Guide for general practitioners

Guide for general practitioners

2019

Indexpa

ge 4 Primary Care products

Non medical scheme products

Medical schemes

page 6 Scheme benefits and contact matrix

page 8 General benefits and operational guidelines

GP consultations

Co-payments and administration fees

Out of network visits

Acute and Chronic medication

Chronic registration process

Pathology and Radiology

Specialists

Membership verification

Provider website

page 11 Primary billing codes

page 10 Pathology request forms

page 12 Radiology request forms

page 13 Radiology applicable codes

page 14 Radiology in GP rooms

page 16 Chronic condition list

page 18 Medication formularies

18 Acute medication formulary - Ingwe, Impact, Health4Me, CareCross, OCSACare and DomestiCare

30 Chronic medication formulary - Ingwe and Impact Options

48 Chronic medication formulary - OCSAcare and Health4Me

63 Chronic medication formulary - CareCross

74 Chronic medication formulary - Moto Health Care Custom and Essential Options

page 4

Primary Care productsMomentum and CareCross have their own Provider Network for their schemes, as well as the non medical scheme products, OCSACare, Health4Me and DomestiCare. In order to achieve the goal of quality and cost effective care, you as our network doctor become the primary coordinator of care for these patients.

Non medical scheme products

Non medical scheme products are:

• Momentum Staff Care Solutions

• Health4Me

• OCSACare

• DomestiCare

Medical schemesThe schemes making use of the Momentum and CareCross Provider Network are:

• Momentum Health – Ingwe Option and Impact Option*

• Horizon – Hospital Plus Network Plan

• Wooltru – Core Option

• Selfmed – Selfnet Option and Selfnet Essential Option

• Moto Health Care – Custom Option and Essential Option

• Pick n Pay – Primary Option

Designated Service Provider for:

• Wooltru Plus + Extended

*Kindly note that the DSP arrangement only applies to PMB’s. Negotiated fees do not apply, but no co-payments should be changed.

page 5

page 6

OptionSpecialist referral process and benefit confirmation Hospital HIV Chronic administration/formulary Treatment plan for PMBs OTC/PAT

Non Medical Scheme Products

HEALTH4ME Note: Submit day-to-day claims to Momentum

Gold Contact Momentum 0860 102 903

Refer to State Contact Momentum 0860 102 903

Gold option only

Contact Momentum 0860 102 903

Gold option - 26 conditions covered Refer to the chronic condition list

Refer to State Refer to State

Silver

Bronze

OCSACARE Note: Submit day-to-day claims to CareCross

Gold Contact CareCross 0860 102 182

Refer to State Contact CareCross 0860 102 182

Gold option only

Contact CareCross 0860 102 182



Silver

Bronze

DOMESTICARE Note: Submit day-to-day

DomestiCare Plus Refer to State Refer to State Refer to State Refer to State Refer to State Refer to State Refer to State

DomestiCare

Medical schemes

MOMENTUM HEALTH Note: Submit day-to-day claims to Momentum

Ingwe Option Contact Momentum Health 0860 11 78 59

Contact Momentum Health 0860 11 78 59

Contact LifeSense 0860 50 60 80


Refer to the chronic condition list


No benefit

Impact Option

HORIZON Note: Submit day-to-day claims to CareCross

Hospital Plus Network Plan

Contact Horizon 0860 101 103


Contact Aid for AIDS 0860 100 646


Standard Contact Horizon Scheme 0860 101 103

No benefit

MOTO HEALTH CARE Note: Submit day-to-day claims to CareCross

Custom Option Contact CareCross - Specialist name - Referral number 0860 102 183

Contact Moto Health Care 0861 000 300

Contact YourLife HIV Management 0860 109 793


Limited Refer to State 5 scripts per beneficiary, maximum 7 scripts per family at Pharmacy Network, covering 11 conditions

Essential Option No benefit Limited 3 scripts per beneficiary, maximum 5 scripts per family at Pharmacy Network, covering 11 conditions

PICK N PAY Note: Submit day-to-day claims to CareCross

Primary Option Contact CareCross 0860 102 183




Standard CareCross Contact CareCross 0860 102 183

R100 per prescription to a maximum R300 per family per annum

SELFMED Note: Submit day-to-day claims to CareCross

Selfnet Option Contact CareCross 0860 102 183

PMBs only Contact CareCross 0860 102 183

Contact Halocare 0860 143 258


Limited to PMB CDL conditions


No benefit

Selfnet Essential Option

WOOLTRU Note: Submit day-to-day claims to CareCross

Core Option Contact CareCross - Specialist name - Referral number 0800 765 432


Contact CareWorks 0860 101 110


Customised Contact CareCross 0860 102 183

No benefit

Designated Service Provider Options

WOOLTRU Note: Submit day-to-day claims to scheme

Plus and Extended Options

Contact CareCross - Specialist name - Referral number 0800 765 432

Contact scheme 0802 228 922






Momentum EDI 822P Healthbridge 91859Destination codes: Momentum Health4Me EDI 472P Healthbridge HEAL0002 CareCross EDI 561P Healthbridge CARE0006

Benefit and contact matrix

page 7

OptionSpecialist referral process and benefit confirmation Hospital HIV Chronic administration/formulary Treatment plan for PMBs OTC/PAT

Non Medical Scheme Products

HEALTH4ME Note: Submit day-to-day claims to Momentum

Gold Contact Momentum 0860 102 903

Refer to State Contact Momentum 0860 102 903

Gold option only

Contact Momentum 0860 102 903



Silver

Bronze

OCSACARE Note: Submit day-to-day claims to CareCross

Gold Contact CareCross 0860 102 182

Refer to State Contact CareCross 0860 102 182

Gold option only




Silver

Bronze

DOMESTICARE Note: Submit day-to-day

DomestiCare Plus Refer to State Refer to State Refer to State Refer to State Refer to State Refer to State Refer to State

DomestiCare

Medical schemes

MOMENTUM HEALTH Note: Submit day-to-day claims to Momentum

Ingwe Option Contact Momentum Health 0860 11 78 59




Refer to the chronic condition list


No benefit

Impact Option

HORIZON Note: Submit day-to-day claims to CareCross

Hospital Plus Network Plan



Contact Aid for AIDS 0860 100 646


Standard Contact Horizon Scheme 0860 101 103

No benefit

MOTO HEALTH CARE Note: Submit day-to-day claims to CareCross

Custom Option Contact CareCross - Specialist name - Referral number 0860 102 183

Contact Moto Health Care 0861 000 300



Limited Refer to State 5 scripts per beneficiary, maximum 7 scripts per family at Pharmacy Network, covering 11 conditions

Essential Option No benefit Limited 3 scripts per beneficiary, maximum 5 scripts per family at Pharmacy Network, covering 11 conditions

PICK N PAY Note: Submit day-to-day claims to CareCross

Primary Option Contact CareCross 0860 102 183




Standard CareCross Contact CareCross 0860 102 183

R100 per prescription to a maximum R300 per family per annum

SELFMED Note: Submit day-to-day claims to CareCross

Selfnet Option Contact CareCross 0860 102 183

PMBs only Contact CareCross 0860 102 183

Contact Halocare 0860 143 258


Limited to PMB CDL conditions


No benefit

Selfnet Essential Option

WOOLTRU Note: Submit day-to-day claims to CareCross

Core Option Contact CareCross - Specialist name - Referral number 0800 765 432


Contact CareWorks 0860 101 110


Customised Contact CareCross 0860 102 183

No benefit

Designated Service Provider Options

WOOLTRU Note: Submit day-to-day claims to scheme

Plus and Extended Options

Contact CareCross - Specialist name - Referral number 0800 765 432







Momentum EDI 822P Healthbridge 91859Destination codes: Momentum Health4Me EDI 472P Healthbridge HEAL0002 CareCross EDI 561P Healthbridge CARE0006

Contact CareCross Contact Administrator / Scheme No benefit / Refer to State

page 8

General GP consultationsAvailable at a contracted Momentum / CareCross provider for all basic Primary Care benefits - 0190 / 0191 / 0192.

For Momentum members:

• Any follow-up consultations within 4 days of the previous visit and for the same condition are included in the fee paid for the first consultation

• For Momentum Ingwe and Impact, you need to obtain authorisation after the 10th visit

Kindly submit all claims with the correct and exact ICD-10 codes that relates to the diagnosis.

Claims older than 4 months from date of service will be rejected with reason: “Account not submitted within 4 months of treatment date.” We will require proof of previous submission for further investigation.

All claims to be routed to Momentum for Momentum Health Ingwe & Impact and Momentum Health4Me. If you experience EDI issues, please email claims to [email protected].

CareCross, OCSACare and DomestiCare claims can be submitted via a switch of your choice. CareCross offers a service called iCan claim whereby claims can be submitted directly via the CareCross website. This service is free and may be accessed via a secure web login. If you would like to make use of this method of claiming, please email us at [email protected].

Destination codes:

EDI Healthbridge

Momentum 822P 91859

Momentum Health4Me 472P HEAL0002

CareCross 561P CARE0006

Co-payments and administration feesThe General Practitioner should not under any circumstances charge the member any co-payments or admin fees of any description for services that are part of the Primary Care Benefits.

A co-payment of R85 applies per visit after the 10th visit for Momentum Health Impact members.

Acute and Chronic MedicineFormularies apply to acute and chronic medicine. Please see page 18 to 84 for the formularies.

• An acute medicine script will be allowed only where a non-dispensing GP is the prescriber.

• Any non-formulary medication that is medically neccessary, will be for the member’s own account. Please inform the member of this and that such a prescription will reject at the pharmacy.

The chronic medicine formulary for Ingwe, Impact and Health4Me members is available at www.provider.momentum.co.za.

For CareCross and OCSACare members, please visit www.carecross.co.za for the chronic medicine formulary.

Kindly note that waiting periods may apply to some Health4Me and OCSACare members.

Please see the list of chronic conditions covered per scheme on pages 16 and 17.

Code 0199 can be charged at a rate of R85 for the chronic registration of a patient.

Chronic registration processMomentum Health Ingwe & Impact and Momentum Health4MeHow to register for chronic medication:

1. The treating doctor or pharmacist needs to contact the provider call centre on 0860 10 29 03 (Momentum Health4Me) or 0860 11 78 59 (Momentum Health) and select the option for chronic registration.

2. The chronic benefit consultant will approve the benefit telephonically, as per clinical protocols.

3. Additional information, such as test results, may be required in order to complete the chronic registration process.

4. Chronic medication can only be obtained from Medipost.

5. A repeat script is needed after six months. The following information is needed when calling for an authorisation:

– the membership number, and the name and details of the patient

– the diagnosis code (ICD–10 code)

– the name and practice number of the treating GP/specialist, where relevant.

CareCross and OCSACareChronic medication is subject to registration and approval from the Clinical Department at CareCross according to the CareCross Medicine Formulary. Chronic application form to be completed and faxed to 021 673 1815.

Pathology and RadiologyA specific list applies (refer to pages 10 and 11). Kindly use the Momentum CareCross Request Form.

Any tests not on the list of covered codes will be rejected. The member needs to be informed upfront if any tests are not covered.

These costs will be for the member’s own account.

General benefits and Operational guidelines

page 9

SpecialistsAs a GP, you are responsible to refer members to the specialist where required. In the case of hospitalisation, either you or the member would be required to obtain pre-authorisation.

Please take note that the following medical scheme options have a specific network of specialists that applies: Momentum Ingwe and Impact, Moto Health Care Custom, Selfmed Selfnet and Selfnet Essential and all Wooltru options. For all other schemes, please contact the relevant scheme.

For Momentum referrals, logon to www.provider.momentum.co.za to search for Associated specialists. Alternatively, you can call the provider call centre on 0860 10 29 03 (Momentum Health4Me) or 0860 11 78 59 (Momentum Health).

For CareCross referrals, you can find network specialists on the CareCross website or by phoning the CareCross Clinical Referral Centre on 0860 102 183. For Moto Health Care Custom, Selfnet Essential and Wooltru, call 0800 765 432.

Please make use of the applicable referral form.

For other options, please refer to the matrix on pages 6 and 7.

Membership verificationFor CareCross, OcsaCare and DomestiCare, real-time patient verification can be done via the web. This service is free and provides an online confirmation of membership status. Alternatively please call the CareCross Call Centre at 0860 101 159 to verify member status.

The verification number is obtained to verify membership status and is not a guarantee of payment.

For Momentum Health Ingwe & Impact and Momentum Health4Me, benefit checking and bookings can be done on the provider website at www.provider.momentum.co.za.

Please note: To confirm benefits for student members, please use either their membership number, or their ID number for local students and passport number plus country of origin for foreign students.

Provider websitesMomentum Health and Momentum Health4MeThe provider web address is www.provider.momentum.co.za - please visit the website to register, or call us on

CareCross, OCSACare and DomestiCareTo register or for login details, please contact the CareCross call centre on 0860 101 159, or visit www.carecross.co.za.

Consultation codes0190 Consultation0191 Consultation0192 Consultation0199 Completion of a chronic registration form R85

Kindly refer to the annual communication, sent early December 2018 for the relevant reimbursement rates.

For Momentum (Ingwe, Impact and Health4Me) Follow-up consultations within 4 days for the same conditions cannot be billed as these are included in the initial consultation fee.

Procedure codes0300 Stitching of wound R389

0301 Stitching of additional wound R87

0307 Excision and repair R518

0308 Each additional small procedure done at the same time R172

0255 Drainage of subcutaneous abscess and avulsion of nail R316

0259 Removal of foreign body superficial to deep fascia R432

2133 Circumcision - clamp R646

0887 Limb cast - inclusive of cost of P.O.P. R432

1232 ECG without effort* R157

1233 ECG with and without effort* R211

1136 Nebulisation (2 per family per year) R56

4188 Urine dipstick R12

* Covered for members 45 years and older. Authorisation required for younger members. Limited to high risk patients and/or patients with cardio-vascular conditions

The following are considered to be integral to the consultation and may not be charged separately:

Blood pressure measurement

Weight

Cholesterol test - finger prick test

Routine blood sugar tests - finger prick test

Small procedures performed in GP rooms and included in consultation:

Peak Flow test

Intravenous infusion (push-in) patients over 2 years - insertion of cannula: chargeable once per 24 hours

Single - intra lesion injection in areas of pathology

Multiple - intra lesion injection in areas of pathology

First lesion - chemo cryotherapy

Subsequent lesion, each - chemo cryotherapy

Maximum for multiple additional lesions - chemo cryotherapy

Removal of benign lesion by curetting under local anaestetic: first lesion

Subsequent lesion, each

Aspiration of cyst or tumour

Please note: Only the procedures indicated above will be allowed. Any other procedures such as wound care, out patient antibiotics etc. will require pre-authorisation. Please contact the Scheme for authorisation.

Primary billing codes

page 10

Pathology request form

Referring General Practitioner’s information

Doctor’s name

Tel number Practice number

Email address

Patient’s details

Patient’s full name Gender Male Female

Medical scheme Option name

Membership number Dependant Code File No

Patient’s ID / date of birth Cell number

ICD-10 code Tel number

Main member and guarantor details

Guarantor’s full name

Guarantor’s ID number

Tel number Cell number

Email address

Code Description

Haematology3709 Antiglobin Test -

Direct or Indirect Coombs3739 Erythrocyte Count3743 Erythrocyte Sedimentation Rate (ESR)3755 Full Blood Count

(incl 3739/3762/3783/3785/3791)3762 Haemoglobin Estimation (Hb)3783 Leucocyte Differential Count3785 Leucocytes: Total Count3791 Packed cell volume3792 Plasmodium Flaciparum

(Malaria: Antigen)3805 Prothrombin Index3806 PI/INR dosage information3797 Platelet Count4528 FerritinBiochemical Tests3999 Albumin4001 Phosphatase4006 Amylase4009 Bilirubin: Total4010 Bilirubin: Conjugated4026 LDL Cholesterol

(Chemical Determination)4027 Total Cholesterol (Fasting)4028 HDL Cholesterol (Fasting)4147 Triglyceride

Code Description

Biochemical Tests (continued)4032 Creatinine4057 Glucose: Quantitative4113 Potassium4114 Sodium4117 Protein (Total)4130 Asparate Aminotransferase (AST)4131 Alanine Aminotransferase (ALT)4134 Gamma Glutamyl Transferase (GGT)4155 Uric Acid4171 Urea and electrolytes4188 Urine Dipstick - Per Stick

(irrespective of number of tests on stick)4352 Occult Blood (Monoclonal antibodies)4023 Chloride4151 Urea4161 Troponin Isoforms4017 Calcium Spectrophotometric4049 Glucose Tolerance TestSerology3932 HIV: Elisa3947 C-Reactive Proteins3948 IgG: Varicella, Herpes, Rubella, etc3949 Syphillis serology3951 Quantitative Khan, VDRL or other

Flocculation3980 Bilharzia Ag Serum / Urine

Code Description

Histology and Cytology4567 Histology per sample 4571 Histology (more than 2 units) per

additional block (max 1)4566 Vaginal or Cervical Smear (1 slide)Immunology4450 HcG : Qualitative4507 Thyrotropin (TSH)4519 PSA4531 Hepatitis: A IGM antibody4531 Hepatitis: B surface antigenBacteriology 3893 Bacteriological Culture (Sensitivity)Microscopy3885 Cytochemical Stain (AO AFB)3869 Faeces microscopy (incl parasites)3881 Tubercle Bacillus3883 Conc-Urine Parasites3865 Parasites in blood: Malaria, Trypanosomes3867 Body fluids, Urine, Exudate

Clinical information and/or test required (all tests not listed above will be for the patient’s own cost):

Patient’s signature Doctor’s signature

CareCross | OCSACare | Health4Me | DomestiCare

HEALTH0670118E

Collection date D D – M M – 2 0 Y Y

Collection time H H : M M

Received date D D – M M – 2 0 Y Y

Is patient fasting? Yes No

Received by (Lab use)

page 11page 10

Momentum Health Ingwe and Impact

HEALTH0670118E

Pathology request form


Doctor’s name

Tel number Practice number

Email address

Patient’s details



Membership number Dependant Code File No


ICD-10 code Tel number

Main member and guarantor details

Guarantor’s full name

Guarantor’s ID number

Tel number Cell number

Code Description

Haematology3709 Antiglobin Test -

Direct or Indirect Coombs3739 Erythrocyte Count3743 Erythrocyte Sedimentation Rate (ESR)3755 Full Blood Count

(incl 3739/3762/3783/3785/3791)3762 Haemoglobin Estimation (Hb)3783 Leucocyte Differential Count3785 Leucocytes: Total Count3791 Packed Cell Volume (Haematocrit)3792 Plasmodium Flaciparum

(Monoclonal Immunological Identification)3805 Prothrombin Index3806 PI/INR dosage information3797 Platelet count4528 FerritinBiochemical Tests3999 Albumin4001 Phosphatase4006 Amylase4009 Bilirubin: Total4010 Bilirubin: Conjugated4026 LDL Cholesterol

(Chemical Determination)4027 Total Cholesterol (Fasting)4028 HDL Cholesterol (Fasting)4147 Triglyceride

Code Description

Biochemical Tests (continued)4032 Creatinine4057 Glucose: Quantitative4113 Potassium4114 Sodium4117 Protein (Total)4130 Asparate Aminotransferase (AST)4131 Alanine Aminotransferase (ALT)4134 Gamma Glutamyl Transferase (GGT)4155 Uric Acid4171 Urea and electrolytes4188 Urine Dipstick - Per Stick (irrespective of

number of tests on stick)4352 Occult Blood (Monoclonal antibodies)4023 Chloride4151 Urea4161 Troponin Isoforms4182 Quantitative Protein Estimation

Nephelometer or Turbidometric Method4017 Calcium Spectrophotometric4049 Glucose Tolerance Tests Serology3932 HIV: Elisa4614 HIV Ab – Rapid Test3946 IgM: Varicella, Herpes, Rubella, etc3947 C-Reactive Proteins3948 IgG: Varicella, Herpes, Rubella, etc

Code Description

Serology (continued)3949 Syphillis serology3951 Quantitative Khan, VDRL or other

Flocculation3980 Bilharzia Ag Serum / UrineHistology and Cytology4567 Histology per sample 4571 Histology (more than 2 units) per

additional block (max 1)4566 Vaginal or Cervical Smear (1 slide)Immunology4450 HcG: Qualitative4451 HCG: Monoclonal - Quantitative4507 Thyrotropin (TSH)4519 PSA4531 Hepatitis: A IGM antibody4531 Hepatitis: B surface antigenBacteriology 3893 Bacteriological Culture (miscellaneous)3887 Antibiotic susceptibility test per organismMicroscopy3865 Parasites in blood: Malaria, Trypanosomes3867 Body fluids, Urine, Exudate3881 Tubercle Bacillus3883 Conc-Urine Parasites3885 Cytochemical Stain (AO AFB)3869 Faeces microscopy (incl parasites)


Patient’s signature Doctor’s signature

Collection date D D – M M – 2 0 Y Y

Collection time H H : M M

Received date D D – M M – 2 0 Y Y

Is patient fasting? Yes No

Received by (Lab use)

page 12

Radiology request form

Patient’s details

Principal member’s full name



Membership number Dependant Code


Postal address


Doctor’s name Practice number

Telephone number ICD-10 Code

Code Tick Description

Arms and shoulders

61100 X-Ray Of The Left Clavicle

61105 X-Ray Of The Right Clavicle

61110 X-Ray Of The Left Scapula

61115 X-Ray Of The Right Scapula

61120 X-Ray Of The Left Acromio-Clavicular Joint

61125 X-Ray Of The Right Acromio-Clavicular Joint

61130 X-Ray Of The Left Shoulder

61135 X-Ray Of The Right Shoulder

62100 X-Ray Of The Left Humerus

62105 X-Ray Of The Right Humerus

63100 X-Ray Of The Left Elbow

63105 X-Ray Of The Right Elbow

64100 X-Ray Of The Left Forearm

64105 X-Ray Of The Right Forearm

Hand and wrist

65100 X-Ray Of The Left Hand

65105 X-Ray Of The Right Hand

65120 X-Ray Of A Finger

65130 X-Ray Of The Left Wrist

65135 X-Ray Of The Right Wrist

65140 X-Ray Of The Left Scaphoid

65145 X-Ray Of The Right Scaphoid

Legs and knees

71100 X-Ray Of The Left Femur

71105 X-Ray Of The Right Femur

72100 X-Ray Of The Left Knee One Or Two Views

72105 X-Ray Of The Right Knee One Or Two Views

73100 X-Ray Of The Left Lower Leg

73105 X-Ray Of The Right Lower Leg

72150 X-Ray Both Knees Standing - Single View

Code Tick Description

Foot and ankle

74145 X-Ray Of A Toe

74100 X-Ray Of The Left Ankle

74105 X-Ray Of The Right Ankle

74120 X-Ray Of The Left Foot

74125 X-Ray Of The Right Foot

74130 X-Ray Of The Left Calcaneus

74135 X-Ray Of The Right Calcaneus

Chest

30100 X-Ray Of The Chest, Single View

30110 X-Ray Of The Chest Two Views, PA & Lateral

30150 X-Ray Of The Ribs

30155 X-Ray Of The Chest And Ribs

Pregnancy: 1 per pregnancy

43250 Ultrasound Of The Pregnant Uterus, First Trimester

Spine

51110 X-Ray Of The Cervical Spine, 1 Or 2 Views

52100 X-Ray Of The Thoracic Spine,1 Or 2 Views

53110 X-Ray Of The Lumbar Spine, 1 Or 2 Views

Abdomen

40100 X-Ray Of The Abdomen

40105 X-Ray Of The Abdomen Supine & Erect, Or Decubitus

Pelvis and hip

55100 X-Ray Of The Pelvis

56100 X-Ray Of The Left Hip

56110 X-Ray Of The Right Hip

56120 X-Ray Pelvis And Hips


Patient’s signature Doctor’s signature Please see GP guide for additional radiology benefits for Momentum Ingwe and Impact members

Momentum Health Ingwe and Impact | CareCross | OCSACare | Health4Me | DomestiCare

HEALTH0680118E

page 13

Tariff code

Description

Skull and brains

10100 X-Ray Of The Skull

Facial bones, nasal bones and paranasal sinusses

11100 X-Ray Of The Facial Bones

11120 X-Ray Of The Nasal Bones

13100 X-Ray Of The Paranasal Sinuses, Single View

13110 X-Ray Of The Paranasal Sinuses, Two Or More Views

13130 X-Ray Of The Naso-Pharyngeal Soft Tissue

Orbits, lachrymal glands and tear duct

12100 X-Ray Orbits Less Than Three Views

12110 X-Ray Of The Orbits, Three Or More Views, Including Foramina

Mandible, teeth and maxilla

14100 X-Ray Of The Mandible

15100 X-Ray Tempero-Mandibular Joint, Left

15110 X-Ray Tempero-Mandibular Joint, Right

Neck

20100 X-Ray Of Soft Tissue Of The Neck

20210 Ultrasound Of Soft Tissue Of The Neck

Spine

50100 X-Ray Of The Spine Scoliosis View Ap Only

50105 X-Ray Of The Spine Scoliosis View Ap And Lateral

51100 X-Ray F The Cervical Spine, Stress Views Only

51120 X-Ray Of The Cervical Spine, More Than Two Views

51130 X-Ray Of The Cervical Spine, More Than Two Views Including Stress Views

52110 X-Ray Of The Thoracic Spine, More Than Two Views

53100 X-Ray Of The Lumbar Spine - Stress Study Only

53120 X-Ray Of The Lumbar Spine, More Than Two Views

53130 X-Ray Of The Lumbar Spine, More That Two Views Including Stress Views

Thorax, chest and abdomen

30170 X-Ray Of The Sterno-Clavicular Joints

30180 X-Ray Of The Sternum

40110 X-Ray Of The Abdomen Multiple Views Including Chest

31100 X-Ray Barium Swallow

31110 X-Ray Barium Swallow, Double Contrast

40140 X-Ray Barium Meal Single Contrast

40143 X-Ray Barium Meal Double Contrast

40153 X-Ray Small Bowel Meal Follow Through Single Contrast

40165 X-Ray Large Bowel Enema Double Contrast

Limbs

74110 X-Ray Of The Left Ankle With Stress Views

74115 X-Ray Of The Right Ankle With Stress Views

50120 X-Ray Bone Densitometry (Other Dis T/C 3604)

72110 X-Ray Of The Left Knee, More Than Two Views

72115 X-Ray Of The Right Knee, More Than Two Views

Tariff code

Description

72130 X-Ray Of The Left Knee With Stress Views

72135 X-Ray Of The Right Knee With Stress Views

70100 X-Ray Lower Limbs - Any Region- Stress Studies Only

61140 X-Ray Of The Left Shoulder Plus Subacromial Impingement Views

61145 X-Ray Of The Right Shoulder Plus Subacromial Impingement Views

Pelvis and hips

54100 X-Ray Of The Sacrum And Coccyx

54110 X-Ray Of The Sacro-Iliac Joints

Ultrasounds

33200 Ultrasound Study Of The Heart, Including Doppler

34200 Ultrasound Study Of The Breast

34205 Ultrasound Guided Aspiration Fna/Localisation Of The Breast

74210 Ultrasound Of The Left Ankle

74215 Ultrasound Of The Right Ankle

74220 Ultrasound Of The Left Foot

74225 Ultrasound Of The Right Foot

42200 Ultrasound Study Of The Renal Tract Including Bladder

40210 Ultrasound Study Of The Whole Abdomen Including The Pelvis

41200 Ultrasound Study Of The Upper Abdomen

60200 Ultrasound Upper Limb - Soft Tissue - Any Region

60230 Ultrasound Peripheral Venous System Upper Limbs Including Pulse And Colour Doppler For Deep Vein Thrombosis

70200 Ultrasound Lower Limb - Soft Tissue - Any Region

72200 Ultrasound Of The Left Knee Joint

72205 Ultrasound Of The Right Knee Joint

61200 Ultrasound Of The Left Shoulder Joint

61210 Ultrasound Of The Right Shoulder Joint

65200 Ultrasound Of The Left Wrist

65210 Ultrasound Of The Right Wrist

40200 Ultrasound Study Of The Abdominal Wall

43200 Ultrasound Study Of The Female Pelvis Transabdominal

43220 Ultrasound Study Of The Testes

43260 Ultrasound Study Of The Pregnant Uterus, Second Trimester

43270 Ultrasound Study Of The Pregnant Uterus, Third Trimester, First Visit

43273 Ultrasound Study Of The Pregnant Uterus, Third Trimester, Follow-Up Visit

20200 Ultrasound Of The Thyroid

20220 Ultrasound Of The Carotid Arteries, Bilateral Including B Mode, Pulsed And Colour Doppler

30200 Ultrasound Of The Chest Wall, Any Region

30210 Ultrasound Of The Pleural Space

Radiology applicable codesAdditional radiology benefits for Momentum Health Ingwe and Impact

HEALTH0680118E

page 14

Radiology in GP roomsRadiology in GP rooms for Momentum Health Ingwe and Impact, Health4Me, CareCross, OCSACare and DomestiCare

Tariff code

Description Price

3305 Finger, Toe R127

3321 Per region, e.g. cervical, sacral, lumbar, coccygeal, one region thoracic R221

3331 Pelvis (sacro-iliac or hip joints only to be added where an extra set of view is required) R221

3445 Chest (item 3601 included) R189

3447 Chest and cardiac studies (item 3601) R253

3615 Routine obstetric ultrasound at 10 to 20 weeks gestational age preferable at 10 to 14 weeks gestational age to include nuchal translucency assessment - Limited to one per pregnancy

R449

6260 Contrast media (0201 not applicable): Current price according to the regular price list published by the radiology society of SA

6500 Hand R155

6501 Wrist (specify region) R155

6503 Scaphoid R155

6504 Radius and Ulna R155

6505 Elbow R155

6506 Humerus R155

6507 Shoulder R155

6508 Acromio-Clavicula joint R155

6509 Clavicle R155

6510 Scapula R155

6511 Foot R155

6512 Ankle R155

6513 Calceneus R155

6514 Tibia and Fibula R155

6515 Knee R155

6516 Patella R155

6517 Femur R155

6518 Hip R155

page 15page 14

page 16

Chronic conditions list Momentum Health Horizon Moto Health Care Pick n Pay Wooltru Health4Me OcsaCare Selfmed

ConditionIngwe and Impact Hospital Plus

Network Plan Custom ** Essential ** Primary Core Gold ** Gold ** Selfnet + Selfnet Essential

Acne

Addison’s Disease

Allergic Rhinitis

Asthma

Bipolar Mood Disorder

Bronchiectasis

Cardiac dysrhythmias

Cardiac Failure

Cardiomyopathy

Chronic Obstructive Pulmonary Disease

Chronic Renal Disease

Coronary Artery Disease

Crohn’s Disease

Depression

Diabetes Insipidus

Diabetes Type 1

Diabetes Type 2

Epilepsy

Glaucoma

Gout

Haemophilia

Hyperlipidaemia

Hypertension

Hypothyroidism

Menopause

Migraine Prophylaxis

Multiple Sclerosis

Osteo-Arthritis

Osteoporosis

Parkinson’s Disease

Rheumatoid Arthritis

Schizophrenia

Systemic Lupus Erythematosus

Ulcerative Colitis

HIV (Refer to Benefit & Contact Matrix on page 6 and 7)

Schemes marked with ** have their own formularies

page 17

Chronic conditions list Momentum Health Horizon Moto Health Care Pick n Pay Wooltru Health4Me OcsaCare Selfmed

ConditionIngwe and Impact Hospital Plus

Network Plan Custom ** Essential ** Primary Core Gold ** Gold ** Selfnet + Selfnet Essential

Acne

Addison’s Disease

Allergic Rhinitis

Asthma


Bronchiectasis

Cardiac dysrhythmias

Cardiac Failure

Cardiomyopathy




Crohn’s Disease

Depression

Diabetes Insipidus

Diabetes Type 1

Diabetes Type 2

Epilepsy

Glaucoma

Gout

Haemophilia

Hyperlipidaemia

Hypertension

Hypothyroidism

Menopause

Migraine Prophylaxis

Multiple Sclerosis

Osteo-Arthritis

Osteoporosis

Parkinson’s Disease


Schizophrenia


Ulcerative Colitis

HIV (Refer to Benefit & Contact Matrix on page 6 and 7)

Schemes marked with ** have their own formularies

Ingwe, Impact, Health4Me, CareCross, OCSACare and DomestiCare formularies for acute medicationDisclaimer: All conditions and medicines covered are subject to scheme rules and protocols. The info contained here is subject to changes as and when prices and products change. Please refer to the website for the full updated list.

Product Name Quantity limits

ANAESTHETICSAMETHOCAINE CREAM 3 FILLS PER ANNUMANETHAINE CREAM 3 FILLS PER ANNUMANALGESICSACTAMOL RED (UN-BOXED)ADCO-KIDDIPAYNEADCO-MEFENAMIC ACID 3 FILLS PER ANNUM

ADCO-MEFENAMIC ACID CAPS QTY LIMIT = 200 UNITS PER ANNUM

ADCO-PARACETAMOL ELIX

ADCO-PAYNE TABS QTY LIMIT = 200 UNITS PER ANNUM

ADCO-SALTERPYN SYRP

AMSTIL TABS QTY LIMIT = 200 UNITS PER ANNUM

ANTALGIC 500MG TABS QTY LIMIT = 200 UNITS PER ANNUM

ANTIPYN FORTE TABS QTY LIMIT = 200 UNITS PER ANNUM

ASPIRIN TABS QTY LIMIT = 400 UNITS PER ANNUM

AUSTELL-TRAMADOL 50MG CAP QTY LIMIT = 60 TABS PER ANNUM

BARRS PARACETAMOL 120MG/5ML

BAYER ASPIRIN TABS QTY LIMIT = 400 UNITS PER ANNUM

BE-TABS ASPIRIN 300MG TABS QTY LIMIT = 400 UNITS PER ANNUM

BRISCOPYN TABS QTY LIMIT = 200 UNITS PER ANNUM

BRUNOMOL 120MG/5ML SYRP

CETAPON TABS QTY LIMIT = 200 UNITS PER ANNUM

CODOROL TABS QTY LIMIT = 200 UNITS PER ANNUM

COGESIC TABS QTY LIMIT = 200 UNITS PER ANNUM

DENTOPAIN CAPS QTY LIMIT = 200 UNITS PER ANNUM

DINO-COD TABS QTY LIMIT = 200 UNITS PER ANNUM

DOLOROL FORTE TABS QTY LIMIT = 200 UNITS PER ANNUM


EMPAPED 125MG SUPP MAX AGE = 6; 3 FILLS PER ANNUM

EMPAPED 250MG SUPP MAX AGE = 6; 3 FILLS PER ANNUM

FENAMIN 250MG CAPS QTY LIMIT = 200 UNITS PER ANNUM

FENAMIN 50MG/5ML SUSP 3 FILLS PER ANNUMFEVERPAIN (UNBOXED)GOLDGESIC SYRP

GOLDGESIC TABS QTY LIMIT = 200 UNITS PER ANNUM

GO-PAIN SYRP

GO-PAIN TABS QTY LIMIT = 200 UNITS PER ANNUM

GULF ASPIRIN 300MG TABS QTY LIMIT = 400 UNITS PER ANNUM

GULF PARACETAMOL 500MG TABS

QTY LIMIT = 200 UNITS PER ANNUM

IBUCINE SUSPIBUGESIC 100MG/5ML SUSP

IBUPAIN CAPS QTY LIMIT = 200 UNITS PER ANNUM

IBUPAIN CAPS BLISTER PACK QTY LIMIT = 200 UNITS PER ANNUM

INFAPAIN FORTE SYRPINFLAMAX PAED 100MG/5ML SUSP

JP PARACETAMOL TABS QTY LIMIT = 200 UNITS PER ANNUM

KID-EEZE SYRP

KODAPON TABS QTY LIMIT = 200 UNITS PER ANNUM

MEDI-PARACETAMOL 500MG TABS


MEDIPYN S

NAPACOD TABS QTY LIMIT = 200 UNITS PER ANNUM

NAPAMOL 120MG/5ML SYRP

NAPAMOL 500MG TABS QTY LIMIT = 200 UNITS PER ANNUM

NUCOPAIN TABS QTY LIMIT = 200 UNITS PER ANNUM

PAIN EXPELLER 300MG TABS DR DU T


PAINAGON TABS QTY LIMIT = 200 UNITS PER ANNUM

PAINAMOL GREEN 500MG TABS QTY LIMIT = 200 UNITS PER ANNUM

PAINAMOL PLUS QTY LIMIT = 200 UNITS PER ANNUM

PAINBLOK 120MG/5ML SYRP

PAINCODEIN TABS QTY LIMIT = 200 UNITS PER ANNUM

PAINOGESIC SYRP

Medication formulariesDisclaimer: All conditions and medicines covered are subject to scheme rules and protocols. The info contained here is subject to changes as and when prices and products change. Please refer to the website for the full updated list.

Ingwe, Impact, Health4Me, CareCross, OCSACare and DomestiCare formularies for acute medication

page 19


PAINOGESIC TABS QTY LIMIT = 200 UNITS PER ANNUM

PARACETAMOL ELIX (ALC FREE)

PONAC 250MG CAPS QTY LIMIT = 200 UNITS PER ANNUM

PONAC 50MG/5ML SUSP 3 FILLS PER ANNUMPONSTAN 10MG/ML SUSP 3 FILLS PER ANNUM

PONSTAN PEAD 125MG SUP MAX AGE = 6; 3 FILLS PER ANNUM

PROLIEF 500MG TABS QTY LIMIT = 200 UNITS PER ANNUM

PYNMED TABS QTY LIMIT = 200 UNITS PER ANNUM

PYRALEN 120MG/5ML SYRP

ROCODIN TABS QTY LIMIT = 200 UNITS PER ANNUM

SPECTRAPAIN CAPS QTY LIMIT = 200 UNITS PER ANNUM

SPECTRAPAIN FORTE TABS QTY LIMIT = 200 UNITS PER ANNUM

STILPANE SYRP

TAMOLTRA 37.5/325MG TABS QTY LIMIT = 60 TABS PER ANNUM

TRAMASPEN 50MG CAP QTY LIMIT = 60 TABS PER ANNUM

TRAMAZAC CO 37.5/325MG TABS QTY LIMIT = 60 TABS PER ANNUM

VARI-COCODAMOL 8MG/500MG TABS


VON PARACETAMOL TABS QTY LIMIT = 200 UNITS PER ANNUM

XEROGESIC TABS QTY LIMIT = 200 UNITS PER ANNUM

ZYDUS-PARACETAMOL 500MG QTY LIMIT = 200 UNITS PER ANNUM

ANTHELMINTICSADCO-WORMEX 500MG TABS 2 FILLS PER ANNUMADCO-WORMEX TABS 2 FILLS PER ANNUMBENDEX 400MG TABS 2 FILLS PER ANNUMBILTRICIDE 600MG TABS 1 FILL PER ANNUMCIPEX SUSP 2 FILLS PER ANNUMPIPRINE ELIX 2 FILLS PER ANNUMSB TOX WORM SYR 2 FILLS PER ANNUMVERMOX SD 500MG/10ML 2 FILLS PER ANNUMWORMADOLE 400MG CHEW 2 FILLS PER ANNUMWORMGO 100MG TABS 2 FILLS PER ANNUMWORMSTOP 100MG TABS 2 FILLS PER ANNUMWORMSTOP 500MG TABS 2 FILLS PER ANNUMWORMSTOP SUSP 2 FILLS PER ANNUMZENTEL 100MG/5ML SUSP 2 FILLS PER ANNUMZENTEL 400MG TABS 2 FILLS PER ANNUMANTI-MICROBIALSACICLOVIR SANDOZ 200MG TABS 3 FILLS PER ANNUM

ACICLOVIR SANDOZ 400MG TABS 3 FILLS PER ANNUM

ACITAB-200 DISP TABS 3 FILLS PER ANNUMACITAB-400 DISP TABS 3 FILLS PER ANNUMACITOP 5% CREAM 3 FILLS PER ANNUMACUZOLE 200MG TABS 3 FILLS PER ANNUMACUZOLE 400MG TABS 3 FILLS PER ANNUMACYCLOVIR BIOTECH 200MG TABS 3 FILLS PER ANNUM


ADCO-ACYCLOVIR 50 CREAM 3 FILLS PER ANNUMADCO-AMOCLAV 375MG TABS 3 FILLS PER ANNUMADCO-AMOX 125MG SUSP 3 FILLS PER ANNUMADCO-AMOX 250MG SUSP 3 FILLS PER ANNUMADCO-AMOX 500MG CAPS 3 FILLS PER ANNUMADCO-AMOXYCLAV BD 1000MG TABS 3 FILLS PER ANNUM

ADCO-CO-TRIMOXAZOLE TABS 3 FILLS PER ANNUMADCO-ERYTHROMYCIN 250 CAPS 3 FILLS PER ANNUMADCO-METRONIDAZOLE 200MG TABS 3 FILLS PER ANNUM

ADCO-METRONIDAZOLE 400MG TABS 3 FILLS PER ANNUM

A-LENNON AMOXYCILLIN 250MG 3 FILLS PER ANNUMA-LENNON DOXYCYCLINE HCL CAPS 3 FILLS PER ANNUM

ALKOXIME 250MG TABS 3 FILLS PER ANNUMALKOXIME 500MG TABS 3 FILLS PER ANNUMALLMOX 250MG CAPS 3 FILLS PER ANNUMALLMOX 500MG CAPS 3 FILLS PER ANNUMALLMOX S 125MG/5ML SUSP 3 FILLS PER ANNUMALLMOX SF 250MG/5ML SUSP 3 FILLS PER ANNUMAMOCAS 250MG CAPS 3 FILLS PER ANNUMAMOCLAN S SUSP 3 FILLS PER ANNUMAMOCLAN SF SUSP 3 FILLS PER ANNUMAMOCLAN TABS 3 FILLS PER ANNUMAMOXICAPS 250MG CAPS 3 FILLS PER ANNUMAMYN 250MG CAPS 3 FILLS PER ANNUMAMYN 500MG CAPS 3 FILLS PER ANNUMAMYN S 125MG/5ML SUSP 3 FILLS PER ANNUMAMYN SF 250MG/5ML SUSP 3 FILLS PER ANNUMAMZOLE 400MG TABS 3 FILLS PER ANNUMANAEROBYL 200MG TABS 3 FILLS PER ANNUMANAEROBYL 400MG TABS 3 FILLS PER ANNUMAPEX-ACYCLOVIR 400MG TABS 3 FILLS PER ANNUMAPEX-CLAVUTIN 375MG TABS 3 FILLS PER ANNUMAPEX-CLAVUTIN 625MG TABS 3 FILLS PER ANNUMAPEX-CLAVUTIN SF 3 FILLS PER ANNUMAPEX-FLUCONAZOLE 150MG CAPS 6 FILLS PER ANNUM

ASPEN FLUCONAZOLE 150MG CAPS 6 FILLS PER ANNUM

ATHLONE PHENOXYMETHYLPENICIL 3 FILLS PER ANNUM

AUGMAXCIL 375MG TABS 3 FILLS PER ANNUMAUGMAXCIL 625MG TABS 3 FILLS PER ANNUMAUGMAXCIL S 3 FILLS PER ANNUMAUGMAXCIL SF 3 FILLS PER ANNUMAURO FLUCONAZOLE 150MG CAPS 6 FILLS PER ANNUM

AURO-AMOXICLAV 125/31.25MG 3 FILLS PER ANNUMAURO-AMOXICLAV 375MG TABS 3 FILLS PER ANNUMAURO-AMOXICLAV 625MG TABS 3 FILLS PER ANNUMAURO-AMOXYCILLIN 250MG CAPS 3 FILLS PER ANNUM

AURO-AMOXYCILLIN 500MG CAPS 3 FILLS PER ANNUM

AUROXIME 250MG TABS 3 FILLS PER ANNUMAUSTELL CIPROFLOX 250MG TABS 3 FILLS PER ANNUMAUSTELL CIPROFLOX 500MG TABS 3 FILLS PER ANNUMAUSTELL CIPROFLOX 750MG TABS 3 FILLS PER ANNUMAUSTELL CO-AMOXICLAV 375MG 3 FILLS PER ANNUM


page 20


AUSTELL CO-AMOXICLAV 625MG 3 FILLS PER ANNUMAUSTELL CO-AMOXICLAV BD S SUSP 3 FILLS PER ANNUM

AUSTELL CO-AMOXICLAV BD SF SUS 3 FILLS PER ANNUM

AUSTELL FLUCON 150MG CAPS 6 FILLS PER ANNUMAUSTELL-AMOXICILLIN 250MG CAPS 3 FILLS PER ANNUM

AUSTELL-AMOXICILLIN 500MG CAPS 3 FILLS PER ANNUM

BELEX 500MG CAPS 3 FILLS PER ANNUMBE-METRAZOLE 200MG TABS 3 FILLS PER ANNUMBE-METRAZOLE 400MG TABS 3 FILLS PER ANNUMBENCOLE SUSP 3 FILLS PER ANNUMBE-OXYTET 250MG CAPS 3 FILLS PER ANNUMBETACLAV 1000MG TABS 3 FILLS PER ANNUMBETACLAV 375MG TABS 3 FILLS PER ANNUMBETACLAV 625MG TABS 3 FILLS PER ANNUMBETAMOX 250MG CAPS 3 FILLS PER ANNUMBETAMOX 500MG CAPS 3 FILLS PER ANNUMBETAMOX S 125MG/5ML SUSP 3 FILLS PER ANNUMBETAMOX SF 250MG/5ML SUSP 3 FILLS PER ANNUMBETAMYCIN 125MG SUSP 3 FILLS PER ANNUMBETAMYCIN 250MG TABS 3 FILLS PER ANNUMBETAPEN 125MG/5ML SYR 3 FILLS PER ANNUMBETAPEN 250MG TABS 3 FILLS PER ANNUMBETAROXIME T 500MG TABS 3 FILLS PER ANNUMBETA-VIRA 5% CREAM 3 FILLS PER ANNUMBINDOCLAV 375MG TABS 3 FILLS PER ANNUMBINDOCLAV 625MG TABS 3 FILLS PER ANNUMBIO-AMOKSIKLAV 1000MG TABS 3 FILLS PER ANNUMBIO-AMOKSIKLAV 625MG TABS 3 FILLS PER ANNUMBIO-AMOKSIKLAV TABS 3 FILLS PER ANNUMBIOCIP 250MG TABS 3 FILLS PER ANNUMBIO-METRONIDAZOLE 400MG 3 FILLS PER ANNUMBIO-METRONIDAZOLE TABS 3 FILLS PER ANNUMBIOTECH CIPROFLOXACIN 250MG 3 FILLS PER ANNUMBIOTECH CIPROFLOXACIN 500MG 3 FILLS PER ANNUMBIOTECH CIPROFLOXACIN 750MG 3 FILLS PER ANNUMCANDACIDE SUSP 20ML 3 FILLS PER ANNUMCANSTAT ORAL DROPS 3 FILLS PER ANNUMCASICOT SUSPENSION 3 FILLS PER ANNUMCASICOT TABS 3 FILLS PER ANNUMCEFASYN 250MG TABS (WAS POXIM) 3 FILLS PER ANNUM

CEFASYN 500MG TABS 3 FILLS PER ANNUMCEFASYN 500MG TABS (WAS POXIM) 3 FILLS PER ANNUM

CEFTRIAXONE-SAFELINE VIAL POWD 3 FILLS PER ANNUM

CEROXIM 125MG/5ML SUSP 3 FILLS PER ANNUMCIFLOC 250MG TABS 3 FILLS PER ANNUMCIFLOC 750MG TABS 3 FILLS PER ANNUMCIFRAN 250MG TABS 3 FILLS PER ANNUMCIFRAN 500MG TABS 3 FILLS PER ANNUMCILOFLOC 250MG TABS 3 FILLS PER ANNUMCILOFLOC 500MG TABS 3 FILLS PER ANNUMCIPLOXX 250MG TABS 3 FILLS PER ANNUM


CIPROFLOXACIN ACTOR 250MG TABS 3 FILLS PER ANNUM

CIPROGEN 250MG TABS 3 FILLS PER ANNUMCIPROGEN 500MG TABS 3 FILLS PER ANNUMCIPROL 250MG TABS 3 FILLS PER ANNUMCIPROL 500MG TABS 3 FILLS PER ANNUMCLAMENTIN 375MG TABS 3 FILLS PER ANNUMCLAREN 125MG/5ML GRANULES 3 FILLS PER ANNUMCLAREN 250MG/5ML GRAN FOR SUSP 3 FILLS PER ANNUM

CLARIHEXAL 125 P SUSP 3 FILLS PER ANNUMCLARIHEXAL 250 P SUSP 3 FILLS PER ANNUMCLARIHEXAL XL 500MG TABS 3 FILLS PER ANNUMCLARITHROMYCIN UNICORN 500MG X 3 FILLS PER ANNUM

CLINDAHEXAL 150MG CAPS 3 FILLS PER ANNUMCLOXIN 250MG CAPS 3 FILLS PER ANNUMCLOXIN 500MG CAPS 3 FILLS PER ANNUMCO-TRIM SUSP 3 FILLS PER ANNUMCOZOLE SUSP 3 FILLS PER ANNUMCOZOLE TABS 3 FILLS PER ANNUMCPL ALLIANCE CEPHALEXIN 125MG/5ML 3 FILLS PER ANNUM

CPL ALLIANCE CEPHALEXIN 250MG 3 FILLS PER ANNUM

CPL ALLIANCE CEPHALEXIN 500MG 3 FILLS PER ANNUM

CPL ALLIANCE CIPROFLOXACIN 250 3 FILLS PER ANNUM

CPL ALLIANCE CIPROFLOXACIN 500 3 FILLS PER ANNUM

CURAM 1000GM BD TABS 3 FILLS PER ANNUMCURAM BD SUSP 3 FILLS PER ANNUMCUROAX 500MG TABS 3 FILLS PER ANNUMCUROAX 250MG TABS 3 FILLS PER ANNUMCYCLIDOX 100MG CAPS 3 FILLS PER ANNUMCYCLIDOX EC 100MG CAPS 3 FILLS PER ANNUMCYCLIDOX EC 50MG CAPS 3 FILLS PER ANNUMCYCLIVEX 400MG TABS 3 FILLS PER ANNUMDIFLUZOLE 150MG CAPS 6 FILLS PER ANNUMDOCTRIM SUSP 3 FILLS PER ANNUMDOXYCYL 100MG CAPS 3 FILLS PER ANNUMDOXYTET 100MG CAPS 3 FILLS PER ANNUMDUMOXIN 50MG CAPS 3 FILLS PER ANNUMDYNAFLOC 250MG TABS 3 FILLS PER ANNUMDYNAFLOC 500MG TABS 3 FILLS PER ANNUMERYKO 250MG TABS 3 FILLS PER ANNUMERYMYCIN P 125MG SUSP 3 FILLS PER ANNUMERYMYCIN PF 250MG SUSP 3 FILLS PER ANNUMFIXIME 400MG TABS 3 FILLS PER ANNUM

FLAGYL 200MG/5ML SUSP MAX AGE = 10; 3 FILLS PER ANNUM

FLOPRO 500MG TABS 3 FILLS PER ANNUMFLUCORIC 150MG CAPS 6 FILLS PER ANNUMFLUPEN 250MG CAPS 3 FILLS PER ANNUMFORCID SOLUTAB 875/125 3 FILLS PER ANNUMFRESENIUS-CEFTRIAXONE 250MG 3 FILLS PER ANNUMGLENMARK FLUCONAZOLE 150MG TAB 6 FILLS PER ANNUM


page 21


GULF FLUCONAZOLE 150MG CAPS 6 FILLS PER ANNUMILVITRIM SUSP 3 FILLS PER ANNUMILVITRIM TABS 3 FILLS PER ANNUMINSEP 150MG CAPS 6 FILLS PER ANNUMIPCAMOX 250MG CAPS 3 FILLS PER ANNUMKLARIBIN 250MG TABS 3 FILLS PER ANNUMKLARIBIN 500MG TABS 3 FILLS PER ANNUMKLARITHRAN 125MG/5ML SUSP 3 FILLS PER ANNUMKLARITHRAN 250MG/5ML SUSP 3 FILLS PER ANNUMKLARITHRAN 500MG TABS 3 FILLS PER ANNUMKLARITHRAN MR 500MG TABS 3 FILLS PER ANNUMKLARYVID 250MG TABS 3 FILLS PER ANNUMKLARYVID 500MG TABS 3 FILLS PER ANNUMKLAVIMAXCIL 1000MG DISP TABS 3 FILLS PER ANNUMLAGATRIM 480MG TABS 3 FILLS PER ANNUMLOVIRE 200MG DISP TABS 3 FILLS PER ANNUMLOVIRE 400MG DISP TABS 3 FILLS PER ANNUMLOVIRE CREAM 3 FILLS PER ANNUMLOXIP 250MG TABS 3 FILLS PER ANNUMLOXIP 500MG TABS 3 FILLS PER ANNUMMACROPEN CAPS 3 FILLS PER ANNUMMACROPEN SUSP 3 FILLS PER ANNUMMEDAMET 200MG TABS 3 FILLS PER ANNUMMEDAXONE 250MG INJ 3 FILLS PER ANNUMMEDREICH FLUCLOXACILLIN 250MG 3 FILLS PER ANNUM

MERCK-ERYTHROMYCIN 250MG TABS 3 FILLS PER ANNUM

METAZOL 200MG TABS 3 FILLS PER ANNUMMETAZOL 400MG TABS 3 FILLS PER ANNUMMETRAZOLE 400MG TABS 3 FILLS PER ANNUMMETROSTAT 400MG TABS 3 FILLS PER ANNUMMICROCIDAL 125MG TABS 3 FILLS PER ANNUMMICROCIDAL 500MG TABS 3 FILLS PER ANNUMMOXYMAX 250 SUSP 3 FILLS PER ANNUMMOXYMAX 250MG CAPS 3 FILLS PER ANNUMMOXYMAX 500MG CAPS 3 FILLS PER ANNUMMOXYMAX S 125MG/5ML SUSP 3 FILLS PER ANNUMMOXYPEN 125 SUSP 3 FILLS PER ANNUMMOXYPEN 250MG CAPS 3 FILLS PER ANNUMMOXYPEN 250MG/5ML SUSP 3 FILLS PER ANNUMMOXYPEN 500MG CAPS 3 FILLS PER ANNUMMYCOREST 150MG CAPS 6 FILLS PER ANNUMMYLAN FLUCONAZOLE 150MG CAPS 6 FILLS PER ANNUM

MYMOX 250MG CAPS 3 FILLS PER ANNUMMYMOX 500MG CAPS 3 FILLS PER ANNUMNUCOTET CAPS 3 FILLS PER ANNUMNUCOTRIM 480MG TABS 3 FILLS PER ANNUMNYSTACID ORAL 100000 SUSP 3 FILLS PER ANNUMOFRAMAX 250MG VIAL 3 FILLS PER ANNUMORCHID CEFUROXIME 250MG TABS 3 FILLS PER ANNUM

ORCHID CEFUROXIME 500MG TABS 3 FILLS PER ANNUM

ORPIC 250MG TABS 3 FILLS PER ANNUMORPIC 500MG TABS 3 FILLS PER ANNUMOXY 250MG CAPS 3 FILLS PER ANNUMOXYPAN 250MG CAPS 3 FILLS PER ANNUMPENILENTE LA 2.4MU INJ 3 FILLS PER ANNUMPHARMA-Q CO-TRIMOXAZOLE 3 FILLS PER ANNUM


PHARMATET 250MG CAPS 3 FILLS PER ANNUMPROFLOXIN 500MG TABS 3 FILLS PER ANNUMPROMOXIL 250MG CAPS 3 FILLS PER ANNUMPROMOXIL 500MG CAPS 3 FILLS PER ANNUMPROMOXIL S 125MG/5ML 3 FILLS PER ANNUMPROMOXIL SF 250MG/5ML 3 FILLS PER ANNUMPURBAC DS TABS 3 FILLS PER ANNUMPURBAC SUSP 3 FILLS PER ANNUMPURBAC TABS 3 FILLS PER ANNUMPURMYCIN 125MG/5ML SUSP 3 FILLS PER ANNUMPURMYCIN 250MG CAPS 3 FILLS PER ANNUMPURMYCIN 250MG/5ML SUSP 3 FILLS PER ANNUMRACEMIN 250MG TABS 3 FILLS PER ANNUMRANCEPH 250MG/5ML SUSP 3 FILLS PER ANNUMRANCEPH 125MG/5ML SUSP 3 FILLS PER ANNUMRANCEPH 250MG CAPS 3 FILLS PER ANNUMRANCEPH 500MG CAPS 3 FILLS PER ANNUMRANCLAV 1000MG TABS 3 FILLS PER ANNUMRANCLAV FORTE SUSPENSION 3 FILLS PER ANNUMRANMOXY 250MG CAPS 3 FILLS PER ANNUMRANMOXY 500MG CAPS 3 FILLS PER ANNUMRANMOXY SUSP 125MG/5ML 3 FILLS PER ANNUMRANMOXY SUSP 250MG/5ML 3 FILLS PER ANNUMROCEPHIN 250MG/VIAL 3 FILLS PER ANNUMRUBIMYCIN 250MG TABS 3 FILLS PER ANNUMSALTERMOX S 125MG/5ML 3 FILLS PER ANNUMSALTERMOX SF 250MG/5ML 3 FILLS PER ANNUMSANDOZ AMOCLAV S 3 FILLS PER ANNUMSANDOZ AMOCLAV SF 3 FILLS PER ANNUMSANDOZ CEFUROXIME 125MG/5ML 3 FILLS PER ANNUM

SANDOZ CEFUROXIME 250MG TABS 3 FILLS PER ANNUM

SANDOZ FLUCLOXACILLIN 250MG 3 FILLS PER ANNUMSIMAYLA CIPROFLOXACIN 250MG 3 FILLS PER ANNUMSIMAYLA FLUCONAZOLE 150MG CAPS 6 FILLS PER ANNUM

SPECTRASONE 125MG SUSP 3 FILLS PER ANNUMSPECTRASONE 250MG CAPS 3 FILLS PER ANNUMSPECTRASONE 250MG SUSP 3 FILLS PER ANNUMSUPRAZOLE 400MG TABS 3 FILLS PER ANNUMTETRACEM 250MG CAPS 3 FILLS PER ANNUMTRIAPHIN VIAL 5ML 250MG INJ 3 FILLS PER ANNUMTRICHAZOLE 200MG TABS 3 FILLS PER ANNUMTRICHAZOLE 400MG TABS 3 FILLS PER ANNUMTRIMETHOX TABS 3 FILLS PER ANNUMTRIXAZOLE 480MG TABS 3 FILLS PER ANNUMXERAMEL 250MG CAPS 3 FILLS PER ANNUMXERAMEL S SUSP 3 FILLS PER ANNUMXERAMEL SF 250MG/5ML SUSP 3 FILLS PER ANNUMXERAZOLE SUSP 3 FILLS PER ANNUMYOMAX 250MG CAPS 3 FILLS PER ANNUMYOMAX 500MG CAPS 3 FILLS PER ANNUMZALOXY 125MG/5ML SUSP 3 FILLS PER ANNUMZALOXY 250MG CAPS 3 FILLS PER ANNUMZALOXY 250MG/5ML SUSP 3 FILLS PER ANNUMZALOXY 500MG CAPS 3 FILLS PER ANNUMZEFURIME 250MG TABS 3 FILLS PER ANNUMZEFURIME 500MG TABS 3 FILLS PER ANNUMZINNAT 125MG/5ML SUSP 3 FILLS PER ANNUM


page 22


ZOXIL 250MG CAPS 3 FILLS PER ANNUMZOXIL S 125MG/5ML SUSP 3 FILLS PER ANNUMZOXIL SF 250MG/5ML SUSP 3 FILLS PER ANNUMANTI-PROTOZOALS

COARTEM TABS 1 FILL PER ANNUMAUTACOIDS

ACUZYRT 5MG/5ML ORAL SOLN 4 FIILS PER ANNUMALLECET 5MG/5ML SYRUP 4 FIILS PER ANNUM

ALLERGEX 2MG/5ML SYR 4 FIILS PER ANNUMALLERGEX 4MG TABS 4 FIILS PER ANNUMALLERGEX NON DROWSY SYRP 4 FIILS PER ANNUM

ALLERGEX NON DROWSY TABS 4 FIILS PER ANNUMAP LORATADINE 5MG/5ML SYRP 4 FIILS PER ANNUM

ASPEN CETIRIZINE 5MG/5ML SOLN 4 FIILS PER ANNUM

AUSTELL CETIRIZINE 10MG TABS 4 FIILS PER ANNUMBETEK 10MG TABS 4 FIILS PER ANNUMBIOHIST SYR 4 FIILS PER ANNUMBRUNAZINE 5MG/5ML 4 FIILS PER ANNUMCETICIT 10MG TABS 4 FIILS PER ANNUMCETIRIZINE-HEXAL 10MG TABS 4 FIILS PER ANNUM

CETIRIZINE-HEXAL 1MG/1ML SOLN

4 FIILS PER ANNUM

CHLORHIST 2MG/5ML SYR 4 FIILS PER ANNUMCLARINESE SYRP 4 FIILS PER ANNUMCLARITYNE 10MG TABS 4 FIILS PER ANNUMDEZZO CETIRIZINE 10MG TABS 4 FIILS PER ANNUM

GULF CETIRIZINE 10MG TABS 4 FIILS PER ANNUM

LENAZINE 5MG/5ML SYRP 4 FIILS PER ANNUMLORANO 10MG TABS 4 FIILS PER ANNUMLORFAST 10MG TABS 4 FIILS PER ANNUMLORMEG 10MG TABS 4 FIILS PER ANNUMPHENERGAN 10MG TABS 4 FIILS PER ANNUMPHENERGAN 25MG TABS 4 FIILS PER ANNUMPOLLENTYME 10MG TABS 4 FIILS PER ANNUMPOLLENTYME S 4 FIILS PER ANNUMPROHIST 5MG/5ML SYRP 4 FIILS PER ANNUMRECEPTOZINE 10MG TABS 4 FIILS PER ANNUMRECEPTOZINE 25MG TABS 4 FIILS PER ANNUMRHINETON 4MG TABS 4 FIILS PER ANNUMROHIST 10MG TABS 4 FIILS PER ANNUM

SIMAYLA LORATADINE 10MG TABS 4 FIILS PER ANNUM

TEXA ALLERGY 5MG/5ML SOLN 4 FIILS PER ANNUM

TRANTRIN 10MG TABS 4 FIILS PER ANNUMZELARY 1MG/ML ORAL SOLN 4 FIILS PER ANNUM

ZETOP 10MG TABS 4 FIILS PER ANNUMZINALLERG 10MG TABS 4 FIILS PER ANNUM

ZYNCET 10MG TABS 4 FIILS PER ANNUM

BIOLOGICALSFLUARIX PREFILLED SYRINGE 0.5ML 1 FILL PER ANNUM

FLUVAX 2009 PRE-FILLED SYR 1 FILL PER ANNUM

INFLUVAC 0.5ML 1 FILL PER ANNUM

MUTAGRIP SINGLE DOSE 1 FILL PER ANNUMVAXIGRIP PREFIL S/DOSE 0.5ML 1 FILL PER ANNUM

VAXIGRIP S/DOSE 0.25ML PAED 1 FILL PER ANNUM

X-FLU PREFILLED SYR 0.5ML 1 FILL PER ANNUM

BLOOD AND HAEMOPOEITICAHA FERROUS SULPH 30MG TABS 3 FILLS PER ANNUMBODY BALANCE FERROUS SULPH 3 FILLS PER ANNUMEGOLI FERROUS SULPHATE 30 3 FILLS PER ANNUM


FEROFOL SYRPFERRIMED 50MG/5ML SYRP 3 FILLS PER ANNUMFERROUS SULPHATE 30MG 3 FILLS PER ANNUMFERROUS SULPHATE 30MG TABS 3 FILLS PER ANNUMFERROUS SULPHATE 75MG TABS 3 FILLS PER ANNUMFERROUS SULPHATE 75MG TABS 3 FILLS PER ANNUMFERROUS SULPHATE 75MG TABS 3 FILLS PER ANNUMFOLIGLOBIN TABS 3 FILLS PER ANNUMGULF FERROUS SULPHATE COMP TABS 3 FILLS PER ANNUM

PREGAMAL TABS 3 FILLS PER ANNUMCENTRAL NERVOUS SYSTEM

ACCORD SUMATRIPTAN 100MG QTY LIMIT = 4 TABS; 3 FILLS PER ANNUM

ACCORD SUMATRIPTAN 50MG TABS

QTY LIMIT = 4 TABS; 3 FILLS PER ANNUM

ACULOID 50MG TABS

ADCO-ALZAM 0.25MG TABS QTY LIMIT = 90 TABS PER ANNUM

ADCO-ALZAM 0.5MG TABS QTY LIMIT = 90 TABS PER ANNUM

ADCO-CONTROMET 10MG TABSADCO-CONTROMET 5MG/5MLADCO-CYCLIZINE 50MG TABS

ALCHERA 7.5MG TABS QTY LIMIT = 90 TABS PER ANNUM

ARROW SUMATRIPTAN 50MG TABS


ARROW SUMATRIPTAN 100MG TABS


AZOR 0.25MG TABS QTY LIMIT = 90 TABS PER ANNUM

AZOR 0.5MG TABS QTY LIMIT = 90 TABS PER ANNUM

AZOR 1MG TABS QTY LIMIT = 90 TABS PER ANNUM

BETACLOPRAMIDE 10MG TABS

BETAPAM 5MG TABS QTY LIMIT = 90 TABS PER ANNUM

BIO METOCLOPRAMIDE 10MG TABS

BIO ZOPICLONE 7.5MG TABS QTY LIMIT = 90 TABS PER ANNUM

BRAZEPAM 3MG TABS QTY LIMIT = 90 TABS PER ANNUM

BRAZEPAM 6MG TABS QTY LIMIT = 90 TABS PER ANNUM

CLOMAX 10MG TABSCLOPAMON 10MG TABSCLOPAMON 5MG/5ML SYRPCOVAMET 50MG TABSCPL ALLIANCE ALPRAZOLAM 0.25MG

QTY LIMIT = 90 TABS PER ANNUM

CPL ALLIANCE ALPRAZOLAM 0.5MG


DOVAL 5MG TABS QTY LIMIT = 90 TABS PER ANNUM

EMETROL LIQEMEX SYR

ETHIPRAMINE 10MG TABS QTY LIMIT = 60 TABS PER ANNUM

ETHIPRAMINE 25MG TABS QTY LIMIT = 60 TABS PER ANNUM


page 23


GULF AMITRIPTYLINE 25MG TABS QTY LIMIT = 60 TABS PER ANNUM

IMIGEN 100MG TABS QTY LIMIT = 4 TABS; 3 FILLS PER ANNUM

IMIGEN 50MG TABS QTY LIMIT = 4 TABS; 3 FILLS PER ANNUM

MEDAZINE-S 2.5MG/ML SYRP

MEDOPAM 10MG TABS QTY LIMIT = 90 TABS PER ANNUM

MEDOPAM 15MG TABS QTY LIMIT = 90 TABS PER ANNUM

MIGREX 100MG TABS QTY LIMIT = 4 TABS; 3 FILLS PER ANNUM

MIGREX 50MG TABS QTY LIMIT = 4 TABS; 3 FILLS PER ANNUM

MITIL 5MG TABSMYLAN ALPRAZOLAM 0.25MG TABS


MYLAN ALPRAZOLAM 0.5MG TABS


MYLAN ALPRAZOLAM 1MG TABS QTY LIMIT = 90 TABS PER ANNUM

NAUZINE 50MG TABSNAUZINE S 12.5MG/5 SYRP

PURATA 10MG TABS QTY LIMIT = 90 TABS PER ANNUM



SANDOZ AMITRIPTYL 25MG TABS QTY LIMIT = 60 TABS PER ANNUM

SANDOZ BROMAZEPAM 3MG TABS


SANDOZ BROMAZEPAM 6MG TABS


SANDOZ OXAZEPAM 15MG TABS QTY LIMIT = 90 TABS PER ANNUM

SANDOZ OXAZEPAM 30MG TABS QTY LIMIT = 90 TABS PER ANNUM

SCRIPTO-METIC 5MG TABSSETIN 10MG TABS

TREPILINE 10MG TABS QTY LIMIT = 60 TABS PER ANNUM

TREPILINE 25MG TABS QTY LIMIT = 60 TABS PER ANNUM

TRIAZINE 50MG SUPP QTY LIMIT = 6; 3 FILLS PER ANNUM

TRIAZINE 50MG TABSTRIAZINE PEAD SYRP

TRIPTAM 100MG TABS QTY LIMIT = 4 TABS; 3 FILLS PER ANNUM

TRIPTAM 50MG TABS QTY LIMIT = 4 TABS; 3 FILLS PER ANNUM

VALOID 100MG SUPP QTY LIMIT = 6; 3 FILLS PER ANNUM

VALOID 50MG SUPP QTY LIMIT = 6; 3 FILLS PER ANNUM

VOMIFENE TABS MAX AGE = 45; FEMALES ONLY

ZOPAX 0.25MG TABS QTY LIMIT = 90 TABS PER ANNUM

ZOPAX 0.5MG TABS QTY LIMIT = 90 TABS PER ANNUM


ZOPAX 1MG TABS QTY LIMIT = 90 TABS PER ANNUM

ZOPIGEN 7.5MG TABS QTY LIMIT = 90 TABS PER ANNUM

ZOPIVANE 7.5MG TABS QTY LIMIT = 90 TABS PER ANNUM

DERMATOLOGICALSA-POR CREAM 3 FILLS PER ANNUMAPP BENZYL BENZ LOT 1 FILL PER ANNUMAPP BENZYL BENZ LOT 1 FILL PER ANNUMAPP BENZYL BENZOATE 1 FILL PER ANNUMARM CALAMINE LOT 3 FILLS PER ANNUMASCABIOL EMULSION 1 FILL PER ANNUMBACTROBAN CREAM 3 FILLS PER ANNUMBANOGON 2% OINTMENT 3 FILLS PER ANNUMBARRS POVIDONE-IODINE 10%OINT 3 FILLS PER ANNUM

BENZAC AC 5 GEL 3 FILLS PER ANNUMBENZYL BENZOATE APPL 1 FILL PER ANNUMBENZYL BENZOATE APPLICATION 1 FILL PER ANNUMBETNOVATE 1MG/GM OINT 3 FILLS PER ANNUMBIOCORT CREAM 3 FILLS PER ANNUMBIOHIST LOT 3 FILLS PER ANNUMBREVOXYL CREAM 3 FILLS PER ANNUMCALAMINE - ALCHEMIST LOTN 3 FILLS PER ANNUMCALAMINE LOTION 3 FILLS PER ANNUMCALAMINE LOTION 3 FILLS PER ANNUMCALAMINE LOTION - DAROL LOTION 3 FILLS PER ANNUM

CALAMINE LOTION BP 3 FILLS PER ANNUMCALAMINE LOTION BP 3 FILLS PER ANNUMCANEX TOPICAL CREAM 3 FILLS PER ANNUMCANSTAT CREAM 3 FILLS PER ANNUMCLICKS CALAMINE LOT 3 FILLS PER ANNUMCLOMADERM CREAM 3 FILLS PER ANNUMCREME CLASSIQUE ACNE 5 GEL 3 FILLS PER ANNUMDERMADINE OINT 3 FILLS PER ANNUMDERMOVATE CREAM 3 FILLS PER ANNUMDERMOVATE OINTMENT 3 FILLS PER ANNUMDILUCORT CREAM 3 FILLS PER ANNUMDIS-CHEM CLOTRIMAZOLE CREAM 3 FILLS PER ANNUM

DOVATE .5MG/GM CREAM 3 FILLS PER ANNUMDOVATE .5MG/GM OINT 3 FILLS PER ANNUMFUCIDIN CREAM 3 FILLS PER ANNUMFUCIDIN OINT 3 FILLS PER ANNUMFUNGISPOR CREAM 3 FILLS PER ANNUMFUREX OINT 3 FILLS PER ANNUMHISTODOR CREAM 3 FILLS PER ANNUMINNOSPORE 1% CREAM 3 FILLS PER ANNUMLENOVATE 0.1% OINT 3 FILLS PER ANNUMLINK DERMADEX 3 FILLS PER ANNUMLINK LOT CALAMINE 3 FILLS PER ANNUMLINK MEZZODERM CREAM 3 FILLS PER ANNUMLOT CALAMINE BP 3 FILLS PER ANNUMLOTIO CALAMINE 3 FILLS PER ANNUMMEPYRADERM CREAM 3 FILLS PER ANNUMMEPYRIMAL 2% CREAM 3 FILLS PER ANNUMMYCOSTATIN CREAM 3 FILLS PER ANNUMMYLOCORT 1GM/100GM CREAM 3 FILLS PER ANNUM


page 24


NEODERM CREAM 3 FILLS PER ANNUMNORMOSPOR CREAM 3 FILLS PER ANNUMNUBAN 2GM/100GM OINTMENT 3 FILLS PER ANNUMPERSIVATE OINT 3 FILLS PER ANNUMPROCUTAN CREAM 3 FILLS PER ANNUMREPIVATE CREAM 3 FILLS PER ANNUMSKINCALM CREAM 3 FILLS PER ANNUMSTOPITCH CREAM 3 FILLS PER ANNUMSUPIROBAN 2GM/100GM OINTMENT 3 FILLS PER ANNUM

TEMODERM 5% SOAP 75G 1 FILL PER ANNUMTETMOSOL 5% 75GM BAR 1 FILL PER ANNUMTOPIVATE 1MG/GM CREAM 3 FILLS PER ANNUMVARI-BETAMETHASONE CREAM 3 FILLS PER ANNUMVARI-CLOTRIMAZOLE 1% CREAM 3 FILLS PER ANNUMVARI-HYDROCORTISONE 1% CREAM 3 FILLS PER ANNUM

VIOCORT CREAM 3 FILLS PER ANNUMVIODOR CREAM 3 FILLS PER ANNUMXERASPOR-T CREAM 3 FILLS PER ANNUMDISINFECTANTSCORSODYL 2MG/ML MINT SOLN 1 FILL PER ANNUM

CORSODYL 2MG/ML SOLN 1 FILL PER ANNUM

CURASEPT CHLORHEX 0.20% 200ML 1 FILL PER ANNUM

HIBITANE 0.2% IN WATER 1 FILL PER ANNUM

EAR, NOSE AND THROATACETIC ACID 1% ML 3 FILLS PER ANNUM

ACETIC ACID 2% 3 FILLS PER ANNUM

AQUA 7.5ML EAR 3 FILLS PER ANNUM

AURONE 15ML EAR DROPS 1 FILL PER ANNUM

BECLATE AQUANASE 50MCG 150D

3 FILLS PER ANNUM

BECONASE AQ 50MCG 3 FILLS PER ANNUM

BETADINE ORAL MOUTH WASH 3 FILLS PER ANNUM

BRUNEL SALINE NASAL SPRAY 60ML

3 FILLS PER ANNUM

CHAMIFLOR OCEAN NASAL SPR 3 FILLS PER ANNUM

CIPLANAZE MULTICARE 3 FILLS PER ANNUM

CLENIL AQUEOUS 3 FILLS PER ANNUM

CLICKS EAR DROPS 30ML 3 FILLS PER ANNUM

CLICKS NASAL SPRAY 100ML 3 FILLS PER ANNUM

CONGIVIL SALINE NASAL SPRAY 10

3 FILLS PER ANNUM

CONGIVIL SALINE NASAL SPRAY 50

3 FILLS PER ANNUM

CONGIVIL SALINE NASAL SPRAY BA

3 FILLS PER ANNUM

DERMADINE GARGLE 3 FILLS PER ANNUM

DIS-CHEM SALINE NASAL SPRAY 3 FILLS PER ANNUM

DISCHEM SALINE NASAL SPRAY 100

3 FILLS PER ANNUM

DISCHEM SALINE NASAL SPRAY 50M

3 FILLS PER ANNUM

DISCHEM SALINE NASAL SPRAY BAB

3 FILLS PER ANNUM

DRINASAL DROPS 10ML 2 FILLS PER ANNUM

DRINASAL PAED MET SPRAY 2 FILLS PER ANNUM

DRISTAN LL MET.PUMP 15ML 2 FILLS PER ANNUM

DRISTAN LL N/SPRAY 15ML 2 FILLS PER ANNUM

DRIXINE 0.05% METERED SPR 20ML

2 FILLS PER ANNUM

DRIXINE 0.05% N/SPRAY 20ML 2 FILLS PER ANNUM


DRIXINE ADULT M/S 10ML 2 FILLS PER ANNUM

DYNEXAN OINT 1 FILL PER ANNUM

ENT DROPS 25ML 2 FILLS PER ANNUM

ENT SPRAY 25ML 2 FILLS PER ANNUM

FENOX NOSE DROPS 25ML 2 FILLS PER ANNUM

FLO SALINE PLUS 30ML NASAL 3 FILLS PER ANNUM

FLOMIST AQ NASAL SPRAY 3 FILLS PER ANNUM

FLONASE 120 DOSE 50MCG AQS 3 FILLS PER ANNUM

ILIADIN ADULT 0.05% DROPS 2 FILLS PER ANNUM

ILIADIN ADULT 0.05% MET SPR 2 FILLS PER ANNUM

ILIADIN PAED 0.025% DROPS 2 FILLS PER ANNUM

ILIADIN PAED 0.25% MET SPR 2 FILLS PER ANNUM

ILIADIN PLASTIC NASAL SPR 2 FILLS PER ANNUM

JACKS THICK NOSE DROPS 2 FILLS PER ANNUM

JUST SALINE NASAL SPR 30ML 3 FILLS PER ANNUM

KIDS XCLEAR SALINE W/ XYLITOL 3 FILLS PER ANNUM

NAPHENSYL 0.25% DRP 10ML 2 FILLS PER ANNUM

NAPHENSYL 1% DRP 10ML 2 FILLS PER ANNUM

NASAL C SPRAY 25ML 3 FILLS PER ANNUM

NASAL C VITAMIN C METERED DOSE

3 FILLS PER ANNUM

NASDRO DROPS 15ML 2 FILLS PER ANNUM

NAZO-EZZE DOSE DROPS 2 FILLS PER ANNUM

NAZOLEX 25ML NASAL SPRAY 3 FILLS PER ANNUM

NEOPAN 15ML EAR DROPS 1 FILL PER ANNUM

NITRO DROPS 2 FILLS PER ANNUM

OROCAINE LOZ 3 FILLS PER ANNUM

OTISED 15ML EAR DROPS 1 FILL PER ANNUM

OTOPHEN 5% 10ML EAR DRP 1 FILL PER ANNUM

OTOPHEN FORTE 10ML DRP 1 FILL PER ANNUM

PINADINE GARGLE 3 FILLS PER ANNUM

PODINE MOUTHW & GARGLE 3 FILLS PER ANNUM

RINOL 25ML NASAL DROPS 2 FILLS PER ANNUM

SALEX SALINE PAED MET NASAL SP

3 FILLS PER ANNUM

SALEX SOLN 30ML 3 FILLS PER ANNUM

SEPTADINE ORAL ANTISEPTIC 3 FILLS PER ANNUM

SIMPLY SALINE NASAL SPRAY 3 FILLS PER ANNUM

SINUS S NASAL DROPS 2 FILLS PER ANNUM

SINUTAB COMF/CARE SALINE 3 FILLS PER ANNUM

SPORT SWIMMERS EAR LIQUID 3 FILLS PER ANNUM

SPRINGBOK ADULT NASAL SPRAY 30

3 FILLS PER ANNUM

SPRINGBOK PAED NASAL SPRAY 50M

3 FILLS PER ANNUM

STERIDINE MOUTHWASH AND GAR

3 FILLS PER ANNUM

SWIMMERS EAR CLEANSER 3 FILLS PER ANNUM

TERINE NASAL DROPS 15ML 2 FILLS PER ANNUM

TROCHAIN LOZ 3 FILLS PER ANNUM

UNIVERSAL NOSE DROPS 15ML 2 FILLS PER ANNUM

XCLEAR SALINE W/ XYLITOL 45ML 3 FILLS PER ANNUM

ZADIN 0.025% NASAL DROPS 10ML

2 FILLS PER ANNUM

ZADIN 0.025% NASAL SPRAY 10ML

2 FILLS PER ANNUM

ZADIN 0.05% NASAL DROPS 10ML 2 FILLS PER ANNUM

ZADIN 0.05% NASAL SPRAY 10ML 2 FILLS PER ANNUM

ENDOCRINE SYSTEM

ADCO PREDNISOLONE 15MG/5MLMAX AGE = 10; 3 FILLS PER ANNUM


page 25


BE-TABS PREDNISONE 5MG TABS 3 FILLS PER ANNUM

BETANOID 0.6MG/5ML SYR MAX AGE = 10; 3 FILLS PER ANNUM

CAPSOID 5MG TABS 3 FILLS PER ANNUM

HEXAL-MPA 10MG TABS FEMALES ONLY; 3 FILLS PER ANNUM

HEXAL-MPA 5MG TABS FEMALES ONLY; 3 FILLS PER ANNUM

LENISOLONE 5MG TABS 3 FILLS PER ANNUMMETICORTEN 5MG TABS 3 FILLS PER ANNUMPANAFCORT 5MG TABS 3 FILLS PER ANNUMPRELONE 5MG TABS 3 FILLS PER ANNUM

STEROMIEN 0.6MG/5ML SYR MAX AGE = 10; 3 FILLS PER ANNUM

TROLIC 5MG TABS 3 FILLS PER ANNUMGASTRO-INTESTINAL TRACTACULAX 3.3G/5ML SYRUP 2 FILLS PER ANNUMADCO-LOPERAMIDE SYRP 3 FILLS PER ANNUMADCO-SENNA 13.5MG TABSAGAROL LACTULOSE 3300MG/5ML 2 FILLS PER ANNUM

ALUMAG D SUSP 3 FILLS PER ANNUMAMGEL SUSP 3 FILLS PER ANNUMANLAC SYRP 2 FILLS PER ANNUM

APEX-RANITIDINE 150MG TABS QTY LIMIT = 90 UNITS PER ANNUM

AUSTAC 150MG TABS QTY LIMIT = 90 UNITS PER ANNUM

AUSTAC 300MG TABS QTY LIMIT = 90 UNITS PER ANNUM

BE-TABS ANTACID 3 FILLS PER ANNUMBETACLOMIN GEL 3 FILLS PER ANNUMBETAPECT SUSP 3 FILLS PER ANNUMBEVISPAS 135MG TABS 3 FILLS PER ANNUMBISKAPECT SUSP 3 FILLS PER ANNUMBISMA-REX POWDER 3 FILLS PER ANNUMBROOKLAX BISACODYL 5MG LAXATIV 2 FILLS PER ANNUM

BURNLOC QTY LIMIT = 90 UNITS PER ANNUM

BUSCOPAN 10MG TABSBUSCOPAN CO TABS 3 FILLS PER ANNUMCO-GEL SUSP 3 FILLS PER ANNUMCOLOFAC 135MG TABS 3 FILLS PER ANNUM

CPL ALLIANCE RANITIDINE 150MG QTY LIMIT = 90 UNITS PER ANNUM

CPL ALLIANCE RANITIDINE 300MG


DICYCLOMINE CO GEL 3 FILLS PER ANNUMDULCOLAX 10MG SUPP 2 FILLS PER ANNUMDULCOLAX 5MG PAED SUPP 2 FILLS PER ANNUMDULCOLAX 5MG TABS 2 FILLS PER ANNUMENA-CLEAR 1 FILL PER ANNUMENTEROLYTE SUSP 3 FILLS PER ANNUMFOSENEMA 1 FILL PER ANNUMFRESHEN BISACODYL LAXATIVE 2 FILLS PER ANNUMGASTRON 1MG/5ML SYRUP 3 FILLS PER ANNUMGASTRON 2MG TABS 3 FILLS PER ANNUMGASTROPECT SUSP 3 FILLS PER ANNUMGELUMEN SUSP 3 FILLS PER ANNUMGENPECT SUSP 3 FILLS PER ANNUMGOLYTELY POWD 1 FILL PER ANNUM


GULF RANITIDINE 150MG TABS QTY LIMIT = 90 UNITS PER ANNUM

HISTAK 150MG TABS QTY LIMIT = 90 UNITS PER ANNUM

HISTAK 300MG TABS QTY LIMIT = 90 UNITS PER ANNUM

HYOSPASMOL 10MG TABSHYOSPASMOL 5MG/5ML SYRUPJP PECT SUSP 3 FILLS PER ANNUMKAOCREAM SUSP 3 FILLS PER ANNUMKAOPECTIN SUSP 3 FILLS PER ANNUMKAOSTATEX SUSP 3 FILLS PER ANNUMKLEAN-PREP SACHETS 1 FILL PER ANNUM

LANCAP 15MG CAPS QTY LIMIT = 90 UNITS PER ANNUM

LANCAP OTC 15MG CAPS QTY LIMIT = 90 UNITS PER ANNUM

LANSOLOC 15MG CAPS QTY LIMIT = 90 UNITS PER ANNUM

LANSOLOC 15MG OTC CAPS QTY LIMIT = 90 UNITS PER ANNUM

LAXADOR BISACODYL 5MG TABS 2 FILLS PER ANNUMLAXADOR SENNA 7.5MG TABSLENNON SENNA 7.5MG TABSLEN-O-LAX ADULT 135ML 1 FILL PER ANNUMLEN-O-LAX PAED 64ML 1 FILL PER ANNUMMAG TRISILICATE MIXT 3 FILLS PER ANNUMMAYOGEL SUSP 3 FILLS PER ANNUMMEDIGEL SUSP 3 FILLS PER ANNUMMIST MAG TRISIL 3 FILLS PER ANNUMMOVIPREP 2XSACH A 122GM+B 11GM 1 FILL PER ANNUM

MYLAN MEBEVERINE HCL TABS 3 FILLS PER ANNUMNEUTRAGEL D SUSP 3 FILLS PER ANNUMNORIMODE 2MG TABS 3 FILLS PER ANNUMPECTIKON SUSP 3 FILLS PER ANNUMPECTIN-K SUSP 3 FILLS PER ANNUMPREPARATION H OINT 3 FILLS PER ANNUMPREPARATION H SUPP 3 FILLS PER ANNUMPRODIUM 2MG TABS 3 FILLS PER ANNUMPURITONE BISACODYL LAXATIVE 5M 2 FILLS PER ANNUM

RANIT 150MG TABS QTY LIMIT = 90 UNITS PER ANNUM

RANIT 300MG TABS QTY LIMIT = 90 UNITS PER ANNUM

RANITIDINE BIOTECH 150MG TABS QTY LIMIT = 90 UNITS PER ANNUM

RAN-LANSOPRAZOLE 15MG CAPS QTY LIMIT = 90 UNITS PER ANNUM

SANDOZ MEBEVERINE TABS 3 FILLS PER ANNUMSCOPEX 10MG TABSSCOPEX COMPOUND TABS 3 FILLS PER ANNUMSCOPEX SYRUPSENNA-PIN 7.5MG TABSSENOKOT 7.5MG TABSSIMAYLA RANITIDINE 150MG TABS


SOFLAX TABSSPASMOGEL 3 FILLS PER ANNUMGENITAL SYSTEM


page 26


A-POR VCRFEMALES ONLY; 3 FILLS PER ANNUM

CANEX VAG CREAM FEMALES ONLY; 3 FILLS PER ANNUM

CLOSCRIPT VAGINAL CREAM FEMALES ONLY; 3 FILLS PER ANNUM

DIS-CHEM CLOTRIMAZOLE VCR FEMALES ONLY; 3 FILLS PER ANNUM

FUNGISPOR VCR FEMALES ONLY; 3 FILLS PER ANNUM

GYNEZOL 10MG/GM VCR FEMALES ONLY; 3 FILLS PER ANNUM

GYNO-DAKTARIN VCR FEMALES ONLY; 3 FILLS PER ANNUM

GYNO-TRIMAZE VCR FEMALES ONLY; 3 FILLS PER ANNUM

INNOSPORE 1% VCR FEMALES ONLY; 3 FILLS PER ANNUM

XERASPOR-V CREAM FEMALES ONLY; 3 FILLS PER ANNUM

MUSCULO-SKELETAL AGENTSADCO ALLOPURINOL 300MG TABS

ADCO-DICLOFENAC 25MG TABS QTY LIMIT = 200 UNITS PER ANNUM

ADCO-DICLOFENAC 50MG TABS QTY LIMIT = 200 UNITS PER ANNUM

ADCO-INDOMETHACIN 25 CAPS QTY LIMIT = 200 UNITS PER ANNUM

A-LENNON DICLOFENAC 25MG TABS


A-LENNON DICLOFENAC 50MG TABS


AMDOCIN 25MG CAPS QTY LIMIT = 200 UNITS PER ANNUM

APEX-MELOXICAM 7.5MG TABS QTY LIMIT = 90 UNITS PER ANNUM

ARTHREXIN 25MG CAPS QTY LIMIT = 200 UNITS PER ANNUM

ASPEN COLCHICINE 0.5MG TABS 3 FILLS PER ANNUMASPEN COLCHICINE DS 1MG TABS 3 FILLS PER ANNUMAUSTELL ALLOPURINOL 100MG TABSAUSTELL ALLOPURINOL 300MG TABS

AUSTELL IBUPROFEN 200MG TABS QTY LIMIT = 200 UNITS PER ANNUM

AUSTELL IBUPROFEN 400MG TABS QTY LIMIT = 200 UNITS PER ANNUM

AUSTIFEN 200MG TABS QTY LIMIT = 200 UNITS PER ANNUM

AUSTIFEN 400MG TABS QTY LIMIT = 200 UNITS PER ANNUM

BE-TABS NAPROXEN 250 QTY LIMIT = 200 UNITS PER ANNUM

BETACIN 25MG CAPS QTY LIMIT = 200 UNITS PER ANNUM

BETAPROFEN 200MG TABS QTY LIMIT = 200 UNITS PER ANNUM

BETAPROFEN 400 TABS QTY LIMIT = 200 UNITS PER ANNUM

BIO-NAPROXEN 500MG TABS QTY LIMIT = 200 UNITS PER ANNUM

BREN 400MG TABS QTY LIMIT = 200 UNITS PER ANNUM

COLCHICINE HOUDE 1MG TABS 3 FILLS PER ANNUM


DEEP RELIEF GEL 2 FILLS PER ANNUMDICLOFENAC BIOTECH 25MG TABS


DICLOHEXAL 25MG TABS QTY LIMIT = 200 UNITS PER ANNUM

FLAMECID 25MG CAPS QTY LIMIT = 200 UNITS PER ANNUM

FLEXOCAM 7.5MG TABS QTY LIMIT = 90 UNITS PER ANNUM

GULF INDOMETHACIN 25MG CAPS


IBOFLAM 200MG TABS QTY LIMIT = 200 UNITS PER ANNUM

IBU 200MG TABS QTY LIMIT = 200 UNITS PER ANNUM

IBULEVE GEL 2 FILLS PER ANNUM

IBUNATE 200MG TABS QTY LIMIT = 200 UNITS PER ANNUM

IBUSOR 200MG TABS QTY LIMIT = 200 UNITS PER ANNUM

INZA 200MG TABS QTY LIMIT = 200 UNITS PER ANNUM

INZA 400MG TABS QTY LIMIT = 200 UNITS PER ANNUM

LONOL 300MG TABS

MEDOXICAM 7.5MG TABS QTY LIMIT = 90 UNITS PER ANNUM

METHOCAPS 25MG CAPS QTY LIMIT = 200 UNITS PER ANNUM

MYLAN DICLOFENAC 25 MG TABS QTY LIMIT = 200 UNITS PER ANNUM

MYLAN DICLOFENAC 50MG TABS QTY LIMIT = 200 UNITS PER ANNUM

MYLAN NAPROXEN TABS QTY LIMIT = 200 UNITS PER ANNUM

NAPFLAM 500MG TABS QTY LIMIT = 200 UNITS PER ANNUM

NAPROSCRIPT 250MG TABS QTY LIMIT = 200 UNITS PER ANNUM

NUROFEN GEL 2 FILLS PER ANNUM

PANAMOR 12.5MG SUPP MAX AGE = 6; 3 FILLS PER ANNUM

PANAMOR AT 50MG TABS QTY LIMIT = 200 UNITS PER ANNUM

PURICOS 100MG TABSPURICOS 300MG TABS

RANFEN 200MG TABS QTY LIMIT = 200 UNITS PER ANNUM

RANFEN 400MG TABS QTY LIMIT = 200 UNITS PER ANNUM

SANDOZ ALLOPURINOL 100MG TABSSANDOZ ALLOPURINOL 300MG TABSSANDOZ DICLOFENAC 25MG TABS


SANDOZ IBUPROFEN 200MG TABS QTY LIMIT = 200 UNITS PER ANNUM

SANDOZ INDOMETHACIN 25MG CAPS


VOLTAREN 12.5MG SUP MAX AGE = 6; 3 FILLS PER ANNUM

ZYDUS-MELOXICAM 7.5MG TABS QTY LIMIT = 90 UNITS PER ANNUM


page 27


OPHTHALMICSBETNESOL 5ML DROPS 3 FILLS PER ANNUMCHLORAMEX 3.5GM 1% EYE OINT 3 FILLS PER ANNUMCHLORCOL EYE OINT 3 FILLS PER ANNUMCHLORNICOL 3.5GM EYE OINT 3 FILLS PER ANNUMCHLORPHEN 1% 3.5G EYE OINT 3 FILLS PER ANNUMCOVOMYCIN 7.5ML DROPS 3 FILLS PER ANNUMCROMABAK 10ML DROPS 3 FILLS PER ANNUMCROMOHEXAL EYE DROPS 3 FILLS PER ANNUMFUCITHALMIC 5ML DROPS 3 FILLS PER ANNUMGEMINI EYE 15ML 3 FILLS PER ANNUMMIN DEXAMETHASONE 0.1% 3 FILLS PER ANNUMOCTIN OPTH DROPS 3 FILLS PER ANNUMOCULERGE 20ML EYE DROPS 3 FILLS PER ANNUMOCULOSAN 10ML EYE DROPS 3 FILLS PER ANNUMOPTILAST 3 FILLS PER ANNUMPRED-MILD 5ML DROPS 3 FILLS PER ANNUMSB UNIVERSAL EYE DROPS 15ML 3 FILLS PER ANNUMSPERSADEX 0.1% 10ML DROPS 3 FILLS PER ANNUMSPERSALLERG DROPS 3 FILLS PER ANNUMSPERSANICOL EYE OINT 3 FILLS PER ANNUMSTOP ALLERG 13.5ML 3 FILLS PER ANNUMSULPHACETAMIDE EYE OINT 3.5G 3 FILLS PER ANNUMUNIVERSAL 15ML EYE SOLN 3 FILLS PER ANNUMVIVIDRIN EYE 10ML EYE DROPS 3 FILLS PER ANNUMRESPIRATORY SYSTEMACTIFED DM DRY COUGH 3 FILLS PER ANNUMADCO-LINCTOPENT SYRP 3 FILLS PER ANNUM

ADCO-SINAL CO TABS 3 FILLS PER ANNUM

ADCO-SUFEDRIN 30MG/5ML SYRP 3 FILLS PER ANNUM

ADCO-SUFEDRIN 60MG TABS 3 FILLS PER ANNUMADCO-TUSSEND SYRP 3 FILLS PER ANNUM

ALCOPHYLLEX SYRP 3 FILLS PER ANNUM

ALLERGIN EXPECT 3 FILLS PER ANNUMANTITUSS SYRUP 3 FILLS PER ANNUMASTHAVENT 200D ECOHALER 2 FILLS PER ANNUM

ASTHAVENT 2MG/5ML SYRP MAX AGE = 6; 2 FILLS PER ANNUM

ASTHAVENT 300D ECOHALER 2 FILLS PER ANNUMBENYLIN WET COUGH 3 FILLS PER ANNUMBENYLIN WET COUGH MENTHOL 3 FILLS PER ANNUMBRONCHETTE 250MG/5ML SYRP 3 FILLS PER ANNUMBRONCHOLIN EXPECT 3 FILLS PER ANNUMBRONCLEER SYRP 3 FILLS PER ANNUMBRONCOL COUGH SYRP 3 FILLS PER ANNUMBRONKESE CO SYRP 3 FILLS PER ANNUMBRUNACOD SYRP 3 FILLS PER ANNUMCO-FLEM 250MG SYRP 3 FILLS PER ANNUMCOLCLEER PAED SYR 3 FILLS PER ANNUMCOLCLEER TABS 3 FILLS PER ANNUMCOLSTAT CAPS 3 FILLS PER ANNUMCORBAR LINCTUS 3 FILLS PER ANNUMCORYX PAEDIATRIC SYRUP 3 FILLS PER ANNUMDEQUA-COFF SYRP 3 FILLS PER ANNUMDEQUA-FLU CAPS 3 FILLS PER ANNUMDILINCT JUNIOR 3 FILLS PER ANNUMDIPHENAMILL SYRP 3 FILLS PER ANNUMDIPHENHYDRAMINE EXPECT SYRP 3 FILLS PER ANNUMDOCSED SYRP 3 FILLS PER ANNUM


DPH EXPECTORANT SYRP 3 FILLS PER ANNUMDRILIX 30MG/5ML SYRP 3 FILLS PER ANNUMDYNALEX SYRUP 3 FILLS PER ANNUMFAMS MIST TUSSI INFANS 3 FILLS PER ANNUMFAMTUSS SYRP 3 FILLS PER ANNUMFAMUCAPS CAPS 3 FILLS PER ANNUMFLEMGO SYRP 3 FILLS PER ANNUMFLUDACTIL CO SYRP 3 FILLS PER ANNUMFLUEND CAPS 3 FILLS PER ANNUMFLUSIN TABS 3 FILLS PER ANNUMFLUSTAT SYRP 3 FILLS PER ANNUMFLUTEX COUGH MIXTURE BLACK 3 FILLS PER ANNUMFLUTEX COUGH MIXTURE HONEY 3 FILLS PER ANNUMFLUTEX COUGH MIXTURE ORANG 3 FILLS PER ANNUMFOLCOFEN SYRP 3 FILLS PER ANNUMKIDDYFLU SYRP 3 FILLS PER ANNUMLCC COUGH MIXTURE SYRUP 3 FILLS PER ANNUMLCC PEPPERMINT COUGH MIXTURE 3 FILLS PER ANNUM

LCC-G GUAIPHENESIN COUGH REM 3 FILLS PER ANNUM

LCC-G GUAIPHENESIN COUGH REM 3 FILLS PER ANNUM

LENAZINE FORTE SYRP 3 FILLS PER ANNUMLENNON COUGH MIXTURE HONEY 3 FILLS PER ANNUM

LENNON COUGH MIXTURE ORAN 3 FILLS PER ANNUMLENNON COUGH SYRP 3 FILLS PER ANNUMLESSMUSEC 250MG/5ML SYRP 3 FILLS PER ANNUMLESSMUSEC 375MG CAPS 3 FILLS PER ANNUMLINCTODYL SYR 3 FILLS PER ANNUMLINCTUS TUSSI INFANS 3 FILLS PER ANNUMLOTUSSIN EXPECT 3 FILLS PER ANNUMLOTUSSIN SYRP 3 FILLS PER ANNUMMEDIFED LINCTUS 3 FILLS PER ANNUMMIST TUSSI INFANS 3 FILLS PER ANNUMMUCOKLEER 375MG CAPS 3 FILLS PER ANNUMMUCOLESS 375MG CAPS 3 FILLS PER ANNUMMUCOLESS S SYRP 3 FILLS PER ANNUMMUCOLINCT 250MG/5ML SYRP 3 FILLS PER ANNUMMUCOSOLV 375MG CAPS 3 FILLS PER ANNUMMUCOSPECT PAED SYR 3 FILLS PER ANNUMNORSTAN-TED 100MG TABS 3 FILLS PER ANNUMNORSTAN-TED 200MG TABS 3 FILLS PER ANNUMPHENORANT 3 FILLS PER ANNUMPHENORANT (GLASS) 3 FILLS PER ANNUMPHENSEDYL SYRP 3 FILLS PER ANNUMPHOLCOLINCT 4.05MG/5ML SYR 3 FILLS PER ANNUMPROCOF SYRP 3 FILLS PER ANNUMRESMED CHILDRENS COUGH MIX MIS 3 FILLS PER ANNUM

SB CIROGEN COUGH MIXTURE 3 FILLS PER ANNUMSINUCLEAR COUGH SYRUP 3 FILLS PER ANNUMSINUCON TABS 3 FILLS PER ANNUMSINUEND TABS 3 FILLS PER ANNUMSINU-FLU TABS 3 FILLS PER ANNUMSINUMAX PED SYR 3 FILLS PER ANNUMSINU-MED 30MG/5ML SYRP 3 FILLS PER ANNUMSINU-MED 60MG TABS 3 FILLS PER ANNUMSINUSTAT FLU SYRP 3 FILLS PER ANNUM


page 28


STEARNS GUAIPHENESIN COUGH CHE 3 FILLS PER ANNUM

STEARNS PEPPERMINT WAS EXPIGEN 3 FILLS PER ANNUM

SUDAFED SINUS ND TABS 3 FILLS PER ANNUMSYMPTOFED 60MG TABS 3 FILLS PER ANNUMTHEOPHEN CO ELIX (UNBOXED) 3 FILLS PER ANNUM

VARI-SALBUTAMOL SYRUP MAX AGE = 6; 2 FILLS PER ANNUM

VENTEZE 2MG/5ML SYRP MAX AGE = 6; 2 FILLS PER ANNUM

VENTEZE CFC FREE 200D 100MCG 2 FILLS PER ANNUMVENTIMAX CFC FREE 100MCG 200D 2 FILLS PER ANNUM

SUPPOSITORIES / ANAL OINTMENTSANUSOL OINT 3 FILLS PER ANNUM

ANUSOL SUPP 3 FILLS PER ANNUMSYMPATHOMIMETICS

ADRENALINE FSK 1MLMAX AGE =7; 1 FILL PER ANNUM

PHARMA-Q ADRENALINE 1MG MAX AGE =7; 1 FILL PER ANNUM

URINARY SYSTEMFURANDANTIN 25MG/5ML 3 FILLS PER ANNUMGENCIT SIMPLEX 3 FILLS PER ANNUMMACRODANTIN 100MG CAPS 3 FILLS PER ANNUMMACRODANTIN 50MG CAPS 3 FILLS PER ANNUMMACRODANTIN SECT21 100MG CAPS 3 FILLS PER ANNUM

MACRODANTIN SECT21 50MG CAPS 3 FILLS PER ANNUM

PUROMYLON 500MG TABS 3 FILLS PER ANNUMWINLOMYLON SUSP 3 FILLS PER ANNUMVITAMINS, TONICS, MINERALS AND ELECTROLYTES

9 MONTHS + TABS FEMALES ONLY; 9 CONSECUTIVE FILLS

AHA FOLIC ACID 5MG TABS FEMALES ONLY; 12 FILLS PER ANNUM

BABA C SYR

BE-TABS FOLIC ACID 5MG TABS FEMALES ONLY; 12 FILLS PER ANNUM

CALCIPREG TABS FEMALES ONLY; 9 CONSECUTIVE FILLS

CERALYTE SACHETS 9.7G QTY LIMIT = 6 PER ANNUM

CLICKS PAY LESS PRENATAL SUPPL FEMALES ONLY; 9 CONSECUTIVE FILLS

EGOLI MULTIVITAMIN SYREGOLI PHARM VITAKIDS COUGH &EGOLI VITAMIN B CO MALT&FE SYRELECTRAL WITH ORANGE FLAVOUR QTY LIMIT = 6 PER ANNUM

ELECTROMAX BERRY FLAVOUR LIQ QTY LIMIT = 6 PER ANNUM

ELECTROMAX ORANGE FLAVOUR LIQ QTY LIMIT = 6 PER ANNUM

ELECTROPAK QTY LIMIT = 6 PER ANNUMFITVIT VIT B CO MALT & IRON

FOLIC ACID 5MG TABS FEMALES ONLY; 12 FILLS PER ANNUM

GULF FOLIC ACID 5MG TABS FEMALES ONLY; 12 FILLS PER ANNUM


HYDRACHOICE CREME SODA SACH QTY LIMIT = 6 PER ANNUM

HYDRACHOICE MIXED FLAVOURS QTY LIMIT = 6 PER ANNUMHYDRACHOICE NAARTJIE SACH QTY LIMIT = 6 PER ANNUMHYDRACHOICE TROPICAL SACH QTY LIMIT = 6 PER ANNUMHYDRASSIST ORS 4.31G SACH QTY LIMIT = 6 PER ANNUMHYDRASSIST SACHETS QTY LIMIT = 6 PER ANNUMHYDROL SACH QTY LIMIT = 6 PER ANNUMJULES TOPSPORT PRENATAL F TABS

FEMALES ONLY; 9 CONSECUTIVE FILLS

MEDIRITE ELECTROLYTES TANGY TA QTY LIMIT = 6 PER ANNUM

MEDIRITE HYDRATION POWDER BLAC QTY LIMIT = 6 PER ANNUM

MULTIVITAMIN DRPMULTIVITAMIN ORANGEMULTIVITAMIN SYRMULTIVITAMIN SYRMULTIVITAMIN SYRUP

NATURES PLUS ULTRA PRENATAL FEMALES ONLY; 9 CONSECUTIVE FILLS

NETCARE HYDRATION POWD BLACKCU QTY LIMIT = 6 PER ANNUM

NUDRATE BLACKCURRANT 5.6G SACH QTY LIMIT = 6 PER ANNUM

NUDRATE CITRUS 5.3G SACHET QTY LIMIT = 6 PER ANNUMOS BLACKCURRANT 5.3G SACH QTY LIMIT = 6 PER ANNUMOS ORANGE 5.3G SACH QTY LIMIT = 6 PER ANNUMPIN-HYDRATE (ORANGE) SAC QTY LIMIT = 6 PER ANNUMPIN-HYDRATE BLACKCURRANT SAC QTY LIMIT = 6 PER ANNUM

PREGGY-MAMA TABS FEMALES ONLY; 9 CONSECUTIVE FILLS

PREGNACARE CAPS FEMALES ONLY; 9 CONSECUTIVE FILLS

PREGNAVIT M CAPS FEMALES ONLY; 9 CONSECUTIVE FILLS

PREGWISE TABS FEMALES ONLY; 9 CONSECUTIVE FILLS

PRE-NATAL FORTE CAPS FEMALES ONLY; 9 CONSECUTIVE FILLS

PRE-NATAL TABS FEMALES ONLY; 9 CONSECUTIVE FILLS

PROUDLY PREGGY TABS FEMALES ONLY; 9 CONSECUTIVE FILLS

PURITANS PRENATAL VITAMIN TABS

FEMALES ONLY; 9 CONSECUTIVE FILLS

RDA-PREG TABS FEMALES ONLY; 9 CONSECUTIVE FILLS

REHIDRAT BLACKCURR PACK QTY LIMIT = 6 PER ANNUMREHIDRAT HYDRATION 14G LEMON QTY LIMIT = 6 PER ANNUM

REHIDRAT ORANGE PACK 14G QTY LIMIT = 6 PER ANNUMREHIDRAT SPORT NAARTJIE 14G QTY LIMIT = 6 PER ANNUMREHIDRAT VANILLA 14G SACHET QTY LIMIT = 6 PER ANNUMRESTORE HYDRATION 6G SACHETS QTY LIMIT = 6 PER ANNUM

RESTORE HYDRATION 6G SACHETS QTY LIMIT = 6 PER ANNUM

SMART ORS 21G SACH QTY LIMIT = 6 PER ANNUMSMART ORS BLACK CURRENT 21G SA QTY LIMIT = 6 PER ANNUM

Disclaimer: All conditions and medicines covered are subject to scheme rules and protocols. The info contained here is subject to changes as and when prices and products change. Please refer to the website for the full updated list.


page 29


SMART ORS BLACK CURRENT 4.2G S QTY LIMIT = 6 PER ANNUM

SMART ORS SACH QTY LIMIT = 6 PER ANNUM

SOLAL FOLIC ACID 5MG TABS FEMALES ONLY; 12 FILLS PER ANNUM

SPAR ELECTROLYTES LUSTY LEMON QTY LIMIT = 6 PER ANNUM

SPAR ELECTROLYTES TANGY TANGER QTY LIMIT = 6 PER ANNUM

SPAR HYDRATION POWDER BLACKCUR QTY LIMIT = 6 PER ANNUM

SPRINGBOK ELECTROLYTE 14G SAC QTY LIMIT = 6 PER ANNUM

SUPLIMAX VITAMIN B COMPLEX SYR

SV PRENATAL NUTRIENTS TABS FEMALES ONLY; 9 CONSECUTIVE FILLS

VIDAYLIN PLUS IRON DROPS

VITAL PREGNANT WOMEN PLUSS FEMALES ONLY; 9 CONSECUTIVE FILLS

VITAMIN B CO MALT & IRONVITAMINO SYRUPWELLKID BABY & INFANT LIQD

Ingwe and Impact option formularies for chronic medication

page 30 page 31

Ingwe and Impact Option formularies for chronic medicationDisclaimer:

All conditions and medicines covered are subject to scheme rules and protocols. The info contained here is subject to changes as and when prices and products change. Please refer to the website for the full updated list.

Therapeutic group Product nameAddison’s Disease

Glucocorticosteroids BE-TABS PREDNISONE 5MG TABS

Glucocorticosteroids CAPSOID 5MG TABS

Glucocorticosteroids COVOCORT 10MG TABS

Glucocorticosteroids LENISOLONE 5MG TABS

Glucocorticosteroids PANAFCORT 5MG TABS

Glucocorticosteroids TROLIC 5MG TABS

Mineralocorticosteroids FLORINEF 0.1MG TABS

Asthma

Bronchial Anti-cholinergics ATROVENT 20 HFA 200DOSE

Bronchial Anti-cholinergics IPVENT 40 HFA INH

Bronchial Glucocorticoids BECEZE 50MCG INHALER 200D


Bronchial Glucocorticoids BECLATE 100MCG INHALER 200D


Bronchial Glucocorticoids PULMICORT TURBU 100MCG 200D


Bronchial/Uterine Sympathomimetics ASTHAVENT 200D ECOHALER

Bronchial/Uterine Sympathomimetics SALBUCORT NAM ONLY 100MCG INH

Bronchial/Uterine Sympathomimetics VENTEZE CFC FREE 200D 100MCG

Bronchial/Uterine Sympathomimetics VENTEZE RESP SOLN 20ML

Combination Bronchodilators DUOLIN HFA 200DOSE INHALER

Combination Bronchodilators VANNAIR 80/4.5MCG INH 120D



Glucocorticosteroids BETANOID 0.6MG/5ML SYR




Glucocorticosteroids STEROMIEN 0.6MG/5ML SYR


Methylxanthines NORSTAN-TED 100MG TABS


Methylxanthines SANDOZ THEOPHYLL 200MG TABS


Methylxanthines THEOPLUS 300MG TABS


Atypical Anti-Psychotics ASPEN CLOZAPINE 100MG TABS


Atypical Anti-Psychotics BIOTECH QUETIAPINE 100MG TABS


Therapeutic group Product nameAtypical Anti-Psychotics BIOTECH QUETIAPINE 25MG

TABS


Atypical Anti-Psychotics DOPAQUEL 100MG TABS




Atypical Anti-Psychotics KIZOFRIN 100MG TABS



Atypical Anti-Psychotics MYLAN QUETIAPINE 100MG TABS




Atypical Anti-Psychotics PERIDA 0.5MG TABS

Atypical Anti-Psychotics PERIDA 1MG TABS

Atypical Anti-Psychotics PERIZAL 0.5MG TABS

Atypical Anti-Psychotics PERIZAL 1MG TABS



Atypical Anti-Psychotics PSYQUET 100MG TABS




Atypical Anti-Psychotics QUETOSER 300MG TABS

Atypical Anti-Psychotics RISNIA 0.5MG TABS

Atypical Anti-Psychotics RISNIA 1MG TABS



Atypical Anti-Psychotics RISPACOR 0.5MG TABS

Atypical Anti-Psychotics RISPACOR 1MG TABS



Atypical Anti-Psychotics RISPERDAL 1MG/ML SOLN

Atypical Anti-Psychotics RISPERIDONE HEXAL 3MG TABS

Atypical Anti-Psychotics RISPEVON 1MG TABS




Atypical Anti-Psychotics RISPIDE 0.5MG TABS

Atypical Anti-Psychotics RISPIDE 1MG TABS

Atypical Anti-Psychotics RISPIDE 2MG TABS

Atypical Anti-Psychotics RISPONZ 1MG TABS



Atypical Anti-Psychotics SCHIZOROL 0.5MG TABS

Atypical Anti-Psychotics SCHIZOROL 1MG TABS

Atypical Anti-Psychotics SCHIZOROL 2MG TABS

Atypical Anti-Psychotics SEREZ 100MG TABS




Atypical Anti-Psychotics SPEC QUETIAPINE 100MG TABS





Atypical Anti-Psychotics ZIMBIQUET 100MG TABS


page 31

Therapeutic group Product nameAtypical Anti-Psychotics ZIMBIQUET 200MG TABS


Atypical Anti-Psychotics ZOXADON 0.5MG

Atypical Anti-Psychotics ZOXADON 1MG TABS




Butyrophenones GULF HALOPERIDOL 5MG TABS

Butyrophenones SERENACE 0.5MG CAPS

Butyrophenones SERENACE 10MG TABS

Carbamazepine DEGRANOL 200MG TABS

Carbamazepine TEGRETOL 100MG/5ML SUSP

Carbamazepine ZEPTOL 200MG TABS

Lithium CAMCOLIT 250MG TABS


Noradrenalin/SSRI ACTI-LIFT 20MG TABS

Noradrenalin/SSRI ARROW CITALOPRAM 20MG TABS


Noradrenalin/SSRI AUSTELL-CITALOPRAM 10MG TABS



Noradrenalin/SSRI BIO CITALOPRAM 20MG TABS

Noradrenalin/SSRI CILATE 20MG TABS

Noradrenalin/SSRI DEPROZAN CAPS

Noradrenalin/SSRI FLUOXETINE ACTOR 20MG CAPS

Noradrenalin/SSRI PROLAX 20MG CAPS

Noradrenalin/SSRI RANFLOCS 20MG CAPS

Noradrenalin/SSRI TALOMIL 20MG TABS

Noradrenalin/SSRI ZYDUS FLUOXETINE 20MG CAPS

Other Anti-epileptics CONVULEX 150MG CAPS



Other Anti-epileptics CONVULEX 50MG/ML SYR

Other Anti-epileptics DYNA-LAMOTRIGINE 100MG TABS



Other Anti-epileptics EPILIM 200MG/5ML LIQ

Other Anti-epileptics EPILIZINE CR 200MG TABS



Other Anti-epileptics EPITEC 100MG TABS




Other Anti-epileptics EPROLEP CR 200MG TABS



Other Anti-epileptics GIROTEC 100MG TABS



Other Anti-epileptics LAMIDUS 50MG TABS

Other Anti-epileptics LAMITOR 100MG TABS




Other Anti-epileptics NAVALPRO CR 200MG TABS

Therapeutic group Product nameOther Anti-epileptics NAVALPRO CR 300MG TABS


Other Anti-epileptics VALEPTIC CR 300MG TABS


Other Anti-psychotics CLOPIXOL 10MG TABS

Other Anti-psychotics CLOPIXOL 2MG TABS

Phenothiazines LARGACTIL 100MG TABS



Phenothiazines STELAZINE 1MG TABS



SSRI DEPNIL 300MG TABS

Tricyclics ETHIPRAMINE 10MG TABS


Tricyclics GULF AMITRIPTYLINE 25MG TABS

Tricyclics SANDOZ AMITRIPTYL 25MG TABS

Tricyclics TREPILINE 10MG TABS

Bronchiectasis

Bronchial Anti-cholinergics ADCO-IPRATROPIUM .25MG/2ML

Bronchial Anti-cholinergics ADCO-IPRATROPIUM 0.5MG/2ML



Bronchial Anti-cholinergics IPVENT RESPULES 0.5MG/2ML UDV

Bronchial Anti-cholinergics TROPIVENT 0.25MG/ML UDV 1ML








Bronchial/Uterine Sympathomimetics FORATEC HFA 120DOSE 12MCG



Bronchial/Uterine Sympathomimetics VENTEZE RESP SOLN 20ML











Influenza Vaccines FLUVAX 2009 PRE-FILLED SYR

Influenza Vaccines H INFLUENZAE TYPE B NAMIB

Influenza Vaccines INFLUVAC 0.5ML

Influenza Vaccines VAXIGRIP S/DOSE 0.25ML PAED


page 32 page 33

Therapeutic group Product nameInfluenza Vaccines VAXIGRIP S/DOSE 0.5ML

PREFILL

Meningococcal/Pneumococcal Vaccines PNEUMOVAX 23 VAC






Penicillins ADCO-AMOX 250MG SUSP

Penicillins ALLMOX 250MG CAPS

Penicillins ALLMOX 500MG CAPS

Penicillins ALLMOX S 125MG/5ML SUSP

Penicillins ALLMOX SF 250MG/5ML SUSP

Penicillins AMOXICAPS 250MG CAPS

Penicillins AMPIPEN 250MG CAPS

Penicillins AMYN 250MG CAPS

Penicillins AMYN 500MG CAPS

Penicillins AMYN S 125MG/5ML SUSP

Penicillins AMYN SF 250MG/5ML SUSP

Penicillins AURO-AMOXYCILLIN 250MG CAPS

Penicillins AUSTELL-AMOXICILLIN 250MG CAPS

Penicillins AUSTELL-AMOXICILLIN 500MG CAPS

Penicillins BE-AMPICIL 125MG SUSP

Penicillins BETAMOX 250MG CAPS

Penicillins BETAMOX 500MG CAPS

Penicillins BETAMOX S 125MG/5ML SUSP

Penicillins IPCAMOX 250MG CAPS

Penicillins MOXYMAX 250 SUSP

Penicillins MOXYMAX 250MG CAPS

Penicillins MOXYMAX 500MG CAPS

Penicillins MOXYMAX S 125MG/5ML SUSP

Penicillins MOXYPEN 125 SUSP

Penicillins MOXYPEN 250MG CAPS

Penicillins MOXYPEN 250MG/5ML SUSP

Penicillins MOXYPEN 500MG CAPS

Penicillins MYMOX 250MG CAPS

Penicillins MYMOX 500MG CAPS

Penicillins PROMOXIL 250MG CAPS

Penicillins PROMOXIL 500MG CAPS

Penicillins PROMOXIL S 125MG/5ML

Penicillins PROMOXIL SF 250MG/5ML

Penicillins RANMOXY 500MG CAPS

Penicillins SALTERMOX S 125MG/5ML

Penicillins YOMAX 250MG CAPS

Penicillins ZALOXY 125MG/5ML SUSP

Penicillins ZALOXY 250MG/5ML SUSP

Penicillins ZALOXY 500MG CAPS

Penicillins ZOXIL S 125MG/5ML SUSP

Penicillins ZOXIL SF 250MG/5ML SUSP

Tetracyclines CYCLIDOX 100MG CAPS

Tetracyclines DOXYCYCLINE BIOTECH 100MG TABS

Tetracyclines DOXYTET 100MG CAPS

Cardiac Failure

ACE Inhibitor/Diuretic Combinations ADCO-ZETOMAX-CO 10/12.5MG TABS


ACE Inhibitor/Diuretic Combinations ENAP CO 20MG/12.5MG TABS

ACE Inhibitor/Diuretic Combinations LISINOPRIL CO UNICORN 20/12.5M

Therapeutic group Product nameACE Inhibitor/Diuretic Combinations LISORETIC 10/HCTZ TABS

ACE Inhibitor/Diuretic Combinations LISORETIC 20/HCTZ TABS

ACE Inhibitor/Diuretic Combinations LISOZIDE 10MG/12.5MG TABS


ACE Inhibitor/Diuretic Combinations PHARMAPRESS CO TABS

ACE Inhibitor/Diuretic Combinations ZESTORETIC 10MG TABS


Aspirin BAYER ASPIRIN TABS

Aspirin DISPRIN 300MG DISP TABS

Aspirin DR DU TOITS PAIN EXPELLER 300M

Aspirin GULF ASPIRIN 300MG TABS

Aspirin SOLUSPIRIN 300MG DISP TABS

Cardiac Glycosides LANOXIN 0.05MG/ML SYRP PAED

Cardiac Glycosides LANOXIN 0.0625MG TABS


Cardiac Glycosides PURGOXIN 0.25MG TABS

Direct Acting Vasodilators HYPERPHEN 10MG TABS


Direct Acting Vasodilators SANDOZ HYDRALAZINE 25MG TABS

Ethical Potassium PLENISH K 600MG TABS

Ethical Potassium ULTIPOT 600MG SL TABS

Ethical Potassium ULTIPOT 600MG SR TABS





Influenza Vaccines VAXIGRIP S/DOSE 0.5ML PREFILL

Loop Diuretics BEURESIS 40MG TABS

Loop Diuretics DINO-RETIC 40MG TABS

Loop Diuretics DIURESIX 40MG TABS

Loop Diuretics LASIX ORAL SOL

Loop Diuretics MYLAN FUROSEMIDE 40 MG TABS

Loop Diuretics PURESIS 40MG TABS


Oral Anti-coagulants ASPEN WARFARIN 5MG TABS

Oral Anti-coagulants CIPLA-WARFARIN 5MG TABS

Organic Nitrates ISORDIL 30MG TABS

Organic Nitrates SANDOZ ISOSORBIDE 10MG TABS

Organic Nitrates SANDOZ ISOSORBIDE 5MG SL TABS

Other Beta-receptor Blockers ADCO-ATENOLOL 50MG TABS


Other Beta-receptor Blockers B-BLOCK 100MG TABS

Other Beta-receptor Blockers BIO-ATENOLOL 100MG TABS


Other Beta-receptor Blockers TENOPRESS 100MG TABS



Other Beta-receptor Blockers TENORMIN 25MG TABS

Other Beta-receptor Blockers ZETENOL 100MG TABS


Potassium Sparing Diuretics ALDACTONE 25MG TABS


Potassium Sparing Diuretics SANDOZ SPIRONOLACTONE 25MG

Potassium Sparing Diuretics SPIRACTIN 100MG TABS

Propranolol INDERAL 10MG TABS

Propranolol INDOBLOK 10MG TABS



page 33

Therapeutic group Product namePropranolol PROPRANOLOL NAM ONLY

10MG TABS

Propranolol PROPRANOLOL NAM ONLY 40MG TABS

Propranolol PUR-BLOKA 40MG TABS

Single ACE Inhibitors ACETEN 25MG TABS

Single ACE Inhibitors ADCO-ENALAPRIL 10MG TABS


Single ACE Inhibitors ADCO-ZETOMAX 10MG TABS



Single ACE Inhibitors ALAPREN 5MG TABS



Single ACE Inhibitors AUSTELL ENALAPRIL 20MG TABS

Single ACE Inhibitors AUSTELL-LISINOPRIL 10MG TABS


Single ACE Inhibitors CAPTOHEXAL 12.5MG TABS

Single ACE Inhibitors CAPTOMAX 25MG TABS


Single ACE Inhibitors ENALAPRIL BIOTECH 10MG TABS



Single ACE Inhibitors ENAP 20MG TABS

Single ACE Inhibitors ENVAS 10MG TABS


Single ACE Inhibitors HR-ENALAPRIL 20MG TABS

Single ACE Inhibitors HYPACE 5MG TABS

Single ACE Inhibitors LIZRO 10MG TABS



Single ACE Inhibitors MYLAN CAPTOPRIL 25MG TABS


Single ACE Inhibitors PHARMAPRESS 10MG TABS



Single ACE Inhibitors SINOPREN 10MG TABS



Single ACE Inhibitors ZESTRIL 10MG TABS



Thiazide/Related Diuretics ADCO-DAPAMAX 2.5MG TABS

Thiazide/Related Diuretics CIPLA-INDAPAMIDE 2.5MG TABS

Thiazide/Related Diuretics DAPTRIL 2.5MG TABS

Thiazide/Related Diuretics HEXAZIDE 25MG TABS

Thiazide/Related Diuretics MYLAN INDAPAMIDE 2.5 TABS

Thiazide/Related Diuretics RIDAQ 12.5MG TABS

Thiazide/Related Diuretics RIDAQ 25MG TABS

Cardiomyopathy







Therapeutic group Product nameACE Inhibitor/Diuretic Combinations LISOZIDE 10MG/12.5MG TABS


























































page 34 page 35

Therapeutic group Product nameSingle ACE Inhibitors ADCO-ENALAPRIL 20MG TABS






















































Therapeutic group Product nameCalcium Antacids ENO TUMS ASSORTED FRUIT

FLAVOU

Calcium Antacids ENO TUMS PEPPERMINT FLAVOUR RO

Calcium Channel Blockers AMLATE 10MG TABS


Calcium Channel Blockers AMLOC 5MG TABS

Calcium Channel Blockers AMLODAC 5MG TABS

Calcium Channel Blockers AMLODIPINE 10MG PHARMA DYNAMIC

Calcium Channel Blockers AMLODIPINE 5MG PHARMA DYNAMICS

Calcium Channel Blockers AMLODIPINE ASCENDIS 5 TABS

Calcium Channel Blockers AMLODIPINE UNICORN 10MG TABS


Calcium Channel Blockers AMLOSIN NAM ONLY 10MG TABS


Calcium Channel Blockers AMLOSYN 5MG TABS

Calcium Channel Blockers AMTAS 10MG TABS


Calcium Channel Blockers AUSTELL AMLODIPINE 10MG TABS


Calcium Channel Blockers CALBLOC 10MG TABS


Calcium Channel Blockers CALCICARD SR 240MG

Calcium Channel Blockers CIPALAT RETARD 20MG TABS

Calcium Channel Blockers CIPLAVASC 10MG TABS


Calcium Channel Blockers GULF AMLODIPINE 10MG TABS


Calcium Channel Blockers KEYSAL 5MG TABS

Calcium Channel Blockers KLODIP 5MG TABS

Calcium Channel Blockers LOMANOR 10MG TABS


Calcium Channel Blockers NORCARD 10MG TABS

Calcium Channel Blockers PENDINE 10MG TABS


Calcium Channel Blockers RAVAMIL SR 240MG TABS

Calcium Channel Blockers VASOMIL 40MG TABS


Calcium Channel Blockers VERAHEXAL 240 SR TABS

Ethical Folic Acid BE-TABS FOLIC ACID 5MG TABS

Ethical Folic Acid FOLIC ACID 5MG TABS

Ethical Folic Acid GULF FOLIC ACID 5MG TABS

Ethical Other Calcium CALCIUM GLUCONATE 300MG CHEW


Ethical Other Calcium CALCIUM GLUCONATE 300MG TABS


Ethical Other Calcium EGOLI CALCIUM GLUCONATE 300MG

Ethical Other Calcium GULF CALCIUM GLUCONATE TABS




Ethical Vitamin D CALCIFEROL 50000IU TABS

Ethical Vitamin D CALCIFEROL OILY 15ML SOLN

Ethical Vitamin D ONE ALPHA 0.25MCG CAPS


page 35

Therapeutic group Product nameEthical Vitamin D ONE ALPHA 1MCG CAPS







Oral Haematinics AHA FERROUS SULPH 30MG TABS

Oral Haematinics ASTYFER LIQD

Oral Haematinics FERROUS FORTE CHEL IRON

Oral Haematinics FERROUS SULPHATE 30MG

Oral Haematinics FERROUS SULPHATE 30MG TABS




Oral Haematinics PREGAMAL TABS












Parenteral Haematinics ARANESP PREFIL SYR 100MCG/0.5M

Parenteral Haematinics ARANESP PREFIL SYR 10MCG/0.4ML


Parenteral Haematinics ARANESP PREFIL SYR 20MCG/0.5







Parenteral Haematinics COSMOFER AMP 50MG/1ML 10ML INJ

Parenteral Haematinics COSMOFER AMP 50MG/1ML 2ML INJ

Parenteral Haematinics ENCIFER 100MG/5ML AMP NAM ONLY

Parenteral Haematinics EQUIFER 100MG/5ML AMP INJ

Parenteral Haematinics RAUTEVENE 100MG/5ML AMP INJECT

Parenteral Haematinics REPOTIN 2000U 1ML

Parenteral Haematinics REPOTIN 4000U 1ML

Parenteral Haematinics SUCROFER 20MG/ML INJ 5ML

Parenteral Haematinics ZYPIRON 20MG/ML 5ML VIAL





10MG TABS











































COPD










page 36 page 37

Therapeutic group Product name

Bronchial/Uterine Sympathomimet-ics

ASTHAVENT 200D ECOHALER


FORATEC HFA 120DOSE 12MCG


SALBUCORT NAM ONLY 100MCG INH


VENTEZE CFC FREE 200D 100MCG












































Therapeutic group Product nameCalcium Channel Blockers CALBLOC 10MG TABS





















Oral Platelet Aggregation Inhibitors CLOPIDOGREL BIOTECH 75MG TABS

Oral Platelet Aggregation Inhibitors CLOPIWIN PLUS 75/75 TABS

Oral Platelet Aggregation Inhibitors CLOSOLVE 75MG TABS

Oral Platelet Aggregation Inhibitors PHARMA DYNAMICS CLOPI-DOGREL

Oral Platelet Aggregation Inhibitors PLAGROL 75MG TABS

Oral Platelet Aggregation Inhibitors ZYKLOT 75MG TABS

































page 37

Therapeutic group Product nameSingle ACE Inhibitors AUSTELL-LISINOPRIL 10MG

TABS



























Crohn's Disease

Azathioprine AZAMUN 50MG TABS

Azathioprine AZAPRESS 50MG TABS

Azathioprine AZATHIOPRINE PCH 50MG TABS

Azathioprine ZAPRINE 50MG TABS









Imidazoles ADCO-METRONIDAZOLE 200MG TABS

Imidazoles AMZOLE 400MG TABS

Imidazoles ANAEROBYL 200MG TABS


Imidazoles BE-METRAZOLE 200MG TABS


Imidazoles BIO-METRONIDAZOLE 400MG TABS

Imidazoles MEDAMET 200MG TABS

Imidazoles METAZOL 200MG TABS


Imidazoles METRAZOLE 400MG TABS

Imidazoles SUPRAZOLE 400MG TABS

Imidazoles TRICHAZOLE 200MG TABS

Other Inflammatory Bowel Disease Agents

ASACOL 500MG SUPP

Therapeutic group Product nameOther Inflammatory Bowel Disease Agents

ENTOCORD 2.3MG ENEMA


MEZAVANT 1200MG TABS


PENTASA 1000MG SUPP


PENTASA 2G SACH


PENTASA 500MG SR TABS


SALOFALK 1000MG SACH

Parenteral Methotrexate METHACHOR VIAL 50MG/2ML

Quinolones AUSTELL CIPROFLOX 250MG TABS


Quinolones BIOTECH CIPROFLOXACIN 250MG



Quinolones CIFRAN 500MG TABS

Quinolones CIPROGEN 250MG TABS


Quinolones CIPROL 500MG TABS

Quinolones COFLOX 500MG TABS NA-MIBIA ONLY

Quinolones CPL ALLIANCE CIPROFLOXA-CIN 250


Quinolones FLOPRO 500MG TABS

Quinolones LOXIP 250MG TABS


Quinolones ORPIC 500MG TABS

Rheumatoid Arthritis Agents SALAZOPYRIN-EN 500MG TABS

Salazopyrin Plain SALAZOPYRIN 500MG TABS

Diabetes Insipidus

Nasal Anti-diuretics DDAVP INTRANASAL 2.5ML

Nasal Anti-diuretics DDAVP NASAL SPRAY 5ML

Oral Anti-diuretics DDAVP 0.1MG TABS


Diabetes mellitus type 1

Aspirin BAYER ASPIRIN TABSAspirin DISPRIN 300MG DISP TABSAspirin DR DU TOITS PAIN EXPEL-

LER 300MAspirin GULF ASPIRIN 300MG

TABSAspirin SOLUSPIRIN 300MG DISP

TABSCarbamazepine DEGRANOL 200MG TABSCarbamazepine ZEPTOL 200MG TABSInsulins ACTRAPHANE 10MLInsulins ACTRAPHANE HM FLEX-

PEN 3MLInsulins ACTRAPID HM(GE) NAM

ONLY VIALInsulins APIDRA 10ML VIALInsulins APIDRA 3ML CARTInsulins APIDRA SOLOSTAR DISP

PEN 3MLInsulins BIOSULIN 30-70 CAR-

TRIDGE


page 38 page 39


Insulins BIOSULIN L CARTRIDGE 3ML

Insulins BIOSULIN N CARTRIDGE 3ML

Insulins BIOSULIN R CARTRIDGE 3ML

Insulins HUMALOG 10MLInsulins HUMALOG 3ML CAR-

TRIDGEInsulins HUMALOG KWIKPEN

100U/ML 3MLInsulins HUMALOG KWIKPEN

200U/ML 3MLInsulins HUMALOG MIX 25 KWIK-

PENInsulins HUMALOG MIX 50 KWIK-

PENInsulins HUMALOG MIX25 10ML

VIALInsulins HUMALOG MIX25 CART

3MLInsulins HUMALOG MIX50 CART

3MLInsulins HUMULIN 30/70 10ML

VIALInsulins HUMULIN 30/70 CART

3MLInsulins HUMULIN 30/70 KWIKPEN

3MLInsulins HUMULIN N 10ML VIALInsulins HUMULIN N CART 3MLInsulins HUMULIN N KWIKPEN 3MLInsulins HUMULIN R 10ML VIALInsulins HUMULIN R CART 3MLInsulins INSUMAN COMB 30/70

3ML CARTInsulins NOVOMIX 30 FLEXPEN

3MLInsulins NOVOMIX 30 PENFILL 3MLInsulins NOVORAPID 10ML INJInsulins NOVORAPID FLEXPEN 3MLInsulins NOVORAPID PENFILL 3MLInsulins PROTAPHANE 10ML VIALInsulins PROTAPHANE FLEXPEN

3MLOther Anti-epileptics CONVULEX 150MG CAPSOther Anti-epileptics CONVULEX 300MG CAPSOther Anti-epileptics CONVULEX 500MG CAPSOther Anti-epileptics EPILIZINE CR 200MG TABSOther Anti-epileptics EPILIZINE CR 300MG TABSOther Anti-epileptics EPILIZINE CR 500MG TABSOther Anti-epileptics EPROLEP CR 200MG TABSOther Anti-epileptics EPROLEP CR 300MG TABSOther Anti-epileptics EPROLEP CR 500MG TABSOther Anti-epileptics NAVALPRO CR 200MG

TABSOther Anti-epileptics NAVALPRO CR 300MG


TABSOther Anti-epileptics VALEPTIC CR 300MG TABSOther Anti-epileptics VALEPTIC CR 500MG TABS




Tricyclics TREPILINE 10MG TABSDiabetes mellitus type 2

Aspirin BAYER ASPIRIN TABSAspirin DISPRIN 300MG DISP TABSAspirin DR DU TOITS PAIN EXPEL-

LER 300MAspirin GULF ASPIRIN 300MG

TABSAspirin GULF ASPIRIN 300MG

TABSAspirin SOLUSPIRIN 300MG DISP

TABSCarbamazepine DEGRANOL 200MG TABSCarbamazepine ZEPTOL 200MG TABSInsulins ACTRAPHANE 10MLInsulins ACTRAPHANE HM FLEX-

PEN 3MLInsulins ACTRAPID HM(GE) NAM

ONLY VIALInsulins APIDRA 10ML VIALInsulins APIDRA 3ML CARTInsulins APIDRA SOLOSTAR DISP

PEN 3MLInsulins BIOSULIN 30-70 CAR-

TRIDGEInsulins BIOSULIN L CARTRIDGE

3MLInsulins BIOSULIN N CARTRIDGE

3MLInsulins BIOSULIN R CARTRIDGE

3MLInsulins HUMALOG 10MLInsulins HUMALOG 3ML CAR-

TRIDGEInsulins HUMALOG KWIKPEN

100U/ML 3MLInsulins HUMALOG KWIKPEN

200U/ML 3MLInsulins HUMALOG MIX 25 KWIK-

PENInsulins HUMALOG MIX 50 KWIK-

PENInsulins HUMALOG MIX25 10ML

VIALInsulins HUMALOG MIX25 CART

3MLInsulins HUMALOG MIX50 CART

3MLInsulins HUMULIN 30/70 10ML

VIALInsulins HUMULIN 30/70 CART

3MLInsulins HUMULIN 30/70 KWIKPEN

3MLInsulins HUMULIN N 10ML VIALInsulins HUMULIN N CART 3MLInsulins HUMULIN N KWIKPEN 3MLInsulins HUMULIN R 10ML VIALInsulins HUMULIN R CART 3ML


page 39


Insulins INSUMAN COMB 30/70 3ML CART

Insulins NOVOMIX 30 FLEXPEN 3ML

Insulins NOVOMIX 30 PENFILL 3MLInsulins NOVORAPID 10ML INJInsulins NOVORAPID FLEXPEN 3MLInsulins NOVORAPID PENFILL 3MLInsulins PROTAPHANE 10ML VIALInsulins PROTAPHANE FLEXPEN

3MLMetformin ACCORD METFORMIN

500MG TABSMetformin ACCORD METFORMIN

850MG TABSMetformin APEX-METFORMIN 500MG

TABSMetformin ARROW METFORMIN

500MG TABSMetformin AUSTELL-METFORMIN

500MG TABSMetformin AUSTELL-METFORMIN

850MG TABSMetformin BIGSENS 1000MG TABSMetformin BIGSENS 500MG TABSMetformin BIGSENS 850MG TABSMetformin DIAFORMIN 500MG TABSMetformin DIAFORMIN FORTE 850MG

TABSMetformin DIAMIN 500MG TABSMetformin DIAMIN 850MG TABSMetformin DIAPHAGE 1000MG TABSMetformin DIAPHAGE 500MG TABSMetformin DIAPHAGE 850MG TABSMetformin FORMINAL 500MG TABSMetformin FORMINAL 850MG TABSMetformin GLUCONORM 500MG

TABSMetformin GLUCONORM 850MG

TABSMetformin MENGEN 1000MG TABSMetformin MENGEN 500MG TABSMetformin MENGEN 850MG TABSMetformin METCHEK 500MG TABSMetformin METCHEK 850MG TABSMetformin METFORAL 500MG TABSMetformin METFORAL 850MG TABSMetformin METFORMIN ALKEM

500MG TABSMetformin METFORMIN ALKEM

850MG TABSMetformin METFORMIN ASCENDIS

500Metformin METFORMIN ASCENDIS

500Metformin METFORMIN ASCENDIS

850 MG FCTMetformin METFORMIN ASCENDIS

850MG FCTMetformin METORED 1000MG TABSMetformin METORED 500MG TABSMetformin METORED 850MG TABS


Metformin METPHAGE 500MG TABSMetformin METPHAGE 850MG TABSMetformin MYLAN METFORMIN

1000MG TABSMetformin MYLAN METFORMIN

500MG TABSMetformin MYLAN METFORMIN

850MG TABSMetformin ROMIDAB 1000MG TABSMetformin ROMIDAB 500MG TABSMetformin ROMIDAB 850MG TABSMetformin SANDOZ METFORMIN 500

FC TABSOther Anti-epileptics CONVULEX 150MG CAPSOther Anti-epileptics CONVULEX 300MG CAPSOther Anti-epileptics CONVULEX 500MG CAPSOther Anti-epileptics EPILIZINE CR 200MG TABSOther Anti-epileptics EPILIZINE CR 300MG TABSOther Anti-epileptics EPILIZINE CR 500MG TABSOther Anti-epileptics EPROLEP CR 200MG TABSOther Anti-epileptics EPROLEP CR 300MG TABSOther Anti-epileptics EPROLEP CR 500MG TABSOther Anti-epileptics NAVALPRO CR 200MG



TABSOther Anti-epileptics VALEPTIC CR 300MG TABSOther Anti-epileptics VALEPTIC CR 500MG TABSSulfonylureas AUSTELL-GLICLAZIDE

40MG TABSSulfonylureas AUSTELL-GLICLAZIDE

80MG TABSSulfonylureas DIAGLUCIDE 80MG TABSSulfonylureas DIAGLUMED 80MG TABSSulfonylureas GLUCOMED 80MG TABSSulfonylureas GLYGARD 80MG TABSSulfonylureas MYLAN GLICLAZIDE 80MG

TABSSulfonylureas SANDOZ GLICLAZIDE

80MG TABSThiazolidinediones ACCORD PIOGLITAZONE



45MG TABSThiazolidinediones CIPLA PIOGLITAZONE

15MG TABSThiazolidinediones CIPLA PIOGLITAZONE

30MG TABSTricyclics GULF AMITRIPTYLINE

25MG TABSTricyclics SANDOZ AMITRIPTYL

25MG TABSTricyclics TREPILINE 10MG TABSDysrhythmia

Anti-arrhythmics ARYCOR 100MG TABS


Anti-arrhythmics BIO-AMIODARONE 200MG TABS

Anti-arrhythmics HEXARONE 100MG TABS


page 40 page 41

Therapeutic group Product nameAnti-arrhythmics HEXARONE 200MG TABS





































Epilepsy

Barbiturates ADCO-PHENOBARB VITAL

Barbiturates LETHYL 30MG TABS

Barbiturates SEDABARB 30MG TABS




Clonazepam CLONAM 0.5MG TABS

Clonazepam CLONAM 2MG TABS

Clonazepam RIVOTRIL DRP












Therapeutic group Product nameOther Anti-epileptics EPIMATE 100MG TABS

Other Anti-epileptics EPIMATE 200MG TABS







Other Anti-epileptics EPITOZ 100MG TABS

















Other Anti-epileptics PAMIRAM 100MG TABS



Other Anti-epileptics TOPALEX 100MG TABS



Other Anti-epileptics TOPIROL 100MG TABS



Other Anti-epileptics TOPLEP 200MG TABS



Other Anti-epileptics ZARONTIN SYR

Phenytoin Sodium EPANUTIN 125MG/5ML SUSP

Phenytoin Sodium PHENYTOIN SOD 100MG TABS

Glaucoma

Alpha Agonists for Glaucoma ALPHAGAN PURITE 1.5MG/1ML 5ML

Alpha Agonists for Glaucoma BRIMOCT 2MG/1ML OPHTH DRP 5ML

Beta Blockers for Glaucoma GLAUCOSAN 0.5% 5ML

Beta Blockers for Glaucoma OCCUMOL 0.5% DROPS

Beta Blockers for Glaucoma TIMOPTOL 0.25% 5ML DROPS

Beta Blockers for Glaucoma TIMOPTOL-XE .25% 2.5ML

Carbonic Anhydrase Inhibitors For Glaucoma

GLAUCOPRESS 2% OPHT DRP 5ML


GLAUOPT CO 5ML OPHTHAL DRP


OCUDOR CO 5ML DROPS

Combination Alpha Ag/Beta Bloc COMBIGAN 2MG/5MG 5ML OPD

Combination Beta Blocker/CAI for Glaucoma

AZARGA DROPS 5ML


GLAUMIDE-CO 5ML DRP

Combination Beta Blocker/Prostaglandin for Glaucom

CO-ATANA 2.5ML EYE DRP

Prostaglandins for Glaucoma ATANA 50MCG/ML OPHTH DRP 2.5ML

Prostaglandins for Glaucoma SPERSATAN 50MCG/ML 2.5ML


page 41

Therapeutic group Product nameHaemophilia

Codeine Phosphate CODEINE PHOS 30MG TABS

Morphine/Other Narcotic Analgesics DF-118 30MG TABS





Oral Haemostatics TRANEXAMIC ACID MEDWICH 500MG

Oral Haemostatics TRANIC 500MG TABS

Oral Haemostatics TRENAXA 500MG TABS NAMIBIA

Other Analgesics AUSTELL-TRAMADOL 50MG CAPS

Other Analgesics DOLOTRAM 50MG CAPS

Other Analgesics DOMADOL 50MG CAPS

Other Analgesics TRAMAHEXAL 50MG CAPS

Other Analgesics TRAMASPEN 50MG CAPS

Other Analgesics TRAMAZAC 50MG CAPS

Paracetamol ACTAMOL 120MG/5ML SYRP

Paracetamol ACTAMOL 500MG TABS

Paracetamol ACTAMOL RED (UN-BOXED)

Paracetamol ANTALGIC 500MG TABS

Paracetamol BARRS PARACETAMOL 120MG/5ML

Paracetamol BRUNOMOL 120MG/5ML SYRP

Paracetamol CETAPON TABS

Paracetamol FEVERPAIN (UNBOXED)

Paracetamol FEVERPAIN ELIX

Paracetamol GENCETAMOL 500MG TABS

Paracetamol GO-PAIN P

Paracetamol GULF PARACETAMOL 500MG TABS

Paracetamol JP PARACETAMOL TABS

Paracetamol NAPAMOL 120MG/5ML SYRP

Paracetamol NAPAMOL 500MG TABS

Paracetamol PAINAMOL 120MG/5ML SYRP

Paracetamol PAINAMOL GREEN 500MG TABS

Paracetamol PAINBLOK 120MG/5ML SYRP

Paracetamol PAINBLOK 500MG TABS

Paracetamol PAINOGESIC SYRP

Paracetamol PAINOGESIC TABS

Paracetamol PARACETAMOL ELIX (ALC FREE)

Paracetamol PARAPANE 500MG TABS

Paracetamol PROLIEF 500MG TABS

Paracetamol PYNGESIC S 120MG/5ML SYRP

Paracetamol PYNGESIC T 500MG TABS

Paracetamol PYRALEN 120MG/5ML SYRP

Paracetamol VON PARACETAMOL TABS

Paracetamol WOODWARDS PARACETAMOL

Parenteral Anti-diuretics DDAVP 4MCG/ML 1ML INJ

Parenteral Haemostatics FEIBA 500U VH VIAL

Parenteral Haemostatics FEIBA 1000U VH VIAL

Parenteral Haemostatics HAEMOSOLVATE 1000U

Parenteral Haemostatics HAEMOSOLVATE 300IU

Parenteral Haemostatics HAEMOSOLVATE 500U

Parenteral Haemostatics HAEMOSOLVEX FACTOR IX 500U

Parenteral Haemostatics KOGENATE 1000IU FS POWDER FOR

Parenteral Haemostatics KOGENATE 250IU FS POWDER FOR I

Parenteral Haemostatics KOGENATE 500IU FS POWDER FOR

Therapeutic group Product nameParenteral Haemostatics NOVOSEVEN 1MG POWD &

SOLVENT

Parenteral Haemostatics NOVOSEVEN 2MG POWD & SOLV

Parenteral Haemostatics NOVOSEVEN 5MG POWD & SOLV

Parenteral Haemostatics NOVOSEVEN 60KIU (1.2MG)

Parenteral Haemostatics OCTANATE VIAL 10ML 1000IU

Parenteral Haemostatics OCTANATE VIAL 10ML 500IU

Parenteral Haemostatics OCTANATE VIAL 5ML 250IU I

Parenteral Haemostatics OCTANINE F 30ML VIAL 250IU

Parenteral Haemostatics OCTANINE F 30ML VIAL 500IU

Parenteral Haemostatics OCTANINE F VIAL 30ML 1000IU

Hyperlipidaemia







Fibrates BEZALIP 200MG TABS

Fibrates BEZALIP RET 400MG TABS

Fibrates DYNA-BEZAFIBRATE SR 400MG TABS

Fibrates SANDOZ BEZAFIBRATE 400 CR TABS

HMG-CoA Reductase Inhibitors ADCO-SIMVASTATIN 10MG TABS



HMG-CoA Reductase Inhibitors ASPEN SIMVASTATIN 10MG TABS



HMG-CoA Reductase Inhibitors AUSTELL-SIMVASTATIN 10MG TABS





HMG-CoA Reductase Inhibitors CHOLESTE 10MG TABS



HMG-CoA Reductase Inhibitors CIPLA-SIMVASTATIN 10MG TABS



HMG-CoA Reductase Inhibitors NOVATIN 10MG TABS

HMG-CoA Reductase Inhibitors SIMVACOR 40MG TABS

HMG-CoA Reductase Inhibitors ZYSIM 10MG TABS


Hypertension






page 42 page 43

Therapeutic group Product nameACE Inhibitor/Diuretic Combinations LISORETIC 10/HCTZ TABS







Alpha-receptor Blockers for HT/BPH CARDUGEN 1MG TABS


Alpha-receptor Blockers for HT/BPH CARZIN XL 4MG TABS




































Central Acting Anti-hypertensives MYLAN METHYLDOPA 250MG TABS











Therapeutic group Product nameLoop Diuretics LASIX ORAL SOL
























































page 43

Therapeutic group Product nameSingle ACE Inhibitors PHARMAPRESS 5MG TABS














Hypothyroidism

Agents for Hypothyroidism ELTROXIN 200MCG TABS NEW FORMU

Agents for Hypothyroidism ELTROXIN 25MCG TABS NEW FORMUL


Agents for Hypothyroidism EUTHYROX 100MCG TABS



Multiple Sclerosis

Anxiolytic Benzodiazepines BETAPAM 5MG TABS

Anxiolytic Benzodiazepines DOVAL 5MG TABS

Anxiolytic Benzodiazepines PAX 10MG TABS





Bulk Forming Laxatives AGIOBULK GRAN

Bulk Forming Laxatives FIBRELLE CAPS




Centrally Acting Muscle Relaxants ASPEN BACLOFEN 10MG TABS

Centrally Acting Muscle Relaxants BIO-BACLOFEN 10MG TABS

Centrally Acting Muscle Relaxants LIORESAL 25MG TABS

Centrally Acting Muscle Relaxants TEVA BACLOFEN 10MG TABS



Interferon Beta AVONEX PREFILLED 30MCG INJ

Interferon Beta BETAFERON PRE-FILLED SYR

Interferon Beta PLEGRIDY 125MCG/0.5ML INJ PREF

Interferon Beta PLEGRIDY 63MCG/94MCG 0.5ML PR

Interferon Beta REBIF 22MCG/0.5ML PREFILL SYR

Interferon Beta REBIF 22MCG/0.5ML REBIDOSE PRE

Interferon Beta REBIF 44MCG/0.5ML PREFILL SYR

Interferon Beta REBIF 44MCG/0.5ML REBIDOSE PRE

Lactulose Laxatives ACULAX 3.3G/5ML SYRUP

Lactulose Laxatives ANLAC SYRP

Lactulose Laxatives DUPHALAC DRY SACHET

Lactulose Laxatives DUPHALAC SYRP

Oral Anti-cholinergics LENDITRO 5MG TABS

Oral Anti-cholinergics MYLAN OXYBUTYNIN HCL 5MG TABS

Oral Anti-cholinergics OXYREST 5MG TABS

Therapeutic group Product nameOther Analgesics AUSTELL-TRAMADOL 50MG

CAPS





















Other Immunostimulants COPAXONE PREFILLED SYR 1ML





Quinolones FLOXIN 400MG TABS


Quinolones NORFLOXACIN ACTOR 400MG TABS

Quinolones UTIFLOXA 400MG TABS

Stimulant Laxatives AGIOLAX GRAN

Stimulant Laxatives FRESHEN BISACODYL LAXA-TIVE

Stimulant Laxatives LAXADOR BISACODYL 5MG TABS

Stimulant Laxatives PURITONE BISACODYL LAXA-TIVE 5M

Stimulant Laxatives SENNAMED 300MG CAPS

Stimulant Laxatives SENNA-PIN 7.5MG TABS

Stimulant Laxatives SOFLAX TABS

Sulphonamides/Combinations COZOLE TABS

Sulphonamides/Combinations DUROBAC TABS

Sulphonamides/Combinations ILVITRIM TABS

Sulphonamides/Combinations LAGATRIM 480MG TABS

Sulphonamides/Combinations NUCOTRIM 480MG TABS

Sulphonamides/Combinations PURBAC TABS

Sulphonamides/Combinations TRIMETHOX TABS

Sulphonamides/Combinations TRIXAZOLE 480MG TABS






Parkinsons Disease

Amantadine HCL SYMADIN 100MG CAPS

Anti-Parkinson Anti-cholinergics AKINETON 2MG TABS


page 44 page 45

Therapeutic group Product nameAnti-Parkinson Anti-cholinergics BENZHEXOL 2MG TABS

Anti-Parkinson Anti-cholinergics DISIPAL 50MG TABS

Anti-Parkinson Dopaminergics ACCORD ROPINIROLE 0.25MG TABS


Anti-Parkinson Dopaminergics ACCORD ROPINIROLE 1MG TABS



Anti-Parkinson Dopaminergics CARBILEV 25/100 TABS


Anti-Parkinson Dopaminergics LECARDOP 25/100MG TABS


Anti-Parkinson Dopaminergics MADOPAR HBS CAPS

Anti-Parkinson Dopaminergics MADOPAR TABS

Anti-Parkinson Dopaminergics REQUIP 0.25MG TABS

Anti-Parkinson Dopaminergics SINEMET CR 50/200MG TABS

Anti-Parkinson Dopaminergics TEVA CARBI-LEVO 25/100 TABS


Centrally Acting Muscle Relaxants NORFLEX 100MG TABS







Chloroquine FABU-CHLOROQUINE SYR NAMIBIA

Chloroquine MIRQUIN SYR

Chloroquine NIVAQUINE 200MG TABS

Chloroquine PLASMOQUINE 200MG CAPS

COX Inhibitors ADCO-DICLOFENAC 25MG TABS


COX Inhibitors A-LENNON DICLOFENAC 25MG TABS


COX Inhibitors AMDOCIN 25MG CAPS

COX Inhibitors ARTHREXIN 25MG CAPS


COX Inhibitors AUSTELL IBUPROFEN 400MG TABS

COX Inhibitors AUSTIFEN 400MG TABS

COX Inhibitors BETACIN 25MG CAPS

COX Inhibitors BETAPROFEN 200MG TABS

COX Inhibitors BETAPROFEN 400 TABS

COX Inhibitors BREN 400MG TABS

COX Inhibitors DICLOFENAC BIOTECH 25MG TABS

COX Inhibitors GULF INDOMETHACIN 25MG CAPS

COX Inhibitors IBU 200MG TABS

COX Inhibitors IBUCINE 200MG TABS


COX Inhibitors IBUCINE SUSP

COX Inhibitors IBUGESIC 100MG/5ML SUSP

COX Inhibitors IBUNATE 200MG TABS

COX Inhibitors IBUSOR 200MG TABS

COX Inhibitors INFLAMAX PAED 100MG/5ML SUSP

COX Inhibitors INZA 200MG TABS

Therapeutic group Product nameCOX Inhibitors INZA 400MG TABS

COX Inhibitors MEDIFLEX 25MG CAPS

COX Inhibitors METHOCAPS 25MG CAPS

COX Inhibitors MYLAN DICLOFENAC 25 MG TABS

COX Inhibitors MYLAN DICLOFENAC 50MG TABS

COX Inhibitors PANAMOR AT 50MG TABS


COX Inhibitors RANFEN 200MG TABS


COX Inhibitors SANDOZ INDOMETHACIN 25MG CAPS




Glucocorticosteroids ADCO PREDNISOLONE 15MG/5ML

Glucocorticosteroids ASPELONE 15MG/5ML SYRP








Oral Cyclophosphamide ENDOXAN 50MG TABS
















Rheumatoid Arthritis Agents LUNAR 20MG TABS

Rheumatoid Arthritis Agents RHEUMALEF 10MG TABS

Rheumatoid Arthritis Agents RHEUMALEF 20MG TABS



Schizophrenia







Atypical Anti-Psychotics DOPAQUEL 100MG TABSAtypical Anti-Psychotics DOPAQUEL 200MG TABS


page 45


Atypical Anti-Psychotics DOPAQUEL 25MG TABSAtypical Anti-Psychotics DOPAQUEL 300MG TABSAtypical Anti-Psychotics KIZOFRIN 100MG TABSAtypical Anti-Psychotics KIZOFRIN 25MG TABSAtypical Anti-Psychotics KIZOFRIN 300MG TABSAtypical Anti-Psychotics MYLAN QUETIAPINE

100MG TABSAtypical Anti-Psychotics MYLAN QUETIAPINE

200MG TABSAtypical Anti-Psychotics MYLAN QUETIAPINE 25MG

TABSAtypical Anti-Psychotics MYLAN QUETIAPINE

300MG TABSAtypical Anti-Psychotics PERIDA 0.5MG TABSAtypical Anti-Psychotics PERIDA 1MG TABSAtypical Anti-Psychotics PERIZAL 0.5MG TABSAtypical Anti-Psychotics PERIZAL 1MG TABSAtypical Anti-Psychotics PERIZAL 2MG TABSAtypical Anti-Psychotics PERIZAL 3MG TABSAtypical Anti-Psychotics PSYQUET 100MG TABSAtypical Anti-Psychotics PSYQUET 200MG TABSAtypical Anti-Psychotics PSYQUET 25MG TABSAtypical Anti-Psychotics PSYQUET 300MG TABSAtypical Anti-Psychotics QUETOSER 300MG TABSAtypical Anti-Psychotics RISNIA 0.5MG TABSAtypical Anti-Psychotics RISNIA 1MG TABSAtypical Anti-Psychotics RISNIA 2MG TABSAtypical Anti-Psychotics RISNIA 3MG TABSAtypical Anti-Psychotics RISPACOR 0.5MG TABSAtypical Anti-Psychotics RISPACOR 1MG TABSAtypical Anti-Psychotics RISPACOR 2MG TABSAtypical Anti-Psychotics RISPACOR 3MG TABSAtypical Anti-Psychotics RISPERDAL 1MG/ML SOLNAtypical Anti-Psychotics RISPERIDONE HEXAL 3MG

TABSAtypical Anti-Psychotics RISPEVON 1MG TABSAtypical Anti-Psychotics RISPEVON 2MG TABSAtypical Anti-Psychotics RISPEVON 3MG TABSAtypical Anti-Psychotics RISPEVON 4MG TABSAtypical Anti-Psychotics RISPIDE 0.5MG TABSAtypical Anti-Psychotics RISPIDE 1MG TABSAtypical Anti-Psychotics RISPIDE 2MG TABSAtypical Anti-Psychotics RISPONZ 1MG TABSAtypical Anti-Psychotics RISPONZ 2MG TABSAtypical Anti-Psychotics RISPONZ 3MG TABSAtypical Anti-Psychotics SCHIZOROL 0.5MG TABSAtypical Anti-Psychotics SCHIZOROL 1MG TABSAtypical Anti-Psychotics SCHIZOROL 2MG TABSAtypical Anti-Psychotics SEREZ 100MG TABSAtypical Anti-Psychotics SEREZ 200MG TABSAtypical Anti-Psychotics SEREZ 25MG TABSAtypical Anti-Psychotics SEREZ 300MG TABSAtypical Anti-Psychotics SPEC QUETIAPINE 100MG

TABSAtypical Anti-Psychotics SPEC QUETIAPINE 150MG



TABS



Atypical Anti-Psychotics ZIMBIQUET 100MG TABSAtypical Anti-Psychotics ZIMBIQUET 200MG TABSAtypical Anti-Psychotics ZIMBIQUET 300MG TABSAtypical Anti-Psychotics ZOXADON 0.5MGAtypical Anti-Psychotics ZOXADON 1MG TABSAtypical Anti-Psychotics ZOXADON 2MG TABSAtypical Anti-Psychotics ZOXADON 3MG TABSAtypical Anti-Psychotics ZOXADON 4MG TABSButyrophenones GULF HALOPERIDOL 5MG

TABSButyrophenones SERENACE 0.5MG CAPSButyrophenones SERENACE 10MG TABSCarbamazepine DEGRANOL 200MG TABSCarbamazepine TEGRETOL 100MG/5ML

SUSPCarbamazepine ZEPTOL 200MG TABSLithium CAMCOLIT 250MG TABSLithium CAMCOLIT 400MG TABSNoradrenalin/SSRI ACTI-LIFT 20MG TABSNoradrenalin/SSRI ARROW CITALOPRAM

20MG TABSNoradrenalin/SSRI ARROW CITALOPRAM

40MG TABSNoradrenalin/SSRI AUSTELL-CITALOPRAM



40MG TABSNoradrenalin/SSRI BIO CITALOPRAM 20MG

TABSNoradrenalin/SSRI CILATE 20MG TABSNoradrenalin/SSRI DEPROZAN CAPSNoradrenalin/SSRI FLUOXETINE ACTOR 20MG

CAPSNoradrenalin/SSRI PROLAX 20MG CAPSNoradrenalin/SSRI RANFLOCS 20MG CAPSNoradrenalin/SSRI TALOMIL 20MG TABSNoradrenalin/SSRI ZYDUS FLUOXETINE 20MG

CAPSOther Anti-epileptics CONVULEX 150MG CAPSOther Anti-epileptics CONVULEX 300MG CAPSOther Anti-epileptics CONVULEX 500MG CAPSOther Anti-epileptics CONVULEX 50MG/ML SYROther Anti-epileptics DYNA-LAMOTRIGINE

100MG TABSOther Anti-epileptics DYNA-LAMOTRIGINE


25MG TABSOther Anti-epileptics EPILIM 200MG/5ML LIQOther Anti-epileptics EPILIZINE CR 200MG TABSOther Anti-epileptics EPILIZINE CR 300MG TABSOther Anti-epileptics EPILIZINE CR 500MG TABSOther Anti-epileptics EPITEC 100MG TABSOther Anti-epileptics EPITEC 200MG TABSOther Anti-epileptics EPITEC 25MG TABSOther Anti-epileptics EPITEC 50MG TABSOther Anti-epileptics EPROLEP CR 200MG TABSOther Anti-epileptics EPROLEP CR 300MG TABS


page 46 page 47


Other Anti-epileptics EPROLEP CR 500MG TABSOther Anti-epileptics GIROTEC 100MG TABSOther Anti-epileptics GIROTEC 200MG TABSOther Anti-epileptics GIROTEC 50MG TABSOther Anti-epileptics LAMIDUS 50MG TABSOther Anti-epileptics LAMITOR 100MG TABSOther Anti-epileptics LAMITOR 200MG TABSOther Anti-epileptics LAMITOR 25MG TABSOther Anti-epileptics LAMITOR 50MG TABSOther Anti-epileptics NAVALPRO CR 200MG



TABSOther Anti-epileptics VALEPTIC CR 300MG TABSOther Anti-epileptics VALEPTIC CR 500MG TABSOther Anti-psychotics CLOPIXOL 10MG TABSOther Anti-psychotics CLOPIXOL 2MG TABSOther Anti-psychotics FLUANXOL DEP 20MG/1ML

INJPhenothiazines LARGACTIL 100MG TABSPhenothiazines LARGACTIL 25MG TABSPhenothiazines LARGACTIL 50MG TABSPhenothiazines MODECATE 25MG INJ

10MLPhenothiazines MODECATE 25MG INJ 1MLPhenothiazines MODECATE+SYRIN 25MG

1ML INJPhenothiazines STELAZINE 1MG TABSPhenothiazines STELAZINE 5MG TABSPhenothiazines STELAZINE 5MG TABSSSRI DEPNIL 300MG TABSTricyclics ETHIPRAMINE 10MG TABSTricyclics ETHIPRAMINE 25MG TABSTricyclics GULF AMITRIPTYLINE


25MG TABSTricyclics TREPILINE 10MG TABSSystemic Lupus Erythomatosus











Calcium Antacids ENO TUMS ASSORTED FRUIT FLAVOU




Chloroquine NIVAQUINE 200MG TABS



Therapeutic group Product nameCOX Inhibitors ADCO-DICLOFENAC 50MG

TABS













































Ethical Vitamin D ONE ALPHA 1MCG CAPS







page 47

Therapeutic group Product nameOral Cyclophosphamide ENDOXAN 50MG TABS

Other Immunosuppressants CIMUNE 250MG TABS

Other Immunosuppressants CIMUNE 500MG TABS

Other Immunosuppressants MICOMUNE 500MG TABS

Other Immunosuppressants MYCOCEPT 250MG CAPS

Other Immunosuppressants MYCOCEPT 500MG TABS

Other Immunosuppressants MYCOKEM 250MG CAPS

Other Immunosuppressants MYCOKEM 500MG TABS

Other Immunosuppressants MYCOPHENOLATE ALKEM 250MG CAPS

Other Immunosuppressants MYCOPHENOLATE ALKEM 500MG TABS

Other Immunosuppressants MYCOPHENOLATE TEVA 250MG CAPS

Other Immunosuppressants MYCOPHENOLATE TEVA 500MG TABS















Parenteral Cyclophosphamide ENDOXAN 1000MG INJ

Parenteral Cyclophosphamide ENDOXAN VIAL 500MG POWD FOR


Pharmacoepoeial Products ARM ZINC & CASTOR OIL CRE

Pharmacoepoeial Products ARM ZINC OINTMENT

Pharmacoepoeial Products UNG ZINC OXIDE

Pharmacoepoeial Products UNG ZINC OXIDE BP PASTE


Pharmacoepoeial Products ZINC & CASTOR OIL


Pharmacoepoeial Products ZINC & CASTOR OIL CREAM


Pharmacoepoeial Products ZINC & CASTOR OIL OINT

Pharmacoepoeial Products ZINC AND CASTOR OIL BP

Pharmacoepoeial Products ZINC OINTMENT


Pharmacoepoeial Products ZINC OINTMENT BP

Pharmacoepoeial Products ZINC SULPHATE BP UNG

Topical Cortico-steroids BETNOVATE SC SCALP APPLIC

Topical Cortico-steroids LENOVATE 0.1% OINT

Topical Cortico-steroids PERSIVATE OINT

Topical Cortico-steroids REPIVATE CREAM

Topical Cortico-steroids TOPIVATE 1MG/GM CREAM

Topical Cortico-steroids VARI-BETAMETHASONE CREAM

Ulcerative Colitis







Therapeutic group Product nameEthical Folic Acid GULF FOLIC ACID 5MG TABS







ASACOL 500MG SUPP


ENTOCORD 2.3MG ENEMA


MEZAVANT 1200MG TABS


PENTASA 1000MG SUPP


PENTASA 2G SACH


PENTASA 500MG SR TABS


SALOFALK 1000MG SACH



Health4Me and OCSAcare formularies for chronic medication

page 48

Health4Me and OCSAcare formularies for chronic medicationDisclaimer:

All conditions and medicines covered are subject to scheme rules and protocols. The information contained here is subject to changes as and when prices and products change. Please refer to the website for the full updated list.


Addison disease


Glucocorticosteroids COVOCORT 10MG TABS



Mineralocorticosteroids FLORINEF 0.1MG TABS

Asthma



































Therapeutic group Product nameAtypical Anti-Psychotics DOPAQUEL 300MG TABS


























Butyrophenones SERENACE 0.5MG CAPSButyrophenones SERENACE 10MG TABSCarbamazepine DEGRANOL 200MG TABSCarbamazepine TEGRETOL 100MG/5ML

SUSPCarbamazepine ZEPTOL 200MG TABSLithium CAMCOLIT 250MG TABSLithium CAMCOLIT 400MG TABSNoradrenalin/SSRI ACTI-LIFT 20MG TABSNoradrenalin/SSRI ARROW CITALOPRAM

20MG TABSNoradrenalin/SSRI ARROW CITALOPRAM




40MG TABSNoradrenalin/SSRI BIO CITALOPRAM 20MG

TABSNoradrenalin/SSRI CILATE 20MG TABSNoradrenalin/SSRI DEPROZAN CAPSNoradrenalin/SSRI FLUOXETINE ACTOR 20MG

CAPSNoradrenalin/SSRI PROLAX 20MG CAPSNoradrenalin/SSRI RANFLOCS 20MG CAPSNoradrenalin/SSRI TALOMIL 20MG TABSNoradrenalin/SSRI ZYDUS FLUOXETINE 20MG

CAPSOther Anti-epileptics CONVULEX 150MG CAPSOther Anti-epileptics CONVULEX 300MG CAPS


page 49


Other Anti-epileptics CONVULEX 500MG CAPSOther Anti-epileptics CONVULEX 50MG/ML SYROther Anti-epileptics DYNA-LAMOTRIGINE



25MG TABSOther Anti-epileptics EPILIM 200MG/5ML LIQOther Anti-epileptics EPILIZINE CR 200MG TABSOther Anti-epileptics EPILIZINE CR 300MG TABSOther Anti-epileptics EPILIZINE CR 500MG TABSOther Anti-epileptics EPITEC 100MG TABSOther Anti-epileptics EPITEC 200MG TABSOther Anti-epileptics EPITEC 25MG TABSOther Anti-epileptics EPITEC 50MG TABSOther Anti-epileptics EPROLEP CR 200MG TABSOther Anti-epileptics EPROLEP CR 300MG TABSOther Anti-epileptics EPROLEP CR 500MG TABSOther Anti-epileptics GIROTEC 100MG TABSOther Anti-epileptics GIROTEC 200MG TABSOther Anti-epileptics GIROTEC 50MG TABSOther Anti-epileptics LAMIDUS 50MG TABSOther Anti-epileptics LAMITOR 100MG TABSOther Anti-epileptics LAMITOR 200MG TABSOther Anti-epileptics LAMITOR 25MG TABSOther Anti-epileptics LAMITOR 50MG TABSOther Anti-epileptics NAVALPRO CR 200MG



TABSOther Anti-epileptics VALEPTIC CR 300MG TABSOther Anti-epileptics VALEPTIC CR 500MG TABSPhenothiazines LARGACTIL 100MG TABSPhenothiazines LARGACTIL 25MG TABSPhenothiazines LARGACTIL 50MG TABSPhenothiazines STELAZINE 1MG TABSPhenothiazines STELAZINE 5MG TABSSSRI DEPNIL 300MG TABSTricyclics ETHIPRAMINE 10MG TABSTricyclics ETHIPRAMINE 25MG TABSTricyclics GULF AMITRIPTYLINE



25MG TABSTricyclics TREPILINE 10MG TABSBronchiectasis






Bronchial Glucocorticoids BECLATE 200MCG IN-HALER 200D





ASTHAVENT 200D ECO-HALER


FORATEC HFA 120DOSE 12MCG


SALBUCORT NAM ONLY 100MCG INH


VENTEZE CFC FREE 200D 100MCG






Glucocorticosteroids PANAFCORT 5MG TABSGlucocorticosteroids STEROMIEN 0.6MG/5ML

SYRGlucocorticosteroids TROLIC 5MG TABSMethylxanthines NORSTAN-TED 100MG

TABSMethylxanthines NORSTAN-TED 200MG

TABSMethylxanthines SANDOZ THEOPHYLL

200MG TABSMethylxanthines SANDOZ THEOPHYLL

300MG TABSMethylxanthines THEOPLUS 300MG TABSPenicillins ADCO-AMOX 250MG SUSPPenicillins ALLMOX 250MG CAPSPenicillins ALLMOX 500MG CAPSPenicillins ALLMOX S 125MG/5ML

SUSPPenicillins ALLMOX SF 250MG/5ML

SUSPPenicillins AMOXICAPS 250MG CAPSPenicillins AMPIPEN 250MG CAPSPenicillins AMYN 250MG CAPSPenicillins AMYN 500MG CAPSPenicillins AMYN S 125MG/5ML SUSPPenicillins AMYN SF 250MG/5ML

SUSPPenicillins AURO-AMOXYCILLIN

250MG CAPSPenicillins AUSTELL-AMOXICILLIN

250MG CAPSPenicillins AUSTELL-AMOXICILLIN

500MG CAPSPenicillins BE-AMPICIL 125MG SUSPPenicillins BETAMOX 250MG CAPSPenicillins BETAMOX 500MG CAPSPenicillins BETAMOX S 125MG/5ML

SUSPPenicillins IPCAMOX 250MG CAPSPenicillins IPCAMOX 250MG CAPSPenicillins MOXYMAX 250 SUSP


page 50


Penicillins MOXYMAX 250MG CAPSPenicillins MOXYMAX 500MG CAPSPenicillins MOXYMAX S 125MG/5ML

SUSPPenicillins MOXYPEN 125 SUSPPenicillins MOXYPEN 250MG CAPSPenicillins MOXYPEN 250MG/5ML

SUSPPenicillins MOXYPEN 500MG CAPSPenicillins MYMOX 250MG CAPSPenicillins MYMOX 500MG CAPSPenicillins PROMOXIL 250MG CAPSPenicillins PROMOXIL 500MG CAPSPenicillins PROMOXIL S 125MG/5MLPenicillins PROMOXIL SF 250MG/5MLPenicillins RANMOXY 500MG CAPSPenicillins SALTERMOX S 125MG/5MLPenicillins YOMAX 250MG CAPSPenicillins ZALOXY 125MG/5ML SUSPPenicillins ZALOXY 250MG/5ML SUSPPenicillins ZALOXY 500MG CAPSPenicillins ZOXIL S 125MG/5ML SUSPPenicillins ZOXIL SF 250MG/5ML

SUSPTetracyclines CYCLIDOX 100MG CAPSTetracyclines CYCLIDOX 100MG CAPSTetracyclines DOXYCYCLINE BIOTECH

100MG TABSTetracyclines DOXYTET 100MG CAPSCardiac Failure





























Therapeutic group Product nameDirect Acting Vasodilators SANDOZ HYDRALAZINE 25MG

TABS























































page 51

Therapeutic group Product nameSingle ACE Inhibitors HYPACE 5MG TABS






















Cardiomyopathy


































Therapeutic group Product nameLoop Diuretics PURESIS 40MG TABS

























































page 52

Therapeutic group Product nameSingle ACE Inhibitors ZESTRIL 10MG TABS






















Calcium Antacids ENO TUMS ASSORTED FRUIT FLAVOU

































Therapeutic group Product nameCalcium Channel Blockers VASOMIL 80MG TABS


















Ethical Vitamin D ONE ALPHA 1MCG CAPS






Oral Haematinics AHA FERROUS SULPH 30MG TABS

Oral Haematinics ASTYFER LIQD

Oral Haematinics FERROUS FORTE CHEL IRON

Oral Haematinics FERROUS SULPHATE 30MG








Oral Haematinics PREGAMAL TABS

















page 53


40MG TABS










































COPD










Bronchial/Uterine Sympathomimetics FORATEC HFA 120DOSE 12MCG

Therapeutic group Product nameBronchial/Uterine Sympathomimetics SALBUCORT NAM ONLY

100MCG INH














Methylxanthines THEOPLUS 300MG TABSCoronary Artery Disease






































page 54

Therapeutic group Product nameCalcium Channel Blockers KEYSAL 5MG TABS






















































Therapeutic group Product nameSingle ACE Inhibitors ENAP 20MG TABS



















Crohn's Disease







Imidazoles ADCO-METRONIDAZOLE 200MG TABS

Imidazoles AMZOLE 400MG TABS





Imidazoles BIO-METRONIDAZOLE 400MG TABS

Imidazoles MEDAMET 200MG TABS






Imidazoles SUPRAZOLE 400MG TABS

Imidazoles TRICHAZOLE 200MG TABS







Quinolones CIFRAN 500MG TABS



Quinolones CIPROL 500MG TABS



Quinolones FLOPRO 500MG TABS


page 55

Therapeutic group Product nameQuinolones LOXIP 250MG TABS


Quinolones ORPIC 500MG TABS



Diabetes Insipidus





Diabetes Mellitus Type 1











Glucometer Test Strips ACCU-CHEK INSTANT STRIP

Insulin Syringes/Needles Various : full list available on website

Insulins BIOSULIN 30-70 CARTRIDGE




Insulins HUMULIN 30/70 10ML VIAL

Insulins HUMULIN 30/70 CART 3ML

Insulins HUMULIN 30/70 KWIKPEN 3ML

Insulins HUMULIN N 10ML VIAL

Insulins HUMULIN N CART 3ML

Insulins HUMULIN N KWIKPEN 3ML

Insulins HUMULIN R 10ML VIAL

Insulins HUMULIN R CART 3ML

Lancets ABBOTT THIN LANCETS 200


Lancets ACCU-CHEK SOFTCLIX LANCET

Lancets BIONIME LANCETS STERILE












Glucometer Test Strips ACCU-CHEK INSTANT STRIP

Insulin Syringes/Needles Various : full list available on website

Insulins BIOSULIN 30-70 CARTRIDGE




Insulins HUMULIN 30/70 10ML VIAL

Insulins HUMULIN 30/70 CART 3ML

Therapeutic group Product nameInsulins HUMULIN 30/70 KWIKPEN

3ML

Insulins HUMULIN N 10ML VIAL

Insulins HUMULIN N CART 3ML

Insulins HUMULIN N KWIKPEN 3ML

Insulins HUMULIN R 10ML VIAL

Insulins HUMULIN R CART 3ML



Lancets ACCU-CHEK SOFTCLIX LANCET

Metformin ACCORD METFORMIN 500MG TABS

Metformin ACCORD METFORMIN 850MG TABS

Metformin APEX-METFORMIN 500MG TABS

Metformin ARROW METFORMIN 500MG TABS

Metformin AUSTELL-METFORMIN 500MG TABS

Metformin AUSTELL-METFORMIN 850MG TABS

Metformin BIGSENS 1000MG TABS



Metformin DIAFORMIN 500MG TABS

Metformin DIAFORMIN FORTE 850MG TABS

Metformin DIAMIN 500MG TABS

Metformin DIAMIN 850MG TABS

Metformin DIAPHAGE 1000MG TABS



Metformin FORMINAL 500MG TABS

Metformin FORMINAL 850MG TABS

Metformin GLUCONORM 500MG TABS

Metformin GLUCONORM 850MG TABS

Metformin MENGEN 1000MG TABS



Metformin METCHEK 500MG TABS

Metformin METCHEK 850MG TABS

Metformin METFORAL 500MG TABS

Metformin METFORAL 850MG TABS

Metformin METFORMIN ALKEM 500MG TABS

Metformin METFORMIN ALKEM 850MG TABS

Metformin METFORMIN ASCENDIS 500

Metformin METFORMIN ASCENDIS 850 MG FCT

Metformin METFORMIN ASCENDIS 850MG FCT

Metformin METORED 1000MG TABS



Metformin METPHAGE 500MG TABS

Metformin METPHAGE 850MG TABS

Metformin MYLAN METFORMIN 1000MG TABS



Metformin ROMIDAB 1000MG TABS




page 56

Therapeutic group Product nameMetformin SANDOZ METFORMIN 500

FC TABS

Sulfonylureas AUSTELL-GLICLAZIDE 40MG TABS

Sulfonylureas AUSTELL-GLICLAZIDE 80MG TABS

Sulfonylureas DIAGLUCIDE 80MG TABS

Sulfonylureas DIAGLUMED 80MG TABS

Sulfonylureas GLUCOMED 80MG TABS

Sulfonylureas GLYGARD 80MG TABS

Sulfonylureas MYLAN GLICLAZIDE 80MG TABS

Sulfonylureas SANDOZ GLICLAZIDE 80MG TABS

Sulfonylureas SANDOZ GLICLAZIDE 80MG TABS

Dysrhythmias



Anti-arrhythmics BIO-AMIODARONE 200MG TABS










































Therapeutic group Product nameEpilepsy

Barbiturates ADCO-PHENOBARB VITAL

Barbiturates LETHYL 30MG TABS

Barbiturates SEDABARB 30MG TABS



















































Other Anti-epileptics TOPLEP 200MG TABS



Phenytoin Sodium EPANUTIN 125MG/5ML SUSP

Phenytoin Sodium PHENYTOIN SOD 100MG TABS

Glaucoma


page 57

Therapeutic group Product nameAlpha Agonists for Glaucoma ALPHAGAN PURITE 1.5MG/1ML

5ML

Alpha Agonists for Glaucoma BRIMOCT 2MG/1ML OPHTH DRP 5ML

Beta Blockers for Glaucoma GLAUCOSAN 0.5% 5ML

Beta Blockers for Glaucoma OCCUMOL 0.5% DROPS

Beta Blockers for Glaucoma TIMOPTOL 0.25% 5ML DROPS

Beta Blockers for Glaucoma TIMOPTOL-XE .25% 2.5ML


GLAUCOPRESS 2% OPHT DRP 5ML


GLAUOPT CO 5ML OPHTHAL DRP

Combination Alpha Ag/Beta Bloc COMBIGAN 2MG/5MG 5ML OPD


AZARGA DROPS 5ML


GLAUMIDE-CO 5ML DRP


OCUDOR CO 5ML DROPS

Combination Beta Blocker/Prostaglandin for Glaucom

CO-ATANA 2.5ML EYE DRP

Prostaglandins for Glaucoma ATANA 50MCG/ML OPHTH DRP 2.5ML

Prostaglandins for Glaucoma SPERSATAN 50MCG/ML 2.5ML

Haemophilia











Paracetamol ACTAMOL 120MG/5ML SYRP


Paracetamol ACTAMOL RED (UN-BOXED)


Paracetamol BARRS PARACETAMOL 120MG/5ML






Paracetamol FEVERPAIN ELIX


Paracetamol GO-PAIN P



Paracetamol NAPAMOL 120MG/5ML SYRP








Paracetamol PAINOGESIC SYRP


Paracetamol PARACETAMOL ELIX (ALC FREE)


Therapeutic group Product nameParacetamol PROLIEF 500MG TABS

Paracetamol PYNGESIC S 120MG/5ML SYRP


Paracetamol PYRALEN 120MG/5ML SYRP


Paracetamol WOODWARDS PARACETAMOL

Hypothyroidism

Agents for Hypothyroidism ELTROXIN 100MCG TABS

Agents for Hypothyroidism ELTROXIN 100MCG TABS NEW FORMU


Agents for Hypothyroidism ELTROXIN 25 MCG or 200MCG TABS NEW FORMU


Agents for Hypothyroidism ELTROXIN 50MCG TABS




Hyperlipidaemia






Fibrates BEZALIP RET 400MG TABS

Fibrates DYNA-BEZAFIBRATE SR 400MG TABS

Fibrates SANDOZ BEZAFIBRATE 400 CR TABS
















HMG-CoA Reductase Inhibitors NOVATIN 10MG TABS

HMG-CoA Reductase Inhibitors SIMVACOR 40MG TABS



Hypertension





page 58

Therapeutic group Product nameACE Inhibitor/Diuretic Combinations LISINOPRIL CO UNICORN

20/12.5M























































Therapeutic group Product nameLoop Diuretics DIURESIX 40MG TABS
























































page 59

Therapeutic group Product nameSingle ACE Inhibitors SINOPREN 5MG TABS











Multiple Sclerosis

Anxiolytic Benzodiazepines BETAPAM 5MG TABS

Anxiolytic Benzodiazepines DOVAL 5MG TABS

Anxiolytic Benzodiazepines PAX 10MG TABS

Bulk Forming Laxatives AGIOBULK GRAN

Bulk Forming Laxatives FIBRELLE CAPS




Centrally Acting Muscle Relaxants ASPEN BACLOFEN 10MG TABS

Centrally Acting Muscle Relaxants BIO-BACLOFEN 10MG TABS

Centrally Acting Muscle Relaxants LIORESAL 25MG TABS

Centrally Acting Muscle Relaxants TEVA BACLOFEN 10MG TABS



Lactulose Laxatives ACULAX 3.3G/5ML SYRUP

Lactulose Laxatives ANLAC SYRP

Lactulose Laxatives DUPHALAC DRY SACHET

Lactulose Laxatives DUPHALAC SYRP

Oral Anti-cholinergics LENDITRO 5MG TABS

Oral Anti-cholinergics MYLAN OXYBUTYNIN HCL 5MG TABS

Oral Anti-cholinergics OXYREST 5MG TABS

























Therapeutic group Product nameQuinolones CIPROGEN 250MG TABS


Quinolones FLOXIN 400MG TABS


Quinolones NORFLOXACIN ACTOR 400MG TABS

Quinolones UTIFLOXA 400MG TABS

Stimulant Laxatives AGIOLAX GRAN

Stimulant Laxatives FRESHEN BISACODYL LAXA-TIVE

Stimulant Laxatives LAXADOR BISACODYL 5MG TABS

Stimulant Laxatives PURITONE BISACODYL LAXA-TIVE 5M

Stimulant Laxatives SOFLAX TABS






Parkinson Disease

Anti-Parkinson Anti-cholinergics AKINETON 2MG TABS

Anti-Parkinson Anti-cholinergics BENZHEXOL 2MG TABS

Anti-Parkinson Anti-cholinergics DISIPAL 50MG TABS










Anti-Parkinson Dopaminergics REQUIP 0.25MG TABS





















page 60

Therapeutic group Product nameCOX Inhibitors BREN 400MG TABS













































Schizophrenia








Therapeutic group Product nameAtypical Anti-Psychotics DOPAQUEL 200MG TABS




























Butyrophenones SERENACE 0.5MG CAPS

Butyrophenones SERENACE 10MG TABS







Noradrenalin/SSRI ACTI-LIFT 20MG TABS






Noradrenalin/SSRI BIO CITALOPRAM 20MG TABS

Noradrenalin/SSRI CILATE 20MG TABS

Noradrenalin/SSRI DEPROZAN CAPS

Noradrenalin/SSRI FLUOXETINE ACTOR 20MG CAPS

Noradrenalin/SSRI PROLAX 20MG CAPS

Noradrenalin/SSRI RANFLOCS 20MG CAPS

Noradrenalin/SSRI TALOMIL 20MG TABS

Noradrenalin/SSRI ZYDUS FLUOXETINE 20MG CAPS






page 61

Therapeutic group Product nameOther Anti-epileptics DYNA-LAMOTRIGINE 100MG

TABS






























Phenothiazines MODECATE 25MG INJ 10ML

Phenothiazines MODECATE 25MG INJ 1ML

Phenothiazines MODECATE+SYRIN 25MG 1ML INJ



SSRI DEPNIL 300MG TABS







Systemic Lupus Erythomatosus












Therapeutic group Product nameCOX Inhibitors A-LENNON DICLOFENAC

50MG TABS


















































Pharmacoepoeial Products ARM ZINC & CASTOR OIL CRE

Pharmacoepoeial Products ARM ZINC OINTMENT

Pharmacoepoeial Products UNG ZINC OXIDE





page 62

Therapeutic group Product namePharmacoepoeial Products ZINC & CASTOR OIL OINT

Pharmacoepoeial Products ZINC AND CASTOR OIL BP


Pharmacoepoeial Products ZINC OINTMENT BP

Pharmacoepoeial Products ZINC SULPHATE BP UNG

Topical Cortico-steroids LENOVATE 0.1% OINT

Topical Cortico-steroids PERSIVATE OINT

Topical Cortico-steroids REPIVATE CREAM

Topical Cortico-steroids TOPIVATE 1MG/GM CREAM

Topical Cortico-steroids VARI-BETAMETHASONE CREAM

Ulcerative ColitisEthical Folic Acid BE-TABS FOLIC ACID 5MG

TABSEthical Folic Acid FOLIC ACID 5MG TABSEthical Folic Acid GULF FOLIC ACID 5MG

TABSGlucocorticosteroids BE-TABS PREDNISONE 5MG

TABSGlucocorticosteroids PANAFCORT 5MG TABSGlucocorticosteroids TROLIC 5MG TABSRheumatoid Arthritis Agents SALAZOPYRIN-EN 500MG

TABSSalazopyrin Plain SALAZOPYRIN 500MG

TABS

CareCross formularies for chronic medication

page 63

CareCross formularies for chronic medicationDisclaimer:


Therapeutic group Product name NotesAcne

DoxycyclineA-LENNON DOXY-CYCLINE HCL 100MG

Excluded for Selfmed SelfNet & SelfNet Essential

Doxycycline CYCLIDOX 100MG Excluded for Selfmed SelfNet & SelfNet Essential

Doxycycline DOXYCYL 100MG Excluded for Selfmed SelfNet & SelfNet Essential

Erythromycin PURMYCIN 250MG


Erythromycin SPECTRASONE 250MG


Erythromycin XERAMEL 250MG Excluded for Selfmed SelfNet & SelfNet Essential

Addison's Disease

Fludrocortisone FLORINEF ACETATE 0,1MG

All Schemes

Hydrocortisone COVOCORT 10MG All Schemes

Prednisolone CAPSOID 5MG All Schemes

Prednisolone LENISOLONE 5MG All Schemes

Prednisone BE-TABS PREDNI-SONE 5MG

All Schemes

Prednisone PANAFCORT 5MG All Schemes

Prednisone TROLIC 5MG All Schemes

Allergic Rhinitis

Beclometasone BECLATE AQUA-NASE 150DOSE 50MCG


Beclometasone CLENIL AQUEOUS 200DOSE 50MCG


Cetirizine ACUZYRT 10MG Excluded for Selfmed SelfNet & SelfNet Essential

Cetirizine ACUZYRT 5MG/5ML


Cetirizine ASPEN CETIRIZINE 5MG/5ML


Cetirizine TEXA 5MG/5ML Excluded for Selfmed SelfNet & SelfNet Essential

Cetirizine ZETOP 10MG Excluded for Selfmed SelfNet & SelfNet Essential

Cetirizine ZYNCET 10MG Excluded for Selfmed SelfNet & SelfNet Essential

Fluticasone FLOMIST 120DOSE 50MCG


Fluticasone FLONASE 120 DOSE 50MCG


Asthma

MASK BABY CIPLA

SPACER ZEROSTAT VT

Beclometasone BECEZE 100 CFC FREE 200DOSE 100MCG

Beclometasone BECEZE 50 200DOSE 50MCG

Beclometasone BECLATE 200DOSE 100MCG



Budesonide BUDEFLAM HFA 300DOSE 100MCG


Therapeutic group Product name NotesBudesonide PULMICORT

TURBUHALER 200DOSE 100MCG

Budesonide PULMICORT TURBUHALER 200DOSE 200MCG

Montelukast LUMONT 4MG only for children under 5 years

Montelukast LUMONT 5MG only for children under 5 years

Montelukast MINAIR 4MG only for children under 5 years

Montelukast MINAIR 5MG only for children under 5 years

Montelukast MONTELUKAST CHEW BIOTECH 4MG

only for children under 5 years

Montelukast SINTAIR 4MG only for children under 5 years

Montelukast SINTAIR 5MG only for children under 5 years


Only for severe persistent asthma (motivation required)

Prednisone PANAFCORT 5MG Only for severe persistent asthma (motivation required)

Prednisone TROLIC 5MG Only for severe persistent asthma (motivation required)

Salbutamol ASTHAVENT 2MG/5ML


Salbutamol ASTHAVENT ECO-HALER 200DOSE 100MCG

Limited to 3 inhalers per year if no inhaled steroid

Salbutamol ASTHAVENT ECO-HALER CFC-FREE 300DOSE 100MCG


Salbutamol VENTEZE 2MG/5ML


Salbutamol VENTEZE CFC FREE 200 DOSE 100MCG


Salbutamol/ Ipratropium

DUOLIN HFA 200DOSE

Salmeterol/ Fluti-casone

SEREFLO 25/125 HFA 120 DOSE

Only for moderate & severe persistent asthma (motivation required)







Theophylline SANDOZ THEOPH-YLLINE ANHY-DROUS 200MG



Amitriptyline SANDOZ AMITRIP-TYLINE 25MG

Will only be approved if pre-scribed together with a mood stabiliser

Amitriptyline TREPILINE 10MG Will only be approved if pre-scribed together with a mood stabiliser

Amitriptyline TREPILINE 25MG Will only be approved if pre-scribed together with a mood stabiliser

Carbamazepine DEGRANOL 200MG

Citalopram ARROW CITALO-PRAM 20MG




Citalopram BIO CITALOPRAM 20MG


Clozapine CLOMENT 100MG WCC required 6 monthly

Clozapine CLOMENT 25MG WCC required 6 monthly


page 64

Therapeutic group Product name NotesDosulepin THADEN 25MG Will only be approved if pre-

scribed together with a mood stabiliser

Dosulepin THADEN 75MG Will only be approved if pre-scribed together with a mood stabiliser

Escitalopram ACCORD ESCITA-LOPRAM 10MG


Escitalopram ACCORD ESCITA-LOPRAM 20MG


Escitalopram ZITOLEX 10MG Will only be approved if pre-scribed together with a mood stabiliser

Escitalopram ZITOLEX 20MG Will only be approved if pre-scribed together with a mood stabiliser

Escitalopram ZYTOMIL 20MG Will only be approved if pre-scribed together with a mood stabiliser

Fluoxetine DEPROZAN 20MG Will only be approved if pre-scribed together with a mood stabiliser

Fluoxetine LORIEN 20MG Will only be approved if pre-scribed together with a mood stabiliser

Haloperidol SERENACE 0,5MG

Imipramine ETHIPRAMINE 10MG




Lamotrigine DYNA-LAMOTRIG-INE 100MG




Lamotrigine EPITEC 25MG

Lamotrigine LAMIDUS 50MG

Lithium CAMCOLIT 250MG

Treatment to be initiated by a psychiatrist

Lithium CAMCOLIT 400MG


Olanzapine MYLAN OLAN-ZAPINE 2,5MG


Olanzapine OLAWIN 10MG Treatment to be initiated by a psychiatrist

Olanzapine OLAWIN 2,5MG Treatment to be initiated by a psychiatrist

Olanzapine OLAWIN ORADIS-PERSIBLE 10MG




Quetiapine DOPAQUEL 100MG




Quetiapine DOPAQUEL 25MG Treatment to be initiated by a psychiatrist



Quetiapine MYLAN QUETIAP-INE 200MG




Quetiapine QUETOSER 200MG


Quetiapine SPEC QUETIAPINE 25MG


Quetiapine SPEC QUETIAPINE 300MG


Therapeutic group Product name NotesRisperidone RISPACOR 0,5MG Treatment to be initiated by a

psychiatrist

Risperidone RISPACOR 1MG Treatment to be initiated by a psychiatrist


Risperidone RISPONZ 4MG Treatment to be initiated by a psychiatrist

Risperidone ZOXADON 0,5MG Treatment to be initiated by a psychiatrist

Risperidone ZOXADON 1MG Treatment to be initiated by a psychiatrist



Sertraline DYNA SERTRALINE 100MG




Sertraline SERDEP 100MG Will only be approved if pre-scribed together with a mood stabiliser

Valproic acid CONVULEX 150MG



Valproic acid EPROLEP CR 300 300MG


Valproic acid NAVALPRO CR 200MG


Valproic acid VALEPTIC CR 300MG

Valproic acid VALEPTIC CR 500MG

Bronchiectasis

Amoxicillin AUSTELL-AMOXI-CILLIN 500MG

Amoxicillin BETAMOX 500MG

Amoxicillin MOXYPEN 250MG


Doxycycline A-LENNON DOXY-CYCLINE HCL 100MG

Doxycycline CYCLIDOX 100MG

Doxycycline DOXYCYL 100MG

Oxytetracycline NUCOTET 250MG

Cardiac Arrythmia (Non Cdl)

Acetylsalicylic acid BAYER ASPIRIN

Acetylsalicylic acid DISPRIN

Acetylsalicylic acid MYOPRIN 100MG

Amiodarone ARYCOR 100MG


Amiodarone HEXARONE 100MG


Atenolol B-BLOCK 100MG


Atenolol BIO-ATENOLOL 50MG

Atenolol HEXA-BLOK 50MG

Atenolol TEN-BLOKA 100MG


page 65

Therapeutic group Product name NotesAtenolol TENOPRESS 25MG

Bisoprolol BILOCOR 10MG


Bisoprolol ZIAPRO 10MG


Digoxin LANOXIN 0,25MG

Digoxin PURGOXIN 0,25MG

Diltiazem ADCO-ZILDEM 90MG

Diltiazem ADCO-ZILDEM SR 180MG


Propranolol INDOBLOK 10MG


Quinidine QUINIDINE SULPH 200MG

Verapamil VASOMIL 40MG


Verapamil VERAHEXAL 240 SR 240MG

Warfarin CIPLA-WARFARIN 1MG


Cardiac Dysrhythmias













Atenolol TENOPRESS 25MG


















Therapeutic group Product name NotesCardiac Failure And Cardiomyopathy



Bisoprolol ADCO-BISOCOR 10MG






Captopril ADCO-CAPTOM-AX 25MG


Captopril MYLAN CAPTO-PRIL 25MG


Carvedilol CARVETREND 12,5MG

Carvedilol CARVETREND 25MG


Carvedilol VEDIBLOK 25MG

Carvedilol VEDIBLOK 6,25MG



Enalapril ENAP 10MG

Enalapril ENAP 20MG

Enalapril ENAP 5MG

Enalapril ENVAS 10MG

Enalapril PHARMAPRESS 20MG


Furosemide MYLAN FUROSE-MIDE 40MG

Furosemide PURESIS 40MG

Hydralazine HYPERPHEN 10MG


Hydralazine SANDOZ HYDRAL-AZINE 25MG

Hydrochlorothiazide HEXAZIDE 25MG

Irbesartan ANTOSART 150MG Motivation required - please specify previous treatments and reason for treatment change

Irbesartan ANTOSART 300MG

Motivation required - please specify previous treatments and reason for treatment change

Irbesartan DYNARB 150MG Motivation required - please specify previous treatments and reason for treatment change


Isosorbide dinitrate SANDOZ ISOSOR-BIDE DINITRATE 10MG

Losartan HYTENZA 50MG Motivation required - please specify previous treatments and reason for treatment change

Losartan ZARTAN 100MG Motivation required - please specify previous treatments and reason for treatment change


Perindopril CIPLASYL 4 4MG



page 66

Therapeutic group Product name NotesPerindopril PEARINDA 4MG

Perindopril PEARINDA 8MG

Perindopril PREXUM 5MG

Perindopril and diuretics

PREXUM PLUS 5MG/1.25MG

Pneumococcus, purified polysac-charides antigen conjugated

IMOVAX PNEUMO 23

Once only

Potassium chloride PLENISH K 600MG For documented hypokalaemia

Potassium chloride SANDOZ K-600 600MG

For documented hypokalaemia

Spironolactone SANDOZ SPI-RONOLACTONE 25MG





Steroid inhalers are reserved for patients who are experiencing frequent exacerbations. Please provide a clinical history





Budesonide PULMICORT TUR-BUHALER 100MCG

Budesonide PULMICORT TURBUHALER 200MCG

Device SPACER ZEROSTAT VT

Formoterol FORATEC HFA 120DOSE 12MCG/1DOSE

Ipratropium bromide

IPVENT HFA 200 DOSE 40MCG/1DOSE


Prednisone PANAFCORT 5MG

Prednisone TROLIC 5MG





DUOLIN HFA 200DOSE



Chronic Renal Failure

VENOFER AMPOULE 5ML 20MG/1ML

Hb and iron studies required

Alfacalcidol ONE ALPHA 0,25MCG

Alfacalcidol ONE ALPHA 1MCG


Therapeutic group Product name NotesAtenolol HEXA-BLOK 50MG









Calcium carbonate ENO TUMS AS-SORTED FRUIT FLAVOURS

Calcium carbonate ENO TUMS OR-ANGE FLAVOUR

Calcium carbonate ENO TUMS PEPPERMINT FLAVOUR





Enalapril ENAP 10MG

Enalapril ENAP 20MG

Enalapril ENAP 5MG

Enalapril ENVAS 10MG



Erythropoietin EPREX PREFILL 2000U/0,5ML


Erythropoietin EPREX PREFILL 4000U/0,4ML


Erythropoietin RECORMON 6000 IU/0.3ML PRE-FILLED SYRIN 6000IU


Erythropoietin RECORMON 2000 PRE-FILLED SYRINGE 2000UNIT/0,3ML


Erythropoietin RECORMON 4000 IU/0.3ML PRE-FILLED SYRINGE 4000U/0,3ML


Ferrous fumarate PREGAMAL Hb and iron studies required

Folic acid BE-TABS FOLIC ACID 5MG










Losartan HYTENZA 50MG Motivation required for ARB's - please specify previous treat-ments and reason for treatment change


page 67

Therapeutic group Product name NotesLosartan ZARTAN 100MG Motivation required for ARB's

- please specify previous treat-ments and reason for treatment change

Losartan ZARTAN 50MG Motivation required for ARB's - please specify previous treat-ments and reason for treatment change






Potassium chloride PLENISH K 600MG





Various combina-tions

AUTRIN Hb and iron studies required


FOLIGLOBIN Hb and iron studies required


GULF FERROUS SULPHATE COM-POUND








Amlodipine GULF AMLODIPINE 10MG

Amlodipine GULF AMLODIPINE 5MG

Amlodipine NORCARD 10MG

Amlodipine PHARMA DYNAM-ICS AMLODIPINE BESYLATE 10MG

















Nifedipine CIPALAT RETARD 20MG

Nifedipine CIPALAT XR 30MG


Therapeutic group Product name NotesPerindopril PREXUM 5MG









Crohn'S Disease

Azathioprine AZAPRESS 50MG

Azathioprine AZATHIOPRINE PCH 50MG

Azathioprine ZAPRINE 50MG

Ciprofloxacin CIPROGEN 500MG

Ciprofloxacin CIPROL 250MG


Ciprofloxacin CPL ALLIANCE CIPROFLOXACIN 250MG


Ciprofloxacin DYNAFLOC 250MG


Ciprofloxacin ORPIC 250MG



Mesalazine ASACOL 400MG

Mesalazine PENTASA 500MG

Methotrexate ABITREXATE 2,5MG

Metronidazole BIO-METRONIDA-ZOLE 200MG


Metronidazole METAZOL 200MG


Metronidazole METRAZOLE 400MG

Metronidazole TRICHAZOLE 200MG


Olsalazine DIPENTUM 250MG




Sulfasalazine SALAZOPYRIN 500MG

Diabetes Insipidus

Desmopressin DDAVP 0,1MG All Schemes

Desmopressin DDAVP 0,2MG All Schemes

Desmopressin DDAVP 2.5ML All Schemes

Desmopressin DDAVP NASAL SPRAY 5ML 0,1MG/1ML

All Schemes


ACCU CHEK AC-TIVE STRIPS

ACCU-CHEK SOFT-CLIX LANCETS


page 68

Therapeutic group Product name NotesNEEDLE NOVO-FINE

Insulin (human) ACTRAPHANE HM (GE) FLEXPEN 3ML 100U/1ML

Insulin (human) BIOSULIN 30-70 CARTRIDGE 3ML 100U/1ML

Insulin (human) BIOSULIN L CARTRIDGE 3ML 100U/1ML

Insulin (human) BIOSULIN N CARTRIDGE 3ML 100U/1ML

Insulin (human) BIOSULIN R CARTRIDGE 3ML 100U/1ML

Insulin (human) HUMULIN 30/70 CARTRIDGE 3ML 100U/1ML

Insulin (human) HUMULIN N CARTRIDGE 3ML 100U/1ML

Insulin (human) HUMULIN R CARTRIDGE 3ML 100U/1ML

Insulin (human) INSUMAN COMB 30/70 CARTRIDGE 3ML 100U/1ML

Insulin aspart NOVOMIX 30 FLEXPEN 3ML 100U/1ML

Insulin aspart NOVOMIX 30 PENFILL 3ML 100U/1ML

Insulin aspart NOVORAPID PENFILL 3ML 100U/1ML

Insulin aspart NOVORAPID FLEXPEN PENSET 3ML 100U/1ML

Insulin glulisine APIDRA SOLOSTAR DISPOSABLE PENS 3ML 100U/1ML

Insulin lispro HUMALOG CARTRIDGE 3ML 100U/1ML

Insulin lispro HUMALOG MIX 25 CARTRIDGE 3ML 100U/1ML


ACCU CHEK AC-TIVE STRIPS

ACCU-CHEK SOFT-CLIX LANCETS

NEEDLE NOVO-FINE

Glibenclamide BIO-GLIBEN-CLAMIDE 5MG

Glibenclamide GLYCOMIN 5MG

Gliclazide DIAGLUCIDE MR 60MG 60MG

Gliclazide DYNA GLICLAZIDE SR 30MG

Gliclazide GLYCRON 80MG




Therapeutic group Product name NotesInsulin (human) BIOSULIN N

CARTRIDGE 3ML 100U/1ML













Metformin ACCORD METFOR-MIN 500MG

Fasting glucose results may be requested if prescribed as a single agent



Metformin BIGSENS 1000MG Fasting glucose results may be requested if prescribed as a single agent



Metformin DIAPHAGE 1000MG


Metformin DIAPHAGE 850MG Fasting glucose results may be requested if prescribed as a single agent

Metformin METCHEK 500MG Fasting glucose results may be requested if prescribed as a single agent


Metformin MYLAN METFOR-MIN 500MG




Pioglitazone ACCORD PIOGLI-TAZONE 15MG

Motivation required


Motivation required

Epilepsy


page 69

Therapeutic group Product name NotesCarbamazepine DEGRANOL

200MG

Clonazepam RIVOTRIL 0,5MG Severe and uncontrolled epilepsy only, not responding to first-line agents.

Clonazepam RIVOTRIL 2MG Severe and uncontrolled epilepsy only, not responding to first-line agents. Motivation Required

Ethosuximide ZARONTIN 250MG/5ML

Severe and uncontrolled epilepsy only, not responding to first-line agents.







Oxcarbazepine MYLAN OXCAR-BAZEPINE 300MG

Oxcarbazepine MYLAN OXCAR-BAZEPINE 600MG

Phenobarbital LETHYL 30MG

Phenytoin EPANUTIN 100MG

Phenytoin PHENYTOIN SOD 100MG

Topiramate EPITOZ 100MG

Topiramate SANDOZ TOPIRA-MATE 200MG

Severe and uncontrolled epilepsy only, not responding to first-line agents. Motivation Required

Topiramate SANDOZ TOPIRA-MATE 50MG

Severe and uncontrolled epilepsy only, not responding to first-line agents. Motivation Required

Topiramate TOPIROL 25MG Severe and uncontrolled epilepsy only, not responding to first-line agents. Motivation Required


Valproic acid CONVULEX 250MG/5ML



Valproic acid EPILIM SUGAR FREE 200MG/5ML






Glaucoma

Acetazolamide AZOMID 250MG

Betaxolol LOXOPTIC 5ML 0,5%

Bimatoprost LUMIGAN 3ML 0,03%

Brimonidine ALPHAGAN PURITE 5ML 1,5MG/1ML

Brinzolamide AZOPTIC 5ML EYE SUSPENSION 1%

Dorzolamide GLAUCOPRESS 5ML 2%

Latanoprost ATANA 2.5ML 50MCG/1ML

Therapeutic group Product name NotesLevobunolol BETAGAN 7.5ML

0,5%

Pilocarpine ISOPTO CARPINE 1% 15ML 1%



Timolol GLAUCOSAN 5ML 0,5%

Timolol TIMOPTOL 5ML 0,25%

Timolol TIMOPTOL-XE 2.5ML 0,5%

Timolol, combina-tions

AZARGA 5ML


CO-ATANA 2.5ML


COMBIGAN 2MG/5MG 5ML


GLAUMIDE-CO 5ML


GLAUOPT CO 5ML

Travoprost TRAVATAN 2,5ML 0,004%

Gout

Allopurinol PURICOS 100MG Excluded for Selfmed SelfNet & SelfNet Essential

Allopurinol PURICOS 300MG Excluded for Selfmed SelfNet & SelfNet Essential

Allopurinol SANDOZ ALLOPU-RINOL 100MG


Haemophilia

Coagulation fac-tor IX,

HAEMOSOLVEX IX 500U

All Schemes

Coagulation factor VIII

HAEMOSOLVATE VIII 10ML 500U

All Schemes


HAEMOSOLVATE VIII 2X10ML 1000U

All Schemes


HAEMOSOLVATE VIII 300U

All Schemes

Desmopressin DDAVP 1ML All Schemes

Tranexamic acid TRANEXAMIC ACID MEDWICH 500MG

All Schemes

Tranexamic acid TRANIC 500MG All Schemes

Hyperlipidaemia



Atorvastatin ADCO ATORVAS-TATIN 10MG



Atorvastatin ASPAVOR 10MG



Atorvastatin ASTOR 40MG

Atorvastatin ATORVASTATIN UNICORN 10MG



Atorvastatin DYNATOR 10MG

Atorvastatin DYNATOR 40MG for hypertriglyceridemia

Bezafibrate DYNA-BEZAFI-BRATE SR 400MG

Simvastatin ARROW SIMVAS-TATIN 10MG


page 70

Therapeutic group Product name NotesSimvastatin CHOLESTE 20MG

Simvastatin CHOLESTE 40MG

Simvastatin SIMVACOR 10MG



Simvastatin ZYSIM 10MG


Hypertension


Amlodipine AMTAS 10MG


Amlodipine CIPLAVASC 5MG








Atenolol and other diuretics

TENCHLOR 100MG/25MG


TENCHLOR HS 50MG/12.5MG



Bisoprolol BISOPROLOL UNI-CORN 10MG

Bisoprolol BISOPROLOL UNICORN 5MG



Bisoprolol and thiazides

BILOCOR CO 10MG/6.25MG


BILOCOR CO 2.5MG/6.25MG


BILOCOR CO 5MG/6.25MG


BISOZYD CO 10MG/6.25MG 10MG/6.25MG


BISOZYD CO 2.5MG/6.25MG 2.5MG/6.25MG


BISOZYD CO 5MG/6.25MG 5MG/6.25MG





Doxazosin CARDUGEN (WAS MERCK-DOXAZO-SIN) 1MG


Doxazosin CARZIN XL 4MG

Enalapril ENALAPRIL UNI-CORN 10MG


Enalapril ENAP 10MG

Therapeutic group Product name NotesEnalapril ENAP 20MG

Enalapril ENAP 5MG



Enalapril and diuretics

ENAP CO 20MG/12.5MG 20MG;12,5MG


PHARMAPRESS CO 20MG/12.5MG





Hydralazine SANDOZ HYDRAL-AZINE 25MG


Hydrochlorothiazide and potassium

URIREX-K 50MG/300MG 50MG;300MG

Hydrochlorothiazide and potassium-sparing agents

ADCO-RETIC 50MG/5MG 50MG;5MG


AMILORETIC 50MG/5MG 50MG;5MG

Indapamide CIPLA-INDAP-AMIDE 2,5MG

Indapamide DAPTRIL 2,5MG

Indapamide MYLAN INDAP-AMIDE 2,5MG






Lisinopril AUSTELL-LISINO-PRIL 10MG


Lisinopril SINOPREN 10MG



Lisinopril and diuretics

ZESTORETIC 10MG/12.5MG 10MG;12,5MG






Losartan and diuretics

HYTENZA CO 50MG/12.5MG



LOSAAR PLUS 100MG/25MG



page 71

Therapeutic group Product name NotesLosartan and diuretics

LOSAAR PLUS 50MG/12.5MG



LOSARTAN CO UNICORN 50MG/12.5MG



ZARTAN CO 100MG/25MG



ZARTAN CO 50MG/12.5MG


Methyldopa (levo-rotatory)

HYPOTONE 250MG

For use in pregnancy only


MYLAN METHYL-DOPA 250MG

For use in pregnancy only









Perindopril and amlodipine

COVERAM 10/10


COVERAM 10/5


COVERAM 5/10


COVERAM 5/5


BIOPREXUM PLUS 10MG/2.5MG


PEARINDA PLUS 4MG/1.25MG


PERINDOPRIL CO UNICORN 4MG/1.25MG



Potassium chloride PLENISH K 600MG


Prazosin PRATSIOL 1MG





Hypothyroidism

Levothyroxine sodium

EUTHYROX 100MCG


EUTHYROX 25MCG


EUTHYROX 50MCG

Major Depression



Amitriptyline TREPILINE 10MG Excluded for Selfmed SelfNet & SelfNet Essential






Therapeutic group Product name NotesCitalopram BIO CITALOPRAM

20MGExcluded for Selfmed SelfNet & SelfNet Essential

Dosulepin THADEN 25MG Excluded for Selfmed SelfNet & SelfNet Essential

Dosulepin THADEN 75MG Excluded for Selfmed SelfNet & SelfNet Essential

Fluoxetine DEPROZAN 20MG Excluded for Selfmed SelfNet & SelfNet Essential

Fluoxetine RANFLOCS 20MG Excluded for Selfmed SelfNet & SelfNet Essential









Sertraline SERDEP 100MG Excluded for Selfmed SelfNet & SelfNet Essential

Menopause

Conjugated estro-gens

PREMARIN


PREMARIN 0,3MG


PREMARIN 0,625MG


PREMARIN 1,25MG

Cyproterone/ estrogen

CLIMEN

Estradiol CLIMARA 100

Estradiol CLIMARA 50

Estradiol ESTRADOT 100MCG


Estradiol ESTRADOT 37,5MCG



Estradiol ESTRO-PAUSE 1MG

Estradiol ESTRO-PAUSE 2MG

Estriol SYNAPAUSE-E3 2MG

Medroxyproges-terone

HEXAL-MPA 5MG

Norethisterone/ estrogen

ACTIVELLE


ESTRO-PAUSE N


TRISEQUENS

Norgestrel/ estrogen

POSTOVAL

Migraine (Prophylaxis Only)










Multiple Sclerosis



page 72

Therapeutic group Product name NotesAmitriptyline TREPILINE 10MG

Amitriptyline TREPILINE 25MG




Baclofen ASPEN BACLOFEN 10MG

Baclofen TEVA BACLOFEN 10MG



Oxybutynin LENDITRO 5MG Second Line - After adequate trial with Tricyclic Antidepressants

Oxybutynin MYLAN OXYBU-TYNIN 5MG

Second Line - After adequate trial with Tricyclic Antidepressants

Osteoarthritis

Diclofenac A-LENNON DI-CLOFENAC 25MG




Diclofenac MYLAN DICLOF-ENAC 25MG




Ibuprofen BETAPROFEN FC 400MG


Ibuprofen IBUCINE (WAS IBUMAX) 200MG




Ibuprofen INZA 200MG Excluded for Selfmed SelfNet & SelfNet Essential

Ibuprofen INZA 400MG Excluded for Selfmed SelfNet & SelfNet Essential

Indometacin SANDOZ INDO-METHACIN 25MG


Meloxicam FLEXOCAM 7,5MG Excluded for Selfmed SelfNet & SelfNet Essential

Naproxen MYLAN NAPROX-EN 250MG


Naproxen NAPROSCRIPT 250MG


Paracetamol ADCO-NAPAMOL 500MG


Paracetamol ADCO-PROLIEF 500MG


Paracetamol GENCETAMOL Excluded for Selfmed SelfNet & SelfNet Essential

Piroxicam PYROCAPS 20MG Excluded for Selfmed SelfNet & SelfNet Essential

Piroxicam ROXIFEN 20MG Excluded for Selfmed SelfNet & SelfNet Essential

Piroxicam XYCAM 20MG Excluded for Selfmed SelfNet & SelfNet Essential

Parkinson'S Disease

Amantadine SYMADIN (WAS FLU-STOP) 100MG

Biperiden AKINETON 2MG

Levodopa and decarboxylase inhibitor

TEVA CARBI-LEVO 25/100



Pramipexole PRAMEX 0,125MG

Pramipexole PRAMEX 0,25MG

Pramipexole PRAMEX 1MG

Ropinirole REQUIP 0,25MG Motivation Required

Ropinirole REQUIP 0,5MG Motivation Required

Therapeutic group Product name NotesRopinirole REQUIP 1MG Motivation Required

Ropinirole REQUIP 2MG Motivation Required

Ropinirole REQUIP 5MG Motivation Required


Azathioprine AZAPRESS 50MG All Schemes


All Schemes

Azathioprine ZAPRINE 50MG All Schemes

Chloroquine NIVAQUINE 200MG

All Schemes

Cyclophosphamide ENDOXAN 50MG All Schemes


All Schemes


All Schemes


All Schemes


All Schemes


All Schemes


All Schemes


All Schemes

Ibuprofen INZA 200MG All Schemes

Ibuprofen INZA 400MG All Schemes


All Schemes

Meloxicam FLEXOCAM 7,5MG All Schemes


All Schemes


All Schemes


All Schemes

Paracetamol ADCO-NAPAMOL 500MG

All Schemes

Paracetamol ADCO-PROLIEF 500MG

All Schemes

Paracetamol GENCETAMOL All Schemes

Piroxicam PYROCAPS 20MG All Schemes

Piroxicam ROXIFEN 20MG All Schemes

Piroxicam XYCAM 20MG All Schemes


All Schemes

Prednisone PANAFCORT 5MG All Schemes

Prednisone TROLIC 5MG All Schemes


All Schemes

Sulfasalazine SALAZOPYRIN EN 500MG

All Schemes

Schizophrenia





Chlorpromazine LARGACTIL 100MG





Clozapine CLOMENT 100MG

Clozapine CLOMENT 25MG

Dosulepin THADEN 25MG


page 73

Therapeutic group Product name NotesDosulepin THADEN 75MG

Fluoxetine DEPROZAN 20MG

Flupentixol FLUANXOL DEPOT 1ML 20MG

Fluphenazine MODECATE 1ML 25MG/1ML

Haloperidol SERENACE 0,5MG











Olanzapine MYLAN OLAN-ZAPINE 2,5MG



Olanzapine OLAWIN 2,5MG Treatment to be initiated by a psychiatrist






Orphenadrine (chloride)

DISIPAL 50MG Treatment to be initiated by a psychiatrist





Quetiapine QUETOSER 200MG


Risperidone RISNIA 0,5MG Treatment to be initiated by a psychiatrist

Risperidone RISNIA 3MG Treatment to be initiated by a psychiatrist

Risperidone RISPACOR 0,5MG Treatment to be initiated by a psychiatrist



Risperidone RISPEVON 4MG Treatment to be initiated by a psychiatrist

Risperidone SCHIZOROL 2MG Treatment to be initiated by a psychiatrist

Risperidone ZOXADON 0,5MG

Risperidone ZOXADON 1MG

Risperidone ZOXADON 2MG



Sertraline SERDEP 100MG







Therapeutic group Product name NotesZuclopenthixol CLOPIXOL DEPOT

200MG








Cyclophosphamide ENDOXAN 50MG







Ibuprofen IBUCINE (WAS IBUMAX) 100MG/5ML



Ibuprofen INZA 200MG

Ibuprofen INZA 400MG


Meloxicam FLEXOCAM 7,5MG




Piroxicam PYROCAPS 20MG

Piroxicam ROXIFEN 20MG

Piroxicam XYCAM 20MG




Ulcerative Colitis




Budesonide ENTOCORD

Ciprofloxacin CIPLOXX 250 250MG

Mesalazine ASACOL 400MG

Mesalazine PENTASA 500MG


Olsalazine DIPENTUM 250MG





Moto Health Care Custom and Essential formularies for chronic medication

page 74

Moto Health Care Custom and Essential formularies for chronic medication Disclaimer:


Therapeutic group Product name NotesAsthma

MASK BABY CIPLA

SPACER ZEROSTAT VT

Beclometasone BECEZE 100 CFC FREE 200DOSE 100MCG

Beclometasone BECEZE 50 200DOSE 50MCG









Only for severe persistent asthma (motivation required)

Prednisone PANAFCORT 5MG Only for severe persistent asthma (motivation required)

Prednisone TROLIC 5MG Only for severe persistent asthma (motivation required)

Salbutamol ASTHAVENT 2MG/5ML





Salbutamol VENTEZE 2MG/5ML




DUOLIN HFA 200DOSE

Salmeterol/ fluti-casone












Therapeutic group Product name NotesACCU-CHEK AC-TIVE STRIPS

SOFTCLIX LAN-CETS




Insulin (human) BIOSULIN N CARTRIDGE 3ML 100U/1ML






Insulin (human) PROTAPHANE FLEXPEN 3ML 100U/1ML









ACCU-CHEK AC-TIVE STRIPS

SOFTCLIX LAN-CETS

Glibenclamide BIO-GLIBEN-CLAMIDE 5MG

Glibenclamide GLYCOMIN 5MG

Gliclazide DYNA GLICLAZIDE SR 30MG

Gliclazide GLYCRON 80MG





page 75

Therapeutic group Product name NotesInsulin (human) BIOSULIN N

CARTRIDGE 3ML 100U/1ML






Insulin (human) PROTAPHANE FLEXPEN 3ML 100U/1ML












Metformin ARROW METFOR-MIN 500MG


Metformin ARROW METFOR-MIN 850MG









Metformin DIAPHAGE 850MG Fasting glucose results may be requested if prescribed as a single agent

Metformin GLUCONORM 500MG


Metformin GLUCONORM 850MG


Therapeutic group Product name NotesMetformin METCHEK 500MG Fasting glucose results may

be requested if prescribed as a single agent


Metformin METORED 1000MG


Metformin METORED 500MG Fasting glucose results may be requested if prescribed as a single agent

Metformin METORED 850MG Fasting glucose results may be requested if prescribed as a single agent






Motivation Required


Motivation Required

Hyperlipidaemia


















Bezafibrate DYNA-BEZAFI-BRATE SR 400MG












Hypertension

Amlodipine ALMADIN 5MG

Amlodipine AMLODAC 10MG





page 76

Therapeutic group Product name NotesAmlodipine CALBLOC 10MG

Amlodipine CALBLOC 5MG

Amlodipine CIPLAVASC 5MG







Atenolol BIO-ATENOLOL (WAS IVAX-ATEN-OLOL) 50MG


Atenolol SANDOZ ATENO-LOL 50MG





TENCHLOR 100MG/25MG





Bisoprolol BISOPROLOL UNI-CORN 10MG

Bisoprolol BISOPROLOL UNICORN 5MG







Doxazosin CARZIN XL 4MG



Enalapril ENAP 10MG

Enalapril ENAP 20MG

Enalapril ENAP 5MG




ENAP CO 20MG/12.5MG 20MG;12,5MG


PHARMAPRESS CO 20MG/12.5MG



Furosemide SANDOZ FUROSE-MIDE 40MG


Therapeutic group Product name NotesHydrochlorothiazide and potassium

URIREX-K 50MG/300MG 50MG;300MG


ADCO-RETIC 50MG/5MG 50MG;5MG


AMILORETIC 50MG/5MG 50MG;5MG

Indapamide CIPLA-INDAP-AMIDE 2,5MG

Indapamide DAPTRIL 2,5MG

Indapamide MYLAN INDAP-AMIDE 2,5MG







LISOZIDE 10MG/12.5MG


LISOZIDE 20MG/12.5MG










HYTENZA CO 100MG/25MG



HYTENZA CO 50MG/12.5MG



LOSAAR PLUS 100MG/25MG



LOSAAR PLUS 50MG/12.5MG



LOSARTAN CO UNICORN 100MG/25MG



LOSARTAN CO UNICORN 50MG/12.5MG



SARTOC-CO 100MG/25MG



ZARTAN CO 100MG/25MG



ZARTAN CO 50MG/12.5MG



HYPOTONE 250MG


MYLAN METHYL-DOPA 250MG



page 77

Therapeutic group Product name NotesNifedipine CIPALAT XR 30MG


Perindopril ACESYL 4MG



Perindopril PERINDOPRIL UNICORN 4MG



COVERAM 10/10


COVERAM 10/5


COVERAM 5/10


COVERAM 5/5


ACESYL CO 4MG/1.25MG


ARIPREL PLUS 4MG/1.25MG


PEARINDA PLUS 4MG/1.25MG


PERINDOPRIL CO UNICORN 4MG/1.25MG









Spironolactone SPIRACTIN 25MG



Hypothyroidism

Combinations of levothyroxine and liothyronine

DIOTROXIN


EUTHYROX 100MCG


EUTHYROX 25MCG


EUTHYROX 50MCG

Addison's Disease - Custom only

Fludrocortisone FLORINEF AC-ETATE 0,1MG

Hydrocortisone COVOCORT 10MG

Prednisolone LENISOLONE 5MG




Bronchiectasis - Custom only

Amoxicillin AUSTELL-AMOXI-CILLIN 500MG

CUSTOM ONLY

Amoxicillin BETAMOX 500MG CUSTOM ONLY



Doxycycline A-LENNON DOXY-CYCLINE HCL 100MG

Doxycycline CYCLIDOX 100MG

Doxycycline DOXYCYL 100MG

Cardiac Dysrhythmias - Custom only

Therapeutic group Product name NotesAcetylsalicylic acid DISPRIN 300MG






























Cardiac Failure and Cardiomyopathy - Custom only

Acetylsalicylic acid DISPRIN 300MG


TENCHLOR 100MG/25MG













Carvedilol ASPEN CARVEDILOL 12,5MG


page 78

Therapeutic group Product name NotesCarvedilol ASPEN

CARVEDILOL 25MG

Carvedilol ASPEN CARVEDILOL 6,25MG


Carvedilol CARVETREND 25MG



Carvedilol VEDIBLOK 25MG




Enalapril ENAP 10MG

Enalapril ENAP 20MG

Enalapril ENAP 5MG












Perindopril CIPLA-PERINDO-PRIL 8MG






Pneumococcus, purified polysac-charides antigen conjugated

IMOVAX PNEUMO 23

Once only





Spironolactone SPIRACTIN 25MG



Chronic Obstructive Pulmonary Disease - Custom only

SPACER ZEROSTAT VT



Therapeutic group Product name NotesBeclometasone BECLATE 200DOSE

200MCGSteroid inhalers are reserved for patients who are experiencing frequent exacerbations. Please provide a clinical history











Formoterol FORATEC HFA 120DOSE 12MCG/1DOSE

Ipratropium bromide

IPVENT HFA 200 DOSE 40MCG/1DOSE







SALBUTAMOL AND IPRATRO-PIUM BROMIDE

DUOLIN HFA 200DOSE


Theophylline SANDOZ THEOPHYLLINE ANHYDROUS 300MG

Chronic Renal Failure - Custom only













Calcium carbonate ENO TUMS AS-SORTED FRUIT FLAVOURS


page 79

Therapeutic group Product name NotesCalcium carbonate ENO TUMS OR-

ANGE FLAVOUR

Calcium carbonate ENO TUMS PEPPERMINT FLAVOUR



Enalapril ENAP 10MG

Enalapril ENAP 20MG

Enalapril ENAP 5MG



Ferrous fumarate PREGAMAL




Furosemide SANDOZ FUROSE-MIDE 40MG


















GULF FERROUS SULPHATE COM-POUND



Coronary Artery Disease - Custom only

Acetylsalicylic acid DISPRIN 300MG











Therapeutic group Product name NotesAtenolol SANDOZ ATENO-

LOL 50MG

























Crohn’s Disease - Custom only



Ciprofloxacin CIPROGEN 500MG















Metronidazole METRAZOLE 400MG



page 80

Therapeutic group Product name NotesMetronidazole TRICHAZOLE

400MG





Diabetes Insipidus - Custom only

Desmopressin DDAVP 0,1MG

Desmopressin DDAVP 0,2MG

Desmopressin DDAVP 2.5ML

Desmopressin DDAVP NASAL SPRAY 5ML 0,1MG/1ML

Epilepsy - Custom only


Carbamazepine SANDOZ CAR-BAMAZEPINE CR 200MG

Carbamazepine SANDOZ CAR-BAMAZEPINE CR 400MG

Clonazepam RIVOTRIL 0,5MG Severe and uncontrolled epilepsy only, not responding to first-line agents. Motivation Required

Clonazepam RIVOTRIL 2MG Severe and uncontrolled epilepsy only, not responding to first-line agents. Motivation Required

Lamotrigine ASPEN LA-MOTRIGINE 100MG







Phenobarbital LETHYL 30MG

Phenytoin EPANUTIN 100MG

Phenytoin PHENYTOIN SOD 100MG


Valproic acid CONVULEX 250MG/5ML



Valproic acid EPILIM SUGAR FREE 200MG/5ML






Glaucoma - Custom only

Acetazolamide AZOMID 250MG

Betaxolol BETOPTIC 5ML Bimatoprost LUMIGAN 3ML

0,03%

Therapeutic group Product name Notes

Brimonidine ALPHAGAN PURITE 5ML 1,5MG/1ML

Brinzolamide AZOPTIC 5ML EYE SUSPEN-SION 1%

Dorzolamide TRUSOPT 5ML OWI 2%

Latanoprost OCUPROST 3ML 50MCG/1ML

Levobunolol BETAGAN 7.5ML 0,5%

Pilocarpine ISOPTO CAR-PINE 1% 15ML 1%



Timolol GLAUCOSAN 5ML 0,5%

Timolol TIMOPTOL 5ML 0,25%

Timolol TIMOPTOL-XE 2.5ML 0,5%

Timolol, combi-nations

AZARGA 5ML


COMBIGAN 2MG/5MG 5ML


COSOPT 5ML 0,5%


XALACOM 2.5ML

Travoprost TRAVATAN 2,5ML 0,004%

Multiple Sclerosis - Custom only

Amitriptyline SANDOZ AMITRIPTYLINE 25MG

Amitriptyline TREPILINE 10MGAmitriptyline TREPILINE 25MGAzathioprine AZAPRESS

50MGAzathioprine AZATHIOPRINE

PCH 50MGBaclofen TEVA BACLOFEN

10MGCarbamazepine DEGRANOL

200MGMethotrexate ABITREXATE

2,5MGOxybutynin LENDITRO 5MG Second Line - After adequate trial

with Tricyclic Antidepressants

Oxybutynin MYLAN OXYBU-TYNIN 5MG

Second Line - After adequate trial with Tricyclic Antidepressants

Parkinson’s Disease - Custom only


Biperiden AKINETON 2MGLevodopa and decarboxylase inhibitor



page 81




Parkinson’s Disease - Custom only


Biperiden AKINETON 2MGLevodopa and decarboxylase inhibitor




Rheumatoid Arthritis - Custom only




Diclofenac A-LENNON DICLOFENAC 25MG


Diclofenac DICLOHEXAL 25MG






Ibuprofen INZA 200MGIbuprofen INZA 400MGIbuprofen SANDOZ IBU-

PROFEN 600MGIndometacin ARTHREXIN

25MGIndometacin SANDOZ IN-

DOMETHACIN 25MG

Meloxicam ADCO-MELOXI-CAM 7,5MG

Meloxicam ARROW MELOXICAM 7,5MG


Meloxicam LOXIFLAM 7,5MG

Meloxicam M-CAM 7,5MGMeloxicam ZYDUS-

MELOXICAM 7,5MG



Naproxen MYLAN NAPROXEN 250MG


Paracetamol GENCETAMOL Paracetamol PAINAMOL

(GREEN) 500MG


Piroxicam ROXIFEN 20MGPiroxicam XYCAM 20MGPrednisone BE-TABS PRED-

NISONE 5MGPrednisone PANAFCORT

5MGPrednisone TROLIC 5MGSulfasalazine SALAZOPYRIN

500MGSulfasalazine SALAZOPYRIN

EN 500MGSchizophrenia - Custom only


Amitriptyline TREPILINE 10MGAmitriptyline TREPILINE 25MGBiperiden AKINETON 2MGChlorpromazine LARGACTIL

100MGChlorpromazine LARGACTIL

25MGChlorpromazine LARGACTIL

50MGCitalopram ARROW CITA-

LOPRAM 20MGCitalopram ARROW CITA-

LOPRAM 40MGDosulepin THADEN 25MGDosulepin THADEN 75MGFluoxetine A-LENNON

FLUOXETINE 20MG


Fluoxetine LORIEN 20MGFluoxetine ZYDUS FLUOX-

ETINE 20MGFlupentixol FLUANXOL DE-

POT 1ML 20MGFluphenazine MODECATE 1ML

25MG/1MLHaloperidol SERENACE

0,5MGImipramine ETHIPRAMINE

10MGImipramine ETHIPRAMINE

25MGLamotrigine ASPEN LA-

MOTRIGINE 100MG

Lamotrigine DYNA-LA-MOTRIGINE 100MG


page 82





Valproic acid EPILIZINE CR 200MG






Zuclopenthixol CLOPIXOL DE-POT 200MG

Systemic Lupus Erythematosus - Custom only

Acetylsalicylic acid

DISPRIN 300MG






Diclofenac DICLOHEXAL 25MG




Ibuprofen BETAPROFEN 200MG


Ibuprofen IBUCINE (WAS IBUMAX) 100MG/5ML



Ibuprofen INZA 200MGIbuprofen INZA 400MGIbuprofen RANFEN

400MGIbuprofen SANDOZ IBU-

PROFEN 600MG


Indometacin ARTHREXIN 25MG

Indometacin SANDOZ IN-DOMETHACIN 25MG

Meloxicam ADCO-MELOXI-CAM 7,5MG

Meloxicam ARROW MELOXICAM 7,5MG


Meloxicam M-CAM 7,5MGMeloxicam ZYDUS-

MELOXICAM 7,5MG


Naproxen MYLAN NAPROXEN 250MG



Piroxicam ROXIFEN 20MGPiroxicam XYCAM 20MGPrednisone BE-TABS PRED-


5MGUlcerative Colitis - Custom only



Azathioprine ZAPRINE 50MGMethotrexate ABITREXATE

2,5MGPrednisone BE-TABS PRED-


5MGPrednisone TROLIC 5MGSulfasalazine SALAZOPYRIN

500MGDepression, Major - Custom only


Amitriptyline TREPILINE 10MGAmitriptyline TREPILINE 25MGCitalopram ARROW CITA-

LOPRAM 20MGCitalopram ARROW CITA-

LOPRAM 40MGCitalopram BIO CITALO-

PRAM 20MGDosulepin THADEN 25MGDosulepin THADEN 75MGFluoxetine A-LENNON

FLUOXETINE 20MG



Fluoxetine LORIEN 20MGFluoxetine ZYDUS FLUOX-

ETINE 20MGImipramine ETHIPRAMINE

10MGImipramine ETHIPRAMINE

25MGSertraline ARROW SER-

TRALINE 100MGSertraline ARROW SER-

TRALINE 50MGSertraline SERDEP 100MGSertraline SERDEP 50MGMenopause - Custom only

Conjugated estrogens

PREMARIN


PREMARIN 0,3MG


PREMARIN 0,625MG


PREMARIN 1,25MG

Estradiol CLIMARA 100 Estradiol CLIMARA 50 Estradiol ESTRADOT

100MCGEstradiol ESTRADOT


37,5MCGEstradiol ESTRADOT


75MCGEstradiol ESTRO-PAUSE

1MGEstradiol ESTRO-PAUSE

2MGEstriol SYNAPAUSE-E3

2MGMedroxyproges-terone

HEXAL-MPA 5MG

Medroxypro-gesterone and estrogen

PREMELLE-CYCLE 5

Norethisterone and estrogen

ACTIVELLE


ESTRO-PAUSE N


TRISEQUENS

Norgestrel and estrogen

POSTOVAL

Disclaimer: All conditions and medicines covered are subject to scheme rules and protocols. The info contained here is subject to changes as and when prices and products change. Please refer to the website for the full updated list.

Call centre Network queries

0860 10 11 59 (Operating hours Mon to Fri 07h00 - 17h00)

[email protected]

Chronic benefit management

0860 10 21 82 [email protected]

Clinical referrals

0860 10 21 83 [email protected]

www.carecross.co.za

Parc du Cap 4 Mispel Road Bellville 7530 Cape Town South Africa

Momentum

0860 11 78 59 (Operating hours Mon to Fri 07h00 - 17h00)

[email protected]

www.provider.momentum.co.za

PO Box 2338 Durban 4000

Health4Me

0860 102 903 (Operating hours Mon to Fri 07h00 - 17h00)

[email protected]

www.provider.momentum.co.za

PO Box 7400 Centurion 0046

Vers

ion

2018

_3

We value your contribution in providing quality and sustainable healthcare to our members. Providers support is of utmost importance to us and we invite you to contact us for any assistance.

Documents

Guide for general practitioners