Form To Be Filled By Psychiatrists In The Primary Health Care Centers When Prescribing For Specializ

التصنيف العلاجي	الاسم	أساسي / جنيسي	التركيبة العلمية	العيار	الشكل الصيدلاني	سعر المبيع من العموم
N06AA09	TRYPTIZOL	B	Amitryptiline (HCl) - 10mg	10mg	Tablet, coated	668,751 L.L
R01AA07	OTRIVIN	B	Xylometazoline HCl - 0.05%	0.05%	Solution	260,705 L.L
R06AE07	ZYRTEC	B	Cetirizine (dihydrochloride) - 5mg/5ml		Solution	278,175 L.L
L01EX05	STIVARGA	B	Regorafenib - 40mg	40mg	Tablet, film coated	L.L
A02AF02	ACTONORM	B	Aluminium hydroxide - 220mg/5ml, Magnesium hydroxide - 200mg/5ml, Simethicone - 25mg/5ml		Suspension	425,998 L.L
C02CA04	CARDULAR	B	Doxazosin (mesylate) - 4mg	4mg	Tablet	755,239 L.L
C09BB04	COVERAM	B	Perindopril arginine - 5mg, Amlodipine - 5mg		Tablet	821,088 L.L
M01AC01	BRUXICAM	B	Piroxicam - 0.5%		Drops solution	530,818 L.L
N01BB58	SEPTANEST ADRENALINEE	B	Articaine HCl - 72mg/1.8ml, Adrenaline (tartrate) - 0.033mg/1.8ml	1/100,000	Injectable solution	2,945,703 L.L
N06AA09	TRYPTIZOL	B	Amitryptiline (HCl) - 25mg	25mg	Tablet, coated	716,716 L.L
A02AF02	MAALOX PLUS	B	Simethicone - 25mg/5ml, Aluminium hydroxide - 175mg/5ml, Magnesium hydroxide - 200mg/5ml		Suspension	438,093 L.L
A10BG03	ACTOS	B	Pioglitazone HCl - 15mg	15mg	Tablet	1,243,054 L.L
M01AC01	BREXIN	B	Piroxicam-?-cyclodextrin - 20mg	20mg	Tablet, scored	971,598 L.L
B01AF01	XARELTO	B	Rivaroxaban - 10mg	10mg	Tablet, film coated	1,588,892 L.L
C09BB04	COVERAM	B	Perindopril arginine - 10mg, Amlodipine - 5mg		Tablet	1,116,733 L.L
J01CR02	AUGMENTIN	B	Amoxicillin (trihydrate) - 400mg/5ml, Clavulanic Acid (potassium) - 57mg/5ml	457mg/5ml	Powder for suspension	524,099 L.L
R01AA07	OTRIVIN	B	Xylometazoline HCl - 0.05%	0.05%	Drops	181,419 L.L
R06AE09	XYZAL	B	Levocetirizine dihydrochloride - 5mg	5mg	Tablet, film coated	572,477 L.L
D07AC13	ELOCOM	B	Mometasone furoate - 1mg/g	0.1%	Lotion	282,207 L.L
J01FF01	DALACIN-C	B	Clindamycin HCl - 150mg	150mg	Capsule	287,582 L.L
N02AA01	MST CONTINUS	B	Morphine sulfate - 10mg	10mg	Tablet, film coated, prolonged release	972,942 L.L
N03AX16	LYRICA	B	Pregabalin - 150mg	150mg	Capsule	3,041,116 L.L
N06AA21	LUDIOMIL	B	Maprotiline - 10mg	10mg	Tablet, sugar coated	867,738 L.L
A06AX05	RESOLOR	B	Prucalopride succinate - 2mg	2mg	Tablet, film coated	5,251,736 L.L
A10BH01	JANUVIA	B	Sitagliptin - 100mg	100mg	Tablet, film coated	1,884,067 L.L
C02KX01	TRACLEER	B	Bosentan (monohydrate) - 125mg	125mg	Tablet, film coated	79,583,961 L.L
C09BB04	COVERAM	B	Perindopril arginine - 10mg, Amlodipine - 10mg		Tablet	1,116,733 L.L
J01FF01	DALACIN-C	B	Clindamycin HCl - 300mg	300mg	Capsule	478,408 L.L
N02AA01	MST CONTINUS	B	Morphine sulfate - 30mg	30mg	Tablet, film coated, prolonged release	2,289,908 L.L
N03AX16	LYRICA	B	Pregabalin - 150mg	150mg	Capsule	3,041,116 L.L