TOPAZ/TOPAZ PLUS ACUTE MEDICINE FORMULARY

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TOPAZ/TOPAZ PLUS ACUTE MEDICINE FORMULARY Diamond Health Services would like to thank doctors and pharmacists for their indulgence in dealing with the uncertainties surrounding the medicines covered/not covered until now. This medicine list is released as a guide to prescribers and dispensers. It is understood that there will always be cases where exceptions need to be made and when that happens, dispensers are advised to discuss this with our office. Although it is believed that the items listed here are available on the Namibian market, no guarantee is given that all these items listed will remain available in future. While specific generics have been listed, the list is not exhaustive and similar generics, not specifically listed, are also acceptable. As much as we emphasise the use of generic medication, and the least expensive generic in a group for that matter, where the originator drug is better priced than generics, it is recommended that the originator be issued. Prescribers and dispensers are, once again, reminded that Topaz/Topaz Plus is an entry-level, primary care option of NMC. For this reason, colleagues are urged to remain mindful of the cost factor. The product was developed to provide basic/primary private health care to the employed who previously could not afford medical aid premiums. The product has genuinely affordable premiums and aims to cover members and their dependants throughout the year with BASIC SERVICES. We have left out the frills that do not always contribute significantly to the health of people, more than being nice-to-haves, as well as care that would ordinarily be secondary level. We therefore appeal to your good sense in keeping the service at an acceptable level and to avoid pushing the costs up by “doing business as usual.” By definition, this document remains “work in progress” and your comments are welcome at all times. DHS reserves the right to bring out updates at any time and while all efforts will be made to ensure that it is widely distributed, contracted service providers are advised to endeavour to obtain the latest version. Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions 1. Alimentary Tract and Metabolism 1.1 Mouth and Throat Preparations Cetalkonium CL/Choline salicylate Teejel GEL Povidone-lodine Dermadine oral antiseptic MOW Andolexc gergle spray PODINE MOUTHWASH Tetracaine HCI Dynexan ointment 10g GEL Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions 1.2 Antifungals for local topical treatment Nystatin susp Candacide suspension SUS Nystatin susp Canstat SUS Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions 1.3 Antacids Al oxide/Mg Oxide Mayogel SUS Dicyclomine Co Gelumen SUS Dicyclomine Co Medigel SUS Dicyclomine Co Propan gel S SUS Alginic Acid Co Gelacid SUS

Transcript of TOPAZ/TOPAZ PLUS ACUTE MEDICINE FORMULARY

Page 1: TOPAZ/TOPAZ PLUS ACUTE MEDICINE FORMULARY

TOPAZ/TOPAZ PLUSACUTE MEDICINE FORMULARY

Diamond Health Services would like to thank doctors and pharmacists for their indulgence in dealing with the uncertainties surrounding the medicines covered/not covered until now. This medicine list is released as a guide to prescribers and dispensers. It is understood that there will always be cases where exceptions need to be made and when that happens, dispensers are advised to discuss this with our office.

Although it is believed that the items listed here are available on the Namibian market, no guarantee is given that all these items listed will remain available in future.

While specific generics have been listed, the list is not exhaustive and similar generics, not specifically listed, are also acceptable.

As much as we emphasise the use of generic medication, and the least expensive generic in a group for that matter, where the originator drug is better priced than generics, it is recommended that the originator be issued.

Prescribers and dispensers are, once again, reminded that Topaz/Topaz Plus is an entry-level, primary care option of NMC. For this reason, colleagues are urged to remain mindful of the cost factor. The product was developed to provide basic/primary private health care to the employed who previously could not afford medical aid premiums. The product has genuinely affordable premiums and aims to cover members and their dependants throughout the year with BASIC SERVICES. We have left out the frills that do not always contribute significantly to the health of people, more than being nice-to-haves, as well as care that would ordinarily be secondary level. We therefore appeal to your good sense in keeping the service at an acceptable level and to avoid pushing the costs up by “doing business as usual.”

By definition, this document remains “work in progress” and your comments are welcome at all times. DHS reserves the right to bring out updates at any time and while all efforts will be made to ensure that it is widely distributed, contracted service providers are advised to endeavour to obtain the latest version.

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

1. Alimentary Tract and Metabolism

1.1 Mouth and Throat Preparations

Cetalkonium CL/Choline salicylate Teejel GEL

Povidone-lodine Dermadine oral antiseptic MOW

Andolexc gergle spray

PODINE MOUTHWASH

Tetracaine HCI Dynexan ointment 10g GEL

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

1.2 Antifungals for local topical treatment

Nystatin susp Candacide suspension SUS

Nystatin susp Canstat SUS

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

1.3 Antacids

Al oxide/Mg Oxide Mayogel SUS

Dicyclomine Co Gelumen SUS

Dicyclomine Co Medigel SUS

Dicyclomine Co Propan gel S SUS

Alginic Acid Co Gelacid SUS

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

1.4 H2-Receptor Blockers

Cimetidine 200mg Adco-cimetidine 200mg TAB

Cimetidine 200mg Bio-cimetidine 200mg TAB

Cimetidine 200mg Lenamet 200mg TAB

Cimetidine 400mg Bio-cimetidine 400mg TAB

Cimetidine 400mg Adco-cimetidine 400mg TAB

Ranitidine 150mg Ranihexal 150mg TAB

Ranitidine 150mg Histak 150 150mg TAB

Ranitidine 300mg Ranihexal 300mg TAB

Ranitidine 300mg Histak 300 300mg TAB

Proton pump inhibitors Lansoprazole Lancap 15mg

30mg

Omeprazole Altosecsandoz-omeprazole 20mg

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

1.5 Antispasmodics

Mebeverine HCI Bevispas 135mg TAB

Mebeverine HCI Sandoz-mebeverine 135mg TAB

Hyoscine Butylbr Hyospasmol 10mg TAB

Hyoscine Butylbr Scopex 10mg TAB

Hyoscine Butylbr Scopex co 10/250mg TAB

Hyoscine Butylbr Scopex Syr 5mg/5ml SYR

Hyoscine Butylbr Hyospasmol Syr 5mg/5ml SYR

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

1.6 Anti-emetic & Anti-vertigo Agents

Metoclopramide HCI Clopamon 10mg TAB

Metoclopramide HCI Clopamon 5mg/5ml SYR

Invert sugar/Phosphoric acid Emex 3g;

25mg/5ml SYR

Sucrose/Phosphoric acid Emetrol 3.77g; 25mg/5ml SYR

Cinnarizine 25mg Sandoz-cinnarizine 25 25mg TAB

Cyclizine HCI Triazine infant 50mg SUP

Cyclizine HCI Medazine 12,5mg/5ml SYR

Cyclizine HCI Adco-cyclizine 50mg TAB

Cyclizine HCI Adco-cyclizine 50mg SYR

Prochlorperazine maleate Mitil 50mg TAB

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

1.7 Antidiarrhoeals

Adsorbents Kaostatex SUS

Adsorbents Chloropect SUS

Adsorbents + electrolytes Enterolyte SUS

Adsorbents Gastropect SUS

Adsorbents Pectrolyte SUS

Rehydration Hydraassist SAC

Rehydration Scripto-lyte SYR

Antipropulsives Adco-loperamide 1mg/5ml SYR

Antipropulsives Gastron 2mg TAB

Antipropulsives Adco-loperamide 2mg SYR

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

1.8 Antihaemorrhoidals

Pramoxine Anugesic OIN

Bismuth subgall Co Anusol OIN

Bismuth subgall Co Anusol SUO

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

1.9 Anthelminthics

Praziquantel Biltricide 600mg TAB

Mebendazole 100mg/5ml Wormstop 100mg/5ml SUS

Mebendazole 100mg Cipex 100mg SUS

Mebendazole 100mg Wormstop 100mg TAB

Mebendazole Cipex 500mg TAB

Mebendazole Wormstop 500mg TAB

Albendazole Bendexwormadole 400mg Tab

suspension

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

2.1 Haematinics

Fe-lactate Ferro drops L DRP

Fe-sulph Ferrous sulph co TAB

Fe-sulph Ferrous sulphate 100mg TAB

Fe-sulph Co Gulf Ferrous sulphhate compound TAB

Fe-sulph Co Pregamal TAB

2. Vitamins and Minerals

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

4.2 Antipruritics

Calamine Lot calamine bp LOT

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

4.2.1 Antihistamines (Topical)

Mepyramine Allergex-mepyrimal 2.00% CRE

CETIRIZINE

Diphenhydran Histodor CRE

Mepyramine Alsan 2.00% CRE

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

4.3 Antivirals (Topical)

Aciclovir Acitop 5.00% CRE

Aciclovir Lovire 5.00% CRE

Aciclovir Adco-acyclovir 5.00% CRE

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

3.1 Vasodilators (A.P)

Glyceryl trinitr Angised 0,5mg SLT

Isosorbide dinitr 5mg 5mg SLT

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

4.1 Antifungals (Topical)

Nystatin Nystacid 100 000iu/ml OIN

Nystatin Canstat 100 000iu/ml CRE

Clotrimazole Canalba 1.00% CRE

Clotrimazole Clomaderm 1.00% CRE

Clotrimazole Adco-covospor 1.00% CRE

Clotrimazole Normospor 1.00% CRE

3. Cardiovascular System

4. Dermatologicals

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

2.2 Vitamins

Multivitamins Multivitamin SYR

Multivitamins Multivitamin orange TAB

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

4.4 Corticosteriods (Topical)

Beclomethasone Beclate cream 0.03% CRE

Betamethasone Adco-betamethasone 0.15% CRE

Betamethasone Lenovate 0,10% CRE

Betamethasone Persivate 0,1% CRE

Betamethasone Repivate 0,1% CRE

Hydrocortisone Dilucort 0.50% CRE

Hydrocortisone Stopitch 1.00% CRE

Betamethasone Lenovate 0,1% OIN

Betamethasone Persivate 0,1% OIN

Hydrocortisone Dilucort 0.50% OIN

Fluocinolone acetonide Cortodem 0.03% CRE

Fluocinolone acetonide Cortodem 0.03% OIN

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

4.5 Antimicrobial/Antiseptics (Topical)

Povidone lodine Dermadine 10.00% OIN

Povidone lodine Podine 10.00% OIN

Nitrofurazone Furex 0.20% OIN

Silver sulphiadazine Silbecor 1.00% CRE

Di-iodohdroxyquinoline etc Viodor CRE

Di-Di-iodohdroxyquinoline/ hydrocortisone/ hydrocort Viocort CRE

Hydrocortisone/ Neomysin Adco-Neoderm cream 25g CRE

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

4.6 Scabicides

Benzyl Benzoate App benzyl benz-Allied 25.00% LOT

Benzyl Benzoate Fabu-benzyl benz 25.00% LOT

Benzyl Benzoate App benzyl benz BPC 25.00% LOT

Benzyl Benzoate Alpha benzyl benzoate application 25.00% LOT

Benzyl Benzoate App benzyl benz 25.00% LOT

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

4.7 Local anaesthetics (Topical)

Amenthocaine HCI Amenthocaine 1.00% CRE

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

5.2 Vaginal Antifungals

Clotrimazole Canalva VC 1.00% VCR

Clotrimazole A-por VC 1.00% VCR

Clotrimazole Adco-Covospor VC 1.00% VCR

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

5.3 Oral Antifungals

Fluconazole 150mg Aspen Fluconazole 150mg CAP

Fluconazole 150mg Flucoric 150 150mg CAP

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

5.4 Progestogens

Medroxyprogesterone 5mg Provera 5mg TAB 5 day course

Medroxyprogesterone 10mg Provera 10mg TAB

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

5.5 Urinary Alkalinisers

Citric acid monohydrate, Pot Citric

Mist Pot Cit SimplexAlkafizz SUS

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

5.1 Vaginal Antimicrobials

Aminacrine Vasgarsol VC VCR

Clindamycin Dalacin VC VCR

5. Genitourinary System

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

6.1 Glucocorticocoids

Prednisolone 5mg Lenisolone 5mg TAB

Prednisolone Capsoid 5mg TAB

Prednisolone Preflam 15mg/5ml SYR

Prednisone Be-tabs prednisone 5mg TAB

Prednisone Panafcort 5mg TAB

Betamethasone Betanoid 0.6mg/5ml SYR

6. Corticosteriods for Systemic Use

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.2 Amoxicillin

Amoxicillin 125mg/5ml Betamox S 125mg/5ml SUS

Amoxicillin 125mg/5ml Maxcil P 125mg/5ml SUS

Amoxicillin 125mg/5ml Moxypen S 125mg/5ml SUS

Amoxicillin 250mg/5ml Betamox SF 250mg/5ml SUS

Amoxicillin 250mg/5ml Maxcil PF 250mg/5ml SUS

Amoxicillin 250mg/5ml Moxypen SF 250mg/5ml SUS

Amoxicillin 250mg/5ml Ranmoxy suspension 250mg/5ml SUS

Amoxicillin 250mg A-lennon amoxycillin 250mg CAP

Amoxicillin 250mg Betamox 250mg CAP

Amoxicillin 250mg Ipcamox 250mg CAP

Amoxicillin 250mg Maxcil A 250 250mg CAP

Amoxicillin 250mg Moxypen 250mg CAP

Amoxicillin Betamox 500 500mg CAP

Amoxicillin Ranmoxy caps 500mg CAP

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.1 Tetracyclines

Doxycycline 100mg A-lennon doxycycline 100mg CAP

Doxycycline 100mg Doxycyl 100mg CAP

Doxycycline 100mg Cyclidox 100mg CAP

Doxycycline 100mg Doxitab 100mg TAB

Doxycycline 100mg Doxyhexal 100 100mg TAB

7. Antimicrobials

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.2.1 Co-Amoxiclav

Co-Amoxiclav 156mg/5ml Ranclave 156mg/5ml SUS

Co-Amoxiclav 156mg/5ml Augmaxcil S 156mg/5ml SUS

Co-Amoxiclav 156mg/5ml Sandoz-co-amoclave 156mg/5ml SUS

Co-Amoxiclav 312mg/5ml Adco-amoclav forte 312mg/5ml SUS

Co-Amoxiclav 312mg/5ml Augmaxcil SF 312mg/5ml SUS

Co-Amoxiclav 312mg/5ml Clamentin SF 312mg/5ml SUS

Co-Amoxiclav 312mg/5ml Ranclav forte suspension 312mg/5ml SUS

Add Amoxicillin to achieve

higher doses if required

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.2.2 Amoxicillin/ Flucloxacillin

Amoxicillin/ Fluclox Macropen S 250mg/5ml SUS

Amoxicillin/ Fluclox Macropen 500 500mg CAP

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.2.3 Flucloxacillin

Flucloxacillin Sandoz flucloxacillin 250mg 250mg CAP

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.2.4 Cephalexin

Cephalexin Ranceph 125mg/5ml SUS

Cephalexin Ranceph 250mg/5ml SUS

Cephalexin Ranceph 250mg CAP

Cephalexin Ranceph 500mg CAP

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.2.5 Cefaclor

Cefaclor Vercef 187mg/5ml SUS

Cefaclor Vercef 375mg/5ml SUS

Cefaclor Vercef MR 375mg TAB

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.2.6 Cefadroxil

Cefadroxil Dacef 500mg CAP

Cefadroxil Dacef 250mg/5ml SUS

Cefadroxil Dacef 500mg/5ml SUS

Co-Amoxiclav 312mg/5ml Sandoz Co-amoxyclav SF 312mg/5ml SUS

Co-Amoxiclav 375mg Augmaxil 375mg TAB

Co-Amoxiclav 375mg Ranclav 375mg TAB

Co-Amoxiclav 625mg Sandoz-co-amoclave 625mg TAB

Co-Amoxiclav 625mg Curam 625mg TAB

Co-Amoxiclav 625mg Ranclav 625 625mg TAB

Co-Amoxiclav 1000mg Adco-amoclave 1000mg TAB

Co-Amoxiclav 1000mg Ranclav 1000 1000mg TAB

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.2.7 Cefuroxime

Cefuroxime Ceroxim 250mg TAB

Cefuroxime Ceroxim 500mg TAB

Cefuroxime Sandoz cefuroxime 500mg TAB

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.2.8 Cefpodoxime

Cefpodoxime Cepodem 100mg TAB

Cefpodoxime Cepodem 200mg TAB Zinnat if Cheaper

Cefpodoxime Cepodem 40mg/5ml SUS

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.3 Sulphonamides

Co-trimoxazole Fabu-co-trim SUS

Co-trimoxazole Purbac SUS

Co-trimoxazole Purbac adult TAB

Co-trimoxazole Adco-co-trimoxazole 480mg TAB

Co-trimoxazole Cozole 480mg TAB

Co-trimoxazole Purbac ds 960mg TAB

Co-trimoxazole Sandoz co-trimoxazole 960mg TAB

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.4 Macrolides

Erythromycin estolate Adco-erythromycin 250mg CAP

Erythromycin estolate Erymycin p 125mg/5ml SUS

Erythromycin estolate Purmycin 125mg/5ml SUS

Erythromycin estolate Purmycin 250mg CAPS

Erythromycin estolate Purmycin 250mg/5ml SUS

Roxithromycin Roxxibid 150mg TAB

Azithromycin Aspen Azithromycin 500mg TAB

Clarithromycin 500mg Klarithran 500mg TAB

Clarithromycin 125mg/5ml Klarithran 125mg/5ml SUS

Clarithromycin 250mg/5ml Klarithran 250mg/5ml

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.5 Lincosamides

Clindamycin Clindahexal 150mg CAP

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.6 Quinolones

Ciprofloxacin 250mg Dynafloc 250mg TAB

Ciprofloxacin 250mg Ciploxx 250 250mg TAB

Ciprofloxacin 500mg Dynafloc 500mg TAB

Ciprofloxacin 500mg Orpic 500mg TAB

Norfloxacin 400mg Utin 400mg TAB

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.7 Anti-Protazoals

Metronidazole 200mg Fabu-metronidazole 200mg/5ml SUS

Metronidazole 200mg Adco-metronidazole 200mg TAB

Metronidazole 200mg Trichazole 200mg TAB

Metronidazole 400mg Adco-metronidazole 400mg TAB

Metronidazole 400mg Trichazole 400mg TAB

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

7.8 Antivirals

Aciclovir 200mg Acitab-200 DT 200mg DSP

Aciclovir 200mg Lovire 200mg DSP

Aciclovir 200mg Adco-acyclovir 200mg TAB

Aciclovir 400mg Acitab-400 DT 400mg DSP

Aciclovir 400mg Lovire 400mg DSP

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

8.1 NSAIDs

Indometacin 25mg Adco-indomethacin 25mg CAP

Inodometacin 25mg Arthrexin 25mg CAP

Inodometacin 25mg Betacin 25mg CAP

Diclofenac 25mg A-lennon diclofenac 25mg TAB

Diclofenac 25mg Adco-diclofenac 25mg TAB

Diclofenac 25mg Diclohexal 25mg TAB

8 . Musculoskeletal System

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Diclofenac 50mg A-lennon diclofenac 50mg TAB

Diclofenac 50mg Adco-diclofenac 50mg TAB

Diclofenac 50mg Merck-diclofenac sodium 50mg TAB

Diclofenac supp 12.5mg Panamor supp-12.5 12,5mg SUP

Ibuprofen susp Ibugesic 100mg/5ml SUS

Ibuprofen 200mg Inza 200mg TAB

Ibuprofen 200mg Ranfen 200mg TAB

Ibuprofen 200mg Sandoz-ibuprofen 200mg TAB

Ibuprofen 400mg Adco-ibuprofen 400mg TAB

Ibuprofen 400mg Ranfen 400mg TAB

Ibuprofen 400mg Sandoz-ibuprofen 400mg TAB

Mefenamic Acid Paed supp Ponsran supp 125mg SPP

Mefenamic Acid 250mg Adco-mefenamic acid 250mg CAP

Mefenamic Acid 250mg Fenamin 250mg CAP

Mefenamic Acid susp Adco-mefenamic acid 50mg/5ml SUS

Mefenamic Acid susp Fenamin 50mg/5ml SUS

Meloxicam 7.5mg/15mg Flexocam 7,5mg TAB

Meloxicam 7.5mg/15mg Loxiflam 7,5mg TAB

Naproxen 220mg Aleve 220mg TAB

Naproxen 250mg Napflam 250mg TAB

Ibuprofen 50mg/g Deep Relief Gel 25g 50mg/g GEL

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

8.2 Anti-Gout

Colchicine 0.5mg Colchicine 0.5mg TAB

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

9.1 Analgesics and Antipyretics

Aspirin 300mg Bayer aspirin 300mg TAB

Aspirin 300mg Disprin 300mg EFT

Paracetamol syrup Napamol 120mg/5ml SYR

Paracetamol syrup Fabu Paracetamol 50ml SYR

Paracetamol syrup Fabu Paracetamol 100ml SYR

Paracetamol 500mg Napamol 500mg TAB

9. Analgesics

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Paracetamol 500mg Painamol (green) 500mg TAB

Paracetamol 500mg Prolief 500mg TAB

Paracetamol/ Codeine Napacod TAB

Paracetamol/ Codeine Painamol plus TAB

Paracetamol/ Codeine Spectrapain CAP

Paracet/ Cod/ Prometh Salterpyn SYR

Paracet/ Cod/ Prometh Go-pain SYR

Paracet/ Cod/ Prometh Painagon SYR

Paracet/ Cod/ Prometh Stilpane SYR

Paracetamol/ Orphenadrine Besenal NC TAB

Paracetamol/ Orphenadrine Besemax TAB

Paracet/Caff/Cod/Meprobamate tablets Megapyn TAB

Paracet/Caff/Cod/Meprobamate tablets Painagon TAB

Paracet/Caff/Cod/Meprobamate tablets Salterpyn TAB

Paracet/Caff/Cod/Meprobamate tablets Stilpane TAB

Paracetamol/Mephenesin Spasmend TAB

Tramadol HCI Dolotram 50mg CAP

Tramadol HCI Domadol 50mg CAP

Tramadol HCI Tramahexal 50mg CAP

Ibuprofen/ Codeine phos Ibucod TAB

Paracetamol/ Ibuprofen Ibumol TAB

Paracetamol/ Ibuprofen Dentopain 450mg CAP

Paracetamol/ Ibuprofen Ibupain 450mg CAP

Paracetamol/ Ibuprofen / Codeine caps Dentopain Forte 460mg CAP

Paracetamol/Ibuprofen/ Codeine caps Ibupain Forte 460mg CAP

Paracetamol/Ibuprofen/ Codeine caps Mybulen 460mg CAP

Paracetamol/Ibuprofen/ Codeine tablets Mybulen 460mg TAB

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

9.2 Antimigraine Preparations

Cyclizine/ Ergotamine/ Caffeine Migril TAB

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

10.1 Anxiolytics

Diazepam Sandoz diazepam 2mg TAB

Diazepam Betapam 5mg TAB

Diazepam Pax 5mg TAB

Diazepam Pax 10mg TAB

Oxazepam Purata 10mg TAB

Oxazepam Purata 15mg TAB

Oxazepam Purata 30mg TAB

Alprazolam Alzam 0,25mg TAB

Alprazolam Azor 0,25mg TAB

Alprazolam Azor 0,5mg TAB

Alprazolam Alzam 1mg TAB

Alprazolam Azor 1mg TAB

10. Central Nervous System

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

11.1 Nasal Corticosteriods

Beclomethasone Betclate aquanase 150d AQS

11. Respiratory System

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

10.2 Hypnotics

Amitriptyline Sandoz Amitriptyline 25mg TAB For short term use only

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

11.2 Bronchodilators

Salbutamol Asthavent 200 dose 100mcg INH

Salbutamol Venteze complete 100mcg INH

Salbutamol Asthavent 300 dose ecohaler 100mcg INH

Salbutamol Asthavent 2mg/5ml SYR

Salbutamol Venteze 2mg/5ml SYR

Theophylline Alcophyllin SYR

Theophylline Sandoz theophylline anhydrous 300mg SRT

Theophylline Sandoz theophylline anhydrous 300mg SRT

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Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

Theophylline 200mg SRT

Salbutamol Ashavent dp caps CAP

Budesonide Budeflam dp caps CAP

dp Haler device INH

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

11.3 Cough & Cold Remedies

Histamed co CAP

Fluend CAP

Flustat CAP

Flutex CAP

Sinustat-flu CAP

Sinustat CAP

Paracetamol/ Phenylpropanolamine Adco-linctopent SYR

Bromhexine Co Linctus Bronkese Co SYR

Bromhexine Co Linctus Flemeze SYR

Bromhexine Co Linctus Bronchette SYR

Carbocisteine 250mg/5ml Mucolinct 250mg/5ml SYR

Carbocisteine 250mg/5ml Broncleer & cod unboxed 250mg/5ml SYR

Diphenhydramine/ Ammon CI/Na citrate/ Codeine Expectalin SYR

Diphenhydramine/ Ammonium Chloride Histodor expect SYR

Diphenhydramine/ Ammonium CI/ Sod citrate Clear cough SYR

Diphenhydramine/ Ammonium CI/ Sod citrate Diphenhydramine exp SYR

Diphenhydramine/ Ammonium CI/ Sod citrate

Diphenhydramine expect SYR

Diphenhydramine/ Ammonium CI/ Sod citrate Medilyn Solution SYR

Guaifenesin Flustat SYR

Coryx Paed Syrup SYR

Paracetamol/ Phenylpropanolamine/

DextromethSinustat-flu SYR

Paracetamol/ Phenylpropanolamine/

Dextrometh

Acuflu P(alcohol & sugar free) SYR

Paracetamol/ Pseudo/ Triprol Adco flupain SYR

Pseudoephedrine/ Triprolidine Actifed SYR

Pseudoephedrine/ Triprolidine Theophen SYR

Page 15: TOPAZ/TOPAZ PLUS ACUTE MEDICINE FORMULARY

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

Theophyllin/ Etofylline Adco-Tussend SYR

Triprol/ Pseudo/ Guaifenesin/ Codeine Trifen exp adult SYR

Triprol/ Pseudo/ Guaifenesin/ Codeine Trifen exp paed SYR

Triprol/ Pseudo/ Guaifenesin/ Codeine Alcophyllex SYR

Betalix Decongestant elixir SYR

Colcleer paediatric syrup SYR

Folcofen SYR

Linctus tussi infant SYR

Colcleer ( cold + flu) SYR

Ephedrine/ Caffeine/ Paracetamol/

ChlorphenamineSinucon (stx) TAB

Ephedrine/ Caffeine/ Paracetamol/

ChlorphenamineSinuend TAB

Pseudoephedrine 60mg Adco-sinal co 60mg TAB

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

11.4 Antihistamines

Chlorphenamine Allergex 2mg/5ml SYR

Chlorphenamine Allergex 4mg TAB

Promethazine HCI Lenazine 5mg/5ml SYR

Promethazine HCI Prohist 5mg/5ml SYR

Promethazine HCI Phenergan 10mg TAB

Promethazine HCI Cipla-loratadine 25mg TAB

Loratadine Laura 10mg TAB

Loratadine Lorano 10mg TAB

Loratadine AP Loratadine 10mg TAB

Loratadine Clarinese 5mg/5ml SYR

Loratadine Clarinese 5mg/5ml SYR

Cetlrizine Hexal Cetlrizine 10mg TAB

Cetlrizine Texa 10mg TAB

Cetlrizine Texa 100ml SYR

Page 16: TOPAZ/TOPAZ PLUS ACUTE MEDICINE FORMULARY

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

12.1 Antimicrobials

Chloramphenicol Chloramex oit 1.00% EYO

Chloramphenicol Chloromycetin redidrops 10ml 1.00% EYO

Fusidic Acid Fucithalmic 5g OPD

Ofloxacin octin 0.30% OPD

Dexamethasone/ Chloramphenicol

Spersadex Co Eye Drops 5ml DROPS

Betamethasone/ Neomysin Betnesol N Drops 5ml DROPS

12. Ophthalmics

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

12.2 Corticosteriods

Dexamethasone Spersadex 5ml 0,1% OPD

Betamethasone Betnesol 0,10% OPD

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

12.3 Decongestants

Antazoline/ Tetryzoline Spersallerg 10ml OPD

Antazoline/ Tetryzoline Universal eye 15ml OPD

Phenylephrine OPD

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

13.1 Analgesic ear

Benzocaine/ Phenazone/ Ephendrine Aurone EAR

Benzocaine/ Phenazone/ Chlorbutol/ Glyc Otised 15ml EAR

Phenazone Covancaine 20ml EAR

Benzocaine/ Phenazone/ Sulphac/ Urea Otophen EAR

Phenazone Universal ear 15ml EAR

Procaine/ Phenazone/ K-hydroxyquinoline Aurone Fort EAR

13. Otologicals

Medicine Class NAPPI Active Ingredients Product Name Strength Form Restrictions

13.2 Ceruminolytics

Docusate Na Waxsol nf 10ml EAR

Chlorbutol/ Paradichlorobenzene/

Arachis oilCerumol EAR