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FORMULARI UBAT HOSPITAL BANTING JABATAN FARMASI HOSPITAL BANTING TARIKH KEMASKINI: 30 Jun 2018 Disediakan oleh: Unit Maklumat Ubat, Jabatan Farmasi Disemak oleh: Ketua Pegawai Farmasi

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FORMULARI UBAT HOSPITAL

BANTING

JABATAN FARMASI HOSPITAL BANTING TARIKH KEMASKINI: 30 Jun 2018

Disediakan oleh: Unit Maklumat Ubat, Jabatan Farmasi

Disemak oleh: Ketua Pegawai Farmasi

DISCLAIMER

Editorial matter published herein is based on information supplied by Pharmaceutical

Services Division, Ministry of Health, Malaysia. Although every effort has been made in

compiling and checking the information contained in “Drug Formulary Hospital Banting”

to ensure that they are accurate and valid up to the time of publishing, the publisher,

editors and their servants or agents shall not be responsible for he continued accuracy

of the information or for any errors, omissions or inaccuracies in this publication whether

arising therefore. The publisher, authors and editors also expressly disclaim any and all

liability to any person whosoever in respect of any loss, damage, death, personal injury

or other consequences whatsoever, howsoever caused or arising, suffered by any such

person by their sue or reliance upon, in any way, the information contained in this

publication.

Original version of this drug formulary adapted from Pharmaceutical Services Division, Ministry of Health Malaysia (Update year 2018) and recompiled to suit the use in Hospital Banting.

© 2018, Pharmacy Department, Hospital Banting

All Rights Reserved.

2 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

PROPOSAL TO INTRODUCE A NEW DRUG INTO THE HOSPITAL FORMULARY

If any doctors feels strongly that a new drugs should be included inside the hospital

formulary, they could bring this up to their respective head of departments. If the head

of department agrees that the new drug(s) should be included, they can proceed by:

1. Filling up the form Dossier 4. (Kindly get the copy of Dossier 4 form from

Pharmacy Department).

2. This form should then be submitted to the Unit Maklumat Ubat, Pharmacy

Department.

3. A drug meeting will then be held to discuss the feasibility of adding in this new

drug(s). Please understand that not all new drug(s) can be approved as this is

subjected to the available budget.

4. If there is a similar existing drug, then this drug(s) quantity will have to be

reduced. Furthermore, a quota system will be in place for the new drug(s) that is

(are) approved.

5. All this is to ensure that there will be enough budget available for the entire year

6. If the application is approved, please allow 1 month for the purchasing process.

The head of department will be informed once the drug(s) is (are) available.

3 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

Category of Prescribers:

A* = Consultant/Specialist for specific indications only

A = Consultant/Specialist

A/KK = Consultants/Specialists/Family Physician Specialists

B = Medical Officers (MO)

C = Paramedical Staff

C+ = Paramedical Staff doing midwifery

Please note that while every effort has been made to make sure that all information contained within are correct, the Pharmacy department would appreciate it if any omissions or mistake be brought to the Unit’s attention for amendments in the next edition.

4 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

Bil Generic Name Presciber

Category Kuota Item

1 Acarbose 50 mg Tablet A/KK

2 Acetylcysteine 200 mg/ml Injection A*

3 Acetylcysteine 600mg Tab KPK Jabatan Perubatan:

40 pesakit

4 Acetylsalicylic Acid 100 mg, Glycine 45 mg

Tablet B

5 Acetylsalicylic Acid 300 mg Soluble Tablet C

6 Acriflavine 0.1% Lotion C+

7 Acyclovir 200 mg Tablet A/KK

8 Acyclovir 250 mg Injection A*

9 Acyclovir 800 mg Tablet A/KK

10 Adenosine 3 mg/ml Injection B

11 Adrenaline Acid (Epinephrine) Tartrate 1

mg/ml Injection B

12 Albendazole 200 mg Tablet C+

13 Albendazole 200 mg/5 ml Suspension C+

14 Alendronate Sodium 70 mg Tablet A*

15 Alfacalcidol 0.25 mcg Capsule A/KK

16 Alfacalcidol 1 mcg Capsule A/KK

17 Allopurinol 300 mg Tablet A/KK

18 Alprazolam 0.5 mg Tablet A

19 Amikacin 125 mg/ml Injection A

20 Amiloride HCl 5 mg & Hydrochlorothiazide

50 mg Tablet B

21 Aminophylline 25 mg/ml Injection B

22 Amiodarone 200 mg Tablet A*

23 Amiodarone 50 mg/ml Injection A*

24 Amitriptyline HCl 25 mg Tablet B

5 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

25 Amlodipine 10 mg Tablet B

26 Amlodipine 5 mg Tablet B

27 Ammonium Bicarbonate, Tincture Ipecac, etc

Mixture C

28 Amoxicillin & Clavulanate 228 mg/5 ml Syrup A/KK

29 Amoxicillin 1 g & Clavulanate 200 mg

Injection A

30 Amoxicillin 500 mg & Clavulanate 125 mg

Tablet A/KK

31 Amoxicillin 500 mg Capsule B

32 Amoxicillin Trihydrate 125 mg/5 ml Syrup B

33 Ampicillin Sodium & Sulbactam Sodium 375

mg Tablet A/KK

Jabatan O&G:

50 pesakit

34 Ampicillin Sodium 1g & Sulbactam Sodium

500mg Injection A

35 Ampicillin Sodium 500 mg Injection B

36 Anti RhD Gamma Globulin 300 mcg/2 ml

Injection (150 mcg = 750 IU) B

37 Antivenene Cobra Injection B

38 Antivenene Pit Viper Injection B

39 Antivenene Serum (Sea snake) 1000 units

Injection B

40 Aqueous Cream C+

41 Aripiprazole 10mg Tablet A* Jabatan Psikiatri:

33 pesakit

42 Aripiprazole 15mg Tablet A* Jabatan Psikiatri:

33 pesakit

43 Artemether 20mg + Lumefantrine 120mg

Tablet B

44 Artesunate 60 mg Injection A

45 Ascorbic Acid 100 mg Tablet C+ Restrict for ICU patients

only

6 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

46 Atenolol 100 mg Tablet B

47 Atorvastatin 20 mg Tablet A/KK

48 Atorvastatin 40 mg Tablet A/KK

49 Atracurium Besylate 10 mg /ml in 2.5 ml Inj A*

50 Atropine Sulphate 1mg/ml Injection B

51 Azathioprine 50 mg Tablet A

52 Azithromycin 200 mg/5 ml Granules A* Jabatan Pediatrik:

100 pesakit

53 Azithromycin 250 mg Tablet A*

54 Azithromycin 500 mg Injection A*

55 Baclofen 10 mg Tablet B

56 BCG Vaccine Freeze-Dried Injection C+

57

Beclomethasone dipropionate 100mcg and

formoterol fumarate dihydrate 6mcg

pressurized inhalation solution

A/KK Jabatan Perubatan :

50 pesakit

58 Beclomethasone Dipropionate 100 mcg/dose

Inhaler B

59 Benzathine Penicillin 2.4 MIU (1.8 g) Inj B

60 Benzhexol 2 mg Tablet B

61 Benzoic Acid Compound Ointment C

62 Benzoyl Peroxide 5% Gel B

63 Benzyl Benzoate 12.5 % Emulsion (Child) C

64 Benzyl Benzoate 25 % Emulsion (Adult) C+

65 Benzylpenicillin 1 mega unit (600 mg) Inj B

66 Benzylpenicillin 5 mega units (3 g) Injection B

67 Beractant Intratracheal Suspension (200 mg

phospholipids in 8 ml vial) A*

68 Betahistine Dihydrochloride 24 mg Tablet A*

69 Betamethasone 17-Valerate 0.01-0.05%

Cream B

7 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

70 Betamethasone 17-Valerate 0.01-0.05%

Ointment B

71 Betamethasone 17-Valerate 0.1% Cream A

72 Betamethasone 17-Valerate 0.1% Ointment A

73 Betamethasone Disodium Phosphate 0.1%

Eye Drops A

75 Bisacodyl 10 mg Suppository C

76 Bisacodyl 5 mg Tablet C

77 Bisoprolol Fumarate 2.5 mg Tablet B

78 Bisoprolol Fumarate 5 mg Tablet B

79 Brimonidine Tartrate 0.15% Ophthalmic A*

80 Bromhexine HCl 4 mg/2 ml Injection A

81 Bromhexine HCl 8 mg Tablet C

82 Budesonide 160 mcg and Formoterol 4.5

mcg Inhalation A/KK

Jabatan Perubatan:

100 pesakit

83 Budesonide 200 mcg/dose Inhalation B

84 Budesonide 500 mcg/2 ml Nebuliser Solution B

85 Bupivacaine 0.5 % Heavy Injection A

86 Bupivacaine 0.5 % Injection B

87 Bupivacaine 0.5 % with Adrenaline

1:200,000 Injection B

88 Cabergoline 0.5 mg Tablet A*

89 Calamine Cream C+

90 Calamine Lotion C+

91

Calcipotriol Hydrate 50 mcg/g &

Betamethasone Dipropionate 0.5 mg/g

Ointment

A*

92 Calcitriol 0.25 mcg Capsule A/KK

93 Calcitriol 1 mcg/ml Injection A*

94 Calcium Carbonate 500 mg Tablet B

8 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

95 Calcium Gluconate 10% Injection B

96 Calcium Lactate 300 mg Tablet C

97 Calcium Polystyrene Sulphonate Powder A

98 Captopril 25 mg Tablet B

99 Carbamazepine 100 mg/5 ml (2% w/v) Syrup A

100 Carbamazepine 200 mg Tablet B

101 Carbamide (Urea) 10 % Cream B

102 Carbimazole 5 mg Tablet B

103 Carboprost Tromethamine 250 mcg Injection A*

104 Cefazolin Sodium 1 g Injection A Jabatan Perubatan:

36 pesakit

105 Cefepime 1 g Injection A*

106 Cefoperazone Sodium 1 g Injection A

107 Cefotaxime 1 g Injection A

108 Ceftazidime 2 g Injection A

109 Ceftriaxone 1g Injection A

110 Cefuroxime Axetil 125 mg/5 ml Suspension A

111 Cefuroxime Axetil 250 mg Tablet A/KK

112 Cefuroxime Sodium 1.5 g Injection A

113 Celecoxib 200 mg Capsule A

Jabatan O&G:

300 pesakit

Jabatan Ortopedik:

Terbuka

Jabatan Perubatan:

30 pesakit

114 Celecoxib 400 mg Capsule A* Jabatan Ortopedik:

Terbuka

115 Cephalexin Monohydrate 125 mg/5 ml Syrup B

116 Cephalexin Monohydrate 250 mg Tablet B

117 Cetirizine HCl 10 mg Tablet

A/KK Jabatan Dermatologi:

50 pesakit

9 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

118 Cetrimide 1-2% Lotion. C+

119 Charcoal, Activated 250 mg Tablet C

120 Charcoal, Activated 50 g Granules A

121 Chloral Hydrate 200 mg/5 ml Mixture B

122 Chloramphenicol 0.5% Eye Drops C

123 Chloramphenicol 1% Eye Ointment C

124 Chloramphenicol 5% w/v Ear Drops C

125 Chlorhexidine gluconate 1% cream C+

126 Chlorhexidine Gluconate 4% Scrub C+

127 Chlorhexidine Gluconate 5% Solution C+

128 Chloroquine Phosphate 250 mg Tablet (150

mg Chloroquine base) C

129 Chlorpheniramine Maleate 10 mg/ml

Injection B

130 Chlorpheniramine Maleate 2 mg/5 ml Syrup C

131 Chlorpheniramine Maleate 4 mg Tablet C

132 Chlorpromazine HCl 100 mg Tablet B

133 Chlorpromazine HCl 25 mg Tablet B

134 Choline Salicylate 8.7%, Cetylkonium

Chloride 0.01% Dental Gel B

135 Chorionic Gonadotrophin Human (HCG)

5000 IU Injection A*

136 Cinnarizine 25 mg Tablet B

137 Ciprofloxacin 200 mg/100 ml Injection A

138 Ciprofloxacin 250 mg Tablet A

139 Ciprofloxacin HCl 0.3% Ophthalmic Solution A*

140 Clarithromycin 125 mg/5 ml Granules A* Jabatan Pediatrik:

10 pesakit

141 Clarithromycin 250 mg Tablet A* Jabatan Pembedahan:

20 pesakit

142 Clobetasone Butyrate 0.05% Ointment A

10 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

143 Clomiphene Citrate 50mg Tablet A

144 Clonazepam 2 mg Tablet B

145 Clopidogrel 75 mg Tablet A*

146 Clotrimazole 1% Solution

A Jabatan Dermatologi:

10 pesakit

147 Clotrimazole 500 mg Vaginal Tablet B

148 Cloxacillin Sodium 125 mg/5 ml Suspension B

149 Cloxacillin Sodium 250 mg Injection B

150 Cloxacillin Sodium 500 mg Capsule B

151 Cloxacillin Sodium 500 mg Injection B

152 Clozapine 100 mg Tablet A

153 Coal Tar 1-9% Ointment B

154 Cocois Co. Ointment B

155 Colchicine 0.5 mg Tablet B

156 Colistimethate Sodium 1 million IU per vial

(Polymyxin E) A*

Jabatan Perubatan:

3 pesakit

157 Compound Sodium Lactate (Hartmanns

Solution) C

158 Conjugated Oestrogens 0.625 mg Tablet

(Premarin Tablet) A

159 Conjugated Oestrogens 0.625 mg/g Cream

(Premarin Cream) A

161 Crotamiton 10 % Cream B

162 Cyanocobalamin 1 mg Injection B

163 Dabigatran Etexilate 75 mg Capsule

(Pradaxa) A*

Jabatan Perubatan:

5 orang

164 Deferasirox 125 mg Dispersible Tablet A* Jabatan Pediatrik:

7 pesakit

165 Deferasirox 500 mg Dispersible Tablet A* Jabatan Pediatrik:

7 pesakit

166 Deferiprone 500 mg Tablet A*

11 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

167 Desferrioxamine B Methanesulphonate 0.5 g

Injection A

168 Desflurane Liquid A

169 Desogestrel 150 mcg & Ethinylestradiol 30

mcg Tablet C+

170 Dexamethasone 0.5 mg Tablet A

171 Dexamethasone and Neomycin Sulphate

and Polymyxin B Eye Ointment (Maxitrol) A

173 Dexamethasone Sodium Phosphate 0.1%

Eye Drops A

174 Dexamethasone Sodium Phosphate 4 mg/ml

Injection B

175 Dexmedetomidine HCl 100 mcg/ml Injection A* Jabatan Anestesiologi:

5 pesakit

176 Dextrose 10% Injection B

177 Dextrose 20% Injection B

178 Dextrose 5% Injection B

179 Dextrose 50% Injection B

180 Dextrose Powder B

181 Diazepam 5 mg Rectal Solution C

182 Diazepam 5 mg Tablet B

183 Diazepam 5 mg/ml Injection B

184 Diclofenac 1% Gel A

185 Diclofenac 50 mg Tablet B

186 Diclofenac Sodium 50 mg Suppository A

187 Diclofenac Sodium 75 mg/3 ml Injection A/KK

188 Digoxin 0.25 mg Tablet B

189 Digoxin 250 mcg/ml Injection A

190 Digoxin 50 mcg/ml Elixir B

191 Diltiazem HCl 30 mg Tablet B

12 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

192 Dinoprostone (Prostagladin E2) 3 mg

Vaginal Tablet A

193 Diosmin 450 mg and Hesperidin 50 mg

Tablet A/KK

194 Diphenhydramine Hydrochloride 14 mg/5 ml

Expectorant C

195 Diphenhydramine Hydrochloride 7 mg/5 ml

Expectorant C

196 DiphenoxylateHCl 2.5mg with Atropine

Sulphate 0.025mg Tablet B

197 Dobutamine 12.5 mg/ml Injection A

198 Domperidone 1 mg/ml Suspension B

199 Domperidone 10 mg Tablet B

200 Donepezil HCl 10 mg Tablet A

201 Donepezil HCl 5 mg Tablet A

202 Dopamine HCl 40 mg/ml Injection B

203 Dothiepin HCl 25 mg Capsule A

204 Doxycycline 100 mg Capsule B

205 Dutasteride 0.5 mg Capsule A* Jabatan Pembedahan:

150 pesakit

206 Dutasteride 0.5mg and Tamsulosin 0.4mg

Capsule A*

Jabatan Pembedahan:

30 pesakit

207 Dydrogesterone 10 mg Tablet A/KK

208 Emulsificants Ointment C

209 Enalapril 20 mg Tablet B

210 Enalapril 5 mg Tablet B

211 Enoxaparin Sodium 40 mg Injection A*

212 Enoxaparin Sodium 60 mg Injection A*

213 Eperisone HCl 50 mg Tablet A

214 Ephedrine HCl 30 mg/ml Injection B

215 Erythromycin Ethylsuccinate 400 mg Tablet B

13 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

216 Erythromycin Ethylsuccinate 400 mg/5 ml

Suspension B

217 Escitalopram 10 mg Tablet (Lexapro) A* Jabatan Psikiatrik:

15 pesakit

218 Esomeprazole 40 mg Injection A*

219 Esomeprazole 40 mg Tablet A* Jabatan Perubatan:

10 pesakit

220

Essential Phospholipids, nicotinamide,

cyanocobalamine, tocopheryl, pyridoxine,

thiamine, riboflavine capsule

A/KK

221 Estradiol 1 mg & Estradiol 1 mg with

Dydrogesterone 10 mg (Femoston 1/10) A*

222 Estradiol Valerate 1 mg Tablet (Progynova) A*

223

Estradiol Valerate 2 mg and Norgestrel 500

mcg with Estradiol Valerate 2 mg Tablet

(Progyluton)

B

224 Ethambutol HCl 400 mg Tablet B

225 Ethyl Chloride 100ml Spray C

226 Etomidate 20 mg/10 ml Injection A*

227 Etonogestrel 68 mg Implant A/KK Jabatan O&G: 5 pesakit

228 Ezetimibe 10mg tablet A* Klinik Geriatrik: 1 pesakit

229 Fat Emulsion 20% for IV Infusion Injection A

230 Fentanyl Citrate 50 mcg/ml Injection A

231 Ferric Ammonium Citrate 800 mg/10 ml

Paediatric Mixture C

232

Ferrous controlled release 500 mg, Vitamin

B1, Vitamin B2, Vitamin B6, Vitamin B12,

Vitamin C, Niacinamide, Calcium

Pantothenate, Folic Acid 800 mcg Tablet

(Iberet-Folic-500)

A/KK

233 Ferrous Fumarate 200 mg Tablet C+

234 Fluconazole 100 mg Capsule A

14 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

235 Fluconazole 2 mg/ml Injection A

236 Fluconazole 50 mg Capsule A

237 Flumazenil 0.1 mg/ml Injection B

238 Fluorescein 1 mg Ophthalmic Strip B

239 Fluoxetine HCl 20 mg Capsule A

240 Flupenthixol Decanoate 20mg/ml lnjection B

241 Fluphenazine Decanoate 25 mg/ml Injection B

242 Fluticasone Propionate 125 mcg/dose

Inhaler B

243 Fluvoxamine 50 mg Tablet B

244 Folic Acid 5 mg Tablet C+

245 Fondaparinux Sodium 2.5 mg/0.5 ml

Injection A*

246 Fondaparinux Sodium 7.5mg/0.6mL Injection

in Pre-filled Syringe A*

Jabatan Perubatan:

5 pesakit

246 Frusemide 10 mg/ml Injection B

247 Frusemide 40 mg Tablet B

248 Fuller's Earth Powder C

249 Fusidate, Sodium 250 mg Tablet A*

250 Fusidic Acid 1% Eye Drops A

251 Fusidic Acid 2% Cream A

252 Fusidic Acid 2% in Betamethasone Valerate

0.1% Cream A/KK

253 Gabapentin 300 mg Capsule A*

254 Gamma Benzene Hexachloride 0.1 % Lotion B

255 Gemeprost (Prostagladin E1 Synthetic

Analogue) 1 mg Pessary A

256 Gemfibrozil 300 mg Capsule A/KK

257 Gentamicin 0.3% Eye Drops A/KK

258 Gentamicin Sulphate 40 mg/ml Injection B

15 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

259 Gliclazide 30 mg Modified Release Tablet B

260 Gliclazide 80 mg Tablet B

261 Glucagon (Lyophilised) 1 mg/ml Injection B

262 Glycerin C+

263 Glycerin 25% and Sodium Chloride 15%

Enema C+

264 Glyceryl Trinitrate 0.5 mg Sublingual Tablet C

265 Glyceryl Trinitrate 5 mg/ml Injection A

266 Glycopyrrolate 200 mcg/ml Injection A*

267 Griseofulvin (Ultramicrosize 125 mg = 250

mg Microsize) Tablet B

268 Haloperidol 1.5 mg Tablet B

269 Haloperidol 5 mg Tablet B

270 Haloperidol 5 mg/ml Injection B

271 Hemato polyvalent Snake Antivenin KPK

272 Heparin 1000 units/ml Injection B

273 Heparin 5000 units/ml Injection B

274 Heparin Sodium 50 units in Sodium Chloride

Injection B

275 Hepatitis B Immunoglobulin (Human) Inj A

276 Hepatitis B Vaccine Injection C+ JKKP: 150 kakitangan

Hospital

277 Human Albumin Injection B 5% : 200 pesakit

20%: Terbuka

278 Human Normal Globulin Injection A

279 Hydralazine HCl 20 mg Injection B

280 Hydrochlorothiazide 50 mg Tablet B

281 Hydrocortisone 1% Cream B

282 Hydrocortisone 10 mg Tablet B

283 Hydrocortisone Sodium Succinate 100 mg

Injection C

16 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

284 HydroxychloroquineSulphate 200 mg Tablet A

285 Hydroxyethyl Cellulose Jelly B

286 Hydroxyurea 500 mg Capsule A

287 Hyoscine N-Butylbromide 10 mg Tablet C

288 Hyoscine N-Butylbromide 20 mg/ml Injection B

289 Hypromellose 0.3% Eye Drops B

290 Ibandronic Acid 150 mg Tablet A* Jabatan Ortopedik:

20 pesakit

291 Ibuprofen 200 mg Tablet B

292 Imipenem 500 mg and Cilastatin 500 mg

Injection A*

293 Immunoglobulin Tetanus Human 250

Units/Vial Injection B

294

Indacaterol maleate and glycopyrronium

bromide (fixed dose combination)

110/50mcg, inhalation powder hard capsules

(Ultribro Breezehaler)

A* Jabatan Perubatan:

5 pesakit

295 Influenza Vaccine (Inactivated) Injection B Jabatan Perubatan:

100 pesakit

296 Insulin Glargine 100 IU/ ml injection

(Pre-filled Pen) A*

Jabatan Perubatan: 10

pesakit (Hanya boleh

dimulakan oleh Pakar

Perubatan saja)

297 Insulin Recombinant Neutral Human Short

Acting 100 IU/ml Injection in 10ml vial B

298 Insulin Recombinant Neutral Human

Short-acting 100IU/ml Penfill and Refill B

299

Insulin Recombinant Synthetic Human

Intermediate-Acting 100IU/ml in Vial for

Injection

B

17 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

300

Insulin Recombinant Synthetic Human,

Intermediate-Acting 100 IU/ml Penfill and

Refill

B

301 Insulin Recombinant Synthetic Human,

Premixed 100 IU/ml Penfill and Refill B

302 Iodine and Potassium Iodide Solution B

303 Ipratropium Bromide 0.025% Inhalation

Solution (250 mcg/ml) B

304 Ipratropium Bromide 0.5 mg and Salbutamol

2.5 mg per UDV B

305 Ipratropium Bromide 20 mcg and Fenoterol

50 mcg/dose Inhaler B

306 Iron (III) hydroxide sucrose complex

20mg/ml solution for injection B

307 Iron Dextran 50 mg Fe/ml Injection B

308 Isoniazid 100 mg Tablet B

309 IsoprenalineHCl 0.2 mg/ml Injection B

310 Isosorbide Dinitrate 10 mg Tablet B

311 Ketamine 10 mg/ml Injection B

312 Ketoconazole 2% Shampoo

A/KK Jabatan Dermatologi:

20 pesakit

313 Ketoprofen 30 mg Transdermal Plaster A

314 Labetalol HCl 100 mg Tablet B

315 Labetalol HCl 5 mg/ml Injection B

316 Lactulose 3.35 g/5 ml Liquid C+

317 Lamotrigine 100 mg Tablet A

318 Lamotrigine 5 mg Dispersible/Chewable Tab A

319 Lamotrigine 50 mg Tablet A

320 Latanoprost 0.005% Eye Drops A*

321 Leucovorin Calcium (Calcium Folinate) 50

mg Injection A

322 Leuprolide Acetate 3.75 mg Injection A* Jabatan O&G: 6 pesakit

18 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

323 Levetiracetam 500 mg Tablet A*

Jabatan Pediatrik:

1 pesakit

Jabatan Perubatan:

15 pesakit

324 Levodopa 100 mg, Benserazide 25 mg HBS

capsule B

Klinik Geriatrik :

10 pesakit

325 Levodopa 200 mg, Benserazide 50 mg Tab B

326 Levonorgestrel 1.5 mg Tablet A*

327 Levonorgestrel 52 mg Intrauterine System A* Jabatan O&G: 1 pesakit

328 Levothyroxine Sodium 100 mcg Tablet B

329 Levothyroxine Sodium 25 mcg Tablet B

330 Lidocaine 25mg and Prilocaine 25mg Cream A Jabatan Paediatrik:

10 tube/tahun

331 Lignocaine 10 % w/w Spray B

332 Lignocaine 2% Jelly B

333 Lignocaine HCl (Lidocaine) 2% Injection B

334 Lignocaine HCl (Lidocaine) 20 mg/ml Inj B

335 Liquid Paraffin C

336 Lithium Carbonate 300 mg Tablet A

337 Loratadine 1 mg/ml Syrup A

338 Loratadine 10 mg Tablet B

339 Lorazepam 1 mg Tablet A/KK

340 Losartan 50 mg Tablet B

341 Losartan Potassium 100 mg Tablet B

342 Magnesium Sulphate 45% Paste C

343 Magnesium Sulphate 50% Injection C

344 Magnesium Trisilicate Mixture C

345 Magnesium Trisilicate Tablet C

346 Mannitol 20% Injection (20 g/100 ml) A

19 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

347 Meclozine HCl 25 mg and Pyridoxine 50 mg

Tablet B

348 Mecobalamin 500 mcg Tablet B

349 Medroxyprogesterone Acetate 5 mg Tablet B

350 Medroxyprogesterone Acetate 50 mg/ml Inj B

351 Mefenamic Acid 250 mg Capsule C

352 Memantine HCI 10 mg Tablet A* Klinik Geriatrik: 4 pesakit

353 Menthol 1.6% in Industrial Methylated Spirit

Inhalation C

354 Meropenem 1 g Injection A*

355 Metformin 500 mg and Glibenclamide 2.5 mg

Tablet B

356 Metformin HCl 500 mg Extended Release

Tablet A/KK

Jabatan Perubatan:

100 pesakit

357 Metformin HCl 500 mg Tablet B

358 Methadone 5mg/ml Syrup A/KK

359 Methotrexate 2.5 mg Tablet A

360 Methyl Salicylate 25% Ointment C+

361 Methyldopa 250 mg Tablet B

362 Methylene Blue 1% Injection B

363 Methylphenidate HCl 10 mg Tablet A

364 Methylprednisolone Sodium Succinate 1 g

Injection A

365 Metoclopramide HCl 10 mg Tablet B

366 Metoclopramide HCl 5 mg/ml Injection B

367 Metoprolol Tartrate 100 mg Tablet B

368 Metronidazole 200 mg Tablet B

369 Metronidazole 500 mg/100 ml Injection A

370 Miconazole 2% Cream C

371 Midazolam 5 mg/ml Injection A

20 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

372 Midazolam 7.5 mg Tablet A/KK

373 Modified Fluid Gelatin 4% Injection B

374 Mometasone Furoate 0.1% Cream A*

375 Monobasic Sodium Phosphate 48%, Dibasic

Sodium Phosphate 18% A

376 Montelukast Sodium 10 mg Tablet A/KK

377 Montelukast Sodium 4 mg Oral Granules A*

378 Morphine HCl 10 mg/5 ml Solution B

379 Morphine Sulphate 10 mg/ml Injection B

380 Multivitamin Drops B Untuk kegunaan pesakit

dalam pediatrik wad saja

381 Multivitamin Injection (Parentrovite) B Jabatan O&G: 36 pesakit

382 Multivitamin Syrup C+

383 Multivitamin Tablet B

384 Mupirocin 2% Ointment A

385 Nalbuphine HCl 10 mg/ml Injection B

386 Naloxone HCl 0.4 mg/ml Injection B

387 Neomycin 0.5% Ointment B

388 Neostigmine Methylsulphate 2.5 mg/ml

Injection B

389 Neuropolyvalent Snake Antivenom KPK

390 Nifedipine 10 mg Tablet B

391 Nitrofurantoin 100 mg Tablet B

392 Noradrenaline Acid Tartrate (Norepinephrine

Bitartrate) 1 mg/ml Injection A

393 Norethisterone 0.35 mg Tablet C+ Jabatan O&G: 50 pesakit

394 Nystatin 100,000 units/ml Suspension B

395 Octreotide 0.05 mg/ml Injection A

396 Ofloxacin 100 mg Tablet A Jabatan Perubatan:

1 pesakit

21 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

397 Olanzapine 10 mg Tablet A* Jabatan Psikiatri:

85 pesakit

398 Olanzapine 10mg Disintegrating Tab (Zyprexa Zydis) A*

Jabatan Psikiatrik:

5 pesakit

399 Olanzapine 5 mg Tablet A* Jabatan Psikiatri:

85 pesakit

400 Omeprazole 20 mg Capsule A/KK

401 Omeprazole 40 mg Injection A*

402 Ondansetron 2 mg/ml Injection A Jabatan Anestesiologi:

300 pesakit

403 Oral Rehydration Salt C

404 Oseltamivir 75mg capsule. A/KK

405 Oxytocin 10 units/ml Injection B

406 Oxytocin 5 units & Ergometrine Maleate 0.5

mg/ml Injection C+

407 Pamidronate Disodium 30 mg Injection A* Jabatan Perubatan :

3 pesakit

408 Pantoprazole 40 mg Injection A*

409 Pantoprazole 40 mg Tablet A/KK

410 Paracetamol 10mg/ml in 100ml Solution for

IV Infusion A

Jabatan Anestesiologi:

150 pesakit

411 Paracetamol 125 mg Suppository C+

412 Paracetamol 250 mg Suppository B

413 Paracetamol 250 mg/5 ml Syrup C+

414 Paracetamol 500 mg Tablet C+

415 Paraffin Mole Alba (White Soft Paraffin) C

416 Parecoxib Sodium 40mg Injection A* Jabatan Perubatan:

50 pesakit

417 Pentoxifylline 400 mg Tablet A/KK

418 Perindopril 4 mg Tablet B

419 Perindopril 8 mg Tablet B

22 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

420 Permethrin 5% w/v Lotion A/KK

421 Pethidine HCl 100 mg/2 ml Injection B

422 Pethidine HCl 50 mg/ml Injection B

423 Phenobarbitone 30 mg Tablet B

424 Phenobarbitone Sodium 200 mg/ml Injection B

425 Phenoxymethyl Penicillin 125 mg Tablet C

426 Phenoxymethyl Penicillin 250 mg Tablet C

427 Phenylephrine HCI 2.5% Eye Drops B Klinik Oftalmologi

428 Phenylephrine Hydrochloride 10mg/ml

Injection KPK

429 Phenytoin Sodium 100 mg Capsule B

430 Phenytoin Sodium 30 mg Capsule B

431 Phenytoin Sodium 50mg/ml lnjection B

432 Pine tar 1%, coal tar solution, salicylic acid

2% (Sebitar Shampoo) KPK

433 Piperacillin 4 g & Tazobactam 500 mg

Injection A*

434 Pizotifen 0.5 mg Tablet B

435 Pneumococcal Vaccine (Polyvalent) A Jabatan Perubatan:

100 pesakit

436 Polyethylene Glycol /Macrogol 4000 Powder

(Fortrans) A

Jabatan Pembedahan:

50 pesakit

437 Potassium Chloride 1 g/10 ml Injection B

438 Potassium Chloride 1 g/10 ml Mixture C

439 Potassium Chloride 600 mg SR Tablet B

440 Potassium Citrate 3 g/10 ml and Citric Acid

Mixture C

441 Potassium Dihydrogen Phosphate Injection A

442 Potassium Permanganate 1:10,000 Solution C+

443 Potassium Permanganate 1:20,000 Solution C

23 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

444 Povidone Iodine 10% (equivalent to 1%

iodine) Solution B

445 Pralidoxime 25 mg/ml Injection B

446 Prazosin HCl 1 mg Tablet B

447 Prazosin HCl 2 mg Tablet B

448 Prazosin HCl 5 mg Tablet B

449 Pre/Post Natal Vitamin & Mineral Tablet C+ Jabatan O&G:

100 pesakit

450 Prednisolone 5 mg Tablet B

451 Primaquine 7.5 mg base Tablet B

452 Prochlorperazine Maleate 5mg Tablet B

453 Prochlorperazine Mesylate 12.5 mg/ml

Injection B

454 Procyclidine HCl 5 mg/ ml Injection B

455 Prolase Tablet B

456 Promethazine HCl 25 mg/ml Injection B

457 Promethazine HCl 5 mg/5 ml Syrup B

458 Proparacaine HCI 0.5% Ophthalmic Drops B

459 Propofol 10mg/ml (1%) Injection A*

460 Propranolol HCl 40 mg Tablet B

461 Propylthiouracil 50 mg Tablet B

462 Protamine Sulphate 10 mg/ml Injection B

463 Protein Free Haemodialysate 10% Jelly A

464 Pyrazinamide 500 mg Tablet B

465 Pyridostigmine Bromide 60 mg Tablet B

466

Pyridoxine HCl 10 mg Tablet

C+

467 Quetiapine Fumarate 100 mg Immediate

Release Tablet A*

Jabatan Psikiatri:

23 pesakit

24 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

468 Quetiapine Fumarate 200 mg Immediate

Release Tablet A*

Jabatan Psikiatri:

23 pesakit

469 Quinine Dihydrochloride 600 mg/2 ml

Injection B

470 Quinine Sulphate 300 mg Tablet B

471 Rabies Human Diploid Cell Vaccine

(Lyophilised) Injection B

472 Ranitidine 150 mg Tablet B

473 Ranitidine 25 mg/ml Injection B

474 Rifampicin 150 mg Capsule B

475

Rifampicin 150 mg, Isoniazid 75 mg,

Pyrazinamide 400 mg &Ethambutol HCl 275

mg Tablet (Akurit-4)

B

476 Rifampicin 150mg + Isoniazid 75mg tablet

(Akurit-2) B

Jabatan Perubatan:

50 pesakit

477 Rifampicin 300 mg Capsule B

478 Risperidone 1 mg Tablet B

479 Risperidone 1 mg/ml Oral Solution A

480 Risperidone 2 mg Tablet B

481 Rivastigmine 4.6mg/24hr Transdermal Patch A*

482 Rivastigmine 9.5 mg/24hr Transdermal

Patch A*

483 Rocuronium Bromide 10 mg/ml Injection A*

484 Salbutamol 0.5 % Inhalation Solution B

485 Salbutamol 0.5 mg/ml Injection A

486 Salbutamol 100 mcg/dose Inhalation B

487 Salbutamol 2 mg Tablet B

488 Salbutamol 2 mg/5 ml Syrup B

489

Salbutamol 200mcg/dose Inhaler B

25 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

490 Salicylazosulphapyridine (Sulfasalazine) 500

mg Tablet A/KK

491 Salicylic Acid 2 - 10% Ointment C

492 Salicylic Acid 2 % Lotion B

493 Salicylic Acid 20% Ointment C

494 Salmeterol 25 mcg and Fluticasone

Propionate 125 mcg Inhalation A*

495 Salmeterol 50 mcg and Fluticasone

Propionate 250 mcg Inhalation A/KK

496 Salmeterol 50 mcg and Fluticasone

Propionate 500 mcg Inhalation A/KK

Jabatan Perubatan:

50 pesakit

497 Selegiline HCl 5 mg Tablet A*

498 Selenium Sulphide 2.5% Shampoo

A/KK Jabatan Dermatologi:

20 pesakit

499 Sertraline HCI 50 mg Tablet B

500 Sevoflurane Liquid A*

501 Silver Sulfadiazine 1% Cream B

502 Simvastatin 10 mg Tablet B

503 Simvastatin 40 mg Tablet B

504 Sodium Bicarbonate 5% w/v Ear Drops C

505 Sodium Bicarbonate 8.4% (1 mmol/ml)

Injection B

506 Sodium Bicarbonate Mixture (Paediatric) C

507

Sodium Bicarbonate, Citric Acid, Sodium

Citrate and Tartaric Acid - 4 g per sachet

(Ural Sachet)

B

Jabatan Perubatan:

120 pesakit

Jabatan O&G: Terbuka

Jabatan Pembedahan:

Terbuka

508 Sodium Chloride 0.18% with Dextrose 10%

Injection B

509 Sodium Chloride 0.18% with Dextrose 4.23%

Injection B

26 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

510 Sodium Chloride 0.45% Injection B

511 Sodium Chloride 0.45% with Dextrose 5%

Injection B

512 Sodium Chloride 0.9% Eye Drops C

513 Sodium Chloride 0.9% Injection C+

514 Sodium Chloride 0.9% with Dextrose 5%

Injection C+

515 Sodium Chloride 3% Injection B

516 Sodium Citrate 0.3 M Solution B

517 Sodium Citrate, Citric Acid Mixture 3 g/10 ml B

518 Sodium Cromoglycate 2% Eye Drops A/KK

519 Sodium Valproate 200 mg Tablet B

520 Sodium Valproate 200 mg/5 ml Syrup B

521 Spironolactone 25 mg Tablet B

522 Streptokinase 1,500,000 IU Injection A*

523 Streptomycin Sulphate 1 g Injection B

524 Sulphamethoxazole 200 mg & Trimethoprim

40 mg/5ml Suspension B

525 Sulphamethoxazole 400 mg & Trimethoprim

80 mg Injection A

526 Sulphamethoxazole 400 mg & Trimethoprim

80 mg Tablet B

527 Sulpiride 200 mg Tablet B

528 Sumatriptan 50 mg Tablet A/KK Jabatan Perubatan:

5 pesakit

529 Suxamethonium Chloride 50 mg/ml lnj B

530 Synthetic ACTH (Tetracosactrin Acetate)

250mcg/ml Injection (Synacthen) KPK

Jabatan Perubatan:

5 pesakit

531 Tamoxifen Citrate 20 mg Tablet A

532 Tenecteplase 10,000 unit (50mg) Inj A* Jabatan Perubatan:

5 pesakit

27 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

533 Terazosin HCl 1 mg Tablet A/KK

534 Terazosin HCl 2 mg Tablet A/KK

535 Terazosin HCl 5 mg Tablet A/KK

536 Terbinafine HCl 250 mg Tablet A/KK

537 Terbutaline Sulphate 10mg/ml Nebulizer

Solution B 50 pesakit

538 Terbutaline Sulphate 0.5 mg/ml Injection B

539 Terlipressin 1mg/5mg Injection A* Jabatan Pembedahan:

5 pesakit

540 Testosterone 250 mg/ml Injection A*

541 Tetanus Toxoid Injection C+

542 Theophylline 250 mg Long Acting Tablet B

543 Thiamine HCl 100 mg/ml Injection B

544 Thiamine Mononitrate 10 mg Tablet C

545 Thiopental Sodium 500 mg Injection B

546 Ticagrelor 90 mg Tablet A*

Jabatan Kecemasan:

75 pesakit (hanya untuk

STAT dose sahaja)

Jabatan Perubatan:

10 pesakit (untuk

kegunaan sebulan sahaja)

547 Ticlopidine HCl 250 mg Tablet A/KK

548 Timolol Maleate 0.5% Eye Drops A

549 Tiotropium 2.5mcg/puff solution for inhalation A/KK Jabatan Perubatan :

10 pesakit

550 Topiramate 50 mg Tablet A*

551 Tramadol HCl 50 mg Capsule A/KK

552 Tramadol HCl 50 mg/ml Injection A

553 Tranexamic Acid 100 mg/ml Injection B

554 Tranexamic Acid 250 mg Capsule B

555 Tretinoin 0.05% Cream A/KK

28 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

556 Triamcinolone Acetonide 10 mg/ml Injection A

557 Triamcinolone Acetonide 40 mg/ml Injection A/KK Klinik Dermatologi

558 Trifluoperazine HCI 5 mg Tablet B

559 Trimetazidine 20 mg Tablet B

560 Trimethoprim 300 mg Tablet B

561 Triprolidine HCl 2.5 mg and

Pseudoephedrine HCl 60 mg Tablet B

562 Tropicamide 1% Eye Drops A/KK

563 Tuberculine PPD Injection B

564 Ursodeoxycholic Acid 250 mg Capsule A

565 Valproic Acid and Sodium Valproate (ER)

500mg B

Jabatan Psikiatrik:

5 pesakit

566 Vancomycin HCl 500 mg Injection A*

567 Varicella Zoster Immunoglobulin 125mg/ml KPK

568 Vasopressin 20 units/ml Injection A Jabatan Anestesiologi:

2 pesakit

569 Venlafaxine HCl 150 mg Extended Release

Capsule A*

Jabatan Psikiatri :

7 pesakit

570 Venlafaxine HCl 75 mg Extended Release

Capsule A*

Jabatan Psikiatri :

7 pesakit

571 Verapamil HCl 2.5 mg/ml Injection A/KK

572 Verapamil HCl 40 mg Tablet B

573 Vildagliptin 50mg & Metformin 1000mg Tab

A/KK Jabatan Perubatan:

20 pesakit

574 Vildagliptin 50mg Tab

A/KK Jabatan Perubatan :

20 pesakit

575 Vitamin B Complex 10 ml Injection B

576 Vitamin B Complex Tablet C+

577 Vitamin B1, B6, B12 Tablet B

578 Vitamin K1 1 mg/ml Injection C+

579 Vitamin K1 10 mg/ml Injection B

29 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018

580 Warfarin Sodium 1 mg Tablet B

581 Warfarin Sodium 3 mg Tablet B

582 Warfarin Sodium 5 mg Tablet B

583 Water for Injection C+

584 Zidovudine 300 mg & Lamivudine 150 mg

Tablet A/KK

585 Zinc Oxide Cream C+

586 Zinc oxide, benzyl benzoate and balsam

peru suppository C

587 Zolpidem Tartrate 10 mg Tablet A

588 Zuclopenthixol 20 mg/ml Drops A*

589 Zuclopenthixol Decanoate 200 mg/ml

Injection B

30 Formulari Ubat Hospital Banting Tarikh Kemaskini: 30 Jun 2018