Drug Formulary

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Jan – June

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.

Pharmacy & Therapeutic Committee


Chairperson

Dr Muhammad Redzwan S Rashid Ali

Committee Members

Dr Mohd Shahrom Ujang


Dr Mohamad Asri Halili
Dr Lum Wan Heng
Dr Unnikrishnan Gopinathan
Dr Chong Tian Huat
Dr Diong Kok Hui
Dr Mohd Ismail Ali
En Mohd Azhar Abdullah
En Ahmad Rafiquddin Bin Amran
Mdm Nur Yasmin Abdullah
Mdm Azalina A.Rahman
All pharmacists

Secretary

Pn Rosilawati Selamat
CONTENTS
Page
Preface

Changes for this edition

1 Gastro intestinal system 1

1.1 Dyspepsia and gastro-oesophageal reflux disease


1.1.1 Antacids and simeticone
1.1.2 Compound alginates and proprietary indigestion preparations
1.2 Antispasmodics and other drugs altering gut motility
1.3 Antisecretory drugs and mucosal protectants
1.3.1 H2 receptor antagonists
1.3.2 Selective antimuscarinics
1.3.3 Chelates and complexes
1.3.4 Prostaglandin analogues
1.3.5 Proton pump inhibitors
1.4 Acute diarrhoea
1.4.1 Adsorbents and bulk forming drugs
1.4.2 Antimotility drugs
1.5 Chronic bowel disorders
1.6 Laxatives
1.6.1 Bulk forming laxatives
1.6.2 Stimulant laxatives
1.6.3 Faecal softeners
1.6.4 Osmotic laxatives
1.6.5 Bowel cleansing solutions
1.6.6 Peripheral opiod-receptor antagonist
1.6.7 5HT4 receptor agonist
1.7 Local preparations for anal and rectal disorders
1.7.1 Soothing haemorrhoidal preparations
1.7.2 Compound haemorrhoidal preparations with corticosteroids
1.7.3 Rectal sclerosants
1.7.4 Management of anal fissures
1.8 Stoma care
1.9 Drugs affecting intestinal secretions
1.9.1 Drugs affecting biliary composition and flow
1.9.2 Bile acid sequestrants
1.9.3 Aprotinin
1.9.4 Pancreatin
CONTENTS
Page
2 Cardiovascular System 4

2.1 Positive inotropic drugs


2.1.1 Cardiac glycosides
2.1.2 Phosphodiesterase inhibitors
2.2 Diuretics
2.2.1 Thiazides and related diuretics
2.2.2 Loop diuretics
2.2.3 Potassium sparing diuretics and aldosterone antagonists
2.2.4 Potassium sparing diuretics with other diuretics
2.2.5 Osmotic diuretics
2.2.6 Mercurial diuretics
2.2.7 Carbonic anhydrase inhibitors
2.2.8 Diuretics with potassium
2.3 Anti arrhythmic drugs
2.3.1 Management of arrhythmias
2.3.2 Drugs for arrhythmias
2.4 Beta adrenoceptor blocking drugs
2.5 Hypertension and heart failure
2.5.1 Vasolidator antihypertensive drugs
2.5.2 Centrally acting antihypertensive drugs
2.5.3 Adrenergic neurone blocking drugs
2.5.4 Alpha adrenoceptor blocking drugs
2.5.5 Drugs affecting the renin angiotensin system
2.5.5.1 Angiotensin converting enzyme inhibitors
2.5.5.2 Angiotensin II receptor antagonists
2.5.5.3 Renin inhibitors
2.6 Nitrates, calcium channel blockers and other antianginal drugs
2.6.1 Nitrates
2.6.2 Calcium channel blockers
2.6.3 Other antianginal drugs
2.6.4 Peripheral vasodilators and related drugs
2.7 Sympathomimetics
2.7.1 Inotropic sympathomimetics
2.7.2 Vasoconstrictor sympathomimetics
2.7.3 Cardiopulmonary resuscitation
2.8 Anticoagulants and protamine
2.8.1 Parenteral anticoagulants
2.8.2 Oral anticoagulants
2.8.2.1 Reversal for Oral anticoagulants
2.8.3 Protamine sulphate
2.9 Antiplatelet drugs
2.10 Myocardial infarction and fibrinolysis
2.10.1 Management of myocardial infarction
2.10.2 Fibrinolytic drugs
2.11 Antifibrinolytic drugs and haemostatics
2.12 Lipid regulating drugs
2.13 Local sclerosants
2.14 Other Drugs Acting On Cardiovascular System
CONTENTS
Page

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

3.3.1 Cromoglicate and related therapy


3.3.2 Leukotriene receptor antagonists
3.4 Antihistamine, hyposensitisation and allergic emergencies
3.4.1 Antihistamines
3.4.2 Allergen immunotherapy
3.4.3 Allergic emergencies
3.5 Respiratory stimulants and pulmonary surfactants
3.5.1 Respiratory stimulants
3.5.2 Pulmonary surfactants
3.6 Oxygen
3.7 Mucolytics
3.8 Aromatic inhalations
3.9 Cough preparations
3.9.1 Cough suppresants
3.9.2 Expectorant and demulcent cough preparations
3.10 Systemic nasal decongestants
CONTENTS
Page
4 Central nervous system 14

4.1 Hypnotics and anxiolytics


4.1.1 Hypnotics
4.1.2 Anxiolytics
4.1.3 Barbiturates
4.2 Drugs used in psychoses and related disorders
4.2.1 Antipsychotic drugs
4.2.2 Antipsychotic depot injections
4.2.3 Antimanic drugs
4.3 Antidepressant drugs
4.3.1 Tricyclic and related antidepressant drugs
4.3.2 Monoamine oxidase inhibitors
4.3.3 Selective serotonin re-uptake inhibitors
4.3.4 Other antidepressant drugs
4.4 CNS stimulants and drugs used for attention deficit hyperactivity disorder
4.5 Drugs used in the treatment of obesity
4.5.1 Anti obesity drugs acting on the gastro intestinal tract
4.5.2 Centrally acting appetite suppresants
4.6 Drugs used in nausea and vertigo
4.7 Analgesics
4.7.1 Non opiod analgesics
4.7.2 Opiod analgesics
4.7.3 Neuropathic pain
4.7.4 Antimigrane drugs
4.7.4.1 Treatment of acute migrane
4.7.4.2 Prophylaxis of migrane
4.7.4.3 Cluster headache
4.8 Antiepileptics
4.8.1 Control of epilepsy
4.8.2 Drugs used in status epilepticus
4.8.3 Febrile convulsions
4.9 Drugs used in parkinsonism and related disorders
4.9.1 Dopaminergic drugs used in parkinsonism
4.9.2 Antimuscarinic drugs used in parkinsonism
4.9.3 Drugs used in essential tremor, chorea, tics and related disorders
4.10 Drugs used in substance dependence
4.11 Drugs for dementia
4.12 Other Drugs Act on Central Nervous System
CONTENTS
Page
5 Infections 18

5.1 Antibacterial drugs


5.1.1 Penicillins
5.1.1.1 Benzylpenicillin and phenoxymethylpenicillin
5.1.1.2 Penicillinase resistant penicillins
5.1.1.3 Broad spectrum penicillins
5.1.1.4 Antipseudomonal penicillins
5.1.1.5 Mecillinams
5.1.2 Cephalosporins and other betalactams
5.1.3 Tetracycline
5.1.4 Aminoglycosides
5.1.5 Macrolides
5.1.6 Clindamycin
5.1.7 Some other antibacterials
5.1.8 Sulphonamides and trimethoprim
5.1.9 Antituberculosis drugs
5.1.10 Antileprotic drugs
5.1.11 Metronidazole and tinidazole
5.1.12 Quinolones
5.1.13 Urinary tract infections
5.2 Antifungal drugs
5.3 Antiviral drugs
5.3.1 HIV infection
5.3.2 Herpesvirus infections
5.3.2.1 Herpes simplex and varicellazoster infection
5.3.2.2 Cytomegalovirus infection
5.3.3 Viral hepatitis
5.3.4 Influenza
5.3.5 Respiratory syncytial virus
5.4 Antiprotozoal drugs
5.4.1 Antimalarials
5.4.2 Amoebicides
5.4.3 Trichomonacides
5.4.4 Antigiardial drugs
5.4.5 Leishmaniacides
5.4.6 Trypanocides
5.4.7 Drugs for toxoplasmosis
5.4.8 Drugs for pneumocystis pneumonia
5.5 Anthelmintics
5.5.1 Drugs for threadworms
5.5.2 Ascaricides
5.5.3 Drugs for tapeworm infections
5.5.4 Drugs for hookworms
5.5.5 Schistosomicides
5.5.6 Filaricides
5.5.7 Drugs for cutaneous larva migrans
5.5.8 Drugs for strongyloidiasis
CONTENTS
Page

6 Endocrine system 23

6.1 Drugs used in diabetes


6.1.1 Insulins
6.1.1.1 Short acting insulins
6.1.1.2 Intermediate and long acting insulins
6.1.1.3 Biphasic Insulins
6.1.1.4 Hypodermic equipment
6.1.2 Antidiabetics drugs
6.1.2.1 Sulphonylureas
6.1.2.2 Biguanides
6.1.2.3 Dipeptidyl Peptidase-4 Inhibitors
6.1.2.4 Glucagon-like peptide-1 Receptor Agonists
6.1.2.5 Sodium-glucose Co-transporter 2
6.1.2.6 Other antidiabetics
6.1.3 Diabetic ketoacidosis
6.1.4 Treatment of hypoglycaemia
6.1.5 Treatment of diabetic nephropathy and neuropathy
6.1.6 Diagnostic and monitoring agents for diabetes mellitus
6.2 Thyroid and antithyroid drugs
6.2.1 Thyroid hormones
6.2.2 Antithyroid drugs
6.3 Corticosteroids
6.3.1 Replacement therapy
6.3.2 Glucocorticoid therapy
6.4 Sex hormones
6.4.1 Female sex hormones
6.4.2 Male sex hormones and antagonists
6.4.3 Anabolic steroids
6.5 Hypothalamic and pituitary hormones and anti oestrogens
6.5.1 Hypothalamic and anterior pituitary hormones and anti aestrogens
6.5.2 Posterior pituitary hormones and antagonists
6.6 Drugs affecting bone metabolism
6.6.1 Calcitonin and parathyroid hormone
6.6.2 Bisphosphonates and other drugs affecting bone metabolism
6.7 Other endocrine drugs
6.7.1 Bromocriptine and other dopaminergic drugs
6.7.2 Drugs affecting gonadotrophins
6.7.3 Metyrapone and trilostane
6.7.4 Somatomedins
CONTENTS
Page
7 Obstetrics, gynaecology and urinary tract disorders 28

7.1 Drugs used in obstetrics


7.1.1 Prostaglandins and oxytoxics
7.1.1.1 Ductus arteriosus
7.1.2 Mifepristone
7.1.3 Myometrial relaxants
7.2 Treatment of vaginal and vulval conditions
7.2.1 Preparations for vaginal atrophy
7.2.2 Vaginal and vulval infections
7.3 Contraceptives
7.3.1 Combined hormonal contraceptives
7.3.2 Progestogen only contraceptives
7.3.2.1 Oral progestogen only contraceptives
7.3.2.2 Parenteral progestogen only contraceptives
7.3.2.3 Intra uterine progestogen only device
7.3.3 Spermicidal contraceptives
7.3.4 Contraceptive devices
7.3.5 Emergency contraception
7.4 Drugs for genito urinary disorders
7.4.1 Drugs for urinary retention
7.4.2 Drugs for urinary frequency, enuresis and incontinence
7.4.3 Drugs used in urological pain
7.4.4 Bladder instillations and urological surgery
7.4.5 Drugs for erectile dysfunction
7.5 Other Drugs Acting on Genito-urinary System
7.6 Other drugs used in Gynaecology

8 Malignant disease and immunosuppresion 30

8.1 Cytotoxic drugs


8.1.1 Alkylating drugs
8.1.2 Anthracyclines and other cytotoxic antibiotics
8.1.3 Antimetabolites
8.1.4 Vinca alkaloids and etoposide
8.1.5 Other antineoplastic drugs
8.1.6 Drugs for Cytotoxic-induced side-effects
8.2 Drugs affecting the immune response
8.2.1 Antiproliferative immunosuppresants
8.2.2 Corticosteroids and other immunosuppresants
8.2.3 Rituximab and alemtuzumab
8.2.4 Other immunomodulating drugs
8.3 Sex hormones and hormone antagonists in malignant disease
8.3.1 Oestrogens
8.3.2 Progestogens
8.3.3 Androgens
8.3.4 Hormone anatgonists
8.3.4.1 Breast cancer
8.3.4.2 Prostate cancer and gonadorelin analogues
8.3.4.3 Somatostatin analogues
CONTENTS
Page

9 Nutrition and blood 35

9.1 Anaemias and some other blood disorders


9.1.1 Iron deficiency anaemias
9.1.1.1 Oral iron
9.1.1.2 Parenteral iron
9.1.2 Drugs used in megaloblastic anaemias
9.1.3 Drugs used in hypoplastic, haemolytic and renal anaemias
9.1.4 Drugs used in platelet disorders
9.1.5 G6PD deficiency
9.1.6 Drugs used in neutropenia
9.2 Fluids and electrolytes
9.2.1 Oral preparations for fluid and electrolyte imbalance
9.2.1.1 Oral potassium
9.2.1.2 Oral sodium and water
9.2.2 Parenteral preparations for fluid and electrolyte imbalance
9.2.2.1 Electrolyte and water
9.2.2.2 Plasma and plasma substitutes
9.3 Intravenous nutrition
9.4 Oral nutrition
9.5 Minerals
9.5.1 Calcium and magnesium
9.5.1.1 Calcium supplements
9.5.1.2 Hypercalcaemia and hypercalciuria
9.5.1.3 Magnesium
9.5.2 Phosphorus
9.5.2.1 Phosphate supplements
9.5.2.2 Phosphate binding agents
9.5.3 Fluoride
9.5.4 Zinc
9.5.5 Selenium
9.6 Vitamins
9.6.1 Vitamin A
9.6.2 Vitamin B group
9.6.3 Vitamin C
9.6.4 Vitamin D
9.6.5 Vitamin E
9.6.6 Vitamin K
9.6.7 Multivitamin preparations
9.7 Bitters and tonics
9.8 Metabolic disorders
9.8.1 Drugs used in metabolic disorders
9.8.2 Acute porphyrias
9.9 Other Nutritional Products
CONTENTS
Page
10 Musculoskeletal and joint diseases 42

10.1 Drugs used in rheumatic diseases and gout


10.1.1 Non steroid anti inflammatory drugs
10.1.2 Corticosteroids
10.1.2.1 Systemic corticosteroids
10.1.2.2 Local corticosteroid injections
10.1.3 Drugs that suppress the rheumatic disease process
10.1.4 Gout and cytotoxic induced hyperuricaemia
10.1.5 Other drugs for rheumatic diseases
10.2 Drugs used in neuromuscular disorders
10.2.1 Drugs that enhance neuromuscular transmission
10.2.2 Skeletal muscle relaxants
10.3 Drugs for the relief of soft tissue inflammation
10.3.1 Enzymes
10.3.2 Rubefacients and other topical antirheumatics

11 Eye 45

11.3 Anti infective eye preparations


11.3.1 Antibacterials
11.3.2 Antifungals
11.3.3 Antivirals
11.4 Corticosteroids and other antiinflammatory preparations
11.4.1 Corticosteroids
11.4.2 Other anti-inflammatory preparations
11.5 Mydriatics and cycloplegics
11.6 Treatment of glaucoma
11.7 Local anaesthetics
11.8 Miscellaneous ophthalmic preparations
11.8.1 Tear deficiency, ocular lubricants and astringents
11.8.2 Ocular diagnostic and pre-operative preparations and photodynamic treatment
11.9 Other Eye Preparations

12 Ear, nose and oropharynx 48

12.1 Drugs acting on the ear


12.1.1 Otitis externa
12.1.2 Otitis media
12.1.3 Removal of ear wax
12.2 Drugs acting on the nose
12.2.1 Drugs used in nasal allergy
12.2.2 Topical nasal decongestants
12.2.3 Nasal preparations for infection
12.3 Drugs acting on the oropharynx
12.3.1 Drugs for oral ulceration and inflammation
12.3.2 Oropharyngeal anti-infective drugs
12.3.3 Lozenges and sprays
12.3.4 Mouthwashes, gargles and dentifrices
12.3.5 Treatment of dry mouth
CONTENTS
Page

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

14 Immunological products and vaccines 58

14.4 Vaccines and antisera


14.5 Immunoglobulins
CONTENTS
Page
15 Anaesthesia 61

15.1 General anaesthetics


15.1.1 Intravenous anaesthetics
15.1.2 Inhalational anaesthetics
15.1.3 Antimuscarinic drugs
15.1.4 Sedative and analgesic peri-operative drugs
15.1.4.1 Anxiolytics and neuroleptics
15.1.4.2 Non opiod analgesics
15.1.4.3 Opiod analgesics
15.1.5 Neuromuscular blocking drugs
15.1.6 Anticholinesterases used in anaesthesia
15.1.7 Antagonists for central and respiratory depression
15.1.8 Drugs for malignant hyperthermia
15.2 Local anaesthesia

16 Cholagogues, Cholelitholytics and Hepatic Protectors 63

17 Emergency Treatments (Antidotes) 64

18 Nutritional Supplements (Non-Disease Specific) 65

19 Extemporaneous Preparations 66

20 Device 67

21 Wound Management Products 68

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)

Item Code Brand Name Content Remarks Classification


1: Gastro intestinal system 1
1.1: Dyspepsia and gastro-oesophageal reflux disease 1.1
1.1.1: Antacids and simeticone 1.1.1
Dentinox  Infant Colic Drops 
51400027 Activated Dimethicone Syrup 1.1.1
21mg/12.5ml Syrup - 100ml
Ganaton 50mg Film-coated 
51002959 Itopride Hydrochloride Tablet 1.1.1
Tablet
Light Magnesium Carbonate & Sodium 
Mixture Carminative (Prime) - 
51400614 Bicarbonate & Tincture Cardamon Co  1.1.1
60ml 
Mixture
Bismuth Subnitrate B.P Powder - 
51850004 Bismuth Subnitrate Powder 1.1.1
500g
51003097 Vocinti 10mg Tablet Vonoprazan fumarate 10mg Tablet 1.1.1
51003091 Vocinti 20mg Tablet Vonoprazan fumarate 20mg Tablet 1.1.1
1.1.2: Compound alginates and proprietary indigestion preparations 1.1.2
Gaviscon Advance  Sodium alginate & Potassium bicarbonate  
51400396 1.1.2
Oral Suspension - 150ml Oral Suspension
Gaviscon Oral Liquid Sachet -  Sodium Alginate & Sodium Bicarbonate & 
51400587 1.1.2
10ml Calcium Carbonate Oral Liquid 
Sodium Alginate & Sodium Bicarbonate & 
51400245 Gaviscon Oral Liquid - 200ml 1.1.2
Calcium Carbonate Oral Liquid 
Simcone 67mg/ml Suspension - 
51400749 Simeticone 67mg/ml Suspension - 15ml 1.1.2
15ml
1.2: Antispasmodics and other drugs altering gut motility 1.2
Copan 20mg/ml Injection 
51200508 Hyoscine N-Butylbromide 20 mg/ml Injection 1.2
Ampoule - 1ml
Dhacopan 5mg/5ml Syrup - 
51400537 Hyoscine-N-butylbromide 1mg/ml Liquid 1.2
100ml
51000153 Duspatalin 135mg Tablet Mebeverine Hydrochloride 135mg Tablet 1.2
Dicetel 100mg Film-Coated  Pinaverium Bromide 100mg Film-Coated 
51002586 1.2
Tablet Tablet
Buscopan Sugar-Coated 10mg 
51002930 Hyoscine-N-butylbromide  10mg Tablet 1.2
Tablet
51201293 Acipan 1mg/ml Inj Atropine 1mg/ml Inj 1.2
1.3: Antisecretory drugs and mucosal protectants 1.3
1.3.1: H2 receptor antagonists 1.3.1
51001895 Famotidine 20mg Tablet (Hovid) Famotidine 20mg Tablet  1.3.1
51000766 Apo-Ranitidine 150mg Tablet Ranitidine Hydrochloride 150mg Tablet 1.3.1
51200327 Zantac 50mg/2ml Injection - 2ml Ranitidine 25mg/ml Injection 1.3.1
1.3.2: Selective antimuscarinics 1.3.2
1.3.3: Chelates and complexes 1.3.3
1.3.4: Prostaglandin analogues 1.3.4
1.3.5: Proton pump inhibitors 1.3.5
Controloc 20mg Gastro-Resistant 
51001185 Pantoprazole Sodium 20mg Tablet 1.3.5
(Enteric-Coated) Tablet
Controloc 40mg Powder For  Pantoprazole Sodium 40mg Powder For 
51200351 1.3.5
Injection Vial Injection Vial
Controloc 40mg Gastro-Resistant 
51000108 Pantoprazole Sodium 40mg Tablet 1.3.5
(Enteric-Coated) Tablet
51000271 Losec Mups 10mg Tablet Omeprazole Magnesium 10mg Tablet 1.3.5
51000272 Losec Mups 20mg Tablet Omeprazole Magnesium 20mg Tablet 1.3.5
Nexium 40mg Powder For 
51200667 Esomeprazole 40mg Injection 1.3.5
Solution For Injection
Nexium 40mg Delayed-Released 
51000600 Esomeprazole 40mg Tablet 1.3.5
Film-Coated Tablet
Vimovo Modified-Released  Esomeprazole Magnesium 20mg & 
51002439 1.3.5
500/20mg Tablet Naproxen 500mg Tablet
Pantor 40mg Enteric-Coated  Pantoprazole Sodium Sesquihydrate 40mg 
51002549 1.3.5
Tablet Tablet
Pariet 10mg Enteric-Coated 
51000577 Rabeprazole Sodium 10mg Tablet 1.3.5
Tablet
Prevacid Fast Disintegrating  Lansoprazole 30mg Fast Disintegrating 
51002030 1.3.5
Tablet 30mg  Tablet Tablet
Pariet 20mg Enteric-Coated 
51002978 Rabeprazole 20mg Enteric-Coated Tablet 1.3.5
Tablet

1
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Dexilant 60mg Delayed-Released  Dexlansoprazole 60mg Delayed-Released 
51002670 1.3.5
Capsule Capsule
51000604 Zenpro 20mg Capsule Omeprazole 20mg Capsule 1.3.5
51002816 Esoz 40mg Tablet Esomeprazole 40mg Tablet 1.3.5
51201199 Pantoprazole 40mg Inj (Sandoz) Pantoprazole 40mg Inj 1.3.5
1.4: Acute diarrhoea 1.4
51002641 Hidrasec Adult 100mg Capsule  Racecadotril 100mg Capsule 1.4
1.4.1: Adsorbents and bulk forming drugs 1.4.1
Kaolin & Pectin Mixture DHA Oral  Light Kaolin 20g & Pectin 1g Mixture Oral 
51400525 1.4.1
Suspension (Peppermint) - 100ml Suspension (Peppermint)
Hidrasec 10mg Infant Granules  Racecadotril 10mg Infant Granules For Oral 
51400690 1.4.1
For Oral Suspension Suspension
Hidrasec 30mg Children  Racecadotril 30mg Children  Granules For 
51400691 1.4.1
 Granules For Oral Suspension Oral Suspension
51000494 Ultracarbon 250mg Tablet Activated Charcoal 250mg Tablet 1.4.1
Smecta Powder for Oral  Dioctahedral Smectite  Powder for Oral 
51400627 1.4.1
Suspension (Orange-Vanilla) - 3g Suspension (Orange-Vanilla)
1.4.2: Antimotility drugs 1.4.2
51001769 Loramide 2mg Capsule Loperamide Hydrochloride 2mg Capsule 1.4.2
Diphenoxylate Hydrochloride 2.5mg & 
51000716 Beamotil 2.5mg/0.025mgTablet  1.4.2
Atropine Sulfate 0.025mg Tablet
1.5: Chronic bowel disorders 1.5
Pentasa 500mg Prolonged  Mesalazine 500mg Prolonged Release 
51000845 1.5
Release Tablet Tablet
51000434 Salazopyrin EN 500mg Tablet Sulfasalazine 500mg Tablet 1.5
51700027 Salofalk 2g/30ml Enema  Mesalazine 2g/30ml Enema 1.5
Mesalazine Prolonged Release Granules 2g 
51400751 Pentasa 2g Sachet 1.5
Sachet
51003128 Constella 290mcg Capsule Linaclotide 290mcg Capsule 1.5
51700026 Salofalk 250mg Suppository  Mesalazine 250mg Suppository Upon request 1.5
51700029 Salofalk 500mg Suppository Mesalazine 500mg Suppository Upon request 1.5
1.6: Laxatives 1.6
1.6.1: Bulk forming laxatives 1.6.1
Fybogel Orange 3.5gm Powder  Ispaghula Husk 3.5gm Powder For Oral 
51400046 1.6.1
For Oral Suspension Sachet Suspension Sachet
51400731 Surbex Nutri-Fiber 5g Sachet Wheat dextrin 1.6.1
1.6.2: Stimulant laxatives 1.6.2
51700080 Dulcolax 10mg Adult Suppository  Bisacodyl 10mg Suppository 1.6.2
51000151 Dulcolax 5mg Tablet Bisacodyl 5mg Tablet 1.6.2
51850013 Glycerine BP Glycerine BP 1.6.2
51700044 Bisacodyl 5mg Supp (YSP) Bisacodyl 5mg Suppository 1.6.2
1.6.3: Faecal softeners 1.6.3
Plantago Ovata Seeds 2.6gm & Isphagula 
Husk 0.11gm & Tinnevelly Senna Pods 0.43-
51400688 Agiolax Granules 5gm Sachet 1.6.3
0.66gm (Equivalent to 15mg Sennoside B) 
Sachet
51400430 Duphalac 67% Syrup - 200ml Lactulose 3.35g/5ml Liquid 1.6.3
Standardised Senna (Equivalent to 7.5mg 
51001684 Senokot 7.5mg Tablet 1.6.3
total sennosides)
1.6.4: Osmotic laxatives 1.6.4
Pico-Salax 10mg Powder For  Sodium Picosulfate 10mg, Magnesium 
51400701 1.6.4
Oral Solution Oxide 3.5g & Anhydrous Citric Acid 12g
Forlax Powder For Oral Solution -  Polyethylene Glycol/Macrogol 4000 Powder 
51400043 1.6.4
10g For Oral Solution 
Sodium Sulphate Anhydrous & Sodium 
Fortrans Powder for Oral Solution 
51400340 Chloride & Sodium Bicarbonate &Potassium  1.6.4
Sachet
Chloride Powder/Solution
1.6.5: Bowel cleansing solutions 1.6.5
Sodium Biphosphate 16% & Sodium 
51700009 Fleet Enema Adult - 133ml 1.6.5
Phosphate 6% Rectal Solution
Sodium Biphosphate 16% & Sodium 
51700008 Fleet  Enema Pediatric - 66ml 1.6.5
Phosphate 6% Rectal Solution
Phospho Soda Oral Solution 
51400763 Phospho Soda Oral Solution 45ml 1.6.5
45ml

2
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


1.6.6: Peripheral opiod-receptor antagonist 1.6.6
1.6.7: 5HT4 receptor agonist 1.6.7
51002512 Resolor 2mg Film-Coated Tablet Prucalopride 2mg Tablet 1.6.7
1.7: Local preparations for anal and rectal disorders 1.7
1.7.1: Soothing haemorrhoidal preparations 1.7.1
1.7.2: Compound haemorrhoidal preparations with corticosteroids 1.7.2
Cinchocaine Hydrochloride 0.5% & 
51650084 Proctosedyl Ointment - 15g Hydrocortisone 0.5% & Framycetin Sulfate  1.7.2
1% & Aesculin 1% Ointment
Hydrocortisone 5mg & Cinchocaine 
51700024 Proctosedyl Suppository Hydrochloride 5mg & Framycetin Sulfate  1.7.2
10mg & Aesculin 10mg Suppository
Aluminium acetate 3.5% & Hydrocortisone 
51650116 Xyloproct Rectal Ointment - 20g acetate 0.275% & Lignocaine 5% & Zinc  1.7.2
oxide 18% Ointment

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)

Item Code Brand Name Content Remarks Classification


2: Cardiovascular System 2
2.1: Positive inotropic drugs 2.1
2.1.1: Cardiac glycosides 2.1.1
51200141 Lanoxin 500mcg/2ml Injection Digoxin 250mcg/ml Injection 2.1.1
51002522 Lanoxin 0.25mg Tablet Digoxin 0.25mg Tablet 2.1.1
51002370 Lanoxin-PG 0.0625mg Tablet Digoxin 0.0625mg Tablet 2.1.1
2.1.2: Phosphodiesterase inhibitors 2.1.2
Primacor 1mg/ml Injection 
51200350 Milrinone lactate 1mg/ml Injection Ampoule 2.1.2
Ampoule - 10ml
2.2: Diuretics 2.2
2.2.1: Thiazides and related diuretics 2.2.1
51002010 Apo-Hydro 25mg Tablet Hydrochlorothiazide 25mg Tablet 2.2.1
51002696 Zaroxolyn 5mg Tablet Metolazone 5mg Tablet 2.2.1
Natrilix 1.5mg Sustained- Indapamide 1.5mg Sustained-Released 
51000316 2.2.1
Released Tablet Tablet
Indapamide 1.5mg & Amlodipine 10mg 
51002822 Natrixam 1.5mg/10mg Tablet 2.2.1
Tablet
2.2.2: Loop diuretics 2.2.2
51200416 Burinex 0.5mg/ml Injection - 4ml Bumetanide  0.5mg/ml Injection 2.2.2
51000055 Burinex 1mg Tablet Bumetanide  1mg Tablet 2.2.2
51000250 Lasix 40 mg Tablet Furosemide 40mg Tablet 2.2.2
51200699 Rasitol 10mg/ml Injection - 2ml Furosemide 10mg/ml Injection 2.2.2
2.2.3: Potassium sparing diuretics and aldosterone antagonists 2.2.3
Spironolactone 25mg Tablet 
51000457 Spironolactone 25mg Tablet 2.2.3
(CCM)
2.2.4: Potassium sparing diuretics with other diuretics 2.2.4
51002432 Inspra 50mg Film-Coated Tablet Eplerenone  50mg Film-Coated Tablet 2.2.4
2.2.5: Osmotic diuretics 2.2.5
Mannitol 10% Injection USP 
51840018 Mannitol 10% Injection USP 2.2.5
(B.Braun) - 500ml
Mannitol 20% Injection USP 
51840096 Mannitol 20% Injection USP 2.2.5
(B.Braun) - 500ml
2.2.6: Mercurial diuretics 2.2.6
2.2.7: Carbonic anhydrase inhibitors 2.2.7
2.2.8: Diuretics with potassium 2.2.8
2.3: Anti arrhythmic drugs 2.3
2.3.1: Management of arrhythmias 2.3.1
2.3.2: Drugs for arrhythmias 2.3.2
51200008 Adenocor 3mg/ml Injection - 2ml Adenosine  3mg/ml Injection - 2ml 2.3.2
Amiodarone Hydrochloride  150mg/3ml 
51200054 Cordarone 150mg/3ml Injection 2.3.2
Injection
51000109 Cordarone 200mg Tablet Amiodarone Hydrochloride 200mg Tablet 2.3.2
51000467 Tambocor 100mg Tablet Flecainide Acetate 100mg Tablet 2.3.2
Rytmonorm 150mg Film-Coated  Propafenone Hydrochloride 150mg Film-
51000854 2.3.2
Tablet Coated Tablet
2.4: Beta adrenoceptor blocking drugs 2.4
51000045 Betaloc 100mg Tablet Metoprolol Tartrate 100mg Tablet 2.4
Concor 2.5mg Film-Coated  Bisoprolol Fumarate 2.5mg Film-Coated 
51001044 2.4
Tablet Tablet
Bisoprolol Fumarate 5mg Film-Coated 
51000107 Concor 5mg Film-Coated Tablet 2.4
Tablet
51000137 Dilatrend 25mg Tablet Carvedilol 25mg Tablet 2.4
51000138 Dilatrend 6.25mg Tablet Carvedilol 6.25mg Tablet 2.4
51200955 Esocard 100mg/10ml Injection Esmolol Hydrochloride 100mg/10ml Injection 2.4
51002561 Inderal 10mg Tablet Propanolol Hydrochloride 10mg Tablet 2.4
51002562 Inderal 40mg Tablet Propanolol Hydrochloride 40mg Tablet 2.4
51002225 Nebilet 5mg Tablet Nebovolol Hydrochloride 5mg Tablet 2.4
51000939 Sopressor 80mg Tablet Sotalol Hydrochloride 80mg Tablet 2.4
51000474 Tenormin 50mg Tablet Atenolol 50mg Tablet 2.4
51200283 Trandate 25mg/5ml Injection Labetalol Hydrochloride 25mg/5ml Injection 2.4
51001319 Apo-Atenolol 50mg Tablet Atenolol 50mg Tablet 2.4
51001909 Nalol 40mg Tablet Propranolol Hydrochloride 40mg Tablet 2.4
51002000 Trandate 100mg Tablet Labetalol Hydrochloride 100mg Tablet 2.4

4
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


2.5: Hypertension and heart failure 2.5
2.5.1: Vasolidator antihypertensive drugs 2.5.1
Hydralazine Hydrochloride 20mg/1ml 
51200628 Apresoline 20mg/1ml Injection 2.5.1
Injection
51200835 Nitropress 50mg/2ml Injection Sodium Nitroposide 50mg/2ml Injection 2.5.1
51003098 Apo-Hydralazine 10mg Tablet Hydralazine HCl 10mg Tablet 2.5.1
51200571 Ilomedin 50mcg/0.5ml Inj Iloprost  Upon request 2.5.1
2.5.2: Centrally acting antihypertensive drugs 2.5.2
51001389 Dopatab M250 Tablet Methyldopa 250mg Tablet 2.5.2
2.5.3: Adrenergic neurone blocking drugs 2.5.3
Physiotens 0.2mg Film-Coated 
51001279 Moxonidine 0.2mg Film-Coated Tablet 2.5.3
Tablet
Physiotens 0.4mg Film-Coated 
51001222 Moxonidine 0.4mg Film-Coated Tablet 2.5.3
Tablet
2.5.4: Alpha adrenoceptor blocking drugs 2.5.4
51000073 Cardura 2mg Tablet Doxasosin Mesylate 2mg Tablet 2.5.4
Cardura XL 4mg  Controlled- Doxazosin Mesylate XL 4mg  Controlled-
51001326 2.5.4
Release Tablet Release Tablet
51002165 Minipress 1mg Tablet Prazosin Hydrochloride 1mg Tablet 2.5.4
51002166 Minipress 2mg Tablet Prazosin Prazosin Hydrochloride 2mg Tablet 2.5.4
2.5.5: Drugs affecting the renin angiotensin system 2.5.5
2.5.5.1: Angiotensin converting enzyme inhibitors 2.5.5.1
Triplixam 5mg/1.25mg/5mg  Perindopril Arginine 5mg & Indapamide 
51002864 2.5.5.1
Tablet 1.25mg & Amlodipine 5mg Tablet
Triplixam 5mg/1.25mg/10mg  Perindopril Arginine 5mg & Indapamide 
51002854 2.5.5.1
Tablet 1.25mg & Amlodipine 10mg Tablet
51001990 Apuzin 25mg Tablet Captopril 25mg Tablet 2.5.5.1
Perindopril Arginine 10mg & Amlodipine 
51002146 Coveram 10mg/10mg Tablet 2.5.5.1
Besilate 10mg
Perindopril Arginine 5mg & Amlodipine 
51002144 Coveram 5mg/10mg Tablet 2.5.5.1
Besilate 10mg
Perindopril Arginine 5mg & Amlodipine 
51002142 Coveram 5mg/5mg Tablet 2.5.5.1
Besilate 5mg
Coversyl 10mg Film-Coated  Perindopril Arginine 10mg Film-Coated 
51002100 2.5.5.1
Tablet Tablet
Coversyl Plus 10mg/2.5mg Film- Perindopril Arginine 10mg & Indapamide 
51002269 2.5.5.1
Coated Tablet 2.5mg Film-Coated Tablet
Coversyl Plus 5mg/1.25mg Film- Perindopril Arginine 5mg & Indapamide 
51002101 2.5.5.1
Coated Tablet 1.25mg Film-Coated Tablet
51000413 Renitec 10mg Tablet Enalapril 10mg Tablet 2.5.5.1
51000414 Renitec 20mg Tablet Enalapril 20mg Tablet 2.5.5.1
51000415 Renitec 5mg Tablet Enalapril 5mg Tablet 2.5.5.1
51001103 Tritace 10mg Tablet Ramipril 10mg Tablet 2.5.5.1
51000489 Tritace 2.5mg Tablet Ramipril 2.5mg Tablet 2.5.5.1
51000490 Tritace 5mg Tablet Ramipril 5mg Tablet 2.5.5.1
51000539 Zestril 10mg Tablet Lisinopril Dihydrate 10mg Tablet 2.5.5.1
51000578 Zestril 20mg Tablet Lisinopril Dihydrate 20mg Tablet 2.5.5.1
51000540 Zestril 5mg Tablet Lisinopril Dihydrate 5mg Tablet 2.5.5.1
51001466 Tanatril 10mg Tablet Imidapril Hydrochloride 10mg Tablet 2.5.5.1
51002099 Coversyl 5mg Film-Coated Tablet Perindopril Arginine 5mg Film-Coated Tablet 2.5.5.1
Perindopril Arginine 10mg & Amlodipine 
51002145 Coveram 10mg/5mg Tablet 2.5.5.1
Besilate 5mg Tablet
51002377 Atacand 16mg Tablet Candesartan Cilexetil 16mg Tablet 2.5.5.1
51002378 Atacand 8mg Tablet Candesartan Cilexetil 8mg Tablet 2.5.5.1
Triplixam 10mg/2.5mg/10mg  Perindopril Arginine 10mg & Indapamide 
51002835 2.5.5.1
Tablet 2.5mg & Amlodipine 10mg Tablet
2.5.5.2: Angiotensin II receptor antagonists 2.5.5.2
51002390 Twynsta 40mg/10mg Tablet Telmisartan 40mg & Amlodipine 1mg Tablet 2.5.5.2
51000028 Aprovel 150mg Tablet Irbesartan 150mg Tablet 2.5.5.2
51000029 Aprovel 300mg Tablet Irbesartan 300mg Tablet 2.5.5.2
Co-Aprovel 150mg/12.5mg  Irbesartan 150mg & Hydrochlorothiazide 
51000628 2.5.5.2
Tablet 12.5mg Tablet
Co-Aprovel 300mg/12.5mg  Irbesartan 300mg & Hydrochlorothiazide 
51000629 2.5.5.2
Tablet 12.5mg Tablet
Irbesartan 300mg & Hydrochlorothiazide 
51002054 Co-Aprovel 300mg/25mg Tablet 2.5.5.2
25mg Tablet
Cozaar 100mg Film-Coated  Losartan Potassium 100mg Film-Coated 
51000985 2.5.5.2
Tablet Tablet

5
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Losartan Potassium 50mg Film-Coated 
51000114 Cozaar 50mg Film-Coated Tablet 2.5.5.2
Tablet
51002639 Losartas 50mg Tablet Losartan Potassium 50mg Tablet 2.5.5.2
51002640 Losartas 100mg Tablet Losartan Potassium 100mg Tablet 2.5.5.2
Losartan 100mg & Hydrochlorothiazide 
51000633 Fortzaar 100mg/25mg Tablet 2.5.5.2
25mg Tablet
Losartan Potassium 100mg & 
51001583 Hyzaar 100mg/12.5mg Tablet 2.5.5.2
Hydrochlorothiazide 12.5mg Tablet
Losartan Potassium 100mg & 
51000212 Hyzaar 50mg/12.5mg Tablet 2.5.5.2
Hydrochlorothiazide 12.5mg Tablet
51001428 Olmetec 20mg Tablet Olmesartan Medoxomil 20mg Tablet 2.5.5.2
51001563 Olmetec 40mg Tablet Olmesartan Medoxomil 40mg Tablet 2.5.5.2
Olmesartan Mexodomil 20mg & 
Olmetec Plus 20mg/12.5mg Film-
51001859 Hydrochlorothiazide 12.5mg Film-Coated  2.5.5.2
Coated Tablet
Tablet
Azoren 20mg/5mg Film-Coated  Olmesartan Medoxomil 20mg & Amlodipine 
51002597 2.5.5.2
Tablet Besylate 5mg
Azoren 40mg/5mg Film-Coated  Olmesartan Medoxomil 40mg & Amlodipine 
51002598 2.5.5.2
Tablet Besylate 5mg Film-Coated Tablet
Azoren 40mg/10mg Film-Coated  Olmesartan Medoxomil 40mg & Amlodipine 
51002615 2.5.5.2
Tablet Besylate 10mg
Co-Diovan 160mg/12.5mg Film- Valsartan 160mg & Hydrochlorothiazide 
51001129 2.5.5.2
Coated Tablet 12.5mg Film-Coated Tablet
Co-Diovan 160mg/25mg Film- Valsartan 160mg & Hydrochlorothiazide 
51001404 2.5.5.2
Coated Tablet 25mg Film-Coated Tablet
Co-Diovan 80mg/12.5mg Film- Valsartan 80mg & Hydrochlorothiazide 
51000102 2.5.5.2
Coated Tablet 12.5mg Film-Coated Tablet
Diovan 160mg Film-Coated 
51000957 Valsartan 160mg Film-Coated Tablet 2.5.5.2
Tablet
51000140 Diovan 80mg Film-Coated Tablet Valsartan 80mg Film-Coated Tablet 2.5.5.2
51002065 Micardis 40mg Tablet Telmisartan 40mg Tablet 2.5.5.2
51002068 Micardis 80mg Tablet Telmisartan 80mg Tablet 2.5.5.2
Micardis Plus 40mg/12.5mg  Telmisartan 40mg & Hydrochlorothiazide 
51002070 2.5.5.2
Tablet 12.5mg Tablet
Micardis Plus 80mg/12.5mg  Telmisartan 80mg & Hydrochlorothiazide 
51002069 2.5.5.2
Tablet 12.5mg Tablet
51002391 Twynsta 40mg/5mg Tablet Telmisartan 40mg & Amlodipine 5mg 2.5.5.2
51002388 Twynsta 80mg/10mg Tablet Telmisartan 80mg & Amlodipine 10mg 2.5.5.2
51002389 Twynsta 80mg/5mg Tablet Telmisartan 80mg & Amlodipine 5mg 2.5.5.2
51000661 Blopress 8mg Tablet Candesartan Cilexetil 8mg Tablet 2.5.5.2
51000662 Blopress 16mg Tablet Candesartan Cilexetil 16mg Tablet 2.5.5.2
Amlodipine Camsylate 5mg & Losartan 
51002503 Cozaar XQ 5mg/100mg Tablet 2.5.5.2
Potassium 100mg Tablet
Amlodipine Camsylate 5mg & Losartan 
51002515 Cozaar XQ 5mg/50mg Tablet 2.5.5.2
Potassium 50mg Tablet
Exforge 10mg/160mg Film- Amlodipine 10mg & Valsartan 160mg  Film-
51001811 2.5.5.2
Coated Tablet  Coated Tablet 
Exforge 5mg/160mg Film-Coated  Amlodipine 5mg & Valsartan 160mg  Film-
51001810 2.5.5.2
Tablet  Coated Tablet 
Exforge 5mg/80mg Film-Coated  Amlodipine 5mg & Valsartan 80mg  Film-
51001809 2.5.5.2
Tablet  Coated Tablet 
Exforge HCT  Amlodopine Besylate 10mg & Valsartan 
51002274 2.5.5.2
10mg/160mg/12.5mg Tablet 160mg & Hydrochlorothiazide 12.5mg Tablet

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

51002795 Entresto 50mg Tablet Sacubitril 24.3mg & Valsartan 25.7mg Tablet 2.5.5.2

51002852 Entresto 100mg Tablet Sacubitril 48.6mg & Valsartan 51.4mg Tablet 2.5.5.2

51003029 Concor AM 5mg/5mg Tablet Bisoprolol 5mg and Amlodipine 5mg Tablet 2.5.5.2

51003106 Aprovasc 300mg/10mg Tablet Irbesartan 300mg, Amlodipine 10mg Tablet 2.5.5.2

6
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


2.5.5.3: Renin inhibitors 2.5.5.3
2.6: Nitrates, calcium channel blockers and other antianginal drugs 2.6
2.6.1: Nitrates 2.6.1
Apo-Isosorbide Dinitrate 10mg 
51002111 Isosorbide Dinitrate 10mg Tablet 2.6.1
Tablet
DBL Glyceryl Trinitrate 
51200096 Glyceryl Trinitrate 50mg/10ml Injection 2.6.1
50mg/10ml Injection
Imdex 60mg Controlled-Release  Isosorbide-5-Mononitrare 60mg Controlled-
51000972 2.6.1
Tablet Release Tablet
Isoket 10mg/10ml Intravenous 
51200127 Isosorbide Dinitrate 10mg/10ml Injection 2.6.1
Infusion
Isoket Spray 1.25mg/actuation  Isosorbide Dinitrate 1.25mg/actuation 
51550077 2.6.1
Oromucosal Spray - 15ml Oromucosal Spray 
51002180 Myonit Insta 0.5mg Tablet Glycerine Trinitrate 0.5mg Tablet 2.6.1
Glyceryl Trinitrate 10mg/10ml  Glycerine Trinitrate  10mg/10ml Injection 
51201025 2.6.1
Injection Ampoule (Hameln) Ampoule
Nitroderm TTS 10mg Dermal 
51710008 Nitroglycerine 10mg Dermal Patch 2.6.1
Patch
Nitroderm TTS 5mg Dermal 
51710007 Nitroglycerine 5mg Dermal Patch 2.6.1
Patch
51550109 Nitrosol Spray 400mcg Glyceryl Trinitrate Aerosol Spray 400mcg  2.6.1
51002409 Imdur 60mg Tablet Isosorbide-5-Mononitrate 60mg Tablet 2.6.1
51002454 Imdur 30mg Tablet Isosorbide-5-Mononitrate 60mg Tablet 2.6.1
2.6.2: Calcium channel blockers 2.6.2
51002280 Amlibon 10mg Tablet Amlodipine Besylate 10mg Tablet 2.6.2
51001781 Covasc 5mg Tablet Amlodipine Besylate 5mg Tablet 2.6.2
Amlodipine Besylate 10mg & Atorvastatin 
51001623 Caduet 10mg/10mg Tablet 2.6.2
Calcium 10mg Tablet
Amlodipine Besylate 10mg & Atorvastatin 
51002342 Caduet 10mg/40mg Tablet 2.6.2
Calcium 40mg Tablet
Amlodipine Besylate 5mg & Atorvastatin 
51001783 Caduet 5mg/20mg Tablet 2.6.2
Calcium 20mg Tablet
Amlodipine Besylate 5mg & Atorvastatin 
51002341 Caduet 5mg/40mg Tablet 2.6.2
Calcium 40mg Tablet
Amlodipine Besylate 10mg & Atorvastatin 
51001617 Caduet 5mg/10mg Tablet 2.6.2
Calcium 10mg Tablet
51200037 Cardepine 2mg/2ml Injection Nicardipine Hydrochloride  2mg/2ml Injection 2.6.2
51002560 Felocor 5mg Retard Tablet Felodipine 5mg Retard Tablet 2.6.2
Herbesser R100 100mg  Diltiazem Hydrochloride 100mg Sustained-
51000644 2.6.2
Sustained-Release Capsule Release Capsule
Herbesser R200 200mg  Diltiazem Hydrochloride 200mg Sustained-
51000779 2.6.2
Sustained-Release Capsule Release Capsule
Herbesser 90mg Sustained- Diltiazem Hydrochloride 90mg Sustained-
51000206 2.6.2
Release Tablet Release Tablet
51000204 Herbesser 30 30mg Tablet Diltiazem Hydrochloride 30mg Tablet 2.6.2
51000205 Herbesser 60 60mg Tablet Diltiazem Hydrochloride 60mg Tablet 2.6.2
51001717 Lofral 10mg Tablet Amlodipine 10mg Tablet 2.6.2
51001718 Lofral 5mg Tablet Amlodipine 5mg Tablet 2.6.2
51001823 Norvasc 10mg Tablet Amlodipine 10mg Tablet 2.6.2
51001824 Norvasc 5mg Tablet Amlodipine 5mg Tablet 2.6.2
51002551 Plendil 5mg Film-Coated Tablet Felodipine 5mg Film-Coated Tablet 2.6.2
51000009 Adalat LA PR 30mg Tablet Nifedipine 30mg Tablet 2.6.2
51001504 Adalat LA PR 60mg Tablet Nifedipine 60mg Tablet 2.6.2
51001906 Akilen 40mg Tablet Verapamil Hydrochloride 40mg Tablet 2.6.2
51001197 Cordipin 10mg Tablet Nifedipine 10mg Tablet 2.6.2
51000228 Isoptin SR 240mg Tablet Verapamil Hydrochloride 240mg Tablet 2.6.2
Nimotop 1mg/5ml Infusion 
51200432 Nimodipine 1mg/5ml Infusion Solution 2.6.2
Solution - 50ml
51001348 Zanidip 10mg Film-Coated Tablet Lecarnidipine 10mg Film-Coated Tablet 2.6.2
Amlodipine Besylate 10mg & Atorvastatin 
51001784 Caduet 10mg/20mg Tablet 2.6.2
Calcium 20mg Tablet
51002508 Plendil 2.5mg Tablet Felodipine 5mg Tablet 2.6.2
51201362 Verapamil 5mg/2ml Injection  Verapamil Hydrochloride 5mg/2ml Injection 2.6.2
51003036 Hexal Nimodipine 30mg Tablet Nimodipine 30mg Tablet 2.6.2
51000242 Lacipil 4mg Film-Coated Tablet Lacidipine 4mg Film-Coated Tablet Upon request 2.6.2

7
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


2.6.3: Other antianginal drugs 2.6.3
51000503 Vastarel 20mg Tablet Trimetazidine Dihydrochloride 20mg Tablet 2.6.3
Vastarel MR 35mg Modified- Trimetazidine Dihydrochloride 35mg 
51001412 2.6.3
Release Film-Coated Tablet Modified-Released Film-Coated Tablet
51002025 Coralan 5mg Film-Coated Tablet Ivabradine 5mg Film-Coated Tablet 2.6.3
Coralan 7.5mg Film-Coated 
51001945 Ivabradine 7.5mg Film-Coated Tablet 2.6.3
Tablet
2.6.4: Peripheral vasodilators and related drugs 2.6.4
51000622 Trental 400 400mg Tablet  Pentoxifylline 400mg Tablet 2.6.4
51002256 Pletaal 100mg Tablet Cilostazol 100mg Tablet 2.6.4
51002857 Ranexa 500mg Tablet Ranolazine 500mg Tablet 2.6.4
51002856 Ranexa 375mg Tablet Ranolazine 375mg Tablet 2.6.4
2.7: Sympathomimetics 2.7
2.7.1: Inotropic sympathomimetics 2.7.1
DBL Dobutamine Hydrochloride  Dobutamine Hydrochloride 250mg/20ml 
51200728 2.7.1
250mg/20ml Injection Injection

51200712 Dopmin 40mg/ml Infusion - 5ml Dopamine Hydrochloride 40mg/ml Injection 2.7.1


Isoprenaline 1mg/5ml Inj 
51201209 Isoprenaline 1mg/5ml Inj 2.7.1
(Monico)
2.7.2: Vasoconstrictor sympathomimetics 2.7.2
Noradrenaline Acid Tartrate (Norepinephrine 
51201054 Cardiamed 1mg/ml Infusion - 4ml 2.7.2
Bitartrate) 1mg/ml Injection
2.7.3: Cardiopulmonary resuscitation 2.7.3
Pharmaniaga Adrenaline 1mg/ml 
51200773 Adrenaline 1mg/ml Injection 2.7.3
Injection
2.8: Anticoagulants and protamine 2.8
2.8.1: Parenteral anticoagulants 2.8.1
Arixtra 2.5 mg/0.5 ml Injection  Fondaparinux Sodium 2.5 mg/0.5 ml 
51200795 2.8.1
Pre-Filled Syringe Injection
Clexane 40mg/0.4ml Injection  Enoxaparine Sodium 40mg/0.4ml Injection 
51200051 2.8.1
Pre-Filled Syringe Pre-Filled Syringe
Clexane 60mg/0.6ml Injection  Enoxaparine Sodium 60mg/0.6ml Injection 
51200052 2.8.1
Pre-Filled Syringe Pre-Filled Syringe
Heparinised Saline  50IU/5 mL 
51200352 Heparin Sodium 50 IU/5 mL Injection 2.8.1
Injection (AstraZeneca)
Heparinol 1000IU/mL Injection - 
51200480 Heparin Sodium 1000IU/mL Injection 2.8.1
5ml
Innohep 3,500 Anti-Xa IU/0.35ml  Tinzaparin Sodium 10,000 Anti-Factor Xa 
51200447 2.8.1
Injection Pre-Filled Syringe IU/ml Injection Pre-Filled Syringe

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

51002445 Xarelto 15mg Film-Coated Tablet Rivaroxaban 15mg Film-Coated Tablet 2.8.2

51002446 Xarelto 20mg Film-Coated Tablet Rivaroxaban 20mg Film-Coated Tablet 2.8.2


51002637 Eliquis 2.5mg Tablet Apixaban 2.5mg Tablet 2.8.2
51002638 Eliquis 5mg Tablet Apixaban 5mg Tablet 2.8.2
2.8.2.1: Reversal for Oral anticoagulants 2.8.2.1
51201242 Praxbind 50mg/ml Injection Idarucizumab 50mg/ml Injection 2.8.2.1
2.8.3: Protamine sulphate 2.8.3
51200223 Prosulf 50 mg/5 mL Injection Protamine Sulphate 50mg/5mL Injection 2.8.3

8
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


2.9: Antiplatelet drugs 2.9
51002359 Brilinta 90mg Tablet Ticagrelor  90mg Tablet 2.9
Aggrastat Concentration For 
51200010 Tirofiban Hydrochloride 0.25mg/ml Injection 2.9
Infusion 0.25 mg/ml - 50ml
51001938 Apo-Clopidogrel 75mg Tablet Clopidogrel 75mg Tablet 2.9
AspirinCardio 100mg Enteric- Acetylsalicylic Acid 100mg Enteric-Coated 
51002043 2.9
Coated Tablet Tablet
51002181 Cardiprin100  Tablet Aspirin 100mg & 45mg Glycine Tablet 2.9
51002264 Effient 10mg Film-Coated Tablet Prasugrel Hydrochloride 10mg Tablet 2.9

51000369 Plavix 75mg Film-Coated Tablet Clopidogrel 75mg Tablet 2.9


51200227 ReoPro 10 mg/5ml Injection Abciximab 10 mg/5ml Injection 2.9
51002451 Strokan FC 250mg Tablet Ticlopidine Hydrochloride 250mg Tablet 2.9
51000478 Ticlid 250mg Tablet Ticlopidine Hydrochloride 250mg Tablet 2.9
51000760 Vessel Due F 250LSU Capsule Sulodexide 250LSU Capsule 2.9
51002497 Casprin EM 100mg Capsule Aspirin 100mg Tablet 2.9
51003003 Brilinta 60mg Tablet Ticagrelor 60mg Tablet 2.9
51800038 Agrylin 0.5mg Capsule Agrenalide Hydrochloride 0.5mg Capsule Upon request 2.9

2.10: Myocardial infarction and fibrinolysis 2.10


2.10.1: Management of myocardial infarction 2.10.1
2.10.2: Fibrinolytic drugs 2.10.2
Alteplase (Recombinant Human Tissue-Type 
Actilyse 50mg Powder For 
51200003 Plasminogen Activator) 50mg Powder For  2.10.2
Infusion Vial
Infusion Vial
2.11: Antifibrinolytic drugs and haemostatics 2.11
Transamin 10% Injection 
51200284 Tranexamic Acid 10% Injection Ampoule 2.11
Ampoule - 10ml
51001564 Transamin 250mg Capsule Tranexamic Acid 250mg Capsule 2.11
Coagulation factor II 220-760IU + factor IX 
Octaplex 500IU Powder for  500IU + factor VII 180-480IU + factor X 360-
51201158 2.11
Injection 600IU + protein S 140-640IU + protein C 140-
620IU
51200988 Factor VIII 250IU Inj (GERMAX) Coagulation Factor VIII 250IU Injection  Upon request 2.11
51870035 Koate 250 IU Inj (FACTOR VIII ) Factor VIII Fraction,Dried Upon request 2.11
Kogenate FS 250IU Inj (FACTOR 
51200782 Factor VIII Fraction,Dried Upon request 2.11
VIII)
51200584 Novoseven 60KIU (1.2mg) Inj Recombinant coagulation factor VIIa Upon request 2.11
51800085 Revolade 25mg Tab Elttombopag Olamaine Upon request 2.11
2.12: Lipid regulating drugs 2.12
51001333 Crestor 10mg Tablet Rosuvastatin 10mg Tablet 2.12
51001516 Crestor 20mg Tablet Rosuvastatin 20mg Tablet 2.12
51001196 Ezetrol 10mg Tablet Ezetimibe 10mg Tablet 2.12
51001246 Ipolipid 600mg Tablet Gemfibrozil 600mg Tablet 2.12
Lescol XL 80mg Film-Coated 
51001037 Fluvastatin 80mg  Film-Coated Tablet 2.12
Tablet
Lipanthyl Penta 145 145mg Film-
51002396 Fenofibrate 145mg Film-Coated Tablet 2.12
Coated Tablet
51001270 Lipitor 80mg Film-Coated Tablet Atorvastatin 80mg Film-Coated Tablet 2.12

51000259 Lipitor 10mg Film-Coated Tablet Atorvastatin 10mg Film-Coated Tablet 2.12

51000260 Lipitor 20mg Film-Coated Tablet Atorvastatin 20mg Film-Coated Tablet 2.12

51000825 Lipitor 40mg Film-Coated Tablet Atorvastatin 80mg Film-Coated Tablet 2.12

9
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


51000960 Vascor 20mg Tablet Simvastatin 20mg Tablet 2.12
51001133 Vascor 40mg Tablet Simvastatin 40mg Tablet 2.12
51001301 Vytorin 10mg/20mg Tablet Ezetimibe 10mg & Simvastatin 20mg Tablet 2.12
51000548 Zocor 20mg Tablet Simvastatin 20mg Tablet 2.12
51001144 Zocor 40mg Tablet Simvastatin 40mg Tablet 2.12
51001367 Vytorin 10mg/40mg Tablet Ezetimibe 10mg & Simvastatin 10mg Tablet 2.12
51002452 Apo-Lovastatin 20mg Tablet Lovastatin 20mg Tablet 2.12
Rosuvastatin Sandoz 10mg FC 
51002716 Rosuvastatin Ca 10mg Film-Coated Tablet 2.12
Tablet
51002829 Apo-Atorvastatin 80mg Tablet Atorvastatin Calcium 80mg Tablet 2.12
Rosuvastatin 20mg Sandoz FC 
51002717 Rosuvastatin Ca 20mg Film-Coated Tablet 2.12
Tablet
51002752 Tulip 40mg Tablet Atorvastatin Calcium 40mg Tablet 2.12
51002916 Lipiduce 20mg Tablet Atorvastatin 20mg Tablet 2.12
51002922 Atozet 10mg/20mg Tablet Ezetimibe 10mg & Atorvastatin 20mg Tablet 2.12

51002923 Atozet 10mg/40mg Tablet Ezetimibe 10mg & Atorvastatin 40mg Tablet 2.12


51003057 Apo-Rosuvastatin 20mg Tablet Rosuvastatin 20mg Tablet 2.12
2.13: Local sclerosants 2.13
Fibrovein 3% Solution for  Sodium Tetradecyl Sulphate 30mg/ml 
51200867 2.13
Injection Ampoule - 2ml  Solution for Injection Ampoule
2.14: Other Drugs Acting On Cardiovascular System 2.14
Magnesium Chloride 16mmol & Potassium 
DBL Sterile Cardioplegia 
51200756 Chloride 16mmol & Procaine Hydrochloride  2.14
Injection - 20ml
1mmol

10
3. Respiratory
System
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


3: Respiratory system 3
3.1: Bronchodilators 3.1
Daxas 500mcg Film-Coated 
51002509 Roflumilast 500mcg Film-Coated  Tablet 3.1
 Tablet
3.1.1: Adrenoceptor agonists 3.1.1
Axcel Salbutamol 2mg/5ml Syrup 
51400349 Salbutamol 2 mg/5 ml Syrup 3.1.1
- 100ml
Salbutamol Sulphate 24mg & Guaiphenesin 
51400465 Ventamol Expectorant - 100ml 3.1.1
1000mg Syrup
Ventolin 100mcg Evohaler - 
51550058 Salbutamol 100 mcg/dose Inhalation 3.1.1
200 Doses
51550059 Ventolin 2.5mg/2.5ml Nebules Salbutamol Sulfate 2.5mg/2.5ml Nebules 3.1.1
3.1.1.1: Selective beta 2 agonists 3.1.1.1
51002539 Asmin 2mg Tablet Salbutamol Sulfate 2mg Tablet 3.1.1.1
51200678 Baltic 0.5 mg/mL Injection - 1ml Terbutaline Sulphate 0.5 mg/ml Injection 3.1.1.1
Bricanyl Turbuhaler 0.5mg/dose - 
51550131 Terbutaline Sulphate 0.5mg/dose Inhaler 3.1.1.1
100 Doses
Indacaterol Maleate 150 mcg Inhalation 
51550122 Onbrez 150mcg Breezhaler  3.1.1.1
Capsule 
Indacaterol Maleate 300 mcg Inhalation 
51550121 Onbrez 300mcg Breezhaler  3.1.1.1
Capsule 
Spiolto Respimat 2.5mcg/2.5mcg  Tiotoprium 2.5mcg & Olodaterol 2.5mcg Soft 
51550148 3.1.1.1
Soft Mist Inhaler Mist Inhaler
3.1.1.2: Other adrenoceptor agonists 3.1.1.2
Pharmaniaga Ephedrine 
Ephedrine Hydrochloride Solution For 
51200774 Hydrochloride Solution For  3.1.1.2
Injection 30 mg/ml
Injection 30 mg/ml - 1ml
3.1.2: Antimuscarinic bronchodilators 3.1.2
Atrovent Unit Dose Vial  Ipratropium Bromide 250mcg/2ml Nebulising 
51550064 3.1.2
250mcg/2ml Inhalation Solution Solution
Atrovent Unit Dose Vial  Ipratropium Bromide 500mcg/2ml Nebulising 
51550071 3.1.2
500mcg/2ml Inhalation Solution Solution
  Indacaterol Maleate 110mcg & 
Ultibro Breezhaler 110/50 
51550135  Glycopyrronium Bromide 50mcg Inhalation  3.1.2
Inhalation Powder Capsule
Powder Capsule
Spiriva Respimat 2.5mcg/puff  Tiotropium Bromide Monohydrate 
51550107 3.1.2
Solution For Inhalation - 60 puff 2.5mcg/puff Solution For Inhalation
Berodual N 200puff/10ml  Ipratropium Bromide 20 mcg & Fenoterol 50 
51550089 3.1.2
Metered-dose Inhaler mcg/dose Inhalation
Anoro Ellipta 62.5/25mcg  Umeclidinium Bromide 62.5mcg & Vilanterol 
51550145 3.1.2
Inhalation Powder Trifenatate 25mcg Inhalation Powder
3.1.3: Theophylline 3.1.3
Aminophyllin IV 250mg/10ml  Aminophylline Dihydrate 250mg/10ml 
51200787 3.1.3
Injection (Fresenius) Injection 
Nuelin  80mg/15ml  Syrup - 
51400592 Theophylline 80mg/15ml  Syrup 3.1.3
100ml
51002174 Nuelin-SR 125mg Tablet  Theophylline 125mg Long Acting Tablet  3.1.3
51002063 Nuelin-SR 250mg Tablet  Theophylline 250mg Long Acting Tablet 3.1.3
3.1.4: Compound bronchodilator preparations 3.1.4
Combivent Unit Dose Vial 2.5ml  Ipratropium Bromide 0.5mg & Salbutamol 
51550022 3.1.4
Inhalant Sulfate 2.5mg Per Unit Dose Vial
Duovent Unit Dose Vial 4ml  Fenoterol Hydrobromide 1.25mg & 
51550023 3.1.4
Inhalant Ipratropium Bromide 0.5mg
Salbutamol Sulphate 2.5mg & Ipratropium 
51550108 Duolin Respules - 2.5ml 3.1.4
Bromide 0.5mg per Unit Dose Vial
3.1.5: Peak flow meters, inhaler devices and nebulisers 3.1.5
3.2: Corticosteroids 3.2
Beclomethasone Dipropionate 100mcg & 
Foster 100mcg/6mcg Metered 
51550123 Formoterol Fumarate Dihydrate 6mcg  3.2
Dose Inhaler
Pressurized Inhalation Solution
Pulmicort 200mcg/dose 
51550045 Budesonide 200 mcg/dose Inhalation 3.2
Turbuhaler - 100 Dose
Rhinocort Aqua 64mcg/dose 
51500067 Budesonide 64mcg/dose Nasal Spray 3.2
Nasal Spray - 120 Dose
Seretide 25/250mcg Evohaler -  Salmeterol 25mcg & Fluticasone Propionate 
51550072 3.2
120 Dose  250mcg Inhalation

11
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Seretide 25/50mcg Evohaler -  Salmeterol 25mcg & Fluticasone Propionate 
51550075 3.2
120 Dose 50mcg Inhalation
Seretide 50/100mcg Accuhaler -  Salmeterol 50mcg & Fluticasone Propionate 
51550049 3.2
60 Dose 100mcg Inhalation
Seretide 50/250mcg Accuhaler -  Salmeterol 50mcg & Fluticasone Propionate 
51550050 3.2
60 Dose 250mcg Inhalation
Seretide 50/500mcg Accuhaler -   Salmeterol 50mcg & Fluticasone Propionate 
51550051 3.2
60 Dose 500mcg Inhalation
Salmeterol 25mcg & Futicasone Propionate 
51550070 Seretide 25/125 mcg Evohaler 3.2
125 mcg Inhalation 
Symbicort 160/4.5 mcg/dose  Budesonide 160mcg & Formoterol 4.5mcg 
51550073 3.2
Turbuhaler  Inhalation
51550133 Flutiform 125/5mcg Inhaler Fluticasone & Formoterol 125mcg & 5mcg  3.2
Relvar Ellipta 200/25mcg  Fluticasone Furoate 200mcg & Vilanterol 
51550141 3.2
Inhalation Powder Trifenatate 25mcg Inhalation Powder
Relvar Ellipta 100/25mcg  Fluticasone Furoate 100mcg & Vilanterol 
51550140 3.2
Inhalation Powder Trifenatate 25mcg Inhalation Powder
51550047 Pulmicort Respules 1mg/2ml Budesonide 1mg/2ml Respules 3.2
Foster Nexthaler 100/6 mcg  Beclomethasone propionate 100mcg, 
51550152 3.2
powder inhalation (120D) Formoterol Fumarate 6mcg
51003099 Cortiment PR 9mg Tablet Budesonide 9mg Tablet 3.2
3.3: Cromoglicate and related therapy and leukotriene receptor antagonists 3.3
3.3.1: Cromoglicate and related therapy 3.3.1
3.3.2: Leukotriene receptor antagonists 3.3.2
Singulair 10mg Film-Coated  Montelukast Sodium 10mg Film-Coated 
51000453 3.3.2
Tablet Tablet 
51400326 Singulair 4mg Oral Granules Montelukast Sodium 4mg Oral Granules 3.3.2
51000599 Singulair 4mg Chewable Tablet Montelukast Sodium 4mg Chewable Tablet  3.3.2

51000454 Singulair 5mg Chewable Tablet Montelukast Sodium 5mg Chewable Tablet  3.3.2

51002873 Montelukast Sandoz 10mg Tablet Montelukast Sodium 10mg Tablet 3.3.2


3.4: Antihistamine, hyposensitisation and allergic emergencies 3.4
3.4.1: Antihistamines 3.4.1
51400353 Aerius 0.5mg/ml Syrup - 60ml  Desloratadine 0.5mg/ml Syrup 3.4.1
51002530 Aerius  5mg Film-Coated Tablet Desloratadine 5mg Film-Coated Tablet 3.4.1
Axcel Cetirizine 5mg/5ml Syrup -  Axcel Cetirizine Dihydrochloride  5mg/5ml 
51400502 3.4.1
60ml Syrup
51002756 Bilaxten 20mg Tablet Bilastine 20mg Tablet 3.4.1
Axcel Dexchlorpheniramine 2mg 
51002163 Dexchlorpheniramine Maleate 2 mg Tablet  3.4.1
Tablet
Pirimat 10mg/ml Injection  Chlorpheniramine Maleate 10 mg/ml 
51200044 3.4.1
Ampoule Injection
Aerius D-12 Modified-Release  Desloratadine 2.5mg & Pseudoephedrine 
51002482 3.4.1
Tablet Sulphate 120mg Modified-Release Tablet
Axcel Diphenhydramine  Diphenhydramine Hydrochloride 7mg/5ml 
51400542 3.4.1
Paediatric Syrup - 60ml Expectorant 
Clarinase 24 Hr Extended  Loratadine 10mg & Pseudoephedrine 
51001306 3.4.1
Release Modified-Release Tablet 240mg Modified-Release Tablet
51400023 Clarityne 5ml/5ml Syrup Loratadine 1 mg/ml Syrup 3.4.1
51000095 Clarityne 10mg Tablet Loratadine 10mg Tablet 3.4.1
Dexchlorpheniramine Maleate 2mg/5ml 
51400586 Dexchloramine Syrup - 90ml 3.4.1
Syrup
Upha Promethazine Syrup 5  Promethazine Hydrochloride  Syrup 5 
51400495 3.4.1
mg/5ml - 90ml mg/5ml
Telfast 180mg Film-Coated  Fexofenadine Hydrochloride 180mg Film-
51001479 3.4.1
Tablet Coated Tablet
51001385 Xyzal 5mg Tablet Levocetirizine Dihydrochloride 5mg Tablet 3.4.1
Zyrtec 1mg/ml Oral Solution -  Cetirizine Dihydrochloride 1mg/ml Oral 
51400131 3.4.1
75ml Solution
Loratadine 5mg & Pseudoephedrine Sulfate 
51001030 Clarinase Repetab 3.4.1
120mg Repetab
51002745 Zyrtec 10mg Tablet Cetirizine Dihydrochloride 10mg Tablet 3.4.1
Promethazine Hydrochloride 
Promethazine Hydrochloride  25mg/ml 
51200847 25mg/ml Injection Ampoules  3.4.1
Injection Ampoules 
(Fresenius Kabi)- 2ml

12
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


51000824 Chloramine 4mg Tablet Chlorpheniramine Maleate 4mg Tablet 3.4.1
Dermatophagoides pteronyssinus extr, 
51003064 Acarizax Oral Lyophilisate Tablet Upon request 3.4.1
Dermatophagoides farinae extr
3.4.2: Allergen immunotherapy 3.4.2
3.4.3: Allergic emergencies 3.4.3
Adrenaline/Epinepherine 0.3mg/0.3ml 
51200705 Epipen 0.3mg/0.3ml Injection Upon request 3.4.3
Injection
3.5: Respiratory stimulants and pulmonary surfactants 3.5
3.5.1: Respiratory stimulants 3.5.1
3.5.2: Pulmonary surfactants 3.5.2
Survanta 200mg/8ml  Beractant 200mg/8ml Intratracheal 
51200260 3.5.2
Intratracheal Suspension Vial Suspension Vial
3.6: Oxygen 3.6
3.7: Mucolytics 3.7
Fluimucil A 600mg Effervescent  N - Acetylcysteine 600mg Effervescent 
51001167 3.7
Tablet Tablet
51000311 Mucosolvan 30mg Tablet Ambroxol Hydrochloride 30mg Tablet 3.7
Mucosolvan 30mg/5ml Oral  Ambroxol Hydrochloride 30mg/5ml Oral 
51400068 3.7
Liquid - 100ml Liquid
51200511 Mucolex 4mg/2ml Injection Bromhexine Hydrochloride 4mg/2ml Injection 3.7

51400571 Vasican 4mg/5ml Syrup - 100ml Bromhexine Hydrochloride 4mg/5ml Syrup 3.7


Mucosolvan  24 Hours 75mg 
51002270 Ambroxol Hydrochloride 75mg Capsule 3.7
Capsule
51002405 Vasican 8mg Tablet Bromhexine Hydrochloride 8mg Tablet 3.7
51000833 Mucoflux 100mg Capsule Cyclidrol 100mg Capsule 3.7
51400713 Fluimucil-A 200mg Sachet N-Acetylcysteine 200mg Sachet 3.7
Pulmozyme 2.5mg/2.5ml  Dornase Alfa 2.5mg/2.5ml Nebuliser 
51550149 3.7
Nebuliser Solution Solution
51002954 Mentopin 600mg Tablet Acetylcysteine 600mg Tablet 3.7
3.8: Aromatic inhalations 3.8
Tincture Benzoin Concentrated 
51600148 Tincture Benzoin Concentrated BP 3.8
BP (Zulat) - 1L
51550036 Menthol Crystal BP (Zulat) - 500g Menthol Crystal 3.8
3.9: Cough preparations 3.9
3.9.1: Cough suppresants 3.9.1
Tussidex Forte 15mg/5ml Linctus  Dextromethorphan Hydrobromide 15mg/5ml 
51400307 3.9.1
- 120ml Linctus
51400492 Prospan Syrup - 100ml Dried Ivy Leaf Leaf Syrup - 100ml 3.9.1
3.9.2: Expectorant and demulcent cough preparations 3.9.2
Duro-Tuss Cough Linctus  Pholcodine 15mg & Sorbitol 3.7g & Sodium 
51400299 3.9.2
Regular (Fruity) - 90ml Benzoate Per 15ml  Linctus
Pholcodine 15mg & Bromhexine 
51400479 Duro-Tuss Expectorant Oral  3.9.2
Hydrochloride 12mg Per 15ml Oral Solution
Solution (Grenadine) - 90ml
Triprolidine HCl 2.5mg & Pseudoephedrine 
51400393 Fedac Syrup - 120ml 3.9.2
60mg Per 5ml Syrup
51002385 Mucinex 600mgTablet Guaifenesin 600mg Tablet 3.9.2
Abrus Precatorius & Acacia Catechu & 
Adhatoda Vasica & Alpinia Galanga & 
Curcuma Longa & Emblica Officinalis & 
Travisil Herbal Cough Syrup - 
51400648 Foeniculum Vulgare & Glycyrrhiza Glabra &  3.9.2
100ml
Menthol & Ocimum Sanctum & Piper 
Longum & Piper Nigrum & Terinalia Belerica 
& Zingiber Officinale Herbal Cough Syrup 
3.10: Systemic nasal decongestants 3.10

13
4.
Central Nervous
System
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


4: Central nervous system 4
4.1: Hypnotics and anxiolytics 4.1
4.1.1: Hypnotics 4.1.1
Chloral Hydrate 500mg/5ml 
51400788 Chloral Hydrate 500mg/5ml Syrup - 500ml 4.1.1
Syrup - 500ml
51760073 Imovane 7.5mg Tablet - 20's Zopiclone 7.5mg Tablet 4.1.1
51760018 Stilnox 10mg Tablet Zolpidem Tartrate 10 mg Tablet  4.1.1
4.1.2: Anxiolytics 4.1.2
51760033 Xanax 0.5mg Tablet Alprazolam 0.5mg Tablet 4.1.2
51790000 Stesolid 5mg/2.5ml Rectal Tube Diazepam 5mg/2.5ml Rectal Tube 4.1.2
51760010 Lexotan 1.5mg Tablet Bromazepam 1.5mg Tablet 4.1.2
51760027 Lorans 1mg Tablet Lorazepam 1mg Tablet 4.1.2
51760058 Diapo 5mg Tablet Diazepam 5mg Tablet 4.1.2
51770018 Zopam 10mg/2ml Injection Diazepam 10mg/2ml Injection 4.1.2
4.1.3: Barbiturates 4.1.3
4.2: Drugs used in psychoses and related disorders 4.2
4.2.1: Antipsychotic drugs 4.2.1
51001000 Prochlor 5mg Tablet Prochlorperazine Maleate 5mg Tablet 4.2.1
51000147 Dogmatil 50mg Capsule Sulpiride 50mg Capsule 4.2.1
51200454 Manace 5mg/ml Injection - 1ml Haloperidol 5mg/ml Injection 4.2.1
51000424 Risperdal 1mg Tablet Risperidone 1mg Tablet 4.2.1
51001151 Seroquel 25mg Tablet Quetiapine Fumarate 25mg Tablet 4.2.1
51000558 Zyprexa 10mg Tablet Olanzapine 5mg Tablet 4.2.1
51000557 Zyprexa 5mg Tablet Olanzapine 10mg Tablet 4.2.1
51000623 Seroquel 100mg Tablet Quetiapine Fumarate 100mg Tablet 4.2.1
51002398 Haloperidol 1.5mg Tablet Haloperidol 1.5mg Tablet 4.2.1
51001536 Abilify 10mg Tablet  Aripiprazole 10mg Tablet Upon request 4.2.1 
4.2.2 : Antipsychotic depot injections 4.2.2
4.2.3: Antimanic drugs 4.2.3
4.3: Antidepressant drugs 4.3
4.3.1: Tricyclic and related antidepressant drugs 4.3.1
51002774 Apo-Amitriptyline 25mg Tablet Amitriptylline Hydrcochloride 25mg Tablet 4.3.1
51002059 Apo-Imipramine 25mg Tablet Imipramine Hydrochloride 25mg Tablet 4.3.1
51002791 Apo-Amitriptyline 10mg Tablet Amitriptyline Hydrochloric Acid 10mg Tablet 4.3.1
4.3.2: Monoamine oxidase inhibitors 4.3.2
51000039 Aurorix 150mg Tablet Moclobemide 150mg Tablet Upon request 4.3.2
4.3.3: Selective serotonin re-uptake inhibitors 4.3.3
51001350 Lexapro 10mg Tablet Escitalopram Oxalate 10mg Tablet 4.3.3
51000274 Luvox 50mg Tablet Fluvoxamine Maleate 50mg Tablet 4.3.3
51000407 Prozac 20mg Capsule Fluoxetine Hydrochloride 20mg Capsule 4.3.3
51001587 Salipax 20mg Capsule Fluoxetine Hydrochloride 20mg Capsule 4.3.3
51001721 Zoloft 50mg Tablet Sertraline Hydrochloride 50mg Tablet 4.3.3
51002772 Brintellix 10mg Tablet Votioxetine 10mg Tablet 4.3.3
4.3.4: Other antidepressant drugs 4.3.4
Cymbalta 30mg Gastro-Resistant 
51001580 Duloxetine Hydrochloride 30mg Capsule 4.3.4
Capsule
51000411 Remeron 30mg SolTab Mirtazapine 30mg Orodispersible Tablet 4.3.4
51001533 Cymbalta 60mg Capsule Duloxetine 60mg Capsule 4.3.4
51001550 Remeron 15mg Soltab Mirtazapine 15mg Orodispersible Table 4.3.4
51002333 Valdoxan 25mg Tablet Agomelatine 25mg Tablet 4.3.4
4.4: CNS stimulants and drugs used for attention deficit hyperactivity disorder 4.4
51760067 Ritalin 10mg Tablet Methylphenidate Hydrochloride 10mg Tablet 4.4
Cocaine Hydrochloride BP 
51750001 Cocaine Hydrocloride Powder 4.4
(Johnson Matthey) - 10g
51760046 Ritalin LA 30mg Tab Methylphenidate HCl Upon request 4.4
51760063 Concerta ER 27mg Tablet Methylphenidate HCl Upon request 4.4
4.5: Drugs used in the treatment of obesity 4.5
4.5.1: Anti obesity drugs acting on the gastro intestinal tract 4.5.1
51000532 Xenical 120mg Capsule Orlistat 120mg Capsule 4.5.1
4.5.2: Centrally acting appetite suppresants 4.5.2
51760071 Duromine 15mg Capsule Phentermine 15mg Capsule 4.5.2
51760070 Duromine 30mg Capsule Phentermine 30mg Capsule 4.5.2
4.6: Drugs used in nausea and vertigo 4.6
51001979 Betaserc 24mg Tablet Betahistine Dihydrochloride 24mg Tablet 4.6
51001243 Emend Tri-Pack Capsule Aprepitant 125mg & 80mg Capsule 4.6

14
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Granisetron 3mg/3ml Injection  Granisetron Hydrochloride  3mg/3ml 
51201000 4.6
(Fresnius Kabi) Injection
51000285 Merislon 6mg Tablet Betahistine Mesylate 6mg Tablet 4.6
Metoclopramide DHA 10mg 
51002002 Metoclopramide Hydrochloride 10mg Tablet 4.6
Tablet
51000309 Motilium 10mg Tablet Domperidone 10 mg Tablet 4.6
Motilium 1mg/ml Oral 
51400545 Domperidone 1 mg/ml Suspension 4.6
Suspension - 100ml
Metoclopramide Hydrochloride 10mg 
51700023 Primperan 10mg Suppository 4.6
Suppository
Metoclopramide Hydrochloride 10mg/2ml 
51200213 Primperan 10mg/2ml Injection 4.6
Injection
51000462 Stugeron 25mg Tablet Cinnarizine 25mg Tablet 4.6
Aloxi 250mcg/5ml Solution For  Palonosetron 250mcg/5ml Solution For 
51200991 4.6
Injection Vial Injection Vial
51002712 Apo-Ondansetron 8mg Tablet Ondansetron 8mg Tablet 4.6
Ondansetron Hydrochloride Dihydrate 
51200331 Zofran 4mg/2ml Injection 4.6
4mg/2ml Injection
51000241 Kytril 1mg Tablet Granisetron Hydrochloride 1mg Tablet 4.6
51002204 Sibelium 5mg Tablet Flunarizine Hydrochloride 5mg Tablet 4.6
51002578 Apo-Ondansetron 4mg Tablet Ondansetron 4mg Tablet 4.6
Lartil 12.5mg/ml Injection  Prochlorperazine Mesylate 12.5mg/ml 
51200966 4.6
Ampoule - 1ml Injection Ampoule
Metoclopramide 5mg/ml Syrup  Metoclopramide Hydrochloride 5mg/ml 
51400534 4.6
(Sunward Pharmaceutical)- 60ml Syrup
Aloxi 0.075mg/1.5ml Solution For  Palonosetron 0.075mg/1.5ml Solution For 
51201047 4.6
Injection Vial Injection Vial
51003073 Akynzeo Capsule Netupitant 300mg, Palonosetron 0.5mg 4.6
4.7: Analgesics 4.7
4.7.1: Non opiod analgesics 4.7.1
51700021 Arfen 250mg Suppository Paracetamol  250mg Suppository 4.7.1
51000356 Panadol 500mg Tablet Paracetamol 500mg Tablet 4.7.1
Parmol 250mg/ml Suspension - 
51400461 Paracetamol 250mg/ml Suspension  4.7.1
120ml
Pegasys 180mcg/0.5ml Injection  Peginterferon Alpha-2a 180mcg/0.5ml Pre-
51810095 4.7.1
Pre-Filled Syringe Filled Syringe
51001331 Panadol 120mg Infant Tablet Paracetamol 120mg Tablet 4.7.1
Methyl Salicylate 10.2% & Menthol 5.44% & 
51650421 Flanil Cream - 60g 4.7.1
Eugenol 1.36% Cream
Tracidol Prolonged Release  Tramadol 100mg Prolonged Release 
51002876 4.7.1
Capsule Capsule
Paracetamol 10mg/ml Injection 
51201116 Paracetamol 10mg/ml Injection - 100ml 4.7.1
(Kabi) - 100ml
51001914 Uphamol 500mg Tab Paracetamol 500mg Tab 4.7.1

51001210 Paralgin Forte Tab Paracetamol 400mg and Codeine 30mg Tab 4.7.1

51003050 Winspirin 300mg Dispersible Tab Aspirin 300mg Dispersible Tab 4.7.1


Paracetamol 500mg & Codeine Phosphate 
51003055 Panadeine Tablet 4.7.1
8mg Tablet
4.7.2: Opiod analgesics 4.7.2
Durogesic 12mcg/h Transdermal 
51750004 Fentanyl 12mcg/h Transdermal Patch 4.7.2
Patch
Durogesic 25mcg/h Transdermal 
51750002 Fentanyl 25mcg/h Transdermal Patch 4.7.2
Patch
51740006 Statex 1mg/ml Syrup Morphine Sulphate 1mg/ml Syrup 4.7.2
 Morphine-Hameln 10mg/ml 
51730013 Morphine Sulphate 10mg/ml Injection 4.7.2
Injection
Oxycodone Hydrochloride 10mg Prolonged 
51720017 Oxycontin 10mg Tablet 4.7.2
Release Tablet
Oxycodone Hydrochloride 5mg Immediate 
51720011 OxyNorm 5mg Capsule 4.7.2
Release Capsule
Oxycodone Hydrochloride 10mg Immediate 
51720013 OxyNorm 10mg Capsule 4.7.2
Release Capsule
Oxycodone Hydrochloride 5mg & Naloxone 
51720012 Targin 5mg/2.5mg Tablet 4.7.2
Hydrochloride Dihydrate 2.5mg Tablet 

Oxycodone Hydrochloride 10mg & Naloxone 
51720014 Targin 10mg/5mg Tablet 4.7.2
Hydrochloride Dihydrate 5mg Tablet 

15
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Oxycodone Hydrochloride 20mg & Naloxone 
51720015 Targin 20mg/10mg Tablet 4.7.2
Hydrochloride Dihydrate 10mg Tablet

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

51730029 Oxynorm 10mg/ml Injection Oxycodone HCl 10mg/ml Injection 4.7.2


4.7.3: Neuropathic pain
4.7.3
4.7.4: Antimigrane drugs 4.7.4
Sumatriptan Succinate 50 mg Fast 
51001677 Imigran FDT 50mg Tablet 4.7.4
Disintegrating Tablet
4.7.4.1: Treatment of acute migrane 4.7.4.1
Ergotamine tartrate 1mg & Caffeine 100mg 
51002230 Cafergot Tablet 4.7.4.1
Tablet
4.7.4.2: Prophylaxis of migrane 4.7.4.2
51003023 Pizogran 0.5mg Tablet Pizotifen 0.5mg Tablet 4.7.4.2
4.7.4.3: Cluster headache 4.7.4.3
4.8: Antiepileptics 4.8
4.8.1: Control of epilepsy 4.8.1
Tegretol 100mg/5ml Syrup - 
51400113 Carbamazepine 100mg/5ml Syrup  4.8.1
250ml
51000470 Tegretol 200mg Tablet Carbamazepine 200mg Tablet 4.8.1
Dilantin 250mg/5ml Ready Mixed  Phenytoin Sodium 250mg/5ml Ready Mixed 
51200066 4.8.1
Injection Injection
51000136 Dilantin 100mg Capsule Phenytoin Sodium 100mg Capsule 4.8.1
51002742 Ditoin 100mg Capsule Phenytoin Sodium  100mg Capsule 4.8.1
51400036 Epilim 200mg/5ml Syrup - 300ml Sodium Valproate 200mg/5ml Syrup  4.8.1
Epilim 400mg Powder For  Sodium Valproate 400mg Powder For 
51200073 4.8.1
Injection Vial Injection Vial
Epilim Chrono 500mg Slow- Sodium Valproate 500mg Slow-Release 
51000163 4.8.1
Release Tablet Tablet
51000162 Epilim 200mg Tablet Sodium Valproate 200mg Tablet 4.8.1
51760008 Frisium 10mg Tablet Clobazam 10mg Tablet 4.8.1
51002249 Gabapin 300mg Capsule Gabapentin 300mg Capsule 4.8.1
51002307 Gabapin 600mg Tablet Gabapentin 600mg Tablet 4.8.1
51001117 Keppra 500mg Tablet Levetiracetam 500mg Tablet 4.8.1
Keppra 100mg/ml Oral Solution - 
51400484 Levetiracetam 100mg/ml Oral Solution 4.8.1
300ml
51200863 Keppra 100mg/ml Injection - 5ml Levetiracetam 100mg/ml Injection  4.8.1
Lamictal 50mg Fim-Coated 
51000245 Lamotrigine 50mg Fim-Coated Tablet 4.8.1
Tablet
51002015 Lyrica 150mg Capsule Pregabaline 150mg Capsule 4.8.1
51002371 Lyrica 50mg Capsule Pregabaline 50mg Capsule 4.8.1
51002014 Lyrica 75mg Capsule Pregabaline 75mg Capsule 4.8.1
51000324 Neurontin 300mg Capsule Gabapentin 300mg Capsule 4.8.1
51001318 Neurontin 600mg Tablet Gabapentin 600mg Tablet 4.8.1

16
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Phenobarbital Sodium Macarthy's 
51770006 Phenobarbitone Sodium 200 mg/ml Injection 4.8.1
200mg/ml Injection
Phenobarbitone Idaman 30mg 
51760086 Phenobarbitone 30mg Tablet 4.8.1
Tablet
51760014 Rivotril 0.5mg Tablet Clonazepam 0.5mg Tablet 4.8.1
51760015 Rivotril 2mg Tablet Clonazepam 2mg Tablet 4.8.1
Carbamazepine 200mg Controlled Release 
51000471 Tegretol CR 200mg Tablet 4.8.1
Tablet
51000665 Topamax 50mg Tablet Topiramate 50mg Tablet 4.8.1
51001038 Trileptal 600mg Tablet Oxcarbazepine 600mg Tablet 4.8.1
51002941 Prega 75mg Capsule Pregabalin 75mg Capsule 4.8.1
4.8.2: Drugs used in status epilepticus 4.8.2
4.8.3: Febrile convulsions 4.8.3
4.9: Drugs used in parkinsonism and related disorders 4.9
4.9.1: Dopaminergic drugs used in parkinsonism 4.9.1
Levodopa 100 mg & Benserazide 
51000275 Madopar 125mg Capsule 4.9.1
Hydrochloride 25mg Tablet
51000232 Jumex 5mg Tablet Selegiline Hydrochloride 5mg Tablet 4.9.1
Levodopa 200 mg & Benserazide 
51000277 Madopar 250mg Tablet 4.9.1
Hydrochloride 50mg Tablet
Levodopa 100 mg & Benserazide 
51000278 Madopar HBS 125mg Capsule 4.9.1
Hydrochloride 25mg Tablet
51001480 Sifrol 0.125mg Tablet Pramipexole Hydrochloride 0.125mg Tablet 4.9.1
Pramipexole Dihydrochloride Extended 
51002346 Sifrol ER 0.375mg Tablet 4.9.1
Release 0.375mg Tablet
51002239 Requip 2mg PD 24hr Tablet Ropinirole Hydrochloride 2mg Tablet 4.9.1
51002957 Apo-Levocarb 100/25mg Tablet Levodopa 100mg & Carbidopa 25mg Tablet 4.9.1
4.9.2: Antimuscarinic drugs used in parkinsonism 4.9.2
51002066 Apo-Trihex 2mg Tablet Trihexyphenidyl Hydrochloride 2mg Tablet 4.9.2
4.9.3: Drugs used in essential tremor, chorea, tics and related disorders 4.9.3
51000030 Arcalion 200mg Tablet Sulbutiamide 200mg Tablet 4.9.3
51002037 Ceretam 800mg Tablet Piracetam 800mg Tablet 4.9.3
51200379 Nootropil 12g/60ml Infusion Piracetam 12g/60ml Infusion 4.9.3
51002167 Nootropil 800mg Tablet Piracetam 800mg Tablet 4.9.3
51002168 Nootropil 1200mg Tablet Piracetam 1200mg Tablet 4.9.3
Ceretam 20% Oral Solution 
51400567 Piracetam 20% Oral Solution 4.9.3
(120ml)
Botox 100units Powder For  Clostridium Botulinum Toxin Type A 100units 
51200031 4.9.3
Injection Powder For Injection
51201135 Knowful 1g/5ml Injection (5ml) Piracetam 1g/5ml Injection 4.9.3
51003010 Cognipro Gold 500mg Tab Citicoline 500mg Tab Upon request 4.9.3
4.10: Drugs used in substance dependence 4.10
Champix Maintenanance Pack 
51001858 Varenicline Tartrate 1mg Tablet 4.10
1mg Film-Coated Tablet
Champix Starter Pack 1mg Film-
51001857 Varenicline Tartrate 1mg Tablet 4.10
Coated Tablet
Naloxone 0.4mg/ml (1ml) Inj 
51201206 Naloxone 0.4mg/ml Inj 4.10
(Hameln)
51000611 Nicorette 2mg Chewing Gum Nicotine 2mg Chewing Gum Upon request 4.10
51001621 Narpan 15mg Tablet Naltrexone Hydrochloride 15mg Tablet Upon request 4.10
4.11: Drugs for dementia 4.11
Aricept Evess 5mg  Donepezil Hydrochloride 5mg Orodispersible 
51002428 4.11
Orodispersible Tablet Tablet
Aricept Evess 10mg  Donepezil Hydrochloride 10mg 
51002429 4.11
Orodispersible Tablet Orodispersible Tablet
51001648 Ebixa 10mg Tablet Memantine Hydrochloride 10mg Tablet 4.11
51710039 Exelon 5 Patch Rivastigmine 4.6mg/24hr Patch 4.11
51710038 Exelon 10 Patch Rivastigmine 9.5mg/24hr Patch Upon request 4.11
51710050 Exelon 15 Patch Rivastigmine 13.3mg/24hr Patch Upon request 4.11
4.12: Other Drugs Act on Central Nervous System 4.12

17
5. Infections
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


5: Infections 5
5.1: Antibacterial drugs 5.1
5.1.1: Penicillins 5.1.1
Upha Cloxacillin 125mg/5ml 
51400025 Cloxacillin Sodium 125 mg/5ml Suspension 5.1.1
Granules For Suspension - 60ml
51200053 Monoclox 500mg Injection Cloxacillin Sodium 500mg Injection 5.1.1
51002761 Cloxacilla 250mg Capsule Cloxacillin Sodium 250mg Capsule 5.1.1
5.1.1.1: Benzylpenicillin and phenoxymethylpenicillin 5.1.1.1
Penicillin G Benzathine KAPL  Penicillin G Benzathine 2.4MU Powder For 
51200968 5.1.1.1
2.4MU Powder For Injection Vial Injection Vial
Penicillin G Sodium Sandoz 1MU 
51200202 Benzylpenicillin 1MU Injection 5.1.1.1
Powder For Injection
51002807 Penicillin V 125mg Tablet Phenoxymethyl Penicillin 125 mg Tablet 5.1.1.1
5.1.1.2: Penicillinase resistant penicillins 5.1.1.2
5.1.1.3: Broad spectrum penicillins 5.1.1.3
51000021 Beamoxy 250mg Capsule Amoxycillin Trihydrate 250mg Capsule 5.1.1.3
Amoxicillin 1g & Clavulanate Potassium 
51200026 Augmentin 1.2g Injection Vial 5.1.1.3
200mg Injection
Beamoxy 125mg/5ml Granules 
51400002 Amoxycillin Trihydrate 125 mg/5 ml Syrup 5.1.1.3
For Oral Solution (Fruity) - 60ml
Clavulanate Potassium 125mg & Amoxicillin 
51000037 Augmentin 1g Tablet 5.1.1.3
Trihydrate 875 mg Tablet
Augmentin 228mg/5ml Powder  Clavulanate Potassium 28.5mg & Amoxicillin 
51400006 5.1.1.3
For Oral Suspension Trihydrate 200mg Syrup
Clavulanate Potassium 100mg & Amoxicillin 
51200025 Augmentin 600mg Injection Vial 5.1.1.3
Sodium 500mg Injection Vial
Clavulanate Potassium 200mg & Amoxicillin 
51000038 Augmentin 1.2g Injection Vial 5.1.1.3
Sodium 1g Injection Vial
Unasyn IM/IV 750mg Powder For  Ampicillin Sodium 500 mg & Sulbactam 
51200295 5.1.1.3
Injection Vial Sodium 250 mg Injection
Unasyn IM/IV 1.5g Powder For  Ampicillin Sodium 1g & Sulbactam Sodium 
51200296 5.1.1.3
Injection Vial 500mg Injection
Unasyn 250mg/5ml Oral 
51400116 Sultamicillin 250mg/5ml Oral Suspension 5.1.1.3
Suspension - 30ml
Unasyn 375mg Film-Coated 
51000495 Sultamicillin 375mg Film-Coated Tablet 5.1.1.3
Tablet
51002751 Synamox 250mg Capsule Amoxycillin 250mg Capsule 5.1.1.3
Amoxycillin & Potassium Clavulanate
Curam 312.5mg/ml Powder for 
51400297 312.5mg/5 ml Suspension 5.1.1.3
Oral Suspension - 60ml
Clamentin 625mg Film-Coated  Amoxicillin 500mg & clavulanic acid 125 mg 
51002737 5.1.1.3
Tablet Film-Coated Tablet
Augmentin 457mg/5ml Syrup  Amoxicillin Trihydrate 400mg & Clavulanate 
51400680 5.1.1.3
70ml Potassium 57mg Syrup
51000020 Ospamox 1000mg Tablet Amoxycillin Trihydrate 1000mg Tablet 5.1.1.3
5.1.1.4: Antipseudomonal penicillins 5.1.1.4
Tazocin EF 4.5g Powder For  Piperacillin 4g & Tazobactam 500mg 
51200302 5.1.1.4
Injection Vial Injection
DBL Piperacillin And Tazobactam  Piperacillin 4g & Tazobactam 500mg 
51201092 5.1.1.4
4g/0.5g Powder For Injection Injection
5.1.1.5: Mecillinams 5.1.1.5
5.1.2: Cephalosporins and other betalactams 5.1.2
Verapime 1g Powder For  Cefepime 1g Powder For Solution For 
51201111 5.1.2
Solution For Injection Injection
Cefoperazone Sodium 1g Powder For 
51200041 Cefobid 1g Powder For Injection 5.1.2
Injection
Cefoperazone Sodium 2g Powder For 
51200417 Cefobid 2g Powder For Injection 5.1.2
Injection
51200467 Ceftrex 1g Injection Ceftriaxone Sodium 1g Injection 5.1.2
51200469 Ceftrex 0.5g Injection Ceftriaxone Sodium 0.5g Injection 5.1.2
51200048 Claforan 0.5g Injection Cefotaxime Sodium 0.5g Injection 5.1.2
51200049 Claforan 1g Injection Cefotaxime Sodium 1g Injection 5.1.2
Fortum IV/IM 1g Powder For  Ceftazidime Pentahydrate 1g Powder For 
51200086 5.1.2
Injection Injection
Fortum IV 2g Powder For  Ceftazidime Pentahydrate 2g Powder For 
51200196 5.1.2
Injection Injection

18
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Ixime 100mg/5ml Oral 
51400511 Cefixime 100mg/5ml Oral Suspension 5.1.2
Suspension
51001941 Ixime 400mg Tablet Cefixime 400mg Tablet 5.1.2
Rocephin 1g Powder For IM/IV 
51200234 Ceftriaxone 1g Injection 5.1.2
Injection
Rocephin 0.25g Powder For 
51200229 Ceftriaxone 0.25g Injection 5.1.2
IM/IV Injection
Axcel Cephalexin 250mg 
51001866 Cephalexin Monohydrate 250mg Capsule 5.1.2
Capsule
Invanz 1g Powder For Injection 
51200519 Ertapenem 1g Powder For Injection Vial 5.1.2
Vial
51200156 Meronem 1g Injection Meropenem 1g Injection 5.1.2
51201056 Meronem 500mg Injection Meropenem 500mg Injection 5.1.2
DBL Meropenem 1g Powder For 
51201057  Meropenem 1g Powder For Injection Vial 5.1.2
Injection Vial
Prepenem Powder For Solution -  Imipenem 500mg & Cilastatin 500mg 
51200890 5.1.2
20ml Powder For Solution
Rocephin 250mg Powder For  Ceftriaxone 250mg Powder For IM/IV 
51200230 5.1.2
IM/IV Injection Injection
Tienam 500mg/500mg Powder  Imipenem 500mg & Cilastatin 500mg 
51201361 5.1.2
For Infusion Powder For Infusion
51200330 Zinacef 1.5g Powder For Injection Cefuroxime Sodium 1.5g Injection 5.1.2
Zinacef 750mg Powder For 
51200329 Cefuroxime Sodium 750mg Injection 5.1.2
Injection
51400127 Zinnat 125mg/5ml Suspension Cefuroxime Axetil 125mg/5ml Suspension 5.1.2
51000543 Zinnat 250mg Tablet Cefuroxime Axetil 250mg Tablet 5.1.2
Cefaclor 125mg/5ml Oral 
51400553 Cefaclor Monohydrate  Oral Suspension 5.1.2
Suspension (Axcel) - 60ml
Doribax 500mg Powder 
51200845 Doripenem Monohydrate 500mg Injection 5.1.2
For Injection
Zinforo 600mg Powder For  Ceftaroline Fosamil 600mg Powder For 
51201034 5.1.2
Infusion Vial Infusion Vial
Cetolazone 1gm & Tazobactam 500mg 
51201239 Zerbaxa 1gm/0.5gm Injection 5.1.2
Injection
Sulbactam Sodium 500mg & Cefoperazone 
51200959 Cefper 1G Injection 5.1.2
Sodium  500mg Injection
Sulperazon 1g Powder For  Sulbactam Sodium 500mg & Cefoperazone 
51200259 5.1.2
Injection Vial Sodium  500mg Injection
51400752 Zinnat 250mg/5ml Suspension Cefuroxime Axetil 250mg/5ml Suspension 5.1.2

51201027 Monem 1g Inj Meropenem 1g Inj 5.1.2


51201026 Monem 500mg Inj Meropenem 500mg Inj 5.1.2
Axcel Cephalexin 125mg/5ml Syr 
51400509 Cephalexin 125,g/5ml Syr 5.1.2
(60ml)
51200809 Mesporin 1g Injection Ceftriaxone disodium 1g Injection 5.1.2
5.1.3: Tetracycline 5.1.3
Tygacil 50mg Powder For 
51200751 Tigecycline 50mg Powder For Injection Vial  5.1.3
Injection Vial 
Vibramycin 100mg Film-Coated 
51000510 Doxycycline 100mg Tablet 5.1.3
Tablet
51001062 Beatacycline 250mg Cap (CCM) Tetracycline Hydrochloride 250mg Capsule 5.1.3
5.1.4: Aminoglycosides 5.1.4
51200726 Amikacin 500mg/2ml Injection  Amikacin Sulphate 500mg/2ml Injection  5.1.4
51200701 Gentamed 80mg/2ml Injection Gentamicin Sulphate 80mg/2ml Injection 5.1.4
5.1.5: Macrolides 5.1.5
Zithromax 200mg/5ml Powder  Azithromycin Dihydrate 200mg/5ml Powder 
51400128 5.1.5
For Oral Suspension For Oral Suspension
51002884 Zithromax 250mg Tablet Azithromycin Dihydrate 250mg Tablet 5.1.5
51201042 Zithromax IV 500mg Infusion Vial Azithromycin Dihydrate  500mg Injection 5.1.5
Erythromycin Lactobionate IV 
51200876 Erythromycin Lactobionate 500mg Injection 5.1.5
Pharmatex 500mg Infusion
Klacid 125mg/5ml Paediatric 
51400052 Clarithromycin 125mg/5ml Paediatric Syrup  5.1.5
Syrup - 60ml
Clarithromycin 500mg & Pantoprazole 
51000238 Klacid Hp7 Combi Pack 5.1.5
Sodium 40mg & Amoxicillin 1g Tablets
51000237 Klacid 500mg Film-Coated Tablet Clarithromycin 500mg Film-Coated Tablet 5.1.5

19
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Klacid MR 500mg Modified- Clarithromycin 500mg Modified-Release 
51000239 5.1.5
Release Tablet Tablet
Zmax 2g Prolonged-Release 
51400517 Azithromycin Dihydrate 200mg/5ml Granules 5.1.5
Granules For Suspension - 60ml
Erythromycin ES 400mg Tablet 
51001966 Erythromycin Ethylsuccinate 400mg Tablet 5.1.5
(Axcel)
Erythromycin ES 200mg/ml Oral  Erythromycin Ethylsuccinate 200mg/ml Oral 
51400508 5.1.5
Suspension (Axcel) - 60ml Suspension
Klacid 250mg/5ml Paediatric 
51400757 Clarithromycin 250mg/5ml Paediatric Syrup  5.1.5
Syrup - 60ml
5.1.6: Clindamycin 5.1.6
51000687 Dalacin-C 150mg Capsule Clindamycin 150mg Capsule 5.1.6
Dalacin C 300mg/2ml Injection  Clindamycin Phosphate 300mg/2ml Injection 
51200542 5.1.6
Ampoule Ampoule
5.1.7: Some other antibacterials 5.1.7
Colomycin 1 million IU Powder  Colistimethate Sodium (Polymyxin E) 1 
51200746 5.1.7
For Injection Million IU per vial 
51000189 Fucidin 250mg Tablet Sodium Fusidate 250mg Tablet 5.1.7
Lincocin 300mg/ml Injection -  Lincomycin Hydrochloride 300mg/ml 
51200449 5.1.7
10ml Injection
Monurol 3g Powder For Oral  Fosfomycin Trometamol 3g Powder For Oral 
51400301 5.1.7
Solution Solution
51500163 Nicol 0.5% Eye Drop - 5ml Chloramphenicol 0.5% Eye Drop 5.1.7
51201375 Vancorin 500mg Injection Vancomycin Hydrochloride 500mg Injection 5.1.7
51200550 Zyvox Infusion 2mg/ml - 300ml Linezolid 2mg/ml Injection 5.1.7
51001180 Zyvox 600mg Tablet Linezolid 600mg Tablet 5.1.7
Chloramphenicol Sodium 
Chloramphenicol Sodium Succinate 1g For 
51200749 Succinate 1g Vial (Fresenius  5.1.7
Injection
Kabi)
51200614 Polymycin B 500,000IU Inj Polymixin B 5.1.7
51002907 Rifaximin 550mg Tablet Rifaximin 5.1.7
51002875 Sivextro 200mg Tablet Tedizolid 200mg Tablet Upon request 5.1.7
51200852 Cubicin 500mg Inj Daptomycin 500mg Inj Upon request 5.1.7
5.1.8: Sulphonamides and trimethoprim 5.1.8
Trimethoprim 40mg & Sulfamethazole 
51400388 B.S. Suspension - 60ml 5.1.8
200mg Per 5ml Suspension
DBL Sulfamethoxazole 400mg 
and Trimethoprim 80mg  Sulfamethoxazole 400mg & Trimethoprim 
51200258 5.1.8
Concentrate Injection BP  80mg Concentrate Injection BP Ampoule 
Ampoule - 5ml
Trimethoprim 80mg & Sulfamethazole 
51000886 BS 80/400mg Tablet 5.1.8
400mg Tablet
5.1.9: Antituberculosis drugs 5.1.9
51001993 Ethambutol Upha 400mg Tablet Ethambutol Hydrochloride 400mg Tablet 5.1.9

51001619 Akurit Tablet Rifampicin 150mg & Isoniazide 75mg Tablet 5.1.9


51002573 Isoniazid 100mg Tablet Isoniazide 100mg Tablet 5.1.9
51000736 Rifasynt 300mg Capsule Rifampicin 300mg Capsule 5.1.9
Rifampicin 150mg & Isoniazid 75mg & 
51001305 Rimcure 3 - FDC Tablet 5.1.9
Pyrazinamide 400mg Tablet
Streptomycin 1g Injection (SM 
51201083 Streptomycin Sulphate 1g Injection 5.1.9
Pharma)
51000735 Rifasynt 150mg Capsule Rifampicin 300mg Capsule 5.1.9
Rifampicin 150mg & Isoniazid 75mg & 
51001649 Akurit 4 Tablet Pyrazinamide 400mg & Ethambutol  5.1.9
Hydrochloride 275mg Tablet
Purified Protein Derivative (PPD) Of 
51201186 Tuberculin PPD2TU 2ml Injection 5.1.9
Mycobacterium Tuberculosis Injection
Pyrazinamide 500mg Tablet 
51000614 Pyrazinamide 500mg Tablet 5.1.9
(Pharmaniaga)
5.1.10: Antileprotic drugs 5.1.10
5.1.11: Metronidazole and tinidazole 5.1.11
Axcel Metronidazole 200mg 
51001439 Metronidazole 200mg Tablet 5.1.11
Tablet
Axcel Metronidazole 200mg 
51001440 Metronidazole 400mg Tablet 5.1.11
Tablet

20
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Metronidazole 500 mg/100 ml  Metronidazole 500mg/100ml Solution for 
51200162 5.1.11
Solution for Infusion (B.B) Infusion
Metrogyl 200mg/5ml Oral  Metronidazole Benzoate 200mg/5ml Oral 
51400547 5.1.11
Suspension - 100ml Suspension
51650152 Metrogyl Gel - 30g Metronidazole Gel Upon request 5.1.11
5.1.12: Quinolones 5.1.12
Avelox 400mg Solution For 
51200565 Moxifloxacin 400mg Injection 5.1.12
Infusion Vial
Avelox 400mg Film-Coated 
51000596 Moxifloxacin 400mg Tablet 5.1.12
Tablet
51200047 Ciprobay 200mg/100ml Infusion Ciprofloxacin 200 mg/100 ml Injection 5.1.12
51000089 Ciprobay 250mg Tablet Ciprofloxacin 250mg Tablet  5.1.12
51000090 Ciprobay 500mg Tablet Ciprofloxacin 500mg Tablet 5.1.12
51001361 Cravit 250mg Tablet Levofloxacin 250mg Tablet 5.1.12
Tarivid 3mg/ml Otic Solution - 
51500078 Ofloxacin 0.3% Otic Solution 5.1.12
5ml
51000469 Tarivid 100mg Tablet Ofloxacin 100mg Tablet 5.1.12
Vigamox 0.5% Opthalmic 
51500186 Moxifloxacin 0.5% Ophthalmic Solution 5.1.12
Solution - 5ml
51001362 Cravit 500mg Tablet Levofloxacin 500mg Tablet 5.1.12
Cravit 500mg/100ml 
51200597 Levofloxacin 500mg Injection 5.1.12
Intravenous Infusion
51001363 Bactiflox 500mg Tab Ciprofloxacin 500mg Tab 5.1.12
5.1.13: Urinary tract infections 5.1.13
51002820 Nifurantin 100mg Tablet Nitrofurantoin 100mg Tablet 5.1.13
5.2: Antifungal drugs 5.2
51002374 Avezol 150mg Capsule Fluconazole 150mg Capsule 5.2
Diflucan 2mg/ml Injection Vial - 
51200065 Fluconazole 2mg/ml Injection  5.2
50ml
51000133 Diflucan 150mg Capsule Fluconazole 150mg Capsule 5.2
51000134 Diflucan 50mg Capsule Fluconazole 50mg Capsule 5.2
51000132 Diflucan 100mg Capsule Fluconazole 100mg Capsule 5.2
51000458 Sporanox 100mg Capsule Itraconazole 100mg Capsule 5.2
Daktarin 2% Topical Powder - 
51650025 Miconazole Nitrate 2% Powder 5.2
20g
Sporanox  10mg Oral Solution - 
51400111 Itraconazole 10mg Oral Solution 5.2
150ml
51650353 Candid 1% Powder Clotrimazole 5.2
51200975 Amphotret 50mg Inj Amphotericin B Upon request 5.2
51200887 Eraxis 100mg Inj Anidulafungin 100mg Inj Upon request 5.2
51001521 Vfend 200mg Tablet Voriconazole 200mg Tablet Upon request 5.2.1
5.3: Antiviral drugs 5.3
5.3.1: HIV infection 5.3.1
Lamivudine 150mg & Zidovudine 300mg 
51000106 Combivir Tablet 5.3.1
Tablet
Nevirapine 200mg Tablet 
51002129 Nevirapine 200mg Tablet  5.3.1
(Unimed)
Lamivudine 150mg And 
Lamivudine 150mg & Zidovudine 300mg 
51002746 Zidovudine 300mg Tablet  5.3.1
Tablet
(Unimed)
51001172 Stocrin 600mg Tablet Efavirenz 600mg Tablet 5.3.1
51002643 Efamat 600mg Tablet Efavirenz 600mg Tablet 5.3.1
Stavudine 30mg Capsule 
51002411 Stavudine 30mg Capsule 5.3.1
(Unimed)
Zidovudine 100mg Capsule 
51002423 Zidovudine 100mg Capsule 5.3.1
(Unimed)
Kaletra 200mg/50mg Film-  Lopinavir 200mg & Ritonavir 50mg Film-
51002755 5.3.1
Coated Tablet Coated Tablet
51002866 Ricovir 300mg Tablet Tenofovir 300mg Tablet 5.3.1
Tenofovir Disoproxil Fumarate 300mg & 
51002901 Tenof-EM Tablet 5.3.1
Emtricitabine 200mg Tablet
Tenofovir Disoproxil Fumarate 300mg & 
51002931 Trustiva Tablet 5.3.1
Emtricitabine 200mg Tablet
Tenofovir Disoproxil Fumarate 300mg & 
51002902 Viraday Tablet Upon request 5.3.1
Emtricitabine 200mg Tablet
5.3.2: Herpesvirus infections 5.3.2
51001292 Acyclovir 800 Stada Tablet Acyclovir 800mg Tablet 5.3.2
51000502 Valtrex 500mg Tablet Valaciclovir Hydrochloride 500mg Tablet 5.3.2
51000552 Zovirax 200mg Dispersible Tablet Acyclovir 200mg Tablet 5.3.2

21
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Zovirax 200mg/5ml Oral 
51400129 Acyclovir 200mg/5ml Oral Suspension 5.3.2
Suspension - 125ml
51000554 Zovirax 800mg Dispersible Tablet Acyclovir 800mg Tablet 5.3.2
51200633 Cymevene 500mg Infusion Ganciclovir Sodium 50mg/ml Injection Upon request 5.3.2
5.3.2.1: Herpes simplex and varicellazoster infection 5.3.2.1
Zovirax 250mg Powder For 
51200335 Acyclovir 250mg Injection 5.3.2.1
Injection Vial
51201175 Medovir 250mg Injection Acyclovir 250mg Injection 5.3.2.1
5.3.2.2: Cytomegalovirus infection 5.3.2.2
5.3.3: Viral hepatitis 5.3.3
51001489 Baraclude 0.5mg Tablet Entecavir 0.5mg Tablet 5.3.3
51001739 Sebivo 600mg Tablet Telbivudine 600mg Tablet 5.3.3
51002900 Tenof 300mg Tablet Tenofovir Disoproxil Fumarate 300mg Tablet 5.3.3
51002564 Enteca 0.5mg Tab Entecavir 0.5mg Tab 5.3.3

51002837 Harvoni 90mg/400mg Tablet Ledipasvir 90mg & Sofosbuvir 400mg Tablet Upon request 5.3.3

51002836 Sovaldi 400mg Tablet Sofosbuvir 400mg Tablet Upon request 5.3.3


51001244 Hepsera 10mg Tablet Adefovir Dipivoxil 10mg Tablet Upon request 5.3.3
Exviera 250mg Film-Coated 
51002786 Dasabuvir 250mg Film-Coated Tablet Upon request 5.3.3
Tablet
Viekirax 12.5mg/75mg/50mg Film  Ombitasvir 12.5mg & Paritaprevir 75mg  & 
51002785 Upon request 5.3.3
Coated Tablet Ritonavir 50mg
51002951 Zepatier 50mg/100mg) Tablet Elbasvir 50mg & Grazoprevir 100mg Tablet Upon request 5.3.3

5.3.4: Influenza 5.3.4


Fluhalt 60mg/5ml For Oral  Oseltamivir Phosphate 60mg/5ml For Oral 
51400583 5.3.4
Suspension - 100ml Suspension
51002749 Osmivir 75mg Capsule Oseltamivir Phosphate 75mg Capsule 5.3.4
5.3.5: Respiratory syncytial virus 5.3.5
51001393 Copegus 200mg Tablet Ribavirin 200mg Tablet 5.3.5
5.4: Antiprotozoal drugs 5.4
5.4.1: Antimalarials 5.4.1
51000368 Plaquenil 200mg Tablet Hydroxychloroquine Sulphate 200mg Tablet 5.4.1
Pharmaniaga Primaquine 7.5mg 
51001493 Primaquine Primaquine 7.5mg Base Tablet  5.4.1
Tablet
51002422 Malacam 300mg Tablet Quinine Sulphate 300mg Tablet 5.4.1
Artemether 20mg & Lumefantrine 120mg 
51002094 Riamet 20mg/120mg Tablet 5.4.1
Tablet
51201041 Artesun 60mg Injection Artesunate 60mg Injection 5.4.1
51001432 Daraprim 25mg Tab Pyrimethamine 5.4.1
51000829 Mephaquin Lactab 250mg Tablet Mefloquine Hydrochloride 250 mg Tablet Upon request 5.4.1

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

5.5.7: Drugs for cutaneous larva migrans 5.5.7


5.5.8: Drugs for strongyloidiasis 5.5.8

22
6. Endocrine
System
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


6: Endocrine system 6
6.1: Drugs used in diabetes 6.1
6.1.1: Insulins 6.1.1
6.1.1.1: Short acting insulins 6.1.1.1
Apidra SoloStar 100u/ml Pre- Insulin Glulisine 100u/ml Solution For 
51200911 6.1.1.1
Filled Pen - 3ml Injection In Pre-Filled Pen
Humalog KwikPen 100IU/ml Pre- Insulin Lispro 100 IU/ml Injection In Pre-
51200957 6.1.1.1
Filled Pen - 3ml Filled Syringe/Cartridge
NovoRapid  FlexPen 100IU/ml -  Insulin Aspart (Rapid Acting Insulin 
51200752 6.1.1.1
3ml Analouge) 100 IU/ml Pre-Filled Pen Injection
6.1.1.2: Intermediate and long acting insulins 6.1.1.2
Insulin Detemir 100IU/ml Injection In Pre-
51200761 Levemir  FlexPen 100IU/ml - 3ml 6.1.1.2
Filled Syringe/Cartridge
Lantus Solostar 100IU/ml 
Insulin Glargine 100IU/ml Solution For Pre-
51200837 Solution For Pre-Filled Pen  6.1.1.2
Filled Pen Injection
Injection - 3ml
51201212 Toujeo 300U/ml Injection - 1.5ml Insuline Glargine 300U/ml Injection 6.1.1.2

51201313 Ryzodeg Flextouch 100iu/3ml Inj Insulin Degludeg/insulin aspart 6.1.1.2


Basalog One 100IU/ml (3ml) Inj 
51201341 Glargine 300IU/3ml Injection 6.1.1.2
Pen
6.1.1.3: Biphasic Insulins 6.1.1.3
25% Insulin Lispro & 75% Insulin Lispro 
Humalog Mix 25 KwikPen 
51200961 Protamine 100IU/ml Suspension For  6.1.1.3
100IU/ml Pre-Filled Pen - 3ml
Injection In Pre-Filled Syringe/Cartridge
50% Insulin Lispro & 50% Insulin Lispro 
Humalog Mix 50 KwikPen 
51200950 Protamine 100IU/ml Suspension For  6.1.1.3
100IU/ml Pre-Filled Pen - 3ml
Injection In Pre-Filled Syringe/Cartridge
NovoMix 30 FlexPen 100IU/ml -  Insulin Aspart 30% & Protaminated Insulin 
51200635 6.1.1.3
3ml Aspart 70% 100IU/ml Injection
6.1.1.4: Hypodermic equipment 6.1.1.4
6.1.2: Antidiabetics drugs 6.1.2
6.1.2.1: Sulphonylureas 6.1.2.1
Amaryl M SR 2mg/500mg Film- Glimepiride 2mg & Metformin Hydrochloride 
51002123 6.1.2.1
Coated Tablet 500mg Film-Coated Tablet
51000017 Amaryl 2mg Tablet Glimepiride 2mg Tablet 6.1.2.1
51000566 Amaryl 3mg Tablet Glimepiride 3mg Tablet 6.1.2.1
51000120 Daonil 5mg Tablet Glibenclamide 5mg Tablet 6.1.2.1
Diamicron MR 60mg Modified 
51002297 Gliclazide 60 mg Modified Release Tablet 6.1.2.1
Release Tablet
51000128 Diamicron 80mg Tablet Gliclazide 80mg Tablet 6.1.2.1
51000692 Glyade 80mg Tablet Gliclazide 80mg Tablet 6.1.2.1
51002048 Remicron MR 30mg Tablet Gliclazide 30mg Modified Release Tablet  6.1.2.1
Glucovance 500mg/2.5mg Film- Metformin Hydrochloride 500mg & 
51001391 6.1.2.1
Coated Tablet Glibenclamide 2.5mg Tablet
Glucovance 500mg/5mg Film- Metformin Hydrochloride 500mg & 
51001392 6.1.2.1
Coated Tablet Glibenclamide 5mg Tablet
GlyMet 2.5mg/500 mg Film- Metformin Hydrochloride 500mg & 
51002071 6.1.2.1
Coated Tablet Glibenclamide 2.5mg Tablet
51001665 Minidiab 5mg Tablet Glipizide 5mg Tablet 6.1.2.1
GlyMet 5mg/500 mg Film-Coated  Metformin Hydrochloride 500mg & 
51002072 Upon request 6.1.2.1
Tablet Glibenclamide 5mg Tablet
6.1.2.2: Biguanides 6.1.2.2
Glucophage 500mg Film-Coated  Metformin Hydrochloride 500mg Film-
51000196 6.1.2.2
Tablet Coated Tablet
Glucophage 850mg Film-Coated  Metformin Hydrochloride 850mg Film-
51000197 6.1.2.2
Tablet Coated Tablet
Glucophage XR 500mg Extended- Metformin Hydrochloride 500mg Extended-
51001795 6.1.2.2
Release Tablet Release Tablet
51002477 Metformin 500mg Tablet (CCM) Metformin Hydrochloride 500mg Tablet 6.1.2.2

51002860 Glucophage XR 1000mg Tablet Metformin XR 1000mg Tablet 6.1.2.2


6.1.2.3: Dipeptidyl Peptidase-4 Inhibitors 6.1.2.3
51000194 Glucobay 100mg Tablet Acarbose 100mg Tablet 6.1.2.3
51000195 Glucobay 50mg Tablet Acarbose 50mg Tablet 6.1.2.3
51002234 Onglyza 5mg Film-Coated Tablet Saxagliptin 5mg Film-Coated Tablet 6.1.2.3
51002518 Trajenta 5mg Tablet Linagliptin 5 mg tablet 6.1.2.3

23
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Trajenta Duo 2.5mg/1000mg  Linagliptin 2.5mg & Metformin Hydrochloride 
51002607 6.1.2.3
Tablet 1000mg Tablet
Trajenta Duo 2.5mg/850mg  Linagliptin 2.5mg & Metformin Hydrochloride 
51002606 6.1.2.3
Tablet 850mg Tablet
51002050 Galvus 50mg Tablet Vildagliptin 50mg Tablet 6.1.2.3
Vildagliptin 50mg & Metformin Hydrochloride 
51002060 Galvus Met 50mg/1000mg Tablet 6.1.2.3
1000mg Tablet
Vildagliptin 50mg & Metformin Hydrochloride 
51002430 Galvus Met 50mg/500mg Tablet 6.1.2.3
500mg Tablet
Vildagliptin 50mg & Metformin Hydrochloride 
51002076 Galvus Met 50mg/850mg Tablet 6.1.2.3
850mg Tablet
Janumet 50mg/1000mg Film- Sitagliptin 50mg & Metformin Hydrochloride 
51001882 6.1.2.3
Coated Tablet 1000mg Tablet
Janumet 50mg/500mg Film- Sitagliptin 50mg & Metformin Hydrochloride 
51001880 6.1.2.3
Coated Tablet 500mg Tablet
Janumet 50mg/850mg Film- Sitagliptin 50mg & Metformin Hydrochloride 
51001881 6.1.2.3
Coated Tablet 850mg Tablet
Sitagliptin 50mg & Metformin Hydrochloride 
51002723 Janumet XR 50mg/500mg Tablet 6.1.2.3
500mg Extended-Release Tablet

51001722 Januvia 100mg Tablet Sitagliptin Phosphate 100mg Tablet 6.1.2.3


51001736 Januvia 25mg Tablet Sitagliptin Phosphate 25mg Tablet  6.1.2.3
51001737 Januvia 50mg Tablet  Sitagliptin Phosphate 50mg Tablet  6.1.2.3
Kombiglyze XR 2.5mg/1000mg  Saxagliptin 2.5mg and Metformin HCl 
51002548 6.1.2.3
Tablet 1000mg Extended-Release Tablet
Kombiglyze XR 5mg/1000mg  Saxagliptin 5mg & Metformin Hydrochloride 
51002544 6.1.2.3
Tablet 1000mg Extended-Release Tablet
Janumet XR 50mg/1000mg  Sitagliptin 50mg & Metformin Hydrochloride 
51002724 6.1.2.3
Tablet 1000mg Tablet
6.1.2.4: Glucagon-like peptide-1 Receptor Agonists 6.1.2.4
Victoza 6mg/ml Pre-Filled Pen - 
51200928 Liraglutide 6mg/ml Pre-Filled Pen 6.1.2.4
3ml
Bydureon 2mg Powder For  Exenatide Prolonged-Released 2mg Powder 
51201133 6.1.2.4
Injection (Pre-Filled Pen)  For Injection (Pre-Filled Pen)
51201283 Trulicity 1.5mg/0/5ml Inj Dulaglutide 1.5mg/0.5ml Inj 6.1.2.4
51201366 Saxenda 6mg/ml Injection Liraglutide 6mg/ml Injection Upon request 6.1.2.4
6.1.2.5: Sodium-glucose Co-transporter 2 6.1.2.5
Jardiance 25mg Film-Coated 
51002793 Empagliflozin 25mg Film-Coated Tablet 6.1.2.5
Tablet - 30's
Jardiance 10mg Film-Coated 
51002792 Empagliflozin 10mg Film-Coated Tablet 6.1.2.5
Tablet - 30's
51002649 Forxiga 10mg Tablet Dapagliflozin 10mg Tablet 6.1.2.5
51002867 Invokana 300mg Tablet Canagliflozin Hemihydrate 300mg Tablet 6.1.2.5
Dapagliflozin 10mg & Metformin XR 1000mg 
51002839 Xigduo XR 10mg/1000mg Tablet 6.1.2.5
Tablet
Dapagliflozin 5mg & Metformin 1000mg 
51002840 Xigduo XR 5mg/1000mg Tablet 6.1.2.5
Tablet
Jardiance Duo 12.5/850mg  Empagliflozin 12.5mg and Metformin 850mg 
51003001 6.1.2.5
Tablet Tablet
Jardiance Duo 12.5/1000mg  Empagliflozin 12.5mg and Metformin 
51003002 6.1.2.5
Tablet 1000mg Tablet
51002962 Glyxambi 10/5mg Tab Empagliflozin 10mg/Linagliptin 5mg Tab Upon request 6.1.2.5
51002961 Glyxambi 25/5mg Tab Empagliflozin 25mg/Linagliptin 5mg Tab Upon request 6.1.2.5
6.1.2.6: Other antidiabetics 6.1.2.6
51001567 Actos 30mg Tablet Pioglitazone Hydrochloride 30mg Tablet 6.1.2.6
51000338 NovoNorm 1mg Tablet Repaglinide 1mg Tablet 6.1.2.6
51000339 NovoNorm 2mg Tablet Repaglinide 2mg Tablet 6.1.2.6
51002277 Piolet 30mg Tablet Pioglitazone 30mg Tablet 6.1.2.6
51000583 Avandia 8mg Tablet Rosiglitazone Maleate 8mg Tablet 6.1.2.6
Rosiglitazone Maleate 2mg & Metformin 
51001261 Avandamet 2mg/500mg Tablet 6.1.2.6
Hydrochloride 500mg Tablet
Rosiglitazone Maleate 4mg & Metformin 
51001288 Avandamet 4mg/500mg Tablet 6.1.2.6
Hydrochloride 500mg Tablet
Insulin Glargine 100IU/ml, Lixisenatide 
51201371 Soliqua 100IU/33mcg Pen Inj 6.1.2.6
33mcg/ml
51001566 Actos 15mg Tab Pioglitazone Hydrochloride 15mg Tab Upon request 6.1.2.6

51003081 Qtern 5/10mg Tablet Saxagliptin 5mg, Dapagliflozin 10mg Tablet Upon request 6.1.2.6

24
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


6.1.3: Diabetic ketoacidosis 6.1.3
6.1.4: Treatment of hypoglycaemia 6.1.4
Lyophilised Glucagon Hydrochloride 1mg/ml 
51200343 Glucagen 1mg/ml Injection 6.1.4
Injection
6.1.5: Treatment of diabetic nephropathy and neuropathy 6.1.5
6.1.6: Diagnostic and monitoring agents for diabetes mellitus 6.1.6
6.2: Thyroid and antithyroid drugs 6.2
6.2.1: Thyroid hormones 6.2.1
51001708 Euthyrox 25mcg Tablet Levothyroxine Sodium 25mcg Tablet 6.2.1
51001709 Euthyrox 50mcg Tablet Levothyroxine Sodium 50mcg Tablet 6.2.1
51002226 Thyrosit 100mcg Tablet Levothyroxine Sodium 100mcg Tablet 6.2.1
6.2.2: Antithyroid drugs 6.2.2
51002046 Camazol 5mg Tablet Carbimazole 5mg Tablet 6.2.2
51000398 Propyl 50mg Tablet Propylthiouracil 50mg Tablet 6.2.2
51002020 Timazol 5mg Tablet Methimazole 5mg Tablet 6.2.2
51002634 Regpara 25mg Tablet Cinacalcet Hydrochloride 25mg Tablet 6.2.2
51400776 Lugol's Iodine Solution (Oral) Iodine & Water 6.2.2
6.3: Corticosteroids 6.3
6.3.1: Replacement therapy 6.3.1
6.3.2: Glucocorticoid therapy 6.3.2
51000183 Florinef 0.1mg Tablet Fludrocortisone Acetate 0.1mg Tablet 6.3.2
51001212 Vextasone 4mg Tablet Dexamethasone 4mg Tablet 6.3.2
Betamethasone Dipropionate 25mg & 
51200067 Diprospan Injection Vial - 5ml Betamethasone Disodium Phosphate 10mg  6.3.2
Injection 
51000969 Dhasolone 5mg Tablet  Prednisolone 5mg Tablet 6.3.2
51000209 Hydrocortison 10mg Tablet Hydrocortisone 10mg Tablet 6.3.2
51001104 Medixon 4mg Tablet Methylprednisolone 4mg Tablet 6.3.2
Prednisolone acetate 0.12% w/v & 
Pred Mild Sterile Ophthalmic 
51500063 Benzalkonium Chloride 0.004% w/v Eye  6.3.2
Suspension 0.12% w/v Eye 
Drop
Drops - 5ml
Prednisolone 1mg Tablet 
51002433 Prednisolone BP (Micronised) 1mg Tablet 6.3.2
(Beacons Pharmaceuticals)
51400698 Predsone 3mg/5ml Syrup - 60ml Prednisolone 3mg/5ml Syrup 6.3.2
Hydrocortisone Sodium Succinate 100mg 
51200249 Solu-Cortef 100mg/2ml Injection 6.3.2
Injection
Methylprednisolone Sodium Succinate 1g 
51200251 Solu-Medrol 1000g/16ml Injection 6.3.2
Injection
51200250 Solu-Medrol 500mg Injection Vial Methylprednisolone 500mg Injection Vial 6.3.2
51002394 Dexasone 0.5mg Tablet (SW) Dexamethasone 0.5mg Tablet 6.3.2
51650030 Dexaltin 0.1% w/w Paste - 2g Dexamethasone 0.1% w/w Paste - 2g 6.3.2
51201294 Penatone 8mg/2ml Inj Dexamethasone 8mg/2ml Inj 6.3.2
6.4: Sex hormones 6.4
6.4.1: Female sex hormones 6.4.1
51000152 Duphaston 10mg Tablet Dydrogesterone 10mg Tablet 6.4.1
51002553 Visanne 2mg Tablet Dienogest 2mg Tablet 6.4.1
Cyproterone Acetate 2mg & Ethinylestradiol 
51001552 Estelle-35 Tablet 6.4.1
35mcg Tablet
Femoston 1/10 Film-Coated  Oestradiol 1mg & Dydrogesterone 10mg 
51001344 6.4.1
Tablet  Tablet
Natural Conjugated Estrogens 0.625mg 
51001867 Premarin 0.625mg Tablet 6.4.1
Tablet
Natural Conjugated Oestrogens In Non 
Premarin 0.625mg/g Vaginal 
51650475 Liquefying Cream Base 0.625mg  Vaginal  6.4.1
Cream - 14g
Cream 
Norgestrel 500mcg & Oestradiol Valerate 
51000394 Progyluton Tablet 6.4.1
2mg Tablet
51001100 Progynova 1mg Tablet Estradiol Valearate 1mg Tablet 6.4.1
51000569 Progynova 2mg Tablet Estradiol Valearate 2mg Tablet 6.4.1
51000170 Evista 60mg Tablet Raloxifene Hcl 60mg Tablet 6.4.1
Femoston 2/10 Film-Coated  Oestradiol 2mg & Dydrogesterone 10mg 
51000176 6.4.1
Tablet Tablet
Femoston Conti 1/5 Film-Coated  Oestradiol 1mg & Dydrogesterone 5mg 
51001345 6.4.1
Tablet  Tablet
51000263 Livial 2.5mg Tablet Tibolone 2.5mg Tablet 6.4.1
51650341 PDI Lubricating Jelly - 2.7g Purified water USP & Glycerin USP Jelly 6.4.1
Proluton Depot 250mg/ml  Hydroxyprogesterone Caproate 250mg/ml 
51200217 6.4.1
Injection Ampoule Injection Ampoule

25
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


51000499 Utrogestan 100mg Capsule Progesterone 100mg Capsule 6.4.1
51800036 Veraplex 100mg Tablet Medroxyprogesterone Acetate 100mg Tablet 6.4.1
51650243 Divigel 1mg/g Topical Gel  Oestradiol 1mg/g Topical Gel 6.4.1
Cyproterone acetate 2mg &  Ethinylestradiol 
51000129 Diane-35 Tablet 6.4.1
35mcg Tablet
Kliogest 2mg/1mg Film-coated  Estradiol 2mg & Norethisterone Acetate 1mg 
51000240 Upon request 6.4.1.1
Tablet Film-Coated Tablet
6.4.2: Male sex hormones and antagonists 6.4.2
51001241 Avodart 0.5mg Capsule  Dutasteride 0.5mg Capsule  6.4.2
Nebido 1000mg/4ml 
51200725 Testosteron  250 mg/ml Injection Ampoule 6.4.2
Injection Ampoule
51000397 Propecia 1mg Tablet Finasteride 1mg Tablet 6.4.2
51000399 Proscar 5mg Tablet Finasteride 5mg Tablet 6.4.2
Per ml Testosterone Propionate 30mg & 
Testosterone Phenylpropionate 60mg & 
Sustanon 250 Injection Ampoule - 
51200369 Testosterone Isocaproate 60mg &  6.4.2
1ml
Testosterone Decanoate 100mg Injection 
Ampoule
Dutasteride 0.5mg & Tamsulosin 
51002397 Duodart 0.5mg/0.4mg Capsule 6.4.2
Hydrochloride 0.4mg Capsule
51650517 Androgel 1% Topical Gel 50mg Testosterone 1% Topical Gel 50mg Upon request 6.4.2
51200563 Jenasteron 250mg/ml Injection Testosterone Enanthate 250mg/ml Injection Upon request 6.4.2
6.4.3: Anabolic steroids 6.4.3
6.5: Hypothalamic and pituitary hormones and anti oestrogens 6.5
6.5.1: Hypothalamic and anterior pituitary hormones and anti aestrogens 6.5.1
51000098 Clomid 50mg Tablet Clomiphene Citrate 50mg Tablet 6.5.1
Synacthen 0.25mg/ml Injection 
51200262 Tetracosactrin 0.25mg/ml Injection Ampoule 6.5.1
Ampoule
Pregnyl 5000IU Powder For  Chronic Gonadotrophin Human (HCG) 
51200929 6.5.1
Injection Ampoule 5000IU Powder For Injection Ampoule
6.5.2: Posterior pituitary hormones and antagonists 6.5.2
Minirin (dDAVP) 4mcg/ml 
51200165 Desmopressin Acetate  4mcg/ml Injection 6.5.2
Injection
51200984 Glypressin 1mg/5ml Injection Vial Terlipressin 1mg/5ml Injection Vial 6.5.2
Glypressin 1mg/8.5ml Injection 
51201167 Terlipressin 1mg/8.5ml Injection Vial 6.5.2
Vial
Vasopressin 20U/ml Injection 
51201068 Vasopressin 20U/ml Injection 6.5.2
(Imeks)
Minirin Oral Lyophilisate 
51002982 Desmopressin 120mcg 6.5.2
Sublingual 120mcg
Minirin Oral Lyophilisate 
51002981 Desmopressin 60mcg 6.5.2
Sublingual 60mcg
Minirin 0.1mg/ml Nasal Spray 
51500154 Desmopressin acetate Upon request 6.5.2
2.5ml
6.6: Drugs affecting bone metabolism 6.6
6.6.1: Calcitonin and parathyroid hormone 6.6.1
Miacalcic 100IU/ml Injection 
51200164 Calcitonin 100IU/ml Injection Ampoule 6.6.1
Ampoule
Miacalcic 50IU/ml Injection  Calcitonin (Synthetic Salmon) 50IU Injection 
51200163 6.6.1
Ampoule Ampoule
Forteo 20mcg/80microlitre 
Teriparatide 20mcg/80microlitre Solution For 
51200923 Solution For Injection Pre-Filled  6.6.1
Injection Pre-Filled Pen - 3ml
Pen - 3ml
Calcitonin (Synthetic Salmon) 200 IU Nasal 
51500048 Miacalcic 200IU Nasal Spray Upon request 6.6.1
Spray
6.6.2: Bisphosphonates and other drugs affecting bone metabolism 6.6.2
51001368 Actonel 35mg Tablet Risedronate Natrium 35mg Tablet 6.6.2
51001848 Bonviva 150mg Tablet Ibanoronate 150mg Tablet 6.6.2
Fosamax Plus 70mg/5600IU 
51001873 Alendronic Acid 70mg/5600IU Tablet  6.6.2
Tablet 
51400438 Protaxos 2g Granules  Strontium Ranelate 2g Granules  6.6.2
51201011 Xgeva 120mg/ml Injection Vial Denosumab 120mg/ml Injection Vial 6.6.2
51001526 Zemplar 1mcg Capsule Paricalcitol 1mcg Capsule 6.6.2
Prolia 60mg/ml Solution For  Denosumab 60mg/ml Solution For Injection 
51200998 6.6.2
Injection Pre-Filled Syringe - 1ml Pre-Filled Syringe 
Zolendronic Acid 4mg/5ml 
51201128 Zoledronic Acid 4mg/5ml Injection Vial 6.6.2
Injection Vial

26
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


51200021 Aredia 30mg Injection Vial Pamidronate Disodium 30mg Injection Vial 6.6.2
Aclasta 5mg/100ml Solution for  Zoledronic Acid 5mg/100ml Solution for 
51200816 Upon request 6.6.2
Infusion Vial Infusion Vial
Ibandronic Acid 6mcg/6ml (1mg/ml in SPC) 
51810132 Bondronat 6mcg/6ml Injection Upon request 6.6.2
Injection
51800002 Bonefos 800mg Tablet Disodium Clodronate 800mg Tablet Upon request 6.6.2
6.7: Other endocrine drugs 6.7
6.7.1: Bromocriptine and other dopaminergic drugs 6.7.1
51000148 Dostinex 0.5mg Tablet Cabergoline 0.5mg Tablet 6.7.1
Bromocriptine 2.5mg Tablet 
51000619 Bromocriptine 2.5mg Tablet 6.7.1
(Richter)
6.7.2: Drugs affecting gonadotrophins 6.7.2
Cetrotide 0.25mg Injection 
51200568 Cetrorelix acetate 0.25mg Injection Ampoule 6.7.2
Ampoule
Zoladex Depot 3.6mg Injection 
51200333 Goserelin Acetate 3.6mg Injection Syringe 6.7.2
Syringe
Zoladex LA Depot 10.8mg 
51200334 Goserelin Acetate 10.8mg Injection Syringe 6.7.2
Injection Syringe
Lucrin 3.75mg PDS Depot 
51200736 Leuprolide Acetate 3.75mg Injection Vial 6.7.2
Injection Vial
Lucrin 11.25mg PDS Depot 
51200737 Leuprolide Acetate 11.25mg Injection Vial 6.7.2
Injection Vial
51201126 Eligard 22.5mg Inj Leuprorelin Acetate Upon request 6.7.2
51201365 Pamorelin 11.25mg Injection Triptorelin Embonate 11.25mg Injection Upon request 6.7.2
6.7.3: Metyrapone and trilostane 6.7.3
6.7.4: Somatomedins 6.7.4

27
7. Obstetrics,
Gynaecology
And Urinary
Tract Disorders
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


7: Obstetrics, gynaecology and urinary tract disorders 7
7.1: Drugs used in obstetrics 7.1
7.1.1: Prostaglandins and oxytoxics 7.1.1
Hemabate 250mcg/ml Injection  Carboprost Tromethamine 250mcg/ml 
51200103 7.1.1
Ampoule Injection Ampoule
51700025 Prostin E2 Pessary Dinoprostone Pessary 7.1.1
Syntocinon 10 IU/ml Injection 
51200264 Oxytocin 10 IU/ml Injection Ampoule 7.1.1
Ampoule
Syntometrine Injection Ampoule -  Oxytocin 5 units & Ergometrine Maleate 0.5 
51200265 7.1.1
1ml mg/ml Injection Ampoule
Duratocin 100mcg/ml Injection 
51200659 Carbetocin 100mcg/ml Injection Ampoule 7.1.1
Ampoule
7.1.1.1: Ductus arteriosus 7.1.1.1
7.1.2: Mifepristone 7.1.2
7.1.3: Myometrial relaxants 7.1.3
7.2: Treatment of vaginal and vulval conditions 7.2
Albothyl Vaginal 90mg 
51700000 Policresulen  90mg Suppository 7.2
Suppository 
2QR-Complex (Galactoarabinan 
Polyglucoronic Acid Crosspolymer) & 
51650550 Multi-Gyn Actigel - 50ml 7.2
Xanthan Gum & Glycerin & Caprylyl Glycol 
Gel
Lactobacillus acidophilus 100 million viable 
51700087 Gynoflor Vagina Tablet 7.2
cells & estriol 0.03mg Vaginal Tablet
Lactacyd Feminine Hygiene   Lactic Acid & Lactoserum  Liquid (Bottle) - 
51600057 7.2
Liquid (Bottle) - 250ml 250ml
7.2.1: Preparations for vaginal atrophy 7.2.1
7.2.2: Vaginal and vulval infections 7.2.2
51600313 Candazole 1% Lotion - 10ml Clotrimazole 1% Lotion - 10ml 7.2.2
51650364 Candazole 1% Cream - 15gm Clotrimazole 1% Cream - 15gm 7.2.2
51650265 Candid-B 1% Cream - 15gm Clotrimazole 1% Cream - 15gm 7.2.2
51700003 Canesten 500mg Pessary Clotrimazole 500mg Pessary 7.2.2
51700042 Cotren 500mg Vag Tablet  Clotrimazole 500mg Vag Tablet  7.2.2
51700093 Fluomizin 10mg Vaginal Tablet Dequalinium 10mg Vaginal Tablet 7.2.2
51650016 Canesten 1% Cream - 10g Clotrimazole 1% Cream - 10g 7.2.2
7.3: Contraceptives 7.3
Levonorgestrel 75mcg & Ethinylestradiol 
51000755 Trinordiol Tablet Upon request 7.3
40mcg Tablet
7.3.1: Combined hormonal contraceptives 7.3.1
Desogestrel 150mcg & Ethinyloestradiol 
51002620 Marvelon Tablet 7.3.1
30mcg
Levonorgestrel 100mcg & Ethinylestradiol 
51000264 Loette Tablet 7.3.1
20mcg Tablet
Yaz 0.02mg/3ml Film-Coated  Ethinylestradiol 0.002mg & Drosperinone 
51002139 7.3.1
Tablet 3mg Film-Coated Tablet
Desogestrel 150 mcg & ethinylestradiol 20 
51002619 Mercilon 150mcg/20mcg Tablet 7.3.1
mcg Tablet
Drospirenone 3mg & Ethinyloestradiol 
51001221 Yasmin Tablet  7.3.1
0.03mg Tablet
Norelgestromin 6mg & Ethinyl Estradiol 
51710040 Evra Dermal Patch 7.3.1
600mcg Dermal Patch
Estradiol Valerate 2mg Tablet (11's) & 
51000096 Climen Tablet Estradiol 2mg & Cyproterone Acetate 1mg  Upon request 7.3.1
Tablet (10's)
Ethinylestradiol 20 mcg & Gestodene 75 
51000605 Meliane Coated Tablet Upon request 7.3.1
mcg Tablet
7.3.2: Progestogen only contraceptives 7.3.2
7.3.2.1: Oral progestogen only contraceptives 7.3.2.1
51002500 Cerazette 75mcg Tablet Desogestrel 75mcg Tablet 7.3.2.1
51000332 Norcolut 5mg Tablet Norethisterone 5mg Tablet 7.3.2.1
51000335 Noriday 0.35mg Tablet Norethisterone  0.35mg Tablet 7.3.2.1
51650327 Fastum 2.5% Gel - 30g Ketoprofen 2.5% Gel - 30g 7.3.2.1
51700090 Implanon NXT 68mg Implant  Etonogestrel 68mg Implant 7.3.2.1
7.3.2.2: Parenteral progestogen only contraceptives 7.3.2.2
7.3.2.3: Intra uterine progestogen only device 7.3.2.3
7.3.3: Spermicidal contraceptives 7.3.3
7.3.4: Contraceptive devices 7.3.4
Mirena 20mcg /24Hr Intrauterine 
51700015 Levonorgestrol 52mg Intrauterine System 7.3.4
System
51700082 Mona Lisa CU 375 IUD Copper surface area IUD 7.3.4

28
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


7.3.5: Emergency contraception 7.3.5
51000379 Postinor-2 750mcg Tablet Levonorgestrel 750mcg Tablet 7.3.5
7.4: Drugs for genito urinary disorders 7.4
7.4.1: Drugs for urinary retention 7.4.1
51002110 Harnal Ocas 400mcg Tablet Tamsulosin HCl 400mcg Tablet 7.4.1
51000785 Hytrin 2mg Tablet Terazosin HCl 2mg Tablet 7.4.1
51000787 Xatral XL 10mg Tablet  Alfuzosin 10mg Tablet  7.4.1
51002743 Cialis 5mg Film-Coated Tablet  Tadalafil 5mg Film-Coated Tablet 7.4.1
7.4.2: Drugs for urinary frequency, enuresis and incontinence 7.4.2
51002776 Betmiga 50mg PR Tablet Mirabegron 50mg PR Tablet 7.4.2
51000124 Detrusitol 2mg Tablet Tolteradine tartarate 2mg Tablet 7.4.2
51001728 Mictonorm 15mg Tablet Propiverine 15mg Tablet 7.4.2
51002407 Toviaz 4mg Tablet Fesoterodine Fumarate 4mg Tablet 7.4.2
51000496 Urispas 200mg Tablet  Flavoxate HCI  200mg Tablet  7.4.2
51002147 Vesicare 5mg Tablet Solifenacin Succinate 5mg Tablet 7.4.2
7.4.3: Drugs used in urological pain 7.4.3
51400493 Potcit Mixture liquid - 120ml Potassium Citrate liquid - 120ml 7.4.3
Cathejell With Lidocaine Gel  Lidocaine HCl 2% & Chlorhexidine diHCL 
51650320 7.4.3
12.5g 0.05% Gel
51000497 Urocit-K 10mEq Tablet Potassium Citrate 10mEq Tablet Upon request 7.4.3
7.4.4: Bladder instillations and urological surgery 7.4.4
Glycine 1.5% Irrigation Solution - 
51600260 Glycine 1.5% Irrigating Solution 7.4.4
3L
Sodium Citrate 100g & Syrup Simplex 
51870022 Sodium Citrate 2g/10ml Mixture & Chloroform Water 300ml & Sterile Water  7.4.4
10ml 
7.4.5: Drugs for erectile dysfunction 7.4.5
Paveron N 50mg Injection Vial - 
51200946 Papaverine HCl 50mg Injection Vial 7.4.5
2ml
51000761 Viagra 100mg Tablet Sildenafil Citrate 100mg Tablet 7.4.5
51000508 Viagra 50mg Tablet Sildenafil 50mg Tablet 7.4.5
51001194 Cialis 20mg Tablet Tadalafil 20mg Tablet 7.4.5
51001218 Levitra 20mg Tablet Vardenafil HCl 20mg Tablet 7.4.5
51002877 Sildegra 100mg Tablet Sildenafil Citrate 100mg Tablet 7.4.5
51200040 Caverject 20mcg Injection Vial Alprostadil 20mcg Injection Vial Upon request 7.4.5
7.5: Other Drugs Acting on Genito-urinary System 7.5
Pinene 31mg & Camphene 15mg & 
Fenchone 4mg & Borneol 10mg & Anethol 
51001234 Rowatinex Capsule 7.5
4mg  & Cineol 3mg & Olive Oil 33mg 
Capsule
Sodium Bicarbonate 1.76g & Anhydrous 
Citric Acid 0.72g & Anhydrous Sodium 
51400642 Ural Effervescent Granules - 4g 7.5
Citrate 0.63g & Tartaric Acid 0.89g 
Effervescent Granules - 4g
51003027 Urief 4mg Tablet Silodosin 4mg Tablet 7.5
51002254 Priligy 30mg Tab Dapoxetine HCl Upon request 7.5
Immunobladder Intravesical 
Immunobladder Intravesical 80mg  BCG 
51201110 80mg  BCG Injection Vial (Japan  Upon request 7.5
Injection Vial *UR
BCG Laboratory) 
7.6: Other drugs used in Gynaecology 7.6
51002853 Esmya 5mg Tablet Ulipristal Acetate 5mg Tablet 7.6
51700107 Endometrine 100mg Vag Tab Progesterone 7.6
51201062 Hucog 5000IU Injection Chorionic Gonadotrophin 7.6
51201109 Hucog 75IU Injection Menotrophin 7.6

29
8. Malignant
Disease and
Immunosuppression
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


8: Malignant disease and immunosuppresion 8
8.1: Cytotoxic drugs 8.1
51800055 Uromitexan 400mg Tablet -10's Mesna 400mg Tablet Upon request 8.1

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

51810197 Halaven 0.5mg/ml (2ml) Inj - UR Eribulin Mesilate Upon request 8.1.1

8.1.2: Anthracyclines and other cytotoxic antibiotics 8.1.2


Anthracin 50mg/25ml Injection 
51810172 Epirubicin 50mg/25ml Injection Vial 8.1.2
Vial 
51810173 Anthracin 10mg/5ml Injection Vial Epirubicin 10mg/5ml Injection Vial 8.1.2
51810060 Adrim 10mg Injection Vial Doxorubicin 10mg Injection Vial 8.1.2
51810061 Adrim 50mg Injection Vial Doxorubicin 50mg Injection Vial 8.1.2
51810169 E.P Mycin 50mg/5ml Injection  Epirubicin 50mg/5ml Injection  8.1.2
51810168 E.P. Mycin 10mg/5ml Injection  Epirubicin 10mg/5ml Injection 8.1.2
Epirubicin HCl 50mg/25ml 
51810166 Epirubicin HCl 50mg/25ml Injection Vial 8.1.2
Injection Vial (DBL)
51870014 Mitomycin 0.04% Ear Drop Mitomycin 0.04% Ear Drop 8.1.2
Caelyx 2mg/ml Injection Vial -  Pegylated Liposomal Doxorubicin HCl 
51810003 8.1.2
10ml  20mg/10ml Injection Vial
DBL Bleomycin Sulfate 15000IU  Bleomycin sulfate 15000IU Powder For 
51810001 8.1.2
Powder For Injection  Injection
51810242 Mitonco 10mg Inj Mitomycin C 10mg Ing 8.1.2
Cosmegen 500mcg/ml Injection -
51810083 Dactinomycin 500 mcg/ml Injection Upon request 8.1.2
1ml
8.1.3: Antimetabolites 8.1.3
51800096 Empurine 50mg Tablet  Mercaptopurine 50mg Tablet 8.1.3
51810176 Alimta 100mg Injection Vial Pemetrexed Disodium 100mg Injection Vial 8.1.3
51810117 Alimta 500mg Injection Vial Pemetrexed  500mg Injection Vial 8.1.3
Cytarabine 1g/10ml Injection 
51810174 Cytarabine 1g/10ml Injection 8.1.3
(DBL)
51810008 Cytosar Pdr 100mg/5ml Injection Cytarabine 100mg/5ml Injection 8.1.3
51810194 Gemita 1.4g Injection Gemcitabine HCl 1.4g Injection 8.1.3
51810153 Gemita 1g/50ml Injection Gemcitabine HCl 1g/50ml Injection 8.1.3
51810154 Gemita 200mg/15ml Injection Gemcitabine HCl 200mg/15ml Injection 8.1.3
51810023 Gemzar 200mg/5ml Injection Gemcitabine HCl 200mg/5ml Injection 8.1.3
Methotrexate 50mg/2ml Injection 
51810035 Methotrexate 50mg/2ml Injection 8.1.3
(DBL)
51800021 Xeloda 500mg Blister Tablet Capecitabine 500mg Blister Tablet 8.1.3
51810085 Zexate 50mg/2ml Injection Vial Methotrexate 50mg/2ml Injection Vial 8.1.3
DBL Fluorouracil 500mg/10ml 
51810134 Fluorouracil 500mg/10ml Injection Vial 8.1.3
Injection Vial
51800147 Methotrexate 2.5mg Tablet Methotrexate 2.5mg Tablet 8.1.3
51800139 Intacape 500mg Tablet Capecitabine 500mg Tablet 8.1.3
Gemzar 1g/25ml Powder For  Gemcitabine Hydrochloric Acid 1g/25ml 
51810024 Upon request 8.1.3
Injection vial -25 mL Powder For Injection vial 
51810253 Pemenon 100mg Inj Pemetrexed 100mg Inj Upon request 8.1.3
51810254 Pemenon 500mg Inj Pemetrexed 500mg Inj Upon request 8.1.3
51810271 Podoxred 100mg Injection Pemetrexed Disodium 100mg Injection Upon request 8.1.3
51810270 Podoxred 500mg Injection Pemetrexed Disodium 500mg Injection Upon request 8.1.3
8.1.4: Vinca alkaloids and etoposide 8.1.4
Fytosid 20mg/ml Injection Vial - 
51810084 Etoposide 20mg/ml Injection Vial 8.1.4
5ml
51810039 Navelbine 10mg/ml Injection Vial Vinorelbine 10mg/ml Injection Vial 8.1.4
51800056 Navelbine 30mg Capsule Vinorelbine 30mg Capsule 8.1.4
51800057 Navelbine 20mg Capsule Vinorelbine 20mg Capsule 8.1.4

30
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Vinblastine SO4 10mg/10ml  Vinblastine Sulphate 10mg/10ml Injection 
51810054 8.1.4
Injection Vial Vial
Vincristine Sulphate 2mg/2ml 
51810056 Vincristin Sulphate 2mg/2ml Injection Vial 8.1.4
Injection Vial
51810120 Vinelbine 10mg Injection Vial Vinorelbine 10mg Injection Vial 8.1.4
51810121 Vinelbine 50mg Injection Vial Vinorelbine 50mg Injection Vial 8.1.4
51800077 Hycamtin 0.25mg Tab Topotecan Upon request 8.1.4
51800076 Hycamtin 1mg Tab Topotecan Upon request 8.1.4
51835000 Miltex Lotion 10ml Miltefosine Upon request 8.1.4
8.1.5: Other antineoplastic drugs 8.1.5
51810216 Jevtana 60mg Injection Vial Cabazitaxel 60mg Injection Vial 8.1.5
51800098 Zytiga 250mg Tablet Abiraterone Acetate 250mg Tablet 8.1.5
51810115 Avastin 100mg Injection Vial Bevacizumab 100mg Injection Vial 8.1.5
51810116 Avastin 400mg Injection Vial Bevacizumab 400mg Injection Vial 8.1.5
51810152 Velcade 3.5g Injection Vial Bortezomib 3.5g Injection Vial 8.1.5
Kemocarb 150mg/15ml Injection 
51810111 Carboplatin 150mg/15ml Injection Vial 8.1.5
Vial
Cisplatin 50mg/50ml Injection 
51810178 Cisplatin 50mg/50ml Injection Vial 8.1.5
Vial (Intas) 
Daxotel 120mg/12ml Injection 
51810203 Docetaxel 120mg/12ml Injection Vial 8.1.5
Vial
51810126 Daxotel 20mg/0.5ml Injection  Docetaxel 20mg/0.5ml Injection 8.1.5
51810127 Daxotel 80mg/2ml Injection Vial Docetaxel 80mg/2ml Injection Vial 8.1.5
51810069 DTI 100mg Injection Vial Dacarbazine 100mg Injection Vial 8.1.5
51810191 DTI 200mg Injection Vial Dacarbazine 200mg Injection Vial 8.1.5
51810016 Eloxatin  50mg Injection Vial Oxaliplatin 50mg Injection Vial 8.1.5
51810151 Eloxatin 100mg Injection Vial Oxaliplatin 100mg Injection Vial 8.1.5
Hydroxyurea 500mg Capsule 
51800051 Hydroxyurea 500mg Capsule 8.1.5
(DHNP)
51810074 Intaxel 100mg/17ml Injection Vial Paclitaxel 100mg/17ml Injection Vial 8.1.5
51810075 Intaxel 30mg/5ml Injection Vial Paclitaxel  30mg/5ml Injection Vial 8.1.5
51800045 Iressa 250mg Tablet Gefitinib 250mg Tablet 8.1.5
Irinotecan 100mg/5ml Injection 
51810181 Irinotecan 100mg/5ml Injection Vial 8.1.5
Vial (Intas)
Irinotecan 40mg/2ml Injection 
51810182 Irinotecan 40mg/2ml Injection Vial  8.1.5
Vial (Intas)
51810142 Irinotel 100mg/5ml Injection Vial Irinotecan 100mg/5ml Injection Vial 8.1.5
51810141 Irinotel 40mg/2ml Injection Vial Irinotecan 40mg/2ml Injection Vial  8.1.5
Kemocarb 450mg/45ml Injection 
51810110 Carboplatin 450mg/45ml Injection Vial 8.1.5
Vial
51810135 Oxitan 100mg/20ml Injection Vial Oxaliplatin 100mg/20ml Injection Vial 8.1.5

51810136 Oxitan 50mg/10ml Injection Vial Oxaliplatin 50mg/10ml Injection Vial 8.1.5


Taxotere 20mg/0.5ml Injection 
51810050 Docetaxel 20mg/0.5ml Injection Vial 8.1.5
Vial
Herceptin MD 440mg/50ml 
51810114 Trastuzumab 440mg/50ml Injection Vial 8.1.5
Injection Vial
51800089 Ufur Capsule Tegafur 100mg & Uracil 224mg Capsule 8.1.5
Erbitux 5mg/ml Solution Of 
51810158 Cetuximab 5mg/ml Solution Of Infusion 8.1.5
Infusion - 20ml
Herceptin 600mg/5ml SC 
51810237 Trastuzumab 600mg/5ml SC Injection 8.1.5
Injection
51810208 Taxotere 80mg/4ml Injection Vial Docetaxel 80mg/4ml Injection Vial 8.1.5

51810275 Herzuma 440mg Injection Trastuzumab 440mg Injection 8.1.5


51810273 Irinotecan 100mg/5ml Injection Irinotecan 100mg/5ml Injection 8.1.5
51810145 Intaxel 260mg Injection Paclitaxel 260mg Injection 8.1.5
51800082 Afinitor 10mg Tablet Everolimus 10mg Tablet Upon request 8.1.5
51810234 Zaltrap 100mg/4ml Injection Aflibercept 100mg/4ml Injection Upon request 8.1.5
51800110 Xalkori 250mg Capsule  Crizotinib 250mg Capsule Upon request 8.1.5
51800104 Giotrif 40mg Tablet Afatinib Dimaleate 40mg Tablet Upon request 8.1.5
51800063 Glivec 100mg Tablet Imatinib Mesilate 100mg Tablet Upon request 8.1.5
51800060 Glivec 400mg Tablet Imatinib Mesilate 400mg Tablet Upon request 8.1.5
51810219 Kadcyla 100mg Injection Trastuzumab Emtansine 100mg Injection Upon request 8.1.5
Nexavar 200mg Film-coated  Sorafenib 200mg Tosylate Film-Coated 
51800067 Upon request 8.1.5
Tablet Tablet
Perjeta 420mg Injection Vial - 
51810215 Pertuzumab 420mg Injection Vial  Upon request 8.1.5
14ml

31
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Stivarga 40mg Film-Coated 
51800100 Regorafenib 40mg Film-Coated Tablet Upon request 8.1.5
Tablet

51800061 Sutent 12.5mg Capsule Sunitinib Maleate 12.5mg Capsule Upon request 8.1.5

51800080 Sutent 50mg Capsule Sunitinib Maleate 50mg Capsule Upon request 8.1.5

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

51800019 Temodal 100mg Capsule Temozolomide 100mg Capsule Upon request 8.1.5

51800078 Temodal 20mg Capsule Temozolomide 20mg Capsule Upon request 8.1.5

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

51800101 Sodium Iodide (131) 15MCI Cap Sodium Iodide Upon request 8.1.5

Nimotuzumab 50mg/10ml Inj 
51810209 Nimotuzumab Upon request 8.1.5
(UR)

51810167 Yondelis 1mg Inj Trabectedin Upon request 8.1.5

51800088 Votrient 200mg Tablet Pazopanib Hydrochloride 200mg Tablet Upon request 8.1.5

51810233 Keytruda 100mg Injection Pembrolizumab 100mg Injection Upon request 8.1.5

51800118 Revlimid 25mg Capsule Lenalidomide 25mg Capsule Upon request 8.1.5

51810231 Opdivo 100mg/10ml Injection Nivolumad 100mg/10ml Injection Upon request 8.1.5

51810214 Abraxane 5mg/ml Injection - 20ml Paclitaxel 5mg/ml Injection - 20ml Upon request 8.1.5

51800119 Zykadia 150mg Capsule Ceritinib 150mg Capsule Upon request 8.1.5

51800112 Inlyta 5mg Tablet Axitinib 5mg Tablet Upon request 8.1.5

51800122 Lenvima 10mg Capsule Lenvatinib 10mg Capsule Upon request 8.1.5

51800131 Ibrance 75mg Cap Palbociclib 75mg Capsule Upon request 8.1.5

51810248 Cyramza 100mg/10ml Injection Ramucirumab 100mg/10ml Injection Upon request 8.1.5

51810249 Tecentriq 1200mg Injection Atezolizumab 1200mg Injection Upon request 8.1.5

51800123 Ibrance 100mg Cap Palbociclib 100mg Capsule Upon request 8.1.5

51800113 Ibrance 125mg Cap Palbociclib 125mg Capsule Upon request 8.1.5

51800099 TS-one 20mg Cap Tegafur/Giemracil/oteracil) Upon request 8.1.5

51800132 Kryxana 200mg Tab Ribociclib 200mg Tab Upon request 8.1.5

51800134 Alecensa 150mg Cap Alectinib 150mg Cap Upon request 8.1.5

51800150 Abiratred 250mg Tablet Abiraterone Acetate 250mg Tablet Upon request 8.1.5


51810265 Zuhera 440mg Injection Trastuzumab 440mg Injection Upon request 8.1.5
51810274 Adcetris 50mg Injection Brentuximab Vedotin 50mg Injection Upon request 8.1.5

32
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


8.1.6: Drugs for Cytotoxic-induced side-effects 8.1.6
Uromitexan 400mg/4ml Solution 
51810052 Mesna 400mg/4ml Solution For Injection 8.1.6
For Injection
Leucovorin Calcium (Calcium Folinate) 
51800029 Rescuvolin 15mg Tablet 8.1.6
15mg Tablet 
Calcium Folinate 300mg/30ml 
51810162 Calcium Folinate 300mg/30ml Injection 8.1.6
Injection (DBL)
Leucovorin Sodium 10mg & Sodium 
Leucovorin Calcium 50mg/5ml  Chloride USP 0.8% w/v & Methylparaben 
51810091 8.1.6
Injection Vial USP 0.08% w/v & prpylparaben 0.02% & Water 
For Injection Vial
8.2: Drugs affecting the immune response
8.2
8.2.1: Antiproliferative immunosuppresants
8.2.1

51000078 Cellcept 250mg Capsule Mycophenolate Mofetil 250mg Capsule 8.2.1

51000807 Cellcept 500mg Tablet Mycophenolate Mofetil 500mg Tablet 8.2.1

51000219 Imuran 50mg Tab Azathioprine 50mg Tab 8.2.1

51001310 Myfortic 360mg Tablet Mycophenolate Sodium 360mg Tablet Upon request 8.2.1

51001713 Myfortic 180mg Tab (120's)  Mycophenolic Acid Upon request 8.2.1

8.2.2: Corticosteroids and other immunosuppresants


8.2.2

Sandimmun Neoral 25mg 
51000438 Ciclosporin 25mg Capsule 8.2.2
Capsule

51201254 Benlysta 120mg Injection Belimumab 120mg Injection Upon request 8.2.2


8.2.3: Rituximab and alemtuzumab 8.2.3
Mabthera 10mg/ml Injection Vial -  
51810103 Rituximab 10mg/ml Injection Vial 8.2.3
50ml 

51810180 Mabthera 100mg Injection Vial Rituximab 100mg Injection Vial 8.2.3


8.2.4: Other immunomodulating drugs 8.2.4
51810062 Proleukin 18MIU Injection Vial Interleukin 2 18MIU Injection 8.2.4

51810078 Intron A 30 Miu Injection Pen Interferon α-2b 30 Miu Injection Pen Upon request 8.2.4

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 

51201039 Xolair 150mg Inj Omalizumab 150mg Inj Upon request 8.2.4

51201329 Entyvio 300mg Inj Vedolizumab 300mg Inj Upon request 8.2.4


51003044 Olumiant 2mg Tablet Baricitinib 2mg Tablet Upon request 8.2.4
51003045 Olumiant 4mg Tablet Baricitinib 4mg Tablet Upon request 8.2.4
8.3: Sex hormones and hormone antagonists in malignant disease 8.3
8.3.1: Oestrogens 8.3.1
8.3.2: Progestogens 8.3.2
51800073 Apo-megestrol 160mg Tablet Megesterol Acetate 160mg Tablet 8.3.2
Depo-provera 150mg/3ml  Medroxyprogesterone acetate 150mg/3ml 
51200061 8.3.2
Injection Vial Injection Vial
51002675 Provera 5mg Tablet Medroxyprogesterone 5mg Tablet 8.3.2

33
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


8.3.3: Androgens 8.3.3
8.3.4: Hormone anatgonists
8.3.4
Sandostatin LAR 30mg/6ml 
51200711 Octreotide Acetate 30mg/6ml Injection Upon request 8.3.4
Injection
51200839 Sandostatin LAR 20mg Injection Octreotide Acetate 20mg Injection Upon request 8.3.4

51800016 Nolvadex-D 20mg Tablet Tamoxifen Citrate 20mg Tablet Upon request 8.3.4


51800109 Giotrif 30mg Tab Afatinib Upon request 8.3.4
8.3.4.1: Breast cancer 8.3.4.1
51800084 Anast-1 1mg Tablet Anastrozole 1mg Tablet 8.3.4.1
51800001 Arimidex 1mg Tablet Anastrozole 1mg Tablet 8.3.4.1
51800028 Femara 2.5mg Tablet Letrozole 2.5mg Tablet 8.3.4.1
Faslodex 250mg/5ml Injection  Fulvestrant 250mg/5ml Injection Pre-Filled 
51810143 8.3.4.1
Pre-Filled Syringe Syringe
51002644 Letrotas 2.5mg Tablet Letrozole 2.5mg Tablet 8.3.4.1
51800047 Aromasin 25 mg Tablet - 30's  Exemestane 25 mg Tablet 8.3.4.1
8.3.4.2: Prostate cancer and gonadorelin analogues 8.3.4.2

51800032 Casodex 50mg Tablet Bicalutamide 50mg Tablet 8.3.4.2

Suprefact 1mg/ml 5.5ml Injection 
51810105 Buserelin 1mg/ml 5.5ml Injection Vial 8.3.4.2
Vial

51800137 Bicalox 50mg Tab Bicalutamide 50mg Tab 8.3.4.2


8.3.4.3: Somatostatin analogues
8.3.4.3

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)

Item Code Brand Name Content Remarks Classification


9: Nutrition and blood
9
9.1: Anaemias and some other blood disorders
9.1
9.1.1: Iron deficiency anaemias
9.1.1
9.1.1.1: Oral iron
9.1.1.1

51001972 Fefur 100mg Tablet Ferrous Fumarate 100mg Tablet 9.1.1.1

51000177 Ferrocyte 50mg Tablet Sodium Ferrous Citrate 50mg Tablet 9.1.1.1

51400040 Maltofer 50mg/5ml Syrup Fe (III) hydroxide polymaltose complex 9.1.1.1

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

51201253 Sucrofer 100mg/5ml Inj Iron Sucrose 100mg/5ml Inj 9.1.1.2

51201326 Monofer 100mg/ml Inj (10ml) Fe (III) isomaltoside 1000 9.1.1.2

51201318 Ranofer 100mg/5ml Injection Iron Sucrose 9.1.1.2

9.1.2: Drugs used in megaloblastic anaemias


9.1.2

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

51201354 Erysaa 2000IU/0.5ml Injection Epoetin alpha 9.1.3

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)

Item Code Brand Name Content Remarks Classification


Neulastim 6mg/0.6ml Pre-Filled 
51810147 Pegfilgrastim 6mg/0.6ml Pre-Filled Syringe 9.1.6
Syringe
9.2: Fluids and electrolytes
9.2

51850047 Potassium Chloride Crystal Potassium Chloride Crystal 9.2


9.2.1: Oral preparations for fluid and electrolyte imbalance
9.2.1
9.2.1.1: Oral potassium
9.2.1.1

51400496 Kalimate 5gm Powder Sachets Calcium Polystyrene Sulfonate Powder 9.2.1.1


Potassium Chloride 20mEq/15ml 
51400715 Solution (Pharmascience) -  Potassium Chloride 20mEq/15ml  Solution  9.2.1.1
500ml
9.2.1.2: Oral sodium and water
9.2.1.2

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

51840102 Dextrose 10% - 500ml (BB) Dextrose 10% - 500ml 9.2.2

Dextrose 10% NaCl 0.18%  Dextrose 10% & Sodium Chloride 0.18% 
51840103 9.2.2
solution - 500ml Solution

51840100 Dextrose 5% - 500ml (BB) Dextrose 5% Solution 9.2.2

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 

51840011 Dextrose 50% (BB) - 500ml Dextrose 50% Solution 9.2.2

51840089 Gelafusine Solution - 500ml Succinylated Gelatin 4% Solution 9.2.2


Sodium Bicarbonate 8.4% 
51200836 Sodium Bicarbonate 8.4% Injection Vial 9.2.2
Injection Vial - 50ml
Sodium Bicarbonate 8.4% 
51200776 Injection Vial - 10ML  Sodium Bicarbonate 8.4% Injection Vial 9.2.2
(Pharmaniaga)
Sodium Chloride 0.45% Solution - 
51840099 Sodium Chloride 0.45% Solution 9.2.2
500ml (BB)
Sodium Chloride 0.9% Solution - 
51840027 Sodium Chloride 0.9% Solution 9.2.2
1 L (BB)
Sodium Chloride 0.9% Solution - 
51200630 Sodium Chloride 0.9% Solution 9.2.2
100ml (BB)
Sodium Chloride 0.9% Solution - 
51840082 Sodium Chloride 0.9% Solution 9.2.2
250ml (BB)
Sodium Chloride 0.9% Soft Bag 
51840156 Sodium Chloride 0.9% Soft Bag  9.2.2
(Baxter) - 250ml 
Sodium Chloride 0.9% Soft Bag 
51840157 Sodium Chloride  0.9% Soft Bag  9.2.2
(Baxter) - 100ml
Sodium Chloride 0.9% Solution - 
51840029 Sodium Chloride 0.9% Solution 9.2.2
1L (Baxter)
Sodium Chloride 0.9% Solution - 
51840032 Sodium Chloride 0.9% Solution 9.2.2
500ml (Baxter)
Sodium Chloride 0.9% Solution - 
51840031 Sodium Chloride 0.9% Solution 9.2.2
500ml (BB)
Sodium Chloride 0.9% Irrigation - 
51600097 Sodium Chloride  0.9% Irrigation 9.2.2
500ml (BB)
Sodium Chloride 0.9% Injection 
51200246 Sodium Chloride 0.9% Injection Ampoule  9.2.2
Ampoule - 10ml
Sodium Chloride 0.9% Irrigation - 
51600094 Sodium Chloride 0.9% Irrigation 9.2.2
1L (BB)

36
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification

51870038 Sodium Chloride 0.9% Solution Sodium Chloride 0.9% Solution 9.2.2

Sodium Chloride 3% Solution - 
51840033 Sodium Chloride 3% Solution 9.2.2
500ml (BB)

51850027 Sodium Chloride B.P. Powder  Sodium Chloride Powder 9.2.2

51850029 Sodium Citrate B.P. Powder Sodium Citrate Powder 9.2.2

Tetraspan 6% Solution - 500ml 
51840129 Hydroxyethyl Starch 60g Per L Solution 9.2.2
(BB)

51200282 Water For Injection - 10ml Water For Injection 9.2.2

51840106 Water For Injection - 500ml (BB) Water For Injection 9.2.2

51600100 Water For Irrigation - 1000ml Sterile Water For Irrigation  9.2.2

51600101 Water For Irrigation - 3L (BB) Sterile Water For Irrigation  9.2.2

51600103 Water For Irrigation - 500ML (BB) Sterile Water For Irrigation  9.2.2


Sodium Chloride 0.9% Irrigation 
51600259 Sodium Chloride 0.9% Irrigation USP 9.2.2
USP (B. Braun)  - 3L
Dextrose 4.3% NaCl 0.18% - 
51840074 Dextrose 4.3% NaCl 0.18% 9.2.2
500ml (BB)

51840173 Infusol Ringer's Solution 500ml Infusol Ringer's Solution 500ml 9.2.2


9.2.2.1: Electrolyte and water
9.2.2.1

51840098 Hartmans Solution - 500ml (BB) Sodium Lactate Solution 9.2.2.1

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

51000455 Slow K 600mg Tablet Potassium Chloride 600mg Tablet 9.2.2.1

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

51200441 Zenalb 20% Injection Vial - 50ml Human Albumin 20% Injection Vial 9.2.2.2

51840078 Voluven 6% Infusion Bag - 500ml Hydroxyethyl starch 6% Infusion Bag 9.2.2.2

51200624 Grifols 20% Injection Vial - 50ml Human Albumin 20% Injection Vial  9.2.2.2


9.3: Intravenous nutrition
9.3
Ca2+ 3.2mmol & Zn2+ 24 mmol & 
Phosphate 12 mmol & Anhydrous Glucose 
51840083 Nutriflex Lipid Plus 1.25L 9.3
120gm & Soya Oil 20gm & Medium Chain 
Triglycerides 20gm

37
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Thiamine Momonitrate & Riboflavine Sod 
Phosphate & Nicotinamide & Pyridoxine Hcl 
& Sodium Pantothehate & Sodium 
51200252 Soluvit N 10ml Injection 9.3
Ascorbate & Biotin & Folic Acid & 
Cyanocobalamin & Glycerine & Sod Edetate 
& Methylparahydroxybenzoate Injection
Amino acids 40g & Total Nitrogen 5.7g & 
51840107 NuTRIflex Lipid Peri 1.25L Carbohydrates 80g & Lipids 50g &  9.3
Electrolytes Bag Per 1.25L
Lipofundin MCT/LCT 20% 250ml 
51200380 Soybean Oil & Medium Chain Triglycerides 9.3
Inj (BBraun)

51840136 Aminosteril N-Hepa 8% Solution Amino Acids 9.3

51840134 Sterofundin ISO 500ml Sterofundin ISO 500ml Upon request 9.3

9.4: Oral nutrition


9.4

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

51850101 Simplex Syrup 3.6L (Unimed) Simplex Syrup 9.4

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

51000067 Caltrate 600mg Tablet Calcium Carbonate 600mg Tablet 9.5.1.1

51001658 DCAL Tablet  Calcium 500mg + Vit D3200IU Tablet 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 

51650065 Magnesium Sulphate Paste Magnesium Sulphate Paste 9.5.1.3


9.5.2: Phosphorus
9.5.2
9.5.2.1: Phosphate supplements
9.5.2.1

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)

Item Code Brand Name Content Remarks Classification

51001877 Fosrenol 500mg Tablet Lanthanum Carbonate 500mg Tablet 9.5.2.2

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)

51001793 N-Cobal 0.5mg Tablet Mecobalamine 0.5mg Tablet 9.6.2

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

51002074 Pyridoxine 10mg Tablet Pyridoxine Hydrochloride 10mg Tablet 9.6.2

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

51000066 Caltrate 600 + D Calcium 600mg & Vitamin D3 200IU Tablet 9.6.4

Alfacalcidol (1-alpha-hydroxy vitamin D3) 
51000345 One-Alpha 0.25mcg Capsule 9.6.4
0.25mcg Capsule

51000429 Rocaltrol 0.25mg Capsule Calcitriol 0.25mg Capsule 9.6.4

One-Alpha 2mcg/ml Oral Drops - 
51400076 Alfacacidol  2mcg/ml Oral Drops  9.6.4
20ml

51002655 Bio D3 800IU Capsule Vitamin D3 (Cholecalciferol) 800IU Capsule 9.6.4

51002996 Alfa-D 1mcg Cap Alfacalcidol 1mcg Cap 9.6.4

51400783 D Cure 25000IU Oral Solution Vitamin D 25000IU Oral Solution 9.6.4

39
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification

51200586 One-Alpha 2mg/ml Inj (0.5ml) Alfacalcidol (1-alpha-hydroxy vitamin D3) Upon request 9.6.4

51200652 Zemplar 5mcg Inj Paricalcitol 5mcg Inj Upon request 9.6.4

9.6.5: Vitamin E 9.6.5

51001825 Natopherol 400IU Vegicap  Vitamin E 400IU Vegicap  9.6.5

Natopherol Bio Enhanced 250IU 
51000959 Vitamin E 250IU Capsule 9.6.5
Capsule
9.6.6: Vitamin K
9.6.6

51201246 Kisan 1mg/1ml Injection (1ml) Phytomenadione 1mg/ml Inj 9.6.6

51201285 Kisan 10mg/1ml Injection (1ml) Phytomenadione 1mg/ml Inj 9.6.6


9.6.7: Multivitamin preparations
9.6.7

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)

Item Code Brand Name Content Remarks Classification


Vitamin B1 15mg & Vitamin B2 15mg & 
Vitamin B6 10mg & Vitamin B12 12mcg & 
51000666 Surbex Zinc Tablet Vitamin C 750mg & Vitamin E 30IU & Folic  9.6.7
Acid 0.4mg & Niacinamide 100mg & 
Pantothenic Acid 20mg & Zn 15mg Tablet
Vitamin A & Vitamin D & Vitamin C & Vitamin 
 Multivitamin Syrup With Cod 
51400389 B1 & Vitamin B2 &Vitamin B6 & Vitamin E &  9.6.7
Liver Oil (Seven Seas) - 100ml
Nicotinamide & Cod Liver Oil Syrup

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

31100012 Urell Capsule (Shine) Cranberry Extract 200mg Capsule 9.7


9.8: Metabolic disorders
9.8
9.8.1: Drugs used in metabolic disorders
9.8.1
9.8.2: Acute porphyrias
9.8.2
9.9: Other Nutritional Products
9.9

51000235 Ketosteril Tablet Essential Ketoacids & Amino Acids Tablet 9.9

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

51840144 Smof Kabiven Peripheral 1.5L Parenteral Nutrition  9.9

51002904 Profortil Cap Profortil 9.9

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)

Item Code Brand Name Content Remarks Classification


10: Musculoskeletal and joint diseases
10
10.1: Drugs used in rheumatic diseases and gout
10.1
10.1.1: Non steroid anti inflammatory drugs
10.1.1

Cataflam Drop 1.5% 
51400015 Diclofenac Potassium 1.5% 0.5mg/Drops 10.1.1
0.5mg/Drops - 15ml 

51000077 Celebrex 200mg Capsule Celecoxib 200mg Capsule 10.1.1

51001954 Celebrex 400mg Capsule  Celecoxib 400mg Capsule 10.1.1

51700031 Voltaren 12.5mg Suppository Diclofenac Sodium 12.5mg Suppository 10.1.1

51700032 Voltaren 25mg Suppository Diclofenac Sodium 25mg Suppository 10.1.1

51700033 Voltaren 50mg Suppository Diclofenac Sodium 50mg Suppository 10.1.1

51710022 Acustop 40mg Cataplasma Patch Flurbirofen 40mg Patch 10.1.1


51001177 Arcoxia 120mg Tablet Etoricoxib 120mg Tablet 10.1.1
51001195 Arcoxia 60mg Tablet Etoricoxib 60mg Tablet 10.1.1
51001184 Arcoxia 90mg Tablet  Etoricoxib 90mg Tablet 10.1.1

Mefenamic Acid 125mg/5ml 
51400520 Mefenamic Acid 125mg/5ml Suspension 10.1.1
Suspension (Axcel)

51000305 Mobic 7.5mg Tablet  Meloxicam 7.5mg Tablet  10.1.1

51000655 Apo-Napro-Na 550mg Tablet Naproxen Sodium 550mg Tablet 10.1.1

51400073 Nurofen 100mg/5ml Syrup Ibuprofen 100mg/5ml Syrup 10.1.1

51001026 Ponstan 500mg Tablet Mefenemic Acid 500mg Tablet 10.1.1

51000528 Voltaren 50mg Tablet Diclofenac Sodium 50mg Tablet 10.1.1

Voltaren 75mg/3ml Injection  Diclofenac Sodium 75mg/3ml Injection 
51200313 10.1.1
Ampoule Ampoule

51000971 Felxicam 20mg Capsule Piroxicam 20mg Capsule 10.1.1


51001487 Cataflam 50mg Tablet Diclofenac Potassium 50mg Tablet 10.1.1
51002235 Arcoxia 30mg Tablet Etoricoxib 30mg Tablet 10.1.1

51001734 Brexin 20mg Tablet Piroxicam 20mg Tablet 10.1.1

51600706 Uniren 1% Spray Diclofenac diethylammonium Spray 10.1.1


10.1.2: Corticosteroids 10.1.2
10.1.2.1: Systemic corticosteroids
10.1.2.1
10.1.2.2: Local corticosteroid injections
10.1.2.2
10.1.3: Drugs that suppress the rheumatic disease process
10.1.3

51001544 Arava 10mg Tablet Leflunomide 10mg Tablet 10.1.3

Humira 40mg/0.8ml Injection 
51201272 Adalimumab 40mg/0.8ml Injection Upon request 10.1.3
(Pen)

51200842 Mircera 50mcg/0.3ml Inj MPG Epoetin beta PFS Upon request 10.1.3

51200913 Actemra 80mg/4ml Injection Tocilizumab 80mg/4ml Injection Upon request 10.1.3

51200912 Actemra 400mg/20ml Injection Tocilizumab 400mg/20ml Injection Upon request 10.1.3

Actemra 162mg/0.9ml Sub- Tocilizumab 162mg/0.9ml Sub-cutaneous 
51201243 Upon request 10.1.3
cutaneous Injection Injection

51200880 Enbrel 50mg Pre-Filled Syringe Etanercept 50mg Pre-Filled Syringe Injection Upon request 10.1.3

42
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification

51002770 Xeljanz 5mg Tablet Tofacitinib 5mg Tablet Upon request 10.1.3

51201118 Remsima 100mg Injection Infliximab 100mg Injection Upon request 10.1.3

51201187 Cosentyx 150mg Injection Secukinumab 150mg Injection Upon request 10.1.3

51201254 Benlysta 120mg/5ml Injection Benlimumab 120mg/5ml Injection Upon request 10.1.3

51201005 Simponi 50mg/0.5ml PFS Inj Golimumab Upon request 10.1.3


10.1.4: Gout and cytotoxic induced hyperuricaemia
10.1.4

51000104 Goutnil 0.6mg Tablet Blister Colchicine 0.6mg Tablet Blister 10.1.4

51000391 Probenecid 500mg Tablet Probenecid 500mg Tablet 10.1.4

51002081 Apo-Allopurinol 300mg Tablet Allopurinol 300mg Tablet 10.1.4

51002475 Allopurinol 100mg Tablet (Hovid) Allopurinol 100mg Tablet 10.1.4

51002894 Feburic 80mg Tablet Febuxostat 80mg Tablet 10.1.4


10.1.5: Other drugs for rheumatic diseases
10.1.5

51200875 Monovisc 4.0ml Injection Sodium Hyaluronate Injection 10.1.5

51200802 Synvisc One Injection - 6ml Hylan G F20 Injection 10.1.5

51000632 Artril 250mg Capsule  Glucosamine 250mg Capsule   10.1.5

51001532 Artril Forte 500mg Capsule  Glucosamine 500mg Capsule    10.1.5

51001386 Artrodar 50mg Capsule Diacerein 50mg Capsule 10.1.5

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

51400298 Viartril-S 1500mg Sachet  Crystalline Glucosamine Sulphate Sachet 10.1.5

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

51001950 Viartril-S 500mg Capsule Glucosamine Sulfate 500mg Capsule 10.1.5


Glucosamine Sulphate 1500mg & 
Conart Powder For Oral Solution 
51400645 Chondroitin Sulphate 1200mg Powder For  10.1.5
Sachet
Oral Solution
Urosulf 1200mg Powder For Oral  Chondroitin Sulphate (Bovine origin) 
51400663 10.1.5
Solution 1200mg Powder For Oral Solution
Sodium Hyaluronate 20mg/2ml Injection Pre-
51200879 Orthovisc 20mg/2ml Injection 10.1.5
Filled Syringe

51201323 Crespine Gel Plus 2ml Inj Hyaluronic Acid with Prilocaine 10.1.5

51201223 HappyCross Injection Sodium Hyaluronate & Mannitol Injection Upon request 10.1.5

51001209 Consulf 400mg Capsule Chondroitin Sulphate 400mg Capsule Upon request 10.1.5

51200902 Suplasyn 1-shot 60mg/6ml Inj Sodium Hyaluronate 60mg/6ml Inj Upon request 10.1.5

51201298 Cingal 4ml Inj Hualuronate 88mg, Triamcinolone 18mg Inj Upon request 10.1.5

43
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


10.2: Drugs used in neuromuscular disorders
10.2
10.2.1: Drugs that enhance neuromuscular transmission
10.2.1

51000286 Mestinon 60mg Tablet Pyridostigmine 60mg Tablet 10.2.1


10.2.2: Skeletal muscle relaxants 10.2.2
51000255 Lioresal 10mg Tablet Baclofen 10mg Tablet 10.2.2
 Orphenadrine Citrate 35mg & Paracetamol 
51000987 Norgesic Tab 10.2.2
450mg Tablet

51000313 Myonal 50mg Tablet Eperisone HCl 50mg Tablet 10.2.2


10.3: Drugs for the relief of soft tissue inflammation
10.3
10.3.1: Enzymes
10.3.1

51002367 E-Zyme 200mg Troche (Lemon) Lysozyme Chloride 200mg Troche 10.3.1

51001495 Danzen 5mg Tablet Serratiopeptidase 5mg Tablet 10.3.1


10.3.2: Rubefacients and other topical antirheumatics
10.3.2

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

51650111 Voltaren 1% Emulgel - 20g Diclofenac Diethylamine 1% Emulgel  10.3.2

44
11. Eye
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


11: Eye
11
11.3: Anti infective eye preparations
11.3
11.3.1: Antibacterials
11.3.1

Fucithalmic Viscous 1% Eye 
51500027 Fusidic Acid 1% Eye Drops 11.3.1
Drops - 5g

51500346 Cravit 0.5% Eye Drops - 5ml Levofloxacin 0.5% Eye Drops 11.3.1

51650576 Gentamicin 0.1% Cream - 15g Gentamycin Sulphate 0.1% Cream 11.3.1


 Neomycin Sulfate 3.5mg & Polymyxin B 
51500045 Maxitrol Eye Drops - 5ml Sulfate 6000u/ml & Dexamethasone 0.1%  11.3.1
Eye Drops
Oxytetracycline HCl 5mg & Polymyxin B 
51500081 Terramycin Eye Ointment 3.5gm 11.3.1
Sulfate 1mg
Gentamicin 0.3% Eye Drops 
51500118 Gentamicin Sulphate 0.3% Eye Drops 11.3.1
(Ursapharm) - 5ml

51870063 Cefuroxime 5% Eye Drops  Cefuroxime  5% Eye Drops  Extemporaneous 11.3.1

51500128 Pforte 0.3% Eye Ointment - 2.5G Gentamicin 0.3% Eye Ointment - 2.5 G 11.3.1


11.3.2: Antifungals
11.3.2

51870062 Amphotericin B 0.15% Eye Drop Amphotericin B 0.15% Eye Drop Extemporaneous  11.3.2

51500194 Natacyn 5% Eye Susp Natamycin 5% Eye Suspension 11.3.2

51200974 Fungizone 50mg Injection Vial  Amphotericin B 50mg Injection Vial  Upon request 11.3.2

51500194 Natacyn 5% Eye Susp Natamycin 5% Eye Suspension Upon request 11.3.2


11.3.3: Antivirals
11.3.3

51500321 Acivision 3% Eye Ointment Acyclovir  3% Eye Ointment 11.3.3


11.4: Corticosteroids and other antiinflammatory preparations
11.4
11.4.1: Corticosteroids
11.4.1
Dexamethasone 0.1% w/v & Neomycin 
Maxitrol Opthalmic Ointment - 
51500046 Sulphate 3500units/ml & Polymyxin B  11.4.1
3.5g
Sulfate 6000units/ml Eye Ointment 
Prednisolone Acetate 1%, Methylcellulose 
51500062 Predforte Eye Drops - 5ml 11.4.1
Eye Drops
Tobramycin 0.3% & Dexamethasone 0.1% 
51500084 Tobradex Eye Drops - 5ml 11.4.1
Eye Drops
Tobramycin 0.3% & Dexamethasone 0.1% 
51500085 Tobradex Eye Ointment 3.5g 11.4.1
Eye Ointment
Ozurdex 700mcg Intravitreal 
51700094 Dexamethasone 700mcg Intravitreal Implant 11.4.1
Implant

51500362 Azyter 15mg/g Eye Drop 0.25g Azithromycin 15mg/g Eye Drop 0.25g 11.4.1

51500026 FML 0.2% Eye Drop Fluorometholone Acetate 0.1% Eye Drops 11.4.1


11.4.2: Other anti-inflammatory preparations
11.4.2

51500234 Pataday HCl 0.2% Eye Drops Olopatadine 0.2% Eye Drops 11.4.2

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)

Item Code Brand Name Content Remarks Classification

51500052 Mydfrin 2.5% Eye Drops - 5ml Phenylephrine HCl 2.5% Eye Drops 11.5

51500053 Mydriacyl 1% Eye Drops - 15ml Tropicamide 1% Eye Drops 11.5

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)

51500378 Atropine 0.01% Eye Drop Atropine 0.01% Eye Drop Upon request 11.5


11.6: Treatment of glaucoma
11.6

51500050 Miostat 0.01% Injection Vial Carbachol  0.01% Injection Vial 11.6

51500189 Timolast 0.5% Ophthalmic Gel Timolol Maleate 0.5% Ophthalmic Gel 11.6

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 

51500166 Cosopt 2%/0.5% Eye Drops - 5ml Dorzolamide 2% & Timolol 0.5%  Eye Drops 11.6

Bimatoprost 0.3mg & Timolol Maleate 5mg 
51500254 Ganfort Eye Drops 11.6
Eye Drops

51500103 Timolol 0.5% Eye Drops - 5ml Timolol Maleate 0.5% Eye Drops 11.6

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

51500088 Trusopt 2% Eye Drop Dorzolomide 2% Eye Drop 11.6

51500011 Betoptic S 0.25% Eye Drop Betaxolol 0.25% Eye Drop 11.6

51500142 Timo-Comod 0.5% Eyedrop Timolol Maleate 0.5% Eyedrop 11.6

51500406 Ganfort PF Eyedrop (0.4ml) Bimatoprost 0.3mg/ml, Timolol 5mg/ml 11.6


11.7: Local anaesthetics
11.7

51500002 Alcaine  0.5% Eye Drops - 15ml Proparacaine HCl 0.5% Eye Drops 11.7

51500394 Amethocaine 1% Eye Drop Tetracaine HCl 1% Eye Drop 11.7


11.8: Miscellaneous ophthalmic preparations
11.8

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)

Item Code Brand Name Content Remarks Classification


Water Soluble Polymeric System Containing 
Tears Natural Preservative Free 
51500080 Dextran 70 0.1% & Hydroxypropyl  11.8.1
Eye Drops
Methylcellulose 2910 0.3% Eye Drops

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

51500220 Nevanac 0.1% Eye Drops - 5ml Nepafenac  0.1% Eye Drops 11.8.2

51200783 Lucentis 10mg/ml Vial        Ranibizumab 10mg/ml Injection 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)

Item Code Brand Name Content Remarks Classification


12: Ear, nose and oropharynx
12
12.1: Drugs acting on the ear
12.1
12.1.1: Otitis externa
12.1.1

51500110 Candid 1% Ear Drops - 15ml Clotrimazol 1% Ear Drops 12.1.1


12.1.2: Otitis media
12.1.2
Polymxin B Sulphate 10000U, Neomycin 
51500108 Pocin H Ear Drop Sulphate 5mg & Hydrocortisone 10mg Ear  12.1.2
Drop
12.1.3: Removal of ear wax
12.1.3

 Arachis Oil 57g & Paradichlorobenzene 2 
51500012 Cerumol Ear Drops - 11ml 12.1.3
g & Chlorbutol 5g Per 100ml Ear Drops

51500115 Soluwax Ear Drops - 10ml Docusate Na Ear Drops 12.1.3


Alkylamido polypeptide salt 35.56 g, coco-
51500315 A-Cerumen Ear Drop - 2ml betaine 6 g, PEG-120 methyl glucose  12.1.3
dioleate 1.5 g
12.2: Drugs acting on the nose
12.2

51870028 Paraffin Nasal Drop Paraffin liquid Nasal Drop 12.2

51755004 Cocaine 5% Nose Drops  Cocaine 5% Nose Drops Extemporaneous 12.2

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

51870019 Sodium Bicarb 5%  Solution Sodium Bicarbonate 5% Solution Extemporaneous 12.2


12.2.1: Drugs used in nasal allergy
12.2.1

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 

51500268 Nasogel Nasal Spray - 30ml Saline Gel Spray - 30ml 12.2.1

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)

Item Code Brand Name Content Remarks Classification


Hyaluronic Acid Na & Sea Water Nasal 
51500289 Ialumar Nasal Spray - 100ml 12.2.2
Spray

51500001 Afrin 0.05% Nasal Spray - 15ml Oxymetazoline HCl 0.05% Nasal Spray 12.2.2

51870005 Ephedrine 0.5% Nasal Drops Ephedrine HCl 0.5% Nasal Drops 12.2.2

51870007 Ephedrine 1% Nasal Drops  Ephedrine HCl 1% Nasal Drops  12.2.2

51500033 Iliadin 0.025% Nose Drops - 10ml Oxymetazoline HCl 0.025% Nose Drops 12.2.2

Iliadin 0.01% Infant Nose Drops -  Oxymetazoline HCl 0.01% Infant Nose 
51500179 12.2.2
5ml  Drops

51500036 Iliadin 0.05% Nose Drops - 10ml Oxymetazoline HCl 0.05% Nose Drops 12.2.2

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

51870002 Bismuth Iodoform Paste  Bismuth subnitrate Paste  12.3


12.3.1: Drugs for oral ulceration and inflammation
12.3.1

51600033 Difflam 0.15% Solution - 100ml Benzydamine HCI 0.15% Solution 12.3.1

 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

51001399 Difflam Lozenges Tablet Benzydamine HCI 3.00 mg Lozenges Tablet 12.3.1

 Lidocaine 2.5% & Chlorhexidine HCl 0.5% 
51600074 Oral Aid Lotion - 6ml 12.3.1
& Triamcinolone Acetonide 0.1% Lotion

51200286 Shincort 40mg/ml Injection - 1ml Triamconolone Acetonide 40mg/ml Injection  12.3.1

51002507 Travisil Sugar Free Lozenges Sugar Free Herbal Cough Lozenges 12.3.1


Benzydamine Hydrochloride 1.5mg & 
Difflam Cough Lozenge 
51001681 Cetylpyridinium Chloride 1.33mg &  12.3.1
(Blackcurrant)
Pholcodine 5.5mg Lozenges Tablet

51600457 Betadine Gargle 1% - 190ml Povidone-Iodine 1% Solution 12.3.1

51002658 Strepsils Max Pro Lozenges Flurbiprofen 8.75mg Lozenges 12.3.1

51200741 Shincort 40mg/ml Injection - 1ml Triamconolone Acetonide 40mg/ml Injection  12.3.1


Difflam Anti-Inflammatory 
 Benzydamine HCl 3mg & Cetylpyridinium 
51001200 Lozenges (Honey & Lemon) With  12.3.1
Cl 1.33mg Lozenges Tablet
Antibacterial
Betadine SoreThroat Spray 
51500336 Povidone-Iodine 12.3.1
0.45% (50ml)

49
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


12.3.2: Oropharyngeal anti-infective drugs
12.3.2
12.3.3: Lozenges and sprays
12.3.3

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

51600218 Gengigel Mouthrinse - 150ml Hyaluronan 25mg/100g & Xylitol Mouthrinse 12.3.4


12.3.5: Treatment of dry mouth
12.3.5

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)

Item Code Brand Name Content Remarks Classification


13: Skin
13
13.1: Management of skin conditions
13.1
Octyl Methoxycinnamate 7.5%, Butyl 
51650180 QV Lip Balm - 15g Methoxydibenzoylmethane 1.5%, White Soft  Upon request 13.1
Paraffin & Dimethicone
13.2: Emollient and barier preparations
13.2
13.2.1: Emollients
13.2.1
Glycerin & Hydrogenated Polyisobutene & 
Cetaphil Moisturizer Lotion - 
51600215 Cetearyl Alcohol & Ceteareth-20 &  13.2.1
200ml
Macadamia Nut Oil & Dimethicone
White Soft Paraffin 15% w/w & Liquid 
Xorquas 100gm Cream (Aqueous 
51650619 Paraffin 6% w/w Emulsifying Wax 9% w/w  13.2.1
Cream)
Aqueous Cream
Saccharide Isomerate & Portulaca Extr 
51650297 Ellgy Plus Cream - 50gm 13.2.1
Cream

51650106 Uo Cream - 20g Carbamide (Urea) 10 % Cream  13.2.1


Glycerol & Cetostearyl Alcohol & 
Cetaphil Intensive Moisturizer 
51650423  Butyrospermum Parkii & Dimethicone &  13.2.1
Cream - 85g
Pirglutargine & Glyceryl Stearate Cream

51650539 Cavilon Cream - 92g Dimethicone 1.3% cream 13.2.1

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

51650392 Physiogel Cream -  75ml Physiological Lipids Cream 13.2.1

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

13.2.1.1: Emollient bath additives


13.2.1.1

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

51600396 QV 15% Gentle Wash - 250g Glycerol 15% Gentle Wash Upon request 13.2.1.1

13.2.2: Barier preparations


13.2.2
Zinc Oxide BP & Sterile Water & Alcohol & 
51650598 Xorzon Z Cream - 100gm Liquid Paraffin & Metyl Paraben & Propyl  13.2.2
Paraben Cream
Benzalkonium Chloride 0.01% & Cetrimide 
51650033 Drapolene Cream - 55g 13.2.2
0.2% Cream
13.3: Topical local anaesthetics and antipruritics
13.3

51650441 Calazine Cream - 15g Calamine 4% & Zinc Oxide 3% Cream 13.3

51
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Calamine Lotion (Dermoplex) - 
51600459 Calamine 15% & Zinc Oxide 5% Lotion 13.3
120ml

51650044 Eurax 10% Cream - 20g Crotamiton 10% Cream 13.3


13.4: Topical corticosteroids
13.4
Betamethasone Dipropionate 0.064% w/w 
51650216 Beprosalic Ointment - 15g (equiv to 0.05%) & Salicylic Acid 3% w/w  13.4
Ointment
51870041 Betnovate-N 0.05% (1:1) Cream Betamethasone Valerate 0.05% (1:1) Cream 13.4

Betamethasone Valerate 0.033% (1:3) 
51870040 Betnovate 0.033% (1:3) Cream 13.4
Cream

51650496 Betnovate 0.1% Cream - 15g Betamethasone Valerate 0.1% Cream 13.4

51870026 Betnovate 0.05% (1:1) Cream  Betamethasone Valerate 0.05% (1:1) Cream 13.4

 Betamethasone-17-Valerate 0.1% & 
51650458 Betnovate N Cream - 15g 13.4
Neomycin Sulphate 0.5% Cream

51650020 Cutivate 0.05% Cream - 15g Fluticasone Propionate 0.05% Cream 13.4

Hydrocortisone 1% & Miconazole Nitrate 2% 
51650022 Daktacort Cream - 15g 13.4
Cream

51650028 Dermovate 0.05% Cream - 15g Clobetasol Propionate 0.05% Cream 13.4

 Betamethasone Dipropionate 0.05% & 
51650124 Diprogenta Cream - 15g 13.4
Gentamicin sulfate 0.1% Cream

51650426 E-Closone 0.05% Cream - 15g Clobetasone Butyrate 0.05% Cream 13.4

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

51650102 Tramsone 0.1% Cream - 15g Triamcinolone 0.1% Cream  13.4

51600035 Elomet 0.1% Lotion - 30ml Mometasone Furoate 0.1% Lotion 13.4

51650038 Elomet Cream 0.1% Cream -15g Mometasone Furoate 0.1% Cream 13.4

51650057 Hydrocortisone 1% Cream - 15g Hydrocortisone 1% Cream 13.4

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

51650029 Dermovate Ointment - 15gm Clobetasol Propionate 0.05% Ointment Upon request 13.4

51650143 Elomet 0.1% Ointment - 15gm Mometasone Furoate 0.1% Ointment Upon request 13.4

13.5: Preparations for eczema and psoriasis


13.5
13.5.1: Preparations for eczema
13.5.1
Spent Grain Wax & Butyrospermum 
Parkii Extr & Argania Spinosa Kernel Oil & 
51650573 Ezerra Plus Cream - 25g 13.5.1
Ceramide & Cholesterols & Free Fatty Acids 
& Saccharide Isomerate Cream
Tar 0.3% & Cade Oil 0.3% & Coal Tar 
Polytar 5% In Sulphur Salicylic 
51870110 Solution 0.1% & Arachis Oil Extr Of Crude  13.5.1
Acid 6%
Coal Tar 0.3%
Betamethasone (As Dipropionate) 0.5mg & 
51650499 Xamiol Topical Gel - 15g 13.5.1
Calcipotriol (As Hydrate) 50mcg Topical Gel
13.5.2: Preparations for psoriasis
13.5.2

51650642 Daivonex 50mcg/5 Cream Calcipotriol 50mcg/5g Cream Upon request 13.5.2

52
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


13.5.3: Drugs affecting the immune response
13.5.3

51650308 Protopic 0.1% Ointment - 10g Tacrolimus 0.1% Ointment  13.5.3

51650285 Elidel 1% Cream -15g Pimecrolimus 1% Cream Upon request 13.5.3

13.6: Acne and rosacea


13.6
13.6.1: Topical preparations for acne
13.6.1

51650140 Differin 0.1% Gel - 30g Adapalene 0.1% Gel  13.6.1

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

51000427 Roaccutane 20mg Tablet Isotretinoin 20mg Tablet 13.6.2


13.7: Preparations for warts and calluses
13.7

51650133 Aldara 5% Cream Imiquimod 5% Cream 13.7

51870045 Silver Nitrate 1% Solution Silver Nitrate 1% & Aqueous Cream Solution 13.7

51850024 Silver Nitrate Powder Silver Nitrate Powder 13.7


Ellgy Corns & Warts Treatment  Salicylic Acid 17% w/v & Lactic Acid & 
51600507 Solution 17% w/v Topical  Isopropyl Alcohol & Acrylates Topical  13.7
Solution - 10ml Solution
13.8: Sunscreens and camouflagers
13.8
13.8.1: Sunscreen preparations
13.8.1

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

51600128 Dezor 2% Shampoo - 60ml Ketoconazole 2% Shampoo 13.9

51600241 Nizoral 2% Shampoo - 100ml Ketoconazole 2% Shampoo 13.9

51600091 Selsun 2.5% Suspension - 125ml Selenium Sulphide 2.5% Suspension 13.9

51002967 Yucomy 200mg Tab Ketoconazole 200mg Tab 13.9

13.10: Anti -infective skin preparations


13.10

53
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


Aqua & Cocamidopropylamine Oxide & PEG-
7 Glyceryl Cocoate & Glycerin & 
51600235 Octenisan Wash Lotion - 500ml Hydroxyethylcellulose & Lactic Acid &  13.10
Octenidine Hydrochloride & Allantoin Wash 
Lotion

51850041 Precipitated Sulphur - 1kg Precipitated Sulphur 13.10

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

51870108 Salicylic Acid 2% Cream Salicylic Acid 2g & Aqueous Cream 13.10

51650356 Salicylic Acid Cream Salicylic Acid & Aqueous Cream 13.10

51850042 Salicylic Acid Powder Salicylic Acid Powder 13.10

51870109 Sulphur 2% Cream Sulphur Powder 2% & Aqueous Cream 13.10

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 

51650489 Zindaclin 1% Gel - 30g Clindamycin 1% Gel 13.10.1

51650188 T3 Mycin 1% Topical Gel - 25g Clindamycin Phosphate 1% Topical Gel 13.10.1

51650048 Fucidin 2% Cream - 15g Fusidic Acid 2% Cream  13.10.1

51650049 Fucidin 2% Cream - 5g Fusidic Acid 2% Cream  13.10.1

51650092 Flamazine Cream - 450g Silver Sulphadiazine 1% Cream 13.10.1

51650633 Supirocin 2% Ointment - 5g Mupirocin 2% Ointment 13.10.1

51650050 Fucidin 2% Ointment - 15g Fusidic Acid 2% Ointment    13.10.1


13.10.2: Antifungal preparations
13.10.2

51650023 Daktarin 2% Cream - 15g Miconazole Nitrate 2% Cream  13.10.2

51650347 Decozol 2% Cream - 15g Miconazole Nitrate 2% Cream  13.10.2

 Isoconazole Nitrate 10mg & Diflucortolone 
51650168 Travacort Cream - 10g 13.10.2
Valerate 1mg Per g Cream

51650024 Daktarin 2% Oral Gel - 15g Miconazole Nitrate 2% Oral Gel  13.10.2

51600150 Daktarin 2% Tincture - 30ml Miconazole nitrate 2% Tincture 13.10.2

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

51650118 Zovirax 5% Cream - 10g Aciclovir 5% Cream 13.10.3

51650171 Zovirax 5% Cream - 2g Aciclovir 5%  Cream 13.10.3

54
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


13.10.4: Parasiticidal preparations
13.10.4

51600275 A Scabs Lotion - 30ML Permethrin 5% Lotion 13.10.4

51600618 Lice Clear Topical Gel - 70ml Dimeticone Topical Gel 13.10.4


13.10.5: Preparations for minor cuts and abrasions
13.10.5
13.11: Skin cleansers and antiseptics
13.11

51870036 Acetic Acid 10% Solution Acetic Acid 10% Solution 13.11

51870174 Acetic Acid 4% Solution Acetic Acid 4% Solution 13.11

51600325 Acriflavine 0.4% Lotion - 100ml Acriflavin HCl 0.4% Lotion 13.11

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

51870023 Eusol-Max 10% Topical Solution Na Hypochlorite 10% Topical Solution 13.11

51870034 Acetic Acid 2.5% Solution Acetic Acid 2.5% Solution 13.11

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

51850044 Copper Sulphate Crystal Copper sulphate Crystal 13.11

51870051 Copper Sulphate 0.5% Solution Copper sulphate 0.5% Solution Extemporaneous 13.11

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)

Item Code Brand Name Content Remarks Classification

51600806 Septigel 1Litre Solution Ethanol 70% w/w 13.11.1


13.11.2: Chlorhexidine salts
13.11.2

51710019 Bactigras 10cm X 10cm Chlorhexidine Acetate 10cm X 10cm 13.11.2

51710021 Bactigras 15cm X 1m Chlorhexidine Acetate 15cm X 1m 13.11.2

51710020 Bactigras 15cm X 20cm Chlorhexidine Acetate 15cm X 20cm 13.11.2

51650520 Hexidine 1% Cream - 500ml Chlorhexidine 1% Cream  13.11.2

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

51850040 Potassium Permanganate Crystal Potassium Permanganet Crystal 13.11.6

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

51002450 Reparil 20mg Tablet Amorphous Aescin 20mg Tablet 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

51650295 Petroleum Jelly (POLYLAB) Petroleum Jelly (White Soft Paraffin 100%) 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)

Item Code Brand Name Content Remarks Classification


Pentylene Glycol & Hydrolyzed Wheat 
Protein & Glycerin & Arnica Montana Flower 
37100003 TDF Eye Radiance Cream - 15ml Extract & Hydrolyzed Casein & Ceratonia  13.14
Siliqua Gum & Propylene Glycol & Sorbitol 
Cream

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

51650089 Sebamed  Bar - 100g Sebamed Soap 13.14

51650094 Solcoseryl 10% Jelly - 20g Protein Free Haemodialysate 10% Jelly 13.14

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

37100007 Stratamed Topical Gel - 5g Polysiloxanes & Siloxane Resin Gel 13.14

51650312 K-Y Jelly - 5g Water Soluble Lubricant Jelly 13.14

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)

Item Code Brand Name Content Remarks Classification


14: Immunological products and vaccines
14
14.4: Vaccines and antisera
14.4

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)

Item Code Brand Name Content Remarks Classification

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)

Item Code Brand Name Content Remarks Classification


Meningococcal (Groups A,C,Y,W-135) & 
51201288 Menactra 0.5ml Vaccine Inj Polysaccharide Diphtheria Toxoid Conjugate  14.4
Vaccine Injection Vial
Cholera Vaccine Oral Susp (2D) -  Vibrocholerae O1 Inaba &Ogawa,classic &El 
51400335 Upon request 14.4
Dukoral (UR)  Tor strainsCholera toxin B subunit 1mg
Viable Salmonella Typhi TY 21a Cells 
51000524 Vivotif Berna EC Capsule Upon request 14.4
Capsule
Rabies Human Diploid Cell Vaccine 
51200720 Verorab Vaccine Vial - 0.5ml Upon request 14.4
(Lyophilised) Injection             
Inactivated Japanese Encephalitis Virus 1ml 
51201053 Imojev 1ml Vaccine Vial Upon request 14.4
Vaccine Vial
Purified VI Capsular Polysaccharide Of 
Typhim Vi Vaccine 25mcg/0.5ml 
51200293 Salmonella Typhi (Ty 2 Strain) 25mcg/0.5ml  Upon request 14.4
Injection Pre-Filled Syringe
Injection
Zostavax Vaccine Injection Vial -  Live Attenuated Varicella-Zoster Virus 
51201048 Upon request 14.4
0.65ml (Oka/Merck Strain) Vaccine Injection Vial
14.5: Immunoglobulins
14.5

Human Immunoglobulin 2.5 
51200392 Human immunoglobulin Injection Vial 14.5
Injection Vial

60
15. Anaesthesia
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


15: Anaesthesia
15
15.1: General anaesthetics
15.1
15.1.1: Intravenous anaesthetics
15.1.1

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

51550094 Suprane Solution Desflurane Solution 15.1.2

51550055 Sevorane Solution Sevoflurane Solution 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

51201121 Naphine 10mg/ml Injection Nalbuphine HCl 10mg/ml Injection 15.1.4


15.1.4.1: Anxiolytics and neuroleptics
15.1.4.1

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

51760004 Dormicum 7.5mg Tablet Midazolam 7.5mg Tablet 15.1.4.1


15.1.4.2: Non opiod analgesics
15.1.4.2

51200666 Dynastat 40mg/2ml Injection Vial Parecoxib 40mg/2ml Injection Vial 15.1.4.2


15.1.4.3: Opiod analgesics
15.1.4.3

Fentanyl 0.1mg/2ml Injection  Fentanyl Citrate 0.1mg/2ml Injection 
51730001 15.1.4.3
Ampoule (Imeks) Ampoule

51730020 Ultiva 5mg Injection Vial Remifentanil 5mg Injection Vial 15.1.4.3


15.1.5: Neuromuscular blocking drugs
15.1.5

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

51200917 Bridion 200mg/2ml Injection Vial Sugammadex 200mg/2ml Injection Vial 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)

Item Code Brand Name Content Remarks Classification


Anexate 0.5mg/5ml Injection 
51200019 Flumazenil 0.5mg/5ml Injection Ampoule 15.1.7
Ampoule
15.1.8: Drugs for malignant hyperthermia
15.1.8

51200976 Revonto 20mg Injection Vial Dantrolene Sodium 20mg Injection  Vial 15.1.8


15.2: Local anaesthesia
15.2

Denkan 2.2ml Injection Dental  Lignocaine 2% & Epinephrine Acid Tartrate 
51200583 15.2
Catridge Injection Dental Catridge

51650039 Emla Cream - 5g Lignocaine 2.5% & Prilocaine 2.5% 15.2

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)

51650113 Xylocaine 2% Jelly - 30gm Lignocaine HCl  2% Jelly 15.2

51200410 Xylocaine 2% Injection Vial Lidocaine HCL 2% Injection Vial 15.2

51600701 Lignoral 10% Spray - 15ml Lidocaine 10% Spray 15.2

51500004 Amethocaine Hcl 1% Eye Drops Tetracaine 1% Eye Drops 15.2

51200703 Chirocaine 0.5% Injection Vial Bupivacaine HCl 0.5% Injection Vial 15.2

51200149 Marcain 0.5% 10ml Injection Vial Bupivacaine 0.5% 10ml Injection Vial 15.2

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

51600038 Ethylchloride Spray - 100ml Ethylchloride Spray 15.2

51650027 Dentinox Teething Gel - 15g Lidocaine HCl & Cetylpyridinum chloride Gel 15.2

51600710 Lignoral 10% Spray - 15ml Lidocaine 10% Spray 15.2

51201020 Procaine Penicillin G 4Mega Inj  Procaine Penicillin G 4Mega Inj Upon request 15.2

62
16. Cholagogues,
Cholelitholytics
And Hepatic
Protectors
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


16: Cholagogues, Cholelitholytics and Hepatic Protectors
16

51001956 Legalon 140mg Capsule Silymarin 140mg Capsule 16

Sodium Dihydrogen Phosphate 
51850035 Sodium Dihydrogen Phosphate Anhydrous 16
Anhydrous - 500g

51001148 Simepar Cap Silymarin + B Group Vitamins 16

63
17. Emergency
Treatments
(Antidotes)
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


17: Emergency Treatments (Antidotes)
17

51200242 Cobra Antivenin Injection Vial Cobra Antivenin Injection Vial 17

51400204 Fuller's Earth (Zeneca Ag) - 60g Fuller's Earth 17

51200793 Hidonac 5g/25ml Injection Vial Acetylcysteine 200 mg/ml Injection Vial 17

Pampara 500mg/20ml Injection  Pralidoxime Chloride 25mg/ml Injection 
51200492 17
Ampoule Ampoule

51200944 Methylene Blue 1% Injection Vial Methylthionium Chloride 1% Injection Vial 17

64
18. Nutritional
Supplements
(Non-Disease
Specific)
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


18: Nutritional Supplements (Non-Disease Specific)
18

Ginkgo Biloba Extract (EGb 761) 40mg 
51001189 Tanakan 40mg Tablet 18
Tablet

51000894 Prolactor Capsule Live Cultured Lacto Bacili & Bifido Capsule 18

51001798 Tebonin Forte 120mg Tablet Ginkgo EGb 761 Tablet 18

51002058 Natberry 120mg Tablet Bilberry Extract 120mg Tablet 18

51002229 Essentiale Forte N Capsule Essential Phospholipids 300mg Capsule 18

51002599 Heptral 500mg Tablet Ademetionine Tablet 18

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

51002964 Bioflor Cap Lyophilized Saccharomyces boulardii 18

51003011 Lactzym 45mg Tab Lactase 45mg Tab 18

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)

Item Code Brand Name Content Remarks Classification


19: Extemporaneous Preparations
19

Hydrocortisone 100mg Injection & Water For 
51870088 Hydrocortisone 0.1% Enema  19
Injection & Distelled Water Enema

51600197 Olive Oil (Zulat) - 1L Olive Oil 19

66
20. Device
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


20: Device
20

51550000 Aero Chamber (Blue) Anti-Static Valved Holding Chamber 20

51550002 Aero Chamber (Orange) Anti-Static Valved Holding Chamber 20

51550001 Aero Chamber (Yellow) Anti-Static Valved Holding Chamber 20

51870011 Insulin Syringe Pre-Filled Pen 20

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)

Item Code Brand Name Content Remarks Classification


21: Wound Management Products
21

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)

Item Code Brand Name Content Remarks Classification


22: Contrast
22

51201146 Visipaque 320mg/100ml Injection Iodixanol 320mg/100ml Injection 22

51201145 Visipaque 320mg/50ml Injection Iodixanol 320mg/50ml Injection 22

51201149 Magnevist 20ml Inj Pentetic Acid 22

51201177 Dotarem 10ml Inj (279.32mg/ml) Gadoterate Meglumine 0.5mmol/ml Inj 22

69
23.
Miscellaneous
KPJ JSH DRUG FORMULARY 2020 (JAN - JUNE)

Item Code Brand Name Content Remarks Classification


23: Miscellaneous
23

Octenidine HCl 0.1% & Phenoxyethanol 
51600385 Octanisept - 500ml 23
2.0% Solution

51400374 Paraffin Liquid - 100ml Paraffin liquid 23

51710009 Presept 0.5g Tablet  Sodium Dichloroisocyanurate 0.5g Tablet 23

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

51650657 Tisseel VHSD Frozen 2ml Fibrin Sealant 23

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

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