momentum health will no longer be our ingwe and access ... · you can email any queries to...

doctor guide

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2 Introduction

4 Healthcare Product Range

6 Primary Care Networks

8 Management of benefits

10 Primary billing codes and reimbursement levels

11 List of minor procedures covered

12 GP as coordinator of care

13 Profiling and peer review

14 Operational processes

14 Claims

15 Chronic registration process

18 Chronic registration form

20 Medicine formularies

48 Specialist referral process

49 Specialist referral form

50 Pathology applicable codes

53 Pathology request form

54 Radiology applicable codes

58 Radiology request form

59 List of hospitals

62 Momentum - Health4Me

65 Momentum Add-on Products

69 Why Momentum Health?

72 Provider support

contents

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Health4Me

The purpose of this guide is to share

details of Momentum Health and

Momentum products with you, to help

you serve our members.

Momentum Health will no longer be

using the services of Prime Cure and

CareCross for benefit management on

our Ingwe and Access options. Instead,

these services will be provided by the

administrator of Momentum Health.

We also include details on Momentum’s

newly launched healthcare cover for

low-income employees, Health4Me.

Introduction

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Ingwe and Access non-student members

Ingwe and Access student members

Health4Me members

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Healthcare Product Range

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Product range Health4Me Ingwe Option Access Option

Insurance-based Cover Major Medical Benefit Major Medical Benefit

Benefit Accident cover: In-hospital and emergency transportDaily hospital benefit Functional impairment benefitFuneral benefit

Specialists covered up to 100% of Momentum Health RateHospital accounts covered in full at negotiated rateLimited to R950 000 per family per year

Specialists covered up to 100% of Momentum Health RateHospital accounts covered in full at negotiated rateNo overall annual limit applies

Provider Only accident related emergency treatment - Any hospital

Ingwe Network or State hospitals

Access Network hospitals

Chronic Benefit Chronic Benefit Chronic Benefit

Benefit 5 conditions covered on the Comprehensive Option

26 conditions - no annual limit applies


Provider Momentum Primary Care providers

Ingwe Primary Care providers Access Primary Care providers

Day-to-day Benefit Day-to-day Benefit Day-to-day Benefit

Benefit Primary care (such as doctors visits, prescribed medicine, etc.)Secondary care (Specialist visits)

Primary care (such as doctors visits, prescribed medicine, etc.)Secondary care (Specialist visits)

Primary care (such as doctors visits, prescribed medicine, etc.)Secondary care (Specialist visits)

Provider Momentum Primary Care providers

Ingwe Primary Care providers Access Primary Care providers

HealthSaver HealthSaver HealthSaver

Benefit Not applicable Members can add more cover for medical expenses by choosing to contribute an additional amount that suits their needs and pocket

Members can add more cover for medical expenses by choosing to contribute an additional amount that suits their needs and pocket

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Custom Option Incentive Option Extender Option Summit Option

Major Medical Benefit Major Medical Benefit Major Medical Benefit Major Medical Benefit

Associated specialists covered in fullOther specialists covered up to 100% of Momentum Health Rate Hospital accounts covered in full at negotiated rateNo overall annual limit appliesR1 000 co-payment applies

Associated specialists covered in fullOther specialists covered up to 200% of Momentum Health RateHospital accounts covered in full at negotiated rateNo overall annual limit applies

Associated specialists covered in fullOther specialists covered up to 200% of Momentum Health Rate Hospital accounts covered in full at negotiated rateNo overall annual limit applies

Associated specialists covered in fullOther specialists covered up to 300% of Momentum Health RateHospital accounts covered in full at negotiated rateNo overall annual limit applies

Any or Associated hospitals Any or Associated hospitals Any or Associated hospitals Any hospital

Chronic Benefit Chronic Benefit Chronic Benefit Chronic Benefit


26 conditions - no annual limit applies. Additional 6 conditions limited to R7 000 per family

26 conditions - no annual limit applies. Additional 36 conditions limited to R7 000 per family

26 conditions - no annual limit applies. Additional 36 conditions accumulate to the overall day-to-day limit of R17 700 per beneficiary

Any , Associated or State Any , Associated or State Any , Associated or State Freedom-of-choice

Day-to-day Benefit Day-to-day Benefit Day-to-day Benefit Day-to-day Benefit

The HealthSaver can be added to provide cover for day-to-day healthcare needs

Savings 10% of total contribution

Savings 25% of total contribution plus Extended Cover

Paid from risk benefit, subject to overall day-to-day limit of R17 700 per beneficiary.This is a combined limit incorporating both day-to-day cover and cover for the 36 additional chronic conditions.

Any, if HealthSaver available Any Any or Associated Freedom-of-choice

HealthSaver HealthSaver HealthSaver HealthSaver





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Primary Care Networks

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Please note:

1. Doctors are accommodated

whether they are dispensing

doctors or scripting doctors. The

reimbursement structure differs

per option and per service type

(higher rate for scripting doctors).

Doctors are also paid for any minor

procedures performed in their

rooms inclusive of the consultation.

2. A doctor cannot belong to both

networks at the same time,

however, Ingwe doctors are allowed

to see Access members. Access

doctors may not see Ingwe patients.

3. Both parties agree to a written

termination notification of three

calendar months.

The Momentum Health commitment:

— Weekly claims reimbursement

— Performance based reimbursement

– Fee per consultation for dispensing providers, inclusive of the

dispensing of acute medication

– Fee per consultation for non-dispensing providers that are required to

prescribe according to the Momentum Acute Formulary

– An additional fee will be payable for consultations where minor

procedures were performed - a specific tariff code is to be used in these

instances

– Chronic registrations are also reimbursed once-off per patient

— Less admin hassle through electronic member validation, claim submission,

payment reconciliation, chronic registration and specialist referrals, etc.

— Resolve all network practice enquiries effectively, within a 48-hour timeframe

What is your responsibility as the doctor?

— To provide clinically appropriate and cost-effective treatment to members

— Where clinically indicated, to operate within the Scheme’s protocols,

formularies and referral processes, and the Scheme’s benefit structures

— To submit all claims in the electronically prescribed format to the applicable

destination with the relevant tariff codes and ICD-10 codes

— To bill according to the agreed fee and to undertake not to balance bill or

charge members any additional fees outside this agreed fee structure for the

services covered by the Momentum option

— To abide by Momentum DSP arrangements with other healthcare disciplines

and/or benefits

— To obtain the necessary authorisation where applicable according to the

Momentum protocols

— To prescribe medication within the Momentum formularies, unless prior

authorisation has been obtained from Momentum, and to inform any member

requesting any medication or benefits that fall outside the applicable benefits

that it will be for his/her personal account

Members are entitled to primary, secondary and tertiary care (refer to detailed

benefit structure online).

The main objectives of our primary care networks are to:

— Instil the GP as the primary caregiver, providing the appropriate

level of care and coordinating all related healthcare needs.

— Ensure seamless, standardised integration of Momentum Health’s

benefits for our members.

— Lower the existing administration burden on your practice and to

ensure quick payment turnaround times.

— Establish different GP reimbursement levels, linked to appropriate

levels of care and treatment outcomes.

Momentum Health has launched

its own Primary Care Networks

for the Ingwe and Access

Options. In order to achieve the

goal of quality and cost effective

care, you as our network doctor

become the primary coordinator

of care for these patients.

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Primary care benefits

Primary care benefits include the following:

— Medication (acute and chronic) – a formulary applies (see

page 20 for more details)

— GP visits

– You are required to obtain an authorisation where

the same member visits within 4 days of the

previous visit

– You are required to obtain authorisation after the

10th visit of a member

— HIV benefits

— Health Platform benefits are not additional, but included in

the standard primary care benefits.

— Pathology benefits – a specific list applies (see page 50 for

the applicable codes)

— Radiology – a specific list applies (see page 54 for the

applicable codes)

— Dental benefits

— Optical benefits

— Out of area or after-hours emergencies (allow out of

network claims)

Management of benefits

The GP

is the

coordinator

of care

The reimbursement structure

As the general practitioner, you can be reimbursed for one of

the following services:

— Consultation only (including medication if self-dispensing)

— Consultation with small procedure tariff (including

consumables)

— Chronic registration

Your claims will be reviewed and a quarterly adjustment could

be made to the profile category, which in turn may affect the

level of reimbursement of claims.

Provider website

The updated provider web address is

www.provider.momentum.co.za

Please visit the Momentum Health provider website and

logon as a provider. You will have access to all the information

previously available, plus the new features relevant to the low

cost delivery system, i.e.:

— Member/Beneficiary validation

— Benefit checking/booking

— Formulary checking

— Authorisation request

— Chronic registration

— Requesting blood work for a patient

— Referral of the member for x-rays

— Referral to a specialist

— Information on how to join the Momentum Health primary

Care Network for non-contracted doctors

Email queries

You can email any queries to [email protected]

Telephonic queries

You can contact the call centre on 0860 11 78 59

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benefits

As GP, you are responsible to refer members to the specialist

where required. In the case of hospitalisation, the member/

provider is required to obtain an authorisation.

Key principles

Doctor nomination

Members are required to nominate a GP as their preferred GP.

These nominations:

— are stored to use in the profiling of the doctor

— don’t restrict the member to only that doctor

— don’t expire

Pre-authorisation and referrals

You are required to obtain authorisation for members:

— who already had 10 visits

— who visit them within 4 days of a previous visit regardless

of the reason for the visit.

Referrals

As the coordinator of care, you will remain responsible for all

services provided to the member. The profiling of the practice

will be done on this basis.

— You may refer the member for blood work.

This referral can be done in numerous ways, based on

your preference. The laboratory will supply a request form

with a bar code/number that can be used, or you can

submit the request directly to the lab through your practice

management software. Refer to the Pathology Request

Form on page 53.

— The referral of a member for x-rays is still very much

paper based, however the targeted systems can potentially

be enhanced to also cater for electronic referrals. We

provide you with a referral form for radiology (see page 58),

however the majority of doctors use their normal scripting

pads to refer members for x-rays.

— When it comes to referring a member to a specialist, it is

preferable that the referral is to an Associated specialist. It

is in the member’s interest to visit an Associated specialist

as these specialists charge the Momentum Health Rate

with no balance billing.

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Disease management/chronic registration

Normal disease management principles will apply whereby

members are registered for a condition and the relevant

treatment plan is generated. The treatment plan will not

include benefits that fall outside the network arrangements as

well as the relevant formularies.

Chronic patients will have to select a GP for chronic treatment

and scripts for the condition can only be prescribed by this

doctor.

Associated specialist

Momentum Health has negotiated with certain specialists,

referred to as Associated specialists. These specialists

charge the Momentum Health Rate and do not balance bill

our members. Logon to www.provider.momentum.co.za to

search for Associated specialists per discipline and town.

Alternatively, you can call the provider call centre on

0860 11 78 59.

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Primary billing codes and reimbursement levels

Ingwe Primary Care Network doctors

Profiling level 1

Consult Tariff Consult & Procedure Tariff Chronic Reg Tariff

Dispensing Doctor R265.00Tariff: 181001

R505.00Tariff: 181002

R60.00Tariff: 181003

Non-dispensing Doctor R200.00 R440.00 R60.00

Profiling level 2



R490.00Tariff: 181002

R60.00Tariff: 181003


Profiling level 3, 4 and 5



R470.00Tariff: 181002

R60.00Tariff: 181003


Access Primary Care Network doctors

Profiling level 1



R580.00Tariff: 181002

R60.00Tariff: 181003


Profiling level 2



R560.00Tariff: 181002

R60.00Tariff: 181003


Profiling level 3, 4 and 5


Dispensing Doctor R300.00 Tariff: 181001

R535.00Tariff: 181002

R60.00Tariff: 181003


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Stitching of woundStitching of soft-tissue injuries, stitching of wound (with or without local anaesthesia) including normal after-care

Additional wounds sutured

Excision and repairExcision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude

Drainage of subcutaneous abscess and avulsion of nailDrainage of subcutaneous abscess and onychia, paronychia, pulp space or avulsion of nail

Removal of foreign body superficial to deep fasciaRemoval of foreign body to deep fascia (except hands)

Long limb cast (excluding after-care)(modifier 0005 not applicable)

Flow Volume test

Repair nail bed

Drainage external thrombosed pile

ECG bicycle

ECG multistage treadmill

Spinal (lumbar) punctureFor diagnosis, for drainage of spinal fluid or for therapeutic indications

**Please note that only the procedures indicated above will be allowed when claiming 181002.

Any other procedures such as wound care, out patient antibiotics etc. will require

pre-authorisation from Momentum Health.

List of minor procedures covered

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Primary care is being shaped incrementally by external

pressures, in particular the need to contain costs and

demonstrate improved quality and outcomes. As a result, one

of the key philosophies of Momentum Health is to support

the general practitioner to optimally manage a patient in a

coordinated manner to attain the core principles of managed

care, which include not only the provision of primary care but

also playing the role of the gatekeeper.

Although there are many definitions of managed care,

generally the term describes a continuum of arrangements

that integrate the financing and delivery of healthcare. The

general practitioner is usually the patient’s initial contact point

for medical care and referrals. The Momentum Health benefit

design is therefore structured in a manner that supports the

principles of the GP as the coordinator of care and becomes

the base from which a referral is generated. In the absence of

a GP referral (as an example), the patient/member attracts a

co-payment.

The GP’s role is core to change the manner in which

healthcare is delivered by coordinating and navigating

the complex journey of patient needs and education

as well as working with multi-disciplinary teams.

The outcomes of the current network of GPs are

measured by means of a robust profiling system

which provides an indication of the cost and

quality of the outcomes delivered by a given GP.

This profiling outcome determines the GP’s re-

imbursement level,

with GPs showing the most favorable outcomes

from a cost and quality perspective receiving

the highest possible remuneration rate.

With each member selecting a GP practice, it is

possible to promote accountability in the downstream

cost, to the benefit of those GPs that focus on quality,

cost-effective treatment of chronic patients in particular.

The profiling system not only focuses on the direct treatment

cost of primary care, but also on the downstream treatment

costs generated by other disciplines, such as specialists and

The GP as coordinator of care

A large

element of patient

uncertainty can be

effectively dealt with by the

GP through the process of

education and partnering

with Momentum Health’s

team of wellness

coaches.

hospitals, specifically for chronic patients.

Analysis of the Momentum Health membership has indicated

that the admission of several patients to a tertiary setting in a

given year can be avoided by the diligent involvement of the GP

in coordinating the care and engaging with a multi-disciplinary

team to map out the optimal clinical pathway and treatment

plan for the patient. A large element of patient uncertainty

can be effectively dealt with by the GP through the process of

education and partnering with Momentum Health’s team of

wellness coaches.

A fundamental component is then the availability of

information which provides a snapshot of the patients profile

in a manner which is succinct yet holistic. Momentum

Health will be engaging with you during the course of 2013 to

explore your role as the coordinator of care to achieve quality

healthcare delivery to patients. We will also share our vision

for supporting you with the information and systems to play

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this very complex, yet much needed role in the South African Healthcare system.

Profiling is the quarterly process of running one year’s claim data through an analyser which compares each practice’s actual

cost in 5 expense categories to target or expected cost, as derived from the practice’s patient demographics and epidemiology.

These categories are:

— The Consultations cost per claiming beneficiary per annum

— The Procedure cost per claiming beneficiary per annum

— The Special Investigation cost per claiming beneficiary per annum

— The cost of Medicine in Acute Patients expressed per claiming beneficiary per annum

— The cost of Medicine in Chronic Patients per claiming beneficiary per annum

The variance or spread in each category is converted to points (i.e. negative if above target and vice versa) based on a pre-defined

percentage variance as can be seen in the table below.

Performance Score Medicine Score

Within Budget 2 3

Exceed Budget by between 0% and 10% 1 1.5

Exceed Budget by between 10% and 25% 0 0

Exceed Budget by between 25% and 50% -1 -1.5

Exceed Budget by between 50% and 75% -2 -3

Exceed Budget by between 75% and 100% -3 -4.5

Exceed Budget by 100% -4 -6

The points are accumulated to determine the overall category level (1 to 5) and rate per consultation the practice is entitled to in

the following three months.

It must be noted that the profile is an evaluation tool designed to rate practices against their peers. It highlights anomalies and

raises questions that can only be answered by drilling into the source of the information or by the investigative skills of the peer

manager.

Score Category Performance

8.5 and 12 I Good Control

5 to 8 II Acceptable Control

-3.5 to -24 III Warning Lights/Evaluate Practice

Additional expense categories focused on downstream costs and outcomes will be introduced over time. We believe in giving back

to the provider in the form of enhanced consultation fees in return for providing appropriate, cost-effective care.

Profiling and peer review

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Routing of claims

2012 Service date claims should remain routed to either

Carecross or Prime Cure. Claims with a 2013 service date

should be routed to the Momentum Health administration. To

ensure that there is no confusion on the side of the provider,

new option codes linked to the new destination have been

created.

Claims

Operational processes

MediSwitch

For practices using SwitchOn/MediSwitch:

MHEA0007

For practices using QEDI: 822P

healthbridge

Momentum Ingwe State

HB code : 91866

Switch 822P

Momentum Ingwe Network

HB code : 91859

Switch 822P

Momentum Access

HB code : 90778

Switch 822P

Medicine claims

— Only where a non-dispensing GP is the prescriber, a

medicine script will be allowed.

— The same formulary applies for both acute and chronic

scripts

— A member may not go outside the formulary and only

where members have HealthSaver and have given the

necessary consent, may out of formulary items be funded

from HealthSaver

— Any medication prescribed by a specialist that the member

was referred to should also be in line with what is available

on the formulary

Pathology claims

— Pathology claims can be submitted by any laboratory and

are paid at the agreed Momentum Health Rate

— Any pathology tests not on the list of applicable codes will

be rejected and the member needs to be informed upfront

(see page 50 for the list of codes)

Radiology claims

— Radiology claims are submitted by any of the radiologists

and paid at the agreed Momentum Health Rate

— Any x-rays or ultrasounds not on the list of applicable

codes will be rejected and the member needs to be

informed upfront (see page 54 for the list of codes)

Payment to the provider

— Network GPs will be paid weekly

— Statements/eRA’s will be available for each payment

GP claims

— The GP will either be classified as a dispensing or non-

dispensing (scripting) doctor.

— The claim may be for either one of the following scenarios

(Refer to the detailed reimbursement rates on page 10)

– Consultation only (including medication if

dispensing GP)

– Consultation with minor procedure (including

consumables and including medication if

dispensing GP)

– Chronic Registration (with one of the above)

— The applicable tariff codes are as follows:

– 181001 (consult)

– 181002 (procedure - see list on page 11)

– 181003 (once-off registration of chronic patient)

— Follow-up consultation with the same ICD10 code within a

four day period will be rejected, unless authorised

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Chronic registration process

Chronic benefits are subject to registration and approval. The standard 26 CDL

conditions, including HIV, are covered.

How to register for chronic medication

1. The treating doctor or pharmacist needs to contact the provider call centre on

0860 11 78 59 and select the option for chronic registration

2. The chronic benefit consultant will approve the benefit telephonically, as per

clinical protocols

3. Additional information, such as test results, may be required in order to

complete the chronic registration process

4. Chronic medication can only be be obtained from Medipost

5. A repeat script is needed after six months

Information needed when calling for an authorisation:

— the membership number, and the name and details of the patient

— the diagnosis code (ICD–10 code)

— the name and practice number of the treating GP/specialist, where relevant.

Please note Momentum Health provides its members with an HIV programme,

which is managed by LifeSense. Members must be registered on the programme

to access the benefits. Contact LifeSense on 0860 50 60 80.

Medipost

Chronic medication will be dispensed by Medipost. The medication will be

delivered to your office/rooms for collection by the member. It can also be

delivered directly to the patient if needed. It is important to ensure that Medipost

has a copy of the member’s script.

FAQ

Q What if the prescribed chronic

medication needs to change or

additional medication is required?

A The treating doctor or Medipost

needs to contact the provider call

centre. The change will be done

telephonically and approval is given

immediately, subject to criteria

being met.

Q What if a new chronic condition is

diagnosed?

A The member can check if the new

chronic condition is covered. The

treating doctor or Medipost needs

to contact the provider call centre.

The additional authorisation will be

done telephonically and approval is

given immediately, subject to criteria

being met.

1

Chronic medication will be dispensed by Medipost. The medication will be

delivered to your office/rooms for collection by the member. It can also be

delivered directly to the patient if needed. It is important to ensure that Medipost

has a copy of the member’s script.

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Why choose Medipost Pharmacy for

your patients?

During 2012, Medipost introduced a specialised department

of pharmacists and pharmacists’ assistants focusing on

delivery of chronic medication to doctors’ practices. Dedicated

communication options are made available to doctors and

their practice managers. This enables Medipost to provide a

unique service to all doctors and their patients. Furthermore,

Medipost has formed a partnership with MediLogistics to

enhance the delivery process of chronic medication to doctors’

rooms and monitor patient compliance.

Longer lasting medication benefits

Your patients will enjoy extended annual medication limits

(where applicable) and receive advice on what medication to

use that will assist in making their benefits last longer while

getting the same therapeutic effect.

Personal assistance

We remind your patients when a new repeatable prescription is

due and can facilitate the process to obtain a new prescription

from you.

Quality

Our staff is specially trained to provide patients and doctors

with information, advice and offer private and confidential

consultations.

Affordable

No administration fees, no delivery fees and competitive

professional fees

Convenience

Free delivery to your patients, to your practice or any delivery

address of their choice, including holiday destinations within

South Africa

Improved compliance

A new and exciting initiative, in partnership with MediLogistics,

will deliver chronic medication to your practice and monitor

each parcel until it is in the patient’s hands.

For all your chronic medication needs!

Medipost is the leading national pharmacy in the country with a market share of more than

50% of the industry. Since 1991, Medipost offers exceptional experience and a reliable,

specialised, fast and nationwide service to all patients. Currently 400 000 satisfied patients

obtain their medication from Medipost on a monthly basis.

We look forward to being of assistance to you! For more information, please contact us:

Queries: [email protected]

Prescriptions: [email protected]

Telephone number: 012 404 4523

Website: www.medipost.co.za

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MediLogistics is proud to bring you a new and exciting initiative that will form an

integral part of many doctors’ practices in the future. Together with Medipost Pharmacy,

MediLogistics offers you and your patients the opportunity to ease the delivery of chronic

medication to each patient. The initiative entails the delivery of chronic medication to your

practice where the patients can conveniently collect it from your practice staff.

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How will the collection counter work?

— Medipost will dispense chronic medication parcels each

month. Each parcel will contain one or more prescriptions

(depending on the number of dependants on chronic

medication)

Parcels are collected by an external courier company or

MediLogistics and delivered to different practices throughout

South Africa

— A software program will be installed at the practices who

become part of this initiative. MediLogistics will provide all

software and training required to. Practice staff will then

use software provided by MediLogistics to:

– Record the arrival of each parcel (scan in)

– Record that the parcel has been collected by the

patient (scan out)

— When the patient has collected the parcel and the parcel

has been scanned out, an electronic proof of delivery will

be generated and sent to MediLogistics

— MediLogistics will reimburse the doctor with an amount of

R18.60 (incl. VAT) per parcel for every successful proof of

delivery received electronically. (This entails the scanning

in and scanning out of a parcel)

— The innovative MediLogistics software is therefore used to

track and record the end to end process of each parcel and

improve patient compliance.

— There are no legal constraints to this initiative

What are the minimum requirements for a

practice to be part of this initiative?

— Sufficient clean and cool storage space

— Systematic storage system for easy collection of parcels

— Fridge availability for cold chain products

— Internet connectivity

How will my practice benefit from this

initiative?

— Compliance reports will be given to participating doctors

on all their patients receiving parcels from Medipost

Pharmacy, even if the patient prefers an alternative

delivery method than the doctor’s room.

— Better control and management of patient compliance.

This includes contacting patients that did not collect their

medication from your practice to remind them of their

medication

— Extra revenue for your practice

— Exciting products to follow with increased revenue

If you are interested in participating in this initiative, please

contact one of the MediLogistics Network Managers who will

organise the registration of your practice on the MediLogistics

system.

Dear Doctor,

Contact Details:

Network Manager: Glenton Naidoo 083 555 2284

Area Manager: Corlee Herbst 074 149 1141

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Chronic form

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ACICLOVIR SANDOZ 200MG T ACYCLOVIR TAB 200 MG 25 717370001

ACICLOVIR SANDOZ 400MG T ACYCLOVIR TAB 400 MG 70 717371001

ACIDOWN 200MG TABS CIMETIDINE TAB 200 MG 60 796735018

ACITAB-200 DT ACYCLOVIR TAB 200 MG 25 704778001

ACITAB-400 DT ACYCLOVIR TAB 400 MG 60 704779001

ACITOP 5% CREAM ACYCLOVIR CREAM 5% 2 873551001

ACTAMOL 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 100 792101006

ACTAMOL RED (UN-BOXED) PARACETAMOL ELIXIR 120 MG/5ML 100 704093001

ACTIVIR PUMP CREAM ACYCLOVIR CREAM 5% 2 823473007

ACULAX 3.3G/5ML SYRUP LACTULOSE SOLUTION 10 GM/15ML 150 708722001

ACULAX 3.3G/5ML SYRUP LACTULOSE SOLUTION 10 GM/15ML 500 708722002

ACULOID 12.5MG/5ML SYRP CYCLIZINE HCL SYRUP 12.5 MG/5ML 50 792225015

ACULOID 50MG TABS CYCLIZINE HCL TAB 50 MG 20 792217004

ACUZOLE 200MG TABS METRONIDAZOLE TAB 200 MG 500 792284011

ACUZOLE 400MG TABS METRONIDAZOLE TAB 400 MG 250 792292014

ACUZYRT 10MG TABS CETIRIZINE HCL TAB 10 MG 10 712890001

ACUZYRT 10MG TABS CETIRIZINE HCL TAB 10 MG 30 712890002

ACUZYRT 5MG/5ML SYRP CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 712889001

ADCO CETIRIZINE 1MG/ML SY CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 707224001

ADCO PREDNISOLONE 15MG/5M PREDNISOLONE SYRUP 15 MG/5ML (USP SOLUTION EQUIVALENT) 50 716381001

ADCO-ACYCLOVIR 50 CREAM ACYCLOVIR CREAM 5% 2 824674006

ADCO-ACYCLOVIR 50 CREAM ACYCLOVIR CREAM 5% 10 824674014

ADCO-ACYCLOVIR TABS ACYCLOVIR TAB 200 MG 25 827282001

ADCO-ALZAM 0.25MG TABS ALPRAZOLAM TAB 0.25 MG 30 821071009





ADCO-ALZAM 1MG TABS ALPRAZOLAM TAB 1 MG 30 821101005

ADCO-ALZAM 1MG TABS ALPRAZOLAM TAB 1 MG 100 821101013

ADCO-AMOCLAV 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 893218006

ADCO-AMOCLAV 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 893224007

ADCO-AMOCLAV BD 1000MG AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 703229001

ADCO-AMOCLAV S AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 899097006

ADCO-AMOCLAV SF AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 899100007

ADCO-AMOX 125MG SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 829099018

ADCO-AMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 785229027


ADCO-AMOX 250MG SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 829102019


ADCO-BETAMETHASONE CR BETAMETHASONE VALERATE CREAM 0.1% 15 827290004

ADCO-CETIRIZINE 10MG TABS CETIRIZINE HCL TAB 10 MG 10 703491001

ADCO-CETIRIZINE 10MG TABS CETIRIZINE HCL TAB 10 MG 30 703491002

ADCO-CIMETIDINE 200MG TAB CIMETIDINE TAB 200 MG 60 811459004

ADCO-CIMETIDINE 400MG TAB CIMETIDINE TAB 400 MG 60 800252004

ADCO-CO-TRIMOXAZOLE TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 500 780464028

ADCO-CYCLIZINE 50MG TABS CYCLIZINE HCL TAB 50 MG 20 808954008

ADCO-CYCLIZINE 2.5MG SYRP CYCLIZINE HCL SYRUP 12.5 MG/5ML 50 808962019

ADCO-DICLOFENAC 25MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 30 786594004



Formularies for chronic and acute medication

Medicine Name Active Ingredient Pack Size NAPPI Code

For members on Momentum Health Ingwe and Access Options as well as Health4Me members.

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ADCO-ERYTHROMYCIN 125 SUS ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100 786608005

ADCO-ERYTHROMYCIN 250 CAP ERYTHROMYCIN ESTOLATE CAP 250 MG 250 780561015

ADCO-ERYTHROMYCIN 250 CAP ERYTHROMYCIN ESTOLATE CAP 250 MG 20 780561031

ADCO-IBUPROFEN 400MG TAB IBUPROFEN TAB 400 MG 100 780596005

ADCO-IBUPROFEN 400MG TAB IBUPROFEN TAB 400 MG 1000 780596013

ADCO-INDOMETHACIN 25 CAPS INDOMETHACIN CAP 25 MG 500 701106026

ADCO-KIDDIPAYNE PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 894289006

ADCO-LINCTOPENT SYRP METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100 827304005

ADCO-LINCTOPENT SYRP METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200 827304013

ADCO-LIQUILAX SYRP LACTULOSE SOLUTION 10 GM/15ML 100 878707018

ADCO-LIQUILAX SYRP LACTULOSE SOLUTION 10 GM/15ML 2500 878707042

ADCO-LOPERAMIDE SYRP LOPERAMIDE HCL SYRUP 1 MG/5ML 50 811467007

ADCO-LOPERAMIDE TABS LOPERAMIDE HCL TAB 2 MG 300 792071026

ADCO-LOPERAMIDE TABS LOPERAMIDE HCL TAB 2 MG 6 792071115

ADCO-MEFENAMIC ACID MEFENAMIC ACID CAP 250 MG 18 883102004

ADCO-MEFENAMIC ACID MEFENAMIC ACID CAP 250 MG 250 883102012

ADCO-METRONIDAZOLE 200MG METRONIDAZOLE TAB 200 MG 250 742872009

ADCO-METRONIDAZOLE 400MG METRONIDAZOLE TAB 400 MG 100 701076003

ADCO-NAPAMOL 500MG TABS PARACETAMOL TAB 500 MG 20 716045001

ADCO-NAPROXEN 250MG TABS NAPROXEN TAB 250 MG 250 785245014

ADCO-OMEPRAZOLE 20MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 20 MG 28 703543001

ADCO-PARACETAMOL ELIX PARACETAMOL ELIXIR 120 MG/5ML 100 894281003

ADCO-PAYNE TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 500 894282006

ADCO-SALTERPYN SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 807583006

ADCO-SALTERPYN TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 500 809055008

ADCO-SINAL CO TABS PHENYLPROP-PHENYLTOLOX W/ COD-APAP TAB 25-22-15-300 MG 20 791148009

ADCO-SUFEDRIN 30MG/5ML SY PSEUDOEPHEDRINE HCL SYRUP 30 MG/5ML 100 796964009

ADCO-SUFEDRIN 60MG TABS PSEUDOEPHEDRINE HCL TAB 60 MG 20 796972001

ADCO-WORMEX 500MG TABS MEBENDAZOLE TAB 500 MG 1 704656001

ADCO-WORMEX TABS MEBENDAZOLE TAB 100 MG 6 703063003

AGAROL LACTULOSE 3300MG/5 LACTULOSE SOLUTION 10 GM/15ML 150 713232001

AHA FERROUS SULPH 30MG FERROUS SULFATE TAB 30 MG 100 705532001

AHA FOLIC ACID 5MG TABS FOLIC ACID TAB 5 MG 100 709874001

ALBENDAZOLE 200MG CAPS ALBENDAZOLE TAB 200 MG 2 080179001

ALCHERA 7.5MG TABS ZOPICLONE TAB 7.5 MG 30 874728002

ALCOPHYLLEX SYR THEOPHYLLINE-ETOFYLLINE-DIPHENHYD-AMMON CL-SOD CIT

SYRUP

100 701742003


SYRUP

200 701742011


SYRUP

2500 701742038

ALCOPHYLLIN 80MG/15ML THEOPHYLLINE SYRUP 80 MG/15ML 100 701750006



A-LENNON AMOXYCILLIN 250M AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 893409006

A-LENNON DICLOFENAC 25MG DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500 893390003

A-LENNON DICLOFENAC 50MG DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 500 893391006

A-LENNON DOXYCYCLINE HCL DOXYCYCLINE HYCLATE CAP 100 MG 1000 893402006

A-LENNON FLUOXETINE 20MG FLUOXETINE HCL CAP 20 MG 28 703391001

ALLECET 10MG TABS CETIRIZINE HCL TAB 10 MG 30 703315001

ALLECET 10MG TABS CETIRIZINE HCL TAB 10 MG 10 703315002

ALLECET SYRUP CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 703313001

ALLERGEX 2MG/5ML SYR CHLORPHENIRAMINE MALEATE SYRUP 2 MG/5ML 50 702145009

ALLERGEX 2MG/5ML SYR CHLORPHENIRAMINE MALEATE SYRUP 2 MG/5ML 100 702145010

ALLERGEX 4MG TABS CHLORPHENIRAMINE MALEATE TAB 4 MG 100 702072052

ALLERGEX 4MG TABS CHLORPHENIRAMINE MALEATE TAB 4 MG 30 702072125

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ALLERGIN EXPECT DPH-AMCL-SOD CITRATE-MEN SYR 28.1-273.9-113.7-2.5 MG/5ML 150 702080004

ALLERMINE 10MG TABS CETIRIZINE HCL TAB 10 MG 10 703821001

ALLERMINE 10MG TABS CETIRIZINE HCL TAB 10 MG 30 703821002

ALLMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 1000 704443001



ALLMOX S 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 714179001

ALLMOX SF 250MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 714180001

ALSAN 2% CREAM PYRILAMINE MALEATE CREAM 2% 25 897334011

ALTOSEC 10MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 10 MG 28 703988001

ALTOSEC 20MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 20 MG 28 703987001

ALUMAG D SUSP ALUMINUM HYDROXIDE-MAG OXIDE SUSP 400-200 MG/10ML 200 703640001

AMDOCIN 25MG INDOMETHACIN CAP 25 MG 100 701891001



AMETHOCAINE CREAM TETRACAINE HCL CREAM 1% 25 799211028

AMGEL SUSP ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5

MG/10ML

200 700771001

AMGEL SUSP ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5

MG/10ML

100 700771003

AMOCAS 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15 706950001

AMOCLAN BID 1000MG TABS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 704484001

AMOCLAN FORTE TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 707185001

AMOCLAN S SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 707186001

AMOCLAN SF SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 707187001

AMOCLAN TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 707184001

AMOXAPEN (NAMIBIA ONLY) 2 AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 712933001

AMOXICAPS 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 704401001

AMOXIL S 125MG SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 829145001

AMOXIL SF 250MG SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 829153004

AMSTIL TABS PARACETAMOL W/ CODEINE TAB 500-8 MG 1000 700742002

AMYN 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 714185001

AMYN 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500 714184001

AMYN S 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 75 714182001

AMYN S 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 714182002

AMYN SF 250MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 714183001

AMZOLE 400MG TABS METRONIDAZOLE TAB 400 MG 1000 702148011

ANAEROBYL 400MG TABS METRONIDAZOLE TAB 400 MG 1000 715866001

ANETHAINE CREAM TETRACAINE HCL CREAM 1% 25 703591002

ANETHAINE CREAM TETRACAINE HCL CREAM 1% 40 703591010

ANTALGIC 500MG TABS PARACETAMOL TAB 500 MG 1000 805467009

ANTALGIC 500MG TABS PARACETAMOL TAB 500 MG 5000 805467017

ANTHISAN CREAM PYRILAMINE MALEATE CREAM 2% 25 703834002

ANTIPYN FORTE TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 500 786780029

ANUGESIC 10MG/GM OINT PRAMOXINE HCL RECTAL OINT 1% 25 704083019

ANUSOL OINT PRAMOXINE W/ ZINC OXIDE IN MINERAL OIL RECTAL OINT 1-12.5% 25 826375006

ANUSOL SUPP *HEMORRHOIDAL ANESTHETIC COMPOUND - SUPP*** 10 704148005

APEX-ACYCLOVIR 200MG TABS ACYCLOVIR TAB 200 MG 30 717157001

APEX-ACYCLOVIR 400MG TABS ACYCLOVIR TAB 400 MG 70 717158001

APEX-CLAVUTIN 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 707663001

APEX-CLAVUTIN 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 707665001

APEX-CLAVUTIN SF AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 707666001

APEX-FLUCONAZOLE 150MG CA FLUCONAZOLE CAP 150 MG 1 707684001

APEX-FLUCONAZOLE 150MG CA FLUCONAZOLE CAP 150 MG 4 707684002

APEX-RANITIDINE 150MG TAB RANITIDINE HCL TAB 150 MG 60 717160001

APEX-RANITIDINE 300MG TAB RANITIDINE HCL TAB 300 MG 30 717159001

A-POR CREAM CLOTRIMAZOLE CREAM 1% 20 826952003

A-POR VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 826960006

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APP BENZYL BENZ LOT BENZYL BENZOATE EMULSION 25% 500 707716004





APP BENZYL BENZOATE BENZYL BENZOATE EMULSION 25% 100 700205001

ARROW CITALOPRAM 20MG TAB CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 713583001

ARTHREXIN 25MG CAPS INDOMETHACIN CAP 25 MG 100 704725002

ARTHREXIN 25MG CAPS INDOMETHACIN CAP 25 MG 500 704725010

ARTHREXIN 50MG CAP INDOMETHACIN CAP 50 MG 100 704733005

ASCABIOL EMULSION BENZYL BENZOATE EMULSION 25% 100 704857006

ASPELONE 15MG/5ML SYRP PREDNISOLONE SYRUP 15 MG/5ML (USP SOLUTION EQUIVALENT) 50 714552001

ASPEN CETIRIZINE 10MG TAB CETIRIZINE HCL TAB 10 MG 10 704188001

ASPEN CETIRIZINE 10MG TAB CETIRIZINE HCL TAB 10 MG 30 704188002

ASPEN CETIRIZINE 5MG/5ML CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 713231001

ASPEN FLUCONAZOLE 150MG C FLUCONAZOLE CAP 150 MG 1 703624002

ASPEN FLUCONAZOLE 150MG C FLUCONAZOLE CAP 150 MG 4 703624003

ASPIRIN TABS ASPIRIN TAB 300 MG 1000 704645001

ASTHAVENT 200D ECOHALER SALBUTAMOL SULFATE INHAL AERO 108 MCG/ACT (90MCG BASE

EQUIV)

1 849332001

ASTHAVENT 2MG/5ML SYRP SALBUTAMOL SULFATE SYRUP 2 MG/5ML 100 824186001

ASTHAVENT 2MG/5ML SYRP SALBUTAMOL SULFATE SYRUP 2 MG/5ML 150 824186002

ASTHAVENT 300D ECOHALER C SALBUTAMOL SULFATE INHAL AERO 108 MCG/ACT (90MCG BASE

EQUIV)

1 700715003

ATERAX 25MG TAB HYDROXYZINE HCL TAB 25 MG 100 705462005

ATERAX 2MG/ML SYR HYDROXYZINE HCL SYRUP 10 MG/5ML 100 705446018

ATHLONE PHENOXYMETHYLPENI PENICILLIN V POTASSIUM FOR SOLN 125 MG/5ML 100 716611001

ATHRU-DERM 1% LOT DICLOFENAC SODIUM LOTION 1.08% 50 852201001

ATROPINE 1% 5ML EYE DROP ATROPINE SULFATE OPHTH SOLN 1% 1 705632008

AUGMAXCIL 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 861936019

AUGMAXCIL 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 861944003

AUGMAXCIL S AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 861952006

AUGMAXCIL SF AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 861960009

AUGMENTIN 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 705691004

AUGMENTIN 1000MG BD AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 853542007

AUGMENTIN BD S SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 200-28.5 MG/5ML 70 704069001

AUGMENTIN BD SF SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 70 704068001

AUGMENTIN S SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 829269002

AUGMENTIN SF SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 829277005

AURO-AMOXICLAV 1000MG TAB AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 713383001

AURO-AMOXICLAV 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 713381001

AURO-AMOXICLAV 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 713382001

AURO-AMOXYCILLIN 250MG CA AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 713363001

AURO-AMOXYCILLIN 500MG CA AMOXICILLIN (TRIHYDRATE) CAP 500 MG 100 713364001

AURO-CITALOPRAM 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 713356001

AURONE 15ML EAR DROPS ANTIPYRINE OTIC SOLN 5% 1 705780007

AUSTAC 150MG TABS RANITIDINE HCL TAB 150 MG 60 712134001

AUSTAC 300MG TABS RANITIDINE HCL TAB 300 MG 30 712135001

AUSTELL CETIRIZINE 10MG CETIRIZINE HCL TAB 10 MG 10 704359001

AUSTELL CETIRIZINE 10MG CETIRIZINE HCL TAB 10 MG 30 704359002

AUSTELL CIPROFLOX 250MG T CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 704353001




AUSTELL CIPROFLOX 750MG CIPROFLOXACIN HCL TAB 750 MG (BASE EQUIV) 100 704352002

AUSTELL CIPROFLOXACIN 250 CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 14 704353003

AUSTELL FLUCON 150MG CAPS FLUCONAZOLE CAP 150 MG 1 704357001

AUSTELL FLUCON 150MG CAPS FLUCONAZOLE CAP 150 MG 4 704357003

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AUSTELL-AMOXICILLIN 250MG AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 707499001

AUSTELL-AMOXICILLIN 500MG AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500 705637001

AUSTELL-CITALOPRAM 20MG T CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 707398001

AUSTELL-CO-AMOXICLAV 375M AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 707407001

AUSTELL-CO-AMOXICLAV 625M AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 707408001

AUSTELL-PARACETAMOL 500MG PARACETAMOL TAB 500 MG 10 713153001

AUSTELL-PARACETAMOL 500MG PARACETAMOL TAB 500 MG 20 713153002

AUSTELL-TRAMADOL 50MG CAP TRAMADOL HCL CAP 50 MG 20 710250001

AUSTELL-TRAMADOL 50MG CAP TRAMADOL HCL CAP 50 MG 100 710250002

AUSTELL-ZOPICLONE 7.5MG T ZOPICLONE TAB 7.5 MG 30 712508001

AZOR 0.25MG TABS ALPRAZOLAM TAB 0.25 MG 100 823244008

AZOR 0.5MG TABS ALPRAZOLAM TAB 0.5 MG 100 823252019

AZOR 1MG TABS ALPRAZOLAM TAB 1 MG 100 823260003

AZYCLOVIR CO PASTE ACYCLOVIR CREAM 5% 8 080194001

BABA C SYR *VITAMIN MIXTURE SYRUP** 100 831514019

BABA C SYR *VITAMIN MIXTURE SYRUP** 2500 831514027

BACTRIM DS TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 10 706442008

BACTRIM TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 20 706434005

BACTROBAN CREAM MUPIROCIN CALCIUM CREAM 2% 15 702504003

BACTROBAN TOPICAL OINT MUPIROCIN OINT 2% 15 706493001

BACTROBAN TOPICAL OINT MUPIROCIN OINT 2% 100 706493036

BAN PAIN SYRUP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 710248001

BARRS COMP SYR COCILLANA COCILLANA-TERPIN HYDRATE SYRUP 100 717186001

BARRS PARACETAMOL 120MG/5 PARACETAMOL SYRUP 120 MG/5ML 100 717187001

BARRS POVIDONE IODINE POVIDONE-IODINE OINT 10% 25 702549001

BARRS POVIDONE IODINE POVIDONE-IODINE OINT 10% 500 702549002

BARRS POVIDONE-IODINE 10% POVIDONE-IODINE OINT 10% 25 717217001

BAYER ASPIRIN TABS ASPIRIN TAB 300 MG 100 706930002




BECLATE AQUANASE 50MCG 15 BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1 820709018

BECLATE1:ATROV.BETA2 BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1 080201001

BECONASE AQ 50MCG BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1 707198003

BELEX 500MG CAPS CEPHALEXIN CAP 500 MG 100 706327001

BE-METRAZOLE 200MG TABS METRONIDAZOLE TAB 200 MG 500 821705016

BE-METRAZOLE 400MG TABS METRONIDAZOLE TAB 400 MG 500 788708023

BENCOLE SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50 795070004

BENCOLE SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100 795070012

BENDEX 400MG TABS ALBENDAZOLE TAB 400 MG 1 840262019

BENYLIN CHESTY METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100 862037018

BENYLIN CHESTY METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200 862037026

BENYLIN WET COUGH GUAIFENESIN SYRUP 100 MG/5ML 50 704178001

BENYLIN WET COUGH GUAIFENESIN SYRUP 100 MG/5ML 100 704178002

BENYLIN WET COUGH MENTHOL GUAIFENESIN SYRUP 100 MG/5ML 50 895150007

BENYLIN WET COUGH MENTHOL GUAIFENESIN SYRUP 100 MG/5ML 100 895150015

BENZAC AC 5 GEL BENZOYL PEROXIDE GEL 5% 40 807842028

BENZAC-AC 5 GEL BENZOYL PEROXIDE GEL 5% 15 807842029

BENZYL BENZOATE APPL BENZYL BENZOATE EMULSION 25% 100 885588007

BE-OXYTET 250MG CAPS OXYTETRACYCLINE HCL CAP 250 MG 1000 787434035

BE-TABS ANTACID CAL & MAG CARB-MAG TRISILICATE SUSP 250-250-500 MG/5ML 100 839035004

BE-TABS ANTACID CAL & MAG CARB-MAG TRISILICATE SUSP 250-250-500 MG/5ML 2500 839035012

BE-TABS ASPIRIN 300MG TAB ASPIRIN TAB 300 MG 100 798533005



BE-TABS FOLIC ACID 5MG FOLIC ACID TAB 5 MG 1000 810967006


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BE-TABS NAPROXEN 250 NAPROXEN TAB 250 MG 250 799459011

BE-TABS PREDNISONE 5MG TA PREDNISONE TAB 5 MG 1000 788783009

BETACIN 25MG CAPS INDOMETHACIN CAP 25 MG 500 787833010

BETACLAV 1000MG TABS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 714704001

BETACLOMIN GEL ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5

MG/10ML

200 707899001


MG/10ML

350 707899028


MG/10ML

100 707899044

BETACLOPRAMIDE 10MG TABS METOCLOPRAMIDE HCL TAB 10 MG 500 787817023

BETADINE 100MG/GM OINT POVIDONE-IODINE OINT 10% 25 707945003

BETADINE 100MG/GM OINT POVIDONE-IODINE OINT 10% 500 707945011

BETADINE GARGLE POVIDONE-IODINE MOUTHWASH 1% 200 707937019

BETAGESIC 200MG TABS IBUPROFEN TAB 200 MG 20 708186009

BETAGESIC 200MG TABS IBUPROFEN TAB 200 MG 100 708186010

BETAMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 788155024

BETAMOX 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500 788546023

BETAMOX S 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 829358005

BETAMOX SF 250MG/5ML SUS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 829366008

BETAMYCIN 125MG SUS ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100 793329019

BETAMYCIN 250MG TABS ERYTHROMYCIN STEARATE TAB 250 MG 100 707437001

BETANOID 0.5MG TABS BETAMETHASONE TAB 0.5 MG 20 826928005

BETANOID 0.5MG TABS BETAMETHASONE TAB 0.5 MG 100 826928013

BETANOID 0.6MG/5ML SYR BETAMETHASONE SYRUP 0.6 MG/5ML 100 826936008

BETAPAM 5MG TABS DIAZEPAM TAB 5 MG 1000 708062024

BETAPECT SUSP KAOLIN-PECTIN SUSP 6-0.45 GM/30ML 100 799408018

BETAPECT SUSP KAOLIN-PECTIN SUSP 6-0.45 GM/30ML 2500 799408026

BETAPEN 125MG/5ML SYR PENICILLIN V POTASSIUM FOR SOLN 125 MG/5ML 100 751111015

BETAPEN 250MG TABS PENICILLIN V POTASSIUM TAB 250 MG 100 780081005

BETAPEN 250MG TABS PENICILLIN V POTASSIUM TAB 250 MG 1000 780081013

BETAPERAMIDE 2MG TABS LOPERAMIDE HCL TAB 2 MG 10 792691008

BETAPHLEM 250MG/5ML SYR CARBOCYSTEINE SYRUP 250 MG/5ML 200 708151019

BETAPHLEM 250MG/5ML SYR CARBOCYSTEINE SYRUP 250 MG/5ML 2500 708151027

BETAPROFEN 400 FC IBUPROFEN TAB 400 MG 1000 701975001

BETAPROFEN 200MG TABS IBUPROFEN TAB 200 MG 1000 787426016

BETA-VIRA 5% CREAM ACYCLOVIR CREAM 5% 2 713942001

BETEK 10MG TABS CETIRIZINE HCL TAB 10 MG 10 707885001

BETEK 10MG TABS CETIRIZINE HCL TAB 10 MG 30 707885002

BETNOVATE 1MG/GM CREAM BETAMETHASONE VALERATE CREAM 0.1% 15 708313019

BETNOVATE 1MG/GM OINT BETAMETHASONE VALERATE OINT 0.1% 15 708348009

BEVISPAS 135MG TABS MEBEVERINE HCL TAB 135 MG 100 822019019

BEVISPAS 135MG TABS MEBEVERINE HCL TAB 135 MG 20 822019035

BILTRICIDE 600MG TAB PRAZIQUANTEL TAB 600 MG 10 708607004

BILTRICIDE 600MG TAB PRAZIQUANTEL TAB 600 MG 1000 708607012

BINDOCLAV 1000MG TABS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 716126001



BIO CITALOPRAM 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 717094001

BIO-AMOKSIKLAV AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 865559007

BIO-AMOKSIKLAV 1000MG TAB AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 708387002

BIO-AMOKSIKLAV 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 865524010

BIO-AMOKSIKLAV TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 865532001

BIO-AMOKSILAV AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 865540004

BIO-CIMETIDINE 200MG TABS CIMETIDINE TAB 200 MG 60 886978002



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BIOCIP 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 704459001

BIOCIP 500MG TABS CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 704460001

BIOCORT CREAM HYDROCORTISONE ACETATE CREAM 1% 500 807834017

BIOCORT CREAM HYDROCORTISONE ACETATE CREAM 1% 20 807834018

BIOHIST LOT DIPHENHYDRAMINE-CALAMINE-PHENOL LOTION 1-15-0.4% 100 794120008

BIOHIST SYR PROMETHAZINE HCL SYRUP 5 MG/5ML 100 786837012

BIO-METRONIDAZOLE 400MG METRONIDAZOLE TAB 400 MG 500 707242004

BIO-METRONIDAZOLE 400MG T METRONIDAZOLE TAB 400 MG 14 707242002

BIO-NAPROXEN 250MG TABS NAPROXEN TAB 250 MG 140 715831001

BIO-NIFEDIPINE 5MG CAPS NIFEDIPINE CAP 5 MG 100 826863019

BIOTECH CIPROFLOXACIN 250 CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 713792001



BISKAPECT SUSP KAOLIN-PECTIN-BISMUTH CARBONATE SUSP 8-0.25-0.2 GM/30ML 100 708976018

BISKAPECT SUSP KAOLIN-PECTIN-BISMUTH CARBONATE SUSP 8-0.25-0.2 GM/30ML 2500 708976026

BISMA-REX POWDER AL HYD-BIS ALUM-CA CARB-MG CARB-MG TRISIL-NA BICARB

POWD

450 709776002

BISMA-REX POWDER AL HYD-BIS ALUM-CA CARB-MG CARB-MG TRISIL-NA BICARB

POWD

150 709776001

BISOLVON LINCTUS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100 710032005

BISOLVON LINCTUS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200 710032013

BODY BALANCE FERROUS SULP FERROUS SULFATE TAB 75 MG 1000 713558001

BODY BALANCE FERROUS SULP FERROUS SULFATE TAB 75 MG 5000 713558002

BRAZEPAM 3MG TABS BROMAZEPAM TAB 3 MG 30 796999007




BREN 400MG TABS IBUPROFEN TAB 400 MG 1000 708290001

BRISCOPYN TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 1000 800325044

BROMAZE 6MG TABS BROMAZEPAM TAB 6 MG 100 821616005

BRONCHETTE 250MG/5ML SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 200 710520018

BRONCHOLIN EXPECT GUAIFENESIN SYRUP 100 MG/5ML 100 887966001

BRONCLEER SYRP DIPHENHYDRAMINE-AMCL-SOD CITRATE SYRUP 14.07-137-57

MG/5ML

100 710636008

BRONCOL DEXTROMETHORPHAN-AMCL SYRUP 15-90 MG/5ML 200 710652003

BRONCOL COUGH SYRP DEXTROMETHORPHAN-AMCL SYRUP 15-90 MG/5ML 100 710652004

BRONKESE CO SYRP METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100 710687001

BRONKESE CO SYRP METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200 710687028

BRUFEN PAED SUSP IBUPROFEN SUSP 100 MG/5ML 100 710857004

BRUNACOD SYR EPHEDRINE-PROMETHAZINE-CODEINE SYRUP 7-3-9.2 MG/5ML 100 710881002

BRUNACOD SYR EPHEDRINE-PROMETHAZINE-CODEINE SYRUP 7-3-9.2 MG/5ML 2500 710881010

BRUNAZINE 5MG/5ML PROMETHAZINE HCL SYRUP 5 MG/5ML 100 710873018

BRUNAZINE 5MG/5ML PROMETHAZINE HCL SYRUP 5 MG/5ML 500 710873034

BRUNOMOL 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 100 789526018

BRUNOMOL 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 2500 789526026

BUSCOPAN 10MG TABS SCOPOLAMINE N-BUTYLBROMIDE TAB 10 MG 10 711276005

BUSCOPAN 5MG/5ML SYRP SCOPOLAMINE N-BUTYLBROMIDE SYRUP 5 MG/5ML 100 797413006

BUSCOPAN CO TABS DIPYRONE-SCOPOLAMINE BUTYLBROMIDE TAB 250-10 MG 20 711292019

BUSCOPAN CO TABS DIPYRONE-SCOPOLAMINE BUTYLBROMIDE TAB 250-10 MG 100 711292027

CALCIPREG TAB *PRENATAL VITAMIN TAB** 60 704600001

CANALBA CREAM CLOTRIMAZOLE CREAM 1% 20 796336008

CANALBA VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 831875003

CANDACIDE SUSP 20ML NYSTATIN SUSP 100000 UNIT/ML 20 701100001

CANDACIDE SUSP 30ML NYSTATIN SUSP 100000 UNIT/ML 30 701100002

CANDASPOR CREAM CLOTRIMAZOLE CREAM 1% 20 788554018

CANDASPOR VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 831883006

CANDIZOLE CREAM CLOTRIMAZOLE CREAM 1% 20 797006001

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CANDIZOLE VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 832596019

CANESTEN 1% VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 831905026

CANESTEN 1% VCR CLOTRIMAZOLE VAGINAL CREAM 1% 35 703548001

CANESTEN TOPICAL CREAM CLOTRIMAZOLE CREAM 1% 20 712205004

CANEX TOPICAL CREAM CLOTRIMAZOLE CREAM 1% 20 824011007

CANEX VAG CREAM CLOTRIMAZOLE VAGINAL CREAM 1% 50 831913002

CANSTAT ORAL DROPS NYSTATIN SUSP 100000 UNIT/ML 20 835056007

CAPSOID 5MG TABS PREDNISOLONE TAB 5 MG 1000 814407013

CARDIFEN TM 10MG CAPS NIFEDIPINE CAP 10 MG 100 780502019

CARDIFEN TM 5MG CAPS NIFEDIPINE CAP 5 MG 100 780499018

CASICOT SUSPENSION SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50 703865001

CASICOT SUSPENSION SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100 703865002

CASICOT TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 20 706948001

CELESTONE 0.5MG TABS BETAMETHASONE TAB 0.5 MG 100 713139005

CETIRIZINE-HEXAL 10MG TA CETIRIZINE HCL TAB 10 MG 30 703864001

CETIRIZINE-HEXAL 1MG/1ML CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 708117001

CHAMIFLOR OCEAN NASAL SPR SALINE NASAL SPRAY 0.9% 1 704114001

CHLORAMEX 3.5GM 1% EYE O CHLORAMPHENICOL OPHTH OINT 1% 1 713724005

CHLORCOL 125MG/5ML CHLORAMPHENICOL SUSP 125 MG/5ML 100 714151009

CHLORCOL 250MG CAPS CHLORAMPHENICOL CAP 250 MG 1000 714135119

CHLORCOL EYE OINT CHLORAMPHENICOL OPHTH OINT 1% 1 713759003

CHLORHIST 2MG/5ML SYR CHLORPHENIRAMINE MALEATE SYRUP 2 MG/5ML 100 797650008

CHLORNICOL 3.5GM EYE OIN CHLORAMPHENICOL OPHTH OINT 1% 1 713872004

CHLORPHEN 1% 3.5G EYE OIN CHLORAMPHENICOL OPHTH OINT 1% 1 817201009

CHLORPHEN 250MG CAPS CHLORAMPHENICOL CAP 250 MG 1000 814385001

CIFLOC 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 893951013



CIFRAN 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 892140005

CIFRAN 500MG TABS CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 892147005

CILATE 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 707888001

CILIFT 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 700157001

CILOFLOC 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 707886001

CILOFLOC 500MG TABS CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 707887001

CILORAM 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 711988001

CIMLOK 200MG TABS CIMETIDINE TAB 200 MG 60 854247009




CIPEX 100MG TABS MEBENDAZOLE TAB 100 MG 6 878227008

CIPEX SUSP MEBENDAZOLE SUSP 20 MG/ML 30 828297002

CIPLA LOPERAMIDE TABS LOPERAMIDE HCL TAB 2 MG 8 707342001

CIPLANAZE MULTICARE BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1 702939001

CIPLOXX 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 702377001

CIPLOXX 500 CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 702379001

CIPRAMIL 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 28 810622009

CIPROBAY 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 784354006



CIPROFLOXACIN ACTOR 250MG CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 716518001

CIPROFLOXACIN ACTOR 500MG CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 716519001

CIPROGEN 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 703043001




CIPRO-HEXAL 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 701778001

CIPRO-HEXAL 500MG CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 701780001

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CIPROL 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 704777001

CIPROL 500MG TABS CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 704775001

CITALOHEXAL 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 704331001

CITALOPRAM ACTOR 20MG TAB CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 716521001

CITALOPRAM-WINTHROP 20MG CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 709407001

CLAMENTIN 1000MG TABS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 709232001

CLAMENTIN 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 842516018

CLAMENTIN S AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 842524002

CLAMENTIN SF AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 842532005

CLENIL AQUEOUS BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1 897937004

CLICKS PARACETAMOL 500MG PARACETAMOL TAB 500 MG 24 714499001

CLINDAHEXAL 150MG CLINDAMYCIN HCL CAP 150 MG 20 849960002

CLINDAHEXAL 150MG CLINDAMYCIN HCL CAP 150 MG 100 849960010

CLOBETASOL 0.05% UNG CLOBETASOL PROPIONATE OINT 0.05% 20 080228001

CLOBETASOL 0.05% CR CLOBETASOL PROPIONATE CREAM 0.05% 20 080229001

CLOMADERM CREAM CLOTRIMAZOLE CREAM 1% 20 878421009

CLOMAX 10MG TABS METOCLOPRAMIDE HCL TAB 10 MG 500 700712002

CLOPAMON 10MG TABS METOCLOPRAMIDE HCL TAB 10 MG 500 714828017

CLOPAMON 5MG/5ML SYRP METOCLOPRAMIDE HCL SYRUP 5 MG/5ML 100 714844004

CLOSCRIPT CREAM CLOTRIMAZOLE CREAM 1% 20 808857002

CLOSCRIPT VAGINAL CREAM CLOTRIMAZOLE VAGINAL CREAM 1% 50 831921005

CLOTRIMAZOL:BUFEX CR CLOTRIMAZOLE CREAM 1% 20 080230001

CLOTRIMAZOLE1%BUFEX 5% CLOTRIMAZOLE CREAM 1% 20 080231001

CLOTRIMAZOLE2%UREA5% CLOTRIMAZOLE CREAM 1% 30 080232001

CLOXIN 250MG CAPS CLOXACILLIN SODIUM CAP 250 MG 100 809632012

CLOXIN 500MG CAPS CLOXACILLIN SODIUM CAP 500 MG 100 809640015

COCILLANA CO SYR COCILLANA-TERPIN HYDRATE SYRUP 100 715077007

CODEINE PHOS SYRUP CODEINE PHOSPHATE SYRUP 25 MG/5ML 500 857556002

CODEINE PHOSPHATE SYRUP CODEINE PHOSPHATE SYRUP 25 MG/5ML 100 872695018



CODOROL TABS PARACETAMOL W/ CODEINE TAB 500-8 MG 1000 787043002

CO-FLEM 250MG SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 200 779814002

COFLOX 500MG TABS NAMIBIA CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 717756001

CO-GEL SUSP ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5

MG/10ML

200 782173012

COLCHICINE 0.5MG TABS COLCHICINE TAB 0.5 MG 50 715271008

COLCHICINE 1MG TABS COLCHICINE TAB 1 MG 60 715298003

COLCLEER PAED SYR CHLORPHEN-PE W/ APAP-CAFFEINE SYRUP 2-2.5-75-7.5 MG/5ML 100 704332001

COLCLEER TABS CHLORPHEN-EPHEDRINE-APAP-CAFFEINE TAB 2-6-200-20 MG 1000 715301128

COLCLEER(COLD+FLU) TABS CHLORPHEN-EPHEDRINE-APAP-CAFFEINE TAB 2-6-200-20 MG 120 715301129

COLOFAC 135MG TABS MEBEVERINE HCL TAB 135 MG 20 715476009

COLOFAC 135MG TABS MEBEVERINE HCL TAB 135 MG 100 715476017

COLSTAT CAPS PE-CPM-APAP-ATROPINE-CAFF-VIT C CAP 5-2-300-0.125-30-75 MG 24 715506005

CONTROMET 10MG TABS METOCLOPRAMIDE HCL TAB 10 MG 500 715875124

CONTROMET 5MG/5ML SYRP METOCLOPRAMIDE HCL SYRUP 5 MG/5ML 50 783064004

CORSODYL 2MG/ML MINT SOLN CHLORHEXIDINE GLUCONATE SOLN 0.2% 200 808377019

CORSODYL 2MG/ML SOLN CHLORHEXIDINE GLUCONATE SOLN 0.2% 200 731005007

CORYX PAED SYR TRIPROLIDINE-PSEUDOEPHEDRINE-VIT C SYRUP 1.25-25-75

MG/5ML

100 827460007

CO-TRIM SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50 779881001

CO-TRIM SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100 779881028

COVAMET 50MG TABS CYCLIZINE HCL TAB 50 MG 20 809322005

COVAMET 50MG TABS CYCLIZINE HCL TAB 50 MG 10 809322014

COVOMYCIN 7.5ML DROPS NEOMYCIN-CHLORAMPHENICOL-NAPHAZOLINE OPH SOLN 0.5-

0.2-0.05%

1 716634007

COVOMYCIN D 7.5ML DROPS CHLORAMPHEN-DEXAMETH-NEO OPHTH-OTIC-NASAL SOLN

0.2-0.05-0.5%

1 716626004

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COVOSPOR CREAM CLOTRIMAZOLE CREAM 1% 20 814423019

COVOSPOR VAGINAL CREAM CLOTRIMAZOLE VAGINAL CREAM 1% 50 832332003

COZOLE SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100 793310016

COZOLE TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 500 716731029

CPL ALLIANCE CEPHALEXIN 1 CEPHALEXIN FOR SUSP 125 MG/5ML 100 897892003

CPL ALLIANCE CEPHALEXIN 2 CEPHALEXIN CAP 250 MG 100 897880006

CPL ALLIANCE CEPHALEXIN 5 CEPHALEXIN CAP 500 MG 100 897887006

CPL ALLIANCE CIPROFLOXACI CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 700284001

CPL ALLIANCE CIPROFLOXACI CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 700287001

CPL ALLIANCE RANITIDINE 1 RANITIDINE HCL TAB 150 MG 60 700119002

CPL ALLIANCE RANITIDINE 3 RANITIDINE HCL TAB 300 MG 30 700120005

CPL ALNCE ALPRAZOLAM 0.25 ALPRAZOLAM TAB 0.25 MG 100 897929001

CPL ALNCE ALPRAZOLAM 0.5M ALPRAZOLAM TAB 0.5 MG 100 897930002

CREME CLASSIQUE ACNE 5 GE BENZOYL PEROXIDE GEL 5% 50 896079002

CROMABAK 10ML DROPS CROMOLYN SODIUM OPHTH SOLN 2% 1 700864001

CROMOHEXAL EYE DROPS CROMOLYN SODIUM OPHTH SOLN 2% 1 822698005

CURAM 1000GM BD TABS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 704049001

CURAM 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 704047001

CURAM BD SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 35 705832001

CURAM BD SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 70 705832002

CYCLIDOX 100MG CAPS DOXYCYCLINE HYCLATE CAP 100 MG 30 716944014



CYCLIVEX 200MG TABS ACYCLOVIR TAB 200 MG 25 824313003

CYCLIVEX 400MG TABS ACYCLOVIR TAB 400 MG 70 860581004

CYKLOKAPRON 500MG TABS TRANEXAMIC ACID TAB 500 MG 100 717134016

CYSTICIDE 500MG TABS PRAZIQUANTEL TAB 500 MG 100 717169006

DALACIN C 150MG CAPS CLINDAMYCIN HCL CAP 150 MG 100 717347028

DALACIN C 150MG CAPS CLINDAMYCIN HCL CAP 150 MG 20 717347117

DALACIN VAGINAL CREAM CLINDAMYCIN PHOSPHATE VAGINAL CREAM 2% 40 832340006

DEEP RELIEF GEL IBUPROFEN GEL 5% 25 833096001

DEEP RELIEF GEL IBUPROFEN GEL 5% 50 833096028

DEPRAMIL 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 704328001

DEPROZAN CAPS FLUOXETINE HCL CAP 20 MG 30 894303008

DEQUA-FLU CAPS CHLORPHEN-PHENYLTOLOX-PE-APAP-CAFF CAP 2-12.5-5-200-30

MG

500 717932028

DERMADINE GARGLE POVIDONE-IODINE MOUTHWASH 1% 200 799688002

DERMADINE OINT POVIDONE-IODINE OINT 10% 25 788716093

DERMOV:10% SALIC A CLOBETASOL PROPIONATE OINT 0.05% 50 080239001

DERMOV:10% UREA CLOBETASOL PROPIONATE OINT 0.05% 100 080240001

DERMOV:7.5%SALIC A CLOBETASOL PROPIONATE CREAM 0.05% 50 080241001

DERMOV50:UREA10:SAL2 CLOBETASOL PROPIONATE CREAM 0.05% 100 080242001

DERMOV50:UREA15:SAL5 CLOBETASOL PROPIONATE OINT 0.05% 50 080243001

DERMOVATE CREAM CLOBETASOL PROPIONATE CREAM 0.05% 25 718718003

DERMOVATE OINTMENT CLOBETASOL PROPIONATE OINT 0.05% 25 718726006

DICLOHEXAL 25MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500 853240019

DICLOHEXAL 50MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 20 841153019

DICLOHEXAL GEL DICLOFENAC DIETHYLAMINE GEL 1.16% 40 702362001

DICYCLOMINE CO GEL ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5

MG/10ML

100 702725001

DICYCLOMINE CO GEL ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5

MG/10ML

200 702725002

DIFLUCAN 150MG CAPS FLUCONAZOLE CAP 150 MG 1 786373008

DIFLUCAN 150MG CAPS FLUCONAZOLE CAP 150 MG 4 786373091

DIFLUCAN 200MG/5ML SUSP FLUCONAZOLE FOR SUSP 40 MG/ML 35 836443004

DIFLUCAN 50MG/5ML SUSP FLUCONAZOLE FOR SUSP 10 MG/ML 35 883686002

DIFLUZOLE 150MG CAPS FLUCONAZOLE CAP 150 MG 1 703635001

DILINCT JUNIOR GUAIFENESIN SYRUP 100 MG/5ML 100 882829002

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DILUCORT CREAM HYDROCORTISONE ACETATE CREAM 0.5% 25 720011019

DINO-COD PARACETAMOL W/ CODEINE TAB 500-8 MG 1000 837652014

DINO-COD PARACETAMOL W/ CODEINE TAB 500-8 MG 5000 837652022

DIPHENAMILL SYR AMINOPHYLLINE-DIPHENHYD-AMMON CL-SOD CITRATE SYRUP 100 720283019



DIPHENHYDRAMINE EXPECT SY DIPHENHYDRAMINE-AMCL-SOD CITRATE-MEN SYR

12.5-125-50-1MG/5ML

2500 810649012

DIPHENHYDRAMINE EXPECT SY DIPHENHYDRAMINE-AMCL-SOD CITRATE-MEN SYR

12.5-125-50-1MG/5ML

20000 810649013

DIS-CHEM ANTI-DIARRHOEAL LOPERAMIDE HCL TAB 2 MG 6 703393001

DIS-CHEM CLOTRIMAZOLE CRE CLOTRIMAZOLE CREAM 1% 20 705246001

DIS-CHEM CLOTRIMAZOLE VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 705247001

DISCHEM EMITEX 50MG TABS CYCLIZINE HCL TAB 50 MG 20 811513009

DIS-CHEM MUCOLYTIC SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 200 703394001

DIS-CHEM SALINE NASAL SPR SALINE NASAL SPRAY 0.9% 1 705625001

DIXARIT 0.025MG TABS CLONIDINE HCL TAB 0.025 MG 100 720704006

DOCTRIM SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50 894842005

DOCTRIM SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100 894842013

DOLOROL 500MG TABS PARACETAMOL TAB 500 MG 20 720860008

DOLOROL 500MG TABS PARACETAMOL TAB 500 MG 100 720860016

DOLOROL FORTE TABS PARACETAMOL W/ CODEINE TAB 500-8 MG 20 720879019



DOLOTRAM 50MG CAPS TRAMADOL HCL CAP 50 MG 100 705379001

DOLOTRAM 50MG CAPS TRAMADOL HCL CAP 50 MG 20 705379002

DOMADOL 50MG CAPS TRAMADOL HCL CAP 50 MG 100 705175002

DOV30:SULPH5% CLOBETASOL PROPIONATE CREAM 0.05% 200 080261001

DOV30:UREA 17:SALIC5% CLOBETASOL PROPIONATE CREAM 0.05% 100 080262001

DOV30:UREA10:CLOT1% CLOBETASOL PROPIONATE CREAM 0.05% 100 080263001

DOVAL 5MG TABS DIAZEPAM TAB 5 MG 100 721174027

DOVATE .5MG/GM CREAM CLOBETASOL PROPIONATE CREAM 0.05% 25 807249009

DOVATE .5MG/GM OINT CLOBETASOL PROPIONATE OINT 0.05% 25 807230006

DOXYCYL 50MG CAPS DOXYCYCLINE HYCLATE CAP 50 MG 30 808407007

DOXYCYL 100MG CAPS DOXYCYCLINE HYCLATE CAP 100 MG 100 809667029

DOXYTET 100MG CAPS DOXYCYCLINE HYCLATE CAP 100 MG 1000 714192001

DPH EXPECTORANT SYRP DIPHENHYDRAMINE-AMCL-SOD CITRATE SYRUP 14.07-137-57

MG/5ML

100 720291003


MG/5ML

200 720291011


MG/5ML

2500 720291119

DRILIX 30MG/5ML SYRP PSEUDOEPHEDRINE HCL SYRUP 30 MG/5ML 100 799440019

DRINASAL DROPS 10ML OXYMETAZOLINE HCL NASAL SOLN 0.025% 1 702618003

DRINASAL PAED MET SPRAY OXYMETAZOLINE HCL NASAL SOLN 0.025% 1 702620003

DRISTAN LL N/SPRAY 15ML OXYMETAZOLINE HCL NASAL SOLN 0.05% 1 721387004

DRISTAN LL MET.PUMP 15ML OXYMETAZOLINE HCL NASAL SOLN 0.05% 1 783870019

DRIXINE 0.05% N/SRAY 20ML OXYMETAZOLINE HCL NASAL SOLN 0.05% 1 721441009

DRIXINE ADULT M/S 10ML OXYMETAZOLINE HCL NASAL SOLN 0.05% 1 814199003

DRL CITALOPRAM 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 713445001

DRL-OMEPRAZOLE 10MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 10 MG 30 704699001

DRL-OMEPRAZOLE 20MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 20 MG 30 704700001

DULCOLAX 10MG SUPP BISACODYL SUPPOS 10 MG 10 721522009

DULCOLAX 5MG PAED SUPP BISACODYL SUPPOS 5 MG 10 721530001

DULCOLAX 5MG TABS BISACODYL TAB DELAYED RELEASE 5 MG 30 721549004



DUMOXIN 50MG CAPS DOXYCYCLINE HYCLATE CAP 50 MG 30 798401028

DUPHALAC SYRP LACTULOSE SOLUTION 10 GM/15ML 150 721611001

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DUROBAC TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000 721751009

DUROBAC DS 960MG TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 10 721778003



DUROBAC TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 20 721751008

D-WORM SD MEBENDAZOLE TAB 500 MG 1 833894005

DYNAFLOC 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 700516001

DYNAFLOC 500MG TABS CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 700518001

DYNALEX SYRUP THEOPHYLLINE-ETOFYLLINE-DIPHENYLPYRALINE-AMMON CL

SYRUP

200 715681001

DYNEXAN OINT TETRACAINE HCL OINTMENT 0.5% 10 826391001

EGOLI FERROUS SULPHATE 30 FERROUS SULFATE TAB 30 MG 1000 710580001

EGOLI FERROUS SULPHATE 30 FERROUS SULFATE TAB 30 MG 5000 710580002

EGOLI MULTIVITAMIN SYR *VITAMIN MIXTURE SYRUP** 100 710543001

EGOLI MULTIVITAMIN SYR *VITAMIN MIXTURE SYRUP** 2500 710543002

EGOLI PHARM VITAKIDS COUG *VITAMIN MIXTURE SYRUP** 200 715371001

EGOLI VITAMIN B CO MALT / *PEDIATRIC MULTIPLE VITAMINS W/ IRON SYRUP** 100 710544001

EGOLI VITAMIN B CO MALT/ *PEDIATRIC MULTIPLE VITAMINS W/ IRON SYRUP** 2500 710544002

EMETROL LIQ *FRUCTOSE-DEXTROSE-PHOSPHORIC ACID ORAL SOLN*** 200 723037019

EMETROL LIQ *FRUCTOSE-DEXTROSE-PHOSPHORIC ACID ORAL SOLN*** 100 723037027

EMEX SYR PHOSPHORATED CARBOHYDRATE SYRUP 200 784346003

EMEX SYR PHOSPHORATED CARBOHYDRATE SYRUP 100 784346011

EMPACOD TAB PARACETAMOL W/ CODEINE TAB 500-20 MG 20 723088004

EMPAPED 125MG SUPP PARACETAMOL SUPPOS 125 MG 10 819697001

EMPAPED 250MG SUPP PARACETAMOL SUPPOS 250 MG 10 819700002

ENA-CLEAR *SODIUM PHOSPHATES - ENEMA*** 1 701518001

ENT DROPS 25ML PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/ML 1 723363005

ENT SPRAY 25ML PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/ML 1 723371008

ENTEROLYTE SUSP KAOLIN-PECTIN W/ ELECTROLYTES SUSP 6-0.12 GM/30ML 100 723428018

ERYKO 250MG TABS ERYTHROMYCIN STEARATE TAB 250 MG 100 710310001

ERYKO 250MG TABS ERYTHROMYCIN STEARATE TAB 250 MG 500 710310002

ERYMYCIN P 125MG SUSP ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100 787108006

ERYMYCIN PF 250MG SUSP ERYTHROMYCIN ESTOLATE SUSP 250 MG/5ML 100 787086002

ETHIPRAMINE 10MG TABS IMIPRAMINE HCL TAB 10 MG 100 724661107


ETHIPRAMINE 25MG TAB IMIPRAMINE HCL TAB 25 MG 100 724688102


EXOCIN EYE DROPS OFLOXACIN OPHTH SOLN 0.3% 1 839957009

EXPIGEN WET COUGH PEPPERM GUAIFENESIN SYRUP 100 MG/5ML 100 715471001

EXPIGEN WET COUGH PEPPERM GUAIFENESIN SYRUP 100 MG/5ML 200 715471002

FABU-BENZYL BENZOATE NAMI BENZYL BENZOATE EMULSION 25% 100 702851001

FABU-CHLOROQUINE SYR CHLOROQUINE SULFATE SYRUP 50 MG/5ML (BASE EQUIVALENT) 100 820407003

FABU-COLD (NAMIBIA ONLY) PSEUDOEPHEDRINE HCL SYRUP 30 MG/5ML 50 702866001

FABU-COLD (NAMIBIA ONLY) PSEUDOEPHEDRINE HCL SYRUP 30 MG/5ML 100 702866002

FABU-COTRIMOX (NAMIBIA) SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100 820415006

FABU-COTRIMOX (NAMIBIA) SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50 820415007

FABU-METRONIDAZOLE (NAMIB METRONIDAZOLE SUSP 200 MG/5ML 100 702869001

FABU-PARACETAMOL ALC/FREE PARACETAMOL SYRUP 120 MG/5ML 50 702871001



FAMS MIST TUSSI INFANS AMMONIUM CHLORIDE & IPECAC SYRUP 22-0.24 MG/5ML 100 703456001

FAMTUSS SYRP DIPHENHYDRAMINE-AMCL-SOD CITRATE-MEN SYR

12.5-125-50-1MG/5ML

2500 783595026

FAMUCAPS CAPS PE-CPM-APAP-ATROPINE-CAFF-VIT C CAP 5-2-300-0.125-30-75 MG 20 725544007

FAMUCAPS CAPS PE-CPM-APAP-ATROPINE-CAFF-VIT C CAP 5-2-300-0.125-30-75 MG 1000 725544031

FENAMIN 250MG CAPS MEFENAMIC ACID CAP 250 MG 250 797707026

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FENOX NOSE DROPS 25ML PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/ML 1 725765003

FEROFOLS SYRP IRON POLYMALTOSE W/FA & B12 SYRUP 33-0.6-0.002 MG/5ML(FE

EQ)

150 713274001

FERROUS SULPHATE 30MG FERROUS SULFATE TAB 30 MG 1000 877832005

FERROUS SULPHATE 30MG FERROUS SULFATE TAB 30 MG 5000 877832013

FERROUS SULPHATE 75MG TAB FERROUS SULFATE TAB 75 MG 1000 710372001



FEVERPAIN (UNBOXED) PARACETAMOL ELIXIR 120 MG/5ML 100 703820001



FEVERPAIN ELIX PARACETAMOL ELIXIR 120 MG/5ML 100 863742009

FITVIT VIT B CO MALT & IR *PEDIATRIC MULTIPLE VITAMINS W/ IRON SYRUP** 200 887088002

FLAGYL 200MG TABS METRONIDAZOLE TAB 200 MG 21 726346004

FLAGYL 200MG/5ML SUSP METRONIDAZOLE SUSP 200 MG/5ML 100 726338001



FLAMECID 25MG CAPS INDOMETHACIN CAP 25 MG 500 726389110

FLEMEX 250MG/5ML SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 100 726451002

FLEMEX 250MG/5ML SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 200 726451010

FLEMEZE SYRP METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100 819743003

FLEMEZE SYRP METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200 819743011

FLEMGO SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 200 789739003

FLEMLITE SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 200 785164006

FLO BABY SALINE + 15ML NA SALINE NASAL SPRAY 0.9% 1 711013001

FLO KIDS SALINE + 15ML NS SALINE NASAL SPRAY 0.9% 1 717239001

FLO SALINE PLUS NASO SALINE NASAL SPRAY 0.9% 1 709721001

FLUARIX PREFILLED SYRINGE INFLUENZA VIRUS VACCINE WHOLE INJ 1 711737001

FLUCORIC 150MG CAPS FLUCONAZOLE CAP 150 MG 1 700149001

FLUEND CAPS DIPHENHYDRAMINE-PHENYLEPH-APAP-VIT C CAP 10-5-400-50 MG 1000 726710024

FLUOXETINE ACTOR 20MG CAP FLUOXETINE HCL CAP 20 MG 30 716520001

FLUSIN MUCOUS COUGH 250MG CARBOCYSTEINE SYRUP 250 MG/5ML 200 717241001

FLUSIN TABS CHLORPHEN-EPHEDRINE-APAP-CAFFEINE TAB 2-6-200-20 MG 24 726885002

FLUSTAT SYR DM-PHENYLPROPANOLAMINE-APAP SYRUP 15-25-500 MG/20ML 200 807656003

FLUSTAT SYR DM-PHENYLPROPANOLAMINE-APAP SYRUP 15-25-500 MG/20ML 100 807656011

FLUTEX COUGH MIXTURE BLAC GUAIFENESIN SYRUP 100 MG/5ML 100 708184001

FLUTEX COUGH MIXTURE HONE GUAIFENESIN SYRUP 100 MG/5ML 100 708182001

FLUTEX COUGH MIXTURE ORAN GUAIFENESIN SYRUP 100 MG/5ML 100 708183001

FLUVAX 2009 PRE-FILLED SY INFLUENZA VIRUS VACCINE WHOLE INJ 10 711345001

FLUZOL 150MG CAPS FLUCONAZOLE CAP 150 MG 1 700598001

FOLIC ACID 5MG TABS FOLIC ACID TAB 5 MG 1000 711922001

FOLIC ACID 5MG TABS FOLIC ACID TAB 5 MG 100 711922002

FORCID SOLUTAB 875/125 AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 703903003

FOSENEMA *SODIUM PHOSPHATES - ENEMA*** 1 727202006

FRESHEN BISACODYL LAXATIV BISACODYL TAB DELAYED RELEASE 5 MG 30 715545003

FRESHEN BISOCODYL LAXATIV BISACODYL TAB DELAYED RELEASE 5 MG 12 715545001

FRESHEN BISOCODYL LAXATIV BISACODYL TAB DELAYED RELEASE 5 MG 3 715545002

FUCIDIN CREAM FUSIDIC ACID CREAM 2% 15 727431005

FUCIDIN OINT FUSIDATE SODIUM OINT 2% 15 727377019

FUCITHALMIC 5ML DROPS FUSIDIC ACID OPHTH SOLN 10 MG/GM (1%) 1 783641001

FUNGISPOR CREAM CLOTRIMAZOLE CREAM 1% 20 846422018

FUNGISPOR VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 846341018

FURANDANTIN 25MG/5ML NITROFURANTOIN SUSP 25 MG/5ML 100 727601008

FUREX OINT NITROFURAZONE OINT 0.2% 25 805416005

FUREX OINT NITROFURAZONE OINT 0.2% 500 805416013

GANFORT 3ML OPTH DROPS BIMATOPROST-TIMOLOL MALEATE OPHTH SOLN 0.03-0.5% 1 714110001

GASTRON 1MG/5ML SYRUP LOPERAMIDE HCL SYRUP 1 MG/5ML 50 810908018

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GASTRON 2MG TABS LOPERAMIDE HCL TAB 2 MG 6 810916002

GASTRON 2MG TABS LOPERAMIDE HCL TAB 2 MG 300 810916010

GASTROPECT SUSP KAOLIN-PECTIN SUSP 1-0.05 GM/5ML 100 728284006

GELUMEN SUSP ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5

MG/10ML

200 789933101

GEMINI EYE 15ML TETRAHYDROZOLINE-ANTAZOLINE OPHTH SOLN 0.04-0.05% 1 728608006

GENCETAMOL 500MG TABS PARACETAMOL TAB 500 MG 1000 824992008



GENPECT SUSP KAOLIN-PECTIN SUSP 5.5-0.137 GM/30ML 2500 822043009

GENPECT SUSP KAOLIN-PECTIN SUSP 5.5-0.137 GM/30ML 100 822043017

GERMADINE 10% OINT POVIDONE-IODINE OINT 10% 25 715022001

GERMADINE 10% OINT POVIDONE-IODINE OINT 10% 500 715022002

GOLDGESIC SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 793566002

GOLDGESIC TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 1000 793574022

GOLYTELY POWD *PEG 3350-KCL-NA BICARB-NACL-NA SULFATE PACKET*** 280 854549005

GOLYTELY POWDER *PEG 3350-KCL-NA BICARB-NACL-NA SULFATE PACKET*** 1 080295001

GO-PAIN P PARACETAMOL SYRUP 120 MG/5ML 100 895199009

GO-PAIN SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 823511006

GO-PAIN TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 20 823538001

GO-PAIN TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 1000 823538003

GRAND-PA PARACETAMOL TABS PARACETAMOL TAB 500 MG 10 715860001

GRAND-PA PARACETAMOL TABS PARACETAMOL TAB 500 MG 20 715860002

GRAYS PARACETAMOL SYRP 12 PARACETAMOL ELIXIR 120 MG/5ML 100 715111001

GRAYS PARACETAMOL TABS 50 PARACETAMOL TAB 500 MG 20 715112001

GRAYS PARACETAMOL TABS 50 PARACETAMOL TAB 500 MG 96 715112002

GULF ASPRIN ASPIRIN TAB 300 MG 1000 700909003

GULF FERROUS SULPHATE COM FERROUS SULFATE-COPPER-MANGANESE TAB 170-2.5-2.5 MG 5000 897329015

GULF FLUCONAZOLE 150MG CA FLUCONAZOLE CAP 150 MG 1 713556001

GULF INDOMETHACIN 25MG INDOMETHACIN CAP 25 MG 1000 868213012

GULF PARACETAMOL 500MG PARACETAMOL TAB 500 MG 1000 867950021

GULF RANITIDINE 150MG TAB RANITIDINE HCL TAB 150 MG 60 713553001

GULF RANITIDINE 300MG TAB RANITIDINE HCL TAB 300 MG 30 713554001

GYNEZOL 10MG/GM VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 878448004

GYNO-DAKTARIN VCR MICONAZOLE NITRATE VAGINAL CREAM 2% 40 832502006

GYNO-DAKTARIN VCR MICONAZOLE NITRATE VAGINAL CREAM 2% 78 832502014

GYNO-TRIMAZE VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 839620004

HEXAL-MPA 5MG TABS MEDROXYPROGESTERONE ACETATE TAB 5 MG 30 706704001

HEXAL-MPA 10MG TABS MEDROXYPROGESTERONE ACETATE TAB 10 MG 30 706705001

HEXAMET 400MG TABS CIMETIDINE TAB 400 MG 60 806919019

HIBITANE 0.2% IN WATER CHLORHEXIDINE GLUCONATE SOLN 0.2% 1000 704716001

HIBITANE 0.2% IN WATER CHLORHEXIDINE GLUCONATE SOLN 0.2% 5000 704716002

HISTAK 150MG TABS RANITIDINE HCL TAB 150 MG 60 841765006



HYOSPASMOL 10MG TABS SCOPOLAMINE N-BUTYLBROMIDE TAB 10 MG 100 731951018

HYOSPASMOL 10MG TABS SCOPOLAMINE N-BUTYLBROMIDE TAB 10 MG 10 731951026

HYOSPASMOL 5MG/5ML SYRUP SCOPOLAMINE N-BUTYLBROMIDE SYRUP 5 MG/5ML 100 707213001

IBOFLAM 200MG TABS IBUPROFEN TAB 200 MG 30 895196005

IBOFLAM 200MG TABS IBUPROFEN TAB 200 MG 1000 895196006

IBU 200MG TABS IBUPROFEN TAB 200 MG 1000 705940001

IBUCINE (WAS IBUMAX) 400M IBUPROFEN TAB 400 MG 1000 700318002

IBUGESIC 100MG/5ML SUSP IBUPROFEN SUSP 100 MG/5ML 100 704781001

IBULEVE GEL IBUPROFEN GEL 5% 50 828076006

IBUMAX 200MG TABS IBUPROFEN TAB 200 MG 1000 700316002

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IBUMAX SUSP IBUPROFEN SUSP 100 MG/5ML 100 700315001

IBUMED 200MG TABS IBUPROFEN TAB 200 MG 12 809268019

IBUMED 200MG TABS IBUPROFEN TAB 200 MG 24 809268027

IBUNATE 200MG IBUPROFEN TAB 200 MG 1000 868221007

IBUSOR 200MG TABS IBUPROFEN TAB 200 MG 1000 708536002

ILIADIN ADULT 0.05% DROPS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1 732257018

ILIADIN ADULT 0.05% MET S OXYMETAZOLINE HCL NASAL SOLN 0.05% 1 732265002

ILIADIN PAED 0.025% DROPS OXYMETAZOLINE HCL NASAL SOLN 0.025% 1 732281008

ILIADIN PAED 0.25% MET SP OXYMETAZOLINE HCL NASAL SOLN 0.025% 1 732338018

ILIADIN PLASTIC NASAL SPR OXYMETAZOLINE HCL NASAL SOLN 0.05% 1 732303001

ILVITRIM SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50 705259001



ILVITRIM TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000 704095001

IMODIUM 2MG TABS LOPERAMIDE HCL TAB 2 MG 6 732486009

IMODIUM SYRP LOPERAMIDE HCL SYRUP 1 MG/5ML 50 732478006

IMOVANE 7.5MG TABS ZOPICLONE TAB 7.5 MG 30 732494001

INFAPAIN FORTE SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 732753007

INFLUVAC 0.5ML INFLUENZA VIRUS VACCINE WHOLE INJ 1 732826004

INNOSPORE 1% VCR CLOTRIMAZOLE VAGINAL CREAM 1% 20 711138001

INNOSPORE 1% VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 711138002

INZA 200MG TABS IBUPROFEN TAB 200 MG 30 733741002




IPCAMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 815268017

IPCAMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15 815268018

ISOPTO ATROPINE 1% DROPS ATROPINE SULFATE OPHTH SOLN 1% 1 734276001

JACKS THICK NOSE DROPS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/ML 30 703661001

JP PARACETAMOL TABS PARACETAMOL TAB 500 MG 1000 894212006

JP PECT SUSP KAOLIN-PECTIN LIQUID 3-0.15 GM/15ML 100 813737001

JP PECT SUSP KAOLIN-PECTIN LIQUID 3-0.15 GM/15ML 2500 813737028

JULES TOPSPORT PRENATAL F *PRENATAL VITAMIN TAB** 30 703088003

JUST SALINE NASAL SPR 30M SALINE NASAL SPRAY 0.9% 1 714893001

KAOCREAM SUSP KAOLIN-PECTIN SUSP 6-0.12 GM/15ML 100 734853009

KAOCREAM SUSP KAOLIN-PECTIN SUSP 6-0.12 GM/15ML 2500 734853025

KAOPECTIN SUSP KAOLIN-PECTIN SUSP 5.5-0.137 GM/30ML 100 734934009

KAOSTATEX SUSP KAOLIN-PECTIN W/ ELECTROLYTES SUSP 6-0.12 GM/30ML 150 734942001

KETAZOL CREAM KETOCONAZOLE CREAM 2% 20 890760001

KIDDYFLU SYR PHENYLEPH-CHLORPHEN-DM W/APAP SYRUP 2.5-0.5-2-120

MG/5ML

100 873322002

KID-EEZE SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 836605004

KLEAN-PREP SACHETS *PEG 3350-KCL-NA BICARB-NACL-NA SULFATE PACKET*** 4 796808007

KODAPON PARACETAMOL W/ CODEINE TAB 500-10 MG 1000 795402007

KODAPON PARACETAMOL W/ CODEINE TAB 500-10 MG 100 795402066

LACSON SYRP LACTULOSE SOLUTION 10 GM/15ML 150 797723005



LAGATRIM TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000 735698023

LARIAM 250MG TABS MEFLOQUINE HCL TAB 250 MG 50 797677011

LAXADOR BISACODYL 5MG TAB BISACODYL TAB DELAYED RELEASE 5 MG 30 708008001



LAXETTE SYRP LACTULOSE SOLUTION 10 GM/15ML 150 817309004

LAXETTE SYRP LACTULOSE SOLUTION 10 GM/15ML 500 817309012

LCC - G GUAIPHENESIN COUG GUAIFENESIN SYRUP 100 MG/5ML 50 715523001

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LCC - G GUAIPHENESIN COUG GUAIFENESIN SYRUP 100 MG/5ML 100 715523002

LCC COUGH MIXTURE SYRUP GUAIFENESIN SYRUP 100 MG/5ML 50 715524001

LCC COUGH MIXTURE SYRUP GUAIFENESIN SYRUP 100 MG/5ML 100 715524002

LCC PEPPERMINT COUGH MIXT GUAIFENESIN SYRUP 100 MG/5ML 75 849413001



LCC-G GUAIPHENESIN COUGH GUAIFENESIN SYRUP 100 MG/5ML 50 715455001

LCC-G GUAIPHENESIN COUGH GUAIFENESIN SYRUP 100 MG/5ML 100 715455002

LENAFEN 200MG IBUPROFEN TAB 200 MG 12 868469009

LENAFEN 200MG IBUPROFEN TAB 200 MG 24 868469017

LENAMET 200MG TABS CIMETIDINE TAB 200 MG 60 736252002




LENAMET OTC 200MG TABS CIMETIDINE TAB 200 MG 20 832901008

LENAZINE 5MG/5ML SYRP PROMETHAZINE HCL SYRUP 5 MG/5ML 2500 736244018

LENISOLONE 5MG TABS PREDNISOLONE TAB 5 MG 1000 800155017

LENNON COUGH MIXTURE HONE GUAIFENESIN SYRUP 100 MG/5ML 50 708185001

LENNON COUGH MIXTURE HONE GUAIFENESIN SYRUP 100 MG/5ML 100 708185002

LENNON COUGH MIXTURE ORAN GUAIFENESIN SYRUP 100 MG/5ML 50 708187001

LENNON COUGH MIXTURE ORAN GUAIFENESIN SYRUP 100 MG/5ML 100 708187002

LENNON COUGH SYRP GUAIFENESIN SYRUP 100 MG/5ML 50 799319007

LENNON COUGH SYRP GUAIFENESIN SYRUP 100 MG/5ML 100 799319015

LENNON PARACETAMOL 500MG PARACETAMOL TAB 500 MG 24 715280001

LEN-O-LAX ADULT 135ML *SODIUM PHOSPHATES - ENEMA*** 1 726443018

LEN-O-LAX PAED 64ML *SODIUM PHOSPHATES - ENEMA*** 1 726435007

LENOVATE 0.1% CREAM BETAMETHASONE VALERATE CREAM 0.1% 15 800163028

LENOVATE 0.1% CREAM BETAMETHASONE VALERATE CREAM 0.1% 500 800163036

LENOVATE 0.1% OINT BETAMETHASONE VALERATE OINT 0.1% 15 800171004

LENOVATE 0.1% OINT BETAMETHASONE VALERATE OINT 0.1% 500 800171012

LENTOGESIC SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 736589007

LESSMUSEC 250MG/5ML SYR CARBOCYSTEINE SYRUP 250 MG/5ML 200 737798009

LESSMUSEC 250MG/5ML SYR CARBOCYSTEINE SYRUP 250 MG/5ML 2500 737798017

LESSMUSEC 375MG CAPS CARBOCYSTEINE CAP 375 MG 1000 783633122

LESSMUSEC 375MG CAPS CARBOCYSTEINE CAP 375 MG 30 783633130

LEXOTAN 3MG TABS BROMAZEPAM TAB 3 MG 30 737933003




LILLY-FLUOXETINE 20MG CAP FLUOXETINE HCL CAP 20 MG 28 820016004

LINCTUS TUSSI INFANS *IPECAC-SQUILL SYRUP*** 100 738263028

LINCTUS TUSSI INFANS *IPECAC-SQUILL SYRUP*** 2500 738263036

LINK DERMADEX POVIDONE-IODINE OINT 10% 25 826634001

LINK MEZZODERM HYDROCORTISONE ACETATE CREAM 1% 25 826642004

LINK THERA-PAIN PARACETAMOL TAB 500 MG 20 826588018

LOCATOP 0.1% CREAM BETAMETHASONE VALERATE CREAM 0.1% 30 709810001

LOKIT 20MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 20 MG 30 705466001

LONOL 300MG TABS ALLOPURINOL TAB 300 MG 30 811432009

LONOL 300MG TABS ALLOPURINOL TAB 300 MG 100 811432017

LOPERASTAT 1MG/5ML SYRP LOPERAMIDE HCL SYRUP 1 MG/5ML 50 820563005

LORIEN 20MG CAPS FLUOXETINE HCL CAP 20 MG 28 821063006

LOSEC 10MG TABS OMEPRAZOLE MAGNESIUM TAB CR 10 MG 28 849383005

LOSEC 20 MUPS OMEPRAZOLE MAGNESIUM TAB CR 20 MG 14 849391008

LOSEC 20 MUPS OMEPRAZOLE MAGNESIUM TAB CR 20 MG 28 849391016

LOTUSSIN EXPECT AMINOPHYLLINE-DIPHENHYD-AMMON CL SYRUP 32-8-30 MG/5ML 200 739413007

LOTUSSIN EXPECT AMINOPHYLLINE-DIPHENHYD-AMMON CL SYRUP 32-8-30 MG/5ML 100 739413015

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LOVIRE CREAM ACYCLOVIR CREAM 5% 2 701035003

LOXIP 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 713361001

LOXIP 500MG TABS CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 713362001

MACRODANTIN 100MG CAP NITROFURANTOIN MACROCRYSTALLINE CAP 100 MG 50 739847007

MACRODANTIN 50MG CAP NITROFURANTOIN MACROCRYSTALLINE CAP 50 MG 50 739839004

MACRODANTIN SECT21 100MG NITROFURANTOIN MACROCRYSTALLINE CAP 100 MG 30 715776002

MACRODANTIN SECT21 50MG C NITROFURANTOIN MACROCRYSTALLINE CAP 50 MG 30 717392001

MACROPEN CAPS AMOXICILLIN-FLOXACILLIN CAP 250-250 MG 15 797561005

MACROPEN CAPS AMOXICILLIN-FLOXACILLIN CAP 250-250 MG 100 797561013

MACROPEN SUSP AMOXICILLIN-FLOXACILLIN FOR SUSP 125-125 MG/5ML 100 830208003

MAG TRISILICATE MIXT CAL & MAG CARB-MAG TRISILICATE SUSP 250-250-500 MG/5ML 100 823031004

MAG TRISILICATE MIXT CAL & MAG CARB-MAG TRISILICATE SUSP 250-250-500 MG/5ML 2500 823031012

MAXOLON 10MG TABS METOCLOPRAMIDE HCL TAB 10 MG 20 740519018

MAXOLON 10MG TABS METOCLOPRAMIDE HCL TAB 10 MG 100 740519026

MAXOLON 5MG/5ML SYRP METOCLOPRAMIDE HCL SYRUP 5 MG/5ML 100 740500007

MAYOGEL SUSP ALUMINUM HYDROXIDE-MAG OXIDE SUSP 282-120 MG/15ML 100 740551019



MEDAMET 200MG TABS METRONIDAZOLE TAB 200 MG 1000 784710023

MEDASPOR CREAM CLOTRIMAZOLE CREAM 1% 20 799696005

MEDASPOR VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 832391018

MEDAZINE-S 2.5MG/ML SYRP CYCLIZINE HCL SYRUP 12.5 MG/5ML 50 792845005

MEDAZINE-T 50MG TABS CYCLIZINE HCL TAB 50 MG 10 792853024

MEDIFLEX 25MG CAPS INDOMETHACIN CAP 25 MG 1000 788996003

MEDIFLEX 25MG CAPS INDOMETHACIN CAP 25 MG 100 788996002

MEDIGEL SUSP AL & MG OXIDES-DICYCL-METHYLCELL-SIMETH SUSP 2500 740683012



MEDI-PARACETAMOL 500MG TA PARACETAMOL TAB 500 MG 1000 704719001

MEDIPYN S PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 833746006

MEDIRITE MULTIVITAMIN SYR *VITAMIN MIXTURE SYRUP** 100 712358001

MEFLIAM TABS MEFLOQUINE HCL TAB 250 MG 6 835552004

MENOGRAINE 0.025MG CLONIDINE HCL TAB 0.025 MG 100 788317016

MENOGRAINE 0.025MG CLONIDINE HCL TAB 0.025 MG 30 788317024

MEPYRADERM CREAM PYRILAMINE MALEATE CREAM 2% 500 701102003

MEPYRADERM CREAM PYRILAMINE MALEATE CREAM 2% 25 701102004

MEPYRIMAL 2% CREAM PYRILAMINE MALEATE CREAM 2% 25 800511018

MERCK-ERYTHROMYCIN 250MG ERYTHROMYCIN STEARATE TAB 250 MG 20 709334001

METAZOL 200MG TABS METRONIDAZOLE TAB 200 MG 1000 793159059

METAZOL 400MG TABS METRONIDAZOLE TAB 400 MG 1000 793167078

METHOCAPS 25MG INDOMETHACIN CAP 25 MG 500 814393012

METICORTEN 50MG TAB PREDNISONE TAB 50 MG 500 742759008

METICORTEN 5MG TABS PREDNISONE TAB 5 MG 30 742732002

METICORTEN 5MG TABS PREDNISONE TAB 5 MG 90 742732030

METRAZOLE 400MG TABS METRONIDAZOLE TAB 400 MG 10 779822005

METRAZOLE 400MG TABS METRONIDAZOLE TAB 400 MG 1000 779822014

METROSTAT 400MG TABS METRONIDAZOLE TAB 400 MG 500 783544111

MICOMISAN CREAM CLOTRIMAZOLE CREAM 1% 20 799505005

MICOMISAN VAG CREAM CLOTRIMAZOLE VAGINAL CREAM 1% 50 832405019

MICROCIDAL 125MG TAB GRISEOFULVIN MICROSIZE TAB 125 MG 100 729566005



MIN ATROPINE 1% DROPS ATROPINE SULFATE OPHTH SOLN 1% 20 743380010

MIN ATROPINE SULPH 1% DRO ATROPINE SULFATE OPHTH SOLN 1% 1 743380011

MIRQUIN SYR CHLOROQUINE SULFATE SYRUP 50 MG/5ML (BASE EQUIVALENT) 100 878790004

MIST MAG TRISIL MAG CARB-MAG TRISILICATE-SOD BICARB SUSP 250-250-250

MG/5ML

2500 894838006

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MIST TUSSI INFANS AMMONIUM CHLORIDE & IPECAC SYRUP 22-0.24 MG/5ML 100 898880009

MIST TUSSI INFANS AMMONIUM CHLORIDE & IPECAC SYRUP 22-0.24 MG/5ML 2500 898880017

MITIL 5MG TABS PROCHLORPERAZINE MALEATE TAB 5 MG 250 744182026

MOVIPREP 2 X (SACHET A 11 *PEG 3350-KCL-NA BICARB-NACL-NA SULFATE PACKET*** 1 716697001

MOXYMAX 125 SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 830275002

MOXYMAX 250 SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 830283005

MOXYMAX 250MG CAP AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 806579021

MOXYMAX 500MG CAP AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500 806587017

MOXYPEN 125 SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 830291008

MOXYPEN 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15 744689007


MOXYPEN 250MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 830305009



MUCOKLEER 375MG CAPS CARBOCYSTEINE CAP 375 MG 30 709356001

MUCOLESS 375MG CAPS CARBOCYSTEINE CAP 375 MG 30 805335005

MUCOLESS S SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 200 805327010

MUCOLESS S SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 2500 805327029

MUCOLINCT 250MG/5ML SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 200 787078018

MUCOSPECT 375MG CAPS CARBOCYSTEINE CAP 375 MG 30 744824001

MUCOSPECT PAED SYR CARBOCYSTEINE SYRUP 125 MG/5ML 100 781169003

MUCOSPECT SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 200 744816009

MULTIVITAMIN ORANGE *VITAMIN MIXTURE SYRUP** 100 885600003

MULTIVITAMIN ORANGE *VITAMIN MIXTURE SYRUP** 2500 885600011

MULTIVITAMIN SYR *VITAMIN MIXTURE SYRUP** 100 799181005




MUPIROCIN:POVID-I 1:5 MUPIROCIN OINT 2% 50 080631001

MUTAGRIP SINGLE DOSE INFLUENZA VIRUS VACCINE TYPES A & B SURFACE ANTIGEN INJ 1 838853005

MUTAGRIP SINGLE DOSE INFLUENZA VIRUS VACCINE TYPES A & B SURFACE ANTIGEN INJ 10 838853006

MYCOREST 150MG CAPS FLUCONAZOLE CAP 150 MG 1 711530001

MYCOREST 150MG CAPS FLUCONAZOLE CAP 150 MG 4 711530002

MYCOSTATIN DROPS NYSTATIN SUSP 100000 UNIT/ML 30 835277011

MYLAN ALPRAZOLAM 0.25MG ALPRAZOLAM TAB 0.25 MG 100 897965021



MYLAN ALPRAZOLAM 1MG ALPRAZOLAM TAB 1 MG 100 897968007

MYLAN DICLOFENAC 25 MG TA DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500 786012013

MYLAN DICLOFENAC 50MG TAB DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 21 786020008

MYLAN DICLOFENAC 50MG TAB DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 500 786020016

MYLAN FLUCONAZOLE 150MG C FLUCONAZOLE CAP 150 MG 1 705384001

MYLAN FLUCONAZOLE 150MG C FLUCONAZOLE CAP 150 MG 4 705384002

MYLAN MEBEVERINE HCL TABS MEBEVERINE HCL TAB 135 MG 20 701892003

MYLAN MEBEVERINE HCL TABS MEBEVERINE HCL TAB 135 MG 100 701892006

MYLAN NAPROXEN TABS NAPROXEN TAB 250 MG 250 810185024

MYLOCORT 1GM/100GM CREAM HYDROCORTISONE ACETATE CREAM 1% 25 745472001

MYMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 705679002

MYMOX 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500 705709002

NAPACOD TABS PARACETAMOL W/ CODEINE TAB 500-10 MG 1000 745707122

NAPACOD TABS PARACETAMOL W/ CODEINE TAB 500-10 MG 5000 745707130

NAPAMOL 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 100 745715028

NAPAMOL 500MG TABS PARACETAMOL TAB 500 MG 5000 745723136

NAPFLAM 250MG TABS NAPROXEN TAB 250 MG 250 806447036



NAPHENSYL 0.25% DRP 10ML PHENYLEPHRINE HCL NASAL SOLN 0.25% 1 836141008

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NAPHENSYL 1% DRP 10ML PHENYLEPHRINE HCL NASAL SOLN 1% 1 836133005

NAPREL 250MG TABS NAPROXEN TAB 250 MG 100 789267004

NAPREL 250MG TABS NAPROXEN TAB 250 MG 250 789267012

NAPROSCRIPT 250MG TABS NAPROXEN TAB 250 MG 500 805238026

NASAL C SPRAY 25ML SALINE NASAL SPRAY 0.9% 1 705007001

NASALEZE 500MG NASAL SPRA SALINE NASAL SPRAY 0.9% 1 709318001

NASDRO DROPS 15ML PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/ML 1 745871003

NATURES PLUS ULTRA PRENAT *PRENATAL VITAMIN TAB** 90 716093001

NAUZINE 50MG TABS CYCLIZINE HCL TAB 50 MG 20 799424005

NAUZINE S 12.5MG/5 SYRP CYCLIZINE HCL SYRUP 12.5 MG/5ML 50 820571008

NAZO-EZZE DOSE DROPS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/ML 1 840025009

NAZOLEX 25ML NASAL SPRAY SALINE NASAL SPRAY 0.9% 1 708578001

NEODERM CREAM NEOMYCIN-HC ACE CREAM 1% 25 793515017

NEOPAN 15ML EAR DROPS NEOMYCIN-SODIUM PROPIONATE OTIC SOLN 3-50 MG/ML 1 746568002

NEUTRAGEL D SUSP ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5

MG/10ML

200 786810009

NIFEDALAT 10MG CAPS NIFEDIPINE CAP 10 MG 100 818658002

NITRO DROPS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/ML 1 783579004

NIZCREME 20MG/GM KETOCONAZOLE CREAM 2% 20 747327009

NORIMODE 2MG TABS LOPERAMIDE HCL TAB 2 MG 120 796697027

NORMOSPOR VCR 10MG/GM CLOTRIMAZOLE VAGINAL CREAM 1% 50 832421006

NORMOSPOR CREAM CLOTRIMAZOLE CREAM 1% 20 793493005

NORSTAN-TED 100MG TAB THEOPHYLLINE TAB 100 MG 1000 769312004

NORSTAN-TED 200MG TAB THEOPHYLLINE TAB 200 MG 1000 769320007

NOZER 20MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 20 MG 30 704629001

NUCOPAIN TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 1000 892662006

NUCOTET OXYTETRACYCLINE HCL CAP 250 MG 1000 884167003

NUCOTRIM 480MG TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000 867977027

NUROFEN CHILDREN SUGAR FR IBUPROFEN SUSP 100 MG/5ML 100 700695001

NUROFEN FOR CHILD STRAWBE IBUPROFEN SUSP 100 MG/5ML 100 712683001

NUROFEN GEL IBUPROFEN GEL 5% 30 704304001

NUROFEN GEL IBUPROFEN GEL 5% 50 704304002

NUROFEN PERIOD PAIN 400MG IBUPROFEN TAB 400 MG 24 897984005

NUROFEN PERIOD PAIN 400MG IBUPROFEN TAB 400 MG 12 897984006

NUROFEN TABS IBUPROFEN TAB 200 MG 12 748560009




NUZAK 20MG CAPS FLUOXETINE HCL CAP 20 MG 30 840653018

NYSTACID ORAL 100000 SUSP NYSTATIN SUSP 100000 UNIT/ML 20 835285006

O-4 CYCLINE 250MG CAPS OXYTETRACYCLINE HCL CAP 250 MG 100 752045008

OCTIN OPTH DROPS OFLOXACIN OPHTH SOLN 0.3% 1 702935018

OCULERGE 20ML EYE DROPS TETRAHYDROZOLINE-ANTAZOLINE OPHTH SOLN 0.04-0.05% 1 827150008

OCULOSAN 10ML EYE DROPS NAPHAZOLINE 0.005% W/ ZINC SULFATE OPHTH SOLN 1 750271019

OMEZ 10MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 10 MG 30 703461001

OMEZ 20MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 20 MG 30 703459001

ORASPAS 10MG TABS NAMIBIA SCOPOLAMINE N-BUTYLBROMIDE TAB 10 MG 10 717758001

OROCAINE LOZ BENZOCAINE LOZENGE 10 MG 18 751340006

ORPIC 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 701208003

ORPIC 500MG TABS CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 701210003

OTISED 15ML EAR DROPS ANTIPYRINE-BENZOCAINE OTIC SOLN 5-1% 1 751537004

OTOPHEN 5% 10ML EAR DRP ANTIPYRINE OTIC SOLN 5% 1 751561002

OTOPHEN FORTE 10ML DRP ANTIPYRINE-BENZOCAINE-EPHEDRINE-POT OXYQUINOLONE OTIC

SOLN

1 839981007

OXY 250MG CAPS OXYTETRACYCLINE HCL CAP 250 MG 20 895029006



OXYPAN 250MG CAPS OXYTETRACYCLINE HCL CAP 250 MG 1000 751987115

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PAINAGON SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 752185004

PAINAGON TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 1000 752177036

PAINAMOL (G/BOTTLE) 120MG PARACETAMOL ELIXIR 120 MG/5ML 100 707562002

PAINAMOL (GLASS BOTTLE) S PARACETAMOL ELIXIR 120 MG/5ML 50 707562001

PAINAMOL 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 100 752118005



PAINAMOL GREEN 500MG TABS PARACETAMOL TAB 500 MG 5000 799629006

PAINAMOL GREEN 500MG TABS PARACETAMOL TAB 500 MG 1000 799629014

PAINAMOL PLUS PARACETAMOL W/ CODEINE TAB 500-8 MG 1000 707910021

PAINAMOL WHITE 500MG TABS PARACETAMOL TAB 500 MG 20 752142003



PAINBLOK 120MG/5ML (GLASS PARACETAMOL ELIXIR 120 MG/5ML 50 703349001

PAINBLOK 120MG/5ML (GLASS PARACETAMOL ELIXIR 120 MG/5ML 100 703349002

PAINBLOK 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 100 889772003

PAINBLOK 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 50 889772012

PAINBLOK 500MG TABS PARACETAMOL TAB 500 MG 100 867969024



PAINCODEIN PARACETAMOL W/ CODEINE TAB 500-8 MG 20 895030002



PAINIL 200MG TABS IBUPROFEN TAB 200 MG 20 897060001

PAINOGESIC SYRP PARACETAMOL ELIXIR 120 MG/5ML 100 704450001

PAINOGESIC TABS PARACETAMOL TAB 500 MG 5000 704465001

PANADO 500MG TABS PARACETAMOL TAB 500 MG 50 752274015




PANADO SYRUP PARACETAMOL ELIXIR 120 MG/5ML 100 752282018

PANADO SYRUP PARACETAMOL ELIXIR 120 MG/5ML 50 752282026

PANADO SYRUP STRAWBERRY PARACETAMOL ELIXIR 120 MG/5ML 50 703118001

PANADO SYRUP STRAWBERRY PARACETAMOL ELIXIR 120 MG/5ML 100 703118002

PANADO(NO ALCOHOL) SYRP PARACETAMOL SYRUP 120 MG/5ML 100 788953001

PANAFCORT 5MG TABS PREDNISONE TAB 5 MG 1000 752304119

PANAMOR 25MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 30 752371002

PANAMOR 25MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 100 752371010

PANAMOR AT 50MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 15 752398008



PANAMOR GEL 1.3% DICLOFENAC DIETHYLAMINE GEL 1.3% 60 702511001



PARACETAMOL ELIX (ALC FRE PARACETAMOL ELIXIR 120 MG/5ML 2500 707583002

PARAMED 500MG TABS PARACETAMOL TAB 500 MG 20 784443009



PARAPANE 500MG TAB PARACETAMOL TAB 500 MG 1000 752878034



PAX 10MG TABS DIAZEPAM TAB 10 MG 30 753181002

PAX 5MG TABS DIAZEPAM TAB 5 MG 30 753173018

PECTIKON SUSP KAOLIN-PECTIN SUSP 6-0.45 GM/30ML 100 892661003

PECTIN-K SUSP KAOLIN-PECTIN SUSP 6-0.45 GM/30ML 100 823546004

PERSIVATE CREAM BETAMETHASONE VALERATE CREAM 0.1% 15 754064018

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PERSIVATE CREAM BETAMETHASONE VALERATE CREAM 0.1% 500 754064026

PERSIVATE OINT BETAMETHASONE VALERATE OINT 0.1% 15 754072002

PERSIVATE OINT BETAMETHASONE VALERATE OINT 0.1% 500 754072010

PHARMA-Q CO-TRIMOXAZOLE SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000 701754003

PHARMATET 250MG CAPS OXYTETRACYCLINE HCL CAP 250 MG 1000 703224001

PHENERGAN 10MG TABS PROMETHAZINE HCL TAB 10 MG 100 754749002




PHENORANT DIPHENHYDRAMINE-AMCL-SOD CITRATE SYR 13.33-130-54.17

MG/5ML

100 702172003

PHENORANT DIPHENHYDRAMINE-AMCL-SOD CITRATE SYR 13.33-130-54.17

MG/5ML

200 702172006

PHENORANT (GLASS) DIPHENHYDRAMINE-AMCL-SOD CITRATE SYR 13.33-130-54.17

MG/5ML

100 703350001

PINADINE GARGLE POVIDONE-IODINE MOUTHWASH 1% 200 899488005

PINALOID 50MG TABS CYCLIZINE HCL TAB 50 MG 10 702573001

PINASPOR T 1% CREAM CLOTRIMAZOLE CREAM 1% 20 702576001

PINASPOR V 1% VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 702574001

PIPRINE ELIX PIPERAZINE CITRATE ELIXIR 500 MG/5ML 50 819689009

PIPRINE ELIX PIPERAZINE CITRATE ELIXIR 500 MG/5ML 2500 819689017

PLASMOQUINE 200MG CAPS CHLOROQUINE SULFATE CAP 200 MG 20 794333001



PODINE MOUTHW & GARGLE POVIDONE-IODINE MOUTHWASH 1% 200 785210008

PODINE OINT POVIDONE-IODINE OINT 10% 25 755834003

PODINE OINT POVIDONE-IODINE OINT 10% 500 755834011

PONAC 250MG CAPS MEFENAMIC ACID CAP 250 MG 100 796433003

PONSTAN 250MG CAPS MEFENAMIC ACID CAP 250 MG 20 756148112

PONSTEL 250MG CAPS MEFENAMIC ACID CAP 250 MG 20 812250001

PONSTEL 250MG CAPS MEFENAMIC ACID CAP 250 MG 250 812250036

PREFLAM SYRP PREDNISOLONE SYRUP 15 MG/5ML (USP SOLUTION EQUIVALENT) 50 700170001

PREGAMAL TAB FERROUS FUMARATE-FOLIC ACID TAB 200-0.1 MG 100 756571006

PREGAMAL TAB FERROUS FUMARATE-FOLIC ACID TAB 200-0.1 MG 1000 756571014

PREGNACARE CAP *PRENATAL MULTIVITAMINS & MINERALS W/ IRON CAP*** 30 703808001

PREGNAVIT M CAP *PRENATAL VIT W/ FE FUMARATE-FA TAB 60-0.8 MG*** 30 834890003



PREGWISE TABS *PRENATAL VITAMIN TAB** 1000 716965001

PRELONE 15MG/5ML SYRP PREDNISOLONE SYRUP 15 MG/5ML (USP SOLUTION EQUIVALENT) 50 805149023

PRELONE 15MG/5ML SYRP PREDNISOLONE SYRUP 15 MG/5ML (USP SOLUTION EQUIVALENT) 100 805149031

PRELONE 5MG TABS PREDNISOLONE TAB 5 MG 500 703720001

PRELONE 5MG TABS PREDNISOLONE TAB 5 MG 200 703720002

PRE-NATAL FORTE CAP *PRENATAL VIT W/ FE FUMARATE-FA CAP 27-0.8 MG*** 30 844020001

PRE-NATAL TAB *PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA TAB 0.8

MG***

1000 831530006

PRE-NATAL TAB *PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA TAB 0.8

MG***

100 831530007

PROCUTAN CREAM HYDROCORTISONE CREAM 1% 20 757217001

PRODIUM 2MG TABS LOPERAMIDE HCL TAB 2 MG 500 791768112

PROHEXAL 20MG CAPS FLUOXETINE HCL CAP 20 MG 30 879282010

PROHIST 5MG/5ML SYRP PROMETHAZINE HCL SYRUP 5 MG/5ML 100 757373011

PROHIST 5MG/5ML SYRP PROMETHAZINE HCL SYRUP 5 MG/5ML 2500 757373038

PROLIEF 500MG TABS PARACETAMOL TAB 500 MG 5000 757403107

PROLIEF 500MG TABS PARACETAMOL TAB 500 MG 20000 757403115

PROMOXIL 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 808741012

PROMOXIL 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 100 808768026

PROMOXIL S 125MG/5ML AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 830488006

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PROMOXIL SF 250MG/5ML AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 830496009

PROUDLY PREGGY TAB *PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA TAB 0.8

MG***

30 705891001

PROVERA 10MG TABS MEDROXYPROGESTERONE ACETATE TAB 10 MG 30 808245007



PROZAC 20MG CAPS FLUOXETINE HCL CAP 20 MG 30 757969011

PURBAC DS TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 10 758256019



PURBAC SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50 758221002

PURBAC SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100 758221010

PURBAC TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 500 758248016

PURICOS 100MG TABS ALLOPURINOL TAB 100 MG 100 758310005




PURITANS PRENATAL VITAMIN *PRENATAL VITAMIN TAB** 100 707079001

PURMYCIN 125MG/5ML SUSP ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100 758396007

PURMYCIN 250MG CAPS ERYTHROMYCIN ESTOLATE CAP 250 MG 100 758388012

PURMYCIN 250MG CAPS ERYTHROMYCIN ESTOLATE CAP 250 MG 500 758388020

PURMYCIN 250MG/5ML SUSP ERYTHROMYCIN ESTOLATE SUSP 250 MG/5ML 100 758418019

PUROMYLON 500MG TAB NALIDIXIC ACID TAB 500 MG 100 745685005

PYNGESIC S 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 100 714708001

PYNGESIC T 500MG TABS PARACETAMOL TAB 500 MG 100 714707001

PYNMED SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 789984008

PYNMED TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 100 789992027

PYRALEN 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 2500 758558015

QUELLADA SHAMPOO LINDANE SHAMPOO 1% 100 835617009

RANCEPH 250MG/5ML SUSP CEPHALEXIN FOR SUSP 250 MG/5ML 100 860611019

RANCEPH 125MG/5ML SUSP CEPHALEXIN FOR SUSP 125 MG/5ML 100 860603008

RANCEPH 250MG CAPS CEPHALEXIN CAP 250 MG 20 830909001

RANCEPH 500MG CAPS CEPHALEXIN CAP 500 MG 20 837253004

RANCLAV 1000MG TABS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 708893001



RANCLAV FORTE SUSPENSION AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 894125001

RANCLAV SUSPENSION AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 894123003

RANFEN 200MG TABS IBUPROFEN TAB 200 MG 1000 824852001



RANFLOCS 20MG CAPS FLUOXETINE HCL CAP 20 MG 30 700686001

RANIHEXAL 150MG TABS RANITIDINE HCL TAB 150 MG 10 841609004



RANIT 150MG TABS RANITIDINE HCL TAB 150 MG 60 705361001

RANIT 300MG TABS RANITIDINE HCL TAB 300 MG 30 705360001

RANMOXY 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 824860004

RANMOXY 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 450 824879023

RANMOXY SUSP 125MG AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 701380001

RANMOXY SUSP 250MG AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 701383001

RDA-PREG TABS *PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA TAB 0.8

MG***

30 710638001

RECEPTOZINE 10MG TABS PROMETHAZINE HCL TAB 10 MG 1000 803065019

RECEPTOZINE 25MG TABS PROMETHAZINE HCL TAB 25 MG 1000 803073003

REPIVATE CREAM BETAMETHASONE VALERATE CREAM 0.1% 15 882934003

REPIVATE CREAM BETAMETHASONE VALERATE CREAM 0.1% 500 882934011

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REZAK 20MG CAPS FLUOXETINE HCL CAP 20 MG 30 707426001

RHINATHIOL 5% S/FREE EXP CARBOCYSTEINE SYRUP 250 MG/5ML 200 716214001

RHINETON 4MG TABS CHLORPHENIRAMINE MALEATE TAB 4 MG 1000 703162002

ROCODIN TABS PARACETAMOL W/ CODEINE TAB 500-8 MG 100 761303014

ROCODIN TABS PARACETAMOL W/ CODEINE TAB 500-8 MG 20 761303146

ROXY 250MG CAPS OXYTETRACYCLINE HCL CAP 250 MG 60 761532005

RUBIMYCIN 250MG TABS ERYTHROMYCIN STEARATE TAB 250 MG 100 761613013

SALEX SOLN 30ML SALINE NASAL SPRAY 0.9% 1 834882019

SALTERMOX S 125MG/5ML AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 830534008

SALTERMOX SF 250MG/5ML AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 830542019

SALTERPYN TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 1000 809055007

SANDOZ ALLOPURINOL 100 ALLOPURINOL TAB 100 MG 30 738778036

SANDOZ ALLOPURINOL 300 ALLOPURINOL TAB 300 MG 30 738786004

SANDOZ AMITRIPTYLINE 25MG AMITRIPTYLINE HCL TAB 25 MG 100 784230005

SANDOZ AMITRIPTYLINE 25MG AMITRIPTYLINE HCL TAB 25 MG 500 784230013

SANDOZ AMOCLAV 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 878766006

SANDOZ AMOCLAV S AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 878774009

SANDOZ AMOCLAV SF AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 878782001

SANDOZ BROMAZEPAM 3MG BROMAZEPAM TAB 3 MG 30 710784007

SANDOZ CITALOPRAM 20MG TA CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 704590001

SANDOZ CO-AMOCLAV BD AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 35 705471001

SANDOZ CO-AMOCLAV BD AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 70 705471002

SANDOZ CO-AMOXICLAV 625MG AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 701736001

SANDOZ CO-AMOXICLAV BD 10 AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 703356001

SANDOZ CO-TRIMOXAZOLE 960 SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 30 782793011

SANDOZ CO-TRIMOXAZOLE 960 SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 500 782793012

SANDOZ DICLOFENAC 25MG TA DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500 719811023

SANDOZ DICLOFENAC 50MG TA DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 20 719838046

SANDOZ FLUOXETINE 20MG CA FLUOXETINE HCL CAP 20 MG 30 838713009

SANDOZ IBUPROFEN 200MG IBUPROFEN TAB 200 MG 30 703966006

SANDOZ IBUPROFEN 400MG TA IBUPROFEN TAB 400 MG 30 703974009

SANDOZ INDOMETHACIN 25MG INDOMETHACIN CAP 25 MG 100 704776006

SANDOZ MEBEVERINE TABS MEBEVERINE HCL TAB 135 MG 20 825328004

SANDOZ OMEPRAZOLE 20MG CA OMEPRAZOLE MAGNESIUM TAB CR 20 MG 30 703534001

SANDOZ ZOPICLONE TABS ZOPICLONE TAB 7.5 MG 30 857785001

SANDOZ-BROMAZEPAM 6MG BROMAZEPAM TAB 6 MG 30 710792018

SB CIROGEN COUGH MIXTURE AMMONIUM CHLORIDE & IPECAC SYRUP 22-0.24 MG/5ML 50 701673003

SB TOX WORM SYR PIPERAZINE CITRATE SYRUP 500 MG/5ML 20 828424004

SB UNIVERSAL EYE DROPS 15 PHENYLEPHRINE-BORIC ACID OPHTH SOLN 1.25-20 MG/ML 1 701668007

SCOPEX 10MG TABS SCOPOLAMINE N-BUTYLBROMIDE TAB 10 MG 10 762725001

SCOPEX COMPOUND TABS DIPYRONE-SCOPOLAMINE BUTYLBROMIDE TAB 250-10 MG 500 762717114

SCOPEX SYRUP SCOPOLAMINE N-BUTYLBROMIDE SYRUP 5 MG/5ML 100 703383001

SCRIPTO-METIC 5MG TABS PROCHLORPERAZINE MALEATE TAB 5 MG 500 762849126

SECADINE 200MG TABS CIMETIDINE TAB 200 MG 60 797464018

SECADINE 400MG TABS CIMETIDINE TAB 400 MG 60 797472002

SEPTADINE ANTISEPT OINT POVIDONE-IODINE OINT 10% 25 821713019

SEPTADINE ANTISEPT OINT POVIDONE-IODINE OINT 10% 500 821713027

SEPTADINE ORAL ANTISEPTIC POVIDONE-IODINE MOUTHWASH 1% 200 819859001

SETIN 10MG TAB METOCLOPRAMIDE HCL TAB 10 MG 1000 783285035

SIMAYLA CITALOPRAM 20MG T CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 28 707304001

SIMAYLA FLUCONAZOLE 150MG FLUCONAZOLE CAP 150 MG 1 707315001

SIMAYLA RANITIDINE 300MG RANITIDINE HCL TAB 300 MG 30 707309001

SIMPLY SALINE NASAL SPRAY SALINE NASAL SPRAY 0.9% 1 710021001

SINUCON TABS CHLORPHEN-EPHEDRINE-APAP-CAFFEINE TAB 2-6-200-20 MG 20 764264001

SINUEND TABS CHLORPHEN-EPHEDRINE-APAP-CAFFEINE TAB 2-6-200-20 MG 20 822744015

SINU-FLU TAB PARACETAMOL TAB 5-5-500 MG 20 773875019

SINUMAX PED SYR PARACETAMOL LIQUID 15-160 MG/5ML 100 826146007

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SINU-MED 30MG/5ML SYRP PSEUDOEPHEDRINE HCL SYRUP 30 MG/5ML 100 808598007

SINU-MED 60MG TABS PSEUDOEPHEDRINE HCL TAB 60 MG 20 808571001

SINUS S PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/ML 1 764175009

SINUSTAT FLU SYR DM-PHENYLPROPANOLAMINE-APAP SYRUP 15-25-500 MG/20ML 200 796824002

SINUTAB COMF/CARE SALINE SALINE NASAL SPRAY 0.9% 1 705831001

SINUTAB SINUS ALLERGY 10M CETIRIZINE HCL TAB 10 MG 7 708687001

SINUTAB SINUS ALLERGY 1MG CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 100 711745001

SINUTABS+COD TABS PHENYLPROP-PHENYLTOLOX W/ COD-APAP TAB 25-22-15-300 MG 20 764213008



SKINCALM CREAM HYDROCORTISONE CREAM 0.5% 25 764353004

SOLAL FOLIC ACID 5MG TAB FOLIC ACID TAB 5 MG 100 710612001

SPASMOGEL ALUM OXIDE-MAG OXIDE-DICYCLOMINE GEL 200-200-5 MG/10ML 200 765538016



SPECTRAPAIN CAP PARACETAMOL W/ CODEINE CAP 320-8 MG 20 765635003



SPECTRAPAIN FORTE TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 100 834440008

SPECTRAPAIN FORTE TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 1000 834440024

SPECTRASONE 125MG SUS ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100 765678004

SPECTRASONE 250MG CAPS ERYTHROMYCIN ESTOLATE CAP 250 MG 20 765651009



SPECTRASONE 250MG SUSP ERYTHROMYCIN ESTOLATE SUSP 250 MG/5ML 100 783277008

SPERSALLERG DROPS TETRAHYDROZOLINE-ANTAZOLINE OPHTH SOLN 0.04-0.05% 1 765856018

SPERSANICOL EYE OINT CHLORAMPHENICOL OPHTH OINT 1% 1 765880008

SPORTRON PRENATAL PACK (O *PRENATAL VITAMIN TAB** 1 713626001

SPRINGBOK ADULT NASAL SPR SALINE NASAL SPRAY 0.9% 1 715097001

SPRINGBOK PAED NASAL SPRA SALINE NASAL SPRAY 0.9% 1 715096001

STEMETIL 25MG SUPP PROCHLORPERAZINE SUPPOS 25 MG 5 766526003

STEMETIL 5MG SUPP PROCHLORPERAZINE SUPPOS 5 MG 5 766518019

STEMETIL 5MG TABS PROCHLORPERAZINE MALEATE TAB 5 MG 25 766542009

STEMETIL 5MG TABS PROCHLORPERAZINE MALEATE TAB 5 MG 250 766542017

STERIDINE MOUTHWASH AND G POVIDONE-IODINE MOUTHWASH 1% 200 890365005

STERIMAR NASAL SPRAY 100M SALINE NASAL SPRAY 0.9% 1 705629001

STERIMAR NASAL SPRAY 50ML SALINE NASAL SPRAY 0.9% 1 880620005

STEROMIEN 0.6MG/5ML SYR BETAMETHASONE SYRUP 0.6 MG/5ML 100 797596003

STILPANE SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 766801004

STILPANE TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 100 766828018

STILPANE TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 1000 766828026

STOP ALLERG 13.5ML CROMOLYN SODIUM OPHTH SOLN 2% 1 894605003

STOPAYNE SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5

MG/5ML

100 766941019

STOPAYNE TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 100 766925005

STOPITCH CREAM HYDROCORTISONE ACETATE CREAM 1% 20 810223007

SUDAFED SINUS ND TABS PSEUDOEPHEDRINE HCL TAB 60 MG 20 767212002

SULPHACETAMIDE EYE OINT 3 SULFACETAMIDE SODIUM OPHTH OINT 10% 1 767360001

SUPIROBAN OINTMENT 2MG/1G MUPIROCIN OINT 2% 15 715837001

SUPLIMAX VITAMIN B COMPLE *PEDIATRIC MULTIPLE VITAMINS W/ IRON SYRUP** 100 714505001

SUPRAZOLE 400MG TABS METRONIDAZOLE TAB 400 MG 1000 792136013

SV PRENATAL NUTRIENTS *PRENATAL VITAMIN TAB** 60 700494001

SYMPTOFED 60MG TABS PSEUDOEPHEDRINE HCL TAB 60 MG 200 794872026

SYR CODEINE PHOS CODEINE PHOSPHATE SYRUP 25 MG/5ML 2500 797081011

SYR CODEINE PHOS CODEINE PHOSPHATE SYRUP 25 MG/5ML 500 797081038

TALOMIL 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 702769001

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TERINE NASAL DROPS 15ML PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/ML 1 705620001

TETMOSOL 5% 75GM BAR SULFIRAM BAR 5% 1 770116019

TETMOSOL 5% 75GM BAR SULFIRAM BAR 5% 10 770116020

TETRACEM 250MG CAPS OXYTETRACYCLINE HCL CAP 250 MG 100 812072006

TETRACEM 250MG CAPS OXYTETRACYCLINE HCL CAP 250 MG 500 812072014

TEXA 10MG TABS CETIRIZINE HCL TAB 10 MG 30 703314003

TEXA 10MG TABS CETIRIZINE HCL TAB 10 MG 10 703314005

TEXA 5MG/5ML SYRP CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 100 710672001

THEOPHEN CO ELIX (UNBOXED THEOPHYLLINE-ETOFYLLINE-DIPHENYLPYRALINE-AMMON CL

SYRUP

200 700238001

THEOPHEN CO ELIX (UNBOXED THEOPHYLLINE-ETOFYLLINE-DIPHENYLPYRALINE-AMMON CL

SYRUP

100 700238002

THEOPHEN ELIX THEOPHYLLINE-ETOFYLLINE ELIXIR 80-10 MG/15ML 200 770388019

TOFRANIL 10MG TABS IMIPRAMINE HCL TAB 10 MG 100 771120001

TOFRANIL 25MG TABS IMIPRAMINE HCL TAB 25 MG 100 771139004

TOPIVATE 1MG/GM CREAM BETAMETHASONE VALERATE CREAM 0.1% 15 833037005

TOPIVATE 1MG/GM CREAM BETAMETHASONE VALERATE CREAM 0.1% 500 833037013

TRAMAHEXAL 50MG TRAMADOL HCL CAP 50 MG 100 864900007

TRAMAHEXAL 50MG TRAMADOL HCL CAP 50 MG 20 864900015

TRAMAL 50MG CAPS TRAMADOL HCL CAP 50 MG 20 797146008

TRAMAL 50MG CAPS TRAMADOL HCL CAP 50 MG 100 797146016

TRAMASPEN 50MG CAPS TRAMADOL HCL CAP 50 MG 100 717391001

TRAMASPEN 50MG CAPS TRAMADOL HCL CAP 50 MG 20 717391002

TRAMAZAC 50MG CAPS TRAMADOL HCL CAP 50 MG 20 706475001

TRAMAZAC 50MG CAPS TRAMADOL HCL CAP 50 MG 100 706475002

TRANEXAMIC ACID MEDWICH 5 TRANEXAMIC ACID TAB 500 MG 100 714722001

TRANIC 500MG TABS TRANEXAMIC ACID TAB 500 MG 30 716276001

TRENAXA 500MG TABS NAMIBI TRANEXAMIC ACID TAB 500 MG 100 717753001

TREPILINE 10MG TABS AMITRIPTYLINE HCL TAB 10 MG 100 772003009




TRIAZINE 50MG SUPP CYCLIZINE HCL SUPP 50 MG 6 772135002

TRIAZINE 50MG TAB CYCLIZINE HCL TAB 50 MG 10 772143013

TRIAZINE PEAD SYRP CYCLIZINE HCL SYRUP 12.5 MG/5ML 50 796700001

TRICHAZOLE 200MG TABS METRONIDAZOLE TAB 200 MG 250 772216010

TRICHAZOLE 400MG TABS METRONIDAZOLE TAB 400 MG 100 772224013

TRIMAZE CREAM CLOTRIMAZOLE CREAM 1% 20 839639007

TRIMETHOX TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000 789836025

TRIXAZOLE 480MG TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000 715609001

TRIZAC 20MG CAPS FLUOXETINE HCL CAP 20 MG 30 705174001

TROCHAIN LOZ BENZOCAINE LOZENGE 10 MG 1000 772674027

TROLIC 5MG TABS PREDNISONE TAB 5 MG 1000 818267038

TRYPTANOL 25MG TABS AMITRIPTYLINE HCL TAB 25 MG 100 772860009

UCB CETIRIZINE 10MG NAMIB CETIRIZINE HCL TAB 10 MG 30 700001001

UCB CETIRIZINE ORAL (NAMI CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 703034001

ULTAK 150MG TABS RANITIDINE HCL TAB 150 MG 60 867934018

ULTAK 300MG TABS RANITIDINE HCL TAB 300 MG 30 867942002

UNIVERSAL 15ML EYE SOLN PHENYLEPHRINE-BORIC ACID OPHTH SOLN 1.25-20 MG/ML 1 773883002

UNIVERSAL NOSE DROPS 15ML PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/ML 1 773867007

VAGARSOL GEL AMINACRINE-IODOQUINOL-BORIC ACD-CETYLPYRIDINIUM VAG

GEL

50 835447006

VALIUM 10MG TABS DIAZEPAM TAB 10 MG 90 774480009

VALIUM 5MG TABS DIAZEPAM TAB 5 MG 90 774472006

VALOID 100MG SUPP CYCLIZINE HCL SUPP 100 MG 6 774626003

VALOID 2.5MG/ML SYRP CYCLIZINE HCL SYRUP 12.5 MG/5ML 50 774642009

VALOID 50MG SUPP CYCLIZINE HCL SUPP 50 MG 6 774618019

VALOID 50MG TABS CYCLIZINE HCL TAB 50 MG 10 774634006

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VALOID 50MG TABS CYCLIZINE HCL TAB 50 MG 20 774634014

VARI-BETAMETHASONE CREAM BETAMETHASONE VALERATE CREAM 0.1% 15 701138003

VARI-CLOTRIMAZOLE 1% CREA CLOTRIMAZOLE CREAM 1% 20 709885001

VARI-HYDROCORTISONE 1% HYDROCORTISONE CREAM 1% 15 700445001

VARI-HYDROCORTISONE 1% HYDROCORTISONE CREAM 1% 20 700445002

VARI-SALBUTAMOL SYRUP SALBUTAMOL SULFATE SYRUP 2 MG/5ML 100 700920001

VARI-SALBUTAMOL SYRUP SALBUTAMOL SULFATE SYRUP 2 MG/5ML 150 700920002

VAXIGRIP PREFIL S/DOSE 0. INFLUENZA VIRUS VACCINE SPLIT INJ 10 813338019

VAXIGRIP S/DOSE 0.25ML PA INFLUENZA VIRUS VACCINE SPLIT INJ 1 836591003

VENTEZE 2MG TAB SALBUTAMOL SULFATE TAB 2 MG 100 775398004


VENTEZE 2MG/5ML SYRP SALBUTAMOL SULFATE SYRUP 2 MG/5ML 100 775452009

VENTEZE 2MG/5ML SYRP SALBUTAMOL SULFATE SYRUP 2 MG/5ML 500 775452017



VENTEZE CFC FREE 100MCG 2 SALBUTAMOL SULFATE INHAL AERO 108 MCG/ACT (90MCG BASE

EQUIV)

1 711213001

VENTOLIN 2MG/5ML SYRP SALBUTAMOL SULFATE SYRUP 2 MG/5ML 200 775274012

VENTOLIN INH 200D CFC-FRE SALBUTAMOL SULFATE INHAL AERO 108 MCG/ACT (90MCG BASE

EQUIV)

1 703371003

VERMOX 100MG/5ML SUSP MEBENDAZOLE SUSP 20 MG/ML 30 775606006

VERMOX SD 500MG TABS MEBENDAZOLE TAB 500 MG 1 807524018

VERMOX SD 500MG/10ML MEBENDAZOLE SUSP 50 MG/ML 10 881546003

VIDAYLIN PLUS IRON DROPS *PEDIATRIC MULTIPLE VITAMINS W/ IRON DROPS** 30 854581006

VIOCORT CREAM IODOQUINOL-CHLOROBUTANOL-HC CREAM 3-1-0.25% 20 776297007

VIOCORT CREAM IODOQUINOL-CHLOROBUTANOL-HC CREAM 3-1-0.25% 500 776297015

VIODOR CREAM IODOQUINOL-CHLOROBUTANOL-BENZOCAINE CREAM 30-10-10

MG/GM

20 776300008

VIODOR CREAM IODOQUINOL-CHLOROBUTANOL-BENZOCAINE CREAM 30-10-10

MG/GM

500 776300016

VITAL PREGNANT WOMEN PLUS *PRENATAL MULTIVITAMINS & MINERALS W/ IRON CAP*** 30 872970020

VITAMIN B CO MALT & IRON *PEDIATRIC MULTIPLE VITAMINS W/ IRON SYRUP** 100 877530009

VITAMIN B CO MALT & IRON *PEDIATRIC MULTIPLE VITAMINS W/ IRON SYRUP** 2500 877530017

VIVIDRIN EYE 10ML EYE DRO CROMOLYN SODIUM OPHTH SOLN 2% 1 804630003

VOLTAREN 25MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 50 778206018

VOLTAREN EMULGEL DICLOFENAC DIETHYLAMINE GEL 1.16% 20 778257002



VOLTAREN EMULGEL PUMP 75M DICLOFENAC DIETHYLAMINE GEL 1.16% 1 704641001

VOLTAREN GT 50MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 20 778222013

VOMIFENE TAB BUCLIZINE-PYRIDOXINE TAB 25-50 MG 20 778265005

VOMIFENE TAB BUCLIZINE-PYRIDOXINE TAB 25-50 MG 100 778265013

VON PARACETAMOL TABS PARACETAMOL TAB 500 MG 1000 885863005

VYROHEXAL 200MG TABS ACYCLOVIR TAB 200 MG 25 884972005

VYROHEXAL 400MG TABS ACYCLOVIR TAB 400 MG 70 884979005

WELLKID BABY & INFANT LIQ *VITAMIN MIXTURE SYRUP** 150 714325001

WINLOMYLON SUSP NALIDIXIC ACID SUSP 250 MG/5ML 100 778672018

WOODWARDS PARACETAMOL 12 PARACETAMOL SYRUP 120 MG/5ML 100 710452001

WOODWARDS PARACETAMOL 120 PARACETAMOL SYRUP 120 MG/5ML 50 710452002

WORMADOLE 400MG CHEW ALBENDAZOLE TAB 400 MG 1 707436001

WORMGO 100MG TABS MEBENDAZOLE TAB 100 MG 6 810533006

WORMSTOP 100MG TABS MEBENDAZOLE TAB 100 MG 6 845671006

WORMSTOP 500MG TABS MEBENDAZOLE TAB 500 MG 1 845701002

WORMSTOP SUSP MEBENDAZOLE SUSP 20 MG/ML 30 845698001

XANOR 0.25MG TABS ALPRAZOLAM TAB 0.25 MG 30 778702006




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XANOR 1MG TABS ALPRAZOLAM TAB 1 MG 30 778729001

XANOR 2MG TABS ALPRAZOLAM TAB 2 MG 30 811696006

XENOVATE CREAM CLOBETASOL PROPIONATE CREAM 0.05% 25 868302007

XENOVATE OINT CLOBETASOL PROPIONATE OINT 0.05% 25 868299006

XERAMEL 250MG CAPS ERYTHROMYCIN ESTOLATE CAP 250 MG 500 824682017

XERAMEL S SUSP ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100 823570002

XERAMEL SF 250MG/5ML SUSP ERYTHROMYCIN ESTOLATE SUSP 250 MG/5ML 100 848409019

XERASPOR-T CREAM CLOTRIMAZOLE CREAM 1% 20 816299005

XERASPOR-V CREAM CLOTRIMAZOLE VAGINAL CREAM 1% 50 832499005

XERAZOLE SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50 816337004



XEROGESIC TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 100 793892015

XEROGESIC TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 500 793892074

XEROPRIM 480MG TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 20 793698006

XEROPRIM 480MG TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 100 793698014

X-FLU PREFILLED SYR 0.5ML INFLUENZA VIRUS VACCINE SPLIT INJ 10 702733001

YOMAX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 716122001

YOMAX 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 100 716123001

ZALOXY 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 75 708396001

ZALOXY 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 708396002

ZALOXY 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 708398001

ZALOXY 250MG/5M SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 708395001

ZALOXY 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500 708397001

ZANTAC 150MG TABS RANITIDINE HCL TAB 150 MG 60 778958027

ZANTAC 300MG TABS RANITIDINE HCL TAB 300 MG 30 778974006

Z-DORM TABS ZOPICLONE TAB 7.5 MG 30 894220002

ZELARY 1MG/ML SYRP CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 717812001

ZENTEL 100MG/5ML SUSP ALBENDAZOLE SUSP 100 MG/5ML 20 789720019

ZENTEL 400MG TABS ALBENDAZOLE TAB 400 MG 1 712381001

ZETOP 10MG TABS CETIRIZINE HCL TAB 10 MG 30 712764001

ZETOP 5MG/5ML SYRP CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 700899003

ZOPAX 0.25MG TABS ALPRAZOLAM TAB 0.25 MG 100 826685013

ZOPAX 0.5MG TABS ALPRAZOLAM TAB 0.5 MG 100 826693016

ZOPAX 1MG TABS ALPRAZOLAM TAB 1 MG 100 826707017

ZOPIGEN 7.5MG TABS ZOPICLONE TAB 7.5 MG 30 705115001

ZOPIMED 7.5MG TABS ZOPICLONE TAB 7.5 MG 30 867365005

ZOPIVANE 7.5MG ZOPICLONE TAB 7.5 MG 30 700722003

ZOVIRAX 200MG/5ML SUSP ACYCLOVIR SUSP 200 MG/5ML 125 789313006

ZOVIRAX 50MG/GM CREAM ACYCLOVIR CREAM 5% 10 826340008

ZOVIRAX 50MG/GM CREAM ACYCLOVIR CREAM 5% 2 826340016

ZOVIRAX OPTH 4.5GM ACYCLOVIR OPHTH OINT 3% 1 779407008

ZOXIL 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15 808539019

ZOXIL 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 15 808547003

ZOXIL S 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 830739009

ZOXIL SF 250MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 830747001

ZYDUS FLUOXETINE 20MG CAP FLUOXETINE HCL CAP 20 MG 30 705064001

ZYDUS-PARACETAMOL 500MG PARACETAMOL TAB 500 MG 5000 710211002

ZYDUS-PARACETAMOL 500MG T PARACETAMOL TAB 500 MG 100 710211001

ZYLOPRIM 100MG TABS ALLOPURINOL TAB 100 MG 150 779466004

ZYLOPRIM 300MG TABS ALLOPURINOL TAB 300 MG 28 779474007

ZYNCET 10MG TABS CETIRIZINE HCL TAB 10 MG 30 704659001

ZYRTEC 10MG TABS CETIRIZINE HCL TAB 10 MG 30 785377018

ZYRTEC 1MG/ML SYRP CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 820946028

Please note this formulary is subject to change. For the latest information, visit www.provider.momentum.co.za or contact the

provider call centre on 0860 11 78 59.

4747

For more information:

Tel: 012 674-8000

Website: www.mediscor.net

Mediscor has been a proud partner of Momentum Health

since 2005.

Mediscor provides Momentum Health with effective

medicine management solutions by combining clinical

and technological expertise achieved through an

understanding of the specific needs of each client.

As an independent and specialist pharmaceutical benefit

management organisation, Mediscor PBM has a 23 year

track record, specialising in the management of medicine

benefits.

Mediscor PBM has a staff complement of 114,

shareholding comprising management and Pan Africa

Capital Holdings and is a level five BEE contributor with

an EmpowerDex score card of 56 points.

Since 2002, Mediscor has been awarded a number of

awards for service excellence. In 2012, Mediscor received

two PMR awards after being rated top in the country, for:

Chronic Medication Management

– Diamond Arrow Award

Technology Services &

Electronic Medicine Management

– Diamond Arrow Award

Mediscor PBM -

Independent,

experienced

and sustainable

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GP. Therefore, if specialist care is required, please

ensure that a referral is completed. These referrals

will be loaded as an authorisation and can be done

telephonically or online. It would be in the member’s

interest to also receive the written referral form from

you. These forms are available online or an example can

be found in this guide on page 49.

Specialist referral process

Associated specialists

Momentum Health has negotiated with certain specialists,

referred to as Associated specialists. These specialists

charge the Momentum Health Rate and do not balance bill

our members. Logon to www.provider.momentum.co.za to

search for Associated specialists per discipline and town.

Alternatively, you can call the provider call centre on

0860 11 78 59.

Network hospitals

Momentum Health has contracted certain hospitals per option

as a DSP. A list of the applicable hospitals is available in this

guide on page 59.

Note:

a limited number

of specialist visits are

allowed and therefore

confirmation of the

member’s benefits is

important.

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Specialist referral form

50

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Cardia/Muscle

Cardiac Enzymes 4132 4133 4130 4138

CK Total 4132

D-Dimer 3854 3856

Diabetes

Glucose (Random/Fasting) 4057

HbA1C 4064

Fructosamine 4063

Glucose Tolerance (4 specimens - Fasting) 4053

Inflammation / Immune

Complement C3/C4 3963 3963

IgG, IgA,IgM 4182 4182 4182

CRP 3947

Lipids

Lipogram (Random/Fasting) ( For chronic meds application)

4025

Total Cholesterol( For screening) 4027

Triglycerides 4147

Liver / Pancreas

LFT 4131 4130 4001 4134 4133 4009 4010

ALP 4001

ALT 4131

AST 4130

Bilirubin (Total, Conjugate) 4009 4010

GGT 4134

Protein/Albumin 4117 3999

Amylase 4006

Renal/ Electrolytes / Bone

U&E, Creatinine, CO2 4171 4032

Sodium 4114

Potassium 4113

Calcium 4017

Magnesium 4094

Phosphate 4109

Uric Acid 4155

Cerebrospinal fluid

Cell count, Protein, Glucose , Chloride 4407

B. Haematology Billing codes

FBC & ESR 3755 3797 3743

Full Blood Count (FBC) 3755 3797

Hb/ PCV 3762

ESR 3743

Malaria 3865 3883 3786 3792

Blood Group and Rhesus 3764 3765 3939

Antibody Screen (antenatal) 3709

COOMBS Test 3709

Pathology applicable codes

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Ferritin 4528

Folate (serum / rbc) 4533 4536

PI/INR 3805 3806

PTT 3837

VIT B12 4491

Iron Studies 4071 4528 4144

C. Endocrine Billing codes

Endocrine – Reproductive

B-HCG (Qualitative, Confirmation: Quantitative) 4450 4451

FSH 4516

LH 4517

Oestradiol (E2) 4503

Progesterone 4521

Prolactin 4537

Testosterone 4501

Endocrine – Thyroid

Thyroid Functions (TSH,T4,T3) 4507 4482 4509

Free T4 4482

Free T3 4509

TSH 4507

Other Endocrine

Cortisol 4499

Alpha-feto protein. (AFP) 4522

Carcino-embryonic antigen(CEA) (G.I.T., lung and breast)

4471

PSA 4519

CA 19-9 (G.I.T., pancreas) 4460

CA 15-3 (breast) 4468

CA 125 (ovary) 4462

Insulin 4485

D. Serology Billing codes

Auto – immune

Rheumatoid Factor 3939

ANF 3934

ANTI – DNA 4182

Arthiritis Screen 4155 3939 3934

Hepatitis Tests

Acute Hepatitis (HEP A IgM) 4531

HEP B Immunity (HBsAB) 4531 4531 4531

Acute Hepatitis (HEP A, B) 4531 4531 4531 4531

Chronic Hepatitis (HEP A,B, C) 4531 4531 4531 4531 4531

Hepatitis A,B,C Virus 4531 4531 4531 4531 4531

HIV Tests (*only for members registered on the HIV Management Programme)

HIV Rapid test 4614

HIV Qualitative screening test 3932

HIV ELISA 1, 2 (Confirmation: Quantitative) 3932

CD4* 3816

Viral Load* 4429

B. Haematology (continued) Billing codes

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Chlamydia 3948

Bilharzia 3975 3975 3948

CMV 3948 3946

EBV 3948 3946

TMX 3939x8

BRUCELLA 3939x4

WIDAL 3939x6

YERSINIA 3939 3939

Herpes Simplex 1 & 2 3968 3968 3968 3968

EBV IBM / PAUL BUNNEL 3946

Paul Bunnell - EBV Monospot 3956

RPR Semi-Quantitative 3951

TPHA 3940

Toxoplasma 3948 3946

Rubella 3948 3946

H. Pylori 3948

Rickettsia 3946 3975 3975

E. Microbiology Billing codes

Urine M,C&S (incl culture) 3928 4188 3893 3867 3922 3887 3924

Stool M,C&S (incl culture) 3869 3893 3879 3893 3868 3867 3869

Sputum M,C&S (incl culture) 3867 3881 3895 3887 3924

Swab/Pus M,C&S 3909 3895 3867

TB culture 3881 4433 4555 3916

ZN Stain/ Acid Fast Stain 3881

F. Cytology Billing codes

Cervical Smear (Normal consultation) 4566

G. Histology Billing codes

Biopsy tissue 4567 4571 4575 4577 4578

H. Miscellaneous Billing codes

Downs Screen 4540 4546 4552

Semen Analysis 4440 4441

Pathology applicable codes (continued)

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Pathology request form

54

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Skull and Brain

3349 10100 X-ray of the skull

Facial bones and nasal bones

3353 11100 X-ray of the facial bones

3357 11120 X-ray of the nasal bones

Orbits, lachrymal glands and tear ducts

3353 12100 X-ray orbits less than three views

12110 X-ray of the orbits, three or more views, including foramina

12120 X-ray of the orbits for foreign body

Paranasal sinuses

3351 13100 X-ray of the paranasal sinuses, single view

13110 X-ray of the paranasal sinuses, two or more views

13130 X-ray of the naso-pharyngeal soft tissue

Mandible, teeth and maxilla

3355 14100 X-ray of the mandible

3361 14130 (Dental ONLY) X-ray of the teeth single quadrant

3363 14140 (Dental ONLY) X-ray of the teeth more than one quadrant

3365 14150 (Dental ONLY) X-ray of the teeth full mouth

3361 15100 X-ray tempero- mandibular joint, left

3361 15110 X-ray tempero- mandibular joint, right

3359 16100 X-ray of the mastoids, unilateral

3359 16110 X-ray of the mastoids, bilateral

3349 16140 X-ray internal auditory canal, bilateral

17100 X-ray of the sella turcica

18100 X-ray of the salivary glands and ducts for calculus

18110 X-ray of the salivary ducts, open mouth for calculus

Neck

3385 20100 X-ray of soft tissue of the neck

Thorax

3445 30100 X-ray of the chest, single view

30110 X-ray of the chest two views, PA and lateral

30120 X-ray of the chest complete with additional views

3449 30150 X-ray of the ribs

30155 X-ray of the chest and ribs

3451 30160 X-ray of the thoracic inlet

30170 X-ray of the sterno-calvicular joints

30180 X-ray of the sternum

Radiology applicable codes

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Abdomen and Pelvis

3477 40100 X-ray of the abdomen

40105 X-ray of the abdomen supine and erect, or decubitus

3331 43100 X-ray pelvimetry single

43110 X-ray pelvimetry multiple views

3321 50100 X-ray of the spine scoliosis view AP only

50110 X-ray of the spine scoliosis view AP and including stress views

Cervical

3325 51100 X-ray of the cervical spine, stress views only

3321 51110 X-ray of the cervical spine, one or two views

51120 X-ray of the cervical spine, more than two views

51130 X-ray of the cervical spine, more than two views including stress views

Thoracic

3321 52100 X-ray of the thoracic spine, one or two views

52110 X-ray of the thoracic spine, more than two views

3325 52140 X-ray of the thoracic spine, more than two views including stress views

Lumbar

3325 53100 X-ray of the lumbar spine - stress study only

3321 53110 X-ray of the lumbar spine - one or two views

53120 X-ray of the lumbar spine - more than two views

53130

3321 54100 X-ray of the sacrum and coccyx

54110 X-ray of the sacro-iliac joints

Pelvis

3331 55100 X-ray of the pelvis

Hips

6518 56100 X-ray of the left hip

56110

6518 56120 X-ray of pelvis and hips

3331

3325 56140 X-ray of the hip/s - stress study

3325 60100

Shoulder

6509 61100 X-ray of the left clavicle

6509 61105 X-ray of the right clavicle

6510 61110 X-ray of the left scapula

6510 61115 X-ray of the right scapula

6508 61120 X-ray of the left acromio-clavicular joint

61125 X-ray of the right acromio-clavicular joint

3325 61128 X-ray of acromio - clavicular joints plus stress studies bilateral

6507 61130 X-ray of the left shoulder

61135 X-ray of the right shoulder

6507 61140 X-ray of the left shoulder plus sub-acromial impingement views

61145 X-ray of the right shoulder plus sub-acromial impingement views

6507 61150 X-ray of the left sub-acromial impingement views only

61155 X-ray of the right sub-acromial impingement views only

RPL CPT Description

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Humerus

6506 62100 X-ray of the left humerus

62105 X-ray of the right humerus

Elbow

6505 63100 X-ray of left elbow

63105 X-ray of right elbow

3325 63110 X-ray of the left elbow with stress

63115 X-ray of the right elbow with stress

Forearm

6504 64100 X-ray of the left forearm

64105 X-ray of the right forearm

Lower Limbs

3325 70100 X-ray lower limbs - any region - stress studies only

3313 70120 X-ray of the lower limbs full length study

Hand and Wrist

6500 65100 X-ray of the left hand

65105 X-ray of the right hand

3305 65120 X-ray of a finger

65130 X-ray of the left wrist

65135 X-ray of the right wrist

6501 65140 X-ray of the left scaphoid

65145 X-ray of the right scaphoid

6500 65150 X-ray of the left wrist, scaphoid and stress views

65155 X-ray of the right wrist, scaphoid and stress views

Lower Leg

6514 73100 X-ray of the left lower leg

73105 X-ray of the right lower leg

Ankle and Foot

6512 74100 X-ray of the left ankle

74105 X-ray of the right ankle

3325 74110 X-ray of the left ankle with stress views

74115 X-ray of the right ankle with stress views

6511 74120 X-ray of left foot

74125 X-ray of right foot

6513 74130 X-ray of the left calcaneus

74135 X-ray of right calcaneus

6511 74140 X-ray of both feet - standing - single view

3305 74145 X-ray of a toe

Femur

6517 71100 X-ray of the left femur

71105 X-ray of right femur

6515 72100 X-ray of the left knee one or two views

72105 X-ray of the right knee one or two views

72110 X-ray of the left knee, more than two views

72115 X-ray of the right knee, more than two views

6515 72120 X-ray of the left knee including patella

6516 72125 X-ray of the right knee including patella

RPL CPT Description

Radiology applicable codes (continued)

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3311 72130 X-ray of the right knee with stress views

72135 X-ray of the left knee with stress views

6516 72140 X-ray of left patella

72145 X-ray of right patella

6515 72150 X-ray both knees standing - single view

6519 74150 X-ray of the sesamoid bones one or both sides

Ultrasound / Sonar

Neck

3629 20200 Ultrasound of the thyroid

20210 Ultrasound of the soft tissue of the neck

Thorax

5103 30200 Ultrasound of the chest wall, any region

5101 30210 Ultrasound of the pleural space

5103 30220 Ultrasound of the mediastinale structures

Abdomen and Pelvis

5103 40200 Ultrasound study of the abdominal wall

3627 40210 Ultrasound study of the whole abdomen including the pelvis.

3628 42200 Ultrasound study of the renal tract including bladder

3618 43200 Ultrasound study of the pelvis trans-abdominal

5100 43205 Ultrasound study of the female pelvis trans-vaginal

3610 43210 Ultrasound of the prostate trans-rectal

3629 43220 Ultrasound study of the testes.

43250 Ultrasound study of the pregnant uterus, first trimester *

43270 Ultrasound study of the pregnant uterus, third trimester, first visit *

43273 Ultrasound study of the pregnant uterus, third, third trimester, follow-up visit *

3615 43277Ultrasound study of the pregnant uterus, multiple gestation, section, second or third trimester, first visit*

3617Routine obstetric ultrasound at 20 to 24 weeks to include detailed anatomical assessment

* Please note maximum of 2 ultrasound studies per pregnancy

Salivary glands and floor of the mouth

3629 18200 Ultrasound of the salivary glands / floor of the mouth

Mamma

3629 34200 Ultrasound study of the breast

Upper Limbs

5103 60200 Ultrasound upper limb – soft tissue – any region

Lower Limbs

5103 70200 Ultrasound lower limb – soft tissue – any region

RPL CPT Description

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Radiology request form

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Eastern Cape Ingw

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Life Beacon Bay Hospital

Beacon Bay - East London

√ √ √

Isivivana Private Hospital

Humansdorp √

East London Private Hospital

East London √ √

Greenacres Hospital Greenacres - Port Elizabeth

√

Grey Monument Private Clinic

King Williamstown √ √

New Mercantile Hospital

Korsten - Port Elizabeth

√ √

Hunterscraig Psychiatric Hospital

Port Elizabeth √ √

St Georges Hospital Port Elizabeth √ √Queenstown Private Hospital

Queenstown √ √

St. Dominic’s Hospital Southernwood - East London

√ √ √

St James Operating Theatres

Southernwood - East London

√ √

St Marks Clinic Southernwood - East London

√ √

Cuyler Hospital Uitenhage √ √St Mary’s Private Hospital

Umtata √ √

Free State Ingw

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ork

Acc

ess

Net

wor

k

Ass

ocia

ted

Hos

pita

ls

Hoogland Mediclinic Bethlehem √ √ √Bloemfontein Eye Hospital

Bloemfontein √ √

Pasteur Hospital Bloemfontein √ √Rosepark Hospital Fichardtpark -

Bloemfontein√ √

Welkom Mediclinic Welkom √ √ √Bloemfontein Mediclinic

Bloemfontein √ √

Universitas Private Hospital

Bloemfontein √

Kroon Hospital Kroonstad √Vaalpark Medical Centre

Vaalpark √

Gauteng Ingw

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ork

Acc

ess

Net

wor

k

Ass

ocia

ted

Hos

pita

ls

Clinton Hospital Alberton √Optimed Eye Care Centre

Alberton √

Union Hospital Alberton √Femina Clinic Arcadia - Pretoria √Muelmed Hospital Arcadia - Pretoria √Pretoria Heart Hospital

Arcadia - Pretoria √

Protector Health Arcadia - Pretoria √Netcare Rehabilitation Hospital

Auckland Park - Johannesburg

√

Bedford Gardens Private Hospital

Bedfordview - Johannesburg

√ √

Glynnview Hospital Benoni √The Glynnwood Benoni √ √Linmed Hospital Benoni √Optiklin Eye Hospital Benoni √Rand Clinic Berea - Johannesburg √Birchmed Day Clinic Birchleigh -

Johannesburg√

Sunward Park Hospital

Boksburg √

Dalview Clinic Brakpan √ √Brooklyn Surgical Centre

Brooklyn - Pretoria √ √

Sandton Mediclinic Bryanston - Johannesburg

√

Unitas Hospital Centurion √Mayo Clinic Constantia Kloof –

Johannesburg√

Premier Mine Hospital

Cullinan √

Wilgers Hospital Die Wilgers - Pretoria

√ √

Hydromed Harmelia Edenglen - Johannesburg

√

Kloof Hospital Erasmuskloof - Pretoria

√

Faerie Glen Hospital Faerie Glen - Pretoria

√ √

Flora Clinic Florida – Johannesburg

√ √

Fourways Hospital Fourways √Little Company of Mary

Groenkloof - Pretoria √ √

Suikerbosrand Clinic Heidelberg √ √ √Medgate Day Clinic Helderkruin -

Johannesburg√

Bagleyston Day Clinic Highlands - Johannesburg

√

Park Lane Clinic Houghton - Johannesburg

√

Akasia Clinic Karen Park - Pretoria √Arwyp Medical Centre Kempton Park √

New Kensington Clinic

Kensington - Johannesburg

√ √

Bellstreet Hospital Krugersdorp √Krugersdorp Private Hospital

Krugersdorp √

List of hospitals

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Protea Clinic Krugersdorp √Lenmed Clinic Limited

Lenasia √

Eugene Marais Hospital

Les Marais - Pretoria √ √

Linksfield Park Clinic Linksfield - Johannesburg

√

Legae Private Clinic Mabopane - Pretoria √ √Garden City Clinic Mayfair -

Johannesburg√

Carstenhof Clinic Midrand √ √ √Montana Private Hospital

Montana Park – Pretoria

√

Pretoria East Private Hospital

Moreleta Park - Pretoria

√

Morningside Mediclinic

Morningside - Johannesburg

√

Sandton Surgical Centre

Morningside - Johannesburg

√

Jakaranda Hospital Muckleneuck - Pretoria

√

Mulbarton Hospital Mulbarton √Riverfield Lodge Nietgedacht -

Johannesburg√ √

Rosewood Clinic Orange Grove - Johannesburg

√

The Donald Gordon Parktown - Johannesburg

√

Brenthurst Clinic Parktown - Johannesburg

√ √

Milpark Hospital Parktown - Johannesburg

√

Pretoria North Surgical Centre

Pretoria North √

Roseacres Clinic Primrose - Johannesburg

√ √ √

Olivedale Clinic Randburg - Johannesburg

√

Robinson Hospital Randfontein √ √ √Moot General Hospital Rietfontein - Pretoria √Constantia Clinic Roodepoort √Wilgeheuwel Hospital Roodepoort √ √Rosebank Clinic Rosebank -

Johannesburg√

Genesis Clinic Saxonwold - Johannesburg

√

Clinix Tshepo Soweto - Johannesburg

√ √

Springs Parkland Clinic

Springs √ √ √

St Mary’s Womens Clinic

Springs √ √

Sunninghill Hospital Sunninghill - Johannesburg

√

Medforum Hospital Sunnyside - Pretoria √Pretoria Gynaecology Hospital

Sunnyside - Pretoria √

Emfuleni Hospital Vanderbijlpark √ √Vereeniging Mediclinic Vereeniging √ √Clinix Naledi Vereeniging √

Kwazulu-Natal Ingw

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Hos

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Kingsway Hospital Amanzimtoti √Entabeni Hospital Berea - Durban √ √Chatsmed Garden Hospital

Chatsworth - Durban √ √

City Hospital Durban √ √Durdoc Clinic Durban √Maxwell Clinic Durban √ √St Augustines Hospital

Durban √

Empangeni Garden Clinic

Empangeni √ √ √

Hillcrest Private Hospital

Hillcrest - Durban √

Howick Private Hospital

Howick √

Isipingo Hospital Isipingo √ √La Verna Hospital Ladysmith √Margate Private Hospital

Margate √ √ √

Newcastle Private Hospital

Newcastle √ √ √

Parklands Hospital Overport - Durban √Mount Edgecombe Hospital

Phoenix - Durban √ √

Midlands Medical Centre

Pietermaritzburg √ √

Pietermaritzburg Mediclinic

Pietermaritzburg √

St Annes Hospital Pietermaritzburg √The Crompton Hospital

Pinetown √ √ √

Hibiscus Hospital Port Shepstone √ √The Bay Hospital Richards Bay √ √Victoria Hospital Limited

Tongaat √

Umhlanga Hospital Umhlanga √ √Westville Hospital Westville - Durban √ √

Limpopo Ingw

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Ass

ocia

ted

Hos

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Marapong Hospital Lephalale √Limpopo Mediclinic Polokwane √ √ √Tzaneen Private Hospital

Tzaneen √ √ √

Thabazimbi Mediclinic Thabazimbi √

Mpumalanga Ingw

e N

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ork

Acc

ess

Net

wor

k

Ass

ocia

ted

Hos

pita

ls

Barberton Mediclinic Barberton √ √Bronkhorstspruit Hospital

Bronkhorstspruit √ √

Midmed Hospital Middelburg √ √ √Ermelo Mediclinic Ermelo √ √ √Lowveld Day Hospital Mbombela

(Nelspruit)√

Nelspruit Mediclinic Mbombela (Nelspruit)

√ √ √

Secunda Mediclinic Secunda √ √ √Highveld Mediclinic Trichardt √ √ √Cosmos Hospital Emalahleni (Witbank) √ √ √

Gauteng (continue) Ingw

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List of hospitals (continued)

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North West Ingw

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Brits Mediclinic Brits √ √Anncron Clinic Klerksdorp √ √ √Victoria Private Hospital

Mafikeng √

Potchefstroom Mediclinic

Potchefstroom √ √ √

Ferncrest Hospital Rustenburg √Peglerae Hospital Rustenburg √ √Vryburg Private Hospital

Vryburg √ √

Northern Cape Ingw

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Acc

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Net

wor

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Ass

ocia

ted

Hos

pita

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Kathu Mediclinic Kathu √Kimberley Mediclinic Kimberley √ √ √Upington Mediclinic Upington √ √

Western Cape Ingw

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Acc

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Net

wor

k

Ass

ocia

ted

Hos

pita

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Bellville Medical Centre

Bellville - Cape Town √ √ √

Louis Leipoldt Mediclinic

Bellville - Cape Town √

Netcare Blaauwberg Hospital

Blaauwberg √

Cape Gate Mediclinic Brackenfell √Christiaan Barnard Memorial Hospital

Cape Town √

Claremont Hospital Claremont - Cape Town

√ √

Kingsbury Hospital Claremont - Cape Town

√ √

Durbanville Mediclinic Durbanville - Cape Town

√

Gatesville Medical Centre

Gatesville - Cape Town

√ √ √

Geneva Clinic George √ √ √George Mediclinic George √ √ √N1 City Hospital Goodwood - Cape

Town√

Hermanus Mediclinic Hermanus √ √Knysna Private Hospital

Knysna √ √ √

Kuils River Private Hospital

Kuils River √

Milnerton Mediclinic Milnerton - Cape Town

√

Mitchells Plain Medical Centre

Mitchells Plain - Cape Town

√ √ √

Bayview Hospital Mossel Bay √ √ √Cape Town Mediclinic Oranjezicht - Cape

Town√

Klein Karoo Mediclinic Oudtshoorn √ √Paarl Mediclinic Paarl √ √Panorama Mediclinic Panorama - Cape

Town√

Vincent Pallotti Hospital

Pinelands - Cape Town

√ √

Plettenberg Bay Mediclinic

Plettenberg Bay √

Constantiaberg Mediclinic

Plumstead √ √

Sport Science Orthopaedic Surgical Day Centre

Rondebosch √

Vergelegen Mediclinic Somerset West √ √Stellenbosch Mediclinic

Stellenbosch √ √

Strand Private Hospital

Strand √

West Coast Private Hospital

Vredenburg √ √ √

Worcester Mediclinic Worcester √ √

Please note:

Health4Me members are covered for accident related

emergency treatment only.

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Health4Me

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How does it work?

Health4Me, from Momentum, comprises two components,

day-to-day and health insurance cover. Employer groups

can choose to implement both components, or either one

separately. Since day-to-day benefits are predictable, low-cost

healthcare expenses, these benefits can be provided very

effectively through an employer funded model.

In line with Momentum’s focus on innovation and flexibility,

the product follows a building block approach, allowing

the employer to choose the combination of benefits most

appropriate for the company’s workforce, while keeping in

mind the available budget. More costly benefits, such as

hospitalisation, should be insured.

By delivering a comprehensive low-income healthcare solution

to an employer group, Momentum offers great value through:

— Applying its extensive experience and skill in the field to

facilitate cost-effective provision of day-to-day benefits

— Ensuring that day-to-day claims are paid according to the

rules selected by the employer

— Enabling efficient administration through its proven

systems

— Ensuring affordable healthcare delivery to employees

by utilising Momentum’s strong provider network

partnerships for day-to-day benefits

— Conducting wellness initiatives, including clinical and

experience reporting on both Momentum Health members,

as well as employees within the group who are covered by

the health insurance product

— Ensuring seamless integration between this product and

Momentum Health for employees who no longer qualify for

the low-income offering due to a salary increase.

Providing for the wellness of all

employees within a company is integral

to enabling a productive and healthy work

environment. The cost of medical scheme

membership, however, remains a barrier

for a large portion of the workforce. To

address this, Momentum has developed a

holistic, cost-effective healthcare solution

for low-income employees within an

employer group.

Healthcare solution for low-income earners

Please note Health4Me is not a medical

aid product.

All contracted Ingwe Primary Care

Network providers have been invited to

participate in the Momentum Primary

Care Network applicable to Health4Me.

Operational processes, such as

specialist referral etc. are the same as

Ingwe and Access membership.

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Day-to-day

The day-to-day component consists of different levels of employer funded day-to-day healthcare benefits, delivered through a

dedicated healthcare expenses account. Each employee has access to this account, according to the benefit structure selected.

Day-to-day options

ComprehensiveIntermediate

Benefit Essential

Annual Limit Determined by employer

General Practitioner Visits ✔ ✔ ✔Specialist Visits ✔Prescribed Medication ✔ ✔ ✔Chronic Medication ✔Basic Pathology ✔ ✔ ✔Basic Radiology ✔ ✔ ✔Basic Optometry ✔ ✔Basic Dentistry ✔ ✔Maternity Visits with Growth Scans ✔

Insurance-based cover

The second part consists of an insurance-based product that covers the costs of higher risk events, such as hospitalisation and

accidents in return for a fixed insurance premium.

Insurance options

StandardBenefit Base

Accident cover – Transport and workplace external events that

require immediate treatment Max R100 000 per event Max R250 000 per event

Daily hospital cash benefit – Limited to 180 days per year, benefit

pays from day 1 if hospital stay is longer than 2 daysR1 000 R2 000

Functional impairment - Only available to employees and based

on a severity sliding scale

Not covered Max R100 000 covers:

Loss of sight

Loss of hearing

Loss of limbs

Funeral benefit

A maximum of 4 children are covered

R10 000 for employee,

spouse and children

> 14 years

6 – 13 years: R5 000

1 – 5 years: R2 500

<1 years: R1 250

Stillborn: R750

R15 000 for employee,

spouse and children

> 14 years

6 – 13 years: R7 500

1 – 5 years: R3 750

<1 years: R1 875

Stillborn: R1 125

HIV (optional cover)

HIV healthcare cover will be provided as an optional add-on benefit to any combination of day-to-day and insurance products. As

in the case with the Day-to-day benefits, HIV cover is employer funded.

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Momentum add-on products

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HealthReturns (Not available to Ingwe Option members)

Earn free GP visits, and up to R5 400 a year

Momentum pays up to R1 800 per adult per year in HealthReturns to

Momentum Health members (except those on the Ingwe Option) who go

for an annual Health Assessment, comply with treatment protocols (where

applicable) and are active. While you do not need to belong to Momentum’s rewards programme, Multiply, your HealthReturns are increased (up to R3

600 a year) if you DO have Multiply membership. If you choose to have your

HealthReturns paid into your HealthSaver account, you can also increase

your HealthReturns, regardless of whether you are on Multiply or not. This

is referred to as HealthReturns Booster. If you are on Multiply and choose

to have your HealthReturns paid into your HealthSaver account, your

HealthReturns will increase even more (up to R5 400). Note that

HealthReturns Booster funds are available only for healthcare

expenses and would be forfeited if you cancel your HealthSaver

or Momentum Health membership.

It is very easy to start earning HealthReturns. As a Momentum

Health member, you enjoy one free Health Assessment per year

through the Health Platform Benefit. This assessment is the first step to

earning HealthReturns. Based on the results of your assessment, we may

recommend that you register on a disease management programme. If you

accept that recommendation, and follow the treatment plan, this would be

the second step to earning HealthReturns. But, in the majority of cases, only

step one and three are needed – step three requires you to be active. Your

activity could be measured in terms of a six-monthly fitness assessment,

number of Multiply gym visits or Momentum pedometer steps.

Steps Gym Fit HealthReturns Booster** Multiply Total

Your level of activity

Pedometer steps per day on average over a 3-month rolling period

Average monthlyMultiply gym visits over a 3-month rolling period

Fitness Assessments*(valid for 6 months)

Standard monthly HealthReturns

Additional returns if HealthReturns paid into HealthSaver

Additional returnsfor Multiply members

Total returns if on Multiply and HealthReturns paid into HealthSaver

Level 5 12 001 + > 12 Excellent R150 R150 R150 R450

Level 4 9 001 – 12 000 > 9 to 12 Good R100 R100 R100 R300

Level 3 6 001 – 9 000 > 6 to 9 Acceptable R50 R50 R50 R150

Level 2 3 001 – 6 000 > 3 to 6 Fair R25 R25 R25 R75

Level 1 0 – 3 000 0 - 3 Poor R0 R0 R0 R0

* Fitness assessments available at Virgin Life Care and Wellness Coaching Network

** The HealthReturns Booster funds are available to pay for claims once standard HealthSaver funds are depleted.

The balance is carried over to the following year if not used, and only forfeited if your Momentum Health or HealthSaver membership

is cancelled or suspended. A monthly SMS will be sent to you one and a half months after the activity, indicating the amount you will be

receiving for that month. Actual payment of the HealthReturns will take place monthly.

New in 2013Now you can earn free GP visits by maintaining Activity Level 4 or 5 for

three consecutive months!

Note that these GP visits need to be at the appropriate provider as per your

medical aid option, and are valid for 12 months from the month in which

this benefit was earned. Custom Option members will earn one GP visit,

while Incentive Option members will earn two and Extender and Summit

members will earn four free GP visits per family.

Momentum Add-on Products

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Momentum Multiply

Do more. Live more. Get more.

Momentum’s Multiply lets members earn points and rewards for doing the everyday

things that enable them to live a healthy, active and financially fit life. As a member’s

Multiply status improves based on points earned, so do their rewards. These range from

up to 80% discount off their monthly gym fees to NuMetro movie tickets from just R15

HealthSaver

The HealthSaver is a Momentum product that lets you save for medical expenses

It has no transaction or administration fees and all Momentum Health members may choose to:

— have it activated, without having to pay contributions into it

— pay a monthly amount that suits their needs (minimum of R100), and

— apply for credit (FICA documentation required) and have access to the full amount (up to R18 000) from the first month.

You can use your HealthSaver funds for any healthcare related expenses, such as:

— co-payments

— cosmetic surgery

— refractive eye surgery, and

— vitamins.

See our section on HealthReturns to find out how you can use the HealthSaver to earn up to R5 400 per adult per year

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HealthWaiver

Ongoing cover when you need it most

Should you die, become critically ill or functionally impaired, HealthWaiver will ensure that you/ your dependants will continue to

enjoy medical cover. The cost of this benefit will depend on:

— your age

— whether you smoke or not

— your choice of Momentum Health option

— as well as the benefit term (either 5 or 10 years).

Mobisite

Always in touch

Important information you may need about your membership is available through your

phone on our mobisite. From finding a doctor to checking how much you have earned in

HealthReturns, to having instant access to emergency numbers - the mobisite is always

available and easy to use.

Scan the QR image or type in http://momentumhealth.mobi.

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Why Momentum Health?

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HealthReturns:

One of its kind, this

programme rewards

members for taking

ownership of their health

and being active. If

combined with Multiply

and HealthSaver,

members can earn up to

R5 400 per year

10 out of 10 for Momentum Health

Multiply:

Momentum’s rewards

programme offering

rewards and discounts

from more than 30

partners

Health Platform:

Health Assessments,

dental and GP check-

ups, maternity benefits

and more all paid by

the Scheme - NOT from

Savings

Provider Choice:

Save up to 35% on your

contribution - without

sacrificing any benefits

- through our choice of

providers

HealthSaver:

Customise your level

of savings to meet your

specific healthcare day-

to-day needs

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Mobisite: Innovative

tool that gives members

on-the-go access to their

medical aid information

and lets them search

for healthcare service

providers

Consumer-centricity:

Putting the needs and

wants of our members

and clients first and

offering tailor-made

product solutions

Service Excellence:

First place in the 2012

PMR Africa administrator

survey acknowledges our

ability to offer prompt and

efficient client service

Financially sound:

Increasing solvency and

A+ Global Credit Rating

reaffirms our sound

claims paying ability

Fit for the future:

Our all-round ability to

meet the challenges

of a changing industry,

changing technology

and the changing needs

of consumers positions

Momentum Health as ready

and fit for the future

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provider support

Provider support is of utmost importance to us

For any queries, please contact our call centre or email us.

Please also register on our website where you can:

— Access summary of benefits

— View contact information

— Find information on wellness programmes

— Have access to the various forms, e.g. specialist referral forms, chronic registration

forms, radiology request forms, etc.

— View lists of formularies

— Do membership validations

— Do benefit checking/booking

— Capture/view biometric data, e.g. blood pressure results, etc.

— View claims statements and claims tracking

— Access your practice profiling information

— View FAQ’s that would assist in possible query resolution

— Find information on how to join the Momentum Health Primary Care Network.

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Postal address

PO Box 2338 Durban 4000

Call centre for Ingwe and Access Option members

0860 11 78 59

Call centre for Health4Me members

0860 10 29 03

Email

[email protected]

Website

www.provider.momentum.co.za

momentum health will no longer be our ingwe and access ... · you can email any queries to...

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