KeyCare acute medicine list (formulary)

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1 KeyCare acute medicine list (formulary) 2017

2 This document lists the KeyCare acute medicine list (formulary) for 2017 Disclaimer The Discovery Health Medical Scheme Rules set out the requirements for KeyCare acute medicine benefit. The utilisation of the benefits and programmes associated with KeyCare acute medicine benefit is subject to specific conditions and rules. Members must ensure that they are familiar with these rules and conditions. The scheme rules are available on Any instruction or advice we give about medicines and the management of the member s condition is intended as a supplement to, and not a substitute for, the knowledge, expertise, skill and judgement of the member s doctor, pharmacist or other healthcare professional. Discovery Health Medical Scheme reserves the right to change the benefit at any time. We will communicate any changes to the way we pay medicines when we make these. The updated version of this document is available on our website at all times. PAGE 2 OF 17

3 KeyCare acute medicine This medicine list (formulary) contains medicines for acute (short term) use only. We have set the of medicine for each medicine sub- according to a specified of days. For example, a member can claim up to a maximum of 30 Moxymax 250mg capsules once every 120 days or 200ml Augmaxcil S suspension once every 120 days. Please note: A prescription may only include one medicine from each medicine sub- in the specified time period. For example: a prescription may not include Aspirin and Paracetamol within 120 days of each other, because both medicines are in the same medicine sub-. Broad medicine sub name Analgesics Analgesics and antipyretics Syrup Actamol red (boxed) 120mg/5ml 200ml Actamol red (un-boxed) 120mg/5ml Adco-Paracetamol 120mg/5ml Barrs Paracetamol 120mg/5ml Feverpain 120mg/5ml Feverpain (boxed) 120mg/5ml Go-Pain P 120mg/5ml Painblok (plastic bottle) 120mg/5ml Painogesic 120mg/5ml Paracetamol elixir SAD (alcohol free) 120mg/5ml Pyralen 120mg/5ml Tablet Adco-Napacod 500mg/10mg Adco-Napamol 500mg Adco-Prolief 500mg Antalgic 500mg Codorol 500mg/8mg * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 3 OF 17

4 sub name Analgesics Analgesics and antipyretics Tablet Cogesic 500mg/8mg Disprin 300mg Painamol plus Painogesic 500mg Varipan Co 500mg/8mg Anti-histamines Oral anti-histamines Syrup Allergex 2mg/5ml 100ml Lenazine 5mg/5ml Prohist 5mg/5ml Tablet Rhineton 4mg Anti-microbials Anti-protozoals Suspension Flagyl 200mg/5ml 200ml 120 Tablet Adco- Metronidazole 200mg Amzole 400mg Anaerobyl 400mg Bemetrazole 200mg Bemetrazole 400mg Bio-Metronidazole 200mg Bio-Metronidazole 400mg Metazol 200mg Metazol 400mg Metrazole 400mg Metrostat 400mg Trichazole 200mg Beta-lactams Capsule Allmox 250mg * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 4 OF 17

5 sub name Anti-microbials Beta-lactams Capsule Allmox 500mg Amyn 500mg Austell-Amoxicillin 250mg Austell-Amoxicillin 500mg Moxymax 250mg Moxymax 500mg Promoxil 250mg Promoxil 500mg Ranceph 250mg Ranceph 500mg Cloxin 250mg Cloxin 500mg Suspension Adco-Amoclav S 156mg/5ml 200ml Allmox S 125mg/5ml Allmox SF 250mg/5ml Amoclan S 156mg/5ml Amoclan SF 312mg/5ml Amyn S 125mg/5ml Amyn SF 250mg/5ml Athlone Phenoxymethyl - penicillin 125mg/5ml Augmaxcil S 156mg/5ml Augmaxcil SF 312mg/5ml * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 5 OF 17

6 sub name Anti-microbials Beta-lactams Suspension Betamox S 125mg/5ml 200ml Bio-Amoksiklav S 156mg/5ml Clamentin S 156mg/5ml CPL Alliance Cephalexin 125mg/5ml Curam BD 457mg/5ml Moxymax S 125mg/5ml Moxypen S 125mg/5ml Promoxil S 125mg/5ml Promoxil SF 250mg/5ml Ranceph 125mg/5ml Ranceph 250mg/5ml Ranclav 156mg/5ml Ranclav Forte 312mg/5ml Saltermox SF 250mg/5ml Sandoz Co-Amoclav SF 312mg/5ml Sandoz Co- Amoxyclav BD SF 457mg/5ml Sandoz Co- Amoxyclav S 156mg/5ml Zaloxy 125mg/5ml Zaloxy 250mg/5ml Zoxil S 125mg/5ml Tablet Adco-Amoclav 375mg * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 6 OF 17

7 sub name Anti-microbials Beta-lactams Tablet Amoclan 375mg Amoclan Forte 625mg Apex-Clavutin 375mg Apex-Clavutin 625mg Augmaxcil 375mg Augmaxcil 625mg Auro-Amoxiclav 375mg Auro-Amoxiclav 625mg Austell-Co- Amoxiclav 375mg Austell-Co- Amoxiclav 625mg Bindoclav 375mg Bindoclav 625mg Bio-Amoksiklav 375mg Bio-Amoksiklav 625mg Sandoz Co- Amoxiclav 625mg Sandoz Co- Amoxyclav 375mg Sandoz Co- Amoxyclav 625mg Combinations of penicillins Capsule Macropen 500mg Apen 500mg Suspension Apen S 250mg/5ml 200ml Macropen S 250mg/5ml * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 7 OF 17

8 sub name Anti-microbials Flucloxacillin Capsule Sandoz Flucloxacillin 250mg Lincosamides Capsule Clindahexal 150mg Macrolides Capsule Adco-Erythromycin 250mg Purmycin 250mg Xeramel 250mg Granule Claren granules 125mg/5ml 180ml Claren granules 250mg/5ml Suspension Betamycin 125mg/5ml 100ml Erymycin P 125mg/5ml Erymycin PF 250mg/5ml Purmycin 125mg/5ml Purmycin 250mg/5ml Xeramel S 125mg/5ml Xeramel SF 250mg/5ml Tablet Klaribin 250mg Klaribin 500mg Klarithran 500mg Klaryvid 250mg Klaryvid 500mg Tablet Eryko 250mg Tablet Azithromycin Zydus 500mg Zithrogen 500mg * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 8 OF 17

9 sub name Anti-microbials Oral anti-fungals Suspension Candacide u/1ml 40ml Canstat oral u/1ml Nystacid u/1ml Quinolones Tablet Austell Ciprofloxacin 250mg Austell Ciprofloxacin 500mg Biotech Ciprofloxacin 250mg Biotech Ciprofloxacin 500mg Cifran 500mg Ciprogen 250mg Ciprogen 500mg Ciprol 250mg Ciprol 500mg CPL Alliance Ciprofloxacin 250mg CPL Alliance Ciprofloxacin 500mg Dynafloc 250mg Flopro 500mg Loxip 500mg Orpic 500mg Sulphonamides Suspension Doctrim 240mg/5ml 200ml Ilvitrim 240mg/5ml * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 9 OF 17

10 sub name Anti-microbials Sulphonamides Suspension Purbac 240mg/5ml 200ml 120 Tablet Ilvitrim 480mg Lagatrim 480mg Nucotrim 480mg Trixazole 480mg Tetracyclines Capsule A-Lennon Doxycycline HCl 100mg Cyclidox 100mg Doxycyl 100mg Doxytet 100mg Nucotet 250mg Pharmatet (yellow/orange) 250mg Central nervous system Anti-migraine preparations Tablet Migril Anxiolytics Tablet Betapam 5mg Doval 5mg Pax 5mg Circulatory system Iron preparations Tablet Ferrous sulphate 30mg Pregamal Corticosteroids Glucocorticoids Syrup Adco Prednisolone 15mg/5ml 100ml Aspelone 15mg/5ml Tablet Be-Tabs Prednisone 5mg Panafcort 5mg Trolic 5mg * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 10 OF 17

11 sub name Corticosteroids Topical corticosteroids Cream Adco- Betamethasone 0,1% 20g Biocort (stx) 1% Lenovate 0,1% sivate 0,1% Repivate 0,1% Topivate 0,1% Vari- Betamethasone 0,1% Vari- Hydrocortisone 1% Dermatologicals Anti-fungals Cream Canex topical 1% 20g Clomaderm 1% Fungispor 1% Anti-microbial/ Antiseptics Ointment Barrs Povidone- Iodine 25g Septadine antiseptic Anti pruritics Cream Allergex Mepyramine 25g 180 Lotion Calamine - Alchemist 200ml Calamine lotion BP Calamine lotion - Darol Clicks Calamine Scabicides Lotion Alpha Benzyl benzoate application 25% 100ml 180 * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 11 OF 17

12 sub name Dermatologicals Scabicides Lotion App Benzyl benz bpc 25% 100ml 180 Scalp Lotion App Benzyl benz - Allied 25% 100ml 180 Topica anti-virals Cream Acitop 5% Adco-Acyclovir 5% Gastrointestinal system Antacids Suspension Alumag D 500ml Amgel Dicyclomine Co gel Magasil Mayogel Medigel Propan gel S Spasmogel Anthelminthics Suspension Wormstop 100mg/5ml 60ml 180 Tablet Adco-Wormex 100mg Anti-emetics Syrup Adco-Contromet 5mg/5ml 100ml Emetrol Emex Medazine-S 12,5mg/5ml Nauzine S 12,5mg/5ml Tablet Adco-Contromet 10mg Bio Metoclopramide 10mg * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 12 OF 17

13 sub name Gastrointestinal system Anti-emetics Tablet Clomax 10mg Covamet 50mg Mitil 5mg Nauzine 50mg Anti-diarrhoeals Tablet Adco-Prodium 2mg Norimode 2mg Anti-haemorrhoidals Ointment Anusol 25g Anusol pain relief (was Anugesic) Anti-spasmodics Syrup Hyospasmol 5mg/5ml 100ml Scopex syrup 5mg/5ml Tablet Hyospasmol 10mg Biltricides Tablet Cysticide 500mg Electrolyte replacement Syrup Scriptolyte 200ml 180 H2-Receptor blockers Tablet Adco-Cimetidine 200mg Adco-Cimetidine 400mg Bio-Cimetidine 200mg Bio-Cimetidine 400mg Cimlok 200mg Cimlok 400mg Lenamet 400mg Laxatives Syrup Aculax 3300mg/5ml 150ml Lacson 3300mg/5ml * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 13 OF 17

14 sub name Gastrointestinal system Laxatives Tablet Soflax 13,5mg Genito-Urinary System Urinary alkalinisers Granule Medi Soda Effervescent 500g 30 Suspension Mist Pot Cit simplex 416,6mg/5ml 500ml 30 Vaginal anti-fungals Vaginal cream Canex Vag 1% 50g Fungispor (1 applicator) 1% Musculoskeletal Anti-gout preparations Tablet Colchicine 0,5mg Non-steroidal antiinflammatories (NSAIDs) Capsule Amdocin 25mg Betacin 25mg Gulf Indomethacin 25mg Suspension Adco-Mefenamic Acid 50mg/5ml 200ml Fenamin 50mg/5ml Ibucine (was Ibumax) 100mg/5ml Ibugesic 100mg/5ml Ponac 50mg/5ml Ponstan 50mg/5ml Tablet Adco-Diclofenac 50mg A-Lennon Diclofenac 25mg A-Lennon Diclofenac 50mg Betaprofen 200mg Betaprofen FC 400mg * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 14 OF 17

15 sub name Musculoskeletal Non-steroidal antiinflammatories (NSAIDs) Tablet Bren 400mg Diclofenac Biotech 25mg Diclohexal 25mg Ibucine (was Ibumax) 200mg Ibucine (was Ibumax) 400mg Ibunate 200mg Ibusor 200mg Inza 200mg Inza 400mg Mylan Diclofenac 25mg Mylan Diclofenac 50mg Panamor AT 50mg Ranfen 200mg Ranfen 400mg Ophthalmics Eye Drops Eye Drops Gemini 15ml Octin ophthalmic drops 5ml 0,3% Stop allerg 13,5ml Eye ointment Eye ointment Chlorcol 3.5g 1% Chlornicol 3.5g 1% Chlorphen 3.5g 1% Sulphacetamide 3.5g * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 15 OF 17

16 sub name Respiratory system Flu preparations Cough/ Mucolytic syrup Adco-Mucolinct 250mg/5ml 200ml Alcophyllex Alcophyllin 26,67mg/5ml Betaphlem 250mg/5ml Bronchette 250mg/5ml Co-Flem 250mg/5ml Flemgo 250mg/5ml Lessmusec 250mg/5ml Theophen 80mg/15ml Theophen Compound elixir Decongestant syrup Acuflu P (alcohol and sugar free) 200ml Adco-Flupain Nasal spray/ Nasal drop Drinasal Paediatric 10ml 0,025% Nazene Z 20ml 0,05% Tablet Sinuend Nasal corticosteroids Nasal spray Beclate aquanase 150 dose 50mcg Clenil aqueous 200 dose 50mcg * code: This is a unique identifier for a given ethical, surgical or consumable product. PAGE 16 OF 17

17 Contact us You can call us on or visit for more information. Complaints process We explain the complaints and dispute process on the website You may lodge a query or complaint with Discovery Health Medical Scheme by calling , ing or by completing an online complaints form. If you are not satisfied with how your complaint was resolved, please use the website to address your complaint to the Principal Officer. If you have received a final decision from us and want to challenge it, you may lodge a formal dispute by following the disputes process detailed on the website. Discovery Health Medical Scheme is regulated by the Council for Medical Schemes. You may contact the Council at any stage of the complaints process, but we encourage you to first follow the steps above to resolve your complaint before contacting the Council. Contact details for the Council for Medical Schemes: Council for Medical Schemes Complaints Unit, Block A, Eco Glades 2 Office Park, 420 Witch- Hazel Avenue, Eco Park, Centurion PAGE 17 OF 17

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