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.

Should you wish to export the formulary for your own offline use you are welcome to use the export buttons at the top of the table to export the full list in the format you prefer. If you only need a subset of the list please filter the table using the fields provided and then the export buttons will export only your chosen subset of data.

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
1 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
2 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
3 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM CENTRAL NERVOUS SYSTEM Anti-migraine agents Anti-Migraine agents Clonidine HCl Tab 0.025 MG OR TABS A Max 3 Rx/annum
4 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
5 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANAESTHETICS Local anaesthetics Surface anaesthetics Tetracaine HCl Cream 1% EX CREA A Max 1 Rx/annum
6 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Aspirin Tab 300 MG OR TABS A Max Rx/5 days & 3 Rx/annum
7 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Ibuprofen Susp 100 MG/5ML OR SUSP A Max 200ml/Rx & 3 Rx/annum
8 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Ibuprofen 200 MG OR TABS A Max Rx/5 days & 3 Rx/annum
9 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Paracetamol Syrup 120 MG/5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
10 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Paracetamol Tab 500 MG OR TABS A Max Rx/5 days & 3 Rx/annum
11 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Paracetamol Supp 125 MG SUPP CAPS A Max Rx/5 days & 3 Rx/annum
12 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANALGESICS Analgesics and antipyretics Analgesic and Antipyretics Paracetamol Supp 250 MG SUPP CAPS A Max Rx/5 days & 3 Rx/annum
13 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANALGESICS Combinations Combination Analgesics Paracetamol w/ Codeine Tab 500-10 MG OR TABS A Max Rx/5 days & 3 Rx/annum
14 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANALGESICS Combinations Combination Analgesics Paracetamol w/ Codeine Tab 500-8 MG OR TABS A Max Rx/5 days & 3 Rx/annum
15 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANALGESICS Combinations Combination Analgesics Paracetamol w/ Codeine Tab 500-10 MG OR TABS A Max Rx/5 days & 3 Rx/annum
16 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
17 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
18 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM MUSCULO-SKELETAL AGENTS Topical agents Topical Agents Diclofenac Diethylammonium Gel 1.3% EX GEL A Max 1 package/annum
19 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM MUSCULO-SKELETAL AGENTS Topical agents Topical Agents Ibuprofen Gel 5% EX GEL A Max 1 package/annum
20 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM MUSCULO-SKELETAL AGENTS Topical agents Topical Agents Liniments and rubs - ointment EX GEL A Max 50g package/annum
21 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM AUTACOIDS Anti-histamines Anti-Histamines Chlorpheniramine Maleate Syrup 2 MG/5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
22 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM AUTACOIDS Anti-histamines Anti-Histamines Chlorpheniramine Maleate Tab 4 MG OR TABS A Max 30/Rx & 3 Rx/annum
23 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM AUTACOIDS Anti-histamines Anti-Histamines Promethazine HCl Inj 25 MG/ML INJ SOLN A Consumables - Clinic use only
24 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM AUTACOIDS Anti-histamines Anti-Histamines Promethazine HCl Syrup 5 MG/5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
25 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM AUTACOIDS Anti-histamines Anti-Histamines Promethazine HCl Tab 10 MG OR TABS A Max Rx/5 days & 3 Rx/annum
26 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM AUTACOIDS Anti-histamines Anti-Histamines Promethazine HCl Tab 25 MG OR TABS A Max Rx/5 days & 3 Rx/annum
27 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
28 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM AUTACOIDS Anti-histamines Anti-Histamines Cetrizine Tab 5 MG OR TABS A Max Rx/5 days & 3 Rx/annum
29 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM AUTACOIDS Anti-histamines Anti-Histamines Cetrizine Tab 10 MG OR TABS A Max Rx/5 days & 3 Rx/annum
30 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM AUTACOIDS Anti-histamines Anti-Histamines Mepyramine melate Cream 2 G / 100 G TOP CREA A Max 1 package/Rx & 3 Rx/annum
31 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM AUTACOIDS Anti-histamines Anti-Histamines Chlorpheniramine 2MG/5ML OR SYRP A Max Rx/5 days & 3 Rx/annum
32 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
33 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
34 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
35 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
36 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
37 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM RESPIRATORY SYSTEM Coughs and colds Antitussives and expectorants Guaifenesin Syrup 100 MG/5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
38 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
39 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
40 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
41 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
42 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
43 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM RESPIRATORY SYSTEM Bronchodilators Short acting B2 agonists Salbutamol (Albuterol) Sulfate Tab 2 MG OR TABS A Max 30/Rx & 3 Rx/annum
44 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM RESPIRATORY SYSTEM Bronchodilators Short acting B2 agonists Salbutamol (Albuterol) Sulfate Tab 4 MG OR TABS A Max 30/Rx & 3 Rx/annum
45 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM RESPIRATORY SYSTEM Mucolytics Mucolytics Carbocisteine Cap 375 MG OR CAPS A Max 30/Rx & 3 Rx/annum
46 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM RESPIRATORY SYSTEM Mucolytics Mucolytics Carbocysteine Syrup 250 MG/5ML OR SYRP A Max 200ml/Rx & 3 Rx/annum
47 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM EAR, NOSE AND THROAT Topical nasal preparations Glucocorticosteroids Beclomethasone Dipropionate Nasal Soln 0.05% NA SOLN A Max 1/Rx & 4 Rx/annum
48 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
49 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
50 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
51 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
52 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM EAR, NOSE AND THROAT Topical nasal preparations Others Hypertonic nasal wash NA SOLN A Max 1 package every 30 days & 3 Rx/annum
53 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
54 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
55 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
56 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
57 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
58 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
59 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM EAR, NOSE AND THROAT Mouth and throat preparations Mouth and throat preparations Povidone-Iodine Mouthwash 1% MT SOLN A Max 200ml/annum
60 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
61 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM GASTRO-INTESTINAL TRACT Anti-Spasmodics Anti-Spasmodics Hyosciene Butylbromide Syrup 5 MG/5ML OR SYRP A Max 100ml/Rx & 3 Rx/annum
62 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM GASTRO-INTESTINAL TRACT Anti-Spasmodics Anti-Spasmodics Hyosciene Butylbromide Tab 10 MG OR TABS A Max 20/Rx & 4 Rx/annum
63 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM GASTRO-INTESTINAL TRACT Anti-Spasmodics Anti-Spasmodics Mebeverine HCl Tab 135 MG OR TABS A Max 30/Rx & 4 Rx/annum
64 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
65 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM GASTRO-INTESTINAL TRACT Acid reducers Antacids Aluminium Hydroxide 300MG / 5ML OR SUSP A Max 200ml/Rx & 3 Rx/annum
66 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
67 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM GASTRO-INTESTINAL TRACT Acid reducers Antacids Calcium carbonate / Magnesium Carbonate chewable Tab - 680MG / 80MG OR TABS A Max 30/Rx & 4 Rx/annum
68 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
69 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
70 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
71 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
72 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM GASTRO-INTESTINAL TRACT Laxatives Laxatives Lactulose Solution 10 G/15ML OR SOLN A Max 200ml/Rx & 2 Rx/annum
73 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM GASTRO-INTESTINAL TRACT Laxatives Laxatives Sennosides Tab 7.5 MG OR TABS A Max 30/Rx & 2 Rx/annum
74 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
75 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
76 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
77 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM GASTRO-INTESTINAL TRACT Antidiarrhoeals Antidiarrhoeals Loperamide HCl Syrup 1 MG/5ML OR SYRP A Max 50ml/Rx & 3 Rx/annum
78 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM GASTRO-INTESTINAL TRACT Antidiarrhoeals Antidiarrhoeals Loperamide HCl Tab 2 MG OR TABS A Max 20/Rx & 3 Rx/annum
79 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
80 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANTHELMINTICS ANTHELMINTICS ANTHELMINTICS Mebendazole Susp 100 MG/ 5ML OR SUSP A Max 1 package/Rx & 2 Rx/annum
81 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANTHELMINTICS ANTHELMINTICS ANTHELMINTICS Mebendazole Tab 100 MG OR TABS A Max 1 package/Rx & 2 Rx/annum
82 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANTHELMINTICS ANTHELMINTICS ANTHELMINTICS Mebendazole Tab 500 MG OR TABS A Max 1 package/Rx & 2 Rx/annum
83 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
84 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM DERMATOLOGICALS Anti-bacterial antiseptic agents Anti-bacterial antiseptic agents Nitrofurazone Oint 0.2% EX OINT A Max 1 package/Rx & 2 Rx/annum
85 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM DERMATOLOGICALS Anti-bacterial antiseptic agents Anti-bacterial antiseptic agents Povidone-Iodine Oint 10% EX OINT A Max 1 package/Rx & 2 Rx/annum
86 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM DERMATOLOGICALS Anti-bacterial antiseptic agents Anti-bacterial antiseptic agents Silver Sulfadiazine Cream 1% EX CREA A Max 1 package/Rx & 2 Rx/annum
87 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM DERMATOLOGICALS Anti-parasitics Anti-parasitics Benzyl benzoate Lotion 25G per 100ML EX CREA A Max 200ml/Rx & 2 Rx/annum
88 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM DERMATOLOGICALS Anti-parasitics Anti-parasitics Sulfiram Bar 5% EX BAR A Max 2 bars/Rx & 2 Rx/annum
89 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM DERMATOLOGICALS Fungicides Fungicides Clotrimazole Cream 1% EX CREA A Max 1 package/Rx & 2 Rx/annum
90 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
91 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM DERMATOLOGICALS Cortico-steroids Cortico-steroids (topical) Hydrocortisone Cream 1% EX CREA A C SLE Max 1 package/Rx & 2 Rx/annum / Therapeutic - ChroniLine
92 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM DERMATOLOGICALS Emollients and protectives Emollients and protectives Calamine Lotion EX LOTN A Max 100ml/Rx & 3 Rx/annum
93 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM DERMATOLOGICALS Emollients and protectives Emollients and protectives Emulsifying Ointment EX LOTN A Max 100ml/Rx & 2 Rx/annum
94 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM OPHTHALMICS Anti-infectives Anti-infectives Sulfacetamide Sodium Ophth Oint 10% OP OINT A Max 1 package/Rx & 3 Rx/annum
95 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM OPHTHALMICS Decongestants Oxymetazoline HCl Ophthalmic Drops 0.05% OP SOLN A Max 1 package/Rx & 3 Rx/annum
96 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM OPHTHALMICS Decongestants Oxymetazoline HCl Ophth Soln 0.025% OP SOLN A Max 1 package/Rx & 3 Rx/annum
97 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM OPHTHALMICS Decongestants Phenylephrine / PolyVinyl alcohol Ophth Soln 1.2MG / 14MG (per 1ML) OP SOLN A Max 1 package/Rx & 3 Rx/annum
98 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM OPHTHALMICS Others Others Cromolyn Sodium Ophth Soln 2% OP SOLN A Max 1 package/Rx & 3 Rx/annum
99 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM URINARY SYSTEM Urinary alkalinizers Urinary alkalinizers Potassium Citrate & Citric Acid Soln 20-4% OR SOLN A Max 200ml/Rx & 3 Rx/annum
100 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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
101 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM GENITAL SYSTEM Vaginal Preparations Vaginal Preparations Clotrimazole Vaginal Cream 1% VA CREA A Max 1 package/Rx & 3 Rx/annum
102 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANTIMICROBIALS Anti-fungal agents Anti-fungal agents Nystatin Susp 100000 Unit/ML MT SUSP A Max 2 fills/annum
103 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM ANTIMICROBIALS Anti-viral agents Anti-viral agents Acyclovir Cream 5% EX CREA A Max 2 Rx/annum
104 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM VITAMINS, TONICS, MINERALS AND ELECTROLYTES Vitamins Other Folic Acid Tab 5 MG OR TABS A Max 9 Rx/annum (Gender)
105 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM VITAMINS, TONICS, MINERALS AND ELECTROLYTES Vitamins Other Pregi Forte Capsules (nappi code 715465) OR CAPS A Max 9 Rx/annum (Gender)
106 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 AM VITAMINS, TONICS, MINERALS AND ELECTROLYTES Vitamins Other Calcipreg Tablets (nappi code 704600) OR TABS A Max 9 Rx/annum (Gender)
107 KirstyKF 09/07/2025 11:03 AM KirstyKF 09/07/2025 11:03 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.