QMH Drug Formulary

QUEEN MARY HOSPITAL
DRUG FORMULARY
D14
EXPLANATION OF FORMULARY LISTINGS

Details of individual drug entries are listed in the following format:
Examples:

(1)
MYLANTA (OR EQUIV)
(2)
(3)
(4)
(5)
SUSP
(6)
(7)
0.02/ML
SALBUTAMOL (SULPHATE) INHALER 100MCG/DOSE 200 DOSES
VENTOLIN
14.70/VIAL
TRAMADOL HCL
TRAMAL
2.73/AMP
INJ
50MG/ML
2ML
Remarks:
(1)
Generic Name (or Trade Name for compound preparations)
(2)
Dosage Form Description
(3)
Strength / Concentration
(4)
Pack Size
(5)
Common Trade Name
(6)
Average Unit Cost in HK$ (as at August 2010)
(7)
HA Drug Formulary Category
Abbreviations for Dosage Form Description:

CAP = CAPSULE
SOLN = SOLUTION
INF
SUPP = SUPPOSITORY
= INFUSION
INJ = INJECTION
SUSP = SUSPENSION
NEB = NEBULIZING
SYR
= SYRUP
OINT = OINTMENT
TAB
= TABLET
Abbreviations for HA Drug Formulary (HADF) Category:

G
= General Drug
= Special Drug
= Self-financed Item
= Self-financed Item with Safety Net
NA
= Not Applicable (item not listed in HA Drug Formulary)
S/$
= Special Drug or Self-financed Item depending on indication
$/N = Self-financed Item or Self-financed Item with Safety Net depending on indication
1
1.1
Gastro-intestinal system
Dyspepsia and gastro-oesophageal reflux disease
1.1.1
Antacids and simeticone

ALUMINIUM / MAGNESIUM HYDROXIDE AND SIMETHICONE TAB
TRIACT (OR EQUIV)
$0.06 / TAB
ALUMINIUM HYDROXIDE CHEW TAB 500MG
ALUSORB
$0.05 / TAB
ALUMINIUM HYDROXIDE SUSP 6%
ALUSORB
$0.02 / ML
DIMETHYLPOLYSILOXANE LIQUID 20MG/ML
BABCON
$0.45 / ML
DIMETHYLPOLYSILOXANE TAB 40MG
GASTEEL
$0.19 / TAB
GELUSIL (OR EQUIV) TAB
$0.06 / TAB
MAGNESIUM TRISILICATE MIXTURE
$0.02 / ML
MYLANTA (OR EQUIV) SUSP
$0.02 / ML
1.2
Antispasmodics and other drugs altering gut motility
HYOSCINE BUTYLBROMIDE INJ 20MG/ML 1ML

HYOSCINE BUTYLBROMIDE SYR 1MG/ML
HYOSCINE METHOBROMIDE TAB 1MG
MEBEVERINE HCL PROLONGED RELEASE CAP 200MG
PEPPERMINT OIL CAP 0.2ML
PROPANTHELINE BROMIDE TAB 15MG
TRIMEBUTINE MALEATE TAB 100MG
BUSCOPAN
BUSCOPAN
HOLOPON
DUSPATALIN RETARD
COLPERMIN
PROBANTHINE
CEREKINON
$2.30 / AMP
$0.03 / ML
$0.06 / TAB
$3.55 / CAP
$1.45 / CAP
$0.22 / TAB
$1.20 / TAB
1.3
Antisecretory drugs and mucosal protectants
1.3.1
H2-receptor antagonists
CIMETIDINE TAB 200MG

CIMETIDINE TAB 400MG
FAMOTIDINE TAB 20MG
FAMOTIDINE TAB 40MG
RANITIDINE (HCL) INJ 25MG/ML 2ML
RANITIDINE (HCL) TAB 150MG
RANITIDINE (HCL) SUGAR-FREE SYR 150MG/10ML
1.3.3
TAGAMET
TAGAMET
PEPCIDINE
PEPCIDINE
ZANTAC
ZANTAC
ZANTAC
DENOL
ULSANIC
S
S
G
G
G
S
S
$3.56 / TAB
$0.42 / TAB
G
G
Prostaglandin analogues
MISOPROSTOL TAB 200MCG
1.3.5
$0.73 / TAB
$0.65 / TAB
$0.06 / TAB
$0.13 / TAB
$13.64 / AMP
$0.37 / TAB
$1.19 / ML
G
G
G
G
G
G
G
Chelates and complexes
BISMUTH SUBCITRATE (120MG OF BI2O3) TAB 300MG

SUCRALFATE TAB 1G
1.3.4
G
G
G
G
G
G
G
G
CYTOTEC
$1.31 / TAB
Proton pump inhibitors
ESOMEPRAZOLE (MAGNESIUM TRIHYDRATE) TAB 20MG

ESOMEPRAZOLE (MAGNESIUM TRIHYDRATE) TAB 40MG
ESOMEPRAZOLE (SODIUM) INJ/INF 40MG
LANSOPRAZOLE ORODISPERSIBLE TAB 15MG
LANSOPRAZOLE ORODISPERSIBLE TAB 30MG
OMEPRAZOLE (MAGNESIUM) TAB 10MG (FOR PAED ONLY)
OMEPRAZOLE (MAGNESIUM) TAB 20MG (FOR PAED ONLY)
PANTOPRAZOLE (SODIUM SESQUIHYDRATE) TAB 20MG
PANTOPRAZOLE (SODIUM SESQUIHYDRATE) TAB 40MG
PANTOPRAZOLE (SODIUM) INJ 40MG
NEXIUM
NEXIUM
NEXIUM
TAKEPRON OD
TAKEPRON OD
LOSEC MUPS
LOSEC MUPS
PANTOLOC
PANTOLOC
PANTOLOC
$3.89 / TAB
$6.94 / TAB
$62.50 / VIAL
$3.49 / TAB
$3.90 / TAB
$6.57 / TAB
$9.02 / TAB
$1.00 / TAB
$0.97 / TAB
$29.51 / VIAL
S
S
S
S
S
S
S
S
S
S
RABEPRAZOLE SODIUM ENTERIC COATED TAB 10MG

RABEPRAZOLE SODIUM ENTERIC COATED TAB 20MG
$2.63 / TAB
$2.67 / TAB
PARIET
PARIET
1.4
Acute diarrhoea
1.4.1
Adsorbents and bulk-forming drugs
DIOCTAHEDRAL SMECTITE POWDER 3G/SACHET
1.4.2
$1.58 / PACK
SMECTA
$0.41 / TAB
$0.17 / CAP
1.5
Chronic bowel disorders
1.5.1
Aminosalicylates
MESALAZINE ENEMA 1G/100ML

MESALAZINE ENEMA 4G/60ML
MESALAZINE ENTERIC COATED TAB 250MG
MESALAZINE ENTERIC COATED TAB 400MG
MESALAZINE PROLONGED RELEASE GRANULES 1G/SACHET
MESALAZINE PROLONGED RELEASE GRANULES 500MG/SACHET
MESALAZINE RECTAL SUPP 1G
MESALAZINE RECTAL SUPP 250MG
MESALAZINE SLOW RELEASE TAB 500MG
SULPHASALAZINE ENTERIC COATED TAB 500MG
PENTASA
SALOFALK
SALOFALK
ASACOL
SALOFALK GRANU-STIX
SALOFALK GRANU-STIX
PENTASA
SALOFALK
PENTASA
SALAZOPYRIN ENTABS
$44.29 / NO
$49.94 / NO
$3.25 / TAB
$3.25 / TAB
$7.00 / PACK
$3.50 / PACK
$11.42 / NO
$10.33 / NO
$3.90 / TAB
$0.59 / TAB
G
G
G
G
G
G
G
G
G
G
G
G
Corticosteroids
BUDESONIDE ENEMA 0.02MG/ML 115ML

BUDESONIDE CONTROLLED ILEAL RELEASE CAP 3MG
PREDNISOLONE (SODIUM PHOSPHATE) ENEMA 0.2MG/ML 100ML
PREDNISOLONE (METASULPHOBENZOATE NA)
FOAM 20MG/DOSE 14DOSES
1.5.3
Antimotility drugs
CODEINE PHOSPHATE TAB 30MG

LOPERAMIDE HCL CAP 2MG
IMODIUM
1.5.2
S
S
ENTOCORT
ENTOCORT
PREDSOL
PREDFOAM
$61.27 / TUBE
$10.56 / CAP
$16.03 / BOTT
$240.00 / BOX
G
G
G
G
Drugs affecting the immune response
ADALIMUMAB PREFILLED SYRINGE 40MG/0.8ML

HUMIRA
$4,830.00 / NO
AZATHIOPRINE TAB 25MG
IMURAN
$3.24 / TAB
IMURAN
$0.96 / TAB
AZATHIOPRINE (SODIUM) INJ 50MG
IMURAN
$615.58 / VIAL
CYCLOSPORIN A INJ 50MG/ML 5ML
SANDIMMUN
$314.97 / AMP
CYCLOSPORIN A (NEORAL) CAP 10MG
SANDIMMUN NEORAL $1.70 / CAP
CYCLOSPORIN A (NEORAL) SOLN 100MG/ML 50ML
SANDIMMUN NEORAL $680.00 / BOTT
INFLIXIMAB INJ 100MG
REMICADE
$5,799.98 / VIAL
MERCAPTOPURINE TAB 50MG (6-MP)
PURI-NETHOL
$19.40 / TAB
METHOTREXATE TAB 2.5MG
$0.44 / TAB
METHOTREXATE (SODIUM) INJ 10MG/ML 5ML
$16.00 / VIAL
1.6
Laxatives
1.6.1
Bulk-forming laxatives
METAMUCIL (OR EQUIV) GRANULES 538G
$0.09 / G
$/N
G
G
G
S
S
S
S
S
N
G
G
G
1.6.2
Stimulant laxatives
BISACODYL RECTAL SUPP 10MG

DULCOLAX
BISACODYL TAB 5MG
DULCOLAX
DOCUSATE SODIUM CAP 100MG
SOFTON
GLYCERIN ENEMA 20G
LAPTON
GLYCERIN (ADULT) RECTAL SUPP 2.4G
GLYCERIN (CHILD) RECTAL SUPP 1.26G
SENNA TAB 7.5MG
SENOKOT
1.6.4
G
G
G
G
G
G
G
Osmotic laxatives
FLEET (OR EQUIV) ENEMA 4.5FL OZ

LACTULOSE LIQUID
DUPHALAC
1.6.5
$0.90 / NO
$0.12 / TAB
$0.14 / CAP
$3.00 / NO
$2.21 / NO
$1.54 / NO
$0.12 / TAB
$4.63 / PACK
$0.04 / ML
G
G
Bowel cleansing preparations
FLEET PHOSPHO-SODA BUFFERED SALINE MIXTURE 45ML

POLYETHYLENE GLYCOL ELE (KLEAN-PREP) POWDER 68.6G/PK
FLEET PHOSPHO-SODA $10.93 / BOTT

KLEAN PREP
$10.50 / PACK
G
G
1.7
Local preparations for anal and rectal disorders
1.7.1
Soothing haemorrhoidal preparations
ANUSOL (OR EQUIV) OINT 25G

ANUSOL (OR EQUIV) RECTAL SUPP
FAKTU (OR EQUIV) OINT 20G
FAKTU (OR EQUIV) RECTAL SUPP
1.7.2
G
G
G
G
Compound haemorrhoidal preparations with corticosteroids
ULTRAPROCT N (OR EQUIV) CREAM 10G

ULTRAPROCT N (OR EQUIV) RECTAL SUPP
1.7.3
$24.95 / TUBE
$1.13 / NO
$21.20 / TUBE
$1.98 / NO
$57.00 / TUBE
$2.07 / NO
G
G
Rectal sclerosants
PHENOL IN ALMOND OIL INJ 5% 5ML

PHENOL IN CONRAY 280 INJ 10% 5ML
$179.46 / AMP
$500.00 / VIAL
G
NA
1.9
Drugs affecting intestinal secretions
1.9.1
Drugs affecting biliary composition and flow
CHENODEOXYCHOLIC ACID CAP 250MG

CHENOFALK
URSODEOXYCHOLIC ACID TAB 50MG
URSOSAN
URSODEOXYCHOLIC ACID CAP 250MG
URSOFALK
URSODEOXYCHOLIC ACID SUSP 20MG/ML
1.9.2
QUESTRAN / PACK
Pancreatin
COMBIZYM (OR EQUIV) TAB

PANCREATIN CAP 150MG
CREON
1.A
NA
G
G
G
Bile acid sequestrants
CHOLESTYRAMINE (SUGAR FREE) GRANULES 4G/SACHET
1.9.4
$7.92 / CAP
$0.58 / TAB
$5.66 / CAP
$0.24 / ML
$1.20 / TAB
$2.65 / CAP
G
G
Miscellaneous
CHARCOAL ACTIVATED TAB 300MG

$0.53 / TAB
ENZYPLEX (OR EQUIV) TAB
$0.29 / TAB

G
G
Cardiovascular system
2.1
Positive inotropic drugs
2.1.1
Cardiac glycosides
DIGOXIN ELIXIR 50MCG/ML

DIGOXIN INJ 250MCG/ML 2ML
DIGOXIN TAB 62.5MCG
DIGOXIN TAB 250MCG
2.1.2
LANOXIN
LANOXIN
LANOXIN
LANOXIN
$2.50 / ML
$26.49 / AMP
$0.25 / TAB
$0.23 / TAB
Phosphodiesterase inhibitors
MILRINONE (LACTATE) INJ 1MG/ML 10ML
PRIMACOR
$246.50 / VIAL
2.2
Diuretics
2.2.1
Thiazides and related diuretics
HYDROCHLOROTHIAZIDE SYR 2MG/ML

HYDROCHLOROTHIAZIDE TAB 50MG
INDAPAMIDE SR TAB 1.5MG
INDAPAMIDE TAB 2.5MG
METOLAZONE TAB 5MG
2.2.2
DICHLOTRIDE
DICHLOTRIDE
NATRILIX SR
NATRILIX
DIULO
BURINEX
LASIX
LASIX
LASIX
LASIX
MIDAMOR
ALDACTONE
ALDACTONE
$1.65 / TAB
$67.92 / AMP
$2.45 / AMP
$0.05 / TAB
$1.64 / TAB
G
G
G
G
G
$0.21 / TAB
$0.00 / ML
$0.23 / TAB
G
G
G
Potassium-sparing diuretics with other diuretics
AMILORIDE 5MG + HYDROCHLOROTHIAZIDE 50MG TAB

TRIAMTERENE 50MG + HYDROCHLOROTHIAZIDE 25MG TAB
2.2.5
G
G
G
G
G
Potassium-sparing diuretics and aldosterone antagonists
AMILORIDE HCL TAB 5MG

SPIRONOLACTONE SYR 2MG/ML
SPIRONOLACTONE TAB 25MG
2.2.4
$0.01 / ML
$0.07 / TAB
$0.35 / TAB
$0.12 / TAB
$3.45 / TAB
NA
Loop diuretics
BUMETANIDE TAB 1MG

FRUSEMIDE INF 10MG/ML 25ML
FRUSEMIDE INJ 10MG/ML 2ML
FRUSEMIDE TAB 40MG
FRUSEMIDE TAB 500MG
2.2.3
G
G
G
G
MODURETIC
DYAZIDE
$0.16 / TAB
$0.16 / TAB
G
G
Osmotic diuretics
OSMOFUNDIN INF 20% 250ML
MANNITOL (OR EQUIV) $14.50 / BOTT
2.3
Anti-arrhythmic drugs
2.3.2
Drugs for arrhythmias
ADENOSINE TRIPHOSPHATE DISODIUM INJ 10MG/ML 2ML

AMIODARONE HCL INJ 50MG/ML 3ML
CORDARONE
AMIODARONE HCL TAB 200MG
CORDARONE
BRETYLIUM TOSYLATE INJ 50MG/ML 10ML
BRETYLOL
DISOPYRAMIDE CAP 100MG
RYTHMODAN
FLECAINIDE ACETATE INJ 10MG/ML 15ML
TAMBOCOR
FLECAINIDE ACETATE TAB 100MG
TAMBOCOR
$5.30 / AMP
$4.60 / AMP
$0.67 / TAB
$1,395.78 / AMP
$2.53 / CAP
$132.78 / VIAL
$6.71 / TAB
G
G
G
NA
NA
G
G
MEXILETINE HCL CAP 50MG

MEXITIL
PROCAINAMIDE HCL INJ 0.1G/ML 10ML
PRONESTYL
PROPAFENONE HCL TAB 150MG
RYTMONORM
QUINIDINE SULPHATE TAB 200MG
2.4
$5.40 / CAP
$55.61 / VIAL
$3.90 / TAB
$2.80 / TAB
Beta-adrenoceptor blocking drugs
ATENOLOL TAB 50MG

ATENOLOL TAB 100MG
BISOPROLOL HEMIFUMARATE 2.5MG +
HYDROCHLOROTHIAZIDE 6.25MG TAB
BISOPROLOL HEMIFUMARATE 5MG +
HYDROCHLOROTHIAZIDE 6.25MG TAB
BISOPROLOL HEMIFUMARATE TAB 2.5MG
BISOPROLOL HEMIFUMARATE TAB 5MG
CARVEDILOL TAB 6.25MG
CARVEDILOL TAB 25MG
ESMOLOL HCL INJ 10MG/ML 10ML
LABETALOL HCL INJ 5MG/ML 5ML
LABETALOL HCL TAB 100MG
LABETALOL HCL TAB 200MG
METOPROLOL CR TAB 25MG
METOPROLOL TARTRATE TAB 50MG
METOPROLOL TARTRATE TAB 100MG
METOPROLOL TARTRATE INJ 1MG/ML 5ML
NADOLOL TAB 80MG
PINDOLOL TAB 5MG
PROPRANOLOL HCL INJ 1MG/ML 1ML
PROPRANOLOL HCL SUSP 0.5MG/ML
PROPRANOLOL HCL TAB 10MG
PROPRANOLOL HCL TAB 40MG
SOTALOL HCL TAB 80MG
TENORMIN
TENORMIN
LODOZ 2.5/6.25
$0.06 / TAB
$0.07 / TAB
$0.84 / TAB
G
G
G
LODOZ 5/6.25
$1.35 / TAB
CONCOR
CONCOR
DILATREND
DILATREND
BREVIBLOC
TRANDATE
TRANDATE
TRANDATE
BETALOC ZOK
BETALOC ZOK
BETALOC ZOK
BETALOC
BETALOC
BETALOC
CORGARD
VISKEN
INDERAL
INDERAL
INDERAL
INDERAL
SOTACOR
$0.80 / TAB
$1.35 / TAB
$0.15 / TAB
$0.42 / TAB
$145.00 / VIAL
$25.98 / AMP
$0.48 / TAB
$0.75 / TAB
$0.77 / TAB
$0.81 / TAB
$1.63 / TAB
$0.06 / TAB
$0.11 / TAB
$201.45 / AMP
$1.86 / TAB
$2.20 / TAB
$37.27 / AMP
$0.00 / ML
$0.05 / TAB
$0.08 / TAB
$0.88 / TAB
G
G
G
G
NA
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
2.5
Hypertension and heart failure
2.5.1
Vasodilator antihypertensive drugs
HYDRALAZINE HCL INJ 20MG

APRESOLINE
HYDRALAZINE HCL TAB 10MG
APRESOLINE
HYDRALAZINE HCL TAB 25MG
APRESOLINE
ILOPROST (TROMETAMOL) INF 20MCG/ML 1ML
ILOMEDIN
MINOXIDIL TAB 5MG
LONITEN
NITROPRUSSIDE DIHYDRATE SODIUM INJ 50MG
SILDENAFIL (CITRATE) TAB 20MG (FOR PAED ONLY)
REVATIO
2.5.2
NA
NA
G
NA
$33.12 / AMP
$0.13 / TAB
$0.24 / TAB
$304.00 / AMP
$4.20 / TAB
$201.98 / VIAL
$44.87 / TAB
G
G
G
S
NA
G
S
Centrally acting antihypertensive drugs
METHYLDOPA TAB 125MG

METHYLDOPA TAB 250MG
ALDOMET
ALDOMET
$0.13 / TAB
$0.18 / TAB
G
G
2.5.4
Alpha-adrenoceptor blocking drugs
DOXAZOSIN MESYLATE TAB 2MG

DOXAZOSIN MESYLATE GITS TAB 4MG
PHENTOLAMINE METHANESULPHONATE INJ 10MG/ML 1ML
PRAZOSIN (HCL) TAB 1MG
TERAZOSIN HCL TAB 1MG
2.5.5
CARDURA
CARDURA XL
CARDURA XL
REGITINE
MINIPRESS
MINIPRESS
HYTRIN
HYTRIN
$3.56 / TAB
$2.90 / TAB
$5.25 / TAB
$11.60 / AMP
$0.05 / TAB
$0.08 / TAB
$0.23 / TAB
$0.30 / TAB
S
S
S
G
G
G
S
S
Drugs affecting the renin-angiotensin system
2.5.5.1
Angiotensin-converting enzyme inhibitors
CAPTOPRIL TAB 12.5MG
CAPOTEN
$0.39 / TAB
CAPTOPRIL TAB 25MG
CAPOTEN
$0.09 / TAB
CAPTOPRIL TAB 50MG
CAPOTEN
$0.53 / TAB
ENALAPRIL MALEATE TAB 5MG
RENITEC
$0.16 / TAB
RENITEC
$0.17 / TAB
RENITEC
$0.31 / TAB
LISINOPRIL TAB 5MG
ZESTRIL
$0.07 / TAB
LISINOPRIL TAB 10MG
ZESTRIL
$0.09 / TAB
PERINDOPRIL TERTBUTYLAMINE TAB 2MG
ACERTIL
$0.95 / TAB
PERINDOPRIL TERTBUTYLAMINE TAB 4MG
ACERTIL
$0.48 / TAB
RAMIPRIL TAB 2.5MG
TRITACE
$0.28 / TAB
RAMIPRIL TAB 5MG
TRITACE
$0.43 / TAB
RAMIPRIL TAB 10MG
TRITACE
$0.80 / TAB
G
G
G
G
G
G
G
G
G
G
G
G
G
2.5.5.2
Angiotensin-II receptor antagonists
CANDESARTAN CILEXETIL TAB 8MG
BLOPRESS
$2.44 / TAB
IRBESARTAN 150MG + HYDROCHLOROTHIAZIDE 12.5MG TAB
COAPROVEL 150/12.5
$1.96 / TAB
IRBESARTAN 300MG + HYDROCHLOROTHIAZIDE 12.5MG TAB
COAPROVEL 300/12.5
$2.95 / TAB
IRBESARTAN TAB 150MG
APROVEL
$1.96 / TAB
IRBESARTAN TAB 300MG
APROVEL
$2.94 / TAB
LOSARTAN 50MG + HYDROCHLOROTHIAZIDE 12.5MG TAB
HYZAAR
$2.35 / TAB
LOSARTAN 100MG + HYDROCHLOROTHIAZIDE 12.5MG TAB
HYZAAR PLUS
$2.95 / TAB
LOSARTAN POTASSIUM TAB 50MG
COZAAR
$1.65 / TAB
LOSARTAN POTASSIUM TAB 100MG
COZAAR
$2.07 / TAB
TELMISARTAN 40MG + HYDROCHLOROTHIAZIDE 12.5MG TAB
MICARDIS PLUS
$2.30 / TAB
TELMISARTAN TAB 40MG
MICARDIS
$2.30 / TAB
TELMISARTAN TAB 80MG
MICARDIS
$3.20 / TAB
VALSARTAN 80MG + HYDROCHLOROTHIAZIDE 12.5MG TAB
CO-DIOVAN 80/12.5
$2.38 / TAB
VALSARTAN TAB 80MG
DIOVAN
$2.38 / TAB
S
S
S
S
S
S
S
S
S
S
S
S
S
S
2.6
Nitrates, calcium-channel blockers, and other antianginal drugs
2.6.1
Nitrates
GLYCERYL TRINITRATE SPRAY 0.4MG/DOSE 200DOSES

GLYCERYL TRINITRATE SUBL TAB 500MCG
GLYCERYL TRINITRATE (DEPONIT NT) SR PATCH 5MG
NITROLINGUAL
ANGISED
DEPONIT NT
$56.70 / BOTT
$0.18 / TAB
$2.30 / PCS
G
G
G
GLYCERYL TRINITRATE (DEPONIT NT) SR PATCH 10MG

GLYCERYL TRINITRATE (NO ALCOHOL) INF 1MG/ML 10ML
GLYCERYL TRINITRATE (NO ALCOHOL) INF 1MG/ML 50ML
ISOSORBIDE DINITRATE INJ 1MG/ML 10ML
ISOSORBIDE DINITRATE TAB 10MG
ISOSORBIDE DINITRATE SR TAB 40MG
ISOSORBIDE MONONITRATE TAB 20MG
ISOSORBIDE MONONITRATE SR CAP 50MG
ISOSORBIDE MONONITRATE CR TAB 60MG
2.6.2
DEPONIT NT
NITROCINE
NITRO POHL
ISOKET
ISORDIL
ISORDIL TEMBIDS
ELANTAN
ELANTAN LONG
IMDUR
G
G
G
G
G
G
G
G
G
Calcium-channel blockers
AMLODIPINE (BESYLATE) TAB 5MG

AMLODIPINE (BESYLATE) TAB 10MG
AMLODIPINE 5MG + VALSARTAN 160MG TAB
AMLODIPINE 10MG + VALSARTAN 160MG TAB
DILTIAZEM HCL CR TAB 30MG
DILTIAZEM HCL SR CAP 90MG
DILTIAZEM HCL INJ 10MG
DILTIAZEM HCL INJ 50MG
FELODIPINE EXTENDED RELEASE TAB 2.5MG
FELODIPINE EXTENDED RELEASE TAB 5MG
LACIDIPINE TAB 2MG
LACIDIPINE TAB 4MG
LERCANIDIPINE HCL TAB 10MG
NIFEDIPINE CAP 5MG
NIFEDIPINE SR TAB 20MG
NIFEDIPINE EXTENDED RELEASE TAB 30MG
NIFEDIPINE EXTENDED RELEASE TAB 60MG
NIMODIPINE INJ 0.2MG/ML 50ML
NIMODIPINE TAB 30MG
VERAPAMIL HCL INJ 2.5MG/ML 2ML
VERAPAMIL HCL TAB 40MG
VERAPAMIL HCL SR TAB 240MG
2.6.4
$3.45 / PCS
$7.20 / AMP
$26.97 / VIAL
$20.50 / AMP
$0.03 / TAB
$0.55 / TAB
$0.12 / TAB
$1.85 / CAP
$0.98 / TAB
NORVASC
$0.30 / TAB
NORVASC
$0.40 / TAB
EXFORGE 5MG/160MG $2.95 / TAB
EXFORGE 10MG/160MG $3.05 / TAB
HERBESSER
$0.18 / TAB
HERBESSER SR
$1.15 / CAP
HERBESSER R
$1.20 / CAP
HERBESSER R
$2.19 / CAP
HERBESSER
$21.94 / AMP
HERBESSER
$44.85 / AMP
PLENDIL
$0.92 / TAB
PLENDIL
$1.06 / TAB
LACIPIL
$1.46 / TAB
LACIPIL
$2.39 / TAB
ZANIDIP
$1.96 / TAB
ADALAT
$0.89 / CAP
ADALAT RETARD
$0.17 / TAB
ADALAT GITS
$2.25 / TAB
ADALAT GITS
$4.53 / TAB
NIMOTOP
$428.11 / VIAL
NIMOTOP
$17.57 / TAB
ISOPTIN
$20.00 / AMP
ISOPTIN
$0.23 / TAB
ISOPTIN SR
$1.80 / TAB
G
G
S
S
G
G
G
G
G
G
S
S
S
S
S
G
G
S
S
G
G
G
G
G
Peripheral vasodilators and related drugs
CILOSTAZOL TAB 50MG

NAFTIDROFURYL OXALATE CAP 100MG
NAFTIDROFURYL OXALATE TAB 200MG
OXPENTIFYLLINE (PENTOXIFYLLINE) CR TAB 400MG
OXPENTIFYLLINE (PENTOXIFYLLINE) INJ 20MG/ML 5ML
PLETAAL
PRAXILENE
PRAXILENE
TRENTAL
TRENTAL
$2.48 / TAB
$1.90 / CAP
$3.30 / TAB
$1.11 / TAB
$16.96 / AMP
2.7
Sympathomimetics
2.7.1
Inotropic sympathomimetics
DOBUTAMINE (HCL) INJ 12.5MG/ML 20ML

DOBUTREX
DOPAMINE HCL INJ 40MG/ML 5ML
ISOPRENALINE (ISOPROTERENOL) HCL INJ 0.2MG/ML 5ML
SAVENTRINE
$24.00 / VIAL
$6.60 / AMP
$136.84 / AMP
S
S
S
S
S
G
G
G
2.7.2
Vasoconstrictor sympathomimetics
EPHEDRINE SULPHATE INJ 30MG/ML 1ML
$26.70 / AMP
NOREPINEPHRINE (BITARTRATE) INJ 1MG/ML 4ML
$72.50 / VIAL
$41.38 / AMP
LEVOPHED
PHENYLEPHRINE HCL INJ 10MG/ML 1ML
2.7.3
Cardiopulmonary resuscitation
ADRENALINE PREFILLED SYRINGE 1:10000 10ML

ADRENALINE (ACID TARTRATE) INJ 1:10000 10ML
$100.00 / NO
$18.30 / AMP
2.8
Anticoagulants and protamine
2.8.1
Parenteral anticoagulants
G
G
ENOXAPARIN SODIUM PREFILLED SYRINGE 20MG/0.2ML
CLEXANE
$26.55 / AMP
CLEXANE
$39.39 / AMP
CLEXANE
$49.44 / AMP
CLEXANE
$62.88 / AMP
HEPARIN SALINE INJ 10U/ML 5ML
$3.70 / AMP
HEPARIN SODIUM INJ 1000U/ML 5ML
$6.92 / VIAL
HEPARIN SODIUM INJ 5000U/ML 5ML
$14.45 / VIAL
HEPARIN SODIUM (PRESERVATIVE FREE) INJ 1000U/ML 1ML
$13.49 / AMP
NADROPARIN CA (LMW HEPARIN) SYRINGE 1900AXA IU 0.2ML
FRAXIPARINE
$29.60 / NO
FRAXIPARINE
$31.20 / NO
FRAXIPARINE
$34.29 / NO
TINZAPARIN SODIUM INJ 10000AXA IU/ML 2ML
INNOHEP
$142.86 / VIAL
TINZAPARIN SODIUM SYRINGE 10000AXA IU/0.5ML
INNOHEP
$79.84 / NO
TINZAPARIN SODIUM SYRINGE 14000AXA IU/0.7ML
INNOHEP
$105.00 / NO
2.8.2
Oral anticoagulants
DABIGATRAN ETEXILATE CAP 75MG
PRADAXA
$13.00 / CAP
DABIGATRAN ETEXILATE CAP 110MG
PRADAXA
$13.00 / CAP
WARFARIN SODIUM TAB 1MG
MAREVAN
$0.22 / TAB
MAREVAN
$0.27 / TAB
MAREVAN
$0.32 / TAB
2.8.3
Protamine sulphate
PROTAMINE SULPHATE (PRESERVATIVE FREE) INJ 1% 5ML
2.9
PROSULF
$44.85 / AMP
Antiplatelet drugs
ASPIRIN TAB 80MG
$0.02 / TAB
ASPIRIN ENTERIC COATED TAB 100MG
CARTIA
$0.22 / TAB
ASPIRIN (ENTERIC COATED PELLETS) CAP 100MG
ASTRIX
$0.44 / CAP
ASPIRIN 100MG + GLYCINE 45MG TAB
CARDIPRIN
$0.21 / TAB
ASPIRIN TAB 300MG
$0.06 / TAB
CLOPIDOGREL (HYDROGEN SULPHATE) TAB 75MG
PLAVIX
$8.30 / TAB
DIPYRIDAMOLE INJ 5MG/ML 2ML
PERSANTIN
$5.90 / AMP
DIPYRIDAMOLE TAB 25MG
PERSANTIN
$0.07 / TAB
DIPYRIDAMOLE TAB 75MG
PERSANTIN
$0.14 / TAB
2.10
Myocardial infarction and fibrinolysis
2.10.2
Fibrinolytic drugs
ALTEPLASE INJ 50MG

ACTILYSE
STREPTOKINASE INJ 1500000U
STREPTASE
TENECTEPLASE INJ 10000U
METALYSE
UROKINASE INJ 60000 U
2.11
NOVOSEVEN
$5,920.00 / VIAL
ALEVIATE
$497.06 / VIAL
FEIBA TIM 4
$7,000.00 / BOTT
PROTHROMBINEX-HT $349.16 / BOTT
MONOFIX-VF
$815.00 / VIAL
TRANSAMIN
$0.31 / CAP
TRANSAMIN S
$12.90 / AMP
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
Local sclerosants
ETHANOLAMINE OLEATE INJ 5% 5ML

SODIUM TETRADECYL SULPHATE INJ 1% 2ML
2.A
S
G
G
G
G
G
G
Lipid-regulating drugs
ATORVASTATIN (CALCIUM) TAB 10MG

LIPITOR
$5.53 / TAB
LIPITOR
$9.40 / TAB
LIPITOR
$9.40 / TAB
LIPITOR
$17.92 / TAB
CHOLESTYRAMINE (SUGAR FREE) GRANULES 4G/SACHET
QUESTRAN / PACK
EZETIMIBE TAB 10MG
EZETROL
$7.23 / TAB
FENOFIBRATE (MICRONISED) CAP 200MG
LIPANTHYL 200M
$3.00 / CAP
FLUVASTATIN (SODIUM) CAP 20MG
LESCOL
$1.69 / CAP
FLUVASTATIN (SODIUM) CAP 40MG
LESCOL
$1.99 / CAP
GEMFIBROZIL CAP 300MG
LOPID
$0.16 / CAP
GEMFIBROZIL TAB 600MG
LOPID
$0.25 / TAB
NICOTINIC ACID TAB 50MG
$0.07 / TAB
ROSUVASTATIN (CALCIUM) TAB 10MG
CRESTOR
$5.44 / TAB
ROSUVASTATIN (CALCIUM) TAB 20MG
CRESTOR
$9.34 / TAB
SIMVASTATIN TAB 10MG
ZOCOR
$0.21 / TAB
ZOCOR
$0.28 / TAB
ZOCOR
$0.30 / TAB
2.13
S
G
G
G
Antifibrinolytic drugs and haemostatics
FACTOR VIIA (ACTIVATED EPTACOG ALFA) INJ 60KIU/VIAL

FACTOR VIII (HUMAN) (CSL) INJ 250 IU
FACTOR VIII INHIBITOR BYPASSING FRACTION INJ 1000U
FACTOR IX COMPLEX, HUMAN (RC) INJ 500 IU
FACTOR IX, HUMAN, PURIFIED (RC) INJ 500 IU
TRANEXAMIC ACID CAP 250MG
TRANEXAMIC ACID INJ 100MG/ML 10ML
2.12
$5,020.00 / VIAL
$913.55 / VIAL
$8,345.83 / VIAL
$310.00 / VIAL
$62.50 / AMP
$107.72 / VIAL
NA
NA
Miscellaneous
CARDIOPLEGIA (OR EQUIV) INJ 20ML

DAFLON 500 (OR EQUIV) TAB
DUXARIL (OR EQUIV) TAB
HYDERGINE (OR EQUIV) TAB 1MG
INSTENON (OR EQUIV) TAB
NICERGOLINE TAB 10MG
SERMION
NICERGOLINE TAB 30MG
SERMION
TRIMETAZIDINE DIHYDROCHLORIDE MODIFIED RELEASE TAB 35MG
VASTAREL MR
UBIDECARENONE TAB 10MG
EIQUINON
10
$172.00 / AMP
$2.78 / TAB
$2.89 / TAB
$2.23 / TAB
$0.65 / TAB
$0.90 / TAB
$4.42 / TAB
$2.12 / TAB
$1.80 / TAB
G
G
G
G
G
G
G
S
G
Respiratory system
3.1
Bronchodilators
3.1.1
Adrenoceptor agonists
3.1.1.1
Selective beta2 agonists
FORMOTEROL FUMARATE TURBUHALER 4.5MCG/DOSE 60DOSES
OXIS
$171.75 / NO
FORMOTEROL FUMARATE TURBUHALER 9MCG/DOSE 60DOSES
OXIS
$246.00 / NO
SALBUTAMOL (SULPHATE) INHALER 100MCG/DOSE 200DOSES
VENTOLIN
$14.70 / VIAL
SALBUTAMOL (SULPHATE) ACCUHALER 200MCG/DOSE 60DOSES
VENTOLIN
$63.00 / NO
SALBUTAMOL (SULPHATE) SYR 2MG/5ML
VENTOLIN
$0.04 / ML
SALBUTAMOL (SULPHATE) TAB 4MG
VENTOLIN
$0.12 / TAB
SALBUTAMOL (SULPHATE) UNIT DOSE NEB SOLN 1MG/ML 2.5ML
VENTOLIN
$1.22 / NO
SALMETEROL (XINAFOATE) INHALER 25MCG/DOSE 120DOSES
SEREVENT
$278.22 / NO
SALMETEROL (XINAFOATE) ACCUHALER 50MCG/DOSE 60DOSES
SEREVENT
$327.00 / NO
TERBUTALINE SULPHATE INJ 0.5MG/ML 1ML
BRICANYL
$15.96 / AMP
TERBUTALINE SULPHATE SR TAB 5MG
BRICANYL DURULE
$0.26 / TAB
TERBUTALINE SULPHATE SR TAB 7.5MG
BRICANYL DURULE
$0.34 / TAB
TERBUTALINE SULPHATE SYR 0.3MG/ML
BRICANYL
$0.02 / ML
TERBUTALINE SULPHATE TURBUHALER 0.5MG/DOSE 200DOSES
BRICANYL
$107.86 / NO
S
S
G
S
G
G
G
S
S
G
G
G
G
S
3.1.1.2
Other adrenoceptor agonists
EPHEDRINE HCL TAB 30MG
$0.18 / TAB
3.1.2
Antimuscarinic bronchodilators
IPRATROPIUM BROMIDE INHALER 20MCG/DOSE 200DOSES

IPRATROPIUM BROMIDE NEB SOLN 0.025% 20ML
TIOTROPIUM (BROMIDE) INHAL CAP 18MCG
3.1.3
ATROVENT
ATROVENT
SPIRIVA
$14.47 / AMP
$0.04 / ML
$0.31 / CAP
$0.35 / CAP
$0.19 / TAB
$0.28 / TAB
NA
G
G
G
G
G
Compound bronchodilator preparations
IPRATROPIUM + SALBUTAMOL (0.5MG+2.5MG/2.5ML)

UNIT DOSE VIAL NEB SOLN 2.5ML
3.2
G
G
S
Theophylline
AMINOPHYLLINE IV INJ 25MG/ML 10ML

THEOPHYLLINE SYR 80MG/15ML
NUELIN
THEOPHYLLINE (SLO-THEO) SLOW RELEASE CAP 50MG
SLO-THEO
THEOPHYLLINE (SLO-THEO) SLOW RELEASE CAP 100MG
SLO-THEO
THEOPHYLLINE (NUELIN SR) SR TAB 200MG
NUELIN SR
THEOPHYLLINE (NUELIN SR) SR TAB 300MG
NUELIN SR
3.1.4
$87.00 / NO
$47.86 / BOTT
$10.50 / CAP
COMBIVENT
$4.10 / NO
Corticosteroids
BECLOMETHASONE DIPROPIONATE INHALER 50MCG/DOSE 200DOSES

BECLOMETHASONE DIPROPIONATE INHALER 250MCG/DOSE 200DOSES
BUDESONIDE TURBUHALER 100MCG/DOSE 200DOSES
BUDESONIDE (UNIT DOSE) NEB SOLN 250MCG/ML 2ML
BUDESONIDE (UNIT DOSE) NEB SOLN 500MCG/ML 2ML
BUDESONIDE 160MCG + FORMOTEROL 4.5MCG TURBUHALER 60DOSES
11
BECOTIDE
BECLOFORTE
PULMICORT
PULMICORT
PULMICORT
PULMICORT
PULMICORT
SYMBICORT
$31.68 / NO
$35.66 / NO
$124.57 / NO
$270.00 / NO
$534.30 / NO
$15.30 / NO
$26.13 / NO
$137.43 / NO
G
G
S
S
S
G
G
S
BUDESONIDE 320MCG + FORMOTEROL 9MCG TURBUHALER 60DOSES

FLUTICASONE PROPIONATE INHALER 50MCG/DOSE 120DOSES
SALMETEROL 25MCG + FLUTICASONE 50MCG INHALER 120DOSES
SALMETEROL 50MCG + FLUTICASONE 100MCG ACCUHALER 60DOSES
SYMBICORT
FLIXOTIDE
FLIXOTIDE
FLIXOTIDE
SERETIDE LITE
SERETIDE MEDIUM
SERETIDE FORTE
SERETIDE 100
SERETIDE 250
SERETIDE 500
$227.94 / NO
$149.00 / NO
$98.00 / NO
$388.86 / NO
$98.84 / NO
$273.87 / NO
$458.82 / NO
$142.00 / NO
$341.41 / NO
$520.00 / NO
3.3
Cromoglicate and related therapy and leukotriene receptor antagonists
3.3.2
Leukotriene receptor antagonists
MONTELUKAST (SODIUM) CHEW TAB 4MG

MONTELUKAST (SODIUM) CHEW TAB 5MG
MONTELUKAST (SODIUM) TAB 10MG
SINGULAIR
SINGULAIR
SINGULAIR
$7.96 / TAB
$9.93 / TAB
$9.93 / TAB
S
S
S
S
S
S
S
S
S
S
S
S
S
3.4
Antihistamines, hyposensitisation, and allergic emergencies
3.4.1
Antihistamines
CETIRIZINE 5MG + PSEUDOEPHEDRINE HCL 120MG

ZYRTEC-D
PROLONGED RELEASE TAB
CETIRIZINE HCL TAB 10MG
ZYRTEC
CHLORPHENIRAMINE MALEATE ELIXIR 2MG/5ML
PIRITON
CHLORPHENIRAMINE MALEATE INJ 10MG/ML 10ML
PIRITON
CHLORPHENIRAMINE MALEATE TAB 4MG
PIRITON
CYPROHEPTADINE HCL SYR 2MG/5ML
PERIACTIN
CYPROHEPTADINE HCL TAB 4MG
PERIACTIN
DEXCHLORPHENIRAMINE MALEATE TAB 2MG
POLARAMINE
DEXCHLORPHENIRAMINE MALEATE SR TAB 6MG
POLARAMINE S.R.
DIPHENHYDRAMINE HCL ELIXIR 10MG/5ML
BENADRYL
DIPHENHYDRAMINE HCL INJ 50MG/ML 1ML
BENADRYL
FEXOFENADINE HCL 60MG + PSEUDOEPHEDRINE HCL 120MG TAB
TELFAST D
FEXOFENADINE HCL TAB 180MG
TELFAST
HYDROXYZINE (HCL) TAB 25MG
ATARAX
KETOTIFEN (HYDROGEN FUMARATE) SYR 0.2MG/ML
ZADITEN
KETOTIFEN (HYDROGEN FUMARATE) TAB 1MG
ZADITEN
LORATADINE 5MG + PSEUDOEPHEDRINE SULPHATE 120 MG TAB
CLARINASE REPETABS
LORATADINE 10MG + PSEUDOEPHEDRINE SULPHATE 240MG ER TAB CLARINASE ER
LORATADINE SYR 5MG/5ML
CLARITYNE
LORATADINE TAB 10MG
CLARITYNE
NEOZEP (OR EQUIV) TAB
PROMETHAZINE HCL ELIXIR 5MG/5ML
PHENERGAN
PROMETHAZINE HCL TAB 10MG
PHENERGAN
PHENERGAN
PROMETHAZINE THEOCLATE TAB 25MG
AVOMINE
TRIPROLIDINE HCL + PSEUDOEPHEDRINE HCL
ACTIFED
(1.25MG+30MG/5ML) SYR
TRIPROLIDINE HCL 2.5MG + PSEUDOEPHEDRINE HCL 60MG TAB
ACTIFED
12
$1.35 / TAB
$0.25 / TAB
$0.01 / ML
$9.80 / VIAL
$0.01 / TAB
$0.02 / ML
$0.12 / TAB
$0.07 / TAB
$0.62 / TAB
$0.02 / ML
$10.62 / VIAL
$1.93 / TAB
$2.08 / TAB
$0.18 / TAB
$0.61 / ML
$2.49 / TAB
$1.95 / TAB
$3.20 / TAB
$0.56 / ML
$0.19 / TAB
$0.38 / TAB
$0.00 / ML
$0.03 / TAB
$0.11 / TAB
$0.15 / TAB
$0.03 / ML
G
G
G
G
G
G
G
G
G
G
S
S
G
G
G
S
S
G
G
G
G
G
G
G
G
$0.07 / TAB
3.4.3
Allergic emergencies
ADRENALINE PREFILLED SYRINGE 1:10000 10ML

ADRENALINE (ACID TARTRATE) INJ 1:10000 10ML
ADRENALINE (ACID TARTRATE) NO PRESERVATIVE INJ 1:1000 1ML
ADRENALINE (EPINEPHRINE) INJ 1:1000 30ML
EPINEPHRINE (AUTO-INJECTOR) INJ 0.15MG
EPIPEN JR
EPINEPHRINE (AUTO-INJECTOR) INJ 0.3MG
EPIPEN
$100.00 / NO
$18.30 / AMP
$4.15 / AMP
$33.91 / VIAL
$761.26 / NO
$755.00 / NO
G
G
G
G
NA
NA
3.5
Respiratory stimulants and pulmonary surfactants
3.5.1
Respiratory stimulants
CAFFEINE CITRATE INJ 10MG/ML 10ML
3.5.2
SURVANTA
$4,681.92 / VIAL
FLUIMUCIL
FLUIMUCIL
SOLMUCOL
MUCOSOLVAN
BISOLVON
BISOLVON
MUCOFLUX
MISTABRON
$0.25 / PACK
$0.34 / PACK
$1.84 / PACK
$0.82 / TAB
$0.02 / ML
$0.02 / TAB
$0.77 / CAP
$21.99 / NO
$0.09 / ML
3.9
Cough preparations
3.9.1
Cough suppressants
CODEINE PHOSPHATE SYR 25MG/5ML

OPIATE SQUILL (GEES) LINCTUS
PHOLCODINE LINCTUS 5MG/5ML
ETHNINE
$0.12 / ML
$0.41 / TAB
$0.07 / ML
$0.02 / ML
NA
G
G
G
G
Expectorant and demulcent cough preparations
AMMONIA AND IPECACUANHA MIXTURE (MES)

CHLORPHENIRAMINE MALEATE EXPECTORANT SYR 2MG/5ML
PIRITON EXPECTORANT
BENADRYL EXPECTORANT
DIPHENHYDRAMINE COMPOUND LINCTUS
EXPECTORANT STIMULANT PRO INFANT MIXTURE
PROMETHAZINE COMPOUND LINCTUS
PHENSEDYL
3.A
G
G
G
G
G
G
G
G
Aromatic inhalations
BENZOIN COMPOUND TINCTURE
3.9.2
Mucolytics
ACETYLCYSTEINE GRANULES 100MG/SACHET

AMBROXOL HCL TAB 30MG
BROMHEXINE HCL ELIXIR 4MG/5ML
BROMHEXINE HCL TAB 8MG
CYCLIDROL CAP 100MG
MESNA NEB SOLN 20% 3ML
3.8
Pulmonary surfactants
BERACTANT INTRA-TRACHEAL SUSP 8ML
3.7
$24.90 / VIAL
$0.01 / ML
$0.00 / ML
$0.01 / ML
$0.00 / ML
$0.02 / ML
G
G
G
G
G
Miscellaneous
LYSOZYME CHLORIDE TAB 30MG

NEUZYM
$0.23 / TAB
TALC STERILE POWDER 4G
STERITALC
$400.00 / VIAL

13
G
G
Central nervous system
4.1
Hypnotics and anxiolytics
4.1.1
Hypnotics
CHLORMETHIAZOLE EDISYLATE CAP 300MG

FLUNITRAZEPAM TAB 1MG
MIDAZOLAM (MALEATE) TAB 15MG
NITRAZEPAM TAB 5MG
TRIAZOLAM TAB 0.25MG
ZOLPIDEM TARTRATE TAB 10MG
ZOPICLONE TAB 7.5MG
4.1.2
HEMINEVRIN
ROHYPNOL
DORMICUM
MOGADON
PHENERGAN
PHENERGAN
PHENERGAN
HALCION
STILNOX
IMOVANE
$1.58 / CAP
$2.23 / TAB
$2.70 / TAB
$0.64 / TAB
$0.00 / ML
$0.03 / TAB
$0.11 / TAB
$3.27 / TAB
$0.85 / TAB
$0.19 / TAB
NA
G
G
G
G
G
G
G
G
G
Anxiolytics
ALPRAZOLAM TAB 0.25MG

ALPRAZOLAM TAB 0.5MG
BROMAZEPAM TAB 1.5MG
BUSPIRONE HCL TAB 10MG
DIAZEPAM INJ 5MG/ML 2ML
DIAZEPAM RECTAL SOLN 2MG/ML 2.5ML
DIAZEPAM TAB 2MG
DIAZEPAM TAB 5MG
DIAZEPAM EMULSION INJ 5MG/ML 2ML
LORAZEPAM INJ 4MG/ML 1ML
LORAZEPAM TAB 1MG
LORAZEPAM TAB 2MG
XANAX
XANAX
LEXOTAN
BUSPAR
VALIUM
STESOLID
STESOLID
VALIUM
VALIUM
DIAZEMULS
ATIVAN
ATIVAN
ATIVAN
$0.20 / TAB
$0.21 / TAB
$0.33 / TAB
$3.90 / TAB
$12.49 / AMP
$15.86 / TUBE
$17.60 / TUBE
$0.16 / TAB
$0.17 / TAB
$8.50 / AMP
$197.50 / AMP
$0.21 / TAB
$0.26 / TAB
G
G
G
G
G
G
G
G
G
G
G
G
G
4.2
Drugs used in psychoses and related disorders
4.2.1
Antipsychotic drugs
AMISULPRIDE TAB 100MG

ARIPIPRAZOLE TAB 10MG
ARIPIPRAZOLE TAB 15MG
CHLORPROMAZINE HCL INJ 25MG/ML 2ML
CHLORPROMAZINE HCL TAB 25MG
CLOZAPINE TAB 25MG
CLOZAPINE TAB 100MG
FLUPENTHIXOL (DIHYDROCHLORIDE) TAB 3MG
HALOPERIDOL DROPS 2MG/ML 15ML
HALOPERIDOL INJ 5MG/ML 1ML
HALOPERIDOL TAB 1MG
SOLIAN
SOLIAN
SOLIAN
ABILIFY
ABILIFY
LARGACTIL
LARGACTIL
LARGACTIL
LARGACTIL
CLOZARIL
CLOZARIL
FLUANXOL
HALDOL
HALDOL
SERENACE
14
$4.13 / TAB
$5.90 / TAB
$10.69 / TAB
$19.83 / TAB
$19.83 / TAB
$20.19 / AMP
$0.21 / TAB
$0.32 / TAB
$0.45 / TAB
$0.35 / TAB
$1.10 / TAB
$0.57 / TAB
$120.98 / BOTT
$30.20 / AMP
$0.06 / TAB
S
S
S
S
S
G
G
G
G
S
S
G
G
G
G
HALOPERIDOL TAB 5MG

OLANZAPINE IM INJ 10MG
OLANZAPINE ORODISPERSIBLE TAB 5MG
OLANZAPINE ORODISPERSIBLE TAB 10MG
OLANZAPINE TAB 5MG
OLANZAPINE TAB 10MG
PALIPERIDONE EXTENDED RELEASE TAB 3MG
PERICYAZINE TAB 2.5MG
PERICYAZINE TAB 10MG
PERPHENAZINE TAB 4MG
PIMOZIDE TAB 1MG
PIMOZIDE TAB 4MG
PROCHLORPERAZINE MALEATE TAB 5MG
PROCHLORPERAZINE MESYLATE INJ 12.5MG/ML 1ML
QUETIAPINE (FUMARATE) TAB 25MG
QUETIAPINE (FUMARATE) EXTENDED RELEASE TAB 50MG
RISPERIDONE ORODISPERSIBLE TAB 1MG
RISPERIDONE ORODISPERSIBLE TAB 2MG
RISPERIDONE TAB 1MG
RISPERIDONE TAB 3MG
SULPIRIDE CAP 50MG
SULPIRIDE TAB 200MG
TRIFLUOPERAZINE (HCL) TAB 1MG
ZIPRASIDONE (HCL) CAP 20MG
ZIPRASIDONE (MESYLATE) IM INJ 20MG/ML
4.2.2
SERENACE
ZYPREXA
ZYPREXA ZYDIS
ZYPREXA ZYDIS
ZYPREXA
ZYPREXA
INVEGA
INVEGA
INVEGA
NEULACTIL
NEULACTIL
TRILAFON
ORAP
ORAP
STEMETIL
STEMETIL
SEROQUEL
SEROQUEL XR
SEROQUEL XR
SEROQUEL XR
RISPERDAL QUICKLET
RISPERDAL QUICKLET
RISPERDAL
RISPERDAL
DOGMATIL
DOGMATIL
STELAZINE
STELAZINE
ZELDOX
ZELDOX
ZELDOX
ZELDOX
ZELDOX
G
S
S
S
S
S
S
S
S
G
G
G
G
G
G
G
S
S
S
S
S
S
G
G
G
G
G
G
S
S
S
S
S
Antipsychotic depot injections
FLUPENTHIXOL DECANOATE IM INJ 20MG/ML 1ML

FLUPHENAZINE DECANOATE IM INJ 25MG/ML 1ML
HALOPERIDOL DECANOATE INJ 50MG/ML 1ML
HALOPERIDOL DECANOATE INJ 100MG/ML 1ML
RISPERIDONE (MICROSPHERES) IM PR INJ 25MG
RISPERIDONE (MICROSPHERES) IM PR INJ 37.5MG
RISPERIDONE (MICROSPHERES) IM PR INJ 50MG
ZUCLOPENTHIXOL DECANOATE INJ 200MG/ML 1ML
4.2.3
$0.14 / TAB
$67.50 / VIAL
$15.78 / TAB
$31.55 / TAB
$16.58 / TAB
$33.16 / TAB
$15.24 / TAB
$19.44 / TAB
$29.85 / TAB
$0.52 / TAB
$1.14 / TAB
$0.18 / TAB
$0.50 / TAB
$2.31 / TAB
$0.11 / TAB
$4.20 / AMP
$2.52 / TAB
$2.93 / TAB
$7.04 / TAB
$10.56 / TAB
$7.59 / TAB
$14.20 / TAB
$0.69 / TAB
$2.40 / TAB
$0.18 / CAP
$0.55 / TAB
$0.10 / TAB
$0.10 / TAB
$6.29 / CAP
$12.58 / CAP
$12.83 / CAP
$17.80 / CAP
$180.00 / VIAL
FLUANXOL
$39.43 / AMP
MODECATE
$24.63 / AMP
HALDOL DECANOAS
$67.56 / AMP
HALDOL DECANOAS
$153.99 / AMP
RISPERDAL CONSTA
$886.53 / VIAL
RISPERDAL CONSTA $1,293.23 / VIAL
RISPERDAL CONSTA $1,768.53 / VIAL
CLOPIXOL DEPOT
$51.00 / AMP
G
G
G
G
S
S
S
G
Antimanic drugs
CARBAMAZEPINE TAB 200MG

CARBAMAZEPINE CR TAB 200MG
CARBAMAZEPINE SUSP 100MG/5ML
LITHIUM CARBONATE TAB 250MG
LITHIUM CARBONATE CR TAB 400MG
LITHIUM SULPHATE SR TAB 660MG
TEGRETOL
TEGRETOL CR
TEGRETOL
CAMCOLIT
PRIADEL
LITHIOFOR
15
$0.55 / TAB
$1.19 / TAB
$0.35 / ML
$0.51 / TAB
$0.69 / TAB
$2.66 / TAB
G
G
G
G
G
G
4.3
Antidepressant drugs
4.3.1
Tricyclic and related antidepressant drugs
AMITRIPTYLINE HCL TAB 10MG

AMITRIPTYLINE HCL TAB 25MG
CLOMIPRAMINE HCL TAB 10MG
CLOMIPRAMINE HCL TAB 25MG
DOTHIEPIN (DOSULEPIN) HCL CAP 25MG
DOTHIEPIN (DOSULEPIN) HCL TAB 75MG
DOXEPIN (HCL) CAP 10MG
DOXEPIN (HCL) CAP 25MG
FLUPENTHIXOL DIHYDROCHLORIDE 0.5MG +
MELITRACEN HCL 10MG TAB
IMIPRAMINE HCL TAB 10MG
IMIPRAMINE HCL TAB 25MG
MIANSERIN HCL TAB 10MG
MIANSERIN HCL TAB 30MG
NORTRIPTYLINE (HCL) TAB 10MG
NORTRIPTYLINE (HCL) TAB 25MG
TRAZODONE HCL TAB 50MG
TRIMIPRAMINE MALEATE TAB 25MG
4.3.2
TOFRANIL
TOFRANIL
TOLVON
TOLVON
NORTRILEN
NORTRILEN
TRITTICO
SURMONTIL
$0.12 / TAB
$0.09 / TAB
$0.46 / TAB
$1.05 / TAB
$0.56 / TAB
$0.82 / TAB
$1.16 / TAB
$1.07 / TAB
G
G
G
G
G
G
G
G
AURORIX
CIPRAM
LEXAPRO
LEXAPRO
PROZAC
PROZAC
FAVERIN
SEROXAT CR
SEROXAT CR
ZOLOFT
$3.49 / TAB
$1.25 / TAB
$7.00 / TAB
$11.89 / TAB
$0.18 / CAP
$0.11 / CAP
$3.75 / TAB
$3.00 / TAB
$6.00 / TAB
$0.59 / TAB
G
S
S
G
G
S
S
S
G
Other antidepressant drugs
BUPROPION HCL (WELLBUTRIN SR) SR TAB 150MG

DULOXETINE (HCL) CAP 30MG
FLUPENTHIXOL (DIHYDROCHLORIDE) TAB 0.5MG
MIRTAZAPINE ORODISPERSIBLE TAB 15MG
MIRTAZAPINE ORODISPERSIBLE TAB 30MG
OXITRIPTAN CAP 100MG
VENLAFAXINE (HCL) EXTENDED RELEASE CAP 37.5MG
VENLAFAXINE (HCL) EXTENDED RELEASE CAP 75MG
VENLAFAXINE (HCL) EXTENDED RELEASE CAP 150MG
4.4
G
G
G
G
G
G
G
G
G
Selective serotonin re-uptake inhibitors
CITALOPRAM (HBR) TAB 20MG

ESCITALOPRAM (OXALATE) TAB 10MG
FLUOXETINE (HCL) CAP 10MG
FLUOXETINE (HCL) CAP 20MG
FLUVOXAMINE (MALEATE) TAB 50MG
PAROXETINE (HCL) CR TAB 12.5MG
PAROXETINE (HCL) CR TAB 25MG
SERTRALINE (HCL) TAB 50MG
4.3.4
$0.36 / TAB
$0.08 / TAB
$0.35 / TAB
$0.48 / TAB
$0.41 / CAP
$0.98 / TAB
$0.50 / CAP
$1.45 / CAP
$0.54 / TAB
Monoamine-oxidase inhibitors
MOCLOBEMIDE TAB 150MG
4.3.3
SAROTEN
SAROTEN
ANAFRANIL
ANAFRANIL
PROTHIADEN
PROTHIADEN
SINEQUAN
SINEQUAN
DEANXIT
WELLBUTRIN SR
CYMBALTA
CYMBALTA
FLUANXOL
REMERON
REMERON
TRIPTOH
EFEXOR XR
EFEXOR XR
EFEXOR XR
$6.33 / TAB
$5.60 / CAP
$8.33 / CAP
$0.25 / TAB
$2.54 / TAB
$5.08 / TAB
$8.00 / CAP
$4.09 / CAP
$7.98 / CAP
$14.94 / CAP
S
S
S
G
S
S
NA
S
S
S
CNS stimulants and drugs used for attention deficit hyperactivity disorder
ATOMOXETINE (HCL) CAP 10MG

STRATTERA
STRATTERA
STRATTERA
16
$21.10 / CAP
$21.10 / CAP
$21.10 / CAP
S
S
S

METHYLPHENIDATE HCL EXTENDED RELEASE TAB 18MG
METHYLPHENIDATE HCL TAB 10MG
4.6
STRATTERA
STRATTERA
CONCERTA
CONCERTA
CONCERTA
CONCERTA
RITALIN
$21.10 / CAP
$21.10 / CAP
$18.16 / TAB
$20.10 / TAB
$22.12 / TAB
$29.07 / TAB
$0.99 / TAB
S
S
S
S
S
S
G
Drugs used in nausea and vertigo
APREPITANT CAP 125MG/80MG/80MG

BETAHISTINE MESYLATE TAB 6MG
CHLORPROMAZINE HCL INJ 25MG/ML 2ML
DIMENHYDRINATE LIQUID 15MG/5ML
DIMENHYDRINATE RECTAL SUPP 50MG
DOMPERIDONE SYR 5MG/5ML
DOMPERIDONE TAB 10MG
FLUNARIZINE CAP 5MG
GRANISETRON (HCL) INJ 1MG/ML 1ML
GRANISETRON (HCL) INJ 1MG/ML 3ML
GRANISETRON (HCL) TAB 1MG
METOCLOPRAMIDE HCL INJ 5MG/ML 2ML
METOCLOPRAMIDE HCL SYR 5MG/5ML
METOCLOPRAMIDE HCL TAB 10MG
ONDANSETRON (HCL DIHYDRATE) INJ 2MG/ML 2ML
ONDANSETRON (HCL DIHYDRATE) INJ 2MG/ML 4ML
ONDANSETRON (HCL DIHYDRATE) TAB 4MG
ONDANSETRON (HCL DIHYDRATE) TAB 8MG
PERPHENAZINE TAB 4MG
PROCHLORPERAZINE MALEATE TAB 5MG
PROCHLORPERAZINE MESYLATE INJ 12.5MG/ML 1ML
PROMETHAZINE THEOCLATE TAB 25MG
TROPISETRON (HCL) CAP 5MG
TROPISETRON (HCL) INJ 1MG/ML 5ML
EMEND
MERISLON
LARGACTIL
LARGACTIL
LARGACTIL
LARGACTIL
GRAVOL
GRAVOL
MOTILIUM
MOTILIUM
SIBELIUM
KYTRIL
KYTRIL
KYTRIL
MAXOLON
MAXOLON
MAXOLON
ZOFRAN
ZOFRAN
ZOFRAN
ZOFRAN
TRILAFON
STEMETIL
STEMETIL
PHENERGAN
PHENERGAN
PHENERGAN
AVOMINE
STELAZINE
STELAZINE
NAVOBAN
NAVOBAN
$568.00 / PACK
$0.14 / TAB
$20.19 / AMP
$0.21 / TAB
$0.32 / TAB
$0.45 / TAB
$0.02 / ML
$1.32 / NO
$0.73 / ML
$0.68 / TAB
$4.40 / CAP
$61.99 / AMP
$173.60 / AMP
$71.50 / TAB
$3.73 / AMP
$0.02 / ML
$0.08 / TAB
$50.00 / AMP
$54.52 / AMP
$18.00 / TAB
$20.00 / TAB
$0.18 / TAB
$0.11 / TAB
$4.20 / AMP
$0.00 / ML
$0.03 / TAB
$0.11 / TAB
$0.15 / TAB
$0.10 / TAB
$0.10 / TAB
$63.33 / CAP
$58.82 / AMP
4.7
Analgesics
4.7.1
Non-opioid analgesics
ASPIRIN TAB 300MG

PARACETAMOL RECTAL SUPP 125MG
PANADOL
PARACETAMOL RECTAL SUPP 250MG
PANADOL
17
$0.06 / TAB
$0.68 / NO
$0.73 / NO
$
G
G
G
G
G
G
G
G
G
G
S
S
S
G
G
G
S
S
S
S
G
G
G
G
G
G
G
G
G
S
S
G
G
G
PARACETAMOL TAB 500MG

PARACETAMOL (ALCOHOL-FREE) SUSP 125MG/5ML
4.7.2
PANADOL
PANADOL
$0.12 / ML
$0.41 / TAB
$2.00 / TAB
$79.95 / NO
$138.89 / NO
$230.69 / NO
$30.00 / AMP
$0.90 / TAB
$17.00 / AMP
$3.50 / AMP
$1.97 / TAB
$5.33 / TAB
$10.46 / TAB
$0.12 / ML
$1.73 / AMP
$2.07 / AMP
$0.32 / CAP
$55.00 / BOTT
$2.73 / AMP
G
G
G
S
S
S
G
G
G
G
S
S
S
G
G
G
G
G
G
Neuropathic pain

TEGRETOL
TEGRETOL CR
TEGRETOL
GABAPENTIN (TEVA) CAP 100MG
PHENYTOIN SODIUM CAP 30MG
DILANTIN
PHENYTOIN SODIUM TAB 100MG
DILANTIN
PHENYTOIN SODIUM SYR 125MG/5ML
DILANTIN
PREGABALIN CAP 25MG
LYRICA
PREGABALIN CAP 75MG
LYRICA
PREGABALIN CAP 150MG
LYRICA
4.7.4
G
G
Opioid analgesics
CODEINE PHOSPHATE SYR 25MG/5ML

DIHYDROCODEINE TARTRATE TAB 30MG
DF118
FENTANYL TRANSDERMAL PATCH 2.1MG
DUROGESIC
DUROGESIC
DUROGESIC
METHADONE HCL INJ 10MG/ML 1ML
PHYSEPTONE
METHADONE HCL TAB 5MG
PHYSEPTONE
MORPHINE SULPHATE (PRESERVATIVE FREE) INJ 10MG/ML 1ML
MORPHINE SULPHATE (PRESERVATIVE FREE) INJ 15MG/ML 1ML
MORPHINE SULPHATE SR TAB 10MG
MST CONTINUS
MST CONTINUS
MST CONTINUS
MORPHINE SULPHATE SYR 10MG/5ML
PETHIDINE HCL INJ 50MG/ML 1ML
PETHIDINE HCL INJ 50MG/ML 2ML
TRAMADOL HCL CAP 50MG
TRAMAL
TRAMADOL HCL DROPS 100MG/ML 20ML
TRAMADOL HCL INJ 50MG/ML 2ML
TRAMAL
4.7.3
$0.03 / TAB
$0.02 / ML
$0.55 / TAB
$1.19 / TAB
$0.35 / ML
$1.13 / CAP
$1.58 / CAP
$2.10 / CAP
$1.33 / CAP
$0.06 / TAB
$0.62 / ML
$6.66 / CAP
$8.18 / CAP
$13.07 / CAP
G
G
G
S
S
S
G
G
G
S
S
S
Antimigraine drugs
4.7.4.1
Treatment of acute migraine
ERGOTAMINE TARTRATE 1MG + CAFFEINE 100MG TAB
CAFERGOT
$3.51 / TAB
SUMATRIPTAN (SUCCINATE) TAB 50MG
IMIGRAN
$42.17 / TAB
ZOLMITRIPTAN TAB 2.5MG
ZOMIG
$30.97 / TAB
G
S
S
4.7.4.2
Prophylaxis of migraine
CLONIDINE HCL TAB 0.025MG
DIXARIT
$1.14 / TAB
PIZOTIFEN HYDROGEN MALATE TAB 0.5MG
SANDOMIGRAN
$2.09 / TAB
G
G
18
4.8
Antiepileptic drugs
4.8.1
Control of epilepsy

CLOBAZAM TAB 10MG
CLONAZEPAM TAB 0.5MG
CLONAZEPAM TAB 2MG
ETHOSUXIMIDE CAP 250MG
GABAPENTIN (NEURONTIN) CAP 100MG
GABAPENTIN (NEURONTIN) TAB 600MG
LAMOTRIGINE CHEW/DISP TAB 5MG
LAMOTRIGINE TAB 50MG
LAMOTRIGINE TAB 100MG
LEVETIRACETAM INF 100MG/ML 5ML
LEVETIRACETAM SOLN 100MG/ML
LEVETIRACETAM TAB 500MG
LEVETIRACETAM TAB 1000MG
OXCARBAZEPINE SUSP 300MG/5ML
OXCARBAZEPINE TAB 300MG
OXCARBAZEPINE TAB 600MG
PHENOBARBITONE TAB 30MG
PHENOBARBITONE SODIUM INJ 200MG/ML 1ML
PHENYTOIN SODIUM CAP 30MG
PHENYTOIN SODIUM TAB 100MG
PHENYTOIN SODIUM SYR 125MG/5ML
PREGABALIN CAP 25MG
PREGABALIN CAP 75MG
PREGABALIN CAP 150MG
TOPIRAMATE TAB 25MG
TOPIRAMATE TAB 50MG
TOPIRAMATE TAB 100MG
VALPROATE SODIUM TAB 100MG
VALPROATE SODIUM ENTERIC COATED TAB 200MG
VALPROATE SODIUM CR TAB 200MG
VALPROATE SODIUM INJ 400MG
VALPROATE SODIUM SOLN 200MG/5ML
VIGABATRIN TAB 500MG
4.8.2
TEGRETOL
TEGRETOL CR
TEGRETOL
FRISIUM
RIVOTRIL
RIVOTRIL
ZARONTIN
NEURONTIN
NEURONTIN
NEURONTIN
NEURONTIN
LAMICTAL
LAMICTAL
LAMICTAL
KEPPRA
KEPPRA
KEPPRA
KEPPRA
TRILEPTAL
TRILEPTAL
TRILEPTAL
LUMINAL
LUMINAL
DILANTIN
DILANTIN
DILANTIN
LYRICA
LYRICA
LYRICA
TOPAMAX
TOPAMAX
TOPAMAX
EPILIM CRUSHABLE
EPILIM
EPILIM CHRONO
EPILIM CHRONO
EPILIM CHRONO
EPILIM
EPILIM
SABRIL
$0.55 / TAB
$1.19 / TAB
$0.35 / ML
$1.59 / TAB
$1.09 / TAB
$2.20 / TAB
$9.77 / CAP
$3.00 / CAP
$6.30 / CAP
$7.20 / CAP
$9.50 / TAB
$2.54 / TAB
$7.54 / TAB
$12.92 / TAB
$249.00 / ML
$2.88 / ML
$10.30 / TAB
$20.60 / TAB
$0.87 / ML
$3.78 / TAB
$6.94 / TAB
$0.08 / TAB
$39.93 / AMP
$1.33 / CAP
$0.06 / TAB
$0.62 / ML
$6.66 / CAP
$8.18 / CAP
$13.07 / CAP
$7.50 / TAB
$11.26 / TAB
$19.66 / TAB
$0.47 / TAB
$0.39 / TAB
$0.68 / TAB
$1.01 / TAB
$1.71 / TAB
$191.15 / VIAL
$0.13 / ML
$9.21 / TAB
G
G
G
G
G
G
G
S
S
S
S
S
S
S
S
S
S
S
S
S
S
G
G
G
G
G
S
S
S
S
S
S
G
G
G
G
G
G
G
S
Drugs used in status epilepticus

VALIUM
STESOLID
STESOLID
DIAZEMULS
ATIVAN
PARALDEHYDE INJ 5ML
PHENOBARBITONE SODIUM INJ 200MG/ML 1ML
LUMINAL
PHENYTOIN SODIUM INJ 50MG/ML 5ML
DILANTIN
19
$12.49 / AMP
$15.86 / TUBE
$17.60 / TUBE
$8.50 / AMP
$197.50 / AMP
$1,048.50 / AMP
$39.93 / AMP
$19.35 / VIAL
G
G
G
G
G
G
G
G
4.9
Drugs used in parkinsonism and related disorders
4.9.1
Dopaminergic drugs used in parkinsonism
AMANTADINE SULPHATE TAB 100MG

BROMOCRIPTINE (MESYLATE) TAB 2.5MG
CABERGOLINE TAB 0.5MG
CARBIDOPA 25MG + LEVODOPA 100MG TAB
CARBIDOPA 25MG + LEVODOPA 250MG TAB
CARBIDOPA 50MG + LEVODOPA 200MG CR TAB
ENTACAPONE TAB 200MG
LEVODOPA 100MG + BENSERAZIDE 25MG CAP
LEVODOPA 100MG + BENSERAZIDE 25MG DISPERSIBLE TAB

LEVODOPA 100MG + CARBIDOPA 25MG + ENTACAPONE 200MG TAB
LEVODOPA 200MG + BENSERAZIDE 50MG TAB
PRAMIPEXOLE DIHYDROCHLORIDE TAB 1MG
SELEGILINE HCL TAB 5MG
4.9.2
ARTANE
COGENTIN
BOTOX
DYSPORT
HALDOL
SERENACE
SERENACE
NOOTROPIL
NOOTROPIL
NOOTROPIL
NITOMAN
PHYSEPTONE
PHYSEPTONE
G
G
S
G
$0.04 / TAB
$31.00 / AMP
G
G
$1,950.00 / VIAL
$2,120.75 / VIAL
$120.98 / BOTT
$0.06 / TAB
$0.14 / TAB
$9.65 / AMP
$1.41 / ML
$0.49 / TAB
$12.95 / TAB
S
S
G
G
G
G
G
G
NA
$30.00 / AMP
$0.90 / TAB
G
G
Drugs for dementia
DONEPEZIL HCL TAB 5MG

DONEPEZIL HCL TAB 10MG
GALANTAMINE (HBR) PROLONGED RELEASE CAP 8MG
MEMANTINE HCL TAB 10MG
RIVASTIGMINE CAP 1.5MG
RIVASTIGMINE CAP 3MG
RIVASTIGMINE CAP 4.5MG
RIVASTIGMINE CAP 6MG
RIVASTIGMINE TRANSDERMAL PATCH 4.6MG/24HR
RIVASTIGMINE TRANSDERMAL PATCH 9.5MG/24HR
4.A
$7.60 / TAB
$1.30 / TAB
$16.00 / TAB
$1.26 / TAB
Drugs used in substance dependence
METHADONE HCL INJ 10MG/ML 1ML

METHADONE HCL TAB 5MG
4.11
G
G
S
G
G
G
G
G
G
Drugs used in essential tremor, chorea, tics, and related disorders
BOTULINUM TYPE A TOXIN (BOTOX) INJ 100 U

BOTULINUM TYPE A TOXIN (DYSPORT) INJ 500 U
HALOPERIDOL DROPS 2MG/ML 15ML
HALOPERIDOL TAB 1MG
HALOPERIDOL TAB 5MG
PIRACETAM INJ 0.2G/ML 5ML
PIRACETAM SOLN 200MG/ML
PIRACETAM TAB 800MG
TETRABENAZINE TAB 25MG
4.10
$3.44 / TAB
$0.39 / TAB
$60.80 / TAB
$0.42 / TAB
$0.62 / TAB
$2.67 / TAB
$7.60 / TAB
$1.30 / CAP
$1.30 / TAB
Antimuscarinic drugs used in parkinsonism
BENZHEXOL HCL TAB 2MG

BENZTROPINE MESYLATE INJ 1MG/ML 2ML
4.9.3

PK-MERZ
PARLODEL
DOSTINEX
SINEMET 25/100
SINEMET 25/250
SINEMET CR 50/200
COMTAN
MADOPAR 125MG
MADOPAR
DISPERSIBLE 125MG
STALEVO 100/25/200
MADOPAR 250MG
MIRAPEX
JUMEX
ARICEPT
ARICEPT
REMINYL
REMINYL
REMINYL
EBIXA
EXELON
EXELON
EXELON
EXELON
EXELON
EXELON
$15.00 / TAB
$15.00 / TAB
$15.53 / CAP
$15.53 / CAP
$15.18 / CAP
$7.46 / TAB
$7.51 / CAP
$7.50 / CAP
$7.50 / CAP
$7.50 / CAP
$15.00 / PCS
$15.00 / PCS
S
S
S
S
S
S
S
S
S
S
S
S
Miscellaneous
PYRITINOL HCL TAB 100MG
ENCEPHABOL
20
$1.74 / TAB
Infections
5.1
Antibacterial drugs
5.1.1
Penicillins
5.1.1.1
Benzylpenicillin and phenoxymethylpenicillin
BENZATHINE PENICILLIN INJ 1.2MU
PENADUR
$18.00 / VIAL
BENZYLPENICILLIN SODIUM INJ 1MU (600MG) (PENICILLIN G)
CRYSTAPEN
$14.77 / VIAL
PHENOXYMETHYLPENICILLIN POTASSIUM SYR 125MG/5ML
PENICILLIN V
$0.08 / ML
PHENOXYMETHYLPENICILLIN POTASSIUM TAB 250MG
PENICILLIN V
$0.34 / TAB
G
G
G
G
5.1.1.2
Penicillinase-resistant penicillins
CLOXACILLIN (SODIUM) CAP 250MG
ORBENIN
$0.33 / CAP
CLOXACILLIN (SODIUM) CAP 500MG
ORBENIN
$0.43 / CAP
CLOXACILLIN (SODIUM) INJ 500MG
ORBENIN
$3.84 / VIAL
FLUCLOXACILLIN ELIXIR 125MG/5ML
$0.12 / ML
G
G
G
G
5.1.1.3
Broad-spectrum penicillins
AMOXYCILLIN + CLAVULANIC ACID (400MG+57MG/5ML) SYR
AUGMENTIN 457MG/5ML $0.62 / ML
AMOXYCILLIN 250MG + CLAVULANIC ACID 125MG TAB
AUGMENTIN 375MG
$0.94 / TAB
AMOXYCILLIN 875MG + CLAVULANIC ACID 125MG TAB
AUGMENTIN 1G
$1.63 / TAB
AMOXYCILLIN 500MG + CLAVULANIC ACID 100MG INJ
AUGMENTIN 600MG
$14.09 / VIAL
AMOXYCILLIN SODIUM 1G + CLAVULANIC ACID 200MG INJ
AUGMENTIN 1.2G
$13.30 / VIAL
AMOXYCILLIN CAP 250MG
AMOXIL
$0.10 / CAP
AMOXYCILLIN SUSP 125MG/5ML
AMOXIL
$0.15 / ML
AMPICILLIN CAP 250MG
$0.19 / CAP
AMPICILLIN CAP 500MG
$0.36 / CAP
AMPICILLIN SODIUM INJ 500MG
$1.73 / VIAL
AMPICILLIN SYR 125MG/5ML
$0.29 / ML
AMPICILLIN SODIUM 500MG + SULBACTAM SODIUM 250MG INJ
UNASYN 750MG
$15.00 / VIAL
AMPICILLIN 220MG + SULBACTAM 147MG TAB
UNASYN 375MG
$5.65 / TAB
SULTAMICILLIN (MUTUAL PRODRUG OF SULBACTAM AND AMPICILLIN) UNASYN 250MG/5ML
$1.49 / ML
250MG/5ML SUSP
5.1.1.4
Antipseudomonal penicillins
PIPERACILLIN SODIUM 4G + TAZOBACTAM SODIUM 500MG INJ
TAZOCIN 4.5G
$89.00 / VIAL
PIPERACILLIN SODIUM INJ 4G
PIPRACIL
$38.01 / VIAL
TICARCILLIN DISODIUM 3G + CLAVULANIC ACID 200MG INJ
TIMENTIN 3.2G
$52.00 / VIAL
5.1.2
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
Cephalosporins, carbapenems, and other beta-lactams
5.1.2.1
Cephalosporins
CEFACLOR SYR 125MG/5ML
CECLOR
$0.21 / ML
CEFAZOLIN (SODIUM) INJ 1G
CEFAMEZIN
$3.70 / VIAL
CEFEPIME HCL INJ 1G
MAXIPIME
$102.00 / VIAL
CEFOPERAZONE 500MG + SULBACTAM 500MG INJ
SULPERAZON 1G
$59.93 / VIAL
CEFOTAXIME (SODIUM) INJ 1G
CLAFORAN
$18.50 / VIAL
CEFTAZIDIME INJ 500MG
FORTUM
$42.20 / VIAL
CEFTAZIDIME INJ 1G
FORTUM
$85.80 / VIAL
21
G
G
G
G
G
G
G
CEFTAZIDIME INJ 2G
CEFTIBUTEN CAP 400MG
CEFTIBUTEN SUSP 180MG/5ML
CEFTRIAXONE DISODIUM IM INJ 1G
CEFTRIAXONE DISODIUM IV INJ 1G
CEFUROXIME (AXETIL) SUSP 125MG/5ML
CEFUROXIME (AXETIL) TAB 125MG
CEFUROXIME (AXETIL) TAB 250MG
CEFUROXIME (SODIUM) INJ 750MG
CEPHALEXIN CAP 250MG
$172.60 / VIAL
$22.92 / CAP
$3.27 / ML
$55.00 / VIAL
$29.30 / VIAL
$1.07 / ML
$2.20 / TAB
$2.30 / TAB
$4.81 / VIAL
$0.40 / CAP
G
G
G
G
G
G
G
G
G
G
5.1.2.2
Carbapenems
DORIPENEM INF 500MG
DORIBAX
$160.00 / VIAL
ERTAPENEM INJ 1G
INVANZ
$228.00 / VIAL
IMIPENEM 500MG + CILASTATIN 500MG IV INJ
TIENAM 500MG
$74.10 / VIAL
MEROPENEM INJ 500MG
MERONEM
$106.54 / VIAL
MEROPENEM INJ 1G
MERONEM
$184.47 / VIAL
G
G
G
G
G
5.1.3
FORTUM
CEDAX
CEDAX
ROCEPHIN
ROCEPHIN
ZINNAT
ZINNAT
ZINNAT
ZINACEF
KEFLEX
Tetracyclines
DOXYCYCLINE HYCLATE TAB 100MG

MINOCYCLINE (HCL) CAP 50MG
MINOCYCLINE (HCL) INJ 100MG
OXYTETRACYCLINE (WITH LIGNOCAINE) IM INJ 50MG/ML 10ML
TETRACYCLINE HCL CAP 250MG
TIGECYCLINE INF 50MG
5.1.4
VIBRAMYCIN
MINOCIN
MINOCIN
MINOCIN
OXYLIM
ACHROMYCIN
TYGACIL
$60.00 / VIAL
$2.20 / AMP
$530.00 / PACK
$1,398.00 / PACK
$5.53 / VIAL
$0.50 / TAB
$29.36 / VIAL
G
G
G
G
G
G
G
Macrolides
AZITHROMYCIN INF 500MG

AZITHROMYCIN SUSP 200MG/5ML
AZITHROMYCIN TAB 250MG
CLARITHROMYCIN INJ 500MG
CLARITHROMYCIN SUSP 125MG/5ML
CLARITHROMYCIN TAB 250MG
ERYTHROMYCIN (LACTOBIONATE) INF 500MG
5.1.6
G
G
G
G
G
G
G
Aminoglycosides
AMIKACIN SULPHATE INJ 250MG/ML 2ML

AMIKIN
GENTAMICIN INJ 40MG/ML 2ML
GARAMYCIN
GENTAMICIN (SULPHATE) BEADS 3.5MM 10NO
SEPTOPAL
GENTAMICIN (SULPHATE) BEADS 7MM 30NO
SEPTOPAL
KANAMYCIN SULPHATE INJ 1000MG
NEOMYCIN SULPHATE TAB 250 MG
NEOATE
TOBRAMYCIN (SULPHATE) INJ 40MG/ML 2ML
NEBCIN
5.1.5
$0.29 / TAB
$1.80 / CAP
$3.10 / CAP
$114.23 / VIAL
$12.00 / VIAL
$0.11 / CAP
$324.00 / VIAL
ZITHROMAX
ZITHROMAX
ZITHROMAX
KLACID
KLACID
KLACID
ERYTHROCIN
$165.00 / VIAL
$1.67 / ML
$2.92 / TAB
$60.00 / VIAL
$0.45 / ML
$1.23 / TAB
$32.00 / VIAL
G
G
G
G
G
G
G
Clindamycin
CLINDAMYCIN (HCL) CAP 150MG

CLINDAMYCIN (PHOSPHATE) INJ 150MG/ML 2ML
DALACIN C
DALACIN C
22
$2.90 / CAP
$12.00 / VIAL
G
G
5.1.7
Some other antibacterials
FUSIDATE SODIUM INF 500MG

FUSIDATE SODIUM TAB 250MG
FUSIDIC ACID SYR 250MG/5ML
LINEZOLID INJ 2MG/ML 300ML
LINEZOLID TAB 600MG
TEICOPLANIN INJ 200MG
VANCOMYCIN (HCL) INJ 500MG
5.1.8
FUCIDIN
FUCIDIN
FUCIDIN
ZYVOX
ZYVOX
TARGOCID
VANCOCIN
SEPTRIN
SEPTRIN
SEPTRIN
MONOTRIM
FLAGYL
FLAGYL
FLAGYL
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
$0.91 / TAB
$3.90 / VIAL
$0.11 / TAB
$1.05 / ML
G
G
G
Quinolones
CIPROFLOXACIN (HCL) TAB 250MG

CIPROFLOXACIN (LACTATE) INF 2MG/ML 100ML
LEVOFLOXACIN INF 5MG/ML 100ML
LEVOFLOXACIN TAB 250MG
MOXIFLOXACIN (HCL) TAB 400MG
MOXIFLOXACIN (HCL) IN NACL INF 1.6MG/ML 250ML
5.1.13
$0.27 / TAB
$0.65 / TAB
$0.00 / ML
$0.06 / TAB
$0.04 / ML
$0.60 / TAB
$69.00 / CAP
$2.13 / TAB
$1.70 / TAB
$3.40 / TAB
$0.40 / CAP
$0.79 / CAP
$144.59 / VIAL
$0.67 / ML
$6.00 / VIAL
Metronidazole and tinidazole
METRONIDAZOLE INF 5MG/ML 100ML

METRONIDAZOLE TAB 200MG
METRONIDAZOLE (BENZOATE) SYR 200MG/5ML
5.1.12
G
G
G
G
Antileprotic drugs
DAPSONE TAB 100MG
5.1.11
$29.17 / AMP
$0.04 / ML
$0.19 / TAB
$0.47 / ML
Antituberculosis drugs
ETHAMBUTOL HCL TAB 100MG

MYAMBUTOL
ETHAMBUTOL HCL TAB 400MG
MYAMBUTOL
ISONIAZID ELIXIR 100MG/5ML
RIMIFON
ISONIAZID TAB 100MG
RIMIFON
PYRAZINAMIDE SYR 1G/10ML
PYRAZINAMIDE TAB 500MG
PYRAFAT
RIFABUTIN CAP 150MG
MYCOBUTIN
RIFAMPICIN 120MG + ISONIAZID 50MG + PYRAZINAMIDE 300MG TAB
RIFATER
RIFAMPICIN 150MG + ISONIAZID 100MG TAB
RIFINAH 150
RIFAMPICIN 300MG + ISONIAZID 150MG TAB
RIFINAH 300
RIFAMPICIN CAP 150MG
RIFADIN
RIFAMPICIN CAP 300MG
RIFADIN
RIFAMPICIN INF 600MG
RIFADIN
RIFAMPICIN SYR 100MG/5ML
RIFADIN
STREPTOMYCIN (SULPHATE) INJ 1G
5.1.10
G
G
G
S
S
G
G
Sulphonamides and trimethoprim
COTRIMOXAZOLE INJ 96MG/ML 5ML

COTRIMOXAZOLE SUSP 240MG/5ML
COTRIMOXAZOLE TAB 480MG
TRIMETHOPRIM SUSP 50MG/5ML
5.1.9
$140.24 / VIAL
$9.88 / TAB
$5.83 / ML
$412.00 / BAG
$401.07 / TAB
$371.88 / VIAL
$22.62 / VIAL
CIPROXIN
CIPROXIN
CRAVIT
CRAVIT
AVELOX
AVELOX
$0.59 / TAB
$169.79 / VIAL
$250.39 / BOTT
$2.20 / TAB
$18.98 / TAB
$219.86 / BOTT
G
G
G
G
G
G
Urinary-tract infections
NITROFURANTOIN TAB 50MG
FURADANTIN
23
$0.11 / TAB
5.2
Antifungal drugs
AMPHOTERICIN B INJ 50MG

AMPHOTERICIN B (LIPOSOMAL) INJ 50MG
ANIDULAFUNGIN INF 100MG
CASPOFUNGIN ACETATE INF 50MG
CASPOFUNGIN ACETATE INF 70MG
FLUCONAZOLE CAP 50MG
FLUCONAZOLE CAP 150MG
FLUCONAZOLE SUSP 50MG/5ML
FLUCONAZOLE INF 2MG/ML 100ML
GRISEOFULVIN TAB 125MG
ITRACONAZOLE CAP 100MG
ITRACONAZOLE INF 10MG/ML 25ML
ITRACONAZOLE SOLN 10MG/ML
KETOCONAZOLE TAB 200MG
MICAFUNGIN SODIUM INF 50MG
NYSTATIN SUSP 100000U/ML
TERBINAFINE (HCL) TAB 250MG
VORICONAZOLE INF 200MG
VORICONAZOLE TAB 50MG
VORICONAZOLE TAB 200MG
FUNGIZONE
AMBISOME
ERAXIS
CANCIDAS
CANCIDAS
DIFLUCAN
DIFLUCAN
DIFLUCAN
DIFLUCAN
FULCIN
SPORANOX
SPORANOX
SPORANOX
NIZORAL
MYCAMINE
MYCOSTATIN
LAMISIL
VFEND
VFEND
VFEND
$195.00 / VIAL
$1,662.85 / VIAL
$1,500.00 / VIAL
$1,556.57 / VIAL
$2,013.12 / VIAL
$0.94 / CAP
$3.28 / CAP
$6.83 / ML
$375.00 / VIAL
$0.46 / TAB
$6.61 / CAP
$574.95 / AMP
$6.29 / ML
$1.50 / TAB
$530.00 / VIAL
$0.97 / ML
$1.45 / TAB
$806.95 / VIAL
$88.00 / TAB
$377.75 / TAB
5.3
Antiviral drugs
5.3.1
HIV infection (FOR PAED ONLY)
DIDANOSINE E.C. DELAYED RELEASE CAP 250MG

EFAVIRENZ TAB 600MG
LAMIVUDINE 150MG + ZIDOVUDINE 300MG TAB
LAMIVUDINE SOLN 10MG/ML
LAMIVUDINE TAB 150MG
LOPINAVIR + RITONAVIR (400MG+100MG/5ML) SOLN
LOPINAVIR 100MG + RITONAVIR 25MG TAB
LOPINAVIR 200MG + RITONAVIR 50MG TAB
NELFINAVIR (MESYLATE) TAB 250MG
NEVIRAPINE TAB 200MG
STAVUDINE CAP 40MG
ZIDOVUDINE CAP 100MG
ZIDOVUDINE INJ 10MG/ML 20ML
ZIDOVUDINE SYR 10MG/ML
5.3.2
VIDEX EC
STOCRIN
COMBIVIR
3TC
3TC
KALETRA
KALETRA 100/25
KALETRA 200/50
VIRACEPT
VIRAMUNE
ZERIT
RETROVIR
RETROVIR
RETROVIR
$54.00 / CAP
$78.00 / TAB
$66.00 / TAB
$2.50 / ML
$33.17 / TAB
$12.53 / ML
$15.00 / TAB
$28.36 / TAB
$10.93 / TAB
$35.57 / TAB
$37.13 / CAP
$10.17 / CAP
$398.00 / VIAL
$2.15 / ML
G
S
S
S
S
G
G
G
G
G
G
S
G
G
S
G
G
S
S
S
G
G
G
G
G
G
G
G
G
G
G
G
G
G
Herpesvirus infections
5.3.2.1
Herpes simplex and varicellazoster infection
ACYCLOVIR SUSP 200MG/5ML
ZOVIRAX
$5.08 / ML
ACYCLOVIR TAB 200MG
ZOVIRAX
$0.46 / TAB
ACYCLOVIR TAB 400MG
ZOVIRAX
$0.54 / TAB
ACYCLOVIR TAB 800MG
ZOVIRAX
$1.43 / TAB
ACYCLOVIR (SODIUM) INJ 250MG
ZOVIRAX
$43.00 / VIAL
FAMCICLOVIR TAB 250MG
FAMVIR
$47.14 / TAB
VALACICLOVIR (HCL) TAB 500MG
VALTREX
$23.81 / TAB
24
G
G
G
G
G
G
G
5.3.2.2
Cytomegalovirus infection
FOSCARNET SODIUM INF 24MG/ML 250ML
FOSCAVIR
$550.00 / BOTT
GANCICLOVIR (SODIUM) INJ 500MG
CYMEVENE
$560.00 / VIAL
VALGANCICLOVIR (HCL) TAB 450MG
VALCYTE
$273.69 / TAB
5.3.3
Viral hepatitis
ADEFOVIR DIPIVOXIL TAB 10MG

ENTECAVIR TAB 0.5MG
BARACLUDE
ENTECAVIR TAB 1MG
BARACLUDE
LAMIVUDINE TAB 100MG
ZEFFIX
TELBIVUDINE TAB 600MG
SEBIVO
5.3.4
$53.33 / TAB
$49.90 / TAB
$99.80 / TAB
$26.00 / TAB
$35.00 / TAB
PK-MERZ
TAMIFLU
TAMIFLU
TAMIFLU
TAMIFLU
RELENZA
$3.44 / TAB
$7.28 / CAP
$10.92 / CAP
$14.00 / CAP
$1.98 / ML
$195.00 / PACK
5.4
Antiprotozoal drugs
5.4.1
Antimalarials
ARTESUNATE INJ 60MG

ARTESUNATE TAB 50MG
CHLOROQUINE PHOSPHATE (=150MG BASE) TAB 250MG
VIBRAMYCIN
MEFLOQUINE (HCL) TAB 250MG
LARIAM
QUININE SULPHATE TAB 200MG
$197.50 / VIAL
$18.95 / TAB
$0.33 / TAB
$0.29 / TAB
$25.50 / TAB
$1.61 / TAB
FLAGYL
FLAGYL
$0.11 / TAB
$1.05 / ML
LOMIDINE
$519.32 / VIAL
5.5
Anthelmintics
5.5.1
Drugs for threadworms
MEBENDAZOLE TAB 100MG

PYRANTEL (PAMOATE) TAB 125MG
VERMOX
COMBANTRIN
G
G
$1.25 / TAB
$0.53 / TAB
G
G
Ascaricides
LEVAMISOLE (HCL) TAB 50MG

MEBENDAZOLE TAB 100MG
PYRANTEL (PAMOATE) TAB 125MG
5.5.5
NA
NA
G
G
G
G
Drugs for pneumocystis pneumonia
PENTAMIDINE ISETHIONATE INJ 300MG
5.5.2
G
S
S
S
S
S
Amoebicides
METRONIDAZOLE TAB 200MG

METRONIDAZOLE (BENZOATE) SYR 200MG/5ML
5.4.8
S
S
S
S
$
Influenza
AMANTADINE SULPHATE TAB 100MG

OSELTAMIVIR (PHOSPHATE) CAP 30MG
OSELTAMIVIR (PHOSPHATE) SUSP 12MG/ML
ZANAMIVIR ROTADISK 5MG 20BLISTER(S)
5.4.2
NA
G
G
DECARIS
VERMOX
COMBANTRIN
$6.67 / TAB
$1.25 / TAB
$0.53 / TAB
G
G
G
Schistosomicides
PRAZIQUANTEL TAB 600MG

BILTRICIDE
$95.00 / TAB

25
Endocrine system
6.1
Drugs used in diabetes
6.1.1
Insulins
6.1.1.1
Short-acting insulins
INSULIN ASPART HUMAN ANALOG (NOVORAPID)
NOVORAPID
$51.60 / NO
FLEXPEN 100U/ML 3ML
INSULIN LISPRO HUMAN ANALOG (HUMALOG) PENFILL 100U/ML 3ML HUMALOG
$45.10 / NO
INSULIN LISPRO HUMAN ANALOG(HUMALOG) INJ 100U/ML 10ML
HUMALOG
$160.85 / VIAL
INSULIN NEUTRAL HUMAN (ACTRAPID HM) INJ 100U/ML 10ML
ACTRAPID HM
$84.30 / VIAL
INSULIN NEUTRAL HUMAN (ACTRAPID HM) PENFILL 100U/ML 3ML
ACTRAPID HM
$27.30 / NO
INSULIN NEUTRAL HUMAN (HUMULIN R) INJ 100U/ML 10ML
HUMULIN R
$85.50 / VIAL
INSULIN NEUTRAL HUMAN (HUMULIN R) PENFILL 100U/ML 3ML
HUMULIN R
$26.94 / NO
6.1.1.2
Intermediate- and long-acting insulins
INSULIN ASPART HUMAN ANALOG (NOVOMIX 30)
NOVOMIX 30
$55.54 / NO
FLEXPEN 100U/ML 3ML
INSULIN DETEMIR (LEVEMIR) FLEXPEN 100U/ML 3ML
LEVEMIR
$93.00 / NO
INSULIN GLARGINE (LANTUS SOLOSTAR)
LANTUS SOLOSTAR $112.60 / NO
PREFILLED PEN 100U/ML 3ML
INSULIN GLARGINE (LANTUS) INJ 100U/ML 10ML
LANTUS
$101.96 / VIAL
INSULIN HUMAN (HUMULIN 70/30) PENFILL 100U/ML 3ML
HUMULIN 70/30
$26.94 / NO
INSULIN HUMAN (MIXTARD 30HM) INJ 100U/ML 10ML
MIXTARD 30HM
$84.30 / VIAL
INSULIN HUMAN (MIXTARD 30HM) PENFILL 100U/ML 3ML
MIXTARD 30HM
$27.49 / NO
INSULIN ISOPHANE HM (PROTAPHANE HM) INJ 100U/ML 10ML
PROTAPHANE HM
$84.30 / VIAL
INSULIN ISOPHANE HUMAN (PROTAPHANE HM) PENFILL 100U/ML 3ML PROTAPHANE HM
$27.84 / NO
INSULIN ISOPHANE HUMAN (HUMULIN N) INJ 100U/ML 10ML
HUMULIN N
$85.50 / VIAL
INSULIN ISOPHANE HUMAN (HUMULIN N) PENFILL 100U/ML 3ML
HUMULIN N
$26.94 / NO
6.1.2
S
S
S
G
G
G
G
S
S
S
S
G
G
G
G
G
G
G
Antidiabetic drugs
6.1.2.1
Sulphonylureas
GLIBENCLAMIDE TAB 5MG
DAONIL
$0.02 / TAB
GLICLAZIDE MODIFIED RELEASE TAB 30MG
DIAMICRON MR
$0.30 / TAB
GLICLAZIDE TAB 80MG
DIAMICRON
$0.14 / TAB
GLIMEPIRIDE TAB 1MG
AMARYL
$0.60 / TAB
GLIMEPIRIDE TAB 2MG
AMARYL
$0.46 / TAB
GLIMEPIRIDE TAB 4MG
AMARYL
$0.92 / TAB
GLIPIZIDE TAB 5MG
MINIDIAB
$0.11 / TAB
G
G
G
G
G
G
G
6.1.2.2
Biguanides
METFORMIN HCL TAB 250MG
GLUCOPHAGE
$0.17 / TAB
METFORMIN HCL TAB 500MG
GLUCOPHAGE
$0.13 / TAB
METFORMIN HCL EXTENDED RELEASE TAB 500MG
GLUCOPHAGE XR
$0.90 / TAB
G
G
S
6.1.2.3
Other antidiabetic drugs
ACARBOSE TAB 50MG
GLUCOBAY
$0.99 / TAB
ACARBOSE TAB 100MG
GLUCOBAY
$1.35 / TAB
PIOGLITAZONE (HCL) TAB 15MG
ACTOS
$6.67 / TAB
PIOGLITAZONE (HCL) TAB 30MG
ACTOS
$11.11 / TAB
S
S
S
S
26
SITAGLIPTIN (PHOSPHATE) TAB 100MG

SITAGLIPTIN 50MG + METFORMIN 500MG TAB
SITAGLIPTIN 50MG + METFORMIN 1000MG TAB
6.1.4
JANUVIA
$7.91 / TAB
JANUMET 50MG/500MG $3.96 / TAB
JANUMET 50MG/1000MG $3.96 / TAB
Treatment of hypoglycaemia
DIAZOXIDE CAP 25MG

$12.60 / CAP
GLUCAGON (HCL) INJ 1MG
GLUCAGEN HYPOKIT $401.50 / NO
6.2
Thyroid and antithyroid drugs
6.2.1
Thyroid hormones
LIOTHYRONINE SODIUM TAB 20MCG (T3)

THYROXINE SODIUM TAB 50MCG (T4)
THYROXINE SODIUM TAB 100MCG (T4)
6.2.2
TERTROXIN
ELTROXIN
ELTROXIN
$12.78 / TAB
$0.07 / TAB
$0.07 / TAB
NA
G
NA
G
G
Antithyroid drugs
CARBIMAZOLE TAB 5MG

NEO MERCAZOLE
IODINE AQUEOUS SOLN
METHIMAZOLE TAB 5MG
TAPAZOLE
POTASSIUM IODIDE TAB 130MG
IOSAT
PROPYL THIOURACIL TAB 50MG
$0.08 / TAB
$0.14 / ML
$0.13 / TAB
$2.01 / TAB
$0.24 / TAB
6.3
Corticosteroids
6.3.1
Replacement therapy
FLUDROCORTISONE ACETATE TAB 100MCG

FLORINEF
HYDROCORTISONE TAB 20MG
HYDROCORTISONE SODIUM SUCCINATE INJ 100MG
SOLU CORTEF
6.3.2
S
S
S
$0.81 / TAB
$0.37 / TAB
$15.70 / VIAL
G
G
G
G
G
G
G
G
Glucocorticoid therapy
BETAMETHASONE INJ 7MG/ML 1ML

DIPROSPAN
DEXAMETHASONE TAB 0.5MG
DECADRON
DEXAMETHASONE TAB 4MG
DECADRON
DEXAMETHASONE SODIUM PHOSPHATE INJ 4MG/ML 1ML
DECADRON
DEXAMETHASONE SODIUM PHOSPHATE (P F) INJ 4MG/ML 2ML
DECADRON
HYDROCORTISONE TAB 20MG
HYDROCORTISONE SODIUM SUCCINATE INJ 100MG
SOLU CORTEF
METHYLPREDNISOLONE ACETATE INJ 40MG/ML 1ML
DEPO MEDROL
METHYLPREDNISOLONE SODIUM SUCCINATE INJ 500MG
SOLU MEDROL
PREDNISOLONE (SODIUM PHOSPHATE) LIQUID 5MG/ML 30ML
REDIPRED
PREDNISOLONE TAB 1MG
PREDNISOLONE TAB 5MG
TRIAMCINOLONE ACETONIDE I-ARTICULAR INJ 10MG/ML 5ML
KENACORT A
TRIAMCINOLONE ACETONIDE IM INJ 40MG/ML 1ML
KENACORT A
$17.25 / AMP
$0.11 / TAB
$0.62 / TAB
$2.45 / AMP
$49.00 / AMP
$0.37 / TAB
$15.70 / VIAL
$30.00 / AMP
$80.00 / VIAL
$1.67 / ML
$0.09 / TAB
$0.12 / TAB
$49.87 / VIAL
$26.37 / VIAL
6.4
Sex hormones
6.4.1
Female sex hormones
6.4.1.1
Oestrogens and HRT
CONJUGATED ESTROGENS 0.625MG
PREMELLE
$69.99 / PACK
+ MEDROXYPROGESTERONE ACETATE 2.5MG TAB
27
G
G
G
G
G
G
G
G
G
G
G
G
G
G
ESTRADIOL HEMIHYDRATE 1MG

+ NORETHISTERONE ACETATE 0.5MG TAB
ESTRADIOL 2MG + NORETHISTERONE ACETATE 1MG TAB
ESTRADIOL TRANSDERMAL PATCH 25MCG/24HR
OESTRADIOL TAB 2MG
OESTROGENS CONJUGATED IV INJ 25MG
OESTROGENS CONJUGATED TAB 0.3MG
OESTROGENS CONJUGATED TAB 0.625MG
ACTIVELLE
KLIOGEST
ESTRADERM TTS
ESTROFEM
PREMARIN
PREMARIN
PREMARIN
$44.70 / CYCL
$55.16 / CYCL
$11.67 / PCS
$0.95 / TAB
$254.62 / VIAL
$2.14 / TAB
$2.14 / TAB
S
S
S
G
S
S
6.4.1.2
Progestogens
LEVONORGESTREL TAB 0.75MG
POSTINOR
$9.75 / TAB
MEDROXYPROGESTERONE ACETATE TAB 5MG
PROVERA
$0.80 / TAB
NORETHISTERONE TAB 5MG
PRIMOLUT N
$0.45 / TAB
PROGESTERONE (MICRONIZED) PESSARY 100MG
ENDOMETRIN
$10.00 / NO
6.4.2
Male sex hormones and antagonists
CYPROTERONE ACETATE TAB 50MG

FINASTERIDE TAB 5MG
TESTOSTERONE ENANTHATE INJ 250MG/ML 1ML
TESTOSTERONE UNDECANOATE CAP 40MG
6.4.3
S
G
G
S
ANDROCUR
PROSCAR
TESTOVIRON DEPOT
ANDRIOL
$12.10 / TAB
$1.05 / TAB
$87.80 / AMP
$3.61 / CAP
S
S
G
G
Anabolic steroids
OXANDROLONE TAB 2.5MG
LONAVAR
$49.00 / TAB
NA
6.5
Hypothalamic and pituitary hormones and anti-oestrogens
6.5.1
Hypothalamic and anterior pituitary hormones and anti-oestrogens
CHORIONIC GONADOTROPHIN (PREGNYL) INJ 1500 IU (hCG)

PREGNYL
$25.33 / AMP
CHORIONIC GONADOTROPHIN (PREGNYL) INJ 5000 IU (hCG)
PREGNYL
$45.36 / AMP
CLOMIPHENE CITRATE TAB 50MG
CLOMID
$1.60 / TAB
CORTICORELIN (HUMAN) (TRIFLUOROACETATE) INJ 0.1MG
CRH
$1,920.00 / AMP
FOLLITROPIN BETA INJ 100 IU/0.5ML
PUREGON
$128.75 / VIAL
PUREGON
$345.00 / NO
PUREGON
$675.00 / NO
GONADORELIN (LHRH) INJ 100MCG
RELISORM L
$399.93 / AMP
MENOTROPHIN INJ 75 UNIT(S) (hMG)
MENOGON
$54.60 / AMP
PROTIRELIN (TRH) INJ 0.2MG/ML 1ML
$599.83 / AMP
SOMATROPIN INJ 4 IU (1.33MG)
HUMATROPE
$98.00 / VIAL
TETRACOSACTIDE (ACETATE) INJ 0.25MG
CORTROSYN
$62.64 / AMP
TETRACOSACTIDE (ACETATE-ZINC) DEPOT IM INJ 1MG/ML 1ML
CORTROSYN DEPOT $131.11 / AMP
THYROTROPIN ALFA IM INJ 1.1MG
THYROGEN
$5,200.00 / VIAL
6.5.2
S
S
G
G
$
$
$
NA
S
G
S/N
G
G
$
Posterior pituitary hormones and antagonists
DESMOPRESSIN ACETATE (DDAVP) ORAL LYOPHILISATE 60MCG

DESMOPRESSIN ACETATE (DDAVP) ORAL LYOPHILISATE 120MCG
DESMOPRESSIN ACETATE (DDAVP) TAB 0.1MG
DESMOPRESSIN ACETATE (DDAVP) TAB 0.2MG
DESMOPRESSIN ACETATE (DDAVP) INJ 4MCG/ML 1ML
DESMOPRESSIN ACETATE (DDAVP) INJ 15MCG/ML 1ML
TERLIPRESSIN (ACETATE) INJ 1MG
VASOPRESSIN INJ 20U/ML 1ML
28
MINIRIN MELT
MINIRIN MELT
MINIRIN
MINIRIN
MINIRIN
OCTOSTIM
GLYPRESSIN
PITRESSIN
$5.67 / NO
$11.33 / NO
$5.90 / TAB
$11.80 / TAB
$75.00 / AMP
$100.00 / AMP
$294.89 / VIAL
$199.50 / AMP
S
S
S
S
G
G
G
G
6.6
Drugs affecting bone metabolism
6.6.1
Calcitonin and parathyroid hormone
SALCATONIN INJ 100 IU/ML 1ML

SALCATONIN NASAL SPRAY 200 IU/DOSE 14DOSES
6.6.2
MIACALCIC
MIACALCIC
$112.43 / AMP
$339.00 / BOTT
S
S
Bisphosphonates and other drugs affecting bone metabolism
ALENDRONATE SODIUM TAB 10MG

FOSAMAX
ALENDRONATE SODIUM TAB 70MG
FOSAMAX
DISODIUM PAMIDRONATE INF 3MG/ML 10ML
DISODIUM PAMIDRONATE INF 6MG/ML 10ML
PAMISOL
IBANDRONIC ACID PREFILLED SYRINGE 1MG/ML 3ML
BONVIVA
IBANDRONIC ACID TAB 150MG
BONVIVA
RISEDRONATE SODIUM TAB 5MG
ACTONEL
RISEDRONATE SODIUM TAB 35MG
ACTONEL
STRONTIUM RANELATE GRANULES 2G/SACHET
PROTOS
ZOLEDRONIC ACID (ACLASTA) INF 50MCG/ML 100ML
ACLASTA
ZOLEDRONIC ACID (ZOMETA) INF 4MG
ZOMETA
$9.78 / TAB
$16.25 / TAB
$414.17 / VIAL
$826.67 / VIAL
$406.13 / NO
$62.45 / TAB
$8.57 / TAB
$59.93 / TAB
$5.71 / PACK
$2,708.67 / BOTT
$1,886.33 / VIAL
S
S
S
S
S
S
S
S
S
S
S
6.7
Other endocrine drugs
6.7.1
Bromocriptine and other dopaminergic drugs
BROMOCRIPTINE (MESYLATE) TAB 2.5MG

CABERGOLINE TAB 0.5MG
6.7.2
PARLODEL
DOSTINEX
G
S
Drugs affecting gonadotrophins /
BUSERELIN (ACETATE) NASAL SPRAY 150MCG/DOSE 84DOSES

DANAZOL CAP 200MG
GOSERELIN (ACETATE) SYRINGE 3.6MG
LEUPRORELIN ACETATE SR INJ 3.75MG
LEUPRORELIN ACETATE (3 MONTH DEPOT) INJ 11.25MG
TRIPTORELIN INJ 3.75MG
TRIPTORELIN IM PR INJ 11.25MG
6.7.3
$0.39 / TAB
$60.80 / TAB
SUPRECUR
DANOCRINE
ZOLADEX
ENANTONE SR
ENANTONE
DECAPEPTYL CR
DIPHERELINE PR
$498.00 / BOTT
$3.60 / CAP
$1,037.92 / NO
$1,200.00 / VIAL
$2,800.00 / VIAL
$1,090.91 / AMP
$2,605.71 / VIAL
S/$
G
S/$
S/$
S/$
S/$
S/$
Metyrapone and trilostane
METYRAPONE CAP 250MG
METOPIRONE
29
$11.80 / CAP
Obstetrics, gynaecology, and urinary-tract disorders
7.1
Drugs used in obstetrics
7.1.1
Prostaglandins and oxytocics
CARBOPROST (TROMETHAMINE) INJ 0.25MG/ML 1ML

HEMABATE
DINOPROSTONE INJ 5MG/0.5ML
PROSTIN E2
DINOPROSTONE PESSARY 3MG
PROSTIN E2
DINOPROSTONE TAB 0.5MG
PROSTIN E2
OXYTOCIN INJ 10U/ML 1ML
SYNTOCINON
SYNTOMETRINE (OR EQUIV) INJ 1ML
$710.51 / AMP
$798.90 / AMP
$233.00 / NO
$50.50 / TAB
$4.90 / AMP
$9.33 / AMP
7.1.1.1
Ductus arteriosus
ALPROSTADIL INJ 0.5MG/ML 1ML (PGE1)
PROSTIN VR
$2,788.00 / AMP

PEDIATRIC
INDOMETHACIN PDA IV INJ 1MG
INDOCID PDA
$270.18 / AMP
7.1.3
G
G
G
G
G
G
G
G
Myometrial relaxants
ATOSIBAN (ACETATE) INF 7.5MG/ML 5ML

TERBUTALINE SULPHATE INJ 0.5MG/ML 1ML
TRACTOCILE
BRICANYL
$650.00 / VIAL
$15.96 / AMP
S
G
7.2
Treatment of vaginal and vulval conditions
7.2.1
Preparations for vaginal and vulval changes
OESTROGENS CONJUGATED VAGINAL CREAM 14G
7.2.2
PREMARIN
$30.00 / TUBE
Vaginal and vulval infections
CLOTRIMAZOLE CREAM 1% 20G

CLOTRIMAZOLE PESSARY 100MG
CANESTEN
CANESTEN
$4.30 / TUBE
$1.19 / NO
7.3
Contraceptives
7.3.1
Combined hormonal contraceptives
LEVONORGESTREL 0.15MG + ETHINYLESTRADIOL 0.03MG TAB
7.3.2
MICROGYNON 30 ED
$5.19 / CYCL
Intra-uterine progestogen-only device
LEVONORGESTREL INTRAUTERINE SYSTEM 52MG
7.3.5
G
G
Progestogen-only contraceptives
7.3.2.2
Parenteral progestogen-only contraceptives
MEDROXYPROGESTERONE ACETATE INJ 150MG/ML 1ML
DEPO PROVERA
$46.00 / VIAL
7.3.2.3
MIRENA
$1,017.48 / PACK
Emergency contraception
LEVONORGESTREL TAB 0.75MG
POSTINOR
$9.75 / TAB
7.4
Drugs for genito-urinary disorders
7.4.1
Drugs for urinary retention
ALFUZOSIN HCL SR TAB 5MG

ALFUZOSIN HCL PROLONGED RELEASE TAB 10MG
DISTIGMINE BROMIDE TAB 5MG
DOXAZOSIN MESYLATE TAB 2MG
XATRAL SR
XATRAL XL
UBRETID
CARDURA
CARDURA XL
30
$5.14 / TAB
$3.22 / TAB
$3.53 / TAB
$3.56 / TAB
$2.90 / TAB
S
S
G
S
S

TAMSULOSIN HCL PROLONGED RELEASE TAB 0.4MG
7.4.2
CARDURA XL
MINIPRESS
MINIPRESS
HARNAL OCAS
HYTRIN
HYTRIN
CYMBALTA
CYMBALTA
DITROPAN
PROBANTHINE
VESICARE
VESICARE
DETRUSITOL
S
S
G
G
S
S
S
$0.37 / TAB
$0.01 / ML
$0.00 / ML
G
G
G
Bladder instillations and urological surgery
GLYCINE UROLOGICAL IRRI SOLN 1.5% 2L

SODIUM CITRATE SOLN 4% W/V 250ML
7.4.5
$5.60 / CAP
$8.33 / CAP
$0.80 / TAB
$0.22 / TAB
$5.90 / TAB
$5.90 / TAB
$4.16 / TAB
Drugs used in urological pain
PHENAZOPYRIDINE HCL TAB 100MG

PYRIDIUM
POTASSIUM CITRATE MIXTURE 3G/10ML
SODIUM CITRATE MIXTURE 0.3MOLAR
7.4.4
S
G
G
S
S
S
Drugs for urinary frequency, enuresis, and incontinence

OXYBUTYNIN HCL TAB 5MG
PROPANTHELINE BROMIDE TAB 15MG
SOLIFENACIN SUCCINATE TAB 5MG
SOLIFENACIN SUCCINATE TAB 10MG
TOLTERODINE TARTRATE TAB 2MG
7.4.3
$5.25 / TAB
$0.05 / TAB
$0.08 / TAB
$2.60 / TAB
$0.23 / TAB
$0.30 / TAB
$17.83 / BAG
$90.00 / BAG
G
G
Drugs for erectile dysfunction
ALPROSTADIL (CAVERJECT) DUAL CHAMBER SYRINGE 20MCG

CAVERJECT
PAPAVERINE HCL INJ 12MG/ML 10ML
31
$138.00 / NO
$220.00 / AMP
S
S
8
8.1
Malignant disease and immunosuppression

Cytotoxic drugs
CALCIUM FOLINATE (LEUCOVORIN CA) INJ 7.5MG/ML 2ML

RESCUVOLIN
CALCIUM FOLINATE (LEUCOVORIN CA) INJ 100MG (FOLINIC ACID)
RESCUVOLIN
CALCIUM FOLINATE (LEUCOVORIN CA) INJ 300MG (FOLINIC ACID)
RESCUVOLIN
FOLINIC ACID CAP 15MG
MESNA INJ 100MG/ML 4ML
UROMITEXAN
8.1.1
BUSULFEX
MYLERAN
BICNU
LEUKERAN
ENDOXAN
ENDOXAN
ENDOXAN
HOLOXAN
ALKERAN
ALKERAN
$1,753.08 / VIAL
$8.90 / TAB
$830.00 / VIAL
$9.40 / TAB
$16.44 / VIAL
$45.50 / VIAL
$1.24 / TAB
$222.50 / VIAL
$11.80 / TAB
$2,698.71 / VIAL
G
G
G
G
G
G
G
S
G
G
Anthracyclines and other cytotoxic antibiotics
ACTINOMYCIN D INJ 500MCG

BLEOMYCIN HCL INJ 15MG
DAUNORUBICIN HCL INJ 20MG
DOXORUBICIN HCL INJ 50MG
DOXORUBICIN HCL (LIPOSOMAL) INF 2MG/ML 10ML
EPIRUBICIN HCL INJ 10MG
EPIRUBICIN HCL INJ 50MG
IDARUBICIN HCL IV INJ 5MG
MITOMYCIN INJ 2MG
MITOMYCIN INJ 10MG
MITOXANTRONE (HCL) INJ 2MG/ML 10ML
8.1.3
G
G
G
G
G
Alkylating drugs
BUSULPHAN INF 6MG/ML 10ML

BUSULPHAN TAB 2MG
CARMUSTINE INJ 100MG
CHLORAMBUCIL TAB 2MG
CYCLOPHOSPHAMIDE INJ 200MG
CYCLOPHOSPHAMIDE INJ 1000MG
CYCLOPHOSPHAMIDE COATED TAB 50MG
IFOSFAMIDE INJ 1G
MELPHALAN TAB 2MG
MELPHALAN (HCL) INJ 50MG
8.1.2
$24.00 / AMP
$27.00 / AMP
$50.00 / VIAL
$4.26 / CAP
$41.93 / AMP
COSMEGEN LYOVAC
BLEOCIN
DAUNOBLASTINA
ADRIAMYCIN
CAELYX
PHARMORUBICIN
PHARMORUBICIN
ZAVEDOS
MITOMYCIN C
MITOMYCIN C
NOVANTRONE
$139.79 / VIAL
$279.00 / VIAL
$223.00 / VIAL
$73.50 / VIAL
$3,533.33 / VIAL
$111.11 / VIAL
$540.31 / VIAL
$1,585.00 / VIAL
$55.00 / VIAL
$297.24 / VIAL
$1,144.00 / VIAL
G
S
G
G
$
G
G
G
G
G
S
Antimetabolites
CAPECITABINE TAB 150MG

XELODA
CAPECITABINE TAB 500MG
XELODA
CYTARABINE INJ 100MG
CYTOSAR
CYTARABINE INJ 500MG
CYTOSAR
CYTARABINE INJ 100MG/ML 10ML
FLUDARABINE PHOSPHATE INJ 50MG
FLUDARA
FLUDARABINE PHOSPHATE TAB 10MG
FLUDARA
FLUOROURACIL INJ 50MG/ML 10ML
FLUOROURACIL INJ 50MG/ML 100ML
GEMCITABINE INJ 200MG
GEMZAR
GEMCITABINE INJ 1G
GEMZAR
MERCAPTOPURINE TAB 50MG (6-MP)
PURI-NETHOL
METHOTREXATE (SODIUM) INJ 500MG
32
$8.65 / TAB
$28.69 / TAB
$76.00 / VIAL
$68.00 / VIAL
$120.83 / VIAL
$1,380.19 / VIAL
$215.00 / TAB
$12.00 / VIAL
$60.23 / VIAL
$250.50 / VIAL
$1,401.19 / VIAL
$19.40 / TAB
$16.00 / VIAL
$66.00 / VIAL
$130.00 / VIAL
$
$
G
G
G
S
S
G
G
$
$
G
G
G
G

PEMETREXED (DISODIUM) INF 100MG
ALIMTA
PEMETREXED (DISODIUM) INF 500MG
ALIMTA
TEGAFUR CAP 200MG
FUTRAFUL
THIOGUANINE TAB 40MG
LANVIS
8.1.4
G
$/N
$/N
G
G
Vinca alkaloids and etoposide
ETOPOSIDE CAP 50MG

VEPESID
ETOPOSIDE CAP 100MG
VEPESID
ETOPOSIDE (PRESERVATIVE FREE) INJ 20MG/ML 5ML
VEPESID
VINBLASTINE SULPHATE INJ 10MG
VELBE
VINCRISTINE SULPHATE INJ 1MG
ONCOVIN
VINCRISTINE SULPHATE INJ 2MG
VINORELBINE (DITARTRATE) INJ 10MG/ML 1ML
NAVELBINE
VINORELBINE (TARTRATE) CAP 20MG
NAVELBINE
VINORELBINE (TARTRATE) CAP 30MG
NAVELBINE
8.1.5
$800.00 / VIAL
$2,220.00 / VIAL
$9,000.00 / VIAL
$9.58 / CAP
$40.80 / TAB
$32.00 / CAP
$48.08 / CAP
$40.50 / VIAL
$460.76 / VIAL
$30.00 / VIAL
$37.03 / VIAL
$200.00 / VIAL
$833.00 / CAP
$1,249.53 / CAP
G
G
G
G
G
G
S/$
$
$
Other antineoplastic drugs
AMSACRINE INF 50MG/ML 1.5ML

AMSIDINE
ASPARAGINASE INJ 10000 KYOWA UNIT
LEUNASE
BEVACIZUMAB INF 25MG/ML 4ML
AVASTIN
BORTEZOMIB IV INJ 3.5MG
VELCADE
CARBOPLATIN INJ 450MG
CETUXIMAB INF 5MG/ML 20ML
ERBITUX
CISPLATIN INJ 1MG/ML 10ML
PLATINOL
PLATINOL
PLATINOL
DACARBAZINE INJ 200MG
DASATINIB TAB 20MG
SPRYCEL
DASATINIB TAB 50MG
SPRYCEL
DASATINIB TAB 70MG
SPRYCEL
DOCETAXEL INJ 20MG/0.5ML
TAXOTERE
DOCETAXEL INJ 40MG/ML 2ML
TAXOTERE
ERLOTINIB (HCL) TAB 25MG
TARCEVA
TARCEVA
TARCEVA
GEFITINIB TAB 250MG
IRESSA
IMATINIB (MESYLATE) CAP 100MG
GLIVEC
IRINOTECAN HCL (CONCENTRATE) INF 20MG/ML 2ML
CAMPTO
IRINOTECAN HCL (CONCENTRATE) INF 20MG/ML 5ML
CAMPTO
LAPATINIB (DITOSYLATE) TAB 250MG
TYKERB
MITOTANE TAB 500MG
LYSODREN
NILOTINIB (HCL) CAP 200MG
TASIGNA
OXALIPLATIN INF 5MG/ML 10ML
ELOXATIN
OXALIPLATIN INF 5MG/ML 40ML
ELOXATIN
PACLITAXEL (ANZATAX) INJ 6MG/ML 5ML
ANZATAX
PACLITAXEL (ANZATAX) INJ 100MG/16.7ML
ANZATAX
PACLITAXEL (TAXOL) INJ 6MG/ML 5ML
TAXOL
PACLITAXEL (TAXOL) INJ 100MG/16.7ML
TAXOL
33
$1,206.98 / VIAL
$477.60 / VIAL
$3,600.00 / VIAL
$9,300.00 / VIAL
$209.32 / VIAL
$2,524.00 / VIAL
$40.92 / VIAL
$79.00 / VIAL
$151.00 / VIAL
$693.08 / VIAL
$200.68 / TAB
$401.45 / TAB
$450.25 / TAB
$1,215.89 / VIAL
$4,359.55 / VIAL
$125.00 / TAB
$443.33 / TAB
$583.33 / TAB
$456.96 / TAB
$153.40 / CAP
$343.70 / VIAL
$668.00 / VIAL
$120.00 / TAB
$11.55 / TAB
$198.21 / CAP
$1,685.94 / VIAL
$6,084.08 / VIAL
$144.00 / VIAL
$287.26 / VIAL
$195.83 / VIAL
$644.17 / VIAL
NA
G
$
$/N
G
N
G
G
G
G
$/N
$/N
$/N
S
S
$
$
$
$
N
S/$
S/$
$
G
N
$/N
$/N
S
S
S
S
PROCARBAZINE (HCL) CAP 50MG

NATULAN
SORAFENIB (TOSYLATE) TAB 200MG
NEXAVAR
SUNITINIB (MALATE) CAP 12.5MG
SUTENT
SUNITINIB (MALATE) CAP 50MG
SUTENT
TEMOZOLOMIDE CAP 20MG
TEMODAL
TEMOZOLOMIDE CAP 100MG
TEMODAL
TOPOTECAN (HCL) INJ 4MG
HYCAMTIN
TRASTUZUMAB INJ 150MG
HERCEPTIN
TRASTUZUMAB INJ 440MG
HERCEPTIN
TRETINOIN CAP 10MG (ATRA)
$17.74 / CAP
$309.00 / TAB
$277.88 / CAP
$1,111.50 / CAP
$182.60 / CAP
$816.00 / CAP
$1,600.00 / VIAL
$5,200.00 / VIAL
$15,000.00 / VIAL
$33.71 / CAP
8.2
8.2.1
Antiproliferative immunosuppressants

MYCOPHENOLATE (SODIUM) ENTERIC COATED TAB 180MG
MYCOPHENOLATE (SODIUM) ENTERIC COATED TAB 360MG
MYCOPHENOLATE MOFETIL CAP 250MG
MYCOPHENOLATE MOFETIL TAB 500MG
MYCOPHENOLATE MOFETIL (HCL) INF 500MG
8.2.2
G
G
S
S
S
S
S
ATGAM
$1,680.00 / AMP
THYMOGLOBULINE $1,682.43 / VIAL
SIMULECT
$15,225.00 / VIAL
SANDIMMUN
$314.97 / AMP
CERTICAN
$14.35 / TAB
CERTICAN
$28.69 / TAB
CERTICAN
$43.04 / TAB
RAPAMUNE
$2,800.00 / BOTT
RAPAMUNE
$43.48 / TAB
ADVAGRAF
$15.92 / CAP
ADVAGRAF
$26.28 / CAP
ADVAGRAF
$131.32 / CAP
PROGRAF
$0.01 / ML
PROGRAF
$16.94 / CAP
PROGRAF
$27.95 / CAP
PROGRAF
$139.70 / CAP
PROGRAF
$825.00 / AMP
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
Rituximab and alemtuzumab
RITUXIMAB INJ 10MG/ML 10ML

8.2.4
$3.24 / TAB
$0.96 / TAB
$13.53 / TAB
$26.02 / TAB
$13.28 / CAP
$26.56 / TAB
$126.00 / VIAL
Corticosteroids and other immunosuppressants
ANTITHYMOCYTE IMMUNOGLOBULIN (HORSE) INJ 50MG/ML 5ML

ANTITHYMOCYTE IMMUNOGLOBULIN (RABBIT) INJ 25MG
BASILIXIMAB INJ 20MG
CYCLOSPORIN A INJ 50MG/ML 5ML
EVEROLIMUS TAB 0.25MG
SIROLIMUS SOLN 1MG/ML 60ML
SIROLIMUS TAB 1MG
TACROLIMUS PROLONGED RELEASE CAP 0.5MG
TACROLIMUS PROLONGED RELEASE CAP 1MG
TACROLIMUS PROLONGED RELEASE CAP 5MG
TACROLIMUS SYR 2.5MG/5ML
TACROLIMUS ANHYDROUS CAP 0.5MG
TACROLIMUS ANHYDROUS CAP 1MG
TACROLIMUS ANHYDROUS CAP 5MG
TACROLIMUS ANHYDROUS INF 5MG/ML 1ML
8.2.3
IMURAN
IMURAN
MYFORTIC
MYFORTIC
CELLCEPT
CELLCEPT
CELLCEPT
NA
$
$
$
$
$
$
N
N
G
MABTHERA
MABTHERA
$2,862.54 / VIAL
$14,452.19 / VIAL
$/N
$/N
Other immunomodulating drugs
BCG (IMMUCYST) INTRA-VESICAL SUSP 81MG
IMMUCYST
34
$863.64 / VIAL
INTERFERON BETA-1A PREFILLED SYRINGE 6 MIU/0.5ML (22MCG)

REBIF
$555.00 / NO
INTERFERON BETA-1B INJ 8 MIU
BETAFERON
$480.00 / SET
INTERFERON GAMMA-1B INJ 100MCG/0.5ML
IMMUKIN
$1,286.67 / VIAL
PEGINTERFERON ALFA-2A PREFILLED SYRINGE 135MCG/0.5ML
PEGASYS
$493.33 / NO
PEGINTERFERON ALFA-2A PREFILLED SYRINGE 180MCG/0.5ML
PEGASYS
$616.32 / NO
PEGINTRON REDIPEN $825.00 / NO
PEGINTERFERON ALFA-2B PEN 50MCG/0.5ML
PEGINTRON REDIPEN $1,124.99 / NO
THALIDOMIDE TAB 50MG
$5.71 / TAB
$/N
$/N
$/N
S
S
S
S
S
S
NA
8.3
Sex hormones and hormone antagonists in malignant disease
8.3.2
Progestogens
MEDROXYPROGESTERONE ACETATE INJ 150MG/ML 1ML

MEGESTROL ACETATE TAB 40MG
NORETHISTERONE TAB 5MG
8.3.4
DEPO PROVERA
MEGACE
PRIMOLUT N
$46.00 / VIAL
$1.29 / TAB
$0.45 / TAB
G
G
G
Hormone antagonists
8.3.4.1
Breast cancer
ANASTROZOLE TAB 1MG
ARIMIDEX
$39.22 / TAB
EXEMESTANE TAB 25MG
AROMASIN
$38.99 / TAB
LETROZOLE TAB 2.5MG
FEMARA
$36.30 / TAB
TAMOXIFEN (CITRATE) TAB 20MG
NOLVADEX
$0.99 / TAB
S
S
S
G
8.3.4.2
Gonadorelin analogues and gonadotrophin-releasing hormone antagonists
BICALUTAMIDE TAB 50MG
CASODEX
$47.08 / TAB
BICALUTAMIDE TAB 150MG
CASODEX
$106.22 / TAB
BUSERELIN (ACETATE) NASAL SPRAY 150MCG/DOSE 84DOSES
SUPRECUR
$498.00 / BOTT
CYPROTERONE ACETATE TAB 50MG
ANDROCUR
$12.10 / TAB
FLUTAMIDE TAB 250MG
FUGEREL
$1.51 / TAB
ZOLADEX
$1,037.92 / NO
ZOLADEX LA
$2,661.33 / NO
LEUPRORELIN ACETATE SR INJ 3.75MG
ENANTONE SR
$1,200.00 / VIAL
LEUPRORELIN ACETATE (3 MONTH DEPOT) INJ 11.25MG
ENANTONE
$2,800.00 / VIAL
TRIPTORELIN INJ 3.75MG
DECAPEPTYL CR
$1,090.91 / AMP
TRIPTORELIN IM PR INJ 11.25MG
DIPHERELINE PR
$2,605.71 / VIAL
$
$
S/$
S
S
S/$
S
S/$
S/$
S/$
S/$
8.3.4.3
Somatostatin analogues
OCTREOTIDE (ACETATE) INJ 0.05MG/ML 1ML
SANDOSTATIN
$88.57 / AMP
SANDOSTATIN
$167.62 / AMP
SANDOSTATIN
$822.48 / AMP
OCTREOTIDE (ACETATE) INJ 20MG
SANDOSTATIN LAR $8,979.98 / VIAL
OCTREOTIDE (ACETATE) INJ 30MG
SANDOSTATIN LAR $11,350.00 / VIAL
SOMATOSTATIN (ACETATE) CYCLIC INJ 3MG
STILAMIN
$426.00 / AMP

35
G
G
G
S
S
G
Nutrition and blood
9.1
Anaemias and some other blood disorders
9.1.1
Iron-deficiency anaemias
9.1.1.1
Oral iron
FERROUS SULPHATE TAB 300MG (60MG FE)
FERASUL
FERRUM HAUSMANN (OR EQUIV) DROPS 50MG FE/ML
FORTIFER (OR EQUIV) TAB
$0.07 / TAB
$1.10 / ML
$0.33 / TAB
G
G
G
9.1.1.2
Parenteral iron
FERRIC SACCHARATE IV INJ 20MG FE/ML 5ML
VENOFER
$74.74 / AMP
9.1.2
Drugs used in megaloblastic anaemias
CYANOCOBALAMIN (VIT B12) INJ 1000MCG/ML 1ML

CYANOCOBALAMIN (VIT B12) TAB 10MCG
CYANOCOBALAMIN (VIT B12) TAB 100MCG
FOLIC ACID TAB 1MG
FOLIC ACID TAB 5MG
9.1.3
G
G
G
G
G
Drugs used in hypoplastic, haemolytic, and renal anaemias
DARBEPOETIN ALFA PREFILLED SYRINGE 20MCG/0.5ML

ARANESP
ARANESP
ARANESP
DEFERASIROX DISPERSIBLE TAB 125MG
EXJADE
DEFERASIROX DISPERSIBLE TAB 500MG
EXJADE
DEFERIPRONE TAB 500MG
FERRIPROX
DESFERRIOXAMINE MESILATE INJ 500MG
DESFERAL
ERYTHROPOIETIN ALPHA PREFILLED SYRINGE 1000 IU/0.5ML
EPREX
EPREX
EPREX
ERYTHROPOIETIN BETA PREFILLED SYRINGE 1000 IU/0.3ML
RECORMON
RECORMON
RECORMON
RECORMON
HYDROXYUREA CAP 500MG
HYDREA
MIRCERA (OR EQUIV) PREFILLED SYRINGE 50MCG/0.3ML
9.1.6
$2.21 / AMP
$0.09 / TAB
$0.05 / TAB
$0.74 / TAB
$0.02 / TAB
$210.00 / NO
$415.00 / NO
$622.54 / NO
$58.20 / TAB
$232.80 / TAB
$14.00 / TAB
$24.67 / VIAL
$94.96 / NO
$135.22 / NO
$294.45 / NO
$73.00 / NO
$146.00 / NO
$268.00 / NO
$313.00 / NO
$1.36 / CAP
$641.00 / NO
$866.00 / NO
$998.00 / NO
$1,497.00 / NO
S
S
S
S
S
S
G
S
S
S
S
S
S
S
G
S
S
S
S
Drugs used in neutropenia
FILGRASTIM (G-CSF) INJ 30MU/ML 1ML

FILGRASTIM (G-CSF) PREFILLED SYRINGE 30MU/0.5ML
NEUPOGEN
NEUPOGEN
$888.53 / VIAL
$886.08 / NO
S
S
9.2
Fluids and electrolytes
9.2.1
Oral preparations for fluid and electrolyte imbalance
9.2.1.1
Oral potassium
POLYSTYRENE SULPHONATE CALCIUM POWDER
RESONIUM CAL
$0.93 / G
POLYSTYRENE SULPHONATE SODIUM POWDER
RESONIUM A
$1.10 / G
POTASSIUM CHLORIDE SOLN 1G/10ML (13.4MMOL K/10ML)
$0.00 / ML
POTASSIUM CHLORIDE SR TAB 600MG (8MMOL K)
SLOW K
$0.28 / TAB
36
G
G
G
G
9.2.1.2
Oral sodium and water
ORS (OR EQUIV) POWDER
$0.58 / PACK
SODIUM CHLORIDE TAB 900MG
$0.06 / TAB
G
G
9.2.1.3
Oral bicarbonate
SODIUM BICARBONATE TAB 300MG
$0.06 / TAB
9.2.2
Parenteral preparations for fluid and electrolyte imbalance
9.2.2.1
Electrolytes and water
DEXTROSE 10% IN COLLAPSIBLE BAG INF 500ML
$5.56 / BAG
DEXTROSE 2.5% + NACL 0.45% IN COLLAP. BAG INF 500ML
$6.20 / BAG
DEXTROSE 20% INF 500ML
$8.80 / BOTT
$13.50 / BOTT
DEXTROSE 4.3% + SODIUM CHLORIDE 0.18% INF 500ML
$5.00 / BOTT
$8.50 / BOTT
DEXTROSE 5% IN PLASTIC BOTTLE INF 500ML
$3.90 / BOTT
DEXTROSE 5% IN SEMI RIGID PLASTIC BOTTLE INF 100ML
$3.75 / BOTT
$1.75 / AMP
$19.00 / BOTT
DEXTROSE 70% (IN 1L BOTTLE) INF 500ML
$152.78 / BOTT
HARTMANN`S (OR EQUIV) IRRI SOLN 1000ML
$12.00 / BOTT
HARTMANN`S (OR EQUIV) SEMI-RIGID INF 500ML
$4.30 / BOTT
LACTATED RINGER`S (COLLAPSIBLE BAG) INF 500ML
$7.83 / BAG
POTASSIUM CHLORIDE 14.9% INJ 2MMOL/ML 10ML
$0.84 / AMP
POTASSIUM CHLORIDE IN 0.9% NACL INF 10MMOL K/500ML
$6.48 / BOTT
POTASSIUM CHLORIDE IN 0.9% NACL INF 20MMOL K/500ML
$6.68 / BOTT
POTASSIUM CHLORIDE IN 5% DEXTROSE INF 10MMOL K/500ML
$6.48 / BOTT
POTASSIUM CHLORIDE IN 5% DEXTROSE INF 20MMOL K/500ML
$6.68 / BOTT
POTASSIUM CHLORIDE IN WATER FOR INJ 10MMOL/100ML
$11.20 / BAG
POTASSIUM CHLORIDE IN WATER FOR INJ 20MMOL/100ML
$11.40 / BAG
POTASSIUM CHLORIDE IN 2.5% DEXT 0.45% NACL INF 10MMOL K/500ML
$9.25 / BOTT
POTASSIUM CHLORIDE IN 2.5% DEXT 0.45% NACL INF 20MMOL K/500ML
$9.50 / BOTT
SODIUM ACETATE INJ 2MEQ/ML 20ML
$9.20 / VIAL
SODIUM BICARBONATE INF 8.4% 100ML
$14.00 / VIAL
SODIUM CHLORIDE 0.9% INF 100ML
$3.80 / VIAL
$7.50 / BOTT
SODIUM CHLORIDE 0.9% INJ 10ML
$0.63 / AMP
SODIUM CHLORIDE 0.9% (COLLAPSIBLE BAG) INF 1000ML
$8.85 / BAG
SODIUM CHLORIDE 0.9% (COLLAPSIBLE BAG) INF 500ML
$5.23 / BAG
SODIUM CHLORIDE 0.9% (SEMI RIGID PLASTIC) INF 1L
$6.00 / BAG
SODIUM CHLORIDE 0.9% (SEMI RIGID PLASTIC) INF 500ML
$3.60 / BOTT
$2.96 / BOTT
$13.72 / VIAL
WATER FOR INJ 20ML
$1.50 / AMP
WATER FOR INJ IN SEMI RIGID PLASTIC 100ML
$3.80 / BOTT
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
NA
G
G
G
G
G
G
G
G
G
G
G
G
9.2.2.2
Plasma and plasma substitutes
ALBUMIN (ALBUMEX 20) INJ 20% (0.2G/ML) 50ML
ALBUMEX 20
$106.00 / BOTT
GELOFUSINE (OR EQUIV) INF 500ML
$31.00 / BOTT
HYDROXYETHYL STARCH 6% IN NORMAL SALINE INF 500ML
VOLUVEN
$53.33 / BAG
PLASMA PROTEIN FRACTION (RC) INJ 5% 250ML
SPPS
$131.00 / BOTT
G
G
G
G
37
9.3
Intravenous nutrition
KABIVEN (OR EQUIV) INF 1540ML

KABIVEN (OR EQUIV) INF 2053ML
KABIVEN (OR EQUIV) PERIPHERAL INF 1440ML
KABIVEN (OR EQUIV) PERIPHERAL INF 1920ML
NUTRIFLEX LIPID PERI (OR EQUIV) INF 1250ML
NUTRIFLEX LIPID PLUS (OR EQUIV) INF 1250ML
NUTRIFLEX LIPID SPECIAL (OR EQUIV) INF 1250ML
NUTRIFLEX PERI (OR EQUIV) INF 1000ML
NUTRIFLEX PLUS (OR EQUIV) INF 1000ML
STRUCTOKABIVEN (OR EQUIV) INF 1477ML
9.3.1
G
G
G
G
G
$41.78 / BOTT
$37.00 / BOTT
$49.00 / BOTT
$65.00 / BOTT
$145.00 / VIAL
G
G
G
G
G
Trace elements
ADDAMEL N (OR EQUIV) INJ 10ML

PEDITRACE (OR EQUIV) INJ 10ML
9.3.4
$86.15 / BOTT
$80.00 / BOTT
$60.00 / BOTT
$180.00 / BOTT
$104.00 / BOTT
Fats preparations
INTRALIPID (OR EQUIV) INF 10% 500ML

LIPOFUNDIN MCT/LCT (OR EQUIV) INF 20% 250ML
OMEGAVEN (OR EQUIV) INF 100ML
9.3.3
G
G
G
G
G
G
G
G
G
G
Amino acid preparations
AMINOLEBAN (OR EQUIV) INJ 8% 500ML

AMINOPLASMAL HEPA (OR EQUIV) INF 10% 500ML
AMINOPLASMAL L10 (OR EQUIV) INF 500ML
NEPHRAMINE (OR EQUIV) INF 5.4% 250ML
VAMINOLACT (OR EQUIV) INJ 500ML
9.3.2
$240.88 / BAG
$296.52 / BAG
$223.48 / BAG
$310.00 / BAG
$227.78 / BAG
$240.00 / BAG
$247.89 / BAG
$159.78 / BAG
$180.00 / BAG
$278.00 / BAG
$36.48 / AMP
$105.00 / VIAL
G
G
Vitamins
SOLUVIT N (OR EQUIV) INF 10ML

VITALIPID N ADULT (OR EQUIV) INJ 10ML
VITALIPID N INFANT (OR EQUIV) INJ 10ML
$44.95 / VIAL
$32.49 / AMP
$31.50 / VIAL
9.4
Oral nutrition
9.4.2
Enteral nutrition
AMINOLEBAN EN (OR EQUIV) POWDER 50G/SACHET
$49.81 / PACK
9.5
Minerals
9.5.1
Calcium and magnesium
9.5.1.1
Calcium supplements
CALCIUM CARBONATE CHEW TAB 1G (10MMOL CA)
$0.09 / TAB
CALCIUM CARBONATE CHEW TAB 1250MG (12.5MMOL CA)
OSCAL 500 CHEWABLE $1.12 / TAB
CALCIUM CARBONATE TAB 1250MG (12.5MMOL CA)
OSCAL-500
$0.29 / TAB
CALCIUM CARBONATE TAB 1500MG (15MMOL CA)
CALTRATE 600
$0.21 / TAB
CALCIUM CHLORIDE DIHYDRATE INJ 10% 10ML (0.68MMOL CA/ML)
$17.08 / AMP
CALCIUM GLUCONATE INJ 10% 10ML (0.226MMOL CA/ML)
$4.00 / AMP
CALCIUM GLUCONATE TAB 300MG (0.675MMOL CA)
$0.03 / TAB
38
G
G
G
G
G
G
G
G
G
G
9.5.1.3
Magnesium
MAGNESIUM SULPHATE INJ 49.3% 5ML (2MMOL MG/ML)
$25.19 / AMP
MAGNESIUM SULPHATE INJ 50% 20ML
$13.44 / VIAL
9.5.2
G
G
Phosphorus
9.5.2.1
Phosphate supplements
PHOSPHATE SANDOZ (OR EQUIV) SOLUBLE TAB (16.1MMOL PO4)
$2.71 / TAB
POTASSIUM PHOSPHATE INJ 150MMOL 50ML
$36.80 / VIAL
POTASSIUM PHOSPHATES (KH2PO4+K2HPO4) INJ 10ML
$23.50 / AMP
SODIUM GLYCEROPHOSPHATE INF (1MMOL P+2MMOL NA)/ML 20ML
GLYCOPHOS
$25.20 / VIAL
SODIUM PHOSPHATE SOLN 7MMOL PO4/5ML
$0.00 / ML
G
G
G
G
G
9.5.2.2
Phosphate-binding agents
ALUMINIUM HYDROXIDE CHEW TAB 500MG
ALUSORB
$0.05 / TAB
ALUMINIUM HYDROXIDE SUSP 6%
ALUSORB
$0.02 / ML
CALCIUM CARBONATE CHEW TAB 1G (10MMOL CA)
$0.09 / TAB
CALCIUM CARBONATE CHEW TAB 1250MG (12.5MMOL CA)
OSCAL 500 CHEWABLE $1.12 / TAB
CALCIUM CARBONATE TAB 1250MG (12.5MMOL CA)
OSCAL-500
$0.29 / TAB
CALCIUM CARBONATE TAB 1500MG (15MMOL CA)
CALTRATE 600
$0.21 / TAB
SEVELAMER HCL TAB 400MG
RENAGEL
$3.93 / TAB
G
G
G
G
G
G
S
9.5.4
Zinc
ZINC (CHLORIDE) INJ 1MG/ML 10ML

ZINC (SULPHATE) CAP (ELEMENTAL ZINC 50MG)
ZINCAPS
9.5.5
$14.73 / VIAL
$1.00 / CAP
Selenium
SELENIOUS ACID INJ 0.04MG/ML 10ML
SELEPEN
$32.43 / AMP
9.6
Vitamins
9.6.2
Vitamin B group
BIOTIN SOLN 0.5MG/ML

PYRIDOXINE HCL (VIT B6) TAB 10MG
PYRIDOXINE HCL (VIT B6) TAB 50MG
RIBOFLAVINE (VIT B2) TAB 20MG
THIAMINE HCL (VIT B1) INJ 100MG/ML 2ML
THIAMINE HCL (VIT B1) TAB 10MG
THIAMINE HCL (VIT B1) TAB 50MG
VITAMIN B COMPLEX TAB
9.6.3
$0.04 / ML
$0.03 / TAB
$0.05 / TAB
$0.10 / TAB
$104.00 / VIAL
$0.06 / TAB
$0.02 / TAB
$0.02 / TAB
NA
G
G
G
G
G
G
G
G
Vitamin C
ASCORBIC ACID (VIT C) TAB 100MG
9.6.4
G
G
$0.06 / TAB
Vitamin D
ALFACALCIDOL CAP 0.25MCG

ONE ALPHA
ALFACALCIDOL CAP 1MCG
ONE ALPHA
ALFACALCIDOL DROPS 2MCG/ML
ONE ALPHA
CALCIFEROL (VIT D2) DROPS 0.2MG/ML (8000U/ML)
CALCITRIOL CAP 0.25MCG
ROCALTROL
CALCITRIOL CAP 0.5MCG
ROCALTROL
CHOLECALCIFEROL 400UNIT + CALCIUM CARBONATE 1250MG TAB
CALPEROS D3
PARICALCITOL INJ 5MCG/ML 1ML
ZEMPLAR
39
$0.47 / CAP
$0.89 / CAP
$15.00 / ML
$4.44 / ML
$0.69 / CAP
$0.97 / CAP
$0.62 / TAB
$162.00 / AMP
G
G
G
G
G
G
G
S
9.6.5
Vitamin E
ALPHA TOCOPHERYL ACETATE (D) (VIT E) CAP 200 IU

ALPHA TOCOPHERYL ACETATE (D) (VIT E) CAP 400 IU
ALPHA TOCOPHERYL ACETATE (DL) (VIT E) DROPS 50 IU/ML
AQUASOL E
9.6.6
$0.07 / TAB
$10.54 / AMP
$7.79 / AMP
$0.80 / TAB
G
G
G
G
Multivitamin preparations
CENTRUM (OR EQUIV) TAB

ENERVON C (OR EQUIV) TAB
ENERVON C PLUS (OR EQUIV) SYR
ESSENTIALE (OR EQUIV) CAP
MATERNA (OR EQUIV) TAB
MULTIVITAMIN COATED TAB
POLY-VI-SOL (OR EQUIV) DROPS
$0.75 / TAB
$0.35 / TAB
$0.06 / ML
$1.71 / CAP
$0.87 / TAB
$0.06 / TAB
$0.80 / ML
9.8
Metabolic disorders
9.8.1
Drugs used in metabolic disorders
PENICILLAMINE TAB 250MG

ZINC (CHLORIDE) INJ 1MG/ML 10ML
ZINC (SULPHATE) CAP (ELEMENTAL ZINC 50MG)
ZINCAPS
9.A
G
G
G
Vitamin K
ACETOMENAPHTHONE (VIT K4) TAB 10MG

PHYTOMENADIONE (VIT K1) INJ 10MG/ML 1ML
KONAKION MM
PHYTOMENADIONE (VIT K1) INJ 2MG/0.2ML
KONAKION MM
PHYTOMENADIONE (VIT K1) TAB 5MG
K1 DELAGRANGE
9.6.7
$0.36 / CAP
$0.33 / CAP
$11.82 / ML
$2.73 / TAB
$14.73 / VIAL
$1.00 / CAP
G
G
G
G
G
G
G
G
G
G
Miscellaneous
YEAST TAB 300MG

$0.07 / TAB

40
10
Musculoskeletal and joint diseases
10.1
Drugs used in rheumatic diseases and gouts
10.1.1
Non-steroidal anti-inflammatory drugs
DICLOFENAC POTASSIUM TAB 25MG

DICLOFENAC SODIUM INJ 25MG/ML 3ML
DICLOFENAC SODIUM RECTAL SUPP 12.5MG
DICLOFENAC SODIUM RECTAL SUPP 25MG
DICLOFENAC SODIUM RECTAL SUPP 100MG
DICLOFENAC SODIUM TAB 25MG
DICLOFENAC SODIUM SLOW RELEASE TAB 100MG
IBUPROFEN SYR 100MG/5ML
IBUPROFEN TAB 200MG
INDOMETHACIN CAP 25MG
INDOMETHACIN SUSP 25MG/5ML
MEFENAMIC ACID CAP 250MG
NAPROXEN TAB 250MG
PIROXICAM CAP 10MG
SULINDAC TAB 200MG
10.1.2
CATAFLAM
VOLTAREN
VOLTAREN
VOLTAREN
VOLTAREN
VOLTAREN
VOLTAREN SR
BRUFEN
BRUFEN
INDOCID
INDOCID
PONSTAN
NAPROSYN
FELDENE
CLINORIL
$0.28 / TAB
$8.18 / AMP
$2.30 / NO
$3.60 / NO
$11.40 / NO
$0.08 / TAB
$0.17 / TAB
$0.39 / ML
$0.12 / TAB
$0.13 / CAP
$1.95 / ML
$0.15 / CAP
$0.22 / TAB
$0.30 / CAP
$1.73 / TAB
Corticosteroids
10.1.2.2 Local corticosteroid injections

DEXAMETHASONE SODIUM PHOSPHATE INJ 4MG/ML 1ML
DECADRON
$2.45 / AMP
DEXAMETHASONE SODIUM PHOSPHATE (P F) INJ 4MG/ML 2ML
DECADRON
$49.00 / AMP
METHYLPREDNISOLONE ACETATE INJ 40MG/ML 1ML
DEPO MEDROL
$30.00 / AMP
TRIAMCINOLONE ACETONIDE I-ARTICULAR INJ 10MG/ML 5ML
KENACORT A
$49.87 / VIAL
TRIAMCINOLONE ACETONIDE IM INJ 40MG/ML 1ML
KENACORT A
$26.37 / VIAL
10.1.3
S
G
G
G
G
G
G
G
G
G
G
G
G
S
S
G
G
G
G
G
Drugs that suppress the rheumatic disease process

HUMIRA
AURANOFIN TAB 3MG
RIDAURA
AUROTHIOMALATE SODIUM IM INJ 50MG/0.5ML
MYOCRISIN
IMURAN
IMURAN
AZATHIOPRINE (SODIUM) INJ 50MG
IMURAN
CHLOROQUINE PHOSPHATE (=150MG BASE) TAB 250MG
SANDIMMUN NEORAL
SANDIMMUN NEORAL
SANDIMMUN NEORAL
SANDIMMUN NEORAL
ETANERCEPT INJ 25MG
ENBREL
ETANERCEPT PREFILLED SYRINGE 25MG
ENBREL
ETANERCEPT PREFILLED SYRINGE 50MG
ENBREL
HYDROXYCHLOROQUINE SULPHATE TAB 200MG
PLAQUENIL
REMICADE
LEFLUNOMIDE TAB 10MG
ARAVA
LEFLUNOMIDE TAB 20MG
ARAVA
41
$4,830.00 / NO
$6.97 / TAB
$216.00 / AMP
$3.24 / TAB
$0.96 / TAB
$615.58 / VIAL
$0.33 / TAB
$1.70 / CAP
$3.40 / CAP
$13.28 / CAP
$680.00 / BOTT
$1,010.04 / VIAL
$1,009.94 / NO
$2,020.83 / NO
$0.85 / TAB
$5,799.98 / VIAL
$12.65 / TAB
$15.98 / TAB
$/N
S
NA
G
G
G
G
S
S
S
S
$/N
$/N
$/N
S
N
S
S

$0.44 / TAB
PENICILLAMINE TAB 250MG
$2.73 / TAB
MABTHERA
$2,862.54 / VIAL
MABTHERA
$14,452.19 / VIAL
SALAZOPYRIN ENTABS
$0.59 / TAB
SULPHASALAZINE ENTERIC COATED TAB 500MG
10.1.4
G
G
N
N
G
Gout and cytotoxic-induced hyperuricaemia
ALLOPURINOL TAB 100MG

ZYLORIC
COLCHICINE TAB 0.5MG
PROBENECID TAB 500MG
$0.12 / TAB
$0.10 / TAB
$0.88 / TAB
G
G
G
10.2
Drugs used in neuromuscular disorders
10.2.1
Drugs that enhance neuromuscular transmission
EDROPHONIUM CHLORIDE INJ 10MG/ML 1ML

TENSILON
NEOSTIGMINE METHYLSULPHATE LUER FIT INJ 2.5MG/ML 1ML
PYRIDOSTIGMINE BROMIDE TAB 10MG
MESTINON
PYRIDOSTIGMINE BROMIDE TAB 60MG
MESTINON
10.2.2
10.3.1

10.3.2
NA
G
G
G
Skeletal muscle relaxants
BACLOFEN TAB 10MG

LIORESAL
DANTROLENE SODIUM CAP 25MG
DANTRIUM
DIAZEPAM TAB 2MG
VALIUM
DIAZEPAM TAB 5MG
VALIUM
VALIUM
DIAZEMULS
ORPHENADRINE CITRATE TAB 100MG
NORFLEX
QUININE SULPHATE TAB 200MG
10.3
$196.43 / AMP
$5.19 / AMP
$0.29 / TAB
$2.78 / TAB
$0.17 / TAB
$2.86 / CAP
$0.16 / TAB
$0.17 / TAB
$12.49 / AMP
$8.50 / AMP
$0.27 / TAB
$1.61 / TAB
G
NA
G
G
G
G
G
G
Drugs for the relief of soft-tissue inflammation

Enzymes
HYALURONIDASE INJ 1500U
HYALASE
$159.96 / AMP
Rubefacients and other topical antirheumatics

METHYL SALICYLATE COMPOUND OINT 20G
ANALGESIC BALM
$1.54 / TUBE

42
11
Eye
11.3
Anti-infective eye preparations
11.3.1
Antibacterials
CHLORAMPHENICOL EYE DROPS 0.5% 10ML

CHLOROMYCETIN
CHLORAMPHENICOL EYE OINT 1% 4G
KEMICETINE
CHLORTETRACYCLINE HCL EYE OINT 1% 3.5G
AUREOMYCIN
CIPROFLOXACIN (HCL) EYE DROPS 0.3% 5ML
CILOXAN
CIPROFLOXACIN (HCL) EYE OINT 3MG/G 3.5G
CILOXAN
FUSIDIC ACID EYE DROPS 1% 5G
FUCITHALMIC
GENTAMICIN EYE/EAR DROPS 0.3% 5ML
GARAMYCIN
LEVOFLOXACIN EYE DROPS 0.5% 5ML
CRAVIT
NEOSPORIN (OR EQUIV) EYE DROPS 5ML
OFLOXACIN EYE OINT 3MG/G 3.5G
TARIVID
TOBRAMYCIN EYE DROPS 0.3% 5ML
TOBREX
11.3.3
$4.93 / BOTT
$4.00 / TUBE
$6.00 / TUBE
$18.00 / BOTT
$20.00 / TUBE
$37.50 / TUBE
$12.05 / BOTT
$26.92 / BOTT
$36.00 / BOTT
$30.00 / TUBE
$11.00 / BOTT
G
G
G
G
G
G
G
G
G
G
G
Antivirals
ACYCLOVIR EYE OINT 3% 4.5G
ZOVIRAX
$60.00 / TUBE
11.4
Corticosteroids and other anti-inflammatory preparations
11.4.1
Corticosteroids
DEXAMETHASONE 0.1% + NEOMYCIN 0.5% EYE DROPS 10ML

DEXOPTIC-N
DEXAMETHASONE SODIUM PHOSPHATE EYE DROPS 0.1% 5ML
SPERSADEX
FLUOROMETHOLONE EYE DROPS 0.1% 5ML
FML LIQUIFILM
MAXITROL (OR EQUIV) EYE DROPS 5ML
MAXITROL (OR EQUIV) EYE OINT 3.5G
PREDNISOLONE ACETATE EYE DROPS 0.12% 5ML
PRED MILD
PREDNISOLONE ACETATE EYE DROPS 1% 5ML
PRED FORTE
SOFRADEX (OR EQUIV) EYE/EAR DROPS 8ML
11.4.2
PATANOL
$18.00 / BOTT
Mydriatics and cycloplegics
ATROPINE SULPHATE EYE DROPS 1% 10ML

CYCLOPENTOLATE HCL EYE DROPS 1% 15ML
CYCLOGYL
HOMATROPINE HBR EYE DROPS 4% 10ML
PHENYLEPHRINE HCL EYE DROPS 2.5% 10ML
PHENYLEPHRINE HCL MINIMS 10% 0.5ML
TROPICAMIDE 0.5% + PHENYLEPHRINE HCL 0.5% EYE DROPS 10ML
MYDRIN-P
TROPICAMIDE EYE DROPS 1% 15ML
MYDRIACYL
11.6
G
G
G
G
G
G
G
G
Other anti-inflammatory preparations
OLOPATADINE (HCL) EYE DROPS 0.1% 5ML
11.5
$5.00 / BOTT
$16.00 / BOTT
$7.43 / BOTT
$12.00 / BOTT
$18.00 / TUBE
$13.87 / BOTT
$14.00 / BOTT
$18.20 / BOTT
$1.30 / BOTT
$30.00 / BOTT
$3.51 / BOTT
$0.58 / BOTT
$13.65 / UNIT
$38.24 / BOTT
$33.00 / BOTT
G
G
G
G
G
G
G
Treatment of glaucoma
ACETAZOLAMIDE (SODIUM) INJ 500MG

ACETAZOLAMIDE TAB 250MG
BETAXOLOL (HCL) EYE DROPS 0.25% 5ML
BIMATOPROST 0.03% + TIMOLOL 0.5% EYE DROPS 3ML
BIMATOPROST EYE DROPS 0.03% 3ML
BRIMONIDINE TARTRATE EYE DROPS 0.15% 5ML
DIAMOX
DIAMOX
BETOPTIC S
GANFORT
LUMIGAN
ALPHAGAN P
43
$283.06 / VIAL
$0.41 / TAB
$32.00 / BOTT
$80.00 / BOTT
$100.00 / BOTT
$41.96 / BOTT
G
G
G
S
S
S
BRINZOLAMIDE EYE DROPS 1% 5ML

CARTEOLOL HCL EYE DROPS 2% 5ML
DORZOLAMIDE HCL 2% + TIMOLOL 0.5% EYE DROPS 5ML
LATANOPROST 0.005% + TIMOLOL 0.5% EYE DROPS 2.5ML
LATANOPROST EYE DROPS 0.005% 2.5ML
LEVOBUNOLOL HCL EYE DROPS 0.5% 5ML
PILOCARPINE HCL EYE DROPS 1% 10ML
TIMOLOL (MALEATE) EYE DROPS 0.25% 5ML
TIMOLOL (MALEATE) EYE DROPS 0.5% 5ML
TRAVOPROST 0.004% + TIMOLOL 0.5% EYE DROPS 2.5ML
TRAVOPROST EYE DROPS 0.004% 2.5ML
11.7
AZOPT
ARTEOPTIC
COSOPT
XALACOM
XALATAN
BETAGAN
ISOPTO CARPINE
ISOPTO CARPINE
ISOPTO CARPINE
TIMOPTOL
TIMOPTOL
DUOTRAV
TRAVATAN
$77.50 / BOTT
$38.00 / BOTT
$68.46 / BOTT
$162.01 / BOTT
$134.33 / BOTT
$9.08 / BOTT
$1.87 / BOTT
$3.74 / BOTT
$7.49 / BOTT
$12.01 / BOTT
$4.96 / BOTT
$133.33 / BOTT
$122.47 / BOTT
S
G
S
S
S
G
G
G
G
G
G
S
S
Local anaesthetics
COCAINE HCL EYE/NASAL DROPS 5% 10ML

OXYBUPROCAINE HCL EYE DROPS 0.4% 10ML
NOVESIN
$179.00 / BOTT
$19.00 / BOTT
G
G
11.8
Miscellaneous ophthalmic preparations
11.8.1
Tear deficiency, ocular lubricants, and astringents
BALANCED SALT SOLN 500ML

BSS
BALANCED SALT PLUS SOLN 500ML
BSS PLUS
CARBOXYMETHYLCELLULOSE SODIUM EYE DROPS 0.5% 15ML
REFRESH TEARS
DURATEARS (OR EQUIV) EYE OINT 3.5G
GENTEAL (OR EQUIV) EYE GEL 10G
HYPROMELLOSE EYE DROPS 10ML
NATURALE TEARS FORTE (OR EQUIV) EYE DROPS 15ML
NATURALE TEARS FREE (OR EQUIV) EYE DROPS 0.8ML
SODIUM CHLORIDE EYE DROPS 0.9% 5ML
SODIUM CHLORIDE EYE DROPS 5% 10ML
SYSTANE (OR EQUIV) EYE DROPS 10ML
11.8.2

G
G
S
S
S
G
S
S
G
G
S
Ocular diagnostic and perioperative preparations and

photodynamic treatment
CARBACHOL INTRA-OCULAR SOLN 0.01% 1.5ML

DICLOFENAC SODIUM EYE DROPS 0.1% 5ML
FLUORESCEIN SODIUM OPH STRIP 1MG
RANIBIZUMAB INTRA-VITREAL INJ 2.3MG/0.23ML
11.A
$40.00 / BOTT
$155.00 / BOTT
$12.18 / BOTT
$19.00 / TUBE
$13.75 / TUBE
$2.01 / BOTT
$12.00 / BOTT
$1.09 / VIAL
$4.56 / BOTT
$16.00 / BOTT
$10.00 / BOTT
MIOSTAT
$45.00 / VIAL
VOLTAREN OPHTHA
$21.68 / BOTT
FLUORETS
$0.65 / UNIT
LUCENTIS
$8,300.00 / VIAL
G
G
G
$
Miscellaneous
SOLCOSERYL (OR EQUIV) EYE GEL 20% 5G

$16.00 / TUBE
ZINC SULPHATE 0.02%
OCULOSAN
$17.00 / BOTT
+ NAPHAZOLINE NITRATE 0.005% EYE DROPS 10ML

44
G
G
12
Ear, nose, and oropharynx
12.1
Drugs acting on the ear
12.1.1
Otitis externa
BORIC ACID EAR DROPS

OFLOXACIN EAR DROPS 3MG/ML 5ML
TARIVID
OTOSPORIN (OR EQUIV) EAR DROPS 5ML
SOFRADEX (OR EQUIV) EYE/EAR DROPS 8ML
12.1.3
$0.00 / ML
$26.00 / BOTT
$37.61 / BOTT
$18.20 / BOTT
Removal of ear wax
OLIVE OIL EAR DROPS

SODIUM BICARBONATE EAR DROPS
$0.01 / BOTT
$0.01 / ML
12.2
Drugs acting on the nose
12.2.1
Drugs used in nasal allergy
BECLOMETHASONE DIPROPIONATE AQ NASAL SPRAY

50MCG/DOSE 200DOSES
BUDESONIDE NASAL TURBUHALER 100MCG/DOSE 200DOSES
BUDESONIDE AQUEOUS NASAL SPRAY 32MCG/DOSE 120DOSES
BUDESONIDE AQUEOUS NASAL SPRAY 64MCG/DOSE 120DOSES
FLUTICASONE FUROATE NASAL SPRAY 27.5MCG/SPRAY 120SPRAYS
FLUTICASONE PROPIONATE AQ NASAL SPRAY
50MCG/SPRAY 150SPRAYS
MOMETASONE FUROATE AQ NASAL SPRAY 50MCG/DOSE 140DOSES
12.2.2
BECONASE AQUEOUS $22.00 / NO

RHINOCORT
RHINOCORT AQUA
RHINOCORT AQUA
AVAMYS
FLIXONASE AQUEOUS
NASONEX
$121.34 / NO
$30.23 / NO
$33.56 / NO
$65.00 / BOTT
$35.46 / BOTT
S
G
G
S
S
$79.37 / BOTT
$0.04 / ML
$24.48 / BOTT
$0.12 / BOTT
$16.00 / BOTT
$14.50 / BOTT
G
G
G
G
G
Nasal preparations for infection
MUPIROCIN NASAL OINT 2%
BACTROBAN
$102.00 / TUBE
12.3
Drugs acting on the oropharynx
12.3.1
Drugs for oral ulceration and inflammation
BENZYDAMINE HCL LOZENGE 3MG

DIFFLAM
BENZYDAMINE HCL MOUTHWASH 22.5MG/15ML
DIFFLAM
BONJELA (OR EQUIV) ORAL GEL 15G
SOLCOSERYL (OR EQUIV) DENTAL PASTE 5G
12.3.2
G
G
Topical nasal decongestants
GLUCOSE IN GLYCERIN NASAL DROPS 25%

OXYMETAZOLINE HCL NASAL SPRAY 0.05% 15ML
AFRIN
PHENYLEPHRINE HCL NASAL DROPS 0.5% 10ML
XYLOMETAZOLINE HCL NASAL DROPS 0.05% 10ML
OTRIVIN PAED
XYLOMETAZOLINE HCL NASAL DROPS 0.1% 10ML
OTRIVIN ADULT
12.2.3
G
G
G
G
$1.39 / TAB
$0.06 / ML
$8.90 / TUBE
$24.00 / TUBE
G
G
G
G
Oropharyngeal anti-infective drugs
AMPHOTERICIN B LOZENGE 10MG

NYSTATIN SUSP 100000U/ML
FUNGILIN
MYCOSTATIN
45
$2.67 / NO
$0.97 / ML
NA
G
12.3.3
Lozenges and sprays
DEQUALINIUM CHLORIDE LOZENGE 250MCG

DEQUADIN
STREPSILS (OR EQUIV) LOZENGE
12.3.4
G
G
Mouthwashes, gargles, and dentifrices
CHLORHEXIDINE GLUCONATE MOUTHWASH 0.2% 300ML

CORSODYL
HEXETIDINE MOUTHWASH 0.1%
BACTIDOL
THYMOL GARGLE COMPOUND MOUTHWASH 1 IN 4
12.A
$0.07 / TAB
$0.67 / NO
$7.50 / BOTT
$0.08 / ML
$0.01 / ML
G
G
G
Miscellaneous
BISMUTH SUBNITRATE + IODOFORM PASTE 20% + 40% 30G

$250.00 / PACK

46
NA
13
Skin
13.2
Emollient and barrier preparations
13.2.1
Emollients
AQUEOUS CREAM 30G

AQUEOUS CREAM 100G
AQUEOUS CREAM 500G
EMULSIFYING OINT 100G
EMULSIFYING OINT 250G
HYDROUS WOOL FAT
LANOLIN
LIQUID PARAFFIN 50% + WHITE SOFT PARAFFIN 50% OINT
PARAFFIN SOFT WHITE
VASELINE
UREA CREAM 10% 50G
UREDERM
$0.24 / TUBE
$18.00 / TUBE
$29.97 / JAR
$8.00 / JAR
$12.00 / JAR
$0.04 / G
$0.13 / G
$0.04 / G
$6.84 / TUBE
13.2.1.1 Emollient bath additives

OILATUM PLUS (OR EQUIV) EMOLLIENT 150ML
$39.99 / BOTT
13.2.2
$1.50 / TUBE
$4.20 / JAR
G
G
Topical local anaesthetics and antipruritics
CALAMINE CREAM
CALAMINE LOTION 120ML
CALAMINE + SULPHUR 5% LOTION
CROTAMITON CREAM 10% 20G
EURAX
CROTAMITON CREAM 10% 60G
EURAX
LIGNOCAINE SPRAY 10% 50ML
XYLOCAINE
LIGNOCAINE HCL GEL 2% 30G
XYLOCAINE
MEPYRAMINE MALEATE CREAM 2% 15G
ANTHISAN
13.4
Barrier preparations
ZINC CREAM 20G

ZINC CREAM 60G
13.3
G
G
G
G
G
NA
G
G
G
$0.06 / G
$7.69 / BOTT
$0.01 / ML
$8.90 / TUBE
$13.50 / TUBE
$141.00 / BOTT
$14.90 / TUBE
$0.26 / TUBE
G
G
G
G
G
G
G
G
Topical corticosteroids
BETAMETHASONE DIPROPIONATE CREAM 0.05% 15G

BETAMETHASONE DIPROPIONATE OINT 0.05% 15G
BETAMETHASONE VALERATE CREAM 0.1% 15G
BETAMETHASONE VALERATE OINT 0.1% 15G
BETAMETHASONE VALERATE SCALP APPN 0.1% 30ML
BETAMETHASONE 0.05% + GENTAMICIN SULPHATE 0.1% CREAM 15G
BETAMETHASONE 0.05% + SALICYLIC ACID 2% LOTION 10ML
BETAMETHASONE 0.05% + SALICYLIC ACID 3% OINT 15G
CLOBETASOL PROPIONATE CREAM 0.05% 15G
CLOBETASOL PROPIONATE OINT 0.05% 15G
CLOBETASOL PROPIONATE SCALP APPN 0.05% 30ML
CLOBETASONE BUTYRATE CREAM 0.05% 15G
DIFLUCORTOLONE VALERATE (FATTY BASE) OINT 0.1% 10G
DIFLUCORTOLONE VALERATE 0.1%
+ CHLORQUINADOL 1% CREAM 10G
DIFLUCORTOLONE VALERATE 0.1%
+ ISOCONAZOLE NITRATE 1% CREAM 10G
47
DIPROSONE
DIPROSONE
BETNOVATE
BETNOVATE
BETNOVATE
DIPROGENTA
DIPROSALIC
DIPROSALIC
DERMASONE
DERMASONE
DERMOVATE
EUMOVATE
NERISONE FATTY
NERISONE C
TRAVOCORT
$12.00 / TUBE
$12.00 / TUBE
$11.80 / TUBE
$12.40 / TUBE
$96.99 / BOTT
$14.70 / TUBE
$21.90 / BOTT
$11.17 / TUBE
$5.00 / TUBE
$6.00 / TUBE
$103.99 / BOTT
$52.00 / TUBE
$21.00 / TUBE
$26.50 / TUBE
G
G
G
G
G
G
G
G
S
S
S
S
S
S
$22.80 / TUBE
FLUOCINOLONE ACETONIDE 0.025% + CLIOQUINOL 3% CREAM 5G

SYNALAR + VIOFORM
FLUOCINOLONE ACETONIDE CREAM 0.005% 100G
SYNALAR
SYNALAR
SYNALAR
SYNALAR
FLUTICASONE PROPIONATE CREAM 0.05% 15G
CUTIVATE
HYDROCORTISONE 1% + CLIOQUINOL 3% CREAM 5G (H1V3)
HYDROCORTISONE 1% + MICONAZOLE NITRATE 2% CREAM 15G
DAKTACORT
HYDROCORTISONE ACETATE CREAM 1% 15G
HYDROCORTISONE ACETATE CREAM 1% 100G
HYDROCORTISONE LOTION 1% 15G
AQUANIL HC
METHYLPREDNISOLONE ACEPONATE CREAM 0.1% 15G
ADVANTAN
METHYLPREDNISOLONE ACEPONATE OINT 0.1% 10G
ADVANTAN
MOMETASONE FUROATE 0.1% + SALICYLIC ACID 5% OINT 15G
ELOSALIC
MOMETASONE FUROATE CREAM 0.1% 15G
ELOMET
MOMETASONE FUROATE LOTION 0.1% 30ML
ELOMET
MOMETASONE FUROATE OINT 0.1% 15G
ELOMET
$0.43 / TUBE
$4.20 / JAR
$4.80 / JAR
$0.95 / TUBE
$5.17 / JAR
$37.50 / TUBE
$0.50 / TUBE
$46.00 / TUBE
$7.50 / TUBE
$13.98 / JAR
$11.60 / BOTT
$23.75 / TUBE
$15.83 / TUBE
$29.50 / TUBE
$31.00 / TUBE
$63.80 / BOTT
$31.00 / TUBE
13.5
Preparations for eczema and psoriasis
13.5.2
Preparations for psoriasis
ACITRETIN CAP 10MG

NEOTIGASON
ACITRETIN CAP 25MG
NEOTIGASON
CALCIPOTRIOL 0.005% + BETAMETHASONE 0.05% OINT 15G
DAIVOBET
CALCIPOTRIOL CREAM 0.005% 30G
DAIVONEX
CALCIPOTRIOL OINT 0.005% 30G
DAIVONEX
CALCIPOTRIOL SCALP SOLN 50MCG/ML 30ML
DAIVONEX
CALCITRIOL OINT 3MCG/G 30G
SILKIS
COAL TAR SOLN
METHOXSALEN TAB 10MG
MELADININE
POLYTAR (OR EQUIV) EMOLLIENT
SALICYLIC ACID + SULPHUR CREAM
SALICYLIC ACID 2% + COAL TAR 4% + SULPHUR 2% OINT
SALICYLIC ACID 3% IN 70% ALCOHOL SOLN
SALICYLIC ACID OINT 3%
13.5.3
$10.47 / CAP
$22.33 / CAP
$69.20 / TUBE
$111.00 / TUBE
$111.00 / TUBE
$111.00 / BOTT
$90.00 / TUBE
$0.30 / ML
$2.67 / TAB
$0.34 / ML
$0.01 / G
$0.05 / G
$0.01 / ML
$0.03 / G
G
G
G
G
G
S
G
G
G
G
G
S
S
S
S
S
S
S
S
S
S
S
S
S
G
S
S
G
G
G
G

HUMIRA
$4,830.00 / NO
SANDIMMUN NEORAL
$1.70 / CAP
SANDIMMUN NEORAL
$3.40 / CAP
SANDIMMUN NEORAL
$13.28 / CAP
ETANERCEPT INJ 25MG
ENBREL
$1,010.04 / VIAL
HYDROXYUREA CAP 500MG
HYDREA
$1.36 / CAP
REMICADE
$5,799.98 / VIAL
$0.44 / TAB
TACROLIMUS OINT 0.03% 30G
PROTOPIC
$270.00 / TUBE
TACROLIMUS OINT 0.1% 30G
PROTOPIC
$300.00 / TUBE
48
$/N
S
S
S
S
$/N
G
N
G
S
S
13.6
Acne and rosacea
13.6.1
Topical preparations for acne
ADAPALENE GEL 0.1% 30G

BENZOYL PEROXIDE GEL 2.5% 60G
BENZOYL PEROXIDE CREAM 4% 40G
CLINDAMYCIN (HCL) TOPICAL SOLN 1% 30ML
ERYTHROMYCIN TOPICAL SOLN 2% 25ML
TRETINOIN CREAM 0.025% 25G
13.6.2
DIFFERIN
PANOXYL
BREVOXYL
EUROCIN A
STIEMYCIN
STIEVA-A
STIEVA-A
STIEVA-A
DIANE
VIBRAMYCIN
ROACCUTANE
ROACCUTANE
MINOCIN
MINOCIN
ACHROMYCIN
$38.49 / CYCL
$0.29 / TAB
$6.70 / CAP
$12.17 / CAP
$1.80 / CAP
$3.10 / CAP
$0.11 / CAP
S
G
S
S
G
G
G
Preparations for warts and calluses
PODOPHYLLIN COMPOUND PAINT 15%

SALICYLIC ACID COLLODION 10%
SALICYLIC ACID COLLODION 20%
SILVER NITRATE CAUSTIC PENCIL 95%
13.9
S
G
G
S
S
S
S
S
Oral preparations for acne
CYPROTERONE ACETATE 2MG + ETHINYLESTRADIOL 0.035MG TAB

ISOTRETINOIN CAP 10MG
ISOTRETINOIN CAP 20MG
TETRACYCLINE HCL CAP 250MG
13.7
$48.73 / TUBE
$45.00 / TUBE
$34.00 / TUBE
$12.00 / BOTT
$36.11 / BOTT
$45.08 / TUBE
$45.40 / TUBE
$50.90 / TUBE
$0.40 / ML
$0.19 / ML
$0.19 / ML
$34.23 / NO
G
G
G
G
Shampoos and other preparations for scalp and hair conditions
KETOCONAZOLE SHAMPOO 2% 100ML

NIZORAL
OLIVE OIL
POLYTAR (OR EQUIV) LIQUID 150ML
$36.40 / BOTT
$0.36 / ML
$48.10 / BOTT
13.10
Anti-infective skin preparations
13.10.1
Antibacterial preparations
13.10.1.1 Antibacterial preparations only used topically

MUPIROCIN OINT 2% 15G
BACTROBAN
$47.00 / TUBE
NEOMYCIN SULPHATE CREAM 0.5% 15G
$8.98 / TUBE
SILVER SULPHADIAZINE CREAM 1% 25G
DERMAZIN
$14.48 / TUBE
SILVER SULPHADIAZINE CREAM 1% 250G
DERMAZIN
$0.48 / G
SILVER SULPHADIAZINE (STERILE) CREAM 1%
FLAMAZINE
$1.15 / G
SULPHACETAMIDE 10% + ALCOHOL 50% SOLN
$0.03 / ML
G
G
S
G
G
G
G
G
G
13.10.1.2 Antibacterial preparations also used systemically

CHLORTETRACYCLINE HCL OINT 3% 5G
AUREOMYCIN
$0.11 / TUBE
G
CHLORTETRACYCLINE HCL OINT 3%
AUREOMYCIN
$0.02 / G
G
FUSIDATE SODIUM OINT 2% 15G
FUCIDIN
$55.00 / TUBE
G
FUSIDATE SODIUM (STERILE) GAUZE 2%
FUCIDIN INTERTULLE
$7.48 / PCS
G
FUSIDIC ACID CREAM 2% 15G
FUCIDIN
$55.00 / TUBE
G
METRONIDAZOLE GEL 0.75% 15G
ROZEX
$40.00 / TUBE
G
49
13.10.2
Antifungal preparations
AMOROLFINE HCL NAIL LACQUER 5% 2.5ML

LOCERYL
BENZOIC ACID COMPOUND OINT 20G
WHITFIELDS
BENZOIC ACID COMPOUND OINT 1/2 STRENGTH
WHITFIELDS
CLOTRIMAZOLE CREAM 1% 20G
CANESTEN
CLOTRIMAZOLE SOLN 1% 10ML
LOTREMIN
ISOCONAZOLE NITRATE CREAM 1% 20G
TRAVOGEN
MICONAZOLE NITRATE CREAM 2% 15G
DAKTARIN
TIOCONAZOLE CREAM 1% 15G
TROSYD
ZINC UNDECENOATE CREAM 25G
13.10.3
ZOVIRAX
ZOVIRAX
$14.00 / TUBE
$40.00 / TUBE
$0.02 / ML
$0.83 / ML
13.11
Skin cleansers and antiseptics
13.11.1
Alcohols and saline
DIALDEHYDE GLUTARIC DISINF SOLN 2.4% 5L

CIDEX
FORMALIN (BUFFERED) DISINF SOLN 10%
SODIUM CHLORIDE 0.9% IRRI SOLN 1L
SODIUM CHLORIDE 0.9% (COLLAPSIBLE BAG) IRRI SOLN 3L
$12.52 / BOTT
$12.47 / BOTT
$1.72 / PACK
NA
NA
NA
$18.00 / BOTT
$80.17 / BOTT
$1.53 / PACK
$18.36 / BOTT
NA
NA
NA
NA
$0.04 / ML
$0.03 / ML
G
G
Iodine
IODOFORM COMPOUND PAINT 100ML

POVIDONE IODINE OINT 10% 100G
POVIDONE IODINE ANTISEPTIC SOLN 10% W/V
POVIDONE IODINE SURGICAL SCRUB 7.5%
13.11.5
NA
NA
G
G
Cationic surfactants and soaps
CETRIMIDE SOLN 20%

SOAP SPIRIT SHAMPOO
13.11.4
$94.00 / BOTT
$0.02 / ML
$6.35 / BOTT
$25.40 / BAG
G
S
Chlorhexidine salts
CHLORHEXIDINE ACETATE IRRI SOLN 0.05% 1L

CHLORHEXIDINE ACETATE + CETRIMIDE IRRI SOLN 0.015%:0.15% 1L
CHLORHEXIDINE GLUCONATE + CETRIMIDE DISINF
TISEPT
SOLN 0.015%:0.15% 25ML
CHLORHEXIDINE GLUCONATE 2% IN 70% ALCOHOL DISINF SOLN 120ML
CHLORHEXIDINE GLUCONATE 2% IN 70% ALCOHOL DISINF SOLN 500ML BAXEDIN
CHLORHEXIDINE GLUCONATE DISINF SOLN 0.05% 25ML
CHLORHEXIDINE GLUCONATE DISINF SOLN 4% 500ML
HIBISCRUB
13.11.3
G
G
Parasiticidal preparations
BENZYL BENZOATE APPN 25%

PERMETHRIN LOTION 5%
QUELLADA
13.11.2
S
G
G
G
G
G
G
G
G
Antiviral preparations
ACYCLOVIR CREAM 5% 2G
ACYCLOVIR CREAM 5% 5G
13.10.4
$200.11 / BOTT
$1.68 / TUBE
$0.03 / G
$4.30 / TUBE
$18.13 / BOTT
$25.50 / TUBE
$11.91 / TUBE
$23.00 / TUBE
$3.80 / TUBE
WHITEHEADS VARNISH $2,407.14 / BOTT

BETADINE
$56.50 / TUBE
BETADINE
$0.03 / ML
BETADINE
$0.04 / ML
NA
G
G
G
Phenolics
TRICOLSAN SOLN 1% W/V
MICROSHIELD T
50
$0.17 / ML
13.11.6
Oxidisers and dyes
CASTELLANIS (OR EQUIV) PAINT

GENTIAN VIOLET SOLN 1% 30ML
BANITORE
HYDROGEN PEROXIDE SOLN 3% (10 VOL)
POTASSIUM PERMANGANATE SOLN 4%
13.11.7
G
G
$0.02 / ML
Topical circulatory preparations
HEPARINOID CREAM 14G
13.A
$24.00 / TUBE
$98.00 / TUBE
Antiperspirants
ALUMINIUM CHLORIDE 20% IN ALCOHOL 70% SOLN
13.13
G
S
G
G
Preparations for promotion of wound healing
ACTOVEGIN (OR EQUIV) JELLY 20% 20G

CLOSTRIDIOPEPTIDASE A OINT 15G
IRUXOL MONO
13.12
$0.04 / ML
$5.00 / BOTT
$0.02 / ML
$0.00 / ML
HIRUDOID
$5.20 / TUBE
Miscellaneous
ACETIC ACID SOLN 5%

$0.03 / ML
GLYCERIN STERILE LIQUID 10ML
$19.00 / BOTT
HYDROQUINONE CREAM 2% 15G
ELDOQUIN
$57.00 / TUBE
HYDROQUINONE CREAM 4% 15G
ELDOQUIN
$99.00 / TUBE
K Y (OR EQUIV) STERILE PACK JELLY 5G
$1.00 / PACK
K Y (OR EQUIV) STERILE JELLY 82G
$5.20 / TUBE
LIPIODOL ULTRA FLUID (OR EQUIV) INJ 48% 10ML
$126.00 / AMP
LIQUID PARAFFIN STERILE 10ML
$24.97 / BOTT
SODIUM DICHLOROISOCYANURATE DISINF TAB 0.5G
PRESEPT
$0.67 / TAB
SOLCOSERYL (OR EQUIV) JELLY 10% 20G
$20.57 / TUBE
SOLCOSERYL (OR EQUIV) OINT 5% 20G
$16.00 / TUBE
WATER FOR IRRIGATION 1000ML
$6.35 / BOTT

51
G
NA
S
S
NA
NA
NA
NA
NA
G
G
G
14
14.4
Immunological products and vaccines

Vaccines and antisera
BCG INTRADERMAL VACCINE 1ML

DIPHTHERIA TETANUS PERTUSIS POLIOMYELITIS
TETRAXIM
(INACT) VACCINE 0.5ML
DIPHTHERIA TETANUS (ADSORBED) VACCINE ADULT 5ML
DI TE ANATOXAL
DIPHTHERIA TETANUS (ADSORBED) CHILD VACCINE 5ML
DT VAX
HAEMOPHILUS B CONJUGATE VACCINE 10MCG/0.5ML
HEPATITIS B IM VACCINE 20MCG/ML 0.5ML
ENGERIX B
HEPATITIS B IM VACCINE 20MCG/ML 1ML
ENGERIX B
HUMAN SWINE INFLUENZA (H1N1) (2009/10 CAMPAIGN) VACCINE
PANENZA
INFLUENZA (2009/2010 CAMPAIGN) VACCINE 1DOSES
VAXIGRIP
MEASLES MUMPS RUBELLA (M-M-R II) WITH DILUENT VACCINE
M-M-R II
MENINGOCOCCAL A + C VACCINE 0.5ML
PNEUMOCOCCAL 23-VALENT POLYSACCHARIDE
PNEUMO 23
PREFILLED SYRINGE 0.5ML
PNEUMOCOCCAL 23-VALENT POLYSACCHAR.
PNEUMO 23
(CAMPAIGN) SYRINGE 0.5ML
PNEUMOCOCCAL 7-VALENT CONJUGATE PREFILLED SYRINGE 0.5ML PREVENAR
POLIOMYELITIS INACTIVATED TRIVALENT VACCINE 0.5ML
RABIES INACTIVATED VACCINE
TETANUS (ADSORBED) VACCINE 5ML
TUBERCULIN PPD RT23 INJ 2TU/0.1ML 1.5ML
VARICELLA SC VACCINE 0.5ML
VARIVAX
$52.67 / VIAL
$73.00 / NO
G
NA
$30.93 / VIAL
$99.34 / VIAL
$78.82 / VIAL
$10.40 / VIAL
$19.80 / VIAL
$0.00 / VIAL
$0.00 / NO
$31.00 / SET
$105.00 / VIAL
$100.00 / NO
G
G
G
G
G
S
S
G
G
G/S
$0.00 / NO
$529.97 / NO
$70.00 / AMP
$165.50 / VIAL
$36.50 / VIAL
$68.40 / VIAL
$279.48 / VIAL
G/S
G
G
G
G
G
14.5
Immunoglobulins
14.5.1
Normal immunoglobulin
NORMAL IMMUNOGLOBULIN (HUMAN) INF 6% 50ML
14.5.2
INTRAGAM P
ANTIRABIES IMMUNOGLOBULIN (HUMAN) INJ 150IU/ML 2ML

HYPERAB
HEPATITIS B IMMUNOGLOBULIN IM INJ 220 IU/ML 5ML
HYPERHEP B S/D
HEPATITIS B IMMUNOGLOBULIN PREFILLED SYRINGE 110 IU/0.5ML
HYPERHEP B S/D
HUMAN CMV IMMUNOGLOBULIN INF 10% 50ML
MEGALOTECT
TETANUS IMMUNE GLOBULIN, HUMAN PREFILLED SYRINGE 250U
VARICELLA ZOSTER IMMUNOGLOBULIN IV INJ 25 IU/ML 5ML
VARITECT CP
14.5.3
$613.00 / VIAL
Disease-specific immunoglobulins
$844.31 / VIAL
$3,496.54 / VIAL
$399.60 / NO
$5,350.00 / VIAL
$397.81 / NO
$1,250.00 / AMP
G
G
G
G
G
G
Anti-D (Rh0) immunoglobulin
ANTI-D IMMUNOGLOBULIN (HUMAN) INJ 1250 IU

RHOGAM
$400.00 / VIAL
ANTI-D IMMUNOGLOBULIN (HUMAN) INJ 1500 IU
WINRHO SDF
$788.93 / VIAL

52
G
G
15
Anaesthesia
15.1
General anaesthesia
15.1.1
Intravenous anaesthetics
ETOMIDATE EMULSION INJ 2MG/ML 10ML

KETAMINE (HCL) INJ 10MG/ML 20ML
PROPOFOL INJ 10MG/ML 20ML
PROPOFOL SYRINGE 10MG/ML 50ML
THIOPENTAL SODIUM INJ 500MG
15.1.2
ETOMIDATE-LIPURO
KETALAR
DIPRIVAN
DIPRIVAN
PENTOTHAL
SUPRANE
FORANE
SEVORANE
$680.00 / BOTT
$154.96 / BOTT
$1,422.75 / BOTT
G
G
G
Antimuscarinic drugs
ATROPINE SULPHATE INJ 1.2MG/ML 1ML

HYOSCINE HBR INJ 400MCG/ML 1ML
15.1.4
G
G
G
G
G
Inhalational anaesthetics
DESFLURANE INHALATION LIQUID 240ML

ISOFLURANE INHALATION LIQUID 250ML
SEVOFLURANE INHALATION LIQUID 250ML
15.1.3
$29.75 / AMP
$162.00 / VIAL
$12.00 / AMP
$158.66 / NO
$23.98 / VIAL
$7.37 / AMP
$26.99 / AMP
G
G
Sedative and analgesic peri-operative drugs
DEXMEDETOMIDINE (HCL) INF 100MCG/ML 2ML
PRECEDEX
$210.00 / VIAL
15.1.4.1 Anxiolytics and neuroleptics

STESOLID
$15.86 / TUBE
STESOLID
$17.60 / TUBE
DIAZEPAM TAB 2MG
VALIUM
$0.16 / TAB
DIAZEPAM TAB 5MG
VALIUM
$0.17 / TAB
DIAZEMULS
$8.50 / AMP
ATIVAN
$197.50 / AMP
LORAZEPAM TAB 1MG
ATIVAN
$0.21 / TAB
LORAZEPAM TAB 2MG
ATIVAN
$0.26 / TAB
MIDAZOLAM (HCL) INJ 1MG/ML 5ML
DORMICUM
$6.40 / AMP
MIDAZOLAM (HCL) INJ 5MG/ML 3ML
DORMICUM
$5.88 / AMP
MIDAZOLAM (MALEATE) TAB 15MG
DORMICUM
$2.70 / TAB
G
G
G
G
G
G
G
G
G
G
G
15.1.4.2 Non-opioid analgesics

KETOROLAC TROMETAMOL INJ 30MG/ML 1ML
TORADOL
$34.02 / AMP
15.1.4.3 Opioid analgesics

ALFENTANYL (HCL) INJ 0.5MG/ML 2ML
RAPIFEN
$67.77 / AMP
FENTANYL (CITRATE) INJ 50MCG/ML 2ML
$2.70 / AMP
FENTANYL (CITRATE) INJ 50MCG/ML 10ML
$9.30 / AMP
REMIFENTANIL (HCL) INJ 1MG
ULTIVA
$67.00 / VIAL
REMIFENTANIL (HCL) INJ 2MG
ULTIVA
$117.00 / VIAL
ROPIVACAINE 0.15% + FENTANYL 2MCG/ML IN NS INF 50ML
$0.69 / NO
G
G
G
G
G
G
53
15.1.5
Neuromuscular blocking drugs
ATRACURIUM BESYLATE INJ 10MG/ML 2.5ML

TRACRIUM
ATRACURIUM BESYLATE INJ 10MG/ML 5ML
TRACRIUM
CISATRACURIUM (BESYLATE) INJ 2MG/ML 2.5ML
NIMBEX
CISATRACURIUM (BESYLATE) INJ 2MG/ML 5ML
NIMBEX
MIVACURIUM (CHLORIDE) INJ 2MG/ML 5ML
MIVACRON
PANCURONIUM BROMIDE INJ 2MG/ML 2ML
PAVULON
ROCURONIUM BROMIDE INJ 10MG/ML 5ML
ESMERON
SUXAMETHONIUM CHLORIDE INJ 50MG/ML 2ML
15.1.6
ANEXATE
NARCAN
NA
G
$320.00 / AMP
$70.00 / AMP
G
G
Drugs for malignant hyperthermia
DANTROLENE SODIUM INJ 20MG
15.2
$196.43 / AMP
$5.19 / AMP
Antagonists for central and respiratory depression
FLUMAZENIL IV INJ 0.1MG/ML 5ML

NALOXONE HCL INJ 0.4MG/ML 1ML
15.1.8
G
G
G
G
G
G
G
G
Drugs for reversal of neuromuscular blockade
EDROPHONIUM CHLORIDE INJ 10MG/ML 1ML

TENSILON
NEOSTIGMINE METHYLSULPHATE LUER FIT INJ 2.5MG/ML 1ML
15.1.7
$11.00 / AMP
$19.76 / AMP
$18.00 / AMP
$33.60 / AMP
$33.00 / AMP
$44.63 / AMP
$34.25 / VIAL
$8.97 / AMP
DANTRIUM
$781.38 / AMP
NA
Local anaesthesia
AMETHOCAINE (TETRACAINE) GEL 4% 1.5G

$20.33 / TUBE
BUPIVACAINE HCL (POLYAMP) INJ 0.25% 20ML
MARCAIN
$54.81 / AMP
BUPIVACAINE HCL (POLYAMP) INJ 0.5% 20ML
MARCAIN
$85.08 / AMP
MARCAIN SPINAL HEAVY $65.28 / AMP
BUPIVACAINE HCL 0.5% + GLUCOSE 8% INJ 4ML
COCAINE HCL EYE/NASAL DROPS 5% 10ML
$179.00 / BOTT
ETHYL CHLORIDE SPRAY 100ML
$50.96 / TUBE
INSTILLAGEL (OR EQUIV) GEL 11ML
$19.50 / NO
LEVOBUPIVACAINE (HCL) INJ 5MG/ML 10ML
CHIROCAINE
$21.50 / AMP
LIGNOCAINE 2.5% + PRILOCAINE 2.5% CREAM 5G
EMLA 5%
$68.66 / TUBE
LIGNOCAINE HCL INJ 1% 50ML
XYLOCAINE
$40.00 / VIAL
LIGNOCAINE HCL INJ 2% 50ML
XYLOCAINE
$16.50 / VIAL
LIGNOCAINE HCL SOLN 2%
XYLOCAINE
$0.16 / ML
LIGNOCAINE HCL (PRESERVATIVE FREE) INJ 2% 5ML
XYLOCAINE
$2.80 / AMP
LIGNOCAINE HCL 2% + ADRENALINE 1:200000 INJ 20ML
XYLOCAINE
$84.00 / VIAL
LIGNOCAINE HCL 2% + ADRENALINE 1:80000 (STD) CARTRIDGE 1.8ML XYLOCAINE
$2.14 / NO
LIGNOCAINE HCL LUER FIT POLYAMPS INJ 1% 5ML
XYLOCAINE
$5.15 / AMP
ROPIVACAINE HCL (PRESERVATIVE FREE) INJ 10MG/ML 20ML
NAROPIN
$89.91 / AMP
ROPIVACAINE HCL (PRESERVATIVE FREE) INJ 7.5MG/ML 20ML
NAROPIN
$85.03 / AMP

54
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
16
Drugs used in emergency treatment of poisoning
ACETAMIDE INJ 0.5G/ML 5ML

ACETYLCYSTEINE INF 200MG/ML 25ML
HIDONAC
CALCIUM DISODIUM VERSENATE INJ 200MG/ML 5ML
CHARCOAL ACTIVATED SUSP 50G
CARBOSORB
DIGOXIN IMMUNE FAB (OVINE) INJ 40MG
DIGIFAB
DIMERCAPROL INJ 50MG/ML 2ML
DIMERCAPTOPROPANE SODIUM SULPHONATE INJ 62.5MG/ML 2ML
HYDROXOCOBALAMIN INJ 2.5G
CYANOKIT
NALOXONE HCL INJ 0.4MG/ML 1ML
NARCAN
NALTREXONE HCL TAB 50MG
TREXAN
PHYSOSTIGMINE SALICYLATE INJ 1MG/ML 2ML
PRALIDOXIME CHLORIDE INJ 0.25G/ML 2ML
PRUSSIAN BLUE CAP 500MG
SODIUM NITRITE INJ 3% 10ML
SODIUM THIOSULPHATE INJ 25% 50ML
16.1
$221.00 / AMP
$149.99 / VIAL
$357.83 / AMP
$80.00 / BOTT
$3,285.00 / VIAL
$630.43 / AMP
$54.00 / AMP
$3,800.00 / VIAL
$70.00 / AMP
$29.33 / TAB
$59.15 / AMP
$16.57 / AMP
$30.00 / CAP
$162.06 / AMP
$337.73 / VIAL
G
G
G
G
G
G
G
G
G
G
NA
G
G
G
G
Antivenom
AGKISTRODON ACUTUS ANTIVENIN INJ 2000U

$1,551.74 / AMP
AGKISTRODON HALYS ANTIVENIN INJ 6000U
$1,399.69 / AMP
BUNGARUS MULTICINCTUS ANTIVENIN INJ 10000U
$1,311.11 / AMP
COBRA ANTIVENIN INJ
$1,139.17 / VIAL
GREEN PIT VIPER ANTIVENIN INJ
$1,836.48 / VIAL
KING COBRA ANTIVENIN INJ
$1,514.15 / VIAL
KRAIT (BANDED) ANTIVENIN INJ
$1,311.52 / VIAL
NAJA NAJA ANTIVENIN INJ 1000U
$1,585.00 / AMP
RUSSELL`S VIPER ANTIVENIN INJ
$1,426.31 / VIAL
STONEFISH ANTIVENOM INJ 2000U
$5,420.83 / AMP
TIGER SNAKE ANTIVENENE VENOM INJ 3000U
$6,996.50 / VIAL

55
G
G
G
G
G
G
G
G
G
G
G
17
17.1
Haemodialysis and peritoneal dialysis solutions

Haemodialysis solutions
ANTICOAGULANT CITRATE DEXTROSE A INJ 500ML

HAEMOFILTRATION SOLN 5L
HEMOSOL BO
$90.00 / BAG
$163.50 / KIT
NA
G
PDF DEXT 1.5% LOW CA 2LITRES SOLN STAY SAFE

$39.10 / BAG
PDF DEXT 1.5% STD CA 2LITRES SOLN STAY SAFE
$39.10 / BAG
$39.10 / BAG
$39.10 / BAG
$39.10 / BAG
$39.10 / BAG
PDF DEXT 1.5/2.5/3.9% LOW CA 2LITRES SOLN DOUBLE BAG
GAMBROSOL TRIO
$51.00 / BAG
PDF DEXT 1.5/2.5/3.9% STD CA 2LITRES SOLN DOUBLE BAG
GAMBROSOL TRIO
$47.00 / BAG
PDF DEXT 1.5% LOW CA 2LITRES SOLN SPIKE
$38.15 / BAG
PDF DEXT 1.5% STD CA 2LITRES SOLN SPIKE
$38.74 / BAG
$38.60 / BAG
$39.20 / BAG
$39.03 / BAG
$38.97 / BAG
PDF AMINO ACIDS 1.1% LOW CA 2LITRES SOLN ULTRA BAG
NUTRINEAL
$70.00 / BAG
PDF DEXT 1.5% LOW CA 2LITRES SOLN ULTRA BAG
$40.58 / BAG
PDF DEXT 1.5% STD CA 2LITRES SOLN ULTRA BAG
$40.58 / BAG
$41.37 / BAG
$41.37 / BAG
$41.95 / BAG
$40.44 / BAG
PDF ICODEXTRIN 7.5% STD CA 2LITRES SOLN ULTRA BAG
EXTRANEAL
$85.13 / BAG

G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
17.2
Peritoneal dialysis solutions
56
18
Medical gases
AIR BREATHING 0.7CUM (E) CYLINDER E SIZE

$47.00 / CYN
AIR BREATHING 6.8CUM (R) CYLINDER R SIZE
$161.00 / CYN
CARBON DIOXIDE CYLINDER (B) 0.9KG
$103.00 / CYN
CARBON DIOXIDE B.P. CYLINDER (G) 9KG
$178.00 / CYN
NITRIC OXIDE MIXTURE MEDICAL 1000 PPM CYLINDER 5.96CUM (R)
$18,000.00 / CYN
NITRIC OXIDE MIXTURE MEDICAL1000PPM CYLINDER 1.49CUM
$6,700.00 / CYN
NITROUS OXIDE 1.6CUM (E) CYLINDER
$264.63 / CYN
NITROUS OXIDE 15.5CUM (R) CYLINDER
$2,125.00 / CYN
OXYGEN LIQUID TANK
$6.05 / CU M
OXYGEN MEDICAL (ALUMINIUM) 0.32CUM (D) CYLINDER
$48.00 / CYN
OXYGEN MEDICAL 0.32CUM (D) CYLINDER
$48.00 / CYN
OXYGEN MEDICAL 0.7CUM (E) CYLINDER
$52.00 / CYN
OXYGEN MEDICAL 0.7CUM (FX) CYLINDER
$72.00 / CYN
OXYGEN MEDICAL 1.4CUM (G) CYLINDER
$87.00 / CYN
OXYGEN MEDICAL 6.8CUM (R) CYLINDER
$178.00 / CYN

57
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
19
Miscellaneous items
ALCOHOL ABSOLUTE INJ 5ML

DEXTROSE MONOHYDRATE 82.5G/PACK
FLUORESCEIN SODIUM IV INJ 10% 5ML
FLUORESCITE
INDIGO CARMINE INJ 0.8% 5ML
METHYLENE BLUE INJ 1% 5ML
PATENT BLUE V INJ 2.5% 2ML
58
$85.04 / AMP
$6.00 / PACK
$102.66 / VIAL
$86.00 / AMP
$80.07 / AMP
$40.00 / AMP
G
G
G
NA
NA
NA
LATE ADDITION OF NEW DRUGS

FROM SEP 2010 UP TO MAR 2011
BRINZOLAMIDE 10MG/ML + TIMOLOL 5MG/ML EYE DROPS
AZARGA
- / BOTT
CALCIPOTRIOL 50MCG/G + BETAMETHASONE
XAMIOL
$69.20 / BOTT
DIPROPIONATE 0.5MG/G GEL 15G
CLOBETASOL PROPIONATE SHAMPOO 0.05%
CLOBEX
- / BOTT
LEXAPRO
$11.90 / TAB
LEVODOPA 150MG + CARBIDOPA 37.5MG +
STALEVO 150/37.5/200
- / TAB
ENTACAPONE 200MG TAB
LEVODOPA 200MG + CARBIDOPA 50MG +
STALEVO 200/50/200
$7.60 / TAB
ENTACAPONE 200MG TAB
OLICLINOMEL N7-1000E (OR EQUIV) INF 1500ML
$300.00 / BAG
PALIPERIDONE (PALMITATE) PREFILLED SYRINGE 50MG/0.5ML
INVEGA SUSTENNA $1,626.70 / NO
PALIPERIDONE (PALMITATE) PREFILLED SYRINGE 75MG/0.75ML
PALIPERIDONE (PALMITATE) PREFILLED SYRINGE 100MG/ML 1ML
PALIPERIDONE (PALMITATE) PREFILLED SYRINGE 150MG/ML 1.5ML
INVEGA SUSTENNA
- / NO
TIOTROPIUM SOFT MIST INHALER 2.5MCG/PUFF 60 DOSES
SPIRIVA RESPIMAT
- / NO
VILDAGLIPTIN 50MG + METFORMIN 1000MG
GALVUSMET 50/1000
- / TAB
VILDAGLIPTIN 50MG + METFORMIN 500MG
GALVUSMET 50/500
- / TAB
VILDAGLIPTIN TAB 50MG
GALVUS
$3.50 / TAB
59
S
S
S
S
G
G
G
S
S
S
S
S
S
S
S

QMH Drug Formulary

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QMH Drug Formulary

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Verfügbare Formate

QUEEN MARY HOSPITAL

EXPLANATION OF FORMULARY LISTINGS

SALBUTAMOL (SULPHATE) INHALER 100MCG/DOSE 200 DOSES

Generic Name (or Trade Name for compound preparations)

Dosage Form Description

Common Trade Name

Average Unit Cost in HK$ (as at August 2010)

HA Drug Formulary Category

Abbreviations for Dosage Form Description:

Abbreviations for HA Drug Formulary (HADF) Category:

= Self-financed Item with Safety Net

= Not Applicable (item not listed in HA Drug Formulary)

= Special Drug or Self-financed Item depending on indication

Antacids and simeticone

Antispasmodics and other drugs altering gut motility

HYOSCINE BUTYLBROMIDE INJ 20MG/ML 1ML

Antisecretory drugs and mucosal protectants

CIMETIDINE TAB 200MG

MISOPROSTOL TAB 200MCG

Chelates and complexes

BISMUTH SUBCITRATE (120MG OF BI2O3) TAB 300MG

Proton pump inhibitors

ESOMEPRAZOLE (MAGNESIUM TRIHYDRATE) TAB 20MG

RABEPRAZOLE SODIUM ENTERIC COATED TAB 10MG

Adsorbents and bulk-forming drugs

DIOCTAHEDRAL SMECTITE POWDER 3G/SACHET

Chronic bowel disorders

MESALAZINE ENEMA 1G/100ML

BUDESONIDE ENEMA 0.02MG/ML 115ML

CODEINE PHOSPHATE TAB 30MG

Drugs affecting the immune response

ADALIMUMAB PREFILLED SYRINGE 40MG/0.8ML

METAMUCIL (OR EQUIV) GRANULES 538G

BISACODYL RECTAL SUPP 10MG

FLEET (OR EQUIV) ENEMA 4.5FL OZ

Bowel cleansing preparations

FLEET PHOSPHO-SODA BUFFERED SALINE MIXTURE 45ML

FLEET PHOSPHO-SODA $10.93 / BOTT

Local preparations for anal and rectal disorders

Soothing haemorrhoidal preparations

ANUSOL (OR EQUIV) OINT 25G

Compound haemorrhoidal preparations with corticosteroids

ULTRAPROCT N (OR EQUIV) CREAM 10G

PHENOL IN ALMOND OIL INJ 5% 5ML

Drugs affecting intestinal secretions

Drugs affecting biliary composition and flow

CHENODEOXYCHOLIC ACID CAP 250MG

COMBIZYM (OR EQUIV) TAB

Bile acid sequestrants

CHOLESTYRAMINE (SUGAR FREE) GRANULES 4G/SACHET

CHARCOAL ACTIVATED TAB 300MG

Positive inotropic drugs

DIGOXIN ELIXIR 50MCG/ML

MILRINONE (LACTATE) INJ 1MG/ML 10ML

Thiazides and related diuretics

HYDROCHLOROTHIAZIDE SYR 2MG/ML

Potassium-sparing diuretics with other diuretics

AMILORIDE 5MG + HYDROCHLOROTHIAZIDE 50MG TAB

Potassium-sparing diuretics and aldosterone antagonists

AMILORIDE HCL TAB 5MG

BUMETANIDE TAB 1MG

OSMOFUNDIN INF 20% 250ML

MANNITOL (OR EQUIV) $14.50 / BOTT

Drugs for arrhythmias