MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the...

23
NATIONAL HEALTH INSURANCE SCHEME MEDICINES LIST JULY 2018 Your access to healthcare

Transcript of MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the...

Page 1: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NATIONAL HEALTH INSURANCE SCHEME

MEDICINES LIST

JULY 2018

Your access to healthcare

Page 2: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page i

Table of Contents 1.0 Introduction ...................................................................................................................................... ii

2.0 Methodology ...................................................................................................................................... ii

3.0 Exclusions ......................................................................................................................................... iii

4.0 How to use this document ............................................................................................................... iii

4.1 Local codes (Nine Alpha-numeric characters)............................................................................. iv

5.0 Level of Prescribing ......................................................................................................................... vi

6.0 Prescribing Guidelines .................................................................................................................... vii

7.0 Dispensing Guidelines ................................................................................................................... viii

8.0 Labelling ......................................................................................................................................... viii

9.0 List of Medicines and Prices ............................................................................................................. 1

Page 3: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page ii

1.0 Introduction

This is the revised version of the NHIS Medicines List (ML), which takes effect from 1st July, 2018. The

original list of medicines in this schedule was developed using a process that involved evaluation of

evidence for the management of health problems commonly seen at health facilities in Ghana. A

Specialists Group comprising medical doctors, pharmacists and a midwife reviewed the evidence for

the management of the health problems and selected the appropriate medicines. A Core Group of

clinicians assisted the specialists in the selection of medicines and did the final review of the selected

medicines. The current reviewed Medicines List contains a total of five hundred and twelve (512)

formulations.

2.0 Methodology

The NHIS ML review process involves national medicine price surveys, extensive stakeholder

engagements and technical committee deliberations in order to arrive at the final list of medicines and

their reimbursable prices.

This July 2018 reviewed version is however the product of a different methodology brought about by

the implementation of the policy on removal of Value Added Tax (VAT) from medicines by the Ministry

of Health (MOH). The objective of this policy, passed into law in November 2017, was to reduce the

prices of medicines as part of achieving Universal Health Coverage (UHC) since appropriately priced

medicines that are affordable play an important role in access to medicines.

A technical committee under the leadership of the Deputy Minister of Health and made up of

representatives from the Ministry of Health, Ministry of Finance, Ghana Health Service, Ghana Revenue

Authority, National Health Insurance Authority, Pharmaceutical Society of Ghana, World Health

Organization, United Nations Industrial Development Organization, Ghana Chamber of Pharmacy,

Community Practice Pharmacists Association, Pharmaceutical Manufacturers Association of Ghana and

Christian Health Association of Ghana were assembled for this task.

The output of the committee’s deliberations, among a number of recommendations for the reform of

pricing in the pharmaceutical sector, is this price review document to be implemented by the National

Health Insurance Authority effective 1st July 2018.

Page 4: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page iii

3.0 Exclusions

The original development of the Medicines List concentrated on diseases covered by the benefits

package under the National Health Insurance Scheme. Medicines used for specific healthcare

intervention programmes are considered as exemptions and are thus excluded from the List. These

include childhood immunizations, tuberculosis and mental health care. Some medicines used in mental

health, however, may be used in general practice as well. Such situations have been recognized and

medicines have been listed for such conditions. The list also does not include medical devices and

supplies, and all anesthetic agents because their prices are included in the tariffs for services for which

they are used.

4.0 How to use this document

The medicines on this list are described in their Generic or International Non-Proprietary Names

and include the dosage form and strength. For example: Paracetamol Tablet, 500mg. The

proprietary names of very few medicines are used as the ‘generic’ name as a result of long standing

common usage, for example, Aspirin Tablet instead of Acetyl Salicylic Acid Tablet. Medicines should

be prescribed by the names on this list. Personal abbreviations of names of medicines must be avoided,

for example, P’mol for paracetamol would not be accepted on the claims form for reimbursement.

The Unit of Pricing column provides information on the basis of the price quoted in the Price

column. Examples of the units of pricing are tablet, capsule, suppository, pessary, vial, ampoule, weight

(for creams, ointments, granules etc), and volume (for liquids). It is important that prescribers indicate

the quantity of medicines to be supplied on the prescription. This is a normal requirement for

prescribing and will be very helpful in claims processing for reimbursement.

A prescription for two (2) Paracetamol Tablets, 500mg to be taken three times a day for 3 days must

indicate the quantity to be supplied as 18 (6 tablets a day for 3 days). Thus, the reimbursed amount will

be the price of one tablet of Paracetamol (0.04 Ghana Cedis) multiplied by 18, which is 18 x 0.04 Cedis

= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those

Page 5: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page iv

medicines used as part of procedures, the tariffs developed for the procedures include the cost of the

relevant medicines.

In calculating the cost of medicines supplied, particular attention should be paid to the unit of pricing.

Where a unit of pricing is stated as a course by volume, the price indicated is for the whole course, not

per tablet or ml. For example for AMOARTTA1, the GH¢ 2.45 price quoted below is for the one full

Course of six tablets, not per tablet.

Code Generic name, dosage form, strength Unit of Pricing Price

1. AMOARTTA1 Amodiaquine + Artesunate Tablet, 75 1 Course 2.45

mg + 25 mg (6 tabs)

2. ARTLUMSU1 Artemether + Lumefantrine Suspension, 100 mL 5.63 (Powder For Reconstitution) 20 mg + 120 mg / 5 mL

4.1 Local codes (Nine Alpha-numeric characters)

The code generated for each medicine item was limited to a fixed length of NINE alphanumeric

characters. A system of classification based on the first six characters of the generic name of the

medicine (with variations), formulation (which is the next two characters) and strength being the last

character, was designed to provide each medicine on the NHIS Medicines List a unique identity. Where

there is more than one strength of the same formulation, the medicine’s code was arranged

numerically in ascending order of strength. In designing the codes, consideration was also given to the

practicality of filling forms within diverse health institutions (public and private); with different staff

strengths and capabilities.

For example, the code for Albendazole Tablet, 200 mg would be ALBENDTA1, with ALBEND from

its generic name, TA- indicating that it is tablet and 1 as the lower strength; as opposed to 2 for the

400 mg which is a higher strength.

Exceptions to the ‘First 6 character’ rule apply when the generic name of the medicine is made up of

two or more words. Thus where the generic name has two words, the first three characters of each

word are joined to form the first six characters of the code.

Page 6: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page v

For example, the code for Magnesium TrisilicateTablet, 500 mg is MAGTRITA1.

On the other hand, where the generic name has three words the first two characters of each word are

joined for the first six letters. An example is Magnesium Trisilicate + Aluminium Hydroxide Mixture

with code MATRALMI1.

The two character designation for the dosage forms are given in Table 1.

Table 1 Abbreviations for dosage forms used in the coding

CA - CAPSULE

CR - CREAM

DT - DISPERSIBLE TABLET

DR - DROPS

ED - EAR DROPS*

EL - ELIXIR

EO - EYE OINTMENT

GA - GASEOUS

GE - GEL

ID - EYE DROPS*

IN - INJECTION

LI - LIQUID

LO - LOTION

MI - MIXTURE

MW - MOUTH WASH

OG - ORAL GEL

OI - OINTMENT

PO - POWDER/GRANULES

RE - RECTAL (Suppository)

RS - RECTAL SOLUTION (RECTAL TUBES)

SH - SHAMPOO

SP - SPRAY

SU - SUSPENSION

SY - SYRUP

TA - TABLET

TD - TABLET DISPERSIBLE

VC - VAGINAL CREAM

VP - VAGINAL PESSARY

ND - NASAL DROPS

*Note that where two words describe the dosage form the initials are used. In this case, Eye Drop is

coded ID to distinguish it from Ear Drops which is ED.

Page 7: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page vi

A few of the medicines with identical codes have had the principle of the first six characters modified

in order to avoid confusion. Identical codes occur when:

• medicines appear under more than one therapeutic class

• the first six characters of a medicine name and the dosage form are identical

Below are some examples:

1. Chlorpromazine and Chlorphenamine Tablets changed to CHLPRO AND CHLPHE respectively;

5.0 Level of Prescribing

The level of prescribing is the lowest level of health care delivery at which a specific medicine can be

prescribed. These levels have been adopted from the 2017 Essential Medicines List (EML) of the

Ministry of Health. The overall goals of enforcing the levels for medicines on the NHIS Medicines List

are to improve quality of care, promote rational use of medicines and contain escalating cost of

medicines to the scheme. The categorization is as follows:

Level A – Community- based Health Planning and Services (CHPS; the lowest level)

Level M – Midwifery

Level B1 – Health Centre without Doctor

Level B2 – Health Centre with Doctor

Level C – District Hospital

Level D – Regional/Teaching Hospital

Level SM – Specialist Medicines

As indicated in the EML 2017, Specialist Drugs are restricted for use by qualified specialists who may

request for them.

With these categories a medicine assigned a level B2 can only be prescribed by prescribers at B2 level

facilities and above, i.e. at a health centre with a doctor, district, regional, and teaching hospitals. For

example:

Page 8: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page vii

Code Generic name, dosage form, strength Unit of

Pricing Price Level of

Prescribing

MIDAZOTA1 Midazolam Tablet, 15 mg Tablet 2.10 B2

The level of prescribing for Midazolam Tablet, 15mg is B2 which indicates that it can be prescribed only

at a health centre with a doctor, district, regional, and teaching hospitals. This means that prescribers’

at community, midwifery and health centres without a doctor cannot prescribe Midazolam Tablet

15mg.

6.0 Prescribing Guidelines

All NHIS prescriptions should be written on approved prescription forms and in approved formats. Only

medicines on the NHIS Medicines List shall be permitted for reimbursement and only accredited

providers shall prescribe for dispensing under the NHIS. The following, working in accredited health

facilities, are currently authorized to prescribe medicines: Medical practitioners, Dentists, Midwives,

Medical Assistants and Nurses in specialized fields.

All prescriptions should fulfill the following requirements:

• conformity with Ghanaian laws including the Health Professions Regulatory Act, 2013 (Act 857)

• written legibly in ink or otherwise so as to be indelible

• written by the prescriber and not left for another person to complete

• should be dated

• the full name and address of the patient should be stated

• the age and weight (in the case of children) of the patient being treated should be specified

• the diagnosis being treated should be stated

The prescription should also contain the following:

Dosage form, generic name of medication, strength, dose and dosage schedule

Exact quantity of medication to be supplied

the signature of the prescriber (which should be in ink)

Page 9: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page viii

7.0 Dispensing Guidelines

The dispensing of all prescriptions under the NHIS must be carried out either by a pharmacist or

under the direct supervision of a pharmacist who can intervene, if necessary. The dispenser should

ensure the following:

that the prescription is legally valid, genuine and has not been altered after issuing

that the items on the prescription can be prescribed under the NHIS i.e. they are on the NHIS

Medicines List

Each medicine on the prescription contain the dosage form, generic name, strength, dose,

dosage schedule and quantity of medication to be supplied

the prescription is assessed for validity, safety and clinical appropriateness.

the dosage form and route of administration are appropriate according to the patient’s gender,

age and clinical condition.

8.0 Labelling

Each dispensed medication should be appropriately packaged and adequately labelled with the

following minimum information:

• Name of the patient and the generic name of the medicine

• Strength of the active ingredient and special instructions

• Quantity of dispensed product

• Complete dose regimen in written and/or graphic form

• Duration of use

• Name and address of the dispensing facility and dispenser

• Date of dispensing

Page 10: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 1

9.0 List of Medicines and Prices

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

ACETAZIN1 Acetazolamide Injection, 500 mg Ampoule 28.88 C

ACETAZTA1 Acetazolamide Tablet, 250 mg Tablet 0.18 C

ACETYLIN1 Acetylcysteine Injection, 200 mg/mL 1 mL 54.60 B1

ACETYLDT1 Acetylsalicylic Acid Tablet, 75 mg (Dispersible) Tablet 0.04 B2

ACETYLTA1 Acetylsalicylic Acid Tablet, 300 mg Tablet 0.04 A

ACTCHAPO1 Activated Charcoal Powder, 50 g 50 G 7.00 A

ACICLOCR1 Acyclovir Cream, 5% 5G 6.65 C

ACICLOEO1 Acyclovir Eye Ointment, 3% 2G 10.50 C

ACICLOIN1 Acyclovir Injection, 250 mg vial Vial 36.40 C

ACICLOSU2 Acyclovir Suspension, 200 mg/5 mL 20 mL 47.60 B2

ACICLOTA1 Acyclovir Tablet, 200 mg Tablet 1.12 B2

ADRENAIN1 Adrenaline Injection, 1 mg/1mL (1:1000) 1 mL 0.46 M

ADRENAIN2 Adrenaline Injection, 1:10,000 Vial 4.20 M

ADRIAMIN1 Adriamycin Injection, 50 mg Vial 36.40 D

ALBENDSY1 Albendazole Syrup, 100 mg/5 mL 20 mL 1.65 A

ALBENDTA1 Albendazole Tablet, 200 mg Tablet 1.75 A

ALBENDTA2 Albendazole Tablet, 400 mg Tablet 0.74 A

ALLOPUTA1 Allopurinol Tablet, 100 mg Tablet 0.20 B1

ALLOPUTA2 Allopurinol Tablet, 300 mg Tablet 0.23 B1

AMIACIIN1 Amino Acid Solution Injection, 10% 200 mL 17.33 D

AMIACIIN2 Amino Acid Solution Injection, 20% 200 mL 18.06 D

AMINOPIN1 Aminophylline Injection, 250 mg/10 mL Ampoule 1.40 B2

AMIODATA1 Amiodarone Tablet, 200 mg Tablet 0.42 SM

AMITRITA1 Amitriptyline Tablet, 10 mg Tablet 0.14 B1

AMITRITA2 Amitriptyline Tablet, 25 mg Tablet 0.14 B2

AMITRITA3 Amitriptyline Tablet, 50 mg Tablet 0.28 B1

AMLODITA1 Amlodipine Tablet, 5 mg Tablet 0.15 B2

AMLODITA2 Amlodipine Tablet, 10 mg Tablet 0.21 B2

AMOARTPO1 Amodiaquine + Artesunate Granular Powder, 75 mg + 25 mg Sachet 0.61 A

AMOARTPO2 Amodiaquine + Artesunate Granular Powder, 150 mg + 50 mg Sachet 0.79 A

AMOARTTA1 Amodiaquine + Artesunate Tablet, 75 mg + 25 mg (6 tabs) 1 Course 2.45 A

AMOARTTA2 Amodiaquine + Artesunate Tablet, 150 mg + 50 mg (12 tabs) 1 Course 2.45 A

COAMOXIN1 Amoxicillin + Clavulanic Acid Injection, 500 mg + 100 mg Vial 6.30 B2

COAMOXIN2 Amoxicillin + Clavulanic Acid Injection, 1.2g Vial 9.45 B2

COAMOXSU1 Amoxicillin + Clavulanic Acid Suspension, 250 mg + 62 mg 70 mL 9.10 B1

Page 11: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 2

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

COAMOXSU2 Amoxicillin + Clavulanic Acid Suspension, 400 mg + 57 mg 70 mL 9.80 B1

COAMOXTA1 Amoxicillin + Clavulanic Acid Tablet, 500 mg + 125 mg Tablet 0.93 B1

COAMOXTA2 Amoxicillin + Clavulanic Acid Tablet, 875 mg + 125 mg Tablet 1.38 B2

AMOXICCA1 Amoxicillin Capsule, 250 mg Capsule 0.08 A

AMOXICCA2 Amoxicillin Capsule, 500 mg Capsule 0.16 A

AMOXICSU1 Amoxicillin Suspension, 125 mg/5 mL 100 mL 2.10 A

AMPICIIN1 Ampicillin Injection, 500 mg Vial 0.70 B1

ANASTRTA1 Anastrozole Tablet, 1 mg Tablet 5.57 SM

ANIMGLIN1 Anti RH Immunoglobulin Injection, 1500IU /5ml Vial 136.50 C

AQUEOUCR1 Aqueous Cream BP 100 G 5.25 A

ARTLUMSU1 Artemether + Lumefantrine Suspension, (Powder For Reconstitution) 20 mg + 120 mg / 5 mL 100 mL 5.63 A

ARTLUMTA1 Artemether + Lumefantrine Tablet, 20 mg + 120 mg (24’s) 1 Course 2.38 A

ARTLUMDT1 Artemether + Lumefantrine Dispersible,(20 mg + 120 mg) Tablet 6 Tablets 0.65 A

ARTESUIN1 Artesunate Injection, 30 mg Vial 3.38 B2

ARTESUIN2 Artesunate Injection, 60 mg Vial 3.38 B2

ARTESURE1 Artesunate Suppository, 50 mg Supp. 1.75 A

ARTESURE2 Artesunate Suppository, 200 mg Supp. 2.33 A

ATEHYDTA2 Atenolol + Hydrochlorthiazide Tablet, 100 mg + 25 mg Tablet 1.50 B2

ATEHYDTA1 Atenolol + Hydrochlorthiazide Tablet, 50 mg + 25 mg Tablet 0.75 B2

ATENOLIN1 Atenolol Injection, 500 microgram/10 mL Ampoule 6.83 D

ATENOLTA1 Atenolol Tablet, 25 mg Tablet 0.09 B2

ATENOLTA2 Atenolol Tablet, 50 mg Tablet 0.14 B2

ATENOLTA3 Atenolol Tablet, 100 mg Tablet 0.14 B2

ATORVATA1 Atorvastatin Tablet, 10 mg Tablet 0.41 C

ATORVATA2 Atorvastatin Tablet, 20 mg Tablet 0.62 C

ATROPIID1 Atropine Eye Drops, 1% 10 mL 11.90 C

ATROPIIN1 Atropine Injection, 0.6 mg/mL 1 mL 2.10 B2

AZITHRCA1 Azithromycin Capsule, 250 mg Capsule 0.93 C

AZITHRSU1 Azithromycin Oral Suspension, 200 mg/5 mL/15mL 15 mL 6.65 C

AZITHRSU2 Azithromycin Oral Suspension, 200 mg/5 mL/30mL 30 mL 8.40 C

BADOESIN1 Badoe's Solution Injection, 1000 mL 1000 mL 8.17 B1

BECDIPGA1 Beclometasone dipropionate Inhaler, 50 microgram/metered dose (200 doses) Inhaler 29.75 B2

BECDIPGA2 Beclometasone dipropionate Inhaler, 100 microgram/metered dose (200 doses) Inhaler 44.80 B2

Page 12: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 3

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

BECDIPGA3 Beclometasone dipropionate Inhaler, 200 microgram/metered dose (200 doses) Inhaler 63.00 B2

BENDROTA1 Bendroflumethiazide Tablet, 2.5 mg Tablet 0.05 B1

BENZATIN1 Benzatropine Injection, 1 mg/mL 1 mL 6.06 C

BENZATTA1 Benzatropine Tablet, 2 mg Tablet 0.25 C

BEACSAOI1 Benzoic Acid + Salicylic Acid Ointment, 6% + 3% 25 G 2.45 A

BENPERCR1 Benzoyl Peroxide Cream, 5% 30 G 15.23 C

BENPERCR2 Benzoyl Peroxide Cream, 10% 30 G 13.14 C

BENBENLO1 Benzyl Benzoate Lotion, 25% 30mL 3.15 A

BENBENLO2 Benzyl Benzoate Lotion, 25% 100 mL 4.20 A

BENZYLIN1 Benzylpenicillin Injection, 1 MU Vial 0.56 B1

BENZYLIN2 Benzylpenicillin Injection, 5 MU Vial 1.05 B1

BETVALCR2 Betamethasone Valerate cream, 0.1% 15 G 7.65 D

BETAXOID1 Betaxolol HCL Eye Drops, 0.5% 5 mL 15.47 C

BISACOTA1 Bisacodyl Tablet, 5 mg Tablet 0.09 B1

BROMOCTA1 Bromocriptine Tablet, 2.5 mg Tablet 1.56 D

BUDFORGA1 Budesonide + Formoterol Inhaler 80 microgram/4.5 microgram (60 Doses) Inhaler 48.11 D

BUDFORGA2 Budesonide + Formoterol Inhaler 160 microgram/4.5 microgram (60 Doses) Inhaler 78.13 D

BUDESOGA1 Budesonide DPI, 100 microgram (100 Doses) Inhaler 33.60 D

BUDESOGA2 Budesonide DPI, 200 microgram (100 Doses) Inhaler 51.69 D

CALAMICR1 Calamine Cream, 15% 40 G 2.35 A

CALAMILO1 Calamine Lotion, 15% 200 mL 2.80 A

CALCIFTA1 Calciferol Tablet, 10,000 units Tablet 2.03 D

CALGLUIN1 Calcium Gluconate Injection, 100 mg/mL in 10 mL Ampoule 3.70 B2

CALCARTA1 Calcium Carbonate Tablet, 500 mg Tablet 0.35 B1

CALVITTA1 Calcium with Vitamin D Tablet, (97 mg + 10 microgram) Tablet 0.04 M

CAPECITA1 Capecitabine Tablet, 500 mg Tablet 13.30 B2

CARBAMTA3 Carbamazepine Sustained-Release Tablet, 200 mg Tablet 0.73 C

CARBAMTA4 Carbamazepine Sustained-Release Tablet, 400 mg Tablet 1.33 C

CARBAMTA1 Carbamazepine Tablet, 100 mg Tablet 0.14 B2

CARBAMTA2 Carbamazepine Tablet, 200 mg Tablet 0.20 B2

CARBIMTA1 Carbimazole Tablet, 5 mg Tablet 0.38 C

CARBIMTA2 Carbimazole Tablet, 20 mg Tablet 1.40 C

CARBOCSY1 Carbocisteine Paediatric Syrup , 125 mg/5 mL 100 mL 4.55 B1

CARBOCSY2 Carbocisteine Syrup, 250 mg/5 mL 100 mL 5.43 B1

CEFACLCA1 Cefaclor Capsule, 250 mg Capsule 1.01 B2

CEFACLCA2 Cefaclor Capsule, 500 mg Capsule 2.14 B2

CEFACLSU1 Cefaclor Suspension, 125 mg/5 mL 100 mL 8.75 B2

CEFACLSU2 Cefaclor Suspension, 250 mg/5 mL 100 mL 12.29 B2

CEFOTAIN1 Cefotaxime Injection, 500 mg Vial 7.00 C

Page 13: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 4

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

CEFOTAIN2 Cefotaxime Injection, 1 g Vial 9.09 C

CEFTRIIN2 Ceftriazone Injection, 500 mg Vial 3.50 C

CEFUROIN1 Cefuroxime Injection, 750 mg Vial 4.72 B2

CEFTRIIN3 Ceftriazone Injection, 1g Vial 4.73 D

CEFUROSU1 Cefuroxime Suspension, 125 mg/5 mL 50mL 9.38 B2

CEFUROTA1 Cefuroxime Tablet, 125 mg Tablet 0.90 B2

CEFUROTA2 Cefuroxime Tablet, 250 mg Tablet 1.20 B2

CETIRICA1 Cetirizine softgel Capsule, 10 mg Capsule 0.18 B2

CETIRISY1 Cetirizine Syrup, 5 mg/5 mL 30 mL 2.24 B2

CETIRITA1 Cetirizine Tablet, 10 mg Tablet 0.06 A

CETRIMSO1 Cetrimide Solution 200 mL 3.50 M

CHLORAED1 Chloramphenicol Ear Drops, 5% 10 mL 1.75 A

CHLORAID1 Chloramphenicol Eye Drops, 0.5% 10 mL 1.75 A

CHLORAEO1 Chloramphenicol Eye Ointment, 1% 5 G 1.40 A

CHLORAIN1 Chloramphenicol Injection, 1 g 1 G 1.70 C

CHLORASU1 Chloramphenicol Suspension, 125mg/5mL 100 mL 2.10 B2

CHLORHCR1 Chlorhexidine Cream, 1% 15 G 3.50 A

CHLORHMW1 Chlorhexidine Mouthwash, 0.2% 200 mL 4.29 A

CHLORHSO1 Chlorhexidine Solution, 2.5% 100 mL 3.50 A

CHLPHESY1 Chlorphenamine Syrup, 2 mg/5 mL 100 mL 2.16 A

CHLPHETA1 Chlorphenamine Tablet, 4 mg Tablet 0.01 A

CHLPROIN1 Chlorpromazine Injection, 25 mg/mL in 2 mL Ampoule 1.86 B2

CHLPROTA1 Chlorpromazine Tablet, 25 mg Tablet 0.11 B1

CHLPROTA2 Chlorpromazine Tablet, 50 mg Tablet 0.11 B1

CHLPROTA3 Chlorpromazine Tablet, 100 mg Tablet 0.21 B1

CHREFLIN1 Cholera Replacement Fluid Injection, (5:4:1) 500 mL 500 mL 4.94 B1

CHREFLIN2 Cholera Replacement Fluid Injection, (5:4:1) 1 Litre 1000 mL 6.15 B1

CIPTINTA1 Ciprofloxacin + Tinidazole Tablet, 500 mg + 500 mg Tablet 0.84 B2

CIPROFID1 Ciprofloxacin Eye Drops, 0.3% 10 mL 3.50 B2

CIPROFIN1 Ciprofloxacin Infusion, 2 mg/mL in 100 mL Bottle 2.54 B2

CIPROFTA1 Ciprofloxacin Tablet, 250 mg Tablet 0.35 B1

CIPROFTA2 Ciprofloxacin Tablet, 500 mg Tablet 0.16 B1

CLARITCA1 Clarithromycin Capsule, 250 mg Capsule 1.05 C

CLARITCA2 Clarithromycin Capsule, 500 mg Capsule 2.10 C

CLARITSU1 Clarithromycin Paediatric Suspension, 125 mg/5 mL 100 mL 15.75 C

CLINDACA1 Clindamycin Capsule, 150 mg Capsule 0.61 C

CLINDAIN1 Clindamycin Injection, 150 mg/mL in 2 mL Vial 9.66 C

CLINDASU1 Clindamycin Suspension, 75 mg/5 mL 100 mL 25.69 C

CLINDASO1 Clindamycin Topical Solution, 1% 30 mL 31.50 C

CLOPROCR1 Clobetasol Propionate Cream, 0.05% 15 G 2.45 C

CLOHYDCR1 Clotrimazole + Hydrocortisone Cream, 1% + 1% 15 G 3.00 C

CLOTRICR1 Clotrimazole Cream, 1% 15 G 2.80 A

Page 14: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 5

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

CLOTRICR2 Clotrimazole Cream, 2% 15 G 3.01 A

CLOTRIVP1 Clotrimazole Pessary, 100 mg 6 Pess. 2.80 M

CLOTRIVP2 Clotrimazole Pessary, 200 mg 3 Pess. 3.52 M

CLOTRIVP3 Clotrimazole Pessary, 500 mg 1 Pess. 4.80 B1

CLOXACIN1 Cloxacillin Injection, 250 mg Vial 1.05 B1

CLOXACIN2 Cloxacillin Injection, 500 mg Vial 1.75 B1

CODEINTA1 Codeine Tablet, 30 mg Tablet 0.35 B2

COOENOTA1 Conjugated Oestrogen + Norgesterol Tablet, 625 microgram + 150 microgram Tablet 1.40 C

CONOESTA1 Conjugated Oestrogen Tablet, 625 microgram Tablet 0.70 D

CONOESVC1 Conjugated Oestrogen Vaginal cream, 625 microgram/g 1 G 0.88 D

CORANTID1 Corticosteroid + Antibiotic Eye Drops 10 mL 5.95 C

CORANTEO1 Corticosteroid + Antibiotic Eye Ointment 10 G 5.39 C

COTRIMSU1 Co-trimoxazole Suspension, (200+40) mg/5 mL 100 mL 1.75 A

COTRIMTA1 Cotrimoxazole Tablet, (400+80) mg Tablet 0.06 A

CYCLOPID1 Cyclopentolate Eye Drops, 1% 5 mL 10.50 SM

CYCLOPIN1 Cyclophosphamide Injection, 500 mg Vial 5.79 D

DALSODIN1 Dalteparin Sodium Injection, 5000 units/0.2 mL Prefilled Syringe 24.65 D

DARROWIN1 Darrow's Solution Injection, HalfStrength 250 mL 250 mL 3.39 B1

DEXAMEID1 Dexamethasone Eye Drops, 1% 5 mL 5.60 C

DEXAMEEO1 Dexamethasone Eye Ointment, 1% 5 G 3.68 C

DEXAMEIN1 Dexamethasone Injection, 4 mg/mL 1mL 0.43 C

DEXAMEIN2 Dexamethasone Injection, 8 mg/2 mL 2mL 0.70 C

DEXAMETA1 Dexamethasone Tablet, 500 microgram Tablet 0.04 D

DESOCHIN1 Dextrose in Sodium Chloride Intravenous Infusion, 4.3% in 0.18% (250 mL) 250 mL 3.87 M

DESOCHIN2 Dextrose in Sodium Chloride Intravenous Infusion, 5% in 0.9% (500 mL) 500 mL 4.84 M

DEXTROIN1 Dextrose Infusion, 5% (250 mL) 250 mL 3.87 M

DEXTROIN2 Dextrose Infusion, 5% (500 mL) 500 mL 4.80 M

DEXTROIN3 Dextrose Infusion, 10% (250 mL) 250 mL 3.95 B1

DEXTROIN4 Dextrose Infusion, 10% (500 mL) 500 mL 4.95 B1

DEXTROIN6 Dextrose Infusion, 50% (250 mL) 250 mL 4.56 B1

DIAZEPIN1 Diazepam Injection, 5 mg/mL in 2 mL Ampoule 1.77 B1

DIAZEPRS1 Diazepam Rectal Tubes, 2 mg/mL in 1.25 mL Rectal Tube 3.15 A

DIAZEPTA1 Diazepam Tablet, 5 mg Tablet 0.03 M

DIAZEPTA2 Diazepam Tablet, 10 mg Tablet 0.05 M

DICLOFCA1 Diclofenac Capsule, 75 mg Capsule 0.19 B1

DICLOFGE1 Diclofenac Gel 30 G 2.31 M

DICLOFIN1 Diclofenac Injection, 75mg/3mL Ampoule 0.41 B1

DICLOFRE1 Diclofenac Suppository, 50 mg Supp. 0.49 A

Page 15: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 6

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

DICLOFRE2 Diclofenac Suppository, 100 mg Supp. 0.66 M

DICLOFTA2 Diclofenac Tablet, 50 mg Tablet 0.04 A

DIESTITA1 Diethylstilboestrol Tablet, 1 mg Tablet 17.50 SM

DIESTITA2 Diethylstilboestrol Tablet, 5 mg Tablet 28.70 SM

DIGOXIEL1 Digoxin Elixir, 50 microgram/mL 60 mL 35.74 C

DIGOXITA1 Digoxin Tablet, 62.5 microgram Tablet 0.23 C

DIGOXITA2 Digoxin Tablet, 125 microgram Tablet 0.19 C

DIGOXITA3 Digoxin Tablet, 250 microgram Tablet 0.23 C

DIHPIPPO1 Dihydroartemisin + Piperaquine Granular Powder, 10 mg + 80 mg Sachet 0.70 A

DIHYDRTA1 Dihydrocodeine Tablet, 30 mg Tablet 0.25 C

DISOPYCA1 Disopyramide Capsule, 100 mg Capsule 0.46 D

DISPHOIN1 Disopyramide Phosphate Injection, 10 mg/mL in 5 mL Ampoule 12.25 D

DOCETAIN1 Docetaxel Injection, 20 mg/mL Ampoule 154.21 D

DOMPERTA1 Domperidone Tablet, 10 mg Tablet 0.52 D

DOPAMIIN1 Dopamine Injection, 40 mg/mL in 5 mL Vial 14.35 D

DOXAPRIN1 Doxapram Injection, 20 mg/mL in 5 mL Vial 10.85 D

DOXYCYCA1 Doxycycline Capsule, 100 mg Capsule 0.11 B1

ENOSODIN2 Enoxaparin Sodium Injection, 40 mg/0.4 mL Prefilled Syringe 30.17 B2

EPHEDRIN1 Ephedrine HCI Injection, 30 mg/mL Ampoule 4.20 C

EPHEDRND1 Ephedrine Nasal Drops, 0.5% 10 mL 2.45 A

EPHEDRND2 Ephedrine Nasal Drops, 1% 10 mL 2.45 A

ERGOMEIN1 Ergometrine Injection, 0.2 mg/mL 1 mL 0.28 M

ERGOMEIN2 Ergometrine Injection, 0.5 mg/ml 1 mL 1.02 M

ERGOMETA1 Ergometrine Tablet, 0.5 mg Tablet 0.13 A

ERGOTATA1 Ergotamine Tablet, 2 mg Tablet 0.15 C

ERYTHRSY1 Erythromycin Syrup, 125 mg/5 mL 100 mL 3.50 B1

ERYTHRTA1 Erythromycin Tablet, 250 mg Tablet 0.15 B1

ESOMEPCA1 Esomeprazole Capsule, 20 mg Capsule 1.47 C

ESOMEPCA2 Esomeprazole Capsule, 40 mg Capsule 2.38 C

ETHOSUSY1 Ethosuximide Syrup, 250 mg/5 mL 200 mL 22.58 D

ETHOSUTA1 Ethosuximide Tablet, 250 mg Tablet 4.55 D

FEAMCISU1 Ferric Ammonium Citrate Mixture (FAC) 200 mL 2.10 A

FERFUMTA1 Ferrous Fumarate Tablet, 100 mg (Elemental Iron) Tablet 0.01 A

FERSULSY1 Ferrous Sulphate (BPC) Syrup, 60 mg/5 mL 200 mL 2.77 A

FESUFOTA1 Ferrous Sulphate + Folic Acid Tablet, 50 mg (Elemental Iron) + 400 microgram Tablet 0.13 A

FERSULTA1 Ferrous Sulphate Tablet, 60 mg (Elemental Iron) Tablet 0.01 A

FINASTTA1 Finasteride Tablet, 5 mg Tablet 0.62 SM

FLUCLOCA1 Flucloxacillin Capsule, 250 mg Capsule 0.20 B1

FLUCLOIN1 Flucloxacillin Injection, 250 mg Vial 2.45 B2

Page 16: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 7

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

FLUCLOIN2 Flucloxacillin Injection, 500 mg Vial 2.80 B2

FLUCLOSU1 Flucloxacillin Suspension, 125 mg/5 mL 100 mL 2.80 B1

FLUCONCA1 Fluconazole Capsule, 150 mg Capsule 2.38 B2

FLUCONCA2 Fluconazole Capsule, 200 mg Capsule 2.73 B2

FLUCONSU1 Fluconazole Suspension, 10 mg/mL 35 mL 4.20 B2

FLUCONSU2 Fluconazole Suspension, 50 mg/5 mL 35 mL 5.60 B2

FLUCONTA1 Fluconazole Tablet, 50 mg Tablet 1.75 B2

FLUDROTA1 Fludrocortisone Tablet, 100 microgram Tablet 0.93 D

FLUOXECA1 Fluoxetine Capsule, 20 mg Capsule 0.54 C

FLUPENTA2 Flupentixol Tablet, 1mg Tablet 0.88 C

FLUPENTA1 Flupentixol Tablet, 500 microgram Tablet 0.88 C

FLUDECIN1 Fluphenazine Deconoate Injection, 25 mg/mL 1 mL 12.78 SM

FLUSALGA1 Fluticasone + Salmeterol Inhaler, 250 microgram/50 microgram (60 Doses) Inhaler 67.59 D

FLUTICGA2 Fluticasone MDI, 125 microgram (120 Dose) Inhaler 38.46 D

FLUTICGA3 Fluticasone MDI, 250 microgram (120 Dose) Inhaler 64.40 D

FLUVASCA1 Fluvastatin Capsule, 20 mg Capsule 1.82 D

FOLACITA1 Folic Acid Tablet, 5 mg (Blister Pack) 10 Tablets 0.03 A

FUROSEIN1 Furosemide Injection, 10 mg/mL in 2 mL Ampoule 0.35 B2

FUROSETA1 Furosemide Tablet, 40 mg Tablet 0.10 B1

GELATIIN1 Gelatin Infusion (Succinylated Gelatin) 500 mL 10.15 B2

GENTAMED1 Gentamicin Ear Drops, 0.3% 10mL 1.40 B1

GENTAMID1 Gentamicin Eye Drops, 0.3% 10 mL 1.40 B1

GENTAMIN1 Gentamicin Injection, 40 mg/mL in 2 mL Ampoule 0.34 C

GLIBENTA1 Glibenclamide Tablet, 5 mg Tablet 0.04 B1

GLICLATA1 Gliclazide Tablet, 80 mg Tablet 0.21 C

GLIMEPTA1 Glimepiride Tablet, 1 mg Tablet 0.40 C

GLIMEPTA2 Glimepiride Tablet, 2 mg Tablet 0.52 C

GLIMEPTA3 Glimepiride Tablet, 3 mg Tablet 0.99 C

GLIMEPTA4 Glimepiride Tablet, 4 mg Tablet 0.78 C

GLUCAGIN1 Glucagon Injection, 1 mg Ampoule 54.99 C

GLTRSUTA1 Glyceryl Trinitrate Sublingual Tablet, 500 microgram 100 Tablets 27.30 C

GRANISIN1 Granisetron Injection, 1 mg/1mL Ampoule 20.67 D

GRANISTA1 Granisetron Tablet, 1 mg Tablet 9.83 D

GRISEOSU1 Griseofulvin Suspension, 125 mg/5 mL 100 mL 5.36 B2

GRISEOTA1 Griseofulvin Tablet, 125 mg Tablet 0.07 B1

GRISEOTA2 Griseofulvin Tablet, 500 mg Tablet 0.35 B1

HALOPEIN1 Haloperidol Injection, 5 mg/5 mL Ampoule 2.80 SM

HALOPETA1 Haloperidol Tablet, 0.5 mg Capsule 0.37 C

HALOPETA2 Haloperidol Tablet, 5 mg Tablet 0.48 C

HALOPETA3 Haloperidol Tablet, 10 mg Tablet 0.84 C

Page 17: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 8

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

HEPARIIN1 Heparin Injection, 1000 units/mL in 5 mL Ampoule 8.05 D

HEPARIIN2 Heparin Injection, 5000 units/mL in 1mL Ampoule 7.00 D

HEPARIIN3 Heparin Injection, 5000 units/mL in 5 mL Vial 18.52 D

HUIMTEIN1 Human Immune Tetanus Globulins Injection, 250 IU/mL 1 mL 18.62 B1

HUIMTEIN2 Human Immune Tetanus Globulins Injection, 500 IU/mL 2 mL 3.50 B1

HYDRALIN1 Hydralazine Injection, 20 mg Ampoule 15.61 C

HYDRALTA1 Hydralazine Tablet, 25 mg Tablet 0.70 B2

HYDROCCR1 Hydrocortisone Cream, 1% 15 G 4.03 B1

HYDROCID1 Hydrocortisone Eye Drops, 1% 5 mL 5.43 C

HYDROCEO1 Hydrocortisone Eye Ointment, 1% 5 G 4.20 C

HYSOSUIN1 Hydrocortisone Sodium Succinate Injection, 100 mg Vial 2.10 M

HYDROXIN1 Hydroxocobalamin Injection, 1 mg/mL 1 mL 5.25 D

HYOBUTIN1 Hyoscine Butylbromide Injection, 20 mg/ mL 1 mL 0.70 M

HYOBUTTA1 Hyoscine Butylbromide Tablet, 10 mg Tablet 0.47 M

IBUPROSU1 Ibuprofen Suspension, 100 mg/5 mL 100 mL 2.10 A

IBUPROTA1 Ibuprofen Tablet, 200 mg Tablet 0.04 A

IBUPROTA2 Ibuprofen Tablet, 400 mg Tablet 0.09 A

IMIPRATA1 Imipramine Tablet, 25 mg Tablet 0.19 C

INPRMIIN1 Insulin premixed (30/70) HM Injection, 100 units/mL in 10 mL Vial 45.00 C

INSSOLIN1 Insulin Soluble HM, 100 units/mL in 10 mL Vial 45.00 C

INTRALSO1 Intralipid Solution (for TPN) 500 mL 36.05 D

IROPOLCA1 Iron (III) Polymaltose Complex Capsule Capsule 0.14 M

IROPOLSU1 Iron (III) Polymaltose Complex Suspension 200 mL 6.38 M

IRODEXIN1 Iron Dextran Injection, 50 mg/mL 2 mL 1.33 C

IROSUCIN1 Iron Sucrose Injection, 20 mg/mL Ampoule 12.20 SM

ISOINSIN1 Isophane Insulin Injection (HM), 100 units/mL in 10 mL Vial 45.00 C

ISODINTA1 Isosorbide Dinitrate Tablet, 10 mg Tablet 1.05 C

ITRACOCA1 Itraconazole Capsule, 100 mg Capsule 4.20 D

ITRACOSU1 Itraconazole Suspension, 10 mg/mL 30 mL 36.40 D

KETOCOCR1 Ketoconazole Cream, 30g Tube 3.85 B1

KETOCOTA1 Ketoconazole Tablet, 200 mg Tablet 0.35 C

LABETAIN1 Labetalol Injection, 5 mg/mL in 20 mL Ampoule 49.00 D

LABETATA1 Labetalol Tablet, 100 mg Tablet 0.73 D

LABETATA2 Labetalol Tablet, 200 mg Tablet 0.67 B2

LACTULLI1 Lactulose Liquid 3.1–3.7 g/5 mL 300 mL 17.26 C

LEVSODTA1 Levothyroxine Sodium Tablet, 25 microgram Tablet 0.42 C

LEVSODTA2 Levothyroxine Sodium Tablet, 50 microgram Tablet 0.49 C

LEVSODTA3 Levothyroxine Sodium Tablet, 100 microgram Tablet 0.56 C

LIDOCACR1 Lidocaine Cream, 2% 15 G 6.30 M

Page 18: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 9

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

LIDOCAGE1 Lidocaine Gel, 4% 15 G 7.88 M

LISHYDTA1 Lisinopril + Hydrochlorthiazide Tablet, (10 mg + 12.5 mg) Tablet 0.60 C

LISHYDTA2 Lisinopril + Hydrochlorthiazide Tablet, (20 mg + 12.5 mg) Tablet 0.95 C

LISINOTA1 Lisinopril Tablet, 2.5 mg Tablet 0.15 B2

LISINOTA2 Lisinopril Tablet, 5 mg Tablet 0.15 B2

LISINOTA3 Lisinopril Tablet, 10 mg Tablet 0.14 B2

LISINOTA4 Lisinopril Tablet, 20 mg Tablet 0.30 B2

LODOXAID1 Lodoxamide Eye Drops, 0.1% 10 mL 22.40 C

LORAZEIN1 Lorazepam Injection, 4 mg/mL in 1mL Ampoule 2.17 D

LORAZETA1 Lorazepam Tablet, 1 mg Tablet 0.32 B2

LORAZETA2 Lorazepam Tablet, 2 mg Tablet 0.33 B2

LORAZETA3 Lorazepam Tablet, 2.5 mg Tablet 0.88 D

LOSARTTA1 Losartan Tablet, 25 mg Tablet 0.28 C

LOSARTTA2 Losartan Tablet, 50 mg Tablet 0.35 C

LOSARTTA3 Losartan Tablet, 100 mg Tablet 0.56 C

MAGSULIN1 Magnesium Sulphate Injection, 20% (10 mL) Ampoule 2.05 M

MAGSULIN3 Magnesium Sulphate Injection, 50% (10 mL) Ampoule 6.80 M

MAGSULPO1 Magnesium Sulphate Salt 1 G 0.35 B2

MATRALMI1 Magnesium Trisilicate + Aluminium Hydroxide Mixture 200 mL 2.93 A

MATRALTA1 Magnesium Trisilicate + Aluminium Hydroxide Tablet Tablet 0.07 A

MAGTRIMI1 Magnesium Trisilicate Mixture 200 mL 1.75 A

MAGTRITA1 Magnesium Trisilicate Tablet, 500 mg Tablet 0.05 A

MANNITIN1 Mannitol Injection, 10% 500 mL 7.87 C

MANNITIN2 Mannitol Injection, 20% 500 mL 9.89 C

MEBENDSU1 Mebendazole Suspension, 100 mg/5 mL 30 mL 2.80 A

MEBENDTA1 Mebendazole Tablet, 100 mg 6 Tablets 1.26 A

MEBENDTA2 Mebendazole Tablet, 500 mg Tablet 1.75 A

MEBEVETA1 Mebeverine Tablet, 135 mg Tablet 0.57 C

MEDACETA1 Medroxyprogesterone Acetate Tablet, 5 mg Tablet 0.88 D

MEFACICA1 Mefenamic Acid Capsule, 250 mg Capsule 0.21 M

MEFACITA1 Mefenamic Acid Tablet, 500 mg Tablet 0.28 M

METFORTA1 Metformin Tablet, 500 mg Tablet 0.08 B1

METHOTIN1 Methotrexate Injection, 2.5 mg/ mL Ampoule 3.85 D

METHOTIN2 Methotrexate Injection, 25 mg/ mL in 2mL Ampoule 10.50 D

METHOTTA1 Methotrexate Tablet, 2.5 mg Tablet 1.06 D

METHOTTA2 Methotrexate Tablet, 10 mg Tablet 1.75 D

METCELID1 Methyl Cellulose Eye Drops, 0.3% 10 mL 9.80 C

METHYLTA1 Methyldopa Tablet, 250 mg Tablet 0.25 M

METOCLIN1 Metoclopramide Injection, 5 mg/mL in 2 mL Ampoule 1.05 C

Page 19: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 10

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

METOCLSY1 Metoclopramide Syrup, 5 mg/5 mL 200 mL 14.81 C

METOCLTA1 Metoclopramide Tablet, 10 mg Tablet 0.21 B2

METOLATA1 Metolazone Tablet, 5 mg Tablet 0.77 D

METRONIN1 Metronidazole Injection, 5 mg/mL in 100 mL Bottle 2.50 B1

METRONRE1 Metronidazole Suppository, 500 mg Supp. 1.40 B2

METRONSU1 Metronidazole Suspension, 100 mg/5 mL (as benzoate) 100 mL 2.10 A

METRONSU2 Metronidazole Suspension, 200 mg/5 mL(as benzoate) 100 mL 2.10 A

METRONTA1 Metronidazole Tablet, 200 mg Tablet 0.05 A

METRONTA2 Metronidazole Tablet, 400 mg Tablet 0.09 A

MICHYDCR1 Miconazole + Hydrocortisone Cream, 2% + 1% 15 G 4.90 C

MICONACR1 Miconazole Cream, 2% 15 G 4.20 B2

MICONAOG1 Miconazole Oral Gel, 25 mg/mL 40 G 21.00 B2

MICONAVP1 Miconazole Ovule, 400 mg 3 Ovules 7.77 A

MIDAZOIN1 Midazolam Injection, 5 mg/5mL Ampoule 8.58 C

MIDAZOTA1 Midazolam Tablet, 15 mg Tablet 2.10 B2

MORPHIIN1 Morphine Injection, 10 mg/mL Ampoule 4.20 B2

MORPHIIN2 Morphine Injection, 10 mg/mL (Preservative Free) Ampoule 9.80 SM

MORSULTA1 Morphine Sulphate Tablet, 10 mg (Slow release) Tablet 1.40 B2

MORSULTA2 Morphine Sulphate Tablet, 30 mg (Slow release) Tablet 3.52 B2

MULTIVDR1 Multivitamin Drops 20 mL 3.21 A

MULTIVSY1 Multivitamin Syrup 125 mL 2.75 A

MULTIVTA1 Multivitamin Tablet (Blister Pack) 10 Tablets 0.01 A

NALOXOIN1 Naloxone Injection, 400 microgram/mL in 1mL Ampoule 7.91 C

NEOMYCTA1 Neomycin Tablet, 500 mg Tablet 2.28 C

NEOBROTA1 Neostigmine Bromide Tablet, 15 mg Tablet 4.90 D

NEOSTIIN1 Neostigmine Injection, 2.5 mg/mL Ampoule 4.13 C

NIFEDICA1 Nifedipine Capsule, 10 mg Capsule 0.34 D

NIFEDITA1 Nifedipine Tablet, 10 mg (slow release) Tablet 0.18 B2

NIFEDITA2 Nifedipine Tablet, 20 mg (slow release) Tablet 0.12 B2

NIFEDITA3 Nifedipine Tablet, 30 mg (GITS) Tablet 0.39 B2

NITROFTA1 Nitrofurantoin Tablet, 100 mg Tablet 1.26 B2

NORETHTA1 Norethisterone Tablet, 5 mg Tablet 0.43 D

NYSTATOI1 Nystatin Ointment, 100,000 IU 30 G 10.50 B2

NYSTATTA1 Nystatin Pessary, 100,000 IU Pessary 0.60 B1

NYSTATSU1 Nystatin Suspension, 100,000 IU/mL 15 mL 6.30 B2

NYSTATTA2 Nystatin Tablet, 500,000 IU Tablet 0.51 B1

OMEPRAIN2 Omeprazole Injection, 40 mg Vial 8.40 B2

OMEPRATA1 Omeprazole Tablet, 20 mg Tablet 0.13 B1

ORRESAPO1 Oral Rehydration Salts Powder Sachet 0.54 A

OXYTOCIN1 Oxytocin Injection, 5 units/mL Ampoule 0.11 M

Page 20: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 11

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

OXYTOCIN2 Oxytocin Injection, 10 units/mL Ampoule 0.21 M

PACLITIN1 Paclitaxel Injection, 100 mg/16.7mL Vial 252.00 D

PARACERE1 Paracetamol Suppository, 125 mg Supp 0.40 A

PARACERE2 Paracetamol Suppository, 250 mg Supp 0.49 A

PARACERE3 Paracetamol Suppository, 500 mg Supp 0.58 A

PARACESY1 Paracetamol Syrup, 120 mg/5 mL 125 mL 3.63 A

PARACETA1 Paracetamol Tablet, 500 mg Tablet 0.04 A

PARAFFLI1 Paraffin Liquid 100 mL 2.36 A

PETHIDIN1 Pethidine Injection, 50 mg/mL in 2 mL Ampoule 2.65 B2

PHENOBEL1 Phenobarbital Elixir, 15 mg/5 mL 100 mL 4.14 B1

PHENOBIN1 Phenobarbital Injection, 200 mg/mL Ampoule 3.99 B1

PHENOBTA1 Phenobarbital Tablet, 30 mg Tablet 0.02 B1

PHENOBTA2 Phenobarbital Tablet, 60 mg Tablet 0.03 B1

PHENOLIN1 Phenol 5% in Almond Oil Injection 50 mL 5.24 SM

PHEPENTA1 Phenoxymethyl Penicillin Tablet, 250 mg Tablet 0.07 B1

PHENYTIN1 Phenytoin Injection, 50 mg/mL in 5 mL Ampoule 16.80 D

PHENYTCA2 Phenytoin Sodium Capsule, 100 mg Capsule 0.23 B1

PHENYTTA1 Phenytoin Sodium Tablet, 100 mg Tablet 0.18 B1

PHYTOMIN1 Phytomenadione Injection, 1 mg/mL (Paediatric) Ampoule 1.58 M

PHYTOMIN2 Phytomenadione Injection, 10 mg/mL Ampoule 1.75 M

PILOCAID1 Pilocarpine Eye Drops, 2% 10 mL 8.75 C

PILOCAID2 Pilocarpine Eye Drops, 4% 10 mL 9.80 C

PIOGLITA1 Pioglitazone Tablet, 15 mg Tablet 0.24 C

PIOGLITA2 Pioglitazone Tablet, 30 mg Tablet 0.28 C

PIRACETA1 Piracetam Tablet, 800 mg Tablet 1.40 C

POTCHLIN1 Potassium Chloride Injection, 20 mEq/10 mL Vial 3.50 C

POTCHLTA1 Potassium Chloride Tablet, 600 mg (Enteric Coated) Tablet 0.23 B1

POTCITMI1 Potassium Citrate Mixture BP 200 mL 2.03 A

POVIDOSO1 Povidone Iodine Aqueous Solution, 10% 100 mL 4.90 A

POVIDOOI1 Povidone Iodine Ointment, 10% 10 G 2.94 A

PRAZIQTA1 Praziquantel Tablet, 600 mg Tablet 0.40 B1

PRAZOSTA1 Prazosin Tablet, 500 microgram Tablet 0.33 D

PREDNIID1 Prednisolone Eye Drops, 0.5% 10 mL 2.98 SM

PREDNIID2 Prednisolone Eye Drops, 1% 10 mL 4.13 SM

PREDNITA1 Prednisolone Tablet, 5 mg Tablet 0.06 B2

PRIMIDTA1 Primidone Tablet, 250 mg Tablet 0.70 C

PROBENIN1 Procaine Benzylpenicillin Injection, 4 MU Vial 0.77 B2

PROHYDEL1 Promethazine Hydrochloride Elixir, 5 mg/5 mL 60 mL 1.40 A

PROHYDIN1 Promethazine Hydrochloride Injection, 25 mg/mL in 2 mL Ampoule 0.42 B1

PROMETTA1 Promethazine Hydrochloride Tablet, 25 mg Tablet 0.04 A

PROTHETA1 Promethazine Theoclate Tablet, 25 mg Tablet 0.14 M

Page 21: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 12

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

PROPRAIN1 Propranolol Injection, 1 mg/mL in 1mL Ampoule 1.44 D

PROPRATA1 Propranolol Tablet, 10 mg Tablet 0.14 B2

PROPRATA2 Propranolol Tablet, 40 mg Tablet 0.04 B2

PROPRATA3 Propranolol Tablet, 80 mg Tablet 0.13 B2

PROPYLTA1 Propylthiouracil Tablet, 50 mg Tablet 4.73 D

PROSULIN1 Protamine Sulphate Injection, 10 mg/mL in 5 mL Ampoule 35.00 D

QUINININ1 Quinine Injection, 300 mg/mL in 2 mL Ampoule 2.14 B2

QUININSY1 Quinine Syrup, 75 mg/5 mL 125 mL 5.95 B1

QUININTA1 Quinine Tablet, 300 mg Tablet 0.25 M

RAMIPRTA1 Ramipril Tablet, 2.5 mg Tablet 0.21 C

RAMIPRTA2 Ramipril Tablet, 5 mg Tablet 0.35 C

RANITITA1 Ranitidine Tablet, 150 mg Tablet 0.21 B2

RETSOFCA2 Retinol Soft Capsule, 200,000 IU Capsule 0.14 A

RINLACSO1 Ringer - Lactate Solution, 500 mL 500 mL 4.20 M

RISPERLI1 Risperidone Liquid, 1 mg/mL 10 mL 34.79 SM

RISPERTA2 Risperidone Tablet, 1 mg Tablet 0.84 SM

RISPERTA3 Risperidone Tablet, 2 mg Tablet 1.12 SM

RISPERTA1 Risperidone Tablet, 500 microgram Tablet 0.88 SM

SALBUTGA1 Salbutamol Inhaler, 100 microgram/metered dose, 200 doses Inhaler 12.60 A

SALBUTGA2 Salbutamol Nebules, 2.5 mg Dose 1.40 B1

SALBUTGA3 Salbutamol Nebules, 5 mg Dose 1.75 B1

SALSULIN1 Salbutamol Sulphate Injection, 500 microgram/mL in 1mL Ampoule 4.55 B2

SALBUTSY1 Salbutamol Syrup, 2 mg/5 mL 200 mL 2.98 B1

SALBUTTA1 Salbutamol Tablet, 2 mg Tablet 0.04 B1

SALBUTTA2 Salbutamol Tablet, 4 mg Tablet 0.04 C

SALACIOI1 Salicylic Acid Ointment, 2% 40G 2.10 B1

SECNIDTA1 Secnidazole Tablet, 500 mg Tablet 1.05 B2

SELSULSH1 Selenium Sulphide Shampoo, 2.5% 50 mL 9.17 C

SERTRATA2 Sertraline Tablet, 100 mg Tablet 0.91 SM

SERTRATA1 Sertraline Tablet, 50 mg Tablet 0.35 SM

SILSULCR1 Silver Sulphadiazine Cream, 1% 50 G 4.55 A

SIMLINSY1 Simple Linctus BPC (Paediatric) 125mL 4.00 A

SIMLINSY2 Simple Linctus BPC 200mL 4.50 A

SIMVASTA1 Simvastatin Tablet, 10 mg Tablet 0.28 C

SIMVASTA2 Simvastatin Tablet, 20 mg Tablet 0.35 C

SIMVASTA3 Simvastatin Tablet, 40 mg Tablet 0.63 C

SIMVASTA4 Simvastatin Tablet, 80 mg Tablet 0.93 D

SODBICIN1 Sodium Bicarbonate Injection, 8.4% in 10 mL Ampoule 2.59 C

SODCHLIN1 Sodium Chloride Infusion, 0.45% (250 mL) 250 mL 3.81 B1

SODCHLIN3 Sodium Chloride Infusion, 0.9% (500 mL) 500 mL 4.69 M

Page 22: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 13

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

SODCHLND1 Sodium Chloride Nasal Drops, 0.9% 10 mL 2.10 A

SODVALCA2 Sodium Valproate Capsule (Slow Release), 500 mg Capsule 2.09 D

SODVALCA1 Sodium Valproate Capsule, 200 mg Capsule 0.78 D

SODVALSY1 Sodium Valproate Syrup, 200 mg/5 mL 300 mL 50.33 D

SODVALTA1 Sodium Valproate Tablet, 200 mg Tablet 0.78 D

SOANSTOI1 Soothing Agent + Local Anaesthetic + Steroid Ointment 15 G 10.50 B1

SOANSTRE1 Soothing Agent + Local Anaesthetic + Steroid Suppository Supp 1.40 B1

SOOANAOI1 Soothing Agent + Local Anaesthetic Ointment 15 G 9.80 M

SOOANARE1 Soothing Agent + Local Anaesthetic Suppository Supp 1.75 M

SPIRONTA1 Spironolactone Tablet, 25 mg Tablet 0.36 C

SPIRONTA2 Spironolactone Tablet, 50 mg Tablet 0.56 C

STREPTIN1 Streptokinase Injection, 100,000 unit-vial Vial 5.95 D

STREPTIN2 Streptokinase Injection, 250,000 unit-vial Vial 77.00 D

STREPTIN3 Streptokinase Injection, 750,000 unit-vial Vial 126.00 D

SULFASTA1 Sulfasalazine Tablet, 500 mg Tablet 0.77 D

TAMOXITA1 Tamoxifen Tablet, 10 mg Tablet 1.05 SM

TAMOXITA2 Tamoxifen Tablet, 20 mg Tablet 0.84 SM

TAMSULCA1 Tamsulosin Capsule, 400 microgram Capsule 0.70 SM

TERAZOTA1 Terazosin Tablet, 2 mg Tablet 0.67 SM

TERAZOTA2 Terazosin Tablet, 5 mg Tablet 1.00 SM

TERBINTA1 Terbinafine HCl Tablet, 250 mg Tablet 1.05 D

TETRACCA1 Tetracycline Capsule, 250 mg Capsule 0.05 B1

TETRACEO2 Tetracycline Eye Ointment, 1% 5 G 1.33 M

THEOPHTA1 Theophylline Tablet, 200 mg (slow release) Tablet 0.70 B2

THIAMIIN1 Thiamine Injection, 100 mg Vial 0.85 C

THIAMITA1 Thiamine Tablet, 50 mg Tablet 0.33 C

THIAMITA2 Thiamine Tablet, 100 mg Tablet 0.35 C

TIABENTA1 Tiabendazole Tablet, 500 mg Tablet 1.93 B1

TIMMALID1 Timolol Maleate Eye Drops, 0.5% 10 mL 5.17 C

TINIDACA1 Tinidazole Capsule, 500 mg Capsule 3.08 B2

TIROFIIN2 Tirofiban Infusion, 250 micrograms/ml (concentrate) 100 mL 224.00 D

TIROFIIN1 Tirofiban Infusion, 50 micrograms/mL 100 mL 189.01 D

TOLBUTTA1 Tolbutamide Tablet, 500 mg Tablet 0.42 C

TRAACICA1 Tranexamic Acid Capsule, 250 mg Capsule 1.12 C

TRAACIIN1 Tranexamic Acid Injection, 500 mg/5mL Ampoule 5.95 D

TRAACITA1 Tranexamic Acid Tablet, 500 mg Tablet 1.44 C

TRIHEXTA1 Trihexyphenidyl Tablet, 2 mg Tablet 0.78 C

TRIHEXTA2 Trihexyphenidyl Tablet, 5 mg Tablet 0.84 C

VERAPATA1 Verapamil Tablet, 40 mg Tablet 0.50 C

Page 23: MEDICINES LIST - NHIS NHIS ML.pdf= 0.72 Ghana Cedis. This basic principle can be applied to all the medicines. Be aware that for those . NHIS Medicines List- July 2018 Page iv medicines

NHIS Medicines List- July 2018 Page 14

CODE GENERIC NAME, DOSAGE FORM, STRENGTH UNIT OF PRICING

PRICE (GH₵)

LEVEL OF PRESCRIBING

VERAPATA2 Verapamil Tablet, 80 mg Tablet 0.69 C

WARFARTA1 Warfarin Tablet, 1 mg Tablet 0.14 D

WARFARTA2 Warfarin Tablet, 3 mg Tablet 0.18 D

WARFARTA3 Warfarin Tablet, 5 mg (scored) Tablet 0.26 D

WATFORIN1 Water for Injection 10 mL 0.14 A

ZINCOOTA1 Zinc Tablet, 10 mg Tablet 0.04 A

ZINCOOTA2 Zinc Tablet, 20 mg Tablet 0.06 A

5FLUORIN1 5-Fluorouracil Injection, 50 mg/mL 10 mL 6.30 D