Doctor guide - Momentum Provider
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doctor guide 2013
contents
2 Introduction
4 Healthcare Product Range
6 Primary Care Networks
8 Management of benefits
10 Primary billing codes and reimbursement levels
11 List of minor procedures covered
12 GP as coordinator of care
13 Profiling and peer review
14 Operational processes
14 Claims
15 Chronic registration process
18 Chronic registration form
20 Medicine formularies
48 Specialist referral process
49 Specialist referral form
50 Pathology applicable codes
53 Pathology request form
54 Radiology applicable codes
58 Radiology request form
59 List of hospitals
62 Momentum - Health4Me
65 Momentum Add-on Products
69 Why Momentum Health?
72 Provider support
Introduction The purpose of this guide is to share
details of Momentum Health and
Momentum products with you, to help
you serve our members.
Momentum Health will no longer be
using the services of Prime Cure and
CareCross for benefit management on
our Ingwe and Access options. Instead,
Ingwe an
d Acces
s non-s
these services will be provided by the
tudent m
embers
administrator of Momentum Health.
We also include details on Momentum’s
newly launched healthcare cover for
low-income employees, Health4Me.
Ingwe and Access student members
rs
e membe
Health4M
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Emerge
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2
Healthcare Product Range
Healthcare Product Range
Product range Health4Me Ingwe Option Access Option
Insurance-based Cover Major Medical Benefit Major Medical Benefit
Benefit Accident cover: In-hospital and Specialists covered up to 100% Specialists covered up to 100%
emergency transport of Momentum Health Rate of Momentum Health Rate
Daily hospital benefit Hospital accounts covered in full Hospital accounts covered in full
Functional impairment benefit at negotiated rate at negotiated rate
Funeral benefit Limited to R950 000 per family No overall annual limit applies
per year
Provider Only accident related emergency Ingwe Network or State Access Network hospitals
treatment - Any hospital hospitals
Chronic Benefit Chronic Benefit Chronic Benefit
Benefit 5 conditions covered on the 26 conditions - no annual limit 26 conditions - no annual limit
Comprehensive Option applies applies
Provider Momentum Primary Care Ingwe Primary Care providers Access Primary Care providers
providers
Day-to-day Benefit Day-to-day Benefit Day-to-day Benefit
Benefit Primary care (such as doctors Primary care (such as doctors Primary care (such as doctors
visits, prescribed medicine, etc.) visits, prescribed medicine, etc.) visits, prescribed medicine, etc.)
Secondary care (Specialist visits) Secondary care (Specialist visits) Secondary care (Specialist visits)
Provider Momentum Primary Care Ingwe Primary Care providers Access Primary Care providers
providers
HealthSaver HealthSaver HealthSaver
Benefit Not applicable Members can add more Members can add more
cover for medical expenses cover for medical expenses
by choosing to contribute an by choosing to contribute an
additional amount that suits additional amount that suits
their needs and pocket their needs and pocket
4
Healthcare Product Range
Custom Option Incentive Option Extender Option Summit Option
Major Medical Benefit Major Medical Benefit Major Medical Benefit Major Medical Benefit
Associated specialists covered Associated specialists covered Associated specialists covered Associated specialists covered
in full in full in full in full
Other specialists covered up to Other specialists covered up to Other specialists covered up to Other specialists covered up to
100% of Momentum Health Rate
Hospital accounts covered in full 200% of Momentum Health Rate 200% of Momentum Health Rate 300% of Momentum Health Rate
at negotiated rate Hospital accounts covered in full Hospital accounts covered in full Hospital accounts covered in full
No overall annual limit applies at negotiated rate at negotiated rate at negotiated rate
R1 000 co-payment applies No overall annual limit applies No overall annual limit applies No overall annual limit applies
Any or Associated hospitals Any or Associated hospitals Any or Associated hospitals Any hospital
Chronic Benefit Chronic Benefit Chronic Benefit Chronic Benefit
26 conditions - no annual limit 26 conditions - no annual limit 26 conditions - no annual limit 26 conditions - no annual limit
applies applies. Additional 6 conditions applies. Additional 36 conditions applies. Additional 36 conditions
limited to R7 000 per family limited to R7 000 per family accumulate to the overall
day-to-day limit of R17 700 per
beneficiary
Any , Associated or State Any , Associated or State Any , Associated or State Freedom-of-choice
Day-to-day Benefit Day-to-day Benefit Day-to-day Benefit Day-to-day Benefit
The HealthSaver can be added Savings 10% of total Savings 25% of total Paid from risk benefit, subject to
to provide cover for day-to-day contribution contribution plus Extended overall day-to-day limit of
healthcare needs Cover R17 700 per beneficiary.
This is a combined limit
incorporating both day-to-day
cover and cover for the 36
additional chronic conditions.
Any, if HealthSaver available Any Any or Associated Freedom-of-choice
HealthSaver HealthSaver HealthSaver HealthSaver
Members can add more Members can add more Members can add more Members can add more
cover for medical expenses cover for medical expenses cover for medical expenses cover for medical expenses
by choosing to contribute an by choosing to contribute an by choosing to contribute an by choosing to contribute an
additional amount that suits additional amount that suits additional amount that suits additional amount that suits
their needs and pocket their needs and pocket their needs and pocket their needs and pocket
5
Primary Care
Networks
Primary Care Networks
6
6
Momentum Health has launched The main objectives of our primary care networks are to:
— Instil the GP as the primary caregiver, providing the appropriate
its own Primary Care Networks level of care and coordinating all related healthcare needs.
Primary Care Networks
for the Ingwe and Access — Ensure seamless, standardised integration of Momentum Health’s
benefits for our members.
Options. In order to achieve the — Lower the existing administration burden on your practice and to
ensure quick payment turnaround times.
goal of quality and cost effective
— Establish different GP reimbursement levels, linked to appropriate
care, you as our network doctor levels of care and treatment outcomes.
P
become the primary coordinator
of care for these patients.
The Momentum Health commitment:
— Weekly claims reimbursement
— Performance based reimbursement
– Fee per consultation for dispensing providers, inclusive of the
dispensing of acute medication
– Fee per consultation for non-dispensing providers that are required to
prescribe according to the Momentum Acute Formulary
– An additional fee will be payable for consultations where minor
procedures were performed - a specific tariff code is to be used in these
instances
– Chronic registrations are also reimbursed once-off per patient
— Less admin hassle through electronic member validation, claim submission,
payment reconciliation, chronic registration and specialist referrals, etc.
— Resolve all network practice enquiries effectively, within a 48-hour timeframe
What is your responsibility as the doctor?
— To provide clinically appropriate and cost-effective treatment to members
Please note:
— Where clinically indicated, to operate within the Scheme’s protocols, 1. Doctors are accommodated
formularies and referral processes, and the Scheme’s benefit structures whether they are dispensing
doctors or scripting doctors. The
— To submit all claims in the electronically prescribed format to the applicable
reimbursement structure differs
destination with the relevant tariff codes and ICD-10 codes
per option and per service type
— To bill according to the agreed fee and to undertake not to balance bill or (higher rate for scripting doctors).
charge members any additional fees outside this agreed fee structure for the Doctors are also paid for any minor
services covered by the Momentum option procedures performed in their
— To abide by Momentum DSP arrangements with other healthcare disciplines rooms inclusive of the consultation.
and/or benefits
2. A doctor cannot belong to both
— To obtain the necessary authorisation where applicable according to the networks at the same time,
Momentum protocols however, Ingwe doctors are allowed
— To prescribe medication within the Momentum formularies, unless prior to see Access members. Access
authorisation has been obtained from Momentum, and to inform any member doctors may not see Ingwe patients.
requesting any medication or benefits that fall outside the applicable benefits
3. Both parties agree to a written
that it will be for his/her personal account
termination notification of three
Members are entitled to primary, secondary and tertiary care (refer to detailed calendar months.
benefit structure online).
7
Management of benefits
Primary care benefits The reimbursement structure
Primary Care Networks
Primary care benefits include the following: As the general practitioner, you can be reimbursed for one of
the following services:
— Medication (acute and chronic) – a formulary applies (see
page 20 for more details) — Consultation only (including medication if self-dispensing)
— GP visits — Consultation with small procedure tariff (including
– You are required to obtain an authorisation where consumables)
the same member visits within 4 days of the — Chronic registration
previous visit Your claims will be reviewed and a quarterly adjustment could
– You are required to obtain authorisation after the be made to the profile category, which in turn may affect the
10th visit of a member level of reimbursement of claims.
— HIV benefits
— Health Platform benefits are not additional, but included in
the standard primary care benefits. Provider website
— Pathology benefits – a specific list applies (see page 50 for
the applicable codes) The updated provider web address is
— Radiology – a specific list applies (see page 54 for the www.provider.momentum.co.za
applicable codes)
Please visit the Momentum Health provider website and
— Dental benefits logon as a provider. You will have access to all the information
— Optical benefits previously available, plus the new features relevant to the low
cost delivery system, i.e.:
— Out of area or after-hours emergencies (allow out of
network claims) — Member/Beneficiary validation
— Benefit checking/booking
— Formulary checking
— Authorisation request
— Chronic registration
— Requesting blood work for a patient
The GP — Referral of the member for x-rays
— Referral to a specialist
is the — Information on how to join the Momentum Health primary
coordinator Care Network for non-contracted doctors
of care Email queries
You can email any queries to drnet@momentum.co.za
Telephonic queries
You can contact the call centre on 0860 11 78 59
8
Disease management/chronic registration
Secondary and tertiary care
Primary Care Networks
Normal disease management principles will apply whereby
benefits members are registered for a condition and the relevant
treatment plan is generated. The treatment plan will not
include benefits that fall outside the network arrangements as
As GP, you are responsible to refer members to the specialist well as the relevant formularies.
where required. In the case of hospitalisation, the member/
provider is required to obtain an authorisation. Chronic patients will have to select a GP for chronic treatment
and scripts for the condition can only be prescribed by this
doctor.
Key principles
Associated specialist
Doctor nomination Momentum Health has negotiated with certain specialists,
referred to as Associated specialists. These specialists
Members are required to nominate a GP as their preferred GP.
charge the Momentum Health Rate and do not balance bill
These nominations:
our members. Logon to www.provider.momentum.co.za to
— are stored to use in the profiling of the doctor search for Associated specialists per discipline and town.
Alternatively, you can call the provider call centre on
— don’t restrict the member to only that doctor
0860 11 78 59.
— don’t expire
Pre-authorisation and referrals
You are required to obtain authorisation for members:
— who already had 10 visits
— who visit them within 4 days of a previous visit regardless
of the reason for the visit.
Referrals
As the coordinator of care, you will remain responsible for all
services provided to the member. The profiling of the practice
will be done on this basis.
— You may refer the member for blood work.
This referral can be done in numerous ways, based on
your preference. The laboratory will supply a request form
with a bar code/number that can be used, or you can
submit the request directly to the lab through your practice
management software. Refer to the Pathology Request
Form on page 53.
— The referral of a member for x-rays is still very much
paper based, however the targeted systems can potentially
be enhanced to also cater for electronic referrals. We
provide you with a referral form for radiology (see page 58),
however the majority of doctors use their normal scripting
pads to refer members for x-rays.
— When it comes to referring a member to a specialist, it is
preferable that the referral is to an Associated specialist. It
is in the member’s interest to visit an Associated specialist
as these specialists charge the Momentum Health Rate
with no balance billing.
9
Primary billing codes and reimbursement levels
Ingwe Primary Care Network doctors
Primary Care Networks
Profiling level 1
Consult Tariff Consult & Procedure Tariff Chronic Reg Tariff
Dispensing Doctor R265.00 R505.00 R60.00
Tariff: 181001 Tariff: 181002 Tariff: 181003
Non-dispensing Doctor R200.00 R440.00 R60.00
Profiling level 2
Consult Tariff Consult & Procedure Tariff Chronic Reg Tariff
Dispensing Doctor R250.00 R490.00 R60.00
Tariff: 181001 Tariff: 181002 Tariff: 181003
Non-dispensing Doctor R185.00 R425.00 R60.00
Profiling level 3, 4 and 5
Consult Tariff Consult & Procedure Tariff Chronic Reg Tariff
Dispensing Doctor R235.00 R470.00 R60.00
Tariff: 181001 Tariff: 181002 Tariff: 181003
Non-dispensing Doctor R170.00 R405.00 R60.00
Access Primary Care Network doctors
Profiling level 1
Consult Tariff Consult & Procedure Tariff Chronic Reg Tariff
Dispensing Doctor R340.00 R580.00 R60.00
Tariff: 181001 Tariff: 181002 Tariff: 181003
Non-dispensing Doctor R250.00 R490.00 R60.00
Profiling level 2
Consult Tariff Consult & Procedure Tariff Chronic Reg Tariff
Dispensing Doctor R320.00 R560.00 R60.00
Tariff: 181001 Tariff: 181002 Tariff: 181003
Non-dispensing Doctor R230.00 R470.00 R60.00
Profiling level 3, 4 and 5
Consult Tariff Consult & Procedure Tariff Chronic Reg Tariff
Dispensing Doctor R300.00 R535.00 R60.00
Tariff: 181001 Tariff: 181002 Tariff: 181003
Non-dispensing Doctor R210.00 R445.00 R60.00
10List of minor procedures covered
Primary Care Networks
Stitching of wound
Stitching of soft-tissue injuries, stitching of wound (with or without local anaesthesia) including normal
after-care
Additional wounds sutured
Excision and repair
Excision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude
Drainage of subcutaneous abscess and avulsion of nail
Drainage of subcutaneous abscess and onychia, paronychia, pulp space or avulsion of nail
Removal of foreign body superficial to deep fascia
Removal of foreign body to deep fascia (except hands)
Long limb cast (excluding after-care)
(modifier 0005 not applicable)
Flow Volume test
Repair nail bed
Drainage external thrombosed pile
ECG bicycle
ECG multistage treadmill
Spinal (lumbar) puncture
For diagnosis, for drainage of spinal fluid or for therapeutic indications
**Please note that only the procedures indicated above will be allowed when claiming 181002.
Any other procedures such as wound care, out patient antibiotics etc. will require
pre-authorisation from Momentum Health.
1
11The GP as coordinator of care
hospitals, specifically for chronic patients.
Primary care is being shaped incrementally by external Analysis of the Momentum Health membership has indicated
pressures, in particular the need to contain costs and that the admission of several patients to a tertiary setting in a
demonstrate improved quality and outcomes. As a result, one given year can be avoided by the diligent involvement of the GP
Primary Care Networks
of the key philosophies of Momentum Health is to support in coordinating the care and engaging with a multi-disciplinary
the general practitioner to optimally manage a patient in a team to map out the optimal clinical pathway and treatment
coordinated manner to attain the core principles of managed plan for the patient. A large element of patient uncertainty
care, which include not only the provision of primary care but can be effectively dealt with by the GP through the process of
also playing the role of the gatekeeper. education and partnering with Momentum Health’s team of
wellness coaches.
Although there are many definitions of managed care,
generally the term describes a continuum of arrangements A fundamental component is then the availability of
Prim
that integrate the financing and delivery of healthcare. The information which provides a snapshot of the patients profile
general practitioner is usually the patient’s initial contact point in a manner which is succinct yet holistic. Momentum
for medical care and referrals. The Momentum Health benefit Health will be engaging with you during the course of 2013 to
design is therefore structured in a manner that supports the explore your role as the coordinator of care to achieve quality
principles of the GP as the coordinator of care and becomes healthcare delivery to patients. We will also share our vision
the base from which a referral is generated. In the absence of for supporting you with the information and systems to play
a GP referral (as an example), the patient/member attracts a
co-payment.
The GP’s role is core to change the manner in which
healthcare is delivered by coordinating and navigating
the complex journey of patient needs and education
as well as working with multi-disciplinary teams.
A large
The outcomes of the current network of GPs are element of patient
measured by means of a robust profiling system uncertainty can be
which provides an indication of the cost and
quality of the outcomes delivered by a given GP. effectively dealt with by the
This profiling outcome determines the GP’s re- GP through the process of
imbursement level,
with GPs showing the most favorable outcomes
education and partnering
from a cost and quality perspective receiving with Momentum Health’s
the highest possible remuneration rate. team of wellness
With each member selecting a GP practice, it is coaches.
possible to promote accountability in the downstream
cost, to the benefit of those GPs that focus on quality,
cost-effective treatment of chronic patients in particular.
The profiling system not only focuses on the direct treatment
cost of primary care, but also on the downstream treatment
costs generated by other disciplines, such as specialists and
12Profiling and peer review
this very complex, yet much needed role in the South African Healthcare system.
Primary Care Networks
Profiling is the quarterly process of running one year’s claim data through an analyser which compares each practice’s actual
cost in 5 expense categories to target or expected cost, as derived from the practice’s patient demographics and epidemiology.
These categories are:
— The Consultations cost per claiming beneficiary per annum
— The Procedure cost per claiming beneficiary per annum
— The Special Investigation cost per claiming beneficiary per annum
— The cost of Medicine in Acute Patients expressed per claiming beneficiary per annum
— The cost of Medicine in Chronic Patients per claiming beneficiary per annum
The variance or spread in each category is converted to points (i.e. negative if above target and vice versa) based on a pre-defined
percentage variance as can be seen in the table below.
Performance Score Medicine Score
Within Budget 2 3
Exceed Budget by between 0% and 10% 1 1.5
Exceed Budget by between 10% and 25% 0 0
Exceed Budget by between 25% and 50% -1 -1.5
Exceed Budget by between 50% and 75% -2 -3
Exceed Budget by between 75% and 100% -3 -4.5
Exceed Budget by 100% -4 -6
The points are accumulated to determine the overall category level (1 to 5) and rate per consultation the practice is entitled to in
the following three months.
It must be noted that the profile is an evaluation tool designed to rate practices against their peers. It highlights anomalies and
raises questions that can only be answered by drilling into the source of the information or by the investigative skills of the peer
manager.
Score Category Performance
8.5 and 12 I Good Control
5 to 8 II Acceptable Control
-3.5 to -24 III Warning Lights/Evaluate Practice
Additional expense categories focused on downstream costs and outcomes will be introduced over time. We believe in giving back
to the provider in the form of enhanced consultation fees in return for providing appropriate, cost-effective care.
13Operational processes
Claims
Routing of claims Medicine claims
Primary Care Networks
2012 Service date claims should remain routed to either — Only where a non-dispensing GP is the prescriber, a
Carecross or Prime Cure. Claims with a 2013 service date medicine script will be allowed.
should be routed to the Momentum Health administration. To — The same formulary applies for both acute and chronic
ensure that there is no confusion on the side of the provider, scripts
new option codes linked to the new destination have been
created. — A member may not go outside the formulary and only
where members have HealthSaver and have given the
necessary consent, may out of formulary items be funded
MediSwitch from HealthSaver
For practices using SwitchOn/MediSwitch: — Any medication prescribed by a specialist that the member
MHEA0007 was referred to should also be in line with what is available
on the formulary
For practices using QEDI: 822P
Pathology claims
healthbridge — Pathology claims can be submitted by any laboratory and
Momentum Ingwe State are paid at the agreed Momentum Health Rate
HB code : 91866 — Any pathology tests not on the list of applicable codes will
Switch 822P be rejected and the member needs to be informed upfront
(see page 50 for the list of codes)
Momentum Ingwe Network
HB code : 91859
Switch 822P Radiology claims
Momentum Access — Radiology claims are submitted by any of the radiologists
HB code : 90778 and paid at the agreed Momentum Health Rate
Switch 822P — Any x-rays or ultrasounds not on the list of applicable
codes will be rejected and the member needs to be
informed upfront (see page 54 for the list of codes)
GP claims
Payment to the provider
— The GP will either be classified as a dispensing or non-
dispensing (scripting) doctor. — Network GPs will be paid weekly
— The claim may be for either one of the following scenarios — Statements/eRA’s will be available for each payment
(Refer to the detailed reimbursement rates on page 10)
– Consultation only (including medication if
dispensing GP)
– Consultation with minor procedure (including
consumables and including medication if
dispensing GP)
– Chronic Registration (with one of the above)
— The applicable tariff codes are as follows:
– 181001 (consult)
– 181002 (procedure - see list on page 11)
– 181003 (once-off registration of chronic patient)
— Follow-up consultation with the same ICD10 code within a
four day period will be rejected, unless authorised
14Chronic registration process
Chronic benefits are subject to registration and approval. The standard 26 CDL
FAQ
conditions, including HIV, are covered.
Primary Care Networks
Q What if the prescribed chronic
How to register for chronic medication medication needs to change or
additional medication is required?
1. The treating doctor or pharmacist needs to contact the provider call centre on
0860 11 78 59 and select the option for chronic registration A The treating doctor or Medipost
needs to contact the provider call
2. The chronic benefit consultant will approve the benefit telephonically, as per
centre. The change will be done
clinical protocols
telephonically and approval is given
3. Additional information, such as test results, may be required in order to immediately, subject to criteria
complete the chronic registration process being met.
4. Chronic medication can only be be obtained from Medipost
Q What if a new chronic condition is
5. A repeat script is needed after six months diagnosed?
A The member can check if the new
chronic condition is covered. The
Information needed when calling for an authorisation: treating doctor or Medipost needs
— the membership number, and the name and details of the patient to contact the provider call centre.
— the diagnosis code (ICD–10 code) The additional authorisation will be
done telephonically and approval is
— the name and practice number of the treating GP/specialist, where relevant. given immediately, subject to criteria
Please note Momentum Health provides its members with an HIV programme, being met.
which is managed by LifeSense. Members must be registered on the programme
to access the benefits. Contact LifeSense on 0860 50 60 80.
Medipost
Chronic medication will be dispensed by Medipost. The medication will be
delivered to your office/rooms for collection by the member. It can also be
delivered directly to the patient if needed. It is important to ensure that Medipost
has a copy of the member’s script.
15
1For all your chronic medication needs!
Medipost is the leading national pharmacy in the country with a market share of more than
50% of the industry. Since 1991, Medipost offers exceptional experience and a reliable,
specialised, fast and nationwide service to all patients. Currently 400 000 satisfied patients
obtain their medication from Medipost on a monthly basis.
Why choose Medipost Pharmacy for Quality
your patients? Our staff is specially trained to provide patients and doctors
During 2012, Medipost introduced a specialised department with information, advice and offer private and confidential
of pharmacists and pharmacists’ assistants focusing on consultations.
delivery of chronic medication to doctors’ practices. Dedicated
communication options are made available to doctors and
their practice managers. This enables Medipost to provide a Affordable
unique service to all doctors and their patients. Furthermore, No administration fees, no delivery fees and competitive
Medipost has formed a partnership with MediLogistics to professional fees
enhance the delivery process of chronic medication to doctors’
rooms and monitor patient compliance.
Convenience
Longer lasting medication benefits Free delivery to your patients, to your practice or any delivery
address of their choice, including holiday destinations within
Your patients will enjoy extended annual medication limits South Africa
(where applicable) and receive advice on what medication to
use that will assist in making their benefits last longer while
getting the same therapeutic effect.
Improved compliance
A new and exciting initiative, in partnership with MediLogistics,
Personal assistance will deliver chronic medication to your practice and monitor
each parcel until it is in the patient’s hands.
We remind your patients when a new repeatable prescription is
due and can facilitate the process to obtain a new prescription
from you.
We look forward to being of assistance to you! For more information, please contact us:
Queries: drquery@medipost.co.za
Prescriptions: rx@medipost.co.za
Telephone number: 012 404 4523
Website: www.medipost.co.za
16Dear Doctor,
MediLogistics is proud to bring you a new and exciting initiative that will form an
integral part of many doctors’ practices in the future. Together with Medipost Pharmacy,
MediLogistics offers you and your patients the opportunity to ease the delivery of chronic
medication to each patient. The initiative entails the delivery of chronic medication to your
practice where the patients can conveniently collect it from your practice staff.
How will the collection counter work? What are the minimum requirements for a
— Medipost will dispense chronic medication parcels each practice to be part of this initiative?
month. Each parcel will contain one or more prescriptions — Sufficient clean and cool storage space
(depending on the number of dependants on chronic
medication) — Systematic storage system for easy collection of parcels
Parcels are collected by an external courier company or — Fridge availability for cold chain products
MediLogistics and delivered to different practices throughout — Internet connectivity
South Africa
— A software program will be installed at the practices who How will my practice benefit from this
become part of this initiative. MediLogistics will provide all
software and training required to. Practice staff will then
initiative?
use software provided by MediLogistics to: — Compliance reports will be given to participating doctors
– Record the arrival of each parcel (scan in) on all their patients receiving parcels from Medipost
Pharmacy, even if the patient prefers an alternative
– Record that the parcel has been collected by the
delivery method than the doctor’s room.
patient (scan out)
— Better control and management of patient compliance.
— When the patient has collected the parcel and the parcel
This includes contacting patients that did not collect their
has been scanned out, an electronic proof of delivery will
medication from your practice to remind them of their
be generated and sent to MediLogistics
medication
— MediLogistics will reimburse the doctor with an amount of
— Extra revenue for your practice
R18.60 (incl. VAT) per parcel for every successful proof of
delivery received electronically. (This entails the scanning — Exciting products to follow with increased revenue
in and scanning out of a parcel) If you are interested in participating in this initiative, please
— The innovative MediLogistics software is therefore used to contact one of the MediLogistics Network Managers who will
track and record the end to end process of each parcel and organise the registration of your practice on the MediLogistics
improve patient compliance. system.
— There are no legal constraints to this initiative
Contact Details:
Network Manager: Glenton Naidoo 083 555 2284
Area Manager: Corlee Herbst 074 149 1141
1718
Primary Care Networks
Chronic form19
Primary Care NetworksFormularies for chronic and acute medication
For members on Momentum Health Ingwe and Access Options as well as Health4Me members.
Primary Care Networks
Medicine Name Active Ingredient Pack Size NAPPI Code
ACICLOVIR SANDOZ 200MG T ACYCLOVIR TAB 200 MG 25 717370001
ACICLOVIR SANDOZ 400MG T ACYCLOVIR TAB 400 MG 70 717371001
ACIDOWN 200MG TABS CIMETIDINE TAB 200 MG 60 796735018
ACITAB-200 DT ACYCLOVIR TAB 200 MG 25 704778001
ACITAB-400 DT ACYCLOVIR TAB 400 MG 60 704779001
ACITOP 5% CREAM ACYCLOVIR CREAM 5% 2 873551001
ACTAMOL 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 100 792101006
ACTAMOL RED (UN-BOXED) PARACETAMOL ELIXIR 120 MG/5ML 100 704093001
ACTIVIR PUMP CREAM ACYCLOVIR CREAM 5% 2 823473007
ACULAX 3.3G/5ML SYRUP LACTULOSE SOLUTION 10 GM/15ML 150 708722001
ACULAX 3.3G/5ML SYRUP LACTULOSE SOLUTION 10 GM/15ML 500 708722002
ACULOID 12.5MG/5ML SYRP CYCLIZINE HCL SYRUP 12.5 MG/5ML 50 792225015
ACULOID 50MG TABS CYCLIZINE HCL TAB 50 MG 20 792217004
ACUZOLE 200MG TABS METRONIDAZOLE TAB 200 MG 500 792284011
ACUZOLE 400MG TABS METRONIDAZOLE TAB 400 MG 250 792292014
ACUZYRT 10MG TABS CETIRIZINE HCL TAB 10 MG 10 712890001
ACUZYRT 10MG TABS CETIRIZINE HCL TAB 10 MG 30 712890002
ACUZYRT 5MG/5ML SYRP CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 712889001
ADCO CETIRIZINE 1MG/ML SY CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 707224001
ADCO PREDNISOLONE 15MG/5M PREDNISOLONE SYRUP 15 MG/5ML (USP SOLUTION EQUIVALENT) 50 716381001
ADCO-ACYCLOVIR 50 CREAM ACYCLOVIR CREAM 5% 2 824674006
ADCO-ACYCLOVIR 50 CREAM ACYCLOVIR CREAM 5% 10 824674014
ADCO-ACYCLOVIR TABS ACYCLOVIR TAB 200 MG 25 827282001
ADCO-ALZAM 0.25MG TABS ALPRAZOLAM TAB 0.25 MG 30 821071009
ADCO-ALZAM 0.25MG TABS ALPRAZOLAM TAB 0.25 MG 100 821071017
ADCO-ALZAM 0.5MG TABS ALPRAZOLAM TAB 0.5 MG 30 821098004
ADCO-ALZAM 0.5MG TABS ALPRAZOLAM TAB 0.5 MG 100 821098012
ADCO-ALZAM 0.5MG TABS ALPRAZOLAM TAB 0.5 MG 250 821098020
ADCO-ALZAM 1MG TABS ALPRAZOLAM TAB 1 MG 30 821101005
ADCO-ALZAM 1MG TABS ALPRAZOLAM TAB 1 MG 100 821101013
ADCO-AMOCLAV 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 893218006
ADCO-AMOCLAV 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 893224007
ADCO-AMOCLAV BD 1000MG AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 703229001
ADCO-AMOCLAV S AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 899097006
ADCO-AMOCLAV SF AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 899100007
ADCO-AMOX 125MG SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 829099018
ADCO-AMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 785229027
ADCO-AMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15 785229035
ADCO-AMOX 250MG SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 829102019
ADCO-AMOX 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 15 811440001
ADCO-BETAMETHASONE CR BETAMETHASONE VALERATE CREAM 0.1% 15 827290004
ADCO-CETIRIZINE 10MG TABS CETIRIZINE HCL TAB 10 MG 10 703491001
ADCO-CETIRIZINE 10MG TABS CETIRIZINE HCL TAB 10 MG 30 703491002
ADCO-CIMETIDINE 200MG TAB CIMETIDINE TAB 200 MG 60 811459004
ADCO-CIMETIDINE 400MG TAB CIMETIDINE TAB 400 MG 60 800252004
ADCO-CO-TRIMOXAZOLE TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 500 780464028
ADCO-CYCLIZINE 50MG TABS CYCLIZINE HCL TAB 50 MG 20 808954008
ADCO-CYCLIZINE 2.5MG SYRP CYCLIZINE HCL SYRUP 12.5 MG/5ML 50 808962019
ADCO-DICLOFENAC 25MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 30 786594004
ADCO-DICLOFENAC 25MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500 786594012
ADCO-DICLOFENAC 50MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 21 788597019
20Medicine Name Active Ingredient Pack Size NAPPI Code
ADCO-DICLOFENAC 50MG TABS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 500 788597027
ADCO-ERYTHROMYCIN 125 SUS ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100 786608005
ADCO-ERYTHROMYCIN 250 CAP ERYTHROMYCIN ESTOLATE CAP 250 MG 250 780561015
ADCO-ERYTHROMYCIN 250 CAP ERYTHROMYCIN ESTOLATE CAP 250 MG 20 780561031
ADCO-IBUPROFEN 400MG TAB IBUPROFEN TAB 400 MG 100 780596005
Primary Care Networks
ADCO-IBUPROFEN 400MG TAB IBUPROFEN TAB 400 MG 1000 780596013
ADCO-INDOMETHACIN 25 CAPS INDOMETHACIN CAP 25 MG 500 701106026
ADCO-KIDDIPAYNE PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5 100 894289006
MG/5ML
ADCO-LINCTOPENT SYRP METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100 827304005
ADCO-LINCTOPENT SYRP METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200 827304013
ADCO-LIQUILAX SYRP LACTULOSE SOLUTION 10 GM/15ML 100 878707018
ADCO-LIQUILAX SYRP LACTULOSE SOLUTION 10 GM/15ML 2500 878707042
ADCO-LOPERAMIDE SYRP LOPERAMIDE HCL SYRUP 1 MG/5ML 50 811467007
ADCO-LOPERAMIDE TABS LOPERAMIDE HCL TAB 2 MG 300 792071026
ADCO-LOPERAMIDE TABS LOPERAMIDE HCL TAB 2 MG 6 792071115
ADCO-MEFENAMIC ACID MEFENAMIC ACID CAP 250 MG 18 883102004
ADCO-MEFENAMIC ACID MEFENAMIC ACID CAP 250 MG 250 883102012
ADCO-METRONIDAZOLE 200MG METRONIDAZOLE TAB 200 MG 250 742872009
ADCO-METRONIDAZOLE 400MG METRONIDAZOLE TAB 400 MG 100 701076003
ADCO-NAPAMOL 500MG TABS PARACETAMOL TAB 500 MG 20 716045001
ADCO-NAPROXEN 250MG TABS NAPROXEN TAB 250 MG 250 785245014
ADCO-OMEPRAZOLE 20MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 20 MG 28 703543001
ADCO-PARACETAMOL ELIX PARACETAMOL ELIXIR 120 MG/5ML 100 894281003
ADCO-PAYNE TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 500 894282006
ADCO-SALTERPYN SYRP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5 100 807583006
MG/5ML
ADCO-SALTERPYN TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 500 809055008
ADCO-SINAL CO TABS PHENYLPROP-PHENYLTOLOX W/ COD-APAP TAB 25-22-15-300 MG 20 791148009
ADCO-SUFEDRIN 30MG/5ML SY PSEUDOEPHEDRINE HCL SYRUP 30 MG/5ML 100 796964009
ADCO-SUFEDRIN 60MG TABS PSEUDOEPHEDRINE HCL TAB 60 MG 20 796972001
ADCO-WORMEX 500MG TABS MEBENDAZOLE TAB 500 MG 1 704656001
ADCO-WORMEX TABS MEBENDAZOLE TAB 100 MG 6 703063003
AGAROL LACTULOSE 3300MG/5 LACTULOSE SOLUTION 10 GM/15ML 150 713232001
AHA FERROUS SULPH 30MG FERROUS SULFATE TAB 30 MG 100 705532001
AHA FOLIC ACID 5MG TABS FOLIC ACID TAB 5 MG 100 709874001
ALBENDAZOLE 200MG CAPS ALBENDAZOLE TAB 200 MG 2 080179001
ALCHERA 7.5MG TABS ZOPICLONE TAB 7.5 MG 30 874728002
ALCOPHYLLEX SYR THEOPHYLLINE-ETOFYLLINE-DIPHENHYD-AMMON CL-SOD CIT 100 701742003
SYRUP
ALCOPHYLLEX SYR THEOPHYLLINE-ETOFYLLINE-DIPHENHYD-AMMON CL-SOD CIT 200 701742011
SYRUP
ALCOPHYLLEX SYR THEOPHYLLINE-ETOFYLLINE-DIPHENHYD-AMMON CL-SOD CIT 2500 701742038
SYRUP
ALCOPHYLLIN 80MG/15ML THEOPHYLLINE SYRUP 80 MG/15ML 100 701750006
ALCOPHYLLIN 80MG/15ML THEOPHYLLINE SYRUP 80 MG/15ML 200 701750014
ALCOPHYLLIN 80MG/15ML THEOPHYLLINE SYRUP 80 MG/15ML 2500 701750022
A-LENNON AMOXYCILLIN 250M AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 893409006
A-LENNON DICLOFENAC 25MG DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500 893390003
A-LENNON DICLOFENAC 50MG DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 500 893391006
A-LENNON DOXYCYCLINE HCL DOXYCYCLINE HYCLATE CAP 100 MG 1000 893402006
A-LENNON FLUOXETINE 20MG FLUOXETINE HCL CAP 20 MG 28 703391001
ALLECET 10MG TABS CETIRIZINE HCL TAB 10 MG 30 703315001
ALLECET 10MG TABS CETIRIZINE HCL TAB 10 MG 10 703315002
ALLECET SYRUP CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 703313001
ALLERGEX 2MG/5ML SYR CHLORPHENIRAMINE MALEATE SYRUP 2 MG/5ML 50 702145009
ALLERGEX 2MG/5ML SYR CHLORPHENIRAMINE MALEATE SYRUP 2 MG/5ML 100 702145010
ALLERGEX 4MG TABS CHLORPHENIRAMINE MALEATE TAB 4 MG 100 702072052
ALLERGEX 4MG TABS CHLORPHENIRAMINE MALEATE TAB 4 MG 30 702072125
21Medicine Name Active Ingredient Pack Size NAPPI Code
ALLERGIN EXPECT DPH-AMCL-SOD CITRATE-MEN SYR 28.1-273.9-113.7-2.5 MG/5ML 150 702080004
ALLERMINE 10MG TABS CETIRIZINE HCL TAB 10 MG 10 703821001
ALLERMINE 10MG TABS CETIRIZINE HCL TAB 10 MG 30 703821002
ALLMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 1000 704443001
ALLMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 704443002
Primary Care Networks
ALLMOX 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500 704444001
ALLMOX S 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 714179001
ALLMOX SF 250MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 714180001
ALSAN 2% CREAM PYRILAMINE MALEATE CREAM 2% 25 897334011
ALTOSEC 10MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 10 MG 28 703988001
ALTOSEC 20MG CAPS OMEPRAZOLE MAGNESIUM TAB CR 20 MG 28 703987001
ALUMAG D SUSP ALUMINUM HYDROXIDE-MAG OXIDE SUSP 400-200 MG/10ML 200 703640001
AMDOCIN 25MG INDOMETHACIN CAP 25 MG 100 701891001
AMDOCIN 25MG INDOMETHACIN CAP 25 MG 500 701891002
AMDOCIN 25MG INDOMETHACIN CAP 25 MG 1000 701891003
AMETHOCAINE CREAM TETRACAINE HCL CREAM 1% 25 799211028
AMGEL SUSP ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 200 700771001
MG/10ML
AMGEL SUSP ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 100 700771003
MG/10ML
AMOCAS 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15 706950001
AMOCLAN BID 1000MG TABS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 704484001
AMOCLAN FORTE TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 707185001
AMOCLAN S SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 707186001
AMOCLAN SF SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 707187001
AMOCLAN TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 707184001
AMOXAPEN (NAMIBIA ONLY) 2 AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 712933001
AMOXICAPS 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 704401001
AMOXIL S 125MG SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 829145001
AMOXIL SF 250MG SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 829153004
AMSTIL TABS PARACETAMOL W/ CODEINE TAB 500-8 MG 1000 700742002
AMYN 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 714185001
AMYN 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500 714184001
AMYN S 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 75 714182001
AMYN S 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 714182002
AMYN SF 250MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 714183001
AMZOLE 400MG TABS METRONIDAZOLE TAB 400 MG 1000 702148011
ANAEROBYL 400MG TABS METRONIDAZOLE TAB 400 MG 1000 715866001
ANETHAINE CREAM TETRACAINE HCL CREAM 1% 25 703591002
ANETHAINE CREAM TETRACAINE HCL CREAM 1% 40 703591010
ANTALGIC 500MG TABS PARACETAMOL TAB 500 MG 1000 805467009
ANTALGIC 500MG TABS PARACETAMOL TAB 500 MG 5000 805467017
ANTHISAN CREAM PYRILAMINE MALEATE CREAM 2% 25 703834002
ANTIPYN FORTE TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 500 786780029
ANUGESIC 10MG/GM OINT PRAMOXINE HCL RECTAL OINT 1% 25 704083019
ANUSOL OINT PRAMOXINE W/ ZINC OXIDE IN MINERAL OIL RECTAL OINT 1-12.5% 25 826375006
ANUSOL SUPP *HEMORRHOIDAL ANESTHETIC COMPOUND - SUPP*** 10 704148005
APEX-ACYCLOVIR 200MG TABS ACYCLOVIR TAB 200 MG 30 717157001
APEX-ACYCLOVIR 400MG TABS ACYCLOVIR TAB 400 MG 70 717158001
APEX-CLAVUTIN 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 707663001
APEX-CLAVUTIN 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 707665001
APEX-CLAVUTIN SF AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 707666001
APEX-FLUCONAZOLE 150MG CA FLUCONAZOLE CAP 150 MG 1 707684001
APEX-FLUCONAZOLE 150MG CA FLUCONAZOLE CAP 150 MG 4 707684002
APEX-RANITIDINE 150MG TAB RANITIDINE HCL TAB 150 MG 60 717160001
APEX-RANITIDINE 300MG TAB RANITIDINE HCL TAB 300 MG 30 717159001
A-POR CREAM CLOTRIMAZOLE CREAM 1% 20 826952003
A-POR VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 826960006
22Medicine Name Active Ingredient Pack Size NAPPI Code
APP BENZYL BENZ LOT BENZYL BENZOATE EMULSION 25% 500 707716004
APP BENZYL BENZ LOT BENZYL BENZOATE EMULSION 25% 100 707716012
APP BENZYL BENZ LOT BENZYL BENZOATE EMULSION 25% 2500 707716020
APP BENZYL BENZ LOT BENZYL BENZOATE EMULSION 25% 100 841080003
APP BENZYL BENZ LOT BENZYL BENZOATE EMULSION 25% 2500 841080011
APP BENZYL BENZOATE BENZYL BENZOATE EMULSION 25% 100 700205001
Primary Care Networks
ARROW CITALOPRAM 20MG TAB CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 713583001
ARTHREXIN 25MG CAPS INDOMETHACIN CAP 25 MG 100 704725002
ARTHREXIN 25MG CAPS INDOMETHACIN CAP 25 MG 500 704725010
ARTHREXIN 50MG CAP INDOMETHACIN CAP 50 MG 100 704733005
ASCABIOL EMULSION BENZYL BENZOATE EMULSION 25% 100 704857006
ASPELONE 15MG/5ML SYRP PREDNISOLONE SYRUP 15 MG/5ML (USP SOLUTION EQUIVALENT) 50 714552001
ASPEN CETIRIZINE 10MG TAB CETIRIZINE HCL TAB 10 MG 10 704188001
ASPEN CETIRIZINE 10MG TAB CETIRIZINE HCL TAB 10 MG 30 704188002
ASPEN CETIRIZINE 5MG/5ML CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 150 713231001
ASPEN FLUCONAZOLE 150MG C FLUCONAZOLE CAP 150 MG 1 703624002
ASPEN FLUCONAZOLE 150MG C FLUCONAZOLE CAP 150 MG 4 703624003
ASPIRIN TABS ASPIRIN TAB 300 MG 1000 704645001
ASTHAVENT 200D ECOHALER SALBUTAMOL SULFATE INHAL AERO 108 MCG/ACT (90MCG BASE 1 849332001
EQUIV)
ASTHAVENT 2MG/5ML SYRP SALBUTAMOL SULFATE SYRUP 2 MG/5ML 100 824186001
ASTHAVENT 2MG/5ML SYRP SALBUTAMOL SULFATE SYRUP 2 MG/5ML 150 824186002
ASTHAVENT 300D ECOHALER C SALBUTAMOL SULFATE INHAL AERO 108 MCG/ACT (90MCG BASE 1 700715003
EQUIV)
ATERAX 25MG TAB HYDROXYZINE HCL TAB 25 MG 100 705462005
ATERAX 2MG/ML SYR HYDROXYZINE HCL SYRUP 10 MG/5ML 100 705446018
ATHLONE PHENOXYMETHYLPENI PENICILLIN V POTASSIUM FOR SOLN 125 MG/5ML 100 716611001
ATHRU-DERM 1% LOT DICLOFENAC SODIUM LOTION 1.08% 50 852201001
ATROPINE 1% 5ML EYE DROP ATROPINE SULFATE OPHTH SOLN 1% 1 705632008
AUGMAXCIL 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 861936019
AUGMAXCIL 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 861944003
AUGMAXCIL S AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 861952006
AUGMAXCIL SF AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 861960009
AUGMENTIN 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 705691004
AUGMENTIN 1000MG BD AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 853542007
AUGMENTIN BD S SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 200-28.5 MG/5ML 70 704069001
AUGMENTIN BD SF SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 70 704068001
AUGMENTIN S SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 829269002
AUGMENTIN SF SUSP AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 829277005
AURO-AMOXICLAV 1000MG TAB AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 713383001
AURO-AMOXICLAV 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 713381001
AURO-AMOXICLAV 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 713382001
AURO-AMOXYCILLIN 250MG CA AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 713363001
AURO-AMOXYCILLIN 500MG CA AMOXICILLIN (TRIHYDRATE) CAP 500 MG 100 713364001
AURO-CITALOPRAM 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 713356001
AURONE 15ML EAR DROPS ANTIPYRINE OTIC SOLN 5% 1 705780007
AUSTAC 150MG TABS RANITIDINE HCL TAB 150 MG 60 712134001
AUSTAC 300MG TABS RANITIDINE HCL TAB 300 MG 30 712135001
AUSTELL CETIRIZINE 10MG CETIRIZINE HCL TAB 10 MG 10 704359001
AUSTELL CETIRIZINE 10MG CETIRIZINE HCL TAB 10 MG 30 704359002
AUSTELL CIPROFLOX 250MG T CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 704353001
AUSTELL CIPROFLOX 250MG T CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 100 704353002
AUSTELL CIPROFLOX 500MG T CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 704351001
AUSTELL CIPROFLOX 500MG T CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 100 704351002
AUSTELL CIPROFLOX 750MG CIPROFLOXACIN HCL TAB 750 MG (BASE EQUIV) 100 704352002
AUSTELL CIPROFLOXACIN 250 CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 14 704353003
AUSTELL FLUCON 150MG CAPS FLUCONAZOLE CAP 150 MG 1 704357001
AUSTELL FLUCON 150MG CAPS FLUCONAZOLE CAP 150 MG 4 704357003
23Medicine Name Active Ingredient Pack Size NAPPI Code
AUSTELL-AMOXICILLIN 250MG AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 707499001
AUSTELL-AMOXICILLIN 500MG AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500 705637001
AUSTELL-CITALOPRAM 20MG T CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 707398001
AUSTELL-CO-AMOXICLAV 375M AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 707407001
AUSTELL-CO-AMOXICLAV 625M AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 707408001
Primary Care Networks
AUSTELL-PARACETAMOL 500MG PARACETAMOL TAB 500 MG 10 713153001
AUSTELL-PARACETAMOL 500MG PARACETAMOL TAB 500 MG 20 713153002
AUSTELL-TRAMADOL 50MG CAP TRAMADOL HCL CAP 50 MG 20 710250001
AUSTELL-TRAMADOL 50MG CAP TRAMADOL HCL CAP 50 MG 100 710250002
AUSTELL-ZOPICLONE 7.5MG T ZOPICLONE TAB 7.5 MG 30 712508001
AZOR 0.25MG TABS ALPRAZOLAM TAB 0.25 MG 100 823244008
AZOR 0.5MG TABS ALPRAZOLAM TAB 0.5 MG 100 823252019
AZOR 1MG TABS ALPRAZOLAM TAB 1 MG 100 823260003
AZYCLOVIR CO PASTE ACYCLOVIR CREAM 5% 8 080194001
BABA C SYR *VITAMIN MIXTURE SYRUP** 100 831514019
BABA C SYR *VITAMIN MIXTURE SYRUP** 2500 831514027
BACTRIM DS TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 10 706442008
BACTRIM TABS SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 20 706434005
BACTROBAN CREAM MUPIROCIN CALCIUM CREAM 2% 15 702504003
BACTROBAN TOPICAL OINT MUPIROCIN OINT 2% 15 706493001
BACTROBAN TOPICAL OINT MUPIROCIN OINT 2% 100 706493036
BAN PAIN SYRUP PARACETAMOL-PROMETHAZINE W/ CODEINE SYRUP 120-6.5-5 100 710248001
MG/5ML
BARRS COMP SYR COCILLANA COCILLANA-TERPIN HYDRATE SYRUP 100 717186001
BARRS PARACETAMOL 120MG/5 PARACETAMOL SYRUP 120 MG/5ML 100 717187001
BARRS POVIDONE IODINE POVIDONE-IODINE OINT 10% 25 702549001
BARRS POVIDONE IODINE POVIDONE-IODINE OINT 10% 500 702549002
BARRS POVIDONE-IODINE 10% POVIDONE-IODINE OINT 10% 25 717217001
BAYER ASPIRIN TABS ASPIRIN TAB 300 MG 100 706930002
BAYER ASPIRIN TABS ASPIRIN TAB 300 MG 10 706930010
BAYER ASPIRIN TABS ASPIRIN TAB 300 MG 30 706930029
BAYER ASPIRIN TABS ASPIRIN TAB 300 MG 50 706930037
BECLATE AQUANASE 50MCG 15 BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1 820709018
BECLATE1:ATROV.BETA2 BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1 080201001
BECONASE AQ 50MCG BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1 707198003
BELEX 500MG CAPS CEPHALEXIN CAP 500 MG 100 706327001
BE-METRAZOLE 200MG TABS METRONIDAZOLE TAB 200 MG 500 821705016
BE-METRAZOLE 400MG TABS METRONIDAZOLE TAB 400 MG 500 788708023
BENCOLE SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50 795070004
BENCOLE SUSP SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100 795070012
BENDEX 400MG TABS ALBENDAZOLE TAB 400 MG 1 840262019
BENYLIN CHESTY METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100 862037018
BENYLIN CHESTY METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200 862037026
BENYLIN WET COUGH GUAIFENESIN SYRUP 100 MG/5ML 50 704178001
BENYLIN WET COUGH GUAIFENESIN SYRUP 100 MG/5ML 100 704178002
BENYLIN WET COUGH MENTHOL GUAIFENESIN SYRUP 100 MG/5ML 50 895150007
BENYLIN WET COUGH MENTHOL GUAIFENESIN SYRUP 100 MG/5ML 100 895150015
BENZAC AC 5 GEL BENZOYL PEROXIDE GEL 5% 40 807842028
BENZAC-AC 5 GEL BENZOYL PEROXIDE GEL 5% 15 807842029
BENZYL BENZOATE APPL BENZYL BENZOATE EMULSION 25% 100 885588007
BE-OXYTET 250MG CAPS OXYTETRACYCLINE HCL CAP 250 MG 1000 787434035
BE-TABS ANTACID CAL & MAG CARB-MAG TRISILICATE SUSP 250-250-500 MG/5ML 100 839035004
BE-TABS ANTACID CAL & MAG CARB-MAG TRISILICATE SUSP 250-250-500 MG/5ML 2500 839035012
BE-TABS ASPIRIN 300MG TAB ASPIRIN TAB 300 MG 100 798533005
BE-TABS ASPIRIN 300MG TAB ASPIRIN TAB 300 MG 1000 798533013
BE-TABS ASPIRIN 300MG TAB ASPIRIN TAB 300 MG 5000 798533021
BE-TABS FOLIC ACID 5MG FOLIC ACID TAB 5 MG 1000 810967006
BE-TABS FOLIC ACID 5MG FOLIC ACID TAB 5 MG 5000 810967014
24Medicine Name Active Ingredient Pack Size NAPPI Code
BE-TABS FOLIC ACID 5MG FOLIC ACID TAB 5 MG 100 810967015
BE-TABS NAPROXEN 250 NAPROXEN TAB 250 MG 250 799459011
BE-TABS PREDNISONE 5MG TA PREDNISONE TAB 5 MG 1000 788783009
BETACIN 25MG CAPS INDOMETHACIN CAP 25 MG 500 787833010
BETACLAV 1000MG TABS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 714704001
Primary Care Networks
BETACLOMIN GEL ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 200 707899001
MG/10ML
BETACLOMIN GEL ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 350 707899028
MG/10ML
BETACLOMIN GEL ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 100 707899044
MG/10ML
BETACLOPRAMIDE 10MG TABS METOCLOPRAMIDE HCL TAB 10 MG 500 787817023
BETADINE 100MG/GM OINT POVIDONE-IODINE OINT 10% 25 707945003
BETADINE 100MG/GM OINT POVIDONE-IODINE OINT 10% 500 707945011
BETADINE GARGLE POVIDONE-IODINE MOUTHWASH 1% 200 707937019
BETAGESIC 200MG TABS IBUPROFEN TAB 200 MG 20 708186009
BETAGESIC 200MG TABS IBUPROFEN TAB 200 MG 100 708186010
BETAMOX 250MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500 788155024
BETAMOX 500MG CAPS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500 788546023
BETAMOX S 125MG/5ML SUSP AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100 829358005
BETAMOX SF 250MG/5ML SUS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100 829366008
BETAMYCIN 125MG SUS ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100 793329019
BETAMYCIN 250MG TABS ERYTHROMYCIN STEARATE TAB 250 MG 100 707437001
BETANOID 0.5MG TABS BETAMETHASONE TAB 0.5 MG 20 826928005
BETANOID 0.5MG TABS BETAMETHASONE TAB 0.5 MG 100 826928013
BETANOID 0.6MG/5ML SYR BETAMETHASONE SYRUP 0.6 MG/5ML 100 826936008
BETAPAM 5MG TABS DIAZEPAM TAB 5 MG 1000 708062024
BETAPECT SUSP KAOLIN-PECTIN SUSP 6-0.45 GM/30ML 100 799408018
BETAPECT SUSP KAOLIN-PECTIN SUSP 6-0.45 GM/30ML 2500 799408026
BETAPEN 125MG/5ML SYR PENICILLIN V POTASSIUM FOR SOLN 125 MG/5ML 100 751111015
BETAPEN 250MG TABS PENICILLIN V POTASSIUM TAB 250 MG 100 780081005
BETAPEN 250MG TABS PENICILLIN V POTASSIUM TAB 250 MG 1000 780081013
BETAPERAMIDE 2MG TABS LOPERAMIDE HCL TAB 2 MG 10 792691008
BETAPHLEM 250MG/5ML SYR CARBOCYSTEINE SYRUP 250 MG/5ML 200 708151019
BETAPHLEM 250MG/5ML SYR CARBOCYSTEINE SYRUP 250 MG/5ML 2500 708151027
BETAPROFEN 400 FC IBUPROFEN TAB 400 MG 1000 701975001
BETAPROFEN 200MG TABS IBUPROFEN TAB 200 MG 1000 787426016
BETA-VIRA 5% CREAM ACYCLOVIR CREAM 5% 2 713942001
BETEK 10MG TABS CETIRIZINE HCL TAB 10 MG 10 707885001
BETEK 10MG TABS CETIRIZINE HCL TAB 10 MG 30 707885002
BETNOVATE 1MG/GM CREAM BETAMETHASONE VALERATE CREAM 0.1% 15 708313019
BETNOVATE 1MG/GM OINT BETAMETHASONE VALERATE OINT 0.1% 15 708348009
BEVISPAS 135MG TABS MEBEVERINE HCL TAB 135 MG 100 822019019
BEVISPAS 135MG TABS MEBEVERINE HCL TAB 135 MG 20 822019035
BILTRICIDE 600MG TAB PRAZIQUANTEL TAB 600 MG 10 708607004
BILTRICIDE 600MG TAB PRAZIQUANTEL TAB 600 MG 1000 708607012
BINDOCLAV 1000MG TABS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 716126001
BINDOCLAV 375MG TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 716124001
BINDOCLAV 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 716125001
BIO CITALOPRAM 20MG TABS CITALOPRAM HYDROBROMIDE TAB 20 MG (BASE EQUIV) 30 717094001
BIO-AMOKSIKLAV AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5ML 100 865559007
BIO-AMOKSIKLAV 1000MG TAB AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10 708387002
BIO-AMOKSIKLAV 625MG TABS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15 865524010
BIO-AMOKSIKLAV TABS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15 865532001
BIO-AMOKSILAV AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/5ML 100 865540004
BIO-CIMETIDINE 200MG TABS CIMETIDINE TAB 200 MG 60 886978002
BIO-CIMETIDINE 200MG TABS CIMETIDINE TAB 200 MG 150 886978009
BIO-CIMETIDINE 400MG TABS CIMETIDINE TAB 400 MG 14 887003015
25Medicine Name Active Ingredient Pack Size NAPPI Code
BIO-CIMETIDINE 400MG TABS CIMETIDINE TAB 400 MG 56 887003016
BIOCIP 250MG TABS CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 704459001
BIOCIP 500MG TABS CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 704460001
BIOCORT CREAM HYDROCORTISONE ACETATE CREAM 1% 500 807834017
BIOCORT CREAM HYDROCORTISONE ACETATE CREAM 1% 20 807834018
Primary Care Networks
BIOHIST LOT DIPHENHYDRAMINE-CALAMINE-PHENOL LOTION 1-15-0.4% 100 794120008
BIOHIST SYR PROMETHAZINE HCL SYRUP 5 MG/5ML 100 786837012
BIO-METRONIDAZOLE 400MG METRONIDAZOLE TAB 400 MG 500 707242004
BIO-METRONIDAZOLE 400MG T METRONIDAZOLE TAB 400 MG 14 707242002
BIO-NAPROXEN 250MG TABS NAPROXEN TAB 250 MG 140 715831001
BIO-NIFEDIPINE 5MG CAPS NIFEDIPINE CAP 5 MG 100 826863019
BIOTECH CIPROFLOXACIN 250 CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10 713792001
BIOTECH CIPROFLOXACIN 500 CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10 713793001
BIOTECH CIPROFLOXACIN 750 CIPROFLOXACIN HCL TAB 750 MG (BASE EQUIV) 10 713794001
BISKAPECT SUSP KAOLIN-PECTIN-BISMUTH CARBONATE SUSP 8-0.25-0.2 GM/30ML 100 708976018
BISKAPECT SUSP KAOLIN-PECTIN-BISMUTH CARBONATE SUSP 8-0.25-0.2 GM/30ML 2500 708976026
BISMA-REX POWDER AL HYD-BIS ALUM-CA CARB-MG CARB-MG TRISIL-NA BICARB 450 709776002
POWD
BISMA-REX POWDER AL HYD-BIS ALUM-CA CARB-MG CARB-MG TRISIL-NA BICARB 150 709776001
POWD
BISOLVON LINCTUS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100 710032005
BISOLVON LINCTUS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200 710032013
BODY BALANCE FERROUS SULP FERROUS SULFATE TAB 75 MG 1000 713558001
BODY BALANCE FERROUS SULP FERROUS SULFATE TAB 75 MG 5000 713558002
BRAZEPAM 3MG TABS BROMAZEPAM TAB 3 MG 30 796999007
BRAZEPAM 3MG TABS BROMAZEPAM TAB 3 MG 100 796999015
BRAZEPAM 6MG TABS BROMAZEPAM TAB 6 MG 30 800066006
BRAZEPAM 6MG TABS BROMAZEPAM TAB 6 MG 100 800066014
BREN 400MG TABS IBUPROFEN TAB 400 MG 1000 708290001
BRISCOPYN TABS PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320-150-32-8 MG 1000 800325044
BROMAZE 6MG TABS BROMAZEPAM TAB 6 MG 100 821616005
BRONCHETTE 250MG/5ML SYRP CARBOCYSTEINE SYRUP 250 MG/5ML 200 710520018
BRONCHOLIN EXPECT GUAIFENESIN SYRUP 100 MG/5ML 100 887966001
BRONCLEER SYRP DIPHENHYDRAMINE-AMCL-SOD CITRATE SYRUP 14.07-137-57 100 710636008
MG/5ML
BRONCOL DEXTROMETHORPHAN-AMCL SYRUP 15-90 MG/5ML 200 710652003
BRONCOL COUGH SYRP DEXTROMETHORPHAN-AMCL SYRUP 15-90 MG/5ML 100 710652004
BRONKESE CO SYRP METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100 710687001
BRONKESE CO SYRP METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200 710687028
BRUFEN PAED SUSP IBUPROFEN SUSP 100 MG/5ML 100 710857004
BRUNACOD SYR EPHEDRINE-PROMETHAZINE-CODEINE SYRUP 7-3-9.2 MG/5ML 100 710881002
BRUNACOD SYR EPHEDRINE-PROMETHAZINE-CODEINE SYRUP 7-3-9.2 MG/5ML 2500 710881010
BRUNAZINE 5MG/5ML PROMETHAZINE HCL SYRUP 5 MG/5ML 100 710873018
BRUNAZINE 5MG/5ML PROMETHAZINE HCL SYRUP 5 MG/5ML 500 710873034
BRUNOMOL 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 100 789526018
BRUNOMOL 120MG/5ML SYRP PARACETAMOL ELIXIR 120 MG/5ML 2500 789526026
BUSCOPAN 10MG TABS SCOPOLAMINE N-BUTYLBROMIDE TAB 10 MG 10 711276005
BUSCOPAN 5MG/5ML SYRP SCOPOLAMINE N-BUTYLBROMIDE SYRUP 5 MG/5ML 100 797413006
BUSCOPAN CO TABS DIPYRONE-SCOPOLAMINE BUTYLBROMIDE TAB 250-10 MG 20 711292019
BUSCOPAN CO TABS DIPYRONE-SCOPOLAMINE BUTYLBROMIDE TAB 250-10 MG 100 711292027
CALCIPREG TAB *PRENATAL VITAMIN TAB** 60 704600001
CANALBA CREAM CLOTRIMAZOLE CREAM 1% 20 796336008
CANALBA VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 831875003
CANDACIDE SUSP 20ML NYSTATIN SUSP 100000 UNIT/ML 20 701100001
CANDACIDE SUSP 30ML NYSTATIN SUSP 100000 UNIT/ML 30 701100002
CANDASPOR CREAM CLOTRIMAZOLE CREAM 1% 20 788554018
CANDASPOR VCR CLOTRIMAZOLE VAGINAL CREAM 1% 50 831883006
CANDIZOLE CREAM CLOTRIMAZOLE CREAM 1% 20 797006001
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