Laman Web Rasmi Hospital Batu Gajah - MEDICINES...
Transcript of Laman Web Rasmi Hospital Batu Gajah - MEDICINES...
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Medicine Formulary HSNI Vol 2.2019
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MEDICINES FORMULARY
HOSPITAL SULTANAH NORA
ISMAIL,
BATU PAHAT, JOHOR
VOL 2.2019
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Medicine Formulary HSNI Vol 2.2019
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CONTENTS
1.0 HOW TO USE THIS FORMULARY.............................................................................Page 3
2.0 MEDICINES ACCORDING TO ALPHABETICAL ORDER……………………………………………Page 4-57
3.0 MEDICINES REQUIRING KPK APPROVAL OR IMPORT PERMIT……………………………..Page 58-60
4.0 MEDICINES REMOVED FROM FORMULARY (DCM BIL.2/2019) …………………………..Page 61-62
5.0 MEDICINES NEWLY INTRODUCED INTO FORMULARY (DCM BIL.2/2019) ……………Page 63-64
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1.0 HOW TO USE THIS FORMULARY
Medicines are arranged according to alphabetical order. Only medical practitioners from respective
departments are authorised to initiate the prescription as listed in the formulary. For medicines where
Department names are not specified, medicines are not confined to a specific department, but it shall be
prescribed in reference to FUKKM system/group.
Category of prescribers that are authorised to initiate the prescription for the medicine in this formulary is
listed as:
CATEGORY OF PRESCRIBER DEFINITION
A* Consultant/specialist from disciplines related to the listed indication only
A Consultant/specialist
A/KK Consultant/specialist/family physician specialist
B Medical officer
C Paramedic staff
C+ Paramedic staff doing midwifery
Dental consultant, dental specialist and dental officers are also included in this category but only for the
medicines used in dental treatment. Medicines should be prescribed when they are necessary, and in all cases
the benefit of administering the medicines should be considered in relation to the risks involved.
Medicines will be dispensed generically. The use of trade name (if any) in this formulary is only given as an
example; it does not indicate that the particular brand should be dispensed.
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MEDICINES ACCORDING
TO ALPHABETICAL ORDER
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Acetazolamide 250mg Tablet B Ophthalmology
Acetazolamide 500mg Injection
B Ophthalmology
Department Ophthalmology
Acetylcysteine 200mg/ml Injection
A* Emergency
Acetylcysteine 600mg Tab KPK DRUG Nephrology Unit
Acetylsalicylic Acid 300mg Tab C Analgesics
Acetysalicylic Acid 100mg + Glycine 45mg Tab
B Medical
Department Cardiovascular
Acitretin 25mg Capsule A* Dermatology Unit Dermatology Quota: 30 Patients/ Month (DCM Bil2.2014)
Acriflavine 0.1% Lotion C+ Dermatology
Acyclovir 200mg Tablet A/KK Antiinfectives
Acyclovir 200mg/5ml Suspension
A* Pediatric
Department Antiinfectives
Quota: 20 Patients/Year ( DCM Bil2.2012)
Acyclovir 250mg Injection A* Antiinfectives
Acyclovir 3% Eye Ointment A* Ophthalmology
Department Ophthalmology
Quota: 10 Patients/Month (Requires Import Permit )
Acyclovir 800mg Tablet A/KK Antiinfectives
Adenosine 3 mg/ml Injection B Medical
Department Cardiovascular
Adrenaline Acid (Epinephrine) Tartrate 1 mg/ml Injection
B Cardiovascular
Agomelatine 25mg Tablet A* Psychiatric
Department Psychiatry
Quota: 15 Patients/Months ( DCM Bil3.2014)
Albendazole 200mg Tablet C+ Antiinfectives
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Albendazole 200mg/5ml Suspension
C+ Antiinfectives
Alcohol 70% Solution C+ Dermatology
Alendronate Sodium 70 mg And Cholecalciferol 5600 iu Tablet (Fosamax Plus)
A* Orthopaedic Department
Endocrine
Alfacalcidol 0.25 mcg Capsule A/KK Medical
Department / Nephrology Unit
Nutrition and Blood Disorder
Alfacalcidol 1 mcg Capsule A/KK Medical
Department Nutrition and Blood
Disorder
Alfacalcidol 2 mcg/ml Drops A* Pediatric
Department Nutrition and Blood
Disorder
Alfuzosin Hydrochloride 10mg Tablet
A* Surgical
Department Genitourinary
Quota:20 Patients/Month (DCM Bil2/2018)
Alkaline Nasal Douche B Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Allopurinol 300 mg Tablet A/KK Medical
Department Rheumatology
Alprazolam 0.5mg Tablet A Psychiatry
Alprazolam 1mg Tablet A Psychiatry
Alprostadil 500 mcg/ml Injection
A* Pediatric
Department Cardiovascular
Amantadine HCl 100 mg Capsule
B Neurology Unit Neurology Quota: 5 Patients (DCM Bil1/2018)
Amikacin 500mg/2ml Injection
A Antiinfectives
Amiloride Hcl 5 mg & Hydrochlorothiazide 50 mg Tablet
B Medical
Department Cardiovascular
Aminophylline 25mg/ml In 10ml Injection
B Respiratory
Amiodarone 150 mg/3ml Injection
A* Medical
Department Cardiovascular
Amiodarone 200 mg Tablet A* Medical
Department Cardiovascular
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Amisulpride 400mg Tablet A* Psychiatric
Department Psychiatry
Quota:13 Patients/Month ( DCM Bil1.2016)
Amitriptyline 25mg Tablet B Psychiatric
Department Psychiatry
Amlodipine 10 mg And Valsartan 160mg Tablet
A/KK Medical
Department Cardiovascular
Amlodipine 10 mg Tablet B Medical
Department Cardiovascular
Amlodipine 5 mg Tablet B Medical
Department Cardiovascular
Amoxicillin 1g & Clavulanate 200mg Injection
A Antiinfectives
Amoxicillin & Clavulanate 228 mg/5 ml Syrup
A/KK Pediatric
Department Antiinfectives
Amoxicillin And Clavulanic Acid 625mg Tab
A/KK Antiinfectives
Amoxicillin Trihydrate 125mg/5ml Syrup
B Antiinfectives
Amoxycillin 500 mg Capsule B Antiinfectives
Amphotericin B 0.125% Eye Drops
A Ophthalmology
Department
Amphotericin B 0.15% Eye Drops
A Ophthalmology
Department Ophthalmology
Amphotericin B 50 mg Injection
A Antiinfectives
Ampicillin 500mg Injection B Antiinfectives
Ampicillin Sodium & Sulbactam Sodium 375 mg Tablet
A/KK Antiinfectives
Ampicillin Trihydrate 125mg / 5ml (100ml) Suspension
B Antiinfectives
Anastrozole 1 mg Tablet A* Surgical
Department Haematology/
Oncology
Anti RhD Gamma Globulin
300 mcg/2 ml B
Obstetrics and
Gynaecology
Department
Immunological
Products and
Vaccines
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Antivenene Cobra Injection B
Emergency And
Trauma
Department
Emergency Quota: 10 vials
(DCM bil1.2019)
Antivenene Serum (Sea snake)
1000 units Injection B
Emergency And
Trauma
Department
Emergency Quota: 1 vial (DCM
bil1.2019)
Aqueous Cream C+ Dermatology
Aripiprazole 10mg Tablet A* Psychiatric
Department Psychiatry
Combined Quota 10mg &15mg :90 Patients/Month ( DCM Bil1.2019)
Aripiprazole 15mg Tablet A* Psychiatric
Department Psychiatry
Aripiprazole 15mg keep for old case only. ( DCM Bil 1.2019)
Artemether 20mg + Lumefantrine 120mg Tablet
B Medical
Department Antiinfectives
Artesunate 60 mg Injection A Medical
Department Antiinfectives
Artificial Tear Preservative Free (ATPF)
A* Ophthalmology
Department Ophthalmology
Quota: 200 boxes per month (DCM 1/2019)
Artificial Tears/Eye Lubricant Opthalmic Gel (Genteal Eye Drop 0.2%)
B Ophthalmology
Department Ophthalmology
17 Bottle/Month (200 Bottle)
Ascorbic Acid 100mg Tab C+ Nutrition and Blood
Disorder
Asenapine 10mg Sublingual Tablet
A* Psychiatric
Department Psychiatry
Quota:3 Patients/Month ( DCM Bil1.2016)
Atenolol 100mg Tab B Medical
Department Cardiovascular
Atomoxetine HCl 10 mg Capsule
A* Psychiatric
Department Neurology
Combined Quota 10mg, 18mg, 25mg: 30 Patients/Month
Atomoxetine HCl 18 mg Capsule
A* Psychiatric
Department Neurology
Combined Quota 10mg, 18mg, 25mg: 30 Patients/Month
Atomoxetine HCl 25 mg Capsule
A* Psychiatric
Department Neurology
Combined Quota 10mg, 18mg, 25mg: 30 Patients/Month
Atorvastatin 20 mg Tablet A/KK Medical
Department Cardiovascular
Atorvastatin 80 mg Tablet A/KK Medical
Department Cardiovascular
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Atracurium Besylate 10 mg/ml In 2.5 ml Injection
A* Anaesthesia Department
Anaesthesia
Atropine Sulphate 1% Eye Drops 10ml
B Ophthalmology
Department Ophthalmology
Atropine Sulphate 1mg/1ml Injection
B Anaesthesia
Azathioprine 50 mg Tablet A Medical
Department Drugs Affecting
Immune Response
Azathioprine 50 mg Tablet A Haematology Unit Drugs Affecting
Immune Response
Azithromycin 200mg/5ml Granules
A* Pediatric
Department Antiinfectives
Quota:20 Patients/Month (DCM Bil2/2015)
Azithromycin 250mg Tablet A* Medical
Department Antiinfectives
Azithromycin 500 mg Injection A* Antiinfectives
Baclofen 10mg Tablet B Neurology
Balanced Salt Solution 250ml. A Ophthalmology
Balanced Salt Solution 500ml. A Ophthalmology
BCG Vaccine Freeze-Dried Injection
C+ Obstetrics and
Gynaecology Department
Immunological Products and
Vaccines
Beclomethasone Dipropionate 100mcg And Formoterol Fumarate Dihydrate 6mcg Pressurized Inhalation Solution
A/KK Medical
Department Respiratory
Quota:10 Patients (DCM Bil 2.2019)
Benzathine Penicillin 2.4 MIU (1.8 G) Injection
B Antiinfectives
Benzhexol HCl 2mg Tablet B Neurology
Benzoic Acid Compound Ointment
C Dermatology
Benzydamine HCl 0.15% Solution
B
Otolaryngology Department (ENT)
Ear, Nose and Oropharynx
Oral and Maxillofacial Surgery
Department
Ear, Nose and Oropharynx
Quota: 3 Patients/Month (DCM Bil2/2012)
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Benzydamine HCl 3.0mg/ml Throat Spray
A* Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Quota:5 Patients/Month (DCM Bil3/2015)
Benzyl Benzoate 25% Emulsion
C+ Dermatology
Benzyl Benzoate, Zinc Oxide Dan Balsum Peru Suppositories Anusol
C
Benzylpenicillin 1 mega unit (600 mg) Injection
B Antiinfectives
Benzylpenicillin 5 mega units (3 g) Injection
B Antiinfectives
Beractant Intratracheal Suspension (200 mg Phospholipids In 8 ml Vial)
A* Pediatric
Department Respiratory
Betahistine Dihydrochloride 24 mg Tablet
A*
Medical Department/
Otolaryngology Department (ENT)
Neurology
Medical Department: Maximum duration of 1 week only
Betamethasone 17-Valerate 0.01-0.05% Cream
B Dermatology
Betamethasone 17-Valerate 0.1% Cream
A Dermatology Unit Dermatology
Betaxolol 0.25% Eye Suspension (Betoptic)
A Ophthalmology
Department Ophthalmology
Bicalutamide 50 mg Tablet A*
Surgical Department
Haematology/ Oncology
Quota: 2 Patients/Month ( DCM Bil3/2017)
Oncology Unit Haematology/
Oncology Quota: 1 Patient,3 Monthly
Bimatoprost 0.01% ophthalmic solution
A* Ophthalmology
Department Ophthalmology
Quota 20 patients (DCM bil 1.2019)
Bisacodyl 10 mg Suppository C Gastro-Intestinal
Bisacodyl 5mg Tablet C Gastro-Intestinal
Bismuth Subnitrate, Iodoform And Liquid Paraffin Paste
B Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Bisoprolol Fumarate 5mg Tablet
B Medical
Department Cardiovascular
Bisoprolol Fumarate 2.5mg Tablet
B Medical
Department Cardiovascular
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Bleomycin HCl 15 mg Injection A Oncology Unit Ear, Nose and Oropharynx
Brimonidine Tartrate 0.15% Ophthalmic (Alphagan)
A* Ophthalmology
Department Ophthalmology
Quota: 350 Patients / Month (DCM Bil2/2017)
Bromhexine 4mg/2 ml Injection
A Ear, Nose and Oropharynx
Bromhexine HCl 8 mg Tablet C Ear, Nose and Oropharynx
Bromocriptine Mesilate 2.5mg Tablet
A/KK
Medical Department
Endocrine
Obstetrics and Gynaecology Department
Endocrine
Budesonide 160 mcg And Formoterol 4.5 mcg Inhalation
A/KK Medical
Department Respiratory
Quota: 60 Patients (DCM Bil 2/2019)
Budesonide 200mcg (CFC-Free) Inhaler
B Respiratory
Budesonide 500 mcg/2 ml Nebuliser Solution
B Respiratory
Budesonide 64mcg Nasal Spray
A Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Bupivacaine 0.5 % Injection (Marcaine Plain)
B Anaesthesia Department
Anaesthesia
Bupivacaine 0.5 % with Adrenaline 1:200,000 Injection
B Anaesthesia Department
Anaesthesia
Bupivacaine 0.5% Heavy Injection
A Anaesthesia Department
Anaesthesia
Cabergoline 0.5 mg Tablet A* Obstetrics and Gynaecology Department
Endocrine Quota: 2 Patients/Month ( DCM Bil2/2015)
Caffein powder (anhydrous) KPK DRUG Pediatric
Department
Quota: 20 patients per month (DCM bil 2.2019)
Calamine Lotion C+ Dermatology
Calamine Cream C+ Dermatology
Calamine With 2 - 6% Precipitated Sulphur Lotion
C Dermatology
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Calcipotriol 50mcg/g Cream (Daivonex)
A* Dermatology Unit Dermatology
Calcipotriol Hydrate 50mcg/g & Betamethasone Dipropionate 0.5mg/g Gel (Xamiol)
A* Dermatology Unit Dermatology
Calcipotriol Hydrate 50mcg/g & Betamethasone Dipropionate 0.5mg/g Ointment (Daivobet)
A* Dermatology Unit Dermatology
Calcitriol 0.25 mcg Capsule A/KK
Medical Department
Nutrition and Blood Disorder
Orthopaedic Department
Nutrition and Blood Disorder
Nephrology Unit Nutrition and Blood
Disorder
Calcitriol 1mcg/ml Injection A* Nephrology Unit Nutrition and Blood
Disorder Open Quota (DCM Bil1/2017)
Calcium Carbonate 500mg Tablet
B Nutrition and Blood
Disorder
Calcium Gluconate 10% Injection
B Nutrition and Blood
Disorder
Calcium Lactate 300mg Tab C Nutrition and Blood
Disorder
Calcium Polystyrene Sulphonate Powder
A Emergency
Capecitabine 500 mg Tablet A* Oncology Unit Haematology/Onco
logy
Captopril 25mg Tablet B Medical
Department Cardiovascular
Carbachol 0.01% Intraocular Solution
A Ophthalmology
Department Ophthalmology
Carbamazepine 200mg Tablet B Medical
Department Neurology
Carbamazepine 400 mg CR Tablet
A Medical
Department Neurology
Carbetocin 100 mcg/ ml Injection
A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Carbimazole 5mg Tablet B Endocrine
Carboplatin 450 mg Injection A* Oncology Unit Haematology/
Oncology
Carboprost Tromethamine 250mcg Injection
A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Carvedilol 6.25 mg Tablet A/KK Medical
Department Cardiovascular
Cefazolin Sodium 1 g Injection A Nephrology Unit Antiinfectives
Cefepime 1g Injection A* Antiinfectives
Cefoperazone Sodium 1 g Injection
A Antiinfectives
Cefoperazone Sodium 500 mg & Sulbactam Sodium 500 mg Injection
A Antiinfectives
Cefotaxime 1 g Injection A Antiinfectives
Ceftazidime 1 g Injection A Antiinfectives
Ceftazidime 5% Eye Drops A Ophthalmology
Department
Ceftriaxone 1g Injection A Antiinfectives
Cefuroxime 5% Eye Drops A Ophthalmology
Department
Cefuroxime Axetil 125 mg Tablet
A/KK Antiinfectives
Cefuroxime Axetil 125mg/5ml Suspension (Zinnat)
A Pediatric
Department Antiinfectives
Cefuroxime Sodium 750 mg Injection
A Antiinfectives
Celecoxib 200 mg Capsule A
Medical Department
Rheumatology
Orthopaedic Department
Rheumatology
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Cephalexin Monohydrate 250 mg Capsule
B Antiinfectives
Cetrimide 1-2% Lotion C+ Dermatology
Charcoal, Activated 50 g Granules
A Emergency And
Trauma Department
Emergency Quota: 2 Bottles/Month
Chloral Hydrate 200 mg/5 ml Mixture
B Pediatric
Department Psychiatry
Chloramphenicol 0.5% Eye Drop
C Ophthalmology
Chloramphenicol 1% Eye Ointment
C Ophthalmology
Chloramphenicol Ear Drops C Ear, Nose and Oropharynx
Chlorhexidine Gluconate 0.2% Mouth Wash
C Ear, Nose and Oropharynx
Chlorhexidine Gluconate 2% In Alcohol 70% Solution
C Dermatology
Chlorhexidine Gluconate 4% Scrub
C+ Dermatology
Chloroquine Phosphate 250 mg Tablet (150 mg Chloroquine Base)
C Medical
Department Antiinfectives
Chlorpheniramine 2mg/5ml Syrup
C Ear, Nose and Oropharynx
Chlorpheniramine Maleate 10 mg/ml Injection
B Ear, Nose and Oropharynx
Chlorpheniramine Maleate 4 mg Tablet
C Ear, Nose and Oropharynx
Chlorpromazine HCL 100mg Tablet
B Psychiatric
Department Psychiatry
Chlorpromazine HCL 25mg Tablet
B Psychiatric
Department Psychiatry
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Chorionic Gonadotrophin Human (HCG) 5000 IU Injection
A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Ciclosporin 100 mg Capsule A* Nephrology Unit Drugs Affecting
Immune Response
Ciclosporine 25mg Capsule A* Nephrology Unit Drugs Affecting
Immune Response
Ciprofloxacin 0.2% Eye Drops A* Ophthalmology
Department
Quota: 20 Patients/Month (DCM Bil4/2014)
Ciprofloxacin 0.3% Eye Drops A* Ophthalmology
Department
Quota: 20 Patients / Month
Ciprofloxacin 200mg/100ml Injection
A Antiinfectives
Ciprofloxacin 250 mg Tablet A Antiinfectives
Cisplatin 50 mg Injection A Oncology Unit Haematology/
Oncology
Clarithromycin 250mg Tab A* Antiinfectives
Clindamycin HCl 300 mg Capsule
A* Antiinfectives
Clindamycin Phosphate 150mg/ml Injection
A* Antiinfectives
Clobazam 10 mg Tablet A*
Pediatric Department
Neurology Quota: 1 Patient
Neurology Unit Neurology Quota: 5 Patient / Year
Clobetasol Propionate 0.05% Cream (Dermovate)
A Dermatology Unit Dermatology
Clobetasone Butyrate 0.05% Cream (Clobetasol)
A/KK Dermatology Unit Dermatology
Clobetasone Butyrate 0.05% Ointment
A Dermatology Unit Dermatology
Clomiphene Citrate 50mg Tablet
A Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Clomipramine HCL 25mg Tablet
A Psychiatric
Department Psychiatry
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Clonazepam 2 mg Tablet B Neurology
Clopidogrel 75 mg Tablet A* Medical
Department Cardiovascular
Quota: 160 Patients (DCM Bil1/2016)
Clotrimazole 1% Ear Drop B Antiinfectives
Clotrimazole 500mg Vaginal Tablet
B Obstetrics,
Gynaecology
Cloxacillin Sodium 125 mg/5 ml Suspension
B Antiinfectives
Cloxacillin Sodium 500mg Capsule
B Antiinfectives
Cloxacillin Sodium 500mg Injection
B Antiinfectives
Clozapine 100mg Tablet A Psychiatric
Department Psychiatry
Clozapine 25mg Tablet A Psychiatric
Department Psychiatry
Coal Tar 1-9% Ointment B Dermatology
Coal Tar 20% Solution B Dermatology
Coal Tar And Salicylic Acid (Various Concentrations) Ointment
B Dermatology
Coal Tar Ointment 3% B Dermatology Unit
Cocaine 10% Solution B Otolaryngology
Department (ENT)
Quota: 2 Patients/ Week (DCM Bil3/2018)
Cocois Co. Ointment B Dermatology
Colchicine 0.5mg Tablet B Dermatology
Colistimethate Sodium 1 million IU Per Vial (Polymyxin E)
A* Anaesthesia Department
Antiinfectives Quota: 2 Patients / Month
Compound Sodium Lactate (Hartmanns Solution)
C Nutrition and Blood
Disorder
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Conjugated Estrogen 0.3mg Tablet
A Medical
Department Obstetrics,
Gynaecology Quota: 1 Pesakit (DCM Bil1/2018)
Conjugated Oestrogens 0.625mg/g Cream
A Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Copper 375 Mm Intrauterine Device
B Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Copper Sulphate Crystal C Dermatology
Cromoglycate 2% Eye Drops (Optichrome)
A/KK Ophthalmology
Department
Cyanocobalamin 1 mg Injection
B Nutrition and Blood
Disorder
Cyclopentolate 0.2% With Phenylephrine 1% Eye Drops (Cyclomydril)
A Ophthalmology
Department Ophthalmology
Quota: 80 Bottles/Year (DCM Bil1/2014)
Cyclopentolate 1% Eye Drops A Ophthalmology
Department Ophthalmology
Cyclophosphamide 1 g Injection
A Nephrology Unit Haematology/
Oncology Quota:15 Patients/Month
Cyclophosphamide 50mg Tablet
A
Nephrology Unit Haematology/
Oncology Quota:1 Patient
Medical Department
Haematology/ Oncology
Quota: 20 patients (DCM bil1.2019)
Cyclosporin 0.05% Eye Drops A Ophthalmology
Department
Cyclosporin 0.5% Eye Drops A Ophthalmology
Department
Cyproterone Acetate 2 mg & Ethinyloestradiol 0.035 mg Tablet
A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota: 3 Patients/Month
Cytarabine 100mg Injection A Oncology Unit Haematology/Onco
logy
Cytarabine 500mg Injection A Oncology Unit Haematology/Onco
logy Quota: 1 Patient Only
Dacarbazine 200 mg Injection A* Oncology Unit Haematology/O Quota: 1 patient (DCM bil1.2019)
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Danazol 200 mg Capsule
A/KK
Obstetrics and Gynaecology Department
Endocrine
Haematology Unit Endocrine
Dapsone 100mg Tablet B Medical
Department Antiinfectives
Requires Import Permit
Deferasirox 500mg Dispersible Tablet
A* Pediatric
Department Nutrition and Blood
Disorder
Deferiprone 500 mg Tablet A*
Pediatric Department
Nutrition and Blood Disorder
Quota:2 Patients/Month (DCM Bil3/2015)
Haematology Unit Nutrition and Blood
Disorder Quota:30 Patients (DCM Bil3/2015)
Denosumab In 1.0 ml Solution (60 mg/ml) Pre-Filled Syringe (Subcutaneous Injection)
A* Orthopaedic Department
Endocrine
Quota:10 Patients/Year; C/S:HOD Only (DCM Bil2/2018)
Desferrioxamine B Methanesulphonate 0.5 g Injection
A
Nephrology Unit Nutrition and Blood
Disorder
Haematology Unit Nutrition and Blood
Disorder
Desflurane Liquid A Anaesthesia Department
Anaesthesia Quota 5 Bottles (250ml)/Month
Desmopressin Acetate 4 mcg/ml Injection
A
Anaesthesia Department
Endocrine Quota: 10 Patients/3month (DCM Bil3/2013)
Nephrology Unit Endocrine Quota:3 Patients/Month
Desmopressin 0.2 mg Tablet A
Medical Department
Endocrine
Surgical Department
Endocrine
Desmopressin Acetate Nasal Spray 100mcg/ml
A Pediatric
Department Endocrine Quota: 1 Patient
Desogestrel 150 mcg & Ethinylestradiol 30 mcg Tablet
C+ Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota: 30 Patients/Month (Dcm Bil 3/2015)
Dexamethasone 0.5 mg Tablet A Endocrine
Dexamethasone 4 mg Tablet A Haematology Unit Endocrine Quota:15 Patients ( DCM Bil2/2015)
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Dexamethasone And Neomycin Sulphate And Polymyxin B Sulphate Eye Drops (Maxitrol)
A Ophthalmology
Department
Dexamethasone Sodium Phosphate 0.1%Eye Drops
A Ophthalmology
Department Ophthalmology
Dexamethasone Sodium Phosphate 4mg/ml Injection
B Endocrine
Dexmedetomidine HCl 100 mcg/ml Injection
A* Anaesthesia Department
Anaesthesia Quota: 10 Patients (DCM Bil3/2015)
Dextrose 10% Injection B Nutrition and Blood
Disorder
Dextrose 20% Injection B Nutrition and Blood
Disorder
Dextrose 5% Injection B Nutrition and Blood
Disorder
Dextrose 50% Injection B Nutrition and Blood
Disorder
Dextrose Powder B Endocrine
Diazepam 5 mg Rectal Solution
C Neurology
Diazepam 5 mg Tablet B Neurology
Diazepam 5 mg/ml Injection B Neurology
Diclofenac Sodium 12.5 mg Suppository
A Anaesthesia Department
Analgesics
Diclofenac Sodium 25 mg Suppository
A Anaesthesia Department
Analgesics
Diclofenac Sodium 50mg Suppository
A Anaesthesia Department
Analgesics
Diclofenac Sodium 50mg Tablet
B Analgesics
Diclofenac Sodium 75mg/3ml Injection
A/KK Analgesics
Dienogest 2mg Tablet A/KK Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota: 2 Patients/Month (DCM Bil1/2017)
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Digoxin 0.25mg Tablet B Medical
Department Cardiovascular
Digoxin 250 mcg/ml Injection A Medical
Department Cardiovascular
Diltiazem HCl 30mg Tablet B Medical
Department Cardiovascular
Dinoprostone (Prostagladin E2) 3 mg Vaginal Tablet
A Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Diosmin 450mg And Hesperidin 50mg Tablet
A/KK
Medical Department
Gastro-Intestinal Duration (1 Month Only)
Surgical Department
Gastro-Intestinal
Diphenhydramine Hydrochloride 14mg/5 ml Expectorant
C Ear, Nose and Oropharynx
Diphenhydramine Hydrochloride 7 mg/5ml Expectorant
C Ear, Nose and Oropharynx
Diphenoxylate HCl 2.5mg With Atropine Sulphate 0.025mg Tablet
B Gastro-Intestinal
Dipyridamole 75mg Tablet B Medical
Department Cardiovascular
Dobutamine 12.5 mg/ml Injection
A Cardiovascular
Docetaxel 40mg/ml Injection A* Oncology Unit Haematology/
Oncology
Docetaxel 80 mg /2 ml Injection
A* Oncology Unit Haematology/
Oncology
Domperidone 10mg Tab B Pediatric
Department Gastro-Intestinal
Domperidone 1 mg/ml Suspension
B Pediatric
Department Gastro-Intestinal
Quota: 285 bottles every 3 months (DCM bil1.2019)
Donepezil HCl 10 mg Tablet A Psychiatric
Department Neurology
Combined Quota 5mg, 10mg :220 Patients/Month (DCM Bil1/2018)
Donepezil HCl 5 mg Tablet A Psychiatric
Department Neurology
Combined Quota 5mg, 10mg :220 Patients/Month (DCM Bil1/2018)
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Page 21
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Dopamine HCl 40 mg/ml Injection
B Cardiovascular
Dorzolamide HCl 2% Ophthalmic Solution
A* Ophthalmology
Department Ophthalmology
Doxazosin Mesilate 4mg CR Tablet
A* Surgical
Department Genitourinary
Doxorubicin HCl 50mg Injection
A Oncology Unit Haematology/Onco
logy
Doxycycline 100 mg Capsule B Antiinfectives
Duloxetine 30mg Capsule A* Psychiatric
Department Psychiatry
Combined 30mg & 60mg Quota:20 Patients/Month
Duloxetine 60mg Capsule A* Psychiatric
Department Psychiatry
Combined 30mg & 60mg Quota:20 Patients/Month
Dutasteride 0.5mg And Tamsulosin 0.4mg Capsule
A* Surgical
Department Genitourinary
Quota:100 Patients/Month (DCM Bil 1/2019)
Dutasteride 0.5mg Capsule A* Surgical
Department Genitourinary
Quota: 21 Patients/Month (DCM bil1.2019)
Dydrogesterone 10mg Tablet A/KK Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Efavirenz 200mg Capsule A* Medical
Department Antiinfectives
Efavirenz 600 mg Capsule A/KK Medical
Department Antiinfectives
Emulsificants Ointment C Dermatology
Enalapril 20mg Tablet B Medical
Department Cardiovascular
Enalapril 5 mg Tablet B Medical
Department Cardiovascular
Enoxaparin Sodium 40 mg Injection
A*
Pediatric Department
Cardiovascular Quota: 1 Patient (DCM Bil2/2018)
Obstetrics and Gynaecology Department
Cardiovascular
Combined Quota 40mg & 60mg: 2 Patients/ Week (DCM Bil2/2018)
Orthopaedic Department
Cardiovascular Quota: 300 syringes every 3 months (DCM bil2.2019)
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Medicine Formulary HSNI Vol 2.2019
Page 22
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Enoxaparin Sodium 60 mg Injection
A*
Obstetrics and Gynaecology Department
Cardiovascular
Combined Quota 40mg & 60mg: 2 Patients/ Week (DCM Bil2/2018)
Medical Department
Cardiovascular
Eperisone HCl 50 mg Tablet A Orthopaedic Department
Rheumatology Duration: 2 Weeks Only
Ephedrine HCl 30mg/ml Injection
B Cardiovascular
Epirubicin 10 mg Injection A* Oncology Unit Haematology/Onco
logy
Epirubicin 50 mg Injection A* Oncology Unit Haematology/Onco
logy
Ertapenem 1 g Injection A*
Medical Department
Antiinfectives Quota: 6 Patients/Month (DCM Bil2/2013)
Surgical Department
Antiinfectives Quota: 2 Patients/Month (DCM Bil3/2015)
Anaesthesia Department
Antiinfectives
Erythromycin Ethylsuccinate 400mg Tablet
B Antiinfectives
Erythromycin Ethylsuccinate 400mg/5ml Suspension
B Antiinfectives
Erythromycin Lactobionate 500mg Injection
A* Antiinfectives
Erythropoietin Human Recombinant 2000 iu/0.5ml Injection
A Nephrology Unit Nutrition and Blood
Disorder Haemodialysis Unit
Escitalopram 10mg Tablet A* Psychiatric
Department Psychiatry
Esmolol HCl 10 mg/ml Injection
A* Anaesthesia Department
Cardiovascular Quota: 5 Ampules/Month (DCM Bil1/2011)
Esomeprazole 40 mg Injection A*
Surgical Department
Gastro-Intestinal
Nephrology Unit
Gastro-Intestinal Quota:3 Patient
Medical Department
Gastro-Intestinal Quota: 5 Patients/Month
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Medicine Formulary HSNI Vol 2.2019
Page 23
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Esomeprazole 40 mg Tablet A* Surgical
Department Gastro-Intestinal
Quota:30 Patients/Month (DCM Bil1/2016)
Essential Phospholipids, Nicotinamide,Cyanocobalamine, Tocopheryl,Pyridoxine, Thiamine, Riboflavine Capsule
A/KK Medical
Department Gastro-Intestinal
Estradiol 1 mg & Estradiol 1 mg With Dydrogesterone 10 mg
A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota:9 Patients/Month
Estradiol 1 mg & Norethisterone Acetate 0.5 mg Tablet
A*
Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
No Quota
Medical Department
Obstetrics, Gynaecology
Quota: 15 patients
Estradiol 1mg With Dydrogesterone 5mg Tablet
A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota:9 Patients/Month
Estradiol Valerate 1 mg Tablet A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Ethambutol HCl 400mg Tablet B Antiinfectives
Ether Solvent C Miscellaneous
Ethinylestradiol 20 mcg & Drospirenone 3 mg Tablet
A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota: 5 Patients/Month
Ethinylestradiol 20 mcg & Drospirenone 3 mg Tablet
A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota: 5 Patients/Month
Ethinylestradiol 20 mcg & Levonorgestrel 100 mcg Tablet
A/KK Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota:20patients/Month
Ethyl Chloride 100ml Spray C Anaesthesia
Etomidate 20 mg/10 ml Injection
A*
Anaesthesia Department
Anaesthesia
Emergency And Trauma
Department Anaesthesia
Quota: 30 Vials/Month (DCM Bil3/2017)
Etonogestrel 68mg Implant A/KK Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota: 15 Patients per year (DCM Bil 1/2019)
Etoposide 100 mg/5 ml Injection
A* Oncology Unit Haematology/Onco
logy
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Medicine Formulary HSNI Vol 2.2019
Page 24
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Etoricoxib 120 mg Tablet A*
Anaesthesia Department
Rheumatology
Orthopaedic Department
Rheumatology
Etoricoxib 90 mg Tablet A*
Anaesthesia Department
Rheumatology Quota: 40 Patients/Month
Medical Department
Rheumatology
Orthopaedic Department
Rheumatology
Surgical Department
Rheumatology Quota:40 Patients/Month (DCM Bil2/2015)
Obstetrics and Gynaecology Department
Rheumatology
Everolimus 0.25mg Tablet A* Nephrology Unit Drugs Affecting
Immune Response
Combined Quota 0.25mg &0.75mg: 1 Pesakit (DCM Bil3/2017)
Everolimus 0.75mg Tablet A* Nephrology Unit Drugs Affecting
Immune Response
Combined Quota 0.25mg &0.75mg: 1 Pesakit (DCM Bil3/2017)
Exemestane 25 mg Tablet A* Oncology Unit Haematology/Onco
logy
Ezetimibe 10 mg Tablet A* Medical
Department Cardiovascular
Factor IX Injection A Cardiovascular Under Control By Tabung Darah
Factor IX, Factor II & Factor X In Combination 500iu/Vial Injection
A* Medical
Department Cardiovascular
Factor IX, Factor II, Factor VII And Factor X In Combination Injection
A* Medical
Department Cardiovascular
Quota 2 Patients. ( To Keep 12 Vials) DCM Bil 3/2018
Factor VIIa (Recombinant) Eptacog Alfa (Activated) 100 KIU (1 Mg) Injection
A*
Obstetrics and Gynaecology Department
Haematology/Oncology
Pediatric Department
Haematology/Oncology
Factor VIII (Human Blood Coagulation Factor) & Von Willebrand Factor Injection (50 KIU)
A* Haematology/Onco
logy Under Control By Tabung Darah
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Medicine Formulary HSNI Vol 2.2019
Page 25
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Factor VIII Injection A Cardiovascular Under Control By Tabung Darah
Fat Emulsion 20% For IV Infusion Injection
A Pediatric
Department Nutrition and Blood
Disorder TPN
Felodipine 10 mg Tablet A/KK Medical
Department Cardiovascular
Felodipine 5 mg Tablet A/KK Medical
Department Cardiovascular
Fenofibrate 145 mg Tablet A/KK Medical
Department Cardiovascular
Quota:10 Patients (DCM Bil3/2015)
Fentanyl 25 mcg/h Transdermal Patch
A*
Surgical Department
Analgesics Quota:1 Patient/Month (DCM Bil2/2017)
Nephrology Unit Analgesics Quota:1 Patient
Fentanyl Citrate 50mcg/ml Injection
A
Anaesthesia Department
Analgesics
Obstetrics and Gynaecology Department
Analgesics
Ferric Ammonium Citrate 800 mg/10 ml Paediatric Mixture
C Pediatric
Department Nutrition and Blood
Disorder
Ferrous Controlled Release 500 Mg,Vitamin B1, Vitamin B2, Vitamin B6,Vitamin B12, Vitamin C, Niacinamide,Calcium Pantothenate, Folic Acid 800mcg Tablet
A/KK
Nephrology Unit Nutrition and Blood
Disorder
Quota:60 Patients/Month (DCM Bil 1/2017)
Obstetrics and Gynaecology Department
Nutrition and Blood Disorder
Quota: 10 Patients/Month (DCM Bil3/2015)
Ferrous Fumarate 200mg Tablet
C+ Nutrition and Blood
Disorder
Filgrastim (G-CSF) 30 mu/ml Injection
A* Haematology Unit Haematology/Onco
logy
Finasteride 5mg Tablet A* Surgical
Department Genitourinary
Quota: 80 Patients/Month (DCM Bil2.2019)
Fluconazole 0.2% Eye Drops A Ophthalmology
Department
Fluconazole 100 mg Capsule A Antiinfectives
Fluconazole 2 mg/ml Injection A Antiinfectives
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Medicine Formulary HSNI Vol 2.2019
Page 26
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Fludrocortisone Acetate 0.1mg Tablet
A
Medical Department
Endocrine Requires Import Permit
Pediatric Department
Endocrine Requires Import Permit
Flumazenil 0.1 mg/ml Injection
B Emergency
Flunarizine HCl 5mg Tablet B Neurology
Fluorescein 1 mg Ophthalmic Strip
B Ophthalmology
Department Diagnostic
Fluorometholone 0.1% Ophthalmic Suspension
A* Ophthalmology
Department Ophthalmology
Quota: 40 Patients/Month (DCM Bil 2/2016)
Fluorouracil 250 mg/5 ml Injection
A* Oncology Unit
Fluoxetine 20mg Tablet A Psychiatric
Department Psychiatry
Flupenthixol Decanoate 20mg/ml lnjection
B Psychiatric
Department Psychiatry
Fluphenazine Decanoate 25 mg/ml Injection
B Psychiatric
Department Psychiatry
Fluticasone Furoate 27.5 mcg/dose Nasal Spray
A* Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Quota: 150 Pesakit/Month (DCM Bil1/2017)
Fluticasone Propionate 125 mcg/dose Inhaler
B Pediatric
Department Respiratory
Fluvoxamine 100 mg Tablet B Psychiatric
Department Psychiatry
Folic Acid 5mg Tablet C+ Nutrition and Blood
Disorder
Fondaparinux Sodium 2.5 mg/0.5 ml Injection
A*
Orthopaedic Department
Cardiovascular
Medical Department
Cardiovascular
Obstetrics and Gynaecology Department
Cardiovascular Quota: 30 Patients/Month (DCM Bil3/2016)
Frusemide 10 mg/ml Injection B Cardiovascular
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Medicine Formulary HSNI Vol 2.2019
Page 27
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Frusemide 10mg/ml Oral Solution
B Pediatric
Department Cardiovascular
Quota: 6 Bottles/Month (DCM Bil 3/2018)
Frusemide 40mg Tablet B Cardiovascular
Fusidate, Sodium 250 mg Tablet
A* Antiinfectives
Fusidic Acid 1% Eye Drops A Ophthalmology
Department Ophthalmology
Fusidic Acid 2% Cream A Dermatology Unit Dermatology
Fusidic Acid 2% In Betamethasone Valerate 0.1% Cream
A/KK Dermatology Unit Dermatology
Gabapentin 300 mg Capsule A*
Medical Department
Neurology Quota: 16 patients/ month DCM Bil 2.2019
Orthopaedic Department
Neurology
Oral and Maxillofacial
Surgery Department
Neurology
Quota: 3 Patients/Month Duration: 1 Month Only
Oncology Unit Neurology Quota: 5 patients per month (DCM bil2.2019)
Gadoterate Meglumine (Gadoteric Acid) 0.5 mmol/ ml Injection
A Radiology
Department Diagnostic
Quota: 40 Vials/Month (DCM Bil3/2018)
Ganciclovir Sodium 50 mg/ ml Injection
A* Pediatric
Department Antiinfectives Quota: 1 Patient
Gefitinib 250 mg Tablet A* Oncology Unit Haematology/Onco
logy Quota: 11 Patients (DCM Bil3/2018)
Gemcitabine HCl 1 G Injection A* Oncology Unit Haematology/Onco
logy
Gemeprost (Prostagladin E1 Synthetic Analogue) 1 mg Pessary
A Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Gemfibrozil 300 mg Capsule A/KK Medical
Department Cardiovascular
Gentamicin 0.3% Eye Drops A/KK Ophthalmology
Department Ophthalmology
Gentamicin 0.3% Eye Ointment
A/KK Ophthalmology
Department Ophthalmology
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Medicine Formulary HSNI Vol 2.2019
Page 28
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Gentamicin 0.9% Eye Drops A/KK Ophthalmology
Department
Quota: 40 Units/ Month
Gentamicin 7.5 mg Beads A Orthopaedic Department
Antiinfectives Requires KPK Approval
Gentamicin 0.1% Cream A*
Nephrology Unit Dermatology
Dermatology Unit Dermatology
Gentamicin Sulphate 40 mg/ml Injection
B Antiinfectives
Gliclazide 30 mg Modified Release Tablet
B Medical
Department Endocrine
Gliclazide 60 mg Modified Release Tablet
B Medical
Department Endocrine
Gliclazide 80 mg Tablet B Medical
Department Endocrine
Glucagon (Lyophilised) 1 mg/ml Injection
B Emergency And
Trauma Department
Endocrine Quota: 3 Patients (DCM Bil 2/2011)
Glycerin C+ Ear, Nose and Oropharynx
Glycerin 25% Sodium Chloride 15% Enema
C+ Gastro-Intestinal
Glyceryl Trinitrate 0.5 mg Sublingual Tablet
C Cardiovascular
Glyceryl Trinitrate 5 mg/ml Injection
A Cardiovascular
Glycopyrrolate 200 mcg/ml Injection
A* Anaesthesia Department
Anaesthesia Quota: 60amp/Month
Goserelin 10.8 mg Depot Injection
A
Oncology Unit Endocrine Quota: 1 Patient/Month
Surgical Department
Endocrine Quota: 1 Patient
Goserelin 3.6 mg Depot Injection
A
Obstetrics and Gynaecology Department
Endocrine Quota: 20 Patient/ year
Surgical Department
Endocrine Quota: 3 Patients
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Medicine Formulary HSNI Vol 2.2019
Page 29
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Granisetron HCl 1 mg/ml Injection
A
Anaesthesia Department
Gastro-Intestinal Quota 15 Vials/Month
Otolaryngology Department (ENT)
Gastro-Intestinal
Quota: 5-7 Patients/ Month (20 Amp Per Month) DCM Bil3/2018
Haemophilus Influenza Type B Conjugate Vaccine Injection (Single Dose)
C Surgical
Department
Immunological Products and
Vaccines
Haloperidol 1.5mg Tablet B Psychiatric
Department Psychiatry
Haloperidol 5 mg/ml Injection B Psychiatric
Department Psychiatry
Haloperidol 5mg Tablet B Psychiatric
Department Psychiatry
Hemato Polyvalent Antivenom
KPK DRUG Emergency And
Trauma Department
6 Vials Per Year (Requires Permit Import)
Heparin 5000 Units/ml Injection
B Cardiovascular
Heparin Sodium 50 Units In Sodium Chloride Injection
B Cardiovascular
Hepatitis B Vaccine Injection C+ Immunological Products and
Vaccines
Human Albumin Injection B Nutrition and Blood
Disorder
Human Normal Globulin Injection
A Immunological Products and
Vaccines
Hydralazine 10mg Tablet KPK DRUG Medical
Department
360 Tablets Per Year
Hydralazine HCl 20 mg Injection
B Medical
Department Cardiovascular
Hydrochlorothiazide 25mg Tablet
B Medical
Department Cardiovascular
Hydrochlorothiazide 50mg Tablet
B Medical
Department Cardiovascular
Hydrocortisone 1% Cream B Dermatology
Hydrocortisone 10mg Tablet B Endocrine
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Medicine Formulary HSNI Vol 2.2019
Page 30
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Hydrocortisone Sodium Succinate 100mg Injection
C Endocrine
Hydrogen Peroxide 20 Volume Solution
C Dermatology
Hydrogen Peroxide Gargle 1.5%
Otolaryngology
Department (ENT)
Hydroxychloroquine Sulphate 200mg Tablet
A Medical
Department Rheumatology
Hydroxyethyl Cellulose Jelly B Diagnostic
Hydroxyurea 500 mg Capsule A
Haematology Unit Dermatology
Medical Department
Dermatology
Hyoscine N-Butylbromide 10 mg Tablet
B Gastro-Intestinal
Hyoscine N-Butylbromide 20 mg/ml Injection
B Gastro-Intestinal
Hypromellose 0.3% Carbomer 980 Ophthalmic Gel (Genteal)
B Ophthalmology
Department
Quota: 17 Bottles/Month (DCM Bil1/2018)
Ibuprofen 200mg Tablet B Analgesics
Ichthammol Glycerin 10% Ear Drops
C Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Ifosfamide 1 g Injection A* Oncology Unit Haematology/
Oncology
Imipenem 500mg And Cilastatin 500 mg Injection
A* Antiinfectives
Immunoglobulin Tetanus Human 250units/Vial Injection
B Immunological Products and
Vaccines
Indacaterol Maleate And Glycopyrronium Bromide (Fixed Dose Combination) 110/50mcg, Inhalation Powder Hard Capsules
A* Medical
Department Respiratory
Quota:30 Patients (DCM Bil 2/2019)
Influenza Vaccine (Inactivated) Injection
B
Medical Department
Immunological Products and
Vaccines
Surgical Department
Immunological Products and
Vaccines
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Medicine Formulary HSNI Vol 2.2019
Page 31
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Insulin Aspart 100 iu/ml Injection
A* Pediatric
Department Endocrine
Quota:5 Patients (DCM Bil3/2018)
Insulin Glargine 300 iu/ 3 ml Injection (Prefilled Pen)
A/KK
Pediatric Department
Endocrine Quota:6 Patients (DCM Bil 1/2018)
Medical Department
Endocrine Quota:6 Patients (DCM Bil2/2015)
Insulin Recombinant Neutral Human Short-Acting 100iu/ml Penfill And Refill
B Endocrine
Insulin Recombinant Synthetic Human, Intermediate-Acting 100 iu/ml Penfill And Refill
B Endocrine
Insulin Recombinant Synthetic Human,Premixed 100 iu/ml Penfill And Refill
B Endocrine
Interferon Alpha - 2a 3 MIU Injection
A* Haematology Unit Haematology/Onco
logy
Iodine And Potassium Iodide Solution
B Medical
Department Endocrine
Iopamidol Injection A Oncology Unit Diagnostic
Iopromide 300mg Injection (623 mg Of Iopromide With 300 mg Of Iodine Per ml)
A Radiology
Department Diagnostic
Quota: 300 Vials/Month (DCM Bil3/2018)
Ipratropium Bromide 0.025% Inhalation Solution (250 mcg/ml)
B Respiratory
Ipratropium Bromide 20 mcg And Fenoterol 50 mcg/dose Inhaler
B Respiratory
Irinotecan Hcl Trihydrate 20 mg/ml Injection
A* Oncology Unit Haematology/Onco
logy
Iron (Iii) Hydroxide Sucrose Complex 20mg/ml Solution For Injection
B Nephrology Unit Nutrition and Blood
Disorder
Quota: 30 Vials/Month (DCM Bil3/2016)
Iron (Iii)-Hydroxide Polymaltose Complex (IPC) 100mg Iron And 0.35mg Folic Acid Chewable Tablet
A/KK Obstetrics and Gynaecology Department
Nutrition and Blood Disorder
Quota: 30 Patients/Month (DCM Bil1/2016)
Iron Dextran 50 mg Fe/ml Injection
B Nutrition and Blood
Disorder
Isoflurane Liquid B Anaesthesia
Isoniazid 100mg Tablet B Antiinfectives
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Medicine Formulary HSNI Vol 2.2019
Page 32
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Isosorbide Dinitrate 10mg Tablet
B Medical
Department Cardiovascular
Isosorbide-5-Mononitrate 60mg SR Tablet
A Medical
Department Cardiovascular
Itopride HCl 50mg Tablet A* Surgical
Department Gastro-Intestinal
Quota:40 Patients/Month (DCM Bil1/2011)
Itraconazole 100 mg Capsule A/KK Antiinfectives
Ketamine HCl 50mg/ml Injection
B Anaesthesia Department
Anaesthesia
Ketoconazole 200 mg Tablet A/KK Antiinfectives
Ketonazole 2% Shampoo A/KK Dermatology Unit Dermatology
Ketoprofen 2.5% Gel A Orthopaedic Department
Analgesics
King Cobra Antivenom KPK DRUG Emergency And
Trauma Department
10 Vials Per Year (Requires Permit Import)
Labetalol HCl 5 mg/ml Injection
B Cardiovascular
Labetalol HCl. 100mg Tablet B Cardiovascular
Lactulose 3.35 g/5 ml Liquid C+
Gastro-Intestinal
Inpatient: All Department Outpatient: For Medical, Surgical, O&G & Pediatric Department
Lamivudine 150 mg Tablet A/KK Medical
Department Antiinfectives
Lamotrigine 100 mg Tablet A Medical
Department Neurology
Lamotrigine 50 mg Tablet A Pediatric
Department Neurology
L-Asparaginase 10,000 iu Injection
A* Oncology Unit Haematology/
Oncology
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Medicine Formulary HSNI Vol 2.2019
Page 33
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Latanoprost 0.005% Eye Drops
A* Ophthalmology
Department Ophthalmology
Letrozole 2.5 mg Tablet A* Oncology
Unit/Surgical Department
Haematology/ Oncology
Leucovorin Calcium (Calcium Folinate) 15 mg Tablet
A Oncology Unit Haematology/
Oncology
Leucovorin Calcium (Calcium Folinate) 50 mg Injection
A
Oncology Unit Haematology/
Oncology
Haematology Unit Haematology/
Oncology
Leuprolide Acetate 11.25 mg Injection
A
Obstetrics and Gynaecology Department
Endocrine Quota:20 Patients/Year
Oncology Unit Endocrine Quota:3 Patients (DCM Bil3/2017)
Leuprolide Acetate 3.75 mg Injection
A*
Oncology Unit Endocrine Quota: 2 Patients (DCM Bil1/2017)
Obstetrics and Gynaecology Department
Endocrine Quota: 20 Patients/Year (DCM Bil2/2011)
Levetiracetam 100 mg/ml Injection
A*
Pediatric Department
Neurology Quota:10 Vials/Month
Medical Department
Neurology Quota:30 Vials/Month (DCM Bil1/2017)
Levetiracetam 100 mg/ml Oral Solution
A* Pediatric
Department Neurology
Quota 2 Patient. (DCM Bil 3/2018)
Levetiracetam 500mg Tablet A*
Medical Department
Neurology Quota:8 Patients (DCM Bil3/2017)
Pediatric Department
Neurology Quota:1 Patient
Neurology Unit Neurology Quota: 15 Patient / Year (DCM Bil1/2018)
Levobupivacaine 5mg/ml Injection
A Anaesthesia Department
Anaesthesia Quota: 10 Vials/Month
Levodopa 100 mg And Carbidopa 25 mg Tablet
B Medical
Department Neurology
Levodopa 200 mg, Benserazide 50 mg Tablet
B Medical
Department Neurology
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Medicine Formulary HSNI Vol 2.2019
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Levonorgestrel 1.5 mg Tablet A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota:3 Patients Per Month / 36 Patients Per Year (DCM Bil4/2011)
Levonorgestrel 150 mcg And Ethinyloestradiol 30 mcg Tablet
C+ Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Levonorgestrel 52 mg Intrauterine System
A* Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Quota: 4 patients per year (DCM bil1.2019)i
Levothyroxine Sodium 100mcg Tablet
B Medical
Department Endocrine
Levothyroxine Sodium 50 mcg Tablet
B Paediatric
Department Endocrine
Lidocaine 10% W/W Spray B Otolaryngology
Department (ENT) Anaesthesia
50 Units Per Year (Requires KPK Approval)
Lidocaine 25mg And Prilocaine 25mg Cream
A
Anaesthesia Department
Anaesthesia
Nephrology Unit Anaesthesia
Haematology Unit Anaesthesia Quota: 2 Patients (DCM Bil1/2017)
Dermatology Unit Anaesthesia Quota: 5 Patients/Month (DCM Bil2/2014)
Lignocaine 2% Jelly B Anaesthesia
Lignocaine 2% Viscous Solution
A
Pediatric Department
Anaesthesia Quota: 20 Bottles/Year
Oral and Maxillofacial
Surgery Department
Anaesthesia Quota: 5 Patients/Month
Lignocaine 2% With Chlorhexidine 0.05% Gel
B Anaesthesia
Lignocaine HCl (Lidocaine) 2% Injection
B Anaesthesia
Lignocaine HCl (Lidocaine) 20 mg/ml Injection
B Cardiovascular
Lignocaine HCl 5% And Phenylephrine HCl 0.5% Nasal Spray
A* Otolaryngology
Department (ENT) Anaesthesia
Quota:2 Patients/Year
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Medicine Formulary HSNI Vol 2.2019
Page 35
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Lignocaine, Aluminium Acetate, Zinc Oxide And Hydrocortisone Suppository
B Gastro-Intestinal
Linezolid 2 mg/ml Injection A*
Orthopaedic Department
Antiinfectives Quota: 1 Patient (DCM Bil4/2014)
Anaesthesia Department
Antiinfectives Quota: 3 Patients/Month (DCM Bil2/2011)
Nephrology Unit Antiinfectives Quota:1 Patient/Month (DCM Bil1/2016)
Pediatric Department
Antiinfectives Quota:1 Patient (DCM Bil3/2013)
Linezolid 600 mg Tablet A* Orthopaedic Department
Antiinfectives Quota 1pt/Month (DCM Bil4/2014)
Liquid Paraffin C Gastro-Intestinal
Lithium Carbonate 300mg Tablet
A Psychiatric
Department Psychiatry
Lopinavir 200 mg And Ritonavir 50 mg Tablet
A Pediatric
Department Antiinfectives
Quota:5 Patient (DCM Bil3/2018)
Loratadine 10mg Tablet B Ear, Nose and Oropharynx
All Department Except A&E/Locum
Loratadine 1mg/ml Syrup A Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Quota:20 Patients/Month (DCM Bil1/2016)
Loratadine 5 mg And Pseudoephedrine Sulphate 120 mg Tablet
A/KK Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Quota:10 Patients (DCM Bil1/2018)
Lorazepam 1mg Tablet A/KK Psychiatry
Losartan 50 mg Tablet B Medical
Department Cardiovascular
Losartan Potassium 100 mg Tablet
B Medical
Department Cardiovascular
Magnesium Sulphate 50% Injection
C Nutrition and Blood
Disorder
Magnesium Trisilicate Mixture C Gastro-Intestinal
Magnesium Trisilicate Tablet C Gastro-Intestinal
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Medicine Formulary HSNI Vol 2.2019
Page 36
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Mannitol 10% Injection (10 G/100 ml)
A Cardiovascular
Mannitol 20% Injection (20 G/100 ml)
A Cardiovascular
Mebeverine HCl 135mg Tablet B Surgical
Department Gastro-Intestinal
Quota: 15 Patients/Month
Meclozine Hcl 25 mg And Pyridoxine 50 mg Tablet
B Obstetrics and Gynaecology Department
Gastro-Intestinal Quota: 10 Patients/Month (DCM Bil2/2017)
Mecobalamine 500mcg Tablet B Neurology
Medroxyprogesterone Acetate 5 mg Tablet
B Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Medroxyprogesterone Acetate 50 mg/ml Injection
B Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Mefenamic Acid 250 mg Capsule
C Analgesics
Memantine HCl 10 mg Tablet A* Psychiatric
Department Neurology
Quota:35 Patients/Month (DCM Bil 1/2019)
Meningococcal A, C, Y, W 135 Vaccine Injection
B Surgical
Department
Immunological Products and
Vaccines
Mercaptopurine 50 mg Tablet A Oncology Unit Haematology/Onco
logy
Meropenem 1g Injection A* Antiinfectives
Mesalazine 500mg MR Tablet A Surgical
Department Gastro-Intestinal
Quota: 10 Patients/Month ( DCM Bil 3/2013)
Mesna 100 mg/ml Injection A Oncology Unit Emergency
Metformin 500 mg and Glibenclamide 2.5 mg Tablet
B Medical
Department Endocrine
Metformin HCl 500 mg Extended Release Tablet
A/KK Medical
Department Endocrine
Metformin HCl 500 mg Tablet B Medical
Department Endocrine
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Medicine Formulary HSNI Vol 2.2019
Page 37
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Methotrexate 2.5 mg Tablet A
Oncology Unit Haematology/
Oncology
Dermatology Unit Haematology/
Oncology Quota: 20 Patients/ Month
Methotrexate 50 mg Injection A Oncology Unit Haematology/
Oncology
Methyl Salicylate 25% Ointment
C+ Analgesics
Methyldopa 250mg Tablet B Cardiovascular
Methylene Blue 1% Injection B
Obstetrics and Gynaecology Department
Emergency 150 Vials Per Year (Requires Permit Import)
Methylphenidate HCl 10mg Tablet
A Psychiatric
Department Psychiatry
Methylphenidate HCl 18 mg Extended Release Tablet
A* Psychiatric
Department Psychiatry
Quota: 15 Patients/Year
Methylprednisolone Sodium Succinate 0.5 g Injection
A Endocrine
Metoclopramide HCl 10 mg Tablet
B Gastro-Intestinal
Metoclopramide HCl 5 mg/ml Injection
B Gastro-Intestinal
Metoprolol Tartrate 100mg Tablet
B Medical
Department Cardiovascular
Metronidazole 200mg Tablet B Antiinfectives
Metronidazole 500mg/100ml Injection
A Antiinfectives
Miconazole 2% Cream B Dermatology
Midazolam 5 mg/5 ml Injection
A Anaesthesia
Midazolam 5 mg/ml Injection A Anaesthesia
Midazolam 7.5 mg Tablet A/KK Anaesthesia
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Medicine Formulary HSNI Vol 2.2019
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Minoxidil 5 mg Tablet A* Nephrology Unit Cardiovascular
Mirtazapine 15 mg Orodispersible Tablet
A* Psychiatric
Department Psychiatry
Combined 15mg & 30mg Quota:75 Patients/Month (DCM Bil 1/2019)
Mirtazapine 30 mg Orodispersible Tablet
A* Psychiatric
Department Psychiatry
Combined 15mg & 30mg Quota:75 Patients/Month (DCM Bil 1/2019)
Modified Fluid Gelatin 4% Injection
B Nutrition and Blood
Disorder
Mometasone Furoate 0.1% Cream
A* Dermatology Unit Dermatology Quota 20 Patients/Month. (DCM Bil 3/2016)
Mometasone Furoate 50 mcg Aqueous Nasal Spray
A* Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Quota: 300 Patient/Month (DCM Bil3/2018)
Monobasic Sodium Phosphate 19g, Dibasic Sodium Phosphate 7g Rectal Solution
A Surgical
Department
Montelukast Sodium 10 mg Tablet
A/KK
Otolaryngology Department (ENT)
Respiratory Quota: 20 Pesakit Sebulan (DCM Bil3/2018)
Medical Department
Respiratory
Montelukast Sodium 4 mg Oral Granules
A*
Pediatric Department
Respiratory
Otolaryngology Department (ENT)
Respiratory Quota: 40 Pesakit Sebulan (DCM Bil3/2018)
Montelukast Sodium 5 mg Tablet
A* Pediatric
Department Respiratory
Quota: 35 Patients ( DCM Bil 1/2011)
Morphine HCl 10 mg/5 ml Solution
B Analgesics
Morphine Sulphate 10 mg/ml Injection
B Analgesics
Moxifloxacin 0.5% Ophthalmic Solution
A* Ophthalmology
Department Ophthalmology
Moxifloxacin 400 mg Injection A* Medical
Department Antiinfectives
Quota:15 Vials/Month (DCM Bil1/2016)
Moxifloxacin 400 mg Injection A* Anaesthesia Department
Antiinfectives Quota: 15 Vials/Month
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Medicine Formulary HSNI Vol 2.2019
Page 39
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Moxifloxacin 400mg Tablet A* Medical
Department Antiinfectives
Quota:50 Tab/Month (DCM Bil1/2016)
Multivitamin Injection B Nutrition and Blood
Disorder
Multivitamin Drops (Appeton Multivitamin Plus Infant Drop)
B Pediatric
Department Nutrition and Blood
Disorder
Quota: 30 patients (30 bottles ) per month (DCM bil1.2019)
Multivitamin Syrup C+ Nutrition and Blood
Disorder
Mupirocin 2% Ointment A
Nephrology Unit Dermatology
Orthopaedic Department
Dermatology Quota: 5 Tubes/Month (DCM Bil 2/2015)
Mycophenolate Mofetil 250 mg Capsule
A*
Medical Department
Drugs Affecting Immune Response
1 patient (DCM bil1.2019)
Nephrology Unit Drugs Affecting
Immune Response 2 patients (DCM bil1.2019)
Mycophenolate Mofetil 500 mg Tablet
A* Nephrology Unit Drugs Affecting
Immune Response
Quota:30 Patients/Month (DCM Bil3/2016)
Naloxone HCl 0.4mg/ml Injection
B Emergency
Neomycin 0.5% Cream B Dermatology
Neostigmine Methylsulphate 2.5mg /ml Injection
B Neurology
Nepafenac 0.1% Ophthalmic Solution
A* Ophthalmology
Department Ophthalmology
Quota:30 Patients / Month (DCM Bil1/2018)
Neuro Polyvalent Antivenom KPK DRUG Emergency And
Trauma Department
20 Vials Per Year ( Requires Permit Import)
Nevirapine 200 mg Tablet A/KK Medical
Department Antiinfectives
Nicotine 10 mg/ 16 hour Transdermal Patch
A/KK Medical
Department Neurology
Combined Quota 10mg &15mg: 1 Patient Only (For HSNI Staff Only)
Nicotine 15 mg/ 16 hour Transdermal Patch
A/KK Medical
Department Neurology
Combined Quota 10mg &15mg: 1 Patient Only (For HSNI Staff Only)
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Medicine Formulary HSNI Vol 2.2019
Page 40
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Nifedipine 10mg Tablet B Cardiovascular
Noradrenaline Acid Tartrate (Norepinephrine Bitartrate) 1 mg/ml Injection
A Cardiovascular
Norethisterone 0.35mg Tablet C+ Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Nystatin 100,000 units/g Cream
C Dermatology
Nystatin 100,000 units/ml Suspension
B Antiinfectives
Octreotide 0.1 mg/ml Injection
A Surgical
Department Endocrine
Ofloxacin 0.3% Otic Solution A/KK Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Ofloxacin 100mg Tablet A
Medical
Department & Otolaryngology
Department (ENT)
Antiinfectives
Olanzapine 10 mg Disintegrating Tablet
A* Psychiatric
Department Psychiatry
Olanzapine 10mg Tablet A* Psychiatric
Department Psychiatry
Olanzapine 5mg Disintegrating Tablet
A* Psychiatric
Department Psychiatry
Olanzapine 5mg Tablet A* Psychiatric
Department Psychiatry
Olopatadine Hydrochloride Ophthalmic Solution 0.2%
A* Ophthalmology
Department Ophthalmology
Quota:50 Patients / Month (DCM Bil 3/2015)
Omeprazole 20mg Capsule A/KK
Surgical Department
Gastro-Intestinal
Oral and
Maxillofacial Surgery
Department
Gastro-Intestinal Quota: 4 Patients/Month (DCM Bil1/2018)
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Medicine Formulary HSNI Vol 2.2019
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Omeprazole 40 mg Injection A*
Surgical Department
Gastro-Intestinal Quota: 300 Vials/Month (DCM Bil2/2015)
Pediatric Department
Gastro-Intestinal Quota: 2 Patients/Month (DCM Bil2/2015)
Oral and Maxillofacial
Surgery Department
Gastro-Intestinal Quota: 4 Patients/Month (DCM Bil1/2018)
Oral Rehydration Salt. C Nutrition and Blood
Disorder
Oseltamivir 75mg Capsule A/KK Antiinfectives
Oxaliplatin 50 mg Injection A* Oncology Unit Haematology/Onco
logy
Oxycodone HCl 10 mg Prolonged Release Tablet
A*
Nephrology Unit Analgesics Quota:1 Patient (Dcm Bil1/2016)
Surgical Department
Analgesics Quota:15 Patient
Oncology Unit Analgesics Quota:50 Patients (DCM Bil2/2015)
Oxycodone HCl 5 mg Immediate Release Capsules
A* Oncology Unit Analgesics Quota: 10 Patients (DCM Bil1/2017)
Oxycodone Hydrochloride 10mg And Naloxone Hydrochloride Dihydrate 5mg Tablet
A* Oncology Unit Analgesics Quota:50 Patients (DCM Bil2/2015)
Oxymetazoline HCl 0.01% Nasal Drops
A* Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Quota: 3 Units/Month (DCM Bil1/2016)
Oxymetazoline HCl 0.025% (Paediatric) Nasal Spray
A
Otolaryngology Department (ENT)
Ear, Nose and Oropharynx
Quota:10 Patients/Month (DCM Bil2/2011)
Pediatric Department
Ear, Nose and Oropharynx
Quota: 16 Patients
Oxymetazoline HCl 0.05% (Adult) Nasal Spray
A Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Oxytetracycline With Polymyxin B Sulphate Eye Ointment
B Ophthalmology
Department Ophthalmology
Oxytocin 10 iu/ml Inj B Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
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Medicine Formulary HSNI Vol 2.2019
Page 42
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Oxytocin 5 Units & Ergometrine Maleate 0.5 mg/ml Injection
C+ Obstetrics and Gynaecology Department
Obstetrics, Gynaecology
Paclitaxel 100 mg/16.6 ml Injection
A* Oncology Unit Haematology/Onco
logy
Paclitaxel 30 mg/5 ml Injection
A* Oncology Unit Haematology/Onco
logy
Paliperidone 100mg Prolonged Released Injection
A* Psychiatric
Department Psychiatry
Combined 75mg, 100mg, &150mg Quota:30 Patients (DCM Bil 3/2015)
Paliperidone 150mg Prolonged Released Injection
A* Psychiatric
Department Psychiatry
Combined 75mg, 100mg, &150mg Quota:30 Patients (DCM Bil 3/2015)
Paliperidone 3mg Extended Release Tablet
A* Psychiatric
Department Psychiatry
Combined 6mg & 9mg Quota: 10 Patients/Year (DCM Bil 3/2015)
Paliperidone 6mg Extended Release Tablet
A* Psychiatric
Department Psychiatry
Combined 6mg & 9mg Quota: 10 Patients/Year (DCM Bil 3/2015)
Paliperidone 75mg Prolonged Released Injection
A* Psychiatric
Department Psychiatry
Combined 75mg, 100mg, &150mg Quota:30 Patients (DCM Bil 3/2015)
Paliperidone 9 mg Extended Released Tablet
A* Psychiatric
Department Psychiatry
Combined 6mg & 9mg Quota: 10 Patients/Year (DCM Bil 3/2015)
Pamidronate Disodium 30mg Injection
A* Medical
Department Endocrine
60 Vials Per Year (Requires Permit Import)
Pamidronate Disodium 90 mg Injection
A* Medical
Department Endocrine
Quota: 1 Patient Only
Pantoprazole 40mg Injection A*
Medical Department
Gastro-Intestinal
Surgical Department
Gastro-Intestinal
Oral and Maxillofacial
Surgery Department
Gastro-Intestinal Quota: 4 Patients/Month
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Medicine Formulary HSNI Vol 2.2019
Page 43
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Pantoprazole 40mg Tablet A/KK
Otolaryngology Department (ENT)
Gastro-Intestinal ENT Max 6 Weeks
Oral and Maxillofacial
Surgery Department
Gastro-Intestinal Quota: 4 Patients/Month
Paracetamol 10mg/ml In 100ml Solution For IV Infusion
A
Otolaryngology Department (ENT)
Analgesics
Quota:13 patients (58 Vials) per month (DCM Bil1/2019)
Anaesthesia Department
Analgesics Quota:100 Vials/Month (DCM Bil1/2018)
Pediatric Department
Analgesics Quota:10 Vials/Year (DCM Bil2/2018)
Paracetamol 120mg/5ml Syrup
C+ Analgesics
Paracetamol 125 mg Suppository
C+ Analgesics
Paracetamol 250 mg Suppository
B Analgesics
Paracetamol 500 mg Tablet C+ Analgesics
Paraffin Mole Alba (White Soft Paraffin)
C Dermatology
Parecoxib Sodium 40mg Injection
A*
Anaesthesia Department
Analgesics 30 Ampules/Month
Orthopaedic Department
Analgesics 5 Days Only
Pazopanib Hydrochloride 200 mg Tablet
A* Oncology Unit Haematology/Onco
logy
Quota:7 Patients Only (DCM Bil1.2019)
Pazopanib Hydrochloride 400 mg tablet
A* Oncology Unit Haematology/Onco
logy
Pemetrexed Disodium 100 mg Injection
A* Oncology Unit Haematology/Onco
logy
Pemetrexed Disodium 500 mg Injection
A* Oncology Unit Haematology/Onco
logy
Pentoxifylline 400 mg Tablet A/KK Medical
Department Cardiovascular
Perindopril 4 mg Tablet B Medical
Department Cardiovascular
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Medicine Formulary HSNI Vol 2.2019
Page 44
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Perindopril 8 mg Tablet B Medical
Department Cardiovascular
Peritoneal Dialysis Solution (1.5% Dextrose)
B Nutrition and Blood
Disorder
Peritoneal Dialysis Solution (4.25% Dextrose)
B Nutrition and Blood
Disorder
Peritoneal Dialysis Solution(1.5% Dextrose-5 Litre)
B Nephrology Unit 100 Bags/Month
Permethrin 1% W/V Lotion. B Dermatology
Permethrin 5% W/V Lotion A/KK
Medical Department
Dermatology Quota: 20 Bottles/Month (DCM Bil3/2016)
Pediatric Department
Dermatology Quota:5 Patients/Month
Dermatology Unit Dermatology Quota: 5 Patients/ Month
Pethidine HCl 100 mg/2 ml Injection
B Analgesics
Pethidine HCl 50mg/ml Injection
B Analgesics
Phenobarbitone 30mg Tablet B Neurology
Phenobarbitone Sodium 200 mg/ml Injection
B Neurology
Phenoxymethyl Penicillin 125 mg/5 ml Syrup
C Antiinfectives
Phenoxymethyl Penicillin 125mg Tablet
C Antiinfectives
Phenylephrine 10mg/ml Injection
KPK DRUG Anaesthesia Department
500 Amp Per Year (Requires KPK Approval)
Phenylephrine HCl 2.5% Eye Drops
B Ophthalmology
Department Ophthalmology
Phenytoin Sodium 100 mg Capsule
B Medical
Department Neurology
Phenytoin Sodium 50mg/ml Injection
B Neurology
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Medicine Formulary HSNI Vol 2.2019
Page 45
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Phenytoin Sodium 125 mg/5ml Suspension
B Pediatric
Department Neurology
Quota: 12 bottles every 3 months (DCM bil.2.2019)
Pilocarpine 2% Eye Drops B Ophthalmology
Department Ophthalmology
Pilocarpine 4% Eye Drops B Ophthalmology
Department Ophthalmology
Piperacillin 4g & Tazobactam 500mg Injection
A* Antiinfectives
Pizotifen 0.5mg Tablet B Neurology
Pneumococcal Vaccine (Polyvalent)
A
Medical Department
Immunological Products and
Vaccines
Surgical Department
Immunological Products and
Vaccines
Polyethylene Glycol /Macrogol 4000 Powder
A Surgical
Department Gastro-Intestinal
Polyethylene Glycol /Macrogol 4000 Powder
A Obstetrics and Gynaecology Department
Gastro-Intestinal
Polymyxin B Sulphate 10,000 U, Neomycin Sulphate 5 mg And Hydrocortisone 10 mg Ear Drops
A Otolaryngology
Department (ENT) Ear, Nose and Oropharynx
Quota: 200 Patients /Month (DCM Bil1/2018)
Potassium Chloride 1 g/10 ml Injection
B Nutrition and Blood
Disorder
Potassium Chloride 1 g/10 ml Mixture
C Nutrition and Blood
Disorder
Potassium Chloride 600mg SR Tablet
B Nutrition and Blood
Disorder
Potassium Citrate 3 g/10 ml And Citric Acid Mixture
C Genitourinary
Potassium Dihydrogen Phosphate Injection
A (Import Permit Item)
Pediatric Department
Nutrition and Blood Disorder
Quota: 5 patients per month (DCM bil 2.2019)
Potassium Permanganate 1:10,000 Solution
C+ Dermatology
Povidone Iodine 10% (Equivalent To 1% Iodine) Solution
B Dermatology
Pralidoxime 25 mg/ml Injection
B Medical Department
/ Emergency And Trauma Department
Emergency
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Medicine Formulary HSNI Vol 2.2019
Page 46
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Prazosin HCl 1 mg Tablet B Medical
Department Cardiovascular
Prazosin HCl 2 mg Tablet B Medical
Department Cardiovascular
Prazosin HCl 5mg Tablet B Medical
Department Cardiovascular
Prednisolone 5mg Tablet B Endocrine
Pregabalin 75 mg Capsule A* Orthopaedic Department
Neurology Quota:15 Patients (DCM Bil1/2013)
Primaquine 7.5 mg Base Tablet
B Medical
Department Antiinfectives
Prochlorperazine Maleate 5mg Tablet
B Gastro-Intestinal
Prochlorperazine Mesylate 12.5 mg/ml Injection
B Gastro-Intestinal
Procyclidine HCl 5 mg/ ml Injection
B
Psychiatric Department
Neurology 1000 Vials Per Year (Requires Import Permit)
Emergency And Trauma
Department Neurology
40 Vials Per Year (Requires Import Permit)
Prolase Tablet B Rheumatology
Promethazine HCl 25 mg/ml Injection
B Ear, Nose and Oropharynx
Promethazine HCl 5 mg/5 ml Syrup
B Ear, Nose and Oropharynx
Propanolol 1mg/ml Injection A Pediatric
Department Cardiovascular
Proparacaine HCl 0.5% Ophthalmic Drops
B Ophthalmology
Department Ophthalmology
Propofol 10mg/ml (1%) Injection
A* Anaesthesia Department
Anaesthesia
Propranolol HCl 40mg Tablet B Cardiovascular
Propylthiouracil 50 mg Tablet B Medical
Department Endocrine
Protamine Sulphate 10 mg/ml Injection
B Emergency
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Page 47
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Protein Free Haemodialysate 10% Jelly
A
Orthopaedic Department
Dermatology
Surgical Department
Dermatology
Pyrazinamide 500 mg Tablet B Antiinfectives
Pyridostigmine Bromide 60 mg Tablet
B Medical
Department Neurology
Pyridoxine HCl 10mg Tablet C+ Nutrition and Blood
Disorder
Pyrimethamine 25mg Tablet KPK DRUG Medical
Department
Quetiapine Fumarate 100 mg Immediate Release Tablet
A* Psychiatric
Department Psychiatry
Combined Quota 100mg, 200mg IR: 100 Patients/Month ( DCM Bil1/2018)
Quetiapine Fumarate 200 mg Extended Release Tablet
A* Psychiatric
Department Psychiatry
Combined 50mg, 200mg, 400mg Quota: 80 Patients/Year (DCM Bil1/2011)
Quetiapine Fumarate 200 mg Immediate Release Tablet
A* Psychiatric
Department Psychiatry
Combined Quota 100mg, 200mg IR: 100 Patients/Month ( DCM Bil1/2018)
Quetiapine Fumarate 400 mg Extended Release Tablet
A* Psychiatric
Department Psychiatry
Combined 50mg, 200mg, 400mg Quota: 80 Patients/Year (DCM Bil1/2011)
Quetiapine Fumarate 50 mg Extended Release Tablet
A* Psychiatric
Department Psychiatry
Combined 50mg, 200mg, 400mg Quota: 80 Patients/Year (DCM Bil1/2011)
Rabies Vaccine Injection B Emergency And
Trauma Department
Immunological Products and
Vaccines
Raloxifene HCl 60mg Tablet A* Orthopaedic Department
Obstetrics, Gynaecology
Ranitidine 150mg Tablet B Gastro-Intestinal
Ranitidine 25 mg/ml Injection B Gastro-Intestinal
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Medicine Formulary HSNI Vol 2.2019
Page 48
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Remifentanil 5 mg Injection A* Anaesthesia Department
Analgesics Quota: 30 Vials/Month
Rifampicin 150 mg, Isoniazid 75 mg, Pyrazinamide 400 mg & Ethambutol HCl 275 mg Tablet
B Medical
Department Antiinfectives
Rifampicin 150mg Capsule B Medical
Department Antiinfectives
Rifampicin 300mg Capsule B Medical
Department Antiinfectives
Risperidone 1 mg Tablet B Psychiatric
Department Psychiatry
Risperidone 1 mg/ml Oral Solution
A Psychiatric
Department Psychiatry
Quota: 5patients/Year
Risperidone 2mg Tablet B Psychiatric
Department Psychiatry
Rivaroxaban 10 mg Tablet A* Orthopaedic Department
Cardiovascular Quota: 5 Patients/Month
Rivaroxaban 15 mg Tablet A* Medical
Department Cardiovascular
Quota: 5 patients (DCM bil1.2019)
Rivaroxaban 20 mg Tablet A* Medical
Department Cardiovascular
Quota:15 Patients (DCM Bil 1/2019)
Rivastigmine 1.5 mg Capsule A* Psychiatric
Department Neurology
Combined 1.5mg & 3mg Quota: 20 Patients/Year
Rivastigmine 3 mg Capsule A* Psychiatric
Department Neurology
Combined 1.5mg & 3mg Quota: 20 Patients/Year
Rivastigmine 4.6mg/24hr Transdermal Patch
A* Psychiatric
Department Neurology
Combined 4.6mg & 9.5mg Quota: 20 Patients/Year
Rivastigmine 9.5mg/24hr Transdermal Patch
A* Psychiatric
Department Neurology
Combined 4.6mg & 9.5mg Quota: 20 Patients/Year
Rocuronium Bromide 10 mg/ml Injection
A* Anaesthesia Department
Anaesthesia
Ropivacaine HCl 2 mg/ml Injection
A* Anaesthesia Department
Anaesthesia
Ropivacaine HCl 7.5 mg/ml Injection
A* Anaesthesia Department
Anaesthesia
Rosuvastatin 10 mg Tablet A* Medical
Department Cardiovascular
Combined Quota: 10mg & 20mg :20 Patients (DCM Bil2/2010)
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Medicine Formulary HSNI Vol 2.2019
Page 49
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Rosuvastatin 20mg Tablet A* Medical
Department Cardiovascular
Combined Quota: 10mg & 20mg :20 Patients (DCM Bil2/2010)
Salbutamol 0.5 % Inhalation Solution
B Respiratory
Salbutamol 0.5 mg/ml Injection
A Respiratory
Salbutamol 100 mcg/dose Inhalation
B Respiratory
Salbutamol 2 mg/5 ml Syrup B Respiratory
Salbutamol Sulphate 2mg Tablet
B
Salicylazosulphapyridine (Sulfasalazine) 500 mg Tablet
A/KK Surgical
Department Gastro-Intestinal
Salicylic Acid 2 - 10% Cream C Dermatology
Salicylic Acid 2 % Lotion B Dermatology
Salmeterol 25 mcg And Fluticasone Propionate 125 mcg Inhalation
A* Pediatric
Department Respiratory
Quota: 10 Patients (DCM Bil1/2014)
Salmeterol 50 mcg And Fluticasone Propionate 250 mcg Inhalation
A/KK Medical
Department Respiratory
Quota:65 Patients (DCM Bil1/2018)
Salmeterol 50 mcg And Fluticasone Propionate 500 mcg Inhalation
A/KK Medical
Department Respiratory
Quota:35 Patients (DCM Bil1/2016)
Sebitar Shampoo(Tar 1%, Coal Tar 1%,Salicylic Acid 2% Shampoo)
KPK DRUG Dermatology Unit
Selegiline HCl 5 mg Tablet A* Medical
Department Neurology
Selenium Sulphide 2.5% Shampoo
A/KK Dermatology Unit
Sertraline HCl 50 mg Tablet B Psychiatric
Department Psychiatry
Sevelamer 800mg Tablet A* Nephrology Unit Nutrition and Blood
Disorder Quota: 5 Patients (DCM Bil1/2016)
Sevoflurane Liquid A* Anaesthesia Department
Anaesthesia
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Medicine Formulary HSNI Vol 2.2019
Page 50
Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Silver Sulphadiazine 1% Cream B Dermatology
Simvastatin 40 mg Tablet B Medical
Department Cardiovascular
Sodium Bicarbonate 8.4% (1 mmol/ml) Injection
B Nutrition and Blood
Disorder
Sodium Bicarbonate 5% W/V Ear Drops
C Ear, Nose and Oropharynx
Sodium Bicarbonate And Magnesium Carbonate Compound Mixture (Mist Carminative)
C Obstetrics and Gynaecology Department
Gastro-Intestinal IPD only.
Sodium Bicarbonate, Citric Acid, Sodium Citrate And Tartaric Acid - 4 G Per Sachet
B
Nephrology Unit Genitourinary
Surgical Department
Genitourinary Quota:20 Patients/ Month (DCM Bil 3/2015)
Sodium Chloride 0.18% With Dextrose 10% Injection
B Nutrition and Blood
Disorder
Sodium Chloride 0.18% With Dextrose 4.23% Injection
B Nutrition and Blood
Disorder
Sodium Chloride 0.45% Injection
B Nutrition and Blood
Disorder
Sodium Chloride 0.45% With Dextrose 10% Injection
B Nutrition and Blood
Disorder
Sodium Chloride 0.45% With Dextrose 5% Injection
B Nutrition and Blood
Disorder
Sodium Chloride 0.9% Eye Drop
C Ophthalmology
Sodium Chloride 0.9% Injection
C+ Ophthalmology 100ml & 500ml
Sodium Chloride 0.9% With Dextrose 5% Injection
C+ Nutrition and Blood
Disorder
Sodium Chloride 20% Injection
B Nutrition and Blood
Disorder
Sodium Chloride 3% Injection B Nutrition and Blood
Disorder
Sodium Citrate, Citric Acid Mixture 3g/10 ml
B Genitourinary
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Medicine Formulary HSNI Vol 2.2019
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Generic Name Category Department FUKKM
SYSTEM/GROUP Note
Sodium Glycerophosphate For Addition Into Infusion Solution, 20ml Vial
A
Medical Department
Nutrition and Blood Disorder
Quota: 20/Month (DCM Bil2/2018)
Surgical Department
Nutrition and Blood Disorder
Quota:170/Month (DCM Bil2/2018)
Pediatric Department
Nutrition and Blood Disorder
Quota:125/Month (DCM Bil2/2018)
Anaesthesia Department
Nutrition and Blood Disorder
Quota:20/Month (DCM Bil2/2018)
Sodium Hypochlorite Solution C Miscellaneous
Sodium Valproate 200 mg Tablet
B Medical
Department Neurology
Sodium Valproate 200 mg/5 ml Syrup
B
Pediatric Department/
Medical Department
Neurology
Somatropin 5mg (15IU) Injection
A* Pediatric
Department Endocrine Quota: 1 Patient
Spironolactone 25mg Tablet B Medical
Department Cardi