Professional Documents
Culture Documents
Drug Formulary
Drug Formulary
Drug Formulary
2020
KPJ Johor Specialist Hospital
Drug
Formulary
Preface
The KPJ Johor Specialist Hospital's Drug Formulary is published twice a year under the authority of
the Pharmacy & Therapeutic Committee which comprises representatives from all disciplines in the
hospital.
This formulary aims to provide the prescribers, pharmacists and other healthcare professionals with
a list of medications that is available in the hospital. Medications are categorized based on their
pharmacological action to allow easy reference.
Committee Members
Secretary
Pn Rosilawati Selamat
CONTENTS
Page
Preface
3 Respiratory system 11
3.1 Bronchodilators
3.1.1 Adrenoceptor agonists
3.1.1.1 Selective beta 2 agonists
3.1.1.2 Other adrenoceptor agonists
3.1.2 Antimuscarinic bronchodilators
3.1.3 Theophylline
3.1.4 Compound bronchodilator preparations
3.1.5 Peak flow meters, inhaler devices and nebulisers
3.2 Corticosteroids
3.3 Cromoglicate and related therapy and leukotriene receptor antagonists
6 Endocrine system 23
11 Eye 45
13 Skin 51
13.1 Management of skin conditions
13.2 Emollient and barier preparations
13.2.1 Emollients
13.2.1.1 Emollient bath additives
13.2.2 Barier preparations
13.3 Topical local anaesthetics and antipruritics
13.4 Topical corticosteroids
13.5 Preparations for eczema and psoriasis
13.5.1 Preparations for eczema
13.5.2 Preparations for psoriasis
13.5.3 Drugs affecting the immune response
13.6 Acne and rosacea
13.6.1 Topical preparations for acne
13.6.2 Oral preparations for acne
13.7 Preparations for warts and calluses
13.8 Sunscreens and camouflagers
13.8.1 Sunscreen preparations
13.8.2 Camouflagers
13.9 Shampoos and other preparations for scalp and hair conditions
13.10 Anti -infective skin preparations
13.10.1 Antibacterial preparations
13.10.2 Antifungal preparations
13.10.3 Antivirals preparations
13.10.4 Parasiticidal preparations
13.10.5 Preparations for minor cuts and abrasions
13.11 Skin cleansers and antiseptics
13.11.1 Alcohols and saline
13.11.2 Chlorhexidine salts
13.11.3 Cationic surfactants and soap
13.11.4 Iodine
13.11.5 Phenolics
13.11.6 Oxidisers and dyes
13.11.7 Preparations for promotion of wound healing
13.12 Antiperspirants
13.13 Topical circulatory preparations
13.14 Other Dermatological Preparations
13.15 Other Skin Supplement
19 Extemporaneous Preparations 66
20 Device 67
22 Contrast 69
23 Miscellaneous 70
Changes for this edition
This formulary is revised twice a year. Below are the changes since last issue.
Addition
*PTC - Pharmacy & Therapeutic Committee
**UR - Upon request
ITEM BNF
BRAND NAME GENERIC NAME (CONTENT) Remark
CODE Classification
Klacid 250mg/5ml Paediatric Clarithromycin 250mg/5ml Requested by Dr Kate and approved in PTC on
51400757 5.1.5
Syrup - 60ml Paediatric Syrup 24/9/2019
Requested by Dr Tee and approved in PTC on
51840136 Aminosteril N-Hepa 8% Solution Amino Acids
9.3 24/9/2019
Fe (III) hydroxide polymaltose Requested by Dr Kate and approved in PTC on
51400040 Maltofer 50mg/5ml Syrup 9.1.1.1
complex 24/9/2019
Requested by Dr Lum and approved in PTC on
51810275 Herzuma 440mg Injection Trastuzumab 440mg Injection 8.1.5
24/9/2019
Requested by Dr Mohd Shahrom and approved
51003003 Brilinta 60mg Tablet Ticagrelor 60mg Tablet 2.9
in PTC on 24/9/2019
Requested by Dr Peter Selestine & Dr Lee and
Insulin Glargine 100IU/ml,
51201371 Soliqua 100IU/33mcg Pen Inj 6.1.2.6 approved in PTC on 24/9/2019. To replace
Lixisenatide 33mcg/ml
Bydureon Inj.
Irbesartan 300mg, Amlodipine Requested by Dr Peter Selestine & Dr Lee and
51003106 Aprovasc 300mg/10mg Tablet 2.5.5.2
10mg Tablet approved in PTC on 24/9/2019
Requested by Dr Asri and approved in PTC on
51500142 Timo-Comod 0.5% Eyedrop Timolol Maleate 0.5% Eyedrop 11.6 24/9/2019. To replace Timolol-POS 0.5%
Eyedrop.
Bimatoprost 0.3mg/ml, Timolol Requested by Dr Asri and approved in PTC on
51500406 Ganfort PF Eyedrop (0.4ml) 11.6
5mg/ml 24/9/2019. To replace Ganfort Eyedrop.
Astaxanthin 3mg, Bilberry Requested by Dr Asri and approved in PTC on
51002974 Vitamode Asta I-Care Capsule 9.4
extract 25mg, Vitamin E 10.5IU 24/9/2019
Hydrelo Allergy (Ectoin) Eyedrop Requested by Dr Asri and approved in PTC on
51500408 Ectoin Eyedrop 11.8.1
(0.5ml) 24/9/2019. To replace Pataday Eyedrop.
Requested by Dr Sharifah and approved in
51201062 Hucog 5000IU Injection Chorionic Gonadotrophin 7.6
PTC on 16/7/2019. Used in IVF only.
Requested by Dr Sharifah and approved in
51201109 Hucog 75IU Injection Menotrophin 7.6
PTC on 16/7/2019. Used in IVF only.
Requested by Dr Sharifah and approved in
51002904 Profortil Cap Profortil 9.9
PTC on 16/7/2019. Used in IVF only.
Requested by Dr Abraham and approved in
51002907 Rifaximin 550mg Tablet Rifaximin 5.1.7
PTC on 24/9/2019. Import permit item.
Requested by Dr Yudisthra and approved in
51201318 Ranofer 100mg/5ml Injection Iron Sucrose 9.1.1.2 PTC on 24/9/2019. To replace Sucrofer
100mg/5ml Injection.
Requested by Dr Yudisthra and approved in
51201354 Erysaa 2000IU/0.5ml Injection Epoetin alpha 9.1.3 PTC on 24/9/2019. To replace Binocrit 2000IU
& 4000IU.
Requested by Dato' Dr M Singaraveloo and
51650353 Candid 1% Powder Clotrimazole 5.2
approved in PTC on 22/10/2019.
Total extract of avocado &
Requested by Dr Rachel and approved in PTC
51002569 Piascledine 300mg Capsule soybean unsaponifiable 18
on 22/10/2019
fractions 300mg
Coagulation factor II 220-760IU
+ factor IX 500IU + factor VII
Octaplex 500IU Powder for Requested by Dr Richard and approved in PTC
51201158 180-480IU + factor X 360-600IU 2.11
Injection on 22/10/2019
+ protein S 140-640IU + protein
C 140-620IU
Fe (III) hydroxide polymaltose
Requested by Dr Mohanraj and approved in
51003026 Maltofer Fol Chewable Tablet complex 100mg, Folic Acid 9.1.1.1
PTC on 16/7/2019
0.35mg
Requested by Dr Ahmad Khan and approved in
Vitamode Mecobin Plus ALA Gold Vitamin B12 and Alpha Lipoic
51003083 9.4 PTC on 22/10/2019. To replace Alanerv
Tablet Acid (ALA)
Capsule.
Requested by Dr Abraham and approved in
51003128 Constella 290mcg Capsule Linaclotide 290mcg Capsule 1.5
PTC on 24/9/2019. Import permit item.
Requested by Dr Abraham and approved in
51600807 Septigel 500ml Solution Ethanol 70% w/w 13.11.1
PTC on 16/7/2019.
Requested by Dr Abraham and approved in
51600806 Septigel 1Litre Solution Ethanol 70% w/w 13.11.1
PTC on 16/7/2019.
Requested by Dr Goh and approved in PTC on
51003057 Apo-Rosuvastatin 20mg Tablet Rosuvastatin 20mg Tablet 2.12
16/7/2019.
Ceftriaxone disodium 1g Requested by Dr Ong Chong Leng and
51200809 Mesporin 1g Injection 5.1.2
Injection approved in PTC on 16/7/2019.
Vonoprazan fumarate 10mg Requested by Dr Abraham and approved in
51003097 Vocinti 10mg Tablet 1.1.1
Tablet PTC on 16/7/2019.
Vonoprazan fumarate 20mg Requested by Dr Abraham and approved in
51003091 Vocinti 20mg Tablet 1.1.1
Tablet PTC on 16/7/2019.
Requested by Dr Abraham and approved in
51003099 Cortiment PR 9mg Tablet Budesonide 9mg Tablet 3.2
PTC on 16/7/2019.
Requested by Dr Natasha and approved in
51810273 Irinotecan 100mg/5ml Injection Irinotecan 100mg/5ml Injection 8.1.5
PTC on 16/7/2019.
Requested by Dr Lum and approved in PTC on
51810145 Intaxel 260mg Injection Paclitaxel 260mg Injection 8.1.5
16/7/2019.
Oxycodone HCl 10mg/ml Requested by Dr Chong and approved in PTC
51730029 Oxynorm 10mg/ml Injection 4.7.2
Injection on 16/7/2019.
Requested by Dr Peter Selestine and approved
51400731 Surbex Nutri-Fiber 5g Sachet Wheat dextrin 1.6.1
in PTC on 16/7/2019.
Precipitated Calcium Carbonate Requested by Dr Mohanraj and approved in
51002228 Calcium Carbonate 500mg Tablet 9.5.2.2
USP 500mg Tablet PTC on 16/7/2019.
Vitamin D 25000IU Oral Requested by Dr Kiran and approved in PTC
51400783 D Cure 25000IU Oral Solution 9.6.4
Solution on 16/7/2019.
Netupitant 300mg, Requested by Dr Natasha and approved in
51003073 Akynzeo Capsule 4.6
Palonosetron 0.5mg PTC on 16/7/2019.
Requested by Dr Tham and approved in PTC
51003027 Urief 4mg Tablet Silodosin 4mg Tablet 7.5
on 16/7/2019.
Ubidecarenone (coenzyme Requested by Dr Mohd Shahrom and approved
51002863 Surbex CoQ10 75mg Capsule 9.6.7
Q10) 75mg Capsule in PTC on 16/7/2019.
Requested by Dr Kiran and approved in PTC
51003098 Apo-Hydralazine 10mg Tablet Hydralazine HCl 10mg Tablet 2.5.1
on 16/7/2019.
Alternative for Nootropil 1g/5ml Injection
51201135 Knowful 1g/5ml Injection (5ml) Piracetam 1g/5ml Injection 4.9.3 (51200190) which has been discontinued by
Principal.
Clotromazole 1% w/w,
Alternative for Dermal C cream 15g (51650630)
51650703 Creobic Double Action Cream 15g Betamethasone dipropionate 13.10.2
which has been discontinued by Principal.
0.05% w/w
Abiraterone Acetate 250mg Requested by Dr Lum and approved as UR in
51800150 Abiratred 250mg Tablet 8.1.5
Tablet PTC meeting on 24/9/2019
Dermatophagoides
Requested by Dr Yap and approved as UR in
51003064 Acarizax Oral Lyophilisate Tablet pteronyssinus extr, 3.4.1
PTC meeting on 24/9/2019
Dermatophagoides farinae extr
Requested by Dr Rachel and approved as UR
51201254 Benlysta 120mg Injection Belimumab 120mg Injection 8.2.2
in PTC meeting on 24/9/2019
Requested by Dr Asri and approved as UR in
51500378 Atropine 0.01% Eye Drop Atropine 0.01% Eye Drop 11.5
PTC meeting on 24/9/2019
Testosterone 1% Topical Gel Requested by Dr Tong and approved as UR in
51650517 Androgel 1% Topical Gel 50mg 6.4.2
50mg PTC meeting on 16/7/2019
Requested by Dr Lum and approved as UR in
51810265 Zuhera 440mg Injection Trastuzumab 440mg Injection 8.1.5 PTC meeting on 16/7/2019. Biosimilar to
Herceptin 440mg Injection
Brentuximab Vedotin 50mg Requested by Dr Natasha and approved as UR
51810274 Adcetris 50mg Injection 8.1.5
Injection in PTC meeting on 16/7/2019
Requested by Dr Rachel and approved as UR
51003044 Olumiant 2mg Tablet Baricitinib 2mg Tablet 8.2.4
in PTC meeting on 16/7/2019
Requested by Dr Rachel and approved as UR
51003045 Olumiant 4mg Tablet Baricitinib 4mg Tablet 8.2.4
in PTC meeting on 16/7/2019
Testosterone Enanthate Requested by Dr Kiran and approved as UR in
51200563 Jenasteron 250mg/ml Injection 6.4.2
250mg/ml Injection PTC meeting on 16/7/2019
Triptorelin Embonate 11.25mg Requested by Dr Tong and approved as UR in
51201365 Pamorelin 11.25mg Injection 6.7.2
Injection PTC meeting on 16/7/2019
Pemetrexed Disodium 100mg Requested by Dr Natasha and approved as UR
51810271 Podoxred 100mg Injection 8.1.3
Injection in PTC meeting on 16/7/2019
Pemetrexed Disodium 500mg Requested by Dr Natasha and approved as UR
51810270 Podoxred 500mg Injection 8.1.3
Injection in PTC meeting on 16/7/2019
Saxagliptin 5mg, Dapagliflozin Requested by Dr Kuan and approved as UR in
51003081 Qtern 5/10mg Tablet 6.1.2.6
10mg Tablet PTC meeting on 16/7/2019
Requested by Dr Kiran and approved as UR in
51201366 Saxenda 6mg/ml Injection Liraglutide 6mg/ml Injection 6.1.2.4
PTC meeting on 16/7/2019
Sodium Selenite Pentahydrate Requested by Dr Richard Lobo and approved
51201208 Selenase 500mcg Injection 9.5.5
500mcg Injection as UR in PTC meeting on 16/7/2019
CHANGES - DISCONTINUATION
Discontinuation
BNF
ITEM CODE BRAND NAME GENERIC NAME (CONTENT) Remark
Classification
Aqua & Polyvinylpyrrolidone & Propylene
Glycol & Maltodextrin & Aloe Barbadensis &
Potassium Sorbate & Sodium Benzoate & PEG
51500238 Aloclair Spray 40 Hydrogenated Castor Oil & EDTA & 12.3.3 Discontinued by Principal
Benzalkonium Chloride & Aroma & Saccharin
Sodium & Glycyrrhetinic Acid & Sodium
Hyaluronate
51001728 Mictonorm 15mg Tablet Propiverine 15mg Tablet 7.4.2 Discontinued as a result of a survey
Aqua & Na Laureth Sulfate & NaCl & Lauryl
Glucoside & Allantoin & Glycol Distearate &
DiNa Laureth Sulfosuccinate & Stearamide
MEA & Cocamide DEA & Triethylene Glycol &
Discontinued by Principal. Replaced with
51600473 Esemtan Lotion - 150ml Propylene Glycol & Benzyl Alcohol & 13.11
Esemtan Skin Cleanser 100ml
Methylchloroisothiazolinone &
Methylisothiazolinone & Na Hydroxide & Lactic
Acid & Benzyl Salicylate & Hexyl Cinnamal
Lotion
Nootropil 1g/5ml Discontinued by Principal. Alternative
51200190 Piracetam 1g/5ml Injection 4.9.3
Injection Knowful (Piracetam) 1g/5ml Injection
Verapamil 2.5mg/ml Verapamil Hydrochloride 2.5mg/ml Injection Discontinued by Principal. Alternative
51200414 2.6.2
Injection (2ml) (2ml) Ratiopharm Verapamil 5mg/2ml Inj
Discontinued by Principal. Alternative
51001408 Trantalol 200mg Tablet Labetalol Hydrochloride 200mg Tablet 2.4
Trandate 100mg Tablet
Metocal Vitamin D3 Calcium Carbonate 1500mg & Cholecalciferol Discontinued by Principal. Alternative
51001794 9.5.1.1
Chewable Tablet Concentration 4mg Tablet Dcal Tablet
Clomitrazole 10mg & Betamethasone
Discontinued by Principal. Alternative
51650630 Dermal C Cream - 15G Dipropionate (Equiv to 0.05% Betamethasone) 13.10.2
Creobic Double Action Cream 15g
0.64mg Cream
1. Gastro
Intestinal
System
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
1
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
2
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Aluminium Acetate 50mg & Hydrocortisone
51700034 Xyloproct Suppository Acetate 5mg & Lignocaine 60mg & Zinc 1.7.2
Oxide 400mg Suppository
1.7.3: Rectal sclerosants 1.7.3
51000149 Doxium 500 500mg Capsule Calcium Dobesilate 500mg Capsule 1.7.3
1.7.4: Management of anal fissures 1.7.4
Daflon 500mg Film-Coated
51000118 Diosmin 450mg & Hesperidin 50mg Tablet 1.7.4
Tablet
1.8: Stoma care 1.8
1.9: Drugs affecting intestinal secretions 1.9
1.9.1: Drugs affecting biliary composition and flow 1.9.1
51000498 Ursofalk 250mg Capsule Ursodeoxycholic Acid 250mg Capsule 1.9.1
1.9.2: Bile acid sequestrants 1.9.2
Questran Powder for Oral Colestyramine Powder for Oral Suspension
51400101 Upon request 1.9.2
Suspension Sachet - 4g Sachet
1.9.3: Aprotinin 1.9.3
1.9.4: Pancreatin 1.9.4
Creon 10000 Minimicrospheres
51000771 Pancreatin 150mg Capsule 1.9.4
Capsule
3
2. Cardiovascular
System
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
4
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
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KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Exforge HCT 10mg/160mg/25mg Amlodopine Besylate 10mg & Valsartan
51002273 2.5.5.2
Tablet 160mg & Hydrochlorothiazide 25mg Tablet
Exforge HCT 5mg/160mg/12.5mg Amlodopine Besylate 5mg & Valsartan
51002294 2.5.5.2
Tablet 160mg & Hydrochlorothiazide 12.5mg Tablet
6
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
7
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Innohep 14,000 Anti-Xa IU/0.7ml Tinzaparin Sodium 20,000 Anti-Factor Xa
51200755 2.8.1
Injection Pre-Filled Syringe IU/ml Injection Pre-Filled Syringe
Innohep 10,000 Anti-Xa IU/0.5ml Tinzaparin Sodium 20,000 Anti-Factor Xa
51200618 2.8.1
Injection Pre-Filled Syringe IU/ml Injection Pre-Filled Syringe
51200256 Icikinase 1,500,000 IU Inj Purified Streptokinase 1,500,000IU Inj 2.8.1
2.8.2: Oral anticoagulants 2.8.2
51001418 Apo-Warfarin 1mg Tablet Warfarin Sodium 1mg Tablet 2.8.2
51001419 Apo-Warfarin 2mg Tablet Warfarin Sodium 2mg Tablet 2.8.2
51002097 Pradaxa 110mg Capsule Dabigatran Etexilate 110mg Capsule 2.8.2
51002339 Pradaxa 150mg Capsule Dabigatran Etexilate 150mg Capsule 2.8.2
51002096 Pradaxa 75mg Capsule Dabigatran Etexilate 75mg Capsule 2.8.2
51001420 Apo-Warfarin 5mg Tablet Warfarin Sodium 5mg Tablet 2.8.2
51002326 Xarelto 10mg Film-Coated Tablet Rivaroxaban 10mg Film-Coated Tablet 2.8.2
8
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
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3. Respiratory
System
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
11
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
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KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
13
4.
Central Nervous
System
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
14
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Oxycodone Hydrochloride 10mg & Naloxone
51720014 Targin 10mg/5mg Tablet 4.7.2
Hydrochloride Dihydrate 5mg Tablet
15
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Pharmaniaga Pethidine
51730017 Pethidine Hydrochloride 50mg/ml Injection 4.7.2
Hydrochloride 50mg/ml Injection
51730021 Sufenta 50mcg/ml Injection Sufentanil Citrate 50mcg/ml Injection 4.7.2
Tramadol Stada 50mg/ml
51200638 Tramadol Hydrochloride 50 mg/ml Injection 4.7.2
Injection
Tramadol Hydrochloride 37.5mg &
51001449 Ultracet Tablet 4.7.2
Paracetamol 325mg Tablet
Meclozine Hydrochloride 25mg & Pyridoxine
51001879 Veloxin Tablet 4.7.2
Hydrochloride 50mg
MST Continus 10mg Modified-
51720001 Morphine Sulfate 10mg Tablet 4.7.2
Release Tablet
51720016 OxyContin 20mg Tablet Oxycodone Hydrochloride 20mg Tablet 4.7.2
CCMD Pethidine Pethidine Hydrochloride
51730018 4.7.2
100mg/2ml Ampoule 100mg/2ml Ampoule
51760096 Suncodin 30mg Tablet Dihydrocodeine Tartrate 30mg Tablet 4.7.2
51740007 OxyNorm 5mg/5ml Oral Solution Oxycodone HCl 5mg/5ml Oral Solution 4.7.2
51000945 Tramadol 50mg Capsule Tramadol 50mg Capsule 4.7.2
51750007 Hexal 25mcg/hr Patch Fentanyl 25mcg/hr Patch 4.7.2
51750008 Hexal 50mcg/hr Patch Fentanyl 50mcg/hr Patch 4.7.2
51000753 Tramadolor 50mg Cap Tramadol 50mg Capsule 4.7.2
51720018 Abstral Sublingual 100mcg Tab Fentanyl Citrate 100mcg Sublingual Tab 4.7.2
16
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
17
5. Infections
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
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KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
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KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
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KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
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KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Chloroquine P 04 250mg TAB
51001725 Chloroquine Upon request 5.4.1
(AXCEL)
Atovaquone 250mg & Proguanil
51001782 Malarone 250mg/100mg Tablet Upon request 5.4.1
Hydrochloride 100mg Tablet
5.4.2: Amoebicides 5.4.2
5.4.3: Trichomonacides 5.4.3
5.4.4: Antigiardial drugs 5.4.4
5.4.5: Leishmaniacides 5.4.5
5.4.6: Trypanocides 5.4.6
5.4.7: Drugs for toxoplasmosis 5.4.7
5.4.8: Drugs for pneumocystis pneumonia 5.4.8
5.5: Anthelmintics 5.5
5.5.1: Drugs for threadworms 5.5.1
5.5.2: Ascaricides 5.5.2
5.5.3: Drugs for tapeworm infections 5.5.3
5.5.4: Drugs for hookworms 5.5.4
Thelban 100mg/5mL Powder For Albendazole 100mg/5mL Powder For Oral
51400475 5.5.4
Oral Suspension Suspension
51000538 Zentel 200mg Tablet Albendazole 200mg Tablet 5.5.4
5.5.5: Schistosomicides 5.5.5
5.5.6: Filaricides 5.5.6
51001985 DCMC 100MG TAB Diethylcarbamazine Cit Upon request 5.5.6
22
6. Endocrine
System
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
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KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
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7. Obstetrics,
Gynaecology
And Urinary
Tract Disorders
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
28
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
29
8. Malignant
Disease and
Immunosuppression
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Votrient 400mg Film-Coated Pazopanib Hydrochloric Acid 400mg Film-
51800092 Upon request 8.1
Tablet -30's Coated Tablet
Lactobacillus Rhamnosus 63mg &
51002766 Lacidofil Capsule - 20's Upon request 8.1
Lactobacillus Helveticus 2.6 mg Capsule
51810217 Paxus 100mg Injection vial Paclitaxel Injection vial Upon request 8.1
8.1.1: Alkylating drugs 8.1.1
51800086 Endoxan 50mg Tablet Cyclophosphamide 50mg Tablet 8.1.1
51810188 Cycloxan 1g Injection Cyclophosphamide 1g Injection 8.1.1
51810018 Endoxan-Asta 1g Injection Vial Cyclophosphamide 1g Injection Vial 8.1.1
51810025 Holoxan 1g/25ml Injection Vial Ifosfamide 1 g Injection Vial 8.1.1
51810190 Ifocell 1g Injection Vial Ifosfamide 1g Injection Vial 8.1.1
51800027 Alkeran 2mg Tablet Melphalan 2mg Tablet Upon request 8.1.1
30
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
31
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Tarceva 100mg Film-Coated Erlotinib Hydrochloride 100mg Film-Coated
51800054 Upon request 8.1.5
Tablet Tablet
Tarceva 150mg Film-Coated Erlotinib Hydrochloric Acid 150mg Film-
51800053 Upon request 8.1.5
Tablet Coated Tablet
Tykerb 250mg Film-Coated Lapatinib Ditosylate 250mg Film-Coated
51800065 Upon request 8.1.5
Tablet Tablet
Vectibix 20mg/mL Solution For
51810227 Panitumumab 20mg/ml Solution For Infusion Upon request 8.1.5
Infusion
51800026 Glivec 100mg Cap Imatinib Upon request 8.1.5
Nimotuzumab 50mg/10ml Inj
51810209 Nimotuzumab Upon request 8.1.5
(UR)
32
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Sandimmun Neoral 25mg
51000438 Ciclosporin 25mg Capsule 8.2.2
Capsule
Peg-Intron 100mcg Pre-filled Pegylated Interferon Alpha-2b 100 mcg
51810086 Upon request 8.2.4
Redipen Injection
Peg-Intron 80mcg Pre-filled
51810064 Peginterferon Alfa-2b 80 mcg Injection Upon request 8.2.4
Redipen
33
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Suprefact 1mg/ml 5.5ml Injection
51810105 Buserelin 1mg/ml 5.5ml Injection Vial 8.3.4.2
Vial
Sandostatin 0.1mg/ml Injection
51200237 Octreotide 0.1mg/ml Injection Ampule 8.3.4.3
Ampule
34
9. Nutrition and
Blood
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Fe (III) hydroxide polymaltose complex
51003026 Maltofer Fol Chewable Tablet 9.1.1.1
100mg, Folic Acid 0.35mg
9.1.1.2: Parenteral iron
9.1.1.2
Venofer 100mg/5ml Injection Fe Hydroxide Sucrose Complex 100mg/5ml
51200381 9.1.1.2
Ampoule Injection Ampoule
Appeton Folic Acid 400mcg
51001358 Folic Acid 400mcg Tablet 9.1.2
Tablet
Folic Acid 5mg Tablet Blister
51001759 Folic Acid 5mg Tablet Blister 9.1.2
(DHA)
9.1.3: Drugs used in hypoplastic, haemolytic and renal anaemias
9.1.3
Recormon 2000IU Injection Pre- Epoetin Beta 2000IU Injection Pre-Filled
51200446 9.1.3
Filled Syringe Syringe
Recormon 4000IU/0.3ml Injection Epoetin Beta 4000IU/0.3ml Injection Pre-
51200513 9.1.3
Pre-Filled Syringe Filled Syringe
Recormon 5000IU/0.3ml Injection Epoetin Beta 5000IU/0.3ml Injection Pre-
51200514 9.1.3
Pre-Filled Syringe Filled Syringe
NESP 20mcg Injection Pre-Filled Darbepoetin Alpha 20mcg Injection Pre-
51200995 9.1.3
Syringe Filled Syringe
Mircera 150mcg/0.3ml Injection Methoxy Polyethylene Glycol-epoetin Beta
51200948 9.1.3
Pre-Filled Syringe 150mcg/0.3ml Injection Pre-Filled Syringe
Binocrit Injection 4000IU/0.4ml Epoetin Alpha 4000IU/0.4ml Pre-Filled
51201059 9.1.3
Pre-Filled Syringe - 0.4ml Syringe
Binocrit Injection 2000IU/ml Pre-
51200993 Epoetin Alpha 2000IU/ml Pre-Filled Syringe 9.1.3
Filled Syringe
NESP 120mcg/0.5ml Injection Darbepoetin Alfa 120mcg/0.5ml Injection
51201180 9.1.3
Syringe Syringe
Mircera 100mcg/0.3ml Injection Methoxy Polyethylene Glycol-epoetin Beta
51200841 9.1.3
Pre-Filled Syringe 100mcg/0.3ml Injection Pre-Filled Syringe
Recombinant Human Erythroporetin(r-
51200076 Eprex 10 000 IU/ml Inj Upon request 9.1.3
HuEpo)/Epoetin Alfa
Desferrioxamine B Methasulphonate 500mg
51200364 Desferal 500mg Infusion Upon request 9.1.3
Injection
9.1.4: Drugs used in platelet disorders
9.1.4
9.1.5: G6PD deficiency
9.1.5
9.1.6: Drugs used in neutropenia
9.1.6
Zarzio 30MU/0.5ml Pre-Filled
51810220 Filgrastim 30MU/0.5ml Pre-Filled Syringe 9.1.6
Syringe
35
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Sodium Chloride 525mg & Potassium
Uphalyte Oral Rehydration Salts
51400676 Chloride 375mg & Sodium Bicarbonate 9.2.1.2
(Orange) Sachet
425mg & Anhydrous Glucose 6.25g Sachet
9.2.2: Parenteral preparations for fluid and electrolyte imbalance
9.2.2
Dextrose 10% NaCl 0.18% Dextrose 10% & Sodium Chloride 0.18%
51840103 9.2.2
solution - 500ml Solution
Dextrose 5% Soft Bag (Baxter) -
51840158 Dextrose 5% Soft Bag 9.2.2
500ml
Dextrose 5% Soft Bag (Baxter) -
51840154 Dextrose 5% Soft Bag 9.2.2
250ml
Dextrose 50% Injection Vial -
51200063 Dextrose 50% Injection Vial 9.2.2
20ml
36
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Sodium Chloride 3% Solution -
51840033 Sodium Chloride 3% Solution 9.2.2
500ml (BB)
Tetraspan 6% Solution - 500ml
51840129 Hydroxyethyl Starch 60g Per L Solution 9.2.2
(BB)
Potassium Chloride 1gm/10ml
51870030 Potassium Chloride 1gm/10ml Mixture 9.2.2.1
Mixture
Potassium Dhp 1.361gm/10ml
51200814 Potassium Dhp 1.361gm/10ml Injection 9.2.2.1
Injection
Sodium Bicarbonate 650mg
51002486 Sodium Bicarbonate 650mg Tablet 9.2.2.1
Tablet
Sodium Chloride 0.45% &
Sodium Chloride 0.45% & Dextrose 5%
51840040 Dextrose 5% Injection - 500 ml 9.2.2.1
Injection
(BB)
Sodium Chloride0.9 % &
Sodium Chloride 0.9% & Dextrose 5%
51840097 Dextrose 5% Injection - 500 ml 9.2.2.1
Injection
(BB)
Potassium Chloride 10%
51200775 Potassium Chloride 10% Injection 9.2.2.1
Injection (Pharmaniaga) - 10ml
9.2.2.2: Plasma and plasma substitutes
9.2.2.2
37
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Wheat Fiber, Oat Fiber, Apple Fiber,
Psyllium, Maize Dextrin, Inulin, Fructose,
51400666 Total Fiber 20G Sachet 9.4
Sucralose, Citric Acid, Guar Gum, Xanthan
Gum, Natural Orange Flavour
Astaxanthin 3mg, Bilberry extract 25mg,
51002974 Vitamode Asta I-Care Capsule 9.4
Vitamin E 10.5IU
Vitamode Mecobin Plus ALA
51003083 Vitamin B12 and Alpha Lipoic Acid (ALA) 9.4
Gold Tablet
9.5: Minerals
9.5
9.5.1: Calcium and magnesium
9.5.1
Magnesium Trisilicate 3.33% w/v & Light
Mixture Magnesium Trisilicate
51400059 Magnesium Carbonate 3.33% w/v & Sodium 9.5.1
Syrup - 120ml
Bicarbonate 3.33% w/v Syrup
9.5.1.1: Calcium supplements
9.5.1.1
Calcium Gluconate 10% Solution Calcium Gluconate 10% Solution For
51200987 9.5.1.1
For Injection Ampoule - 10ml Injection Ampoule
Calcium Carbonate 2.469mg & Calcium
Calcium Vitamin D3 Stada
51002779 Gluconolactate 100mg & Vitamin D3 9.5.1.1
Effervescent Tablet
0.022mg Tablet
51000669 Calactate 300mg Tablet Calcium Lactate 300mg Tablet 9.5.1.1
9.5.1.2: Hypercalcaemia and hypercalciuria
9.5.1.2
9.5.1.3: Magnesium
9.5.1.3
Magnesium SO4 49.3% Injection
51200778 Magnesium Sulphate 49.3% Injection Vial 9.5.1.3
Vial - 5ml
Phosphate Sandoz 500mg
51002102 Phosphorus 500mg Effervescent Tablet 9.5.2.1
Effervescent Tablet
9.5.2.2: Phosphate binding agents
9.5.2.2
38
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Calcium Carbonate 500mg Precipitated Calcium Carbonate USP 500mg
51002228 9.5.2.2
Tablet Tablet
9.5.3: Fluoride
9.5.3
9.5.4: Zinc
9.5.4
9.5.5: Selenium
9.5.5
Selenase 100mcg/2ml Oral
51400753 Sodium selenite pentahydrate (selenium) 9.5.5
Solution
Sodium Selenite Pentahydrate 500mcg
51201208 Selenase 500mcg Injection Upon request 9.5.5
Injection
9.6: Vitamins
9.6
9.6.1: Vitamin A
9.6.1
9.6.2: Vitamin B group
9.6.2
Mecobalamine 0.5mg & Vitamin B1 100mg &
51002047 B-Cobal Tablet 9.6.2
Vitamin B6 200mg Tablet
Methylcobal 500mcg Tablet
51000289 Mecobalamine 500mcg Tablet 9.6.2
(Eisai)
Methylcobal 500mcg/ml Injection
51200157 Mecobalamine 500mcg/ml Injection 9.6.2
(Eisai)
Vitamin B1 & Vitamin B6 & Vitamin B12
51000321 Neurobion Tablet 9.6.2
Tablet
Vitamin B1 & Vitamin B6 & Vitamin B12 &
51000836 Neurogen E Tablet 9.6.2
Vitamin E Tablet
Vitamin B1 100mg & Vitamin B2 2mg &
Vitamin B Complex Injection
51200465 Vitamin B6 10mg & Niacinamide 100mg & D- 9.6.2
(BECOLIM)
Panthenol 1mg
Vitamin B1 9.7mg & Vitamin B2 3mg &
Vitamin B Complex Tablet
51001971 Vitamin B3 25mg & Vitamin B5 1mg & 9.6.2
(Hovid)
Vitamin B6 1mg & Vitamin B12 5mcg Tablet
Vitamin B12 1000mcg/ml Cyanocobalamin 1000mcg/ml Injection
51201184 9.6.2
Injection Ampoule (CCM) - 1ml Ampoule - 1ml
9.6.3: Vitamin C
9.6.3
Vitamin C 100mg Chewable
51001970 Vitamin C 100mg Tablet 9.6.3
Tablet (Orange)
Shine Plus Vitamin C 500mg
51002079 Ascorbic Acid 500mg Tablet 9.6.3
Chewable Tablet
Redoxon Effervescent Double Zinc Citrate 10mg & Ascorbic Acid 1000mg
51001816 9.6.3
Action Tablet Effervescent Tablet
9.6.4: Vitamin D
9.6.4
Alfacalcidol (1-alpha-hydroxy vitamin D3)
51000345 One-Alpha 0.25mcg Capsule 9.6.4
0.25mcg Capsule
One-Alpha 2mcg/ml Oral Drops -
51400076 Alfacacidol 2mcg/ml Oral Drops 9.6.4
20ml
39
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Natopherol Bio Enhanced 250IU
51000959 Vitamin E 250IU Capsule 9.6.5
Capsule
9.6.6: Vitamin K
9.6.6
FeSO4 & Vitamin B1 & Vitamin B2 & Vitamin
Iberet Folic Acid 500mg Tablet B6 & Vitamin C & Cobalamin & Niacinamide
51001703 9.6.7
Blister & Calcium Pantothenate & Folic Acid Tablet
Blister
Lysine HCl & Calcium Phosphorus & Vitamin
B1 & Vitamin B2 & Vitamin B6 & Vitamin D3
51400051 Kiddi Pharmaton Syrup - 100ml 9.6.7
& Vitamin E & Nicotinamide & D-panthenol
Syrup
Neurogain PB 500mg
51001590 DHA 200mg & EPA 18mg Vegicapsule 9.6.7
Vegicapsule
Ginseng extract & Vitamin A & Vitamin B1 &
Vitamin B2 & Vitamin B6 & Vitamin B12 &
51002672 Pharmaton Capsule Vitamin C & Vitamin D & Vitamin E & 9.6.7
Nicotinamide & Calcium Pantothenate &
Folic acid & Minerals Capsule
Fe gluconate & Vitamin B12 & Vitamin C &
51000440 Sangobion Capsule Folic Acid & Sorbitol & Copper SO4 & 9.6.7
Manganese SO4 Capsule
Vidaylin Minibear W Garden
51001932 Multivitamnin Preparation 9.6.7
Vege + Vitamin C
Vitamin A 1500IU & Vitamin C 35mg &
Vitamin D3 400IU & Vitamin B1 0.5mg &
Taurine 20mg & L-Lysine 20mg & Vitamin
51400295 Appeton Mv Plus Infant Drops 9.6.7
B2 0.6mg & Vitamin B6 0.4mg & Vitamin
B12 2mcg & Vitamin E 5IU &
Nicotinamide Infant Drops
Vitamin B1& Vitamin B2 & Vitamin B6 &
51001181 Enervon C Tablet Vitamin B12 & Vitamin C & Niacinamide & 9.6.7
Calcium Pantothenate Tablet
Vitamin A 2500IU & Vitamin B1 10mg &
Vitamin B2 1.25mg & Vitamin B3 12.5mh &
Nutroplex Liquid With Iron & Vitamin B6 5mg & Vitamin B12 50mcg &
51400075 9.6.7
Lysine - 120ML Vitamin D 200iu & Elemental Fe 15mg &
Calcium Glycerophosphate 12.5mg & Mg
Gluconate 4mg & Lysine Hcl 12.5mg
Vitamin A 3000IU & Vitamin D 200IU &
Vitamin E 30IU & Vitamin B1 2mg & Vitamin
B2 2mg & Vitamin B6 3mg & Vitamin B12
51001968 Obimin Pluz Capsule 3mcg & Folic acid 1000mcg & Calcium 9.6.7
Pantothenate 8mg & Biotin 35mcg &
Nicotinamide 20mg & Vitamin C 100mg
Capsule
Omega-3 Acid Ethyl Esters 90 (EPA 460 mg
51002584 Omacor 1000mg Capsule 9.6.7
& DHA 380 mg) Capsule
Vitamin A 4,000IU & Vitamin D3 400IU &
Vitamin C 60mg & Folic Acid 500mcg &
Vitamin B1 3mg & VitaminB2 2mg &
Nicotinamide 10mg & Vitamin B6 3mg &
51002554 Similac Pramilet Tablet 9.6.7
Vitamin B12 3mcg & Pantothenic Acid 1mg
& Calcium 250mg & Iodine 100mcg &
Elemental Fe 5mg & Mg 10mg & Copper
150mcg & Zinc 85mcg Tablet
40
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Ferrous fumarate & Vitamin B1 & Vitamin B2
& Vitamin B6 & Vitamin C & Cobalamin &
51001376 Obimin Tablet Niacinamide & Ca pantothenate & Folic acid 9.6.7
& Calcium lactete & Copper & Iodine &
Dimeythylpolysiloxane Tablet
Vitamode CoQ10 Ubiquinol
51002629 Ubiquinol 100mg Capsule 9.6.7
100mg Capsule
Ubidecarenone (coenzyme Q10) 75mg
51002863 Surbex CoQ10 75mg Capsule 9.6.7
Capsule
9.7: Bitters and tonics
9.7
Cimicifuga racemosa rhizome extract 20mg
51000412 Remifemin 20mg Tablet 9.7
Tablet
Bio Enhanced Fish Oil Plus
51001750 Omega-3 Marine Triglycerides Capsule 9.9
Capsule
Amino Acids 51g & Nitrogen 8g & Natrium
41mmol & Potassium 30mmol & Magnesium
5.1mmol & Calcium 2.5mmol & Phosphate
51840147 SmofKabiven Bag - 2L 13mmol & Zinc 0.04mmol & Sulphate 9.9
5.1mmol & Cloride 36mmol & Acetate
106mmol & Glucose (anhydrous) 127g &
Lipids 38g Per 1,000ml Bag
Stimol Oral 1g/10ml Citrulline Malate 1g/10ml Oral Solution
32400000 9.9
Solution Sachet Sachet
Sachet Glutamine 10g & Vitamin C 250mg &
Vitamin E 83mg & β-carotene 1.6mg &
51400714 Kabi Glutamine Plus 9.9
Selenium 50mcg & Zn 3 mg & Fiber 1 g Per
22.4 g
Astragalus Membranaceus 111.5mg &
Salvia Miltiorrhiza 22.3mg & Paeoniae Rubra
22.3mg & Ligusticum Chuanxiong 22.3mg &
51002825 Neuroaid II 400mg Capsule Angelica Sinensis 22.3mg & Carthamus 9.9
Tinctorius 22.3mg & Prunus Persica 22.3mg
& Polygala Tenuifolia 22.3mg & Acorus
Tatarinowii 22.3mg
SMOF Kabiven Electrolyte Free
51840169 Intradialytic Parenteral Nutrition 986ml Upon request 9.9
986ML
41
10.
Musculoskeletal
And Joint Diseases
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Cataflam Drop 1.5%
51400015 Diclofenac Potassium 1.5% 0.5mg/Drops 10.1.1
0.5mg/Drops - 15ml
Mefenamic Acid 125mg/5ml
51400520 Mefenamic Acid 125mg/5ml Suspension 10.1.1
Suspension (Axcel)
Voltaren 75mg/3ml Injection Diclofenac Sodium 75mg/3ml Injection
51200313 10.1.1
Ampoule Ampoule
Humira 40mg/0.8ml Injection
51201272 Adalimumab 40mg/0.8ml Injection Upon request 10.1.3
(Pen)
Actemra 162mg/0.9ml Sub- Tocilizumab 162mg/0.9ml Sub-cutaneous
51201243 Upon request 10.1.3
cutaneous Injection Injection
42
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Glucosamine Sulphate 250mg & Chondroitin
51001868 Conart Capsule 10.1.5
Sulphate 200mg Capsule
Glucosamine Sulphate 1500mg &
51900394 Conart Sachet Chondroitin Sulphate 1200mg Powder For 10.1.5
Oral Solution Sachet
Glucosamine Sulphate 250mg & Chondroitin
51001813 Condropil Capsule 10.1.5
Sulphate 200mg Capsule
Glucosamine Sulphate 250mg & Chondroitin
51001897 Conart 250mg/200mg Capsule 10.1.5
Sulphate 200mg Capsule
43
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Counter Pain Analgesic Balm - Methy Salicylate 10.2% w/w& Menthol 5.44%
51650017 10.3.2
30gm w/w & Eugenol 1.36% w/w
Menthol 20mg & Eucalyptus Oil 88mg &
51650166 Metsal 50g Cream 10.3.2
Methyl Salicylate 283mg Per g Cream
44
11. Eye
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Fucithalmic Viscous 1% Eye
51500027 Fusidic Acid 1% Eye Drops 11.3.1
Drops - 5g
NaphazolineHCl 0,025% & Pheniramine
51500054 Naphcon-A Eye Drops - 15ml 11.4.2
Maleate Eye Drops
Relestat 0.5mg/ml Eye Drops -
51500282 Epinastine HCL 0.5mg/ml Eye Drops 11.4.2
5ml
11.5: Mydriatics and cycloplegics
11.5
Isopto Atropine 1% Eye Drops -
51500101 Atropine Sulphate 1% Eye Drops 11.5
5ml
45
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Phenylephrine Hcl 10% Eye
51500298 Phenylephrine HCl 10% Eye Drops 11.5
Drops - 0.5ml (Minims)
Phenylephrine Injection 10mg/ml
51200476 Phenylephrine HCl 11.5
(1%)
Tropicamide 1% Eye Drop 0.5ml
51500383 Tropicamide 1% Eye Drops 11.5
(Minims)
Alphagan P 0.15% Eye Drops -
51500183 Brimonidine Tartrate 0.15% Eye Drops 11.6
5ml
Travoprost 40mcg & Timolol Maleate 5mg
51500232 Duotrav Eye Drops (Bakfree) 11.6
Eye Drops
Bimatoprost 0.3mg & Timolol Maleate 5mg
51500254 Ganfort Eye Drops 11.6
Eye Drops
Latanoprost 0.005% & Timolol Maleate 0.5%
51500153 Xalacom Eye Drops - 2.5ml 11.6
Eye Drops
Xalatan 0.005% Eye Drops -
51500092 Latanoprost 0.005% Eye Drops 11.6
2.5ml
Apo-Acetazolamide 250mg
51002189 Acetazolamide 250mg Tablet 11.6
Tablet
Travatan 0.004% Opthalmic
51500269 Travoprost 0.004% Opthalmic Solution 11.6
Solution - 2.5ml
Brinzolamide 10mg & Brimonidine Tartrate
51500349 Simbrinza Eye Drop 11.6
2mg per ML Eye Drop
Restasis 0.05% Opthalmic
51500243 Ciclosporine 0.05% Opthalmic Emulsion 11.8
Solution - 0.4ml
11.8.1: Tear deficiency, ocular lubricants and astringents
11.8.1
Carboxymethylcellulose Na 0.5% & Glycerin
1% & Castor Oil 0.25% & Polysorbate 80
51500305 Optive Advance Eye Drops 11.8.1
0.5% & Levocarnitine 0.25% & Erythritol
0.25% Eye Drops
Refresh Tears 0.5% Eye Drops -
51500149 Carboxymethylcellulose Na 0.5% Eye Drops 11.8.1
15ml
Systane Balance Eye Drops -
51500283 Propylene Glycol 0.6% Eye Drops 11.8.1
10ml
46
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Duratears Naturale Eye Ointment White Petroleum & Anhydrous Liquid &
51500023 11.8.1
- 3.5gm Mineral Oil Eye Ointment
Hypromellose 0.3% & Carbomer 980
51500195 Genteal Eye Gel - 3.5g 11.8.1
Ophthalmic Gel
Vismed 0.18% Eye Drops -
51500226 Sodium Hyaluronate 0.18% Eye Drops 11.8.1
0.3ml
Ophteisbio 1.8% Single-use
51500273 Sodium Hyaluronate 1.8% Solution 11.8.1
Syringe - 1ml
Na Hyaluronate, Polyethylene Glycol 400,
Propylene Glycol, Hydroxypropyl Guar,
Sorbitol, Aminomethyl Propanol, Boric Acid,
51500338 Systane Hydration Eye Drop 11.8.1
Sodium Borate, Disodium EDTA, Sodium
Citrate, Potassium Chloride, Sodium
Chloride and Polidronum Chloride
Vismed Gel 0.3% Eye Drop
51500240 Sodium Hyaluronate 11.8.1
0.45ml (20's)
Hydrelo Allergy (Ectoin) Eyedrop
51500408 Ectoin Eyedrop 11.8.1
(0.5ml)
11.8.2: Ocular diagnostic and pre-operative preparations and photodynamic treatment
11.8.2
Eylea Solution 40mg/ml Solution Aflibercept 40mg/ml Solution For Injection
51201045 11.8.2
For Injection Vial - 0.01ml Vial
11.9: Other Eye Preparations
11.9
Aqua & PEG-200 Hydrogenated Glyceryl
Palmate & Disodium Laureth Sulfosuccinate
51500307 Systane Lid Wipes & Cocoamido Propyl Amine Oxide & PEG-80 11.9
Glyceryl Cocoate & Benzyl Alcohol &
Edetate Disodium Wipes
Sodium Chloride 6.4g/L & Potassium
Chloride 0.75g/L & Calcium Chloride 0.48g/L
51600445 Balanced Salt Solution - 500ml & Magnesium Chloride 0.3g/L & Sodium 11.9
Acetate 3.9g/L & Sodium Citrate Solution
1.7g/L Solution
Trypan Blue 0.6mg & Sodium Mono-
VisionBlue 0.06% Trypan Blue hydrogen Orthophosphate 1.9mg & Sodium
51500284 Opthalmic Solution Syringe - Di-hydrogen Orthophosphate 0.3mg & 11.9
0.5ml Sodium Chloride 8.2mg & Water For
Injection Per ml Syringe
Accentrix 10mg/ml Injection Vial -
51201134 Ranibizumab 10mg/ml Injection Vial 11.9
1's
47
12. Ear, Nose
And
Oropharynx
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Arachis Oil 57g & Paradichlorobenzene 2
51500012 Cerumol Ear Drops - 11ml 12.1.3
g & Chlorbutol 5g Per 100ml Ear Drops
Glucose & Glycerine 10% Nose
51870008 Glycerine pure 10% Nose Drops Extemporaneous 12.2
Drops
Glucose & Glycerine 20% Nose
51870053 Glycerine pure 20% Nose Drops Extemporaneous 12.2
Drops
Flixotide 125mcg Evohaler - 120
51550029 Flluticasone Propionate 125mcg Evohaler 12.2.1
Doses
Flixotide 50mcg Evohaler - 120
51550118 Flluticasone Propionate 50mcg Evohaler 12.2.1
Doses
Avamys Aqueous Nasal Spray - Fluticasone Furoate 27.5mcg/dose Nasal
51500229 12.2.1
120 Doses Spray
Avamys Aqueous Nasal Spray - Fluticasone Furoate 27.5mcg/dose Nasal
51500285 12.2.1
60 Doses Spray
Flixonase 0.05% Aqueous Nasal Fluticasone Propionate 0.05% Aqueous
51500177 12.2.1
Spray - 150 Doses Nasal Spray
Nasacort 55mcg Aqueous Nasal Triamcinolone Acetonid 55mcg Aqueous
51500055 12.2.1
Spray - 120 Doses Nasal Spray
Nasonex 0.05% Aqueous Nasal Mometasone Furoate 0.05% Aqueous Nasal
51500056 12.2.1
Spray - 140 Doses Spray
Nasonex 0.05% Aqueous Nasal Mometasone Furoate 0.05% Aqueous Nasal
51500096 12.2.1
Spray - 60 Doses Spray
Dymista 137/50mcg Nasal Spray
51500377 Fluticasone & Azelastine Nasal Spray 23G 12.2.1
23G
Nasehaler 50mcg Aqueous Nasal
51500375 Mometasone furoate 50mcg Nasal Spray 12.2.1
Spray
D. Pteronyssinus, D. Farina, Blomia
51600695 Oraltek Spray Upon request 12.2.1
Tropicalis
12.2.2: Topical nasal decongestants
12.2.2
Physiological Sea Water 31.82 ml (isotonic)
51500187 Sterimar Nasal Spray - 100ml 12.2.2
Per 100ml Nasal Spray
Sodium Bicarb 3.5% Nose
51870018 Sodium Bicarbonate 3.5% Nose Douching 12.2.2
Douching
Co Phenylcaine Forte Nasal Lignocaine HCl 5% & Phenylephrine HCL
51600416 12.2.2
Spray 0.5% Nasal Spray
48
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Iliadin 0.01% Infant Nose Drops - Oxymetazoline HCl 0.01% Infant Nose
51500179 12.2.2
5ml Drops
Oxy-Nase 0.025% Nasal Spray -
51500126 Oxymetazoline HCl 0.025% Nasal Spray 12.2.2
15ml
Oxy-Nase 0.05% Nasal Spray -
51500127 Oxymetazoline HCl 0.05% Nasal Spray 12.2.2
15ml
Sinus Rinse - Mixture Sachet Sodium Chloride & Sodium Bicarbonate
51600464 12.2.2
(Regular) Mixture Sachet
Sodium Chloride & Sodium Bicarbonate
51600466 Sinus Rinse Paediatric Kit 12.2.2
Paediatric Kit
Sodium Chloride & Sodium Bicarbonate
51600489 Sinus Rinse Peadiatric Sachet 12.2.2
Sachet
Sodium Chloride & Sodium Bicarbonate
51600463 Sinus Rinse Starter Kit (Regular) 12.2.2
Starter Kit
Sterimar Baby Nasal Spray - Physiological Sea Water 31.82ml (isotonic)
51500227 12.2.2
50ml Per 100ml
12.2.3: Nasal preparations for infection
12.2.3
12.3: Drugs acting on the oropharynx
12.3
Cetalkonium Cl 0.01% & Choline
51650013 Bonjela Gel - 15g 12.3.1
Salicylate 8.714% Gel
Benzydamine HCl 0.15% & Chlorhexidine
51600173 Difflam C Gargle 12.3.1
Gluconate 0.12% Gargle
Benzydamine Hydrochloride 3.0 mg/ml
51500225 Difflam Forte Throat Spray 12.3.1
Throat Spray
Lidocaine 2.5% & Chlorhexidine HCl 0.5%
51600074 Oral Aid Lotion - 6ml 12.3.1
& Triamcinolone Acetonide 0.1% Lotion
49
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Strepsils Lozenges (Honey & Dichlorobenzy Alcohol 1.2mg &
51000620 12.3.3
Lemon) Amylmetacresol 0.6mg Lozenges
12.3.4: Mouthwashes, gargles and dentifrices
12.3.4
Purified Water & Propylene Glycol &
Glycerin, Disodium Hydrogen Phosphate &
Thymol Mouthwash (Xepa) - Thymol, Sodium Benzoate & Cremophor
51600355 12.3.4
120ml RH40 & Sodium Dihydrogen Phosphate &
Eucalyptol 100% DAB6 & Menthol & Pine Oil
Fragrance & Carmoisine Colour
Aqua & Monopropylene Glycol & Xylitol &
Sorbitol & Poloxamer 407 & Sodium
Oral Seven Moisturising Mouth
51600460 Benzoate & Aloe Barbadensis Leaf Juice 12.3.5
Wash - 500ml
Powder & Benzoic Acid & Zinc Gluconate &
Calcium Lactate Mouth Wash
Lactoferrin 16mg & Lysozyme 16mg &
Lactoperoxidase 15000units & Glucose
Oral Seven Moisturising
51650494 Oxidase 10000units & Sodium 12.3.5
Toothpaste - 105g
Monofluorophosphate Moisturising
Toothpaste
Lactoperoxydase 4,000U & Glucose Oxidase
51600175 Biotene Mouthwash - 250ml 4,000U & Lysozyme 6mg & Lactoferrin 6mg 12.3.5
Per 250ml Mouthwash
Hydrogenated Starch Hydrsylate & Glycerin
& Aqua & Xylitol & Glyceryl Acrylate &
Oral Seven Moisturising Mouth
51650488 Hydroxyethyl Cellulose & Glucose Oxidase & 12.3.5
Gel - 50ml
Lactoferrin & Lysozyme & Cellulose Gum
Mouth Gel
50
13. Skin
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Emulsifying wax 9.5% w/w & Liquid Paraffin
51850010 Dermoplex Simple Cream 5.7% w/w & White Soft Paraffin 15.2% w/w & 13.2.1
Chlorocresol 0.1% w/w Cream
Physiogel Calming Relief A.I.
51650672 Physiological Lipids Cream 13.2.1
Restoring Lipid Balm (50ml)
Soft White Paraffin 5% & Light Liquid
51650477 QV Cream - 250g Paraffin 10% & Glycerin 10% & Squalane Upon request 13.2.1
3% & Dimethicone 3% Cream
51600281 QV Skin Lotion - 250ml Soft white paraffin 5% & Glycerin 5% Lotion Upon request 13.2.1
Ellgy H2O Hand & Body Lotion - Saccharide Isomerate & Dipalmitoyl
51600262 13.2.1.1
250ml Hydroxyproline Hand & Body Lotion
Aqua & PEG-75 & Cetearyl Alcohol &
Disodium Phosphate & Sodium Cocoyl
51600337 Physiogel Cleanser - 150ml Isethionate & Methylparaben & Citric Acid & 13.2.1.1
Butylparaben & Propylparaben & Parfum
Cleanser
Cetyl Alcohol & Propylene Glycol & Na
51600137 Cetaphil Cleanser - 118ml Lauryl Sulfate & Stearyl Alcohol & Benzyl 13.2.1.1
Alcohol & Sorbic Acid & Panthenol Cleanser
Water & Cetyl Alcohol & Propylene Glycol &
Cetaphil Skin Cleanser-118ml Sodium Lauryl Sulfate & Stearyl Alcohol &
51600354 13.2.1.1
New Methylparaben & Propylparaben &
Butylparaben Skin Cleanser
51
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Betamethasone Valerate 0.033% (1:3)
51870040 Betnovate 0.033% (1:3) Cream 13.4
Cream
Betamethasone-17-Valerate 0.1% &
51650458 Betnovate N Cream - 15g 13.4
Neomycin Sulphate 0.5% Cream
Hydrocortisone 1% & Miconazole Nitrate 2%
51650022 Daktacort Cream - 15g 13.4
Cream
Betamethasone Dipropionate 0.05% &
51650124 Diprogenta Cream - 15g 13.4
Gentamicin sulfate 0.1% Cream
Fusidic acid 2% & Betamethasone Valerate
51650046 Fucicort Cream - 15g 13.4
0.1% Cream
Hydrocortisone 1% & Calamine
51870044 Hydrocortisone 1% & Calamine Cream 13.4
Cream
Betamethasone Dipropionate 0.64mg &
51650330 Beprogent Cream - 15g 13.4
Gentamicin Sulphate 1.7mg Per g Cream
Hydrocortisone 0.25% ( 1:4 ) Hydrocortisone 1% Cream & Aqueous
51870043 Extemporaneous 13.4
Cream Cream
Hydrocortisone 0.5% ( 1:2 )
51870042 Hydrocortisone 1% & Aqueous Cream Extemporaneous 13.4
Cream
52
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Adapalene 0.1% & Benzoyl Peroxide 2.5%
51650506 Epiduo 0.1%/2.5% Gel 13.6.1
Gel
TDF AHA Facial Wash for
Chlorhexidine & Aloe Vera & Aha Glycolic
37100001 Oily/Acne Prone Skin Wash - 100 13.6.1
Acid 4% Skin Wash Solution
mL
Salicylic Acid & Glycolic Acid & Latic Acid &
TDF Deep Acne Facial Wash Malic Acid & Citric Acid & Tartaric Acid &
37100006 13.6.1
Solution - 100ml Mentha Piperita & Tea Tree (Melaleuca
Alternifolia) Leaf Oil & Menthol Solution
13.6.2: Oral preparations for acne
13.6.2
Ubiquinone & Tetrahexyldecyl Ascorbate
DF Age Denfense PA+++ & Zinc Oxide & Hydrogenated Palm
37100000 13.8.1
UVA/UVB SPF50+ Sunscreen Glycerides & Cyclopentasiloxane &
Cyclomethicone & Caprylyl Glycol Cream
Aqua, Octocrylene, Dibutyl Adipate, Butyl
Methoxydibenzoylmethane, Ethylhexyl
Triazone, Glycerin, Caprlyl Methicone,
Cetearyl Alcohol, Glyceryl Stearate Citrate,
Butyrospermum Parkii (Shea) Butter,
Oncoderma Face and Body
51900511 Caprylyl Glycol, Helianthus Annuus Seed Oil 13.8.1
Cream SPF 20
Unsaponifiables, Betaglucan, Panthenol,
Tocopheryl Acetate, Allantoin, Cetearyl
Ethylhexanoate, Neopentyl Glycol
Diheptanoate, Arginin, Polyester-7,
Carbomer, Disodium Phosphate
13.8.2: Camouflagers
13.8.2
13.9: Shampoos and other preparations for scalp and hair conditions
13.9
53
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Salicylic Acid & Sulphur 2% Salicylic Acid 10g & Sulphur 2% Powder &
51870052 13.10
Cream Aqueous Cream
Salicylic Acid & Sulphur 2% Salicylic Acid 2% & Sulphur 2% Powder &
51870017 13.10
Cream In Lincocin Aqueous Cream & Lincocin 2%
Salicylic Acid & Sulphur 6% Salicylic Acid 30g & Sulphur Powder 30g &
51870106 13.10
Cream Aqueous Cream
Aqua & Cocamidopropylamine Oxide & PEG-
7 Glyceryl Cocoate & Glycerin &
51600727 Octenisan Wash Lotion - 100ml Hydroxyethylcellulose & Lactic Acid & 13.10
Octenidine Hydrochloride & Allantoin Wash
Lotion
13.10.1: Antibacterial preparations
13.10.1
Neomycin 5.000IU & Bacitracin 250IU
51650275 Baneocin Ointment - 20g 13.10.1
Ointment
Isoconazole Nitrate 10mg & Diflucortolone
51650168 Travacort Cream - 10g 13.10.2
Valerate 1mg Per g Cream
Tystatin 100,000IU/ml Oral
51400681 Nystatin 100,000IU/ml Oral Suspension 13.10.2
Suspension - 30ml
Creobic Double Action Cream Clotromazole 1% w/w, Betamethasone
51650703 13.10.2
15g dipropionate 0.05% w/w
13.10.3: Antivirals preparations
13.10.3
Acyclovir 5% Cream (Axcel) -
51650546 Acyclovir 5% Cream 13.10.3
5gm
54
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Propan-1-ol 10.0g & Propan-2-ol 8.0g &
51600108 Primasept Med Solution 13.11
Biphenyl-2-ol 2.0 g Per 100g Solution
Aqua & Na Laureth Sulfate & NaCl & Lauryl
Glucoside & Allantoin & Glycol Distearate &
DiNa Laureth Sulfosuccinate & Stearamide
MEA & Cocamide DEA & Triethylene Glycol
51600113 Esemtan Lotion - 1L & Propylene Glycol & Benzyl Alcohol & 13.11
Methylchloroisothiazolinone &
Methylisothiazolinone & Na Hydroxide &
Lactic Acid & Benzyl Salicylate & Hexyl
Cinnamal Lotion
Aqua & Na Laureth Sulfate & NaCl & Lauryl
Glucoside & Allantoin & Glycol Distearate &
DiNa Laureth Sulfosuccinate & Stearamide
MEA & Cocamide DEA & Triethylene Glycol
51600804 Esemtan Lotion - 100ml & Propylene Glycol & Benzyl Alcohol & 13.11
Methylchloroisothiazolinone &
Methylisothiazolinone & Na Hydroxide &
Lactic Acid & Benzyl Salicylate & Hexyl
Cinnamal Lotion
Chlorhexidine 0.05% Solution -
51600631 Chlorhexidine Gluconate 0.05% Solution 13.11
500 ml
Betadine Wound Care 2.5% Dry
51650620 Povidone-Iodine 2.5% Dry Powder Spray 13.11
Powder Spray - 55g
Eusol Solution A & B (T-Eusol) - Chlorinated Lime 2.5% & Glacial Acetic Acid
51600352 13.11
100ml 1.2% Solution
Acetic Acid 5%w/v Solution (R&M
51600363 Acetic Acid 5%w/v Solution 13.11
Chemicals) - 1L
13.11.1: Alcohols and saline
13.11.1
Mek & Isopropyl Alcohol & Di Water & Ethyl
QuikClean Nail Polish Remover -
51600491 Acetate & Tocopheryl Acetate & Ci 42090 13.11.1
85ml
Solution
19 Volumes Of Ethanol And 1 Volume
51600326 Methylated Spirit - 100ml Approved Wood Naphtha (Containing 95% 13.11.1
By Volume Alcohol)
Methyl Salicylate 0.5ml & Diethyl Phthalate
51600663 Surgical Spirit - 100ml 13.11.1
2% & Castor Oil 2.5%
1-Propanol 32.3g & 2-Propanol 21g &
51600374 Desmanol Solution - 500ml Chlorhexidine Digluconate 0.8g Per 100g 13.11.1
Solution
51600807 Septigel 500ml Solution Ethanol 70% w/w 13.11.1
55
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Isopropyl Alcohol 70% & Chlorhexidine
51600392 Steri-Prep Solution 13.11.2
Gluconate 2%
Chlorhexidine Gluconate 0.05%
51600629 Chlorhexidine Gluconate 0.05% Solution 13.11.2
Solution - 925ml
13.11.3: Cationic surfactants and soap
13.11.3
13.11.4: Iodine
13.11.4
Povidone Iodine 10% Solution -
51600084 Povidone-Iodine 10% Solution 13.11.4
30ml
Betadine 10% Wound Care
51600365 Povidone-Iodine 10% w/v Solution 13.11.4
Solution - 1L
Betadine 10% Wound Care
51600468 Povidone-Iodine 10% w/v Solution 13.11.4
Solution - 60ml
13.11.5: Phenolics
13.11.5
13.11.6: Oxidisers and dyes
13.11.6
Hydrogen Peroxide 6% Solution
51600247 Hydrogen Peroxide 6% Solution 13.11.6
(Polylab)
Potassium Permanganate
51870032 Potassium Permanganet 0.01% Solution 13.11.6
0.01% Solution
Potassium Permanganate 1%
51870107 Potassium Permanganet 1% Solution 13.11.6
Solution
Potassium Permanganate 0.02%
51870070 Potassium Permanganet 0.02% Solution 13.11.6
Solution
Potassium Permanganate 0.1%
51870071 Potassium Permanganet 0.1% Solution 13.11.6
Solution
13.11.7: Preparations for promotion of wound healing
13.11.7
Silvosept Spray - 50ml & Chitoheal Gel -
52121371 Dr Wound Mini Twin Pack Upon request 13.11.7
20ml
13.12: Antiperspirants
13.12
13.13: Topical circulatory preparations
13.13
Aescin 1gm & Dietyhlamine Salicylate 5gm &
51650382 Reparil Gel N - 40g 13.13
Propanol 15% w/w Gel
13.14: Other Dermatological Preparations
13.14
Aqua & Pentylene Glycol & Hydrolyzed
Wheat Protein & Glycerin & Arnica Montana
TDF Age Defense Cleansing Gel - Flower Extract & Hydrolyzed Casein &
37100002 13.14
100ml Ceratonia Siliqua Gum & Morus Alba Bark
Extract & Allantoin & Morus Alba Bark
Extract Gel
56
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Isopropyl Palmitate & Butylene Glycol &
Cetaryl Alcohol & Niacinamide & Polysorbate
TDF LMB Pigment Lightening
37100004 60 & Dimethicone & Hydroxyethyl Acrylate & 13.14
Cream - 20g
Taurate Copolymer & Methyl
Dihydroxybenzoate & Stearyl Alcohol Cream
Glycolic Acid & Cetyl Alcohol & Cetrimonium
Chloride & Propylene Glycol &
TDF AHA Revitalizing Cleanser 4 Hydroxyethylcellulose & Ammonium
37100005 13.14
- 100ml Hydroxide & Magnesium Aluminium &
Cholesterol & Diazolidinyl Urea & Allantoin
Solution
Propylene Glycol & Myristyl Myristate
37100008 TDF Ultra Light Hydrator Cream 13.14
& Glyceryl Stearate & Cetyl Alcohol Cream
Eldopaque Forte 4% Cream -
51650037 Hydroquinone 4% Cream 13.14
15g
Clostridiopeptidase A 1.2u & Associated
51650466 Iruxol Mono Ointment - 15g 13.14
Proteases 0.24u Per g Ointment
Strataderm Scar Therapy Gel - Polydimethylsiloxanes & Siloxanes &
51650483 13.14
10gm Alkylmethyl Silicones Gel
Cyclopentasiloxane & Vitamin C Ester
51650492 Dermatix Ultra Topical Gel - 15g 13.14
(Ascorbyl Tetraisopalmitate) Topical Gel
Nano C Premium Antioxidant
51900510 L-Ascorbic Acid Serum 13.14
Serum
Reten Five 5% Topical Solution
51600725 Minoxidil 5% Topical Solution 13.14
(60ml)
13.15: Other Skin Supplement
13.15
57
14.
Immunological
Products and
Vaccines
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Havrix 1440 IU/ml Vaccine
51200100 Hepatitis A 1440 IU/ml Vaccine Injection Vial 14.4
Injection Vial
Havrix 720 IU/0.5ml Jr Vaccine Hepatitis A 720 IU/0.5ml Vaccine Injection
51200099 14.4
Injection Syringe Syringe
Avaxim Vaccine Pfs 80U/0.5ml Hepatitis A Vaccine 80U/0.5ml Injection Pre-
51200361 14.4
Injection Pre-Filled Syringe Filled Syringe
Avaxim Vaccine Pfs 160IU/0.5ml Hepatitis A Vaccine 160IU/0.5ml Injection
51200985 14.4
Injection Pre-Filled Syringe Pre-Filled Syringe
Inactivated Hav 720 Elisa U Adsorbed &
Twinrix 720IU/ml Adult Vaccine
51200292 Recombinant HBsAg 20mcg Per 1ml 14.4
Injection Pre-Filled Syringe
Injection Pre-Filled Syringe
Varivax Vaccine 1350 PFU/0.5ml Live Varicella Virus 1350 PFU/0.5ml Vaccine
51201065 14.4
Injection - Vial Injection - Vial
Engerix B 20mcg/ml Vaccine
51200071 Hepatitis B 20mcg/ml Vaccine Injection Vial 14.4
Injection Vial
Diphtheria Toxoid Not Less Than 20IU &
Tetanus Toxoid Not Less Than 40IU &
Bordetella Pertussis Antigens: Pertusis
Toxoid 25mcg & Filamentous
Haemagglutinin 25mcg & Inactivated
Poliovirus: Type 1 (Mahoney) 40D Antigen
Hexaxim 0.5mg Injection Pre-
51201040 Units & Type 2 (MEF-1) 8D Antigen Units & 14.4
Filled Syringe
Type 3 (Saukett) 32D Antigen Units &
Hepatitis B Surface Antigen 10mcg &
H.Influenzae Type B Polysaccharide 12mcg
(Polyribosylribitol Phosphate) Conjugated To
Tetanus Protein 22-36mcg Injection Pre-
Filled Syringe
BCG 0.5mg/10doses Vaccine Live Attenuated (freeze-dried)
51200027 14.4
Injection Ampoule 0.5mg/10doses BCG Injection Ampoule
Engerix B 10mcg/0.5ml Vaccine Hepatitis B 10mcg/0.5ml Vaccine Injection
51200070 14.4
Injection Vial Vial
Hepabig 100IU/0.5ml Human Hepatitis B 100IU/0.5ml Vaccine
51200106 14.4
Injection Vial Injection Vial
Diphtheria Toxoid & Tetanus Toxoid &
Pertussis Toxoid & Filamentous
Haemagglutinin & Pertactin & Inactived
Infanrix Hexa Pfs 0.5ml Injection
51200708 Poliomyelitis Virus Of Type 1 & Type 2 & 14.4
Pre-Filled Syringe
Type 3 & Purified Capsular Polysaccharide
Of Haemohilus Influenzae Type B Vaccine
Injection Pre-Filled Syringe
Vaxigrip Pfs Vaccine Injection Inactivated Influenza Vaccine (Split Virion)
51200894 14.4
Pre-Filled Syringe Injection Pre-Filled Syringe
Fluquadri Pfs 0.5ml Vaccine Pre- Four Split Influenza Virus & Inactivated
51201084 14.4
Filled Syringe Strains Pre-Filled Syringe
Live Measles & Mumps & Rubella Virus
51200172 M-M-R II Vaccine Injection Vial 14.4
Vaccine Injection Vial
Live Attenuated Schwarz Measles & RIT
Priorix 0.5ml Vaccine Injection 4385 Mumps (Derived From Jeryl Lynn
51200214 14.4
Pre-Filled Syringe Strain) & Wistar RA 27/3 Rubella Strains Of
Viruses Injection Pre-Filled Syringe
Live Attenuated Schwarz Measles & RIT
4385 Mumps (Derived From Jeryl Lynn
Priorix Tetra 0.5ml Vaccine
51200881 Strain) & Wistar RA 27/3 Rubella & OKA 14.4
Injection Pre-Filled Syringe
Varicella Strains Of Viruses Injection Pre-
Filled Syringe
Rotarix Vaccine 1ml Injection Vial Live Attenuated Human Rotavirus Vaccine
51400444 14.4
(I Dose) RIX4414 Strain Injection Vial
Quadrivalent Human Papillomavirus (type
Gardasil Injection Pre-Filled
51200716 6,11,16,18) Recombinant Vaccine Injection 14.4
Syringe
Pre-Filled Syringe
58
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Pertussis Toxoid 20mcg & Filamentous
Haemaglglutinin 20mcg & Fimbrial
Agglutinogens 2+35mcg & Pertactin 3mcg &
Diphtheria Toxoid 15 Lf & Tetanus Toxoid 5
Lf & Purified Polyribose Ribitol Phosphate
51200580 Pediacel Vaccine Injection Vial Capsular Polysaccharide Of Haemophilus 14.4
Influenzae Type B 10mcg & Poliovirus Type
1 (Mahoney) 40D Antigens Unit & Poliovirus
Type 2 (MEF-1)8 D Antigen Units &
Poliovirus Type 3 (Saukett) 32D Antigen
Units Injection Vial
Pneumococcal Polysaccharide Conjugate
Prevenar 13 Pfs Vaccine 0.5mg
51200908 Vaccine (13 valent, adsorbed) Injection Pre- 14.4
Injection Pre-Filled Syringe
Filled Syringe
Synflorix Vaccine Injection Pre- Pneumoccocal & Haemophillus Influenza
51200866 14.4
Filled Syringe Protein D Injection Pre-Filled Syringe
Tetanus Toxoid 10Doses/5ml Purified Tetanus Toxoid & Aluminium
51200591 14.4
Vaccine Injection Vial Phosphate & Thimerosal Injection Vial
Mycobacterium Tuberculosis 0.4mcg &
Disodium Phosphjate Dihydrate 7.6mg &
Potassium Dihydrogen Phosphate 1.5mg &
Tuberculin Ppd2Tu /0.1ml 5ml
51201160 Sodium Chloride 4.8mg & Potassium 14.4
Injection Vial
Hydroxychinoline Sulphate 100mcg &
Polysorbate 80 50mcg & Water For Injection
Injection Vial
Tetavax Vaccine Injection Pre-
51200356 Tetanus Toxoid Injection Pre-Filled Syringe 14.4
Filled Syringe
Diphtheria Toxoid ≥30IU & Tetanus Toxoid
≥40IU & Bordetella Pertussis Antigens:
Toxoid 25mcg & Filamentous
Haemagglutinin 25mcg & Inactivated
Pentaxim Vaccine Pre-Filled Poliomyelitis Virus (type 1) 40D Antigen units
51200616 14.4
Syringe & Inactivated Poliomyelitis Virus (type 2) 8D
Antigen Units & Inactivated Poliomyelitis
Virus (type 3) 32D Antigen Units & H
Influenzae Type B Polysaccharide 10 mcg
Injection Pre-Filled Syringe
Diphtheria Toxoid not <2 IU & Tetanus
Toxoid not <20 IU & Bordetella Pertussis
Boostrix Pre-Filled Syringe -
51200673 Antigens: Pertussis Toxoid 8mcg & 14.4
0.5ml
Filamentous Haemagglutinin 8mcg &
Pertactin 2.5mcg
Menveo Solution For [Meningococcal (Groups A, C, Y and W-135)
51200922 Intramuscular Injection Vial - Oligosaccharide Diphtheria CRM197 14.4
0.5ml Conjugate Vaccine Injection Vial
Human Varicella-Zoster Immunoglobulin &
Varitect CP 125IU Solution For
51200943 Human Plasma Protein 50mg/ml Solution 14.4
Infusion Vial - 5ml
For Infusion Vial
Tetanus Toxoid 5Lf & Diphtheria Toxoid 2Lf
& Pertussis Toxoid 2.5mcg & Filamentous
51201013 Adacel Vaccine Vial - 0.5ml 14.4
Haemagglutinin 5mcg & Fimbriae Types 2 &
3 5mcg & Pertactin 3mcg Vaccine Vial
Live & Oral Pentavalent Vaccine & Rotavirus
RotaTeq vaccine Oral Solution -
51400625 Oral Solution 14.4
2ml
Rhophylac 1500IU/2ml - Pre- Immonoglobulin Human Anti-D - Pre-Filled
51200970 14.4
Filled Syringe Syringe
Purified Capsular Polysaccharides From 23
Pneumovax 23 Vaccine Injection
51201166 Most Prevalent Invasive Pneumococcal 14.4
Vial - 0.5mL
Types Injection - Vial
Fluquadri Vaccine 0.25ml Four Split Influenza Virus Injection Pre-Filled
51201082 14.4
Injection Pre-Filled Syringe Syringe
9-valent Human Papillomavirus (type
51201213 Gardasil 9 Injection - 0.5ml 6,11,16,18,31,33,45,52,58) Recombinant 14.4
Vaccine Injection Pre-Filled Syringe
Haemophilus Influenzae Type b (Hib)
51200107 Hiberix Vaccine Injection - 0.5ml 14.4
Vaccine Injection - 0.5ml
59
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Human Immunoglobulin 2.5
51200392 Human immunoglobulin Injection Vial 14.5
Injection Vial
60
15. Anaesthesia
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Propofol Injectable Emulsion 1%
51201131 Sulfite 1% Injection Vial 15.1.1
Injection Vial
Etomidate - Lipuro 20mg/ml
51200556 Etomidate 20mg/ml Injection Vial 15.1.1
Injection Vial - 10ml
Ketamine Hydrochloric Acid 50mg/ml
51730028 Kanox 50mg/mL Injection Vial 15.1.1
Injection Vial
15.1.2: Inhalational anaesthetics
15.1.2
Forane Inhalation Solution - 250
51550032 Isoflurane Liquid 15.1.2
mL
15.1.3: Antimuscarinic drugs
15.1.3
15.1.4: Sedative and analgesic peri-operative drugs
15.1.4
Precedex 100mcg/ml Injection Dexmedetomidine HCl 100mcg/ml Injection
51200399 15.1.4
Vial Vial
Dormicum 15mg/3ml Injection
51770003 Midazolam 15mg/3ml Injection Ampoule 15.1.4.1
Ampoule
Dormicum 5mg/ml Injection
51770001 Midazolam 5mg/ml Injection Ampoule 15.1.4.1
Ampoule
Fentanyl 0.1mg/2ml Injection Fentanyl Citrate 0.1mg/2ml Injection
51730001 15.1.4.3
Ampoule (Imeks) Ampoule
Tracrium 10mg/ml Injection Atracurium Besylate 10mg/ml in 5ml
51200349 15.1.5
Ampoule Injection Ampoule
Suxamethonium Chloride
Suxamethonium Chloride 100mg/2ml
51200765 100mg/2ml Injection Ampoule 15.1.5
Injection Ampoule
(Fresenius Kabi)
Rocuronium Bromide 50mg/5ml Injection
51200910 Esmeron 50mg/5ml Injection Vial 15.1.5
Vial
Pavulon 4mg/2ml Injection Pancuronium Bromide 4mg/2ml Injection
51200205 15.1.5
Ampoule Ampoule
Rocuronium 500mg Inj
51201225 Rocuronium 500mg Inj 15.1.5
(Fresenius Kabi)
15.1.6: Anticholinesterases used in anaesthesia
15.1.6
Neostigmine Methylsulphate Neostigmine methylsulphate 2.5mg/ml
51200800 15.1.6
2.5mg/ml Injection Vial (Kabi) Injection Vial
15.1.7: Antagonists for central and respiratory depression
15.1.7
61
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Denkan 2.2ml Injection Dental Lignocaine 2% & Epinephrine Acid Tartrate
51200583 15.2
Catridge Injection Dental Catridge
Lignocaine 1% 5ml Injection
51200144 Lignocaine 1% 5ml Injection Ampoule 15.2
Ampoule
Lignocaine HCI 0.66% & Aminacrine HCI
51650066 Medi Gel - 15g 15.2
0.05% - Gel
Xylocaine 2% 5ml Injection
51200320 Lidocaine HCL 2% 5ml Injection Vial 15.2
Vial (Polyamp)
Marcain 0.5% Adrenaline 20ml
51200150 Bupivacaine + Adrenaline Injection Vial 15.2
Injection Vial
Marcain 0.5% Spinal Heavy 4ml Per mL Bupivacaine HCl 5 mg & dextrose
51200151 15.2
Injection Ampoule 80 mg Injection Ampoule
Marcaine Plain 0.5% 20ml
51200428 Bupivacaine 0.5% 20ml Injection - Vial 15.2
Injection - Vial
Naropin 0.2% 2mg/ml Injection
51200179 Ropivacaine HCl 2mg/ml Injection Ampoule 15.2
Ampoule
Naropin 7.5mg/ml Injection Ropivacaine HCl 7.5mg/ml Injection
51200180 15.2
Ampoule Ampoule
62
16. Cholagogues,
Cholelitholytics
And Hepatic
Protectors
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Sodium Dihydrogen Phosphate
51850035 Sodium Dihydrogen Phosphate Anhydrous 16
Anhydrous - 500g
63
17. Emergency
Treatments
(Antidotes)
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Pampara 500mg/20ml Injection Pralidoxime Chloride 25mg/ml Injection
51200492 17
Ampoule Ampoule
64
18. Nutritional
Supplements
(Non-Disease
Specific)
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Ginkgo Biloba Extract (EGb 761) 40mg
51001189 Tanakan 40mg Tablet 18
Tablet
α-Lipoic Acid 300mg & Fatty Acids (Linoleic
Acid 114mg, γ-Linolenic Acid 66mg) 180mg
& Oil 300mg & d-α Tocopherol 16.77IU &
51002678 Alanerv Capsule Calcium Pantothenate 4.5mg & Pyridoxine 18
Hydrochloride 1.5mg & Riboflavin 1.2mg &
Selenium Methionine 25mcg & Thiamine
Mononitrate 1.05mg Capsule
Evening Primrose Oil
51002739 Evening Primrose Oil 1000mg Vegicapsule 18
Vegicapsule (Kordel)
Prebiotic Galacto-Oligosaccharides (GOS) &
Minimum of 3 billion colony forming units of
BBG Prebiotic & Probiotic 2g
51400665 probiotic Bifidobacterium longum BB536 & 18
Sachet
Bifidobacterium breve M-16V Prebiotic and
Probiotics Sachet
Total extract of avocado & soybean
51002569 Piascledine 300mg Capsule 18
unsaponifiable fractions 300mg
L-Leucine, L-Isoleucine & Amino Acids
51840087 Nephrosteril Solution - 500ml Upon request 18
Solution
65
19.
Extemporaneous
Preparations
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Hydrocortisone 100mg Injection & Water For
51870088 Hydrocortisone 0.1% Enema 19
Injection & Distelled Water Enema
66
20. Device
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
BD Ultrafine 4mm x 32G Pen
52420654 Pen Needles 20
Needle
Mini-Wright Std Peak Flow Meter
51550038 Peak Flow Meter 20
(Adult)
Philips Respironic Optichamber
51550116 Anti-Static Chamber With Large Mask 20
(Large)
Philips Respironic Optichamber
51550115 Anti-Static Chamber With Medium Mask 20
(Medium)
Philips Respironic Optichamber
51550114 Anti-Static Chamber With Small Mask 20
(Small)
67
21.Wound
Management
Products
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Cyclopentasiloxane & Vit C Ester (Ascorbyl
51650370 Dermatix Ultra Gel 21
Tetraisopalmitate) Gel
Sodium Hyaluronate 1.5g, K Iodine 0.15g,
51600697 Hyiodine Gel 22gm Upon request 21
Iodine 0.1g (per 100g)
Sodium Hyaluronate 1.5g, K Iodine 0.15g,
51600409 Hyiodine Gel 50gm Upon request 21
Iodine 0.1g (per 100g)
68
22. Contrast
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
69
23.
Miscellaneous
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)
Octenidine HCl 0.1% & Phenoxyethanol
51600385 Octanisept - 500ml 23
2.0% Solution
Alcohol Ethoxylate & Propan-2-ol &
Distel High Level Medical Didecyldimethylammonium Chloride &
51600310 Surface Disinfectant Spray - Polymeric Biguanide Hydrochloride & 23
500ml Alkyl(C12-16)dimethylbenzyl-
ammonium Chloride Disinfectant Spray
Trichloroacetic Acid Powder -
51850051 Trichloroacetic Acid Powder 23
500g
Ethyl esters of iodized fatty acids of poppy
51201255 Lipiodol Ultra Fluid 10ml Injection 23
seed oil
Hemacom AB Continuous Renal
51600781 Replacement Therapy Solution Replacement solution used in CRRT 23
(CRRT) with Lactate - 5L
70