Hospital Formulary A
Hospital Formulary A
Hospital Formulary A
Antacid: Antidiarrheal:
Al(OH)3 + Mg(OH)2 + Na Alginate 10ml Sach. Loperamide 2mg (Imodium, Diatabs, Lomotil)
(Gaviscon Advance) Bacillus clausii 5ml Susp. (Erceflora)
1
Trimetazidine 20mg Tab., 35mg MR Tab. Losartan + HCTZ 50/12.5mg, 100/25mg Tab.
(Vastarel, Vestar, RM, G) (Hyzaar, Combizar, RM, G)
Ivabradine HCl 5mg Tab. (Coralan) Losartan + Amlodipine 50/5mg, 100/10mg Tab.
(Amlife, Amlodine Plus, G)
ACE Inhibitors (monotherapy or in
combination): Losartan + Amlodipine + HCTZ 50/5/12.5mg,
100/10/12.5mg Tab. (Amlife Plus)
Captopril 25mg Tab. (RM)
Enalapril 5mg/10mg/20mg Tab. (RM) Irbesartan + HCTZ 150/12.5mg and 300/12.5mg
Perindopril 5mg Tab. (Coversyl) Tab. (Co-Aprovel, G)
Amlodipine 5mg/10mg Tab. (Norvasc, Amvasc, Furosemide 20mg/40mg Tab., 20mg/2ml Amp.
Amlodine, Lopicard, Vasalat, RM, G) (Lasix, RM, G)
2
Warfarin Na 5mg Tab. (Coumadin) Triotropium Br 18mcg Caps. (Spiriva)
Apixaban 2.5mg Tab. (Eliquis)
Ticagrelor 60mg/90mg Tab. (Brilinta) Cough & Cold Remedies:
Rivaroxaban 10mg/15mg Tab. (Xarelto)
Dabigatran 110mg/150mg Tab. (Pradaxa) Ambroxol 30mg Tab., 75mg SR Caps.,
15mg/60ml, 30mg/60ml, 15ml Drops
Heparin Na 1,000u/5ml, 25,000u/5ml (G) (Mucosolvan, Ambrolex, Expel, RM)
Streptokinase 1.5M u Inj. (G)
Bromhexine HCl 8mg Tab., 8mg/60ml
Alteplase 20mg/20ml, 50mg/50ml Vial (Bisolvon)
(Actilyse)
Erdosteine 300mg Cap., 60ml (Ectrin, Zertin)
Enoxaparine Na 2000iu./0.2ml., 4000iu/0.4ml.,
6000iu/0.6ml (Clexane, G) Carbocisteine 500mg Caps., 100mg/60ml,
200mg/60ml, 15ml Drops (Solmux, Loviscol)
Fondaparinux Na 2.5mg/0.5ml Syringe (Arixtra)
Carbocisteine + Zinc Tab., 60ml (Solmux
Hemostatic Agents: Advance)
Tranexamic Acid 500mg Caps., 500mg/5ml Vitex negundo “Lagundi” leaves 600mg Tab.,
Amp. (Hemostan, G) 300mg/60ml (Ascof, Plemex, RM)
Salbutamol 2mg Tab., 60ml Syr., Rotacap, MDI, Guiafenesin 200mg Caps., 100mg/60ml,
Neb. (Ventolin, Asmalin, RM, G) (Robitussin)
Salbutamol + Guiafenesin Caps., 60ml/100ml Butamirate citrate 50mg SR, 60ml (Sinecod, G)
(Ventolin Exp., Asmalin Broncho, G) Phenylephrine + CPM 60ml. 10ml (Disudrin)
Phenylephrine + BPM 60ml (Dimetapp)
Fluticasone Propionate 125mcg x 120s MDI.,
500mcg/2ml Neb. (Flixotide) Fluticasone 27.5mcg/act. 120s Nasal Spray
(Avamys, Nasoflo)
Budesonide 200mcg/act x 120s Turbuhaler.,
1g/2ml Respules (Budecort, G) Oxymetazoline 0.05% Nasal Spray (Drixine)
Sodium Chloride 0.65%, 30ml Nasal Spray
Salmeterol + Fluticasone 25/125mcg MDI 120s, (Salinase, Nasoclear)
50/250mcg Diskus (Seretide, Flutizal, Adeflo,
Salmeflo) S. nigra, P. veris, P. elatior, R. crispus, V.
officinalis, G. lutea Drag, 100ml (Sinupret Forte)
Formoterol + Budesonide 160/0.4mcg
Turbuhaler, Rapihaler MDI (Symbicort) Guiafenesin + DXM HBr + CPM + PPM Caps.;
Guiafenesin + DXM HBr + Sodium Citrate 60ml
Doxofylline 400mg Tab., 100mg/100ml Syr. (Mucobron Forte, Mucobron-D)
(Ansimar, Doxofix, Dilatair, G)
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Diazepam 5mg Tab. (Valium) Lamotrigine 50mg/100mg Tab. (Lamictal,
Alprazolam 500 mcg Tab. (Xanor) Lamitor)
Hydroxyzine 10mg/25mg Tab (Iterax, Sedazine)
Phenytoin Na 100mg Caps., 30mg/120ml Susp.,
Hypnotics: 50mg/5ml Inj. (Dilantin)
Chlorpromazine 100mg Tab., 50mg/2ml Amp. Methylphenidate HCl 10mg Tab. (Ritalin)
(Laractyl) Atomoxetine 40mg Tab. (Strattera)
4
Tramadol + APAP 37.5/325mg Tab. (Dolcet, Ciclosporin 25mg/100mg Caps. (Sandimmun
TDL Plus) Neoral)
Mefenamic Acid 500mg Tab./Caps., 50mg/60ml Flunarizine HCl 5mg Tab. (Sibelium)
(Dolfenal, Ponstan, G) Sumatriptan 50mg Tab. (Imigran)
5
Ceftriaxone Na 1g Inj. (G)
Fourth-Generation Cephalosporins: Other Antibacterial Agents:
Ciprofloxacin 500mg Tab., 200mg/100ml Inf. Methisoprinol 500mg Tab., 250mg/60ml Syr.
(Ciprobay, RM, G) (Isoprinosine)
6
Pyrantel Pamoate 125mg Tab., 250mg/10ml,
250mg/60ml (Combantrin, G)
Oxantel + Pyrantel 20mg/20mg/10ml (Quantrel) Urolitholytics:
Mebendazole 500mg Tab., 50mg/10ml, 20mg/ml Potassium Citrate 1080 meq Tab. (Acalka,
x 30ml; 100mg/5ml x 60ml (Antiox, G) Tascit, G)
Quinine SO4, 325mg Tab. (Rhea) Blumea balsamifera “Sambong” leaves 500mg
Tab. (Releaf Forte, G)
Oncologicals
Nephroprotective Agents:
Doxorubicin HCl 10mg Inj., 50mg/50ml Inj.
Keto-Analogues + Essential Amino Acids
Gemcitabine HCl 200mg/10ml & 1g/30ml Inf.
500mg Tab./600mg Tab. (Ketosteril, Ketobest,
Cisplatin 50mg Vial; 1mg/ml, 50ml Vial
Esensamin, G)
Paclitaxel 5ml & 16.6ml Inj.
Doxetaxel 80mg/2ml Inf.
Phosphate Binder:
Fluorouracil 500mg/10ml Inj.
Vincristine SO4 1mg/1ml
Sevelamer Carbonate 800mg FC Tab. (Renvela)
Cyclophosphamide 500mg Inj.
Hydroxyurea 500mg Caps.
Vaginal Antiseptic:
Anastrazole 1mg Tab.
Bicalutamide 50mg Tab.
Metronidazole + Nystatin 500mg/10,000iu Vag.
Supp. (Flagystatin)
Alfuzosine HCl 10mg Tab. (Xatral, Fozal) Dexamethasone 4mg Tab. (Decilone Forte)
Terazosin HCl 2mg Tab. (Hytrin, RM) Dexamethasone Na3PO4 4mg/mL x 2mL (G)
Doxazosin 4mg, 4mg XL Tab. (Alfadil, Cardura)
Finasteride 5mg Tab. (Proscar, Atepros, G) Prednisone 5mg/10mg/20mg Tab.; 10mg/60ml
Dutasteride 500mcg Tab. (Avodart) Susp. (Pred-10, Pred-20; G)
Tamsulosin HCl 200mcg Tab., 400mcg PR Tab. Prednisolone 20mg/60ml (Pred 20)
(Harnal-D, Harnal Ocas, G)
Androgens:
Finasteride + Tamsulosin 5mg/200mcg Tab.
(Tamplus) Testosterone Undecanoate 250mg/ml, 4ml Inj.
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Dydrogesterone 10mg Tab. (Duphaston)
Progesterone 200mg Caps. (Heragest) Thiazolidinediones (monotherapy or in
Medroxyprogesterone Acetate 10mg Tab. combination):
(Provera)
Pioglitazone 15mg/30mg Tab. (Piozone, Zolid,
Trophic Hormone: Prialta)
Liraglutide 6mg/3ml x2s Inj. (Saxenda, Victoza) Dapaglifozin 10mg Tab. (Forxiga)
Empagliflozin 10mg/25mg Tab. (Jardiance)
Sulfonylureas (monotherapy or in
combination): Dapagliflozin + Metformin HCl 10/500mg
(Xigduo)
Gliclazide 80mg Tab., 60mg MR Tab.
(Diamicron MR, Glubitor, RM, G) Empagliflozin + Metformin HCl 5/500mg,
12.5/500mg Tab. (Jardiance Duo)
Glimepiride 2mg/4mg Tab (Solosa, Getryl,
Norizec, Arya, RM) Empagliflozin + Sitagliptin 10/5mg and
25/10mg Tab. (Glyxambi)
Glimepiride + Metformin HCl 2/500mg Tab.
(Solosamet, Norizec Plus) Dapagliflozin + Saxagliptin 10/5mg (Qtern)
Metformin HCl 500mg Tab., 500mg/1g XR Tab. Simvastatin 20mg/40mg Tab. (RM)
(Glucophage, Glumet, Neoform, Fornidd, Rosuvastatin 10/20mg Tab. (Crestor, Roswin, G)
Humamet, RM, G)
Atorvastatin 10mg/20mg/40mg Tab. (Lipitor,
Avamax, RM, Natrapharm, G)
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Fexofenadine 180mg Tab. (Telfast)
Fenofibrate 160mg/200mg Caps., 145mg NT, Levocetirizine + Betamethasone Tab. (Synactiv)
250mg SR Caps. (Lipanthyl, Fenoflex, Lipway, Loratadine + Betamethasone Tab. (Claricort)
G)
Vaccines
Fenofibrate + Atorvastatin 160/10mg and
160/20mg Tab. (Fenostat) Tetanus Ig 250iu/1ml Vial (Serotet)
TT/ATS
Thyroid Hormones: Rabies
HPV
Levothyroxine Na 50, 100 & 150 mcg Tab. DPT, OPV, Hepa B, Flu (Trivalent), Pneumonia
(Eltroxin, Thyrax Duotab)
9
Lantanoprost + Timolol 50mcg/5mg/ml, 2.8ml Fluocinonide + Neomycin + Gramicidin +
(Xalacom) Nystatin, 5g Cream (Lidex-NGN)
10
Ceraklin Cleansing Bar 90g Electrolyes, Vitamins & Minerals
Glycerine 90g Soap (Novas)
Electrolytes:
Scabicidal:
Pedialyte Mild 30, 500ml
ZnO + Benzoic Acid + Sulfur + Salicylic Acid Pedialyte-45, 500ml
15g Ointm. (Bioderm)
Vivalyte/Vivalyte Plus Electrolyte Drink 250ml
Permethrin 5% Lotion, 60ml., 10mg/10ml Oral Rehydration Salt Sach. (Hydrite)
Shampoo, 60ml (Kwell, Lindell)
Potassium Chloride 600mg/750mg Tab.,
Sulfur 90g Soap (Erasul) 2mEq/ml x 20ml Vial (Kalium Durule, K-lyte)
Anti-Seborrhea & Anti-Psoriasis: Sodium Chloride 0.9%, 20ml Amp., 1L (G)
Calcipotriol 50mcg/g, 30g Cream (Daivonex) Electrolytes in Large Volume Parenterals:
Betamethasone Valerate 1mg/ml Scalp Soln., Dextrose 5%, 500ml Inj. (G)
30ml (Betnovate) Dextrose 5% in Lactated Ringer’s 1L Inf. (G)
Lactated Ringer’s Solution, 1L Inf. (G)
Clobetasol 500mcg/ml Scalp Soln., 25ml Sodium Chloride 0.9%, 10ml Inj., 1L Inf. (G)
(Dermovate)
Sterile Water for Injection, 20ml Amp., 50ml
Ketoconazole 2% Shampoo, 6ml Sach., Vial, 1L (G)
(Nizoral)
Parenteral Nutrition:
Ketoconazole + Zn Pyrithione 2g/1g/100ml,
60ml Shampoo (Scalpex) Total Parenteral Nutrition, 3 Bag Chamber
(Combiflex Lipid Central Emulsion for Infusion
Keratolytics: 1540ml 3s, 2053ml 2s; Combiplex Lipid Peri
Emulsion for Infusion 1440 ml 4s, 1920ml 2s)
Benzoyl Peroxide 5% Gel, 60g (G)
Imiquinod 5% Cream (Aldara) Vitamin E Preparations:
Miscellaneous Dermatologicals: D-Alpha-Tocopheryl Acetate 300 IU Caps. 30s.,
400 IU Caps. 30s (Myra 300-E, Myra 400-E)
Extract Cepae + Heparin Na + Allantoin
10g Gel (Contractubex) D-Alpha-Tocopheryl Acid Succinate + Vitamin
B Complex Tab. (Neurogen-E)
Pimecrolimus 1% Cream, 10g (Elidel)
Fluoride Preparations:
Mucopolysaccharide Polysulfate 14g Cream
(Hirudoid) Poly-vi-flor 15ml Drops
Vitamin B Complex:
Anesthetics
Vit B1, B6, B12 Tab. (Supraneuron, Neurobion,
Local Anesthetic: Pharex, Jaga, RM, G)
Lidocaine 2%, 5ml Amp. & 50ml Vial (G) Vit B1, B6, B12 + APAP Tab (Dolo-Neurobion)
Vit B1, B6, B12 Amp., 3ml (Neurobion)
Systemic Anesthetic:
Vitamin C Preparations:
Ketamine HCl 500mg/10ml Soln. for Inj. (G)
Propofol 200mg/20ml Inj. (G) Ascorbic Acid 500mg Tab. (Cecon, Potencee, G)
Sodium Ascorbate 500mg Tab. (G)
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Ascorbic Acid + Zn + Cholecalciferol Pre & Post-Natal Vitamins:
500mg/10mg/1000IU Caps. (Poten-cee + Zn
Advance, G) Iron + FA + Vitamin B Complex (Fortifer FA)
Iron + FA + Multivitamins (Iberet Folic)
Ascorbic Acid 15ml/30ml Drops, 120ml & Multivitamins + Minerals (Clusivol OB)
250ml Syr. (Ceelin, Potencee, PedCee)
Folic Acid 5mg Caps. (Folart, G)
Ascorbic Acid + Zn 15/30ml Drops; 120ml &
250ml Syr. (Ceelin Plus, Dayzinc, Pedzinc +C) Hematinics:
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Calcium Chloride/Gluconate 10% 10ml Vial (G) Household Remedies/Galenicals:
Acetylcysteine 100mg/1ml Amp. (Hidonac)
Glucagon HCl 1mg Powder for Inj. Salicylic Acid 5%, 30ml
Hydroxocobalamin 1mg/1ml Vial (G) Hydrogen Peroxide 3%, 120ml (G)
Physostigmine 1mg/ml, 2ml Amp. (G) Isopropyl Alcohol, Ethyl Alcohol 70%
Sodium Calcium Edetate 200mg/ml, 5ml Amp.
Nicotine 2mg Gum (Nicorette) Acid + Salicylic Acid Ointm., 15g (UH-
Whitfield)
Reserved:
Katialis/Katingco lines
Pregabalin + Alpha-lipoic Acid + Mecobalamin Efficascent oil lines
75mg/100g/750mcg Caps. (Seremax) White flower
Aciete manzanilla/alcamforado lines
Zeaxanthin + Inositol + Alpha-Lipoic Acid + Methylsalicylate
Benfotiamine + Lutein + Folic Acid + Eugenol/toothache drops
Pyridoxine + Methylcobalamin Tab. (Nuropat) Merthiolate
Castor oil
Cefuroxime + K Clavulanate 625mg Tab.; Salonpas/Mentopas lines
250mg/60ml (Cefuclav) Ammonia
Vicks lines
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