Consolidated-List-of-VAT-Exempt-Products-with-drugs-and-vaccines-prescribed-and-directly-used-for-Covid-19-treatment As of 9-6-2021

A.
LIST OF MEDICINES FOR HYPERTENSION
Dosage Form and Route of

Generic Name Dosage Strength
Administration
Aliskiren + Amlodipine 150 mg + 5 mg Film-Coated Tablet
Aliskiren + Amlodipine 300 mg + 5 mg Film-Coated Tablet
Amlodipine 5 mg Tablet
Amlodipine 2.5 mg Tablet
Amlodipine 5 mg Film-Coated Tablet
Amlodipine 10 mg Tablet
Amlodipine 10 mg Film-Coated Tablet
Amlodipine + Hydrochlorithiazide 5 mg/12.5 mg Tablet
Amlodipine + Hydrochlorithiazide 10 mg/12.5 mg Tablet
Amlodipine + Valsartan +
10mg/ 160mg/ 12.5mg Film-Coated Tablet
Hydrochlorothiazide
Hydrochlorothiazide 10mg/ 160mg/ 25mg Film-Coated Tablet
10mg/ 320mg/ 25mg Film-Coated Tablet
Hydrochlorothiazide
Hydrochlorothiazide
Hydrochlorothiazide
Amlodipine ( as Besylate ) + Valsartan 10 mg/ 160 mg Film-Coated Tablet
Amlodipine (As Besilate) 10 mg Tablet
Amlodipine (As Besilate) 5 mg Tablet
Amlodipine (as besilate) + Atorvastatin
10mg/ 10mg Film-Coated Tablet
(as calcium)
Amlodipine (as Besilate) + Atorvastatin
10mg/20mg Film-Coated Tablet
(as Calcium)
Amlodipine (as Besilate) + Atorvastatin
(as Calcium) 5mg/10mg Film-Coated Tablet
Amlodipine (As Besilate) + Losartan
50 mg/50 mg Film-Coated Tablet
Potassium
Amlodipine (as besilate) + Losartan
Potassium
Amlodipine (as besilate) + Valsartan 10mg/ 160mg Film-Coated Tablet
Amlodipine (as besilate) + Valsartan +
Hydrochlorothiazide
Hydrochlorothiazide
Hydrochlorothiazide
Hydrochlorothiazide
Hydrochlorothiazide 5mg/ 160mg/ 25mg Film-Coated Tablet
Amlodipine (as Besylate) + Valsartan 5 mg / 80 mg Film-Coated Tablet

Amlodipine( as Besylate ) + Valsartan 5 mg / 160 mg Film-Coated Tablet
Amlodipine Besilate 10 mg Tablet
Amlodipine besilate 2.5mg Tablet
Amlodipine besilate 5mg Tablet
Page 1 of 67
Administration
Atenolol 100 mg Tablet
Atenolol 100 mg Film-Coated Tablet
Atenolol + Chlortalidone 50 mg + 12.5 mg Tablet
Atorvastatin + Perindopril (as arginine) +
Amlodipine
Amlodipine 20mg/ 10mg/ 10mg Film-Coated Tablet
Amlodipine
Amlodipine
Amlodipine 40mg/ 10mg/ 10mg Film-Coated Tablet
Azilsartan 40 mg Tablet
Azilsartan 80 mg Tablet
Azilsartan medoxomil (as potassium)
40mg/12.5mg Film-Coated tablet
+ Chlorthalidone
Azilsartan medoxomil (as potassium)
+ Chlorthalidone 40mg/25mg Film-Coated tablet
Benazepril 10 mg Film-Coated Tablet

Betaxolol 20 mg Film-Coated Tablet
Bisoprolol 2.5 mg Film-Coated Tablet
Bisoprolol 10 mg Film-Coated Tablet
Bisoprolol 5 mg Tablet
Bisoprolol 5 mg Film-Coated Tablet
Bisoprolol + Amlodipine 5 mg + 5 mg Tablet
Bisoprolol + Hydrochlorothiazide 2.5 mg + 6.25 mg Film-Coated Tablet
Bisoprolol + Hydrochlorothiazide 5 mg + 6.25 mg Film-Coated Tablet
Bisoprolol + Hydrochlorothiazide 10 mg + 6.25 mg Film-Coated Tablet
Bisoprolol Fumarate 10mg Film-Coated Tablet
Bisoprolol Fumarate 2.5 mg Film Coated Tablet
Bisoprolol Fumarate 5 mg Film-Coated Tablet
Bisoprolol fumarate + Hydrochlorothiazide 5mg/ 6.25mg Film-Coated Tablet
Blumea balsamifera (L) DC (Sambong
250mg Tablet
leaf)
Blumea balsamifera (L) DC (Sambong
500mg Tablet
leaf)
Bosentan (as monohydrate) 62.5mg Film-Coated Tablet
Bumetanide 1 mg Tablet
Bumetanide 500 mcg/mL Solution for Injection (IM/IV)
Page 2 of 67
Administration
Candesartan 4 mg Tablet
Candesartan + Amlodipine 8 mg + 5 mg Tablet
Candesartan + Hydrochlorothiazide 16 mg + 12.5 mg Tablet
Candesartan Cilexetil 8mg Tablet
Candesartan Cilexetil 16 mg Tablet
Candesartan Cilexetil +
16mg/ 12.5mg Tablet
Hydrochlorothizide
Captopril 25mg Tablet
Captopril 25 mg Film-Coated Tablet
Captopril 50 mg Tablet
Carvedilol 25 mg Film-Coated Tablet
Carvedilol 25 mg Tablet
Carvedilol 6.25 mg Film-Coated Tablet
Carvedilol 6.25 mg Tablet
Carvedilol 12.5 mg Tablet
Carvedilol 10 mg Extended-Release Tablet
Carvedilol + Ivabradine (as hydrochloride) 12.5 mg/ 5 mg Film-Coated Tablet
Carvedilol + Ivabradine (as hydrochloride) 12.5 mg/ 7.5 mg Film-Coated Tablet
Carvedilol + Ivabradine (as hydrochloride) 25 mg/ 5 mg Film-Coated Tablet
Carvedilol + Ivabradine (as hydrochloride) 25 mg/7.5 mg Film-Coated Tablet
Carvedilol + Ivabradine (as hydrochloride) 6.25 mg/5 mg Film-Coated Tablet
Carvedilol + Ivabradine (as hydrochloride) 6.25 mg/7.5 mg Film-Coated Tablet
Cilazapril 2.5 mg Film-Coated tablet
Clonidine 75 mcg Tablet
Clonidine 150 mcg Tablet
Clonidine 150 mcg/mL Solution for Injection (IM/IV/SC)
Clonidine hydrochloride 75mcg Tablet
Diltiazem Hydrochloride 30 mg Tablet
Diltiazem Hydrochloride 30 mg Film-Coated Tablet
Diltiazem Hydrochloride 30 mg Sustained-Release Tablet
Page 3 of 67
Administration
Dorzolamide (as Hydrochloride) + Timolol 20mg/5mg per mL (2%
Ophthalmic Solution
(as Maleate) w/v/ 0.5 w/v)
Doxazosin 4 mg Controlled-Release Tablet
Enalapril 5 mg Tablet
Enalapril 5 mg Film-Coated Tablet
Enalapril 20 mg Film-Coated Tablet
Enalapril Maleate 10 mg Tablet
Enalapril Maleate 5 mg Film-Coated Tablet
Enalapril Maleate + Hydrochlorothiazide 10 mg/12.5 mg Tablet
Enalapril Maleate + Hydrochlorothiazide 10 mg/25 mg Tablet
Enalapril Maleate + Hydrochlorothiazide 20 mg + 12.5 mg Tablet
Eplerenone 25 mg Film-Coated Tablet
Eplerenone 50 mg Film-Coated Tablet
Eprosartan 600 mg Film-Coated Tablet
Eprosartan + Hydrochlorothiazide 600 mg + 12.5 mg Film-Coated Tablet
10 mg/mL (100 mg/10
Esmolol Solution for Injection (IV)
mL)
10mg/ mL (100 mg/ 10
Esmolol hydrochloride Solution for IV Injection
mL)
Felodipine 5 mg Extended-Release Tablet
Felodipine 5 mg Modified-Release Tablet
Felodipine 5 mg Tablet
Felodipine 2.5 mg Extended-Release Tablet
Felodipine 10 mg Extended-Release Tablet
Felodipine 10 mg Modified-Release Tablet
Fimasartan 60 mg Film-Coated Tablet
Fimasartan 120 mg Film-Coated Tablet
Fimasartan Potassium (As Trihydrate) 120 mg Film-Coated Tablet
Fimasartan Potassium (As Trihydrate) 60 mg Film-Coated Tablet
Fosinopril 10 mg Tablet
Fosinopril 20 mg Tablet
Fosinopril Sodium 10 mg Tablet
Page 4 of 67
Administration
Furosemide 10mg/mL (20mg/2mL) Solution for Injection (IM/IV)
Furosemide 20 mg Tablet
Furosemide + Potassium Chloride 40 mg + 600 mg Film-Coated Tablet
Hydralazine 25 mg Film-Coated Tablet
Hydralazine 50 mg Tablet
Hydralazine 20 mg/mL Solution for Injection (IM/IV)
Hydralazine Hydrochloride 20mg/ mL Solution for Injection (I.V./I.M.)
Hydrochlorothiazide 12.5 mg Tablet
Hydrochlorothiazide 12.5 mg Film-Coated Tablet
Hydrochlorothiazide 25 mg Tablet
Hydrochlorothiazide 25 mg Film-Coated Tablet
Hydroflumethiazide + Spironolactone 25 mg + 25 mg Film-Coated Tablet
Imidapril 5 mg Tablet
Imidapril 10 mg Tablet
IMidapril Hydrochloride 5mg Tablet
IMidapril Hydrochloride +
10mg/12.5mg Tablet
Hydrochlorothiazide
Indapamide 1.5 mg Tablet
Indapamide 1.5 mg Sustained-Release Tablet
Indapamide + Amlodipine 1.5mg/ 5mg Modified-Release Tablet
Indapamide + Amlodipine 1.5mg/ 10mg Modified-Release Tablet
Irbersartan + Amlodipine (as besilate) 150mg/ 5mg Film-Coated Tablet
Irbesartan 150 mg Film-Coated Tablet
Irbesartan 150mg Tablet
Irbesartan 300 mg Tablet
Irbesartan + Amlodipine 150 mg/5 mg Film-Coated Tablet
Irbesartan + Hydrochlorothiazide 150 mg/12.5 mg Film-Coated Tablet
Irbesartan + Hydrochlorothiazide 150mg/ 12.5mg Tablet
Irbesartan + Hydrochlorothiazide 300 mg/12.5 mg Film-Coated Tablet
Irbesartan + Hydrochlorothiazide 300 mg/25mg Film-Coated Tablet
Irbesartan + Hydrochlorothiazide 300mg/ 12.5mg Tablet
ISOSORBIDE DINITRATE 5 mg Tablet
Isosorbide Mononitrate 60 mg Sustained-Release Tablet
Isosorbide-5-mononitrate 10mg Tablet
Page 5 of 67
Administration
Isosorbide-5-Mononitrate 20mg Tablet
Ivabradine (as HCL) 5 mg Film Coated Tablet
Ivabradine (as HCL) 5 mg Tablet
Ivabradine (as HCL) 7.5 mg Film Coated Tablet
Labetalol 5 mg/mL (100 mg/20 mL) Solution for Injection/Infusion (IV)
Labetalol hydrochloride 5mg/ mL Solution for Injection
Lacidipine 2 mg Tablet
Lacidipine 2 mg Film-Coated Tablet
Lacidipine 4 mg Film-Coated Tablet
Lercanidipine 10 mg Tablet
Lercanidipine 10 mg Film-Coated Tablet
Lercanidipine 20 mg Tablet
Lercanidipine 20 mg Film-Coated Tablet
Levamlodipine Besylate 2.5 mg Tablet
Levamlodipine Besylate 5 mg Tablet
Lisinopril 10 mg Tablet
Lisinopril Dihydrate 10 mg Tablet
Lisinopril Dihydrate 20 mg Tablet
Lisinopril + Hydrochlorothiazide 10 mg + 12.5 mg Tablet
Lisinopril + Hydrochlorothiazide 20 mg + 12.5 mg Tablet
Losartan 25 mg Film-Coated Tablet
Losartan 50 mg Tablet
Losartan 100 mg Tablet
Losartan + Amlodipine 25 mg + 5 mg Tablet
Losartan + Amlodipine 100 mg + 10 mg Film-Coated Tablet
Losartan + Hydrochlorothiazide 25 mg + 12.5 mg Film-Coated Tablet
Losartan + Hydrochlorothiazide 50 mg + 12.5 mg Tablet
Losartan + Hydrochlorothiazide 100 mg + 25 mg Tablet
Page 6 of 67
Administration
Losartan + Hydrochlorothiazide 100 mg + 25 mg Film-Coated Tablet
Losartan Potassium 100 mg Film Coated Tablet
Losartan Potassium 100 mg Tablet
Losartan Potassium 50 mg Film Coated Tablet
Losartan Potassium 50 mg Tablet
Losartan Potassium 25 mg Film-Coated Tablet
Losartan Potassium +
Hydrochlorothiazide
100 mg/25 mg Tablet
Hydrochlorothiazide
50 mg/12.5 mg Film Coated Tablet
Hydrochlorothiazide
50 mg/12.5 mg Tablet
Hydrochlorothiazide
25 mg + 12.5 mg Film Coated Tablet
Hydrochlorothiazide
100 mg + 12.5 mg Film Coated Tablet
Hydrochlorothiazide
Losartan potassium +
Hydrochlorothiazide + Amlodipine 100 mg/12.5 mg/10 mg Film-Coated tablet
besilate
Losartan potassium +
Hydrochlorothiazide + Amlodipine 50 mg/12.5 mg/5 mg Film-Coated tablet
besilate
Macitentan 10mg Film-Coated Tablet
Manidipine 10 mg Tablet
Manidipine 20 mg Tablet
Mannitol 20g/100mL (20%v/v) Solution for Injection (IV)
Methyldopa 250mg Film-Coated Tablet
Methyldopa 250 mg Tablet
Methyldopa 125 mg Tablet
Methyldopa (As Sesquihydrate) 250 mg Film-Coated Tablet
Metolazone 5 mg Tablet
Metoprolol 50 mg Tablet
Metoprolol 50 mg Film-Coated Tablet
Metoprolol 50 mg Extended-Release Tablet
Metoprolol 50 mg Powder for Injection (IM/IV)
Metoprolol 100 mg Tablet
Metoprolol 100 mg Film-Coated Tablet
Metoprolol 23.75 mg Controlled-Release Tablet
Metoprolol 47.5 mg Extended-Release Tablet
Metoprolol 95 mg Controlled-Release Tablet
Metoprolol (As Tartrate) 100 mg Film-Coated Tablet
Metoprolol + Felodipine 50 mg + 5 mg Extended-Release Tablet
Metoprolol Tartrate 100 mg Tablet
Page 7 of 67
Administration
Metoprolol Tartrate 50 mg Film-Coated Tablet
Metoprolol Tartrate 50mg Tablet
Metoprolol tartrate + Ivabradine 25mg/ 5mg Tablet
Metoprolol tartrate + Ivabradine 25mg/ 7.5mg Tablet
Metoprolol tartrate + Ivabradine 50mg/ 5mg Tablet
Metoprolol tartrate + Ivabradine 50mg/ 7.5mg Tablet
Nebivolol 2.5 mg Tablet
Nebivolol 5 mg Tablet
Nebivolol (as hydrochloride) 5mg Tablet
Nebivolol + Hydrochlorothiazide 5 mg + 12.5 mg Tablet
1 mg/mL (2 mg/2mL, 10
Nicardipine Solution for Injection/Infusion (IV)
mg/10 mL)
Nicardipine Hydrochloride 10mg/ 10mL Solution for Injection (IV)
Nicardipine Hydrochloride 10mg/10mL (1mg/1mL) Solution For Injection (I.V.)
Nicardipine Hydrochloride 1mg/ mL Solution for IV Infusion
Nicardipine Hydrochloride 1mg/mL (10mg/10mL) Solution for Injection (IV)
Nicardipine Hydrochloride 1mg/mL (10mg/10mL) Solution For Injection IV Infusion
Nicardipine hydrochloride 1mg/mL (10mg/10mL) Solution For IV Infusion
Nicardipine Hydrochloride 1mg/mL (2mg/2mL) Solution For Injection (IV)
Nifedipine 30mg Extended-Release Tablet
Nifedipine 30 mg Retard Tablet
Nifedipine 30 mg Prolonged-Release Tablet
Nifedipine 20 mg Extended-Release Tablet
Nifedipine 20 mg Tablet
Nifedipine 20 mg Sustained-Release Tablet
Nifedipine 5 mg Softgel Capsule
Nifedipine 5 mg Capsule
Nifedipine 10 mg Capsule
Nifedipine 10 mg Softgel Capsule
Nifedipine 60 mg Prolonged-Release Tablet
Nimodipine 10mg/ 50mL Solution for Infusion (I.V.)
Nitrogylcerin 1 mg/ mL (10 mg/10 mL) Solution For IV Injection
Olmesartan 10 mg Film-Coated Tablet
Olmesartan 20 mg Tablet
Olmesartan 40 mg Tablet
Olmesartan + Hydrochlorothiazide 20 mg + 12.5 mg Film-Coated Tablet
Olmesartan + Hydrochlorothiazide 40 mg + 12.5 mg Film-Coated Tablet
Olmesartan Medoxomil 20 mg Tablet
Olmesartan Medoxomil 20mg Film-Coated Tablet
Olmesartan Medoxomil 40mg Film-Coated Tablet
Page 8 of 67
Administration
Olmesartan medoxomil + Amlodipine 20 mg + 5 mg Film-Coated Tablet
Olmesartan medoxomil + Amlodipine +
20 mg + 5 mg + 12.5 mg Film-Coated Tablet
Hydrochlorothiazide
40 mg/5 mg/12.5 mg Film-Coated tablet
Hydrochlorothiazide
40 mg/10 mg/12.5 mg Film-Coated tablet
Hydrochlorothiazide
Olmesartan Medoxomil +
Hydrochlorothiazide 20mg/ 12.5mg Film-Coated Tablet
40mg/ 12.5mg Film-Coated Tablet
Hydrochlorothiazide
Perindopril 2 mg Tablet
Perindopril 4 mg Film- Coated Tablet
Perindopril 5 mg Film-Coated Tablet
Perindopril 10 mg Film-Coated Tablet
Perindopril + Indapamide 2 mg + 625 mcg Tablet
Perindopril + Indapamide 4 mg + 1.25 mg Tablet
Perindopril + Indapamide 4 mg + 1.25 mg Film-Coated Tablet
Perindopril + Amlodipine 3.5 mg + 2.5 mg Tablet
Perindopril + Amlodipine 5 mg + 5 mg Tablet
Perindopril (as arginine) + Amlodipine (as
14mg/ 10mg Tablet
besilate)
besilate) 3.5mg/ 2.5mg Tablet
7mg/ 5mg Tablet
besilate)
Perindopril + Indapamide + Amlodipine 2.5 mg + 625 mcg + 5 mg Film-Coated Tablet
Perindopril + Indapamide + Amlodipine 5 mg + 1.25 mg + 5 mg Film-Coated Tablet
Perindopril (as Erbumine) 4mg Film-Coated Tablet
Perindopril Arginine/ Indapamide 5mg/1.25mg Film-Coated Tablet
Perindopril Erbumine 2 mg Tablet
Pindolol 5 mg Tablet
Propranolol 10 mg Tablet
Page 9 of 67
Administration
Propranolol 10 mg Film-Coated Tablet
Propranolol 40 mg Tablet
Propranolol 40 mg Film-Coated Tablet
Propranolol Hydrochloride 10 mg Tablet
Propranolol Hydrochloride 10mg Film-Coated Tablet
Propranolol Hydrochloride 40mg Tablet
Quinapril 5 mg Tablet
Quinapril 10 mg Film- Coated Tablet
Quinapril 20 mg Film- Coated Tablet
Quinapril Hydrochloride 10 mg Tablet
Quinapril + Hydrochlorothiazide 20 mg + 12.5 mg Tablet
Ramipril 10 mg Tablet
Ramipril 2.5 mg Tablet
Ramipril 2.5 mg Film- Coated Tablet
Ramipril 5 mg Tablet
Ramipril 5 mg Film-Coated Tablet
Ramipril + Hydrochlorothiazide 5 mg + 25 mg Tablet
100 mg (eq. to sacubitril
48.6 mg and valsartan
Sacubitril-Valsartan Film-Coated Tablet
51.4 mg sodium salt
complex)
102.8 mg sodium salt
complex)
25.7 mg sodium salt
complex)
Sildenafil (as citrate) 100mg Chewable Tablet
Sildenafil (as citrate) 100mg Film-Coated Tablet
Sildenafil (as citrate) 50mg Film-Coated Tablet
Sildenafil (as citrate) 50mg Oral Jelly (Orange Flavor)
Sodium Nitroprusside 50 mg Lyophilized Powder for Injection (IV)
Spironolactone 25 mg Tablet
Spironolactone 25 mg Film-Coated Tablet
Tadalafil 20mg Film-Coated Tablet
Page 10 of 67
Administration
Tamsulosin Hydrochloride 400mcg Extended-Release Capsule
Tamsulosin hydrochloride 400mcg Film-Coated Tablet
Tamsulosin hydrochloride 400mcg Prolonged-Release Capsule
Telmisartan 20 mg Tablet
Telmisartan 20 mg Film-Coated Tablet
Telmisartan 40mg Film-Coated Tablet
Telmisartan 80 mg Film-Coated Tablet
Telmisartan + Amlodipine 40 mg + 5 mg Tablet
Telmisartan + Amlodipine (as besilate) 40mg/5mg Film-Coated Tablet
Telmisartan + Amlodipine (As Besilate) 40mg/5mg Tablet
Telmisartan + Amlodipine (As Besilate) 80mg /5mg Tablet
Telmisartan + Hydrochlorothiazide 40 mg/12.5 mg Tablet
Telmisartan + Hydrochlorothiazide 40 mg/ 12.5 mg Film-Coated Tablet
Telmisartan + Hydrochlorothiazide 80 mg/25 mg Film-Coated Tablet
Telmisartan + Hydrochlorothiazide 80 mg/12.5 mg Tablet
Telmisartan + Hydrochlorothiazide 80 mg/12.5 mg Film-Coated Tablet
Telmisartan + Hydrochlorothiazide 80mg/25mg Tablet
Telmisartan + Hydrochlorothiazide 20 mg + 12.5 mg Tablet
Terazosin Hydrochloride 1 mg Tablet
Timolol (as maleate) 5mg/ mL (0.5% w/v) Ophthalmic Solution Drops
Tolvaptan 15 mg Tablet
Torasemide 10 mg Prolonged-Release Tablet
Torasemide 5 mg Prolonged-Release Tablet
Trimetazidine 35 mg Tablet
Trimetazidine Dihydrochloride 35 mg Modified-Release Tablet
Trimetazidine Dihydrochloride 35 mg Tablet
Trimetazidine dihydrochloride 35mg Modified-Release Capsule
Trimetazidine Dihydrochloride 80 mg Prolonged-Release Hard Capsule
Trimetazidine hydrochloride 20mg Film-Coated Tablet
Modified Release Film-Coated
Trimetazidine Hydrochloride 35 mg
Tablet
Trimetazidine Hydrochloride 60mg Sustained-Release Capsule
Urapidil 5 mg/mL Solution for Injection (IV)
Valsartan 40 mg Film-Coated Tablet
Valsartan 40 mg Tablet
Page 11 of 67
Administration
Valsartan 160 mg Capsule
Valsartan 80mg Film-Coated Tablet
Valsartan 80mg Tablet
Valsartan 80mg Capsule
Valsartan + Amlodipine 5 mg + 80 mg Film-Coated Tablet
Valsartan + Amlodipine 5 mg + 80 mg Tablet
Valsartan + Amlodipine (as besilate) 160 mg/ 10 mg Film-Coated Tablet
Valsartan + Amlodipine (as besilate) 160 mg/ 5mg Film-Coated Tablet
Valsartan + Amlodipine (as besilate) 250 mg Film-Coated Tablet
Valsartan + Hydrochlorothiazide 160 mg/ 12.5 mg Film-Coated Tablet
Valsartan + Hydrochlorothiazide 160 mg/ 12.5 mg Tablet
Valsartan + Hydrochlorothiazide 160 mg/25 mg Film Coated Tablet
Valsartan + Hydrochlorothiazide 160 mg/25 mg Tablet
Valsartan + Hydrochlorothiazide 320 mg / 25 mg Film-Coated Tablet
Valsartan + Hydrochlorothiazide 320 mg / 25 mg Tablet
Valsartan + Hydrochlorothiazide 320 mg / 12.5 mg Film-Coated Tablet
Valsartan + Hydrochlorothiazide 320 mg / 12.5 mg Tablet
Valsartan + Hydrochlorothiazide 80 mg/25 mg Film-Coated Tablet
Valsartan + Hydrochlorothiazide 80 mg + 12.5 mg Film-Coated Tablet
Valsartan + Hydrochlorothiazide 80 mg + 12.5 mg Tablet
Verapamil 40 mg Film-Coated Tablet
Verapamil 80 mg Tablet
Verapamil 180 mg Tablet
Verapamil 180 mg Sustained-Release Tablet
Verapamil 240 mg Sustained-Release Tablet
Verapamil 2.5 mg/mL (5 mg/2 mL) Solution for Injection (IV)
Verapamil + Trandolapril 180 mg/2 mg Film-Coated Tablet
Verapamil Hydrochloride 180mg Sustained-Release Tablet
Verapamil Hydrochloride 240mg Sustained-Release Tablet
Zofenopril 7.5 mg Film-Coated Tablet
Zofenopril 30 mg Film-Coated Tablet
Page 12 of 67
Administration
Zofenopril Calcium 15 mg Tablet
Page 13 of 67
B. LIST OF MEDICINES FOR CANCER

Administration
Abiraterone Acetate 500 mg Film-Coated Tablet
Afatinib (As Dimaleate) 20 mg Film-Coated Tablet
Alectinib 150 mg Capsule
Anagrelide (As Hydrochloride) 500mcg Capsule
Anastrazole 1 mg Film-Coated Tablet
Anastrozole 1 mg Tablet
Antithymocyte Immunoglobulin (ATG) 50 mg/ mL (250
Solution for IV Infusion
(Equine) mg/5 mL)
1 mg/mL
Arsenic Trioxide Solution For Injection (IV Infusion)
(10mg/10mL)
Atezolizumab 60 mg/mL Concentration For I.V. Solution
Azathioprine 50 mg Tablet
Baricitinib 2 mg Tablets
Baricitinib 4mg Tablets
Sterile Freeze-Dried Powder For IV
Basiliximab 20 mg
Infusion Or Injection
Lyophilized Powder for Concentrate
Bendamustine Hydrochloride 100mg
for Solution for I.V. Infusion
100 mg/4 mL (25 Concentrate For Solution For Infusion
Bevacizumab mg/mL) (IV)
400 mg/16 mL (25 Concentrate For Solution For Infusion
Bevacizumab
mg/mL) (IV)
Bicalutamide 150 mg Tablet
Bicalutamide 150mg Film-Coated Tablet
Bicalutamide 50 mg Film- Coated Tblet
Bicalutamide 50 mg Tablet
Lyophilized Powder For Injection
Bleomycin (As Sulfate) 15 Units
(IV/IM/SC)
Bleomycin (As Sulfate) 15 Units Powder For Injection
Lyophilized Powder for Solution for
Bortezomib 1 mg
Injection (I.V.)
Bortezomib 2mg Lyophilized Powder For Injection
Bortezomib 2mg Powder for Solution for Injection (IV)
Bortezomib 3.5 mg Lyophilized Powder For Injection
Bortezomib 3.5 mg Lyophilized Powder for Injection (I.V.)
Lyophilized Powder for Injection
Bortezomib 3.5 mg
(IV/SC)
Lyophilized Powder For Solution For
Bortezomib 3.5 mg
Injection (I.V./S.C.)
Powder For Solution For Injection
Bortezomib 3.5 mg
(I.V.)
Bortezomib 3.5mg Lyophlized Powder for IV Infusion
Bortezomib 3.5mg Powder For Solution For Injection
Powder for Solution for Injection
Bortezomib 3.5mg
(IV/SC)
Page 14 of 67
Administration
Bortezomib 3.5mg
(IM/SC)
Bupivacaine Hydrochloride In 8% Dextrose 5mg/mL Solution For Intrathecal Injection
Busulfan 6mg/mL Solution for Infusion (IV)
10 mg/ mL (50 mg/
Calcium Folinate 5 mL) Solution for Injection
Capecitabine 150 mg Film-Coated Tablet

Capecitabine 500 mg Film Coated Tablet
Carboplatin 150 mg Lyophilized Powder For Inj
50 mg/5 mL (10
Carboplatin Solution For IV Infusion
mg/ mL)
Carboplatin 10 mg/mL Concentrate Solution For IV Infusion
Carboplatin 10 mg/mL Solution for Injection
Carboplatin 10 mg/mL Solution For Injection (IV)
Carboplatin 10mg/mL Solution for IV Infusion
10 mg/mL (450 mg/
Carboplatin 45 mL) Solution For IV Infusion
10 mg/mL (450
Carboplatin Solution For Injection (I.V.)
mg/45 mL)
10 mg/mL (450
Carboplatin Solution for Injection (IV Infusion)
mg/45 mL)
10 mg/mL (450
Carboplatin mg/45 mL) Solution For Intravenous Infusion
10 mg/mL (450
Carboplatin Solution For IV Infusion
mg/45 mL)
10 mg/ mL (150
Carboplatin mg/ 15 mL) Solution For IV Infusion
10mg/mL (150mg/
Carboplatin Solution For Injection
15mL)
10mg/mL
Carboplatin Solution For Injection (IV)
(150mg/15mL)
Carfilzomib 60mg Solution for Injection
Cetrorelix (as acetate) 250 mcg Lyophilized Powder For Injection (IV)
Cetuximab 5 mg/mL Solution for Intravenous Infusion
Chorionic Gonadotrophin 5000 IU Powder for Injection (IM)
Ciclosporin 100 mg Soft Gelatin Capsule
Ciclosporin 100 mg/mL Oral Solution
Ciclosporin 1mg/ mL Ophthalmic emulsion
Ciclosporin 25 mg Soft Gelatin Capsule
0.5 mg/mL (10
Cisplatin Concentrate For IV Infusion
mg/20mL)
500mcg/mL
Cisplatin Solution for IV Infusion
(10mg/20mL)
50 mg/100 mL (0.5
Cisplatin mg/mL) Concentrate For Infusion (I.V.)
Cisplatin 10 mg Lyophilized Powder For Inj

1 mg/mL
Cisplatin Solution For Intravenous (IV) Infusion
(10mg/10mL)
1 mg/mL
Cisplatin Solution For IV Infusion
(10mg/10mL)
1 mg/mL (50
Cisplatin Solution For Injection (I.V. Infusion)
mg/50mL)
1 mg/mL (50
Cisplatin mg/50mL) Solution For Injection (IV)
Page 15 of 67
Administration
1mg/mL
Cisplatin Solution For Infusion (I.V. Infusion)
(50mg/50mL)
Cisplatin 1 mg/mL Solution For Injection
Cisplatin 1 mg/mL Solution for Intravenous (IV) Infusion
Concentrate for Solution for Injection
Cisplatin 1mg/ mL
(IV)
Cisplatin 1mg/mL Solution For Injection (IV)
Cisplatin 50mg Lyophilized Powder For Inj
Cyclophosphamide 1g Powder For Injection (I.V.)
Powder for Injection (I.V./
Cyclophosphamide 1g
Intraperitoneal/ Intrapleural/ I.A.)
Cyclophosphamide 1g Lyophilized Powder For Injection
Cyclophosphamide 200 mg Powder For Injection (I.V.)
Powder For Injection (IM, IV, IA,
Cyclophosphamide 200 mg
Intraperitoneal, Intrapleural)
Cyclophosphamide 500 mg Powder For Injection (I.V.)
Powder For Injection (IM, IV, IA,
Cyclophosphamide 500 mg
Intraperitoneal, Intrapleural)
Cyclophosphamide (as monohydrate) 1g Powder For Injection (I.V.)
Cylophosphamide 500 mg Powder For IV Injection
Cyclosporine 0.5 mg/g (0.5%) Ophthalmic Emulsion
Cyproterone Acetate 50 mg Film-Coated Tablet
Cyproterone Acetate + Ethinylestradiol 2.0mg/ 35mcg Sugar-Coated Tablet
Cytarabine 100 mg/mL Solution For Injection (IV/SC/IT)
100 mg/mL (1
Cytarabine Solution For Injection (IV)
g/10mL)
Solution for Injection
Cytarabine 100mg/ mL
(IV/SC/Intrathecal)
20 mg/mL (100 Solution For Injection/ Infusion
Cytarabine
mg/5 mL) (I.M./I.V./S.C./I.A.)
Dacarbazine 200 mg Powder For Injection (I.V.)
Dactinomycin 500 mcg Lyophilized Powder For Injection (I.V.
Concentrate For Solution For Infusion
Daratumumab 20 mg/mL
(IV)
Decitabine 50 mg Lyophilized Powder for Infusion (IV)
Denosumab 60 mg/ mL Solution For Injection (SC)
Der Pte Extract (Dermatophagoides
6 SQ-HDM per
Pteronyssinus + Der Far Extract Tablet
(Dermatophagoides Farinae) active substance
Docetaxel 10 mg/mL Concentrate For Solution For Infusion

Docetaxel 20 mg/0.5 mL Concentrate For Injection (IV)
Docetaxel 20 mg/0.5 mL Concentrate Solution for Injection (IV)
Docetaxel 20 mg/0.5 mL Concentrate Solution For IV Infusion
Docetaxel 20mg/ mL Concentrate Solution for IV Infusion
Lyophilized Powder for Nanosomal
Docetaxel 20mg
Lipid Suspension for IV Infusion
20 mg/0.5 mL (80
Docetaxel Concentrate Solution for Injection (IV)
mg/2mg)
Concentrate for Solution for IV
Docetaxel 40mg/ mL Infusion
Docetaxel 40mg/mL Concentrate for IV Infusion
Page 16 of 67
Administration
40mg/mL
Docetaxel Concentrate Solution for IV Infusion
(20mg/0.5mL)
40mg/mL
Docetaxel (80mg/2mL) Concentrate Solution for IV Infusion
Docetaxel 80 mg/ 4 mL Concentrate Solution for IV Infusion

Lyophilized Powder for Nanosomal
Docetaxel 80mg
Lipid Suspension for IV Infusion
10 mg/mL (120 Solution for Intravenous
Docetaxel (as trihydrate)
mg/12 mL) Infusion
10 mg/mL (20 mg/2 Solution for Intravenous
Docetaxel (as trihydrate)
mL) Infusion
10 mg/mL (80 mg/8 Solution for Intravenous
Docetaxel (as trihydrate) mL) Infusion
Docetaxel (as trihydrate) 120 mg/3 mL Concentrate Solution for I.V. Infusion
Docetaxel (As Trihydrate) 20 mg/0.5 mL Concentrate Solution for I.V. Infusion
Docetaxel (As Trihydrate) 20 mg/0.5 mL Solution for Injection (IV)
Concentrated Solution For Injection
Docetaxel (as Trihydrate) 20mg/0.5mL
(IV Infusion)
Concentrate For Solution For IV
Docetaxel (As Trihydrate) 20 mg/mL
Infusion
20 mg/mL, 80
Docetaxel (As Trihydrate) mg/4mL and 120 Concentrate Solution For IV Infusion
mg/6 mL
40 mg/mL (20
Docetaxel (As Trihydrate) concentrated solution for iv infusion
mg/0.5 mL)
40 mg/mL (80 mg/2
Docetaxel (As Trihydrate) Concentrate Solution For I.V. Infusion
mL)
40mg/mL
Docetaxel (As Trihydrate) Concentrated Solution For IV Infusion
(120mg/3mL)
Docetaxel (as trihydrate) 80 mg/2mL Concentrate Solution for I.V. Infusion
Docetaxel (As Trihydrate) 80 mg/4mL
Infusion
Doxorubicin Hydrochloride 10 mg Lyophilized Powder For Injection (IV)
2 mg/mL (50 mg/25
Doxorubicin Hydrochloride Solution For Injection (I.V)
mL)
10 mg/5 mL (2 Solution For Injection
Doxorubicin hydrochloride
mg/mL) (I.V./I.A./Intravesicular)
2 mg/mL (10 mg/5
Doxorubicin Hydrochloride Solution For Injection (I.V.)
mL)
2 mg/mL (20 mg/10
Doxorubicin hydrochloride Concentrated Solution for I.V. Infusion
mL)
2 mg/mL (20mg/10 Pegylated Liposomal Concentrated
mL) Solution For I.V. Infusion
2mg/mL Pegylated Liposomal Suspension for
Doxorubicin Hydrochloride (20mg/10mL) Intravenous Infusion
Doxorubicin Hydrochloride 2mg/mL Concentrate Solution For IV Infusion
Doxorubicin Hydrochloride 2mg/ mL Liposomal Concentrate
Pegylated Liposomal Concentrate
Suspension for Solution for Injection
Doxorubicin hydrochloride 2 mg/mL
for I.V.
Infusion
Doxorubicin Hydrochloride 2 mg/mL Solution For I.V. Infusion
Doxorubicin Hydrochloride 2 mg/mL Solution For Injection
Doxorubicin Hydrochloride 2 mg/mL Solution For Injection (I.V.)
Doxorubicin Hydrochloride 20mg Liposomal Injection
Doxorubicin Hydrochloride 50mg Liposomal Injection
Page 17 of 67
Administration
Doxorubicin hydrochloride 50 mg Lyophilized Powder For Injection
Doxorubicin Hydrochloride 50 mg Lyophilized Powder For Injection (IV)
Lyophilized Powder For
Doxorubicin Hydrochloride 50 mg
Injection/Infusion
Doxorubicin Hydrochloride 50mg Powder for Injection (IV)
Doxorubicin Hydrochloride 50mg/25mL Powder For Injection (IV)
2mg/mL Concentrate Solution For Intravenous
(50mg/25mL) Infusion
50 mg/25 mL (2 Solution For Injection
mg/mL) (I.V./I.A./Intravesicular)
Eicosapentanoic Acid + Docosahexaenoic
Acid (see reverse for formulation) 360 mg/240 mg Softgel Capsule
Epirubicin Hydrochloride 10mg Lyophilized Powder For Injection (IV)

Powder For Injection
Epirubicin Hydrochloride 10mg
(Intravenous/Intravesical)
Epirubicin Hydrochloride 2mg/mL Solution For Injection
Concentrate for Injection
Epirubicin Hydrochloride 2mg/mL
(IV/Intravesical)
Epirubicin Hydrochloride 50 mg Lyophilized Mass For Injection (IV)
Epirubicin Hydrochloride 50 mg Lyophilized Powder For Injection (IV)
Epirubicin hydrochloride 50mg Powder for Injection (IM/IV)
Powder For Injection
Epirubicin Hydrochloride 50mg
(Intravenous/Intravesical)
Epoetin Alfa 10,000 IU/mL Solution For Injection (IV/SC)
Epoetin Alfa 4,000 IU/mL Solution for Injection (IV/SC)
Epoetin Alfa 4,000IU/0.4mL Solution For Injection (IV/SC)
Epoetin Alfa (Recombinant Human Lyophilized Powder for Injection
10,000 IU
Erythropoietin) (IV/SC)
Epoetin Alfa (Recombinant Human
10000 IU/mL Solution for Injection (IV/SC)
Erythropoietin)
2,000 IU/0.5 mL Solution for Injection (IV/SC)
Erythropoietin)
Erythropoietin) 2,000 IU/mL Solution for Injection (IV/SC)
Epoetin Alfa (Recombinant Human Lyophilized Powder for Injection
2000 IU
Erythropoietin) (IV/SC)
4,000 IU Solution For Injection
Erythropoietin)
Erythropoietin) 4,000 IU/ 0.5mL Solution for Injection (IV/SC)
4000 IU/ mL Solution For Injection (IV/SC)
Erythropoietin)
4000 IU/ mL Solution for Injection
Erythropoietin)
Epoetin beta 2,000 I.U./0.3mL Solution for Injection (S.C./I.V.)
Epoetin Beta 30000 IU/ 0.6 mL Solution For Injection (IV/SC)
Epoetin Beta 5,000 I.U./ 0.3 mL Solution for Injection (S.C./I.V.)
Erenumab 140 mg/mL Solution For Injection (SC)
Erenumab 70 mg/mL Solution For Injection (SC)
500mcg/ mL (1mg/
Eribulin mesilate Solution for IV Injection
2mL)
Erlotinib 100 mg Film-Coated Tablet
Erlotinib 150 mg Tablet
Page 18 of 67
Administration
Erlotinib 150mg Film-Coated Tablet
Erlotinib (as hydrochloride) 100mg Film-Coated Tablet
Erlotinib (as hydrochloride) 150mg Film-Coated Tablet
Erlotinib (as hydrochloride) 25 mg Film-Coated Tablet
Lyophilized Powder for Subcutaneous
Etanercept 25mg
Injection
Etanercept 25mg/0.5mL Solution For Injection (SC)
Etanercept 50mg/mL Solution For Injection (S.C.)
Etoposide 100 mg/5 mL Solution For Injection
Etoposide 100 mg/5 mL Solution For Injection (I.V.)
100mg/5mL
Etoposide Solution for Injection IV
(20mg/mL)
Concentrate For IV Infusion Or Oral
Etoposide 20 mg/mL Solution
Everolimus 250 mcg Tablet
Everolimus 500 mcg Tablet
Evolocumab 140 mg/mL Pre-filled Syringe for Injection
Solution for Injection in Pre-filled
Evolocumab 140 mg/mL
Autoinjector
Exemestane 25 mg Film-Coated Tablet
Exemestane 25 mg Tablet
Filgrastim 150 mcg/mL Solution for Injection (IV/SC)
Filgrastim 30 MU/0.5 mL Solution for Injection/Infusion
Filgrastim 300 mcg/ mL Solution For Injection (IV/SC)
Filgrastim 300mcg/ 0.9mL Solution for Injection (IV/SC)
Filgrastim 300mcg/mL Solution for Injection
Filgrastim (Recombinant Granulocyte Colony-
300 mcg/mL Solution For Injection (SC/IV)
Stimulating Factor [Rhu-Gcsf])
Filgrastim (Recombinant Human Granulocyte
300 mcg/mL Solution For Injection
Colony Stimulating Factor
50 mg/mL (500
Fluorouracil mg/10 mL and 1 Solution For I.V. Infusion
g/20 mL)
50 mg/ mL (500
Fluorouracil Solution for Injection
mg/ 10 mL)
50 mg/mL (500
Fluorouracil Solution For Injection (IV/IV Infusion)
mg/10 mL)
Fluorouracil 50mg/mL Solution For Injection
Fluorouracil 50mg/mL Solution For Injection (IV Infusion)
Fluorouracil 50mg/mL Solution for Injection (IV)
Follitropin alfa 150 IU/ 0.3mL Solution for Injection (SC/IM)
350 IU/150 IU
Follitropin Alfa / Lutropin Alfa Solution For Injection (SC)
(0.48mL)
450 IU/225 IU (0.72
Follitropin Alfa / Lutropin Alfa mL) Solution For Injection (SC)
900 IU/450 IU (1.44
Follitropin Alfa / Lutropin Alfa Solution For Injection (SC)
mL)
Follitropin Alfa / Lutropin Alfa 150 IU/ 75 IU Powder for Solution for Injection (SC)
Page 19 of 67
Administration
12 mcg/0.36 mL
Follitropin Delta (33.3 mcg/mL) Solution for Injection (SC)
36 mcg/1.08 mL
Follitropin Delta (33.3 mcg/mL) Solution for Injection (SC)
72 mcg/2.16 mL
Follitropin Delta Solution for Injection (SC)
(33.3 mcg/mL)
Gefitinib 250mg Film-Coated Tablet
Gemcitabine 1g Lyophilized Powder for I.V. Infusion
Gemcitabine 1g Lyophilized Powder for Injection (IV)
Gemcitabine 200mg Lyophilized Powder for I.V. Infusion
Gemcitabine (As Hydrochloride) 1g Lyophilized Powder For Injection
Lyophilized Powder For Injection (I. V.
Gemcitabine (As Hydrochloride) 1g
Infusion)
Gemcitabine (As Hydrochloride) 1g Lyophilized Powder For Injection (I.V.)
Gemcitabine (As Hydrochloride) 1g Lyophilized Powder For IV Infusion
Lyophilized Powder for Solution for IV
Gemcitabine (as Hydrochloride) 1g
Infusion
Gemcitabine (As Hydrochloride) 1g Powder For Solution
Gemcitabine (As Hydrochloride) 1g
(I.V.)
Gemcitabine (As Hydrochloride) 200 mg Lyophilized Powder For Injection
Lyophilized Powder For Injection (I. V.
Gemcitabine (As Hydrochloride) 200 mg
Infusion)
Gemcitabine (As Hydrochloride) 200 mg
(I.V.)
Gemcitabine (As Hydrochloride) 200 mg Powder For Solution For IV Infusion
Lyophilized Powder for Injection (I.V.
Gemcitabine (As Hydrochloride) 200mg
Infusion)
Gemcitabine (as hydrochloride) 200mg Lyophilized Powder for Injection (IV)
Gemcitabine (as Hydrochloride) 200mg
Infusion
Gemcitabine (As Hydrochloride) 200mg Powder For Solution
Concentrate Solution for Injection for
Gemcitabine (as Hydrochloride) 40 mg/ mL I.V. Infusion
Gemcitabine Hydrochloride 200mg Lyophilized Powder for Injection (I.V.)
Gemcitabine (As Hydrochloride) 1 gram Lyophilized Powder for Injection (IV)
Granisetron 1 mg/mL Solution For I.V. Infusion
1 mg/mL (3 Solution for I.V. Injection or
Granisetron (hydrochloride)
mg/3mL) Infusion
Guselkumab 100 mg Solution For Injection (SC)
Highly Purified Menotrophin 600 IU Powder for Solution for Injection (SC)
Hydroxycarbamide 500 mg Capsule
Hydroxyurea 500 mg Capsule
Ibandronic acid 3 mg/3 mL Prefilled Syringe (IV)
Ibrutinib 140mg Capsule
Idarubicin hydrochloride 1mg/ mL
Infusion
Powder For Injection (I.V./I.V.
Ifosfamide 1g
Infusion)
Powder For Injection (I.V./I.V.
Ifosfamide 2g
Infusion)
Ifosfamide 40mg/mL Solution For Infusion
Page 20 of 67
Administration
IMatinib (as mesilate) 100 mg Capsule
Imatinib (as mesilate) 400 mg Capsule
Imatinib (As Mesilate) 400 mg Film-Coated Tablet
Powder For Concentrate For Solution
Infliximab 100 mg
For Infusion
Inosiplex 250 mg/5 mL Syrup
Interferon Alfa-2B (Human) 3 million I.U/mL Solution For Injection (I.M./S.C.)
Interferon Alfa-2B (Human) 5 million I.U/mL Solution For Injection (I.M./S.C.)
132 mcg (36 million
Interferon Beta-1A (Human) Solution for Injection (SC)
I.U.)/1.5 mL
66 mcg (18 million
Interferon Beta-1A (Human) Solution For Injection (SC)
I.U)/1.5 mL
250mcg (8million/
Interferon-Beta 1B IU/mL) Lyophilized powder for injection (SC)
Irinotecan (As Hydrochloride) 100mg/ 5mL Solution for Intravenous Infusion

Irinotecan (As Hydrochloride) 40mg/ 2mL Solution for Intravenous Infusion
Irinotecan Hydrochloride 20mg/mL Solution for Injection (IV)
Irinotecan Hydrochloride 20mg/mL Solution for IV Infusion
20mg/mL Concetrate Solution For Intravenous
Irinotecan hydrochloride
(100mg/5mL) Infusion
20mg/mL
Irinotecan Hydrochloride (40mg/2mL)
(100mg/5mL) Solution
Irinotecan Hydrochloride 40mg/ 2mL
Infusion
20 mg/mL (100
Irinotecan hydrochloride (as trihydrate) Solution for IV Infusion
mg/5mL)
20 mg/mL (40 mg/2
Irinotecan hydrochloride (as trihydrate) mL) Solution for IV Infusion
Irinotecan Hydrochloride Trihydrate 100mg/ 5mL
Infusion
Irinotecan Hydrochloride Trihydrate 20mg/mL Concentrate Solution for IV Infusion
20mg/mL
Irinotecan Hydrochloride Trihydrate (40mg/2mL and Concentrate Solution for I.V. Infusion
100mg/5mL)
Ixazomib 2.3mg Capsule
Ixazomib 3mg Capsule
Ixazomib 4mg Capsule
Ixekizumab 80 mg/mL Solution For Injection (SC)
Lapatinib (As Ditosylate) 250 mg Film-Coated Tablet
L-Asparaginase 10,000 IU Lyophilized Powder For Injection
L-Asparaginase 10,000 IU
(IM/IV)
L-Asparaginase 5000 IU Lyophilized mass for injection
L-Asparaginase 5000 IU Lyophilized Powder For Injection
Lenvatinib (as mesilate) 10mg Capsule
Lenvatinib (as mesilate) 4mg Capsule
Letrozole 2.5 mg Film- Coated Tablet
Letrozole 2.5 mg Tablet
Powder For Injection (IM/SC)
Leuprorelin Acetate 1.88mg
Sustained Release
Page 21 of 67
Administration
Leuprorelin Acetate 11.25 mg Lyophilized Powder for Injection
Leuprorelin Acetate 11.25 mg
(IM/SC)
Leuprorelin Acetate 3.75 mg
(IM/SC Use Only for Once a Month)
Leuprorelin Acetate 3.75mg Lyophilized Powder For Injection
Powder for Injection (IM/SC)
Leuprorelin Acetate 3.75mg
[Sustained Release]
Leuprorelin Acetate 3.75mg Solution for Injection (I.M./S.C.)
Lyophilized Powder for Injcetion
Luprolex 11.25mg
(IM/SC) Sustained Release
Melphalan 2 mg Film-Coated Tabet
Menotrophin 150 IU
(IM/SC)
Menotrophin 75 IU
(IM/SC)
Mercaptopurine 50 mg Tablet
100mg/ mL
Methotrexate Solution for Injection (IM/IV/IA)
(1g/10mL)
100mg/mL
Methotrexate (1000mg/10mL) Solution for Injection (IM/IV)
100mg/mL
Methotrexate Solution for Injection (IM/IV)
(500g/5mL)
Methotrexate 2.5 mg Tablet
25 mg/mL (50mg/
Methotrexate Solution For Injection (IM/IV)
2mL)
25mg/mL (50 Solution For Injection (IM/IV/Intra-
Methotrexate
mg/2mL) Arterial/Intrathecal)
Methotrexate 50mg/2mL Solution For Injection (I.V)
Methotrexate (As Disodium) 2.5 mg Tablet
Powder for Concentrate for Dispersion
Mifamurtide 4mg
for Infusion
Mitomycin 10 mg Powder For Injection (I.V.)
Mitomycin C 10 mg Powder For Injection
Mycophenolate Mofetil 250 mg Capsule
Mycophenolate Mofetil 500 mg Film - Coated Tablet
Mycophenolate Mofetil 500 mg Tablet
Mycophenolic Acid (as Mycophenolate Gastro-Resistant Tablets (Film-
360mg
Sodium) Coated)
Netupitant/Palonosetron HCl 300mg/500mcg Capsule
Nilotinib (As Hydrochloride Monohydrate) 200 mg Capsule
Nintedanib (as esilate) 100mg Capsule
Nintedanib (as esilate) 150mg Capsule
Octreotide Acetate 100 mcg/mL Solution for Injection (SC/IV)
Octreotide acetate 50mcg/ mL Solution for Injection (IV/SC)
Ondansetron 2 mg/ mL Solution For Intravenous Infusion
Ondansetron 2 mg/mL Solution For Injection
2 mg / mL (8 mg / 4
Ondansetron (As Hydrochloride Dihydrate) Solution For Injection (I.M./I.V.)
mL)
Ondansetron (As Hydrochloride Dihydrate) 4 mg Film-Coated Tablet
ONDANSETRON (as hydrochloride dihydrate) 8 mg Film Coated Tablet
Page 22 of 67
Administration
Ondansetron (As Hydrocloride Dihydrate) 2 mg/mL Solution For Injection (I.M./I.V.)
Osimertinib (As Mesylate) 40 mg Film-Coated Tablet
Osimertinib (As Mesylate) 80 mg Film-Coated Tablet
Oxaliplatin 100 mg Lyophilized Powder For Injection
Lyophilized Powder For Solution For
Oxaliplatin 100 mg I.V Infusion
Lyophilized Powder for Injection (IV
Oxaliplatin 100mg
Infusion)
Oxaliplatin 2 mg/ mL Concentrate Solution for I.V. Infusion
Oxaliplatin 2mg/mL Solution For IV Infusion
2 mg/mL (100
Oxaliplatin Solution For Injection (I.V. Infusion)
mg/50 mL)
2 mg/mL
Oxaliplatin Solution For IV Injection
(100mg/50mL)
2mg/mL
Oxaliplatin Solution For Injection (IV Infusion)
(50mg/25mL)
2 mg/mL (50 mg/25
Oxaliplatin Sterile Solution For IV Infusion
mL)
5mg/ mL (50mg/
Oxaliplatin Solution for Injection
10mL)
Oxaliplatin 5 mg/mL
(IV)
Oxaliplatin 50 mg Lyophilized Powder
Oxaliplatin 50 mg Lyophilized Powder For I.V. Infusion
Oxaliplatin 50 mg Lyophilized Powder For Injection
Paclitaxel 100 mg/17 mL Concentrate Solution For I.V. Infusion
Concentrate Solution For IV Infusion
Paclitaxel 100mg (formulated as albumin-bound
nanoparticles)
Solution for Nanoparticle Injection for
Paclitaxel 20mg
Infusion IV
Paclitaxel 6mg/ mL Concentrate Solution (IV)
Concentrate Sterile Solution For IV
Paclitaxel 6mg/mL
Infusion
Paclitaxel 6mg/mL Solution for I.V. Infusion
Paclitaxel 6 mg/mL Solution For Injection
Paclitaxel 6mg/ mL Solution for Injection (IV Infusion)
Paclitaxel 6 mg/mL Solution For Injection (IV)
Paclitaxel 6mg/ mL Solution for Intravenous Infusion
6mg/mL
Paclitaxel Solution For Injection
(30mg/5mL)
6mg/mL
Paclitaxel Solution For Injection (IV Infusion)
(30mg/5mL)
6mg/mL
Paclitaxel Solution For Intravenous Infusion
(30mg/5mL)
6mg/mL
Paclitaxel Concentrate for Solution for Infusion
(30mg/5mL)
6mg/mL Concentrate For Solution For IV
Paclitaxel
(30mg/5mL) Infusion
6mg/mL Concentrate for Solution For Injection
Paclitaxel
(30mg/5mL) (IV)
6 mg/mL (260
mg/43.3 mL)
6mg/mL Concentrate For Solution For IV
Paclitaxel (300mg/50mL) Infusion
Page 23 of 67
Administration
6 mg / mL ( 100
Paclitaxel Solution For Injection (IV Infusion)
mg/16.7 mL)
6 mg/mL (100
Paclitaxel mg/16.7 mL) Concentrate Solution for IV Infusion
6 mg/mL (100
mg/16.7 mL)
6mg/mL Concentrate for Solution For Injection
Paclitaxel
(100mg/16.7mL) (IV)
6mg/mL (150 Concentrate for Solution For Injection
Paclitaxel mg/25 mL) (IV)
Palbociclib 100 mg Capsule
Palonosetron HCl 500 mcg Soft Gel Capsule
Powder and Solvent for Suspension
Pasireotide (as pamoate) 20mg
for Injection (IM)
Pasireotide (as pamoate) 40mg for Injection (IM)
Pasireotide (as pamoate) 60mg
for Injection (IM)
Pegfilgrastim 6mg/ 0.6mL Solution for Injection (SC)
Peg-interferon Alfa 2 A 135mcg/ 0.5mL Solution for Injection (S.C.)
Peg-interferon Alfa 2 A 180mcg/ 0.5mL Solution for Injection (S.C.)
Lyophilized Powder For Concentrate
Pemetrexed 100 mg
For Solution For IV Infusion
Lyophilized Powder For Concentrate
Pemetrexed 500 mg
For Solution For IV Infusion
Lyophilized Powder for Injection for
Pemetrexed (as disodium hemipentahydrate) 100 mg
I.V. Infusion
Lyophilized Powder For Intravenous
Pemetrexed (As Disodium Hemipentahydrate) 100 mg
Infusion
Pemetrexed (as Disodium hemipentahydrate) 300mg Lyophilized Powder for IV Infusion
Pemetrexed (As Disodium Hemipentahydrate) 500 mg
Infusion
Pemetrexed (as Disodium Hemipentahydrate) 500mg Lyophilized Powder for Injection (IV)
Pemetrexed
(As Disodium Hemipentahydrate) 100 mg Powder For Injection
Pemetrexed
(As Disodium Hemipentahydrate) 500 mg Powder For Injection
Pemetrexed (as disodium heptahydrate) 100 mg
Injection
Lyophilized Powder for Injection for
Pemetrexed (as disodium heptahydrate) 500 mg I.V. Infusion
Pemetrexed (as disodium) 100 mg Lyophilized Powder for Injection (IV)
Lyophilized Powder For Injection (IV
Pemetrexed (as disodium) 100mg
Infusion)
Infusion
Pemetrexed (As Disodium) 100mg Solution for IV Infusion
Pemetrexed (As Disodium) 500 mg Lyophilized Powder For IV Infusion
Lyophilized Powder For Injection (IV
Infusion)
Pemetrexed (As Disodium) 500mg Lyophilized Powder for Injection (IV)
Infusion
Page 24 of 67
Administration
Powder for Concentrate for Solution
for I.V. Infusion
30 mg/Ml Concentrate for Solution for Injection
Pertuzumab (420mg/14mL) (IV Infusion)
Pirenoxine 50 mcg/mL Ophthalmic Suspension
Ponatinib (as Hydrocloride) 15mg Film Coated Tablet
Ponatinib (as Hydrocloride) 45mg Film-Coated Tablet
Ramosetron HCl 100mcg Oral Disintegrating Tablet
Ramucirumab 10 mg/mL
(IV)
Recombinant Human Erythropoietin 2000IU/0.5mL Solution For Injection
Recombinant Human Erythropoietin Alfa 10,000 I.U./mL Solution For Injection (I.V./S.C.)
Recombinant Human Erythropoietin Alfa 2000 I.U./0.5mL Solution For Injection (I.V./S.C.)
Recombinant Human Erythropoietin Alfa 4000 I.U./0.4mL Solution For Injection (I.V./S.C.)
Recombinant Human Thrombopoietin 15,000 IU/mL Solution For Injection(SC)
Ribociclib 200 mg Film-Coated Tablet
Rituximab 10 mg/ mL
(IV)
Rituximab 100 mg/ 10 mL Concentrate for Solution for Infusion
Rituximab 500 mg/ 50 mL Concentrate for Solution for Infusion
Ruxolitinib (as Phosphate) 10mg Tablet
Siltuximab 100mg
for Infusion
Sirolimus 0.5mg Sugar-Coated Tablet
Sirolimus 1 mg Sugar-Coated Tablet
Lyophilized Powder For Intravenpus
Somatostatin (As Acetate Hydrate) 250mcg
Injection
Somatostatin (As Acetate Hydrate) 3mg
Injection (IV)
Sorafenib (As Tosylate) 200 mg Film-Coated tablet
Sunitinib malate 25 mg Capsule
Sunitinib malate 50 mg Capsule
Sunitinib maleate 12.5 mg Capsule
300 mcg/g (0.03%
Tacrolimus Ointment
w/w)
0.3 mg/g (0.03 %
Tacrolimus Ointment
w/w)
Tacrolimus 1 mg Capsule
Tacrolimus 1 mg/g (0.1 % w/w) Ointment
Tacrolimus 5 mg Capsule
Tacrolimus 500 mcg Capsule
Tacrolimus (as monohydrate) 1 mg Capsule
Tacrolimus (as monohydrate) 1mg Prolonged-Release Capsule
Tacrolimus (as monohydrate) 500mcg Capsule
Tacrolimus (as monohydrate) 500mcg Prolonged-Release Capsule
Tacrolimus (as monohydrate) 5mg Prolonged-Release Capsule
Tamoxifen (As Citrate) 10 mg Tablet
Page 25 of 67
Administration
Tamoxifen (As Citrate) 20 mg Film- Coated Tablet
Tamoxifen (as citrate) 20 mg Tablet
Tarceva 150 mg Film-Coated Tablet
Tegafur + Uracil 100 mg/224 mg Capsule
Temozolomide 100 mg Capsule
Temozolomide 100 mg Hard Gelatin Capsule
Teriflunomide 14mg Film-Coated Tablet
250mg/ mL (1 g/
Testosterone undecanoate Solution for Injection (I.M.)
4mL)
Concentrate For Solution For I.V.
Tocilizumab 200 mg / 10 mL
Infusion
Tocilizumab 400 mg/ 20 mL
Infusion
Tocilizumab 80 mg/ 4 mL
Infusion
Trametinib 2 mg Film-Coated Tablet
Trametinib 500 mcg Film-Coated Tablet
Trastuzumab 150 mg
Powder For Concentrate For Infusion
Trastuzumab 150 mg (IV)
Trastuzumab 150mg
for Infusion
Trastuzumab 440mg
for Infusion
Powder for Concentration for Solution
Trastuzumab Emtansine 100 mg For IV Infusion
Powder for Concentration for Solution
Trastuzumab Emtansine 160 mg
for IV Infusion
Tretinoin 10mg Capsule
Triptorelin (as acetate) 100 mcg/mL Solution for Injection (SC)
4.12 mg (equivalent
Triptorelin Acetate to 3.75 mg Powder For Suspension For Injection
Triptorelin)
Tropisetron Hydrochloride 5mg/ 5mL Solution for (IV) Injection
Ursodeoxycholic Acid 200 mg Tablet
Concentrate for Solution For Infusion
Ustekinumab 130mg/26mL
(IV)
Powder for Concentrate for solution
Vedolizumab 300mg
for infusion
Vemurafenib 240 mg Film-coated Tablet
Vinblastine Sulfate 10 mg Powder For Injection (I.V.)
Vincristine Sulfate 1 mg Powder For Solution For Injection IV)
Vincristine Sulfate 1 mg/mL Solution For Injection (I.V.)
1 mg/mL (1 mg/mL
Vincristine Sulfate Solution for Injection (IV)
& 2 mg/2 mL)
Vincristine Sulfate 2 mg Lyophilized Powder for Injection (IV)
Page 26 of 67
Administration
Vinorelbine (as tartrate) 10 mg/ mL Concentrate Solution For IV Infusion
Vinorelbine Tartrate 10 mg/mL Solution For IV Infusion
Zoledronic Acid (as monohydrate) 4 mg Lyophilized Powder For Injection
Page 27 of 67
C. LIST OF MEDICINES FOR MENTAL ILLNESSES

Administration
Alprazolam 25mcg Tablet
Alprazolam 250mcg Tablet
Alprazolam 500 mcg Tablet
Alprazolam 1 mg Tablet
Amisulpride 200 mg Tablet
Amisulpride 400mg Tablet
Amitriptyline Hydrochloride 25 mg Film-Coated Tablet
Aripiprazole 5 mg Tablet
Aripiprazole 15 mg Tablet
Aripiprazole 10mg Orally Disintegrating Tablet
Aripiprazole 15mg Orally Disintegrating Tablet
Aripiprazole 10mg Tablet
Atomoxetine (As Hydrochloride) 25 mg Capsule
Atomoxetine(as hydrochloride) 40mg Capsule
Bromazepam 1.5mg Tablet
Bupropion hydrochloride 150mg Extended-Release Tablet
Carbamazepine 200mg Tablet
Chlorpromazine Hydrochloride 200mg Film Coated Tablet
Chlorpromazine Hydrochloride 100mg Film Coated Tablet
Chlorpromazine Hydrochloride 200mg Tablet
Chlorpromazine(as Hydrochloride) 100mg Tablet
Choline Alfoscerate 400 mg Soft-Gel Capsule
250 mg/mL (500
Citicoline Solution For Injection (IM/IV)
mg/2 mL) (1 g/4 mL)
Citicoline 500 mg Capsule
Citicoline 125mg/mL Solution For Injection
Citicoline 100mg/mL Adult Solution
250mg/mL
Citicoline Solution For Injection (IV/IM)
(500mg/2mL)
250mg/mL (1g /
Citicoline 4mL) Solution for Injection (IV/IM)
Citicoline 1g Tablet
62.5mg/mL
Citicoline Solution For Injection (IM/IV)
(250mg/4mL)
250 mg/mL
Citicoline Solution For Injection (IV/IM)
(500mg/2mL)
Citicoline ( As Sodium ) 250 mg /mL Solution For Injection
Citicoline (As Sodium) 100 mg/5 mL Syrup
Citicoline (As Sodium) 250mg/mL Solution For Injection
Citicoline (As Sodium) 1g Tablet
Page 28 of 67
Administration
Citicoline (As Sodium) 100 mg/mL Adult Solution (Oral Drops)
Citicoline (As Sodium) 500 mg Film-Coated Tablet
Citicoline (As Sodium) 250 mg/mL Solution For Injection (IM/IV)
250mg/ mL (1g/
Citicoline (as sodium) Solution for Injection (IM/IV)
4mL)
250mg/ mL (500mg /
Citicoline (As Sodium) Solution For Injection (I.M./I.V.)
2mL)
250mg/ mL (1g /
Citicoline (As Sodium) 4mL) Solution for Injection (I.V./I.M.)
Citicoline (as sodium) 500 mg Capsule

1 g/4 mL (250
Citicoline (As Sodium) Solution For Injection (IV/IM)
mg/mL)
Citicoline (as sodium) 1g Film-Coated Tablet
Citicoline (As Sodium) 200 mg Film-Coated Tablet
250 mg/mL (1g/4
Citicoline (As Sodium) Solution For Injection (I.V.)
mL)
500mg/2mL
Citicoline (As Sodium) Solution For Injection (IM/IV)
(250mg/mL)
250mg/mL
Citicoline (As Sodium) Solution for Injection (IM/IV)
(500mg/2mL)
Citicoline (As Sodium) 125mg/mL Solution For Injection
250mg/mL (1 g/4
Citicoline (as Sodium) Solution For Injection
mL)
Citicoline (As Sodium) 1g Extended Release Tablet
Citicoline (As Sodium) 500 mg Tablet
Citicoline (as Sodium) 100mg/ mL Adult Solution (Oral Drops)
Citicoline (As Sodium) 125mg/mL Solution For Injection (IM/IV)
Citicoline (As Sodium) 250mg/mL (1g/4 mL) Solution for Injection (IM/IV)
Citicoline Sodium 250mg per mL Solution For Injection(IM/IV)
250mg/mL
Citicoline Sodium Solution for Injection
(1000mg/4mL)
Citicoline Sodium 125mg/ mL Solution for Injection (IV/IM)
Citicoline Soduim 250mg/mL (1g/4mL) Solution For Injection (IV)
Clorazepate Dipotassium 5mg Capsule
Clozapine 100 mg Tablet
Clozapine 25 mg Tablet
Desvenlafaxine (as succinate) 50 mg Extended Release Tablet
Diazepam 5mg/mL (10mg/2mL) Solution For Injection (IM/IV)
Diazepam 5mg/ mL Solution for Injection (IM/IV)
Diazepam 10 mg Tablet
Donepezil Hydrochloride 5mg Orodispersible Tablet
Donepezil Hydrochloride 10 mg Film-Coated Tablet
Donepezil Hydrochloride 10mg Orodispersible Tablet
Donepezil Hydrochloride 5 mg Film Coated Tablet
Donepezil Hydrochloride 23 mg Film-Coated Tablet
Duloxetine 60mg Delayed-Release Capsule
Duloxetine 30mg Delayed-Release Capsule
Page 29 of 67
Administration
Duloxetine (As Hydrochloride) 30mg Delayed-Release Capsule
Duloxetine (as Hydrochloride) 60mg Delayed-Release Capsule
Duloxetine (As Hydrochloride) 30 mg Capsule
Duloxetine (As Hydrochloride) 60 mg Capsule
Escitalopram 5mg Film-Coated Tablet
Escitalopram 10mg Film-Coated Tablet
Escitalopram 10 mg Tablet
Escitalopram (as oxalate) 10 mg Film-Coated Tablet
Escitalopram (as oxalate) 20 mg Film-Coated Tablet
Escitalopram (As Oxalate) 5mg Film-Coated Tablet
Escitalopram (as oxalate) 5 mg Tablet
Escitalopram (As Oxalate) 5mg Film-Coated Tablet
Escitalopram Oxalate 20 mg Film Coated Tablet
Escitalopram Oxalate 10 mg Film Coated Tablet
250mg/mL (500mg /
Filidon Solution for Injection (IV/IM)
2mL)
Fluoxetine 20mg Capsule
Fluoxetine (as hydrochloride) 20 mg Capsule
Fluoxetine (as hydrochloride) 20 mg Tablet
Fluoxetine (as hydrochloride) + Olanzapine 20mg/ 5mg Film-Coated Tablet
Fluphenazine Decanoate 25mg/mL Solution for Injection (IM/SC)
Fluphenazine Decanoate 25mg/mL Solution For IM Injection
Fluvoxamine (as maleate) 50 mg Tablet
Solution For Injection (Intramuscular
Haloperidol 5 mg/mL
Only)
Haloperidol 5 mg Tablet
Haloperidol 20 mg Tablet
Solution For Injection (Intramasucular
Haloperidol 5 mg/mL
Only)
Haloperidol 5mg/mL Solution For Injection (IM)
Haloperidol Decanoate 50 mg/mL Solution for Injection (IM)
Lamotrigine 25 mg Dispersible/Chewable Tablet
Lithium Carbonate 400 mg Sustained Release Tablet
Mecobalamin 1.5mg Film-Coated Tablet
Memantine hydrochloride 20 mg Film Coated Tablet
Memantine Hydrochloride 10mg Film-Coated Tablet
1 mg/mL (5 mg/5
Midazolam Solution For Injection (IM/IV)
mL)
Midazolam 5 mg/ mL Solution For Injection (IM/IV)
Midazolam 1mg/mL Solution For Injection
Midazolam(As Hydrochloride) Solution For Injection
Mirazep 30mg Film-Coated Tablet
Mirtazapine 30mg Film Coated Tablet
Page 30 of 67
Administration
Mirtazapine 15 mg Orodispersible Tablet
Neostigmine (as methysulfate) 500mcg/mL Solution For Injection
Neostigmine Methylsulfate 500mcg/mL Solution for Injection (IM/IV/SC)
Neostigmine Methylsulfate 0.50mg/mL Solution for Injection (IM/IV/SC)
500mcg/Ml
Neostigmine Methylsulfate Solution For Injection (IM/IV/SC
(5mg/10mL)
Olanzapine 10 mg Film-Coated Tablet
Olanzapine 10mg Orodispersible Tablet
Olanzapine 20mg Orally Disintegrating Tablet
Olanzapine 10 mg Tablet
Olanzapine 5 mg Orodispersible Tablet
Olanzapine 5mg Tablet
Ondansetron (As Hydrochloride) 2 mg/mL Solution for Injection (IM/IV)
Paliperidone 3 mg Extended-Release Tablet
Prolonged-Release Suspension for
Paliperidone (as Palmitate) 175mg
Injection (IM)
Paliperidone (as Palmitate) 263mg Injection (IM)
Paliperidone (as Palmitate) 350mg/5mL
Injection (IM)
Paliperidone (as Palmitate) 525mg
Injection (IM)
Paroxetine 20mg Tablet
Paroxetine (As Hydrochloride) 20 mg Film-Coated Tablet
Piracetam 800 mg Film-Coated Tablet
Piracetam 200mg/mL (1g/5mL) Solution for Injection (I.M./I.V.)
Piracetam 1.2 g Film-Coated Tablet
Piracetam 1200 mg Film-Coated Tablet
Piracetam 400 mg Capsule
Piracetam 800mg Film-Coated Tablet
Piracetam 1.2 g Film-Coated Tablet
200mg/ mL
Piracetam Solution for Injection (IM/IV)
(1000mg/ 5mL)
Piracetam 200mg/mL Solution for Injection (IM/IV)
Piracetam 1200 mg Tablet
Piracetam 200 mg/mL Solution For Injection (IM/IV)
Prochlorpherazine maleate 5 mg Tablet
Page 31 of 67
Administration
25mg/ mL(50mg/
Promethazine Hydrochloride Solution for Injection (IM/IV)
2mL)
Quatiapine Fumarate 100 mg Film-Coated Tablet
Quetiapine ( As Fumarate ) 25 mg Film-Coated Tablet
Quetiapine (As Fumarate) 200 mg Film-Coated Tablet
Quetiapine (as fumarate) 200mg Tablet
Quetiapine (as Fumarate) 300mg Film-Coated Tablet
Quetiapine (As Fumarate) 50 mg Extended-Release Tablet
Quetiapine (As Fumarate) 400 mg Extended-Release Tablet
Quetiapine (as Fumarate) 300mg Extended-Release Tablet
Quetiapine (as Fumarate) 200mg Extended-Release Tablet
Quetiapine (As Hemifumarate) 200 mg Tablet
Quetiapine (As Hemifumarate) 300 mg Film-coated Tablet
Quetiapine (As Fumarate) 100 mg Film Coated Tablet
Quetiapine (As Fumarate) 200 mg Film Coated Tablet
Risperidone 2 mg Film-Coated Tablet
Risperidone 4 mg Film-Coated Tablet
Risperidone 1mg/ mL Oral Solution
Risperidone 1 mg Film Coated Tablet
Risperidone 2mg Tablet
Risperidone 4 mg Tablet
Risperidone 3 mg Film Coated Tablet
Prolonged-Release Powder For
Risperidone 50 mg
Injection (IM)
Risperidone 37.5 mg Injection (IM)
Risperidone 25 mg
Suspension For Injection (IM)
Risperidone 1 mg Tablet
27 mg/ 15 cm2 (13.3
Rivastigmine Transdermal Patch
mg/24 Hours)
4.6mg/ 24 hours
Rivastigmine Transdermal patch
(9mg/patch)
Rivastigmine 9.5mg/24 hours Transdermal Patch
Rivastigmine 4.6mg/24 hours Transdermal Patch
9.5mg/24 hours
Rivastigmine Transdermal Drug Delivery System
(18mg)
4.6mg/24 hours
Rivastigmine Transdermal Drug Delivery System
(9mg)
Rivastigmine (as Hydrogen Tartrate) 3mg Capsule
Page 32 of 67
Administration
Rivastigmine (as Hydrogen Tartrate) 6mg Capsule
Rivastigmine (as Hydrogen Tartrate) 4.5mg Capsule
Rivastigmine (as Hydrogen Tartrate) 1.5mg Capsule
Sertraline 25 mg Film-Coated Tablet
Sertraline 50 mg Tablet
Sertraline (as hydrochloride) 50 mg Film-Coated Tablet
Sertraline (as hydrochloride) 100 mg Tablet
Sertraline (As Hydrochloride) 50mg Tablet
Sertraline (As Hydrochlorode) 100 mg Film-Coated Tablet
Trimipramine maleate 25mg Tablet
Venlafaxine (As Hydrochloride) 75 mg Sustained Release Capsule
Zuclopenthixol Acetate 50mg/mL Solution for Injection (IM)
Page 33 of 67
D. LIST OF MEDICINES FOR TUBERCULOSIS

Administration
Ethambutol HCl + Isoniazid +
Pyridoxine HCl 125 mg/100 mg/8 mg Syrup
Ethambutol Hydrochloride 200mg/5mL Syrup

Ethambutol Hydrochloride 400 mg Tablet
Ethambutol Hydrochloride 400mg/5mL Syrup
Ethambutol hydrochloride + Concentrate For Solution For
125 mg/100 mg/ 10 mg per 5 mL
Isoniazid + Pyridoxine Infusion
Ethionamide hydrochloride 250 mg Film-Coated Tablet
Isoniazid 100 mg / 5 mL Syrup
Isoniazid 100mg Tablet
Isoniazid 200 mg/5 mL Syrup
Isoniazid 300mg Film-Coated Tablet
Isoniazid (Jar) 300mg Tablet
Isoniazid + Pyridoxine HCl 100 mg/10 mg per 5mL Syrup
Isoniazid + Pyridoxine HCl 200 mg/20 mg per 5mL Syrup
Isoniazid + Pyridoxine
200mg/10mg/5mL;200mg/5mL;500mg/5mL Syrup;Suspension;Suspension
Hcl,Rifampicin, Pyrazinamide
100mg/10mg per 5mL Syrup
Hydrochloride
Hydrochloride 200 mg/20 mg per 5 mL Syrup
200mg/ 12mg/ 5mL Syrup
hydrochloride
200 mg/ 12 mg per 5 mL Pediatric Syrup
Hydrochloride (Vitamin B6)
Hydrochloride (Vitamin B6) 200mg/ 20mg/ 5mL Syrup
Kanamycin (As Sulfate) 1g Powder For Injection (IM)

Para-aminosalicylate Sodium
600mg/ g (60% w/w) Delayed-Release Granules
(PAS Sodium)
Pyrazinamide 250 mg /5 mL Suspension
Pyrazinamide 250 mg/5 mL Oral Suspension
Pyrazinamide 500 mg Tablet
Pyrazinamide 500 mg/5 mL Suspension
Pyrazinamide/Ethambutol
400mg/275mg/150mg/75mg Tablet
HCI/ Rifampicin/ Isoniazid
Pyrazinamide; Rifampicin;
Isoniazid + Pyridoxine 250mg/5mL;200mg/5mL;200mg/100mg/5mL Suspension;Suspension;Syrup
Hydrochloride
Rifampicin 200 mg/ 5 mL Suspension
Rifampicin 450 mg Capsule
Rifampicin; Isonizid +
200 mg/5 mL ; 200 mg /20 mg per 5 mL Suspension ; Syrup
Pyridoxine HCl
Rifampicin; Isoniazid + Kit Contains Suspension +
200mg/ 5mL; 200mg/ 12mg per 5mL
Pyridoxine Hydrochloride Syrup
Rifampicin; Isoniazid +
200mg/ 5mL; 200mg/ 12mg per 5mL; Kit Contains Suspension +
Pyridoxine Hydrochloride;
500mg/ 5mL Syrup
Pyrazinamide
Page 34 of 67
Administration
Rifampicin / Isoniazid (For
DOH Use Only)
Rifampicin / Isoniazid /
Pyrazinamide / Ethambutol 150mg / 75mg / 400mg / 275mg Film-Coated Tablet
Hcl
Rifampicin + Isoniazid 150 mg /75 mg Tablet
Rifampicin + Isoniazid 150 mg/75 mg Film-Coated Tablet
Rifampicin + Isoniazid 450 mg/400 mg Film-Coated Tablet
Rifampicin + Isoniazid and
450 mg/400 mg and 1000 mg Tablet
Ethambutol
Rifampicin + Isoniazid +
Pyrazinamide + Ethambutol 150mg/75mg/400mg/275mg Film-Coated Tablet
Rifampicin + Isoniazid +
Pyrazinamide + Ethambutol 150 mg/75 mg/400 mg/275 mg Film-Coated Tablet
Hydrochloride
Rifampicin + Isoniazid+
60 mg/30 mg/150 mg Dispersible Tablet
Pyrazinamide
Rifampicin + Pyrazinamide +
Isoniazid 200mg/250mg/200mg Suspension/Suspension/Syrup
Rifampicin/ Ethambutol/
150mg/275mg/75mg Film-Coated Tablet
Isoniazid
Rifampicin/ Ethambutol/
150mg/275mg/75mg Tablet
Isoniazid
Rifampicin/ Isoniazid
/Pyridoxine Hcl 200mg/5mL + 200mg/10mg/5mL Suspension/Syrup
Rifampicin/ Isoniazid/
Pyrazinamide/ Ethambutol
150mg/ 75mg/ 400mg/ 275mg Tablet
(For Department of Health
Use Only)
Streptomycin (as Sulfate) 1g Powder for Injection (IM)
Page 35 of 67
E. LIST OF MEDICINES FOR KIDNEY DISEASES
Dosage Form and Route

of Administration
20% Mannitol Each 100 mL contains 20 q.s. Solution For IV Injection
Alpha Ketoanalogue + 67mg, 101mg, 68mg, 86mg, 59mg, 105mg,
Film Coated Tablet
Essential Amino Acids 53mg, 23mg, 38mg, 30mg, 36mg, 50mg
Alpha Ketoanalogues + 105mg, 101mg, 86mg, 68mg, 67mg, 59mg,
Film-Coated Tablet
Essential Amino Acids 53mg, 38mg, 36mg, 30mg, 23mg, 68mg,101mg
Amlodipine (As Besilate) +
Hydrochlorothiazide
Amlodipine (As Besilate) +
5 mg/12.5 mg Tablet
Hydrochlorothiazide
Atenolol/ Chlorthalidone 50mg/12.5mg Tablet
Bicarbonate Buffered
Solution for 34g/ 1.10g/ 0.51g/ 5.49g Solution for Haemofiltration
Haemofiltration
Bisoprolol Fumarate /
2.5 mg / 6.25 mg Film-Coated Tablet
Hydrochlorothiazide
Bisoprolol Fumarate +
Hydrochlorothiazide 10mg/ 6.25mg Film-Coated Tablet
Bisoprolol fumarate +
Hydrochlorothiazide
Blumea balsamifera (L)
250mg Tablet
DC (Sambong leaf)
Blumea balsamifera (L.)
D.C. (Sambong Leaf) 500mg Tablet
Blumea Balsamifera
500mg Tablet
(Sambong Leaf)
Candesartan Cilexetil +
Hydrochlorothiazide
Carmona retusa (Vahl.)
Masam (Tsaang gubat 250 mg Tablet
leaf)
Carmona Retusa (Vahl.)
Masam (Tsaang Gubat 500 mg Tablet
Leaf)
Cinnamomum burmannii
250mg Caplet
(Nees) DLBS2411
Coleus Amboinicus Lour
375 mg Capsule
(Oregano Leaf)
Coleus Amboinicus Lour.
(Oregano Leaf) 125 mg/ 5mL Syrup
Each 100 mL contains:
Dextrose hydrous 4.25 g Sodium Chloride 538
Dextrose Hydrous + Solution For Peritoneal
mg Sodium Lactate 448 mg
Electrolytes Dialysis
Calcium Chloride 18.3 mg Magnesium Chloride
5.08 mg
Each 100 mL contains: Dextrose Hydrous 1.5 g
Peritoneal Dialysis
Sodium Chloride 538 mg Sodium Lactate 448 mg Solution for Intraperitoneal
Solution Low Calcium with
Calcium Chloride Dihydrate 18.3 mg Magnesium Administration
1.5 % Dextrose
Chloride Hexahydrate 5.08 mg
DLBS3233 Lagerstroemia
Speciosa (L.) Pers.
(Banaba Leaf) And
Cinnamomum Burmannii 100 mg Capsule
(Nees & T. Nees) Blume
(Indonesian Cinnamon
Bark)
Each 100g (approx. 82.64 mL) syrup contains:
Each 100g (approx. 82.64
34.5g Herbal ethanolic mixture from: Sambucus
mL) syrup contains: 34.5g
nigra L. (Elder flower) 207 mg Primula veris L. Syrup (Oral Drops)
Herbal ethanolic mixture
and Primula elatior (L.) Hill (Primula flower with
(see reverse)
calyx) 207 mg Rumex crispus L. (Common sorrel
Page 36 of 67
of Administration
herb) 207 mg Verbena officinalis L. (Verbena
herb) 207 mg Gentiana lutea L. (Gentian root) 69
mg
Each dragée contains:
Sambucus nigra L. (Elder
flower) 36mg; Primula
Each dragée contains: Sambucus nigra L. (Elder
veris L. and Primula
flower) 36mg; Primula veris L. and Primula elatior
elatior (L.) Hill (Primula
(L.) Hill (Primula flower with calyx) 36mg; Rumex Dragée
flower with calyx) 36mg;
crispus L. (Common sorrel herb) 36mg; Gentiana
Rumex crispus L.
lutea L. (Gentian root) 12mg
(Common sorrel herb)
36mg; Gentiana lutea L.
(Gentian root) 12mg
Enalapril Maleate +
Hydrochlorothiazide
Enalapril Maleate +
10 mg/25 mg Tablet
Hydrochlorothiazide
Solution For Injection
Furosemide 10 mg/mL (20 mg/2 mL)
(I.M./I.V.)
Furosemide 10 mg/mL (20 mg/mL) Solution For Injection
Furosemide 10mg/mL
(IM/IV)
Furosemide 20mg Tablet
Furosemide 20mg/2mL Solution for Injection
Furosemide (as sodium) 10 mg/mL (20 mg/2 mL)
(IV/IM)
Gentianae Radix (Gentian
Root), Primulae Flos
(Primrose Flowers With
Calyx), Rumicus Herba
6mg/18mg/18mg/18mg/18mg Dragee
(Common Sorrel Herb),
Sambuci Flos (Elder
Flowers), Verbenae Herba
(Shop Vervain Wort)
Herba Thujae Occidentalis
(White Cedar Leaf) +
Radix Echinaceae (Cone
2mg / 7.5mg / 10mg Tablet
Flower Root) + Radix
Baptisiae Tinctoriae (Wild
Indigo Root)
Hydralazine HCl 20 mg/mL
(IM/IV)
Hydrochlorothiazide 12.5 mg Tablet
Hydrochlorothiazide 12.5 mg Film-Coated Tablet
Hydrochlorothiazide 25 mg Film-Coated Tablet
Hydrochlorothiazide 25mg Tablet
Imidapril Hydrochloride +
10mg/12.5mg Tablet
Hydrochlorothiazide
Iodine (as Iopamidol) 370mg/mL (Equi. To 755.3mg/mL Iopamidol) Solution For Injection
Iohexol 350mg/mL Solution For Injection
Irbesartan +
150 mg/ 12.5 mg Tablet
Hdyrochlorothiazide
Irbesartan +
150 mg/12.5 mg Film-Coated Tablet
Hydrochlorothiazide
Irbesartan +
Hydrochlorothiazide 300 mg/12.5 mg Film-Coated Tablet
Page 37 of 67
of Administration
Irbesartan +
Hydrochlorothiazide
Irbesartan+Hydrochlorothi
azide 300mg/12.5mg Tablet
Each film-coated tablet contains: Alpha-
ketoisoleucine calcium salt- 67mg; Alpha-
ketoleucine calcium salt- 101mg; Alpha-
ketophenylalanine calcium salt- 68mg; Alpha-
Keto Analogues +
ketovaline calcium salt- 86mg; Alpha- Film-Coated Tablet
Essential Amino Acids
hydroxymethionine calcium salt- 59mg; L-lysine
acetate- 105mg; L-threonine- 53mg; L-
tryptophan- 23mg; L-histidine- 38mg; L-tyrosine-
30mg
Ketoanalgoues + 101mg, 86mg, 68mg, 67mg, 59mg, 105mg,
Film-Coated Tablet
Essential Amino Acids 53mg, 38mg, 30mg, 23mg
Ketoanalogies + Essential
600mg Film-Coated Tablet
Amino Acids
Ketoanalogues + 101mg, 86mg, 68mg, 67mg, 59mg, 59mg,
Film-Coated Tablet
Essential Amino Acids 105mg, 53mg, 38mg, 30mg, 23mg
Ketoanalogues + 101mg/86mg/68mg/67mg/59mg/105mg/53mg/38
Essential Amino Acids mg/30mg/23mg Film-Coated Tablet
Calcium-3-methyl-2-oxo-valerate (a-
Ketoanalogue to Isoleucine, Calcium salt) 67 mg
Calcium-4-methyl-2-Oxo-valerate (a-
Ketoanalogue to Leucine, Calcium salt) 101 mg
Calcium-2-oxo-3-phenyl-propionate (a-
Ketoanalogue to Phenylalanine, Calcium salt) 68
mg
Calcium-3-methyl-2-oxo-butyrate (a-
Ketoanalogues +
Ketoanalogue to Valine, Calcium salt) 86 mg Film-Coated Tablet
Calcium-DL-2-hydroxy-4(methylthio) butyrate (a-
Ketoanalogue to Methionine, Calcium salt) 59 mg
L-Lysine acetate (equivalent to L-Lysine 75 mg)
105 mg
L-Threonine 53 mg
L-Tryptophan 23 mg
L-Histidine 38 mg
L-Tyrosine 30 mg
Ketoanalogues +
Combination Film-Coated Tablet
Each film-coated tablet contains:
ketoanalogue to leucine, calcium salt)-101mg
Calcium-3-methyl-2-oxo-butyrate (a-ketoanalogue
to valine, calcium salt)-86mg Calcium-2-oxo-3-
phenylpropionate (a-ketoanalogue to
Ketoanalogues +
phenylalanine, calcium salt)-68mg Calcium-3- Film-Coated Tablet
mehtyl-2-oxo-valerate (a-ketoanalogue to
isoleucine, calcium salt)-67mg Calcium-DL-2-
hydroxy-4 (methylthio) butyrate (a-ketoanalogue
to methionine, calcium salt)-59mg L-Lysine
acetate-105mg L-Threonine-53mg L-Histidine-
38mg L-Tyrosine-30mg L-Tryptophan-23mg
Each film-coated tablet contains: Calcium-4-
methyl-2-oxo-valerate (a-ketoanalague to leucine,
calcium salt) 101 mg
L-Lysine Acetate 105 mg
Ketoanalogues +
ketoanalague to valine, calcium salt) Film-Coated Tablet
86 mg
L-Threonine 53mg Calcium-2-oxo-3-
phenylpropionate (a-ketoanalague to
phenylalanine, calcium salt) 68 mg
L-Histidine 38 mg
Page 38 of 67
of Administration
ketoanalague to isoleucine, calcium salt) 67 mg
L-Tyrosine 30 mg
Calcium-DL-2-hydroxy-4-methylthio) butyrate (a-
ketoanalague to methionine,calcium salt) 59 mg
L-Trytophan
23ing
Each film-coated tablet contains: Calcium-4-
methyl-2-oxo-valerate (a-ketoanalogue to leucine,
calcium salt)-101 mg Calcium-3-methyl-2-oxo-
butyrate (a-ketoanalogue to valine, calcium salt)-
86 mg Calcium-2-oxo-3-phenylpropionate (a-
ketoanalogue to phenylalanine, calcium salt)-68
Ketoanalogues + mg Calcium-3-methyl-2-oxo-valerate (a-
Film-Coated Tablet
Essential Amino Acids ketoanalogue to isoleucine, calcium salt)-67 mg
Calcium-DL-2-hydroxy-4-methylthio) butyrate (a-
hydroxynalogue to methionine, calcium salt)-59
mg
L-Lysine Acetate-105 mg L-Threonine-53 mg L-
Histidine-38 mg L-Tyrosine-30 mg L-Tyrptophan-
23 mg
Each film-coated tablet contains: Ketoanalogues:
Calcium-4-methyl-2-oxo-valerate 101 mg
Calcium-3-methyl-2-oxo-butyrate 86 mg
Calcium-2-oxo-3-phenylpropionate 68 mg
Calcium-3-methyl-2-oxo-valerate 67 mg
Calcium-DL-2-hydroxy-4-(methylthio)Butyrate 59
Ketoanalogues +
mg Film-Coated Tablet
L-Lysine Acetate 105 mg
L-Threonine 53 mg
L-Histidine 38 mg
L-Tyrosine 30 mg
L-Tryptophan 23 mg
Each film-coated tablet contains:
ketoanalogue to leuceine, calcium salt) 101 mg
ketoanalogue to valine, calcium salt) 86 mg
Calcium-2-oxo-3-phenylpropionate ( a-
ketoanalogue to phenylalanine, calcium salt) 68
mg
Ketoanalogues +
ketoanalogue to isoleucine, calcium salt) 67 mg Film-Coated Tablet
(see reverse for complete
Calcium-DL-2-hydroxy-4-(methylthio) butyrate (a-
formulation)
ketoanalogue to methionine, calcium salt)
59 mg
L-Lysine Acetate
105 mg
L-Threonine 53 mg
L-Histidine 38 mg
L-Tyrosine 30 mg
L-Tryptophan 23 mg
Alpha-ketoisoleucine calcium salt 67 mg
Alpha - ketoleucine calcium salt 101 mg
Alpha - ketophenylalanine calcium salt 68 mg
Ketoanalogues + Alpha-ketovaline calcium salt 86 mg
Essential Amino Acids Alpha - hydroxymethionine calcium salt 59 mg
Film-Coated Tablet
(see reverse for L- lysine acetate 105 mg
formulation) L-threonine 53 mg
L - tryptophan 23 mg
L - histidine 38 mg
L-tyrosine 30 mg
50mg/12.5mg Film-Coated Tablet
Hydrochlorothiazide
Page 39 of 67
of Administration
100 mg/25 mg Tablet
Hydrochlorothiazide
Hydrochlorothiazide 100mg/25mg Film-Coated Tablet
Hydrochlorothiazide
Mannitol 20 % Solution Solution For I.V. Infusion
Mannitol 200 mg/mL (20% w/v) Solution for I.V. Injection
Solution For Intravenous
Mannitol 200mg/mL (20% w/v)
Infusion
Mannitol 20g/100mL (20%v/v) Solution for Injection (IV)
Solution For Intravenous
Mannitol 50G/250mL
Infusion
Hydrochlorothiazide 20 mg/12.5 mg Film-coated Tablet
Hydrochlorothiazide
Perindopril Arginine/
Indapamide
Each 100 mL contains: Dextrose Hydrous 2.5 g
Sodium Chloride 538 mg
Solution for Intraperitoneal
Peritoneal Dialysis Sodium Lactate 448 mg Calcium Chloride
Administration
Dihydrate 25.7 mg
Magnesium Chloride Hexahydrate 5.08 mg
Peritoneal Dialysis
Solution with 1.5% 1.5% Dextrose Solution
Dextrose
Each 100 mL contains: Dextrose Monohydrate
1.5 g
Sodium Chloride
550 mg
Sodium Lactate Anhydrous 392 mg
Calcium Chloride Dihydrate
Peritoneal Dialysis
25.7 mg Solution for Intravenous
Solution with 1.5%
Magnesium Chloride Hexahydrate 15.2 mg Infusion
Dextrose
Sodium Metabisulfite (approx. 3 meq/L) 30mg
Electrolytes in IL:
Sodium 129 mEq
Calcium 3.5 mEq Magnesium 1.5 mEq Chloride
99 mEq
Lactate 35 mEq
Each 100mL contains 1.5 g Dextrose
Monohydrate, 550mg Sodium Chloride, 392mg
Peritoneal Dialysis Sodium Lactate, Anhydrous (equivalent to 784mg
Dialysis Solution
Solution with 1.5% Sodium Lactate Solution, 50%, 25.70 Calcium
(Intraperitoneal)
Dextrose Chloride, Dihydrate, 15.2mg Magnesium
Chloride, Hexahydrate & 30mg Sodium
Metabisulfite)
Peritoneal Dialysis
Dextrose
Peritoneal Dialysis
Solution with 2.3% 2.3% Dextrose
Administration
Dextrose
Peritoneal Dialysis
Dextrose
Each 100 mL contains 4.25 g Dextrose
Peritoneal Dialysis Monohydrate, 550 mg Sodium Lactate,
Solution With 4.25% Anhydrous, 25.7 mg Calcium Chloride, Dihydrate, Dialysis Solution
Dextrose 15.2 mg Magnesium Chloride, Hexahydrate & 30
mg Sodium Metabisulfite
Page 40 of 67
of Administration
Peritoneal Dialysis Monohydrate, 550mg Sodium Chloride, 392mg
Solution with 4.25% Sodium Lactate, 25.7mg Calcium Chloride,
Administration
Dextrose Dihydrate, 15.2mg Magnesium Chloride,
Hexahydrate
Peritoneal Dialysis
Solution with 1.5% 1.5% Dextrose
Administration
Dextrose
Monohydrate, 550 mg Sodium Chloride, 392 mg
Peritoneal Dialysis With
Sodium Lactate Anhydrous, 25.7 mg Calcium Dialysis Solution
1.5% Dextrose
Chloride Dihydrate & 15.2 mg Magnesium
Chloride Hexahydrate
Phyllanthus Niruri L. 25 mg/ 5 mL Syrup
Capsule (equivalent to 50
Phyllanthus niruri L. 250 mg
mg extract)
Pinene (Alpha + Beta) 31
Mg; Camphene 15 Mg;
Cineol 3 Mg; Fenchone 4 31 mg + 15 mg + 3 mg + 4 mg + 10 mg + 4 mg +
Capsule
Mg; Borneol 10 Mg; 33 mg
Anethol 4 Mg; Olive Oil 33
Mg
Plantago Ovata Forssk.
(Ispaghula Seed) +
2.6 g/ 110 mg/ 340 mg - 660 mg (equivalent to 15
Plantago Ovata Forssk.
mg hydroxyanthracene derivatives calculated as Granules for Oral Use
(Ispaghula Husk) + Senna
Sennoside B) per 5 g
Alexandrina Mill.
(Tinnevelly Senna Pods)
Potassium Citrate 10 mEq Tablet
Potassium Citrate 1080mg Extended-Release Tablet
Potassium Citrate 1620 mg (Eq. 15 mEq) Extended-Release Tablet
Potassium Citrate (As
1080 mg (10 mEq) Extended-Release Tablet
Monohydrate)
Sambong Leaf (Blumea
250 mg Tablet
Balsamifera L.)
Sevelamer Carbonate 800 mg Film Coated Tablet
Sevelamer Carbonate 800mg Tablet
Sodium Bicarbonate + Powder for Hemodialysis
627g/224g
Sodium Chloride Solutiion
Spirinolactone 50 mg Tablet
Spironolactone 25mg Tablet
Telmisartan +
Hydrochlorothiazide
Telmisartan +
Hydrochlorothiazide
Telmisartan +
80 mg/ 12.5 mg Tablet
Hydrochlorothiazide
Telmisartan +
Hydrochlorothiazide 80 mg/25 mg Film-Coated Tablet
Telmisartan +
80mg/25mg Tablet
Hydrochlorothiazide
Torasemide 10mg Prolonged-Release Tablet
Page 41 of 67
of Administration
Torasemide 5mg Prolonged-Release Tablet
Valsartan 80mg/12.5MG Film-Coated Tablet
Valsartan +
160 mg/25 mg Tablet
Hydrochlorothiazide
Valsartan +
Valsartan
+Hydrochlorothiazide 160mg/12.5mg Film-Coated Tablet
Valsartan +
Hydrochlorothiazide
Valsartan +
Valsartan +
Hydrochlorothiazide
Page 42 of 67
F. LIST OF MEDICINES FOR DIABETES

Administration
Acarbose 100 mg Tablet
Acarbose 25mg Tablet
Acarbose 50 mg Tablet
Acarbose 50 mg Film-Coated Tablet
6.25 mg, 12.5 mg, 25
Alogliptin (as benzoate) Film-coated tablet
mg
Alogliptin (as benzoate) + Metformin
12.5 mg/1 g Film-Coated Tablet
Hydrochloride
Alogliptin (as benzoate) + Metformin
Hydrochloride 12.5mg/ 500mg Film-Coated Tablet
Alogliptin (as benzoate) + Pioglitazone (as
12.5mg/ 15mg Film-Coated Tablet
hydrochloride)
12.5mg/ 30mg Film-Coated Tablet
hydrochloride)
hydrochloride) 25 mg/ 30 mg Film-Coated Tablet
hydrochloride)
Insulin Aspart 100 Units/mL Solution for Injection (S.C.)
Biphasic Insulin 100 IU/mL Suspension for Injection (SC)
Biphasic Insulin Aspart 100 Units/mL Suspension for Injection (SC)
Biphasic Insulin Aspart 30 100 IU/mL Suspension for injection (SC)
Biphasic Insulin Aspart 50 100 Units/mL Suspension for injection (SC)
Biphasic Isophane Human Insulin 30/70
100 IU/mL Suspension For Injection (IM/SC)
(Recombinant Dna)
(Recombinant Dna) 100 IU/mL Suspension For Injection (IM/SC)
Biphasic Isophane Human Insulin 70/30 100 IU/mL (Equivalent
Suspension For Injection (SC)
(rDNA Origin) to 3.571 mg/mL)
(Recombinant Dna)
Biphasic Isophane Insulin (Rdna Origin) 100 IU/mL Suspension For Injection (SC)
Suspension for Injection (SC) (30%
Biphasic Isophane Insulin Human
100IU/mL Regular Insulin Human/70% Isophane
(Recombinant DNA Origin)
Insulin Human)
Solution for Injection (I.M./S.C./I.V.);
Solution for Injection (S.C./I.V.);
Human Regular Insulin 100 I.U./mL
Solution for Injection (S.C.);
Suspension for Injection (S.C.)
Neutral Insulin Human + Isophane Insulin Solution for Injection (S.C./I.V.);
100 I.U./mL
Human Solution for Injection (S.C.);
Solution for Injection (S.C./I.V.);
Recombinant Human Insulin 100 I.U./mL
Solution for Injection (S.C.);
Isophane Insulin (Recombinant DNA) 100 Units/mL Suspension for Injection (SC)
Isophane Insulin Human (Recombinant
100 I.U./mL Suspension for Injection (SC)
DNA)
Solution for injection (IM/IV/SC)
Regular Recombinant Human Insulin 100 I.U./mL
(Cartridge)
Regular Recombinant Human Insulin 100 I.U./mL Solution for injection (IM/IV/SC) (Vial)
Canagliflozin (as hemihydrate) + Metformin
Hydrochloride
Page 43 of 67
Administration
Hydrochloride
Hydrochloride 50mg/1g Film-Coated Tablet
Dapagliflozin 5 mg Tablet
Dapagliflozin 10 mg Tablet
Canagliflozin 100 mg Film-Coated Tablet
Canagliflozin 300 mg Film-Coated Tablet
Empagliflozin 10 mg Film-Coated Tablet
Empagliflozin 25 mg Film-Coated Tablet
Repaglinide 500 mcg Tablet
Repaglinide 1 mg Tablet
Repaglinide 2 mg Tablet
Nateglinide 120 mg Film-Coated Tablet
Dapagliflozin (As Propanediol
10 mg Film-Coated Tablet
Monohydrate)
5 mg Film-Coated Tablet
Monohydrate)
Monohydrate) + Metformin Hydrochloride
10 mg/500 mg Tablet
Dapagliflozin + Metformin Hydrochloride 10 mg/1000 mg Tablet
5 mg/500 mg Tablet
Dapagliflozin + Metformin Hydrochloride 5 mg/1000 mg Tablet
DLBS3233 Lagerstroemia Speciosa (L.)
Pers. (Banaba Leaf) And Cinnamomum
100 mg Capsule
Burmannii (Nees & T. Nees) Blume
(Indonesian Cinnamon Bark)
Linagliptin 5 mg Tablet
Empagliflozin + Linagliptin 10 mg/5 mg Film-Coated Tablet
Empagliflozin + Linagliptin 25 mg/5 mg Film-Coated Tablet
Empagliflozin + Metformin 5 mg/500 mg Film-Coated Tablet
Empagliflozin + Metformin 5 mg/850 mg Film-Coated Tablet
Empagliflozin + Metformin 5 mg/1 g Film-Coated Tablet
Empagliflozin + Metformin 12.5 mg/500 mg Film-Coated Tablet
Empagliflozin + Metformin 12.5 mg/850 mg Film-Coated Tablet
Empagliflozin + Metformin 12.5 mg/1 g Film-Coated Tablet
Ertugliflozin 15mg Film-Coated Tablet
Ertugliflozin 5mg Film-Coated Tablet
Powder for Suspension for Injection
Exenatide 2 mg
(S.C.)
250 mcg/mL (10
Exenatide mcg/dose) Solution For Injection (SC)
250 mcg/mL
Exenatide Solution For Injection (SC)
(5mcg/dose)
10 mcg + 0.2 mL
Lixisenatide Solution for Injection (S.C.)
(0.15 mg/3 mL)
Page 44 of 67
Administration
Lixisenatide 20 mcg + 0.2 mL Solution for Injection (S.C.)
Dulaglutide 1.5mg/0.5mL Solution for Injection
Dulaglutide 0.75mg/0.5mL Solution for Injection
Gemigliptin 50 mg Film-Coated Tablet
Glibenclamide 5 mg Tablet
Gliclazide 30 mg Modified-Release Tablet
Gliclazide 30 mg Prolonged-Release Tablet
Gliclazide 60 mg Prolonged-Release Tablet
Gliclazide 80 mg Tablet
Glibenclamide 5 mg Tablet
Glimeperide 2 mg Tablet
Glimepiride 1 mg Tablet
Glimepiride 1 mg Film-Coated Tablet
Glimepiride + Metformin hydrochloride 2mg/ 250mg Film-Coated Tablet
Glimepiride + Metformin Hydrochloride 2mg/ 500mg Prolonged-Release Tablet
Glimepiride + Metformin hydrochloride 2mg/ 500mg Extended-Release Tablet
Glimepiride + Metformin hydrochloride 2mg/ 500mg Film-Coated Tablet
Glimepiride + Metformin Hydrochloride 2mg/500mg Sustained- Release Tablet
Metformin + Glimepiride 500 mg / 1 mg Tablet
Metformin + Glimepiride 500 mg / 2 mg Tablet
Metformin + Glipizide 500 mg / 5 mg Tablet
Metformin + Gliclazide 500 mg / 80 mg Film-Coated Tablet
Metformin + Gliclazide 850 mg / 80 mg Film-Coated Tablet
Glipizide 2.5 mg Tablet
Glipizide 2.5 mg Extended-Release Tablet
Glipizide 10 mg Extended-Release Tablet
Glipizide 10 mg Controlled-Release Tablet
Glipizide 5 mg Tablet
Glipizide 5 mg Extended-Release Tablet
Glipizide 5 mg Controlled-Release Tablet
Human Insulin (Rdna) 100 IU/mL Solution For Injection (IM/IV/SC)
Insulin degludec 100 Units/mL Solution for Injection (S.C.)
100 Units/mL (70%
Insulin degludec and Insulin aspart Insulin Degludec/30% Solution for Injection (S.C.)
Insulin Aspart)
Page 45 of 67
Administration
100 units/ 3.6mg per
Insulin Degludec + Liraglutide Solution for Injection (SC)
mL
Insulin Detemir 100 U/ mL Solution for injection
Insulin Glargine 100 IU/mL Solution For Injection (SC)
Insulin Glargine 300 Units/mL Solution for Injection (S.C.)
100 Units/mL (3.64 mg
Insulin glargine
Insulin Glargine Solution For Injection (SC)
Equivalent To 100
Units Human Insulin)
3.49 mg / mL
Insulin glulisine (equivalent to 100 units Solution for Injection (S.C.)
/ mL)
3.49 mg / mL Solution for Injection
Insulin glulisine (equivalent to 100 units (Subcutaneous/Continuous S.C.
/ mL) Pump Infusion/Intravenous)
3.64 mg (equivalent to
100 Units of Insulin
Insulin glargine and Lixisenatide Solution for Injection (S.C.)
glargine/ 33 mcg per
mL Solution)
3.64 mg (equivalent to
100 Units of Insulin
Insulin glargine and Lixisenatide Solution for Injection (S.C.)
glargine/ 50 mcg per
mL Solution)
100 units per 33 mcg
Insulin glargine and Lixisenatide Solution for Injection
per mL
100 units per 50 mcg
Insulin glargine and Lixisenatide Solution for Injection
per mL
100 Units/mL (3.5
Insulin lispro (rDNA origin) Solution for Injection (I.V./S.C./I.M.)
mg/mL)
Insulin lispro (50% Insulin Lispro and 50% 100 Units/mL (3.5
Insulin-Lispro-Protamine Sulfate) mg/mL)
Insulin lispro (25% Insulin Lispro and 75% 100 Units/mL (3.5
Insulin-Lispro-Protamine Sulfate) mg/mL)
Insulin Human 100 IU/ mL Solution for Injection (IM/SC)
Insulin Human (Edna Origin) 100 IU/ mL Suspension For Injection
100 IU/mL (Equivalent
Insulin Human (Rdna Origin) Solution For Injection (SC/IV)
to 3.571 mg/mL)
Insulin Human (rDNA) 100 IU/mL Suspension For Injection (S.C.)
Insulin Human (rDNA) Suspension For Injection (SC)
to 3.571 mg/mL)
Insulin Human (Regular) 100 IU/mL Solution for Injection (SC)
Insulin Human + Isophane Insulin Human 30 IU/70IU per mL Suspension for Injection
Insulin Human + Isophane Insulin Human
30 IU/70IU per mL Suspension for Injection (IM/SC)
(Biosynthetic)
Isophane Insulin (Rdna) 100 I.U./mL Suspension For Injection (SC)
Isophane Insulin Human 100 I.U./mL Suspension for Injection (I.M./S.C.)
Isophane Insulin Human 100 IU/mL Solution for Injection (SC)
Isophane Insulin Human (Rdna Origin) 100 I.U./ mL Suspension For Injection (S.C.)
Isophane Insulin Human (Rdna Origin) to 3.571 mg/mL) Suspension For Injection (SC)
Isophane Insulin Human (Recombinant
Dna)
Isophane Insulin Human, Recombinant
100IU/mL Suspension for Injection (SC)
DNA
Linagliptin + Metformin Hydrochloride 2.5mg/1g Film Coated Tablet
Linagliptin + Metformin Hydrochloride 2.5mg/500mg Film Coated Tablet
Page 46 of 67
Administration
Linagliptin + Metformin Hydrochloride 2.5mg/850mg Film Coated Tablet
Metformin 500 mg Film-Coated Tablet
Metformin 500 mg Tablet
Metformin 500mg Extended-Release Tablet
Metformin 500mg Sustained-Release Capsule
Metformin 500mg Oral Solution
Metformin 750 mg Extended-Release Tablet
Metformin 850 mg Oral Solution
Metformin 1000 mg Sustained-Release Capsule
Metformin 1000 mg Oral Solution
Metformin (as Hydrochloride) 500 mg Film-Coated Tablet
Metformin (as hydrochloride) 850mg Film-Coated Tablet
Metformin (As Hydrochloride) /
Glibenclamide
Metformin (As Hydrochloride) +
250 mg/ 1.25 mg Film-Coated Tablet
Glibenclamide
Glibenclamide
Metformin (As Hydrochloride) /
Glibenclamide 500 mg/5 mg Tablet
1 g / 5 mg Tablet
Glibenclamide
Metformin HCl 500 mg Film Coated Tablet
Metformin HCl 500mg Extended-Release Tablet
Metformin HCl 850mg Film-Coated Tablet
Metformin Hydochloride 1g Film-Coated Tablet
Metformin Hydrochloride 1g Extended-Release Tablet
Metformin Hydrochloride 1g Tablet
Metformin Hydrochloride 1g Sustained-Release Tablet
Metformin Hydrochloride 1000 mg Sustained Release Tablet
Metformin Hydrochloride 500 mg Extended-Release Tablet
Metformin Hydrochloride 500 mg Film Coated Tablet
Metformin Hydrochloride 500 mg Tablet
Metformin Hydrochloride 500 mg Sustained Release Tablet
Metformin Hydrochloride 750mg Extended Release Tablet
Metformin Hydrochloride 850 mg Film-Coated Tablet
Metformin Hydrochloride 850 mg Tablet
Metformin Hydrochloride + Glibenclamide 500 mg/2.5 mg Film-Coated Tablet
Metformin Hydrochloride + Glibenclamide 500 mg/5 mg Film-Coated Tablet
Page 47 of 67
Administration
Pioglitazone (as Hydrochloride) 15 mg Tablet
Pioglitazone (as Hydrochloride) +
15mg/ 2mg Tablet
Glimepiride
Pioglitazone (as Hydrochloride) +
30 mg/2 mg Tablet
Glimepiride
Pioglitazone (As Hydrochloride) +
Metformin (As Hydrochloride) 15mg/500mg Film-Coated Tablet
Pioglitazone (As Hydrochloride) +
Metformin (as Hydrochloride)
Pioglitazone HCl + Metformin HCl 30mg/500mg Sustained-release tablet
Pioglitazone + Metformin + Glimepiride 15 mg/500 mg/1 mg Film-Coated Tablet
Pioglitazone + Metformin + Glimepiride 15 mg/500 mg/2 mg Film-Coated Tablet
Pioglitazone Hydrochloride 15 mg Tablet
Pioglitazone Hydrochloride 30 mg Tablet
Recombinant Human Insulin (70%
100 IU/mL Suspension for Injection (SC)
Isophane/30% Soluble)
Recombinant Human Insulin Isophane 100 IU/mL Suspension For Injection (I.M./S.C.)
Regular Insulin Human (Rdna Origin) 100 I.U./ mL Solution For Injection (S.C.)
Regular Insulin Human (Recombinant
100 IU/mL Solution For Injection (IM-IV-SC)
DNA)
Regular Recombinant Human Insulin 100 IU/mL Solution For Injection (I.M./I.V./S.C.)
Saxagliptin (As Hydrochloride) 2.5 mg Film-Coated Tablet
Saxagliptin (As Hydrochloride) 5 mg Film-Coated Tablet
Saxagliptin (as Hydrochloride) + Metformin
2.5mg/ 1g Film-Coated Tablet
Hydrochloride (in extended release form)
5 mg/ 1 g Film-Coated Tablet
Hydrochloride (in extended release form)
Hydrochloride (in extended release form) 5mg/ 500mg Film-Coated Tablet
Saxagliptin + Dapagliflozin 5 mg/10 mg Film-Coated Tablet

0.25 mg/0.19 mL (1.34
Semaglutide Solution For Injection (SC)
mg/mL)
Sitagliptin (as Monohydrate Phosphate) +
50mg/1g Film-Coated Tablet
Metformin Hydrochloride
Sitagliptin (as Monohydrate Phosphate) +
Metformin Hydrochloride
Sitagliptin (As Monohydrate Phosphate) +
Metformin Hydrochloride 50mg/850mg Film-Coated Tablet
Sitagliptin (As Phosphate Monohydrate) 100mg Film-Coated Tablet

Sitagliptin (as phosphate monohydrate) 50mg Film-Coated Tablet
Sitagliptin (As Phosphate Monohydrate) + Film Coated Tablet; Film Coated
100 mg; 500 mg
Metformin Hcl Tablet
Sitagliptin (As Phosphate Monohydrate) + Film Coated Tablet; Film Coated
50 mg; 500 mg
Metformin Hcl Tablet
Sitagliptin (as phosphate) 25 mg Film-Coated Tablet
Sitagliptin (as phosphate) 100mg Film-Coated Tablet
Sitagliptin (as Phosphate) 50mg Film-Coated Tablet
Extended Release Film Coated
Sitagliptin + Metformin Hydrochloride 100 mg/1 g
Tablet
Sitagliptin Phosphate 100 mg Film-Coated Tablet
Page 48 of 67
Administration
Sitagliptin + Simvastatin 100 mg + 10 mg Film-Coated Tablet
Teneligliptin hydrobromide hydrate 20mg Film-Coated Tablet
Teneligliptin (as hydrobromide hydrate) +
Pioglitazone (as Hydrochloride)
Teneligliptin (as Hydrochloride) 200mg Film-Coated Tablet
Trelagliptin (as succinate) 100mg Film-Coated Tablet
Vildagliptin 50 mg Tablet
Vildagliptin + Metformin Hydrochloride 50 mg/500 mg Film-Coated Tablet
Vildagliptin + Metformin Hydrochloride 50 mg/850 mg Film-Coated Tablet
Vildagliptin + Metformin Hydrochloride 50mg/1g Film-Coated Tablet
Voglibose 200 mcg Tablet
Voglibose 200 mcg Orally-Disintegrating Tablet
Voglibose 300mcg Tablet
Voglibose 300mcg Dispersible Tablet
Voglinorm 0.3 300 mcg Tablet
Page 49 of 67
G. LIST OF MEDICINES FOR HIGH CHOLESTEROL
Dosage Dosage Form and Route of

Generic Name
Strength Administration
Alirocumab 150 mg/mL Solution for Injection (SC)
Alirocumab 75 mg/mL Solution for Injection (SC)
Amlodipine ( As Besilate) + Atorvastatin ( As Calcium) 10 mg /10 mg Tablet
Amlodipine ( As Besilate) + Atorvastatin (As Calcium) 40 mg/10 mg Film-Coated Tablet
Amlodipine (As Besilate) + Atorvastatin (As Calcium) 10 mg/10 mg Film-Coated Tablet
Amlodipine (As Besilate) + Atorvastatin (As Calcium) 10mg/20mg Film-Coated Tablet
Amlodipine (As Besilate) + Atorvastatin (As Calcium) 5 mg/10 mg Film-Coated Tablet
Amlodipine (as besilate) + Atorvastatin (as calcium) 5 mg/40 mg Film-Coated Tablet
Amlodopine (as Besilate) 10 mg Tablet
Aspirin + Rosuvastatin 80mg/10mg Capsule
Aspirin + Rosuvastatin 80mg/20mg Capsule
Atorvastatin 5 mg Film-Coated Tablet
Atorvastatin 20mg Film-Coated Tablet
Atorvastatin + Fenofibrate 10 mg/160 mg Film-Coated Tablet
Atorvastatin + Fenofibrate 20 mg/160 mg Film-Coated Tablet
Atorvastain Calcium 40 mg Film-Coated Tablet
Atorvastatin (as calcium propylene glycol solvate) 10 mg Film-Coated Tablet
Atorvastatin (as calcium propylene glycol solvate) 20mg Film-Coated Tablet
Atorvastatin (as calcium trihydrate) 10mg Film-Coated Tablet
Atorvastatin (as calcium trihydrate) 20mg Film-Coated Tablet
Atorvastatin (as calcium trihydrate) 40 mg Film-Coated Tablet
Atorvastatin (as Calcium Trihydrate) 80 mg Film-Coated Tablet
Atorvastatin (As Calcium Trihydrate) + Amlodipine (As
Besilate)
Besilate)
Besilate)
Atorvastatin (As Calcium) 5 mg Film-Coated Tablet
Atorvastatin (as calcium) 10mg Tablet
Atorvastatin (As Calcium) 20 mg Film Coated Tablet
Atorvastatin (as calcium) 20mg Tablet
Atorvastatin (as Calcium) 40mg Tablet
Page 50 of 67
Generic Name
Atorvastatin (As Calcium) 80 mg Tablet
Atorvastatin calcium 20mg Tablet
Atorvastatin calcium 80mg Tablet
Atorvastatin (As Calcium) + Amlodipine (As Besilate) 10mg/ 5mg Film-Coated Tablet
Atorvastatin (As Calcium) + Amlodipine (As Besilate) 20 mg/ 5 mg Film-Coated Tablet
Atorvastatin (As Calcium) + Amlodipine (As Besilate) 20 mg/ 10 mg Film-Coated Tablet
Atorvastatin (As Calcium) + Amlodipine (As Besilate) 40 mg/10 mg Film-Coated Tablet
Atorvastatin (as calcium) + Ezetimibe 10mg/ 10mg Film-Coated Tablet
Atorvastatin + Perindopril (as arginine) + Amlodipine 10mg/ 5mg/ 5mg Film-Coated Tablet
20mg/ 10mg/
Atorvastatin + Perindopril (as arginine) + Amlodipine Film-Coated Tablet
10mg
20mg/ 10mg/
Atorvastatin + Perindopril (as arginine) + Amlodipine 5mg Film-Coated Tablet
Atorvastatin + Perindopril (as arginine) + Amlodipine 20mg/ 5mg/ 5mg Film-Coated Tablet
40mg/ 10mg/
Atorvastatin + Perindopril (as arginine) + Amlodipine Film-Coated Tablet
10mg
Ciprofibrate 100 mg Tablet
Ciprofibrate 100 mg Capsule
CLOPIDOGREL (as BISULFATE) + ROSUVASTATIN (as
75 mg/ 10 mg Capsule
CALCIUM)
CLOPIDOGREL (AS BISULFATE) + ROSUVASTATIN (AS
75 mg/ 20 mg Capsule
CALCIUM)
Eicosapentaenoic Acid + Docosahexaenoic Acid 460 mg /380 mg Capsule
Eicosapentaenoic Acid + Docosahexaenoic Acid 460 mg /380 mg Soft gelatin capsule
Eicossapentaenoic Acid (Epa) Ethyl Ester +
460 mg /380 mg Capsule
Docosahexaenoic Acid (Dha) Ethyl Ester
Eicossapentaenoic Acid (Epa) Ethyl Ester +
460 mg /380 mg Soft gelatin capsule
Docosahexaenoic Acid (Dha) Ethyl Ester
Solution for Injection in Pre-filled
Evolocumab 140 mg/mL Autoinjector
Evolocumab 140 mg/mL Pre-filled Syringe for Injection
Ezetimibe + Atorvastatin 10mg/ 10mg Film-coated Tablet
Ezetimibe 10 mg Tablet
Ezetimibe + Atorvastatin 10mg/ 10mg Film-Coated Tablet
Ezetimibe + Atorvastatin (as Calcium) 10mg/ 10mg Film-Coated Tablet
Ezetimibe + Simvastatin 10mg/10mg Film-Coated Tablet
Fenofibrate 100 mg Capsule
Fenofibrate 145mg Film-Coated Tablet
Fenofibrate 160 mg Tablet
Page 51 of 67
Generic Name
Fenofibrate 160 mg Film-Coated Tablet
Fenofibrate 200 mg Micronised Capsule
Fenofibrate 250 mg Sustained-release capsule
Fenofibrate + Atorvastatin (as calcium) 160mg/ 10mg Film-Coated Tablet
Fenofibrate + Simvastatin 145mg/ 20mg Film-Coated Tablet
Fenofibrate + Simvastatin 145mg/ 40mg Film-Coated Tablet
Fenofibrate + Simvastatin 160mg/20mg Film-Coated Tablet
Fluvastatin 40 mg Capsule
Fluvastatin (as Sodium) 80 mg Film-Coated Tablet
Gemfibrozil 300 mg Film-Coated Tablet
Gemfibrozil 300 mg Tablet
Gemfibrozil 300 mg Capsule
Nicotinic Acid 50 mg Tablet
Nicotinic Acid 500 mg Extended-release tablet
Pitavastatin calcium 2 mg Film-Coated Tablet
Pitavastatin calcium 4 mg Film-Coated Tablet
Pravastatin (as sodium) 20 mg Tablet
Pravastatin (as sodium) 40 mg Tablet
Probucol 250 mg Tablet
Rosuvastatin 10mg Film-Coated Tablet
Rosuvastatin 20mg Film-Coated Tablet
Rosuvastatin (As Calcium) 10 mg Film-Coated Tablet
Rosuvastatin (As Calcium) 20 mg Tablet
Rosuvastatin (As Calcium) 40 mg Tablet
Rosuvastatin (as Calcium) 5mg Film-Coated Tablet
Rosuvastatin (as calcium) 5 mg Tablet
Page 52 of 67
Generic Name
Rosuvastatin (as Calcium) + Fenofibrate 10 mg/160 mg Film-Coated Tablet
Rosuvastatin (as zinc) 20mg Film-Coated Tablet
Rosuvastatin Calcium 10 mg Film-Coated Tablet
Rosuvastatin Calcium 20 mg Film-Coated Tablet
Rosuvastatin Zinc 10 mg Film-coated Tablet
Simvastatin 5 mg Film-Coated Tablet
Simvastatin 10 mg Tablet
Simvastatin (Reformulated) 20 mg Film-Coated Tablet
Simvastatin + Ubidecarenone (Co-Enzyme Q10) 20 mg/10 mg Capsule
Page 53 of 67
CORRIGENDUM TO THE
LIST OF MEDICINES FOR HYPERTENSION, CANCER AND KIDNEY DISEASES
A. Correction of entry in the List of Medicines for Kidney Diseases
No Generic name Dosage strength Dosage form Remarks

1 Ketoanalogues + Essential Calcium-3-methyl- Film Coated Correction of
Amino Acids 2-oxo-vaIerate (a- Tablet entry to include
Ketoanalogue to “Total Nitrogen
Isoleucine, Content 36 mg”
Calcium salt) 67
^g
Calcium-4-methyI-
2-Oxo-vaIerate (a-
Ketoanalogue to
Leucine, Calcium
salt) 101 mg
Calcium-2-oxo-3-
phenyl-propionate
(a-Ketoanalogue to
Phenylalanine,
Calcium salt) 68
^g
Calcium-3-methyI-
2-oxo-butyrate (a-
Ketoanalogue to
Valine, Calcium
salt) 86 mg
Calcium-DL-2-
hydroxy-
4(methyIthio)
butyrate (a-
Ketoanalogue to
Methionine,
Calcium salt) 59
^g
L-Lysine acetate
(equivalent to L-
Lysine 75 mg) 105
g
L-Threonine 53 mg
L-Tryptophan 23
mg
L-Histidine 38 mg
L-Tyrosine 30 mg
Total Nitrogen
Content 36 mg
B. Delisting from List of Medicines for Hypertension
No Generic name Dosage strength Dosage form

1 Blumea balsamifera (Sambong Leaf} 500 mg Tablet
2 Blumea balsamifera (Sambong Leaf} 250 mg Tablet
3 Ciclosporin 1mg/mL Ophthalmic emulsion
4 Dorzolamide (as Hydrochloride) + 20mg/5mg per mL Sterile Ophthalmic solution
Timolol (as Maleate)
5 Pirenoxine 50 mcg/mL (0.005% Ophthalmic suspension
w/v)
Page 54 of 67
6 Sacubitril-Valsartan 100 mg Film-Coated Tablet
12 Timolol (as maleate) 5mg/mL (0.5% w/v) Sterile Ophthalmic solution
C. Delisting from List of Medicines for Cancer

1 Basiliximab 20 mg Powder for IV injection
2 Bupivacaine Hydrochloride 5mg/mL (0.5 w/v) Solution for Spinal Injection
3 Cetrorelix (as acetate) 250 mcg Lyophilized Powder For
Injection (IV)
4 Ciclosporin 100 mg Softgel Capsule
6 Ciclosporin 100 mg/ml Oral Solution
7 Ciclosporin 25 mg Softgel capsule
9 Der Pte Extract (Dermatophagoides 6 SQ-HDM per active Tablet
Pteronyssinus + Der Far Extract substance
(Dermatophagoides Farinae)
10 Erenumab 70 mg/ml Solution for injection
11 Erenumab 140 mg/ml Solution for injection
12 Follitropin Alfa 75 IU/ 0.15mL Solution for Injection (SC/IM)
13 Follitropin Alfa / Lutropin Alfa 350 IU/150 IU Solution For Injection (SC)
(0.48mL)
14 Follitropin Alfa / Lutropin Alfa 450 IU/225 IU (0.72 Solution For Injection (SC)
mL)
15 Follitropin Alfa / Lutropin Alfa 900 IU/450 IU (1.44 Solution For Injection (SC)
mL)
16 Follitropin Alfa / Lutropin Alfa 150 IU/ 75 IU Powder for Solution for
Injection (SC)
17 Guselkumab 100mg Solution for Injection (SC)
18 Infliximab 100mg Powder for Concentrate for
Solution for Infusion
19 lsoprinosine 250mg/5 mL Syrup
20 Mycophenolic Acid 360 mg Film-Coated Tablet (gastro
resistant)
21 Tacrolimus 300 mcg/g (0.3%) Ointment
22 Tacrolimus 1mg/g 0.1 % Ointment
23 Testosterone undecanoate 250mg/ mL (1g/4mL) Solution for Injection (IM)
24 Ustekinumab 130mg/26mL Concentrate for Solution for
Infusion (IV)
D. Delisting from List of Medicines for Kidney Diseases

1 Carmona Retusa (Vahl.) Masam 250 mg and 500 mg Tablet / Oral
(Tsaang Gubat Leaf}
2 Coleus amboinicus Lour. (Oregano 125 mg/mL Syrup / Oral
Leaf)
3 Coleus amboinicus Lour. (Oregano 375 mg Capsule/ Oral
Leaf}
Page 55 of 67
No Generic name Dora e strength Dosa9e form
4 DLBS 2411 Cinnamomum burmanii 250 mg Tablet
(Nees & T. Nees) Blume
(Indonesian cinnamon ba k
5 DLBS3233 Lagerstroemia Speciosa 100 mg Capsule / Oral
(L.) Pers. (Banaba Leaf) And
Cinnamomum Burmannii (Nees &
T. Nees) Blume (Indonesian
Cinnamon Bark)
Iopamidol 755 mg/m L Solution for Injection (IA/IV)
Plantago ovata Forssk. (Ispaghula 2.6 g/ 110 mg/ Granules for Oral Use
seed) + Plantago ovata Forssk. 340 mg - 660 mg
(Ispaghula husk) + Senna (equivalent to 15 mg
alexandrina Mill. (Tinnevelly Senna hydroxyanthracene
pods) derivatives calculated
as Sennoside B) per 5
g
Page 56 of 67
ADDENDUM TO THE
LIST OF MEDICINES FOR DIABETES, HYPERTENSION, CANCER, MENTAL
ILLNESSES, TUBERCULOSIS, AND KIDNEY DISEASES
A. Inclusion to the List of Medicines for Diabetes

1 Desmopressin 60mcg Tablet
2 Desmopressin 100mcg Tablet
3 DLBS3233 Lagerstroemia Speciosa (L.) 100 mg Capsule / Oral
Pers. (Banaba Leaf} And Cinnamomum
Burmannii (Nees & T. Nees) Blume
(Indonesian Cinnamon Bark)
4 Liraglutide 6 mg/mL Solution for Injection
(SC)
5 Semaglutide 0.5mg/0.37mL Solution for Injection
(1.34mg/mL) (SC)
6 Semaglutide 1mg/0.74mg Solution for Injection
(1.34mg/mL) (SC)
7 Semaglutide 0.25mg/0.19mL Solution for Injection
(1.34mg/mL) (SC) dual dose
B. Inclusion to the List of Medicines for Hypertension

1 Nebivolol hydrochloride + Amlodipine 5mg/5mg Tablet
besilate
2 Nebivolol hydrochloride + Amlodipine 5mg/10mg Tablet
besilate
3 Nimodipine 30 mg Tablet
4 Trimetazidine Hydrochloride 35 mg Modified Release
Tablet (Oral)
C. Inclusion to the List of Medicines for Cancer

1 Abiraterone acetate 250mg Tablet
2 Aprepitant One 125 mg + two 80 Capsules (tri-pack)
g
3 Axitinib 1 mg Film-Coated Tablet
4 Axitinib 5 mg Film-Coated Tablet
S Bendamustine Hydrochloride 25mg Lyophilized Powder for
Concentrate for
Solution for I.V.
Infusion
6 Brentuximab vedotin 50mg Powder for
Concentrate for
7 Cabazitaxel 60 mg/ 1.5 mL Concentrate for
8 Crizotinib 200 mg Capsule
9 Crizotinib 250 mg Capsule
10 Cytarabine 100 mg/mL Solution for injection, 5
mL vial
11 Dabrafenib 50 mg Capsule
12 Dabrafenib 75 md Capsule
Page 57 of 67
13 Degarelix 120mg Vial contains 120mg
Degarelix (as acetate)
for Injection (SC)
14 Degarelix 80mg Vial contains 80mg
Degarelix (as acetate)
for injection (SC)
15 Enzalutamide 40mg Softgel Capsule
16 Epoetin beta 10,000 IU/ 0.6 mL Solution for Injection
(IV/SC)
17 Filgrastim 300 mcg/0.5 mL Solution for injection in
pre-filled syringe
(lv,sC)
18 Fludarabine Phosphate 50 mg Powder for Injection
(IV)
19 Ibandronic Acid 6mg/6mL Concentration Solution
for IV Infusion
20 Idarubicin (as hydrochloride) Smg Powder vial (IV)
21 Idarubicin hydrochloride 5mg/mL Lyophilized Powder for
Injection (IV)
22 Imatinib (as mesilate 100 mg Film-coated Tablet
23 lmatinib (as mesilate 100 mg Tablet
24 Mesna 100 mg/mL 4 mL Ampule (IV)
25 Nilotinib 150 mg Capsule
26 Obinutuzumab 1g/ 40mL (25 mg/mL) Concentrate for
Solution for Infusion
27 Ondansetron 8mg Tablet
28 Ondansetron 2 mg/mL, 2 mL Ampule IM, IV
29 Pazopanib 200 mg Film Coated Tablet
30 Pazopanib 400 mg Film Coated Tablet
31 Pembrolizumab 100mg/4mL Solution for injection
(25mg/mL) (IV infusion)
32 Regorafenib 40mg Film-Coated Tablet
33 Rituximab 1400mg/ 11.7mL Solution for Injection
(sC)
34 Ruxolitinib 15 mg Tablet
37 Trastuzumab 600mg/ 5mL Solution for Injection
(SC)
38 Trastuzumab 600 mg/5mL Solution for injection
(120mg/mL) (SC), 5mL vial
39 Vinorelbine 20 mg Soft-Gelatin Capsule
40 Vinorelbine 30 mg Soft-Gelatin Capsule
41 Vismodegib 150 mg Capsule
42 Zoledronic Acid 4mg/5mL Concentrate Solution
for Injection
D. Inclusion to the List of Medicines for Mental Illnesses

1 Amisulpride 400 mg Film-coated Tablet
2 Alprazolam 500mcg Controlled-release
tablet
3 Aripiprazole 300 mg Lyophilized Powder for
Extended-Release
Suspension for
Injection in pre-filled
Dual Chamber Syringe
Page 58 of 67
4 Aripiprazole 400 mg Lyophilized Powder for
Extended-Release
Suspension for
Injection in pre-filled
Dual Chamber Syringe
5 Brexpiprazole 500 mcg Tablet
6 Brexpiprazole 1 mg Tablet
10 Carbamazepine 400 mg Long Acting FC Tablet
11 Carbamazepine 20 mg/ml Suspension
12 Carbamazepine 200 mg Sustained Release
Tablet
13 Diazepam Smg Tablet
14 Flupentixol (as decanoate) 20mg/mL Ampule, 1mL (IM)
15 Lamotrigine 100mg Tablet
16 Lithium Carbonate 450mg Modified Release
Tablet
17 Methylphenidate 20 mg Modified Release
Capsule
18 Methylphenidate 10 mg Tablet
19 Methylphenidate hydrochloride 18mg Tablet
22 Oxcarbazepine 300 mg Tablet
23 Oxcarbazepine 600 mg Film- Coated Tablet
24 Oxcarbazepine 60 mg/ml Suspension
25 Paliperidone (as Palmitate) 75mg/0.75mL Prolonged-Release
Suspension for
Injection (I.M.)
26 Paliperidone (as Palmitate) 100mg/mL Prolonged-Release
Suspension for
Injection (I.M.)
27 Paliperidone (as Palmitate) 150mg/1.5mL Prolonged-Release
Suspension for
Injection (I.M.)
28 Paliperidone Palmitate 150mg/1.5mL Prolonged release
suspension for
injection (IM)
29 Perampanel 2 mg Film-Coated Tablet
32 Risperidone 2 mg Orally Disintegrating
Tablet (Oral)
33 Risperidone 2mg Oral disintegrating
tablet
34 Zolpidem tartrate 10 my Tablet
35 Zonisamide 100 mg Film-Coated Tablet
E. Inclusion to the List of Medicines for Tuberculosis

1 Rifapentine 150 mg Film-coated Tablet
2 Rifampicin/ Ethambutol/ Isoniazid 150mg/300mg/75mg Tablet
Page 59 of 67
F. Inclusion to the List of Medicines for Kidney Diseases

1 Basilix imab 20 mg Powder for IV injection
4 Ciclosporin 100 mg/ml Oral Solution
S Ciclosporin 25 mg Softgel capsule
7 Epoetin Alfa 10,000 IU/mL Solution for Injection
(IV/SC)
8 Epoetin Alfa 4,000 IU/0.4mL Solution for Injection
(IV/SC)
9 Epoetin Alfa 40,000 IU/mL Solution for Injection
(IV/SC)
10 Mycophenolic Acid 360 ^9 Film-Coa\ed Tablet
{gastro resistant)
11 Sevelamer Carbonate 800 mg Powder for Oral
Suspension
12 Terlipressin 1mg Powder and solvent
for solution for
injection (IV Bolus
Injection)
Page 60 of 67
LIST OF VAT EXEMPT DRUGS AND VACCINES PRESCRIBED AND DIRECTLY USED FOR COVID-19 TREATMENT
Generic Name Strength Form Reference Date

Drug Products under Emergency Use (DEU)
Concentrate Solution for FDA Circular No. 2020-

Tocilizumab 400 mg/ 20 mL 20 April 2020
I.V. Infusion 012

Tocilizumab 200 mg/ 10 mL 27 July 2020
I.V. Infusion 012-A

Tocilizumab 80 mg/ 4 mL 27 July 2020
I.V. Infusion 012-A
Solution for Injection FDA Circular No. 2020-

Tocilizumab 162 mg/ 0.9 mL 27 July 2020
(S.C.) 012-A
Lyophilized Powder for FDA Circular No. 2021-

Bivalidurin 250 mg 2 September 2021
Injection (I.V.) 008
FDA Circular No. 2021-

Tinzaparin Sodium 10000 anti-Xa IU/mL Solution for Injection (SC) 2 September 2021
008
Solution for Injection in FDA Circular No. 2021-

Dalteparin Sodium 2500 IU/0.2 mL Solution 2 September 2021
Pre-filled Syringe 008
Emergency Use Authorization (EUA)
Suspension for
Pfizer-BioNTech COVID-19 Vaccine
30 mcg Intramuscular (IM) bit.ly/PhFDA-Pfizer 14 January 2021
(BNT162b2)
Injection
ChADO X1-S [recombinant] (COVID-
0.5 mL Solution for Injection (IM) bit.ly/PhFDA-Astra 28 January 2021
19 Vaccine AstraZeneca)
SARS-CoV-2 Vaccine (Vero Cell), Suspension for Injection
Inactivated [Coronavac] 600 SU/0.5 mL (IM) bit.ly/PhFDA-Sinovac 22 February 2021
Sputnik V Gam-COVID-Vac COVID-
0.5 ml Intramuscular injection bit.ly/PhFDA-SputV 19 March 2021
19 Vaccine
Janssen COVID-19 Vaccine 5 x 1010 virus particles (VP)
Suspension for injection bit.ly/PhFDA-Janssen 19 April 2021
(AD26.COV2-S (recombinant))
6mcg of Whole-virion, Inactivated
Whole Virion, Inactivated Corona Sterile white translucent
Corona Virus Antigen (strain NIV- bit.ly/PhFDA-Covaxin 19 April 2021
Virus Vaccine [Covaxin] 2020-770) liquid for injection
COVID-19 mRNA Vaccine
100 mcg frozen suspension for frozen suspension for
(nucleoside modified) [COVID-19 bit.ly/PhFDA-Moderna 5 May 2021
injection injection
Vaccine Moderna]
COVID-19 Vaccine (Vero Cell)
2ml vial presentation containing 0.5
Inactivated [COVID-19 Vaccine Suspension for injection bit.ly/PhFDA-Sinopharm 7 June 2021
Sinopharm] ml vaccine, monodose
Compassionate Special Permit (CSP)
Lyophilized Powder for
Remdesivir 100 mg
Injection, in vial
Concentrate Solution for
Remdesivir 100 mg/ 20 mL
Injection, in vial
Favipiravir 200 mg/ 400 mg/ 800 mg Tablet
Solution for Injection, in
Leronlimab 350 mg vial
Ivermectin 12 mg Tablet
Solution for Injection, in
Interferon beta-1 A 44 mcg prefilled syringe
Page 61 of 67

Philippine COVID-19 Living Recommendations (as of May 9, 2021)
Baricitinib 2 mg Tablet
Baricitinib 4 mg Tablet
Dexamethasone 2 mg/mL Solution 2 mL Ampule
Dexamethasone 3 mg Tablet
Dexamethasone 4 mg Tablet
Dexamethasone 4 mg/mL Solution 1 mL Vial
Dexamethasone 500 mcg Tablet
Dexamethasone 750 mcg Tablet
Anticoagulants, Antiplatelets & Fibrinolytics
Aspirin 100 mg Capsule
Aspirin 100 mg Enteric-Coated Tablet
Aspirin 100 mg Tablet
Delayed Release (DR)
Aspirin 80 mg Enteric-Coated Tablet
Aspirin 80 mg Film-Coated Tablet
Clopidogrel 300 mg Film-Coated Tablet
Clopidogrel 75 mg Capsule
Clopidogrel 75 mg Film-Coated Tablet
Clopidogrel 75 mg Tablet
100 mg (10,000 IU)/mL Solution 0.2
Enoxaparin mL Pre-Filled Syringe
Fondaparinux 2.5 mg/0.5 mL Solution
Heparin 1000 IU/mL Solution 5 mL Vial
Heparin 5000 IU/mL Solution 5 mL Vial
10,000 Anti-Xa IU/mL Solution 0.35
Tinzaparin mL Pre-Filled Syringe
10,000 Anti-Xa IU/mL Solution 0.45
Tinzaparin Pre-Filled Syringe
mL
10,000 Anti-Xa IU/mL Solution 2
Tinzaparin Vial
mL
Warfarin 1 mg Tablet
Warfarin 2.5 mg Tablet
Warfarin 5 mg Tablet

Antimicrobials
Amikacin 100 mg/mL Solution 2 mL Ampule
Amikacin 100 mg/mL Solution 2 mL Vial
Amoxicillin 100 mg/mL Drops 10 mL Bottle
Amoxicillin 100 mg/mL Drops 15 mL Bottle
Amoxicillin 125 mg/5 mL Suspension 105 mL Bottle
Amoxicillin 250 mg Capsule
Amoxicillin 250 mg Dispersible Tablet
Amoxicillin 500 mg Capsule
Amphotericin B (Lipid Complex) 5 mg/mL Suspension 10 mL Vial
Amphotericin B (Non-Lipid
Complex) 50 mg Powder Vial
Ampicillin 1 g Powder Vial
Ampicillin 250 mg Powder Vial
Ampicillin 500 mg Powder Vial
Ampicillin + Sulbactam 1 g + 500 mg Powder Vial
Ampicillin + Sulbactam 2 g + 1 g Powder Vial
Ampicillin + Sulbactam 250 mg + 125 mg Powder Vial
Ampicillin + Sulbactam 500 mg + 250 mg Powder Vial
200 mg/5 mL Powder For
Azithromycin Bottle
Suspension 15 mL
Azithromycin Bottle
Suspension 22.5 mL
Azithromycin Bottle
Suspension 30 mL
Azithromycin Suspension 60 mL Bottle
Azithromycin 250 mg Capsule
Azithromycin 250 mg Tablet
Azithromycin 250 mg Film-Coated Tablet
Azithromycin 500 mg Capsule
Azithromycin 500 mg Film-Coated Tablet
Azithromycin 500 mg Tablet
Azithromycin 500 mg Powder Vial
Aztreonam 1 g Powder Vial
Aztreonam 500 mg Powder Vial
Cefazolin 1 g Powder Vial
Cefazolin 500 mg Powder Vial
Cefepime 1 g Powder Vial
Cefepime 2 g Powder Vial
Cefepime 500 mg Powder Vial
Cefotaxime 1 g Powder Vial
Cefotaxime 250 mg Powder Vial
Cefotaxime 500 mg Powder Vial
Ceftazidime 1 g Powder Vial
Ceftazidime 2 g Powder Vial
Ceftazidime 500 mg Powder Vial

1 g + 3.5 mL 1% Solution Of
Ceftriaxone Lidocaine Vial
Ceftriaxone 1 g Powder Vial
Ceftriaxone 250 mg Powder Vial
500 mg + 2 mL 1% Solution Of
Ceftriaxone Lidocaine Vial
Ceftriaxone 500 mg Powder Vial
Cefuroxime 1 g Powder Vial
Cefuroxime 1.5 g Powder Vial
Cefuroxime 125 mg Tablet
Cefuroxime 125 mg/5 mL Suspension 30 mL Bottle
Cefuroxime 250 mg Film-Coated Tablet
Cefuroxime 250 mg Powder Vial
Cefuroxime 500 mg Film-Coated Tablet
Cefuroxime 750 mg Powder Vial
Ciprofloxacin 1g Film-Coated Tablet
Ciprofloxacin 1g Tablet
Ciprofloxacin 2 mg/mL Solution 100 mL Vial
Ciprofloxacin 250 mg Film-Coated Tablet
Ciprofloxacin 250 mg Tablet
Ciprofloxacin 500 mg Tablet
Clarithromycin 125 mg Dispersible Tablet
Clarithromycin 125 mg/5 mL Suspension 25 mL Bottle
Prolonged Release (PR)
Clarithromycin 200 mg Capsule
Prolonged Release (PR)
Clarithromycin 200 mg Tablet
Clarithromycin 250 mg Film-Coated Tablet
Extended Release (ER)
Clarithromycin 500 mg Film-Coated Tablet
Modified Release (MR)
Clindamycin 150 mg Capsule
Clindamycin 150 mg/mL Solution 2 mL Ampule
Clindamycin 150 mg/mL Solution 2 mL Vial
Clindamycin 150 mg/mL Solution 4 mL Ampule
Clindamycin 300 mg Capsule
Clindamycin 75 mg/5 mL Suspension 60 mL Bottle

Co-Amoxiclav (Amoxicillin +
Potassium Clavulanate) 875 mg + 125 mg Film-Coated Tablet
Potassium Clavulanate) 875 mg + 125 mg Tablet
Potassium Clavulanate) 1 g + 200 mg Powder Vial
Co-Amoxiclav (Amoxicillin + 125 mg + 31.25 mg/5 mL Suspension
Potassium Clavulanate) 100 mL Bottle
Potassium Clavulanate) 250 mg + 62.5 mg Dispersible Tablet
Co-Amoxiclav (Amoxicillin + 400 mg + 57 mg/5 mL Suspension 35
Potassium Clavulanate) mL Bottle
500 mg + 100 mg Powder Vial
Potassium Clavulanate)
Bottle
Potassium Clavulanate) 100 mL
Bottle
Potassium Clavulanate) 50 mL
Colistin 2,000,000 IU Powder Vial
Cotrimoxazole (Sulfamethoxazole + 200 mg + 40 mg/5 mL Suspension
Trimethoprim) 120 mL Bottle
Cotrimoxazole (Sulfamethoxazole +
Trimethoprim) 400 mg + 80 mg Capsule
Trimethoprim) 400 mg + 80 mg Tablet
Trimethoprim) 800 mg + 160 mg Tablet
Trimethoprim) 800 mg + 160 mg Film-Coated Tablet
Doxycycline 100 mg Capsule
Ertapenem 1 g Powder Vial
Erythromycin 200 mg/5 mL Suspension 60 mL Bottle
Erythromycin 200 mg/5 mL Drops 30 mL Bottle
Erythromycin 500 mg Film-Coated Tablet
Erythromycin 500 mg Tablet
Erythromycin 250 mg Film-Coated Tablet
Erythromycin 250 mg Tablet
Gentamicin 10 mg/mL Solution 2 mL Ampule
Gentamicin 40 mg/mL Solution 2 mL Ampule
Gentamicin 40 mg/mL Solution 2 mL Vial

Levofloxacin 250 mg Film-Coated Tablet
Levofloxacin 250 mg Tablet
Levofloxacin 5 mg/mL Solution 100 mL Vial
2 mg/mL, 300 mL Solution For
Linezolid Infusion Bag
2 mg/mL, 300 mL Solution For
Linezolid Infusion Bottle
Linezolid 600 mg Film-Coated Tablet
Linezolid 100 mg/5 mL Suspension 150 mL Bottle
Meropenem 1 g Powder Vial
Meropenem 500 mg Powder Vial
Metronidazole 125 mg/5 mL Suspension 60 mL Bottle
Metronidazole 250 mg Tablet
Metronidazole 5 mg/mL Solution 100 mL Vial
Metronidazole 500 mg Film-Coated Tablet
Metronidazole 500 mg Tablet
Oxacillin 250 mg Powder Vial
Oxacillin 500 mg Powder Vial
Oxacillin 1 g Powder Vial
Penicillin G Benzathine (Benzathine
Benzylpenicillin) 1,200,000 Units Powder Vial
Penicillin G Crystalline 1 MU Powder Vial
Penicillin G Crystalline 5 MU Powder Vial
Piperacillin + Tazobactam 2 g + 250 mg Powder Vial
Piperacillin + Tazobactam 4 g + 500 mg Powder Vial
Vancomycin 1 g Powder Vial
Vancomycin 500 mg Powder Vial
*Volumes of liquid preparations are expressed as net content.

LIST OF MEDICAL DEVICES DIRECTLY USED FOR COVID-19 TREATMENT
No Category Product
1 Personal Protective Equipment (PPE) Gloves
2 Personal Protective Equipment (PPE) Gowns including Aprons
3 Personal Protective Equipment (PPE) Coveralls
4 Personal Protective Equipment (PPE) Body Suits
5 Personal Protective Equipment (PPE) Face Masks including N95 Masks, KN95 Masks, Cloth/Fabric Masks
6 Personal Protective Equipment (PPE) Goggles
7 Personal Protective Equipment (PPE) Shoe Cover
8 Personal Protective Equipment (PPE) Face Shield for Medical Use
9 Personal Protective Equipment (PPE) Head Cap/Cover
Personal Protective Equipment Set (Coverall, Shoe Cover, Goggles
10 Personal Protective Equipment (PPE)
or Faceshield, Facemask, Head Cap)
11 Respiratory Devices and its accessories Ventilator including Portable Ventilator
12 Respiratory Devices and its accessories Ventilator Breathing Circuit
13 Respiratory Devices and its accessories Bacterial Filter for Breathing Circuit
14 Respiratory Devices and its accessories Tubing and Support Set for Ventilator
15 Respiratory Devices and its accessories Positive Pressure Breathing Device
16 Respiratory Devices and its accessories Heated Breathing Circuit
17 Respiratory Devices and its accessories Attachment, Breathing, Positive End Expiratory pressure
18 Respiratory Devices and its accessories Resucitator
19 Respiratory Devices and its accessories Oxygen Concentrator
20 Respiratory Devices and its accessories Medical Gas Cylinder, for Oxygen
21 Respiratory Devices and its accessories Oxygen Tanks
22 Respiratory Devices and its accessories High-Flow Respiratory Device/System
23 Respiratory Devices and its accessories Nasal Cannula
24 Respiratory Devices and its accessories Humidifier, Respiratory Gas (Direct Patient Interface)
25 Respiratory Devices and its accessories Oxygen Mask
26 Respiratory Devices and its accessories Tracheal Tube
27 Respiratory Devices and its accessories Airway Monitoring System and Airway Clearing System
28 Respiratory Devices and its accessories Accessory to Continuous Ventilator (Respirator)
29 Respiratory Devices and its accessories High Efficiency Particulate Air (HEPA) Filter
30 Respiratory Devices and its accessories Extracorporeal Membrane Oxygenation (ECMO) Machine
31 Respiratory Devices and its accessories Nebulizing Kit and Nebulizer
COVID-19 Diagnostic Test Kits
including transport collection, COVID-19 Diagnostic Test Kits including transport collection,
32
preservation medium/ tube with or preservation medium/ tube with or without swab
without swab
33 Other specific medical devices Anchor, preformed
34 Other specific medical devices Bandage
35 Other specific medical devices Cannula, Reusable
36 Other specific medical devices Cap (Disinfection, Seal, Taper, Dead End)
37 Other specific medical devices Clinical Thermometer (Except mercurial type)
38 Other specific medical devices Cotton (Medical/hospital Use)
39 Other specific medical devices Dressing/ Gauze
40 Other specific medical devices Flowmeter (All types)
41 Other specific medical devices Gloves
42 Other specific medical devices Luer Lock
43 Other specific medical devices Nasopharyngeal Airway
44 Other specific medical devices Non-contact Infrared Thermometer
45 Other specific medical devices Syringe
46 Other specific medical devices Tape
47 Other specific medical devices Pulse Oximeter including portable and fingertip
48 Other specific medical devices Tubings
Page 67 of 67

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LIST OF MEDICINES FOR HYPERTENSION

Dosage Form and Route of

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

Benazepril 10 mg Film-Coated Tablet

Dosage Form and Route of

Capecitabine 150 mg Film-Coated Tablet

Cisplatin 10 mg Lyophilized Powder For Inj

Docetaxel 10 mg/mL Concentrate For Solution For Infusion

Docetaxel 80 mg/ 4 mL Concentrate Solution for IV Infusion

Epirubicin Hydrochloride 10mg Lyophilized Powder For Injection (IV)

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

Dosage Form and Route of

Citicoline (as sodium) 500 mg Capsule

Dosage Form and Route of

Ethambutol Hydrochloride 200mg/5mL Syrup

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

Dosage Form and Route

Dosage Form and Route of

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

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

Dosage Dosage Form and Route of

A. Correction of entry in the List of Medicines for Kidney Diseases

No Generic name Dosage strength Dosage form Remarks

B. Delisting from List of Medicines for Hypertension

No Generic name Dosage strength Dosage form

C. Delisting from List of Medicines for Cancer

No Generic name Dosage strength Dosage form

D. Delisting from List of Medicines for Kidney Diseases

No Generic name Dosage strength Dosage form

A. Inclusion to the List of Medicines for Diabetes

No Generic name Dosage strength Dosage form

B. Inclusion to the List of Medicines for Hypertension

No Generic name Dosage strength Dosage form

No Generic name Dosage strength Dosage form

D. Inclusion to the List of Medicines for Mental Illnesses

No Generic name Dosage strength Dosage form

E. Inclusion to the List of Medicines for Tuberculosis

No Generic name Dosage strength Dosage form

No Generic name Dosage strength Dosage form

Generic Name Strength Form Reference Date

Concentrate Solution for FDA Circular No. 2020-

Concentrate Solution for FDA Circular No. 2020-

Concentrate Solution for FDA Circular No. 2020-

Solution for Injection FDA Circular No. 2020-

Lyophilized Powder for FDA Circular No. 2021-

FDA Circular No. 2021-

Solution for Injection in FDA Circular No. 2021-

Generic Name Strength Form Reference Date

Generic Name Strength Form Reference Date

Generic Name Strength Form Reference Date

Generic Name Strength Form Reference Date

Generic Name Strength Form Reference Date

*Volumes of liquid preparations are expressed as net content.

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