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Nhis Medicines List

NHIS Medicines List

Effective October 2009

This is a revised version of the NHIS’ Medicines List. The original list of medicines in this schedule was developed using a process that involved evaluation of evidence for the management of health problems commonly seen at health facilities in Ghana. A Specialists Group comprising medical doctors, pharmacists and a midwife reviewed the evidence for the management of the health problems and selected the appropriate medicines. A Core Group assisted the specialists in the selection of medicines and did the final review of the selected medicines.  The current list is expanded to include medicines and formulations suggested by stakeholders.

The Unit of Pricing column provides information on the basis of the price quoted in the Price column. Examples of the units of pricing are tablet, capsule, suppositories, pessaries, vial, ampoules, weight (for creams, ointments, granules etc), and volume (for liquids). It is important that prescribers indicate the quantity of medicines to be supplied on the prescription. This is a normal requirement for prescribing and will be very helpful in assisting Claims Managers in estimating amounts to be reimbursed.

List of Medicines

Code

Generic name, dosage form, strength

Unit of Pricing

Proposed Prices

5FLUORIN1

5-Fluorouracil Injection, 50 mg/ml

10 ML

8.00

ACETAZIN1

Acetazolamide Injection, 500 mg

 Ampoule

22.00

ACETAZTA1

Acetazolamide Tablet, 250 mg

Tablet

0.06

ACETYLDT1

Acetylsalicylic Acid Tablet, 75 mg (Dispersible)

Tablet

0.03

ACETYLIN1

Acetylcysteine Injection, 200 mg/ml

1 ML

1.2

ACETYLTA1

Acetylsalicylic Acid Tablet, 300 mg

Tablet

0.01

ACICLOCR1

Acyclovir Cream, 5%

2 G

6.00

ACICLOEO1

Acyclovir Eye Ointment, 3%

4.5 G

14.75

ACICLOIN1

Acyclovir Injection, 250 mg vial

Vial

34.00

ACICLOSU2

Acyclovir Suspension, 200 mg/5 ml

20 ML

44.40

ACICLOTA1

Acyclovir Tablet, 200 mg

Tablet

0.80

ACTCHAPO1

Activated Charcoal Powder, 50 g

50 G

0.75

ADRENAIN1

Adrenaline Injection, 1 mg/1ml (1:1000)

1 ML

0.40

ADRENAIN2

Adrenaline Injection, 1:10,000

Ampoule

5.20

ADRIAMIN1

Adriamycin Injection, 50 mg

Ampoule

32.00

ALBENDSY1

Albendazole Syrup, 100 mg/5 ml

10 ML

1.31

ALBENDTA1

Albendazole Tablet, 200 mg

Tablet

0.60

ALBENDTA2

Albendazole Tablet, 400 mg

Tablet

1.20

ALLOPUTA1

Allopurinol Tablet, 100 mg

Tablet

0.12

ALLOPUTA2

Allopurinol Tablet, 300 mg

Tablet

0.20

ALUHYDMI1

Aluminium Hydroxide Mixture

100 ML

2.00

ALUHYDTA1

Aluminium Hydroxide Tablet, 500 mg

Tablet

0.02

AMIACIIN1

Amino Acid Solution Injection, 10%

1 ML

0.04

AMIACIIN2

Amino Acid Solution Injection, 20%

1 ML

0.06

AMINOPIN1

Aminophylline Injection, 250 mg/10 ml

Vial

0.95

AMIODATA1

Amiodarone Tablet, 200 mg

Tablet

0.55

AMITRITA1

Amitriptyline Tablet, 10 mg

Tablet

0.05

AMITRITA2

Amitriptyline Tablet, 25 mg

Tablet

0.10

AMITRITA3

Amitriptyline Tablet, 50 mg

Tablet

0.20

AMLODITA1

Amlodipine Tablet, 5 mg

Tablet

0.12

AMLODITA2

Amlodipine Tablet, 10 mg

Tablet

0.22

AMOARTPO1

Amodiaquine + Artesunate Granular Powder, 75 mg + 25 mg 

Sachet

0.36

AMOARTPO2

Amodiaquine + Artesunate Granular Powder, 150 mg + 50 mg 

Sachet

0.40

AMOARTTA1

Amodiaquine + Artesunate Tablet, 150 mg + 50 mg (12 tabs)

1 Course

4.00

AMOARTTA2

Amodiaquine + Artesunate Tablet, 75 mg + 25 mg (6 tabs) 

1 Course

3.50

AMOXICCA1

Amoxicillin Capsule, 250 mg

Capsule

0.05

AMOXICCA2

Amoxicillin Capsule, 500 mg

Capsule

0.08

AMOXICSU1

Amoxicillin Suspension, 125 mg/5 ml

100 ML

1.40

AMPICIIN1

Ampicillin Injection, 500 mg

Vial

0.30

ANASTRTA1

Anastrozole Tablet, 1 mg

Tablet

6.00

ANIMGLIN1

Anti D Rh Immune Globulin Injection

Vial

108.00

AQUEOUCR1

Aqueous Cream BP

100 G

2.00

ARTESURE1

Artesunate Suppository, 50 mg

Supp.

0.95

ARTESURE2

Artesunate Suppository, 200 mg

Supp.

1.20

ARTLUMPO1

Artemether + Lumefantrine Granular Powder, 20 mg + 120 mg

Sachet

0.36

ARTLUMSU1

Artemeter + Lumefantrine Suspension, 20 mg + 120 mg / 5 ml

100 ML

3.64

ARTLUMTA1

Artemether + Lumefantrine Tablet, 20 mg + 120 mg (24’s)

1 Course

5.00

ARTLUMTA2

Artemether + Lumefantrine Tablet, 40 mg + 240 mg (12’s)

1 Course

4.30

ARTLUMTA3

Artemether + Lumefantrine Tablet, 80 mg + 480 mg (6’s)

1 Course

4.30

ATEHYDTA1

Atenolol + Hydrochlorthiazide Tablet, 50 mg + 25 mg

Tablet

0.50

ATEHYDTA2

Atenolol + Hydrochlorthiazide Tablet, (100 mg + 25 mg)

Tablet

1.04

ATENOLIN1

Atenolol Injection, 500 microgram/ml

Injection

2.00

ATENOLTA1

Atenolol Tablet, 25 mg

Tablet

0.03

ATENOLTA2

Atenolol Tablet, 50 mg

Tablet

0.06

ATENOLTA3

Atenolol Tablet, 100 mg

Tablet

0.08

ATORVATA1

Atorvastatin Tablet, 10 mg

Tablet

1.16

ATORVATA2

Atorvastatin Tablet, 20 mg

Tablet

2.00

ATROPIID1

Atropine Eye Drops, 1%

10 ML

3.50

ATROPIIN1

Atropine Injection, 0.6 mg/ml

1 ML

0.25

AZITHRCA1

Azithromycin Capsule, 250 mg

Capsule

0.85

AZITHRSU1

Azithromycin Oral Suspension, 200 mg/5 ml

15 ML

5.57

AZITHRSU2

Azithromycin Oral Suspension, 200 mg/5 ml

30 ML

5.69

BADOESIN1

Badoe's Solution Injection, 1000 ml

1000 ML

4.00

BEACSAOI1

Benzoic Acid + Salicylic Acid Ointment, 6%+3%

25 G

1.50

BECDIPGA1

Beclometasone dipropionate Inhaler, 50 microgram/metered dose (200 doses)

Inhaler

24.75

BECDIPGA2

Beclometasone dipropionate Inhaler, 100 microgram/metered dose (200 doses)

Inhaler

38.00

BECDIPGA3

Beclometasone dipropionate Inhaler, 200 microgram/metered dose (200 doses)

Inhaler

30.00

BENBENLO1

Benzyl Benzoate Lotion, 25%

1 ML

0.03

BENDROTA1

Bendroflumethiazide Tablet, 2.5 mg

Tablet

0.05

BENDROTA2

Bendroflumethiazide Tablet, 5 mg

Tablet

0.07

BENPERSO1

Benzoyl Peroxide Cream, 5%

30 G

6.00

BENPERSO2

Benzoyl Peroxide Cream, 10%

30 G

7.00

BENZATIN1

Benzatropine Injection, 1 mg/ml

1 ML

3.00

BENZATTA1

Benzatropine Tablet, 2 mg

Tablet

0.06

BENZYLIN1

Benzylpenicillin Injection, 1 MU

Vial

0.30

BENZYLIN2

Benzylpenicillin Injection, 5 MU

Vial

0.55

BETAXOID1

Betaxolol HCL Eye Drops, 0.5%

5 ML

7.00

BETVALCR1

Betamethasone Valerate Cream, 0.05%

15 G

4.00

BETVALCR2

Betamethasone Valerate cream, 0.1%

15 G

4.50

BISACOTA1

Bisacodyl Tablet, 5 mg

Tablet

0.02

BROMOCTA1

Bromocriptine Tablet, 2.5 mg

Tablet

0.84

BUDESOGA1

Budesonide DPI, 100 microgram (100 Doses)

Inhaler

26.00

BUDESOGA2

Budesonide DPI, 200 microgram (100 Doses)

Inhaler

36.40

BUDFORGA1

Budesonide + Formoterol Inhaler 80 microgram/4.5 microgram (60 Doses)

Inhaler

31.80

BUDFORGA2

Budesonide + Formoterol Inhaler 160 microgram/4.5 microgram (60 Doses)

Inhaler

63.00

BUPIVAIN1

Bupivacaine Injection, 2.5 mg/ml

Ampoule

1.70

BUPIVAIN2

Bupivacaine Injection, 5 mg/ml

4ml Amp

1.68

CALAMICR1

Calamine Cream, 15%

15 G

1.00

CALAMILO1

Calamine Lotion, 15%

100 ML

1.47

CALCARTA1

Calcium Carbonate Tablet, 500 mg

Tablet

0.30

CALCIFTA1

Calciferol Tablet, 10,000 units

Tablet

0.75

CALGLUIN1

Calcium Gluconate Injection, 100 mg/ml in 10 ml

Vial

3.00

CALVITTA1

Calcium with Vitamin D Tablet, (97 mg + 10 microgram)

Tablet

0.04

CAPECITA1

Capecitabine Tablet, 500 mg

Tablet

8.00

CARBAMTA1

Carbamazepine Tablet, 100 mg

Tablet

0.20

CARBAMTA2

Carbamazepine Tablet, 200 mg

Tablet

0.24

CARBAMTA3

Carbamazepine Sustained-Release Tablet, 200 mg

Tablet

0.30

CARBAMTA4

Carbamazepine Sustained-Release Tablet, 400 mg

Tablet

0.50

CARBIMTA1

Carbimazole Tablet, 5 mg

Tablet

0.30

CARBIMTA2

Carbimazole Tablet, 20 mg

Tablet

0.80

CARBOCCA1

Carbocisteine Capsule, 375 mg

Capsule

0.40

CARBOCSY1

Carbocisteine Syrup Paediatric, 125 mg/5ml

100 ML

4.00

CARBOCSY2

Carbocisteine Syrup, 250 mg/5ml

100 ML

4.50

CEFACLCA1

Cefaclor Capsule, 250 mg

Capsule

0.95

CEFACLCA2

Cefaclor Capsule, 500 mg

Capsule

1.50

CEFACLSU1

Cefaclor Suspension, 125 mg/5ml

100 ML

7.50

CEFACLSU2

Cefaclor Suspension, 250 mg/5ml

100 ML

10.00

CEFOTAIN1

Cefotaxime Injection, 500 mg

Vial

10.00

CEFOTAIN2

Cefotaxime Injection, 1 g

Vial

15.00

CEFTRIIN1

Ceftriazone Injection, 250 mg

Vial

3.50

CEFTRIIN2

Ceftriazone Injection, 500 mg

Vial

4.00

CEFTRIIN3

Ceftriazone Injection, 1g

Vial

5.25

CEFUROIN1

Cefuroxime Injection, 750 mg

Vial

5.25

CEFUROSU1

Cefuroxime Suspension, 125 mg/5ml

70 ML

9.80

CEFUROTA1

Cefuroxime Tablet, 125 mg

Tablet

0.80

CEFUROTA2

Cefuroxime Tablet, 250 mg

Tablet

1.50

CETIRISY1

Cetirizine Syrup, 5 mg/5ml

1 ML

0.6

CETIRITA1

Cetirizine Tablet, 10 mg

Tablet

0.10

CETRIMSO1

Cetrimide Solution

200 ML

2.25

CHLORACA1

Chloramphenicol Capsule, 250 mg

Capsule

0.02

CHLORAED1

Chloramphenicol Ear Drops, 5%

10 ML

1.00

CHLORAEO1

Chloramphenicol Eye Ointment, 1%

5 G

1.00

CHLORAID1

Chloramphenicol Eye Drops, 0.5%

10 ML

1.00

CHLORAIN1

Chloramphenicol Injection, 1 g

1 G

0.70

CHLORASU1

Chloramphenicol Suspension, 250 mg/5 ml

100 ML

1.00

CHLORHCR1

Chlorhexidine Cream, 1%

15 G

3.00

CHLORHMW1

Chlorhexidine Mouthwash, 0.2%

200 ML

3.50

CHLORHSO1

Chlorhexidine Solution, 2.5%

100 ML

2.30

CHLPHESY1

Chlorphenamine Syrup, 2 mg/5 ml

100 ML

1.00

CHLPHETA1

Chlorphenamine Tablet, 4 mg

Tablet

0.01

CHLPROIN1

Chlorpromazine Injection, 25 mg/ml in 2 ml

Vial

0.43

CHLPROTA1

Chlorpromazine Tablet, 25 mg

Tablet

0.05

CHLPROTA2

Chlorpromazine Tablet, 50 mg

Tablet

0.06

CHLPROTA3

Chlorpromazine Tablet, 100 mg

Tablet

0.08

CHREFLIN1

Cholera Replacement Fluid Injection, (5:4:1) 500 ml

500 ML

1.50

CIPROFID1

Ciprofloxacin Eye Drops, 0.3%

10 ML

4.00

CIPROFIN1

Ciprofloxacin Infusion, 2 mg/ml in 100 ml

Vial

2.45

CIPROFTA1

Ciprofloxacin Tablet, 250 mg

Tablet

0.20

CIPROFTA2

Ciprofloxacin Tablet, 500 mg

Tablet

0.30

CLARITCA1

Clarithromycin Capsule, 250 mg

Capsule

1.30

CLARITCA2

Clarithromycin Capsule, 500 mg

Capsule

2.38

CLARITSU1

Clarithromycin Paediatric Suspension, 125 mg/5 ml

100 ML

22.00

CLINDACA1

Clindamycin Capsule, 150 mg

Capsule

1.00

CLINDAIN1

Clindamycin Injection, 150 mg/ml in 2ml

Vial

11.00

CLINDASO1

Clindamycin Solution, 1%

30 ML

18.00

CLINDASU1

Clindamycin Suspension, 75 mg/5ml

100 ML

10.25

CLOHYDCR

Clotrimazole + Hydrocortisone Cream, 1% + 1%

15 G

3.20

CLOPROCR1

Clobetasol Propionate Cream, 0.05%

15 G

1.50

CLOTRICR1

Clotrimazole Cream, 1%

15 G

3.00

CLOTRICR2

Clotrimazole Cream, 2%

15 G

3.00

CLOTRIVP1

Clotrimazole Pessary, 100 mg

6 Pess.

2.80

CLOTRIVP2

Clotrimazole Pessary, 200 mg

3 Pess.

3.20

CLOTRIVP3

Clotrimazole Pessary, 500 mg

1 Pess.

3.50

CLOXACIN1

Cloxacillin Injection, 250 mg

Vial

0.50

CLOXACIN2

Cloxacillin Injection, 500 mg

Vial

0.65

COAMOXIN1

Amoxicillin + Clavulanic Acid Injection, 500 mg + 100 mg

Vial

5.60

COAMOXIN2

Amoxicillin + Clavulanic Acid Injection, 1g

Vial

8.90

COAMOXSU1

Amoxicillin + Clavulanic Acid Suspension, 250 mg + 62 mg

70 ML

5.60

COAMOXSU2

Amoxicillin + Clavulanic Acid Suspension, 400 mg + 57 mg

70 ML

7.00

COAMOXTA1

Amoxicillin + Clavulanic Acid Tablet, 500 mg + 125 mg

Tablet

0.80

COAMOXTA2

Amoxicillin + Clavulanic Acid Tablet, 875 mg + 125 mg

Tablet

0.96

CODEINTA1

Codeine Tablet, 30 mg

Tablet

0.15

CONOESTA1

Conjugated Oestrogen Tablet, 625 microgram

Tablet

0.60

CONOESVC1

Conjugated Oestrogen Vaginal cream, 625 microgram/g

1 G

0.40

COOENOTA1

Conjugated Oestrogen + Norgesterol Tablet, 625 microgram + 150 microgram

Tablet

1.20

CORANTEO1

Corticosteroid + Antibiotic Eye Ointment

10 G

3.50

CORANTID1

Corticosteroid + Antibiotic Eye Drops

10 ML

4.00

COTRIMSU1

Cotrimoxazole Suspension, (200+40) mg/5 ml

100 ML

1.30

COTRIMTA1

Cotrimoxazole Tablet, (400+80) mg

Tablet

0.02

CYCLOPID1

Cyclopentolate Eye Drops, 1%

5 ML

7.50

CYCLOPIN1

Cyclophosphamide Injection, 500 mg

 Ampoule

6.00

CYMOURCA1

Cytidine Monophospate+ Uridine Disphospate

Capsule

0.50

DARROWIN1

Darrow's Solution Injection, HalfStrength 250 ml

250 ML

1.60

DESOCHIN1

Dextrose in Sodium Chloride Intravenous Infusion, 4.3% in 0.18% (250 ml)

250 ML

1.50

DESOCHIN2

Dextrose in Sodium Chloride Intravenous Infusion, 5% in 0.9% (500 ml)

500 ML

1.61

DEXAMEEO1

Dexamethasone Eye Ointment, 1%

5 G

2.00

DEXAMEID1

Dexamethasone Eye Drops, 1%

5 ML

6.25

DEXAMEIN1

Dexamethasone Injection, 4 mg/ml

1 ML

0.40

DEXAMEIN2

Dexamethasone Injection, 8 mg/2ml

Vial

0.40

DEXAMETA1

Dexamethasone Tablet, 500 microgram

Tablet

0.02

DEXTROIN1

Dextrose Infusion, 5% (250 ml)

250 ML

1.30

DEXTROIN2

Dextrose Infusion, 5% (500 ml)

500 ML

1.60

DEXTROIN3

Dextrose Infusion, 10% (250 ml)

250 ML

1.30

DEXTROIN4

Dextrose Infusion, 10% (500 ml)

500 ML

1.60

DEXTROIN5

Dextrose Infusion, 50% (50 ml)

50 ML

1.80

DIAZEPIN1

Diazepam Injection, 5 mg/ml in 2 ml

Vial

0.30

DIAZEPRS1

Diazepam Rectal Tubes, 2 mg/ml

Rectal Tube

5.00

DIAZEPTA1

Diazepam Tablet, 5 mg

Tablet

0.01

DIAZEPTA2

Diazepam Tablet, 10 mg

Tablet

0.01

DICLOFCA1

Diclofenac Capsule, 75 mg

Capsule

0.40

DICLOFGE1

Diclofenac Gel

30 G

2.00

DICLOFIN1

Diclofenac Injection, 25 mg/ml

3 ML

0.33

DICLOFRE1

Diclofenac Suppository, 50 mg

Supp.

0.30

DICLOFRE2

Diclofenac Suppository, 100 mg

Supp.

0.65

DICLOFTA1

Diclofenac Tablet, 25 mg

Tablet

0.07

DICLOFTA2

Diclofenac Tablet, 50 mg

Tablet

0.06

DIESTITA1

Diethylstilboestrol Tablet, 1 mg

Tablet

4.00

DIESTITA2

Diethylstilboestrol Tablet, 5 mg

Tablet

2.83

DIGOXIEL1

Digoxin Elixir, 50 microgram/ml

1 ML

0.46

DIGOXIIN1

Digoxin Injection, 250 microgram/ml

1 ML

1.80

DIGOXITA1

Digoxin Tablet, 62.5 microgram

Tablet

0.05

DIGOXITA2

Digoxin Tablet, 125 microgram

Tablet

0.08

DIGOXITA3

Digoxin Tablet, 250 microgram

Tablet

0.05

DIHPIPCA1

Dihydroartemisin + Piperaquine capsules 320 mg + 40 mg

8’s

4.00

DIHPIPPO1

Dihydroartemisin + Piperaquine Granular Powder, 10 mg + 80 mg

Sachet

0.32

DIHYDRTA1

Dihydrocodeine Tablet, 30 mg

Tablet

0.20

DIPHENTA1

Diphenhydramine Tablet, 25 mg

Tablet

0.25

DISOPYCA1

Disopyramide Capsule, 100 mg

Capsule

0.50

DISPHOIN1