._ Republic ofthe Philippines Department of Health OFFICE OF THE SECRETARY September 7, 2017 DEPARTMENT MEMORANDUM No. 2017 -_934¢ TO B SECRETARY OF HEALTH OF AUTONOMOUS REGION _IN_MUSLIM_MINDANAQ (ARMM) _ALL. REGIONAL OFFICE __ DIRECTORS. NON- COMMUNICABLE DISEASE COORDINATORS AND NATIONAL DRUG POLICY COMPLIANCE OFFICER DESIGNATES OF THE REGIONAL OFFIC! SUBJECT ‘Medicines as mentioned in the twelve (12) DOH Legacies This seeks clarification on the definition of “selected essential medicines” as listed under one of the components of the twelve (12) Department of Health (DOH) Legacies. One of the thirty (30) indicators of DOH Legacies is Out of Pocket Expenditures for Health and for Medicines for the Poor reduced, with the component of — Health Centers properly stocked with selected essential medicines. As thus mentioned, selected esser medicines shall be defined as those medicines that are under the following DOH Public Health Programs: ‘© Medicines Access Programs (MAPs) for: © Maintenance Medicines Breast Cancer Childhood Cancer Mental Health Kawasaki Disease Insulin © Stroke National Tuberculosis Program (NTP) Family Planning Program Maternal and Childcare Nutrition Program Expanded Program for Immunization o0o00 Dissemination of the information to all concerned is required. By Authority of the Secretary of Health: ENRIQUE A. KG mo, PHSAE, FPSMID, CESO III OIC, Assistant Secretaty of Health Office for Policy and Health Systems Building 1. San Lazaro Compound, Rizal Avenue, Sta, Cruz, 1003 Manila # Trunk Line 651-7800 local 1173, 1108, 1135 Direct Line: 711-9502; 711-9803 Fax: 743-1829 # URL: husp/ivww.doh.gov.ph; e-mail: oftiezofsohgloh.g0v-phANNEX A I. MEDICINES ACCESS PROGRAMS (MAPs) BREAST CANCER MAP 1. Cyclophosphamide 500 mg vial 2. Doxorubicin hydrochloride 50 mg powder vial 3. Fluorouracil 50 mg/mL, 10 mL vial 4. Tamoxifen citrate 20 mg tablet 5. Docetaxel 80 mg vial 6. Docetaxel 20 mg vial 7. Filgrastim 300 micrograms/mL, vial (IV,SC) 8. Ondansetron 8 mg vial 9. Trastuzumab 150 mg vial 10, Letrozole 2.5 mg tablet CHILDHOOD CANCER MAP 1. Bleomycin sulfate 15 mg powder vial/amp 2. Carboplatin 150 mg powder vial (IV) 3. Carboplatin 450 mg powder vial 4. Cisplatin 50 mg powder vial (IV) 5. Cisplatin 10 mg vial powder vial (IV) 6. Cyclophosphamide 30 mg tablet (as anhydrous) 7. Cyclophosphamide 200 mg powder vial (IV) 8. Cyclophosphamide 500 mg powder vial (IV) 9. Cyclophosphamide 1000 mg powder vial (IV) 10. Cytarabine 100 mg/ mL powder vial (IV, SC, Intrathecal) 11, Cytarabine 1 g vial (IV inf) 12. Cytarabine 500 mg vial (IV inf) 13. Doxorubicin hydrochloride 10 mg powder vial (IV) (as hydrochloride) 14, Doxorubicin hydrochloride 50 mg powder vial (IV) (as hydrochloride) joposide 20 mg/ml., 5 mL amp/vial (IV) 16, L-asparaginase lyophilized powder, 10,000 IU vial (IV) 17. Mercaptopurine 50 mg tablet 18. Methotrexate sodium 2.5 mg tablet (as base) 19, Methotrexate sodium 50 mg/mL, 1 mL vial (as base) 20. Vineristine 1 mg/mL, 1 mL powder vial + diluent (IV) (as sulfate) 21. Vineristine 2 mg vial + diluent (TV) (as sulfate) 22. Mesna 100 mg/ml, 4ml ampule 23. Calcium folinate 50 mg/Sml vial 24, Ifosfamide 2 g vial 25. Methotrexate | gram vial 26. Methotrexate 500 mg vial 27. Vinblastine 10 mg vial INSULIN MAP 1. Regular Insulin 100 1U/mL, 10 mL vial 2. Isophane Human Insulin 100 TU/mL, 10 mL vial 3. Biphasic Isophane Human Insulin 70/30 100 IU/mL, 10 mL vial MENTAL HEALTH MAP 1. Carbamazepine 200 mg tabletLithium Carbonate 450 mg tablet Valproate Disodium + Valproic Acid 250 mg tablet Biperiden 2 mg tablet Chlorpromazine 200 mg tablet Chlorpromazine 100 mg tablet Clozapine 25 mg tablet Clozapine 100 mg tablet Fluphenazine Decanoate 25 mg/mL, 10 mL vial . Haloperidol 5 mg tablet - Haloperidol 20 mg tablet Haloperidol 5 mg/mL, 1 mL amp Flupentixol Decanoate 20 mg/mL, 1 mL amp . Olanzapine 10 mg tablet Quetiapine 200 mg tablet . Quetiapine 300 mg tablet . Risperidone 1 mg tablet . Risperidone 2 mg tablet . Risperidone 2 mg orodispersible tablet ). Risperidone 4 mg tablet - Escitalopram 10 mg tablet . Fluoxetine 20 mg capsule . Setra 50 mg tablet STROKE MAP is Human Recombinant Tissue Type Plasminogen Activator or Alteplase 50 mg vial KAWASAKI DIASEASE MAP 1 2, Human Immunoglobulin (IVIG) 50 mg/mL, 50 mL. vial Human Immunoglobulin (IVIG) 50 mg/mL, 100 mL vial MAINTENANCE MEDICINES MAP Bene Amlodipine 10 mg, 30 tablets per treatment pack Losartan 50 mg, 30 tablets per treatment pack Metoprolol 50 mg, 60 tablets per treatment pack Metformin 500 mg, 90 tablets per treatment pack I. NATIONAL TUBERCULOSIS PROGRAM (NTP) 1. 2, 3. 4. CAT I Kit - Rifampicin 150 mg + Isoniazid 75 mg + Pyrazinamide 400 mg + Ethambutol 275 mg Rifampicin 150 mg + Isoniazid 75 mg -d Dose Combination II ~ Rifampicin 75 mg + Isoniazid 50 mg dispersible tablet ‘ixed Dose Combination III — Rifampicin 75 mg + Isoniazid 50 mg + Pyrazinamide 150 mg dispersible tablet Ethambutol 100mg film coated tablet Ill. FAMILY PLANNING PROGRAM yee Ethinylestradiol + Levonorgestrel, 30 meg + 150 meg tablets Lynestrenol 500 meg tablet Medroxyprogesterone Acetate (DMPA) vial 50 mg/ml, 3 ml vial Intra Uterine Device (IUD) TCU 380-4. Male CondomsIV. MICRONUTRIENTS avbeye Vitamin A 100,000 iu soft gel capsule Vitamin A 200,000 iu soft gel capsule Iron drops 15mg FE/0.6ml bottle Iron with Folic acid tablet, 60 mg +250 meg tablev/eapsule Micronutrient powder Iodine capsules