Bankmed Core Insured PAT benefit Formulary 2019

Proud Product of

1

Bankmed Core Insured PAT benefit Formulary 2019

NAPPI Code Product description StrengthDosage

formIngredient

Pack quantity

limit

Unit of measure

SEP Therapeutic classTherapeutic

class sublimitCondition

limit

Max incidence per beneficiary

per annum

Abdominal pain/dyspepsia/heartburn/ indigestion (includes reflux)

“ICD-10 CODE(S): K30, K20, K21.0, K21.9, K25.7, K25.9, K26.7, K26.9, K27.7, K27.9, K28.7, K28.9, K29.1, K29.2, K29.3, K29.4, K29.5, K29.6, K29.7, K29.8, K29.9, K58.0, K58.9, K59.8, K59.9, R10.1, R10.2, R10.3, R10.4, R12

700771 Amgel SUS Dicyclom hcl-2,5mg/5mL;Mg oxide-100mg/5mL;Al(oh)3-200mg/5mL 200 mL R12.44

Antacids R38.90 R80.00 2

702725 Dicyclomine co gel SUS Dicyclom hcl-2,5mg/5mL;Mg oxide-100mg/5mL;Al(oh)3-200mg/5mL 200 mL R15.04

703361 Eno tums peppermint flavour CHU Caco3-500mg 24 TAB R21.23

703640 Alumag d SUS Dicyclom hcl-5mg;Benz alc-0,3%;Mg oxide-200mg;Al hydroxy-cl-400mg 200 mL R18.56

703862 Acigon CHU Caco3-313mg;Mgco3-156mg;Fennel oil-8mg;Chamomile-16mg;Glycyrrhiza glabra-31mg 24 TAB R12.78

704042 Muthi wenyoni SUS Alcohol 99-100%-3,739%;Na cit-62mg;Nahco3-87mg;Caco3-87mg;Mgco3-87mg 100 mL R23.35

707931 Himcocid SUS Caco3-350mg/5mL;Mg trisil anhydrous-350mg/5mL;Tricalc phos chelate-75mg/5mL 200 mL R29.04

709777 De witts antacid POW Nahco3-1,2125g/2,5g;Caco3-0,5g/2,5g;Mg trisil(hyd)-0,25g/2,5g;Mgco3-0,25g/2,;ETC 100 g R37.01

709987 Rennie aniseed TAB Caco3-680mg;Mgco3-80mg 24 TAB R24.09

710396 Intungwa umuthi wenyoni SUS Na cit-62,5mg/5mL;Caco3-87mg/5mL;Mg-2,5mL/5mL 75 mL R10.04

711495 Sehlare sa go seokolea SUS Mg(oh)2-0,0N/A;Simethicone-0,0N/A;Al(oh)3 gel-0,0N/A 200 mL R14.32

712599 De witts antacid 2.5g SAC Nahco3-1,2125g/2,5g;Caco3-0,5g/2,5g;Al(oh)3-0,05g/2,5g;Mg trisil(hyd)-0,25g/;ETC 20 SAC R31.2

714284 Acagon SUS Nahco3-133,5mg/5mL;Na alginate-250mg/5mL 150 mL R28.84

716153 Actitacid peppermint CHU Glycine-25mg;Caco3-650mg;Mgco3-75mg;Peppermint ext 4to1-10mg 48 TAB R22.98

716155 Actitacid spearmint CHU Glycine-25mg;Caco3-650mg;Mgco3-75mg;Spearmint-10mg 48 TAB R22.98

719199 Digestif rennie orange TAB Caco3-680mg;Mgco3-80mg 36 TAB R26.44

719862 Rennie peppermint TAB Caco3-680mg;Mgco3(lt)-80mg 24 TAB R24.09

719870 Rennie spearmint TAB Caco3-680mg;Mgco3(lt)-80mg 24 TAB R24.09

722613 Mist alba banana MLS Mgso4-2g/5mL;Mgco3-0,25g/5mL 100 mL R11.41

722796 Resmed milk of magnesia 425 mg per 5 mL SUS Mg(oh)2-425g/5mL 100 mL R19.75

739707 Maalox plus TAB Mg(oh)2-200mg;Simethicone-25mg;Al(oh)3-200mg 10 TAB R24.25

739731 Maalox TAB Al oh-mag carb co-400mg 10 TAB R20.65

740551 Mayogel SUS Al(oh)3-200mg/5mL;Mg trisil(hyd)-200mg/5mL 200 mL R21.57

740683 Medigel SUS Dicyclom hcl-2,5mg/5mL;Mg oxide-100mg/5mL;Simethicone-20mg/5mL;Al(oh)3-200mg/5mL 200 mL R15.11

743984 Mist alba bpc MLS 100 mL R11.41

744751 Mucaine SUS Oxethazaine-10mg/5mL;Mg(oh)2-98mg/5mL;Al(oh)3-291mg/5mL 100 mL R37.11

757675 Propan gel s SUS Dicyclom hcl-2,5mg/5mL;Mg oxide-100mg/5mL;Simethicone-25mg/5mL;Al(oh)3-200mg/5mL 350 mL R14.84

765538 Spasmogel SUS Dicyclom hcl-2,5mg/5mL;Mg oxide-100mg/5mL;Al oxide-100mg/5mL 350 mL R23.99

782173 Co-gel SUS Dicyclom hcl-2,5mg/5mL;Mg oxide-100mg/5mL;Al(oh)3-200mg/5mL 200 mL R27.14

786810 Neutragel d SUS Dicyclom hcl-2,5mg/5mL;Mg oxide-100mg/5mL;Al(oh)3-200mg/5mL 200 mL R9.19

789933 Gelumen SUS Dicyclom hcl-2,5mg/5mL;Mg oxide-100mg/5mL;Al(oh)3-200mg/5mL 200 mL R23.43

797499 Alumite d SUS Dicyclom hcl-2,5mg/5mL;Mg oxide-100mg/5mL;Al(oh)3-200mg/5mL 200 mL R30.27

806013 Eno fruit salts POW Citric ac-1010mg/5,8g;Tartaric ac-1660mg/5,8g;Nahco3-2550mg/5,8g;Sodium carb;ETC 100 g R38.19

Proud Product of

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limit

Unit of measure



limit


per annum

Abdominal pain/dyspepsia/heartburn/ indigestion (includes reflux)

“ICD-10 CODE(S): K30, K20, K21.0, K21.9, K25.7, K25.9, K26.7, K26.9, K27.7, K27.9, K28.7, K28.9, K29.1, K29.2, K29.3, K29.4, K29.5, K29.6, K29.7, K29.8, K29.9, K58.0, K58.9, K59.8, K59.9, R10.1, R10.2, R10.3, R10.4, R12

806021 Eno fruit salt SAC Citric ac-1010mg;Tartaric ac-1660mg;Nahco3-2550mg;Sodium carbonate (an-580mg 10 SAC R29.04

Antacids

R38.90

R80.00 2

892654 Magasil SUS Nahco3-250mg/5mL;Mg trisil(hyd)-250mg/5mL;Mgco3-250mg/5mL 100 mL R7.05

796735 Acidown 200 mg 200mg TAB Cimetidine-200mg 60 TAB R25.24

Drugs for peptic ulcer and gastro-

oesophageal reflux disease (GORD)

886978 Bio-cimetidine 200 mg 200mg TAB Cimetidine-200mg 60 TAB R27

797464 Secadine 200 mg 200mg TAB Cimetidine-200mg 60 TAB R29.73

854247 Cimlok 200 mg 200mg TAB Cimetidine-200mg 60 TAB R31.72

811459 Adco-cimetidine 200 mg 200mg TAB Cimetidine-200mg 60 TAB R33.1

736252 Lenamet 200 mg 200mg TAB Cimetidine-200mg 60 TAB R37.5

712136 Austac 75 mg 75mg TAB Ranitidine hcl-75mg 12 TAB R9.09

873438 Histak 75 mg 75mg TAB Ranitidine hcl-75mg 12 TAB R20.61

822817 Zantac 75 mg 75mg TAB Ranitidine hcl-75mg 6 TAB R27.42

703241 Zantac efferves 75 mg 75mg EFT Ranitidine hcl-75mg 6 TAB R29.42

3000170 Rapacid 10 mg 10mg CAP Omeprazole-10mg 7 CAP R26.04

703543 Adco-omeprazole 20 mg 20mg CAP Omeprazole-20mg 7 CAP R37.83

703987 Altosec 20 mg 20mg CAP Omeprazole-20mg 7 CAP R38.88

718886 Pentoz otc ECT Pantoprazole sodium-20mg 7 TAB R26.88

723826 Prazoloc otc 20 mg 20mg ECT Pantoprazole sodium-20mg 10 TAB R28.8

722787 Peploc otc 20 mg 20mg ECT Pantoprazole sodium-20mg 7 TAB R20.16

715610 Pantocid 20 mg 20mg ECT Pantoprazole sodium-20mg 7 TAB R25.74

717420 Mylan pantoprazole 20 mg 20mg ECT Pantoprazole sodium-20mg 7 TAB R26.73

717376 Aspen pantoprazole 20 mg 20mg ECT Pantoprazole sodium-20mg 7 TAB R27.75

720116 Pantor 20 mg 20mg ECT Pantoprazole sodium-20mg 7 TAB R28.1

715312 Conoran 20 mg 20mg ECT Pantoprazole sodium-20mg 7 TAB R28.43

721183 Topraflux 20 mg 20mg ECT Pantoprazole sodium-20mg 7 TAB R35.68

721270 Pantoprazole unicorn 20 mg 20mg ECT Pantoprazole sodium-20mg 7 TAB R36.75

707192 Burnloc 15 mg 15mg CAP Lansoprazole-15mg 7 CAP R26.46

716841 Roznal otc 15 mg 15mg CAP Lansoprazole-15mg 7 CAP R28.67

704752 Lansoloc otc 15 mg 15mg CAP Lansoprazole-15mg 7 CAP R28.67

715812 Lancap otc 15 mg 15mg CAP Lansoprazole-15mg 7 CAP R26.58

715079 Lansoprazole unicorn 15 mg 15mg CAP Lansoprazole-15mg 7 CAP R30.81

716304 Gaviscon 250 peppermint TAB Nahco3-133,5mg;Caco3-80mg;Na alginate-250mg 16 TAB R28.08

718252 Gaviscon plus TAB Nahco3-106,5mg;Caco3-187,5mg;Na alginate-250mg 12 TAB R34.1

762725 Scopex 10 mg 10mg TAB Hyoscine butylbr-10mg 10 TAB R27.09

Drugs for functional gastrointestinal

disorders

822019 Bevispas 135 mg 135mg TAB Mebeverine hcl-135mg 20 TAB R32.25

701892 Mylan mebeverine 135 mg 135mg TAB Mebeverine hcl-135mg 20 TAB R32.26

731951 Hyospasmol 10 mg 10mg TAB Hyoscine butylbr-10mg 10 TAB R34.52

825328 Sandoz mebeverine 135 mg 135mg TAB Mebeverine hcl-135mg 20 TAB R34.79

707213 Hyospasmol 5 mg per 5 mL 5mg/5mL SYR Hyoscine butylbr-5mg/5mL 100 mL R37.64

703383 Scopex syrup 5 mg per 5 mL 5mg/5mL SYR Hyoscine butylbr-5mg/5mL 100 mL R41.78

Proud Product of

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formIngredient

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limit

Unit of measure



limit


per annum

Conjunctivitis, bacterial

ICD-10 CODE(S):H10.0, H10.2, H10.3, H10.4, H10.5, H10.8, H10.9, P39.1

767360 Lennon Sulphacetamide Eye Ointment 3.5g EYO Sulfacet na-10% 1 unit R26.97 Sulfonamides R 27.00 R 26.70 2

Gastroenteritis

ICD-10 CODE(S): A00.0, A00.1, A00.9, A01.0, A01.1, A01.2, A01.3, A01.4, A02.0, A02.1, A02.2, A02.8, A02.9 A03.0, A03.1, A03.2, A03.3, A03.8, A03.9, A04.0, A04.1, A04.2, A04.3, A04.4, A04.5, A04.6, A04.7, A04.8, A04.9, A05.0, A05.1, A05.2, A05.3, A05.4, A05.8, A05.9, A06.0, A06.1, A06.2, A06.3, A06.4, A06.5, A06.6, A06.7, A06.8, A06.9, A07.0, A07.1, A07.2, A07.3. A07.8, A07.9, A08.0, A08.1, A08.2, A08.3, A08.4, A08.5, P78.3, K52.0, K52.1, K52.2, K52.8, K52.9, J10.8, J11.8

708976 Biskapect SUS Pectin-41,667mg/5mL;Kaolin-1333,3mg/5mL;Bis subcarb hemihyd-33,333mg/5mL 100 mL R6.34

Other intestinal adsorbents R12.00

R140.00 2

723428 Enterolyte SUS Na lactate-14,33mg/5mL;Pectin-20mg/5mL;Kaolin-1000mg/5mL;Kcl-13,15mg/5mL 100 mL R10.09

892661 Pectikon SUS Pectin-75mg/5mL;Kaolin-1g/5mL 100 mL R10.29

728284 Gastropect SUS Pectin-500mg/5mL;Kaolin-1000mg/5mL 100 mL R11.87

721146 Os blackcurrant 5.3g SAC Dextrose-0,73g/5,3g;Na cit-3,38g/5,3g;Kcl-0,65g/0,65g;Nacl-0,65g/5,3g 1 SAC R4.21

Oral rehydration salt formulations R24.20

721147 Os orange 5.3g SAC Dextrose-0,74g/5,3g;Na cit-3,38g/5,3g;Kcl-0,65g/5,3g;Nacl-0,65g/5,3g 1 SAC R4.21

714655 Springbok electrolyte 14g SAC Sucrose-841mg;Nahco3-420mg;Glucose monohydrate-410mg;Kcl-380mg;Nacl-440mg 1 SAC R7.8

709761 Pin-hydrate (orange) SAC Sucrose-6,6g;Betaine-0,25g;Nahco3-0,42g;Glucose monohydrate-4,2g;Kcl-0,44g;N;ETC 1 SAC R8.64

709762 Pin-hydrate (blackcurrant) SAC Sucrose-6,6g;Betaine-0,25g;Nahco3-0,42g;Glucose monohydrate-4,2g;Kcl-0,38g;N;ETC 1 SAC R8.64

720393 Nudrate blackcurrant 5.6g SAC Dextrose-3380mg;Na cit-730mg;Saccharin na anhyd-21,2mg;Kcl-380mg;Nacl-650mg 1 unit R9.09

718332 Nudrate citrus 5.3g SAC Dextrose-3380mg;Na cit-730mg;Kcl-380mg;Nacl-650mg 1 SAC R9.09

762873 Scriptolyte SYR Dextrose-824,5mg/5mL;Na cit-78,3mg/5mL;Kcl-60mg/5mL;Nacl-40mg/5mL 100 mL R9.64

715953 Restore hydration 6g SAC 1 SAC R12.29

723175 Hydrassist ors 4.31g SAC Dextrose-2700mg/4,31g;Sod citrate dihydr-580mg/4,31g;Kcl-300mg/4,31g;Nacl-52;ETC 1 SAC R13.06

762873 Scriptolyte SYR Dextrose-824,5mg/5mL;Na cit-78,3mg/5mL;Kcl-60mg/5mL;Nacl-40mg/5mL 200 mL R19.11

711128 Electral with orange flavour 4.4g SAC Na cit-0,58g/4,4g;Glucose monohydrate-2,7g/4,4g;Kcl-0,3g/4,4g;Nacl-0,52g/4,4g 5 SAC R20.13

721526 Medirite hydration powder blackcurrant 14g SAC Sucrose-8,41g/14g;Nahco3-0,42g/14g;Glucose monohydrate-4,1g/14g;Kcl-

0,38g/14;ETC 6 SAC R23.58

721487 Spar electrolytes tangy tangerine 14g SAC Citric ac-0,26g/14g;Nahco3-0,42g/14g;Kcl-0,37g/14g;Nacl-0,44g/14g 6 SAC R24.18

721488 Spar electrolytes lusty lemon 14g SAC Citric ac-0,26g/14g;Nahco3-0,42g/14g;Kcl-0,37g/14g;Nacl-0,44g/14g 6 SAC R24.18

721504 Medirite electrolytes tangy tangerine 14g SAC Citric ac-0,26g/14g;Nahco3-0,42g/14g;Kcl-0,37g/14g;Nacl-0,44g/14g 6 SAC R24.18

723037 Emetrol SYR Sucrose-3770mg/5mL;Phosphoric ac-25mg/5mL 100 mL R32.19Other antiemetics

R34.60

784346 Emex SYR Phosphoric ac-25mg/5mL;Invert sugar-3000mg/5mL 100 mL R34.55

772143 Triazine TAB Cyclizine hcl-50mg 10 TAB R12.1

Cyclizine

820571 Nauzine s 12.5 mg per 5 mL 12.5mg/5mL SYR Cyclizine hcl-12,5mg/5mL 50 mL R17.19

799424 Nauzine 50 mg 50mg TAB Cyclizine hcl-50mg 20 TAB R17.58

809322 Covamet TAB Cyclizine hcl-50mg 20 TAB R18.16

792845 Medazine-s 12.5 mg per 5 mL 12.5mg/5mL SYR Cyclizine hcl-12,5mg/5mL 50 mL R18.88

796700 Triazine paediatric (was Norizine) SYR Cyclizine hcl-12,5mg/5mL 50 mL R18.91

792217 Aculoid 50 mg 50mg TAB Cyclizine hcl-50mg 20 TAB R23.22

792225 Aculoid 12.5 mg per 5 mL 12.5mg/5mL SYR Cyclizine hcl-12,5mg/5mL 50 mL R23.63

808962 Adco-cyclizine 12.5 mg per 5 mL 12.5mg/5mL SYR Cyclizine hcl-12,5mg/5mL 50 mL R24.16

808954 Adco-cyclizine 50 mg 50mg TAB Cyclizine hcl-50mg 20 TAB R24.17

774634 Valoid 50 mg 50mg TAB Cyclizine hcl-50mg 10 TAB R26

811513 Dischem emitex(was emitex) 50 mg 50mg TAB Cyclizine hcl-50mg 20 TAB R28.21

792853 Medazine nausea 50 mg 50mg TAB Cyclizine hcl-50mg 20 TAB R32.13

Proud Product of

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Gastroenteritis

ICD-10 CODE(S): A00.0, A00.1, A00.9, A01.0, A01.1, A01.2, A01.3, A01.4, A02.0, A02.1, A02.2, A02.8, A02.9 A03.0, A03.1, A03.2, A03.3, A03.8, A03.9, A04.0, A04.1, A04.2, A04.3, A04.4, A04.5, A04.6, A04.7, A04.8, A04.9, A05.0, A05.1, A05.2, A05.3, A05.4, A05.8, A05.9, A06.0, A06.1, A06.2, A06.3, A06.4, A06.5, A06.6, A06.7, A06.8, A06.9, A07.0, A07.1, A07.2, A07.3. A07.8, A07.9, A08.0, A08.1, A08.2, A08.3, A08.4, A08.5, P78.3, K52.0, K52.1, K52.2, K52.8, K52.9, J10.8, J11.8

810916 Gastron 2 mg 2mg TAB Loperamide hcl-2mg 6 TAB R7.42

Antipropulsives R30.50

R140.00 2

792071 Adco-loperamide 2 mg 2mg TAB Loperamide hcl-2mg 6 TAB R9.03

707342 Cipla-loperamide 2 mg 2mg TAB Loperamide hcl-2mg 8 TAB R11.74

738980 Lomotil TAB Atropine sulph anhyd-0,025mg;Diphenoxylate hcl-2,5mg 10 TAB R18.38

723401 Enterodyne SUS Morphine hcl-0,458mg/5mL;Caco3-113,5mg/5mL;Bis subcarb hemihyd-200mg/5mL;Cat;ETC 100 mL R22.23

703393 Dis-chem anti-diarrhoeal 2 mg 2mg TAB Loperamide hcl-2mg 6 TAB R23.2

792691 Betaperamide 2 mg 2mg TAB Loperamide hcl-2mg 10 TAB R24.17

811467 Adco-loperamide 1 mg per 5 mL 1mg/5mL SYR Loperamide hcl-1mg/5mL 50 mL R25.23

810908 Gastron 1 mg per 5 mL 1mg/5mL SYR Loperamide hcl-1mg/5mL 50 mL R28.12

796697 Norimode 2 mg 2mg TAB Loperamide hcl-2mg 10 TAB R5.25

791768 Adco-prodium 2 mg 2mg TAB Loperamide hcl-2mg 10 TAB R5.36

820563 Loperastat 1 mg per 5 mL 1mg/5mL SYR Loperamide hcl-1mg/5mL 50 mL R30.44

762725 Scopex 10 mg 10mg TAB Hyoscine butylbr-10mg 10 TAB R27.09

Drugs for functional gastrointestinal

disordersR42.00

822019 Bevispas 135 mg 135mg TAB Mebeverine hcl-135mg 20 TAB R32.25

701892 Mylan mebeverine 135 mg 135mg TAB Mebeverine hcl-135mg 20 TAB R32.26

731951 Hyospasmol 10 mg 10mg TAB Hyoscine butylbr-10mg 10 TAB R34.52

825328 Sandoz mebeverine 135 mg 135mg TAB Mebeverine hcl-135mg 20 TAB R34.79

707213 Hyospasmol 5 mg per 5 mL 5mg/5mL SYR Hyoscine butylbr-5mg/5mL 100 mL R37.64

703383 Scopex syrup 5 mg per 5 mL 5mg/5mL SYR Hyoscine butylbr-5mg/5mL 100 mL R41.78

Headache - Analgesia

ICD-10 CODE(S): G43.0, G43.1, G43.2, G43.3, G43.8, G43.9, G44.0, G44.1, G44.2, G44.3, G44.4, G44.8, F07.2, F48.0, R51

704642 Soluspirin (was aspirin soluble) 300 mg 300mg EFT Aspirin-300mg 12 TAB R6.34

Acetylsalicylic acid

R33.80 R33.80 2

700909 Gulf aspirin 300 mg 300mg TAB Aspirin-300mg 14 TAB R7.64

807206 Disprin melts (was Disprin cv) 300 mg 300mg DSP Aspirin-300mg 8 TAB R14.03

720577 Disprin EFT Aspirin-300mg 12 TAB R17.04

719673 Dr du toits pain expeller 300 mg 300mg TAB Aspirin-300mg 30 TAB R27.23

706930 Bayer aspirin TAB Aspirin-300mg 10 TAB R7.81

754994 Phensic TAB Aspirin-379mg;Caffeine-27mg 20 TAB R4.35

Acetylsalicylic acid, combinations excl.

Psycholeptics

704071 Gertges pain powders SAC Aspirin-750mg;Caffeine-150mg 10 SAC R7.49

709288 Grandpa headache orange SAC Aspirin-453,6mg;Caffeine-64,8mg;Paracet-324mg 8 SAC R9.14

804738 Anadin TAB Aspirin-400mg;Caffeine-22,7mg 10 TAB R10.8

715735 Compral TAB Aspirin-400mg;Caffeine-30mg;Paracet-100mg 12 TAB R11.27

848085 Anadin extra strength TAB Aspirin-500mg;Caffeine-32mg 10 TAB R12.45

703261 Compral headache powders SAC Aspirin-453,6mg;Caffeine-64,8mg;Paracet-324mg 10 SAC R14.09

822612 Grandpa headache SAC Aspirin-453,6mg;Caffeine-64,8mg;Paracet-324mg 10 SAC R18.15

Paracetamol

814776 Specific nerve-pain remedy SUS Aspirin-300mg;Caffeine-25mg/5mL;Alcohol 90%-6,17% 100 mL R31.75

704643 Cetapon 500 mg 500mg TAB Paracet-500mg 20 TAB R1.11

716045 Adco-napamol 500 mg 500mg TAB Paracet-500mg 2 TAB R1.15

805467 Antalgic 500 mg 500mg TAB Paracet-500mg 20 TAB R1.31

Proud Product of

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704465 Painogesic 500 mg 500mg TAB Paracet-500mg 20 TAB R1.48

Paracetamol R33.80 R33.80 2

752274 Panado 500 mg 500mg TAB Paracet-500mg 2 TAB R1.63


757403 Adco-prolief 500 mg 500mg TAB Paracet-500mg 20 TAB R1.8

824992 Gencetamol TAB Paracet-500mg 20 TAB R1.87

752878 Parapane 500 mg 500mg TAB Paracet-500mg 20 TAB R2.4

867950 Gulf paracetamol 500 mg 500mg TAB Paracet-500mg 20 TAB R2.42

799629 Painamol (green) 500 mg 500mg TAB Paracet-500mg 20 TAB R2.84

894212 Jp paracetamol 500 mg 500mg TAB Paracet-500mg 20 TAB R2.96

885863 Von paracetamol 500 mg 500mg TAB Paracet-500mg 20 TAB R3.13

758558 Pyralen 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R3.19

717725 Actamol 500 mg 500mg TAB Paracet-500mg 20 TAB R3.21

707583 Paracetamol elixir SAD (alcohol free) 120 mg per 5 mL

120mg/5mL SYR Paracet-120mg/5mL 100 mL R3.64

752118 Painamol (plastic bottle) 120 mg per 5 mL


717187 Barrs paracetamol 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R4.42

703820 Feverpain 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R4.82

704450 Painogesic 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R4.82

701634 Dis-chem paracetamol 500 mg 500mg TAB Paracet-500mg 20 TAB R5.05

889772 Painblok (plastic bottle) 120 mg per 5 mL



826588 Link therapain TAB Paracet-500mg 20 TAB R5.69


713153 Austell-paracetamol 500 mg 500mg TAB Paracet-500mg 10 TAB R6.44

704093 Actamol red (un-boxed) 120 mg per 5 mL




867969 Painblok 500 mg 500mg TAB Paracet-500mg 10 TAB R8.2

784443 Paramed 500 mg 500mg TAB Paracet-500mg 10 TAB R9.13

789526 Brunomol 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R9.18


745715 Adco-napamol elixir 120 mg per 5 mL



792101 Actamol red (boxed) 120 mg per 5 mL


863742 Feverpain (boxed) 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R10.87

714499 Clicks paracetamol 500 mg 500mg TAB Paracet-500mg 24 TAB R12.41

703349 Painblok (glass bottle) 120 mg per 5 mL






Proud Product of

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formIngredient

Pack quantity

limit

Unit of measure



limit


per annum





Paracetamol

R33.80 R33.80 2


710452 Woodward's paracetamol 120 mg per 5 mL




720860 Dolorol 500 mg 500mg TAB Paracet-500mg 20 TAB R16.77




895199 Go-pain p 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R17.12

752142 Painamol 500 mg 500mg TAB Paracet-500mg 24 TAB R17.14

714708 Pyngesic s 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R18.92

720438 Parafizz 500 mg 500mg EFT Paracet-500mg 16 TAB R19.04

720327 Panado blister pack 500 mg 500mg TAB Paracet-500mg 24 TAB R20.82


714707 Pyngesic t 500 mg 500mg TAB Paracet-500mg 100 TAB R21.76

703118 Panado strawberry 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 50 mL R22.32

752282 Panado 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 50 mL R22.32


708432 Panado childrens 125 mg 125mg MLT Paracet-125mg 12 TAB R23.33

711993 Calpol paediatric 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 50 mL R23.82



752355 Panado 500 mg 500mg CAP Paracet-500mg 20 CAP R26.53


729442 Grandpa TAB Aspirin-226,8mg;Caffeine-32,4mg;Paracet-162mg 10 TAB R9.74

Paracetamol, combinations excl.

psycholeptics

860808 Lenapain TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 18 TAB R17.61

807583 Salterpyn SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R9.99

833746 Medipyn s SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R8.27

793566 Goldgesic SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R10.36

736228 Lenadol TAB Codeine phos anhyd-10mg;Caffeine-50mg;Paracet-400mg;Diphenhyd hcl-5mg 18 TAB R18.67

792241 Acurate TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R10.45

702609 Doxy co TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R12.26

878731 Copa-dol TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 10 TAB R3.79

702953 Resdol TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R14.19

715860 Grand-pa paracetamol TAB Paracet-500mg;Nahco3-630mg 10 TAB R12.71

836605 Kid-eeze SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R10.20

823511 Go-pain SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R12.98

732745 Infapain SYR Codeine phos anhyd-5mg/5mL;Paracet-120mg/5mL 100 mL R13.65

752185 Painagon SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R14.76

703748 Pharmadol quinoline (yellow) TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R14.92

Proud Product of

7


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum



814547 Nomopain TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R14.99


psycholepticsR33.80 R33.80 2

895030 Paincodein TAB Codeine phos anhyd-8mg;Paracet-500mg 20 TAB R12.33

768391 Syndol TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 10 TAB R15.46

732753 Infapain forte SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R16.09

799815 Tensopyn TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R16.15

765635 Spectrapain CAP Codeine phos anhyd-8mg;Paracet-320mg 20 CAP R16.29

780553 Adco-dol TAB Codeine phos anhyd-10mg;Caffeine-45mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R16.30

766801 Stilpane SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R16.47

894289 Adco-kiddipayne SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R16.69

767913 Supragesic SYR Codeine phos anhyd-4mg/5mL;Paracet-150mg/5mL 100 mL R16.51

789135 Xerotens CAP Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 18 CAP R14.28

710248 Ban pain SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R18.68

789984 Pynmed syrup SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R19.73

823864 Sedapain TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R19.77

763101 Sedinol TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 18 TAB R24.69

815306 Panado effervescent EFT Codeine phos anhyd-8mg;Caffeine-30mg;Paracet-500mg 16 TAB R23.81

758493 Pynstop TAB Codeine phos anhyd-10mg;Caffeine-45mg;Paracet-450mg;Doxyl succ-5mg 18 TAB R25.95

719182 Meridol-d paediatric SYR Codeine phos anhyd-4mg/5mL;Paracet-150mg/5mL;Diphenhyd hcl-10mg/5mL;Ethanol-;ETC 100 mL R27.61

761303 Rocodin TAB Codeine phos anhyd-8mg;Paracet-500mg 20 TAB R27.70

720879 Dolorol forte TAB Codeine phos anhyd-8mg;Paracet-500mg 20 TAB R28.98

752614 Paracetacod TAB Vit c-50mg;Codeine phos anhyd-10mg;Paracet-500mg 20 TAB R29.72

714953 Tensopyn paediatric SYR Codeine phos anhyd-4mg/5mL;Paracet-150mg/5mL 100 mL R30.18

757632 Propain TAB Codeine phos anhyd-10mg;Caffeine-50mg;Paracet-400mg;Diphenhyd hcl-5mg 18 TAB R30.95

708089 Betapyn TAB Codeine phos anhyd-10mg;Caffeine-50mg;Paracet-450mg;Doxyl succ-5mg 18 TAB R30.96

752126 Paincod TAB Aspirin-250mg;Codeine phos anhyd-10mg;Paracet-250mg 30 TAB R26.84

703059 Doxsyn TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 50 TAB R11.29

700742 Amstil TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R9.62

794821 Adco-paxidal TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 50 TAB R25.03

713688 Varipan co 8mg/500mg TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R14.07

767662 Suncodin TAB Codeine phos anhyd-8mg;Caffeine-32mg;Paracet-400mg;Phenyltolox cit-12mg 50 TAB R27.52

719662 Cogesic TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R16.04

787043 Codorol TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R16.04

837652 Dino-cod TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R16.27

769541 Tensolve TAB Codeine phos anhyd-10mg;Caffeine-50mg;Paracet-400mg;Diphenhyd hcl-5mg 30 TAB R21.41

745707 Adco-napacod 500mg/10mg TAB Codeine phos anhyd-10mg;Paracet-500mg 50 TAB R19.83

707910 Painamol plus TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R20.13

703660 Codoxol TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 50 TAB R21.91

881767 Uniflex (was Besenol nc) TAB Paracet-450mg;Orphenadrine cit-35mg 20 TAB R23.76 Paracetamol, combinations with

psycholeptics825123 Besemax TAB Paracet-450mg;Orphenadrine cit-35mg 20 TAB R31.95

Proud Product of

8


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum



718854 Voltaren acti-go soft gel capsules 25 mg 25mg CAP Diclofenac k-25mg 10 CAP R22.67

Antiinflammatory and antirheumatic

products, non-steroids

R33.80 R33.80 2

707451 Dicloflam 50 mg 50mg DSP Diclofenac na-50mg 9 TAB R28.55

705058 Dynak 50 mg 50mg TAB Diclofenac k-50mg 10 TAB R28.5

704442 Voltaren acti-go 12.5 mg 12.5mg TAB Diclofenac k-12,5mg 15 TAB R28.29

704384 K-fenak 50 mg 50mg TAB Diclofenac k-50mg 9 TAB R18.6

893390 A-lennon diclofenac 25 mg 25mg TAB Diclofenac na-25mg 30 TAB R5.49


888602 Dicloflam blackcurrent 50 mg 50mg DSP Diclofenac na-50mg 9 TAB R28.54

752398 Panamor at 50 mg 50mg TAB Diclofenac na-50mg 15 TAB R8.13

752371 Panamor 25 mg 25mg TAB Diclofenac na-25mg 30 TAB R31.19

786594 Adco-diclofenac 25 mg 25mg TAB Diclofenac na-25mg 30 TAB R8.52


718479 Diclofenac biotech 25 mg 25mg TAB Diclofenac na-25mg 30 TAB R4.85

786012 Mylan diclofenac 25 mg 25mg TAB Diclofenac na-25mg 30 TAB R4.64


821144 Rheugesic 20 mg 20mg DSP Piroxicam-20mg 7 TAB R16

716517 Piroxicam actor dt 20 mg 20mg DSP Piroxicam-20mg 7 TAB R9.44

701072 Roxifen 20 mg 20mg CAP Piroxicam-20mg 7 CAP R6.54

827428 Pixicam 20 mg 20mg DSP Piroxicam-20mg 7 TAB R9.62

800724 Brexecam 20 mg 20mg TAB Piroxicam b-cyclodex-191,2mg 7 TAB R32.16

799432 Pyrocaps 20 mg 20mg CAP Piroxicam-20mg 7 CAP R7.38

797030 Xycam 20 mg 20mg CAP Piroxicam-20mg 7 CAP R7.77

797049 Xycam dispers 20 mg 20mg DSP Piroxicam-20mg 7 TAB R9.61

785253 Adco-piroxicam 10 mg 10mg CAP Piroxicam-10mg 14 CAP R15.84

868469 Lenafen 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R30.43

717153 Austell ibuprofen 400 mg 400mg TAB Ibuprofen-400mg 12 TAB R4.43


705940 Ibu 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R3.61

897984 Nurofen period pain (was Nurofen extra strength) 400 mg 400mg TAB Ibuprofen-400mg 12 TAB R31.18

864706 Ibumed sr 300 mg 300mg CAP Ibuprofen-300mg 12 CAP R7.82

809268 Ibumed 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R9.91

708186 Betagesic 200 mg 200mg TAB Ibuprofen-200mg 20 TAB R29.03

748560 Nurofen 200 mg 200mg TAB Ibuprofen-200mg 12 TAB R21.51

721114 Ibucare 200 mg 200mg TAB Ibuprofen-200mg 10 TAB R17.16


721118 Austifen 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R6.99


708536 Ibusor 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R3.26

708290 Bren 400 mg 400mg TAB Ibuprofen-400mg 12 TAB R3.14

701975 Betaprofen fc 400 mg 400mg TAB Ibuprofen-400mg 12 TAB R3.05

Proud Product of

9


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum



700315 Ibucine 100 mg per 5 mL 100mg/5mL SUS Ibuprofen-100mg/5mL 100 mL R23.74



R33.80 R33.80 2

700316 Ibucine 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R2.72


701654 Ranfen 400 mg 400mg TAB Ibuprofen-400mg 12 TAB R3.58

895196 Iboflam 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R7.08

868221 Ibunate 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R3.4


710822 Brufen 200 mg 200mg TAB Ibuprofen-200mg 20 TAB R35.5


733768 Inza 400 mg 400mg TAB Ibuprofen-400mg 12 TAB R4.1


787426 Betaprofen 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R3.36

864692 Aleve 200 mg 200mg TAB Naproxen na-200mg 10 TAB R21.53

785245 Adco-naproxen 250 mg 250mg TAB Naproxen-250mg 10 TAB R14.95

722843 Bio-naproxen 500 mg 500mg TAB Naproxen-500mg 5 TAB R7.84


812625 Nafasol ec-250 250 mg 250mg ECT Naproxen-250mg 10 TAB R15.92

812633 Nafasol ec 500 mg 500mg ECT Naproxen-500mg 5 TAB R21.23

810185 Mylan naproxen 250 mg 250mg TAB Naproxen-250mg 10 TAB R5.54

808474 Napflam 500 mg 500mg TAB Naproxen-500mg 5 TAB R8.48

805238 Naproscript 250 mg 250mg TAB Naproxen-250mg 10 TAB R4.41


719663 Ibupain blister pack CAP Paracet-250mg;Ibuprofen-200mg 10 CAP R14.39

716543 Panado plus CAP Paracet-250mg;Ibuprofen-200mg 10 CAP R18.27

705781 Ibumol grape SUS Paracet-250mg/10mL;Ibuprofen-200mg/10mL 10 mL R5.45

705782 Ibumol banana SUS Paracet-250mg/10mL;Ibuprofen-200mg/10mL 10 mL R5.45

705266 Dentopain CAP Paracet-250mg;Ibuprofen-200mg 10 CAP R15.04

703719 Ibumol TAB Paracet-350mg;Ibuprofen-200mg 10 TAB R18.56

810177 Mypaid CAP Paracet-250mg;Ibuprofen-200mg 10 CAP R22.75

883102 Adco-mefenamic acid 250 mg 250mg CAP Mefenamic ac-250mg 18 CAP R15.9

875643 Adco-mefenamic acid 50 mg per 5 mL 50mg/5mL SUS Mefenamic ac-50mg/5mL 100 mL R14.61

812250 Ponstel 250 mg 250mg CAP Mefenamic ac-250mg 18 CAP R25.52

810398 Ponstel s 50 mg per 5 mL 50mg/5mL SUS Mefenamic ac-50mg/5mL 100 mL R19

797707 Fenamin 250 mg 250mg CAP Mefenamic ac-250mg 18 CAP R15.17

797014 Fenamin 50 mg per 5 mL 50mg/5mL SUS Mefenamic ac-50mg/5mL 100 mL R13.7

796433 Ponac 250 mg 250mg CAP Mefenamic ac-250mg 18 CAP R16.83

756148 Ponstan 250 mg 250mg CAP Mefenamic ac-250mg 18 CAP R23.41

793264 Ponac 50 mg per 5 mL 50mg/5mL SUS Mefenamic ac-50mg/5mL 100 mL R16.49

756156 Ponstan 50 mg per 5 mL 50mg/5mL SUS Mefenamic ac-50mg/5mL 100 mL R16.27

Proud Product of

10


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum

Helminthic infestation

ICD-10 CODE(S): B66.0, B66.1, B66.2, B66.3, B66.4, B66.5, B66.8, B66.9, B67.0, B67.1, B67.2, B67.3, B67.4, B67.5, B67.6, B67.7, B67.8, B67.9, B68.0, B68.1, B68.9, B69.0, B69.1, B69.8, B69.9, B70.0, B70.1, B71.0, B71.1, B71.8, B71.9, B72, B73, B74.0, B74.1, B74.2, B74.3, B74.4, B74.8, B74.9, B75, B76.0, B76.1, B76.8, B76.9, B77.0, B77.8, B77.9, B78.0, B78.1, B78.7, B78.9, B79, B80, B81.0, B81.1, B81.2, B81.3, B81.4, B81.8, B82.0, B82.9, B83.0, B83.1, B83.2, B83.3, B83.4, B83.8, B83.9

703063 Adco-wormex 100 mg 100mg TAB Mebendazole-100mg 6 TAB R7.68

Antinematodal agents R39.00 R39.00 2

828424 Sb tox worm SYR Piperazine cit anhyd-900mg/5mL 20 mL R8.66

722795 Resmed exit worm 750 mg per 5 mL 750mg/5mL SYR Piperazine hyd-750mg/5mL 27 mL R8.67

810533 Wormgo 100 mg 100mg TAB Mebendazole-100mg 6 TAB R9.82

845671 Wormstop 100 mg 100mg TAB Mebendazole-100mg 6 TAB R9.97

704656 Adco-wormex 500 mg 500mg TAB Mebendazole-500mg 1 TAB R10.63

845701 Wormstop 500 mg 500mg TAB Mebendazole-500mg 1 TAB R12.91

845698 Wormstop 100 mg per 5 mL 100mg/5mL SUS Mebendazole-100mg/5mL 30 mL R13.88

878227 Cipex 100 mg 100mg TAB Mebendazole-100mg 6 TAB R14.09

795607 D-worm 100 mg 100mg CHU Mebendazole-100mg 6 TAB R14.74

Antinematodal agents R39.00 R39.00 2

833894 D-worm sd 500 mg 500mg TAB Mebendazole-500mg 1 TAB R15.11

828297 Cipex 100 mg per 5 mL 100mg/5mL SUS Mebendazole-100mg/5mL 30 mL R19.15

715522 Combantrin 125 mg 125mg TAB Pyrantel pamoate-125mg 6 TAB R22.01

807524 Vermox 500 mg 500mg TAB Mebendazole-500mg 1 TAB R38

775606 Vermox 100 mg per 5 mL 100mg/5mL SUS Mebendazole-100mg/5mL 30 mL R38.21

775614 Vermox 100 mg 100mg TAB Mebendazole-100mg 6 TAB R38.63

881546 Vermox sd 500 mg per 10 mL 500mg/10mL SUS Mebendazole-250mg/5mL 10 mL R38.95

Oral candidiasis

ICD-10 CODE(S): B37.0

835056 Canstat oral SUS Nystatin-100000u/1mL 20

Nystatin R36.10 R36.10 2835285 Nystacid SUS Nystatin-100000u/1mL

701100 Candacide 100000 u per 1 mL 100000u/mL SUS Nystatin-100000u/1mL

Topical candidiasis

ICD-10 CODE(S): B37.2

846422 Fungispor 1 % 1% CRE Clotrimazole-1% 20 g R4.91

Imidazole and triazole derivatives R10.50 R10.50 2

716106 Innospore 1 % 1% CRE Clotrimazole-1% 20 g R7.35

878421 Clomaderm CRE Clotrimazole-1% 20 g R7.9

824011 Canex topical 1 % 1% CRE Clotrimazole-1% 20 g R9.21

816299 Xeraspor t 1 % 1% CRE Clotrimazole-1% 20 g R9.36

793493 Adco-normospor 1 % 1% CRE Clotrimazole-1% 20 g R10.19

Urticaria; Insect bites & stings

ICD-10 CODE(S): L50.0, L50.1, L50.2, L50.3, L50.4, L50.5, L50.6, L50.8, T14.0, T63.0, L50.9

700445 Vari-hydrocortisone 1 % 1% CRE Cortisol-1% 15 g R10.21

Corticosteroids, weak (group I)

R29.00 R56.00 2

826642 Link mezzoderm CRE Cortisol-0,5% 25 g R10.93

700445 Vari-hydrocortisone 1 % 1% CRE Cortisol-1% 20 g R13.48

807834 Biocort (stx) CRE Cortisol acet-1% 20 g R17.86

810223 Stopitch 1 % 1% CRE Cortisol acet-1% 20 g R28.87

800511 Allergex mepyramine (was mepyrimal) CRE Mepyr mal-2% 25 g R12.16

Antihistamines for topical use

731269 Histodor CRE Mepyr mal-0,1%;Diphenhyd hcl-0,1% 20 g R13.89

701102 Mepyraderm 2 % 2% CRE Mepyr mal-2% 25 g R16.73

897334 Alsan 2 % 2% CRE Mepyr mal-2% 25 g R20.09

Proud Product of

11


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum



705561 Calamine lotion bp LOT Calamine-15g/100mL 100 mL R15.92

Other antipruritics R29.00

R56.00 2

712969 Clicks calamine LOT Calamine-0,0N/A 100 mL R15.2

715602 Calamine lotion - darol medi-rite LOT Phenol-0,429g/100mL;Zn oxide-5g/100mL;Calamine-15g/100mL 100 mL R10.47

717243 Calamine - alchemist LOT Phenol-0,5mL/100mL;Zn oxide-5g/100mL;Calamine-15g/100mL 100 mL R6.44

721641 Fabupharm calamine (namibia only) LOT Glycerin-5mL/100mL;Na cit-0,5g/100mL;Phenol-0,5mL/100mL;Bentonite-3g/100mL;Z;ETC 100 mL R14.5

722214 Calamine (namibia only) 10 % 10% LOT Calamine-10% 100 mL R13.69

723550 Cala-soothe LOT Glycerin-0,5%;Na cit-5%;Bentonite-30%;Zn oxide-45%;Calamine-1,4%;Aloe barbad;ETC 100 mL R9.49

735647 Lacto calamine LOT Phenol-0,3%;Zn oxide-2,08%;Zinc carbonate-1,92%;Aq hamam-5% 100 mL R10.1

739324 Lot calamine bp MLS 100 mL R26.8

794120 Biohist lotion LOT Diphenhyd hcl-1%;Zn oxide-5%;Calamine-15% 100 mL R13.7

872490 Lot calamine bp MLS 100 mL R16.71

700092 Laura 10 mg 10mg TAB Loratadine-10mg 10 TAB R16.55

Antihistamines for systemic use R27.40

701361 Pollentyme 10 mg 10mg TAB Loratadine-10mg 10 TAB R18.96

701422 Cipla-actin 4 mg 4mg TAB Cyproheptadine hcl-4mg 15 TAB R21.53

702072 Allergex 4 mg 4mg TAB Chlorphenir mal-4mg 30 TAB R14.65

702080 Allergin expect SYR Na cit-56,85mg/5mL;Diphenhyd hcl-14,05mg/5mL;Nh4cl-136,95mg/5mL 150 mL R17.93

702145 Allergex 2 mg per 5 mL 2mg/5mL SYR Chlorphenir mal-2mg/5mL 50 mL R5.16

702159 Clarinese 10 mg 10mg TAB Loratadine-10mg 10 TAB R19.87

702518 Lorano 10 mg 10mg TAB Loratadine-10mg 10 TAB R18.87

703162 Rhineton 4 mg 4mg TAB Chlorphenir mal-4mg 30 TAB R6

703314 Texa 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R23.32

703315 Allecet 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R23.39

703821 Allermine 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R22.13

703864 Cetirizine-hexal 10 mg 10mg TAB Cetirizine hcl-10mg 15 TAB R22.7

704188 Aspen cetirizine 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R23.4

704275 Allergex non drowsy 10 mg 10mg TAB Loratadine-10mg 10 TAB R16.55

704359 Austell cetirizine 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R19.4

704659 Zyncet 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R19.14

704780 Cipla-loratadine 10 mg 10mg TAB Loratadine-10mg 10 TAB R21.25

705359 Lorfast 10 mg 10mg TAB Loratadine-10mg 10 TAB R17.26

705410 Rhinigine 10 mg 10mg TAB Loratadine-10mg 10 TAB R20.78

707313 Lorhay 10 mg 10mg TAB Loratadine-10mg 10 TAB R17.76

710873 Brunazine 5 mg per 5 mL 5mg/5mL SYR Prometh hcl-5mg/5mL 100 mL R19.41

712890 Acuzyrt 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R22.52

713908 Lormeg 10 mg 10mg TAB Loratadine-10mg 10 TAB R18.71

715247 Solucof (was coff-up) SYR Na cit-37,68mg/5mL;Menthol-1,32mg/5mL;Phenir mal-10,52mg/5mL;Nh4cl-137,18mg/5mL 100 mL R11.44

717051 Apex-loratadine 10 mg 10mg TAB Loratadine-10mg 10 TAB R18.75

717156 Austell cetirizine 5 mg 5mg TAB Cetirizine hcl-5mg 10 TAB R15.97

718452 Trantrin 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R17.28

720664 Zinallerg 10 mg 10mg TAB Cetirizine hcl-10mg 15 TAB R23.81

Proud Product of

12


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum



720846 Gulf cetirizine 10 mg 10mg TAB Cetirizine hcl-10mg 15 TAB R23.32

Antihistamines for systemic use R27.40 R56.00 2

720873 Ceticit 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R18.85

722018 Cetizal 5 mg 5mg TAB Levocetirizine-5mg 10 TAB R26.81

722334 Zelary 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R20.54

722356 Glencet 5 mg 5mg TAB Levocetirizine-5mg 10 TAB R25.9

722488 Cetirizine dis-chem 10 mg 10mg TAB Cetirizine hcl-10mg 15 TAB R24.99

723164 Sensahist 10 mg 10mg TAB Cetirizine hcl-10mg 10 TAB R18.96

723449 Texamer 5 mg 5mg TAB Levocetirizine-5mg 10 TAB R24.06

723933 Benylin paediatric SYR Diphenhyd hcl-7mg/5mL 100 mL R23.86

731226 Histodor TAB Caffeine-30mg;Prometh hcl-5mg;Mepyr mal-25mg 20 TAB R5.53

736244 Lenazine 5 mg per 5 mL 5mg/5mL SYR Prometh hcl-5mg/5mL 100 mL R9.17

753858 Periactin 4 mg 4mg TAB Cyproheptadine hcl-4mg 10 TAB R18.17

754749 Phenergan 10 mg 10mg TAB Prometh hcl-10mg 20 TAB R13.95

754757 Phenergan 25 mg 25mg TAB Prometh hcl-25mg 20 TAB R1.55

772143 Triazine TAB Cyclizine hcl-50mg 10 TAB R12.1

774618 Valoid children's 50 mg 50mg SPP Cyclizine hcl-50mg 3 SUP R24.14

774634 Valoid 50 mg 50mg TAB Cyclizine hcl-50mg 10 TAB R26

783595 Famtuss SYR Na cit-50mg/5mL;Menthol-1mg/5mL;Diphenhyd hcl-12,5mg/5mL;Nh4cl-125mg/5mL 100 mL R6.98

785113 Clarityne 10 mg 10mg TAB Loratadine-10mg 5 TAB R9.25

785113 Clarityne 10 mg 10mg TAB Loratadine-10mg 10 TAB R18.47

786837 Biohist SYR 100 mL R13.79

791741 Sleep-eze pm 25 mg 25mg TAB Diphenhyd hcl-25mg 12 TAB R26.82

792217 Aculoid 50 mg 50mg TAB Cyclizine hcl-50mg 20 TAB R23.22

792225 Aculoid 12.5 mg per 5 mL 12.5mg/5mL SYR Cyclizine hcl-12,5mg/5mL 50 mL R23.63

792829 Semprex 8 mg 8mg CAP Acrivastine-8mg 10 CAP R19.11

792845 Medazine-s 12.5 mg per 5 mL 12.5mg/5mL SYR Cyclizine hcl-12,5mg/5mL 50 mL R18.88

792853 Medazine nausea 50 mg 50mg TAB Cyclizine hcl-50mg 10 TAB R16.08

796700 Triazine paediatric (was Norizine) SYR Cyclizine hcl-12,5mg/5mL 50 mL R18.91

799424 Nauzine 50 mg 50mg TAB Cyclizine hcl-50mg 20 TAB R17.58

808954 Adco-cyclizine 50 mg 50mg TAB Cyclizine hcl-50mg 20 TAB R24.17

808962 Adco-cyclizine 12.5 mg per 5 mL 12.5mg/5mL SYR Cyclizine hcl-12,5mg/5mL 50 mL R24.16



811513 Dischem emitex(was emitex) 50 mg 50mg TAB Cyclizine hcl-50mg 10 TAB R14.11

820571 Nauzine s 12.5 mg per 5 mL 12.5mg/5mL SYR Cyclizine hcl-12,5mg/5mL 50 mL R17.19

837237 Nytol 25 mg 25mg TAB Diphenhyd hcl-25mg 20 TAB R18.24

899430 Ap-loratadine 10 mg 10mg TAB Loratadine-10mg 10 TAB R19.9

3000066 Cetaway 5 mg 5mg TAB Levocetirizine-5mg 10 TAB R25.79

Proud Product of

13


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum

Upper respiratory and lower respiratory tract infections

ICD-10 CODE(S): J00, J01.0, J01.1, J01.2, J01.3, J01.4, J01.8, J01.9, J02.0, J02.8, J02.9, J03.0, J03.8, J03.9, J04.0, J04.1, J04.2, J05.0, J05.1, J06.0, J06.8, J06.9, J09, J10.0, J10.1, J10.8, J11.0, J11.1, J11.8, J12.0, J12.1, J12.2, J12.8, J12.9, J13, J14, J15.0, J15.1, J15.2, J15.3, J15.4, J15.5, J15.6, J15.7, J15.8, J15.9, J16.0, J16.8, J18.0, J18.1, J18.2, J18.8, J18.9, J20.0, J20.1, J20.2, J20.3, J20.4, J20.5, J20.6, J20.7, J20.8, J20.9, J21.0, J21.8, J21.9, J22, J31.0, J31.1, J31.2, J32.0, J32.1, J32.2, J32.3, J32.4, J32.8, J32.9, J35.0, J35.1, J35.2, J35.3, J35.8, J35.9, J36, J37.0, J37.1, J40, J45.0, J69.0, J69.1, J69.8, P23.0, P23.1, P23.2, P23.3, P23.4, P23.5, P23.6, P23.8, P23.9, A49.2, H65.0, H65.1, H65.2, H65.3, H65.4, H65.9, H66.0, H66.1, H66.2, H66.3,

H66.4, H66.9, R05

783579 Sinucon nasal 20ml NOD Chlorbutol-0,5%;Phenyleph hcl-0,25%;Naphazol nit-0,025% 1 unit R13.13

Decongestants and other nasal preparations for

topical use

R37.30 R93.00 2

705121 Sal aqua refill pack PDR Nahco3-0,3%;Nacl-0,65% 60 g R13.8

710021 Simply saline NAS Tetra na edta-0,0N/A;Nacl-7,2mg/1mL;Na phos-0,0N/A 1 unit R14.94

836133 Naphensyl 10ml 1 % 1% NOD Phenyleph hcl-1% 1 unit R16.36

710270 Nosoclear 50ml 5 % 5% NAS Nahco3-5% 1 unit R16.45

836141 Naphensyl paed 10ml .25 % 0.25% NOD Phenyleph hcl-0,25% 1 unit R16.46

773867 Universal nasal 15ml NOD Chlorbutol-0,5%;Phenyleph hcl-0,25%;Naphazol nit-0,025% 1 unit R17.76

717502 Rinol 25ml DRO Phenyleph hcl-0,25%;Naphazol nit-0,025% 1 unit R19.32

764175 Sinus s 25ml NOD Phenyleph hcl-0,25%;Naphazol nit-0,025% 1 unit R20.13

705620 Terine 15ml NOD Chlorbutol-0,5%;Phenyleph hcl-0,25%;Naphazol nit-0,025% 1 unit R22.46

720988 Kwikclear 20ml .72 % 0.72% NAS Nacl-0,72% 1 unit R24.15

700309 Sinu-marine 30ml NAS Sod.chlor.soln 0,9%-70% 1 unit R25.3

708579 Nazolex baby 10ml NOD Xylitol-5mg/1mL;Nacl-7,2mg/1mL 1 unit R26.69

881945 Breathewell stick 0,5ml NAS Eucalyp ol-15%;Ol menth pip-54%;Lemon oil-10%;Gaultheria ol-15% 1 unit R26.73

703661 Jacks thick nose drops DRO Phenyleph hcl-25mg/10mL;Naphazol nit-2,5mg/10mL 1 unit R29.45

745871 Nasdro 15ml NOD Phenyleph hcl-0,25%;Naphazol nit-0,025% 1 unit R30.61

716407 Purity pedia kids nasal spray 20ml NAS Nacl-7,2mg/1mL 1 unit R30.81

840025 Nazo-ezze 20ml NOD Chlorbutol-0,5%;Phenyleph hcl-0,25%;Naphazol nit-0,025% 1 unit R32.82

708578 Nazolex 25ml NAS Xylitol-5mg/1mL;Nacl-7,2mg/1mL 1 unit R33.35

708069 Panasol nasal 30ml NAS Sod.chlor.soln 0,9%-0,0N/A;Mag di stab water-0,0N/A 1 unit R33.47

710953 Clicks saline NAS Na edta-0,0N/A;Na phos(anh)-0,0N/A;Na ac phos(anhyd)-0,0N/A;Nacl-0,72%;Benza;ETC 1 unit R33.58

702618 Drinasal paediatric 10ml .025 % 0.03% NOD Oxymetaz hcl-0,025% 1 unit R34.13

714893 Just saline 30ml NAS Nahco3-0,9%;Nacl-0,9% 1 unit R36.66

746126 Nazene Z 20ml NAS Oxymetaz hcl-0,05%;Zn sulfate anhydrous-0,0015% 1 unit R37.16

700770 Actifed SYR Pseudoeph hcl-30mg/5mL;Triprol hcl-1,25mg/5mL 50 mL R17.71

Nasal decongestants for systemic use

700789 Actifed TAB Pseudoeph hcl-30mg;Triprol hcl-1,25mg 20 TAB R30.53

700797 Actifed dry cough regular SYR Codeine phos anhyd-10mg/5mL;Pseudoeph hcl-30mg/5mL;Triprol hcl-1,25mg/5mL 100 mL R37.26

700827 Actifed dm cough SYR Pseudoeph hcl-30mg/5mL;Triprol hcl-1,25mg/5mL;Dextrometh hbr-10mg/5mL 100 mL R21.24

700843 Actigesic TAB Paracet-500mg;Pseudoeph hcl-60mg;Triprol hcl-2,5mg 12 TAB R32.44

702941 Sinutab 3-way TAB Pseudoeph hcl-30mg;Ibuprofen-200mg 10 TAB R26.71

827177 Cofendyl SYR Codeine phos anhyd-10mg/5mL;Paracet-250mg/5mL;Pseudoeph hcl-30mg/5mL 100 mL R36.46

827355 Fludactil co linctus SYR Codeine phos anhyd-10mg/5mL;Pseudoeph hcl-30mg/5mL;Triprol hcl-1,25mg/5mL 100 mL R20.67

835536 Decofed TAB Pseudoeph hcl-30mg;Triprol hcl-1,25mg 20 TAB R24.71

835544 Decofed SYR Pseudoeph hcl-30mg/5mL;Triprol hcl-1,25mg/5mL 100 mL R21.46

853003 Betafed SYR Pseudoeph hcl-30mg;Triprol hcl-1,25mg 100 mL R24.82

873985 Acugest dm adult (was endcol) SYR Pseudoeph hcl-30mg/5mL;Triprol hcl-1,25mg/5mL;Dextrometh hbr-10mg/5mL 100 mL R17.25

893463 Sinugesic TAB Paracet-500mg;Pseudoeph hcl-30mg 20 TAB R32.8

Proud Product of

14


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum



H66.4, H66.9, R05

700238 Theophen compound elixir SYR Theophylline-16,667mg/5mL;Na cit-50mg/5mL;Diphenylpyr hcl-1,333mg/5mL;Etofyl;ETC 100 mL R7.03

Xanthines R14.80

R93.00 2

701742 Alcophyllex SYR Theophylline-16,667mg/5mL;Na cit-50mg/5mL;Diphenhyd hcl-6,667mg/5mL;Etofylli;ETC 100 mL R8.07

701750 Alcophyllin 26.67 mg per 5 mL 26.67mg/5mL SYR Theophylline-26,67mg/5mL 100 mL R6.95

720283 Diphenamill SYR Na cit-52,8mg/5mL;Diphenhyd hcl-1,4mg/5mL;Aminophyl-12,6mg/5mL;Nh4cl-126,75m;ETC 100 mL R13.88

769312 Norstan-ted 100 mg 100mg TAB Aminophyl-100mg 20 TAB R5.54

769320 Norstan-ted 200 mg 200mg TAB Aminophyl-200mg 20 TAB R9.03

770388 Theophen SYR Theophylline-26,667mg/5mL;Etofylline-3,333mg/5mL 200 mL R12.89

701673 Sb cirogen cough mixture SYR Na cit-14mg/5mL;Nh4cl-47mg/5mL;Ipecac tinc-3,9mg/5mL 50 mL R9.38

Expectorants, excl. combinations with

cough suppressantsR40.75

703394 Dis-chem mucolytic 250 mg per 5 mL 250mg/5mL SYR Carbocysteine-250mg/5mL 200 mL R40.25

704178 Benylin wet cough 200 mg 200mg LIQ Guaiphen-200mg/10mL 50 mL R28.36

706070 Respinol expectorant SYR Guaiphen-100mg/5mL;Pseudoeph hcl-30mg/5mL 100 mL R17.35

708151 Betaphlem 250 mg per 5 mL 250mg/5mL SYR Carbocysteine-250mg/5mL 200 mL R26.11

708185 Lennon cough mixture honey 100 mg per 5 mL

100mg/5mL SYR Guaiphen-100mg/5mL 50 mL R24.76

708187 Lennon cough mixture orange 100 mg per 5 mL


709356 Mucokleer 375 mg 375mg CAP Carbocysteine-375mg 30 CAP R26.34

710032 Bisolvon linctus da SYR Bromhex hcl-4mg/5mL;Orcipren so4-5mg/5mL 100 mL R31.08

710520 Bronchette 250 mg per 5 mL 250mg/5mL SYR Carbocysteine-250mg/5mL 200 mL R22.17

710576 Benylin wet cough 10ml 200 mg per 10 mL

200mg/10mL SAC Guaiphen-200mg/10mL 12 SAC R35.31

710687 Bronkese compound SYR Bromhex hcl-4mg/5mL;Orcipren so4-5mg/5mL 100 mL R20.92

715455 Lcc-g guaiphenesin cough remedy-peppermint SYR Guaiphen-200mg/10mL;Nipastat-0,02%/10mL 50 mL R15.63

715471 Stearns peppermint (was expigen wet cough peppermint) SYR Guaiphen-200mg/10mL 50 mL R15.27

715523 Lcc - g guaiphenesin cough remedy - orange flavor 200 mg per 10 mL

200mg/10mL SYR Guaiphen-200mg;Nipastat-0,02% 50 mL R15.63

716133 Flusin expectorant SYR Guaiphen-100mg/5mL;Pseudoeph hcl-30mg/5mL;Triprol hcl-1,25mg/5mL 100 mL R40.27

717745 Flutex mucous cough 250 mg per 5 mL

250mg/5mL SYR Carbocysteine-250mg/5mL 200 mL R34.96

722012 Stearns cough pine tar and honey flavour 100 mg per 5 mL


722013 Stearns guaiphenesin cough cherry flavour 200 mg per 10 mL


722217 Curephlegm wet cough (namibia only) 100 mg per 5 mL


722653 Borstol linctus peppermint flavour 200 mg per 10 mL


722654 Borstol linctus orange flavour 200 mg per 10 mL


723074 Mucosolv 375 mg 375mg CAP Carbocysteine-375mg 30 CAP R26.48

725323 Expigen SYR Polysorb 65-18mg/5mL;Nh4cl-17mg/5mL 100 mL R38.58

Proud Product of

15


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum



H66.4, H66.9, R05

738263 Linctus tussi infans SYR Ipecac liq ext-0,0105mL/5mL;Squill liq ext-0,0055mL/5mL;Tolu sol-0,047mL/5mL 100 mL R5.53

Expectorants, excl. combinations with

cough suppressants

R40.75 R93.00 2

744816 Mucospect 250 mg per 5 mL 250mg/5mL SYR Carbocysteine-250mg/5mL 200 mL R34.95

767239 Actifed wet cough (was Sudafed expect) SYR Guaiphen-100mg/5mL;Pseudoeph hcl-30mg/5mL 100 mL R20.04

779814 Co-flem 250 mg per 5 mL 250mg/5mL SYR Carbocysteine-250mg/5mL 200 mL R22.17

779849 Acugest expect (was endcol) SYR Guaiphen-100mg/5mL;Pseudoeph hcl-30mg/5mL;Triprol hcl-1,25mg/5mL 100 mL R17.25

781169 Mucospect paed 125 mg per 5 mL 125mg/5mL SYR Carbocysteine-125mg/5mL 100 mL R35.52

783633 Lessmusec CAP Carbocysteine-375mg 30 CAP R33.11

785164 Flemlite 250 mg per 5 mL 250mg/5mL SYR Carbocysteine-250mg/5mL 200 mL R34.36

789739 Flemgo 250 mg per 5 mL 250mg/5mL SYR Carbocysteine-250mg/5mL 200 mL R21.57

794341 Mucopan 250 mg per 5 mL 250mg/5mL SYR Carbocysteine-250mg/5mL 200 mL R29.01

799319 Lennon cough mixture 100 mg per 5 mL


819743 Flemeze SYR Bromhex hcl-4mg/5mL;Orcipren so4-5mg/5mL 100 mL R23.7

826553 Chamberlain's cough remedy regular SYR Ipecac liq ext-6mg/5mL;Ext glycyr-142,5mg/1mL 100 mL R23.92

827304 Adco-linctopent SYR Bromhex hcl-4mg/5mL;Orcipren so4-5mg/5mL 100 mL R18.39

859532 Chamberlain's cough remedy honey/liquorice 50 mg per 5 mL 50mg/5mL SYR Guaiphen-50mg/5mL 100 mL R23.92

859559 Chamberlain's cough remedy peppermint 50 mg per 5 mL 50mg/5mL SYR Guaiphen-50mg/5mL 100 mL R23.92

862037 Benylin chesty SYR Bromhex hcl-4mg/5mL;Orcipren so4-5mg/5mL 100 mL R38.92

877115 Lennon ipekakuanha-tinctuur DRP Glacial acetic ac-0,001mL/1mL;Ipecac liq ext-0,05mL/1mL 20 mL R23.69

882829 Dilinct Junior 100 mg per 5 mL 100mg/5mL SYR Guaiphen-100mg/5mL 100 mL R35.55

895150 Benylin wet cough menthol 100 mg per 5 mL

100mg/5mL SYR Guaiphen-100mg/5mL;Alcohol 90%-9,5% 50 mL R28.36

898585 Vicks honey and ginger ( was formula 44 chesty) SYR Guaiphen-66,6mg/5mL 100 mL R35.91

702172 Phenorant SYR Na cit-54,166mg/5mL;Diphenhyd hcl-13,33mg/5mL;Nh4cl-130mg/5mL 100 mL R4.62

Other cough suppressants and

expectorants

702521 Phenorant with codeine SYR Codeine phos anhyd-8,33mg/5mL;Na cit-54,166mg/5mL;Diphenhyd hcl-13,33mg/5mL;;ETC 100 mL R10.84

703350 Phenorant (glass) SYR Na cit-54,166mg;Diphenhyd hcl-13,33mg;Nh4cl-130mg 100 mL R11.67

708054 Betalin SYR Na cit-56mg/5mL;Diphenhyd hcl-14mg/5mL;Nh4cl-136mg/5mL 100 mL R12.56

710652 Broncol cough SYR Dexpanth-50mg/5mL;Dextrometh hbr-15mg/5mL;Nh4cl-90mg/5mL 100 mL R26.94

716073 Corbar linctus SYR Ephedrine hcl-20mg/5mL;Codeine phos anhyd-10mg/5mL;Guaiphen-100mg/5mL;Chlorp;ETC 100 mL R43.52

717079 Flusin junior cough SYR Codeine phos anhyd-3mg/5mL;Guaiphen-50mg/5mL;Pseudoeph hcl-12mg/5mL;Triprol ;ETC 100 mL R38.84

722778 Resmed adult cough mixture 37.5 mg per 5 mL

37.5mg/5mL SOL Nh4cl-37,5mg/5mL 100 mL R14.01

722779 Resmed children's cough mixture (mist tussi infans) SOL Citric ac mono-31,25mg/5mL;Aniseed oil-0,3125mg/5mL;Liq tolu syr-

0,05mL/5mL 100 mL R14.01

738212 Linctifed wet cough regular (was Linctifed exp adult) SYR Codeine phos anhyd-7,5mg/5mL;Guaiphen-100mg/5mL;Pseudoeph hcl-

20mg/5mL;Tripr;ETC 100 mL R40.09

738220 Linctifed wet cough (was Linctifed exp paed) SYR Codeine phos anhyd-3mg/5mL;Guaiphen-50mg/5mL;Pseudoeph hcl-

12mg/5mL;Triprol ;ETC 100 mL R37.5

Proud Product of

16


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum



H66.4, H66.9, R05

738239 Linctodyl SYR Ephedrine hcl-7,5mg/5mL;Dextrometh hbr-15mg/5mL;Nh4cl-125mg/5mL 100 mL R16.4

Other cough suppressants and

expectorants

R40.75 R93.00 2

739405 Lotussin linctus SYR Ephedrine hcl-7,5mg/5mL;Guaiphen-50mg/5mL;Diphenhyd hcl-5mg/5mL;Dextrometh h;ETC 100 mL R18.94

740861 Medituss expect SYR Ephedrine hcl-8mg/5mL;Mepyr mal-20mg/5mL;Na cit-75mg/5mL;Menthol-1,5mg/5mL;N;ETC 200 mL R27.98

783145 Histodor expect SYR Diphenhyd hcl-12mg/5mL;Nh4cl-50mg/5mL 100 mL R12.87

788120 Becof SYR Na cit-56mg/5mL;Diphenhyd hcl-14mg/5mL;Nh4cl-136mg/5mL 100 mL R5.13

789976 Medilyn solution SYR Na cit-56mg/5mL;Diphenhyd hcl-14mg/5mL;Nh4cl-136mg/5mL 100 mL R14.79

792144 Bencough expectorant (boxed) wasTrihisdine syrup SYR Na cit-56mg/5mL;Diphenhyd hcl-14mg/5mL;Nh4cl-136mg/5mL 100 mL R13.08

792187 Acutussive adult expect SYR Codeine phos anhyd-7,5mg/5mL;Guaiphen-100mg/5mL;Pseudoeph hcl-20mg/5mL;Tripr;ETC 100 mL R25.73

792195 Acutussive paed expect SYR Codeine phos anhyd-3mg/5mL;Guaiphen-50mg/5mL;Pseudoeph hcl-12mg/5mL;Triprol ;ETC 100 mL R21.34

794813 Adco-neofed paed SYR Codeine phos anhyd-3mg/5mL;Guaiphen-50mg/5mL;Pseudoeph hcl-12mg/5mL;Triprol ;ETC 50 mL R10.57

799475 Trifen exp adult SYR Codeine phos anhyd-7,5mg/5mL;Guaiphen-100mg/5mL;Pseudoeph hcl-20mg/5mL;Tripr;ETC 100 mL R23.49

803081 Clear cough SYR Na cit-55mg/5mL;Diphenhyd hcl-14,1mg/5mL;Nh4cl-135mg/5mL 100 mL R6.08

805343 Expectalin SYR Diphenhyd hcl-12,5mg/5mL;Nh4cl-125mg/5mL 100 mL R23.48

806269 Trifen exp paed SYR Codeine phos anhyd-3mg/5mL;Guaiphen-50mg/5mL;Pseudoeph hcl-12mg/5mL;Triprol ;ETC 100 mL R17.66

807893 Bronchoped SYR Na cit-25mg/5mL;Nh4cl-60mg/5mL;Terbutaline so4-1,25mg/5mL 100 mL R35.75

810649 Diphenhydramine expect - Allied SYR Na cit-57mg/5mL;Diphenhyd hcl-14mg/5mL;Nh4cl-170mg/5mL 200 mL R4.93

817635 Borstol original SYR Camphor, spirits-0,10675mL/5mL;Ol terebin-0,15625mL/5mL;Nh4cl-14,5mg/5mL;Buc;ETC 50 mL R22.08

823554 Relief-coff expect SYR Na cit-56mg/5mL;Diphenhyd hcl-14mg/5mL;Nh4cl-136mg/5mL 100 mL R9.81

824402 Genhydramine expect SYR Na cit-56,91mg/5mL;Diphenhyd hcl-14,07mg/5mL;Nh4cl-136,93mg/5mL 100 mL R3.59

826618 Link dinexol paed cough SYR Codeine phos anhyd-3mg/5mL;Guaiphen-50mg/5mL;Pseudoeph hcl-12mg/5mL;Triprol ;ETC 100 mL R11.96

852457 Vicks actaplus cough SYR Pentoxyver cit-7,5mg/5mL;Guaiphen-50mg/5mL;Cetylpyrid chloride-1,25mg/5mL;Et;ETC 50 mL R23.24

895032 Amcough SYR Na cit-56mg/5mL;Diphenhyd hcl-14mg/5mL;Nh4cl-136mg/5mL 100 mL R7.99

703853 Acuflu p (alcohol and sugar free) SYR Paracet-125mg/5mL;Pseudoeph hcl-15mg/5mL;Triprol hcl-0,625mg/5mL 100 mL R22.4

Other cold combination preparations

703893 Antiflu TAB Codeine phos anhyd-6mg;Caffeine-40mg;Mepyr mal-10mg;Phenyleph hcl-5mg;Parace;ETC 20 TAB R19.78

703958 Antituss cough SYR Ephedrine hcl-7,2mg/5mL;Codeine phos anhyd-9mg/5mL;Prometh hcl-3,6mg/5mL 100 mL R20.22

703964 Sinuclear paed alcohol & sugar free SYR Paracet-125mg/5mL;Pseudoeph hcl-15mg/5mL;Triprol hcl-0,625mg/5mL 100 mL R40.71

704043 Adco-sinal ns CAP Caffeine-25mg;Phenyleph hcl-5mg;Paracet-300mg 20 CAP R23.92

704061 Lcc menthol camphor ointment OIN Menthol-3,04g;Camphor-14,65g;Rectified camphor oi-0,99g 75 g R24.84

704332 Colcleer paediatric SYR Caffeine-7,5mg/5mL;Phenyleph hcl-2,5mg;Paracet-75mg/5mL;Chlorphenir mal-2mg/5mL 100 mL R19.31

704830 Grippon cold and flu TAB Caffeine-15mg;Phenyleph hcl-5mg;Paracet-150mg;Thenyldiam hcl-7,5mg 20 TAB R40.12

707627 Benylin cough SYR Na cit-50mg/5mL;Diphenhyd hcl-12,5mg/5mL;Nh4cl-125mg/5mL 100 mL R40.26

708517 ARM alpha pharm vapo caps NIC Menthol-35mg;Eucalyp ol-25mg;Pine oil-100mg;Ol terebin-15mg;Lemon oil-15mg 10 CPS R21.48

Proud Product of

17


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum



H66.4, H66.9, R05

710636 Broncleer for children SYR Na cit-57mg/5mL;Diphenhyd hcl-14,07mg/5mL;Nh4cl-137mg/5mL 100 mL R23.81


R40.75 R93.00 2

710881 Brunacod SYR Ephedrine hcl-7mg/5mL;Codeine phos anhyd-9,2mg/5mL;Prometh hcl-3mg/5mL 100 mL R35.47

715255 Colcaps CAP Caffeine-40mg;Mepyr mal-7,8mg;Phenyleph hcl-5,75mg;Salicylamide-240mg;Chlorp;ETC 20 CAP R25.22

715301 Colcleer(cold+flu) TAB Ephedrine hcl-6mg;Caffeine-20mg;Paracet-200mg;Chlorphenir mal-2mg 20 TAB R3.76

715484 Colphen SYR Codeine phos anhyd-5mg/5mL;Caffeine-8mg/5mL;Phenyleph hcl-2mg/5mL;Na cit-130;ETC 100 mL R21.05

715506 Colstat CAP Vit c-75mg;Atropine sulph anhyd-0,125mg;Caffeine-30mg;Phenyleph hcl-5mg;Para;ETC 20 CAP R34.61

715525 Lcc mco menthol camphor ointment - cinnamon OIN Menthol-3,04g;Camphor-10g;Camphor oil-0,99g 75 g R24.84

715766 Linctagon chest rub OIN Menthol-3mg/1g;Eucalyp ol-5mg/1g;Pine oil-5mg/1g;Camphor-3mg/1g 25 g R24.64

716414 Smart coldrub OIN Menthol-3%;Thymol-0,1%;Eucalyp ol-2%;Ol terebin-5,5%;Nutmeg oil-0,52%;Campho;ETC 50 g R33.67

716529 Coughcod junior SYR Ephedrine hcl-5mg/5mL;Codeine phos anhyd-5mg/5mL;Mepyr mal-6,25mg/5mL;Na cit;ETC 100 mL R31.15

717606 Dequa-coff SYR Ephedrine hcl-7,2mg/5mL;Codeine phos anhyd-9mg/5mL;Prometh hcl-3,6mg/5mL 100 mL R22.09

717792 Sinutab sinus pain extra strength TAB Codeine phos anhyd-10mg;Paracet-500mg;Chlorphenir mal-2mg;Pseudoeph hcl-30mg 12 TAB R28.87

717932 Dequa-flu CAP Caffeine-30mg;Phenyleph hcl-5mg;Paracet-200mg;Chlorphenir mal-2mg;Phenyltolo;ETC 20 CAP R16.65

720291 Diphenhydramine exp SYR Na cit-50mg/5mL;Diphenhyd hcl-12,5mg/5mL;Nh4cl-125mg/5mL 100 mL R4.19

721618 Relihale NIC Chlorothymol-5mg;Menthol-55mg;Cineole-130mg;Terpineol-110mg;Camphor-25mg 10 CPS R37.64

723126 Emprazil a TAB Caffeine-20mg;Paracet-300mg;Pseudoeph hcl-15mg;Triprol hcl-1mg 20 TAB R21.62

725544 Famucaps CAP Phenyleph hcl-5mg;Paracet-300mg;Chlorphenir mal-2mg 20 CAP R18.17

726710 Fluend CAP Vit c-50mg;Phenyleph hcl-5mg;Paracet-400mg;Diphenhyd hcl-10mg 20 CAP R16.91

726915 Flutex CAP Vit c-50mg;Caffeine-30mg;Phenyleph hcl-2mg;Salicylamide-75mg;Paracet-100mg;C;ETC 20 CAP R22.57

729515 Grippon CAP Vit c-75mg;Atropine sulph anhyd-0,125mg;Caffeine-30mg;Phenyleph hcl-5mg;Para;ETC 15 CAP R38.66

731218 Histamed co CAP Vit c-100mg;Caffeine-30mg;Phenyleph hcl-2mg;Salicylamide-150mg;Paracet-125mg;ETC 20 CAP R7.38

731234 Histacon CAP Caffeine-30mg;Phenyleph hcl-5mg;Paracet-200mg;Chlorphenir mal-2mg 20 CAP R7.16

736236 Lenazine forte SYR Ephedrine hcl-7,2mg/5mL;Codeine phos anhyd-9mg/5mL;Prometh hcl-3,6mg/5mL 100 mL R23.71

754846 Phensedyl SYR Ephedrine hcl-7,2mg/5mL;Codeine phos anhyd-9mg/5mL;Prometh hcl-3,6mg/5mL 100 mL R37.95

764264 Sinucon TAB Ephedrine hcl-6mg;Caffeine-20mg;Paracet-200mg;Chlorphenir mal-2mg 20 TAB R25.92

773875 Sinu-flu (was Universal cold & flu) TAB Mepyr mal-5mg;Phenyleph hcl-5mg;Paracet-400mg 20 TAB R16.55

776130 Vicks vaporub OIN Menthol-28,2mg/1g;Thymol-0,9mg/1g;Camphor-52,6mg/1g 12 g R9.98

796832 Sinustat flu CAP Vit c-75mg;Caffeine-30mg;Phenyleph hcl-5mg;Paracet-300mg;Chlorphenir mal-2mg 20 CAP R27.91

806218 Adco-flupain SYR Paracet-125mg/5mL;Pseudoeph hcl-15mg/5mL;Triprol hcl-0,625mg/5mL 100 mL R17.78

807648 Flustat CAP Vit c-75mg;Caffeine-30mg;Phenyleph hcl-5mg;Paracet-300mg;Chlorphenir mal-2mg 20 CAP R7.95

Proud Product of

18


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum



H66.4, H66.9, R05

807656 Flustat SYR Paracet-125mg/5mL;Mydriatin-6,25mg/5mL;Dextrometh hbr-3,75mg/5mL 100 mL R19.16


R40.75 R93.00 2

807656 Flustat SYR Paracet-125mg/5mL;Mydriatin-6,25mg/5mL;Dextrometh hbr-3,75mg/5mL 200 mL R38.34

822744 Sinuend TAB Ephedrine hcl-6mg;Caffeine-20mg;Paracet-200mg;Chlorphenir mal-2mg 20 TAB R15.57

826596 Link dinexol CAP Vit c-75mg;Caffeine-30mg;Phenyleph hcl-5mg;Paracet-300mg;Chlorphenir mal-2mg 24 CAP R15.99

854530 Flusin CAP Caffeine-20mg;Paracet-300mg;Chlorphenir mal-2mg;Pseudoeph hcl-25mg 20 CAP R23.89

859745 Broncleer & cod unboxed SYR Codeine phos anhyd-10mg/5mL;Na cit-50mg/5mL;Diphenhyd hcl-12,5mg/5mL;Nh4cl-1;ETC 100 mL R12.47

873322 Kiddyflu SYR Phenyleph hcl-2,5mg/5mL;Paracet-120mg/5mL;Chlorphenir mal-0,5mg/5mL;Dextrome;ETC 100 mL R14.96

881570 Benylin four flu SYR Paracet-250mg/5mL;Diphenhyd hcl-6,25mg/5mL;Pseudoeph hcl-11,25mg/5mL 100 mL R34.19

883342 Lennon menthorub OIN Menthol-3,4%;Camphor-5,2% 50 g R31.02

888552 Nasoclear inhalation drops DRO Methyl sal-1q.s.;Eucalyp ol-1q.s.;Pine oil-1q.s.;Ol terebin-1q.s.;Ol menth p;ETC 10 mL R26.39

Urinary Tract Infection (Uncomplicated Cystitis)

ICD-10 CODE(S): N39.0, N30.0, N30.1, N30.2, N30.3, N30.4, N30.8, N30.9, N34.1, N34.2, O23.0, O23.1, O23.2, O23.3, O23.4, O23.5, O23.9, O86.2, O86.3, P39.3

709954 Professional nutrition alka plus POW Na cit-0,0N/A;Nahco3-0,0N/A;Ca cit-0,0N/A;Pot cit anhydrous-0,0N/A;Mg cit-0,;ETC 180 g R52.45

Other urologicals R62.70 R62.70 2

710639 Smart soda SAC Na cit-0,63g/4g;Citric ac-0,72g/4g;Nahco3-1,76g/4g 8 SAC R25.3

711378 Smart soda GRA Na cit-613mg/4g;Citric ac-702mg/4g;Tartaric ac-858mg/4g;Nahco3-1716mg/4g 60 g R27.77

712312 Medi soda effervescent GRA Na cit-613mg/4g;Tartaric ac-858mg/4g;Nahco3-1716mg/4g;Citric ac mono-702mg/4g 60 g R28.74

712393 Bao soda GRA Na cit-613mg/5g;Tartaric ac-858mg/5g;Nahco3-1716mg/5g;Citric ac mono-702mg/5g 60 g R30.6

712929 Bao spring soda GRA Na cit-613mg/5mg;Tartaric ac-858mg/5mg;Nahco3-1716mg/5mg;Citric ac mono-702m;ETC 60 g R35.25

714449 Maxipharm cranberry SAC Na cit-600mg;Citric ac-700mg;Tartaric ac-800mg;Nahco3-1700mg;Cranberry-6000mg 9 SAC R44.85

714534 Citrocit GRA Citric ac-865mg/5g;Nahco3-2452mg/5g 60 g R24.75

715589 Citro-soda cranberry GRA Na cit-613mg/4g;Citric ac-702mg/4g;Tartaric ac-858mg/4g;Nahco3-1716mg/4g;Cra;ETC 60 g R49.76

715590 Citro-soda cranberry 4g SAC Na cit-613mg/4g;Citric ac-702mg/4g;Tartaric ac-858mg/4g;Nahco3-1716mg/4g;Cra;ETC 10 SAC R29.88

716969 Medi soda effervercent granules 4 g 4g SAC Na cit-613mg/4g;Tartaric ac-858mg/4g;Nahco3-1716mg/4g;Citric ac mono-702mg/4g 8 SAC R22.83

720205 Smart soda cranberry GRA Na cit-15,25%;Citric ac-14,75%;Tartaric ac-22,25%;Nahco3-44,25%;Cranberry-2,5% 60 g R32.89

721072 Netcare citric granules plain GRA Na cit-613mg/5g;Tartaric ac-858mg/5g;Nahco3-1716mg/5g;Citric ac mono-702mg/5;ETC 60 g R29.5

721205 Clicks fruit salts effervescent GRA Citric ac-2,2g/5g;Nahco3-2,3g/5g;Sodium carbonate (an-0,5g/5g 200 g R27.98

721466 Spar citric granules (unflavoured) GRA Na cit-613mg/5g;Tartaric ac-858mg/5g;Nahco3-1716mg/5g;Citric ac mono-702mg/5;ETC 60 g R25.04

721490 Medirite citric granules (unflavoured) GRA Na cit-613mg/5g;Tartaric ac-858mg/5g;Nahco3-1716mg/5g;Citric ac mono-702mg/5;ETC 60 g R21.76

758647 Pyridium 100 mg 100mg TAB Phenazopyradine hcl-100mg 10 TAB R31.86

816256 Alkafizz regular boxed GRA Na cit-613mg/4g;Citric ac-702mg/4g;Tartaric ac-858mg/4g;Nahco3-1716mg/4g 60 g R43.22

820059 Adco-sodasol GRA Na cit-613mg/4g;Citric ac-702mg/4g;Tartaric ac-858mg/4g;Nahco3-1716mg/4g 60 g R21.24

Proud Product of

19


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum

Urinary Tract Infection (Uncomplicated Cystitis)

ICD-10 CODE(S): N39.0, N30.0, N30.1, N30.2, N30.3, N30.4, N30.8, N30.9, N34.1, N34.2, O23.0, O23.1, O23.2, O23.3, O23.4, O23.5, O23.9, O86.2, O86.3, P39.3

821837 Citro-soda GRA Na cit-613mg/4g;Citric ac-702mg/4g;Tartaric ac-858mg/4g;Nahco3-1716mg/4g 60 g R49.76

Other urologicals R62.70 R62.70 2

832588 Citro-soda SAC Na cit-613mg;Citric ac-702mg;Tartaric ac-858mg;Nahco3-1716mg 8 SAC R28.97

834823 Effersol GRA Citric ac-0,823g/5g;Tartaric ac-1,35g/5g;Nahco3-2,55g/5g 60 g R27.59

837601 Citro-carb GRA Citric ac-865mg/5g;Nahco3-2452mg/5g 120 g R27.03

839760 Gencit simplex SUS Citric ac-7mg/5mL;Pot cit anhydrous-315mg/5mL 100 mL R2.35

841986 Uri-alk EFT Na cit-615mg;Citric ac-700mg;Tartaric ac-860mg;Nahco3-1362mg 12 TAB R28.75

859869 Sb urinary tract alkalising mixture SUS K bic-155mg/5mL;Pot cit anhydrous-310mg/5mL 200 mL R13.14

Treatment of wounds and/or infection of the skin/subcutaneous tissues (excluding post-operative wound care)

ICD-10 CODE(S): L00, L01.0, L01.1, L02.0, L02.1, L02.2, L02.3, L02.4, L02.8, L02.9, L03.0, L03.1, L03.2, L03.3, L03.8, L03.9, L04.0, L04.1, L04.2, L04.3, L04.8, L04.9, L05.0, L05.9, L08.0, L08.1, L08.8, L08.9, L30.3, S00.0, S00.2, S00.3, S00.4, S00.5, S00.7, S00.8, S00.9, S01.0, S01.1, S01.2, S01.3, S01.4, S01.5, S01.7, S01.8, S01.9, S06.1, S10.1, S10.7, S10.8, S10.9, S11.0, S11.1, S11.2, S11.7, S11.8, S11.9, S20.1, S20.3, S20.4, S20.7, S20.8, S21.0, S21.1, S21.2, S21.7, S21.8, S21.9, S30.8, S30.9, S31.0, S31.1, S31.2, S31.3, S31.4, S31.5, S31.7, S31.8, S40.7, S40.8, S40.9, S41.0, S41.1, S41.7, S41.8, S50.7, S50.8, S50.9, S51.0, S51.7, S51.8, S51.9, S60.7, S60.8, S60.9, S61.0, S61.1, S61.7, S61.8, S61.9, S70.7, S70.8, S70.9, S71.0, S71.1, S71.7, S71.8, S80.7, S80.8, S80.9,

S81.0, S81.7, S81.8, S81.9, S90.7, S90.8. S90.9, S91.0, S91.1, S91.2, S91.3, S91.7, T00.0, T00.1, T00.2, T00.3, T00.6, T00.8, T00.9, T01.0, T01.1, T01.2, T01.3, T01.6, T01.8, T01.9, T09.0, T09.1, T11.0, T11.1, T13.0, T13.1, T14.0, T14.1, T79.3

700769 Dismed povidone iodine SLN Povidone iodine-10% 50 mL R16.45

Antiseptics and disinfectants, creams and ointments

R65.60 R144.60 2

700881 Alpha gentian violet paint bpc SLN Gentian violet-0,5% 20 mL R10.17

702549 Barrs povidone iodine 10 % 10% OIN Povidone iodine-10% 25 g R28.12

703540 Iodine decolourised SLN I-0,0N/A;Ethanol-81,8% 20 mL R17.96

703819 Linkcare mercurochrome solution 2 % 2% SLN Merbromin-2% 20 mL R5.43

704094 Dermacyn wound care solution MLS Sodium hypochloride-0,01%;Hypochlorous acid-0,01% 50 mL R4.6

707945 Betadine ointment OIN Povidone iodine-10% 20 g R30.37

707996 Betadine antiseptic SLN Povidone iodine-10% 250 mL R64.07

708019 PVP 10 % 10% SLN Povidone iodine-10% 50 mL R18.39

708068 Panasol microcidal spray SLN Mag di stab water-0,0N/A 250 mL R33.73

708072 Panasol flo-stop styptic SLN Mag di stab water-0,0N/A 60 mL R20.93

708946 Povidone iodine 1 % 1% SLN Povidone iodine-1% 50 mL R8.15

710659 Previderm pvp-i scrub 7.5 % 7.50% SLN Povidone iodine-7,5% 50 mL R21.51

711104 Colloidal silver healing CRE Colloidal silver-0,5274mL/1mL;Avocado oil-0,182mL/1mL 75 mL R54.02

711105 Colloidal silver healing JEL Colloidal silver-0,953mL/1mL 75 mL R46.01

711106 Colloidal silver LIQ Colloidal silver-0,0N/A 200 mL R40.96

711107 Colloidal silver liqui GEO Colloidal silver-0,0N/A 200 mL R61.36



711359 Biotaine in alcohol & mist spray .5 % 0.50% LIT Alcohol 70%-70%;Chlorhex glucon sol-0,5% 100 mL R23.7

713004 Clicks mercurochrome 2 % 2% SLN Merbromin-2% 20 mL R14.4

713025 Clicks iodine tincture MLS I-0,0N/A 20 mL R15.2

715022 Germadine 10 % 10% OIN Povidone iodine-10% 25 g R22.94

704974 Cetrimide 1% disinfectant SLN Cetrimide-1% 100 mL R3.14

716824 Flamirins SLN Propyl glyc-0,0N/A;Citric ac-0,0N/A;Nacl-0,0N/A;Polysorbate 20-0,0N/A;Na pho;ETC 250 mL R40.83

717217 Barrs povidone-iodine 10% OIN Povidone iodine-10%/100g 25 g R16.48

715612 Mercurochrome 2% - alchemist medi-rite 2 % 2% SLN 50 mL R12.13

718910 Clicks hygiene powder POR Benzethonium cl-0,0N/A;Nacl-0,0N/A;Talc-0,0N/A 200 g R24.01

Proud Product of

20


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum




719137 Dettol SLN Chloroxylenol-4,8% 50 mL R10.03


R65.60

R144.60 2

723055 Steriprep .5 % 0.50% SLN Chlorhex glucon-0,5% 50 mL R8.02

723150 Emuls acriflavin bpc MLS 100 mL R22.69

723504 Steriprep 2 % 2% SLN Chlorhex glucon-2% 50 mL R9.32

755834 Podine OIN Povidone iodine-10% 25 g R26.96

776300 Viodor CRE Chlorbutol-1%;Iodquinol-3%;Benzocaine-1% 20 g R6.41

784524 Furasept OIN Nitrofurazone-0,2% 20 g R7.18

788716 Dermadine OIN Povidone iodine-10% 25 g R35.08

798444 Germolene OIN Octaphonium cl-0,3%;Menthol-0,012%;Phenol-1,184%;Methyl sal-2,96%;Zn oxide-7,84% 20 g R33.96

805416 Furex OIN Nitrofurazone-0,2% 25 g R15.73

805661 Caloplast - Allied PAS Glycerin-42,5%;Boric ac-4,5% 200 g R50.28

808059 Germolene footspray 150ml SPR Dichlorophen-0,062%;Triclosan-0,02% 1 unit R59.23

722118 Steriscrub 4 % 4% SLN Chlorhex glucon-4% 50 mL R9.78


R65.60

742147 Mercurochrome 2 % 2% SLN Merbromin-2% 20 mL R20.61

810258 Caustic pencil - Allied STI Silver nit-1q.s. 1 unit R58.96

810428 Eusol SLN Chlorinated lime-1,25%;Boric ac-1,25% 500 mL R38.4

813060 Betadine first aid cream 5 % 5% CRE Povidone iodine-5% 15 g R27.88

821713 Septadine antiseptic OIN Povidone iodine-10% 25 g R21.7

821888 Prodol GEO Benzocaine-1%;Cetylpyrid chloride-0,1% 20 g R22.41

836621 Septisooth GEO Povidone iodine-10% 25 g R28

848360 Zambuk lipbalm 4,5g OIN 1 g R9.83

853364 Gill gentle cleansing face wash LOT 150 mL R28.5

862517 Kwik-heel healing OIN Glycerin-1q.s.;Phenol-1q.s.;Borax-1q.s.;Wool fat-1q.s. 100 g R17.83

865478 Emuls acriflavine MLS 100 mL R22.71

871885 Biocream CRE Povidone iodine-5% 25 g R41.83

874701 Sure-clean SLN Alcohol 70%-1q.s. 500 mL R64.56

874825 Bonney's blue PAI 50 mL R19.67

743372 Milton SLN 500 mL R30.71

877174 Biosil colloidal silver liquid SLN Silver-1q.s. 200 mL R36.8

879169 Peviderm pvp-i 10 % 10% SLN Povidone iodine-10% 50 mL R26.66

881244 Medicol 0.5% SLN 50 mL R14.72

882806 Liqui-giene waterless ab cleanser SLW Triclosan-1q.s.;Ethanol-1q.s. 75 mL R17.08

894185 Creme classique hand face body cream CRE Triclosan-2% 100 g R57.5

896160 Emuls acriflavine MLS 100 mL R27.44


898155 Leverline bac 800ml SAC Triclosan-0,5% 1 SAC R36.69



Proud Product of

21


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum




806137 A.m.s. (stx) OIN Sulfhanil-5%;Merbromin-0,1%;Acriflav-0,1% 25 g R7.99


R65.60 R144.60 2

700881 Alpha gentian violet paint bpc SLN Gentian violet-0,5% 50 mL R9.65

718342 Colloidal silver liquid SPO Aq dis-0,0N/A 1 unit R32.8

762482 Savlon CRE Chlorhex hcl-0,1%;Cetrimide-0,5% 30 g R22.54

762520 Savlon liq SLN Cetrimide-3%;Chlorhex glucon-0,3% 75 mL R8.37

809039 Mercurochrome 2% 2 % 2% SLN Merbromin-2% 20 mL R13.2

811254 Mercurochrome - Allied 2 % 2% SLN Merbromin-2% 500 mL R59.56


715837 Supiroban 20 mg per 1 g 20mg/g OIN Mupirocin-2% 15 g R60.73

Antibiotics for dermatological use

721587 Nuban 20 mg per 1 g 20mg/g OIN Mupirocin-2% 15 g R60.72

721693 Dermoban 20 mg per 1 g 20mg/g OIN Mupirocin-2% 15 g R61.58

723040 Banogon 2 % 2% OIN Mupirocin-2% 15 g R60.74

700161 Strepsils sugar free LOZ Amylmetacresol-0,6mg;Dichlorobenz alc-1,2mg 16 LOZ R57.53

Antiseptics, oral

707937 Betadine oral MOW Povidone iodine-1% 125 mL R32.45

710035 Andolex-c orange 3mg/1.33mg LOZ Cetylpyrid chloride-1,33mg;Benzydamine hcl-3mg 16 LOZ R51.04

710036 Andolex-c honey/lemon 3mg/1.33mg LOZ Cetylpyrid chloride-1,33mg;Benzydamine hcl-3mg 16 LOZ R51.04

713236 Cepacol plus original (was cepacaine) LOZ Benzocaine-10mg;Cetylpyrid chloride-1,4mg 16 LOZ R43.67

713252 Cepacol loz LOZ Benz alc-6,5mg;Cetylpyrid chloride-1,47mg 24 LOZ R36.78

713287 Cepacol antibacterial throat gargle MOW Cetylpyrid chloride-0,05% 200 mL R46.44

713317 Cepacol menthol LOZ Cetylpyrid chloride-1,47mg 24 LOZ R36.78

714363 Strepsils coolmint LOZ Amylmetacresol-0,6mg;Dichlorobenz alc-1,2mg 16 LOZ R60.01

715762 Strepsils strawberry sugar-free LOZ Amylmetacresol-0,6mg;Dichlorobenz alc-1,2mg 16 LOZ R60.01

721580 Iodised throat LOZ Menthol-1,7mg;Phenol-4,25mg;I-0,085mg 24 LOZ R16.42

722708 Throatpops LOZ Zn-4mg 10 LOZ R30.25

723155 Septolete cherry 1.2 mg 1.2mg LOZ Cetylpyrid chloride-1,2mg 18 LOZ R37.54

723161 Septolete lemon 1.2 mg 1.2mg LOZ Cetylpyrid chloride-1,2mg 18 LOZ R37.54

723162 Septolete apple 1.2 mg 1.2mg LOZ Cetylpyrid chloride-1,2mg 18 LOZ R37.54

723270 Coryx throat 100ml SPO Benzocaine-26,67%;Chlorhex glucon-0,1% 1 unit R35.05

723471 Andolex-c anti-bacterial MOW Chlorhex glucon-0,12%;Ethanol-9% 200 mL R64.72

729329 Glyc thymol co bpc MLS 100 mL R15.46

741035 Medi-keel a menthol LOZ Benzocaine-12mg;Cetylpyrid chloride-1,5mg 16 LOZ R35.01

741043 Medi-keel a throat gargle MOW Cinchoc hcl-0,033%;Benzocaine-0,2%;Benz alc-0,4%;Cetylpyrid chloride-0,024% 100 mL R32.28

751332 Orochlor MOW Benzocaine-0,266%;Chlorhex glucon sol-1% 100 mL R44.71

751340 Orocaine (stx) LOZ Benzocaine-10,8mg;Cetrimide-0,5mg 18 LOZ R7.03

767042 Strepsils soothing hon+lemon LOZ Amylmetacresol-0,6mg;Dichlorobenz alc-1,2mg 10 LOZ R26.07

767077 Strepsils orange c LOZ Vit c-100mg;Menthol-4mg;Amylmetacresol-0,6mg;Dichlorobenz alc-1,2mg 8 LOZ R30.08

770655 Goldex throat lollies (was septosol throat lollies) LOZ 10 LOZ R47.45

Proud Product of

22


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum




772674 Trochain LOZ Benzocaine-10,8mg;Cetrimide-0,5mg 20 LOZ R3.86

Antiseptics, oral R65.60

R144.60 2

785210 Podine mouth wash MOW Povidone iodine-1% 200 mL R31.71

799688 Dermadine oral garg MOW Povidone iodine-1% 200 mL R35.96

805173 Medi-keel a throat 100 mL 100mL SPO Phenol-0,5% 1 unit R65.44

819859 Septadine oral antiseptic MOW Povidone iodine-1% 200 mL R39.54

820814 Strepsils plus LOZ Lignocaine hcl anhyd-10mg;Amylmetacresol-0,6mg;Dichlorobenz alc-1,2mg 16 LOZ R32

827223 Septosol throat spray 100ml SPO Phenol-0,5% 1 unit R51.74

827622 Andolex-c LOZ Cetylpyrid chloride-1,33mg;Benzydamine hcl-3mg 16 LOZ R51.04

864994 Strepsils eucalyptus menthol LOZ Menthol-8mg;Amylmetacresol-0,6mg;Dichlorobenz alc-1,2mg 8 LOZ R22.06

873977 Endcol throat LOZ Benzocaine-5mg;Cetylpyrid chloride-0,866mg 16 LOZ R23.79

878626 Medi-kain orange LOZ Benzocaine-12mg;Cetylpyrid chloride-1,5mg 16 LOZ R23.97

878979 Andolex-c eucalyptus/menthol LOZ Cetylpyrid chloride-1,33mg;Benzydamine hcl-3mg 16 LOZ R51.04

883872 Cepacol plus blackcurrant (was cepacaine) LOZ Benzocaine-10mg;Cetylpyrid chloride-1,4mg 16 LOZ R43.67

884225 Medi-keel a honey & lemon LOZ Benzocaine-12mg;Cetylpyrid chloride-1,5mg 16 LOZ R35.01

884233 Medi-keel a black currant LOZ Benzocaine-12mg;Cetylpyrid chloride-1,5mg 16 LOZ R35.01

890365 Steridine mouthwash and gargle liquid MOW Povidone iodine-1%;Ethanol-8,5% 200 mL R10.24

892670 Iodised throat LOZ Phenol-4,25mg;I-0,085mg 20 LOZ R20.49

894850 Cepacol blackcurrant LOZ Benz alc-6,5mg;Cetylpyrid chloride-1,47mg 24 LOZ R36.78

894854 Cepacol honey and lemon LOZ Benz alc-6,5mg;Cetylpyrid chloride-1,47mg 24 LOZ R36.78

895288 Twinlab lozenges LOZ Vit c-30mg;Zn-23mg 75 LOZ R39.34

704642 Soluspirin (was aspirin soluble) 300 mg 300mg EFT Aspirin-300mg 12 TAB R6.34

Acetylsalicylic acid

R33.76

700909 Gulf aspirin 300 mg 300mg TAB Aspirin-300mg 14 TAB R7.64

807206 Disprin melts (was Disprin cv) 300 mg 300mg DSP Aspirin-300mg 8 TAB R14.03

720577 Disprin EFT Aspirin-300mg 12 TAB R17.04

719673 Dr du toits pain expeller 300 mg 300mg TAB Aspirin-300mg 30 TAB R27.23

706930 Bayer aspirin TAB Aspirin-300mg 10 TAB R7.81

754994 Phensic TAB Aspirin-379mg;Caffeine-27mg 20 TAB R4.35

Acetylsalicylic acid, combinations excl.

Psycholeptics

704071 Gertges pain powders SAC Aspirin-750mg;Caffeine-150mg 10 SAC R7.49

709288 Grandpa headache orange SAC Aspirin-453,6mg;Caffeine-64,8mg;Paracet-324mg 8 SAC R9.14

804738 Anadin TAB Aspirin-400mg;Caffeine-22,7mg 10 TAB R10.8

715735 Compral TAB Aspirin-400mg;Caffeine-30mg;Paracet-100mg 12 TAB R11.27

848085 Anadin extra strength TAB Aspirin-500mg;Caffeine-32mg 10 TAB R12.45

703261 Compral headache powders SAC Aspirin-453,6mg;Caffeine-64,8mg;Paracet-324mg 10 SAC R14.09

822612 Grandpa headache SAC Aspirin-453,6mg;Caffeine-64,8mg;Paracet-324mg 10 SAC R18.15

814776 Specific nerve-pain remedy SUS Aspirin-300mg;Caffeine-25mg/5mL;Alcohol 90%-6,17% 100 mL R31.75

704643 Cetapon 500 mg 500mg TAB Paracet-500mg 20 TAB R1.11Paracetamol


Proud Product of

23


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum




805467 Antalgic 500 mg 500mg TAB Paracet-500mg 20 TAB R1.31

Paracetamol R33.76 R144.60 2

704465 Painogesic 500 mg 500mg TAB Paracet-500mg 20 TAB R1.48



757403 Adco-prolief 500 mg 500mg TAB Paracet-500mg 20 TAB R1.8



867950 Gulf paracetamol 500 mg 500mg TAB Paracet-500mg 20 TAB R2.42

799629 Painamol (green) 500 mg 500mg TAB Paracet-500mg 20 TAB R2.84

894212 Jp paracetamol 500 mg 500mg TAB Paracet-500mg 20 TAB R2.96

885863 Von paracetamol 500 mg 500mg TAB Paracet-500mg 20 TAB R3.13

758558 Pyralen 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R3.19


707583 Paracetamol elixir SAD (alcohol free) 120 mg per 5 mL




717187 Barrs paracetamol 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R4.42

703820 Feverpain 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R4.82

704450 Painogesic 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R4.82





826588 Link therapain TAB Paracet-500mg 20 TAB R5.69



704093 Actamol red (un-boxed) 120 mg per 5 mL






789526 Brunomol 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R9.18


745715 Adco-napamol elixir 120 mg per 5 mL



792101 Actamol red (boxed) 120 mg per 5 mL


863742 Feverpain (boxed) 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R10.87

714499 Clicks paracetamol 500 mg 500mg TAB Paracet-500mg 24 TAB R12.41

Proud Product of

24


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum






Paracetamol

R33.76 R144.60 2
















895199 Go-pain p 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R17.12

752142 Painamol 500 mg 500mg TAB Paracet-500mg 24 TAB R17.14

714708 Pyngesic s 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 100 mL R18.92

720438 Parafizz 500 mg 500mg EFT Paracet-500mg 16 TAB R19.04

720327 Panado blister pack 500 mg 500mg TAB Paracet-500mg 24 TAB R20.82


714707 Pyngesic t 500 mg 500mg TAB Paracet-500mg 100 TAB R21.76

703118 Panado strawberry 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 50 mL R22.32

752282 Panado 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 50 mL R22.32


708432 Panado childrens 125 mg 125mg MLT Paracet-125mg 12 TAB R23.33

711993 Calpol paediatric 120 mg per 5 mL 120mg/5mL SYR Paracet-120mg/5mL 50 mL R23.82



752355 Panado 500 mg 500mg CAP Paracet-500mg 20 CAP R26.53


729442 Grandpa TAB Aspirin-226,8mg;Caffeine-32,4mg;Paracet-162mg 10 TAB R9.74


psycholeptics

860808 Lenapain TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 18 TAB R17.61

807583 Salterpyn SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R9.99

833746 Medipyn s SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R8.27

793566 Goldgesic SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R10.36

736228 Lenadol TAB Codeine phos anhyd-10mg;Caffeine-50mg;Paracet-400mg;Diphenhyd hcl-5mg 18 TAB R18.67

792241 Acurate TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R10.45

702609 Doxy co TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R12.26

878731 Copa-dol TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 10 TAB R3.785

Proud Product of

25


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum




702953 Resdol TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R14.19


psycholepticsR33.76 R144.60 2

715860 Grand-pa paracetamol TAB Paracet-500mg;Nahco3-630mg 10 TAB R12.71

836605 Kid-eeze SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R10.2

823511 Go-pain SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R12.98

732745 Infapain SYR Codeine phos anhyd-5mg/5mL;Paracet-120mg/5mL 100 mL R13.65

752185 Painagon SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R14.76

703748 Pharmadol quinoline (yellow) TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R14.92

814547 Nomopain TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R14.99

895030 Paincodein TAB Codeine phos anhyd-8mg;Paracet-500mg 20 TAB R12.33

768391 Syndol TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 10 TAB R15.46

732753 Infapain forte SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R16.09

799815 Tensopyn TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R16.15

765635 Spectrapain CAP Codeine phos anhyd-8mg;Paracet-320mg 20 CAP R16.29

780553 Adco-dol TAB Codeine phos anhyd-10mg;Caffeine-45mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R16.3

766801 Stilpane SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R16.47

894289 Adco-kiddipayne SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R16.69

767913 Supragesic SYR Codeine phos anhyd-4mg/5mL;Paracet-150mg/5mL 100 mL R16.51

789135 Xerotens CAP Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 18 CAP R14.28

710248 Ban pain SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R18.68

789984 Pynmed syrup SYR Codeine phos anhyd-5mg/5mL;Prometh hcl-6,5mg/5mL;Paracet-120mg/5mL 100 mL R19.73

823864 Sedapain TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 20 TAB R19.77

763101 Sedinol TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 18 TAB R24.69

815306 Panado effervescent EFT Codeine phos anhyd-8mg;Caffeine-30mg;Paracet-500mg 16 TAB R23.81

758493 Pynstop TAB Codeine phos anhyd-10mg;Caffeine-45mg;Paracet-450mg;Doxyl succ-5mg 18 TAB R25.95

719182 Meridol-d paediatric SYR Codeine phos anhyd-4mg/5mL;Paracet-150mg/5mL;Diphenhyd hcl-10mg/5mL;Ethanol-;ETC 100 mL R27.61

761303 Rocodin TAB Codeine phos anhyd-8mg;Paracet-500mg 20 TAB R27.698

720879 Dolorol forte TAB Codeine phos anhyd-8mg;Paracet-500mg 20 TAB R28.98

752614 Paracetacod TAB Vit c-50mg;Codeine phos anhyd-10mg;Paracet-500mg 20 TAB R29.72

714953 Tensopyn paediatric SYR Codeine phos anhyd-4mg/5mL;Paracet-150mg/5mL 100 mL R30.18

757632 Propain TAB Codeine phos anhyd-10mg;Caffeine-50mg;Paracet-400mg;Diphenhyd hcl-5mg 18 TAB R30.95

708089 Betapyn TAB Codeine phos anhyd-10mg;Caffeine-50mg;Paracet-450mg;Doxyl succ-5mg 18 TAB R30.96

752126 Paincod TAB Aspirin-250mg;Codeine phos anhyd-10mg;Paracet-250mg 30 TAB R26.84

703059 Doxsyn TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 50 TAB R11.286

700742 Amstil TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R9.6155

794821 Adco-paxidal TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 50 TAB R25.03

713688 Varipan co 8mg/500mg TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R14.072

767662 Suncodin TAB Codeine phos anhyd-8mg;Caffeine-32mg;Paracet-400mg;Phenyltolox cit-12mg 50 TAB R27.522

719662 Cogesic TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R16.0415

Proud Product of

26


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum




787043 Codorol TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R16.041


psycholeptics

R33.76 R144.60 2

837652 Dino-cod TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R16.273

769541 Tensolve TAB Codeine phos anhyd-10mg;Caffeine-50mg;Paracet-400mg;Diphenhyd hcl-5mg 30 TAB R21.4104

745707 Adco-napacod 500mg/10mg TAB Codeine phos anhyd-10mg;Paracet-500mg 50 TAB R19.8265

707910 Painamol plus TAB Codeine phos anhyd-8mg;Paracet-500mg 50 TAB R20.1315

703660 Codoxol TAB Codeine phos anhyd-10mg;Caffeine-30mg;Paracet-450mg;Doxyl succ-5mg 50 TAB R21.908

881767 Uniflex (was Besenol nc) TAB Paracet-450mg;Orphenadrine cit-35mg 20 TAB R23.76 Paracetamol, combinations with

psycholeptics825123 Besemax TAB Paracet-450mg;Orphenadrine cit-35mg 20 TAB R31.95

718854 Voltaren acti-go soft gel capsules 25 mg 25mg CAP Diclofenac k-25mg 10 CAP R22.67



707451 Dicloflam 50 mg 50mg DSP Diclofenac na-50mg 9 TAB R28.55

705058 Dynak 50 mg 50mg TAB Diclofenac k-50mg 10 TAB R28.5

704442 Voltaren acti-go 12.5 mg 12.5mg TAB Diclofenac k-12,5mg 15 TAB R28.29

704384 K-fenak 50 mg 50mg TAB Diclofenac k-50mg 9 TAB R18.6



888602 Dicloflam blackcurrent 50 mg 50mg DSP Diclofenac na-50mg 9 TAB R28.54

752398 Panamor at 50 mg 50mg TAB Diclofenac na-50mg 15 TAB R8.13

752371 Panamor 25 mg 25mg TAB Diclofenac na-25mg 30 TAB R31.19



718479 Diclofenac biotech 25 mg 25mg TAB Diclofenac na-25mg 30 TAB R4.85



821144 Rheugesic 20 mg 20mg DSP Piroxicam-20mg 7 TAB R16

716517 Piroxicam actor dt 20 mg 20mg DSP Piroxicam-20mg 7 TAB R9.44

701072 Roxifen 20 mg 20mg CAP Piroxicam-20mg 7 CAP R6.54

827428 Pixicam 20 mg 20mg DSP Piroxicam-20mg 7 TAB R9.62

800724 Brexecam 20 mg 20mg TAB Piroxicam b-cyclodex-191,2mg 7 TAB R32.16

799432 Pyrocaps 20 mg 20mg CAP Piroxicam-20mg 7 CAP R7.38

797030 Xycam 20 mg 20mg CAP Piroxicam-20mg 7 CAP R7.77

797049 Xycam dispers 20 mg 20mg DSP Piroxicam-20mg 7 TAB R9.61

785253 Adco-piroxicam 10 mg 10mg CAP Piroxicam-10mg 14 CAP R15.84

868469 Lenafen 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R30.43



705940 Ibu 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R3.61

897984 Nurofen period pain (was Nurofen extra strength) 400 mg 400mg TAB Ibuprofen-400mg 12 TAB R31.18

Proud Product of

27


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum




864706 Ibumed sr 300 mg 300mg CAP Ibuprofen-300mg 12 CAP R7.82



R33.76 R144.60 2

809268 Ibumed 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R9.91

708186 Betagesic 200 mg 200mg TAB Ibuprofen-200mg 20 TAB R29.03

748560 Nurofen 200 mg 200mg TAB Ibuprofen-200mg 12 TAB R21.51





708536 Ibusor 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R3.26

708290 Bren 400 mg 400mg TAB Ibuprofen-400mg 12 TAB R3.14

701975 Betaprofen fc 400 mg 400mg TAB Ibuprofen-400mg 12 TAB R3.05

700315 Ibucine 100 mg per 5 mL 100mg/5mL SUS Ibuprofen-100mg/5mL 100 mL R23.74




895196 Iboflam 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R7.08

868221 Ibunate 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R3.4






787426 Betaprofen 200 mg 200mg TAB Ibuprofen-200mg 24 TAB R3.36

864692 Aleve 200 mg 200mg TAB Naproxen na-200mg 10 TAB R21.53

785245 Adco-naproxen 250 mg 250mg TAB Naproxen-250mg 10 TAB R14.95



812625 Nafasol ec-250 250 mg 250mg ECT Naproxen-250mg 10 TAB R15.92

812633 Nafasol ec 500 mg 500mg ECT Naproxen-500mg 5 TAB R21.23

810185 Mylan naproxen 250 mg 250mg TAB Naproxen-250mg 10 TAB R5.54


805238 Naproscript 250 mg 250mg TAB Naproxen-250mg 10 TAB R4.41


719663 Ibupain blister pack CAP Paracet-250mg;Ibuprofen-200mg 10 CAP R14.39

716543 Panado plus CAP Paracet-250mg;Ibuprofen-200mg 10 CAP R18.27

705781 Ibumol grape SUS Paracet-250mg/10mL;Ibuprofen-200mg/10mL 10 mL R5.45

705782 Ibumol banana SUS Paracet-250mg/10mL;Ibuprofen-200mg/10mL 10 mL R5.45

705266 Dentopain CAP Paracet-250mg;Ibuprofen-200mg 10 CAP R15.04

703719 Ibumol TAB Paracet-350mg;Ibuprofen-200mg 10 TAB R18.56

Proud Product of

28


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum




810177 Mypaid CAP Paracet-250mg;Ibuprofen-200mg 10 CAP R22.75



R33.76

R144.60 2

883102 Adco-mefenamic acid 250 mg 250mg CAP Mefenamic ac-250mg 18 CAP R15.9

875643 Adco-mefenamic acid 50 mg per 5 mL 50mg/5mL SUS Mefenamic ac-50mg/5mL 100 mL R14.61

812250 Ponstel 250 mg 250mg CAP Mefenamic ac-250mg 18 CAP R25.52

810398 Ponstel s 50 mg per 5 mL 50mg/5mL SUS Mefenamic ac-50mg/5mL 100 mL R19

797707 Fenamin 250 mg 250mg CAP Mefenamic ac-250mg 18 CAP R15.17

797014 Fenamin 50 mg per 5 mL 50mg/5mL SUS Mefenamic ac-50mg/5mL 100 mL R13.7

796433 Ponac 250 mg 250mg CAP Mefenamic ac-250mg 18 CAP R16.83

756148 Ponstan 250 mg 250mg CAP Mefenamic ac-250mg 18 CAP R23.41

793264 Ponac 50 mg per 5 mL 50mg/5mL SUS Mefenamic ac-50mg/5mL 100 mL R16.49

756156 Ponstan 50 mg per 5 mL 50mg/5mL SUS Mefenamic ac-50mg/5mL 100 mL R16.27

123560 Bandage crepe spandex neosport 100mm x 4.5m 1 R13.11

Bandages R45.26

437180 Bandage retention rxfit hosp rx lite 50mm 1 R10.77

171479 Crepe bandage sterile 100mm x 4.5m 1 R12.12

469184 Bandage crepe 150mm 1 R7.695

422160 Crepe bandage knit 75mm x 4.5m 1 R15.77583333

492250 Bandage crepe 75mm x 5m neosport brand 1 R20.11416667



179333 Crepe bandage jehu 50mm x 4.5m 1 R5.985

437181 Bandage retention rxfit hosp rx lite 75mm 1 R15.79

407024 Bandage crepe 5cmx5m 1 R21.59

422159 Crepe bandage knit 100mm x 4.5m 1 R20.11416667


437184 Bandage retention rxfit hosp rx lite100mm 1 R18.65

566880 Crepe bandage megrotex light 50mm x 4.5m 12 R23.94

505008 Bandage crepe 50 x 4.5mm 12 R27.13

179334 Crepe bandage jehu 75mm x 4.5m 1 R26.36

422397 Crepe bandage liteform 25mm x 4.5m 12 R22.24

422392 Crepe bandage contour 25mm x 4.5m 12 R23.8

526912 Crepe bandage spandex 5cm x 4.5m 1 R3.93

Proud Product of

29


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum




183362 Crepe bandage valeocrepe 4.5m x 50mm 1 R17.4

Bandages

R45.26 R144.60 2

526914 Crepe bandage spandex 7.5cm x 4.5m 1 R5.76






174804 Crepe bandage plus clip 4.5m x 15cm 1 R6.61


123559 Bandage crepe spandex neosport 7.5mm x 4.5m 1 R9.06


457711 Bandage contour 25mm 12 R12.26





212826 Bandage elastic mueller 4.5 x 7.6cm 1 R44

208761 Bandage crepe with 2 clips 4.5m x 50mm 12 R28.04

200998 Bandage easifix s 25cm x 5m 1 R6.61




570240 Eye pad cotton sterile 6cm x 8cm 1 R0.8

511346 Gauze swabs plain sterile 50 x 50 x 8ply 5 R0.63

Gauze

527117 Gauze swab sterile 75 x 75mm 8ply 5 R2.17

414764 Gauze swabs 75x75x8ply 5 R0.86

570241 Eye pad cotton non sterile 6cm x 8cm 1 R0.91

174563 Gauze swabs non woven sterile 50 x 50 x 4ply 5's 1 R2.27

207825 Gauze paraffin 10cm x 10cm 10 R19.38

Proud Product of

30


formIngredient

Pack quantity

limit

Unit of measure



limit


per annum




674292 Dressing wound adhesive sterile 6 x 8cm 1 R0.73

Dressings R45.26 R144.60 2

674290 Dressing wound adhesive sterile 10 x 10cm 1 R1.39

544366 Dressing mepore island 6x7cm adhesive 1 R2.01

674289 Dressing transparent for drip site 6 x 7cm 1 R2.20

437518 Dressing boil plaster unsterile 1 R16.06

610747 Dressing tegaderm transparent 60mmx70m 1 R15.87

659339 Dressing tegaderm 60x100mm 1 R15.87

567710 Plaster strip washproof assorted 20 R14.25

168846 Plaster strip fabric knukle & finger tip 10 R15.04

492156 Plaster strips waterproof mediplast brand 30 R16.53

492178 Plaster strips kids colours mediplast brand 30 R16.53

492164 Plaster strips clear mediplast brand 30 R16.53

202280 Plaster waterproof healthease 19mm x 72mm 1 R27.70

196493 Dressing standard first aid pad 75 x 100mm 18 R28.52

437518 Dressing boil plaster unsterile 1 R16.06

186688 Dressing fabric island clicks 6cm x 7cm 3 R21.60

185071 Dressing waterproof film clicks 6cm x 7cm 3 R11.01

185074 Dressing waterproof film island clicks 5cm x 7cm 3 R9.46



185066 Dressing fabric island clicks 5cm x 7.5cm 3 R22.74

Bankmed Core Insured PAT benefit Formulary 2019

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