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Medicine Formulary HSNI Vol 2.2019

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MEDICINES FORMULARY

HOSPITAL SULTANAH NORA

ISMAIL,

BATU PAHAT, JOHOR

VOL 2.2019


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CONTENTS

1.0 HOW TO USE THIS FORMULARY.............................................................................Page 3

2.0 MEDICINES ACCORDING TO ALPHABETICAL ORDER……………………………………………Page 4-57

3.0 MEDICINES REQUIRING KPK APPROVAL OR IMPORT PERMIT……………………………..Page 58-60

4.0 MEDICINES REMOVED FROM FORMULARY (DCM BIL.2/2019) …………………………..Page 61-62

5.0 MEDICINES NEWLY INTRODUCED INTO FORMULARY (DCM BIL.2/2019) ……………Page 63-64


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1.0 HOW TO USE THIS FORMULARY

Medicines are arranged according to alphabetical order. Only medical practitioners from respective

departments are authorised to initiate the prescription as listed in the formulary. For medicines where

Department names are not specified, medicines are not confined to a specific department, but it shall be

prescribed in reference to FUKKM system/group.

Category of prescribers that are authorised to initiate the prescription for the medicine in this formulary is

listed as:

CATEGORY OF PRESCRIBER DEFINITION

A* Consultant/specialist from disciplines related to the listed indication only

A Consultant/specialist

A/KK Consultant/specialist/family physician specialist

B Medical officer

C Paramedic staff

C+ Paramedic staff doing midwifery

Dental consultant, dental specialist and dental officers are also included in this category but only for the

medicines used in dental treatment. Medicines should be prescribed when they are necessary, and in all cases

the benefit of administering the medicines should be considered in relation to the risks involved.

Medicines will be dispensed generically. The use of trade name (if any) in this formulary is only given as an

example; it does not indicate that the particular brand should be dispensed.


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MEDICINES ACCORDING

TO ALPHABETICAL ORDER


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Generic Name Category Department FUKKM

SYSTEM/GROUP Note

Acetazolamide 250mg Tablet B Ophthalmology

Acetazolamide 500mg Injection

B Ophthalmology

Department Ophthalmology

Acetylcysteine 200mg/ml Injection

A* Emergency

Acetylcysteine 600mg Tab KPK DRUG Nephrology Unit

Acetylsalicylic Acid 300mg Tab C Analgesics

Acetysalicylic Acid 100mg + Glycine 45mg Tab

B Medical

Department Cardiovascular

Acitretin 25mg Capsule A* Dermatology Unit Dermatology Quota: 30 Patients/ Month (DCM Bil2.2014)

Acriflavine 0.1% Lotion C+ Dermatology

Acyclovir 200mg Tablet A/KK Antiinfectives

Acyclovir 200mg/5ml Suspension

A* Pediatric

Department Antiinfectives

Quota: 20 Patients/Year ( DCM Bil2.2012)

Acyclovir 250mg Injection A* Antiinfectives

Acyclovir 3% Eye Ointment A* Ophthalmology


Quota: 10 Patients/Month (Requires Import Permit )

Acyclovir 800mg Tablet A/KK Antiinfectives

Adenosine 3 mg/ml Injection B Medical


Adrenaline Acid (Epinephrine) Tartrate 1 mg/ml Injection

B Cardiovascular

Agomelatine 25mg Tablet A* Psychiatric

Department Psychiatry

Quota: 15 Patients/Months ( DCM Bil3.2014)

Albendazole 200mg Tablet C+ Antiinfectives


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SYSTEM/GROUP Note

Albendazole 200mg/5ml Suspension

C+ Antiinfectives

Alcohol 70% Solution C+ Dermatology

Alendronate Sodium 70 mg And Cholecalciferol 5600 iu Tablet (Fosamax Plus)

A* Orthopaedic Department

Endocrine

Alfacalcidol 0.25 mcg Capsule A/KK Medical

Department / Nephrology Unit

Nutrition and Blood Disorder

Alfacalcidol 1 mcg Capsule A/KK Medical

Department Nutrition and Blood

Disorder

Alfacalcidol 2 mcg/ml Drops A* Pediatric


Disorder

Alfuzosin Hydrochloride 10mg Tablet

A* Surgical

Department Genitourinary

Quota:20 Patients/Month (DCM Bil2/2018)

Alkaline Nasal Douche B Otolaryngology

Department (ENT) Ear, Nose and Oropharynx

Allopurinol 300 mg Tablet A/KK Medical

Department Rheumatology

Alprazolam 0.5mg Tablet A Psychiatry

Alprazolam 1mg Tablet A Psychiatry

Alprostadil 500 mcg/ml Injection

A* Pediatric


Amantadine HCl 100 mg Capsule

B Neurology Unit Neurology Quota: 5 Patients (DCM Bil1/2018)

Amikacin 500mg/2ml Injection

A Antiinfectives

Amiloride Hcl 5 mg & Hydrochlorothiazide 50 mg Tablet

B Medical


Aminophylline 25mg/ml In 10ml Injection

B Respiratory

Amiodarone 150 mg/3ml Injection

A* Medical


Amiodarone 200 mg Tablet A* Medical



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SYSTEM/GROUP Note

Amisulpride 400mg Tablet A* Psychiatric


Quota:13 Patients/Month ( DCM Bil1.2016)

Amitriptyline 25mg Tablet B Psychiatric


Amlodipine 10 mg And Valsartan 160mg Tablet

A/KK Medical


Amlodipine 10 mg Tablet B Medical


Amlodipine 5 mg Tablet B Medical


Amoxicillin 1g & Clavulanate 200mg Injection

A Antiinfectives

Amoxicillin & Clavulanate 228 mg/5 ml Syrup

A/KK Pediatric


Amoxicillin And Clavulanic Acid 625mg Tab

A/KK Antiinfectives

Amoxicillin Trihydrate 125mg/5ml Syrup

B Antiinfectives

Amoxycillin 500 mg Capsule B Antiinfectives

Amphotericin B 0.125% Eye Drops

A Ophthalmology

Department

Amphotericin B 0.15% Eye Drops

A Ophthalmology


Amphotericin B 50 mg Injection

A Antiinfectives

Ampicillin 500mg Injection B Antiinfectives

Ampicillin Sodium & Sulbactam Sodium 375 mg Tablet

A/KK Antiinfectives

Ampicillin Trihydrate 125mg / 5ml (100ml) Suspension

B Antiinfectives

Anastrozole 1 mg Tablet A* Surgical

Department Haematology/

Oncology

Anti RhD Gamma Globulin

300 mcg/2 ml B

Obstetrics and

Gynaecology

Department

Immunological

Products and

Vaccines


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SYSTEM/GROUP Note

Antivenene Cobra Injection B

Emergency And

Trauma

Department

Emergency Quota: 10 vials

(DCM bil1.2019)

Antivenene Serum (Sea snake)

1000 units Injection B

Emergency And

Trauma

Department

Emergency Quota: 1 vial (DCM

bil1.2019)

Aqueous Cream C+ Dermatology

Aripiprazole 10mg Tablet A* Psychiatric


Combined Quota 10mg &15mg :90 Patients/Month ( DCM Bil1.2019)

Aripiprazole 15mg Tablet A* Psychiatric


Aripiprazole 15mg keep for old case only. ( DCM Bil 1.2019)

Artemether 20mg + Lumefantrine 120mg Tablet

B Medical


Artesunate 60 mg Injection A Medical


Artificial Tear Preservative Free (ATPF)

A* Ophthalmology


Quota: 200 boxes per month (DCM 1/2019)

Artificial Tears/Eye Lubricant Opthalmic Gel (Genteal Eye Drop 0.2%)

B Ophthalmology


17 Bottle/Month (200 Bottle)

Ascorbic Acid 100mg Tab C+ Nutrition and Blood

Disorder

Asenapine 10mg Sublingual Tablet

A* Psychiatric


Quota:3 Patients/Month ( DCM Bil1.2016)

Atenolol 100mg Tab B Medical


Atomoxetine HCl 10 mg Capsule

A* Psychiatric

Department Neurology

Combined Quota 10mg, 18mg, 25mg: 30 Patients/Month


A* Psychiatric




A* Psychiatric



Atorvastatin 20 mg Tablet A/KK Medical


Atorvastatin 80 mg Tablet A/KK Medical



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SYSTEM/GROUP Note

Atracurium Besylate 10 mg/ml In 2.5 ml Injection

A* Anaesthesia Department

Anaesthesia

Atropine Sulphate 1% Eye Drops 10ml

B Ophthalmology


Atropine Sulphate 1mg/1ml Injection

B Anaesthesia

Azathioprine 50 mg Tablet A Medical

Department Drugs Affecting

Immune Response

Azathioprine 50 mg Tablet A Haematology Unit Drugs Affecting

Immune Response

Azithromycin 200mg/5ml Granules

A* Pediatric



Azithromycin 250mg Tablet A* Medical


Azithromycin 500 mg Injection A* Antiinfectives

Baclofen 10mg Tablet B Neurology

Balanced Salt Solution 250ml. A Ophthalmology

Balanced Salt Solution 500ml. A Ophthalmology

BCG Vaccine Freeze-Dried Injection

C+ Obstetrics and

Gynaecology Department

Immunological Products and

Vaccines

Beclomethasone Dipropionate 100mcg And Formoterol Fumarate Dihydrate 6mcg Pressurized Inhalation Solution

A/KK Medical

Department Respiratory

Quota:10 Patients (DCM Bil 2.2019)

Benzathine Penicillin 2.4 MIU (1.8 G) Injection

B Antiinfectives

Benzhexol HCl 2mg Tablet B Neurology

Benzoic Acid Compound Ointment

C Dermatology

Benzydamine HCl 0.15% Solution

B

Otolaryngology Department (ENT)

Ear, Nose and Oropharynx

Oral and Maxillofacial Surgery

Department


Quota: 3 Patients/Month (DCM Bil2/2012)


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SYSTEM/GROUP Note

Benzydamine HCl 3.0mg/ml Throat Spray

A* Otolaryngology



Benzyl Benzoate 25% Emulsion

C+ Dermatology

Benzyl Benzoate, Zinc Oxide Dan Balsum Peru Suppositories Anusol

C

Benzylpenicillin 1 mega unit (600 mg) Injection

B Antiinfectives

Benzylpenicillin 5 mega units (3 g) Injection

B Antiinfectives

Beractant Intratracheal Suspension (200 mg Phospholipids In 8 ml Vial)

A* Pediatric


Betahistine Dihydrochloride 24 mg Tablet

A*

Medical Department/


Neurology

Medical Department: Maximum duration of 1 week only

Betamethasone 17-Valerate 0.01-0.05% Cream

B Dermatology

Betamethasone 17-Valerate 0.1% Cream

A Dermatology Unit Dermatology

Betaxolol 0.25% Eye Suspension (Betoptic)

A Ophthalmology


Bicalutamide 50 mg Tablet A*

Surgical Department

Haematology/ Oncology

Quota: 2 Patients/Month ( DCM Bil3/2017)

Oncology Unit Haematology/

Oncology Quota: 1 Patient,3 Monthly

Bimatoprost 0.01% ophthalmic solution

A* Ophthalmology


Quota 20 patients (DCM bil 1.2019)

Bisacodyl 10 mg Suppository C Gastro-Intestinal

Bisacodyl 5mg Tablet C Gastro-Intestinal

Bismuth Subnitrate, Iodoform And Liquid Paraffin Paste

B Otolaryngology


Bisoprolol Fumarate 5mg Tablet

B Medical


Bisoprolol Fumarate 2.5mg Tablet

B Medical



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SYSTEM/GROUP Note

Bleomycin HCl 15 mg Injection A Oncology Unit Ear, Nose and Oropharynx

Brimonidine Tartrate 0.15% Ophthalmic (Alphagan)

A* Ophthalmology


Quota: 350 Patients / Month (DCM Bil2/2017)

Bromhexine 4mg/2 ml Injection

A Ear, Nose and Oropharynx

Bromhexine HCl 8 mg Tablet C Ear, Nose and Oropharynx

Bromocriptine Mesilate 2.5mg Tablet

A/KK

Medical Department

Endocrine

Obstetrics and Gynaecology Department

Endocrine

Budesonide 160 mcg And Formoterol 4.5 mcg Inhalation

A/KK Medical


Quota: 60 Patients (DCM Bil 2/2019)

Budesonide 200mcg (CFC-Free) Inhaler

B Respiratory

Budesonide 500 mcg/2 ml Nebuliser Solution

B Respiratory

Budesonide 64mcg Nasal Spray

A Otolaryngology


Bupivacaine 0.5 % Injection (Marcaine Plain)

B Anaesthesia Department

Anaesthesia

Bupivacaine 0.5 % with Adrenaline 1:200,000 Injection


Anaesthesia

Bupivacaine 0.5% Heavy Injection

A Anaesthesia Department

Anaesthesia

Cabergoline 0.5 mg Tablet A* Obstetrics and Gynaecology Department

Endocrine Quota: 2 Patients/Month ( DCM Bil2/2015)

Caffein powder (anhydrous) KPK DRUG Pediatric

Department

Quota: 20 patients per month (DCM bil 2.2019)

Calamine Lotion C+ Dermatology

Calamine Cream C+ Dermatology

Calamine With 2 - 6% Precipitated Sulphur Lotion

C Dermatology


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SYSTEM/GROUP Note

Calcipotriol 50mcg/g Cream (Daivonex)

A* Dermatology Unit Dermatology

Calcipotriol Hydrate 50mcg/g & Betamethasone Dipropionate 0.5mg/g Gel (Xamiol)


Calcipotriol Hydrate 50mcg/g & Betamethasone Dipropionate 0.5mg/g Ointment (Daivobet)


Calcitriol 0.25 mcg Capsule A/KK

Medical Department


Orthopaedic Department


Nephrology Unit Nutrition and Blood

Disorder

Calcitriol 1mcg/ml Injection A* Nephrology Unit Nutrition and Blood

Disorder Open Quota (DCM Bil1/2017)

Calcium Carbonate 500mg Tablet

B Nutrition and Blood

Disorder

Calcium Gluconate 10% Injection


Disorder

Calcium Lactate 300mg Tab C Nutrition and Blood

Disorder

Calcium Polystyrene Sulphonate Powder

A Emergency

Capecitabine 500 mg Tablet A* Oncology Unit Haematology/Onco

logy

Captopril 25mg Tablet B Medical


Carbachol 0.01% Intraocular Solution

A Ophthalmology


Carbamazepine 200mg Tablet B Medical


Carbamazepine 400 mg CR Tablet

A Medical


Carbetocin 100 mcg/ ml Injection

A* Obstetrics and Gynaecology Department

Obstetrics, Gynaecology


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SYSTEM/GROUP Note

Carbimazole 5mg Tablet B Endocrine

Carboplatin 450 mg Injection A* Oncology Unit Haematology/

Oncology

Carboprost Tromethamine 250mcg Injection



Carvedilol 6.25 mg Tablet A/KK Medical


Cefazolin Sodium 1 g Injection A Nephrology Unit Antiinfectives

Cefepime 1g Injection A* Antiinfectives

Cefoperazone Sodium 1 g Injection

A Antiinfectives

Cefoperazone Sodium 500 mg & Sulbactam Sodium 500 mg Injection

A Antiinfectives

Cefotaxime 1 g Injection A Antiinfectives

Ceftazidime 1 g Injection A Antiinfectives

Ceftazidime 5% Eye Drops A Ophthalmology

Department

Ceftriaxone 1g Injection A Antiinfectives

Cefuroxime 5% Eye Drops A Ophthalmology

Department

Cefuroxime Axetil 125 mg Tablet

A/KK Antiinfectives

Cefuroxime Axetil 125mg/5ml Suspension (Zinnat)

A Pediatric


Cefuroxime Sodium 750 mg Injection

A Antiinfectives

Celecoxib 200 mg Capsule A

Medical Department

Rheumatology


Rheumatology


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SYSTEM/GROUP Note

Cephalexin Monohydrate 250 mg Capsule

B Antiinfectives

Cetrimide 1-2% Lotion C+ Dermatology

Charcoal, Activated 50 g Granules

A Emergency And

Trauma Department

Emergency Quota: 2 Bottles/Month

Chloral Hydrate 200 mg/5 ml Mixture

B Pediatric


Chloramphenicol 0.5% Eye Drop

C Ophthalmology

Chloramphenicol 1% Eye Ointment

C Ophthalmology

Chloramphenicol Ear Drops C Ear, Nose and Oropharynx

Chlorhexidine Gluconate 0.2% Mouth Wash

C Ear, Nose and Oropharynx

Chlorhexidine Gluconate 2% In Alcohol 70% Solution

C Dermatology

Chlorhexidine Gluconate 4% Scrub

C+ Dermatology

Chloroquine Phosphate 250 mg Tablet (150 mg Chloroquine Base)

C Medical


Chlorpheniramine 2mg/5ml Syrup


Chlorpheniramine Maleate 10 mg/ml Injection

B Ear, Nose and Oropharynx

Chlorpheniramine Maleate 4 mg Tablet


Chlorpromazine HCL 100mg Tablet

B Psychiatric


Chlorpromazine HCL 25mg Tablet

B Psychiatric



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SYSTEM/GROUP Note

Chorionic Gonadotrophin Human (HCG) 5000 IU Injection



Ciclosporin 100 mg Capsule A* Nephrology Unit Drugs Affecting

Immune Response

Ciclosporine 25mg Capsule A* Nephrology Unit Drugs Affecting

Immune Response

Ciprofloxacin 0.2% Eye Drops A* Ophthalmology

Department


Ciprofloxacin 0.3% Eye Drops A* Ophthalmology

Department

Quota: 20 Patients / Month

Ciprofloxacin 200mg/100ml Injection

A Antiinfectives

Ciprofloxacin 250 mg Tablet A Antiinfectives

Cisplatin 50 mg Injection A Oncology Unit Haematology/

Oncology

Clarithromycin 250mg Tab A* Antiinfectives

Clindamycin HCl 300 mg Capsule

A* Antiinfectives

Clindamycin Phosphate 150mg/ml Injection

A* Antiinfectives

Clobazam 10 mg Tablet A*

Pediatric Department

Neurology Quota: 1 Patient

Neurology Unit Neurology Quota: 5 Patient / Year

Clobetasol Propionate 0.05% Cream (Dermovate)


Clobetasone Butyrate 0.05% Cream (Clobetasol)

A/KK Dermatology Unit Dermatology

Clobetasone Butyrate 0.05% Ointment


Clomiphene Citrate 50mg Tablet

A Obstetrics and Gynaecology Department


Clomipramine HCL 25mg Tablet

A Psychiatric



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SYSTEM/GROUP Note

Clonazepam 2 mg Tablet B Neurology

Clopidogrel 75 mg Tablet A* Medical


Quota: 160 Patients (DCM Bil1/2016)

Clotrimazole 1% Ear Drop B Antiinfectives

Clotrimazole 500mg Vaginal Tablet

B Obstetrics,

Gynaecology

Cloxacillin Sodium 125 mg/5 ml Suspension

B Antiinfectives

Cloxacillin Sodium 500mg Capsule

B Antiinfectives

Cloxacillin Sodium 500mg Injection

B Antiinfectives

Clozapine 100mg Tablet A Psychiatric


Clozapine 25mg Tablet A Psychiatric


Coal Tar 1-9% Ointment B Dermatology

Coal Tar 20% Solution B Dermatology

Coal Tar And Salicylic Acid (Various Concentrations) Ointment

B Dermatology

Coal Tar Ointment 3% B Dermatology Unit

Cocaine 10% Solution B Otolaryngology

Department (ENT)

Quota: 2 Patients/ Week (DCM Bil3/2018)

Cocois Co. Ointment B Dermatology

Colchicine 0.5mg Tablet B Dermatology

Colistimethate Sodium 1 million IU Per Vial (Polymyxin E)


Antiinfectives Quota: 2 Patients / Month

Compound Sodium Lactate (Hartmanns Solution)

C Nutrition and Blood

Disorder


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SYSTEM/GROUP Note

Conjugated Estrogen 0.3mg Tablet

A Medical

Department Obstetrics,

Gynaecology Quota: 1 Pesakit (DCM Bil1/2018)

Conjugated Oestrogens 0.625mg/g Cream



Copper 375 Mm Intrauterine Device

B Obstetrics and Gynaecology Department


Copper Sulphate Crystal C Dermatology

Cromoglycate 2% Eye Drops (Optichrome)

A/KK Ophthalmology

Department

Cyanocobalamin 1 mg Injection


Disorder

Cyclopentolate 0.2% With Phenylephrine 1% Eye Drops (Cyclomydril)

A Ophthalmology


Quota: 80 Bottles/Year (DCM Bil1/2014)

Cyclopentolate 1% Eye Drops A Ophthalmology


Cyclophosphamide 1 g Injection

A Nephrology Unit Haematology/

Oncology Quota:15 Patients/Month

Cyclophosphamide 50mg Tablet

A

Nephrology Unit Haematology/

Oncology Quota:1 Patient

Medical Department


Quota: 20 patients (DCM bil1.2019)

Cyclosporin 0.05% Eye Drops A Ophthalmology

Department

Cyclosporin 0.5% Eye Drops A Ophthalmology

Department

Cyproterone Acetate 2 mg & Ethinyloestradiol 0.035 mg Tablet



Quota: 3 Patients/Month

Cytarabine 100mg Injection A Oncology Unit Haematology/Onco

logy

Cytarabine 500mg Injection A Oncology Unit Haematology/Onco

logy Quota: 1 Patient Only

Dacarbazine 200 mg Injection A* Oncology Unit Haematology/O Quota: 1 patient (DCM bil1.2019)


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SYSTEM/GROUP Note

Danazol 200 mg Capsule

A/KK


Endocrine

Haematology Unit Endocrine

Dapsone 100mg Tablet B Medical


Requires Import Permit

Deferasirox 500mg Dispersible Tablet

A* Pediatric


Disorder

Deferiprone 500 mg Tablet A*




Haematology Unit Nutrition and Blood

Disorder Quota:30 Patients (DCM Bil3/2015)

Denosumab In 1.0 ml Solution (60 mg/ml) Pre-Filled Syringe (Subcutaneous Injection)

A* Orthopaedic Department

Endocrine

Quota:10 Patients/Year; C/S:HOD Only (DCM Bil2/2018)

Desferrioxamine B Methanesulphonate 0.5 g Injection

A


Disorder

Haematology Unit Nutrition and Blood

Disorder

Desflurane Liquid A Anaesthesia Department

Anaesthesia Quota 5 Bottles (250ml)/Month

Desmopressin Acetate 4 mcg/ml Injection

A

Anaesthesia Department

Endocrine Quota: 10 Patients/3month (DCM Bil3/2013)

Nephrology Unit Endocrine Quota:3 Patients/Month

Desmopressin 0.2 mg Tablet A

Medical Department

Endocrine

Surgical Department

Endocrine

Desmopressin Acetate Nasal Spray 100mcg/ml

A Pediatric

Department Endocrine Quota: 1 Patient

Desogestrel 150 mcg & Ethinylestradiol 30 mcg Tablet

C+ Obstetrics and Gynaecology Department


Quota: 30 Patients/Month (Dcm Bil 3/2015)

Dexamethasone 0.5 mg Tablet A Endocrine

Dexamethasone 4 mg Tablet A Haematology Unit Endocrine Quota:15 Patients ( DCM Bil2/2015)


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SYSTEM/GROUP Note

Dexamethasone And Neomycin Sulphate And Polymyxin B Sulphate Eye Drops (Maxitrol)

A Ophthalmology

Department

Dexamethasone Sodium Phosphate 0.1%Eye Drops

A Ophthalmology


Dexamethasone Sodium Phosphate 4mg/ml Injection

B Endocrine

Dexmedetomidine HCl 100 mcg/ml Injection


Anaesthesia Quota: 10 Patients (DCM Bil3/2015)

Dextrose 10% Injection B Nutrition and Blood

Disorder


Disorder


Disorder


Disorder

Dextrose Powder B Endocrine

Diazepam 5 mg Rectal Solution

C Neurology

Diazepam 5 mg Tablet B Neurology

Diazepam 5 mg/ml Injection B Neurology

Diclofenac Sodium 12.5 mg Suppository


Analgesics

Diclofenac Sodium 25 mg Suppository


Analgesics

Diclofenac Sodium 50mg Suppository


Analgesics

Diclofenac Sodium 50mg Tablet

B Analgesics

Diclofenac Sodium 75mg/3ml Injection

A/KK Analgesics

Dienogest 2mg Tablet A/KK Obstetrics and Gynaecology Department




Page 20


SYSTEM/GROUP Note

Digoxin 0.25mg Tablet B Medical


Digoxin 250 mcg/ml Injection A Medical


Diltiazem HCl 30mg Tablet B Medical


Dinoprostone (Prostagladin E2) 3 mg Vaginal Tablet



Diosmin 450mg And Hesperidin 50mg Tablet

A/KK

Medical Department

Gastro-Intestinal Duration (1 Month Only)

Surgical Department

Gastro-Intestinal

Diphenhydramine Hydrochloride 14mg/5 ml Expectorant


Diphenhydramine Hydrochloride 7 mg/5ml Expectorant


Diphenoxylate HCl 2.5mg With Atropine Sulphate 0.025mg Tablet

B Gastro-Intestinal

Dipyridamole 75mg Tablet B Medical


Dobutamine 12.5 mg/ml Injection

A Cardiovascular

Docetaxel 40mg/ml Injection A* Oncology Unit Haematology/

Oncology

Docetaxel 80 mg /2 ml Injection

A* Oncology Unit Haematology/

Oncology

Domperidone 10mg Tab B Pediatric

Department Gastro-Intestinal

Domperidone 1 mg/ml Suspension

B Pediatric


Quota: 285 bottles every 3 months (DCM bil1.2019)

Donepezil HCl 10 mg Tablet A Psychiatric


Combined Quota 5mg, 10mg :220 Patients/Month (DCM Bil1/2018)

Donepezil HCl 5 mg Tablet A Psychiatric


Combined Quota 5mg, 10mg :220 Patients/Month (DCM Bil1/2018)


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SYSTEM/GROUP Note

Dopamine HCl 40 mg/ml Injection

B Cardiovascular

Dorzolamide HCl 2% Ophthalmic Solution

A* Ophthalmology


Doxazosin Mesilate 4mg CR Tablet

A* Surgical


Doxorubicin HCl 50mg Injection

A Oncology Unit Haematology/Onco

logy

Doxycycline 100 mg Capsule B Antiinfectives

Duloxetine 30mg Capsule A* Psychiatric


Combined 30mg & 60mg Quota:20 Patients/Month

Duloxetine 60mg Capsule A* Psychiatric


Combined 30mg & 60mg Quota:20 Patients/Month

Dutasteride 0.5mg And Tamsulosin 0.4mg Capsule

A* Surgical


Quota:100 Patients/Month (DCM Bil 1/2019)

Dutasteride 0.5mg Capsule A* Surgical


Quota: 21 Patients/Month (DCM bil1.2019)

Dydrogesterone 10mg Tablet A/KK Obstetrics and Gynaecology Department


Efavirenz 200mg Capsule A* Medical


Efavirenz 600 mg Capsule A/KK Medical


Emulsificants Ointment C Dermatology

Enalapril 20mg Tablet B Medical


Enalapril 5 mg Tablet B Medical


Enoxaparin Sodium 40 mg Injection

A*


Cardiovascular Quota: 1 Patient (DCM Bil2/2018)


Cardiovascular

Combined Quota 40mg & 60mg: 2 Patients/ Week (DCM Bil2/2018)


Cardiovascular Quota: 300 syringes every 3 months (DCM bil2.2019)


Page 22


SYSTEM/GROUP Note

Enoxaparin Sodium 60 mg Injection

A*


Cardiovascular

Combined Quota 40mg & 60mg: 2 Patients/ Week (DCM Bil2/2018)

Medical Department

Cardiovascular

Eperisone HCl 50 mg Tablet A Orthopaedic Department

Rheumatology Duration: 2 Weeks Only

Ephedrine HCl 30mg/ml Injection

B Cardiovascular

Epirubicin 10 mg Injection A* Oncology Unit Haematology/Onco

logy

Epirubicin 50 mg Injection A* Oncology Unit Haematology/Onco

logy

Ertapenem 1 g Injection A*

Medical Department

Antiinfectives Quota: 6 Patients/Month (DCM Bil2/2013)

Surgical Department



Antiinfectives

Erythromycin Ethylsuccinate 400mg Tablet

B Antiinfectives

Erythromycin Ethylsuccinate 400mg/5ml Suspension

B Antiinfectives

Erythromycin Lactobionate 500mg Injection

A* Antiinfectives

Erythropoietin Human Recombinant 2000 iu/0.5ml Injection

A Nephrology Unit Nutrition and Blood

Disorder Haemodialysis Unit

Escitalopram 10mg Tablet A* Psychiatric


Esmolol HCl 10 mg/ml Injection


Cardiovascular Quota: 5 Ampules/Month (DCM Bil1/2011)

Esomeprazole 40 mg Injection A*

Surgical Department

Gastro-Intestinal

Nephrology Unit

Gastro-Intestinal Quota:3 Patient

Medical Department

Gastro-Intestinal Quota: 5 Patients/Month


Page 23


SYSTEM/GROUP Note

Esomeprazole 40 mg Tablet A* Surgical



Essential Phospholipids, Nicotinamide,Cyanocobalamine, Tocopheryl,Pyridoxine, Thiamine, Riboflavine Capsule

A/KK Medical


Estradiol 1 mg & Estradiol 1 mg With Dydrogesterone 10 mg



Quota:9 Patients/Month

Estradiol 1 mg & Norethisterone Acetate 0.5 mg Tablet

A*



No Quota

Medical Department


Quota: 15 patients

Estradiol 1mg With Dydrogesterone 5mg Tablet



Quota:9 Patients/Month

Estradiol Valerate 1 mg Tablet A* Obstetrics and Gynaecology Department


Ethambutol HCl 400mg Tablet B Antiinfectives

Ether Solvent C Miscellaneous

Ethinylestradiol 20 mcg & Drospirenone 3 mg Tablet




Ethinylestradiol 20 mcg & Drospirenone 3 mg Tablet




Ethinylestradiol 20 mcg & Levonorgestrel 100 mcg Tablet

A/KK Obstetrics and Gynaecology Department


Quota:20patients/Month

Ethyl Chloride 100ml Spray C Anaesthesia

Etomidate 20 mg/10 ml Injection

A*


Anaesthesia

Emergency And Trauma

Department Anaesthesia

Quota: 30 Vials/Month (DCM Bil3/2017)

Etonogestrel 68mg Implant A/KK Obstetrics and Gynaecology Department


Quota: 15 Patients per year (DCM Bil 1/2019)

Etoposide 100 mg/5 ml Injection

A* Oncology Unit Haematology/Onco

logy


Page 24


SYSTEM/GROUP Note

Etoricoxib 120 mg Tablet A*


Rheumatology


Rheumatology

Etoricoxib 90 mg Tablet A*


Rheumatology Quota: 40 Patients/Month

Medical Department

Rheumatology


Rheumatology

Surgical Department

Rheumatology Quota:40 Patients/Month (DCM Bil2/2015)


Rheumatology

Everolimus 0.25mg Tablet A* Nephrology Unit Drugs Affecting

Immune Response

Combined Quota 0.25mg &0.75mg: 1 Pesakit (DCM Bil3/2017)

Everolimus 0.75mg Tablet A* Nephrology Unit Drugs Affecting

Immune Response

Combined Quota 0.25mg &0.75mg: 1 Pesakit (DCM Bil3/2017)

Exemestane 25 mg Tablet A* Oncology Unit Haematology/Onco

logy

Ezetimibe 10 mg Tablet A* Medical


Factor IX Injection A Cardiovascular Under Control By Tabung Darah

Factor IX, Factor II & Factor X In Combination 500iu/Vial Injection

A* Medical


Factor IX, Factor II, Factor VII And Factor X In Combination Injection

A* Medical


Quota 2 Patients. ( To Keep 12 Vials) DCM Bil 3/2018

Factor VIIa (Recombinant) Eptacog Alfa (Activated) 100 KIU (1 Mg) Injection

A*


Haematology/Oncology


Haematology/Oncology

Factor VIII (Human Blood Coagulation Factor) & Von Willebrand Factor Injection (50 KIU)

A* Haematology/Onco

logy Under Control By Tabung Darah


Page 25


SYSTEM/GROUP Note

Factor VIII Injection A Cardiovascular Under Control By Tabung Darah

Fat Emulsion 20% For IV Infusion Injection

A Pediatric


Disorder TPN

Felodipine 10 mg Tablet A/KK Medical


Felodipine 5 mg Tablet A/KK Medical


Fenofibrate 145 mg Tablet A/KK Medical


Quota:10 Patients (DCM Bil3/2015)

Fentanyl 25 mcg/h Transdermal Patch

A*

Surgical Department

Analgesics Quota:1 Patient/Month (DCM Bil2/2017)

Nephrology Unit Analgesics Quota:1 Patient

Fentanyl Citrate 50mcg/ml Injection

A


Analgesics


Analgesics

Ferric Ammonium Citrate 800 mg/10 ml Paediatric Mixture

C Pediatric


Disorder

Ferrous Controlled Release 500 Mg,Vitamin B1, Vitamin B2, Vitamin B6,Vitamin B12, Vitamin C, Niacinamide,Calcium Pantothenate, Folic Acid 800mcg Tablet

A/KK


Disorder





Ferrous Fumarate 200mg Tablet

C+ Nutrition and Blood

Disorder

Filgrastim (G-CSF) 30 mu/ml Injection

A* Haematology Unit Haematology/Onco

logy

Finasteride 5mg Tablet A* Surgical


Quota: 80 Patients/Month (DCM Bil2.2019)

Fluconazole 0.2% Eye Drops A Ophthalmology

Department

Fluconazole 100 mg Capsule A Antiinfectives

Fluconazole 2 mg/ml Injection A Antiinfectives


Page 26


SYSTEM/GROUP Note

Fludrocortisone Acetate 0.1mg Tablet

A

Medical Department

Endocrine Requires Import Permit


Endocrine Requires Import Permit

Flumazenil 0.1 mg/ml Injection

B Emergency

Flunarizine HCl 5mg Tablet B Neurology

Fluorescein 1 mg Ophthalmic Strip

B Ophthalmology

Department Diagnostic

Fluorometholone 0.1% Ophthalmic Suspension

A* Ophthalmology


Quota: 40 Patients/Month (DCM Bil 2/2016)

Fluorouracil 250 mg/5 ml Injection

A* Oncology Unit

Fluoxetine 20mg Tablet A Psychiatric


Flupenthixol Decanoate 20mg/ml lnjection

B Psychiatric


Fluphenazine Decanoate 25 mg/ml Injection

B Psychiatric


Fluticasone Furoate 27.5 mcg/dose Nasal Spray

A* Otolaryngology


Quota: 150 Pesakit/Month (DCM Bil1/2017)

Fluticasone Propionate 125 mcg/dose Inhaler

B Pediatric


Fluvoxamine 100 mg Tablet B Psychiatric


Folic Acid 5mg Tablet C+ Nutrition and Blood

Disorder

Fondaparinux Sodium 2.5 mg/0.5 ml Injection

A*


Cardiovascular

Medical Department

Cardiovascular


Cardiovascular Quota: 30 Patients/Month (DCM Bil3/2016)

Frusemide 10 mg/ml Injection B Cardiovascular


Page 27


SYSTEM/GROUP Note

Frusemide 10mg/ml Oral Solution

B Pediatric


Quota: 6 Bottles/Month (DCM Bil 3/2018)

Frusemide 40mg Tablet B Cardiovascular

Fusidate, Sodium 250 mg Tablet

A* Antiinfectives

Fusidic Acid 1% Eye Drops A Ophthalmology


Fusidic Acid 2% Cream A Dermatology Unit Dermatology

Fusidic Acid 2% In Betamethasone Valerate 0.1% Cream

A/KK Dermatology Unit Dermatology

Gabapentin 300 mg Capsule A*

Medical Department

Neurology Quota: 16 patients/ month DCM Bil 2.2019


Neurology

Oral and Maxillofacial

Surgery Department

Neurology

Quota: 3 Patients/Month Duration: 1 Month Only

Oncology Unit Neurology Quota: 5 patients per month (DCM bil2.2019)

Gadoterate Meglumine (Gadoteric Acid) 0.5 mmol/ ml Injection

A Radiology



Ganciclovir Sodium 50 mg/ ml Injection

A* Pediatric

Department Antiinfectives Quota: 1 Patient

Gefitinib 250 mg Tablet A* Oncology Unit Haematology/Onco

logy Quota: 11 Patients (DCM Bil3/2018)

Gemcitabine HCl 1 G Injection A* Oncology Unit Haematology/Onco

logy

Gemeprost (Prostagladin E1 Synthetic Analogue) 1 mg Pessary



Gemfibrozil 300 mg Capsule A/KK Medical


Gentamicin 0.3% Eye Drops A/KK Ophthalmology


Gentamicin 0.3% Eye Ointment

A/KK Ophthalmology



Page 28


SYSTEM/GROUP Note

Gentamicin 0.9% Eye Drops A/KK Ophthalmology

Department

Quota: 40 Units/ Month

Gentamicin 7.5 mg Beads A Orthopaedic Department

Antiinfectives Requires KPK Approval

Gentamicin 0.1% Cream A*

Nephrology Unit Dermatology

Dermatology Unit Dermatology

Gentamicin Sulphate 40 mg/ml Injection

B Antiinfectives

Gliclazide 30 mg Modified Release Tablet

B Medical

Department Endocrine

Gliclazide 60 mg Modified Release Tablet

B Medical


Gliclazide 80 mg Tablet B Medical


Glucagon (Lyophilised) 1 mg/ml Injection

B Emergency And

Trauma Department

Endocrine Quota: 3 Patients (DCM Bil 2/2011)

Glycerin C+ Ear, Nose and Oropharynx

Glycerin 25% Sodium Chloride 15% Enema

C+ Gastro-Intestinal

Glyceryl Trinitrate 0.5 mg Sublingual Tablet

C Cardiovascular

Glyceryl Trinitrate 5 mg/ml Injection

A Cardiovascular

Glycopyrrolate 200 mcg/ml Injection


Anaesthesia Quota: 60amp/Month

Goserelin 10.8 mg Depot Injection

A

Oncology Unit Endocrine Quota: 1 Patient/Month

Surgical Department

Endocrine Quota: 1 Patient

Goserelin 3.6 mg Depot Injection

A


Endocrine Quota: 20 Patient/ year

Surgical Department

Endocrine Quota: 3 Patients


Page 29


SYSTEM/GROUP Note

Granisetron HCl 1 mg/ml Injection

A


Gastro-Intestinal Quota 15 Vials/Month


Gastro-Intestinal

Quota: 5-7 Patients/ Month (20 Amp Per Month) DCM Bil3/2018

Haemophilus Influenza Type B Conjugate Vaccine Injection (Single Dose)

C Surgical

Department


Vaccines

Haloperidol 1.5mg Tablet B Psychiatric


Haloperidol 5 mg/ml Injection B Psychiatric


Haloperidol 5mg Tablet B Psychiatric


Hemato Polyvalent Antivenom

KPK DRUG Emergency And

Trauma Department

6 Vials Per Year (Requires Permit Import)

Heparin 5000 Units/ml Injection

B Cardiovascular

Heparin Sodium 50 Units In Sodium Chloride Injection

B Cardiovascular

Hepatitis B Vaccine Injection C+ Immunological Products and

Vaccines

Human Albumin Injection B Nutrition and Blood

Disorder

Human Normal Globulin Injection

A Immunological Products and

Vaccines

Hydralazine 10mg Tablet KPK DRUG Medical

Department

360 Tablets Per Year

Hydralazine HCl 20 mg Injection

B Medical


Hydrochlorothiazide 25mg Tablet

B Medical


Hydrochlorothiazide 50mg Tablet

B Medical


Hydrocortisone 1% Cream B Dermatology

Hydrocortisone 10mg Tablet B Endocrine


Page 30


SYSTEM/GROUP Note

Hydrocortisone Sodium Succinate 100mg Injection

C Endocrine

Hydrogen Peroxide 20 Volume Solution

C Dermatology

Hydrogen Peroxide Gargle 1.5%

Otolaryngology

Department (ENT)

Hydroxychloroquine Sulphate 200mg Tablet

A Medical

Department Rheumatology

Hydroxyethyl Cellulose Jelly B Diagnostic

Hydroxyurea 500 mg Capsule A

Haematology Unit Dermatology

Medical Department

Dermatology

Hyoscine N-Butylbromide 10 mg Tablet

B Gastro-Intestinal

Hyoscine N-Butylbromide 20 mg/ml Injection

B Gastro-Intestinal

Hypromellose 0.3% Carbomer 980 Ophthalmic Gel (Genteal)

B Ophthalmology

Department

Quota: 17 Bottles/Month (DCM Bil1/2018)

Ibuprofen 200mg Tablet B Analgesics

Ichthammol Glycerin 10% Ear Drops

C Otolaryngology


Ifosfamide 1 g Injection A* Oncology Unit Haematology/

Oncology

Imipenem 500mg And Cilastatin 500 mg Injection

A* Antiinfectives

Immunoglobulin Tetanus Human 250units/Vial Injection

B Immunological Products and

Vaccines

Indacaterol Maleate And Glycopyrronium Bromide (Fixed Dose Combination) 110/50mcg, Inhalation Powder Hard Capsules

A* Medical


Quota:30 Patients (DCM Bil 2/2019)

Influenza Vaccine (Inactivated) Injection

B

Medical Department


Vaccines

Surgical Department


Vaccines


Page 31


SYSTEM/GROUP Note

Insulin Aspart 100 iu/ml Injection

A* Pediatric



Insulin Glargine 300 iu/ 3 ml Injection (Prefilled Pen)

A/KK


Endocrine Quota:6 Patients (DCM Bil 1/2018)

Medical Department

Endocrine Quota:6 Patients (DCM Bil2/2015)

Insulin Recombinant Neutral Human Short-Acting 100iu/ml Penfill And Refill

B Endocrine

Insulin Recombinant Synthetic Human, Intermediate-Acting 100 iu/ml Penfill And Refill

B Endocrine

Insulin Recombinant Synthetic Human,Premixed 100 iu/ml Penfill And Refill

B Endocrine

Interferon Alpha - 2a 3 MIU Injection

A* Haematology Unit Haematology/Onco

logy

Iodine And Potassium Iodide Solution

B Medical


Iopamidol Injection A Oncology Unit Diagnostic

Iopromide 300mg Injection (623 mg Of Iopromide With 300 mg Of Iodine Per ml)

A Radiology



Ipratropium Bromide 0.025% Inhalation Solution (250 mcg/ml)

B Respiratory

Ipratropium Bromide 20 mcg And Fenoterol 50 mcg/dose Inhaler

B Respiratory

Irinotecan Hcl Trihydrate 20 mg/ml Injection


logy

Iron (Iii) Hydroxide Sucrose Complex 20mg/ml Solution For Injection

B Nephrology Unit Nutrition and Blood

Disorder


Iron (Iii)-Hydroxide Polymaltose Complex (IPC) 100mg Iron And 0.35mg Folic Acid Chewable Tablet

A/KK Obstetrics and Gynaecology Department



Iron Dextran 50 mg Fe/ml Injection


Disorder

Isoflurane Liquid B Anaesthesia

Isoniazid 100mg Tablet B Antiinfectives


Page 32


SYSTEM/GROUP Note

Isosorbide Dinitrate 10mg Tablet

B Medical


Isosorbide-5-Mononitrate 60mg SR Tablet

A Medical


Itopride HCl 50mg Tablet A* Surgical



Itraconazole 100 mg Capsule A/KK Antiinfectives

Ketamine HCl 50mg/ml Injection


Anaesthesia

Ketoconazole 200 mg Tablet A/KK Antiinfectives

Ketonazole 2% Shampoo A/KK Dermatology Unit Dermatology

Ketoprofen 2.5% Gel A Orthopaedic Department

Analgesics

King Cobra Antivenom KPK DRUG Emergency And

Trauma Department


Labetalol HCl 5 mg/ml Injection

B Cardiovascular

Labetalol HCl. 100mg Tablet B Cardiovascular

Lactulose 3.35 g/5 ml Liquid C+

Gastro-Intestinal

Inpatient: All Department Outpatient: For Medical, Surgical, O&G & Pediatric Department

Lamivudine 150 mg Tablet A/KK Medical


Lamotrigine 100 mg Tablet A Medical


Lamotrigine 50 mg Tablet A Pediatric


L-Asparaginase 10,000 iu Injection

A* Oncology Unit Haematology/

Oncology


Page 33


SYSTEM/GROUP Note

Latanoprost 0.005% Eye Drops

A* Ophthalmology


Letrozole 2.5 mg Tablet A* Oncology

Unit/Surgical Department


Leucovorin Calcium (Calcium Folinate) 15 mg Tablet

A Oncology Unit Haematology/

Oncology

Leucovorin Calcium (Calcium Folinate) 50 mg Injection

A


Oncology

Haematology Unit Haematology/

Oncology

Leuprolide Acetate 11.25 mg Injection

A


Endocrine Quota:20 Patients/Year

Oncology Unit Endocrine Quota:3 Patients (DCM Bil3/2017)

Leuprolide Acetate 3.75 mg Injection

A*

Oncology Unit Endocrine Quota: 2 Patients (DCM Bil1/2017)


Endocrine Quota: 20 Patients/Year (DCM Bil2/2011)

Levetiracetam 100 mg/ml Injection

A*


Neurology Quota:10 Vials/Month

Medical Department

Neurology Quota:30 Vials/Month (DCM Bil1/2017)

Levetiracetam 100 mg/ml Oral Solution

A* Pediatric


Quota 2 Patient. (DCM Bil 3/2018)

Levetiracetam 500mg Tablet A*

Medical Department

Neurology Quota:8 Patients (DCM Bil3/2017)


Neurology Quota:1 Patient

Neurology Unit Neurology Quota: 15 Patient / Year (DCM Bil1/2018)

Levobupivacaine 5mg/ml Injection


Anaesthesia Quota: 10 Vials/Month

Levodopa 100 mg And Carbidopa 25 mg Tablet

B Medical


Levodopa 200 mg, Benserazide 50 mg Tablet

B Medical



Page 34


SYSTEM/GROUP Note

Levonorgestrel 1.5 mg Tablet A* Obstetrics and Gynaecology Department


Quota:3 Patients Per Month / 36 Patients Per Year (DCM Bil4/2011)

Levonorgestrel 150 mcg And Ethinyloestradiol 30 mcg Tablet



Levonorgestrel 52 mg Intrauterine System



Quota: 4 patients per year (DCM bil1.2019)i

Levothyroxine Sodium 100mcg Tablet

B Medical


Levothyroxine Sodium 50 mcg Tablet

B Paediatric


Lidocaine 10% W/W Spray B Otolaryngology

Department (ENT) Anaesthesia

50 Units Per Year (Requires KPK Approval)

Lidocaine 25mg And Prilocaine 25mg Cream

A


Anaesthesia

Nephrology Unit Anaesthesia

Haematology Unit Anaesthesia Quota: 2 Patients (DCM Bil1/2017)

Dermatology Unit Anaesthesia Quota: 5 Patients/Month (DCM Bil2/2014)

Lignocaine 2% Jelly B Anaesthesia

Lignocaine 2% Viscous Solution

A


Anaesthesia Quota: 20 Bottles/Year


Surgery Department

Anaesthesia Quota: 5 Patients/Month

Lignocaine 2% With Chlorhexidine 0.05% Gel

B Anaesthesia

Lignocaine HCl (Lidocaine) 2% Injection

B Anaesthesia

Lignocaine HCl (Lidocaine) 20 mg/ml Injection

B Cardiovascular

Lignocaine HCl 5% And Phenylephrine HCl 0.5% Nasal Spray

A* Otolaryngology

Department (ENT) Anaesthesia

Quota:2 Patients/Year


Page 35


SYSTEM/GROUP Note

Lignocaine, Aluminium Acetate, Zinc Oxide And Hydrocortisone Suppository

B Gastro-Intestinal

Linezolid 2 mg/ml Injection A*


Antiinfectives Quota: 1 Patient (DCM Bil4/2014)



Nephrology Unit Antiinfectives Quota:1 Patient/Month (DCM Bil1/2016)


Antiinfectives Quota:1 Patient (DCM Bil3/2013)

Linezolid 600 mg Tablet A* Orthopaedic Department

Antiinfectives Quota 1pt/Month (DCM Bil4/2014)

Liquid Paraffin C Gastro-Intestinal

Lithium Carbonate 300mg Tablet

A Psychiatric


Lopinavir 200 mg And Ritonavir 50 mg Tablet

A Pediatric


Quota:5 Patient (DCM Bil3/2018)

Loratadine 10mg Tablet B Ear, Nose and Oropharynx

All Department Except A&E/Locum

Loratadine 1mg/ml Syrup A Otolaryngology



Loratadine 5 mg And Pseudoephedrine Sulphate 120 mg Tablet

A/KK Otolaryngology



Lorazepam 1mg Tablet A/KK Psychiatry

Losartan 50 mg Tablet B Medical


Losartan Potassium 100 mg Tablet

B Medical


Magnesium Sulphate 50% Injection


Disorder

Magnesium Trisilicate Mixture C Gastro-Intestinal

Magnesium Trisilicate Tablet C Gastro-Intestinal


Page 36


SYSTEM/GROUP Note

Mannitol 10% Injection (10 G/100 ml)

A Cardiovascular

Mannitol 20% Injection (20 G/100 ml)

A Cardiovascular

Mebeverine HCl 135mg Tablet B Surgical



Meclozine Hcl 25 mg And Pyridoxine 50 mg Tablet


Gastro-Intestinal Quota: 10 Patients/Month (DCM Bil2/2017)

Mecobalamine 500mcg Tablet B Neurology

Medroxyprogesterone Acetate 5 mg Tablet



Medroxyprogesterone Acetate 50 mg/ml Injection



Mefenamic Acid 250 mg Capsule

C Analgesics

Memantine HCl 10 mg Tablet A* Psychiatric



Meningococcal A, C, Y, W 135 Vaccine Injection

B Surgical

Department


Vaccines

Mercaptopurine 50 mg Tablet A Oncology Unit Haematology/Onco

logy

Meropenem 1g Injection A* Antiinfectives

Mesalazine 500mg MR Tablet A Surgical


Quota: 10 Patients/Month ( DCM Bil 3/2013)

Mesna 100 mg/ml Injection A Oncology Unit Emergency

Metformin 500 mg and Glibenclamide 2.5 mg Tablet

B Medical


Metformin HCl 500 mg Extended Release Tablet

A/KK Medical


Metformin HCl 500 mg Tablet B Medical



Page 37


SYSTEM/GROUP Note

Methotrexate 2.5 mg Tablet A


Oncology

Dermatology Unit Haematology/

Oncology Quota: 20 Patients/ Month

Methotrexate 50 mg Injection A Oncology Unit Haematology/

Oncology

Methyl Salicylate 25% Ointment

C+ Analgesics

Methyldopa 250mg Tablet B Cardiovascular

Methylene Blue 1% Injection B


Emergency 150 Vials Per Year (Requires Permit Import)

Methylphenidate HCl 10mg Tablet

A Psychiatric


Methylphenidate HCl 18 mg Extended Release Tablet

A* Psychiatric


Quota: 15 Patients/Year

Methylprednisolone Sodium Succinate 0.5 g Injection

A Endocrine

Metoclopramide HCl 10 mg Tablet

B Gastro-Intestinal

Metoclopramide HCl 5 mg/ml Injection

B Gastro-Intestinal

Metoprolol Tartrate 100mg Tablet

B Medical


Metronidazole 200mg Tablet B Antiinfectives

Metronidazole 500mg/100ml Injection

A Antiinfectives

Miconazole 2% Cream B Dermatology

Midazolam 5 mg/5 ml Injection

A Anaesthesia

Midazolam 5 mg/ml Injection A Anaesthesia

Midazolam 7.5 mg Tablet A/KK Anaesthesia


Page 38


SYSTEM/GROUP Note

Minoxidil 5 mg Tablet A* Nephrology Unit Cardiovascular

Mirtazapine 15 mg Orodispersible Tablet

A* Psychiatric


Combined 15mg & 30mg Quota:75 Patients/Month (DCM Bil 1/2019)

Mirtazapine 30 mg Orodispersible Tablet

A* Psychiatric


Combined 15mg & 30mg Quota:75 Patients/Month (DCM Bil 1/2019)

Modified Fluid Gelatin 4% Injection


Disorder

Mometasone Furoate 0.1% Cream

A* Dermatology Unit Dermatology Quota 20 Patients/Month. (DCM Bil 3/2016)

Mometasone Furoate 50 mcg Aqueous Nasal Spray

A* Otolaryngology


Quota: 300 Patient/Month (DCM Bil3/2018)

Monobasic Sodium Phosphate 19g, Dibasic Sodium Phosphate 7g Rectal Solution

A Surgical

Department

Montelukast Sodium 10 mg Tablet

A/KK


Respiratory Quota: 20 Pesakit Sebulan (DCM Bil3/2018)

Medical Department

Respiratory

Montelukast Sodium 4 mg Oral Granules

A*


Respiratory


Respiratory Quota: 40 Pesakit Sebulan (DCM Bil3/2018)

Montelukast Sodium 5 mg Tablet

A* Pediatric


Quota: 35 Patients ( DCM Bil 1/2011)

Morphine HCl 10 mg/5 ml Solution

B Analgesics

Morphine Sulphate 10 mg/ml Injection

B Analgesics

Moxifloxacin 0.5% Ophthalmic Solution

A* Ophthalmology


Moxifloxacin 400 mg Injection A* Medical


Quota:15 Vials/Month (DCM Bil1/2016)

Moxifloxacin 400 mg Injection A* Anaesthesia Department

Antiinfectives Quota: 15 Vials/Month


Page 39


SYSTEM/GROUP Note

Moxifloxacin 400mg Tablet A* Medical


Quota:50 Tab/Month (DCM Bil1/2016)

Multivitamin Injection B Nutrition and Blood

Disorder

Multivitamin Drops (Appeton Multivitamin Plus Infant Drop)

B Pediatric


Disorder

Quota: 30 patients (30 bottles ) per month (DCM bil1.2019)

Multivitamin Syrup C+ Nutrition and Blood

Disorder

Mupirocin 2% Ointment A

Nephrology Unit Dermatology


Dermatology Quota: 5 Tubes/Month (DCM Bil 2/2015)

Mycophenolate Mofetil 250 mg Capsule

A*

Medical Department

Drugs Affecting Immune Response

1 patient (DCM bil1.2019)

Nephrology Unit Drugs Affecting

Immune Response 2 patients (DCM bil1.2019)

Mycophenolate Mofetil 500 mg Tablet

A* Nephrology Unit Drugs Affecting

Immune Response


Naloxone HCl 0.4mg/ml Injection

B Emergency

Neomycin 0.5% Cream B Dermatology

Neostigmine Methylsulphate 2.5mg /ml Injection

B Neurology

Nepafenac 0.1% Ophthalmic Solution

A* Ophthalmology


Quota:30 Patients / Month (DCM Bil1/2018)

Neuro Polyvalent Antivenom KPK DRUG Emergency And

Trauma Department

20 Vials Per Year ( Requires Permit Import)

Nevirapine 200 mg Tablet A/KK Medical


Nicotine 10 mg/ 16 hour Transdermal Patch

A/KK Medical


Combined Quota 10mg &15mg: 1 Patient Only (For HSNI Staff Only)

Nicotine 15 mg/ 16 hour Transdermal Patch

A/KK Medical


Combined Quota 10mg &15mg: 1 Patient Only (For HSNI Staff Only)


Page 40


SYSTEM/GROUP Note

Nifedipine 10mg Tablet B Cardiovascular

Noradrenaline Acid Tartrate (Norepinephrine Bitartrate) 1 mg/ml Injection

A Cardiovascular

Norethisterone 0.35mg Tablet C+ Obstetrics and Gynaecology Department


Nystatin 100,000 units/g Cream

C Dermatology

Nystatin 100,000 units/ml Suspension

B Antiinfectives

Octreotide 0.1 mg/ml Injection

A Surgical


Ofloxacin 0.3% Otic Solution A/KK Otolaryngology


Ofloxacin 100mg Tablet A

Medical

Department & Otolaryngology

Department (ENT)

Antiinfectives

Olanzapine 10 mg Disintegrating Tablet

A* Psychiatric


Olanzapine 10mg Tablet A* Psychiatric


Olanzapine 5mg Disintegrating Tablet

A* Psychiatric


Olanzapine 5mg Tablet A* Psychiatric


Olopatadine Hydrochloride Ophthalmic Solution 0.2%

A* Ophthalmology


Quota:50 Patients / Month (DCM Bil 3/2015)

Omeprazole 20mg Capsule A/KK

Surgical Department

Gastro-Intestinal

Oral and

Maxillofacial Surgery

Department



Page 41


SYSTEM/GROUP Note

Omeprazole 40 mg Injection A*

Surgical Department

Gastro-Intestinal Quota: 300 Vials/Month (DCM Bil2/2015)




Surgery Department


Oral Rehydration Salt. C Nutrition and Blood

Disorder

Oseltamivir 75mg Capsule A/KK Antiinfectives

Oxaliplatin 50 mg Injection A* Oncology Unit Haematology/Onco

logy

Oxycodone HCl 10 mg Prolonged Release Tablet

A*

Nephrology Unit Analgesics Quota:1 Patient (Dcm Bil1/2016)

Surgical Department

Analgesics Quota:15 Patient

Oncology Unit Analgesics Quota:50 Patients (DCM Bil2/2015)

Oxycodone HCl 5 mg Immediate Release Capsules

A* Oncology Unit Analgesics Quota: 10 Patients (DCM Bil1/2017)

Oxycodone Hydrochloride 10mg And Naloxone Hydrochloride Dihydrate 5mg Tablet

A* Oncology Unit Analgesics Quota:50 Patients (DCM Bil2/2015)

Oxymetazoline HCl 0.01% Nasal Drops

A* Otolaryngology


Quota: 3 Units/Month (DCM Bil1/2016)

Oxymetazoline HCl 0.025% (Paediatric) Nasal Spray

A






Quota: 16 Patients

Oxymetazoline HCl 0.05% (Adult) Nasal Spray

A Otolaryngology


Oxytetracycline With Polymyxin B Sulphate Eye Ointment

B Ophthalmology


Oxytocin 10 iu/ml Inj B Obstetrics and Gynaecology Department



Page 42


SYSTEM/GROUP Note

Oxytocin 5 Units & Ergometrine Maleate 0.5 mg/ml Injection



Paclitaxel 100 mg/16.6 ml Injection


logy

Paclitaxel 30 mg/5 ml Injection


logy

Paliperidone 100mg Prolonged Released Injection

A* Psychiatric


Combined 75mg, 100mg, &150mg Quota:30 Patients (DCM Bil 3/2015)


A* Psychiatric



Paliperidone 3mg Extended Release Tablet

A* Psychiatric


Combined 6mg & 9mg Quota: 10 Patients/Year (DCM Bil 3/2015)

Paliperidone 6mg Extended Release Tablet

A* Psychiatric




A* Psychiatric



Paliperidone 9 mg Extended Released Tablet

A* Psychiatric



Pamidronate Disodium 30mg Injection

A* Medical



Pamidronate Disodium 90 mg Injection

A* Medical


Quota: 1 Patient Only

Pantoprazole 40mg Injection A*

Medical Department

Gastro-Intestinal

Surgical Department

Gastro-Intestinal


Surgery Department



Page 43


SYSTEM/GROUP Note

Pantoprazole 40mg Tablet A/KK


Gastro-Intestinal ENT Max 6 Weeks


Surgery Department


Paracetamol 10mg/ml In 100ml Solution For IV Infusion

A


Analgesics

Quota:13 patients (58 Vials) per month (DCM Bil1/2019)


Analgesics Quota:100 Vials/Month (DCM Bil1/2018)


Analgesics Quota:10 Vials/Year (DCM Bil2/2018)

Paracetamol 120mg/5ml Syrup

C+ Analgesics

Paracetamol 125 mg Suppository

C+ Analgesics

Paracetamol 250 mg Suppository

B Analgesics

Paracetamol 500 mg Tablet C+ Analgesics

Paraffin Mole Alba (White Soft Paraffin)

C Dermatology

Parecoxib Sodium 40mg Injection

A*


Analgesics 30 Ampules/Month


Analgesics 5 Days Only

Pazopanib Hydrochloride 200 mg Tablet


logy

Quota:7 Patients Only (DCM Bil1.2019)

Pazopanib Hydrochloride 400 mg tablet


logy

Pemetrexed Disodium 100 mg Injection


logy

Pemetrexed Disodium 500 mg Injection


logy

Pentoxifylline 400 mg Tablet A/KK Medical


Perindopril 4 mg Tablet B Medical



Page 44


SYSTEM/GROUP Note

Perindopril 8 mg Tablet B Medical


Peritoneal Dialysis Solution (1.5% Dextrose)


Disorder

Peritoneal Dialysis Solution (4.25% Dextrose)


Disorder

Peritoneal Dialysis Solution(1.5% Dextrose-5 Litre)

B Nephrology Unit 100 Bags/Month

Permethrin 1% W/V Lotion. B Dermatology

Permethrin 5% W/V Lotion A/KK

Medical Department

Dermatology Quota: 20 Bottles/Month (DCM Bil3/2016)


Dermatology Quota:5 Patients/Month

Dermatology Unit Dermatology Quota: 5 Patients/ Month

Pethidine HCl 100 mg/2 ml Injection

B Analgesics

Pethidine HCl 50mg/ml Injection

B Analgesics

Phenobarbitone 30mg Tablet B Neurology

Phenobarbitone Sodium 200 mg/ml Injection

B Neurology

Phenoxymethyl Penicillin 125 mg/5 ml Syrup

C Antiinfectives

Phenoxymethyl Penicillin 125mg Tablet

C Antiinfectives

Phenylephrine 10mg/ml Injection

KPK DRUG Anaesthesia Department

500 Amp Per Year (Requires KPK Approval)

Phenylephrine HCl 2.5% Eye Drops

B Ophthalmology


Phenytoin Sodium 100 mg Capsule

B Medical


Phenytoin Sodium 50mg/ml Injection

B Neurology


Page 45


SYSTEM/GROUP Note

Phenytoin Sodium 125 mg/5ml Suspension

B Pediatric


Quota: 12 bottles every 3 months (DCM bil.2.2019)

Pilocarpine 2% Eye Drops B Ophthalmology


Pilocarpine 4% Eye Drops B Ophthalmology


Piperacillin 4g & Tazobactam 500mg Injection

A* Antiinfectives

Pizotifen 0.5mg Tablet B Neurology

Pneumococcal Vaccine (Polyvalent)

A

Medical Department


Vaccines

Surgical Department


Vaccines

Polyethylene Glycol /Macrogol 4000 Powder

A Surgical


Polyethylene Glycol /Macrogol 4000 Powder


Gastro-Intestinal

Polymyxin B Sulphate 10,000 U, Neomycin Sulphate 5 mg And Hydrocortisone 10 mg Ear Drops

A Otolaryngology


Quota: 200 Patients /Month (DCM Bil1/2018)

Potassium Chloride 1 g/10 ml Injection


Disorder

Potassium Chloride 1 g/10 ml Mixture


Disorder

Potassium Chloride 600mg SR Tablet


Disorder

Potassium Citrate 3 g/10 ml And Citric Acid Mixture

C Genitourinary

Potassium Dihydrogen Phosphate Injection

A (Import Permit Item)



Quota: 5 patients per month (DCM bil 2.2019)

Potassium Permanganate 1:10,000 Solution

C+ Dermatology

Povidone Iodine 10% (Equivalent To 1% Iodine) Solution

B Dermatology

Pralidoxime 25 mg/ml Injection

B Medical Department

/ Emergency And Trauma Department

Emergency


Page 46


SYSTEM/GROUP Note

Prazosin HCl 1 mg Tablet B Medical


Prazosin HCl 2 mg Tablet B Medical


Prazosin HCl 5mg Tablet B Medical


Prednisolone 5mg Tablet B Endocrine

Pregabalin 75 mg Capsule A* Orthopaedic Department

Neurology Quota:15 Patients (DCM Bil1/2013)

Primaquine 7.5 mg Base Tablet

B Medical


Prochlorperazine Maleate 5mg Tablet

B Gastro-Intestinal

Prochlorperazine Mesylate 12.5 mg/ml Injection

B Gastro-Intestinal

Procyclidine HCl 5 mg/ ml Injection

B

Psychiatric Department

Neurology 1000 Vials Per Year (Requires Import Permit)

Emergency And Trauma


40 Vials Per Year (Requires Import Permit)

Prolase Tablet B Rheumatology

Promethazine HCl 25 mg/ml Injection


Promethazine HCl 5 mg/5 ml Syrup


Propanolol 1mg/ml Injection A Pediatric


Proparacaine HCl 0.5% Ophthalmic Drops

B Ophthalmology


Propofol 10mg/ml (1%) Injection


Anaesthesia

Propranolol HCl 40mg Tablet B Cardiovascular

Propylthiouracil 50 mg Tablet B Medical


Protamine Sulphate 10 mg/ml Injection

B Emergency


Page 47


SYSTEM/GROUP Note

Protein Free Haemodialysate 10% Jelly

A


Dermatology

Surgical Department

Dermatology

Pyrazinamide 500 mg Tablet B Antiinfectives

Pyridostigmine Bromide 60 mg Tablet

B Medical


Pyridoxine HCl 10mg Tablet C+ Nutrition and Blood

Disorder

Pyrimethamine 25mg Tablet KPK DRUG Medical

Department

Quetiapine Fumarate 100 mg Immediate Release Tablet

A* Psychiatric


Combined Quota 100mg, 200mg IR: 100 Patients/Month ( DCM Bil1/2018)

Quetiapine Fumarate 200 mg Extended Release Tablet

A* Psychiatric


Combined 50mg, 200mg, 400mg Quota: 80 Patients/Year (DCM Bil1/2011)

Quetiapine Fumarate 200 mg Immediate Release Tablet

A* Psychiatric


Combined Quota 100mg, 200mg IR: 100 Patients/Month ( DCM Bil1/2018)


A* Psychiatric




A* Psychiatric



Rabies Vaccine Injection B Emergency And

Trauma Department


Vaccines

Raloxifene HCl 60mg Tablet A* Orthopaedic Department


Ranitidine 150mg Tablet B Gastro-Intestinal

Ranitidine 25 mg/ml Injection B Gastro-Intestinal


Page 48


SYSTEM/GROUP Note

Remifentanil 5 mg Injection A* Anaesthesia Department

Analgesics Quota: 30 Vials/Month

Rifampicin 150 mg, Isoniazid 75 mg, Pyrazinamide 400 mg & Ethambutol HCl 275 mg Tablet

B Medical


Rifampicin 150mg Capsule B Medical


Rifampicin 300mg Capsule B Medical


Risperidone 1 mg Tablet B Psychiatric


Risperidone 1 mg/ml Oral Solution

A Psychiatric


Quota: 5patients/Year

Risperidone 2mg Tablet B Psychiatric


Rivaroxaban 10 mg Tablet A* Orthopaedic Department

Cardiovascular Quota: 5 Patients/Month

Rivaroxaban 15 mg Tablet A* Medical


Quota: 5 patients (DCM bil1.2019)

Rivaroxaban 20 mg Tablet A* Medical


Quota:15 Patients (DCM Bil 1/2019)

Rivastigmine 1.5 mg Capsule A* Psychiatric


Combined 1.5mg & 3mg Quota: 20 Patients/Year

Rivastigmine 3 mg Capsule A* Psychiatric


Combined 1.5mg & 3mg Quota: 20 Patients/Year

Rivastigmine 4.6mg/24hr Transdermal Patch

A* Psychiatric


Combined 4.6mg & 9.5mg Quota: 20 Patients/Year

Rivastigmine 9.5mg/24hr Transdermal Patch

A* Psychiatric


Combined 4.6mg & 9.5mg Quota: 20 Patients/Year

Rocuronium Bromide 10 mg/ml Injection


Anaesthesia

Ropivacaine HCl 2 mg/ml Injection


Anaesthesia

Ropivacaine HCl 7.5 mg/ml Injection


Anaesthesia

Rosuvastatin 10 mg Tablet A* Medical


Combined Quota: 10mg & 20mg :20 Patients (DCM Bil2/2010)


Page 49


SYSTEM/GROUP Note

Rosuvastatin 20mg Tablet A* Medical


Combined Quota: 10mg & 20mg :20 Patients (DCM Bil2/2010)

Salbutamol 0.5 % Inhalation Solution

B Respiratory

Salbutamol 0.5 mg/ml Injection

A Respiratory

Salbutamol 100 mcg/dose Inhalation

B Respiratory

Salbutamol 2 mg/5 ml Syrup B Respiratory

Salbutamol Sulphate 2mg Tablet

B

Salicylazosulphapyridine (Sulfasalazine) 500 mg Tablet

A/KK Surgical


Salicylic Acid 2 - 10% Cream C Dermatology

Salicylic Acid 2 % Lotion B Dermatology

Salmeterol 25 mcg And Fluticasone Propionate 125 mcg Inhalation

A* Pediatric


Quota: 10 Patients (DCM Bil1/2014)


A/KK Medical




A/KK Medical



Sebitar Shampoo(Tar 1%, Coal Tar 1%,Salicylic Acid 2% Shampoo)

KPK DRUG Dermatology Unit

Selegiline HCl 5 mg Tablet A* Medical


Selenium Sulphide 2.5% Shampoo

A/KK Dermatology Unit

Sertraline HCl 50 mg Tablet B Psychiatric


Sevelamer 800mg Tablet A* Nephrology Unit Nutrition and Blood

Disorder Quota: 5 Patients (DCM Bil1/2016)

Sevoflurane Liquid A* Anaesthesia Department

Anaesthesia


Page 50


SYSTEM/GROUP Note

Silver Sulphadiazine 1% Cream B Dermatology

Simvastatin 40 mg Tablet B Medical


Sodium Bicarbonate 8.4% (1 mmol/ml) Injection


Disorder

Sodium Bicarbonate 5% W/V Ear Drops


Sodium Bicarbonate And Magnesium Carbonate Compound Mixture (Mist Carminative)

C Obstetrics and Gynaecology Department

Gastro-Intestinal IPD only.

Sodium Bicarbonate, Citric Acid, Sodium Citrate And Tartaric Acid - 4 G Per Sachet

B

Nephrology Unit Genitourinary

Surgical Department

Genitourinary Quota:20 Patients/ Month (DCM Bil 3/2015)

Sodium Chloride 0.18% With Dextrose 10% Injection


Disorder

Sodium Chloride 0.18% With Dextrose 4.23% Injection


Disorder

Sodium Chloride 0.45% Injection


Disorder



Disorder



Disorder

Sodium Chloride 0.9% Eye Drop

C Ophthalmology

Sodium Chloride 0.9% Injection

C+ Ophthalmology 100ml & 500ml


C+ Nutrition and Blood

Disorder

Sodium Chloride 20% Injection


Disorder

Sodium Chloride 3% Injection B Nutrition and Blood

Disorder

Sodium Citrate, Citric Acid Mixture 3g/10 ml

B Genitourinary


Page 51


SYSTEM/GROUP Note

Sodium Glycerophosphate For Addition Into Infusion Solution, 20ml Vial

A

Medical Department


Quota: 20/Month (DCM Bil2/2018)

Surgical Department


Quota:170/Month (DCM Bil2/2018)







Sodium Hypochlorite Solution C Miscellaneous

Sodium Valproate 200 mg Tablet

B Medical


Sodium Valproate 200 mg/5 ml Syrup

B

Pediatric Department/

Medical Department

Neurology

Somatropin 5mg (15IU) Injection

A* Pediatric

Department Endocrine Quota: 1 Patient

Spironolactone 25mg Tablet B Medical

Department Cardi

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