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Condition Therapeutic Description NAPPI Product Name Generic Name Addison disease Glucocorticosteroids 716693 COVOCORT 10MG TABS Hydrocortisone Tab 10 MG Addison disease Glucocorticosteroids 788783 BE-TABS PREDNISONE 5MG TABS Prednisone Tab 5 MG Addison disease Glucocorticosteroids 752304 PANAFCORT 5MG TABS Prednisone Tab 5 MG Addison disease Glucocorticosteroids 818267 TROLIC 5MG TABS Prednisone Tab 5 MG Addison disease Mineralocorticosteroids 726540 FLORINEF 0.1MG TABS Fludrocortisone Acetate Tab 0.1 MG Asthma Bronchial Anti-cholinergics 715574 IPVENT 40 HFA INH 200D Ipratropium Bromide Inhal Aerosol 40 MCG/ACT Asthma Combination Bronchodilators 720219 VANNAIR 160/4.5MCG INH 120D Budesonide-Formoterol Fumarate Dihyd Aerosol 160-4.5 MCG/ACT Asthma Combination Bronchodilators 720218 VANNAIR 80/4.5MCG INH 120D Budesonide-Formoterol Fumarate Dihyd Aerosol 80-4.5 MCG/ACT Asthma Combination Bronchodilators 718698 DUOLIN HFA 200DOSE INHALER Ipratropium-Albuterol Aerosol 18-103 MCG/ACT (20-120MCG/ACT) Asthma Glucocorticosteroids 826936 BETANOID 0.6MG/5ML SYR Betamethasone Syrup 0.6 MG/5ML Asthma Glucocorticosteroids 797596 STEROMIEN 0.6MG/5ML SYR Betamethasone Syrup 0.6 MG/5ML Asthma Glucocorticosteroids 788783 BE-TABS PREDNISONE 5MG TABS Prednisone Tab 5 MG Asthma Glucocorticosteroids 752304 PANAFCORT 5MG TABS Prednisone Tab 5 MG Asthma Glucocorticosteroids 818267 TROLIC 5MG TABS Prednisone Tab 5 MG The examples below serve as a guide to the prescriber. Listed products wil be reimbursed in full if the price falls within the reference price range for that group. 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. The formulary may be changed and updated 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. Moto Health Care Custom Chronic Medicine Formulary 2020 Reference pricing is applied. If a product is dispensed 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.
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Moto Health Care Custom Chronic Formulary 2020. 1

Mar 14, 2022

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Page 1: Moto Health Care Custom Chronic Formulary 2020. 1

Condition Therapeutic Description NAPPI Product Name Generic Name

Addison disease Glucocorticosteroids 716693 COVOCORT 10MG TABS Hydrocortisone Tab 10 MG

Addison disease Glucocorticosteroids 788783 BE-TABS PREDNISONE 5MG TABS Prednisone Tab 5 MG

Addison disease Glucocorticosteroids 752304 PANAFCORT 5MG TABS Prednisone Tab 5 MG

Addison disease Glucocorticosteroids 818267 TROLIC 5MG TABS Prednisone Tab 5 MG

Addison disease Mineralocorticosteroids 726540 FLORINEF 0.1MG TABS Fludrocortisone Acetate Tab 0.1 MG

Asthma Bronchial Anti-cholinergics 715574 IPVENT 40 HFA INH 200DIpratropium Bromide Inhal Aerosol 40

MCG/ACT

Asthma Combination Bronchodilators 720219 VANNAIR 160/4.5MCG INH 120DBudesonide-Formoterol Fumarate Dihyd

Aerosol 160-4.5 MCG/ACT

Asthma Combination Bronchodilators 720218 VANNAIR 80/4.5MCG INH 120DBudesonide-Formoterol Fumarate Dihyd

Aerosol 80-4.5 MCG/ACT

Asthma Combination Bronchodilators 718698 DUOLIN HFA 200DOSE INHALERIpratropium-Albuterol Aerosol 18-103

MCG/ACT (20-120MCG/ACT)

Asthma Glucocorticosteroids 826936 BETANOID 0.6MG/5ML SYR Betamethasone Syrup 0.6 MG/5ML

Asthma Glucocorticosteroids 797596 STEROMIEN 0.6MG/5ML SYR Betamethasone Syrup 0.6 MG/5ML

Asthma Glucocorticosteroids 788783 BE-TABS PREDNISONE 5MG TABS Prednisone Tab 5 MG

Asthma Glucocorticosteroids 752304 PANAFCORT 5MG TABS Prednisone Tab 5 MG

Asthma Glucocorticosteroids 818267 TROLIC 5MG TABS Prednisone Tab 5 MG

The examples below serve as a guide to the prescriber. Listed products wil be reimbursed in full if the price falls within the reference price range for that group. 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. The formulary may be changed and updated 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.

Moto Health Care CustomChronic Medicine Formulary 2020

Reference pricing is applied. If a product is dispensed 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.

Page 2: Moto Health Care Custom Chronic Formulary 2020. 1

Asthma Bronchial Glucocorticoids 820083 BECLATE 200MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

200 MCG/ACT

Asthma Bronchial Glucocorticoids 827061 BECEZE 50MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

42 MCG/ACT (50/Valve)

Asthma Bronchial Glucocorticoids 827088 BECEZE 100MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

84 MCG/ACT(100/Valve)

Asthma Bronchial Glucocorticoids 819638 BECLATE 100MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

84 MCG/ACT(100/Valve)

Asthma Bronchial Glucocorticoids 791423 PULMICORT TURBU 100MCG 200DBudesonide Inhal Aero Powd 100

MCG/INH (Breath Activated)

Asthma Bronchial Glucocorticoids 791431 PULMICORT TURBU 200MCG 200DBudesonide Inhal Aero Powd 200

MCG/INH (Breath Activated)

Asthma Methylxanthines 769312 NORSTAN-TED 100MG TABS Theophylline Tab 100 MG

Asthma Methylxanthines 769320 NORSTAN-TED 200MG TABS Theophylline Tab 200 MG

Asthma Methylxanthines 788368 SANDOZ THEOPHYLL 200MG TABS Theophylline Tab ER 12HR 200 MG

Asthma Methylxanthines 788376 SANDOZ THEOPHYLL 300MG TABS Theophylline Tab ER 12HR 300 MG

AsthmaBronchial/Uterine

Sympathomimetics849332 ASTHAVENT 200D ECOHALER

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

AsthmaBronchial/Uterine

Sympathomimetics700715 ASTHAVENT 300D ECOHALER

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

AsthmaBronchial/Uterine

Sympathomimetics711213 VENTEZE CFC FREE 200D 100MCG

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

AsthmaBronchial/Uterine

Sympathomimetics720723 VENTIMAX CFC FREE 100MCG 200D

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

Bronchiectasis Bronchial Anti-cholinergics 715574 IPVENT 40 HFA INH 200DIpratropium Bromide Inhal Aerosol 40

MCG/ACT

Bronchiectasis Combination Bronchodilators 720219 VANNAIR 160/4.5MCG INH 120DBudesonide-Formoterol Fumarate Dihyd

Aerosol 160-4.5 MCG/ACT

Bronchiectasis Combination Bronchodilators 720218 VANNAIR 80/4.5MCG INH 120DBudesonide-Formoterol Fumarate Dihyd

Aerosol 80-4.5 MCG/ACT

Bronchiectasis Combination Bronchodilators 718698 DUOLIN HFA 200DOSE INHALERIpratropium-Albuterol Aerosol 18-103

MCG/ACT (20-120MCG/ACT)

Bronchiectasis Glucocorticosteroids 826936 BETANOID 0.6MG/5ML SYR Betamethasone Syrup 0.6 MG/5ML

Bronchiectasis Glucocorticosteroids 797596 STEROMIEN 0.6MG/5ML SYR Betamethasone Syrup 0.6 MG/5ML

Bronchiectasis Glucocorticosteroids 788783 BE-TABS PREDNISONE 5MG TABS Prednisone Tab 5 MG

Bronchiectasis Glucocorticosteroids 752304 PANAFCORT 5MG TABS Prednisone Tab 5 MG

Bronchiectasis Glucocorticosteroids 818267 TROLIC 5MG TABS Prednisone Tab 5 MG

Bronchiectasis Bronchial Glucocorticoids 820083 BECLATE 200MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

200 MCG/ACT

Page 3: Moto Health Care Custom Chronic Formulary 2020. 1

Bronchiectasis Bronchial Glucocorticoids 827061 BECEZE 50MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

42 MCG/ACT (50/Valve)

Bronchiectasis Bronchial Glucocorticoids 827088 BECEZE 100MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

84 MCG/ACT(100/Valve)

Bronchiectasis Bronchial Glucocorticoids 819638 BECLATE 100MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

84 MCG/ACT(100/Valve)

Bronchiectasis Bronchial Glucocorticoids 791423 PULMICORT TURBU 100MCG 200DBudesonide Inhal Aero Powd 100

MCG/INH (Breath Activated)

Bronchiectasis Bronchial Glucocorticoids 791431 PULMICORT TURBU 200MCG 200DBudesonide Inhal Aero Powd 200

MCG/INH (Breath Activated)

Bronchiectasis Methylxanthines 769312 NORSTAN-TED 100MG TABS Theophylline Tab 100 MG

Bronchiectasis Methylxanthines 769320 NORSTAN-TED 200MG TABS Theophylline Tab 200 MG

Bronchiectasis Methylxanthines 788368 SANDOZ THEOPHYLL 200MG TABS Theophylline Tab ER 12HR 200 MG

Bronchiectasis Methylxanthines 788376 SANDOZ THEOPHYLL 300MG TABS Theophylline Tab ER 12HR 300 MG

Bronchiectasis Penicillins 704443 ALLMOX 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 704401 AMOXICAPS 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 714185 AMYN 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 713363 AURO-AMOXYCILLIN 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 707499 AUSTELL-AMOXICILLIN 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 815268 IPCAMOX 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 806579 MOXYMAX 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 744689 MOXYPEN 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 705679 MYMOX 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 808741 PROMOXIL 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 716122 YOMAX 250MG CAPS Amoxicillin (Trihydrate) Cap 250 MG

Bronchiectasis Penicillins 704444 ALLMOX 500MG CAPS Amoxicillin (Trihydrate) Cap 500 MG

Bronchiectasis Penicillins 714184 AMYN 500MG CAPS Amoxicillin (Trihydrate) Cap 500 MG

Bronchiectasis Penicillins 705637 AUSTELL-AMOXICILLIN 500MG CAPS Amoxicillin (Trihydrate) Cap 500 MG

Bronchiectasis Penicillins 3000310 INDO AMOXYCILLIN 500MG CAPS Amoxicillin (Trihydrate) Cap 500 MG

Bronchiectasis Penicillins 806587 MOXYMAX 500MG CAPS Amoxicillin (Trihydrate) Cap 500 MG

Bronchiectasis Penicillins 744697 MOXYPEN 500MG CAPS Amoxicillin (Trihydrate) Cap 500 MG

Bronchiectasis Penicillins 705709 MYMOX 500MG CAPS Amoxicillin (Trihydrate) Cap 500 MG

Bronchiectasis Penicillins 808768 PROMOXIL 500MG CAPS Amoxicillin (Trihydrate) Cap 500 MG

Bronchiectasis Penicillins 824879 RANMOXY 500MG CAPS Amoxicillin (Trihydrate) Cap 500 MG

Bronchiectasis Penicillins 708397 ZALOXY 500MG CAPS Amoxicillin (Trihydrate) Cap 500 MG

Page 4: Moto Health Care Custom Chronic Formulary 2020. 1

Bronchiectasis Penicillins 714179 ALLMOX S 125MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 125

MG/5ML

Bronchiectasis Penicillins 714182 AMYN S 125MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 125

MG/5ML

Bronchiectasis Penicillins 829358 BETAMOX S 125MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 125

MG/5ML

Bronchiectasis Penicillins 830275 MOXYMAX S 125MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 125

MG/5ML

Bronchiectasis Penicillins 830291 MOXYPEN 125 SUSPAmoxicillin (Trihydrate) For Susp 125

MG/5ML

Bronchiectasis Penicillins 830488 PROMOXIL S 125MG/5MLAmoxicillin (Trihydrate) For Susp 125

MG/5ML

Bronchiectasis Penicillins 830534 SALTERMOX S 125MG/5MLAmoxicillin (Trihydrate) For Susp 125

MG/5ML

Bronchiectasis Penicillins 708396 ZALOXY 125MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 125

MG/5ML

Bronchiectasis Penicillins 830739 ZOXIL S 125MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 125

MG/5ML

Bronchiectasis Penicillins 829102 ADCO-AMOX 250MG SUSPAmoxicillin (Trihydrate) For Susp 250

MG/5ML

Bronchiectasis Penicillins 714180 ALLMOX SF 250MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 250

MG/5ML

Bronchiectasis Penicillins 714183 AMYN SF 250MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 250

MG/5ML

Bronchiectasis Penicillins 830283 MOXYMAX 250 SUSPAmoxicillin (Trihydrate) For Susp 250

MG/5ML

Bronchiectasis Penicillins 830305 MOXYPEN 250MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 250

MG/5ML

Bronchiectasis Penicillins 830496 PROMOXIL SF 250MG/5MLAmoxicillin (Trihydrate) For Susp 250

MG/5ML

Bronchiectasis Penicillins 708395 ZALOXY 250MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 250

MG/5ML

Bronchiectasis Penicillins 830747 ZOXIL SF 250MG/5ML SUSPAmoxicillin (Trihydrate) For Susp 250

MG/5ML

Bronchiectasis Penicillins 784583 AMPIPEN 250MG CAPS Ampicillin Cap 250 MG

Bronchiectasis Penicillins 829307 BE-AMPICIL 125MG SUSP Ampicillin For Susp 125 MG/5ML

BronchiectasisBronchial/Uterine

Sympathomimetics849332 ASTHAVENT 200D ECOHALER

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

BronchiectasisBronchial/Uterine

Sympathomimetics700715 ASTHAVENT 300D ECOHALER

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

Page 5: Moto Health Care Custom Chronic Formulary 2020. 1

BronchiectasisBronchial/Uterine

Sympathomimetics711213 VENTEZE CFC FREE 200D 100MCG

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

BronchiectasisBronchial/Uterine

Sympathomimetics720723 VENTIMAX CFC FREE 100MCG 200D

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

BronchiectasisBronchial/Uterine

Sympathomimetics710307 FORATEC HFA 120DOSE 12MCG

Formoterol Fumarate Inhal Aerosol 12

MCG/ACT

Bronchiectasis Tetracyclines 716944 CYCLIDOX 100MG CAPS Doxycycline Hyclate Cap 100 MG

Bronchiectasis Tetracyclines 714192 DOXYTET 100MG CAPS Doxycycline Hyclate Cap 100 MG

Bronchiectasis Tetracyclines 722844 DOXYCYCLINE BIOTECH 100MG TABS Doxycycline Monohydrate Tab 100 MG

Cardiac failureACE Inhibitor/Diuretic

Combinations885019 PHARMAPRESS CO TABS

Enalapril Maleate & Hydrochlorothiazide

Tab 20-12.5 MG

Cardiac failureACE Inhibitor/Diuretic

Combinations704437 LISORETIC 10/HCTZ TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

Cardiac failureACE Inhibitor/Diuretic

Combinations707292 LISOZIDE 10MG/12.5MG TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

Cardiac failureACE Inhibitor/Diuretic

Combinations817848 ZESTORETIC 10MG TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

Cardiac failureACE Inhibitor/Diuretic

Combinations716945 LISINOPRIL CO UNICORN 20/12.5M

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

Cardiac failureACE Inhibitor/Diuretic

Combinations704438 LISORETIC 20/HCTZ TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

Cardiac failureACE Inhibitor/Diuretic

Combinations707291 LISOZIDE 20MG/12.5MG TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

Cardiac failureACE Inhibitor/Diuretic

Combinations797685 ZESTORETIC 20MG TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

Cardiac failure Single ACE Inhibitors 837628 CAPTOHEXAL 12.5MG TABS Captopril Tab 12.5 MG

Cardiac failure Single ACE Inhibitors 852333 ACETEN 25MG TABS Captopril Tab 25 MG

Cardiac failure Single ACE Inhibitors 836451 ADCO-CAPTOMAX 25MG TABS Captopril Tab 25 MG

Cardiac failure Single ACE Inhibitors 852619 MYLAN CAPTOPRIL 25MG TABS Captopril Tab 25 MG

Cardiac failure Single ACE Inhibitors 836478 ADCO-CAPTOMAX 50MG TABS Captopril Tab 50 MG

Cardiac failure Single ACE Inhibitors 899429 MYLAN CAPTOPRIL 50MG TABS Captopril Tab 50 MG

Cardiac failure Single ACE Inhibitors 886843 ADCO-ENALAPRIL 10MG TABS Enalapril Maleate Tab 10 MG

Cardiac failure Single ACE Inhibitors 881481 ALAPREN 10MG TABS Enalapril Maleate Tab 10 MG

Cardiac failure Single ACE Inhibitors 723157 ENALAPRIL BIOTECH 10MG TABS Enalapril Maleate Tab 10 MG

Cardiac failure Single ACE Inhibitors 868914 PHARMAPRESS 10MG TABS Enalapril Maleate Tab 10 MG

Cardiac failure Single ACE Inhibitors 886851 ADCO-ENALAPRIL 20MG TABS Enalapril Maleate Tab 20 MG

Cardiac failure Single ACE Inhibitors 881503 ALAPREN 20MG TABS Enalapril Maleate Tab 20 MG

Page 6: Moto Health Care Custom Chronic Formulary 2020. 1

Cardiac failure Single ACE Inhibitors 723159 ENALAPRIL BIOTECH 20MG TABS Enalapril Maleate Tab 20 MG

Cardiac failure Single ACE Inhibitors 867861 HR-ENALAPRIL 20MG TABS Enalapril Maleate Tab 20 MG

Cardiac failure Single ACE Inhibitors 881473 ALAPREN 5MG TABS Enalapril Maleate Tab 5 MG

Cardiac failure Single ACE Inhibitors 723156 ENALAPRIL BIOTECH 5MG TABS Enalapril Maleate Tab 5 MG

Cardiac failure Single ACE Inhibitors 712762 ENVAS 5MG TABS Enalapril Maleate Tab 5 MG

Cardiac failure Single ACE Inhibitors 862622 HYPACE 5MG TABS Enalapril Maleate Tab 5 MG

Cardiac failure Single ACE Inhibitors 708109 PHARMAPRESS 5MG TABS Enalapril Maleate Tab 5 MG

Cardiac failure Single ACE Inhibitors 862053 ADCO-ZETOMAX 10MG TABS Lisinopril Tab 10 MG

Cardiac failure Single ACE Inhibitors 712598 AUSTELL-LISINOPRIL 10MG TABS Lisinopril Tab 10 MG

Cardiac failure Single ACE Inhibitors 3000547 LISO 10MG TABS Lisinopril Tab 10 MG

Cardiac failure Single ACE Inhibitors 714678 LIZRO 10MG TABS Lisinopril Tab 10 MG

Cardiac failure Single ACE Inhibitors 700692 SINOPREN 10MG TABS Lisinopril Tab 10 MG

Cardiac failure Single ACE Inhibitors 781703 ZESTRIL 10MG TABS Lisinopril Tab 10 MG

Cardiac failure Single ACE Inhibitors 862061 ADCO-ZETOMAX 20MG TABS Lisinopril Tab 20 MG

Cardiac failure Single ACE Inhibitors 708189 AUSTELL-LISINOPRIL 20MG TABS Lisinopril Tab 20 MG

Cardiac failure Single ACE Inhibitors 3000548 LISO 20MG TABS Lisinopril Tab 20 MG

Cardiac failure Single ACE Inhibitors 714679 LIZRO 20MG TABS Lisinopril Tab 20 MG

Cardiac failure Single ACE Inhibitors 700694 SINOPREN 20MG TABS Lisinopril Tab 20 MG

Cardiac failure Single ACE Inhibitors 781711 ZESTRIL 20MG TABS Lisinopril Tab 20 MG

Cardiac failure Single ACE Inhibitors 862045 ADCO-ZETOMAX 5MG TABS Lisinopril Tab 5 MG

Cardiac failure Single ACE Inhibitors 3000546 LISO 5MG TABS Lisinopril Tab 5 MG

Cardiac failure Single ACE Inhibitors 714677 LIZRO 5MG TABS Lisinopril Tab 5 MG

Cardiac failure Single ACE Inhibitors 700691 SINOPREN 5MG TABS Lisinopril Tab 5 MG

Cardiac failure Single ACE Inhibitors 781681 ZESTRIL 5MG TABS Lisinopril Tab 5 MG

Cardiac failure Aspirin 704642 SOLUSPIRIN 300MG DISP TABS Aspirin Disintegrating Tab 300 MG

Cardiac failure Aspirin 706930 BAYER ASPIRIN TABS Aspirin Tab 300 MG

Cardiac failure Aspirin 719673 DR DU TOITS PAIN EXPELLER 300M Aspirin Tab 300 MG

Cardiac failure Aspirin 700909 GULF ASPIRIN 300MG TABS Aspirin Tab 300 MG

Cardiac failure Oral Anti-coagulants 778362 ASPEN WARFARIN 5MG TABS Warfarin Sodium Tab 5 MG

Cardiac failure Oral Anti-coagulants 709905 CIPLA-WARFARIN 5MG TABS Warfarin Sodium Tab 5 MG

Cardiac failure Other Beta-receptor Blockers 786586 ADCO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Cardiac failure Other Beta-receptor Blockers 704651 B-BLOCK 100MG TABS Atenolol Tab 100 MG

Cardiac failure Other Beta-receptor Blockers 826901 BIO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Cardiac failure Other Beta-receptor Blockers 715626 GULF ATENOLOL 100MG TABS Atenolol Tab 100 MG

Page 7: Moto Health Care Custom Chronic Formulary 2020. 1

Cardiac failure Other Beta-receptor Blockers 705873 TENOPRESS 100MG TABS Atenolol Tab 100 MG

Cardiac failure Other Beta-receptor Blockers 705872 TENOPRESS 25MG TABS Atenolol Tab 25 MG

Cardiac failure Other Beta-receptor Blockers 797693 TENORMIN 25MG TABS Atenolol Tab 25 MG

Cardiac failure Other Beta-receptor Blockers 786578 ADCO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Cardiac failure Other Beta-receptor Blockers 826898 BIO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Cardiac failure Other Beta-receptor Blockers 705874 TENOPRESS 50MG TABS Atenolol Tab 50 MG

Cardiac failure Other Beta-receptor Blockers 719656 ZETENOL 50MG TABS Atenolol Tab 50 MG

Cardiac failure Propranolol 732567 INDERAL 10MG TABS Propranolol HCl Tab 10 MG

Cardiac failure Propranolol 806552 INDOBLOK 10MG TABS Propranolol HCl Tab 10 MG

Cardiac failure Propranolol 806560 INDOBLOK 40MG TABS Propranolol HCl Tab 40 MG

Cardiac failure Propranolol 758167 PUR-BLOKA 40MG TABS Propranolol HCl Tab 40 MG

Cardiac failure Cardiac Glycosides 735744 LANOXIN 0.05MG/ML SYRP PAED Digoxin Elixir 0.05 MG/ML

Cardiac failure Cardiac Glycosides 735752 LANOXIN 0.25MG TABS Digoxin Tab 250 MCG (0.25 MG)

Cardiac failure Cardiac Glycosides 758280 PURGOXIN 0.25MG TABS Digoxin Tab 250 MCG (0.25 MG)

Cardiac failure Cardiac Glycosides 735760 LANOXIN 0.0625MG TABS Digoxin Tab 62.5 MCG (0.0625 MG)

Cardiac failure Direct Acting Vasodilators 731714 HYPERPHEN 10MG TABS Hydralazine HCl Tab 10 MG

Cardiac failure Direct Acting Vasodilators 761400 SANDOZ HYDRALAZINE 25MG TABS Hydralazine HCl Tab 25 MG

Cardiac failure Direct Acting Vasodilators 731722 HYPERPHEN 50MG TABS Hydralazine HCl Tab 50 MG

Cardiac failure Loop Diuretics 821845 BEURESIS 40MG TABS Furosemide Tab 40 MG

Cardiac failure Loop Diuretics 716048 DINO-RETIC 40MG TABS Furosemide Tab 40 MG

Cardiac failure Loop Diuretics 705967 DIURESIX 40MG TABS Furosemide Tab 40 MG

Cardiac failure Loop Diuretics 857769 MYLAN FUROSEMIDE 40 MG TABS Furosemide Tab 40 MG

Cardiac failure Loop Diuretics 758272 PURESIS 40MG TABS Furosemide Tab 40 MG

Cardiac failure Potassium Sparing Diuretics 701793 ALDACTONE 25MG TABS Spironolactone Tab 25 MG

Cardiac failure Potassium Sparing Diuretics 769665 SANDOZ SPIRONOLACTONE 25MG Spironolactone Tab 25 MG

Cardiac failure Thiazide/Related Diuretics 710437 RIDAQ 12.5MG TABS Hydrochlorothiazide Tab 12.5 MG

Cardiac failure Thiazide/Related Diuretics 890470 HEXAZIDE 25MG TABS Hydrochlorothiazide Tab 25 MG

Cardiac failure Thiazide/Related Diuretics 819417 ADCO-DAPAMAX 2.5MG TABS Indapamide Tab 2.5 MG

Cardiac failure Thiazide/Related Diuretics 700820 CATEXAN 2.5MG Indapamide Tab 2.5 MG

Cardiac failure Thiazide/Related Diuretics 710313 CIPLA-INDAPAMIDE 2.5MG TABS Indapamide Tab 2.5 MG

Cardiac failure Thiazide/Related Diuretics 833045 DAPTRIL 2.5MG TABS Indapamide Tab 2.5 MG

Cardiac failure Thiazide/Related Diuretics 703329 MYLAN INDAPAMIDE 2.5 TABS Indapamide Tab 2.5 MG

Cardiac failure Ethical Potassium 718911 ULTIPOT 600MG SR TABSPotassium Chloride Tab ER 8 mEq (600

MG)

Page 8: Moto Health Care Custom Chronic Formulary 2020. 1

CardiomyopathyACE Inhibitor/Diuretic

Combinations885019 PHARMAPRESS CO TABS

Enalapril Maleate & Hydrochlorothiazide

Tab 20-12.5 MG

CardiomyopathyACE Inhibitor/Diuretic

Combinations704437 LISORETIC 10/HCTZ TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

CardiomyopathyACE Inhibitor/Diuretic

Combinations707292 LISOZIDE 10MG/12.5MG TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

CardiomyopathyACE Inhibitor/Diuretic

Combinations817848 ZESTORETIC 10MG TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

CardiomyopathyACE Inhibitor/Diuretic

Combinations716945 LISINOPRIL CO UNICORN 20/12.5M

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

CardiomyopathyACE Inhibitor/Diuretic

Combinations704438 LISORETIC 20/HCTZ TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

CardiomyopathyACE Inhibitor/Diuretic

Combinations707291 LISOZIDE 20MG/12.5MG TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

CardiomyopathyACE Inhibitor/Diuretic

Combinations797685 ZESTORETIC 20MG TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

Cardiomyopathy Single ACE Inhibitors 837628 CAPTOHEXAL 12.5MG TABS Captopril Tab 12.5 MG

Cardiomyopathy Single ACE Inhibitors 852333 ACETEN 25MG TABS Captopril Tab 25 MG

Cardiomyopathy Single ACE Inhibitors 836451 ADCO-CAPTOMAX 25MG TABS Captopril Tab 25 MG

Cardiomyopathy Single ACE Inhibitors 852619 MYLAN CAPTOPRIL 25MG TABS Captopril Tab 25 MG

Cardiomyopathy Single ACE Inhibitors 836478 ADCO-CAPTOMAX 50MG TABS Captopril Tab 50 MG

Cardiomyopathy Single ACE Inhibitors 899429 MYLAN CAPTOPRIL 50MG TABS Captopril Tab 50 MG

Cardiomyopathy Single ACE Inhibitors 886843 ADCO-ENALAPRIL 10MG TABS Enalapril Maleate Tab 10 MG

Cardiomyopathy Single ACE Inhibitors 881481 ALAPREN 10MG TABS Enalapril Maleate Tab 10 MG

Cardiomyopathy Single ACE Inhibitors 723157 ENALAPRIL BIOTECH 10MG TABS Enalapril Maleate Tab 10 MG

Cardiomyopathy Single ACE Inhibitors 868914 PHARMAPRESS 10MG TABS Enalapril Maleate Tab 10 MG

Cardiomyopathy Single ACE Inhibitors 886851 ADCO-ENALAPRIL 20MG TABS Enalapril Maleate Tab 20 MG

Cardiomyopathy Single ACE Inhibitors 881503 ALAPREN 20MG TABS Enalapril Maleate Tab 20 MG

Cardiomyopathy Single ACE Inhibitors 723159 ENALAPRIL BIOTECH 20MG TABS Enalapril Maleate Tab 20 MG

Cardiomyopathy Single ACE Inhibitors 867861 HR-ENALAPRIL 20MG TABS Enalapril Maleate Tab 20 MG

Cardiomyopathy Single ACE Inhibitors 881473 ALAPREN 5MG TABS Enalapril Maleate Tab 5 MG

Cardiomyopathy Single ACE Inhibitors 723156 ENALAPRIL BIOTECH 5MG TABS Enalapril Maleate Tab 5 MG

Cardiomyopathy Single ACE Inhibitors 712762 ENVAS 5MG TABS Enalapril Maleate Tab 5 MG

Cardiomyopathy Single ACE Inhibitors 862622 HYPACE 5MG TABS Enalapril Maleate Tab 5 MG

Cardiomyopathy Single ACE Inhibitors 708109 PHARMAPRESS 5MG TABS Enalapril Maleate Tab 5 MG

Cardiomyopathy Single ACE Inhibitors 862053 ADCO-ZETOMAX 10MG TABS Lisinopril Tab 10 MG

Cardiomyopathy Single ACE Inhibitors 712598 AUSTELL-LISINOPRIL 10MG TABS Lisinopril Tab 10 MG

Page 9: Moto Health Care Custom Chronic Formulary 2020. 1

Cardiomyopathy Single ACE Inhibitors 3000547 LISO 10MG TABS Lisinopril Tab 10 MG

Cardiomyopathy Single ACE Inhibitors 714678 LIZRO 10MG TABS Lisinopril Tab 10 MG

Cardiomyopathy Single ACE Inhibitors 700692 SINOPREN 10MG TABS Lisinopril Tab 10 MG

Cardiomyopathy Single ACE Inhibitors 781703 ZESTRIL 10MG TABS Lisinopril Tab 10 MG

Cardiomyopathy Single ACE Inhibitors 862061 ADCO-ZETOMAX 20MG TABS Lisinopril Tab 20 MG

Cardiomyopathy Single ACE Inhibitors 708189 AUSTELL-LISINOPRIL 20MG TABS Lisinopril Tab 20 MG

Cardiomyopathy Single ACE Inhibitors 3000548 LISO 20MG TABS Lisinopril Tab 20 MG

Cardiomyopathy Single ACE Inhibitors 714679 LIZRO 20MG TABS Lisinopril Tab 20 MG

Cardiomyopathy Single ACE Inhibitors 700694 SINOPREN 20MG TABS Lisinopril Tab 20 MG

Cardiomyopathy Single ACE Inhibitors 781711 ZESTRIL 20MG TABS Lisinopril Tab 20 MG

Cardiomyopathy Single ACE Inhibitors 862045 ADCO-ZETOMAX 5MG TABS Lisinopril Tab 5 MG

Cardiomyopathy Single ACE Inhibitors 3000546 LISO 5MG TABS Lisinopril Tab 5 MG

Cardiomyopathy Single ACE Inhibitors 714677 LIZRO 5MG TABS Lisinopril Tab 5 MG

Cardiomyopathy Single ACE Inhibitors 700691 SINOPREN 5MG TABS Lisinopril Tab 5 MG

Cardiomyopathy Single ACE Inhibitors 781681 ZESTRIL 5MG TABS Lisinopril Tab 5 MG

Cardiomyopathy Aspirin 704642 SOLUSPIRIN 300MG DISP TABS Aspirin Disintegrating Tab 300 MG

Cardiomyopathy Aspirin 706930 BAYER ASPIRIN TABS Aspirin Tab 300 MG

Cardiomyopathy Aspirin 719673 DR DU TOITS PAIN EXPELLER 300M Aspirin Tab 300 MG

Cardiomyopathy Aspirin 700909 GULF ASPIRIN 300MG TABS Aspirin Tab 300 MG

Cardiomyopathy Oral Anti-coagulants 778362 ASPEN WARFARIN 5MG TABS Warfarin Sodium Tab 5 MG

Cardiomyopathy Oral Anti-coagulants 709905 CIPLA-WARFARIN 5MG TABS Warfarin Sodium Tab 5 MG

Cardiomyopathy Other Beta-receptor Blockers 786586 ADCO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Cardiomyopathy Other Beta-receptor Blockers 704651 B-BLOCK 100MG TABS Atenolol Tab 100 MG

Cardiomyopathy Other Beta-receptor Blockers 826901 BIO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Cardiomyopathy Other Beta-receptor Blockers 715626 GULF ATENOLOL 100MG TABS Atenolol Tab 100 MG

Cardiomyopathy Other Beta-receptor Blockers 705873 TENOPRESS 100MG TABS Atenolol Tab 100 MG

Cardiomyopathy Other Beta-receptor Blockers 705872 TENOPRESS 25MG TABS Atenolol Tab 25 MG

Cardiomyopathy Other Beta-receptor Blockers 797693 TENORMIN 25MG TABS Atenolol Tab 25 MG

Cardiomyopathy Other Beta-receptor Blockers 786578 ADCO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Cardiomyopathy Other Beta-receptor Blockers 826898 BIO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Cardiomyopathy Other Beta-receptor Blockers 705874 TENOPRESS 50MG TABS Atenolol Tab 50 MG

Cardiomyopathy Other Beta-receptor Blockers 719656 ZETENOL 50MG TABS Atenolol Tab 50 MG

Cardiomyopathy Propranolol 732567 INDERAL 10MG TABS Propranolol HCl Tab 10 MG

Cardiomyopathy Propranolol 806552 INDOBLOK 10MG TABS Propranolol HCl Tab 10 MG

Page 10: Moto Health Care Custom Chronic Formulary 2020. 1

Cardiomyopathy Propranolol 806560 INDOBLOK 40MG TABS Propranolol HCl Tab 40 MG

Cardiomyopathy Propranolol 758167 PUR-BLOKA 40MG TABS Propranolol HCl Tab 40 MG

Cardiomyopathy Cardiac Glycosides 735744 LANOXIN 0.05MG/ML SYRP PAED Digoxin Elixir 0.05 MG/ML

Cardiomyopathy Cardiac Glycosides 735752 LANOXIN 0.25MG TABS Digoxin Tab 250 MCG (0.25 MG)

Cardiomyopathy Cardiac Glycosides 758280 PURGOXIN 0.25MG TABS Digoxin Tab 250 MCG (0.25 MG)

Cardiomyopathy Cardiac Glycosides 735760 LANOXIN 0.0625MG TABS Digoxin Tab 62.5 MCG (0.0625 MG)

Cardiomyopathy Loop Diuretics 821845 BEURESIS 40MG TABS Furosemide Tab 40 MG

Cardiomyopathy Loop Diuretics 716048 DINO-RETIC 40MG TABS Furosemide Tab 40 MG

Cardiomyopathy Loop Diuretics 705967 DIURESIX 40MG TABS Furosemide Tab 40 MG

Cardiomyopathy Loop Diuretics 857769 MYLAN FUROSEMIDE 40 MG TABS Furosemide Tab 40 MG

Cardiomyopathy Loop Diuretics 758272 PURESIS 40MG TABS Furosemide Tab 40 MG

Cardiomyopathy Potassium Sparing Diuretics 701793 ALDACTONE 25MG TABS Spironolactone Tab 25 MG

Cardiomyopathy Potassium Sparing Diuretics 769665 SANDOZ SPIRONOLACTONE 25MG Spironolactone Tab 25 MG

Cardiomyopathy Thiazide/Related Diuretics 710437 RIDAQ 12.5MG TABS Hydrochlorothiazide Tab 12.5 MG

Cardiomyopathy Thiazide/Related Diuretics 890470 HEXAZIDE 25MG TABS Hydrochlorothiazide Tab 25 MG

Cardiomyopathy Thiazide/Related Diuretics 819417 ADCO-DAPAMAX 2.5MG TABS Indapamide Tab 2.5 MG

Cardiomyopathy Thiazide/Related Diuretics 700820 CATEXAN 2.5MG Indapamide Tab 2.5 MG

Cardiomyopathy Thiazide/Related Diuretics 710313 CIPLA-INDAPAMIDE 2.5MG TABS Indapamide Tab 2.5 MG

Cardiomyopathy Thiazide/Related Diuretics 833045 DAPTRIL 2.5MG TABS Indapamide Tab 2.5 MG

Cardiomyopathy Thiazide/Related Diuretics 703329 MYLAN INDAPAMIDE 2.5 TABS Indapamide Tab 2.5 MG

Cardiomyopathy Ethical Potassium 718911 ULTIPOT 600MG SR TABSPotassium Chloride Tab ER 8 mEq (600

MG)

Chronic renal

disease

ACE Inhibitor/Diuretic

Combinations885019 PHARMAPRESS CO TABS

Enalapril Maleate & Hydrochlorothiazide

Tab 20-12.5 MG

Chronic renal

disease

ACE Inhibitor/Diuretic

Combinations704437 LISORETIC 10/HCTZ TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

Chronic renal

disease

ACE Inhibitor/Diuretic

Combinations707292 LISOZIDE 10MG/12.5MG TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

Chronic renal

disease

ACE Inhibitor/Diuretic

Combinations817848 ZESTORETIC 10MG TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

Chronic renal

disease

ACE Inhibitor/Diuretic

Combinations716945 LISINOPRIL CO UNICORN 20/12.5M

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

Chronic renal

disease

ACE Inhibitor/Diuretic

Combinations704438 LISORETIC 20/HCTZ TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

Chronic renal

disease

ACE Inhibitor/Diuretic

Combinations707291 LISOZIDE 20MG/12.5MG TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

Page 11: Moto Health Care Custom Chronic Formulary 2020. 1

Chronic renal

disease

ACE Inhibitor/Diuretic

Combinations797685 ZESTORETIC 20MG TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

Chronic renal

diseaseSingle ACE Inhibitors 837628 CAPTOHEXAL 12.5MG TABS Captopril Tab 12.5 MG

Chronic renal

diseaseSingle ACE Inhibitors 852333 ACETEN 25MG TABS Captopril Tab 25 MG

Chronic renal

diseaseSingle ACE Inhibitors 836451 ADCO-CAPTOMAX 25MG TABS Captopril Tab 25 MG

Chronic renal

diseaseSingle ACE Inhibitors 852619 MYLAN CAPTOPRIL 25MG TABS Captopril Tab 25 MG

Chronic renal

diseaseSingle ACE Inhibitors 836478 ADCO-CAPTOMAX 50MG TABS Captopril Tab 50 MG

Chronic renal

diseaseSingle ACE Inhibitors 899429 MYLAN CAPTOPRIL 50MG TABS Captopril Tab 50 MG

Chronic renal

diseaseSingle ACE Inhibitors 886843 ADCO-ENALAPRIL 10MG TABS Enalapril Maleate Tab 10 MG

Chronic renal

diseaseSingle ACE Inhibitors 881481 ALAPREN 10MG TABS Enalapril Maleate Tab 10 MG

Chronic renal

diseaseSingle ACE Inhibitors 723157 ENALAPRIL BIOTECH 10MG TABS Enalapril Maleate Tab 10 MG

Chronic renal

diseaseSingle ACE Inhibitors 868914 PHARMAPRESS 10MG TABS Enalapril Maleate Tab 10 MG

Chronic renal

diseaseSingle ACE Inhibitors 886851 ADCO-ENALAPRIL 20MG TABS Enalapril Maleate Tab 20 MG

Chronic renal

diseaseSingle ACE Inhibitors 881503 ALAPREN 20MG TABS Enalapril Maleate Tab 20 MG

Chronic renal

diseaseSingle ACE Inhibitors 723159 ENALAPRIL BIOTECH 20MG TABS Enalapril Maleate Tab 20 MG

Chronic renal

diseaseSingle ACE Inhibitors 867861 HR-ENALAPRIL 20MG TABS Enalapril Maleate Tab 20 MG

Chronic renal

diseaseSingle ACE Inhibitors 881473 ALAPREN 5MG TABS Enalapril Maleate Tab 5 MG

Chronic renal

diseaseSingle ACE Inhibitors 723156 ENALAPRIL BIOTECH 5MG TABS Enalapril Maleate Tab 5 MG

Chronic renal

diseaseSingle ACE Inhibitors 712762 ENVAS 5MG TABS Enalapril Maleate Tab 5 MG

Chronic renal

diseaseSingle ACE Inhibitors 862622 HYPACE 5MG TABS Enalapril Maleate Tab 5 MG

Chronic renal

diseaseSingle ACE Inhibitors 708109 PHARMAPRESS 5MG TABS Enalapril Maleate Tab 5 MG

Page 12: Moto Health Care Custom Chronic Formulary 2020. 1

Chronic renal

diseaseSingle ACE Inhibitors 862053 ADCO-ZETOMAX 10MG TABS Lisinopril Tab 10 MG

Chronic renal

diseaseSingle ACE Inhibitors 712598 AUSTELL-LISINOPRIL 10MG TABS Lisinopril Tab 10 MG

Chronic renal

diseaseSingle ACE Inhibitors 3000547 LISO 10MG TABS Lisinopril Tab 10 MG

Chronic renal

diseaseSingle ACE Inhibitors 714678 LIZRO 10MG TABS Lisinopril Tab 10 MG

Chronic renal

diseaseSingle ACE Inhibitors 700692 SINOPREN 10MG TABS Lisinopril Tab 10 MG

Chronic renal

diseaseSingle ACE Inhibitors 781703 ZESTRIL 10MG TABS Lisinopril Tab 10 MG

Chronic renal

diseaseSingle ACE Inhibitors 862061 ADCO-ZETOMAX 20MG TABS Lisinopril Tab 20 MG

Chronic renal

diseaseSingle ACE Inhibitors 708189 AUSTELL-LISINOPRIL 20MG TABS Lisinopril Tab 20 MG

Chronic renal

diseaseSingle ACE Inhibitors 3000548 LISO 20MG TABS Lisinopril Tab 20 MG

Chronic renal

diseaseSingle ACE Inhibitors 714679 LIZRO 20MG TABS Lisinopril Tab 20 MG

Chronic renal

diseaseSingle ACE Inhibitors 700694 SINOPREN 20MG TABS Lisinopril Tab 20 MG

Chronic renal

diseaseSingle ACE Inhibitors 781711 ZESTRIL 20MG TABS Lisinopril Tab 20 MG

Chronic renal

diseaseSingle ACE Inhibitors 862045 ADCO-ZETOMAX 5MG TABS Lisinopril Tab 5 MG

Chronic renal

diseaseSingle ACE Inhibitors 3000546 LISO 5MG TABS Lisinopril Tab 5 MG

Chronic renal

diseaseSingle ACE Inhibitors 714677 LIZRO 5MG TABS Lisinopril Tab 5 MG

Chronic renal

diseaseSingle ACE Inhibitors 700691 SINOPREN 5MG TABS Lisinopril Tab 5 MG

Chronic renal

diseaseSingle ACE Inhibitors 781681 ZESTRIL 5MG TABS Lisinopril Tab 5 MG

Chronic renal

diseaseOther Beta-receptor Blockers 786586 ADCO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Chronic renal

diseaseOther Beta-receptor Blockers 704651 B-BLOCK 100MG TABS Atenolol Tab 100 MG

Chronic renal

diseaseOther Beta-receptor Blockers 826901 BIO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Page 13: Moto Health Care Custom Chronic Formulary 2020. 1

Chronic renal

diseaseOther Beta-receptor Blockers 715626 GULF ATENOLOL 100MG TABS Atenolol Tab 100 MG

Chronic renal

diseaseOther Beta-receptor Blockers 705873 TENOPRESS 100MG TABS Atenolol Tab 100 MG

Chronic renal

diseaseOther Beta-receptor Blockers 705872 TENOPRESS 25MG TABS Atenolol Tab 25 MG

Chronic renal

diseaseOther Beta-receptor Blockers 797693 TENORMIN 25MG TABS Atenolol Tab 25 MG

Chronic renal

diseaseOther Beta-receptor Blockers 786578 ADCO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Chronic renal

diseaseOther Beta-receptor Blockers 826898 BIO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Chronic renal

diseaseOther Beta-receptor Blockers 705874 TENOPRESS 50MG TABS Atenolol Tab 50 MG

Chronic renal

diseaseOther Beta-receptor Blockers 719656 ZETENOL 50MG TABS Atenolol Tab 50 MG

Chronic renal

diseasePropranolol 732567 INDERAL 10MG TABS Propranolol HCl Tab 10 MG

Chronic renal

diseasePropranolol 806552 INDOBLOK 10MG TABS Propranolol HCl Tab 10 MG

Chronic renal

diseasePropranolol 806560 INDOBLOK 40MG TABS Propranolol HCl Tab 40 MG

Chronic renal

diseasePropranolol 758167 PUR-BLOKA 40MG TABS Propranolol HCl Tab 40 MG

Chronic renal

diseaseEthical Other Calcium 721364 CALCIUM GLUCONATE 300MG CHEW Calcium Gluconate Chew Tab 300 MG

Chronic renal

diseaseEthical Other Calcium 877662 CALCIUM GLUCONATE 300MG CHEW Calcium Gluconate Chew Tab 300 MG

Chronic renal

diseaseEthical Other Calcium 710551 EGOLI CALCIUM GLUCONATE 300MG Calcium Gluconate Chew Tab 300 MG

Chronic renal

diseaseEthical Other Calcium 713222 CALCIUM GLUCONATE 300MG TABS

Calcium Gluconate Tab 300 MG

(Elemental Ca)

Chronic renal

diseaseEthical Other Calcium 721699 CALCIUM GLUCONATE 300MG TABS

Calcium Gluconate Tab 300 MG

(Elemental Ca)

Chronic renal

diseaseEthical Other Calcium 703445 GULF CALCIUM GLUCONATE TABS

Calcium Gluconate Tab 300 MG

(Elemental Ca)

Chronic renal

diseaseCalcium Channel Blockers 710238 AMLODIPINE 10MG PHARMA DYNAMIC

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 723784 AMLODIPINE UNICORN 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Page 14: Moto Health Care Custom Chronic Formulary 2020. 1

Chronic renal

diseaseCalcium Channel Blockers 713972 AMTAS 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 714311 APRATE 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 708095 AUSTELL AMLODIPINE 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 708152 CIPLAVASC 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 712954 GULF AMLODIPINE 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 708353 LOMANOR 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 708191 NORCARD 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 707980 PENDINE 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 723783 AMLODIPINE UNICORN 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 713971 AMTAS 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 714310 APRATE 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 708150 CIPLAVASC 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 712953 GULF AMLODIPINE 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 708162 KLODIP 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 708352 LOMANOR 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 707979 PENDINE 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Chronic renal

diseaseCalcium Channel Blockers 864153 CIPALAT RETARD 20MG TABS Nifedipine Tab ER 12HR 20 MG

Chronic renal

diseaseCalcium Channel Blockers 774944 VASOMIL 40MG TABS Verapamil HCl Tab 40 MG

Chronic renal

diseaseCalcium Channel Blockers 774952 VASOMIL 80MG TABS Verapamil HCl Tab 80 MG

Chronic renal

diseaseCalcium Channel Blockers 813354 CALCICARD SR 240MG Verapamil HCl Tab ER 240 MG

Page 15: Moto Health Care Custom Chronic Formulary 2020. 1

Chronic renal

diseaseCalcium Channel Blockers 819573 RAVAMIL SR 240MG TABS Verapamil HCl Tab ER 240 MG

Chronic renal

diseaseCalcium Channel Blockers 700071 VERAHEXAL 240 SR TABS Verapamil HCl Tab ER 240 MG

Chronic renal

diseaseLoop Diuretics 821845 BEURESIS 40MG TABS Furosemide Tab 40 MG

Chronic renal

diseaseLoop Diuretics 716048 DINO-RETIC 40MG TABS Furosemide Tab 40 MG

Chronic renal

diseaseLoop Diuretics 705967 DIURESIX 40MG TABS Furosemide Tab 40 MG

Chronic renal

diseaseLoop Diuretics 857769 MYLAN FUROSEMIDE 40 MG TABS Furosemide Tab 40 MG

Chronic renal

diseaseLoop Diuretics 758272 PURESIS 40MG TABS Furosemide Tab 40 MG

Chronic renal

diseaseThiazide/Related Diuretics 710437 RIDAQ 12.5MG TABS Hydrochlorothiazide Tab 12.5 MG

Chronic renal

diseaseThiazide/Related Diuretics 890470 HEXAZIDE 25MG TABS Hydrochlorothiazide Tab 25 MG

Chronic renal

diseaseOral Haematinics 893031 FERROUS FORTE CHEL IRON *Iron Combination Syrup***

Chronic renal

diseaseOral Haematinics 756571 PREGAMAL TABS

Ferrous Fumarate-Folic Acid Tab 200-0.1

MG

Chronic renal

diseaseOral Haematinics 715835 ASTYFER LIQD

Ferrous Glycine Sulfate Syr 282 MG/10ML

(FE Equiv 50MG/10ML)

Chronic renal

diseaseOral Haematinics 705532 AHA FERROUS SULPH 30MG TABS Ferrous Sulfate Tab 30 MG

Chronic renal

diseaseOral Haematinics 877832 FERROUS SULPHATE 30MG Ferrous Sulfate Tab 30 MG

Chronic renal

diseaseOral Haematinics 723552 FERROUS SULPHATE 30MG TABS Ferrous Sulfate Tab 30 MG

Chronic renal

diseaseOral Haematinics 710372 FERROUS SULPHATE 75MG TABS Ferrous Sulfate Tab 75 MG

Chronic renal

diseaseOral Haematinics 721690 FERROUS SULPHATE 75MG TABS Ferrous Sulfate Tab 75 MG

Chronic renal

diseaseOral Haematinics 723553 FERROUS SULPHATE 75MG TABS Ferrous Sulfate Tab 75 MG

Chronic renal

diseaseOral Haematinics 897329 GULF FERROUS SULPHATE COMPOUND

Ferrous Sulfate-Copper-Manganese Tab

170-2.5-2.5 MG

Chronic renal

diseaseEthical Vitamin D 750654 ONE ALPHA 0.25MCG CAPS Alfacalcidol Cap 0.25 MCG

Page 16: Moto Health Care Custom Chronic Formulary 2020. 1

Chronic renal

diseaseEthical Vitamin D 750662 ONE ALPHA 1MCG CAPS Alfacalcidol Cap 1 MCG

Chronic renal

diseaseEthical Vitamin D 711853 CALCIFEROL OILY 15ML SOLN Ergocalciferol Soln 5000 Unit/ML

Chronic renal

diseaseEthical Vitamin D 711640 CALCIFEROL 50000IU TABS Ergocalciferol Tab 50000 Unit

Chronic renal

diseaseEthical Potassium 718911 ULTIPOT 600MG SR TABS

Potassium Chloride Tab ER 8 mEq (600

MG)

Chronic renal

diseaseEthical Folic Acid 810967 BE-TABS FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

Chronic renal

diseaseEthical Folic Acid 711922 FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

Chronic renal

diseaseEthical Folic Acid 720727 GULF FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

COPD Bronchial Anti-cholinergics 715574 IPVENT 40 HFA INH 200DIpratropium Bromide Inhal Aerosol 40

MCG/ACT

COPD Combination Bronchodilators 720219 VANNAIR 160/4.5MCG INH 120DBudesonide-Formoterol Fumarate Dihyd

Aerosol 160-4.5 MCG/ACT

COPD Combination Bronchodilators 720218 VANNAIR 80/4.5MCG INH 120DBudesonide-Formoterol Fumarate Dihyd

Aerosol 80-4.5 MCG/ACT

COPD Combination Bronchodilators 718698 DUOLIN HFA 200DOSE INHALERIpratropium-Albuterol Aerosol 18-103

MCG/ACT (20-120MCG/ACT)

COPD Glucocorticosteroids 826936 BETANOID 0.6MG/5ML SYR Betamethasone Syrup 0.6 MG/5ML

COPD Glucocorticosteroids 797596 STEROMIEN 0.6MG/5ML SYR Betamethasone Syrup 0.6 MG/5ML

COPD Glucocorticosteroids 788783 BE-TABS PREDNISONE 5MG TABS Prednisone Tab 5 MG

COPD Glucocorticosteroids 752304 PANAFCORT 5MG TABS Prednisone Tab 5 MG

COPD Glucocorticosteroids 818267 TROLIC 5MG TABS Prednisone Tab 5 MG

COPD Bronchial Glucocorticoids 820083 BECLATE 200MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

200 MCG/ACT

COPD Bronchial Glucocorticoids 827061 BECEZE 50MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

42 MCG/ACT (50/Valve)

COPD Bronchial Glucocorticoids 827088 BECEZE 100MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

84 MCG/ACT(100/Valve)

COPD Bronchial Glucocorticoids 819638 BECLATE 100MCG INHALER 200DBeclomethasone Dipropionate Inhal Aero

84 MCG/ACT(100/Valve)

COPD Bronchial Glucocorticoids 791423 PULMICORT TURBU 100MCG 200DBudesonide Inhal Aero Powd 100

MCG/INH (Breath Activated)

COPD Bronchial Glucocorticoids 791431 PULMICORT TURBU 200MCG 200DBudesonide Inhal Aero Powd 200

MCG/INH (Breath Activated)

Page 17: Moto Health Care Custom Chronic Formulary 2020. 1

COPD Methylxanthines 769312 NORSTAN-TED 100MG TABS Theophylline Tab 100 MG

COPD Methylxanthines 769320 NORSTAN-TED 200MG TABS Theophylline Tab 200 MG

COPD Methylxanthines 788368 SANDOZ THEOPHYLL 200MG TABS Theophylline Tab ER 12HR 200 MG

COPD Methylxanthines 788376 SANDOZ THEOPHYLL 300MG TABS Theophylline Tab ER 12HR 300 MG

COPDBronchial/Uterine

Sympathomimetics849332 ASTHAVENT 200D ECOHALER

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

COPDBronchial/Uterine

Sympathomimetics700715 ASTHAVENT 300D ECOHALER

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

COPDBronchial/Uterine

Sympathomimetics711213 VENTEZE CFC FREE 200D 100MCG

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

COPDBronchial/Uterine

Sympathomimetics720723 VENTIMAX CFC FREE 100MCG 200D

Albuterol Sulfate Inhal Aero 108

MCG/ACT (90MCG Base Equiv)

COPDBronchial/Uterine

Sympathomimetics710307 FORATEC HFA 120DOSE 12MCG

Formoterol Fumarate Inhal Aerosol 12

MCG/ACT

Coronary artery

disease

ACE Inhibitor/Diuretic

Combinations885019 PHARMAPRESS CO TABS

Enalapril Maleate & Hydrochlorothiazide

Tab 20-12.5 MG

Coronary artery

diseaseSingle ACE Inhibitors 837628 CAPTOHEXAL 12.5MG TABS Captopril Tab 12.5 MG

Coronary artery

diseaseSingle ACE Inhibitors 852333 ACETEN 25MG TABS Captopril Tab 25 MG

Coronary artery

diseaseSingle ACE Inhibitors 836451 ADCO-CAPTOMAX 25MG TABS Captopril Tab 25 MG

Coronary artery

diseaseSingle ACE Inhibitors 852619 MYLAN CAPTOPRIL 25MG TABS Captopril Tab 25 MG

Coronary artery

diseaseSingle ACE Inhibitors 836478 ADCO-CAPTOMAX 50MG TABS Captopril Tab 50 MG

Coronary artery

diseaseSingle ACE Inhibitors 899429 MYLAN CAPTOPRIL 50MG TABS Captopril Tab 50 MG

Coronary artery

diseaseSingle ACE Inhibitors 886843 ADCO-ENALAPRIL 10MG TABS Enalapril Maleate Tab 10 MG

Coronary artery

diseaseSingle ACE Inhibitors 881481 ALAPREN 10MG TABS Enalapril Maleate Tab 10 MG

Coronary artery

diseaseSingle ACE Inhibitors 723157 ENALAPRIL BIOTECH 10MG TABS Enalapril Maleate Tab 10 MG

Coronary artery

diseaseSingle ACE Inhibitors 868914 PHARMAPRESS 10MG TABS Enalapril Maleate Tab 10 MG

Coronary artery

diseaseSingle ACE Inhibitors 886851 ADCO-ENALAPRIL 20MG TABS Enalapril Maleate Tab 20 MG

Coronary artery

diseaseSingle ACE Inhibitors 881503 ALAPREN 20MG TABS Enalapril Maleate Tab 20 MG

Page 18: Moto Health Care Custom Chronic Formulary 2020. 1

Coronary artery

diseaseSingle ACE Inhibitors 723159 ENALAPRIL BIOTECH 20MG TABS Enalapril Maleate Tab 20 MG

Coronary artery

diseaseSingle ACE Inhibitors 867861 HR-ENALAPRIL 20MG TABS Enalapril Maleate Tab 20 MG

Coronary artery

diseaseSingle ACE Inhibitors 881473 ALAPREN 5MG TABS Enalapril Maleate Tab 5 MG

Coronary artery

diseaseSingle ACE Inhibitors 723156 ENALAPRIL BIOTECH 5MG TABS Enalapril Maleate Tab 5 MG

Coronary artery

diseaseSingle ACE Inhibitors 712762 ENVAS 5MG TABS Enalapril Maleate Tab 5 MG

Coronary artery

diseaseSingle ACE Inhibitors 862622 HYPACE 5MG TABS Enalapril Maleate Tab 5 MG

Coronary artery

diseaseSingle ACE Inhibitors 708109 PHARMAPRESS 5MG TABS Enalapril Maleate Tab 5 MG

Coronary artery

diseaseSingle ACE Inhibitors 862053 ADCO-ZETOMAX 10MG TABS Lisinopril Tab 10 MG

Coronary artery

diseaseSingle ACE Inhibitors 712598 AUSTELL-LISINOPRIL 10MG TABS Lisinopril Tab 10 MG

Coronary artery

diseaseSingle ACE Inhibitors 3000547 LISO 10MG TABS Lisinopril Tab 10 MG

Coronary artery

diseaseSingle ACE Inhibitors 714678 LIZRO 10MG TABS Lisinopril Tab 10 MG

Coronary artery

diseaseSingle ACE Inhibitors 700692 SINOPREN 10MG TABS Lisinopril Tab 10 MG

Coronary artery

diseaseSingle ACE Inhibitors 781703 ZESTRIL 10MG TABS Lisinopril Tab 10 MG

Coronary artery

diseaseSingle ACE Inhibitors 862061 ADCO-ZETOMAX 20MG TABS Lisinopril Tab 20 MG

Coronary artery

diseaseSingle ACE Inhibitors 708189 AUSTELL-LISINOPRIL 20MG TABS Lisinopril Tab 20 MG

Coronary artery

diseaseSingle ACE Inhibitors 3000548 LISO 20MG TABS Lisinopril Tab 20 MG

Coronary artery

diseaseSingle ACE Inhibitors 714679 LIZRO 20MG TABS Lisinopril Tab 20 MG

Coronary artery

diseaseSingle ACE Inhibitors 700694 SINOPREN 20MG TABS Lisinopril Tab 20 MG

Coronary artery

diseaseSingle ACE Inhibitors 781711 ZESTRIL 20MG TABS Lisinopril Tab 20 MG

Coronary artery

diseaseSingle ACE Inhibitors 862045 ADCO-ZETOMAX 5MG TABS Lisinopril Tab 5 MG

Page 19: Moto Health Care Custom Chronic Formulary 2020. 1

Coronary artery

diseaseSingle ACE Inhibitors 3000546 LISO 5MG TABS Lisinopril Tab 5 MG

Coronary artery

diseaseSingle ACE Inhibitors 714677 LIZRO 5MG TABS Lisinopril Tab 5 MG

Coronary artery

diseaseSingle ACE Inhibitors 700691 SINOPREN 5MG TABS Lisinopril Tab 5 MG

Coronary artery

diseaseSingle ACE Inhibitors 781681 ZESTRIL 5MG TABS Lisinopril Tab 5 MG

Coronary artery

disease

Alpha-receptor Blockers for

HT/BPH701425 CARDUGEN 1MG TABS Doxazosin Mesylate Tab 1 MG

Coronary artery

disease

Alpha-receptor Blockers for

HT/BPH701426 CARDUGEN 4MG TABS Doxazosin Mesylate Tab 4 MG

Coronary artery

disease

Alpha-receptor Blockers for

HT/BPH3000184 URODOXA 4MG TABS Doxazosin Mesylate Tab 4 MG

Coronary artery

diseaseAspirin 704642 SOLUSPIRIN 300MG DISP TABS Aspirin Disintegrating Tab 300 MG

Coronary artery

diseaseAspirin 706930 BAYER ASPIRIN TABS Aspirin Tab 300 MG

Coronary artery

diseaseAspirin 719673 DR DU TOITS PAIN EXPELLER 300M Aspirin Tab 300 MG

Coronary artery

diseaseAspirin 700909 GULF ASPIRIN 300MG TABS Aspirin Tab 300 MG

Coronary artery

diseaseOral Anti-coagulants 778362 ASPEN WARFARIN 5MG TABS Warfarin Sodium Tab 5 MG

Coronary artery

diseaseOral Anti-coagulants 709905 CIPLA-WARFARIN 5MG TABS Warfarin Sodium Tab 5 MG

Coronary artery

diseaseOther Beta-receptor Blockers 786586 ADCO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Coronary artery

diseaseOther Beta-receptor Blockers 704651 B-BLOCK 100MG TABS Atenolol Tab 100 MG

Coronary artery

diseaseOther Beta-receptor Blockers 826901 BIO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Coronary artery

diseaseOther Beta-receptor Blockers 715626 GULF ATENOLOL 100MG TABS Atenolol Tab 100 MG

Coronary artery

diseaseOther Beta-receptor Blockers 705873 TENOPRESS 100MG TABS Atenolol Tab 100 MG

Coronary artery

diseaseOther Beta-receptor Blockers 705872 TENOPRESS 25MG TABS Atenolol Tab 25 MG

Coronary artery

diseaseOther Beta-receptor Blockers 797693 TENORMIN 25MG TABS Atenolol Tab 25 MG

Page 20: Moto Health Care Custom Chronic Formulary 2020. 1

Coronary artery

diseaseOther Beta-receptor Blockers 786578 ADCO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Coronary artery

diseaseOther Beta-receptor Blockers 826898 BIO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Coronary artery

diseaseOther Beta-receptor Blockers 705874 TENOPRESS 50MG TABS Atenolol Tab 50 MG

Coronary artery

diseaseOther Beta-receptor Blockers 719656 ZETENOL 50MG TABS Atenolol Tab 50 MG

Coronary artery

diseasePropranolol 732567 INDERAL 10MG TABS Propranolol HCl Tab 10 MG

Coronary artery

diseasePropranolol 806552 INDOBLOK 10MG TABS Propranolol HCl Tab 10 MG

Coronary artery

diseasePropranolol 806560 INDOBLOK 40MG TABS Propranolol HCl Tab 40 MG

Coronary artery

diseasePropranolol 758167 PUR-BLOKA 40MG TABS Propranolol HCl Tab 40 MG

Coronary artery

diseaseCalcium Channel Blockers 710238 AMLODIPINE 10MG PHARMA DYNAMIC

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 723784 AMLODIPINE UNICORN 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 713972 AMTAS 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 714311 APRATE 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 708095 AUSTELL AMLODIPINE 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 708152 CIPLAVASC 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 712954 GULF AMLODIPINE 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 708353 LOMANOR 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 708191 NORCARD 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 707980 PENDINE 10MG TABS

Amlodipine Besylate Tab 10 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 723783 AMLODIPINE UNICORN 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 713971 AMTAS 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Page 21: Moto Health Care Custom Chronic Formulary 2020. 1

Coronary artery

diseaseCalcium Channel Blockers 714310 APRATE 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 708150 CIPLAVASC 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 712953 GULF AMLODIPINE 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 708162 KLODIP 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 708352 LOMANOR 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 707979 PENDINE 5MG TABS

Amlodipine Besylate Tab 5 MG (Base

Equivalent)

Coronary artery

diseaseCalcium Channel Blockers 864153 CIPALAT RETARD 20MG TABS Nifedipine Tab ER 12HR 20 MG

Coronary artery

diseaseCalcium Channel Blockers 774944 VASOMIL 40MG TABS Verapamil HCl Tab 40 MG

Coronary artery

diseaseCalcium Channel Blockers 774952 VASOMIL 80MG TABS Verapamil HCl Tab 80 MG

Coronary artery

diseaseCalcium Channel Blockers 813354 CALCICARD SR 240MG Verapamil HCl Tab ER 240 MG

Coronary artery

diseaseCalcium Channel Blockers 819573 RAVAMIL SR 240MG TABS Verapamil HCl Tab ER 240 MG

Coronary artery

diseaseCalcium Channel Blockers 700071 VERAHEXAL 240 SR TABS Verapamil HCl Tab ER 240 MG

Coronary artery

diseaseCentral Acting Anti-hypertensives 785962 MYLAN METHYLDOPA 250MG TABS Methyldopa Tab 250 MG

Coronary artery

diseaseOrganic Nitrates 784192 SANDOZ ISOSORBIDE 5MG SL TABS Isosorbide Dinitrate SL Tab 5 MG

Coronary artery

diseaseOrganic Nitrates 784206 SANDOZ ISOSORBIDE 10MG TABS Isosorbide Dinitrate Tab 10 MG

Coronary artery

diseaseOrganic Nitrates 734403 ISORDIL 30MG TABS Isosorbide Dinitrate Tab 30 MG

Coronary artery

diseaseOrganic Nitrates 734055 ISMO 20MG TABS Isosorbide Mononitrate Tab 20 MG

Crohn disease Imidazoles 742872 ADCO-METRONIDAZOLE 200MG TABS Metronidazole Tab 200 MG

Crohn disease Imidazoles 703389 ANAEROBYL 200MG TABS Metronidazole Tab 200 MG

Crohn disease Imidazoles 821705 BE-METRAZOLE 200MG TABS Metronidazole Tab 200 MG

Crohn disease Imidazoles 784710 MEDAMET 200MG TABS Metronidazole Tab 200 MG

Crohn disease Imidazoles 793159 METAZOL 200MG TABS Metronidazole Tab 200 MG

Page 22: Moto Health Care Custom Chronic Formulary 2020. 1

Crohn disease Imidazoles 772216 TRICHAZOLE 200MG TABS Metronidazole Tab 200 MG

Crohn disease Imidazoles 702148 AMZOLE 400MG TABS Metronidazole Tab 400 MG

Crohn disease Imidazoles 715866 ANAEROBYL 400MG TABS Metronidazole Tab 400 MG

Crohn disease Imidazoles 788708 BE-METRAZOLE 400MG TABS Metronidazole Tab 400 MG

Crohn disease Imidazoles 707242 BIO-METRONIDAZOLE 400MG TABS Metronidazole Tab 400 MG

Crohn disease Imidazoles 793167 METAZOL 400MG TABS Metronidazole Tab 400 MG

Crohn disease Imidazoles 779822 METRAZOLE 400MG TABS Metronidazole Tab 400 MG

Crohn disease Imidazoles 792136 SUPRAZOLE 400MG TABS Metronidazole Tab 400 MG

Crohn disease Glucocorticosteroids 788783 BE-TABS PREDNISONE 5MG TABS Prednisone Tab 5 MG

Crohn disease Glucocorticosteroids 752304 PANAFCORT 5MG TABS Prednisone Tab 5 MG

Crohn disease Glucocorticosteroids 818267 TROLIC 5MG TABS Prednisone Tab 5 MG

Crohn disease Oral Methotrexate 712504 ABITREXATE 2.5MG TABS Methotrexate Tab 2.5 MG

Crohn disease Salazopyrin Plain 762008 SALAZOPYRIN 500MG TABS Sulfasalazine Tab 500 MG

Crohn disease Rheumatoid Arthritis Agents 762016 SALAZOPYRIN-EN 500MG TABSSulfasalazine Tab Delayed Release 500

MG

Crohn disease Ethical Folic Acid 810967 BE-TABS FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

Crohn disease Ethical Folic Acid 711922 FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

Crohn disease Ethical Folic Acid 720727 GULF FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

Crohn disease Quinolones 704353 AUSTELL CIPROFLOX 250MG TABSCiprofloxacin HCl Tab 250 MG (Base

Equiv)

Crohn disease Quinolones 713792 BIOTECH CIPROFLOXACIN 250MGCiprofloxacin HCl Tab 250 MG (Base

Equiv)

Crohn disease Quinolones 703043 CIPROGEN 250MG TABSCiprofloxacin HCl Tab 250 MG (Base

Equiv)

Crohn disease Quinolones 700284 CPL ALLIANCE CIPROFLOXACIN 250Ciprofloxacin HCl Tab 250 MG (Base

Equiv)

Crohn disease Quinolones 713361 LOXIP 250MG TABSCiprofloxacin HCl Tab 250 MG (Base

Equiv)

Crohn disease Quinolones 3000796 BIOFLOXX 500MG TABSCiprofloxacin HCl Tab 500 MG (Base

Equiv)

Crohn disease Quinolones 713793 BIOTECH CIPROFLOXACIN 500MGCiprofloxacin HCl Tab 500 MG (Base

Equiv)

Crohn disease Quinolones 892147 CIFRAN 500MG TABSCiprofloxacin HCl Tab 500 MG (Base

Equiv)

Crohn disease Quinolones 703045 CIPROGEN 500MG TABSCiprofloxacin HCl Tab 500 MG (Base

Equiv)

Crohn disease Quinolones 704775 CIPROL 500MG TABSCiprofloxacin HCl Tab 500 MG (Base

Equiv)

Page 23: Moto Health Care Custom Chronic Formulary 2020. 1

Crohn disease Quinolones 700287 CPL ALLIANCE CIPROFLOXACIN 500Ciprofloxacin HCl Tab 500 MG (Base

Equiv)

Crohn disease Quinolones 720331 FLOPRO 500MG TABSCiprofloxacin HCl Tab 500 MG (Base

Equiv)

Crohn disease Quinolones 713362 LOXIP 500MG TABSCiprofloxacin HCl Tab 500 MG (Base

Equiv)

Crohn disease Quinolones 701210 ORPIC 500MG TABSCiprofloxacin HCl Tab 500 MG (Base

Equiv)

Crohn disease Quinolones 704352 AUSTELL CIPROFLOX 750MG TABSCiprofloxacin HCl Tab 750 MG (Base

Equiv)

Crohn disease Quinolones 713794 BIOTECH CIPROFLOXACIN 750MGCiprofloxacin HCl Tab 750 MG (Base

Equiv)

Depression SSRI 707396 AUSTELL-CITALOPRAM 10MG TABSCitalopram Hydrobromide Tab 10 MG

(Base Equiv)

Depression SSRI 702769 ADCO-TALOMIL 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Depression SSRI 707398 AUSTELL-CITALOPRAM 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Depression SSRI 707888 CILATE 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Depression SSRI 711988 CILORAM 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Depression SSRI 713356 RECITA 20MG TABS(WAS AUR-CITAL)Citalopram Hydrobromide Tab 20 MG

(Base Equiv)

Depression SSRI 713583 ARROW CITALOPRAM 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Depression SSRI 717094 BIO CITALOPRAM 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Depression SSRI 717372 ACTI-LIFT 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Depression SSRI 3000328 CITALOPRAM OETHMAAN 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Depression SSRI 707397 AUSTELL-CITALOPRAM 40MG TABSCitalopram Hydrobromide Tab 40 MG

(Base Equiv)

Depression SSRI 713584 ARROW CITALOPRAM 40MG TABSCitalopram Hydrobromide Tab 40 MG

(Base Equiv)

Depression SSRI 700686 RANFLOCS 20MG CAPS Fluoxetine HCl Cap 20 MG

Depression SSRI 705064 ZYDUS FLUOXETINE 20MG CAPS Fluoxetine HCl Cap 20 MG

Depression SSRI 716520 FLUOXETINE ACTOR 20MG CAPS Fluoxetine HCl Cap 20 MG

Depression SSRI 719658 PROLAX 20MG CAPS Fluoxetine HCl Cap 20 MG

Page 24: Moto Health Care Custom Chronic Formulary 2020. 1

Depression SSRI 838713 SANDOZ FLUOXETINE 20MG CAPS Fluoxetine HCl Cap 20 MG

Depression SSRI 894303 DEPROZAN CAPS Fluoxetine HCl Cap 20 MG

Depression Tricyclics 772003 TREPILINE 10MG TABS Amitriptyline HCl Tab 10 MG

Depression Tricyclics 718746 GULF AMITRIPTYLINE 25MG TABS Amitriptyline HCl Tab 25 MG

Depression Tricyclics 784230 SANDOZ AMITRIPTYL 25MG TABS Amitriptyline HCl Tab 25 MG

Depression Tricyclics 724661 ETHIPRAMINE 10MG TABS Imipramine HCl Tab 10 MG

Depression Tricyclics 724688 ETHIPRAMINE 25MG TABS Imipramine HCl Tab 25 MG

Diabetes insipidus Nasal Anti-diuretics 717746 DDAVP INTRANASAL 2.5MLDesmopressin Acetate Nasal Soln 0.01%

(Refrigerated)

Diabetes insipidus Nasal Anti-diuretics 837555 DDAVP NASAL SPRAY 5MLDesmopressin Acetate Nasal Soln 0.01%

(Refrigerated)

Diabetes insipidus Oral Anti-diuretics 837563 DDAVP 0.1MG TABS Desmopressin Acetate Tab 0.1 MG

Diabetes insipidus Oral Anti-diuretics 703639 DDAVP 0.2MG TABS Desmopressin Acetate Tab 0.2 MG

Diabetes mellitus

type 1Aspirin 704642 SOLUSPIRIN 300MG DISP TABS Aspirin Disintegrating Tab 300 MG

Diabetes mellitus

type 1Aspirin 706930 BAYER ASPIRIN TABS Aspirin Tab 300 MG

Diabetes mellitus

type 1Aspirin 719673 DR DU TOITS PAIN EXPELLER 300M Aspirin Tab 300 MG

Diabetes mellitus

type 1Aspirin 700909 GULF ASPIRIN 300MG TABS Aspirin Tab 300 MG

Diabetes mellitus

type 1Insulins 733458 HUMULIN N 10ML VIAL

Insulin NPH (Human) (Isophane) Inj 100

Unit/ML

Diabetes mellitus

type 1Insulins 863556 HUMULIN N CART 3ML

Insulin NPH (Human) (Isophane) Susp

Cartridge 100 Unit/ML

Diabetes mellitus

type 1Insulins 853453 HUMULIN N KWIKPEN 3ML

Insulin NPH (Human) (Isophane) Susp Pen-

injector 100 Unit/ML

Diabetes mellitus

type 1Insulins 783811 HUMULIN 30/70 10ML VIAL

Insulin NPH Isophane & Regular Human

Inj 100 Unit/ML (70-30)

Diabetes mellitus

type 1Insulins 863572 HUMULIN 30/70 CART 3ML

Insulin NPH Isophane & Regular Susp Cart

100 Unit/ML (70-30)

Diabetes mellitus

type 1Insulins 733431 HUMULIN R 10ML VIAL Insulin Regular (Human) Inj 100 Unit/ML

Diabetes mellitus

type 1Insulins 712767 BIOSULIN R CARTRIDGE 3ML

Insulin Regular (Human) Soln Cartridge

100 Unit/ML

Diabetes mellitus

type 1Insulins 863564 HUMULIN R CART 3ML

Insulin Regular (Human) Soln Cartridge

100 Unit/ML

Page 25: Moto Health Care Custom Chronic Formulary 2020. 1

Diabetes mellitus

type 1Glucose monitoring strips 260498 ACCU CHEK INSTANT STRIPS Glucose monitoring strips

Diabetes mellitus

type 2Aspirin 704642 SOLUSPIRIN 300MG DISP TABS Aspirin Disintegrating Tab 300 MG

Diabetes mellitus

type 2Aspirin 706930 BAYER ASPIRIN TABS Aspirin Tab 300 MG

Diabetes mellitus

type 2Aspirin 719673 DR DU TOITS PAIN EXPELLER 300M Aspirin Tab 300 MG

Diabetes mellitus

type 2Aspirin 700909 GULF ASPIRIN 300MG TABS Aspirin Tab 300 MG

Diabetes mellitus

type 2Insulins 733458 HUMULIN N 10ML VIAL

Insulin NPH (Human) (Isophane) Inj 100

Unit/ML

Diabetes mellitus

type 2Insulins 863556 HUMULIN N CART 3ML

Insulin NPH (Human) (Isophane) Susp

Cartridge 100 Unit/ML

Diabetes mellitus

type 2Insulins 853453 HUMULIN N KWIKPEN 3ML

Insulin NPH (Human) (Isophane) Susp Pen-

injector 100 Unit/ML

Diabetes mellitus

type 2Insulins 783811 HUMULIN 30/70 10ML VIAL

Insulin NPH Isophane & Regular Human

Inj 100 Unit/ML (70-30)

Diabetes mellitus

type 2Insulins 863572 HUMULIN 30/70 CART 3ML

Insulin NPH Isophane & Regular Susp Cart

100 Unit/ML (70-30)

Diabetes mellitus

type 2Insulins 733431 HUMULIN R 10ML VIAL Insulin Regular (Human) Inj 100 Unit/ML

Diabetes mellitus

type 2Insulins 712767 BIOSULIN R CARTRIDGE 3ML

Insulin Regular (Human) Soln Cartridge

100 Unit/ML

Diabetes mellitus

type 2Insulins 863564 HUMULIN R CART 3ML

Insulin Regular (Human) Soln Cartridge

100 Unit/ML

Diabetes mellitus

type 2Metformin 709172 BIGSENS 1000MG TABS Metformin HCl Tab 1000 MG

Diabetes mellitus

type 2Metformin 719786 DIAPHAGE 1000MG TABS Metformin HCl Tab 1000 MG

Diabetes mellitus

type 2Metformin 714683 MENGEN 1000MG TABS Metformin HCl Tab 1000 MG

Diabetes mellitus

type 2Metformin 711773 METORED 1000MG TABS Metformin HCl Tab 1000 MG

Diabetes mellitus

type 2Metformin 721443 MYLAN METFORMIN 1000MG TABS Metformin HCl Tab 1000 MG

Diabetes mellitus

type 2Metformin 719645 ROMIDAB 1000MG TABS Metformin HCl Tab 1000 MG

Diabetes mellitus

type 2Metformin 714427 ACCORD METFORMIN 500MG TABS Metformin HCl Tab 500 MG

Page 26: Moto Health Care Custom Chronic Formulary 2020. 1

Diabetes mellitus

type 2Metformin 707670 APEX-METFORMIN 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 706672 ARROW METFORMIN 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 705757 AUSTELL-METFORMIN 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 708281 BIGSENS 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 715936 DIAFORMIN 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 714186 DIAMIN 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 719784 DIAPHAGE 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 708009 FORMINAL 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 714525 GLUCONORM 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 714680 MENGEN 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 718231 METCHEK 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 702385 METFORAL 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 718828 METFORMIN ALKEM 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 709338 METFORMIN ASCENDIS 500 Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 709246 METPHAGE 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 897957 MYLAN METFORMIN 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 719643 ROMIDAB 500MG TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 815225 SANDOZ METFORMIN 500 FC TABS Metformin HCl Tab 500 MG

Diabetes mellitus

type 2Metformin 714426 ACCORD METFORMIN 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 705758 AUSTELL-METFORMIN 850MG TABS Metformin HCl Tab 850 MG

Page 27: Moto Health Care Custom Chronic Formulary 2020. 1

Diabetes mellitus

type 2Metformin 708282 BIGSENS 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 715937 DIAFORMIN FORTE 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 714187 DIAMIN 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 719785 DIAPHAGE 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 708010 FORMINAL 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 714526 GLUCONORM 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 714681 MENGEN 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 718232 METCHEK 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 702363 METFORAL 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 718827 METFORMIN ALKEM 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 709339 METFORMIN ASCENDIS 850MG FCT Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 709247 METPHAGE 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 897961 MYLAN METFORMIN 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Metformin 719644 ROMIDAB 850MG TABS Metformin HCl Tab 850 MG

Diabetes mellitus

type 2Sulfonylureas 705759 AUSTELL-GLICLAZIDE 40MG TABS Gliclazide Tab 40 MG

Diabetes mellitus

type 2Sulfonylureas 834599 ADCO-GLUCOMED 80MG TABS Gliclazide Tab 80 MG

Diabetes mellitus

type 2Sulfonylureas 705760 AUSTELL-GLICLAZIDE 80MG TABS Gliclazide Tab 80 MG

Diabetes mellitus

type 2Sulfonylureas 868906 DIAGLUCIDE 80MG TABS Gliclazide Tab 80 MG

Diabetes mellitus

type 2Sulfonylureas 720665 DIAGLUMED 80MG TABS Gliclazide Tab 80 MG

Diabetes mellitus

type 2Sulfonylureas 719463 GLICLAZIDE UNICORN 80 Gliclazide Tab 80 MG

Page 28: Moto Health Care Custom Chronic Formulary 2020. 1

Diabetes mellitus

type 2Sulfonylureas 700717 GLYGARD 80MG TABS Gliclazide Tab 80 MG

Diabetes mellitus

type 2Sulfonylureas 834866 SANDOZ GLICLAZIDE 80MG TABS Gliclazide Tab 80 MG

Diabetes mellitus

type 2Glucose monitoring strips 260498 ACCU CHEK INSTANT STRIPS Glucose monitoring strips

Dysrhythmias Aspirin 704642 SOLUSPIRIN 300MG DISP TABS Aspirin Disintegrating Tab 300 MG

Dysrhythmias Aspirin 706930 BAYER ASPIRIN TABS Aspirin Tab 300 MG

Dysrhythmias Aspirin 719673 DR DU TOITS PAIN EXPELLER 300M Aspirin Tab 300 MG

Dysrhythmias Aspirin 700909 GULF ASPIRIN 300MG TABS Aspirin Tab 300 MG

Dysrhythmias Anti-arrhythmics 703515 ARYCOR 100MG TABS Amiodarone HCl Tab 100 MG

Dysrhythmias Anti-arrhythmics 863157 HEXARONE 100MG TABS Amiodarone HCl Tab 100 MG

Dysrhythmias Anti-arrhythmics 703513 ARYCOR 200MG TABS Amiodarone HCl Tab 200 MG

Dysrhythmias Anti-arrhythmics 707851 BIO-AMIODARONE 200MG TABS Amiodarone HCl Tab 200 MG

Dysrhythmias Anti-arrhythmics 863165 HEXARONE 200MG TABS Amiodarone HCl Tab 200 MG

Dysrhythmias Oral Anti-coagulants 778362 ASPEN WARFARIN 5MG TABS Warfarin Sodium Tab 5 MG

Dysrhythmias Oral Anti-coagulants 709905 CIPLA-WARFARIN 5MG TABS Warfarin Sodium Tab 5 MG

Dysrhythmias Other Beta-receptor Blockers 786586 ADCO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Dysrhythmias Other Beta-receptor Blockers 704651 B-BLOCK 100MG TABS Atenolol Tab 100 MG

Dysrhythmias Other Beta-receptor Blockers 826901 BIO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Dysrhythmias Other Beta-receptor Blockers 715626 GULF ATENOLOL 100MG TABS Atenolol Tab 100 MG

Dysrhythmias Other Beta-receptor Blockers 705873 TENOPRESS 100MG TABS Atenolol Tab 100 MG

Dysrhythmias Other Beta-receptor Blockers 705872 TENOPRESS 25MG TABS Atenolol Tab 25 MG

Dysrhythmias Other Beta-receptor Blockers 797693 TENORMIN 25MG TABS Atenolol Tab 25 MG

Dysrhythmias Other Beta-receptor Blockers 786578 ADCO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Dysrhythmias Other Beta-receptor Blockers 826898 BIO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Dysrhythmias Other Beta-receptor Blockers 705874 TENOPRESS 50MG TABS Atenolol Tab 50 MG

Dysrhythmias Other Beta-receptor Blockers 719656 ZETENOL 50MG TABS Atenolol Tab 50 MG

Dysrhythmias Propranolol 732567 INDERAL 10MG TABS Propranolol HCl Tab 10 MG

Dysrhythmias Propranolol 806552 INDOBLOK 10MG TABS Propranolol HCl Tab 10 MG

Dysrhythmias Propranolol 806560 INDOBLOK 40MG TABS Propranolol HCl Tab 40 MG

Dysrhythmias Propranolol 758167 PUR-BLOKA 40MG TABS Propranolol HCl Tab 40 MG

Dysrhythmias Calcium Channel Blockers 774944 VASOMIL 40MG TABS Verapamil HCl Tab 40 MG

Dysrhythmias Calcium Channel Blockers 774952 VASOMIL 80MG TABS Verapamil HCl Tab 80 MG

Dysrhythmias Calcium Channel Blockers 813354 CALCICARD SR 240MG Verapamil HCl Tab ER 240 MG

Page 29: Moto Health Care Custom Chronic Formulary 2020. 1

Dysrhythmias Calcium Channel Blockers 819573 RAVAMIL SR 240MG TABS Verapamil HCl Tab ER 240 MG

Dysrhythmias Calcium Channel Blockers 700071 VERAHEXAL 240 SR TABS Verapamil HCl Tab ER 240 MG

Dysrhythmias Cardiac Glycosides 735744 LANOXIN 0.05MG/ML SYRP PAED Digoxin Elixir 0.05 MG/ML

Dysrhythmias Cardiac Glycosides 735752 LANOXIN 0.25MG TABS Digoxin Tab 250 MCG (0.25 MG)

Dysrhythmias Cardiac Glycosides 758280 PURGOXIN 0.25MG TABS Digoxin Tab 250 MCG (0.25 MG)

Dysrhythmias Cardiac Glycosides 735760 LANOXIN 0.0625MG TABS Digoxin Tab 62.5 MCG (0.0625 MG)

Epilepsy Carbamazepine 769401 TEGRETOL 100MG/5ML SUSP Carbamazepine Susp 100 MG/5ML

Epilepsy Carbamazepine 712493 DEGRANOL 200MG TABS Carbamazepine Tab 200 MG

Epilepsy Carbamazepine 769398 TEGRETOL 200MG TABS Carbamazepine Tab 200 MG

Epilepsy Carbamazepine 715962 ZEPTOL 200MG TABS Carbamazepine Tab 200 MG

Epilepsy Clonazepam 761079 RIVOTRIL 0.5MG TABS Clonazepam Tab 0.5 MG

Epilepsy Clonazepam 761087 RIVOTRIL 2MG TABS Clonazepam Tab 2 MG

Epilepsy Other Anti-epileptics 710389 DYNA-LAMOTRIGINE 100MG TABS Lamotrigine Tab 100 MG

Epilepsy Other Anti-epileptics 704381 EPITEC 100MG TABS Lamotrigine Tab 100 MG

Epilepsy Other Anti-epileptics 722726 GIROTEC 100MG TABS Lamotrigine Tab 100 MG

Epilepsy Other Anti-epileptics 3000451 SERINEM 100MG TABS Lamotrigine Tab 100 MG

Epilepsy Other Anti-epileptics 710390 DYNA-LAMOTRIGINE 200MG TABS Lamotrigine Tab 200 MG

Epilepsy Other Anti-epileptics 704382 EPITEC 200MG TABS Lamotrigine Tab 200 MG

Epilepsy Other Anti-epileptics 722727 GIROTEC 200MG TABS Lamotrigine Tab 200 MG

Epilepsy Other Anti-epileptics 712217 LAMITOR 200MG TABS Lamotrigine Tab 200 MG

Epilepsy Other Anti-epileptics 3000452 SERINEM 200MG TABS Lamotrigine Tab 200 MG

Epilepsy Other Anti-epileptics 710387 DYNA-LAMOTRIGINE 25MG TABS Lamotrigine Tab 25 MG

Epilepsy Other Anti-epileptics 704379 EPITEC 25MG TABS Lamotrigine Tab 25 MG

Epilepsy Other Anti-epileptics 704486 LAMITOR 25MG TABS Lamotrigine Tab 25 MG

Epilepsy Other Anti-epileptics 3000448 SERINEM 25MG TABS Lamotrigine Tab 25 MG

Epilepsy Other Anti-epileptics 710388 DYNA-LAMOTRIGINE 50MG TABS Lamotrigine Tab 50 MG

Epilepsy Other Anti-epileptics 704380 EPITEC 50MG TABS Lamotrigine Tab 50 MG

Epilepsy Other Anti-epileptics 722725 GIROTEC 50MG TABS Lamotrigine Tab 50 MG

Epilepsy Other Anti-epileptics 718857 EPIMATE 100MG TABS Topiramate Tab 100 MG

Epilepsy Other Anti-epileptics 710901 EPITOZ 100MG TABS Topiramate Tab 100 MG

Epilepsy Other Anti-epileptics 716468 PAMIRAM 100MG TABS Topiramate Tab 100 MG

Epilepsy Other Anti-epileptics 715981 TOPALEX 100MG TABS Topiramate Tab 100 MG

Epilepsy Other Anti-epileptics 718291 TOPIROL 100MG TABS Topiramate Tab 100 MG

Epilepsy Other Anti-epileptics 708391 TOPLEP 100MG TABS Topiramate Tab 100 MG

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Epilepsy Other Anti-epileptics 718858 EPIMATE 200MG TABS Topiramate Tab 200 MG

Epilepsy Other Anti-epileptics 836753 TOPAMAX 200MG TABS Topiramate Tab 200 MG

Epilepsy Other Anti-epileptics 708392 TOPLEP 200MG TABS Topiramate Tab 200 MG

Epilepsy Other Anti-epileptics 718855 EPIMATE 25MG TABS Topiramate Tab 25 MG

Epilepsy Other Anti-epileptics 710899 EPITOZ 25MG TABS Topiramate Tab 25 MG

Epilepsy Other Anti-epileptics 716000 PAMIRAM 25MG TABS Topiramate Tab 25 MG

Epilepsy Other Anti-epileptics 715978 TOPALEX 25MG TABS Topiramate Tab 25 MG

Epilepsy Other Anti-epileptics 718288 TOPIROL 25MG TABS Topiramate Tab 25 MG

Epilepsy Other Anti-epileptics 708389 TOPLEP 25MG TABS Topiramate Tab 25 MG

Epilepsy Other Anti-epileptics 718856 EPIMATE 50MG TABS Topiramate Tab 50 MG

Epilepsy Other Anti-epileptics 710900 EPITOZ 50MG TABS Topiramate Tab 50 MG

Epilepsy Other Anti-epileptics 716001 PAMIRAM 50MG TABS Topiramate Tab 50 MG

Epilepsy Other Anti-epileptics 715979 TOPALEX 50MG TABS Topiramate Tab 50 MG

Epilepsy Other Anti-epileptics 718290 TOPIROL 50MG TABS Topiramate Tab 50 MG

Epilepsy Other Anti-epileptics 708390 TOPLEP 50MG TABS Topiramate Tab 50 MG

Epilepsy Other Anti-epileptics 780545 EPILIM 200MG/5ML LIQ Valproate Sodium Liqd 200 MG/5ML

Epilepsy Other Anti-epileptics 781541 CONVULEX 50MG/ML SYRValproate Sodium Oral Soln 250 MG/5ML

(Base Equiv)

Epilepsy Other Anti-epileptics 718274 EPILIZINE CR 200MG TABS Valproate Sodium Tab ER 200 MG

Epilepsy Other Anti-epileptics 721460 EPROLEP CR 200MG TABS Valproate Sodium Tab ER 200 MG

Epilepsy Other Anti-epileptics 718465 NAVALPRO CR 200MG TABS Valproate Sodium Tab ER 200 MG

Epilepsy Other Anti-epileptics 718275 EPILIZINE CR 300MG TABS Valproate Sodium Tab ER 300 MG

Epilepsy Other Anti-epileptics 720762 EPROLEP CR 300MG TABS Valproate Sodium Tab ER 300 MG

Epilepsy Other Anti-epileptics 718466 NAVALPRO CR 300MG TABS Valproate Sodium Tab ER 300 MG

Epilepsy Other Anti-epileptics 720026 VALEPTIC CR 300MG TABS Valproate Sodium Tab ER 300 MG

Epilepsy Other Anti-epileptics 718276 EPILIZINE CR 500MG TABS Valproate Sodium Tab ER 500 MG

Epilepsy Other Anti-epileptics 721055 EPROLEP CR 500MG TABS Valproate Sodium Tab ER 500 MG

Epilepsy Other Anti-epileptics 718468 NAVALPRO CR 500MG TABS Valproate Sodium Tab ER 500 MG

Epilepsy Other Anti-epileptics 720027 VALEPTIC CR 500MG TABS Valproate Sodium Tab ER 500 MG

Epilepsy Other Anti-epileptics 715980 CONVULEX 150MG CAPS Valproic Acid Cap 150 MG

Epilepsy Other Anti-epileptics 715999 CONVULEX 300MG CAPS Valproic Acid Cap 300 MG

Epilepsy Other Anti-epileptics 781568 CONVULEX 500MG CAPSValproic Acid Cap Delayed Release 500

MG

Epilepsy Phenytoin Sodium 754870 PHENYTOIN SOD 100MG TABS Phenytoin Sodium Prompt Tab 100 MG

Page 31: Moto Health Care Custom Chronic Formulary 2020. 1

Epilepsy Phenytoin Sodium 723533 EPANUTIN 125MG/5ML SUSP Phenytoin Sodium Susp 125 MG/5ML

Epilepsy Barbiturates 754803 ADCO-PHENOBARB VITAL*Phenobarbital w/ Vitamins Elixir 16

MG/5ML**

Epilepsy Barbiturates 737844 LETHYL 30MG TABS Phenobarbital Tab 30 MG

Epilepsy Barbiturates 814946 SEDABARB 30MG TABS Phenobarbital Tab 30 MG

Glaucoma Alpha Agonists for Glaucoma 709410 ALPHAGAN PURITE 1.5MG/1ML 5ML Brimonidine Tartrate Ophth Soln 0.15%

Glaucoma Alpha Agonists for Glaucoma 721293 BRIMOCT 2MG/1ML OPHTH DRP 5ML Brimonidine Tartrate Ophth Soln 0.2%

Glaucoma Beta Blockers for Glaucoma 819816 TIMOPTOL-XE .25% 2.5MLTimolol Maleate Ophth Gel Forming Soln

0.25%

Glaucoma Beta Blockers for Glaucoma 770833 TIMOPTOL 0.25% 5ML DROPS Timolol Maleate Ophth Soln 0.25%

Glaucoma Beta Blockers for Glaucoma 821624 GLAUCOSAN 0.5% 5ML Timolol Maleate Ophth Soln 0.5%

Glaucoma Beta Blockers for Glaucoma 720734 OCCUMOL 0.5% DROPS Timolol Maleate Ophth Soln 0.5%

GlaucomaCarbonic Anhydrase Inhibitors For

Glaucoma720983 GLAUCOPRESS 2% OPHT DRP 5ML Dorzolamide HCl Ophth Soln 2%

Glaucoma Combination Alpha Ag/Beta Bloc 709863 COMBIGAN 2MG/5MG 5ML OPDBrimonidine Tartrate-Timolol Maleate

Ophth Soln 0.2-0.5%

GlaucomaCombination Beta Blocker/CAI for

Glaucoma717260 AZARGA DROPS 5ML Brinzolamide-Timolol Ophth Susp 1-0.5%

GlaucomaCombination Beta Blocker/CAI for

Glaucoma721902 GLAUMIDE-CO 5ML DRP

Dorzolamide HCl-Timolol Maleate Ophth

Soln 22.3-6.8 MG/ML

GlaucomaCombination Beta

Blocker/Prostaglandin for Glaucom722712 CO-ATANA 2.5ML EYE DRP

Latanoprost-Timolol Maleate Ophth Soln

0.005-0.5%

Glaucoma Prostaglandins for Glaucoma 720971 ATANA 50MCG/ML OPHTH DRP 2.5ML Latanoprost Ophth Soln 0.005%

Glaucoma Prostaglandins for Glaucoma 723018 SPERSATAN 50MCG/ML 2.5ML Latanoprost Ophth Soln 0.005%

Hyperlipidaemia Aspirin 704642 SOLUSPIRIN 300MG DISP TABS Aspirin Disintegrating Tab 300 MG

Hyperlipidaemia Aspirin 706930 BAYER ASPIRIN TABS Aspirin Tab 300 MG

Hyperlipidaemia Aspirin 719673 DR DU TOITS PAIN EXPELLER 300M Aspirin Tab 300 MG

Hyperlipidaemia Aspirin 700909 GULF ASPIRIN 300MG TABS Aspirin Tab 300 MG

Hyperlipidaemia Fibrates 710122 DYNA-BEZAFIBRATE SR 400MG TABS Bezafibrate Tab ER 400 MG

Hyperlipidaemia Fibrates 828300 SANDOZ BEZAFIBRATE 400 CR TABS Bezafibrate Tab ER 400 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 701276 ADCO-SIMVASTATIN 10MG TABS Simvastatin Tab 10 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 706714 ASPEN SIMVASTATIN 10MG TABS Simvastatin Tab 10 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 705464 AUSTELL-SIMVASTATIN 10MG TABS Simvastatin Tab 10 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 715708 CHOLESTE 10MG TABS Simvastatin Tab 10 MG

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Hyperlipidaemia HMG-CoA Reductase Inhibitors 708307 CIPLA-SIMVASTATIN 10MG TABS Simvastatin Tab 10 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 710868 NOVATIN 10MG TABS Simvastatin Tab 10 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 710826 ZYSIM 10MG TABS Simvastatin Tab 10 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 701279 ADCO-SIMVASTATIN 20MG TABS Simvastatin Tab 20 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 706715 ASPEN SIMVASTATIN 20MG TABS Simvastatin Tab 20 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 705465 AUSTELL-SIMVASTATIN 20MG TABS Simvastatin Tab 20 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 714705 CHOLESTE 20MG TABS Simvastatin Tab 20 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 708308 CIPLA-SIMVASTATIN 20MG TABS Simvastatin Tab 20 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 710827 ZYSIM 20MG TABS Simvastatin Tab 20 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 701281 ADCO-SIMVASTATIN 40MG TABS Simvastatin Tab 40 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 705467 AUSTELL-SIMVASTATIN 40MG TABS Simvastatin Tab 40 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 714706 CHOLESTE 40MG TABS Simvastatin Tab 40 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 710511 CIPLA-SIMVASTATIN 40MG TABS Simvastatin Tab 40 MG

Hyperlipidaemia HMG-CoA Reductase Inhibitors 710870 NOVATIN 40MG TABS Simvastatin Tab 40 MG

HypertensionACE Inhibitor/Diuretic

Combinations885019 PHARMAPRESS CO TABS

Enalapril Maleate & Hydrochlorothiazide

Tab 20-12.5 MG

HypertensionACE Inhibitor/Diuretic

Combinations704437 LISORETIC 10/HCTZ TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

HypertensionACE Inhibitor/Diuretic

Combinations707292 LISOZIDE 10MG/12.5MG TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

HypertensionACE Inhibitor/Diuretic

Combinations817848 ZESTORETIC 10MG TABS

Lisinopril & Hydrochlorothiazide Tab 10-

12.5 MG

HypertensionACE Inhibitor/Diuretic

Combinations716945 LISINOPRIL CO UNICORN 20/12.5M

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

HypertensionACE Inhibitor/Diuretic

Combinations704438 LISORETIC 20/HCTZ TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

HypertensionACE Inhibitor/Diuretic

Combinations707291 LISOZIDE 20MG/12.5MG TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

HypertensionACE Inhibitor/Diuretic

Combinations797685 ZESTORETIC 20MG TABS

Lisinopril & Hydrochlorothiazide Tab 20-

12.5 MG

Hypertension Single ACE Inhibitors 837628 CAPTOHEXAL 12.5MG TABS Captopril Tab 12.5 MG

Hypertension Single ACE Inhibitors 852333 ACETEN 25MG TABS Captopril Tab 25 MG

Hypertension Single ACE Inhibitors 836451 ADCO-CAPTOMAX 25MG TABS Captopril Tab 25 MG

Hypertension Single ACE Inhibitors 852619 MYLAN CAPTOPRIL 25MG TABS Captopril Tab 25 MG

Hypertension Single ACE Inhibitors 836478 ADCO-CAPTOMAX 50MG TABS Captopril Tab 50 MG

Hypertension Single ACE Inhibitors 899429 MYLAN CAPTOPRIL 50MG TABS Captopril Tab 50 MG

Hypertension Single ACE Inhibitors 886843 ADCO-ENALAPRIL 10MG TABS Enalapril Maleate Tab 10 MG

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Hypertension Single ACE Inhibitors 881481 ALAPREN 10MG TABS Enalapril Maleate Tab 10 MG

Hypertension Single ACE Inhibitors 723157 ENALAPRIL BIOTECH 10MG TABS Enalapril Maleate Tab 10 MG

Hypertension Single ACE Inhibitors 868914 PHARMAPRESS 10MG TABS Enalapril Maleate Tab 10 MG

Hypertension Single ACE Inhibitors 886851 ADCO-ENALAPRIL 20MG TABS Enalapril Maleate Tab 20 MG

Hypertension Single ACE Inhibitors 881503 ALAPREN 20MG TABS Enalapril Maleate Tab 20 MG

Hypertension Single ACE Inhibitors 723159 ENALAPRIL BIOTECH 20MG TABS Enalapril Maleate Tab 20 MG

Hypertension Single ACE Inhibitors 867861 HR-ENALAPRIL 20MG TABS Enalapril Maleate Tab 20 MG

Hypertension Single ACE Inhibitors 881473 ALAPREN 5MG TABS Enalapril Maleate Tab 5 MG

Hypertension Single ACE Inhibitors 723156 ENALAPRIL BIOTECH 5MG TABS Enalapril Maleate Tab 5 MG

Hypertension Single ACE Inhibitors 712762 ENVAS 5MG TABS Enalapril Maleate Tab 5 MG

Hypertension Single ACE Inhibitors 862622 HYPACE 5MG TABS Enalapril Maleate Tab 5 MG

Hypertension Single ACE Inhibitors 708109 PHARMAPRESS 5MG TABS Enalapril Maleate Tab 5 MG

Hypertension Single ACE Inhibitors 862053 ADCO-ZETOMAX 10MG TABS Lisinopril Tab 10 MG

Hypertension Single ACE Inhibitors 712598 AUSTELL-LISINOPRIL 10MG TABS Lisinopril Tab 10 MG

Hypertension Single ACE Inhibitors 3000547 LISO 10MG TABS Lisinopril Tab 10 MG

Hypertension Single ACE Inhibitors 714678 LIZRO 10MG TABS Lisinopril Tab 10 MG

Hypertension Single ACE Inhibitors 700692 SINOPREN 10MG TABS Lisinopril Tab 10 MG

Hypertension Single ACE Inhibitors 781703 ZESTRIL 10MG TABS Lisinopril Tab 10 MG

Hypertension Single ACE Inhibitors 862061 ADCO-ZETOMAX 20MG TABS Lisinopril Tab 20 MG

Hypertension Single ACE Inhibitors 708189 AUSTELL-LISINOPRIL 20MG TABS Lisinopril Tab 20 MG

Hypertension Single ACE Inhibitors 3000548 LISO 20MG TABS Lisinopril Tab 20 MG

Hypertension Single ACE Inhibitors 714679 LIZRO 20MG TABS Lisinopril Tab 20 MG

Hypertension Single ACE Inhibitors 700694 SINOPREN 20MG TABS Lisinopril Tab 20 MG

Hypertension Single ACE Inhibitors 781711 ZESTRIL 20MG TABS Lisinopril Tab 20 MG

Hypertension Single ACE Inhibitors 862045 ADCO-ZETOMAX 5MG TABS Lisinopril Tab 5 MG

Hypertension Single ACE Inhibitors 3000546 LISO 5MG TABS Lisinopril Tab 5 MG

Hypertension Single ACE Inhibitors 714677 LIZRO 5MG TABS Lisinopril Tab 5 MG

Hypertension Single ACE Inhibitors 700691 SINOPREN 5MG TABS Lisinopril Tab 5 MG

Hypertension Single ACE Inhibitors 781681 ZESTRIL 5MG TABS Lisinopril Tab 5 MG

HypertensionAlpha-receptor Blockers for

HT/BPH701425 CARDUGEN 1MG TABS Doxazosin Mesylate Tab 1 MG

HypertensionAlpha-receptor Blockers for

HT/BPH701426 CARDUGEN 4MG TABS Doxazosin Mesylate Tab 4 MG

HypertensionAlpha-receptor Blockers for

HT/BPH3000184 URODOXA 4MG TABS Doxazosin Mesylate Tab 4 MG

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Hypertension Other Beta-receptor Blockers 786586 ADCO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Hypertension Other Beta-receptor Blockers 704651 B-BLOCK 100MG TABS Atenolol Tab 100 MG

Hypertension Other Beta-receptor Blockers 826901 BIO-ATENOLOL 100MG TABS Atenolol Tab 100 MG

Hypertension Other Beta-receptor Blockers 715626 GULF ATENOLOL 100MG TABS Atenolol Tab 100 MG

Hypertension Other Beta-receptor Blockers 705873 TENOPRESS 100MG TABS Atenolol Tab 100 MG

Hypertension Other Beta-receptor Blockers 705872 TENOPRESS 25MG TABS Atenolol Tab 25 MG

Hypertension Other Beta-receptor Blockers 797693 TENORMIN 25MG TABS Atenolol Tab 25 MG

Hypertension Other Beta-receptor Blockers 786578 ADCO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Hypertension Other Beta-receptor Blockers 826898 BIO-ATENOLOL 50MG TABS Atenolol Tab 50 MG

Hypertension Other Beta-receptor Blockers 705874 TENOPRESS 50MG TABS Atenolol Tab 50 MG

Hypertension Other Beta-receptor Blockers 719656 ZETENOL 50MG TABS Atenolol Tab 50 MG

Hypertension Propranolol 732567 INDERAL 10MG TABS Propranolol HCl Tab 10 MG

Hypertension Propranolol 806552 INDOBLOK 10MG TABS Propranolol HCl Tab 10 MG

Hypertension Propranolol 806560 INDOBLOK 40MG TABS Propranolol HCl Tab 40 MG

Hypertension Propranolol 758167 PUR-BLOKA 40MG TABS Propranolol HCl Tab 40 MG

Hypertension Calcium Channel Blockers 710238 AMLODIPINE 10MG PHARMA DYNAMICAmlodipine Besylate Tab 10 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 723784 AMLODIPINE UNICORN 10MG TABSAmlodipine Besylate Tab 10 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 713972 AMTAS 10MG TABSAmlodipine Besylate Tab 10 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 714311 APRATE 10MG TABSAmlodipine Besylate Tab 10 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 708095 AUSTELL AMLODIPINE 10MG TABSAmlodipine Besylate Tab 10 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 708152 CIPLAVASC 10MG TABSAmlodipine Besylate Tab 10 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 712954 GULF AMLODIPINE 10MG TABSAmlodipine Besylate Tab 10 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 708353 LOMANOR 10MG TABSAmlodipine Besylate Tab 10 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 708191 NORCARD 10MG TABSAmlodipine Besylate Tab 10 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 707980 PENDINE 10MG TABSAmlodipine Besylate Tab 10 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 723783 AMLODIPINE UNICORN 5MG TABSAmlodipine Besylate Tab 5 MG (Base

Equivalent)

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Hypertension Calcium Channel Blockers 713971 AMTAS 5MG TABSAmlodipine Besylate Tab 5 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 714310 APRATE 5MG TABSAmlodipine Besylate Tab 5 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 708150 CIPLAVASC 5MG TABSAmlodipine Besylate Tab 5 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 712953 GULF AMLODIPINE 5MG TABSAmlodipine Besylate Tab 5 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 708162 KLODIP 5MG TABSAmlodipine Besylate Tab 5 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 708352 LOMANOR 5MG TABSAmlodipine Besylate Tab 5 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 707979 PENDINE 5MG TABSAmlodipine Besylate Tab 5 MG (Base

Equivalent)

Hypertension Calcium Channel Blockers 864153 CIPALAT RETARD 20MG TABS Nifedipine Tab ER 12HR 20 MG

Hypertension Calcium Channel Blockers 774944 VASOMIL 40MG TABS Verapamil HCl Tab 40 MG

Hypertension Calcium Channel Blockers 774952 VASOMIL 80MG TABS Verapamil HCl Tab 80 MG

Hypertension Calcium Channel Blockers 813354 CALCICARD SR 240MG Verapamil HCl Tab ER 240 MG

Hypertension Calcium Channel Blockers 819573 RAVAMIL SR 240MG TABS Verapamil HCl Tab ER 240 MG

Hypertension Calcium Channel Blockers 700071 VERAHEXAL 240 SR TABS Verapamil HCl Tab ER 240 MG

Hypertension Central Acting Anti-hypertensives 785962 MYLAN METHYLDOPA 250MG TABS Methyldopa Tab 250 MG

Hypertension Direct Acting Vasodilators 731714 HYPERPHEN 10MG TABS Hydralazine HCl Tab 10 MG

Hypertension Direct Acting Vasodilators 761400 SANDOZ HYDRALAZINE 25MG TABS Hydralazine HCl Tab 25 MG

Hypertension Direct Acting Vasodilators 731722 HYPERPHEN 50MG TABS Hydralazine HCl Tab 50 MG

Hypertension Loop Diuretics 821845 BEURESIS 40MG TABS Furosemide Tab 40 MG

Hypertension Loop Diuretics 716048 DINO-RETIC 40MG TABS Furosemide Tab 40 MG

Hypertension Loop Diuretics 705967 DIURESIX 40MG TABS Furosemide Tab 40 MG

Hypertension Loop Diuretics 857769 MYLAN FUROSEMIDE 40 MG TABS Furosemide Tab 40 MG

Hypertension Loop Diuretics 758272 PURESIS 40MG TABS Furosemide Tab 40 MG

Hypertension Potassium Sparing Diuretics 701793 ALDACTONE 25MG TABS Spironolactone Tab 25 MG

Hypertension Potassium Sparing Diuretics 769665 SANDOZ SPIRONOLACTONE 25MG Spironolactone Tab 25 MG

Hypertension Thiazide/Related Diuretics 710437 RIDAQ 12.5MG TABS Hydrochlorothiazide Tab 12.5 MG

Hypertension Thiazide/Related Diuretics 890470 HEXAZIDE 25MG TABS Hydrochlorothiazide Tab 25 MG

Hypertension Thiazide/Related Diuretics 819417 ADCO-DAPAMAX 2.5MG TABS Indapamide Tab 2.5 MG

Hypertension Thiazide/Related Diuretics 700820 CATEXAN 2.5MG Indapamide Tab 2.5 MG

Hypertension Thiazide/Related Diuretics 710313 CIPLA-INDAPAMIDE 2.5MG TABS Indapamide Tab 2.5 MG

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Hypertension Thiazide/Related Diuretics 833045 DAPTRIL 2.5MG TABS Indapamide Tab 2.5 MG

Hypertension Thiazide/Related Diuretics 703329 MYLAN INDAPAMIDE 2.5 TABS Indapamide Tab 2.5 MG

Hypertension Ethical Potassium 718911 ULTIPOT 600MG SR TABSPotassium Chloride Tab ER 8 mEq (600

MG)

Hypothyroidism Agents for Hypothyroidism 713169 EUTHYROX 100MCG TABS Levothyroxine Sodium Tab 100 MCG

Hypothyroidism Agents for Hypothyroidism 723172 ELTROXIN 200MCG TABS NEW FORMU Levothyroxine Sodium Tab 200 MCG

Hypothyroidism Agents for Hypothyroidism 713172 EUTHYROX 25MCG TABS Levothyroxine Sodium Tab 25 MCG

Hypothyroidism Agents for Hypothyroidism 713168 EUTHYROX 50MCG TABS Levothyroxine Sodium Tab 50 MCG

Hypothyroidism Agents for Hypothyroidism 723170 ELTROXIN 75MCG TABS NEW FORMUL Levothyroxine Sodium Tab 75 MCG

Menopause Oral Oestrogens 822477 ESTRO-PAUSE 1MG TABS Estradiol Valerate Tab 1 MG

Menopause Oral Oestrogens 757330 PROGYNOVA 1MG TABS Estradiol Valerate Tab 1 MG

Menopause Oral Oestrogens 822485 ESTRO-PAUSE 2MG TABS Estradiol Valerate Tab 2 MG

Menopause Oral Oestrogens 757349 PROGYNOVA 2MG TABS Estradiol Valerate Tab 2 MG

Menopause Oral Oestrogens 756725 PREMARIN 0.3MG TABS Estrogens, Conjugated Tab 0.3 MG

Menopause Oral Oestrogens 756733 PREMARIN 0.625MG TABS Estrogens, Conjugated Tab 0.625 MG

Menopause Oral Oestrogens 756741 PREMARIN 1.25MG TABS Estrogens, Conjugated Tab 1.25 MG

Menopause Oral Progestogens 808245 PROVERA 10MG TABSMedroxyprogesterone Acetate Tab 10

MG

Menopause Oral Progestogens 757934 PROVERA 5MG TABS Medroxyprogesterone Acetate Tab 5 MG

Menopause HRT Combinations 822493 ESTRO-PAUSE N TABSEstradiol Val 1 MG (16) & Estradiol-

Norethin Tab 1-1 MG (12)

Multiple sclerosis Oral Anti-cholinergics 872253 LENDITRO 5MG TABS Oxybutynin Chloride Tab 5 MG

Multiple sclerosis Oral Anti-cholinergics 701893 MYLAN OXYBUTYNIN HCL 5MG TABS Oxybutynin Chloride Tab 5 MG

Multiple sclerosis Oral Anti-cholinergics 722063 OXYREST 5MG TABS Oxybutynin Chloride Tab 5 MG

Multiple sclerosis Carbamazepine 769401 TEGRETOL 100MG/5ML SUSP Carbamazepine Susp 100 MG/5ML

Multiple sclerosis Carbamazepine 712493 DEGRANOL 200MG TABS Carbamazepine Tab 200 MG

Multiple sclerosis Carbamazepine 769398 TEGRETOL 200MG TABS Carbamazepine Tab 200 MG

Multiple sclerosis Carbamazepine 715962 ZEPTOL 200MG TABS Carbamazepine Tab 200 MG

Multiple sclerosis Clonazepam 761079 RIVOTRIL 0.5MG TABS Clonazepam Tab 0.5 MG

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Multiple sclerosis Clonazepam 761087 RIVOTRIL 2MG TABS Clonazepam Tab 2 MG

Multiple sclerosis Other Anti-epileptics 710389 DYNA-LAMOTRIGINE 100MG TABS Lamotrigine Tab 100 MG

Multiple sclerosis Other Anti-epileptics 704381 EPITEC 100MG TABS Lamotrigine Tab 100 MG

Multiple sclerosis Other Anti-epileptics 722726 GIROTEC 100MG TABS Lamotrigine Tab 100 MG

Multiple sclerosis Other Anti-epileptics 3000451 SERINEM 100MG TABS Lamotrigine Tab 100 MG

Multiple sclerosis Other Anti-epileptics 710390 DYNA-LAMOTRIGINE 200MG TABS Lamotrigine Tab 200 MG

Multiple sclerosis Other Anti-epileptics 704382 EPITEC 200MG TABS Lamotrigine Tab 200 MG

Multiple sclerosis Other Anti-epileptics 722727 GIROTEC 200MG TABS Lamotrigine Tab 200 MG

Multiple sclerosis Other Anti-epileptics 712217 LAMITOR 200MG TABS Lamotrigine Tab 200 MG

Multiple sclerosis Other Anti-epileptics 3000452 SERINEM 200MG TABS Lamotrigine Tab 200 MG

Multiple sclerosis Other Anti-epileptics 710387 DYNA-LAMOTRIGINE 25MG TABS Lamotrigine Tab 25 MG

Multiple sclerosis Other Anti-epileptics 704379 EPITEC 25MG TABS Lamotrigine Tab 25 MG

Multiple sclerosis Other Anti-epileptics 704486 LAMITOR 25MG TABS Lamotrigine Tab 25 MG

Multiple sclerosis Other Anti-epileptics 3000448 SERINEM 25MG TABS Lamotrigine Tab 25 MG

Multiple sclerosis Other Anti-epileptics 710388 DYNA-LAMOTRIGINE 50MG TABS Lamotrigine Tab 50 MG

Multiple sclerosis Other Anti-epileptics 704380 EPITEC 50MG TABS Lamotrigine Tab 50 MG

Multiple sclerosis Other Anti-epileptics 722725 GIROTEC 50MG TABS Lamotrigine Tab 50 MG

Multiple sclerosis Other Anti-epileptics 704487 LAMITOR 50MG TABS Lamotrigine Tab 50 MG

Multiple sclerosis Other Anti-epileptics 3000449 SERINEM 50MG TABS Lamotrigine Tab 50 MG

Multiple sclerosis Anxiolytic Benzodiazepines 753181 PAX 10MG TABS Diazepam Tab 10 MG

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Multiple sclerosis Anxiolytic Benzodiazepines 708062 BETAPAM 5MG TABS Diazepam Tab 5 MG

Multiple sclerosis Anxiolytic Benzodiazepines 721174 DOVAL 5MG TABS Diazepam Tab 5 MG

Multiple sclerosis Centrally Acting Muscle Relaxants 722015 ASPEN BACLOFEN 10MG TABS Baclofen Tab 10 MG

Multiple sclerosis Centrally Acting Muscle Relaxants 865567 BIO-BACLOFEN 10MG TABS Baclofen Tab 10 MG

Multiple sclerosis Centrally Acting Muscle Relaxants 712607 TEVA BACLOFEN 10MG TABS Baclofen Tab 10 MG

Multiple sclerosis Centrally Acting Muscle Relaxants 738352 LIORESAL 25MG TABS Baclofen Tab 25 MG

Multiple sclerosis Bulk Forming Laxatives 708411 FIBRELLE CAPS Psyllium Cap 435 MG

Multiple sclerosis Bulk Forming Laxatives 834750 AGIOBULK GRAN Psyllium Granules 67%

Multiple sclerosis Lactulose Laxatives 708722 ACULAX 3.3G/5ML SYRUP Lactulose Solution 10 GM/15ML

Multiple sclerosis Lactulose Laxatives 717972 ANLAC SYRP Lactulose Solution 10 GM/15ML

Multiple sclerosis Stimulant Laxatives 715545 FRESHEN BISACODYL LAXATIVE Bisacodyl Tab Delayed Release 5 MG

Multiple sclerosis Stimulant Laxatives 708008 LAXADOR BISACODYL 5MG TABS Bisacodyl Tab Delayed Release 5 MG

Multiple sclerosis Stimulant Laxatives 723016 PURITONE BISACODYL LAXATIVE 5MG Bisacodyl Tab Delayed Release 5 MG

Multiple sclerosis Stimulant Laxatives 834769 AGIOLAX GRAN Senna-Psyllium Granules 12.4-54.2%

Multiple sclerosis Stimulant Laxatives 868078 SOFLAX TABS Sennosides Tab 13.5 MG

Multiple sclerosis Other Analgesics 710250 AUSTELL-TRAMADOL 50MG CAPS Tramadol HCl Cap 50 MG

Multiple sclerosis Other Analgesics 705379 DOLOTRAM 50MG CAPS Tramadol HCl Cap 50 MG

Multiple sclerosis Other Analgesics 705175 DOMADOL 50MG CAPS Tramadol HCl Cap 50 MG

Multiple sclerosis Other Analgesics 864900 TRAMAHEXAL 50MG CAPS Tramadol HCl Cap 50 MG

Multiple sclerosis Other Analgesics 717391 TRAMASPEN 50MG CAPS Tramadol HCl Cap 50 MG

Page 39: Moto Health Care Custom Chronic Formulary 2020. 1

Multiple sclerosis Other Analgesics 706475 TRAMAZAC 50MG CAPS Tramadol HCl Cap 50 MG

Multiple sclerosis Quinolones 704353 AUSTELL CIPROFLOX 250MG TABSCiprofloxacin HCl Tab 250 MG (Base

Equiv)

Multiple sclerosis Quinolones 713792 BIOTECH CIPROFLOXACIN 250MGCiprofloxacin HCl Tab 250 MG (Base

Equiv)

Multiple sclerosis Quinolones 703043 CIPROGEN 250MG TABSCiprofloxacin HCl Tab 250 MG (Base

Equiv)

Multiple sclerosis Quinolones 700284 CPL ALLIANCE CIPROFLOXACIN 250Ciprofloxacin HCl Tab 250 MG (Base

Equiv)

Multiple sclerosis Quinolones 713361 LOXIP 250MG TABSCiprofloxacin HCl Tab 250 MG (Base

Equiv)

Multiple sclerosis Quinolones 702524 FLOXIN 400MG TABS Norfloxacin Tab 400 MG

Multiple sclerosis Quinolones 716516 NORFLOXACIN ACTOR 400MG TABS Norfloxacin Tab 400 MG

Multiple sclerosis Quinolones 717382 UTIFLOXA 400MG TABS Norfloxacin Tab 400 MG

Multiple sclerosis Tricyclics 772003 TREPILINE 10MG TABS Amitriptyline HCl Tab 10 MG

Multiple sclerosis Tricyclics 718746 GULF AMITRIPTYLINE 25MG TABS Amitriptyline HCl Tab 25 MG

Multiple sclerosis Tricyclics 784230 SANDOZ AMITRIPTYL 25MG TABS Amitriptyline HCl Tab 25 MG

Multiple sclerosis Tricyclics 724661 ETHIPRAMINE 10MG TABS Imipramine HCl Tab 10 MG

Multiple sclerosis Tricyclics 724688 ETHIPRAMINE 25MG TABS Imipramine HCl Tab 25 MG

Osteoarthritis Paracetamol 704465 PAINOGESIC TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 704643 CETAPON TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 714707 PYNGESIC T 500MG TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 717725 ACTAMOL 500MG TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 745723 ADCO-NAPAMOL 500MG TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 752878 PARAPANE 500MG TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 757403 ADCO-PROLIEF 500MG TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 799629 PAINAMOL GREEN 500MG TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 805467 ANTALGIC 500MG TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 824992 GENCETAMOL 500MG TABS Acetaminophen Tab 500 MG

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Osteoarthritis Paracetamol 867950 GULF PARACETAMOL 500MG TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 885863 VON PARACETAMOL TABS Acetaminophen Tab 500 MG

Osteoarthritis Paracetamol 894212 JP PARACETAMOL TABS Acetaminophen Tab 500 MG

Osteoarthritis COX Inhibitors 718479 DICLOFENAC BIOTECH 25MG TABSDiclofenac Sodium Tab Delayed Release

25 MG

Osteoarthritis COX Inhibitors 786012 MYLAN DICLOFENAC 25 MG TABSDiclofenac Sodium Tab Delayed Release

25 MG

Osteoarthritis COX Inhibitors 786594 ADCO-DICLOFENAC 25MG TABSDiclofenac Sodium Tab Delayed Release

25 MG

Osteoarthritis COX Inhibitors 893390 A-LENNON DICLOFENAC 25MG TABSDiclofenac Sodium Tab Delayed Release

25 MG

Osteoarthritis COX Inhibitors 752398 PANAMOR AT 50MG TABSDiclofenac Sodium Tab Delayed Release

50 MG

Osteoarthritis COX Inhibitors 786020 MYLAN DICLOFENAC 50MG TABSDiclofenac Sodium Tab Delayed Release

50 MG

Osteoarthritis COX Inhibitors 788597 ADCO-DICLOFENAC 50MG TABSDiclofenac Sodium Tab Delayed Release

50 MG

Osteoarthritis COX Inhibitors 893391 A-LENNON DICLOFENAC 50MG TABSDiclofenac Sodium Tab Delayed Release

50 MG

Osteoarthritis COX Inhibitors 705940 IBU 200MG TABS Ibuprofen Tab 200 MG

Osteoarthritis COX Inhibitors 708536 IBUSOR 200MG TABS Ibuprofen Tab 200 MG

Osteoarthritis COX Inhibitors 733741 INZA 200MG TABS Ibuprofen Tab 200 MG

Osteoarthritis COX Inhibitors 787426 BETAPROFEN 200MG TABS Ibuprofen Tab 200 MG

Osteoarthritis COX Inhibitors 824852 RANFEN 200MG TABS Ibuprofen Tab 200 MG

Osteoarthritis COX Inhibitors 868221 IBUNATE 200MG TABS Ibuprofen Tab 200 MG

Osteoarthritis COX Inhibitors 895196 IBOFLAM 200MG TABS Ibuprofen Tab 200 MG

Osteoarthritis COX Inhibitors 701654 RANFEN 400MG TABS Ibuprofen Tab 400 MG

Osteoarthritis COX Inhibitors 701975 BETAPROFEN 400 TABS Ibuprofen Tab 400 MG

Osteoarthritis COX Inhibitors 708290 BREN 400MG TABS Ibuprofen Tab 400 MG

Osteoarthritis COX Inhibitors 733768 INZA 400MG TABS Ibuprofen Tab 400 MG

Osteoarthritis COX Inhibitors 701891 AMDOCIN 25MG CAPS Indomethacin Cap 25 MG

Osteoarthritis COX Inhibitors 704776 SANDOZ INDOMETHACIN 25MG CAPS Indomethacin Cap 25 MG

Osteoarthritis COX Inhibitors 787833 BETACIN 25MG CAPS Indomethacin Cap 25 MG

Osteoarthritis COX Inhibitors 814393 METHOCAPS 25MG CAPS Indomethacin Cap 25 MG

Osteoarthritis COX Inhibitors 868213 GULF INDOMETHACIN 25MG CAPS Indomethacin Cap 25 MG

Parkinson disease Anti-Parkinson Anti-cholinergics 701491 AKINETON 2MG TABS Biperiden HCl Tab 2 MG

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Parkinson disease Anti-Parkinson Anti-cholinergics 720542 DISIPAL 50MG TABS Orphenadrine HCl Tab 50 MG

Parkinson disease Anti-Parkinson Anti-cholinergics 713210 BENZHEXOL 2MG TABS Trihexyphenidyl HCl Tab 2 MG

Parkinson disease Centrally Acting Muscle Relaxants 747521 NORFLEX 100MG TABS Orphenadrine Citrate Tab 100 MG

Parkinson disease Anti-Parkinson Dopaminergics 824321 CARBILEV 25/100 TABS Carbidopa & Levodopa Tab 25-100 MG

Parkinson disease Anti-Parkinson Dopaminergics 3000000 LECARDOP 25/100MG TABS Carbidopa & Levodopa Tab 25-100 MG

Parkinson disease Anti-Parkinson Dopaminergics 710286 TEVA CARBI-LEVO 25/100 TABS Carbidopa & Levodopa Tab 25-100 MG

Parkinson disease Anti-Parkinson Dopaminergics 824348 CARBILEV 25/250 TABS Carbidopa & Levodopa Tab 25-250 MG

Parkinson disease Anti-Parkinson Dopaminergics 3000001 LECARDOP 25/250MG TABS Carbidopa & Levodopa Tab 25-250 MG

Parkinson disease Anti-Parkinson Dopaminergics 710468 TEVA CARBI-LEVO 25/250 TABS Carbidopa & Levodopa Tab 25-250 MG

Rheumatoid

arthritisCOX Inhibitors 700315 IBUCINE SUSP Ibuprofen Susp 100 MG/5ML

Rheumatoid

arthritisCOX Inhibitors 704781 IBUGESIC 100MG/5ML SUSP Ibuprofen Susp 100 MG/5ML

Rheumatoid

arthritisCOX Inhibitors 721335 INFLAMAX PAED 100MG/5ML SUSP Ibuprofen Susp 100 MG/5ML

Rheumatoid

arthritisParacetamol 717725 ACTAMOL 500MG TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 745723 ADCO-NAPAMOL 500MG TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 757403 ADCO-PROLIEF 500MG TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 805467 ANTALGIC 500MG TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 704643 CETAPON TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 824992 GENCETAMOL 500MG TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 867950 GULF PARACETAMOL 500MG TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 894212 JP PARACETAMOL TABS Acetaminophen Tab 500 MG

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Rheumatoid

arthritisParacetamol 799629 PAINAMOL GREEN 500MG TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 704465 PAINOGESIC TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 752878 PARAPANE 500MG TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 714707 PYNGESIC T 500MG TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisParacetamol 885863 VON PARACETAMOL TABS Acetaminophen Tab 500 MG

Rheumatoid

arthritisChloroquine 794333 PLASMOQUINE 200MG CAPS Chloroquine Sulfate Cap 200 MG

Rheumatoid

arthritisChloroquine 878790 MIRQUIN SYR

Chloroquine Sulfate Syrup 50 MG/5ML

(Base Equivalent)

Rheumatoid

arthritisGlucocorticosteroids 826936 BETANOID 0.6MG/5ML SYR Betamethasone Syrup 0.6 MG/5ML

Rheumatoid

arthritisGlucocorticosteroids 797596 STEROMIEN 0.6MG/5ML SYR Betamethasone Syrup 0.6 MG/5ML

Rheumatoid

arthritisGlucocorticosteroids 788783 BE-TABS PREDNISONE 5MG TABS Prednisone Tab 5 MG

Rheumatoid

arthritisGlucocorticosteroids 752304 PANAFCORT 5MG TABS Prednisone Tab 5 MG

Rheumatoid

arthritisGlucocorticosteroids 818267 TROLIC 5MG TABS Prednisone Tab 5 MG

Rheumatoid

arthritisCOX Inhibitors 786594 ADCO-DICLOFENAC 25MG TABS

Diclofenac Sodium Tab Delayed Release

25 MG

Rheumatoid

arthritisCOX Inhibitors 893390 A-LENNON DICLOFENAC 25MG TABS

Diclofenac Sodium Tab Delayed Release

25 MG

Rheumatoid

arthritisCOX Inhibitors 718479 DICLOFENAC BIOTECH 25MG TABS

Diclofenac Sodium Tab Delayed Release

25 MG

Rheumatoid

arthritisCOX Inhibitors 786012 MYLAN DICLOFENAC 25 MG TABS

Diclofenac Sodium Tab Delayed Release

25 MG

Rheumatoid

arthritisCOX Inhibitors 788597 ADCO-DICLOFENAC 50MG TABS

Diclofenac Sodium Tab Delayed Release

50 MG

Rheumatoid

arthritisCOX Inhibitors 893391 A-LENNON DICLOFENAC 50MG TABS

Diclofenac Sodium Tab Delayed Release

50 MG

Rheumatoid

arthritisCOX Inhibitors 786020 MYLAN DICLOFENAC 50MG TABS

Diclofenac Sodium Tab Delayed Release

50 MG

Rheumatoid

arthritisCOX Inhibitors 752398 PANAMOR AT 50MG TABS

Diclofenac Sodium Tab Delayed Release

50 MG

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Rheumatoid

arthritisCOX Inhibitors 787426 BETAPROFEN 200MG TABS Ibuprofen Tab 200 MG

Rheumatoid

arthritisCOX Inhibitors 895196 IBOFLAM 200MG TABS Ibuprofen Tab 200 MG

Rheumatoid

arthritisCOX Inhibitors 705940 IBU 200MG TABS Ibuprofen Tab 200 MG

Rheumatoid

arthritisCOX Inhibitors 868221 IBUNATE 200MG TABS Ibuprofen Tab 200 MG

Rheumatoid

arthritisCOX Inhibitors 708536 IBUSOR 200MG TABS Ibuprofen Tab 200 MG

Rheumatoid

arthritisCOX Inhibitors 733741 INZA 200MG TABS Ibuprofen Tab 200 MG

Rheumatoid

arthritisCOX Inhibitors 824852 RANFEN 200MG TABS Ibuprofen Tab 200 MG

Rheumatoid

arthritisCOX Inhibitors 701975 BETAPROFEN 400 TABS Ibuprofen Tab 400 MG

Rheumatoid

arthritisCOX Inhibitors 708290 BREN 400MG TABS Ibuprofen Tab 400 MG

Rheumatoid

arthritisCOX Inhibitors 733768 INZA 400MG TABS Ibuprofen Tab 400 MG

Rheumatoid

arthritisCOX Inhibitors 701654 RANFEN 400MG TABS Ibuprofen Tab 400 MG

Rheumatoid

arthritisCOX Inhibitors 701891 AMDOCIN 25MG CAPS Indomethacin Cap 25 MG

Rheumatoid

arthritisCOX Inhibitors 787833 BETACIN 25MG CAPS Indomethacin Cap 25 MG

Rheumatoid

arthritisCOX Inhibitors 868213 GULF INDOMETHACIN 25MG CAPS Indomethacin Cap 25 MG

Rheumatoid

arthritisCOX Inhibitors 814393 METHOCAPS 25MG CAPS Indomethacin Cap 25 MG

Rheumatoid

arthritisCOX Inhibitors 704776 SANDOZ INDOMETHACIN 25MG CAPS Indomethacin Cap 25 MG

Rheumatoid

arthritisOral Methotrexate 712504 ABITREXATE 2.5MG TABS Methotrexate Tab 2.5 MG

Rheumatoid

arthritisSalazopyrin Plain 762008 SALAZOPYRIN 500MG TABS Sulfasalazine Tab 500 MG

Rheumatoid

arthritisRheumatoid Arthritis Agents 762016 SALAZOPYRIN-EN 500MG TABS

Sulfasalazine Tab Delayed Release 500

MG

Rheumatoid

arthritisEthical Folic Acid 810967 BE-TABS FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

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Rheumatoid

arthritisEthical Folic Acid 711922 FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

Rheumatoid

arthritisEthical Folic Acid 720727 GULF FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

Schizophrenia Carbamazepine 769401 TEGRETOL 100MG/5ML SUSP Carbamazepine Susp 100 MG/5ML

Schizophrenia Carbamazepine 712493 DEGRANOL 200MG TABS Carbamazepine Tab 200 MG

Schizophrenia Carbamazepine 769398 TEGRETOL 200MG TABS Carbamazepine Tab 200 MG

Schizophrenia Carbamazepine 715962 ZEPTOL 200MG TABS Carbamazepine Tab 200 MG

Schizophrenia Other Anti-epileptics 710389 DYNA-LAMOTRIGINE 100MG TABS Lamotrigine Tab 100 MG

Schizophrenia Other Anti-epileptics 704381 EPITEC 100MG TABS Lamotrigine Tab 100 MG

Schizophrenia Other Anti-epileptics 722726 GIROTEC 100MG TABS Lamotrigine Tab 100 MG

Schizophrenia Other Anti-epileptics 3000451 SERINEM 100MG TABS Lamotrigine Tab 100 MG

Schizophrenia Other Anti-epileptics 710390 DYNA-LAMOTRIGINE 200MG TABS Lamotrigine Tab 200 MG

Schizophrenia Other Anti-epileptics 704382 EPITEC 200MG TABS Lamotrigine Tab 200 MG

Schizophrenia Other Anti-epileptics 722727 GIROTEC 200MG TABS Lamotrigine Tab 200 MG

Schizophrenia Other Anti-epileptics 712217 LAMITOR 200MG TABS Lamotrigine Tab 200 MG

Schizophrenia Other Anti-epileptics 3000452 SERINEM 200MG TABS Lamotrigine Tab 200 MG

Schizophrenia Other Anti-epileptics 710387 DYNA-LAMOTRIGINE 25MG TABS Lamotrigine Tab 25 MG

Schizophrenia Other Anti-epileptics 704379 EPITEC 25MG TABS Lamotrigine Tab 25 MG

Schizophrenia Other Anti-epileptics 704486 LAMITOR 25MG TABS Lamotrigine Tab 25 MG

Schizophrenia Other Anti-epileptics 3000448 SERINEM 25MG TABS Lamotrigine Tab 25 MG

Schizophrenia Other Anti-epileptics 710388 DYNA-LAMOTRIGINE 50MG TABS Lamotrigine Tab 50 MG

Schizophrenia Other Anti-epileptics 704380 EPITEC 50MG TABS Lamotrigine Tab 50 MG

Schizophrenia Other Anti-epileptics 722725 GIROTEC 50MG TABS Lamotrigine Tab 50 MG

Schizophrenia Other Anti-epileptics 704487 LAMITOR 50MG TABS Lamotrigine Tab 50 MG

Schizophrenia Other Anti-epileptics 3000449 SERINEM 50MG TABS Lamotrigine Tab 50 MG

Schizophrenia Other Anti-epileptics 780545 EPILIM 200MG/5ML LIQ Valproate Sodium Liqd 200 MG/5ML

Schizophrenia Other Anti-epileptics 781541 CONVULEX 50MG/ML SYRValproate Sodium Oral Soln 250 MG/5ML

(Base Equiv)

Schizophrenia Other Anti-epileptics 718274 EPILIZINE CR 200MG TABS Valproate Sodium Tab ER 200 MG

Schizophrenia Other Anti-epileptics 721460 EPROLEP CR 200MG TABS Valproate Sodium Tab ER 200 MG

Schizophrenia Other Anti-epileptics 718465 NAVALPRO CR 200MG TABS Valproate Sodium Tab ER 200 MG

Schizophrenia Other Anti-epileptics 718275 EPILIZINE CR 300MG TABS Valproate Sodium Tab ER 300 MG

Schizophrenia Other Anti-epileptics 720762 EPROLEP CR 300MG TABS Valproate Sodium Tab ER 300 MG

Schizophrenia Other Anti-epileptics 718466 NAVALPRO CR 300MG TABS Valproate Sodium Tab ER 300 MG

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Schizophrenia Other Anti-epileptics 720026 VALEPTIC CR 300MG TABS Valproate Sodium Tab ER 300 MG

Schizophrenia Other Anti-epileptics 718276 EPILIZINE CR 500MG TABS Valproate Sodium Tab ER 500 MG

Schizophrenia Other Anti-epileptics 721055 EPROLEP CR 500MG TABS Valproate Sodium Tab ER 500 MG

Schizophrenia Other Anti-epileptics 718468 NAVALPRO CR 500MG TABS Valproate Sodium Tab ER 500 MG

Schizophrenia Other Anti-epileptics 720027 VALEPTIC CR 500MG TABS Valproate Sodium Tab ER 500 MG

Schizophrenia Other Anti-epileptics 715980 CONVULEX 150MG CAPS Valproic Acid Cap 150 MG

Schizophrenia Other Anti-epileptics 715999 CONVULEX 300MG CAPS Valproic Acid Cap 300 MG

Schizophrenia Other Anti-epileptics 781568 CONVULEX 500MG CAPSValproic Acid Cap Delayed Release 500

MG

Schizophrenia Atypical Anti-Psychotics 717082 ASPEN CLOZAPINE 100MG TABS Clozapine Tab 100 MG

Schizophrenia Atypical Anti-Psychotics 717081 ASPEN CLOZAPINE 25MG TABS Clozapine Tab 25 MG

Schizophrenia Atypical Anti-Psychotics 700176 CLOMENT 25MG TABS Clozapine Tab 25 MG

Schizophrenia Atypical Anti-Psychotics 736708 LEPONEX 25MG TABS Clozapine Tab 25 MG

Schizophrenia Atypical Anti-Psychotics 716051 DOPAQUEL 100MG TABS Quetiapine Fumarate Tab 100 MG

Schizophrenia Atypical Anti-Psychotics 720980 KIZOFRIN 100MG TABS Quetiapine Fumarate Tab 100 MG

Schizophrenia Atypical Anti-Psychotics 716670 MYLAN QUETIAPINE 100MG TABS Quetiapine Fumarate Tab 100 MG

Schizophrenia Atypical Anti-Psychotics 718353 PSYQUET 100MG TABS Quetiapine Fumarate Tab 100 MG

Schizophrenia Atypical Anti-Psychotics 716652 SEREZ 100MG TABS Quetiapine Fumarate Tab 100 MG

Schizophrenia Atypical Anti-Psychotics 720894 SPEC QUETIAPINE 100MG TABS Quetiapine Fumarate Tab 100 MG

Schizophrenia Atypical Anti-Psychotics 3000378 ZIMBIQUET 100MG TABS Quetiapine Fumarate Tab 100 MG

Schizophrenia Atypical Anti-Psychotics 721710 SPEC QUETIAPINE 150MG TABS Quetiapine Fumarate Tab 150 MG

Schizophrenia Atypical Anti-Psychotics 721746 BIOTECH QUETIAPINE 200MG TABS Quetiapine Fumarate Tab 200 MG

Schizophrenia Atypical Anti-Psychotics 716052 DOPAQUEL 200MG TABS Quetiapine Fumarate Tab 200 MG

Schizophrenia Atypical Anti-Psychotics 720981 KIZOFRIN 200MG TABS Quetiapine Fumarate Tab 200 MG

Schizophrenia Atypical Anti-Psychotics 716671 MYLAN QUETIAPINE 200MG TABS Quetiapine Fumarate Tab 200 MG

Schizophrenia Atypical Anti-Psychotics 718354 PSYQUET 200MG TABS Quetiapine Fumarate Tab 200 MG

Schizophrenia Atypical Anti-Psychotics 716653 SEREZ 200MG TABS Quetiapine Fumarate Tab 200 MG

Schizophrenia Atypical Anti-Psychotics 720896 SPEC QUETIAPINE 200MG TABS Quetiapine Fumarate Tab 200 MG

Schizophrenia Atypical Anti-Psychotics 3000379 ZIMBIQUET 200MG TABS Quetiapine Fumarate Tab 200 MG

Schizophrenia Atypical Anti-Psychotics 716050 DOPAQUEL 25MG TABS Quetiapine Fumarate Tab 25 MG

Schizophrenia Atypical Anti-Psychotics 720979 KIZOFRIN 25MG TABS Quetiapine Fumarate Tab 25 MG

Schizophrenia Atypical Anti-Psychotics 716668 MYLAN QUETIAPINE 25MG TABS Quetiapine Fumarate Tab 25 MG

Schizophrenia Atypical Anti-Psychotics 718352 PSYQUET 25MG TABS Quetiapine Fumarate Tab 25 MG

Schizophrenia Atypical Anti-Psychotics 716651 SEREZ 25MG TABS Quetiapine Fumarate Tab 25 MG

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Schizophrenia Atypical Anti-Psychotics 720893 SPEC QUETIAPINE 25MG TABS Quetiapine Fumarate Tab 25 MG

Schizophrenia Atypical Anti-Psychotics 721747 BIOTECH QUETIAPINE 300MG TABS Quetiapine Fumarate Tab 300 MG

Schizophrenia Atypical Anti-Psychotics 716053 DOPAQUEL 300MG TABS Quetiapine Fumarate Tab 300 MG

Schizophrenia Atypical Anti-Psychotics 720982 KIZOFRIN 300MG TABS Quetiapine Fumarate Tab 300 MG

Schizophrenia Atypical Anti-Psychotics 716672 MYLAN QUETIAPINE 300MG TABS Quetiapine Fumarate Tab 300 MG

Schizophrenia Atypical Anti-Psychotics 718355 PSYQUET 300MG TABS Quetiapine Fumarate Tab 300 MG

Schizophrenia Atypical Anti-Psychotics 716654 SEREZ 300MG TABS Quetiapine Fumarate Tab 300 MG

Schizophrenia Atypical Anti-Psychotics 720897 SPEC QUETIAPINE 300MG TABS Quetiapine Fumarate Tab 300 MG

Schizophrenia Atypical Anti-Psychotics 3000380 ZIMBIQUET 300MG TABS Quetiapine Fumarate Tab 300 MG

Schizophrenia Butyrophenones 763411 SERENACE 0.5MG CAPS Haloperidol Cap 0.5 MG

Schizophrenia Butyrophenones 763535 SERENACE 10MG TABS Haloperidol Tab 10 MG

Schizophrenia Butyrophenones 719549 GULF HALOPERIDOL 5MG TABS Haloperidol Tab 5 MG

Schizophrenia Butyrophenones 763454 SERENACE 5MG TABS Haloperidol Tab 5 MG

Schizophrenia Lithium 712078 CAMCOLIT 250MG TABS Lithium Carbonate Tab 250 MG

Schizophrenia Lithium 712086 CAMCOLIT 400MG TABS Lithium Carbonate Tab 400 MG

Schizophrenia Phenothiazines 735884 LARGACTIL 100MG TABS Chlorpromazine HCl Tab 100 MG

Schizophrenia Phenothiazines 735868 LARGACTIL 25MG TABS Chlorpromazine HCl Tab 25 MG

Schizophrenia Phenothiazines 735876 LARGACTIL 50MG TABS Chlorpromazine HCl Tab 50 MG

Schizophrenia Phenothiazines 744344 MODECATE 25MG INJ 10ML Fluphenazine Decanoate Inj 25 MG/ML

Schizophrenia Phenothiazines 744301 MODECATE 25MG INJ 1ML Fluphenazine Decanoate Inj 25 MG/ML

Schizophrenia Phenothiazines 744328 MODECATE+SYRIN 25MG 1ML INJ Fluphenazine Decanoate Inj 25 MG/ML

Schizophrenia Selective MAOI 702008 DEPNIL 300MG TABS Moclobemide Tab 300 MG

Schizophrenia Noradrenalin/SSRI 707396 AUSTELL-CITALOPRAM 10MG TABSCitalopram Hydrobromide Tab 10 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 717372 ACTI-LIFT 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 702769 ADCO-TALOMIL 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 713583 ARROW CITALOPRAM 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 707398 AUSTELL-CITALOPRAM 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 717094 BIO CITALOPRAM 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

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Schizophrenia Noradrenalin/SSRI 707888 CILATE 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 711988 CILORAM 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 3000328 CITALOPRAM OETHMAAN 20MG TABSCitalopram Hydrobromide Tab 20 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 713356 RECITA 20MG TABS(WAS AUR-CITAL)Citalopram Hydrobromide Tab 20 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 713584 ARROW CITALOPRAM 40MG TABSCitalopram Hydrobromide Tab 40 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 707397 AUSTELL-CITALOPRAM 40MG TABSCitalopram Hydrobromide Tab 40 MG

(Base Equiv)

Schizophrenia Noradrenalin/SSRI 894303 DEPROZAN CAPS Fluoxetine HCl Cap 20 MG

Schizophrenia Noradrenalin/SSRI 716520 FLUOXETINE ACTOR 20MG CAPS Fluoxetine HCl Cap 20 MG

Schizophrenia Noradrenalin/SSRI 719658 PROLAX 20MG CAPS Fluoxetine HCl Cap 20 MG

Schizophrenia Noradrenalin/SSRI 700686 RANFLOCS 20MG CAPS Fluoxetine HCl Cap 20 MG

Schizophrenia Noradrenalin/SSRI 838713 SANDOZ FLUOXETINE 20MG CAPS Fluoxetine HCl Cap 20 MG

Schizophrenia Noradrenalin/SSRI 705064 ZYDUS FLUOXETINE 20MG CAPS Fluoxetine HCl Cap 20 MG

Schizophrenia Tricyclics 772003 TREPILINE 10MG TABS Amitriptyline HCl Tab 10 MG

Schizophrenia Tricyclics 718746 GULF AMITRIPTYLINE 25MG TABS Amitriptyline HCl Tab 25 MG

Schizophrenia Tricyclics 784230 SANDOZ AMITRIPTYL 25MG TABS Amitriptyline HCl Tab 25 MG

Schizophrenia Tricyclics 724661 ETHIPRAMINE 10MG TABS Imipramine HCl Tab 10 MG

Schizophrenia Tricyclics 724688 ETHIPRAMINE 25MG TABS Imipramine HCl Tab 25 MG

SLE Aspirin 704642 SOLUSPIRIN 300MG DISP TABS Aspirin Disintegrating Tab 300 MG

SLE Aspirin 706930 BAYER ASPIRIN TABS Aspirin Tab 300 MG

SLE Aspirin 719673 DR DU TOITS PAIN EXPELLER 300M Aspirin Tab 300 MG

SLE Aspirin 700909 GULF ASPIRIN 300MG TABS Aspirin Tab 300 MG

SLE COX Inhibitors 700315 IBUCINE SUSP Ibuprofen Susp 100 MG/5ML

SLE COX Inhibitors 704781 IBUGESIC 100MG/5ML SUSP Ibuprofen Susp 100 MG/5ML

SLE COX Inhibitors 721335 INFLAMAX PAED 100MG/5ML SUSP Ibuprofen Susp 100 MG/5ML

SLE Paracetamol 717725 ACTAMOL 500MG TABS Acetaminophen Tab 500 MG

SLE Paracetamol 745723 ADCO-NAPAMOL 500MG TABS Acetaminophen Tab 500 MG

SLE Paracetamol 757403 ADCO-PROLIEF 500MG TABS Acetaminophen Tab 500 MG

SLE Paracetamol 805467 ANTALGIC 500MG TABS Acetaminophen Tab 500 MG

SLE Paracetamol 704643 CETAPON TABS Acetaminophen Tab 500 MG

SLE Paracetamol 824992 GENCETAMOL 500MG TABS Acetaminophen Tab 500 MG

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SLE Paracetamol 867950 GULF PARACETAMOL 500MG TABS Acetaminophen Tab 500 MG

SLE Paracetamol 894212 JP PARACETAMOL TABS Acetaminophen Tab 500 MG

SLE Paracetamol 799629 PAINAMOL GREEN 500MG TABS Acetaminophen Tab 500 MG

SLE Paracetamol 704465 PAINOGESIC TABS Acetaminophen Tab 500 MG

SLE Paracetamol 752878 PARAPANE 500MG TABS Acetaminophen Tab 500 MG

SLE Paracetamol 714707 PYNGESIC T 500MG TABS Acetaminophen Tab 500 MG

SLE Paracetamol 885863 VON PARACETAMOL TABS Acetaminophen Tab 500 MG

SLE Chloroquine 794333 PLASMOQUINE 200MG CAPS Chloroquine Sulfate Cap 200 MG

SLE Chloroquine 878790 MIRQUIN SYRChloroquine Sulfate Syrup 50 MG/5ML

(Base Equivalent)

SLE Glucocorticosteroids 788783 BE-TABS PREDNISONE 5MG TABS Prednisone Tab 5 MG

SLE Glucocorticosteroids 752304 PANAFCORT 5MG TABS Prednisone Tab 5 MG

SLE Glucocorticosteroids 818267 TROLIC 5MG TABS Prednisone Tab 5 MG

SLE Topical Cortico-steroids 882934 REPIVATE CREAMBetamethasone Valerate Cream 0.1%

(Base Equivalent)

SLE Topical Cortico-steroids 833037 TOPIVATE 1MG/GM CREAMBetamethasone Valerate Cream 0.1%

(Base Equivalent)

SLE Topical Cortico-steroids 701138 VARI-BETAMETHASONE CREAMBetamethasone Valerate Cream 0.1%

(Base Equivalent)

SLE Topical Cortico-steroids 800171 LENOVATE 0.1% OINTBetamethasone Valerate Oint 0.1% (Base

Equivalent)

SLE COX Inhibitors 786594 ADCO-DICLOFENAC 25MG TABSDiclofenac Sodium Tab Delayed Release

25 MG

SLE COX Inhibitors 893390 A-LENNON DICLOFENAC 25MG TABSDiclofenac Sodium Tab Delayed Release

25 MG

SLE COX Inhibitors 718479 DICLOFENAC BIOTECH 25MG TABSDiclofenac Sodium Tab Delayed Release

25 MG

SLE COX Inhibitors 786012 MYLAN DICLOFENAC 25 MG TABSDiclofenac Sodium Tab Delayed Release

25 MG

SLE COX Inhibitors 788597 ADCO-DICLOFENAC 50MG TABSDiclofenac Sodium Tab Delayed Release

50 MG

SLE COX Inhibitors 893391 A-LENNON DICLOFENAC 50MG TABSDiclofenac Sodium Tab Delayed Release

50 MG

SLE COX Inhibitors 786020 MYLAN DICLOFENAC 50MG TABSDiclofenac Sodium Tab Delayed Release

50 MG

SLE COX Inhibitors 752398 PANAMOR AT 50MG TABSDiclofenac Sodium Tab Delayed Release

50 MG

SLE COX Inhibitors 787426 BETAPROFEN 200MG TABS Ibuprofen Tab 200 MG

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SLE COX Inhibitors 895196 IBOFLAM 200MG TABS Ibuprofen Tab 200 MG

SLE COX Inhibitors 705940 IBU 200MG TABS Ibuprofen Tab 200 MG

SLE COX Inhibitors 868221 IBUNATE 200MG TABS Ibuprofen Tab 200 MG

SLE COX Inhibitors 708536 IBUSOR 200MG TABS Ibuprofen Tab 200 MG

SLE COX Inhibitors 733741 INZA 200MG TABS Ibuprofen Tab 200 MG

SLE COX Inhibitors 824852 RANFEN 200MG TABS Ibuprofen Tab 200 MG

SLE COX Inhibitors 701975 BETAPROFEN 400 TABS Ibuprofen Tab 400 MG

SLE COX Inhibitors 708290 BREN 400MG TABS Ibuprofen Tab 400 MG

SLE COX Inhibitors 733768 INZA 400MG TABS Ibuprofen Tab 400 MG

SLE COX Inhibitors 701654 RANFEN 400MG TABS Ibuprofen Tab 400 MG

SLE COX Inhibitors 701891 AMDOCIN 25MG CAPS Indomethacin Cap 25 MG

SLE COX Inhibitors 787833 BETACIN 25MG CAPS Indomethacin Cap 25 MG

SLE COX Inhibitors 868213 GULF INDOMETHACIN 25MG CAPS Indomethacin Cap 25 MG

SLE COX Inhibitors 814393 METHOCAPS 25MG CAPS Indomethacin Cap 25 MG

SLE COX Inhibitors 704776 SANDOZ INDOMETHACIN 25MG CAPS Indomethacin Cap 25 MG

SLE Oral Methotrexate 712504 ABITREXATE 2.5MG TABS Methotrexate Tab 2.5 MG

SLE Pharmacoepoeial Products 701429 ZINC & CASTOR OIL CREAM Zinc Oxide Cream 15%

SLE Pharmacoepoeial Products 892526 ZINC & CASTOR OIL CREAM Zinc Oxide Cream 15%

SLE Pharmacoepoeial Products 706603 ARM ZINC & CASTOR OIL CRE Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 706605 ARM ZINC OINTMENT Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 858811 UNG ZINC OXIDE Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 773778 UNG ZINC OXIDE BP PASTE Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 802646 ZINC & CASTOR OIL Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 811645 ZINC & CASTOR OIL Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 891763 ZINC & CASTOR OIL OINT Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 708211 ZINC AND CASTOR OIL BP Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 715623 ZINC OINTMENT Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 883825 ZINC OINTMENT Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 703531 ZINC OINTMENT BP Zinc Oxide Oint 15%

SLE Pharmacoepoeial Products 705562 ZINC SULPHATE BP UNG Zinc Oxide Oint 15%

SLE Ethical Folic Acid 810967 BE-TABS FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

SLE Ethical Folic Acid 711922 FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

SLE Ethical Folic Acid 720727 GULF FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

Ulcerative colitis Glucocorticosteroids 788783 BE-TABS PREDNISONE 5MG TABS Prednisone Tab 5 MG

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Ulcerative colitis Glucocorticosteroids 752304 PANAFCORT 5MG TABS Prednisone Tab 5 MG

Ulcerative colitis Glucocorticosteroids 818267 TROLIC 5MG TABS Prednisone Tab 5 MG

Ulcerative colitis Salazopyrin Plain 762008 SALAZOPYRIN 500MG TABS Sulfasalazine Tab 500 MG

Ulcerative colitis Rheumatoid Arthritis Agents 762016 SALAZOPYRIN-EN 500MG TABSSulfasalazine Tab Delayed Release 500

MG

Ulcerative colitis Ethical Folic Acid 810967 BE-TABS FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

Ulcerative colitis Ethical Folic Acid 711922 FOLIC ACID 5MG TABS Folic Acid Tab 5 MG

Ulcerative colitis Ethical Folic Acid 720727 GULF FOLIC ACID 5MG TABS Folic Acid Tab 5 MG