A. LIST OF MEDICINES FOR HYPERTENSION

Page 1 of 58

A. LIST OF MEDICINES FOR HYPERTENSION

Generic Name Dosage Strength Dosage Form and Route of

Administration

Aliskiren + Amlodipine 150 mg + 5 mg Film-Coated Tablet

Aliskiren + Amlodipine 300 mg + 5 mg Film-Coated Tablet

Amlodipine 5 mg Tablet

Amlodipine 2.5 mg Tablet

Amlodipine 5 mg Film-Coated Tablet

Amlodipine 10 mg Tablet

Amlodipine 10 mg Film-Coated Tablet

Amlodipine + Hydrochlorithiazide 5 mg/12.5 mg Tablet

Amlodipine + Hydrochlorithiazide 10 mg/12.5 mg Tablet

Amlodipine + Valsartan + Hydrochlorothiazide

10mg/ 160mg/ 12.5mg Film-Coated Tablet


10mg/ 160mg/ 25mg Film-Coated Tablet







Amlodipine ( as Besylate ) + Valsartan 10 mg/ 160 mg Film-Coated Tablet

Amlodipine (As Besilate) 10 mg Tablet

Amlodipine (As Besilate) 5 mg Tablet

Amlodipine (as besilate) + Atorvastatin (as calcium)

10mg/ 10mg Film-Coated Tablet

Amlodipine (as Besilate) + Atorvastatin (as Calcium)

10mg/20mg Film-Coated Tablet

Amlodipine (as Besilate) + Atorvastatin (as Calcium)


Amlodipine (As Besilate) + Losartan Potassium

50 mg/50 mg Film-Coated Tablet

Amlodipine (as besilate) + Losartan Potassium


Amlodipine (as besilate) + Valsartan 10mg/ 160mg Film-Coated Tablet



Amlodipine (as besilate) + Valsartan + Hydrochlorothiazide










Amlodipine (as Besylate) + Valsartan 5 mg / 80 mg Film-Coated Tablet

Amlodipine( as Besylate ) + Valsartan 5 mg / 160 mg Film-Coated Tablet

Amlodipine Besilate 10 mg Tablet

Amlodipine besilate 2.5mg Tablet

Amlodipine besilate 5mg Tablet

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Administration

Atenolol 100 mg Tablet

Atenolol 100 mg Film-Coated Tablet





Atenolol + Chlortalidone 50 mg + 12.5 mg Tablet

Atorvastatin + Perindopril (as arginine) + Amlodipine










Azilsartan 40 mg Tablet

Azilsartan 80 mg Tablet

Azilsartan medoxomil (as potassium) + Chlorthalidone

40mg/12.5mg Film-Coated tablet

Azilsartan medoxomil (as potassium) + Chlorthalidone

40mg/25mg Film-Coated tablet

Benazepril 10 mg Film-Coated Tablet

Betaxolol 20 mg Film-Coated Tablet

Bisoprolol 2.5 mg Film-Coated Tablet

Bisoprolol 10 mg Film-Coated Tablet

Bisoprolol 5 mg Tablet

Bisoprolol 5 mg Film-Coated Tablet

Bisoprolol + Amlodipine 5 mg + 5 mg Tablet




Bisoprolol + Hydrochlorothiazide 2.5 mg + 6.25 mg Film-Coated Tablet

Bisoprolol + Hydrochlorothiazide 5 mg + 6.25 mg Film-Coated Tablet

Bisoprolol + Hydrochlorothiazide 10 mg + 6.25 mg Film-Coated Tablet

Bisoprolol Fumarate 10mg Film-Coated Tablet

Bisoprolol Fumarate 2.5 mg Film Coated Tablet

Bisoprolol Fumarate 5 mg Film-Coated Tablet

Bisoprolol fumarate + Hydrochlorothiazide 5mg/ 6.25mg Film-Coated Tablet

Blumea balsamifera (L) DC (Sambong leaf)

250mg Tablet


500mg Tablet

Bosentan (as monohydrate) 62.5mg Film-Coated Tablet

Bumetanide 1 mg Tablet

Bumetanide 500 mcg/mL Solution for Injection (IM/IV)

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Administration

Candesartan 4 mg Tablet



Candesartan + Amlodipine 8 mg + 5 mg Tablet

Candesartan + Hydrochlorothiazide 16 mg + 12.5 mg Tablet

Candesartan Cilexetil 8mg Tablet

Candesartan Cilexetil 16 mg Tablet

Candesartan Cilexetil + Hydrochlorothizide

16mg/ 12.5mg Tablet

Captopril 25mg Tablet

Captopril 25 mg Film-Coated Tablet

Captopril 50 mg Tablet

Carvedilol 25 mg Film-Coated Tablet

Carvedilol 25 mg Tablet

Carvedilol 6.25 mg Film-Coated Tablet

Carvedilol 6.25 mg Tablet


Carvedilol 12.5 mg Tablet


Carvedilol 10 mg Extended-Release Tablet




Carvedilol + Ivabradine (as hydrochloride) 12.5 mg/ 5 mg Film-Coated Tablet

Carvedilol + Ivabradine (as hydrochloride) 12.5 mg/ 7.5 mg Film-Coated Tablet

Carvedilol + Ivabradine (as hydrochloride) 25 mg/ 5 mg Film-Coated Tablet

Carvedilol + Ivabradine (as hydrochloride) 25 mg/7.5 mg Film-Coated Tablet

Carvedilol + Ivabradine (as hydrochloride) 6.25 mg/5 mg Film-Coated Tablet

Carvedilol + Ivabradine (as hydrochloride) 6.25 mg/7.5 mg Film-Coated Tablet

Cilazapril 2.5 mg Film-Coated tablet

Clonidine 75 mcg Tablet

Clonidine 150 mcg Tablet

Clonidine 150 mcg/mL Solution for Injection (IM/IV/SC)

Clonidine hydrochloride 75mcg Tablet

Diltiazem Hydrochloride 30 mg Tablet

Diltiazem Hydrochloride 30 mg Film-Coated Tablet

Diltiazem Hydrochloride 30 mg Sustained-Release Tablet






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Administration








Dorzolamide (as Hydrochloride) + Timolol (as Maleate)

20mg/5mg per mL (2% w/v/ 0.5 w/v)

Ophthalmic Solution

Doxazosin 4 mg Controlled-Release Tablet

Enalapril 5 mg Tablet

Enalapril 5 mg Film-Coated Tablet


Enalapril 20 mg Film-Coated Tablet


Enalapril Maleate 10 mg Tablet


Enalapril Maleate 5 mg Film-Coated Tablet


Enalapril Maleate + Hydrochlorothiazide 10 mg/12.5 mg Tablet

Enalapril Maleate + Hydrochlorothiazide 10 mg/25 mg Tablet

Enalapril Maleate + Hydrochlorothiazide 20 mg + 12.5 mg Tablet

Eplerenone 25 mg Film-Coated Tablet

Eplerenone 50 mg Film-Coated Tablet

Eprosartan 600 mg Film-Coated Tablet

Eprosartan + Hydrochlorothiazide 600 mg + 12.5 mg Film-Coated Tablet

Esmolol 10 mg/mL (100 mg/10 mL)

Solution for Injection (IV)

Esmolol hydrochloride 10mg/ mL (100 mg/ 10 mL)

Solution for IV Injection

Felodipine 5 mg Extended-Release Tablet

Felodipine 5 mg Modified-Release Tablet

Felodipine 5 mg Tablet

Felodipine 2.5 mg Extended-Release Tablet

Felodipine 10 mg Extended-Release Tablet

Felodipine 10 mg Modified-Release Tablet

Fimasartan 60 mg Film-Coated Tablet

Fimasartan 120 mg Film-Coated Tablet

Fimasartan Potassium (As Trihydrate) 120 mg Film-Coated Tablet

Fimasartan Potassium (As Trihydrate) 60 mg Film-Coated Tablet

Fosinopril 10 mg Tablet

Fosinopril 20 mg Tablet

Fosinopril Sodium 10 mg Tablet

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Administration

Furosemide 10mg/mL (20mg/2mL) Solution for Injection (IM/IV)

Furosemide 20 mg Tablet


Furosemide + Potassium Chloride 40 mg + 600 mg Film-Coated Tablet

Hydralazine 25 mg Film-Coated Tablet

Hydralazine 50 mg Tablet

Hydralazine 20 mg/mL Solution for Injection (IM/IV)

Hydralazine Hydrochloride 20mg/ mL Solution for Injection (I.V./I.M.)

Hydrochlorothiazide 12.5 mg Tablet

Hydrochlorothiazide 12.5 mg Film-Coated Tablet

Hydrochlorothiazide 25 mg Tablet

Hydrochlorothiazide 25 mg Film-Coated Tablet


Hydroflumethiazide + Spironolactone 25 mg + 25 mg Film-Coated Tablet

Imidapril 5 mg Tablet

Imidapril 10 mg Tablet

IMidapril Hydrochloride 5mg Tablet

IMidapril Hydrochloride + Hydrochlorothiazide

10mg/12.5mg Tablet

Indapamide 1.5 mg Tablet

Indapamide 1.5 mg Sustained-Release Tablet

Indapamide + Amlodipine 1.5mg/ 5mg Modified-Release Tablet

Indapamide + Amlodipine 1.5mg/ 10mg Modified-Release Tablet

Irbersartan + Amlodipine (as besilate) 150mg/ 5mg Film-Coated Tablet



Irbesartan 150 mg Film-Coated Tablet

Irbesartan 150mg Tablet


Irbesartan 300 mg Tablet


Irbesartan + Amlodipine 150 mg/5 mg Film-Coated Tablet



Irbesartan + Hydrochlorothiazide 150 mg/12.5 mg Film-Coated Tablet

Irbesartan + Hydrochlorothiazide 150mg/ 12.5mg Tablet

Irbesartan + Hydrochlorothiazide 300 mg/12.5 mg Film-Coated Tablet

Irbesartan + Hydrochlorothiazide 300 mg/25mg Film-Coated Tablet

Irbesartan + Hydrochlorothiazide 300mg/ 12.5mg Tablet

ISOSORBIDE DINITRATE 5 mg Tablet

Isosorbide Mononitrate 60 mg Sustained-Release Tablet

Isosorbide-5-mononitrate 10mg Tablet

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Administration

Isosorbide-5-Mononitrate 20mg Tablet

Ivabradine (as HCL) 5 mg Film Coated Tablet

Ivabradine (as HCL) 5 mg Tablet

Ivabradine (as HCL) 7.5 mg Film Coated Tablet

Labetalol 5 mg/mL (100 mg/20 mL) Solution for Injection/Infusion (IV)

Labetalol hydrochloride 5mg/ mL Solution for Injection

Lacidipine 2 mg Tablet

Lacidipine 2 mg Film-Coated Tablet


Lacidipine 4 mg Film-Coated Tablet



Lercanidipine 10 mg Tablet

Lercanidipine 10 mg Film-Coated Tablet

Lercanidipine 20 mg Tablet

Lercanidipine 20 mg Film-Coated Tablet

Levamlodipine Besylate 2.5 mg Tablet

Levamlodipine Besylate 5 mg Tablet

Lisinopril 10 mg Tablet



Lisinopril Dihydrate 10 mg Tablet

Lisinopril Dihydrate 20 mg Tablet

Lisinopril + Hydrochlorothiazide 10 mg + 12.5 mg Tablet

Lisinopril + Hydrochlorothiazide 20 mg + 12.5 mg Tablet

Losartan 25 mg Film-Coated Tablet

Losartan 50 mg Tablet


Losartan 100 mg Tablet


Losartan + Amlodipine 25 mg + 5 mg Tablet

Losartan + Amlodipine 100 mg + 10 mg Film-Coated Tablet





Losartan + Hydrochlorothiazide 25 mg + 12.5 mg Film-Coated Tablet


Losartan + Hydrochlorothiazide 50 mg + 12.5 mg Tablet


Losartan + Hydrochlorothiazide 100 mg + 25 mg Tablet

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Administration

Losartan + Hydrochlorothiazide 100 mg + 25 mg Film-Coated Tablet

Losartan Potassium 100 mg Film Coated Tablet

Losartan Potassium 100 mg Tablet

Losartan Potassium 50 mg Film Coated Tablet

Losartan Potassium 50 mg Tablet

Losartan Potassium 25 mg Film-Coated Tablet

Losartan Potassium + Hydrochlorothiazide



100 mg/25 mg Tablet


50 mg/12.5 mg Film Coated Tablet


50 mg/12.5 mg Tablet


25 mg + 12.5 mg Film Coated Tablet


100 mg + 12.5 mg Film Coated Tablet

Losartan potassium + Hydrochlorothiazide + Amlodipine besilate

100 mg/12.5 mg/10 mg Film-Coated tablet

Losartan potassium + Hydrochlorothiazide + Amlodipine besilate

50 mg/12.5 mg/5 mg Film-Coated tablet

Macitentan 10mg Film-Coated Tablet

Manidipine 10 mg Tablet

Manidipine 20 mg Tablet

Mannitol 20g/100mL (20%v/v) Solution for Injection (IV)

Methyldopa 250mg Film-Coated Tablet

Methyldopa 250 mg Tablet

Methyldopa 125 mg Tablet

Methyldopa (As Sesquihydrate) 250 mg Film-Coated Tablet

Metolazone 5 mg Tablet

Metoprolol 50 mg Tablet

Metoprolol 50 mg Film-Coated Tablet

Metoprolol 50 mg Extended-Release Tablet

Metoprolol 50 mg Powder for Injection (IM/IV)

Metoprolol 100 mg Tablet

Metoprolol 100 mg Film-Coated Tablet


Metoprolol 23.75 mg Controlled-Release Tablet

Metoprolol 47.5 mg Extended-Release Tablet

Metoprolol 95 mg Controlled-Release Tablet


Metoprolol (As Tartrate) 100 mg Film-Coated Tablet

Metoprolol + Felodipine 50 mg + 5 mg Extended-Release Tablet

Metoprolol Tartrate 100 mg Tablet

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Administration

Metoprolol Tartrate 50 mg Film-Coated Tablet

Metoprolol Tartrate 50mg Tablet

Metoprolol tartrate + Ivabradine 25mg/ 5mg Tablet

Metoprolol tartrate + Ivabradine 25mg/ 7.5mg Tablet

Metoprolol tartrate + Ivabradine 50mg/ 5mg Tablet

Metoprolol tartrate + Ivabradine 50mg/ 7.5mg Tablet

Nebivolol 2.5 mg Tablet

Nebivolol 5 mg Tablet

Nebivolol (as hydrochloride) 5mg Tablet

Nebivolol + Hydrochlorothiazide 5 mg + 12.5 mg Tablet

Nicardipine 1 mg/mL (2 mg/2mL, 10 mg/10 mL)

Solution for Injection/Infusion (IV)

Nicardipine Hydrochloride 10mg/ 10mL Solution for Injection (IV)

Nicardipine Hydrochloride 10mg/10mL (1mg/1mL) Solution For Injection (I.V.)

Nicardipine Hydrochloride 1mg/ mL Solution for IV Infusion

Nicardipine Hydrochloride 1mg/mL (10mg/10mL) Solution for Injection (IV)

Nicardipine Hydrochloride 1mg/mL (10mg/10mL) Solution For Injection IV Infusion

Nicardipine hydrochloride 1mg/mL (10mg/10mL) Solution For IV Infusion

Nicardipine Hydrochloride 1mg/mL (2mg/2mL) Solution For Injection (IV)

Nifedipine 30mg Extended-Release Tablet

Nifedipine 30 mg Retard Tablet

Nifedipine 30 mg Prolonged-Release Tablet

Nifedipine 20 mg Extended-Release Tablet

Nifedipine 20 mg Tablet

Nifedipine 20 mg Sustained-Release Tablet

Nifedipine 5 mg Softgel Capsule

Nifedipine 5 mg Capsule

Nifedipine 10 mg Capsule

Nifedipine 10 mg Softgel Capsule

Nifedipine 60 mg Prolonged-Release Tablet

Nimodipine 10mg/ 50mL Solution for Infusion (I.V.)

Nitrogylcerin 1 mg/ mL (10 mg/10 mL) Solution For IV Injection

Olmesartan 10 mg Film-Coated Tablet


Olmesartan 20 mg Tablet


Olmesartan 40 mg Tablet

Olmesartan + Hydrochlorothiazide 20 mg + 12.5 mg Film-Coated Tablet

Olmesartan + Hydrochlorothiazide 40 mg + 12.5 mg Film-Coated Tablet

Olmesartan Medoxomil 20 mg Tablet

Olmesartan Medoxomil 20mg Film-Coated Tablet

Olmesartan Medoxomil 40mg Film-Coated Tablet

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Administration

Olmesartan medoxomil + Amlodipine 20 mg + 5 mg Film-Coated Tablet




Olmesartan medoxomil + Amlodipine + Hydrochlorothiazide

20 mg + 5 mg + 12.5 mg Film-Coated Tablet


40 mg/5 mg/12.5 mg Film-Coated tablet


40 mg/10 mg/12.5 mg Film-Coated tablet

Olmesartan Medoxomil + Hydrochlorothiazide

20mg/ 12.5mg Film-Coated Tablet



Perindopril 2 mg Tablet



Perindopril 4 mg Film- Coated Tablet

Perindopril 5 mg Film-Coated Tablet

Perindopril 10 mg Film-Coated Tablet

Perindopril + Indapamide 2 mg + 625 mcg Tablet

Perindopril + Indapamide 4 mg + 1.25 mg Tablet

Perindopril + Indapamide 4 mg + 1.25 mg Film-Coated Tablet



Perindopril + Amlodipine 3.5 mg + 2.5 mg Tablet

Perindopril + Amlodipine 5 mg + 5 mg Tablet





Perindopril (as arginine) + Amlodipine (as besilate)

14mg/ 10mg Tablet


3.5mg/ 2.5mg Tablet


7mg/ 5mg Tablet

Perindopril + Indapamide + Amlodipine 2.5 mg + 625 mcg + 5 mg Film-Coated Tablet

Perindopril + Indapamide + Amlodipine 5 mg + 1.25 mg + 5 mg Film-Coated Tablet




Perindopril (as Erbumine) 4mg Film-Coated Tablet

Perindopril Arginine/ Indapamide 5mg/1.25mg Film-Coated Tablet

Perindopril Erbumine 2 mg Tablet

Pindolol 5 mg Tablet

Propranolol 10 mg Tablet

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Administration

Propranolol 10 mg Film-Coated Tablet

Propranolol 40 mg Tablet

Propranolol 40 mg Film-Coated Tablet

Propranolol Hydrochloride 10 mg Tablet

Propranolol Hydrochloride 10mg Film-Coated Tablet

Propranolol Hydrochloride 40mg Tablet

Quinapril 5 mg Tablet


Quinapril 10 mg Film- Coated Tablet


Quinapril 20 mg Film- Coated Tablet

Quinapril Hydrochloride 10 mg Tablet



Quinapril + Hydrochlorothiazide 20 mg + 12.5 mg Tablet

Ramipril 10 mg Tablet

Ramipril 2.5 mg Tablet

Ramipril 2.5 mg Film- Coated Tablet

Ramipril 5 mg Tablet

Ramipril 5 mg Film-Coated Tablet

Ramipril + Hydrochlorothiazide 5 mg + 25 mg Tablet

Sacubitril-Valsartan

100 mg (eq. to sacubitril 48.6 mg and valsartan 51.4 mg sodium salt complex)

Film-Coated Tablet



Film-Coated Tablet



Film-Coated Tablet

Sildenafil (as citrate) 100mg Chewable Tablet

Sildenafil (as citrate) 100mg Film-Coated Tablet

Sildenafil (as citrate) 50mg Film-Coated Tablet

Sildenafil (as citrate) 50mg Oral Jelly (Orange Flavor)

Sodium Nitroprusside 50 mg Lyophilized Powder for Injection (IV)

Spironolactone 25 mg Tablet

Spironolactone 25 mg Film-Coated Tablet





Tadalafil 20mg Film-Coated Tablet

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Administration

Tamsulosin Hydrochloride 400mcg Extended-Release Capsule

Tamsulosin hydrochloride 400mcg Film-Coated Tablet

Tamsulosin hydrochloride 400mcg Prolonged-Release Capsule

Telmisartan 20 mg Tablet

Telmisartan 20 mg Film-Coated Tablet


Telmisartan 40mg Film-Coated Tablet


Telmisartan 80 mg Film-Coated Tablet

Telmisartan + Amlodipine 40 mg + 5 mg Tablet




Telmisartan + Amlodipine (as besilate) 40mg/5mg Film-Coated Tablet

Telmisartan + Amlodipine (As Besilate) 40mg/5mg Tablet

Telmisartan + Amlodipine (As Besilate) 80mg /5mg Tablet

Telmisartan + Hydrochlorothiazide 40 mg/12.5 mg Tablet

Telmisartan + Hydrochlorothiazide 40 mg/ 12.5 mg Film-Coated Tablet

Telmisartan + Hydrochlorothiazide 80 mg/25 mg Film-Coated Tablet

Telmisartan + Hydrochlorothiazide 80 mg/12.5 mg Tablet

Telmisartan + Hydrochlorothiazide 80 mg/12.5 mg Film-Coated Tablet

Telmisartan + Hydrochlorothiazide 80mg/25mg Tablet

Telmisartan + Hydrochlorothiazide 20 mg + 12.5 mg Tablet

Terazosin Hydrochloride 1 mg Tablet



Timolol (as maleate) 5mg/ mL (0.5% w/v) Ophthalmic Solution Drops

Tolvaptan 15 mg Tablet

Torasemide 10 mg Prolonged-Release Tablet

Torasemide 5 mg Prolonged-Release Tablet

Trimetazidine 35 mg Tablet

Trimetazidine Dihydrochloride 35 mg Modified-Release Tablet

Trimetazidine Dihydrochloride 35 mg Tablet

Trimetazidine dihydrochloride 35mg Modified-Release Capsule

Trimetazidine Dihydrochloride 80 mg Prolonged-Release Hard Capsule

Trimetazidine hydrochloride 20mg Film-Coated Tablet

Trimetazidine Hydrochloride 35 mg Modified Release Film-Coated Tablet

Trimetazidine Hydrochloride 60mg Sustained-Release Capsule

Urapidil 5 mg/mL Solution for Injection (IV)

Valsartan 40 mg Film-Coated Tablet

Valsartan 40 mg Tablet

Page 12 of 58


Administration



Valsartan 160 mg Capsule



Valsartan 80mg Film-Coated Tablet

Valsartan 80mg Tablet

Valsartan 80mg Capsule

Valsartan + Amlodipine 5 mg + 80 mg Film-Coated Tablet

Valsartan + Amlodipine 5 mg + 80 mg Tablet





Valsartan + Amlodipine (as besilate) 160 mg/ 10 mg Film-Coated Tablet

Valsartan + Amlodipine (as besilate) 160 mg/ 5mg Film-Coated Tablet

Valsartan + Amlodipine (as besilate) 250 mg Film-Coated Tablet

Valsartan + Hydrochlorothiazide 160 mg/ 12.5 mg Film-Coated Tablet

Valsartan + Hydrochlorothiazide 160 mg/ 12.5 mg Tablet

Valsartan + Hydrochlorothiazide 160 mg/25 mg Film Coated Tablet

Valsartan + Hydrochlorothiazide 160 mg/25 mg Tablet

Valsartan + Hydrochlorothiazide 320 mg / 25 mg Film-Coated Tablet

Valsartan + Hydrochlorothiazide 320 mg / 25 mg Tablet

Valsartan + Hydrochlorothiazide 320 mg / 12.5 mg Film-Coated Tablet

Valsartan + Hydrochlorothiazide 320 mg / 12.5 mg Tablet

Valsartan + Hydrochlorothiazide 80 mg/25 mg Film-Coated Tablet

Valsartan + Hydrochlorothiazide 80 mg + 12.5 mg Film-Coated Tablet

Valsartan + Hydrochlorothiazide 80 mg + 12.5 mg Tablet

Verapamil 40 mg Film-Coated Tablet

Verapamil 80 mg Tablet


Verapamil 180 mg Tablet

Verapamil 180 mg Sustained-Release Tablet


Verapamil 240 mg Sustained-Release Tablet

Verapamil 2.5 mg/mL (5 mg/2 mL) Solution for Injection (IV)

Verapamil + Trandolapril 180 mg/2 mg Film-Coated Tablet

Verapamil Hydrochloride 180mg Sustained-Release Tablet

Verapamil Hydrochloride 240mg Sustained-Release Tablet

Zofenopril 7.5 mg Film-Coated Tablet

Zofenopril 30 mg Film-Coated Tablet

Page 13 of 58


Administration

Zofenopril Calcium 15 mg Tablet

Page 14 of 58

B. LIST OF MEDICINES FOR CANCER


Administration

Abiraterone Acetate 500 mg Film-Coated Tablet

Afatinib (As Dimaleate) 20 mg Film-Coated Tablet




Alectinib 150 mg Capsule

Anagrelide (As Hydrochloride) 500mcg Capsule

Anastrazole 1 mg Film-Coated Tablet

Anastrozole 1 mg Tablet

Antithymocyte Immunoglobulin (ATG) (Equine)

50 mg/ mL (250 mg/5 mL)

Solution for IV Infusion

Arsenic Trioxide 1 mg/mL (10mg/10mL)

Solution For Injection (IV Infusion)

Atezolizumab 60 mg/mL Concentration For I.V. Solution

Azathioprine 50 mg Tablet

Baricitinib 2 mg Tablets

Baricitinib 4mg Tablets

Basiliximab 20 mg Sterile Freeze-Dried Powder For IV Infusion Or Injection

Bendamustine Hydrochloride 100mg Lyophilized Powder for Concentrate for Solution for I.V. Infusion

Bevacizumab 100 mg/4 mL (25 mg/mL)

Concentrate For Solution For Infusion (IV)

Bevacizumab 400 mg/16 mL (25 mg/mL)

Concentrate For Solution For Infusion (IV)

Bicalutamide 150 mg Tablet

Bicalutamide 150mg Film-Coated Tablet

Bicalutamide 50 mg Film- Coated Tblet

Bicalutamide 50 mg Tablet

Bleomycin (As Sulfate) 15 Units Lyophilized Powder For Injection (IV/IM/SC)

Bleomycin (As Sulfate) 15 Units Powder For Injection

Bortezomib 1 mg Lyophilized Powder for Solution for Injection (I.V.)

Bortezomib 2mg Lyophilized Powder For Injection

Bortezomib 2mg Powder for Solution for Injection (IV)

Bortezomib 3.5 mg Lyophilized Powder For Injection

Bortezomib 3.5 mg Lyophilized Powder for Injection (I.V.)

Bortezomib 3.5 mg Lyophilized Powder for Injection (IV/SC)

Bortezomib 3.5 mg Lyophilized Powder For Solution For Injection (I.V./S.C.)

Bortezomib 3.5 mg Powder For Solution For Injection (I.V.)

Bortezomib 3.5mg Lyophlized Powder for IV Infusion

Bortezomib 3.5mg Powder For Solution For Injection

Bortezomib 3.5mg Powder for Solution for Injection (IV/SC)

Page 15 of 58


Administration

Bortezomib 3.5mg Lyophilized Powder for Injection (IM/SC)

Bupivacaine Hydrochloride In 8% Dextrose 5mg/mL Solution For Intrathecal Injection

Busulfan 6mg/mL Solution for Infusion (IV)

Calcium Folinate 10 mg/ mL (50 mg/ 5 mL)

Solution for Injection

Capecitabine 150 mg Film-Coated Tablet

Capecitabine 500 mg Film Coated Tablet

Carboplatin 150 mg Lyophilized Powder For Inj

Carboplatin 50 mg/5 mL (10 mg/ mL)

Solution For IV Infusion

Carboplatin 10 mg/mL Concentrate Solution For IV Infusion

Carboplatin 10 mg/mL Solution for Injection

Carboplatin 10 mg/mL Solution For Injection (IV)

Carboplatin 10mg/mL Solution for IV Infusion

Carboplatin 10 mg/mL (450 mg/ 45 mL)


Carboplatin 10 mg/mL (450 mg/45 mL)

Solution For Injection (I.V.)


Solution for Injection (IV Infusion)


Solution For Intravenous Infusion



Carboplatin 10 mg/ mL (150 mg/ 15 mL)


Carboplatin 10mg/mL (150mg/ 15mL)

Solution For Injection

Carboplatin 10mg/mL (150mg/15mL)

Solution For Injection (IV)

Carfilzomib 60mg Solution for Injection

Cetrorelix (as acetate) 250 mcg Lyophilized Powder For Injection (IV)

Cetuximab 5 mg/mL Solution for Intravenous Infusion

Chorionic Gonadotrophin 5000 IU Powder for Injection (IM)

Ciclosporin 100 mg Soft Gelatin Capsule

Ciclosporin 100 mg/mL Oral Solution

Ciclosporin 1mg/ mL Ophthalmic emulsion

Ciclosporin 25 mg Soft Gelatin Capsule

Cisplatin 0.5 mg/mL (10 mg/20mL)

Concentrate For IV Infusion

Cisplatin 500mcg/mL (10mg/20mL)


Cisplatin 50 mg/100 mL (0.5 mg/mL)

Concentrate For Infusion (I.V.)

Cisplatin 10 mg Lyophilized Powder For Inj

Cisplatin 1 mg/mL (10mg/10mL)

Solution For Intravenous (IV) Infusion

Cisplatin 1 mg/mL (10mg/10mL)


Cisplatin 1 mg/mL (50 mg/50mL)

Solution For Injection (I.V. Infusion)

Cisplatin 1 mg/mL (50 mg/50mL)


Page 16 of 58


Administration

Cisplatin 1mg/mL (50mg/50mL)

Solution For Infusion (I.V. Infusion)

Cisplatin 1 mg/mL Solution For Injection

Cisplatin 1 mg/mL Solution for Intravenous (IV) Infusion

Cisplatin 1mg/ mL Concentrate for Solution for Injection (IV)

Cisplatin 1mg/mL Solution For Injection (IV)

Cisplatin 50mg Lyophilized Powder For Inj

Cyclophosphamide 1 g Powder For Injection (I.V.)

Cyclophosphamide 1 g Powder for Injection (I.V./ Intraperitoneal/ Intrapleural/ I.A.)

Cyclophosphamide 1g Lyophilized Powder For Injection

Cyclophosphamide 200 mg Powder For Injection (I.V.)

Cyclophosphamide 200 mg Powder For Injection (IM, IV, IA, Intraperitoneal, Intrapleural)

Cyclophosphamide 500 mg Powder For Injection (I.V.)

Cyclophosphamide 500 mg Powder For Injection (IM, IV, IA, Intraperitoneal, Intrapleural)

Cyclophosphamide (as monohydrate) 1 g Powder For Injection (I.V.)

Cylophosphamide 500 mg Powder For IV Injection

Cyclosporine 0.5 mg/g (0.5%) Ophthalmic Emulsion

Cyproterone Acetate 50 mg Film-Coated Tablet

Cyproterone Acetate + Ethinylestradiol 2.0mg/ 35mcg Sugar-Coated Tablet

Cytarabine 100 mg/mL Solution For Injection (IV/SC/IT)

Cytarabine 100 mg/mL (1 g/10mL)


Cytarabine 100mg/ mL Solution for Injection (IV/SC/Intrathecal)

Cytarabine 20 mg/mL (100 mg/5 mL)

Solution For Injection/ Infusion (I.M./I.V./S.C./I.A.)

Dacarbazine 200 mg Powder For Injection (I.V.)

Dactinomycin 500 mcg Lyophilized Powder For Injection (I.V.

Daratumumab 20 mg/mL Concentrate For Solution For Infusion (IV)

Decitabine 50 mg Lyophilized Powder for Infusion (IV)

Denosumab 60 mg/ mL Solution For Injection (SC)

Der Pte Extract (Dermatophagoides Pteronyssinus + Der Far Extract (Dermatophagoides Farinae)

6 SQ-HDM per active substance

Tablet

Docetaxel 10 mg/mL Concentrate For Solution For Infusion

Docetaxel 20 mg/0.5 mL Concentrate For Injection (IV)

Docetaxel 20 mg/0.5 mL Concentrate Solution for Injection (IV)

Docetaxel 20 mg/0.5 mL Concentrate Solution For IV Infusion

Docetaxel 20mg/ mL Concentrate Solution for IV Infusion

Docetaxel 20mg Lyophilized Powder for Nanosomal Lipid Suspension for IV Infusion

Docetaxel 20 mg/0.5 mL (80 mg/2mg)

Concentrate Solution for Injection (IV)

Docetaxel 40mg/ mL Concentrate for Solution for IV Infusion

Docetaxel 40mg/mL Concentrate for IV Infusion

Page 17 of 58


Administration

Docetaxel 40mg/mL (20mg/0.5mL)

Concentrate Solution for IV Infusion

Docetaxel 40mg/mL (80mg/2mL)


Docetaxel 80 mg/ 4 mL Concentrate Solution for IV Infusion

Docetaxel 80mg Lyophilized Powder for Nanosomal Lipid Suspension for IV Infusion

Docetaxel (as trihydrate) 10 mg/mL (120 mg/12 mL)

Solution for Intravenous Infusion





Docetaxel (as trihydrate) 120 mg/3 mL Concentrate Solution for I.V. Infusion

Docetaxel (As Trihydrate) 20 mg/0.5 mL Concentrate Solution for I.V. Infusion

Docetaxel (As Trihydrate) 20 mg/0.5 mL Solution for Injection (IV)

Docetaxel (as Trihydrate) 20mg/0.5mL Concentrated Solution For Injection (IV Infusion)

Docetaxel (As Trihydrate) 20 mg/mL Concentrate For Solution For IV Infusion

Docetaxel (As Trihydrate) 20 mg/mL, 80 mg/4mL and 120 mg/6 mL

Concentrate Solution For IV Infusion

Docetaxel (As Trihydrate) 40 mg/mL (20 mg/0.5 mL)

concentrated solution for iv infusion

Docetaxel (As Trihydrate) 40 mg/mL (80 mg/2 mL)

Concentrate Solution For I.V. Infusion

Docetaxel (As Trihydrate) 40mg/mL (120mg/3mL)

Concentrated Solution For IV Infusion

Docetaxel (as trihydrate) 80 mg/2mL Concentrate Solution for I.V. Infusion

Docetaxel (As Trihydrate) 80 mg/4mL Concentrate For Solution For IV Infusion

Doxorubicin Hydrochloride 10 mg Lyophilized Powder For Injection (IV)

Doxorubicin Hydrochloride 2 mg/mL (50 mg/25 mL)

Solution For Injection (I.V)

Doxorubicin hydrochloride 10 mg/5 mL (2 mg/mL)

Solution For Injection (I.V./I.A./Intravesicular)

Doxorubicin Hydrochloride 2 mg/mL (10 mg/5 mL)


Doxorubicin hydrochloride 2 mg/mL (20 mg/10 mL)

Concentrated Solution for I.V. Infusion

Doxorubicin hydrochloride 2 mg/mL (20mg/10 mL)

Pegylated Liposomal Concentrated Solution For I.V. Infusion

Doxorubicin Hydrochloride 2mg/mL (20mg/10mL)

Pegylated Liposomal Suspension for Intravenous Infusion

Doxorubicin Hydrochloride 2mg/mL Concentrate Solution For IV Infusion

Doxorubicin Hydrochloride 2mg/ mL Liposomal Concentrate

Doxorubicin hydrochloride 2 mg/mL

Pegylated Liposomal Concentrate Suspension for Solution for Injection for I.V. Infusion

Doxorubicin Hydrochloride 2 mg/mL Solution For I.V. Infusion

Doxorubicin Hydrochloride 2 mg/mL Solution For Injection

Doxorubicin Hydrochloride 2 mg/mL Solution For Injection (I.V.)

Doxorubicin Hydrochloride 20mg Liposomal Injection

Doxorubicin Hydrochloride 50mg Liposomal Injection

Page 18 of 58


Administration

Doxorubicin hydrochloride 50 mg Lyophilized Powder For Injection

Doxorubicin Hydrochloride 50 mg Lyophilized Powder For Injection (IV)

Doxorubicin Hydrochloride 50 mg Lyophilized Powder For Injection/Infusion

Doxorubicin Hydrochloride 50mg Powder for Injection (IV)

Doxorubicin Hydrochloride 50mg/25mL Powder For Injection (IV)

Doxorubicin hydrochloride 2mg/mL (50mg/25mL)

Concentrate Solution For Intravenous Infusion

Doxorubicin hydrochloride 50 mg/25 mL (2 mg/mL)

Solution For Injection (I.V./I.A./Intravesicular)

Eicosapentanoic Acid + Docosahexaenoic Acid (see reverse for formulation)

360 mg/240 mg Softgel Capsule

Epirubicin Hydrochloride 10mg Lyophilized Powder For Injection (IV)

Epirubicin Hydrochloride 10mg Powder For Injection (Intravenous/Intravesical)

Epirubicin Hydrochloride 2mg/mL Solution For Injection

Epirubicin Hydrochloride 2mg/mL Concentrate for Injection (IV/Intravesical)

Epirubicin Hydrochloride 50 mg Lyophilized Mass For Injection (IV)

Epirubicin Hydrochloride 50 mg Lyophilized Powder For Injection (IV)

Epirubicin hydrochloride 50mg Powder for Injection (IM/IV)

Epirubicin Hydrochloride 50mg Powder For Injection (Intravenous/Intravesical)

Epoetin Alfa 10,000 IU/mL Solution For Injection (IV/SC)

Epoetin Alfa 4,000 IU/mL Solution for Injection (IV/SC)

Epoetin Alfa 4,000IU/0.4mL Solution For Injection (IV/SC)

Epoetin Alfa (Recombinant Human Erythropoietin)

10,000 IU Lyophilized Powder for Injection (IV/SC)


10000 IU/mL Solution for Injection (IV/SC)


2,000 IU/0.5 mL Solution for Injection (IV/SC)


2,000 IU/mL Solution for Injection (IV/SC)


2000 IU Lyophilized Powder for Injection (IV/SC)


4,000 IU Solution For Injection


4,000 IU/ 0.5mL Solution for Injection (IV/SC)


4000 IU/ mL Solution For Injection (IV/SC)


4000 IU/ mL Solution for Injection

Epoetin beta 2,000 I.U./0.3mL Solution for Injection (S.C./I.V.)

Epoetin Beta 30000 IU/ 0.6 mL Solution For Injection (IV/SC)

Epoetin Beta 5,000 I.U./ 0.3 mL Solution for Injection (S.C./I.V.)

Erenumab 140 mg/mL Solution For Injection (SC)

Erenumab 70 mg/mL Solution For Injection (SC)

Eribulin mesilate 500mcg/ mL (1mg/ 2mL)

Solution for IV Injection

Erlotinib 100 mg Film-Coated Tablet

Erlotinib 150 mg Tablet

Page 19 of 58


Administration

Erlotinib 150mg Film-Coated Tablet

Erlotinib (as hydrochloride) 100mg Film-Coated Tablet

Erlotinib (as hydrochloride) 150mg Film-Coated Tablet

Erlotinib (as hydrochloride) 25 mg Film-Coated Tablet

Etanercept 25mg Lyophilized Powder for Subcutaneous Injection

Etanercept 25mg/0.5mL Solution For Injection (SC)

Etanercept 50mg/mL Solution For Injection (S.C.)

Etoposide 100 mg/5 mL Solution For Injection

Etoposide 100 mg/5 mL Solution For Injection (I.V.)

Etoposide 100mg/5mL (20mg/mL)

Solution for Injection IV

Etoposide 20 mg/mL Concentrate For IV Infusion Or Oral Solution

Everolimus 250 mcg Tablet

Everolimus 500 mcg Tablet

Evolocumab 140 mg/mL Pre-filled Syringe for Injection

Evolocumab 140 mg/mL Solution for Injection in Pre-filled Autoinjector

Exemestane 25 mg Film-Coated Tablet

Exemestane 25 mg Tablet

Filgrastim 150 mcg/mL Solution for Injection (IV/SC)

Filgrastim 30 MU/0.5 mL Solution for Injection/Infusion

Filgrastim 300 mcg/ mL Solution For Injection (IV/SC)

Filgrastim 300mcg/ 0.9mL Solution for Injection (IV/SC)

Filgrastim 300mcg/mL Solution for Injection

Filgrastim (Recombinant Granulocyte Colony-Stimulating Factor [Rhu-Gcsf])

300 mcg/mL Solution For Injection (SC/IV)

Filgrastim (Recombinant Human Granulocyte Colony Stimulating Factor

300 mcg/mL Solution For Injection

Fluorouracil 50 mg/mL (500 mg/10 mL and 1 g/20 mL)

Solution For I.V. Infusion

Fluorouracil 50 mg/ mL (500 mg/ 10 mL)


Fluorouracil 50 mg/mL (500 mg/10 mL)

Solution For Injection (IV/IV Infusion)

Fluorouracil 50mg/mL Solution For Injection

Fluorouracil 50mg/mL Solution For Injection (IV Infusion)

Fluorouracil 50mg/mL Solution for Injection (IV)

Follitropin alfa 150 IU/ 0.3mL Solution for Injection (SC/IM)



Follitropin Alfa / Lutropin Alfa 350 IU/150 IU (0.48mL)

Solution For Injection (SC)

Follitropin Alfa / Lutropin Alfa 450 IU/225 IU (0.72 mL)


Follitropin Alfa / Lutropin Alfa 900 IU/450 IU (1.44 mL)


Follitropin Alfa / Lutropin Alfa 150 IU/ 75 IU Powder for Solution for Injection (SC)

Page 20 of 58


Administration

Follitropin Delta 12 mcg/0.36 mL (33.3 mcg/mL)

Solution for Injection (SC)





Gefitinib 250mg Film-Coated Tablet

Gemcitabine 1g Lyophilized Powder for I.V. Infusion

Gemcitabine 1g Lyophilized Powder for Injection (IV)

Gemcitabine 200mg Lyophilized Powder for I.V. Infusion

Gemcitabine (As Hydrochloride) 1 g Lyophilized Powder For Injection

Gemcitabine (As Hydrochloride) 1 g Lyophilized Powder For Injection (I. V. Infusion)

Gemcitabine (As Hydrochloride) 1 g Lyophilized Powder For Injection (I.V.)

Gemcitabine (As Hydrochloride) 1 g Lyophilized Powder For IV Infusion

Gemcitabine (as Hydrochloride) 1 g Lyophilized Powder for Solution for IV Infusion

Gemcitabine (As Hydrochloride) 1g Powder For Solution

Gemcitabine (As Hydrochloride) 1 g Powder For Solution For Injection (I.V.)

Gemcitabine (As Hydrochloride) 200 mg Lyophilized Powder For Injection

Gemcitabine (As Hydrochloride) 200 mg Lyophilized Powder For Injection (I. V. Infusion)

Gemcitabine (As Hydrochloride) 200 mg Powder For Solution For Injection (I.V.)

Gemcitabine (As Hydrochloride) 200 mg Powder For Solution For IV Infusion

Gemcitabine (As Hydrochloride) 200mg Lyophilized Powder for Injection (I.V. Infusion)

Gemcitabine (as hydrochloride) 200mg Lyophilized Powder for Injection (IV)

Gemcitabine (as Hydrochloride) 200mg Lyophilized Powder for Solution for IV Infusion

Gemcitabine (As Hydrochloride) 200mg Powder For Solution

Gemcitabine (as Hydrochloride) 40 mg/ mL Concentrate Solution for Injection for I.V. Infusion

Gemcitabine Hydrochloride 200mg Lyophilized Powder for Injection (I.V.)

Gemcitabine (As Hydrochloride) 1 gram Lyophilized Powder for Injection (IV)

Granisetron 1 mg/mL Solution For I.V. Infusion

Granisetron (hydrochloride) 1 mg/mL (3 mg/3mL)

Solution for I.V. Injection or Infusion

Guselkumab 100 mg Solution For Injection (SC)

Highly Purified Menotrophin 600 IU Powder for Solution for Injection (SC)

Hydroxycarbamide 500 mg Capsule

Hydroxyurea 500 mg Capsule

Ibandronic acid 3 mg/3 mL Prefilled Syringe (IV)

Ibrutinib 140mg Capsule

Idarubicin hydrochloride 1mg/ mL Concentrate for Solution for IV Infusion

Ifosfamide 1 g Powder For Injection (I.V./I.V. Infusion)

Ifosfamide 2 g Powder For Injection (I.V./I.V. Infusion)

Ifosfamide 40mg/mL Solution For Infusion

Page 21 of 58


Administration

IMatinib (as mesilate) 100 mg Capsule

Imatinib (as mesilate) 400 mg Capsule

Imatinib (As Mesilate) 400 mg Film-Coated Tablet

Infliximab 100 mg Powder For Concentrate For Solution For Infusion

Inosiplex 250 mg/5 mL Syrup

Interferon Alfa-2B (Human) 3 million I.U/mL Solution For Injection (I.M./S.C.)

Interferon Alfa-2B (Human) 5 million I.U/mL Solution For Injection (I.M./S.C.)

Interferon Beta-1A (Human) 132 mcg (36 million I.U.)/1.5 mL


Interferon Beta-1A (Human) 66 mcg (18 million I.U)/1.5 mL


Interferon-Beta 1B 250mcg (8million/ IU/mL)

Lyophilized powder for injection (SC)

Irinotecan (As Hydrochloride) 100mg/ 5mL Solution for Intravenous Infusion

Irinotecan (As Hydrochloride) 40mg/ 2mL Solution for Intravenous Infusion

Irinotecan Hydrochloride 20mg/mL Solution for Injection (IV)

Irinotecan Hydrochloride 20mg/mL Solution for IV Infusion

Irinotecan hydrochloride 20mg/mL (100mg/5mL)

Concetrate Solution For Intravenous Infusion

Irinotecan Hydrochloride 20mg/mL (40mg/2mL) (100mg/5mL)

Concentrate For Solution For IV Solution

Irinotecan Hydrochloride 40mg/ 2mL Concentrate for Solution for IV Infusion

Irinotecan hydrochloride (as trihydrate) 20 mg/mL (100 mg/5mL)


Irinotecan hydrochloride (as trihydrate) 20 mg/mL (40 mg/2 mL)


Irinotecan Hydrochloride Trihydrate 100mg/ 5mL Concentrate for Solution for IV Infusion

Irinotecan Hydrochloride Trihydrate 20mg/mL Concentrate Solution for IV Infusion

Irinotecan Hydrochloride Trihydrate 20mg/mL (40mg/2mL and 100mg/5mL)

Concentrate Solution for I.V. Infusion

Ixazomib 2.3mg Capsule

Ixazomib 3mg Capsule

Ixazomib 4mg Capsule

Ixekizumab 80 mg/mL Solution For Injection (SC)

Lapatinib (As Ditosylate) 250 mg Film-Coated Tablet

L-Asparaginase 10,000 IU Lyophilized Powder For Injection

L-Asparaginase 10,000 IU Lyophilized Powder for Injection (IM/IV)

L-Asparaginase 5000 IU Lyophilized mass for injection

L-Asparaginase 5000 IU Lyophilized Powder For Injection

Lenvatinib (as mesilate) 10mg Capsule

Lenvatinib (as mesilate) 4mg Capsule

Letrozole 2.5 mg Film- Coated Tablet

Letrozole 2.5 mg Tablet

Leuprorelin Acetate 1.88mg Powder For Injection (IM/SC) Sustained Release

Page 22 of 58


Administration

Leuprorelin Acetate 11.25 mg Lyophilized Powder for Injection

Leuprorelin Acetate 11.25 mg Lyophilized Powder for Injection (IM/SC)

Leuprorelin Acetate 3.75 mg Lyophilized Powder for Injection (IM/SC Use Only for Once a Month)

Leuprorelin Acetate 3.75mg Lyophilized Powder For Injection

Leuprorelin Acetate 3.75mg Powder for Injection (IM/SC) [Sustained Release]

Leuprorelin Acetate 3.75mg Solution for Injection (I.M./S.C.)

Luprolex 11.25mg Lyophilized Powder for Injcetion (IM/SC) Sustained Release

Melphalan 2 mg Film-Coated Tabet

Menotrophin 150 IU Powder For Solution For Injection (IM/SC)

Menotrophin 75 IU Powder For Solution For Injection (IM/SC)

Mercaptopurine 50 mg Tablet

Methotrexate 100mg/ mL (1g/10mL)

Solution for Injection (IM/IV/IA)

Methotrexate 100mg/mL (1000mg/10mL)

Solution for Injection (IM/IV)

Methotrexate 100mg/mL (500g/5mL)


Methotrexate 2.5 mg Tablet

Methotrexate 25 mg/mL (50mg/ 2mL)

Solution For Injection (IM/IV)

Methotrexate 25mg/mL (50 mg/2mL)

Solution For Injection (IM/IV/Intra-Arterial/Intrathecal)

Methotrexate 50mg/2mL Solution For Injection (I.V)

Methotrexate (As Disodium) 2.5 mg Tablet

Mifamurtide 4mg Powder for Concentrate for Dispersion for Infusion

Mitomycin 10 mg Powder For Injection (I.V.)

Mitomycin C 10 mg Powder For Injection

Mycophenolate Mofetil 250 mg Capsule

Mycophenolate Mofetil 500 mg Film - Coated Tablet

Mycophenolate Mofetil 500 mg Tablet

Mycophenolic Acid (as Mycophenolate Sodium)

360mg Gastro-Resistant Tablets (Film-Coated)

Netupitant/Palonosetron HCl 300mg/500mcg Capsule

Nilotinib (As Hydrochloride Monohydrate) 200 mg Capsule

Nintedanib (as esilate) 100mg Capsule

Nintedanib (as esilate) 150mg Capsule

Octreotide Acetate 100 mcg/mL Solution for Injection (SC/IV)

Octreotide acetate 50mcg/ mL Solution for Injection (IV/SC)

Ondansetron 2 mg/ mL Solution For Intravenous Infusion

Ondansetron 2 mg/mL Solution For Injection

Ondansetron (As Hydrochloride Dihydrate) 2 mg / mL (8 mg / 4 mL)

Solution For Injection (I.M./I.V.)

Ondansetron (As Hydrochloride Dihydrate) 4 mg Film-Coated Tablet

ONDANSETRON (as hydrochloride dihydrate) 8 mg Film Coated Tablet

Page 23 of 58


Administration

Ondansetron (As Hydrocloride Dihydrate) 2 mg/mL Solution For Injection (I.M./I.V.)

Osimertinib (As Mesylate) 40 mg Film-Coated Tablet

Osimertinib (As Mesylate) 80 mg Film-Coated Tablet

Oxaliplatin 100 mg Lyophilized Powder For Injection

Oxaliplatin 100 mg Lyophilized Powder For Solution For I.V Infusion

Oxaliplatin 100mg Lyophilized Powder for Injection (IV Infusion)

Oxaliplatin 2 mg/ mL Concentrate Solution for I.V. Infusion

Oxaliplatin 2mg/mL Solution For IV Infusion

Oxaliplatin 2 mg/mL (100 mg/50 mL)

Solution For Injection (I.V. Infusion)

Oxaliplatin 2 mg/mL (100mg/50mL)

Solution For IV Injection

Oxaliplatin 2mg/mL (50mg/25mL)


Oxaliplatin 2 mg/mL (50 mg/25 mL)

Sterile Solution For IV Infusion

Oxaliplatin 5mg/ mL (50mg/ 10mL)


Oxaliplatin 5 mg/mL Concentrate For Solution For Infusion (IV)

Oxaliplatin 50 mg Lyophilized Powder

Oxaliplatin 50 mg Lyophilized Powder For I.V. Infusion

Oxaliplatin 50 mg Lyophilized Powder For Injection

Paclitaxel 100 mg/17 mL Concentrate Solution For I.V. Infusion

Paclitaxel 100mg Concentrate Solution For IV Infusion (formulated as albumin-bound nanoparticles)

Paclitaxel 20mg Solution for Nanoparticle Injection for Infusion IV

Paclitaxel 6mg/ mL Concentrate Solution (IV)

Paclitaxel 6mg/mL Concentrate Sterile Solution For IV Infusion

Paclitaxel 6mg/mL Solution for I.V. Infusion

Paclitaxel 6 mg/mL Solution For Injection

Paclitaxel 6mg/ mL Solution for Injection (IV Infusion)

Paclitaxel 6 mg/mL Solution For Injection (IV)

Paclitaxel 6mg/ mL Solution for Intravenous Infusion

Paclitaxel 6mg/mL (30mg/5mL)







Concentrate for Solution for Infusion


Concentrate For Solution For IV Infusion


Concentrate for Solution For Injection (IV)

Paclitaxel 6 mg/mL (260 mg/43.3 mL)



Concentrate For Solution For IV Infusion

Page 24 of 58


Administration

Paclitaxel 6 mg / mL ( 100 mg/16.7 mL)






Paclitaxel 6mg/mL (100mg/16.7mL)


Paclitaxel 6mg/mL (150 mg/25 mL)


Palbociclib 100 mg Capsule



Palonosetron HCl 500 mcg Soft Gel Capsule

Pasireotide (as pamoate) 20mg Powder and Solvent for Suspension for Injection (IM)



Pegfilgrastim 6mg/ 0.6mL Solution for Injection (SC)

Peg-interferon Alfa 2 A 135mcg/ 0.5mL Solution for Injection (S.C.)

Peg-interferon Alfa 2 A 180mcg/ 0.5mL Solution for Injection (S.C.)

Pemetrexed 100 mg Lyophilized Powder For Concentrate For Solution For IV Infusion

Pemetrexed 500 mg Lyophilized Powder For Concentrate For Solution For IV Infusion

Pemetrexed (as disodium hemipentahydrate) 100 mg Lyophilized Powder for Injection for I.V. Infusion

Pemetrexed (As Disodium Hemipentahydrate) 100 mg Lyophilized Powder For Intravenous Infusion

Pemetrexed (as Disodium hemipentahydrate) 300mg Lyophilized Powder for IV Infusion

Pemetrexed (As Disodium Hemipentahydrate) 500 mg Lyophilized Powder For Intravenous Infusion

Pemetrexed (as Disodium Hemipentahydrate) 500mg Lyophilized Powder for Injection (IV)

Pemetrexed (As Disodium Hemipentahydrate)

100 mg Powder For Injection

Pemetrexed (As Disodium Hemipentahydrate)

500 mg Powder For Injection

Pemetrexed (as disodium heptahydrate) 100 mg Lyophilized Powder For Intravenous Injection

Pemetrexed (as disodium heptahydrate) 500 mg Lyophilized Powder for Injection for I.V. Infusion

Pemetrexed (as disodium) 100 mg Lyophilized Powder for Injection (IV)

Pemetrexed (as disodium) 100mg Lyophilized Powder For Injection (IV Infusion)

Pemetrexed (as disodium) 100mg Lyophilized Powder for Solution for IV Infusion

Pemetrexed (As Disodium) 100mg Lyophilized Powder for Concentrate Solution for IV Infusion

Pemetrexed (As Disodium) 500 mg Lyophilized Powder For IV Infusion

Pemetrexed (as disodium) 500mg Lyophilized Powder For Injection (IV Infusion)

Pemetrexed (As Disodium) 500mg Lyophilized Powder for Injection (IV)

Pemetrexed (as disodium) 500mg Lyophilized Powder for Solution for IV Infusion

Page 25 of 58


Administration

Pemetrexed (as disodium) 500mg Powder for Concentrate for Solution for I.V. Infusion

Pertuzumab 30 mg/Ml (420mg/14mL)

Concentrate for Solution for Injection (IV Infusion)

Pirenoxine 50 mcg/mL Ophthalmic Suspension

Ponatinib (as Hydrocloride) 15mg Film Coated Tablet

Ponatinib (as Hydrocloride) 45mg Film-Coated Tablet

Ramosetron HCl 100mcg Oral Disintegrating Tablet

Ramucirumab 10 mg/mL Concentrate For Solution For Infusion (IV)

Recombinant Human Erythropoietin 2000IU/0.5mL Solution For Injection

Recombinant Human Erythropoietin Alfa 10,000 I.U./mL Solution For Injection (I.V./S.C.)

Recombinant Human Erythropoietin Alfa 2000 I.U./0.5mL Solution For Injection (I.V./S.C.)

Recombinant Human Erythropoietin Alfa 4000 I.U./0.4mL Solution For Injection (I.V./S.C.)

Recombinant Human Thrombopoietin 15,000 IU/mL Solution For Injection(SC)

Ribociclib 200 mg Film-Coated Tablet

Rituximab 10 mg/ mL Concentrate For Solution For Infusion (IV)

Rituximab 100 mg/ 10 mL Concentrate for Solution for Infusion

Rituximab 500 mg/ 50 mL Concentrate for Solution for Infusion

Ruxolitinib (as Phosphate) 10mg Tablet

Siltuximab 100mg Powder for Concentrate for Solution for Infusion

Sirolimus 0.5mg Sugar-Coated Tablet

Sirolimus 1 mg Sugar-Coated Tablet

Somatostatin (As Acetate Hydrate) 250mcg Lyophilized Powder For Intravenpus Injection

Somatostatin (As Acetate Hydrate) 3mg Lyophilized Powder For Intravenous Injection (IV)

Sorafenib (As Tosylate) 200 mg Film-Coated tablet

Sunitinib malate 25 mg Capsule

Sunitinib malate 50 mg Capsule

Sunitinib maleate 12.5 mg Capsule

Tacrolimus 300 mcg/g (0.03% w/w)

Ointment

Tacrolimus 0.3 mg/g (0.03 % w/w)

Ointment

Tacrolimus 1 mg Capsule

Tacrolimus 1 mg/g (0.1 % w/w) Ointment

Tacrolimus 5 mg Capsule

Tacrolimus 500 mcg Capsule

Tacrolimus (as monohydrate) 1 mg Capsule

Tacrolimus (as monohydrate) 1mg Prolonged-Release Capsule

Tacrolimus (as monohydrate) 500mcg Capsule

Tacrolimus (as monohydrate) 500mcg Prolonged-Release Capsule

Tacrolimus (as monohydrate) 5mg Prolonged-Release Capsule

Tamoxifen (As Citrate) 10 mg Tablet

Page 26 of 58


Administration

Tamoxifen (As Citrate) 20 mg Film- Coated Tablet

Tamoxifen (as citrate) 20 mg Tablet

Tarceva 150 mg Film-Coated Tablet

Tegafur + Uracil 100 mg/224 mg Capsule

Temozolomide 100 mg Capsule

Temozolomide 100 mg Hard Gelatin Capsule





Teriflunomide 14mg Film-Coated Tablet

Testosterone undecanoate 250mg/ mL (1 g/ 4mL)

Solution for Injection (I.M.)

Tocilizumab 200 mg / 10 mL Concentrate For Solution For I.V. Infusion

Tocilizumab 400 mg/ 20 mL Concentrate For Solution For I.V. Infusion

Tocilizumab 80 mg/ 4 mL Concentrate For Solution For I.V. Infusion

Trametinib 2 mg Film-Coated Tablet

Trametinib 500 mcg Film-Coated Tablet

Trastuzumab 150 mg Lyophilized Powder for Concentrate Solution for IV Infusion

Trastuzumab 150 mg Powder For Concentrate For Infusion (IV)

Trastuzumab 150mg Powder for Concentrate for Solution for Infusion

Trastuzumab 440mg Powder for Concentrate for Solution for Infusion

Trastuzumab Emtansine 100 mg Powder for Concentration for Solution For IV Infusion

Trastuzumab Emtansine 160 mg Powder for Concentration for Solution for IV Infusion

Tretinoin 10mg Capsule

Triptorelin (as acetate) 100 mcg/mL Solution for Injection (SC)

Triptorelin Acetate 4.12 mg (equivalent to 3.75 mg Triptorelin)

Powder For Suspension For Injection

Tropisetron Hydrochloride 5mg/ 5mL Solution for (IV) Injection

Ursodeoxycholic Acid 200 mg Tablet

Ustekinumab 130mg/26mL Concentrate for Solution For Infusion (IV)

Vedolizumab 300mg Powder for Concentrate for solution for infusion

Vemurafenib 240 mg Film-coated Tablet

Vinblastine Sulfate 10 mg Powder For Injection (I.V.)

Vincristine Sulfate 1 mg Powder For Solution For Injection IV)

Vincristine Sulfate 1 mg/mL Solution For Injection (I.V.)

Vincristine Sulfate 1 mg/mL (1 mg/mL & 2 mg/2 mL)

Solution for Injection (IV)

Vincristine Sulfate 2 mg Lyophilized Powder for Injection (IV)

Page 27 of 58


Administration

Vinorelbine (as tartrate) 10 mg/ mL Concentrate Solution For IV Infusion

Vinorelbine Tartrate 10 mg/mL Solution For IV Infusion

Zoledronic Acid (as monohydrate) 4 mg Lyophilized Powder For Injection

Page 28 of 58

C. LIST OF MEDICINES FOR MENTAL ILLNESSES


Administration

Alprazolam 25mcg Tablet

Alprazolam 250mcg Tablet

Alprazolam 500 mcg Tablet

Alprazolam 1 mg Tablet

Amisulpride 200 mg Tablet

Amisulpride 400mg Tablet

Amitriptyline Hydrochloride 25 mg Film-Coated Tablet

Aripiprazole 5 mg Tablet

Aripiprazole 15 mg Tablet

Aripiprazole 10mg Orally Disintegrating Tablet

Aripiprazole 15mg Orally Disintegrating Tablet

Aripiprazole 10mg Tablet

Atomoxetine (As Hydrochloride) 25 mg Capsule

Atomoxetine(as hydrochloride) 40mg Capsule




Bromazepam 1.5mg Tablet

Bupropion hydrochloride 150mg Extended-Release Tablet

Carbamazepine 200mg Tablet

Chlorpromazine Hydrochloride 200mg Film Coated Tablet

Chlorpromazine Hydrochloride 100mg Film Coated Tablet

Chlorpromazine Hydrochloride 200mg Tablet

Chlorpromazine(as Hydrochloride) 100mg Tablet

Choline Alfoscerate 400 mg Soft-Gel Capsule

Citicoline 250 mg/mL (500 mg/2 mL) (1 g/4 mL)


Citicoline 500 mg Capsule

Citicoline 125mg/mL Solution For Injection

Citicoline 100mg/mL Adult Solution

Citicoline 250mg/mL (500mg/2mL)

Solution For Injection (IV/IM)

Citicoline 250mg/mL (1g / 4mL)

Solution for Injection (IV/IM)

Citicoline 1 g Tablet

Citicoline 62.5mg/mL (250mg/4mL)


Citicoline 250 mg/mL (500mg/2mL)


Citicoline ( As Sodium ) 250 mg /mL Solution For Injection

Citicoline (As Sodium) 100 mg/5 mL Syrup

Citicoline (As Sodium) 250mg/mL Solution For Injection

Citicoline (As Sodium) 1 g Tablet

Page 29 of 58


Administration

Citicoline (As Sodium) 100 mg/mL Adult Solution (Oral Drops)

Citicoline (As Sodium) 500 mg Film-Coated Tablet

Citicoline (As Sodium) 250 mg/mL Solution For Injection (IM/IV)

Citicoline (as sodium) 250mg/ mL (1g/ 4mL)


Citicoline (As Sodium) 250mg/ mL (500mg / 2mL)

Solution For Injection (I.M./I.V.)

Citicoline (As Sodium) 250mg/ mL (1g / 4mL)

Solution for Injection (I.V./I.M.)

Citicoline (as sodium) 500 mg Capsule

Citicoline (As Sodium) 1 g/4 mL (250 mg/mL)


Citicoline (as sodium) 1 g Film-Coated Tablet

Citicoline (As Sodium) 200 mg Film-Coated Tablet

Citicoline (As Sodium) 250 mg/mL (1g/4 mL)


Citicoline (As Sodium) 500mg/2mL (250mg/mL)


Citicoline (As Sodium) 250mg/mL (500mg/2mL)


Citicoline (As Sodium) 125mg/mL Solution For Injection

Citicoline (as Sodium) 250mg/mL (1 g/4 mL)


Citicoline (As Sodium) 1 g Extended Release Tablet

Citicoline (As Sodium) 500 mg Tablet

Citicoline (as Sodium) 100mg/ mL Adult Solution (Oral Drops)

Citicoline (As Sodium) 125mg/mL Solution For Injection (IM/IV)

Citicoline (As Sodium) 250mg/mL (1g/4 mL) Solution for Injection (IM/IV)

Citicoline Sodium 250mg per mL Solution For Injection(IM/IV)

Citicoline Sodium 250mg/mL (1000mg/4mL)


Citicoline Sodium 125mg/ mL Solution for Injection (IV/IM)

Citicoline Soduim 250mg/mL (1g/4mL) Solution For Injection (IV)

Clorazepate Dipotassium 5mg Capsule

Clozapine 100 mg Tablet

Clozapine 25 mg Tablet

Desvenlafaxine (as succinate) 50 mg Extended Release Tablet

Diazepam 5mg/mL (10mg/2mL) Solution For Injection (IM/IV)

Diazepam 5mg/ mL Solution for Injection (IM/IV)

Diazepam 10 mg Tablet

Donepezil Hydrochloride 5mg Orodispersible Tablet

Donepezil Hydrochloride 10 mg Film-Coated Tablet

Donepezil Hydrochloride 10mg Orodispersible Tablet

Donepezil Hydrochloride 5 mg Film Coated Tablet

Donepezil Hydrochloride 23 mg Film-Coated Tablet

Duloxetine 60mg Delayed-Release Capsule

Duloxetine 30mg Delayed-Release Capsule

Page 30 of 58


Administration

Duloxetine (As Hydrochloride) 30mg Delayed-Release Capsule

Duloxetine (as Hydrochloride) 60mg Delayed-Release Capsule

Duloxetine (As Hydrochloride) 30 mg Capsule

Duloxetine (As Hydrochloride) 60 mg Capsule

Escitalopram 5mg Film-Coated Tablet

Escitalopram 10mg Film-Coated Tablet

Escitalopram 10 mg Tablet

Escitalopram (as oxalate) 10 mg Film-Coated Tablet

Escitalopram (as oxalate) 20 mg Film-Coated Tablet

Escitalopram (As Oxalate) 5mg Film-Coated Tablet

Escitalopram (as oxalate) 5 mg Tablet

Escitalopram (As Oxalate) 5mg Film-Coated Tablet

Escitalopram Oxalate 20 mg Film Coated Tablet

Escitalopram Oxalate 10 mg Film Coated Tablet

Filidon 250mg/mL (500mg / 2mL)

Solution for Injection (IV/IM)

Fluoxetine 20mg Capsule

Fluoxetine (as hydrochloride) 20 mg Capsule

Fluoxetine (as hydrochloride) 20 mg Tablet

Fluoxetine (as hydrochloride) + Olanzapine 20mg/ 5mg Film-Coated Tablet

Fluphenazine Decanoate 25mg/mL Solution for Injection (IM/SC)

Fluphenazine Decanoate 25mg/mL Solution For IM Injection

Fluvoxamine (as maleate) 50 mg Tablet

Haloperidol 5 mg/mL Solution For Injection (Intramuscular Only)

Haloperidol 5 mg Tablet

Haloperidol 20 mg Tablet

Haloperidol 5 mg/mL Solution For Injection (Intramasucular Only)

Haloperidol 5mg/mL Solution For Injection (IM)

Haloperidol Decanoate 50 mg/mL Solution for Injection (IM)


Lamotrigine 25 mg Dispersible/Chewable Tablet

Lithium Carbonate 400 mg Sustained Release Tablet

Mecobalamin 1.5mg Film-Coated Tablet

Memantine hydrochloride 20 mg Film Coated Tablet

Memantine Hydrochloride 10mg Film-Coated Tablet

Midazolam 1 mg/mL (5 mg/5 mL)


Midazolam 5 mg/ mL Solution For Injection (IM/IV)

Midazolam 1mg/mL Solution For Injection

Midazolam(As Hydrochloride) Solution For Injection

Mirazep 30mg Film-Coated Tablet

Mirtazapine 30mg Film Coated Tablet

Page 31 of 58


Administration

Mirtazapine 15 mg Orodispersible Tablet



Neostigmine (as methysulfate) 500mcg/mL Solution For Injection

Neostigmine Methylsulfate 500mcg/mL Solution for Injection (IM/IV/SC)

Neostigmine Methylsulfate 0.50mg/mL Solution for Injection (IM/IV/SC)

Neostigmine Methylsulfate 500mcg/Ml (5mg/10mL)

Solution For Injection (IM/IV/SC

Olanzapine 10 mg Film-Coated Tablet

Olanzapine 10mg Orodispersible Tablet


Olanzapine 20mg Orally Disintegrating Tablet



Olanzapine 10 mg Tablet


Olanzapine 5 mg Orodispersible Tablet

Olanzapine 5mg Tablet

Ondansetron (As Hydrochloride) 2 mg/mL Solution for Injection (IM/IV)

Paliperidone 3 mg Extended-Release Tablet



Paliperidone (as Palmitate) 175mg Prolonged-Release Suspension for Injection (IM)


Paliperidone (as Palmitate) 350mg/5mL Prolonged-Release Suspension for Injection (IM)


Paroxetine 20mg Tablet

Paroxetine (As Hydrochloride) 20 mg Film-Coated Tablet

Piracetam 800 mg Film-Coated Tablet

Piracetam 200mg/mL (1g/5mL) Solution for Injection (I.M./I.V.)

Piracetam 1.2 g Film-Coated Tablet

Piracetam 1200 mg Film-Coated Tablet

Piracetam 400 mg Capsule

Piracetam 800mg Film-Coated Tablet

Piracetam 1.2 g Film-Coated Tablet

Piracetam 200mg/ mL (1000mg/ 5mL)


Piracetam 200mg/mL Solution for Injection (IM/IV)

Piracetam 1200 mg Tablet

Piracetam 200 mg/mL Solution For Injection (IM/IV)

Prochlorpherazine maleate 5 mg Tablet

Page 32 of 58


Administration

Promethazine Hydrochloride 25mg/ mL(50mg/ 2mL)


Quatiapine Fumarate 100 mg Film-Coated Tablet

Quetiapine ( As Fumarate ) 25 mg Film-Coated Tablet

Quetiapine (As Fumarate) 200 mg Film-Coated Tablet


Quetiapine (as fumarate) 200mg Tablet



Quetiapine (as Fumarate) 300mg Film-Coated Tablet

Quetiapine (As Fumarate) 50 mg Extended-Release Tablet



Quetiapine (As Fumarate) 400 mg Extended-Release Tablet

Quetiapine (as Fumarate) 300mg Extended-Release Tablet

Quetiapine (as Fumarate) 200mg Extended-Release Tablet

Quetiapine (As Hemifumarate) 200 mg Tablet



Quetiapine (As Hemifumarate) 300 mg Film-coated Tablet

Quetiapine (As Fumarate) 100 mg Film Coated Tablet

Quetiapine (As Fumarate) 200 mg Film Coated Tablet

Risperidone 2 mg Film-Coated Tablet

Risperidone 4 mg Film-Coated Tablet

Risperidone 1mg/ mL Oral Solution

Risperidone 1 mg Film Coated Tablet

Risperidone 2mg Tablet

Risperidone 4 mg Tablet

Risperidone 3 mg Film Coated Tablet

Risperidone 50 mg Prolonged-Release Powder For Injection (IM)

Risperidone 37.5 mg Prolonged-Release Powder For Injection (IM)

Risperidone 25 mg Prolonged-Release Powder For Suspension For Injection (IM)

Risperidone 1 mg Tablet

Rivastigmine 27 mg/ 15 cm2 (13.3 mg/24 Hours)

Transdermal Patch

Rivastigmine 4.6mg/ 24 hours (9mg/patch)

Transdermal patch

Rivastigmine 9.5mg/24 hours Transdermal Patch

Rivastigmine 4.6mg/24 hours Transdermal Patch

Rivastigmine 9.5mg/24 hours (18mg)

Transdermal Drug Delivery System

Rivastigmine 4.6mg/24 hours (9mg)

Transdermal Drug Delivery System

Rivastigmine (as Hydrogen Tartrate) 3mg Capsule

Page 33 of 58


Administration

Rivastigmine (as Hydrogen Tartrate) 6mg Capsule

Rivastigmine (as Hydrogen Tartrate) 4.5mg Capsule

Rivastigmine (as Hydrogen Tartrate) 1.5mg Capsule

Sertraline 25 mg Film-Coated Tablet

Sertraline 50 mg Tablet

Sertraline (as hydrochloride) 50 mg Film-Coated Tablet

Sertraline (as hydrochloride) 100 mg Tablet

Sertraline (As Hydrochloride) 50mg Tablet

Sertraline (As Hydrochlorode) 100 mg Film-Coated Tablet

Trimipramine maleate 25mg Tablet

Venlafaxine (As Hydrochloride) 75 mg Sustained Release Capsule

Zuclopenthixol Acetate 50mg/mL Solution for Injection (IM)

Page 34 of 58

D. LIST OF MEDICINES FOR TUBERCULOSIS


Administration

Ethambutol HCl + Isoniazid + Pyridoxine HCl

125 mg/100 mg/8 mg Syrup

Ethambutol Hydrochloride 200mg/5mL Syrup

Ethambutol Hydrochloride 400 mg Tablet

Ethambutol Hydrochloride 400mg/5mL Syrup

Ethambutol hydrochloride + Isoniazid + Pyridoxine

125 mg/100 mg/ 10 mg per 5 mL Concentrate For Solution For Infusion

Ethionamide hydrochloride 250 mg Film-Coated Tablet

Isoniazid 100 mg / 5 mL Syrup

Isoniazid 100mg Tablet

Isoniazid 200 mg/5 mL Syrup


Isoniazid 300mg Film-Coated Tablet


Isoniazid (Jar) 300mg Tablet

Isoniazid + Pyridoxine HCl 100 mg/10 mg per 5mL Syrup

Isoniazid + Pyridoxine HCl 200 mg/20 mg per 5mL Syrup

Isoniazid + Pyridoxine Hcl,Rifampicin, Pyrazinamide

200mg/10mg/5mL;200mg/5mL;500mg/5mL Syrup;Suspension;Suspension

Isoniazid + Pyridoxine Hydrochloride

100mg/10mg per 5mL Syrup

Isoniazid + Pyridoxine Hydrochloride

200 mg/20 mg per 5 mL Syrup

Isoniazid + Pyridoxine hydrochloride

200mg/ 12mg/ 5mL Syrup

Isoniazid + Pyridoxine Hydrochloride (Vitamin B6)

200 mg/ 12 mg per 5 mL Pediatric Syrup

Isoniazid + Pyridoxine Hydrochloride (Vitamin B6)

200mg/ 20mg/ 5mL Syrup

Kanamycin (As Sulfate) 1 g Powder For Injection (IM)

Para-aminosalicylate Sodium (PAS Sodium)

600mg/ g (60% w/w) Delayed-Release Granules

Pyrazinamide 250 mg /5 mL Suspension

Pyrazinamide 250 mg/5 mL Oral Suspension

Pyrazinamide 500 mg Tablet

Pyrazinamide 500 mg/5 mL Suspension

Pyrazinamide/Ethambutol HCI/ Rifampicin/ Isoniazid

400mg/275mg/150mg/75mg Tablet

Pyrazinamide; Rifampicin; Isoniazid + Pyridoxine Hydrochloride

250mg/5mL;200mg/5mL;200mg/100mg/5mL Suspension;Suspension;Syrup

Rifampicin 200 mg/ 5 mL Suspension

Rifampicin 450 mg Capsule

Rifampicin; Isonizid + Pyridoxine HCl

200 mg/5 mL ; 200 mg /20 mg per 5 mL Suspension ; Syrup

Rifampicin; Isoniazid + Pyridoxine Hydrochloride

200mg/ 5mL; 200mg/ 12mg per 5mL Kit Contains Suspension + Syrup

Rifampicin; Isoniazid + Pyridoxine Hydrochloride; Pyrazinamide

200mg/ 5mL; 200mg/ 12mg per 5mL; 500mg/ 5mL

Kit Contains Suspension + Syrup

Page 35 of 58


Administration

Rifampicin / Isoniazid (For DOH Use Only)


Rifampicin / Isoniazid / Pyrazinamide / Ethambutol Hcl

150mg / 75mg / 400mg / 275mg Film-Coated Tablet

Rifampicin + Isoniazid 150 mg /75 mg Tablet

Rifampicin + Isoniazid 150 mg/75 mg Film-Coated Tablet

Rifampicin + Isoniazid 450 mg/400 mg Film-Coated Tablet

Rifampicin + Isoniazid and Ethambutol

450 mg/400 mg and 1000 mg Tablet

Rifampicin + Isoniazid + Pyrazinamide + Ethambutol

150mg/75mg/400mg/275mg Film-Coated Tablet

Rifampicin + Isoniazid + Pyrazinamide + Ethambutol Hydrochloride

150 mg/75 mg/400 mg/275 mg Film-Coated Tablet

Rifampicin + Isoniazid+ Pyrazinamide

60 mg/30 mg/150 mg Dispersible Tablet

Rifampicin + Pyrazinamide + Isoniazid

200mg/250mg/200mg Suspension/Suspension/Syrup

Rifampicin/ Ethambutol/ Isoniazid

150mg/275mg/75mg Film-Coated Tablet

Rifampicin/ Ethambutol/ Isoniazid

150mg/275mg/75mg Tablet

Rifampicin/ Isoniazid /Pyridoxine Hcl

200mg/5mL + 200mg/10mg/5mL Suspension/Syrup

Rifampicin/ Isoniazid/ Pyrazinamide/ Ethambutol (For Department of Health Use Only)

150mg/ 75mg/ 400mg/ 275mg Tablet

Streptomycin (as Sulfate) 1g Powder for Injection (IM)

Page 36 of 58

E. LIST OF MEDICINES FOR KIDNEY DISEASES

Generic Name Dosage Strength Dosage Form and Route

of Administration

20% Mannitol Each 100 mL contains 20 q.s. Solution For IV Injection

Alpha Ketoanalogue + Essential Amino Acids

67mg, 101mg, 68mg, 86mg, 59mg, 105mg, 53mg, 23mg, 38mg, 30mg, 36mg, 50mg

Film Coated Tablet

Alpha Ketoanalogues + Essential Amino Acids

105mg, 101mg, 86mg, 68mg, 67mg, 59mg, 53mg, 38mg, 36mg, 30mg, 23mg, 68mg,101mg

Film-Coated Tablet

Amlodipine (As Besilate) + Hydrochlorothiazide


Amlodipine (As Besilate) + Hydrochlorothiazide

5 mg/12.5 mg Tablet

Atenolol/ Chlorthalidone 50mg/12.5mg Tablet

Bicarbonate Buffered Solution for Haemofiltration

34g/ 1.10g/ 0.51g/ 5.49g Solution for Haemofiltration

Bisoprolol Fumarate / Hydrochlorothiazide

2.5 mg / 6.25 mg Film-Coated Tablet

Bisoprolol Fumarate + Hydrochlorothiazide


Bisoprolol fumarate + Hydrochlorothiazide



250mg Tablet

Blumea balsamifera (L.) D.C. (Sambong Leaf)

500mg Tablet

Blumea Balsamifera (Sambong Leaf)

500mg Tablet

Candesartan Cilexetil + Hydrochlorothiazide


Carmona retusa (Vahl.) Masam (Tsaang gubat leaf)

250 mg Tablet

Carmona Retusa (Vahl.) Masam (Tsaang Gubat Leaf)

500 mg Tablet

Cinnamomum burmannii (Nees) DLBS2411

250mg Caplet

Coleus Amboinicus Lour (Oregano Leaf)

375 mg Capsule

Coleus Amboinicus Lour. (Oregano Leaf)

125 mg/ 5mL Syrup

Dextrose Hydrous + Electrolytes

Each 100 mL contains: Dextrose hydrous 4.25 g Sodium Chloride 538 mg Sodium Lactate 448 mg Calcium Chloride 18.3 mg Magnesium Chloride 5.08 mg

Solution For Peritoneal Dialysis

Peritoneal Dialysis Solution Low Calcium with 1.5 % Dextrose

Each 100 mL contains: Dextrose Hydrous 1.5 g Sodium Chloride 538 mg Sodium Lactate 448 mg Calcium Chloride Dihydrate 18.3 mg Magnesium Chloride Hexahydrate 5.08 mg

Solution for Intraperitoneal Administration

DLBS3233 Lagerstroemia Speciosa (L.) Pers. (Banaba Leaf) And Cinnamomum Burmannii (Nees & T. Nees) Blume (Indonesian Cinnamon Bark)

100 mg Capsule

Each 100g (approx. 82.64 mL) syrup contains: 34.5g Herbal ethanolic mixture (see reverse)

Each 100g (approx. 82.64 mL) syrup contains: 34.5g Herbal ethanolic mixture from: Sambucus nigra L. (Elder flower) 207 mg Primula veris L. and Primula elatior (L.) Hill (Primula flower with calyx) 207 mg Rumex crispus L. (Common sorrel

Syrup (Oral Drops)

Page 37 of 58


of Administration

herb) 207 mg Verbena officinalis L. (Verbena herb) 207 mg Gentiana lutea L. (Gentian root) 69 mg

Each dragée contains: Sambucus nigra L. (Elder flower) 36mg; Primula veris L. and Primula elatior (L.) Hill (Primula flower with calyx) 36mg; Rumex crispus L. (Common sorrel herb) 36mg; Gentiana lutea L. (Gentian root) 12mg

Each dragée contains: Sambucus nigra L. (Elder flower) 36mg; Primula veris L. and Primula elatior (L.) Hill (Primula flower with calyx) 36mg; Rumex crispus L. (Common sorrel herb) 36mg; Gentiana lutea L. (Gentian root) 12mg

Dragée

Enalapril Maleate + Hydrochlorothiazide


Enalapril Maleate + Hydrochlorothiazide

10 mg/25 mg Tablet

Furosemide 10 mg/mL (20 mg/2 mL) Solution For Injection (I.M./I.V.)

Furosemide 10 mg/mL (20 mg/mL) Solution For Injection

Furosemide 10mg/mL Solution For Injection (IM/IV)

Furosemide 20mg Tablet

Furosemide 20mg/2mL Solution for Injection


Furosemide (as sodium) 10 mg/mL (20 mg/2 mL) Solution For Injection (IV/IM)

Gentianae Radix (Gentian Root), Primulae Flos (Primrose Flowers With Calyx), Rumicus Herba (Common Sorrel Herb), Sambuci Flos (Elder Flowers), Verbenae Herba (Shop Vervain Wort)

6mg/18mg/18mg/18mg/18mg Dragee

Herba Thujae Occidentalis (White Cedar Leaf) + Radix Echinaceae (Cone Flower Root) + Radix Baptisiae Tinctoriae (Wild Indigo Root)

2mg / 7.5mg / 10mg Tablet

Hydralazine HCl 20 mg/mL Solution For Injection (IM/IV)

Hydrochlorothiazide 12.5 mg Tablet

Hydrochlorothiazide 12.5 mg Film-Coated Tablet

Hydrochlorothiazide 25 mg Film-Coated Tablet

Hydrochlorothiazide 25mg Tablet


Imidapril Hydrochloride + Hydrochlorothiazide

10mg/12.5mg Tablet

Iodine (as Iopamidol) 370mg/mL (Equi. To 755.3mg/mL Iopamidol) Solution For Injection

Iohexol 350mg/mL Solution For Injection

Irbesartan + Hdyrochlorothiazide

150 mg/ 12.5 mg Tablet

Irbesartan + Hydrochlorothiazide

150 mg/12.5 mg Film-Coated Tablet



Page 38 of 58


of Administration



Irbesartan+Hydrochlorothiazide

300mg/12.5mg Tablet

Keto Analogues + Essential Amino Acids

Each film-coated tablet contains: Alpha-ketoisoleucine calcium salt- 67mg; Alpha-ketoleucine calcium salt- 101mg; Alpha-ketophenylalanine calcium salt- 68mg; Alpha-ketovaline calcium salt- 86mg; Alpha-hydroxymethionine calcium salt- 59mg; L-lysine acetate- 105mg; L-threonine- 53mg; L-tryptophan- 23mg; L-histidine- 38mg; L-tyrosine- 30mg

Film-Coated Tablet

Ketoanalgoues + Essential Amino Acids

101mg, 86mg, 68mg, 67mg, 59mg, 105mg, 53mg, 38mg, 30mg, 23mg

Film-Coated Tablet

Ketoanalogies + Essential Amino Acids

600mg Film-Coated Tablet

Ketoanalogues + Essential Amino Acids

101mg, 86mg, 68mg, 67mg, 59mg, 59mg, 105mg, 53mg, 38mg, 30mg, 23mg

Film-Coated Tablet


101mg/86mg/68mg/67mg/59mg/105mg/53mg/38mg/30mg/23mg

Film-Coated Tablet


Calcium-3-methyl-2-oxo-valerate (a-Ketoanalogue to Isoleucine, Calcium salt) 67 mg Calcium-4-methyl-2-Oxo-valerate (a-Ketoanalogue to Leucine, Calcium salt) 101 mg Calcium-2-oxo-3-phenyl-propionate (a-Ketoanalogue to Phenylalanine, Calcium salt) 68 mg Calcium-3-methyl-2-oxo-butyrate (a-Ketoanalogue to Valine, Calcium salt) 86 mg Calcium-DL-2-hydroxy-4(methylthio) butyrate (a-Ketoanalogue to Methionine, Calcium salt) 59 mg L-Lysine acetate (equivalent to L-Lysine 75 mg) 105 mg L-Threonine 53 mg L-Tryptophan 23 mg L-Histidine 38 mg L-Tyrosine 30 mg

Film-Coated Tablet


Combination Film-Coated Tablet


Each film-coated tablet contains: Calcium-4-methyl-2-oxo-valerate (a-ketoanalogue to leucine, calcium salt)-101mg Calcium-3-methyl-2-oxo-butyrate (a-ketoanalogue to valine, calcium salt)-86mg Calcium-2-oxo-3-phenylpropionate (a-ketoanalogue to phenylalanine, calcium salt)-68mg Calcium-3-mehtyl-2-oxo-valerate (a-ketoanalogue to isoleucine, calcium salt)-67mg Calcium-DL-2-hydroxy-4 (methylthio) butyrate (a-ketoanalogue to methionine, calcium salt)-59mg L-Lysine acetate-105mg L-Threonine-53mg L-Histidine-38mg L-Tyrosine-30mg L-Tryptophan-23mg

Film-Coated Tablet


Each film-coated tablet contains: Calcium-4-methyl-2-oxo-valerate (a-ketoanalague to leucine, calcium salt) 101 mg L-Lysine Acetate 105 mg Calcium-3-methyl-2-oxo-butyrate (a-ketoanalague to valine, calcium salt) 86 mg L-Threonine 53mg Calcium-2-oxo-3-phenylpropionate (a-ketoanalague to phenylalanine, calcium salt) 68 mg L-Histidine 38 mg

Film-Coated Tablet

Page 39 of 58


of Administration

Calcium-3-methyl-2-oxo-valerate (a-ketoanalague to isoleucine, calcium salt) 67 mg L-Tyrosine 30 mg Calcium-DL-2-hydroxy-4-methylthio) butyrate (a-ketoanalague to methionine,calcium salt) 59 mg L-Trytophan 23ing


Each film-coated tablet contains: Calcium-4-methyl-2-oxo-valerate (a-ketoanalogue to leucine, calcium salt)-101 mg Calcium-3-methyl-2-oxo-butyrate (a-ketoanalogue to valine, calcium salt)-86 mg Calcium-2-oxo-3-phenylpropionate (a-ketoanalogue to phenylalanine, calcium salt)-68 mg Calcium-3-methyl-2-oxo-valerate (a-ketoanalogue to isoleucine, calcium salt)-67 mg Calcium-DL-2-hydroxy-4-methylthio) butyrate (a-hydroxynalogue to methionine, calcium salt)-59 mg L-Lysine Acetate-105 mg L-Threonine-53 mg L-Histidine-38 mg L-Tyrosine-30 mg L-Tyrptophan-23 mg

Film-Coated Tablet


Each film-coated tablet contains: Ketoanalogues: Calcium-4-methyl-2-oxo-valerate 101 mg Calcium-3-methyl-2-oxo-butyrate 86 mg Calcium-2-oxo-3-phenylpropionate 68 mg Calcium-3-methyl-2-oxo-valerate 67 mg Calcium-DL-2-hydroxy-4-(methylthio)Butyrate 59 mg Essential Amino Acids L-Lysine Acetate 105 mg L-Threonine 53 mg L-Histidine 38 mg L-Tyrosine 30 mg L-Tryptophan 23 mg

Film-Coated Tablet

Ketoanalogues + Essential Amino Acids (see reverse for complete formulation)

Each film-coated tablet contains: Calcium-4-methyl-2-oxo-valerate (a-ketoanalogue to leuceine, calcium salt) 101 mg Calcium-3-methyl-2-oxo-butyrate (a-ketoanalogue to valine, calcium salt) 86 mg Calcium-2-oxo-3-phenylpropionate ( a-ketoanalogue to phenylalanine, calcium salt) 68 mg Calcium-3-methyl-2-oxo-valerate (a-ketoanalogue to isoleucine, calcium salt) 67 mg Calcium-DL-2-hydroxy-4-(methylthio) butyrate (a-ketoanalogue to methionine, calcium salt) 59 mg L-Lysine Acetate 105 mg L-Threonine 53 mg L-Histidine 38 mg L-Tyrosine 30 mg L-Tryptophan 23 mg

Film-Coated Tablet

Ketoanalogues + Essential Amino Acids (see reverse for formulation)

Alpha-ketoisoleucine calcium salt 67 mg Alpha - ketoleucine calcium salt 101 mg Alpha - ketophenylalanine calcium salt 68 mg Alpha-ketovaline calcium salt 86 mg Alpha - hydroxymethionine calcium salt 59 mg L- lysine acetate 105 mg L-threonine 53 mg L - tryptophan 23 mg L - histidine 38 mg L-tyrosine 30 mg

Film-Coated Tablet


50mg/12.5mg Film-Coated Tablet

Page 40 of 58


of Administration


100 mg/25 mg Tablet





Mannitol 20 % Solution Solution For I.V. Infusion

Mannitol 200 mg/mL (20% w/v) Solution for I.V. Injection

Mannitol 200mg/mL (20% w/v) Solution For Intravenous Infusion

Mannitol 20g/100mL (20%v/v) Solution for Injection (IV)

Mannitol 50G/250mL Solution For Intravenous Infusion


20 mg/12.5 mg Film-coated Tablet



Perindopril Arginine/ Indapamide


Peritoneal Dialysis

Each 100 mL contains: Dextrose Hydrous 2.5 g Sodium Chloride 538 mg Sodium Lactate 448 mg Calcium Chloride Dihydrate 25.7 mg Magnesium Chloride Hexahydrate 5.08 mg


Peritoneal Dialysis Solution with 1.5% Dextrose

1.5% Dextrose Solution


Each 100 mL contains: Dextrose Monohydrate 1.5 g Sodium Chloride 550 mg Sodium Lactate Anhydrous 392 mg Calcium Chloride Dihydrate 25.7 mg Magnesium Chloride Hexahydrate 15.2 mg Sodium Metabisulfite (approx. 3 meq/L) 30mg Electrolytes in IL: Sodium 129 mEq Calcium 3.5 mEq Magnesium 1.5 mEq Chloride 99 mEq Lactate 35 mEq



Each 100mL contains 1.5 g Dextrose Monohydrate, 550mg Sodium Chloride, 392mg Sodium Lactate, Anhydrous (equivalent to 784mg Sodium Lactate Solution, 50%, 25.70 Calcium Chloride, Dihydrate, 15.2mg Magnesium Chloride, Hexahydrate & 30mg Sodium Metabisulfite)

Dialysis Solution (Intraperitoneal)




2.3% Dextrose Solution for Intraperitoneal Administration



Peritoneal Dialysis Solution With 4.25% Dextrose

Each 100 mL contains 4.25 g Dextrose Monohydrate, 550 mg Sodium Lactate, Anhydrous, 25.7 mg Calcium Chloride, Dihydrate, 15.2 mg Magnesium Chloride, Hexahydrate & 30 mg Sodium Metabisulfite

Dialysis Solution

Page 41 of 58


of Administration


Each 100 mL contains 4.25 g Dextrose Monohydrate, 550mg Sodium Chloride, 392mg Sodium Lactate, 25.7mg Calcium Chloride, Dihydrate, 15.2mg Magnesium Chloride, Hexahydrate



1.5% Dextrose Solution for Intraperitoneal Administration

Peritoneal Dialysis With 1.5% Dextrose

Each 100 mL contains 1.5 g Dextrose Monohydrate, 550 mg Sodium Chloride, 392 mg Sodium Lactate Anhydrous, 25.7 mg Calcium Chloride Dihydrate & 15.2 mg Magnesium Chloride Hexahydrate

Dialysis Solution

Phyllanthus Niruri L. 25 mg/ 5 mL Syrup

Phyllanthus niruri L. 250 mg Capsule (equivalent to 50 mg extract)

Pinene (Alpha + Beta) 31 Mg; Camphene 15 Mg; Cineol 3 Mg; Fenchone 4 Mg; Borneol 10 Mg; Anethol 4 Mg; Olive Oil 33 Mg

31 mg + 15 mg + 3 mg + 4 mg + 10 mg + 4 mg + 33 mg

Capsule

Plantago Ovata Forssk. (Ispaghula Seed) + Plantago Ovata Forssk. (Ispaghula Husk) + Senna Alexandrina Mill. (Tinnevelly Senna Pods)

2.6 g/ 110 mg/ 340 mg - 660 mg (equivalent to 15 mg hydroxyanthracene derivatives calculated as Sennoside B) per 5 g

Granules for Oral Use

Potassium Citrate 10 mEq Tablet

Potassium Citrate 1080mg Extended-Release Tablet

Potassium Citrate 1620 mg (Eq. 15 mEq) Extended-Release Tablet

Potassium Citrate (As Monohydrate)

1080 mg (10 mEq) Extended-Release Tablet

Sambong Leaf (Blumea Balsamifera L.)

250 mg Tablet

Sevelamer Carbonate 800 mg Film Coated Tablet

Sevelamer Carbonate 800mg Tablet

Sodium Bicarbonate + Sodium Chloride

627g/224g Powder for Hemodialysis Solutiion

Spirinolactone 50 mg Tablet




Spironolactone 25mg Tablet


Telmisartan + Hydrochlorothiazide





80 mg/ 12.5 mg Tablet




80mg/25mg Tablet

Torasemide 10mg Prolonged-Release Tablet

Page 42 of 58


of Administration

Torasemide 5mg Prolonged-Release Tablet

Valsartan 80mg/12.5MG Film-Coated Tablet

Valsartan + Hydrochlorothiazide

160 mg/25 mg Tablet



Valsartan +Hydrochlorothiazide








Page 43 of 58

F. LIST OF MEDICINES FOR DIABETES


Administration

Acarbose 100 mg Tablet

Acarbose 25mg Tablet

Acarbose 50 mg Tablet

Acarbose 50 mg Film-Coated Tablet

Alogliptin (as benzoate) 6.25 mg, 12.5 mg, 25 mg

Film-coated tablet

Alogliptin (as benzoate) + Metformin Hydrochloride

12.5 mg/1 g Film-Coated Tablet

Alogliptin (as benzoate) + Metformin Hydrochloride

12.5mg/ 500mg Film-Coated Tablet

Alogliptin (as benzoate) + Pioglitazone (as hydrochloride)





25 mg/ 30 mg Film-Coated Tablet



Insulin Aspart 100 Units/mL Solution for Injection (S.C.)

Biphasic Insulin 100 IU/mL Suspension for Injection (SC)

Biphasic Insulin Aspart 100 Units/mL Suspension for Injection (SC)

Biphasic Insulin Aspart 30 100 IU/mL Suspension for injection (SC)

Biphasic Insulin Aspart 50 100 Units/mL Suspension for injection (SC)

Biphasic Isophane Human Insulin 30/70 (Recombinant Dna)

100 IU/mL Suspension For Injection (IM/SC)



Biphasic Isophane Human Insulin 70/30 (rDNA Origin)

100 IU/mL (Equivalent to 3.571 mg/mL)

Suspension For Injection (SC)



Biphasic Isophane Insulin (Rdna Origin) 100 IU/mL Suspension For Injection (SC)

Biphasic Isophane Insulin Human (Recombinant DNA Origin)

100IU/mL Suspension for Injection (SC) (30% Regular Insulin Human/70% Isophane Insulin Human)

Human Regular Insulin 100 I.U./mL

Solution for Injection (I.M./S.C./I.V.); Solution for Injection (S.C./I.V.); Solution for Injection (S.C.); Suspension for Injection (S.C.)

Neutral Insulin Human + Isophane Insulin Human

100 I.U./mL


Recombinant Human Insulin 100 I.U./mL


Isophane Insulin (Recombinant DNA) 100 Units/mL Suspension for Injection (SC)

Isophane Insulin Human (Recombinant DNA)

100 I.U./mL Suspension for Injection (SC)

Regular Recombinant Human Insulin 100 I.U./mL Solution for injection (IM/IV/SC) (Cartridge)

Regular Recombinant Human Insulin 100 I.U./mL Solution for injection (IM/IV/SC) (Vial)

Canagliflozin (as hemihydrate) + Metformin Hydrochloride


Page 44 of 58


Administration




50mg/1g Film-Coated Tablet

Dapagliflozin 5 mg Tablet

Dapagliflozin 10 mg Tablet

Canagliflozin 100 mg Film-Coated Tablet

Canagliflozin 300 mg Film-Coated Tablet

Empagliflozin 10 mg Film-Coated Tablet

Empagliflozin 25 mg Film-Coated Tablet

Repaglinide 500 mcg Tablet

Repaglinide 1 mg Tablet

Repaglinide 2 mg Tablet

Nateglinide 120 mg Film-Coated Tablet

Dapagliflozin (As Propanediol Monohydrate)

10 mg Film-Coated Tablet

Dapagliflozin (As Propanediol Monohydrate)


Dapagliflozin (As Propanediol Monohydrate) + Metformin Hydrochloride



10 mg/500 mg Tablet

Dapagliflozin + Metformin Hydrochloride 10 mg/1000 mg Tablet




5 mg/500 mg Tablet

Dapagliflozin + Metformin Hydrochloride 5 mg/1000 mg Tablet

DLBS3233 Lagerstroemia Speciosa (L.) Pers. (Banaba Leaf) And Cinnamomum Burmannii (Nees & T. Nees) Blume (Indonesian Cinnamon Bark)

100 mg Capsule

Linagliptin 5 mg Tablet

Empagliflozin + Linagliptin 10 mg/5 mg Film-Coated Tablet

Empagliflozin + Linagliptin 25 mg/5 mg Film-Coated Tablet

Empagliflozin + Metformin 5 mg/500 mg Film-Coated Tablet

Empagliflozin + Metformin 5 mg/850 mg Film-Coated Tablet

Empagliflozin + Metformin 5 mg/1 g Film-Coated Tablet

Empagliflozin + Metformin 12.5 mg/500 mg Film-Coated Tablet

Empagliflozin + Metformin 12.5 mg/850 mg Film-Coated Tablet

Empagliflozin + Metformin 12.5 mg/1 g Film-Coated Tablet

Ertugliflozin 15mg Film-Coated Tablet

Ertugliflozin 5mg Film-Coated Tablet

Exenatide 2 mg Powder for Suspension for Injection (S.C.)

Exenatide 250 mcg/mL (10 mcg/dose)


Exenatide 250 mcg/mL (5mcg/dose)


Lixisenatide 10 mcg + 0.2 mL (0.15 mg/3 mL)

Solution for Injection (S.C.)

Page 45 of 58


Administration

Lixisenatide 20 mcg + 0.2 mL Solution for Injection (S.C.)

Dulaglutide 1.5mg/0.5mL Solution for Injection

Dulaglutide 0.75mg/0.5mL Solution for Injection

Gemigliptin 50 mg Film-Coated Tablet

Glibenclamide 5 mg Tablet

Gliclazide 30 mg Modified-Release Tablet

Gliclazide 30 mg Prolonged-Release Tablet


Gliclazide 60 mg Prolonged-Release Tablet


Gliclazide 80 mg Tablet

Glibenclamide 5 mg Tablet

Glimeperide 2 mg Tablet

Glimepiride 1 mg Tablet

Glimepiride 1 mg Film-Coated Tablet






Glimepiride + Metformin hydrochloride 2mg/ 250mg Film-Coated Tablet

Glimepiride + Metformin Hydrochloride 2mg/ 500mg Prolonged-Release Tablet

Glimepiride + Metformin hydrochloride 2mg/ 500mg Extended-Release Tablet

Glimepiride + Metformin hydrochloride 2mg/ 500mg Film-Coated Tablet

Glimepiride + Metformin Hydrochloride 2mg/500mg Sustained- Release Tablet

Metformin + Glimepiride 500 mg / 1 mg Tablet

Metformin + Glimepiride 500 mg / 2 mg Tablet

Metformin + Glipizide 500 mg / 5 mg Tablet

Metformin + Gliclazide 500 mg / 80 mg Film-Coated Tablet

Metformin + Gliclazide 850 mg / 80 mg Film-Coated Tablet

Glipizide 2.5 mg Tablet

Glipizide 2.5 mg Extended-Release Tablet

Glipizide 10 mg Extended-Release Tablet

Glipizide 10 mg Controlled-Release Tablet

Glipizide 5 mg Tablet

Glipizide 5 mg Extended-Release Tablet

Glipizide 5 mg Controlled-Release Tablet

Human Insulin (Rdna) 100 IU/mL Solution For Injection (IM/IV/SC)

Insulin degludec 100 Units/mL Solution for Injection (S.C.)

Insulin degludec and Insulin aspart 100 Units/mL (70% Insulin Degludec/30% Insulin Aspart)


Page 46 of 58


Administration

Insulin Degludec + Liraglutide 100 units/ 3.6mg per mL


Insulin Detemir 100 U/ mL Solution for injection

Insulin Glargine 100 IU/mL Solution For Injection (SC)

Insulin Glargine 300 Units/mL Solution for Injection (S.C.)

Insulin Glargine

100 Units/mL (3.64 mg Insulin glargine Equivalent To 100 Units Human Insulin)


Insulin glulisine 3.49 mg / mL (equivalent to 100 units / mL)


Insulin glulisine 3.49 mg / mL (equivalent to 100 units / mL)

Solution for Injection (Subcutaneous/Continuous S.C. Pump Infusion/Intravenous)

Insulin glargine and Lixisenatide

3.64 mg (equivalent to 100 Units of Insulin glargine/ 33 mcg per mL Solution)


Insulin glargine and Lixisenatide

3.64 mg (equivalent to 100 Units of Insulin glargine/ 50 mcg per mL Solution)


Insulin glargine and Lixisenatide 100 units per 33 mcg per mL


Insulin glargine and Lixisenatide 100 units per 50 mcg per mL


Insulin lispro (rDNA origin) 100 Units/mL (3.5 mg/mL)

Solution for Injection (I.V./S.C./I.M.)

Insulin lispro (50% Insulin Lispro and 50% Insulin-Lispro-Protamine Sulfate)

100 Units/mL (3.5 mg/mL)

Suspension for Injection (S.C.)

Insulin lispro (25% Insulin Lispro and 75% Insulin-Lispro-Protamine Sulfate)

100 Units/mL (3.5 mg/mL)

Suspension for Injection (S.C.)

Insulin Human 100 IU/ mL Solution for Injection (IM/SC)

Insulin Human (Edna Origin) 100 IU/ mL Suspension For Injection

Insulin Human (Rdna Origin) 100 IU/mL (Equivalent to 3.571 mg/mL)

Solution For Injection (SC/IV)

Insulin Human (rDNA) 100 IU/mL Suspension For Injection (S.C.)

Insulin Human (rDNA) 100 IU/mL (Equivalent to 3.571 mg/mL)


Insulin Human (Regular) 100 IU/mL Solution for Injection (SC)

Insulin Human + Isophane Insulin Human 30 IU/70IU per mL Suspension for Injection

Insulin Human + Isophane Insulin Human (Biosynthetic)

30 IU/70IU per mL Suspension for Injection (IM/SC)

Isophane Insulin (Rdna) 100 I.U./mL Suspension For Injection (SC)

Isophane Insulin Human 100 I.U./mL Suspension for Injection (I.M./S.C.)

Isophane Insulin Human 100 IU/mL Solution for Injection (SC)

Isophane Insulin Human (Rdna Origin) 100 I.U./ mL Suspension For Injection (S.C.)

Isophane Insulin Human (Rdna Origin) 100 IU/mL (Equivalent to 3.571 mg/mL)


Isophane Insulin Human (Recombinant Dna)


Isophane Insulin Human, Recombinant DNA

100IU/mL Suspension for Injection (SC)

Linagliptin + Metformin Hydrochloride 2.5mg/1g Film Coated Tablet

Linagliptin + Metformin Hydrochloride 2.5mg/500mg Film Coated Tablet

Page 47 of 58


Administration

Linagliptin + Metformin Hydrochloride 2.5mg/850mg Film Coated Tablet

Metformin 500 mg Film-Coated Tablet

Metformin 500 mg Tablet

Metformin 500mg Extended-Release Tablet

Metformin 500mg Sustained-Release Capsule

Metformin 500mg Oral Solution

Metformin 750 mg Extended-Release Tablet




Metformin 850 mg Oral Solution




Metformin 1000 mg Sustained-Release Capsule

Metformin 1000 mg Oral Solution

Metformin (as Hydrochloride) 500 mg Film-Coated Tablet

Metformin (as hydrochloride) 850mg Film-Coated Tablet

Metformin (As Hydrochloride) / Glibenclamide


Metformin (As Hydrochloride) + Glibenclamide

250 mg/ 1.25 mg Film-Coated Tablet



Metformin (As Hydrochloride) / Glibenclamide

500 mg/5 mg Tablet


1 g / 5 mg Tablet

Metformin HCl 500 mg Film Coated Tablet

Metformin HCl 500mg Extended-Release Tablet

Metformin HCl 850mg Film-Coated Tablet

Metformin Hydochloride 1 g Film-Coated Tablet

Metformin Hydrochloride 1 g Extended-Release Tablet

Metformin Hydrochloride 1 g Tablet

Metformin Hydrochloride 1 g Sustained-Release Tablet

Metformin Hydrochloride 1000 mg Sustained Release Tablet

Metformin Hydrochloride 500 mg Extended-Release Tablet

Metformin Hydrochloride 500 mg Film Coated Tablet

Metformin Hydrochloride 500 mg Tablet

Metformin Hydrochloride 500 mg Sustained Release Tablet

Metformin Hydrochloride 750mg Extended Release Tablet

Metformin Hydrochloride 850 mg Film-Coated Tablet

Metformin Hydrochloride 850 mg Tablet

Metformin Hydrochloride + Glibenclamide 500 mg/2.5 mg Film-Coated Tablet

Metformin Hydrochloride + Glibenclamide 500 mg/5 mg Film-Coated Tablet

Page 48 of 58


Administration

Pioglitazone (as Hydrochloride) 15 mg Tablet



Pioglitazone (as Hydrochloride) + Glimepiride

15mg/ 2mg Tablet

Pioglitazone (as Hydrochloride) + Glimepiride

30 mg/2 mg Tablet

Pioglitazone (As Hydrochloride) + Metformin (As Hydrochloride)


Pioglitazone (As Hydrochloride) + Metformin (as Hydrochloride)


Pioglitazone HCl + Metformin HCl 30mg/500mg Sustained-release tablet

Pioglitazone + Metformin + Glimepiride 15 mg/500 mg/1 mg Film-Coated Tablet

Pioglitazone + Metformin + Glimepiride 15 mg/500 mg/2 mg Film-Coated Tablet

Pioglitazone Hydrochloride 15 mg Tablet

Pioglitazone Hydrochloride 30 mg Tablet

Recombinant Human Insulin (70% Isophane/30% Soluble)

100 IU/mL Suspension for Injection (SC)

Recombinant Human Insulin Isophane 100 IU/mL Suspension For Injection (I.M./S.C.)

Regular Insulin Human (Rdna Origin) 100 I.U./ mL Solution For Injection (S.C.)

Regular Insulin Human (Recombinant DNA)

100 IU/mL Solution For Injection (IM-IV-SC)

Regular Recombinant Human Insulin 100 IU/mL Solution For Injection (I.M./I.V./S.C.)

Saxagliptin (As Hydrochloride) 2.5 mg Film-Coated Tablet

Saxagliptin (As Hydrochloride) 5 mg Film-Coated Tablet

Saxagliptin (as Hydrochloride) + Metformin Hydrochloride (in extended release form)

2.5mg/ 1g Film-Coated Tablet


5 mg/ 1 g Film-Coated Tablet



Saxagliptin + Dapagliflozin 5 mg/10 mg Film-Coated Tablet

Semaglutide 0.25 mg/0.19 mL (1.34 mg/mL)


Sitagliptin (as Monohydrate Phosphate) + Metformin Hydrochloride

50mg/1g Film-Coated Tablet

Sitagliptin (as Monohydrate Phosphate) + Metformin Hydrochloride


Sitagliptin (As Monohydrate Phosphate) + Metformin Hydrochloride


Sitagliptin (As Phosphate Monohydrate) 100mg Film-Coated Tablet

Sitagliptin (as phosphate monohydrate) 50mg Film-Coated Tablet

Sitagliptin (As Phosphate Monohydrate) + Metformin Hcl

100 mg; 500 mg Film Coated Tablet; Film Coated Tablet

Sitagliptin (As Phosphate Monohydrate) + Metformin Hcl

50 mg; 500 mg Film Coated Tablet; Film Coated Tablet

Sitagliptin (as phosphate) 25 mg Film-Coated Tablet

Sitagliptin (as phosphate) 100mg Film-Coated Tablet

Sitagliptin (as Phosphate) 50mg Film-Coated Tablet

Sitagliptin + Metformin Hydrochloride 100 mg/1 g Extended Release Film Coated Tablet

Sitagliptin Phosphate 100 mg Film-Coated Tablet

Page 49 of 58


Administration

Sitagliptin + Simvastatin 100 mg + 10 mg Film-Coated Tablet



Teneligliptin hydrobromide hydrate 20mg Film-Coated Tablet

Teneligliptin (as hydrobromide hydrate) + Pioglitazone (as Hydrochloride)


Teneligliptin (as Hydrochloride) 200mg Film-Coated Tablet

Trelagliptin (as succinate) 100mg Film-Coated Tablet

Vildagliptin 50 mg Tablet

Vildagliptin + Metformin Hydrochloride 50 mg/500 mg Film-Coated Tablet

Vildagliptin + Metformin Hydrochloride 50 mg/850 mg Film-Coated Tablet

Vildagliptin + Metformin Hydrochloride 50mg/1g Film-Coated Tablet

Voglibose 200 mcg Tablet

Voglibose 200 mcg Orally-Disintegrating Tablet

Voglibose 300mcg Tablet

Voglibose 300mcg Dispersible Tablet

Voglinorm 0.3 300 mcg Tablet

Page 50 of 58

G. LIST OF MEDICINES FOR HIGH CHOLESTEROL

Generic Name Dosage Strength

Dosage Form and Route of Administration

Alirocumab 150 mg/mL Solution for Injection (SC)

Alirocumab 75 mg/mL Solution for Injection (SC)

Amlodipine ( As Besilate) + Atorvastatin ( As Calcium) 10 mg /10 mg Tablet

Amlodipine ( As Besilate) + Atorvastatin (As Calcium) 40 mg/10 mg Film-Coated Tablet

Amlodipine (As Besilate) + Atorvastatin (As Calcium) 10 mg/10 mg Film-Coated Tablet

Amlodipine (As Besilate) + Atorvastatin (As Calcium) 10mg/20mg Film-Coated Tablet


Amlodipine (As Besilate) + Atorvastatin (As Calcium) 5 mg/10 mg Film-Coated Tablet

Amlodipine (as besilate) + Atorvastatin (as calcium) 5 mg/40 mg Film-Coated Tablet


Amlodopine (as Besilate) 10 mg Tablet

Aspirin + Rosuvastatin 80mg/10mg Capsule

Aspirin + Rosuvastatin 80mg/20mg Capsule

Atorvastatin 5 mg Film-Coated Tablet


Atorvastatin 20mg Film-Coated Tablet



Atorvastatin + Fenofibrate 10 mg/160 mg Film-Coated Tablet

Atorvastatin + Fenofibrate 20 mg/160 mg Film-Coated Tablet

Atorvastain Calcium 40 mg Film-Coated Tablet

Atorvastatin (as calcium propylene glycol solvate) 10 mg Film-Coated Tablet

Atorvastatin (as calcium propylene glycol solvate) 20mg Film-Coated Tablet



Atorvastatin (as calcium trihydrate) 10mg Film-Coated Tablet

Atorvastatin (as calcium trihydrate) 20mg Film-Coated Tablet

Atorvastatin (as calcium trihydrate) 40 mg Film-Coated Tablet

Atorvastatin (as Calcium Trihydrate) 80 mg Film-Coated Tablet

Atorvastatin (As Calcium Trihydrate) + Amlodipine (As Besilate)






Atorvastatin (As Calcium) 5 mg Film-Coated Tablet


Atorvastatin (as calcium) 10mg Tablet

Atorvastatin (As Calcium) 20 mg Film Coated Tablet

Atorvastatin (as calcium) 20mg Tablet


Atorvastatin (as Calcium) 40mg Tablet

Page 51 of 58




Atorvastatin (As Calcium) 80 mg Tablet

Atorvastatin calcium 20mg Tablet

Atorvastatin calcium 80mg Tablet

Atorvastatin (As Calcium) + Amlodipine (As Besilate) 10mg/ 5mg Film-Coated Tablet

Atorvastatin (As Calcium) + Amlodipine (As Besilate) 20 mg/ 5 mg Film-Coated Tablet

Atorvastatin (As Calcium) + Amlodipine (As Besilate) 20 mg/ 10 mg Film-Coated Tablet

Atorvastatin (As Calcium) + Amlodipine (As Besilate) 40 mg/10 mg Film-Coated Tablet



Atorvastatin (as calcium) + Ezetimibe 10mg/ 10mg Film-Coated Tablet

Atorvastatin + Perindopril (as arginine) + Amlodipine 10mg/ 5mg/ 5mg Film-Coated Tablet

Atorvastatin + Perindopril (as arginine) + Amlodipine 20mg/ 10mg/ 10mg

Film-Coated Tablet


Film-Coated Tablet

Atorvastatin + Perindopril (as arginine) + Amlodipine 20mg/ 5mg/ 5mg Film-Coated Tablet


Film-Coated Tablet

Ciprofibrate 100 mg Tablet

Ciprofibrate 100 mg Capsule

CLOPIDOGREL (as BISULFATE) + ROSUVASTATIN (as CALCIUM)

75 mg/ 10 mg Capsule

CLOPIDOGREL (AS BISULFATE) + ROSUVASTATIN (AS CALCIUM)

75 mg/ 20 mg Capsule

Eicosapentaenoic Acid + Docosahexaenoic Acid 460 mg /380 mg Capsule

Eicosapentaenoic Acid + Docosahexaenoic Acid 460 mg /380 mg Soft gelatin capsule

Eicossapentaenoic Acid (Epa) Ethyl Ester + Docosahexaenoic Acid (Dha) Ethyl Ester

460 mg /380 mg Capsule

Eicossapentaenoic Acid (Epa) Ethyl Ester + Docosahexaenoic Acid (Dha) Ethyl Ester

460 mg /380 mg Soft gelatin capsule

Evolocumab 140 mg/mL Solution for Injection in Pre-filled Autoinjector

Evolocumab 140 mg/mL Pre-filled Syringe for Injection

Ezetimibe + Atorvastatin 10mg/ 10mg Film-coated Tablet

Ezetimibe 10 mg Tablet

Ezetimibe + Atorvastatin 10mg/ 10mg Film-Coated Tablet




Ezetimibe + Atorvastatin (as Calcium) 10mg/ 10mg Film-Coated Tablet

Ezetimibe + Simvastatin 10mg/10mg Film-Coated Tablet



Fenofibrate 100 mg Capsule

Fenofibrate 145mg Film-Coated Tablet

Fenofibrate 160 mg Tablet

Page 52 of 58



Fenofibrate 160 mg Film-Coated Tablet


Fenofibrate 200 mg Micronised Capsule



Fenofibrate 250 mg Sustained-release capsule



Fenofibrate + Atorvastatin (as calcium) 160mg/ 10mg Film-Coated Tablet

Fenofibrate + Simvastatin 145mg/ 20mg Film-Coated Tablet

Fenofibrate + Simvastatin 145mg/ 40mg Film-Coated Tablet

Fenofibrate + Simvastatin 160mg/20mg Film-Coated Tablet

Fluvastatin 40 mg Capsule

Fluvastatin (as Sodium) 80 mg Film-Coated Tablet

Gemfibrozil 300 mg Film-Coated Tablet



Gemfibrozil 300 mg Tablet



Gemfibrozil 300 mg Capsule



Nicotinic Acid 50 mg Tablet



Nicotinic Acid 500 mg Extended-release tablet

Pitavastatin calcium 2 mg Film-Coated Tablet

Pitavastatin calcium 4 mg Film-Coated Tablet

Pravastatin (as sodium) 20 mg Tablet

Pravastatin (as sodium) 40 mg Tablet

Probucol 250 mg Tablet

Rosuvastatin 10mg Film-Coated Tablet

Rosuvastatin 20mg Film-Coated Tablet

Rosuvastatin (As Calcium) 10 mg Film-Coated Tablet


Rosuvastatin (As Calcium) 20 mg Tablet


Rosuvastatin (As Calcium) 40 mg Tablet

Rosuvastatin (as Calcium) 5mg Film-Coated Tablet

Rosuvastatin (as calcium) 5 mg Tablet

Page 53 of 58



Rosuvastatin (as Calcium) + Fenofibrate 10 mg/160 mg Film-Coated Tablet



Rosuvastatin (as zinc) 20mg Film-Coated Tablet

Rosuvastatin Calcium 10 mg Film-Coated Tablet

Rosuvastatin Calcium 20 mg Film-Coated Tablet

Rosuvastatin Zinc 10 mg Film-coated Tablet

Simvastatin 5 mg Film-Coated Tablet


Simvastatin 10 mg Tablet







Simvastatin (Reformulated) 20 mg Film-Coated Tablet

Simvastatin + Ubidecarenone (Co-Enzyme Q10) 20 mg/10 mg Capsule

Page 54 of 58

H. LIST OF DRUGS AND VACCINES PRESCRIBED AND DIRECTLY USED FOR COVID-19 TREATMENT

Generic Name Strength Dosage Form Reference Date

Drug Products under Emergency Use (DEU)

Tocilizumab

400 mg/ 20 mL Concentrate Solution for I.V. Infusion

FDA Circular No. 2020-012

20 April 2020


FDA Circular No. 2020-012-A

27 July 2020



27 July 2020

162 mg/ 0.9 mL Solution for Injection (S.C.)


27 July 2020

Emergency Use Authorization (EUA)

Pfizer-BioNTech COVID-19 Vaccine (BNT162b2)

30 mcg Suspension for Intramuscular (1M) Injection

https://www.fda.gov.ph/wp-

content/uploads/2021/02/EUA-Pfizer-

Website.pdf

14 January 2021

ChAdOx1-S [recombinant] (COVID-19 Vaccine AstraZeneca)

0.5 mL Solution for Injection (IM)


content/uploads/2021/02/EUA-

Astrazeneca-Website.pdf

28 January 2021

SARS-CoV-2 Vaccine (Vero Cell), Inactivated [Coronavac]

600 SU/0.5 mL Suspension for Injection (IM)


content/uploads/2021/03/EUA-SINOVAC-WEBSITE-3-1.pdf

22 February 2021

Sputnik V Gam-COVID-Vac COVID-19 Vaccine

0.5 ml Intramuscular injection


content/uploads/2021/03/EUA-Gamaleya-

Website.pdf

19 March 2021

Janssen COVID-19 Vaccine (Ad26.COV2-S (recombinant))

5 x 1010 virus particles (VP)

Suspension for injection


content/uploads/2021/04/EUA-Janssen-

Website.pdf

19 April 2021

Whole Virion, Inactivated Corona Virus Vaccine [Covaxin]

6mcg of Whole-virion, Inactivated Corona Virus Antigen (strain NIV-2020-770)

Sterile white translucent liquid for injection


content/uploads/2021/04/EUA-Bharat-

website.pdf

19 April 2021

COVID-19 mRNA Vaccine (nucleoside modified) [COVID-19 Vaccine Moderna]

100 mcg frozen suspension for injection

frozen suspension for injection


content/uploads/2021/05/EUA-Moderna-

Website.pdf

5 May 2021

Compassionate Special Permit (CSP)

Remdesivir

100 mg Lyophilized Powder for Injection, in vial

100 mg/ 20 mL Concentrate Solution for Injection, in vial

Favipiravir 200 mg/ 400 mg/ 800 mg Tablet

Leronlimab 350 mg Solution for Injection, in vial

Ivermectin 12 mg Tablet

Interferon beta-1a 44 mcg Solution for Injection, in prefilled syringe

https://www.fda.gov.ph/wp-content/uploads/2021/02/EUA-Pfizer-Website.pdf





https://www.fda.gov.ph/wp-content/uploads/2021/02/EUA-Astrazeneca-Website.pdf






https://www.fda.gov.ph/wp-content/uploads/2021/03/EUA-SINOVAC-WEBSITE-3-1.pdf





https://www.fda.gov.ph/wp-content/uploads/2021/03/EUA-Gamaleya-Website.pdf





https://www.fda.gov.ph/wp-content/uploads/2021/04/EUA-Janssen-Website.pdf





https://www.fda.gov.ph/wp-content/uploads/2021/04/EUA-Bharat-website.pdf





https://www.fda.gov.ph/wp-content/uploads/2021/05/EUA-Moderna-Website.pdf





Page 55 of 58

Philippine COVID-19 Living Recommendations (as of May 9, 2021)

Baricitinib 2 mg Tablet

4 mg

Dexamethasone (As Sodium Phosphate) 4 mg/mL Solution 1 mL

Ampule

(As Sodium Phosphate) 4 mg/mL Solution 1 mL

Vial


Ampule


Vial

(As Sodium Phosphate) 5 mg/mL Solution 1 mL Ampule

Ampule

Anticoagulants, Antiplatelets and Fibrinolytics

Aspirin 100 mg Tablet

300 mg Tablet

325 mg Tablet

80 mg Tablet

Clopidogrel 75 mg Tablet

Enoxaparin (As Sodium Salt)

100 mg/mL Solution 0.2 mL

Pre-Filled Syringe


Pre-Filled Syringe


Pre-Filled Syringe

Fondaparinux 2.5 mg/0.5 mL Solution

Heparin (As Sodium)

1000 IU/mL Solution 5 mL Vial

5000 IU/mL Solution 5 mL Vial

Tinzaparin (As Sodium)

10,000 Anti-Xa IU/mL Solution 0.35 mL

Pre-Filled Syringe

10,000 Anti-Xa IU/mL Solution 0.45 mL

Pre-Filled Syringe

10,000 Anti-Xa IU/mL Solution 2 mL

Vial

Warfarin 1 mg Tablet

2.5 mg Tablet

5 mg Tablet

Antimicrobials

Amikacin (As Sulfate)

100 mg/mL Solution 2 mL Ampule

100 mg/mL Solution 2 mL Vial



250 mg Powder Vial





Powder 100 mg Vial

Solution 1 g Vial

500 mg Vial

Amoxicillin (As Trihydrate)

100 mg/mL Suspension 15 mL

Drops

250 mg Capsule

250 mg/5 mL Suspension 60 mL

Bottle

500 mg Capsule

Amphotericin B (Lipid Complex)

50 mg Solution Vial

Amphotericin B (Non-Lipid Complex)

50 mg Solution Vial

Page 56 of 58

Ampicillin + Sulbactam

1 g + 500 mg Solution Vial

2 g + 1 g Solution Vial

500 mg + 250 mg Solution Vial

Ampicillin 1 g Solution Vial

250 mg Solution Vial

Azithromycin 200 mg/5 mL Powder For Suspension 15 mL

Bottle

200 mg/5 mL Powder For Suspension 60 mL

Bottle

250 mg Capsule

250 mg Tablet

500 mg Powder Vial

500 mg Tablet

Aztreonam 1 g Powder for Injection Vial

Cefazolin (As Sodium Salt)

1 g Solution Vial


Cefepime (As Hydrochloride)

1 g Solution Vial

2 g Solution Vial


500 mg + 2 mL Diluent Solution

Vial

Ceftazidime (As Pentahydrate)

1 g Solution Vial

2 g Solution Vial


Ceftriaxone (As Disodium/Sodium Salt)

g + 10 mL Diluent Solution Vial

1 g + 3.5 mL 1% Solution Of Lidocaine

Vial

250 mg + 5 mL Diluent Solution

Vial

500 mg + 2 mL 1% Solution Of Lidocaine

Vial

Cefuroxime (As Axetil)


Bottle

500 mg Tablet

Cefuroxime 250 mg/5 mL Suspension 120 mL

Bottle


Bottle

Ciprofloxacin (As Lactate)



Clarithromycin 125 mg/5 mL Suspension 50 mL

Bottle

250 mg Tablet


Bottle

500 mg Tablet

Clindamycin (As Phosphate)






Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) (As Trihydrate)

1 g Tablet

Page 57 of 58

200 mg + 28.5 mg/5 mL 70 mL

Bottle

400 mg + 57 mg/5 mL Suspension 70 mL

Bottle

500 mg + 125 mg Tablet

600 mg + 42.9 mg/5 mL Suspension 100 mL

Bottle


Bottle


Bottle

Colistin 2,000,000 IU Lyophilized Powder for Injection

Cotrimoxazole (Sulfamethoxazole + Trimethoprim)


Bottle

400 mg + 80 mg Capsule



Bottle


Doxycycline (As Hyclate)

100 mg Capsule

Ertapenem (As Sodium)

1 g Powder Vial

Erythromycin (As Ethyl Succinate)


Bottle

Erythromycin (As Stearate

500 mg Tablet

Gentamicin 10 mg/mL Solution 2 mL Ampule



Levofloxacin 5 mg/mL Solution 100 mL Vial


500 mg Tablet

750 mg Tablet

Linezolid 2 mg/mL, 300 mL Solution For Infusion


Meropenem (As Sodium)

1 g Powder Vial

500 mg Powder Vial

Metronidazole (As Benzoate)


Bottle

250 mg Tablet


500 mg Tablet

Oxacillin (As Sodium Salt)


Penicillin G Benzathine (Benzathine Benzylpenicillin)

1,200,000 Units Solution Vial

Penicillin G Crystalline

1 MU Solution Vial

Penicillin G Crystalline

5 MU Vial

Piperacillin + Tazobactam (As Sodium)



Vancomycin (As Hydrochloride)

1 g Powder Vial

500 mg Powder Vial

Page 58 of 58

I. LIST OF MEDICAL DEVICES DIRECTLY USED FOR COVID-19 TREATMENT

No Category Product

1 Personal Protective Equipment (PPE) Gloves

2 Personal Protective Equipment (PPE) Gowns including Aprons

3 Personal Protective Equipment (PPE) Coveralls

4 Personal Protective Equipment (PPE) Body Suits

5 Personal Protective Equipment (PPE) Face Masks including N95 Masks, KN95 Masks, Cloth/Fabric Masks

6 Personal Protective Equipment (PPE) Goggles

7 Personal Protective Equipment (PPE) Shoe Cover

8 Personal Protective Equipment (PPE) Face Shield for Medical Use

9 Personal Protective Equipment (PPE) Head Cap/Cover

10 Personal Protective Equipment (PPE) Personal Protective Equipment Set (Coverall, Shoe Cover, Goggles or Faceshield, Facemask, Head Cap)

11 Respiratory Devices and its accessories Ventilator including Portable Ventilator

12 Respiratory Devices and its accessories Ventilator Breathing Circuit

13 Respiratory Devices and its accessories Bacterial Filter for Breathing Circuit

14 Respiratory Devices and its accessories Tubing and Support Set for Ventilator

15 Respiratory Devices and its accessories Positive Pressure Breathing Device

16 Respiratory Devices and its accessories Heated Breathing Circuit

17 Respiratory Devices and its accessories Attachment, Breathing, Positive End Expiratory pressure

18 Respiratory Devices and its accessories Resucitator

19 Respiratory Devices and its accessories Oxygen Concentrator

20 Respiratory Devices and its accessories Medical Gas Cylinder, for Oxygen

21 Respiratory Devices and its accessories Oxygen Tanks

22 Respiratory Devices and its accessories High-Flow Respiratory Device/System

23 Respiratory Devices and its accessories Nasal Cannula

24 Respiratory Devices and its accessories Humidifier, Respiratory Gas (Direct Patient Interface)

25 Respiratory Devices and its accessories Oxygen Mask

26 Respiratory Devices and its accessories Tracheal Tube

27 Respiratory Devices and its accessories Airway Monitoring System and Airway Clearing System

28 Respiratory Devices and its accessories Accessory to Continuous Ventilator (Respirator)

29 Respiratory Devices and its accessories High Efficiency Particulate Air (HEPA) Filter

30 Respiratory Devices and its accessories Extracorporeal Membrane Oxygenation (ECMO) Machine

31 Respiratory Devices and its accessories Nebulizing Kit and Nebulizer

32

COVID-19 Diagnostic Test Kits including transport collection, preservation medium/ tube with or without swab

COVID-19 Diagnostic Test Kits including transport collection, preservation medium/ tube with or without swab

33 Other specific medical devices Anchor, preformed

34 Other specific medical devices Bandage

35 Other specific medical devices Cannula, Reusable

36 Other specific medical devices Cap (Disinfection, Seal, Taper, Dead End)

37 Other specific medical devices Clinical Thermometer (Except mercurial type)

38 Other specific medical devices Cotton (Medical/hospital Use)

39 Other specific medical devices Dressing/ Gauze

40 Other specific medical devices Flowmeter (All types)

41 Other specific medical devices Gloves

42 Other specific medical devices Luer Lock

43 Other specific medical devices Nasopharyngeal Airway

44 Other specific medical devices Non-contact Infrared Thermometer

45 Other specific medical devices Syringe

46 Other specific medical devices Tape

47 Other specific medical devices Pulse Oximeter including portable and fingertip

48 Other specific medical devices Tubings

Documents

A. LIST OF MEDICINES FOR HYPERTENSION