TOPAZ/TOPAZ PLUS ACUTE MEDICINE FORMULARY January 2018 Diamond Health Services would like to thank doctors and pharmacists for their indulgence in dealing with the uncertainties surrounding the medicines covered/not covered until now. This medicine list is released as a guide to prescribers and dispensers. It is understood that there will always be cases where exceptions need to be made and when that happens, dispensers are advised to discuss this with our office. Although it is believed that the items listed here are available on the Namibian market, no guarantee is given that all these items listed will remain available in future. While specific generics have been listed, the list is not exhaustive and similar generics, not specifically listed, are also acceptable. As much as we emphasise the use of generic medication, and the least expensive generic in a group for that matter, where the originator drug is better priced than generics, it is recommended that the originator be issued. Prescribers and dispensers are, once again, reminded that Topaz/Topaz Plus is an entry-level, primary care option of NMC. For this reason, colleagues are urged to remain mindful of the cost factor. The product was developed to provide basic/primary private health care to the employed who previously could not afford medical aid premiums. The product has genuinely affordable premiums and aims to cover members and their dependants throughout the year with BASIC SERVICES. We have left out the frills that do not always contribute significantly to the health of people, more than being nice-to-haves, as well as care that would ordinarily be secondary level. We therefore appeal to your good sense in keeping the service at an acceptable level and to avoid pushing the costs up by doing business as usual. By definition, this document remains work in progress and your comments are welcome at all times. DHS reserves the right to bring out updates at any time and while all efforts will be made to ensure that it is widely distributed, contracted service providers are advised to endeavour to obtain the latest version. 1. Alimentary Tract and Metabolism 1.1 Mouth and Throat Preparations Cetalkonium CL/Choline salicylate Povidone-lodine Teejel Dermadine oral antiseptic Andolexc gergle spray GEL MOW PODINE MOUTHWASH Tetracaine HCI Dynexan ointment 10g GEL 1.2 Antifungals for local topical treatment Nystatin susp Candacide suspension SUS Nystatin susp Canstat SUS 1.3 Antacids Al oxide/mg Oxide Mayogel SUS Dicyclomine Co Gelumen SUS Dicyclomine Co Medigel SUS Dicyclomine Co Propan gel S SUS Alginic Acid Co Gelacid SUS
1.4 H2-Receptor Blockers Cimetidine 200mg Adco-cimetidine 200mg Cimetidine 200mg Bio-cimetidine 200mg Cimetidine 200mg Lenamet 200mg Cimetidine 400mg Bio-cimetidine 400mg Cimetidine 400mg Adco-cimetidine 400mg Ranitidine 150mg Ranihexal 150mg Ranitidine 150mg Histak 150 150mg Ranitidine 300mg Ranihexal 300mg Ranitidine 300mg Histak 300 300mg Proton pump inhibitors Lansoprazole Lancap 15mg 30mg Omeprazole Altosec sandoz-omeprazole 20mg 1.5 Antispasmodics Mebeverine HCI Bevispas 135mg Mebeverine HCI Sandoz-mebeverine 135mg Hyoscine Butylbr Hyospasmol 10mg Hyoscine Butylbr Scopex 10mg Hyoscine Butylbr Scopex co 10/250mg Hyoscine Butylbr Scopex Syr 5mg/5ml Hyoscine Butylbr Hyospasmol Syr 5mg/5ml 1.6 Anti-emetic & Anti-vertigo Agents Metoclopramide HCI Clopamon 10mg Metoclopramide HCI Clopamon 5mg/5ml Invert sugar/phosphoric acid Emex 3g; 25mg/5ml Sucrose/Phosphoric acid Emetrol 3.77g; 25mg/5ml Cinnarizine 25mg Sandoz-cinnarizine 25 25mg Cyclizine HCI Triazine infant 50mg SUP Cyclizine HCI Medazine 12,5mg/5ml Cyclizine HCI Adco-cyclizine 50mg Cyclizine HCI Adco-cyclizine 50mg Prochlorperazine maleate Mitil 50mg
1.7 Antidiarrhoeals Adsorbents Kaostatex SUS Adsorbents Chloropect SUS Adsorbents + electrolytes Enterolyte SUS Adsorbents Gastropect SUS Adsorbents Pectrolyte SUS Rehydration Hydraassist SAC Rehydration Scripto-lyte Antipropulsives Adco-loperamide 1mg/5ml Antipropulsives Gastron 2mg Antipropulsives Adco-loperamide 2mg 1.8 Antihaemorrhoidals Pramoxine Anugesic OIN Bismuth subgall Co Anusol OIN Bismuth subgall Co Anusol SUO 1.9 Anthelminthics Praziquantel Biltricide 600mg Mebendazole 100mg/5ml Wormstop 100mg/5ml SUS Mebendazole 100mg Cipex 100mg SUS Mebendazole 100mg Wormstop 100mg Mebendazole Cipex 500mg Mebendazole Wormstop 500mg Albendazole Bendex wormadole 400mg Tab suspension 2. Vitamins and Minerals 2.1 Haematinics Fe-lactate Ferro drops L DRP Fe-sulph Ferrous sulph co Fe-sulph Ferrous sulphate 100mg Fe-sulph Co Gulf Ferrous sulphhate compound Fe-sulph Co Pregamal
2.2 Vitamins Multivitamins Multivitamin Multivitamins Multivitamin orange 3. Cardiovascular System 3.1 Vasodilators (A.P) Glyceryl trinitr Angised 0,5mg SLT Isosorbide dinitr 5mg 5mg SLT 4. Dermatologicals 4.1 Antifungals (Topical) Nystatin Nystacid 100 000iu/ml OIN Nystatin Canstat 100 000iu/ml CRE Clotrimazole Canalba 1.00% CRE Clotrimazole Clomaderm 1.00% CRE Clotrimazole Adco-covospor 1.00% CRE Clotrimazole Normospor 1.00% CRE 4.2 Antipruritics Calamine Lot calamine bp LOT 4.2.1 Antihistamines (Topical) Mepyramine Allergex-mepyrimal 2.00% CRE CETIRIZINE Diphenhydran Histodor CRE Mepyramine Alsan 2.00% CRE 4.3 Antivirals (Topical) Aciclovir Acitop 5.00% CRE Aciclovir Lovire 5.00% CRE Aciclovir Adco-acyclovir 5.00% CRE
4.4 Corticosteriods (Topical) Beclomethasone Beclate cream 0.03% CRE Betamethasone Adco-betamethasone 0.15% CRE Betamethasone Lenovate 0,10% CRE Betamethasone Persivate 0,1% CRE Betamethasone Repivate 0,1% CRE Hydrocortisone Dilucort 0.50% CRE Hydrocortisone Stopitch 1.00% CRE Betamethasone Lenovate 0,1% OIN Betamethasone Persivate 0,1% OIN Hydrocortisone Dilucort 0.50% OIN Fluocinolone acetonide Cortodem 0.03% CRE Fluocinolone acetonide Cortodem 0.03% OIN 4.5 Antimicrobial/Antiseptics (Topical) Povidone lodine Dermadine 10.00% OIN Povidone lodine Podine 10.00% OIN Nitrofurazone Furex 0.20% OIN Silver sulphiadazine Silbecor 1.00% CRE Di-iodohdroxyquinoline etc Viodor CRE Di-Di-iodohdroxyquinoline/ hydrocortisone/ hydrocort Hydrocortisone/ Neomysin Viocort Adco-Neoderm cream 25g CRE CRE 4.6 Scabicides Benzyl Benzoate App benzyl benz-allied 25.00% LOT Benzyl Benzoate Fabu-benzyl benz 25.00% LOT Benzyl Benzoate App benzyl benz BPC 25.00% LOT Benzyl Benzoate Alpha benzyl benzoate application 25.00% LOT Benzyl Benzoate App benzyl benz 25.00% LOT 4.7 Local anaesthetics (Topical) Amenthocaine HCI Amenthocaine 1.00% CRE
5. Genitourinary System 5.1 Vaginal Antimicrobials Aminacrine Vasgarsol VC VCR Clindamycin Dalacin VC VCR 5.2 Vaginal Antifungals Clotrimazole Canalva VC 1.00% VCR Clotrimazole A-por VC 1.00% VCR Clotrimazole Adco-Covospor VC 1.00% VCR 5.3 Oral Antifungals Fluconazole 150mg Aspen Fluconazole 150mg CAP Fluconazole 150mg Flucoric 150 150mg CAP 5.4 Progestogens Medroxyprogesterone 5mg Provera 5mg 5 day course Medroxyprogesterone 10mg Provera 10mg 5.5 Urinary Alkalinisers Citric acid monohydrate, Pot Citric Mist Pot Cit Simplex Alkafizz SUS 6. Corticosteriods for Systemic Use 6.1 Glucocorticocoids Prednisolone 5mg Lenisolone 5mg Prednisolone Capsoid 5mg Prednisolone Preflam 15mg/5ml Prednisone Be-tabs prednisone 5mg Prednisone Panafcort 5mg Betamethasone Betanoid 0.6mg/5ml
7. Antimicrobials 7.1 Tetracyclines Doxycycline 100mg A-lennon doxycycline 100mg CAP Doxycycline 100mg Doxycyl 100mg CAP Doxycycline 100mg Cyclidox 100mg CAP Doxycycline 100mg Doxitab 100mg Doxycycline 100mg Doxyhexal 100 100mg 7.2 Amoxicillin Amoxicillin 125mg/5ml Betamox S 125mg/5ml SUS Amoxicillin 125mg/5ml Maxcil P 125mg/5ml SUS Amoxicillin 125mg/5ml Moxypen S 125mg/5ml SUS Amoxicillin 250mg/5ml Betamox SF 250mg/5ml SUS Amoxicillin 250mg/5ml Maxcil PF 250mg/5ml SUS Amoxicillin 250mg/5ml Moxypen SF 250mg/5ml SUS Amoxicillin 250mg/5ml Ranmoxy suspension 250mg/5ml SUS Amoxicillin 250mg A-lennon amoxycillin 250mg CAP Amoxicillin 250mg Betamox 250mg CAP Amoxicillin 250mg Ipcamox 250mg CAP Amoxicillin 250mg Maxcil A 250 250mg CAP Amoxicillin 250mg Moxypen 250mg CAP Amoxicillin Betamox 500 500mg CAP Amoxicillin Ranmoxy caps 500mg CAP 7.2.1 Co-Amoxiclav Co-Amoxiclav 156mg/5ml Ranclave 156mg/5ml SUS Co-Amoxiclav 156mg/5ml Augmaxcil S 156mg/5ml SUS Co-Amoxiclav 156mg/5ml Sandoz-co-amoclave 156mg/5ml SUS Co-Amoxiclav 312mg/5ml Adco-amoclav forte 312mg/5ml SUS Co-Amoxiclav 312mg/5ml Augmaxcil SF 312mg/5ml SUS Co-Amoxiclav 312mg/5ml Clamentin SF 312mg/5ml SUS Co-Amoxiclav 312mg/5ml Ranclav forte suspension 312mg/5ml SUS Add Amoxicillin to achieve higher doses if required
Co-Amoxiclav 312mg/5ml Sandoz Co-amoxyclav SF 312mg/5ml SUS Co-Amoxiclav 375mg Augmaxil 375mg Co-Amoxiclav 375mg Ranclav 375mg Co-Amoxiclav 625mg Sandoz-co-amoclave 625mg Co-Amoxiclav 625mg Curam 625mg Co-Amoxiclav 625mg Ranclav 625 625mg Co-Amoxiclav 1000mg Adco-amoclave 1000mg Co-Amoxiclav 1000mg Ranclav 1000 1000mg 7.2.2 Amoxicillin/ Flucloxacillin Amoxicillin/ Fluclox Macropen S 250mg/5ml SUS Amoxicillin/ Fluclox Macropen 500 500mg CAP 7.2.3 Flucloxacillin Flucloxacillin Sandoz flucloxacillin 250mg 250mg CAP 7.2.4 Cephalexin Cephalexin Ranceph 125mg/5ml SUS Cephalexin Ranceph 250mg/5ml SUS Cephalexin Ranceph 250mg CAP Cephalexin Ranceph 500mg CAP 7.2.5 Cefaclor Cefaclor Vercef 187mg/5ml SUS Cefaclor Vercef 375mg/5ml SUS Cefaclor Vercef MR 375mg 7.2.6 Cefadroxil Cefadroxil Dacef 500mg CAP Cefadroxil Dacef 250mg/5ml SUS Cefadroxil Dacef 500mg/5ml SUS
7.2.7 Cefuroxime Cefuroxime Ceroxim 250mg Cefuroxime Ceroxim 500mg Cefuroxime Sandoz cefuroxime 500mg 7.2.8 Cefpodoxime Cefpodoxime Cepodem 100mg Cefpodoxime Cepodem 200mg Zinnat if Cheaper Cefpodoxime Cepodem 40mg/5ml SUS 7.3 Sulphonamides Co-trimoxazole Fabu-co-trim SUS Co-trimoxazole Purbac SUS Co-trimoxazole Purbac adult Co-trimoxazole Adco-co-trimoxazole 480mg Co-trimoxazole Cozole 480mg Co-trimoxazole Purbac ds 960mg Co-trimoxazole Sandoz co-trimoxazole 960mg 7.4 Macrolides Erythromycin estolate Adco-erythromycin 250mg CAP Erythromycin estolate Erymycin p 125mg/5ml SUS Erythromycin estolate Purmycin 125mg/5ml SUS Erythromycin estolate Purmycin 250mg CAPS Erythromycin estolate Purmycin 250mg/5ml SUS Roxithromycin Roxxibid 150mg Azithromycin Aspen Azithromycin 500mg Clarithromycin 500mg Klarithran 500mg Clarithromycin 125mg/5ml Klarithran 125mg/5ml SUS Clarithromycin 250mg/5ml Klarithran 250mg/5ml
7.5 Lincosamides Clindamycin Clindahexal 150mg CAP 7.6 Quinolones Ciprofloxacin 250mg Dynafloc 250mg Ciprofloxacin 250mg Ciploxx 250 250mg Ciprofloxacin 500mg Dynafloc 500mg Ciprofloxacin 500mg Orpic 500mg Norfloxacin 400mg Utin 400mg 7.7 Anti-Protazoals Metronidazole 200mg Fabu-metronidazole 200mg/5ml SUS Metronidazole 200mg Adco-metronidazole 200mg Metronidazole 200mg Trichazole 200mg Metronidazole 400mg Adco-metronidazole 400mg Metronidazole 400mg Trichazole 400mg 7.8 Antivirals Aciclovir 200mg Acitab-200 DT 200mg DSP Aciclovir 200mg Lovire 200mg DSP Aciclovir 200mg Adco-acyclovir 200mg Aciclovir 400mg Acitab-400 DT 400mg DSP Aciclovir 400mg Lovire 400mg DSP 8. Musculoskeletal System 8.1 NSAIDs Indometacin 25mg Adco-indomethacin 25mg CAP Inodometacin 25mg Arthrexin 25mg CAP Inodometacin 25mg Betacin 25mg CAP Diclofenac 25mg A-lennon diclofenac 25mg Diclofenac 25mg Adco-diclofenac 25mg Diclofenac 25mg Diclohexal 25mg
Diclofenac 50mg A-lennon diclofenac 50mg Diclofenac 50mg Adco-diclofenac 50mg Diclofenac 50mg Merck-diclofenac sodium 50mg Diclofenac supp 12.5mg Panamor supp-12.5 12,5mg SUP Ibuprofen susp Ibugesic 100mg/5ml SUS Ibuprofen 200mg Inza 200mg Ibuprofen 200mg Ranfen 200mg Ibuprofen 200mg Sandoz-ibuprofen 200mg Ibuprofen 400mg Adco-ibuprofen 400mg Ibuprofen 400mg Ranfen 400mg Ibuprofen 400mg Sandoz-ibuprofen 400mg Mefenamic Acid Paed supp Ponsran supp 125mg SPP Mefenamic Acid 250mg Adco-mefenamic acid 250mg CAP Mefenamic Acid 250mg Fenamin 250mg CAP Mefenamic Acid susp Adco-mefenamic acid 50mg/5ml SUS Mefenamic Acid susp Fenamin 50mg/5ml SUS Meloxicam 7.5mg/15mg Flexocam 7,5mg Meloxicam 7.5mg/15mg Loxiflam 7,5mg Naproxen 220mg Aleve 220mg Naproxen 250mg Napflam 250mg Ibuprofen 50mg/g Deep Relief Gel 25g 50mg/g GEL 8.2 Anti-Gout Colchicine 0.5mg Colchicine 0.5mg 9. Analgesics 9.1 Analgesics and Antipyretics Aspirin 300mg Bayer aspirin 300mg Aspirin 300mg Disprin 300mg EFT Paracetamol syrup Napamol 120mg/5ml Paracetamol syrup Fabu Paracetamol 50ml Paracetamol syrup Fabu Paracetamol 100ml Paracetamol 500mg Napamol 500mg
Paracetamol 500mg Painamol (green) 500mg Paracetamol 500mg Prolief 500mg Paracetamol/ Codeine Napacod Paracetamol/ Codeine Painamol plus Paracetamol/ Codeine Spectrapain CAP Paracet/ Cod/ Prometh Salterpyn Paracet/ Cod/ Prometh Go-pain Paracet/ Cod/ Prometh Painagon Paracet/ Cod/ Prometh Stilpane Paracetamol/ Orphenadrine Besenal NC Paracetamol/ Orphenadrine Besemax Paracet/Caff/Cod/ Meprobamate tablets Paracet/Caff/Cod/ Meprobamate tablets Paracet/Caff/Cod/ Meprobamate tablets Paracet/Caff/Cod/ Meprobamate tablets Megapyn Painagon Salterpyn Stilpane Paracetamol/Mephenesin Spasmend Tramadol HCI Dolotram 50mg CAP Tramadol HCI Domadol 50mg CAP Tramadol HCI Tramahexal 50mg CAP Ibuprofen/ Codeine phos Ibucod Paracetamol/ Ibuprofen Ibumol Paracetamol/ Ibuprofen Dentopain 450mg CAP Paracetamol/ Ibuprofen Ibupain 450mg CAP Paracetamol/ Ibuprofen / Codeine caps Paracetamol/Ibuprofen/ Codeine caps Paracetamol/Ibuprofen/ Codeine caps Paracetamol/Ibuprofen/ Codeine tablets Dentopain Forte 460mg CAP Ibupain Forte 460mg CAP Mybulen 460mg CAP Mybulen 460mg 9.2 Antimigraine Preparations Cyclizine/ Ergotamine/ Caffeine Migril
10. Central Nervous System 10.1 Anxiolytics Diazepam Sandoz diazepam 2mg Diazepam Betapam 5mg Diazepam Pax 5mg Diazepam Pax 10mg Oxazepam Purata 10mg Oxazepam Purata 15mg Oxazepam Purata 30mg Alprazolam Alzam 0,25mg Alprazolam Azor 0,25mg Alprazolam Azor 0,5mg Alprazolam Alzam 1mg Alprazolam Azor 1mg 10.2 Hypnotics Amitriptyline Sandoz Amitriptyline 25mg For short term use only 11. Respiratory System 11.1 Nasal Corticosteriods Beclomethasone Betclate aquanase 150d AQS 11.2 Bronchodilators Salbutamol Asthavent 200 dose 100mcg INH Salbutamol Venteze complete 100mcg INH Salbutamol Asthavent 300 dose ecohaler 100mcg INH Salbutamol Asthavent 2mg/5ml Salbutamol Venteze 2mg/5ml Theophylline Alcophyllin Theophylline Sandoz theophylline anhydrous 300mg SRT Theophylline Sandoz theophylline anhydrous 300mg SRT
Theophylline 200mg SRT Salbutamol Ashavent dp caps CAP Budesonide Budeflam dp caps CAP dp Haler device INH 11.3 Cough & Cold Remedies Paracetamol/ Phenylpropanolamine Histamed co Fluend Flustat Flutex Sinustat-flu Sinustat Adco-linctopent CAP CAP CAP CAP CAP CAP Bromhexine Co Linctus Bronkese Co Bromhexine Co Linctus Flemeze Bromhexine Co Linctus Bronchette Carbocisteine 250mg/5ml Mucolinct 250mg/5ml Carbocisteine 250mg/5ml Broncleer & cod unboxed 250mg/5ml Diphenhydramine/ Ammon CI/Na citrate/ Codeine Expectalin Diphenhydramine/ Ammonium Chloride Histodor expect Diphenhydramine/ Ammonium CI/ Sod citrate Clear cough Diphenhydramine/ Ammonium CI/ Sod citrate Diphenhydramine exp Diphenhydramine/ Ammonium CI/ Sod citrate Diphenhydramine expect Diphenhydramine/ Ammonium CI/ Sod citrate Medilyn Solution Guaifenesin Flustat Paracetamol/ Phenylpropanolamine/ Dextrometh Paracetamol/ Phenylpropanolamine/ Dextrometh Paracetamol/ Pseudo/ Triprol Pseudoephedrine/ Triprolidine Pseudoephedrine/ Triprolidine Coryx Paed Syrup Sinustat-flu Acuflu P(alcohol & sugar free) Adco flupain Actifed Theophen
Theophyllin/ Etofylline Adco-Tussend Triprol/ Pseudo/ Guaifenesin/ Codeine Triprol/ Pseudo/ Guaifenesin/ Codeine Triprol/ Pseudo/ Guaifenesin/ Codeine Ephedrine/ Caffeine/ Paracetamol/ Chlorphenamine Ephedrine/ Caffeine/ Paracetamol/ Chlorphenamine Trifen exp adult Trifen exp paed Alcophyllex Betalix Decongestant elixir Colcleer paediatric syrup Folcofen Linctus tussi infant Colcleer ( cold + flu) Sinucon (stx) Sinuend Pseudoephedrine 60mg Adco-sinal co 60mg 11.4 Antihistamines Chlorphenamine Allergex 2mg/5ml Chlorphenamine Allergex 4mg Promethazine HCI Lenazine 5mg/5ml Promethazine HCI Prohist 5mg/5ml Promethazine HCI Phenergan 10mg Promethazine HCI Cipla-loratadine 25mg Loratadine Laura 10mg Loratadine Lorano 10mg Loratadine AP Loratadine 10mg Loratadine Clarinese 5mg/5ml Loratadine Clarinese 5mg/5ml Cetlrizine Hexal Cetlrizine 10mg Cetlrizine Texa 10mg Cetlrizine Texa 100ml
12. Ophthalmics 12.1 Antimicrobials Chloramphenicol Chloramex oit 1.00% EYO Chloramphenicol Chloromycetin redidrops 10ml 1.00% EYO Fusidic Acid Fucithalmic 5g OPD Ofloxacin octin 0.30% OPD Dexamethasone/ Chloramphenicol Spersadex Co Eye Drops 5ml DROPS Betamethasone/ Neomysin Betnesol N Drops 5ml DROPS 12.2 Corticosteriods Dexamethasone Spersadex 5ml 0,1% OPD Betamethasone Betnesol 0,10% OPD 12.3 Decongestants Antazoline/ Tetryzoline Spersallerg 10ml OPD Antazoline/ Tetryzoline Universal eye 15ml OPD Phenylephrine OPD 13. Otologicals 13.1 Analgesic ear Benzocaine/ Phenazone/ Ephendrine Benzocaine/ Phenazone/ Chlorbutol/ Glyc Aurone Otised 15ml EAR EAR Phenazone Covancaine 20ml EAR Benzocaine/ Phenazone/ Sulphac/ Urea Otophen EAR Phenazone Universal ear 15ml EAR Procaine/ Phenazone/ K-hydroxyquinoline Aurone Fort EAR 13.2 Ceruminolytics Docusate Na Waxsol nf 10ml EAR Chlorbutol/ Paradichlorobenzene/ Arachis oil Cerumol EAR