Daman Closed Drug Formulary List_DNE

Effective Date: 1 November 2021

Disclaimer:

This list is owned by National Health Insurance Company- Daman and subject to modifications (additions/deletions) based on the changes in regulators’ drug lists. Recipients of this file must refrain from publishing, distributing and modifying the data.

‫إخالء المسؤولية‬:

‫ يجب على مستلم هذا الملف االمتناع عن نشر وتوزيع وتعديل البيانات‬.‫ الحذف) بناًء على التغييرات في قوائم األدوية للجهات التنظيمية‬/ ‫ ضمان وتخضع للمتابعة (اإلضافة‬- ‫هذه القائمة مملوكة للشركة الوطنية للضمان الصحي‬.

START_DATE END_DATE DDC_CODE TRADE_NAME SCIENTIFIC_NAME INGREDIENT_STRENGTH DOSAGE_FORM_PACKAGEROUTE_OF_ADMIN

PACKAGE_PRICEGRANULAR_UNIT
MANUFACTURER
REGISTERED_OWNER SOURCE STATUS
17-Jun-21 NA 0137-115902-1451 AMOPRESS (AMLODIPINE : AMLODIPINE [5 MG] CAPSULES (HARD GE ORAL 39.5 28 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-127402-1451 AZOMAX 250MG (AZITHROMYCINAZITHROMYCIN [250 MG] CAPSULES (HARD GE ORAL 32.5 6 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-148602-0391 CLAREX (CLARITHROMYCI CLARITHROMYCIN [500 MG] FILM COATED TABLE ORAL 51.5 14 SAUDI ARABICITY PHARMACY CMOH Active
1-Oct-21 NA 4973-638501-0391 DEPOJOY 30MG (DAPOXETINE (ADAPOXETINE (AS HYDROCHLORIDE) [30 MG]FILM COATED TABLE ORAL 61.0 6 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.10.26)
1-Oct-21 NA 4973-638502-0391 DEPOJOY 60MG (DAPOXETINE (ADAPOXETINE (AS HYDROCHLORIDE) [60 MG]FILM COATED TABLE ORAL 61.0 6 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.10.26)
17-Jun-21 NA 4973-819103-0391 LIXIANA 15MG (EDOXABAN : 15EDOXABAN [15 MG] FILM COATED TABLE ORAL 136.5 14 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.04.10)
17-Jun-21 NA 4973-819102-0391 LIXIANA 30MG (EDOXABAN : 30EDOXABAN [30 MG] FILM COATED TABLE ORAL 273.0 28 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.04.10)
17-Jun-21 NA 4973-819101-0391 LIXIANA 60MG (EDOXABAN : 60EDOXABAN [60 MG] FILM COATED TABLE ORAL 273.0 28 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.04.10)
17-Jun-21 NA 0137-118203-1171 VASOPRIL (ENALAPRIL MALENALAPRIL MALEATE [10 MG] TABLETS (30'S, BLORAL 32.5 30 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-118201-1171 VASOPRIL (ENALAPRIL MALENALAPRIL MALEATE [20 MG] TABLETS (30'S, BLORAL 43.0 30 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-118202-1171 VASOPRIL (ENALAPRIL MALENALAPRIL MALEATE [5 MG] TABLETS (30'S, BOORAL 19.0 30 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 4973-122302-0391 ETOXA 120MG (ETORICOXIB : ETORICOXIB [120 MG] FILM COATED TABLE ORAL 13.0 7 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.12.07)
17-Jun-21 NA 4973-122301-0391 ETOXA 60MG (ETORICOXIB : ETORICOXIB [60 MG] FILM COATED TABLE ORAL 59.5 30 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2021.10.26)
17-Jun-21 NA 4973-122303-0391 ETOXA 90MG (ETORICOXIB : ETORICOXIB [90 MG] FILM COATED TABLE ORAL 59.5 30 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2021.10.26)
17-Jun-21 NA 0137-312201-1171 EZECHOL 10MG (EZETIMIBE : 10EZETIMIBE [10 MG] TABLETS (30'S, BLIORAL 84.0 30 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.10.26)
17-Jun-21 NA 0137-268402-1451 ITRAZOL (ITRACONAZOLEITRACONAZOLE [100 MG] CAPSULES (HARD GE ORAL 111.5 15 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-268402-1452 ITRAZOL (ITRACONAZOLEITRACONAZOLE [100 MG] CAPSULES (HARD GEORAL 35.0 4 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-589701-0391 LEVOZIN 5MG (LEVOCETIRIZINLEVOCETIRIZINE DIHYDROCHLORIDE [5 MG] FILM COATED TABLEORAL 15.5 20 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.10.27)
17-Jun-21 NA 0137-274301-0391 LEVAQUIN 500MG (LEVOFLOXACINLEVOFLOXACIN (AS HEMIHYDRATE) [500 MG]FILM COATED TABLE ORAL 39.0 5 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.10.27)
17-Jun-21 NA 0137-261301-1171 ROXONIN (LOXOPROFEN : LOXOPROFEN [60 MG] TABLETS (20'S, BLORAL 30.5 20 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-261303-0721 ROXONIN TAPE 100MG (LOXOPROFEN SLOXOPROFEN SODIUM [100 MG] PATCHES (7'S, PATTRANSDERMAL35.5 7 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.10.27)
17-Jun-21 NA 0137-261302-0721 ROXONIN TAPE 50MG (LOXOPROFEN SLOXOPROFEN SODIUM [50 MG] PATCHES (7'S, PATTRANSDERMAL28.5 7 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.10.27)
1-Nov-21 NA 4973-672701-2191 BETMIGA 50MG (MIRABEGRON :MIRABEGRON [50 MG] PROLONGED RELEAS ORAL 209.5 30 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2021.12.16)
17-Jun-21 NA 4973-395401-0081 ALLAIR 4MG (MONTELUKASTMONTELUKAST
( (AS SODIUM) [4 MG] CHEWABLE TABLETS ORAL 77.5 30 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.04.22)
17-Jun-21 NA 4973-395402-0081 ALLAIR 5MG (MONTELUKASTMONTELUKAST
( (AS SODIUM) [5 MG] CHEWABLE TABLETS ORAL 77.5 30 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.04.22)
17-Jun-21 NA 0137-125902-0391 MOXICAN 400MG (MOXIFLOXACINMOXIFLOXACIN (AS HCL) [400 MG] FILM COATED TABLEORAL 50.0 7 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.10.27)
17-Jun-21 NA 0137-618002-0391 SEVIKAR 20/10 (OLMESARTAN MEOLMESARTAN MEDOXOMIL/AMLODIPINE (AS F BILM COATED TABLEORAL 131.5 28 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.12.07)
17-Jun-21 NA 0137-326801-0391 OLMETEC PLUS (OLMESARTAN M OLMESARTAN MEDOXOMIL/HYDROCHLOROTHIA FILM COATED TABLEORAL 100.5 28 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-326802-0391 OLMETEC PLUS (OLMESARTAN M OLMESARTAN MEDOXOMIL/HYDROCHLOROTHIA
FILM COATED TABLE
ORAL 134.0 28 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-326803-0391 OLMETEC PLUS (OLMESARTAN M OLMESARTAN MEDOXOMIL/HYDROCHLOROTHIFILM COATED TABLE
ORAL 134.0 28 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-174201-1451 OMEPREX 20MG (OMEPRAZOLE :OMEPRAZOLE [20 MG] CAPSULES (HARD GE
ORAL 104.0 28 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-174201-1452 OMEPREX 20MG (OMEPRAZOLE :OMEPRAZOLE [20 MG] CAPSULES (HARD GE
ORAL 52.0 14 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-242801-0341 PANTOLOC 20MG (PANTOPRAZOLE PANTOPRAZOLE (AS SODIUM) [20 MG] ENTERIC COATED TA
ORAL 28.0 15 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.06.10)
17-Jun-21 NA 0137-242801-0342 PANTOLOC 20MG (PANTOPRAZOLE PANTOPRAZOLE (AS SODIUM) [20 MG] ENTERIC COATED TA
ORAL 45.5 30 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.06.10)
17-Jun-21 NA 0137-242802-0341 PANTOLOC 40MG (PANTOPRAZOLE PANTOPRAZOLE (AS SODIUM) [40 MG] ENTERIC COATED TA
ORAL 45.5 15 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.06.10)
17-Jun-21 NA 0137-242802-0342 PANTOLOC 40MG (PANTOPRAZOLE PANTOPRAZOLE (AS SODIUM) [40 MG] ENTERIC COATED TA
ORAL 80.5 30 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.06.10)
17-Jun-21 NA 0137-155602-0391 ROZAVI 10MG (ROSUVASTATINROSUVASTATIN (AS CALCIUM) [10 MG] FILM COATED TABLE
ORAL 48.0 28 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.10.27)
17-Jun-21 NA 0137-155601-0391 ROZAVI 20MG (ROSUVASTATINROSUVASTATIN (AS CALCIUM) [20 MG] FILM COATED TABLE
ORAL 78.0 28 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.10.27)
17-Jun-21 NA 0137-111402-0391 SIMVATEN (SIMVASTATIN : SIMVASTATIN [10 MG] FILM COATED TABLE
ORAL 54.5 30 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-111401-0391 SIMVATEN (SIMVASTATIN : SIMVASTATIN [20 MG] FILM COATED TABLE
ORAL 60.0 30 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-111403-0391 SIMVATEN (SIMVASTATIN : SIMVASTATIN [40 MG] FILM COATED TABLE
ORAL 98.5 30 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-338301-0391 VESICARE (SOLIFENACIN SSOLIFENACIN SUCCINATE [10 MG] FILM COATED TABLE
ORAL 203.0 30 SAUDI ARABICITY PHARMACY CMOH Active
17-Jun-21 NA 0137-338302-0391 VESICARE 5MG (SOLIFENACIN SSOLIFENACIN SUCCINATE [5 MG] FILM COATED TABLE
ORAL 158.0 30 SAUDI ARABICITY PHARMACY CMOH Active
17-Aug-21 NA 4973-147002-0391 TANDO 5MG (TADALAFIL : 5 TADALAFIL [5 MG] FILM COATED TABLE
ORAL 156.0 30 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.01.06)
17-Jun-21 NA 4973-166103-0391 ARBAVAL 160MG (VALSARTAN : 1VALSARTAN [160 MG] FILM COATED TABLE
ORAL 61.5 28 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.04.10)
17-Jun-21 NA 4973-151101-0391 ARBAVAL PLUS 160/12.5MG (VALSARTAN : 1VALSARTAN/HYDROCHLOROTHIAZIDE [160 MFILM COATED TABLE
ORAL 55.0 28 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.04.10)
17-Jun-21 NA 4973-151102-0391 ARBAVAL PLUS 160/25MG (VALSARTAN : 1VALSARTAN/HYDROCHLOROTHIAZIDE [160 MFILM COATED TABLE
ORAL 58.0 28 SAUDI ARABICITY MEDICAL STMOH Grace (to be discontinued on 2022.01.10)
17-Jun-21 NA 0137-166104-0391 ARBAVAL 320MG (VALSARTAN : 3VALSARTAN [320 MG] FILM COATED TABLE
ORAL 71.0 28 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.04.10)
17-Jun-21 NA 0137-151105-0391 ARBAVAL PLUS 320/25MG (VALSARTAN : 3VALSARTAN/HYDROCHLOROTHIAZIDE [320 MFILM COATED TABLE
ORAL 78.0 28 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.04.10)
17-Jun-21 NA 0137-166102-0391 ARBAVAL 40MG (VALSARTAN : 4VALSARTAN [40 MG] FILM COATED TABLE
ORAL 20.5 28 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.10.27)
17-Jun-21 NA 0137-166101-0391 ARBAVAL 80MG (VALSARTAN : 8VALSARTAN [80 MG] FILM COATED TABLE
ORAL 34.0 28 SAUDI ARABICITY PHARMACY CMOH Grace (to be discontinued on 2022.10.27)

Doc. No.: PRO/9010_Annex 4 PUBLIC 1

 Daman Closed Drug Formulary List_AD

Effective Date: 1 November 2021

Disclaimer:

This list is owned by National Health Insurance Company- Daman and subject to modifications (additions/deletions) based on the changes in regulators’ drug lists. Recipients of this file must refrain from publishing, distr
modifying the data.

‫إخالء المسؤولية‬:

‫ يجب على مستلم هذا الملف االمتناع عن نشر وتوزيع وتعديل البيانات‬.‫ الحذف) بناًء على التغييرات في قوائم األدوية للجهات التنظيمية‬/ ‫ ضمان وتخضع للمتابعة (اإلضافة‬- ‫هذه القائمة مملوكة للشركة الوطنية للضمان الصحي‬.

Drug code Package name Generic name Strength Dosage form Package size Package price to Public Unit Price to Public Status Agent Name

M08-0249-002AMOPRESS Amlodipine Besilate 5 mg Capsules 28's (7's Blister x 4) 33 1.18 Active CITY MEDICAL STORE

M08-4802-003SEVIKAR Amlodipine Besilate,Olmesartan M 10 mg,20 mg Tablets 28's (14's Blister x 2) 131.5 4.7 Active CITY MEDICAL STORE

M08-0505-005AZOMAX Azithromycin (Dihydrate) 250 mg Capsules 6's Blister 32.5 5.42 Active CITY MEDICAL STORE

M08-1007-013CLAREX Clarithromycin 500 mg Tablets 14's (7's Blister x 2) 51.5 3.68 Active CITY MEDICAL STORE

M08-7389-015DEPOJOY Dapoxetine Hydrochloride 30 mg Tablets 6s 61 10.16 Active CITY MEDICAL STORE

M08-7389-015DEPOJOY Dapoxetine Hydrochloride 60 mg Tablets 6s 61 10.16 Active CITY MEDICAL STORE

M08-7967-078Lixiana Edoxaban tosilate 30 mg Film Coated Tabl 28's (14's blister x 2) 273 9.75 Active CITY MEDICAL STORE

M08-7967-078Lixiana Edoxaban tosilate 60 mg Film Coated Tabl 28's (14's blister x 2) 273 9.75 Active CITY MEDICAL STORE

M08-7967-078Lixiana Edoxaban tosilate 15 mg Film Coated Tabl 14's blister 136.5 9.75 Active CITY MEDICAL STORE

M08-5456-020VASOPRIL Enalapril Maleate 5 mg Tablets 30's (10's Blister x 3) 19 0.63 Active CITY MEDICAL STORE

M08-5456-020VASOPRIL Enalapril Maleate 10 mg Tablets 30's (10's Blister x 3) 27.5 0.92 Active CITY MEDICAL STORE

M08-5456-020VASOPRIL Enalapril Maleate 20 mg Tablets 30's (10's Blister x 3) 35.5 1.18 Active CITY MEDICAL STORE

M08-7943-022Etoxa Etoricoxib 120 mg Tablets 7's blister 13 1.86 Active CITY MEDICAL STORE

M08-7943-022ETOXA Etoricoxib 60 mg Tablets 30's 59.5 1.98 Active CITY MEDICAL STORE

M08-7943-022ETOXA Etoricoxib 90 mg Tablets 30's (15's Blister x 2) 59.5 1.98 Active CITY MEDICAL STORE

M08-7085-022EZECHOL Ezetimibe 10 mg Tablets 30s 84 2.8 Active CITY MEDICAL STORE

M08-6320-023FINORMA Finasteride 5 mg Tablets 30s 65 2.16 Active CITY MEDICAL STORE

M08-3835-041OLMETEC PLUS Hydrochlorothiazide,Olmesartan M 12.5 mg,40 mg Tablets 28's (7's Blister x 4) 134 4.79 Active CITY MEDICAL STORE

M08-3835-041OLMETEC PLUS Hydrochlorothiazide,Olmesartan M 25 mg,40 mg Tablets 28's (7's Blister x 4) 134 4.79 Active CITY MEDICAL STORE

M08-3835-041OLMETEC PLUS Hydrochlorothiazide,Olmesartan M 12.5 mg,20 mg Tablets 28's (14's Blister x 2) 100.5 3.59 Active CITY MEDICAL STORE

M08-7093-057ARBAVAL PLUS Hydrochlorothiazide,Valsartan 12.5 mg,160 mg Tablets 28s 55 1.96 Active CITY MEDICAL STORE

M08-7093-057ARBAVAL PLUS Hydrochlorthiazide,Valsartan 25 mg,160 mg Tablets 28s 58 2.07 Active CITY MEDICAL STORE

M08-7093-057ARBAVAL PLUS Hydrochlorthiazide,Valsartan 25 mg,320 mg Tablets 28s 78 2.79 Active CITY MEDICAL STORE

M08-2641-032ITRAZOL Itraconazole 100 mg Capsules 15's (5's Blister x 3) 111.5 7.43 Active CITY MEDICAL STORE

M08-2641-032ITRAZOL Itraconazole 100 mg Capsules 4's Blister 35 8.75 Active CITY MEDICAL STORE

M08-7144-033LEVAQUIN Levofloxacin 500 mg Tablets 5s 39 7.8 Active CITY MEDICAL STORE

Doc. No.: PRO/9010_Annex 3 PUBLIC 2

M08-4669-035ROXONIN Loxoprofen Sodium 60 mg Tablets 20's (10's Blister x 2) 30.5 1.53 Active CITY MEDICAL STORE
M08-0600-063BETMIGA Mirabegron 50 mg Prolonged Releas30s 209.5 6.98 Active CITY MEDICAL STORE

M08-7649-038ALLAIR Montelukast Sodium 4 mg Chewable Tablets30s 77.5 2.58 Active CITY MEDICAL STORE

M08-7649-038ALLAIR Montelukast Sodium 5 mg Chewable Tablets30s 77.5 2.58 Active CITY MEDICAL STORE

M08-7642-038MOXICAN Moxifloxacin Hydrochloride 400 mg Tablets 7s 50 7.14 Active CITY MEDICAL STORE

M08-3853-041OMEPREX Omeprazole 20 mg Capsules 28's Bottle 104 3.71 Active CITY MEDICAL STORE

M08-3853-041OMEPREX Omeprazole 20 mg Capsules 14's Bottle 52 3.71 Active CITY MEDICAL STORE

M08-4012-042PANTOLOC Pantoprazole Sodium 20 mg Enteric Coated Ta30's (15's Blister x 2) 45.5 1.52 Active CITY MEDICAL STORE

M08-4012-042PANTOLOC Pantoprazole Sodium 20 mg Enteric Coated Ta15 's Blister 28 1.87 Active CITY MEDICAL STORE

M08-4012-042PANTOLOC Pantoprazole Sodium 40 mg Enteric Coated Ta30's (15's Blister x 2) 80.5 2.68 Active CITY MEDICAL STORE

M08-4012-042PANTOLOC Pantoprazole Sodium 40 mg Enteric Coated Ta15 's Blister 45.5 3.03 Active CITY MEDICAL STORE

M08-7327-049ROZAVI Rosuvastatin Calcium 10 mg Tablets 28s 48 1.71 Active CITY MEDICAL STORE

M08-7327-049ROZAVI Rosuvastatin Calcium 20 mg Tablets 28s 78 2.78 Active CITY MEDICAL STORE

M08-4830-051SIMVATEN Simvastatin 10 mg Tablets 30's (10's Blister x 3) 33 1.1 Active CITY MEDICAL STORE

M08-4830-051SIMVATEN Simvastatin 20 mg Tablets 30's (10's Blister x 3) 39 1.3 Active CITY MEDICAL STORE

M08-4830-051SIMVATEN Simvastatin 40 mg Tablets 30's (10's Blister x 3) 66.5 2.22 Active CITY MEDICAL STORE

M08-5496-052VESICARE Solifenacin Succinate 10 mg Tablets 30's (10's Blister x 3) 203 6.77 Active CITY MEDICAL STORE

M08-5496-052VESICARE Solifenacin Succinate 5 mg Tablets 30's (10's Blister x 3) 158 5.27 Active CITY MEDICAL STORE
M08-7094-057ARBAVAL Valsartan 160 mg Tablets 28s 61.5 2.2 Active CITY MEDICAL STORE
M08-7094-057ARBAVAL Valsartan 320 mg Tablets 28s 71 2.54 Active CITY MEDICAL STORE

M08-7094-057ARBAVAL Valsartan 40 mg Tablets 28s 20.5 0.73 Active CITY MEDICAL STORE
M08-7094-057ARBAVAL Valsartan 80 mg Tablets 28s 34 1.21 Active CITY MEDICAL STORE

Doc. No.: PRO/9010_Annex 3 PUBLIC 3

ipients of this file must refrain from publishing, distributing and

‫هذه القائمة مملوكة للشركة الوطنية للضمان الصح‬.

Manufacturer Name
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA

Doc. No.: PRO/9010_Annex 3 PUBLIC 4

Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA
Saudi Arabian Japanese Pharmaceutical Co. Ltd (SAJA), SAUDI
ARABIA

Doc. No.: PRO/9010_Annex 3 PUBLIC 5

AMOPRESS Amlodipine Besilate
AZOMAX 250MG Amlodipine Besilate,Olmesartan Medoxomil
CLAREX Azithromycin (Dihydrate)
DEPOJOY 30MG Clarithromycin
DEPOJOY 60MG Dapoxetine Hydrochloride
LIXIANA 15MG Dapoxetine Hydrochloride
LIXIANA 30MG Edoxaban tosilate
LIXIANA 60MG Edoxaban tosilate
VASOPRIL Edoxaban tosilate
DDC AD
VASOPRIL Enalapril Maleate
VASOPRIL Enalapril Maleate
ETOXA 120MG Enalapril Maleate
ETOXA 60MG Etoricoxib
ETOXA 90MG Etoricoxib
EZECHOL 10MG Etoricoxib
ITRAZOL Ezetimibe
ITRAZOL Finasteride
LEVOZIN 5MG Hydrochlorothiazide,Olmesartan Medoxomil
LEVAQUIN 500MG Hydrochlorothiazide,Olmesartan Medoxomil
ROXONIN Hydrochlorothiazide,Olmesartan Medoxomil
ROXONIN TAPE 100MG Hydrochlorothiazide,Valsartan
ROXONIN TAPE 50MG Hydrochlorthiazide,Valsartan
BETMIGA 50MG Hydrochlorthiazide,Valsartan
ALLAIR 4MG Itraconazole
ALLAIR 5MG Itraconazole
MOXICAN 400MG Levofloxacin
SEVIKAR 20/10 Loxoprofen Sodium
OLMETEC PLUS Mirabegron
OLMETEC PLUS Montelukast Sodium
OLMETEC PLUS Montelukast Sodium
OMEPREX 20MG Moxifloxacin Hydrochloride
OMEPREX 20MG Omeprazole
PANTOLOC 20MG Omeprazole
PANTOLOC 20MG Pantoprazole Sodium
PANTOLOC 40MG Pantoprazole Sodium
PANTOLOC 40MG Pantoprazole Sodium
ROZAVI 10MG Pantoprazole Sodium
ROZAVI 20MG Rosuvastatin Calcium
SIMVATEN Rosuvastatin Calcium
SIMVATEN Simvastatin
SIMVATEN Simvastatin
VESICARE Simvastatin
VESICARE 5MG Solifenacin Succinate
TANDO 5MG Solifenacin Succinate
ARBAVAL 160MG Valsartan
ARBAVAL PLUS 160/12.5MG Valsartan
ARBAVAL PLUS 160/25MG Valsartan
ARBAVAL 320MG Valsartan
ARBAVAL PLUS 320/25MG
ARBAVAL 40MG
ARBAVAL 80MG