Prime Cure OTC Formulary 2025

PLEASE NOTE: Provider Trade Names are not listed on formulary, allowing for any generic substitution below or equal to Mediscor Reference Pricing (MRP).

Abbreviations for CDL (Chronic Disease List) conditions:

ADS – Addison’s Disease; AST – Asthma; BCE – Bronchiectasis; BMD – Bipolar Mood Disorder; CHF – Cardiac Heart Failure; CMY – Cardiomyopathy; COP – Chronic Obstructive Pulmonary Disease; CRD – Chronic Renal Disease; CSD – Crohn’s Disease; DBI – Diabetes Insipidus; DM1 – Diabetes Mellitus Type 1; DM2 – Diabetes Mellitus Type 2; DYS – Dysrhythmias; EPL – Epilepsy; GLC – Glaucoma; HAE – Haemophilia; HYL – Hyperlipidaemia; HYP – Hypertension; UC – Ulcerative Colitis; CAD (IHD) – Coronary Artery Disease (Ischaemic Heart Disease) ; MSS – Multiple Sclerosis; PAR – Parkinson’s disease; RHA – Rheumatoid Arthritis; SCZ – Schizophrenia; SLE – Systemic Lupus Erythematosus; TDH – Hypothyroidism

KEY TO QUANTITIES AND LIMITATIONS

1. “Therapeutic-ChroniLineTM” means the 1st months chronic medication (on formulary) can be obtained from the DSP (Designated Service Provider), there after registration with Mediscor ChroniLineTM is required.

2. “Therapeutic-ChroniLineTM Pre-Auth” means the medication is approved subject to registration with Mediscor ChroniLineTM.

3. “Consumables – Clinic use only” means the medication may only be administrated by a DSP at the rooms. Injectables are consumables. No scripting to patients to collect from DSP pharmacies.

4. “Therapeutic-ChroniLine 30 days/gastroscopy 90 days” means the medication is approved initially for 30 days with Mediscor ChroniLineTM and requires additional medical information for further approval.

5. “Max Rx/5 days every 120 days” means a script filled to a maximum of 5 days medication supply every 120 days can be claimed.

6. “HIV DMP” means Prime Cure’s HIV/AIDS Disease Management Programme.

7. All items marked as either Chronic or PMB, to be supplied by a Registered DSP Chronic Medication Supplier (DSP Pharmacy, approved GP or contracted Courier Pharmacy).

8. All items marked as Acute may be supplied by the General Practitioner (provided the GP is registered with Prime Cure as a dispensing provider), alternatively dispensed by a contracted DSP pharmacy (where GP is non-dispensing only).

9. Benefits for medicine are subject to Mediscor Reference Price (MRP). Should the cost of the item exceed the MRP, the patient will be liable for payment of the difference in cost. If this is the case, please inform the patient that the cost difference will be for his/her own personal account.

10. Medication formulary contact details: Tel: 0861 665 665 OR Email: pcauth@mediscor.co.za or chronicdep@primecure.co.za.

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wdt_ID wdt_created_by wdt_created_at wdt_last_edited_by wdt_last_edited_at MIMS MIMS Sub-Category Mims Description Active Ingredient Label Name Route of admin Dosage Form Acute Chronic CDL Conditions Quantities and Limitations
110 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM CENTRAL NERVOUS SYSTEM Anti-vertigo and anti-emetic agents Anti-vertigo and anti-emetic agents Cyclizine HCl Syrup 12.5 MG/5ML OR SYRP A Max 1 package/Rx & 3 Rx/annum
111 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM CENTRAL NERVOUS SYSTEM Anti-vertigo and anti-emetic agents Anti-vertigo and anti-emetic agents Cyclizine HCl Tab 50 MG OR TABS A Max 1 package/Rx & 3 Rx/annum
112 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM CENTRAL NERVOUS SYSTEM Anti-migraine agents Anti-Migraine agents Clonidine HCl Tab 0.025 MG OR TABS A Max 3 Rx/annum
113 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM CENTRAL NERVOUS SYSTEM Anti-migraine agents Anti-Migraine agents Clonidine HCl (Migraine) Oral Drops 25 MCG/0.5ML OR SOLN A Max 1 package/Rx & 3 Rx/annum
114 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANAESTHETICS Local anaesthetics Surface anaesthetics Tetracaine HCl Cream 1% EX CREA A Max 1 Rx/annum
115 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Aspirin Tab 300 MG OR TABS A Max Rx/5 days & 3 Rx/annum
116 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Ibuprofen Susp 100 MG/5ML OR SUSP A Max 200ml/Rx & 3 Rx/annum
117 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Ibuprofen 200 MG OR TABS A Max Rx/5 days & 3 Rx/annum
118 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Paracetamol Syrup 120 MG/5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
119 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Paracetamol Tab 500 MG OR TABS A Max Rx/5 days & 3 Rx/annum
120 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Paracetamol Supp 125 MG SUPP CAPS A Max Rx/5 days & 3 Rx/annum
121 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Paracetamol Supp 250 MG SUPP CAPS A Max Rx/5 days & 3 Rx/annum
122 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANALGESICS Combinations Combination Analgesics Paracetamol w/ Codeine Tab 500-10 MG OR TABS A Max Rx/5 days & 3 Rx/annum
123 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANALGESICS Combinations Combination Analgesics Paracetamol w/ Codeine Tab 500-8 MG OR TABS A Max Rx/5 days & 3 Rx/annum
124 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANALGESICS Combinations Combination Analgesics Paracetamol w/ Codeine Tab 500-10 MG OR TABS A Max Rx/5 days & 3 Rx/annum
125 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM MUSCULO-SKELETAL AGENTS Non-steroidal anti-inflammatory agents COX inhibitors Ibuprofen Tab 200 MG OR TABS A C RHA, SLE Max Rx/5 days & 2 Rx/annum / Therapeutic - ChroniLine
126 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM MUSCULO-SKELETAL AGENTS Non-steroidal anti-inflammatory agents COX inhibitors Ibuprofen Tab 400 MG OR TABS A C RHA, SLE Max Rx/5 days & 2 Rx/annum / Therapeutic - ChroniLine
127 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM MUSCULO-SKELETAL AGENTS Topical agents Topical Agents Diclofenac Diethylammonium Gel 1.3% EX GEL A Max 1 package/annum
128 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM MUSCULO-SKELETAL AGENTS Topical agents Topical Agents Ibuprofen Gel 5% EX GEL A Max 1 package/annum
129 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM MUSCULO-SKELETAL AGENTS Topical agents Topical Agents Liniments and rubs - ointment EX GEL A Max 50g package/annum
130 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Chlorpheniramine Maleate Syrup 2 MG/5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
131 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Chlorpheniramine Maleate Tab 4 MG OR TABS A Max 30/Rx & 3 Rx/annum
132 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Promethazine HCl Inj 25 MG/ML INJ SOLN A Consumables - Clinic use only
133 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Promethazine HCl Syrup 5 MG/5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
134 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Promethazine HCl Tab 10 MG OR TABS A Max Rx/5 days & 3 Rx/annum
135 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Promethazine HCl Tab 25 MG OR TABS A Max Rx/5 days & 3 Rx/annum
136 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Diphenhydramine-Zinc-Calamine-Phenol Lotion 10 MG / 50 MG / 150 MG / 4 MG (per ML) EX CREA A Max 1 package/Rx & 3 Rx/annum
137 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Cetrizine Tab 5 MG OR TABS A Max Rx/5 days & 3 Rx/annum
138 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Cetrizine Tab 10 MG OR TABS A Max Rx/5 days & 3 Rx/annum
139 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Mepyramine melate Cream 2 G / 100 G TOP CREA A Max 1 package/Rx & 3 Rx/annum
140 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM AUTACOIDS Anti-histamines Anti-Histamines Chlorpheniramine 2MG/5ML OR SYRP A Max Rx/5 days & 3 Rx/annum
141 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Diphenhydramine-AmCl-Sod Citrate Syrup 14 MG / 136 MG / 56 MG (per 5 ML) OR SYRP A Max 200ml/Rx & 3 Rx/annum
142 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Diphenhydramine-AmCl-Sod Citrate Syrup 14.1 MG / 135 MG / 55 MG (per 5 ML) OR SYRP A Max 200ml/Rx & 3 Rx/annum
143 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Diphenhydramine-AmCl-Sod Citrate-Men Syr 12 MG / 50 MG / 50MG (per 5 ML) OR SYRP A Max 200ml/Rx & 3 Rx/annum
144 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Diphenhydramine-AmCl-Sod Citrate-Men Syr 14 MG / 137 MG / 57 MG / 1 MG (per 5 ML) OR SYRP A Max 200ml/Rx & 3 Rx/annum
145 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Diphenhydramine-Ammonium Chloride Syrup 12.5 MG /125 MG (per 5 ML) OR SYRP A Max 200ml/Rx & 3 Rx/annum
146 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Guaifenesin Syrup 100 MG/5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
147 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Ocriprenaline / Bromhexine Liquid/Syrup - 5MG / 4MG (per 5ML) OR SYRP A Max 200ml/Rx & 3 Rx/annum
148 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Pseudoephedrine / Codiene / Triprolidine Syrup - 30MG / 10MG / 1.25MG (per 5ML) OR SYRP A Max 200ml/Rx & 3 Rx/annum
149 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Pseudoephed-Triprolidine-DM Syrup 30 MG / 1.25 MG / 10 MG (per 5 ML) OR SYRP A Max 200ml/Rx & 3 Rx/annum
150 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Guaifensesin / Pseudoehpidrine / Codiene / Triprolidine Syrup - 50MG / 12MG / 3MG / 0.6MG (per 5ML) OR SYRP A Max 200ml/Rx & 3 Rx/annum
151 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Bronchodilators Short acting B2 agonists Salbutamol (Albuterol) Sulfate Syrup 2 MG per 5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
152 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Bronchodilators Short acting B2 agonists Salbutamol (Albuterol) Sulfate Tab 2 MG OR TABS A Max 30/Rx & 3 Rx/annum
153 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Bronchodilators Short acting B2 agonists Salbutamol (Albuterol) Sulfate Tab 4 MG OR TABS A Max 30/Rx & 3 Rx/annum
154 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Mucolytics Mucolytics Carbocisteine Cap 375 MG OR CAPS A Max 30/Rx & 3 Rx/annum
155 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM RESPIRATORY SYSTEM Mucolytics Mucolytics Carbocysteine Syrup 250 MG/5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
156 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Topical nasal preparations Glucocorticosteroids Beclomethasone Dipropionate Nasal Soln 0.05% NA SOLN A Max 1/Rx & 4 Rx/annum
157 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Topical nasal preparations Decongestants Phenylephrine HCl Nasal Soln 0.25% NA SOLN A Max 1 package every 30 days & 3 Rx/annum
158 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Topical nasal preparations Decongestants Phenylephrine HCl Nasal Soln 1% NA SOLN A Max 1 package every 30 days & 3 Rx/annum
159 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Topical nasal preparations Decongestants Phenylephrine-Naphazoline Nasal Soln 62.5MG / 5.64MG (per 25ML) NA SOLN A Max 1 package every 30 days & 3 Rx/annum
160 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Topical nasal preparations Others Saline Nasal Spray 0.9% NA SOLN A Max 1 package every 30 days & 3 Rx/annum
161 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Topical nasal preparations Others Hypertonic nasal wash NA SOLN A Max 1 package every 30 days & 3 Rx/annum
162 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Ear drops and ointments Ear drops and ointments Phenazone Otic drops 750MG / 15ML DRP SOLN A Max 1 package every 30 days & 2 Rx/annum
163 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Ear drops and ointments Ear drops and ointments Glycerine / Phenazone / Benzocaine Otic drops - 1.185G / 0.05G / 0.01G (per 1ML) DRP SOLN A Max 1 package every 30 days & 2 Rx/annum
164 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Ear drops and ointments Ear drops and ointments Phenazone / Benzocaine / Chlorbutol Otic Soln - 150MG / 150MG / 150MG (per 15ML) OT SOLN A Max 1 package every 30 days & 3 Rx/annum
165 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Mouth and throat preparations Mouth and throat preparations Benzocaine Lozenge 10 MG MT LOZG A Max 20/Rx & 4 Rx/annum
166 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Mouth and throat preparations Mouth and throat preparations Benzocaine Lozenge 3 MG MT LOZG A Max 20/Rx & 4 Rx/annum
167 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Mouth and throat preparations Mouth and throat preparations Menthol Lozenge 1 MG MT LOZG Max 20/Rx & 4 Rx/annum
168 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Mouth and throat preparations Mouth and throat preparations Povidone-Iodine Mouthwash 1% MT SOLN A Max 200ml/annum
169 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM EAR, NOSE AND THROAT Mouth and throat preparations Mouth and throat preparations Tetracaine HCl Ointment 0.5% MT OINT A Max 1 package/annum
170 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Anti-Spasmodics Anti-Spasmodics Hyosciene Butylbromide Syrup 5 MG/5ML OR SYRP A Max 100ml/Rx & 3 Rx/annum
171 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Anti-Spasmodics Anti-Spasmodics Hyosciene Butylbromide Tab 10 MG OR TABS A Max 20/Rx & 4 Rx/annum
172 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Anti-Spasmodics Anti-Spasmodics Mebeverine HCl Tab 135 MG OR TABS A Max 30/Rx & 4 Rx/annum
173 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Acid reducers Antacids Aluminum Hydroxide / Magnesium Hydroxide / Simeticone Suspension - 225MG / 200MG / 25MG (per 5ML) OR SUSP A Max 200ml/Rx & 3 Rx/annum
174 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Acid reducers Antacids Aluminium Hydroxide 300MG / 5ML OR SUSP A Max 200ml/Rx & 3 Rx/annum
175 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Acid reducers Antacids Cal & Mag Carb-Mag Trisilicate Susp 250-250-500 MG/5ML OR SUSP A Max 200ml/Rx & 3 Rx/annum
176 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Acid reducers Antacids Calcium carbonate / Magnesium Carbonate chewable Tab - 680MG / 80MG OR TABS A Max 30/Rx & 4 Rx/annum
177 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Acid reducers Antacids Mag Carb-Mag Trisilicate-Sod Bicarb Susp 250-250-250 MG/5ML OR SUSP A Max 200ml/Rx & 3 Rx/annum
178 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Acid reducers Antacids Mag Carb-Mag Trisilicate-Sod Bicarb Susp 500-500-500 MG/5ML OR SUSP A Max 200ml/Rx & 3 Rx/annum
179 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Acid reducers Antacids and combinations Aluminium / Magnesium / Dicyclomide / Simethicone Suspension - 200MG / 200MG / 5MG / 40MG (per 10ML) OR SUSP A Max 200ml/Rx & 3 Rx/annum
180 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Acid reducers Antacids and combinations Dicyclomide / Magnesium / Aluminium Suspension - 5MG / 200MG / 200MG (per 10ML) OR SUSP A Max 200ml/Rx & 3 Rx/annum
181 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Laxatives Laxatives Lactulose Solution 10 G/15ML OR SOLN A Max 200ml/Rx & 2 Rx/annum
182 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Laxatives Laxatives Sennosides Tab 7.5 MG OR TABS A Max 30/Rx & 2 Rx/annum
183 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Antidiarrhoeals Antidiarrhoeals Kaolin / Pectin Susp 1 G / 0.05 G (per 5ML) OR SUSP A Max 200ml/Rx & 3 Rx/annum
184 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Antidiarrhoeals Antidiarrhoeals Kaolin / Pectin Susp 6 G / 0.45 G (per 30ML) OR SUSP A Max 200ml/Rx & 3 Rx/annum
185 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Antidiarrhoeals Antidiarrhoeals Kaolin-Pectin / Potassium Chloride / Sodium Lactate Suspenstion 6G / 120 MG / 41.4 MG / 78.9MG / 86.4 MG (per 30ML) OR SUSP A Max 200ml/Rx & 3 Rx/annum
186 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Antidiarrhoeals Antidiarrhoeals Loperamide HCl Syrup 1 MG/5ML OR SYRP A Max 50ml/Rx & 3 Rx/annum
187 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Antidiarrhoeals Antidiarrhoeals Loperamide HCl Tab 2 MG OR TABS A Max 20/Rx & 3 Rx/annum
188 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GASTRO-INTESTINAL TRACT Suppositories and anal ointments Suppositories and anal ointments Zinc / Bismuth subgallate / Bismuth Oxide suppository 296MG / 59 MG / 24 MG RE SUPP A Max 1 package/Rx & 3 Rx/annum
189 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANTHELMINTICS ANTHELMINTICS ANTHELMINTICS Mebendazole Susp 100 MG/ 5ML OR SUSP A Max 1 package/Rx & 2 Rx/annum
190 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANTHELMINTICS ANTHELMINTICS ANTHELMINTICS Mebendazole Tab 100 MG OR TABS A Max 1 package/Rx & 2 Rx/annum
191 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANTHELMINTICS ANTHELMINTICS ANTHELMINTICS Mebendazole Tab 500 MG OR TABS A Max 1 package/Rx & 2 Rx/annum
192 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Anti-bacterial antiseptic agents Anti-bacterial antiseptic agents Diiodohydroxyquinolone / Benzocaine / Chlorbutanol Cream 150MG / 50MG / 50MG (per 5G) EX CREA A Max 1 package/Rx & 2 Rx/annum
193 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Anti-bacterial antiseptic agents Anti-bacterial antiseptic agents Nitrofurazone Oint 0.2% EX OINT A Max 1 package/Rx & 2 Rx/annum
194 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Anti-bacterial antiseptic agents Anti-bacterial antiseptic agents Povidone-Iodine Oint 10% EX OINT A Max 1 package/Rx & 2 Rx/annum
195 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Anti-bacterial antiseptic agents Anti-bacterial antiseptic agents Silver Sulfadiazine Cream 1% EX CREA A Max 1 package/Rx & 2 Rx/annum
196 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Anti-parasitics Anti-parasitics Benzyl benzoate Lotion 25G per 100ML EX CREA A Max 200ml/Rx & 2 Rx/annum
197 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Anti-parasitics Anti-parasitics Sulfiram Bar 5% EX BAR A Max 2 bars/Rx & 2 Rx/annum
198 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Fungicides Fungicides Clotrimazole Cream 1% EX CREA A Max 1 package/Rx & 2 Rx/annum
199 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Cortico-steroids Cortico-steroids (topical) Hydrocortisone Acetate Cream 1% EX CREA A C SLE Max 1 package/Rx & 2 Rx/annum / Therapeutic - ChroniLine
200 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Cortico-steroids Cortico-steroids (topical) Hydrocortisone Cream 1% EX CREA A C SLE Max 1 package/Rx & 2 Rx/annum / Therapeutic - ChroniLine
201 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Emollients and protectives Emollients and protectives Calamine Lotion EX LOTN A Max 100ml/Rx & 3 Rx/annum
202 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM DERMATOLOGICALS Emollients and protectives Emollients and protectives Emulsifying Ointment EX LOTN A Max 100ml/Rx & 2 Rx/annum
203 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM OPHTHALMICS Anti-infectives Anti-infectives Sulfacetamide Sodium Ophth Oint 10% OP OINT A Max 1 package/Rx & 3 Rx/annum
204 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM OPHTHALMICS Decongestants Oxymetazoline HCl Ophthalmic Drops 0.05% OP SOLN A Max 1 package/Rx & 3 Rx/annum
205 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM OPHTHALMICS Decongestants Oxymetazoline HCl Ophth Soln 0.025% OP SOLN A Max 1 package/Rx & 3 Rx/annum
206 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM OPHTHALMICS Decongestants Phenylephrine / PolyVinyl alcohol Ophth Soln 1.2MG / 14MG (per 1ML) OP SOLN A Max 1 package/Rx & 3 Rx/annum
207 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM OPHTHALMICS Others Others Cromolyn Sodium Ophth Soln 2% OP SOLN A Max 1 package/Rx & 3 Rx/annum
208 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM URINARY SYSTEM Urinary alkalinizers Urinary alkalinizers Potassium Citrate & Citric Acid Soln 20-4% OR SOLN A Max 200ml/Rx & 3 Rx/annum
209 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM URINARY SYSTEM Urinary alkalinizers Urinary alkalinizers Potassium Citrate & Citric Acid Soln 45-21 MG/15ML OR SOLN A Max 200ml/Rx & 3 Rx/annum
210 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM GENITAL SYSTEM Vaginal Preparations Vaginal Preparations Clotrimazole Vaginal Cream 1% VA CREA A Max 1 package/Rx & 3 Rx/annum
211 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANTIMICROBIALS Anti-fungal agents Anti-fungal agents Nystatin Susp 100000 Unit/ML MT SUSP A Max 2 fills/annum
212 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM ANTIMICROBIALS Anti-viral agents Anti-viral agents Acyclovir Cream 5% EX CREA A Max 2 Rx/annum
213 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM VITAMINS, TONICS, MINERALS AND ELECTROLYTES Vitamins Other Folic Acid Tab 5 MG OR TABS A Max 9 Rx/annum (Gender)
214 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM VITAMINS, TONICS, MINERALS AND ELECTROLYTES Vitamins Other Pregi Forte Capsules (nappi code 715465) OR CAPS A Max 9 Rx/annum (Gender)
215 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM VITAMINS, TONICS, MINERALS AND ELECTROLYTES Vitamins Other Calcipreg Tablets (nappi code 704600) OR TABS A Max 9 Rx/annum (Gender)
216 Kirsty Knighton-Fitt 27/12/2024 09:38 AM Kirsty Knighton-Fitt 27/12/2024 09:38 AM VITAMINS, TONICS, MINERALS AND ELECTROLYTES Vitamins Other Preg-Natal Capsules (nappi code 701693) OR CAPS A Max 9 Rx/annum (Gender)
MIMS MIMS Sub-Category Mims Description Active Ingredient Label Name Route of admin Dosage Form Acute Chronic CDL Conditions

Disclaimer:
Please note that the formulary will be reviewed regularly by clinical and pharmaceutical advisors to ensure it complies with the latest industry norms for the treatment of these conditions. Prime Cure reserves the right to change medication on the formulary when important information comes to light that requires us to do so – for instance, new findings regarding safety of medicine.