Hospital Formulary List - Deputy Prime Minister · 20% Nutrition and Blood B05AA01 Hospital Doctors...
Transcript of Hospital Formulary List - Deputy Prime Minister · 20% Nutrition and Blood B05AA01 Hospital Doctors...
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Directorate for
Pharmaceutical
AffairsMinistry for Health
Hospital Formulary List
January 2020
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ABACAVIR + LAMIVUDINE TABLETS 600mg + 300mg Infections J05AR02 Consultant Infectious
Diseases Physicians,
Consultants Hospital
Infection Control
To be
dispensed from
Hospitals only
MP 292
ABIRATERONE TABLETS 500mg Malignant Disease
and
Immunosuppression
L02BX03 Consultant Oncologists MP 8
ACETAZOLAMIDE POWDER FOR
SOLUTION FOR
INJECTION
500mg Eye S01EC01 Hospital Doctors Hospital Use
ACETAZOLAMIDE TABLETS 250mg Eye, Central
Nervous System
S01EC01 Consultants
ACETYLCHOLINE POWDER FOR
SOLUTION FOR
INJECTION
1% Eye S01EB09 Hospital Doctors Hospital Use
ACETYLCYSTEINE (stand-
by)
EYE DROPS 5% Eye S01XA08 Consultant
Ophthalmologists (on
payment)
ACETYLCYSTEINE (stand-
by)
INJECTION 200mg/mL IN
10mL
Antidotes V03AB23 Hospital Doctors Hospital Use
ACICLOVIR (ACYCLOVIR ) CAPSULES/
TABLETS
200mg Infections J05AB01 Consultants, GU Clinic
Consultants
MP 2
ACICLOVIR (ACYCLOVIR ) CAPSULES/
TABLETS
800mg Infections J05AB01 Consultants MP 2
ACICLOVIR (ACYCLOVIR ) CREAM 5% Skin D06BB03 Consultant Dermatologists
ACICLOVIR (ACYCLOVIR ) EYE OINTMENT 3% Eye S01AD03 Consultant
Ophthalmologists
ACICLOVIR (ACYCLOVIR ) ORAL SUSPENSION 200mg/5mL Infections J05AB01 Consultants MP 3
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ACICLOVIR (ACYCLOVIR ) SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
250mg Infections J05AB01 Consultants Hospital Use As per
antimicrobial
guidelines
ACITRETIN CAPSULES/
TABLETS
10mg Skin D05BB02 Consultant Dermatologists
ACITRETIN CAPSULES/
TABLETS
25mg Skin D05BB02 Consultant Dermatologists
ACTINOMYCIN D (stand-
by) (DACTINOMYCIN )
SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
500mcg Malignant Disease
and
Immunosuppression
L01DA01 Hospital Doctors Hospital Use
ADENOSINE SOLUTION FOR
INJECTION
6mg (3mg/mL) Cardiovascular
System
C01EB10 Hospital Doctors Hospital Use
ADENOSINE INJECTION 3mg/mL IN
10mL
Cardiovascular
System
C01EB10 Hospital Doctors as per
specified department
Department of
Medical
Imaging,
Department of
Cardiology
ADRENALINE INJECTION 1:1,000 IN 1mL Cardiovascular
System
C01CA24 Hospital Doctors Hospital Use
ADRENALINE INJECTION 1:10,000 IN
10mL
Cardiovascular
System
C01CA24 Hospital Doctors as per
specified department
Intensive Care
Unit, Coronary
Care Unit
ADRENALINE PRE-FILLED
SYRINGES
1:10,000 IN
10mL
Cardiovascular
System
C01CA24 Hospital Doctors Hospital Use
AJMALINE INJECTION 50mg/10mL Cardiovascular
System
C01BA05 Consultant Cardiologists MP 12
ALBENDAZOLE CHEWABLE
TABLETS/ TABLETS
400mg Infections P02CA03 Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ALBUMIN HUMAN SOLUTION FOR
INFUSION
20% Nutrition and Blood B05AA01 Hospital Doctors Hospital Use
ALBUMIN HUMAN SOLUTION FOR
INFUSION
4% or 5% Nutrition and Blood B05AA01 Hospital Doctors Hospital Use
ALCOHOL DEHYDRATED
BP (stand-by)
INJECTION Antidotes V03AB16 Hospital Doctors Hospital Use
ALFACALCIDOL (1-α
HYDROXYVITAMIN D 3 )
CAPSULES 0.25mcg Endocrine System,
Nutrition and Blood
A11CC03 Consultants
ALFACALCIDOL (1-α
HYDROXYVITAMIN D 3 )
CAPSULES 1mcg Endocrine System,
Nutrition and Blood
A11CC03 Consultants
ALFACALCIDOL (1-α
HYDROXYVITAMIN D 3 )
ORAL DROPS 2mcg/mL Endocrine System,
Nutrition and Blood
A11CC03 Consultants MP 5
ALFENTANIL INJECTION 500mcg/mL IN
10mL
Central Nervous
System
N01AH02 Hospital Doctors Hospital Use
ALFENTANIL INJECTION 500mcg/mL IN
2mL
Central Nervous
System
N01AH02 Hospital Doctors Hospital Use
ALGINATE COMPOUND
(CURRENTLY
GAVISCON®)
ORAL POWDER IN
UNIT DOSE
SACHETS
INFANT Gastro-intestinal
System
A02AX Hospital Doctors as per
specified department
NPICU
ALLOPURINOL TABLETS 100mg Musculoskeletal and
Joint Diseases
M04AA01 Medical Practitioners
ALLOPURINOL TABLETS 300mg Musculoskeletal and
Joint Diseases
M04AA01 Medical Practitioners
ALTEPLASE INJECTION 50mg
(29 million units)
Cardiovascular
System
B01AD02 Hospital Doctors as per
specified department
Hospital Use
AMANTADINE CAPSULES/
TABLETS
100mg Infections N04BB01 Consultants
AMIKACIN INJECTION 500mg IN 2mL Infections J01GB06 Consultants Hospital Use MP 6
AMILORIDE +
HYDROCHLOROTHIAZIDE
TABLETS 5mg + 50mg Cardiovascular
System
C03EA01 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
AMINO ACID WITH
ELECTROLYTES
INJECTION PROVIDING 18g
NITROGEN/L
Nutrition and Blood B05BA31 Hospital Doctors Hospital Use
AMINO ACID WITHOUT
ELECTROLYTES
INJECTION PROVIDING 18g
NITROGEN/L
Nutrition and Blood B05BA01 Hospital Doctors Hospital Use
AMINO ACID WITHOUT
ELECTROLYTES
INJECTION PROVIDING 13-
16g
NITROGEN/L
Nutrition and Blood B05BA01 Hospital Doctors Hospital Use
AMINOPHYLLINE INJECTION 250mg IN 10mL Respiratory System R03DA05 Hospital Doctors Hospital Use
AMIODARONE
HYDROCHLORIDE
INJECTION 50mg/mL IN
3mL
Cardiovascular
System
C01BD01 Hospital Doctors Hospital Use
AMIODARONE
HYDROCHLORIDE
TABLETS 200mg Cardiovascular
System
C01BD01 Consultants
AMITRIPTYLINE TABLETS 10mg Central Nervous
System
N06AA09 Medical Practitioners
AMITRIPTYLINE TABLETS 25mg Central Nervous
System
N06AA09 Medical Practitioners
AMLODIPINE CAPSULES/
TABLETS
10mg Cardiovascular
System
C08CA01 Consultants
AMLODIPINE CAPSULES/
TABLETS
5mg Cardiovascular
System
C08CA01 Consultants
AMOXICILLIN CAPSULES/
TABLETS
250mg Infections J01CA04 Medical Practitioners, GU
Clinic Consultants
AMOXICILLIN ORAL SUSPENSION 125mg/5mL Infections J01CA04 Medical Practitioners
AMOXICILLIN POWDER FOR
SOLUTION FOR
INJECTION
250mg Infections J01CA04 Medical Practitioners
AMOXICILLIN POWDER FOR
SOLUTION FOR
INJECTION
500mg Infections J01CA04 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
AMOXICILLIN SACHETS 3g Infections J01CA04 Hospital Doctors Dental
Department
AMOXICILLIN +
CLAVULANIC ACID
CAPSULES/
TABLETS
250mg + 125mg Infections J01CR02 Medical Practitioners
AMOXICILLIN +
CLAVULANIC ACID
ORAL SUSPENSION 156mg/5mL Infections J01CR02 Medical Practitioners
AMOXICILLIN +
CLAVULANIC ACID
POWDER FOR
SOLUTION FOR
INJECTION
1g + 200mg Infections J01CR02 Hospital Doctors Hospital Use
AMOXICILLIN +
CLAVULANIC ACID
POWDER FOR
SOLUTION FOR
INJECTION
500mg + 100mg Infections J01CR02 Hospital Doctors Hospital Use
AMPHOTERICIN LIPOSOMAL
INFUSION
50mg Infections J02AA01 Consultant Infectious
Diseases Physicians,
Consultant Infectious
Diseases Paediatricians,
Consultant
Haematologists,
Consultant Oncologists,
Mater Dei Hospital
Antibiotic Team
Consultants
Hospital Use MP 119
AMPHOTERICIN POWDER FOR
SOLUTION FOR
INJECTION
50mg Infections J02AA01 Hospital Doctors Hospital Use
AMSACRINE INFUSION IN 75mg VIAL Malignant Disease
and
Immunosuppression
L01XX01 Consultant Oncologist,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use MP 7
ANASTROZOLE CAPSULES/
TABLETS
1mg Malignant Disease
and
Immunosuppression
L02BG03 Consultant Oncologists
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ANGIOTENSIN-II
RECEPTOR
ANTAGONISTS
(CURRENTLY
VALSARTAN)
SCORED TABLETS 80mg Cardiovascular
System
C09CA03 Consultant Physicians,
Consultant Cardiologists,
Consultant Cardiac
Surgeons
MP 9
ANGIOTENSIN-II
RECEPTOR
ANTAGONISTS
(CURRENTLY
VALSARTAN)
CAPSULES/
TABLETS
160mg Cardiovascular
System
C09CA03 Consultant Physicians,
Consultant Cardiologists,
Consultant Cardiac
Surgeons
MP 9
ANTACID CHEWABLE
TABLETS
Gastro-intestinal
System
A02AX Medical Practitioners
ANTI-D [Rho]
IMMUNOGLOBULIN
(HUMAN )
SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
250mcg (1,250
IU) to
300mcg(1,500
IU)
Immunological
Products and
Vaccines
J06BB01 Hospital Doctors Hospital Use
ANTI-HAEMOPHILIAC
FACTOR IX
INFUSION 500IU Cardiovascular
System
B02BD04 Consultant
Haematologists,
Consultant Paediatricians,
Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
ANTI-HAEMOPHILIAC
FACTOR VIII (stand-by)
INFUSION 500IU Cardiovascular
System
B02BD02 Consultant
Haematologists,
Consultant Paediatricians
Consultant Infectious
Diseases
To be
dispensed from
Hospitals only
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ANTI-HAEMOPHILIAC
FACTOR VIII (stand-by)
INFUSION 1,000IU Cardiovascular
System
B02BD02 Consultant
Haematologists,
Consultant Paediatricians,
Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
ANTI-HAEMOPHILIAC
FACTOR VIII INHIBITOR
BYPASSING
ACTIVITY/FRACTION
(stand-by)
INFUSION 500U or 1,000U Cardiovascular
System
B02BD03 Consultant
Haematologists,
Consultant Paediatricians,
Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
ANTI-HAEMOPHILIAC
FACTOR VIII
INTERMEDIATE (+ VON
WILLEBRAND FACTOR)
INFUSION 500IU Cardiovascular
System
B02BD06 Consultant
Haematologists,
Consultant Paediatricians,
Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
ANTI-HUMAN
THYMOCYTE
IMMUNOGLOBULIN
(RABBIT) (stand-by)
POWDER FOR
SOLUTION FOR
INFUSION
25mg VIAL Immunological
Products and
Vaccines
L04AA04 Consultants Hospital Use
ANTI-RABIES
IMMUNOGLOBULIN
(HUMAN) (stand-by)
SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION IM
300IU or 500IU
VIAL
Immunological
Products and
Vaccines
J06BB05 Hospital Doctors Hospital Use
APREPITANT CAPSULES 125mg Central Nervous
System
A04AD12 Consultant
Heamatologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists, Consultant
Palliative Care
MP 269
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
APREPITANT CAPSULES 80mg Central Nervous
System
A04AD12 Consultant
Heamatologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists, Consultant
Palliative Care
MP 269
APROTININ INJECTION 10,000 KIU/mL Cardiovascular
System
B02AB01 Consultant Cardiac
Surgeons
Hospital Use
AQUEOUS CREAM CREAM Skin D02AX Medical Practitioners
ARGATROBAN CONCENTRATE
FOR SOLUTION FOR
INFUSION
100mg/mL Nutrition and Blood B01AE03 Consultant Surgeons in
consultation with
Consultant Haematologist,
Consultant Cardiologists in
consultation with
Consultant Haematologist,
Consultant Haematologists
Hospital Use MP 299
ARTESUNATE POWDER AND
SOLVENT FOR
INJECTION
60mg Infections P01BE03 Consultant Infectious
Diseases Physicians,
Infectious Diseases
Specialists
Hospital Use MP 1
ARTIFICIAL SALIVA ORAL SPRAY Ear, Nose and
Oropharynx
A01AD11 ENT Consultants,
Consultant
Heamatologists,
Consultant Oncologists,
Consultant Palliative Care
ASCORBIC ACID TABLETS 100-250mg Nutrition and Blood A11GA01 Medical Practitioners
ASPARAGINASE
(COLASPASE)
INJECTION 10,000IU Malignant Disease
and
Immunosuppression
L01XX02 Consultants Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ASPIRIN DISPERSIBLE
TABLETS
300mg Musculoskeletal and
Joint Diseases
N02BA01 Medical Practitioners
ASPIRIN CAPSULES/
TABLETS
300mg Musculoskeletal and
Joint Diseases
N02BA01 Medical Practitioners
ASPIRIN TABLETS 75-100mg Cardiovascular
System
B01AC06 Medical Practitioners
ATENOLOL INJECTION 500mcg/mL IN
10mL
Cardiovascular
System
C07AB03 Hospital Doctors Hospital Use
ATENOLOL TABLETS 100mg Cardiovascular
System
C07AB03 Medical Practitioners
ATENOLOL TABLETS 25mg
(TABLETS) or
50mg (SCORED
TABLETS)
Cardiovascular
System
C07AB03 Medical Practitioners
ATOMOXETINE CAPSULES 18mg Central Nervous
System
N06BA09 Consultant Paediatricians
(Community Paediatrics),
Consultant Paediatricians
(Paediatric Neurology and
Neurodisability),
Consultant Psychiatrists
MP 4
ATOMOXETINE CAPSULES 25mg Central Nervous
System
N06BA09 Consultant Paediatricians
(Community Paediatrics),
Consultant Paediatricians
(Paediatric Neurology and
Neurodisability),
Consultant Psychiatrists
MP 4
ATOMOXETINE CAPSULES 40mg Central Nervous
System
N06BA09 Consultant Paediatricians
(Community Paediatrics),
Consultant Paediatricians
(Paediatric Neurology and
Neurodisability),
Consultant Psychiatrists
MP 4
ATORVASTATIN CAPSULES/
TABLETS
10mg Cardiovascular
System
C10AA05 Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ATORVASTATIN CAPSULES/
TABLETS
20mg Cardiovascular
System
C10AA05 Consultants
ATORVASTATIN CAPSULES/
TABLETS
40mg Cardiovascular
System
C10AA05 Consultants
ATOSIBAN (stand-by) CONCENTRATE
FOR INFUSION
7.5mg/mL Obstetrics and
Gynaecology,
Urinary Tract
Disorders
G02CX01 Hospital Doctors as per
specified department
Gynaecology
Department
ATOSIBAN (stand-by) SOLUTION FOR
INJECTION
7.5mg/mL Obstetrics and
Gynaecology,
Urinary Tract
Disorders
G02CX01 Hospital Doctors as per
specified department
Gynaecology
Department
ATRACURIUM BESYLATE INJECTION 10mg/mL IN
2.5mL
Anaesthesia M03AC04 Hospital Doctors Hospital Use
ATROPINE SULPHATE EYE DROPS 1% Eye S01FA01 Consultants
ATROPINE SULPHATE PRE-FILLED
SYRINGES
100mcg/mL in
5mL
Cardiovascular
System
A03BA01 Hospital Doctors Hospital Use
ATROPINE SULPHATE TABLETS 500mcg or
600mcg
Cardiovascular
System
A03BA01 Consultant Neurologists,
Consultant Geriatricians,
Consultant Paediatricians
MP 13
ATROPINE SULPHATE SINGLE USE EYE
DROPS
1% IN 0.5mL Eye S01FA01 Hospital Doctors Ophthalmic
Department
ATROPINE SULPHATE
(stand-by)
INJECTION 600mcg/mL Antidotes,
Cardiovascular
System
A03BA01 Hospital Doctors Hospital Use
ATROPINE SULPHATE +
PRALIDOXIME CHLORIDE
KIT - INJECTIONS 2mg + 600mg Antidotes V03AB04 Hospital Doctors Accident and
Emergency
Department,
Intensive Care
Unit
AZACITIDINE POWDER FOR
SUSPENSION FOR
INJECTION
100mg Malignant Disease
and
Immunosuppression
L01BC07 Consultant Haematologists Hospital Use MP 301
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
AZATHIOPRINE CAPSULES/
TABLETS
50mg Malignant Disease
and
Immunosuppression
L04AX01 Hospital Doctors
AZITHROMYCIN CAPSULES/
TABLETS
250mg Infections J01FA10 Consultant Paediatricians,
Consultant Infectious
Diseases, GU Clinic
Consultant, Consultant
Respiratory Physicians,
Mater Dei Hospital
Antibiotic Team
Consultants
MP 11
AZITHROMYCIN CAPSULES/
TABLETS
500mg Infections J01FA10 Consultant Paediatricians,
Consultant Infectious
Diseases, GU Clinic
Consultant, Consultant
Respiratory Physicians,
Mater Dei Hospital
Antibiotic Team
Consultants
MP 11
AZITHROMYCIN ORAL SUSPENSION 200mg/5mL Infections J01FA10 Consultant Paediatricians,
Consultant Infectious
Diseases, GU Clinic
Consultant, Consultant
Respiratory Physicians,
Mater Dei Hospital
Antibiotic Team
Consultants
MP 11
AZTREONAM POWDER FOR
SOLUTION FOR
INJECTION
1g Infections J01DF01 Consultants Hospital Use MP 10
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
AZTREONAM POWDER FOR
SOLUTION FOR
INJECTION
2g Infections J01DF01 Consultants Hospital Use MP 10
BACLOFEN INTRATHECAL
INJECTION
2,000mcg/mL Musculoskeletal and
Joint Diseases
M03BX01 Consultant Anaesthetists
(Pain Clinic), Pain Clinic
Specialists
Hospital Use MP 16
BACLOFEN INTRATHECAL
INJECTION
3,000mcg/mL Musculoskeletal and
Joint Diseases
M03BX01 Consultant Anaesthetists
(Pain Clinic), Pain Clinic
Specialists
Hospital Use MP 16
BACLOFEN INTRATHECAL
INJECTION
50mcg/mL Musculoskeletal and
Joint Diseases
M03BX01 Consultant Anaesthetists
(Pain Clinic), Pain Clinic
Specialists
Hospital Use MP 16
BACLOFEN ORAL SOLUTION 5mg/5mL Musculoskeletal and
Joint Diseases
M03BX01 Consultant Paediatricians,
Consultant Neurologists,
Consultant Palliative Care,
Consultant Oncologists,
MP 14
BACLOFEN TABLETS 10mg Musculoskeletal and
Joint Diseases
M03BX01 Consultants
BALANCED SALT
SOLUTION
STERILE SOLUTION Eye S01XA20 Hospital Doctors as per
specified department
Ophthalmic
Department,
Ophthalmic
Theatre
BALANCED SALT
SOLUTION PLUS
INTRA-OCULAR
IRRIGATION
SOLUTION
500mL Eye S01XA20 Hospital Doctors as per
specified department
Ophthalmic
Department,
Ophthalmic
Theatre
BASILIXIMAB (stand-by) INJECTION 20mg Malignant Disease
and
Immunosuppression
L04AC02 Hospital Doctors as per
specified department
Renal Unit
BCG (BACILLUS
CALMETTE-GUÉRIN)
INTRAVESICAL
INJECTION
81mg Malignant Disease
and
Immunosuppression
L03AX03 Consultant Urologists Hospital Use MP 15
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
BCG (BACILLUS
CALMETTE-GUÉRIN)
VACCINE Immunological
Products and
Vaccines
J07AN01 Hospital Doctors as per
specified department
Floriana
Immunisation
Services
BECLOMETASONE
DIPROPIONATE
INHALER 250mcg/DOSE Respiratory System R03BA01 Consultants
BECLOMETASONE
DIPROPIONATE
INHALER 50mcg/DOSE Respiratory System R03BA01 Medical Practitioners
BECLOMETASONE
DIPROPIONATE
NASAL SPRAY 50mcg/DOSE Respiratory System R01AD01 Consultants
BENDROFLUMETHIAZIDE
(BENDROFLUAZIDE)
CAPSULES/
TABLETS
2.5mg Cardiovascular
System
C03AA01 Medical Practitioners
BENDROFLUMETHIAZIDE
(BENDROFLUAZIDE)
TABLETS 5mg Cardiovascular
System
C03AA01 Medical Practitioners
BENZATHINE
BENZYLPENICILLIN
INJECTION 1.2 MU Infections J01CE08 Hospital Doctors, GU Clinic
Consultants
Hospital Use
BENZYLPENICILLIN INJECTION 600mg Infections J01CE01 Medical Practitioners
BERACTANT
(NATURAL SURFACTANT)
SUSPENSION FOR
INTRATRACHEAL
ADMINISTRATION
Respiratory System R07AA Consultant Paediatricians Hospital Use Officially
Deleted.
Available until
stocks last.
BETA-BLOCKER
PRESERVATIVE FREE
(TIMOLOL, BETAXOLOL
OR LEVOBUNOLOL)
EYE DROPS Eye S01ED Consultant
Ophthalmologists
MP 127
BETAMETHASONE
DIPROPIONATE
CREAM 0.05% Skin D07AC01 Consultant Dermatologists
BETAMETHASONE +
SALICYLIC ACID
OINTMENT 0.05% + 3% Skin D07XC01 Consultant Dermatologists
BETAMETHASONE
VALERATE
CREAM 0.10% Skin D07AC01 Medical Practitioners
BETAMETHASONE
VALERATE
OINTMENT 0.1% Skin D07AC01 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
BETAMETHASONE
VALERATE
SCALP
APPLICATION
0.10% Skin D07AC01 Hospital Doctors
BETAMETHASONE
VALERATE
OINTMENT 0.025% Skin D07AC01 Consultant Dermatologists
BETAXOLOL
HYDROCHLORIDE
EYE DROPS 0.25%
(SUSPENSION)
or 0.5%
(SOLUTION)
Eye S01ED02 Consultant
Ophthalmologists
BEVACIZUMAB VIALS 100mg/4mL Eye, Malignant
Disease and
Immunosuppression
S01LA Consultant Oncologists,
Consultant
Ophthalmologists
Hospital Use MP 225
BEXAROTENE CAPSULES 75mg Malignant Disease
and
Immunosuppression
L01XX25 Consultant
Haematologists,
Consultant Oncologists
To be
dispensed from
Hospitals only
MP 18
BEZAFIBRATE MODIFIED RELEASE
TABLETS
400mg Cardiovascular
System
C10AB02 Medical Practitioners
BICALUTAMIDE CAPSULES/
TABLETS
50mg Malignant Disease
and
Immunosuppression
L02BB03 Consultant Urologists,
Consultant Oncologists
MP 19
BISACODYL SUPPOSITORIES 10mg Gastro-intestinal
System
A06AB02 Medical Practitioners
BISACODYL TABLETS 5mg Gastro-intestinal
System
A06AB02 Medical Practitioners
BISMUTH SUBNITRATE +
IODOFORM PASTE
IMPREGNATED
GAUZE
Ear, Nose and
Oropharynx
D09AA Hospital Doctors as per
specified department
Dental
Department,
ENT
Department
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
BLEOMYCIN SULFATE INJECTION 15,000 IU Malignant Disease
and
Immunosuppression
L01DC01 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Hospital Use/
Day Clinic
BORTEZOMIB POWDER FOR
SOLUTION FOR
INJECTION
1mg Malignant Disease
and
Immunosuppression
L01XX32 Consultant
Haematologists,
Consultant Oncologists
Hospital Use/
Day Clinic
MP 261
BOTULINUM TOXIN TYPE
A
POWDER FOR
SOLUTION FOR
INJECTION
Central Nervous
System, Eye
M03AX01 Consultant Neurologists,
Consultant
Ophthalmologists,
Consultant Urologist,
Consultant Paediatrician
Hospital Use MP 21
BOTULISM ANTITOXIN
TYPE A, B AND E
IMMUNOGLOBULIN
(stand-by)
SOLUTION FOR
INFUSION
Antidotes,
Immunological
Products and
Vaccines
J06AA04 Hospital Doctors Hospital Use
BOWEL CLEANSING
PREPARATION (ADULT)
ORAL POWDER FOR
RECONSTITUTION
Gastro-intestinal
System
A06A Hospital Doctors Hospital Use/To
be dispensed
from Hospitals
or Primary
Health Care
Department for
screening only
BOWEL CLEANSING
PREPARATION
(PAEDIATRIC)
ORAL POWDER FOR
RECONSTITUTION
Gastro-intestinal
System
A06A Hospital Doctors as per
specified department
Endoscopy
Department,
Paediatric
Department/To
be dispensed
from Hospitals
only
BRIMONIDINE TARTRATE EYE DROPS 0.2% Eye S01EA05 Consultant
Ophthalmologists
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
BRINZOLAMIDE EYE DROPS 10mg/mL Eye S01EC04 Consultant
Ophthalmologists
BROMAZEPAM TABLETS 1.5mg Central Nervous
System
N05BA08 Medical Practitioners
BROMAZEPAM TABLETS 3mg Central Nervous
System
N05BA08 Medical Practitioners
BROMAZEPAM TABLETS 6mg Central Nervous
System
N05BA08 Medical Practitioners
BROMHEXINE ORAL LIQUID 4mg/5mL Respiratory System R05CB02 Medical Practitioners
BROMOCRIPTINE
MESYLATE
TABLETS 2.5mg Endocrine System G02CB01/
N04BC01
Consultants
BUDESONIDE AEROSOL INHALER 200mcg/DOSE Respiratory System R03BA02 Consultants MP 26
BUDESONIDE CONTROLLED
RELEASE
CAPSULES
3mg Gastro-intestinal
System
A07EA06 Consultant
Gastroenterologists,
Consultant Paediatricians,
Consultant Surgeons
MP 23
BUDESONIDE DRY POWDER
METERED DOSE
INHALER
100mcg/DOSE Respiratory System R03BA02 Consultants Respiratory
Physicians, Consultant
Paediatricians, Specialist
Respiratory Medicine
Consultants
MP 27
BUDESONIDE NEBULISER
SOLUTION
250mcg/mL Respiratory System R03BA02 Consultants Respiratory
Physicians, Consultant
Paediatricians, Consultant
Oncologists, Specialist
Respiratory Medicine
Consultants
MP 28
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
BUDESONIDE NEBULISER
SOLUTION
500mcg/mL Respiratory System R03BA02 Consultants Respiratory
Physicians, Consultant
Paediatricians, Consultant
Oncologists, Specialist
Respiratory Medicine
Consultants
MP 28
BUDESONIDE RETENTION ENEMA 2mg/100mL Gastro-intestinal
System
A07EA Consultant
Gastroenterologists,
Consultant Paediatricians,
Consultant Surgeons
MP 24
BUMETANIDE INJECTION 0.5mg/mL IN
4mL
Cardiovascular
System
C03CA02 Hospital Doctors Hospital Use
BUMETANIDE TABLETS 1mg Cardiovascular
System
C03CA02 Medical Practitioners
BUMETANIDE TABLETS 5mg Cardiovascular
System
C03CA02 Medical Practitioners
BUPIVACAINE INJECTION 0.25% Anaesthesia N01BB01 Hospital Doctors Hospital Use
BUPIVACAINE INJECTION 0.50% Anaesthesia N01BB01 Hospital Doctors Hospital Use
BUPIVACAINE +
ADRENALINE
INJECTION 5mg/mL +
1:200,000 IN
10mL
Anaesthesia N01BB51 Hospital Doctors Hospital Use
BUPIVACAINE +
ADRENALINE
INJECTION 2.5mg/mL +
1:200,000 IN
10mL
Anaesthesia N01BB51 Hospital Doctors Hospital Use
BUPIVACAINE +
GLUCOSE
INJECTION 5mg/mL +
80mg/mL IN
4mL
Anaesthesia N01BB51 Hospital Doctors Hospital Use
BUSPIRONE
HYDROCHLORIDE
TABLETS 10mg Central Nervous
System
N05BE01 Consultants
BUSULFAN CAPSULES/
TABLETS
2mg Malignant Disease
and
Immunosuppression
L01AB01 Consultant Oncologist,
Consultant
Haematologists,
Consultant Paediatricians
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
C1-ESTERASE INHIBITOR POWDER AND
SOLVENT FOR
SOLUTION FOR
INJECTION/
INFUSION
500IU/10mL Respiratory System B06AC01 Consultant Surgeons,
Consultant Physicians
Hospital Use
CABERGOLINE TABLETS 0.5mg Endocrine System G02CB03 Consultant Physicians MP 29
CAFFEINE CITRATE POWDER/ORAL
LIQUID
Central Nervous
System
N06BC01 Consultant Paediatricians NPICU MP 248
CALAMINE LOTION LOTION Skin D04AX Medical Practitioners
CALCIPOTRIOL OINTMENT 50mcg/g Skin D05AX02 Consultant Dermatologists
CALCIPOTRIOL +
BETAMETHASONE
OINTMENT or
CUTANEOUS FOAM
50mcg/g +
500mcg/g
Skin D05AX52 Consultant Dermatologists
CALCITONIN (SALMON
SYNTHETIC )
INJECTION 100IU/mL in 1mL Endocrine System H05BA01 Consultants
CALCIUM EFFERVESCENT
TABLETS
400mg or 500mg Nutrition and Blood A12AA04 Consultant Paediatricians,
Consultant Physicians
MP 30
CALCIUM CARBONATE CHEWABLE
TABLETS/ TABLETS
1250mg
(equivalent to
500mg elemental
calcium)
Gastro-intestinal
System
A02AC01 Consultants
CALCIUM CHLORIDE PRE-FILLED
SYRINGES
10% w/v Nutrition and Blood A12AA07 Hospital Doctors Hospital Use
CALCIUM CHLORIDE
(stand-by)
INFUSION Antidotes, Nutrition
and Blood
A12AA07 Hospital Doctors Hospital Use
CALCIUM FOLINATE
(CALCIUM
LEUCOVORIN/FOLINIC
ACID )
SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
50mg/5mL Malignant Disease
and
Immunosuppression
V03AF03 Hospital Doctors Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CALCIUM FOLINATE
(CALCIUM
LEUCOVORIN/FOLINIC
ACID ) (stand-by)
CAPSULES/
TABLETS
15mg Malignant Disease
and
Immunosuppression
V03AF03 Hospital Doctors To be
dispensed from
Hospitals only in
Malignant
Diseases
CALCIUM GLUCONATE
(stand-by)
SOLUTION FOR
INJECTION
85mg/mL to
100mg/mL IN
10mL
Nutrition and Blood A12AA03 Hospital Doctors Hospital Use
CALCIUM LACTATE CAPSULES/
TABLETS
300mg
(equivalent to
39mg elemental
calcium)
Nutrition and Blood A12AA05 Medical Practitioners
CAPECITABINE TABLETS 150mg Malignant Disease
and
Immunosuppression
L01BC06 Consultant Oncologists To be
dispensed from
Hospitals only
MP 31
CAPECITABINE TABLETS 500mg Malignant Disease
and
Immunosuppression
L01BC06 Consultant Oncologists To be
dispensed from
Hospitals only
MP 31
CAPTOPRIL TABLETS 25mg Cardiovascular
System
C09AA01 Medical Practitioners
CARBAMAZEPINE CONTROLLED
RELEASE TABLETS
200mg Central Nervous
System
N03AF01 Consultant Paediatricians,
Consultant Neurologists,
Consultant Psychiatrists,
Consultant Geriatricians
CARBAMAZEPINE CONTROLLED
RELEASE TABLETS
400mg Central Nervous
System
N03AF01 Consultant Paediatricians,
Consultant Neurologists,
Consultant Psychiatrists,
Consultant Geriatricians
CARBAMAZEPINE ORAL SUSPENSION 100mg/5mL Central Nervous
System
N03AF01 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CARBAMAZEPINE TABLETS 200mg Central Nervous
System
N03AF01 Medical Practitioners
CARBIDOPA +
LEVODOPA
TABLETS 10mg + 100mg Central Nervous
System
N04BA02 Medical Practitioners
CARBIDOPA +
LEVODOPA +
ENTACAPONE
TABLETS 25mg + 100mg +
200mg
Central Nervous
System
N04B Consultant Geriatricians,
Consultant Neurologists
MP 216
CARBIMAZOLE CAPSULES/
TABLETS
5mg Endocrine System H03BB01 Medical Practitioners
CARBOPLATIN INJECTION 150mg IN 15mL Malignant Disease
and
Immunosuppression
L01XA02 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use
CARBOPROST INJECTION 250mcg/mL Obstetrics and
Gynaecology,
Urinary Tract
Disorders
G02ADD4 Hospital Doctors Hospital Use
CARDIOPLEGIA
CONCENTRATE (Stand-
by)
CONCENTRATE
FOR PERFUSION
Cardiovascular
System
B05XA16 Consultant Cardiac
Surgeons
Cardiothoracic
Surgery
CARVEDILOL TABLETS 6.25mg Cardiovascular
System
C07AG02 Consultants
CARVEDILOL TABLETS 25mg Cardiovascular
System
C07AG02 Consultants
CASPOFUNGIN POWDER FOR
RECONSTITUTION
FOR INTRAVENOUS
INFUSION
50mg Infections J02AX04 Consultant Infectious
Diseases Physicians,
Consultant Infectious
Diseases Paediatricians,
Consultant
Haematologists,
Consultant Oncologists,
Mater Dei Hospital
Antibiotic Team
Consultants
Hospital Use MP 33
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CASPOFUNGIN POWDER FOR
RECONSTITUTION
FOR INTRAVENOUS
INFUSION
70mg Infections J02AX04 Consultant Infectious
Diseases Physicians,
Consultant Infectious
Diseases Paediatricians,
Consultant
Haematologists,
Consultant Oncologists,
Mater Dei Hospital
Antibiotic Team
Consultants
Hospital Use MP 33
CEFALEXIN CAPSULES/
TABLETS
250mg Infections J01DB01 Medical Practitioners
CEFALEXIN ORAL SUSPENSION 125mg/5mL Infections J01DB01 Medical Practitioners
CEFEPIME
HYDROCHLORIDE
(Stand-by)
INJECTION IV 1g or 2g Infections J01DE01 Consultant Infectious
Diseases Physicians
Hospital Use MP 36
CEFOTAXIME SODIUM POWDER FOR
SOLUTION FOR
INJECTION
IM & IV
1g Infections J01DD01 Consultants Hospital Use
CEFTAZIDIME
PENTAHYDRATE
POWDER FOR
SOLUTION FOR
INJECTION
IM & IV
1g Infections J01DD02 Consultants Hospital Use MP 35
CEFTRIAXONE SODIUM POWDER FOR
SOLUTION FOR
INJECTION
IM & IV
1g Infections J01DD04 Consultants Hospital Use MP 40
CEFTRIAXONE SODIUM POWDER FOR
SOLUTION FOR
INJECTION IV
2g Infections J01DD04 Consultants Hospital Use MP 40
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CEFTRIAXONE SODIUM POWDER FOR
SOLUTION FOR
INJECTION IV
500mg Infections J01DD04 Consultants Hospital Use MP 40
CEFUROXIME AXETIL ORAL SUSPENSION 125mg/5mL Infections J01DC02 Medical Practitioners
CEFUROXIME AXETIL TABLETS 250mg Infections J01DC02 Medical Practitioners
CEFUROXIME SODIUM POWDER FOR
SOLUTION FOR
INJECTION
IM & IV
250mg Infections J01DC02 Hospital Doctors Hospital Use
CEFUROXIME SODIUM POWDER FOR
SOLUTION FOR
INJECTION
IM & IV
750mg Infections J01DC02 Hospital Doctors Hospital Use
CETUXIMAB SOLUTION FOR
INFUSION
5mg/mL Malignant Disease
and
Immunosuppression
L01XC06 Consultant Oncologist Hospital Use MP 39
CHARCOAL ACTIVATED
(stand-by)
POWDER/ORAL
SUSPENSION
Antidotes A07BA01 Hospital Doctors Hospital Use
CHLORAL HYDRATE ORAL SOLUTION 500mg/5mL Central Nervous
System
N05CC01 Hospital Doctors Hospital Use
CHLORAMBUCIL TABLETS 2mg Malignant Disease
and
Immunosuppression
L01AA02 Consultants
CHLORAMPHENICOL CAPSULES/
TABLETS
250mg Infections J01BA01 Consultants
CHLORAMPHENICOL EYE DROPS 0.5% Eye S01AA01 Medical Practitioners
CHLORAMPHENICOL EYE OINTMENT 1% Eye S01AA01 Medical Practitioners
CHLORAMPHENICOL
SODIUM SUCCINATE
POWDER FOR
SOLUTION FOR
INJECTION IV
1g Infections J01BA01 Hospital Doctors Hospital Use
CHLORHEXIDINE AQUEOUS
SOLUTION
Infections D08AC02 Infection Control Policy Hospital Use
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CHLORHEXIDINE +
CETRIMIDE
SOLUTION IN
SACHETS
25mL Infections D08AC52 Infection Control Policy Hospital Use
CHLORHEXIDINE +
NEOMYCIN
NASAL CREAM 0.1% + 0.5% Ear, Nose and
Oropharynx
D08AC52 Infection Control Policy Hospital Use
CHLORHEXIDINE
ACETATE/ GLUCONATE
SOLUTION 0.05% Infections D08AC02 Infection Control Policy Hospital Use
CHLORHEXIDINE
GLUCONATE
SAPONACEOUS
SOLUTION
4% Infections D08AC02 Infection Control Policy Hospital Use
CHLORHEXIDINE
GLUCONATE
OBSTETRIC CREAM 1% Infections G01AX Infection Control Policy Hospital Use
CHLORHEXIDINE
GLUCONATE
OBSTETRIC
SOLUTION
5% Infections G01AX Infection Control Policy Hospital Use
CHLORHEXIDINE
GLUCONATE +
CETRIMIDE
POWDER 0.015% + 0.15% Skin D08AC52 Infection Control Policy Hospital Use
CHLORHEXIDINE
GLUCONATE IN
ISOPROPYL ALCOHOL
SOLUTION (HAND
CLEANSING)
Skin D08AC52 Infection Control Policy,
Consultants (for TPN only)
Hospital Use/To
be dispensed
from Hospitals
only (TPN
patients only)
MP 37
CHLORHEXIDINE
GLUCONATE/
DIGLUCONATE
MOUTHWASH 0.20% Ear, Nose and
Oropharynx
A01AB03 Dentists, Hospital Doctors
CHLOROFORM WATER SOLUTION Miscellaneous N01AB02 Hospital Doctors Hospital Use
CHLOROQUINE ORAL SYRUP 50mg/5mL Infections P01BA01 Medical Practitioners (as
per ‘Dispensing of Oral
Antimalarials to Out-
Patients’ [refer to page 10
on Out-Patients Formulary]
or against payment)
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CHLOROQUINE SYRUP 150mg
BASE/5mL
Infections P01BA01 Medical Practitioners (as
per ‘Dispensing of Oral
Antimalarials to Out-
Patients’ [refer to page 10
on Out-Patients Formulary]
or against payment)
CHLOROQUINE TABLETS 250mg Infections P01BA01 Medical Practitioners (as
per ‘Dispensing of Oral
Antimalarials to Out-
Patients’ [refer to page 10
on Out-Patients Formulary]
or against payment)
CHLORPHENAMINE
MALEATE
INJECTION 10mg/mL Respiratory System R06AB04 Hospital Doctors Hospital Use
CHLORPROMAZINE
HYDROCHLORIDE
INJECTION 50mg in 2 mL Central Nervous
System
N05AA01 Hospital Doctors Hospital Use
CHLORPROMAZINE
HYDROCHLORIDE
TABLETS 100mg Central Nervous
System
N05AA01 Medical Practitioners
CHLORPROMAZINE
HYDROCHLORIDE
TABLETS 25mg Central Nervous
System
N05AA01 Medical Practitioners
CHOLERA VACCINE ORAL SUSPENSION Immunological
Products and
Vaccines
J07AE Hospital Doctors as per
specified department
Floriana
Immunisation
Services
CHORIONIC
GONADOTROPHIN
HUMAN (HCG )
INJECTION 1,000 IU Endocrine System G03GA01 Consultants
CHORIONIC
GONADOTROPHIN
HUMAN (HCG )
INJECTION 5,000 IU Endocrine System G03GA01 Consultants
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CICLOSPORIN
(CYCLOSPORIN )
CAPSULES 25mg Malignant Disease
and
Immunosuppression
, Skin
L04AD01 Consultants MP 46
CICLOSPORIN
(CYCLOSPORIN )
CAPSULES 100mg Malignant Disease
and
Immunosuppression
, Skin
L04AD01 Consultants MP 46
CICLOSPORIN
(CYCLOSPORIN )
ORAL SOLUTION 100mg/mL Malignant Disease
and
Immunosuppression
L04AD01 Consultants MP 47
CICLOSPORIN
(CYCLOSPORIN ) (stand-
by)
CONCENTRATE
FOR SOLUTION FOR
INFUSION
50mg in 1 mL Malignant Disease
and
Immunosuppression
, Skin
L04AD01 Consultant Nephrologists Hospital Use -
Renal Unit
CIPROFLOXACIN ORAL SUSPENSION 250mg/5mL Infections J01MA02 Consultants MP 38
CIPROFLOXACIN SOLUTION FOR
INFUSION
100mg in 50mL Infections J01MA02 Consultants Hospital Use
CIPROFLOXACIN SOLUTION FOR
INFUSION
200mg in 100mL Infections J01MA02 Consultants Hospital Use
CIPROFLOXACIN TABLETS 250mg Infections J01MA02 Hospital Doctors
CISPLATIN SOLUTION FOR
INJECTION
50mg Malignant Disease
and
Immunosuppression
L01XA01 Hospital Doctors Hospital Use
CLADRIBINE INJECTION 10mg Malignant Disease
and
Immunosuppression
L01BB04 Consultant
Haematologists,
Consultant Oncologists
Hospital Use MP 236
CLARITHROMYCIN INJECTION IV 500mg Infections J01FA09 Consultant Physicians Hospital Use
CLARITHROMYCIN ORAL SUSPENSION 125mg/5mL Infections J01FA09 Consultant Paediatricians
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CLARITHROMYCIN TABLETS 250mg Infections J01FA09 Consultants
CLINDAMYCIN CAPSULES/
TABLETS
150mg Infections J01FF01 Consultants
CLINDAMYCIN
PHOSPHATE
INJECTION
IM & IV
150mg/mL IN
2mL
Infections J01FF01 Hospital Doctors Hospital Use
CLOBAZAM CAPSULES/
TABLETS
10mg Central Nervous
System
N05BA09 Consultant Neurologists,
Consultant Paediatricians
CLOBETASOL
PROPIONATE
CREAM 0.05% Skin D07AD01 Consultant Dermatologists
CLOBETASOL
PROPIONATE
OINTMENT 0.05% Skin D07AD01 Consultant Dermatologists
CLOBETASOL
PROPIONATE
SCALP
APPLICATION
0.05% Skin D07AD01 Consultant Dermatologists
CLOFAZIMINE CAPSULES/
TABLETS
50mg Infections J04BA01 Consultants
CLOMIPRAMINE
HYDROCHLORIDE
CAPSULES/
TABLETS
10mg Central Nervous
System
N06AA04 Medical Practitioners
CLOMIPRAMINE
HYDROCHLORIDE
CAPSULES/
TABLETS
25mg Central Nervous
System
N06AA04 Medical Practitioners
CLONAZEPAM TABLETS 0.5mg Central Nervous
System
N03AE01 Consultants
CLONAZEPAM TABLETS 2mg Central Nervous
System
N03AE01 Consultants
CLONIDINE
HYDROCHLORIDE
INJECTION 150mcg/mL IN
1mL
Cardiovascular
System
C02AC01 Hospital Doctors Hospital Use
CLONIDINE
HYDROCHLORIDE
TABLETS 100mcg Cardiovascular
System
C02AC01 Consultants
CLOPIDOGREL TABLETS 75mg Cardiovascular
System
B01AC04 Consultant Physicians MP 276
CLOTRIMAZOLE CREAM 1% Skin D01AC01 Medical Practitioners
CLOTRIMAZOLE PESSARIES 100mg Obstetrics and
Gynaecology,
Urinary Tract
Disorders
G01AF02 Medical Practitioners, GU
Clinic Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CLOZAPINE TABLETS 25mg Central Nervous
System
N05AH02 Consultant Psychiatrists To be
dispensed from
Hospitals only
MP 42
CLOZAPINE TABLETS 100mg Central Nervous
System
N05AH02 Consultant Psychiatrists To be
dispensed from
Hospitals only
MP 42
COAL TAR SHAMPOO Skin D05AA Medical Practitioners Availability
temporarily
suspended
due to
problematic
sourcing.
CO-DANTHRAMER ORAL SUSPENSION 75/1000 IN 5mL Gastro-intestinal
System
A06AB53 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatricians,
Consultant Palliative Care
MP 43
CODEINE PHOSPHATE ORAL LIQUID 15mg/5mL Respiratory System R05DA04 Medical Practitioners
CODEINE PHOSPHATE TABLETS 30mg Central Nervous
System
R05DA04 Hospital Doctors
COLCHICINE TABLETS 500mcg Musculoskeletal and
Joint Diseases
M04AC01 Medical Practitioners
COLESTYRAMINE
(CHOLESTYRAMINE)
POWDER FOR ORAL
SUSPENSION
4g Gastro-intestinal
System,
Cardiovascular
System
C10AC01 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
COLISTIMETHATE
SODIUM (COLISTIN
SULPHOMETHATE
SODIUM)
POWDER FOR
SOLUTION FOR
INJECTION OR
INHALATION
1 Million Units Infections J01XB01 Mater Dei Hospital
Antibiotic Team
Consultants, Consultant
Paediatricians, Consultant
Infectious Diseases
Physicians, Consultant
Respiratory Physicians
MP 44
COMPOUND BENZOIN TINCTURE 30 - 50mL Respiratory System R01AX10 Medical Practitioners
COMPOUND EMOLLIENT
CREAM/OINTMENT
(CURRENTLY
LIPOBASE ®)
CREAM/ OINTMENT Skin D02AX Consultant Dermatologists
COMPOUND SODIUM
LACTATE
INFUSION 1,000mL Nutrition and Blood B05BB01 Hospital Doctors Hospital Use
COMPOUND SODIUM
LACTATE
INFUSION 500mL Nutrition and Blood B05BB01 Hospital Doctors Hospital Use
CONJUGATED
ESTROGENS (EQUINE)
CAPSULES/
TABLETS
0.625mg Endocrine System G03CA57 Consultants
CONJUGATED
ESTROGENS (EQUINE)
TABLETS 1.25mg Endocrine System G03CA57 Consultants
CONSUMABLES Consultants
CO-TRIMOXAZOLE INFUSION 480mg/5mL Infections J01EE01 Consultants Hospital Use
CO-TRIMOXAZOLE ORAL SUSPENSION ADULT
480mg/5mL
Infections J01EE01 Medical Practitioners
CO-TRIMOXAZOLE ORAL SUSPENSION PAEDIATRIC
240mg/5mL
Infections J01EE01 Medical Practitioners
CO-TRIMOXAZOLE TABLETS 400mg + 80mg Infections J01EE01 Medical Practitioners
CROTAMITON CREAM 10% Skin D04AX Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CYCLIZINE SOLUTION FOR
INJECTION
50mg/mL Central Nervous
System
R06AE03 Consultant Anaesthetists,
Consultants Emergency
Medicine, Consultant
Haematologists,
Consultants Obstetrics and
Gynaecology, Consultant
Oncologists, Consultant
Paediatric Oncologists,
Consultant Palliative Care
MP 267
CYCLIZINE TABLETS 50mg Central Nervous
System
R06AE03 Hospital Doctors
CYCLOPENTOLATE
HYDROCHLORIDE
SINGLE USE EYE
DROPS
1% Eye S01FA04 Hospital Doctors
(Ophthalmic Department),
Consultant
Ophthalmologists
CYCLOPHOSPHAMIDE SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
500mg VIAL Malignant Disease
and
Immunosuppression
L01AA01 Consultants Hospital Use/
Day Clinic
CYCLOPHOSPHAMIDE TABLETS 50mg Malignant Disease
and
Immunosuppression
L01AA01 Consultants
CYCLOSERINE (stand-by) TABLETS 250mg Infections J04AB01 Consultant Infectious
Diseases Physicians,
Paediatric Infectious
Diseases Clinic
Physicians, Consultant
Respiratory Physicians,
Chest Clinic Physicians
To be
dispensed from
Hospitals only
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
CYPROTERONE
ACETATE
TABLETS 50mg Endocrine System,
Obstetrics,
Gynaecology and
Urinary Tract
Disorders
G03HA01 Consultants, Consultants
Endocrinology
(Transgender MDT)
CYTARABINE SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
100mg IN 5mL Malignant Disease
and
Immunosuppression
L01BC01 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use/
Day Clinic
CYTARABINE SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
500mg VIAL Malignant Disease
and
Immunosuppression
L01BC01 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use/
Day Clinic
DABRAFENIB CAPSULES 75mg Malignant Disease
and
Immunosuppression
L01XE23 Consultant Oncologists MP 303
DACARBAZINE INJECTION 200mg Malignant Disease
and
Immunosuppression
L01AX04 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use/
Day Clinic
DANAPAROID SODIUM SOLUTION FOR
INJECTION
750 units/0.6mL Nutrition and Blood B01AB09 Consultant Surgeons in
consultation with
Consultant Haematologist,
Consultant Cardiologists in
consultation with
Consultant Haematologist,
Consultant Haematologists
Hospital Use MP 298
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
DANTROLENE SODIUM CAPSULES 25mg Musculoskeletal and
Joint Diseases
M03CA01 Consultants
DANTROLENE SODIUM
(stand-by)
POWDER FOR
SOLUTION FOR
INJECTION
20mg Antidotes,
Musculoskeletal and
Joint Diseases
M03CA Hospital Doctors as per
specified department
Operating
Theatre
DAPSONE TABLETS 100mg Infections J04BA02 Consultants
DAPSONE TABLETS 50mg Infections J04BA02 Consultants
DAPTOMYCIN POWDER FOR
SOLUTION FOR
INJECTION OR
INFUSION
500mg Infections J01XX09 Mater Dei Hospital
Antibiotic Team
Consultants
Hospital Use MP 59
DAUNORUBICIN (stand-
by)
LIPOSOMAL
INFUSION
50mg Malignant Disease
and
Immunosuppression
L01DB02 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatricians
Hospital Use
DAUNORUBICIN
HYDROCHLORIDE
SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
20mg Malignant Disease
and
Immunosuppression
L01DB02 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use
DEFERASIROX TABLETS 180mg Nutrition and Blood V03AC03 Thalassaemia Clinic
Consultants, Consultant
Haematologists
MP 277
DEFERASIROX TABLETS 360mg Nutrition and Blood V03AC03 Thalassaemia Clinic
Consultants, Consultant
Haematologists
MP 277
DEMECLOCYCLINE
HYDROCHLORIDE
CAPSULES/
TABLETS
150mg Endocrine System J01AA01 Consultant Physicians MP 49
DESFERRIOXAMINE
MESILATE
(DEFEROXAMINE ) (stand-
by)
INJECTION 500mg Antidotes V03AC01 Consultants Hospital
Use/Hospital
dispensing only
DESFLURANE INHALATION
ANAESTHETIC
Anaesthesia N01AB07 Hospital Doctors as per
specified department
Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
DESMOPRESSIN INJECTION 4mcg/mL Endocrine System H01BA02 Consultants Endocrinology
and Diabetes, Consultant
Paediatricians
Hospital Use
DESMOPRESSIN NASAL SPRAY 10mcg/DOSE Endocrine System H01BA02 Consultants Endocrinology
and Diabetes, Consultant
Nephrologists, Consultant
Paediatricians, Consultant
Oncologists
MP 50
DESMOPRESSIN TABLETS 0.1mg Endocrine System H01BA02 Consultants Endocrinology
and Diabetes, Consultant
Nephrologists, Consultant
Paediatricians, Consultant
Oncologists
MP 51
DEXAMETHASONE CAPSULES/
TABLETS
2mg Endocrine System H02AB02 Consultant
DEXAMETHASONE EYE DROPS 0.1% Eye S01BA01 Medical Practitioners
DEXAMETHASONE TABLETS 0.5mg Endocrine System H02AB02 Medical Practitioners
DEXAMETHASONE
PHOSPHATE
INJECTION 4mg/mL IN 2mL Endocrine System H02AB02 Hospital Doctors Hospital Use
DEXAMFETAMINE
SULPHATE
TABLETS 5mg Central Nervous
System
N06BA02 Consultants
DEXTRAN 40 IN
DEXTROSE
INFUSION IV 10% IN 5%
Dextrose
Nutrition and Blood B05AA05 Hospital Doctors Hospital Use
DEXTROSE INFUSION IV 20% IN 500mL Nutrition and Blood B05BA03 Hospital Doctors Hospital Use
DEXTROSE INFUSION IV 5% IN 1,000mL Nutrition and Blood B05BA03 Hospital Doctors Hospital Use
DEXTROSE INFUSION IV 5% IN 100mL Nutrition and Blood B05BA03 Hospital Doctors Hospital Use
DEXTROSE INFUSION IV 5% IN 500mL Nutrition and Blood B05BA03 Hospital Doctors Hospital Use
DEXTROSE INFUSION IV 50% IN 500mL Nutrition and Blood B05BA03 Hospital Doctors Hospital Use
DEXTROSE INFUSION IV 50% IN 50mL Nutrition and Blood B05BA03 Hospital Doctors Hospital Use
DEXTROSE INFUSION IV 10% IN 500mL Nutrition and Blood B05BA03 Hospital Doctors Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
DEXTROSE + SODIUM
CHLORIDE
INFUSION 10% + 0.18% IN
500mL
Nutrition and Blood B05BB02 Hospital Doctors Hospital Use
DEXTROSE + SODIUM
CHLORIDE
INFUSION 10% + 0.225%
IN 500mL
Nutrition and Blood B05BB02 Hospital Doctors Hospital Use
DEXTROSE + SODIUM
CHLORIDE
INFUSION 5% + 0.225% IN
500mL
Nutrition and Blood B05BB02 Hospital Doctors Hospital Use
DEXTROSE + SODIUM
CHLORIDE
INFUSION 5% + 0.45% IN
500mL
Nutrition and Blood B05BB02 Hospital Doctors Hospital Use
DEXTROSE + SODIUM
CHLORIDE
INFUSION IV 5% + 0.9% IN
500mL
Nutrition and Blood B05BB02 Hospital Doctors Hospital Use
DIAMORPHINE
HYDROCHLORIDE
(HEROIN
HYDROCHLORIDE)
INJECTION
IV, IM & SC
5mg Central Nervous
System
N07BC06 Hospital Doctors as per
specified department
Accident and
Emergency
Department,
Department of
Cardiology,
Obstetrics and
Gynaecology
Department,
Intensive Care
Unit
DIAMORPHINE
HYDROCHLORIDE
(HEROIN
HYDROCHLORIDE)
INTRATHECAL
INJECTION
100mg Central Nervous
System
N07BC06 Consultant Anaesthetists Pain Clinic MP 240
DIAZEPAM INJECTION
IM & IV
5mg/mL IN 2mL Central Nervous
System
N05BA01 Hospital Doctors Hospital Use,
Substance
Misuse In-
Patients Unit
DIAZEPAM INJECTION IV
(EMULSION)
5mg/mL IN 2mL Central Nervous
System
N05BA01 Hospital Doctors Hospital Use
DIAZEPAM RECTAL TUBES 10mg/2.5mL Central Nervous
System
N05BA01 Medical Practitioners
DIAZEPAM RECTAL TUBES 5mg/2.5mL Central Nervous
System
N05BA01 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
DIAZEPAM ORAL SOLUTION 2mg/5mL Central Nervous
System
N05BA01 Medical Practitioners
DIAZEPAM TABLETS 5mg Central Nervous
System
N05BA01 Medical Practitioners
DIAZEPAM TABLETS 2mg Central Nervous
System
N05BA01 Medical Practitioners
DICLOFENAC SODIUM EYE DROPS 0.1% Eye S01BC03 Hospital Doctors as per
specified department
Ophthalmic
Department
DICLOFENAC SODIUM INJECTION 75mg Musculoskeletal and
Joint Diseases
M01AB05 Consultants Hospital Use
DICLOFENAC SODIUM SUPPOSITORIES 100mg Musculoskeletal and
Joint Diseases
M01AB05 Medical Practitioners
DICLOFENAC SODIUM SUPPOSITORIES 12.5mg Musculoskeletal and
Joint Diseases
M01AB05 Consultant Paediatricians
DICLOFENAC SODIUM TABLETS 25mg Musculoskeletal and
Joint Diseases
M01AB05 Medical Practitioners
DICOBALT EDETATE
(stand-by)
INJECTION 300mg Antidotes V03AB03 Hospital Doctors Hospital Use
DIETHYLENETRIAMINE
PENTACETATE (DTPA)
INJECTION Radiopharmaceutic
als
V09 Consultant Radiologists
DIETHYLSTILBESTROL
(STILBOESTROL)
TABLETS 1mg Endocrine System,
Malignant Disease
and
Immunosuppression
G03CB02,
L02AA01
Consultants
DIGOXIN INJECTION 500mcg/mL IN
2mL
Cardiovascular
System
C01AA05 Hospital Doctors Hospital Use
DIGOXIN INJECTION 250mcg/mL IN
2mL
Cardiovascular
System
C01AA05 Hospital Doctors Hospital Use
DIGOXIN ORAL SOLUTION 50mcg/mL Cardiovascular
System
C01AA05 Consultants
DIGOXIN TABLETS 0.0625mg Cardiovascular
System
C01AA05 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
DIGOXIN TABLETS 0.25mg Cardiovascular
System
C01AA05 Medical Practitioners
DIGOXIN ANTIBODIES
(stand-by)
POWDER FOR
SOLUTION FOR
INJECTION
38mg OR 40mg Antidotes V03AB24 Hospital Doctors Hospital Use
DIHYDROCODEINE
TARTRATE
TABLETS 30mg Central Nervous
System
N02AA08 Hospital Doctors
DILTIAZEM TABLETS 60mg Cardiovascular
System
C08DB01 Consultants
DIMERCAPROL (stand-by) INJECTION 300mg Antidotes V03AB09 Hospital Doctors Accident and
Emergency
Department,
Intensive Care
Unit
DIMERCAPTOSUCCINIC
ACID (DMSA)
INJECTION Radiopharmaceutic
als
V09 Consultant Radiologists
DIMETHYL FUMARATE GASTRO-
RESISTANT HARD
CAPSULES
120mg Central Nervous
System
L04AX07 Consultant Neurologists MP 60
DIMETHYL FUMARATE GASTRO-
RESISTANT HARD
CAPSULES
240mg Central Nervous
System
L04AX07 Consultant Neurologists MP 60
DINOPROSTONE INJECTION 0.75mg IN
0.75mL
Obstetrics,
Gynaecology and
Urinary Tract
Disorders
G02AD02 Hospital Doctors as per
specified department
Antenatal Ward
DINOPROSTONE VAGINAL DELIVERY
SYSTEM
10mg Obstetrics,
Gynaecology and
Urinary Tract
Disorders
G02AD02 Hospital Doctors as per
specified department
Antenatal Ward
DINOPROSTONE VAGINAL GEL 400mcg/mL Obstetrics,
Gynaecology and
Urinary Tract
Disorders
G02AD02 Hospital Doctors as per
specified department
Antenatal Ward
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
DINOPROSTONE VAGINAL GEL 800mcg/mL Obstetrics,
Gynaecology and
Urinary Tract
Disorders
G02AD02 Hospital Doctors as per
specified department
Antenatal Ward
DIPEPTIDYLPEPTIDASE-4
INHIBITORS [GLIPTINS]
(CURRENTLY
VILDAGLIPTIN)
TABLETS 50mg Endocrine System A10BH01 Consultants Endocrinology
and Diabetes
MP 89
DIPHENHYDRAMINE
CONTAINING
PREPARATION FOR
CHESTY COUGH
ORAL LIQUID Respiratory System R05X Medical Practitioners
DIPHTHERIA (LOW DOSE)
+ TETANUS +
POLIOMYELITIS
(INACTIVATED)
VACCINE
(ADSORBED)
Immunological
Products and
Vaccines
J07CA01 Hospital Doctors as per
specified department
Floriana
Immunisation
Services
DIPHTHERIA + TETANUS
+ PERTUSSIS
(ACELLULAR) +
POLIOMYELITIS
(INACTIVATED) +
HAEMOPHILUS
INFLUENZAE TYPE B
CONJUGATE
VACCINE
(ADSORBED)
Immunological
Products and
Vaccines
J07CA06 Hospital Doctors as per
specified department
Floriana
Immunisation
Services
DIPYRIDAMOLE TABLETS 100mg Cardiovascular
System
B01AC07 Medical Practitioners
DIPYRIDAMOLE TABLETS 25mg Cardiovascular
System
B01AC07 Medical Practitioners
DISODIUM
PAMIDRONATE
CONCENTRATE
FOR SOLUTION FOR
INFUSION
15mg Endocrine System M05BA03 Consultants; Consultant
Diabetologists, Consultants
Endocrinology and
Diabetes
Hospital Use MP 159
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
DISOPYRAMIDE CAPSULES 100mg Cardiovascular
System
C01BA03 Consultants
DISTILLED WATER STERILE SOLUTION
FOR IRRIGATION
1,000mL Miscellaneous Hospital Doctors Hospital Use
DISULFIRAM TABLETS 200mg Central Nervous
System
N07BB01 Hospital Doctors
DOBUTAMINE INJECTION 250mg Cardiovascular
System
C01CA07 Hospital Doctors Hospital Use
DOCETAXEL SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
80mg Malignant Disease
and
Immunosuppression
L01CD02 Consultant Oncologists Hospital Use/
Day Clinic
MP 220
DOCUSATE SODIUM CAPSULES/
TABLETS
100mg Gastro-intestinal
System, Central
Nervous System
A06AA02 Consultant Oncologists,
Consultant Palliative Care
MP 54
DOMPERIDONE ORAL SUSPENSION 5mg/5mL Gastro-intestinal
System, Central
Nervous System
A03FA03 Consultants MP 57
DOMPERIDONE TABLETS 10mg Gastro-intestinal
System, Central
Nervous System
A03FA03 Consultants
DONEPEZIL
HYDROCHLORIDE
TABLETS 10mg Central Nervous
System
N06DA02 Consultant Geriatricians,
Consultant Neurologists,
Consultant Psychiatrists
MP 58
DONEPEZIL
HYDROCHLORIDE
TABLETS 5mg Central Nervous
System
N06DA02 Consultant Geriatricians,
Consultant Neurologists,
Consultant Psychiatrists
MP 58
DOPAMINE INFUSION 40mg/mL IN
5mL
Cardiovascular
System
C01CA04 Hospital Doctors Hospital Use
DORNASE ALFA NEBULISER
SOLUTION
1000units/mL
(2.5mg IN
2.5mL)
Respiratory System R05CB13 Consultant Paediatricians,
Consultant Respiratory
Physicians
MP 52
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
DORZOLAMIDE EYE DROPS 20mg/mL Eye S01EC03 Consultant
Ophthalmologists
DOXAPRAM INJECTION 100mg Respiratory System R07AB01 Hospital Doctors Hospital Use
DOXAZOSIN TABLETS 2mg Cardiovascular
System
C02CA04 Consultants
DOXAZOSIN TABLETS 4mg Cardiovascular
System
C02CA04 Consultants
DOXAZOSIN TABLETS 1mg Cardiovascular
System
C02CA04 Consultants
DOXORUBICIN
HYDROCHLORIDE
INJECTION 50mg Malignant Disease
and
Immunosuppression
L01DB01 Hospital Doctors Hospital Use/
Day Clinic
DOXYCYCLINE CAPSULES/
TABLETS
100mg Infections J01AA02 Consultants, GU Clinic
Consultants
DOXYCYCLINE (stand-by) SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
100mg Infections J01AA02 Consultant Physicians Hospital Use
DYDROGESTERONE TABLETS 10mg Endocrine System G03DB01 Consultants
ECONAZOLE PESSARIES 150mg Obstetrics,
Gynaecology and
Urinary Tract
Disorders
G01AF05 Consultants
EFAVIRENZ CAPSULES/
TABLETS
200mg Infections J05AG03 Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
MP 208
EFAVIRENZ CAPSULES/
TABLETS
600mg Infections J05AG03 Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
MP 222
EMOLLIENT BATH OR
SHOWER PREPARATION
Skin D02AX Consultant Dermatologists
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
EMULSIFYING OINTMENT OINTMENT Skin D02AX Consultant Dermatologists To be
dispensed from
Sir Paul Boffa
Hospital
Pharmacy & St
Vincent De Paul
Residence
Pharmacy only
ENALAPRIL TABLETS 20mg Cardiovascular
System
C09AA02 Medical Practitioners
ENALAPRIL TABLETS 5mg Cardiovascular
System
C09AA02 Medical Practitioners
ENOXAPARIN SODIUM PRE-FILLED
SYRINGES
SINGLE DOSE
100mg
(10,000 IU)
Cardiovascular
System
B01AB05 Consultants MP 204
ENOXAPARIN SODIUM PRE-FILLED
SYRINGES
SINGLE DOSE
20mg
(2,000 IU)
Cardiovascular
System
B01AB05 Consultants MP 204
ENOXAPARIN SODIUM PRE-FILLED
SYRINGES
SINGLE DOSE
40mg
(4,000 IU)
Cardiovascular
System
B01AB05 Consultants MP 204
ENOXAPARIN SODIUM PRE-FILLED
SYRINGES
SINGLE DOSE
60mg
(6,000 IU)
Cardiovascular
System
B01AB05 Consultants MP 204
ENOXAPARIN SODIUM PRE-FILLED
SYRINGES
SINGLE DOSE
80mg
(8,000 IU)
Cardiovascular
System
B01AB05 Consultants MP 204
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ENOXIMONE INJECTION 100mg/20mL Cardiovascular
System
C01CE03 Hospital Doctors as per
specified department
Intensive Care
Unit, Coronary
Care Unit,
Theatre,
Catheterization
Laboratory,
Renal Unit.
ENZALUTAMIDE CAPSULES 40mg Malignant Disease
and
Immunosuppression
L02BB04 Consultant Oncologists MP 300
EPHEDRINE INJECTION 30mg Respiratory System C01CA26 Hospital Doctors Hospital Use
EPIRUBICIN
HYDROCHLORIDE
SOLUTION FOR
INJECTION
50mg (RAPID
DISSOLUTION)
Malignant Disease
and
Immunosuppression
L01DB03 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use/
Day Clinic
MP 63
EPOPROSTENOL
(PROSTACYCLIN) (stand-
by)
POWDER FOR
SOLUTION FOR
INFUSION
500mcg Cardiovascular
System
B01AC09 Consultant Paediatricians,
Consultant Physicians,
Consultant Cardiologists
NPICU
EPTACOG ALFA
(RECOMBINANT FACTOR
VIIa) (stand-by)
INJECTION 2mg (100 KIU) Cardiovascular
System
B02BD08 Consultant Anaesthetists,
Consultant Haematologists
To be
dispensed from
Hospitals only
ERLOTINIB CAPSULES/
TABLETS
150mg Malignant Disease
and
Immunosuppression
L01XE03 Consultant Oncologist Hospital Use/To
be dispensed
from Hospitals
only
MP 262
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ERTAPENEM POWDER FOR
SOLUTION FOR
INFUSION
1g Infections J01DH03 Consultant Infectious
Diseases Physicians,
Consultants (after
discussion with the Mater
Dei Hospital Antibiotic
Team)
Hospital Use MP 289
ERYTHROMYCIN CAPSULES/
TABLETS
250mg Infections J01FA01 Medical Practitioners, GU
Clinic Consultants
ERYTHROMYCIN ORAL SUSPENSION 125mg/5mL Infections J01FA01 Medical Practitioners
ERYTHROMYCIN
LACTOBIONATE
POWDER FOR
SOLUTION FOR
INJECTION
1g Infections J01FA01 Hospital Doctors Hospital Use
ESMOLOL
HYDROCHLORIDE
(stand-by)
INFUSION 10mg/mL IN
250mL
INFUSION
BAGS
Cardiovascular
System
C07AB09 Hospital Doctors Hospital Use
ESMOLOL
HYDROCHLORIDE
(stand-by)
INJECTION 10mg/mL IN
10mL VIALS
Cardiovascular
System
C07AB09 Hospital Doctors Hospital Use
ESTRADIOL (AS
HEMIHYDRATE) +
DYDROGESTERONE
TABLETS 2mg + 10mg Endocrine System G03FA10 Consultants Endocrinology
and Diabetes, Consultant
Oncologists, Consultant
Haematologists
MP 234
ESTRADIOL VALERATE TABLETS 1mg Endocrine System G03CA03 Consultants Obstetrics and
Gynaecology, Consultants
Endocrinology
(Transgender MDT)
ETANERCEPT
(BENEPALI®)
PRE-FILLED PENS 50mg Musculoskeletal and
Joint Diseases
L04AB01 Consultant Dermatologists,
Consultant
Rheumatologists
MP 66
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ETANERCEPT
(ENBREL®)
POWDER AND
SOLVENT FOR
SOLUTION FOR
INJECTION
25mg Musculoskeletal and
Joint Diseases
L04AB01 Consultant Dermatologists,
Consultant
Rheumatologists
MP 66
ETANERCEPT
(ENBREL®)
PRE-FILLED PENS 50mg Musculoskeletal and
Joint Diseases
L04AB01 Consultant Dermatologists,
Consultant
Rheumatologists
MP 66
ETHAMBUTOL TABLETS 100mg Infections J04AK02 Consultant Infectious
Diseases Physicians,
Paediatric Infectious
Diseases Clinic
Physicians, Consultant
Respiratory Physicians,
Chest Clinic Physicians
To be
dispensed from
Hospitals only
As per
antimicrobial
guidelines
ETHAMBUTOL TABLETS 400mg Infections J04AK02 Consultant Infectious
Diseases Physicians,
Paediatric Infectious
Diseases Clinic
Physicians, Consultant
Respiratory Physicians,
Chest Clinic Physicians
To be
dispensed from
Hospitals only
ETHINYLESTRADIOL CAPSULES/
TABLETS
10mcg Endocrine System G03CA01 Consultant Paediatrician,
Consultant
Endocrinologist,
Consultants Endocrinology
(Transgender MDT)
MP 235
ETHIONAMIDE TABLETS 250mg Infections J04AD03 Consultant Infectious
Diseases Physicians,
Chest Clinic Physicians
To be
dispensed from
Hospitals only
MP 255
ETHOSUXIMIDE CAPSULES 250mg Central Nervous
System
N03AD01 Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ETHOSUXIMIDE ORAL SOLUTION 250mg/5mL Central Nervous
System
N03AD01 Consultants
ETHYL CHLORIDE SPRAY 100mL Anaesthesia N01BX01 Hospital Doctors Hospital Use
ETOMIDATE INJECTION 20mg Central Nervous
System
N01AX07 Hospital Doctors Hospital Use
ETOPOSIDE CAPSULES 50mg Malignant Disease
and
Immunosuppression
L01CB01 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
To be
dispensed from
Hospitals only
ETOPOSIDE SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
100mg Malignant Disease
and
Immunosuppression
L01CB01 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use
ETOPOSIDE
(NEONATES)
SOLUTION FOR
INJECTION
100mg Malignant Disease
and
Immunosuppression
L01CB02 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use
EVEROLIMUS TABLETS 10mg Malignant Disease
and
Immunosuppression
L01XE10 Consultant Oncologists To be
dispensed from
Hospitals only
MP 302
EVEROLIMUS TABLETS 5mg Malignant Disease
and
Immunosuppression
L01XE10 Consultant Oncologists To be
dispensed from
Hospitals only
MP 302
EXEMESTANE TABLETS 25mg Malignant Disease
and
Immunosuppression
L02BG06 Consultant Oncologists To be
dispensed from
Hospitals only
MP 64
FACTOR XIII
CONCENTRATE (stand-
by)
POWDER AND
SOLVENT FOR
SOLUTION FOR
INJECTION
250 IU Cardiovascular
System
B02BD07 Consultant Haematologists To be
dispensed from
Hospitals only
MP 211
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
FENOFIBRATE CAPSULES 67mg
(micronised)
Cardiovascular
System
C10AB05 Medical Practitioners
FENOFIBRATE CAPSULES/
TABLETS
200mg
(micronised)
CAPSULES or
145mg
(nanocrystal)
TABLETS
Cardiovascular
System
C10AB05 Medical Practitioners
FENTANYL INJECTION 0.1mg/2mL Central Nervous
System
N01AH01 Hospital Doctors Hospital Use
FENTANYL INJECTION 0.5mg/10mL Central Nervous
System
N01AH01 Hospital Doctors Hospital Use
FENTANYL TRANSDERMAL
PATCHES
25mcg/hr Central Nervous
System
N02AB03 Consultant Anaesthetists
(Pain Clinic), Consultant
Haematologists,
Consultant Oncologists,
Consultant Palliative Care
MP 67
FENTANYL TRANSDERMAL
PATCHES
50mcg/hr Central Nervous
System
N02AB03 Consultant Anaesthetists
(Pain Clinic), Consultant
Haematologists,
Consultant Oncologists,
Consultant Palliative Care
MP 67
FERRIC SUB-SULPHATE SOLUTION Obstetrics,
Gynaecology and
Urinary Tract
Disorders
B03AB Hospital Doctors as per
specified department
Gynaecology
Department
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
FIBRINOGEN
CONCENTRATE
POWDER FOR
SOLUTION FOR
INJECTION
1g Cardiovascular
System
B02BB01 Consultant Anaesthetists,
Consultants Emergency
Medicine, Consultant
Cardiologists, Consultant
Haematologists,
Consultant Obstetricians,
Consultant Surgeons
To be
dispensed from
Mater Dei
Hospital only
MP 212
FILGRASTIM (REC.
HUMAN G-CSF )
INJECTION 30 Million Units Nutrition and Blood L03AA02 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians,
Consultant Infectious
Diseases Physicians
Hospital Use/To
be dispensed
from Hospitals
only
MP 69
FINASTERIDE TABLETS 5mg Malignant Disease
and
Immunosuppression
G04CB01 Consultant Urologists,
Consultants Endocrinology
(Transgender MDT)
FINGOLIMOD CAPSULES 0.5mg Central Nervous
System
L04AA27 Consultant Neurologist MP 70
FLAVOUR SACHETS SACHETS Nutrition and Blood N/A Consultant Paediatrician,
Consultant
Gastroenterologist,
Dietitian
MP 232
FLECAINIDE ACETATE INJECTION 150mg/15mL Cardiovascular
System
C01BC04 Hospital Doctors Hospital Use
FLECAINIDE ACETATE TABLETS 100mg Cardiovascular
System
C01BC04 Consultants
FLUCLOXACILLIN CAPSULES 250mg Infections J01CF05 Medical Practitioners
FLUCLOXACILLIN ORAL SOLUTION 125mg/5mL Infections J01CF05 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
FLUCLOXACILLIN POWDER FOR
SOLUTION FOR
INJECTION
250mg Infections J01CF05 Medical Practitioners
FLUCLOXACILLIN POWDER FOR
SOLUTION FOR
INJECTION AND
INFUSION
1g Infections J01CF05 Medical Practitioners Hospital Use
FLUCONAZOLE CAPSULES 50mg Infections J02AC01 Consultants MP 72
FLUCONAZOLE CAPSULES/
TABLETS
150mg Infections J02AC01 Consultants MP 72
FLUCONAZOLE INFUSION 2mg/mL IN
100mL
Infections J02AC01 Consultants Hospital Use As per
antimicrobial
guidelines
FLUCONAZOLE ORAL SUSPENSION 50mg/5mL Infections J02AC01 Consultants MP 73
FLUDARABINE SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
50mg Malignant Disease
and
Immunosuppression
L01BB05 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use/
Day Clinic
FLUDARABINE TABLETS 10mg Malignant Disease
and
Immunosuppression
L01BB05 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
To be
dispensed from
Hospitals only
FLUDROCORTISONE
ACETATE
TABLETS 0.1mg Endocrine System H02AA02 Hospital Doctors
FLUID THICKENER POWDER Food Supplements V07A Consultants
FLUMAZENIL (stand-by) INJECTION 500mcg IN 5mL Antidotes V03AB25 Hospital Doctors Hospital Use
FLUORESCEIN SODIUM INJECTION 100mg/mL Eye S01JA01 Hospital Doctors as per
specified department
Ophthalmic
Department
FLUOROMETHOLONE EYE DROPS 0.1% Eye S01BA07 Hospital Doctors as per
specified department
Ophthalmic
Department
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
FLUOROURACIL CREAM 5% Malignant Disease
and
Immunosuppression
L01BC02 Consultant Dermatologist,
Consultant Oncologists
FLUOROURACIL SOLUTION FOR
INJECTION AND
INFUSION
500mg/10mL Malignant Disease
and
Immunosuppression
L01BC02 Consultant Oncologists,
Consultant
Ophthalmologists
Hospital Use
FLUOXETINE CAPSULES 20mg Central Nervous
System
N06AB03 Consultant Psychiatrists,
Consultant Geriatricians
FLUPENTIXOL
DECANOATE
INJECTION 100mg/mL Central Nervous
System
N05AF01 Consultant Psychiatrists
FLUPENTIXOL
DECANOATE
INJECTION 20mg/mL Central Nervous
System
N05AF01 Consultant Psychiatrists
FLUPENTIXOL
DIHYDROCHLORIDE
TABLETS 0.5mg Central Nervous
System
N05AF01 Consultant Psychiatrists
FLUPHENAZINE
DECANOATE
INJECTION 100mg/mL Central Nervous
System
N05AB02 Consultant Psychiatrists
FLUPHENAZINE
DECANOATE
INJECTION 25mg/mL Central Nervous
System
N05AB02 Consultant Psychiatrists
FLUTAMIDE TABLETS 250mg Malignant Disease
and
Immunosuppression
L02BB01 Consultant Oncologists,
Consultant Urologists
FLUTICASONE
PROPIONATE
AEROSOL INHALER 250mcg/DOSE Respiratory System R03BA05 Consultant Respiratory
Physicians, Consultant
Paediatricians, Specialist
Respiratory Medicine
Consultants
MP 78
FLUTICASONE
PROPIONATE
AEROSOL INHALER 50mcg/DOSE Respiratory System R03BA05 Consultant Respiratory
Physicians, Consultant
Paediatricians, Specialist
Respiratory Medicine
Consultants
MP 77
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
FLUVOXAMINE MALEATE TABLETS 100mg Central Nervous
System
N06AB08 Consultant Psychiatrists,
Consultant Geriatricians
FOLIC ACID ORAL SOLUTION 2.5mg/5mL Nutrition and Blood B03BB01 Consultant Paediatricians,
Consultant
Rheumatologists
MP 80
FOLIC ACID TABLETS 5mg Nutrition and Blood B03BB01 Medical Practitioners
FOOD SUPPLEMENT -
e.g. FOOD LINK®
or
SUSTAGEN®
- (DIET
SUPPLEMENTATION)
POWDER Food Supplements V06 Hospital Doctors
FOOD SUPPLEMENT -
e.g. DUOCAL®
- (FAT
AND CARBOHYDRATE
ENERGY SUPPLEMENT)
POWDER Food Supplements V06 Consultant Paediatricians MP 68
FOOD SUPPLEMENT -
e.g. ELEMENTAL 028
EXTRA®
- (ENTERAL
FEED - ELEMENTAL
FORMULA)
POWDER Food Supplements V06 Consultant Paediatricians,
Consultant
Gastroenterologists
MP 61
FOOD SUPPLEMENT -
e.g. MAXIJUL®
-
(CARBOHYDRATE
ENERGY SUPPLEMENT )
POWDER Food Supplements V06DC Consultants MP 32
FOOD SUPPLEMENT -
e.g. NEOCATE®
LCP or
ALFAMINO®
- (AMINO
ACID-BASED INFANT
FORMULA)
POWDER Food Supplements V06 Consultant Paediatricians MP 62
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
FOOD SUPPLEMENT -
e.g. NUTRISON®
or
NUTRICOMP®
STANDARD - (ENTERAL
FEED - COMPLETE
NUTRITIONAL
PREPARATION)
LIQUID 500mL Food Supplements V06 Medical Practitioners
FOOD SUPPLEMENT -
e.g. PAEDIASURE®
-
(PAEDIATRIC LIQUID
FOOD PREPARATION)
LIQUID 200mL Food Supplements V06 Consultant Paediatricians MP 158
FOOD SUPPLEMENT -
e.g. RESOURCE
ENERGY®
(FORMERLY
KNOWN AS ENSURE®
OR CLINUTREN®
) -
(ENTERAL FEED -
COMPLETE
NUTRITIONAL
PREPARATION)
LIQUID 200mL Food Supplements V06 Medical Practitioners
FORMALDEHYDE SOLUTION 500mL - 5000mL Miscellaneous D08AX Infection Control Policy Hospital Use
FOSCARNET (stand-by) INFUSION IV 24mg/mL Infections J05AD01 Consultant Infectious
Diseases Physicians
Hospital Use
FOSFOMYCIN GRANULES FOR
ORAL SUSPENSION
3g Infections J01XX01 Mater Dei Hospital
Antibiotic Team
Consultants
Hospital Use MP 81
FRAMYCETIN +
DEXAMETHASONE +
GRAMICIDIN
EYE/EAR DROPS 0.5% + 0.05% +
0.005%
Ear, Nose and
Oropharynx, Eye
S02CA06 Medical Practitioners
FUROSEMIDE
(FRUSEMIDE)
INJECTION 250mg/25mL Cardiovascular
System
C03CA01 Hospital Doctors as per
specified department
Hospital Use
FUROSEMIDE
(FRUSEMIDE)
ORAL SOLUTION 1mg/mL Cardiovascular
System
C03CA01 Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
FUROSEMIDE
(FRUSEMIDE)
SOLUTION FOR
INJECTION AND
INFUSION
20mg/2mL Cardiovascular
System
C03CA01 Hospital Doctors Hospital Use
FUROSEMIDE
(FRUSEMIDE)
TABLETS 40mg Cardiovascular
System
C03CA01 Medical Practitioners
FUROSEMIDE
(FRUSEMIDE) +
AMILORIDE
TABLETS 40mg + 5mg Cardiovascular
System
C03EB01 Consultant Cardiologists,
Consultant Cardiac
Surgeons
MP 82
FUSIDATE SODIUM TABLETS 250mg Infections J01XC01 Consultants
FUSIDIC ACID ORAL SUSPENSION 250mg/5mL Infections J01XC01 Consultants
FUSIDIC ACID VISCOUS EYE
DROPS
1% Eye S01AA13 Hospital Doctors as per
specified department
Ophthalmic
Department,
Paediatric
Department
GABAPENTIN CAPSULES 100mg Central Nervous
System
N03AX12 Consultant Neurologists,
Consultant Paediatricians
MP 83
GABAPENTIN CAPSULES 300mg Central Nervous
System
N03AX12 Consultant Neurologists,
Consultant Paediatricians
MP 83
GALLIUM 67-CITRATE INJECTION Radiopharmaceutic
als
V09HX01 Consultant Radiologists
GANCICLOVIR (stand-by) POWDER FOR
SOLUTION FOR
INJECTION AND
INFUSION
500mg Infections J05AB06 Consultant
Gastroenterologists,
Consultant Nephrologist,
Consultant Infectious
Diseases Physicians
Hospital use As per
antimicrobial
guidelines
GELATIN MODIFIED
FLUID
INJECTION 500mL Nutrition and Blood B05AA06 Hospital Doctors Hospital Use
GEMCITABINE
HYDROCHLORIDE
SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
1g Malignant Disease
and
Immunosuppression
L01BC05 Consultant
Haematologists,
Consultant Oncologists
Hospital Use MP 84
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
GENTAMICIN BEAD CHAINS 30 Infections J01GB Hospital Doctors as per
specified department
Orthopaedic
Theatre
GENTAMICIN EYE/ EAR DROPS 0.3% Ear, Nose and
Oropharynx, Eye
S03AA06 Medical Practitioners
GENTAMICIN INJECTION 80mg Infections J01GB03 Hospital Doctors
GENTAMICIN POWDER Skin D06AX07 Hospital Doctors Hospital Use
GLIBENCLAMIDE TABLETS 5mg Endocrine System A10BB01 Medical Practitioners
GLICLAZIDE TABLETS 80mg Endocrine System A10BB09 Consultants
GLUCAGON (stand-by) POWDER AND
SOLVENT FOR
SOLUTION FOR
INJECTION
1mg Antidotes,
Endocrine System
H04AA01 Consultants Endocrinology
and Diabetes
GLUCOSE SOLUTION FOR
PERITONEAL
DIALYSIS
Nutrition and Blood B05CX01 Hospital Doctors Hospital Use
GLUCOSE
MONOHYDRATE B.P.
POWDER Miscellaneous V06DC01 Hospital Doctors Hospital Use
GLUTARALDEHYDE SOLUTION 2% Skin D08AX Infection Control Policy Hospital Use
GLUTEN-FREE DIETARY
ITEMS
VOUCHER SCHEME
FOR COELIAC
PATIENTS
Food Supplements V06 Consultant
Gastroenterologists,
Consultant Paediatricians,
Consultant Surgeons
MP 85
GLYCEROL/GLYCERIN ADULT
SUPPOSITORIES
4g Gastro-intestinal
System
A06AX01 Medical Practitioners
GLYCEROL/GLYCERIN ENEMA 3.9g Gastro-intestinal
System
A06AG04 Hospital Doctors Hospital Use
GLYCEROL/GLYCERIN INFANT
SUPPOSITORIES
1g Gastro-intestinal
System
A06AX01 Medical Practitioners
GLYCEROL/GLYCERIN LIQUID Food Supplements A06AX01 Hospital Doctors Hospital Use
GLYCERYL TRINITRATE INJECTION 1mg/mL IN
50mL
Cardiovascular
System
C01DA02 Hospital Doctors as per
specified department
Hospital Use
GLYCERYL TRINITRATE METERED DOSE
SPRAY
400mcg Cardiovascular
System
C01DA02 Hospital Doctors as per
specified department
Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
GLYCERYL TRINITRATE SUBLINGUAL
TABLETS
500mcg Cardiovascular
System
C01DA02 Medical Practitioners
GLYCERYL TRINITRATE TRANSDERMAL
PATCHES
10mg/24hrs Cardiovascular
System
C01DA02 Consultant Physicians,
Consultant Cardiologists,
Consultant Cardiac
Surgeons
GLYCERYL TRINITRATE TRANSDERMAL
PATCHES
5mg/24hrs Cardiovascular
System
C01DA02 Consultant Physicians,
Consultant Cardiologists,
Consultant Cardiac
Surgeons
GLYCINE IRRIGATION
SOLUTION
1.5% W/V IN 3L Obstetrics,
Gynaecology and
Urinary Tract
Disorders
B05CX03 Hospital Doctors Hospital Use
GLYCOPYRRONIUM
BROMIDE
(GLYCOPYRROLATE)
(stand-by)
INJECTION 0.6mg Anaesthesia A03AB02 Hospital Doctors as per
specified department
To be
dispensed from
Hospitals only
GONADORELIN (LH-
RELEASING HORMONE )
INJECTION 100mcg Endocrine System,
Malignant Disease
and
Immunosuppression
H01CA01 Hospital Doctors as per
specified department
Endocrine
Department,
Paediatric
Department
GOSERELIN IMPLANT 10.8mg Malignant Disease
and
Immunosuppression
L02AE03 Consultant Oncologists,
Consultant Urologists,
Consultants Endocrinology
(Transgender MDT)
MP 87
GOSERELIN IMPLANT 3.6mg Malignant Disease
and
Immunosuppression
L02AE03 Consultants Obstetrics and
Gynaecology, Consultant
Oncologists, Consultants
Endocrinology
(Transgender MDT)
MP 86
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
GRISEOFULVIN CAPSULES/
TABLETS
125mg Infections D01BA01 Hospital Doctors
HAEMOPHILUS
INFLUENZAE TYPE B
VACCINE 10mcg/0.5mL Immunological
Products and
Vaccines
J07AG01 Consultants Hospital Use
HALOGENATED
TERTIARY AMINE
(TRIGENE
DISINFECTANT
SOLUTION )
AQUEOUS
SOLUTION
5L Skin D08AX Infection Control Policy Hospital Use
HALOGENATED
TERTIARY AMINE
(TRIGENE
DISINFECTANT SPRAY )
SPRAY Skin D08AX Infection Control Policy Hospital Use
HALOPERIDOL CAPSULES/
TABLETS
0.5mg Central Nervous
System
N05AD01 Consultant Geriatricians,
Consultant
Haematologists,
Consultant Oncologists,
Consultant Palliative Care,
Consultant Psychiatrists
HALOPERIDOL INJECTION 5mg Central Nervous
System
N05AD01 Consultant Geriatricians,
Consultant
Haematologists,
Consultant Oncologists,
Consultant Palliative Care,
Consultant Psychiatrists
Page 54 of 131
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
HALOPERIDOL ORAL SOLUTION 2mg/mL Central Nervous
System
N05AD01 Consultant Geriatricians,
Consultant
Haematologists,
Consultant Oncologists,
Consultant Palliative Care,
Consultant Psychiatrists
HALOPERIDOL TABLETS 1.5mg Central Nervous
System
N05AD01 Consultant Geriatricians,
Consultant
Haematologists,
Consultant Oncologists,
Consultant Palliative Care,
Consultant Psychiatrists
HALOPERIDOL TABLETS 5mg Central Nervous
System
N05AD01 Consultant Geriatricians,
Consultant
Haematologists,
Consultant Oncologists,
Consultant Palliative Care,
Consultant Psychiatrists
HALOPERIDOL
DECANOATE
INJECTION 100mg Central Nervous
System
N05AD01 Consultant Psychiatrists
HALOPERIDOL
DECANOATE
INJECTION 50mg Central Nervous
System
N05AD01 Consultant Psychiatrists
HEPARIN SODIUM (WITH
PRESERVATIVE)
INJECTION 5,000 IU/mL IN
5mL
Cardiovascular
System
B01AB01 Hospital Doctors as per
specified department
Hospital Use
HEPARIN SODIUM
(WITHOUT BACTERICIDE)
INJECTION 1,000 IU/mL IN
10mL - 20mL
Cardiovascular
System
B01AB01 Hospital Doctors Cardiac
Theatres, Renal
Unit, NPICU
HEPARIN SODIUM IN
0.9% SODIUM CHLORIDE
INFUSION 500 IU IN 500mL
STERILE BAGS
Cardiovascular
System
B01AB01 Consultant Cardiac
Surgeons
Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
HEPARIN SODIUM IN
SODIUM CHLORIDE
FLUSHING
SOLUTION
10 IU/mL IN 5mL Cardiovascular
System
B01AB01 Hospital Doctors To be
dispensed from
Hospitals only
(TPN patients
only)
HEPATITIS A (ADULT) VACCINE Immunological
Products and
Vaccines
J07BC02 Hospital Doctors as per
specified department
Floriana
Immunisation
Services
HEPATITIS A
(PAEDIATRIC)
VACCINE Immunological
Products and
Vaccines
J07BC02 Hospital Doctors as per
specified department
Floriana
Immunisation
Services
HEPATITIS B IMMUNOGLOBULIN Immunological
Products and
Vaccines
J06BB04 Hospital Doctors Hospital Use
HEPATITIS B (ADULT)
(stand-by)
VACCINE Immunological
Products and
Vaccines
J07BC01 Hospital Doctors as per
specified department
Floriana
Immunisation
Services, Mater
Dei Hospital
HEPATITIS B
(PAEDIATRIC) (stand-by)
VACCINE Immunological
Products and
Vaccines
J07BC01 Hospital Doctors as per
specified department
Floriana
Immunisation
Services, Mater
Dei Hospital
HUMAN NORMAL
IMMUNOGLOBULIN
INJECTION IM 250mg Immunological
Products and
Vaccines
J06BA02 Hospital Doctors Hospital Use
HUMAN NORMAL
IMMUNOGLOBULIN
(GAMMAGLOBULIN)
INJECTION IV 5-6g Immunological
Products and
Vaccines
J06BA02 Hospital Doctors Hospital Use
HUMAN
PAPILLOMAVIRUS (HPV)
VACCINE Immunological
Products and
Vaccines
J07BM Hospital Doctors as per
specified department
Floriana
Immunisation
Services
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
HYALURONIDASE POWDER FOR
SOLUTION FOR
INJECTION
1,500 IU Musculoskeletal and
Joint Diseases
B06AA03 Hospital Doctors Hospital Use
HYDRALAZINE POWDER FOR
SOLUTION FOR
INJECTION
20mg Cardiovascular
System
C02DB02 Hospital Doctors Hospital Use
HYDRALAZINE TABLETS 25mg Cardiovascular
System
C02DB02 Medical Practitioners
HYDROCORTISONE CREAM 1% Skin D07AA02 Medical Practitioners
HYDROCORTISONE FOAM ENEMA 10% Gastro-intestinal
System
A07EA02 Consultant
Gastroenterologists,
Consultant Surgeons,
Consultant Paediatricians,
Consultant Oncologists,
Consultant Palliative Care
Availability
temporarily
suspended
due to
problematic
sourcing.
HYDROCORTISONE OINTMENT 1% Skin D07AA02 Medical Practitioners
HYDROCORTISONE TABLETS 20mg Endocrine System H02AB09 Consultants
HYDROCORTISONE TABLETS 5mg (HALF
SCORED) or
10mg
(QUARTER
SCORED)
Endocrine System H02AB09 Consultant Paediatricians,
Consultant Physicians
HYDROCORTISONE
BUTYRATE
CREAM 0.10% Skin D07AB02 Medical Practitioners
HYDROCORTISONE
BUTYRATE
CREAM FATTY
BASE
0.10% Skin D07AB02 Medical Practitioners
HYDROCORTISONE
SODIUM SUCCINATE
INJECTION 100mg Endocrine System H02AB09 Consultants To be
dispensed from
Hospitals only
HYDROGEN PEROXIDE SOLUTION 6% Ear, Nose and
Oropharynx
A01AB02/
D08AX01
Medical Practitioners
HYDROXOCOBALAMIN
(VITAMIN B12 )
INJECTION 1mg Nutrition and Blood B03BA03 Medical Practitioners
Page 57 of 131
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
HYDROXOCOBALAMIN
(VITAMIN B12 ) (stand-by)
INJECTION 5g Antidotes V03AB33 Hospital Doctors Hospital Use
HYDROXYCARBAMIDE
(HYDROXYUREA)
CAPSULES 500mg Malignant Disease
and
Immunosuppression
L01XX05 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians,
Thalassaemia Clinic
Consultants
HYDROXYCHLOROQUINE TABLETS 200mg Musculoskeletal and
Joint Diseases
P01BA02 Consultants
HYDROXYZINE TABLETS 25mg Central Nervous
System
N05BB01 Medical Practitioners
HYOSCINE
BUTYLBROMIDE
INJECTION 20mg Gastro-intestinal
System
A03BB01 Hospital Doctors Hospital Use/To
be dispensed
from Hospitals
only (Consultant
Palliative Care)
HYOSCINE
BUTYLBROMIDE
TABLETS 10mg Gastro-intestinal
System
A03BB01 Medical Practitioners
HYOSCINE
HYDROBROMIDE
INJECTION 400mcg Gastro-intestinal
System
A04AD01,
N05CM05
Hospital Doctors Hospital Use/To
be dispensed
from Hospitals
only (Consultant
Palliative Care)
HYPROMELLOSE EYE DROPS 0.3% - 0.5% Eye S01KA02 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
IBUPROFEN ORAL SUSPENSION 100mg/5mL Musculoskeletal and
Joint Diseases
M01AE01 Consultant Oncologists,
Consultant Paediatric
Oncologists, Consultant
Paediatric Surgeons,
Consultant Paediatricians,
Consultant Palliative Care,
Consultant
Rheumatologists
MP 92
IBUPROFEN TABLETS 200mg Musculoskeletal and
Joint Diseases
M01AE01 Medical Practitioners
IBUPROFEN LYSINE SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
10mg/mL Cardiovascular
System
C10EB16 Hospital Doctors Paediatric
Department
IFOSFAMIDE SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
2g Malignant Disease
and
Immunosuppression
L01AA06 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use MP 93
ILOPROST
TROMETAMOL
INFUSION 20mcg/ml IN ALL Cardiovascular
System
B01AC11 Consultant
Rheumatologists
Hospital Use MP 94
IMATINIB CAPSULES/
TABLETS
100mg Malignant Disease
and
Immunosuppression
L01XE01 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
To be
dispensed from
Hospitals only
MP 95
IMIPENEM + CILASTATIN INJECTION 500mg + 500mg Infections J01DH51 Consultants (after
discussion with the Mater
Dei Hospital Antibiotic
Team)
Hospital Use MP 253
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
IMIPRAMINE TABLETS 10mg Central Nervous
System
N06AA02 Medical Practitioners
IMIPRAMINE TABLETS 25mg Central Nervous
System
N06AA02 Medical Practitioners
INDIUM-111 LABELLED
OCTREOTIDE
INJECTION Radiopharmaceutic
als
V09IB01 Consultant Radiologists
INDOCYANINE GREEN INJECTION 25mg Eye V04CX Consultant Ophthalmic
Surgeons
Hospital Use
INDOMETACIN CAPSULES 25mg Musculoskeletal and
Joint Diseases
M01AB01 Medical Practitioners
INFLIXIMAB
(REMICADE®)
POWDER FOR
CONCENTRATE
FOR SOLUTION FOR
INFUSION
100mg Gastro-intestinal
System
L04AB02 Consultant
Gastroenterologists,
Consultant Paediatricians,
Consultant
Rheumatologists,
Consultant Dermatologists
Hospital Use/
Day Clinic
MP 98
INFLIXIMAB
(REMSIMA® or
INFLECTRA®)
POWDER FOR
CONCENTRATE
FOR SOLUTION FOR
INFUSION
100mg Gastro-intestinal
System
L04AB02 Consultant
Gastroenterologists,
Consultant Paediatricians,
Consultant
Rheumatologists,
Consultant Dermatologists
Hospital Use/
Day Clinic
MP 98
INFLUENZA VACCINE Immunological
Products and
Vaccines
J07BB01 Hospital Doctors Floriana
Immunisation
Services
INSULIN ASPART CARTRIDGES 100 UNITS/mL Endocrine System A10AB05 Consultants Endocrinology
and Diabetes
MP 207
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
INSULIN BIPHASIC
ISOPHANE (ISOPHANE +
NEUTRAL)
CARTRIDGES (70%, 30%)
100 UNITS/mL
Endocrine System A10AD01 Consultants Endocrinology
and Diabetes, Consultant
Paediatricians
MP 100
INSULIN BIPHASIC
ISOPHANE (ISOPHANE +
NEUTRAL)
INJECTION (70%, 30%)
100 UNITS/mL
Endocrine System A10AD01 Consultants Endocrinology
and Diabetes, Consultant
Paediatricians
INSULIN GLARGINE CARTRIDGES 100 UNITS/mL Endocrine System A10AE04 Consultants Endocrinology
and Diabetes
MP 101
INSULIN ISOPHANE CARTRIDGES 100 UNITS/mL Endocrine System A10AC01 Consultants Endocrinology
and Diabetes, Consultant
Paediatricians
MP 100
INSULIN ISOPHANE INJECTION 100 UNITS/mL Endocrine System A10AC01 Consultants Endocrinology
and Diabetes, Consultant
Paediatricians
INSULIN NEUTRAL
(SOLUBLE INSULIN)
CARTRIDGES 100 UNITS/mL Endocrine System A10AB01 Consultants Endocrinology
and Diabetes, Consultant
Paediatricians
MP 100
INSULIN NEUTRAL
(SOLUBLE INSULIN)
INJECTION 100 UNITS/mL Endocrine System A10AB01 Consultants Endocrinology
and Diabetes, Consultant
Paediatricians
INTERFERON BETA-1a INJECTION 30mcg (6 Million
IU)
Malignant Disease
and
Immunosuppression
L03AB07 Consultant Neurologists
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
INTERFERON BETA-1b INJECTION 300mcg (9.6
Million IU)
Malignant Disease
and
Immunosuppression
L03AB08 Consultant Neurologists
INTERFERON GAMMA-1b INJECTION 100mcg Immunological
Products and
Vaccines
L03AB03 Consultant Paediatricians,
Consultant Respiratory
Physicians, Consultant
Infectious Diseases
Physicians
To be
dispensed from
Hospitals only
(TPN patients
only)
MP 104
IODINE-131-
METAIODOBENZYLGUAN
IDINE (MIBG I-131)
INJECTION Radiopharmaceutic
als
V09 Consultant Radiologists
IODIXANOL SOLUTION FOR
INJECTION
320mg
IODINE/ml
Contrast Media V08AB09 Consultant Radiologists Hospital Use MP 233
IPRATROPIUM BROMIDE AEROSOL INHALER 20mcg/DOSE Respiratory System R03BB01 Consultants
IPRATROPIUM BROMIDE NEBULISER
SOLUTION
250mcg/mL Respiratory System R03BB01 Consultants
IRINOTECAN CONCENTRATE
FOR SOLUTION FOR
INFUSION
100mg Malignant Disease
and
Immunosuppression
L01XX19 Consultant Oncologists,
Consultant Paediatric
Oncologists
Hospital Use/
Day Clinic
IRINOTECAN CONCENTRATE
FOR SOLUTION FOR
INFUSION
40mg Malignant Disease
and
Immunosuppression
L01XX19 Consultant Oncologists,
Consultant Paediatric
Oncologists
Hospital Use/
Day Clinic
IRON + FOLIC ACID CAPSULES/
TABLETS
Nutrition and Blood B03AD02 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
IRON SUCROSE
(FERRIC HYDROXIDE
WITH SUCROSE)
INJECTION 100mg Nutrition and Blood B03AB04 Hospital Doctors as per
specified department
Gastroenterolog
y Department,
Nephrology
Department, Sir
Anthony Mamo
Oncology
Centre
ISOFLURANE INHALATION
ANAESTHETIC
Anaesthesia N01AB06 Hospital Doctors Hospital Use
ISONIAZID TABLETS 100mg Infections J04AC01 Consultant Infectious
Diseases Physicians,
Paediatric Infectious
Diseases Clinic
Physicians, Consultant
Respiratory Physicians,
Chest Clinic Physicians
To be
dispensed from
Hospitals only
ISONIAZID (stand-by) INJECTION 50mg/2mL Infections J04AC01 Consultants Hospital Use
ISOPRENALINE (stand-
by)
INJECTION 200mcg/1mL Cardiovascular
System
C01CA02 Hospital Doctors as per
specified department
Cardiothoracic
Surgery
ISOPROPYL ALCOHOL GEL Skin D08AX05 Infection Control Policy Hospital Use
ISOPROPYL ALCOHOL HAND RUB Skin D08AX05 Infection Control Policy Hospital Use
ISOSORBIDE DINITRATE INJECTION 1mg/mL Cardiovascular
System
C01DA08 Hospital Doctors Hospital Use
ISOSORBIDE DINITRATE TABLETS 10mg Cardiovascular
System
C01DA08 Medical Practitioners
ISOSORBIDE
MONONITRATE
MODIFIED RELEASE
TABLETS
60mg Cardiovascular
System
C01DA14 Consultant Physicians,
Consultant Cardiologists,
Consultant Cardiac
Surgeons
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ISOSORBIDE
MONONITRATE
TABLETS 20mg Cardiovascular
System
C01DA14 Consultant Physicians,
Consultant Cardiologists,
Consultant Cardiac
Surgeons, Consultant
Gastroenterologists
ISOTRETINOIN CAPSULES/
TABLETS
20mg Skin D10BA01 Consultant Dermatologists
ISPAGHULA HUSK POWDER Gastro-intestinal
System
A06AC01 Medical Practitioners
ITRACONAZOLE CAPSULES 100mg Infections J02AC02 Consultant Paediatricians,
Consultant Oncologists,
Consultant
Haematologists,
Consultant Infectious
Diseases Physicians,
Consultant Geriatricians
MP 108
ITRACONAZOLE ORAL SOLUTION 50mg/5mL Infections J02AC02 Consultant Paediatricians,
Consultant Oncologists,
Consultant
Haematologists,
Consultant Infectious
Diseases Physicians,
Consultant Geriatricians
MP 107
IVERMECTIN TABLETS 3mg Skin P02CF01 Consultants, Senior Public
Health Physicians
KETAMINE INJECTION 50mg/mL IN
10mL
Cardiovascular
System,
Anaesthesia
N01AX03 Hospital Doctors Hospital Use/To
be dispensed
from Hospitals
only if for oral
use (for
malignancy
only)
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
KETAMINE INJECTION 50mg/mL IN
2mL
Cardiovascular
System,
Anaesthesia
N01AX03 Hospital Doctors Hospital Use
LABETALOL
HYDROCHLORIDE
INJECTION 5mg/mL IN
20mL
Cardiovascular
System
C07AG01 Hospital Doctors Hospital Use
LABETALOL
HYDROCHLORIDE
TABLETS 100mg Cardiovascular
System
C07AG01 Hospital Doctors
LABETALOL
HYDROCHLORIDE
TABLETS 200mg Cardiovascular
System
C07AG01 Hospital Doctors
LACTULOSE ORAL SOLUTION 3.35g/5mL Gastro-intestinal
System
A06AD11 Consultants
LAMIVUDINE ORAL SOLUTION 50mg/5mL Infections J05AF05 Consultants To be
dispensed from
Hospitals only
MP 256
LAMIVUDINE TABLETS 100mg Infections J05AF05 Consultant
Gastroenterologists,
Consultant Infectious
Diseases Physicians
MP 110
LAMIVUDINE TABLETS 150mg Infections J05AF05 Consultant Infectious
Diseases Physicians,
Consultants Hospital
Infection Control
to be dispensed
from Hospitals
only
MP 99
LAMOTRIGINE DISPERSIBLE
TABLETS
25mg Central Nervous
System
N03AX09 Consultant Paediatricians,
Consultant Neurologists,
Consultant Psychiatrists
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
LAMOTRIGINE DISPERSIBLE
TABLETS
5mg Central Nervous
System
N03AX09 Consultant Paediatricians,
Consultant Neurologists,
Consultant Psychiatrists
LAMOTRIGINE TABLETS 100mg Central Nervous
System
N03AX09 Consultant Paediatricians,
Consultant Neurologists,
Consultant Psychiatrists
LAMOTRIGINE TABLETS 25mg Central Nervous
System
N03AX09 Consultant Paediatricians,
Consultant Neurologists,
Consultant Psychiatrists
LAMOTRIGINE TABLETS 50mg Central Nervous
System
N03AX09 Consultant Paediatricians,
Consultant Neurologists,
Consultant Psychiatrists
LANTHANUM CHEWABLE
TABLETS
750mg Nutrition and Blood V03AE03 Consultant Nephrologists MP 273
LEDIPASVIR +
SOFOSBUVIR
TABLETS 90mg + 400mg Infections J05AP51 Consultant
Gastroenterologist (HCV
Patient Management
Committee), Consultant
Infectious Disease
Physician (HCV Patient
Management Committee)
To be
dispensed from
Hospitals only
MP 112
LEFLUNOMIDE TABLETS 10mg Musculoskeletal and
Joint Diseases
L04AA13 Consultant
Rheumatologists
MP 113
LEFLUNOMIDE TABLETS 20mg Musculoskeletal and
Joint Diseases
L04AA13 Consultant
Rheumatologists
MP 113
LENALIDOMIDE CAPSULES 25mg Malignant Disease
and
Immunosuppression
L04AX04 Consultant Oncologists,
Consultant Haematologists
To be
dispensed from
Hospitals only
MP 263
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
LETROZOLE CAPSULES/
TABLETS
2.5mg Malignant Disease
and
Immunosuppression
L02BG04 Consultant Oncologists
LEUPRORELIN INJECTION 3.75mg Endocrine System L02AE02 Consultant Paediatricians,
Consultants Endocrinology
and Diabetes, Consultants
Endocrinology
(Transgender MDT)
MP 114
LEVETIRACETAM ORAL SOLUTION 100mg/mL Central Nervous
System
N03AX14 Consultant Paediatricians,
Consultant Palliative Care,
Consultant Neurologists
MP 116
LEVETIRACETAM TABLETS 500mg Central Nervous
System
N03AX14 Consultant Paediatricians,
Consultant Palliative Care,
Consultant Neurologists
MP 115
LEVETIRACETAM TABLETS 1000mg Central Nervous
System
N03AX14 Consultant Paediatricians,
Consultant Palliative Care,
Consultant Neurologists
MP 115
LEVETIRACETAM CONCENTRATE
FOR SOLUTION FOR
INFUSION
500mg/5mL Central Nervous
System
N03AX14 Consultant Neurologists,
Consultant Anaesthetists
(ITU), Consultants
Emergency Medicine,
Consultant Paediatricians
Hospital Use MP 226
LEVODOPA +
BENSERAZIDE
HYDROCHLORIDE
CAPSULES 100mg + 25mg Central Nervous
System
N04BA02 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
LEVODOPA +
BENSERAZIDE
HYDROCHLORIDE
CAPSULES 50mg + 12.5mg Central Nervous
System
N04BA02 Medical Practitioners
LEVODOPA +
BENSERAZIDE
HYDROCHLORIDE
CAPSULES/
TABLETS
200mg + 50mg Central Nervous
System
N04BA02 Medical Practitioners
LEVODOPA +
BENSERAZIDE
HYDROCHLORIDE
DISPERSIBLE
TABLETS
100mg + 25mg Central Nervous
System
N04BA02 Consultant Geriatricians,
Consultant Neurologists
MP 118
LEVOFLOXACIN SOLUTION FOR
INTRAVENOUS
INFUSION
500mg Infections J01MA12 Consultant Physicians Hospital Use MP 173
LEVOFLOXACIN TABLETS 500mg Infections J01MA12 Consultant Physicians,
Mater Dei Hospital
Antibiotic Team
Consultants
MP 173
LEVOMEPROMAZINE
(stand-by)
INJECTION 25mg/mL Central Nervous
System
N05AA02 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists, Consultant
Paediatricians, Consultant
Palliative Care
Hospital Use MP 286
LEVOMEPROMAZINE
(stand-by)
TABLETS 25mg Central Nervous
System
N05AA02 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists, Consultant
Paediatricians, Consultant
Palliative Care
MP 287
LEVOTHYROXINE
(THYROXINE )
TABLETS 100mcg Endocrine System H03AA01 Medical Practitioners
LEVOTHYROXINE
(THYROXINE )
TABLETS 50mcg Endocrine System H03AA01 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE
GEL 2% Skin D04AB01 Hospital Doctors
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE
INJECTION 0.2% in 5%
GLUCOSE
Cardiovascular
System
C01BB01 Hospital Doctors Hospital Use
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE
INJECTION 1% IN 20mL Anaesthesia N01BB02 Hospital Doctors Hospital Use
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE
INJECTION 2% IN 20mL Anaesthesia N01BB02 Hospital Doctors Hospital Use
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE
INJECTION 2% IN 5mL Anaesthesia N01BB02 Hospital Doctors Hospital Use
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE
INJECTOR KIT 4% IN 4mL Anaesthesia N01BB02 Hospital Doctors as per
specified department
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE
PRE-FILLED
SYRINGES
2% (100mg/5mL) Cardiovascular
System
C01BB01 Hospital Doctors Hospital Use Availability
temporarily
suspended
due to
problematic
sourcing.
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE
SPRAY 10% Skin D04AB01 Consultants Hospital Use
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE
TOPICAL SOLUTION 4% Anaesthesia N01BB02 Hospital Doctors as per
specified department
Endoscopy
Department,
Day Surgery
Unit
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE +
ADRENALINE
DENTAL
CARTRIDGE
2% + <
1:125,000
Anaesthesia N01BB52 Hospital Doctors as per
specified department
Dental
Department
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE +
ADRENALINE
INJECTION 2% + 1:200,000 Anaesthesia N01BB52 Hospital Doctors Hospital Use
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE +
ADRENALINE
INJECTION 1% + 1:200,000 Anaesthesia N01BB52 Hospital Doctors Hospital Use
LIDOCAINE
(LIGNOCAINE)
HYDROCHLORIDE +
PRILOCAINE
CREAM 25mg + 25mg
(5%)
Skin N01BB52,
N01BB54
Hospital Doctors as per
specified department
LINEZOLID SOLUTION FOR
INTRAVENOUS
INFUSION/ POWDER
FOR SOLUTION FOR
INTRAVENOUS
600mg Infections J01XX08 Mater Dei Hospital
Antibiotic Team
Consultants
Hospital Use MP 283
LINEZOLID TABLETS 600mg Infections J01XX08 Mater Dei Hospital
Antibiotic Team
Consultants
Hospital Use MP 283
LIOTHYRONINE SODIUM
(L-TRI-IODOTHYRONINE
SODIUM)
POWDER FOR
SOLUTION FOR
INJECTION
20mcg Endocrine System H03AA02 Hospital Doctors Hospital Use
LIOTHYRONINE SODIUM
(L-TRI-IODOTHYRONINE
SODIUM)
TABLETS 25mcg Endocrine System H03AA02 Consultants MP 242
LISINOPRIL TABLETS 10mg Cardiovascular
system
C09AA03 Consultants
LISINOPRIL TABLETS 5mg Cardiovascular
system
C09AA03 Consultants
Page 70 of 131
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
LITHIUM CARBONATE TABLETS 400mg Central Nervous
System
N05AN01 Medical Practitioners
LITHIUM CITRATE
TETRAHYDRATE
ORAL LIQUID 509mg/5mL
(equivalent to
200mg lithium
carbonate)
Central Nervous
System
N05AN01 Consultant Psychiatrists MP 120
LOMUSTINE CAPSULES 40mg Malignant Disease
and
Immunosuppression
L01AD02 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists,
Consultant Paediatricians
To be
dispensed from
Hospitals only
LONG ACTING BETA2-
AGONIST FOR CHILDREN
AGED 4 - 12 YEARS
(FORMOTEROL OR
SALMETEROL)
INHALER Respiratory System R03AC12/
R03AC13
Consultant Respiratory
Physicians, Consultant
Paediatricians, Specialist
Respiratory Medicine
Consultants
MP 270
LONG ACTING BETA2-
AGONIST FOR PATIENTS
OVER 12 YEARS
(FORMOTEROL OR
SALMETEROL)
INHALER Respiratory System R03AC12/
R03AC13
Consultant Respiratory
Physicians, Consultant
Paediatricians, Specialist
Respiratory Medicine
Consultants, Consultant
Geriatricians
MP 271
LOPERAMIDE
HYDROCHLORIDE
CAPSULES 2mg Gastro-intestinal
System
A07DA03 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
LOPINAVIR + RITONAVIR CAPSULES/
TABLETS
200mg + 50mg Infections J05AR10 Consultant Infectious
Diseases Physicians,
Consultant Hospital
Infection Control
Physicians, GU Clinic
Consultants, Emergency
Medicine Physicians,
Gynaecologists, Infectious
Diseases Specialists
To be
dispensed from
Hospitals only
MP 221
LOPINAVIR + RITONAVIR ORAL SOLUTION 400mg + 100mg
per 5mL
Infections J05AR10 Consultant Paediatricians,
Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
MP 257
LORAZEPAM INJECTION
IM & IV
4mg/mL Central Nervous
System
N05BA06 Hospital Doctors Accident and
Emergency
Department,
Intensive Care
Unit, Psychiatric
Department,
Neurological
Wards
LORAZEPAM TABLETS 1mg Central Nervous
System
N05BA06 Medical Practitioners
LORAZEPAM TABLETS 2mg Central Nervous
System
N05BA06 Medical Practitioners
LOW PROTEIN BREAD Food Supplements V06 Consultants
LOW PROTEIN CRACKER
BREAD
Food Supplements V06 Consultants
LOW PROTEIN
FLAVOURED BISCUITS
Food Supplements V06 Consultants
LOW PROTEIN FLOUR Food Supplements V06 Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
LOW PROTEIN PASTA Food Supplements V06 Consultants
LOW PROTEIN PLAIN
BISCUITS
200g Food Supplements V06 Consultants
LUBRICATING JELLY GEL Obstetrics,
Gynaecology and
Urinary Tract
Disorders
V07AY Hospital Doctors
MAGNESIUM
GLYCEROPHOSPHATE
TABLETS 97.2mg (4mmol) Nutrition and Blood A12CC Consultant
Gastroenterologists,
Consultant
Haematologists,
Consultant Nephrologists,
Consultant Oncologists,
Consultant Paediatricians
To be
dispensed from
Hospitals only
MP 122
MAGNESIUM HYDROXIDE
+ ALUMINIUM
HYDROXIDE +
SIMETICONE
ORAL SUSPENSION Gastro-intestinal
System
A02AX Medical Practitioners
MAGNESIUM HYDROXIDE
MIXTURE
ORAL SUSPENSION Gastro-intestinal
System
A02AA04 Medical Practitioners
MAGNESIUM SULPHATE PASTE Skin D11AX05 Medical Practitioners
MAGNESIUM SULPHATE SOLUTION FOR
INJECTION
20% IN 20mL Nutrition and Blood B05XA05 Hospital Doctors Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
MAGNESIUM SULPHATE SOLUTION FOR
INJECTION
50% IN 10mL Nutrition and Blood B05XA05 Hospital Doctors Hospital Use
MALATHION LIQUID 0.5% W/W Skin P03AX03 Medical Practitioners
MANNITOL INFUSION IV 10% Cardiovascular
System
B05BC01 Hospital Doctors Hospital Use
MANNITOL INFUSION IV 15% - 20% Cardiovascular
System
B05BC01 Hospital Doctors Hospital Use
MAPROTILINE
HYDROCHLORIDE
TABLETS 25mg Central Nervous
System
N06AA21 Hospital Doctors
MARAVIROC TABLETS 300mg Infections J05AX09 Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
MP 121
MEASLES + MUMPS +
RUBELLA (MMR)
VACCINE Immunological
Products and
Vaccines
J07BX Hospital Doctors as per
specified department
Floriana
Immunisation
Services
MEBENDAZOLE CHEWABLE
TABLETS
100mg Infections P02CA01 Consultants
MEBENDAZOLE ORAL SUSPENSION 2% Infections P02CA01 Consultants
MEBEVERINE
HYDROCHLORIDE
TABLETS 135mg Gastro-intestinal
System
A03AA04 Medical Practitioners Availability
temporarily
suspended
due to
problematic
sourcing.
MEBROFENIN INJECTION 40mg Radiopharmaceutic
als
V09DA04 Consultant Radiologists
MEDICAL AIR
(COMPRESSED AIR )
GAS Respiratory System V03AN Hospital Doctors Hospital Use
MEDICAL OXYGEN GAS 1.5m3 Respiratory System V03AN01 Medical Practitioners
MEDICAL OXYGEN
0.55m3
GAS Respiratory System V03AN01 Hospital Doctors Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
MEDICAL OXYGEN 7m3 GAS Respiratory System V03AN01 Hospital Doctors Hospital Use
MEDRONIC ACID
(METHYLENE
DIPHOSPHONATE)
INJECTION Radiopharmaceutic
als
V09BA02 Consultant Radiologists
MEDROXYPROGESTERO
NE ACETATE
TABLETS 100mg Malignant Disease
and
Immunosuppression
L02AB02 Consultants, Consultants
Endocrinology
(Transgender MDT)
MEDROXYPROGESTERO
NE ACETATE
TABLETS 5mg Endocrine System,
Malignant Disease
and
Immunosuppression
G03AC06,
L02AB02
Hospital Doctors,
Consultants Endocrinology
(Transgender MDT)
MEFENAMIC ACID CAPSULES 250mg Musculoskeletal and
Joint Diseases
M01AG01 Medical Practitioners
MEFLOQUINE TABLETS 250mg Infections P01BC02 Medical Practitioners (as
per ‘Dispensing of Oral
Antimalarials to Out-
Patients’ [refer to page 10
on Out-Patients Formulary]
or against payment)
MELOXICAM TABLETS 7.5mg Musculoskeletal and
Joint Diseases
M01AC06 Consultant
Rheumatologists,
Consultant Palliative Care,
Consultant Oncologists,
Consultant Geriatricians
MP 45
MELPHALAN TABLETS 2mg Malignant Disease
and
Immunosuppression
L01AA03 Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
MENADIOL SODIUM
PHOSPHATE
TABLETS 10mg Malignant Disease
and
Immunosuppression
B02BA02 Consultants Availability
temporarily
suspended
due to
problematic
sourcing.
MENINGOCOCCAL
GROUP C CONJUGATE
VACCINE Immunological
Products and
Vaccines
J07AH07 Consultants Hospital Use
MENINGOCOCCAL
QUADRIVALENT
CONJUGATE (A, C, W135
and Y)
VACCINE Immunological
Products and
Vaccines
J07AH08 Consultants, Consultant
Microbiologists,
Consultants Hospital
Infection Control
Hospital Use,
Floriana
Immunisation
Services
MP 131
MENTHOL + AQUEOUS
CREAM
CREAM Skin EXTEMP1 Consultant Dermatologists To be
dispensed from
Hospitals only
MEPACRINE
HYDROCHLORIDE
TABLETS 100mg Infections P01AX05 Consultant Physicians To be
dispensed from
Hospitals only
MP 123
MERCAPTOPURIN TABLETS 50mg Malignant Disease
and
Immunosuppression
L01BB02 Consultants
MEROPENEM INJECTION 1g Infections J01DH02 Consultants (after
discussion with the Mater
Dei Hospital Antibiotic
Team)
Hospital Use MP 253
MEROPENEM INJECTION 500mg Infections J01DH02 Consultants (after
discussion with the Mater
Dei Hospital Antibiotic
Team)
Hospital Use MP 253
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
MESALAZINE FOAM/ RETENTION
ENEMA
1g Gastro-intestinal
System
A07EC02 Consultant
Gastroenterologists,
Consultant Surgeons,
Consultant Paediatricians
MESALAZINE SUPPOSITORIES 500mg Gastro-intestinal
System
A07EC02 Consultant
Gastroenterologists,
Consultant Surgeons,
Consultant Paediatricians
MESALAZINE (ACTIVE
INGREDIENT RELEASED
FROM DUODENUM TO
RECTUM )
MODIFIED RELEASE
TABLETS
500mg Gastro-intestinal
System
A07EC02 Consultant
Gastroenterologists,
Consultant Surgeons,
Consultant Paediatricians
MP 125
MESALAZINE (ACTIVE
INGREDIENT RELEASED
AT pH ≥7)
MODIFIED RELEASE
TABLETS
400mg Gastro-intestinal
System
A07EC02 Consultant
Gastroenterologists,
Consultant Surgeons,
Consultant Paediatricians
MP 124
Availability
temporarily
suspended
MESALAZINE (e.g.
PENTACOL®, ASACOL®,
OCTASA®)
MODIFIED RELEASE
TABLETS
400mg Gastro-intestinal
System
A07EC02 Consultant
Gastroenterologists,
Consultant Surgeons,
Consultant Paediatricians
MESNA (stand-by) INJECTION 100mg/mL IN
10mL
Antidotes, Malignant
Disease and
Immunosuppression
V03AF01 Hospital Doctors as per
specified department
Oncology
Department,
Haematology
Department,
Paediatric
Oncology
Department
METFORMIN
HYDROCHLORIDE
CAPSULES/
TABLETS
500mg Endocrine System A10BA02 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
METHADONE HCl
MIXTURE
ORAL SOLUTION 5mg/5mL Central Nervous
System
N07BC02 Hospital Doctors as per
specified department
Detox Clinic
METHADONE
HYDROCHLORIDE
TABLETS 5mg Central Nervous
System
N07AC52 Designated Consultant as
appointed by DGPHR
Detox Clinic
METHOTREXATE SOLUTION FOR
INJECTION IV
1g Malignant Disease
and
Immunosuppression
L01BA01,
L04AX03
Hospital Doctors Haematology
Department,
Oncology
Department/
Day Clinic,
Paediatric
Oncology
Department
METHOTREXATE SOLUTION FOR
INJECTION IV, IM &
INTRATHECAL
50mg Malignant Disease
and
Immunosuppression
L01BA01,
L04AX03
Consultant
Gastroenterologists,
Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists
Hospital Use/
Day Clinic
METHOTREXATE SOLUTION FOR
INJECTION IV, IM &
INTRATHECAL
5mg Malignant Disease
and
Immunosuppression
L01BA01,
L04AX03
Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists
Hospital Use/
Day Clinic
METHOTREXATE TABLETS 2.5mg Malignant Disease
and
Immunosuppression
L01BA01,
L04AX03
Consultants
METHOXSALEN CAPSULES/
TABLETS
10mg Skin D05BA02 Consultant Dermatologists
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
METHOXSALEN LOTION 1.2% Skin D05AD02 Consultant Dermatologists
METHYLDOPA TABLETS 250mg Cardiovascular
System
C02AB Medical Practitioners
METHYLPHENIDATE
HYDROCHLORIDE
PROLONGED
RELEASE TABLETS
18mg Central Nervous
System
N06BA04 Consultant Paediatricians
(Community Paediatrics),
Consultant Paediatricians
(Paediatric Neurology and
Neurodisability),
Consultant Psychiatrists
MP 126
METHYLPHENIDATE
HYDROCHLORIDE
PROLONGED
RELEASE TABLETS
36mg Central Nervous
System
N06BA04 Consultant Paediatricians
(Community Paediatrics),
Consultant Paediatricians
(Paediatric Neurology and
Neurodisability),
Consultant Psychiatrists
MP 126
METHYLPHENIDATE
HYDROCHLORIDE
TABLETS 10mg Central Nervous
System
N06BA04 Consultant Psychiatrists,
Consultant Paediatricians
METHYLPREDNISOLONE TABLETS 4mg Endocrine System H02AB04 Consultant Dermatologists
METHYLPREDNISOLONE
(as SODIUM SUCCINATE
or HEMISUCCINATE)
INJECTION
IM & IV
40mg Endocrine System H02AB04 Consultants
METHYLPREDNISOLONE
(as SODIUM SUCCINATE)
INJECTION
IM & IV
500mg Endocrine System H02AB04 Consultants
METHYLPREDNISOLONE
ACETATE
INJECTION IM 40mg/ml Endocrine System H02AB04 Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
METHYLSALICYLATE CREAM IN HEAVY
KAOLIN (KAOLIN
POULTICE)
Musculoskeletal and
Joint Diseases
M02AX Hospital Doctors Hospital Use Availability
temporarily
suspended
due to
manufacturing
issues
METHYLTHIONINIUM
CHLORIDE (METHYLENE
BLUE) (stand-by)
INJECTION 5mg/mL Antidotes V03AB17 Hospital Doctors as per
specified department
Theatres,
Endoscopy
Department,
Oncology
Department
METOCLOPRAMIDE INJECTION
IM & IV
10mg/2mL Gastro-intestinal
System
A03FA01 Hospital Doctors
(Consultant Oncologists or
Consultant Palliative Care
for Out-Patient Use)
Hospital
Use/Hospital
dispensing only
METOCLOPRAMIDE TABLETS 10mg Gastro-intestinal
System
A03FA01 Medical Practitioners
METOLAZONE
TARTRATE
TABLETS 5mg Cardiovascular
System
C03BA08 Consultant Cardiac
Surgeons, Consultant
Physicians
MP 128
METOPROLOL
TARTRATE
INJECTION 1mg/mL Cardiovascular
System
C07AB02 Hospital Doctors as per
specified department
Ophthalmic
Department,
Cardiac
Department
METOPROLOL
TARTRATE
SCORED TABLETS 100mg Cardiovascular
System
C07AB02 Consultants
METRONIDAZOLE GEL 0.75% Skin D06BX01 Consultant Oncologists,
Consultant Dermatologists,
Consultant Palliative Care
MP 129
METRONIDAZOLE INJECTION 500mg Infections J01XD01 Hospital Doctors Hospital Use
METRONIDAZOLE ORAL SUSPENSION 200mg/5mL Infections P01AB01 Medical Practitioners
METRONIDAZOLE SUPPOSITORIES 500mg Infections P01AB01 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
METRONIDAZOLE TABLETS 200mg Infections P01AB01 Medical Practitioners, GU
Clinic Consultants
MEXILETINE CAPSULES 200mg Cardiovascular
System
Consultant Cardiologists MP 142
MIANSERIN TABLETS 10mg Central Nervous
System
N06AX03 Medical Practitioners
MIANSERIN TABLETS 30mg Central Nervous
System
N06AX03 Medical Practitioners
MICONAZOLE +
HYDROCORTISONE
CREAM 2% + 1% Skin D01AC52,
D07XA01
Consultant Dermatologists,
Consultant Geriatricians
MICONAZOLE +
HYDROCORTISONE
BUTYRATE
CREAM 1:1 Skin EXTEMP2 Consultant Dermatologists To be
dispensed from
Hospitals only
MICONAZOLE NITRATE CREAM 2% Skin D01AC02 Medical Practitioners
MICRO-ENEMA
(CURRENTLY SODIUM
CITRATE COMPOUND)
MICRO-ENEMA Gastro-intestinal
System
A06AG11 Consultant Oncologists To be
dispensed from
Sir Anthony
Mamo
Oncology
Centre
Pharmacy only
MP 130
MIDAZOLAM SOLUTION FOR
INJECTION
10mg IN 2mL
AND 5mL VIALS
Central Nervous
System
N05CD08 Hospital Doctors Hospital Use
MILK SUBSTITUTE e.g.
PREGESTIMIL®
LIPIL -
(HYDROLYSATE
FORMULA)
POWDER Food Supplements V06DF Hospital Doctors
MILK SUBSTITUTE e.g.
SMA®
WYSOY - (SOYA-
BASED FORMULA)
POWDER Food Supplements V06DF Hospital Doctors
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
MILRINONE (stand-by) SOLUTION FOR
INJECTION
10mg/10mL Cardiovascular
System
C01CE02 Hospital Doctors as per
specified department
Cardiac
Intensive Care
Unit.
MISOPROSTOL TABLETS 200mcg Gastro-intestinal
System
A02BB01 Consultant
Rheumatologists,
Consultant
Gastroenterologists,
Consultants Obstetrics and
Gynaecology, Consultant
Cardiologists, Consultant
Cardiac Surgeons
MP 132
MITOMYCIN C INJECTION 10mg Malignant Disease
and
Immunosuppression
L01DC03 Consultant
Haematologists,
Consultant Oncologists,
Consultant
Ophthalmologists,
Consultant Paediatricians,
Consultant Urologists
Hospital Use/
Day Clinic
MITOMYCIN C POWDER FOR
SOLUTION FOR
INJECTION
40mg Malignant Disease
and
Immunosuppression
L01DC03 Consultant Urologists Hospital Use MP 138
MITOXANTRONE
HYDROCHLORIDE
SOLUTION FOR
INFUSION
20mg Malignant Disease
and
Immunosuppression
L01DB07 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
Hospital Use/
Day Clinic
MP 133
MIVACURIUM CHLORIDE INJECTION 10mg/5mL Anaesthesia M03AC10 Hospital Doctors as per
specified department
Paediatric
Department,
Thalasseamia
Clinic
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
MOCLOBEMIDE TABLETS 150mg Central Nervous
System
N06AG02 Consultant Psychiatrists MP 134
MOMETASONE FUROATE CREAM 0.10% Skin D07AC13 Consultant Dermatologists
MOMETASONE FUROATE OINTMENT 0.1% Skin D07AC13 Consultant Dermatologists
MONTELUKAST CHEWABLE
TABLETS
4mg Respiratory System R03DC03 Consultant Respiratory
Physicians, Consultant
Paediatricians
MP 295
MONTELUKAST CHEWABLE
TABLETS
5mg Respiratory System R03DC03 Consultant Respiratory
Physicians, Consultant
Paediatricians
MP 295
MONTELUKAST TABLETS 10mg Respiratory System R03DC03 Consultant Respiratory
Physicians, Consultant
Paediatricians
MP 295
MORPHINE SULFATE MODIFIED RELEASE
TABLETS
100mg Central Nervous
System
N02AA01 Hospital Doctors
MORPHINE SULFATE MODIFIED RELEASE
TABLETS
10mg Central Nervous
System
N02AA01 Hospital Doctors
MORPHINE SULFATE MODIFIED RELEASE
TABLETS
30mg Central Nervous
System
N02AA01 Hospital Doctors
MORPHINE SULFATE MODIFIED RELEASE
TABLETS
60mg Central Nervous
System
N02AA01 Hospital Doctors
MORPHINE SULFATE ORAL SOLUTION 10mg/5mL Central Nervous
System
N02AA01 Hospital Doctors
MORPHINE SULFATE/
HYDROCHLORIDE
INJECTION 15mg/mL Central Nervous
System
N02AA01 Hospital Doctors
MORPHINE SULFATE/
HYDROCHLORIDE
INJECTION 20mg/mL Central Nervous
System
N02AA01 Hospital Doctors
MORPHINE SULFATE/
HYDROCHLORIDE
(CURRENTLY
WOCKHARDT )
INJECTION 10mg/mL Central Nervous
System
N02AA01 Hospital Doctors
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
MORPHINE SULFATE/
HYDROCHLORIDE (for
PAEDIATRIC USE -
CURRENTLY MERCURY
PHARMA )
INJECTION 10mg/mL Central Nervous
System
N02AA01 Hospital Doctors
MORPHINE SULPHATE INJECTION 30mg/mL Central Nervous
System
N02AA01 Hospital Doctors
MOXIFLOXACIN TABLETS 400mg Infections J01MA14 Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
MP 250
MULTIVITAMIN +
MINERAL PREPARATION
(KETOVITE® )
ORAL LIQUID Nutrition and Blood A11AA03 Consultant Paediatricians,
Consultant Physicians,
Consultant
Gastroenterologists
MP 137
MULTIVITAMIN +
MINERAL PREPARATION
(KETOVITE®)
TABLETS Nutrition and Blood A11AA03 Consultant Paediatricians,
Consultant Physicians,
Consultant
Gastroenterologists
MP 136
MULTIVITAMINS (WATER
SOLUBLE) FOR TPN FOR
CHILDREN ≤ 11 YEARS
ONLY
POWDER FOR
SOLUTION FOR
INJECTION
Nutrition and Blood A11BA Hospital Doctors Hospital Use
MULTIVITAMINS
(ABIDEC® )
ORAL DROPS Nutrition and Blood A11BA Consultant Paediatricians MP 135
MULTIVITAMINS
(CERNEVIT® ) FOR TPN
FOR ADULTS AND
CHILDREN OVER 11
YEARS
POWDER FOR
SOLUTION FOR
INJECTION OR
INFUSION
Nutrition and Blood A11BA Consultants To be
dispensed from
Hospitals only
(TPN patients
only)
MUPIROCIN NASAL OINTMENT 2% Ear, Nose and
Oropharynx
R01AX06 Consultants Hospital
Infection Control
Hospital Use MP 139
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
MUPIROCIN OINTMENT 2% Skin D06AX09 Consultant Dermatologists Hospital Use MP 297
MYCOPHENOLATE
MOFETIL
ORAL SUSPENSION 1g/5mL Malignant Disease
and
Immunosuppression
L04AA06 Consultant Nephrologists,
Consultant Paediatricians,
Consultant Cardiac
Surgeons, Consultant
Gastroenterologists
MP 141
MYCOPHENOLATE
MOFETIL (stand-by)
POWDER FOR
CONCENTRATE
FOR SOLUTION FOR
INFUSION
500mg Malignant Disease
and
Immunosuppression
L04AA06 Consultant Nephrologists Hospital Use MP 272
MYCOPHENOLATE
SODIUM
ENTERIC-COATED
TABLETS
180mg Malignant Disease
and
Immunosuppression
L04AA06 Consultant Nephrologists,
Consultant Paediatricians
(Paediatric Nephrology)
MP 140
MYCOPHENOLATE
SODIUM
ENTERIC-COATED
TABLETS
360mg Malignant Disease
and
Immunosuppression
L04AA06 Consultant Nephrologists,
Consultant Paediatricians
(Paediatric Nephrology)
MP 140
N-ACETYLCYSTEINE CAPSULES/
TABLETS
600mg Antidotes V03AB Consultant Surgeons,
Consultant Physicians,
Consultant Respiratory
Physicians
To be
dispensed from
Mater Dei
Hospital only
MP 252
NALOXONE
HYDROCHLORIDE (stand-
by)
INJECTION 400mcg/mL Antidotes V03AB15 Hospital Doctors Hospital Use
NALTREXONE
HYDROCHLORIDE
TABLETS 50mg Central Nervous
System
N07BB04 Consultant Psychiatrists
NANDROLONE
DECANOATE (stand-by)
OILY INJECTION 50mg/mL Endocrine System A14AB01 Consultants Hospital Use
NAPROXEN TABLETS 250mg Musculoskeletal and
Joint Diseases
M01AE02 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
NATALIZUMAB CONCENTRATE
FOR SOLUTION FOR
INFUSION
300mg Central Nervous
System
L04AA23 Consultant Neurologist Hospital Use MP 251
NEONATAL
MAINTENANCE
PARENTERAL NUTRITION
- AQUEOUS PART (stand-
by)
INTRAVENOUS
NUTRITION
Nutrition and Blood B05BA Hospital Doctors as per
specified department
NPICU
NEONATAL START-UP
PARENTERAL NUTRITION
- AQUEOUS PART (stand-
by)
INTRAVENOUS
NUTRITION
Nutrition and Blood B05BA Hospital Doctors as per
specified department
NPICU
NEOSTIGMINE
METHYLSULPHATE
INJECTION 0.5mg/mL Musculoskeletal and
Joint Diseases,
Anaesthesia
N07AA01 Hospital Doctors Hospital Use
NEOSTIGMINE
METILSULFATE
INJECTION 2.5mg/mL Musculoskeletal and
Joint Diseases,
Anaesthesia
N07AA01 Hospital Doctors Hospital Use
NEVIRAPINE ORAL SUSPENSION 50mg/5mL Infections J05AG01 Consultant Paediatricians,
Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
MP 258
NEVIRAPINE TABLETS 200mg Infections J05AG01 Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
MP 143
NICLOSAMIDE (stand-by) TABLETS 0.5g Infections P02DA01 Consultant Infectious
Diseases Physicians
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
NICORANDIL TABLETS 10mg Cardiovascular
System
C01DX16 Consultant Physicians,
Consultant Cardiologists
MP 144
Availability
temporarily
suspended
due to
problematic
sourcing.
NICOTINAMIDE CAPSULES/
TABLETS
250mg Nutrition and Blood A11HA01 Consultant Dermatologists
NIFEDIPINE CAPSULES/
TABLETS
10mg Cardiovascular
System
C08CA05 Consultants
NIFEDIPINE MODIFIED RELEASE
CAPSULES/
TABLETS
20mg Cardiovascular
System
C08CA05 Consultants
NIFEDIPINE MODIFIED RELEASE
TABLETS
10mg Cardiovascular
System
C08CA05 Consultants
NIMODIPINE CAPSULES/
TABLETS
30mg Cardiovascular
System
C08CA06 Consultant Neurologists,
Consultant Anaesthetists
(ITU), Consultants
Emergency Medicine
MP 146
NIMODIPINE INJECTION 200mcg/mL IN
50mL
Cardiovascular
System
C08CA06 Consultant Neurologists,
Consultant Anaesthetists
(ITU), Consultants
Emergency Medicine
Hospital Use MP 146
NITAZOXANIDE ORAL SUSPENSION 100mg/5mL Infections P01AX11 Consultant Infectious
Diseases Physicians,
Mater Dei Hospital
Antibiotic Team
Consultants, Consultant
Gastroenterologists
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
NITAZOXANIDE TABLETS 500mg Infections P01AX11 Consultant Infectious
Diseases Physicians,
Mater Dei Hospital
Antibiotic Team
Consultants, Consultant
Gastroenterologists
NITRAZEPAM TABLETS 5mg Central Nervous
System
N05CD02 Medical Practitioners
NITROFURANTOIN CAPSULES/
TABLETS
50mg Infections J01XE01 Medical Practitioners
NITROFURANTOIN ORAL SUSPENSION 25mg/5mL Infections J01XE01 Medical Practitioners
NITROUS OXIDE GAS Anaesthesia N01AX13 Hospital Doctors Hospital Use
NITROUS OXIDE +
OXYGEN
GAS 50% + 5% Anaesthesia N01AX63 Hospital Doctors Hospital Use
NIVOLUMAB CONCENTRATE
FOR SOLUTION FOR
INFUSION
40mg/4mL Malignant Disease
and
Immunosuppression
L01XC17 Consultant Oncologists,
Consultant Haematologists
Hospital Use
NIVOLUMAB CONCENTRATE
FOR SOLUTION FOR
INFUSION
100mg/10mL Malignant Disease
and
Immunosuppression
L01XC17 Consultant Oncologists,
Consultant Haematologists
Hospital Use
NORADRENALINE ACID
TARTRATE
INJECTION 2mg/mL
(equivalent to
1mg/mL
Noradrenaline
Base)
Cardiovascular
System
C01CA03 Hospital Doctors Hospital Use
NORETHISTERONE TABLETS 5mg Endocrine System G03DC02 Hospital Doctors
NORFLOXACIN TABLETS 400mg Infections J01MA06 Consultants
NORTRIPTYLINE TABLETS 10mg Central Nervous
System
N06AA10 Medical Practitioners
NORTRIPTYLINE TABLETS 25mg Central Nervous
System
N06AA10 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
NYSTATIN ORAL SUSPENSION 100000 IU Infections A07AA02 Medical Practitioners
OCTREOTIDE INJECTION 200mcg/mL
(MULTIDOSE)
Malignant Disease
and
Immunosuppression
H01CB02 Consultants Emergency
Medicine, Consultants
Endocrinology and
Diabetes, Consultant
Gastroenterologists,
Consultant Surgeons,
Consultant Oncologists,
Consultant Palliative Care
To be
dispensed from
Hospitals only
MP 147
OCTREOTIDE (stand-by) INJECTION 500mcg/mL Antidotes, Malignant
Disease and
Immunosuppression
H01CB02 Consultant
Gastroenterologists,
Consultant Surgeons,
Consultant Oncologists,
Consultant Palliative Care
Hospital Use MP 148
OCTREOTIDE LONG
ACTING
POWDER AND
SOLVENT FOR
SUSPENSION FOR
INJECTION
20mg Malignant Disease
and
Immunosuppression
H01CB02 Consultants Endocrinology
and Diabetes, Consultant
Oncologists
To be
dispensed from
Hospitals only
MP 149
OCTREOTIDE LONG
ACTING
POWDER AND
SOLVENT FOR
SUSPENSION FOR
INJECTION
30mg Malignant Disease
and
Immunosuppression
H01CB02 Consultants Endocrinology
and Diabetes, Consultant
Oncologists
To be
dispensed from
Hospitals only
MP 149
OCTREOTIDE LONG
ACTING (stand-by)
POWDER AND
SOLVENT FOR
SUSPENSION FOR
INJECTION
10mg Malignant Disease
and
Immunosuppression
H01CB02 Consultants Endocrinology
and Diabetes, Consultant
Oncologists
To be
dispensed from
Hospitals only
MP 149
OLANZAPINE CAPSULES/
TABLETS
10mg Central Nervous
System
N05AH03 Consultant Psychiatrists,
Consultant Geriatricians
OLANZAPINE CAPSULES/
TABLETS
5mg Central Nervous
System
N05AH03 Consultant Psychiatrists,
Consultant Geriatricians
OMALIZUMAB INJECTION 150mg Respiratory System R03DX05 Consultant Respiratory
Physicians, Consultant
Paediatricians
To be
dispensed from
Hospitals only
MP 294
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
OMEPRAZOLE CAPSULES/
TABLETS
20mg Gastro-intestinal
System
A02BC01 Medical Practitioners
OMEPRAZOLE
(PAEDIATRIC USE ONLY)
POWDER FOR
SOLUTION FOR
INFUSION
40mg Gastro-intestinal
System
A02BC01 Consultant
Gastroenterologists,
Consultant Surgeons,
Consultant Anaesthetists,
Consultant Paediatricians,
Consultants Emergency
Medicine
Hospital Use MP 152
ONDANSETRON INJECTION 4mg Central Nervous
System
A04AA01 Consultant, Consultant
Anaesthetists, Consultant
Surgeons
Hospital Use
ONDANSETRON INJECTION 8mg Central Nervous
System
A04AA01 Consultant, Consultant
Anaesthetists, Consultant
Surgeons
Hospital Use
ONDANSETRON ORAL SOLUTION 4mg/5mL Central Nervous
System
A04AA01 Consultant Emergency
Medicine Paediatricians,
Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Surgeons,
Consultant Paediatricians,
Consultants Palliative Care
MP 153
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ONDANSETRON TABLETS 4mg Central Nervous
System
A04AA01 Consultants MP 154
ONDANSETRON TABLETS 8mg Central Nervous
System
A04AA01 Consultants MP 154
ORAL IRON (CURRENTLY
FERROUS FUMARATE
200MG [65MG
ELEMENTAL IRON])
TABLETS Nutrition and Blood B03AA Medical Practitioners
ORAL REHYDRATION POWDER Nutrition and Blood A07CA Medical Practitioners
ORPHENADRINE
HYDROCHLORIDE
TABLETS 50mg Musculoskeletal and
Joint Diseases
N04AB02 Hospital Doctors
OSELTAMIVIR CAPSULES 75mg Infections J05AH02 Consultants, Resident
Specialists, Infection
Control Consultants
Hospital Use MP 155
OXALIPLATIN SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
100mg Malignant Disease
and
Immunosuppression
L01XA03 Consultant
Haematologists,
Consultant Oncologists
Hospital Use
OXYBUPROCAINE SINGLE USE EYE
DROPS
0.4% Eye S01HA02 Hospital Doctors as per
specified department
Ophthalmic
Department
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
OXYBUTYNIN
HYDROCHLORIDE
TABLETS 5mg Obstetrics,
Gynaecology and
Urinary Tract
Disorders
G04BD04 Consultants
OXYTOCIN INJECTION 10 IU/Ml Obstetrics,
Gynaecology and
Urinary Tract
Disorders
H01BB02 Hospital Doctors Hospital Use
OXYTOCIN +
ERGOMETRINE
INJECTION 5 IU/mL +
500mcg
Obstetrics,
Gynaecology and
Urinary Tract
Disorders
G02AC Hospital Doctors Hospital Use
PACLITAXEL CONCENTRATE
FOR INTRAVENOUS
INFUSION
100mg Malignant Disease
and
Immunosuppression
L01CD01 Consultant Oncologists Hospital Use MP 157
PANCREATIN CAPSULES (CREON
10,000U)
Gastro-intestinal
System
A09AA02 Consultants
PANCREATIN CAPSULES (CREON
25,000U)
Gastro-intestinal
System
A09AA02 Consultants
PANCURONIUM
BROMIDE
INJECTION 4mg/2mL Anaesthesia M03AC01 Hospital Doctors Hospital Use
PAPAVERINE INJECTION 40mg/mL Obstetrics,
Gynaecology and
Urinary Tract
Disorders
G04BE02 Hospital Doctors as per
specified department
Theatre
PARACETAMOL CAPLETS/ TABLETS 500mg Central Nervous
System
N02BE01 Medical Practitioners
PARACETAMOL ORAL SUSPENSION 120mg/5mL Central Nervous
System
N02BE01 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PARACETAMOL SOLUTION FOR
INFUSION
10mg/mL IN
100mL
Central Nervous
System
N02BE01 Hospital Doctors Hospital Use
PARACETAMOL SUPPOSITORIES 125mg Central Nervous
System
N02BE01 Medical Practitioners
PARACETAMOL SUPPOSITORIES 250mg Central Nervous
System
N02BE01 Medical Practitioners
PARACETAMOL SUPPOSITORIES 500mg Central Nervous
System
N02BE01 Medical Practitioners
PARENTERAL FAT
EMULSION
EMULSION FOR
INTRAVENOUS
INFUSION
20% in 100mL Antidotes, Nutrition
and Blood
B05BA02 Hospital Doctors Hospital Use
PARENTERAL FAT
EMULSION LCT (stand-
by)
EMULSION FOR
INTRAVENOUS
INFUSION
20% in 500mL Antidotes, Nutrition
and Blood
B05BA02 Hospital Doctors To be
dispensed from
Hospitals only
(TPN patients
only)
PAROXETINE TABLETS 20mg Central Nervous
System
N06AB05 Consultant Oncologists,
Consultant Psychiatrists,
Consultant Palliative Care,
Consultant Geriatricians
PEGASPARGASE (stand-
by)
INJECTION 750 UNITS/mL Malignant Disease
and
Immunosuppression
L01XX24 Hospital Doctors as per
specified department
Paediatric
Department
PEG-INTERFERON ALFA-
2a
PRE-FILLED
SYRINGES
180mcg Malignant Disease
and
Immunosuppression
L03AB11 Consultant
Gastroenterologists,
Consultant
Haematologists,
Consultant Infectious
Diseases Physicians,
Consultant Oncologists
MP 102
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PEMETREXED POWDER FOR
CONCENTRATE
FOR SOLUTION FOR
INFUSION
500mg Malignant Disease
and
Immunosuppression
L01BA04 Consultant Oncologists Hospital Use MP 275
PENICILLAMINE (stand-
by)
TABLETS 250mg Musculoskeletal and
Joint Diseases
M01CC01 Consultants
PENTAMIDINE
ISETIONATE (stand-by)
POWDER FOR
SOLUTION FOR
INJECTION,
INFUSION AND
NEBULISATION
300mg Infections P01CX01 Hospital Doctors Hospital Use As per
antimicrobial
guidelines
PENTAZOCINE
HYDROCHLORIDE
TABLETS 25mg Central Nervous
System
N02AD01 Consultants
PENTOSTATIN
(DEOXYCOFORMYCIN)
INJECTION 10mg Malignant Disease
and
Immunosuppression
L01XX02 Consultant
Haematologists,
Consultant Oncologists
Hospital Use MP 237
PENTOXIFYLLINE
(OXPENTIFYLLINE)
TABLETS 400mg Cardiovascular
System
C04AD03 Consultant Cardiologists,
Consultant Cardiac
Surgeons, Consultant
Vascular Surgeons,
Consultant
Rheumatologists
PERINDOPRIL TABLETS 4mg Cardiovascular
System
C09AA04 Consultants
PERMETHRIN PREPARATION FOR
TREATMENT OF
HEAD LICE AND
NITS
1% w/w Skin P03AC04 Medical Practitioners
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PERMETHRIN TOPICAL
PREPARATION FOR
TREATMENT OF
SCABIES
5% w/w Skin P03AC04 Consultant Dermatologists,
Consultant Infectious
Diseases, Consultants (In
Patient use only), Public
Health Physicians,
Paediatric Infectious
Diseases Clinic Physicians
MP 245
PETHIDINE
HYDROCHLORIDE
INJECTION 50mg/mL Central Nervous
System
N02AB02 Hospital Doctors Hospital Use
PETHIDINE
HYDROCHLORIDE
INJECTION 100mg/2mL Central Nervous
System
N02AB02 Hospital Doctors Hospital Use
PETHIDINE
HYDROCHLORIDE
TABLETS 50mg Central Nervous
System
N02AB02 Hospital Doctors
PHENOBARBITAL
(PHENOBARBITONE)
INJECTION 30mg/mL Central Nervous
System
N03AA02 Consultant Paediatricians NPICU,
Paediatric
Emergency
Department
PHENOBARBITAL
(PHENOBARBITONE)
INJECTION 60mg/mL Central Nervous
System
N03AA02 Hospital Doctors Hospital Use
PHENOBARBITAL
(PHENOBARBITONE)
POWDER Central Nervous
System
N03AA02 Hospital Doctors
PHENOBARBITAL
(PHENOBARBITONE)
TABLETS 15mg or 30mg Central Nervous
System
N03AA02 Medical Practitioners
PHENOL OILY INJECTION 5% Gastro-intestinal
System
C05BB05 Hospital Doctors as per
specified department
Main Operating
Theatre
PHENOL IN WATER INJECTION 6% Gastro-intestinal
System
C05BB05 Hospital Doctors as per
specified department
Pain Clinic
PHENOLIC DERIVATIVE
(HYCOLINE )
SOLUTION Skin D08AE Infection Control Policy Hospital Use
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PHENOXYBENZAMINE
(stand-by)
CAPSULES 10mg Cardiovascular
System
C04AX02 Consultant Anaesthetists,
Consultants Endocrinology
and Diabetes, Consultant
Intensivists, Consultant
Oncologists
MP 238
PHENOXYMETHYLPENICI
LLIN (PENICILLIN V )
ORAL SOLUTION 125mg/5mL Infections J01CE02 Medical Practitioners
PHENOXYMETHYLPENICI
LLIN (PENICILLIN V )
TABLETS 250mg Infections J01CE02 Medical Practitioners
PHENTOLAMINE
MESYLATE (stand-by)
INJECTION 5mg/mL Antidotes,
Cardiovascular
System
C04AB01 Hospital Doctors as per
specified department
Accident and
Emergency
Department,
Catheterization
Laboratory,
Cardiac
Intensive Care
Unit, Main
Operating PHENYLEPHRINE
HYDROCHLORIDE
INJECTION 10mg/mL Cardiovascular
System
C01CA06 Hospital Doctors as per
specified department
Cardiothoracic
Surgery,
Cardiac
Intensive Care
Unit, Main
Operating
Theatre,
Orthopaedic
Theatre
PHENYLEPHRINE
HYDROCHLORIDE
SINGLE USE EYE
DROPS
2.5% Eye S01FB01,
S01GA05
Hospital Doctors as per
specified department
Ophthalmic
Department
PHENYLEPHRINE
HYDROCHLORIDE
SINGLE USE EYE
DROPS
10% Eye S01FB01,
S01GA05
Hospital Doctors as per
specified department
Ophthalmic
Department
PHENYTOIN SODIUM CAPSULES 50mg Central Nervous
System
N03AB02 Consultants
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PHENYTOIN SODIUM CAPSULES 100mg Central Nervous
System
N03AB02 Consultants
PHENYTOIN SODIUM ORAL SUSPENSION 30mg/5mL Central Nervous
System
N03AB02 Consultants
PHENYTOIN SODIUM SOLUTION FOR
INJECTION
250mg/5mL Central Nervous
System
N03AB02 Hospital Doctors Hospital Use
PHOSPHATE ENEMA Gastro-intestinal
System
A06AG Medical Practitioners
PHOSPHATE INFUSION Nutrition and Blood B05XA Hospital Doctors Hospital Use
PHOSPHATE
SUPPLEMENT
EFFERVESCENT
TABLETS
Nutrition and Blood A12CX Consultant Paediatricians,
Consultant Physicians
MP 165
PHYTOMENADIONE
(VITAMIN K1) (stand-by)
INJECTION 10mg/mL in
0.2mL
Antidotes, Nutrition
and Blood
B02BA01 Hospital Doctors Hospital Use/To
be dispensed
from Hospitals
only if for oral
use
PHYTOMENADIONE
(VITAMIN K1) (stand-by)
INJECTION 10mg/mL in 1mL Antidotes, Nutrition
and Blood
B02BA01 Hospital Doctors Hospital Use/To
be dispensed
from Hospitals
only if for oral
use
PILOCARPINE
HYDROCHLORIDE
EYE DROPS 1% Eye S01EB01 Medical Practitioners
PILOCARPINE
HYDROCHLORIDE
EYE DROPS 2% Eye S01EB01 Medical Practitioners
PILOCARPINE
HYDROCHLORIDE
EYE DROPS 4% Eye S01EB01 Medical Practitioners
PIMOZIDE TABLETS 4mg Central Nervous
System
N05AG02 Consultant Psychiatrists MP 163
PIPERACILLIN WITH
TAZOBACTAM
INJECTION 4.5g Infections J01CR05 Consultant (after
discussion with the Mater
Dei Hospital Antibiotic
Team)
Hospital Use MP 162
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PIPERACILLIN WITH
TAZOBACTAM
INJECTION 2.25g Infections J01CR05 Consultant (after
discussion with the Mater
Dei Hospital Antibiotic
Team)
Hospital Use MP 162
PNEUMOCOCCAL CONJUGATE
VACCINE
(ADSORBED)
Immunological
Products and
Vaccines
J07AL02 Consultant Paediatrician Hospital Use MP 227
PNEUMOCOCCAL UNCONJUGATED
VACCINE
(POLYVALENT)
Immunological
Products and
Vaccines
J07AL01 Consultants Hospital Use
PODOPHYLLOTOXIN CREAM 0.15% Skin D06BB04 Hospital Doctors as per
specified department, GU
Clinic Consultants
Dermatology
Department
POLIDOCANOL INJECTION 3% Cardiovascular
System
C05BB02 Hospital Doctors Hospital Use
POLYSTYRENE
SULFONATE (e.g.
CALCIUM RESONIUM®)
POWDER Gastro-intestinal
System
V03AE01 Consultants
PORACTANT ALFA
(NATURAL SURFACTANT)
SUSPENSION FOR
INTRATRACHEAL
ADMINISTRATION
Respiratory System R07AA Consultant Paediatricians Hospital Use
POTASSIUM CHLORIDE CONCENTRATE
FOR SOLUTION FOR
INFUSION
20% Nutrition and Blood B05XA01 Hospital Doctors Hospital Use
POTASSIUM CHLORIDE ORAL LIQUID 1mmol/mL
(7.5%)
Nutrition and Blood A12BA01 Medical Practitioners
POTASSIUM CITRATE ORAL SOLUTION 1.5g/5mL Obstetrics,
Gynaecology and
Urinary Tract
Disorders
A12BA02 Consultant Nephrologist,
Consultant Urologist,
Consultant Paediatricians
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
POTASSIUM
PERMANGANATE
AQUEOUS
SOLUTION
1:10000 Skin D08AX06 Hospital Doctors Hospital Use
POTASSIUM PHOSPHATE INFUSION IV EACH mL
CONTAINS
2mmol
PHOSPHATE,
1.5mmol
POTASSIUM
AND 1.5mmol
SODIUM
Nutrition and Blood B05XA06 Hospital Doctors Hospital Use
POTASSIUM
SUPPLEMENT
EFFERVESCENT
TABLETS
Nutrition and Blood A12BA Medical Practitioners
POVIDONE-IODINE ALCOHOLIC
SOLUTION
10% Skin D08AG02 Infection Control Policy Hospital Use
POVIDONE-IODINE DRY POWDER
SPRAY
2.50% Skin D08AG02 Hospital Doctors Hospital Use
POVIDONE-IODINE OINTMENT 10% Skin D08AG02 Hospital Doctors Burns Unit,
Renal Unit
POVIDONE-IODINE SOLUTION
AQUEOUS
10% Skin D08AG02 Infection Control Policy Hospital Use
POVIDONE-IODINE SURGICAL SCRUB 7.50% Skin D08AG02 Infection Control Policy Hospital Use
POVIDONE-IODINE SWAB STICKS Skin D08AG02 Hospital Doctors as per
specified department
Main Operating
Theatre
POVIDONE-IODINE VAGINAL CLEANSER 10% Obstetrics,
Gynaecology and
Urinary Tract
Disorders
G01AX11 Hospital Doctors as per
specified department
Gynaecology
Department
PRALIDOXIME
MESYLATE (stand-by)
POWDER FOR
SOLUTION FOR
INJECTION
1g Antidotes V03AB04 Hospital Doctors Hospital Use
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PRAZIQUANTEL TABLETS 500mg or 600mg Infections P02BA01 Consultant Infectious
Diseases Physicians
PRAZOSIN
HYDROCHLORIDE
TABLETS 1mg Cardiovascular
System
C02CA01 Consultant Physicians,
Consultant Cardiologists,
Consultant Cardiac
Surgeons
MP 166
PREDNISOLONE CAPSULES/
TABLETS
1mg Endocrine System H02AB06 Medical Practitioners
PREDNISOLONE ENTERIC-COATED
TABLETS
5mg Endocrine System H02AB06 Medical Practitioners
PREDNISOLONE RETENTION ENEMA 20mg/100mL Gastro-intestinal
System
A07EA01 Consultant
Gastroenterologists,
Consultant Surgeons,
Consultant Paediatricians,
Consultant Oncologists,
Consultant Palliative Care
PREDNISOLONE SOLUBLE TABLETS 5mg Endocrine System H02AB06 Consultant Paediatricians
PREDNISOLONE TABLETS 5mg Endocrine System H02AB06 Medical Practitioners, GU
Clinic Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PREGABALIN CAPSULES 150mg Central Nervous
System
N03AX16 Consultant Anaesthetists,
Consultant Geriatricians,
Consultant Neurologists,
Consultant Oncologists,
Consultant Palliative Care,
Consultant Psychiatrists,
Pain Clinic Specialists,
Consultant Haematologists
MP 160
PREGABALIN CAPSULES 300mg Central Nervous
System
N03AX16 Consultant Anaesthetists,
Consultant Geriatricians,
Consultant Neurologists,
Consultant Oncologists,
Consultant Palliative Care,
Consultant Psychiatrists,
Pain Clinic Specialists,
Consultant Haematologists
MP 160
PREGABALIN CAPSULES 75mg Central Nervous
System
N03AX16 Consultant Anaesthetists,
Consultant Geriatricians,
Consultant Neurologists,
Consultant Oncologists,
Consultant Palliative Care,
Consultant Psychiatrists,
Pain Clinic Specialists,
Consultant Haematologists
MP 160
PRILOCAINE
HYDROCHLORIDE
INJECTION 1% Anaesthesia N01BB04 Hospital Doctors Hospital Use
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PRILOCAINE
HYDROCHLORIDE +
FELYPRESSIN
INJECTION
CARTRIDGES
30mg + 0.03 IU Anaesthesia N01BB54 Hospital Doctors as per
specified department
Dental
Department
PRIMAQUINE TABLETS 7.5mg Infections P01BA03 Hospital Doctors Hospital Use
PRIMIDONE TABLETS 250mg Central Nervous
System
N03AA03 Medical Practitioners
PROCARBAZINE CAPSULES/
TABLETS
50mg Malignant Disease
and
Immunosuppression
L01XB01 Consultants
PROCHLORPERAZINE INJECTION 12.5mg/mL Central Nervous
System
N05AB04 Hospital Doctors Hospital Use
PROCHLORPERAZINE TABLETS 5mg Central Nervous
System
N05AB04 Medical Practitioners
PROCYCLIDINE INJECTION
IM & IV
10mg/2mL Central Nervous
System
N04AA04 Consultant Neurologists,
Consultant Psychiatrists,
Consultant Geriatricians
PROCYCLIDINE ORAL SYRUP 5mg/5mL Central Nervous
System
N04AA04 Consultant Geriatricians,
Consultant Neurologists,
Consultant Psychiatrists
MP 168
PROCYCLIDINE TABLETS 5mg Central Nervous
System
N04AA04 Consultant Geriatricians,
Consultant Neurologists,
Consultant Psychiatrists
PROGESTERONE INJECTION 50mg/mL Endocrine System G03DA04 Hospital Doctors Hospital Use
PROGUANIL
HYDROCHLORIDE +
ATOVAQUONE
TABLETS 100mg + 250mg Infections P01BB51 Medical Practitioners (as
per ‘Dispensing of Oral
Antimalarials to Out-
Patients’ [refer to page 10
on Out-Patients Formulary]
or against payment)
PROMETHAZINE
HYDROCHLORIDE
INJECTION 25mg/mL Respiratory System,
Central Nervous
System
R06AD02 Hospital Doctors Hospital Use
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PROMETHAZINE
HYDROCHLORIDE
ORAL SOLUTION 5mg/5mL Respiratory System,
Central Nervous
System
R06AD02 Medical Practitioners
PROMETHAZINE
HYDROCHLORIDE
TABLETS 10mg Respiratory System,
Central Nervous
System
R06AD02 Medical Practitioners
PROMETHAZINE
HYDROCHLORIDE
TABLETS 25mg Respiratory System,
Central Nervous
System
R06AD02 Medical Practitioners
PROPAFENONE TABLETS 150mg Cardiovascular
System
C01BC03 Consultant Physicians,
Consultant Cardiologists
MP 169
PROPOFOL INJECTION 10mg/mL IN
20mL
Anaesthesia N01AX10 Hospital Doctors as per
specified department
Hospital Use
PROPOFOL INJECTION 10mg/mL IN
50mL
Anaesthesia N01AX10 Hospital Doctors as per
specified department
Hospital Use
PROPRANOLOL
HYDROCHLORIDE
ORAL SOLUTION 5mg/5mL Cardiovascular
System
C07AA05 Consultant Paediatricians,
Consultant Psychiatrists
PROPRANOLOL
HYDROCHLORIDE
TABLETS 10mg Cardiovascular
System
C07AA05 Medical Practitioners
PROPRANOLOL
HYDROCHLORIDE
TABLETS 40mg Cardiovascular
System
C07AA05 Medical Practitioners
PROPYLTHIOURACIL CAPSULES/
TABLETS
50mg Endocrine System H03BA02 Medical Practitioners
PROSTAGLANDIN
ANALOGUES
(CURRENTLY
LATANOPROST)
EYE DROPS Eye S01EE Consultant
Ophthalmologists
PROTAMINE SULFATE
(stand-by)
INJECTION 50mg/5ml Antidotes,
Cardiovascular
System
V03AB14 Hospital Doctors Hospital Use
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PROTEIN (e.g. CASILAN®
or PROMOD®
or
PROTIFAR®
)
POWDER (HIGH) 80-90% Food Supplements V06B Hospital Doctors
PROTEIN (e.g.
FORCEVAL®
)
POWDER Food Supplements V06B Hospital Doctors
PROTON PUMP
INHIBITOR FOR
INFUSION (CURRENTLY
ESOMEPRAZOLE)
INFUSION 40mg Gastro-intestinal
System
A02BC Consultant
Gastroenterologist,
Consultant Surgeons,
Consultant Anaesthetist,
Consultant Geriatricians,
Consultant Palliative Care,
Consultants Emergency
Medicine, Consultant
Oncologist
Hospital Use MP 152
PYRAZINAMIDE TABLETS 500mg Infections J04AK01 Consultant Infectious
Diseases Physicians,
Paediatric Infectious
Diseases Clinic
Physicians, Consultant
Respiratory Physicians,
Chest Clinic Physicians
To be
dispensed from
Hospitals only
PYRIDOSTIGMINE
BROMIDE
TABLETS 60mg Musculoskeletal and
Joint Diseases
N07AA02 Hospital Doctors
PYRIDOXINE (VITAMIN
B 6 )
TABLETS 10mg or 20mg Nutrition and Blood A11HA02 Medical Practitioners TB patients to
collect item
from Hospitals
only
PYRIDOXINE (VITAMIN
B 6 )
TABLETS 50mg Antidotes, Nutrition
and Blood
A11HA02 Medical Practitioners TB patients to
collect item
from Hospitals
only
PYRIDOXINE (VITAMIN
B 6 ) (stand-by)
INJECTION 100mg/mL Nutrition and Blood A11HA02 Hospital Doctors as per
specified department
NPICU,
Accident and
Emergency
Department,
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Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
PYRIMETHAMINE (stand-
by)
TABLETS 25mg Infections P01BD01 Hospital Doctors To be
dispensed from
Hospitals only
QUETIAPINE CAPSULES/
TABLETS
100mg Central Nervous
System
N05AH04 Consultant Psychiatrists,
Consultant Geriatricians
QUETIAPINE CAPSULES/
TABLETS
200mg Central Nervous
System
N05AH04 Consultant Psychiatrists,
Consultant Geriatricians
QUETIAPINE CAPSULES/
TABLETS
25mg Central Nervous
System
N05AH04 Consultant Psychiatrists,
Consultant Geriatricians
QUININE
DIHYDROCHLORIDE
INJECTION 300mg Infections P01BC01 Hospital Doctors Hospital Use
QUININE SULFATE TABLETS 300mg Infections P01BC01 Consultants Hospital Use
RABIES VACCINE Immunological
Products and
Vaccines
J07BG01 Hospital Doctors as per
specified department
Floriana
Immunisation
Services
RANITIDINE ORAL SOLUTION 75mg/5mL Gastro-intestinal
System
A02BA02 Consultant
Gastroenterologists,
Consultant Geriatricians,
Consultant Oncologists,
Consultant Paediatric
Oncologist, Consultant
Paediatricians, Consultant
Palliative Care
RANITIDINE ORAL SOLUTION 75mg/5mL
(Extemp -
Alcohol free)
Gastro-intestinal
System
EXTEMP13 Consultant Paediatricians
RANITIDINE SOLUTION FOR
INJECTION
50mg Gastro-intestinal
System
A02BA02 Hospital Doctors Hospital Use
RANITIDINE TABLETS 150mg Gastro-intestinal
System
A02BA02 Medical Practitioners
RASAGILINE TABLETS 1mg Central Nervous
System
N04BD02 Consultant Neurologists,
Consultant Geriatricians
MP 268
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
RASBURICASE CONCENTRATE
FOR SOLUTION FOR
INFUSION
1.5mg Malignant Disease
and
Immunosuppression
V03AF07 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists
Hospital Use MP 278
RASBURICASE CONCENTRATE
FOR SOLUTION FOR
INFUSION
7.5mg Malignant Disease
and
Immunosuppression
V03AF07 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists
Hospital Use MP 278
RECOMBINANT HUMAN
ERYTHROPOIETIN
PRE-FILLED
SYRINGES
2,000 IU Nutrition and Blood B03XA01 Consultant
Gastroenterologists,
Consultant
Heamatologists,
Consultant Nephrologists,
Consultant Paediatricians
MP 65
RECOMBINANT HUMAN
ERYTHROPOIETIN
PRE-FILLED
SYRINGES
4,000 IU Nutrition and Blood B03XA01 Consultant
Gastroenterologists,
Consultant
Heamatologists,
Consultant Nephrologists,
Consultant Paediatricians
MP 65
RECOMBINANT HUMAN
ERYTHROPOIETIN
PRE-FILLED
SYRINGES
3,000 IU Nutrition and Blood B03XA01 Consultant
Gastroenterologists,
Consultant
Heamatologists,
Consultant Nephrologists,
Consultant Paediatricians
MP 65
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
REMIFENTANIL
HYDROCHLORIDE
INJECTION 1mg Anaesthesia N01AH06 Hospital Doctors Hospital Use
REPAGLINIDE TABLETS 0.5mg Endocrine System A10BX02 Consultants Endocrinology
and Diabetes
REPAGLINIDE TABLETS 2mg Endocrine System A10BX02 Consultants Endocrinology
and Diabetes
RIBAVIRIN CAPSULES/
TABLETS
200mg Infections J05AP01 Consultant
Gastroenterologist (HCV
Patient Management
Committee), Consultant
Infectious Disease
Physician (HCV Patient
Management Committee)
To be
dispensed from
Hospitals only
MP 171
RIFABUTIN CAPSULES 150mg Infections J04AB04 Consultant Infectious
Diseases Physicians,
Chest Clinic Physicians
To be
dispensed from
Hospitals only
MP 259
RIFAMPICIN CAPSULES 300mg Infections J04AB02 Consultants TB patients to
collect item
from Hospitals
only
MP 174
RIFAMPICIN ORAL SUSPENSION 100mg/5mL Infections J04AB02 Consultants TB patients to
collect item
from Hospitals
only
MP 174
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
RIFAMPICIN POWDER FOR
SOLUTION FOR
INJECTION
600mg/10mL Infections J04AB02 Consultants Hospital Use MP 174
RIFAMPICIN + ISONIAZID TABLETS 300mg + 150mg Infections J04AM02 Consultant Infectious
Diseases Physicians,
Paediatric Infectious
Diseases Clinic
Physicians, Consultant
Respiratory Physicians,
Chest Clinic Physicians
To be
dispensed from
Hospitals only
RIFAMPICIN + ISONIAZID TABLETS 150mg + 100mg Infections J04AM02 Consultant Infectious
Diseases Physicians,
Paediatric Infectious
Diseases Clinic
Physicians, Consultant
Respiratory Physicians,
Chest Clinic Physicians
To be
dispensed from
Hospitals only
RINGER'S SOLUTION
FOR INJECTION
(COMPOUND SODIUM
CHLORIDE)
INFUSION IV Sodium
147mmol/L,
Potassium
4mmol/L,
Calcium
2mmol/L,
Chloride
156mmol/L per
1000mL
Nutrition and Blood B05CX10 Hospital Doctors Hospital Use
RISPERIDONE DEPOT INJECTION 25mg Central Nervous
System
N05AX08 Consultant Psychiatrists To be collected
from Psychiatric
Out-Patients
and Mental
Health Clinics
Only
MP 291
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
RISPERIDONE DEPOT INJECTION 37.5mg Central Nervous
System
N05AX08 Consultant Psychiatrists To be collected
from Psychiatric
Out-Patients
and Mental
Health Clinics
Only
MP 291
RISPERIDONE DEPOT INJECTION 50mg Central Nervous
System
N05AX08 Consultant Psychiatrists To be collected
from Psychiatric
Out-Patients
and Mental
Health Clinics
Only
MP 291
RISPERIDONE ORAL SOLUTION 5mg/5mL Central Nervous
System
N05AX08 Consultant Psychiatrists,
Consultant Geriatricians
MP 175
RISPERIDONE TABLETS 1mg Central Nervous
System
N05AX08 Consultant Psychiatrists,
Consultant Geriatricians
RISPERIDONE TABLETS 2mg Central Nervous
System
N05AX08 Consultant Psychiatrists,
Consultant Geriatricians
RITONAVIR CAPSULES/
TABLETS
100mg Infections J05AE03 Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
MP 176
RITUXIMAB CONCENTRATE
FOR SOLUTION FOR
INFUSION
100mg Malignant Disease
and
Immunosuppression
L01XC02 Consultant Oncologists,
Consultant
Haematologists,
Consultant
Rheumatologists
Hospital Use/
Day Clinic
MP 217
RITUXIMAB CONCENTRATE
FOR SOLUTION FOR
INFUSION
500mg Malignant Disease
and
Immunosuppression
L01XC02 Consultant Oncologists,
Consultant
Haematologists,
Consultant
Rheumatologists
Hospital Use/
Day Clinic
MP 217
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
RIVAROXABAN TABLETS 10mg Cardiovascular
System
B01AF01 Consultant Orthopaedic
Surgeons, Resident
Specialist Orthopaedic
Department, Senior
Registrar Orthopaedic
Department
Hospital Use MP 290
ROCURONIUM BROMIDE SOLUTION FOR
INJECTION
10mg/mL Anaesthesia M03AC09 Consultant Anaesthetist Hospital Use MP 288
ROPINIROLE TABLETS 1mg Central Nervous
System
N04BC04 Consultant Geriatricians,
Consultant Neurologists
MP 215
ROPINIROLE TABLETS 250mcg Central Nervous
System
N04BC04 Consultant Geriatricians,
Consultant Neurologists
MP 215
ROPINIROLE TABLETS 5mg Central Nervous
System
N04BC04 Consultant Geriatricians,
Consultant Neurologists
MP 215
ROSUVASTATIN CAPSULES/
TABLETS
20mg Cardiovascular
System
C10AA07 Consultants MP 177
ROSUVASTATIN CAPSULES/
TABLETS
40mg Cardiovascular
System
C10AA07 Consultants MP 177
RUFINAMIDE TABLETS 200mg Central Nervous
System
N03AF03 Consultant Neurologists,
Consultant Paediatricians
MP 293
SALBUTAMOL AEROSOL INHALER 100mcg/DOSE Respiratory System R03AC02 Medical Practitioners
SALBUTAMOL ORAL SOLUTION 2mg/5mL Respiratory System R03CC02 Medical Practitioners
SALBUTAMOL RESPIRATOR
SOLUTION
5mg/mL Respiratory System R03AC02 Medical Practitioners
SALBUTAMOL SOLUTION FOR
INTRAVENOUS
INFUSION
5mg/5mL Respiratory System R03CC02 Hospital Doctors Hospital Use
SALBUTAMOL TABLETS 4mg Respiratory System R03CC02 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
SALICYLIC ACID +
BETAMETHASONE
CREAM 5% Skin EXTEMP3 Consultant Dermatologists To be
dispensed from
Hospitals only
SALICYLIC ACID +
BETAMETHASONE
CREAM 10% Skin EXTEMP4 Consultant Dermatologists To be
dispensed from
Hospitals only
SALICYLIC ACID +
BETAMETHASONE
OINTMENT 5% Skin EXTEMP5 Consultant Dermatologists To be
dispensed from
Hospitals only
SALICYLIC ACID +
BETAMETHASONE
OINTMENT 10% Skin EXTEMP6 Consultant Dermatologists To be
dispensed from
Hospitals only
SALICYLIC ACID +
CLOBETASOL
CREAM 5% Skin EXTEMP7 Consultant Dermatologists To be
dispensed from
Hospitals only
SALICYLIC ACID +
CLOBETASOL
CREAM 10% Skin EXTEMP8 Consultant Dermatologists To be
dispensed from
Hospitals only
SALICYLIC ACID +
CLOBETASOL
OINTMENT 5% Skin EXTEMP9 Consultant Dermatologists To be
dispensed from
Hospitals only
SALICYLIC ACID +
CLOBETASOL
OINTMENT 10% Skin EXTEMP10 Consultant Dermatologists To be
dispensed from
Hospitals only
SALICYLIC ACID +
HYDROCORTISONE
BUTYRATE
CREAM 5% Skin EXTEMP11 Consultant Dermatologists To be
dispensed from
Hospitals only
SALICYLIC ACID +
HYDROCORTISONE
BUTYRATE
CREAM 10% Skin EXTEMP12 Consultant Dermatologists To be
dispensed from
Hospitals only
SALICYLIC ACID IN
BETAMETHASONE
LOTION (DIPROSALIC®
)*
SCALP
APPLICATION
2% + 0.05% Skin D07XC01 Consultant Dermatologists
Page 111 of 131
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
SAQUINAVIR CAPSULES/
TABLETS
500mg Infections J05AE01 Consultant Infectious
Diseases Physicians
To be
dispensed from
Hospitals only
MP 178
SELEGILINE TABLETS 5mg Central Nervous
System
N04BD01 Medical Practitioners
SENNA TABLETS 7.5mg Gastro-intestinal
System
A06AB06 Medical Practitioners
SEVOFLURANE INHALATION
ANAESTHETIC
Anaesthesia N01AB08 Hospital Doctors as per
specified department
Hospital Use
SILICONE OIL OILY INJECTION 100% V/V IN
10mL
Ear, Nose and
Oropharynx
S01XA Hospital Doctors as per
specified department
Hospital Use
SILVER NITRATE
(CAUSTIC APPLICATOR)
STICKS 95% Ear, Nose and
Oropharynx
D08AL01 Hospital Doctors Hospital Use
SILVER SULPHADIAZINE CREAM 1% Skin D06BA01 Hospital Doctors Hospital Use
SIMETICONE ORAL SUSPENSION 40mg/mL Gastro-intestinal
System
N/A Hospital Doctors as per
specified department
Endoscopy
Department
SIMVASTATIN CAPSULES/
TABLETS
10mg Cardiovascular
System
C10AA01 Medical Practitioners
SIMVASTATIN CAPSULES/
TABLETS
20mg Cardiovascular
System
C10AA01 Medical Practitioners
SIMVASTATIN CAPSULES/
TABLETS
40mg Cardiovascular
System
C10AA01 Medical Practitioners
SIROLIMUS TABLETS 1mg Malignant Disease
and
Immunosuppression
L04AA10 Consultant Nephrologist MP 231
SODA LIME CRYSTALS Miscellaneous D08AX Hospital Doctors Hospital Use
SODIUM BICARBONATE CAPSULES/
TABLETS
500mg or 600mg Nutrition and Blood A12CA Hospital Doctors
SODIUM BICARBONATE PRE-FILLED
SYRINGES
8.4% IN 10mL Nutrition and Blood B05XA02 Hospital Doctors Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
SODIUM BICARBONATE PRE-FILLED
SYRINGES
8.4% IN 50mL Nutrition and Blood B05XA02 Hospital Doctors Hospital Use/To
be dispensed
from Hospitals
only if for oral
use
SODIUM BICARBONATE SOLUTION FOR
INJECTION
8.4% IN 10mL Nutrition and Blood B05XA02 Hospital Doctors Hospital Use
SODIUM BICARBONATE
(stand-by)
SOLUTION FOR
INFUSION
8.4% IN 200mL Antidotes, Nutrition
and Blood
B05XA02 Hospital Doctors Hospital Use
SODIUM CALCIUM
EDETATE (stand-by)
INJECTION 1g Antidotes V03AB03 Hospital Doctors Hospital Use
SODIUM CHLORIDE SOLUTION FOR
INJECTION
30% Nutrition and Blood B05XA03 HMO as per specified
department
Hospital Use
SODIUM CHLORIDE INJECTION IV 0.9% IN 3000mL
BOTTLE
Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE SOLUTION FOR
INFUSION
0.45% IN 500mL Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE SOLUTION FOR
INFUSION
0.9% IN
1,000mL
Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE SOLUTION FOR
INFUSION
0.9% IN 100mL Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE SOLUTION FOR
INFUSION
0.9% IN 250mL Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE SOLUTION FOR
INFUSION
0.9% IN 500mL Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE SOLUTION FOR
INFUSION
0.9% IN 50mL Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE SOLUTION FOR
INJECTION
0.9% IN 10mL Nutrition and Blood B05XA03 Hospital Doctors
SODIUM CHLORIDE SOLUTION FOR
INJECTION
0.9% IN 20mL Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE SOLUTION FOR
INJECTION
0.9% IN 2mL Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
SODIUM CHLORIDE SOLUTION FOR
IRRIGATION
0.9% IN 100 -
500mL
Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE SOLUTION FOR
IRRIGATION
0.9% IN 3L Nutrition and Blood B05CB01 Hospital Doctors Hospital Use
SODIUM CHLORIDE
(oncology only)
SOLUTION FOR
INFUSION
0.9% IN
1,000mL PVC-
FREE BAGS
Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE
(oncology only)
SOLUTION FOR
INFUSION
0.9% IN 500mL
PVC-FREE
BAGS
Nutrition and Blood B05XA03 Hospital Doctors Hospital Use
SODIUM CHLORIDE 0.9%
W/V BY 5ML FOR
TECHNETIUM
GENERATOR
Radiopharmaceutic
als
N/A Consultant Radiologists
SODIUM CITRATE BLADDER
IRRIGATION
3.8% IN 20mL Obstetrics,
Gynaecology and
Urinary Tract
Disorders
B05CB02 Hospital Doctors Hospital Use
SODIUM CITRATE ORAL SOLUTION 0.3M Miscellaneous B05CB02 Hospital Doctors Hospital Use
SODIUM CLODRONATE CAPSULES/
TABLETS
400mg Malignant Disease
and
Immunosuppression
M05BA02 Consultant Oncologists,
Consultant Haematologists
MP 41
SODIUM CROMOGLICATE EYE DROPS 2% Eye S01GX01 Medical Practitioners
SODIUM
DICHLOROISOCYANURA
TE (DISINFECTANT
GRANULES )
GRANULES Miscellaneous D08AX Hospital Doctors Hospital Use
SODIUM
DICHLOROISOCYANURA
TE (STERILIZATION
TABLETS )
TABLETS Miscellaneous D08AX Hospital Doctors Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
SODIUM FEREDETATE
(ORAL IRON )
ORAL SYRUP 190mg SODIUM
FEREDATE IN
5mL
EQUIVALENT
TO 27.5mg
Nutrition and Blood B03AB03 Medical Practitioners
SODIUM HYALURONATE INJECTION 10mg/mL Miscellaneous M09AX01 Hospital Doctors as per
specified department
Operating
Theatre
SODIUM IODIDE I-131
CAPSULES
CAPSULES Radiopharmaceutic
als
V09FX03,
V10XA01
Consultant Radiologists
SODIUM NITRITE (stand-
by)
INJECTION 300mg (3% W/V) Antidotes V03AB08 Hospital Doctors Hospital Use
SODIUM NITROPRUSSIDE SOLUTION FOR
INJECTION/
POWDER FOR
SOLUTION FOR
INJECTION
50mg Cardiovascular
System
C02DD01 Hospital Doctors Hospital Use
SODIUM
STIBOGLUCONATE
INJECTION 10g Infections P01CB02 Hospital Doctors Hospital Use
SODIUM TETRADECYL
SULFATE
INJECTION 1% in 2mL Cardiovascular
System
C05BB04 Consultant Vascular
Surgeon
Hospital Use
SODIUM TETRADECYL
SULFATE
INJECTION 3% in 2mL Cardiovascular
System
C05BB04 Consultant Vascular
Surgeon
Hospital Use
SODIUM THIOSULFATE
(stand-by)
SOLUTION FOR
INJECTION
25% w/v or 50%
w/v
Antidotes,
Cardiovascular
System
V03AB06 Hospital Doctors Hospital Use
SODIUM VALPROATE INJECTION 400mg Central Nervous
System
N03AG01 Consultants Hospital Use
SODIUM VALPROATE ORAL SOLUTION 200mg/5mL Central Nervous
System
N03AG01 Consultant Paediatricians,
Consultant Neurologists,
Consultant Geriatricians
SODIUM VALPROATE PROLONGED
RELEASE TABLETS
200mg Central Nervous
System
N03AG01 Consultants
SODIUM VALPROATE PROLONGED
RELEASE TABLETS
500mg Central Nervous
System
N03AG01 Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
SOMATROPIN
(RECOMBINANT HUMAN
GROWTH HORMONE)
INJECTION Endocrine System H01AC01 Consultant Paediatricians,
Consultants Endocrinology
and Diabetes
MP 88
SOTALOL TABLETS 80mg Cardiovascular
System
C07AA07 Consultants
SPECTINOMYCIN POWDER FOR
SOLUTION FOR
INJECTION
2g Infections J01XX04 Hospital Doctors, GU Clinic
Consultants
Hospital Use
SPIRONOLACTONE CAPSULES/
TABLETS
100mg Cardiovascular
System
C03DA01 Consultants, Consultants
Endocrinology
(Transgender MDT)
SPIRONOLACTONE TABLETS 25mg Cardiovascular
System
C03DA01 Medical Practitioners,
Consultants Endocrinology
(Transgender MDT)
STOMA - ADHESIVE
REMOVER
STOMA
STOMA - DEODORISING
AGENT
STOMA
STOMA - FLANGES
WAFER
STOMA
STOMA - GAUZE (NON
STERILE)
STOMA
STOMA - POUCHES
CLOSED
STOMA
STOMA AND RELATED
CONSUMABLES
STOMA Consultants
STREPTOMYCIN
SULFATE
POWDER FOR
SOLUTION FOR
INJECTION
1g Infections J01GA01 Consultants Hospital Use
SUCRALFATE ORAL SUSPENSION 1g/5mL Gastro-intestinal
System
A02BX02 Consultants
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
SUFENTANIL INJECTION 5mcg/mL Central Nervous
System
N01AH03 Hospital Doctors Hospital Use
SUGAMMADEX (stand-by) SOLUTION FOR
INJECTION
100mg/mL Anaesthesia V03AB35 Consultant Anaesthetists,
Resident Specialists
Anaesthesia Department
Hospital Use MP 179
SULFADIAZINE TABLETS 500mg Infections J01EC02 Hospital Doctors
SULFASALAZINE ORAL SUSPENSION 250mg/5mL Gastro-intestinal
System
A07EC01 Consultant
Gastroenterologists,
Consultant Paediatricians,
Consultant Surgeons
MP 186
SULFASALAZINE SUPPOSITORIES 500mg Gastro-intestinal
System
A07EC01 Consultant
Gastroenterologists
MP 185
SULFASALAZINE TABLETS 500mg Gastro-intestinal
System
A07EC01 Consultant
Gastroenterologists,
Consultant Paediatricians,
Consultant Surgeons,
Consultant
Rheumatologists
SULPHUR
HEXAFLOURIDE
INJECTION 8 microlitres/mL Contrast Media V08DA05 Consultant Cardiologists,
Consultant Radiologists.
Hospital Use MP 184
SULPIRIDE CAPSULES/
TABLETS
50mg Central Nervous
System
N05AL01 Consultant Psychiatrists
SULPIRIDE ORAL SOLUTION 200mg/5mL Central Nervous
System
N05AL01 Consultant Psychiatrists
SULPIRIDE TABLETS 200mg Central Nervous
System
N05AL01 Consultant Psychiatrists
SUNITINIB CAPSULES 12.5mg Malignant Disease
and
Immunosuppression
L01XE04 Consultant Oncologists To be
dispensed from
Hospitals only
MP 264
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
SUNITINIB CAPSULES 25mg Malignant Disease
and
Immunosuppression
L01XE04 Consultant Oncologists To be
dispensed from
Hospitals only
MP 264
SUNITINIB CAPSULES/
TABLETS
50mg Malignant Disease
and
Immunosuppression
L01XE04 Consultant Oncologists To be
dispensed from
Hospitals only
MP 264
SUNSCREEN SPF50+ LOTION/ MILK Skin D02BA Consultant Dermatologists,
Consultant
Rheumatologists
MP 180
SUXAMETHONIUM
CHLORIDE
INJECTION 100mg/2mL Anaesthesia M03AB01 Hospital Doctors Hospital Use
TACROLIMUS CAPSULES 0.5mg Malignant Disease
and
Immunosuppression
L04AD02 Consultant
Gastroenterologists,
Consultant Paediatricians,
Consultant Nephrologists
MP 210
TACROLIMUS CAPSULES 1mg Malignant Disease
and
Immunosuppression
L04AD02 Consultant
Gastroenterologists,
Consultant Paediatricians,
Consultant Nephrologists
MP 210
TACROLIMUS CAPSULES 5mg Malignant Disease
and
Immunosuppression
L04AD02 Consultant
Gastroenterologists,
Consultant Paediatricians,
Consultant Nephrologists
MP 210
TACROLIMUS CONCENTRATE
FOR INTRAVENOUS
INFUSION
5mg/mL Malignant Disease
and
Immunosuppression
L04AD02 Consultant Nephrologists Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
TAMOXIFEN TABLETS 20mg Malignant Disease
and
Immunosuppression
L02BA01 Medical Practitioners
TECHNETIUM (Tc-99m)
MACROAGGREGATED
ALBUMIN (MAA)
INJECTION Radiopharmaceutic
als
V09GA04 Consultant Radiologists
TECHNETIUM (Tc-99m)
PHYTATE
INJECTION Radiopharmaceutic
als
V09DB07 Consultant Radiologists
TECHNETIUM (Tc-99m)
RHENIUM SULPHIDE
COLLOID
INJECTION Radiopharmaceutic
als
V09DB06 Consultant Radiologists
TECHNETIUM (Tc-99m)
SESTAMIBI
INJECTION Radiopharmaceutic
als
V09GA01 Consultant Radiologists
TECHNETIUM (Tc-99m)
STANNOUS AGENT
INJECTION Radiopharmaceutic
als
V09GA06 Consultant Radiologists
TECHNETIUM-99m
GENERATOR
Radiopharmaceutic
als
N/A Consultant Radiologists
TEICOPLANIN INJECTION 200mg Infections J01XA02 Consultants Hospital Use MP 280
TEMAZEPAM ORAL SOLUTION 10mg/5mL Central Nervous
System
N05CD07 HMO as per specified
department
Paediatric
Department,
Surgical Wards,
Theatre
TEMOZOLOMIDE CAPSULES/
TABLETS
100mg Malignant Disease
and
Immunosuppression
L01AX03 Consultant Oncologist,
Consultant Paediatric
Oncologist
To be
dispensed from
Hospitals only
TEMOZOLOMIDE CAPSULES/
TABLETS
140mg Malignant Disease
and
Immunosuppression
L01AX03 Consultant Oncologist,
Consultant Paediatric
Oncologist
To be
dispensed from
Hospitals only
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
TEMOZOLOMIDE CAPSULES/
TABLETS
20mg Malignant Disease
and
Immunosuppression
L01AX03 Consultant Oncologist,
Consultant Paediatric
Oncologist
To be
dispensed from
Hospitals only
TEMOZOLOMIDE CAPSULES/
TABLETS
5mg Malignant Disease
and
Immunosuppression
L01AX03 Consultant Oncologist,
Consultant Paediatric
Oncologist
To be
dispensed from
Hospitals only
TENOFOVIR TABLETS 245mg Infections J05AF07 Consultant Infectious
Diseases Physicians,
Consultant
Gastroenterologists
MP 187
TERBUTALINE DRY POWDER
INHALER
500mcg/DOSE Respiratory System R03AC03 Consultant Respiratory
Physicians, Consultant
Paediatricians, Specialist
Respiratory Medicine
Consultants
MP 206
TERIFLUNOMIDE TABLETS 14mg Central Nervous
System
L04AA31 Consultant Neurologists MP 195
TERIPARATIDE PRE-FILLED PENS 20mcg/80mcL Endocrine System H05AA02 Consultant
Rheumatologists,
Consultant
Endocrinologists
MP 190
TERLIPRESSIN ACETATE INJECTION 1mg Endocrine Sytem H01BA04 Hospital Doctors Hospital Use
TESTOSTERONE OILY INJECTION 250mg Endocrine System G03BA03 Consultant Paediatrician,
Consultant Oncologist,
Consultant
Endocrinologist,
Consultants Endocrinology
(Transgender MDT)
MP 188
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
TESTOSTERONE
UNDECANOATE
INJECTION 1,000mg/4mL Endocrine System G03BA03 Consultants Endocrinology
and Diabetes, Consultants
Endocrinology
(Transgender MDT)
MP 279
TETANUS IMMUNOGLOBULIN 250 IU Immunological
Products and
Vaccines
J06BB02 Hospital Doctors Hospital Use
TETANUS OR
DIPHTHERIA
(ADSORBED) + TETANUS
VACCINE ADULT Immunological
Products and
Vaccines
J07AM51 Hospital Doctors as per
specified department
Hospital Use,
Floriana
Immunisation
Services
TETRABENAZINE TABLETS 25mg Central Nervous
System
N07XX06 Consultants
TETRACOSACTIDE
(TETRACOSACTRIN)
INJECTION 0.25mg Endocrine System H01AA02 Hospital Doctors Hospital Use
TETRACYCLINE CAPSULES/
TABLETS
250mg Infections J01AA07 Medical Practitioners
THALIDOMIDE CAPSULES/
TABLETS
50mg Skin L04AX02 Consultant
Rheumatologists,
Consultant Dermatologists,
Consultant
Haematologists,
Consultant Infectious
Disease Physicians,
Consultant Oncologists
To be
dispensed from
Hospitals only
MP 189
THEOPHYLLINE TABLETS 250mg Respiratory System R03DA04 Consultant Respiratory
Physicians, Specialist
Respiratory Medicine
Consultants
THIAMINE (VITAMIN B 1 ) TABLETS 50mg Nutrition and Blood A11DA01 Medical Practitioners
THIOPENTAL SODIUM
(THIOPENTONE SODIUM)
POWDER FOR
SOLUTION FOR
INJECTION
500mg Central Nervous
System,
Anaesthesia
N01AF03,
N05CA19
Hospital Doctors Hospital Use
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
TIGECYCLINE POWDER FOR
SOLUTION FOR
INTRAVENOUS
INFUSION
50mg Infections J01AA12 Consultant (after
discussion with Mater Dei
Hospital Antibiotic Team
member)
Hospital Use MP 260
TIMOLOL MALEATE EYE DROPS 0.25% Eye S01ED01 Medical Practitioners
TIMOLOL MALEATE EYE DROPS 0.5% Eye S01ED01 Medical Practitioners
TIOGUANINE TABLETS 40mg Malignant Disease
and
Immunosuppression
L01BB03 Consultant Oncologists,
Consultant
Haematologists,
Consultant Paediatricians
TIROFIBAN CONCENTRATE
FOR SOLUTION FOR
INFUSION
250mcg/mL Cardiovascular
System
B01AC17 Consultant Cardiologist MP 266
TOBRAMYCIN EYE DROPS 0.3% Eye S01AA12 Consultants Ophthalmic
Department
TOBRAMYCIN INJECTION 40mg/mL Infections J01GB01 Consultants Hospital Use As per
antimicrobial
guidelines
TOPIRAMATE TABLETS 100mg Central Nervous
System
N03AX11 Consultant Neurologists,
Consultant Paediatricians
MP 191
TOPIRAMATE TABLETS 200mg Central Nervous
System
N03AX11 Consultant Neurologists,
Consultant Paediatricians
MP 191
TOPIRAMATE TABLETS 25mg Central Nervous
System
N03AX11 Consultant Neurologists,
Consultant Paediatricians
MP 191
TOPIRAMATE TABLETS 50mg Central Nervous
System
N03AX11 Consultant Neurologists,
Consultant Paediatricians
MP 191
TOTAL PARENTERAL
NUTRITION (ADULT)
INTRAVENOUS
NUTRITION
Nutrition and Blood B05BA Hospital Doctors To be
dispensed from
Hospitals only
(TPN patients
only)
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
TRABECTEDIN POWDER FOR
CONCENTRATE
FOR SOLUTION FOR
INFUSION
0.25mg Malignant Disease
and
Immunosuppression
L01CX01 Consultant Oncologist Hospital Use MP 284
TRABECTEDIN POWDER FOR
CONCENTRATE
FOR SOLUTION FOR
INFUSION
1mg Malignant Disease
and
Immunosuppression
L01CX01 Consultant Oncologist Hospital Use MP 284
TRACE ELEMENTS CONCENTRATE
FOR INFUSION
PAEDIATRIC Nutrition and Blood B05XA31 Hospital Doctors as per
specified department
NPICU
TRACE ELEMENTS +
ELECTROLYTES
INFUSION ADULTS Nutrition and Blood B05XA31 Hospital Doctors as per
specified department
To be
dispensed from
Hospitals only
(TPN patients
only)
TRAMADOL CAPSULES 50mg Central Nervous
System
N02AX02 Consultant Physicians,
Consultant Surgeons,
Consultant Anaesthetists,
Consultant Oncologists,
Consultant Palliative Care,
Pain Clinic Specialists,
Consultant Neurologists
MP 192
TRAMADOL INJECTION 100mg Central Nervous
System
N02AX02 Consultant Physicians,
Consultant Surgeons,
Consultant Anaesthetists,
Consultant Oncologists,
Consultant Palliative Care
Hospital Use MP 193
TRAMETINIB TABLETS 2mg Malignant Disease
and
Immunosuppression
L01XE25 Consultant Oncologists MP 304
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
TRANEXAMIC ACID INJECTION 500mg/5mL Cardiovascular
System
B02AA02 Hospital Doctors Hospital Use
TRANEXAMIC ACID TABLETS 500mg Cardiovascular
System
B02AA02 Consultants
TRASTUZUMAB INFUSION 150mg Malignant Disease
and
Immunosuppression
L01XC03 Consultant Oncologists Hospital Use/
Day Clinic
MP 244
TRAVOPROST
(BENZALKONIUM FREE)
EYE DROPS 40mcg/mL Eye S01EE04 Consultant
Ophthalmologists
MP 194
TRETINOIN CAPSULES/
TABLETS
10mg Malignant Disease
and
Immunosuppression
L01XX14 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists
TRIAMCINOLONE INJECTION 40mg/mL Endocrine System H02AB08 Consultant Dermatologists,
Consultant
Rheumatologists,
Consultant Ophthalmic
Surgeons, Consultant
Plastic Surgeons,
Consultant Radiologists
Hospital Use MP 249
TRICLOSAN SKIN CLEANSER 2% Skin D08AE04 Infection Control Policy Hospital Use
TRIFLUOPERAZINE TABLETS 5mg Central Nervous
System
N05AB06 Medical Practitioners
TRIHEXYPHENIDYL
HYDROCHLORIDE
(BENZHEXOL
HYDROCHLORIDE)
TABLETS 2mg Central Nervous
System
N04AA01 Medical Practitioners
TRIMETAZIDINE
DIHYDROCHLORIDE
TABLETS 20mg Cardiovascular
System
C01EB15 Consultant Physicians,
Consultant Cardiologists,
Consultant Cardiac
Surgeons
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
TRIMETHOPRIM TABLETS 100mg Infections J01EA01 Medical Practitioners
TROPICAMIDE SINGLE USE EYE
DROPS
0.5% Eye S01FA06 Consultant
Ophthalmologists
TROPICAMIDE SINGLE USE EYE
DROPS
1% Eye S01FA06 Hospital Doctors Diabetes
Retinopathy
Screening (for
inpatient
testing),
Ophthalmic
Department
TUBERCULIN MANTOUX VACCINE Immunological
Products and
Vaccines
V04CF01 Hospital Doctors Hospital Use
TYPHOID VACCINE Immunological
Products and
Vaccines
J07AP Hospital Doctors as per
specified department
Floriana
Immunisation
Services
UNIVERSITY OF
WISCONSIN (stand-by)
SOLUTION Nutrition and Blood B05 Hospital Doctors Hospital Use
UREA + LACTIC ACID CREAM 10% + 5% Skin D02AE51 Consultant Dermatologists
UROKINASE POWDER FOR
SOLUTION FOR
INJECTION AND
INFUSION
10,000 IU Cardiovascular
System
B01AD04 Hospital Doctors as per
specified department
Hospital Use
URSODEOXYCHOLIC
ACID
CAPSULES 250mg Gastro-intestinal
System
A05AA02 Consultant
Gastroenterologists,
Consultant Oncologists,
Consultant Paediatricians
URSODEOXYCHOLIC
ACID
TABLETS 150mg Gastro-intestinal
System
A05AA02 Consultant
Gastroenterologists,
Consultant Oncologists,
Consultant Paediatricians
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
VALGANCICLOVIR TABLETS 450mg Infections J05AB14 Consultant Infectious
Diseases Physicians,
Consultant Nephrologists,
Consultant Cardiac
Surgeons, Consultant
Gastroenterologists
To be
dispensed from
Hospitals only
MP 247
VANCOMYCIN CAPSULES 125mg Infections A07AA09 Consultants Hospital Use/
Hospital
Initiation as per
Protocol
MP 281
VANCOMYCIN POWDER FOR
SOLUTION FOR
INJECTION
500mg Infections J01XA01 Consultants Hospital Use/
Hospital
Initiation as per
Protocol
MP 282
VARICELLA-ZOSTER VACCINE SC 1,000 PFU Immunological
Products and
Vaccines
J07BK01 Hospital Doctors as per
specified department
Floriana
Immunisation
Services
VARICELLA-ZOSTER
(stand by)
IMMUNOGLOBULIN Immunological
Products and
Vaccines
J06BB03 Consultants Hospital Use
VECURONIUM BROMIDE INJECTION 10mg Anaesthesia M03AC03 Hospital Doctors as per
specified department
Theatre,
Intensive Care
Unit
VENLAFAXINE
HYDROCHLORIDE
MODIFIED RELEASE
CAPSULES/
TABLETS
75mg Central Nervous
System
N06AX16 Consultant Psychiatrists,
Consultant Geriatricians
VERAPAMIL INJECTION 5mg/2mL Cardiac System C08DA01 Hospital Doctors Hospital Use
VERAPAMIL MODIFIED RELEASE
TABLETS
240mg Cardiac System C08DA01 Consultant Physicians,
Consultant Cardiologists,
Consultant Cardiac
Surgeons
MP 196
VERAPAMIL TABLETS 40mg Cardiac System C08DA01 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
VIGABATRIN SACHETS 500mg Central Nervous
System
N03AG04 Consultant Paediatricians,
Consultant Neurologists
MP 198
VIGABATRIN TABLETS 500mg Central Nervous
System
N03AG04 Consultant Paediatricians,
Consultant Neurologists
MP 197
VINBLASTINE SULFATE SOLUTION FOR
INJECTION
10mg/10mL Malignant Disease
and
Immunosuppression
L01CA01 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists
Hospital Use/
Day Clinic
VINCRISTINE SULFATE SOLUTION FOR
INJECTION
2mg/2mL Malignant Disease
and
Immunosuppression
L01CA02 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists
Hospital Use/
Day Clinic
VINORELBINE SOLUTION FOR
INJECTION
10mg/mL IN
5mL
Malignant Disease
and
Immunosuppression
L01CA04 Consultant
Haematologists,
Consultant Oncologists,
Consultant Paediatric
Oncologists
Hospital Use
VITAMIN (FAT SOLUBLE)
FOR PARENTERAL
NUTRITION - ADULT
EMULSION FOR
INFUSION
Nutrition and Blood B05XC Hospital Doctors Hospital Use
VITAMIN (FAT SOLUBLE)
FOR PARENTERAL
NUTRITION - INFANT
EMULSION FOR
INFUSION
Nutrition and Blood B05XC Hospital Doctors Hospital Use
VITAMIN A (RETINOL) CAPSULES/
TABLETS
25,000 IU OR
50,000 IU
Nutrition and Blood A11CA01 Hospital Doctors
VITAMIN A + D CAPSULES 4,000 IU + 400
IU
Nutrition and Blood A11CB Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
VITAMIN B + C
(PABRINEX )
INJECTION IV High potency Nutrition and Blood A11EB Hospital Doctors Hospital Use
VITAMIN B COMPLEX
(NICOTINAMIDE +
RIBOFLAVIN + THIAMINE)
TABLETS 15mg + 1mg +
1mg
Nutrition and Blood A11EA Medical Practitioners Availability
temporarily
suspended.
VITAMIN B COMPOUND
STRONG (NICOTINAMIDE
+ PYRIDOXINE +
RIBOFLAVIN + THIAMINE)
TABLETS 20mg + 2mg +
2mg + 5mg
Nutrition and Blood A11EA Medical Practitioners Preparation
temporarily
available
instead of
Vitamin B
Complex
(Nicotinamide
15mg,
Riboflavin
1mg,
Thiamine
1mg)
VITAMIN E (ALPHA
TOCOPHERYL)
CAPSULES 670mg (1,000
IU)
Nutrition and Blood A11HA03 Consultant Paediatricians,
Consultant
Gastroenterologists,
Consultant Respiratory
Physicians, Consultants
Endocrinology and
Diabetes
MP 200
VITAMIN E (ALPHA
TOCOPHERYL)
ORAL SUSPENSION 500mg/5mL Nutrition and Blood A11HA03 Consultant Paediatricians,
Consultant
Gastroenterologists,
Consultant Respiratory
Physicians, Consultants
Endocrinology and
Diabetes
MP 199
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
VITAMIN E (dl-ALPHA
TOCOPHERYL ACETATE
or d-ALPHA
TOCOPHEROL)
CAPSULES/
TABLETS
100mg-200mg
(dl-Alpha
Tocopheryl
Acetate) OR
67mg-135mg (d-
Alpha
Tocopherol)
Nutrition and Blood A11HA03 Consultant Paediatricians,
Consultant
Gastroenterologists,
Consultant Respiratory
Physicians, Consultants
Endocrinology and
Diabetes
MP 200
WARFARIN TABLETS 1mg Cardiovascular
System
B01AA03 Medical Practitioners
WARFARIN TABLETS 3mg Cardiovascular
System
B01AA03 Medical Practitioners
WARFARIN TABLETS 5mg Cardiovascular
System
B01AA03 Medical Practitioners
WATER FOR INJECTION SOLUTION FOR
INJECTION
100mL Nutrition and Blood B05B Hospital Doctors Hospital Use
WATER FOR INJECTION SOLUTION FOR
INJECTION
10mL Nutrition and Blood B05B Hospital Doctors
WATER FOR INJECTION SOLUTION FOR
INJECTION
5mL Nutrition and Blood B05B Hospital Doctors
WATER STERILE
(DILUENT)
INJECTION Nutrition and Blood B05B Hospital Doctors Hospital Use
WHITE SOFT PARAFFIN OINTMENT Skin D02AC Hospital Doctors
WOUND DRESSING
EMULSION (CURRENTLY
TROLAMINE [BIAFINE®
])
EMULSION Skin Consultant Dermatologists,
Consultant Oncologists,
Consultant Surgeons
MP 201
XYLOMETAZOLINE
HYDROCHLORIDE
NASAL DROPS 0.1% Ear, Nose and
Oropharynx
R01AA07 Medical Practitioners
XYLOMETAZOLINE
HYDROCHLORIDE
(PAEDIATRIC)
NASAL DROPS 0.05% Ear, Nose and
Oropharynx
R01AA07 Medical Practitioners
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
YELLOW FEVER VACCINE Immunological
Products and
Vaccines
J07BL01 Hospital Doctors as per
specified department
Floriana
Immunisation
Services
ZIDOVUDINE
(AZIDOTHYMIDINE )
CAPSULES/
TABLETS
100mg Infections J05AF01 Consultant Infectious
Diseases Physicians,
Consultants Hospital
Infection Control
To be
dispensed from
Hospitals only
MP 203
ZIDOVUDINE
(AZIDOTHYMIDINE )
(stand-by)
INJECTION 10mg/mL Infections J05AF01 Consultant Infectious
Diseases Physicians,
Consultant Paediatrician,
Paediatric Infectious
Diseases Clinic Physician
Hospital Use MP 214
ZIDOVUDINE
(AZIDOTHYMIDINE )
(stand-by)
ORAL SOLUTION 50mg/5mL Infections J05AF01 Consultant Infectious
Diseases Physicians,
Consultant Paediatrician,
Paediatric Infectious
Diseases Clinic Physicians
To be
dispensed from
Hospitals only
MP 202
ZIDOVUDINE +
LAMIVUDINE
TABLETS 300mg + 150mg Infections J05AR01 Consultant Infectious
Diseases Physicians,
Consultant Hospital
Infection Control
Physicians, GU Clinic
Consultants, Emergency
Medicine Physicians,
Gynaecologists, Infectious
Diseases Specialists
To be
dispensed from
Hospitals only
MP 209
ZINC BASED BARRIER
CREAM/OINTMENT
CREAM/ OINTMENT Skin D02AB Medical Practitioners
ZOLEDRONIC ACID INFUSION 4mg Endocrine System M05BA08 Consultants Hospital Use/
Day Clinic
MP 228
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v2.0 January 2020
Active Ingredient Dosage Form Dosage
Strength
Disease Category ATC Code Prescriber Criteria Department Protocol
ZOLEDRONIC ACID INFUSION 5mg Endocrine System M05BA08 Consultants Hospital Use/
Day Clinic
MP 229
ZUCLOPENTHIXOL
ACETATE
OILY INJECTION 50mg Central Nervous
System
N05AF05 Consultant Psychiatrists
ZUCLOPENTHIXOL
DECANOATE
INJECTION 200mg Central Nervous
System
N05AF05 Consultant Psychiatrists
ZUCLOPENTHIXOL
DIHYDROCHLORIDE
TABLETS 10mg Central Nervous
System
N05AF05 Consultant Psychiatrists
ZUCLOPENTHIXOL
DIHYDROCHLORIDE
TABLETS 25mg Central Nervous
System
N05AF05 Consultant Psychiatrists
ZUCLOPENTHIXOL
DIHYDROCHLORIDE
TABLETS 2mg Central Nervous
System
N05AF05 Consultant Psychiatrists
Page 131 of 131