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National Health Insurance Company - Daman

P.O. Box 128888


Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

No. Of units Pack Price

Unit Price

1. CNS AGENTS
1279-4500-008

Xylocaine 2%

Lidocaine

2.0%

Jelly

30g

17.50

17.50

1622-3795-001

Rialocaine

Lidocaine

2.0%

Gel

20gm

5.50

5.50

1.1 Sedative & Antidepressant


1392-4356-010

Valium

Diazepam

5 mg

Tablet

25's

25

17.00

0.68

1472-1900-006

Diazepam

Diazepam

5 mg

Tablet

20's

20

6.50

0.33

1392-3830-005

Rivotril

Clonazepam

0.5 mg

Tablets

50's

50

16.00

0.32

1392-3830-009

Rivotril

Clonazepam

2mg

Tablets

30's

30

20.00

0.67

1392-3830-001

Rivotril

Clonazepam

2.5 mg/ml

Drops

10ml

17.00

17.00

1595-4490-002

Xanax

Alprazolam

0.25 mg

Tablet

30's

30

11.50

0.38

1595-4490-004

Xanax

Alprazolam

0.5 mg

Tablet

30's

30

19.50

0.65

1256-4286-001

Tryptizol

Amitriptyline

25 mg

Tablet

30's

30

9.50

0.32

1438-3909-001

Saroten Retard

Amitriptyline

25 mg

Capsules

100's

100

51.00

0.51

1671-3953-001

Seroxat

Paroxetine

20 mg

Tablets

30's

30

176.00

5.87

1676-2180-002

Faverin

Fluvoxamine Maleate

50mg

Film Coated Tablets

60's

60

103.50

1.73

1438-1613-001

Cipram

Citalopram

20 mg

Tablet

28's

28

173.50

6.20

1567-4598-001

Lopram

Citalopram

20mg

Film Coated Tablets

28's

28

110.00

3.93

1742-1282-002

Ativan

Lorazepam

1 mg

Tablet

20's

20

9.00

0.45

1556-4224-002

Tofranil

Imipramine

25 mg

Tablet

50's

50

26.50

0.53

2015-5252-002

Buspirone

Buspirone

5mg

Tablet

100's

100

25.00

0.25

2015-5252-003

Buspirone

Buspirone

10mg

Tablet

100's

100

42.00

0.42

1783-5102-004

Prochlorperazine

Prochlorperazine

5mg

Tablet

100's

100

25.00

0.25

1988-4625-004

Chlorpromazine

Chlorpromazine

25mg

Tablet

100's

100

97.00

0.97

1369-4625-005

Chlorpromazine

Chlorpromazine

50mg

Tablet

100's

100

102.00

1.02

1768-4625-006

Chlorpromazine

Chlorpromazine

100mg

Tablet

100's

100

114.00

1.14

2. ANTICONVULSANTS/ ANTIEPILEPTICS
2016-4626-005

Phenobarbital

Phenobarbital

15mg

Tablet

28's

28

29.58

1.06

1263-4626-004

Phenobarbital

Phenobarbital

30mg

Tablet

28's

28

25.36

1.48

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

1 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1263-4626-008

Phenobarbital

Phenobarbital

60mg

Tablet

28's

No. Of units Pack Price


28

1581-2891-005

Lyrica

Pregabalin

75mg

Capsules

14's

14

69.50

4.96

1713-2716-002

Keppra

Levetiracetam

250 mg

Film Coated Tablet

100's

100

426.00

4.26

1713-2716-003

Keppra

Levetiracetam

500 mg

Film Coated Tablet

100's

100

770.50

7.71

1713-2716-001

Keppra

Levetiracetam

1000 mg

Film Coated Tablet

100's

100

1504.50

15.05
1.01

33.80

Unit Price
1.90

1556-4154-004

Tegretol

Carbamazepine

200 mg

Tablet

50's

50

50.50

1556-4155-001

Tegretol CR

Carbamazepine

200 mg

Tablet

50's

50

55.50

1.11

1556-4154-003

Tegretol Syrup

Carbamazepine

0.02 mg

Syrup

100 ml

16.00

16.00

1576-2091-001

Epanutin

Phenytoin Na

100 mg

Capsules

100's

100

22.00

0.22

1635-1839-002

Depakine

Valproate Na

200 mg

Tablet

40's

40

31.00

0.78

1635-1839-004

Depakine

Valproate Na

500 mg

Tablet

40's

40

65.50

1.64

1635-1840-001

Depakine Chrono

Valproic acid+Valproate Na

500 mg

Film Coated Tablet

30

61.00

2.03

1635-1839-001

Depakine

Valproate Na

200mg/ml

Solution

30's
40ml Glass Bottle
+ Graduated

31.00

31.00

1346-4230-003

Topamax

Topiramate

25 mg

Tablet

60's

60

181.00

3.02

1346-4230-004

Topamax

Topiramate

50 mg

Tablet

60's

60

326.00

5.43

1346-4230-001

Topamax

Topiramate

100 mg

Tablet

60's

60

599.50

9.99

1346-4230-002

Topamax

Topiramate

200 mg

Tablet

60's

60

1034.50

17.24

1705-2760-001

Lamictal Liqui-Tabs

Lamotrigine

100mg

Chewable Dispersible Tablets

30's

30

255.00

8.50

1705-2760-004

Lamictal Liqui-Tabs

Lamotrigine

50mg

Chewable Dispersible Tablets

30's

30

148.00

4.93

1705-2760-003

Lamictal Liqui-Tabs

Lamotrigine

25mg

Chewable Dispersible Tablets

30's

30

83.50

2.78

1503-1772-001

Cymbalta

Duloxetine

30mg

Capsules

28's

28

219.00

7.82

1503-1772-002

Cymbalta

Duloxetine

60mg

Capsules

28's

28

271.00

9.68

3. ANALGESICS, ANTIPYRETICS, NON-STEROIDAL ANTI-INFLAMMATORY


3.1 Non-opioids and non-steroidal anti-inflammatory medicines (NSAIMs)
1704-1265-001

Aspimed

Acetylsalicylic acid

75 mg

Enteric Coated Tablet

56's

56

27.00

0.48

1276-1258-001

Asiaprine

Acetylsalicylic acid

81mg

Enteric Coated Tablet

20's

20

6.00

0.30

1747-1271-001

Aspirin Protect

Acetylsalicylic acid

100 mg

Enteric Coated Tablet

20's

20

10.00

0.50

1368-2083-001

Enelfa

Paracetamol

100mg/5ml

Syrup

100ml

8.00

8.00

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

2 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1544-3197-001

Neomol

Paracetamol

120 mg/5 ml

Suspension

100ml

5.00

5.00

1431-2063-001

Emidol

Paracetamol

120mg/5ml

Suspension

100ml

5.00

5.00

1431-2063-003

Emidol

Paracetamol

250mg/5ml

Suspension

100ml

6.50

6.50

1472-1058-001

Adol

Paracetamol

100mg/5ml

Drops

15ml

7.00

7.00

1472-1058-016

Adol

Paracetamol

500 mg

Tablet(Caplet)

96's

96

12.00

0.13

Medamol

Paracetamol

500mg

Tablets (Caplets)

30's (10's Blister x


3)

30

5.00

0.17

1516-4293-002

Tylenol Arthritis Pain ER Relief

Paracetamol

650mg

Extended Release Caplets

24's

24

14.50

0.60

1516-2156-002

Extra Strength Tylenol

Paracetamol

500mg

Caplets

24's

24

7.00

0.29

1431-2063-005

Emidol

Paracetamol

500mg

Tablet

24's

24

4.00

0.17

1544-3197-003

Neomol

Paracetamol

500mg

Caplets

20's

20

4.50

0.23

1368-2083-009

Enelfa

Paracetamol

500mg

Tablet

20's

20

5.50

0.28

1368-2083-002

Enelfa

Paracetamol

125mg

Rectal Suppository

10's

10

6.50

0.65

1472-1058-007

Adol

Paracetamol

125 mg

Rectal Suppository

10's

10

7.00

0.70

1368-2083-004

Enelfa

Paracetamol

250mg

Rectal Suppository

10's

10

8.00

0.80

1472-1058-010

Adol

Paracetamol

250mg

Suppository

10's

10

7.50

0.75

1346-4292-002

Tylenol

Paracetamol

200mg

Rectal Suppository

10's

10

12.00

1.20

1346-4292-003

Tylenol

Paracetamol

350mg

Rectal Suppository

10's

10

13.00

1.30

1368-2083-006

Enelfa

Paracetamol

500 mg

Rectal Suppository

10's

10

8.50

0.85

1472-1058-018

Adol

Paracetamol

500 mg

Suppository

10's

10

10.00

1.00

1431-2065-003

Emifen

Ibuprofen

600mg

Film Coated Tablets

20's

20

13.50

0.68

1368-1961-010

Dolgit

Ibuprofen

600mg

Tablet

20's

20

18.00

0.90

1636-3638-004

Profenid

Ketoprofen

100mg

Film Coated Tablets

30's

30

29.50

0.98

1735-1075-001

Advil

Ibuprofen

200mg

Coated Tablet

24's

24

8.00

0.33

'1735-1077-003

Advil Liqui-Gels

Ibuprofen

200mg

Capsules (Soft Gelatin)

32's

32

18.50

0.58

1544-3204-003

Neoprofen

Ibuprofen

200mg

Tablet

20's

20

7.00

0.35

1472-3640-005

Profinal

Ibuprofen

200mg

Tablet

20's

20

7.00

0.50

1250-3757-003

Remofen

Ibuprofen

400 mg

Tablet

30's

30

12.00

0.40

1680-3904-002

Sapofen

Ibuprofen

400 mg

Tablet

20's

20

10.00

0.50

1523-2938-003

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

No. Of units Pack Price

Unit Price

3 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1525-2648-002

Irfen Lactabs

Ibuprofen

400 mg

Tablet

20's

No. Of units Pack Price


20

13.50

Unit Price
0.68

1544-3204-006

Neoprofen

Ibuprofen

400 mg

Tablet

20's

20

11.00

0.55

1241-1457-007

Brufen

Ibuprofen

400mg

Tablet

25's

25

19.00

0.76

1544-3204-006

Neoprofen

Ibuprofen

400mg

Tablet

20's

20

11.00

0.55

1697-3636-002

Prof

Ibuprofen

400mg

Tablet

30's

30

11.50

0.38

1471-1966-001

Doloraz

Ibuprofen

400mg

Capsules

20's

25

17.00

0.85

1368-1961-004

Dolgit

Ibuprofen

400mg

Tablet

20's

20

15.50

0.78

1241-1458-001

Brufen Retard

Ibuprofen

800mg

Modified Release Tablets

20's

20

39.00

1.95

1472-3642-001

Profinal XP

Ibuprofen, Caffeine

400mg, 65mg/Tablet

Tablets

20's

20

15.50

0.78

1514-3437-001

Oruvail

Ketoprofen

100mg

Controlled Release Capsules

28's

28

48.00

1.71

1514-3437-005

Oruvail

Ketoprofen

200 mg

Controlled Release Capsules

28's

28

74.00

2.64

1368-2572-002

Ibutop

Ibuprofen

5.0%

Gel

20gm

7.50

7.50

1284-3638-003

Profenid

Ketoprofen

2.5%

Gel

60g

17.50

17.50

1431-2065-001

Emifen

Ibuprofen

100mg /5 ml

Suspension

100ml

11.00

11.00

1735-1586-001

Childrens Advil

Ibuprofen

100 mg/5 mL

Suspension(alcohol free)

100ml

15.00

15.00

1244-1457-001

Brufen

Ibuprofen

100 mg/5 mL

Syrup

100ml

14.50

14.50

1697-3636-001

Prof

Ibuprofen

100mg/5 ml

Suspension

100ml

6.50

6.50

1355-3327-001

Nurofen for children

Ibuprofen

100mg/5mL

Suspension

100ml

14.50

14.50

1472-3640-001

Profinal (Paediatric)

Ibuprofen

100mg/5ml

Suspension

110ml

13.50

13.50

1641-3866-001

Roxonin

Loxoprofin

60mg

Tablets

20's

20

31.00

1.55

1392-4211-005

Tilcotil

Tenoxicam

20 mg

Tablet

10's

10

43.50

4.35

1250-2197-001

Fendol DS

Mefenamic acid

500 mg

Tablet

20's

20

7.50

0.38

1544-4603-001

Mefex

Mefenamic acid

500 mg

Film Coated Tablets

20's

20

10.00

0.50

1574-3581-001

Ponstan Forte

Mefenamic acid

500mg

Tablets

20's

20

16.00

0.80

1544-3213-005

Neoxicam

Meloxicam

7.5 mg

Tablet

10's

10

10.00

1.00

1490-4592-005

Flexicam

Meloxicam

7.5 mg

Tablets

10's

10

10.00

1.00

1544-3213-003

Neoxicam

Meloxicam

15 mg

Tablet

30's

30

42.00

1.40

1249-3083-001

Moven

Meloxicam

15 mg

Capsules

10's

10

14.50

1.45

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

4 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1967-3064-001

Mobic

Meloxicam

15 mg

Tablet

10's

10

27.50

2.75

1490-4592-001

Flexicam

Meloxicam

15mg

Tablets

10's

10

16.00

1.60

1622-1749-001

Coxicam

Meloxicam

15mg

Tablets

10's

10

19.00

1.90

1433-3679-001

Proxen

Naproxen

250 mg

Tablet

20's

20

26.50

1.33

1433-3679-002

Proxen

Naproxen

500 mg

Tablet

20's

20

45.00

2.25

1250-3275-001

Nopain DS

Naproxen

500 mg

Tablets

10's

10.00

12.50

1.25

1587-2187-004

Feldene

Piroxicam

20 mg

Dispersable Tablet

10's

10

30.00

3.00

1433-4246-004

Tramal

Tramadol HCL

50mg

Capsules

10's

10

16.00

1.60

1433-4247-001

Tramal Retard

Tramadol HCL

100mg

Film Coated Tablets

10's

10

26.50

2.65

1538-4248-001

Tramundin Retard

Tramadol HCL

100mg

Modified Release Tablets

10's

10

23.00

2.30

1538-4248-002

Tramundin Retard

Tramadol HCL

150mg

Modified Release Tablets

10's

10

33.00

3.30

1538-4248-003

Tramundin Retard

Tramadol HCL

200mg

Modified Release Tablets

10's

10

41.50

4.15

Injection

2ml Pre-filled
Syringe

1497.00

499.00

40mg/2ml

No. Of units Pack Price

Unit Price

1754-4575-001

Arthrum H

Sodium hyaluronate

1417-4566-002

Zyloric

Allopurinol

100mg

Tablet

50's

50

48.00

0.96

1567-4599-001

Loric

Allopurinol

100mg

Tablets

100's

100

74.00

0.74

1379-3304-001

No-Uric

Allopurinol

100mg

Tablet

50's

50

21.00

0.42

1379-3304-002

No-Uric

Allopurinol

300 mg

Tablet

20's

20

21.00

1.05

1567-4599-002

Loric

Allopurinol

300mg

Tablets

28's

28

53.00

1.89

1417-4566-003

Zyloric

Allopurinol

300 mg

Tablet

28's

28

66.50

2.38

1705-2590-003

Imuran

Azathioprine

50 mg

Tablet

100's

100

158.50

1.59

1596-3886-001

Salazopyrin EN

Sulfasalazine

500 mg

Tablet

100's

100

39.00

0.39

3.2 Medicines used to treat gout

3.3 Disease modifying agents used in rheumatoid disorders (DMARDs)

4. NSAIDs (Anti-inflammatory), MUSCLE RELAXANTS (PERIPHERALLY-ACTING) AND CHOLINESTERASE INHIBITORS


1508-3763-001

Reparil

1472-3112-002

Muscadol

1468-1909-007
1680-3839-007

Copyright: Daman

20mg

Tablets

40's

40

26.00

0.65

35mg+450mg

Tablet

20's

20

5.00

0.25

Diclomax

Aescin
450 mg paracetamol with orphenadrine
35 mg Tablet
Diclofenac Sodium

50 mg

Tablet

20's

20

21.00

1.05

Rofenac

Diclofenac Sodium

50 mg

Tablet

20's

20

23.50

1.18

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

5 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1680-3840-001

Rofenac D

Diclofenac Sodium

50mg

Dispersible Tablets

20's

20

36.50

1.83

1622-3874-004

Rumafen

Diclofenac Sodium

50mg

Enteric Coated Tablets

20's

20

23.50

1.18

1556-4476-011

Voltaren

Diclofenac Sodium (Enteric-Coated)

50 mg

Tablet

20's

20

49.50

2.48

1544-3183-003

Neoflam

Diclofenac Sodium (Enteric-Coated)

50 mg

Enteric Coated Tablets

20's

20

23.50

1.18

1431-2066-001

Emifenac

Diclofenac free radical dispersable

50mg

Dispersable Tablet

20's

20

34.00

1.70

1360-1907-007

Diclogesic

Diclofenac Sodium (Enteric-Coated)

50 mg

Tablet

20's

20

17.00

0.85

1250-4485-003

Votrex

Diclofenac Sodium (Enteric-Coated)

50 mg

Tablet

20's

20

13.50

0.68

1470-2682-001

Joflam

Diclofenac Potassium

50 mg

Film Coated Tablets

20's

20

28.00

1.40

1697-3724-002

Rapidus

Diclofenac Potassium

50 mg

Coated Tablets

20's

20

32.50

1.63

1525-3368-004

Olfen Lactabs

Diclofenac Sodium

50mg

Tablet

20's

20

25.50

1.28

1344-1520-002

Cataflam

Diclofenac Potassium

50 mg

Sugar Coated Tablets

20's

20

47.00

2.35

1360-1907-006

Diclogesic

Diclofenac Sodium

50 mg

Rectal Suppository

10's

10

14.50

1.45

1472-1660-010

Clofen

Diclofenac Sodium

50mg

Rectal Suppositories

10's

10

24.50

2.45

1556-4476-007

Voltaren

Diclofenac Sodium

50 mg

Suppository

10's

10

37.00

3.70

1556-4622-003

Voltfast 50mg

Diclofenac Potassium

50 mg

Powder for Solution (Oral)

30 Sachets

30

56.00

1.87

1464-4481-001

Voltic

Diclofenac Sodium

25 mg

Tablet

30's

30

19.00

0.63

1525-3370-001

Olfen SR Depotabs

Diclofenac Sodium

75 mg

Sustained Release Tablets

10's

10

16.50

1.65

1360-1907-009

Diclogesic

Diclofenac Sodium

75mg/3ml

Injection

3ml Ampoule x 5

15.50

3.10

1556-4476-009

Voltaren

Diclofenac Sodium

75mg/3ml

Injection

3ml Ampoule x 5

43.00

8.60

1250-4485-005

Votrex

Diclofenac Sodium

75mg/3ml

Injection

3ml Ampoule x 5

16.00

3.20

1556-4479-002

Voltaren SR

Diclofenac Sodium

75 mg

Sugar Coated Tablets

10's

10

37.50

3.75

1697-1953-001

Divido

Diclofenac Sodium

75mg

Modified Release Capsules

20's

20

33.00

1.65

1699-2614-003

Infla-ban 100 S.R.

Diclofenac Sodium

100mg

Sustained Release Tablets

10's

10

12.50

1.25

1544-3184-003

Neoflam retard

Diclofenac Sodium

100 mg

Modified Release Tablets

10's

10

32.50

3.25

1360-1908-002

Diclogestic R 100 mg

Diclofenac Sodium

100 mg

Tablets

10's Blister

10

13.50

1.35

1344-4478-001

Voltaren Retard

Diclofenac Sodium

100 mg

Tablets

10's Blister

10

48.00

4.80

1468-1909-001

Diclomax

Diclofenac Sodium

1.0%

EmulGel

50g Collapsible
Tube

11.00

11.00

1552-4476-001

Voltaren

Diclofenac Sodium

1.0%

Emulgel

20g Tube

15.00

15.00

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

No. Of units Pack Price

Unit Price

6 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1552-4476-002

Voltaren

Diclofenac Sodium

1.0%

Emulgel

50g

31.00

31.00

1622-3874-002

Rumafen Gel

Diclofenac Sodium

1.0%

Gel

50g

14.00

14.00

1523-1910-001

Diclon

Diclofenac Sodium

1.0%

EmulGel

45 gm

14.00

14.00

1697-4124-001

Tabiflex Cool

Diclofenac Sodium

1.0%

Gel

50gm

13.50

13.50

1525-3368-002

Olfen

Diclofenac Sodium

1.0%

Gel

50gm

19.00

19.00

1360-1907-002

Diclogesic

Diclofenac Diethylamine

1.0%

Gel

30gm

12.50

12.50

1368-1961-008

Dolgit

Ibuprofen

5.0%

Cream

20g Tube

7.50

7.50

Emulgel

50g Plastic
Dispenser

32.00

32.00

Ketoprofen

2.50%

No. Of units Pack Price

Unit Price

1235-2176-003

Fastum

1368-1961-009

Dolgit

Ibuprofen

5.0%

Cream

50g

17.00

17.00

1583-1553-002

Celebrex

Celcoxib

200mg

Capsules

10's

10

63.50

6.35

1531-1235-001

Arcoxia

Etoricoxib

120mg

Film Coated Tablets

7's

49.00

7.00

1595-1841-001

Depo-Medrol

Methylprednisolone

40mg/ml

Injection

1ml Vial

14.00

14.00

1595-4024-003

Solu Medrol

Methylprednisolone (as sodium


succinate)

40mg/ml

Injection

1 Act-o-Vial
(Powder + 1ml

15.50

15.50

1727-1864-001

Dexamethasone Phosphate

Dexamethasone

4mg/ml

Solution for Injection

1ml Ampoule x 10

10

42.50

4.25

5. ANTIMIGRAINE MEDICINES
1280-2594-002

Inderal

Propranolol

10 mg

Film Coated Tablets

50's

50

8.00

0.16

1280-2594-005

Inderal

Propranolol

40 mg

Film Coated Tablets

50's

50

19.50

0.39

1632-1471-002

Cafergot

Ergotamine+cyclizine Hcl+caffeine

2mg+50mg+100mg

Tablet

20's

20

17.50

0.88

1368-3014-001

Migranerton

Metoclopramide+ paracetamol

5mg+500mg

Capsules (Hard Gelatin)

20's

20

15.50

0.78

1422-2583-001

Imigran

Sumatriptan

100 mg

Tablet

2's

120.50

60.25

1280-4560-001

Zomig

Zolmitriptan

2.5mg

Coated Tablet

3's

106.50

35.50

6. ANTIALLERGICS AND MEDICINES USED IN ANAPHYLAXIS


1472-2430-002

Gupisone

Prednisolone

20 mg

Tablet

20's

20

24.00

1.20

1650-3569-001

Polaramine

Chlorpheniramine Maleate

2 mg/5 mL

Syrup

120ml

8.50

8.50

1472-1591-003

Chlorohistol

Chlorpheniramine Maleate

2 mg/5 mL

Syrup

100 ml

7.50

7.50

1472-1591-005

Chlorohistol

Chlorpheniramine Maleate

4mg

Tablets

20's

20

7.00

0.35

1699-1118-003

Allerfin

Chlorpheniramine Maleate

4mg

Tablets

30's

30

6.50

0.22

Omvil

Chlorpheniramine Maleate

4mg

Tablets

20's

20

4.50

0.23

1542-3393-003

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

7 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1562-3597-001

Prednisolon Nycomed

Prednisolone

5mg

Tablet

100's

1603-3595-001

Predfoam

Prednisolone

20 mg/100 mL

Enema

1601-2942-002

Medrol

Methylprednisolone

4mg

1256-1817-001

Decadron

Dexamethasone

1431-2396-003

Glotrizine

1712-4572-004

No. Of units Pack Price

Unit Price

100

44.50

0.45

100ml

14

79.00

5.64

Tablets

30's

30

19.50

0.65

0.5 mg/5 mL

Syrup Elixir

100ml

14.50

14.50

Cetirizine HCL

5mg/5ml

Syrup

100 ml

15.00

15.00

Zyrtec

Cetirizine HCL

1 mg/1ml

Syrup

75 mL

18.00

18.00

1592-2225-004

Finallerg

Cetirizine HCL

1mg/ml

Syrup

100ml

13.00

13.00

1472-1581-002

Cetralon

Cetirizine HCL

5mg/5ml

Syrup

75ml

12.50

12.50

1592-2225-002

Finallerg

Cetirizine HCL

10mg

Film Coated Tablets

20's

20

25.50

1.28

1712-4572-002

Zyrtec

Cetirizine HCL

10mg

Film Coated Tablets

20's

20

48.00

2.40

1250-3768-001

Restamine

Loratadine

10 mg

Tablet

10's

10

16.00

1.60

1650-1644-001

Claritine

Loratadine

10 mg

Tablet

10's

10

21.00

2.10

1544-3180-002

Neoday

Loratadine

10mg

Tablet

10's

10

15.00

1.50

1680-2877-002

Lorine

Loratadine

10 mg

Tablet

20's

20

29.50

1.48

1431-2069-002

Emilora

Loratadine

10mg

Tablets

20's

20

27.00

1.35

1464-1639-001

Clara

Loratadine

10mg

Tablets

10's

10

18.00

1.80

1490-2753-002

Lagadine

Loratadine

10mg

Tablets

10's

10

15.00

1.50

1360-2868-001

Loradad

Loratadine

10 mg

Tablets

10's

10

13.00

1.30

1542-2850-001

Lohist

Loratadine

10mg

Tablets

10's

10

13.50

1.35

1431-2396-002

Glotrizine

Cetirizine HCL

10mg

Film Coated Tablets

20's

20

34.50

1.73

1622-2870-001

Lorahist

Loratadine

1mg/ml

Syrup

100ml

12.00

12.00

1431-2069-003

Emilora

Loratadine

1mg/ml

Syrup

100ml

21.00

21.00

1592-4208-003

Tidilor

Loratadine

5mg/5ml

Syrup

100ml

18.50

18.50

1680-2877-003

Lorine

Loratadine HCl

5mg/5ml

Syrup (Alcohol Free)

100ml

21.00

21.00

1622-2870-002

Lorahist

Loratadine

10mg

Tablets

10's

10

15.00

1.50

1259-2022-002

Ebastel

10mg

Film Coated Tablets

20's

20

39.00

1.95

1523-1935-001

Diphelin

Combination

Syrup

100ml

6.00

6.00

1650-1643-001

Clarinase Repetabs

Ebasten
Diphenhydramine HCl, Sodium Citrate,
Menthol
Pseudoephedrine+Loratadine

14's

14

30.00

2.14

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

12mg+5mg

Tablets

8 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1680-2876-001

Lorinase

Loratidine+Pseudoephedrine

5mg+60mg/5ml

Syrup

100ml

No. Of units Pack Price


1

23.50

Unit Price

1648-1078-003

Aerius

Desloratadine

5mg

Film Coated Tablets

30's

30

61.50

2.05

1650-1078-001

Aerius

Desloratadine

0.5mg/ml

Syrup

150ml

37.00

37.00

1621-1932-001

Dimetapp

Brompheneramine+Pseudophedrine

Syrup

Syrup

118ml

14.50

14.50

1465-4080-001

Stugeron

Cinnarizine

25 mg

Tablet

50's

50

14.00

0.28

1676-1388-001

Betaserc

Betahistine Hydrochloride

16mg

Tablet

60's

60

92.00

1.53

Tablet

23.50

1472-2516-002

Histaloc

Promethazine HCL

25 mg

20's

20

4.00

0.20

1256-3521-001

Periactin

Cyproheptadine

4 mg

Tablet

20's

20

6.00

0.30

1552-2198-004

Fenistil

Dimethindene

1mg

Tablet

20's

20

10.00

0.50

1552-2198-005

Fenistil

Dimethindene

1mg/ml

Oral Drops

20ml

13.00

13.00

1552-2198-002

Fenistil

Dimethindene

0.1%

Gel

30g

15.00

15.00

1710-4508-002

Xyzal

Levocetrizine

5 mg

Film Coated Tablets

30's

30

75.00

2.50

1542-3379-002

Omcet

Cetrizine

10mg

Film Coated Tablets

28's

28

46.50

1.66

1472-1581-001

Cetralon

Cetrizine

10mg

Film Coated Tablets

10's

10

18.00

1.80

1579-4157-001

Telfast

Fexofenadine

120mg

Film Coated Tablets

15's

15

27.00

1.80

1579-4157-002

Telfast

Fexofenadine

180mg

Film Coated Tablets

15's

15

34.50

2.30

1763-2013-001

Duxil

Almitrine+Raubasmine

30mg+10mg

Tablet

30

36.50

1.22

Solu Medrol

Methylprednisolone

125mg/2ml
Powder for Injection

30's
1 Act-o-Vial
(Powder + 2ml
Solvent)

38.50

38.50

1 Vial (Powder) + 1
Diluent Vial (7.8ml)

Powder for Injection

107.00

107.00

1595-4024-001
Solu Medrol

Methylprednisolone

500 mg/8ml

1595-4024-004

2008-5318-001

Hydrocortone

Hydrocortisone

10mg

Tablet

30's

30

70.00

2.33

2078-5299-002

EPI-Pen

Epinephrine

0.3mg/0.3ml%

Injection

1 pre-filled syring

339.00

339.00

7. ANTI-INFECTIVE MEDICINES
7.1 Anthelminthics
7.1.1 Intestinal anthelminthics
1465-4407-001

Vermox

Mebendazole

100mg

Tablet

6's

8.00

1.33

1465-4407-002

Vermox

Mebendazole

0.02mg

Suspension

30ml

9.50

9.50

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

9 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1465-4407-003

Vermox

Mebendazole

500 mg

Tablet

1's

No. Of units Pack Price


1

7.00

Unit Price
7.00

1475-4406-001

Vermonil

Mebendazole

100mg

Suspension

30ml

8.00

8.00

1663-4529-001

Zentel

Albendazole susp.

100 mg/5 mL

Suspension

20 ml

10.00

10.00

1419-4529-002

Zentel

Albendazole

200 mg

Film Coated Tablets

2's

8.00

4.00

1392-1731-001

Copegus

Ribavirin

200 mg

Tablets

168's

168

4003.50

23.83

1472-1096-001

Albenda

Albendazole

200 mg

Tablets

2's

6.50

3.25

1774-4630-001

Distamine

Penicillamine

250mg

Tablets

100's

100

237.00

2.37

1776-3116-002

Myambutol

Ethambutol

400mg

Tablets

100's

100

631.40

6.31

1791-4631-001

Pyrazimamide

Pyrazimamide

500mg

Tablets

100's

100

334.00

3.34

1435-3810-001

Rifadin

Rifampicin

150mg

Capsules

100's

100

105.50

1.06

1435-3810-002

Rifadin

Rifampicin

300mg

Capsules

100's

100

211.50

2.12

1777-4632-001

Resochin

Chloroquine

250 mg

Tablets

100's

100

694.00

6.94

1622-1593-001

Chloroquine

Chloroquine

50mg / 5ml

Syrup

100 ml

7.00

7.00

1525-2966-001

Mephaquin Lactabs

Mefloquine

250 mg

Tablets

6's

34.50

5.75

2043-4633-002

Dapsone

Dapsone

100mg

Tablets

100's

100

161.00

1.61

1776-4634-001

Isoniazid

Isoniazide

100mg

Tablets

100's

100

22.44

0.22

7.2 Antibacterials
1276-1168-001

Ampicillin

Aminopenicillin

1g

Powder for Injection

1 Vial (Dry)

4.50

4.50

1276-1168-002

Ampicillin

Aminopenicillin

2g

Powder for Injection

1 Vial (Dry)

8.50

8.50

1276-1168-003

Ampicillin

Aminopenicillin

500mg

Powder for Injection

1 Vial (Dry)

3.50

3.50

1671-1161-004

Amoxil

Amoxicillin

250 mg

Capsules

20's

20

35.00

1.75

1544-3200-010

Neomox

Amoxicillin

500 mg

Capsules

20's

20

25.50

1.28

1431-2392-010

Glomox

Amoxacillin

500mg

Film Coated Tablets

20's

20

34.00

1.70

1544-3200-001

Neomox

Amoxicillin

125 mg /5 ml

Powder of Suspension

100ml

12.00

12.00

1309-3438-002

Ospamox

Amoxicillin

125 mg /5 ml

Granules for Suspension

100ml

16.50

16.50

1250-3388-001

Omnicef

Cefdilir

125mg/5ml

Powder for Suspension

40ml

67.50

67.50

1544-3200-005

Neomox

Amoxicillin

250 mg /5 ml

Powder of Suspension

100ml

18.50

18.50

1309-3438-004

Ospamox

Amoxicillin

250 mg /5 ml

Granules for Suspension

100ml

27.00

27.00

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

10 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1431-2392-007

Glomox

Amoxacillin

250mg/5ml

Powder for Suspension

100ml

21.00

21.00

1250-3509-005

Penamox

Amoxicillin

250 mg

Capsule

500's

500

264.00

0.53

1472-2688-007

Julphamox

Amoxicillin

250 mg

Capsule

20's

20

25.50

1.28

1250-3509-006

Penamox

Amoxacillin

250mg/5ml

Syrup

100ml

14.50

14.50

1472-2688-008

Julphamox

Amoxacillin

250mg/5ml

Syrup

100ml

24.50

24.50

1631-3438-010

Ospamox

Tablets

16's

16

92.00

5.75

1631-3439-008

Amoxicillin
Penicillin V (Phenoxymethyl penicillin
potassium)

1g

Ospen 400

400mg

Suspension

60 ml

21.00

21.00

1304-2249-001

Floxapen

Flucloxacillin

125mg/5ml

Suspension

100ml

27.50

27.50

Capsule

20's

20

36.00

1.80

Granules for Suspension

100ml

20.00

20.00

1304-2249-003

Floxapen

Flucloxacillin

250mg

1243-2112-001

Erythrocin

Erythromycin

200 mg/5 ml

No. Of units Pack Price

Unit Price

1472-2106-007

Eromycin

Erythromycin

500mg

Tablet

10's

10

18.50

1.85

1417-3943-005

Septrin

Sulfamethoxazole + trimethoprim

400 mg + 80 mg

Tablet

20's

20

29.00

1.45

1705-3944-002

Septrin DS

Sulfamethoxazole + trimethoprim

800mg + 160mg

Tablet

10's

10

21.00

2.10

1392-1330-002

Bactrim Forte

Sulfamethoxazole + trimethoprim

800mg + 160mg

Tablet

10's

10

33.00

3.30

1490-2756-001

Lagatrim Forte

Sulphamethoxazole+Trimethoprim

160+800mg

Tablets

10's

10

20.50

2.05

1417-3943-002

Septrin(Pediatric)

Sulfamethoxazole + trimethoprim

200 mg + 40 mg/5 ml

Suspension

100ml

18.00

18.00

1392-1329-004

Bactrim

Sulfamethoxazole + trimethoprim

200 mg + 40 mg/5 ml

Syrup

100ml

24.00

24.00

1523-1539-003

Cefaxine

Cephalexin

250 mg

Capsules

20's

20

10.00

0.50

1250-2803-006

Lexin

Cephalexin

250 mg/5 ml

Suspension

100ml

12.00

12.00

29.00

29.00

1472-1546-006

Cefrin

Cephalexin

250 mg/5 ml

Suspension

100ml

1360-1567-001

Cephadar Forte

Cephalexin

500 mg

Capsules

20's

20

20.00

1.00

1309-3440-001

Ospexin

Cephalexin

125 mg/5 ml

Granules for Suspension

100ml

19.00

19.00

1309-3440-004

Ospexin

Cephalexin

250 mg/5 mL

Granules for Suspension

100ml

30.00

30.00

1309-3440-006

Ospexin

Cephalexin

500mg

Capsules

1000's

1000

1580.00

1.58

1472-1546-009

Cefrin

Cephalexin

500mg

Capsules

20's

20

51.00

2.55

1542-3372-003

Omaceph

Cefalexin

500 mg

Capsules

20's

20.0

28.00

1.40

1523-1539-006

Cefaxine

Cephalexin

500 mg

Capsules

20's

20

18.50

0.93

1250-3388-003

Omnicef

Cefdinir

300mg

10's

10

138.50

13.85

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

Capsules

11 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1671-1293-010

Augmentin(Infant)

Amoxicillin + Clavulanic acid

62.5 mg/ml

Powder for Drops(Oral)

20ml

No. Of units Pack Price


1

1309-1758-001

Curam

Amoxicillin + Clavulanic acid

156.25mg/5ml

Powder for Suspension

100ml

23.00

23.00

1250-1155-001

Amoclan

Amoxicillin + Clavulanic acid

156mg/5ml

Powder for Suspension

100ml

17.50

17.50

31.50

Unit Price
31.50

1544-3173-001

Neoclav

amoxicillin + clavulanic acid

156.25mg /5ml

Powder for Suspension

100ml

18.00

18.00

1671-1293-002

Augmentin

Amoxicillin + Clavulanic acid

156mg /5ml

Suspension

100ml

27.00

27.00

1671-1293-004

Augmentin

Amoxicillin + Clavulanic acid

228mg/5ml

Powder for Syrup

70ml

22.50

22.50

1468-2949-003

Megamox

Amoxicillin + Clavulanic acid

228mg/5ml

Powder for Suspension

70ml

17.50

17.50

1544-3173-002

Neoclav

Amoxicillin + Clavulanic acid

228.5mg/5ml

Powder for Suspension

70ml

17.00

17.00

1276-1292-001

Augmatic

Amoxicillin + Clavulanic acid

312.5 mg/5ml

Powder for Suspension

100ml

25.00

25.00

1544-3173-003

Neoclav

Amoxicillin + Clavulanic acid

312.5mg/5ml

Powder for Suspension

100ml

24.00

24.00

1431-2390-002

Gloclav

Amoxicillin + Clavulanic acid

312mg/5ml

Powder for Suspension

100ml

25.50

25.50

1472-2686-001

Julmentin Forte

Amoxicillin + Clavulanic acid

312 mg/ 5 ml

Powder for Suspension

100ml

25.50

25.50

1250-1156-003

Amoclan Bid

Amoxicillin + Clavulanic acid

400mg/5ml

Powder for Suspension

70ml

23.00

23.00

1544-3173-005

Neoclav

Amoxicillin + Clavulanic acid

457mg/5ml

Powder for Suspension

70ml

28.50

28.50

1468-2949-006

Megamox

Amoxicillin + Clavulanic acid

457mg / 5 ml

Powder for Suspension

70ml

30.00

30.00

1671-1293-008

Augmentin

Amoxicillin + Clavulanic acid

457mg/5ml

Powder for Syrup

70ml

41.50

41.50

1523-2936-001

Medaclav

Amoxicillin + Clavulanic acid

375 mg

Film Coated Tablets

20's

20

38.00

1.90

1431-2390-004

Gloclav 375

Amoxicillin + Clavulanic acid

375 mg

Film Coated Tablets

20's

20

38.00

1.90

1544-3173-004

Neoclav

Amoxicillin + Clavulanic acid

375mg

Film Coated Tablets

20's

20

34.50

1.73

1680-2733-003

Klavox

Amoxicillin + Clavulanate

375mg

Tablets

20's

20

43.00

2.15

1468-2949-005

Megamox

Amoxicillin + Clavulanic acid

375mg

Tablets

20's

20

37.50

1.88

1250-1155-002

Amoclan

Amoxicillin + Clavulanic acid

375mg

Tablets

20's

20

36.50

1.83

1671-1293-007

Augmentin

Amoxicillin + Clavulanic acid

375 mg

Tablet

20's

20

58.50

2.93

1276-1292-002

Augmatic

Amoxicillin + Clavulanic acid

625mg

Tablet

10's

10

30.50

3.05

1523-2936-002

Medaclav

Amoxicillin + Clavulanic acid

625 mg

Tablet

20's

20

64.50

3.23

1671-1293-011

Augmentin

Amoxicillin + Clavulanic acid

625 mg

Tablet

20's

20

101.00

5.05

1472-2686-002

Julmentin Forte

Amoxicillin + Clavulanic acid

625 mg

Tablet

20's

20

63.50

3.18

1544-3173-007

Neoclav

Amoxicillin + Clavulanic acid

625mg

Film Coated Tablets

20's

20

53.00

2.65

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

12 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1250-1157-002

Amoclan Forte

Amoxicillin + Clavulanic acid

500 mg / 125 mg

Tablet

15's

No. Of units Pack Price


15

47.00

Unit Price
3.13

1431-2390-006

Gloclav

Amoxicillin + Clavulanic acid

500mg / 125mg

Film Coated Tablets

20's

20

64.50

3.23

1680-2733-004

Klavox

Amoxicillin + Clavulanic acid

625 mg

Tablet

20's

20

72.50

3.63

1631-1758-003

Curam

Amoxicillin + Clavulanic acid

500 mg / 125 mg

Film Coated Tablets

20's

20

84.00

4.20

1468-2949-008

Megamox

Amoxicillin + Clavulanic acid

625mg

Tablets

20's

20

61.00

3.05

1431-2390-007

Gloclav 1 gm

Amoxicillin + Clavulanic acid

875 mg/125 mg

Film Coated Tablets

14's

14

85.00

6.07

1631-1758-002

Curam

Amoxicillin + Clavulanic acid

1g

Tablets

14's

14

91.00

6.50

1472-2685-006

Julmentin

Amoxicillin + Clavulanic acid

1 gm

Film Coated Tablets

15's

15

85.00

5.67

1671-1293-003

Augmentin

Amoxicillin + Clavulanic acid

1 gm

Tablet

14's

14

123.50

8.82

1468-2949-002

Megamox

Amoxicillin + Clavulanic acid

1gm

Tablet

14's

14

78.00

5.57

1250-1156-001

Amoclan Bid

Amoxicillin + Clavulanic acid

1 gm

Tablets

14's

14

61.00

4.36

1544-3173-008

Neoclav

Amoxicillin + Clavulanic acid

1 gm

Film Coated Tablets

14's

14

78.00

5.57

1309-3772-002

Retarpen L.A.

Penicillin G Benzathine

1.2 MIU

Injection

1's

6.00

6.00

1309-3439-005

Ospen 500

Penicillin V (Phenoxymethyl penicillin


potassium)

312 mg

Tablet

12's

12

9.00

0.75

1472-2689-007

Julphapen

Ampicillin

500mg

Capsules

12's

12

12.50

10.42

1431-2061-001

Emicipro

Ciprofloxacin

250 mg

Tablet

10's

10

36.00

3.60

1342-3695-001

Qcip

Ciprofloxacin

250mg

Film Coated Tablets

10's

10

27.50

2.75

1641-2248-001

Floxacin

Ciprofloxacin

250mg

Film Coated Tablets

10's

10

38.00

3.80

1300-1614-003

Ciprobay

Ciprofloxacin

250 mg

Tablet

10's

10

65.00

6.50

1544-3172-002

Neocipro

Ciprofloxacin

250 mg

Film Coated Tablets

10's

10

26.00

2.60

1369-1621-001

Ciprolet

Ciprofloxacin

250 mg

Film Coated Tablets

10's

10

25.50

2.55

1680-1623-001

Cipromax

Ciprofloxacin

250mg

Film Coated Tablets

10's

10

38.50

3.85

tablets

10's

10

19.00

1.90

1542-3375-001

Omacip

Ciprofloxacin

250mg

1369-1621-003

Ciprolet

Ciprofloxacin

500 mg

Film Coated Tablets

10's

10

41.50

4.15

1641-2248-002

Floxacin

Ciprofloxacin

500mg

Film Coated Tablets

10's

10

63.50

6.35

1472-3907-002

Sarf

Ciprofloxacin

500mg

Film Coated Tablets

10's

10

76.00

7.60

1542-3375-003

Omacip

Ciprofloxacin

500mg

Film Coated Tablets

10's

10

33.50

3.35

1475-1603-004

Ciflox

Ciprofloxacin

500mg

Tablets

10's

10

68.50

6.85

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

13 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1342-3695-002

Qcip

Ciprofloxacin

500mg

Film Coated Tablets

10's

No. Of units Pack Price


10

47.50

Unit Price
4.75

1544-3172-004

Neocipro

Ciprofloxacin

500mg

Film Coated Tablets

10's

10

42.00

4.20

1592-1624-002

Cipropharm

Ciprofloxacin

500mg

Film Coated Tablets

10's

10

47.50

4.75

1348-3723-002

Rapidflox

Ciprofloxacin

500 mg

Film Coated Tablets

10's

10

42.50

4.25

1431-2061-002

Emicipro

Ciprofloxacin

500mg

Tablet

10's

10

64.00

6.40

1490-3430-004

Orlin

Ciprofloxacin

500 mg

Film Coated Tablets

10's

10

42.00

4.20

1300-1614-004

Ciprobay

Ciprofloxacin

500 mg

Film Coated Tablets

10's

10

127.50

12.75

1673-1328-002

Bactiflox Lactabs

Ciprofloxacin

500mg

Tablet

10's

10

55.50

5.55

1680-1623-002

Cipromax

Ciprofloxacin

500mg

Film Coated Tablets

10's

10

63.50

6.35

1369-1621-002

Ciprolet

Ciprofloxacin

500 mg

Film Coated Tablets

100's

100

393.00

3.93

1673-1328-003

Bactiflox Lactabs

Ciprofloxacin

750 mg

Tablet

10's

10

78.00

7.80

1699-1618-003

Ciproflox

Ciprofloxacin

750 mg

Tablet

10's

10

86.00

8.60

1680-1623-003

Cipromax

Ciprofloxacin

750 mg

Film Coated Tablets

10's

10

65.50

6.55

1276-3980-001

Sipro

Ciprofloxacin

750 mg

Film Coated Tablets

10's

10

63.50

6.35

2087-4635-005

Minocycline

Minocycline

50 mg

Capsule

100's

100

174.21

1.74

2071-4635-004

Minocycline

Minocycline

100 mg

Capsule

28's

28

80.38

2.87

1697-2951-001

Meiact

Cefditoren Pivoxil

200mg

Tablets

20's

20

90.50

4.53
1.00

1489-2990-005

Metrolag

Metronidazole

250 mg

Tablets

20's

20

20.00

1471-2992-001

Metrozole

Metronidazole

250mg

Tablet

20's

20

4.50

0.23

1544-3187-002

Neogyl

Metronidazole

500mg

Tablet

20's

20

23.50

1.18

1489-2990-006

Metrolag

Metronidazole

500mg

Tablets

24's

24

31.50

1.31

1472-3166-005

Negazole

Metronidazole

500mg

Tablets

20's

20

27.00

1.35

1309-4092-002

Supplin

Metronidazole

500mg

Tablets

20's

20

16.00

0.80

1697-3045-002

Mirazol

Metronidazole

500mg

Tablets/Film-coated

20's

20

17.00

17.00

1472-3166-002

Negazole

Metronidazole

200mg/5ml

Suspension

100ml

16.50

16.50

1514-2229-001

Flagyl-S

Metronidazole

200 mg /5 ml

Suspension

100ml

21.00

21.00

1250-3241-002

Nidazole

Metronidazole

125mg/5ml

Suspension

100ml

5.00

5.00

1262-1999-003

Dumozol

Metronidazole

25mg/ml

Suspension

100ml

17.50

17.50

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

14 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1589-2175-002

Fasigyn

Tinidazole

500 mg

Tablets

4's

No. Of units Pack Price


4

1360-1642-003

Claridar

Clarithromycin

125 mg

Powder for Suspension

60ml

27.00

27.00

1697-1645-003

Claritt

Clarithromycin

125mg

Suspension

60ml

27.50

27.50

1244-2728-002

Klacid

Clarithromycin

125mg/5ml

Granules for Suspension

60ml

38.50

38.50

1697-1645-004

Claritt

Clarithromycin

250mg

Suspension

70ml

47.50

47.50

17.50

Unit Price
4.38

1697-1645-001

Claritt

Clarithromycin

250 mg

Tablet

14's

14

36.00

2.57

1544-3766-001

Resclar

Clarithromycin

250 mg

Film Coated Tablets

14's

14

61.00

4.36

1472-1638-001

Clamycin

Clarithromycin

250mg

Film Coated Tablets

14's

14

61.00

4.36

1244-2728-003

Klacid

Clarithromycin

250mg

Film Coated Tablets

14's

14

80.00

5.71

1431-2070-001

Emimycin

Clarithromycin

250mg

Film Coated Tablets

14's

14

50.00

3.57

1699-2731-001

Klaribac

Clarithromycin

250 mg

Film Coated Tablets

14's

14

39.50

2.82

1622-4586-002

Clarimac

Clarithromycin

500 mg

Film Coated Tablets

14's

14

52.00

3.71

1241-2729-001

Klacid XL

Clarithromycin

500mg

Modified Release Tablets

7's

77.50

11.07

1544-3766-002

Resclar

Clarithromycin

500 mg

Film Coated Tablets

14's

14

86.00

6.14

1699-2731-002

Klaribac

Clarithromycin

500mg

Film Coated Tablets

14's

14

56.00

4.00

1471-2103-002

Eracid

Clarithromycin

500 mg

Tablet

14's

14

56.00

4.00

1592-1646-002

Clarixin

Clarithromycin

500 mg

Tablet

14's

14

47.00

3.36

1360-1642-002

Claridar

Clarithromycin

500 mg

Film Coated Tablets

14's

14

56.00

4.00

1431-2070-002

Emimycin

Clarithromycin

500mg

Film Coated Tablets

20's

20

100.00

5.00

1472-1638-002

Clamycin

Clarithromycin

500mg

Film Coated Tablets

14's

14

86.00

6.14

1697-1645-002

Claritt

Clarithromycin

500mg

Film Coated Tablets

14's

14

58.00

4.14

1544-5216-001

Resclar MR

Clarithromycin (modified release )

500 mg

Film Coated Tablets

7's

45.00

6.43

1628-3873-001

Rulid

Roxithromycin

150mg

Tablets

10's

10

57.50

5.75

1697-4538-002

Zetron

Azithromycin

250 mg

Capsules (Hard Gelatin)

6's

37.00

6.17

1641-1318-001

Azomax

Azithromycin

250 mg

Capsules (Hard Gelatin)

6's

33.50

5.58

1680-4541-003

Zimax

Azithromycin

250 mg

Capsules (Hard Gelatin)

6's

50.50

8.42

1442-4549-003

Zithromax

Azithromycin

250 mg

Capsules (Hard Gelatin)

6's

82.00

13.67

1464-1316-004

Azi-once

Azithromycin

250 mg

Capsules (Hard Gelatin)

6's

47.50

7.92

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

15 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1544-2925-001

Mazit

Azithromycin

250 mg

Capsules (Hard Gelatin)

6's

No. Of units Pack Price


6

1249-4551-001

Zocin

Azithromycin

250mg

Capsules (Hard Gelatin)

6's

40.50

6.75

1472-1319-003

Azomycin

Azithromycin

250mg

Capsules (Hard Gelatin)

6's

69.50

11.58

1590-4550-001

Zithromax SD

Azithromycin

2g

Powder for Suspension

2g

98.00

98.00

1584-4549-005

Zithromax

Azithromycin

600mg

Powder For Suspension

15ml

31.50

31.50

1584-4549-006

Zithromax

Azithromycin

900mg

Powder for Suspension

22.5ml

47.00

47.00

1472-1319-001

Azomycin

Azithromycin

200 mg/5 mL

Powder for Suspension

26.50

26.50

1697-4538-001

Zetron

Azithromycin

200 mg/5 mL

15ml Bottle
15ml Plastic
+ 9ml Water
(Plastic Ampoule)

1680-4541-001

Zimax

Azithromycin

200 mg/5 mL

1697-4538-003

Zetron

Azithromycin

300 mg/7.5 ml

1680-4541-004

Zimax

Azithromycin

300 mg/7.5 ml

1477-3859-001

Rovamycin

1472-1550-003

Cefuzime

1544-3215-001

50.50

Unit Price
8.42

15.00

15.00

18.50

18.50

Powder for Suspension

15ml
22.5ml Plastic
Bottle + 12ml
Water (Plastic
Ampoule) + 10ml

22.50

22.50

Powder for Suspension

22.5 ml

27.50

27.50

Spiramycine

3 MIU

Tablets

10's

10

37.00

3.70

Cefuroxime Axetil

250mg

Film Coated Tablets

10's

10

38.00

3.80

Neoxime

Cefuroxime Axetil

250mg

Tablet

10's

10

38.00

3.80

1750-4545-009

Zinnat

Cefuroxime Axetil

250mg

Tablet

10's

10

55.00

5.50

1360-1813-001

Daroxime 250

Cefuroxime Axetil

250 mg

Film Coated Tablets

10's

10

35.50

3.55

1249-4301-001

U-cef

Cefuroxime Axetil

250 mg

Film Coated Tablets

10's

10

38.00

3.80

1592-1549-002

Cefutil

Cefuroxime Axetil

250 mg

Film Coated Tablets

10's

10

38.50

3.85

1525-4519-001

Zamur

Cefuroxime Axetil

250mg

Film Coated Tablets

10's Blister

10

38.50

3.85

1525-4519-002

Zamur

Cefuroxime Axetil

500mg

Film Coated Tablets

10's

10

74.00

7.40

1472-1550-004

Cefuzime

Cefuroxime

500mg

Film Coated Tablets

10's

10

73.50

7.35

1507-1580-002

Cetil

Cefuroxime Axetil

500mg

Tablets

10's

10

60.50

6.05

Powder for Suspension


Powder for Suspension

1418-4545-008

Zinnat

Cefuroxime Axetil

250 mg/ 5ml

Susp

50ml

62.00

62.00

1360-1813-002

Daroxime

Cefuroxime Axetil

500mg

Film Coated Tablets

10's

10

63.50

6.35

1249-4301-002

U-cef

Cefuroxime Axetil

500mg

Film Coated Tablets

10's

10

68.00

6.80

1592-1549-003

Cefutil

Cefuroxime Axetil

500mg

Tablets

10's

10

63.50

6.35

1750-4545-012

Zinnat

Cefuroxime Axetil

500mg

Tablets

10's

10

105.50

10.55

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

16 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1544-3215-003

Neoxime

Cefuroxime Axetil

500 mg

Tablets

10's

No. Of units Pack Price


10

73.50

Unit Price
7.35

1595-1805-002

Dalacin-C

Clindamycin

150mg

Capsules

16's

16

23.00

1.44

1595-1805-003

Dalacin-C

Clindamycin

300mg

Capsules

16's

16

42.00

2.63

1595-1805-004

Dalacin-C

Clindamycin

300mg/2ml

Injection

2ml

15.00

15.00

1418-4545-004

Zinnat

Cefuroxime Axetil

125mg/5ml

Granules for Suspension

50ml

32.50

32.50

1523-4528-001

Zenon

Cefuroxime Axetil

125 mg/ 5ml

Powder for Suspension

100ml

44.00

44.00

1523-4528-002

Zenon

Cefuroxime Axetil

250 mg/ 5ml

Powder for Suspension

50ml

44.00

44.00

1472-1550-001

Cefuzime

Cefuroxime Axetil

125mg

Film Coated Tablets

10's

10

20.00

2.00

1541-1551-001

Cefzalin

Cefazolin Sodium

1000mg

Powder for Injection

1 Vial (Dry)

9.00

9.00

1541-1551-002

Cefzalin

Cefazolin Sodium

500mg

injection

1 vial

6.00

6.00

1250-1537-002

Cefamezin

Cefazolin Sodium

500mg

Injection

1 vial

7.00

7.00

1250-1537-001

Cefamezin

Cefazolin Sodium

1000mg

Injection

1 vial

10.00

10.00

1697-4548-002

Zinoximor

Cefuroxime Axetil

250mg

Film Coated Tablets

14's

14

50.00

3.57

1592-1311-001

Axone(I.V)

Ceftriaxone (I.V)

1 gram Vial

Injection

1 Vial (Dry) + 1
Solvent Ampoule
(10 ml)

47.50

47.50

1276-3869-001

Rozifax

Ceftriaxone

1 gram Vial

44.00

44.00

1697-1548-003

Ceftriaxone-Tabuk

Ceftriaxone (I.V / I.M)

1 gram Vial

49.00

49.00

107.00

107.00

49.00

49.00

53.50

53.50

53.50

53.50

50.00

50.00

1392-3838-003

1472-4258-011

Rocephin

Triaxone (I.V.)

Ceftriaxone (I.V / I.M)

1 gram Vial

Ceftriaxone

Powder for Injection


Powder for Injection

Powder for Injection

Powder for Injection


1gm

1250-3895-002

Ceftriaxone

Samixon

1250-3895-004

Ceftriaxone
Samixon

1631-2950-003

Copyright: Daman

1gm I.V.

Powder for Injection


1gm I.M.

Megion

Doc. No.: EXH/NW.05 Version No.: 1

Powder for Injection

Ceftriaxone

Revision No.: 0

Date Issued: 13/05/2009

1g

Injection/Powder for

1 Vial (Dry)
1 Vial (Dry) + 1
Solvent Ampoule
(10ml)
1 Vial (Dry) + 1
Solvent Ampoule
1 Vial (Dry) + 1
Solvent Ampoule
(10ml)
1 Vial (Dry)
1 Vial (Dry) + 1
Diluent Ampoule
(3.5ml)
1 Glass Vial
(Powder) + 1
Plastic Ampoule

17 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

1524-2975-002

1697-1548-001

1524-2975-006

1472-4258-007

Mesporin(I.M)

Ceftriaxone-Tabuk 0.5g

Mesporin (I.M)

Triaxone 0.5gm

Generic Name
Ceftriaxone

Ceftriaxone (I.V / I.M)

Ceftriaxone

Ceftriaxone (I.V / I.M)

Strength
1000 mg Vial

500 mg Vial

500mg Vial

500 mg Vial

1392-3838-013

Rocephin

Ceftriaxone (I.V / I.M)

500 mg Vial

1276-3869-003

Rozifax

Ceftriaxone

500mg Vial

Dosage Form

Pack Size

Powder for Injection

1 Vial (Dry) + 1
Solvent Ampoule
(3.5ml)

47.00

47.00

Powder for Injection

1 Vial (Dry) + 1
Solvent Ampoule
(5ml)

26.00

26.00

Powder for Injection

1 Vial (Dry) + 1
Solvent Ampoule
(2ml)

25.50

25.50

1 Vial (Dry) + 1
Solvent Ampoule
(5ml)

26.50

26.50

1 Vial (Dry) + 1
Solvent Ampoule

58.50

58.50

23.50

23.50

14.50

14.50

13.00

13.00

27.50

27.50

Powder for Injection

Powder for Injection

Powder for Injection


Powder For Injection

1 Vial (Dry)
1Vial + 1Amp
diluent

No. Of units Pack Price

Unit Price

1472-4258-001

Triaxone (I.M)

Ceftriaxone

250mg Vial

1276-3869-002

Rozifax

Ceftriaxone

250 mg Vial

1631-2950-002

Megion

Ceftriaxone

0.5gm

Powder for Injection

1250-4098-001

Suprax

Cefixime

100 mg/5 mL

Suspension

30mL

30.50

30.50

1250-4098-002

Suprax

Cefixime

100 mg/5 mL

Suspension

60mL

54.00

54.00

1592-1540-002

Cefix 100mg/5ml

Cefixime

100mg/5ml

Powder for Suspension

60mL

38.00

38.00

1592-1540-001

Cefix 100mg/5ml

Cefixime

100mg/5ml

Powder for Suspension

30mL

21.00

21.00

1507-2676-001

Ixime

Cefixime

Powder for Suspension

50ml

35.50

35.50

1697-4432-002

Winex 200

Cefixime

100mg/ 5ml.
200mg

Capsules (Hard Gelatin)

8's

53.00

6.63

1697-4432-001

Winex 400

Cefixime

400mg

Capsules (Hard Gelatin)

6's

79.00

13.17

1544-2016-003

Dynaceph

Cefixime

400mg

Tablets

6's

80.00

13.33

Powder for Injection

1 Vial (Dry)
1 Glass Vial
(Powder) + 1
Plastic Ampoule
(5ml Solvent)

1
1

1592-1540-004

Cefix

Cefixime

400 mg

Capsules (Hard Gelatin)

5's

58.00

11.60

1250-4098-004

Suprax

Cefixime

400 mg

Capsules (Hard Gelatin)

6's

100.00

16.67

1592-1543-004

Cefodox

Cefpodoxime Proxetil

50mg/5ml

Powder for Suspension

50ml

31.00

31.00

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

18 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1592-1543-002

Cefodox

Cefpodoxime Proxetil

100mg/5ml

Powder for Suspension

50ml

No. Of units Pack Price


1

46.00

Unit Price
46.00

1360-1667-001

Cloracef 125 mg

Cefaclor

125mg/5ml

Granules for Suspension

75ml

21.00

21.00

1592-1543-001

Cefodox

Cefpodoxime Proxetil

100mg

Tablet

10's

10

49.50

4.95

1592-1543-003

Cefodox

Cefpodoxime Proxetil

200mg

Tablet

10's

10

74.50

7.45

1523-1545-003

Ceframed

Cephradine

500mg

Capsules (Hard Gelatin)

20's

20

42.50

2.13

1523-2932-005

Medacef

Cefaclor

500mg

Capsules (Hard Gelatin)

20's

20

82.00

4.10

1360-1669-001

Clofacef MR

Cefaclor

500 mg

Modified Release Tablets

10's

10

29.50

2.95

1360-1669-002

Clofacef MR

Cefaclor

750 mg

Modified Release Tablets

10's

10

41.00

4.10

1523-4583-001

Cefproz

Cefprozil

125 mg / 5ml

Suspension

50ml

25.00

25.00

1340-1552-002

Cefzil

Cefprozil

125mg/5ml

Powder For Suspension

50ml

31.50

31.50

1340-1552-004

Cefzil

Cefprozil

250mg/5ml

Powder For Suspension

100ml

101.50

101.50

1340-1552-005

Cefzil

Cefprozil

250mg/5ml

Powder For Suspension

50ml

53.50

53.50

1523-4583-002

Cefproz

Cefprozil

250 mg

Susp

50 ml

43.00

43.00

1340-1552-003

Cefzil 250mg

Cefprozil

250mg

Film Coated Tablets

10's

10

59.50

5.95

1340-1552-006

Cefzil 500mg

Cefprozil

500mg

Film Coated Tablets

10's

10

105.00

10.50

1703-4321-001

Unidox

Doxycycline

100mg

Capsules

10's

10

14.50

1.45

1360-1982-002

Doxydar

Doxycycline

100 mg

Capsules

8's

11.50

1.44

1544-3179-001

Neocycline

Doxycycline

100 mg

Capsule

1000's

1000

1037.00

1.04

1697-4125-001

Tabocine

Doxycycline

100mg

Capsules

10's

10

30.50

3.05

1448-4141-001

Tarivid

Ofloxacin

200mg

Tablet

10's

10

78.00

7.80

1300-1299-001

Avalox

Moxifloxacin

400mg

Tablet

5's

95.00

19.00

1300-1299-003

Avalox

Moxifloxacin

400mg

Tablet

7's

137.50

19.64

1417-4562-002

Zovirax

Acyclovir

200 mg/ 5 ml

Suspension

125ml

166.50

166.50

1420-4562-009

Zovirax

Acyclovir

800 mg

Capsule

35's

35

735.50

21.00

1960-4916-001

Acyclovir Wockhart

Acyclovir

200 mg

Tablets

25's

25

9.40

0.38

Cream

20g

22.00

22.00

30g

16.50

16.50

7.3 Antifungal medicines


1747-1499-003

Canesten

Clotrimazole

1.0%

1523-2944-001

Medsten

Clotrimazole

1.0%

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

Cream

19 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1472-3017-003

Mikostat

Nystatin

100 000 IU/ml

Suspension

30ml

No. Of units Pack Price


1

1268-3123-001

Mycosat

Nystatin

100,000 IU/mL

Suspension

30mL

9.50

9.50

1276-3333-001

Nystatin

Nystatin

500,000 IU/5ml

Powder for Suspension

60mL

19.50

19.50
1.05

12.00

Unit Price
12.00

1276-3333-002

Nystatin

Nystatin

'500000 IU

Tablets

20's

20

21.00

1567-3398-001

Opizole

Clotrimazole& Betamethasone

1% Cream

Cream

20gm

9.50

9.50

1567-3399-001

Opizole-B Cream

Clotrimazole& Betamethasone

1% Cream

Cream

20 gm

11.50

11.50

1747-1499-006

Canesten

Clotrimazole

500 mg

Vaginal Tablet

1's

23.00

23.00

1465-3254-003

Nizoral

Ketoconazole

200mg

Tablet

10's

10

46.00

4.60

1465-2435-002

Gyno-Daktrin

Miconazole

200mg

Vaginal Ovules

7's

34.50

4.93

1256-2855-005

Lomexin

Fenticonazole

200mg

Vaginal Ovules

3's

22.00

7.33

1523-1497-001

Candizole

Miconazole

2.0%

Cream

30g

10.00

10.00

Vaginal Cream

45g Collapsible
Tube + Applicator

15.50

15.50

Oral Gel

40g Metal
Collapsible Tube +
Spoon

14.00

14.00

Cream

15g

8.00

8.00

Candizole

Miconazole

2.0%

1523-1497-002
Mycoheal Oral Gel

Miconazole Nitrate

40 gm

1360-3121-004
1360-3122-001

Mycoheal HC

Miconazole Nitrate

15 gm

1360-3121-003

Mycoheal 2%

Miconazole Nitrate

30 gm

Cream

30 gm

13.50

13.50

1360-3121-005

Mycoheal

Miconazole

2.0%

Vaginal Cream

50gm

20.50

20.50

1567-1404-002

Bevason 0.1%

Betamethasone Valerate

0.1%

Ointment

20gm

5.50

5.50

1471-2315-001

Funzol

Fluconazole

150 mg

Capsules (Hard Gelatin)

1's

25.50

25.50

1472-3422-001

Oramax

Fluconazole

150 mg

Capsule

1's

35.00

35.00

1249-1496-001

Candivast

Fluconazole

150 mg

Capsules (Hard Gelatin)

1's

20.50

20.50

1571-2440-001

Gynosant

Fluconazole

150 mg

Capsules (Hard Gelatin)

1's

27.00

27.00

1589-1914-001

Diflucan

Fluconazole

150 mg

Capsules (Hard Gelatin)

1's

44.00

44.00

1465-4053-002

Sporanox

Itraconazole

100mg

Capsules (Hard Gelatin)

4's

49.50

12.38

1283-4143-002

Tavanic

Levofloxacin

500mg

Film Coated Tablets

5's

117.50

23.50

1283-4143-003

Tavanic

Levofloxacin

500mg

Film Coated Tablets

7's

164.50

23.50

Vaginal Ovule

3's Strip +
Applicator

77.50

25.83

1597-1804-001

Copyright: Daman

Dalacin

Doc. No.: EXH/NW.05 Version No.: 1

Clindamycin

Revision No.: 0

Date Issued: 13/05/2009

100mg

20 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

No. Of units Pack Price

Unit Price

8. ANTIPARKINSONISM MEDICINES
1529-3972-001

Sinemet

Carbidopa & Levodopa

100 mg + 25 mg

Tablet

100's

100

122.00

1.22

2015-5340-001

Carbidopa / Levodopa

Carbidopa & Levodopa

100 mg + 25 mg

Tablet

100's

100

87.30

0.87

1529-3973-001

Sinemet CR

Carbidopa & Levodopa

100/25

Tablet

100's

100

163.00

1.63

1529-3973-002

Sinemet CR

Carbidopa & Levodopa

200/50

Tablet

100's

100

296.00

2.96

1256-3972-002

Sinemet

Carbidopa & Levodopa

250 mg + 25 mg

Tablet

20's

20

25.00

1.25

1499-4277-001

Trivastal Retard

Piribedil

50mg

Tablets

30's

30

42.00

1.40

100mg+0.5mg

Capsules (Hard Gelatin)

30's

30

21.00

0.70

5 mg

Sustained Release Capsules


(Hard Gelatin)

30's

30

7.00

0.23

45 mg+400mg
305mg (100mg elemental
iron)

Capsule

30's

30

13.00

0.43

Tablets

20's

20

3.50

0.18

Liquid (Oral)

200ml

18.50

18.50

Syrup

100ml

15.00

15.00

Drops (Oral)

30ml Bottle +
Dropper

9. MEDICINES AFFECTING THE BLOOD


1544-3182-002

Neoferon

Iron (Carbonyl Iron), Folic Acid

1472-2278-001

Folicron

1785-4637-001

Haem Plus

Ferrous salt + Folic acid

1472-2279-001

Folicum

Folic Acid

1342-4595-001

Haem-Up

Ferric ammonium citrate

1523-2649-001

Irokid

Iron III Hydroxide Polymaltose

Iron (as Ferrous sulfate), Folic acid

50mg/5ml

Feromin Drops

Ferrous Sulphate

25mg/ml

7.50

7.50

1241-2211-001

Ferrograd Folic

Iron+Folic acid

105mg+350mcg

Tablets

30's

30

15.50

0.52

1793-4638-001

Feroglobin

Elemental Iron+Folic acid

24mg+0.5mg

Capsules

30's

30

26.50

0.88

1732-2204-001

Feroglobin B12

Iron+Folic acid

7mg+0.1mg/5ml

Syrup

200ml

28.00

28.00

1622-2205-001

1680-2207-001

Ferose

Iron Polymaltose complex

100mg

Chewable Tablets

30's

30

19.50

0.65

1680-2207-003

Ferose

Iron Polymaltose complex

50mg/5ml

Syrup

100ml

14.50

14.50

2086-5329-001

Iron complete syrup

Elemental iron (ferrous fumarate), Folic


acid

40mg/150mg

Syrup

200ml

35.00

35.00

1680-2208-001

Ferose-F

Iron (as Iron III hydroxide polymaltose


complex), Folic acid

1 mg

1667-2185-001

Fefol Spansules

Ferrous Sulfate / Folic Acid

1 mg

1392-3734-004

Recormon

Erythropoetin

1635-3564-001

Plavix 75mg tabs

1285-1648-003

Clexane

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

30's

30

21.50

0.72

Capsules (Hard Gelatin)

30's

30

13.00

0.43

4000IU

Solution for Injection

6 Prefilled syringe

2002.00

333.67

Clopidrogel Disulfate

75 mg

Film Coated Tablets

28's

28

311.00

11.11

Enoxaprin Na

4000 anti-Xa IU/0.4ml

Solution for Injection

2's

72.50

36.25

Date Issued: 13/05/2009

Chewable Tablets

21 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1779-1747-003

Coumadin

Warfarin

1 mg

Tablet

100's

No. Of units Pack Price


100

63.01

Unit Price
0.63

1779-1747-004

Coumadin

Warfarin

2 mg

Tablet

100's

100

67.28

0.67

1338-1747-001

Coumadin

Warfarin

2.5 mg

Tablet

100's

100

49.00

0.49

1338-1747-002

Coumadin

Warfarin Na

5 mg

Tablet

100's

100

54.50

0.55

1556-2984-001

Methergin

Methylergometrine H maleate

0.125 mg

Sugar Coated Tablets

30's

30

13.50

0.45

1378-4609-001

Pletaal

Cilostazol

100 mg

Tablets

20's

20

93.50

4.68

10. CARDIOVASCULAR MEDICINES


10.1 Antianginal medicines
1431-2394-002

Glormin

Atenolol

25mg

Tablet

28's

28

15.00

0.54

1431-2394-003

Glormin

Atenolol

50mg

Tablet

28's

28

23.50

0.84

1280-4166-005

Tenormin

Atenolol

50 mg

Tablet

28's

28

37.50

1.34

'1259-1425-003

Blokium

Atenolol

50mg

Tablet

30's

30

23.50

0.78

1567-1283-003

Atormin

Atenolol

50mg

Tablets

28's

28

20.50

0.73

1272-1219-004

Apo-atenol

Atenolol

50 mg

Tablets

30's

30

19.50

0.65

1475-4164-002

Tenol

Atenolol

50 mg

Tablets

20's

20

21.00

1.05

1431-2394-001

Glormin

Atenolol

100 mg

Tablet

28's

28

40.50

1.45

1280-4166-002

Tenormin

Atenolol

100mg

Tablet

28's

28

60.50

2.16

1259-1425-001

Blokium

Atenolol

100mg

Tablet

15's

15

20.50

1.37

1417-4249-004

Trandate

Labetalol HCl

200mg

tablets

25's

25

23.50

0.94

1499-1748-001

Coversyl

Perindopril arginine

10mg

Tablet

30's

30

198.00

6.60

1499-1748-003

Coversyl

Perindopril arginine

5mg

Tablet

30's

30

154.50

5.15

1982-5462-001

Bipreterax Arginine

Perindopril arginine, Indapamide

5mg, 1.25mg

Film Coated Tablets

30's

30

198.00

6.60

1982-5462-001

Bi Preterax Arginine

Perindopril arginine, Indapamide

5mg/1.25mg

Tablets

30's

30

198.00

6.60

1429-1188-001

Angised

Glyceryl trinitrate

0.5 mg

Tablet

100's

100

31.50

0.32

1499-3627-001

Procoralan

Ivabradine

5mg

Film Coated Tablets

56's

56

370.00

6.61

1280-4534-003

Zestril

Lisinopril

5mg

Tablet

28's

28

72.00

2.57

1544-3203-003

Neopril

Lisinopril

5 mg

Tablet

28's

28

42.50

1.52

1544-3203-001

Neopril

Lisinopril

10 mg

Tablet

28's

28

55.00

1.96

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

22 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1280-4534-001

Zestril

Lisinopril

10mg

Tablet

28's

28

1544-3203-002

Neopril

Lisinopril

20 mg

Tablet

28's

28

72.00

2.57

1280-4534-002

Zestril

Lisinopril

20mg

Tablet

28's

28

120.00

4.29

1280-4533-001

Zestoretic

Lisinopril, Hydrochlorothiazide

20mg, 12.5mg

Tablet

28's

28

131.00

4.68

1499-3627-002

Procoralan

Ivabradine

7.5mg

Tablet

56's

56

370.00

6.61

1334-1502-001

Capoten

Captopril

25 mg

Tablet

30's

30

34.50

1.15

1475-1015-001

Acetab

Captopril

25 mg

Tablet

20's

20

19.50

0.98

1334-1502-002

Capoten

Captopril

50 mg

Tablet

30's

30

66.50

2.22

1325-4062-001

Staril

Fosinopril Na

10mg

Tablets

28's

28

68.50

2.45

1325-4062-002

Staril

Fosinopril

20mg

Tablets

14's

14

55.50

3.96

1344-3250-002

Nitroderm TTS

Nitroglycerin

0.4 mg/hour

Transdermal patch

10's

10

46.00

4.60

1288-2415-001

Glytrin

Glyceryl trinitrate

400 mcg/dose

Spray (Sublingual)

200 Metered Dose


Pressurised Can

32.50

32.50

1544-3206-001

Neosorbide

Isosorbide mononitrate

20 mg

Tablet

30's

30

20.00

0.67

1654-2657-001

Isoket Retard

Isosorbide dinitrate

20mg

Tablet

50's

50

52.00

1.04

1544-3206-002

Neosorbide

Isosorbide mononitrate

40 mg

Tablet

30's

30

35.00

1.17

1279-2582-002

Imdur

Isosrbide mononitarte

60 mg

Tablet

30's

30

61.00

2.03

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

No. Of units Pack Price


95.50

Unit Price
3.41

23 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

No. Of units Pack Price

Unit Price

10.2 Antiarrhythmic
1415-2766-001

Lanoxin PG

Digoxin

0.0625mg

Tablet

100's

100

14.00

0.14

1705-2765-002

Lanoxin

Digoxin

0.125mg

Tablet

500's

500

28.50

0.06

1705-2765-005

Lanoxin

Digoxin

0.25mg

Tablet

25's

25

6.50

0.26

1417-2765-001

Lanoxin Paediatric

Digoxin

0.05mg/ml

Elixir

60ml

21.00

21.00

1472-1152-001

Amirone

Amiodarone

200 mg

Tablet

30's

30

31.50

1.05

1635-1733-002

Cordarone

Amiodarone

200mg

Tablet

30's

30

45.50

1.52

1556-2864-002

Lopresor

Metoprolol

50 mg

Tablet

40's

40

35.00

0.88

1556-2864-001

Lopresor

Metoprolol

100 mg

Tablet

40's

40

65.50

1.64

10.3 Antihypertensive
1256-1107-001

Aldomet

Methyldopa

250 mg

Tablet

30's

30

15.50

0.52

1677-3547-001

Physiotens

Moxonidine

0.2mg

Tablet

28's

28

61.50

2.20

1641-4375-003

Vasopril

Enalapril

5mg

Tablet

30's

30

19.50

0.65

1342-2089-002

Envas

Enalapril

5mg

Tablet

30's

30

31.50

1.05

1471-1187-003

Angiotec

Enalapril

5 mg

Tablet

30's

30

47.50

1.58

1276-2076-003

Enapress

Enalapril

5 mg

Tablet

20's

20

26.50

1.33

1472-3146-003

Narapril

Enalapril

5mg

Tablet

28's

28

40.50

1.45

1276-2076-001

Enapress

Enalapril

10mg

Tablet

20's

20

37.00

1.85

1342-2089-001

Envas

Enalapril

10mg

Tablet

30's

30

50.50

1.68

1641-4375-001

Vasopril

Enalapril

10mg

Tablet

30's

30

33.00

1.10

1471-1187-001

Angiotec

Enalapril

10mg

Tablets

30's

30

66.50

2.22

1276-2076-002

Enapress

Enalapril

20 mg

Tablet

20's

20

43.50

2.18

1471-1187-002

Angitec

Enalapril

20 mg

Tablet

20's

20

52.50

2.63

1641-4375-002

Vasopril

Enalapril

20 mg

Tablet

30's

30

43.50

1.45

1969-4274-007

Tritace

Ramipril

2.5mg

Capsules

28's

28

100.00

3.57

1969-4274-008

Tritace

Ramipril

5mg

Capsules

28's

28

106.50

3.80

1283-4274-002

Tritace

Ramipril

10mg

Capsules

28's

28

119.00

4.25

1279-3565-006

Plendil

Felodipine

5mg

Tablet

30's

30

66.00

2.20

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

24 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1279-3565-002

Plendil

Felodipine

10mg

Tablet

30's

30

89.00

2.97

1256-2791-001

Lercadip

Lercanidipine HCl

10mg

Film Coated Tablet

30's

30

65.00

2.17

1464-1173-002

Amvasc

Amlodipine

2.5mg

Capsules

30's

30

26.00

0.87

1472-1154-001

Amlophar

Amlodipine

5 mg

Capsules

30's

30

64.50

2.15

1587-3302-001

Norvasc

Amlodipine

5 mg

Capsules

30's

30

106.50

3.55

1431-5197-001

Glodip

Amlodipine

5mg

Capsules

30 's

30

60.00

2.00

1369-5217-002

Stamlom

Amlodipine

5mg

Tablets

28's

28

41.00

1.46

1464-1173-003

Amvasc

Amlodipine

5mg

Capsules

30's

30

44.00

1.47

1464-1173-001

Amvasc

Amlodipine

10 mg

Capsules

30's

30

72.50

2.42

1580-3302-002

Norvasc

Amlodipine

10 mg

Tablet

30's

30

104.00

3.47

1369-5217-001

Stamlom

Amlodipine

10mg

Tablets

28's

28

67.50

2.41

1574-1925-001

Dilzem

Diltiazem HCl

60mg

Tablet

50's

50

35.50

0.71

1574-1926-002

Dilzem Retard

Diltiazem HCl

90mg

Tablet

30's

30

35.50

1.18

1300-1052-001

Adalat

Nifidipine

10 mg

Tablet

30's

30

38.50

1.00

1300-1053-001

Adalat LA

Nifidipine

30mg

Tablet

30's

30

66.50

2.22

1300-1053-002

Adalat LA

Nifidipine

60mg

Tablet

30's

30

80.50

2.68

1499-4379-001

Vastarel MR

Trimetazidine

35mg

Modified Release Tablets

60's

60

79.00

1.32

1240-2662-001

Isoptin SR 240 mg

Verapamil

240mg

Film Coated Tablet

20's

20

76.50

3.83

1240-2661-001

Isoptin 80 mg

Verapamil

80 mg

Film Coated Tablet

20's

20

23.00

1.15

1240-4142-001

Tarka

Trandolapril+Verapamil

2mg/180mg

Modified Release Tablets

28's

28

124.50

4.45

1527-1720-001

Concor 5 Plus

5/12.5mg

Tablet

30's

30

46.50

1.55

1527-1723-001

Concor

Bisoprolol Fumarate

5mg

Film Coated Tablet

30's

30

34.50

1.15

1527-1722-001

Concor

Bisoprolol fumarate

10mg

Film Coated Tablets

30's

30

51.00

1.70

1280-4165-001

Tenoretic

Atenolol, Chlorthalidone

100mg/25mg

Tablet

28's

28

65.00

2.32

1392-1922-001

Dilatrend

Carvedilol

25mg

Tablets

30's

30

82.50

2.75

1392-1922-002

Dilatrend

Carvedilol

6.25mg

Tablets

30's

30

65.00

2.17

1699-1426-002

Blopress

Candesartan cilexetil

8mg

Tablet

28's

28

63.00

2.25

1699-1426-001

Blopress

Candesartan cilexetil

16mg

Tablet

28's

28

77.00

2.75

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Bisoprolol fumarate, Hydrochlorothiazide

Date Issued: 13/05/2009

No. Of units Pack Price

Unit Price

25 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1279-1277-006

Atacand

Candesartan cilexetil

8mg

Tablet

28's

1279-1277-002

Atacand

Candesartan cilexetil

16mg

Tablet

1967-3000-002

Micardis

Telmisartan

80mg

1795-4656-001

Slow K

Potassium chloride

1641-4606-001

Olmetec

Olmesartan medoxomil

1641-4606-002

Olmetec

1676-4191-001

Teveten

1529-1750-002

No. Of units Pack Price

Unit Price

28

127.50

4.55

28's

28

158.00

5.64

Tablets

28's

28

151.00

5.39

600 mg

Tablet

500's

500

125.00

0.25

20mg

Film Coated Tablets

28's

28

103.00

3.68

Olmesartan medoxomil

40mg

Film Coated Tablets

28's

28

135.00

4.82

Eposartan

600mg

Film Coated Tablets

28's

28

137.50

4.91

Cozaar

Losartan Potassium

50mg

Tablets

28's

28

120.50

4.30

1556-1933-005

Diovan 80

Valsartan

80mg

Film Coated Tablets

28's

28

157.50

5.63

1556-4590-001

Exforge 10/160

Amlodipine/Valsartan

10/160mg

Film Coated Tablets

28's

28

208.50

7.45

1556-4590-002

Exforge 5/160

Amlodipine/Valsartan

5/160mg

Film Coated Tablets

28's

28

208.50

7.45

1635-1223-002

Aprovel

Irbesartan

300mg

Film Coated Tablets

28's

28

158.00

5.64

1635-1673-002

Co-Aprovel

Irbesartan/Hydrochlorothiazide

300/12.5mg

Tablets

28's

28

184.00

6.57

Hyzaar

Losartan Potassium+Hydrochlorothiazide

50/12.5

Film Coated Tablets

28's

126.00

4.50

1556-1679-003

Co-Diovan 80/12.5

Valsartan/Hydrochlorothiazide

80/12.5

Film Coated Tablets

28's

28

157.50

5.63

1556-1933-002

Diovan 160

Valsartan

16000.0%

Film Coated Tablets

28's

28

177.00

6.32

1556-1679-001

Co-Diovan 160/12.5

Valsartan/Hydrochlorothiazide

160/12.5

Film Coated Tablets

28's

28

177.00

6.32

1529-2562-002

28

11. DIURETICS
1283-2773-002

Lasix

Furosemide

40 mg

Tablet

20's

20

26.50

1.33

1475-2323-001

Fusix

Furosemide

40 mg

Tablet

20's

20

19.50

0.98

1283-2773-001

Lasix

Furosemide

20mg/2ml

Solution for Injection

2ml Ampoule x 5

15.00

3.00

1472-3894-002

Salurin

Furosemide

40 mg

Tablet

20's

20

16.50

0.83

1656-1105-001

Aldactone

Spironolactone

100 mg

Tablet

10's

10

47.00

4.70

1656-1105-003

Aldactone

Spironolactone

25 mg

Tablet

20's

20

24.00

1.20

1471-3077-001

Monozide

Hydrochlorothiazide

12.5 mg

Tablet

30's

30

8.50

0.28

1471-3077-002

Monozide

Hydrochlorothiazide

25 mg

Tablet

30's

30

14.00

0.47

1556-2117-001

Esidrex

Hydroclorothiazide

25 mg

Tablet

20's

20

16.50

0.83

1499-3156-001

Natrilix SR

Indapamide

1.5mg

Tablet

30's

30

50.00

1.67

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

26 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

No. Of units Pack Price

Unit Price

12. Lipid regulating drugs


1472-3968-001

Simvast

Simvastatin

10mg

Tablets

28's

28

63.50

2.27

1622-3967-001

Simvagen

Simvastatin

10mg

Film Coated Tablets

30's

30

61.00

2.03

1641-3969-001

Simvaten

Simvastatin

10mg

Film Coated Tablets

30's

30

55.00

1.83

1622-3967-002

Simvagen

Simvastatin

20mg

Film Coated Tablets

30's

30

67.50

2.25

1697-4377-002

Vasta

Simvastatin

20 mg

Tablets

30's

30

87.00

2.90

1472-3968-002

Simvast

Simvastatin

20mg

Tablets

28's

28

101.50

3.63

1542-4446-001

Viscor

Simvastatin

20 mg

Tablets

30's

30

81.00

2.70

1472-3968-003

Simvast

Simvastatin

40mg

Tablets

30's

30

123.00

4.10

1641-3969-003

Simvaten

Simvastatin

40mg

Tablets

30's

30

99.50

3.32

1574-2862-002

Lopid

Gemfibrozil

600mg

Tablets

30's

30

53.00

1.77

1280-1752-001

Crestor

Rosuvastatin

10 mg

Tablets

28's

28

133.50

4.77

1752-2821-002

Lipanthyl

Fenofibrate

300mg

Capsules

30's

30

41.00

1.37

1576-2822-001

Lipitor

Atorvastatin

10 mg

Tablets

30's

30

164.50

5.48

1576-2822-002

Lipitor

Atorvastatin

20mg

Film Coated Tablets

30's

30

263.50

8.78

1576-2822-003

Lipitor

Atorvastatin

40mg

Film Coated Tablets

30's

30

320.50

10.68

1531-2160-001

Ezetrol

Ezetimibe

10mg

Tablets

28's

28

224.00

8.00

1340-2828-003

Lipostat

Pravastatin sodium

40 mg

Tablets

30's

30

230.50

7.68

2060-5266-001

Cholestyramine resin

Cholestyramine resin

Granules

30's (4 gm)

30

126.90

4.23

13. DERMATOLOGICAL MEDICINES (Topical)


13.1 Antifungal medicines (Topical)
1465-1801-003

Daktarin

Miconazole

2.0%

Cream

30g

16.00

16.00

1472-3019-002

Mikozal

Miconazole

2.0%

Cream

30g

12.00

12.00

1465-1801-006

Daktarin

Miconazole

2.0%

Dusting Topical Powder

20gm jar

11.50

11.50

1465-1800-001

Daktacort

Hydrocortisone, Miconazole nitrate

2.0%

Cream

15gm

12.00

12.00

1465-1801-005

Daktarin

Miconazole

2.0%

Oral Gel

40gm

20.00

20.00

1465-3254-001

Nizoral

Ketoconazole

2.0%

Cream

30g

18.50

18.50

1592-2715-002

Kenazole

Ketoconazole

2.0%

Cream

15gm

6.50

6.50

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

27 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1552-2762-001

Lamisil

Terbinafine

1.0%

Cream

15gm

No. Of units Pack Price

Unit Price

26.50

26.50
49.00

1552-2762-003

Lamisil

Terbinafine

1.00%

Spray

30ml

49.00

1556-2763-001

Lamisil Dermagel

Terbinafine

1.0%

Gel

15gm

26.50

26.50

1309-2153-001

Exoderil

Naftifine HCl

1.00%

Cream

30g

26.00

26.00

1497-1799-004

Daivonex

Calcipotriol

50mcg/ml

Scalp lotion

30ml

110.50

110.50

1497-1798-002

Daivobet

Calcipotriol+Betamethasone

0.05mg+0.5mg

Ointment

30gm

141.50

141.50

1523-1847-001

Dermamed

Clobetasol propionate

0.1%

Ointment

30g

18.50

18.50

1680-2981-002

Metaz

Mometazone Furoate

0.1%

Ointment

30g

20.50

20.50

1650-1942-002

Diprolene

Betamethasine Dipropionate

0.1%

Cream

30gm

22.00

22.00

1650-1942-004

Diprolene

Betamethasine Dipropionate

0.1%

Ointment

30gm

22.00

22.00

13.2 Anti-infective medicines (Topical)


1622-2230-003

Flamazine

Silver Sulfadiazine

1.0%

Cream

50gm

14.50

14.50

1472-3963-003

Silvadiazin

Silver Sulfadiazine

1.0%

Cream

50gm

7.00

7.00
42.50

1472-2927-002

Mebo

B-Sitosterol

0.25%

Ointment

30 g

42.50

1497-2306-001

Fucidin

Fucidic acid

2.0%

Cream

15gm

18.00

18.00

1497-2306-006

Fucidin

Fucidic acid(Na salt)

2.0%

Ointment

15gm

18.00

18.00

1464-2320-001

Fusibact

Sodium Fusidate

2.0%

Cream

15gm

11.00

11.00

1464-2320-002

Fusibact

Sodium Fusidate

2.0%

Ointment

15gm

11.00

11.00

1680-2322-001

Fusiderm

Fucidic Acid

2.0%

Cream

15gm

10.50

10.50

1523-2308-001

Fucimed

Fucidic Acid

2.0%

Cream

15g

11.00

11.00

1309-1342-001

Baneocin

(Bacitracin + Neomycin)

Ointment

Ointment

20gm

9.50

9.50

1309-1342-002

Baneocin

(Bacitracin + Neomycin)

powder

Powder

10gm

6.50

6.50

1973-1331-003

Bactroban

Mupirocin

2.0%

Ointment

15gm

30.50

30.50

1418-4562-008

Zovirax

Acyclovir

5.0%

Cream

2gm

27.00

27.00

1433-4097-004

Supraviran

Acyclovir

5.0%

Cream

2gm

19.50

19.50

1629-2486-001

Herpesan

Carbenoxolone

2.00%

Gel

5gm

12.50

12.50

1689-4073-001

Stiemycin

Erythromycin

2.0%

Solution

25ml

17.00

17.00

1648-2055-002

Elocom

Mometasone Furoate

0.1%

Cream

30gm

29.50

29.50

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

28 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1648-2055-004

Elocom

Mometasone Furoate

0.1%

Ointment

15gm

No. Of units Pack Price


1

16.50

16.50

1464-2051-001

Elica

Mometasone furoate

0.1%

Cream

30gm

19.50

19.50

1464-2051-002

Elica

Mometasone furoate

0.1%

Ointment

30gm

18.50

18.50

1595-1803-001

Dalacin T

Clindamycin

Topical Solution

Topical Soln.

30ml

25.00

25.00

1804-4669-001

Damor Line

Fitostimoline 15% + Phenoxyethanole


1%

15%+1%

Cream

32 gm

49.00

49.00

2015-5378-001

Permetharin

Permethrin

0.05

Cream

60gm

26.60

26.60

1288-1472-001

Calamine

Calamine

Lotion

Lotion

100ml

3.00

3.00

1782-4641-001

Calamine Green Wood

Calamine Lotion

Lotion

Lotion

150 ml

6.00

6.00

1410-2642-001

Ionil - T

Coal tar, Salicylic acid

42.5mg, 20mg/ml

Shampoo

200ml

45.00

45.00

1410-2844-003

Loceryl 5% Nail Lacquer

Amorolfin

50mg/ml

Topical Liquid

5ml Glass Bottle +


Nail files +
Spatulas + Swabs

274.00

274.00

1410-5075-001

Nutraderm

liquid parafin

13.00%

Cream

60 gm

40.00

40.00

1410-5075-002

Nutraderm

Liquid Paraffin 13% W/W in O/W


emulsion

13.00%

Lotion

200ml

45.00

45.00

Unit Price

13.3 Anti-inflammatory and antipruritic medicines (Topical)

1410-3329-001

Nutraplus

Urea

10.00%

Cream

100gm

50.00

50.00

1410-1373-003

Benzac AC

Benzoyl peroxide

5.00%

Gel

60gm

23.00

23.00

1786-4642-001

Urecare

Urea

10.0%

Cream

100 g

39.00

39.00

1472-1109-001

Alfacort

Hydrocortisone acetate

1.0%

Cream

15gm

7.50

7.50

1472-1109-002

Alfacort

Hydrocortisone acetate

1.0%

Ointment

15gm

7.50

7.50

1622-1332-001

Balad

Fusidic acid

2%

Cream

15gm

10.00

10.00

1464-2321-001

Fusibact B

Fusidic acid+Betamethasone

20mg+1mg/1gm

Cream

15gm

13.50

13.50

1497-2305-001

Fucicort

Fucidic acid+betamethasone

2%+0.1%

Cream

15gm

23.50

23.50

1497-2307-001

Fucidin H

Fucidic acid+Hydrocortisone

2%+1%

Cream

15gm

25.50

25.50

1523-1385-001

Betamed

Betamethasone

0.1%

Cream

15g

4.50

4.50

1523-1385-002

Betamed

Betamethasone

0.1%

Ointment

15g

4.50

4.50

1379-1382-001

Betaderm

Betamethasone

0.1%

Cream

20gm

6.50

6.50

1379-1382-002

Betaderm

Betamethasone

0.1%

Ointment

20gm

6.50

6.50

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

29 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1464-1393-001

Betazol

Betamethasone+Miconazole

0.5mg+20mg

Cream

30 gm

No. Of units Pack Price


1

1464-1394-001

Betazol G

Betamethasone+Gentamycin+miconazol
e

0.5mg+20mg+0.1mg

Cream

30 gm

1434-4113-001

Synalar

Flucinolone Acetonide

0.0%

Cream

15gm

1434-4114-001

Synalar-N

Flucinolone Acetonide+Neomycin

Cream

15gm

1262-1999-001

Dumozol 1%

Metronidazole

1.0%

Cream

1410-5116-001

Rozex

Metronidazole

0.75%

Reparil Gel N

Sodium aescinate+Dimethylamine
salicylate

20mg

1434-4114-002

Synalar-N

Flucinolone Acetonide+Neomycin

1787-4643-001

Ceralan

1787-4644-001

Unit Price

12.00

12.00

15.50

15.50

18.00

18.00

18.00

18.00

25g

61.00

61.00

Gel

30g

20.29

20.29

Gel

40g Tube

17.00

17.00

0.0%

Ointment

15gm

18.00

18.00

Aqua 55%, Ceramide

55.0%

Cream

100gm

46.00

46.00

Humektan

Aqua 80% / Butylene Glycol

60.0%

Cream

100gm

40.00

40.00

1787-4645-001

Aqualan L

Aqua 60%, Petrolatum

60.0%

Cream

100gm

45.00

45.00

1787-4646-001

Hydran

Aqua 40%,Paraffinum

80.0%

Cream

100gm

40.00

40.00

1805-1375-007

Bepanthen

Dexapanthenol

5.0%

Cream

30gm

17.00

17.00

1805-1375-006

Bepanthen

Dexapanthenol

5.0%

Ointment

30gm

17.00

17.00

Suspension

180ml

8.50

1508-3764-002

14. GASTROINTESTINAL MEDICINES


14.1 Antacids and other antiulcer medicines
1284-2895-001

Maalox

Aluminium hydroxide and MgHydroxide

500mg+240mg

8.50
Maalox Plus
1284-2897-003
1523-2934-003
1379-2095-001

Al-Hydroxide+MgHydroxide+Simethicone

225mg+200mg+25mg

Medacid Plus

Al-Hydroxide+MgHydroxide+Simethicone

Epicogel

Al-Hydroxide+Mg-Hydroxide
Dimethicone

combination

1276-1255-001

Asia lox

Al-Hydroxide+Mg-Hydroxide

combination

1472-3087-001

Moxal Plus

Al-Hydroxide+MgHydroxide+Simethicone

combination

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

1
Suspension

180ml

Suspension

200ml Bottle

Suspension

125 ml

Chewable Tablets

60's

Chewable Tablets

30's

9.00

9.00

7.00

7.00

5.50

5.50

60

6.50

0.11

6.00

0.20

30

30 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1618-2347-004

Gaviscon

500 mg

Suspension

200ml

11.00

1622-3797-002

Rialox

Calcium carbonate, Sodium alginate,


Sodium bicarbonate
Aluminium hydroxide, Magnesium
hydroxide

No. Of units Pack Price

Unit Price

Combination

Suspension

180ml

6.50

6.50

1397-2344-003

Gastrogel

Aluminium hydroxide, Magnesium


hydroxide, Magnesium trisilicate

Combination

Suspension

500ml

11.00

11.00

1379-2782-001

Laxomag

Magnesium Hydroxide

7.5%

Oral Suspension

125ml

5.50

5.50

1544-3185-001

Neogastro

Aluminium hydroxide+MgHydroxide

200mg+200mg

Chewable Tablets

50's

50

8.00

0.16

1618-2348-002

Gaviscon Advance

Potassium bicarbonate, Sodium alginate

100mg, 500mg/5ml

Suspension

300ml

26.50

1379-2343-001

Gastrofait

Sucralfate

1g

Tablets

20's

20.00

17.00

0.85

1544-3201-001

Neoprazole

Omeprazole

10 mg

Capsule

14's

14

44.00

3.14

1472-3824-001

Risek

Omeprazole

10mg

Capsule

14's

14

44.00

3.14

1369-3846-001

R-Omez

Omeprazole

20 mg

tablets

20's(2's Strip x 10)

20

114.50

5.73

1697-3386-002

Omiz

Omeprazole

20 mg

Capsules

14's

14

80.00

5.71

1431-2068-001

Emilok

Omeprazole

20 mg

Tablets

14's

14

74.50

5.32

1641-3382-001

Omerpex

Omeprazole

20mg

Capsules

14's

14

67.50

4.82

11.00

26.50

1250-3401-002

Oprazol

Omeprazole

20mg

Enteric Coated Tablets

14's

14

64.50

4.61

1544-3201-004

Neoprazole

Omeprazole

20mg

Capsules

14's

14

80.50

5.75

1567-3384-001

Omezyn

Omeprazole

20mg

Capsules

15's

15

82.00

5.47

1475-3037-001

Minisec-20

Omeprazole

20 mg

Capsules

14's

14

80.50

5.75

1673-2338-001

Gasec

Omeprazole

20 mg

GastroCaps

14's

14

104.50

7.46

1641-3382-002

Omeprez

Omeprazole

20 mg

Capsules

28's Bottle

28

135.50

4.84

1270-2340-001

Gastrazole

Omeprazole

20 mg

Capsule

14's

14

58.00

4.14

1360-3380-001

Omedar

Omeprazole

20 mg

Enteric Coated Tablets

14's Glass Bottle

14

63.50

4.54

1472-3824-002

Risek

Omeprazole

20mg

Capsule

14's

14

80.50

5.75

1544-3201-007

Neoprazole

Omeprazole

40 mg

Capsule

14's

14

156.50

11.18

1472-3824-005

Risek

Omeprazole

40mg

Capsule

14's

14

156.50

11.18

1264-3485-001

Pantozol

Pantoprazole

20 mg

Tablets

15's

15

73.00

4.87

1279-3234-001

Nexium

Esomeprazole

20 mg

Tablets

14's

14

79.50

5.68

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

31 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1279-3234-003

Nexium

Esomeprazole

40 mg

Tablets

14's

No. Of units Pack Price


14

111.00

Unit Price
7.93

1465-3492-003

Pariet

Rabeprazole

20 mg

Tablets

14's

14

98.00

7.00

1720-2771-001

Lanzor

Lanzoprazol

30mg

Capsules

14's

14

93.50

6.68

1264-3485-004

Pantozol

Pantoprazole

40 mg

Gastro-Resistant Tablets

15's

15

116.50

7.77

1276-1256-001

Asiamodin

Famotidine

20mg

Tablets

20's

20

30.50

1.53

1360-2164-002

Famodar

Famotidine

40 mg

Tablets

10's

10

46.50

4.65

1592-3139-003

Nadine

Ranitidine

75mg

Tablets

10's

10

10.50

1.05

1276-3716-001

Ranimed

Ranitidine

150 mg

Tablets

20's

20

32.00

1.60

1471-3713-001

Ranidine

Ranitidine

150 mg

Tablets

20's

20

19.00

0.95

1431-2395-002

Glotac

Ranitidine

150 mg

Film Coated Tablets

20's

20

33.00

1.65

1592-3139-001

Nadine

Ranitidine

150 mg

Tablets

20's

20

31.50

1.58

1471-3713-002

Ranidine

Ranitidine

300 mg

Tablets

10's

10

16.00

1.60

1592-3139-002

Nadine

Ranitidine

300mg

Tablets

10's

10

29.00

2.90

1405-2606-001

Infacol

Simethicone

40 mg/ mL

Suspension

50ml

23.00

23.00

1975-5457-001

Jasicone

Simethicone

105.8mg / 1 lozenge

Lozenge

20's

20

22.00

1.10

1453-1945-003

Disflatyl

Simeticone

40mg

Tablets/Chewable

30's

30

9.50

0.32

14.2 Antiemetic medicines


1368-2345-005

Gastronerton

Metoclopramide

4.65 mg/5ml

Drops

20ml

5.50

5.50

1472-3605-009

Premosan

Metoclopramide

5mg/5ml

Suspension

120ml

9.50

9.50

1464-1968-002

Dompy

Domperidone

1mg/ml

Suspension

200ml

1.00

12.00

12.00

1465-3082-005

Motilium

Domperidone

1mg/ml

Suspension

200ml

18.00

18.00

1635-3619-007

Primperan

Metoclopramide

10 mg

Tablet

20's

20

7.50

0.38

1465-3082-001

Motilium

Domperidone

10mg

Tablet

30's

30

24.50

0.82

1464-1968-001

Dompy

Domperidone

10 mg

Tablet

30's

30

14.00

0.47

1368-2345-006

Gastronerton

Metoclopramide

8.92 mg

Tablet

20's

20

6.50

0.33

1363-3619-002

Primperan Paediatric

Metoclopramide

10mg

Suppository

6's

5.00

0.83

1363-3619-005

Primperan

Metoclopramide

20mg

Suppository

6's

7.50

1.25

1465-3082-003

Motilium Baby

Domperidone

10mg

Suppository

6's

10.50

1.75

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

32 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1465-3082-006

Motilium Child

Domperidone

30 mg

Suppository

6's

No. Of units Pack Price


6

16.00

Unit Price
2.67

1465-3082-008

Motilium Adult

Domperidone

60mg

Suppository

6's

26.50

4.42

14.3 Anti-inflammatory medicines

1400-3515-001

Pentasa Enema

Mesalazine

1.0%

Solution

100ml Squeeze
Bottle x 7 +
Polythene Disposal
Bags

7
185.50

26.50

1398-3515-003

Pentasa

Mesalazine

1g

Suppositories

28's

28

271.50

9.70

1400-3515-004

Pentasa

Mesalazine

500 mg

Slow Release Tablets

100's

100

259.50

2.60

1400-3515-002

Pentasa

Mesalazine

1g

Prolonged Release Granules

50 Sachets

50

309.00

6.18

14.4 Laxatives
1472-2779-004

Laxocodyl

Bisacodyl

5mg

Suppository

10's

10

7.50

0.75

1317-1995-001

Dulcolax

Bisacodyl

5mg

Tablets

30's

30

6.00

0.20

1608-3746-001

Regutol

Docusate Sodium

100mg

Tablets

30's

30

9.50

0.32

1823-4015-003

Soflax stool softener

Docusate Sodium

100mg

Tablets

30's

30

9.00

0.30

1676-2001-003

Duphalac

Lactulose

667 mg/mL

Syrup

300ml

25.50

25.50

1622-3794-001

Rialac

Lactulose

66.0%

Liquid (Oral)

200ml

11.50

11.50

1473-2410-001

Glycilax (children)

Glycerine

0.75g

Suppository

12's

12

7.50

0.63

1259-3984-001

Skilax

Sodium Picosulphate

7.5mg/ml

Drops

15ml

6.00

6.00

3.50

14.5 Oral rehydration


1544-4647-001

Neolyte

Oral rehydration salts

15 gm

Sachets

5's

17.50

1542-3432-001

ORS Powder

Oral rehydration salts

30gm

Sachets

25's

25

39.50

1.58

1475-3421-001

Oralite

ORS

28.5g

Solution (Oral)/Powder for

10

10

20.00

2.00

2082-4845-003

Pediatric electrolyte

potassium 20meq, chloride 35 meq,


sodium 45 meq

Solution

237ml

11.50

11.50

20meq / 35 meq / 45 meq

1.25

14.6 Medicines for diarrhoea in adults


1465-2586-004

Imodium

Loperamide

2mg

Capsule

6's

7.50

1472-2700-001

Kaptin

Kaolin 2.7 gm,Pectin 0.06gm/15 ml

2.7 gm+ 0.06gm/15ml

Suspension

200ml

6.50

6.50

1471-1403-001

Bevacol

Mebeverine HCl

135mg

Film Coated Tablets

48's

48

33.00

0.69

1695-2104-001

Ercefuryl

Nifuroxazide

200 mg

Capsules (Hard Gelatin)

28's

28

21.00

0.75

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

33 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

No. Of units Pack Price

Unit Price

14.7 Medicines for hemorrhoid


1434-3629-001

Procto synalar

Flucinolone Acetonide+Lidocane

ointment

Ointment

15 gm

13.50

13.50

1434-3629-002

Proctosynalar

Flucinolone Acetonide+Lidocane

Suppository

Suppository

10's

10

16.00

1.60

1566-1976-001

Doxiproct Plus

dobesilate,Lidocaine

Ointment

Ointment

20 gm

19.00

19.00

1279-4507-001

Xyloproct

Aluminium diacetate, Hydrocortisone,


Lidocaine, Zinc oxide

Ointment

Ointment

20gm

1
14.00

14.00

1552-3628-001

Procto Glyvenol

Tribenoside+Lidocaine

5gm+2gm

Cream

30gm

18.00

18.00

1552-3628-002

Procto Glyvenol

Tribenoside+Lidocaine

5gm+2gm

Suppository

10's

10

20.00

2.00

1360-3631-001

Proctoheal

Bismuth subgallate, Fluocinolone


acetonide, Lidocaine HCl, Menthol

ointment

Ointment

15 gm

8.50

1360-3631-002

Proctoheal

Bismuth subgallate, Fluocinolone


acetonide, Lidocaine HCl, Menthol

0.1 mg / 40 mg

Suppository

10's

10

8.50

8.50

0.85

14.8 Antispasmodics
1472-3919-006

Scopinal

Hyoscine-N-Butyl Bromide

5 mg/5 mL

Syrup

100ml

10.00

1472-3919-003

Scopinal

Hyoscine-N-Butyl Bromide

10 mg

Tablet

20's

20

7.50

0.38

1317-1465-001

Buscopan 10mg

Hyoscine-N-Butyl Bromide

10 mg

Tablet

20's

20

12.50

0.63

1675-1901-001

Dicetel

Pinaverium Bromide

100mg

Film Coated Tablets

20's

20

40.00

2.00

1276-2009-001

Duspamed

Mebeverine HCL

135mg

Tablet

20's

20

13.00

0.65

1379-1705-001

Colospasmin Forte

Mebeverine HCL

135mg

Tablets

20's

20

13.00

0.65

1676-2011-002

Duspatalin

Mebeverine HCL

135mg

Tablets

50's

50

64.00

1.28

10.00

1464-2993-001

Meva

Mebeverine HCl

135mg

Tablets

30's

30.00

16.00

0.53

1676-2012-001

Duspatalin Retard

Mebeverine HCL

200 mg

Tablets

30's

30

57.00

1.90

1489-2806-001

Librocol

Chlordiazepoxide+Clidinium Bromide

5mg+2.5mg

Tablets

30's

30
15.00

0.50

1722-2805-002

Librax

Chlordiazepoxide+Clidinium Bromide

5mg+2.5mg

Tablets

30's

30

14.00

0.47

1276-1254-001

Asia brax

Chlordiazepoxide+Clidinium Bromide

5mg+2.5mg

Tablets

30's

30

10.00

0.33

1250-3586-001

Poxidium

Chlordiazepoxide+Clidinium Bromide

5mg+2.5mg

Tablets

30's

30

7.00

0.23

15. Insulins and other antidiabetic agents

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

34 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1559-1044-002

Actrapid HM

Insulin injection (soluble)

100ml unit/ml

vial

10ml

62.50

1382-2543-001

Humulin-R

Insulin injection (soluble)

100 IU/ml in 10-ml

Vial

10ml

54.50

54.50

1559-3073-001

Monotard HM

Intermediate-acting insulin insulin zinc

100 IU/ml in 10-ml

Vial

10ml

62.50

62.50

1559-2623-001

Insulatard HM

Intermediate-acting insulin isophane


insulin

100 IU/ml in 10-ml

Vial

10ml

62.50

62.50

1382-2542-001

Humulin-N (Isophane)

Intermediate-acting insulin isophane


insulin

100 IU/ml in 10-ml

Vial

10ml

54.50

1559-3057-001

Mixtard 30 HM

Mixed Insulin 70/30(isophane/ soluble)

100 IU/ml in 10-ml

Vial

10ml

62.50

1382-2536-001

Humulin(30/70)

Mixed Insulin 70/30(isophane/ soluble)

100 IU/ml in 10-ml

Vial

10ml

54.50

54.50

1559-1045-002

Actrapid HM Penfill

Insulin

100IU/5x3ml

Cartridge

3ml Cartridge x 5

108.50

21.70

1559-2624-002

Insulatard HM Penfil

Insulin

100 IU/5x3ml

Cartridge

3ml Cartridge x 5

108.50

21.70

1559-3313-001

Novo Mix 30 Penfil 100 IU/5x3ml

Insulin - Aspart biphasic (human


recombinant)

100 IU/5x3ml

Cartridge

221.00

44.20

1969-2768-001

Lantus for Optipen

Insulin

100 IU/5x3ml

Cartridge

3ml Cartridge x 6

396.00

79.20

1559-3058-002

Mixtard 30 HM Penfill

Insulin - Isophane biphasic (human)

100 IU/5x3ml

Cartridge

3ml Cartridge x 5

108.50

21.70

1382-2530-002

Humalog

Insulin

100IU/ml

Vial

120.50

120.50

1501-2531-001

Humalog Mix25

Insulin Lispro

100IU/ml

3ml Pre-filled Pen x 5

287.00

57.40

1969-2767-001

Lantus

Insulin - Glargine

100 IU/ml

Vials

251.00

251.00

1969-5203-001

Lantus Solostar

Insulin

100iu/ml

Solution for Injection

10 ml
3ml Pre-filled Pen
x5
10 ml
3ml Pre-filled Pen
x5

409.50

81.90

1969-2769-001

Lantus Optiset

Insulin

100 IU/ml

Solution

3ml Optiset x 5

409.50

81.90

1382-2532-001

Humalog Mix 25

Insulin Lispro Mix 25

100 IU/ml

Injection

120.50

120.50

273.00

54.60

221.50

44.30

3ml Cartridge x 5

No. Of units Pack Price

Unit Price
62.50

54.50
62.50

1501-2530-001

Humalog pen

Insulin Lispro

100 IU/ml

injection

1501-2530-003

Humalog 3ml cartridge

Insulin Lispro

100 IU/ml

injection

10 ml
3ml prefilled
pens/5's
3ml cartridge/5's

1501-2530-004

Humalog Mix 25, 3ml cartridge

Insulin Lispro Mix 25

100 IU/ml

injection

3ml cartridge/5's

221.50

44.30

1501-2530-005

Humalog Mix 50, 3ml cartridge

Insulin Lispro Mix 50

100 IU/ml

injection

3ml cartridge/5's

221.50

44.30

1559-1045-001

Actrapid HM Penfill

Insulin

100 IU/ml

Cartridge

1.5ml x 5

60.00

12.00

1559-2799-001

Levemir Penfill

Insulin

100 IU/ml

Cartridge

3ml x 5

358.50

71.70

1559-2798-001

Levemir Flexpen 100 U/ml

Insulin

100 IU/ml

FlexPen

3ml x 5

398.00

79.60

1559-3318-001

Novorapid FlexPen

Insulin

100 IU/ml

FlexPen

3ml x 5

5.00

301.00

60.20

1559-3312-001

Novomix 30 FlexPen

Insulin

100 IU/ml

FlexPen

3ml x 6

5.00

301.00

60.20

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

35 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1559-3058-001

Mixtard 30 HM Penfill

Insulin

100 IU/ml

Cartridge

1.5ml x 5

60.00

12.00

1559-3059-001

Mixtard 30 Novolet

Insulin

100 IU/ml

Novolet

3ml x 5

174.50

34.90

1559-3319-001

Novorapid Penfill

Insulin

100 IU/ml

Cartridge

3ml x 5

203.50

40.70

1969-1207-001

Apidra

Insulin

100IU/ml

Cartridge

3ml x 5

228.00

45.60

1969-1207-002

Apidra

Insulin

100 U/ml

Vial

152.00

152.00

1283-5181-001

Apidra Solostar

Insulin

100IU/ml

Solution for Injection

10ml
3ml Pre-filled Pen
x5

241.00

48.20

1528-2401-003

Glucophage

Metformin

500 mg

Tablet

50's

50

14.50

0.29

1528-2401-005

Glucophage

Metformin

850 mg

Tablet

30's

30

15.00

0.50

1528-2401-001

Glucophage

Metformin

1000 mg

Tablet

30's

30

20.00

0.67

1528-2405-001

Glucovanace

Metformin+Glibenclamide

500/2.5mg

Tablet

30's

30

18.00

0.60

1528-2405-002

Glucovanace

Metformin+Glibenclamide

500/5mg

Tablet

30's

30

22.50

0.75

1484-2385-001

Glibomet

Metformin+Glibenclamide

400mg/2.5mg

Film Coated Tablets

40's

40

19.50

0.49

1531-4675-001

Janumet

Metformin+Sitagliptin

50mg/1000mg

Film Coated Tablets

56's

56

300.00

5.36

1489-2953-003

Melix

Glibenclamide

5mg

Tablets

30's

30

19.00

0.63

1448-1809-002

Daonil

Glibenclamide

5mg

Tablet

30's

30

31.00

1.03

1544-3195-001

Neomet

Metformin

500mg

Tablets

30's

30

5.00

0.17

1544-3196-001

Neomet XR

Metformin extended release

500 mg

Tablets

30's

30

12.00

0.40

1283-1143-001

Amaryl

Glimepiride

1mg

Tablet

30's

30

26.00

0.87

1283-1143-002

Amaryl

Glimepiride

2mg

Tablet

30's

30

45.50

1.52

1283-1143-003

Amaryl

Glimepiride

3mg

Tablet

30's

30

64.00

2.13

1544-4616-001

Sucratec

Glimepiride

1mg

Tablet

30's

30

18.00

0.60

1544-4616-006

Sucratec

Glimepiride

2mg

Tablet

30's

30

32.00

1.07

1544-4616-008

Sucratec

Glimepiride

3mg

Tablets

30's

30

45.00

1.50

1276-2386-001

Glimaryl-2

Glimepiride

2mg

Tablets

30's

30

23.50

0.78

1300-2400-002

Glucobay

Acarbose

50mg

Tablet

30's

30

27.50

0.92

1300-2400-001

Glucobay

Acarbose

100mg

Tablet

30's

30

39.00

1.30

1598-3022-001

Minidiab

Glipizide

5mg

Tablet

30's

30

12.00

0.40

1499-1891-001

Diamicron MR

Gliclazide

30mg

Tablet

30's

30

41.50

1.38

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

No. Of units Pack Price

Unit Price

36 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1431-2062-002

Emicron

Gliclazide

80 mg

Tablet

60's

No. Of units Pack Price


60

38.00

Unit Price
0.63

1472-2417-001

Glyzide

Gliclazide

80 mg

Tablet

60's

60

38.00

0.63

1556-5195-001

Galvus

Vidagliptin

50 mg

Tablets

28's

28

141.00

5.04

1699-1042-001

Actos

Pioglitazone

15 mg

Tablet

30's

30

132.00

4.40

1382-2406-001

Glustin

Pioglitazone

15 mg

Tablets

30's

30

151.50

5.05

1382-2406-002

Glustin

Pioglitazone

30 mg

Tablets

30's

30

215.00

7.17

1699-1042-002

Actos

Pioglitazone

30 mg

Tablet

30's

30

179.50

5.98

1420-1302-005

Avandia

Rosiglitazon

4 mg

Tablets

28's

28

140.50

5.02

1672-1300-007

Avandamet

Rosiglitazone, Metformin

2mg/1gm

Tablets

56's

56

173.00

3.09

1531-2679-002

Januvia

Sitagliptin

25mg

292.00

10.43

Sitagliptin phosphate

50 mg

28's
28's

28

Januvia

Film Coated Tablets


Tablets

28

292.00

11.05

Januvia

Sitagliptin phosphate

100 mg

Tablets

28's

28

292.00

11.05

1531-2679-003
1531-2679-001

16. Hormones,Other Endocrine Medicines


1624-3194-001

Neo-Mercazole

Carbimazole

5 mg

Tablet

100's

100

24.50

0.25

1556-4573-001

Aclasta

Zoledronic Acid

5mg/100ml

Solution for Injection

100ml Plastic Vial

2525.50

2525.50

1527-2142-003

Euthyrox

Levothyroxine Sodium

25mcg

Tablet

100's

100

16.00

0.16

1527-2142-004

Euthyrox

Levothyroxine Sodium

50mcg

Tablet

100's

100

20.50

0.21

1417-2057-004

Eltroxin

Levothyroxine Sodium

50 mcg

Tablet

100's

100

21.00

0.21

1527-2142-001

Euthyrox

Levothyroxine Sodium

100 mcg

Tablet

100's

100

30.00

0.30

1417-2057-002

Eltroxin

Levothyroxine Sodium

100 mcg

Tablet

100's

100

23.00

0.23

1527-2142-002

Euthyrox

Levothyroxine Sodium

150 mcg

Tablet

100's

100

35.00

0.35

1529-2291-001

Fosamax(once weekly)

Alendronate

70 mg Tablet

Tablet

4's

190.50

47.63
50.75

1531-2292-001

Fosavance

(Alendronate + Colecalciferol

70 mg/ 2800 IU

Tablet

4's

203.00

1595-4023-001

Solu-Cortef

Hydocortisone Sodium Succinate

100 mg Vial

Injection

1's

7.50

7.50

1595-3675-004

Provera

Medroxyprogesterone

5mg

Tablets

24's

24

12.00

0.50

1644-3616-001

Primolut N

Norethisterone

5mg

Tablets

30's

30

27.50

0.92

1601-1973-001

Dostinex

Cabergoline

0.5mg

Tablets

2's

60.00

30.00

1644-3617-001

Primolut Depot 250mg/ml ( 1ml )


injection

Hydroxyprogesterone caproate

250 mg/mL (1 mL)


injection

Injection

1's

21.50

21.50

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

37 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1792-4648-001

Propylthiouracil

Propylthiouracil

50mg Tablet

Tablet

100

1644-3645-001

Progyluton

Estradiol, Norgestrel

Tablets

100's
21's Blister (11
White Tablets + 10

1735-3601-002

Premarin

Conjugated Estrogen

0.625mg

tablet

1776-5276-001

Conjugated Estrogens /
Medroxyprogesterone

Conjugated Estrogens /
Medroxyprogesterone

0.625mg/2.5mg

tablet

No. Of units Pack Price

Unit Price

38.00

0.38

21

17.00

0.81

100's

100

24.00

0.24

100's

100

36.30

0.36

17. Opthalmic/Ear Preprations


17.1 Opthalmological/Ear (Anti Bacterial)Agents
1254-4221-002

Tobrex

Tobramycin

0.3%

Eye ointment

3.5gm

17.50

17.50

1254-4221-001

Tobrex

Tobramycin

0.3%

Eye Drops

5 ml

21.00

21.00

1254-4220-001

Tobradex

Tobramycin+Dexamethasone

3mg+1mg/ml

Eye Drops

5ml

27.00

27.00

1497-2309-001

Fucithalmic 1%

Fusidic acid

10mg/gm

Eye ointment

5 gm

18.00

18.00

1650-2333-003

Garamycin

Gentamicin

0.3%

Eye Drops

5ml

7.00

7.00

1268-1210-001

Apigen

Gentamicin

0.3%

Eye Drops

10ml

5.00

5.00

1622-2360-001

Gentacin

Gentamicin

0.30%

Eye drops

8ml

9.50

9.50

1773-2364-004

Gentamicin

Gentamicin

0.3%

Eye ointment

5gm

8.50

8.50

1622-2360-002

Gentacin

Gentamicin

0.3%

Eye Ointment

5gm

9.00

9.00

1252-1697-001

Colircusi Gentamicin

Gentamicin

0.30%

Eye Drops

10ml

8.00

8.00

1257-3351-001

Oflox

Ofloxacin

0.30%

Eye Drops

5ml

17.00

17.00

1464-3408-001

Optiflox

Ofloxacin

0.3%

Eye Drops

5ml

13.50

13.50

1622-3450-001

Oxacin

Ofloxacin

0.3%

Eye Drops

5ml

7.50

7.50

1472-3480-001

Panderm

Nystatin,Neomycin,Gramicin and
Triamcinolone - 15 g

Cream

Cream

15gm

11.50

1705-4562-004

Zovirax

Acyclovir

3.0%

Eye ointment

4.5 gm

53.50

53.50

1464-3403-001

Optichlor 0.5%

Chloramphenicol

5mg/ml

eye drops

10ml

8.00

8.00

1622-3792-002

Riachol

Chloramphenicol

1.0%

eye ointment

5 gm

6.00

6.00

1622-3792-001

Riachol

Chloramphenicol

0.50%

Eye Drops (Solution)

10ml

7.00

7.00

1253-1608-001

Ciloxan

Ciprofloxacin

0.3%

Eye Drops (Solution)

5ml

21.00

21.00

1622-1616-001

Ciprocin

Ciprofloxacin

0.30%

Eye / Ear Drops (Solution)

5ml

14.00

14.00

1622-3450-001

Oxacin

ofloxacin

0.30%

Eye drops

5ml

7.50

7.50

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

11.50

38 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1622-3348-001

Ocured

Antazoline sulfate, Naphazoline nitrate

combination

Eye Drops (Solution)

10ml

No. Of units Pack Price


1

8.00

Unit Price
8.00

1426-3445-002

Otosporin

Neomycin+polymyxin+hydrocortisone

Ear Drops

Ear Drops

5ml

19.00

19.00

1268-3202-001

Neopred-P

Prednisolone/NeomycinPolymyxin-B

0.5%/0.5%/1000000

Eye Drops

10 ml

11.00

11.00

1268-3181-001

Neodex

Tetrahydrozoline+Neomycine+Dexameth
asone

0.5%/0.1%

Eye/ear Drops

10 ml

8.50

1254-2924-001

Maxitrol

Dexamethasone/ neomycin/ polymyxin

Eye Drops

Eye Drops

5ml

17.00

17.00

1254-2924-002

Maxitrol

Dexamethasone/ neomycin/ polymyxin

Eye oint

Eye oint

3.5gm

11.00

11.00

1254-2921-001

Maxidex

Dexamethasone

0.1% Eye/ear Drops

Eye/ear Drops

5 ml

18.50

18.50

1256-2231-001

Flavaco Otic

Neomycin+polymyxin B

Ear Drops

Ear Drops

10 ml

11.00

11.00

1268-3446-001

Otozol 1%

Clotrimazole 1%

Ear Drops

Ear Drops

10 ml

15.00

15.00

1268-1860-001

Dewax

Docusate Sodium

Ear Drops

Ear Drops

10 ml

5.00

5.00

1622-4386-001

Waxsol

Docusate Sodium

Ear Drops

Ear Drops

10 ml

7.00

7.00

1629-4283-001

Tropex

Phenazone

5%

Drops

10ml

8.00

8.00

1256-4295-001

Tyotocin

Antipyrine, Benzocaine, Hexylresorcinol,


Tyrothricin

Ear Drops

Ear Drops

15 ml

6.50

1464-3415-001

Optizolin

Antazoline HCl, Tetrazoline HCl

0.5mg+0.4mg/ml

Eye Drops

10 ml

7.50

7.50

1529-4215-001

Timoptol 0.25%

Timolol

0.25% Eye Drops

Eye Drops

5ml

42.50

42.50

1529-4215-002

Timoptol 0.5%

Timolol

0.5% Eye Drops

Eye Drops

5ml

50.00

50.00

1252-1762-002

Cusimolol

Timolol

0.5% Eye Drops

Eye Drops

5ml

18.00

18.00

1529-4285-001

Trusopt 2%

Dorsolamide

2.0%

Eye Drops

5 ml

70.00

70.00

1529-1746-001

Cosopt

Dorzolamide + Timolol

2%, 0.5%

Eye Drops

5ml

115.50

115.50

1556-4311-003

Ultracortenol

Prednisolone

1.0%

Eye Drops

5 ml

16.50

16.50

1257-3592-001

Pred Forte

Prednisolone

1.0%

Eye Drops

5ml

14.50

14.50

1464-3414-001

Optipred

Prednisolone

1.0%

Eye Drops

5ml

11.50

11.50

1464-3407-001

Optidex T

Tobramycin+Dexamethasone

3mg+1mg/ml

Eye Drops

5ml

20.50

20.50

1356-3354-001

Oftalmolosa Cusi Blefarida

Cortisone Acetate+Chloramphenicol

Eye Ointment

Eye Ointment

3gm

4.00

4.00

1360-1907-001

Diclogesic 0.1%

Diclofenac Sodium

5 ml

Eye Drops

5ml

13.50

13.50

1253-4251-001

Travatan 0.004%

Travoprost

0.004%

eye drops

2.5ml

95.00

95.00

8.50

6.50

17.2 Opthalmological/Ear (Anti-inflammatory agents)

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

39 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1344-2841-003

Locacorten Vioform

Clioquinol/Flumethasone

1% / 0.02%

Ear Drops

7.5 ml

Tears Natural

Dextran 70, Hydroxypropylmethyl


cellulose

Eye Drops

Eye Drops

15 ml

Tears Natural II

Dextran 70, Hydroxypropylmethyl


cellulose

Eye Drops

Eye Drops

15 ml

Prednisolone

1.00%

1254-4150-001
1253-4152-001
1253-2029-001

Econopred Plus 1%

0.18 % HP Guar , Polyethylene glycol


400 , Propylene glycol, Polyquad

1881-5122-002
Systane

No. Of units Pack Price


1
1

Unit Price

14.00

14.00

12.00

12.00

14.50

14.50

1
Eye Drops

5ml

14.50

14.50

10ml

47.00

47.00

0.10

Eye Drops
combination

18. MEDICINES ACTING ON THE RESPIRATORY TRACT


18.1 Antiasthmatic and medicines for chronic obstructive pulmonary disease
1471-1262-002

Asmanore

Salbutamol

4 mg

Tablet

30's

30

3.00

1417-4398-005

Ventolin

Salbutamol

2mg

Tablet

20's

20

8.50

0.43

1472-1467-008

Butalin

Salbutamol

4 mg

Tablets

20's

20

8.00

0.40

1698-4395-001

Vental Inhaler

Salbutamol

100 mcg per metered


dose

MD Inhaler

200 doses

15.50

1419-4400-001

Ventolin Evohaler

Salbutamol

100mcg

Evohaler

200 doses

42.00

42.00

1419-4399-001

Ventolin Diskus

Salbutamol

200mcg

Dry Powder Inhaler

60 doses

39.00

39.00

Solution

20ml

25.50

15.50

1422-4398-011

Ventolin Resp. Solution

Salbutamol

5 mg/mL Solution for


nebulization

1523-3887-001

Salbutamed

Salbutamol

2mg/5ml

Syrup (Sugar Free)

100ml

6.50

6.50

1750-3946-001

Seretide Diskus

Fluticasone + Salmetrol

50/100mcg

Dry Powder Inhaler

60 discus

211.50

211.50

1750-3946-002

Seretide Diskus

Fluticasone + Salmetrol

50/250mcg

Dry Powder Inhaler

264.00

264.00

1422-2243-008

Flixotide 250

Fluticasone propionate

250 mg

Inhaler/Aerosol

150.50

150.50

1422-2243-007

Flixotide 50

Fluticasone propionate

50mg

Inhaler/Aerosol

42.50

42.50

20

25.50

1234-3325-003

Nuelin sa

Theophylline

250 mg

Tablet

60 discus
60 Metered Dose
Inhaler
60 Metered Dose
Inhaler
20's

14.50

0.73

1294-4327-001

Uniphyllin Continus

Theophylline

200mg

Tablet

56's

56

28.00

0.50

1294-4327-002

Uniphyllin Continus

Theophylline

300mg

Tablet

56's

56

40.50

0.72

1967-1290-001

Atrovent N

Ipratropim

20 mcg per puff

MD Inhaler

200 doses

47.00

47.00

1279-3684-003

Pulmicort

Budesonide

0.5 mg/mL (2 mL) nebule


(for inhalation)

Solution

2ml Units x 20 (5's


x 4)

20

233.00

11.65

1279-3684-002

Pulmicort

Budesonide

0.25 mg/mL (2 mL)


nebule (for inhalation)

Solution

2ml Units x 20 (5's


x 4)

20

181.00

9.05

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

40 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

1279-3684-005

Pulmicort turbuhaler

inhaler

Pack Size
100 Dose
Turbuhaler

1279-3784-001

Rhinocort Aqua

Budesonide

32mcg/dose

Nasal Spray

120 Dose Spray

44.50

44.50

1531-3976-002

Singulair Paediatric

Montelukast

4 mg

Chewable Tablets

28's

28

219.00

7.82

1531-3976-001

Singulair Paediatric

Montelukast

4 mg

Granules

28 sachet

28

219.00

7.82

1531-3975-002

Singulair 5mg (Paediatric)

Montelukast

5mg

Tablets/Chewable

28's

28

242.00

8.64

1531-3975-001

Singulair

10mg

Tablets

28's

28

242.00

8.64

1279-4108-002

Symbicort Turbuhaler

Montelukast Sodium
budesonide 80 mcg and formoterol
fumarate
5 dihydrate 4.5 mcg)
budesonide 80 mcg and formoterol
fumarate
5 dihydrate 4.5 mcg)

80/4.5mcg/dose

Inhaler (Dry Powder)

120 Dose Inhaler

232.50

1279-4109-001

Symbicort Turbuhaler

Generic Name
Budesonide

Strength

Dosage Form

200mcg/dose

No. Of units Pack Price


115.00
1

232.50
160/4.5mcg/dose

Inhaler (Dry Powder)

120 Dose Inhaler

1
1

275.00

275.00

306.50

306.50

6.50

0.26

74.00

74.00

76.50

76.50

87.00

87.00

Alvesco

Cicesonide

160mcg

Aerosol Inhaler

120 Puffs Metered


Dose Inhaler

1714-1279-004

Atarax

Hydroxyzine

25 mg Tablet

Tablet

25's

25

1650-3153-001

Nasonex

Mometasone

50 mcg per metered dose

Nasal Spray (Metered-dose


Pump Spray)

120 doses

NASAL SPRAY

(120 Metered
sprays)

Nasal Spray

120 Actuations
Spray Bottle

1264-1140-001

1420-2242-001

Flixonase

Fluticasone Propionate

0.05%
27.5mcg/Dose

1750-5182-001
Avamys

Unit Price
115.00

Fluticasone furoate
18.2 Decongestants/Cough Syrups/Mucolytics/Expectorants

1417-1033-001

Actifed Syrup

Triprolidine,Pseudophederine

1.25 mg / 30 mg per 5 mL

Syrup

100 ml

8.50

1250-4259-001

Trifed

Triprolidine,Pseudophederine

1.25 mg / 30 mg per 5 mL

Syrup

100 ml

4.00

1622-3804-001

Riaxin

Bromhexine HCl

4mg/5ml

Syrup

100ml

7.50

7.50

1552-3971-001

Sinecod

Butamirate citrate

0.15% w/v

Syrup

200ml

20.00

20.00

1472-2260-003

Flukit

Paracetamol, Phenylephrine HCl,


Promethazine HCl, Salicylamide

combination

tablets

7.00

0.35

1250-4259-002

Trifed

Triprolidine,Pseudophederine

2.5 mg / 60 mg

Tablet

20's

20

5.50

0.28

1417-1033-006

Actifed Tablet

Triprolidine,Pseudophederine

2.5 mg / 60 mg

Tablet

24's

24

12.50

0.52

1472-3095-001

Mucolyte

Bromhexine HCl

4mg/5ml

Syrup

100ml

7.50

7.50

1472-3100-001

Mucum

Ambroxol

15mg/5ml

Syrup (Sugar Free)

100ml

7.50

7.50

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

20's

20

8.50
4.00

41 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1552-3448-007

Otrivin Menthol

Xylometazoline Menthol

0.1%

Nasal spray

Xyloloin

Xylometazoline

0.1%

Nasal spray

10ml
10ml Metered
Dose Spray Bottle
(200 Dose)

1552-3448-004

Otrivin Adults 0.1% (adult)

Xylometazoline

0.1%

Nasal spray

10ml

2083-4964-002

Co-Codamol

Paracetamol + codiene

500 mg+ 30 mg

Tablet

100's

100

30.00

0.30

1552-4417-004

Vibrocil

Dimethindene maleate, Phenylephrine

0.25mg, 2.5mg/ml

Nasal Spray

11.50

11.50

1552-4418-001

Vibrocil MD

Dimethindene maleate, Phenylephrine

Nasal Spray

10ml
15ml Meterd Dose
Spray Bottle

21.50

21.50

1552-3448-003

Otrivin Paeds

Xylometazoline

0.05%

Nasal drops

10 ml

14.50

14.50

1622-4504-001

Xylomet (adult)

Xylometazoline

0.1%

Nasal drops

15 ml

9.00

9.00

1368-1337-001

Balkis

Xylometazoline

0.1%

Nasal drops

10ml Bottle

5.50

5.50

1368-1337-002

Balkis

Xylometazoline

0.1%

Nasal drops

10ml Bottle

7.50

7.50

1268-1825-001

Decozal (pediatric)

Xylometazoline

0.1%

Nasal drops

10 ml

5.50

5.50

1622-4505-001

Xylomet (pediatric)

Xylometazoline

0.1%

Nasal drops

15 mL

8.00

8.00

2079-5330-001

Isomer Baby spray No Gas

isotonic solution

spray

30ml

39.00

39.00

2084-5398-001

Salinose adult

Sodium chloride

0.90%

spray

30ml

12.00

12.00

2084-5399-001

Salinose Baby

Sodium chloride

0.90%

drops

20ml

12.00

12.00

1961-5170-006

Tonimer Normal spray

Sodium chloride

0.90%

Spray

30ml

30.00

30.00

1472-4503-002

No. Of units Pack Price

Unit Price

25.50

25.50

9.50

9.50

21.50

21.50

19. VITAMINS AND MINERALS (covered in case of deficiency only)


1472-4458-002

VitaminB Complex

B complex

B complex

Tablet

20's

20

2.50

0.13

1471-1674-002

Cobal

Vitamin- B12 (Mecobalamin)

500mcg

Tablets

30's

30.00

25.50

0.85

1472-3694-004

Pyridoxin

Pyridoxine

40mg

Tablet

20's

20

7.00

0.35

1591-4457-002

Viitamin A 50000 I.U.

Vitamin A

50 000 IU(110 mg)

Capsule

24's

24

9.50

0.40

1526-3225-002

Neurobion

Vit.B1+B6+B12

B-Complex

Tablets

20's

20

23.00

1.15

1489-4261-003

Trilagavit

Vit.B1+B6+B12

200mg+100mg+1000mcg

Film Coated Tablets

30's

30

28.00

0.93

1276-1259-001

Asiavit M

Vitamins and minerals

combination

Syrup

200ml

12.50

12.50

1735-2917-001

Materna

Pregnancy Multivitamin

Pregnancy Multivitamin

Tablets

100's

100

38.50

0.39

1793-4855-001

Pregnacare

Pregnancy Multivitamin

Pregnancy Multivitamin

Tablets

30's

30.00

25.60

0.85

1732-2221-001

Ferus B12

Pregnancy Multivitamin

Pregnancy Multivitamin

Capsules

30's

30

11.50

0.38

1632-1482-001

Calcium Sandoz forte

Calcium Carbonate

500 mg

Eff. Tablet

10's

10

11.00

1.10

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

42 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name
Calcium glubionate, Calcium
lactobionate

1475-1489-001

Calsyr

1735-1490-001

Dosage Form

Pack Size

combination

Syrup (Alcohol Free)

100ml

Caltrate

Calcium Carbonate

600mg

Tablet

60's

60

1794-4649-001

Caltrate with vit.D

Calcium Carbonate+Vit. D3

600mg+200 IU.

Tablet

60's

60

1732-3442-001

44.00

0.73

Osteocare

Calcium+Vit.D3+mg+zn

150mg+75iu+3mg

Syrup

200ml

13.50

13.50

1732-3442-002

Osteocare

Calcium+Vit.D3+mg+zn

400mg+100iu+150mg+15
mg

Tablet

30's

30

24.00

1552-5456-001

Sandoz Osteomix

Ca, vit D, Mag., Zn, Vit K

combination

Eff. Tablet

20's

20

26.00

1270-1820-001

Decal B12

Calcium+Vit.D3+B12

calcium+Vit.D3+B12

Syrup

120 ml

8.50

8.50

1525-3228-002

Neurorubine Forte Lactabs

Vit.B1+B6+B12

200mg+50mg+1000mcg

Tablets

20's

20

18.50

0.93

1727-4460-001

Vitamin B12 Depot

Hydroxycobalamine acetate

1mg/ml

Solution for Injection

1ml Ampoule x 3

32.00

10.67

1526-3225-001

Neurobion

Vit.B1+B6+B12

3ml

Injection

3ml Ampoule x 3

16.00

5.33

1250-3229-001

Neurovitan

Vitamine B-Complex

combination

Tablets

30's

30

11.00

0.37

1262-1399-001

Betolvex

Vitamin B12

1000 mcg/mL injection

Vial

1's

24.50

24.50

1497-3395-002

One alpha

Alfacalcidol

0.25mcg

Capsule

30's

30

34.00

1.13

1497-3395-004

One alpha

Alfacalcidol

0.5mcg

Capsule

30's

30

76.00

2.53

1498-3395-006

One alpha

Alfacalcidol

2mcg/ml

Drops

20ml

105.50

105.50

1497-3395-005

One Alpha

Alfacalcidol

1mcg

Capsule

100's

100

314.50

3.15

1499-3669-001

Protelos

Strontium Ranelate

2gm

Granules

28 Sachets

28

270.50

9.66

2066-5253-001

Calciferol

Ergocalciferol (Vitamin D2)

8,000 or 8288IU/ml

176.00

50000 IU

60ml
100's

176.00

Vitamin D

Drops
Capsules

D-Forte

100

127.00

1.27

Phosphorus

Phosphorus

500mg

Eff. Tablet

100's

100

275.00

2.75

1828-5283-001
2081-5384-001

Strength

No. Of units Pack Price

Unit Price

7.00

7.00

25.50

0.43

0.80
1.30

20. Urology
1256-4337-001

Urispas

Flavoxate HCL

200mg

Tablet

30's

30

31.50

1.05

1379-2097-001

Epimag

Magnisium Citrate

42.49gm/100gm

Powder

10 sachets

10

6.00

0.60

Ural

Citric Acid Anhydrous+Sodium


Bicarbonate+Sodium Citrate
Anhydrous+Tartaric Acid

combination

Effervescent Granules

4g Sachet x 28

28

15.50

Alka-UR

Sodium Bicarbonate+Tartaric Acid+Citric


Acid

1238-4330-001

1542-1116-001

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

0.55
10
Effervescent Granules

4g Sachet x 10

10.00
1.00

43 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Uralyt-U

Hexapotassium Hexasodium pentacitrate

combination

1508-4331-001

Dosage Form

Pack Size

Granules

280g Jar

No. Of units Pack Price


1

69.00

Unit Price

69.00

1525-4345-001

Uvamin retard

Nitrofurantoin

100 mg

Capsules

20's

20

15.00

0.75

1598-1858-001

Detrusitol

Tolterodine

1mg

Tablets

28's

28

84.50

3.02

1629-3861-002

Rowatinex

Borneol, Camphene, Cineol, Fenchone,


Olive oil, Pinene

combination

capsules

50's

50

14.50

0.29

1629-3858-002

Rowachol

Borneol, Camphene, Cineol, Menthol,


Menthone, Olive Oil, Pinene

combination

capsules

50's

50

21.00

0.42

1400-3036-001

Minirin

Desmopressin

0.1mg

Tablets

30's

30.00

181.00

6.03

1400-3036-003

Minirin

Desmopressin

0.2mg

Tablets

30's

30.00

329.50

10.98

1244-2674-001

Itrin 2mg

Terazosin

2mg

Tablets

30's

30

50.00

1.67

1244-2674-002

Itrin 5mg

Terazosin

5mg

Tablets

14's

14

58.00

4.14

1695-4493-001

Xatral XL

Alfuzosin

10mg

Tablets

30's

30

184.00

6.13

1695-4492-001

Xatral SR 5mg

Alfuzocin

5mg

Sustained Release Tablets

56's

56

143.00

2.55

1442-1515-001

Cardura 1mg

Doxazosin Mesylate

1mg

Tablets

20's

20

62.50

3.13

1442-1515-003

Cardura 4mg

Doxazosin Mesylate

4mg

Tablets

20's

20

107.50

5.38

1641-3387-001

Omnic 0.4mg caps

Tamsulosin

0.4 mg

Capsule

30's

30

144.00

4.80

Finasteride

5 mg

Tablet

28's

28

223.50

7.98

20.1 BPH therapy agents

1531-3656-001

Proscar

21. Vasoprotective
1552-4394-001

Venoruton Forte

Ramipril

500mg

Tablets

30's

30

99.00

3.30

1499-1789-001

Daflon

Diosmin+Hespiridin

500mg

Tablets

30's

30

46.00

1.53

1566-1911-006

Dicynone

Etamsylate

500 mg

Tablets

20's

20.00

51.50

2.58

84.60

8.46

22. Malignancy & Immunosuppression


1788-4650-001

Rescuvolin

Calcium Folinate

15mg

Tablet

10's

10

1417-2797-001

Leukeran

Thioguanine

2mg

Tablet

25's

25

29.50

1.18

1556-3900-001

Sandimmun Neoral

Cyclosporin

100mg

Capsule

50's

50

1030.27

20.61

1556-3900-004

Sandimmun Neoral

Cyclosporin

25mg

Capsule

50's

50

266.77

5.34

1277-2081-002

Endoxan Asta

Cyclophosphamide

50mg

Tablet

50's

50

32.00

0.64

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

44 of 45

National Health Insurance Company - Daman


P.O. Box 128888
Abu Dhabi, U.A.E
Phone: + 971 2 6149555
Fax: +971 2 6149550

Abu Dhabi Plan Drug List


Version 4 - Effective from 1st of June 2009

Shaded Drugs are available only in Public Providers


Code

Drug Trade Name

Generic Name

Strength

Dosage Form

Pack Size

1336-4401-001

Vepesid

Etoposide

100mg

Capsule

10's

No. Of units Pack Price


10

1523.50

Unit Price
152.35

1789-4651-001

Plaquenil

Hydroxychloroquine

200 mg

Tablet

60's

60

107.76

1.80

1778-4652-001

Hydrea

Hydroxyurea

500 mg

Capsule

100's

100

178.00

1.78

1788-4653-001

Megaplex

Megestrol

160 mg

Tablet

30's

30

242.50

8.08

1781-4654-001

Purinethol

Mercaptopurine

50 mg

Tablet

25's

25

73.50

2.94

1776-2985-008

Methotrexate

Methotrexate

2.5mg

Tablet

100's

100

86.30

0.86

1790-4655-001

Procarbazine

Procarbazine

50mg

Tablet

50's

50

566.76

11.34

1280-3261-001

Nolvadex D 20mg

Tamoxifen

20 mg

Tablet

30's

30

78.00

2.60

1280-3260-001

Nolvadex

Tamoxifen

10mg

Coated Tablets

30's

30

63.00

2.10

1280-1241-001

Arimidex

Anastrozole

1mg

Tablet

28's

28

694.00

24.79

1383-2144-001

Evista

Raloxifene

60 mg

Tablet

14's

14

90.00

6.43

1496-4132-002

Tamofen

Tamoxifen

20 mg

Tablet

30's

30

55.00

1.83

1556-2188-001

Femara

Letrozole

2.5mg

Tablet

30's

30

909.50

30.32

Copyright: Daman

Doc. No.: EXH/NW.05 Version No.: 1

Revision No.: 0

Date Issued: 13/05/2009

45 of 45

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