PIN-HYDRATE (ORANGE) Electrolytes with glucose SAC

GASTRO-INTESTINAL TRACT Electrolytes 703357

CERALYTE ORAL REHYDRATION

SOLUTION Electrolytes with glucose SYR

GASTRO-INTESTINAL TRACT Electrolytes 762873 SCRIPTOLYTE Electrolytes with glucose SYR

(14)

GASTRO-INTESTINAL TRACT Histamine-2 Receptor Antagonists 797464 SECADINE Cimetidine 200MG TAB

GASTRO-INTESTINAL TRACT Histamine-2 Receptor Antagonists 887003 BIO-CIMETIDINE Cimetidine 400MG TAB

GASTRO-INTESTINAL TRACT Histamine-2 Receptor Antagonists 736260 LENAMET Cimetidine 400MG TAB

GASTRO-INTESTINAL TRACT Histamine-2 Receptor Antagonists 705361 RANIT Ranitidine 150MG TAB

GASTRO-INTESTINAL TRACT Histamine-2 Receptor Antagonists 712134 AUSTAC Ranitidine 150MG TAB

GASTRO-INTESTINAL TRACT Histamine-2 Receptor Antagonists 705360 RANIT Ranitidine 300MG TAB

GASTRO-INTESTINAL TRACT Histamine-2 Receptor Antagonists 712135 AUSTAC Ranitidine 300MG TAB

GASTRO-INTESTINAL TRACT Laxatives 721549 DULCOLAX Bisacodyl 5MG TAB

GASTRO-INTESTINAL TRACT Laxatives 708008 LAXADOR BISACODYL Bisacodyl 5MG TAB

GASTRO-INTESTINAL TRACT Laxatives 815047 DUPHALAC DRY 10G Lactulose SAC

GASTRO-INTESTINAL TRACT Laxatives 717972 ANLAC Lactulose 3300MG/5ML SYR

GASTRO-INTESTINAL TRACT Laxatives 797723 LACSON Lactulose 3300MG/5ML SYR

GASTRO-INTESTINAL TRACT Laxatives 796808 KLEAN-PREP Macrogol, combinations SAC

GASTRO-INTESTINAL TRACT Laxatives 726443 LENOLAX (FLEET) ADULT Sodium phosphate ADULT ENE GASTRO-INTESTINAL TRACT Laxatives 726435 LENOLAX (FLEET) PAEDIATRIC Sodium phosphate CHILD ENE

GASTRO-INTESTINAL TRACT Propulsives 715830 BIO-DOMPERIDONE Domperidone 10MG TAB

GASTRO-INTESTINAL TRACT Propulsives 715875 ADCO-CONTROMET Metoclopramide 10MG TAB

GASTRO-INTESTINAL TRACT Propulsives 700712 CLOMAX Metoclopramide 10MG TAB

GASTRO-INTESTINAL TRACT Propulsives 783064 ADCO-CONTROMET Metoclopramide 5MG/5ML SYR

GASTRO-INTESTINAL TRACT Propulsives 714844 CLOPAMON Metoclopramide 5MG/5ML SYR

GASTRO-INTESTINAL TRACT Proton Pump Inhibitors 708052 LANCAP Lansoprazole 15MG CAP

GASTRO-INTESTINAL TRACT Proton Pump Inhibitors 708053 LANCAP Lansoprazole 30MG CAP

GASTRO-INTESTINAL TRACT Suppositories and Anal Ointments 826375 ANUSOL Bismuth preparations, combinations OIN

GASTRO-INTESTINAL TRACT Suppositories and Anal Ointments 704148 ANUSOL Bismuth preparations, combinations SUH

GASTRO-INTESTINAL TRACT Suppositories and Anal Ointments 704083

ANUSOL PAIN RELIEF (WAS

ANUGESIC) Pramocaine OIN

GYNAECOLOGICAL Antibacterial 832340 DALACIN VC Clindamycin VCR

GYNAECOLOGICAL Antifungal Agents 826960 A-POR Clotrimazole VCR

GYNAECOLOGICAL Antifungal Agents 846341 FUNGISPOR (1 APPLICATOR) Clotrimazole VCR

(15)

MUSCULO-SKELETAL AGENTS Anti-Gout 715271 COLCHICINE Colchicine 0,5MG TAB

MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 834327

SANDOZ DICLOFENAC SODIUM

100 SIMPLE REG Diclofenac 100MG SRT MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 807605 PANAMOR SUPP Diclofenac 12,5MG SUP MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 893390 A-LENNON DICLOFENAC Diclofenac 25MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 853240 DICLOHEXAL Diclofenac 25MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 786012 MYLAN DICLOFENAC Diclofenac 25MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 707451 DICLOFLAM Diclofenac 50MG DSP MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 888602 DICLOFLAM (BLACKCURRENT) Diclofenac 50MG DSP MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 788597 ADCO-DICLOFENAC Diclofenac 50MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 893391 A-LENNON DICLOFENAC Diclofenac 50MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 786020 MYLAN DICLOFENAC Diclofenac 50MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 700315 IBUCINE (WAS IBUMAX) Ibuprofen 100MG/5ML SUS MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 704781 IBUGESIC Ibuprofen 100MG/5ML SUS MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 700316 IBUCINE (WAS IBUMAX) Ibuprofen 200MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 733741 INZA Ibuprofen 200MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 700318 IBUCINE (WAS IBUMAX) Ibuprofen 400MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 733768 INZA Ibuprofen 400MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 787833 BETACIN Indometacin 25MG CAP MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 868213 GULF INDOMETHACIN Indometacin 25MG CAP MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 814393 METHOCAPS Indometacin 25MG CAP MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 704776 SANDOZ INDOMETHACIN Indometacin 25MG CAP MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 711324 ARROW MELOXICAM Meloxicam 7,5MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 810185 MYLAN NAPROXEN Naproxen 250MG TAB MUSCULO-SKELETAL AGENTS Non Selective Cox Inhibitors 805238 NAPROSCRIPT Naproxen 250MG TAB MUSCULO-SKELETAL AGENTS Selective Cox2 Inhibitors 704828 FLEXOCAM Meloxicam 15MG TAB MUSCULO-SKELETAL AGENTS Selective Cox2 Inhibitors 701522 LOXIFLAM Meloxicam 15MG TAB

MUSCULO-SKELETAL AGENTS Selective Cox2 Inhibitors 705177 M-CAM Meloxicam 15MG TAB

MUSCULO-SKELETAL AGENTS Selective Cox2 Inhibitors 705230 ZYDUS-MELOXICAM Meloxicam 15MG TAB MUSCULO-SKELETAL AGENTS Selective Cox2 Inhibitors 705375 ADCO-MELOXICAM Meloxicam 7,5MG TAB MUSCULO-SKELETAL AGENTS Selective Cox2 Inhibitors 704829 FLEXOCAM Meloxicam 7,5MG TAB

MUSCULO-SKELETAL AGENTS Selective Cox2 Inhibitors 705176 M-CAM Meloxicam 7,5MG TAB

MUSCULO-SKELETAL AGENTS Selective Cox2 Inhibitors 716168 MELOXICAM UNICORN Meloxicam 7,5MG TAB MUSCULO-SKELETAL AGENTS Selective Cox2 Inhibitors 705229 ZYDUS-MELOXICAM Meloxicam 7,5MG TAB

(16)

OPHTHALMICS Anti-Infectives 713724 CHLORAMEX 3.5G Chloramphenicol 1% EYO

OPHTHALMICS Anti-Infectives 713759 CHLORCOL 3.5G Chloramphenicol 1% EYO

OPHTHALMICS Anti-Infectives 713872 CHLORNICOL 3.5G Chloramphenicol 1% EYO

OPHTHALMICS Anti-Infectives 817201 CHLORPHEN 3.5G Chloramphenicol 1% EYO

OPHTHALMICS Anti-Infectives 701064 CILOXAN 3,5G CIPROFLOXACIN 0,3% EYO

OPHTHALMICS Anti-Infectives 794104 CILOXAN 5ML CIPROFLOXACIN 0,3% OPD

OPHTHALMICS Anti-Infectives 783641 FUCITHALMIC 5G Fusidic acid OPD

OPHTHALMICS Anti-Infectives 707883 VIGAMOX 5ML MOXIFLOXACIN 5MG/1ML OPD

OPHTHALMICS Anti-Infectives 702935 OCTIN OPTHALMIC DROPS 5ML OFLOXACIN 3MG/1ML OPD

OPHTHALMICS Anti-Infectives 771104 TOBREX 3.5G Tobramycin EYO

OPHTHALMICS Anti-Infectives 771082 TOBREX 5ML Tobramycin OPD

OPHTHALMICS

Combinations (Anti-Infectives With

Corticosteroids 708291 BETNESOL 'N' 5ML Betamethasone and antiinfectives OPD

OPHTHALMICS

Combinations (Anti-Infectives With

Corticosteroids 789186 TOBRADEX 3,5G Dexamethasone and antiinfectives EYO

OPHTHALMICS

Combinations (Anti-Infectives With

Corticosteroids 740454 MAXITROL 5ML Dexamethasone and antiinfectives OPD

OPHTHALMICS

Combinations (Anti-Infectives With

Corticosteroids 765813 SPERSADEX COMP 5ML Dexamethasone and antiinfectives OPD

OPHTHALMICS

Combinations (Anti-Infectives With

Corticosteroids 789194 TOBRADEX 5ML Dexamethasone and antiinfectives OPD

OPHTHALMICS Corticosteroids 708283 BETNESOL 3G Betamethasone EYO

OPHTHALMICS Corticosteroids 708267 BETNESOL 5ML Betamethasone OPD

OPHTHALMICS Corticosteroids 740446 MAXIDEX 5ML Dexamethasone OPD

OPHTHALMICS Corticosteroids 765821 SPERSADEX 5ML Dexamethasone 0,1% OPD

OPHTHALMICS Decongestants and Antiallergics 806412 ALOMIDE 10ML Lodoxamide OPD

OPHTHALMICS Decongestants and Antiallergics 701415 PATANOL 5ML Olopatadine 0,1% OPD

OPHTHALMICS Decongestants and Antiallergics 728608 GEMINI 15ML Tetryzoline, combinations OPD

OPHTHALMICS Decongestants and Antiallergics 765856 SPERSALLERG 10ML Tetryzoline, combinations OPD

RESPIRATORY SYSTEM Antihistamines 712890 ACUZYRT Cetirizine 10MG TAB

RESPIRATORY SYSTEM Antihistamines 703821 ALLERMINE Cetirizine 10MG TAB

RESPIRATORY SYSTEM Antihistamines 704188 ASPEN CETIRIZINE Cetirizine 10MG TAB

RESPIRATORY SYSTEM Antihistamines 703314 TEXA Cetirizine 10MG TAB

(17)

RESPIRATORY SYSTEM Antihistamines 704659 ZYNCET Cetirizine 10MG TAB

RESPIRATORY SYSTEM Antihistamines 712889 ACUZYRT Cetirizine 5MG/5ML SYR

RESPIRATORY SYSTEM Antihistamines 710672 TEXA Cetirizine 5MG/5ML SYR

RESPIRATORY SYSTEM Antihistamines 702145 ALLERGEX Chlorphenamine 2MG/5ML SYR

RESPIRATORY SYSTEM Antihistamines 702072 ALLERGEX Chlorphenamine 4MG TAB

RESPIRATORY SYSTEM Antihistamines 703162 RHINETON Chlorphenamine 4MG TAB

RESPIRATORY SYSTEM Antihistamines 714055 TELLERGE Fexofenadine 120MG TAB

RESPIRATORY SYSTEM Antihistamines 714053 TELLERGE Fexofenadine 180MG TAB

RESPIRATORY SYSTEM Antihistamines 899430 AP-LORATADINE Loratadine 10MG TAB

RESPIRATORY SYSTEM Antihistamines 701361 POLLENTYME Loratadine 10MG TAB

RESPIRATORY SYSTEM Antihistamines 704275 ALLERGEX (NON DROWSY) Loratadine 10MG TAB

RESPIRATORY SYSTEM Antihistamines 701640

ALLERGEX NON DROWSY (WAS

ADCO-LORAHIST) Loratadine 5MG/5ML SYR

RESPIRATORY SYSTEM Antihistamines 704886 AP LORATADINE Loratadine 5MG/5ML SYR

RESPIRATORY SYSTEM Antihistamines 705102 CLARINESE Loratadine 5MG/5ML SYR

RESPIRATORY SYSTEM Antihistamines 703918 POLLENTYME S Loratadine 5MG/5ML SYR

RESPIRATORY SYSTEM Antihistamines 710873 BRUNAZINE Promethazine 5MG/5ML SYR

RESPIRATORY SYSTEM Antihistamines 736244 LENAZINE Promethazine 5MG/5ML SYR

RESPIRATORY SYSTEM Antihistamines 757373 PROHIST Promethazine 5MG/5ML SYR

RESPIRATORY SYSTEM Antitussives and Expectorants 792187 ACUTUSSIVE ADULT EXPECT

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Antitussives and Expectorants 792195 ACUTUSSIVE PAED EXPECT

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Antitussives and Expectorants 794813 ADCO-NEOFED PAED

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Antitussives and Expectorants 824402 GENHYDRAMINE EXPECT

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Antitussives and Expectorants 799475 TRIFEN EXP ADULT

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Antitussives and Expectorants 703853

ACUFLU P (ALCOHOL AND

SUGAR FREE) Various combinations SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 895032 AMCOUGH

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 788120 BECOF

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 792144

BENCOUGH EXPECTORANT (BOXED) WASTRIHISD

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 708054 BETALIN

Cough suppressants and expectorants SYR

(18)

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 803081 CLEAR COUGH

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 805343 EXPECTALIN

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 783145 HISTODOR EXPECT

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 826618 LINK DINEXOL PAED COUGH

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 789976 MEDILYN SOLUTION

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 702172 PHENORANT

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 702521 PHENORANT WITH CODEINE

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 823554 RELIEF-COFF EXPECT

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 806269 TRIFEN EXP PAED

Cough suppressants and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 702080 ALLERGIN EXPECT Diphenhydramine, combinations SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 783595 FAMTUSS Diphenhydramine, combinations SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 727008 FOLCOFEN Opium derivatives and expectorants SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 726710 FLUEND Various combinations CAP

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 807648 FLUSTAT Various combinations CAP

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 726915 FLUTEX Various combinations CAP

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 796832 SINUSTAT FLU Various combinations CAP

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 806218 ADCO-FLUPAIN Various combinations SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 859745 BRONCLEER & COD UNBOXED Various combinations SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 704332 COLCLEER PAEDIATRIC Various combinations SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 715484 COLPHEN Various combinations SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 720291 DIPHENHYDRAMINE EXP Various combinations SYR

(19)

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 796824

SINUSTAT FLU (WAS

MERCK-FLU) Various combinations SYR

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 715301 COLCLEER(COLD+FLU) Various combinations TAB

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 764264 SINUCON (STX) Various combinations TAB

RESPIRATORY SYSTEM Cold, Cough and Flu Preparations 822744 SINUEND Various combinations TAB

RESPIRATORY SYSTEM Decongestants 797618 SINUSTAT Phenylpropanolamine, combinations CAP

RESPIRATORY SYSTEM Decongestants 791148 ADCO-SINAL CO Phenylpropanolamine, combinations TAB

RESPIRATORY SYSTEM Decongestants 796964 ADCO-SUFEDRIN Pseudoephedrine 30MG/5ML SYR

RESPIRATORY SYSTEM Decongestants 796972 ADCO-SUFEDRIN Pseudoephedrine 60MG TAB

RESPIRATORY SYSTEM Decongestants 700770 ACTIFED Pseudoephedrine, combinations SYR

RESPIRATORY SYSTEM Decongestants 794295 ACUGEST Pseudoephedrine, combinations SYR

RESPIRATORY SYSTEM Decongestants 873985

ACUGEST DM ADULT (WAS

ENDCOL) Pseudoephedrine, combinations SYR

RESPIRATORY SYSTEM Decongestants 806226 ADCO-TUSSEND Pseudoephedrine, combinations SYR

RESPIRATORY SYSTEM Decongestants 853003 BETAFED Pseudoephedrine, combinations SYR

RESPIRATORY SYSTEM Decongestants 835544 DECOFED Pseudoephedrine, combinations SYR

RESPIRATORY SYSTEM Decongestants 827355 FLUDACTIL CO LINCTUS Pseudoephedrine, combinations SYR

RESPIRATORY SYSTEM Decongestants 808717 MEDIFED LINCTUS Pseudoephedrine, combinations SYR

RESPIRATORY SYSTEM Decongestants 700789 ACTIFED Pseudoephedrine, combinations TAB

RESPIRATORY SYSTEM Decongestants 835536 DECOFED Pseudoephedrine, combinations TAB

RESPIRATORY SYSTEM Decongestants 893463 SINUGESIC Pseudoephedrine, combinations TAB

RESPIRATORY SYSTEM Expectorants 718049 MUCATAK Acetylcysteine 200MG EFT

RESPIRATORY SYSTEM Expectorants 787078 ADCO-MUCOLINCT Carbocisteine 250MG/5ML SYR

RESPIRATORY SYSTEM Expectorants 710520 BRONCHETTE Carbocisteine 250MG/5ML SYR

RESPIRATORY SYSTEM Expectorants 789739 FLEMGO Carbocisteine 250MG/5ML SYR

RESPIRATORY SYSTEM Expectorants 827304 ADCO-LINCTOPENT Combinations SYR

RESPIRATORY SYSTEM Expectorants 710687 BRONKESE COMPOUND Combinations SYR

RESPIRATORY SYSTEM Expectorants 887966 BRONCHOLIN EXPECT Guaifenesin 100MG/5ML SYR

RESPIRATORY SYSTEM Methylxanthines & Combinations 720283 DIPHENAMILL Aminophylline Co SYR RESPIRATORY SYSTEM Methylxanthines & Combinations 701750 ALCOPHYLLIN Theophylline 26,67MG/5ML SYR RESPIRATORY SYSTEM Methylxanthines & Combinations 701742 ALCOPHYLLEX Theophylline, combinations SYR RESPIRATORY SYSTEM Methylxanthines & Combinations 792586 DIATUSSIN(BIOTUSSIN) Theophylline, combinations SYR

(20)

RESPIRATORY SYSTEM Methylxanthines & Combinations 770388 THEOPHEN Theophylline, combinations SYR

RESPIRATORY SYSTEM Sympathomimetics 700715

ASTHAVENT ECOHALER

CFC-FREE 300DOSE Salbutamol 100MCG INH

maximum 1 inhaler twice per year

RESPIRATORY SYSTEM Sympathomimetics 711213 VENTEZE CFC FREE 200 DOSE Salbutamol 100MCG INH

maximum 1 inhaler twice per year

RESPIRATORY SYSTEM Sympathomimetics 824186 ASTHAVENT Salbutamol 2MG/5ML SYR

RESPIRATORY SYSTEM Sympathomimetics 700920 VARI-SALBUTAMOL SYRUP Salbutamol 2MG/5ML SYR

RESPIRATORY SYSTEM Sympathomimetics 775452 VENTEZE Salbutamol 2MG/5ML SYR

URINARY TRACT Urinary Alkalinizers 855227 QUATRO-SODA Various combinations GRA

URINARY TRACT Urinary Alkalinizers 839760 GENCIT SIMPLEX Various combinations LIQ

VACCINES Vaccines 813338

VAXIGRIP SINGLE DOSE 0.5ML

References

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