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Annex B

This document contains a checklist of medicines and their preparations that are covered under the PhilHealth Konsulta program. It lists various medicines for conditions like hypertension, asthma, bacterial infections, and includes their brand and generic names, strengths and formulations like tablets, capsules, suspensions, inhalers. The list contains over 50 different medicines and their over 100 preparations.
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0% found this document useful (0 votes)
107 views3 pages

Annex B

This document contains a checklist of medicines and their preparations that are covered under the PhilHealth Konsulta program. It lists various medicines for conditions like hypertension, asthma, bacterial infections, and includes their brand and generic names, strengths and formulations like tablets, capsules, suspensions, inhalers. The list contains over 50 different medicines and their over 100 preparations.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Annex B.

2 Checklist of PhilHealth Konsulta Drugs and Its Preparations

 Medicine Preparation  Medicine Preparation


Amlodipine 10 mg Tablet (As Besilate) Co-Amoxiclav 125 mg amoxicillin (as
(Amoxicillin + trihydrate) + 31 mg
Potassium potassium clavulanate per
Clavulanate) 5 mL granules/powder for
suspension, 30 mL
Amlodipine 5 mg Tablet (As Besilate) Co-Amoxiclav 125 mg amoxicillin (as
(Amoxicillin + trihydrate) + 31 mg
Potassium potassium clavulanate per
Clavulanate) 5 mL granules/powder for
suspension, 60 mL
Amoxicillin 125 mg/5mL, 60 mL Co-Amoxiclav 200 mg amoxicillin (as
Suspension (Amoxicillin + trihydrate) + 28.5 mg
Potassium potassium clavulanate per
Clavulanate) 5 mL granules/powder for
suspension, 70 mL

Amoxicillin 250 mg/5mL, 60 mL Co-Amoxiclav 250 mg amoxicillin (as


Suspension (Amoxicillin + trihydrate) + 62.5 mg
Potassium potassium clavulanate per
Clavulanate) 5 mL granules/powder for
suspension, 60 mL
Amoxicillin 250 mg Capsule Co-Amoxiclav 250 mg amoxicillin (as
(Amoxicillin + trihydrate) + 62.5 mg
Potassium potassium clavulanate per
Clavulanate) 5 mL granules/powder for
susp, 100 mL

Amoxicillin 500 mg Capsule Co-Amoxiclav 400 mg amoxicillin (as


(Amoxicillin + trihydrate) + 57 mg
Potassium potassium clavulanate per
Clavulanate) 5 mL granules/powder for
suspension, 30 mL
Amoxicillin 100 mg/mL, 10 mL Drops Co-Amoxiclav 400 mg amoxicillin (as
(Amoxicillin + trihydrate) + 57 mg
Potassium potassium clavulanate per
Clavulanate) 5 mL granules/powder for
suspension, 70 mL
Aspirin 80 mg enteric-coated tablet Cotrimoxazole 400 mg sulfamethoxazole +
(Sulfamethoxazole 80 mg trimethoprim tablet
+ Trimethoprim)
Asprin 100 mg enteric-coated tablet Cotrimoxazole 400 mg sulfamethoxazole +
(Sulfamethoxazole 80 mg trimethoprim
+ Trimethoprim) capsule
Chlorphenamine 4 mg Tablet Cotrimoxazole 800 mg sulfamethoxazole +
(Sulfamethoxazole 160 mg trimethoprim
+ Trimethoprim) tablet
Chlorphenamine 2.5 mg/5mL syrup, 60 mL Cotrimoxazole 200 mg sulfamethoxazole +
(Sulfamethoxazole 40 mg trimethoprim/5mL
+ Trimethoprim) suspension 30 mL Bottle
Ciprofloxacin 250 mg Tablet (as HCI) Cotrimoxazole 200 mg sulfamethoxazole +
(Sulfamethoxazole 40 mg trimethoprim/5mL
+ Trimethoprim) suspension 60 mL Bottle
Ciprofloxacin 500 mg Tablet (as HCI) Cotrimoxazole 200 mg sulfamethoxazole +
(Sulfamethoxazole 40 mg trimethoprim/5mL
+ Trimethoprim) suspension 70 mL Bottle
Clarithromycin 250 mg base Tablet Cotrimoxazole 200 mg sulfamethoxazole +
(Sulfamethoxazole 40 mg trimethoprim/5 mL
+ Trimethoprim) suspension 100 mL Bottle
Clarithromycin 500 mg base Tablet Cotrimoxazole 400 mg sulfamethoxazole +
(Sulfamethoxazole 80 mg trimethoprim/5mL
+ Trimethoprim) suspension 30mL Bottle
Clarithromycin 500 mg MR tablet Cotrimoxazole 400 mg sulfamethoxazole +
(Sulfamethoxazole 80 mg trimethoprim/5mL
+ Trimethoprim) suspension 60mL Bottle
Clarithromycin 125 mg/5 mL Enalapril 5 mg Tablet (As Maleate)
granules/powder for
suspension, 60 mL
Co-Amoxiclav 250 mg amoxicillin (as Enalapril 10 mg Tablet (As Maleate)
(Amoxicillin + trihydrate) + 125 mg
Potassium potassium clavulanate per
Clavulanate) tablet
Co-Amoxiclav 500 mg amoxicillin (as Fluticasone + Inhalation: DPI 100
(Amoxicillin + trihydrate) + 125 mg Salmeterol micrograms fluticasone (as
Potassium potassium clavulanate per propionate) + 50
Clavulanate) tablet micrograms salmeterol (as
xinafoate) x 28 doses with
appropriate accompanying
dispenser
Co-Amoxiclav 875 mg amoxicillin (as Fluticasone + Inhalation: DPI 100
(Amoxicillin + trihydrate) + 125 mg Salmeterol micrograms fluticasone (as
Potassium potassium clavulanate per propionate) + 50
Clavulanate) tablet micrograms salmeterol (as
xinafoate) x 60 doses with
appropriate accompanying
dispenser
Fluticasone + Inhalation: DPI 250 Prednisone 10 mg Tablet
Salmeterol micrograms fluticasone (as
propionate) + 50 micrograms
salmeterol (as xinafoate) x 28
doses
and with appropriate
accompanying dispenser
Fluticasone + Inhalation: DPI 500 Prednisone 10 mg /5 mL, 60 mL
Salmeterol micrograms fluticasone (as Suspension
propionate) + 50 micrograms
salmeterol (as xinafoate) x 60
doses
with appropriate
accompanying dispenser
Fluticasone + Inhalation: DPI 250 Prednisone 20 mg Tablet
Salmeterol micrograms fluticasone (as
propionate) + 50 micrograms
salmeterol (as xinafoate) x 60
doses
with appropriate
accompanying dispenser
Fluticasone + Inhalation: DPI 500 Prednisone 5 mg Tablet
Salmeterol micrograms fluticasone (as
propionate) + 50 micrograms
salmeterol (as xinafoate) x 28
doses
with appropriate
accompanying dispenser
Gliclazide 30 mg MR Tablet Salbutamol 2 mg tablet (as sulfate)
Gliclazide 80 mg MR Tablet Salbutamol 4 mg MR tablet (as sulfate)
Hydrochlorothiazid 12.5 mg Tablet Salbutamol 8 mg MR tablet (as sulfate)
e
Hydrochlorothiazid 25 mg Tablet Salbutamol Salbutamol 2 mg/5 mL
e syrup, 60 mL (as sulfate)
Hydrochlorothiazid 50 mg Tablet Salbutamol MDI: 100 micrograms/dose
e x 200 doses (as sulfate)
Losartan 50 mg Tablet (as potassium Salbutamol Breath-Actuated MDI
salt) (authohaler): 100
micrograms/dose x 400
doses (as sulfate)
Losartan 100 mg Tablet (as potassium Salbutamol Resp. Soln. (for
salt) nebulization): 1 mg/mL, 2.5
mL unit dose (as sulfate)
Metformin 500 mg Tablet (As Salbutamol Resp. Soln. (for
Hydrochloride Hydrochloride) nebulization): 5 mg/mL, 10
mL multidose (as sulfate)
Metformin 850 mg Tablet (As Salbutamol Resp. Soln. (for
Hydrochloride hydrochloride) Salbutamol nebulization): 5 mg/mL, 20
Resp. Soln. (for nebulization): mL multidose (as sulfate)
5 mg/mL, 20 mL multidose
(as sulfate)
Metoprolol 50 mg Tablet (As Tartrate) Salbutamol (as Inhalation: MDI 21
Sulfate) + micrograms ipratropium (as
Ipratropium bromide) + 120 micrograms
salbutamol x 200 doses x
10 mL
Nitrofurantoin 50 mg Capsule Salbutamol (as Resp. Soln. (for
Sulfate) + nebulization): 500
Ipratropium micrograms ipratropium (as
bromide anhydrous) + 2.5
mg salbutamol (as base) x
2.5 mL (unit dose)
Nitrofurantoin 100 mg Capsule Simvastatin 10 mg Tablet
Oral Rehydration 20.5 g Sachet Simvastatin 20 mg Tablet
Salts
Paracetamol 300 mg tablet Simvastatin 40 mg Tablet
Paracetamol 500 mg tablet Simvastatin 80 mg Tablet
Paracetamol 120 mg (125 mg)/5 mL Paracetamol 250 mg/5 mL
syrup/suspension, 60 mL syrup/suspension, 60 mL
(alcohol free) (alcohol-free)
Paracetamol 100 mg/mL drops, 15 mL
(alcoholfree)

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