MINISTRY OF HEALTH MALAYSIA DRUG FORMULARY NO. 3/2011
No. of item listed : 1530 New item listed : ** Add Formulation/Strength Formulation/Strength : *** Add/change Indication : ****
****
No
Ge Generic Name
Malaysia Drug Code
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Acarbose 50 mg Tablet Acetazolamide 250 mg Tablet Acetazolamide 500 mg Injection Acetylcysteine 200 mg/ml Injection Acetylsalicylic Acid 100 mg, Glycine 45 mg Tablet Acetylsalicylic Acid 300 mg Soluble Tablet Acitretin 10 mg Capsule Acitretin 25 mg Capsule Acriflavine 0.1% Lotion Actinomycin D (Dactinomycin) 500 mcg/ml Injection Acyclovir 200 mg Tablet Acyclovir 200 mg/5 ml Suspension Acyclovir 250 mg Injection Acyclovir 3% Eye Ointment Acyclovir 5% Cream Acyclovir 800 mg Tablet Adalimumab 40 mg Injection Adapalene 0.1% Cream Adapalene 0.1% Gel Adefovir Dipivoxil 10 mg Tablet Adenosine 3 mg/ml Injection Adrenaline Acid (Epinephrine) Tartrate 1 mg/ml Injection
A10BF01000T1001XX S01EC01000T1001XX S01EC01000P4001XX V03AB23520P3001XX B01AC06259T1001XX N02BA01000T4001XX D05BB02000C1001XX D05BB02000C1002XX D08AA03000L6001XX L01DA01110P4001XX J05AB01000T1001XX J05AB01000L8001XX J05AB01000P4001XX S01AD03000G5101XX D06BB03000G1001XX J05AB01000T1002XX L04AB04000P5001XX D10AD03000G1001XX D10AD03000G3001XX J05AF08000T1001XX C01EB10000P3001XX C01CA24123P3001XX
A/KK B B A* B C A* A* C A A/KK A* A* A* A* A/KK A* A* A* A* B B
23 24 25 26
P02CA03000T1001XX P02CA03000L8001XX D08AX08000L9901XX M05BB03972T1002XX
C C C A*
27 28 29 30 31 32 33 34 35
Albendazole 200 mg Tablet Albendazole 200 mg/5 ml Suspension Alcohol 70% Solution Alendr Alendrona onate te Sodi Sodium um 70 70 mg and and C Cho holec lecalc alcife ifero roll 5600 5600 IU Tablet en ro ronate o um 70 mg a et Alfacalcidol 0.25 mcg Capsule Alfacalcidol 1 mcg Capsule Alfacalcidol 2 mcg/ml Drops Alfacalcidol 2 mcg/ml Injection Alfentanil HCl 0.5 mg/ml Injection Alfuzosin HCl 10 mg Tablet Alkaline Nasal Douche Allopurinol 100 mg Tablet
05 04520 10 1001 A11CC03000C1001XX A11CC03000C1002XX A11CC03000D5001XX A11CC03000P3001XX N01AH02110P3001XX G04CA01110T1001XX R01A000999L5001XX M04AA01000T1002XX
A/KK A/KK A* A* A* A* B A/KK
36
Allopurinol 300 mg Tablet
M04AA01000T1001XX
A/KK
37 38 39 40 41 42
All-Trans Retinoic Acid 10 mg Capsule Alprazolam 0.25 mg Tablet Alprazolam 0.5 mg Tablet Alprazolam 1 mg Tablet Alprostadil 500 mcg/ml Injection Aluminium Hydroxide 600 mg Tablet
L01XX14000C1001XX N05BA12000T1001XX N05BA12000T1002XX N05BA12000T1003XX C01EA01000P3001XX A02AB01250T1001XX
A* A/KK A A A* A
December 2011
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 1 of 31
No
Ge Generic Name
Malaysia Drug Code
43 44 45 46
Amantadine HCl 100 mg Capsule Amikacin 250 mg/2 ml Injection Amikacin 500 mg/2 ml Injection Amiloride HCl 5 mg & Hydrochlorothiazide 50 mg Tablet
N04BB01110C1001XX J01GB06183P3003XX J01GB06183P3002XX C03EA01900T1001XX
B A A B
47 48 49
Amino Acids Injection Amino Acids with Electrolytes Injection Amino Acids with Glucose with Electrolytes Injection
B05BA01910P3001XX B05BA10910P3002XX B05BA10910P3003XX
A A A
50 51 52 53 54 55 56
B05BA10910P3001XX R03DA05000P3001XX C01BD01110P3001XX C01BD01110T1001XX N05AL05000T1001XX N05AL05000T1002XX N06AA09110T1001XX
58 59 60 61
Amino Acids, Glucose and Lipid with Electrolytes Aminophylline 25 mg/ml Injection Amiodarone 150mg/3 ml Injection Amiodarone 200 mg Tablet Amisulpride 100 mg Tablet Amisulpride 400 mg Tablet Amitriptyline HCl 25 mg Tablet m o p ne ne m g an a sa sar an mg a e Amlodipine 10 mg Tablet Amlodipine 5 mg and Valsartan 160 mg Tablet Amlodipine 5 mg Tablet Ammonium Bicarbonate, Tincture Ipecac, etc Mixture
C08CA01000T1002XX C09DB01935T1002XX C08CA01000T1001XX R05CA04900L2101XX
A B A* A* A* A* B * B A* B C
62 63 64 65 66 67
Amorolfine 5 % Nail Lacquer Amoxicillin & Clavulanate 228 mg/5 ml Syrup Amoxicillin 1 g & Clavulanate 200 mg Injection Amoxicillin 250 mg Capsule Amoxicillin 500 mg & Clavulanate 125 mg Tablet Amoxicillin 500 mg and Clavulanate 100 mg Injection
D01AE16110L5001XX J01CR02961F2102XX J01CR02961P4002XX J01CA04012C1001XX J01CR02961T1002XX J01CR02961P4001XX
A* A/KK A B A/KK A
68 69 70 71 72
Amoxicillin Trihydrate 125 mg/5 ml Syrup Amphotericin B 0.15% Eye Drops Amphotericin B 0.25% Eye Drops Amphotericin B 50 mg Injection Ampici Ampicilli llin n Sodiu Sodium m & Sulb Sulbact actam am Sodi Sodium um 250 250 m mg/5 g/5 ml Suspension Ampicillin Sodium & Sulbactam Sodium 375 mg Tablet
J01CA04012F1001XX S01A000801D2002XX S01A000801D2003XX J02AA01801P4001XX J01CR01961F2101XX
B A A A A
J01CR01961T1001XX
A A
83 84
Ampici Ampicilli llin n Sodi Sodium um 1g 1g & Sulbac Sulbactam tam Sodium Sodium 500 500mg mg J01CR01961P4002XX Injection Ampicillin Sodium 500 mg & Sulbactam Sodium 250 mg J01CR01961P4001XX Injection Ampicillin Sodium 500 mg Injection J01CA01520P4001XX Ampicillin Trihydrate 125 mg/5 ml Suspension J01CA01012F2101XX Anastrozole 1 mg Tablet L02BG03000T1001XX Anidulafungin 100mg Injection J02AX06000P3001XX Antazoli Antazoline ne HCl, Tetrahy Tetrahydroz drozoline oline HCl and Benzalko Benzalkonium nium S01GA52110D2001XX Cloride Eye Drops Anti Anti RhD RhD Gamma Gamma Globul Globulin in 250 250 m mcg/ cg/2 2 ml Inject Injection ion (500 (500 J06BB01000P3001XX units=100 mcg) Antily Antilymph mphocy ocyte/ te/Ant Antith ithym ymocy ocyte te Immunogl Immunoglobu obulin lin (from (from L04AA03000P3001XX Horse) Injection Antirabies Immunoglobulin (Human) 300 iu/2ml J06BB05000P3001XX Antithymocyte Immunoglobulin (from rabbit) Injection L04AA04000P3001XX
85 86 87
Antivenene Malaysian Pit Viper Injection Antivenene Serum (Cobra) Injection Antivenene Serum (Sea snake) 1000 units/26.3 ml
73 74 75 76 77 78 79 80 81 82
December 2011
J06AA03000P3001XX J06AA03000P3002XX J06AA03000P3003XX
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
A B B A* A* A/KK B A* B A* B B B
Page 2 of 31
No
Ge Generic Name
Malaysia Drug Code
43 44 45 46
Amantadine HCl 100 mg Capsule Amikacin 250 mg/2 ml Injection Amikacin 500 mg/2 ml Injection Amiloride HCl 5 mg & Hydrochlorothiazide 50 mg Tablet
N04BB01110C1001XX J01GB06183P3003XX J01GB06183P3002XX C03EA01900T1001XX
B A A B
47 48 49
Amino Acids Injection Amino Acids with Electrolytes Injection Amino Acids with Glucose with Electrolytes Injection
B05BA01910P3001XX B05BA10910P3002XX B05BA10910P3003XX
A A A
50 51 52 53 54 55 56
B05BA10910P3001XX R03DA05000P3001XX C01BD01110P3001XX C01BD01110T1001XX N05AL05000T1001XX N05AL05000T1002XX N06AA09110T1001XX
58 59 60 61
Amino Acids, Glucose and Lipid with Electrolytes Aminophylline 25 mg/ml Injection Amiodarone 150mg/3 ml Injection Amiodarone 200 mg Tablet Amisulpride 100 mg Tablet Amisulpride 400 mg Tablet Amitriptyline HCl 25 mg Tablet m o p ne ne m g an a sa sar an mg a e Amlodipine 10 mg Tablet Amlodipine 5 mg and Valsartan 160 mg Tablet Amlodipine 5 mg Tablet Ammonium Bicarbonate, Tincture Ipecac, etc Mixture
C08CA01000T1002XX C09DB01935T1002XX C08CA01000T1001XX R05CA04900L2101XX
A B A* A* A* A* B * B A* B C
62 63 64 65 66 67
Amorolfine 5 % Nail Lacquer Amoxicillin & Clavulanate 228 mg/5 ml Syrup Amoxicillin 1 g & Clavulanate 200 mg Injection Amoxicillin 250 mg Capsule Amoxicillin 500 mg & Clavulanate 125 mg Tablet Amoxicillin 500 mg and Clavulanate 100 mg Injection
D01AE16110L5001XX J01CR02961F2102XX J01CR02961P4002XX J01CA04012C1001XX J01CR02961T1002XX J01CR02961P4001XX
A* A/KK A B A/KK A
68 69 70 71 72
Amoxicillin Trihydrate 125 mg/5 ml Syrup Amphotericin B 0.15% Eye Drops Amphotericin B 0.25% Eye Drops Amphotericin B 50 mg Injection Ampici Ampicilli llin n Sodiu Sodium m & Sulb Sulbact actam am Sodi Sodium um 250 250 m mg/5 g/5 ml Suspension Ampicillin Sodium & Sulbactam Sodium 375 mg Tablet
J01CA04012F1001XX S01A000801D2002XX S01A000801D2003XX J02AA01801P4001XX J01CR01961F2101XX
B A A A A
J01CR01961T1001XX
A A
83 84
Ampici Ampicilli llin n Sodi Sodium um 1g 1g & Sulbac Sulbactam tam Sodium Sodium 500 500mg mg J01CR01961P4002XX Injection Ampicillin Sodium 500 mg & Sulbactam Sodium 250 mg J01CR01961P4001XX Injection Ampicillin Sodium 500 mg Injection J01CA01520P4001XX Ampicillin Trihydrate 125 mg/5 ml Suspension J01CA01012F2101XX Anastrozole 1 mg Tablet L02BG03000T1001XX Anidulafungin 100mg Injection J02AX06000P3001XX Antazoli Antazoline ne HCl, Tetrahy Tetrahydroz drozoline oline HCl and Benzalko Benzalkonium nium S01GA52110D2001XX Cloride Eye Drops Anti Anti RhD RhD Gamma Gamma Globul Globulin in 250 250 m mcg/ cg/2 2 ml Inject Injection ion (500 (500 J06BB01000P3001XX units=100 mcg) Antily Antilymph mphocy ocyte/ te/Ant Antith ithym ymocy ocyte te Immunogl Immunoglobu obulin lin (from (from L04AA03000P3001XX Horse) Injection Antirabies Immunoglobulin (Human) 300 iu/2ml J06BB05000P3001XX Antithymocyte Immunoglobulin (from rabbit) Injection L04AA04000P3001XX
85 86 87
Antivenene Malaysian Pit Viper Injection Antivenene Serum (Cobra) Injection Antivenene Serum (Sea snake) 1000 units/26.3 ml
73 74 75 76 77 78 79 80 81 82
December 2011
J06AA03000P3001XX J06AA03000P3002XX J06AA03000P3003XX
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
A B B A* A* A/KK B A* B A* B B B
Page 2 of 31
**
No
Ge Generic Name
Malaysia Drug Code
88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103
Antivenene Serum Snake polyvalent Injection Aprepitant 125 mg Capsule Aprepitant 80 mg Capsule Aprotinin 10,000 KIU/ml Injection Aqueous Cream Aripiprazole 10mg Tablet Aripiprazole 15mg Tablet Arsenic Trioxide 1 mg/ml Injection Artemether 20mg + Lumefantrine 120mg Ascorbic Acid 100 mg Tablet Ascorbic Acid 500 mg Tablet Ascorbic Acid 500 mg/2 ml Injection Atenolol 100 mg Tablet Atenolol 50 mg Tablet Atomoxetine HCl 10 mg Capsule Atomoxetine HCl 18 mg Capsule
J06AA03000P3004XX A04AD12000C1002XX A04AD12000C1001XX B02AB01000P3001XX D02AX00000G1001XX N05AX12000T1001XX N05AX12000T1002XX L01XX27550P3001XX P01BE52981T1001XX A11GA01000T1002XX A11GA01000T1003XX A11GA01000P3001XX C07AB03000T1002XX C07AB03000T1001XX N06BA09110C1001XX N06BA09110C1002XX
105 106 107 108 109 110 111 112
N06BA09110C1004XX N06BA09110C1005XX C10AA05000T1002XX C10AA05000T1001XX C10AA05000T1004XX M03AC04197P3001XX M03AC04197P3002XX S01F000183P3001XX S01FA01183D2001XX A03BA01183P3001XX L04AX01000T1001XX D10AX03000G1001XX J01FA10011F1001XX J01FA10011T1001XX J01FA10011P4001XX J01CA06000T1001XX M03BX01000T1001XX B05CB10907L5001XX B05CB10905L5001XX
B B A A* A* A* A* B B A A
124 125
Atomoxetine HCl 40 mg Capsule Atomoxetine HCl 60mg Capsule Atorvastatin 20 mg Tablet Atorvastatin 40 mg Tablet Atorvastatin 80 mg Tablet Atracurium Besylate 25 mg/2.5 ml Injection Atracurium Besylate 50 mg/5 ml Injection Atropine Atropine Sulphate Sulphate 0.3%, 0.3%, Cocaine Cocaine HCl 1.7%, 1.7%, Adrenali Adrenaline ne Acid Tartrate 0.03% Mydriatic Injection Atropine Sulphate 1% Eye Drops Atropine Sulphate 1mg/ml Injection Azathioprine 50 mg Tablet Azelaic Acid 20% Cream Azithromycin 200 mg/5 ml Granules Azithromycin 250 mg Tablet Azithromycin 500 mg Injection Bacampicillin 400 mg Tablet Baclofen 10 mg Tablet Balanced Salt Solution Balanced Balanced Salt Solution Solution PLUS (fortifie (fortified d with with sodiu sodium m bicarbonate, bicarbonate, glucose g lucose & glutathione) Barium Sulphate Suspension Basiliximab 20 mg Injection
B A* A* A* C A* A* A* A* C C B B B A* A* * A* A* A* A* A* A* A* A
V08BA01183L8001XX L04AC02000P3001XX
127 128
BCG Vaccine Freeze-Dried Injection J07AN01000P4001XX Beclomethasone D Diipropionate 10 100 mc mcg/dose In Inhalation R03BA01133A2101XX
B A* * C B
129
Beclo eclom metha ethaso son ne Dip Diprop ropion ionate 200 mcg/ mcg/d dose ose Inhal nhala ation tion R0 R03B 3BA A011 01133A2 33A21 102XX 02XX
A/K A/KK
130
R01AD01133A4101XX
A/KK
131 132 133
Beclomet Beclomethaso hasone ne Dipropion Dipropionate ate 50 mcg/dose mcg/dose Nasal Nasal Spray Benzalkonium 0.01% Cream Benzalkonium Chloride Disinfectant Solution Benzathine Penicillin 2.4 mega units Injection (1.8 g)
D08AJ01000G1001XX V07AV00100L9908XX J01CE08702P4001XX
B C B
134 135 136 137 138 139
Benzhexol 2 mg Tablet Benzoic Acid Compound Half Strength (Paed) Ointment Benzoic Acid Compound Ointment Benzoin Compound Tincture Benzoyl Peroxide 10% Gel Benzoyl Peroxide 5% Gel
N04AA01110T1001XX D01AE12952G5001XX D01AE12952G5002XX D08AX00000L5001XX D10AE01241G3002XX D10AE01241G3001XX
B C C C B B
113 114 115 116 117 118 119 120 121 122 123
December 2011
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 3 of 31
No
Generic Name
Malaysia Drug Code
140 141 142 143 144 145 146
Benztropine Mesilate 2 mg Tablet Benzydamine HCl 0.15% Solution Benzyl Benzoate 12.5 % Emulsion (Child) Benzyl Benzoate 25 % Emulsion (Adult) Benzylpenicillin 1 mega unit (600 mg) Injection Benzylpenicillin 10,000 units/ml Eye Drops Benzylpenicillin 2,500 units/ml (1.5 mg/ml) Eye Drops
N04AC01196T1001XX A01AD02110M2001XX P03AX01252L2001XX P03AX01000L2002XX J01CE01702P4001XX S01AA14702D2002XX S01AA14702D2001XX
B B C C B B B
147 148
J01CE01702P4002XX R07AA02000L8001XX
B A*
N07CA01110T1002XX N07CA01110T1003XX N07CA01110T1001XX H02AB01000T1001XX D07AC01256G1001XX
A/KK A* A/KK A B
155 156 157
Benzylpenicillin 5 mega units (3 g) Injection Beractant Intratracheal Suspension (200 mg phospholipids in 8 ml vial) Betahistine Dihydrochloride 16 mg Tablet Betahistine Dihydrochloride 24 mg Tablet Betahistine Dihydrochloride 8 mg Tablet Betamethasone 0.5 mg Tablet Betamethasone 17-Valerate 0.01-0.05% Cream . - . Betamethasone 17-Valerate 0.1% Cream Betamethasone 17-Valerate 0.1% Ointment Betamethasone Disodium Phoshate 0.1% Ear Drops
D07AC01256G1002XX D07AC01256G5002XX S03BA03162D1001XX
A A B
158
Betamethasone Disodium Phoshate 0.5% Ear Drops
S03BA03162D1002XX
B
159 160 161 162
S01BA06162D2001XX S01BA06162G5101XX S03CA06991D1001XX S01CA05991D2001XX
A A B A
163
Betamethasone Disodium Phosphate 0.1% Eye Drops Betamethasone Disodium Phosphate 0.1% Eye Betamethasone Disodium Phosphate and Neomycin Betamethasone Disodium Phosphate and Neomycin Sulphate Eye Drops Betamethasone Sodium Phosphate 4 mg/ml Injection
H02AB01162P3001XX
B
164 165 166 167 168 169 170
Betaxolol 0.25% Eye Suspension Bicalutamide 50 mg Tablet Bimatoprost 0.03% Ophthalmic Solution Bisacodyl 10 mg Suppository Bisacodyl 5 mg Suppository Bisacodyl 5 mg Tablet Bismuth Subgallate and Benzyl Benzoate Suppository
S01ED02110D2001XX L02BB03000T1001XX S01EE03000D2001XX A06AB02000S2002XX A06AB02000S2001XX A06AB02000T1001XX C05AX02931S2001XX
A A* A* C C C C
171
Bismuth Subnitrate, Iodoform and Liquid Paraffin Paste R01AX30984G6001XX
B
173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188
sopro o umara e . mg a e Bisoprolol Fumarate 5 mg Tablet Bleomycin HCl 15 mg Injection Boric Acid with Spirit 2% w/v Ear Drops Bortezomib 3.5 mg Injection Bosentan 125 mg Tablet Brimonidine Tartrate 0.15% Ophthalmic Bromazepam 3 mg Tablet Bromhexine HCl 4 mg/2 ml Injection Bromhexine HCl 4 mg/5 ml Elixir Bromhexine HCl 8 mg Tablet Bromocriptine Mesilate 10 mg Tablet Bromocriptine Mesilate 2.5 mg Tablet Bromocriptine Mesilate 5 mg Tablet Budesonide 1 mg/2 ml Nebulising Solution Budesonide 100 mcg/dose Inhalation Budesonide 160 mcg and Formoterol 4.5 mcg Inhalation
149 150 151 152 153
****
December 2011
C07AB07000T1002XX L01DC01110P4001XX S02AA03000D1001XX L01XX32000P3001XX C02KX01000T1001XX S01EA05123D2001XX N05BA08000T1002XX R05CB02110P3001XX R05CB02110L1001XX R05CB02110T1001XX G02CB01196T1003XX G02CB01196T1001XX G02CB01196T1002XX R03BA02000A3002XX R03BA02000A2101XX R03AKO7989A2101XX
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
A A C A* A* A* A A B B A/KK A/KK A/KK B B A
Page 4 of 31
***
***
No
Generic Name
Malaysia Drug Code
189
Budesonide 320 mcg and Formoterol 9 mcg Inhalation
R03AK07989A2102XX
A*
190 191 192 193 194 195 196 197 198
Budesonide 200 mcg/dose Inhalation Budesonide 500 mcg/2 ml Nebulising Solution Budesonide 64mcg Nasal Spray Bumetanide 0.5 mg/ml Injection Bumetanide 1 mg Tablet Bupivacaine 0.125% Epidural Injection Bupivacaine 0.5 % Heavy Injection Bupivacaine 0.5 % Injection Bupivacaine 0.5 % with Adrenaline 1:200,000 Injection
R03BA02000A2102XX R03BA02000A3001XX R01AD05000A4103XX C03CA02000P3001XX C03CA02000T1001XX N01BB01110P3004XX N01BB01110P3003XX N01BB01110P3002XX N01BB51975P3001XX
B B A A* A* A A B B
199 200 201 202
Busulphan 2 mg Tablet Busulfan 6 mg/ml Injection Cabergoline 0.5 mg Tablet Calamine Cream
L01AB01000T1001XX L01AB01000P3001XX G02CB03000T1001XX D04AX00000G1001XX
A A* A* C
204 205 206 207 208 209 210
Calamine with 0.25 - 0.5% Menthol Lotion Calamine with 0.5% Phenol Cream Calamine with 2 - 6% Precipitated Sulphur Lotion Calcipotriol 50 mcg/g Cream Calcipotriol 50 mcg/g Ointment Calcipotriol 50 mcg/ml Scalp Solution Calcipotriol Hydrate 50 mcg/g & Betamethasone Dipropionate 0.5 mg/g Ointment Calcitonin (synthetic Salmon) 100 IU Injection Calcitonin (Synthetic Salmon) 200 IU Nasal Spray Calcitonin (Synthetic Salmon) 50 IU Injection Calcitriol 0.25 mcg Capsule Calcitriol 1 mcg/ml Injection Calcitriol 2 mcg/ml Injection Calcium Carbonate 500 mg Capsule Calcium Carbonate 500 mg Tablet Calcium Disodium Edetate 200 mg Injection Calcium Gluconate 10% Injection Calcium Lactate 300 mg Tablet Calcium Polystyrene Sulphonate Powder Capecitabine 150 mg Tablet Capecitabine 500 mg Tablet Captopril 25 mg Tablet . Carbamazepine 100 mg/5 ml (2% w/v) Syrup Carbamazepine 200 mg CR Tablet Carbamazepine 200 mg Tablet Carbamazepine 400 mg CR Tablet Carbamide (Urea) 10 % Cream Carbetocin 100 mcg/ ml Injection Carbimazole 5 mg Tablet Carboplatin 150 mg Injection Carboplatin 450 mg Injection Carboprost Tromethamine 250 mcg Injection Cardioplegia solution containing Potassium Chloride, Magnesium chloride & Procaine HCl Injection Carvedilol 25 mg Tablet Carvedilol 6.25 mg Tablet Caspofungin Acetate 50 mg Injection Caspofungin Acetate 70 mg Injection Cefaclor 125 mg/5 ml Suspension
D04AX00952L6001XX D04AX00952G1001XX D04AX00952L6002XX D05AX02000G1001XX D05AX02000G5001XX D05AX02000L9901XX D05AX52952G5001XX
C C C A* A* A* A*
H05BA01000P3002XX H05BA01000A4101XX H05BA01000P3001XX A11CC04000C1001XX A11CC04000P3001XX A11CC04000P3002XX A12AA04121C1001XX A12AA04121T1001XX V03AB03999P3001XX A12AA03000P3001XX A12AA05125T1001XX V03AE01999F2101XX L01BC06000T1002XX L01BC06000T1001XX C09AA01000T1002XX
A* A* A* A/KK A* A* A/KK A/KK A B C A A* A* B
N03AF01000L9001XX N03AF01000T5001XX N03AF01000T1001XX N03AF01000T5002XX D02AE01000G1001XX H01BB03000P2001XX H03BB01000T1001XX L01XA02000P4001XX L01XA02000P4002XX G02AD04999P3001XX B05XA16934P3001XX
A A B A B A* B A* A* A* A*
C07AG02000T1002XX C07AG02000T1001XX J02AX04122P4001XX J02AX04122P4002XX J01DC04000F2101XX
A* A* A* A* A
211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 December 2011
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 5 of 31
No
Generic Name
Malaysia Drug Code
Category of Prescriber
243 244 245 246 247 248 249 250
J01DC04010T5001XX J01DC04000C1002XX J01DB04520P3001XX J01DE01110P4002XX J01DE01110P4001XX J01DD12520P4002XX J01DD12520P4003XX J01DD62000P4001XX
A A A A* A* A A A
J01DD12520P4001XX J01DD01520P4002XX J01DD01520P4001XX J01DD02520P4003XX J01DD02520P4004XX J01DD02520P4001XX J01DD02520P4002XX
A A A A A A A
259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281
Cefaclor 375 mg MR Tablet Cefaclor 500 mg Capsule Cefazolin Sodium 1 g Injection Cefepime 1 g Injection Cefepime 500 mg Injection Cefoperazone Sodium 1 g Injection Cefoperazone Sodium 2 g Injection Cefoperazone Sodium 500 mg & Sulbactam Sodium 500 mg Injection Cefoperazone Sodium 500 mg Injection Cefotaxime 1 g Injection Cefotaxime 500 mg Injection Ceftazidime 1 g Injection Ceftazidime 2 g Injection Ceftazidime 250 mg Injection Ceftazidime 500 mg Injection . Ceftriaxone 0.5 g Injection Ceftriaxone 1g Injection Cefuroxime Axetil 125 mg Tablet Cefuroxime Axetil 125 mg/5 ml Suspension Cefuroxime Axetil 250 mg Tablet Cefuroxime Sodium 1.5 g Injection Cefuroxime Sodium 250 mg Injection Cefuroxime Sodium 750 mg Injection Celecoxib 200 mg Capsule Celecoxib 400 mg Capsule Cephalexin Monohydrate 125 mg/5 ml Syrup Cephalexin Monohydrate 250 mg Capsule Cephalexin Monohydrate 250 mg Tablet Cephalexin Monohydrate 500 mg Capsule Cephalexin Monohydrate 500 mg Tablet Cetirizine HCl 10 mg Tablet Cetrimide 1-2% Lotion. Cetrorelix 0.25 mg Injection Charcoal, Activated 250 mg Tablet Charcoal, Activated 50 g Granules Chloral Hydrate 200 mg/5 ml Mixture Chlorambucil 2 mg Tablet Chloramphenicol 0.5% Eye Drops
J01DD04520P4002XX J01DD04520P4003XX J01DC02233T1001XX J01DC02233F2101XX J01DC02233T1002XX J01DC02520P4003XX J01DC02520P4001XX J01DC02520P4002XX M01AH01000C1001XX M01AH01000C1002XX J01DB01010F2101XX J01DB01010C1001XX J01DB01010T1001XX J01DB01010C1002XX J01DB01010T1002XX R06AE07110T1001XX D08AJ04000L6001XX H01CC02122P4001XX A07BA01000T1001XX A07BA01000F1001XX N05CC01010L2101XX L01AA02000T1001XX S01AA01000D2001XX
A A A/KK A A/KK A A A A* A* B B B B B A/KK C A* C A B A C
283 284 285 286 287 288
Chloramphenicol 125 mg/5 ml Suspension Chloramphenicol 250 mg Capsule Chloramphenicol 5% w/v Ear Drops Chloramphenicol Sodium Succinate 1 g Injection Chlorhexidine Gluconate 0.2 % Mouthwash Chlorhexidine Gluconate 2% in Alcohol 70% Solution
J01BA01126L8001XX J01BA01126C1001XX S02AA01000D1001XX J01BA01520P4001XX R02AA05137M2001XX D08AC52137L9902XX
B B C B C C
289 290 291 292 293
Chlorhexidine Gluconate 4% Scrub Chlorhexidine Gluconate 5% Solution Chlorhexidine Gluconate 5% Solution 1:10 in 70% Chlorinated Lime Powder Chlorinated Lime Solution & Buffered Acetate Solution
D08AC02137M9901XX D08AC02137L9901XX D08AC52137L9901XX V07AV00000F9901XX D08A000999G9901XX
C C C C C
294
Chloroquine Phosphate 250 mg Tablet (150 mg Chloroquine base) Chlorpheniramine Maleate 10 mg/ml Injection Chlorpheniramine Maleate 2 mg/5 ml Syrup
P01BA01162T1001XX
C
R06AB04253P3001XX R06AB04253L9001XX
B C
251 252 253 254 255 256 257
295 296 December 2011
MOH Drug Formulary No. 3/ 2011
Page 6 of 31
No
Generic Name
Malaysia Drug Code
297 298 299 300 301 302 303 304
R06AB04253T1001XX N05AA01110T1002XX N05AA01110T1001XX S01AA02000G5101XX D06AA02000G1001XX J07AE01000P3001XX C10AC01000M4001XX N02BA03900G3001XX
C B B B B B A B
G03GA01000P5001XX
A*
G03GA01000P4001XX
A*
307 308 309
Chlorpheniramine Maleate 4 mg Tablet Chlorpromazine HCl 100 mg Tablet Chlorpromazine HCl 25 mg Tablet Chlortetracycline 1% Eye Ointment Chlortetracycline 1-3 % Cream Cholera Vaccine Cholestyramine Resin 4 G Choline Salicylate 8.7%, Cetylkonium Chloride 0.01% Dental Gel Choriogonadotropin Alfa 250mcg/0.5ml Injection in Prefilled Syringe Chorionic Gonadotrophin Human (HCG) 5000 IU Injection Ciclesonide 160mcg Inhalation Ciclosporin 100 mg Capsule Microemulsion Ciclosporin 100 mg/ml Drink Solution
R03BA08000A2101XX L04AD01000C1002XX L04AD01000L5002XX
311 312
Ciclosporin 50 mg/ml Injection Cimicifuga Racemosa Rhizome Extract 20 mg Tablet
L04AD01000P3001XX HG03WA5001T1001XX
A* A* A* * A* A
313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332
Cinnarizine 25 mg Tablet Ciprofloxacin 100 mg/50 ml Injection Ciprofloxacin 200 mg/100 ml Injection Ciprofloxacin 250 mg Tablet Ciprofloxacin 500 mg Tablet Ciprofloxacin HCl 0.3% Ophthalmic Solution Cisplatin (Cis-Platinum) 10 mg Injection Cisplatin (Cis-Platinum) 50 mg Injection Clarithromycin 250 mg Tablet Clarithromycin 500 mg Injection Clarithromycin Granules 125 mg/5 ml Clindamycin HCl 300 mg Capsule Clindamycin Phosphate 150 mg/ml Injection Clobetasol Propionate 0.05% Cream Clobetasol Propionate 0.05% Ointment Clobetasone Butyrate 0.05% Cream Clobetasone Butyrate 0.05% Ointment Clodronate 800 mg Tablet Clofazimine 100 mg Capsule Clofazimine 50 mg Capsule om ene ra e mg a e Clomipramine HCI 25 mg Tablet Clonazepam 0.5 mg Tablet Clonazepam 2 mg Tablet Clonidine HCl 0.025 mg Tablet Clopidogrel 75 mg Tablet Clostridium Botulinum Toxin Type A 100 units Clostridium Botulinum Toxin Type A 500 units Clotrimazole 1% Cream Clotrimazole 1% Ear Drop Clotrimazole 1% Solution Clotrimazole 200 mg Vaginal Tablet Clotrimazole 500 mg Vaginal Tablet Cloxacillin Sodium 125 mg/5 ml Suspension Cloxacillin Sodium 250 mg Capsule Cloxacillin Sodium 250 mg Injection Cloxacillin Sodium 500 mg Injection
N07CA02000T1001XX J01MA02125P3001XX J01MA02125P3002XX J01MA02110T1001XX J01MA02110T1002XX S01AX13110D2001XX L01XA01000P3001XX L01XA01000P3002XX J01FA09000T1001XX J01FA09000P3001XX J01FA09000F1001XX J01FF01110C1001XX J01FF01162P3001XX D07AD01133G1001XX D07AD01133G5001XX D07AB01255G1001XX D07AB01255G5001XX M05BA02011T1011XX J04BA01000C1002XX J04BA01000C1001XX
B A A A A A* A A A* A* A* A* A* A A A/KK A A* B B
N06AA04110T1001XX N03AE01000T1001XX N03AE01000T1002XX N02CX02110T1001XX B01AC04192T1001XX M03AX01000P4001XX M03AX01000P4002XX D01AC01000G1001XX S02AA00000D1002XX D01AC01000L6001XX G01AF02000S1002XX G01AF02000S1003XX J01CF02520L8001XX J01CF02520C1001XX J01CF02520P4001XX J01CF02520P4002XX
A B B A A* A* A* B B A B B B B B B
305 306
334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349
December 2011
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 7 of 31
No
Generic Name
Malaysia Drug Code
350 351 352
N05AH02000T1002XX N05AH02000T1001XX D05AA00946G5003XX
A A B
D05AA00000G5001XX D05AA00000L5201XX D05AA00946G5002XX
B B B
N01BC01110L5001XX D05AA00946G5001XX M04AC01000T1001XX A02BX05136T1001XX G03CA57000T1003XX G03FA12295T1002XX
B B B A A A
G03CA57000T1001XX
A
B05DB00908H2501XX
B
B05DB00908H2502XX
B
B05DB00908H2503XX
B
367 368 369 370 371 372 373 374 375
Clozapine 100 mg Tablet Clozapine 25 mg Tablet Coal Tar 1- 6 % in Betamethasone 17 - Valerate 0.01 % Ointment Coal Tar 1-9% Ointment Coal Tar 20% Solution Coal Tar and Salicylic Acid (various concentrations) Ointment Cocaine 10% Solution Cocois Co. Ointment Colchicine 0.5 mg Tablet Colloidal Bismuth Subcitrate 120 mg Tablet Conjugated Oestrogens 0.3 mg Tablet Conjugated Oestrogens 0.625 mg & Medroxyprogesterone Acetate 2.5 mg Tablet Conjugated Oestrogens 0.625 mg Tablet . Continuous Ambulatory Peritoneal Dialysis Solution containing 1.5% Dextrose Continuous Ambulatory Peritoneal Dialysis Solution containing 2.5% Dextrose Continuous Ambulatory Peritoneal Dialysis Solution containing 4.25% Dextrose Copper 250 mm2 Intrauterine Device Copper 375 mm2 Intrauterine Device Copper Sulphate Crystal Cortisone Acetate 5 mg Tablet Crotamiton 10 % Cream Cyanocobalamin 0.1 mg Injection Cyanocobalamin 1 mg Injection Cyanocobalamin 50 mcg Tablet Cyclopentolate 0.2% with Phenylephrine 1% Eye Drops
G02BA02000M9001XX G02BA02000M9002XX D08A000183F9901XX H02AB10122T1002XX P03A000000G1001XX B03BA01000P3001XX B03BA01000P3002XX B03BA01000T1002XX S01GA55990D2001XX
B B C B A/KK B B B A
376 377 378 379 380 381 382
Cyclopentolate 0.5% Eye Drops Cyclopentolate 1% Eye Drops Cyclophosphamide 1 g Injection Cyclophosphamide 200 mg Injection Cyclophosphamide 50 mg Tablet Cycloserine 250 mg Capsule Cyproterone Acetate 2 mg & Ethinyloestradiol 0.035 mg
S01FA04000D2001XX S01FA04000D2002XX L01AA01000P4002XX L01AA01000P4001XX L01AA01000T1001XX J04AB01000C1001XX G03HB01954T1001XX
A A A A A A* A*
383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398
Cyproterone Acetate 50 mg Tablet Cytarabine 1 g Injection Cytarabine 100 mg Injection Cytarabine 500 mg Injection Dabigatran Etexilate 110 mg Capsule Dabigatran Etexilate 75 mg Capsule Dabigatran Etexilate150 mg Capsule Dacarbazine 100 mg Injection Danazol 100 mg Capsule Danazol 200 mg Capsule Dapsone 100 mg Tablet Daunorubicin HCl 20 mg Injection Decitabine 50 mg Injection Deferasirox 125 mg Dispersible Tablet Deferasirox 500 mg Dispersible Tablet Deferiprone 500 mg Tablet
G03HA01122T1001XX L01BC01000P4004XX L01BC01000P4002XX L01BC01000P4003XX B01AE07999C1002XX B01AE07999C1001XX B01AE07999C1003XX L01AX04000P4001XX G03XA01000C1001XX G03XA01000C1002XX J04BA02000T1001XX L01DB02110P4001XX L01BC08000P3001XX V03AC03000T4001XX V03AC03000T4002XX V03AC02000T1001XX
A* A A A A* A* A* A* A/KK A/KK B A* A* A* A* A*
353 354 355 356 357 358 359 360 361 362 364 365 366
**** ***
December 2011
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 8 of 31
No
Generic Name
Malaysia Drug Code
Category of Prescriber
399
Desferrioxamine B Methanesulphonate 0.5 g Injection
V03AC01196P3001XX
A
400 401 402 403 404 405 406
Desflurane Liquid Desloratadine 5 mg Tablet Desmopressin 0.1 mg Tablet Desmopressin 0.2 mg Tablet Desmopressin 100 mcg/ml Nasal Spray Desmopressin Acetate 4 mcg/ml Injection Desogestrol 150 mcg & Ethinyloestradiol 30 mcg Tablet
N01AB07000L5001XX R06AX27000T1001XX H01BA02122T1001XX H01BA02122T1002XX H01BA02122A4101XX H01BA02122P3001XX G03AB05954T1001XX
A A* A A A A C
407 408
H02AB02000T1001XX S01CA01990G5101XX
A A
S01CA01990D2001XX
A
410
Dexamethasone 0.5 mg Tablet Dexamethasone and Neomycin Sulphate and Polymyxin B Eye Ointment Dexamethasone and Neomycin Sulphate and Polymyxin B Sulphate Ophthalmic Suspension Dexamethasone Sodium Phosphate 0.1% Eye Drops
S01BA01162D2001XX
A
411
Dexamethasone Sodium Phosphate 8 mg/2 ml Injection H02AB02162P3001XX
B
412 413 414 415 416 417 418 419 420 421 422
Dexchlorpheniramine Maleate 2 mg Tablet Dexchlorpheniramine Maleate 2 mg/5 ml Syrup Dexmedetomidine HCl 100 mcg/ml Injection Dextran 40 Dextrose 10% Injection Dextrose 20% Injection Dextrose 30% Injection Dextrose 5% Injection Dextrose 50% Injection Dextrose Powder Diatrizoate Meglumine and Sodium Amidotrizoate Solution Diazepam 10 mg/2 ml Injection Diazepam 2 mg Tablet Diazepam 5 mg Rectal Solution Diazepam 5 mg Tablet Diclofenac 1% Emulgel Diclofenac Sodium 12.5 mg Suppository Diclofenac Sodium 25 mg Suppository Diclofenac Sodium 50 mg Suppository Diclofenac Sodium 50 mg Tablet
R06AB02253T1001XX R06AB02253L9001XX N05CM18110P4001XX B05AA05000P6001XX B05BA03000P6002XX B05BA03000P6003XX B05BA03000P3004XX B05BA03000P6001XX B05BA03000P3005XX V04CA02000F2101XX V08AA01254L9901XX
B B A* A* B B B B B B A
N05BA01000P3001XX N05BA01000T1001XX N05BA01000G2001XX N05BA01000T1002XX M02AA15520G3001XX M01AB05520S2001XX M01AB05520S2002XX M01AB05520S2003XX M01AB05520T1001XX
B B C B A A A A B
Didanosine 100 mg Tablet (ddI) Didanosine 2 g Oral Solution (ddI) Didanosine 25 mg Tablet (ddI) Didanosine 250 mg Enteric Coated Capsule Didanosine 400 mg Enteric Coated Capsule Diethylcarbamazine Citrate 50 mg Tablet Digoxin 0.25 mg Tablet Digoxin 50 mcg/ml Elixir Digoxin 500 mcg/2 ml Injection Digoxin 62.5 mcg Tablet Dihydrocodeine Tartrate 30 mg Tablet Dihydroergocristine or Co-dergocrine Mesilate 1 mg Tablet Diltiazem HCl 30 mg Tablet Dimercaprol 50 mg/ml Injection Dinoprostone (Prostagladine E2) 3 mg Vaginal Tablet
J05AF02000T1002XX J05AF02000F2101XX J05AF02000T1001XX J05AF02000C1001XX J05AF02000C1002XX P02CB02136T1001XX C01AA05000T1001XX C01AA05000L1001XX C01AA05000P3001XX C01AA05000T1002XX N02AA08123T1001XX C04AE01196T1001XX
A* A* A* A* A* B B B A B B A/KK
C08DB01110T1001XX V03AB09000P3001XX G02AD02000S1001XX
B B A
409
423 424 425 426 427 428 429 430 431 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447
December 2011
MOH Drug Formulary No. 3/ 2011
Page 9 of 31
No
Generic Name
Malaysia Drug Code
448 449 450
Diosmin 450 mg and Hesperidin 50 mg Tablet Diphenhydramine HCl 10 mg/5 ml Elixir Diphenhydramine HCl 14 mg/5 ml and Ammonium Chloride 135 mg/5 ml Expectorant Diphenoxylate with Atropine Sulphate Tablet Diphtheria and Tetanus Vaccine Injection Diphtheria Antitoxin Injection Diphtheria, Pertussis, Tetanus and Conjugated Haemophilus Type B 10 mcg Vaccine Diphtheria, Pertussis, Tetanus and Hepatitis B Vaccine
C05CA53931T1001XX R06AA02110L1001XX R06AA52110L2101XX
A/KK C C
A07DA01922T1001XX J07AM51963P3001XX J07AF01000P3001XX J07AG52000P3001XX
B C B C
J07CA05963P3001XX
C
J07AJ52963P3001XX J07CA06963P3001XX
C B
458
Diphtheria, Pertussis, Tetanus Vaccine Injection Diphtheria, Tetanus, Acellular Pertussis, Inactivated Polio Virus, Haemophilus Influenza Type B Vaccine [DTaP-IPV- Hib] Dipyridamole 75 mg Tablet
B01AC07000T1001XX
B
460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482
Dithranol 0.1 - 5% in Vaseline/ Ointment Dithranol 1 % in Lassars Paste Dobutamine HCl 250 mg/20 ml Injection Docetaxel 20 mg/0.5 ml Injection Docetaxel 80 mg /2 ml Injection Domperidone 1 mg/ml Suspension Domperidone 10 mg Tablet Donepezil HCl 10 mg Tablet Donepezil HCl 5 mg Tablet Dopamine HCl 40 mg/ml Injection Doripenem Monohydrate 500 mg Injection Dorzolamide HCl 2% Ophthalmic Solution Dothiepin HCl 25 mg Capsule Dothiepin HCl 75 mg Tablet Doxazosin Mesilate 4 mg CR Tablet Doxorubicin HCl 10 mg Injection Doxorubicin HCl 50 mg Injection Doxycycline 100 mg Capsule Doxycycline 100 mg Tablet D-Penicillamine 0.25 g Capsule Duloxetine 30 mg Capsule Duloxetine 60 mg Capsule Dutasteride 0.5 mg Capsule
D05AC01000G5001XX D05AC01000G6001XX C01CA07110P3001XX L01CD02000P3001XX L01CD02000P3002XX A03FA03000L8001XX A03FA03253T1001XX N06DA02110T1002XX N06DA02110T1001XX C01CA04110P3001XX J01DH04000P4001XX S01EC03110D2001XX N06AA16110C1001XX N06AA16110T1001XX C02CA04196T5001XX L01DB01110P4001XX L01DB01110P4002XX J01AA02000C1001XX J01AA02000T1001XX M01CC01000C1001XX N06AX21110C1001XX N06AX21110C1002XX G04CB02000C1001XX
A A A A* A* B B A A B A* A* A A A* A A B B A A* A* A*
484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500
Edrophonium Chloride 10 mg/ml Injection Efavirenz 100 mg Capsule Efavirenz 200 mg Capsule Efavirenz 50 mg Capsule Efavirenz 600 mg Tablet Emulsificants Ointment Enalapril 10 mg Tablet Enalapril 20 mg Tablet Enalapril 5 mg Tablet Enoxaparin Sodium 20 mg Injection Enoxaparin Sodium 40 mg Injection Enoxaparin Sodium 60 mg Injection Entacapone 200 mg Tablet Entecavir 0.5 mg Tablet Eperisone HCl 50 mg Tablet Ephedrine 0.5% w/v Nasal Drops Ephedrine HCl 30 mg/ml Injection
N07AA00100P3001XX J05AG03000C1002XX J05AG03000C1003XX J05AG03000C1001XX J05AG03000T1001XX D02AC00952G5001XX C09AA02253T1002XX C09AA02253T1003XX C09AA02253T1001XX B01AB05520P5001XX B01AB05520P5002XX B01AB05520P5003XX N04BX02000T1001XX J05AF10000T1001XX M03BX09110T1001XX R01AA03110D6001XX R03CA02110P3001XX
B A* A* A* A/KK C B B B A* A* A* A A* A A/KK B
451 452 453 454 455 456 457
December 2011
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 10 of 31
** ** ****
No
Generic Name
Malaysia Drug Code
Category of Prescriber
501 502 503 504 505 506
Epirubicin 10 mg Injection Epirubicin 50 mg Injection Erlotinib 100 mg Tablet Erlotinib 150 mg Tablet Ertapenem 1 g Injection Erythromycin Ethylsuccinate 200 mg/5 ml Suspension
L01DB03110P4001XX L01DB03110P4002XX L01XE03110T1003XX L01XE03110T1002XX J01DH03520P4001XX J01FA01238F2101XX
A* A* A* A* A* B
507 508
Erythromycin Ethylsuccinate 400 mg Tablet Erythromycin Ethylsuccinate 400 mg/5 ml Suspension
J01FA01238T1001XX J01FA01238F2102XX
B B
509 510 511
Erythromycin Lactobionate 500 mg Injection Erythromycin Stearate 250 mg Tablet Erythropoietin Human Recombinant 10,000 IU/ml Injection Erythropoietin Human Recombinant 1000 IU/0.5ml Injection . Injection Erythropoietin Human Recombinant 3000 IU/0.3ml Injection Erythropoietin Human Recombinant 4000 IU/0.4ml Injection Escitalopram 10 mg Tablet Esmolol HCl 10 mg/ml Injection Esomeprazole 20 mg Tablet Esomeprazole 40 mg Injection Esomeprazole 40 mg Tablet Essential Phospholipids Capsule Estradiol 1 mg & Norethisterone Acetate 0.5 mg Tablet
J01FA01129P3001XX J01FA01258T1001XX B03XA01000P5005XX
A* B A*
B03XA01000P5001XX
A*
B03XA01000P5003XX
A*
B03XA01000P5004XX
A
N06AB10124T1001XX C07AB09110P3001XX A02BC05000T1002XX A02BC05000P3001XX A02BC05000T1001XX A05BA00924C1001XX G03FA01122T1001XX
A* A* A* A* A* A/KK A*
G03FB08954T1001XX
A*
G03FB08954T1002XX G03CA03256T1002XX G03FB01953T1001XX
A* A* B
L04AA11000P4001XX L04AB01000P4002XX J04AK02110T1001XX J04AK02110T1002XX
A* A* B B
512
514 515 516 517 518 519 520 521 522 523
527 528 529 530
Estradiol 1 mg (14 tablet) & Estradiol 1 mg with Dydrogesterone 10 mg (14 tablet) Estradiol 1 mg with Dydrogesterone 5 mg Tablet Estradiol Valerate 1 mg Tablet Estradiol Valerate 2 mg and Norgestrel 500 mcg with Estradiol Valerate 2 mg Tablet Etanercept 25 mg Injection Etanercept 50 mg Injection Ethambutol HCl 200 mg Tablet Ethambutol HCl 400 mg Tablet
532
Ethinylestradiol 20 mcg & Desogestrel 150 mcg Tablet G03AA09954T1002XX
533
Ethinylestradiol 20 mcg & Drospirenone 3 mg Tablet
03AA12954T1002XX
534
Ethinylestradiol 20 mcg & Gestodene 75 mcg Tablet
G03AA10954T1001XX
A/KK
535
Ethinylestradiol 20 mcg & Levonorgestrel 100 mcg Tablet Ethosuximide 250 mg/5 ml Syrup Ethyl Chloride Spray Etomidate 20 mg/10 mg Injection Etonogestrel 68 mg Implant Etoposide 100 mg Capsule Etoposide 100 mg/5 ml Injection Etoposide 25 mg Capsule Etoricoxib 120 mg Tablet
G03AA07954T1002XX
A/KK
N03AD01000L9001XX N01BX01000A4001XX N01AX07000P3001XX G03AC08000P1001XX L01CB01000C1002XX L01CB01000P3001XX L01CB01000C1001XX M01AH05000T1002XX
B C A*
524 525 526 **** ***
536 537 538 539 540 541 542 543
December 2011
MOH Drug Formulary No. 3/ 2011
A/KK A*
A* A* A* A*
Page 11 of 31
No
Generic Name
Malaysia Drug Code
***
544 545 546 547 548 549 550
M01AH05000T1003XX M01AH05000T1001XX L02BG06000T1001XX C10BA02000T1001XX C10AX09000T1001XX B02BD04000P9901XX B02BD08000P4004XX
A* A* A* A* A* A A*
***
551
B02BD08000P4005XX
A*
552 553 554
Etoricoxib 60 mg Tablet Etoricoxib 90 mg Tablet Exemestane 25 mg Tablet Ezetimibe 10 mg & Simvastatin 20 mg Tablet Ezetimibe 10 mg Tablet Factor IX Injection Factor VIIa (Recombinant) eptacog alfa (activated) 50 KIU (1 mg) Injection Factor VIIa (Recombinant) eptacog alfa (activated) 100 KIU (2 mg) Injection Factor VIII Inhibitor Bypassing Activity Injection Factor VIII Injection Factor VIII (Recombinant) Octocog Alfa 250 IU Injection
B02BD03000P4001XX B02BD02999P9901XX B02BD02000P4001XX
A A A*
555
Factor VIII (Recombinant) Octocog Alfa 500 IU Injection B02BD02000P4002XX
A*
557 558 559 560 561 562 563 564
Fat Emulsion 20% for IV Infusion Felodipine 10 mg Tablet Felodipine 5 mg Tablet Fentanyl 12 mcg/h Trandermal Patch Fentanyl 25 mcg/h Transdermal Patch Fentanyl 50 mcg/h Transdermal Patch Fentanyl Citrate 50 mcg/ml Injection Ferric Ammonium Citrate 800 mg/10 ml Paediatric Mixture Ferrous Fumarate 200 mg Tablet Ferrous Controlled Release 500 mg, Vitamin B1, B2, B6, B12, Vitamin C 50 0mg, Niacinamide, Calcium Panthothenate and Folic Acid 800 mcg Tablet
B05BA02000P6002XX C08CA02000T1002XX C08CA02000T1001XX N02AB03136M7005XX N02AB03136M7001XX N02AB03136M7002XX N01AH01136P3001XX B03AB06136L2101XX
A A/KK A/KK A* A* A* A C
B03AA02138T1001XX B03AE10903T1001XX
C A
567 568 569
Filgrastim (G-CSF) 30 MU/ml Injection Filgrastim 30 MU in 0.5 ml Injection Finasteride 5 mg Tablet
L03AA02000P3001XX L03AA02000P5001XX G04CB01000T1001XX
A* A* A*
570 571 572 573
Flavoxate HCl 100 mg Tablet Flecainide Acetate 100 mg Tablet Fluconazole 100 mg Capsule Fluconazole 2 mg/ml Injection uconazo e mg apsu e Flucytosine 2.5 g/250 ml Injection Flucytosine 500 mg Tablet Fludarabine Phosphate 10 mg Tablet Fludarabine Phosphate 50 mg Injection Fludrocortisone Acetate 0.1 mg Tablet Flumazenil 0.5 mg/5 ml Injection Flunarizine HCl 5 mg Capsule Fluorescein 1 mg Ophthalmic Strip Fluorescein Sodium 10% in 5 ml Injection Fluorometholone 0.1% Ophthalmic Suspension Fluorouracil 1 g/20 ml Injection Fluorouracil 100 mg Tablet Fluorouracil 250 mg/5 ml Injection Fluoxetine HCl 20 mg Capsule Flupenthixol Decanoate Depot 20 mg/ml lnjection Fluphenazine Decanoate 25 mg/ml Injection
G04BD02110T1001XX C01BC04122T1001XX J02AC01000C1002XX J02AC01000P9901XX
A A* A A
J02AX01000P9901XX J02AX01000T1001XX L01BB05162T1001XX L01BB05162P4001XX H02AA02122T1001XX V03AB25000P3001XX N07CA03110C1001XX S01JA01520M9901XX S01JA01520P3001XX S01BA07000D2001XX L01BC02000P4002XX L01BC02000T1001XX L01BC02000P4001XX N06AB03110C1001XX N05AF01135P2001XX N05AB02135P3001XX
A* A* A* A* A B B B A A* A* A A* A B B
565 566
575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590
December 2011
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 12 of 31
No
Generic Name
Malaysia Drug Code
591 592 593 594 595 596 597
Flutamide 250 mg Tablet Fluticasone Furoate 27.5 mcg/dose Nasal Spray Fluticasone Propionate 125 mcg/dose Inhalation Fluvoxamine 100 mg Tablet Fluvoxamine 50 mg Tablet Folic Acid 5 mg Tablet Follitropin Alpha (Recombinant Human FSH) 300 IU Injection Follitropin Alpha (Recombinant Human FSH) 75 IU Injection Follitropin Beta (Recombinant Human FSH) 300 IU Injection Follitropin Beta (Recombinant Human FSH) 50 IU Injection Fondaparinux Sodium 2.5 mg/0.5 ml Injection Fondaparinux Sodium 12.5 mg/ml Injection in Prefilled
L02BB01000T1001XX R01AD08139A4101XX R03BA05133A2101XX N06AB08253T1002XX N06AB08253T1001XX B03BB01000T1001XX G03GA05000P3002XX
A* A* B B B C A*
G03GA05000P3001XX
A*
G03GA06000P3002XX
A*
G03GA06000P3001XX
A*
B01AX05520P5001XX B01AX05520P5002XX
A* A*
Formoterol Fumarate Dihydrate 4.5 mcg /dose Inhalation Formoterol Fumarate Dihydrate 9 mcg/dose Inhalation
R03AC13138A2101XX
A*
R03AC13138A2102XX
A*
S01CA01991D1001XX
A/KK
V03AB00000F2101XX C03CA01000P3001XX C03CA01000T1001XX R02AB03000A4101XX J01XC01520T1001XX S01AA13000D2001XX D06AX01000G1001XX D07CC01948G1001XX
C B B A A* A A A/KK
J01XC01000L8001XX J01XC01520P4001XX N03AX12000T1002XX N03AX12000C1001XX N03AX12000T1001XX V08CA09000P3001XX V08CA03000P3001XX V08CA01000P3001XX
A* A* A* A* A* A* A A
P03AB02100L6001XX P03AB02100L9901XX
C C
P03AB02100G1002XX J05AB06520P3001XX H01CC01000P2001XX L01BC05110P4002XX L01BC05110P4001XX G02AD03000S1001XX
A/KK A* A* A* A* A
C10AB04000C1001XX D06AX07183G1001XX S01AA11183D2001XX S01AA11183G5101XX S01AA11183D2002XX J01GB03183P1001XX
A/KK A* A/KK A/KK A A
598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613
**
614 615 616 617 618 619 620 621
623 624 625 626 627 628 629 630 631 632 633 634 635 636 December 2011
Framycetin Sulphate 0.5%, Dexamethasone 0.05% and Gramicidin 0.005% Ear Drops Fuller's Earth 30% Suspension Furosemide 20 mg/2 ml Injection Furosemide 40 mg Tablet Fusafungine 1% Nasal Spray Fusidate, Sodium 250 mg Tablet Fusidic Acid 1% Eye Drops Fusidic Acid 2% Cream Fusidic Acid 2% in Betamethasone Valerate 0.1% Cream Fusidic Acid 50 mg/ml Suspension Fusidic Acid 500 mg Injection Gabapentin 100 mg Tablet Gabapentin 300 mg Capsule Gabapentin 600 mg Tablet Gadobutrol 1 mmol/ml injection Gadodiamide 287mg (0.5 mmol/ml) Gadopentetate Dimeglumine 469 mg/ml . Injection Gamma Benzene Hexachloride 0.1 % Lotion Gamma Benzene Hexachloride 0.1% in Oil Solution Gamma Benzene Hexachloride 1% Cream Ganciclovir Sodium 546 mg/10 ml Injection Ganirelix 0.25 mg/0.5 ml Injection Gemcitabine HCl 1 g Injection Gemcitabine HCl 200 mg Injection Gemeprost (Prostagladin E1 Synthetic Analogue) 1 mg Pessary Gemfibrozil 300 mg Capsule Gentamicin 0.1% Cream Gentamicin 0.3% Eye Drops Gentamicin 0.3% Eye Ointment Gentamicin 3% Fortified Eye Drops Gentamicin 7.5 mg Beads
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 13 of 31
No
Generic Name
Malaysia Drug Code
637 638 639
Gentamicin Sulphate 20 mg/2 ml Injection Gentamicin Sulphate 80 mg/2 ml Injection Gentamicin Sulphate and Betamethasone Disodium Phosphate Eye Drops Gentamicin Sulphate and Betamethasone Disodium Phosphate Eye Ointment Glibenclamide 5 mg Tablet Gliclazide 30 mg Modified Release Tablet Gliclazide 60 mg Modified Release Tablet Gliclazide 80 mg Tablet Glucagon (Lyophilised) 1 mg/ml Injection Glutaraldehyde Solution Glycerin Glycerin 25% and Sodium Chloride 15% Enema Glyceryl Trinitrate 0.5 mg Tablet Glyceryl Trinitrate 25 mg/5 ml Injection . Glycopyrrolate 200 mcg/ml Injection Goserelin 3.6 mg Depot Injection Goserelin 10.8 mg Depot Injection Granisetron HCl 1 mg Tablet Granisetron HCl 3 mg/3 ml Injection Griseofulvin (Ultramicrosize 125 mg = 250 mg Microsize) Tablet Haemodialysis Concentrate with Acetate Haemodialysis Concentrate with Bicarbonate Haemophilus Influenzae Type B Conjugate 10 mcg Vaccine Haloperidol 1.5 mg Tablet Haloperidol 5 mg Tablet Haloperidol 5 mg/ml Injection Heparin 1000 units/ml Injection Heparin 5000 units/ml Injection Heparin Sodium 50 units in Sodium Chloride Injection
J01GB03183P3002XX J01GB03183P3003XX S01CA05990D2001XX
B B A/KK
S01CA05990G5101XX
A
A10BB01000T1001XX A10BB09000T5002XX A10BB09000T5001XX A10BB09000T1001XX H04AA01000P4001XX V07AV00000L9905XX A06AX01000L5001XX A06AG20921G2001XX C01DA02221T1001XX C01DA02221P3001XX
B B B B B A C C C A
A03AB02320P3001XX L02AE03000P2001XX L02AE03000P2002XX A04AA02110T1001XX A04AA02110P3001XX D01BA01000T1001XX
A* A A A A B
B05ZA00908H1001XX B05ZA00908H1002XX J07AG01000P4001XX
A A C
N05AD01000T1001XX N05AD01000T1002XX N05AD01000P3001XX B01AB01520P3001XX B01AB01520P3002XX B01AB01930P3001XX
B B B B B B
J07BC02000P5001XX
A
J06BB04000P3001XX J07BC01000P4001XX S01FA05330D2003XX
A C B
640 641 642 643 644 645 646 647 648 649 650 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667
Category of Prescriber
668 669 670
Hepatitis A, Inactivated Vaccine 160 antigen units Injection Hepatitis B Immunoglobulin (Human) Injection Hepatitis B Vaccine Injection Homatropine 2% Eye Drops
672 673
Human Normal Globulin Injection J06BA02000P3001XX Human Papillomavirus (Types 16, 18) Vaccine Injection J07BM02000P3001XX
A A/KK
674
Human Papillomavirus (Types 6, 11, 16, 18) Vaccine Injection Hydralazine HCl 20 mg Injection Hydrochlorothiazide 25 mg Tablet Hydrochlorothiazide 50 mg Tablet Hydrocortisone 1% & Neomycin 0.5% Cream Hydrocortisone 1% Cream Hydrocortisone 1% Ointment Hydrocortisone 10 mg Tablet Hydrocortisone Enema 0.1% Hydrocortisone Sodium Succinate 100 mg Injection Hydrogen Peroxide 1.5% Ear Drops Hydrogen Peroxide 20 volume Solution Hydroxychloroquine Sulphate 200 mg Tablet
J07BM01000P3001XX
A/KK
C02DB02110P3001XX C03AA03000T1001XX C03AA03000T1002XX D07CA01952G1001XX D07AA02000G1001XX D07AA02000G5001XX H02AB09000T1001XX A07EA02000G2001XX H02AB09520P4001XX S02AA06241D1001XX D08AX01241L9901XX P01BA02183T1001XX
B B B B B B B B C C C A
675 676 677 678 679 680 681 682 683 684 685 686 December 2011
MOH Drug Formulary No. 3/ 2011
Page 14 of 31
****
No
Generic Name
Malaysia Drug Code
687 688 689 690 691 692 693 694 695 696 697
Hydroxyethyl Cellulose Jelly Hydroxyethyl Starch 6% Injection Hydroxyprogesterone Caproate 250 mg/ml Injection Hydroxyurea 500 mg Capsule Hydroxyzine HCl 25 mg Tablet Hyoscine Hydrobromide 400 mcg/ml Injection Hyoscine N-Butylbromide 1 mg/ml Liquid Hyoscine N-Butylbromide 10 mg Tablet Hyoscine N-Butylbromide 20 mg/ml Injection Hypromellose 0.3% Eye Drops Hypromellose 0.3%, Carbomer 980 Ophthalmic Gel
V07AY00250G4001XX B05AA07000P9901XX G03DA03128P2001XX L01XX05000C1001XX N05BB01110T1001XX A04AD01330P3001XX A03BB01320L5001XX A03BB01320T1001XX A03BB01320P3001XX S01XA20000D2002XX S01KA02000G3201XX
B B A A A B B B B B B
698 699 700 701
Ibandronic Acid 150 mg Tablet Ibuprofen 200 mg Tablet Ichthammol Glycerin 10% Ear Drops Idarubicin 10 mg Injection
M05BA06000T1003XX M01AE01000T1001XX S02AA30000D1001XX L01DB06110P4002XX
703 704 705 706 707 708 709 710 711 712 713
Ifosfamide 1 g Injection Imatinib Mesylate 100 mg Tablet Imatinib Mesylate 400 mg Tablet Imipenem 500 mg and Cilastatin 500 mg Injection Imipramine HCI 25 mg Tablet Imiquimod 5 % w/w Cream Indinavir Sulfate 400 mg Capsule Indomethacin 100 mg Suppository Indomethacin 25 mg Capsule Infliximab 100 mg Injection Influenza Vaccine (Inactivated, Trivalent) Injection (containing 3 strains, two type A subtypes, of which one must include pandemic A (H1N1) and one Type B subtype) Influenzae Vaccine (Inactivated, Trivalent) Type A (H1N1) 9 mcg, Type A (H3N2) 9 mcg & Type B 9 mcg Haemagglutinin Injection Influenzae Vaccine (Inactivated, Trivalent) Type A (H1N1) 15 mcg, Type A (H3N2) 15 mcg & Type B 15 mcg Haemagglutinin Injection Insulin Aspart 100 IU/ml Injection Insulin Aspart 30% and Protaminated Insulin Aspart 70% 100 U/ml Injection
L01AA06000P4001XX L01XE01196T1001XX L01XE01196T1002XX J01DH51961P4002XX N06AA02110T1001XX D06BB10000G1001XX J05AE02183C1001XX M02AA23000S2001XX M01AB01000C1001XX L04AB02000P4001XX J07BB02963P3001XX
A* B C A* * A* A* A* A* B A* A* B B A* B
J07BB02963P5001XX
B
J07BB02963P5001XX
B
A10AB05000P3001XX A10AD05000P3001XX
A* A*
714
715
716 717
Category of Prescriber
* 719 720 721 722 723 724 725 726
December 2011
syringe/cartridge Insulin Glargine 300 IU/3ml Injection Insulin Lispro 100 IU/ml Injection in Prefilled syringe/cartridge Insulin Lispro 25% & Insulin Lispro Protamine 75% 100 IU/ml Injection in Prefilled syringe/cartridge Insulin Recombinant Neutral Human short-acting 100 IU/ml Injection in 10ml vial Insulin Recombinant Synthetic Human, intermediateacting 100 IU/ml Injection in 10ml vial Insulin Recombinant Synthetic Human, intermediateacting 100 IU/ml Penfill and Refill Insulin Recombinant Synthetic Human, pre-mixed 100 IU/ml Injection in 10ml vial Insulin Recombinant Synthetic Human, pre-mixed 100 IU/ml Penfill and Refill
A10AE04000P5001XX A10AB04000P5001XX
A* A*
A10AD04000P5001XX
A*
A10AB01000P3001XX
B
A10AC01000P3001XX
B
A10AC01000P5001XX
B
A10AD01000P3001XX
B
A10AD01000P5001XX
B
MOH Drug Formulary No. 3/ 2011
Page 15 of 31
No
Generic Name
Malaysia Drug Code
727
Insulin Recombinant Synthetic Human, short-acting 100 IU/ml Penfill and Refill Interferon Alfa-2b 18 MIU Multidose Injection Pen Interferon Alfa-2b 30 MIU Multidose Injection Pen Interferon Alpha - 2a 3 MIU Injection Interferon Alpha - 2a 4.5 MIU Injection Interferon Alpha 2b 3 MIU Injection Interferon beta -1b 250mcg (8MIU) Injection Interferon Beta-1a 22 mcg Interferon Beta-1a 44 mcg Iodamide Injection Iodine and Potassium Iodide Solution Iodixanol 320 mg I/ml Injection Iohexol Injection Iopamidol Injection Iopromide 300mg/50ml Injection . mcg/ml) Ipratropium Bromide 0.025% Inhalation Solution (250 mcg/ml) Ipratropium Bromide 0.5 mg and Salbutamol 2.5 mg per UDV Ipratropium Bromide 20 mcg and Fenoterol 50 mcg/dose Inhalation Ipratropium Bromide 20 mcg and Salbutamol base 100 mcg/dose Inhalation Ipratropium Bromide 20 mcg/dose Inhalation Irbesartan 150 mg and Hydrochlorothiazide 12.5 mg Tablet Irbesartan 150 mg Tablet Irbesartan 300 mg & Hydrochlorothiazide 12.5 mg Tablet Irbesartan 300 mg Tablet Irinotecan HCl Trihydrate 100 mg/5ml Injection Irinotecan HCl Trihydrate 40 mg/2 ml Injection Iron Dextran 50 mg Fe/ml Injection Iron Sucrose 100 mg/5 ml Injection Isoflurane Liquid Isoniazid 100 mg Tablet Isoniazid 400 mg Tablet . Isoprenaline HCl 1 mg/5 ml Injection Isosorbide Dinitrate 1 mg/ml Injection Isosorbide Dinitrate 10 mg Tablet Isosorbide Mononitrate 50 mg SR Capsule Isosorbide-5-Mononitrate 30 mg SR Tablet Isosorbide-5-Mononitrate 60 mg SR Tablet Isotretinoin 10 mg Capsule Isotretinoin 20 mg Capsule Itopride HCl 50 mg Tablet Itraconazole 10 mg/ml Oral Solution Itraconazole 100 mg Capsule Ivabradine 5 mg Tablet Ivabradine 7.5 mg Tablet Kanamycin 1 g Injection Ketamine 10 mg/ml Injection Ketamine 50 mg/ml Injection Ketoconazole 2% Shampoo
A10AB01000P5001XX
B
L03AB05000P5001XX L03AB05000P5002XX L03AB04000P3001XX L03AB04000P3002XX L03AB05000P3001XX L03AB08000P4001XX L03AB07000P5001XX L03AB07000P5002XX V08AA03000P3001XX H03CA00200L9901XX V08AB09000P3001XX V08AB02000P3001XX V08AB04000P3001XX V08AB05000P3001XX
A A A* A* A* A* A* A* A B A A A A
R03BB01320A3002XX
B
R03AK04320A3001XX
B
R03AK03986A2101XX
B
R03AK04320A1001XX
B
R03BB01320A1001XX C09DA04000T1003XX
B A/KK
C09CA04000T1001XX C09DA04000T1001XX
A/KK A*
C09CA04000T1002XX L01XX19110P3002XX L01XX19110P3001XX B03AC06000P3001XX B03AC02250P3001XX N01AB06000L5001XX J04AC01000T1001XX J04AC01000T1002XX
A/KK A* A* B A* B B B
C01CA02110P3002XX C01DA08221P3001XX C01DA08221T1001XX C01DA14221C2001XX C01DA14221T5001XX C01DA14221T5002XX D10BA01000C1001XX D10BA01000C1002XX A03FA00110T1001XX J02AC02000L9901XX J02AC02000C1001XX C01EB17110T1001XX C01EB17110T1002XX J01GB04183P4001XX N01AX03110P3001XX N01AX03110P3002XX D01AC08000L5201XX
B A B A A A A* A* A* A* A* A* A* A* B B A
728 729 730 731 732 733 734 735 736 737 738 739 740 741
743 744 745 746 747 748 749 750 751 752 753 754 755 756 757 758 760 761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 December 2011
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 16 of 31
No
Generic Name
Malaysia Drug Code
777 778 779 780 781 782 783 784 785 786 787 788 789 790 791 792
Ketoconazole 200 mg Tablet Ketoprofen 100 mg/2ml Injection Ketoprofen 2.5% Gel Ketoprofen 200 mg Slow Release Capsule Ketoprofen 30 mg Transdermal Plaster Ketorolac Tromethamine 0.5% Eye drops Ketorolac Tromethamine 30 mg/ml Injection Labetalol HCl 100 mg Tablet Labetalol HCl 100 mg/20 ml Injection Labetalol HCl 200 mg Tablet Lactulose 3.35 g/5 ml Liquid Lamivudine 10 mg/ml Oral Solution Lamivudine 100 mg Tablet Lamivudine 150 mg Tablet Lamotrigine 100 mg Tablet Lamotrigine 25 mg Dispersible/Chewable Tablet
J02AB02000T1001XX M01AE03000P3001XX M02AA10000G3001XX M01AE03000C2002XX M02AA10000M7001XX S01BC05239D2001XX M01AB15239P3001XX C07AG01110T1001XX C07AG01110P3001XX C07AG01110T1002XX A06AD11000L5001XX J05AF05000L9901XX J05AF05000T1001XX J05AF05000T1002XX N03AX09000T1002XX N03AX09000T2001XX
A/KK A* A A/KK A A A* B B B B A* A* A/KK A A
794 795 796 797 798 799 800 801 802 803 804 805 806
Lamotrigine 50 mg Tablet Lansoprazole 30 mg Tablet Lanthanum Carbonate 1000mg Chewable Tablet L-Asparaginase 10,000 IU Injection Latanoprost 0.005% Eye Drops Leflunomide 10 mg Tablet Leflunomide 20 mg Tablet Lenalidomide 5 mg Capsule Lenalidomide 10 mg Capsule Lenalidomide 15 mg Capsule Lenalidomide 25 mg Capsule Letrozole 2.5 mg Tablet Leucovorin Calcium (Calcium Folinate) 15mg Tablet
N03AX09000T1001XX A02BC03000T1001XX V03AE03130T2004XX L01XX02000P3001XX S01EE01000D2001XX L04AA13000T1001XX L04AA13000T1002XX L04AX04000C1001XX L04AX04000C1002XX L04AX04000C1003XX L04AX04000C1004XX L02BG04000T1001XX V03AF03390T1001XX
A A* A* A* A* A* A* A* A* A* A* A* A
807
Leucovorin Calcium (Calcium Folinate) 3 mg Injection
V03AF03237P3001XX
A
808
Leucovorin Calcium (Calcium Folinate) 50 mg Injection
V03AF03237P3002XX
A
809 810 811 812 813
Leuprolide Acetate 11.25 mg Injection Leuprolide Acetate 3.75 mg Injection Levetiracetam 100 mg/ml Injection Levetiracetam 100 mg/ml Oral Solution Levetiracetam 250 mg Tablet
L02AE02122P5002XX L02AE02122P5001XX N03AX14000P3001XX N03AX14000L9901XX N03AX14000T1001XX
815 816 817
Levobupivacaine 5mg/ml Injection Levocetirizine Dihydrochloride 5 mg Tablet Levodopa 100 mg and Benserazide 25 mg Dispersible Tablet Levodopa 100 mg and Carbidopa 25 mg Tablet Levodopa 100 mg, Benserazide 25 mg HBS capsule
N01BB10110P3001XX R06AE09110T1001XX N04BA02977T4001XX
A* A* A* A* A* * A A* A*
N04BA02000T1001XX N04BA02977C1001XX
B B
N04BA03977T1002XX
A*
N04BA03977T1001XX
A*
N04BA03977T1003XX
A*
N04BA03977T1004XX
A*
N04BA02977T1001XX N04BA02000T1002XX
B B
818 819 820 821 822 823 824 825 December 2011
Levodopa 100 mg, Carbidopa 25 mg and Entacapone 200 mg Tablet Levodopa 50 mg, Carbidopa 12.5 mg & Entacapone 200 mg Tablet Levodopa 150 mg, Carbidopa 37.5 mg and Entacapone 200 mg Tablet Levodopa 200 mg, Carbidopa 50 mg & Entacapone 200 mg Tablet Levodopa 200 mg, Benserazide 50 mg Tablet Levodopa 250 mg and Carbidopa 25 mg Tablet
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 17 of 31
No
Generic Name
Malaysia Drug Code
826 827 828 829
Levofloxacin 250 mg Tablet Levofloxacin 500 mg Injection Levofloxacin 500 mg Tablet Levonorgestrel 1.5 mg Tablet
J01MA12000T1001XX J01MA12000P3001XX J01MA12000T1002XX G03AC03000T1001XX
A* A* A* A*
830
Levonorgestrel 150 mcg and Ethinyloestradiol 30 mcg Tablet Levonorgestrel Releasing Intrauterine System Levothyroxine Sodium 100 mcg Tablet Levothyroxine Sodium 25 mcg Tablet Levothyroxine Sodium 50 mcg Tablet Lidocaine 25mg and Prilocaine 25mg Cream Lignocaine 10 % w/w Spray Lignocaine 2 % with Adrenaline (1:80,000) Injection Lignocaine 2% Jelly Lignocaine 2% Viscous Solution gnoca ne w or ex ne . e Lignocaine 4 % Solution Lignocaine HCl (Lidocaine) 100 mg/5 ml Injection Lignocaine HCl (Lidocaine) 2% Injection Lignocaine HCl (Lidocaine) 500 mg/5 ml Injection Lignocaine HCl 1% Injection Lignocaine HCl 5% and Phenylephrine HCl 0.5% Nasal Spray Lignocaine, Aluminium Acetate, Zinc Oxide and Hydrocortisone Ointment Lignocaine, Aluminium Acetate, Zinc Oxide and Hydrocortisone Suppository Linezolid 2 mg/ml Injection Linezolid 20 mg/ml Suspension Linezolid 600 mg Tablet Liquid Paraffin Lithium Carbonate 300 mg Tablet Loperamide 2 mg Capsule Lopinavir 200 mg and Ritonavir 50 mg Tablet Lopinavir/Ritonavir Oral Solution Loratadine 1 mg/ml Syrup Loratadine 10 mg Tablet Loratadine 5 mg and Pseudoephedrine Sulphate 120 mg Tablet
G03AA07954T1001XX
C
G02BA03000P1001XX H03AA01520T1001XX H03AA01152T1003XX H03AA01520T1002XX N01BB52974G1001XX N01BB02110A4001XX N01BB52974P3001XX N01BB02110G4001XX N01BB02110L5001XX
A* B B B A B B B A
N01BB02110L5002XX C01BB01110P3001XX N01BB02110P3001XX C01BB01110P3002XX N01BB02110P3002XX N01BB02984P4101XX
B B B B C+ A*
C05AX03931G5001XX
A/KK
C05AX03931S2001XX
B
J01XX08000P3001XX J01XX08000L8001XX J01XX08000T1001XX A06AA01000L5001XX N05AN01121T1001XX A07DA03110C1001XX J05AE06964T1001XX J05AE06964L9901XX R06AX13000L9001XX R06AX13000T1001XX R01BA52988T1001XX
A* A* A* C A B A* A A B A/KK
C09CA01500T1001XX C09DA01935T1003XX
A/KK A*
C09CA01500T1002XX C09DA01935T1001XX
A/KK A/KK
C09DA01935T1002XX
A*
C10AA02000T1001XX D11AX05183G6001XX B05XA05183P3001XX A02AA10912L2101XX A02AA10912T1001XX V07AB00900L8001XX
B C C C C C
P03AX03000L5201XX
B
831 832 833 834 835 836 837 838 839 841 842 843 844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859
861 862 863 864 865
866 867 868 869 870 871 872 December 2011
Losartan 50 mg Tablet Losartan Potassium 100 mg and Hydrochlorothiazide 12.5 mg Tablet Losartan Potassium 100 mg Tablet Losartan Potassium 50 mg and Hydrochlorothiazide 12.5 mg Tablet Losartan Potassium 100 mg & Hydrochlorothiazide 25 mg Tablet Lovastatin 20 mg Tablet Magnesium Sulphate 45% Paste Magnesium Sulphate 50% Injection Magnesium Trisilicate Mixture Magnesium Trisilicate Tablet Magnesium, Aluminium Hydroxide and Simethicone Suspension Malathion 1 % Shampoo
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 18 of 31
No
Generic Name
Malaysia Drug Code
873
Mannitol 10% Injection (10 g/100 ml)
B05BC01000P3001XX
A
874 875 876 877 878 879 880 881 882
Mannitol 20% Injection (20 g/100 ml) Measle's Vaccine (Live Attenuated) Injection Measles, Mumps and Rubella Vaccine Live Mebeverine HCl 135 mg Tablet Meclozine HCl 25 mg and Pyridoxine 50 mg Tablet Mecobalamin 500 mcg Tablet Medroxyprogesterone Acetate 10 mg Tablet Medroxyprogesterone Acetate 100 mg Tablet Medroxyprogesterone Acetate 150 mg/3 ml Injection
B05BC01000P3002XX J07BD01000P4001XX J07BD52963P4001XX A03AA04110T1002XX R06AE55919T1001XX M09AX00000T1001XX G03DA02122T1002XX L02AB02122T1002XX G03AC06122P3001XX
A C C B B B B A B
883 884 885 886 887 888 889 890 891 892 893
Medroxyprogesterone Acetate 5 mg Tablet Medroxyprogesterone Acetate 500 mg Tablet Mefenamic Acid 250 mg Capsule Mefenamic Acid 250 mg Tablet e oqu ne 250 mg a et Meloxicam 7.5 mg Tablet Melphalan 2 mg Tablet Melphalan 50 mg Injection Memantine HCI 10 mg Tablet Meningococcal A, C, Y, W 135 Vaccine Injection Menotrophin 150 IU Injection (Follicle Stimulating Hormone 150 IU and Luteinizing Hormone 150 IU) Menotrophin 75 IU Injection (Follicle Stimulating Hormone 75 IU and Luteinizing Hormone 75 IU) Menotrophin, Highly Purified 75 IU Injection (Follicle Stimulating Hormone 75 IU and Luteinizing Hormone 75 IU) Menthol 1.6% in Industrial Methylated Spirit Inhalation
G03DA02122T1001XX L02AB02122T1001XX M01AG01000C1001XX M01AG01000T1001XX 01 02110 1001 M01AC06000T1001XX L01AA03000T1001XX L01AA03000P4001XX N06DX01110T1001XX J07AH04000P4001XX G03GA02954P4002XX
B A B B A/KK A B A* B A*
G03GA02954P4001XX
A*
G03GA02954P4003XX
A*
R01AX30000A9901XX
C
N01BB53974P3001XX
B
N01BB03110P3001XX L01BB02000T1001XX J01DH02000P4002XX J01DH02000P4001XX A07EC02259S2002XX A07EC02259S2001XX A07EC02259T1001XX
B A A* A* A A A
A07EC02259G2001XX V03AF01520P3001XX A10BD02926T1001XX
A A A/KK
A10BD02926T1002XX A10BA02110T5001XX A10BA02110T1001XX N07BC02110L9001XX L01BA01000T1001XX L01BA01520P3001XX L01BA01520P3002XX D05AD02000L6001XX D05BA02000C1001XX B03XA03000P5002 XX
A/KK A/KK B A A A A A A A*
B03XA03000P5004XX
A*
894 895
896 897 898 899 900 901 902 903 904 906 907 908 909 910 911 912 913 914 915 916 917 918 919
December 2011
Mepivacaine HCl 2% with Adrenaline (1:100,000) Injection Mepivacaine HCl 3% Injection Mercaptopurine 50 mg Tablet Meropenem 1 g Injection Meropenem 500 mg Injection Mesalazine 1 g Suppository Mesalazine 250 mg Suppository Mesalazine 250 mg Tablet esa az ne mg a e Mesalazine 6.67% w/w Enema Mesna 400 mg/4 ml Injection Metformin 500 mg and Glibenclamide 2.5 mg Tablet Metformin 500 mg and Glibenclamide 5 mg Tablet Metformin HCl 500 mg Extended Release Tablet Metformin HCl 500 mg Tablet Methadone 5mg/ml Syrup Methotrexate 2.5 mg Tablet Methotrexate 50 mg Injection Methotrexate 500 mg/20 ml Injection Methoxsalen 1% Lotion Methoxsalen 10 mg Capsule Methoxy Polyethylene Glycol-epoetin Beta 50 mcg/0.3 ml Injection in Prefilled Syringe Methoxy Polyethylene Glycol-epoetin Beta 75 mcg/0.3 ml Injection in Prefilled Syringe
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 19 of 31
No
Generic Name
Malaysia Drug Code
920
B03XA03000P5001XX
A*
B03XA03000P5005XX
A*
B03XA03000P5006XX
A*
B03XA03000P5007XX
A*
924 925
Methoxy Polyethylene Glycol-epoetin Beta 100 mcg/0.3 ml Injection in Prefilled Syringe Methoxy Polyethylene Glycol-epoetin Beta 120 mcg/0.3 ml Injection in Prefilled Syringe Methoxy Polyethylene Glycol-epoetin Beta 150 mcg/0.3 ml Injection in Prefilled Syringe Methoxy Polyethylene Glycol-epoetin Beta 200 mcg/0.3 ml Injection in Prefilled Syringe Methyl Salicylate 25% Ointment Methylcellulose 1% with 50 mg Vitamin C Eye Drops
M02AC00260G5001XX S01XA00990D2001XX
C B
926 927 928 929
Methyldopa 250 mg Tablet Methylene Blue 1% Injection Methylphenidate HCl 10 mg Tablet Methylphenidate HCl 18 mg Extended-release Tablet
C02AB01110T1001XX V03AB17100P3001XX N06BA04110T1001XX N06BA04110T5002XX
B B A A*
921 922 923
Category of Prescriber
931
Methylphenidate HCl 36 mg Extended-release Tablet
N06BA04110T5003XX
* A*
932 933 934 935 936 937 938 939 940 941 942 943 944 945 946 947 948 949 950 951 952
Methylphenidate HCl 40mg LA Capsule Methylprednisolone Sodium Succinate 0.5 g Injection Methylprednisolone Sodium Succinate 1 g Injection Metoclopramide HCl 10 mg Tablet Metoclopramide HCl 10 mg/2 ml Injection Metoclopramide HCl 5 mg/5 ml Syrup Metolazone 2.5 mg Tablet Metoprolol Tartrate 100 mg Tablet Metoprolol Tartrate 50 mg Tablet Metronidazole 0.5 g Suppository Metronidazole 200 mg Tablet Metronidazole 200 mg/5 ml Suspension Metronidazole 500 mg/100 ml Injection Miconazole 2% Cream Miconazole Nitrate 2% Powder Midazolam 5 mg/5 ml Injection Midazolam 5 mg/ml Injection Midazolam 7.5 mg Tablet Minocycline 100 mg Capsule Minocycline 50 mg Capsule Minoxidil 5 mg Tablet r azap ne mg ro spers e a e Mirtazapine 30 mg Orodispersible Tablet Mitomycin C 0.002% Eye Drops Mitomycin C 0.02% Eye Drops Mitomycin C 0.04% Eye Drops Mitomycin-C 10 mg Injection Mitoxantrone 20 mg/10ml Injection Mixed Gas-Gangrene Antitoxin 25,000 units/5 ml Injection Moclobemide 150 mg Tablet Modified Fluid Gelatin 4% Injection Modified Polypeptides (Polygeline) 3.5% Injection Molgramostim 300 mcg Injection Mometasone Furoate 0.1% Cream Mometasone Furoate 50 mcg Aqueous Nasal Spray
N06BA04110C2002XX H02AB04520P4001XX H02AB04520P4002XX A03FA01110T1001XX A03FA01110P3001XX A03FA01110L9001XX C03BA08000T1002XX C07AB02123T1002XX C07AB02123T1001XX P01AB01000S2001XX P01AB01000T1001XX P01AB01000L8001XX J01XD01000P9901XX D01AC02221G1001XX D01AC02221F2001XX N05CD08110P3001XX N05CD08110P3002XX N05CD08253T1001XX J01AA08110C1002XX J01AA08110C1001XX C02DC01000T1001XX
A* A A B B B A* B B B B B A B A A A A/KK A* A* A*
N06AX11000T4002XX S01AX00000D2003XX S01AX00000D2001XX S01AX00000D2002XX L01DC03000P4001XX L01DB07110P3001XX J06AA05000P3001XX
A* A A A A* A* B
N06AG02000T1001XX B05AA06905P9901XX B05AA10905P9901XX L03AA03000P4002XX D07AC13139G1001XX R01AD09139A4101XX
A* B B A* A* A*
954 955 956 957 958 959 960 961 962 963 964 965 966
December 2011
MOH Drug Formulary No. 3/ 2011
Page 20 of 31
No
Generic Name
Malaysia Drug Code
967
A06AG01162L5001XX
A
968 969 970 971 972
Monobasic Sodium Phosphate 48%, Dibasic Sodium Phosphate 18% Montelukast Sodium 10 mg Tablet Montelukast Sodium 4 mg Oral Granules Montelukast Sodium 5 mg Chewable Tablet Morphine HCl 10 mg/5 ml Solution Morphine Sulphate 10 mg Controlled Release Tablet
R03DC03520T1001XX R03DC03520F1001XX R03DC03520T2001XX N02AA01110L9901XX N02AA01183T5001XX
A* A* A* B A
973
Morphine Sulphate 10 mg Immediate Release Tablet
N02AA01183T6002XX
A*
974 975 976 977
Morphine Sulphate 10 mg Suppository Morphine Sulphate 10 mg/ml Injection Morphine Sulphate 20 mg Suppository Morphine Sulphate 30 mg Controlled Release Tablet
N02AA01183S2001XX N02AA01183P3001XX N02AA01183S2002XX N02AA01183T5002XX
A* B A* A
978 979 980 981 982 983 984 985 986 987 988 989 990 991 992 993 994 995 996 997 998 999 1000 1001 1002
Morphine Sulphate 30 mg Suppository orp ne u p ate 5 mg mme ate e ease a et Morphine Sulphate 60 mg Controlled Release Tablet Moxifloxacin 0.5% Ophthalmic Solution Moxifloxacin 400 mg Injection Moxifloxacin 400 mg Tablet Multivitamin Drops Multivitamin Injection Multivitamin Syrup Multivitamin Tablet Mupirocin 2% Cream Mupirocin 2% Ointment Mycophenolate Mofetil 250 mg Capsule Mycophenolate Mofetil 500 mg tablet Mycophenolate Sodium 180mg Tablet Mycophenolate Sodium 360mg Tablet Nalbuphine HCl 10 mg/ml Injection Naloxone HCl 0.02 mg/ml Injection Naloxone HCl 0.4 mg/ml Injection Naltrexone HCl 50 mg Tablet Nandrolone Decanoate 25 mg/ml Injection Naproxen 250 mg Tablet Naproxen Sodium 275 mg Tablet Neomycin 0.5% Cream Neomycin 0.5% in Betamethasone 17-Valerate 0.01% Cream Neomycin 0.5% in Betamethasone 17-Valerate 0.01% Ointment Neomycin 0.5% in Betamethasone 17-Valerate 0.1% Cream Neomycin 0.5% in Betamethasone 17-Valerate 0.1% Ointment Neomycin 0.5% Ointment Neomycin with Polymyxin B Sulphate and Gramicidin Eye Drops Neostigmine Methylsulphate 2.5 mg/ml Injection Netilmicin Sulphate 100 mg/2 ml Injection Netilmicin Sulphate 150 mg/2 ml Injection Netilmicin Sulphate 50 mg/2 ml Injection Nevirapine 200 mg Tablet Nicotine 2 mg Gum Nicotine 4 mg Gum
N02AA01183S2003XX 02 01183 6001 N02AA01183T5003XX S01AX22110D2001XX J01MA14110P3001XX J01MA14110T1001XX A11BA00901D5001XX A11BA00901P3001XX A11BA00901L9001XX A11BA00901T1001XX D06AX09000G1001XX D06AX09000G5001XX L04AA06236C1001XX L04AA06236T1002XX L04AA06520T1001XX L04AA06520T1002XX N02AF02110P3001XX V03AB15110P3001XX V03AB15110P3002XX N07BB04110T1001XX A14AB01135P3001XX M01AE02000T1001XX M01AE02520T1001XX D06AX04256G1001XX D07CC01947G1001XX
A* A A* A* A* B B C B A A A* A* A* A* B B B A A A/KK A B B
D07CC01947G5001XX
B
D07CC01947G1002XX
A
D07CC01947G5002XX
A
D06AX04256G5001XX S01AA30990D2001XX
B A
N07AA01183P3002XX J01GB07183P3002XX J01GB07183P3003XX J01GB07183P3001XX J05AG01000T1001XX N07BA01000M9901XX N07BA01000M9902XX
B A A A A/KK A/KK A/KK
1003 1004 1005 1006 1007 1008 1009 1010 1011 1012 1013 1014
December 2011
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 21 of 31
No
Generic Name
Malaysia Drug Code
N07BA01000M7005XX N07BA01000M7006XX N07BA01000M7004XX A11HA01000T1001XX C10AD02000T1001XX C08CA05000C1001XX C08CA05000T1001XX L01XE08110C1001XX C08CA06000P9901XX C08CA06000T1001XX N05CD02000T1001XX J01XE01000T1002XX C01CA03123P3001XX
A/KK A/KK A/KK B B B B A* A* A* B B A
G03AC01000T1001XX G03AC01257P3001XX
1031 1032 1033 1034 1035 1036 1037 1038 1039 1040 1041 1042 1043 1044 1045 1046 1047 1048 1049 1050 1051 1052 1053
Nicotine 10 mg/ 16 hour Transdermal Patch Nicotine 15 mg/ 16 hour Transdermal Patch Nicotine 5 mg/ 16 hour Transdermal Patch Nicotinic Acid 50 mg Tablet Nicotinic Acid 500 mg Tablet Nifedipine 10 mg Capsule Nifedipine 10 mg Tablet Nilotinib 200 mg Capsule Nimodipine 10 mg/50 ml Infusion Solution Nimodipine 30 mg Tablet Nitrazepam 5 mg Tablet Nitrofurantoin 100 mg Tablet Noradrenaline Acid Tartrate (Norepinephrine Bitartrate) 4 mg/4 ml Injection Norethisterone 0.35 mg Tablet Norethisterone Enanthate 200 mg/ml Injection . Nystatin 100,000 units/g Cream Nystatin 100,000 units/g Ointment Nystatin 100,000 units/ml Suspension Nystatin 500,000 units Tablet Octreotide 0.05 mg/ml Injection Octreotide 0.1 mg/ml Injection Octreotide Acetate 20 mg Injection Octreotide Acetate 30 mg Injection Ofloxacin 0.3% Otic Solution Ofloxacin 100 mg Tablet Ofloxacin 200 mg Injection Olanzapine 10 mg Disintegrating Tablet Olanzapine 10 mg Tablet Olanzapine 5 mg Tablet Olanzapine 5mg Disintegrating Tablet Olive Oil Ear Drops Olopatadine HCl 0.1% Opthalmic Solution Omeprazole 10 mg Capsule Omeprazole 20 mg Capsule Omeprazole 40 mg Injection Ondansetron 4 mg Tablet Ondansetron 4 mg/2ml Injection Ondansetron 8 mg Tablet
D01AA01000G1001XX D01AA01000G5001XX A07AA02000L8001XX A07AA02000T1001XX H01CB02122P3002XX H01CB02122P3001XX H01CB02122P2001XX H01CB02122P2002XX S02AA00000D1001XX J01MA01000T1001XX J01MA01000P4001XX N05AH03000T4002XX N05AH03000T1002XX N05AH03000T1001XX N05AH03000T4001XX S02DC00000D1001XX S01GX09110D2001XX A02BC01000C1001XX A02BC01000C1002XX A02BC01000P4001XX A04AA01110T1001XX A04AA01110P3001XX A04AA01110T1002XX
C B * C C B B A A A* A* A A A A* A* A* A* C A* A A A* A A A
1055 1056 1057 1058 1059 1060 1061
Oral Rehydration Salt Orphenadrine 100 mg Tablet Ortho-phthalaldehyde 0.55% Solution Oxaliplatin 50 mg Injection Oxybutynin Chloride 5 mg Tablet Oxycodone HCl 5 mg Immediate Release Capsule Oxycodone HCl 10 mg immediate Release Capsule
A07CA00905F2101XX M03BC01110T1001XX V07AV00000L9909XX L01XA03000P4001XX G04BD04110T1001XX N02AA05110C1001XX N02AA05110C1002XX
C A A A* A* A* A*
1062 Oxycodone HCl 20 mg immediate Release Capsule
N02AA05110C1003XX
A*
1063 1064 1065 1066
Oxycodone HCl 10 mg Prolonged Release Tablet Oxycodone HCl 20 mg Prolonged Release Tablet Oxycodone HCl 40 mg Prolonged Release Tablet Oxymetazoline HCl 0.025% (Paediatric) Nasal Drops
N02AA05110T5001XX N02AA05110T5002XX N02AA05110T5003XX R01AA05110D6001XX
A* A* A* A/KK
1067 Oxymetazoline HCl 0.025% (Paediatric) Nasal Spray
R01AA05110A4101XX
A
1015 1016 1017 1018 1019 1020 1021 1022 1023 1024 1025 1026 1027 1028 1029
December 2011
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 22 of 31
No
1068 1069 1070 1071 1072 1073 1074 1075 1076 1077 1078 1079 1080 1081 1082 1083 1085 1086 1087 1088 1089 1090 1091 1092 1093 1094 1095 1096 1097 1098 1099 1100 1101 1102 1103 1104 1105 1106 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 1122 1123 1124 December 2011
Generic Name
Malaysia Drug Code
Oxymetazoline HCl 0.05% (Adult) Nasal Drops Oxymetazoline HCl 0.05% (Adult) Nasal Spray Oxymetholone 50 mg Tablet Oxytetracycline with Polymyxin B Sulphate Eye Oxytocin 10 units/ml Injection Oxytocin 5 units & Ergometrine Maleate 0.5 mg/ml Paclitaxel 100 mg/16.6 ml Injection Paclitaxel 30 mg/5 ml Injection Paliperidone 3 mg Extended Released Tablet Paliperidone 6 mg Extended Released Tablet Paliperidone 9 mg Extended Released Tablet Paliperidone 50 mg Prolonged Release Injection Paliperidone 75 mg Prolonged Release Injection Paliperidone 100 mg Prolonged Release Injection Paliperidone 150 mg Prolonged Release Injection Palivizumab 100mg Injection am rona e so um mg n ec on Pamidronate Disodium 90 mg Injection Pancreatin 150 mg Capsule Pancuronium Bromide 4 mg/2 ml lnj Pantoprazole 40 mg Injection Pantoprazole 40 mg Tablet Papaverine HCl 120 mg/10ml Injection Paracetamol 120 mg/5 ml Syrup Paracetamol 125 mg Suppository Paracetamol 250 mg Suppository Paracetamol 500 mg Tablet Paradichlorobenzene, Turpentine Oil and Chlorbutol Ear Drops Paraffin, White Soft Paraffin, Yellow Soft Paraldehyde Injection Parecoxib Sodium 40mg Injection Pefloxacin 400 mg Injection Pefloxacin 400 mg Tablet Peginterferon Alpha-2a 135 mcg Prefilled Syringe Peginterferon Alpha-2a 180 mcg Prefilled Syringe Pegylated Interferon Alpha-2b 100 mcg Injection Pegylated Interferon Alpha-2b 120 mcg Injection Pegylated Interferon Alpha-2b 150 mcg Injection egy a e n er eron p amcg n ec on Pegylated Interferon Alpha-2b 80 mcg Injection Pemetrexed Disodium 100 mg Injection Pemetrexed Disodium 500 mg Injection Pentamidine Isethionate 300 mg Injection Pentoxifylline 400 mg Tablet Peracetic Acid and Hydrogen Peroxide Perindopril 4 mg and Indapamide 1.25 mg Tablet Perindopril 4 mg Tablet Perindopril 8 mg Tablet Peritoneal Dialysis with 1.5% Glucose Solution Peritoneal Dialysis with 4.25% Glucose Solution Peritoneal Dialysis with 7.5% Icodextrin Solution Permethrin 5% w/v Lotion Perphenazine 4 mg Tablet Pethidine HCl 100 mg/2 ml Injection Pethidine HCl 50 mg/ml Injection Phenobarbitone 30 mg Tablet
R01AA05110D6002XX R01AA05110A4102XX A14AA05000T1001XX S01AA30947G5101XX H01BB02000P3001XX G02AC01900P3001XX L01CD01000P3002XX L01CD01000P3001XX N05AX13000T5001XX N05AX13000T5002XX N05AX13000T5004XX N05AX13000P2002XX N05AX13000P2003XX N05AX13000P2004XX N05AX13000P2005XX J06BB16000P3001XX
A/KK A A B B C+ A* A* A* A* A* A* A* A* A* A*
M05BA03520P3002XX A09AA02000C1001XX M03AC01320P3001XX A02BC02000P3001XX A02BC02000T1001XX A03AD01110P3002XX N02BE01000L9001XX N02BE01000S2002XX N02BE01000S2001XX N02BE01000T1001XX S02DA30900D1001XX
A* A/KK B A* A* A C B B C B
D02AC00000G5001XX D02AC00000G5002XX N05CC05000P3001XX M01AH04520P3001XX J01MA03196P3001XX J01MA03000T1001XX L03AB11000P5002XX L03AB11000P5001XX L03AB10000P5003XX L03AB10000P5004XX L03AB10000P5005XX
C C C A* A A A* A* A* A* A* * A* A* A* A* A/KK A A/KK B B B B A* A* B B B B
L03AB10000P5002XX L01BA04016P3002XX L01BA04016P3001XX P01CX01198P3001XX C04AD03000T1001XX V07AV00000L9906XX C09BA04900T1001XX C09AA04000T1001XX C09AA04000T1002XX B05DB00908H2001XX B05DB00908H2002XX B05DB00908H2003XX P03AC04000L6001XX N05AB03000T1001XX N02AB02110P3002XX N02AB02110P3001XX N03AA02000T1002XX
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 23 of 31
No
Generic Name
Malaysia Drug Code
1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 1135 1136 1137
Category of Prescriber
Phenobarbitone Sodium 200 mg/ml Injection Phenol 80% w/w Liquid Phenoxybenzamine HCl 100 mg/2 ml Injection Phenoxymethyl Penicillin 125 mg Tablet Phenoxymethyl Penicillin 125 mg/5 ml Syrup Phenoxymethyl Penicillin 250 mg Tablet Phenylephrine HCI 2.5% Eye Drops Phenylephrine HCl 10% Eye Drops Phenytoin Sodium 100 mg Capsule Phenytoin Sodium 125 mg/5ml Suspension Phenytoin Sodium 250 mg/5ml Injection Phenytoin Sodium 30 mg Capsule Phosphate Solution containing Sodium Acid Phosphate 1.936 g /15 ml 1138 Phyllanthus Niruri Extract 250 mg Capsule 1139 Pilocarpine 1% Eye Drops
N03AA02520P3001XX D08AE03000L5001XX C04AX02110P3001XX J01CE02500T1001XX J01CE02500F2101XX J01CE02500T1002XX S01FB01110D2001XX S01FB01110D2002XX N03AB02520C1002XX N03AB02520L8001XX N03AB02520P3001XX N03AB02520C1001XX B05XA09902L5001XX
B C A* C C C B B B B B B A
HA05BA5999C1001XX S01EB01110D2001XX
A/KK B
1141 1142 1143 1144 1145 1146 1147 1148 1149 1150 1151 1152 1153 1154 1155 1156
Pilocarpine 4% Eye Drops Piperacillin 4 g & Tazobactam 500 mg Injection Piperacillin Sodium 4 g Injection Piracetam 1 g Injection Piracetam 1.2 g Tablet Piracetam 20% Solution Piribedil 50 mg Tablet Piroxicam 10 mg Capsule Pizotifen 0.5 mg Tablet Pneumococcal Vaccine (Polyvalent) Podophyllum 10 - 20% Paint Policresulen 360 mg/g Concentrate Polio Oral Vaccine Polycitra Syrup Polyethylene Glycol /Macrogol 4000 Powder Polymyxin B Sulphate 10,000 U, Neomycin Sulphate 5 mg and Hydrocortisone 10 mg Ear Drops
S01EB01110D2003XX J01CR05961P3001XX J01CA12520P4002XX N06BX03000P3001XX N06BX03000T1001XX N06BX03000L5001XX N04BC08000T5001XX M01AC01000C1001XX N02CX01253T1001XX J07AL01000P3001XX D06BB04000L7001XX G01AX03900L9901XX J07BF02000D5001XX A12BA02955L9001XX A06AD15000F2101XX S02CA03991D1001XX
B A* A A* A* A* A* A/KK B A B A C C A B
1157 1158 1159 1160 1161
Potassium Chloride 1 g/10 ml Injection Potassium Chloride 1 g/15 ml Mixture Potassium Chloride 600 mg SR Tablet Potassium Citrate 3 g/10 ml and Citric Acid Mixture Potassium Dihydrogen Phosphate Injection
B05XA01100P3001XX A12BA01100L2101XX A12BA01100T5001XX A12BA02955L2101XX B05XA06170P3001XX
B C B C A
1163 Potassium Permanganate 1:10,000 Solution D08AX06362L9901XX 1164 Potassium Permanganate 1:20,000 Solution D08AX06362L9902XX 1165 Povidone Iodine 10% (equivalent to 1% iodine) Solution D08AG02000L9902XX
C C B
1166 Povidone Iodine 7.5% (equivalent to 0.75% iodine) Scrub 1167 Pralidoxime 0.5 g/20 ml Injection
D08AG02000L9901XX
B
V03AB04000P3002XX
B
1168 1169 1170 1171 1172 1173 1174 1175
N04BC05110T1001XX N04BC05110T1002XX C10AA03520T1001XX C02CA01110T1001XX C02CA01110T1002XX C02CA01110T1003XX A11AA03903C1001XX A11AA03903T1001XX
A* A* A B B B C C
December 2011
Pramipexole Dihydrochloride 0.125 mg Tablet Pramipexole Dihydrochloride 1 mg Tablet Pravastatin Sodium 20 mg Tablet Prazosin HCl 1 mg Tablet Prazosin HCl 2 mg Tablet Prazosin HCl 5 mg Tablet Pre/Post Natal Vitamin & Mineral Capsule Pre/Post Natal Vitamin & Mineral Tablet
MOH Drug Formulary No. 3/ 2011
Page 24 of 31
No
Generic Name
Malaysia Drug Code
H02AB06000L9001XX H02AB06000T1001XX N03AX16000C1002XX N03AX16000C1001XX P01BA03162T1001XX N03AA03000T1001XX M04AB01000T1001XX J01CE09702P4001XX
B B A* A* B B A B
J01CE09702P4002XX
B
1185 1186 1187 1188 1189
Prednisolone 3 mg/5 ml Syrup Prednisolone 5 mg Tablet Pregabalin 150 mg Capsules Pregabalin 75 mg Capsule Primaquine 7.5 mg base Tablet Primidone 250 mg Tablet Probenecid 500 mg Tablet Procaine Benzylpenicillin Aqueous 3 mega units (3 g) Injection Procaine Benzylpenicillin Aqueous 4 mega units (4 g) Injection Procarbazine HCl 50 mg Capsule Prochlorperazine Maleate 5mg Tablet Prochlorperazine Mesylate 12.5 mg/ml Injection Procyclidine HCl 10 mg/2 ml Injection Progesterone 100 mg Capsule
L01XB01110C1001XX N05AB04253T1002XX N05AB04253P3001XX N04AA04110P3001XX G03DA04000C1001XX
1191 1192 1193 1194 1195 1196 1197 1198 1199 1200 1201 1202 1203 1204 1205
Prolase Tablet Promethazine HCl 25 mg/ml Injection Promethazine HCl 5 mg/5 ml Syrup Proparacaine HCI 0.5% Ophthalmic Drops Propiverine HCl 15 mg Tablet Propofol 1 % Injection Propranolol HCl 1 mg/ml Injection Propranolol HCl 10 mg Tablet Propranolol HCl 40 mg Tablet Propylthiouracil 50 mg Tablet Protamine Sulphate 50 mg/5 ml Injection Protein Free Haemodialysate 10% Jelly Protein Free Haemodialysate 20% Eye Gel Protein Free Haemodialysate 5% Ointment Protein Free Haemodialysate Dental Adhesive Paste
M09AB00000T1001XX R06AD02110P3001XX R06AD02110L9001XX S01HA04110D2001XX G04BD06110T1001XX N01AX10000P9901XX C07AA05110P3001XX C07AA05110T1001XX C07AA05110T1002XX H03BA02000T1001XX V03AB14183P3001XX D03AX00000G4001XX S01XA20000G3001XX D03AX00000G5001XX D03AX00000G6001XX
A B B B A* * B B B B A* A* A B B B B A A A A
1206 1207 1208 1209 1210 1211 1212
Pyrantel Pamoate 125 mg Tablet Pyrantel Pamoate 250 mg Tablet Pyrazinamide 500 mg Tablet Pyridostigmine Bromide 60 mg Tablet Pyridoxine HCl 10 mg Tablet Pyridoxine HCl 50 mg/2 ml Injection Quetiapine Fumarate 200 mg Extended Release Tablet
P02CC01127T1001XX P02CC01127T1002XX J04AK01000T1001XX N07AA02320T1001XX A11HA02110T1001XX A11HA02110P3001XX N05AH04138T5002XX
C C B B B B A*
1213 Quetiapine Fumarate 300 mg Extended Release Tablet N05AH04138T5003XX
A*
1214 Quetiapine Fumarate 400 mg Extended Release Tablet N05AH04138T5004XX
A*
1215 Quetiapine Fumarate 50 mg Extended Release Tablet
N05AH04138T5001XX
A*
1216 1217 1218 1219 1220 1221 1222 1223 1224 1225 1226
P01BC01110P3001XX P01BC01183T1001XX A02BC04520T1001XX J07BG01000P4001XX G03XC01110T1001XX C09AA05000T1001XX C09AA05000T1002XX S01LA04000P3001XX A02BA02110T1001XX A02BA02110L9001XX A02BA02110T1002XX
B B A* B A* A A A* B B B
1176 1177 1178 1179 1180 1181 1182 1183 1184
December 2011
Quinine Dihydrochloride 600 mg/2 ml Injection Quinine Sulphate 300 mg Tablet Rabeprazole Sodium 20 mg Tablet Rabies Human Diploid Cell Vaccine (Lyophilised) Raloxifene HCl 60 mg Tablet Ramipril 2.5 mg Tablet Ramipril 5 mg Tablet Ranibizumab 10 mg/ ml Injection Ranitidine 150 mg Tablet Ranitidine 150 mg/10 ml Syrup Ranitidine 300 mg Tablet
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 25 of 31
No
Generic Name
Malaysia Drug Code
A02BA02110P3001XX N01AH06110P4001XX A10BX02000T1001XX J05AB04000C1001XX A11HA04000T1001XX J04AB02000L9001XX J04AB02000C1001XX J04AM05000T1001XX
B A* A* A* C A B B
J04AM06000T1001XX
B
J04AB02000C1002XX J04AM02961T9901XX B05XA30905P6001XX
B B B
1239
Ranitidine 50 mg/2 ml Injection Remifentanil 5 mg Injection Repaglinide 2 mg Tablet Ribavirin 200 mg Capsule Riboflavine 3 mg Tablet Rifampicin 100 mg/5 ml Syrup Rifampicin 150 mg Capsule Rifampicin 150 mg, Isoniazid 75 mg & Pyrazinamide 400 mg Tablet Rifampicin 150 mg, Isoniazid 75 mg, Pyrazinamide 400 mg & Ethambutol HCl 275 mg Tablet Rifampicin 300 mg Capsule Rifampicin, Dapsone & Clofazimine Ringer's Solution Injection (contained sodium chloride, potassium chloride and calcium chloride) Risperidone 1 mg Tablet
N05AX08000T1001XX
B
1241 1242 1243 1244 1245 1246 1247 1248 1249 1250 1251 1252 1253 1254 1255 1256 1257 1258 1259 1260 1261 1262 1263
Risperidone 2 mg Tablet Risperidone 25 mg Injection (Long Acting) Risperidone 37.5 mg Injection (Long Acting) Risperidone 50 mg Injection (Long Acting) Ritodrine HCl 50 mg/5 ml Injection Ritonavir 100 mg Capsule Ritonavir 80 mg/ml Solution Rituximab 500 mg/50 ml Injection Rivaroxaban 10 mg Tablet Rivastigmine 1.5 mg Capsule Rivastigmine 2 mg/ml Oral Solution Rivastigmine 3 mg Capsule Rivastigmine 4.5 mg Capsule Rivastigmine 4.6mg/24hr Transdermal Patch Rivastigmine 6 mg Capsule Rivastigmine 9.5 mg/24hr Transdermal Patch Rocuronium Bromide 10 mg/ml Injection Ropinirole HCl 0.25 mg Tablet Ropinirole HCl 1 mg Tablet Ropivacaine HCl 2 mg/ml Injection Ropivacaine HCl 7.5 mg/ml Injection Rosiglitazone 4 mg Tablet Rosuvastatin 10 mg Tablet
N05AX08000T1002XX N05AX08000P3001XX N05AX08000P3002XX N05AX08000P3003XX G02CA01110P3001XX J05AE03000C1001XX J05AE03000L9901XX L01XC02000P3001XX B01AX06000T1001XX N06DA03123C1001XX N06DA03123L9901XX N06DA03123C1002XX N06DA03123C1003XX N06DA03123M7001XX N06DA03123C1004XX N06DA03123M7002XX M03AC09320P3001XX N04BCO4110T1001XX N04BCO4110T1002XX N01BB09110P3001XX N01BB09110P3002XX A10BG02000T1002XX C10AA07390T1002XX
1265 1266 1267 1268 1269 1270 1271 1272 1273
Rubella Virus Vaccine (Live Attenuated) Injection Salbutamol 0.5 % Inhalation Solution Salbutamol 0.5 mg/ml Injection Salbutamol 100 mcg/dose Inhalation Salbutamol 2 mg Tablet Salbutamol 2 mg/5 ml Syrup Salbutamol 200 mcg Inhalation Powder Salbutamol 5 mg/5 ml Injection Salicylazosulphapyridine (Sulfasalazine) 500 mg Tablet
J07BJ01000P3001XX R03AC02183A3001XX R03CC02183P3001XX R03AC02183A1001XX R03CC02183T1001XX R03CC02183L9001XX R03AC02183A2001XX R03CC02183P3002XX A07EC01000T1001XX
B A* A* A* A A* A* A* A* A* A* A* A* A* A* A* A* A* A* A* A* A* A* * C B A B B B B A* A/KK
1274 Salicylic Acid 1 - 2% in Hydrocortisone 1% Ointment
D07XA01952G5001XX
B
1275 1276 1277 1278 1279
D01AE12000G1001XX D01AE12000G5001XX D01AE12000L6001XX D01AE12000G5002XX D01AE12952G6001XX
C C B C C
1227 1228 1229 1230 1231 1232 1233 1234 1235 1236 1237 1238
December 2011
Salicylic Acid 2 - 10% Cream Salicylic Acid 2 - 10% Ointment Salicylic Acid 2 % Lotion Salicylic Acid 20% Ointment Salicylic Acid, Starch, Zinc Oxide Paste
MOH Drug Formulary No. 3/ 2011
Category of Prescriber
Page 26 of 31
No
** **
Generic Name
Malaysia Drug Code
1280 Salmeterol 25 mcg and Fluticasone Propionate 125 mcg Inhalation 1281 Salmeterol 50 mcg and Fluticasone Propionate 250 mcg Inhalation 1282 Salmeterol 50 mcg and Fluticasone Propionate 500 mcg Inhalation 1283 Saxagliptin 2.5 mg Tablet 1284 Saxagliptin 5 mg Tablet 1285 Selected Plasma Protein 5 g/100 ml Injection 1286 Selegiline HCl 5 mg Tablet 1287 Selenium Sulphide 2.5% Shampoo 1288 Sertraline HCI 50 mg Tablet 1289 Sevoflurane Liquid 1290 Silver Nitrate 0.5% Lotion 1291 Silver Sulfadiazine 1% Cream 1292 Simvastatin 10 mg Tablet 1294 1295 1296 1297 1298 1299 1300
Category of Prescriber
R03AK06989A2102XX
A*
R03AK06989A2101XX
A/KK
R03AK06989A2106XX
A*
A10BH03000T1001XX A10BH03000T1002XX B05AA02000P3001XX N04BD01110T1001XX D11AC03180L5201XX N06AB06110T1001XX N01AB08000L5001XX D08AL01221L6001XX D06BA01199G1001XX C10AA01000T1001XX
A* A* B A* A/KK B A* B B A/KK
Simvastatin 40 mg Tablet Sitagliptin 100 mg Tablet Sitagliptin 25 mg Tablet Sitagliptin 50 mg Tablet Sitagliptin 50 mg and Metformin HCl 500 mg Tablet Sitagliptin 50 mg and Metformin HCl 850 mg Tablet Sitagliptin 50 mg and Metformin HCl 1000 mg Tablet
C10AA01000T1003XX A10BH01000T1003XX A10BH01000T1001XX A10BH01000T1002XX A10BD07926T1001XX A10BD07926T1002XX A10BD07926T1003XX
A/KK A* A* A* A* A* A*
1301 Sodium Alginate 1000mg/10ml & Potassium Bicarbonate 200mg/10ml Suspension 1302 Sodium and Meglumine Diatrizoate 58-60% Injection
A02BX13915L8001XX
A*
V08AA01993P3002XX
B
1303 1304 1305 1306 1307 1308
A02AH00131L2102XX B05XA02131P3001XX S02DC00131D1001XX B05XA02131P3002XX A02AH00131L2101XX B05CB10955M4001XX
B B C B C B
A02AH00912L2101XX
C
Sodium Bicarbonate 1 g/15 ml Mixture Sodium Bicarbonate 4.2% (0.5 mmol/ml) Injection Sodium Bicarbonate 5% w/v Ear Drops Sodium Bicarbonate 8.4% (1 mmol/ml) Injection Sodium Bicarbonate Mixture (Paediatric) Sodium Bicarbonate, Citric Acid, Sodium Citrate and Tartaric Acid - 4 g per sachet 1309 Sodium Bicarbonate, Magnesium Carbonate, Tincture Cardamom Compound Mixture 1310 Sodium Biphosphate 16% & Sodium Phosphate 6% Enema , Solution 1312 Sodium Chloride 0.18% with Dextrose 10% Injection
A06AG01162G2001XX
A
B05XA03904P6001XX
B
1313 Sodium Chloride 0.18% with Dextrose 4.23% Injection
B05XA03904P6004XX
B
1314 1315 1316 1317 1318 1319 1320 1321 1322 1323 1324 1325
B05XA03100P6001XX B05XA03904P6002XX B05XA03904P6005XX S01XA03000D2001XX B05XA03100P6002XX B05XA03904P6003XX B05XA03100P9902XX B05XA03100P9901XX V09GX00143L9901XX B05CB02136L9901XX B05CB02136H3001XX B05CB02136L2101XX
B B B C C C B B A* B B B
December 2011
Sodium Chloride 0.45% Injection Sodium Chloride 0.45% with Dextrose 10% Injection Sodium Chloride 0.45% with Dextrose 5% Injection Sodium Chloride 0.9% Eye Drops Sodium Chloride 0.9% Injection Sodium Chloride 0.9% with Dextrose 5% Injection Sodium Chloride 20% Injection Sodium Chloride 3% Injection Sodium Chromate (Chromium-51) Solution Sodium Citrate 0.3 M Solution Sodium Citrate 3.8% Solution Sodium Citrate, Citric Acid Mixture 3 g/10 ml
MOH Drug Formulary No. 3/ 2011
Page 27 of 31
No
1326 1327 1328 1329 1330 1331 1332 1333 1334 1335 1336 1337 1338 1339 1340
Generic Name
Malaysia Drug Code
Sodium Cromoglycate 2% Eye Drops S01GX01520D2001XX Sodium Dichloroisocyanurate 2.5 g Tablet V07AV00000T1001XX Sodium Dichloroisocyanurate 5 g Tablet V07AV00000T1002XX Sodium Fusidate 2% Ointment D06AX01520G5001XX Sodium Hypochlorite Solution V07AV00000L9903XX Sodium Iodide (Iodide-131) Injection (Diagnostic) V09FX03200P3001XX Sodium Iodide (Iodine-131) Capsule (Diagnostic) V09FX03200C1001XX Sodium Iodide (Iodine-131) Capsule (Therapeutic) V10XA01200C1001XX Sodium Iodide (Iodine-131) Solution V10XA01200L9901XX Sodium Lactate Compound (Hartmanns Solution/Ringer- B05XA30125P6001XX lactate] Sodium Nitrite 30 mg/ml Injection V03AB08220P3001XX Sodium Nitroprusside 50 mg/5 ml Injection C02DD01520P3001XX Sodium Phosphate (Phosphorus-32) Injection V10XX01162P3001XX Sodium Polystyrene Sulphonate Powder V03AE01520F2101XX Sodium Tetradecyl Sulphate 1 % Injection C05BB04183P3001XX
Category of Prescriber A/KK C C A C A* A* A* A* C
D01AE00181L9901XX V03AB06181P3001XX N03AG01520T1001XX N03AG01520L9001XX N03AG01520P4001XX H01AC01000P3002XX H01AC01000P3004XX H01AC01000P3003XX H01AC01000P5002XX
B A A* A A* * C B B B B A* A* A* A*
C07AA07110T1002XX C07AA07110T1001XX C03DA01000T1001XX J05AF04000L5001XX J05AF04000C1001XX J05AR07964T1001XX
A* A* B A* A/KK A/KK
J05AF04000C1002XX J05AR07964T1002XX
A* A*
B01AD01000P4001XX J01GA01183P4001XX M05BX03000F1001XX
A* B A*
1363 Sucralfate 1 g Tablet 1364 Sulfadoxine 500 mg and Pyrimethamine 25 mg Tablet
A02BX02000T1001XX P01BD51981T1001XX
A B
1365 Sulphamethoxazole 200 mg & Trimethoprim 40 mg/5ml Suspension 1366 Sulphamethoxazole 400 mg & Trimethoprim 80 mg Injection 1367 Sulphamethoxazole 400 mg & Trimethoprim 80 mg Tablet 1368 Sulphur 2% & Salicylic Acid 2% Cream 1369 Sulpiride 200 mg Tablet 1370 Sumatriptan 100 mg Tablet 1371 Sumatriptan 50 mg Fast Disintegrating Tablet 1372 Sumatriptan 50 mg Tablet 1373 Sumatriptan 6 mg/0.5 ml Injection 1374 Sunscreen 5 - 20% w/w Cream
J01EE01961L8001XX
B
J01EE01961P3001XX
A
J01EE01961T1001XX
B
D10AB02951G1001XX N05AL01000T1001XX N02CC01000T1002XX N02CC01000T5001XX N02CC01000T1001XX N02CC01000P5001XX D02BA02000G1001XX
C B A/KK A A A B
1342 1343 1344 1345 1346 1347 1348 1349 1350 1351 1352 1353 1354 1355 1356 1357 1358 1359 1360 1361
December 2011
Sodium Thiosulphate 10-20% Solution Sodium Thiosulphate 500 mg/ml Injection Sodium Valproate 200 mg Tablet Sodium Valproate 200 mg/5 ml Syrup Sodium Valproate 400 mg Injection Somatropin 12 mg (36IU) Injection Somatropin 5mg (15IU) Injection Somatropin 8 mg (24IU) Injection Somatropin 10mg/1.5ml (30iu) Injection in Prefilled Syringe Sotalol HCl 160 mg Tablet Sotalol HCl 80 mg Tablet Spironolactone 25 mg Tablet Stavudine 1 mg/ml Solution Stavudine 30 mg Capsule Stavudine 30 mg, Lamivudine 150 mg & Nevirapine 200 mg Tablet Stavudine 40 mg Capsule Stavudine 40 mg, Lamivudine 150 mg & Nevirapine 200 mg Tablet Streptokinase 1,500,000 IU Injection Streptomycin Sulphate 1 g Injection Strontium Ranelate 2 g Granules
MOH Drug Formulary No. 3/ 2011
Page 28 of 31
No
Generic Name
Malaysia Drug Code
1375 Suxamethonium Chloride 50 mg/ml lnj 1376 Synthetic ACTH (Tetracosactrin Acetate) 250 mcg/ml Injection 1377 Tacrolimus 0.1% Ointment 1378 Tacrolimus 0.1% Ointment 1379 Tacrolimus 0.5 mg Capsule 1380 Tacrolimus 1 mg Capsule 1381 Tacrolimus 5 mg Capsule 1382 Tacrolimus 5mg/ml Injection 1383 Tamoxifen Citrate 20 mg Tablet 1384 Tamsulosin HCl 400 mcg Extended Release Tablet 1385 Tar, Coal Tar and Oleyl Alcohol Liquid 1386 Technetium-99m Sterile Generator 1387 Tegafur 100 mg & uracil 224 mg Capsule 1388 Telbivudine 600 mg Tablet 1389 Telmisartan 40 mg Tablet . Tablet 1391 Telmisartan 80 mg Tablet 1392 Temozolomide 100 mg Capsule 1393 Temozolomide 20 mg Capsule 1394 Tenecteplase 10,000 unit (50 mg) Injection 1395 Tenofovir Disoproxil Fumarate 300 mg Tablet 1396 Tenofovir Disoproxil Fumarate 300 mg & Emricitabine 200 mg Tablet 1397 Terazosin HCl 1 mg Tablet 1398 Terazosin HCl 2 mg Tablet 1399 Terazosin HCl 5 mg Tablet 1400 Terbinafine HCl 250 mg Tablet 1401 Terbutaline 0.5 mg/dose Inhalation Powder 1402 Terbutaline Sulphate 0.3 mg/ml Syrup 1403 Terbutaline Sulphate 0.5 mg/ml Injection 1404 Terbutaline Sulphate 10 mg/ml Inhalation Solution 1405 Terbutaline Sulphate 2.5 mg Tablet 1406 Terlipressin 1 mg Injection 1407 Testosterone 250 mg/ml Injection 1408 Tetanus Immunoglobulin Human 250 Units/Vial Injection
Category of Prescriber
M03AB01100P3001XX H01AA02000P3001XX
B A
D11AH01000G5001XX D11AH01000G5002XX L04AD02000C1003XX L04AD02000C1001XX L04AD02000C1002XX L04AD02000P3001XX L02BA01136T1001XX G04CA02110T5001XX D05AA00952L5001XX V09CA01000P3001XX L01BC53980C1001XX J05AF11000T1001XX C09CA07000T1001XX
A* A* A* A* A* A* A A* A/KK A* A* A* A/KK
C09CA07000T1002XX L01AX03000C1003XX L01AX03000C1001XX B01AD11000P4001XX J05AF07138T1001XX J05AR03964T1001XX
A/KK A* A* A* A* A*
G04CA03110T1001XX G04CA03110T1002XX G04CA03110T1003XX D01BA02110T1001XX R03AC03183A2001XX R03CC03183L9001XX R03CC03183P3001XX R03AC03183A3001XX R03CC03183T1001XX H01BA04000P4001XX G03BA03000P3001XX J06BB02000P3001XX
A A A A* B B B B B A* A* B
1409 Tetanus Toxoid Injection 1410 Tetracycline HCl 250 mg Capsule
J07AM01000P3001XX J01AA07110C1001XX
C B
1412 1413 1414 1415 1416 1417 1418 1419 1420 1421 1422 1423 1424 1425 1426 1427
L04AX02000C1001XX V09GX01100P3001XX R03DA04000T1001XX R03DA04000T5001XX R03DA04000L9001XX A11DA01110P3001XX A11DA01221T1002XX A11DA01221T1001XX L01BB03000T1001XX N05CA19520P3001XX A01AD11985M2001XX G03CX01000T1001XX B01AC05110T1001XX S01ED01253D2002XX P01AB02000T1001XX B01AB10520P5001XX
A* A* B B B B C C A B C A* A/KK A B A*
December 2011
Thalidomide 50 mg Capsule Thallous Chloride (Thallium-201) Injection Theophylline 125 mg Tablet Theophylline 250 mg Long Acting Tablet Theophylline 80 mg/15 ml Syrup Thiamine HCl 100 mg/ml Injection Thiamine Mononitrate 10 mg Tablet Thiamine Mononitrate 3 mg Tablet Thioguanine 40 mg Tablet Thiopental Sodium 500 mg Injection Thymol Compound Gargle Tibolone 2.5 mg Tablet Ticlopidine HCl 250 mg Tablet Timolol Maleate 0.5% Eye Drops Tinidazole 500 mg Tablet Tinzaparin sodium 10,000 anti-Factor Xa IU/ml Injection in Prefilled syringe/cartridge
MOH Drug Formulary No. 3/ 2011
Page 29 of 31
No
Generic Name
Malaysia Drug Code
Category of Prescriber
1428 Tinzaparin sodium 20,000 anti-Factor Xa IU/ml Injection in Prefilled syringe/cartridge 1429 Tioconazole 1% Cream 1430 Tioconazole 100 mg Vaginal Tablet 1431 Tioconazole 6.5% Vaginal Ointment 1432 Tiotropium Bromide Inhalation 18 mcg Capsules 1433 Tirofiban HCl 0.25 mg/ml Injection 1434 Tolterodine Tartrate ER 4 mg Capsule 1435 Topiramate 100 mg Tablet 1436 Topiramate 15 mg Capsule Sprinkle 1437 Topiramate 25 mg Capsule Sprinkle 1438 Topiramate 25 mg Tablet 1439 Topiramate 50 mg Tablet 1440 Trace Elements and Electrolytes (Adult) Solution 1441 Trace Elements and Electrolytes (Paediatric) Solution
B01AB10520P5002XX
A*
D01AC07000G1001XX G01AF08000S1001XX G01AF08000G5001XX R03BB04320C9901XX B01AC17110P9901XX G04BD07123C2002XX N03AX11000T1003XX N03AX11000C1001XX N03AX11000C1002XX N03AX11000T1001XX N03AX11000T1002XX B05XA30905P3001XX B05XA30905P3002XX
A A A A/KK A* A* A* A* A* A* A* A* A*
1443 1444 1445 1446 1447 1448 1449 1450 1451 1452 1453 1454 1455 1456 1457 1458 1459 1460 1461 1462
N02AX02110D5001XX N02AX02110C1001XX N02AX02110P3001XX B02AA02000P3001XX B02AA02000C1001XX S01ED51990D2003XX L01XC03000P4001XX D10AD01000G3001XX D10AD01000G1001XX D10AD01000G1002XX A01AC01351G3101XX H02AB08351P3001XX H02AB08351P3002XX N05AB06110T1001XX C01EB15110T1001XX C01EB15110T5001XX J01EA01000T1001XX J01EA01000T1002XX D05BA01000T1001XX R01BA52110L9001XX
A A/KK A B B A* A* A A A B A A/KK B B B B B A B
R01BA52988T1002XX
B
S01FA06000D2002XX M09AB52000P4001XX V04CF01000P3001XX J07AP01000C1001XX J07AP02000P3001XX G03GA04000P3002XX G03GA04000P3001XX B01AD04000P4001XX A05AA02000C1001XX C09DA03935T1002XX
A/KK A B B B A* A* A A A/KK
C09CA03000T1002XX C09DA03935T1001XX
A/KK A/KK
C09CA03000T1001XX J01XA01110P4001XX N07BA03123T1001XX
A/KK A* A/KK
1463
1465 1466 1467 1468 1469 1470 1471 1472 1473 1474
Tramadol HCl 100 mg/ml Drops Tramadol HCl 50 mg Capsule Tramadol HCl 50 mg/ml Injection Tranexamic Acid 100 mg/ml Injection Tranexamic Acid 250 mg Capsule Travoprost 0.004% & Timolol 0.5% Eye Drops Trastuzumab 440 mg Injection Tretinoin 0.01% Gel Tretinoin 0.05% Cream Tretinoin 0.1% Cream Triamcinolone Acetonide 0.1% Oral Paste Triamcinolone Acetonide 10 mg/ml Injection Triamcinolone Acetonide 40 mg/ml Injection Trifluoperazine HCI 5 mg Tablet Trimetazidine 20 mg Tablet Trimetazidine 35 mg MR Tablet Trimethoprim 100 mg Tablet Trimethoprim 300 mg Tablet Trioxsalen 5 mg Tablet Triprolidine HCl 1.25 mg and Pseudoephedrine HCl 30 mg per 5 ml Syrup Triprolidine HCl 2.5 mg and Pseudoephedrine HCl 60 mg Tablet . Tropicamide 1% Eye Drops Trypsin & Chymotrypsin 5000 units/vial Injection Tuberculine PPD Injection Typhoid Vaccine Capsule Typhoid Vaccine Injection Urofollitropin 150 IU Injection Urofollitropin 75 IU Injection Urokinase 6000 IU Injection Ursodeoxycholic Acid 250 mg Capsule Valsartan 160 mg and Hydrochlorothiazide 25 mg Tablet
1475 Valsartan 160 mg Tablet 1476 Valsartan 80 mg and Hydrochlorothiazide 12.5 mg Tablet 1477 Valsartan 80 mg Tablet 1478 Vancomycin HCl 500 mg Injection 1479 Varenicline Tartrate 0.5 mg Tablet December 2011
MOH Drug Formulary No. 3/ 2011
Page 30 of 31
