CLASS GROUP NAPPI ACUTE FORMULARY PRODUCT ACTIVE INGREDIENT COMMENTS

CARECROSS HEALTH ACUTE MEDICINE FORMULARY 2015 Reference pricing is applied. If a product is prescribed that is more expensive than the reference price, the patient will need to pay the difference in price at the point of dispensing. Quantity limits apply to some items on this formulary. Quantities in excess of this limit will need to be funded by the member at the point of dispensing, unless an authorisation has been obtained for a greater quantity. The examples below serve as a guide to the prescriber. Other generic products not specifically listed will be reimbursed in full if the price falls within the reference price range for that group. The formulary is subject to regular review. CareCross Health reserves the right to update and change the formulary when new information becomes available, prices change or when new medicines are released. While every effort has been made to ensure that products listed are available on the market, it is possible that some products may be discontinued by the manufacturers during the course of the year. DRUG CLASS GROUP NAPPI ACUTE FORMULARY PRODUCT ACTIVE INGREDIENT COMMENTS ANALGESICS Analgesic and Antipyretics 706930 BAYER ASPIRIN TAB Aspirin ANALGESICS Analgesic and Antipyretics 720577 DISPRIN EFT Aspirin ANALGESICS Analgesic and Antipyretics 700909 GULF ASPIRIN 300MG TAB Aspirin IBUCINE (WAS IBUMAX) ANALGESICS Analgesic and Antipyretics 700315 100MG/5ML SUS Ibuprofen ANALGESICS Analgesic and Antipyretics 704781 IBUGESIC 100MG/5ML SUS Ibuprofen ANALGESICS Analgesic and Antipyretics 705266 DENTOPAIN CAP Ibuprofen, ANALGESICS Analgesic and Antipyretics 705264 DENTOPAIN FORTE CAP Ibuprofen, ANALGESICS Analgesic and Antipyretics 704606 GEN-PAYNE CAP Ibuprofen, ANALGESICS Analgesic and Antipyretics 703845 IBUCOD TAB Ibuprofen, ANALGESICS Analgesic and Antipyretics 703719 IBUMOL TAB Ibuprofen, ANALGESICS Analgesic and Antipyretics 704586 IBUPAIN 450MG CAP Ibuprofen, ANALGESICS Analgesic and Antipyretics 704587 IBUPAIN FORTE 460MG CAP Ibuprofen, ANALGESICS Analgesic and Antipyretics 704791 MYBULEN CAP Ibuprofen, ANALGESICS Analgesic and Antipyretics 705245 MYBULEN SUS Ibuprofen, ANALGESICS Analgesic and Antipyretics ADCO-MEFENAMIC ACID 250MG 883102 CAP Mefenamic Acid ANALGESICS Analgesic and Antipyretics ADCO-MEFENAMIC ACID 875643 50MG/5ML SUS Mefenamic Acid ANALGESICS Analgesic and Antipyretics 797707 FENAMIN 250MG CAP Mefenamic Acid

ANALGESICS Analgesic and Antipyretics 797014 FENAMIN 50MG/5ML SUS Mefenamic Acid ANALGESICS Analgesic and Antipyretics 793264 PONAC 50MG/5ML SUS Mefenamic acid ANALGESICS Analgesic and Antipyretics PONSTAN PAED SUPP 125MG 807435 SPP Mefenamic Acid ANALGESICS Analgesic and Antipyretics ACTAMOL RED (UN-BOXED) 704093 120MG/5ML SYR Paracetamol ANALGESICS Analgesic and Antipyretics 745723 ADCO-NAPAMOL 500MG TAB Paracetamol ANALGESICS Analgesic and Antipyretics 757403 ADCO-PROLIEF 500MG TAB Paracetamol ANALGESICS Analgesic and Antipyretics 805467 ANTALGIC 500MG TAB Paracetamol FEVERPAIN (BOXED) 120MG/5ML ANALGESICS Analgesic and Antipyretics 863742 SYR Paracetamol ANALGESICS Analgesic and Antipyretics 799629 PAINAMOL (GREEN) 500MG TAB Paracetamol ANALGESICS Analgesic and Antipyretics 704450 PAINOGESIC 120MG/5ML SYR Paracetamol ANALGESICS Analgesic and Antipyretics 758558 PYRALEN 120MG/5ML SYR Paracetamol ANALGESICS Combinations 894289 ADCO-KIDDIPAYNE SYR Paracetamol, ADCO-NAPACOD 500MG/10MG ANALGESICS Combinations 745707 TAB Paracetamol, ANALGESICS Combinations 894282 ADCO-PAYNE TAB Paracetamol, ANALGESICS Combinations 809055 ADCO-SALTERPYN TAB Paracetamol, ANALGESICS Combinations 787043 CODOROL TAB Paracetamol, ANALGESICS Combinations 793566 GOLDGESIC SYR Paracetamol, ANALGESICS Combinations 793574 GOLDGESIC TAB Paracetamol, ANALGESICS Combinations 823538 GO-PAIN TAB Paracetamol, ANALGESICS Combinations 823511 GO-PAIN 120MG/5ML SYR Paracetamol, ANALGESICS Combinations 800325 HOPYN (BRISCOPYN) TAB Paracetamol, ANALGESICS Combinations 732753 INFAPAIN FORTE SYR Paracetamol, ANALGESICS Combinations 836605 KID-EEZE SYR Paracetamol, ANALGESICS Combinations 833746 MEDIPYN S SYR Paracetamol, ANALGESICS Combinations 892662 NUCOPAIN TAB Paracetamol, ANALGESICS Combinations 752185 PAINAGON SYR Paracetamol, ANALGESICS Combinations 752177 PAINAGON TAB Paracetamol, ANALGESICS Combinations 707910 PAINAMOL PLUS TAB Paracetamol, ANALGESICS Combinations 789992 PYNMED TAB Paracetamol, ANALGESICS Combinations 807583 SALTERPYN SYR Paracetamol, ANALGESICS Combinations 765635 SPECTRAPAIN CAP Paracetamol, ANALGESICS Combinations 834440 SPECTRAPAIN FORTE TAB Paracetamol, ANALGESICS Combinations 766801 STILPANE SYR Paracetamol, ANALGESICS Combinations 766828 STILPANE TAB Paracetamol, ANALGESICS Combinations 719052 TRAMAZAC CO 37.5MG/325MG TAB Tramadol/ paracetamol combination Maximum 60 tablets per month

ANALGESICS Others 705379 DOLOTRAM 50MG CAP Tramadol Maximum 60 tablets per month ANALGESICS Others 705175 DOMADOL 50MG CAP Tramadol Maximum 60 tablets per month ANALGESICS Others 706475 TRAMAZAC 50MG CAP Tramadol Maximum 60 tablets per month ANTIHELMINTICS ANTIHELMINTICS 703063 ADCO-WORMEX 100MG TAB Mebendazole ANTIHELMINTICS ANTIHELMINTICS 704656 ADCO-WORMEX 500MG TAB Mebendazole ANTIHELMINTICS ANTIHELMINTICS 828297 CIPEX 100MG/5ML SUS Mebendazole ANTIHELMINTICS ANTIHELMINTICS 810533 WORMGO 100MG TAB Mebendazole ANTIHELMINTICS ANTIHELMINTICS 845671 WORMSTOP 100MG TAB Mebendazole ANTIHELMINTICS ANTIHELMINTICS 845698 WORMSTOP 100MG/5ML SUS Mebendazole ANTIHELMINTICS ANTIHELMINTICS 845701 WORMSTOP 500MG TAB Mebendazole ANTIHELMINTICS ANTIHELMINTICS 708607 BILTRICIDE 600MG TAB Praziquantel ANTIHELMINTICS ANTIHELMINTICS 717169 CYSTICIDE 500MG TAB Praziquantel ASPEN FLUCONAZOLE 150MG Antifungal agents 703624 CAP Fluconazole Maximum 4 capsules per month Antifungal agents 703635 DIFLUZOLE 150MG CAP Fluconazole Maximum 4 capsules per month Antifungal agents 711530 MYCOREST 150MG CAP Fluconazole Maximum 4 capsules per month MYLAN FLUCONAZOLE 150MG Antifungal agents 705384 CAP Fluconazole Maximum 4 capsules per month Antifungal agents 701100 CANDACIDE 100000U/1ML SUS Nystatin Antifungal agents 835056 CANSTAT ORAL SUS Nystatin Antifungal agents 835285 NYSTACID SUS Nystatin Anti-protozoal agents 792284 ACUZOLE 200MG TAB Metronidazole Anti-protozoal agents 792292 ACUZOLE 400MG TAB Metronidazole Anti-protozoal agents 821705 BEMETRAZOLE 200MG TAB Metronidazole Anti-protozoal agents 788708 BEMETRAZOLE 400MG TAB Metronidazole Anti-protozoal agents 726338 FLAGYL 200MG/5ML SUS Metronidazole for children < 10 years of age only Anti-protozoal agents 784710 MEDAMET 200MG TAB Metronidazole Anti-protozoal agents 793159 METAZOL 200MG TAB Metronidazole Anti-protozoal agents 793167 METAZOL 400MG TAB Metronidazole Anti-protozoal agents 779822 METRAZOLE 400MG TAB Metronidazole Anti-protozoal agents 783544 METROSTAT 400MG TAB Metronidazole Anti-protozoal agents 772216 TRICHAZOLE 200MG TAB Metronidazole Anti-protozoal agents 772224 TRICHAZOLE 400MG TAB Metronidazole Anti-viral agents 704778 ACITAB-200 DT 200MG DSP Aciclovir Anti-viral agents 704779 ACITAB-400 DT 400MG DSP Aciclovir Anti-viral agents 827282 ADCO-ACYCLOVIR 200MG TAB Aciclovir Anti-viral agents 824313 CYCLIVEX 200MG TAB Aciclovir Anti-viral agents 860581 CYCLIVEX 400MG TAB Aciclovir Anti-viral agents 838225 LOVIRE 200MG DSP Aciclovir

Anti-viral agents 838233 LOVIRE 400MG DSP Aciclovir Cephalosporins 830658 VERCEF 187MG/5ML SUS Cefaclor Cephalosporins 830666 VERCEF 375MG/5ML SUS Cefaclor Cephalosporins 838217 VERCEF MR 375MG TAB Cefaclor Cephalosporins 829781 DACEF 250MG/5ML SUS Cefadroxil Cephalosporins 821519 DACEF 500MG CAP Cefadroxil Cephalosporins 829803 DACEF 500MG/5ML SUS Cefadroxil Cephalosporins CPL ALLIANCE CEPHALEXIN 897892 125MG/5ML SUS Cefalexin Cephalosporins CPL ALLIANCE CEPHALEXIN 897880 250MG CAP Cefalexin Cephalosporins CPL ALLIANCE CEPHALEXIN 897887 500MG CAP Cefalexin Cephalosporins 860603 RANCEPH 125MG/5ML SUS Cefalexin Cephalosporins 830909 RANCEPH 250MG CAP Cefalexin Cephalosporins 860611 RANCEPH 250MG/5ML SUS Cefalexin Cephalosporins 837253 RANCEPH 500MG CAP Cefalexin Cephalosporins ASPEN CEFPODOXIME 100MG 718333 TAB Cefpodoxime Cephalosporins ASPEN CEFPODOXIME 200MG 718334 TAB Cefpodoxime Cephalosporins 703058 CEPODEM 40MG/5ML SUS Cefpodoxime Cephalosporins 716657 DYNA CEFPODOXIME 100MG TAB Cefpodoxime DYNA CEFPODOXIME 40MG/5ML Cephalosporins 716658 SUS Cefpodoxime Cephalosporins ORCHID CEFUROXIME 250MG 717990 TAB Cefuroxime Cephalosporins ORCHID CEFUROXIME 500MG 717992 TAB Cefuroxime Cephalosporins SANDOZ CEFUROXIME 710077 125MG/5ML SUS Cefuroxime Cephalosporins 713006 ZEFURIME 250MG TAB Cefuroxime Cephalosporins 713007 ZEFURIME 500MG TAB Cefuroxime Macrolides ASPEN AZITHROMYCIN 500MG 705100 TAB Azithromycin Macrolides 704649 KLARITHRAN 125MG/5ML SUS Clarithromycin Macrolides 704650 KLARITHRAN 250MG/5ML SUS Clarithromycin Macrolides 704464 KLARITHRAN 500MG TAB Clarithromycin

Macrolides 707761 KLARITHRAN MR 500MG SRT Clarithromycin Macrolides 707255 KLARIZON 250MG TAB Clarithromycin Macrolides 793329 BETAMYCIN 125MG/5ML SUS Erythromycin Macrolides 758396 PURMYCIN 125MG/5ML SUS Erythromycin Macrolides 758388 PURMYCIN 250MG CAP Erythromycin Macrolides 758418 PURMYCIN 250MG/5ML SUS Erythromycin Macrolides 761613 RUBIMYCIN 250MG TAB Erythromycin Macrolides 824682 XERAMEL 250MG CAP Erythromycin Macrolides 848409 XERAMEL SF 250MG/5ML SUS Erythromycin Macrolides 704614 THROSYN 150MG TAB Roxithromycin Fluoroquinolones 703045 CIPROGEN 500MG TAB Ciprofloxacin Fluoroquinolones 704777 CIPROL 250MG TAB Ciprofloxacin Fluoroquinolones 704775 CIPROL 500MG TAB Ciprofloxacin Fluoroquinolones CPL ALLIANCE CIPROFLOXACIN 700284 250MG TAB Ciprofloxacin Fluoroquinolones CPL ALLIANCE CIPROFLOXACIN 700287 500MG TAB Ciprofloxacin Fluoroquinolones 700516 DYNAFLOC 250MG TAB Ciprofloxacin Fluoroquinolones 700518 DYNAFLOC 500MG TAB Ciprofloxacin Fluoroquinolones 701208 ORPIC 250MG TAB Ciprofloxacin Fluoroquinolones 701210 ORPIC 500MG TAB Ciprofloxacin ASPEN FLUCONAZOLE 50MG Fluoroquinolones 703623 CAP Fluconazole Fluoroquinolones 702524 FLOXIN 400MG TAB Norfloxacin Fluoroquinolones 717382 UTIFLOXA 400MG TAB Norfloxacin Other anti-bacterial agents 849960 CLINDAHEXAL 150MG CAP Clindamycin Penicillins 788546 BETAMOX 500MG CAP Amoxicillin Penicillins 806579 MOXYMAX 250MG CAP Amoxicillin Penicillins 806587 MOXYMAX 500MG CAP Amoxicillin Penicillins 744689 MOXYPEN 250MG CAP Amoxicillin Penicillins 744697 MOXYPEN 500MG CAP Amoxicillin Penicillins 830291 MOXYPEN S 125MG/5ML SUS Amoxicillin

Penicillins 830305 MOXYPEN SF 250MG/5ML SUS Amoxicillin Penicillins 830739 ZOXIL S 125MG/5ML SUS Amoxicillin Penicillins 830747 ZOXIL SF 250MG/5ML SUS Amoxicillin Penicillins 707184 AMOCLAN 375MG TAB Amoxicillin/ clavulanic acid Penicillins 704484 AMOCLAN BID 1000MG TAB Amoxicillin/ clavulanic acid Penicillins 707186 AMOCLAN S 156,25MG/5ML SUS Amoxicillin/ clavulanic acid Penicillins 707187 AMOCLAN SF 312,5MG/5ML SUS Amoxicillin/ clavulanic acid Penicillins 861936 AUGMAXCIL 375MG TAB Amoxicillin/ clavulanic acid Penicillins 861944 AUGMAXCIL 625MG TAB Amoxicillin/ clavulanic acid Penicillins AUGMAXCIL S 156,25MG/5ML 861952 SUS Amoxicillin/ clavulanic acid Penicillins AUGMAXCIL SF 312,5MG/5ML 861960 SUS Amoxicillin/ clavulanic acid Penicillins AUSTELL-CO-AMOXICLAV 625MG 707408 TAB Amoxicillin/ clavulanic acid Penicillins 708387 BIO-AMOKSIKLAV 1000MG TAB Amoxicillin/ clavulanic acid BIO-AMOKSIKLAV S Penicillins 865540 156,25MG/5ML SUS Amoxicillin/ clavulanic acid Penicillins 709232 CLAMENTIN 1000MG TAB Amoxicillin/ clavulanic acid Penicillins 705832 CURAM BD 457MG/5ML SUS Amoxicillin/ clavulanic acid SANDOZ CO-AMOXYCLAV BD SF Penicillins 705471 457MG/5ML SUS Amoxicillin/ clavulanic acid Penicillins 797561 MACROPEN 500MG CAP Amoxicillin/ flucloxacillin Penicillins 830208 MACROPEN S 250MG/5ML SUS Amoxicillin/ flucloxacillin Penicillins 784583 AMPIPEN 250MG CAP Ampicillin Penicillins 829307 BE-AMPICIL 125MG/5ML SUS Ampicillin Penicillins 783188 BE-AMPICIL 250MG CAP Ampicillin Penicillins 797553 APEN 500MG CAP Ampicillin/ cloxacillin Penicillins 829250 APEN S 250MG SUS Ampicillin/ cloxacillin Penicillins 809632 CLOXIN 250MG CAP Cloxacillin Penicillins 809640 CLOXIN 500MG CAP Cloxacillin SANDOZ FLUCLOXACILLIN Penicillins 781231 250MG CAP Flucloxacillin Penicillins 751111 BETAPEN 125MG/5ML SUS Phenoxymethyl penicillin K Penicillins 780081 BETAPEN 250MG TAB Phenoxymethyl penicillin K Sulphonamides 703865 CASICOT SUSPENSION SUS Cotrimoxazole Sulphonamides 779881 CO-TRIM SUS Cotrimoxazole Sulphonamides 793310 COZOLE SUS Cotrimoxazole Sulphonamides 716731 COZOLE TAB Cotrimoxazole

Sulphonamides 735698 LAGATRIM 480MG TAB Cotrimoxazole Sulphonamides 867977 NUCOTRIM TAB Cotrimoxazole PHARMA-Q CO-TRIMOXAZOLE Sulphonamides 701754 TAB Cotrimoxazole Sulphonamides 758221 PURBAC SUS Cotrimoxazole Sulphonamides 758248 PURBAC ADULT TAB Cotrimoxazole Sulphonamides 758256 PURBAC DS 960MG TAB Cotrimoxazole SANDOZ CO-TRIMOXAZOLE Sulphonamides 782793 800MG/160MG TAB Cotrimoxazole Sulphonamides 789836 TRIMETHOX TAB Cotrimoxazole Sulphonamides 816337 XERAZOLE SUS Cotrimoxazole A-LENNON DOXYCYCLINE HCL Tetracyclines 893402 100MG CAP Doxycycline Tetracyclines 716944 CYCLIDOX 100MG CAP Doxycycline Tetracyclines 809667 DOXYCYL 100MG CAP Doxycycline Tetracyclines 787434 BE-OXYTET 250MG CAP Oxytetracycline Tetracyclines 884167 NUCOTET 250MG CAP Oxytetracycline Tetracyclines 751987 OXYPAN 250MG CAP Oxytetracycline Tetracyclines 703224 PHARMATET (YELLOW/ORANGE) 250MG CAP Oxytetracycline BLOOD AND HAEMOPOEITIC Haematinics 756571 PREGAMAL TAB Ferous fumarate/ folic acid GULF FERROUS SULPHATE BLOOD AND HAEMOPOEITIC Haematinics 897329 COMPOUND TAB Ferrour sulphate Co BLOOD AND HAEMOPOEITIC Haematinics 835072 FERRO DROPS L DRP Ferrous lactate CARDIOVASCULAR Vasodilators 703605 ANGISED 0,5MG SLT Glyceryl trinitrtae CARDIOVASCULAR Vasodilators 734411 ISORDIL SUBLINGUAL 5MG SLT Isosorbide dinitrate SANDOZ ISOSORBIDE CARDIOVASCULAR Vasodilators 784192 DINITRATE 5MG SLT Isosorbide dinitrate CENTRAL NERVOUS SYSTEM Anti-emetic agents 744182 MITIL 5MG TAB Prochlorperazine CENTRAL NERVOUS SYSTEM Anti-emetic agents 762849 SCRIPTO-METIC 5MG TAB Prochlorperazine CENTRAL NERVOUS SYSTEM Anti-Migraine agents 702167 RELPAX 20MG TAB Eletriptan Maximum 4 tablets in 60 days CENTRAL NERVOUS SYSTEM Anti-Migraine agents 702165 RELPAX 40MG TAB Eletriptan Maximum 4 tablets in 60 days CENTRAL NERVOUS SYSTEM Anti-Migraine agents 743283 MIGRIL TAB Ergotamine, Maximum 10 tablets per month CENTRAL NERVOUS SYSTEM Anti-Migraine agents 848808 NARAMIG 2,5MG TAB Naratriptan Maximum 4 tablets in 60 days CENTRAL NERVOUS SYSTEM Anti-Migraine agents 711182 TRIPTAM 100MG TAB Sumatriptam Maximum 4 tablets in 60 days CENTRAL NERVOUS SYSTEM Anti-Migraine agents 711181 TRIPTAM 50MG TAB Sumatriptam Maximum 4 tablets in 60 days CENTRAL NERVOUS SYSTEM Anti-Migraine agents 897005 ZOMIG RAPIMELT 2,5MG SLT Zolmitriptan Maximum 6 tablets in 60 days Antivertigo and antiemetic CENTRAL NERVOUS SYSTEM agents 704024 SANDOZ CINNARIZINE 25MG TAB Cinnarizine CENTRAL NERVOUS SYSTEM Benzodiazepines 821071 ADCO-ALZAM 0,25MG TAB Alprazolam Maximum 60 tablets per month

CENTRAL NERVOUS SYSTEM Benzodiazepines 821098 ADCO-ALZAM 0,5MG TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 823244 AZOR 0,25MG TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 823252 AZOR 0,5MG TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 823260 AZOR 1MG TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines CPL ALLIANCE ALPRAZOLAM 897929 0,25MG TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines CPL ALLIANCE ALPRAZOLAM 897930 0,5MG TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 897968 MERCK-ALPRAZOLAM 1MG TAB Alprazolam Maximum 60 tablets per month MYLAN ALPRAZOLAM 0,25MG CENTRAL NERVOUS SYSTEM Benzodiazepines 897965 TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 895173 MYLAN ALPRAZOLAM 0,5MG TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 826685 ZOPAX 0,25MG TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 826693 ZOPAX 0,5MG TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 826707 ZOPAX 1MG TAB Alprazolam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 708062 BETAPAM 5MG TAB Diazepam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 721174 DOVAL 5MG TAB Diazepam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 753173 PAX 5MG TAB Diazepam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 704482 AREM 5MG TAB Nitrazepam Maxiumum 30 tablets in 90 days CENTRAL NERVOUS SYSTEM Benzodiazepines 758183 PURATA 10MG TAB Oxazepam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 758191 PURATA 15MG TAB Oxazepam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 758205 PURATA 30MG TAB Oxazepam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 751758 SANDOZ OXAZEPAM 15MG TAB Oxazepam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Benzodiazepines 751766 SANDOZ OXAZEPAM 30MG TAB Oxazepam Maximum 60 tablets per month CENTRAL NERVOUS SYSTEM Hypnotics 874728 ALCHERA 7,5MG TAB Zopiclone Maximum 30 tablets in 90 days CENTRAL NERVOUS SYSTEM Hypnotics 705115 ZOPIGEN 7,5MG TAB Zopiclone Maximum 30 tablets in 90 days DERMATOLOGICALS Anti-Bacterial Antiseptic agents 839019 WOUND-A-SEPT (STX) CRE Cetrimide DERMATOLOGICALS Anti-Bacterial Antiseptic agents 776297 VIOCORT CRE Hydrocortisone and antiseptics DERMATOLOGICALS Anti-Bacterial Antiseptic agents 784524 FURASEPT OIN Nitrofurazone DERMATOLOGICALS Anti-Bacterial Antiseptic agents 805416 FUREX OIN Nitrofurazone DERMATOLOGICALS Anti-Bacterial Antiseptic agents 871885 BIOCREAM CRE Povidone iodine

DERMATOLOGICALS DERMATOLOGICALS Anti-Bacterial Antiseptic agents 821713 SEPTADINE ANTISEPTIC OIN Povidone iodine Anti-Bacterial Antiseptic agents 791725 BACTRAZINE 1% CRE Silver sulphadiazine DERMATOLOGICALS Antifungal agents 826952 A-POR CRE Clotrimazole DERMATOLOGICALS Antifungal agents 824011 CANEX TOPICAL 1% CRE Clotrimazole DERMATOLOGICALS Antifungal agents 878421 CLOMADERM CRE Clotrimazole DERMATOLOGICALS Antifungal agents 846422 FUNGISPOR 1% CRE Clotrimazole DERMATOLOGICALS Antifungal agents 784966 CANSTAT CRE Nystatin DERMATOLOGICALS Antifungal agents 797022 NYSTACID OIN Nystatin ALLERGEX MEPYRAMINE (WAS DERMATOLOGICALS Antihistamines 800511 MEPYRIMAL) CRE Mepyramine DERMATOLOGICALS Antihistamines 897334 ALSAN 2% CRE Mepyramine DERMATOLOGICALS Antihistamines 701102 MEPYRADERM 2% CRE Mepyramine DERMATOLOGICALS Anti-Parasitics ALPHA BENZYL BENZOATE 700205 APPLICATION 25% LOT Benzylbenzoate DERMATOLOGICALS Anti-Parasitics APP BENZYL BENZ - ALLIED 25% 885588 SCL Benzylbenzoate DERMATOLOGICALS Anti-Parasitics 707716 APP BENZYL BENZ BPC LOT Benzylbenzoate DERMATOLOGICALS Antipruritics 717243 CALAMINE - ALCHEMIST LOT Calamine DERMATOLOGICALS Antipruritics 715602 CALAMINE LOTION - DAROL LOT Calamine DERMATOLOGICALS Antipruritics 712969 CLICKS CALAMINE LOT Calamine DERMATOLOGICALS Antipruritics 735647 LACTO CALAMINE LOT Calamine LOT CALAMINE (XPRESSMED) DERMATOLOGICALS Antipruritics 839027 LOT Calamine DERMATOLOGICALS Antipruritics 739324 LOT CALAMINE BP MLS Calamine DERMATOLOGICALS Antipruritics 872490 LOT CALAMINE BP MLS Calamine DERMATOLOGICALS Antipruritics 794120 BIOHIST LOTION LOT Diphenhydramine/ calamine DERMATOLOGICALS Antipruritics 731269 HISTODOR CRE Mepyramine/ dipjhenhydramine DERMATOLOGICALS Anti-viral agents 873551 ACITOP 5% CRE Aciclovir DERMATOLOGICALS Anti-viral agents 824674 ADCO-ACYCLOVIR CRE Aciclovir DERMATOLOGICALS Anti-viral agents 713942 BETA-VIRA 5% CRE Aciclovir DERMATOLOGICALS Anti-viral agents 701035 LOVIRE CRE Aciclovir DERMATOLOGICALS Corticosteroids 878200 BECLATE CREAM CRE Beclometasone Maximum 50g per month DERMATOLOGICALS Corticosteroids 800171 LENOVATE 0,1% OIN Betametasone Maximum 50g per month DERMATOLOGICALS Corticosteroids 882934 REPIVATE 0,1% CRE Betametasone Maximum 50g per month VARI-BETAMETHASONE 0,1% DERMATOLOGICALS Corticosteroids 701138 CRE Betametasone Maximum 50g per month DERMATOLOGICALS Corticosteroids 716278 CORTODERM CRE Fluocinolone Maximum 50g per month

DERMATOLOGICALS Corticosteroids 716286 CORTODERM OIN Fluocinolone Maximum 50g per month DERMATOLOGICALS Corticosteroids 807834 BIOCORT (STX) CRE Hydrocortisone 1% Maximum 50g per month DERMATOLOGICALS Corticosteroids 826642 LINK MEZZODERM CRE Hydrocortisone 1% Maximum 50g per month DERMATOLOGICALS Corticosteroids 810223 STOPITCH 1% CRE Hydrocortisone 1% Maximum 50g per month DERMATOLOGICALS Corticosteroids 833037 TOPIVATE 0,1% CRE Hydrocortisone 1% Maximum 50g per month VARI-HYDROCORTISONE 1% DERMATOLOGICALS Corticosteroids 700445 CRE Hydrocortisone 1% Maximum 50g per month DERMATOLOGICALS Local Anaesthetic 799211 AMETHOCAINE CRE Amethocaine DERMATOLOGICALS Others 776300 VIODOR CRE Diiodoxyquinoline/ benzocaine EAR, NOSE AND THROAT Ear Drops and Ointments 716596 COVANCAINE 20ML EAR Antiinfectives, EAR, NOSE AND THROAT Ear Drops and Ointments 716634 COVOMYCIN 7.5ML EEN Antiinfectives, EAR, NOSE AND THROAT Ear Drops and Ointments 839981 OTOPHEN FORTE 10ML EAR Antiinfectives, EAR, NOSE AND THROAT Ear Drops and Ointments 751537 OTISED 15ML EAR Combinations EAR, NOSE AND THROAT Ear Drops and Ointments 751561 OTOPHEN 10ML EAR Combinations EAR, NOSE AND THROAT Ear Drops and Ointments 773859 UNIVERSAL EAR 15ML EAR Combinations EAR, NOSE AND THROAT Ear Drops and Ointments 778567 WAXSOL NF 10ML 0,05G EAR Docusate sodium EAR, NOSE AND THROAT Ear Drops and Ointments 713430 CERUMOL 10ML EAR Turpentine oli ENDOCRINE SYSTEM Corticosteroids 826936 BETANOID 0,6MG/5ML SYR Betametasone For Children < 10 years of age ADCO PREDNISOLONE ENDOCRINE SYSTEM Corticosteroids 716381 15MG/5ML SYR Prednisolone For Children < 10 years of age ENDOCRINE SYSTEM Corticosteroids 714552 ASPELONE 15MG/5ML LIQ Prednisolone For Children < 10 years of age ENDOCRINE SYSTEM Corticosteroids 814407 CAPSOID 5MG TAB Prednisolone ENDOCRINE SYSTEM Corticosteroids 800155 LENISOLONE 5MG TAB Prednisolone ENDOCRINE SYSTEM Corticosteroids 788783 BE-TABS PREDNISONE 5MG TAB Prednisone ENDOCRINE SYSTEM Corticosteroids 752304 PANAFCORT 5MG TAB Prednisone ENDOCRINE SYSTEM Corticosteroids 818267 TROLIC 5MG TAB Prednisone ENDOCRINE SYSTEM Progestogens 706705 HEXAL-MPA 10MG TAB Medroxyprogesterone ENDOCRINE SYSTEM Progestogens 706704 HEXAL-MPA 5MG TAB Medroxyprogesterone ENDOCRINE SYSTEM Progestogens 808245 PROVERA 10MG TAB Medroxyprogesterone ENDOCRINE SYSTEM Progestogens 757934 PROVERA 5MG TAB Medroxyprogesterone Antacids and Combinations 890357 GELACID SUS Alginic acid Antacids and Combinations 700460 ACIDEX (STX) SUS Aluminium oxide Antacids and Combinations 700771 AMGEL SUS Dicyclomine Co Antacids and Combinations 707899 BETACLOMIN GEL SUS Dicyclomine Co Antacids and Combinations 782173 CO-GEL SUS Dicyclomine Co Antacids and Combinations 702725 DICYCLOMINE CO GEL SUS Dicyclomine Co Antacids and Combinations 789933 GELUMEN SUS Dicyclomine Co Antacids and Combinations 786810 NEUTRAGEL D SUS Dicyclomine Co

Antacids and Combinations 757675 PROPAN GEL S SUS Dicyclomine Co Antacids and Combinations 765538 SPASMOGEL SUS Dicyclomine Co Antacids and Combinations 789259 DEOPENS TAB Magnesium hydroxide Antacids and Combinations 839035 BE-TABS ANTACID SUS MAG TRISILICATE MIXT - ALLIED Antacids and Combinations 823031 MLS Antacids and Combinations 702522 ACIBAN TAB Antacids and Combinations 892654 MAGASIL SUS TELAMENT PAED GRIPE WATER Antacids and Combinations 700101 SYR Magnesium hydroxide/ Aluminium hydroxide/ Dimethicone Magnesium trisilicate Magnesium trisilicate/ Aluminium hudroxide Sod bicarb/ Magnesium trisilicate/ magnesium carbonate Sodium bicarb/ Oil of dill Antidiarrhoeals 799408 BETAPECT SUS Combinations Antidiarrhoeals 708976 BISKAPECT SUS Combinations Antidiarrhoeals 728284 GASTROPECT SUS Combinations Antidiarrhoeals 734853 KAOCREAM (STX) SUS Combinations Antidiarrhoeals 892661 PECTIKON SUS Combinations Antidiarrhoeals 823546 PECTIN-K SUS Combinations Antidiarrhoeals 813737 TUMMY-PECT SUS Combinations ADCO-LOPERAMIDE 1MG/5ML Antidiarrhoeals 811467 SYR Loperamide Antidiarrhoeals 791768 ADCO-PRODIUM 2MG TAB Loperamide Antidiarrhoeals 810908 GASTRON 1MG/5ML SYR Loperamide Antidiarrhoeals 810916 GASTRON 2MG TAB Loperamide Antidiarrhoeals 820563 LOPERASTAT 1MG/5ML SYR Loperamide Antidiarrhoeals 796697 NORIMODE 2MG TAB Loperamide Anti-emetic agents 792217 ACULOID 50MG TAB Cyclizine Anti-emetic agents 792845 MEDAZINE-S 12,5MG/5ML SYR Cyclizine Anti-emetic agents 799424 NAUZINE 50MG TAB Cyclizine Anti-emetic agents 820571 NAUZINE S 12,5MG/5ML SYR Cyclizine Anti-emetic agents 772143 TRIAZINE TAB Cyclizine Anti-emetic agents 772135 TRIAZINE INFANT 50MG SPP Cyclizine 796700 TRIAZINE PAEDIATRIC (WAS Cyclizine Anti-emetic agents NORIZINE) SYR Anti-emetic agents 774626 VALOID 100MG SUP Cyclizine Anti-emetic agents 715875 ADCO-CONTROMET 10MG TAB Metaclopramide ADCO-CONTROMET 5MG/5ML Anti-emetic agents 783064 SYR Metaclopramide

Anti-emetic agents 787817 BETACLOPRAMIDE 10MG TAB Metaclopramide Anti-emetic agents 700712 CLOMAX 10MG TAB Metaclopramide Anti-emetic agents 714844 CLOPAMON 5MG/5ML SYR Metaclopramide Anti-emetic agents 809322 COVAMET TAB Metaclopramide Anti-emetics 723037 EMETROL SYR Invert sugar/ phosphoric acid Anti-emetics 784346 EMEX SYR Invert sugar/ phosphoric acid 762717 SCOPEX CO TAB Hyoscine butylbromide/ Antispasmodics Dipyrone Antispasmodics 743348 MILLERSPAS TAB Phenobarb/ Atropine/ Hyoscine Anti-Spasmodics 783331 MEDICYCLOMINE 10MG/5ML SYR Dicyclomine Anti-Spasmodics 731951 HYOSPASMOL 10MG TAB Hyoscine butylbromide Anti-Spasmodics 707213 HYOSPASMOL 5MG/5ML SYR Hyoscine butylbromide Anti-Spasmodics 762725 SCOPEX 10MG TAB Hyoscine butylbromide Anti-Spasmodics 703383 SCOPEX SYRUP 5MG/5ML SYR Hyoscine butylbromide Anti-Spasmodics 822019 BEVISPAS 135MG TAB Mebeverine Anti-Spasmodics 701892 MYLAN MEBEVERINE 135MG TAB Mebeverine Histamine-2 receptor antagonists 886978 BIO-CIMETIDINE 200MG TAB Cimetidine Histamine-2 receptor antagonists 887003 BIO-CIMETIDINE 400MG TAB Cimetidine Histamine-2 receptor antagonists 736260 LENAMET 400MG TAB Cimetidine Histamine-2 receptor antagonists 797464 SECADINE 200MG TAB Cimetidine Histamine-2 receptor antagonists 712134 AUSTAC 150MG TAB Ranitidine Histamine-2 receptor antagonists 712135 AUSTAC 300MG TAB Ranitidine Histamine-2 receptor antagonists CPL ALLIANCE RANITIDINE 700119 150MG TAB Ranitidine Histamine-2 receptor antagonists CPL ALLIANCE RANITIDINE 700120 300MG TAB Ranitidine Laxatives 721549 DULCOLAX 5MG TAB Bisacodyl Laxatives 721522 DULCOLAX ADULT ADULT SUP Bisacodyl DULCOLAX PAEDIATRIC PAED Laxatives 721530 SUP Bisacodyl Laxatives 708008 LAXADOR BISACODYL 5MG TAB Bisacodyl

Laxatives 717972 ANLAC 3300MG/5ML SYR Lactulose Laxatives 797723 LACSON 3300MG/5ML SYR Lactulose Laxatives 763225 SENOKOT TAB Sennosides Laxatives 868078 SOFLAX TAB Sennosides LENOLAX (FLEET) ADULT ADULT Sodium acid phosphate/ Laxatives 726443 ENE Sodium phosphate Laxatives Mouth and Throat Preparations Rehydration solutions 726435 LENOLAX (FLEET) PAEDIATRIC CHILD ENE Sodium acid phosphate/ Sodium phosphate 835404 TEEJEL GEO Cetalkonium Cl/ Choline salicylate 703357 CERALYTE ORAL REHYDRATION Glucose and electrolytes SOLUTION SYR Rehydration solutions 717711 DARROW LIQ SYR Glucose and electrolytes 711128 ELECTRAL WITH ORANGE Glucose and electrolytes Rehydration solutions FLAVOUR 4.4G SAC ELECTROMAX BERRY FLAVOUR Glucose and electrolytes Rehydration solutions 713526 LIQ Rehydration solutions ELECTROMAX ORANGE 713527 FLAVOUR LIQ Glucose and electrolytes Rehydration solutions ELECTROPAK SACHETS 5,48G 781444 SAC Glucose and electrolytes Rehydration solutions 708294 HYDRASSIST SAC Glucose and electrolytes PIN-HYDRATE (BLACKCURRANT) Rehydration solutions 709762 SAC Glucose and electrolytes Rehydration solutions 709761 PIN-HYDRATE (ORANGE) SAC Glucose and electrolytes Rehydration solutions 762873 SCRIPTOLYTE SYR Glucose and electrolytes Suppositories and anal ointments Suppositories and anal ointments Suppositories and anal ointments 826375 ANUSOL OIN Bismuth preparations, 704148 ANUSOL SUH Bismuth preparations, 704083 ANUSOL PAIN RELIEF (WAS ANUGESIC) OIN GENITAL SYSTEM Vaginal Preparations 832340 DALACIN VC VCR Clindamycin GENITAL SYSTEM Vaginal Preparations 826960 A-POR VCR Clotrimazole GENITAL SYSTEM Vaginal Preparations 831913 CANEX VAG 1% VCR Clotrimazole GENITAL SYSTEM Vaginal Preparations 846341 FUNGISPOR (1 APPLICATOR) VCR Pramoxine HCI 25.1mg; bismuth subgallate 64.58mg; bismuth oxide 25.11mg; bismuth subiodide 0.52mg; resorcinol 25.11mg;balsam peru 51.65mg; benzyl benzoate 34.43mg; Zn oxide 316.1mg; boric acid 143.5mg Clotrimazole

MUSCULO-SKELETAL AGENTS Analgesic and Antipyretics MUSCULO-SKELETAL AGENTS Anti-Gout 807605 PANAMOR SUPP 12,5MG SUP Diclofenac 715271 COLCHICINE 0,5MG TAB Colchicine 788597 ADCO-DICLOFENAC 50MG TAB Diclofenac 893390 A-LENNON DICLOFENAC 25MG Diclofenac TAB 893391 A-LENNON DICLOFENAC 50MG Diclofenac TAB 853240 DICLOHEXAL 25MG TAB Diclofenac 786012 MYLAN DICLOFENAC 25MG TAB Diclofenac 786020 MYLAN DICLOFENAC 50MG TAB Diclofenac 834327 SANDOZ DICLOFENAC SODIUM Diclofenac 100 SIMPLE REG 100MG SRT 700316 IBUCINE (WAS IBUMAX) 200MG Ibuprofen TAB 700318 IBUCINE (WAS IBUMAX) 400MG Ibuprofen TAB 733741 INZA 200MG TAB Ibuprofen 733768 INZA 400MG TAB Ibuprofen 701106 ADCO-INDOMETHACIN 25MG Indometacin CAP 704725 ARTHREXIN 25MG CAP Indometacin 787833 BETACIN 25MG CAP Indometacin 704776 868213 GULF INDOMETHACIN 25MG CAP Indometacin 814393 METHOCAPS 25MG CAP Indometacin SANDOZ INDOMETHACIN 25MG CAP Indometacin 705375 ADCO-MELOXICAM 7,5MG TAB Meloxicam 711324 ARROW MELOXICAM 7,5MG TAB Meloxicam 704829 FLEXOCAM 7,5MG TAB Meloxicam

705176 M-CAM 7,5MG TAB Meloxicam 705229 ZYDUS-MELOXICAM 7,5MG TAB Meloxicam 799459 BE-TABS NAPROXEN 250MG TAB Naproxen 810185 MYLAN NAPROXEN 250MG TAB Naproxen 805238 NAPROSCRIPT 250MG TAB Naproxen OPHTHALMICS Antihistamines 706558 OPTILAST 0,05% OPD Azelastine OPHTHALMICS Anti-infectives 713724 CHLORAMEX 3.5G 1% EYO Chloramphenicol OPHTHALMICS Anti-infectives 713759 CHLORCOL 3.5G 1% EYO Chloramphenicol OPHTHALMICS Anti-infectives 713872 CHLORNICOL 3.5G 1% EYO Chloramphenicol CHLOROMYCETIN REDIDROPS OPHTHALMICS Anti-infectives 874175 10MLS 0,5% OPD Chloramphenicol OPHTHALMICS Anti-infectives 817201 CHLORPHEN 3.5G 1% EYO Chloramphenicol OPHTHALMICS Anti-infectives 783641 FUCITHALMIC 5G OPD Fusidic acid OCTIN OPTHALMIC DROPS 5ML OPHTHALMICS Anti-infectives 702935 3MG/1ML OPD Ofloxacin OPHTHALMICS Corticoids 708267 BETNESOL 5ML OPD Betametasone OPHTHALMICS Corticoids 765821 SPERSADEX 5ML 0,1% OPD Dexamethasone OPHTHALMICS Others 773883 UNIVERSAL EYE 15ML OPD Phenylephrine OPHTHALMICS Others 728608 GEMINI 15ML OPD Tetrahydolazine/ Antazoline OPHTHALMICS Others 765856 SPERSALLERG 10ML OPD Tetrahydolazine/ Antazoline RESPIRATORY SYSTEM Antihistamines 712890 ACUZYRT 10MG TAB Cetirizine RESPIRATORY SYSTEM Antihistamines 712889 ACUZYRT 5MG/5ML SYR Cetirizine RESPIRATORY SYSTEM Antihistamines 703821 ALLERMINE 10MG TAB Cetirizine RESPIRATORY SYSTEM Antihistamines 704188 ASPEN CETIRIZINE 10MG TAB Cetirizine ASPEN CETIRIZINE 5MG/5ML RESPIRATORY SYSTEM Antihistamines 713231 SYR Cetirizine RESPIRATORY SYSTEM Antihistamines 703314 TEXA 10MG TAB Cetirizine RESPIRATORY SYSTEM Antihistamines 710672 TEXA 5MG/5ML SYR Cetirizine RESPIRATORY SYSTEM Antihistamines 712764 ZETOP 10MG TAB Cetirizine RESPIRATORY SYSTEM Antihistamines 704659 ZYNCET 10MG TAB Cetirizine RESPIRATORY SYSTEM Antihistamines 702145 ALLERGEX 2MG/5ML SYR Chlorpheniramine RESPIRATORY SYSTEM Antihistamines 702072 ALLERGEX 4MG TAB Chlorpheniramine RESPIRATORY SYSTEM Antihistamines 703162 RHINETON 4MG TAB Chlorpheniramine RESPIRATORY SYSTEM Antihistamines 704886 AP LORATADINE 5MG/5ML SYR Loratadine RESPIRATORY SYSTEM Antihistamines 899430 AP-LORATADINE 10MG TAB Loratadine RESPIRATORY SYSTEM Antihistamines 705102 CLARINESE 5MG/5ML SYR Loratadine

RESPIRATORY SYSTEM Antihistamines 701361 POLLENTYME 10MG TAB Loratadine RESPIRATORY SYSTEM Antihistamines 703918 POLLENTYME S 5MG/5ML SYR Loratadine RESPIRATORY SYSTEM Antihistamines 710873 BRUNAZINE 5MG/5ML SYR Promethazine RESPIRATORY SYSTEM Antihistamines 736244 LENAZINE 5MG/5ML SYR Promethazine RESPIRATORY SYSTEM Antihistamines 757373 PROHIST 5MG/5ML SYR Promethazine RESPIRATORY SYSTEM Antihistamines 803065 RECEPTOZINE 10MG TAB Promethazine RESPIRATORY SYSTEM Antihistamines 803073 RECEPTOZINE 25MG TAB Promethazine RESPIRATORY SYSTEM Antihistamines 815527 RHINOLAST NASAL SPRAY NAS Zazelastine RESPIRATORY SYSTEM Cough and cold preparations 720283 DIPHENAMILL SYR Aminophylline, RESPIRATORY SYSTEM Cough and cold preparations 715077 COCILLANA COMPOUND SYR Cocillana/ Squill/ menthol RESPIRATORY SYSTEM Cough and cold preparations 827304 ADCO-LINCTOPENT SYR Combinations RESPIRATORY SYSTEM Cough and cold preparations 710687 BRONKESE COMPOUND SYR Combinations RESPIRATORY SYSTEM Cough and cold preparations 862312 FAMSTIM SYR Combinations RESPIRATORY SYSTEM Cough and cold preparations 738263 LINCTUS TUSSI INFANS SYR Combinations RESPIRATORY SYSTEM Cough and cold preparations 898880 MIST TUSSI INFANS MLS Combinations RESPIRATORY SYSTEM Cough and cold preparations ACUTUSSIVE ADULT EXPECT 792187 SYR ACUTUSSIVE PAED EXPECT RESPIRATORY SYSTEM Cough and cold preparations 792195 SYR RESPIRATORY SYSTEM Cough and cold preparations 794813 ADCO-NEOFED PAED SYR RESPIRATORY SYSTEM Cough and cold preparations 895032 AMCOUGH SYR RESPIRATORY SYSTEM Cough and cold preparations 788120 BECOF SYR BENCOUGH EXPECTORANT RESPIRATORY SYSTEM Cough and cold preparations 792144 (BOXED) WASTRIHISD SYR RESPIRATORY SYSTEM Cough and cold preparations 708054 BETALIN SYR RESPIRATORY SYSTEM Cough and cold preparations 803081 CLEAR COUGH SYR RESPIRATORY SYSTEM Cough and cold preparations 805343 EXPECTALIN SYR RESPIRATORY SYSTEM Cough and cold preparations 824402 GENHYDRAMINE EXPECT SYR

RESPIRATORY SYSTEM Cough and cold preparations 783145 HISTODOR EXPECT SYR LINK DINEXOL PAED COUGH RESPIRATORY SYSTEM Cough and cold preparations 826618 SYR RESPIRATORY SYSTEM Cough and cold preparations 789976 MEDILYN SOLUTION SYR RESPIRATORY SYSTEM Cough and cold preparations 702172 PHENORANT SYR PHENORANT WITH CODEINE RESPIRATORY SYSTEM Cough and cold preparations 702521 SYR RESPIRATORY SYSTEM Cough and cold preparations 823554 RELIEF-COFF EXPECT SYR RESPIRATORY SYSTEM Cough and cold preparations 799475 TRIFEN EXP ADULT SYR RESPIRATORY SYSTEM Cough and cold preparations 806269 TRIFEN EXP PAED SYR RESPIRATORY SYSTEM Cough and cold preparations 702080 ALLERGIN EXPECT SYR RESPIRATORY SYSTEM Cough and cold preparations 783595 FAMTUSS SYR RESPIRATORY SYSTEM Cough and cold preparations 715301 COLCLEER(COLD+FLU) TAB RESPIRATORY SYSTEM Cough and cold preparations 764264 SINUCON (STX) TAB RESPIRATORY SYSTEM Cough and cold preparations 822744 SINUEND TAB BRONCHOLIN EXPECT RESPIRATORY SYSTEM Cough and cold preparations 887966 100MG/5ML SYR RESPIRATORY SYSTEM Cough and cold preparations 715484 COLPHEN SYR RESPIRATORY SYSTEM Cough and cold preparations 727008 FOLCOFEN SYR Diphenhydramine, Diphenhydramine, Ephedrine/ Chlorphenramine/ paracetamol/ caffeine Ephedrine/ Chlorphenramine/ paracetamol/ caffeine Ephedrine/ Chlorphenramine/ paracetamol/ caffeine Guiaphenesin Guiaphenesin/ Chlorpheniramine/ Codeine etc Guiaphenesin/ diphenhydramine/ pholcodine RESPIRATORY SYSTEM Cough and cold preparations 703456 FAMS MIST TUSSI INFANS SYR Ipecacuanha Tr RESPIRATORY SYSTEM Cough and cold preparations 773875 SINU-FLU (WAS UNIVERSAL COLD & FLU) TAB RESPIRATORY SYSTEM Cough and cold preparations 807656 FLUSTAT SYR Mepyramine/ phenylephrine/ paracetamol Paracetamol/ phenylpropanolamine/ dextromethorphan RESPIRATORY SYSTEM Cough and cold preparations 791148 ADCO-SINAL CO TAB Phenylephrine,

BETALIX DECONGESTANT ELIXIR RESPIRATORY SYSTEM Cough and cold preparations 814105 SYR Phenylephrine, RESPIRATORY SYSTEM Cough and cold preparations 723258 ENDCOL COLD AND FLU CAP RESPIRATORY SYSTEM Cough and cold preparations 796832 SINUSTAT FLU CAP RESPIRATORY SYSTEM Cough and cold preparations 796824 SINUSTAT FLU (WAS MERCK- FLU) SYR RESPIRATORY SYSTEM Cough and cold preparations 725544 FAMUCAPS CAP RESPIRATORY SYSTEM Cough and cold preparations 807648 FLUSTAT CAP RESPIRATORY SYSTEM Cough and cold preparations 704332 RESPIRATORY SYSTEM Cough and cold preparations 726710 FLUEND CAP RESPIRATORY SYSTEM Cough and cold preparations 726915 FLUTEX CAP COLCLEER PAEDIATRIC 478395 SYR RESPIRATORY SYSTEM Cough and cold preparations 755214 PHOLCOLINCT 4,052MG/5ML SYR RESPIRATORY SYSTEM Cough and cold preparations 797618 SINUSTAT CAP RESPIRATORY SYSTEM Cough and cold preparations 700770 ACTIFED SYR RESPIRATORY SYSTEM Cough and cold preparations 700789 ACTIFED TAB RESPIRATORY SYSTEM Cough and cold preparations 794295 ACUGEST SYR ACUGEST DM ADULT (WAS RESPIRATORY SYSTEM Cough and cold preparations 873985 ENDCOL) SYR RESPIRATORY SYSTEM Cough and cold preparations 806226 ADCO-TUSSEND SYR Phenylephrine/ Chlorpheniramine/ paracetamol/ caffeine, vit C Phenylephrine/ chlorpheniramine/ paracetamol/ caffeine, vit C Phenylephrine/ Chlorpheniramine/ paracetamol/ caffeine, vit C Phenylephrine/ Chlorpheniramine/ paracetamol/ caffeine, vit C/ atropine Phenylephrine/ Chlorpheniramine/ paracetamol/ caffeine, vit C/ atropine Phenylephrine/ Chlorphenramine/ paracetamol/ caffeine Phenylephrine/ diphenhydraminemine/ paracetamol/ caffeine, vit C Phenylephrine/ diphenhydraminemine/ paracetamol/ caffeine/ salicylamide/ vit C Phenylpropanolamine, Phenylpropanolamine, Pseudoephedrine, Pseudoephedrine, Pseudoephedrine, Pseudoephedrine, Pseudoephedrine,

RESPIRATORY SYSTEM Cough and cold preparations 853003 BETAFED SYR RESPIRATORY SYSTEM Cough and cold preparations 835544 DECOFED SYR Pseudoephedrine, Pseudoephedrine, RESPIRATORY SYSTEM Cough and cold preparations 835536 DECOFED TAB Pseudoephedrine, RESPIRATORY SYSTEM Cough and cold preparations 827355 FLUDACTIL CO LINCTUS SYR Pseudoephedrine, Pseudoephedrine, RESPIRATORY SYSTEM Cough and cold preparations 808717 MEDIFED LINCTUS SYR RESPIRATORY SYSTEM Cough and cold preparations 720291 DIPHENHYDRAMINE EXP SYR Sod citrate/ diphenhydramine/ ammonium Cl RESPIRATORY SYSTEM Cough and cold preparations 859745 BRONCLEER & COD UNBOXED UNBOXED SYR Sod citrate/ diphenhydramine/ ammonium Cl/ codeine RESPIRATORY SYSTEM Cough and cold preparations 701742 ALCOPHYLLEX SYR Theophylline, RESPIRATORY SYSTEM Cough and cold preparations 792586 DIATUSSIN(BIOTUSSIN) SYR Theophylline, RESPIRATORY SYSTEM Cough and cold preparations 770388 THEOPHEN SYR Theophylline, RESPIRATORY SYSTEM Cough and cold preparations 703853 ACUFLU P (ALCOHOL AND SUGAR FREE) SYR Triprolidine/ pseudoephedrine/ paracetamol RESPIRATORY SYSTEM Cough and cold preparations 806218 ADCO-FLUPAIN SYR Triprolidine/ pseudoephedrine/ paracetamol RESPIRATORY SYSTEM Decongestants DRINASAL (WAS MERCK-P- NASAL) METERED 10M 0,025% 702620 NAS Oxymetazoline RESPIRATORY SYSTEM Decongestants DRINASAL PAEDIATRIC 10ML 702618 0,025% NOD Oxymetazoline RESPIRATORY SYSTEM Decongestants 721441 DRIXINE 20ML 0,05% NAS Oxymetazoline RESPIRATORY SYSTEM Decongestants 708510 ILIADIN 0,01% NOD Oxymetazoline RESPIRATORY SYSTEM Decongestants 732303 ILIADIN 20ML 0,05% NAS Oxymetazoline RESPIRATORY SYSTEM Decongestants 732257 ILIADIN NOSE ADULT 0,05% NOD Oxymetazoline ILIADIN NOSE PAED 10ML 0,025% RESPIRATORY SYSTEM Decongestants 732281 NOD Oxymetazoline RESPIRATORY SYSTEM Decongestants 746126 NAZENE Z 20ML NAS Oxymetazoline RESPIRATORY SYSTEM Decongestants 836133 NAPHENSYL 10ML 1% NOD Phenylephrine NAPHENSYL PAED 10ML 0,25% RESPIRATORY SYSTEM Decongestants 836141 NOD Phenylephrine

RESPIRATORY SYSTEM Decongestants 723371 ENT 25ML NAS Phenylephrine/ naphazoline RESPIRATORY SYSTEM Decongestants 723363 ENT 25ML NOD Phenylephrine/ naphazoline RESPIRATORY SYSTEM Decongestants 745871 NASDRO 15ML NOD Phenylephrine/ naphazoline RESPIRATORY SYSTEM Decongestants 783579 SINUCON NASAL 20ML NOD Phenylephrine/ naphazoline RESPIRATORY SYSTEM Decongestants 764175 SINUS S 25ML NOD Phenylephrine/ naphazoline RESPIRATORY SYSTEM Decongestants 796964 ADCO-SUFEDRIN 30MG/5ML SYR Pseudoephedrine RESPIRATORY SYSTEM Decongestants 796972 ADCO-SUFEDRIN 60MG TAB Pseudoephedrine RESPIRATORY SYSTEM Decongestants 799440 DRILIX 30MG/5ML SYR Pseudoephedrine RESPIRATORY SYSTEM Decongestants 794872 SYMPTOFED 60MG TAB Pseudoephedrine RESPIRATORY SYSTEM Decongestants 893463 SINUGESIC TAB Pseudoephedrine, RESPIRATORY SYSTEM Glucocorticosteroids 820709 BECLATE AQUANASE 150DOSE 50Beclometasone Maximum 1 inhaler per month RESPIRATORY SYSTEM Glucocorticosteroids 702939 CIPLANAZE MULTICARE 150DOSE Beclometasone Maximum 1 inhaler per month RESPIRATORY SYSTEM Glucocorticosteroids 897937 CLENIL AQUEOUS 200DOSE 50MCBeclometasone Maximum 1 inhaler per month RESPIRATORY SYSTEM Glucocorticosteroids 704383 FLOMIST 120DOSE 50MCG AQS Fluticasone Maximum 1 inhaler per month RESPIRATORY SYSTEM Glucocorticosteroids 714595 FLONASE 120 DOSE 50MCG AQS Fluticasone Maximum 1 inhaler per month RESPIRATORY SYSTEM Methylxanthines & Combinations 701750 ALCOPHYLLIN 26,67MG/5ML SYR Theophyllin Methylxanthines & RESPIRATORY SYSTEM Combinations 788368 SANDOZ THEOPHYLLINE ANHYDRTheophyllin RESPIRATORY SYSTEM Methylxanthines & Combinations 788376 SANDOZ THEOPHYLLINE ANHYDRTheophyllin Mouth and Throat RESPIRATORY SYSTEM Preparations 799688 DERMADINE ORAL GARG MOW Povidone iodine Mouth and Throat RESPIRATORY SYSTEM Preparations 819859 SEPTADINE ORAL ANTISEPTIC MOPovidone iodine RESPIRATORY SYSTEM Mouth and Throat Preparations 890365 STERIDINE MOUTHWASH AND GA Povidone iodine RESPIRATORY SYSTEM Mucolytics 787078 ADCO-MUCOLINCT 250MG/5ML SYCarbocisteine RESPIRATORY SYSTEM Mucolytics 710520 BRONCHETTE 250MG/5ML SYR Carbocisteine RESPIRATORY SYSTEM Mucolytics 789739 FLEMGO 250MG/5ML SYR Carbocisteine RESPIRATORY SYSTEM Sympathomimetics 824186 ASTHAVENT 2MG/5ML SYR Salbutamol For Children < 3 years of age Maximum 2 per year, or apply for RESPIRATORY SYSTEM Sympathomimetics 700715 ASTHAVENT ECOHALER CFC-FRE Salbutamol chronic benefits RESPIRATORY SYSTEM Sympathomimetics 700920 VARI-SALBUTAMOL SYRUP 2MG/5 Salbutamol For Children < 3 years of age RESPIRATORY SYSTEM Sympathomimetics 775452 VENTEZE 2MG/5ML SYR Salbutamol For Children < 3 years of age Maximum 2 per year, or apply for RESPIRATORY SYSTEM Sympathomimetics 711213 VENTEZE CFC FREE 200 DOSE 10 Salbutamol chronic benefits URINARY TRACT Urinary Alkalinizers 839760 GENCIT SIMPLEX SUS Citric acid/ potassium citrate