PREFACE The essential medicines concept is now widely accepted as an evidence based, efficient, flexible, and forward-looking tool for focusing therapeutic decisions, professional training, public information, financial resources, and quality assurance efforts on those medicines which will have the greatest public health impact. Essential Medicines are the most cost-effective elements in modern health care and their potential health impact is remarkable. The National Essential medicines list presents a list of minimum medicines needed for the basic health system in the country. It lists the most efficacious, safe and cost effective medicines for priority conditions prevailing in the country selected on the basis of current and future health relevance, and potential for safe and cost-effective treatment. The list support the systematic delivery of medicines in the health core system and it is a valuable tool for advocacy purchasing decisions and supply management in the country. The first Cambodian Essential Medicines List was published in 1986. With assistance from UNICEF and MSF Holland Belgium, the first revision was done in 1993 followed by, and with WHO funding, the 2nd revision was prepared in 1995 and the 3rd revision in 1997 . Each revision of the list has been validated through National Workshop involving relevant experts in health sector. A national committee for revising the Essential Medicines List was established in year 2000 to ease the process of revising the list every two years. Previously this function was undertaken through the National Workshop process which was later abandoned in favor of the EML committee. The national committee for EML has conducted the 5th revision of this EML in year 2006 and the 6th revision in year 2009 which contained 489 items. The current committee which came to effect in 2008, has undertaken the 7th revision of this EML in 2011 resulting to:
- 77 Oral medicines - 53 Injectable medicines - 11 External medicines - 143 Medical consumables - 298 for National Program medicines - 582 Items, total in the 2011 EML
For the 7th version of EML ( 2011) , we would like to extend our sincere thanks to the following :
1- The committee for revising of EML:
- HE. Chou Yin Sim Secretary of state Chair - HE. Dr.Tep Lun Director general for Health Vice Chair - Mr. Chea Chhiv Srong Director of Central Medical Store Member - Dr. Chroeng Sokhan Deputy Director of Department of Drugs and Food Member - Dr. Sok Srun Deputy director of Hospital
Services Department Member - Dr. Thach Varoeun Deputy Director of the Medicine
Preventive Department Member - Dr. Or Oudam Roath Chief of Essential Drug Bureau Member
- Mr. Oeun Samuth Staff of the Essential Drug Bureau Secretary
2- Others:
- Dr. Heng Bunkiet Director of Department of Drugs and Food - Other Official EDB - Representatives from Difference National Programs. - Mr. William Mfuko WHO Technical Assistance for GF R5
For their valuable input to make this revision of the Cambodian EML possible.
Phnom Penh, December 14 , 2012
HE. Chou Yin Sim Chairman of the Committee
National Programs
MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
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Nº Nº Code Description Strength Form
I BASIC MEDICINES1 ORAL MEDICINES
1 1 AA0010 Acetylsalicylic Acid 500mg Tab * * * * Analgestic, Antipyretic, antimigraine, antithrombotic
Hypertention +Diabetes
2 2 AA0020 Aluminium Hydroxide 500mg Tab * * * * Antacid
3 3 AA0030 Aminophylline 100mg Tab * * * * Anti-asthmatic/brochodialator
4 4 Amlodipine 10mg Tab SN * * * Antihypetensive Hypertention +Diabetes
5 5 AA0060 Amoxicillin 250mg Tab * * * * Antibacterial (beta lactam) IMCI
6 6 AA0061 Amoxicillin 500mg Cap * * * * Antibacterial (beta lactam) IMCI
7 7 AA0050 Amoxicillin + Clavulanic acid 500mg+125mg Tab / * * * Antibacterial (beta lactam)
8 8 AA0040Amoxicillin Dry Powder/Granules 60ml
125mg/5ml Btl * * * * Antibacterial (beta lactam) - for children
IMCI
9 9 AA0080 Atenolol 50mg Tab * * * * Antihypetensive; antiangino Hypertention + Diabetes
10 10 AA0090 Bromhexin 8mg Tab * * * * Broncho mucolytic/antitussive
11 11 AA0640 Bromhexin Syrup 60ml 4mg/5ml Btl * * * * Broncho mucolytic/antitussive
12 12 Captopril 25mg Tab SN * * * Antihypetensive Hypertention + Diabetes
13 13 AA0101Charcoal Activated ( Charbon Adsorbant )
125mg Tab * * * * Antidote (non-specific) for poisoning
14 14 AA0110 Chlorpheniramine maleate 4mg Tab * * * * Anti-histamine; anti-allergic
15 15 Chlorpromazine (as hydrochloride) 25mg Tab / * * * Psychotic disorders Psychiatry
16 16 AA0120 Cimetidine 200mg Tab / * * *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
17 17 AA0130 Ciprofloxacin (as hydrochloride) 500mg Tab SN * * * Antibacterial STD,Opthl,AIDS, IMCI
18 18 AA0137 Cloxacillin (as soldium salt) 250mg Tab / * * * Antibacterial (beta lactam)
KINGDOM OF CAMBODIANATION RELIGION KING
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ESSENTIAL MEDICINES LIST - 7th Edition
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
19 19 AA0138 Cloxacillin (as soldium salt) 500mg Tab / * * * Antibacterial (beta lactam)
20 20 AA0150Co-trimoxazole (sulfamethoxazole+trimethoprim)
100+20mg Tab * * * * Antibacterial
21 21 AA0151Co-trimoxazole (sulfamethoxazole+trimethoprim)
400+80mg Tab * * * * Antibacterial
22 22 AA0154Co-trimoxazole (sulfamethoxazole+trimethoprim) Suspension 60ml
200+40mg/5ml Btl * * * * Antibacterial - for children IMCI
23 23 AA0160 Diazepam 5mg Tab / * * * Anxiolytic, sleep disorders, mild muscle relaxant
Psychiatry, Hypertention + Diabetes
24 24 AA0170 Diclofenac 50mg Tab / * * * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
25 25 AA0180 Digoxin 0.25mg Tab / * * * Cardiovascular medicines used in heart failure
26 26 AA0190 Doxycycline (as hydrochloride) 100mg Tab * SN SN SN Antibacterial
27 27 AA0202 Enalapril 10mg Tab / / SN SNAnti-hypertensive;congestive heart failure and improvement of survival after a heart attack.
Hypertention + Diabetes
28 28 AA0200Erythromycin (as stearate or ethyl succinate)
250mg Tab * * * * Antibacterial STD,Dermato,AIDS, IMCI
29 29 Erythromycin stearate Dry Powder/Granules 60ml
125mg/5ml Btl * * * * Antibacterial - for children IMCI
30 30 Fenofibrate 300mg Tab SN SN * * Anti-cholesterol and triglyceride Hypertention + Diabetes
31 31 Ferrous fumarate Suspension 60ml 100mg/5ml Btl * * * * Antianaemic/iron supplement - for children
IMCI
32 32 AA0210 Ferrous Sulphate + Folic Acid200+0.40mg (60mg Iron element + 0.4
mg Folic acid)Red Tab * * * * Antianaemic/Iron+Folic/Nutritio
n supplement for use in pregnancyNutrition
33 33 AA0220 Fluconazole 100mg Tab SN * * * Oral antifungal Dermatologic programm
34 34 AA0230 Folic Acid 5mg Tab * * * * Antianaemic Dermatologic programm
35 35 AA0240 Furosemide 40mg Tab SN * * * Diuretic and anti-hypertensive; also used in heart failure
Hypertention
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
36 36 AA0250 Hydralazine 25mg Tab * * * *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
37 37 Hydrochlorthiazide (scored tablet) 25mg Tab * * * * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
38 38 AA0260 Hydrochlorothiazide (scored tablet) 50mg Tab * * * * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
39 39 NQ0353 Hyocine-N-Buthylbromide 10mg Tab / * * * Antispasmodic
40 40 AA0270 Indometacin 25mg Tab / * * * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
41 41 AA0550 Isosorbide Dinitrate 10mg Tab / * * *Vasodilator used in , e.g. angina pectoris, anal fissure and congestive heart failure.
42 42 Losartan potassium 50 mg Tab / SN SN SN Anti-hypertensive Hypertention + Diabetes
43 43 AA0280 Mebendazole 500mg Tab * * * * Intestinal anthelminthic Schistosomiasis / IMCI
44 44 AA0290 Methyldopa 250mg Tab SN * * *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
45 45 AA0320 Metoclopramide (as hydrochloride) 10mg Tab * * * * Antiemetic Palliative Care,
46 46 AA0300 Metronidazole 250mg Tab * * * * Antibacterial/antiamoebic/antigiardiasis
STD
47 47 Metronidazole suspension 60 ml 200mg/5ml Btl * * * * Antibacterial/antiamoebic/antigiardiasis - for children
48 48 Mifepriston + Misoprostol (01 tab x200mg) +(04 tab x200µg) Tab SN SN SN SN Medical abortion MCH
49 49 AA0330 Misoprostol 200µg Tab / SN * * Oxytocic (uterine contraction) MCH
50 50 AA0340 Multivitamin + Mineral Tab * * * * Vitamin and minerals supplement STD / IMCI
51 51 AA0350 Nalidixic Acid 500mg Tab SN * * * Anti-infective (quinolone) IMCI
52 52 AA0360 Niclosamide 500mg Tab * * * * Intestinal anthelminthic
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
53 53 AA0370 Nifedipine Retard 20mg Tab / * * *Anti-hypertensive (calcium chanel blocker) also used as an anti-angina.
Hypertention + Diabetes
54 54 AA0380 Nystatin 500.000IU Tab SN * * * Oral antifungal STD / AIDS
55 55 NQ0735 Omeprazole 20 mg Tab / * * *
Antacid - a proton pump inhibitor -with pronounced and long-lasting reduction of gastric acid production.
56 56 AA0390Oral Rehydration Salts (Low osmolarity for 1L) [Glucose: 13.5g/l, Sodium chloride:2.6g/l, Potasium chloride 1.5g/l, Trisodium citratedihydrate:2.9g/l (20.5g)]
20.5g Sachet * * * * Oral remedy for rehydation
57 57 AA0410 Paracetamol 100mg Tab * * * *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
NIP
58 58 AA0411 Paracetamol 500mg Tab * * * *Analgesic, antipyretic, antimigraine, without anti-inflamatory action
59 59 AA0412 Paracetamol 500mg Supp * * * *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
Malaria
60 60 AA0413 Paracetamol Syrup 60ml 125mg/5ml Btl * * * * Analgesic, antipyretic without anti-inflamatory action - for children IMCI
61 61 AA0450 Phenobarbital 50mg Tab SN * * * Anticovulsant/antiepileptic Psychiatry
62 62 AA0440Phenoxymethyl Penicillin (as potassium salt)
250mg Tab * * * * Antibiotic (beta lactam)
63 63 AA0460 Potassium Chloride 600mg Tab SN * * *
Treatment of hypokalemia in patients predisposed to loss o K+ e.g. patients on high doses of diuretics
64 64 AA0470 Prednisolone 5mg Tab SN * * * Anti-inflammatory ; Anti-allergic/anaphylaxis
AIDS/Leprosy
65 65 AA0480 Promethazine 25mg Tab * * * * Antihistamine, anti-emetic
66 66 AA0481Promethazine (as hydrochloride) 0.1% syrup 60ml
5mg/5ml Btl * * * * Antihistamine, anti-emetic - for children
67 67 AA0500 Salbutamol 4mg Tab * * * * Antiasthmatic/bronchodialator
68 68 AA0501 Salbutamol for Inhalation 200 doses 0.1mg/dose Btl SN * * * Antiasthmatic/bronchodialator
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
69 69 Simvastatine 20mg Tab SN SN * * Anti-cholesterol; used to prevent cardio vascular disease Hypertention + Diabetes
70 70 AA0510 Tiemonium methylsulphate 50mg Tab SN * * * Antispasmodic Pain/Cancer
71 71 Tramadol Chlorhydrate 100mg Tab / / * *Synthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
Pain/Cancer
72 72 AA0491 Vitamine A (Retinol) ( red color capsule with nipple) 200,000IU Soft Cap * * * * Vitamin A supplement NIP/Nutrition
73 73 AA0490 Vitamine A (Retinol) (blue color capsule with nipple) 100,000IU Soft Cap * * * * Vitamin A supplement NIP/Nutrition
74 74 AA0531 Vitamin B1 50mg Tab * * * * Vitamin B1 supplement
75 75 AA0541 Vitamin B6 (pyridoxine) 10mg Tab * * * *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
76 76 Vitamin B6 (pyridoxine) 50mg Tab * * * *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
77 77 NL0040 Zinc Sulphate (Dispersible) 20mg Tab * * * * Diarrhoea in children used as with/an adjuct to ORS
MCH / IMCI
2 INJECTIONS78 1 AB0010 Adrenaline (epinephrine) 1mg/1ml Amp / * * * Anti-allergic, anti-anaphylaxis
79 2 AB0020 Ampicillin 500mg Vial SN * * * Antibacterial (beta lactam). IMCI
80 3 AB0020 Ampicillin 1g Vial SN * * * Antibacterial (beta lactam) MCH
81 4 NB0012 Neuro Polyvalent Snake Antivenin 10 mg Vial / * * * Antisnake immunoglobulin
82 5 NB0011 Hemato Polyvalent Snake Antivenin 10 mg Vial / * * * Antisnake immunoglobulin
83 6 NB0020 Antitoxin,Tetanus 1500IU/1ml Amp / / * * Antitetanus
84 7 AB0030 Atropine Sulphate 1mg/1ml Amp * * * * Pre-operation medication; specific antidote for some poisoning
85 8 AB0040 Bupivacaine 0.5% Spinal heavy 20mg/4ml Vial / / * * Local/Spinal anaesthetic Eye Unit
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
86 9 AB0050 Butylscopolamine (Hyoscin, Buscopan) 20mg/2ml Amp SN * * * Antispasmodic
87 10 AB0060 Calcium Gluconate 10% 1g/10ml Amp SN * * * Specific antidote for some type of poisoining
MCH
88 11 Ceftazidime (as pentahydrate) (powder for injection) 500mg Vial / SN * *
Broad-spectrum (beta-lactam antibacterial) for the treatment of melioidosis infection caused by Burkholderia pseudomallei
89 12 AB0080 Ceftriaxone 1g Vial SN * * * Antibacterial (beta lactam) STD
90 13 AB0100 Chlorpromazine (as hydrochloride) 50mg/2ml Amp / * * * Psychotic disorders Psychia/Pain/Cancer
91 14 AB0110 Cimetidine 200mg/2ml Amp / * * *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
92 15 AB0120 Cloxacillin (as soldium salt) 1g Vial / * * * Antibacterial (beta lactam)
93 16 AB0130Dexamethasone phosphate (as disodium salt) 4mg/1ml Amp / * * *
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
Opthalmo/STD
94 17 AB0140 Dextrose 50% 50ml Vial SN * * *
Hypoglycemia (low blood sugar) in emergency care; management of coma of unknown origin; andrestoration of energy.
95 18 AB0150 Diazepam 10mg/2ml Amp SN * * *
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Psychia/IMCI
96 19 AB0170 Dopamine (as hydrochloride) 200mg/5ml Amp / * * *
Symphomimetic used in heart failure, shock and other conditions where sympathomimetic action is desirable.
97 20 AB0181Ephedrine (for dilution, as hydrochloride) 30mg/1ml Amp / / * * Spinal anaesthesia during delivery
to prevent hypotension
98 21 AB0190 Ergometrine Methyl 0.2mg/1ml Amp SN * * * Oxytocic (uterine contraction)
99 22 AB0200 Etamsylate 250mg/2ml Amp / * * * Anticoagulant
100 23 AB0210 Fentanyl 0.1mg/2ml Amp / / * * Chronic pain management/palliativPain/Cancer 6 of 14
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
101 24 AB0220 Furosemide 20mg/2ml Amp / * * * Diuretic normaly used in heartfailute
102 25 AB0230 Gentamycin (as sulphate) 80mg/2ml Amp SN * * * Antibacterial
103 26 AB0240 Hydralazine Powder + Solvent 20mg/1ml Amp / * * *Antihypertensive: for acute management of severe pregnancy-induced hypertension only.
104 27 AB0250 Hydrocortisone (as Sodium succinate) 100mg Vial SN * * *
A naturally occuring steroid/glucocorticoid with rapid onset of action but short duration: used, among others, as Anti-inflammatory ; Anti-allergic in anaphylaxis
105 28 AB0260 Ketamine 500mg/10ml Vial / / * * General anaesthetics - injectable Pain/Cancer
106 29 AB0270 Lidocaine 2% 50ml Vial SN * * * Local anaesthetic - injectable Eye Unit / MCH
107 30 AB0290 Magnesium Sulphate 50% IM/IV 10ml Amp SN * * *
For treating eclampsia and severe pre-eclampsia not to be used in other forms of convulsant disorders
MCH
108 31 AB0300 Metoclopramide (as hydrochloride) 10ml/2ml Amp / * * * Antiemetic Pain/Cancer
109 32 AB0310 Metronidazole 500mg/100ml Vial / * * * Antibacterial/antiamoebic/antigiardiasis
MCH
110 33 AB0320Morphine (as hydrochloride or sulphate) 10mg/1ml Amp / / * *
Opioid analgesic, psychoactive for Chronic pain management/palliative care
Pain/Cancer
111 34 AB0330 Neostigmine 0.5mg/1ml Amp / / * * Muscle relaxant
112 35 AB0440 Oxytocin 10 IU/1ml Amp * * * * Oxytocic (uterine contraction) MCH
113 36 AB0341 Paracetamol 300 mg/2 ml Amp / * * *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
114 37 AB0350 Penicillin - G, IM/IV 1MIU Vial / * * * Antibacterial (beta lactam)
115 38 AB0360 Potassium Chloride 10% 10ml Amp / * * * Treatment of hypokalemia
116 39 AB0370 Salbutamol 0.5mg/1ml Amp / * * * Antiasthmatic
117 40 ZA0751 Sodium Bicarbonate 8.4% 20ml Amp / * * * Alkalising agent for the treatment of acidocis
118 41 AB0392 Suxamethonium (as chloride) 100mg/2ml Vial / / * * Muscle relaxant
119 42 AB0400 Thiopental 1g Vial / / * * General anaesthetics - injectable
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
120 43 Tramadol Chlorhydrate 100mg /2ml Amp / / / *Synthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
Pain/Cancer
121 44 AB0410 Vecuronium (bromide) + Solvent 4mg/1 ml Amp / / * * Muscle relaxant/anesthesia
122 45 AB0420 Vitamin K1 (Phytomenadione) 10mg/1ml Amp SN * * * Coagulant: affects blood coagulation; helps to stop bleeding MCH
123 46 AB0430 Water for Injections 5ml Amp SN * * * Diluent for injection
3 IV FLUIDS
124 1 AC0010 Dextran 40 + IV giving set 500ml Btl / * * *Anticoagulant during surgical operations; plasma expander/subsitute
Malaria / Dengue
125 2 AC0031 Dextrose 10% + IV giving set 500ml Btl SN * * * Rehydration and energy; diluent for other IV medications Malaria / MCH
126 3 AC0020 Dextrose 5% + IV giving set 500ml Btl / * * * Rehydration and energy; diluent for other IV medications
127 4 AC0030Dextrose 5%+0.45% Saline + IV giving set 500ml Btl / * * * Electrolyte replacement,
rehydration, and source of energy Dengue
128 5 AC0041 N S S 0.9% + IV giving set 1000ml Btl * * * *Electrolytes replacement, rehydration, and source of sodium, sugar and energy
MCH
129 6 AC0050 Plasma Substitute + IV giving set 500ml Btl / * * * Plasma expander
130 7 AC0060 Ringer's Lactate + IV giving set 1000ml Btl * * * *
Fluid and electrolyte replenishment therapy. Also often called Hartmann's solution - for the correction of extracellular volume and electrolyte depletion.
Dengue / IMCI / MCH
4 OTHER MEDICINES
131 1 AD0100 Fluorthane (Halothane) 250ml Btl / / * * General anaesthetics - inhalation
132 2 AD0170 Soda lime ( Chaux Sodee) 4.5kg Btl / / SN * Adjuct to general anaesthesia
5 EXTERNAL MEDICINES 133 1 AD0010 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar * * * * Antifungal (topical)
134 2 AD0020 Benzyl Benzoate 25% 1L Btl * * * * Scabicide, pediculicide (topical)8 of 14
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
135 3 AD0040 Chlorhexidine gluconate 20% 1L Btl * * * * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
136 4 AD0120 Gentian Violet Powder 25g Jar * * * * Anti-infective (topical) as a 0.5 aqueous solution or tincture
137 5 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* * * * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
138 6 AD0180 Petroleum Jelly (Vaseline) 500g Jar * * * * Emollient (skin lubrication and mosturizer)
139 7 AD0140 Polyvidone Iodine 10% 200ml Btl * * * * Topical Antiseptic (wound application)
140 8 AD0031Sodium Dichloroisocyanurate (Water Purification)
167mg Tab / * * * Water Purification
141 9 AD0190 Zinc oxide 10% 500g Jar * * * * Hypoallergenic (minimize itching due to skin allergic reactions)
II CONSUMMABLES142 1 QA0031 Adhesive Tape Zinc Oxide perforated 18cm x 5m Roll * * * *143 2 QA0030 Adhesive Tape Zinc Oxide perforated 5cmx5m Roll * * * *
144 3 Autoclavable Plastic Bag for Restirilizing equipment Pcs / * * *
145 4 QA0060 Bandage, Crepe 8cmx4m Roll / * * *146 5 QA0070 Bandage, Gauze Non-sterile 7.5cmx10m Roll * * * *147 6 QA0241 Bandage Tubular Elastic 8mm x 4cm Pcs / / * *148 7 QA0090 Blades for Surgical Knife #15 Pcs * * * * Oral Health 149 8 QA0091 Blades for Surgical Knife #22 Pcs / * * *150 9 QA0092 Blades for Surgical Knife # 30 Pcs / * * *151 10 XB0060 Blood Collection Bag (CPD) 350ml / / / *
152 11 QA0131 Catheter Foley, Ballon 2 ways 10ml, sterile CH12 Pcs / * * *
153 12 QA0132 Catheter Foley, Ballon 2 ways 10ml, sterile CH14 Pcs / * * *
154 13 QA0128 Catheter Foley, Ballon 2 ways 10ml, sterile CH16 Pcs / * * *
155 14 QA0160 Catheter IV with injection port 18G Pcs SN * * *156 15 QA0161 Catheter IV with injection port 20G Pcs SN * * *157 16 QA0162 Catheter IV with injection port 22G Pcs SN * * * STD,AIDS158 17 QA0163 Catheter IV with injection port 24G Pcs SN * * *159 18 QA0164 Catheter IV with injection port 26G Pcs SN * * *
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
160 19 QA0170 Colostomy Bag, Disposable 38mm Pcs / / * *161 20 QA0190 Cotton Wool Absorbent 500g Roll * * * *162 21 QA0180 Cotton Wool Non Absorbent 500g Roll / * * *163 22 QA0210 Developer for X-Ray Film 1 Gallon Btl / SN * *164 23 QA0220 Drainage Strip (Delbet) 25x3cm Pcs / / * *165 24 QA0230 Dressing for burns with Paraffin 10x10cm Pcs / * * *166 25 Electric Syringe Pcs / / / *167 26 ExtensionThree ways Stopcock 25 cm Pcs / * * *168 27 QA0270 Eye Shields Pcs / / / *169 28 QA0920 Fixer for X-Ray Film 1 Gallon Btl / SN * *170 29 QA0290 Gauze, absorbent (BP17g/m2) 90cmx91m Roll * * * *171 30 QA0300 Glove examination, non sterile, Latex Small Pcs * * * *172 31 QA0310 Glove examination, non sterile, Latex Medium Pcs * * * *173 32 QA0302 Glove examination, non sterile, Latex Large Pcs * * * *
174 33 QA0360 Glove, sterile, Long Cuff (for Gynaecological use) Small Pcs * * * *
175 34 QA0361 Glove, sterile, Long Cuff (for Gynaecological use) Medium Pcs * * * *
176 35 QA0362 Glove, sterile, Long Cuff (for Gynaecological use) Large Pcs * * * *
177 36 QA0320 Glove Surgical, sterile, latex Small Pcs / * * *178 37 QA0322 Glove Surgical, sterile, latex Medium Pcs / * * *179 38 QA0321 Glove Surgical, sterile, latex Large Pcs / * * *180 39 QA0330 High Quality Printing Paper UPP- 110s 110mm x 20m Pcs / * * *
181 40 Infusion set with burette 100ml, Disposable 60drops/minute Pcs / / * *
182 41 QA0354 Intra Ocular Lens #18 Pcs / / / * Eye Unit Program183 42 QA0355 Intra Ocular Lens #19 Pcs / / / * Eye Unit Program184 43 QA0356 Intra Ocular Lens #20 Pcs / / / * Eye Unit Program185 44 QA0357 Intra Ocular Lens #21 Pcs / / / * Eye Unit Program186 45 QA0358 Intra Ocular Lens #22 Pcs / / / * Eye Unit Program
187 46 Lubrication gel for Urinary catheter single use 5ml Pack * * *
188 47 QA0370 Medical Plastic Bags (Khmer printing, as sample) 7cm x 11cm Pcs * * * *
189 48 QA0913 Medical X ray films, Green sensitive 18cm x 24cm Pcs / SN * *190 49 QA0910 Medical X ray films, Green sensitive 18cm x 43cm Pcs / SN * *191 50 QA0911 Medical X ray films, Green sensitive 24cm x 30cm Pcs / SN * * 10 of 14
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
192 51 QA0914 Medical X ray films, Green sensitive 30 cm x 40cm Pcs / SN * *193 52 QA0912 Medical X ray films, Green sensitive 35cm x 35cm Pcs / SN * *194 53 QA0915 Medical X ray films, Green sensitive 35cm x 43cm Pcs / SN * *195 54 Microbiological Indicator for Autoclave Pcs * * *
196 55 Monitoring electrode with Micropore Tape Backing and solid gel Ag/Agcl Pcs / / / *
197 56 Manual Vacuum Aspiration (MVA) Kit (Gynecological ) Kit SN SN SN SN MCH
198 57 QA0391 Needle Disposable 19G x 1.½" Pcs SN * * *199 58 QA0392 Needle Disposable 21G x 1.½" Pcs SN * * *200 59 QA0393 Needle Disposable 23G x 1" Pcs SN * * *201 60 QA0394 Needle Disposable 25G x 1" Pcs SN * * *202 61 QA0403 Needle Spinal Disposable 22G/0.7 x 90mm Pcs / * * *203 62 QA0402 Needle Spinal Disposable 25G/0.5 x 90mm Pcs / * * *204 63 Original Perfusor 150 cm Pcs * * * *205 64 QA0451 Oxygen mask with reservoir bag Children Pcs / * * *206 65 QA0450 Oxygen mask with reservoir bag Adult Pcs / * * *207 66 QA0470 Paper face mask 2 plies Pcs * * * *208 67 QA0490 Plaster of Paris 10cm Roll / * * *209 68 QA0491 Plaster of Paris 15cm Roll / * * *210 69 QA0492 Plaster of Paris 20cm Roll / * * *211 70 NP0130 Safety Box for Used Syringe 5L Pcs * * * * Infection Control212 71 NP0131 Safety Box for Used Syringe 10 L Pcs * * * * Infection Control213 72 QA0541 Scalp Vein 23G Pcs * * * *214 73 QA0542 Scalp Vein 25G Pcs * * * * MCH215 74 QA0271 Sterile eyes pads Pcs / / / * Eye Unit Program216 75 Stomach Wash Out tube, Fraucher Type CH27 Pcs / / * *
217 76 QA0600 Sut/Catgut Chromic25mm½circle Rb75cm 2/0 Pcs / * * *
218 77 QA0601 Suture/Catgut Chromic30mm½circle Rb75cm 3/0 Pcs / * * *
219 78 QA0602 Suture/Catgut Chromic35mm½circle Rb75cm 0 Pcs / * * *
220 79 QA0603 Suture/Catgut Chromic38mm½circle Rb75cm 1 Pcs / * * *
221 80 QA0604 Suture/Catgut Chromic40mm½circle Rb75cm 2 Pcs / * * *
11 of 14
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
222 81 QA0605 Suture/Catgut Chromic85mm B P Cvd Rb 2 Pcs / * * *
223 82 QA0553 Suture/Catgut Plain 22mm curved cutting 75cm 3/0 Pcs * * * *
224 83 QA0554 Suture/Catgut Plain 25mm½ circle Rb 75cm 2/0 Pcs * * * *
225 84 QA0555 Suture/Catgut Plain 30mm½ circle Rb 75cm 0 Pcs * * * *
226 85 QA0581 Suture/ Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 0 Pcs / * * *
227 86 QA0582 Suture/Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 1 Pcs / * * *
228 87 QA0579 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 2/0 Pcs / * * *
229 88 QA0578 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 3/0 Pcs / * * *
230 89 QA0576 Suture/ Polyglycolic Acid double arms spatulates ( S 24 ) 6/0 Pcs / / / * Eye Unit Program
231 90 QA0563 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 2/0 Pcs * * * *
232 91 QA0561 Suture/Polyamide 26 mmCurved Rev cutting 75cm (Nylon) 3/0 Pcs * * * *
233 92 QA0575 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 4/0 Pcs * * * *
234 93 Suture/ Black monofilament double arms spatulates 30cm (Nylon) 10/0 Pcs / / / * Eye Unit Program
235 94 QA0644 Suture/Silk 16mm curved 45mm 4/0 Pcs / * * *236 95 QA0640 Suture/Silk 6mm curved 38mm 6/0 Pcs / * * *
237 96 Suture/Silk 8mm double needle micro-point spatula ½ circle 30mm 8/0 Pcs / * * *
238 97 Suture/Silk double needle micro-point spatula curved 30mm 10/0 Pcs / * * *
239 98 NQ4768 Sphygmomanometer Aneroid for Adult 300 mm Hg Pcs * * * *240 99 QB0530 Stethoscope Binaural Pcs * * * *241 100 Syringe Disposable & Needle 26G 1ml Pcs * * * * MCH/Diabetes242 101 QA0680 Syringe Disposable & Needle 25G 2ml Pcs * * * *243 102 QA0664 Syringe Disposable & Needle 25G 5ml Pcs * * * *244 103 QA0661 Syringe Disposable & Needle 23G 5ml Pcs * * * *
12 of 14
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
245 104 QA0662 Syringe Disposable & Needle 23G 10ml Pcs * * * *246 105 QA0692 Syringe Disposable 20ml Pcs / * * *247 106 QA0693 Syringe Disposable 50ml Pcs / / / *248 107 Syringe with Spiral 50cc Pcs / / / *249 108 Syringe for insuline 1ml Pcs / SN SN SN Diabetese250 109 QA0710 Talc 1kg Box * * * *251 110 QA0730 Tape Test for Autoclave Roll / * * * Infection Control252 111 QA0740 Tape Umbilical Non sterile 3mm Roll * * * *253 112 Indicator Strips Test For Sterilization Roll * * * * Infection Control
254 113 Bag for Medical Surgical Capacity 10-15 litres 10-15 Litres Pcs / / * * Infection Control
255 114 QB0560 Thermometer Oral/Rectal oC Pcs * * * *256 115 QA0751 Thorax Drain + Trocar CH12 Pcs / * * *257 116 QA0752 Thorax Drain + Trocar CH14 Pcs / * * *258 117 QA0753 Thorax Drain + Trocar CH16 Pcs / * * *259 118 QA0754 Thorax Drain + Trocar CH18 Pcs / * * *260 119 QA0755 Thorax Drain + Trocar CH20 Pcs / * * *261 120 Three way Stopcock Pcs / / / *262 121 QA0760 Tongue depressor wood adult Pcs * * * *263 122 Tracheal tube #4 Pcs / / * *264 123 Tracheal tube #4.5 Pcs / / * *265 124 Tracheal tube #5 Pcs / / * *266 125 Tracheal tube #5.5 Pcs / / * *267 126 Tracheal tube #6 Pcs / / * *268 127 Tracheal tube #6.5 Pcs / * * *269 128 Tracheal tube #7 Pcs / / * *270 129 QA0775 Tracheotomy tube #6 Pcs / / * *271 130 QA0772 Tracheotomy tube #7 Pcs / / * *272 131 QA0800 Tube Nasogastric/Feeding with Cover CH5 Pcs / SN * *273 132 QA0802 Tube Nasogastric/Feeding with Cover CH12 Pcs / SN * *274 133 QA0803 Tube Nasogastric/Feeding with Cover CH14 Pcs / SN * *275 134 QA0804 Tube Nasogastric/Feeding with Cover CH16 Pcs / SN * *276 135 QA0780 Tube Redon Drain CH12 Pes / / SN *277 136 QA0781 Tube Redon Drain CH16 Pcs / / SN *278 137 QA0810 Tube Suction Disposable CH8 Pcs / * * *279 138 QA0811 Tube Suction Disposable CH12 Pcs / * * *280 139 QA0812 Tube Suction Disposable CH16 Pcs / * * *281 140 QA0830 Ultra Sound Gel 1 kg Bttl / / * * 13 of 14
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
282 141 QA0840 Umbilical cord clamp Pcs * * * *
283 142 Urine Drainage Bag with non-return valve 2litre Pcs / * * *
284 143 Yellow Plastic bag with Red label (15-20L) Pcs * * * *
14 of 14
MPA LEVEL
MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
I BASIC MEDICINES
1 ORAL MEDICINES
1 1 AA0010 Acetylsalicylic Acid 500mg Tab * Analgestic, Antipyretic, antimigraine, antithrombotic
Hypertention +Diabetes
KINGDOM OF CAMBODIANATION RELIGION KING
bB¢aI»sfsarvnþ
ESSENTIAL MEDICINES LIST - 7th Edition
MPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
2 2 AA0020 Aluminium Hydroxide 500mg Tab * Antacid
3 3 AA0030 Aminophylline 100mg Tab * Anti-asthmatic/brochodialator
4 4 Amlodipine 10mg Tab SN Antihypetensive Hypertention +Diabetes
5 5 AA0060 Amoxicillin 250mg Tab * Antibacterial (beta lactam) IMCI
6 6 AA0061 Amoxicillin 500mg Cap * Antibacterial (beta lactam) IMCI
7 7 AA0040 Amoxicillin Dry Powder/Granules 60ml 125mg/5ml Btl * Antibacterial (beta lactam) - for children IMCI
8 8 AA0080 Atenolol 50mg Tab * Antihypetensive; antiangino Hypertention + Diabetes
9 9 AA0090 Bromhexin 8mg Tab * Broncho mucolytic/antitussive
10 10 AA0640 Bromhexin Syrup 60ml 4mg/5ml Btl * Broncho mucolytic/antitussive
11 11 Captopril 25mg Tab SN Antihypetensive Hypertention + Diabetes
12 12 AA0101Charcoal Activated ( Charbon Adsorbant ) 125mg Tab * Antidote (non-specific) for poisoning
13 13 AA0110 Chlorpheniramine maleate 4mg Tab * Anti-histamine; anti-allergic
14 14 AA0130 Ciprofloxacin (as hydrochloride) 500mg Tab SN Antibacterial STD,Opthl,AIDS, IMCI
15 15 AA0150Co-trimoxazole (sulfamethoxazole+trimethoprim) 100+20mg Tab * Antibacterial
16 16 AA0151Co-trimoxazole (sulfamethoxazole+trimethoprim) 400+80mg Tab * Antibacterial
17 17 AA0154Co-trimoxazole (sulfamethoxazole+trimethoprim) Suspension 60ml
200+40mg/5ml Btl * Antibacterial - for children IMCI
18 18 AA0190 Doxycycline (as hydrochloride) 100mg Tab * Antibacterial
1
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
19 19 AA0200Erythromycin (as stearate or ethyl succinate) 250mg Tab * Antibacterial STD,Dermato,AIDS, IMCI
20 20 Erythromycin stearate Dry Powder/Granules 60ml 125mg/5ml Btl * Antibacterial - for children IMCI
21 21 Fenofibrate 300mg Tab SN Anti-cholesterol and triglyceride Hypertention + Diabetes
22 22 Ferrous fumarate Suspension 60ml 100mg/5ml Btl * Antianaemic/iron supplement - for children IMCI
23 23 AA0210 Ferrous Sulphate + Folic Acid200+0.40mg (60mg Iron element + 0.4
mg Folic acid)Red Tab * Antianaemic/Iron+Folic/Nutrition supplement
for use in pregnancyNutrition
24 24 AA0220 Fluconazole 100mg Tab SN Oral antifungal Dermatologic programm
25 25 AA0230 Folic Acid 5mg Tab * Antianaemic Dermatologic programm
26 26 AA0240 Furosemide 40mg Tab SN Diuretic and anti-hypertensive; also used in heart f l
Hypertention26 26 AA0240 Furosemide 40mg Tab SN failureHypertention
27 27 AA0250 Hydralazine 25mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
28 28 Hydrochlorthiazide (scored tablet) 25mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
29 29 AA0260 Hydrochlorothiazide (scored tablet) 50mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
30 30 AA0280 Mebendazole 500mg Tab * Intestinal anthelminthic Schistosomiasis / IMCI
31 31 AA0290 Methyldopa 250mg Tab SN
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
32 32 AA0320 Metoclopramide (as hydrochloride) 10mg Tab * Antiemetic Palliative Care,
33 33 AA0300 Metronidazole 250mg Tab * Antibacterial/antiamoebic/antigiardiasis STD
34 34 Metronidazole suspension 60 ml 200mg/5ml Btl * Antibacterial/antiamoebic/antigiardiasis - for children
35 35 Mifepriston + Misoprostol (01 tab x200mg) +(04 tab x200µg) Tab SN Medical abortion MCH
2
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
36 36 AA0340 Multivitamin + Mineral Tab * Vitamin and minerals supplement STD / IMCI
37 37 AA0350 Nalidixic Acid 500mg Tab SN Anti-infective (quinolone) IMCI
38 38 AA0360 Niclosamide 500mg Tab * Intestinal anthelminthic
39 39 AA0380 Nystatin 500.000IU Tab SN Oral antifungal STD / AIDS
40 40 AA0390
Oral Rehydration Salts (Low osmolarity for 1L) [Glucose: 13.5g/l, Sodium chloride:2.6g/l, Potasium chloride 1.5g/l, Trisodium citratedihydrate:2.9g/l (20.5g)]
20.5g Sachet * Oral remedy for rehydation
41 41 AA0410 Paracetamol 100mg Tab * Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
NIP
42 42 AA0411 Paracetamol 500mg Tab * Analgesic, antipyretic, antimigraine, without anti-inflamatory action
A l h43 43 AA0412 Paracetamol 500mg Supp * Analgesic, antipyretic, antimigraine; without anti-inflamatory action
Malaria
44 44 AA0413 Paracetamol Syrup 60ml 125mg/5ml Btl * Analgesic, antipyretic without anti-inflamatory action - for children
IMCI
45 45 AA0450 Phenobarbital 50mg Tab SN Anticovulsant/antiepileptic Psychiatry
46 46 AA0440Phenoxymethyl Penicillin (as potassium salt) 250mg Tab * Antibiotic (beta lactam)
47 47 AA0460 Potassium Chloride 600mg Tab SN Treatment of hypokalemia in patients predisposed to loss o K+ e.g. patients on high doses of diuretics
48 48 AA0470 Prednisolone 5mg Tab SN Anti-inflammatory ; Anti-allergic/anaphylaxis AIDS/Leprosy
49 49 AA0480 Promethazine 25mg Tab * Antihistamine, anti-emetic
50 50 AA0481Promethazine (as hydrochloride) 0.1% syrup 60ml 5mg/5ml Btl * Antihistamine, anti-emetic - for children
51 51 AA0500 Salbutamol 4mg Tab * Antiasthmatic/bronchodialator
52 52 AA0501 Salbutamol for Inhalation 200 doses 0.1mg/dose Btl SN Antiasthmatic/bronchodialator
53 53 Simvastatine 20mg Tab SN Anti-cholesterol; used to prevent cardio vascular disease
Hypertention + Diabetes
54 54 AA0510 Tiemonium methylsulphate 50mg Tab SN Antispasmodic Pain/Cancer
3
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
55 55 AA0491 Vitamine A (Retinol) ( red color capsule with nipple) 200,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
56 56 AA0490 Vitamine A (Retinol) (blue color capsule with nipple) 100,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
57 57 AA0531 Vitamin B1 50mg Tab * Vitamin B1 supplement
58 58 AA0541 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
59 59 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide
TB Program
isoniazide.
60 60 NL0040 Zinc Sulphate (Dispersible) 20mg Tab * Diarrhoea in children used as with/an adjuct to ORS
MCH / IMCI
2 INJECTIONS61 1 AB0020 Ampicillin 500mg Vial SN Antibacterial (beta lactam). IMCI
62 2 AB0020 Ampicillin 1g Vial SN Antibacterial (beta lactam) MCH
63 3 AB0030 Atropine Sulphate 1mg/1ml Amp * Pre-operation medication; specific antidote for some poisoning
64 4 AB0050 Butylscopolamine (Hyoscin, Buscopan) 20mg/2ml Amp SN Antispasmodic
65 5 AB0060 Calcium Gluconate 10% 1g/10ml Amp SN Specific antidote for some type of poisoining MCH
66 6 AB0080 Ceftriaxone 1g Vial SN Antibacterial (beta lactam) STD
67 7 AB0140 Dextrose 50% 50ml Vial SN
Hypoglycemia (low blood sugar) in emergency care; management of coma of unknown origin; andrestoration of energy.
68 8 AB0150 Diazepam 10mg/2ml Amp SNPsychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Psychia/IMCI
4
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
69 9 AB0190 Ergometrine Methyl 0.2mg/1ml Amp SN Oxytocic (uterine contraction)
70 10 AB0230 Gentamycin (as sulphate) 80mg/2ml Amp SN Antibacterial
71 11 AB0250 Hydrocortisone (as Sodium succinate) 100mg Vial SN
A naturally occuring steroid/glucocorticoid with rapid onset of action but short duration: used, among others, as Anti-inflammatory ; Anti-allergic in anaphylaxis
72 12 AB0270 Lidocaine 2% 50ml Vial SN Local anaesthetic - injectable Eye Unit / MCH
73 13 AB0290 Magnesium Sulphate 50% IM/IV 10ml Amp SNFor treating eclampsia and severe pre-eclampsia not to be used in other forms of convulsant disorders
MCH
74 14 AB0440 Oxytocin 10 IU/1ml Amp * Oxytocic (uterine contraction) MCH
75 15 AB0420 Vit i K1 (Ph t di ) 10 /1 l A SN Coagulant: affects blood coagulation; helps to stop MCH75 15 AB0420 Vitamin K1 (Phytomenadione) 10mg/1ml Amp SN g g ; p p
bleedingMCH
76 16 AB0430 Water for Injections 5ml Amp SN Diluent for injection
3 IV FLUIDS
77 1 AC0031 Dextrose 10% + IV giving set 500ml Btl SN Rehydration and energy; diluent for other IV medications
Malaria / MCH
78 2 AC0041 N S S 0.9% + IV giving set 1000ml Btl * Electrolytes replacement, rehydration, and source of sodium, sugar and energy
MCH
79 3 AC0060 Ringer's Lactate + IV giving set 1000ml Btl *
Fluid and electrolyte replenishment therapy. Also often called Hartmann's solution - for the correction of extracellular volume and electrolyte depletion.
Dengue / IMCI / MCH
4 OTHER MEDICINES5 EXTERNAL MEDICINES
80 1 AD0010 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar * Antifungal (topical)
81 2 AD0020 Benzyl Benzoate 25% 1L Btl * Scabicide, pediculicide (topical)
82 3 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
83 4 AD0120 Gentian Violet Powder 25g Jar * Anti-infective (topical) as a 0.5 aqueous solution or tincture
5
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
84 5 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl * Antiseptic concentrate; 5% solution used as
antisepticIPC Program
85 6 AD0180 Petroleum Jelly (Vaseline) 500g Jar * Emollient (skin lubrication and mosturizer)
86 7 AD0140 Polyvidone Iodine 10% 200ml Btl * Topical Antiseptic (wound application)
87 8 AD0190 Zinc oxide 10% 500g Jar * Hypoallergenic (minimize itching due to skin allergic reactions)
II CONSUMMABLES88 1 QA0031 Adhesive Tape Zinc Oxide perforated 18cm x 5m Roll *89 2 QA0030 Adhesive Tape Zinc Oxide perforated 5cmx5m Roll *90 3 QA0070 Bandage, Gauze Non-sterile 7.5cmx10m Roll *91 4 QA0090 Blades for Surgical Knife #15 Pcs * Oral Health 92 5 QA0160 Catheter IV with injection port 18G Pcs SN93 6 QA0161 Catheter IV with injection port 20G Pcs SN94 7 QA0162 Catheter IV with injection port 22G Pcs SN STD,AIDS95 8 QA0163 Catheter IV with injection port 24G Pcs SN96 9 QA0164 Catheter IV with injection port 26G Pcs SN97 10 QA0190 Cotton Wool Absorbent 500g Roll *98 11 QA0290 Gauze, absorbent (BP17g/m2) 90cmx91m Roll *99 12 QA0300 Glove examination, non sterile, Latex Small Pcs *
100 13 QA0310 Glove examination, non sterile, Latex Medium Pcs *101 14 QA0302 Glove examination, non sterile, Latex Large Pcs *
102 15 QA0360 Glove, sterile, Long Cuff (for Gynaecological use)
Small Pcs *
103 16 QA0361 Glove, sterile, Long Cuff (for Gynaecological use)
Medium Pcs *
104 17 QA0362 Glove, sterile, Long Cuff (for Gynaecological use)
Large Pcs *
105 18 QA0370 Medical Plastic Bags (Khmer printing, as sample)
7cm x 11cm Pcs *
106 19 Manual Vacuum Aspiration (MVA) Kit (Gynecological )
Kit SN MCH
107 20 QA0391 Needle Disposable 19G x 1.½" Pcs SN108 21 QA0392 Needle Disposable 21G x 1.½" Pcs SN109 22 QA0393 Needle Disposable 23G x 1" Pcs SN110 23 QA0394 Needle Disposable 25G x 1" Pcs SN111 24 Original Perfusor 150cm Pcs *
6
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
112 25 Paper face mask 2 plies Pcs *113 26 NP0130 Safety Box for Used Syringe 5L Pcs * Infection Control114 27 NP0131 Safety Box for Used Syringe 10 L Pcs * Infection Control115 28 QA0541 Scalp Vein 23G Pcs *116 29 QA0542 Scalp Vein 25G Pcs * MCH
117 30 QA0553 Suture/Catgut Plain 22mm curved cutting 75cm
3/0 Pcs *
118 31 QA0554 Suture/Catgut Plain 25mm½ circle Rb 75cm 2/0 Pcs *
119 32 QA0555 Suture/Catgut Plain 30mm½ circle Rb 75cm 0 Pcs *
120 33 QA0563 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon)
2/0 Pcs *
121 34 QA0561 Suture/Polyamide 26 mmCurved Rev cutting 75cm (Nylon)
3/0 Pcs *g ( y )
122 35 QA0575 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon)
4/0 Pcs *
123 36 NQ4768 Sphygmomanometer Aneroid for Adult 300 mm Hg Pcs *124 37 QB0530 Stethoscope Binaural Pcs *125 38 Syringe Disposable & Needle 26G 1ml Pcs * MCH/Diabetes126 39 QA0680 Syringe Disposable & Needle 25G 2ml Pcs *127 40 QA0664 Syringe Disposable & Needle 25G 5ml Pcs *128 41 QA0661 Syringe Disposable & Needle 23G 5ml Pcs *129 42 QA0662 Syringe Disposable & Needle 23G 10ml Pcs *130 43 QA0710 Talc 1kg Box *131 44 QA0740 Tape Umbilical Non sterile 3mm Roll *132 45 Indicator Strips Test For Sterilization Roll * Infection Control133 46 QB0560 Thermometer Oral/Rectal oC Pcs *134 47 QA0760 Tongue depressor wood adult Pcs *135 48 QA0840 Umbilical cord clamp Pcs *136 49 Yellow Plastic bag with Red label (15-20L) Pcs *
III NATIONAL PROGRAMSIII 1 EYE UNIT/PROGRAM137 1 NQ3142 Tetracycline 1 % eye ointment 5g Tube * Opth.- anti-infective
III 2 NATIONAL CENTRE OF TUBERCULOSIS AND LEPROSY CONTROL (CENAT)A TUBERCULOSIS PROGRAM(1) First Line Anti-TB Medicines
7
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
138 1 NC0009 Ethambutol 100mg Tab * Anti-tuberculosis139 2 NC0010 Ethambutol 400mg Tab * Anti-tuberculosis140 3 NC0071 Rifampicine / Isoniazide 150 + 75mg Tab * Anti-tuberculosis141 4 NC0070 Rifampicine / Isoniazide 60+30mg Tab * Anti-tuberculosis
142 5 NC0080Rifampicine / Isoniazide / Pyrazinamide 60+30+150mg Tab * Anti-tuberculosis
143 6 NC0082Rifampicine/Isoniazide/Pyrazinamide/Ethambutol
150+75+400+275 mg Tab * Anti-tuberculosis
144 7 NC0092 Streptomycine 1g Vial SN Anti-tuberculosis
145 8 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
146 9 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
147 (2) Second Line Anti-TB Medicines
148 1 GA3901 Amikacin 500mg Vial SN 2nd line anti-infective (aminoglycoside) - multidrug resistant gram negative bacteria
149 2 Capreomycin 1g Vial SN 2nd antimycobacterials: tuberculosis and leprostatic agents
150 3 Cycloserine 250mg Cap SN Anti-infective used as 2nd line anti-TB
151 4 Ethionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
152 5 Gatitfloxacin 500mg Tab SN Anti-infective used as 2nd line anti-TB
153 6 Kanamycin 1g Vial SN Anti-infective used as 2nd line anti-TB
154 7 Levofloxacin 250mg Tab SN Anti-infective used as 2nd line anti-TB
8
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
155 8 Moxifloxacin 400mg Tab SN Anti-infective used as 2nd line anti-TB
156 9 AA0400 Ofloxacin 200mg Tab SN Anti-infective used as 2nd line anti-TB
157 10 Para Amino Salicylic Acid 4g Sachet SN Anti-infective used in combination with other anti-TB as 2nd line
Powder 100gr per Jar
158 11 Prothionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
B LEPROSY PROGRAM159 1 NC0020 MB (multibacillary) Adult Blister * Antileprosy
160 2 NC0030 MB (multibacillary) Child Blister * Antileprosy
161 3 NC0040 PB (paucibacillary) Adult Blister * Antileprosy
162 4 NC0050 PB (paucibacillary) Child Blister * Antileprosy
III 3 NATIONAL CENTRE FOR PARASITOLOGY, ENTOMOLOGY AND MALARIA CONTROL (CNM)A MALARIA PROGRAM
163 1 ND0059 A+M1 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (1-5yrs)
164 2 ND0060 A+M2 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (6-10yrs)
165 3 ND0061 A+M3 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (11-14yrs)
166 4 ND0063 A+M5 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (> 15yrs)
167 5 ND0051 Artesunate Rectocap 50mg Tab * for severe malaria
168 6 ND0052 Artesunate Rectocap 200mg Tab * for severe malaria
169 7 Artesunate injectable + 1ml of 5% Sodium bicarbonate solution 60mg
Vial + Amp
(Solution)
SN for severe malaria
170 8 ND0040 Artemeter injection 80mg/ml Amp SN for severe malaria
171 9 ND0110 Mefloquine 250mg Tab SN Used in combination with artesunate
172 10 ND0031 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 3Tab) * Proposed new first line ACT for malaria caused by
P. faciparum.
173 11 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 6Tab) * Proposed new first line ACT for malaria caused by
P. faciparum.
174 12 Piperaquine + Dihydro artemisinin 320mg+40mgBlister(9Tab) * Proposed new first line ACT for malaria caused by
P. faciparum.
9
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
175 13 ND0150 Quinine Sulfate 300mg Tab SN Used in severe malaria and should be used in combination with Doxycycline
176 14 ND0140 Quinine Dihydrochloride 600mg/2ml Amp SNP. falciparum malaria; no longer recommended by the WHO as first line treatment for malaria and should only be used when ACTs are not available
177 15 ND0170 Tetracycline 250mg Cap * Anti-infective - with action on malaria parasite
B SCHISTOSOMIASIS AND HELMINTHIASIS PROGRAM
178 1 ND0130 Praziquantel 600mg Tab SN Intestinal anthelminthic:antischistosomal/antitrematode
C DENGUE HAEMORRHAGIC FEVER PROGRAMC DENGUE HAEMORRHAGIC FEVER PROGRAM
179 1 AC00345% Dextrose in Isotonic Saline Solution + IV Giving Set 500ml Blt SN Water, electrolyte replacement and source of
energy
D FILARIASIS PROGRAM180 1 NQ0004 Albendazol 400mg Tab SN Intestinal anthelmenthic AIDS
181 2 ND0230 Diethylcarbamazine (dihydrogen citrate) 100mg Tab SN Antifilarial
182 3 Invermectin (scored tablets) 3mg Tab SN Antifilarial
III 4 BIRTH SPACING PROGRAM
183 1 NH0020 Depo-medroxyprogesterone acetate 150mg/3ml Vial * Injectable hormonal contraceptive - long acting
184 2 NH0040 Norgestrel (Progestin-Only-Pill) 0.075mg Blister * Oral Contraceptive
185 3 NH0050Ethinyloestradiol + Levonorgestrel (Combined Oral Contraceptive) 0.03/0.15mg Blister * Combined Oral Contraceptive
186 4 NH0010 Condom 49mm Pcs * Physical barrier contraceptive
187 5 NH0030 IUD Copper T 380A T380A Pcs * Intra-uterine device (IUD) Contraceptive
188 6 NH0011
Female Condom (Lubricated loose-fitting Polyurethane, pouch closed at one end, open at the other with soft rings at each end. 160-180mm width, 41-61µ thickness, 2.23-2.53mm outer ring, 56.5-58-5mm inne
160-180mm Pcs * Physical barrier contraceptive
10
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
189 7 NH0052Levonorgestrel (Emergency/Morning After Contraceptive Pills), 2 pill per Blister
0.75mg Blister * "Morning after" contraceptive
190 8 NH0051Implant: a-Etonorgestrel b- Levonorgestrel
a-68 mg b-150mg Implant * Implant hormonal contraceptive - long acting
III 5 PSYCHIATRY MEDICINES(1) First Line
191 1 NG0010 Amitriptyline (as hydrochloride) 25mg Tab SN Depressive disorders Pain/Cancer
192 2 NG0041 Chlorpromazine (as hydrochloride) 100mg Tab SN Psychotic disorders
193 3 NG0070 Haloperidol 5mg Tab SN Psychotic disorders Pain/Cancer
194 4 NG0120 Phenytoine 100mg Tab SN Anticovulsants/anti-epileptic Pain/Cancer
195 5 NG0140 Trihexyphenidyl (benzhexol) 5mg Tab SN Antiparkinsonian agent (antimuscarinic class)
III 6 NATIONAL CENTRE FOR HIV/AIDS, DERMATOLOGY AND STD (NCHADS)A HIV/AIDS PROGRAM(1) ADULTS
196 1 NE0010 Abacavir (ABC) (as sulfate) 300mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
197 2 NE0014 Abacavir (ABC) + Lamivudine (3TC) 600mg+300mg Tab SN ARV: 2-FDC
198 3 NE0100Stavudine (D4T) + Lamivudine(3TC) + Nevirapine(NVP)
30mg+150mg+200mg Tab SN ARV: 3-FDC
199 4 NE0013 Atazanavir 300mg Tab SN ARV: Protease inhibitor (PI)
200 5 NE0042Didanosine (ddl) (unbuffered enteric coated tablet) 250mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase
inhibitor
201 6 NE0043Didanosine (ddl) (unbuffered enteric coated tablet) 400mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase
inhibitor
202 7 NE0051 Efavirenz (EFV or EFZ) 200mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
203 8 NE0052 Efavirenz (EFV or EFZ) 600mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
204 9 NE0070 Lamivudine (3TC) 150mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
205 10 NE0080 Stavudine(d4T)+ Lamivudine (3TC) 30mg+150mg Tab SN ARV: 2-FDC
206 11 NE0251 Stavudine (d4T) 30mg Tab SN ARV: nucleoside analog/reverse transcriptase inhibitor (NARTI)
207 12 NE0110 Zidovudine(AZT)+Lamivudine(3TC) 300mg+150mg Tab SN ARV: 2-FDC
11
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
208 13 NE0111Zidovudine(AZT)+Lamivudine(3TC) + Nevirapine(NVP)
300mg+150mg+200mg Tab SN ARV: 3-FDC
209 14 NE0141 Lopinavir/Ritonavir 200mg/50mg Cap SN ARV: Protease inhibitor
210 15 NE0170 Nevirapine 200mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
211 16 NE0220 Ritonavir 100mg Tab SN ARV: pharmacological booster
212 17 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC )
300mg+150mg +300mg Tab SN ARV: 3-FDC
(2) PEDIATRIC
213 1 NE0010 Abacavir (ABC) (as sulfate) 240ml syrup 20mg/ml Bttl SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
214 2 NE0012 Abacavir( ABC ) +Lamivudine (3TC) 60mg+30mg Tab SN ARV: 2-FDC
215 3 NE0102Stavudine(d4T) + Lamivudine(3TC) + Nevirapine(NVP)
12mg+60mg+100mg Tab SN ARV: 3-FDC
216 4 NE0082 Stavudine(d4T) + Lamivudine(3TC) 6mg+30mg Tab SN ARV: 3-FDC216 4 NE0082 Stavudine(d4T) Lamivudine(3TC) 6mg 30mg Tab SN217 5 NE0083 Stavudine(d4T) + Lamivudine(3TC) 12mg+60mg Tab SN ARV: 3-FDC
218 6 NE0045 Didanosine (ddl) 125mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
219 7 NE0046 Didanosine (ddl) 200mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
220 8 NE0050 Efavirenz (EFV or EFZ) 50mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
221 9 NE0150 Lopinavir/Ritonavir 160ml Syrup 80mg/20mg/ml Bttl SN ARV: Protease inhibitor
222 10 NE0142 Lopinavir/Ritonavir (LPV/r) 100mg/25mg Tab SN ARV: Protease inhibitor
223 11 NE0190 Nevirapine (NVP) Syrup 10mg/ml Bttl SN ARV: Non-nucleoside reverse transcriptase inhibitor
224 12 NE0113 Zidovudine (AZT )+Lamivudine (3TC) 60mg+30mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
225 13 NE00114 Zidovudine(AZT) +Lamivudine(3TC) +Nevirapine(NVP ) 60+30+50mg Cap SN ARV: 3-FDC - nucleoside/nucleotide reverse
transcriptase inhibitor
226 14 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC ) 60+30+60mg Cap SN ARV: 3-FDC - nucleoside/nucleotide reverse
transcriptase inhibitor
B DERMATOLOGY, STD, OIs AND OTHER MEDICINES(1) ORAL MEDICINES
227 1 NF0030 Azithromycine 500mg Tab SN Antibacterial
228 2 NF0060 Cefixime 200mg Tab SN Antibacterial (beta lactam)
229 3 NQ0111 Cotrimoxazole 800mg + 160mg Tab SN Antibacterial HIV/AIDS Care
12
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
230 4 Betamethasone (as valerate) 0.1% Ointment/Cream 30g Tube SN Anti-inflammatory, antipruritic (topical)
231 5 NQ2286 Clotrimazole 1% cream 30g Tube SN Antifungal (topical) Pain/Cancer
232 6 NF0151 Hydrocortisone (as acetate) 1% 15g Tube SN Anti-inflammatory, antipruritic (topical)
233 7 NF0180 Ketokonazole 2% cream 15g Tube * Topical broad spectrum antifungal AIDS
234 8 NP0190 Miconazole 2% gel 40g Tube SN Antifungal (topical) - fungal infections of the mouth, throat and gut
235 9 NQ3150 Petroleum Jelly (Vaseline) 15g Tube SN Emollient (skin lubrication and mosturizer); helps protect minor cuts and burns.
236 10 NQ2541 Polyvidone Iodine 10% 200ml Btl SN Topical antiseptic for minor skin injuries Basic nedicine
(2) INJECTIONS(2)(3)
(4)237 1 NQ0115 Clotrimazole (vaginal tablets) 500mg Pessary SN Antifungal Pain/Cancer
238 2 NQ0608 Miconazole 100mg Pessary SN Antifungal
239 3 Paracetamol 300mg Supp * Analgesic, antipyretic, antimigraine; without anti-inflamatory action
III 7 ORAL HEALTH PROGRAMA MEDICINES
240 1 Eugenol USP 10ml Vial SNToothache and other related uses as local antiseptic and anesthetic. Mixed with zinc oxide - restorative and prosthodontic
241 2 NI0140 Glass ionomer for Rest Gc Fuji II Powder 15g + liquid 10g Box *
242 3 NI0141 Glass ionomer for Rest Gc Fuji IX Powder 15g + liquid 10g Box *
243 4 Glass ionomer for Rest Gc Fuji VII Powder 15g + liquid 10g Box *
244 5 NI0220 Lidocain 2% Adrenaline 0.001% 1.8 ml Cart * Local anaesthetic
245 6 Lidocain 2% Non-adrenaline 1.8 ml Cart * Local anaesthetic
246 7 Fluoride Varnish 10 ml Tube * Prevent tooth decay
INJECTIONSEXTERNAL USE MEDCINS OTHER MEDICINES
13
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
247 8 Fluoride Gel 113g Tube * Prevent tooth decay
248 9 Polyhexa+didecyl St 72.17 Hexanios for Soaking instruments before Sterilization Sachets /25ml Sachet * Instrument sterilization
249 10 NI0210 Zinc Oxide Powder 1Kg Jar * Mixed with Eugenol produce material which has restorative and prosthodontic applications.
B MATERIALS250 1 NV0160 Needle Dental 27G .21mm Pcs SN251 2 NV0161 Needle Dental 27G . 30mm Pcs SN252 3 NV0162 Needle Dental 27G . 35mm Pcs SN253 4 NV0030 Catridge syringe ( metal ) 1,8ml Pcs *III 8 NATIONAL IMMUNIZATION PROGRAM254 1 NB0031 BCG Vaccine with diluent (+VVM) 20doses Vial * Vaccine254 1 NB0031 BCG Vaccine with diluent ( VVM) 20doses Vial Vaccine
255 2 NB0042 DTP-HepB -Hib Vaccine (+VVM) 0.5ml/Dose Vial * Vaccine
256 3 NB0051Hepatitis B Vaccine 10mg/0.5ml (+VVM) 1dose Vial * Vaccine
257 4 NB0053Japanese Encephalitis Vaccine with diluent (+VVM) 5 Doses Vial * Vaccine
258 5 NB0070 Measle Vaccine with diluent (+VVM) 10doses Vial * Vaccine
259 6 NB0062Oral Polio Vaccine with dropper (+VVM) 10doses Vial * Vaccine
260 7 NB0081 Tetanus Toxin Vaccine (+VVM) 10doses Vial * Vaccine
261 8 NP0010 Syringe, Autodestruct 0.05ml + Needle 27G x 3/8 Pcs * Consummable Supplies
262 9 NP0012 Syringe, Autodestruct 0.5ml + Needle 23G x 1 Pcs * Consummable Supplies
III 9 NUTRITION PROGRAM
263 1 Iron-Folate Weekly Iron-Folic Supplementation (WIFS)
60mg Iron element + 2.8 mg Folic acid Rose Tab * Weekly Iron-Folic Supplementation (WIFS) in
Women of Reproductive Age
264 2
Multiple Micronutrient Powder (MNP)[Iron (12.5mg), Zinc (10mg), Vitamin A (300µg), Iodine ( 90µg), Vit B1 (0.5mg), Vit B2 (0.5mg), Vit B6 (0.5mg), Vit B12 (0.9µg), Niacin (6mg), Folate/Folic acid (160µg), Vit C (Ascorbic acid) (30mg), Copper (0.3mg), Selenium (17µg), Vit D (5µg) and Vit E (6mg)]
1g Sachet * Multi-nutrient formula/powder for children 6-24 months.
14
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
III 10 PAIN RELIEF AND PALLIATIVE CAREIII 11 ANTI CANCER MEDICINESIII 12 DIABETES
265 1 Glimepiride 2mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
266 2 NQ0605 Metformine 500mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
III 13 ENDOCRINOLOGY AND HORMONOLOGYIII 14 INFECTION CONTROL AND PREVENTION
267 1 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
268 2 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl * Antiseptic concentrate; 5% solution used as
antiseptic
269 3 Apron, plastic, disposable (Liquid and Spash Small Pcs * U t t t h lth k f 269 3 Resistant) Small Pcs * Use: to protect health care workers from
droplets or splashes
270 4 Apron, plastic, disposable (Liquid and Spash Resistant) Medium Pcs * Use: to protect health care workers from
droplets or splashes
271 5 Apron, plastic, disposable (Liquid and Spash Resistant) Large Pcs * Use: to protect health care workers from
droplets or splashes
272 6 Gown, disposable (Liquid and Spash Resistant) Small Pcs * Use: to protect health care workers from droplets
or splashes
273 7 Gown, disposable (Liquid and Spash Resistant) Medium Pcs * Use: to protect health care workers from droplets
or splashes
274 8 Gown, disposable (Liquid and Spash Resistant) Large Pcs * Use: to protect health care workers from droplets
or splashes
15
CPA 1 LEVEL
MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
I BASIC MEDICINES1 ORAL MEDICINES
1 1 AA0010 Acetylsalicylic Acid 500mg Tab * Analgestic, Antipyretic, antimigraine, antithrombotic
Hypertention +Diabetes
2 2 AA0020 Aluminium Hydroxide 500mg Tab * Antacid
3 3 AA0030 Aminophylline 100mg Tab * Anti-asthmatic/brochodialator
4 4 Amlodipine 10mg Tab * Antihypetensive Hypertention +Diabetes
5 5 AA0060 Amoxicillin 250mg Tab * Antibacterial (beta lactam) IMCI
6 6 AA0061 Amoxicillin 500mg Cap * Antibacterial (beta lactam) IMCI
7 7 AA0050 Amoxicillin + Clavulanic acid 500mg+125mg Tab * Antibacterial (beta lactam)
8 8 AA0040Amoxicillin Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial (beta lactam) - for children
IMCI
9 9 AA0080 Atenolol 50mg Tab * Antihypetensive; antiangino Hypertention + Diabetes
10 10 AA0090 Bromhexin 8mg Tab * Broncho mucolytic/antitussive
11 11 AA0640 Bromhexin Syrup 60ml 4mg/5ml Btl * Broncho mucolytic/antitussive
12 12 Captopril 25mg Tab * Antihypetensive Hypertention + Diabetes
13 13 AA0101Charcoal Activated ( Charbon Adsorbant )
125mg Tab * Antidote (non-specific) for poisoning
14 14 AA0110 Chlorpheniramine maleate 4mg Tab * Anti-histamine; anti-allergic
15 15 Chlorpromazine (as hydrochloride) 25mg Tab * Psychotic disorders Psychiatry
16 16 AA0120 Cimetidine 200mg Tab *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
17 17 AA0130 Ciprofloxacin (as hydrochloride) 500mg Tab * Antibacterial STD,Opthl,AIDS, IMCI
18 18 AA0137 Cloxacillin (as soldium salt) 250mg Tab * Antibacterial (beta lactam)
19 19 AA0138 Cloxacillin (as soldium salt) 500mg Tab * Antibacterial (beta lactam)
KINGDOM OF CAMBODIANATION RELIGION KING
bB¢aI»sfsarvnþ
ESSENTIAL MEDICINES LIST - 7th Edition
CPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
1 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
20 20 AA0150Co-trimoxazole (sulfamethoxazole+trimethoprim)
100+20mg Tab * Antibacterial
21 21 AA0151Co-trimoxazole (sulfamethoxazole+trimethoprim)
400+80mg Tab * Antibacterial
22 22 AA0154Co-trimoxazole (sulfamethoxazole+trimethoprim) Suspension 60ml
200+40mg/5ml Btl * Antibacterial - for children IMCI
23 23 AA0160 Diazepam 5mg Tab * Anxiolytic, sleep disorders, mild muscle relaxant
Psychiatry, Hypertention + Diabetes
24 24 AA0170 Diclofenac 50mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
25 25 AA0180 Digoxin 0.25mg Tab * Cardiovascular medicines used in heart failure
26 26 AA0190 Doxycycline (as hydrochloride) 100mg Tab SN Antibacterial
27 27 AA0200Erythromycin (as stearate or ethyl succinate)
250mg Tab * Antibacterial STD,Dermato,AIDS, IMCI
28 28 Erythromycin stearate Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial - for children IMCI
29 29 Fenofibrate 300mg Tab SN Anti-cholesterol and triglyceride Hypertention + Diabetes
30 30 Ferrous fumarate Suspension 60ml 100mg/5ml Btl * Antianaemic/iron supplement - for children
IMCI
31 31 AA0210 Ferrous Sulphate + Folic Acid200+0.40mg (60mg Iron element + 0.4
mg Folic acid)Red Tab * Antianaemic/Iron+Folic/Nutritio
n supplement for use in pregnancyNutrition
32 32 AA0220 Fluconazole 100mg Tab * Oral antifungal Dermatologic programm
33 33 AA0230 Folic Acid 5mg Tab * Antianaemic Dermatologic programm
34 34 AA0240 Furosemide 40mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention
35 35 AA0250 Hydralazine 25mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
36 36 Hydrochlorthiazide (scored tablet) 25mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
2 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
37 37 AA0260 Hydrochlorothiazide (scored tablet) 50mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
38 38 NQ0353 Hyocine-N-Buthylbromide 10mg Tab * Antispasmodic
39 39 AA0270 Indometacin 25mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
40 40 AA0550 Isosorbide Dinitrate 10mg Tab *Vasodilator used in , e.g. angina pectoris, anal fissure and congestive heart failure.
41 41 Losartan potassium 50 mg Tab SN Anti-hypertensive Hypertention + Diabetes
42 42 AA0280 Mebendazole 500mg Tab * Intestinal anthelminthic Schistosomiasis / IMCI
43 43 AA0290 Methyldopa 250mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
44 44 AA0320 Metoclopramide (as hydrochloride) 10mg Tab * Antiemetic Palliative Care,
45 45 AA0300 Metronidazole 250mg Tab * Antibacterial/antiamoebic/antigiardiasis
STD
46 46 Metronidazole suspension 60 ml 200mg/5ml Btl * Antibacterial/antiamoebic/antigiardiasis - for children
47 47 Mifepriston + Misoprostol (01 tab x200mg) +(04 tab x200µg) Tab SN Medical abortion MCH
48 48 AA0330 Misoprostol 200µg Tab SN Oxytocic (uterine contraction) MCH
49 49 AA0340 Multivitamin + Mineral Tab * Vitamin and minerals supplement STD / IMCI
50 50 AA0350 Nalidixic Acid 500mg Tab * Anti-infective (quinolone) IMCI
51 51 AA0360 Niclosamide 500mg Tab * Intestinal anthelminthic
52 52 AA0370 Nifedipine Retard 20mg Tab *Anti-hypertensive (calcium chanel blocker) also used as an anti-angina.
Hypertention + Diabetes
53 53 AA0380 Nystatin 500.000IU Tab * Oral antifungal STD / AIDS
54 54 NQ0735 Omeprazole 20 mg Tab *
Antacid - a proton pump inhibitor -with pronounced and long-lasting reduction of gastric acid production.
3 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
55 55 AA0390Oral Rehydration Salts (Low osmolarity for 1L) [Glucose: 13.5g/l, Sodium chloride:2.6g/l, Potasium chloride 1.5g/l, Trisodium citratedihydrate:2.9g/l (20.5g)]
20.5g Sachet * Oral remedy for rehydation
56 56 AA0410 Paracetamol 100mg Tab *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
NIP
57 57 AA0411 Paracetamol 500mg Tab *Analgesic, antipyretic, antimigraine, without anti-inflamatory action
58 58 AA0412 Paracetamol 500mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
Malaria
59 59 AA0413 Paracetamol Syrup 60ml 125mg/5ml Btl * Analgesic, antipyretic without anti-inflamatory action - for children IMCI
60 60 AA0450 Phenobarbital 50mg Tab * Anticovulsant/antiepileptic Psychiatry
61 61 AA0440Phenoxymethyl Penicillin (as potassium salt)
250mg Tab * Antibiotic (beta lactam)
62 62 AA0460 Potassium Chloride 600mg Tab *
Treatment of hypokalemia in patients predisposed to loss o K+ e.g. patients on high doses of diuretics
63 63 AA0470 Prednisolone 5mg Tab * Anti-inflammatory ; Anti-allergic/anaphylaxis
AIDS/Leprosy
64 64 AA0480 Promethazine 25mg Tab * Antihistamine, anti-emetic
65 65 AA0481Promethazine (as hydrochloride) 0.1% syrup 60ml
5mg/5ml Btl * Antihistamine, anti-emetic - for children
66 66 AA0500 Salbutamol 4mg Tab * Antiasthmatic/bronchodialator
67 67 AA0501 Salbutamol for Inhalation 200 doses 0.1mg/dose Btl * Antiasthmatic/bronchodialator
68 68 Simvastatine 20mg Tab SN Anti-cholesterol; used to prevent cardio vascular disease Hypertention + Diabetes
69 69 AA0510 Tiemonium methylsulphate 50mg Tab * Antispasmodic Pain/Cancer
70 70 AA0491 Vitamine A (Retinol) ( red color capsule with nipple) 200,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
71 71 AA0490 Vitamine A (Retinol) (blue color capsule with nipple) 100,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
4 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
72 72 AA0531 Vitamin B1 50mg Tab * Vitamin B1 supplement
73 73 AA0541 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
74 74 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
75 75 NL0040 Zinc Sulphate (Dispersible) 20mg Tab * Diarrhoea in children used as with/an adjuct to ORS
MCH / IMCI
2 INJECTIONS76 1 AB0010 Adrenaline (epinephrine) 1mg/1ml Amp * Anti-allergic, anti-anaphylaxis
77 2 AB0020 Ampicillin 500mg Vial * Antibacterial (beta lactam). IMCI
78 3 AB0020 Ampicillin 1g Vial * Antibacterial (beta lactam) MCH
79 4 NB0012 Neuro Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
80 5 NB0011 Hemato Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
81 6 AB0030 Atropine Sulphate 1mg/1ml Amp * Pre-operation medication; specific antidote for some poisoning
82 7 AB0050 Butylscopolamine (Hyoscin, Buscopan) 20mg/2ml Amp * Antispasmodic
83 8 AB0060 Calcium Gluconate 10% 1g/10ml Amp * Specific antidote for some type of poisoining
MCH
84 9 Ceftazidime (as pentahydrate) (powder for injection) 500mg Vial SN
Broad-spectrum (beta-lactam antibacterial) for the treatment of melioidosis infection caused by Burkholderia pseudomallei
85 10 AB0080 Ceftriaxone 1g Vial * Antibacterial (beta lactam) STD
86 11 AB0100 Chlorpromazine (as hydrochloride) 50mg/2ml Amp * Psychotic disorders Psychia/Pain/Cancer
87 12 AB0110 Cimetidine 200mg/2ml Amp *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
88 13 AB0120 Cloxacillin (as soldium salt) 1g Vial * Antibacterial (beta lactam)
5 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
89 14 AB0130Dexamethasone phosphate (as disodium salt) 4mg/1ml Amp *
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
Opthalmo/STD
90 15 AB0140 Dextrose 50% 50ml Vial *
Hypoglycemia (low blood sugar) in emergency care; management of coma of unknown origin; andrestoration of energy.
91 16 AB0150 Diazepam 10mg/2ml Amp *
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Psychia/IMCI
92 17 AB0170 Dopamine (as hydrochloride) 200mg/5ml Amp *
Symphomimetic used in heart failure, shock and other conditions where sympathomimetic action is desirable.
93 18 AB0190 Ergometrine Methyl 0.2mg/1ml Amp * Oxytocic (uterine contraction)
94 19 AB0200 Etamsylate 250mg/2ml Amp * Anticoagulant
95 20 AB0220 Furosemide 20mg/2ml Amp * Diuretic normaly used in heartfailute
96 21 AB0230 Gentamycin (as sulphate) 80mg/2ml Amp * Antibacterial
97 22 AB0240 Hydralazine Powder + Solvent 20mg/1ml Amp *Antihypertensive: for acute management of severe pregnancy-induced hypertension only.
98 23 AB0250 Hydrocortisone (as Sodium succinate) 100mg Vial *
A naturally occuring steroid/glucocorticoid with rapid onset of action but short duration: used, among others, as Anti-inflammatory ; Anti-allergic in anaphylaxis
99 24 AB0270 Lidocaine 2% 50ml Vial * Local anaesthetic - injectable Eye Unit / MCH
100 25 AB0290 Magnesium Sulphate 50% IM/IV 10ml Amp *
For treating eclampsia and severe pre-eclampsia not to be used in other forms of convulsant disorders
MCH
101 26 AB0300 Metoclopramide (as hydrochloride) 10ml/2ml Amp * Antiemetic Pain/Cancer6 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
102 27 AB0310 Metronidazole 500mg/100ml Vial * Antibacterial/antiamoebic/antigiardiasis
MCH
103 28 AB0440 Oxytocin 10 IU/1ml Amp * Oxytocic (uterine contraction) MCH
104 29 AB0341 Paracetamol 300 mg/2 ml Amp *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
105 30 AB0350 Penicillin - G, IM/IV 1MIU Vial * Antibacterial (beta lactam)
106 31 AB0360 Potassium Chloride 10% 10ml Amp * Treatment of hypokalemia
107 32 AB0370 Salbutamol 0.5mg/1ml Amp * Antiasthmatic
108 33 ZA0751 Sodium Bicarbonate 8.4% 20ml Amp * Alkalising agent for the treatment of acidocis
109 34 AB0420 Vitamin K1 (Phytomenadione) 10mg/1ml Amp * Coagulant: affects blood coagulation; helps to stop bleeding MCH
110 35 AB0430 Water for Injections 5ml Amp * Diluent for injection
3 IV FLUIDS
111 1 AC0010 Dextran 40 + IV giving set 500ml Btl *Anticoagulant during surgical operations; plasma expander/subsitute
Malaria / Dengue
112 2 AC0031 Dextrose 10% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications Malaria / MCH
113 3 AC0020 Dextrose 5% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications
114 4 AC0030Dextrose 5%+0.45% Saline + IV giving set 500ml Btl * Electrolyte replacement,
rehydration, and source of energy Dengue
115 5 AC0041 N S S 0.9% + IV giving set 1000ml Btl *Electrolytes replacement, rehydration, and source of sodium, sugar and energy
MCH
116 6 AC0050 Plasma Substitute + IV giving set 500ml Btl * Plasma expander
117 7 AC0060 Ringer's Lactate + IV giving set 1000ml Btl *
Fluid and electrolyte replenishment therapy. Also often called Hartmann's solution - for the correction of extracellular volume and electrolyte depletion.
Dengue / IMCI / MCH
4 OTHER MEDICINES5 EXTERNAL MEDICINES 7 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
118 1 AD0010 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar * Antifungal (topical)
119 2 AD0020 Benzyl Benzoate 25% 1L Btl * Scabicide, pediculicide (topical)
120 3 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
121 4 AD0120 Gentian Violet Powder 25g Jar * Anti-infective (topical) as a 0.5 aqueous solution or tincture
122 5 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
123 6 AD0180 Petroleum Jelly (Vaseline) 500g Jar * Emollient (skin lubrication and mosturizer)
124 7 AD0140 Polyvidone Iodine 10% 200ml Btl * Topical Antiseptic (wound application)
125 8 AD0031Sodium Dichloroisocyanurate (Water Purification)
167mg Tab * Water Purification
126 9 AD0190 Zinc oxide 10% 500g Jar * Hypoallergenic (minimize itching due to skin allergic reactions)
II CONSUMMABLES127 1 QA0031 Adhesive Tape Zinc Oxide perforated 18cm x 5m Roll *128 2 QA0030 Adhesive Tape Zinc Oxide perforated 5cmx5m Roll *
129 3 Autoclavable Plastic Bag for Restirilizing equipment Pcs *
130 4 QA0060 Bandage, Crepe 8cmx4m Roll *131 5 QA0070 Bandage, Gauze Non-sterile 7.5cmx10m Roll *132 6 QA0090 Blades for Surgical Knife #15 Pcs * Oral Health 133 7 QA0091 Blades for Surgical Knife #22 Pcs *134 8 QA0092 Blades for Surgical Knife # 30 Pcs *
135 9 QA0131 Catheter Foley, Ballon 2 ways 10ml, sterile CH12 Pcs *
136 10 QA0132 Catheter Foley, Ballon 2 ways 10ml, sterile CH14 Pcs *
137 11 QA0128 Catheter Foley, Ballon 2 ways 10ml, sterile CH16 Pcs *
138 12 QA0160 Catheter IV with injection port 18G Pcs *139 13 QA0161 Catheter IV with injection port 20G Pcs *140 14 QA0162 Catheter IV with injection port 22G Pcs * STD,AIDS141 15 QA0163 Catheter IV with injection port 24G Pcs *142 16 QA0164 Catheter IV with injection port 26G Pcs * 8 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
143 17 QA0190 Cotton Wool Absorbent 500g Roll *144 18 QA0180 Cotton Wool Non Absorbent 500g Roll *145 19 QA0210 Developer for X-Ray Film 1 Gallon Btl SN146 20 QA0230 Dressing for burns with Paraffin 10x10cm Pcs *147 21 ExtensionThree ways Stopcock 25 cm Pcs *148 22 QA0920 Fixer for X-Ray Film 1 Gallon Btl SN149 23 QA0290 Gauze, absorbent (BP17g/m2) 90cmx91m Roll *150 24 QA0300 Glove examination, non sterile, Latex Small Pcs *151 25 QA0310 Glove examination, non sterile, Latex Medium Pcs *152 26 QA0302 Glove examination, non sterile, Latex Large Pcs *
153 27 QA0360 Glove, sterile, Long Cuff (for Gynaecological use) Small Pcs *
154 28 QA0361 Glove, sterile, Long Cuff (for Gynaecological use) Medium Pcs *
155 29 QA0362 Glove, sterile, Long Cuff (for Gynaecological use) Large Pcs *
156 30 QA0320 Glove Surgical, sterile, latex Small Pcs *157 31 QA0322 Glove Surgical, sterile, latex Medium Pcs *158 32 QA0321 Glove Surgical, sterile, latex Large Pcs *159 33 QA0330 High Quality Printing Paper UPP- 110s 110mm x 20m Pcs *
160 34 Lubrication gel for Urinary catheter single use 5ml Pack *
161 35 QA0370 Medical Plastic Bags (Khmer printing, as sample) 7cm x 11cm Pcs *
162 36 QA0913 Medical X ray films, Green sensitive 18cm x 24cm Pcs SN163 37 QA0910 Medical X ray films, Green sensitive 18cm x 43cm Pcs SN164 38 QA0911 Medical X ray films, Green sensitive 24cm x 30cm Pcs SN165 39 QA0914 Medical X ray films, Green sensitive 30 cm x 40cm Pcs SN166 40 QA0912 Medical X ray films, Green sensitive 35cm x 35cm Pcs SN167 41 QA0915 Medical X ray films, Green sensitive 35cm x 43cm Pcs SN168 42 Microbiological Indicator for Autoclave Pcs *
169 43 Manual Vacuum Aspiration (MVA) Kit (Gynecological ) Kit SN MCH
170 44 QA0391 Needle Disposable 19G x 1.½" Pcs *171 45 QA0392 Needle Disposable 21G x 1.½" Pcs *172 46 QA0393 Needle Disposable 23G x 1" Pcs *173 47 QA0394 Needle Disposable 25G x 1" Pcs *174 48 QA0403 Needle Spinal Disposable 22G/0.7 x 90mm Pcs *
9 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
175 49 QA0402 Needle Spinal Disposable 25G/0.5 x 90mm Pcs *176 50 Original Perfusor 150 cm Pcs *177 51 QA0451 Oxygen mask with reservoir bag Children Pcs *178 52 QA0450 Oxygen mask with reservoir bag Adult Pcs *179 53 QA0470 Paper face mask 2 plies Pcs *180 54 QA0490 Plaster of Paris 10cm Roll *181 55 QA0491 Plaster of Paris 15cm Roll *182 56 QA0492 Plaster of Paris 20cm Roll *183 57 NP0130 Safety Box for Used Syringe 5L Pcs * Infection Control184 58 NP0131 Safety Box for Used Syringe 10 L Pcs * Infection Control185 59 QA0541 Scalp Vein 23G Pcs *186 60 QA0542 Scalp Vein 25G Pcs * MCH
187 61 QA0600 Sut/Catgut Chromic25mm½circle Rb75cm 2/0 Pcs *
188 62 QA0601 Suture/Catgut Chromic30mm½circle Rb75cm 3/0 Pcs *
189 63 QA0602 Suture/Catgut Chromic35mm½circle Rb75cm 0 Pcs *
190 64 QA0603 Suture/Catgut Chromic38mm½circle Rb75cm 1 Pcs *
191 65 QA0604 Suture/Catgut Chromic40mm½circle Rb75cm 2 Pcs *
192 66 QA0605 Suture/Catgut Chromic85mm B P Cvd Rb 2 Pcs *
193 67 QA0553 Suture/Catgut Plain 22mm curved cutting 75cm 3/0 Pcs *
194 68 QA0554 Suture/Catgut Plain 25mm½ circle Rb 75cm 2/0 Pcs *
195 69 QA0555 Suture/Catgut Plain 30mm½ circle Rb 75cm 0 Pcs *
196 70 QA0581 Suture/ Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 0 Pcs *
197 71 QA0582 Suture/Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 1 Pcs *
198 72 QA0579 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 2/0 Pcs *
199 73 QA0578 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 3/0 Pcs *
10 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
200 74 QA0563 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 2/0 Pcs *
201 75 QA0561 Suture/Polyamide 26 mmCurved Rev cutting 75cm (Nylon) 3/0 Pcs *
202 76 QA0575 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 4/0 Pcs *
203 77 QA0644 Suture/Silk 16mm curved 45mm 4/0 Pcs *204 78 QA0640 Suture/Silk 6mm curved 38mm 6/0 Pcs *
205 79 Suture/Silk 8mm double needle micro-point spatula ½ circle 30mm 8/0 Pcs *
206 80 Suture/Silk double needle micro-point spatula curved 30mm 10/0 Pcs *
207 81 NQ4768 Sphygmomanometer Aneroid for Adult 300 mm Hg Pcs *208 82 QB0530 Stethoscope Binaural Pcs *209 83 Syringe Disposable & Needle 26G 1ml Pcs * MCH/Diabetes210 84 QA0680 Syringe Disposable & Needle 25G 2ml Pcs *211 85 QA0664 Syringe Disposable & Needle 25G 5ml Pcs *212 86 QA0661 Syringe Disposable & Needle 23G 5ml Pcs *213 87 QA0662 Syringe Disposable & Needle 23G 10ml Pcs *214 88 QA0692 Syringe Disposable 20ml Pcs *215 89 Syringe for insuline 1ml Pcs SN Diabetese216 90 QA0710 Talc 1kg Box *217 91 QA0730 Tape Test for Autoclave Roll * Infection Control218 92 QA0740 Tape Umbilical Non sterile 3mm Roll *219 93 Indicator Strips Test For Sterilization Roll * Infection Control220 94 QB0560 Thermometer Oral/Rectal oC Pcs *221 95 QA0751 Thorax Drain + Trocar CH12 Pcs *222 96 QA0752 Thorax Drain + Trocar CH14 Pcs *223 97 QA0753 Thorax Drain + Trocar CH16 Pcs *224 98 QA0754 Thorax Drain + Trocar CH18 Pcs *225 99 QA0755 Thorax Drain + Trocar CH20 Pcs *226 100 QA0760 Tongue depressor wood adult Pcs *227 101 Tracheal tube #6.5 Pcs *228 102 QA0800 Tube Nasogastric/Feeding with Cover CH5 Pcs SN229 103 QA0802 Tube Nasogastric/Feeding with Cover CH12 Pcs SN230 104 QA0803 Tube Nasogastric/Feeding with Cover CH14 Pcs SN231 105 QA0804 Tube Nasogastric/Feeding with Cover CH16 Pcs SN232 106 QA0810 Tube Suction Disposable CH8 Pcs *
11 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
233 107 QA0811 Tube Suction Disposable CH12 Pcs *234 108 QA0812 Tube Suction Disposable CH16 Pcs *235 109 QA0840 Umbilical cord clamp Pcs *
236 110 Urine Drainage Bag with non-return valve 2litre Pcs *
237 111 Yellow Plastic bag with Red label (15-20L) Pcs *
III NATIONAL PROGRAMSIII 1 EYE UNIT/PROGRAM238 1 NQ3142 Tetracycline 1 % eye ointment 5g Tube * Opth.- anti-infective
III 2 NATIONAL CENTRE OF TUBERCULOSIS AND LEPROSY CONTROL (CENAT)A TUBERCULOSIS PROGRAM(1) First Line Anti-TB Medicines
239 1 NC0009 Ethambutol 100mg Tab * Anti-tuberculosis240 2 NC0010 Ethambutol 400mg Tab * Anti-tuberculosis241 3 NC0011 Isoniazide 100mg Tab * Anti-tuberculosis242 4 NC0060 Pyrazinamide 400mg Tab * Anti-tuberculosis243 5 NC0083 Rifampicine 150mg Tab * Anti-tuberculosis244 6 NC0071 Rifampicine / Isoniazide 150 + 75mg Tab * Anti-tuberculosis245 7 NC0070 Rifampicine / Isoniazide 60+30mg Tab * Anti-tuberculosis
246 8 NC0080Rifampicine / Isoniazide / Pyrazinamide
60+30+150mg Tab * Anti-tuberculosis
247 9 NC0082Rifampicine/Isoniazide/Pyrazinamide/Ethambutol
150+75+400+275 mg Tab * Anti-tuberculosis
248 10 NC0092 Streptomycine 1g Vial * Anti-tuberculosis
249 11 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
250 12 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
(2) Second Line Anti-TB Medicines12 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
251 1 GA3901 Amikacin 500mg Vial SN2nd line anti-infective (aminoglycoside) - multidrug resistant gram negative bacteria
252 2 Capreomycin 1g Vial SN 2nd antimycobacterials: tuberculosis and leprostatic agents
253 3 Cycloserine 250mg Cap SN Anti-infective used as 2nd line anti-TB
254 4 Ethionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
255 5 Gatitfloxacin 500mg Tab SN Anti-infective used as 2nd line anti-TB
256 6 Kanamycin 1g Vial SN Anti-infective used as 2nd line anti-TB
257 7 Levofloxacin 250mg Tab SN Anti-infective used as 2nd line anti-TB
258 8 Moxifloxacin 400mg Tab SN Anti-infective used as 2nd line anti-TB
259 9 AA0400 Ofloxacin 200mg Tab SN Anti-infective used as 2nd line anti-TB
260 10 Para Amino Salicylic Acid 4g Sachet SN Anti-infective used in combination with other anti-TB as 2nd line Powder 100gr per Jar
261 11 Prothionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
B LEPROSY PROGRAM262 1 NC0120 Clofazimine 100mg Cap * Antileprosy
263 2 NC0020 MB (multibacillary) Adult Blister * Antileprosy
264 3 NC0030 MB (multibacillary) Child Blister * Antileprosy
265 4 NC0040 PB (paucibacillary) Adult Blister * Antileprosy
266 5 NC0050 PB (paucibacillary) Child Blister * Antileprosy
III 3 NATIONAL CENTRE FOR PARASITOLOGY, ENTOMOLOGY AND MALARIA CONTROL (CNM)A MALARIA PROGRAM
267 1 ND0059 A+M1 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (1-5yrs)
268 2 ND0060 A+M2 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (6-10yrs)
269 3 ND0061 A+M3 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (11-14yrs)
270 4 ND0063 A+M5 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (> 15yrs)
271 5 ND0051 Artesunate Rectocap 50mg Tab * for severe malaria13 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
272 6 ND0052 Artesunate Rectocap 200mg Tab * for severe malaria
273 7 Artesunate injectable + 1ml of 5% Sodium bicarbonate solution 60mg
Vial + Amp
(Solution)
* for severe malaria
274 8 ND0040 Artemeter injection 80mg/ml Amp * for severe malaria
275 9 ND0110 Mefloquine 250mg Tab * Used in combination with artesunate
276 10 ND0031 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 3Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
277 11 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 6Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
278 12 Piperaquine + Dihydro artemisinin 320mg+40mgBlister(9Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
279 13 ND0150 Quinine Sulfate 300mg Tab *Used in severe malaria and should be used in combination with Doxycycline
280 14 ND0140 Quinine Dihydrochloride 600mg/2ml Amp *
P. falciparum malaria; no longer recommended by the WHO as first line treatment for malaria and should only be used when ACTs are not available
281 15 ND0170 Tetracycline 250mg Cap * Anti-infective - with action on malaria parasite
B SCHISTOSOMIASIS AND HELMINTHIASIS PROGRAM
282 1 ND0130 Praziquantel 600mg Tab SNIntestinal anthelminthic:antischistosomal/antitrematode
C DENGUE HAEMORRHAGIC FEVER PROGRAM
283 1 AC00345% Dextrose in Isotonic Saline Solution + IV Giving Set
500ml Blt * Water, electrolyte replacement and source of energy
284 2 GA34015% Dextrose in Acetate Ringer's Solution + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
285 3 AC00365% Dextrose in 1/3 Saline + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
14 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
D FILARIASIS PROGRAM286 1 NQ0004 Albendazol 400mg Tab SN Intestinal anthelmenthic AIDS
287 2 ND0230Diethylcarbamazine (dihydrogen citrate)
100mg Tab SN Antifilarial
288 3 Invermectin (scored tablets) 3mg Tab SN Antifilarial
III 4 BIRTH SPACING PROGRAM
289 1 NH0020 Depo-medroxyprogesterone acetate 150mg/3ml Vial * Injectable hormonal contraceptive - long acting
290 2 NH0040 Norgestrel (Progestin-Only-Pill) 0.075mg Blister * Oral Contraceptive
291 3 NH0050Ethinyloestradiol + Levonorgestrel (Combined Oral Contraceptive)
0.03/0.15mg Blister * Combined Oral Contraceptive
292 4 NH0010 Condom 49mm Pcs * Physical barrier contraceptive
293 5 NH0030 IUD Copper T 380A T380A Pcs * Intra-uterine device (IUD) Contraceptive
294 6 NH0011
Female Condom (Lubricated loose-fitting Polyurethane, pouch closed at one end, open at the other with soft rings at each end. 160-180mm width, 41-61µ thickness, 2.23-2.53mm outer ring, 56.5-58-5mm inne
160-180mm Pcs * Physical barrier contraceptive
295 7 NH0052Levonorgestrel (Emergency/Morning After Contraceptive Pills), 2 pill per Blister
0.75mg Blister * "Morning after" contraceptive
296 8 NH0051Implant: a-Etonorgestrel b- Levonorgestrel
a-68 mg b-150mg Implant * Implant hormonal contraceptive -
long acting
III 5 PSYCHIATRY MEDICINES(1) First Line
297 1 NG0010 Amitriptyline (as hydrochloride) 25mg Tab SN Depressive disorders Pain/Cancer
298 2 NG0041 Chlorpromazine (as hydrochloride) 100mg Tab SN Psychotic disorders
299 3 NG0070 Haloperidol 5mg Tab SN Psychotic disorders Pain/Cancer
300 4 NG0081 Imipramine 25mg Tab SN Antidepressant
301 5 NG0120 Phenytoine 100mg Tab SN Anticovulsants/anti-epileptic Pain/Cancer
302 6 NG0140 Trihexyphenidyl (benzhexol) 5mg Tab SNAntiparkinsonian agent (antimuscarinic class)
III 6 NATIONAL CENTRE FOR HIV/AIDS, DERMATOLOGY AND STD (NCHADS)15 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
A HIV/AIDS PROGRAM(1) ADULTS
303 1 NE0010 Abacavir (ABC) (as sulfate) 300mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
304 2 NE0014 Abacavir (ABC) + Lamivudine (3TC) 600mg+300mg Tab SN ARV: 2-FDC
305 3 NE0100Stavudine (D4T) + Lamivudine(3TC) + Nevirapine(NVP)
30mg+150mg+200mg Tab SN ARV: 3-FDC
306 4 NE0013 Atazanavir 300mg Tab SN ARV: Protease inhibitor (PI)
307 5 NE0042Didanosine (ddl) (unbuffered enteric coated tablet)
250mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
308 6 NE0043Didanosine (ddl) (unbuffered enteric coated tablet)
400mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
309 7 NE0051 Efavirenz (EFV or EFZ) 200mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
310 8 NE0052 Efavirenz (EFV or EFZ) 600mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
311 9 NE0070 Lamivudine (3TC) 150mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
312 10 NE0080 Stavudine(d4T)+ Lamivudine (3TC) 30mg+150mg Tab SN ARV: 2-FDC
313 11 NE0251 Stavudine (d4T) 30mg Tab SN ARV: nucleoside analog/reverse transcriptase inhibitor (NARTI)
314 12 NE0110 Zidovudine(AZT)+Lamivudine(3TC) 300mg+150mg Tab SN ARV: 2-FDC
315 13 NE0111Zidovudine(AZT)+Lamivudine(3TC) + Nevirapine(NVP)
300mg+150mg+200mg Tab SN ARV: 3-FDC
316 14 NE0141 Lopinavir/Ritonavir 200mg/50mg Cap SN ARV: Protease inhibitor
317 15 NE0170 Nevirapine 200mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
318 16 NE0220 Ritonavir 100mg Tab SN ARV: pharmacological booster
319 17 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC )
300mg+150mg +300mg Tab SN ARV: 3-FDC
320 18 NE0270 Tenofovir (TDF) (disoproxil fumerate) 300mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
7 PEDIATRIC
321 1 NE0010 Abacavir (ABC) (as sulfate) 240ml syrup 20mg/ml Bttl SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
322 2 NE0012 Abacavir( ABC ) +Lamivudine (3TC) 60mg+30mg Tab SN ARV: 2-FDC
16 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
323 3 NE0102Stavudine(d4T) + Lamivudine(3TC) + Nevirapine(NVP)
12mg+60mg+100mg Tab SN ARV: 3-FDC
324 4 NE0082 Stavudine(d4T) + Lamivudine(3TC) 6mg+30mg Tab SN ARV: 3-FDC
325 5 NE0083 Stavudine(d4T) + Lamivudine(3TC) 12mg+60mg Tab SN ARV: 3-FDC
326 6 NE0045 Didanosine (ddl) 125mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
327 7 NE0046 Didanosine (ddl) 200mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
328 8 NE0050 Efavirenz (EFV or EFZ) 50mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
329 9 NE0150 Lopinavir/Ritonavir 160ml Syrup 80mg/20mg/ml Bttl SN ARV: Protease inhibitor
330 10 NE0142 Lopinavir/Ritonavir (LPV/r) 100mg/25mg Tab SN ARV: Protease inhibitor
331 11 NE0190 Nevirapine (NVP) Syrup 10mg/ml Bttl SN ARV: Non-nucleoside reverse transcriptase inhibitor
332 12 NE0113 Zidovudine (AZT )+Lamivudine (3TC) 60mg+30mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
333 13 NE00114 Zidovudine(AZT) +Lamivudine(3TC) +Nevirapine(NVP ) 60+30+50mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
334 14 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC ) 60+30+60mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
B DERMATOLOGY, STD, OIs AND OTHER MEDICINES(1) ORAL MEDICINES
335 1 NQ0002 Acyclovir 200 mg Tab SN Antiviral/antiherpes (topical)
336 2 NQ0003 Acyclovir 400 mg Tab SN Antiviral/antiherpes (topical)
337 3 NQ0004 Albendazol 400 mg Tab SN Intestinal anthelmenthic Helminthic program
338 4 NQ0005 Amitryptiline 25 mg Tab SN Tricyclic antidepressant Psychiatry
339 5 Amitryptiline 50 mg Tab SN Tricyclic antidepressant Psychiatry
340 6 NQ0007 Amoxicillin 500 mg Tab SN Antibacterial (beta lactam) Basic Medicine
341 7 NF0030 Azithromycine 500mg Tab SN Antibacterial
342 8 NF0060 Cefixime 200mg Tab SN Antibacterial (beta lactam)
343 9 NF0070 Cetirizine hydrochloride 10mg Tab SN Antihistamine/anti-allergic HIV/AIDS Care
344 10 Clotrimazol 100mg Tab SN To treat fungal infections of the mouth or throat
345 11 NE0100 Codeine phosphate 30 mg Tab SN Opioid analgesic Pain relief /palliative care
346 12 NQ0110 Cotrimoxazole 400mg+80 mg Tab SN Antibacterial Basic medicine
347 13 NQ0111 Cotrimoxazole 800mg + 160mg Tab SN Antibacterial HIV/AIDS Care
17 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
348 14 NQ0156 Dapsone 100 mg Tab SN
Antibacterial used alone or in combination with other anti-leprosy drugs (rifampicin and clofazimine) to treatment leprosy; also as OI - prophylaxis against Pneumocystis pneumonia (PCP) in HIV patients allergic to Co-trimoxazole.
Leprosy/HIV
349 15 NQ0151 Diazepam 5 mg Tab SN Anxiolytic, sleep disorders, mild muscle relaxant
Basic medicine
350 16 NQ0152 Diclofenac 50 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basic medicine
351 17 Dicloxacilline 500 mg Tab SN Antibacterial
352 18 NQ0153 Doxycycline 100 mg Tab SN Antibacterial
353 19 NQ0201 Erythromycine 500 mg Tab SN Antibacterial
354 20 NQ0252 Fluconazole 100 mg Tab SN Oral antifungal Basie medicince
355 21 Fluconazole 150 mg Tab SN Oral antifungal
356 22 NQ0253 Fluconazole 200 mg Tab SN Oral antifungal
357 23 NQ0255 Folic Acid 10 mg Tab SN Antianaemic Basie medicince
358 24 NQ0331 Griseofulvine 500mg Tab SN Oral systemic antifungal AIDS/Leprocy
359 25 NQ0402 Ibuprophene 400 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs)
360 26 AA0270 Indomethacine 25 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basie medicince
361 27 NQ0403 Itraconazole 100mg Tab SN Oral antifungal
362 28 Itraconazole 200mg Tab SN Oral antifungal
363 29 NF0181 Ketoconazol 200 mg Tab SN Oral antifungal
364 30 NQ0551 Loperamide 2 mg Tab SNOI - Antidiarrhea - diarrhea due to gastroenteritis or inflammatory bowel disease
365 31 NF0200 Minocycline hydrochloride 100mg Tab SN Antibacterial
366 32 NQ0210 Morphine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
18 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
367 33 Oxycodine 10 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
368 34 Oxycodine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
369 35 NQ0751 Paracetamol 100 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
370 36 NQ0752 Paracetamol 500 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
371 37 NQ0750 Paracetamol Syrup 100mg/ml Btl SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
372 38 NQ0758 Prednisolone 5 mg Tab SN Anti-inflammatory ; Anti-allergic/anaphylaxis
Basic mrdicine
373 39 Pyrimethamine 100mg Tab SNAnti-malaria (acute malaria)
(2) INJECTIONS374 1 NQ0014 Amphotericine B 50 mg Vial SN Antifungal/antileishmaniasis
375 2 NF0040 Benzathine Benzyl Penicilline 2.4 MUI Vial SN Antibacterial (beta lactam)
376 3 Butylhyocine 20 mg Amp SN Antispasmodic
377 4 NQ1551 Ceftriaxone 1 gr Vial SN Antibacterial (beta lactam)
378 5 NQ1555 Cloxacillin 1g Vial SN Antibacterial (beta lactam)
379 6 NQ1576 Dexamethasone 2 mg Amp SN
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
380 7 NQ1577 Diazepam 10 mg/2ml Amp SN
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Basic medicine
381 8 Diphenhydramine 4 mg/ ml Amp SN Antihistamine
382 9 Fluconazole I.V. 200ml 400 mg Vial SN Systemic antifungal
383 10 NQ1651 Gentamycine 80 mg /2ml Amp SN Antibacterial Basic medicine
384 11 NQ1802 Metronidazole 500 mg vial SN Antibacterial/antiamoebic/antigiardiasis 19 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
385 12 NQ1803 Morphine 10 mg /1ml Amp SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Basic medicine
(3) EXTERNAL USE MEDICINES386 1 AD0270 Acyclovir Cream 15g Tube SN Antiviral/antiherpes (topical)
387 2 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar SN Antifungal Basic medicine
388 3 NQ2263 Benzoyl Benzoate 25% 1litre Btl SN Scabicide, pediculicide (topical) Basic medicine
389 4 Benzoyl peroxide 5% Gel 40g Tube SN
Topical as a peeling agent. Effects skin differentiation and prolifiration/turn over. Also has antiseptic and bleaching properties.
390 5 Betamethasone (0.05%) +Salicylic Acid (3%) Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
391 6 Betamethasone (as valerate) 0.1% Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
392 7 Betamethasone 0.05% +Fucidic acid 2% 15g Tube SN Topical Anti-infectives with Corticosteroids
393 8 NF0082 Clobetasole propionate 0.05% lotion 30ml Bttl SN Topical adrenocortical steroid - antinflammatory and anti- itching
394 9 NF0080 Clobetasole propionate 0.05% cream 10g Tube SNTopical corticosteroids with anti-inflammatory, antipruritic, and vasoconstrictive properties.
395 10 NQ2286 Clotrimazole 1% cream 30g Tube SN Antifungal (topical) Pain/Cancer
396 11 NF0112 Crotamiton 10% Cream 30g Tub SNScabicidal and antipruritic for treating scabies and relieving itching
397 12 NF0120 Fusidic Acid 2% cream 15g Tube SN Topical anti-infectives
398 13 NF0151 Hydrocortisone (as acetate) 1% 15g Tube SN Anti-inflammatory, antipruritic (topical)
399 14 NF0180 Ketokonazole 2% cream 15g Tube SN Topical broad spectrum antifungal AIDS
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
400 15 NP0190 Miconazole 2% gel 40g Tube SNAntifungal (topical) - fungal infections of the mouth, throat and gut
401 16 NQ3150 Petroleum Jelly (Vaseline) 15g Tube SNEmollient (skin lubrication and mosturizer); helps protect minor cuts and burns.
402 17 NQ2541 Polyvidone Iodine 10% 200ml Btl SN Topical antiseptic for minor skin injuries
Basic nedicine
403 18 Tretinoin 0.05% cream 30g Tube SN Treatment of acne vulgaris
404 19 Triamcinolone acetonide Cream 0.1 % 30g Tube SN
Topical corticosteroid for the treatment of inflammatory and pruritic manifestations/ dermatoses
405 20 Urea Cream 10% 100mg Tube SN Skin differentiation and prolifiration (for topical use)
AIDS
21 OTHER MEDICINES406 22 NQ0115 Clotrimazole (vaginal tablets) 500mg Pessary SN Antifungal Pain/Cancer
407 23 NQ0608 Miconazole 100mg Pessary SN Antifungal
408 24 Paracetamol 300mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
III 7 ORAL HEALTH PROGRAMA MEDICINES
409 1 NI0070 Calcium Hydroxide B/2P *
410 2Composite light cure high briand microfiller 4g ( color A3, A3.5 ) for restorative filling dental cavity
Pcs *
411 3 Eugenol USP 10ml Vial *
Toothache and other related uses as local antiseptic and anesthetic. Mixed with zinc oxide - restorative and prosthodontic
412 4 NI0140 Glass ionomer for Rest Gc Fuji II Powder 15g + liquid 10g
Box *
413 5 NI0141 Glass ionomer for Rest Gc Fuji IX Powder 15g + liquid 10g
Box *
414 6 Glass ionomer for Rest Gc Fuji VII Powder 15g + liquid 10g
Box *
415 7 NI0220 Lidocain 2% Adrenaline 0.001% 1.8 ml Cart * Local anaesthetic21 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
416 8 Lidocain 2% Non-adrenaline 1.8 ml Cart * Local anaesthetic
417 9 Fluoride Varnish 10 ml Tube * Prevent tooth decay
418 10 Fluoride Gel 113g Tube * Prevent tooth decay
419 11 Polyhexa+didecyl St 72.17 Hexanios for Soaking instruments before Sterilization Sachets /25ml Sachet * Instrument sterilization
420 12 NI0210 Zinc Oxide Powder 1Kg Jar *Mixed with Eugenol produce material which has restorative and prosthodontic applications.
B MATERIALS
421 1 Barbed broach ( tire -nerf) to take the nerf from dental canal
Pcs *
422 2 Burr cylinder Highspeed Pce *423 3 Burr cylinder Lowspeed Pce *
424 4 Burr round for contra Angle Highspeed Pce *
425 5 Burr round for contra Angle Lowspeed Pcs *
426 6 Files Complete set length 21 mm ( files used for root treatment )
#15,#20,#25, #30,#35,#40
Pcs *
427 7 Lentulo, Complete set ( used for root canal treatment )
Pcs *
428 8 Matrix bands medium ( Metal Matrix) Pcs *
429 9 NV0160 Needle Dental 27G .21mm Pcs *430 10 NV0161 Needle Dental 27G . 30mm Pcs *431 11 NV0162 Needle Dental 27G . 35mm Pcs *432 12 NV0030 Catridge syringe ( metal ) 1,8ml Pcs *
433 13 Surgical blade #11 Pcs * For use in surgical Procedure
III 8 NATIONAL IMMUNIZATION PROGRAMIII 9 NUTRITION PROGRAM
434 1 Iron-Folate Weekly Iron-Folic Supplementation (WIFS)
60mg Iron element + 2.8 mg Folic acid Rose Tab SN
Weekly Iron-Folic Supplementation (WIFS) in Women of Reproductive Age
22 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
435 2
Multiple Micronutrient Powder (MNP)[Iron (12.5mg), Zinc (10mg), Vitamin A (300µg), Iodine ( 90µg), Vit B1 (0.5mg), Vit B2 (0.5mg), Vit B6 (0.5mg), Vit B12 (0.9µg), Niacin (6mg), Folate/Folic acid (160µg), Vit C (Ascorbic acid) (30mg), Copper (0.3mg), Selenium (17µg), Vit D (5µg) and Vit E (6mg)]
1g Sachet SN Multi-nutrient formula/powder for children 6-24 months.
III 10 PAIN RELIEF AND PALLIATIVE CAREIII 11 ANTI CANCER MEDICINESIII 12 DIABETES
436 1 Glimepiride 2mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
437 2 NQ0605 Metformine 500mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
438 3 NK0031 Insuline, long acting 1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
439 4 Insuline, rapid acting (3-6 hours efficacy)
1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
III 13 ENDOCRINOLOGY AND HORMONOLOGY1 INFECTION CONTROL AND PREVENTION
440 2 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
441 3 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
III 14 Isopropyl Alcohol 99.8% 99.80% Btl * Mix with other ingredients to produce alcohol hand rub
442 1 NQ5121 Ethanol 96% V/V Btl * Mix with other ingredients to produce alcohol hand rub
443 2 XA1410 Glycerol 98% 98% Btl * Mix with other ingredients to produce alcohol hand rub
444 3 Apron, plastic, disposable (Liquid and Spash Resistant) Small Pcs *
Use: to protect health care workers from droplets or splashes
445 4 Apron, plastic, disposable (Liquid and Spash Resistant) Medium Pcs *
Use: to protect health care workers from droplets or splashes
23 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
446 5 Apron, plastic, disposable (Liquid and Spash Resistant) Large Pcs *
Use: to protect health care workers from droplets or splashes
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CPA 2 LEVEL
MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
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Nº Nº Code Description Strength Form
I BASIC MEDICINES1 ORAL MEDICINES
1 1 AA0010 Acetylsalicylic Acid 500mg Tab * Analgestic, Antipyretic, antimigraine, antithrombotic
Hypertention +Diabetes
2 2 AA0020 Aluminium Hydroxide 500mg Tab * Antacid
3 3 AA0030 Aminophylline 100mg Tab * Anti-asthmatic/brochodialator
4 4 Amlodipine 10mg Tab * Antihypetensive Hypertention +Diabetes
5 5 AA0060 Amoxicillin 250mg Tab * Antibacterial (beta lactam) IMCI
6 6 AA0061 Amoxicillin 500mg Cap * Antibacterial (beta lactam) IMCI
7 7 AA0050 Amoxicillin + Clavulanic acid 500mg+125mg Tab * Antibacterial (beta lactam)
8 8 AA0040Amoxicillin Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial (beta lactam) - for children
IMCI
9 9 AA0080 Atenolol 50mg Tab * Antihypetensive; antiangino Hypertention + Diabetes
10 10 AA0090 Bromhexin 8mg Tab * Broncho mucolytic/antitussive
11 11 AA0640 Bromhexin Syrup 60ml 4mg/5ml Btl * Broncho mucolytic/antitussive
12 12 Captopril 25mg Tab * Antihypetensive Hypertention + Diabetes
13 13 AA0101Charcoal Activated ( Charbon Adsorbant )
125mg Tab * Antidote (non-specific) for poisoning
14 14 AA0110 Chlorpheniramine maleate 4mg Tab * Anti-histamine; anti-allergic
15 15 Chlorpromazine (as hydrochloride) 25mg Tab * Psychotic disorders Psychiatry
16 16 AA0120 Cimetidine 200mg Tab *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
17 17 AA0130 Ciprofloxacin (as hydrochloride) 500mg Tab * Antibacterial STD,Opthl,AIDS, IMCI
18 18 AA0137 Cloxacillin (as soldium salt) 250mg Tab * Antibacterial (beta lactam)
KINGDOM OF CAMBODIANATION RELIGION KING
bB¢aI»sfsarvnþ
ESSENTIAL MEDICINES LIST - 7th Edition
CPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
1 of 28
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
19 19 AA0138 Cloxacillin (as soldium salt) 500mg Tab * Antibacterial (beta lactam)
20 20 AA0150Co-trimoxazole (sulfamethoxazole+trimethoprim)
100+20mg Tab * Antibacterial
21 21 AA0151Co-trimoxazole (sulfamethoxazole+trimethoprim)
400+80mg Tab * Antibacterial
22 22 AA0154Co-trimoxazole (sulfamethoxazole+trimethoprim) Suspension 60ml
200+40mg/5ml Btl * Antibacterial - for children IMCI
23 23 AA0160 Diazepam 5mg Tab * Anxiolytic, sleep disorders, mild muscle relaxant
Psychiatry, Hypertention + Diabetes
24 24 AA0170 Diclofenac 50mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
25 25 AA0180 Digoxin 0.25mg Tab * Cardiovascular medicines used in heart failure
26 26 AA0190 Doxycycline (as hydrochloride) 100mg Tab SN Antibacterial
27 27 AA0202 Enalapril 10mg Tab SNAnti-hypertensive;congestive heart failure and improvement of survival after a heart attack.
Hypertention + Diabetes
28 28 AA0200Erythromycin (as stearate or ethyl succinate)
250mg Tab * Antibacterial STD,Dermato,AIDS, IMCI
29 29 Erythromycin stearate Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial - for children IMCI
30 30 Fenofibrate 300mg Tab * Anti-cholesterol and triglyceride Hypertention + Diabetes
31 31 Ferrous fumarate Suspension 60ml 100mg/5ml Btl * Antianaemic/iron supplement - for children
IMCI
32 32 AA0210 Ferrous Sulphate + Folic Acid200+0.40mg (60mg Iron element + 0.4
mg Folic acid)Red Tab * Antianaemic/Iron+Folic/Nutritio
n supplement for use in pregnancyNutrition
33 33 AA0220 Fluconazole 100mg Tab * Oral antifungal Dermatologic programm
34 34 AA0230 Folic Acid 5mg Tab * Antianaemic Dermatologic programm
35 35 AA0240 Furosemide 40mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention
2 of 28
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
36 36 AA0250 Hydralazine 25mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
37 37 Hydrochlorthiazide (scored tablet) 25mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
38 38 AA0260 Hydrochlorothiazide (scored tablet) 50mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
39 39 NQ0353 Hyocine-N-Buthylbromide 10mg Tab * Antispasmodic
40 40 AA0270 Indometacin 25mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
41 41 AA0550 Isosorbide Dinitrate 10mg Tab *Vasodilator used in , e.g. angina pectoris, anal fissure and congestive heart failure.
42 42 Losartan potassium 50 mg Tab SN Anti-hypertensive Hypertention + Diabetes
43 43 AA0280 Mebendazole 500mg Tab * Intestinal anthelminthic Schistosomiasis / IMCI
44 44 AA0290 Methyldopa 250mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
45 45 AA0320 Metoclopramide (as hydrochloride) 10mg Tab * Antiemetic Palliative Care,
46 46 AA0300 Metronidazole 250mg Tab * Antibacterial/antiamoebic/antigiardiasis
STD
47 47 Metronidazole suspension 60 ml 200mg/5ml Btl * Antibacterial/antiamoebic/antigiardiasis - for children
48 48 Mifepriston + Misoprostol (01 tab x200mg) +(04 tab x200µg) Tab SN Medical abortion MCH
49 49 AA0330 Misoprostol 200µg Tab * Oxytocic (uterine contraction) MCH
50 50 AA0340 Multivitamin + Mineral Tab * Vitamin and minerals supplement STD / IMCI
51 51 AA0350 Nalidixic Acid 500mg Tab * Anti-infective (quinolone) IMCI
52 52 AA0360 Niclosamide 500mg Tab * Intestinal anthelminthic
3 of 28
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
53 53 AA0370 Nifedipine Retard 20mg Tab *Anti-hypertensive (calcium chanel blocker) also used as an anti-angina.
Hypertention + Diabetes
54 54 AA0380 Nystatin 500.000IU Tab * Oral antifungal STD / AIDS
55 55 NQ0735 Omeprazole 20 mg Tab *
Antacid - a proton pump inhibitor -with pronounced and long-lasting reduction of gastric acid production.
56 56 AA0390Oral Rehydration Salts (Low osmolarity for 1L) [Glucose: 13.5g/l, Sodium chloride:2.6g/l, Potasium chloride 1.5g/l, Trisodium citratedihydrate:2.9g/l (20.5g)]
20.5g Sachet * Oral remedy for rehydation
57 57 AA0410 Paracetamol 100mg Tab *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
NIP
58 58 AA0411 Paracetamol 500mg Tab *Analgesic, antipyretic, antimigraine, without anti-inflamatory action
59 59 AA0412 Paracetamol 500mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
Malaria
60 60 AA0413 Paracetamol Syrup 60ml 125mg/5ml Btl * Analgesic, antipyretic without anti-inflamatory action - for children IMCI
61 61 AA0450 Phenobarbital 50mg Tab * Anticovulsant/antiepileptic Psychiatry
62 62 AA0440Phenoxymethyl Penicillin (as potassium salt)
250mg Tab * Antibiotic (beta lactam)
63 63 AA0460 Potassium Chloride 600mg Tab *
Treatment of hypokalemia in patients predisposed to loss o K+ e.g. patients on high doses of diuretics
64 64 AA0470 Prednisolone 5mg Tab * Anti-inflammatory ; Anti-allergic/anaphylaxis
AIDS/Leprosy
65 65 AA0480 Promethazine 25mg Tab * Antihistamine, anti-emetic
66 66 AA0481Promethazine (as hydrochloride) 0.1% syrup 60ml
5mg/5ml Btl * Antihistamine, anti-emetic - for children
67 67 AA0500 Salbutamol 4mg Tab * Antiasthmatic/bronchodialator
68 68 AA0501 Salbutamol for Inhalation 200 doses 0.1mg/dose Btl * Antiasthmatic/bronchodialator
4 of 28
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
69 69 Simvastatine 20mg Tab * Anti-cholesterol; used to prevent cardio vascular disease Hypertention + Diabetes
70 70 AA0510 Tiemonium methylsulphate 50mg Tab * Antispasmodic Pain/Cancer
71 71 Tramadol Chlorhydrate 100mg Tab *Synthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
Pain/Cancer
72 72 AA0491 Vitamine A (Retinol) ( red color capsule with nipple) 200,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
73 73 AA0490 Vitamine A (Retinol) (blue color capsule with nipple) 100,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
74 74 AA0531 Vitamin B1 50mg Tab * Vitamin B1 supplement
75 75 AA0541 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
76 76 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
77 77 NL0040 Zinc Sulphate (Dispersible) 20mg Tab * Diarrhoea in children used as with/an adjuct to ORS
MCH / IMCI
2 INJECTIONS78 1 AB0010 Adrenaline (epinephrine) 1mg/1ml Amp * Anti-allergic, anti-anaphylaxis
79 2 AB0020 Ampicillin 500mg Vial * Antibacterial (beta lactam). IMCI
80 3 AB0020 Ampicillin 1g Vial * Antibacterial (beta lactam) MCH
81 4 NB0012 Neuro Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
82 5 NB0011 Hemato Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
83 6 NB0020 Antitoxin,Tetanus 1500IU/1ml Amp * Antitetanus
84 7 AB0030 Atropine Sulphate 1mg/1ml Amp * Pre-operation medication; specific antidote for some poisoning
85 8 AB0040 Bupivacaine 0.5% Spinal heavy 20mg/4ml Vial * Local/Spinal anaesthetic Eye Unit
5 of 28
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
86 9 AB0050 Butylscopolamine (Hyoscin, Buscopan) 20mg/2ml Amp * Antispasmodic
87 10 AB0060 Calcium Gluconate 10% 1g/10ml Amp * Specific antidote for some type of poisoining
MCH
88 11 Ceftazidime (as pentahydrate) (powder for injection) 500mg Vial *
Broad-spectrum (beta-lactam antibacterial) for the treatment of melioidosis infection caused by Burkholderia pseudomallei
89 12 AB0080 Ceftriaxone 1g Vial * Antibacterial (beta lactam) STD
90 13 AB0100 Chlorpromazine (as hydrochloride) 50mg/2ml Amp * Psychotic disorders Psychia/Pain/Cancer
91 14 AB0110 Cimetidine 200mg/2ml Amp *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
92 15 AB0120 Cloxacillin (as soldium salt) 1g Vial * Antibacterial (beta lactam)
93 16 AB0130Dexamethasone phosphate (as disodium salt) 4mg/1ml Amp *
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
Opthalmo/STD
94 17 AB0140 Dextrose 50% 50ml Vial *
Hypoglycemia (low blood sugar) in emergency care; management of coma of unknown origin; andrestoration of energy.
95 18 AB0150 Diazepam 10mg/2ml Amp *
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Psychia/IMCI
96 19 AB0170 Dopamine (as hydrochloride) 200mg/5ml Amp *
Symphomimetic used in heart failure, shock and other conditions where sympathomimetic action is desirable.
97 20 AB0181Ephedrine (for dilution, as hydrochloride) 30mg/1ml Amp * Spinal anaesthesia during delivery
to prevent hypotension
98 21 AB0190 Ergometrine Methyl 0.2mg/1ml Amp * Oxytocic (uterine contraction)
99 22 AB0200 Etamsylate 250mg/2ml Amp * Anticoagulant
6 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
100 23 AB0210 Fentanyl 0.1mg/2ml Amp * Chronic pain management/palliativPain/Cancer
101 24 AB0220 Furosemide 20mg/2ml Amp * Diuretic normaly used in heartfailute
102 25 AB0230 Gentamycin (as sulphate) 80mg/2ml Amp * Antibacterial
103 26 AB0240 Hydralazine Powder + Solvent 20mg/1ml Amp *Antihypertensive: for acute management of severe pregnancy-induced hypertension only.
104 27 AB0250 Hydrocortisone (as Sodium succinate) 100mg Vial *
A naturally occuring steroid/glucocorticoid with rapid onset of action but short duration: used, among others, as Anti-inflammatory ; Anti-allergic in anaphylaxis
105 28 AB0260 Ketamine 500mg/10ml Vial * General anaesthetics - injectable Pain/Cancer
106 29 AB0270 Lidocaine 2% 50ml Vial * Local anaesthetic - injectable Eye Unit / MCH
107 30 AB0290 Magnesium Sulphate 50% IM/IV 10ml Amp *
For treating eclampsia and severe pre-eclampsia not to be used in other forms of convulsant disorders
MCH
108 31 AB0300 Metoclopramide (as hydrochloride) 10ml/2ml Amp * Antiemetic Pain/Cancer
109 32 AB0310 Metronidazole 500mg/100ml Vial * Antibacterial/antiamoebic/antigiardiasis
MCH
110 33 AB0320Morphine (as hydrochloride or sulphate) 10mg/1ml Amp *
Opioid analgesic, psychoactive for Chronic pain management/palliative care
Pain/Cancer
111 34 AB0330 Neostigmine 0.5mg/1ml Amp * Muscle relaxant
112 35 AB0440 Oxytocin 10 IU/1ml Amp * Oxytocic (uterine contraction) MCH
113 36 AB0341 Paracetamol 300 mg/2 ml Amp *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
114 37 AB0350 Penicillin - G, IM/IV 1MIU Vial * Antibacterial (beta lactam)
115 38 AB0360 Potassium Chloride 10% 10ml Amp * Treatment of hypokalemia
116 39 AB0370 Salbutamol 0.5mg/1ml Amp * Antiasthmatic
117 40 ZA0751 Sodium Bicarbonate 8.4% 20ml Amp * Alkalising agent for the treatment of acidocis
118 41 AB0392 Suxamethonium (as chloride) 100mg/2ml Vial * Muscle relaxant
7 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
119 42 AB0400 Thiopental 1g Vial * General anaesthetics - injectable
120 43 AB0410 Vecuronium (bromide) + Solvent 4mg/1 ml Amp * Muscle relaxant/anesthesia
121 44 AB0420 Vitamin K1 (Phytomenadione) 10mg/1ml Amp * Coagulant: affects blood coagulation; helps to stop bleeding MCH
122 45 AB0430 Water for Injections 5ml Amp * Diluent for injection
3 IV FLUIDS
123 1 AC0010 Dextran 40 + IV giving set 500ml Btl *Anticoagulant during surgical operations; plasma expander/subsitute
Malaria / Dengue
124 2 AC0031 Dextrose 10% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications Malaria / MCH
125 3 AC0020 Dextrose 5% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications
126 4 AC0030Dextrose 5%+0.45% Saline + IV giving set 500ml Btl * Electrolyte replacement,
rehydration, and source of energy Dengue
127 5 AC0041 N S S 0.9% + IV giving set 1000ml Btl *Electrolytes replacement, rehydration, and source of sodium, sugar and energy
MCH
128 6 AC0050 Plasma Substitute + IV giving set 500ml Btl * Plasma expander
129 7 AC0060 Ringer's Lactate + IV giving set 1000ml Btl *
Fluid and electrolyte replenishment therapy. Also often called Hartmann's solution - for the correction of extracellular volume and electrolyte depletion.
Dengue / IMCI / MCH
4 OTHER MEDICINES
130 1 AD0100 Fluorthane (Halothane) 250ml Btl * General anaesthetics - inhalation
131 2 AD0170 Soda lime ( Chaux Sodee) 4.5kg Btl SN Adjuct to general anaesthesia
5 EXTERNAL MEDICINES 132 1 AD0010 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar * Antifungal (topical)
133 2 AD0020 Benzyl Benzoate 25% 1L Btl * Scabicide, pediculicide (topical)
8 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
134 3 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
135 4 AD0120 Gentian Violet Powder 25g Jar * Anti-infective (topical) as a 0.5 aqueous solution or tincture
136 5 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
137 6 AD0180 Petroleum Jelly (Vaseline) 500g Jar * Emollient (skin lubrication and mosturizer)
138 7 AD0140 Polyvidone Iodine 10% 200ml Btl * Topical Antiseptic (wound application)
139 8 AD0031Sodium Dichloroisocyanurate (Water Purification)
167mg Tab * Water Purification
140 9 AD0190 Zinc oxide 10% 500g Jar * Hypoallergenic (minimize itching due to skin allergic reactions)
II CONSUMMABLES141 1 QA0031 Adhesive Tape Zinc Oxide perforated 18cm x 5m Roll *142 2 QA0030 Adhesive Tape Zinc Oxide perforated 5cmx5m Roll *
143 3 Autoclavable Plastic Bag for Restirilizing equipment Pcs *
144 4 QA0060 Bandage, Crepe 8cmx4m Roll *145 5 QA0070 Bandage, Gauze Non-sterile 7.5cmx10m Roll *146 6 QA0241 Bandage Tubular Elastic 8mm x 4cm Pcs *147 7 QA0090 Blades for Surgical Knife #15 Pcs * Oral Health 148 8 QA0091 Blades for Surgical Knife #22 Pcs *149 9 QA0092 Blades for Surgical Knife # 30 Pcs *
150 10 QA0131 Catheter Foley, Ballon 2 ways 10ml, sterile CH12 Pcs *
151 11 QA0132 Catheter Foley, Ballon 2 ways 10ml, sterile CH14 Pcs *
152 12 QA0128 Catheter Foley, Ballon 2 ways 10ml, sterile CH16 Pcs *
153 13 QA0160 Catheter IV with injection port 18G Pcs *154 14 QA0161 Catheter IV with injection port 20G Pcs *155 15 QA0162 Catheter IV with injection port 22G Pcs * STD,AIDS156 16 QA0163 Catheter IV with injection port 24G Pcs *157 17 QA0164 Catheter IV with injection port 26G Pcs *158 18 QA0170 Colostomy Bag, Disposable 38mm Pcs *
9 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
159 19 QA0190 Cotton Wool Absorbent 500g Roll *160 20 QA0180 Cotton Wool Non Absorbent 500g Roll *161 21 QA0210 Developer for X-Ray Film 1 Gallon Btl *162 22 QA0220 Drainage Strip (Delbet) 25x3cm Pcs *163 23 QA0230 Dressing for burns with Paraffin 10x10cm Pcs *164 24 ExtensionThree ways Stopcock 25 cm Pcs *165 25 QA0920 Fixer for X-Ray Film 1 Gallon Btl *166 26 QA0290 Gauze, absorbent (BP17g/m2) 90cmx91m Roll *167 27 QA0300 Glove examination, non sterile, Latex Small Pcs *168 28 QA0310 Glove examination, non sterile, Latex Medium Pcs *169 29 QA0302 Glove examination, non sterile, Latex Large Pcs *
170 30 QA0360 Glove, sterile, Long Cuff (for Gynaecological use) Small Pcs *
171 31 QA0361 Glove, sterile, Long Cuff (for Gynaecological use) Medium Pcs *
172 32 QA0362 Glove, sterile, Long Cuff (for Gynaecological use) Large Pcs *
173 33 QA0320 Glove Surgical, sterile, latex Small Pcs *174 34 QA0322 Glove Surgical, sterile, latex Medium Pcs *175 35 QA0321 Glove Surgical, sterile, latex Large Pcs *176 36 QA0330 High Quality Printing Paper UPP- 110s 110mm x 20m Pcs *
177 37 Infusion set with burette 100ml, Disposable 60drops/minute Pcs *
178 38 Lubrication gel for Urinary catheter single use 5ml Pack *
179 39 QA0370 Medical Plastic Bags (Khmer printing, as sample) 7cm x 11cm Pcs *
180 40 QA0913 Medical X ray films, Green sensitive 18cm x 24cm Pcs *181 41 QA0910 Medical X ray films, Green sensitive 18cm x 43cm Pcs *182 42 QA0911 Medical X ray films, Green sensitive 24cm x 30cm Pcs *183 43 QA0914 Medical X ray films, Green sensitive 30 cm x 40cm Pcs *184 44 QA0912 Medical X ray films, Green sensitive 35cm x 35cm Pcs *185 45 QA0915 Medical X ray films, Green sensitive 35cm x 43cm Pcs *186 46 Microbiological Indicator for Autoclave Pcs *
187 47 Manual Vacuum Aspiration (MVA) Kit (Gynecological ) Kit SN MCH
188 48 QA0391 Needle Disposable 19G x 1.½" Pcs *
10 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
189 49 QA0392 Needle Disposable 21G x 1.½" Pcs *190 50 QA0393 Needle Disposable 23G x 1" Pcs *191 51 QA0394 Needle Disposable 25G x 1" Pcs *192 52 QA0403 Needle Spinal Disposable 22G/0.7 x 90mm Pcs *193 53 QA0402 Needle Spinal Disposable 25G/0.5 x 90mm Pcs *194 54 Original Perfusor 150 cm Pcs *195 55 QA0451 Oxygen mask with reservoir bag Children Pcs *196 56 QA0450 Oxygen mask with reservoir bag Adult Pcs *197 57 QA0470 Paper face mask 2 plies Pcs *198 58 QA0490 Plaster of Paris 10cm Roll *199 59 QA0491 Plaster of Paris 15cm Roll *200 60 QA0492 Plaster of Paris 20cm Roll *201 61 NP0130 Safety Box for Used Syringe 5L Pcs * Infection Control202 62 NP0131 Safety Box for Used Syringe 10 L Pcs * Infection Control203 63 QA0541 Scalp Vein 23G Pcs *204 64 QA0542 Scalp Vein 25G Pcs * MCH205 65 Stomach Wash Out tube, Fraucher Type CH27 Pcs *
206 66 QA0600 Sut/Catgut Chromic25mm½circle Rb75cm 2/0 Pcs *
207 67 QA0601 Suture/Catgut Chromic30mm½circle Rb75cm 3/0 Pcs *
208 68 QA0602 Suture/Catgut Chromic35mm½circle Rb75cm 0 Pcs *
209 69 QA0603 Suture/Catgut Chromic38mm½circle Rb75cm 1 Pcs *
210 70 QA0604 Suture/Catgut Chromic40mm½circle Rb75cm 2 Pcs *
211 71 QA0605 Suture/Catgut Chromic85mm B P Cvd Rb 2 Pcs *
212 72 QA0553 Suture/Catgut Plain 22mm curved cutting 75cm 3/0 Pcs *
213 73 QA0554 Suture/Catgut Plain 25mm½ circle Rb 75cm 2/0 Pcs *
214 74 QA0555 Suture/Catgut Plain 30mm½ circle Rb 75cm 0 Pcs *
215 75 QA0581 Suture/ Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 0 Pcs *
11 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
216 76 QA0582 Suture/Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 1 Pcs *
217 77 QA0579 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 2/0 Pcs *
218 78 QA0578 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 3/0 Pcs *
219 79 QA0563 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 2/0 Pcs *
220 80 QA0561 Suture/Polyamide 26 mmCurved Rev cutting 75cm (Nylon) 3/0 Pcs *
221 81 QA0575 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 4/0 Pcs *
222 82 QA0644 Suture/Silk 16mm curved 45mm 4/0 Pcs *223 83 QA0640 Suture/Silk 6mm curved 38mm 6/0 Pcs *
224 84 Suture/Silk 8mm double needle micro-point spatula ½ circle 30mm 8/0 Pcs *
225 85 Suture/Silk double needle micro-point spatula curved 30mm 10/0 Pcs *
226 86 NQ4768 Sphygmomanometer Aneroid for Adult 300 mm Hg Pcs *227 87 QB0530 Stethoscope Binaural Pcs *228 88 Syringe Disposable & Needle 26G 1ml Pcs * MCH/Diabetes229 89 QA0680 Syringe Disposable & Needle 25G 2ml Pcs *230 90 QA0664 Syringe Disposable & Needle 25G 5ml Pcs *231 91 QA0661 Syringe Disposable & Needle 23G 5ml Pcs *232 92 QA0662 Syringe Disposable & Needle 23G 10ml Pcs *233 93 QA0692 Syringe Disposable 20ml Pcs *234 94 Syringe for insuline 1ml Pcs SN Diabetese235 95 QA0710 Talc 1kg Box *236 96 QA0730 Tape Test for Autoclave Roll * Infection Control237 97 QA0740 Tape Umbilical Non sterile 3mm Roll *238 98 Indicator Strips Test For Sterilization Roll * Infection Control
239 99 Bag for Medical Surgical Capacity 10-15 litres 10-15 Litres Pcs * Infection Control
240 100 QB0560 Thermometer Oral/Rectal oC Pcs *241 101 QA0751 Thorax Drain + Trocar CH12 Pcs *242 102 QA0752 Thorax Drain + Trocar CH14 Pcs *243 103 QA0753 Thorax Drain + Trocar CH16 Pcs *
12 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
244 104 QA0754 Thorax Drain + Trocar CH18 Pcs *245 105 QA0755 Thorax Drain + Trocar CH20 Pcs *246 106 QA0760 Tongue depressor wood adult Pcs *247 107 Tracheal tube #4 Pcs *248 108 Tracheal tube #4.5 Pcs *249 109 Tracheal tube #5 Pcs *250 110 Tracheal tube #5.5 Pcs *251 111 Tracheal tube #6 Pcs *252 112 Tracheal tube #6.5 Pcs *253 113 Tracheal tube #7 Pcs *254 114 QA0775 Tracheotomy tube #6 Pcs *255 115 QA0772 Tracheotomy tube #7 Pcs *256 116 QA0800 Tube Nasogastric/Feeding with Cover CH5 Pcs *257 117 QA0802 Tube Nasogastric/Feeding with Cover CH12 Pcs *258 118 QA0803 Tube Nasogastric/Feeding with Cover CH14 Pcs *259 119 QA0804 Tube Nasogastric/Feeding with Cover CH16 Pcs *260 120 QA0780 Tube Redon Drain CH12 Pes SN261 121 QA0781 Tube Redon Drain CH16 Pcs SN262 122 QA0810 Tube Suction Disposable CH8 Pcs *263 123 QA0811 Tube Suction Disposable CH12 Pcs *264 124 QA0812 Tube Suction Disposable CH16 Pcs *265 125 QA0830 Ultra Sound Gel 1 kg Bttl *266 126 QA0840 Umbilical cord clamp Pcs *
267 127 Urine Drainage Bag with non-return valve 2litre Pcs *
268 128 Yellow Plastic bag with Red label (15-20L) Pcs *
III NATIONAL PROGRAMSIII 1 EYE UNIT/PROGRAM269 1 NA0030 Ciprofloxacine 0.3% eye drop 5ml Vial SN Opth.- anti-infective
270 2 NQ3142 Tetracycline 1 % eye ointment 5g Tube * Opth.- anti-infective
III 2 NATIONAL CENTRE OF TUBERCULOSIS AND LEPROSY CONTROL (CENAT)A TUBERCULOSIS PROGRAM(1) First Line Anti-TB Medicines
271 1 NC0009 Ethambutol 100mg Tab * Anti-tuberculosis272 2 NC0010 Ethambutol 400mg Tab * Anti-tuberculosis273 3 NC0011 Isoniazide 100mg Tab * Anti-tuberculosis
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
274 4 NC0060 Pyrazinamide 400mg Tab * Anti-tuberculosis275 5 NC0083 Rifampicine 150mg Tab * Anti-tuberculosis276 6 NC0071 Rifampicine / Isoniazide 150 + 75mg Tab * Anti-tuberculosis277 7 NC0070 Rifampicine / Isoniazide 60+30mg Tab * Anti-tuberculosis
278 8 NC0080Rifampicine / Isoniazide / Pyrazinamide
60+30+150mg Tab * Anti-tuberculosis
279 9 NC0082Rifampicine/Isoniazide/Pyrazinamide/Ethambutol
150+75+400+275 mg Tab * Anti-tuberculosis
280 10 NC0092 Streptomycine 1g Vial * Anti-tuberculosis
281 11 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
282 12 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
(2) Second Line Anti-TB Medicines
283 1 GA3901 Amikacin 500mg Vial SN2nd line anti-infective (aminoglycoside) - multidrug resistant gram negative bacteria
284 2 Capreomycin 1g Vial SN 2nd antimycobacterials: tuberculosis and leprostatic agents
285 3 Cycloserine 250mg Cap SN Anti-infective used as 2nd line anti-TB
286 4 Ethionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
287 5 Gatitfloxacin 500mg Tab SN Anti-infective used as 2nd line anti-TB
288 6 Kanamycin 1g Vial SN Anti-infective used as 2nd line anti-TB
289 7 Levofloxacin 250mg Tab SN Anti-infective used as 2nd line anti-TB
14 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
290 8 Moxifloxacin 400mg Tab SN Anti-infective used as 2nd line anti-TB
291 9 AA0400 Ofloxacin 200mg Tab SN Anti-infective used as 2nd line anti-TB
292 10 Para Amino Salicylic Acid 4g Sachet SN Anti-infective used in combination with other anti-TB as 2nd line Powder 100gr per Jar
293 11 Prothionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
B LEPROSY PROGRAM294 1 NC0120 Clofazimine 100mg Cap * Antileprosy
295 2 NC0020 MB (multibacillary) Adult Blister * Antileprosy
296 3 NC0030 MB (multibacillary) Child Blister * Antileprosy
297 4 NC0040 PB (paucibacillary) Adult Blister * Antileprosy
298 5 NC0050 PB (paucibacillary) Child Blister * Antileprosy
3 NATIONAL CENTRE FOR PARASITOLOGY, ENTOMOLOGY AND MALARIA CONTROL (CNM)A MALARIA PROGRAM
299 1 ND0059 A+M1 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (1-5yrs)
300 2 ND0060 A+M2 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (6-10yrs)
301 3 ND0061 A+M3 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (11-14yrs)
302 4 ND0063 A+M5 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (> 15yrs)
303 5 ND0051 Artesunate Rectocap 50mg Tab * for severe malaria
304 6 ND0052 Artesunate Rectocap 200mg Tab * for severe malaria
305 7 Artesunate injectable + 1ml of 5% Sodium bicarbonate solution 60mg
Vial + Amp
(Solution)
* for severe malaria
306 8 ND0040 Artemeter injection 80mg/ml Amp * for severe malaria
307 9 ND0110 Mefloquine 250mg Tab * Used in combination with artesunate
308 10 ND0031 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 3Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
309 11 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 6Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
15 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
310 12 Piperaquine + Dihydro artemisinin 320mg+40mgBlister(9Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
311 13 ND0150 Quinine Sulfate 300mg Tab *Used in severe malaria and should be used in combination with Doxycycline
312 14 ND0140 Quinine Dihydrochloride 600mg/2ml Amp *
P. falciparum malaria; no longer recommended by the WHO as first line treatment for malaria and should only be used when ACTs are not available
313 15 ND0170 Tetracycline 250mg Cap * Anti-infective - with action on malaria parasite
B SCHISTOSOMIASIS AND HELMINTHIASIS PROGRAM
314 1 ND0130 Praziquantel 600mg Tab SNIntestinal anthelminthic:antischistosomal/antitrematode
C DENGUE HAEMORRHAGIC FEVER PROGRAM
315 1 AC00345% Dextrose in Isotonic Saline Solution + IV Giving Set
500ml Blt * Water, electrolyte replacement and source of energy
316 2 GA34015% Dextrose in Acetate Ringer's Solution + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
317 3 AC00365% Dextrose in 1/3 Saline + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
D FILARIASIS PROGRAM318 1 NQ0004 Albendazol 400mg Tab SN Intestinal anthelmenthic AIDS
319 2 ND0230Diethylcarbamazine (dihydrogen citrate)
100mg Tab SN Antifilarial
320 3 Invermectin (scored tablets) 3mg Tab SN Antifilarial
III 4 BIRTH SPACING PROGRAM
321 1 NH0020 Depo-medroxyprogesterone acetate 150mg/3ml Vial * Injectable hormonal contraceptive - long acting
322 2 NH0040 Norgestrel (Progestin-Only-Pill) 0.075mg Blister * Oral Contraceptive
323 3 NH0050Ethinyloestradiol + Levonorgestrel (Combined Oral Contraceptive)
0.03/0.15mg Blister * Combined Oral Contraceptive
324 4 NH0010 Condom 49mm Pcs * Physical barrier contraceptive
16 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
325 5 NH0030 IUD Copper T 380A T380A Pcs * Intra-uterine device (IUD) Contraceptive
326 6 NH0011
Female Condom (Lubricated loose-fitting Polyurethane, pouch closed at one end, open at the other with soft rings at each end. 160-180mm width, 41-61µ thickness, 2.23-2.53mm outer ring, 56.5-58-5mm inne
160-180mm Pcs * Physical barrier contraceptive
327 7 NH0052Levonorgestrel (Emergency/Morning After Contraceptive Pills), 2 pill per Blister
0.75mg Blister * "Morning after" contraceptive
328 8 NH0051Implant: a-Etonorgestrel b- Levonorgestrel
a-68 mg b-150mg Implant * Implant hormonal contraceptive -
long acting
III 5 PSYCHIATRY MEDICINES(1) First Line
329 1 NG0010 Amitriptyline (as hydrochloride) 25mg Tab SN Depressive disorders Pain/Cancer
330 2 NG0011 Amitriptyline (as hydrochloride) 50mg Tab SN Depressive disorders Pain/Cancer
331 3 NG0030 Carbamazepine 200mg Tab SN
Anticonvulsant and mood-stabilizing - used primarily in the treatment of epilepsy and bipolar disorder, as well as trigeminal neuralgia.
Pain/Cancer
332 4 NG0041 Chlorpromazine (as hydrochloride) 100mg Tab SN Psychotic disorders
333 5 NG0050 Clomipramine (as hydrochloride) 25mg Cap SN Obsessive compulsive and panic attacks
334 6 Fluoxetine (as hydrochloride) 20mg Cap / Depressive disorders
335 7 NG0071 Haloperidol 10mg Tab SN Psychotic disorders Pain/Cancer
336 8 NG0070 Haloperidol 5mg Tab SN Psychotic disorders Pain/Cancer
337 9 NG0081 Imipramine 25mg Tab SN Antidepressant
338 10 NG0090 Lithium Carbonate 300mg Tab SN Mood-stabilizing, primarily in the treatment of bipolar disorders.
339 11 NG0100 Nortriptiline HCL 25mg Tab SN Antidepressant
340 12 NG0110 Perphenazine 8mg Tab SNAnti-psychotic, antidepresnt; used to treat symptoms of schizophrenia
17 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
341 13 NG0120 Phenytoine 100mg Tab SN Anticovulsants/anti-epileptic Pain/Cancer
342 14 NG0130 Thioridazine 10mg Tab SNAnti-psychotic, antidepresnt; used to treat symptoms of schizophrenia
343 15 NG0140 Trihexyphenidyl (benzhexol) 5mg Tab SNAntiparkinsonian agent (antimuscarinic class)
344 16 NG0073 Haloperidol decanoate 50mg/ml Amp SN Psychotic disorders Pain/Cancer
(2) Second LineIII 6 NATIONAL CENTRE FOR HIV/AIDS, DERMATOLOGY AND STD (NCHADS)
A HIV/AIDS PROGRAM(1) ADULTS
345 1 NE0010 Abacavir (ABC) (as sulfate) 300mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
346 2 NE0014 Abacavir (ABC) + Lamivudine (3TC) 600mg+300mg Tab SN ARV: 2-FDC
347 3 NE0100Stavudine (D4T) + Lamivudine(3TC) + Nevirapine(NVP)
30mg+150mg+200mg Tab SN ARV: 3-FDC
348 4 NE0013 Atazanavir 300mg Tab SN ARV: Protease inhibitor (PI)
349 5 NE0042Didanosine (ddl) (unbuffered enteric coated tablet)
250mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
350 6 NE0043Didanosine (ddl) (unbuffered enteric coated tablet)
400mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
351 7 NE0051 Efavirenz (EFV or EFZ) 200mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
352 8 NE0052 Efavirenz (EFV or EFZ) 600mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
353 9 NE0070 Lamivudine (3TC) 150mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
354 10 NE0080 Stavudine(d4T)+ Lamivudine (3TC) 30mg+150mg Tab SN ARV: 2-FDC
355 11 NE0251 Stavudine (d4T) 30mg Tab SN ARV: nucleoside analog/reverse transcriptase inhibitor (NARTI)
356 12 NE0110 Zidovudine(AZT)+Lamivudine(3TC) 300mg+150mg Tab SN ARV: 2-FDC
357 13 NE0111Zidovudine(AZT)+Lamivudine(3TC) + Nevirapine(NVP)
300mg+150mg+200mg Tab SN ARV: 3-FDC
358 14 NE0141 Lopinavir/Ritonavir 200mg/50mg Cap SN ARV: Protease inhibitor
359 15 NE0170 Nevirapine 200mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
360 16 NE0220 Ritonavir 100mg Tab SN ARV: pharmacological booster
361 17 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC )
300mg+150mg +300mg Tab SN ARV: 3-FDC
362 18 NE0270 Tenofovir (TDF) (disoproxil fumerate) 300mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
(2) PEDIATRIC
363 1 NE0010 Abacavir (ABC) (as sulfate) 240ml syrup 20mg/ml Bttl SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
364 2 NE0012 Abacavir( ABC ) +Lamivudine (3TC) 60mg+30mg Tab SN ARV: 2-FDC
365 3 NE0102Stavudine(d4T) + Lamivudine(3TC) + Nevirapine(NVP)
12mg+60mg+100mg Tab SN ARV: 3-FDC
366 4 NE0082 Stavudine(d4T) + Lamivudine(3TC) 6mg+30mg Tab SN ARV: 3-FDC
367 5 NE0083 Stavudine(d4T) + Lamivudine(3TC) 12mg+60mg Tab SN ARV: 3-FDC
368 6 NE0045 Didanosine (ddl) 125mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
369 7 NE0046 Didanosine (ddl) 200mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
370 8 NE0050 Efavirenz (EFV or EFZ) 50mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
371 9 NE0150 Lopinavir/Ritonavir 160ml Syrup 80mg/20mg/ml Bttl SN ARV: Protease inhibitor
372 10 NE0142 Lopinavir/Ritonavir (LPV/r) 100mg/25mg Tab SN ARV: Protease inhibitor
373 11 NE0190 Nevirapine (NVP) Syrup 10mg/ml Bttl SN ARV: Non-nucleoside reverse transcriptase inhibitor
374 12 NE0113 Zidovudine (AZT )+Lamivudine (3TC) 60mg+30mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
375 13 NE00114 Zidovudine(AZT) +Lamivudine(3TC) +Nevirapine(NVP ) 60+30+50mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
376 14 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC ) 60+30+60mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
B DERMATOLOGY, STD, OIs AND OTHER MEDICINES(1) ORAL MEDICINES
377 1 NQ0002 Acyclovir 200 mg Tab SN Antiviral/antiherpes (topical)
378 2 NQ0003 Acyclovir 400 mg Tab SN Antiviral/antiherpes (topical)
379 3 NQ0004 Albendazol 400 mg Tab SN Intestinal anthelmenthic Helminthic program
380 4 NQ0005 Amitryptiline 25 mg Tab SN Tricyclic antidepressant Psychiatry
381 5 Amitryptiline 50 mg Tab SN Tricyclic antidepressant Psychiatry 19 of 28
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
382 6 NQ0007 Amoxicillin 500 mg Tab SN Antibacterial (beta lactam) Basic Medicine
383 7 NF0030 Azithromycine 500mg Tab SN Antibacterial
384 8 NF0060 Cefixime 200mg Tab SN Antibacterial (beta lactam)
385 9 NF0070 Cetirizine hydrochloride 10mg Tab SN Antihistamine/anti-allergic HIV/AIDS Care
386 10 Clotrimazol 100mg Tab SN To treat fungal infections of the mouth or throat
387 11 NE0100 Codeine phosphate 30 mg Tab SN Opioid analgesic Pain relief /palliative care
388 12 NQ0110 Cotrimoxazole 400mg+80 mg Tab SN Antibacterial Basic medicine
389 13 NQ0111 Cotrimoxazole 800mg + 160mg Tab SN Antibacterial HIV/AIDS Care
390 14 NQ0156 Dapsone 100 mg Tab SN
Antibacterial used alone or in combination with other anti-leprosy drugs (rifampicin and clofazimine) to treatment leprosy; also as OI - prophylaxis against Pneumocystis pneumonia (PCP) in HIV patients allergic to Co-trimoxazole.
Leprosy/HIV
391 15 NQ0151 Diazepam 5 mg Tab SN Anxiolytic, sleep disorders, mild muscle relaxant
Basic medicine
392 16 NQ0152 Diclofenac 50 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basic medicine
393 17 Dicloxacilline 500 mg Tab SN Antibacterial
394 18 NQ0153 Doxycycline 100 mg Tab SN Antibacterial
395 19 NQ0201 Erythromycine 500 mg Tab SN Antibacterial
396 20 NQ0252 Fluconazole 100 mg Tab SN Oral antifungal Basie medicince
397 21 Fluconazole 150 mg Tab SN Oral antifungal
398 22 NQ0253 Fluconazole 200 mg Tab SN Oral antifungal
399 23 NQ0255 Folic Acid 10 mg Tab SN Antianaemic Basie medicince
400 24 NQ0331 Griseofulvine 500mg Tab SN Oral systemic antifungal AIDS/Leprocy
401 25 NQ0402 Ibuprophene 400 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs)
402 26 AA0270 Indomethacine 25 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basie medicince
403 27 NQ0403 Itraconazole 100mg Tab SN Oral antifungal
404 28 Itraconazole 200mg Tab SN Oral antifungal
405 29 NF0181 Ketoconazol 200 mg Tab SN Oral antifungal 20 of 28
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
406 30 NQ0551 Loperamide 2 mg Tab SNOI - Antidiarrhea - diarrhea due to gastroenteritis or inflammatory bowel disease
407 31 NF0200 Minocycline hydrochloride 100mg Tab SN Antibacterial
408 32 NQ0210 Morphine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
409 33 Oxycodine 10 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
410 34 Oxycodine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
411 35 NQ0751 Paracetamol 100 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
412 36 NQ0752 Paracetamol 500 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
413 37 NQ0750 Paracetamol Syrup 100mg/ml Btl SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
414 38 NQ0758 Prednisolone 5 mg Tab SN Anti-inflammatory ; Anti-allergic/anaphylaxis
Basic mrdicine
415 39 Pyrimethamine 100mg Tab SNAnti-malaria (acute malaria)
(2) INJECTIONS416 1 NQ0014 Amphotericine B 50 mg Vial SN Antifungal/antileishmaniasis
417 2 NF0040 Benzathine Benzyl Penicilline 2.4 MUI Vial SN Antibacterial (beta lactam)
418 3 Butylhyocine 20 mg Amp SN Antispasmodic
419 4 NQ1551 Ceftriaxone 1 gr Vial SN Antibacterial (beta lactam)
420 5 NQ1555 Cloxacillin 1g Vial SN Antibacterial (beta lactam)
421 6 NQ1576 Dexamethasone 2 mg Amp SN
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
422 7 NQ1577 Diazepam 10 mg/2ml Amp SN
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Basic medicine
423 8 Diphenhydramine 4 mg/ ml Amp SN Antihistamine
424 9 Fluconazole I.V. 200ml 400 mg Vial SN Systemic antifungal
425 10 NQ1651 Gentamycine 80 mg /2ml Amp SN Antibacterial Basic medicine
426 11 NQ1802 Metronidazole 500 mg vial SN Antibacterial/antiamoebic/antigiardiasis
427 12 NQ1803 Morphine 10 mg /1ml Amp SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Basic medicine
(3) EXTERNAL USE MEDICINES428 1 AD0270 Acyclovir Cream 15g Tube SN Antiviral/antiherpes (topical)
429 2 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar SN Antifungal Basic medicine
430 3 NQ2263 Benzoyl Benzoate 25% 1litre Btl SN Scabicide, pediculicide (topical) Basic medicine
431 4 Benzoyl peroxide 5% Gel 40g Tube SN
Topical as a peeling agent. Effects skin differentiation and prolifiration/turn over. Also has antiseptic and bleaching properties.
432 5 Betamethasone (0.05%) +Salicylic Acid (3%) Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
433 6 Betamethasone (as valerate) 0.1% Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
434 7 Betamethasone 0.05% +Fucidic acid 2% 15g Tube SN Topical Anti-infectives with Corticosteroids
435 8 NF0082 Clobetasole propionate 0.05% lotion 30ml Bttl SN Topical adrenocortical steroid - antinflammatory and anti- itching
436 9 NF0080 Clobetasole propionate 0.05% cream 10g Tube SNTopical corticosteroids with anti-inflammatory, antipruritic, and vasoconstrictive properties.
437 10 NQ2286 Clotrimazole 1% cream 30g Tube SN Antifungal (topical) Pain/Cancer22 of 28
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
438 11 NF0112 Crotamiton 10% Cream 30g Tub SNScabicidal and antipruritic for treating scabies and relieving itching
439 12 NF0120 Fusidic Acid 2% cream 15g Tube SN Topical anti-infectives
440 13 NF0151 Hydrocortisone (as acetate) 1% 15g Tube SN Anti-inflammatory, antipruritic (topical)
441 14 NF0180 Ketokonazole 2% cream 15g Tube SN Topical broad spectrum antifungal AIDS
442 15 NP0190 Miconazole 2% gel 40g Tube SNAntifungal (topical) - fungal infections of the mouth, throat and gut
443 16 NQ3150 Petroleum Jelly (Vaseline) 15g Tube SNEmollient (skin lubrication and mosturizer); helps protect minor cuts and burns.
444 17 NQ2541 Polyvidone Iodine 10% 200ml Btl SN Topical antiseptic for minor skin injuries
Basic nedicine
445 18 Tretinoin 0.05% cream 30g Tube SN Treatment of acne vulgaris
446 19 Triamcinolone acetonide Cream 0.1 % 30g Tube SN
Topical corticosteroid for the treatment of inflammatory and pruritic manifestations/ dermatoses
447 20 Urea Cream 10% 100mg Tube SN Skin differentiation and prolifiration (for topical use)
AIDS
(4) OTHER MEDICINES448 1 NQ0115 Clotrimazole (vaginal tablets) 500mg Pessary SN Antifungal Pain/Cancer
449 2 NQ0608 Miconazole 100mg Pessary SN Antifungal
450 3 Paracetamol 300mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
III 7 ORAL HEALTH PROGRAMA MEDICINES
451 1 NI0070 Calcium Hydroxide B/2P *
452 2Composite light cure high briand microfiller 4g ( color A3, A3.5 ) for restorative filling dental cavity
Pcs *
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
453 3 Eugenol USP 10ml Vial *
Toothache and other related uses as local antiseptic and anesthetic. Mixed with zinc oxide - restorative and prosthodontic
454 4 NI0140 Glass ionomer for Rest Gc Fuji II Powder 15g + liquid 10g
Box *
455 5 NI0141 Glass ionomer for Rest Gc Fuji IX Powder 15g + liquid 10g
Box *
456 6 Glass ionomer for Rest Gc Fuji VII Powder 15g + liquid 10g
Box *
457 7 NI0220 Lidocain 2% Adrenaline 0.001% 1.8 ml Cart * Local anaesthetic
458 8 Lidocain 2% Non-adrenaline 1.8 ml Cart * Local anaesthetic
459 9 Fluoride Varnish 10 ml Tube * Prevent tooth decay
460 10 Fluoride Gel 113g Tube * Prevent tooth decay
461 11 Polyhexa+didecyl St 72.17 Hexanios for Soaking instruments before Sterilization Sachets /25ml Sachet * Instrument sterilization
462 12 NI0210 Zinc Oxide Powder 1Kg Jar *Mixed with Eugenol produce material which has restorative and prosthodontic applications.
B MATERIALS
463 1 Barbed broach ( tire -nerf) to take the nerf from dental canal
Pcs *
464 2 Burr cylinder Highspeed Pce *465 3 Burr cylinder Lowspeed Pce *
466 4 Burr round for contra Angle Highspeed Pce *
467 5 Burr round for contra Angle Lowspeed Pcs *
468 6 Files Complete set length 21 mm ( files used for root treatment )
#15,#20,#25, #30,#35,#40
Pcs *
469 7 Lentulo, Complete set ( used for root canal treatment )
Pcs *
470 8 Matrix bands medium ( Metal Matrix) Pcs *
471 9 NV0160 Needle Dental 27G .21mm Pcs *24 of 28
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
472 10 NV0161 Needle Dental 27G . 30mm Pcs *473 11 NV0162 Needle Dental 27G . 35mm Pcs *474 12 NV0030 Catridge syringe ( metal ) 1,8ml Pcs *
475 13 Surgical blade #11 Pcs * For use in surgical Procedure
III 8 NATIONAL IMMUNIZATION PROGRAMIII 9 NUTRITION PROGRAM
476 1 Iron-Folate Weekly Iron-Folic Supplementation (WIFS)
60mg Iron element + 2.8 mg Folic acid Rose Tab SN
Weekly Iron-Folic Supplementation (WIFS) in Women of Reproductive Age
477 2
Rehydration Solution for Malnutrition (ReSomal) (Glucose 55mmol; Sucrose 73mmol; Potassium 45mmol; Chloride 70mmol; Citrate 7mmol; Magnesium 3mmol; Zinc 300μmol; Copper 3μmol)
42.1g Sachet SN Treatment of rehydration in severally malnorished children
478 3
Therapeutic Milk F-75 [Energy 448Kcal, Protein 5% energy, Lipids 31% energy, Vit A (0.9mg), Vit D (18µg), Vit E (20mg), Vit C (59mg), Vit B1 (0.5mg), Vit B2 (1.2mg), Vit B6 (0.8mg), Folic acid (200µg), Vit B12 (1.6µg), Vit K (15µg), Biotin (60µg), Pantothenic acid (3mg), Sodium (<87mg), Calcium (560mg), Phosphor (330mg), Potassium (1100mg), Magnesium (50µg), Zinc (12.2mg), Iodine (100µg), Cuivre/Copper (1.7mg), Selenium (30µg) and Fer/Iron (<0.3mg)]
410g Sachet SN For treatment of severe malnutrition (rehabilitation phase)
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
479 4
Therapeutic Milk F-100 [Energy 520Kcal, Protein >10% of energy, Lipids >45% of energy, Vit A (800µg), Vit D (15µg), Vit E (20mg), Vit C (50mg), Vit B1 (0.5mg), Vit B2 (1.6mg), Vit B6 (0.6mg), Niacin (5mg), Folic acid (200µg), Vit B12 (1.6µg), Vit K (15µg), Biotin (60µg), Pantothenic acid (6mg), Sodium (<290mg), Calcium (300mg), Phosphor (300mg), Potassium (1100mg), Magnesium (80µg), Zinc (11mg), Iodine (70µg), Cuivre/Copper (1.4mg), Selenium (20µg) and Fer/Iron (<0.2mg)]
456g Sachet SNFor treatment of severe malnutrition (maintenance/treatment phase)
480 5
Multiple Micronutrient Powder (MNP)[Iron (12.5mg), Zinc (10mg), Vitamin A (300µg), Iodine ( 90µg), Vit B1 (0.5mg), Vit B2 (0.5mg), Vit B6 (0.5mg), Vit B12 (0.9µg), Niacin (6mg), Folate/Folic acid (160µg), Vit C (Ascorbic acid) (30mg), Copper (0.3mg), Selenium (17µg), Vit D (5µg) and Vit E (6mg)]
1g Sachet SN Multi-nutrient formula/powder for children 6-24 months.
III 10 PAIN RELIEF AND PALLIATIVE CARE
481 1 Clonazepam 2mg Tab SN Anxiolytic with muscle relaxantion and anticonvulsant action
Psychiatry
482 2 Clonazepam Drops 2.5 mg/ml Btl SN Anxiolytic with muscle relaxantion and anticonvulsant action Psychiatry
483 3 Codeine Phosphate 30mg Tab SN Opioid analgesic Psychiatry /Dermatological
484 4 Codeine Phosphate Syrup 1mg/ml Btl SN Opioid analgesic Psychiatry
485 5 Gabapentin 100mg Cap SN Neuropathic pain relief Psychiatry
486 6 Ibuprofene 200mg Tab SN Analgesic - NSAIDs
487 7 Ibuprofen (ped) 250mg Supp SN Analgesic - Nonsteroidal anti-inflammatory drugs (NSAIDs)
488 8 Ibuprofen Syrup 20mg/ml Btl SN Analgesic - Nonsteroidal anti-inflammatory drugs (NSAIDs)
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
489 9 Morphine Sulphate (Lasting 4 h) 10mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Dermatological
490 10 Morphine Sulphate (Lasting 4 h) 30mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Dermatological
491 11 Morphine Sulphate retard (Lasting 12h) 10mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
492 12 AA0342 Morphine Sulphate retard (Lasting 12h) 30mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
493 13 Paracetamol 250mg Rectocap SNThermal stable suppostory. Analgesic and antipyretic without anti-inflamatory effect
494 14 Tramadol Chlorhydratre 50mg Tab SNSynthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
495 15 Tramadol Chlorhydratre (Retard) 100mg Tab SNSynthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
496 16 Docusate Sodium 50mg Tab SN Laxative
497 17 Lactulose Syrup 3.3mg/5ml Btl SN Laxative - for chronic constipation
498 18 Nalaxone 400mg Tab SNAntidote to opioid poisoning/emergency overdose treatment
III 11 ANTI CANCER MEDICINESIII 12 DIABETES
499 1 Glimepiride 2mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
500 2 NQ0605 Metformine 500mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
501 3 NK0031 Insuline, long acting 1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
502 4 Insuline, rapid acting (3-6 hours efficacy)
1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
503 5 Premixed Insuline 70/30 (Semi-lente 70/ Rapid 30)
1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
III 13 ENDOCRINOLOGY AND HORMONOLOGY
504 1 Hydrocortisone 10mg Tab SN Anti-inflamatory and other endocrinoly uses
505 2 Levothyroxine 50µg Tab SN Anti-hyperthyroidism.
506 3 Neomercazole 5mg Tab SN Anti-hyperthyroidism.
III 14 INFECTION CONTROL AND PREVENTION
507 1 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
508 2 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
509 6 Isopropyl Alcohol 99.8% 99.80% Btl * Mix with other ingredients to produce alcohol hand rub
510 7 NQ5121 Ethanol 96% V/V Btl * Mix with other ingredients to produce alcohol hand rub
511 8 XA1410 Glycerol 98% 98% Btl * Mix with other ingredients to produce alcohol hand rub
512 9 Apron, plastic, disposable (Liquid and Spash Resistant) Small Pcs *
Use: to protect health care workers from droplets or splashes
513 10 Apron, plastic, disposable (Liquid and Spash Resistant) Medium Pcs *
Use: to protect health care workers from droplets or splashes
514 11 Apron, plastic, disposable (Liquid and Spash Resistant) Large Pcs *
Use: to protect health care workers from droplets or splashes
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CPA 3 LEVEL
MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
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Nº Nº Code Description Strength Form
I BASIC MEDICINES1 ORAL MEDICINES
1 1 AA0010 Acetylsalicylic Acid 500mg Tab * Analgestic, Antipyretic, antimigraine, antithrombotic
Hypertention +Diabetes
2 2 AA0020 Aluminium Hydroxide 500mg Tab * Antacid
3 3 AA0030 Aminophylline 100mg Tab * Anti-asthmatic/brochodialator
4 4 Amlodipine 10mg Tab * Antihypetensive Hypertention +Diabetes
5 5 AA0060 Amoxicillin 250mg Tab * Antibacterial (beta lactam) IMCI
6 6 AA0061 Amoxicillin 500mg Cap * Antibacterial (beta lactam) IMCI
7 7 AA0050 Amoxicillin + Clavulanic acid 500mg+125mg Tab * Antibacterial (beta lactam)
8 8 AA0040Amoxicillin Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial (beta lactam) - for children
IMCI
9 9 AA0080 Atenolol 50mg Tab * Antihypetensive; antiangino Hypertention + Diabetes
10 10 AA0090 Bromhexin 8mg Tab * Broncho mucolytic/antitussive
11 11 AA0640 Bromhexin Syrup 60ml 4mg/5ml Btl * Broncho mucolytic/antitussive
12 12 Captopril 25mg Tab * Antihypetensive Hypertention + Diabetes
13 13 AA0101Charcoal Activated ( Charbon Adsorbant )
125mg Tab * Antidote (non-specific) for poisoning
14 14 AA0110 Chlorpheniramine maleate 4mg Tab * Anti-histamine; anti-allergic
15 15 Chlorpromazine (as hydrochloride) 25mg Tab * Psychotic disorders Psychiatry
16 16 AA0120 Cimetidine 200mg Tab *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
17 17 AA0130 Ciprofloxacin (as hydrochloride) 500mg Tab * Antibacterial STD,Opthl,AIDS, IMCI
18 18 AA0137 Cloxacillin (as soldium salt) 250mg Tab * Antibacterial (beta lactam)
19 19 AA0138 Cloxacillin (as soldium salt) 500mg Tab * Antibacterial (beta lactam)
KINGDOM OF CAMBODIANATION RELIGION KING
bB¢aI»sfsarvnþ
ESSENTIAL MEDICINES LIST - 7th Edition
CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
1 of 31
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
20 20 AA0150Co-trimoxazole (sulfamethoxazole+trimethoprim)
100+20mg Tab * Antibacterial
21 21 AA0151Co-trimoxazole (sulfamethoxazole+trimethoprim)
400+80mg Tab * Antibacterial
22 22 AA0154Co-trimoxazole (sulfamethoxazole+trimethoprim) Suspension 60ml
200+40mg/5ml Btl * Antibacterial - for children IMCI
23 23 AA0160 Diazepam 5mg Tab * Anxiolytic, sleep disorders, mild muscle relaxant
Psychiatry, Hypertention + Diabetes
24 24 AA0170 Diclofenac 50mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
25 25 AA0180 Digoxin 0.25mg Tab * Cardiovascular medicines used in heart failure
26 26 AA0190 Doxycycline (as hydrochloride) 100mg Tab SN Antibacterial
27 27 AA0202 Enalapril 10mg Tab SNAnti-hypertensive;congestive heart failure and improvement of survival after a heart attack.
Hypertention + Diabetes
28 28 AA0200Erythromycin (as stearate or ethyl succinate)
250mg Tab * Antibacterial STD,Dermato,AIDS, IMCI
29 29 Erythromycin stearate Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial - for children IMCI
30 30 Fenofibrate 300mg Tab * Anti-cholesterol and triglyceride Hypertention + Diabetes
31 31 Ferrous fumarate Suspension 60ml 100mg/5ml Btl * Antianaemic/iron supplement - for children
IMCI
32 32 AA0210 Ferrous Sulphate + Folic Acid200+0.40mg (60mg Iron element + 0.4
mg Folic acid)Red Tab * Antianaemic/Iron+Folic/Nutritio
n supplement for use in pregnancyNutrition
33 33 AA0220 Fluconazole 100mg Tab * Oral antifungal Dermatologic programm
34 34 AA0230 Folic Acid 5mg Tab * Antianaemic Dermatologic programm
35 35 AA0240 Furosemide 40mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention
2 of 31
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
36 36 AA0250 Hydralazine 25mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
37 37 Hydrochlorthiazide (scored tablet) 25mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
38 38 AA0260 Hydrochlorothiazide (scored tablet) 50mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
39 39 NQ0353 Hyocine-N-Buthylbromide 10mg Tab * Antispasmodic
40 40 AA0270 Indometacin 25mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
41 41 AA0550 Isosorbide Dinitrate 10mg Tab *Vasodilator used in , e.g. angina pectoris, anal fissure and congestive heart failure.
42 42 Losartan potassium 50 mg Tab SN Anti-hypertensive Hypertention + Diabetes
43 43 AA0280 Mebendazole 500mg Tab * Intestinal anthelminthic Schistosomiasis / IMCI
44 44 AA0290 Methyldopa 250mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
45 45 AA0320 Metoclopramide (as hydrochloride) 10mg Tab * Antiemetic Palliative Care,
46 46 AA0300 Metronidazole 250mg Tab * Antibacterial/antiamoebic/antigiardiasis
STD
47 47 Metronidazole suspension 60 ml 200mg/5ml Btl * Antibacterial/antiamoebic/antigiardiasis - for children
48 48 Mifepriston + Misoprostol (01 tab x200mg) +(04 tab x200µg) Tab SN Medical abortion MCH
49 49 AA0330 Misoprostol 200µg Tab * Oxytocic (uterine contraction) MCH
50 50 AA0340 Multivitamin + Mineral Tab * Vitamin and minerals supplement STD / IMCI
51 51 AA0350 Nalidixic Acid 500mg Tab * Anti-infective (quinolone) IMCI
52 52 AA0360 Niclosamide 500mg Tab * Intestinal anthelminthic
53 53 AA0370 Nifedipine Retard 20mg Tab *Anti-hypertensive (calcium chanel blocker) also used as an anti-angina.
Hypertention + Diabetes
3 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
54 54 AA0380 Nystatin 500.000IU Tab * Oral antifungal STD / AIDS
55 55 NQ0735 Omeprazole 20 mg Tab *
Antacid - a proton pump inhibitor -with pronounced and long-lasting reduction of gastric acid production.
56 56 AA0390Oral Rehydration Salts (Low osmolarity for 1L) [Glucose: 13.5g/l, Sodium chloride:2.6g/l, Potasium chloride 1.5g/l, Trisodium citratedihydrate:2.9g/l (20.5g)]
20.5g Sachet * Oral remedy for rehydation
57 57 AA0410 Paracetamol 100mg Tab *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
NIP
58 58 AA0411 Paracetamol 500mg Tab *Analgesic, antipyretic, antimigraine, without anti-inflamatory action
59 59 AA0412 Paracetamol 500mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
Malaria
60 60 AA0413 Paracetamol Syrup 60ml 125mg/5ml Btl * Analgesic, antipyretic without anti-inflamatory action - for children IMCI
61 61 AA0450 Phenobarbital 50mg Tab * Anticovulsant/antiepileptic Psychiatry
62 62 AA0440Phenoxymethyl Penicillin (as potassium salt)
250mg Tab * Antibiotic (beta lactam)
63 63 AA0460 Potassium Chloride 600mg Tab *
Treatment of hypokalemia in patients predisposed to loss o K+ e.g. patients on high doses of diuretics
64 64 AA0470 Prednisolone 5mg Tab * Anti-inflammatory ; Anti-allergic/anaphylaxis
AIDS/Leprosy
65 65 AA0480 Promethazine 25mg Tab * Antihistamine, anti-emetic
66 66 AA0481Promethazine (as hydrochloride) 0.1% syrup 60ml
5mg/5ml Btl * Antihistamine, anti-emetic - for children
67 67 AA0500 Salbutamol 4mg Tab * Antiasthmatic/bronchodialator
68 68 AA0501 Salbutamol for Inhalation 200 doses 0.1mg/dose Btl * Antiasthmatic/bronchodialator
69 69 Simvastatine 20mg Tab * Anti-cholesterol; used to prevent cardio vascular disease Hypertention + Diabetes
4 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
70 70 AA0510 Tiemonium methylsulphate 50mg Tab * Antispasmodic Pain/Cancer
71 71 Tramadol Chlorhydrate 100mg Tab *Synthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
Pain/Cancer
72 72 AA0491 Vitamine A (Retinol) ( red color capsule with nipple) 200,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
73 73 AA0490 Vitamine A (Retinol) (blue color capsule with nipple) 100,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
74 74 AA0531 Vitamin B1 50mg Tab * Vitamin B1 supplement
75 75 AA0541 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
76 76 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
77 77 NL0040 Zinc Sulphate (Dispersible) 20mg Tab * Diarrhoea in children used as with/an adjuct to ORS
MCH / IMCI
2 INJECTIONS78 1 AB0010 Adrenaline (epinephrine) 1mg/1ml Amp * Anti-allergic, anti-anaphylaxis
79 2 AB0020 Ampicillin 500mg Vial * Antibacterial (beta lactam). IMCI
80 3 AB0020 Ampicillin 1g Vial * Antibacterial (beta lactam) MCH
81 4 NB0012 Neuro Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
82 5 NB0011 Hemato Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
83 6 NB0020 Antitoxin,Tetanus 1500IU/1ml Amp * Antitetanus
84 7 AB0030 Atropine Sulphate 1mg/1ml Amp * Pre-operation medication; specific antidote for some poisoning
85 8 AB0040 Bupivacaine 0.5% Spinal heavy 20mg/4ml Vial * Local/Spinal anaesthetic Eye Unit
86 9 AB0050 Butylscopolamine (Hyoscin, Buscopan) 20mg/2ml Amp * Antispasmodic
87 10 AB0060 Calcium Gluconate 10% 1g/10ml Amp * Specific antidote for some type of poisoining
MCH
5 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
88 11 Ceftazidime (as pentahydrate) (powder for injection) 500mg Vial *
Broad-spectrum (beta-lactam antibacterial) for the treatment of melioidosis infection caused by Burkholderia pseudomallei
89 12 AB0080 Ceftriaxone 1g Vial * Antibacterial (beta lactam) STD
90 13 AB0100 Chlorpromazine (as hydrochloride) 50mg/2ml Amp * Psychotic disorders Psychia/Pain/Cancer
91 14 AB0110 Cimetidine 200mg/2ml Amp *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
92 15 AB0120 Cloxacillin (as soldium salt) 1g Vial * Antibacterial (beta lactam)
93 16 AB0130Dexamethasone phosphate (as disodium salt) 4mg/1ml Amp *
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
Opthalmo/STD
94 17 AB0140 Dextrose 50% 50ml Vial *
Hypoglycemia (low blood sugar) in emergency care; management of coma of unknown origin; andrestoration of energy.
95 18 AB0150 Diazepam 10mg/2ml Amp *
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Psychia/IMCI
96 19 AB0170 Dopamine (as hydrochloride) 200mg/5ml Amp *
Symphomimetic used in heart failure, shock and other conditions where sympathomimetic action is desirable.
97 20 AB0181Ephedrine (for dilution, as hydrochloride) 30mg/1ml Amp * Spinal anaesthesia during delivery
to prevent hypotension
98 21 AB0190 Ergometrine Methyl 0.2mg/1ml Amp * Oxytocic (uterine contraction)
99 22 AB0200 Etamsylate 250mg/2ml Amp * Anticoagulant
100 23 AB0210 Fentanyl 0.1mg/2ml Amp * Chronic pain management/palliativPain/Cancer
101 24 AB0220 Furosemide 20mg/2ml Amp * Diuretic normaly used in heartfailute
102 25 AB0230 Gentamycin (as sulphate) 80mg/2ml Amp * Antibacterial
6 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
103 26 AB0240 Hydralazine Powder + Solvent 20mg/1ml Amp *Antihypertensive: for acute management of severe pregnancy-induced hypertension only.
104 27 AB0250 Hydrocortisone (as Sodium succinate) 100mg Vial *
A naturally occuring steroid/glucocorticoid with rapid onset of action but short duration: used, among others, as Anti-inflammatory ; Anti-allergic in anaphylaxis
105 28 AB0260 Ketamine 500mg/10ml Vial * General anaesthetics - injectable Pain/Cancer
106 29 AB0270 Lidocaine 2% 50ml Vial * Local anaesthetic - injectable Eye Unit / MCH
107 30 AB0290 Magnesium Sulphate 50% IM/IV 10ml Amp *
For treating eclampsia and severe pre-eclampsia not to be used in other forms of convulsant disorders
MCH
108 31 AB0300 Metoclopramide (as hydrochloride) 10ml/2ml Amp * Antiemetic Pain/Cancer
109 32 AB0310 Metronidazole 500mg/100ml Vial * Antibacterial/antiamoebic/antigiardiasis
MCH
110 33 AB0320Morphine (as hydrochloride or sulphate) 10mg/1ml Amp *
Opioid analgesic, psychoactive for Chronic pain management/palliative care
Pain/Cancer
111 34 AB0330 Neostigmine 0.5mg/1ml Amp * Muscle relaxant
112 35 AB0440 Oxytocin 10 IU/1ml Amp * Oxytocic (uterine contraction) MCH
113 36 AB0341 Paracetamol 300 mg/2 ml Amp *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
114 37 AB0350 Penicillin - G, IM/IV 1MIU Vial * Antibacterial (beta lactam)
115 38 AB0360 Potassium Chloride 10% 10ml Amp * Treatment of hypokalemia
116 39 AB0370 Salbutamol 0.5mg/1ml Amp * Antiasthmatic
117 40 ZA0751 Sodium Bicarbonate 8.4% 20ml Amp * Alkalising agent for the treatment of acidocis
118 41 AB0392 Suxamethonium (as chloride) 100mg/2ml Vial * Muscle relaxant
119 42 AB0400 Thiopental 1g Vial * General anaesthetics - injectable
120 43 Tramadol Chlorhydrate 100mg /2ml Amp *Synthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
Pain/Cancer
7 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
121 44 AB0410 Vecuronium (bromide) + Solvent 4mg/1 ml Amp * Muscle relaxant/anesthesia
122 45 AB0420 Vitamin K1 (Phytomenadione) 10mg/1ml Amp * Coagulant: affects blood coagulation; helps to stop bleeding MCH
123 46 AB0430 Water for Injections 5ml Amp * Diluent for injection
3 IV FLUIDS
124 1 AC0010 Dextran 40 + IV giving set 500ml Btl *Anticoagulant during surgical operations; plasma expander/subsitute
Malaria / Dengue
125 2 AC0031 Dextrose 10% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications Malaria / MCH
126 3 AC0020 Dextrose 5% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications
127 4 AC0030Dextrose 5%+0.45% Saline + IV giving set 500ml Btl * Electrolyte replacement,
rehydration, and source of energy Dengue
128 5 AC0041 N S S 0.9% + IV giving set 1000ml Btl *Electrolytes replacement, rehydration, and source of sodium, sugar and energy
MCH
129 6 AC0050 Plasma Substitute + IV giving set 500ml Btl * Plasma expander
130 7 AC0060 Ringer's Lactate + IV giving set 1000ml Btl *
Fluid and electrolyte replenishment therapy. Also often called Hartmann's solution - for the correction of extracellular volume and electrolyte depletion.
Dengue / IMCI / MCH
4 OTHER MEDICINES
131 1 AD0100 Fluorthane (Halothane) 250ml Btl * General anaesthetics - inhalation
132 2 AD0170 Soda lime ( Chaux Sodee) 4.5kg Btl * Adjuct to general anaesthesia
5 EXTERNAL MEDICINES 133 1 AD0010 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar * Antifungal (topical)
134 2 AD0020 Benzyl Benzoate 25% 1L Btl * Scabicide, pediculicide (topical)
135 3 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
136 4 AD0120 Gentian Violet Powder 25g Jar * Anti-infective (topical) as a 0.5 aqueous solution or tincture 8 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
137 5 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
138 6 AD0180 Petroleum Jelly (Vaseline) 500g Jar * Emollient (skin lubrication and mosturizer)
139 7 AD0140 Polyvidone Iodine 10% 200ml Btl * Topical Antiseptic (wound application)
140 8 AD0031Sodium Dichloroisocyanurate (Water Purification)
167mg Tab * Water Purification
141 9 AD0190 Zinc oxide 10% 500g Jar * Hypoallergenic (minimize itching due to skin allergic reactions)
II CONSUMMABLES142 1 QA0031 Adhesive Tape Zinc Oxide perforated 18cm x 5m Roll *143 2 QA0030 Adhesive Tape Zinc Oxide perforated 5cmx5m Roll *
144 3 Autoclavable Plastic Bag for Restirilizing equipment Pcs *
145 4 QA0060 Bandage, Crepe 8cmx4m Roll *146 5 QA0070 Bandage, Gauze Non-sterile 7.5cmx10m Roll *147 6 QA0241 Bandage Tubular Elastic 8mm x 4cm Pcs *148 7 QA0090 Blades for Surgical Knife #15 Pcs * Oral Health 149 8 QA0091 Blades for Surgical Knife #22 Pcs *150 9 QA0092 Blades for Surgical Knife # 30 Pcs *151 10 XB0060 Blood Collection Bag (CPD) 350ml *
152 11 QA0131 Catheter Foley, Ballon 2 ways 10ml, sterile CH12 Pcs *
153 12 QA0132 Catheter Foley, Ballon 2 ways 10ml, sterile CH14 Pcs *
154 13 QA0128 Catheter Foley, Ballon 2 ways 10ml, sterile CH16 Pcs *
155 14 QA0160 Catheter IV with injection port 18G Pcs *156 15 QA0161 Catheter IV with injection port 20G Pcs *157 16 QA0162 Catheter IV with injection port 22G Pcs * STD,AIDS158 17 QA0163 Catheter IV with injection port 24G Pcs *159 18 QA0164 Catheter IV with injection port 26G Pcs *160 19 QA0170 Colostomy Bag, Disposable 38mm Pcs *161 20 QA0190 Cotton Wool Absorbent 500g Roll *162 21 QA0180 Cotton Wool Non Absorbent 500g Roll *163 22 QA0210 Developer for X-Ray Film 1 Gallon Btl *
9 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
164 23 QA0220 Drainage Strip (Delbet) 25x3cm Pcs *165 24 QA0230 Dressing for burns with Paraffin 10x10cm Pcs *166 25 Electric Syringe Pcs *167 26 ExtensionThree ways Stopcock 25 cm Pcs *168 27 QA0270 Eye Shields Pcs *169 28 QA0920 Fixer for X-Ray Film 1 Gallon Btl *170 29 QA0290 Gauze, absorbent (BP17g/m2) 90cmx91m Roll *171 30 QA0300 Glove examination, non sterile, Latex Small Pcs *172 31 QA0310 Glove examination, non sterile, Latex Medium Pcs *173 32 QA0302 Glove examination, non sterile, Latex Large Pcs *
174 33 QA0360 Glove, sterile, Long Cuff (for Gynaecological use) Small Pcs *
175 34 QA0361 Glove, sterile, Long Cuff (for Gynaecological use) Medium Pcs *
176 35 QA0362 Glove, sterile, Long Cuff (for Gynaecological use) Large Pcs *
177 36 QA0320 Glove Surgical, sterile, latex Small Pcs *178 37 QA0322 Glove Surgical, sterile, latex Medium Pcs *179 38 QA0321 Glove Surgical, sterile, latex Large Pcs *180 39 QA0330 High Quality Printing Paper UPP- 110s 110mm x 20m Pcs *
181 40 Infusion set with burette 100ml, Disposable 60drops/minute Pcs *
182 41 QA0354 Intra Ocular Lens #18 Pcs * Eye Unit Program183 42 QA0355 Intra Ocular Lens #19 Pcs * Eye Unit Program184 43 QA0356 Intra Ocular Lens #20 Pcs * Eye Unit Program185 44 QA0357 Intra Ocular Lens #21 Pcs * Eye Unit Program186 45 QA0358 Intra Ocular Lens #22 Pcs * Eye Unit Program
187 46 Lubrication gel for Urinary catheter single use 5ml Pack *
188 47 QA0370 Medical Plastic Bags (Khmer printing, as sample) 7cm x 11cm Pcs *
189 48 QA0913 Medical X ray films, Green sensitive 18cm x 24cm Pcs *190 49 QA0910 Medical X ray films, Green sensitive 18cm x 43cm Pcs *191 50 QA0911 Medical X ray films, Green sensitive 24cm x 30cm Pcs *192 51 QA0914 Medical X ray films, Green sensitive 30 cm x 40cm Pcs *193 52 QA0912 Medical X ray films, Green sensitive 35cm x 35cm Pcs *194 53 QA0915 Medical X ray films, Green sensitive 35cm x 43cm Pcs *195 54 Microbiological Indicator for Autoclave Pcs * 10 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
196 55 Monitoring electrode with Micropore Tape Backing and solid gel Ag/Agcl Pcs *
197 56 Manual Vacuum Aspiration (MVA) Kit (Gynecological ) Kit SN MCH
198 57 QA0391 Needle Disposable 19G x 1.½" Pcs *199 58 QA0392 Needle Disposable 21G x 1.½" Pcs *200 59 QA0393 Needle Disposable 23G x 1" Pcs *201 60 QA0394 Needle Disposable 25G x 1" Pcs *202 61 QA0403 Needle Spinal Disposable 22G/0.7 x 90mm Pcs *203 62 QA0402 Needle Spinal Disposable 25G/0.5 x 90mm Pcs *204 63 Original Perfusor 150 cm Pcs *205 64 QA0451 Oxygen mask with reservoir bag Children Pcs *206 65 QA0450 Oxygen mask with reservoir bag Adult Pcs *207 66 QA0470 Paper face mask 2 plies Pcs *208 67 QA0490 Plaster of Paris 10cm Roll *209 68 QA0491 Plaster of Paris 15cm Roll *210 69 QA0492 Plaster of Paris 20cm Roll *
211 70 NP0130 Safety Box for Used Syringe 5L Pcs * move to infection Control
212 71 NP0131 Safety Box for Used Syringe 10 L Pcs * move to infection Control
213 72 QA0541 Scalp Vein 23G Pcs *214 73 QA0542 Scalp Vein 25G Pcs * MCH215 74 QA0271 Sterile eyes pads Pcs * Eye Unit Program216 75 Stomach Wash Out tube, Fraucher Type CH27 Pcs *
217 76 QA0600 Sut/Catgut Chromic25mm½circle Rb75cm 2/0 Pcs *
218 77 QA0601 Suture/Catgut Chromic30mm½circle Rb75cm 3/0 Pcs *
219 78 QA0602 Suture/Catgut Chromic35mm½circle Rb75cm 0 Pcs *
220 79 QA0603 Suture/Catgut Chromic38mm½circle Rb75cm 1 Pcs *
221 80 QA0604 Suture/Catgut Chromic40mm½circle Rb75cm 2 Pcs *
222 81 QA0605 Suture/Catgut Chromic85mm B P Cvd Rb 2 Pcs *
11 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
223 82 QA0553 Suture/Catgut Plain 22mm curved cutting 75cm 3/0 Pcs *
224 83 QA0554 Suture/Catgut Plain 25mm½ circle Rb 75cm 2/0 Pcs *
225 84 QA0555 Suture/Catgut Plain 30mm½ circle Rb 75cm 0 Pcs *
226 85 QA0581 Suture/ Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 0 Pcs *
227 86 QA0582 Suture/Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 1 Pcs *
228 87 QA0579 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 2/0 Pcs *
229 88 QA0578 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 3/0 Pcs *
230 89 QA0576 Suture/ Polyglycolic Acid double arms spatulates ( S 24 ) 6/0 Pcs * Eye Unit Program
231 90 QA0563 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 2/0 Pcs *
232 91 QA0561 Suture/Polyamide 26 mmCurved Rev cutting 75cm (Nylon) 3/0 Pcs *
233 92 QA0575 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 4/0 Pcs *
234 93 Suture/ Black monofilament double arms spatulates 30cm (Nylon) 10/0 Pcs * Eye Unit Program
235 94 QA0644 Suture/Silk 16mm curved 45mm 4/0 Pcs *236 95 QA0640 Suture/Silk 6mm curved 38mm 6/0 Pcs *
237 96 Suture/Silk 8mm double needle micro-point spatula ½ circle 30mm 8/0 Pcs *
238 97 Suture/Silk double needle micro-point spatula curved 30mm 10/0 Pcs *
239 98 NQ4768 Sphygmomanometer Aneroid for Adult 300 mm Hg Pcs *240 99 QB0530 Stethoscope Binaural Pcs *241 100 Syringe Disposable & Needle 26G 1ml Pcs * MCH/Diabetes242 101 QA0680 Syringe Disposable & Needle 25G 2ml Pcs *243 102 QA0664 Syringe Disposable & Needle 25G 5ml Pcs *244 103 QA0661 Syringe Disposable & Needle 23G 5ml Pcs *245 104 QA0662 Syringe Disposable & Needle 23G 10ml Pcs *246 105 QA0692 Syringe Disposable 20ml Pcs *
12 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
247 106 QA0693 Syringe Disposable 50ml Pcs *248 107 Syringe with Spiral 50cc Pcs *249 108 Syringe for insuline 1ml Pcs SN Diabetese250 109 QA0710 Talc 1kg Box *251 110 QA0730 Tape Test for Autoclave Roll * Infection Control252 111 QA0740 Tape Umbilical Non sterile 3mm Roll *253 112 Indicator Strips Test For Sterilization Roll * Infection Control
254 113 Bag for Medical Surgical Capacity 10-15 litres 10-15 Litres Pcs * Infection Control
255 114 QB0560 Thermometer Oral/Rectal oC Pcs *256 115 QA0751 Thorax Drain + Trocar CH12 Pcs *257 116 QA0752 Thorax Drain + Trocar CH14 Pcs *258 117 QA0753 Thorax Drain + Trocar CH16 Pcs *259 118 QA0754 Thorax Drain + Trocar CH18 Pcs *260 119 QA0755 Thorax Drain + Trocar CH20 Pcs *261 120 Three way Stopcock Pcs *262 121 QA0760 Tongue depressor wood adult Pcs *263 122 Tracheal tube #4 Pcs *264 123 Tracheal tube #4.5 Pcs *265 124 Tracheal tube #5 Pcs *266 125 Tracheal tube #5.5 Pcs *267 126 Tracheal tube #6 Pcs *268 127 Tracheal tube #6.5 Pcs *269 128 Tracheal tube #7 Pcs *270 129 QA0775 Tracheotomy tube #6 Pcs *271 130 QA0772 Tracheotomy tube #7 Pcs *272 131 QA0800 Tube Nasogastric/Feeding with Cover CH5 Pcs *273 132 QA0802 Tube Nasogastric/Feeding with Cover CH12 Pcs *274 133 QA0803 Tube Nasogastric/Feeding with Cover CH14 Pcs *275 134 QA0804 Tube Nasogastric/Feeding with Cover CH16 Pcs *276 135 QA0780 Tube Redon Drain CH12 Pes *277 136 QA0781 Tube Redon Drain CH16 Pcs *278 137 QA0810 Tube Suction Disposable CH8 Pcs *279 138 QA0811 Tube Suction Disposable CH12 Pcs *280 139 QA0812 Tube Suction Disposable CH16 Pcs *281 140 QA0830 Ultra Sound Gel 1 kg Bttl *282 141 QA0840 Umbilical cord clamp Pcs *
13 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
283 142 Urine Drainage Bag with non-return valve 2litre Pcs *
284 143 Yellow Plastic bag with Red label (15-20L) Pcs *
III NATIONAL PROGRAMSIII 1 EYE UNIT/PROGRAM285 1 Acetazolamide 250mg Tab * Opth. Anti-glaucoma
286 2 NA0020 Atropine Sulphate 1 % eye drop 5ml Vial * Opth. with mydriatic
287 3 NA0030 Ciprofloxacine 0.3% eye drop 5ml Vial * Opth.- anti-infective
288 4 NA0051 Fluoresceine 2 % eye drop 10 ml Vial * Opth. diagnostic
289 5Neomycine + Polymycine B + Dexamethasone , eye drop ( Maxidrol eye drop) 5ml
Vial * Opth. Anti-infective/anti-inflammatory
290 6 NA0100Pilocarpine (as sodium phosphate) 2 % eye drop
5 ml Vial * Opth. with mitotic
291 7 NA0108 Prednisolone Acetate 1 % eye drop 5 ml Vial * Opth. Anti-allergic/anti-inflammatory
292 8 NA0110 Tetracaine eye drop 5ml 0.50% Vial * Opth.- anti-infective
293 9 NQ3142 Tetracycline 1 % eye ointment 5g Tube * Opth.- anti-infective
294 10 Timolol eye drop 3ml 0.50% Vial * Opth. Mitotic
295 11 NA0130 Tropicamide 1 % eye drop 10 ml Vial * Opth. diagnostic
296 12 NA0071 Viscoelastic Solution ( Syringe 1 ml ) 1 ml Syringe *
Steril clear viscous solution with elastic property used in cataract, glaucoma and corneal ophthalmic surgical procedures.
III 2 NATIONAL CENTRE OF TUBERCULOSIS AND LEPROSY CONTROL (CENAT)A TUBERCULOSIS PROGRAM(1) First Line Anti-TB Medicines
297 1 NC0009 Ethambutol 100mg Tab * Anti-tuberculosis298 2 NC0010 Ethambutol 400mg Tab * Anti-tuberculosis299 3 NC0011 Isoniazide 100mg Tab * Anti-tuberculosis300 4 NC0060 Pyrazinamide 400mg Tab * Anti-tuberculosis301 5 NC0083 Rifampicine 150mg Tab * Anti-tuberculosis302 6 NC0071 Rifampicine / Isoniazide 150 + 75mg Tab * Anti-tuberculosis303 7 NC0070 Rifampicine / Isoniazide 60+30mg Tab * Anti-tuberculosis
14 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
304 8 NC0080Rifampicine / Isoniazide / Pyrazinamide
60+30+150mg Tab * Anti-tuberculosis
305 9 NC0082Rifampicine/Isoniazide/Pyrazinamide/Ethambutol
150+75+400+275 mg Tab * Anti-tuberculosis
306 10 NC0092 Streptomycine 1g Vial * Anti-tuberculosis
307 11 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
308 12 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
(2) Second Line Anti-TB Medicines
309 1 GA3901 Amikacin 500mg Vial *2nd line anti-infective (aminoglycoside) - multidrug resistant gram negative bacteria
310 2 Capreomycin 1g Vial * 2nd antimycobacterials: tuberculosis and leprostatic agents
311 3 Cycloserine 250mg Cap * Anti-infective used as 2nd line anti-TB
312 4 Ethionamide 250mg Tab * Anti-infective used as 2nd line anti-TB
313 5 Gatitfloxacin 500mg Tab * Anti-infective used as 2nd line anti-TB
314 6 Kanamycin 1g Vial * Anti-infective used as 2nd line anti-TB
315 7 Levofloxacin 250mg Tab * Anti-infective used as 2nd line anti-TB
316 8 Moxifloxacin 400mg Tab * Anti-infective used as 2nd line anti-TB
317 9 AA0400 Ofloxacin 200mg Tab * Anti-infective used as 2nd line anti-TB
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
318 10 Para Amino Salicylic Acid 4g Sachet * Anti-infective used in combination with other anti-TB as 2nd line Powder 100gr per Jar
319 11 Prothionamide 250mg Tab * Anti-infective used as 2nd line anti-TB
B LEPROSY PROGRAM320 1 NC0120 Clofazimine 100mg Cap * Antileprosy
321 2 NC0020 MB (multibacillary) Adult Blister * Antileprosy
322 3 NC0030 MB (multibacillary) Child Blister * Antileprosy
323 4 NC0040 PB (paucibacillary) Adult Blister * Antileprosy
324 5 NC0050 PB (paucibacillary) Child Blister * Antileprosy
III 3 NATIONAL CENTRE FOR PARASITOLOGY, ENTOMOLOGY AND MALARIA CONTROL (CNM)A MALARIA PROGRAM
325 1 ND0059 A+M1 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (1-5yrs)
326 2 ND0060 A+M2 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (6-10yrs)
327 3 ND0061 A+M3 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (11-14yrs)
328 4 ND0063 A+M5 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (> 15yrs)
329 5 ND0051 Artesunate Rectocap 50mg Tab * for severe malaria
330 6 ND0052 Artesunate Rectocap 200mg Tab * for severe malaria
331 7 Artesunate injectable + 1ml of 5% Sodium bicarbonate solution 60mg
Vial + Amp
(Solution)
* for severe malaria
332 8 ND0040 Artemeter injection 80mg/ml Amp * for severe malaria
333 9 ND0110 Mefloquine 250mg Tab * Used in combination with artesunate
334 10 ND0031 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 3Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
335 11 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 6Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
336 12 Piperaquine + Dihydro artemisinin 320mg+40mgBlister(9Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
337 13 ND0150 Quinine Sulfate 300mg Tab *Used in severe malaria and should be used in combination with Doxycycline
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
338 14 ND0140 Quinine Dihydrochloride 600mg/2ml Amp *
P. falciparum malaria; no longer recommended by the WHO as first line treatment for malaria and should only be used when ACTs are not available
339 15 ND0170 Tetracycline 250mg Cap * Anti-infective - with action on malaria parasite
B SCHISTOSOMIASIS AND HELMINTHIASIS PROGRAM
340 1 ND0130 Praziquantel 600mg Tab SNIntestinal anthelminthic:antischistosomal/antitrematode
C DENGUE HAEMORRHAGIC FEVER PROGRAM
341 1 AC00345% Dextrose in Isotonic Saline Solution + IV Giving Set
500ml Blt * Water, electrolyte replacement and source of energy
342 2 GA34015% Dextrose in Acetate Ringer's Solution + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
343 3 AC00365% Dextrose in 1/3 Saline + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
D FILARIASIS PROGRAM344 1 NQ0004 Albendazol 400mg Tab SN Intestinal anthelmenthic AIDS
345 2 ND0230Diethylcarbamazine (dihydrogen citrate)
100mg Tab SN Antifilarial
346 3 Invermectin (scored tablets) 3mg Tab SN Antifilarial
III 4 BIRTH SPACING PROGRAM
347 1 NH0020 Depo-medroxyprogesterone acetate 150mg/3ml Vial * Injectable hormonal contraceptive - long acting
348 2 NH0040 Norgestrel (Progestin-Only-Pill) 0.075mg Blister * Oral Contraceptive
349 3 NH0050Ethinyloestradiol + Levonorgestrel (Combined Oral Contraceptive)
0.03/0.15mg Blister * Combined Oral Contraceptive
350 4 NH0010 Condom 49mm Pcs * Physical barrier contraceptive
351 5 NH0030 IUD Copper T 380A T380A Pcs * Intra-uterine device (IUD) Contraceptive
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
352 6 NH0011
Female Condom (Lubricated loose-fitting Polyurethane, pouch closed at one end, open at the other with soft rings at each end. 160-180mm width, 41-61µ thickness, 2.23-2.53mm outer ring, 56.5-58-5mm inne
160-180mm Pcs * Physical barrier contraceptive
353 7 NH0052Levonorgestrel (Emergency/Morning After Contraceptive Pills), 2 pill per Blister
0.75mg Blister * "Morning after" contraceptive
354 8 NH0051Implant: a-Etonorgestrel b- Levonorgestrel
a-68 mg b-150mg Implant * Implant hormonal contraceptive -
long acting
III 5 PSYCHIATRY MEDICINES(1) First Line
355 1 NG0010 Amitriptyline (as hydrochloride) 25mg Tab SN Depressive disorders Pain/Cancer
356 2 NG0011 Amitriptyline (as hydrochloride) 50mg Tab SN Depressive disorders Pain/Cancer
357 3 NG0030 Carbamazepine 200mg Tab SN
Anticonvulsant and mood-stabilizing - used primarily in the treatment of epilepsy and bipolar disorder, as well as trigeminal neuralgia.
Pain/Cancer
358 4 NG0041 Chlorpromazine (as hydrochloride) 100mg Tab SN Psychotic disorders
359 5 NG0050 Clomipramine (as hydrochloride) 25mg Cap SN Obsessive compulsive and panic attacks
360 6 Fluoxetine (as hydrochloride) 20mg Cap SN Depressive disorders
361 7 NG0071 Haloperidol 10mg Tab SN Psychotic disorders Pain/Cancer
362 8 NG0070 Haloperidol 5mg Tab SN Psychotic disorders Pain/Cancer
363 9 NG0081 Imipramine 25mg Tab SN Antidepressant
364 10 NG0090 Lithium Carbonate 300mg Tab SN Mood-stabilizing, primarily in the treatment of bipolar disorders.
365 11 Methadone Hydrochloride 5mg/ml Bottle SN Opioid Replacement Therapy Substance dependance program use
366 12 NG0096 Methadone Hydrochloride 10mg/ml Bottle SN Opioid Replacement Therapy Substance dependance program use
367 13 NG0100 Nortriptiline HCL 25mg Tab SN Antidepressant
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
368 14 NG0110 Perphenazine 8mg Tab SNAnti-psychotic, antidepresnt; used to treat symptoms of schizophrenia
369 15 NG0120 Phenytoine 100mg Tab SN Anticovulsants/anti-epileptic Pain/Cancer
370 16 NG0130 Thioridazine 10mg Tab SNAnti-psychotic, antidepresnt; used to treat symptoms of schizophrenia
371 17 NG0140 Trihexyphenidyl (benzhexol) 5mg Tab SNAntiparkinsonian agent (antimuscarinic class)
372 18 NG0020 Benztropine Mesylate 2mg/ml Amp SN
An adjunct therapy to all forms of parkinsonism. Sldo useful controlling extrapyramidal disorders
373 19 NG0060 Fluphenazine decanoate 25mg/ml Amp SN Psychotic disorders
374 20 NG0072 Haloperidol 5mg/ml Amp SN Psychotic disorders Pain/Cancer
375 21 NG0073 Haloperidol decanoate 50mg/ml Amp SN Psychotic disorders Pain/Cancer
(2) Second Line376 1 Risperidone 1mg Tab SN Psychotic disorders (in adult)
377 2 Risperidone 2mg Tab SN Psychotic disorders (in adult)
378 3 Risperidone 4mg Tab SN Psychotic disorders (in adult)
III 6 NATIONAL CENTRE FOR HIV/AIDS, DERMATOLOGY AND STD (NCHADS)A HIV/AIDS PROGRAM(1) ADULTS
379 1 NE0010 Abacavir (ABC) (as sulfate) 300mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
380 2 NE0014 Abacavir (ABC) + Lamivudine (3TC) 600mg+300mg Tab SN ARV: 2-FDC
381 3 NE0100Stavudine (D4T) + Lamivudine(3TC) + Nevirapine(NVP)
30mg+150mg+200mg Tab SN ARV: 3-FDC
382 4 NE0013 Atazanavir 300mg Tab SN ARV: Protease inhibitor (PI)
383 5 NE0042Didanosine (ddl) (unbuffered enteric coated tablet)
250mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
384 6 NE0043Didanosine (ddl) (unbuffered enteric coated tablet)
400mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
385 7 NE0051 Efavirenz (EFV or EFZ) 200mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
386 8 NE0052 Efavirenz (EFV or EFZ) 600mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
19 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
387 9 NE0070 Lamivudine (3TC) 150mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
388 10 NE0080 Stavudine(d4T)+ Lamivudine (3TC) 30mg+150mg Tab SN ARV: 2-FDC
389 11 NE0251 Stavudine (d4T) 30mg Tab SN ARV: nucleoside analog/reverse transcriptase inhibitor (NARTI)
390 12 NE0110 Zidovudine(AZT)+Lamivudine(3TC) 300mg+150mg Tab SN ARV: 2-FDC
391 13 NE0111Zidovudine(AZT)+Lamivudine(3TC) + Nevirapine(NVP)
300mg+150mg+200mg Tab SN ARV: 3-FDC
392 14 NE0141 Lopinavir/Ritonavir 200mg/50mg Cap SN ARV: Protease inhibitor
393 15 NE0170 Nevirapine 200mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
394 16 NE0220 Ritonavir 100mg Tab SN ARV: pharmacological booster
395 17 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC )
300mg+150mg +300mg Tab SN ARV: 3-FDC
396 18 NE0270 Tenofovir (TDF) (disoproxil fumerate) 300mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
(2) PEDIATRIC
397 1 NE0010 Abacavir (ABC) (as sulfate) 240ml syrup 20mg/ml Bttl SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
398 2 NE0012 Abacavir( ABC ) +Lamivudine (3TC) 60mg+30mg Tab SN ARV: 2-FDC
399 3 NE0102Stavudine(d4T) + Lamivudine(3TC) + Nevirapine(NVP)
12mg+60mg+100mg Tab SN ARV: 3-FDC
400 4 NE0082 Stavudine(d4T) + Lamivudine(3TC) 6mg+30mg Tab SN ARV: 3-FDC
401 5 NE0083 Stavudine(d4T) + Lamivudine(3TC) 12mg+60mg Tab SN ARV: 3-FDC
402 6 NE0045 Didanosine (ddl) 125mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
403 7 NE0046 Didanosine (ddl) 200mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
404 8 NE0050 Efavirenz (EFV or EFZ) 50mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
405 9 NE0150 Lopinavir/Ritonavir 160ml Syrup 80mg/20mg/ml Bttl SN ARV: Protease inhibitor
406 10 NE0142 Lopinavir/Ritonavir (LPV/r) 100mg/25mg Tab SN ARV: Protease inhibitor
407 11 NE0190 Nevirapine (NVP) Syrup 10mg/ml Bttl SN ARV: Non-nucleoside reverse transcriptase inhibitor
408 12 NE0113 Zidovudine (AZT )+Lamivudine (3TC) 60mg+30mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
20 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
409 13 NE00114 Zidovudine(AZT) +Lamivudine(3TC) +Nevirapine(NVP ) 60+30+50mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
410 14 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC ) 60+30+60mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
B DERMATOLOGY, STD, OIs AND OTHER MEDICINES(1) ORAL MEDICINES
411 1 NQ0002 Acyclovir 200 mg Tab SN Antiviral/antiherpes (topical)
412 2 NQ0003 Acyclovir 400 mg Tab SN Antiviral/antiherpes (topical)
413 3 NQ0004 Albendazol 400 mg Tab SN Intestinal anthelmenthic Helminthic program
414 4 NQ0005 Amitryptiline 25 mg Tab SN Tricyclic antidepressant Psychiatry
415 5 Amitryptiline 50 mg Tab SN Tricyclic antidepressant Psychiatry
416 6 NQ0007 Amoxicillin 500 mg Tab SN Antibacterial (beta lactam) Basic Medicine
417 7 NF0030 Azithromycine 500mg Tab SN Antibacterial
418 8 NF0060 Cefixime 200mg Tab SN Antibacterial (beta lactam)
419 9 NF0070 Cetirizine hydrochloride 10mg Tab SN Antihistamine/anti-allergic HIV/AIDS Care
420 10 Clotrimazol 100mg Tab SN To treat fungal infections of the mouth or throat
421 11 NE0100 Codeine phosphate 30 mg Tab SN Opioid analgesic Pain relief /palliative care
422 12 NQ0110 Cotrimoxazole 400mg+80 mg Tab SN Antibacterial Basic medicine
423 13 NQ0111 Cotrimoxazole 800mg + 160mg Tab SN Antibacterial HIV/AIDS Care
424 14 NQ0156 Dapsone 100 mg Tab SN
Antibacterial used alone or in combination with other anti-leprosy drugs (rifampicin and clofazimine) to treatment leprosy; also as OI - prophylaxis against Pneumocystis pneumonia (PCP) in HIV patients allergic to Co-trimoxazole.
Leprosy/HIV
425 15 NQ0151 Diazepam 5 mg Tab SN Anxiolytic, sleep disorders, mild muscle relaxant
Basic medicine
426 16 NQ0152 Diclofenac 50 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basic medicine
427 17 Dicloxacilline 500 mg Tab SN Antibacterial
428 18 NQ0153 Doxycycline 100 mg Tab SN Antibacterial
429 19 NQ0201 Erythromycine 500 mg Tab SN Antibacterial
21 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
430 20 NQ0252 Fluconazole 100 mg Tab SN Oral antifungal Basie medicince
431 21 Fluconazole 150 mg Tab SN Oral antifungal
432 22 NQ0253 Fluconazole 200 mg Tab SN Oral antifungal
433 23 NQ0255 Folic Acid 10 mg Tab SN Antianaemic Basie medicince
434 24 NQ0331 Griseofulvine 500mg Tab SN Oral systemic antifungal AIDS/Leprocy
435 25 NQ0402 Ibuprophene 400 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs)
436 26 AA0270 Indomethacine 25 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basie medicince
437 27 NQ0403 Itraconazole 100mg Tab SN Oral antifungal
438 28 Itraconazole 200mg Tab SN Oral antifungal
439 29 NF0181 Ketoconazol 200 mg Tab SN Oral antifungal
440 30 NQ0551 Loperamide 2 mg Tab SNOI - Antidiarrhea - diarrhea due to gastroenteritis or inflammatory bowel disease
441 31 NF0200 Minocycline hydrochloride 100mg Tab SN Antibacterial
442 32 NQ0210 Morphine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
443 33 Oxycodine 10 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
444 34 Oxycodine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
445 35 NQ0751 Paracetamol 100 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
446 36 NQ0752 Paracetamol 500 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
447 37 NQ0750 Paracetamol Syrup 100mg/ml Btl SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
448 38 NQ0758 Prednisolone 5 mg Tab SN Anti-inflammatory ; Anti-allergic/anaphylaxis
Basic mrdicine
22 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
449 39 Pyrimethamine 100mg Tab SNAnti-malaria (acute malaria)
(2) INJECTIONS450 1 NQ0014 Amphotericine B 50 mg Vial SN Antifungal/antileishmaniasis
451 2 NF0040 Benzathine Benzyl Penicilline 2.4 MUI Vial SN Antibacterial (beta lactam)
452 3 Butylhyocine 20 mg Amp SN Antispasmodic
453 4 NQ1551 Ceftriaxone 1 gr Vial SN Antibacterial (beta lactam)
454 5 NQ1555 Cloxacillin 1g Vial SN Antibacterial (beta lactam)
455 6 NQ1576 Dexamethasone 2 mg Amp SN
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
456 7 NQ1577 Diazepam 10 mg/2ml Amp SN
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Basic medicine
457 8 Diphenhydramine 4 mg/ ml Amp SN Antihistamine
458 9 Fluconazole I.V. 200ml 400 mg Vial SN Systemic antifungal
459 10 NQ1651 Gentamycine 80 mg /2ml Amp SN Antibacterial Basic medicine
460 11 NQ1802 Metronidazole 500 mg vial SN Antibacterial/antiamoebic/antigiardiasis
461 12 NQ1803 Morphine 10 mg /1ml Amp SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Basic medicine
(3) EXTERNAL USE MEDICINES462 1 AD0270 Acyclovir Cream 15g Tube SN Antiviral/antiherpes (topical)
463 2 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar SN Antifungal Basic medicine
464 3 NQ2263 Benzoyl Benzoate 25% 1litre Btl SN Scabicide, pediculicide (topical) Basic medicine
465 4 Benzoyl peroxide 5% Gel 40g Tube SN
Topical as a peeling agent. Effects skin differentiation and prolifiration/turn over. Also has antiseptic and bleaching properties.
23 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
466 5 Betamethasone (0.05%) +Salicylic Acid (3%) Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
467 6 Betamethasone (as valerate) 0.1% Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
468 7 Betamethasone 0.05% +Fucidic acid 2% 15g Tube SN Topical Anti-infectives with Corticosteroids
469 8 NF0082 Clobetasole propionate 0.05% lotion 30ml Bttl SN Topical adrenocortical steroid - antinflammatory and anti- itching
470 9 NF0080 Clobetasole propionate 0.05% cream 10g Tube SNTopical corticosteroids with anti-inflammatory, antipruritic, and vasoconstrictive properties.
471 10 NQ2286 Clotrimazole 1% cream 30g Tube SN Antifungal (topical) Pain/Cancer
472 11 NF0112 Crotamiton 10% Cream 30g Tub SNScabicidal and antipruritic for treating scabies and relieving itching
473 12 NF0120 Fusidic Acid 2% cream 15g Tube SN Topical anti-infectives
474 13 NF0151 Hydrocortisone (as acetate) 1% 15g Tube SN Anti-inflammatory, antipruritic (topical)
475 14 NF0180 Ketokonazole 2% cream 15g Tube SN Topical broad spectrum antifungal AIDS
476 15 NP0190 Miconazole 2% gel 40g Tube SNAntifungal (topical) - fungal infections of the mouth, throat and gut
477 16 NQ3150 Petroleum Jelly (Vaseline) 15g Tube SNEmollient (skin lubrication and mosturizer); helps protect minor cuts and burns.
478 17 NQ2541 Polyvidone Iodine 10% 200ml Btl SN Topical antiseptic for minor skin injuries
Basic nedicine
479 18 Tretinoin 0.05% cream 30g Tube SN Treatment of acne vulgaris
480 19 Triamcinolone acetonide Cream 0.1 % 30g Tube SN
Topical corticosteroid for the treatment of inflammatory and pruritic manifestations/ dermatoses
481 20 Urea Cream 10% 100mg Tube SN Skin differentiation and prolifiration (for topical use)
AIDS
(4) OTHER MEDICINES482 1 NQ0115 Clotrimazole (vaginal tablets) 500mg Pessary SN Antifungal Pain/Cancer
24 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
483 2 NQ0608 Miconazole 100mg Pessary SN Antifungal
484 3 Paracetamol 300mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
III 7 ORAL HEALTH PROGRAMA MEDICINES
485 1 NI0070 Calcium Hydroxide B/2P *
486 2Composite light cure high briand microfiller 4g ( color A3, A3.5 ) for restorative filling dental cavity
Pcs *
487 3 Eugenol USP 10ml Vial *
Toothache and other related uses as local antiseptic and anesthetic. Mixed with zinc oxide - restorative and prosthodontic
488 4 NI0140 Glass ionomer for Rest Gc Fuji II Powder 15g + liquid 10g
Box *
489 5 NI0141 Glass ionomer for Rest Gc Fuji IX Powder 15g + liquid 10g
Box *
490 6 Glass ionomer for Rest Gc Fuji VII Powder 15g + liquid 10g
Box *
491 7 NI0220 Lidocain 2% Adrenaline 0.001% 1.8 ml Cart * Local anaesthetic
492 8 Lidocain 2% Non-adrenaline 1.8 ml Cart * Local anaesthetic
493 9 Fluoride Varnish 10 ml Tube * Prevent tooth decay
494 10 Fluoride Gel 113g Tube * Prevent tooth decay
495 11 Polyhexa+didecyl St 72.17 Hexanios for Soaking instruments before Sterilization Sachets /25ml Sachet * Instrument sterilization
496 12 Sodium Fluoride (NaF) powder Kg *
497 13 NI0210 Zinc Oxide Powder 1Kg Jar *Mixed with Eugenol produce material which has restorative and prosthodontic applications.
B MATERIALS
498 1 Barbed broach ( tire -nerf) to take the nerf from dental canal
Pcs *
499 2 Burr cylinder Highspeed Pce *500 3 Burr cylinder Lowspeed Pce *
25 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
501 4 Burr round for contra Angle Highspeed Pce *
502 5 Burr round for contra Angle Lowspeed Pcs *
503 6 Files Complete set length 21 mm ( files used for root treatment )
#15,#20,#25, #30,#35,#40
Pcs *
504 7 Lentulo, Complete set ( used for root canal treatment )
Pcs *
505 8 Matrix bands medium ( Metal Matrix) Pcs *
506 9 NV0160 Needle Dental 27G .21mm Pcs *507 10 NV0161 Needle Dental 27G . 30mm Pcs *508 11 NV0162 Needle Dental 27G . 35mm Pcs *509 12 NV0030 Catridge syringe ( metal ) 1,8ml Pcs *
510 13 Surgical blade #11 Pcs * For use in surgical Procedure )
III 8 NATIONAL IMMUNIZATION PROGRAMIII 9 NUTRITION PROGRAM
511 1 Iron-Folate Weekly Iron-Folic Supplementation (WIFS)
60mg Iron element + 2.8 mg Folic acid Rose Tab SN
Weekly Iron-Folic Supplementation (WIFS) in Women of Reproductive Age
512 2
Rehydration Solution for Malnutrition (ReSomal) (Glucose 55mmol; Sucrose 73mmol; Potassium 45mmol; Chloride 70mmol; Citrate 7mmol; Magnesium 3mmol; Zinc 300μmol; Copper 3μmol)
42.1g Sachet SN Treatment of rehydration in severally malnorished children
26 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
513 3
Therapeutic Milk F-75 [Energy 448Kcal, Protein 5% energy, Lipids 31% energy, Vit A (0.9mg), Vit D (18µg), Vit E (20mg), Vit C (59mg), Vit B1 (0.5mg), Vit B2 (1.2mg), Vit B6 (0.8mg), Folic acid (200µg), Vit B12 (1.6µg), Vit K (15µg), Biotin (60µg), Pantothenic acid (3mg), Sodium (<87mg), Calcium (560mg), Phosphor (330mg), Potassium (1100mg), Magnesium (50µg), Zinc (12.2mg), Iodine (100µg), Cuivre/Copper (1.7mg), Selenium (30µg) and Fer/Iron (<0.3mg)]
410g Sachet SN For treatment of severe malnutrition (rehabilitation phase)
514 4
Therapeutic Milk F-100 [Energy 520Kcal, Protein >10% of energy, Lipids >45% of energy, Vit A (800µg), Vit D (15µg), Vit E (20mg), Vit C (50mg), Vit B1 (0.5mg), Vit B2 (1.6mg), Vit B6 (0.6mg), Niacin (5mg), Folic acid (200µg), Vit B12 (1.6µg), Vit K (15µg), Biotin (60µg), Pantothenic acid (6mg), Sodium (<290mg), Calcium (300mg), Phosphor (300mg), Potassium (1100mg), Magnesium (80µg), Zinc (11mg), Iodine (70µg), Cuivre/Copper (1.4mg), Selenium (20µg) and Fer/Iron (<0.2mg)]
456g Sachet SNFor treatment of severe malnutrition (maintenance/treatment phase)
515 5
Multiple Micronutrient Powder (MNP)[Iron (12.5mg), Zinc (10mg), Vitamin A (300µg), Iodine ( 90µg), Vit B1 (0.5mg), Vit B2 (0.5mg), Vit B6 (0.5mg), Vit B12 (0.9µg), Niacin (6mg), Folate/Folic acid (160µg), Vit C (Ascorbic acid) (30mg), Copper (0.3mg), Selenium (17µg), Vit D (5µg) and Vit E (6mg)]
1g Sachet SN Multi-nutrient formula/powder for children 6-24 months.
10 PAIN RELIEF AND PALLIATIVE CARE
516 1 Clonazepam 2mg Tab SN Anxiolytic with muscle relaxantion and anticonvulsant action
Psychiatry
27 of 31
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
517 2 Clonazepam Drops 2.5 mg/ml Btl SN Anxiolytic with muscle relaxantion and anticonvulsant action Psychiatry
518 3 Codeine Phosphate 30mg Tab SN Opioid analgesic Psychiatry /Dermatological
519 4 Codeine Phosphate Syrup 1mg/ml Btl SN Opioid analgesic Psychiatry
520 5 Gabapentin 100mg Cap SN Neuropathic pain relief Psychiatry
521 6 Ibuprofene 200mg Tab SN Analgesic - NSAIDs
522 7 Ibuprofen (ped) 250mg Supp SN Analgesic - Nonsteroidal anti-inflammatory drugs (NSAIDs)
523 8 Ibuprofen Syrup 20mg/ml Btl SN Analgesic - Nonsteroidal anti-inflammatory drugs (NSAIDs)
524 9 Morphine Sulphate (Lasting 4 h) 10mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Dermatological
525 10 Morphine Sulphate (Lasting 4 h) 30mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Dermatological
526 11 Morphine Sulphate retard (Lasting 12h) 10mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
527 12 AA0342 Morphine Sulphate retard (Lasting 12h) 30mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
528 13 Paracetamol 250mg Rectocap SNThermal stable suppostory. Analgesic and antipyretic without anti-inflamatory effect
529 14 Tramadol Chlorhydratre 50mg Tab SNSynthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
530 15 Tramadol Chlorhydratre (Retard) 100mg Tab SNSynthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
531 16 Docusate Sodium 50mg Tab SN Laxative
532 17 Lactulose Syrup 3.3mg/5ml Btl SN Laxative - for chronic constipation
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
533 18 Nalaxone 400mg Tab SNAntidote to opioid poisoning/emergency overdose treatment
III 11 ANTI CANCER MEDICINES
534 1 Bleomycin Sulfate 15mg Vial SN Cancer chemotherapy -various types
535 2 Cisplatin 50mg/50ml Vial SN Cancer chemotherapy -various types
536 3 Cyclophosphamid (endoxan) 500mg Vial SN Cancer chemotherapy -various types
537 4 Dacabarzine 100mg + Solvent 100mg Vial SN Antineoplastic chemotherapy drug - for various cancers
538 5 Doxorubicin Hydrochloride 50mg/25ml Vial SN Cancer chemotherapy -various types
539 6 Etoposide 100mg/5ml Amp SN Cancer chemotherapy -various types
540 7 Fluorouracil 250mg/5ml Amp SN Cancer chemotherapy -various types
541 8 Methotrexate 50mg/2ml Vial SN Cancer chemotherapy -various types
542 9 Mitomycine 2mg Vial SN Cancer chemotherapy
543 10 Ondansetron hydrochloride 8mg/4ml Amp SN Antiemetic - nausea and vomiting during chemotherapy.
544 11 Tamoxifen Citrate 20mg Tab SN Hormone/antihormone
545 12 Vincristine Sulphate 1mg/1ml Vial SN Cancer chemotherapy -various types
III 12 DIABETES
546 1 Glimepiride 2mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
547 2 NQ0605 Metformine 500mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
548 3 NK0031 Insuline, long acting 1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
549 4 Insuline, rapid acting (3-6 hours efficacy)
1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
550 5 Premixed Insuline 70/30 (Semi-lente 70/ Rapid 30)
1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
III 13 ENDOCRINOLOGY AND HORMONOLOGY29 of 31
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
551 1 Hydrocortisone 10mg Tab SN Anti-inflamatory and other endocrinoly uses
552 2 Levothyroxine 50µg Tab SN Anti-hyperthyroidism.
553 3 Neomercazole 5mg Tab SN Anti-hyperthyroidism.
III 14 INFECTION CONTROL AND PREVENTION
554 1 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
555 2 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
556 3 Sodium Hypochloride ( Bleach ) 5 or 6 % Litre * Use: for Surface decontamination and low level Disinfection
557 4 Peracetic Acid 0.2% 0.20% Btl * Use: for high level disinfection of reusable medical equipment
558 5 Glutaraldyhyde 2% 2% Btl * Use: for high level disinfection of reusable medical equipment
559 6 Isopropyl Alcohol 99.8% 99.80% Btl * Mix with other ingredients to produce alcohol hand rub
560 7 NQ5121 Ethanol 96% V/V Btl * Mix with other ingredients to produce alcohol hand rub
561 8 XA1410 Glycerol 98% 98% Btl * Mix with other ingredients to produce alcohol hand rub
562 9 Apron, plastic, disposable (Liquid and Spash Resistant) Small Pcs *
Use: to protect health care workers from droplets or splashes
563 10 Apron, plastic, disposable (Liquid and Spash Resistant) Medium Pcs *
Use: to protect health care workers from droplets or splashes
564 11 Apron, plastic, disposable (Liquid and Spash Resistant) Large Pcs *
Use: to protect health care workers from droplets or splashes
565 12 Gown, disposable (Liquid and Spash Resistant)
Small Pcs * Use: to protect health care workers from droplets or splashes
566 13 Gown, disposable (Liquid and Spash Resistant)
Medium Pcs * Use: to protect health care workers from droplets or splashes
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
567 14 Gown, disposable (Liquid and Spash Resistant)
Large Pcs * Use: to protect health care workers from droplets or splashes
568 15 Goggles (reuseable) Small Litre *Use: for protecting Health Care worker from spashes into their eyes
569 16 Goggles (reuseable) Medium Litre *Use: for protecting Health Care worker from spashes into their eyes
570 17 Goggles (reuseable) Large Litre *Use: for protecting Health Care worker from spashes into their eyes
571 18
N95 Mask, Health Care Paticulate Respirator-cone or flat fold (95% or greater filter efficiency against paticulate aerosols free of oil, fluid or splash resistant, double elastic bands)
Small Pcs *Use: to protect health care workers from disease spread by aerosol particulates
572 19
N95 Mask, Health Care Paticulate Respirator-cone or flat fold (95% or greater filter efficiency against paticulate aerosols free of oil, fluid or splash resistant, double elastic bands)
Medium Pcs *Use: to protect health care workers from disease spread by aerosol particulates
573 20
N95 Mask, Health Care Paticulate Respirator-cone or flat fold (95% or greater filter efficiency against paticulate aerosols free of oil, fluid or splash resistant, double elastic bands)
Large Pcs *Use: to protect health care workers from disease spread by aerosol particulates
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PREFACE The essential medicines concept is now widely accepted as an evidence based, efficient, flexible, and forward-looking tool for focusing therapeutic decisions, professional training, public information, financial resources, and quality assurance efforts on those medicines which will have the greatest public health impact. Essential Medicines are the most cost-effective elements in modern health care and their potential health impact is remarkable. The National Essential medicines list presents a list of minimum medicines needed for the basic health system in the country. It lists the most efficacious, safe and cost effective medicines for priority conditions prevailing in the country selected on the basis of current and future health relevance, and potential for safe and cost-effective treatment. The list support the systematic delivery of medicines in the health core system and it is a valuable tool for advocacy purchasing decisions and supply management in the country. The first Cambodian Essential Medicines List was published in 1986. With assistance from UNICEF and MSF Holland Belgium, the first revision was done in 1993 followed by, and with WHO funding, the 2nd revision was prepared in 1995 and the 3rd revision in 1997 . Each revision of the list has been validated through National Workshop involving relevant experts in health sector. A national committee for revising the Essential Medicines List was established in year 2000 to ease the process of revising the list every two years. Previously this function was undertaken through the National Workshop process which was later abandoned in favor of the EML committee. The national committee for EML has conducted the 5th revision of this EML in year 2006 and the 6th revision in year 2009 which contained 489 items. The current committee which came to effect in 2008, has undertaken the 7th revision of this EML in 2011 resulting to:
- 77 Oral medicines - 53 Injectable medicines - 11 External medicines - 143 Medical consumables - 298 for National Program medicines - 582 Items, total in the 2011 EML
For the 7th version of EML ( 2011) , we would like to extend our sincere thanks to the following :
1- The committee for revising of EML:
- HE. Chou Yin Sim Secretary of state Chair - HE. Dr.Tep Lun Director general for Health Vice Chair - Mr. Chea Chhiv Srong Director of Central Medical Store Member - Dr. Chroeng Sokhan Deputy Director of Department of Drugs and Food Member - Dr. Sok Srun Deputy director of Hospital
Services Department Member - Dr. Thach Varoeun Deputy Director of the Medicine
Preventive Department Member - Dr. Or Oudam Roath Chief of Essential Drug Bureau Member
- Mr. Oeun Samuth Staff of the Essential Drug Bureau Secretary
2- Others:
- Dr. Heng Bunkiet Director of Department of Drugs and Food - Other Official EDB - Representatives from Difference National Programs. - Mr. William Mfuko WHO Technical Assistance for GF R5
For their valuable input to make this revision of the Cambodian EML possible.
Phnom Penh, December 14 , 2012
HE. Chou Yin Sim Chairman of the Committee
MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
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Nº Nº Code Description Strength Form
I BASIC MEDICINES1 ORAL MEDICINES
1 1 AA0010 Acetylsalicylic Acid 500mg Tab * * * * Analgestic, Antipyretic, antimigraine, antithrombotic
Hypertention +Diabetes
2 2 AA0020 Aluminium Hydroxide 500mg Tab * * * * Antacid
3 3 AA0030 Aminophylline 100mg Tab * * * * Anti-asthmatic/brochodialator
4 4 Amlodipine 10mg Tab SN * * * Antihypetensive Hypertention +Diabetes
5 5 AA0060 Amoxicillin 250mg Tab * * * * Antibacterial (beta lactam) IMCI
6 6 AA0061 Amoxicillin 500mg Cap * * * * Antibacterial (beta lactam) IMCI
7 7 AA0050 Amoxicillin + Clavulanic acid 500mg+125mg Tab / * * * Antibacterial (beta lactam)
8 8 AA0040Amoxicillin Dry Powder/Granules 60ml
125mg/5ml Btl * * * * Antibacterial (beta lactam) - for children
IMCI
9 9 AA0080 Atenolol 50mg Tab * * * * Antihypetensive; antiangino Hypertention + Diabetes
10 10 AA0090 Bromhexin 8mg Tab * * * * Broncho mucolytic/antitussive
11 11 AA0640 Bromhexin Syrup 60ml 4mg/5ml Btl * * * * Broncho mucolytic/antitussive
12 12 Captopril 25mg Tab SN * * * Antihypetensive Hypertention + Diabetes
13 13 AA0101Charcoal Activated ( Charbon Adsorbant )
125mg Tab * * * * Antidote (non-specific) for poisoning
14 14 AA0110 Chlorpheniramine maleate 4mg Tab * * * * Anti-histamine; anti-allergic
15 15 Chlorpromazine (as hydrochloride) 25mg Tab / * * * Psychotic disorders Psychiatry
16 16 AA0120 Cimetidine 200mg Tab / * * *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
17 17 AA0130 Ciprofloxacin (as hydrochloride) 500mg Tab SN * * * Antibacterial STD,Opthl,AIDS, IMCI
18 18 AA0137 Cloxacillin (as soldium salt) 250mg Tab / * * * Antibacterial (beta lactam)
KINGDOM OF CAMBODIANATION RELIGION KING
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ESSENTIAL MEDICINES LIST - 7th Edition
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
19 19 AA0138 Cloxacillin (as soldium salt) 500mg Tab / * * * Antibacterial (beta lactam)
20 20 AA0150Co-trimoxazole (sulfamethoxazole+trimethoprim)
100+20mg Tab * * * * Antibacterial
21 21 AA0151Co-trimoxazole (sulfamethoxazole+trimethoprim)
400+80mg Tab * * * * Antibacterial
22 22 AA0154Co-trimoxazole (sulfamethoxazole+trimethoprim) Suspension 60ml
200+40mg/5ml Btl * * * * Antibacterial - for children IMCI
23 23 AA0160 Diazepam 5mg Tab / * * * Anxiolytic, sleep disorders, mild muscle relaxant
Psychiatry, Hypertention + Diabetes
24 24 AA0170 Diclofenac 50mg Tab / * * * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
25 25 AA0180 Digoxin 0.25mg Tab / * * * Cardiovascular medicines used in heart failure
26 26 AA0190 Doxycycline (as hydrochloride) 100mg Tab * SN SN SN Antibacterial
27 27 AA0202 Enalapril 10mg Tab / / SN SNAnti-hypertensive;congestive heart failure and improvement of survival after a heart attack.
Hypertention + Diabetes
28 28 AA0200Erythromycin (as stearate or ethyl succinate)
250mg Tab * * * * Antibacterial STD,Dermato,AIDS, IMCI
29 29 Erythromycin stearate Dry Powder/Granules 60ml
125mg/5ml Btl * * * * Antibacterial - for children IMCI
30 30 Fenofibrate 300mg Tab SN SN * * Anti-cholesterol and triglyceride Hypertention + Diabetes
31 31 Ferrous fumarate Suspension 60ml 100mg/5ml Btl * * * * Antianaemic/iron supplement - for children
IMCI
32 32 AA0210 Ferrous Sulphate + Folic Acid200+0.40mg (60mg Iron element + 0.4
mg Folic acid)Red Tab * * * * Antianaemic/Iron+Folic/Nutritio
n supplement for use in pregnancyNutrition
33 33 AA0220 Fluconazole 100mg Tab SN * * * Oral antifungal Dermatologic programm
34 34 AA0230 Folic Acid 5mg Tab * * * * Antianaemic Dermatologic programm
35 35 AA0240 Furosemide 40mg Tab SN * * * Diuretic and anti-hypertensive; also used in heart failure
Hypertention
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
36 36 AA0250 Hydralazine 25mg Tab * * * *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
37 37 Hydrochlorthiazide (scored tablet) 25mg Tab * * * * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
38 38 AA0260 Hydrochlorothiazide (scored tablet) 50mg Tab * * * * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
39 39 NQ0353 Hyocine-N-Buthylbromide 10mg Tab / * * * Antispasmodic
40 40 AA0270 Indometacin 25mg Tab / * * * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
41 41 AA0550 Isosorbide Dinitrate 10mg Tab / * * *Vasodilator used in , e.g. angina pectoris, anal fissure and congestive heart failure.
42 42 Losartan potassium 50 mg Tab / SN SN SN Anti-hypertensive Hypertention + Diabetes
43 43 AA0280 Mebendazole 500mg Tab * * * * Intestinal anthelminthic Schistosomiasis / IMCI
44 44 AA0290 Methyldopa 250mg Tab SN * * *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
45 45 AA0320 Metoclopramide (as hydrochloride) 10mg Tab * * * * Antiemetic Palliative Care,
46 46 AA0300 Metronidazole 250mg Tab * * * * Antibacterial/antiamoebic/antigiardiasis
STD
47 47 Metronidazole suspension 60 ml 200mg/5ml Btl * * * * Antibacterial/antiamoebic/antigiardiasis - for children
48 48 Mifepriston + Misoprostol (01 tab x200mg) +(04 tab x200µg) Tab SN SN SN SN Medical abortion MCH
49 49 AA0330 Misoprostol 200µg Tab / SN * * Oxytocic (uterine contraction) MCH
50 50 AA0340 Multivitamin + Mineral Tab * * * * Vitamin and minerals supplement STD / IMCI
51 51 AA0350 Nalidixic Acid 500mg Tab SN * * * Anti-infective (quinolone) IMCI
52 52 AA0360 Niclosamide 500mg Tab * * * * Intestinal anthelminthic
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
53 53 AA0370 Nifedipine Retard 20mg Tab / * * *Anti-hypertensive (calcium chanel blocker) also used as an anti-angina.
Hypertention + Diabetes
54 54 AA0380 Nystatin 500.000IU Tab SN * * * Oral antifungal STD / AIDS
55 55 NQ0735 Omeprazole 20 mg Tab / * * *
Antacid - a proton pump inhibitor -with pronounced and long-lasting reduction of gastric acid production.
56 56 AA0390Oral Rehydration Salts (Low osmolarity for 1L) [Glucose: 13.5g/l, Sodium chloride:2.6g/l, Potasium chloride 1.5g/l, Trisodium citratedihydrate:2.9g/l (20.5g)]
20.5g Sachet * * * * Oral remedy for rehydation
57 57 AA0410 Paracetamol 100mg Tab * * * *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
NIP
58 58 AA0411 Paracetamol 500mg Tab * * * *Analgesic, antipyretic, antimigraine, without anti-inflamatory action
59 59 AA0412 Paracetamol 500mg Supp * * * *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
Malaria
60 60 AA0413 Paracetamol Syrup 60ml 125mg/5ml Btl * * * * Analgesic, antipyretic without anti-inflamatory action - for children IMCI
61 61 AA0450 Phenobarbital 50mg Tab SN * * * Anticovulsant/antiepileptic Psychiatry
62 62 AA0440Phenoxymethyl Penicillin (as potassium salt)
250mg Tab * * * * Antibiotic (beta lactam)
63 63 AA0460 Potassium Chloride 600mg Tab SN * * *
Treatment of hypokalemia in patients predisposed to loss o K+ e.g. patients on high doses of diuretics
64 64 AA0470 Prednisolone 5mg Tab SN * * * Anti-inflammatory ; Anti-allergic/anaphylaxis
AIDS/Leprosy
65 65 AA0480 Promethazine 25mg Tab * * * * Antihistamine, anti-emetic
66 66 AA0481Promethazine (as hydrochloride) 0.1% syrup 60ml
5mg/5ml Btl * * * * Antihistamine, anti-emetic - for children
67 67 AA0500 Salbutamol 4mg Tab * * * * Antiasthmatic/bronchodialator
68 68 AA0501 Salbutamol for Inhalation 200 doses 0.1mg/dose Btl SN * * * Antiasthmatic/bronchodialator
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
69 69 Simvastatine 20mg Tab SN SN * * Anti-cholesterol; used to prevent cardio vascular disease Hypertention + Diabetes
70 70 AA0510 Tiemonium methylsulphate 50mg Tab SN * * * Antispasmodic Pain/Cancer
71 71 Tramadol Chlorhydrate 100mg Tab / / * *Synthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
Pain/Cancer
72 72 AA0491 Vitamine A (Retinol) ( red color capsule with nipple) 200,000IU Soft Cap * * * * Vitamin A supplement NIP/Nutrition
73 73 AA0490 Vitamine A (Retinol) (blue color capsule with nipple) 100,000IU Soft Cap * * * * Vitamin A supplement NIP/Nutrition
74 74 AA0531 Vitamin B1 50mg Tab * * * * Vitamin B1 supplement
75 75 AA0541 Vitamin B6 (pyridoxine) 10mg Tab * * * *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
76 76 Vitamin B6 (pyridoxine) 50mg Tab * * * *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
77 77 NL0040 Zinc Sulphate (Dispersible) 20mg Tab * * * * Diarrhoea in children used as with/an adjuct to ORS
MCH / IMCI
2 INJECTIONS78 1 AB0010 Adrenaline (epinephrine) 1mg/1ml Amp / * * * Anti-allergic, anti-anaphylaxis
79 2 AB0020 Ampicillin 500mg Vial SN * * * Antibacterial (beta lactam). IMCI
80 3 AB0020 Ampicillin 1g Vial SN * * * Antibacterial (beta lactam) MCH
81 4 NB0012 Neuro Polyvalent Snake Antivenin 10 mg Vial / * * * Antisnake immunoglobulin
82 5 NB0011 Hemato Polyvalent Snake Antivenin 10 mg Vial / * * * Antisnake immunoglobulin
83 6 NB0020 Antitoxin,Tetanus 1500IU/1ml Amp / / * * Antitetanus
84 7 AB0030 Atropine Sulphate 1mg/1ml Amp * * * * Pre-operation medication; specific antidote for some poisoning
85 8 AB0040 Bupivacaine 0.5% Spinal heavy 20mg/4ml Vial / / * * Local/Spinal anaesthetic Eye Unit
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
86 9 AB0050 Butylscopolamine (Hyoscin, Buscopan) 20mg/2ml Amp SN * * * Antispasmodic
87 10 AB0060 Calcium Gluconate 10% 1g/10ml Amp SN * * * Specific antidote for some type of poisoining
MCH
88 11 Ceftazidime (as pentahydrate) (powder for injection) 500mg Vial / SN * *
Broad-spectrum (beta-lactam antibacterial) for the treatment of melioidosis infection caused by Burkholderia pseudomallei
89 12 AB0080 Ceftriaxone 1g Vial SN * * * Antibacterial (beta lactam) STD
90 13 AB0100 Chlorpromazine (as hydrochloride) 50mg/2ml Amp / * * * Psychotic disorders Psychia/Pain/Cancer
91 14 AB0110 Cimetidine 200mg/2ml Amp / * * *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
92 15 AB0120 Cloxacillin (as soldium salt) 1g Vial / * * * Antibacterial (beta lactam)
93 16 AB0130Dexamethasone phosphate (as disodium salt) 4mg/1ml Amp / * * *
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
Opthalmo/STD
94 17 AB0140 Dextrose 50% 50ml Vial SN * * *
Hypoglycemia (low blood sugar) in emergency care; management of coma of unknown origin; andrestoration of energy.
95 18 AB0150 Diazepam 10mg/2ml Amp SN * * *
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Psychia/IMCI
96 19 AB0170 Dopamine (as hydrochloride) 200mg/5ml Amp / * * *
Symphomimetic used in heart failure, shock and other conditions where sympathomimetic action is desirable.
97 20 AB0181Ephedrine (for dilution, as hydrochloride) 30mg/1ml Amp / / * * Spinal anaesthesia during delivery
to prevent hypotension
98 21 AB0190 Ergometrine Methyl 0.2mg/1ml Amp SN * * * Oxytocic (uterine contraction)
99 22 AB0200 Etamsylate 250mg/2ml Amp / * * * Anticoagulant
100 23 AB0210 Fentanyl 0.1mg/2ml Amp / / * * Chronic pain management/palliativPain/Cancer 6 of 14
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
101 24 AB0220 Furosemide 20mg/2ml Amp / * * * Diuretic normaly used in heartfailute
102 25 AB0230 Gentamycin (as sulphate) 80mg/2ml Amp SN * * * Antibacterial
103 26 AB0240 Hydralazine Powder + Solvent 20mg/1ml Amp / * * *Antihypertensive: for acute management of severe pregnancy-induced hypertension only.
104 27 AB0250 Hydrocortisone (as Sodium succinate) 100mg Vial SN * * *
A naturally occuring steroid/glucocorticoid with rapid onset of action but short duration: used, among others, as Anti-inflammatory ; Anti-allergic in anaphylaxis
105 28 AB0260 Ketamine 500mg/10ml Vial / / * * General anaesthetics - injectable Pain/Cancer
106 29 AB0270 Lidocaine 2% 50ml Vial SN * * * Local anaesthetic - injectable Eye Unit / MCH
107 30 AB0290 Magnesium Sulphate 50% IM/IV 10ml Amp SN * * *
For treating eclampsia and severe pre-eclampsia not to be used in other forms of convulsant disorders
MCH
108 31 AB0300 Metoclopramide (as hydrochloride) 10ml/2ml Amp / * * * Antiemetic Pain/Cancer
109 32 AB0310 Metronidazole 500mg/100ml Vial / * * * Antibacterial/antiamoebic/antigiardiasis
MCH
110 33 AB0320Morphine (as hydrochloride or sulphate) 10mg/1ml Amp / / * *
Opioid analgesic, psychoactive for Chronic pain management/palliative care
Pain/Cancer
111 34 AB0330 Neostigmine 0.5mg/1ml Amp / / * * Muscle relaxant
112 35 AB0440 Oxytocin 10 IU/1ml Amp * * * * Oxytocic (uterine contraction) MCH
113 36 AB0341 Paracetamol 300 mg/2 ml Amp / * * *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
114 37 AB0350 Penicillin - G, IM/IV 1MIU Vial / * * * Antibacterial (beta lactam)
115 38 AB0360 Potassium Chloride 10% 10ml Amp / * * * Treatment of hypokalemia
116 39 AB0370 Salbutamol 0.5mg/1ml Amp / * * * Antiasthmatic
117 40 ZA0751 Sodium Bicarbonate 8.4% 20ml Amp / * * * Alkalising agent for the treatment of acidocis
118 41 AB0392 Suxamethonium (as chloride) 100mg/2ml Vial / / * * Muscle relaxant
119 42 AB0400 Thiopental 1g Vial / / * * General anaesthetics - injectable
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Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
120 43 Tramadol Chlorhydrate 100mg /2ml Amp / / / *Synthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
Pain/Cancer
121 44 AB0410 Vecuronium (bromide) + Solvent 4mg/1 ml Amp / / * * Muscle relaxant/anesthesia
122 45 AB0420 Vitamin K1 (Phytomenadione) 10mg/1ml Amp SN * * * Coagulant: affects blood coagulation; helps to stop bleeding MCH
123 46 AB0430 Water for Injections 5ml Amp SN * * * Diluent for injection
3 IV FLUIDS
124 1 AC0010 Dextran 40 + IV giving set 500ml Btl / * * *Anticoagulant during surgical operations; plasma expander/subsitute
Malaria / Dengue
125 2 AC0031 Dextrose 10% + IV giving set 500ml Btl SN * * * Rehydration and energy; diluent for other IV medications Malaria / MCH
126 3 AC0020 Dextrose 5% + IV giving set 500ml Btl / * * * Rehydration and energy; diluent for other IV medications
127 4 AC0030Dextrose 5%+0.45% Saline + IV giving set 500ml Btl / * * * Electrolyte replacement,
rehydration, and source of energy Dengue
128 5 AC0041 N S S 0.9% + IV giving set 1000ml Btl * * * *Electrolytes replacement, rehydration, and source of sodium, sugar and energy
MCH
129 6 AC0050 Plasma Substitute + IV giving set 500ml Btl / * * * Plasma expander
130 7 AC0060 Ringer's Lactate + IV giving set 1000ml Btl * * * *
Fluid and electrolyte replenishment therapy. Also often called Hartmann's solution - for the correction of extracellular volume and electrolyte depletion.
Dengue / IMCI / MCH
4 OTHER MEDICINES
131 1 AD0100 Fluorthane (Halothane) 250ml Btl / / * * General anaesthetics - inhalation
132 2 AD0170 Soda lime ( Chaux Sodee) 4.5kg Btl / / SN * Adjuct to general anaesthesia
5 EXTERNAL MEDICINES 133 1 AD0010 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar * * * * Antifungal (topical)
134 2 AD0020 Benzyl Benzoate 25% 1L Btl * * * * Scabicide, pediculicide (topical)8 of 14
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
135 3 AD0040 Chlorhexidine gluconate 20% 1L Btl * * * * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
136 4 AD0120 Gentian Violet Powder 25g Jar * * * * Anti-infective (topical) as a 0.5 aqueous solution or tincture
137 5 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* * * * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
138 6 AD0180 Petroleum Jelly (Vaseline) 500g Jar * * * * Emollient (skin lubrication and mosturizer)
139 7 AD0140 Polyvidone Iodine 10% 200ml Btl * * * * Topical Antiseptic (wound application)
140 8 AD0031Sodium Dichloroisocyanurate (Water Purification)
167mg Tab / * * * Water Purification
141 9 AD0190 Zinc oxide 10% 500g Jar * * * * Hypoallergenic (minimize itching due to skin allergic reactions)
II CONSUMMABLES142 1 QA0031 Adhesive Tape Zinc Oxide perforated 18cm x 5m Roll * * * *143 2 QA0030 Adhesive Tape Zinc Oxide perforated 5cmx5m Roll * * * *
144 3 Autoclavable Plastic Bag for Restirilizing equipment Pcs / * * *
145 4 QA0060 Bandage, Crepe 8cmx4m Roll / * * *146 5 QA0070 Bandage, Gauze Non-sterile 7.5cmx10m Roll * * * *147 6 QA0241 Bandage Tubular Elastic 8mm x 4cm Pcs / / * *148 7 QA0090 Blades for Surgical Knife #15 Pcs * * * * Oral Health 149 8 QA0091 Blades for Surgical Knife #22 Pcs / * * *150 9 QA0092 Blades for Surgical Knife # 30 Pcs / * * *151 10 XB0060 Blood Collection Bag (CPD) 350ml / / / *
152 11 QA0131 Catheter Foley, Ballon 2 ways 10ml, sterile CH12 Pcs / * * *
153 12 QA0132 Catheter Foley, Ballon 2 ways 10ml, sterile CH14 Pcs / * * *
154 13 QA0128 Catheter Foley, Ballon 2 ways 10ml, sterile CH16 Pcs / * * *
155 14 QA0160 Catheter IV with injection port 18G Pcs SN * * *156 15 QA0161 Catheter IV with injection port 20G Pcs SN * * *157 16 QA0162 Catheter IV with injection port 22G Pcs SN * * * STD,AIDS158 17 QA0163 Catheter IV with injection port 24G Pcs SN * * *159 18 QA0164 Catheter IV with injection port 26G Pcs SN * * *
9 of 14
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
160 19 QA0170 Colostomy Bag, Disposable 38mm Pcs / / * *161 20 QA0190 Cotton Wool Absorbent 500g Roll * * * *162 21 QA0180 Cotton Wool Non Absorbent 500g Roll / * * *163 22 QA0210 Developer for X-Ray Film 1 Gallon Btl / SN * *164 23 QA0220 Drainage Strip (Delbet) 25x3cm Pcs / / * *165 24 QA0230 Dressing for burns with Paraffin 10x10cm Pcs / * * *166 25 Electric Syringe Pcs / / / *167 26 ExtensionThree ways Stopcock 25 cm Pcs / * * *168 27 QA0270 Eye Shields Pcs / / / *169 28 QA0920 Fixer for X-Ray Film 1 Gallon Btl / SN * *170 29 QA0290 Gauze, absorbent (BP17g/m2) 90cmx91m Roll * * * *171 30 QA0300 Glove examination, non sterile, Latex Small Pcs * * * *172 31 QA0310 Glove examination, non sterile, Latex Medium Pcs * * * *173 32 QA0302 Glove examination, non sterile, Latex Large Pcs * * * *
174 33 QA0360 Glove, sterile, Long Cuff (for Gynaecological use) Small Pcs * * * *
175 34 QA0361 Glove, sterile, Long Cuff (for Gynaecological use) Medium Pcs * * * *
176 35 QA0362 Glove, sterile, Long Cuff (for Gynaecological use) Large Pcs * * * *
177 36 QA0320 Glove Surgical, sterile, latex Small Pcs / * * *178 37 QA0322 Glove Surgical, sterile, latex Medium Pcs / * * *179 38 QA0321 Glove Surgical, sterile, latex Large Pcs / * * *180 39 QA0330 High Quality Printing Paper UPP- 110s 110mm x 20m Pcs / * * *
181 40 Infusion set with burette 100ml, Disposable 60drops/minute Pcs / / * *
182 41 QA0354 Intra Ocular Lens #18 Pcs / / / * Eye Unit Program183 42 QA0355 Intra Ocular Lens #19 Pcs / / / * Eye Unit Program184 43 QA0356 Intra Ocular Lens #20 Pcs / / / * Eye Unit Program185 44 QA0357 Intra Ocular Lens #21 Pcs / / / * Eye Unit Program186 45 QA0358 Intra Ocular Lens #22 Pcs / / / * Eye Unit Program
187 46 Lubrication gel for Urinary catheter single use 5ml Pack * * *
188 47 QA0370 Medical Plastic Bags (Khmer printing, as sample) 7cm x 11cm Pcs * * * *
189 48 QA0913 Medical X ray films, Green sensitive 18cm x 24cm Pcs / SN * *190 49 QA0910 Medical X ray films, Green sensitive 18cm x 43cm Pcs / SN * *191 50 QA0911 Medical X ray films, Green sensitive 24cm x 30cm Pcs / SN * * 10 of 14
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
192 51 QA0914 Medical X ray films, Green sensitive 30 cm x 40cm Pcs / SN * *193 52 QA0912 Medical X ray films, Green sensitive 35cm x 35cm Pcs / SN * *194 53 QA0915 Medical X ray films, Green sensitive 35cm x 43cm Pcs / SN * *195 54 Microbiological Indicator for Autoclave Pcs * * *
196 55 Monitoring electrode with Micropore Tape Backing and solid gel Ag/Agcl Pcs / / / *
197 56 Manual Vacuum Aspiration (MVA) Kit (Gynecological ) Kit SN SN SN SN MCH
198 57 QA0391 Needle Disposable 19G x 1.½" Pcs SN * * *199 58 QA0392 Needle Disposable 21G x 1.½" Pcs SN * * *200 59 QA0393 Needle Disposable 23G x 1" Pcs SN * * *201 60 QA0394 Needle Disposable 25G x 1" Pcs SN * * *202 61 QA0403 Needle Spinal Disposable 22G/0.7 x 90mm Pcs / * * *203 62 QA0402 Needle Spinal Disposable 25G/0.5 x 90mm Pcs / * * *204 63 Original Perfusor 150 cm Pcs * * * *205 64 QA0451 Oxygen mask with reservoir bag Children Pcs / * * *206 65 QA0450 Oxygen mask with reservoir bag Adult Pcs / * * *207 66 QA0470 Paper face mask 2 plies Pcs * * * *208 67 QA0490 Plaster of Paris 10cm Roll / * * *209 68 QA0491 Plaster of Paris 15cm Roll / * * *210 69 QA0492 Plaster of Paris 20cm Roll / * * *211 70 NP0130 Safety Box for Used Syringe 5L Pcs * * * * Infection Control212 71 NP0131 Safety Box for Used Syringe 10 L Pcs * * * * Infection Control213 72 QA0541 Scalp Vein 23G Pcs * * * *214 73 QA0542 Scalp Vein 25G Pcs * * * * MCH215 74 QA0271 Sterile eyes pads Pcs / / / * Eye Unit Program216 75 Stomach Wash Out tube, Fraucher Type CH27 Pcs / / * *
217 76 QA0600 Sut/Catgut Chromic25mm½circle Rb75cm 2/0 Pcs / * * *
218 77 QA0601 Suture/Catgut Chromic30mm½circle Rb75cm 3/0 Pcs / * * *
219 78 QA0602 Suture/Catgut Chromic35mm½circle Rb75cm 0 Pcs / * * *
220 79 QA0603 Suture/Catgut Chromic38mm½circle Rb75cm 1 Pcs / * * *
221 80 QA0604 Suture/Catgut Chromic40mm½circle Rb75cm 2 Pcs / * * *
11 of 14
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
222 81 QA0605 Suture/Catgut Chromic85mm B P Cvd Rb 2 Pcs / * * *
223 82 QA0553 Suture/Catgut Plain 22mm curved cutting 75cm 3/0 Pcs * * * *
224 83 QA0554 Suture/Catgut Plain 25mm½ circle Rb 75cm 2/0 Pcs * * * *
225 84 QA0555 Suture/Catgut Plain 30mm½ circle Rb 75cm 0 Pcs * * * *
226 85 QA0581 Suture/ Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 0 Pcs / * * *
227 86 QA0582 Suture/Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 1 Pcs / * * *
228 87 QA0579 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 2/0 Pcs / * * *
229 88 QA0578 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 3/0 Pcs / * * *
230 89 QA0576 Suture/ Polyglycolic Acid double arms spatulates ( S 24 ) 6/0 Pcs / / / * Eye Unit Program
231 90 QA0563 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 2/0 Pcs * * * *
232 91 QA0561 Suture/Polyamide 26 mmCurved Rev cutting 75cm (Nylon) 3/0 Pcs * * * *
233 92 QA0575 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 4/0 Pcs * * * *
234 93 Suture/ Black monofilament double arms spatulates 30cm (Nylon) 10/0 Pcs / / / * Eye Unit Program
235 94 QA0644 Suture/Silk 16mm curved 45mm 4/0 Pcs / * * *236 95 QA0640 Suture/Silk 6mm curved 38mm 6/0 Pcs / * * *
237 96 Suture/Silk 8mm double needle micro-point spatula ½ circle 30mm 8/0 Pcs / * * *
238 97 Suture/Silk double needle micro-point spatula curved 30mm 10/0 Pcs / * * *
239 98 NQ4768 Sphygmomanometer Aneroid for Adult 300 mm Hg Pcs * * * *240 99 QB0530 Stethoscope Binaural Pcs * * * *241 100 Syringe Disposable & Needle 26G 1ml Pcs * * * * MCH/Diabetes242 101 QA0680 Syringe Disposable & Needle 25G 2ml Pcs * * * *243 102 QA0664 Syringe Disposable & Needle 25G 5ml Pcs * * * *244 103 QA0661 Syringe Disposable & Needle 23G 5ml Pcs * * * *
12 of 14
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
245 104 QA0662 Syringe Disposable & Needle 23G 10ml Pcs * * * *246 105 QA0692 Syringe Disposable 20ml Pcs / * * *247 106 QA0693 Syringe Disposable 50ml Pcs / / / *248 107 Syringe with Spiral 50cc Pcs / / / *249 108 Syringe for insuline 1ml Pcs / SN SN SN Diabetese250 109 QA0710 Talc 1kg Box * * * *251 110 QA0730 Tape Test for Autoclave Roll / * * * Infection Control252 111 QA0740 Tape Umbilical Non sterile 3mm Roll * * * *253 112 Indicator Strips Test For Sterilization Roll * * * * Infection Control
254 113 Bag for Medical Surgical Capacity 10-15 litres 10-15 Litres Pcs / / * * Infection Control
255 114 QB0560 Thermometer Oral/Rectal oC Pcs * * * *256 115 QA0751 Thorax Drain + Trocar CH12 Pcs / * * *257 116 QA0752 Thorax Drain + Trocar CH14 Pcs / * * *258 117 QA0753 Thorax Drain + Trocar CH16 Pcs / * * *259 118 QA0754 Thorax Drain + Trocar CH18 Pcs / * * *260 119 QA0755 Thorax Drain + Trocar CH20 Pcs / * * *261 120 Three way Stopcock Pcs / / / *262 121 QA0760 Tongue depressor wood adult Pcs * * * *263 122 Tracheal tube #4 Pcs / / * *264 123 Tracheal tube #4.5 Pcs / / * *265 124 Tracheal tube #5 Pcs / / * *266 125 Tracheal tube #5.5 Pcs / / * *267 126 Tracheal tube #6 Pcs / / * *268 127 Tracheal tube #6.5 Pcs / * * *269 128 Tracheal tube #7 Pcs / / * *270 129 QA0775 Tracheotomy tube #6 Pcs / / * *271 130 QA0772 Tracheotomy tube #7 Pcs / / * *272 131 QA0800 Tube Nasogastric/Feeding with Cover CH5 Pcs / SN * *273 132 QA0802 Tube Nasogastric/Feeding with Cover CH12 Pcs / SN * *274 133 QA0803 Tube Nasogastric/Feeding with Cover CH14 Pcs / SN * *275 134 QA0804 Tube Nasogastric/Feeding with Cover CH16 Pcs / SN * *276 135 QA0780 Tube Redon Drain CH12 Pes / / SN *277 136 QA0781 Tube Redon Drain CH16 Pcs / / SN *278 137 QA0810 Tube Suction Disposable CH8 Pcs / * * *279 138 QA0811 Tube Suction Disposable CH12 Pcs / * * *280 139 QA0812 Tube Suction Disposable CH16 Pcs / * * *281 140 QA0830 Ultra Sound Gel 1 kg Bttl / / * * 13 of 14
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
MPA CPA1 CPA2 CPA3
282 141 QA0840 Umbilical cord clamp Pcs * * * *
283 142 Urine Drainage Bag with non-return valve 2litre Pcs / * * *
284 143 Yellow Plastic bag with Red label (15-20L) Pcs * * * *
14 of 14
MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
III NATIONAL PROGRAMSIII 1 EYE UNIT/PROGRAM285 1 Acetazolamide 250mg Tab / / / * Opth. Anti-glaucoma
286 2 NA0020 Atropine Sulphate 1 % eye drop 5ml Vial / / / * Opth. with mydriatic
287 3 NA0030 Ciprofloxacine 0.3% eye drop 5ml Vial / / SN * Opth.- anti-infective
288 4 NA0051 Fluoresceine 2 % eye drop 10 ml Vial / / / * Opth. diagnostic
289 5Neomycine + Polymycine B + Dexamethasone , eye drop ( Maxidrol eye drop) 5ml
Vial / / / * Opth. Anti-infective/anti-inflammatory
290 6 NA0100Pilocarpine (as sodium phosphate) 2 % eye drop
5 ml Vial / / / * Opth. with mitotic
291 7 NA0108 Prednisolone Acetate 1 % eye drop 5 ml Vial / / / * Opth. Anti-allergic/anti-inflammatory
292 8 NA0110 Tetracaine eye drop 5ml 0.50% Vial / / / * Opth.- anti-infective
293 9 NQ3142 Tetracycline 1 % eye ointment 5g Tube * * * * Opth.- anti-infective
294 10 Timolol eye drop 3ml 0.50% Vial / / / * Opth. Mitotic
295 11 NA0130 Tropicamide 1 % eye drop 10 ml Vial / / / * Opth. diagnostic
296 12 NA0071 Viscoelastic Solution ( Syringe 1 ml ) 1 ml Syringe / / / *
Steril clear viscous solution with elastic property used in cataract, glaucoma and corneal ophthalmic surgical procedures.
III 2 NATIONAL CENTRE OF TUBERCULOSIS AND LEPROSY CONTROL (CENAT)A TUBERCULOSIS PROGRAM(1) First Line Anti-TB Medicines
297 1 NC0009 Ethambutol 100mg Tab * * * * Anti-tuberculosis298 2 NC0010 Ethambutol 400mg Tab * * * * Anti-tuberculosis
KINGDOM OF CAMBODIANATION RELIGION KING
bB¢aI»sfsarvnþ
ESSENTIAL MEDICINES LIST - 7th Edition
MPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
1 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
299 3 NC0011 Isoniazide 100mg Tab / * * * Anti-tuberculosis300 4 NC0060 Pyrazinamide 400mg Tab / * * * Anti-tuberculosis301 5 NC0083 Rifampicine 150mg Tab / * * * Anti-tuberculosis302 6 NC0071 Rifampicine / Isoniazide 150 + 75mg Tab * * * * Anti-tuberculosis303 7 NC0070 Rifampicine / Isoniazide 60+30mg Tab * * * * Anti-tuberculosis
304 8 NC0080Rifampicine / Isoniazide / Pyrazinamide
60+30+150mg Tab * * * * Anti-tuberculosis
305 9 NC0082Rifampicine/Isoniazide/Pyrazinamide/Ethambutol
150+75+400+275 mg Tab * * * * Anti-tuberculosis
306 10 NC0092 Streptomycine 1g Vial SN * * * Anti-tuberculosis
307 11 Vitamin B6 (pyridoxine) 10mg Tab * * * *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
308 12 Vitamin B6 (pyridoxine) 50mg Tab * * * *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
(2) Second Line Anti-TB Medicines
309 1 GA3901 Amikacin 500mg Vial SN SN SN *2nd line anti-infective (aminoglycoside) - multidrug resistant gram negative bacteria
310 2 Capreomycin 1g Vial SN SN SN * 2nd antimycobacterials: tuberculosis and leprostatic agents
311 3 Cycloserine 250mg Cap SN SN SN * Anti-infective used as 2nd line anti-TB
312 4 Ethionamide 250mg Tab SN SN SN * Anti-infective used as 2nd line anti-TB
313 5 Gatitfloxacin 500mg Tab SN SN SN * Anti-infective used as 2nd line anti-TB
314 6 Kanamycin 1g Vial SN SN SN * Anti-infective used as 2nd line anti-TB
2 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
315 7 Levofloxacin 250mg Tab SN SN SN * Anti-infective used as 2nd line anti-TB
316 8 Moxifloxacin 400mg Tab SN SN SN * Anti-infective used as 2nd line anti-TB
317 9 AA0400 Ofloxacin 200mg Tab SN SN SN * Anti-infective used as 2nd line anti-TB
318 10 Para Amino Salicylic Acid 4g Sachet SN SN SN * Anti-infective used in combination with other anti-TB as 2nd line Powder 100gr per Jar
319 11 Prothionamide 250mg Tab SN SN SN * Anti-infective used as 2nd line anti-TB
B LEPROSY PROGRAM320 1 NC0120 Clofazimine 100mg Cap / * * * Antileprosy
321 2 NC0020 MB (multibacillary) Adult Blister * * * * Antileprosy
322 3 NC0030 MB (multibacillary) Child Blister * * * * Antileprosy
323 4 NC0040 PB (paucibacillary) Adult Blister * * * * Antileprosy
324 5 NC0050 PB (paucibacillary) Child Blister * * * * Antileprosy
III 3 NATIONAL CENTRE FOR PARASITOLOGY, ENTOMOLOGY AND MALARIA CONTROL (CNM)A MALARIA PROGRAM
325 1 ND0059 A+M1 (Artesunate + Mefloquine) 50mg+250mg Blister * * * * for severe malaria (1-5yrs)
326 2 ND0060 A+M2 (Artesunate + Mefloquine) 50mg+250mg Blister * * * * for severe malaria (6-10yrs)
327 3 ND0061 A+M3 (Artesunate + Mefloquine) 50mg+250mg Blister * * * * for severe malaria (11-14yrs)
328 4 ND0063 A+M5 (Artesunate + Mefloquine) 50mg+250mg Blister * * * * for severe malaria (> 15yrs)
329 5 ND0051 Artesunate Rectocap 50mg Tab * * * * for severe malaria
330 6 ND0052 Artesunate Rectocap 200mg Tab * * * * for severe malaria
331 7 Artesunate injectable + 1ml of 5% Sodium bicarbonate solution 60mg
Vial + Amp
(Solution)
SN * * * for severe malaria
332 8 ND0040 Artemeter injection 80mg/ml Amp SN * * * for severe malaria
333 9 ND0110 Mefloquine 250mg Tab SN * * * Used in combination with artesunate
334 10 ND0031 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 3Tab) * * * * Proposed new first line ACT for
malaria caused by P. faciparum.
335 11 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 6Tab) * * * * Proposed new first line ACT for
malaria caused by P. faciparum.
3 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
336 12 Piperaquine + Dihydro artemisinin 320mg+40mgBlister(9Tab) * * * * Proposed new first line ACT for
malaria caused by P. faciparum.
337 13 ND0150 Quinine Sulfate 300mg Tab SN * * *Used in severe malaria and should be used in combination with Doxycycline
338 14 ND0140 Quinine Dihydrochloride 600mg/2ml Amp SN * * *
P. falciparum malaria; no longer recommended by the WHO as first line treatment for malaria and should only be used when ACTs are not available
339 15 ND0170 Tetracycline 250mg Cap * * * * Anti-infective - with action on malaria parasite
B SCHISTOSOMIASIS AND HELMINTHIASIS PROGRAM
340 1 ND0130 Praziquantel 600mg Tab SN SN SN SNIntestinal anthelminthic:antischistosomal/antitrematode
C DENGUE HAEMORRHAGIC FEVER PROGRAM
341 1 AC00345% Dextrose in Isotonic Saline Solution + IV Giving Set
500ml Blt SN * * * Water, electrolyte replacement and source of energy
342 2 GA34015% Dextrose in Acetate Ringer's Solution + IV Giving Set
500ml Blt / SN SN SN Water, electrolyte replacement and source of energy
343 3 AC00365% Dextrose in 1/3 Saline + IV Giving Set
500ml Blt / SN SN SN Water, electrolyte replacement and source of energy
D FILARIASIS PROGRAM344 1 NQ0004 Albendazol 400mg Tab SN SN SN SN Intestinal anthelmenthic AIDS
345 2 ND0230Diethylcarbamazine (dihydrogen citrate)
100mg Tab SN SN SN SN Antifilarial
346 3 Invermectin (scored tablets) 3mg Tab SN SN SN SN Antifilarial
III 4 BIRTH SPACING PROGRAM
347 1 NH0020 Depo-medroxyprogesterone acetate 150mg/3ml Vial * * * * Injectable hormonal contraceptive - long acting
348 2 NH0040 Norgestrel (Progestin-Only-Pill) 0.075mg Blister * * * * Oral Contraceptive
349 3 NH0050Ethinyloestradiol + Levonorgestrel (Combined Oral Contraceptive)
0.03/0.15mg Blister * * * * Combined Oral Contraceptive
350 4 NH0010 Condom 49mm Pcs * * * * Physical barrier contraceptive
4 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
351 5 NH0030 IUD Copper T 380A T380A Pcs * * * * Intra-uterine device (IUD) Contraceptive
352 6 NH0011
Female Condom (Lubricated loose-fitting Polyurethane, pouch closed at one end, open at the other with soft rings at each end. 160-180mm width, 41-61µ thickness, 2.23-2.53mm outer ring, 56.5-58-5mm inne
160-180mm Pcs * * * * Physical barrier contraceptive
353 7 NH0052Levonorgestrel (Emergency/Morning After Contraceptive Pills), 2 pill per Blister
0.75mg Blister * * * * "Morning after" contraceptive
354 8 NH0051Implant: a-Etonorgestrel b- Levonorgestrel
a-68 mg b-150mg Implant * * * * Implant hormonal contraceptive -
long acting
III 5 PSYCHIATRY MEDICINES(1) First Line
355 1 NG0010 Amitriptyline (as hydrochloride) 25mg Tab SN SN SN SN Depressive disorders Pain/Cancer
356 2 NG0011 Amitriptyline (as hydrochloride) 50mg Tab / / SN SN Depressive disorders Pain/Cancer
357 3 NG0030 Carbamazepine 200mg Tab / / SN SN
Anticonvulsant and mood-stabilizing - used primarily in the treatment of epilepsy and bipolar disorder, as well as trigeminal neuralgia.
Pain/Cancer
358 4 NG0041 Chlorpromazine (as hydrochloride) 100mg Tab SN SN SN SN Psychotic disorders
359 5 NG0050 Clomipramine (as hydrochloride) 25mg Cap / / SN SN Obsessive compulsive and panic attacks
360 6 Fluoxetine (as hydrochloride) 20mg Cap / / / SN Depressive disorders
361 7 NG0071 Haloperidol 10mg Tab / / SN SN Psychotic disorders Pain/Cancer
362 8 NG0070 Haloperidol 5mg Tab SN SN SN SN Psychotic disorders Pain/Cancer
363 9 NG0081 Imipramine 25mg Tab / SN SN SN Antidepressant
364 10 NG0090 Lithium Carbonate 300mg Tab / / SN SN Mood-stabilizing, primarily in the treatment of bipolar disorders.
365 11 Methadone Hydrochloride 5mg/ml Bottle / / / SN Opioid Replacement Therapy Substance dependance program use
366 12 NG0096 Methadone Hydrochloride 10mg/ml Bottle / / / SN Opioid Replacement Therapy Substance dependance program use
5 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
367 13 NG0100 Nortriptiline HCL 25mg Tab / / SN SN Antidepressant
368 14 NG0110 Perphenazine 8mg Tab / / SN SNAnti-psychotic, antidepresnt; used to treat symptoms of schizophrenia
369 15 NG0120 Phenytoine 100mg Tab SN SN SN SN Anticovulsants/anti-epileptic Pain/Cancer
370 16 NG0130 Thioridazine 10mg Tab / / SN SNAnti-psychotic, antidepresnt; used to treat symptoms of schizophrenia
371 17 NG0140 Trihexyphenidyl (benzhexol) 5mg Tab SN SN SN SNAntiparkinsonian agent (antimuscarinic class)
372 18 NG0020 Benztropine Mesylate 2mg/ml Amp / / / SN
An adjunct therapy to all forms of parkinsonism. Sldo useful controlling extrapyramidal disorders
373 19 NG0060 Fluphenazine decanoate 25mg/ml Amp / / / SN Psychotic disorders
374 20 NG0072 Haloperidol 5mg/ml Amp / / / SN Psychotic disorders Pain/Cancer
375 21 NG0073 Haloperidol decanoate 50mg/ml Amp / / SN SN Psychotic disorders Pain/Cancer
(2) Second Line376 1 Risperidone 1mg Tab / / / SN Psychotic disorders (in adult)
377 2 Risperidone 2mg Tab / / / SN Psychotic disorders (in adult)
378 3 Risperidone 4mg Tab / / / SN Psychotic disorders (in adult)
III 6 NATIONAL CENTRE FOR HIV/AIDS, DERMATOLOGY AND STD (NCHADS)A HIV/AIDS PROGRAM(1) ADULTS
379 1 NE0010 Abacavir (ABC) (as sulfate) 300mg Tab SN SN SN SN ARV: Non-nucleoside reverse transcriptase inhibitor
380 2 NE0014 Abacavir (ABC) + Lamivudine (3TC) 600mg+300mg Tab SN SN SN SN ARV: 2-FDC
381 3 NE0100Stavudine (D4T) + Lamivudine(3TC) + Nevirapine(NVP)
30mg+150mg+200mg Tab SN SN SN SN ARV: 3-FDC
382 4 NE0013 Atazanavir 300mg Tab SN SN SN SN ARV: Protease inhibitor (PI)
383 5 NE0042Didanosine (ddl) (unbuffered enteric coated tablet)
250mg Cap SN SN SN SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
384 6 NE0043Didanosine (ddl) (unbuffered enteric coated tablet)
400mg Tab SN SN SN SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
385 7 NE0051 Efavirenz (EFV or EFZ) 200mg Cap SN SN SN SN ARV: Non-nucleoside reverse transcriptase inhibitor
6 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
386 8 NE0052 Efavirenz (EFV or EFZ) 600mg Cap SN SN SN SN ARV: Non-nucleoside reverse transcriptase inhibitor
387 9 NE0070 Lamivudine (3TC) 150mg Tab SN SN SN SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
388 10 NE0080 Stavudine(d4T)+ Lamivudine (3TC) 30mg+150mg Tab SN SN SN SN ARV: 2-FDC
389 11 NE0251 Stavudine (d4T) 30mg Tab SN SN SN SN ARV: nucleoside analog/reverse transcriptase inhibitor (NARTI)
390 12 NE0110 Zidovudine(AZT)+Lamivudine(3TC) 300mg+150mg Tab SN SN SN SN ARV: 2-FDC
391 13 NE0111Zidovudine(AZT)+Lamivudine(3TC) + Nevirapine(NVP)
300mg+150mg+200mg Tab SN SN SN SN ARV: 3-FDC
392 14 NE0141 Lopinavir/Ritonavir 200mg/50mg Cap SN SN SN SN ARV: Protease inhibitor
393 15 NE0170 Nevirapine 200mg Tab SN SN SN SN ARV: Non-nucleoside reverse transcriptase inhibitor
394 16 NE0220 Ritonavir 100mg Tab SN SN SN SN ARV: pharmacological booster
395 17 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC )
300mg+150mg +300mg Tab SN SN SN SN ARV: 3-FDC
396 18 NE0270 Tenofovir (TDF) (disoproxil fumerate) 300mg Tab / SN SN SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
(2) PEDIATRIC
397 1 NE0010 Abacavir (ABC) (as sulfate) 240ml syrup 20mg/ml Bttl SN SN SN SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
398 2 NE0012 Abacavir( ABC ) +Lamivudine (3TC) 60mg+30mg Tab SN SN SN SN ARV: 2-FDC
399 3 NE0102Stavudine(d4T) + Lamivudine(3TC) + Nevirapine(NVP)
12mg+60mg+100mg Tab SN SN SN SN ARV: 3-FDC
400 4 NE0082 Stavudine(d4T) + Lamivudine(3TC) 6mg+30mg Tab SN SN SN SN ARV: 3-FDC
401 5 NE0083 Stavudine(d4T) + Lamivudine(3TC) 12mg+60mg Tab SN SN SN SN ARV: 3-FDC
402 6 NE0045 Didanosine (ddl) 125mg Cap SN SN SN SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
403 7 NE0046 Didanosine (ddl) 200mg Cap SN SN SN SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
404 8 NE0050 Efavirenz (EFV or EFZ) 50mg Cap SN SN SN SN ARV: Non-nucleoside reverse transcriptase inhibitor
405 9 NE0150 Lopinavir/Ritonavir 160ml Syrup 80mg/20mg/ml Bttl SN SN SN SN ARV: Protease inhibitor
406 10 NE0142 Lopinavir/Ritonavir (LPV/r) 100mg/25mg Tab SN SN SN SN ARV: Protease inhibitor
407 11 NE0190 Nevirapine (NVP) Syrup 10mg/ml Bttl SN SN SN SN ARV: Non-nucleoside reverse transcriptase inhibitor
408 12 NE0113 Zidovudine (AZT )+Lamivudine (3TC) 60mg+30mg Cap SN SN SN SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
7 of 18
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Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
409 13 NE00114 Zidovudine(AZT) +Lamivudine(3TC) +Nevirapine(NVP ) 60+30+50mg Cap SN SN SN SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
410 14 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC ) 60+30+60mg Cap SN SN SN SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
B DERMATOLOGY, STD, OIs AND OTHER MEDICINES(1) ORAL MEDICINES
411 1 NQ0002 Acyclovir 200 mg Tab / SN SN SN Antiviral/antiherpes (topical)
412 2 NQ0003 Acyclovir 400 mg Tab / SN SN SN Antiviral/antiherpes (topical)
413 3 NQ0004 Albendazol 400 mg Tab / SN SN SN Intestinal anthelmenthic Helminthic program
414 4 NQ0005 Amitryptiline 25 mg Tab / SN SN SN Tricyclic antidepressant Psychiatry
415 5 Amitryptiline 50 mg Tab / SN SN SN Tricyclic antidepressant Psychiatry
416 6 NQ0007 Amoxicillin 500 mg Tab / SN SN SN Antibacterial (beta lactam) Basic Medicine
417 7 NF0030 Azithromycine 500mg Tab SN SN SN SN Antibacterial
418 8 NF0060 Cefixime 200mg Tab SN SN SN SN Antibacterial (beta lactam)
419 9 NF0070 Cetirizine hydrochloride 10mg Tab / SN SN SN Antihistamine/anti-allergic HIV/AIDS Care
420 10 Clotrimazol 100mg Tab / SN SN SN To treat fungal infections of the mouth or throat
421 11 NE0100 Codeine phosphate 30 mg Tab / SN SN SN Opioid analgesic Pain relief /palliative care
422 12 NQ0110 Cotrimoxazole 400mg+80 mg Tab / SN SN SN Antibacterial Basic medicine
423 13 NQ0111 Cotrimoxazole 800mg + 160mg Tab SN SN SN SN Antibacterial HIV/AIDS Care
424 14 NQ0156 Dapsone 100 mg Tab / SN SN SN
Antibacterial used alone or in combination with other anti-leprosy drugs (rifampicin and clofazimine) to treatment leprosy; also as OI - prophylaxis against Pneumocystis pneumonia (PCP) in HIV patients allergic to Co-trimoxazole.
Leprosy/HIV
425 15 NQ0151 Diazepam 5 mg Tab / SN SN SN Anxiolytic, sleep disorders, mild muscle relaxant
Basic medicine
426 16 NQ0152 Diclofenac 50 mg Tab / SN SN SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basic medicine
427 17 Dicloxacilline 500 mg Tab / SN SN SN Antibacterial
428 18 NQ0153 Doxycycline 100 mg Tab / SN SN SN Antibacterial
429 19 NQ0201 Erythromycine 500 mg Tab / SN SN SN Antibacterial
8 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
430 20 NQ0252 Fluconazole 100 mg Tab / SN SN SN Oral antifungal Basie medicince
431 21 Fluconazole 150 mg Tab / SN SN SN Oral antifungal
432 22 NQ0253 Fluconazole 200 mg Tab / SN SN SN Oral antifungal
433 23 NQ0255 Folic Acid 10 mg Tab / SN SN SN Antianaemic Basie medicince
434 24 NQ0331 Griseofulvine 500mg Tab / SN SN SN Oral systemic antifungal AIDS/Leprocy
435 25 NQ0402 Ibuprophene 400 mg Tab / SN SN SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs)
436 26 AA0270 Indomethacine 25 mg Tab / SN SN SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basie medicince
437 27 NQ0403 Itraconazole 100mg Tab / SN SN SN Oral antifungal
438 28 Itraconazole 200mg Tab / SN SN SN Oral antifungal
439 29 NF0181 Ketoconazol 200 mg Tab / SN SN SN Oral antifungal
440 30 NQ0551 Loperamide 2 mg Tab / SN SN SNOI - Antidiarrhea - diarrhea due to gastroenteritis or inflammatory bowel disease
441 31 NF0200 Minocycline hydrochloride 100mg Tab / SN SN SN Antibacterial
442 32 NQ0210 Morphine 20 mg Tab / SN SN SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
443 33 Oxycodine 10 mg Tab / SN SN SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
444 34 Oxycodine 20 mg Tab / SN SN SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
445 35 NQ0751 Paracetamol 100 mg Tab / SN SN SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
446 36 NQ0752 Paracetamol 500 mg Tab / SN SN SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
447 37 NQ0750 Paracetamol Syrup 100mg/ml Btl / SN SN SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
448 38 NQ0758 Prednisolone 5 mg Tab / SN SN SN Anti-inflammatory ; Anti-allergic/anaphylaxis
Basic mrdicine
9 of 18
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Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
449 39 Pyrimethamine 100mg Tab / SN SN SNAnti-malaria (acute malaria)
(2) INJECTIONS450 1 NQ0014 Amphotericine B 50 mg Vial / SN SN SN Antifungal/antileishmaniasis
451 2 NF0040 Benzathine Benzyl Penicilline 2.4 MUI Vial / SN SN SN Antibacterial (beta lactam)
452 3 Butylhyocine 20 mg Amp / SN SN SN Antispasmodic
453 4 NQ1551 Ceftriaxone 1 gr Vial / SN SN SN Antibacterial (beta lactam)
454 5 NQ1555 Cloxacillin 1g Vial / SN SN SN Antibacterial (beta lactam)
455 6 NQ1576 Dexamethasone 2 mg Amp / SN SN SN
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
456 7 NQ1577 Diazepam 10 mg/2ml Amp / SN SN SN
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Basic medicine
457 8 Diphenhydramine 4 mg/ ml Amp / SN SN SN Antihistamine
458 9 Fluconazole I.V. 200ml 400 mg Vial / SN SN SN Systemic antifungal
459 10 NQ1651 Gentamycine 80 mg /2ml Amp / SN SN SN Antibacterial Basic medicine
460 11 NQ1802 Metronidazole 500 mg vial / SN SN SN Antibacterial/antiamoebic/antigiardiasis
461 12 NQ1803 Morphine 10 mg /1ml Amp / SN SN SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Basic medicine
(3) EXTERNAL USE MEDICINES462 1 AD0270 Acyclovir Cream 15g Tube / SN SN SN Antiviral/antiherpes (topical)
463 2 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar / SN SN SN Antifungal Basic medicine
464 3 NQ2263 Benzoyl Benzoate 25% 1litre Btl / SN SN SN Scabicide, pediculicide (topical) Basic medicine
465 4 Benzoyl peroxide 5% Gel 40g Tube / SN SN SN
Topical as a peeling agent. Effects skin differentiation and prolifiration/turn over. Also has antiseptic and bleaching properties.
10 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
466 5 Betamethasone (0.05%) +Salicylic Acid (3%) Ointment/Cream
30g Tube / SN SN SN Anti-inflammatory, antipruritic (topical)
467 6 Betamethasone (as valerate) 0.1% Ointment/Cream
30g Tube SN SN SN SN Anti-inflammatory, antipruritic (topical)
468 7 Betamethasone 0.05% +Fucidic acid 2% 15g Tube / SN SN SN Topical Anti-infectives with Corticosteroids
469 8 NF0082 Clobetasole propionate 0.05% lotion 30ml Bttl / SN SN SN Topical adrenocortical steroid - antinflammatory and anti- itching
470 9 NF0080 Clobetasole propionate 0.05% cream 10g Tube / SN SN SNTopical corticosteroids with anti-inflammatory, antipruritic, and vasoconstrictive properties.
471 10 NQ2286 Clotrimazole 1% cream 30g Tube SN SN SN SN Antifungal (topical) Pain/Cancer
472 11 NF0112 Crotamiton 10% Cream 30g Tub / SN SN SNScabicidal and antipruritic for treating scabies and relieving itching
473 12 NF0120 Fusidic Acid 2% cream 15g Tube / SN SN SN Topical anti-infectives
474 13 NF0151 Hydrocortisone (as acetate) 1% 15g Tube SN SN SN SN Anti-inflammatory, antipruritic (topical)
475 14 NF0180 Ketokonazole 2% cream 15g Tube * SN SN SN Topical broad spectrum antifungal AIDS
476 15 NP0190 Miconazole 2% gel 40g Tube SN SN SN SNAntifungal (topical) - fungal infections of the mouth, throat and gut
477 16 NQ3150 Petroleum Jelly (Vaseline) 15g Tube SN SN SN SNEmollient (skin lubrication and mosturizer); helps protect minor cuts and burns.
478 17 NQ2541 Polyvidone Iodine 10% 200ml Btl SN SN SN SN Topical antiseptic for minor skin injuries
Basic nedicine
479 18 Tretinoin 0.05% cream 30g Tube / SN SN SN Treatment of acne vulgaris
480 19 Triamcinolone acetonide Cream 0.1 % 30g Tube / SN SN SN
Topical corticosteroid for the treatment of inflammatory and pruritic manifestations/ dermatoses
481 20 Urea Cream 10% 100mg Tube / SN SN SN Skin differentiation and prolifiration (for topical use)
AIDS
(4) OTHER MEDICINES482 1 NQ0115 Clotrimazole (vaginal tablets) 500mg Pessary SN SN SN SN Antifungal Pain/Cancer
11 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
483 2 NQ0608 Miconazole 100mg Pessary SN SN SN SN Antifungal
484 3 Paracetamol 300mg Supp * * * *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
III 7 ORAL HEALTH PROGRAMA MEDICINES
485 1 NI0070 Calcium Hydroxide B/2P / * * *
486 2Composite light cure high briand microfiller 4g ( color A3, A3.5 ) for restorative filling dental cavity
Pcs / * * *
487 3 Eugenol USP 10ml Vial SN * * *
Toothache and other related uses as local antiseptic and anesthetic. Mixed with zinc oxide - restorative and prosthodontic
488 4 NI0140 Glass ionomer for Rest Gc Fuji II Powder 15g + liquid 10g
Box * * * *
489 5 NI0141 Glass ionomer for Rest Gc Fuji IX Powder 15g + liquid 10g
Box * * * *
490 6 Glass ionomer for Rest Gc Fuji VII Powder 15g + liquid 10g
Box * * * *
491 7 NI0220 Lidocain 2% Adrenaline 0.001% 1.8 ml Cart * * * * Local anaesthetic
492 8 Lidocain 2% Non-adrenaline 1.8 ml Cart * * * * Local anaesthetic
493 9 Fluoride Varnish 10 ml Tube * * * * Prevent tooth decay
494 10 Fluoride Gel 113g Tube * * * * Prevent tooth decay
495 11 Polyhexa+didecyl St 72.17 Hexanios for Soaking instruments before Sterilization Sachets /25ml Sachet * * * * Instrument sterilization
496 12 Sodium Fluoride (NaF) powder Kg / / / *
497 13 NI0210 Zinc Oxide Powder 1Kg Jar * * * *Mixed with Eugenol produce material which has restorative and prosthodontic applications.
B MATERIALS
498 1 Barbed broach ( tire -nerf) to take the nerf from dental canal
Pcs / * * *
499 2 Burr cylinder Highspeed Pce / * * *500 3 Burr cylinder Lowspeed Pce / * * *
12 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
501 4 Burr round for contra Angle Highspeed Pce / * * *
502 5 Burr round for contra Angle Lowspeed Pcs / * * *
503 6 Files Complete set length 21 mm ( files used for root treatment )
#15,#20,#25, #30,#35,#40
Pcs / * * *
504 7 Lentulo, Complete set ( used for root canal treatment )
Pcs / * * *
505 8 Matrix bands medium ( Metal Matrix) Pcs / * * *
506 9 NV0160 Needle Dental 27G .21mm Pcs SN * * *507 10 NV0161 Needle Dental 27G . 30mm Pcs SN * * *508 11 NV0162 Needle Dental 27G . 35mm Pcs SN * * *509 12 NV0030 Catridge syringe ( metal ) 1,8ml Pcs * * * *
510 13 Surgical blade #11 Pcs / * * * For use in surgical Procedure
III 8 NATIONAL IMMUNIZATION PROGRAM511 1 NB0031 BCG Vaccine with diluent (+VVM) 20doses Vial * / / / Vaccine
512 2 NB0042 DTP-HepB -Hib Vaccine (+VVM) 0.5ml/Dose Vial * / / / Vaccine
513 3 NB0051Hepatitis B Vaccine 10mg/0.5ml (+VVM)
1dose Vial * / / / Vaccine
514 4 NB0053Japanese Encephalitis Vaccine with diluent (+VVM)
5 Doses Vial * / / / Vaccine
515 5 NB0070 Measle Vaccine with diluent (+VVM) 10doses Vial * / / / Vaccine
516 6 NB0062Oral Polio Vaccine with dropper (+VVM)
10doses Vial * / / / Vaccine
517 7 NB0081 Tetanus Toxin Vaccine (+VVM) 10doses Vial * / / / Vaccine
518 8 NP0010 Syringe, Autodestruct 0.05ml + Needle 27G x 3/8 Pcs * / / / Consummable Supplies
519 9 NP0012 Syringe, Autodestruct 0.5ml + Needle 23G x 1 Pcs * / / / Consummable Supplies
III 9 NUTRITION PROGRAM
520 1 Iron-Folate Weekly Iron-Folic Supplementation (WIFS)
60mg Iron element + 2.8 mg Folic acid Rose Tab * SN SN SN
Weekly Iron-Folic Supplementation (WIFS) in Women of Reproductive Age
13 of 18
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Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
521 2
Rehydration Solution for Malnutrition (ReSomal) (Glucose 55mmol; Sucrose 73mmol; Potassium 45mmol; Chloride 70mmol; Citrate 7mmol; Magnesium 3mmol; Zinc 300μmol; Copper 3μmol)
42.1g Sachet / / SN SN Treatment of rehydration in severally malnorished children
522 3
Therapeutic Milk F-75 [Energy 448Kcal, Protein 5% energy, Lipids 31% energy, Vit A (0.9mg), Vit D (18µg), Vit E (20mg), Vit C (59mg), Vit B1 (0.5mg), Vit B2 (1.2mg), Vit B6 (0.8mg), Folic acid (200µg), Vit B12 (1.6µg), Vit K (15µg), Biotin (60µg), Pantothenic acid (3mg), Sodium (<87mg), Calcium (560mg), Phosphor (330mg), Potassium (1100mg), Magnesium (50µg), Zinc (12.2mg), Iodine (100µg), Cuivre/Copper (1.7mg), Selenium (30µg) and Fer/Iron (<0.3mg)]
410g Sachet / / SN SN For treatment of severe malnutrition (rehabilitation phase)
523 4
Therapeutic Milk F-100 [Energy 520Kcal, Protein >10% of energy, Lipids >45% of energy, Vit A (800µg), Vit D (15µg), Vit E (20mg), Vit C (50mg), Vit B1 (0.5mg), Vit B2 (1.6mg), Vit B6 (0.6mg), Niacin (5mg), Folic acid (200µg), Vit B12 (1.6µg), Vit K (15µg), Biotin (60µg), Pantothenic acid (6mg), Sodium (<290mg), Calcium (300mg), Phosphor (300mg), Potassium (1100mg), Magnesium (80µg), Zinc (11mg), Iodine (70µg), Cuivre/Copper (1.4mg), Selenium (20µg) and Fer/Iron (<0.2mg)]
456g Sachet / / SN SNFor treatment of severe malnutrition (maintenance/treatment phase)
524 5
Multiple Micronutrient Powder (MNP)[Iron (12.5mg), Zinc (10mg), Vitamin A (300µg), Iodine ( 90µg), Vit B1 (0.5mg), Vit B2 (0.5mg), Vit B6 (0.5mg), Vit B12 (0.9µg), Niacin (6mg), Folate/Folic acid (160µg), Vit C (Ascorbic acid) (30mg), Copper (0.3mg), Selenium (17µg), Vit D (5µg) and Vit E (6mg)]
1g Sachet * SN SN SN Multi-nutrient formula/powder for children 6-24 months.
14 of 18
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Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
III 10 PAIN RELIEF AND PALLIATIVE CARE
525 1 Clonazepam 2mg Tab / / SN SN Anxiolytic with muscle relaxantion and anticonvulsant action
Psychiatry
526 2 Clonazepam Drops 2.5 mg/ml Btl / / SN SN Anxiolytic with muscle relaxantion and anticonvulsant action Psychiatry
527 3 Codeine Phosphate 30mg Tab / / SN SN Opioid analgesic Psychiatry /Dermatological
528 4 Codeine Phosphate Syrup 1mg/ml Btl / / SN SN Opioid analgesic Psychiatry
529 5 Gabapentin 100mg Cap / / SN SN Neuropathic pain relief Psychiatry
530 6 Ibuprofene 200mg Tab / / SN SN Analgesic - NSAIDs
531 7 Ibuprofen (ped) 250mg Supp / / SN SN Analgesic - Nonsteroidal anti-inflammatory drugs (NSAIDs)
532 8 Ibuprofen Syrup 20mg/ml Btl / / SN SN Analgesic - Nonsteroidal anti-inflammatory drugs (NSAIDs)
533 9 Morphine Sulphate (Lasting 4 h) 10mg Tab / / SN SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Dermatological
534 10 Morphine Sulphate (Lasting 4 h) 30mg Tab / / SN SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Dermatological
535 11 Morphine Sulphate retard (Lasting 12h) 10mg Tab / / SN SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
536 12 AA0342 Morphine Sulphate retard (Lasting 12h) 30mg Tab / / SN SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
537 13 Paracetamol 250mg Rectocap / / SN SNThermal stable suppostory. Analgesic and antipyretic without anti-inflamatory effect
538 14 Tramadol Chlorhydratre 50mg Tab / / SN SNSynthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
539 15 Tramadol Chlorhydratre (Retard) 100mg Tab / / SN SNSynthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
540 16 Docusate Sodium 50mg Tab / / SN SN Laxative 15 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
541 17 Lactulose Syrup 3.3mg/5ml Btl / / SN SN Laxative - for chronic constipation
542 18 Nalaxone 400mg Tab / / SN SNAntidote to opioid poisoning/emergency overdose treatment
III 11 ANTI CANCER MEDICINES
543 1 Bleomycin Sulfate 15mg Vial / / / SN Cancer chemotherapy -various types
544 2 Cisplatin 50mg/50ml Vial / / / SN Cancer chemotherapy -various types
545 3 Cyclophosphamid (endoxan) 500mg Vial / / / SN Cancer chemotherapy -various types
546 4 Dacabarzine 100mg + Solvent 100mg Vial / / / SN Antineoplastic chemotherapy drug - for various cancers
547 5 Doxorubicin Hydrochloride 50mg/25ml Vial / / / SN Cancer chemotherapy -various types
548 6 Etoposide 100mg/5ml Amp / / / SN Cancer chemotherapy -various types
549 7 Fluorouracil 250mg/5ml Amp / / / SN Cancer chemotherapy -various types
550 8 Methotrexate 50mg/2ml Vial / / / SN Cancer chemotherapy -various types
551 9 Mitomycine 2mg Vial / / / SN Cancer chemotherapy
552 10 Ondansetron hydrochloride 8mg/4ml Amp / / / SN Antiemetic - nausea and vomiting during chemotherapy.
553 11 Tamoxifen Citrate 20mg Tab / / / SN Hormone/antihormone
554 12 Vincristine Sulphate 1mg/1ml Vial / / / SN Cancer chemotherapy -various types
III 12 DIABETES
555 1 Glimepiride 2mg Tab SN SN SN SN Anti-diabetic; treat of type 2 diabetes mellitus
556 2 NQ0605 Metformine 500mg Tab SN SN SN SN Anti-diabetic; treat of type 2 diabetes mellitus
557 3 NK0031 Insuline, long acting 1000 IU/ 10ml Vial / SN SN SN Anti-diabetic; type 1 and type 2 diabetes mellitus
558 4 Insuline, rapid acting (3-6 hours efficacy)
1000 IU/ 10ml Vial / SN SN SN Anti-diabetic; type 1 and type 2 diabetes mellitus
16 of 18
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Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
559 5 Premixed Insuline 70/30 (Semi-lente 70/ Rapid 30)
1000 IU/ 10ml Vial / / SN SN Anti-diabetic; type 1 and type 2 diabetes mellitus
III 13 ENDOCRINOLOGY AND HORMONOLOGY
560 1 Hydrocortisone 10mg Tab / / SN SN Anti-inflamatory and other endocrinoly uses
561 2 Levothyroxine 50µg Tab / / SN SN Anti-hyperthyroidism.
562 3 Neomercazole 5mg Tab / / SN SN Anti-hyperthyroidism.
III 14 INFECTION CONTROL AND PREVENTION
563 1 AD0040 Chlorhexidine gluconate 20% 1L Btl * * * * Antiseptic concentrate; 5% solution used as antiseptic
564 2 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* * * * Antiseptic concentrate; 5% solution used as antiseptic
565 3 Sodium Hypochloride ( Bleach ) 5 or 6 % Litre / / / * Use: for Surface decontamination and low level Disinfection
566 4 Peracetic Acid 0.2% 0.20% Btl / / / * Use: for high level disinfection of reusable medical equipment
567 5 Glutaraldyhyde 2% 2% Btl / / / * Use: for high level disinfection of reusable medical equipment
568 6 Isopropyl Alcohol 99.8% 99.80% Btl / * * * Mix with other ingredients to produce alcohol hand rub
569 7 NQ5121 Ethanol 96% V/V Btl / * * * Mix with other ingredients to produce alcohol hand rub
570 8 XA1410 Glycerol 98% 98% Btl / * * * Mix with other ingredients to produce alcohol hand rub
571 9 Apron, plastic, disposable (Liquid and Spash Resistant) Small Pcs * * * *
Use: to protect health care workers from droplets or splashes
572 10 Apron, plastic, disposable (Liquid and Spash Resistant) Medium Pcs * * * *
Use: to protect health care workers from droplets or splashes
573 11 Apron, plastic, disposable (Liquid and Spash Resistant) Large Pcs * * * *
Use: to protect health care workers from droplets or splashes
574 12 Gown, disposable (Liquid and Spash Resistant)
Small Pcs * / / * Use: to protect health care workers from droplets or splashes
17 of 18
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA CPA1 CPA2 CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
575 13 Gown, disposable (Liquid and Spash Resistant)
Medium Pcs * / / * Use: to protect health care workers from droplets or splashes
576 14 Gown, disposable (Liquid and Spash Resistant)
Large Pcs * / / * Use: to protect health care workers from droplets or splashes
577 15 Goggles (reuseable) Small Litre / / / *Use: for protecting Health Care worker from spashes into their eyes
578 16 Goggles (reuseable) Medium Litre / / / *Use: for protecting Health Care worker from spashes into their eyes
579 17 Goggles (reuseable) Large Litre / / / *Use: for protecting Health Care worker from spashes into their eyes
580 18
N95 Mask, Health Care Paticulate Respirator-cone or flat fold (95% or greater filter efficiency against paticulate aerosols free of oil, fluid or splash resistant, double elastic bands)
Small Pcs / / / *Use: to protect health care workers from disease spread by aerosol particulates
581 19
N95 Mask, Health Care Paticulate Respirator-cone or flat fold (95% or greater filter efficiency against paticulate aerosols free of oil, fluid or splash resistant, double elastic bands)
Medium Pcs / / / *Use: to protect health care workers from disease spread by aerosol particulates
582 20
N95 Mask, Health Care Paticulate Respirator-cone or flat fold (95% or greater filter efficiency against paticulate aerosols free of oil, fluid or splash resistant, double elastic bands)
Large Pcs / / / *Use: to protect health care workers from disease spread by aerosol particulates
18 of 18
MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
I BASIC MEDICINES
1 ORAL MEDICINES
1 1 AA0010 Acetylsalicylic Acid 500mg Tab * Analgestic, Antipyretic, antimigraine, antithrombotic
Hypertention +Diabetes
KINGDOM OF CAMBODIANATION RELIGION KING
bB¢aI»sfsarvnþ
ESSENTIAL MEDICINES LIST - 7th Edition
MPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
2 2 AA0020 Aluminium Hydroxide 500mg Tab * Antacid
3 3 AA0030 Aminophylline 100mg Tab * Anti-asthmatic/brochodialator
4 4 Amlodipine 10mg Tab SN Antihypetensive Hypertention +Diabetes
5 5 AA0060 Amoxicillin 250mg Tab * Antibacterial (beta lactam) IMCI
6 6 AA0061 Amoxicillin 500mg Cap * Antibacterial (beta lactam) IMCI
7 7 AA0040 Amoxicillin Dry Powder/Granules 60ml 125mg/5ml Btl * Antibacterial (beta lactam) - for children IMCI
8 8 AA0080 Atenolol 50mg Tab * Antihypetensive; antiangino Hypertention + Diabetes
9 9 AA0090 Bromhexin 8mg Tab * Broncho mucolytic/antitussive
10 10 AA0640 Bromhexin Syrup 60ml 4mg/5ml Btl * Broncho mucolytic/antitussive
11 11 Captopril 25mg Tab SN Antihypetensive Hypertention + Diabetes
12 12 AA0101Charcoal Activated ( Charbon Adsorbant ) 125mg Tab * Antidote (non-specific) for poisoning
13 13 AA0110 Chlorpheniramine maleate 4mg Tab * Anti-histamine; anti-allergic
14 14 AA0130 Ciprofloxacin (as hydrochloride) 500mg Tab SN Antibacterial STD,Opthl,AIDS, IMCI
15 15 AA0150Co-trimoxazole (sulfamethoxazole+trimethoprim) 100+20mg Tab * Antibacterial
16 16 AA0151Co-trimoxazole (sulfamethoxazole+trimethoprim) 400+80mg Tab * Antibacterial
17 17 AA0154Co-trimoxazole (sulfamethoxazole+trimethoprim) Suspension 60ml
200+40mg/5ml Btl * Antibacterial - for children IMCI
18 18 AA0190 Doxycycline (as hydrochloride) 100mg Tab * Antibacterial
1
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
19 19 AA0200Erythromycin (as stearate or ethyl succinate) 250mg Tab * Antibacterial STD,Dermato,AIDS, IMCI
20 20 Erythromycin stearate Dry Powder/Granules 60ml 125mg/5ml Btl * Antibacterial - for children IMCI
21 21 Fenofibrate 300mg Tab SN Anti-cholesterol and triglyceride Hypertention + Diabetes
22 22 Ferrous fumarate Suspension 60ml 100mg/5ml Btl * Antianaemic/iron supplement - for children IMCI
23 23 AA0210 Ferrous Sulphate + Folic Acid200+0.40mg (60mg Iron element + 0.4
mg Folic acid)Red Tab * Antianaemic/Iron+Folic/Nutrition supplement
for use in pregnancyNutrition
24 24 AA0220 Fluconazole 100mg Tab SN Oral antifungal Dermatologic programm
25 25 AA0230 Folic Acid 5mg Tab * Antianaemic Dermatologic programm
26 26 AA0240 Furosemide 40mg Tab SN Diuretic and anti-hypertensive; also used in heart f l
Hypertention26 26 AA0240 Furosemide 40mg Tab SN failureHypertention
27 27 AA0250 Hydralazine 25mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
28 28 Hydrochlorthiazide (scored tablet) 25mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
29 29 AA0260 Hydrochlorothiazide (scored tablet) 50mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
30 30 AA0280 Mebendazole 500mg Tab * Intestinal anthelminthic Schistosomiasis / IMCI
31 31 AA0290 Methyldopa 250mg Tab SN
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
32 32 AA0320 Metoclopramide (as hydrochloride) 10mg Tab * Antiemetic Palliative Care,
33 33 AA0300 Metronidazole 250mg Tab * Antibacterial/antiamoebic/antigiardiasis STD
34 34 Metronidazole suspension 60 ml 200mg/5ml Btl * Antibacterial/antiamoebic/antigiardiasis - for children
35 35 Mifepriston + Misoprostol (01 tab x200mg) +(04 tab x200µg) Tab SN Medical abortion MCH
2
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
36 36 AA0340 Multivitamin + Mineral Tab * Vitamin and minerals supplement STD / IMCI
37 37 AA0350 Nalidixic Acid 500mg Tab SN Anti-infective (quinolone) IMCI
38 38 AA0360 Niclosamide 500mg Tab * Intestinal anthelminthic
39 39 AA0380 Nystatin 500.000IU Tab SN Oral antifungal STD / AIDS
40 40 AA0390
Oral Rehydration Salts (Low osmolarity for 1L) [Glucose: 13.5g/l, Sodium chloride:2.6g/l, Potasium chloride 1.5g/l, Trisodium citratedihydrate:2.9g/l (20.5g)]
20.5g Sachet * Oral remedy for rehydation
41 41 AA0410 Paracetamol 100mg Tab * Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
NIP
42 42 AA0411 Paracetamol 500mg Tab * Analgesic, antipyretic, antimigraine, without anti-inflamatory action
A l h43 43 AA0412 Paracetamol 500mg Supp * Analgesic, antipyretic, antimigraine; without anti-inflamatory action
Malaria
44 44 AA0413 Paracetamol Syrup 60ml 125mg/5ml Btl * Analgesic, antipyretic without anti-inflamatory action - for children
IMCI
45 45 AA0450 Phenobarbital 50mg Tab SN Anticovulsant/antiepileptic Psychiatry
46 46 AA0440Phenoxymethyl Penicillin (as potassium salt) 250mg Tab * Antibiotic (beta lactam)
47 47 AA0460 Potassium Chloride 600mg Tab SN Treatment of hypokalemia in patients predisposed to loss o K+ e.g. patients on high doses of diuretics
48 48 AA0470 Prednisolone 5mg Tab SN Anti-inflammatory ; Anti-allergic/anaphylaxis AIDS/Leprosy
49 49 AA0480 Promethazine 25mg Tab * Antihistamine, anti-emetic
50 50 AA0481Promethazine (as hydrochloride) 0.1% syrup 60ml 5mg/5ml Btl * Antihistamine, anti-emetic - for children
51 51 AA0500 Salbutamol 4mg Tab * Antiasthmatic/bronchodialator
52 52 AA0501 Salbutamol for Inhalation 200 doses 0.1mg/dose Btl SN Antiasthmatic/bronchodialator
53 53 Simvastatine 20mg Tab SN Anti-cholesterol; used to prevent cardio vascular disease
Hypertention + Diabetes
54 54 AA0510 Tiemonium methylsulphate 50mg Tab SN Antispasmodic Pain/Cancer
3
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
55 55 AA0491 Vitamine A (Retinol) ( red color capsule with nipple) 200,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
56 56 AA0490 Vitamine A (Retinol) (blue color capsule with nipple) 100,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
57 57 AA0531 Vitamin B1 50mg Tab * Vitamin B1 supplement
58 58 AA0541 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
59 59 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide
TB Program
isoniazide.
60 60 NL0040 Zinc Sulphate (Dispersible) 20mg Tab * Diarrhoea in children used as with/an adjuct to ORS
MCH / IMCI
2 INJECTIONS61 1 AB0020 Ampicillin 500mg Vial SN Antibacterial (beta lactam). IMCI
62 2 AB0020 Ampicillin 1g Vial SN Antibacterial (beta lactam) MCH
63 3 AB0030 Atropine Sulphate 1mg/1ml Amp * Pre-operation medication; specific antidote for some poisoning
64 4 AB0050 Butylscopolamine (Hyoscin, Buscopan) 20mg/2ml Amp SN Antispasmodic
65 5 AB0060 Calcium Gluconate 10% 1g/10ml Amp SN Specific antidote for some type of poisoining MCH
66 6 AB0080 Ceftriaxone 1g Vial SN Antibacterial (beta lactam) STD
67 7 AB0140 Dextrose 50% 50ml Vial SN
Hypoglycemia (low blood sugar) in emergency care; management of coma of unknown origin; andrestoration of energy.
68 8 AB0150 Diazepam 10mg/2ml Amp SNPsychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Psychia/IMCI
4
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
69 9 AB0190 Ergometrine Methyl 0.2mg/1ml Amp SN Oxytocic (uterine contraction)
70 10 AB0230 Gentamycin (as sulphate) 80mg/2ml Amp SN Antibacterial
71 11 AB0250 Hydrocortisone (as Sodium succinate) 100mg Vial SN
A naturally occuring steroid/glucocorticoid with rapid onset of action but short duration: used, among others, as Anti-inflammatory ; Anti-allergic in anaphylaxis
72 12 AB0270 Lidocaine 2% 50ml Vial SN Local anaesthetic - injectable Eye Unit / MCH
73 13 AB0290 Magnesium Sulphate 50% IM/IV 10ml Amp SNFor treating eclampsia and severe pre-eclampsia not to be used in other forms of convulsant disorders
MCH
74 14 AB0440 Oxytocin 10 IU/1ml Amp * Oxytocic (uterine contraction) MCH
75 15 AB0420 Vit i K1 (Ph t di ) 10 /1 l A SN Coagulant: affects blood coagulation; helps to stop MCH75 15 AB0420 Vitamin K1 (Phytomenadione) 10mg/1ml Amp SN g g ; p p
bleedingMCH
76 16 AB0430 Water for Injections 5ml Amp SN Diluent for injection
3 IV FLUIDS
77 1 AC0031 Dextrose 10% + IV giving set 500ml Btl SN Rehydration and energy; diluent for other IV medications
Malaria / MCH
78 2 AC0041 N S S 0.9% + IV giving set 1000ml Btl * Electrolytes replacement, rehydration, and source of sodium, sugar and energy
MCH
79 3 AC0060 Ringer's Lactate + IV giving set 1000ml Btl *
Fluid and electrolyte replenishment therapy. Also often called Hartmann's solution - for the correction of extracellular volume and electrolyte depletion.
Dengue / IMCI / MCH
4 OTHER MEDICINES5 EXTERNAL MEDICINES
80 1 AD0010 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar * Antifungal (topical)
81 2 AD0020 Benzyl Benzoate 25% 1L Btl * Scabicide, pediculicide (topical)
82 3 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
83 4 AD0120 Gentian Violet Powder 25g Jar * Anti-infective (topical) as a 0.5 aqueous solution or tincture
5
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
84 5 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl * Antiseptic concentrate; 5% solution used as
antisepticIPC Program
85 6 AD0180 Petroleum Jelly (Vaseline) 500g Jar * Emollient (skin lubrication and mosturizer)
86 7 AD0140 Polyvidone Iodine 10% 200ml Btl * Topical Antiseptic (wound application)
87 8 AD0190 Zinc oxide 10% 500g Jar * Hypoallergenic (minimize itching due to skin allergic reactions)
II CONSUMMABLES88 1 QA0031 Adhesive Tape Zinc Oxide perforated 18cm x 5m Roll *89 2 QA0030 Adhesive Tape Zinc Oxide perforated 5cmx5m Roll *90 3 QA0070 Bandage, Gauze Non-sterile 7.5cmx10m Roll *91 4 QA0090 Blades for Surgical Knife #15 Pcs * Oral Health 92 5 QA0160 Catheter IV with injection port 18G Pcs SN93 6 QA0161 Catheter IV with injection port 20G Pcs SN94 7 QA0162 Catheter IV with injection port 22G Pcs SN STD,AIDS95 8 QA0163 Catheter IV with injection port 24G Pcs SN96 9 QA0164 Catheter IV with injection port 26G Pcs SN97 10 QA0190 Cotton Wool Absorbent 500g Roll *98 11 QA0290 Gauze, absorbent (BP17g/m2) 90cmx91m Roll *99 12 QA0300 Glove examination, non sterile, Latex Small Pcs *
100 13 QA0310 Glove examination, non sterile, Latex Medium Pcs *101 14 QA0302 Glove examination, non sterile, Latex Large Pcs *
102 15 QA0360 Glove, sterile, Long Cuff (for Gynaecological use)
Small Pcs *
103 16 QA0361 Glove, sterile, Long Cuff (for Gynaecological use)
Medium Pcs *
104 17 QA0362 Glove, sterile, Long Cuff (for Gynaecological use)
Large Pcs *
105 18 QA0370 Medical Plastic Bags (Khmer printing, as sample)
7cm x 11cm Pcs *
106 19 Manual Vacuum Aspiration (MVA) Kit (Gynecological )
Kit SN MCH
107 20 QA0391 Needle Disposable 19G x 1.½" Pcs SN108 21 QA0392 Needle Disposable 21G x 1.½" Pcs SN109 22 QA0393 Needle Disposable 23G x 1" Pcs SN110 23 QA0394 Needle Disposable 25G x 1" Pcs SN111 24 Original Perfusor 150cm Pcs *
6
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
112 25 Paper face mask 2 plies Pcs *113 26 NP0130 Safety Box for Used Syringe 5L Pcs * Infection Control114 27 NP0131 Safety Box for Used Syringe 10 L Pcs * Infection Control115 28 QA0541 Scalp Vein 23G Pcs *116 29 QA0542 Scalp Vein 25G Pcs * MCH
117 30 QA0553 Suture/Catgut Plain 22mm curved cutting 75cm
3/0 Pcs *
118 31 QA0554 Suture/Catgut Plain 25mm½ circle Rb 75cm 2/0 Pcs *
119 32 QA0555 Suture/Catgut Plain 30mm½ circle Rb 75cm 0 Pcs *
120 33 QA0563 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon)
2/0 Pcs *
121 34 QA0561 Suture/Polyamide 26 mmCurved Rev cutting 75cm (Nylon)
3/0 Pcs *g ( y )
122 35 QA0575 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon)
4/0 Pcs *
123 36 NQ4768 Sphygmomanometer Aneroid for Adult 300 mm Hg Pcs *124 37 QB0530 Stethoscope Binaural Pcs *125 38 Syringe Disposable & Needle 26G 1ml Pcs * MCH/Diabetes126 39 QA0680 Syringe Disposable & Needle 25G 2ml Pcs *127 40 QA0664 Syringe Disposable & Needle 25G 5ml Pcs *128 41 QA0661 Syringe Disposable & Needle 23G 5ml Pcs *129 42 QA0662 Syringe Disposable & Needle 23G 10ml Pcs *130 43 QA0710 Talc 1kg Box *131 44 QA0740 Tape Umbilical Non sterile 3mm Roll *132 45 Indicator Strips Test For Sterilization Roll * Infection Control133 46 QB0560 Thermometer Oral/Rectal oC Pcs *134 47 QA0760 Tongue depressor wood adult Pcs *135 48 QA0840 Umbilical cord clamp Pcs *136 49 Yellow Plastic bag with Red label (15-20L) Pcs *
III NATIONAL PROGRAMSIII 1 EYE UNIT/PROGRAM137 1 NQ3142 Tetracycline 1 % eye ointment 5g Tube * Opth.- anti-infective
III 2 NATIONAL CENTRE OF TUBERCULOSIS AND LEPROSY CONTROL (CENAT)A TUBERCULOSIS PROGRAM(1) First Line Anti-TB Medicines
7
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
138 1 NC0009 Ethambutol 100mg Tab * Anti-tuberculosis139 2 NC0010 Ethambutol 400mg Tab * Anti-tuberculosis140 3 NC0071 Rifampicine / Isoniazide 150 + 75mg Tab * Anti-tuberculosis141 4 NC0070 Rifampicine / Isoniazide 60+30mg Tab * Anti-tuberculosis
142 5 NC0080Rifampicine / Isoniazide / Pyrazinamide 60+30+150mg Tab * Anti-tuberculosis
143 6 NC0082Rifampicine/Isoniazide/Pyrazinamide/Ethambutol
150+75+400+275 mg Tab * Anti-tuberculosis
144 7 NC0092 Streptomycine 1g Vial SN Anti-tuberculosis
145 8 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
146 9 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
147 (2) Second Line Anti-TB Medicines
148 1 GA3901 Amikacin 500mg Vial SN 2nd line anti-infective (aminoglycoside) - multidrug resistant gram negative bacteria
149 2 Capreomycin 1g Vial SN 2nd antimycobacterials: tuberculosis and leprostatic agents
150 3 Cycloserine 250mg Cap SN Anti-infective used as 2nd line anti-TB
151 4 Ethionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
152 5 Gatitfloxacin 500mg Tab SN Anti-infective used as 2nd line anti-TB
153 6 Kanamycin 1g Vial SN Anti-infective used as 2nd line anti-TB
154 7 Levofloxacin 250mg Tab SN Anti-infective used as 2nd line anti-TB
8
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
155 8 Moxifloxacin 400mg Tab SN Anti-infective used as 2nd line anti-TB
156 9 AA0400 Ofloxacin 200mg Tab SN Anti-infective used as 2nd line anti-TB
157 10 Para Amino Salicylic Acid 4g Sachet SN Anti-infective used in combination with other anti-TB as 2nd line
Powder 100gr per Jar
158 11 Prothionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
B LEPROSY PROGRAM159 1 NC0020 MB (multibacillary) Adult Blister * Antileprosy
160 2 NC0030 MB (multibacillary) Child Blister * Antileprosy
161 3 NC0040 PB (paucibacillary) Adult Blister * Antileprosy
162 4 NC0050 PB (paucibacillary) Child Blister * Antileprosy
III 3 NATIONAL CENTRE FOR PARASITOLOGY, ENTOMOLOGY AND MALARIA CONTROL (CNM)A MALARIA PROGRAM
163 1 ND0059 A+M1 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (1-5yrs)
164 2 ND0060 A+M2 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (6-10yrs)
165 3 ND0061 A+M3 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (11-14yrs)
166 4 ND0063 A+M5 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (> 15yrs)
167 5 ND0051 Artesunate Rectocap 50mg Tab * for severe malaria
168 6 ND0052 Artesunate Rectocap 200mg Tab * for severe malaria
169 7 Artesunate injectable + 1ml of 5% Sodium bicarbonate solution 60mg
Vial + Amp
(Solution)
SN for severe malaria
170 8 ND0040 Artemeter injection 80mg/ml Amp SN for severe malaria
171 9 ND0110 Mefloquine 250mg Tab SN Used in combination with artesunate
172 10 ND0031 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 3Tab) * Proposed new first line ACT for malaria caused by
P. faciparum.
173 11 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 6Tab) * Proposed new first line ACT for malaria caused by
P. faciparum.
174 12 Piperaquine + Dihydro artemisinin 320mg+40mgBlister(9Tab) * Proposed new first line ACT for malaria caused by
P. faciparum.
9
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
175 13 ND0150 Quinine Sulfate 300mg Tab SN Used in severe malaria and should be used in combination with Doxycycline
176 14 ND0140 Quinine Dihydrochloride 600mg/2ml Amp SNP. falciparum malaria; no longer recommended by the WHO as first line treatment for malaria and should only be used when ACTs are not available
177 15 ND0170 Tetracycline 250mg Cap * Anti-infective - with action on malaria parasite
B SCHISTOSOMIASIS AND HELMINTHIASIS PROGRAM
178 1 ND0130 Praziquantel 600mg Tab SN Intestinal anthelminthic:antischistosomal/antitrematode
C DENGUE HAEMORRHAGIC FEVER PROGRAMC DENGUE HAEMORRHAGIC FEVER PROGRAM
179 1 AC00345% Dextrose in Isotonic Saline Solution + IV Giving Set 500ml Blt SN Water, electrolyte replacement and source of
energy
D FILARIASIS PROGRAM180 1 NQ0004 Albendazol 400mg Tab SN Intestinal anthelmenthic AIDS
181 2 ND0230 Diethylcarbamazine (dihydrogen citrate) 100mg Tab SN Antifilarial
182 3 Invermectin (scored tablets) 3mg Tab SN Antifilarial
III 4 BIRTH SPACING PROGRAM
183 1 NH0020 Depo-medroxyprogesterone acetate 150mg/3ml Vial * Injectable hormonal contraceptive - long acting
184 2 NH0040 Norgestrel (Progestin-Only-Pill) 0.075mg Blister * Oral Contraceptive
185 3 NH0050Ethinyloestradiol + Levonorgestrel (Combined Oral Contraceptive) 0.03/0.15mg Blister * Combined Oral Contraceptive
186 4 NH0010 Condom 49mm Pcs * Physical barrier contraceptive
187 5 NH0030 IUD Copper T 380A T380A Pcs * Intra-uterine device (IUD) Contraceptive
188 6 NH0011
Female Condom (Lubricated loose-fitting Polyurethane, pouch closed at one end, open at the other with soft rings at each end. 160-180mm width, 41-61µ thickness, 2.23-2.53mm outer ring, 56.5-58-5mm inne
160-180mm Pcs * Physical barrier contraceptive
10
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
189 7 NH0052Levonorgestrel (Emergency/Morning After Contraceptive Pills), 2 pill per Blister
0.75mg Blister * "Morning after" contraceptive
190 8 NH0051Implant: a-Etonorgestrel b- Levonorgestrel
a-68 mg b-150mg Implant * Implant hormonal contraceptive - long acting
III 5 PSYCHIATRY MEDICINES(1) First Line
191 1 NG0010 Amitriptyline (as hydrochloride) 25mg Tab SN Depressive disorders Pain/Cancer
192 2 NG0041 Chlorpromazine (as hydrochloride) 100mg Tab SN Psychotic disorders
193 3 NG0070 Haloperidol 5mg Tab SN Psychotic disorders Pain/Cancer
194 4 NG0120 Phenytoine 100mg Tab SN Anticovulsants/anti-epileptic Pain/Cancer
195 5 NG0140 Trihexyphenidyl (benzhexol) 5mg Tab SN Antiparkinsonian agent (antimuscarinic class)
III 6 NATIONAL CENTRE FOR HIV/AIDS, DERMATOLOGY AND STD (NCHADS)A HIV/AIDS PROGRAM(1) ADULTS
196 1 NE0010 Abacavir (ABC) (as sulfate) 300mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
197 2 NE0014 Abacavir (ABC) + Lamivudine (3TC) 600mg+300mg Tab SN ARV: 2-FDC
198 3 NE0100Stavudine (D4T) + Lamivudine(3TC) + Nevirapine(NVP)
30mg+150mg+200mg Tab SN ARV: 3-FDC
199 4 NE0013 Atazanavir 300mg Tab SN ARV: Protease inhibitor (PI)
200 5 NE0042Didanosine (ddl) (unbuffered enteric coated tablet) 250mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase
inhibitor
201 6 NE0043Didanosine (ddl) (unbuffered enteric coated tablet) 400mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase
inhibitor
202 7 NE0051 Efavirenz (EFV or EFZ) 200mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
203 8 NE0052 Efavirenz (EFV or EFZ) 600mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
204 9 NE0070 Lamivudine (3TC) 150mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
205 10 NE0080 Stavudine(d4T)+ Lamivudine (3TC) 30mg+150mg Tab SN ARV: 2-FDC
206 11 NE0251 Stavudine (d4T) 30mg Tab SN ARV: nucleoside analog/reverse transcriptase inhibitor (NARTI)
207 12 NE0110 Zidovudine(AZT)+Lamivudine(3TC) 300mg+150mg Tab SN ARV: 2-FDC
11
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
208 13 NE0111Zidovudine(AZT)+Lamivudine(3TC) + Nevirapine(NVP)
300mg+150mg+200mg Tab SN ARV: 3-FDC
209 14 NE0141 Lopinavir/Ritonavir 200mg/50mg Cap SN ARV: Protease inhibitor
210 15 NE0170 Nevirapine 200mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
211 16 NE0220 Ritonavir 100mg Tab SN ARV: pharmacological booster
212 17 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC )
300mg+150mg +300mg Tab SN ARV: 3-FDC
(2) PEDIATRIC
213 1 NE0010 Abacavir (ABC) (as sulfate) 240ml syrup 20mg/ml Bttl SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
214 2 NE0012 Abacavir( ABC ) +Lamivudine (3TC) 60mg+30mg Tab SN ARV: 2-FDC
215 3 NE0102Stavudine(d4T) + Lamivudine(3TC) + Nevirapine(NVP)
12mg+60mg+100mg Tab SN ARV: 3-FDC
216 4 NE0082 Stavudine(d4T) + Lamivudine(3TC) 6mg+30mg Tab SN ARV: 3-FDC216 4 NE0082 Stavudine(d4T) Lamivudine(3TC) 6mg 30mg Tab SN217 5 NE0083 Stavudine(d4T) + Lamivudine(3TC) 12mg+60mg Tab SN ARV: 3-FDC
218 6 NE0045 Didanosine (ddl) 125mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
219 7 NE0046 Didanosine (ddl) 200mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
220 8 NE0050 Efavirenz (EFV or EFZ) 50mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
221 9 NE0150 Lopinavir/Ritonavir 160ml Syrup 80mg/20mg/ml Bttl SN ARV: Protease inhibitor
222 10 NE0142 Lopinavir/Ritonavir (LPV/r) 100mg/25mg Tab SN ARV: Protease inhibitor
223 11 NE0190 Nevirapine (NVP) Syrup 10mg/ml Bttl SN ARV: Non-nucleoside reverse transcriptase inhibitor
224 12 NE0113 Zidovudine (AZT )+Lamivudine (3TC) 60mg+30mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
225 13 NE00114 Zidovudine(AZT) +Lamivudine(3TC) +Nevirapine(NVP ) 60+30+50mg Cap SN ARV: 3-FDC - nucleoside/nucleotide reverse
transcriptase inhibitor
226 14 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC ) 60+30+60mg Cap SN ARV: 3-FDC - nucleoside/nucleotide reverse
transcriptase inhibitor
B DERMATOLOGY, STD, OIs AND OTHER MEDICINES(1) ORAL MEDICINES
227 1 NF0030 Azithromycine 500mg Tab SN Antibacterial
228 2 NF0060 Cefixime 200mg Tab SN Antibacterial (beta lactam)
229 3 NQ0111 Cotrimoxazole 800mg + 160mg Tab SN Antibacterial HIV/AIDS Care
12
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
230 4 Betamethasone (as valerate) 0.1% Ointment/Cream 30g Tube SN Anti-inflammatory, antipruritic (topical)
231 5 NQ2286 Clotrimazole 1% cream 30g Tube SN Antifungal (topical) Pain/Cancer
232 6 NF0151 Hydrocortisone (as acetate) 1% 15g Tube SN Anti-inflammatory, antipruritic (topical)
233 7 NF0180 Ketokonazole 2% cream 15g Tube * Topical broad spectrum antifungal AIDS
234 8 NP0190 Miconazole 2% gel 40g Tube SN Antifungal (topical) - fungal infections of the mouth, throat and gut
235 9 NQ3150 Petroleum Jelly (Vaseline) 15g Tube SN Emollient (skin lubrication and mosturizer); helps protect minor cuts and burns.
236 10 NQ2541 Polyvidone Iodine 10% 200ml Btl SN Topical antiseptic for minor skin injuries Basic nedicine
(2) INJECTIONS(2)(3)
(4)237 1 NQ0115 Clotrimazole (vaginal tablets) 500mg Pessary SN Antifungal Pain/Cancer
238 2 NQ0608 Miconazole 100mg Pessary SN Antifungal
239 3 Paracetamol 300mg Supp * Analgesic, antipyretic, antimigraine; without anti-inflamatory action
III 7 ORAL HEALTH PROGRAMA MEDICINES
240 1 Eugenol USP 10ml Vial SNToothache and other related uses as local antiseptic and anesthetic. Mixed with zinc oxide - restorative and prosthodontic
241 2 NI0140 Glass ionomer for Rest Gc Fuji II Powder 15g + liquid 10g Box *
242 3 NI0141 Glass ionomer for Rest Gc Fuji IX Powder 15g + liquid 10g Box *
243 4 Glass ionomer for Rest Gc Fuji VII Powder 15g + liquid 10g Box *
244 5 NI0220 Lidocain 2% Adrenaline 0.001% 1.8 ml Cart * Local anaesthetic
245 6 Lidocain 2% Non-adrenaline 1.8 ml Cart * Local anaesthetic
246 7 Fluoride Varnish 10 ml Tube * Prevent tooth decay
INJECTIONSEXTERNAL USE MEDCINS OTHER MEDICINES
13
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Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
247 8 Fluoride Gel 113g Tube * Prevent tooth decay
248 9 Polyhexa+didecyl St 72.17 Hexanios for Soaking instruments before Sterilization Sachets /25ml Sachet * Instrument sterilization
249 10 NI0210 Zinc Oxide Powder 1Kg Jar * Mixed with Eugenol produce material which has restorative and prosthodontic applications.
B MATERIALS250 1 NV0160 Needle Dental 27G .21mm Pcs SN251 2 NV0161 Needle Dental 27G . 30mm Pcs SN252 3 NV0162 Needle Dental 27G . 35mm Pcs SN253 4 NV0030 Catridge syringe ( metal ) 1,8ml Pcs *III 8 NATIONAL IMMUNIZATION PROGRAM254 1 NB0031 BCG Vaccine with diluent (+VVM) 20doses Vial * Vaccine254 1 NB0031 BCG Vaccine with diluent ( VVM) 20doses Vial Vaccine
255 2 NB0042 DTP-HepB -Hib Vaccine (+VVM) 0.5ml/Dose Vial * Vaccine
256 3 NB0051Hepatitis B Vaccine 10mg/0.5ml (+VVM) 1dose Vial * Vaccine
257 4 NB0053Japanese Encephalitis Vaccine with diluent (+VVM) 5 Doses Vial * Vaccine
258 5 NB0070 Measle Vaccine with diluent (+VVM) 10doses Vial * Vaccine
259 6 NB0062Oral Polio Vaccine with dropper (+VVM) 10doses Vial * Vaccine
260 7 NB0081 Tetanus Toxin Vaccine (+VVM) 10doses Vial * Vaccine
261 8 NP0010 Syringe, Autodestruct 0.05ml + Needle 27G x 3/8 Pcs * Consummable Supplies
262 9 NP0012 Syringe, Autodestruct 0.5ml + Needle 23G x 1 Pcs * Consummable Supplies
III 9 NUTRITION PROGRAM
263 1 Iron-Folate Weekly Iron-Folic Supplementation (WIFS)
60mg Iron element + 2.8 mg Folic acid Rose Tab * Weekly Iron-Folic Supplementation (WIFS) in
Women of Reproductive Age
264 2
Multiple Micronutrient Powder (MNP)[Iron (12.5mg), Zinc (10mg), Vitamin A (300µg), Iodine ( 90µg), Vit B1 (0.5mg), Vit B2 (0.5mg), Vit B6 (0.5mg), Vit B12 (0.9µg), Niacin (6mg), Folate/Folic acid (160µg), Vit C (Ascorbic acid) (30mg), Copper (0.3mg), Selenium (17µg), Vit D (5µg) and Vit E (6mg)]
1g Sachet * Multi-nutrient formula/powder for children 6-24 months.
14
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Nº Nº Code Description Strength FormMPA
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
III 10 PAIN RELIEF AND PALLIATIVE CAREIII 11 ANTI CANCER MEDICINESIII 12 DIABETES
265 1 Glimepiride 2mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
266 2 NQ0605 Metformine 500mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
III 13 ENDOCRINOLOGY AND HORMONOLOGYIII 14 INFECTION CONTROL AND PREVENTION
267 1 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
268 2 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl * Antiseptic concentrate; 5% solution used as
antiseptic
269 3 Apron, plastic, disposable (Liquid and Spash Small Pcs * U t t t h lth k f 269 3 Resistant) Small Pcs * Use: to protect health care workers from
droplets or splashes
270 4 Apron, plastic, disposable (Liquid and Spash Resistant) Medium Pcs * Use: to protect health care workers from
droplets or splashes
271 5 Apron, plastic, disposable (Liquid and Spash Resistant) Large Pcs * Use: to protect health care workers from
droplets or splashes
272 6 Gown, disposable (Liquid and Spash Resistant) Small Pcs * Use: to protect health care workers from droplets
or splashes
273 7 Gown, disposable (Liquid and Spash Resistant) Medium Pcs * Use: to protect health care workers from droplets
or splashes
274 8 Gown, disposable (Liquid and Spash Resistant) Large Pcs * Use: to protect health care workers from droplets
or splashes
15
MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
I BASIC MEDICINES1 ORAL MEDICINES
1 1 AA0010 Acetylsalicylic Acid 500mg Tab * Analgestic, Antipyretic, antimigraine, antithrombotic
Hypertention +Diabetes
2 2 AA0020 Aluminium Hydroxide 500mg Tab * Antacid
3 3 AA0030 Aminophylline 100mg Tab * Anti-asthmatic/brochodialator
4 4 Amlodipine 10mg Tab * Antihypetensive Hypertention +Diabetes
5 5 AA0060 Amoxicillin 250mg Tab * Antibacterial (beta lactam) IMCI
6 6 AA0061 Amoxicillin 500mg Cap * Antibacterial (beta lactam) IMCI
7 7 AA0050 Amoxicillin + Clavulanic acid 500mg+125mg Tab * Antibacterial (beta lactam)
8 8 AA0040Amoxicillin Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial (beta lactam) - for children
IMCI
9 9 AA0080 Atenolol 50mg Tab * Antihypetensive; antiangino Hypertention + Diabetes
10 10 AA0090 Bromhexin 8mg Tab * Broncho mucolytic/antitussive
11 11 AA0640 Bromhexin Syrup 60ml 4mg/5ml Btl * Broncho mucolytic/antitussive
12 12 Captopril 25mg Tab * Antihypetensive Hypertention + Diabetes
13 13 AA0101Charcoal Activated ( Charbon Adsorbant )
125mg Tab * Antidote (non-specific) for poisoning
14 14 AA0110 Chlorpheniramine maleate 4mg Tab * Anti-histamine; anti-allergic
15 15 Chlorpromazine (as hydrochloride) 25mg Tab * Psychotic disorders Psychiatry
16 16 AA0120 Cimetidine 200mg Tab *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
17 17 AA0130 Ciprofloxacin (as hydrochloride) 500mg Tab * Antibacterial STD,Opthl,AIDS, IMCI
18 18 AA0137 Cloxacillin (as soldium salt) 250mg Tab * Antibacterial (beta lactam)
19 19 AA0138 Cloxacillin (as soldium salt) 500mg Tab * Antibacterial (beta lactam)
KINGDOM OF CAMBODIANATION RELIGION KING
bB¢aI»sfsarvnþ
ESSENTIAL MEDICINES LIST - 7th Edition
CPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
1 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
20 20 AA0150Co-trimoxazole (sulfamethoxazole+trimethoprim)
100+20mg Tab * Antibacterial
21 21 AA0151Co-trimoxazole (sulfamethoxazole+trimethoprim)
400+80mg Tab * Antibacterial
22 22 AA0154Co-trimoxazole (sulfamethoxazole+trimethoprim) Suspension 60ml
200+40mg/5ml Btl * Antibacterial - for children IMCI
23 23 AA0160 Diazepam 5mg Tab * Anxiolytic, sleep disorders, mild muscle relaxant
Psychiatry, Hypertention + Diabetes
24 24 AA0170 Diclofenac 50mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
25 25 AA0180 Digoxin 0.25mg Tab * Cardiovascular medicines used in heart failure
26 26 AA0190 Doxycycline (as hydrochloride) 100mg Tab SN Antibacterial
27 27 AA0200Erythromycin (as stearate or ethyl succinate)
250mg Tab * Antibacterial STD,Dermato,AIDS, IMCI
28 28 Erythromycin stearate Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial - for children IMCI
29 29 Fenofibrate 300mg Tab SN Anti-cholesterol and triglyceride Hypertention + Diabetes
30 30 Ferrous fumarate Suspension 60ml 100mg/5ml Btl * Antianaemic/iron supplement - for children
IMCI
31 31 AA0210 Ferrous Sulphate + Folic Acid200+0.40mg (60mg Iron element + 0.4
mg Folic acid)Red Tab * Antianaemic/Iron+Folic/Nutritio
n supplement for use in pregnancyNutrition
32 32 AA0220 Fluconazole 100mg Tab * Oral antifungal Dermatologic programm
33 33 AA0230 Folic Acid 5mg Tab * Antianaemic Dermatologic programm
34 34 AA0240 Furosemide 40mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention
35 35 AA0250 Hydralazine 25mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
36 36 Hydrochlorthiazide (scored tablet) 25mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
2 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
37 37 AA0260 Hydrochlorothiazide (scored tablet) 50mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
38 38 NQ0353 Hyocine-N-Buthylbromide 10mg Tab * Antispasmodic
39 39 AA0270 Indometacin 25mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
40 40 AA0550 Isosorbide Dinitrate 10mg Tab *Vasodilator used in , e.g. angina pectoris, anal fissure and congestive heart failure.
41 41 Losartan potassium 50 mg Tab SN Anti-hypertensive Hypertention + Diabetes
42 42 AA0280 Mebendazole 500mg Tab * Intestinal anthelminthic Schistosomiasis / IMCI
43 43 AA0290 Methyldopa 250mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
44 44 AA0320 Metoclopramide (as hydrochloride) 10mg Tab * Antiemetic Palliative Care,
45 45 AA0300 Metronidazole 250mg Tab * Antibacterial/antiamoebic/antigiardiasis
STD
46 46 Metronidazole suspension 60 ml 200mg/5ml Btl * Antibacterial/antiamoebic/antigiardiasis - for children
47 47 Mifepriston + Misoprostol (01 tab x200mg) +(04 tab x200µg) Tab SN Medical abortion MCH
48 48 AA0330 Misoprostol 200µg Tab SN Oxytocic (uterine contraction) MCH
49 49 AA0340 Multivitamin + Mineral Tab * Vitamin and minerals supplement STD / IMCI
50 50 AA0350 Nalidixic Acid 500mg Tab * Anti-infective (quinolone) IMCI
51 51 AA0360 Niclosamide 500mg Tab * Intestinal anthelminthic
52 52 AA0370 Nifedipine Retard 20mg Tab *Anti-hypertensive (calcium chanel blocker) also used as an anti-angina.
Hypertention + Diabetes
53 53 AA0380 Nystatin 500.000IU Tab * Oral antifungal STD / AIDS
54 54 NQ0735 Omeprazole 20 mg Tab *
Antacid - a proton pump inhibitor -with pronounced and long-lasting reduction of gastric acid production.
3 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
55 55 AA0390Oral Rehydration Salts (Low osmolarity for 1L) [Glucose: 13.5g/l, Sodium chloride:2.6g/l, Potasium chloride 1.5g/l, Trisodium citratedihydrate:2.9g/l (20.5g)]
20.5g Sachet * Oral remedy for rehydation
56 56 AA0410 Paracetamol 100mg Tab *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
NIP
57 57 AA0411 Paracetamol 500mg Tab *Analgesic, antipyretic, antimigraine, without anti-inflamatory action
58 58 AA0412 Paracetamol 500mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
Malaria
59 59 AA0413 Paracetamol Syrup 60ml 125mg/5ml Btl * Analgesic, antipyretic without anti-inflamatory action - for children IMCI
60 60 AA0450 Phenobarbital 50mg Tab * Anticovulsant/antiepileptic Psychiatry
61 61 AA0440Phenoxymethyl Penicillin (as potassium salt)
250mg Tab * Antibiotic (beta lactam)
62 62 AA0460 Potassium Chloride 600mg Tab *
Treatment of hypokalemia in patients predisposed to loss o K+ e.g. patients on high doses of diuretics
63 63 AA0470 Prednisolone 5mg Tab * Anti-inflammatory ; Anti-allergic/anaphylaxis
AIDS/Leprosy
64 64 AA0480 Promethazine 25mg Tab * Antihistamine, anti-emetic
65 65 AA0481Promethazine (as hydrochloride) 0.1% syrup 60ml
5mg/5ml Btl * Antihistamine, anti-emetic - for children
66 66 AA0500 Salbutamol 4mg Tab * Antiasthmatic/bronchodialator
67 67 AA0501 Salbutamol for Inhalation 200 doses 0.1mg/dose Btl * Antiasthmatic/bronchodialator
68 68 Simvastatine 20mg Tab SN Anti-cholesterol; used to prevent cardio vascular disease Hypertention + Diabetes
69 69 AA0510 Tiemonium methylsulphate 50mg Tab * Antispasmodic Pain/Cancer
70 70 AA0491 Vitamine A (Retinol) ( red color capsule with nipple) 200,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
71 71 AA0490 Vitamine A (Retinol) (blue color capsule with nipple) 100,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
4 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
72 72 AA0531 Vitamin B1 50mg Tab * Vitamin B1 supplement
73 73 AA0541 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
74 74 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
75 75 NL0040 Zinc Sulphate (Dispersible) 20mg Tab * Diarrhoea in children used as with/an adjuct to ORS
MCH / IMCI
2 INJECTIONS76 1 AB0010 Adrenaline (epinephrine) 1mg/1ml Amp * Anti-allergic, anti-anaphylaxis
77 2 AB0020 Ampicillin 500mg Vial * Antibacterial (beta lactam). IMCI
78 3 AB0020 Ampicillin 1g Vial * Antibacterial (beta lactam) MCH
79 4 NB0012 Neuro Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
80 5 NB0011 Hemato Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
81 6 AB0030 Atropine Sulphate 1mg/1ml Amp * Pre-operation medication; specific antidote for some poisoning
82 7 AB0050 Butylscopolamine (Hyoscin, Buscopan) 20mg/2ml Amp * Antispasmodic
83 8 AB0060 Calcium Gluconate 10% 1g/10ml Amp * Specific antidote for some type of poisoining
MCH
84 9 Ceftazidime (as pentahydrate) (powder for injection) 500mg Vial SN
Broad-spectrum (beta-lactam antibacterial) for the treatment of melioidosis infection caused by Burkholderia pseudomallei
85 10 AB0080 Ceftriaxone 1g Vial * Antibacterial (beta lactam) STD
86 11 AB0100 Chlorpromazine (as hydrochloride) 50mg/2ml Amp * Psychotic disorders Psychia/Pain/Cancer
87 12 AB0110 Cimetidine 200mg/2ml Amp *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
88 13 AB0120 Cloxacillin (as soldium salt) 1g Vial * Antibacterial (beta lactam)
5 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
89 14 AB0130Dexamethasone phosphate (as disodium salt) 4mg/1ml Amp *
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
Opthalmo/STD
90 15 AB0140 Dextrose 50% 50ml Vial *
Hypoglycemia (low blood sugar) in emergency care; management of coma of unknown origin; andrestoration of energy.
91 16 AB0150 Diazepam 10mg/2ml Amp *
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Psychia/IMCI
92 17 AB0170 Dopamine (as hydrochloride) 200mg/5ml Amp *
Symphomimetic used in heart failure, shock and other conditions where sympathomimetic action is desirable.
93 18 AB0190 Ergometrine Methyl 0.2mg/1ml Amp * Oxytocic (uterine contraction)
94 19 AB0200 Etamsylate 250mg/2ml Amp * Anticoagulant
95 20 AB0220 Furosemide 20mg/2ml Amp * Diuretic normaly used in heartfailute
96 21 AB0230 Gentamycin (as sulphate) 80mg/2ml Amp * Antibacterial
97 22 AB0240 Hydralazine Powder + Solvent 20mg/1ml Amp *Antihypertensive: for acute management of severe pregnancy-induced hypertension only.
98 23 AB0250 Hydrocortisone (as Sodium succinate) 100mg Vial *
A naturally occuring steroid/glucocorticoid with rapid onset of action but short duration: used, among others, as Anti-inflammatory ; Anti-allergic in anaphylaxis
99 24 AB0270 Lidocaine 2% 50ml Vial * Local anaesthetic - injectable Eye Unit / MCH
100 25 AB0290 Magnesium Sulphate 50% IM/IV 10ml Amp *
For treating eclampsia and severe pre-eclampsia not to be used in other forms of convulsant disorders
MCH
101 26 AB0300 Metoclopramide (as hydrochloride) 10ml/2ml Amp * Antiemetic Pain/Cancer6 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
102 27 AB0310 Metronidazole 500mg/100ml Vial * Antibacterial/antiamoebic/antigiardiasis
MCH
103 28 AB0440 Oxytocin 10 IU/1ml Amp * Oxytocic (uterine contraction) MCH
104 29 AB0341 Paracetamol 300 mg/2 ml Amp *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
105 30 AB0350 Penicillin - G, IM/IV 1MIU Vial * Antibacterial (beta lactam)
106 31 AB0360 Potassium Chloride 10% 10ml Amp * Treatment of hypokalemia
107 32 AB0370 Salbutamol 0.5mg/1ml Amp * Antiasthmatic
108 33 ZA0751 Sodium Bicarbonate 8.4% 20ml Amp * Alkalising agent for the treatment of acidocis
109 34 AB0420 Vitamin K1 (Phytomenadione) 10mg/1ml Amp * Coagulant: affects blood coagulation; helps to stop bleeding MCH
110 35 AB0430 Water for Injections 5ml Amp * Diluent for injection
3 IV FLUIDS
111 1 AC0010 Dextran 40 + IV giving set 500ml Btl *Anticoagulant during surgical operations; plasma expander/subsitute
Malaria / Dengue
112 2 AC0031 Dextrose 10% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications Malaria / MCH
113 3 AC0020 Dextrose 5% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications
114 4 AC0030Dextrose 5%+0.45% Saline + IV giving set 500ml Btl * Electrolyte replacement,
rehydration, and source of energy Dengue
115 5 AC0041 N S S 0.9% + IV giving set 1000ml Btl *Electrolytes replacement, rehydration, and source of sodium, sugar and energy
MCH
116 6 AC0050 Plasma Substitute + IV giving set 500ml Btl * Plasma expander
117 7 AC0060 Ringer's Lactate + IV giving set 1000ml Btl *
Fluid and electrolyte replenishment therapy. Also often called Hartmann's solution - for the correction of extracellular volume and electrolyte depletion.
Dengue / IMCI / MCH
4 OTHER MEDICINES5 EXTERNAL MEDICINES 7 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
118 1 AD0010 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar * Antifungal (topical)
119 2 AD0020 Benzyl Benzoate 25% 1L Btl * Scabicide, pediculicide (topical)
120 3 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
121 4 AD0120 Gentian Violet Powder 25g Jar * Anti-infective (topical) as a 0.5 aqueous solution or tincture
122 5 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
123 6 AD0180 Petroleum Jelly (Vaseline) 500g Jar * Emollient (skin lubrication and mosturizer)
124 7 AD0140 Polyvidone Iodine 10% 200ml Btl * Topical Antiseptic (wound application)
125 8 AD0031Sodium Dichloroisocyanurate (Water Purification)
167mg Tab * Water Purification
126 9 AD0190 Zinc oxide 10% 500g Jar * Hypoallergenic (minimize itching due to skin allergic reactions)
II CONSUMMABLES127 1 QA0031 Adhesive Tape Zinc Oxide perforated 18cm x 5m Roll *128 2 QA0030 Adhesive Tape Zinc Oxide perforated 5cmx5m Roll *
129 3 Autoclavable Plastic Bag for Restirilizing equipment Pcs *
130 4 QA0060 Bandage, Crepe 8cmx4m Roll *131 5 QA0070 Bandage, Gauze Non-sterile 7.5cmx10m Roll *132 6 QA0090 Blades for Surgical Knife #15 Pcs * Oral Health 133 7 QA0091 Blades for Surgical Knife #22 Pcs *134 8 QA0092 Blades for Surgical Knife # 30 Pcs *
135 9 QA0131 Catheter Foley, Ballon 2 ways 10ml, sterile CH12 Pcs *
136 10 QA0132 Catheter Foley, Ballon 2 ways 10ml, sterile CH14 Pcs *
137 11 QA0128 Catheter Foley, Ballon 2 ways 10ml, sterile CH16 Pcs *
138 12 QA0160 Catheter IV with injection port 18G Pcs *139 13 QA0161 Catheter IV with injection port 20G Pcs *140 14 QA0162 Catheter IV with injection port 22G Pcs * STD,AIDS141 15 QA0163 Catheter IV with injection port 24G Pcs *142 16 QA0164 Catheter IV with injection port 26G Pcs * 8 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
143 17 QA0190 Cotton Wool Absorbent 500g Roll *144 18 QA0180 Cotton Wool Non Absorbent 500g Roll *145 19 QA0210 Developer for X-Ray Film 1 Gallon Btl SN146 20 QA0230 Dressing for burns with Paraffin 10x10cm Pcs *147 21 ExtensionThree ways Stopcock 25 cm Pcs *148 22 QA0920 Fixer for X-Ray Film 1 Gallon Btl SN149 23 QA0290 Gauze, absorbent (BP17g/m2) 90cmx91m Roll *150 24 QA0300 Glove examination, non sterile, Latex Small Pcs *151 25 QA0310 Glove examination, non sterile, Latex Medium Pcs *152 26 QA0302 Glove examination, non sterile, Latex Large Pcs *
153 27 QA0360 Glove, sterile, Long Cuff (for Gynaecological use) Small Pcs *
154 28 QA0361 Glove, sterile, Long Cuff (for Gynaecological use) Medium Pcs *
155 29 QA0362 Glove, sterile, Long Cuff (for Gynaecological use) Large Pcs *
156 30 QA0320 Glove Surgical, sterile, latex Small Pcs *157 31 QA0322 Glove Surgical, sterile, latex Medium Pcs *158 32 QA0321 Glove Surgical, sterile, latex Large Pcs *159 33 QA0330 High Quality Printing Paper UPP- 110s 110mm x 20m Pcs *
160 34 Lubrication gel for Urinary catheter single use 5ml Pack *
161 35 QA0370 Medical Plastic Bags (Khmer printing, as sample) 7cm x 11cm Pcs *
162 36 QA0913 Medical X ray films, Green sensitive 18cm x 24cm Pcs SN163 37 QA0910 Medical X ray films, Green sensitive 18cm x 43cm Pcs SN164 38 QA0911 Medical X ray films, Green sensitive 24cm x 30cm Pcs SN165 39 QA0914 Medical X ray films, Green sensitive 30 cm x 40cm Pcs SN166 40 QA0912 Medical X ray films, Green sensitive 35cm x 35cm Pcs SN167 41 QA0915 Medical X ray films, Green sensitive 35cm x 43cm Pcs SN168 42 Microbiological Indicator for Autoclave Pcs *
169 43 Manual Vacuum Aspiration (MVA) Kit (Gynecological ) Kit SN MCH
170 44 QA0391 Needle Disposable 19G x 1.½" Pcs *171 45 QA0392 Needle Disposable 21G x 1.½" Pcs *172 46 QA0393 Needle Disposable 23G x 1" Pcs *173 47 QA0394 Needle Disposable 25G x 1" Pcs *174 48 QA0403 Needle Spinal Disposable 22G/0.7 x 90mm Pcs *
9 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
175 49 QA0402 Needle Spinal Disposable 25G/0.5 x 90mm Pcs *176 50 Original Perfusor 150 cm Pcs *177 51 QA0451 Oxygen mask with reservoir bag Children Pcs *178 52 QA0450 Oxygen mask with reservoir bag Adult Pcs *179 53 QA0470 Paper face mask 2 plies Pcs *180 54 QA0490 Plaster of Paris 10cm Roll *181 55 QA0491 Plaster of Paris 15cm Roll *182 56 QA0492 Plaster of Paris 20cm Roll *183 57 NP0130 Safety Box for Used Syringe 5L Pcs * Infection Control184 58 NP0131 Safety Box for Used Syringe 10 L Pcs * Infection Control185 59 QA0541 Scalp Vein 23G Pcs *186 60 QA0542 Scalp Vein 25G Pcs * MCH
187 61 QA0600 Sut/Catgut Chromic25mm½circle Rb75cm 2/0 Pcs *
188 62 QA0601 Suture/Catgut Chromic30mm½circle Rb75cm 3/0 Pcs *
189 63 QA0602 Suture/Catgut Chromic35mm½circle Rb75cm 0 Pcs *
190 64 QA0603 Suture/Catgut Chromic38mm½circle Rb75cm 1 Pcs *
191 65 QA0604 Suture/Catgut Chromic40mm½circle Rb75cm 2 Pcs *
192 66 QA0605 Suture/Catgut Chromic85mm B P Cvd Rb 2 Pcs *
193 67 QA0553 Suture/Catgut Plain 22mm curved cutting 75cm 3/0 Pcs *
194 68 QA0554 Suture/Catgut Plain 25mm½ circle Rb 75cm 2/0 Pcs *
195 69 QA0555 Suture/Catgut Plain 30mm½ circle Rb 75cm 0 Pcs *
196 70 QA0581 Suture/ Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 0 Pcs *
197 71 QA0582 Suture/Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 1 Pcs *
198 72 QA0579 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 2/0 Pcs *
199 73 QA0578 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 3/0 Pcs *
10 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
200 74 QA0563 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 2/0 Pcs *
201 75 QA0561 Suture/Polyamide 26 mmCurved Rev cutting 75cm (Nylon) 3/0 Pcs *
202 76 QA0575 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 4/0 Pcs *
203 77 QA0644 Suture/Silk 16mm curved 45mm 4/0 Pcs *204 78 QA0640 Suture/Silk 6mm curved 38mm 6/0 Pcs *
205 79 Suture/Silk 8mm double needle micro-point spatula ½ circle 30mm 8/0 Pcs *
206 80 Suture/Silk double needle micro-point spatula curved 30mm 10/0 Pcs *
207 81 NQ4768 Sphygmomanometer Aneroid for Adult 300 mm Hg Pcs *208 82 QB0530 Stethoscope Binaural Pcs *209 83 Syringe Disposable & Needle 26G 1ml Pcs * MCH/Diabetes210 84 QA0680 Syringe Disposable & Needle 25G 2ml Pcs *211 85 QA0664 Syringe Disposable & Needle 25G 5ml Pcs *212 86 QA0661 Syringe Disposable & Needle 23G 5ml Pcs *213 87 QA0662 Syringe Disposable & Needle 23G 10ml Pcs *214 88 QA0692 Syringe Disposable 20ml Pcs *215 89 Syringe for insuline 1ml Pcs SN Diabetese216 90 QA0710 Talc 1kg Box *217 91 QA0730 Tape Test for Autoclave Roll * Infection Control218 92 QA0740 Tape Umbilical Non sterile 3mm Roll *219 93 Indicator Strips Test For Sterilization Roll * Infection Control220 94 QB0560 Thermometer Oral/Rectal oC Pcs *221 95 QA0751 Thorax Drain + Trocar CH12 Pcs *222 96 QA0752 Thorax Drain + Trocar CH14 Pcs *223 97 QA0753 Thorax Drain + Trocar CH16 Pcs *224 98 QA0754 Thorax Drain + Trocar CH18 Pcs *225 99 QA0755 Thorax Drain + Trocar CH20 Pcs *226 100 QA0760 Tongue depressor wood adult Pcs *227 101 Tracheal tube #6.5 Pcs *228 102 QA0800 Tube Nasogastric/Feeding with Cover CH5 Pcs SN229 103 QA0802 Tube Nasogastric/Feeding with Cover CH12 Pcs SN230 104 QA0803 Tube Nasogastric/Feeding with Cover CH14 Pcs SN231 105 QA0804 Tube Nasogastric/Feeding with Cover CH16 Pcs SN232 106 QA0810 Tube Suction Disposable CH8 Pcs *
11 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
233 107 QA0811 Tube Suction Disposable CH12 Pcs *234 108 QA0812 Tube Suction Disposable CH16 Pcs *235 109 QA0840 Umbilical cord clamp Pcs *
236 110 Urine Drainage Bag with non-return valve 2litre Pcs *
237 111 Yellow Plastic bag with Red label (15-20L) Pcs *
III NATIONAL PROGRAMSIII 1 EYE UNIT/PROGRAM238 1 NQ3142 Tetracycline 1 % eye ointment 5g Tube * Opth.- anti-infective
III 2 NATIONAL CENTRE OF TUBERCULOSIS AND LEPROSY CONTROL (CENAT)A TUBERCULOSIS PROGRAM(1) First Line Anti-TB Medicines
239 1 NC0009 Ethambutol 100mg Tab * Anti-tuberculosis240 2 NC0010 Ethambutol 400mg Tab * Anti-tuberculosis241 3 NC0011 Isoniazide 100mg Tab * Anti-tuberculosis242 4 NC0060 Pyrazinamide 400mg Tab * Anti-tuberculosis243 5 NC0083 Rifampicine 150mg Tab * Anti-tuberculosis244 6 NC0071 Rifampicine / Isoniazide 150 + 75mg Tab * Anti-tuberculosis245 7 NC0070 Rifampicine / Isoniazide 60+30mg Tab * Anti-tuberculosis
246 8 NC0080Rifampicine / Isoniazide / Pyrazinamide
60+30+150mg Tab * Anti-tuberculosis
247 9 NC0082Rifampicine/Isoniazide/Pyrazinamide/Ethambutol
150+75+400+275 mg Tab * Anti-tuberculosis
248 10 NC0092 Streptomycine 1g Vial * Anti-tuberculosis
249 11 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
250 12 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
(2) Second Line Anti-TB Medicines12 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
251 1 GA3901 Amikacin 500mg Vial SN2nd line anti-infective (aminoglycoside) - multidrug resistant gram negative bacteria
252 2 Capreomycin 1g Vial SN 2nd antimycobacterials: tuberculosis and leprostatic agents
253 3 Cycloserine 250mg Cap SN Anti-infective used as 2nd line anti-TB
254 4 Ethionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
255 5 Gatitfloxacin 500mg Tab SN Anti-infective used as 2nd line anti-TB
256 6 Kanamycin 1g Vial SN Anti-infective used as 2nd line anti-TB
257 7 Levofloxacin 250mg Tab SN Anti-infective used as 2nd line anti-TB
258 8 Moxifloxacin 400mg Tab SN Anti-infective used as 2nd line anti-TB
259 9 AA0400 Ofloxacin 200mg Tab SN Anti-infective used as 2nd line anti-TB
260 10 Para Amino Salicylic Acid 4g Sachet SN Anti-infective used in combination with other anti-TB as 2nd line Powder 100gr per Jar
261 11 Prothionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
B LEPROSY PROGRAM262 1 NC0120 Clofazimine 100mg Cap * Antileprosy
263 2 NC0020 MB (multibacillary) Adult Blister * Antileprosy
264 3 NC0030 MB (multibacillary) Child Blister * Antileprosy
265 4 NC0040 PB (paucibacillary) Adult Blister * Antileprosy
266 5 NC0050 PB (paucibacillary) Child Blister * Antileprosy
III 3 NATIONAL CENTRE FOR PARASITOLOGY, ENTOMOLOGY AND MALARIA CONTROL (CNM)A MALARIA PROGRAM
267 1 ND0059 A+M1 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (1-5yrs)
268 2 ND0060 A+M2 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (6-10yrs)
269 3 ND0061 A+M3 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (11-14yrs)
270 4 ND0063 A+M5 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (> 15yrs)
271 5 ND0051 Artesunate Rectocap 50mg Tab * for severe malaria13 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
272 6 ND0052 Artesunate Rectocap 200mg Tab * for severe malaria
273 7 Artesunate injectable + 1ml of 5% Sodium bicarbonate solution 60mg
Vial + Amp
(Solution)
* for severe malaria
274 8 ND0040 Artemeter injection 80mg/ml Amp * for severe malaria
275 9 ND0110 Mefloquine 250mg Tab * Used in combination with artesunate
276 10 ND0031 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 3Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
277 11 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 6Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
278 12 Piperaquine + Dihydro artemisinin 320mg+40mgBlister(9Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
279 13 ND0150 Quinine Sulfate 300mg Tab *Used in severe malaria and should be used in combination with Doxycycline
280 14 ND0140 Quinine Dihydrochloride 600mg/2ml Amp *
P. falciparum malaria; no longer recommended by the WHO as first line treatment for malaria and should only be used when ACTs are not available
281 15 ND0170 Tetracycline 250mg Cap * Anti-infective - with action on malaria parasite
B SCHISTOSOMIASIS AND HELMINTHIASIS PROGRAM
282 1 ND0130 Praziquantel 600mg Tab SNIntestinal anthelminthic:antischistosomal/antitrematode
C DENGUE HAEMORRHAGIC FEVER PROGRAM
283 1 AC00345% Dextrose in Isotonic Saline Solution + IV Giving Set
500ml Blt * Water, electrolyte replacement and source of energy
284 2 GA34015% Dextrose in Acetate Ringer's Solution + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
285 3 AC00365% Dextrose in 1/3 Saline + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
14 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
D FILARIASIS PROGRAM286 1 NQ0004 Albendazol 400mg Tab SN Intestinal anthelmenthic AIDS
287 2 ND0230Diethylcarbamazine (dihydrogen citrate)
100mg Tab SN Antifilarial
288 3 Invermectin (scored tablets) 3mg Tab SN Antifilarial
III 4 BIRTH SPACING PROGRAM
289 1 NH0020 Depo-medroxyprogesterone acetate 150mg/3ml Vial * Injectable hormonal contraceptive - long acting
290 2 NH0040 Norgestrel (Progestin-Only-Pill) 0.075mg Blister * Oral Contraceptive
291 3 NH0050Ethinyloestradiol + Levonorgestrel (Combined Oral Contraceptive)
0.03/0.15mg Blister * Combined Oral Contraceptive
292 4 NH0010 Condom 49mm Pcs * Physical barrier contraceptive
293 5 NH0030 IUD Copper T 380A T380A Pcs * Intra-uterine device (IUD) Contraceptive
294 6 NH0011
Female Condom (Lubricated loose-fitting Polyurethane, pouch closed at one end, open at the other with soft rings at each end. 160-180mm width, 41-61µ thickness, 2.23-2.53mm outer ring, 56.5-58-5mm inne
160-180mm Pcs * Physical barrier contraceptive
295 7 NH0052Levonorgestrel (Emergency/Morning After Contraceptive Pills), 2 pill per Blister
0.75mg Blister * "Morning after" contraceptive
296 8 NH0051Implant: a-Etonorgestrel b- Levonorgestrel
a-68 mg b-150mg Implant * Implant hormonal contraceptive -
long acting
III 5 PSYCHIATRY MEDICINES(1) First Line
297 1 NG0010 Amitriptyline (as hydrochloride) 25mg Tab SN Depressive disorders Pain/Cancer
298 2 NG0041 Chlorpromazine (as hydrochloride) 100mg Tab SN Psychotic disorders
299 3 NG0070 Haloperidol 5mg Tab SN Psychotic disorders Pain/Cancer
300 4 NG0081 Imipramine 25mg Tab SN Antidepressant
301 5 NG0120 Phenytoine 100mg Tab SN Anticovulsants/anti-epileptic Pain/Cancer
302 6 NG0140 Trihexyphenidyl (benzhexol) 5mg Tab SNAntiparkinsonian agent (antimuscarinic class)
III 6 NATIONAL CENTRE FOR HIV/AIDS, DERMATOLOGY AND STD (NCHADS)15 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
A HIV/AIDS PROGRAM(1) ADULTS
303 1 NE0010 Abacavir (ABC) (as sulfate) 300mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
304 2 NE0014 Abacavir (ABC) + Lamivudine (3TC) 600mg+300mg Tab SN ARV: 2-FDC
305 3 NE0100Stavudine (D4T) + Lamivudine(3TC) + Nevirapine(NVP)
30mg+150mg+200mg Tab SN ARV: 3-FDC
306 4 NE0013 Atazanavir 300mg Tab SN ARV: Protease inhibitor (PI)
307 5 NE0042Didanosine (ddl) (unbuffered enteric coated tablet)
250mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
308 6 NE0043Didanosine (ddl) (unbuffered enteric coated tablet)
400mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
309 7 NE0051 Efavirenz (EFV or EFZ) 200mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
310 8 NE0052 Efavirenz (EFV or EFZ) 600mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
311 9 NE0070 Lamivudine (3TC) 150mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
312 10 NE0080 Stavudine(d4T)+ Lamivudine (3TC) 30mg+150mg Tab SN ARV: 2-FDC
313 11 NE0251 Stavudine (d4T) 30mg Tab SN ARV: nucleoside analog/reverse transcriptase inhibitor (NARTI)
314 12 NE0110 Zidovudine(AZT)+Lamivudine(3TC) 300mg+150mg Tab SN ARV: 2-FDC
315 13 NE0111Zidovudine(AZT)+Lamivudine(3TC) + Nevirapine(NVP)
300mg+150mg+200mg Tab SN ARV: 3-FDC
316 14 NE0141 Lopinavir/Ritonavir 200mg/50mg Cap SN ARV: Protease inhibitor
317 15 NE0170 Nevirapine 200mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
318 16 NE0220 Ritonavir 100mg Tab SN ARV: pharmacological booster
319 17 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC )
300mg+150mg +300mg Tab SN ARV: 3-FDC
320 18 NE0270 Tenofovir (TDF) (disoproxil fumerate) 300mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
7 PEDIATRIC
321 1 NE0010 Abacavir (ABC) (as sulfate) 240ml syrup 20mg/ml Bttl SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
322 2 NE0012 Abacavir( ABC ) +Lamivudine (3TC) 60mg+30mg Tab SN ARV: 2-FDC
16 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
323 3 NE0102Stavudine(d4T) + Lamivudine(3TC) + Nevirapine(NVP)
12mg+60mg+100mg Tab SN ARV: 3-FDC
324 4 NE0082 Stavudine(d4T) + Lamivudine(3TC) 6mg+30mg Tab SN ARV: 3-FDC
325 5 NE0083 Stavudine(d4T) + Lamivudine(3TC) 12mg+60mg Tab SN ARV: 3-FDC
326 6 NE0045 Didanosine (ddl) 125mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
327 7 NE0046 Didanosine (ddl) 200mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
328 8 NE0050 Efavirenz (EFV or EFZ) 50mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
329 9 NE0150 Lopinavir/Ritonavir 160ml Syrup 80mg/20mg/ml Bttl SN ARV: Protease inhibitor
330 10 NE0142 Lopinavir/Ritonavir (LPV/r) 100mg/25mg Tab SN ARV: Protease inhibitor
331 11 NE0190 Nevirapine (NVP) Syrup 10mg/ml Bttl SN ARV: Non-nucleoside reverse transcriptase inhibitor
332 12 NE0113 Zidovudine (AZT )+Lamivudine (3TC) 60mg+30mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
333 13 NE00114 Zidovudine(AZT) +Lamivudine(3TC) +Nevirapine(NVP ) 60+30+50mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
334 14 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC ) 60+30+60mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
B DERMATOLOGY, STD, OIs AND OTHER MEDICINES(1) ORAL MEDICINES
335 1 NQ0002 Acyclovir 200 mg Tab SN Antiviral/antiherpes (topical)
336 2 NQ0003 Acyclovir 400 mg Tab SN Antiviral/antiherpes (topical)
337 3 NQ0004 Albendazol 400 mg Tab SN Intestinal anthelmenthic Helminthic program
338 4 NQ0005 Amitryptiline 25 mg Tab SN Tricyclic antidepressant Psychiatry
339 5 Amitryptiline 50 mg Tab SN Tricyclic antidepressant Psychiatry
340 6 NQ0007 Amoxicillin 500 mg Tab SN Antibacterial (beta lactam) Basic Medicine
341 7 NF0030 Azithromycine 500mg Tab SN Antibacterial
342 8 NF0060 Cefixime 200mg Tab SN Antibacterial (beta lactam)
343 9 NF0070 Cetirizine hydrochloride 10mg Tab SN Antihistamine/anti-allergic HIV/AIDS Care
344 10 Clotrimazol 100mg Tab SN To treat fungal infections of the mouth or throat
345 11 NE0100 Codeine phosphate 30 mg Tab SN Opioid analgesic Pain relief /palliative care
346 12 NQ0110 Cotrimoxazole 400mg+80 mg Tab SN Antibacterial Basic medicine
347 13 NQ0111 Cotrimoxazole 800mg + 160mg Tab SN Antibacterial HIV/AIDS Care
17 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
348 14 NQ0156 Dapsone 100 mg Tab SN
Antibacterial used alone or in combination with other anti-leprosy drugs (rifampicin and clofazimine) to treatment leprosy; also as OI - prophylaxis against Pneumocystis pneumonia (PCP) in HIV patients allergic to Co-trimoxazole.
Leprosy/HIV
349 15 NQ0151 Diazepam 5 mg Tab SN Anxiolytic, sleep disorders, mild muscle relaxant
Basic medicine
350 16 NQ0152 Diclofenac 50 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basic medicine
351 17 Dicloxacilline 500 mg Tab SN Antibacterial
352 18 NQ0153 Doxycycline 100 mg Tab SN Antibacterial
353 19 NQ0201 Erythromycine 500 mg Tab SN Antibacterial
354 20 NQ0252 Fluconazole 100 mg Tab SN Oral antifungal Basie medicince
355 21 Fluconazole 150 mg Tab SN Oral antifungal
356 22 NQ0253 Fluconazole 200 mg Tab SN Oral antifungal
357 23 NQ0255 Folic Acid 10 mg Tab SN Antianaemic Basie medicince
358 24 NQ0331 Griseofulvine 500mg Tab SN Oral systemic antifungal AIDS/Leprocy
359 25 NQ0402 Ibuprophene 400 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs)
360 26 AA0270 Indomethacine 25 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basie medicince
361 27 NQ0403 Itraconazole 100mg Tab SN Oral antifungal
362 28 Itraconazole 200mg Tab SN Oral antifungal
363 29 NF0181 Ketoconazol 200 mg Tab SN Oral antifungal
364 30 NQ0551 Loperamide 2 mg Tab SNOI - Antidiarrhea - diarrhea due to gastroenteritis or inflammatory bowel disease
365 31 NF0200 Minocycline hydrochloride 100mg Tab SN Antibacterial
366 32 NQ0210 Morphine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
18 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
367 33 Oxycodine 10 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
368 34 Oxycodine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
369 35 NQ0751 Paracetamol 100 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
370 36 NQ0752 Paracetamol 500 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
371 37 NQ0750 Paracetamol Syrup 100mg/ml Btl SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
372 38 NQ0758 Prednisolone 5 mg Tab SN Anti-inflammatory ; Anti-allergic/anaphylaxis
Basic mrdicine
373 39 Pyrimethamine 100mg Tab SNAnti-malaria (acute malaria)
(2) INJECTIONS374 1 NQ0014 Amphotericine B 50 mg Vial SN Antifungal/antileishmaniasis
375 2 NF0040 Benzathine Benzyl Penicilline 2.4 MUI Vial SN Antibacterial (beta lactam)
376 3 Butylhyocine 20 mg Amp SN Antispasmodic
377 4 NQ1551 Ceftriaxone 1 gr Vial SN Antibacterial (beta lactam)
378 5 NQ1555 Cloxacillin 1g Vial SN Antibacterial (beta lactam)
379 6 NQ1576 Dexamethasone 2 mg Amp SN
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
380 7 NQ1577 Diazepam 10 mg/2ml Amp SN
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Basic medicine
381 8 Diphenhydramine 4 mg/ ml Amp SN Antihistamine
382 9 Fluconazole I.V. 200ml 400 mg Vial SN Systemic antifungal
383 10 NQ1651 Gentamycine 80 mg /2ml Amp SN Antibacterial Basic medicine
384 11 NQ1802 Metronidazole 500 mg vial SN Antibacterial/antiamoebic/antigiardiasis 19 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
385 12 NQ1803 Morphine 10 mg /1ml Amp SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Basic medicine
(3) EXTERNAL USE MEDICINES386 1 AD0270 Acyclovir Cream 15g Tube SN Antiviral/antiherpes (topical)
387 2 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar SN Antifungal Basic medicine
388 3 NQ2263 Benzoyl Benzoate 25% 1litre Btl SN Scabicide, pediculicide (topical) Basic medicine
389 4 Benzoyl peroxide 5% Gel 40g Tube SN
Topical as a peeling agent. Effects skin differentiation and prolifiration/turn over. Also has antiseptic and bleaching properties.
390 5 Betamethasone (0.05%) +Salicylic Acid (3%) Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
391 6 Betamethasone (as valerate) 0.1% Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
392 7 Betamethasone 0.05% +Fucidic acid 2% 15g Tube SN Topical Anti-infectives with Corticosteroids
393 8 NF0082 Clobetasole propionate 0.05% lotion 30ml Bttl SN Topical adrenocortical steroid - antinflammatory and anti- itching
394 9 NF0080 Clobetasole propionate 0.05% cream 10g Tube SNTopical corticosteroids with anti-inflammatory, antipruritic, and vasoconstrictive properties.
395 10 NQ2286 Clotrimazole 1% cream 30g Tube SN Antifungal (topical) Pain/Cancer
396 11 NF0112 Crotamiton 10% Cream 30g Tub SNScabicidal and antipruritic for treating scabies and relieving itching
397 12 NF0120 Fusidic Acid 2% cream 15g Tube SN Topical anti-infectives
398 13 NF0151 Hydrocortisone (as acetate) 1% 15g Tube SN Anti-inflammatory, antipruritic (topical)
399 14 NF0180 Ketokonazole 2% cream 15g Tube SN Topical broad spectrum antifungal AIDS
20 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
400 15 NP0190 Miconazole 2% gel 40g Tube SNAntifungal (topical) - fungal infections of the mouth, throat and gut
401 16 NQ3150 Petroleum Jelly (Vaseline) 15g Tube SNEmollient (skin lubrication and mosturizer); helps protect minor cuts and burns.
402 17 NQ2541 Polyvidone Iodine 10% 200ml Btl SN Topical antiseptic for minor skin injuries
Basic nedicine
403 18 Tretinoin 0.05% cream 30g Tube SN Treatment of acne vulgaris
404 19 Triamcinolone acetonide Cream 0.1 % 30g Tube SN
Topical corticosteroid for the treatment of inflammatory and pruritic manifestations/ dermatoses
405 20 Urea Cream 10% 100mg Tube SN Skin differentiation and prolifiration (for topical use)
AIDS
21 OTHER MEDICINES406 22 NQ0115 Clotrimazole (vaginal tablets) 500mg Pessary SN Antifungal Pain/Cancer
407 23 NQ0608 Miconazole 100mg Pessary SN Antifungal
408 24 Paracetamol 300mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
III 7 ORAL HEALTH PROGRAMA MEDICINES
409 1 NI0070 Calcium Hydroxide B/2P *
410 2Composite light cure high briand microfiller 4g ( color A3, A3.5 ) for restorative filling dental cavity
Pcs *
411 3 Eugenol USP 10ml Vial *
Toothache and other related uses as local antiseptic and anesthetic. Mixed with zinc oxide - restorative and prosthodontic
412 4 NI0140 Glass ionomer for Rest Gc Fuji II Powder 15g + liquid 10g
Box *
413 5 NI0141 Glass ionomer for Rest Gc Fuji IX Powder 15g + liquid 10g
Box *
414 6 Glass ionomer for Rest Gc Fuji VII Powder 15g + liquid 10g
Box *
415 7 NI0220 Lidocain 2% Adrenaline 0.001% 1.8 ml Cart * Local anaesthetic21 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
416 8 Lidocain 2% Non-adrenaline 1.8 ml Cart * Local anaesthetic
417 9 Fluoride Varnish 10 ml Tube * Prevent tooth decay
418 10 Fluoride Gel 113g Tube * Prevent tooth decay
419 11 Polyhexa+didecyl St 72.17 Hexanios for Soaking instruments before Sterilization Sachets /25ml Sachet * Instrument sterilization
420 12 NI0210 Zinc Oxide Powder 1Kg Jar *Mixed with Eugenol produce material which has restorative and prosthodontic applications.
B MATERIALS
421 1 Barbed broach ( tire -nerf) to take the nerf from dental canal
Pcs *
422 2 Burr cylinder Highspeed Pce *423 3 Burr cylinder Lowspeed Pce *
424 4 Burr round for contra Angle Highspeed Pce *
425 5 Burr round for contra Angle Lowspeed Pcs *
426 6 Files Complete set length 21 mm ( files used for root treatment )
#15,#20,#25, #30,#35,#40
Pcs *
427 7 Lentulo, Complete set ( used for root canal treatment )
Pcs *
428 8 Matrix bands medium ( Metal Matrix) Pcs *
429 9 NV0160 Needle Dental 27G .21mm Pcs *430 10 NV0161 Needle Dental 27G . 30mm Pcs *431 11 NV0162 Needle Dental 27G . 35mm Pcs *432 12 NV0030 Catridge syringe ( metal ) 1,8ml Pcs *
433 13 Surgical blade #11 Pcs * For use in surgical Procedure
III 8 NATIONAL IMMUNIZATION PROGRAMIII 9 NUTRITION PROGRAM
434 1 Iron-Folate Weekly Iron-Folic Supplementation (WIFS)
60mg Iron element + 2.8 mg Folic acid Rose Tab SN
Weekly Iron-Folic Supplementation (WIFS) in Women of Reproductive Age
22 of 24
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Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
435 2
Multiple Micronutrient Powder (MNP)[Iron (12.5mg), Zinc (10mg), Vitamin A (300µg), Iodine ( 90µg), Vit B1 (0.5mg), Vit B2 (0.5mg), Vit B6 (0.5mg), Vit B12 (0.9µg), Niacin (6mg), Folate/Folic acid (160µg), Vit C (Ascorbic acid) (30mg), Copper (0.3mg), Selenium (17µg), Vit D (5µg) and Vit E (6mg)]
1g Sachet SN Multi-nutrient formula/powder for children 6-24 months.
III 10 PAIN RELIEF AND PALLIATIVE CAREIII 11 ANTI CANCER MEDICINESIII 12 DIABETES
436 1 Glimepiride 2mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
437 2 NQ0605 Metformine 500mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
438 3 NK0031 Insuline, long acting 1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
439 4 Insuline, rapid acting (3-6 hours efficacy)
1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
III 13 ENDOCRINOLOGY AND HORMONOLOGY1 INFECTION CONTROL AND PREVENTION
440 2 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
441 3 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
III 14 Isopropyl Alcohol 99.8% 99.80% Btl * Mix with other ingredients to produce alcohol hand rub
442 1 NQ5121 Ethanol 96% V/V Btl * Mix with other ingredients to produce alcohol hand rub
443 2 XA1410 Glycerol 98% 98% Btl * Mix with other ingredients to produce alcohol hand rub
444 3 Apron, plastic, disposable (Liquid and Spash Resistant) Small Pcs *
Use: to protect health care workers from droplets or splashes
445 4 Apron, plastic, disposable (Liquid and Spash Resistant) Medium Pcs *
Use: to protect health care workers from droplets or splashes
23 of 24
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA1
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
446 5 Apron, plastic, disposable (Liquid and Spash Resistant) Large Pcs *
Use: to protect health care workers from droplets or splashes
24 of 24
MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
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Nº Nº Code Description Strength Form
I BASIC MEDICINES1 ORAL MEDICINES
1 1 AA0010 Acetylsalicylic Acid 500mg Tab * Analgestic, Antipyretic, antimigraine, antithrombotic
Hypertention +Diabetes
2 2 AA0020 Aluminium Hydroxide 500mg Tab * Antacid
3 3 AA0030 Aminophylline 100mg Tab * Anti-asthmatic/brochodialator
4 4 Amlodipine 10mg Tab * Antihypetensive Hypertention +Diabetes
5 5 AA0060 Amoxicillin 250mg Tab * Antibacterial (beta lactam) IMCI
6 6 AA0061 Amoxicillin 500mg Cap * Antibacterial (beta lactam) IMCI
7 7 AA0050 Amoxicillin + Clavulanic acid 500mg+125mg Tab * Antibacterial (beta lactam)
8 8 AA0040Amoxicillin Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial (beta lactam) - for children
IMCI
9 9 AA0080 Atenolol 50mg Tab * Antihypetensive; antiangino Hypertention + Diabetes
10 10 AA0090 Bromhexin 8mg Tab * Broncho mucolytic/antitussive
11 11 AA0640 Bromhexin Syrup 60ml 4mg/5ml Btl * Broncho mucolytic/antitussive
12 12 Captopril 25mg Tab * Antihypetensive Hypertention + Diabetes
13 13 AA0101Charcoal Activated ( Charbon Adsorbant )
125mg Tab * Antidote (non-specific) for poisoning
14 14 AA0110 Chlorpheniramine maleate 4mg Tab * Anti-histamine; anti-allergic
15 15 Chlorpromazine (as hydrochloride) 25mg Tab * Psychotic disorders Psychiatry
16 16 AA0120 Cimetidine 200mg Tab *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
17 17 AA0130 Ciprofloxacin (as hydrochloride) 500mg Tab * Antibacterial STD,Opthl,AIDS, IMCI
18 18 AA0137 Cloxacillin (as soldium salt) 250mg Tab * Antibacterial (beta lactam)
KINGDOM OF CAMBODIANATION RELIGION KING
bB¢aI»sfsarvnþ
ESSENTIAL MEDICINES LIST - 7th Edition
CPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
1 of 28
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Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
19 19 AA0138 Cloxacillin (as soldium salt) 500mg Tab * Antibacterial (beta lactam)
20 20 AA0150Co-trimoxazole (sulfamethoxazole+trimethoprim)
100+20mg Tab * Antibacterial
21 21 AA0151Co-trimoxazole (sulfamethoxazole+trimethoprim)
400+80mg Tab * Antibacterial
22 22 AA0154Co-trimoxazole (sulfamethoxazole+trimethoprim) Suspension 60ml
200+40mg/5ml Btl * Antibacterial - for children IMCI
23 23 AA0160 Diazepam 5mg Tab * Anxiolytic, sleep disorders, mild muscle relaxant
Psychiatry, Hypertention + Diabetes
24 24 AA0170 Diclofenac 50mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
25 25 AA0180 Digoxin 0.25mg Tab * Cardiovascular medicines used in heart failure
26 26 AA0190 Doxycycline (as hydrochloride) 100mg Tab SN Antibacterial
27 27 AA0202 Enalapril 10mg Tab SNAnti-hypertensive;congestive heart failure and improvement of survival after a heart attack.
Hypertention + Diabetes
28 28 AA0200Erythromycin (as stearate or ethyl succinate)
250mg Tab * Antibacterial STD,Dermato,AIDS, IMCI
29 29 Erythromycin stearate Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial - for children IMCI
30 30 Fenofibrate 300mg Tab * Anti-cholesterol and triglyceride Hypertention + Diabetes
31 31 Ferrous fumarate Suspension 60ml 100mg/5ml Btl * Antianaemic/iron supplement - for children
IMCI
32 32 AA0210 Ferrous Sulphate + Folic Acid200+0.40mg (60mg Iron element + 0.4
mg Folic acid)Red Tab * Antianaemic/Iron+Folic/Nutritio
n supplement for use in pregnancyNutrition
33 33 AA0220 Fluconazole 100mg Tab * Oral antifungal Dermatologic programm
34 34 AA0230 Folic Acid 5mg Tab * Antianaemic Dermatologic programm
35 35 AA0240 Furosemide 40mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention
2 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
36 36 AA0250 Hydralazine 25mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
37 37 Hydrochlorthiazide (scored tablet) 25mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
38 38 AA0260 Hydrochlorothiazide (scored tablet) 50mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
39 39 NQ0353 Hyocine-N-Buthylbromide 10mg Tab * Antispasmodic
40 40 AA0270 Indometacin 25mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
41 41 AA0550 Isosorbide Dinitrate 10mg Tab *Vasodilator used in , e.g. angina pectoris, anal fissure and congestive heart failure.
42 42 Losartan potassium 50 mg Tab SN Anti-hypertensive Hypertention + Diabetes
43 43 AA0280 Mebendazole 500mg Tab * Intestinal anthelminthic Schistosomiasis / IMCI
44 44 AA0290 Methyldopa 250mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
45 45 AA0320 Metoclopramide (as hydrochloride) 10mg Tab * Antiemetic Palliative Care,
46 46 AA0300 Metronidazole 250mg Tab * Antibacterial/antiamoebic/antigiardiasis
STD
47 47 Metronidazole suspension 60 ml 200mg/5ml Btl * Antibacterial/antiamoebic/antigiardiasis - for children
48 48 Mifepriston + Misoprostol (01 tab x200mg) +(04 tab x200µg) Tab SN Medical abortion MCH
49 49 AA0330 Misoprostol 200µg Tab * Oxytocic (uterine contraction) MCH
50 50 AA0340 Multivitamin + Mineral Tab * Vitamin and minerals supplement STD / IMCI
51 51 AA0350 Nalidixic Acid 500mg Tab * Anti-infective (quinolone) IMCI
52 52 AA0360 Niclosamide 500mg Tab * Intestinal anthelminthic
3 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
53 53 AA0370 Nifedipine Retard 20mg Tab *Anti-hypertensive (calcium chanel blocker) also used as an anti-angina.
Hypertention + Diabetes
54 54 AA0380 Nystatin 500.000IU Tab * Oral antifungal STD / AIDS
55 55 NQ0735 Omeprazole 20 mg Tab *
Antacid - a proton pump inhibitor -with pronounced and long-lasting reduction of gastric acid production.
56 56 AA0390Oral Rehydration Salts (Low osmolarity for 1L) [Glucose: 13.5g/l, Sodium chloride:2.6g/l, Potasium chloride 1.5g/l, Trisodium citratedihydrate:2.9g/l (20.5g)]
20.5g Sachet * Oral remedy for rehydation
57 57 AA0410 Paracetamol 100mg Tab *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
NIP
58 58 AA0411 Paracetamol 500mg Tab *Analgesic, antipyretic, antimigraine, without anti-inflamatory action
59 59 AA0412 Paracetamol 500mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
Malaria
60 60 AA0413 Paracetamol Syrup 60ml 125mg/5ml Btl * Analgesic, antipyretic without anti-inflamatory action - for children IMCI
61 61 AA0450 Phenobarbital 50mg Tab * Anticovulsant/antiepileptic Psychiatry
62 62 AA0440Phenoxymethyl Penicillin (as potassium salt)
250mg Tab * Antibiotic (beta lactam)
63 63 AA0460 Potassium Chloride 600mg Tab *
Treatment of hypokalemia in patients predisposed to loss o K+ e.g. patients on high doses of diuretics
64 64 AA0470 Prednisolone 5mg Tab * Anti-inflammatory ; Anti-allergic/anaphylaxis
AIDS/Leprosy
65 65 AA0480 Promethazine 25mg Tab * Antihistamine, anti-emetic
66 66 AA0481Promethazine (as hydrochloride) 0.1% syrup 60ml
5mg/5ml Btl * Antihistamine, anti-emetic - for children
67 67 AA0500 Salbutamol 4mg Tab * Antiasthmatic/bronchodialator
68 68 AA0501 Salbutamol for Inhalation 200 doses 0.1mg/dose Btl * Antiasthmatic/bronchodialator
4 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
69 69 Simvastatine 20mg Tab * Anti-cholesterol; used to prevent cardio vascular disease Hypertention + Diabetes
70 70 AA0510 Tiemonium methylsulphate 50mg Tab * Antispasmodic Pain/Cancer
71 71 Tramadol Chlorhydrate 100mg Tab *Synthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
Pain/Cancer
72 72 AA0491 Vitamine A (Retinol) ( red color capsule with nipple) 200,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
73 73 AA0490 Vitamine A (Retinol) (blue color capsule with nipple) 100,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
74 74 AA0531 Vitamin B1 50mg Tab * Vitamin B1 supplement
75 75 AA0541 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
76 76 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
77 77 NL0040 Zinc Sulphate (Dispersible) 20mg Tab * Diarrhoea in children used as with/an adjuct to ORS
MCH / IMCI
2 INJECTIONS78 1 AB0010 Adrenaline (epinephrine) 1mg/1ml Amp * Anti-allergic, anti-anaphylaxis
79 2 AB0020 Ampicillin 500mg Vial * Antibacterial (beta lactam). IMCI
80 3 AB0020 Ampicillin 1g Vial * Antibacterial (beta lactam) MCH
81 4 NB0012 Neuro Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
82 5 NB0011 Hemato Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
83 6 NB0020 Antitoxin,Tetanus 1500IU/1ml Amp * Antitetanus
84 7 AB0030 Atropine Sulphate 1mg/1ml Amp * Pre-operation medication; specific antidote for some poisoning
85 8 AB0040 Bupivacaine 0.5% Spinal heavy 20mg/4ml Vial * Local/Spinal anaesthetic Eye Unit
5 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
86 9 AB0050 Butylscopolamine (Hyoscin, Buscopan) 20mg/2ml Amp * Antispasmodic
87 10 AB0060 Calcium Gluconate 10% 1g/10ml Amp * Specific antidote for some type of poisoining
MCH
88 11 Ceftazidime (as pentahydrate) (powder for injection) 500mg Vial *
Broad-spectrum (beta-lactam antibacterial) for the treatment of melioidosis infection caused by Burkholderia pseudomallei
89 12 AB0080 Ceftriaxone 1g Vial * Antibacterial (beta lactam) STD
90 13 AB0100 Chlorpromazine (as hydrochloride) 50mg/2ml Amp * Psychotic disorders Psychia/Pain/Cancer
91 14 AB0110 Cimetidine 200mg/2ml Amp *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
92 15 AB0120 Cloxacillin (as soldium salt) 1g Vial * Antibacterial (beta lactam)
93 16 AB0130Dexamethasone phosphate (as disodium salt) 4mg/1ml Amp *
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
Opthalmo/STD
94 17 AB0140 Dextrose 50% 50ml Vial *
Hypoglycemia (low blood sugar) in emergency care; management of coma of unknown origin; andrestoration of energy.
95 18 AB0150 Diazepam 10mg/2ml Amp *
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Psychia/IMCI
96 19 AB0170 Dopamine (as hydrochloride) 200mg/5ml Amp *
Symphomimetic used in heart failure, shock and other conditions where sympathomimetic action is desirable.
97 20 AB0181Ephedrine (for dilution, as hydrochloride) 30mg/1ml Amp * Spinal anaesthesia during delivery
to prevent hypotension
98 21 AB0190 Ergometrine Methyl 0.2mg/1ml Amp * Oxytocic (uterine contraction)
99 22 AB0200 Etamsylate 250mg/2ml Amp * Anticoagulant
6 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
100 23 AB0210 Fentanyl 0.1mg/2ml Amp * Chronic pain management/palliativPain/Cancer
101 24 AB0220 Furosemide 20mg/2ml Amp * Diuretic normaly used in heartfailute
102 25 AB0230 Gentamycin (as sulphate) 80mg/2ml Amp * Antibacterial
103 26 AB0240 Hydralazine Powder + Solvent 20mg/1ml Amp *Antihypertensive: for acute management of severe pregnancy-induced hypertension only.
104 27 AB0250 Hydrocortisone (as Sodium succinate) 100mg Vial *
A naturally occuring steroid/glucocorticoid with rapid onset of action but short duration: used, among others, as Anti-inflammatory ; Anti-allergic in anaphylaxis
105 28 AB0260 Ketamine 500mg/10ml Vial * General anaesthetics - injectable Pain/Cancer
106 29 AB0270 Lidocaine 2% 50ml Vial * Local anaesthetic - injectable Eye Unit / MCH
107 30 AB0290 Magnesium Sulphate 50% IM/IV 10ml Amp *
For treating eclampsia and severe pre-eclampsia not to be used in other forms of convulsant disorders
MCH
108 31 AB0300 Metoclopramide (as hydrochloride) 10ml/2ml Amp * Antiemetic Pain/Cancer
109 32 AB0310 Metronidazole 500mg/100ml Vial * Antibacterial/antiamoebic/antigiardiasis
MCH
110 33 AB0320Morphine (as hydrochloride or sulphate) 10mg/1ml Amp *
Opioid analgesic, psychoactive for Chronic pain management/palliative care
Pain/Cancer
111 34 AB0330 Neostigmine 0.5mg/1ml Amp * Muscle relaxant
112 35 AB0440 Oxytocin 10 IU/1ml Amp * Oxytocic (uterine contraction) MCH
113 36 AB0341 Paracetamol 300 mg/2 ml Amp *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
114 37 AB0350 Penicillin - G, IM/IV 1MIU Vial * Antibacterial (beta lactam)
115 38 AB0360 Potassium Chloride 10% 10ml Amp * Treatment of hypokalemia
116 39 AB0370 Salbutamol 0.5mg/1ml Amp * Antiasthmatic
117 40 ZA0751 Sodium Bicarbonate 8.4% 20ml Amp * Alkalising agent for the treatment of acidocis
118 41 AB0392 Suxamethonium (as chloride) 100mg/2ml Vial * Muscle relaxant
7 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
119 42 AB0400 Thiopental 1g Vial * General anaesthetics - injectable
120 43 AB0410 Vecuronium (bromide) + Solvent 4mg/1 ml Amp * Muscle relaxant/anesthesia
121 44 AB0420 Vitamin K1 (Phytomenadione) 10mg/1ml Amp * Coagulant: affects blood coagulation; helps to stop bleeding MCH
122 45 AB0430 Water for Injections 5ml Amp * Diluent for injection
3 IV FLUIDS
123 1 AC0010 Dextran 40 + IV giving set 500ml Btl *Anticoagulant during surgical operations; plasma expander/subsitute
Malaria / Dengue
124 2 AC0031 Dextrose 10% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications Malaria / MCH
125 3 AC0020 Dextrose 5% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications
126 4 AC0030Dextrose 5%+0.45% Saline + IV giving set 500ml Btl * Electrolyte replacement,
rehydration, and source of energy Dengue
127 5 AC0041 N S S 0.9% + IV giving set 1000ml Btl *Electrolytes replacement, rehydration, and source of sodium, sugar and energy
MCH
128 6 AC0050 Plasma Substitute + IV giving set 500ml Btl * Plasma expander
129 7 AC0060 Ringer's Lactate + IV giving set 1000ml Btl *
Fluid and electrolyte replenishment therapy. Also often called Hartmann's solution - for the correction of extracellular volume and electrolyte depletion.
Dengue / IMCI / MCH
4 OTHER MEDICINES
130 1 AD0100 Fluorthane (Halothane) 250ml Btl * General anaesthetics - inhalation
131 2 AD0170 Soda lime ( Chaux Sodee) 4.5kg Btl SN Adjuct to general anaesthesia
5 EXTERNAL MEDICINES 132 1 AD0010 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar * Antifungal (topical)
133 2 AD0020 Benzyl Benzoate 25% 1L Btl * Scabicide, pediculicide (topical)
8 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
134 3 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
135 4 AD0120 Gentian Violet Powder 25g Jar * Anti-infective (topical) as a 0.5 aqueous solution or tincture
136 5 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
137 6 AD0180 Petroleum Jelly (Vaseline) 500g Jar * Emollient (skin lubrication and mosturizer)
138 7 AD0140 Polyvidone Iodine 10% 200ml Btl * Topical Antiseptic (wound application)
139 8 AD0031Sodium Dichloroisocyanurate (Water Purification)
167mg Tab * Water Purification
140 9 AD0190 Zinc oxide 10% 500g Jar * Hypoallergenic (minimize itching due to skin allergic reactions)
II CONSUMMABLES141 1 QA0031 Adhesive Tape Zinc Oxide perforated 18cm x 5m Roll *142 2 QA0030 Adhesive Tape Zinc Oxide perforated 5cmx5m Roll *
143 3 Autoclavable Plastic Bag for Restirilizing equipment Pcs *
144 4 QA0060 Bandage, Crepe 8cmx4m Roll *145 5 QA0070 Bandage, Gauze Non-sterile 7.5cmx10m Roll *146 6 QA0241 Bandage Tubular Elastic 8mm x 4cm Pcs *147 7 QA0090 Blades for Surgical Knife #15 Pcs * Oral Health 148 8 QA0091 Blades for Surgical Knife #22 Pcs *149 9 QA0092 Blades for Surgical Knife # 30 Pcs *
150 10 QA0131 Catheter Foley, Ballon 2 ways 10ml, sterile CH12 Pcs *
151 11 QA0132 Catheter Foley, Ballon 2 ways 10ml, sterile CH14 Pcs *
152 12 QA0128 Catheter Foley, Ballon 2 ways 10ml, sterile CH16 Pcs *
153 13 QA0160 Catheter IV with injection port 18G Pcs *154 14 QA0161 Catheter IV with injection port 20G Pcs *155 15 QA0162 Catheter IV with injection port 22G Pcs * STD,AIDS156 16 QA0163 Catheter IV with injection port 24G Pcs *157 17 QA0164 Catheter IV with injection port 26G Pcs *158 18 QA0170 Colostomy Bag, Disposable 38mm Pcs *
9 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
159 19 QA0190 Cotton Wool Absorbent 500g Roll *160 20 QA0180 Cotton Wool Non Absorbent 500g Roll *161 21 QA0210 Developer for X-Ray Film 1 Gallon Btl *162 22 QA0220 Drainage Strip (Delbet) 25x3cm Pcs *163 23 QA0230 Dressing for burns with Paraffin 10x10cm Pcs *164 24 ExtensionThree ways Stopcock 25 cm Pcs *165 25 QA0920 Fixer for X-Ray Film 1 Gallon Btl *166 26 QA0290 Gauze, absorbent (BP17g/m2) 90cmx91m Roll *167 27 QA0300 Glove examination, non sterile, Latex Small Pcs *168 28 QA0310 Glove examination, non sterile, Latex Medium Pcs *169 29 QA0302 Glove examination, non sterile, Latex Large Pcs *
170 30 QA0360 Glove, sterile, Long Cuff (for Gynaecological use) Small Pcs *
171 31 QA0361 Glove, sterile, Long Cuff (for Gynaecological use) Medium Pcs *
172 32 QA0362 Glove, sterile, Long Cuff (for Gynaecological use) Large Pcs *
173 33 QA0320 Glove Surgical, sterile, latex Small Pcs *174 34 QA0322 Glove Surgical, sterile, latex Medium Pcs *175 35 QA0321 Glove Surgical, sterile, latex Large Pcs *176 36 QA0330 High Quality Printing Paper UPP- 110s 110mm x 20m Pcs *
177 37 Infusion set with burette 100ml, Disposable 60drops/minute Pcs *
178 38 Lubrication gel for Urinary catheter single use 5ml Pack *
179 39 QA0370 Medical Plastic Bags (Khmer printing, as sample) 7cm x 11cm Pcs *
180 40 QA0913 Medical X ray films, Green sensitive 18cm x 24cm Pcs *181 41 QA0910 Medical X ray films, Green sensitive 18cm x 43cm Pcs *182 42 QA0911 Medical X ray films, Green sensitive 24cm x 30cm Pcs *183 43 QA0914 Medical X ray films, Green sensitive 30 cm x 40cm Pcs *184 44 QA0912 Medical X ray films, Green sensitive 35cm x 35cm Pcs *185 45 QA0915 Medical X ray films, Green sensitive 35cm x 43cm Pcs *186 46 Microbiological Indicator for Autoclave Pcs *
187 47 Manual Vacuum Aspiration (MVA) Kit (Gynecological ) Kit SN MCH
188 48 QA0391 Needle Disposable 19G x 1.½" Pcs *
10 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
189 49 QA0392 Needle Disposable 21G x 1.½" Pcs *190 50 QA0393 Needle Disposable 23G x 1" Pcs *191 51 QA0394 Needle Disposable 25G x 1" Pcs *192 52 QA0403 Needle Spinal Disposable 22G/0.7 x 90mm Pcs *193 53 QA0402 Needle Spinal Disposable 25G/0.5 x 90mm Pcs *194 54 Original Perfusor 150 cm Pcs *195 55 QA0451 Oxygen mask with reservoir bag Children Pcs *196 56 QA0450 Oxygen mask with reservoir bag Adult Pcs *197 57 QA0470 Paper face mask 2 plies Pcs *198 58 QA0490 Plaster of Paris 10cm Roll *199 59 QA0491 Plaster of Paris 15cm Roll *200 60 QA0492 Plaster of Paris 20cm Roll *201 61 NP0130 Safety Box for Used Syringe 5L Pcs * Infection Control202 62 NP0131 Safety Box for Used Syringe 10 L Pcs * Infection Control203 63 QA0541 Scalp Vein 23G Pcs *204 64 QA0542 Scalp Vein 25G Pcs * MCH205 65 Stomach Wash Out tube, Fraucher Type CH27 Pcs *
206 66 QA0600 Sut/Catgut Chromic25mm½circle Rb75cm 2/0 Pcs *
207 67 QA0601 Suture/Catgut Chromic30mm½circle Rb75cm 3/0 Pcs *
208 68 QA0602 Suture/Catgut Chromic35mm½circle Rb75cm 0 Pcs *
209 69 QA0603 Suture/Catgut Chromic38mm½circle Rb75cm 1 Pcs *
210 70 QA0604 Suture/Catgut Chromic40mm½circle Rb75cm 2 Pcs *
211 71 QA0605 Suture/Catgut Chromic85mm B P Cvd Rb 2 Pcs *
212 72 QA0553 Suture/Catgut Plain 22mm curved cutting 75cm 3/0 Pcs *
213 73 QA0554 Suture/Catgut Plain 25mm½ circle Rb 75cm 2/0 Pcs *
214 74 QA0555 Suture/Catgut Plain 30mm½ circle Rb 75cm 0 Pcs *
215 75 QA0581 Suture/ Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 0 Pcs *
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
216 76 QA0582 Suture/Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 1 Pcs *
217 77 QA0579 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 2/0 Pcs *
218 78 QA0578 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 3/0 Pcs *
219 79 QA0563 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 2/0 Pcs *
220 80 QA0561 Suture/Polyamide 26 mmCurved Rev cutting 75cm (Nylon) 3/0 Pcs *
221 81 QA0575 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 4/0 Pcs *
222 82 QA0644 Suture/Silk 16mm curved 45mm 4/0 Pcs *223 83 QA0640 Suture/Silk 6mm curved 38mm 6/0 Pcs *
224 84 Suture/Silk 8mm double needle micro-point spatula ½ circle 30mm 8/0 Pcs *
225 85 Suture/Silk double needle micro-point spatula curved 30mm 10/0 Pcs *
226 86 NQ4768 Sphygmomanometer Aneroid for Adult 300 mm Hg Pcs *227 87 QB0530 Stethoscope Binaural Pcs *228 88 Syringe Disposable & Needle 26G 1ml Pcs * MCH/Diabetes229 89 QA0680 Syringe Disposable & Needle 25G 2ml Pcs *230 90 QA0664 Syringe Disposable & Needle 25G 5ml Pcs *231 91 QA0661 Syringe Disposable & Needle 23G 5ml Pcs *232 92 QA0662 Syringe Disposable & Needle 23G 10ml Pcs *233 93 QA0692 Syringe Disposable 20ml Pcs *234 94 Syringe for insuline 1ml Pcs SN Diabetese235 95 QA0710 Talc 1kg Box *236 96 QA0730 Tape Test for Autoclave Roll * Infection Control237 97 QA0740 Tape Umbilical Non sterile 3mm Roll *238 98 Indicator Strips Test For Sterilization Roll * Infection Control
239 99 Bag for Medical Surgical Capacity 10-15 litres 10-15 Litres Pcs * Infection Control
240 100 QB0560 Thermometer Oral/Rectal oC Pcs *241 101 QA0751 Thorax Drain + Trocar CH12 Pcs *242 102 QA0752 Thorax Drain + Trocar CH14 Pcs *243 103 QA0753 Thorax Drain + Trocar CH16 Pcs *
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
244 104 QA0754 Thorax Drain + Trocar CH18 Pcs *245 105 QA0755 Thorax Drain + Trocar CH20 Pcs *246 106 QA0760 Tongue depressor wood adult Pcs *247 107 Tracheal tube #4 Pcs *248 108 Tracheal tube #4.5 Pcs *249 109 Tracheal tube #5 Pcs *250 110 Tracheal tube #5.5 Pcs *251 111 Tracheal tube #6 Pcs *252 112 Tracheal tube #6.5 Pcs *253 113 Tracheal tube #7 Pcs *254 114 QA0775 Tracheotomy tube #6 Pcs *255 115 QA0772 Tracheotomy tube #7 Pcs *256 116 QA0800 Tube Nasogastric/Feeding with Cover CH5 Pcs *257 117 QA0802 Tube Nasogastric/Feeding with Cover CH12 Pcs *258 118 QA0803 Tube Nasogastric/Feeding with Cover CH14 Pcs *259 119 QA0804 Tube Nasogastric/Feeding with Cover CH16 Pcs *260 120 QA0780 Tube Redon Drain CH12 Pes SN261 121 QA0781 Tube Redon Drain CH16 Pcs SN262 122 QA0810 Tube Suction Disposable CH8 Pcs *263 123 QA0811 Tube Suction Disposable CH12 Pcs *264 124 QA0812 Tube Suction Disposable CH16 Pcs *265 125 QA0830 Ultra Sound Gel 1 kg Bttl *266 126 QA0840 Umbilical cord clamp Pcs *
267 127 Urine Drainage Bag with non-return valve 2litre Pcs *
268 128 Yellow Plastic bag with Red label (15-20L) Pcs *
III NATIONAL PROGRAMSIII 1 EYE UNIT/PROGRAM269 1 NA0030 Ciprofloxacine 0.3% eye drop 5ml Vial SN Opth.- anti-infective
270 2 NQ3142 Tetracycline 1 % eye ointment 5g Tube * Opth.- anti-infective
III 2 NATIONAL CENTRE OF TUBERCULOSIS AND LEPROSY CONTROL (CENAT)A TUBERCULOSIS PROGRAM(1) First Line Anti-TB Medicines
271 1 NC0009 Ethambutol 100mg Tab * Anti-tuberculosis272 2 NC0010 Ethambutol 400mg Tab * Anti-tuberculosis273 3 NC0011 Isoniazide 100mg Tab * Anti-tuberculosis
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
274 4 NC0060 Pyrazinamide 400mg Tab * Anti-tuberculosis275 5 NC0083 Rifampicine 150mg Tab * Anti-tuberculosis276 6 NC0071 Rifampicine / Isoniazide 150 + 75mg Tab * Anti-tuberculosis277 7 NC0070 Rifampicine / Isoniazide 60+30mg Tab * Anti-tuberculosis
278 8 NC0080Rifampicine / Isoniazide / Pyrazinamide
60+30+150mg Tab * Anti-tuberculosis
279 9 NC0082Rifampicine/Isoniazide/Pyrazinamide/Ethambutol
150+75+400+275 mg Tab * Anti-tuberculosis
280 10 NC0092 Streptomycine 1g Vial * Anti-tuberculosis
281 11 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
282 12 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
(2) Second Line Anti-TB Medicines
283 1 GA3901 Amikacin 500mg Vial SN2nd line anti-infective (aminoglycoside) - multidrug resistant gram negative bacteria
284 2 Capreomycin 1g Vial SN 2nd antimycobacterials: tuberculosis and leprostatic agents
285 3 Cycloserine 250mg Cap SN Anti-infective used as 2nd line anti-TB
286 4 Ethionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
287 5 Gatitfloxacin 500mg Tab SN Anti-infective used as 2nd line anti-TB
288 6 Kanamycin 1g Vial SN Anti-infective used as 2nd line anti-TB
289 7 Levofloxacin 250mg Tab SN Anti-infective used as 2nd line anti-TB
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
290 8 Moxifloxacin 400mg Tab SN Anti-infective used as 2nd line anti-TB
291 9 AA0400 Ofloxacin 200mg Tab SN Anti-infective used as 2nd line anti-TB
292 10 Para Amino Salicylic Acid 4g Sachet SN Anti-infective used in combination with other anti-TB as 2nd line Powder 100gr per Jar
293 11 Prothionamide 250mg Tab SN Anti-infective used as 2nd line anti-TB
B LEPROSY PROGRAM294 1 NC0120 Clofazimine 100mg Cap * Antileprosy
295 2 NC0020 MB (multibacillary) Adult Blister * Antileprosy
296 3 NC0030 MB (multibacillary) Child Blister * Antileprosy
297 4 NC0040 PB (paucibacillary) Adult Blister * Antileprosy
298 5 NC0050 PB (paucibacillary) Child Blister * Antileprosy
3 NATIONAL CENTRE FOR PARASITOLOGY, ENTOMOLOGY AND MALARIA CONTROL (CNM)A MALARIA PROGRAM
299 1 ND0059 A+M1 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (1-5yrs)
300 2 ND0060 A+M2 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (6-10yrs)
301 3 ND0061 A+M3 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (11-14yrs)
302 4 ND0063 A+M5 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (> 15yrs)
303 5 ND0051 Artesunate Rectocap 50mg Tab * for severe malaria
304 6 ND0052 Artesunate Rectocap 200mg Tab * for severe malaria
305 7 Artesunate injectable + 1ml of 5% Sodium bicarbonate solution 60mg
Vial + Amp
(Solution)
* for severe malaria
306 8 ND0040 Artemeter injection 80mg/ml Amp * for severe malaria
307 9 ND0110 Mefloquine 250mg Tab * Used in combination with artesunate
308 10 ND0031 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 3Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
309 11 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 6Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
310 12 Piperaquine + Dihydro artemisinin 320mg+40mgBlister(9Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
311 13 ND0150 Quinine Sulfate 300mg Tab *Used in severe malaria and should be used in combination with Doxycycline
312 14 ND0140 Quinine Dihydrochloride 600mg/2ml Amp *
P. falciparum malaria; no longer recommended by the WHO as first line treatment for malaria and should only be used when ACTs are not available
313 15 ND0170 Tetracycline 250mg Cap * Anti-infective - with action on malaria parasite
B SCHISTOSOMIASIS AND HELMINTHIASIS PROGRAM
314 1 ND0130 Praziquantel 600mg Tab SNIntestinal anthelminthic:antischistosomal/antitrematode
C DENGUE HAEMORRHAGIC FEVER PROGRAM
315 1 AC00345% Dextrose in Isotonic Saline Solution + IV Giving Set
500ml Blt * Water, electrolyte replacement and source of energy
316 2 GA34015% Dextrose in Acetate Ringer's Solution + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
317 3 AC00365% Dextrose in 1/3 Saline + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
D FILARIASIS PROGRAM318 1 NQ0004 Albendazol 400mg Tab SN Intestinal anthelmenthic AIDS
319 2 ND0230Diethylcarbamazine (dihydrogen citrate)
100mg Tab SN Antifilarial
320 3 Invermectin (scored tablets) 3mg Tab SN Antifilarial
III 4 BIRTH SPACING PROGRAM
321 1 NH0020 Depo-medroxyprogesterone acetate 150mg/3ml Vial * Injectable hormonal contraceptive - long acting
322 2 NH0040 Norgestrel (Progestin-Only-Pill) 0.075mg Blister * Oral Contraceptive
323 3 NH0050Ethinyloestradiol + Levonorgestrel (Combined Oral Contraceptive)
0.03/0.15mg Blister * Combined Oral Contraceptive
324 4 NH0010 Condom 49mm Pcs * Physical barrier contraceptive
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
325 5 NH0030 IUD Copper T 380A T380A Pcs * Intra-uterine device (IUD) Contraceptive
326 6 NH0011
Female Condom (Lubricated loose-fitting Polyurethane, pouch closed at one end, open at the other with soft rings at each end. 160-180mm width, 41-61µ thickness, 2.23-2.53mm outer ring, 56.5-58-5mm inne
160-180mm Pcs * Physical barrier contraceptive
327 7 NH0052Levonorgestrel (Emergency/Morning After Contraceptive Pills), 2 pill per Blister
0.75mg Blister * "Morning after" contraceptive
328 8 NH0051Implant: a-Etonorgestrel b- Levonorgestrel
a-68 mg b-150mg Implant * Implant hormonal contraceptive -
long acting
III 5 PSYCHIATRY MEDICINES(1) First Line
329 1 NG0010 Amitriptyline (as hydrochloride) 25mg Tab SN Depressive disorders Pain/Cancer
330 2 NG0011 Amitriptyline (as hydrochloride) 50mg Tab SN Depressive disorders Pain/Cancer
331 3 NG0030 Carbamazepine 200mg Tab SN
Anticonvulsant and mood-stabilizing - used primarily in the treatment of epilepsy and bipolar disorder, as well as trigeminal neuralgia.
Pain/Cancer
332 4 NG0041 Chlorpromazine (as hydrochloride) 100mg Tab SN Psychotic disorders
333 5 NG0050 Clomipramine (as hydrochloride) 25mg Cap SN Obsessive compulsive and panic attacks
334 6 Fluoxetine (as hydrochloride) 20mg Cap / Depressive disorders
335 7 NG0071 Haloperidol 10mg Tab SN Psychotic disorders Pain/Cancer
336 8 NG0070 Haloperidol 5mg Tab SN Psychotic disorders Pain/Cancer
337 9 NG0081 Imipramine 25mg Tab SN Antidepressant
338 10 NG0090 Lithium Carbonate 300mg Tab SN Mood-stabilizing, primarily in the treatment of bipolar disorders.
339 11 NG0100 Nortriptiline HCL 25mg Tab SN Antidepressant
340 12 NG0110 Perphenazine 8mg Tab SNAnti-psychotic, antidepresnt; used to treat symptoms of schizophrenia
17 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
341 13 NG0120 Phenytoine 100mg Tab SN Anticovulsants/anti-epileptic Pain/Cancer
342 14 NG0130 Thioridazine 10mg Tab SNAnti-psychotic, antidepresnt; used to treat symptoms of schizophrenia
343 15 NG0140 Trihexyphenidyl (benzhexol) 5mg Tab SNAntiparkinsonian agent (antimuscarinic class)
344 16 NG0073 Haloperidol decanoate 50mg/ml Amp SN Psychotic disorders Pain/Cancer
(2) Second LineIII 6 NATIONAL CENTRE FOR HIV/AIDS, DERMATOLOGY AND STD (NCHADS)
A HIV/AIDS PROGRAM(1) ADULTS
345 1 NE0010 Abacavir (ABC) (as sulfate) 300mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
346 2 NE0014 Abacavir (ABC) + Lamivudine (3TC) 600mg+300mg Tab SN ARV: 2-FDC
347 3 NE0100Stavudine (D4T) + Lamivudine(3TC) + Nevirapine(NVP)
30mg+150mg+200mg Tab SN ARV: 3-FDC
348 4 NE0013 Atazanavir 300mg Tab SN ARV: Protease inhibitor (PI)
349 5 NE0042Didanosine (ddl) (unbuffered enteric coated tablet)
250mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
350 6 NE0043Didanosine (ddl) (unbuffered enteric coated tablet)
400mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
351 7 NE0051 Efavirenz (EFV or EFZ) 200mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
352 8 NE0052 Efavirenz (EFV or EFZ) 600mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
353 9 NE0070 Lamivudine (3TC) 150mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
354 10 NE0080 Stavudine(d4T)+ Lamivudine (3TC) 30mg+150mg Tab SN ARV: 2-FDC
355 11 NE0251 Stavudine (d4T) 30mg Tab SN ARV: nucleoside analog/reverse transcriptase inhibitor (NARTI)
356 12 NE0110 Zidovudine(AZT)+Lamivudine(3TC) 300mg+150mg Tab SN ARV: 2-FDC
357 13 NE0111Zidovudine(AZT)+Lamivudine(3TC) + Nevirapine(NVP)
300mg+150mg+200mg Tab SN ARV: 3-FDC
358 14 NE0141 Lopinavir/Ritonavir 200mg/50mg Cap SN ARV: Protease inhibitor
359 15 NE0170 Nevirapine 200mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
360 16 NE0220 Ritonavir 100mg Tab SN ARV: pharmacological booster
361 17 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC )
300mg+150mg +300mg Tab SN ARV: 3-FDC
362 18 NE0270 Tenofovir (TDF) (disoproxil fumerate) 300mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
(2) PEDIATRIC
363 1 NE0010 Abacavir (ABC) (as sulfate) 240ml syrup 20mg/ml Bttl SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
364 2 NE0012 Abacavir( ABC ) +Lamivudine (3TC) 60mg+30mg Tab SN ARV: 2-FDC
365 3 NE0102Stavudine(d4T) + Lamivudine(3TC) + Nevirapine(NVP)
12mg+60mg+100mg Tab SN ARV: 3-FDC
366 4 NE0082 Stavudine(d4T) + Lamivudine(3TC) 6mg+30mg Tab SN ARV: 3-FDC
367 5 NE0083 Stavudine(d4T) + Lamivudine(3TC) 12mg+60mg Tab SN ARV: 3-FDC
368 6 NE0045 Didanosine (ddl) 125mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
369 7 NE0046 Didanosine (ddl) 200mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
370 8 NE0050 Efavirenz (EFV or EFZ) 50mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
371 9 NE0150 Lopinavir/Ritonavir 160ml Syrup 80mg/20mg/ml Bttl SN ARV: Protease inhibitor
372 10 NE0142 Lopinavir/Ritonavir (LPV/r) 100mg/25mg Tab SN ARV: Protease inhibitor
373 11 NE0190 Nevirapine (NVP) Syrup 10mg/ml Bttl SN ARV: Non-nucleoside reverse transcriptase inhibitor
374 12 NE0113 Zidovudine (AZT )+Lamivudine (3TC) 60mg+30mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
375 13 NE00114 Zidovudine(AZT) +Lamivudine(3TC) +Nevirapine(NVP ) 60+30+50mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
376 14 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC ) 60+30+60mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
B DERMATOLOGY, STD, OIs AND OTHER MEDICINES(1) ORAL MEDICINES
377 1 NQ0002 Acyclovir 200 mg Tab SN Antiviral/antiherpes (topical)
378 2 NQ0003 Acyclovir 400 mg Tab SN Antiviral/antiherpes (topical)
379 3 NQ0004 Albendazol 400 mg Tab SN Intestinal anthelmenthic Helminthic program
380 4 NQ0005 Amitryptiline 25 mg Tab SN Tricyclic antidepressant Psychiatry
381 5 Amitryptiline 50 mg Tab SN Tricyclic antidepressant Psychiatry 19 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
382 6 NQ0007 Amoxicillin 500 mg Tab SN Antibacterial (beta lactam) Basic Medicine
383 7 NF0030 Azithromycine 500mg Tab SN Antibacterial
384 8 NF0060 Cefixime 200mg Tab SN Antibacterial (beta lactam)
385 9 NF0070 Cetirizine hydrochloride 10mg Tab SN Antihistamine/anti-allergic HIV/AIDS Care
386 10 Clotrimazol 100mg Tab SN To treat fungal infections of the mouth or throat
387 11 NE0100 Codeine phosphate 30 mg Tab SN Opioid analgesic Pain relief /palliative care
388 12 NQ0110 Cotrimoxazole 400mg+80 mg Tab SN Antibacterial Basic medicine
389 13 NQ0111 Cotrimoxazole 800mg + 160mg Tab SN Antibacterial HIV/AIDS Care
390 14 NQ0156 Dapsone 100 mg Tab SN
Antibacterial used alone or in combination with other anti-leprosy drugs (rifampicin and clofazimine) to treatment leprosy; also as OI - prophylaxis against Pneumocystis pneumonia (PCP) in HIV patients allergic to Co-trimoxazole.
Leprosy/HIV
391 15 NQ0151 Diazepam 5 mg Tab SN Anxiolytic, sleep disorders, mild muscle relaxant
Basic medicine
392 16 NQ0152 Diclofenac 50 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basic medicine
393 17 Dicloxacilline 500 mg Tab SN Antibacterial
394 18 NQ0153 Doxycycline 100 mg Tab SN Antibacterial
395 19 NQ0201 Erythromycine 500 mg Tab SN Antibacterial
396 20 NQ0252 Fluconazole 100 mg Tab SN Oral antifungal Basie medicince
397 21 Fluconazole 150 mg Tab SN Oral antifungal
398 22 NQ0253 Fluconazole 200 mg Tab SN Oral antifungal
399 23 NQ0255 Folic Acid 10 mg Tab SN Antianaemic Basie medicince
400 24 NQ0331 Griseofulvine 500mg Tab SN Oral systemic antifungal AIDS/Leprocy
401 25 NQ0402 Ibuprophene 400 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs)
402 26 AA0270 Indomethacine 25 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basie medicince
403 27 NQ0403 Itraconazole 100mg Tab SN Oral antifungal
404 28 Itraconazole 200mg Tab SN Oral antifungal
405 29 NF0181 Ketoconazol 200 mg Tab SN Oral antifungal 20 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
406 30 NQ0551 Loperamide 2 mg Tab SNOI - Antidiarrhea - diarrhea due to gastroenteritis or inflammatory bowel disease
407 31 NF0200 Minocycline hydrochloride 100mg Tab SN Antibacterial
408 32 NQ0210 Morphine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
409 33 Oxycodine 10 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
410 34 Oxycodine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
411 35 NQ0751 Paracetamol 100 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
412 36 NQ0752 Paracetamol 500 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
413 37 NQ0750 Paracetamol Syrup 100mg/ml Btl SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
414 38 NQ0758 Prednisolone 5 mg Tab SN Anti-inflammatory ; Anti-allergic/anaphylaxis
Basic mrdicine
415 39 Pyrimethamine 100mg Tab SNAnti-malaria (acute malaria)
(2) INJECTIONS416 1 NQ0014 Amphotericine B 50 mg Vial SN Antifungal/antileishmaniasis
417 2 NF0040 Benzathine Benzyl Penicilline 2.4 MUI Vial SN Antibacterial (beta lactam)
418 3 Butylhyocine 20 mg Amp SN Antispasmodic
419 4 NQ1551 Ceftriaxone 1 gr Vial SN Antibacterial (beta lactam)
420 5 NQ1555 Cloxacillin 1g Vial SN Antibacterial (beta lactam)
421 6 NQ1576 Dexamethasone 2 mg Amp SN
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
422 7 NQ1577 Diazepam 10 mg/2ml Amp SN
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Basic medicine
423 8 Diphenhydramine 4 mg/ ml Amp SN Antihistamine
424 9 Fluconazole I.V. 200ml 400 mg Vial SN Systemic antifungal
425 10 NQ1651 Gentamycine 80 mg /2ml Amp SN Antibacterial Basic medicine
426 11 NQ1802 Metronidazole 500 mg vial SN Antibacterial/antiamoebic/antigiardiasis
427 12 NQ1803 Morphine 10 mg /1ml Amp SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Basic medicine
(3) EXTERNAL USE MEDICINES428 1 AD0270 Acyclovir Cream 15g Tube SN Antiviral/antiherpes (topical)
429 2 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar SN Antifungal Basic medicine
430 3 NQ2263 Benzoyl Benzoate 25% 1litre Btl SN Scabicide, pediculicide (topical) Basic medicine
431 4 Benzoyl peroxide 5% Gel 40g Tube SN
Topical as a peeling agent. Effects skin differentiation and prolifiration/turn over. Also has antiseptic and bleaching properties.
432 5 Betamethasone (0.05%) +Salicylic Acid (3%) Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
433 6 Betamethasone (as valerate) 0.1% Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
434 7 Betamethasone 0.05% +Fucidic acid 2% 15g Tube SN Topical Anti-infectives with Corticosteroids
435 8 NF0082 Clobetasole propionate 0.05% lotion 30ml Bttl SN Topical adrenocortical steroid - antinflammatory and anti- itching
436 9 NF0080 Clobetasole propionate 0.05% cream 10g Tube SNTopical corticosteroids with anti-inflammatory, antipruritic, and vasoconstrictive properties.
437 10 NQ2286 Clotrimazole 1% cream 30g Tube SN Antifungal (topical) Pain/Cancer22 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
438 11 NF0112 Crotamiton 10% Cream 30g Tub SNScabicidal and antipruritic for treating scabies and relieving itching
439 12 NF0120 Fusidic Acid 2% cream 15g Tube SN Topical anti-infectives
440 13 NF0151 Hydrocortisone (as acetate) 1% 15g Tube SN Anti-inflammatory, antipruritic (topical)
441 14 NF0180 Ketokonazole 2% cream 15g Tube SN Topical broad spectrum antifungal AIDS
442 15 NP0190 Miconazole 2% gel 40g Tube SNAntifungal (topical) - fungal infections of the mouth, throat and gut
443 16 NQ3150 Petroleum Jelly (Vaseline) 15g Tube SNEmollient (skin lubrication and mosturizer); helps protect minor cuts and burns.
444 17 NQ2541 Polyvidone Iodine 10% 200ml Btl SN Topical antiseptic for minor skin injuries
Basic nedicine
445 18 Tretinoin 0.05% cream 30g Tube SN Treatment of acne vulgaris
446 19 Triamcinolone acetonide Cream 0.1 % 30g Tube SN
Topical corticosteroid for the treatment of inflammatory and pruritic manifestations/ dermatoses
447 20 Urea Cream 10% 100mg Tube SN Skin differentiation and prolifiration (for topical use)
AIDS
(4) OTHER MEDICINES448 1 NQ0115 Clotrimazole (vaginal tablets) 500mg Pessary SN Antifungal Pain/Cancer
449 2 NQ0608 Miconazole 100mg Pessary SN Antifungal
450 3 Paracetamol 300mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
III 7 ORAL HEALTH PROGRAMA MEDICINES
451 1 NI0070 Calcium Hydroxide B/2P *
452 2Composite light cure high briand microfiller 4g ( color A3, A3.5 ) for restorative filling dental cavity
Pcs *
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
453 3 Eugenol USP 10ml Vial *
Toothache and other related uses as local antiseptic and anesthetic. Mixed with zinc oxide - restorative and prosthodontic
454 4 NI0140 Glass ionomer for Rest Gc Fuji II Powder 15g + liquid 10g
Box *
455 5 NI0141 Glass ionomer for Rest Gc Fuji IX Powder 15g + liquid 10g
Box *
456 6 Glass ionomer for Rest Gc Fuji VII Powder 15g + liquid 10g
Box *
457 7 NI0220 Lidocain 2% Adrenaline 0.001% 1.8 ml Cart * Local anaesthetic
458 8 Lidocain 2% Non-adrenaline 1.8 ml Cart * Local anaesthetic
459 9 Fluoride Varnish 10 ml Tube * Prevent tooth decay
460 10 Fluoride Gel 113g Tube * Prevent tooth decay
461 11 Polyhexa+didecyl St 72.17 Hexanios for Soaking instruments before Sterilization Sachets /25ml Sachet * Instrument sterilization
462 12 NI0210 Zinc Oxide Powder 1Kg Jar *Mixed with Eugenol produce material which has restorative and prosthodontic applications.
B MATERIALS
463 1 Barbed broach ( tire -nerf) to take the nerf from dental canal
Pcs *
464 2 Burr cylinder Highspeed Pce *465 3 Burr cylinder Lowspeed Pce *
466 4 Burr round for contra Angle Highspeed Pce *
467 5 Burr round for contra Angle Lowspeed Pcs *
468 6 Files Complete set length 21 mm ( files used for root treatment )
#15,#20,#25, #30,#35,#40
Pcs *
469 7 Lentulo, Complete set ( used for root canal treatment )
Pcs *
470 8 Matrix bands medium ( Metal Matrix) Pcs *
471 9 NV0160 Needle Dental 27G .21mm Pcs *24 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
472 10 NV0161 Needle Dental 27G . 30mm Pcs *473 11 NV0162 Needle Dental 27G . 35mm Pcs *474 12 NV0030 Catridge syringe ( metal ) 1,8ml Pcs *
475 13 Surgical blade #11 Pcs * For use in surgical Procedure
III 8 NATIONAL IMMUNIZATION PROGRAMIII 9 NUTRITION PROGRAM
476 1 Iron-Folate Weekly Iron-Folic Supplementation (WIFS)
60mg Iron element + 2.8 mg Folic acid Rose Tab SN
Weekly Iron-Folic Supplementation (WIFS) in Women of Reproductive Age
477 2
Rehydration Solution for Malnutrition (ReSomal) (Glucose 55mmol; Sucrose 73mmol; Potassium 45mmol; Chloride 70mmol; Citrate 7mmol; Magnesium 3mmol; Zinc 300μmol; Copper 3μmol)
42.1g Sachet SN Treatment of rehydration in severally malnorished children
478 3
Therapeutic Milk F-75 [Energy 448Kcal, Protein 5% energy, Lipids 31% energy, Vit A (0.9mg), Vit D (18µg), Vit E (20mg), Vit C (59mg), Vit B1 (0.5mg), Vit B2 (1.2mg), Vit B6 (0.8mg), Folic acid (200µg), Vit B12 (1.6µg), Vit K (15µg), Biotin (60µg), Pantothenic acid (3mg), Sodium (<87mg), Calcium (560mg), Phosphor (330mg), Potassium (1100mg), Magnesium (50µg), Zinc (12.2mg), Iodine (100µg), Cuivre/Copper (1.7mg), Selenium (30µg) and Fer/Iron (<0.3mg)]
410g Sachet SN For treatment of severe malnutrition (rehabilitation phase)
25 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
479 4
Therapeutic Milk F-100 [Energy 520Kcal, Protein >10% of energy, Lipids >45% of energy, Vit A (800µg), Vit D (15µg), Vit E (20mg), Vit C (50mg), Vit B1 (0.5mg), Vit B2 (1.6mg), Vit B6 (0.6mg), Niacin (5mg), Folic acid (200µg), Vit B12 (1.6µg), Vit K (15µg), Biotin (60µg), Pantothenic acid (6mg), Sodium (<290mg), Calcium (300mg), Phosphor (300mg), Potassium (1100mg), Magnesium (80µg), Zinc (11mg), Iodine (70µg), Cuivre/Copper (1.4mg), Selenium (20µg) and Fer/Iron (<0.2mg)]
456g Sachet SNFor treatment of severe malnutrition (maintenance/treatment phase)
480 5
Multiple Micronutrient Powder (MNP)[Iron (12.5mg), Zinc (10mg), Vitamin A (300µg), Iodine ( 90µg), Vit B1 (0.5mg), Vit B2 (0.5mg), Vit B6 (0.5mg), Vit B12 (0.9µg), Niacin (6mg), Folate/Folic acid (160µg), Vit C (Ascorbic acid) (30mg), Copper (0.3mg), Selenium (17µg), Vit D (5µg) and Vit E (6mg)]
1g Sachet SN Multi-nutrient formula/powder for children 6-24 months.
III 10 PAIN RELIEF AND PALLIATIVE CARE
481 1 Clonazepam 2mg Tab SN Anxiolytic with muscle relaxantion and anticonvulsant action
Psychiatry
482 2 Clonazepam Drops 2.5 mg/ml Btl SN Anxiolytic with muscle relaxantion and anticonvulsant action Psychiatry
483 3 Codeine Phosphate 30mg Tab SN Opioid analgesic Psychiatry /Dermatological
484 4 Codeine Phosphate Syrup 1mg/ml Btl SN Opioid analgesic Psychiatry
485 5 Gabapentin 100mg Cap SN Neuropathic pain relief Psychiatry
486 6 Ibuprofene 200mg Tab SN Analgesic - NSAIDs
487 7 Ibuprofen (ped) 250mg Supp SN Analgesic - Nonsteroidal anti-inflammatory drugs (NSAIDs)
488 8 Ibuprofen Syrup 20mg/ml Btl SN Analgesic - Nonsteroidal anti-inflammatory drugs (NSAIDs)
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lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
489 9 Morphine Sulphate (Lasting 4 h) 10mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Dermatological
490 10 Morphine Sulphate (Lasting 4 h) 30mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Dermatological
491 11 Morphine Sulphate retard (Lasting 12h) 10mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
492 12 AA0342 Morphine Sulphate retard (Lasting 12h) 30mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
493 13 Paracetamol 250mg Rectocap SNThermal stable suppostory. Analgesic and antipyretic without anti-inflamatory effect
494 14 Tramadol Chlorhydratre 50mg Tab SNSynthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
495 15 Tramadol Chlorhydratre (Retard) 100mg Tab SNSynthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
496 16 Docusate Sodium 50mg Tab SN Laxative
497 17 Lactulose Syrup 3.3mg/5ml Btl SN Laxative - for chronic constipation
498 18 Nalaxone 400mg Tab SNAntidote to opioid poisoning/emergency overdose treatment
III 11 ANTI CANCER MEDICINESIII 12 DIABETES
499 1 Glimepiride 2mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
500 2 NQ0605 Metformine 500mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
501 3 NK0031 Insuline, long acting 1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
502 4 Insuline, rapid acting (3-6 hours efficacy)
1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
27 of 28
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA2
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
503 5 Premixed Insuline 70/30 (Semi-lente 70/ Rapid 30)
1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
III 13 ENDOCRINOLOGY AND HORMONOLOGY
504 1 Hydrocortisone 10mg Tab SN Anti-inflamatory and other endocrinoly uses
505 2 Levothyroxine 50µg Tab SN Anti-hyperthyroidism.
506 3 Neomercazole 5mg Tab SN Anti-hyperthyroidism.
III 14 INFECTION CONTROL AND PREVENTION
507 1 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
508 2 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
509 6 Isopropyl Alcohol 99.8% 99.80% Btl * Mix with other ingredients to produce alcohol hand rub
510 7 NQ5121 Ethanol 96% V/V Btl * Mix with other ingredients to produce alcohol hand rub
511 8 XA1410 Glycerol 98% 98% Btl * Mix with other ingredients to produce alcohol hand rub
512 9 Apron, plastic, disposable (Liquid and Spash Resistant) Small Pcs *
Use: to protect health care workers from droplets or splashes
513 10 Apron, plastic, disposable (Liquid and Spash Resistant) Medium Pcs *
Use: to protect health care workers from droplets or splashes
514 11 Apron, plastic, disposable (Liquid and Spash Resistant) Large Pcs *
Use: to protect health care workers from droplets or splashes
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MINISTRY OF HEALTHDEPARTMENT OF DRUGS AND FOODESSENTIAL MEDICINES LIST
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength Form
I BASIC MEDICINES1 ORAL MEDICINES
1 1 AA0010 Acetylsalicylic Acid 500mg Tab * Analgestic, Antipyretic, antimigraine, antithrombotic
Hypertention +Diabetes
2 2 AA0020 Aluminium Hydroxide 500mg Tab * Antacid
3 3 AA0030 Aminophylline 100mg Tab * Anti-asthmatic/brochodialator
4 4 Amlodipine 10mg Tab * Antihypetensive Hypertention +Diabetes
5 5 AA0060 Amoxicillin 250mg Tab * Antibacterial (beta lactam) IMCI
6 6 AA0061 Amoxicillin 500mg Cap * Antibacterial (beta lactam) IMCI
7 7 AA0050 Amoxicillin + Clavulanic acid 500mg+125mg Tab * Antibacterial (beta lactam)
8 8 AA0040Amoxicillin Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial (beta lactam) - for children
IMCI
9 9 AA0080 Atenolol 50mg Tab * Antihypetensive; antiangino Hypertention + Diabetes
10 10 AA0090 Bromhexin 8mg Tab * Broncho mucolytic/antitussive
11 11 AA0640 Bromhexin Syrup 60ml 4mg/5ml Btl * Broncho mucolytic/antitussive
12 12 Captopril 25mg Tab * Antihypetensive Hypertention + Diabetes
13 13 AA0101Charcoal Activated ( Charbon Adsorbant )
125mg Tab * Antidote (non-specific) for poisoning
14 14 AA0110 Chlorpheniramine maleate 4mg Tab * Anti-histamine; anti-allergic
15 15 Chlorpromazine (as hydrochloride) 25mg Tab * Psychotic disorders Psychiatry
16 16 AA0120 Cimetidine 200mg Tab *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
17 17 AA0130 Ciprofloxacin (as hydrochloride) 500mg Tab * Antibacterial STD,Opthl,AIDS, IMCI
18 18 AA0137 Cloxacillin (as soldium salt) 250mg Tab * Antibacterial (beta lactam)
19 19 AA0138 Cloxacillin (as soldium salt) 500mg Tab * Antibacterial (beta lactam)
KINGDOM OF CAMBODIANATION RELIGION KING
bB¢aI»sfsarvnþ
ESSENTIAL MEDICINES LIST - 7th Edition
CPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
1 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
20 20 AA0150Co-trimoxazole (sulfamethoxazole+trimethoprim)
100+20mg Tab * Antibacterial
21 21 AA0151Co-trimoxazole (sulfamethoxazole+trimethoprim)
400+80mg Tab * Antibacterial
22 22 AA0154Co-trimoxazole (sulfamethoxazole+trimethoprim) Suspension 60ml
200+40mg/5ml Btl * Antibacterial - for children IMCI
23 23 AA0160 Diazepam 5mg Tab * Anxiolytic, sleep disorders, mild muscle relaxant
Psychiatry, Hypertention + Diabetes
24 24 AA0170 Diclofenac 50mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
25 25 AA0180 Digoxin 0.25mg Tab * Cardiovascular medicines used in heart failure
26 26 AA0190 Doxycycline (as hydrochloride) 100mg Tab SN Antibacterial
27 27 AA0202 Enalapril 10mg Tab SNAnti-hypertensive;congestive heart failure and improvement of survival after a heart attack.
Hypertention + Diabetes
28 28 AA0200Erythromycin (as stearate or ethyl succinate)
250mg Tab * Antibacterial STD,Dermato,AIDS, IMCI
29 29 Erythromycin stearate Dry Powder/Granules 60ml
125mg/5ml Btl * Antibacterial - for children IMCI
30 30 Fenofibrate 300mg Tab * Anti-cholesterol and triglyceride Hypertention + Diabetes
31 31 Ferrous fumarate Suspension 60ml 100mg/5ml Btl * Antianaemic/iron supplement - for children
IMCI
32 32 AA0210 Ferrous Sulphate + Folic Acid200+0.40mg (60mg Iron element + 0.4
mg Folic acid)Red Tab * Antianaemic/Iron+Folic/Nutritio
n supplement for use in pregnancyNutrition
33 33 AA0220 Fluconazole 100mg Tab * Oral antifungal Dermatologic programm
34 34 AA0230 Folic Acid 5mg Tab * Antianaemic Dermatologic programm
35 35 AA0240 Furosemide 40mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention
2 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
36 36 AA0250 Hydralazine 25mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
37 37 Hydrochlorthiazide (scored tablet) 25mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
38 38 AA0260 Hydrochlorothiazide (scored tablet) 50mg Tab * Diuretic and anti-hypertensive; also used in heart failure
Hypertention + Diabetes
39 39 NQ0353 Hyocine-N-Buthylbromide 10mg Tab * Antispasmodic
40 40 AA0270 Indometacin 25mg Tab * Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Pain/Cancer
41 41 AA0550 Isosorbide Dinitrate 10mg Tab *Vasodilator used in , e.g. angina pectoris, anal fissure and congestive heart failure.
42 42 Losartan potassium 50 mg Tab SN Anti-hypertensive Hypertention + Diabetes
43 43 AA0280 Mebendazole 500mg Tab * Intestinal anthelminthic Schistosomiasis / IMCI
44 44 AA0290 Methyldopa 250mg Tab *
Anti-hypertensive. Should be used in pregnancy induced acute and severe hypertension. Not recommended for the treatment of essential hypertension.
Hypertention + Diabetes
45 45 AA0320 Metoclopramide (as hydrochloride) 10mg Tab * Antiemetic Palliative Care,
46 46 AA0300 Metronidazole 250mg Tab * Antibacterial/antiamoebic/antigiardiasis
STD
47 47 Metronidazole suspension 60 ml 200mg/5ml Btl * Antibacterial/antiamoebic/antigiardiasis - for children
48 48 Mifepriston + Misoprostol (01 tab x200mg) +(04 tab x200µg) Tab SN Medical abortion MCH
49 49 AA0330 Misoprostol 200µg Tab * Oxytocic (uterine contraction) MCH
50 50 AA0340 Multivitamin + Mineral Tab * Vitamin and minerals supplement STD / IMCI
51 51 AA0350 Nalidixic Acid 500mg Tab * Anti-infective (quinolone) IMCI
52 52 AA0360 Niclosamide 500mg Tab * Intestinal anthelminthic
53 53 AA0370 Nifedipine Retard 20mg Tab *Anti-hypertensive (calcium chanel blocker) also used as an anti-angina.
Hypertention + Diabetes
3 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
54 54 AA0380 Nystatin 500.000IU Tab * Oral antifungal STD / AIDS
55 55 NQ0735 Omeprazole 20 mg Tab *
Antacid - a proton pump inhibitor -with pronounced and long-lasting reduction of gastric acid production.
56 56 AA0390Oral Rehydration Salts (Low osmolarity for 1L) [Glucose: 13.5g/l, Sodium chloride:2.6g/l, Potasium chloride 1.5g/l, Trisodium citratedihydrate:2.9g/l (20.5g)]
20.5g Sachet * Oral remedy for rehydation
57 57 AA0410 Paracetamol 100mg Tab *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
NIP
58 58 AA0411 Paracetamol 500mg Tab *Analgesic, antipyretic, antimigraine, without anti-inflamatory action
59 59 AA0412 Paracetamol 500mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
Malaria
60 60 AA0413 Paracetamol Syrup 60ml 125mg/5ml Btl * Analgesic, antipyretic without anti-inflamatory action - for children IMCI
61 61 AA0450 Phenobarbital 50mg Tab * Anticovulsant/antiepileptic Psychiatry
62 62 AA0440Phenoxymethyl Penicillin (as potassium salt)
250mg Tab * Antibiotic (beta lactam)
63 63 AA0460 Potassium Chloride 600mg Tab *
Treatment of hypokalemia in patients predisposed to loss o K+ e.g. patients on high doses of diuretics
64 64 AA0470 Prednisolone 5mg Tab * Anti-inflammatory ; Anti-allergic/anaphylaxis
AIDS/Leprosy
65 65 AA0480 Promethazine 25mg Tab * Antihistamine, anti-emetic
66 66 AA0481Promethazine (as hydrochloride) 0.1% syrup 60ml
5mg/5ml Btl * Antihistamine, anti-emetic - for children
67 67 AA0500 Salbutamol 4mg Tab * Antiasthmatic/bronchodialator
68 68 AA0501 Salbutamol for Inhalation 200 doses 0.1mg/dose Btl * Antiasthmatic/bronchodialator
69 69 Simvastatine 20mg Tab * Anti-cholesterol; used to prevent cardio vascular disease Hypertention + Diabetes
4 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
70 70 AA0510 Tiemonium methylsulphate 50mg Tab * Antispasmodic Pain/Cancer
71 71 Tramadol Chlorhydrate 100mg Tab *Synthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
Pain/Cancer
72 72 AA0491 Vitamine A (Retinol) ( red color capsule with nipple) 200,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
73 73 AA0490 Vitamine A (Retinol) (blue color capsule with nipple) 100,000IU Soft Cap * Vitamin A supplement NIP/Nutrition
74 74 AA0531 Vitamin B1 50mg Tab * Vitamin B1 supplement
75 75 AA0541 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
76 76 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
77 77 NL0040 Zinc Sulphate (Dispersible) 20mg Tab * Diarrhoea in children used as with/an adjuct to ORS
MCH / IMCI
2 INJECTIONS78 1 AB0010 Adrenaline (epinephrine) 1mg/1ml Amp * Anti-allergic, anti-anaphylaxis
79 2 AB0020 Ampicillin 500mg Vial * Antibacterial (beta lactam). IMCI
80 3 AB0020 Ampicillin 1g Vial * Antibacterial (beta lactam) MCH
81 4 NB0012 Neuro Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
82 5 NB0011 Hemato Polyvalent Snake Antivenin 10 mg Vial * Antisnake immunoglobulin
83 6 NB0020 Antitoxin,Tetanus 1500IU/1ml Amp * Antitetanus
84 7 AB0030 Atropine Sulphate 1mg/1ml Amp * Pre-operation medication; specific antidote for some poisoning
85 8 AB0040 Bupivacaine 0.5% Spinal heavy 20mg/4ml Vial * Local/Spinal anaesthetic Eye Unit
86 9 AB0050 Butylscopolamine (Hyoscin, Buscopan) 20mg/2ml Amp * Antispasmodic
87 10 AB0060 Calcium Gluconate 10% 1g/10ml Amp * Specific antidote for some type of poisoining
MCH
5 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
88 11 Ceftazidime (as pentahydrate) (powder for injection) 500mg Vial *
Broad-spectrum (beta-lactam antibacterial) for the treatment of melioidosis infection caused by Burkholderia pseudomallei
89 12 AB0080 Ceftriaxone 1g Vial * Antibacterial (beta lactam) STD
90 13 AB0100 Chlorpromazine (as hydrochloride) 50mg/2ml Amp * Psychotic disorders Psychia/Pain/Cancer
91 14 AB0110 Cimetidine 200mg/2ml Amp *Antacid (h2-receptor histamine antagonist - inhibits production of acid in the stomach)
92 15 AB0120 Cloxacillin (as soldium salt) 1g Vial * Antibacterial (beta lactam)
93 16 AB0130Dexamethasone phosphate (as disodium salt) 4mg/1ml Amp *
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
Opthalmo/STD
94 17 AB0140 Dextrose 50% 50ml Vial *
Hypoglycemia (low blood sugar) in emergency care; management of coma of unknown origin; andrestoration of energy.
95 18 AB0150 Diazepam 10mg/2ml Amp *
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Psychia/IMCI
96 19 AB0170 Dopamine (as hydrochloride) 200mg/5ml Amp *
Symphomimetic used in heart failure, shock and other conditions where sympathomimetic action is desirable.
97 20 AB0181Ephedrine (for dilution, as hydrochloride) 30mg/1ml Amp * Spinal anaesthesia during delivery
to prevent hypotension
98 21 AB0190 Ergometrine Methyl 0.2mg/1ml Amp * Oxytocic (uterine contraction)
99 22 AB0200 Etamsylate 250mg/2ml Amp * Anticoagulant
100 23 AB0210 Fentanyl 0.1mg/2ml Amp * Chronic pain management/palliativPain/Cancer
101 24 AB0220 Furosemide 20mg/2ml Amp * Diuretic normaly used in heartfailute
102 25 AB0230 Gentamycin (as sulphate) 80mg/2ml Amp * Antibacterial
6 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
103 26 AB0240 Hydralazine Powder + Solvent 20mg/1ml Amp *Antihypertensive: for acute management of severe pregnancy-induced hypertension only.
104 27 AB0250 Hydrocortisone (as Sodium succinate) 100mg Vial *
A naturally occuring steroid/glucocorticoid with rapid onset of action but short duration: used, among others, as Anti-inflammatory ; Anti-allergic in anaphylaxis
105 28 AB0260 Ketamine 500mg/10ml Vial * General anaesthetics - injectable Pain/Cancer
106 29 AB0270 Lidocaine 2% 50ml Vial * Local anaesthetic - injectable Eye Unit / MCH
107 30 AB0290 Magnesium Sulphate 50% IM/IV 10ml Amp *
For treating eclampsia and severe pre-eclampsia not to be used in other forms of convulsant disorders
MCH
108 31 AB0300 Metoclopramide (as hydrochloride) 10ml/2ml Amp * Antiemetic Pain/Cancer
109 32 AB0310 Metronidazole 500mg/100ml Vial * Antibacterial/antiamoebic/antigiardiasis
MCH
110 33 AB0320Morphine (as hydrochloride or sulphate) 10mg/1ml Amp *
Opioid analgesic, psychoactive for Chronic pain management/palliative care
Pain/Cancer
111 34 AB0330 Neostigmine 0.5mg/1ml Amp * Muscle relaxant
112 35 AB0440 Oxytocin 10 IU/1ml Amp * Oxytocic (uterine contraction) MCH
113 36 AB0341 Paracetamol 300 mg/2 ml Amp *Analgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
114 37 AB0350 Penicillin - G, IM/IV 1MIU Vial * Antibacterial (beta lactam)
115 38 AB0360 Potassium Chloride 10% 10ml Amp * Treatment of hypokalemia
116 39 AB0370 Salbutamol 0.5mg/1ml Amp * Antiasthmatic
117 40 ZA0751 Sodium Bicarbonate 8.4% 20ml Amp * Alkalising agent for the treatment of acidocis
118 41 AB0392 Suxamethonium (as chloride) 100mg/2ml Vial * Muscle relaxant
119 42 AB0400 Thiopental 1g Vial * General anaesthetics - injectable
120 43 Tramadol Chlorhydrate 100mg /2ml Amp *Synthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
Pain/Cancer
7 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
121 44 AB0410 Vecuronium (bromide) + Solvent 4mg/1 ml Amp * Muscle relaxant/anesthesia
122 45 AB0420 Vitamin K1 (Phytomenadione) 10mg/1ml Amp * Coagulant: affects blood coagulation; helps to stop bleeding MCH
123 46 AB0430 Water for Injections 5ml Amp * Diluent for injection
3 IV FLUIDS
124 1 AC0010 Dextran 40 + IV giving set 500ml Btl *Anticoagulant during surgical operations; plasma expander/subsitute
Malaria / Dengue
125 2 AC0031 Dextrose 10% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications Malaria / MCH
126 3 AC0020 Dextrose 5% + IV giving set 500ml Btl * Rehydration and energy; diluent for other IV medications
127 4 AC0030Dextrose 5%+0.45% Saline + IV giving set 500ml Btl * Electrolyte replacement,
rehydration, and source of energy Dengue
128 5 AC0041 N S S 0.9% + IV giving set 1000ml Btl *Electrolytes replacement, rehydration, and source of sodium, sugar and energy
MCH
129 6 AC0050 Plasma Substitute + IV giving set 500ml Btl * Plasma expander
130 7 AC0060 Ringer's Lactate + IV giving set 1000ml Btl *
Fluid and electrolyte replenishment therapy. Also often called Hartmann's solution - for the correction of extracellular volume and electrolyte depletion.
Dengue / IMCI / MCH
4 OTHER MEDICINES
131 1 AD0100 Fluorthane (Halothane) 250ml Btl * General anaesthetics - inhalation
132 2 AD0170 Soda lime ( Chaux Sodee) 4.5kg Btl * Adjuct to general anaesthesia
5 EXTERNAL MEDICINES 133 1 AD0010 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar * Antifungal (topical)
134 2 AD0020 Benzyl Benzoate 25% 1L Btl * Scabicide, pediculicide (topical)
135 3 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
136 4 AD0120 Gentian Violet Powder 25g Jar * Anti-infective (topical) as a 0.5 aqueous solution or tincture 8 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
137 5 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
IPC Program
138 6 AD0180 Petroleum Jelly (Vaseline) 500g Jar * Emollient (skin lubrication and mosturizer)
139 7 AD0140 Polyvidone Iodine 10% 200ml Btl * Topical Antiseptic (wound application)
140 8 AD0031Sodium Dichloroisocyanurate (Water Purification)
167mg Tab * Water Purification
141 9 AD0190 Zinc oxide 10% 500g Jar * Hypoallergenic (minimize itching due to skin allergic reactions)
II CONSUMMABLES142 1 QA0031 Adhesive Tape Zinc Oxide perforated 18cm x 5m Roll *143 2 QA0030 Adhesive Tape Zinc Oxide perforated 5cmx5m Roll *
144 3 Autoclavable Plastic Bag for Restirilizing equipment Pcs *
145 4 QA0060 Bandage, Crepe 8cmx4m Roll *146 5 QA0070 Bandage, Gauze Non-sterile 7.5cmx10m Roll *147 6 QA0241 Bandage Tubular Elastic 8mm x 4cm Pcs *148 7 QA0090 Blades for Surgical Knife #15 Pcs * Oral Health 149 8 QA0091 Blades for Surgical Knife #22 Pcs *150 9 QA0092 Blades for Surgical Knife # 30 Pcs *151 10 XB0060 Blood Collection Bag (CPD) 350ml *
152 11 QA0131 Catheter Foley, Ballon 2 ways 10ml, sterile CH12 Pcs *
153 12 QA0132 Catheter Foley, Ballon 2 ways 10ml, sterile CH14 Pcs *
154 13 QA0128 Catheter Foley, Ballon 2 ways 10ml, sterile CH16 Pcs *
155 14 QA0160 Catheter IV with injection port 18G Pcs *156 15 QA0161 Catheter IV with injection port 20G Pcs *157 16 QA0162 Catheter IV with injection port 22G Pcs * STD,AIDS158 17 QA0163 Catheter IV with injection port 24G Pcs *159 18 QA0164 Catheter IV with injection port 26G Pcs *160 19 QA0170 Colostomy Bag, Disposable 38mm Pcs *161 20 QA0190 Cotton Wool Absorbent 500g Roll *162 21 QA0180 Cotton Wool Non Absorbent 500g Roll *163 22 QA0210 Developer for X-Ray Film 1 Gallon Btl *
9 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
164 23 QA0220 Drainage Strip (Delbet) 25x3cm Pcs *165 24 QA0230 Dressing for burns with Paraffin 10x10cm Pcs *166 25 Electric Syringe Pcs *167 26 ExtensionThree ways Stopcock 25 cm Pcs *168 27 QA0270 Eye Shields Pcs *169 28 QA0920 Fixer for X-Ray Film 1 Gallon Btl *170 29 QA0290 Gauze, absorbent (BP17g/m2) 90cmx91m Roll *171 30 QA0300 Glove examination, non sterile, Latex Small Pcs *172 31 QA0310 Glove examination, non sterile, Latex Medium Pcs *173 32 QA0302 Glove examination, non sterile, Latex Large Pcs *
174 33 QA0360 Glove, sterile, Long Cuff (for Gynaecological use) Small Pcs *
175 34 QA0361 Glove, sterile, Long Cuff (for Gynaecological use) Medium Pcs *
176 35 QA0362 Glove, sterile, Long Cuff (for Gynaecological use) Large Pcs *
177 36 QA0320 Glove Surgical, sterile, latex Small Pcs *178 37 QA0322 Glove Surgical, sterile, latex Medium Pcs *179 38 QA0321 Glove Surgical, sterile, latex Large Pcs *180 39 QA0330 High Quality Printing Paper UPP- 110s 110mm x 20m Pcs *
181 40 Infusion set with burette 100ml, Disposable 60drops/minute Pcs *
182 41 QA0354 Intra Ocular Lens #18 Pcs * Eye Unit Program183 42 QA0355 Intra Ocular Lens #19 Pcs * Eye Unit Program184 43 QA0356 Intra Ocular Lens #20 Pcs * Eye Unit Program185 44 QA0357 Intra Ocular Lens #21 Pcs * Eye Unit Program186 45 QA0358 Intra Ocular Lens #22 Pcs * Eye Unit Program
187 46 Lubrication gel for Urinary catheter single use 5ml Pack *
188 47 QA0370 Medical Plastic Bags (Khmer printing, as sample) 7cm x 11cm Pcs *
189 48 QA0913 Medical X ray films, Green sensitive 18cm x 24cm Pcs *190 49 QA0910 Medical X ray films, Green sensitive 18cm x 43cm Pcs *191 50 QA0911 Medical X ray films, Green sensitive 24cm x 30cm Pcs *192 51 QA0914 Medical X ray films, Green sensitive 30 cm x 40cm Pcs *193 52 QA0912 Medical X ray films, Green sensitive 35cm x 35cm Pcs *194 53 QA0915 Medical X ray films, Green sensitive 35cm x 43cm Pcs *195 54 Microbiological Indicator for Autoclave Pcs * 10 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
196 55 Monitoring electrode with Micropore Tape Backing and solid gel Ag/Agcl Pcs *
197 56 Manual Vacuum Aspiration (MVA) Kit (Gynecological ) Kit SN MCH
198 57 QA0391 Needle Disposable 19G x 1.½" Pcs *199 58 QA0392 Needle Disposable 21G x 1.½" Pcs *200 59 QA0393 Needle Disposable 23G x 1" Pcs *201 60 QA0394 Needle Disposable 25G x 1" Pcs *202 61 QA0403 Needle Spinal Disposable 22G/0.7 x 90mm Pcs *203 62 QA0402 Needle Spinal Disposable 25G/0.5 x 90mm Pcs *204 63 Original Perfusor 150 cm Pcs *205 64 QA0451 Oxygen mask with reservoir bag Children Pcs *206 65 QA0450 Oxygen mask with reservoir bag Adult Pcs *207 66 QA0470 Paper face mask 2 plies Pcs *208 67 QA0490 Plaster of Paris 10cm Roll *209 68 QA0491 Plaster of Paris 15cm Roll *210 69 QA0492 Plaster of Paris 20cm Roll *
211 70 NP0130 Safety Box for Used Syringe 5L Pcs * move to infection Control
212 71 NP0131 Safety Box for Used Syringe 10 L Pcs * move to infection Control
213 72 QA0541 Scalp Vein 23G Pcs *214 73 QA0542 Scalp Vein 25G Pcs * MCH215 74 QA0271 Sterile eyes pads Pcs * Eye Unit Program216 75 Stomach Wash Out tube, Fraucher Type CH27 Pcs *
217 76 QA0600 Sut/Catgut Chromic25mm½circle Rb75cm 2/0 Pcs *
218 77 QA0601 Suture/Catgut Chromic30mm½circle Rb75cm 3/0 Pcs *
219 78 QA0602 Suture/Catgut Chromic35mm½circle Rb75cm 0 Pcs *
220 79 QA0603 Suture/Catgut Chromic38mm½circle Rb75cm 1 Pcs *
221 80 QA0604 Suture/Catgut Chromic40mm½circle Rb75cm 2 Pcs *
222 81 QA0605 Suture/Catgut Chromic85mm B P Cvd Rb 2 Pcs *
11 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
223 82 QA0553 Suture/Catgut Plain 22mm curved cutting 75cm 3/0 Pcs *
224 83 QA0554 Suture/Catgut Plain 25mm½ circle Rb 75cm 2/0 Pcs *
225 84 QA0555 Suture/Catgut Plain 30mm½ circle Rb 75cm 0 Pcs *
226 85 QA0581 Suture/ Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 0 Pcs *
227 86 QA0582 Suture/Polyglycolic Acid 30mm½ circle round body 75 cm (Vicryl) 1 Pcs *
228 87 QA0579 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 2/0 Pcs *
229 88 QA0578 Suture/ Polyglycolic Acid 30mm½ circle round body 75cm (Vicryl) 3/0 Pcs *
230 89 QA0576 Suture/ Polyglycolic Acid double arms spatulates ( S 24 ) 6/0 Pcs * Eye Unit Program
231 90 QA0563 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 2/0 Pcs *
232 91 QA0561 Suture/Polyamide 26 mmCurved Rev cutting 75cm (Nylon) 3/0 Pcs *
233 92 QA0575 Suture/Polyamide 30mm ½ circle cutting 75cm (Nylon) 4/0 Pcs *
234 93 Suture/ Black monofilament double arms spatulates 30cm (Nylon) 10/0 Pcs * Eye Unit Program
235 94 QA0644 Suture/Silk 16mm curved 45mm 4/0 Pcs *236 95 QA0640 Suture/Silk 6mm curved 38mm 6/0 Pcs *
237 96 Suture/Silk 8mm double needle micro-point spatula ½ circle 30mm 8/0 Pcs *
238 97 Suture/Silk double needle micro-point spatula curved 30mm 10/0 Pcs *
239 98 NQ4768 Sphygmomanometer Aneroid for Adult 300 mm Hg Pcs *240 99 QB0530 Stethoscope Binaural Pcs *241 100 Syringe Disposable & Needle 26G 1ml Pcs * MCH/Diabetes242 101 QA0680 Syringe Disposable & Needle 25G 2ml Pcs *243 102 QA0664 Syringe Disposable & Needle 25G 5ml Pcs *244 103 QA0661 Syringe Disposable & Needle 23G 5ml Pcs *245 104 QA0662 Syringe Disposable & Needle 23G 10ml Pcs *246 105 QA0692 Syringe Disposable 20ml Pcs *
12 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
247 106 QA0693 Syringe Disposable 50ml Pcs *248 107 Syringe with Spiral 50cc Pcs *249 108 Syringe for insuline 1ml Pcs SN Diabetese250 109 QA0710 Talc 1kg Box *251 110 QA0730 Tape Test for Autoclave Roll * Infection Control252 111 QA0740 Tape Umbilical Non sterile 3mm Roll *253 112 Indicator Strips Test For Sterilization Roll * Infection Control
254 113 Bag for Medical Surgical Capacity 10-15 litres 10-15 Litres Pcs * Infection Control
255 114 QB0560 Thermometer Oral/Rectal oC Pcs *256 115 QA0751 Thorax Drain + Trocar CH12 Pcs *257 116 QA0752 Thorax Drain + Trocar CH14 Pcs *258 117 QA0753 Thorax Drain + Trocar CH16 Pcs *259 118 QA0754 Thorax Drain + Trocar CH18 Pcs *260 119 QA0755 Thorax Drain + Trocar CH20 Pcs *261 120 Three way Stopcock Pcs *262 121 QA0760 Tongue depressor wood adult Pcs *263 122 Tracheal tube #4 Pcs *264 123 Tracheal tube #4.5 Pcs *265 124 Tracheal tube #5 Pcs *266 125 Tracheal tube #5.5 Pcs *267 126 Tracheal tube #6 Pcs *268 127 Tracheal tube #6.5 Pcs *269 128 Tracheal tube #7 Pcs *270 129 QA0775 Tracheotomy tube #6 Pcs *271 130 QA0772 Tracheotomy tube #7 Pcs *272 131 QA0800 Tube Nasogastric/Feeding with Cover CH5 Pcs *273 132 QA0802 Tube Nasogastric/Feeding with Cover CH12 Pcs *274 133 QA0803 Tube Nasogastric/Feeding with Cover CH14 Pcs *275 134 QA0804 Tube Nasogastric/Feeding with Cover CH16 Pcs *276 135 QA0780 Tube Redon Drain CH12 Pes *277 136 QA0781 Tube Redon Drain CH16 Pcs *278 137 QA0810 Tube Suction Disposable CH8 Pcs *279 138 QA0811 Tube Suction Disposable CH12 Pcs *280 139 QA0812 Tube Suction Disposable CH16 Pcs *281 140 QA0830 Ultra Sound Gel 1 kg Bttl *282 141 QA0840 Umbilical cord clamp Pcs *
13 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
283 142 Urine Drainage Bag with non-return valve 2litre Pcs *
284 143 Yellow Plastic bag with Red label (15-20L) Pcs *
III NATIONAL PROGRAMSIII 1 EYE UNIT/PROGRAM285 1 Acetazolamide 250mg Tab * Opth. Anti-glaucoma
286 2 NA0020 Atropine Sulphate 1 % eye drop 5ml Vial * Opth. with mydriatic
287 3 NA0030 Ciprofloxacine 0.3% eye drop 5ml Vial * Opth.- anti-infective
288 4 NA0051 Fluoresceine 2 % eye drop 10 ml Vial * Opth. diagnostic
289 5Neomycine + Polymycine B + Dexamethasone , eye drop ( Maxidrol eye drop) 5ml
Vial * Opth. Anti-infective/anti-inflammatory
290 6 NA0100Pilocarpine (as sodium phosphate) 2 % eye drop
5 ml Vial * Opth. with mitotic
291 7 NA0108 Prednisolone Acetate 1 % eye drop 5 ml Vial * Opth. Anti-allergic/anti-inflammatory
292 8 NA0110 Tetracaine eye drop 5ml 0.50% Vial * Opth.- anti-infective
293 9 NQ3142 Tetracycline 1 % eye ointment 5g Tube * Opth.- anti-infective
294 10 Timolol eye drop 3ml 0.50% Vial * Opth. Mitotic
295 11 NA0130 Tropicamide 1 % eye drop 10 ml Vial * Opth. diagnostic
296 12 NA0071 Viscoelastic Solution ( Syringe 1 ml ) 1 ml Syringe *
Steril clear viscous solution with elastic property used in cataract, glaucoma and corneal ophthalmic surgical procedures.
III 2 NATIONAL CENTRE OF TUBERCULOSIS AND LEPROSY CONTROL (CENAT)A TUBERCULOSIS PROGRAM(1) First Line Anti-TB Medicines
297 1 NC0009 Ethambutol 100mg Tab * Anti-tuberculosis298 2 NC0010 Ethambutol 400mg Tab * Anti-tuberculosis299 3 NC0011 Isoniazide 100mg Tab * Anti-tuberculosis300 4 NC0060 Pyrazinamide 400mg Tab * Anti-tuberculosis301 5 NC0083 Rifampicine 150mg Tab * Anti-tuberculosis302 6 NC0071 Rifampicine / Isoniazide 150 + 75mg Tab * Anti-tuberculosis303 7 NC0070 Rifampicine / Isoniazide 60+30mg Tab * Anti-tuberculosis
14 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
304 8 NC0080Rifampicine / Isoniazide / Pyrazinamide
60+30+150mg Tab * Anti-tuberculosis
305 9 NC0082Rifampicine/Isoniazide/Pyrazinamide/Ethambutol
150+75+400+275 mg Tab * Anti-tuberculosis
306 10 NC0092 Streptomycine 1g Vial * Anti-tuberculosis
307 11 Vitamin B6 (pyridoxine) 10mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
308 12 Vitamin B6 (pyridoxine) 50mg Tab *
Vitamin B6 supplement and for the prevention of adverse effects (peripheral neuropathy - due to B6 depletion) in patients using prescribed doses of isoniazide.
TB Program
(2) Second Line Anti-TB Medicines
309 1 GA3901 Amikacin 500mg Vial *2nd line anti-infective (aminoglycoside) - multidrug resistant gram negative bacteria
310 2 Capreomycin 1g Vial * 2nd antimycobacterials: tuberculosis and leprostatic agents
311 3 Cycloserine 250mg Cap * Anti-infective used as 2nd line anti-TB
312 4 Ethionamide 250mg Tab * Anti-infective used as 2nd line anti-TB
313 5 Gatitfloxacin 500mg Tab * Anti-infective used as 2nd line anti-TB
314 6 Kanamycin 1g Vial * Anti-infective used as 2nd line anti-TB
315 7 Levofloxacin 250mg Tab * Anti-infective used as 2nd line anti-TB
316 8 Moxifloxacin 400mg Tab * Anti-infective used as 2nd line anti-TB
317 9 AA0400 Ofloxacin 200mg Tab * Anti-infective used as 2nd line anti-TB
15 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
318 10 Para Amino Salicylic Acid 4g Sachet * Anti-infective used in combination with other anti-TB as 2nd line Powder 100gr per Jar
319 11 Prothionamide 250mg Tab * Anti-infective used as 2nd line anti-TB
B LEPROSY PROGRAM320 1 NC0120 Clofazimine 100mg Cap * Antileprosy
321 2 NC0020 MB (multibacillary) Adult Blister * Antileprosy
322 3 NC0030 MB (multibacillary) Child Blister * Antileprosy
323 4 NC0040 PB (paucibacillary) Adult Blister * Antileprosy
324 5 NC0050 PB (paucibacillary) Child Blister * Antileprosy
III 3 NATIONAL CENTRE FOR PARASITOLOGY, ENTOMOLOGY AND MALARIA CONTROL (CNM)A MALARIA PROGRAM
325 1 ND0059 A+M1 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (1-5yrs)
326 2 ND0060 A+M2 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (6-10yrs)
327 3 ND0061 A+M3 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (11-14yrs)
328 4 ND0063 A+M5 (Artesunate + Mefloquine) 50mg+250mg Blister * for severe malaria (> 15yrs)
329 5 ND0051 Artesunate Rectocap 50mg Tab * for severe malaria
330 6 ND0052 Artesunate Rectocap 200mg Tab * for severe malaria
331 7 Artesunate injectable + 1ml of 5% Sodium bicarbonate solution 60mg
Vial + Amp
(Solution)
* for severe malaria
332 8 ND0040 Artemeter injection 80mg/ml Amp * for severe malaria
333 9 ND0110 Mefloquine 250mg Tab * Used in combination with artesunate
334 10 ND0031 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 3Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
335 11 Piperaquine + Dihydro artemisinin 320mg+40mgBlister( 6Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
336 12 Piperaquine + Dihydro artemisinin 320mg+40mgBlister(9Tab) * Proposed new first line ACT for
malaria caused by P. faciparum.
337 13 ND0150 Quinine Sulfate 300mg Tab *Used in severe malaria and should be used in combination with Doxycycline
16 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
338 14 ND0140 Quinine Dihydrochloride 600mg/2ml Amp *
P. falciparum malaria; no longer recommended by the WHO as first line treatment for malaria and should only be used when ACTs are not available
339 15 ND0170 Tetracycline 250mg Cap * Anti-infective - with action on malaria parasite
B SCHISTOSOMIASIS AND HELMINTHIASIS PROGRAM
340 1 ND0130 Praziquantel 600mg Tab SNIntestinal anthelminthic:antischistosomal/antitrematode
C DENGUE HAEMORRHAGIC FEVER PROGRAM
341 1 AC00345% Dextrose in Isotonic Saline Solution + IV Giving Set
500ml Blt * Water, electrolyte replacement and source of energy
342 2 GA34015% Dextrose in Acetate Ringer's Solution + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
343 3 AC00365% Dextrose in 1/3 Saline + IV Giving Set
500ml Blt SN Water, electrolyte replacement and source of energy
D FILARIASIS PROGRAM344 1 NQ0004 Albendazol 400mg Tab SN Intestinal anthelmenthic AIDS
345 2 ND0230Diethylcarbamazine (dihydrogen citrate)
100mg Tab SN Antifilarial
346 3 Invermectin (scored tablets) 3mg Tab SN Antifilarial
III 4 BIRTH SPACING PROGRAM
347 1 NH0020 Depo-medroxyprogesterone acetate 150mg/3ml Vial * Injectable hormonal contraceptive - long acting
348 2 NH0040 Norgestrel (Progestin-Only-Pill) 0.075mg Blister * Oral Contraceptive
349 3 NH0050Ethinyloestradiol + Levonorgestrel (Combined Oral Contraceptive)
0.03/0.15mg Blister * Combined Oral Contraceptive
350 4 NH0010 Condom 49mm Pcs * Physical barrier contraceptive
351 5 NH0030 IUD Copper T 380A T380A Pcs * Intra-uterine device (IUD) Contraceptive
17 of 31
lr lr kUd rayeQ μaH»sfsMPar³brikçareBTü kMrit RbePT
Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
352 6 NH0011
Female Condom (Lubricated loose-fitting Polyurethane, pouch closed at one end, open at the other with soft rings at each end. 160-180mm width, 41-61µ thickness, 2.23-2.53mm outer ring, 56.5-58-5mm inne
160-180mm Pcs * Physical barrier contraceptive
353 7 NH0052Levonorgestrel (Emergency/Morning After Contraceptive Pills), 2 pill per Blister
0.75mg Blister * "Morning after" contraceptive
354 8 NH0051Implant: a-Etonorgestrel b- Levonorgestrel
a-68 mg b-150mg Implant * Implant hormonal contraceptive -
long acting
III 5 PSYCHIATRY MEDICINES(1) First Line
355 1 NG0010 Amitriptyline (as hydrochloride) 25mg Tab SN Depressive disorders Pain/Cancer
356 2 NG0011 Amitriptyline (as hydrochloride) 50mg Tab SN Depressive disorders Pain/Cancer
357 3 NG0030 Carbamazepine 200mg Tab SN
Anticonvulsant and mood-stabilizing - used primarily in the treatment of epilepsy and bipolar disorder, as well as trigeminal neuralgia.
Pain/Cancer
358 4 NG0041 Chlorpromazine (as hydrochloride) 100mg Tab SN Psychotic disorders
359 5 NG0050 Clomipramine (as hydrochloride) 25mg Cap SN Obsessive compulsive and panic attacks
360 6 Fluoxetine (as hydrochloride) 20mg Cap SN Depressive disorders
361 7 NG0071 Haloperidol 10mg Tab SN Psychotic disorders Pain/Cancer
362 8 NG0070 Haloperidol 5mg Tab SN Psychotic disorders Pain/Cancer
363 9 NG0081 Imipramine 25mg Tab SN Antidepressant
364 10 NG0090 Lithium Carbonate 300mg Tab SN Mood-stabilizing, primarily in the treatment of bipolar disorders.
365 11 Methadone Hydrochloride 5mg/ml Bottle SN Opioid Replacement Therapy Substance dependance program use
366 12 NG0096 Methadone Hydrochloride 10mg/ml Bottle SN Opioid Replacement Therapy Substance dependance program use
367 13 NG0100 Nortriptiline HCL 25mg Tab SN Antidepressant
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
368 14 NG0110 Perphenazine 8mg Tab SNAnti-psychotic, antidepresnt; used to treat symptoms of schizophrenia
369 15 NG0120 Phenytoine 100mg Tab SN Anticovulsants/anti-epileptic Pain/Cancer
370 16 NG0130 Thioridazine 10mg Tab SNAnti-psychotic, antidepresnt; used to treat symptoms of schizophrenia
371 17 NG0140 Trihexyphenidyl (benzhexol) 5mg Tab SNAntiparkinsonian agent (antimuscarinic class)
372 18 NG0020 Benztropine Mesylate 2mg/ml Amp SN
An adjunct therapy to all forms of parkinsonism. Sldo useful controlling extrapyramidal disorders
373 19 NG0060 Fluphenazine decanoate 25mg/ml Amp SN Psychotic disorders
374 20 NG0072 Haloperidol 5mg/ml Amp SN Psychotic disorders Pain/Cancer
375 21 NG0073 Haloperidol decanoate 50mg/ml Amp SN Psychotic disorders Pain/Cancer
(2) Second Line376 1 Risperidone 1mg Tab SN Psychotic disorders (in adult)
377 2 Risperidone 2mg Tab SN Psychotic disorders (in adult)
378 3 Risperidone 4mg Tab SN Psychotic disorders (in adult)
III 6 NATIONAL CENTRE FOR HIV/AIDS, DERMATOLOGY AND STD (NCHADS)A HIV/AIDS PROGRAM(1) ADULTS
379 1 NE0010 Abacavir (ABC) (as sulfate) 300mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
380 2 NE0014 Abacavir (ABC) + Lamivudine (3TC) 600mg+300mg Tab SN ARV: 2-FDC
381 3 NE0100Stavudine (D4T) + Lamivudine(3TC) + Nevirapine(NVP)
30mg+150mg+200mg Tab SN ARV: 3-FDC
382 4 NE0013 Atazanavir 300mg Tab SN ARV: Protease inhibitor (PI)
383 5 NE0042Didanosine (ddl) (unbuffered enteric coated tablet)
250mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
384 6 NE0043Didanosine (ddl) (unbuffered enteric coated tablet)
400mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
385 7 NE0051 Efavirenz (EFV or EFZ) 200mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
386 8 NE0052 Efavirenz (EFV or EFZ) 600mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
387 9 NE0070 Lamivudine (3TC) 150mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
388 10 NE0080 Stavudine(d4T)+ Lamivudine (3TC) 30mg+150mg Tab SN ARV: 2-FDC
389 11 NE0251 Stavudine (d4T) 30mg Tab SN ARV: nucleoside analog/reverse transcriptase inhibitor (NARTI)
390 12 NE0110 Zidovudine(AZT)+Lamivudine(3TC) 300mg+150mg Tab SN ARV: 2-FDC
391 13 NE0111Zidovudine(AZT)+Lamivudine(3TC) + Nevirapine(NVP)
300mg+150mg+200mg Tab SN ARV: 3-FDC
392 14 NE0141 Lopinavir/Ritonavir 200mg/50mg Cap SN ARV: Protease inhibitor
393 15 NE0170 Nevirapine 200mg Tab SN ARV: Non-nucleoside reverse transcriptase inhibitor
394 16 NE0220 Ritonavir 100mg Tab SN ARV: pharmacological booster
395 17 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC )
300mg+150mg +300mg Tab SN ARV: 3-FDC
396 18 NE0270 Tenofovir (TDF) (disoproxil fumerate) 300mg Tab SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
(2) PEDIATRIC
397 1 NE0010 Abacavir (ABC) (as sulfate) 240ml syrup 20mg/ml Bttl SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
398 2 NE0012 Abacavir( ABC ) +Lamivudine (3TC) 60mg+30mg Tab SN ARV: 2-FDC
399 3 NE0102Stavudine(d4T) + Lamivudine(3TC) + Nevirapine(NVP)
12mg+60mg+100mg Tab SN ARV: 3-FDC
400 4 NE0082 Stavudine(d4T) + Lamivudine(3TC) 6mg+30mg Tab SN ARV: 3-FDC
401 5 NE0083 Stavudine(d4T) + Lamivudine(3TC) 12mg+60mg Tab SN ARV: 3-FDC
402 6 NE0045 Didanosine (ddl) 125mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
403 7 NE0046 Didanosine (ddl) 200mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
404 8 NE0050 Efavirenz (EFV or EFZ) 50mg Cap SN ARV: Non-nucleoside reverse transcriptase inhibitor
405 9 NE0150 Lopinavir/Ritonavir 160ml Syrup 80mg/20mg/ml Bttl SN ARV: Protease inhibitor
406 10 NE0142 Lopinavir/Ritonavir (LPV/r) 100mg/25mg Tab SN ARV: Protease inhibitor
407 11 NE0190 Nevirapine (NVP) Syrup 10mg/ml Bttl SN ARV: Non-nucleoside reverse transcriptase inhibitor
408 12 NE0113 Zidovudine (AZT )+Lamivudine (3TC) 60mg+30mg Cap SN ARV: nucleoside/nucleotide reverse transcriptase inhibitor
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
409 13 NE00114 Zidovudine(AZT) +Lamivudine(3TC) +Nevirapine(NVP ) 60+30+50mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
410 14 Zidovudine(AZT) +Lamivudine(3TC) + Abacavir ( ABC ) 60+30+60mg Cap SN
ARV: 3-FDC - nucleoside/nucleotide reverse transcriptase inhibitor
B DERMATOLOGY, STD, OIs AND OTHER MEDICINES(1) ORAL MEDICINES
411 1 NQ0002 Acyclovir 200 mg Tab SN Antiviral/antiherpes (topical)
412 2 NQ0003 Acyclovir 400 mg Tab SN Antiviral/antiherpes (topical)
413 3 NQ0004 Albendazol 400 mg Tab SN Intestinal anthelmenthic Helminthic program
414 4 NQ0005 Amitryptiline 25 mg Tab SN Tricyclic antidepressant Psychiatry
415 5 Amitryptiline 50 mg Tab SN Tricyclic antidepressant Psychiatry
416 6 NQ0007 Amoxicillin 500 mg Tab SN Antibacterial (beta lactam) Basic Medicine
417 7 NF0030 Azithromycine 500mg Tab SN Antibacterial
418 8 NF0060 Cefixime 200mg Tab SN Antibacterial (beta lactam)
419 9 NF0070 Cetirizine hydrochloride 10mg Tab SN Antihistamine/anti-allergic HIV/AIDS Care
420 10 Clotrimazol 100mg Tab SN To treat fungal infections of the mouth or throat
421 11 NE0100 Codeine phosphate 30 mg Tab SN Opioid analgesic Pain relief /palliative care
422 12 NQ0110 Cotrimoxazole 400mg+80 mg Tab SN Antibacterial Basic medicine
423 13 NQ0111 Cotrimoxazole 800mg + 160mg Tab SN Antibacterial HIV/AIDS Care
424 14 NQ0156 Dapsone 100 mg Tab SN
Antibacterial used alone or in combination with other anti-leprosy drugs (rifampicin and clofazimine) to treatment leprosy; also as OI - prophylaxis against Pneumocystis pneumonia (PCP) in HIV patients allergic to Co-trimoxazole.
Leprosy/HIV
425 15 NQ0151 Diazepam 5 mg Tab SN Anxiolytic, sleep disorders, mild muscle relaxant
Basic medicine
426 16 NQ0152 Diclofenac 50 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basic medicine
427 17 Dicloxacilline 500 mg Tab SN Antibacterial
428 18 NQ0153 Doxycycline 100 mg Tab SN Antibacterial
429 19 NQ0201 Erythromycine 500 mg Tab SN Antibacterial
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
430 20 NQ0252 Fluconazole 100 mg Tab SN Oral antifungal Basie medicince
431 21 Fluconazole 150 mg Tab SN Oral antifungal
432 22 NQ0253 Fluconazole 200 mg Tab SN Oral antifungal
433 23 NQ0255 Folic Acid 10 mg Tab SN Antianaemic Basie medicince
434 24 NQ0331 Griseofulvine 500mg Tab SN Oral systemic antifungal AIDS/Leprocy
435 25 NQ0402 Ibuprophene 400 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs)
436 26 AA0270 Indomethacine 25 mg Tab SN Analgesic and Nonsteroidal anti-inflammatory drugs (NSAIDs) Basie medicince
437 27 NQ0403 Itraconazole 100mg Tab SN Oral antifungal
438 28 Itraconazole 200mg Tab SN Oral antifungal
439 29 NF0181 Ketoconazol 200 mg Tab SN Oral antifungal
440 30 NQ0551 Loperamide 2 mg Tab SNOI - Antidiarrhea - diarrhea due to gastroenteritis or inflammatory bowel disease
441 31 NF0200 Minocycline hydrochloride 100mg Tab SN Antibacterial
442 32 NQ0210 Morphine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
443 33 Oxycodine 10 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
444 34 Oxycodine 20 mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
445 35 NQ0751 Paracetamol 100 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
446 36 NQ0752 Paracetamol 500 mg Tab SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
Basic mrdicine
447 37 NQ0750 Paracetamol Syrup 100mg/ml Btl SNAnalgesic, antipyretic, antimigraine (acute); without anti-inflamatory action
448 38 NQ0758 Prednisolone 5 mg Tab SN Anti-inflammatory ; Anti-allergic/anaphylaxis
Basic mrdicine
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
449 39 Pyrimethamine 100mg Tab SNAnti-malaria (acute malaria)
(2) INJECTIONS450 1 NQ0014 Amphotericine B 50 mg Vial SN Antifungal/antileishmaniasis
451 2 NF0040 Benzathine Benzyl Penicilline 2.4 MUI Vial SN Antibacterial (beta lactam)
452 3 Butylhyocine 20 mg Amp SN Antispasmodic
453 4 NQ1551 Ceftriaxone 1 gr Vial SN Antibacterial (beta lactam)
454 5 NQ1555 Cloxacillin 1g Vial SN Antibacterial (beta lactam)
455 6 NQ1576 Dexamethasone 2 mg Amp SN
Long acting synthetic steroid/glucocorticoid: used as Antiallergic/Anti inflamotory/anti-anaphylaxis
456 7 NQ1577 Diazepam 10 mg/2ml Amp SN
Psychotropic, pre-operation sedation for short term procedures; anti-convulsant/antiepileptic/mild muscle relaxant
Basic medicine
457 8 Diphenhydramine 4 mg/ ml Amp SN Antihistamine
458 9 Fluconazole I.V. 200ml 400 mg Vial SN Systemic antifungal
459 10 NQ1651 Gentamycine 80 mg /2ml Amp SN Antibacterial Basic medicine
460 11 NQ1802 Metronidazole 500 mg vial SN Antibacterial/antiamoebic/antigiardiasis
461 12 NQ1803 Morphine 10 mg /1ml Amp SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Basic medicine
(3) EXTERNAL USE MEDICINES462 1 AD0270 Acyclovir Cream 15g Tube SN Antiviral/antiherpes (topical)
463 2 Benzoic Acid 6% + Salicylic Acid 3% 500g Jar SN Antifungal Basic medicine
464 3 NQ2263 Benzoyl Benzoate 25% 1litre Btl SN Scabicide, pediculicide (topical) Basic medicine
465 4 Benzoyl peroxide 5% Gel 40g Tube SN
Topical as a peeling agent. Effects skin differentiation and prolifiration/turn over. Also has antiseptic and bleaching properties.
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
466 5 Betamethasone (0.05%) +Salicylic Acid (3%) Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
467 6 Betamethasone (as valerate) 0.1% Ointment/Cream
30g Tube SN Anti-inflammatory, antipruritic (topical)
468 7 Betamethasone 0.05% +Fucidic acid 2% 15g Tube SN Topical Anti-infectives with Corticosteroids
469 8 NF0082 Clobetasole propionate 0.05% lotion 30ml Bttl SN Topical adrenocortical steroid - antinflammatory and anti- itching
470 9 NF0080 Clobetasole propionate 0.05% cream 10g Tube SNTopical corticosteroids with anti-inflammatory, antipruritic, and vasoconstrictive properties.
471 10 NQ2286 Clotrimazole 1% cream 30g Tube SN Antifungal (topical) Pain/Cancer
472 11 NF0112 Crotamiton 10% Cream 30g Tub SNScabicidal and antipruritic for treating scabies and relieving itching
473 12 NF0120 Fusidic Acid 2% cream 15g Tube SN Topical anti-infectives
474 13 NF0151 Hydrocortisone (as acetate) 1% 15g Tube SN Anti-inflammatory, antipruritic (topical)
475 14 NF0180 Ketokonazole 2% cream 15g Tube SN Topical broad spectrum antifungal AIDS
476 15 NP0190 Miconazole 2% gel 40g Tube SNAntifungal (topical) - fungal infections of the mouth, throat and gut
477 16 NQ3150 Petroleum Jelly (Vaseline) 15g Tube SNEmollient (skin lubrication and mosturizer); helps protect minor cuts and burns.
478 17 NQ2541 Polyvidone Iodine 10% 200ml Btl SN Topical antiseptic for minor skin injuries
Basic nedicine
479 18 Tretinoin 0.05% cream 30g Tube SN Treatment of acne vulgaris
480 19 Triamcinolone acetonide Cream 0.1 % 30g Tube SN
Topical corticosteroid for the treatment of inflammatory and pruritic manifestations/ dermatoses
481 20 Urea Cream 10% 100mg Tube SN Skin differentiation and prolifiration (for topical use)
AIDS
(4) OTHER MEDICINES482 1 NQ0115 Clotrimazole (vaginal tablets) 500mg Pessary SN Antifungal Pain/Cancer
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
483 2 NQ0608 Miconazole 100mg Pessary SN Antifungal
484 3 Paracetamol 300mg Supp *Analgesic, antipyretic, antimigraine; without anti-inflamatory action
III 7 ORAL HEALTH PROGRAMA MEDICINES
485 1 NI0070 Calcium Hydroxide B/2P *
486 2Composite light cure high briand microfiller 4g ( color A3, A3.5 ) for restorative filling dental cavity
Pcs *
487 3 Eugenol USP 10ml Vial *
Toothache and other related uses as local antiseptic and anesthetic. Mixed with zinc oxide - restorative and prosthodontic
488 4 NI0140 Glass ionomer for Rest Gc Fuji II Powder 15g + liquid 10g
Box *
489 5 NI0141 Glass ionomer for Rest Gc Fuji IX Powder 15g + liquid 10g
Box *
490 6 Glass ionomer for Rest Gc Fuji VII Powder 15g + liquid 10g
Box *
491 7 NI0220 Lidocain 2% Adrenaline 0.001% 1.8 ml Cart * Local anaesthetic
492 8 Lidocain 2% Non-adrenaline 1.8 ml Cart * Local anaesthetic
493 9 Fluoride Varnish 10 ml Tube * Prevent tooth decay
494 10 Fluoride Gel 113g Tube * Prevent tooth decay
495 11 Polyhexa+didecyl St 72.17 Hexanios for Soaking instruments before Sterilization Sachets /25ml Sachet * Instrument sterilization
496 12 Sodium Fluoride (NaF) powder Kg *
497 13 NI0210 Zinc Oxide Powder 1Kg Jar *Mixed with Eugenol produce material which has restorative and prosthodontic applications.
B MATERIALS
498 1 Barbed broach ( tire -nerf) to take the nerf from dental canal
Pcs *
499 2 Burr cylinder Highspeed Pce *500 3 Burr cylinder Lowspeed Pce *
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
501 4 Burr round for contra Angle Highspeed Pce *
502 5 Burr round for contra Angle Lowspeed Pcs *
503 6 Files Complete set length 21 mm ( files used for root treatment )
#15,#20,#25, #30,#35,#40
Pcs *
504 7 Lentulo, Complete set ( used for root canal treatment )
Pcs *
505 8 Matrix bands medium ( Metal Matrix) Pcs *
506 9 NV0160 Needle Dental 27G .21mm Pcs *507 10 NV0161 Needle Dental 27G . 30mm Pcs *508 11 NV0162 Needle Dental 27G . 35mm Pcs *509 12 NV0030 Catridge syringe ( metal ) 1,8ml Pcs *
510 13 Surgical blade #11 Pcs * For use in surgical Procedure )
III 8 NATIONAL IMMUNIZATION PROGRAMIII 9 NUTRITION PROGRAM
511 1 Iron-Folate Weekly Iron-Folic Supplementation (WIFS)
60mg Iron element + 2.8 mg Folic acid Rose Tab SN
Weekly Iron-Folic Supplementation (WIFS) in Women of Reproductive Age
512 2
Rehydration Solution for Malnutrition (ReSomal) (Glucose 55mmol; Sucrose 73mmol; Potassium 45mmol; Chloride 70mmol; Citrate 7mmol; Magnesium 3mmol; Zinc 300μmol; Copper 3μmol)
42.1g Sachet SN Treatment of rehydration in severally malnorished children
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
513 3
Therapeutic Milk F-75 [Energy 448Kcal, Protein 5% energy, Lipids 31% energy, Vit A (0.9mg), Vit D (18µg), Vit E (20mg), Vit C (59mg), Vit B1 (0.5mg), Vit B2 (1.2mg), Vit B6 (0.8mg), Folic acid (200µg), Vit B12 (1.6µg), Vit K (15µg), Biotin (60µg), Pantothenic acid (3mg), Sodium (<87mg), Calcium (560mg), Phosphor (330mg), Potassium (1100mg), Magnesium (50µg), Zinc (12.2mg), Iodine (100µg), Cuivre/Copper (1.7mg), Selenium (30µg) and Fer/Iron (<0.3mg)]
410g Sachet SN For treatment of severe malnutrition (rehabilitation phase)
514 4
Therapeutic Milk F-100 [Energy 520Kcal, Protein >10% of energy, Lipids >45% of energy, Vit A (800µg), Vit D (15µg), Vit E (20mg), Vit C (50mg), Vit B1 (0.5mg), Vit B2 (1.6mg), Vit B6 (0.6mg), Niacin (5mg), Folic acid (200µg), Vit B12 (1.6µg), Vit K (15µg), Biotin (60µg), Pantothenic acid (6mg), Sodium (<290mg), Calcium (300mg), Phosphor (300mg), Potassium (1100mg), Magnesium (80µg), Zinc (11mg), Iodine (70µg), Cuivre/Copper (1.4mg), Selenium (20µg) and Fer/Iron (<0.2mg)]
456g Sachet SNFor treatment of severe malnutrition (maintenance/treatment phase)
515 5
Multiple Micronutrient Powder (MNP)[Iron (12.5mg), Zinc (10mg), Vitamin A (300µg), Iodine ( 90µg), Vit B1 (0.5mg), Vit B2 (0.5mg), Vit B6 (0.5mg), Vit B12 (0.9µg), Niacin (6mg), Folate/Folic acid (160µg), Vit C (Ascorbic acid) (30mg), Copper (0.3mg), Selenium (17µg), Vit D (5µg) and Vit E (6mg)]
1g Sachet SN Multi-nutrient formula/powder for children 6-24 months.
10 PAIN RELIEF AND PALLIATIVE CARE
516 1 Clonazepam 2mg Tab SN Anxiolytic with muscle relaxantion and anticonvulsant action
Psychiatry
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
517 2 Clonazepam Drops 2.5 mg/ml Btl SN Anxiolytic with muscle relaxantion and anticonvulsant action Psychiatry
518 3 Codeine Phosphate 30mg Tab SN Opioid analgesic Psychiatry /Dermatological
519 4 Codeine Phosphate Syrup 1mg/ml Btl SN Opioid analgesic Psychiatry
520 5 Gabapentin 100mg Cap SN Neuropathic pain relief Psychiatry
521 6 Ibuprofene 200mg Tab SN Analgesic - NSAIDs
522 7 Ibuprofen (ped) 250mg Supp SN Analgesic - Nonsteroidal anti-inflammatory drugs (NSAIDs)
523 8 Ibuprofen Syrup 20mg/ml Btl SN Analgesic - Nonsteroidal anti-inflammatory drugs (NSAIDs)
524 9 Morphine Sulphate (Lasting 4 h) 10mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Dermatological
525 10 Morphine Sulphate (Lasting 4 h) 30mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
Dermatological
526 11 Morphine Sulphate retard (Lasting 12h) 10mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
527 12 AA0342 Morphine Sulphate retard (Lasting 12h) 30mg Tab SNOpioid analgesic, psychoactive for Chronic pain management/palliative care
528 13 Paracetamol 250mg Rectocap SNThermal stable suppostory. Analgesic and antipyretic without anti-inflamatory effect
529 14 Tramadol Chlorhydratre 50mg Tab SNSynthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
530 15 Tramadol Chlorhydratre (Retard) 100mg Tab SNSynthetic narcotic-like analgesic - for moderate to severe pain management and palliative care
531 16 Docusate Sodium 50mg Tab SN Laxative
532 17 Lactulose Syrup 3.3mg/5ml Btl SN Laxative - for chronic constipation
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
533 18 Nalaxone 400mg Tab SNAntidote to opioid poisoning/emergency overdose treatment
III 11 ANTI CANCER MEDICINES
534 1 Bleomycin Sulfate 15mg Vial SN Cancer chemotherapy -various types
535 2 Cisplatin 50mg/50ml Vial SN Cancer chemotherapy -various types
536 3 Cyclophosphamid (endoxan) 500mg Vial SN Cancer chemotherapy -various types
537 4 Dacabarzine 100mg + Solvent 100mg Vial SN Antineoplastic chemotherapy drug - for various cancers
538 5 Doxorubicin Hydrochloride 50mg/25ml Vial SN Cancer chemotherapy -various types
539 6 Etoposide 100mg/5ml Amp SN Cancer chemotherapy -various types
540 7 Fluorouracil 250mg/5ml Amp SN Cancer chemotherapy -various types
541 8 Methotrexate 50mg/2ml Vial SN Cancer chemotherapy -various types
542 9 Mitomycine 2mg Vial SN Cancer chemotherapy
543 10 Ondansetron hydrochloride 8mg/4ml Amp SN Antiemetic - nausea and vomiting during chemotherapy.
544 11 Tamoxifen Citrate 20mg Tab SN Hormone/antihormone
545 12 Vincristine Sulphate 1mg/1ml Vial SN Cancer chemotherapy -various types
III 12 DIABETES
546 1 Glimepiride 2mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
547 2 NQ0605 Metformine 500mg Tab SN Anti-diabetic; treat of type 2 diabetes mellitus
548 3 NK0031 Insuline, long acting 1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
549 4 Insuline, rapid acting (3-6 hours efficacy)
1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
550 5 Premixed Insuline 70/30 (Semi-lente 70/ Rapid 30)
1000 IU/ 10ml Vial SN Anti-diabetic; type 1 and type 2 diabetes mellitus
III 13 ENDOCRINOLOGY AND HORMONOLOGY29 of 31
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
551 1 Hydrocortisone 10mg Tab SN Anti-inflamatory and other endocrinoly uses
552 2 Levothyroxine 50µg Tab SN Anti-hyperthyroidism.
553 3 Neomercazole 5mg Tab SN Anti-hyperthyroidism.
III 14 INFECTION CONTROL AND PREVENTION
554 1 AD0040 Chlorhexidine gluconate 20% 1L Btl * Antiseptic concentrate; 5% solution used as antiseptic
555 2 AD0130 Hydrogen Peroxide (20 volumes) 3% 1L Color Glass Btl
* Antiseptic concentrate; 5% solution used as antiseptic
556 3 Sodium Hypochloride ( Bleach ) 5 or 6 % Litre * Use: for Surface decontamination and low level Disinfection
557 4 Peracetic Acid 0.2% 0.20% Btl * Use: for high level disinfection of reusable medical equipment
558 5 Glutaraldyhyde 2% 2% Btl * Use: for high level disinfection of reusable medical equipment
559 6 Isopropyl Alcohol 99.8% 99.80% Btl * Mix with other ingredients to produce alcohol hand rub
560 7 NQ5121 Ethanol 96% V/V Btl * Mix with other ingredients to produce alcohol hand rub
561 8 XA1410 Glycerol 98% 98% Btl * Mix with other ingredients to produce alcohol hand rub
562 9 Apron, plastic, disposable (Liquid and Spash Resistant) Small Pcs *
Use: to protect health care workers from droplets or splashes
563 10 Apron, plastic, disposable (Liquid and Spash Resistant) Medium Pcs *
Use: to protect health care workers from droplets or splashes
564 11 Apron, plastic, disposable (Liquid and Spash Resistant) Large Pcs *
Use: to protect health care workers from droplets or splashes
565 12 Gown, disposable (Liquid and Spash Resistant)
Small Pcs * Use: to protect health care workers from droplets or splashes
566 13 Gown, disposable (Liquid and Spash Resistant)
Medium Pcs * Use: to protect health care workers from droplets or splashes
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Nº Nº Code Description Strength FormCPA3
Therapeutic category and/or uses (not intended to serve as a substitute to
proper and informed clinical judgment)
Comments/Use by specified programs
567 14 Gown, disposable (Liquid and Spash Resistant)
Large Pcs * Use: to protect health care workers from droplets or splashes
568 15 Goggles (reuseable) Small Litre *Use: for protecting Health Care worker from spashes into their eyes
569 16 Goggles (reuseable) Medium Litre *Use: for protecting Health Care worker from spashes into their eyes
570 17 Goggles (reuseable) Large Litre *Use: for protecting Health Care worker from spashes into their eyes
571 18
N95 Mask, Health Care Paticulate Respirator-cone or flat fold (95% or greater filter efficiency against paticulate aerosols free of oil, fluid or splash resistant, double elastic bands)
Small Pcs *Use: to protect health care workers from disease spread by aerosol particulates
572 19
N95 Mask, Health Care Paticulate Respirator-cone or flat fold (95% or greater filter efficiency against paticulate aerosols free of oil, fluid or splash resistant, double elastic bands)
Medium Pcs *Use: to protect health care workers from disease spread by aerosol particulates
573 20
N95 Mask, Health Care Paticulate Respirator-cone or flat fold (95% or greater filter efficiency against paticulate aerosols free of oil, fluid or splash resistant, double elastic bands)
Large Pcs *Use: to protect health care workers from disease spread by aerosol particulates
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