d) The formulary available for the treatment of HIV (not listed here

Transcription

d) The formulary available for the treatment of HIV (not listed here
When interacting with the information on this page, please keep in mind that the content may be updated from time to time as products are either
discontinued or newly launched. Please keep in mind that,
a) Items contained in this list forms part of the Knowledge Objects Solutions (KO Solutions) formulary and may be subject to pre-authorisation based on, for
example, the diagnosis, burden of disease, duration of treatment, gender, age, level of therapy and clinical criteria
b) Different benefits may apply during reimbursement, for example, baby vaccines will be funded from the Preventative Care benefit. This means that the
Pharmaceutical Benefit Management (PBM) system directs the benefit type according to the Scheme benefit and rules
c) Co-payments may apply where,
o Less costly but equally effective generic or therapeutic products are available, the member’s option does not make provision for full reimbursement or the cost of the
medicine is more than the Scheme rate
o A Scheme option stipulates the use of a Designated Service Provider (DSP) but the member chooses to make use of a non-DSP
o General or condition specific waiting periods are applied
d) The formulary available for the treatment of HIV (not listed here), complies with the SA Antiretroviral treatment guidelines and reimbursement is always
subject to preauthorisation and medicine will be delivered to a patient’s address of choice
e) This formulary represents drugs covered for chronic use for the Chronic Disease List (CDL or PBM) and additional chronic conditions (option specific)
f) The examples listed here serve as a guide on the trade names available at the time of publication and the marketing of a specific brand is not endorsed
g) If a product does not appear on this list, it may be restricted and subject to pre-authorisation. These products may only be available upon submission of
treatment plans, diagnostic results, motivations, etc.
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM
ACE inhibitors in combination with diuretics or calcium channel blockers
NAPPI
STRENGTH/
GENERIC NAME
PRODUCT NAME
CODE
PACK SIZE
enalapril and lercanidipine
711444 Zaneril 10mg/10mg
10/10MG
enalapril and lercanidipine
711445 Zaneril 10mg/20mg
10/20MG
trandolapril and verapamil
714624 Tarka 180mg/2mg
180MG
trandolapril and verapamil
714625 Tarka 240mg/4mg
240MG
perindopril and amlodipine
719852 Coveram
5/10MG
perindopril and amlodipine
719853 Coveram
10MG
perindopril and amlodipine
719854 Coveram
10/5MG
perindopril and amlodipine
719855 Coveram
5MG
trandolapril and verapamil
836680 Tarka 180mg/2mg
180mg;2mg
ramipril and felodipine
862207 Tri-plen 2.5mg/2.5mg
2,5mg;2,5mg
ramipril and felodipine
862215 Tri-plen forte 5mg/5mg
5mg;5mg
perindopril and diuretics
700512 Preterax 2mg/0.625mg
2mg;0,625mg
lisinopril and diuretics
704437 Lisoretic 10/12.5
10/12.5MG
lisinopril and diuretics
704438 Lisoretic 20/12.5
20/12.5MG
lisinopril and diuretics
704597 Adco-zetomax co 10/12.5
10/12.5MG
lisinopril and diuretics
704598 Adco-zetomax co 20/12.5
20/12.5MG
lisinopril and diuretics
704703 Hexal-lisinopril co 10/12.5mg
10/12.5MG
lisinopril and diuretics
704704 Hexal-lisinopril co 20/12.5mg
20/12.5MG
perindopril and diuretics
704928 Bipreterax 4/1.25mg
perindopril and diuretics
704929 Prexum plus 4mg/1.25mg
4/1.25MG
quinapril and diuretics
706235 Adco-quinaretic 10mg/12.5mg
10/12.5MG
quinapril and diuretics
706236 Adco-quinaretic 20mg/12.5mg
20/12.5MG
lisinopril and diuretics
707291 Lisozide 20mg/12.5mg
20/12.5MG
lisinopril and diuretics
707292 Lisozide 10mg/12.5mg
10/12.5MG
quinapril and diuretics
707550 Quinazide 10/12.5
10/12.5MG
quinapril and diuretics
707551 Quinazide 20/12.5
20/12.5MG
quinapril and diuretics
708116 Accumax co 10mg/12.5mg
10/12.5MG
quinapril and diuretics
708118 Accumax co 20mg/12.5mg
20/12.5MG
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRC
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
lisinopril and diuretics
perindopril and diuretics
lisinopril and diuretics
quinapril and diuretics
quinapril and diuretics
lisinopril and diuretics
lisinopril and diuretics
perindopril and diuretics
perindopril and diuretics
perindopril and diuretics
perindopril and diuretics
perindopril and diuretics
lisinopril and diuretics
lisinopril and diuretics
lisinopril and diuretics
lisinopril and diuretics
perindopril and diuretics
perindopril and diuretics
perindopril and diuretics
quinapril and diuretics
quinapril and diuretics
ramipril and diuretics
ramipril and diuretics
ramipril and diuretics
quinapril and diuretics
quinapril and diuretics
enalapril and diuretics
quinapril and diuretics
lisinopril and diuretics
benazepril and diuretics
quinapril and diuretics
cilazapril and diuretics
lisinopril and diuretics
NAPPI
CODE
708260
710298
710978
711173
711174
711989
711990
713762
713763
714952
715650
715651
716120
716121
716943
716945
717095
717782
717795
718056
718057
718092
718093
718094
719873
719874
787035
795755
797685
800279
805297
815055
817848
PRODUCT NAME
Zestozide 20
Vectoryl plus 4mg/1.25mg
Diace co 20/12.5
Quinace co 10/12.5mg
Quinace co 20/12.5mg
Lisinozide 20mg/12.5mg
Lisinozide 10mg/12.5mg
Spec-perindopril plus 2mg/0.625mg
Spec-perindopril plus 4mg/1.25mg
Pearinda plus 4mg/1.25mg
Acesyl co 2mg/0.625mg
Acesyl co 4mg/1.25mg
Auro-lisinopril co
Auro-lisinopril co
Lisinopril co unicorn 10mg/12.5mg
Lisinopril co unicorn 20mg/12.5mg
Zydus perindopril co 4mg/1.25mg
Perindopril co unicorn 4mg/1.25mg
Ariprel plus 4mg/1.25mg
Auro quinapril co 10mg/12.5mg
Auro quinapril co 20mg/12.5mg
Tritace plus 5mg/25mg
Tritace plus 10mg/12.5mg
Tritace plus 5mg/12.5mg
Biquretic
Biquretic
Co-renitec 20mg/12.5mg
Accuretic 10/12.5
Zestoretic 20mg/12.5mg
Cibadrex 10 10mg/12.5mg
Accuretic 20/12.5
Inhibace plus 5mg/12.5mg
Zestoretic 10mg/12.5mg
STRENGTH/
PACK SIZE
20MG
4/1.25MG
20/12.5MG
10/12.5MG
4/1.25MG
2/0.625MG
4/1.25MG
10mg
20mg
10/12.5MG
20/12.5MG
4/1.25MG
4/1.25MG
4/1.25MG
10/12.5MG
20/12.5MG
25/5MG
12.5/10MG
12.5/5MG
10/12.5MG
20/12.5MG
20mg;12,5mg
10mg;12,5mg
20mg;12,5mg
10mg;12,5mg
20mg;12,5mg
5mg;12,5mg
10mg;12,5mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
fosinopril and diuretics
captopril and diuretics
captopril and diuretics
perindopril and diuretics
enalapril and diuretics
enalapril and diuretics
NAPPI
CODE
836524
839795
841137
877549
885019
891287
PRODUCT NAME
Monozide 20mg/12.5mg
Zapto-co 50mg/25mg
Captoretic 50mg/25mg
Coversyl plus 4mg/1.25mg
Pharmapress co 20mg/12.5mg
Enap co 20mg/12.5mg
STRENGTH/
PACK SIZE
20mg;12,5mg
50mg;25mg
50mg;25mg
4mg;1,25mg
20/12.5MG
20mg;12,5mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
5mg
10mg
20mg
5mg
10mg
20mg
20mg
5mg
2,5mg
4mg
10mg
5mg
1,25mg
2,5mg
5mg
2,5mg
2,5mg
5mg
10mg
20mg
10mg
5mg
20mg
1,25mg
2,5mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
CAP
CAP
TAB
TAB
TAB
CAP
TAB
TAB
TAB
TAB
CAP
CAP
ACE inhibitors plain
lisinopril
lisinopril
lisinopril
lisinopril
lisinopril
lisinopril
enalapril
ramipril
ramipril
perindopril
lisinopril
lisinopril
ramipril
ramipril
ramipril
lisinopril
ramipril
ramipril
ramipril
lisinopril
lisinopril
lisinopril
lisinopril
ramipril
ramipril
700691
700692
700694
701387
701392
701394
701729
702966
702968
703541
703645
703646
704022
704023
704025
704354
704374
704375
704975
705318
705412
705413
705414
705426
705427
Sinopren
Sinopren
Sinopren
Hexal-lisinopril
Hexal-lisinopril
Hexal-lisinopril
Ciplatec
Ramace
Ramace
Prexum
Cipla lisinopril
Cipla lisinopril
Ramiwin
Ramiwin
Ramiwin
Austell Lisinopril
Ramipril hexal
Ramipril hexal
Ran-ramipril
Zemax
Zeprosil
Zeprosil
Zeprosil
Rampil
Rampil
GENERIC NAME
ramipril
ramipril
quinapril
fosinopril
fosinopril
quinapril
ramipril
ramipril
ramipril
ramipril
perindopril
ramipril
ramipril
ramipril
lisinopril
lisinopril
lisinopril
ramipril
ramipril
ramipril
ramipril
enalapril
quinapril
quinapril
lisinopril
trandolapril
quinapril
quinapril
quinapril
quinapril
perindopril
perindopril
perindopril
NAPPI
CODE
705428
705429
705447
705450
705453
705457
705752
705753
705754
705755
705915
706237
706238
706239
707310
707311
707312
707382
707383
707385
707869
708109
708119
708120
708189
708279
708981
708982
708983
708985
710297
710302
710510
PRODUCT NAME
Rampil
Rampil
Quinaspen
Mylan fosinopril
Mylan fosinopril
Quinaspen
Austell-ramipril
Austell-ramipril
Austell-ramipril
Austell-ramipril
Coversyl
Rilace
Rilace
Rilace
Simayla lisinopril
Simayla lisinopril
Simayla lisinopril
Retace
Retace
Retace
Simayla ramipril
Pharmapress
Accumax
Accumax
Austell-lisinopril
Mavik
Quinagen
Quinagen
Quinagen
Quinagen
Vectoryl
Cipla-perindopril
Cipla-perindopril
STRENGTH/
PACK SIZE
5mg
10mg
20mg
10mg
20mg
10mg
1,25mg
2,5mg
5mg
10mg
10mg
5mg
2,5mg
10mg
5mg
10mg
20mg
1,25mg
2,5mg
5mg
10mg
5mg
10mg
20mg
20mg
4mg
5mg
10mg
20mg
40mg
4mg
4mg
8mg
DOSAGE
FORM
CAP
CAP
TAB
TAB
TAB
TAB
CAP
CAP
CAP
CAP
TAB
CAP
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
TAB
TAB
TAB
CAP
FCT
FCT
FCT
FCT
TAB
TAB
TAB
GENERIC NAME
perindopril
perindopril
ramipril
ramipril
ramipril
quinapril
quinapril
captopril
captopril
lisinopril
perindopril
perindopril
enalapril
enalapril
perindopril
perindopril
perindopril
lisinopril
lisinopril
lisinopril
perindopril
perindopril
perindopril
perindopril
lisinopril
ramipril
ramipril
ramipril
perindopril
perindopril
perindopril
lisinopril
lisinopril
NAPPI
CODE
710611
710925
711159
711161
711162
711171
711172
712353
712361
712598
712615
712616
712762
712763
714527
714528
714646
714677
714678
714679
714869
715649
715786
715795
715938
715954
715955
715957
716505
716506
716680
716792
716794
PRODUCT NAME
Ran-perindopril
Vectoryl
Arrow ramipril
Arrow ramipril
Arrow ramipril
Quinace
Quinace
Capoten
Capoten
Austell-lisinopril
Spec-perindopril
Spec-perindopril
Envas
Envas
Pearinda
Pearinda
Prexum
Lizro (auro-lisinopril)
Lizro (auro-lisinopril)
Lizro (auro-lisinopril)
Acti-prex
Acesyl
Ciplasyl 4
Ciplasyl 8
Apex-lisinopril
Apex-ramipril
Apex-ramipril
Apex-ramipril
Auro perindopril
Auro perindopril
Zydus perindopril
Lysin
Lysin
STRENGTH/
PACK SIZE
4mg
8mg
2,5mg
5mg
10mg
10mg
20mg
25mg
50mg
10mg
4mg
8mg
5mg
10mg
4mg
8mg
10mg
5mg
10mg
20mg
4mg
4mg
4mg
8mg
20mg
2,5mg
5mg
10mg
4mg
8mg
4mg
5mg
20mg
DOSAGE
FORM
TAB
TAB
CAP
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
CAP
CAP
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
perindopril
perindopril
perindopril
perindopril
enalapril
enalapril
enalapril
lisinopril
lisinopril
lisinopril
ramipril
quinapril
quinapril
quinapril
perindopril
fosinopril
cilazapril
cilazapril
benazepril
captopril
trandolapril
trandolapril
enalapril
captopril
captopril
captopril
captopril
captopril
captopril
captopril
ramipril
ramipril
ramipril
NAPPI
CODE
717293
717294
717783
717784
759759
759767
759783
781681
781703
781711
782602
783293
783307
783315
785121
791962
792748
792756
794058
795267
805033
805068
810355
836451
836478
837628
837636
837644
839779
839787
841579
841587
841595
PRODUCT NAME
Bindace
Bindace
Perindopril unicorn
Perindopril unicorn
Renitec
Renitec
Renitec
Zestril
Zestril
Zestril
Tritace
Accupril
Accupril
Accupril
Coversyl
Monopril
Inhibace
Inhibace
Cibace
Capace
Mavik
Mavik
Renitec
Adco-captomax
Adco-captomax
Captohexal
Captohexal
Captohexal
Zapto
Zapto
Tritace
Tritace
Tritace
STRENGTH/
PACK SIZE
4mg
8mg
4mg
8mg
5mg
20mg
10mg
5mg
10mg
20mg
10mg
5mg
10mg
20mg
4mg
20mg
2,5mg
5mg
10mg
25mg
0,5mg
2mg
2,5mg
25mg
50mg
12,5mg
25mg
50mg
25mg
50mg
1,25mg
2,5mg
5mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
captopril
captopril
captopril
captopril
quinapril
lisinopril
lisinopril
lisinopril
enalapril
enalapril
enalapril
enalapril
enalapril
enalapril
enalapril
enalapril
enalapril
enalapril
enalapril
enalapril
moexipril
moexipril
enalapril
enalapril
enalapril
enalapril
enalapril
captopril
NAPPI
CODE
850896
850918
852333
852619
853186
862045
862053
862061
862622
867845
867853
867861
868914
868922
881473
881481
881503
886835
886843
886851
890222
890229
891272
891279
891280
894316
894324
899429
PRODUCT NAME
Sandoz captopril
Sandoz captopril
Bio-captopril
Mylan captopril
Accupril
Adco-zetomax
Adco-zetomax
Adco-zetomax
Hypace
Hr-enalapril
Hr-enalapril
Hr-enalapril
Pharmapress
Pharmapress
Alapren
Alapren
Alapren
Adco-enalapril
Enalapril unicorn
Enalapril unicorn
Perdix
Perdix
Enap
Enap
Enap
Ciplatec
Ciplatec
Mylan captopril
STRENGTH/
PACK SIZE
25mg
50mg
25mg
25mg
40mg
5mg
10mg
20mg
5mg
5mg
10mg
20mg
10mg
20mg
5mg
10mg
20mg
5mg
10mg
20mg
7,5mg
15mg
5mg
10mg
20mg
5mg
10mg
50mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
5/160MG
10/160MG
40/5MG
40/10MG
80/5MG
80/10MG
5/320MG
10/320MG
80/12.5MG
160/25MG
60012.5MG
320/12.5MG
320/25MG
150/12.5MG
300/12.5MG
40/12.5MG
80/12.5MG
50mg/12.5mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
Angiotensin II antagonists in combination with diuretics and/or calcium channel blockers
valsartan and amlodipine
valsartan and amlodipine
telmisartan and amlodipine
telmisartan and amlodipine
telmisartan and amlodipine
telmisartan and amlodipine
valsartan and amlodipine
valsartan and amlodipine
valsartan and diuretics
valsartan and diuretics
eprosartan and diuretics
valsartan and diuretics
valsartan and diuretics
irbesartan and diuretics
irbesartan and diuretics
telmisartan and diuretics
telmisartan and diuretics
losartan and diuretics
valsartan and diuretics
valsartan and diuretics
valsartan and diuretics
valsartan and diuretics
valsartan and diuretics
valsartan and diuretics
valsartan and diuretics
valsartan and diuretics
losartan and diuretics
losartan and diuretics
losartan and diuretics
losartan and diuretics
losartan and diuretics
711253
711254
717366
717367
717368
717369
719125
719126
705068
706051
708096
710048
710050
712386
712387
714251
714252
715064
715558
715559
715560
715570
715571
715572
715672
715673
715739
715740
715848
715849
715856
Exforge 5mg/160mg
Exforge 10mg/160mg
Twynsta 40mg/5mg
Twynsta 40mg/10mg
Twynsta 80mg/5mg
Twynsta 80mg/10mg
Exforge
Exforge
Co-tareg 80mg/12.5mg
Co-diovan 160mg plus
Teveten plus 600mg/12.5mg
Co-diovan 320mg/12.5mg
Co-diovan 320mg/25mg
Co-irbewin 150mg/12.5mg
Co-irbewin 300mg/12.5mg
Co-pritor 40/12.5 mg
Co-pritor 80/12.5mg
Sartoc 50/12.5
Co-zomevek 80mg/12.5mg
Co-zomevek 160mg/12.5mg
Co-zomevek160mg/25mg
Co-migroben 80mg/12.5mg
Co-migroben 160mg/12.5mg
Co-migroben 160mg/25mg
Co-tareg 160mg/12.5mg
Co-tareg plus 160mg/25mg
Lozaan co 100/25
Lozaan co 50/12.5
Netrasol co 50/12.5mg
Netrasol co 100/25mg
Losaar plus 50mg/12.5mg
160/25MG
80/12.5MG
160/12.5MG
160/25MG
160/12.5mg
160/25MG
100/25MG
50/12.5MG
GENERIC NAME
losartan and diuretics
losartan and diuretics
losartan and diuretics
losartan and diuretics
losartan and diuretics
losartan and diuretics
losartan and diuretics
losartan and diuretics
losartan and diuretics
losartan and diuretics
telmisartan and diuretics
losartan and diuretics
losartan and diuretics
Candesartan and diuretics
Candesartan and diuretics
losartan and diuretics
losartan and diuretics
irbesartan and diuretics
irbesartan and diuretics
valsartan and diuretics
valsartan and diuretics
valsartan and diuretics
valsartan and diuretics
valsartan and diuretics
Candesartan and diuretics
Candesartan and diuretics
losartan and diuretics
valsartan and diuretics
losartan and diuretics
irbesartan and diuretics
valsartan and diuretics
telmisartan and diuretics
telmisartan and diuretics
NAPPI
CODE
715857
716058
716059
716216
716217
716274
716476
716515
716612
716613
716791
717070
717084
717580
717723
718367
718368
718571
718573
718607
718608
719204
719205
719206
719453
719506
828181
839884
887096
891353
891894
894614
894621
PRODUCT NAME
Losaar plus 100mg/25mg
Lohype plus 50mg/12.5mg
Lohype forte plus 100mg/25mg
Zartan co 50mg/12.5mg
Zartan co 100mg/25mg
Losacar co 50mg/12,5mg
Hytenza co 50mg/12.5mg
Sartoc 100mg/25mg
Ciplazar co 50mg/12.5mg
Ciplazar co 100mg/25mg
Co-micardis 80mg/25mg
Austell losartan co 50mg/12.5mg
Hytenza co 100mg/25mg
Atacand plus 32mg/12.5mg
Atacand plus 32mg/25mg
Losartan co unicorn 50mg/12.5mg
Losartan co unicorn 100mg/25mg
Isart co 150mg/12.5mg
Isart co 300mg/12.5mg
Diolo Co
Diolo Co
Dynaval Co
Dynaval Co
Dynaval Co
Candepres Plus
Mylacand Plus
Cozaar comp 50mg/12.5mg
Co-diovan 80mg/12.5mg
Fortzaar 100mg/25mg
Co-aprovel 150mg/12.5mg
Co-diovan 160mg/12.5mg
Co-micardis 40mg/12,5mg
Co-micardis 80mg/12,5mg
STRENGTH/
PACK SIZE
100/25MG
50/12.5MG
100/25MG
50/12.5MG
100/25MG
50/12.5MG
50/12.5MG
100/25MG
50/12.5MG
100/25MG
80/25MG
50/12.5MG
100/25MG
50/12.5MG
100/25MG
80/12.5MG
160/12.5MG
80/12.5MG
160/12.5MG
160/25MG
16/12.5MG
16/12.5MG
50mg;12,5mg
80/12.5MG
100/25MG
150mg;12,5mg
160/12.5MG
40mg;12,5mg
80mg;12,5mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
irbesartan and diuretics
Candesartan and diuretics
valsartan, amlodipine and hydrochlorothiazide
valsartan, amlodipine and hydrochlorothiazide
valsartan, amlodipine and hydrochlorothiazide
valsartan, amlodipine and hydrochlorothiazide
valsartan, amlodipine and hydrochlorothiazide
NAPPI
CODE
898597
898635
717631
717632
717633
717634
719127
PRODUCT NAME
Co-aprovel 300mg/12.5mg
Atacand plus 16mg/12.5mg
Co exforge 5mg/160mg/12.5mg
Co exforge 5mg/160mg/25mg
Co exforge 10mg/160mg/12.5mg
Co exforge 10mg/160mg/25mg
Co Exforge
STRENGTH/
PACK SIZE
300mg;12,5mg
16mg;12,5mg
5/160/12.5MG
5/160/25MG
10/160/12.5mg
10/160/25MG
10/320/25MG
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
80mg
160mg
600mg
160mg
80mg
40mg
50mg
50mg
50mg
100mg
50mg
50mg
100mg
320mg
100mg
32mg
300mg
150mg
100mg
50mg
40mg
80mg
80mg
160mg
TAB
TAB
TAB
TAB
TAB
FCT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
Angiotensin II antagonists plain
valsartan
valsartan
eprosartan
valsartan
valsartan
valsartan
losartan
losartan
losartan
losartan
losartan
losartan
losartan
valsartan
losartan
candesartan
irbesartan
irbesartan
losartan
losartan
telmisartan
telmisartan
valsartan
valsartan
700000
700710
701855
704696
705060
705488
709225
709788
709844
709845
709909
709924
709964
710051
710079
711287
712384
712385
713254
713255
714249
714250
715555
715556
Diovan
Diovan
Teveten
Tareg
Tareg
Diovan
Zartan
Lepitrin
Cipla-losartan
Cipla-losartan
Losartan-winthrop
Los-arb
Zartan
Diovan
Cozaar
Atacand
Irbewin
Irbewin
Spec-losartan
Spec-losartan
Pritor
Pritor
Zomevek
Zomevek
GENERIC NAME
valsartan
valsartan
losartan
losartan
losartan
losartan
losartan
losartan
valsartan
valsartan
losartan
losartan
losartan
losartan
losartan
irbesartan
irbesartan
valsartan
valsartan
losartan
losartan
irbesartan
irbesartan
irbesartan
irbesartan
irbesartan
irbesartan
candesartan
candesartan
valsartan
valsartan
valsartan
candesartan
NAPPI
CODE
715568
715569
715871
716494
716495
716643
716644
717024
717034
717035
717042
717068
717069
717295
717296
717793
717794
718363
718364
718365
718366
718506
718507
718667
718668
719162
719163
719209
719210
719849
719850
719851
720318
PRODUCT NAME
Migroben
Migroben
Renicard
Auro losartan
Auro losartan
Ciplazar
Ciplazar
Hytenza
Diolo
Diolo
Hytenza
Austell losartan
Austell losartan
Rasol
Rasol
Dynarb
Dynarb
Valsartan unicorn
Valsartan unicorn
Losartan unicorn
Losartan unicorn
Irtanel
Irtanel
Adco irbesartan
Adco irbesartan
Isart
Isart
Mylacand
Mylacand
Valant
Valant
Valant
Candagen
STRENGTH/
PACK SIZE
80mg
160mg
50mg
50mg
100mg
50mg
100mg
50mg
80mg
160mg
100mg
50mg
100mg
50mg
100mg
150mg
300mg
80mg
160mg
50mg
100mg
150mg
300mg
150mg
300mg
150MG
300MG
8MG
16MG
40MG
80MG
160MG
8MG
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
candesartan
losartan
irbesartan
irbesartan
irbesartan
candesartan
candesartan
telmisartan
telmisartan
NAPPI
CODE
720319
818739
837806
837814
837822
856096
856118
860387
860395
PRODUCT NAME
Candagen
Cozaar
Aprovel
Aprovel
Aprovel
Atacand
Atacand
Micardis
Micardis
STRENGTH/
PACK SIZE
16MG
50mg
75mg
150mg
300mg
8mg
16mg
40mg
80mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
BETA BLOCKING AGENTS
Alpha and beta blocking agents
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
carvedilol
labetalol
700168
704670
704671
704672
705439
705443
705445
705459
705749
705767
705770
710338
710339
710340
710958
710959
710960
716742
716743
716744
788856
833428
836354
897117
771627
Carloc
Carvetrend
Carvetrend
Carvetrend
Merck-carvedilol
Merck-carvedilol
Merck-carvedilol
Carloc
Carvedilol-hexal
Carvedilol-hexal
Carvedilol-hexal
Aspen carvedilol
Aspen carvedilol
Aspen carvedilol
Vediblok
Vediblok
Vediblok
Carvedilol unicorn
Carvedilol unicorn
Carvedilol unicorn
Dilatrend
Dilatrend
Dilatrend
Carloc
Trandate
12,5mg
6,25mg
12,5mg
25mg
6,25mg
12,5mg
25mg
6,25mg
6,25mg
25mg
12,5mg
6,25mg
12,5mg
25mg
6,25mg
12,5mg
25mg
6,25mg
12,5mg
25mg
25mg
6,25mg
12,5mg
25mg
100mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
400mg
100mg
200mg
400mg
100mg
50mg
25mg
100mg
50mg
50mg
100mg
50MG
100MG
100mg
50mg
50mg
100mg
50mg
100mg
50mg
100mg
25mg
50mg
100mg
50mg
100mg
100/25MG
50/12.5MG
100/25MG
50/12.5MG
100/25MG
TAB
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
FCT
FCT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
Beta blocking agents, single or in combination
acebutolol
acebutolol
acebutolol
acebutolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol
atenolol and other diuretics
atenolol and other diuretics
atenolol and other diuretics
atenolol and other diuretics
atenolol and other diuretics
705056
763020
763039
763047
704651
704653
705872
705873
705874
715625
715626
719656
719657
769576
769584
786187
786195
786578
786586
787892
787914
797693
806889
806897
826898
826901
769568
769592
786217
789607
789615
Butobloc
Sectral
Sectral
Sectral
B-block
B-block
Tenopress
Tenopress
Tenopress
Gulf atenolol
Gulf atenolol
Zetenol
Zetenol
Tenormin
Tenormin
Ten-bloka
Ten-bloka
Adco-atenolol
Adco-atenolol
Sandoz atenolol
Sandoz atenolol
Tenormin
Hexa-blok
Hexa-blok
Bio-atenolol
Bio-atenolol
Tenoretic 100mg/25mg
Tenoret 50 50mg/12.5mg
Tenchlor 100mg/25mg
Sandoz co-tenidone 50mg/12.5mg
Sandoz co-tenidone100mg/25mg
GENERIC NAME
atenolol and other diuretics
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
NAPPI
CODE
807591
703913
703914
704132
704133
704372
704373
704439
704440
704441
706178
706179
707391
707393
715274
715276
716166
716167
719154
719155
720043
720044
818429
818437
717986
717987
717988
718082
718086
718087
719200
719201
719202
PRODUCT NAME
Tenchlor hs 50mg/12.5mg
Adco-bisocor
Adco-bisocor
Bisohexal
Bisohexal
Bilocor
Bilocor
Cardicor
Cardicor
Cardicor
Betacor
Betacor
Bisoprolol hexal
Bisoprolol hexal
Ziapro
Ziapro
Bisoprolol unicorn
Bisoprolol unicorn
Bislo
Bislo
Bisoprolol Zydus
Bisoprolol Zydus
Concor
Concor
Zirinak co 2.5mg/6.25mg
Zirinak co 5mg/6.25mg
Zirinak co 10mg/6.25mg
Bisoprolol hydrochlorothiazide zydus 2.5
Bisoprolol hydrochlorothiazide zydus 5mg
Bisoprolol hydrochlorothiazide zydus 10m
Bilocor Co
Bilocor Co
Bilocor Co
STRENGTH/
PACK SIZE
50/12.5MG
5mg
10mg
5mg
10mg
5mg
10mg
2,5mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
10mg
10mg
5mg
5MG
10MG
5MG
10MG
5mg
10mg
2.5/6.25MG
5/6.25MG
10/6.25MG
2.5/6.25MG
5/6.25MG
10/6.25MG
DOSAGE
FORM
TAB
TAB
TAB
FCT
FCT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
bisoprolol and thiazides
metoprolol
nadolol
nadolol
nebivolol
nebivolol
propranolol
propranolol
propranolol
propranolol
propranolol
propranolol
propranolol
propranolol
propranolol
propranolol
propranolol
sotalol
sotalol
timolol, thiazides and other diuretics
NAPPI
CODE
720031
720032
720033
840300
840319
852929
739251
716189
716219
700558
716483
712612
732567
732575
732605
732648
758140
758167
787167
787175
806552
806560
827991
828009
780472
PRODUCT NAME
Ziabeta
Ziabeta
Ziabeta
Ziak 2.5mg/6.25mg
Ziak 5mg/6.25mg
Ziak 10mg/6.25mg
Lopresor
Corgard
Corgard-hs
Nebilet
Lovispes
Sandoz propranolol hcl
Inderal
Inderal
Inderal la
Inderal la
Purbloka
Purbloka
Prodorol
Prodorol
Indoblok
Indoblok
Sotahexal
Sotahexal
Servatrin
STRENGTH/
PACK SIZE
2.5/6.25MG
5/6.25MG
10/6.25MG
2,5mg/6,25mg
5mg;6,25mg
10mg;6,25mg
100mg
80mg
40mg
5mg
5mg
40mg
10mg
40mg
160mg
80mg
10mg
40mg
10mg
40mg
10mg
40mg
80mg
160mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRC
SRC
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
DIURETICS
Aldosterone antagonists and Thiazides plain or in combination
spironolactone
spironolactone
spironolactone
spironolactone
spironolactone
hydrochlorothiazide and potassium
hydrochlorothiazide
hydrochlorothiazide
hydrochlorothiazide
701793
701807
765910
769665
898937
774057
710437
880949
890470
Aldactone
Aldactone
Spiractin
Sandoz spironolactone
Spiractin
Urirex-k 50mg/300mg
Ridaq
Ridaq
Hexazide
25mg
100mg
25mg
25mg
100mg
50/300MG
12,5mg
25mg
25mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
0,5mg;573mg
1mg
50mg
40mg
20mg
40mg
40mg
40mg
20mg
40mg
500mg
40mg
80mg
40mg
50mg/5mL
40mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SYR
TAB
Sulfonamides plain or in combination
bumetanide and potassium
bumetanide
chlortalidone
furosemide
furosemide
furosemide
furosemide
furosemide
furosemide
furosemide
furosemide
furosemide
furosemide
furosemide
furosemide
furosemide
711160
711152
731919
705967
707421
707423
716048
731668
735930
735949
735957
758272
780839
821845
839515
857769
Burinex 'k' 0.5mg/573mg
Burinex
Hygroton
Diuresix
Austell-furosemide
Austell-furosemide
Dino-retic
Sandoz furosemide
Lasix
Lasix
Lasix
Puresis
Lasix
Furobe
Lasix oral
Mylan furosemide
GENERIC NAME
indapamide
indapamide
indapamide
indapamide
indapamide
indapamide
indapamide
indapamide
indapamide
indapamide
piretanide
piretanide
torasemide
torasemide
NAPPI
CODE
700820
703329
710313
716962
819417
822825
830836
831026
833045
891531
807796
807818
707189
707190
PRODUCT NAME
Catexan
Merck-indapamide
Cipla-indapamide
Dyna indapamide sr
Adco-dapamax
Hydro-less
Natrilix sr
Sandoz indapamide
Daptril
Lixamide
Arelix
Arelix
ToraHexal
ToraHexal
STRENGTH/
PACK SIZE
2,5mg
2,5mg
2,5mg
1,5mg
2,5mg
2,5mg
1,5mg
2,5mg
2,5mg
2,5mg
3mg
6mg
2,5mg
5mg
DOSAGE
FORM
TAB
TAB
TAB
SRT
TAB
TAB
SRT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
2,5mg
5mg
10mg
TAB
TAB
TAB
Torasemide
torasemide
torasemide
torasemide
820369 Unat
820377 Unat
820385 Unat
Low-ceiling diuretics and potassium-sparing agents
butizide and potassium-sparing agents
hydrochlorothiazide and potassium-sparing
hydrochlorothiazide and potassium-sparing
hydrochlorothiazide and potassium-sparing
hydrochlorothiazide and potassium-sparing
hydrochlorothiazide and potassium-sparing
hydrochlorothiazide and potassium-sparing
hydrochlorothiazide and potassium-sparing
hydrochlorothiazide and potassium-sparing
hydrochlorothiazide and potassium-sparing
701815
702803
702811
702951
706531
721824
744379
780146
780618
808695
Aldazide 25mg/2.5mg
Amiloretic 50mg/5mg
Amiloretic hs 25mg/2.5mg
Sandoz co-amilozide/hydrochlorothiazide
Spec-co-amiloride
Dyazide 50mg/25mg
Moduretic 50mg/5mg
Renezide 50mg/25mg
Adco-retic 50mg/5mg
Betaretic 50mg/5mg
50mg;5mg
25mg;2,5mg
50mg;5mg
50mg;25mg
50mg;5mg
50mg;25mg
50mg;5mg
50mg;5mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
CALCIUM CHANNEL BLOCKERS
Benzothiazepine derivatives and Phenylalkylamine derivatives
diltiazem
diltiazem
diltiazem
diltiazem
diltiazem
diltiazem
verapamil
verapamil
verapamil
verapamil
verapamil
verapamil
verapamil
813125
813133
822213
824364
839183
839191
700071
734071
734373
774944
774952
813354
819573
Tilazem 180 cr
Tilazem 240 cr
Adco-zildem
Adco-zildem
Adco-zildem sr
Adco-zildem sr
Verahexal 240 sr
Isoptin
Isoptin sr
Vasomil
Vasomil
Calcicard sr
Ravamil sr
180mg
240mg
60mg
90mg
180mg
240mg
240mg
40mg
240mg
40mg
80mg
240mg
240mg
SRC
SRC
TAB
TAB
SRC
SRC
SRT
TAB
SRT
TAB
TAB
SRT
SRT
5mg
10mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
Dihydropyridine derivatives
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
703916
703917
704620
704621
707277
707278
707375
707377
707979
707980
708039
Amloc
Amloc
Amlosyn
Amlosyn
Amlate
Amlate
Sandoz amlodipine
Sandoz amlodipine
Pendine
Pendine
Calbloc
GENERIC NAME
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
amlodipine
felodipine
felodipine
NAPPI
CODE
708040
708050
708051
708094
708095
708141
708142
708150
708152
708162
708190
708191
708352
708353
708648
710236
710238
711372
711374
712215
712216
712953
712954
713490
713491
713971
713972
714310
714311
791245
799122
703221
703902
PRODUCT NAME
Calbloc
Amlodac
Amlodac
Austell-amlodipine
Austell-amlodipine
Almadin
Almadin
Ciplavasc
Ciplavasc
Klodip
Norcard
Norcard
Lomanor
Lomanor
Indo amlodipine
Pharma dynamics amlodipine besylate
Pharma dynamics amlodipine besylate
Amlodipine-winthrop
Amlodipine-winthrop
Keysal
Keysal
Gulf amlodipine
Gulf amlodipine
Stamlo
Stamlo
Amtas
Amtas
Aprate
Aprate
Norvasc
Norvasc
Felodipine-hexal
Felodipine-hexal
STRENGTH/
PACK SIZE
10mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
5mg
10mg
5mg
10mg
5mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
10mg
5mg
10mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRT
SRT
GENERIC NAME
felodipine
felodipine
felodipine
isradipine
isradipine
lercanidipine
lercanidipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nifedipine
nimodipine
NAPPI
CODE
805548
813982
821896
782963
788325
704035
708037
700894
701017
711607
711682
711714
715000
715001
715002
715003
718083
718085
719449
719450
780499
780502
783889
793124
793132
796891
818658
826863
829501
840963
861545
864153
793353
PRODUCT NAME
Plendil
Plendil
Plendil
Dynacirc
Dynacirc sro
Zanidip
Zanidip
Adalat
Adalat
Adalat xl
Fedaloc sr
Fedaloc sr
Macorel sr
Macorel sr
Spec nifedipine sr
Spec nifedipine sr
Bio nifedipine xl
Bio nifedipine xl
Gitsalat
Gitsalat
Cardifen
Cardifen
Adalat retard
Adalat xl
Adalat xl
Adalat retard
Nifedalat
Bio-nifedipine
Nifedalat 20sr
Adco-vascard 20 sr
Adco-vascard 30 sr
Cipalat retard
Nimotop
STRENGTH/
PACK SIZE
5mg
10mg
2,5mg
2,5mg
5mg
10mg
20mg
10mg
5mg
20mg
30mg
60mg
30mg
60mg
30mg
60mg
30mg
60mg
30MG
60MG
5mg
10mg
20mg
30mg
60mg
10mg
10mg
5mg
20mg
20mg
30mg
20mg
30mg
DOSAGE
FORM
SRT
SRT
SRT
TAB
SRC
TAB
TAB
CAP
CAP
SRT
SRT
SRT
SRT
SRT
SRT
SRT
SRT
SRT
SRT
SRT
CAP
CAP
SRT
SRT
SRT
SRT
CAP
CAP
SRT
SRC
SRC
SRT
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
OTHER ANTIHYPERTENSIVES
doxazosin
doxazosin
doxazosin
doxazosin
doxazosin
doxazosin
doxazosin
doxazosin
prazosin
prazosin
prazosin
hydralazine
hydralazine
hydralazine
hydralazine
moxonidine
moxonidine
moxonidine
moxonidine
moxonidine
moxonidine
moxonidine
moxonidine
methyldopa (levorotatory)
methyldopa (levorotatory)
methyldopa (levorotatory)
methyldopa (levorotatory)
minoxidil
minoxidil
701425
701426
701626
701628
701631
714292
869856
869864
782122
782130
782149
731714
731722
761400
761419
710744
710745
710746
712382
712383
851892
851906
851914
732052
732079
764116
785962
739235
739243
Cardugen
Cardugen
Adco-doxazosin
Adco-doxazosin
Adco-doxazosin
Carzin xl
Cardura xl
Cardura xl
Pratsiol
Pratsiol
Pratsiol
Hyperphen
Hyperphen
Sandoz hydralazine
Sandoz hydralazine
Moxotens
Moxotens
Moxotens
Cynt
Cynt
Physiotens
Physiotens
Physiotens
Hypotone
Hypotone
Sandoz methyldopa
Mylan methyldopa
Loniten
Loniten
1mg
4mg
1mg
2mg
4mg
4mg
4mg
8mg
1mg
2mg
5mg
10mg
50mg
25mg
50mg
0,2mg
0,3mg
0,4mg
0,2mg
0,4mg
0,2mg
0,3mg
0,4mg
250mg
500mg
250mg
250mg
5mg
10mg
TAB
TAB
TAB
TAB
TAB
SRT
SRT
SRT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
CARDIAC THERAPY
Antiarrhythmics
amiodarone
amiodarone
amiodarone
amiodarone
amiodarone
amiodarone
amiodarone
disopyramide
disopyramide
flecainide
flecainide
flecainide
propafenone
propafenone
quinidine
703513
703515
707851
716111
800554
863157
863165
761826
761842
717802
717803
813915
784869
784877
758868
Arycor
Arycor
Bio-amiodarone
Cordarone x
Cordarone x
Hexarone
Hexarone
Rythmodan
Rythmodan retard
Tambocor cr
Tambocor cr
Tambocor
Rythmol
Rythmol
Quinidine sulph
200mg
100mg
200mg
200mg
100mg
100mg
200mg
100mg
250mg
100mg
200mg
100mg
150mg
300mg
200mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
CAP
CAP
TAB
TAB
TAB
TAB
0,05mg/1mL
0,25mg
0,0625mg
0,25mg
0,5mg
0,4mg
1,25mg/0,1mL
10mg
30mg
5mg
SYR
TAB
TAB
TAB
TAB
OSP
SPR
TAB
TAB
SLT
Digitalis glycosides and Organic nitrates
digoxin
digoxin
digoxin
digoxin
glyceryl trinitrate
glyceryl trinitrate
isosorbide dinitrate
isosorbide dinitrate
isosorbide dinitrate
isosorbide dinitrate
735744
735752
735760
758280
703605
787256
701500
734381
734403
734411
Lanoxin paed
Lanoxin
Lanoxin
Purgoxin
Angised
Nitrolingual spray 200 dose
Dinospray 200dose 20ml
Isordil
Isordil
Isordil sublingual
GENERIC NAME
isosorbide dinitrate
isosorbide dinitrate
isosorbide dinitrate
isosorbide dinitrate
isosorbide mononitrate
isosorbide mononitrate
isosorbide mononitrate
isosorbide mononitrate
isosorbide mononitrate
NAPPI
CODE
734438
784192
784206
784214
710251
734055
793418
821500
860115
PRODUCT NAME
Isordil tembid
Sandoz isosorbide dinitrate
Sandoz isosorbide dinitrate
Sandoz isosorbide dinitrate
Monicor sr
Ismo
Elantan
Imdur
Elantan la
STRENGTH/
PACK SIZE
40mg
5mg
10mg
30mg
60mg
20mg
20mg
60mg
50mg
DOSAGE
FORM
TAB
SLT
TAB
TAB
SRT
TAB
TAB
SRT
SRC
Other
combinations
epinephrine
701513 Akrinor
797642 Epipen
1mg/1mL
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
TAB
INJ
ANTIBACTERIALS FOR SYSTEMIC USE
Amphenicols
chloramphenicol
chloramphenicol
chloramphenicol
714135 Chlorcol
714151 Chlorcol
814385 Chlorphen
250mg
125mg/5mL
250mg
CAP
SUS
CAP
500mg
250mg
500mg
250mg
250mg
250mg
125mg/5mL
250mg
125mg/5mL
CAP
CAP
CAP
CAP
CAP
CAP
SUS
TAB
SUS
Beta-lactamase resistant penicillins
cloxacillin
cloxacillin
cloxacillin
flucloxacillin
flucloxacillin
flucloxacillin
phenoxymethylpenicillin
phenoxymethylpenicillin
phenoxymethylpenicillin
714763
809632
809640
710308
726605
781231
716611
736635
751111
Sandoz cloxacillin
Cloxin
Cloxin
Flupen
Floxapen
Sandoz flucloxacillin
Athlone Phenoxymethylpenicillin
Len vk
Betapen
GENERIC NAME
phenoxymethylpenicillin
NAPPI
CODE
780081 Betapen
PRODUCT NAME
STRENGTH/
PACK SIZE
250mg
DOSAGE
FORM
TAB
625mg
1000mg
1000mg
1062.5MG
1000mg
625mg
1000mg
457mg/5mL
228,5mg/5mL
1000mg
457mg/5mL
375mg
457mg/5mL
375mg
625mg
156,25mg/5mL
312,5mg/5mL
375mg
625mg
375mg
625mg
312,5mg/5mL
1000mg
1000mg
1000mg
642,9mg/5mL
156,25mg/5mL
312,5mg/5mL
375mg
625mg
TAB
TAB
TAB
SRT
TAB
TAB
TAB
SUS
SUS
TAB
SUS
TAB
SUS
TAB
TAB
SUS
SUS
TAB
TAB
TAB
TAB
SUS
TAB
TAB
TAB
SUS
SUS
SUS
TAB
TAB
Combinations of penicillins including beta-lactamase inhibitors
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
701736
703229
703356
703449
703903
704047
704049
704068
704069
704484
705471
705691
705832
707184
707185
707186
707187
707407
707408
707663
707665
707666
708387
708893
709232
710041
713358
713360
713381
713382
Sandoz co-amoxiclav
Adco-amoclav bd film-coated tablets
Sandoz co-amoxyclav
Augmentin sr
Forcid solutab
Curam
Curam
Augmentin bd sf
Augmentin bd s
Amoclan bid
Sandoz co-amoxyclav bd sf
Augmentin
Curam bd
Amoclan
Amoclan forte
Amoclan S
Amoclan SF
Austell-co-amoxiclav
Austell-co-amoxiclav
Apex-clavutin
Apex-clavutin
Apex-clavutin sf
Bio-amoksiklav
Ranclav
Clamentin
Augmentin es-600
Auro-amoxiclav
Auro-amoxiclav
Auro-amoxiclav
Auro-amoxiclav
GENERIC NAME
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
NAPPI
CODE
713383
714704
716124
716125
716126
719283
719284
829269
829277
842516
842524
842532
853542
861936
861944
861952
861960
865524
865532
865540
865559
867373
867381
873489
873497
873500
878766
878774
878782
893218
893224
894123
894125
PRODUCT NAME
Auro-amoxiclav
Betaclav
Bindoclav
Bindoclav
Bindoclav
Sandoz Co-Amoxyclav
Sandoz Co-Amoxyclav
Augmentin s
Augmentin sf
Clamentin
Clamentin s
Clamentin sf
Augmentin
Augmaxcil
Augmaxcil
Augmaxcil s
Augmaxcil sf
Bio-amoksiklav
Bio-amoksiklav
Bio-amoksiklav s
Bio-amoksiklav sf
Ranclav
Ranclav
Clavumox
Clavumox s
Clavumox sf
Sandoz co-amoxyclav
Sandoz co-amoxyclav s
Sandoz co-amoclav sf
Adco-amoclav
Adco-amoclav
Ranclav
Ranclav forte
STRENGTH/
PACK SIZE
1000mg
1000mg
375mg
625mg
1000mg
625MG
1000MG
156,25mg/5mL
312,5mg/5mL
375mg
156,25mg/5mL
312,5mg/5mL
1000mg
375mg
625mg
156,25mg/5mL
312,5mg/5mL
625mg
375mg
156,25mg/5mL
312,5mg/5mL
375mg
625mg
375mg
156,25mg/5mL
312,5mg/5mL
375mg
156,25mg/5mL
312,5mg/5mL
375mg
625mg
156,25mg/5mL
312,5mg/5mL
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
DSP
DSP
SUS
SUS
TAB
SUS
SUS
TAB
TAB
TAB
SUS
SUS
TAB
TAB
SUS
SUS
TAB
TAB
TAB
SUS
SUS
TAB
SUS
SUS
TAB
TAB
SUS
SUS
GENERIC NAME
amoxicillin and enzyme inhibitor
amoxicillin and enzyme inhibitor
combinations of penicillins
combinations of penicillins
combinations of penicillins
NAPPI
CODE
899097
899100
795348
797561
830208
PRODUCT NAME
Adco-amoclav s
Adco-amoclav forte
Megapen
Macropen
Macropen s
STRENGTH/
PACK SIZE
156,25mg/5mL
312,5mg/5mL
500mg
500mg
250mg/5mL
DOSAGE
FORM
SUS
SUS
CAP
CAP
SUS
125mg/5mL
250mg/5mL
250mg
500mg
250mg
250mg
500mg
500mg
250mg
500mg
250mg
250mg
250mg/5mL
125mg/5mL
500mg
250mg
250mg
500mg
125mg/5mL
250mg/5mL
125mg/5mL
250mg/5mL
500mg
250mg
250mg
500mg
SUS
SUS
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
SUS
SUS
CAP
CAP
CAP
CAP
SUS
SUS
SUS
SUS
CAP
CAP
CAP
CAP
Penicillins with extended spectrum
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
701380
701383
703028
703036
704401
704443
704444
705637
705679
705709
706950
707499
708395
708396
708397
708398
713363
713364
714179
714180
714182
714183
714184
714185
716122
716123
Ranmoxy
Ranmoxy
Amoxil
Amoxil
Amoxicap
Allmox
Allmox
Austell-amoxicillin
Mymox
Mymox
Amocas
Austell-amoxicillin
Zaloxy
Zaloxy
Zaloxy
Zaloxy
Auro-amoxycillin
Auro-amoxycillin
Allmox s
Allmox sf
Amyn s
Amyn sf
Amyn
Amyn
Yomax
Yomax
GENERIC NAME
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
amoxicillin
NAPPI
CODE
744689
744697
784656
784664
785229
786772
788155
788546
806579
806587
808539
808547
808741
808768
811440
815268
824860
824879
829099
829102
829145
829153
829358
829366
830259
830275
830283
830291
830305
830488
830496
830534
830542
PRODUCT NAME
Moxypen
Moxypen
Amocillin
Amocillin
Adco-amoxycillin
Moxan
Betamox
Betamox
Moxymax
Moxymax
Zoxil 250
Zoxil 500
Promoxil
Promoxil
Adco-amoxycillin
Ipcamox
Ranmoxy
Ranmoxy
Adco-amoxycillin
Adco-amoxycillin
Amoxil s
Amoxil sf
Betamox s
Betamox sf
Moxan s
Moxymax s
Moxymax sf
Moxypen s
Moxypen sf
Promoxil s
Promoxil sf
Saltermox s
Saltermox sf
STRENGTH/
PACK SIZE
250mg
500mg
250mg
500mg
250mg
500mg
250mg
500mg
250MG
500mg
250mg
500mg
250mg
500mg
500mg
250mg
250mg
500mg
125mg/5mL
250mg/5mL
125mg/5mL
250mg/5mL
125mg/5mL
250mg/5mL
125mg/5mL
125mg/5mL
250mg/5mL
125mg/5mL
250mg/5mL
125mg/5mL
250mg/5mL
125mg/5mL
250mg/5mL
DOSAGE
FORM
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
GENERIC NAME
amoxicillin
amoxicillin
amoxicillin
ampicillin
ampicillin
ampicillin
ampicillin, combinations
ampicillin, combinations
ampicillin, combinations
NAPPI
CODE
830739
830747
835021
783188
784583
829307
797553
809616
829250
PRODUCT NAME
Zoxil s
Zoxil sf
Amoxil d
Be-ampicil
Ampipen
Be-ampicil
Apen
Cloxam
Apen s
STRENGTH/
PACK SIZE
125mg/5mL
250mg/5mL
125mg
250mg
250mg
125mg/5mL
500mg
500mg
250mg
DOSAGE
FORM
SUS
SUS
DRP
CAP
CAP
SUS
CAP
CAP
SUS
480MG
240MG/5ML/50ML
TAB
SUS
TAB
SUS
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SUS
TAB
TAB
SUS
TAB
TAB
TAB
SUS
TAB
Combinations of sulfonamides and trimethoprim including derivatives
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
701754
703865
704095
705259
706434
706442
706948
715609
716731
719286
721751
721778
735698
758221
758248
758256
779881
780464
782793
789836
793310
793698
Pharma-q co-trimoxazole
Casicot suspension
Ilvitrim
Ilvitrim
Bactrim adult
Bactrim ds
Casicot
Trixazole
Cozole
Durobac DS
Durobac
Durobac DS
Lagatrim
Purbac
Purbac adult
Purbac ds
Co-trim
Adco-co-trimoxazole
Sandoz co-trimoxazole 800mg/160mg
Trimethox
Cozole
Xeroprim
50ML
480mg
960MG
480mg
480MG
960MG
480MG
960MG
480mg
240MG/5ML/50ML
480MG
960mg
240MG/5ML/100ML
480MG
960MG
240MG/5ML/100ML
GENERIC NAME
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
sulfamethoxazole and trimethoprim
NAPPI
CODE
795070
816337
867977
894842
PRODUCT NAME
Bencole (cotrivan)
Xerazole
Nucotrim
Doctrim
STRENGTH/
PACK SIZE
240MG/5ML/500ML
480MG
240MG/5ML/50ML
DOSAGE
FORM
SUS
SUS
TAB
SUS
500mg
250mg
250mg/5mL
500mg/5mL
250mg
500mg
500mg
1000mg
250mg
500mg
400mg
125mg/5mL
250mg/5mL
250mg
500mg
125mg/5mL
250mg
500mg
CAP
DSP
SUS
SUS
TAB
CAP
TAB
TAB
CAP
CAP
CAP
SUS
SUS
CAP
CAP
SUS
CAP
CAP
187mg/5mL
375mg/5mL
375mg
250mg
500mg
250MG
500MG
SUS
SUS
SRT
TAB
TAB
TAB
TAB
First-generation cephalosporins
cefadroxil
cefadroxil
cefadroxil
cefadroxil
cefalexin
cefalexin
cefalexin
cefalexin
cefalexin
cefalexin
cefalexin
cefalexin
cefalexin
cefalexin
cefalexin
cefalexin
cefradine
cefradine
821519
822639
829781
829803
706326
706327
714312
714314
830909
837253
841641
860603
860611
897880
897887
897892
712957
712965
Dacef
Cipadur dt
Dacef
Dacef
Belex
Belex
Auro-cefalexin
Auro-cefalexin
Ranceph
Ranceph
Sepexin
Ranceph
Ranceph
Cpl alliance cephalexin
Cpl alliance cephalexin
Cpl alliance cephalexin
Cefril
Cefril
Second-generation cephalosporins
cefaclor
cefaclor
cefaclor
cefprozil
cefprozil
cefprozil
cefprozil
830658
830666
838217
715059
715075
720375
720376
Vercef
Vercef
Vercef mr
Auroprozil
Auroprozil
Lizorp
Lizorp
GENERIC NAME
cefprozil
cefprozil
cefprozil
cefprozil
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
cefuroxime
NAPPI
CODE
824941
830518
830526
841625
700687
700689
703695
703697
703866
703867
703868
704982
704983
704988
704990
707371
707372
710077
710530
710531
713006
713007
713531
713532
715142
715261
717801
717990
717992
718658
718659
781320
781339
PRODUCT NAME
Prozef
Prozef
Prozef
Prozef
Ceroxim
Ceroxim
Zefroxe
Zefroxe
Sandoz cefuroxime
Sandoz cefuroxime
Sandoz cefuroxime
Cefasyn
Cefasyn
Cefu-hexal
Cefu-hexal
Curoax
Curoax
Sandoz cefuroxime
Betaroxime t
Betaroxime t
Zefurime
Zefurime
Auroxime
Auroxime
Zinoxime
Zinoxime
Alkoxime
Orchid cefuroxime
Orchid cefuroxime
Poxim
Poxim
Zinnat
Zinnat
STRENGTH/
PACK SIZE
500mg
125mg/5mL
250mg/5mL
250mg
500mg
250mg
500mg
250mg
125mg
250mg
500mg
250mg
500mg
250mg
500mg
250mg
500mg
125mg/5mL
250mg
500mg
250mg
500mg
250mg
500mg
250mg
500mg
500mg
250mg
500mg
250mg
500mg
125mg
250mg
DOSAGE
FORM
TAB
SUS
SUS
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
FCT
FCT
TAB
TAB
SUS
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
cefuroxime
cefuroxime
loracarbef
loracarbef
loracarbef
NAPPI
CODE
781347
814091
812951
830186
830194
PRODUCT NAME
Zinnat
Zinnat
Lorabid
Lorabid 100p
Lorabid 200p
STRENGTH/
PACK SIZE
500mg
125mg/5mL
200mg
100mg/5mL
200mg/5mL
DOSAGE
FORM
TAB
SUS
CAP
SUS
SUS
400mg
100mg
200mg
40mg/5mL
40mg/5mL
100mg
100mg
40mg/5mL
200mg
100mg
40mg/5mL
100mg
200mg
40MG/5ML/50ML
100mg
40mg/5mL
TAB
TAB
TAB
SUS
SUS
TAB
TAB
SUS
TAB
TAB
SUS
TAB
TAB
SUS
TAB
SUS
250mg
500mg
250mg
500mg
250mg
500mg
750mg
250mg
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
Third-generation cephalosporins
cefixime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
cefpodoxime
715656
703056
703057
703058
707301
707302
710125
710126
714125
716657
716658
718333
718334
719702
789224
805165
Fixime
Cepodem
Cepodem
Cepodem
Simayla cefpodoxime
Simayla cefpodoxime
Sandoz cefpodoxime
Sandoz cefpodoxime
Orelox
Dyna cefpodoxime
Dyna cefpodoxime
Aspen cefpodoxime
Aspen cefpodoxime
Aspen Cefpodoxime
Orelox
Orelox junior
Fluoroquinolones
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
700284
700287
700516
700518
701208
701210
701212
701778
Cpl alliance ciprofloxacin
Cpl alliance ciprofloxacin
Dynafloc
Dynafloc
Orpic
Orpic
Orpic
Cipro-hexal
GENERIC NAME
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
ciprofloxacin
NAPPI
CODE
701780
702377
702379
702981
703043
703045
704351
704352
704353
704459
704460
704775
704777
705589
707886
707887
708014
708015
713361
713362
713792
713793
713794
716518
716519
719659
719660
784354
784362
786403
829498
892140
892147
PRODUCT NAME
Cipro-hexal
Ciploxx 250
Ciploxx 500
Ciprobay XR
Ciprogen
Ciprogen
Austell ciprofloxacin
Austell ciprofloxacin
Austell ciprofloxacin
Biocip
Biocip
Ciprol
Ciprol
Ciprobay XR
Cilofloc
Cilofloc
Simayla ciprofloxacin
Simayla ciprofloxacin
Loxip
Loxip
Biotech ciprofloxacin
Biotech ciprofloxacin
Biotech ciprofloxacin
Ciprofloxacin actor
Ciprofloxacin actor
Profloxin
Profloxin
Ciprobay
Ciprobay
Ciprobay
Ciprobay
Cifran 250
Cifran 500
STRENGTH/
PACK SIZE
500mg
250mg
500mg
500mg
250mg
500mg
500mg
750mg
250mg
250mg
500mg
500mg
250mg
1000mg
250mg
500mg
500mg
250mg
250mg
500mg
250mg
500mg
750mg
250mg
500mg
250MG
500MG
250mg
750mg
500mg
250mg/5mL
250mg
500mg
DOSAGE
FORM
TAB
TAB
TAB
SRT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SUS
TAB
TAB
GENERIC NAME
ciprofloxacin
ciprofloxacin
ciprofloxacin
enoxacin
gemifloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
levofloxacin
moxifloxacin
moxifloxacin
moxifloxacin
moxifloxacin
moxifloxacin
moxifloxacin
moxifloxacin
NAPPI
CODE
893951
893955
893963
808970
704131
707946
707947
709846
709847
710311
710312
713785
713786
716513
716514
716673
716674
717066
717067
717359
718708
718709
719775
720239
845876
845884
714067
714083
714104
714361
715146
715250
881988
PRODUCT NAME
Cifloc
Cifloc
Cifloc
Bactidron
Factive
Sandoz levofloxacin
Sandoz levofloxacin
Tavaloxx
Tavaloxx
Levofloxacin-winthrop
Levofloxacin-winthrop
Aspen levofloxacin
Aspen levofloxacin
Mylan levofloxacin
Mylan levofloxacin
Lintrip
Lintrip
Austell levofloxacin
Austell levofloxacin
Tavaloxx
Zybact
Zybact
Levofloxacin Winthrop
Tavanic
Tavanic
Tavanic
Avebact
Ran-moxifloxacin
Drl moxifloxacin
Litares
Moxibay
Numoxx
Avelon
STRENGTH/
PACK SIZE
250mg
500mg
750mg
200mg
320mg
250mg
500mg
500mg
750mg
250mg
500mg
500mg
250mg
500mg
250mg
250mg
500mg
250mg
500mg
250mg
250MG
500MG
750MG
750MG
250mg
500mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
norfloxacin
norfloxacin
norfloxacin
norfloxacin
ofloxacin
ofloxacin
ofloxacin
ofloxacin
ofloxacin
ofloxacin
ofloxacin
NAPPI
CODE
702524
716516
717382
836338
700731
700733
701032
701034
717063
717064
783358
PRODUCT NAME
Floxin
Norfloxacin actor
Utifloxa
Utin-400
Tafloc
Tafloc
Zanocin
Zanocin
Apex-ofloxacin
Apex-ofloxacin
Tarivid
STRENGTH/
PACK SIZE
400mg
400mg
400mg
400mg
200mg
400mg
400mg
200mg
200mg
400mg
200mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
100mg
100mg
50mg
50mg
100mg
100mg
200mg
100mg
100mg
100mg
100mg
300mg
150mg
50mg
100mg
50mg
250mg
250mg
250mg
250mg
CAP
CAP
CAP
CAP
CAP
CAP
CAP
TAB
TAB
TAB
CAP
CAP
CAP
CAP
CAP
TAB
CAP
CAP
CAP
CAP
Tetracyclines
doxycycline
doxycycline
doxycycline
doxycycline
doxycycline
doxycycline
doxycycline
doxycycline
doxycycline
doxycycline
doxycycline
lymecycline
lymecycline
minocycline
minocycline
minocycline
oxytetracycline
oxytetracycline
oxytetracycline
oxytetracycline
714192
716944
798401
808407
809667
812692
825727
838691
868248
883992
893402
770159
770248
788287
788295
823155
703224
751987
752045
761532
Doxytet
Cyclidox
Dumoxin
Doxycyl
Doxycyl
Cyclidox ec
Cyclidox ec
Doxitab
Doxyhexal 100
Doximal
A-lennon doxycycline hcl
Tetralysal
Tetralysal
Cyclimycin
Cyclimycin
Minotabs 50
Pharmatet (yellow/orange)
Oxypan
O-4 cycline
Adco-roxy
GENERIC NAME
oxytetracycline
oxytetracycline
oxytetracycline
oxytetracycline
NAPPI
CODE
787434
812072
884167
895029
PRODUCT NAME
Be-oxytet
Tetracem
Nucotet
Oxy
STRENGTH/
PACK SIZE
250mg
250mg
250mg
250mg
DOSAGE
FORM
CAP
CAP
CAP
CAP
500mg
500mg
500mg
500mg
500mg
2g
250mg
250mg
500mg
500mg
500mg
250mg
500MG
500MG
200mg/5mL
500mg
250mg
500mg
500mg
125mg/5mL
250mg/5mL
500mg
500mg
500mg
125MG/5ML/50ML
250mg/5mL
250mg
TAB
TAB
TAB
TAB
TAB
GRA
CAP
CAP
TAB
TAB
TAB
CAP
TAB
TAB
SUS
TAB
TAB
TAB
TAB
SUS
SUS
TAB
TAB
TAB
SUS
SUS
TAB
Macrolides
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
azithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
705100
705975
706370
707552
707852
710314
710609
712447
715934
717052
717181
717496
718711
719156
830720
832278
704032
704033
704464
704649
704650
704701
705031
705416
706758
706759
707255
Aspen azithromycin
Zithrogen
Ultreon
Binozyt
Sandoz azithromycin
Zithromax one
Azimax
Clamelle
Medpro azithromycin
Austell azithromycin
Zeemide
Varimax
Azithromycin Zydus
Cipla-Azithromycin
Zithromax
Zithromax
Clacee
Clacee
Klarithran
Klarithran
Klarithran
Clarithromycin-hexal
Clarihexal
Mylan clarithromycin
Clarihexal 125 P
Clarihexal 250 P
Klarizon
GENERIC NAME
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
clarithromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
erythromycin
NAPPI
CODE
707256
707318
707357
707358
707662
707761
716627
716628
717722
830046
830054
841552
707437
709334
710310
719683
724076
724114
724122
732346
732354
732362
758388
758396
758418
761613
765651
765678
780561
783277
786608
787086
787108
PRODUCT NAME
Klarizon
Simayla clarithromycin
Simayla clarithromycin
Simayla clarithromycin
Apex-clarithromycin
Klarithran MR
Claren granules
Claren granules
Clarihexal xl
Klacid p125
Klacid p250
Klacid xl
Betamycin
Merck-erithromycin
Eryko
Racemin
Erymycin af
Erythrocin
Erythrocin
Ilosone
Ilosone
Ilosone
Purmycin
Purmycin
Purmycin
Rubimycin
Spectrasone
Spectrasone
Adco-erythromycin
Spectrasone
Adco-erythromycin
Erymycin pf
Erymycin p
STRENGTH/
PACK SIZE
500mg
500mg
125mg/5mL
250mg/5mL
500mg
500mg
125mg/5mL
250mg/5mL
500mg
125mg/5mL
250mg/5mL
500mg
250mg
250mg
250mg
250MG
250mg
250mg
500mg
250mg
125mg/5mL
250mg/5mL
250mg
125mg/5mL
250mg/5mL
250mg
250mg
125mg/5mL
250mg
250mg/5mL
125mg/5mL
250mg/5mL
125mg/5mL
DOSAGE
FORM
TAB
TAB
SUS
SUS
TAB
SRT
SUS
SUS
SRT
SUS
SUS
SRT
TAB
TAB
TAB
TAB
CAP
TAB
TAB
CAP
SUS
SUS
CAP
SUS
SUS
TAB
CAP
SUS
CAP
SUS
SUS
SUS
SUS
GENERIC NAME
erythromycin
erythromycin
erythromycin
erythromycin
roxithromycin
roxithromycin
roxithromycin
roxithromycin
roxithromycin
NAPPI
CODE
793329
823570
824682
848409
704614
704782
705051
710074
899511
PRODUCT NAME
Betamycin
Xeramel s
Xeramel
Xeramel sf
Throsyn
Roxxibid
Roxulide
Roxithromycin-hexal
Roxithromycin-hexal
STRENGTH/
PACK SIZE
125mg/5mL
125mg/5mL
250mg
250mg/5mL
150mg
150mg
150mg
300mg
150mg
DOSAGE
FORM
SUS
SUS
CAP
SUS
TAB
TAB
TAB
TAB
TAB
25mg/5mL
50mg
100mg
3G/3G
200MG
500mg
250mg/5mL
150mg
150mg
SUS
CAP
CAP
SAC
CAP
TAB
SUS
CAP
CAP
150mg
200mg
150mg
200mg
150mg
200mg
150mg
200mg
200mg
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
Other
nitrofurantoin
nitrofurantoin
nitrofurantoin
fosfomycin
pipemidic acid
nalidixic acid
nalidixic acid
clindamycin
clindamycin
727601
739839
739847
814210
717770
745685
778672
717347
849960
Furadantin
Macrodantin
Macrodantin
Urizone 3g
Deblaston
Puromylon
Winlomylon
Dalacin c
Clindahexal
ANTIMYCOTICS FOR SYSTEMIC USE
Imidazole derivatives and Triazole derivatives
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
700149
700202
700598
700601
703624
703626
703635
703637
704116
Flucoric
Flucoric
Fluzol
Fluzol
Aspen fluconazole
Aspen fluconazole
Difluzole
Difluzole
Cipla-fluconazole
GENERIC NAME
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
fluconazole
itraconazole
itraconazole
itraconazole
itraconazole
ketoconazole
miconazole
NAPPI
CODE
704356
704357
705384
705385
707315
707316
707684
707685
711530
713556
713557
718565
720045
786373
820539
705371
708074
708721
786322
747335
711062
PRODUCT NAME
Austell fluconazole
Austell fluconazole
Mylan fluconazole
Mylan fluconazole
Simayla fluconazole
Simayla fluconazole
Apex-fluconazole
Apex-fluconazole
Mycorest
Gulf fluconazole
Gulf fluconazole
Fluconazole Unicorn
Zydus Fluconazole
Diflucan
Diflucan
Adco-sporozole
Mylan itraconazole
Trisporal
Sporanox
Nizoral
Micmat
STRENGTH/
PACK SIZE
200mg
150mg
150mg
200mg
150mg
200mg
150mg
200mg
150mg
150mg
200mg
150MG
200MG
150mg
200mg
100mg
100mg
100mg
100mg
200mg
10mg
DOSAGE
FORM
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
TAB
TAB
400mg
400mg
400mg
200mg
400mg
400mg
500mg
200mg/5mL
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SUS
ANTIPROTOZOALS
Nitroimidazole derivatives
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
tinidazole
metronidazole
701076
702148
703397
707241
707242
715866
725617
726338
Adco-metronidazole
Amzole
Anaerobyl
Bio-metronidazole
Bio-metronidazole
Anaerobyl
Fasigyn
Flagyl
GENERIC NAME
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
metronidazole
NAPPI
CODE
726346
726354
742872
745863
772216
772224
779822
783544
784710
788708
792136
792284
792292
793159
793167
821705
PRODUCT NAME
Flagyl
Flagyl
Adco-metronidazole
Narobic
Trichazole
Trichazole
Metrazole
Metrostat
Medamet
Bemetrazole
Suprazole
Acuzole
Acuzole
Metazol
Metazol
Bemetrazole
STRENGTH/
PACK SIZE
200mg
400mg
200mg
200mg
200mg
400mg
400mg
400mg
200mg
400mg
400mg
200mg
400mg
200mg
400mg
200mg
DOSAGE
FORM
TAB
TAB
TAB
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
250/100MG
TAB
TAB
TAB
CAP
SYR
SYR
TAB
TAB
TAB
TAB
Other
Proguanil combinations
Proguanil combinations
chloroquine
chloroquine
chloroquine
chloroquine
mefloquine
mefloquine
pyrimethamine
quinine
700780
711525
747297
794333
799149
878790
797677
835552
717517
758884
Malanil 250mg/100mg
Malanil paediatric 62.5mg/25mg
Nivaquine
Plasmoquine
Daramal
Mirquin
Lariam
Mefliam
Daraprim
Quinine sulph
200mg
200mg
37,5mg/5mL
68mg/5mL
250mg
250MG
25mg
300mg
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
200mg
400mg
200mg
400mg
200mg
400mg
200MG
200mg/5mL
200mg
200mg
200mg
200mg
400mg
400mg
200mg
400mg
125MG
250MG
250mg
125mg
500mg
500mg
500MG
1000MG
500MG
500mg
250mg
DSP
DSP
TAB
TAB
TAB
TAB
TAB
SUS
TAB
TAB
DSP
DSP
DSP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
ANTIVIRALS FOR SYSTEMIC USE
Nucleosides and nucleotides excluding reverse transcriptase inhibitors
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
famciclovir
famciclovir
famciclovir
famciclovir
valaciclovir
valaciclovir
valaciclovir
valaciclovir
valaciclovir
valaciclovir
valaciclovir
704778
704779
717157
717158
717370
717371
719670
789313
824313
827282
833703
838225
838233
860581
884972
884979
718876
718877
815853
826715
715249
716508
718863
719887
719995
817783
852228
Acitab-200 dt
Acitab-400 dt
Apex-acyclovir
Apex-acyclovir
Aciclovir sandoz
Aciclovir sandoz
Acyclovir Biotech
Zovirax
Cyclivex
Adco-acyclovir
Zovirax disp
Lovire
Lovire
Cyclivex
Vyrohexal
Vyrohexal
Ciplafam
Ciplafam
Famvir
Famvir
Zelivire
Anviro
Vavirex
Actiprez
Shilova
Zelitrex
Zelitrex
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
400mg
400mg
200mg
100mg/5mL
400mg
100mg
500mg
100mg/5mL
100mg
100mg
500mg
100mg
100mg/5mL
500mg
100mg
100mg/5mL
500mg
100mg
500mg/10mL
500mg
500MG
CHU
TAB
TAB
SUS
TAB
TAB
TAB
SUS
TAB
CHU
TAB
TAB
SUS
TAB
TAB
SUS
TAB
TAB
SUS
TAB
TAB
10MG
LOZ
GEL
LOZ
LOZ
SPR
PAI
MOW
SPR
ANTHELMINTICS
albendazole
albendazole
albendazole
albendazole
albendazole
mebendazole
mebendazole
mebendazole
mebendazole
mebendazole
mebendazole
mebendazole
mebendazole
mebendazole
mebendazole
mebendazole
mebendazole
mebendazole
mebendazole
praziquantel
niclosamide
707436
712381
783927
789720
840262
703063
704656
775606
775614
795607
807524
810533
828297
833894
845671
845698
845701
878227
881546
717169
778877
Wormadole
Zentel
Zentel
Zentel
Bendex
Adco-wormex
Adco-wormex
Vermox
Vermox
D-worm
Vermox
Wormgo
Cipex
D-worm sd
Wormstop
Wormstop
Wormstop
Cipex
Vermox sd
Cysticide
Yomesan
STOMATOLOGICAL PREPARATIONS
amphotericin B
benzydamine
benzydamine
benzydamine
benzydamine
benzydamine
benzydamine
benzydamine
727520
705350
710035
710036
710149
758566
810576
816167
Fungizone
Andolex-c oral gel
Andolex-c orange 3mg/1.33mg
Andolex-c honey/lemon 3mg/1.33mg
Andolex-c 22.5mg/18mg
Pyralvex berna 10ml
Andolex oral rinse
Andolex spray 30ml
10ML
22.5MG/15ML/200ML
22.5MG/15ML/30ML
GENERIC NAME
benzydamine
benzydamine
benzydamine
benzydamine
benzydamine
chlorhexidine
chlorhexidine
miconazole
miconazole
miconazole
miconazole
miconazole
miconazole
triamcinolone
NAPPI
CODE
826391
827614
827622
827630
878979
731005
808377
701100
718641
835056
835277
835285
835307
833673
PRODUCT NAME
Dynexan
Andolex loz
Andolex-c
Andolex-c oral rinse 22.5mg/18mg
Andolex-c eucalyptus/menthol
Corsodyl
Corsodyl mint
Candacide
Vari-Miconazole
Canstat oral
Mycostatin
Nystacid
Daktarin oral
Kenalog/orabase
STRENGTH/
PACK SIZE
10G
3MG
200ML
2mg/1mL
0,2%
100000u/1mL
2%//40G
100000U/1ML/20ML
100000U/1ML/20ML
20MG/1G/30G
0,1%
DOSAGE
FORM
OIN
LOZ
LOZ
MOW
LOZ
MOW
MOW
SUS
GEO
SUS
SUS
SUS
GEO
PAS
THROAT PREPARATIONS
benzocaine
benzocaine
benzocaine
benzocaine
benzocaine
benzocaine
fusafungine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
751332
808563
878626
883872
884225
884233
837172
707937
785210
799688
819859
879169
890365
899488
Orochlor
Orochlor 100ml
Medi-kain orange
Cepacol plus blackcurrant
Medi-keel a honey & lemon
Medi-keel a black currant
Locabiotal pump 100doses
Betadine oral
Podine mouth wash
Dermadine oral garg
Septadine oral antiseptic
Peviderm pvp-i
Steridine mouthwash and gargle liquid
Pinadine gargle
100ML
100ML
0,5mg/0,05mL
10MG/1ML/200ML
10MG/1ML/200ML
10MG/1ML/200ML
MOW
SPR
LOZ
LOZ
LOZ
LOZ
SPR
MOW
MOW
MOW
MOW
SOL
MOW
MOW
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
OPHTHALMOLOGICAL AND OTOLOGICAL PREPARATIONS
Antiinfectives combinations
dexamethasone and antiinfectives
dexamethasone and antiinfectives
hydrocortisone and antiinfectives
acetazolamide
acetazolamide
aciclovir
apraclonidine
apraclonidine
atropine
atropine
atropine
azelastine
betamethasone
betamethasone
betamethasone and antiinfectives
betamethasone and antiinfectives
betaxolol
betaxolol
betaxolol
Bimatoprost
Bimatoprost
brimonidine
brimonidine
brinzolamide
carteolol
chloramphenicol
chloramphenicol
chloramphenicol
716634
716626
764868
769878
719471
789771
779407
825484
833789
705632
734276
743380
706558
708267
708283
708291
708429
708445
822868
836052
703666
716754
709410
837121
701523
834335
713724
713759
713821
Covomycin 7.5ml
Covomycin-d 7.5ml
Sofradex 8ml
Terracortril 5g
Diamox
Azomid
Zovirax 4.5g
Iopidine 10ml
Iopidine 0.25ml
Atropine 5ml
Isopto atropine 1% 5ml
Min atropine sulph
Optilast
Betnesol 5ml
Betnesol 3g
Betnesol N
Betnesol N
Betoptic 5ml
Betoptic s 0.25ml
Betoptic s 5ml
Lumigan 3ml
Lumigan
Alphagan purite 5ml
Alphagan 5ml
Azoptic 5ml eye suspension
Teoptic 5ml
Chloramex 3.5g
Chlorcol 3.5g
Chloromycetin redidr 5ml
7.5ML
7.5ML
8ML
250mg
250mg
3%/4.5G
0,5%
0,05%
0.1G/100ML/5ML
0.1%/3G
5ML
10ML
5MG/1ML/5ML
0,25%
0,25%
0,03%
0,01%
1,5mg/1mL
0,5%
EED
EED
EED
EEO
TAB
TAB
EYO
OPD
OPD
OPD
OPD
OPD
OPD
OPD
EYO
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
EYO
EYO
OPD
GENERIC NAME
chloramphenicol
chloramphenicol
chloramphenicol
chloramphenicol
chloramphenicol
chloramphenicol
ciprofloxacin
ciprofloxacin
combinations of different antibiotics
cromoglicic acid
cromoglicic acid
cromoglicic acid
cromoglicic acid
cyclopentolate
cyclopentolate
cyclopentolate
dexamethasone
dexamethasone
dexamethasone
dexamethasone and antiinfectives
dexamethasone and antiinfectives
dexamethasone and antiinfectives
dexamethasone and antiinfectives
dexamethasone and antiinfectives
dibrompropamidine
diclofenac
diclofenac
dipivefrine
dorzolamide
emedastine
epinastine
fluorometholone
fluorometholone
NAPPI
CODE
713856
713872
713880
765880
817201
874175
701064
794104
818895
700864
804630
822698
894605
717029
717037
743402
708581
740446
765821
740454
740462
765813
789186
789194
710474
886963
886971
757756
819832
891449
707876
726702
726958
PRODUCT NAME
Chloromycetin 3.5g
Chlornicol 3.5g
Chloroptic 10ml
Spersanicol 4g
Chlorphen 3.5g
Chloromycetin redidrops 10mls
Ciloxan 3,5g
Ciloxan 5ml
Neosporin 5ml
Cromabak 10ml
Vividrin eye drops
Cromohexal 10ml
Stop allerg 13,5ml
Cyclogyl 15ml
Cyclomydril 5ml
Min cyclopento hcl
Dexagel 5g
Maxidex 5ml
Spersadex 5ml
Maxitrol 5ml
Maxitrol 3.5g
Spersadex comp 5ml
Tobradex 3,5g
Tobradex 5ml
Brolene 5g
Voltaren ophtha 5ml
Voltaren ophtha sdu 0,3ml
Propine 10ml
Trusopt 5ml owi
Emadine 5ml
Relestat 5ml
Flucon 5ml
Fml 5ml
STRENGTH/
PACK SIZE
0,5%
0,5%
0,3%
0,3%
10mL
20MG/1ML/13.5ML
5ML
0,985mg/1g
1MG/1ML/5ML
0,1%
5ML
3.5G
5ML
3.5G
5ML
5G
1MG/1ML/5ML
1MG/1ML/0.3ML
0,1%
5ML
0,05%
1MG/1ML/5ML
5ML
DOSAGE
FORM
EYO
EYO
OPD
EYO
EYO
OPD
EYO
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
EYO
OPD
OPD
OPD
EYO
OPD
EYO
OPD
EYO
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
GENERIC NAME
fluorometholone and antiinfectives
fluorometholone and mydriatics
flurbiprofen
fusidic acid
gatifloxacin
homatropine
ketorolac
ketorolac
ketotifen
latanoprost
latanoprost
levobunolol
levocabastine
lodoxamide
lomefloxacin
metipranolol
metipranolol
moxifloxacin
nepafenac
ofloxacin
ofloxacin
olopatadine
oxytetracycline
pilocarpine
pilocarpine
pilocarpine
pilocarpine
pilocarpine
prednisolone
prednisolone
propamidine
rimexolone
spaglumic acid
NAPPI
CODE
726966
722294
779776
783641
709867
734322
713372
820032
701256
715961
833223
781134
809896
806412
866857
816728
816736
707883
716222
702935
839957
701415
769967
734179
734195
734284
743453
755389
756458
756466
710466
708311
833827
PRODUCT NAME
Fml-neo 5ml
Efemoline 5ml
Ocufen 5ml
Fucithalmic 5g
Zymar 5ml
Isopto homatropine 20% 5ml
Acular 5ml
Acular 5ml
Zaditen 5ml
Ocuprost 3ml
Xalatan 2.5ml
Betagan 7.5ml
Livostin e.d.
Alomide 10ml
Okacyn 5ml
Beta-ophtiole 5ml
Beta-ophtiole 5ml
Vigamox 5ml
Nevanac 5ml
Octin opthalmic drops 5ml
Exocin 5ml
Patanol 5ml
Terramycin 5g
Isopto carpine 2% 15ml
Isopto carpine 4% 15ml
Isopto carpine 1% 15ml
Min pilocarpine nit
Pilogel gel 5gm
Pred-forte 5ml
Pred-mild 5ml
Brolene 10ml
Rimaxin 5ml
Naaxia 10ml
STRENGTH/
PACK SIZE
5ML
5ML
1%/5G
3mg/1mL
0,4%
5MG/5ML
0,025%
50mcg/1mL
50mcg/1mL
0,5%
0.5MG/1ML/4ML
1MG/1ML/10ML
5ML
0,3%
0,6%
5mg/1mL
1mg/1mL
3mg/1mL
3MG/1ML/5ML
0,1%
0,12%
10ML
DOSAGE
FORM
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
EYO
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
sulfacetamide
Tetryzoline combinations
Tetryzoline combinations
timolol
timolol
timolol
timolol
timolol
timolol
timolol
Timolol combinations
Timolol combinations
Timolol combinations
Timolol combinations
Timolol combinations
Timolol combinations
tobramycin
tobramycin
Travoprost
trifluridine
tropicamide
tropicamide
tropicamide
NAPPI
CODE
767360
706540
765856
702142
704639
770833
770841
819816
819824
821624
702983
708877
709863
714110
717260
860379
771082
771104
702534
770272
743437
745383
745405
combinations
Antiinfectives combinations
neomycin
dexamethasone and antiinfectives
flumetasone and antiinfectives
hydrocortisone and antiinfectives
hydrocortisone and antiinfectives
716596
716677
746568
710689
738840
820717
878065
GENERIC NAME
PRODUCT NAME
Sulphacetamide 3.5g
Spersallerg sdu 0.3ml
Spersallerg 10ml
Nyogel eye gel 5g
Glaucare (5ml)
Timoptol 5ml
Timoptol 5ml
Timoptol-xe 2.5ml
Timoptol-xe 2.5ml
Glaucosan 5ml
Xalacom 2.5ml
Duotrav 2.5ml
Combigan 2mg/5mg 5ml
Ganfort 3ml
Azarga 5ml
Cosopt 5ml
Tobrex 5ml
Tobrex 3.5g
Travatan 2,5ml
Tft 5ml
Min tropicamide
Mydriacyl 15ml
Mydriaticum 10ml
Otologicals only
Covancaine 20ml
Covotop 15ml
Neopan 15ml
Cilodex 5ml 3mg/1mg per 1ml
Locacorten-vioform
Otosporin 10ml
Ciprobay hc otic 10ml
STRENGTH/
PACK SIZE
350.MG/3.5G
10ML
0,1%
0,25%
0,25%
0,5%
0,25%
0,5%
0,5%
2.5ML
2/5MG/5ML
0.3MG/1ML
10MG/1ML/5ML
0,5%
3MG/1ML/5ML
3MG/1G/3.5G
0,004%
0,5%
20ML
15ML
5ML
7,5mL
10ML
DOSAGE
FORM
EYO
OPD
OPD
GEL
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
OPD
EYO
OPD
OPD
OPD
OPD
OPD
EAR
EAR
EAR
EAR
EAR
EAR
EAR
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
ANTIBIOTICS AND CHEMOTHERAPEUTICS FOR DERMATOLOGICAL USE
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
aciclovir
Combinations
Combinations
fusidic acid
fusidic acid
imiquimod
metronidazole
mupirocin
mupirocin
mupirocin
penciclovir
podophyllotoxin
podophyllotoxin
retapamulin
silver sulfadiazine
silver sulfadiazine
silver sulfadiazine
701035
713942
823473
824674
826340
873551
704435
746606
727377
727431
851884
820210
702504
706493
715837
707519
756199
815616
719999
726362
791725
836664
Lovire
Beta-vira
Activir pump pack
Adco-acyclovir
Zovirax
Acitop
Polysporin
Neosporin topical
Fucidin
Fucidin
Aldara cream 250mg
Rozex
Bactroban
Bactroban topical
Supiroban
Fenivir cold sore cream
Posalfilin
Wartec solution
Altargo
Flamazine
Bactrazine
Silbecor
50MG/1G/2G
50MG/1G/2G
5%/2G
15G
20MG/1G/15G
20MG/1G/15G
5%/250mg
0,75%
2G/100G/15G
2G/100G/15G
20mg/1g
0,01g/1g
10G
5MG/1ML/3ML
10MG/1G/5G
10MG/1G/50G
CRE
CRE
CRE
CRE
CRE
CRE
OIN
OIN
OIN
CRE
SAC
GEL
CRE
OIN
OIN
CRE
OIN
SOL
OIN
CRE
CRE
CRE
ANTIFUNGALS FOR DERMATOLOGICAL USE
amorolfine
amorolfine
bifonazole
bifonazole
bifonazole
703124
808199
745251
793957
835862
Loceryl nail lacquer kit 2,5ml
Loceryl nail lacquer kit 5ml
Mycospor
Mycospor spray
Mycospor
5%/2.5ML
1%/15G
1%/25ML
10MG/1ML/15ML
PAI
PAI
CRE
SPR
SOL
GENERIC NAME
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
combinations
combinations
econazole
econazole
econazole
econazole
econazole
econazole
ketoconazole
ketoconazole
miconazole
miconazole
miconazole
NAPPI
CODE
702576
705246
706717
709885
712205
788554
793493
796336
797006
799505
799696
808857
814423
816299
822922
824011
826952
839639
846422
878421
735140
754579
754498
754560
800678
833584
835919
835927
747327
890760
700595
717274
877719
PRODUCT NAME
Pinaspor t
Dis-chem clotrimazole topical cream
Canesten troche
Vari-clotrimazole
Canesten
Candaspor
Adco-normospor
Canalba
Candizole
Micomisan
Medaspor topical
Closcript topical
Covospor
Xeraspor t
Adco-clotrimazole
Canex topical
A-por
Trimaze
Fungispor
Clomaderm
Kenacomb
Pevisone
Pevaryl cream
Pevaryl foaming 10ml
Pevaryl spr sln 30ml
Pevaryl powder
Pevaryl foaming
Pevaryl soln
Nizcreme
Ketazol
Dermazole
Daktarin
Covarex
STRENGTH/
PACK SIZE
10mg/1g
10mg
20G
1%/20G
15G
1%/15G
1%/30G
20MG/1G/20G
20MG/1G/20G
20MG/1G/30G
20MG/1G/30G
DOSAGE
FORM
CRE
CRE
LOZ
CRE
CRE
CRE
CRE
CRE
CRE
CRE
CRE
CRE
CRE
CRE
CRE
CRE
CRE
CRE
CRE
CRE
OIN
CRE
CRE
SAC
SPR
POR
SOL
SOL
CRE
CRE
CRE
CRE
CRE
GENERIC NAME
miconazole, combinations
miconazole, combinations
nystatin
nystatin
nystatin
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
terbinafine
tolnaftate
NAPPI
CODE
715635
717266
745278
784966
797022
705114
705115
705116
705117
705118
705119
705120
705121
705122
705123
705124
705125
705126
705127
705128
703033
706073
709809
711199
792705
836486
880892
770868
PRODUCT NAME
Elozart
Daktacort
Mycostatin
Canstat
Nystacid
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Mylan terbinafine
Lamisil spray 15ml
Terbicil
Lamisil film forming
Terbane
Lamisil
Lamisil 30ml
Lamisil derm gel
Tinaderm
STRENGTH/
PACK SIZE
20MG/20G
20G
100000U/1G/15G
100000U/1G/15G
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
1%/15G
DOSAGE
FORM
CRE
CRE
CRE
CRE
OIN
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SPR
CRE
SOL
CRE
CRE
SPR
GEL
CRE
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
100ML
5%/5G
2%/20ML
5%/5G
LOT
CRE
GEL
CRE
PSD
CRE
CRE
CRE
CRE
CRE
CRE
CRE
ANTIPRURITICS INCLUDING ANTIHISTAMINES, ANESTHETICS AND OTHERS
Antihistamines for topical use
lidocaine
lidocaine
lidocaine
lidocaine
mepyramine
mepyramine
mepyramine
mepyramine
promethazine
tetracaine
tetracaine
794120
701499
759694
826367
840106
701102
703834
800511
897334
754722
703591
799211
Biohist lotion
Topla
Remicaine & nozzle
Emla 5%
Emla 5%
Mepyraderm
Anthisan
Allergex mepyramine
Alsan
Phenergan
Anethaine
Amethocaine
2%/25G
2%/25G
2%/25G
1%/25G
1%/25G
ANTISEPTICS AND DISINFECTANTS
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
povidone-iodine
nitrofural
nitrofural
triclosan
702549
707945
708178
708216
715022
755834
788716
813060
821713
826634
871885
784524
805416
705017
Barrs povidone iodine
Betadine ointment
Betadine cream
Betadine soln spray
Germadine
Podine
Dermadine
Betadine first aid cream
Septadine antiseptic
Link dermadex
Biocream
Furasept
Furex
Burnaid gel 25g
100mL
10%/25G
10%/25G
50MG/1G/25G
20G
50MG/25G/25G
25G
OIN
OIN
CRE
SPR
OIN
OIN
OIN
CRE
OIN
OIN
CRE
OIN
OIN
GEL
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
30G
OIN
100000U
20MG/1G/40G
VAT
VCR
VCR
VCR
VCR
VCR
VAG
VCR
VAT
VAT
VAT
VAT
VCR
SUP
SUP
VAT
VAT
VAT
VAT
VAT
VAT
VCR
VCR
VCR
VCR
VCR
VCR
VCR
PREPARATIONS FOR TREATMENT OF WOUNDS AND ULCERS
collagenase, combinations
734012 Iruxol mono
GYNECOLOGICAL ANTI-INFECTIVES AND ANTISEPTICS
nystatin
clindamycin
clotrimazole
econazole
clotrimazole
clotrimazole
metronidazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
metronidazole
metronidazole
miconazole
econazole
econazole
ketoconazole
miconazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
806536
832340
702574
703089
703548
705247
706439
711138
712213
712264
717811
717842
718559
726303
726311
729728
729752
729841
747343
812358
825042
826960
831875
831883
831891
831905
831913
831921
Canstat
Dalacin vc
Pinaspor v
Vari-econazole nitrate 1% mm vc
Canesten 35g
Dis-chem clotrimazole
Metrogel v
Innospore
Canesten vag tab
Canesten 1
Glenmark clotrimazole
Glenmark clotrimazole 1
Canesten 3VC
Flagyl
Flagyl
Gyno-daktarin
Gyno pevaryl
Gyno pevaryl depot
Nizovules
Gyno-daktarin combipak
Canesten duopak
A-por
Canalba vag
Candaspor vag
Canesten 1 vc
Canesten 50g
Canex vag
Closcript vaginal
1%/80G
37.5MG/5G/40G
0,1g
0,5g
100mg
500mg
20MG/1G/20G
0,5g
1g
200mg
150mg
150MG
400mg
400MG
500MG
1%/50G
500mg
GENERIC NAME
clotrimazole
econazole
clotrimazole
clotrimazole
clotrimazole
clotrimazole
miconazole
clotrimazole
fenticonazole
fenticonazole
fenticonazole
clotrimazole
clotrimazole
clotrimazole
povidone-iodine
Other antiinfectives and antiseptics
povidone-iodine
povidone-iodine
diiodohydroxyquinoline
NAPPI
CODE
832332
832367
832391
832405
832421
832499
832502
832596
833908
833916
833924
839620
846341
878448
708208
814202
816752
835412
835447
PRODUCT NAME
Covospor vaginal
Gyno pevaryl
Medaspor vag
Micomisan vag
Adco-normospor vag
Xeraspor v
Gyno-daktarin
Candizole v
Lomexin
Lomexin
Lomexin
Gyno-trimaze
Fungispor (1 applicator)
Gynezol
Betadine douche (vag cleanser)
Hexidin obstet cream
Betadine douche refill
Betadine
Vagarsal
STRENGTH/
PACK SIZE
100MG/1ML/250ML
100MG/1G/90G
50G
DOSAGE
FORM
VCR
VCR
VCR
VCR
VCR
VCR
VCR
VCR
VCR
VAT
VAT
VCR
VCR
VCR
DOU
CRE
DOU
VAG
VAG
0,03%
0,1%
150mg/1g
150mg/1g
150mg/1g
CRE
OIN
OIN
PTD
PTD
PTD
30G
SUP
SUP
OIN
OIN
78G
20MG/1G/40G
30G
200mg
600mg
1%/50G
100MG/1ML/250ML
OTHER DERMATOLOGICAL PREPARATIONS
pimecrolimus
tacrolimus
tacrolimus
Wart and anti-corn preparations
Wart and anti-corn preparations
Wart and anti-corn preparations
702081
712758
712759
707829
707830
708302
Elidel
Protopic
Protopic
Trans-ver-sal pediapatch 6mm
Trans-ver-sal adult patch 12mm
Trans-ver-sal plantarpatch 20mm
VASOPROTECTIVES
bismuth preparations, combinations
bismuth preparations, combinations
bismuth preparations, combinations
other preparations, combinations
704075
704148
826375
757187
Anugesic
Anusol
Anusol
Proctosedyl oint
GENERIC NAME
other preparations, combinations
other preparations, combinations
other preparations, combinations
pramocaine
NAPPI
CODE
757195
875376
875384
704083
PRODUCT NAME
Proctosedyl
Scheriproct
Scheriproct
Anusol pain relief
STRENGTH/
PACK SIZE
15G
10MG/1G/25G
DOSAGE
FORM
SUP
OIN
SUP
OIN
ANTI-ACNE PREPARATIONS
adapalene
adapalene
azelaic acid
azelaic acid
clindamycin
clindamycin
clindamycin
erythromycin
erythromycin
erythromycin
erythromycin, combinations
isotretinoin
isotretinoin
isotretinoin
isotretinoin
isotretinoin
isotretinoin
isotretinoin
isotretinoin
isotretinoin
tretinoin
tretinoin
tretinoin
tretinoin
tretinoin
tretinoin
tretinoin
827215
863939
703471
794171
796131
828718
835757
828769
828874
828971
897783
821853
701469
701471
701656
701667
711876
711877
761125
761133
709811
709812
760242
760250
842591
842605
874752
Differin gel
Differin
Skinoren gel
Skinoren acne cream
Cleocin
Dalacin t (dry)
Dalacin t
Eryderm
Ilotycin ts soln
Stiemycin
Zineryt topical
Isotrex
Oratane
Oratane
Acnetane
Acnetane
Apex-isotretinoin
Apex-isotretinoin
Roaccutane
Roaccutane
Airol
Airol
Retin A
Retin A
Ilotycin-a
Ilotycin-a
Retacnyl
0.1%/30G
0.1%/30G
30G
10MG/1ML/30ML
10MG/1ML/30ML
50ML
30ML
0.05%/30G
10mg
20mg
20mg
10mg
20mg
10mg
10mg
20mg
0,05%
0,05%
0.05%/20G
0.025%/20G
0.05%/20G
0.05%/20G
0.05%/30G
GEL
CRE
GEL
CRE
LOT
LOT
SOL
LOT
LOT
SOL
LOT
GEL
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CRE
LOT
CRE
GEL
GEL
CRE
CRE
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
CORTICOSTEROIDS
Dermatological Preparations
alclometasone
beclometasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone
betamethasone and antibiotics
betamethasone and antibiotics
betamethasone and antibiotics
betamethasone and antibiotics
betamethasone and antibiotics
betamethasone and antibiotics
betamethasone and antiseptics
betamethasone and antiseptics
700568
878200
701138
708313
708321
708348
708410
720399
720410
754064
754072
800163
800171
824208
827290
833037
882934
720380
828726
708380
708399
720356
720364
739391
758760
708364
708372
Aclosone
Beclate cream
Vari-betamethasone
Betnovate
Betnovate half strength
Betnovate
Betnovate skin
Diprosone
Diprosone
Persivate
Persivate
Lenovate
Lenovate
Betnovate scalp
Adco-betamethasone
Topivate
Repivate
Diprosalic
Diprosalic
Betnovate N
Betnovate N
Diprogenta
Diprogenta
Lotriderm
Quadriderm
Betnovate C
Betnovate C
0.25MG/1MG/15G
0,1%
0,1%
0,1%
0,05%
0,05%
0,1%
0,1%
0,1%
0,1%
1MG/1G/15G
0,1%
0,1%
20G
30ML
15G
15G
20G
20G
20G
15G
15G
15G
OIN
CRE
CRE
CRE
CRE
OIN
LOT
CRE
OIN
CRE
OIN
CRE
OIN
SCL
CRE
CRE
CRE
OIN
LOT
CRE
OIN
CRE
OIN
CRE
CRE
CRE
OIN
GENERIC NAME
clobetasol
clobetasol
clobetasol
clobetasol
clobetasol
clobetasol
clobetasol
clobetasol
clobetasone
clobetasone
desonide
diflucortolone
diflucortolone
diflucortolone
diflucortolone
fluocinolone acetonide
fluocinolone acetonide
fluocinolone acetonide
fluocinolone acetonide
fluocinolone acetonide
fluocinolone acetonide and antibiotics
fluocinolone acetonide and antibiotics
fluocinolone acetonide and antiseptics
fluocinolone acetonide and antiseptics
fluticasone
fluticasone
hydrocortisone
hydrocortisone
hydrocortisone
hydrocortisone
hydrocortisone
hydrocortisone
hydrocortisone
NAPPI
CODE
710464
718718
718726
807230
807249
824216
868299
868302
724963
724971
709810
746703
746711
709808
771937
716278
716286
768278
768286
768294
768332
768367
768316
768324
809977
809985
700445
720011
720038
745448
745472
757217
757268
PRODUCT NAME
Clobex
Dermovate
Dermovate
Dovate
Dovate
Dermovate scalp
Xenovate
Xenovate
Eumovate
Eumovate
Locatop
Nerisone
Nerisone fatty
Maxaderm 1mg/10mg
Travocort
Cortoderm
Cortoderm
Synalar
Synalar
Synalar gel
Synalar N
Synalar n cream
Synalar c
Synalar c
Cutivate
Cutivate
Vari-hydrocortisone
Dilucort
Dilucort
Mylocort
Mylocort
Procutan
Procutan
STRENGTH/
PACK SIZE
0,05%
0,05%
0,05%
0.05%/25G
0.05%/25G
0,1%
0,1%
0,1%
1MG/1G/20G
1MG/1G/20G
0.25MG/1G/15G
0.25MG/1G/15G
0.25MG/1G/15G
0.25MG/1G/15G
0.25MG/1G/30G
15G
15G
15G
15G
0,05%
0,005%
0.5G/100G/25G
0.5G/100G/25G
DOSAGE
FORM
SHA
CRE
OIN
OIN
CRE
SCL
OIN
CRE
CRE
OIN
CRE
CRE
OIN
CRE
CRE
CRE
OIN
CRE
OIN
GEL
OIN
CRE
CRE
OIN
CRE
OIN
CRE
CRE
OIN
OIN
CRE
CRE
OIN
GENERIC NAME
hydrocortisone
hydrocortisone
hydrocortisone
hydrocortisone
hydrocortisone and antibiotics
hydrocortisone and antibiotics
hydrocortisone and antiseptics
hydrocortisone butyrate
hydrocortisone butyrate
hydrocortisone butyrate
hydrocortisone butyrate
hydrocortisone butyrate
methylprednisolone aceponate
methylprednisolone aceponate
methylprednisolone aceponate
methylprednisolone aceponate
methylprednisolone aceponate
mometasone
mometasone
mometasone
mometasone
mometasone
NAPPI
CODE
764353
807834
810223
826642
727407
793515
776297
738875
738891
793930
828890
890396
701417
793086
793108
793116
883180
705444
714014
782017
782025
788791
PRODUCT NAME
Skincalm
Biocort (stx)
Stopitch
Link mezzoderm
Fucidin 'h'
Neoderm
Viocort
Locoid
Locoid
Locoid lipocream
Locoid
Locoid crelo
Advantan scalp
Advantan
Advantan
Advantan fatty oint
Advantan milk
Aspen mometasone
Mometagen
Elocon
Elocon
Elocon
STRENGTH/
PACK SIZE
0,5%
25G
20G
0.1%/15G
15G
15G
30ML
0.1%/30ML
0,1%
1MG/1G/50G
0,1%
1MG/1G/50G
1MG/IG/20G
0.1%/20G
0,1%
0,1%
0,1%
0,1%
DOSAGE
FORM
CRE
CRE
CRE
CRE
OIN
CRE
CRE
CRE
OIN
CRE
LOT
LOT
SCL
OIN
CRE
OIN
LOT
CRE
CRE
CRE
OIN
LOT
15mg/5mL
5mg/1mL
5mg
0,5mg
15mg/5mL
15mg/5mL
10mg
4mg
16mg
SYR
SOL
TAB
TAB
SYR
SYR
TAB
TAB
TAB
Corticosteroids For Systemic Use
prednisolone
prednisone
prednisolone
betamethasone
prednisolone
prednisolone
hydrocortisone
methylprednisolone
methylprednisolone
700170
703603
703720
713139
714552
716381
716693
741116
741124
Preflam
Pulmison paed oral solution
Prelone
Celestone
Aspelone
Adco prednisolone
Covocort
Medrol
Medrol
GENERIC NAME
prednisone
prednisone
prednisone
prednisone
betamethasone
prednisolone
prednisolone
prednisolone
prednisone
betamethasone
betamethasone
prednisone
fludrocortisone
NAPPI
CODE
742732
742759
752304
788783
797596
800155
805149
814407
818267
826928
826936
836826
726540
PRODUCT NAME
Meticorten
Meticorten
Panafcort
Be-tabs prednisone
Steromien
Lenisolone
Prelone
Capsoid
Trolic
Betanoid
Betanoid
Pulmison
Florinef acetate
STRENGTH/
PACK SIZE
5mg
50mg
5mg
5mg
0,6mg/5mL
5mg
15mg/5mL
5mg
5mg
0,5mg
0,6mg/5mL
20mg
0,1mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
SYR
TAB
SYR
TAB
TAB
TAB
SYR
TAB
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
aminophylline
aminophylline
Aminophylline combinations
Aminophylline combinations
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
budesonide
budesonide
budesonide
budesonide
budesonide
budesonide
budesonide
budesonide
budesonide
budesonide
769312
769320
720283
739413
707201
707228
783714
783722
819611
819638
820083
827061
827088
864455
864463
864471
864501
894405
894413
702475
702478
702480
704020
704021
704176
707879
707881
718677
718678
Norstan-ted
Norstan-ted
Diphenamill
Lotussin expect
Becotide rotacaps
Becotide rotacaps
Becodisk 8 caps/disk
Becodisk 8 caps/disk
Beclate 200dose
Beclate 200dose
Beclate 200dose
Beceze 50 200dose
Beceze 100 cfc free 200dose
Qvar autohaler 200dose
Qvar autohaler 200dose
Qvar press and breath 200dose
Qvar press and breath 200dose
Cycloson 100 cyclocaps
Cycloson 200 cyclocaps
Inflacor 100
Inflacor 200
Inflacor 400
Inflammide novolizer refill 200dose
Inflammide novolizer complete 200dose
Budeflam dp-caps
Inflammide novolizer complete 100dose
Inflammide novolizer refill 100dose
Arrow Budesonide
Arrow Budesonide
100mg
200mg
100ML
100mcg
200mcg
100MCG
200MCG
50mcg
100mcg
200mcg
50mcg
100mcg
50mcg
100mcg
50mcg
100mcg
100mcg
200mcg
100mcg
200mcg
400mcg
200mcg
200mcg
200mcg
400mcg
400mcg
0.25MG/1ML/20ML
0.5MG/1ML/20ML
TAB
TAB
SYR
SYR
CPS
CPS
CPS
CPS
INH
INH
INH
INH
INH
ATH
ATH
INH
INH
CPS
CPS
CPS
CPS
CPS
REF
INH
CPS
INH
REF
UDV
UDV
GENERIC NAME
budesonide
budesonide
budesonide
budesonide
budesonide
budesonide
budesonide
budesonide
budesonide
ciclesonide
ciclesonide
ciclesonide
combinations of xanthines
combinations of xanthines
fenoterol
fenoterol
fenoterol
fenoterol
fenoterol
fenoterol
fenoterol
fenoterol
Fenoterol and other drugs for obstructive airway diseases
Fenoterol and other drugs for obstructive airway diseases
Fenoterol and other drugs for obstructive airway diseases
fluticasone
fluticasone
fluticasone
fluticasone
fluticasone
fluticasone
fluticasone
formoterol
NAPPI
CODE
791423
791431
807885
823791
825441
839329
839337
897462
897469
705265
705267
705269
746800
765031
706544
707813
718554
791989
793973
835706
890148
890156
703469
707882
820733
703275
818445
818453
818461
818488
897752
897759
704175
PRODUCT NAME
Pulmicort turbuhaler 200dose
Pulmicort turbuhaler 200dose
Pulmicort neb suspension
Pulmicort turbuhaler 100dose
Pulmicort neb suspension
Inflammide mac 300dose
Inflammide mac 300dose
Budeflam hfa 300dose
Budeflam hfa 300dose
Alvesco 60dose
Alvesco 60dose
Alvesco 120dose
Nethaprin dospan
Solphyllin
Berotec HFA 200dose
Berotec
Fenovent
Berotec
Berotec
Berotec inh sol
Adco-fenoterol 0,5mg/2ml
Adco-fenoterol 1,25mg/2ml
Adco-nebrafen 4ml
Duovent HFA 200dose
Atrovent beta udv 4ml
Flixotide cfc free 120dose
Flixotide accuhaler 60dose
Flixotide accuhaler 60dose
Flixotide accuhaler 60dose
Flixotide accuhaler 60dose
Flixotide 125 cfc free 120 actuations
Flixotide cfc free 120dose
Foratec dp-caps
STRENGTH/
PACK SIZE
100mcg
200mcg
0,5mg/1mL
400mcg
0,25mg/1mL
100mcg
200mcg
100mcg
200mcg
80mcg
160mcg
160mcg
200ML
100mcg
2,5mg/5mL
2,5mg/5mL
1.25MG/2ML/2ML
0.5MG/2ML/2ML
0,1%
4ML
50mcg
50mcg
100mcg
250mcg
500mcg
125mcg
250mcg
12mcg
DOSAGE
FORM
TUH
TUH
UDV
TUH
UDV
INH
INH
INH
INH
INH
INH
INH
TAB
SYR
INH
SYR
SYR
UDV
UDV
SOL
UDV
UDV
UDV
INH
UDV
INH
ACC
ACC
ACC
ACC
INH
INH
CPS
GENERIC NAME
formoterol
formoterol
formoterol
formoterol
Formoterol and other drugs for obstructive airway disease
Formoterol and other drugs for obstructive airway disease
Formoterol and other drugs for obstructive airway disease
Formoterol and other drugs for obstructive airway disease
Formoterol and other drugs for obstructive airway disease
Formoterol and other drugs for obstructive airway disease
indacaterol
ipratropium bromide
ipratropium bromide
ipratropium bromide
ipratropium bromide
ipratropium bromide
ipratropium bromide
ipratropium bromide
ipratropium bromide
ipratropium bromide
ipratropium bromide
ipratropium bromide
ipratropium bromide
mometasone
mometasone
mometasone
mometasone
montelukast
montelukast
montelukast
montelukast
montelukast
montelukast
NAPPI
CODE
705116
710307
820911
840246
700172
700173
705984
705986
720218
720219
717402
704681
706543
714287
715574
717204
786241
794007
835633
856916
885074
890164
890172
717571
717572
717581
717582
718604
718605
718606
719046
719047
719048
PRODUCT NAME
Mylan formoterol clickhaler 60dose
Foratec hfa 120dose
Foradil dry powder inhalation
Oxis turbuhaler 60dose
Symbicord turbohaler 60dose 160mcg/4.5mc
Symbicord turboh 120dose 160mcg/4,5mcg
Symbicord 320/9mcg per inhalation 60dose
Symbicord 80/4.5mcg per inhalation 120dose
Vannair 120 Dose
Vannair 120 Dose
Onbrez breezhaler (30 caps & inhaler)
Ipvent-40 300dose
Atrovent HFA 200dose
Ipvent respules 2ml
Ipvent HFA 200 dose
Tropivent 1ml
Atrovent
Atrovent udv paed
Atrovent solution
Ipvent-40 200dose
Atrovent 40 mac 300 dose
Adco-ipratropium 0,25mg/2ml ni101
Adco-ipratropium 0,5mg/2ml ni201
Asmanex twisthaler 30 dose
Asmanex twisthaler 60 dose
Asmanex twisthaler 30 dose
Asmanex twisthaler 60 dose
Sintair
Sintair
Sintair
Montelukast Cipla
Montelukast Cipla
Montelukast Cipla
STRENGTH/
PACK SIZE
12mcg
12mcg/1dose
12MCG
9mcg
80/4.5MCG
160/4.5MCG
40mcg
20mcg
0,5mg/2mL
40mcg/1dose
0,25mg/1mL
0,5mg/2mL
0,25mg/2mL
0.25MG/1ML/20ML
40mcg
40mcg
0.25MG/2ML
200mcg/1dose
200mcg/1dose
400mcg/1dose
400mcg/1dose
4mg
5mg
10mg
4MG
5MG
10MG
DOSAGE
FORM
INH
INH
CPS
TUH
TUH
TUH
TUH
TUH
INH
INH
KIT
INH
INH
UDV
INH
UDV
UDV
UDV
SOL
INH
INH
UDV
UDV
INH
INH
INH
INH
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
montelukast
montelukast
montelukast
montelukast
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
salbutamol
Salbutamol and other
Salbutamol and other
Salbutamol and other
Salbutamol and other
drugs for obstructive airway diseases
drugs for obstructive airway diseases
drugs for obstructive airway diseases
drugs for obstructive airway diseases
NAPPI
CODE
719638
719639
719640
720431
700715
700920
703371
711213
717205
717206
717655
775274
775363
775398
775401
775452
783684
783692
791229
791237
819603
824186
835994
836001
849332
857289
878219
894397
894400
703983
705722
717437
718698
PRODUCT NAME
Montelukast Chew Biotech
Montelukast Chew Biotech
Montelukast Biotech
Belair
Asthavent ecohaler cfc-free 300dose
Vari-salbutamol syrup
Ventolin inhaler 200 cfc-free
Venteze cfc free 200 dose
Salbu-neb
Salbu-neb
Asthavent respules
Ventolin
Venteze complete 200dose
Venteze
Venteze
Venteze
Ventodisk 8caps/disk
Ventodisk 8caps/disk
Ventolin nebules
Ventolin nebules
Asthavent 200dose
Asthavent
Venteze soln
Ventolin respirator
Asthavent ecohaler 200dose
Ventolin accuhaler 60dose
Asthavent dp
Cybutol 200 cylclocaps
Cybutol 400 cyclocaps
Duolin respules (solution for inhalation)
Adco-combineb
Co-iprasal 2.5ml
Duolin HFA
STRENGTH/
PACK SIZE
4MG
5MG
10MG
10MG
100mcg
2mg/5mL
100mcg
100mcg
2,5mg/2,5mL
5mg/2,5mL
2,5mg/2,5mL
2mg/5mL
100mcg
2mg
4mg
2mg/5mL
200MCG
400MCG
2,5mg/2,5mL
5mg/2,5mL
100mcg
2mg/5mL
5mg/1mL
100mcg
200mcg
200mcg
200mcg
400mcg
2.5ML
200 DOSES
DOSAGE
FORM
CHU
CHU
TAB
TAB
INH
SYR
INH
INH
NEB
NEB
NEB
SYR
INH
TAB
TAB
SYR
CPS
CPS
UDV
UDV
INH
SYR
SOL
NEB
INH
ACC
CPS
CPS
CPS
UDV
UDV
NEB
INH
GENERIC NAME
Salbutamol and other drugs for obstructive airway diseases
Salbutamol and other drugs for obstructive airway diseases
salmeterol
salmeterol
salmeterol
salmeterol
salmeterol
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
salmeterol and other drugs for obstructive airway diseases
terbutaline
terbutaline
Terbutaline combinations
Terbutaline combinations
theophylline
theophylline
theophylline
theophylline
Theophylline combinations excl. psycholeptics
Theophylline combinations excl. psycholeptics
Theophylline combinations excl. psycholeptics
NAPPI
CODE
824577
824623
708289
787302
787310
791695
818496
715007
715008
715009
715189
715190
715191
715752
715753
715754
874493
874507
874515
894989
894990
895006
710385
791415
807893
883879
701750
748528
770388
816159
700238
701742
721867
PRODUCT NAME
Combivent udv
Combivent 300dose
Serevent cfc-free 120dose
Serevent 120dose
Serevent 4caps/disk
Serevent 60dose
Serevent accuhaler 60dose
Foxair accuhaler 60 dose 50/500
Foxair accuhaler 60 dose 50/250
Foxair accuhaler 60 dose 50/100
Sereflo 25/50 hfa 120 dose
Sereflo 25/125 hfa 120 dose
Sereflo 25/250 hfa 120 dose
Foxair 25/50 120 dose
Foxair 25/125 120dose
Foxair 25/250 120dose
Seretide accuhaler 60dose 50/100
Seretide accuhaler 60dose 50/250
Seretide accuhaler 60dose 50/500
Seretide 25/50 120 dose
Seretide 25/125 120 dose
Seretide 25/250 120 dose
Bricanyl refill 400dose
Bricanyl turbuhaler 200dose
Bronchoped
Benylin bronchospect
Alcophyllin
Nuelin liquid
Theophen
Uniphyl
Theophen compound elixir
Alcophyllex
D-tussin
STRENGTH/
PACK SIZE
25mcg
25mcg
50MCG/1DOSE
25mcg
50mcg
50/500MCG
50/250MCG
50/100MCG
25/50MCG
25/125MCG
25/250MCG
25/50MCG
25/125MCG
25/250MCG
100mcg
250mcg
500mcg
25mcg/50mcg
25mcg/125mcg
25mcg/250mcg
250mcg
0,5mg
200ML
200ML
26,67mg/5mL
25mg/5mL
200ML
600mg
200ML
100ML
DOSAGE
FORM
UDV
INH
INH
INH
CPS
INH
ACC
ACC
ACC
ACC
INH
INH
INH
INH
INH
INH
ACC
ACC
ACC
INH
INH
INH
REF
INH
SYR
SYR
SYR
SYR
SYR
SRT
SYR
SYR
SYR
GENERIC NAME
Theophylline combinations excl. psycholeptics
Theophylline combinations excl. psycholeptics
Theophylline combinations excl. psycholeptics
Theophylline combinations excl. psycholeptics
NAPPI
CODE
742414
765023
779784
792586
PRODUCT NAME
Metaxol cough
Solphyllex
Actophlem
Diatussin
STRENGTH/
PACK SIZE
2500ML
200ML
200ML
150ML
DOSAGE
FORM
SYR
SYR
SYR
SYR
30mg/5mL
SYR
TAB
SYR
TAB
SYR
SYR
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SYR
TAB
SYR
TAB
SYR
SYR
TAB
SYR
TAB
SYR
TAB
SYR
ANTIHISTAMINES FOR SYSTEMIC USE
alimemazine
Brompheniramine combinations
buclizine
buclizine, combinations
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
cetirizine
774553
732419
739197
778265
700899
703313
703314
703315
703491
703561
703821
703864
704188
704359
704659
707224
707885
708117
708687
710672
711745
712764
712889
712890
713231
717156
717812
Vallergan
Iliadin
Longifene
Vomifene
Zetop
Allecet
Texa
Allecet
Adco-cetirizine
Sandoz cetirizine 2hcl 10
Allermine
Cetirizine-hexal
Aspen cetirizine
Austell cetirizine
Zyncet
Adco cetirizine
Betek
Cetirizine-hexal
Sinutab sinus allergy
Texa
Sinutab sinus allergy
Zetop
Acuzyrt
Acuzyrt
Aspen cetirizine
Austell Cetirizine
Zelary
5mg/5mL
5mg/5mL
5mg/5mL
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
1mg/1mL
10mg
1mg/1mL
10MG
5mg/5mL
1mg/1mL
10mg
5mg/5mL
10mg
5mg/5mL
5MG
1mg/1mL
GENERIC NAME
cetirizine
cetirizine
cetirizine
cetirizine
chlorphenamine
chlorphenamine
chlorphenamine
chlorphenamine
chlorphenamine, combinations
chlorphenamine, combinations
chlorphenamine, combinations
chlorphenamine, combinations
chlorphenamine, combinations
chlorphenamine, combinations
chlorphenamine, combinations
chlorphenamine, combinations
chlorphenamine, combinations
clemastine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
cyclizine
NAPPI
CODE
718452
785377
815535
820946
702072
702145
703162
797650
707677
710247
715301
726885
760773
760781
764264
822744
877891
769231
702573
772135
772143
774618
774626
774634
774642
792217
792225
792845
792853
796700
799424
808954
808962
PRODUCT NAME
Trantrin
Zyrtec
Zyrtec oral
Zyrtec
Allergex
Allergex
Rhineton
Chlorhist
Efferflu-c
Rinex ped
Colcleer(cold+flu)
Flusin
Rinex
Rinex diffucaps
Sinucon
Sinuend
Demazin syrup alcohol free
Degoran allergy
Pinaloid
Triazine infant
Triazine
Valoid paed
Valoid
Valoid
Valoid pediatric
Aculoid
Aculoid
Medazine-s
Medazine-t
Triazine paediatric
Nauzine
Adco-cyclizine
Adco-cyclizine
STRENGTH/
PACK SIZE
10mg
10mg
10mg/1mL
5mg/5mL
4mg
2mg/5mL
4mg
2MG/5ML/100ML
100ML
100ML
100ML
1mg
50mg
50mg
50MG
50mg
100mg
50mg
12,5mg/5mL
50mg
12,5mg/5mL
12,5mg/5mL
50mg
12.5MG/5ML/50ML
50mg
50mg
12,5mg/5mL
DOSAGE
FORM
TAB
TAB
DRP
SYR
TAB
SYR
TAB
SYR
EFT
SYR
TAB
TAB
SYR
CAP
TAB
TAB
SYR
TAB
TAB
SUP
TAB
SUP
SUP
TAB
SYR
TAB
SYR
SYR
TAB
SYR
TAB
TAB
SYR
GENERIC NAME
cyclizine
cyclizine
cyproheptadine
cyproheptadine
desloratadine
desloratadine
desloratadine
desloratadine
desloratadine
desloratadine
desloratadine
desloratadine
desloratadine
desloratadine
dexchlorpheniramine, combinations
dexchlorpheniramine, combinations
Diphenhydramine combinations
doxylamine
ebastine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
fexofenadine
NAPPI
CODE
809322
820571
701422
753858
702044
709843
714103
714362
715715
718393
718710
719454
720028
898658
713058
713066
720003
705136
847992
707199
707200
709073
709074
709710
709841
710836
710837
714053
714055
714068
714069
715771
848093
PRODUCT NAME
Covamet
Nauzine s
Cipla-actin
Periactin
Deselex
Dazit
Desodene
Desaway
Pollentyme nd
Neoclarityne
Neoloridin
Clarex
Neoclarityne
Deselex
Celestamine
Celestamine
Dilinct
Asic
Kestine
Fexo
Fexo
Fexo-fast
Fexo-fast
Fastway
Fastway
Fexaway
Fexaway
Tellerge
Tellerge
Fenofex
Fenofex
Telfast
Telfast
STRENGTH/
PACK SIZE
50MG
12,5mg/5mL
4mg
4mg
2,5mg/5mL
5mg
5mg
5mg
5mg
5mg
5MG
5MG
2.5MG/5ML/150ML
5mg
120ML
100ML
10mg
120mg
180mg
120mg
180mg
180mg
120mg
120mg
180mg
180mg
120mg
120mg
180mg
30mg/5mL
120mg
DOSAGE
FORM
TAB
SYR
TAB
TAB
SYR
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SYR
TAB
SYR
TAB
SYR
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SUS
TAB
GENERIC NAME
fexofenadine
ketotifen
ketotifen
ketotifen
ketotifen
levocetirizine
levocetirizine
levocetirizine
levocetirizine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
loratadine
mepyramine
mizolastine
oxatomide
promethazine
NAPPI
CODE
848107
778931
797138
854905
878715
703450
718132
719790
720330
700092
701361
701407
701640
702159
702518
703918
704275
704773
704780
704886
705102
705359
705410
707313
713908
717051
785113
789291
899430
703842
884047
771015
706043
PRODUCT NAME
Telfast
Zaditen
Zaditen sro
Adco-zetofen
Adco-ketotifen
Xyzal
Cetlev
Allerway
Xyzal
Laura
Pollentyme
Sandoz loratidine
Allergex non drowsy
Clarinese
Lorano
Pollentyme s
Allergex non drowsy
Rohist
Cipla-loratadine
Ap loratadine
Clarinese
Lorfast
Rhinigine
Simayla loratadine
Lormeg
Apex-loratadine
Clarityne
Clarityne
Ap-loratadine
Anthisan
Mizollen
Tinset
Avomine
STRENGTH/
PACK SIZE
180mg
1mg
2mg
1mg/5mL
1mg/5mL
5mg
5mg
5MG
0.5MG/ML/75ML
10mg
10mg
10mg
5mg/5mL
10mg
10mg
5mg/5mL
10mg
10mg
10mg
5mg/5mL
5mg/5mL
10mg
10mg
10mg
10mg
10mg
10mg
5mg/5mL
10mg
25mg/5mL
10mg
30mg
25mg
DOSAGE
FORM
TAB
TAB
SRT
SYR
SYR
TAB
TAB
TAB
SOL
TAB
TAB
TAB
SYR
TAB
TAB
SYR
TAB
TAB
TAB
SYR
SYR
TAB
TAB
TAB
TAB
TAB
TAB
SYR
TAB
SYR
TAB
TAB
TAB
GENERIC NAME
promethazine
promethazine
promethazine
promethazine
promethazine
promethazine
promethazine
Promethazine combinations
terfenadine
NAPPI
CODE
710873
736244
754749
754757
757373
803065
803073
731226
785423
PRODUCT NAME
Brunazine
Lenazine
Phenergan
Phenergan
Prohist
Receptozine
Receptozine
Histodor
Triludan
STRENGTH/
PACK SIZE
5mg/5mL
5mg/5mL
10mg
25mg
5mg/5mL
10mg
25mg
60mg
DOSAGE
FORM
SYR
SYR
TAB
TAB
SYR
TAB
TAB
TAB
TAB
COUGH AND COLD PREPARATIONS
acetylcysteine
acetylcysteine
acetylcysteine
acetylcysteine
acetylcysteine
acetylcysteine
acetylcysteine
acetylcysteine
bromhexine
bromhexine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
710392
716267
718049
719848
809284
809292
809306
824291
710040
710067
703394
708151
709356
710520
716214
717241
717745
726451
726478
737798
744816
744824
Mucolator
Amuco
Mucatak
Mucofizz
Solmucol
Solmucol
Solmucol
Acc
Bisolvon solution
Bisolvon
Dis-chem mucolytic
Betaphlem
Mucokleer
Bronchette
Rhinathiol sugar free expectorant adults
Flusin mucous cough
Flutex mucous cough
Flemex
Flemex 20 plus
Lessmusec
Mucospect
Mucospect
200mg
200mg
200mg
200MG
200mg
400mg
100mg
200mg
10MG/5ML/50ML
8mg
250mg/5mL
250mg/5mL
375mg
250mg/5mL
250mg/5mL
250mg/5mL
250mg/5mL
375mg
250mg/5mL
250mg/5mL
375mg
SAC
EFT
EFT
EFT
SAC
SAC
LOZ
EFT
SOL
TAB
SYR
SYR
CAP
SYR
SYR
SYR
SYR
SYR
CAP
SYR
SYR
CAP
GENERIC NAME
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
carbocisteine
codeine
codeine
codeine
codeine
codeine
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
NAPPI
CODE
779814
781169
783633
785164
787078
789739
805327
805335
703958
715123
797081
857556
872695
702080
702172
705889
705913
707627
708054
710636
715077
715247
715471
715472
720291
725323
740861
746789
783145
783595
788120
789976
792144
PRODUCT NAME
Co-flem
Mucospect paed
Lessmusec
Flemlite
Adco-mucolinct
Flemgo
Mucoless s
Mucoless
Antituss cough
Codeine phos
Syr codeine phos
Syr cod phos - Allied
Syr codeine phos
Allergin expect
Phenorant
Benylin childrens
Amcough
Benylin cough
Betalin
Broncleer for children
Cocillana compound
Solucof
Expigen wet cough peppermint
Expigen cough syrup cherry flavour
Diphenhydramine exp
Expigen
Medituss expect
Nethaprin expect
Histodor expect
Famtuss
Becof
Medilyn solution
Bencough expectorant
STRENGTH/
PACK SIZE
250mg/5mL
125mg/5mL
250mg/5mL
250mg/5mL
250mg/5mL
250mg/5mL
375mg
30mg
150ML
100ML
200ML
100ML
100ML
100ML
200ML
200ML
100ML
2500ML
100ML
100ML
DOSAGE
FORM
SYR
SYR
CAP
SYR
SYR
SYR
SYR
CAP
SYR
TAB
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SOL
SYR
GENERIC NAME
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
dextromethorphan
dextromethorphan
dextromethorphan
guaifenesin
guaifenesin
guaifenesin
guaifenesin
mesna
noscapine
opium derivatives and expectorants
NAPPI
CODE
803081
805343
805491
810649
823554
824402
862312
895032
709817
710032
710687
819743
827304
862037
710568
710881
715166
717606
732400
736236
738239
747122
754846
708132
710652
789119
708182
708183
708184
882829
743976
747114
702521
PRODUCT NAME
Clear cough
Expectalin
Tusquit elixir
Diphenhydramine expect - Allied
Relief-coff expect
Genhydramine expect
Famstim
Amcough
Duro-tuss linctus 2.41mg/4mg
Bisolvon linctus da
Bronkese compound
Flemeze
Adco-linctopent
Benylin chesty
Codomil new formula
Brunacod
Codef cough
Dequa-coff
Ilvico
Lenazine forte
Linctodyl
Nitecall
Phensedyl
Dilinct dry
Broncol cough
Benylin dry cough
Flutex cough mixture honey
Flutex cough mixture orange
Flutex cough mixture blackcurrant
Dilinct Junior
Mistabron 12.5ml
Nitepax
Phenorant with codeine
STRENGTH/
PACK SIZE
100ML
100ML
100ML
100ML
200ML
100ML
100ML
100ML
100ML
100ML
100ML
100ML
100ML
100ML
100ML
100ML
180ML
100ML
15mg/5mL
200ML
15mg/5mL
100mg/5mL
100mg/5mL
100mg/5mL
100mg/5mL
25mg/5mL
100ML
DOSAGE
FORM
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
NAS
SYR
SYR
GENERIC NAME
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
opium derivatives and expectorants
pholcodine
pholcodine
pholcodine
pholcodine
pholcodine
pholcodine
pholcodine
pholcodine
pholcodine
NAPPI
CODE
703351
707600
715484
716073
716510
716529
726923
739405
757233
773115
773166
792195
805351
859745
715972
727008
755206
755214
760129
771074
818356
821373
853569
PRODUCT NAME
Phenorant with codeine
Benylin & codeine
Colphen
Corbar linctus
Coughcod senior
Coughcod junior
Flutex cough linct
Lotussin linctus
Procof
Tussilinct cough
Tussitot cough
Acutussive paed expect
Expectalin with cod
Broncleer & cod unboxed
Contracof
Folcofen
Pholtex
Pholcolinct
Respinol co-linctus
Tixylix cough
Pholtex junior
Docsed
Pholtex forte
STRENGTH/
PACK SIZE
100ML
100ML
100ML
4,052mg/5mL
100ML
100ML
5mg/5mL
100ML
15mg/5mL
DOSAGE
FORM
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SUS
SYR
SYR
0.14MG
50mcg
50mcg
50mcg
100mcg
50mcg
50mcg
64mcg
NAS
AQS
AQS
AQS
AQS
AQS
AQS
AQS
100ML
100ML
200ML
100ML
100ML
100ML
100ML
100ML
100ML
100ML
NASAL PREPARATIONS
azelastine
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
beclometasone
budesonide
815527
702939
707198
820709
824518
838462
897937
703203
Rhinolast nasal spray
Ciplanaze multicare 150dose
Beconase aqueous 200dose
Beclate aquanase 150dose
Ventnaze aqueous 200dose
Anceron aqueous 200dose
Clenil aqueous 200dose
Rhinocort aqua 10ml 120dose
GENERIC NAME
budesonide
budesonide
budesonide
budesonide
budesonide
ciclesonide
combinations
combinations
combinations
combinations
combinations
combinations
combinations
cromoglicic acid
fluticasone
fluticasone
fluticasone
fluticasone
fluticasone furoate
levocabastine
mometasone
mometasone
mometasone
mometasone
mupirocin
oxymetazoline
oxymetazoline
oxymetazoline
oxymetazoline
oxymetazoline
oxymetazoline
oxymetazoline
oxymetazoline
NAPPI
CODE
703209
712253
712614
864145
879568
718730
700305
775959
775983
775991
794414
826294
836540
804649
704383
714595
787795
878758
712866
839965
713968
716718
883253
883261
787000
702618
702620
708510
721387
721425
721433
721441
721484
PRODUCT NAME
Rhinocort aqua 10ml 120dose
Inflanaze 200 doses 10ml
Spec-budesonide 10ml 200dose
Budeflam aquanase 150dose
Inflanaze aqueous 200dose
Omnair 120 Dose
Vicks sinex decongestant
Vibrocil-s 12g
Vibrocil 12g
Vibrocil microdoser
Vibrocil-s microdose
Naseptin
Vibrocil 15ml
Vividrin nasal spray
Flomist 120dose
Flonase 120 dose
Flixonase aqueous 120dose
Flixonase nasules
Avamys 120 dose
Sinumax allergy n.s. 15ml
Nexomist 140 metered doses
Rinelon 60 dose
Nasonex aqueous 140dose
Rinelon aqueous 140dose
Bactroban nasal 3g
Drinasal paediatric 10ml
Drinasal metered 10m
Iliadin
Dristan long lasting vapour
Drixine paed 10ml
Drixine 10ml
Drixine 20ml
Drixine paed pump
STRENGTH/
PACK SIZE
32mcg
100mcg
100mcg
100mcg
50mcg
50UG
12G
12G
15mL
15mL
15G
15ML
15mL
50mcg
50mcg
50mcg
400mcg
27,5mcg/1dose
0.5MG/1ML/15ML
50mcg
50mcg/1dose
50mcg
50mcg/1dose
2G/100G/3G
0,025%
0,025%
0,01%
0,5mg/1g
0,025%
0,05%
0,05%
0,025%
DOSAGE
FORM
AQS
AQS
NAS
AQS
AQS
NAS
NAS
NAG
NAG
NAS
NAS
CRE
NOD
NAS
AQS
AQS
AQS
NSS
NAS
NAS
AQS
AQS
AQS
AQS
NAG
NOD
NAS
NOD
NAS
NOD
NOD
NAS
NAS
GENERIC NAME
oxymetazoline
oxymetazoline
oxymetazoline
oxymetazoline
oxymetazoline
oxymetazoline
oxymetazoline
oxymetazoline
phenylephrine
phenylephrine
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
NAPPI
CODE
732257
732265
732281
732303
732338
783870
814199
897326
836133
836141
703310
703893
704043
704332
704830
714203
715255
715506
716170
717932
723258
725544
726915
729515
731218
731234
760110
773875
796832
800619
807486
807648
814105
PRODUCT NAME
Iliadin nose adult
Iliadin metered 0.05% adult
Iliadin nose paed 10ml
Iliadin 20ml
Iliadin metered 0.025% paed
Dristan long lasting vapour
Drixine adult pump
Vicks sinex decongestant
Naphensyl 10ml
Naphensyl paed 10ml
Flutex junior cold & flu-alcohol free
Antiflu
Adco-sinal ns
Colcleer paediatric
Grippon cold and flu
Corenza cold and flu
Colcaps
Colstat
Corenza c
Dequa-flu
Endcol cold and flu
Famucaps
Flutex
Grippon
Histamed co
Histacon
Respinol syrup
Sinu-flu
Sinustat flu
Expectotussin c
Ilvico
Flustat
Betalix decongestant elixir
STRENGTH/
PACK SIZE
0,05%
0,025%
0,05%
0,5mg/1g
0,05%
0.5MG/1ML/15ML
0,25%
100ML
100ML
100ML
100ML
DOSAGE
FORM
NOD
NAS
NOD
NAS
NAS
NAS
NAS
NAS
NOD
NOD
SYR
TAB
CAP
SYR
TAB
SYR
CAP
CAP
EFT
CAP
CAP
CAP
CAP
CAP
CAP
CAP
SYR
TAB
CAP
SYR
CAP
CAP
SYR
GENERIC NAME
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylephrine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
Phenylpropanolamine combinations
pseudoephedrine
pseudoephedrine
pseudoephedrine
pseudoephedrine
pseudoephedrine
pseudoephedrine
pseudoephedrine
pseudoephedrine
pseudoephedrine
pseudoephedrine
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
NAPPI
CODE
814830
819964
873322
884995
885004
713279
715867
764000
764191
764213
779938
791148
791296
795364
796824
797618
807656
700455
767212
767220
791385
794872
796964
796972
799440
808571
808598
700463
700770
700789
700797
700827
700843
PRODUCT NAME
Degoran fizzy
Corenza para-c
Kiddyflu
Degoran plus
Degoran c
Cepacol linct
Contac
Si-nade
Sinutab
Sinutab & codein
Sinutab nd
Adco-sinal co
Sinustop
Sinuclear
Sinustat flu
Sinustat
Flustat
Drinasal s
Sudafed sinus
Sudafed Paed
Drixine syrup
Symptofed
Adco-sufedrin
Adco-sufedrin
Drilix
Sinu-med
Sinu-med
Sinumax allergy sinus ped liquid
Actifed
Actifed
Actifed co linctus
Actifed dm cough
Actigesic
STRENGTH/
PACK SIZE
100ML
600MG
200ML
200ML
30mg/5mL
60mg
30MG/5ML/100ML
30mg/5mL
60mg
30mg/5mL
60mg
30mg/5mL
60mg
30mg/5mL
100ML
100ML
100ML
DOSAGE
FORM
EFT
EFT
SYR
TAB
CAP
SYR
CAP
CAP
TAB
TAB
TAB
TAB
TAB
CAP
SYR
CAP
SYR
SYR
TAB
SYR
SYR
TAB
SYR
TAB
SYR
TAB
SYR
SYR
SYR
TAB
SYR
SYR
TAB
GENERIC NAME
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
NAPPI
CODE
702941
703853
703964
704121
704360
704581
705070
705072
706070
706321
706773
707952
708686
709775
711236
714955
715263
716132
716133
716134
717079
717792
723126
726710
738212
738220
764272
767239
779636
779849
791377
792365
794295
PRODUCT NAME
Sinutab 3-way
Acuflu p (alcohol and sugar free)
Sinuclear paed alcohol & sugar free
Dimetapp paediatric elixir
Benylin four flu tablets
Decongess plus
Endcol c effervescent
Flutex effervescent
Respinol expectorant
Flusin sinus
Sinutab sinus allergy congestion
Benylin for colds
Sinutab sinus allergy congestion and pai
Degoran cold and flu hot medicated drink
Sudafed sinus pain 500mg/30mg
Sinutab sinus pain non-drowsy
Colcaps
Sinuclear cough
Flusin expectorant
Flusin sinus
Flusin junior cough
Sinutab sinus pain extra strength
Emprazil a
Fluend
Linctifed wet cough regular
Linctifed wet cough
Sinumax
Actifed wet cough
Sudafed sinus pain 500mg
Acugest expect
Drixine repetabs
Actifed cold and fever paed
Acugest
STRENGTH/
PACK SIZE
100ML
100ML
118ML
100ML
100ML
100ML
100ML
100ML
100ML
100ML
100ML
100ML
DOSAGE
FORM
TAB
SYR
SYR
SYR
TAB
CAP
EFT
EFT
SYR
TAB
SRT
TAB
TAB
SAC
TAB
TAB
SYR
SYR
SYR
SYR
SYR
TAB
TAB
CAP
SYR
SYR
TAB
SYR
TAB
SYR
TAB
SYR
SYR
GENERIC NAME
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
Pseudoephedrine combinations
triamcinolone
xylometazoline
xylometazoline
NAPPI
CODE
794589
795623
797405
797979
797987
799475
806218
806226
806269
808288
808717
813974
820806
826146
826596
826847
827177
827355
827460
834262
835536
835544
853003
854530
865508
867128
873985
881570
882437
893463
895149
702940
703557
PRODUCT NAME
Demazin ns repetab
Advil cs
Coryx
Flusin dm
Flusin c
Trifen exp adult
Adco-flupain
Adco-tussend
Trifen exp paed
Benylin dmd
Medifed linctus
Sinumax co
Flusin s effervescent
Sinumax ped
Link dinexol
Nurofen cold and flu
Cofendyl
Fludactil co linctus
Coryx paediatric
Sinumax allergy sinus caplet
Decofed
Decofed
Betafed
Flusin
Degoran hot medicated drink
Sinumax cold & flu
Acugest dm adult
Benylin four flu
Clarityne d od
Sinugesic
Nasacor T 120dose
Sinutab nasal spray 10ml
Otrivin menthol metered-dose
STRENGTH/
PACK SIZE
100ML
100ML
100ML
100ML
100ML
100ML
100ML
200ML
100ML
100ML
100ML
100ML
100ML
100ML
200ML
55mcg
0,1%
10ML
DOSAGE
FORM
TAB
TAB
EFT
SYR
SYR
SYR
SYR
SYR
SYR
SYR
SYR
TAB
EFT
SYR
CAP
TAB
SYR
SYR
SYR
CAP
TAB
SYR
SYR
CAP
SAC
CAP
SYR
SYR
SRT
TAB
NAS
NAS
NAS
GENERIC NAME
xylometazoline
xylometazoline
xylometazoline
xylometazoline
NAPPI
CODE
798991
799114
821934
821942
PRODUCT NAME
Otrivin adult
Otrivin paed
Otrivin metered adult
Otrivin metered paediatric
STRENGTH/
PACK SIZE
0,1%
0,05%
DOSAGE
FORM
NOD
NOD
NAS
NAS
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
DRUGS USED IN DIABETES
acarbose
acarbose
chlorpropamide
chlorpropamide
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
glibenclamide
glibenclamide
glibenclamide
glibenclamide
glibenclamide
gliclazide
gliclazide
gliclazide
gliclazide
gliclazide
gliclazide
gliclazide
gliclazide
gliclazide
gliclazide
808156
808164
714062
719412
702086
702089
705074
706761
706762
783811
853437
853461
861782
863572
717452
729361
781258
827053
894502
700639
700717
702923
705759
705760
707587
709538
714582
714909
716953
Glucobay
Glucobay
Hypomide
Diabinese
Novomix 30 flexpen 3ml
Novomix 30 penfill 3ml
Humalog mix 50 cartridge 3ml
Humalog mix 25 kwikpen 3ml
Humalog mix 50 kwikpen 3ml
Humulin 30/70 vial 10ml
Humalog mix 25 vial 10ml
Humalog mix 25 penset 3ml
Humalog mix 25 cartridge 3ml
Humulin 30/70 cartridge 3ml
Daonil
Glycomin
Sandoz glibenclamide
Bio-glibenclamide
Diacare
Mylan gliclazide
Glygard
Diamicron mr
Austell-gliclazide
Austell-gliclazide
Alembic gliclazide
Arrow gliclazide
Diaglucide mr
Diaran mr
Dyna gliclazide sr
50mg
100mg
250mg
250mg
100u/1mL
100u/1mL
100u/1mL
3ML
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
5mg
5mg
5mg
5mg
5mg
80mg
80mg
30mg
40mg
80mg
80mg
80mg
30mg
30mg
30mg
TAB
TAB
TAB
TAB
INJ
INJ
INJ
INJ
INJ
VIA
VIA
INJ
INJ
INJ
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRT
TAB
TAB
TAB
TAB
SRT
SRT
SRT
GENERIC NAME
gliclazide
gliclazide
gliclazide
gliclazide
gliclazide
gliclazide
gliclazide
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
NAPPI
CODE
718245
718247
719463
834599
834866
838209
868906
704362
704363
704364
704673
704674
704675
707388
707389
707390
708005
708006
708007
709984
709985
709986
710207
710208
710209
710904
710905
710906
711377
711908
711909
711910
714854
PRODUCT NAME
Diamicron mr
Diaglucide mr
Diamicron
Adco-glucomed
Sandoz gliclazide
Glycron
Diaglucide
Glamaryl
Glamaryl
Glamaryl
Sandoz glimepiride
Sandoz glimepiride
Sandoz glimepiride
Glimehexal
Glimehexal
Glimehexal
Diaglim
Diaglim
Diaglim
Mylan glimepiride
Mylan glimepiride
Mylan glimepiride
Euglim
Euglim
Euglim
Sulphonur
Sulphonur
Sulphonur
Amaryl
Zydus-glimepiride
Zydus-glimepiride
Zydus-glimepiride
Aspen glimepiride
STRENGTH/
PACK SIZE
60mg
60mg
80mg
80mg
80mg
80mg
80mg
1mg
2mg
4mg
1mg
2mg
4mg
1mg
2mg
4mg
1mg
2mg
4mg
1mg
2mg
4mg
1mg
2mg
4mg
1mg
2mg
4mg
3mg
1mg
2mg
4mg
1mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glimepiride
glipizide
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin (human)
insulin aspart
insulin aspart
insulin aspart
insulin detemir
NAPPI
CODE
714855
714856
716714
716715
716716
717076
717077
717078
831557
831565
831573
743666
704457
712767
733431
863564
700183
712768
733458
733482
853453
863556
704456
710299
712770
714977
733512
816213
712769
707927
897767
897775
705312
PRODUCT NAME
Aspen glimepiride
Aspen glimepiride
Accord glimepiride
Accord glimepiride
Accord glimepiride
Austell glimepiride
Austell glimepiride
Austell glimepiride
Amaryl
Amaryl
Amaryl
Minidiab
Humulin r disposable pen 3ml
Biosulin r cartridge 3ml
Humulin r vial 10ml
Humulin r cartridge 3ml
Protaphane flexpen 3ml
Biosulin n cartridge 3ml
Humulin n vial 10ml
Protaphane hm(ge) vial 10ml
Humulin n kwickpen 3ml
Humulin n cartridge 3ml
Humulin 30/70 kwikpen 3ml
Insuman comb 30/70 cartridge 3ml
Biosulin 30-70 cartridge 3ml
Actraphane hm (ge) flexpen 3ml
Actraphane hm(ge) vial 10ml
Actraphane hm(ge) penset 3.0ml
Biosulin l cartridge 3ml
Novorapid vial 10ml
Novorapid flexpen penset 3ml
Novorapid penfill 3ml
Levemir flexpen prefilled 3ml
STRENGTH/
PACK SIZE
2mg
4mg
1mg
2mg
4mg
1mg
2mg
4mg
1mg
2mg
4mg
5mg
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
INJ
INJ
VIA
INJ
INJ
INJ
VIA
VIA
INJ
INJ
INJ
INJ
INJ
INJ
VIA
INJ
INJ
VIA
INJ
INJ
INJ
GENERIC NAME
insulin detemir
insulin glargine
insulin glargine
insulin glargine
insulin glargine
insulin glargine
insulin glulisine
insulin glulisine
insulin glulisine
insulin glulisine
insulin lispro
insulin lispro
insulin lispro
insulin lispro
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
NAPPI
CODE
705313
700308
700310
701783
709860
710366
706039
706040
709861
710367
706760
819468
853445
862355
702363
702385
703909
705358
705757
705758
706672
706673
707669
707670
708009
708010
708281
708282
709172
709246
709247
709338
709339
PRODUCT NAME
Levemir prefilled cartridge 3ml
Lantus cartridge 3ml
Lantus vial 10ml
Lantus optiset disposable pen 3ml
Lantus solostar disposable pen 3ml
Lantus l optiset penset 3ml
Apidra cartridges 3ml
Apidra vial 10ml
Apidra solostar disposable pens 3ml
Apidra l optiset penset 3ml
Humalog kwikpen 3ml
Humalog vial 10ml
Humalog penset 3ml
Humalog cartridge 3ml
Metforal
Metforal
Glucophage
Diabetmin
Austell-metformin
Austell-metformin
Arrow metformin
Arrow metformin
Apex-metformin forte
Apex-metformin
Forminal
Forminal
Bigsens
Bigsens
Bigsens
Metphage
Metphage
Indo metformin fc
Indo metformin fc
STRENGTH/
PACK SIZE
100u/1mL
100iu/1mL
100iu/1mL
100u/1mL
100u/1mL
100u/1mL
100iu/1mL
100iu/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
100u/1mL
850mg
500mg
1000mg
850mg
500mg
850mg
500mg
850mg
850mg
500mg
500mg
850mg
500mg
850mg
1000mg
500mg
850mg
500mg
850mg
DOSAGE
FORM
INJ
INJ
INJ
INJ
INJ
INJ
INJ
VIA
INJ
INJ
INJ
VIA
INJ
INJ
TAB
TAB
TAB
TAB
FCT
FCT
TAB
TAB
TAB
TAB
TAB
TAB
FCT
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin
metformin and sitagliptin
metformin and sitagliptin
NAPPI
CODE
710196
711636
711638
711773
714186
714187
714426
714427
714525
714526
714680
714681
714683
715936
715937
718231
718232
718827
718828
719285
719293
719643
719784
719785
719786
729159
729167
815225
815233
897957
897961
717788
717790
PRODUCT NAME
Glucophage xr
Metored
Metored
Metored
Diamin
Diamin
Accord metformin
Accord metformin
Gluconorm
Gluconorm
Mengen
Mengen
Mengen
Diaformin
Diaformin forte
Metchek
Metchek
Metformin Alkem
Metformin Alkem
Sandoz metformin
Sandoz metformin
Romidab
Diaphage
Diaphage
Diaphage
Glucophage
Glucophage forte
Sandoz metformin FCT
Sandoz metformin FCT
Mylan metformin
Mylan metformin
Janumet 50mg/500 mg
Janumet 50mg/850mg
STRENGTH/
PACK SIZE
500mg
500mg
850mg
1000mg
500mg
850mg
850mg
500mg
500mg
850mg
500mg
850mg
1000mg
500mg
850mg
500mg
850mg
850MG
500MG
500mg
850mg
500MG
500MG
850MG
1000MG
500mg
850mg
500mg
850mg
500mg
850mg
500/50MG
850/50MG
DOSAGE
FORM
SRT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
FCT
FCT
TAB
TAB
TAB
TAB
GENERIC NAME
metformin and sitagliptin
metformin and sulfonamides
metformin and sulfonamides
metformin and sulfonamides
metformin and sulfonamides
metformin and vildagliptin
metformin and vildagliptin
pioglitazone
pioglitazone
pioglitazone
pioglitazone
pioglitazone
pioglitazone
pioglitazone
saxagliptin
saxagliptin
sitagliptin
sitagliptin
sitagliptin
vildagliptin
NAPPI
CODE
717791
701109
701111
701112
718106
717636
717637
707974
707981
718148
718150
718151
878243
878251
716640
716641
717785
717786
717787
715554
PRODUCT NAME
Janumet 50mg/1000mg
Glucovance 250/1,25
Glucovance 500/2,5
Glucovance 500/5
Amaryl combi 2mg/500mg
Galvus met 50mg/850mg
Galvus met 50 mg/1000mg
Cipla-pioglitazone
Cipla-pioglitazone
Accord pioglitazone
Accord pioglitazone
Accord pioglitazone
Actos
Actos
Onglyza
Onglyza
Januvia
Januvia
Januvia
Galvus
STRENGTH/
PACK SIZE
1000/50MG
250mg;1,25mg
500mg;2,5mg
500mg;5mg
500MG
50/850MG
50/1000MG
15mg
30mg
15mg
30mg
45mg
15mg
30mg
2,5mg
5mg
25mg
50mg
100mg
50mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
1mg
INJ
PANCREATIC HORMONES
glucagon
821365 Glucagen hypokit
DIAGNOSTIC AGENTS
glucose
glucose
glucose
glucose
glucose
glucose
glucose
glucose
700893
701260
702690
705298
705372
811394
831662
831743
Freestyle test strips 12050
Ascensia entrust test strips
Onetouch ultra test
Glucoplus
Glucoplus provider strips
Ascensia elite ts(glucometer) 3946a
Urichek-glucose
Accutrend glucose strips
STR
STR
STR
STR
STR
STR
STR
STR
GENERIC NAME
glucose
glucose
glucose
glucose
glucose
glucose
NAPPI
CODE
831778
832014
867497
890558
890752
899445
PRODUCT NAME
Azostix
Haemo-glukotest
Glucose test strips m1
Reflotron glucose
Ascencia glucodisc
Surestep strips hospital
STRENGTH/
PACK SIZE
DOSAGE
FORM
STR
STR
STR
STR
STR
STR
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
LIPID MODIFYING AGENTS
HMG CoA reductase inhibitors, fibrates and bile acid sequestrants
colestyramine
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
836559
704186
708121
708122
710912
711621
712170
713522
714071
714072
714073
714074
714075
714076
714077
714078
714370
714371
714372
714373
716615
716616
716617
718073
718074
718075
718218
Questran lite
Lipitor
Aspavor
Aspavor
Aspavor
Atorvastatin unicorn
Atorvastatin unicorn
Atorvastatin unicorn
Lipogen
Lipogen
Lipogen
Lipogen
Ran-atorvastatin
Ran-atorvastatin
Ran-atorvastatin
Ran-atorvastatin
Atolip
Atolip
Atolip
Atolip
Atorvastatin winthrop
Atorvastatin winthrop
Atorvastatin winthrop
Adco atorvastatin
Adco atorvastatin
Adco atorvastatin
Dynator
4G
80mg
10mg
20mg
40mg
10mg
20mg
40mg
10mg
20mg
40mg
80mg
10mg
20mg
40mg
80mg
10mg
20mg
40mg
80mg
10mg
20mg
40mg
10mg
20mg
40mg
10mg
SAC
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
atorvastatin
bezafibrate
bezafibrate
bezafibrate
bezafibrate
bezafibrate
fluvastatin
fluvastatin
fluvastatin
fluvastatin
lovastatin
lovastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
NAPPI
CODE
718219
718220
718221
718933
718934
718935
718936
719185
719186
719187
719366
719367
719368
719369
831484
831492
886015
708453
710122
710337
779644
828300
700963
718208
813664
813672
703905
703906
704583
704584
704585
705212
705213
PRODUCT NAME
Dynator
Dynator
Dynator
Vastor
Vastor
Vastor
Vastor
Astor
Astor
Astor
Lestavor
Lestavor
Lestavor
Lestavor
Lipitor
Lipitor
Lipitor
Bezalip
Dyna-bezafibrate sr
Bezachole sr
Bezalip retard
Sandoz bezafibrate
Lescol xl
Vaticol xl
Lescol
Lescol
Lovachol
Lovachol
Pranalip
Pranalip
Pranalip
Aspen pravastatin
Aspen pravastatin
STRENGTH/
PACK SIZE
20mg
40mg
80mg
10MG
20MG
40MG
80MG
10MG
20MG
40MG
10MG
20MG
40MG
80MG
10mg
20mg
40mg
200mg
400mg
400mg
400mg
400mg
80mg
80mg
20mg
40mg
40mg
20mg
10mg
20mg
40mg
10mg
20mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRT
SRT
SRT
SRT
SRT
SRT
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
pravastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
NAPPI
CODE
705214
705901
705902
705903
710974
710975
710976
710977
712952
714336
714337
714338
715709
715710
715711
717073
717074
717075
839655
705988
705989
705990
710892
717520
717521
717522
719081
719082
719083
719084
719194
719195
719197
PRODUCT NAME
Aspen pravastatin
Sandoz pravastatin
Sandoz pravastatin
Sandoz pravastatin
Colite
Colite
Colite
Colite
Novales
Arrow pravastatin
Arrow pravastatin
Arrow pravastatin
Pixeta
Pixeta
Pixeta
Austell pravastatin
Austell pravastatin
Austell pravastatin
Prava
Crestor
Crestor
Crestor
Crestor
Zuvamor
Zuvamor
Zuvamor
Vusor
Vusor
Vusor
Vusor
Storwin
Storwin
Storwin
STRENGTH/
PACK SIZE
40mg
10mg
20mg
40mg
10mg
20mg
40mg
80mg
20mg
10mg
20mg
40mg
10mg
20mg
40mg
10mg
20mg
40mg
40mg
20mg
10mg
40mg
5mg
10mg
20mg
40mg
5MG
10MG
20MG
40MG
10MG
20MG
40MG
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
FCT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
rosuvastatin
rosuvastatin
rosuvastatin
rosuvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
NAPPI
CODE
719249
719251
719252
719253
700519
700520
701276
701279
701281
703525
703526
703527
704174
705076
705077
705281
705282
705382
705464
705465
705467
706566
706714
706715
706716
707089
707090
707091
707870
707871
707873
708307
708308
PRODUCT NAME
Rosvator
Rosvator
Rosvator
Rosvator
Simvacor
Simvacor
Adco-simvastatin
Adco-simvastatin
Adco-simvastatin
Simvotin
Simvotin
Simvotin
Simcard
Lipidex
Lipidex
Simcard
Simcard
Mylan simvastatin
Austell-simvastatin
Austell-simvastatin
Austell-simvastatin
Simcard
Aspen simvastatin
Aspen simvastatin
Aspen simvastatin
Arrow simvastatin
Arrow simvastatin
Arrow simvastatin
Simayla simvastatin
Simayla simvastatin
Simayla simvastatin
Cipla-simvastatin
Cipla-simvastatin
STRENGTH/
PACK SIZE
5MG
10MG
20MG
40MG
10mg
20mg
10mg
20mg
40mg
10mg
20mg
40mg
40mg
10mg
20mg
10mg
20mg
20mg
10mg
20mg
40mg
80mg
10mg
20mg
40mg
10mg
20mg
40mg
10mg
20mg
40mg
10mg
20mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
NAPPI
CODE
708463
709668
709822
709823
710511
710513
710826
710827
710828
710829
710868
710869
710870
710871
711232
711234
711235
713487
713488
713489
714705
714706
783951
783978
836265
PRODUCT NAME
Simvacor
Biovac simvastatin
Biovac simvastatin
Biovac simvastatin
Cipla-simvastatin
Cipla-simvastatin
Zysim
Zysim
Zysim
Zysim
Michol
Michol
Michol
Michol
Redicor
Redicor
Redicor
Simzor
Simzor
Simzor
Choleste
Choleste
Zocor
Zocor
Zocor
STRENGTH/
PACK SIZE
40mg
10mg
20mg
40mg
40mg
80mg
10mg
20mg
40mg
80mg
10mg
20mg
40mg
80mg
10mg
20mg
40mg
10mg
20mg
40mg
20mg
40mg
10mg
20mg
40mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
10/10MG
10/20MG
5/10MG
5/20MG
5/40MG
5/80MG
TAB
TAB
TAB
TAB
TAB
TAB
HMG CoA reductase inhibitors, other combinations
atorvastatin and amlodipine
atorvastatin and amlodipine
atorvastatin and amlodipine
atorvastatin and amlodipine
atorvastatin and amlodipine
atorvastatin and amlodipine
705835
705836
705837
705838
708830
708834
Caduet 10mg/10mg
Caduet 10mg/20mg
Caduet 5mg/10mg
Caduet 5mg/20mg
Caduet 5mg/40mg
Caduet 5mg/80mg
GENERIC NAME
atorvastatin and amlodipine
atorvastatin and amlodipine
NAPPI
PRODUCT NAME
CODE
708835 Caduet 10mg/40mg
708837 Caduet 10mg/80mg
STRENGTH/
PACK SIZE
10/40MG
10/80MG
DOSAGE
FORM
TAB
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM
conjugated estrogens
conjugated estrogens
conjugated estrogens
conjugated estrogens
cyproterone
cyproterone
cyproterone
cyproterone
cyproterone and estrogen
cyproterone and estrogen
cyproterone and estrogen
cyproterone and estrogen
cyproterone and estrogen
cyproterone and estrogen
cyproterone and estrogen
cyproterone and estrogen
danazol
danazol
danazol
desogestrel and ethinylestradiol
desogestrel and ethinylestradiol
dienogest and estradiol
drospirenone and estrogen
drospirenone and ethinylestradiol
drospirenone and ethinylestradiol
drospirenone and ethinylestradiol
dydrogesterone
dydrogesterone and estrogen
dydrogesterone and estrogen
756725
756733
756741
832448
703583
791970
836281
899089
705607
706126
707378
707875
818550
825859
897214
897311
735663
735671
893940
825964
825972
716676
703438
700089
712856
716207
795682
703107
703108
Premarin
Premarin
Premarin
Premarin
Androcur
Androcur
Androcur
Cipla-cyproterone acetate
Cyprene-35 ed
Adco-fem 35
Claro 35
Diva-35
Climen
Diane-35
Ginette
Minerva
Ladazol
Ladazol
Danogen
Marvelon 150/30
Mercilon
Qlaira
Angeliq
Yasmin
Yaz
Ruby
Duphaston 10mg
Femoston-conti
Femoston 1/10
0,3mg
0,625mg
1,25mg
0.625MG/42.5G
50mg
10mg
100mg
50mg
200mg
100mg
100mg
10mg
1/10MG
TAB
TAB
TAB
VCR
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
CAP
CAP
TAB
TAB
TAB
FCT
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estradiol
estriol
estriol
estrone
gestodene and ethinylestradiol
gestodene and ethinylestradiol
gestodene and ethinylestradiol
gestodene and ethinylestradiol
gestodene and ethinylestradiol
gestodene and ethinylestradiol
levonorgestrel
NAPPI
CODE
706049
706052
706053
706054
706055
750301
757330
757349
794252
810290
819875
822477
822485
823007
823015
823023
824631
824658
825883
834920
834939
834971
893919
827452
832464
817252
825905
826014
842893
879576
880418
825816
710109
PRODUCT NAME
Estradot
Estradot
Estradot
Estradot
Estradot
Oestradiol
Progynova
Progynova
Vagifem
Evorel 50 tts
Femigel pump
Estro-pause
Estro-pause
Evorel 25 tts
Evorel 75 tts
Evorel 100 tts
Climara 50
Climara 100
Estrofem
Estraderm tts 100mcg/day
Estraderm tts 25mcg/day
Estraderm tts 50mcg/day
Estrofem
Synapause-e3
Synapause vag
Ortho-est
Femodene ed
Minulette
Melodene
Minesse
Mirelle
Triodene ed
Escapelle
STRENGTH/
PACK SIZE
25mcg
37,5mcg
50mcg
75mcg
100mcg
20mg
1mg
2mg
25MCG
3.2MG/8PK
1.5MG/80G
1mg
2mg
1.6MG/8PK
4.8MG/8PK
6.4MG/8PK
3.8MG/4PK
7.8MG/4PK
2mg
1mg
2mg
0.5MG/0.5G/15G
0,625mg
1,5mg
DOSAGE
FORM
PTD
PTD
PTD
PTD
PTD
IMP
TAB
TAB
VAT
PTD
GEL
TAB
TAB
PTD
PTD
PTD
PTD
PTD
TAB
PTD
PAT
PTD
TAB
TAB
VCR
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
levonorgestrel
levonorgestrel
levonorgestrel and ethinylestradiol
levonorgestrel and ethinylestradiol
levonorgestrel and ethinylestradiol
levonorgestrel and ethinylestradiol
levonorgestrel and ethinylestradiol
medroxyprogesterone
medroxyprogesterone
medroxyprogesterone
medroxyprogesterone
medroxyprogesterone
medroxyprogesterone and estrogen
medroxyprogesterone and estrogen
medroxyprogesterone and estrogen
medroxyprogesterone and estrogen
medroxyprogesterone and estrogen
norelgestromin and ethinylestradiol
norethisterone
norethisterone
norethisterone and estrogen
norethisterone and estrogen
norethisterone and estrogen
norethisterone and estrogen
norethisterone and estrogen
norethisterone and estrogen
norethisterone and estrogen
norethisterone and estrogen
norethisterone and estrogen
norethisterone and estrogen
norethisterone and estrogen
norethisterone and estrogen
norethisterone and ethinylestradiol
NAPPI
CODE
826006
880612
826030
826049
825808
825832
825956
706704
706705
757934
808245
718440
853402
853410
705895
834165
853429
704091
757012
825999
708906
708907
820024
837873
881112
714288
714289
822493
822507
825913
836583
837865
826081
PRODUCT NAME
Microval
Norlevo
Nordette
Nordiol
Biphasil
Triphasil
Logynon ed
Hexal-MPA
Hexal-MPA
Provera
Provera
Depo-provera 1ml
Premelle
Premelle
Premelle LD
Trivina
Premelle-cycle 5
Evra
Primolut n
Micro-novum
Estalis 50/250
Estalis 50/140
Kliogest
Evorel conti
Activelle
Estalis sequi plus 50/250
Estalis sequi plus 50/140
Estro-pause n
Estro-pause n forte
Trisequens
Estracombi tts
Evorel sequi
Norinyl-one
STRENGTH/
PACK SIZE
30MCG/28PK
0.75MG
5mg
10mg
5mg
10mg
150mg/1mL
2,5mg
5mg
5mg
30MCG/28PK
50/250/8PK
50/140/8PK
50/250/8PK
50/140/8PK
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
INJ
TAB
TAB
TAB
TAB
TAB
PTD
TAB
TAB
PTD
PTD
TAB
PTD
TAB
PTD
PTD
TAB
TAB
TAB
PTD
PTD
TAB
GENERIC NAME
norethisterone and ethinylestradiol
norethisterone and ethinylestradiol
norgestimate and ethinylestradiol
norgestimate and ethinylestradiol
norgestrel and estrogen
norgestrel and ethinylestradiol
progesterone
progesterone
progesterone
Tibolon
NAPPI
CODE
704903
826073
702542
847380
825980
826138
705334
717195
851957
797111
PRODUCT NAME
Novofem
Trinovum
Cilest
Tricilest
Postoval
Ovral
Crinone 8%
Utrogestan
Utrogestan
Livifem
STRENGTH/
PACK SIZE
200mg
100mg
2,5mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
VAG
CAP
CAP
TAB
2,5mg
2,5mg
0,5mg
0,5mg
TAB
TAB
TAB
TAB
5mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
OTHER GYNECOLOGICALS
Prolactine inhibitors
bromocriptine
bromocriptine
cabergoline
cabergoline
704593
752959
716420
842109
Aspen bromocriptine
Parlodel
Arigoline
Dostinex
THYROID THERAPY
carbimazole
combinations of levothyroxine and liothyronine
levothyroxine sodium
levothyroxine sodium
levothyroxine sodium
levothyroxine sodium
levothyroxine sodium
levothyroxine sodium
levothyroxine sodium
levothyroxine sodium
levothyroxine sodium
levothyroxine sodium
liothyronine sodium
746398
720224
713168
713169
713172
716571
716574
716575
716576
716577
722944
722952
769983
Neo-mercazole
Diotroxin
Euthyrox
Euthyrox
Euthyrox
Synthroid
Synthroid
Synthroid
Synthroid
Synthroid
Eltroxin
Eltroxin
Tertroxin
50mcg
100mcg
25mcg
25mcg
50mcg
88mcg
100mcg
112mcg
0,05mg
0,1mg
20mcg
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
DRUGS FOR TREATMENT OF BONE DISEASES
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
alendronic acid
clodronic acid
ibandronic acid
risedronic acid
risedronic acid
risedronic acid
703937
705067
706339
709760
709865
711414
712479
715636
715713
715854
715855
715987
718742
719397
817341
897302
702516
707113
701117
716659
893158
Osteobon
Osteobon
Fosagen
Sandoz alendronate
Fosavance 70mg/70mcg
Ran-alendronate
Boniran
Aldren
Ostena
Accord alendronate
Accord alendronate
Osteonate
Femax
Alendronate Unicorn
Fosamax
Fosamax once weekly
Bonephos
Bondronat
Actonel once-a-week fc
Actamax
Actonel
10mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
10mg
70mg
70mg
70mg
70MG
10mg
70mg
800mg
50mg
35mg
35mg
5mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
ANTIEPILEPTICS
carbamazepine
carbamazepine
carbamazepine
carbamazepine
carbamazepine
carbamazepine
carbamazepine
carbamazepine
carbamazepine
clonazepam
clonazepam
clonazepam
ethosuximide
felbamate
felbamate
gabapentin
gabapentin
gabapentin
gabapentin
gabapentin
gabapentin
gabapentin
gabapentin
gabapentin
gabapentin
gabapentin
gabapentin
gabapentin
705597
705602
712493
712523
715962
769398
769401
779652
779660
761079
761087
835129
779105
704128
853216
705262
705263
707622
707623
707624
708949
708994
708995
710525
710526
710527
807443
807451
Sandoz carbamazepine cr
Sandoz carbamazepine cr
Degranol
Sandoz carbamazepine
Zeptol
Tegretol 200
Tegretol s
Tegretol cr
Tegretol cr
Rivotril
Rivotril
Rivotril
Zarontin
Taloxa
Taloxa
Neurontin
Neurontin
Epleptin
Epleptin
Epleptin
Neurexal
Neurexal
Neurexal
Ran-gabapentin
Ran-gabapentin
Ran-gabapentin
Neurontin
Neurontin
200mg
400mg
200mg
200mg
200mg
200MG
100mg/5mL
200mg
400mg
0,5mg
2mg
2,5mg/1mL
250mg/5mL
600mg/5mL
400mg
600mg
800mg
100mg
300mg
400mg
100mg
300mg
400mg
100mg
300mg
400mg
100mg
300mg
SRT
SRT
TAB
TAB
TAB
TAB
SUS
SRT
SRT
TAB
TAB
DRP
SYR
SUS
TAB
TAB
TAB
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
GENERIC NAME
gabapentin
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
NAPPI
CODE
807478
703316
704379
704380
704381
704382
704486
704487
704488
704533
705248
705249
705250
705251
705436
705440
705441
705442
706346
706347
706348
706349
707359
707360
707361
707362
707787
707788
707789
707790
709537
709539
709540
PRODUCT NAME
Neurontin
Lametec
Epitec
Epitec
Epitec
Epitec
Lamitor
Lamitor
Lamitor
Lamictin p2
Sandoz lamotrigine
Sandoz lamotrigine
Sandoz lamotrigine
Sandoz lamotrigine
Aspen lamotrigine
Aspen lamotrigine
Aspen lamotrigine
Aspen lamotrigine
Merck-lamotrigine
Merck-lamotrigine
Merck-lamotrigine
Merck-lamotrigine
Lameptil
Lameptil
Lameptil
Lameptil
Austell-lamotrigine
Austell-lamotrigine
Austell-lamotrigine
Austell-lamotrigine
Arrow lamotrigine
Arrow lamotrigine
Arrow lamotrigine
STRENGTH/
PACK SIZE
400mg
25mg
25mg
50mg
100mg
200mg
25mg
50mg
100mg
2mg
100mg
200mg
50mg
25mg
25mg
50mg
100mg
200mg
25mg
50mg
100mg
200mg
25mg
50mg
100mg
200mg
25mg
50mg
100mg
200mg
50mg
25mg
100mg
DOSAGE
FORM
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
DSP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
lamotrigine
levetiracetam
levetiracetam
levetiracetam
levetiracetam
levetiracetam
levetiracetam
levetiracetam
levetiracetam
levetiracetam
levetiracetam
levetiracetam
oxcarbazepine
oxcarbazepine
oxcarbazepine
oxcarbazepine
NAPPI
CODE
709541
710387
710388
710389
710390
710885
710887
710888
712217
805505
805513
805521
813885
813893
813907
819034
891708
891716
700958
703165
714662
714663
714664
718484
718485
718486
720320
720322
720323
717226
717227
892484
892491
PRODUCT NAME
Arrow lamotrigine
Dyna-lamotrigine
Dyna-lamotrigine
Dyna-lamotrigine
Dyna-lamotrigine
Lamidus
Lamidus
Lamidus
Lamitor
Lamictin
Lamictin
Lamictin
Lamictin p5
Lamictin p25
Lamictin p
Lamictin
Lamictin p50
Lamictin p200
Keppra
Keppra
Redilev
Redilev
Redilev
Dyna levetiracetam
Dyna levetiracetam
Dyna levetiracetam
Torcetam
Torcetam
Torcetam
Mylan oxcarbazepine
Mylan oxcarbazepine
Trileptal fct
Trileptal fct
STRENGTH/
PACK SIZE
200mg
25mg
50mg
100mg
200mg
50mg
100mg
200mg
200mg
25mg
50mg
100mg
5mg
25mg
100mg
200mg
50mg
200mg
250mg
750mg
250mg
500mg
750mg
750mg
500mg
250mg
250MG
500MG
750MG
300mg
600mg
300mg
600mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
DSP
DSP
DSP
TAB
DSP
DSP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
FCT
FCT
GENERIC NAME
phenobarbital
phenobarbital
phenobarbital
phenytoin
phenytoin
phenytoin
phenytoin
pregabalin
pregabalin
pregabalin
primidone
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
NAPPI
CODE
737844
754803
814946
723525
723533
723568
754870
709804
709805
709806
745588
708389
708390
708391
708392
709284
709285
709286
709287
709360
709361
709362
710240
710241
710242
710243
710899
710900
710901
715978
715979
715981
716000
PRODUCT NAME
Lethyl
Adco-phenobarb vital
Sedabarb
Epanutin
Epanutin
Epanutin infatabs
Phenytoin sod
Lyrica
Lyrica
Lyrica
Mysoline
Toplep
Toplep
Toplep
Toplep
Sandoz topiramate
Sandoz topiramate
Sandoz topiramate
Sandoz topiramate
Piramax
Piramax
Piramax
Adco-topiramate
Adco-topiramate
Adco-topiramate
Adco-topiramate
Epitoz
Epitoz
Epitoz
Topalex
Topalex
Topalex
Pamiram
STRENGTH/
PACK SIZE
30mg
100ML
30mg
100mg
125mg/5mL
50mg
100mg
25mg
75mg
150mg
250mg
25mg
50mg
100mg
200mg
25mg
50mg
100mg
200mg
25mg
100mg
200mg
25mg
50mg
100mg
200mg
25mg
50mg
100mg
25mg
50mg
100mg
25mg
DOSAGE
FORM
TAB
SYR
TAB
CAP
SUS
TAB
TAB
CAP
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
topiramate
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
valproic acid
vigabatrin
NAPPI
CODE
716001
716468
716482
718288
718290
718291
822515
822523
822531
836753
878014
878022
890728
715980
715999
718274
718275
718276
718465
718466
718468
720026
720027
723711
780545
781541
781568
818666
818674
818682
821578
809594
PRODUCT NAME
Pamiram
Pamiram
Pamiram
Topirol
Topirol
Topirol
Topamax
Topamax
Topamax
Topamax
Topamax sc sprinkle
Topamax sc sprinkle
Topamax sc sprinkle
Convulex
Convulex
Epilizine cr
Epilizine cr
Epilizine cr
Navalpro cr
Navalpro cr
Navalpro cr
Vanapro
Vanapro
Epilim ec
Epilim sugar free
Convulex
Convulex
Epilim cr
Epilim cr
Epilim cr
Epilim crushable
Sabril
STRENGTH/
PACK SIZE
50mg
100mg
200mg
25MG
50MG
100MG
25mg
50mg
100mg
200mg
15mg
25mg
50mg
150mg
300mg
200mg
300mg
500mg
200mg
300mg
500mg
300MG
500MG
500mg
200mg/5mL
250mg/5mL
500mg
200mg
300mg
500mg
100mg
500mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
CAP
CAP
CAP
CAP
SRT
SRT
SRT
SRT
SRT
SRT
TAB
TAB
ECT
SUS
SYR
CAP
SRT
SRT
SRT
TAB
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
amitriptyline
amitriptyline
amitriptyline
amitriptyline
amitriptyline
amitriptyline and psycholeptics
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
citalopram
718746
771996
772003
772860
784230
738107
700157
702769
704328
704331
704590
705252
705417
707304
707396
707397
707398
707888
709407
709644
711988
713356
713445
713583
713584
713757
716521
717094
717372
PSYCHOANALEPTICS
Gulf Amitriotyline
Trepiline
Trepiline
Tryptanol
Sandoz amitriptyline
Limbitrol
Cilift
Adco-talomil
Depramil
Citalohexal
Sandoz citalopram
Depramil
Mylan citalopram
Simayla citalopram
Austell-citalopram
Austell-citalopram
Austell-citalopram
Cilate
Citalopram-winthrop
Citalopram-winthrop
Ciloram
Auro-citalopram
Drl citalopram
Arrow citalopram
Arrow citalopram
Drl citalopram
Citalopram actor
Bio citalopram
Glenmark citalopram
25MG
25mg
10mg
25mg
25mg
20mg
20mg
20mg
20mg
20mg
40mg
20mg
20mg
10mg
40mg
20mg
20mg
20mg
40mg
20mg
20mg
20mg
20mg
40mg
40mg
20mg
20mg
20mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
citalopram
clomipramine
clomipramine
clomipramine
clomipramine
clomipramine
clomipramine
dosulepin
dosulepin
dosulepin
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
escitalopram
NAPPI
CODE
810622
703381
703419
703427
781193
847410
847429
757888
800198
800201
703232
709647
710303
710304
710374
711214
711215
712595
714012
714013
715402
715403
715596
715597
718143
718287
718669
718743
718744
719547
719548
720377
720378
PRODUCT NAME
Cipramil
Clomidep
Anafranil
Anafranil
Anafranil simple reg
Equinorm
Equinorm
Prothiaden
Thaden
Thaden
Cipralex
Cipralex
Lexamil
Lexamil
Lexamil
Citraz
Citraz
Aspen escitalopram
Mylan escitalopram
Mylan escitalopram
Zytomil
Zytomil
Escitalopram be-tabs
Escitalopram be-tabs
Citraz
Nexito
Zydus escitalopram
Zitolex
Zitolex
Accord Escitalopram
Accord Escitalopram
Dolin
Dolin
STRENGTH/
PACK SIZE
20mg
25mg
10mg
25mg
75mg
10mg
25mg
25mg
25mg
75mg
10mg
20mg
10mg
20mg
5mg
10mg
20mg
10mg
10mg
20mg
10mg
20mg
10mg
20mg
5mg
10mg
10mg
10MG
20MG
10MG
20MG
10MG
20MG
DOSAGE
FORM
TAB
TAB
TAB
TAB
SRT
TAB
TAB
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluoxetine
fluvoxamine
fluvoxamine
fluvoxamine
imipramine
imipramine
imipramine
imipramine
lofepramine
maprotiline
maprotiline
methylphenidate
methylphenidate
methylphenidate
methylphenidate
methylphenidate
NAPPI
CODE
700686
700877
703391
705064
705174
707426
716520
719658
757969
820016
821063
822981
838713
840653
879282
894243
894249
894303
704840
706443
805203
724661
724688
771120
771139
723002
739502
739529
701627
701630
701632
702505
704161
PRODUCT NAME
Ranflocs
Lorien
A-lennon fluoxetine
Zydus fluoxetine
Trizac
Rezak
Fluoxetine actor
Prolax
Prozac
Lilly-fluoxetine
Lorien
Prozac
Sandoz fluoxetine
Nuzak
Prohexal
Prohexal 20t
Prohexal
Deprozan
Fluvoxamine-hexal
Faverin
Luvox bi-tabs
Ethipramine
Ethipramine
Tofranil
Tofranil
Emdalen
Ludiomil
Ludiomil
Ritalin la
Ritalin la
Ritalin la
Methylphenidate hcl-douglas
Concerta
STRENGTH/
PACK SIZE
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20MG
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
20mg
100mg
100mg
100mg
10mg
25mg
10mg
25mg
70mg
25mg
75mg
20mg
30mg
40mg
10mg
18mg
DOSAGE
FORM
CAP
TAB
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
TAB
CAP
CAP
CAP
TAB
TAB
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRC
SRC
SRC
TAB
SRT
GENERIC NAME
methylphenidate
methylphenidate
methylphenidate
methylphenidate
methylphenidate
methylphenidate
mianserin
mianserin
moclobemide
moclobemide
moclobemide
moclobemide
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
paroxetine
sertraline
NAPPI
CODE
704162
704163
704638
714559
717254
761044
735795
735817
702008
703544
703547
897213
703219
704646
704647
704721
704792
704794
704904
705122
705123
705186
705422
705633
707386
707399
707400
711911
716745
717561
718058
791571
703132
PRODUCT NAME
Concerta
Concerta
Adaphen xl
Concerta
Ritalin la
Ritalin
Lantanon
Lantanon
Depnil
Clorix
Clorix
Depnil
Aropax
Aropax cr
Aropax cr
Sandoz paroxetine
Deparoc
Paxil
Adco-paroxetine
Serrapress
Serrapress
Parax
Sedarin
Xet
Hexal-paroxetine
Austell-paroxetine
Austell-paroxetine
Zydus-paroxetine
Paroxetine unicorn
Texine
Auro paroxetine
Aropax
Serlife
STRENGTH/
PACK SIZE
36mg
54mg
20mg
27mg
10mg
10mg
10mg
30mg
300mg
150mg
300mg
150mg
30mg
25mg
12,5mg
20mg
20mg
20mg
20mg
20mg
30mg
20mg
20mg
20mg
20mg
20mg
30mg
20mg
20mg
20mg
20mg
20mg
50mg
DOSAGE
FORM
SRT
SRT
TAB
SRT
SRC
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRT
SRT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
sertraline
tranylcypromine
trimipramine
trimipramine
vinpocetine
NAPPI
CODE
703992
703993
703999
705420
706085
707293
707294
707549
707606
708915
709850
709904
710907
711387
711991
711992
712092
712093
712488
712489
715350
715935
719972
868833
752975
772356
772364
892165
PRODUCT NAME
Sertzol
Sertzol
Serlife
Serdep
Merck-sertraline
Austell sertraline
Austell sertraline
Aspen sertraline
Adco-zertra
Zylin
Zosert
Sertraline-winthrop
Sermax
Sermax
Zolid
Zolid
Arrow sertraline
Arrow sertraline
Aurolift
Aurolift
Sertra
Serdep
Dyna-Sertraline
Zoloft
Parnate
Tydamine
Tydamine
Vinpocitine
STRENGTH/
PACK SIZE
50mg
100mg
100mg
50mg
50mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
50mg
100mg
50mg
100mg
50mg
100mg
50mg
50mg
100mg
50MG
50mg
10mg
50mg
25mg
15mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
CAP
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
0,25mg
0,5mg
1mg
2mg
0,25mg
0,5mg
1mg
0,25mg
0,5mg
1mg
0,25mg
0,5mg
1mg
0,5mg
1mg
2mg
0,5mg
0,25mg
0,5mg
0,25mg
3mg
6mg
3mg
6mg
3mg
6mg
6mg
0,25mg
25mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRT
SRT
SRT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
PSYCHOLEPTICS
Benzodiazepine derivatives and related drugs
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
alprazolam
bromazepam
bromazepam
bromazepam
bromazepam
bromazepam
bromazepam
bromazepam
brotizolam
chlordiazepoxide
778702
778710
778729
811696
821071
821098
821101
823244
823252
823260
826685
826693
826707
827185
827193
827207
895173
897929
897930
897965
710784
710792
737933
737941
796999
800066
821616
824615
738026
Xanor
Xanor
Xanor
Xanor
Adco-alzam
Adco-alzam
Adco-alzam
Azor
Azor
Azor
Zopax
Zopax
Zopax
Xanor sr
Xanor sr
Xanor sr
Mylan alprazolam
Cpl alliance alprazolam
Cpl alliance alprazolam
Mylan alprazolam
Sandoz bromazepam
Sandoz bromazepam
Lexotan
Lexotan
Brazepam
Brazepam
Bromaze
Lendormin
Librium
GENERIC NAME
clobazam
clobazam
Clorazepate potassium
diazepam
diazepam
diazepam
diazepam
diazepam
diazepam
diazepam
diazepam
flunitrazepam
flunitrazepam
flunitrazepam
flurazepam
flurazepam
loprazolam
lorazepam
lorazepam
lorazepam
lorazepam
lorazepam
lorazepam
lormetazepam
lormetazepam
lormetazepam
midazolam
midazolam
nitrazepam
nitrazepam
oxazepam
oxazepam
oxazepam
NAPPI
CODE
773999
774006
771694
708062
719536
719617
721174
753173
753181
774472
774480
704774
845620
860700
717398
717401
721107
705500
705519
771759
771767
782408
816787
739286
739294
739308
721115
804711
704482
744395
751758
751766
758183
PRODUCT NAME
Urbanol
Urbanol
Tranxene
Betapam
Sandoz diazepam
Sandoz diazepam
Doval
Pax
Pax
Valium
Valium
Hypnor
Rohypnol
Sandoz flunitrazepam
Dalmadorm
Dalmadorm
Dormonoct
Ativan
Ativan
Tranqipam
Tranqipam
Ativan
Ativan sl
Loramet
Loramet
Loramet
Dormicum
Dormicum
Arem
Mogadon
Sandoz oxazepam
Sandoz oxazepam
Purata
STRENGTH/
PACK SIZE
10mg
5mg
15mg
5mg
5mg
2mg
5mg
5mg
10mg
5mg
10mg
1mg
1mg
1mg
15mg
30mg
2mg
1mg
2,5mg
1mg
2,5mg
0,5mg
1mg
0,5mg
1mg
2mg
15mg
7,5mg
5mg
5mg
15mg
30mg
10mg
DOSAGE
FORM
TAB
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
FCT
TAB
TAB
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
SLT
CAP
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
oxazepam
oxazepam
oxazepam
oxazepam
oxazepam
oxazepam
oxazepam
prazepam
temazepam
temazepam
triazolam
triazolam
zolpidem
zolpidem
zolpidem
zolpidem
zolpidem
zolpidem
zolpidem
zolpidem
zolpidem
zolpidem
zopiclone
zopiclone
zopiclone
zopiclone
zopiclone
zopiclone
zopiclone
zopiclone
zopiclone
alprazolam
NAPPI
CODE
758191
758205
763500
763519
763527
783242
783250
718300
747742
747750
730181
730211
701980
703384
703809
703912
703986
706737
711597
716496
716497
837180
700722
705115
712508
718473
732494
857785
867365
874728
894220
897968
PRODUCT NAME
Purata
Purata
Serepax
Serepax
Serepax forte
Medopam
Medopam
Demetrin
Normison
Normison
Halcion
Halcion
Zolpihexal
Ivedal
Adco-zolpidem hemitartrate
Noxidem
Zolnoxs
Mylan zolpidem
Stilnox mr
Medploz
Medploz
Stilnox
Zopivane
Zopigen
Austell-zopiclone
Bio zopiclone
Imovane
Sandoz zopiclone
Adco-zopimed
Alchera
Z-dorm
Merck-alprazolam
STRENGTH/
PACK SIZE
15mg
30mg
10mg
15mg
30mg
10mg
15mg
10mg
10mg
20mg
0,25mg
0,125mg
10mg
10mg
10mg
10mg
10mg
10mg
12,5mg
5mg
10mg
10mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
1mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRT
TAB
TAB
TAB
TAB
FCT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
25mg/5mL
25mg
50mg
100mg
50mg
5MG
5mg
1,5mg
0,5mg
1,5mg
5mg
10mg
10mg/5mL
25mg
100mg
250mg
400mg
450mg
400mg
5mg
5mg
5mg
25mg
5mg
1mg/1mL
1mg
5mg
10mg
SYR
TAB
TAB
TAB
CAP
TAB
TAB
TAB
CAP
TAB
TAB
TAB
SYR
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SUP
SUP
TAB
ORS
TAB
TAB
TAB
Other psycholeptics and antipsychotics
chlorpromazine
chlorpromazine
chlorpromazine
chlorpromazine
etifoxine
haloperidol
haloperidol
haloperidol
haloperidol
haloperidol
haloperidol
haloperidol
hydroxyzine
hydroxyzine
hydroxyzine
lithium
lithium
lithium
meprobamate
prochlorperazine
prochlorperazine
prochlorperazine
prochlorperazine
prochlorperazine
risperidone
trifluoperazine
trifluoperazine
buspirone
735833
735868
735876
735884
707127
719549
730327
730335
763411
763446
763454
763535
705446
705462
705470
712078
712086
758833
723894
744182
762849
766518
766526
766542
823163
766410
766437
825719
Largactil
Largactil
Largactil
Largactil
Stresam
Gulf Haloperidol
Sandoz haloperidol
Sandoz haloperidol
Serenace
Serenace
Serenace
Serenace
Aterax
Aterax
Aterax
Camcolit
Camcolit
Quilonum retard
Equanil
Mitil
Scripto-metic
Stemetil
Stemetil
Stemetil
Risperdal
Stelazine
Stelazine
Pasrin
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
24mg
24mg
16mg
25mg
25mg
75mg
5mg
5mg
10mg
TAB
TAB
TAB
TAB
TAB
CAP
TAB
CAP
TAB
OTHER NERVOUS SYSTEM DRUGS
Antivertigo preparations
betahistine
betahistine
betahistine
cinnarizine
cinnarizine
cinnarizine
flunarizine
flunarizine
flunarizine
707452
720325
891902
704024
767123
781975
718100
763780
825026
Serc
Hidrist
Serc
Sandoz cinnarizine
Stugeron
Sandoz cinnarizine
Sibelium t
Sibelium
Sibelium
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
ANTI-PARKINSON DRUGS
amantadine
amantadine
biperiden
biperiden
levodopa and decarboxylase inhibitor
levodopa and decarboxylase inhibitor
levodopa and decarboxylase inhibitor
levodopa and decarboxylase inhibitor
levodopa and decarboxylase inhibitor
levodopa and decarboxylase inhibitor
levodopa and decarboxylase inhibitor
levodopa and decarboxylase inhibitor
levodopa and decarboxylase inhibitor
levodopa, decarboxylase inhibitor and COMT inhibitor
levodopa, decarboxylase inhibitor and COMT inhibitor
levodopa, decarboxylase inhibitor and COMT inhibitor
orphenadrine (chloride)
pramipexole
pramipexole
pramipexole
pramipexole
pramipexole
pramipexole
pramipexole
pramipexole
pramipexole
pramipexole
pramipexole
pramipexole
700500
768243
701491
713209
710286
710468
739928
764078
764086
794635
824321
824348
828483
707999
708000
708001
720542
717741
717742
718253
718255
718256
718257
718258
719542
719543
719545
719844
719845
Symadin
Symmetrel
Akineton
Lennon-biperiden
Teva carbi-levo 25/100
Teva carbi-levo 25/250
Madopar 200mg/50mg
Sinemet 25mg/100mg
Sinemet 25mg/250mg
Sinemet cr 50mg/200mg
Carbilev 25/100
Carbilev25/250
Madopar hbs 100mg/25mg
Stalevo 50/12.5
Stalevo 100/25
Stalevo 150/37.5
Disipal
Pramiola
Pramiola
Pexola er
Pexola er
Pexola er
Pexola er
Pexola er
Oxpola
Oxpola
Oxpola
Pramex
Pramex
100mg
100mg
2mg
2mg
25/100MG
25/250MG
200mg;50mg
25/100MG
25mg;250mg
50/200MG
25mg;100mg
25/250MG
100mg;25mg
50/12.5MG
100/25MG
150/37.5MG
50mg
0,125mg
0,25mg
0,375mg
0,75mg
1,5mg
3mg
4,5mg
0.125MG
0.25MG
1MG
0.125MG
1MG
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRT
TAB
TAB
CAP
FCT
FCT
FCT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
pramipexole
pramipexole
pramipexole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
ropinirole
selegiline
trihexyphenidyl
NAPPI
CODE
898828
898836
898848
700647
700650
700652
700655
700658
711090
711091
711092
715081
715082
715083
715084
715086
719569
719570
719571
719572
719573
706712
713210
PRODUCT NAME
Pexola
Pexola
Pexola
Requip
Requip
Requip
Requip
Requip
Requip xl
Requip xl
Requip xl
Resure
Resure
Resure
Resure
Resure
Accord Ropinirole
Accord Ropinirole
Accord Ropinirole
Accord Ropinirole
Accord Ropinirole
Parkilyne
Benzhexol
STRENGTH/
PACK SIZE
1mg
0,125mg
0,25mg
0,25mg
0,5mg
1mg
2mg
5mg
2mg
4mg
8mg
0,25mg
0,5mg
1mg
2mg
5mg
0.25MG
0.5MG
1MG
2MG
5MG
5mg
2mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRT
SRT
SRT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
dolasetron
granisetron
granisetron
granisetron
granisetron
granisetron
granisetron
granisetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
ondansetron
Other antiemetics
Other antiemetics
palonosetron
ANTIEMETICS AND ANTINAUSEANTS
869996 Zamanon
701453 Kytril oral
713782 Aspen granisetron
713784 Aspen granisetron
715305 Granicip
715707 Granitril
716740 Granicip
812374 Kytril oral
704858 Dantron
705944 Zofer
705945 Zofer
706703 Dantron
707912 Mylan ondansetron
707913 Mylan ondansetron
711531 Vomiz
711532 Vomiz
713980 Zofer rapitab
714957 Zofer rapitab
716154 Austell Ondansetron
716720 Austell Ondansetron
716801 Cipla-ondansetron
716802 Cipla-ondansetron
717154 Austell Ondansetron
785814 Zofran
785830 Zofran
862223 Zofran zydis
862231 Zofran zydis
723037 Emetrol
784346 Emex
708388 Onicit vial 5ml
50mg
2mg
1mg
2mg
2mg
1mg
1mg
1mg
4mg
4mg
8mg
8mg
4mg
8mg
4mg
8mg
4mg
8mg
8MG
4MG
4mg
8mg
8MG
4mg
8mg
4mg
8mg
200ML
50mcg/1mL
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
DSP
DSP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
DSP
DSP
SYR
SYR
INJ
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
DRUGS FOR ACID RELATED DISORDERS
H2-receptor antagonists
cimetidine
cimetidine
cimetidine
cimetidine
cimetidine
cimetidine
cimetidine
cimetidine
cimetidine
cimetidine
cimetidine
cimetidine
cimetidine
cimetidine
nizatidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
736252
736260
791466
796735
797464
797472
800252
806919
811459
832901
854247
854255
886978
887003
793914
700119
700120
703241
703984
705360
705361
707307
707308
707309
712134
712135
Lenamet
Lenamet
Cinadine tabs
Acidown
Secadine
Secadine
Adco-cimetidine
Hexamet 400
Adco-cimetidine
Lenamet otc
Cimlok
Cimlok
Bio-cimetidine
Bio-cimetidine
Antizid
Cpl alliance ranitidine
Cpl alliance ranitidine
Zantac efferves
Ultak
Ranit
Ranit
Simayla ranitidine
Simayla ranitidine
Simayla ranitidine
Austac
Austac
200mg
400mg
400mg
200mg
200mg
400mg
400mg
400mg
200mg
200mg
200mg
400mg
200mg
400mg
150mg
150mg
300mg
75mg
75mg
300mg
150mg
75mg
150mg
300mg
150mg
300mg
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
CAP
TAB
TAB
EFT
TAB
TAB
TAB
TAB
TAB
TAB
FCT
FCT
GENERIC NAME
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
ranitidine
NAPPI
CODE
712136
713553
713554
717159
717160
718482
719669
778958
778974
788457
791733
811882
822817
841609
841617
841765
841773
867934
867942
873438
PRODUCT NAME
Austac
Gulf ranitidine
Gulf ranitidine
Apex-ranitidine
Apex-ranitidine
Ranitidine biotech
Ranitidine Biotech
Zantac
Zantac
Zantac
Zantac efferves
Zantac efferves
Zantac
Ranihexal
Ranihexal
Histak
Histak
Ultak
Ultak
Histak
STRENGTH/
PACK SIZE
75mg
150mg
300mg
300mg
150mg
300mg
150MG
150mg
300mg
150mg/10mL
300mg
150mg
75mg
150mg
300mg
150mg
300mg
150mg
300mg
75mg
DOSAGE
FORM
FCT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SYR
EFT
EFT
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
10mg
20MG
40MG
20MG
40MG
2.5MG
5MG
20MG
40MG
40mg
20mg
SAC
TAB
TAB
TAB
TAB
SAC
SAC
TAB
TAB
TAB
TAB
Proton pump inhibitors
esomeprazole
esomeprazole
esomeprazole
esomeprazole
esomeprazole
esomeprazole
esomeprazole
esomeprazole
esomeprazole
esomeprazole
esomeprazole
715868
718879
718880
719923
719924
720048
720053
720215
720217
897125
897132
Nexiam
Nexmezol
Nexmezol
Nexmezol
Nexmezol
Nexiam
Nexiam
Trustan
Trustan
Nexiam
Nexiam
GENERIC NAME
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
lansoprazole
omeprazole
omeprazole
omeprazole
omeprazole
omeprazole
omeprazole
omeprazole
omeprazole
omeprazole
omeprazole
NAPPI
CODE
703141
704668
704752
704753
704754
704838
704839
706642
706643
707192
707863
707864
708052
708053
709645
709646
714126
715079
715080
715812
716841
793752
831425
703459
703461
703534
703543
703901
703987
703988
704629
704699
704700
PRODUCT NAME
Lanzor hb
Adco-roznal
Lansoloc otc
Lansoloc
Lansoloc
Aspen lansoprazole
Aspen lansoprazole
Ran-lansoprazole
Ran-lansoprazole
Adco-roznal
Simayla lansoprazole
Simayla lansoprazole
Lancap
Lancap
Lansoprazole-winthrop
Lansoprazole-winthrop
Aspen lansoprazole otc
Lansoprazole unicorn
Lansoprazole unicorn
Lancap otc
Roznal otc
Lanzor
Lanzor
Omez
Omez
Sandoz omeprazole
Adco-omeprazole
Omiloc
Altosec
Altosec
Nozer
Drl-omeprazole
Drl-omeprazole
STRENGTH/
PACK SIZE
15mg
30mg
15mg
15mg
30mg
30mg
15mg
15mg
30mg
15mg
15mg
30mg
15mg
30mg
15mg
30mg
15mg
15mg
30mg
15mg
15mg
30mg
15mg
20mg
10mg
20mg
20mg
20mg
20mg
10mg
20mg
10mg
20mg
DOSAGE
FORM
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
GENERIC NAME
omeprazole
omeprazole
omeprazole
omeprazole
omeprazole
omeprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
pantoprazole
rabeprazole
rabeprazole
rabeprazole
rabeprazole
NAPPI
CODE
705466
706688
708110
849383
849391
849405
705368
705369
708031
714674
714675
715306
715307
715312
715313
715610
717376
717377
717420
717421
718142
718886
720116
720117
811793
812153
881589
892291
718384
718385
863106
863114
PRODUCT NAME
Lokit
Omez
Drl-omeprazole
Losec mups
Losec mups
Losec mups
Topzole
Topzole
Pantocid
Pentoz
Pentoz
Peploc
Peploc
Conoran
Conoran
Pantocid
Aspen pantoprazole
Aspen pantoprazole
Mylan pantoprazole
Mylan pantoprazole
Topzole otc
Pentoz otc
Pantor
Pantor
Pantoloc
Gastriwin
Pantoloc
Controloc
Rabemed
Rabemed
Pariet
Pariet
STRENGTH/
PACK SIZE
20mg
40mg
40mg
10mg
20mg
40mg
20mg
40mg
40mg
20mg
40mg
20mg
40mg
20mg
40mg
20mg
20mg
40mg
20mg
40mg
20mg
20MG
20MG
40MG
40mg
40mg
20mg
20mg
10mg
20mg
10mg
20mg
DOSAGE
FORM
CAP
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
ECT
ECT
ECT
ECT
TAB
TAB
ECT
ECT
TAB
ECT
TAB
ECT
TAB
TAB
TAB
TAB
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
200ML
SUS
TAB
GEL
SUS
SUS
SAC
SUS
WAF
TAB
SUS
SUS
TAB
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
TAB
SUS
SUS
TAB
SUS
SUS
Antacids with antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
ordinary salt combinations and antiflatulents
700771
702522
702725
703640
707899
718496
735450
735469
739707
739715
739723
739731
740551
740683
743054
744751
757675
765538
782173
786810
788465
789933
797499
812137
839035
892654
Amgel
Aciban
Dicyclomine co gel
Alumag d
Betaclomin gel
Maalox pocket pack 6g
Kolantyl gel
Kolantyl
Maalox plus
Maalox plus
Maalox
Maalox
Mayogel
Medigel
Microgel
Mucaine
Propan gel s
Spasmogel
Co-gel
Neutragel d
Gelusil s
Gelumen
Alumite d
Gelusil peppermint
Be-tabs antacid
Magasil
100ML
200ML
200ML
350ML
350ML
100ML
2500ML
350ML
100ML
200ML
200ML
200ML
Others
alginic acid
alginic acid
alginic acid
707445 Gaviscon peppermint
711031 Gaviscon advance peppermint
711145 Gaviscon advance 10ml
200ML
10ML
TAB
SUS
SAC
GENERIC NAME
alginic acid
alginic acid
alginic acid
alginic acid
alginic acid
alginic acid
alginic acid
alginic acid
alginic acid
alginic acid
alginic acid
misoprostol
sucralfate
sucralfate
sucralfate
magnesium hydroxide
ordinary salt combinations
aluminium hydroxide
aluminium hydroxide
aluminium hydroxide
aluminium hydroxide
NAPPI
CODE
715428
716304
716389
717705
718252
728454
728462
837016
862282
890350
890357
782416
773417
773441
837156
789259
713687
700460
702447
703168
891345
PRODUCT NAME
Gaviscon plus
Gaviscon 250 peppermint
Gaviscon coolmint
Gaviscon plus liquid 10ml
Gaviscon plus
Gaviscon
Gaviscon aniseed
Gaviscon peppermint
Gaviscon advance
Gelacid
Gelacid
Cytotec
Ulsanic
Ulsanic
Ulsanic
Deopens
Neutracid 120mg/250mg
Acidex (stx)
Alum hydroxide gel
Amphojel
Aluminium hydroxide gel
STRENGTH/
PACK SIZE
500MG/5ML/150ML
250mg
10ML
150ML
250mg/5mL
500mg/5mL
200ML
200mcg
1g
1000mg/5mL
1000MG
2500ML
300MG/5ML/500ML
100ML
DOSAGE
FORM
SUS
TAB
TAB
SAC
TAB
TAB
SUS
SUS
SUS
CHU
SUS
TAB
TAB
SUS
EFT
TAB
TAB
SUS
SUS
SUS
SUS
DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS
Antispasmodics in combination with other drugs
Antispasmodics in combination with other drugs
butylscopolamine
butylscopolamine
butylscopolamine
butylscopolamine
butylscopolamine
butylscopolamine
butylscopolamine and analgesics
butylscopolamine and analgesics
721026
765481
703383
707213
711276
731951
762725
797413
711292
762717
Donnatal elixir
Spasmo-canulase
Scopex syrup
Hyospasmol
Buscopan
Hyospasmol
Scopex
Buscopan
Buscopan compound
Scopex co
5mg/5mL
5mg/5mL
10mg
10mg
10mg
5mg/5mL
SYR
TAB
SYR
SYR
TAB
TAB
TAB
SYR
TAB
TAB
GENERIC NAME
clidinium and psycholeptics
dicycloverine
dicycloverine
domperidone
domperidone
domperidone
domperidone
domperidone
hyoscyamine and psycholeptics
mebeverine
mebeverine
mebeverine
mebeverine
metoclopramide
metoclopramide
metoclopramide
metoclopramide
metoclopramide
metoclopramide
metoclopramide
metoclopramide
metoclopramide
metoclopramide
metoclopramide
metoclopramide
propantheline
silicones
silicones
NAPPI
CODE
737984
742082
783331
715830
717054
744611
799807
894498
743348
701892
715476
822019
825328
700712
701430
714828
714844
715875
717891
740500
740519
757845
783064
783285
787817
757136
752479
835145
PRODUCT NAME
Librax
Merbentyl
Medicyclomine
Bio-domperidone
Vomi-guard
Motilium
Motilium
Vomidon
Millerspas
Mylan mebeverine
Colofac
Bevispas
Sandoz mebeverine
Clomax
Merck-metoclopramide
Clopamon
Clopamon
Adco-contromet
Bio metoclopramide
Maxolon s
Maxolon t
Sandoz metoclopramide
Adco-contromet
Setin
Betaclopramide
Probanthine
Pankreoflat
Telament
STRENGTH/
PACK SIZE
10mg/5mL
10mg/5mL
10mg
10mg
10mg
5mg/5mL
10mg
135mg
135mg
135mg
135mg
10mg
10mg
10mg
5mg/5mL
10mg
10mg
5mg/5mL
10mg
10mg
5mg/5mL
10mg
10mg
15MG
DOSAGE
FORM
TAB
SYR
SYR
TAB
TAB
TAB
SUS
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SYR
TAB
TAB
SYR
TAB
TAB
SYR
TAB
TAB
TAB
TAB
DRP
ANTIDIARRHEALS INTESTINAL ANTI- INFLAMMATORY/ANTIINFECTIVE AGENTS
budesonide
budesonide
combinations
824593 Entocord
838896 Entocord
708976 Biskapect
2.3MG
3mg
100ML
ENE
CAP
SUS
GENERIC NAME
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
combinations
diosmectite
diphenoxylate
hydrocortisone
kanamycin
kanamycin
loperamide
loperamide
loperamide
loperamide
loperamide
loperamide
loperamide
loperamide
loperamide
loperamide
loperamide
loperamide
loperamide
loperamide
loperamide
Loperamide combinations
mesalazine
mesalazine
NAPPI
CODE
715468
723428
728284
734853
734934
734942
813737
822043
823546
892661
713970
738980
715395
734802
734810
703393
703518
707342
732478
732486
791768
792071
792691
796697
807761
810908
810916
811467
820563
823759
848840
709076
714134
PRODUCT NAME
Colopect
Enterolyte
Gastropect
Kaocream (stx)
Kaopectin
Kaostatex
Tummy-pect
Genpect
Pectin-k
Pectikon
Smecta 3g
Lomotil
Colifoam rectal 20g
Kantrexil
Kantrexil
Dis-chem anti-diarrhoeal
Imodium melt
Cipla-loperamide
Imodium
Imodium
Adco-prodium
Adco-loperamide
Betaperamide
Norimode
Imodium
Gastron
Gastron
Adco-loperamide
Loperastat
Lopedium
Imodium plus
Asacol
Pentasa
STRENGTH/
PACK SIZE
100ML
100ML
100ML
150ML
2500ML
100ML
100ML
3G
2.5MG
100ML
2mg
2mg
2mg
1mg/5mL
2mg
2mg
2mg
2mg
2mg
2mg
1mg/5mL
2mg
1mg/5mL
1mg/5mL
2MG
800mg
1000mg
DOSAGE
FORM
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SUS
SAC
TAB
SPR
SUS
TAB
TAB
TAB
TAB
SYR
TAB
TAB
TAB
TAB
TAB
CAP
SYR
TAB
SYR
SYR
EFT
CHU
TAB
SUP
GENERIC NAME
mesalazine
mesalazine
mesalazine
mesalazine
mesalazine
mesalazine
mesalazine
morphine, combinations
morphine, combinations
morphine, combinations
olsalazine
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
NAPPI
CODE
716331
716333
720355
783668
824127
824135
890775
713864
723401
753246
792519
701385
701466
703357
703632
706071
707286
707419
708294
709761
709762
709793
710564
710641
711398
711399
712551
713528
714609
716210
716411
716412
717711
PRODUCT NAME
Salofalk
Salofalk
Mezavant
Asacol
Asacol
Asacol
Pentasa
Chloropect
Enterodyne
Pectrolyte
Dipentum
Gastrolyte 13g
Purity oral rehydration solution
Ceralyte oral rehydration solution
Ceralyte sachets 9.7g
Gastric plus
Sorol citrate 14g
Gastrolyte blackcurrant 13g
Hydrassist
Pin-hydrate (orange)
Pin-hydrate (blackcurrant)
Electropak
Restore hydration 12g
Smart ors orange 4.2g
Acuhydrate blackcurrant 14g
Acuhydrate orange 14g
Rehidrat sport lemon & lime 14g
Rehidrat vanilla 14g
Rehidrat sport naartjie 14g
Smart ors orange 21g
Smart ors black current 4.2g
Smart ors black current 21g
Darrow liq
STRENGTH/
PACK SIZE
500mg
1000mg
1200MG
400mg
2g/50mL
500mg
500mg
100ML
150ML
250mg
250ML
325ML
9.7G
100G
14G
14G
14G
DOSAGE
FORM
SAC
GRA
TAB
TAB
ENE
SUP
TAB
SUS
SUS
SUS
CAP
SAC
SYR
SYR
SAC
SAC
SAC
SAC
SAC
SAC
SAC
POW
SAC
SAC
SAC
SAC
SAC
SAC
SAC
SAC
SAC
SAC
SYR
GENERIC NAME
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
Oral rehydration salt formulations
sulfasalazine
sulfasalazine
NAPPI
CODE
759546
762873
779687
781444
815187
815209
892437
762008
762016
PRODUCT NAME
Rehidrat 14g(multipack)
Scriptolyte
Hydrol 24.69g
Electropak sachets
Rehidrat 14g blackcurrant
Rehidrat 14g orange
Sorol citrate 28g
Salazopyrin
Salazopyrin en
STRENGTH/
PACK SIZE
100ML
14G
500mg
500mg
DOSAGE
FORM
SAC
SYR
SAC
SAC
SAC
SAC
SAC
TAB
ECT
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
DRUGS FOR CONSTIPATION
glycerol
glycerol
ispaghula (psylla seeds)
ispaghula (psylla seeds)
ispaghula (psylla seeds)
ispaghula (psylla seeds)
ispaghula (psylla seeds)
ispaghula (psylla seeds)
ispaghula, combinations
ispaghula, combinations
lactulose
lactulose
lactulose
lactulose
lactulose
lactulose
lactulose
lactulose
macrogol, combinations
macrogol, combinations
macrogol, combinations
macrogol, combinations
macrogol, combinations
sodium phosphate
sodium phosphate
sodium phosphate
sterculia
sterculia, combinations
sterculia, combinations
835463
835471
703167
703581
709297
710640
727857
834750
703123
834769
700167
708722
713232
721611
797723
815047
817309
878707
700493
707942
716697
796808
828165
726435
727202
865443
834815
834777
834807
Glycerin adult
Glycerin child
Agiogel 3.5gm
Dis-chem ispaghula husk
Adco-phytofiber
Fybohusk - orange flavour
Fybogel orange 3.5g
Agiobulk
Agiolax 10g
Agiolax
Laxette dry (10g)
Aculax
Agarol lactulose
Duphalac
Lacson
Duphalac dry 10g
Laxette
Adco-liquilax
Picoprep 15.5g
Pegicol 6.9g
Moviprep
Klean-prep
Movicol
Lenolax (fleet) paediatric
Fosenema enema 150ml
Colo-prep 25 22g
Normacol/special
Alvercol
Normacol plus
1.698ML
0.891ML
3.5G
250G
10G
100G
10G
3,3g/5mL
3300mg/5mL
3300mg/5mL
3300mg/5mL
10G
3300mg/5mL
3300mg/5mL
6.9G
6.2G/500G
500G
200G
SUP
SUP
SAC
SAC
SAC
SAC
SAC
GRA
SAC
GRA
SAC
SYR
SYR
SYR
SYR
SAC
SYR
SYR
SAC
SAC
POW
SAC
SAC
ENE
ENE
SAC
GRA
GRA
GRA
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS
celecoxib
celecoxib
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
862444
862452
704384
704442
705058
705272
705351
706314
707451
712602
715311
718479
718480
718853
718854
719811
719838
752371
752398
778206
778214
778222
778230
780855
780863
786012
786020
786594
Celebrex
Celebrex
K-fenak
Voltaren acti-go
Dynak
Diclohexal k
Adco-clofelam
Difen sr
Dicloflam
Cataflam
Catafast d
Diclofenac biotech
Diclofenac sr biotech
Voltaren Acti-Go soft gel
Voltaren Acti-Go soft gel
Sandoz diclofenac
Sandoz diclofenac
Panamor
Panamor at
Voltaren
Voltaren
Voltaren GT
Voltaren SR
Voltaren
Voltaren
Mylan diclofenac
Mylan diclofenac
Adco-diclofenac
100mg
200mg
50mg
12,5mg
50mg
50mg
50mg
100mg
50MG
50mg
50mg
25mg
100mg
12.5MG
25MG
25mg
50mg
25mg
50mg
25mg
100mg
50MG
100mg
12,5mg
25mg
25mg
50mg
25mg
CAP
CAP
TAB
TAB
TAB
TAB
TAB
SRT
DSP
SAC
DSP
TAB
SRT
CAP
CAP
TAB
TAB
TAB
TAB
TAB
SUP
TAB
SRT
SUP
SUP
TAB
TAB
TAB
GENERIC NAME
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
diclofenac
Diclofenac combinations
Diclofenac combinations
etoricoxib
etoricoxib
etoricoxib
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
NAPPI
CODE
787272
788597
789240
791547
793663
807605
807613
807621
813036
827584
827592
834327
835218
841153
845272
853240
888602
893390
893391
893398
813044
869805
709108
709109
709110
700315
700316
700318
700695
701654
701975
703490
703966
PRODUCT NAME
Veltex cr
Adco-diclofenac
Voltaren
Fortfen sr
Veltex 75cr
Panamor supp
Panamor supp
Panamor supp
Cataflam d dispersible
Panamor sr
Panamor sr
Sandoz diclofenac sodium 100 simple reg
Voltaren drops
Diclohexal 50t
Diclohexal 100s
Diclohexal
Dicloflam (blackcurrent)
A-lennon diclofenac
A-lennon diclofenac
A-lennon diclofenac
Arthrotec 50
Arthrotec
Arcoxia
Arcoxia
Arcoxia
Ibucine
Ibucine
Ibucine
Nurofen for children sugar free
Ranfen
Betaprofen fc
Advil paediatric
Sandoz ibuprofen
STRENGTH/
PACK SIZE
100mg
50mg
75mg
100mg
75mg
12,5mg
25mg
100mg
50MG
75mg
100mg
100mg
15mg/1mL
50mg
100mg
25mg
50MG
25mg
50mg
100mg
50mg
75mg
60mg
90mg
120mg
100mg/5mL
200mg
400mg
100mg/5mL
400mg
400mg
100mg/5mL
200mg
DOSAGE
FORM
SRC
TAB
TAB
SRC
SRC
SUP
SUP
SUP
DSP
SRT
SRT
SRT
DRP
TAB
SUP
TAB
DSP
TAB
TAB
SUP
TAB
TAB
TAB
TAB
TAB
SUS
TAB
TAB
SUS
TAB
TAB
SUS
TAB
GENERIC NAME
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
ibuprofen
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
NAPPI
CODE
703974
704781
705940
708186
708290
708536
710830
710849
710857
711948
712683
716004
733741
733768
748560
780596
782807
787426
793671
798185
809268
824852
863394
864706
868221
868469
892302
895196
897060
897984
703719
703845
704586
PRODUCT NAME
Sandoz ibuprofen
Ibugesic
Ibu
Betagesic
Bren
Ibusor
Brufen
Brufen
Brufen paed
Nurofen (caplets)
Nurofen for children strawberry
Advil liqui-gels
Inza
Inza
Nurofen
Adco-ibuprofen
Sandoz ibuprofen
Betaprofen
Brufen retard
Dynofen
Ibumed
Ranfen
Norflam t
Ibumed sr
Ibunate
Lenafen
Advil liqui-gel
Iboflam
Painil
Nurofen period pain
Ibumol
Ibucod
Ibupain
STRENGTH/
PACK SIZE
400mg
100mg/5mL
200mg
200mg
400mg
200mg
400mg
600mg
100mg/5mL
200mg
100mg/5mL
400mg
200mg
400mg
200mg
400mg
600mg
200mg
800mg
200mg
200mg
200mg
200mg
300mg
200mg
200mg
200mg
200mg
200mg
400mg
DOSAGE
FORM
TAB
SUS
TAB
TAB
TAB
TAB
TAB
TAB
SUS
CAP
SUS
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SRC
TAB
TAB
CAP
TAB
TAB
TAB
TAB
TAB
CAP
GENERIC NAME
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
Ibuprofen combinations
indometacin
indometacin
indometacin
indometacin
indometacin
indometacin
indometacin
indometacin
indometacin
indometacin
indometacin
indometacin
indometacin
NAPPI
CODE
704587
704606
704791
704896
705245
705264
705266
705680
705781
705782
706306
716543
719663
719664
745561
793744
810177
824496
879290
891908
701106
701891
704725
704733
704741
704776
726389
787833
788996
789410
807729
814393
868213
PRODUCT NAME
Ibupain forte
Gen-payne
Mybulen
Myprodol
Mybulen
Dentopain forte
Dentopain
Mybucod
Ibumol grape
Ibumol banana
Nurofen plus
Panado plus
Ibupain
Ibupain Forte Blister
Myprodol
Myprodol
Mypaid
Lotem
Mybulen
Mypaid forte
Adco-indomethacin
Amdocin
Arthrexin
Arthrexin
Arthrexin
Sandoz indomethacin
Flamecid
Betacin
Mediflex
Nisaid
Famethacin
Methocaps
Gulf indomethacin
STRENGTH/
PACK SIZE
100ML
100ML
100ML
100ML
100ML
25mg
25mg
25mg
50mg
100mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
DOSAGE
FORM
CAP
CAP
CAP
TAB
SUS
CAP
CAP
TAB
SUS
SUS
TAB
CAP
CAP
CAP
CAP
SUS
CAP
SUS
TAB
TAB
CAP
CAP
CAP
CAP
SUP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
CAP
GENERIC NAME
ketoprofen
ketoprofen
ketorolac
lornoxicam
lornoxicam
lornoxicam
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
mefenamic acid
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
NAPPI
CODE
751472
822205
819336
717776
860654
860662
741167
756148
756156
756164
793264
794201
796433
797014
797707
797715
807435
810371
810398
812250
875643
883102
701520
701522
704588
704589
704828
704829
705176
705177
705229
705230
705296
PRODUCT NAME
Oruvail
Ketoflam
Tora-dol
Xefo rapid
Xefo
Xefo
Sandoz mefenamic acid
Ponstan
Ponstan
Ponstan forte
Ponac
Ponac forte
Ponac
Fenamin
Fenamin
Fenamin
Ponstan paed supp
Ponstel forte
Ponstel s
Ponstel
Adco-mefenamic acid
Adco-mefenamic acid
Loxiflam
Loxiflam
Sandoz meloxicam
Sandoz meloxicam
Flexocam
Flexocam
M-cam
M-cam
Zydus-meloxicam
Zydus-meloxicam
Melflam
STRENGTH/
PACK SIZE
200mg
200mg
10mg
8mg
4mg
8mg
250mg
250mg
50mg/5mL
500mg
50mg/5mL
500mg
250mg
50mg/5mL
250mg
500mg
125mg
500mg
50mg/5mL
250mg
50mg/5mL
250mg
7,5mg
15mg
7,5mg
15mg
15mg
7,5mg
7,5mg
15mg
7,5mg
15mg
7,5mg
DOSAGE
FORM
SRC
SRC
TAB
RFT
TAB
TAB
CAP
CAP
SUS
TAB
SUS
TAB
CAP
SUS
CAP
TAB
SUP
TAB
SUS
CAP
SUS
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
meloxicam
naproxen
naproxen
naproxen
naproxen
naproxen
naproxen
naproxen
naproxen
naproxen
naproxen
naproxen
NAPPI
CODE
705297
705375
705376
707373
707374
707667
707668
711324
711325
716168
716169
717091
717092
718305
718306
718381
718382
818615
824585
842052
899066
899070
705300
715831
768448
781207
785245
789267
799459
805238
806447
808474
810185
PRODUCT NAME
Melflam
Adco-meloxicam
Adco-meloxicam
Arthrocox
Arthrocox
Apex-meloxicam
Apex-meloxicam
Arrow meloxicam
Arrow meloxicam
Meloxicam unicorn
Meloxicam unicorn
Flamaryx
Flamaryx
Glenmark Meloxicam
Glenmark Meloxicam
Medoxicam
Medoxicam
Mobic
Mobic
Mobic
Coxflam
Coxflam
Aspen naproxen
Bio-naproxen
Synflex 275
Sandoz naproxen
Adco-naproxen
Naprel
Be-tabs naproxen
Naproscript
Napflam
Napflam
Mylan naproxen
STRENGTH/
PACK SIZE
15mg
7,5mg
15mg
7,5mg
15mg
7,5mg
15mg
7,5mg
15mg
7,5mg
15mg
7,5mg
15mg
15MG
7.5MG
7,5mg
15mg
7,5mg
15mg
15mg
7,5mg
15mg
275mg
250mg
275MG
250mg
250mg
250mg
250mg
250mg
250mg
500mg
250mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
SUP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
naproxen
naproxen
naproxen
naproxen
naproxen
naproxen
naproxen and esomeprazole
phenylbutazone
piroxicam
piroxicam
piroxicam
piroxicam
piroxicam
piroxicam
piroxicam
piroxicam
piroxicam
piroxicam
piroxicam
sulindac
tenoxicam
NAPPI
CODE
810525
812625
812633
838039
840335
864692
718724
732796
701072
716517
785253
785261
797030
797049
799432
800724
812102
821144
827428
791113
780162
PRODUCT NAME
Nafasol
Nafasol ec-250
Nafasol ec
Synflex 550
Sandoz naproxen
Aleve
Vimovo 500/20mg
Inflazone
Roxifen
Piroxicam actor dt
Adco-piroxicam
Adco-piroxicam
Xycam
Xycam dispers
Pyrocaps
Brexecam
Sandoz piroxicam disp
Rheugesic
Pixicam
Adco-sulindac
Tilcotil
STRENGTH/
PACK SIZE
500mg
250mg
500mg
550mg
500mg
220mg
500/20MG
200mg
20mg
20mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
200mg
20mg
DOSAGE
FORM
SUP
ECT
ECT
TAB
TAB
TAB
TAB
TAB
CAP
DSP
CAP
CAP
CAP
DSP
CAP
TAB
DSP
DSP
DSP
TAB
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
ANALGESICS
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
Acetylsalicylic acid comb. excl. psycholeptics
Acetylsalicylic acid comb. excl. psycholeptics
Acetylsalicylic acid comb. excl. psycholeptics
Acetylsalicylic acid comb. excl. psycholeptics
Acetylsalicylic acid comb. excl. psycholeptics
Acetylsalicylic acid comb. excl. psycholeptics
Acetylsalicylic acid comb. excl. psycholeptics
buprenorphine
buprenorphine
buprenorphine
buprenorphine
clonidine
clonidine
clonidine
clonidine
dextropropoxyphene
Dextropropoxyphene comb. excl. psycholeptics
700909
704642
704645
706930
720577
720585
798533
807206
808261
815160
899565
703435
705907
715113
729442
752126
804738
848085
715932
715941
715942
783072
701789
707453
720704
788317
720887
720615
Gulf aspirin
Soluspirin (was aspirin soluble)
Aspirin
Bayer aspirin
Disprin
Disprin extra
Be-tabs aspirin (white)
Disprin melts
Aspirin junior
Lo-aspirin
Bayer asprin plus c
Analgen
Disprin plus
Paneze
Grandpa
Paincod
Anadin
Anadin extra strength
Sovenor
Sovenor
Sovenor
Temgesic sublingual
Equi-migraine
Menograine
Dixarit
Menograine
Doloxene plain
Distalgesic
300mg
300mg
300mg
300MG
300MG
500MG
300mg
300mg
60mg
125mg
400mg/24mg
5mg
10mg
20mg
0,2mg
0,025mg/0,5mL
0,025mg
0,025mg
65mg
TAB
EFT
TAB
TAB
EFT
EFT
TAB
DSP
TAB
TAB
EFT
TAB
DSP
TAB
TAB
TAB
TAB
TAB
PTD
PTD
PTD
SLT
DRP
DRP
TAB
TAB
CAP
TAB
GENERIC NAME
Dextropropoxyphene comb. excl. psycholeptics
dihydrocodeine
dihydrocodeine
eletriptan
eletriptan
eletriptan
ergotamine, combinations excl. psycholeptics
ergotamine, combinations excl. psycholeptics
fentanyl
fentanyl
fentanyl
fentanyl
fentanyl
fentanyl
fentanyl
fentanyl
fentanyl
fentanyl
fentanyl
fentanyl
fentanyl
hydromorphone
hydromorphone
hydromorphone
morphine
morphine
morphine
morphine
morphine
morphine
morphine
naratriptan
oxycodone
NAPPI
CODE
720895
719382
752649
702164
702165
702167
711527
743283
711169
716797
716798
716799
716800
719279
719280
719281
719282
814008
814016
814024
819425
716424
716425
717378
744735
744743
809691
809705
809713
811238
811246
848808
715943
PRODUCT NAME
Doloxene co
Df 118
Paracodin
Relpax
Relpax
Relpax
Cafergot
Migril
Durogesic 2.1mg/patch
Adco-tenyl
Adco-tenyl
Adco-tenyl
Adco-tenyl
Fendermal
Fendermal
Fendermal
Fendermal
Durogesic 4.2mg/patch
Durogesic 8.4/patch
Durogesic 16.8mg/patch
Durogesic 12.6mg/patch 75mcg per hour
Jurnista
Jurnista
Jurnista
Mst continus
Mst continus
Srm rhotard
Srm rhotard
Srm rhotard
Mst continus
Mst continus
Naramig
Oxycontin
STRENGTH/
PACK SIZE
65mg
30mg
10mg/5mL
80mg
40mg
20mg
1MG
12mcg/1h
25mcg/1h
50mcg/1h
75mcg/1h
100mcg/1h
25UG/H
50UG/H
75UG/H
100UG/H
25mcg/1h
50mcg/1h
100mcg/1h
75MCG
4mg
8mg
16mg
10mg
30mg
10mg
30mg
60mg
60mg
100mg
2,5mg
5mg
DOSAGE
FORM
CAP
TAB
SYR
TAB
TAB
TAB
TAB
TAB
PTD
PTD
PTD
PTD
PTD
PTD
PTD
PTD
PTD
PTD
PTD
PTD
PTD
TAB
TAB
TAB
SRT
SRT
SRT
SRT
SRT
SRT
SRT
TAB
SRT
GENERIC NAME
oxycodone
oxycodone
oxycodone
oxycodone
oxycodone
oxycodone
oxycodone
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
NAPPI
CODE
715944
715945
715946
715947
715949
715950
715951
701140
701634
703059
703118
703349
703820
704093
704465
704643
704719
706192
707562
707583
708432
708438
710211
710452
711993
713153
714499
714707
714708
715111
715112
715280
716045
PRODUCT NAME
Oxycontin
Oxycontin
Oxycontin
Oxycontin
Oxynorm
Oxynorm
Oxynorm
Varipan
Dis-chem paracetamol
Doxsyn
Panado strawberry
Painblok
Feverpain
Actamol red
Painogesic
Cetapon
Paracet
Microgesic
Painamol
Paracetamol elixir SAD (alcohol free)
Panado childrens
Panado
Zydus-paracetamol
Woodwards Paracetamol
Calpol paediatric
Austell-paracetamol
Clicks paracetamol
Pyngesic t
Pyngesic s
Grays paracetamol
Grays paracetamol
Lennon paracetamol
Adco-napamol
STRENGTH/
PACK SIZE
10mg
20mg
40mg
80mg
5mg
10mg
20mg
500mg
500mg
120mg/5mL
120mg/5mL
120mg/5mL
120mg/5mL
500mg
500mg
500mg
120mg/5mL
120mg/5mL
120mg/5mL
125mg
500mg
500mg
120MG/5ML/100ML
120mg/5mL
500mg
500mg
500mg
120mg/5mL
120mg/5mL
500mg
500mg
500mg
DOSAGE
FORM
SRT
SRT
SRT
SRT
CAP
CAP
CAP
TAB
TAB
TAB
SYR
SYR
SYR
SYR
TAB
TAB
TAB
SYR
SYR
SYR
TAB
TAB
TAB
SYR
SYR
TAB
TAB
TAB
SYR
SYR
TAB
TAB
TAB
GENERIC NAME
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
paracetamol
NAPPI
CODE
717725
720860
745715
745723
752118
752142
752274
752282
752355
752878
757403
758558
783943
784443
788953
789526
792101
799378
799629
805467
815306
818372
819697
819700
823511
824992
826588
835102
837423
863742
867950
867969
885863
PRODUCT NAME
Actamol
Dolorol
Napamol
Adco-napamol
Painamol
Painamol (white)
Panado
Panado
Panado
Parapane
Adco-prolief
Pyralen
Winpain
Paramed
Panado (no alcohol/sugar)
Brunomol
Actamol red
Paracetamol elixir sad
Painamol (green)
Antalgic
Panado effervescent
Paracetamol
Empaped
Empaped
Go-pain
Gencetamol
Link therapain
Panado drops
Tylenol extended relief caplet
Feverpain
Gulf paracetamol
Painblok
Von paracetamol
STRENGTH/
PACK SIZE
500mg
500mg
120mg/5mL
500mg
120mg/5mL
500mg
500mg
120mg/5mL
500mg
500mg
500mg
120mg/5mL
250mg/5mL
500mg
120mg/5mL
120mg/5mL
120mg/5mL
120mg/5mL
500mg
500mg
500MG
125mg
250mg
120mg/5mL
500MG
60mg/0,6mL
650mg
120mg/5mL
500mg
500mg
500mg
DOSAGE
FORM
TAB
TAB
SYR
TAB
SYR
TAB
TAB
SYR
CAP
TAB
TAB
SYR
SYR
TAB
SYR
SYR
SYR
SYR
TAB
TAB
EFT
TAB
SUP
SUP
SYR
TAB
TAB
DRP
SRC
SYR
TAB
TAB
TAB
GENERIC NAME
paracetamol
paracetamol
paracetamol
paracetamol
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
NAPPI
CODE
889772
894212
894281
895199
700742
701105
702609
702953
703660
703748
704450
704683
707910
708089
710248
713688
714953
716041
716347
718498
719182
719662
720798
720879
723088
732745
732753
736228
736589
741957
745707
752185
752614
PRODUCT NAME
Painblok
Jp paracetamol
Adco-paracetamol
Go-pain p
Amstil
B-dol
Doxy co
Resdol
Codoxol
Pharmadol quinoline (yellow)
Painogesic
Tensopyn effervescent
Painamol plus
Betapyn
Ban pain
Vari-cocodamol 8mg/500mg
Tensopyn paediatric
Alpha-dol
Mypaid night pain
Paragrip C
Meridol-D Paed
Cogesic
Docdol
Dolorol forte
Empacod
Infapain
Infapain forte
Lenadol
Lentogesic
Meprogesic
Adco-napacod 500mg/10mg
Painagon
Paracetacod
STRENGTH/
PACK SIZE
120mg/5mL
500mg
120mg/5mL
120mg/5mL
120mg/5mL
100ML
100ML
100ML
120MG/5ML/100ML
100ML
100ML
100ML
DOSAGE
FORM
SYR
TAB
SYR
SYR
TAB
TAB
TAB
TAB
TAB
TAB
SYR
EFT
TAB
TAB
SYR
TAB
SYR
TAB
TAB
EFT
SYR
TAB
TAB
TAB
TAB
SYR
SYR
TAB
SYR
TAB
TAB
SYR
TAB
GENERIC NAME
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
NAPPI
CODE
757632
758493
763101
765473
765635
766801
766941
767662
767913
768391
769541
769630
780553
787043
789135
789984
792241
793566
793574
794821
795402
799815
807583
814547
820849
823864
826766
833746
836605
836613
860808
878731
894289
PRODUCT NAME
Propain
Pynstop
Sedinol
Spasmend
Spectrapain
Stilpane
Stopayne
Suncodin
Supragesic
Syndol
Tensolve
Tenston
Adco-dol
Codorol
Xerotens
Pynmed syrup
Acurate
Goldgesic
Goldgesic
Adco-paxidal
Kodapon
Tensopyn
Salterpyn
Nomopain
Tylenol nightpain
Sedapain
Abflex-4
Medipyn s
Kid-eeze
Tensodol
Lenapain
Copa-dol
Adco-kiddipayne
STRENGTH/
PACK SIZE
120MG/5ML/100ML
100ML
100ML
100ML
100ML
100ML
320MG
100ML
100ML
DOSAGE
FORM
TAB
TAB
TAB
TAB
CAP
SYR
SYR
TAB
SYR
TAB
TAB
SYR
TAB
TAB
CAP
SYR
TAB
SYR
TAB
TAB
TAB
TAB
SYR
TAB
TAB
TAB
TAB
SYR
SYR
TAB
TAB
TAB
SYR
GENERIC NAME
Paracetamol combinations excl. psycholeptics
Paracetamol combinations excl. psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
Paracetamol combinations with psycholeptics
pizotifen
rizatriptan
rizatriptan
rizatriptan
sumatriptan
sumatriptan
sumatriptan
sumatriptan
NAPPI
CODE
895030
897124
701746
708658
752177
765643
766798
766828
766925
766933
767816
768375
769622
769649
769657
782874
786780
789992
793892
800325
809055
823538
834440
892662
894282
762210
848271
848298
848301
707087
707088
709895
709897
PRODUCT NAME
Paincodein
Co-codamol
Micro gesic
Trinagesic/biogesic
Painagon
Spectrapain forte
Stilpane
Stilpane
Stopayne
Stopayne
Supragesic
Adco-synaleve
Tenston
Tenston SA
Tenston SA
Megapyn
Antipyn forte
Pynmed
Xerogesic
Hopyn
Adco-salterpyn
Go-pain
Spectrapain forte
Nucopain
Adco-payne
Sandomigran
Maxalt
Maxalt
Maxalt rpd
Migrex
Migrex
Imigen
Imigen
STRENGTH/
PACK SIZE
500MG
320MG
370MG
320MG
320MG
320MG
320MG
320MG
320MG
320MG
0,5mg
5mg
10mg
10mg
50mg
100mg
50mg
100mg
DOSAGE
FORM
TAB
EFT
TAB
CAP
TAB
CAP
CAP
TAB
TAB
CAP
CAP
CAP
TAB
TAB
CAP
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
WAF
TAB
TAB
TAB
TAB
GENERIC NAME
sumatriptan
sumatriptan
sumatriptan
sumatriptan
sumatriptan
sumatriptan
sumatriptan
sumatriptan
sumatriptan
tilidine
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol
tramadol, combinations
tramadol, combinations
tramadol, combinations
zolmitriptan
zolmitriptan
NAPPI
CODE
710161
710162
711181
711182
715852
715853
791857
815640
828246
835188
700458
705175
705379
705810
705811
705812
706475
706557
710250
717391
719275
719276
719277
797146
864900
891980
891983
700243
719052
719300
845213
897005
PRODUCT NAME
Arrow sumatriptan
Arrow sumatriptan
Triptam
Triptam
Accord sumatriptan
Accord sumatriptan
Imigran
Imigran
Imigran
Valoron
Tramal drops
Domadol
Dolotram
Tramahexal sr
Tramahexal sr
Tramahexal sr
Tramazac
Tramgesic flashtabs
Austell-tramadol
Tramaspen
Tramazac Sr
Tramazac Sr
Tramazac Sr
Tramal
Tramahexal
Tramal sr
Tramal sr
Tramacet
Tramazac Co
Ultracet
Zomig
Zomig rapimelt
STRENGTH/
PACK SIZE
50mg
100mg
50mg
100mg
50mg
100mg
100mg
50mg
20mg
100MG/1ML/400DRP
100mg/1mL
50mg
50mg
100mg
150mg
200mg
50mg
50mg
50mg
50mg
100MG
150MG
200MG
50mg
50mg
100mg
150mg
37.5/325MG
2,5mg
2,5mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
NAS
DRP
DRP
CAP
CAP
SRT
SRT
SRT
CAP
TAB
CAP
CAP
SRT
SRT
SRT
CAP
CAP
SRT
SRT
TAB
TAB
TAB
TAB
TAB
GENERIC NAME
NAPPI
CODE
PRODUCT NAME
STRENGTH/
PACK SIZE
DOSAGE
FORM
10mg
10mg
25mg
10mg
15MG
30MG
25mg
500mg
750mg
100mg
TAB
TAB
TAB
TAB
CAP
CAP
CAP
TAB
TAB
TAB
TAB
TAB
TAB
1.16G/100G/40G
1,3%
1.16G/100G
1.16G/100G/20G
50mg/1g
5G/100G/25G
10MG/1ML/25G
10MG/1ML/50ML
2,5%
0.5%/40G
GEL
GEL
GEL
GEL
GEL
GEL
GEL
GEL
SOL
GEL
GEL
500mg
300MG
100mg
TAB
TAB
TAB
MUSCLE RELAXANTS
baclofen
baclofen
baclofen
baclofen
cyclobenzaprine
cyclobenzaprine
dantrolene
methocarbamol
methocarbamol
orphenadrine (citrate)
Orphenadrine combinations
Orphenadrine combinations
Orphenadrine combinations
712607
738344
738352
865567
720360
720361
717428
761141
761168
747521
747548
825123
881767
Teva baclofen
Lioresal
Lioresal
Bio-baclofen
Myprocam
Myprocam
Dantrium
Robaxin
Robaxin
Norflex
Norflex co
Besemax
Uniflex
TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN
diclofenac
diclofenac
diclofenac
diclofenac
ibuprofen
ibuprofen
ibuprofen
indometacin
indometacin
ketoprofen
piroxicam
702362
702511
704641
778257
704304
828076
833096
824666
887982
799351
893278
Diclohexal gel
Panamor gel
Voltaren emulgel pump dispenser (75ml)
Voltaren emulgel
Nurofen gel
Ibuleve gel
Deep relief gel
Adco-indomethacin
Elmetacin soln 50ml
Fastum gel
Rheugesic gel
ANTIGOUT PREPARATIONS
probenecid
allopurinol
allopurinol
757152 Proben
719128 Adco-Allopurinol
738778 Sandoz allopurinol
GENERIC NAME
allopurinol
allopurinol
allopurinol
allopurinol
allopurinol
allopurinol
colchicine
colchicine
NAPPI
CODE
738786
758310
758329
779466
779474
811432
715271
715298
PRODUCT NAME
Sandoz allopurinol
Puricos
Puricos
Zyloprim
Zyloprim calendar pk
Lonol
Colchicine
Colchicine houde
STRENGTH/
PACK SIZE
300mg
100mg
300mg
100mg
300mg
300mg
0,5mg
1mg
DOSAGE
FORM
TAB
TAB
TAB
TAB
TAB
TAB
TAB
TAB
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
UROLOGICALS
Alpha-adrenoreceptor antagonists
alfuzosin
alfuzosin
alfuzosin
tamsulosin
tamsulosin
tamsulosin
tamsulosin
tamsulosin
terazosin
terazosin
terazosin
terazosin
701590
715829
716113
706713
710306
714723
716778
840599
806358
806366
806374
810207
Xatral xl
Rantral mr
Alfuwin xl
Tamsul sr
Uromax
Prostaflo sr
Beniprosin sr
Flomax sr
Hytrin
Hytrin
Hytrin
Hytrin
10mg
10mg
10mg
0,4mg
0,4mg
0,4mg
0,4mg
0,4mg
1mg
2mg
5mg
10mg
SRT
TAB
SRT
SRC
SRC
SRC
SRC
SRC
TAB
TAB
TAB
TAB
7,5mg
15mg
200mg
5mg
5mg
10mg
5MG
5mg
5mg
15mg
30MG
5mg
SRT
SRT
TAB
TAB
SRT
SRT
TAB
TAB
TAB
TAB
CAP
TAB
Drugs for urinary frequency and incontinence
darifenacin
darifenacin
flavoxate
oxybutynin
oxybutynin
oxybutynin
oxybutynin
oxybutynin
oxybutynin
propiverine
propiverine
solifenacin
706045
706046
820113
701893
710616
710617
720658
872253
883721
703546
720349
706214
Enablex
Enablex
Urispas
Mylan oxybutynin
Lyrinel
Lyrinel
Ditropan
Lenditro
Sandoz oxybutynin hcl 5
Detrunorm
Detrunorm
Vesicare
GENERIC NAME
solifenacin
tolterodine
tolterodine
tolterodine
tolterodine
trospium
NAPPI
CODE
706217
700862
700871
866172
866180
703904
PRODUCT NAME
Vesicare
Detrusitol SR
Detrusitol SR
Detrusitol
Detrusitol
Uricon
STRENGTH/
PACK SIZE
10mg
2mg
4mg
1mg
2mg
20mg
DOSAGE
FORM
TAB
SRC
SRC
TAB
TAB
TAB
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
Other urologicals
710639
711378
712312
712393
712929
714248
715589
715590
716969
773948
809942
816256
820059
821837
832588
834823
837601
839760
841986
855227
Smart soda
Smart soda
Medi soda effervescent
Bao soda
Bao spring soda
Alkafizz effervescent granules 4g
Citro-soda cranberry
Citro-soda cranberry 4g
Medi soda effervercent granules
Uralyt-u
Citro-soda orange
Alkafizz regular boxed
Adco-sodasol
Citro-soda
Citro-soda
Effersol
Citro-carb
Gencit simplex
Uri-alk
Quatro-soda
60G
4g
99.8MG/100G/280G
60G
120G
60G
60G
120G
100ML
SAC
GRA
GRA
GRA
GRA
SAC
GRA
SAC
SAC
GRA
GRA
GRA
GRA
GRA
SAC
GRA
GRA
SUS
EFT
GRA
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
ANTITHROMBOTIC AGENTS
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
acetylsalicylic acid
dalteparin
dalteparin
dalteparin
dalteparin
dalteparin
dalteparin
dalteparin
dalteparin
dalteparin
enoxaparin
enoxaparin
enoxaparin
enoxaparin
enoxaparin
enoxaparin
nadroparin
nadroparin
nadroparin
nadroparin
nadroparin
nadroparin
warfarin
712608
715719
823481
845590
847283
862304
801607
801615
834130
834157
878871
878898
878901
878928
878936
707095
788767
851140
851159
851167
859710
703760
703763
874973
874981
875007
875015
709905
Aspirin teva
Compral child
Ecotrin
Myoprin
Disprin cardiocare
Bayer aspirin cardio
Fragmin 0.2ml
Fragmin 0.2ml
Fragmin 4ml amp
Fragmin 4ml multidose vial
Fragmin 0.4ml
Fragmin 0.5ml
Fragmin 0.6ml
Fragmin 0.72ml
Fragmin 1ml graduated syringe
Clexane 0.2ml
Clexane 0.4ml
Clexane 0.6ml
Clexane 0.8ml
Clexane 1ml
Clexane 3ml multidose vial
Fraxiparine 1ml
Fraxiparine 1ml
Fraxiparine 1ml
Fraxiparine 1ml
Fraxiparine 1ml
Fraxiparine 1ml
Cipla-warfarin
80mg
81mg
100mg
100mg
100mg
2500iu
5000iu
2500iu
25000iu
10000iu
12500iu
15000iu
18000iu
10000iu
20mg
40mg
60mg
80mg
100mg
300mg
0,8mL/1mL
1mL/1mL
0,2mL/1mL
0,3mL/1mL
0,4mL/1mL
0,6mL/1mL
5mg
DSP
TAB
TAB
EFT
DSP
TAB
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
INJ
TAB
GENERIC NAME
warfarin
warfarin
warfarin
NAPPI
CODE
709906 Cipla-warfarin
712390 Cipla-warfarin
778362 Warfarin
PRODUCT NAME
STRENGTH/
PACK SIZE
1mg
3mg
5mg
DOSAGE
FORM
TAB
TAB
TAB
500mg
500mg
500mg
500MG
TAB
TAB
TAB
TAB
ANTIHEMORRHAGICS
tranexamic acid
tranexamic acid
tranexamic acid
tranexamic acid
714722
716276
717134
719414
Tranexamic acid medwich
Tranic
Cyklokapron
Morwak
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
VACCINES
Cholera inactivated whole cell
combinations
diphtheria-pertussis-poliomyelitis-tetanus
diphtheria-poliomyelitis-tetanus
hemophilus influenzae B, combinations with pertussis and toxoids
hemophilus influenzae B, combinations with pertussis and toxoids
hemophilus influenzae B, purified antigen conjugated
hemophilus influenzae B, purified antigen conjugated
Hepatitis A inactivated whole virus
Hepatitis A inactivated whole virus
Hepatitis A inactivated whole virus
Hepatitis A inactivated whole virus
Hepatitis B purified antigen
Hepatitis B purified antigen
Hepatitis B purified antigen
Hepatitis B purified antigen
Hepatitis B purified antigen
Hepatitis B purified antigen
Influenza inactivated whole virus
Influenza inactivated whole virus
Influenza inactivated whole virus
Influenza inactivated whole virus
Influenza inactivated whole virus
Influenza inactivated whole virus
Influenza inactivated whole virus
Measles combinations with mumps and rubella live attenuated
Measles combinations with mumps and rubella live attenuated
Measles combinations with mumps and rubella live attenuated
703846
706829
711258
703335
703226
834203
700767
813206
700513
703448
822361
848905
700210
700356
701658
701659
715349
873179
702733
711345
711737
732826
813338
836591
838853
700772
716550
792004
Dukoral
Twinrix
Tetraxim prefilled syringe 0.5ml
Td polio 0.5ml
Actacel-pasteur 0,5ml
Combact-hib single dose syringe
Hiberix sgl dose 0,5ml + saline diluent
Act-hib sgl dose syringe
Avaxim pf/syr 80 0,5ml
Havrix junior single dose vial 0,5ml
Havrix 1440
Avaxim pf syr 160 0,5ml
Engerix-b (new) monodose 1ml
Engerix-b paed (new) monodose 0,5ml
Heberbiovac hb sgl dose 0,5ml paediatric
Heberbiovac hb sgl dose 1ml adult
Euvax b 0.5ml vial
Hepaccine-b paed single dose 5ml
X-flu prefilled 0,5ml syringe
Fluvax pre-filled syringe 0.5ml
Fluarix prefilled syringe 0.5ml
Influvac 0.5ml
Vaxigrip single dose 0.5ml pre-filled
Vaxigrip single dose 0.25ml pref paed
Mutagrip single dose 0.5ml pref adult
Priorix sgl dose 0,5ml
Priorix tetra vial powder for reconstitu
Trimovax single prefilled syringe
3ML
10mcg/0,5mL
80U/0.5ML
720IU/0.5ML/0.5ML
1440IU/1ML
160/0.5ML
20mcg
10mcg
10mcg/0,5mL
20mcg/1mL
20mcg/1mL
0.5ML
0.5ML
0.5ML
0.5ML
0.25ML
0.5ML
0.5ML
VAC
VAC
VAC
INJ
VAC
VAC
VAC
VAC
VAC
VIA
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
NAPPI
CODE
Measles combinations with mumps and rubella live attenuated
879452
Measles live attenuated
825522
meningococcus A,C, bivalent purified polysaccharides antigen
807214
meningococcus A,C,Y,W-135, tetravalent purified polysaccharides antigen
708511
meningococcus A,C,Y,W-135, tetravalent purified polysaccharides antigen
884039
meningococcus A,C,Y,W-135, tetravalent purified polysaccharides antigen
884040
Papillomavirus ( human types 16, 18)
710020
Papillomavirus ( human types 6, 11, 16, 18)
710249
pertussis, inactivated, whole cell, combinations with toxoids
825158
pertussis, purified antigen, combinations with toxoids
703994
pertussis, purified antigen, combinations with toxoids
707285
pertussis, purified antigen, combinations with toxoids
716655
pneumococcus, purified polysaccharides antigen
715858
pneumococcus, purified polysaccharides antigen
836699
pneumococcus, purified polysaccharides antigen conjugated
755826
Poliomyelitis oral trivalent live attenuated
812331
Poliomyelitis oral trivalent live attenuated
823678
Poliomyelitis trivalent inactivated whole virus
708854
Rabies inactivated whole virus
814970
Rota virus live attenuated
714133
tetanus toxoid
832693
Tetanus toxoid combinations with diphtheria toxoid
703367
Tetanus toxoid combinations with diphtheria toxoid
842443
Tuberculosis live attenuated
872962
Typhoid purified polysaccharide antigen
703442
Typhoid purified polysaccharide antigen
822442
Yellow fever live attenuated
814989
zoster, live attenuated
892939
GENERIC NAME
PRODUCT NAME
Morupar single dose
Rouvax sgl dose syr
Imovax men a+c single
Menomune multidose vial 10ml
Mencevax acwy single dose vial
Mencevax acwy 10 dose vial
Cervarix pre-filled syringe 0.5ml
Gardasil pre-filled syringe 0.5ml
Dtp-merieux single dose syringe
Infanrix pre filled syringe 0,5ml
Infanrix hexa
Boostrix tetra pre-filled syringe 0.5ml
Prevenar 13 pre-filled syringe 0.5ml
Imovax pneumo 23
Pneumovax vaccine
Polioral 10 dose trivalent
Opv-merieux 10 dose
Imovax polio
Verorab
Rotarix liquid oral
Tetavax single dose syringe 0.5ml
Diftavax pre-filled single dose syringe
Dt vax 0.5ml single dose
Bcg intradermal infant vial powder
Typherix pre-filled syringe single dose
Typhim vi 0.5ml prefilled syringe
Stamaril
Varilrix vial
STRENGTH/
PACK SIZE
10ML
0.5ML
0.5ML
0.5ML
0.5ML
0.5ML
28mcg/0,5mL
0.5ML
40IU/0.5ML
20dose
0.5ML
25MCG/0.5ML
DOSAGE
FORM
VAC
VAC
VAC
VIA
VIA
VIA
VAC
VAC
VAC
INJ
VAC
VAC
VAC
VAC
VAC
VAC
VIA
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
VAC
NAPPI
STRENGTH/
PRODUCT NAME
CODE
PACK SIZE
The selection of a product is subject to the option plan, maximum allowed value and generic reference pricing.
The exact product must be confirmed with the prescriber or dispenser.
GENERIC NAME
DOSAGE
FORM
GENERAL NUTRIENTS
Other combinations of nutrients
715953 Restore hydration 6g
6G
SAC
MINERAL SUPPLEMENTS
calcium acetate anhydrous
718735 Phosphosorb
TAB