GUIDE TO MEDICAL / PARAMEDICAL PRACTITIONERS

LIST OF DANGEROUS DRUG PREPARATIONS (DDPs)

ACQUISITION / DISPENSING / PRESCRIBING:

To be purchased through an approved PDEA Form 1-04 (Local Transfer Permit). To be prescribed and
dispensed through the DOH Official Prescription Form (Yellow Rx). Only one (1) dangerous drug
preparation shall be prescribed in one single prescription form. Partial filling allowed. STRICTLY NO
REFILL.

RECORDING / REPORTING :
To be recorded in an appropriate Dangerous Drugs Register in accordance with the PDEA-prescribed
format. To submit semi-annual report not later than January 15 and July 15 of each year.

LICENSE REQUIRED:
Prescribing Physician / Dentist / Veterinarian S2 License
Retail Dealer of DDPs S3 License
Wholesaler Dealer of DDPs S4 License
Manufacturer / Repacker of DDPs S5-C License
Importer of DDPs S5-I License
Exporter of DDPs S5-E License

Dangerous Drug Brand Name, Importer (I) / Distributor (D) /

(Active Ingredient) Dosage Form & Strength / CPR Manufacturer (M)
Alprazolam ** Alprazolam tablet I / D: Sandoz Phils. Corp.,
250mcg Makati City
Blister 10’s
Boxes 50’s & 100’s Manufactured in: Germany
BFAD Reg. No.: DR-XY 33818
valid until 21 Sep 2007
** Alprazolam tablet
500mcg
Blister 10’s
Boxes 50’s & 100’s
BFAD Reg. No.: DR-XY 33825
valid until 21 Sep 2007
** Alprazolam tablet
1mg
Blister 10’s
Boxes 20’s & 50’s
BFAD Reg. No.: DR-XY 33824
valid until 21 Sep 2007
** Altraxic tablet - PHASED OUT PNF Pharml
** Altrox tablet I / D: Torrent Pharma Phils.
250mcg Inc., Makati City
Blister 10’s
Boxes 20’s Manufactured in: India
BFAD Reg. No. DR-XY31615
valid until 11 Apr 2011
** Altrox tablet
500mcg
Blister 10’s
Boxes 20’s & 100’s
BFAD Reg. No. DR-XY31685

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 Valid until 26 Jun 2011
** Praz tablet I / D: Getz Bros. Phils. Inc.,
250mcg Pasig City
Blister 10’s
Boxes 30’s Manufactured in: Pakistan
BFAD Reg. No.: DR-XY 33603
valid until 19 Jul 2012
** Praz tablet
500mcg
Blister 10’s
Boxes 30’s
BFAD Reg. No.: DR-XY 33602
valid until 19 Jul 2012
** Praz tablet
1mg
Blister 10’s
Boxes 30’s
BFAD Reg. No.: DR-XY 33601
valid until 19 Jul 2012
** Xanor XR tablet(controlled release) I: Pfizer
500mcg
Blister 10’s M/Packer: Belgium
Boxes 100’s
BFAD Reg. No.: DR-XY29868
valid until 11Aug2009
** Xanor tablet
250mcg
Blister 10’s
Boxes 100’s
BFAD Reg. No.: DR-XY29166
valid until 20Nov2008
** Xanor tablet I: Pfizer
500mcg
Blister 10’s M: Puerto Rico
Boxes 100’s Packer: Belgium
BFAD Reg. No.: DR-XY14607
valid until 21Mar2010
** Xanor tablet
1mg
Blister 10’s
Boxes 100’s
BFAD Reg. No.: DR-XY16774
valid until 21Mar2010
Bromazepam ** Lexotan tablet I: Roche Phils., Inc., Makati
1.5mg City
Blister 10’s
Boxes 100’s D: Zuellig Pharma
BFAD Reg. No. DR-10006 Corporation, Makati City
valid until 31 Jul 2012
Packed By: Astra Zeneca
Pharml Phils Inc., Pque City
**___ tablet I: Buergli Pharma Inc.
3mg
Boxes 30s

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Buprenorphine Norspan (or Butrans?) patch Mundipharma
5mcg/hr or 5mg; 10mcg/hr or 10mg;
20mcg/hr or 20mg
Boxes- 2’s
Chlordiazepoxide ** Limbitrol capsules? Valeant Pharma
12.5mg
Bottles 30’s & 100’s
Clonazepam ** Clonotril tablet I: Torrent Pharma Phils Inc
0.5mg & 2mg
Boxes – 20s
** Rivotril tablet I: Roche Phils., Inc, Makati
2mg City
Bottles – 100’s
BFAD Reg. No. DR-X1996 D: Zuellig Pharma Corp.,
valid until 06Mar2011 Makati City

Manufactured in: Switzerland

Clorazepate Dipotassium ** Tranxene capsules I: Sanofi Aventis

5mg R: Interphil Labs
Foil Strips – 4’s
Boxes – 100’s
BFAD Reg. No. DR-X1254
valid until14Oct2009
Codeine Codipront N capsules I/D: Croma Medic Inc, Makati
[as poly (styrene divinyl 30mg City
benzene) sulfonate] Boxes 10s
BFAD Reg. No. DR-XY27186 Manufactured in: Indonesia
valid until 10 Apr 2012
Codipront N syrup
11.11mg/5mL, 60mL
Bottles - 1
BFAD Reg. No. DR-XY22113
valid until 22 Oct 2012
Diazepam Anxiol ampule I / D: Endure Medical Inc.,
5mg/mL, 2mL Pasig City
Boxes 10’s
BFAD Reg. No. DR-XY29833 Manufactured in: R.O.C.
valid until 09 Aug 2012
Anxionil ampule Amherst Parenterals
__mg/__mL, __mL
Diazepam ampule I/D: Int’l Apex Pharml’s, Pasig
5mg/mL, 2mL City
Boxes 50’s
BFAD Reg. No. DR-XY27221 Manufactured in: Thailand
valid until 21 Dec 2011
** Diazepam tablet
5mg
Boxes 100s
BFAD Reg. No. DR-XY29469
valid until 18 Mar 2009
Diazepam ampule I/D: Pharmasan Inc
5mg/mL, 2mL
BFAD Reg. No. DR-XY30801 M: in India

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 valid until 06Jun2008
Diazepam ampule I/D: Syncare Pharml Inc.
5mg/mL, 2mL
BFAD Reg. No. DR-XY32160 M: in India
valid until 17Aug2011
Lorcam ampule I / D: Lord and Lady Sales,
5mg/mL, 2mL Quezon City
BFAD Reg. No. DR-XY22760
valid until 20 Nov 2008 M: Thailand
** Nixtensyn tablet M: San Marino Labs
5mg T: Kramer Pharml
Boxes 100s
BFAD Reg. No. DR-XY29469
valid until 18Mar2009
Trankil ampule I/D: Duopharma Trade Phils
5mg/mL, 2mL
Boxes 10’s M: in Germany
BFAD Reg. No. DR-XY29949
valid until 03 Sep 2009
Trazepam ampule Amherst Parenterals
__mg/__mL, __mL
Valium ampule I: Roche Phils., Inc., Makati
5mg/mL, 2mL City
Boxes 10’s
BFAD Reg No. DR-6298 D: Zuellig Pharma
valid until 14 Apr 2013 Corporation, Makati City
** Valium tablet
2mg Packed By: Astra Zeneca
Blister 10’s Pharml Phils Inc., Pque City
Boxes 100’s
BFAD Reg. No. DR-4031
valid until 07 Aug 2008
** Valium tablet
5mg
Blister 10’s
Boxes 100’s
BFAD Reg. No. DR-4032
valid until 27 Apr 2011
** Valium tablet
10mg
Blister 10s
Boxes 100s
BFAD Reg. No. DR-4033
valid until 02 Aug 2011
** Valzep tablet San Marino Labs
5mg
Blister 10’s
Boxes 100s
Zopamid Ampule D: PNF Pharmaceutical
5mg/mL, 2mL
Boxes 10s M: in Malaysia
BFAD Reg. No. DR-XY33674
valid until 26 Jul 2012
Ephedrine Sulfate Ephedrine Sulfate ampule M: Hizon Labs

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 50mg/mL, 1mL
Boxes 100s
BFAD Reg No. DR-4468
valid until 21 Feb 2013
Ephedrine Sulfate ampule Quinosil
50mg/mL, 1mL
Boxes 100s
Estazolam ** Esilgan tablet T: Takeda Chemicals Inc
1mg M: Swiss Pharma
Blister 10s
Boxes 100s
BFAD Reg No. DR-X3131-L
valid until 06 Oct 2013
Fentanyl Durogesic D-Trans Transdermal I: J & J, Pque
Patch R: Interphil Labs, Laguna
12mcg/hr (2.1mg patch) D: ZPC, Makati
Boxes 5s
BFAD Reg No. DR-XY33326 M: in Ireland
valid until 18 May 2012
Durogesic D-Trans Transdermal
Patch
25mcg/hr (4.2mg patch)
Boxes 5s
BFAD Reg No. DR-XY33327
valid until 18 May 2012
Durogesic D-Trans Transdermal
Patch
50mcg/hr (8.4mg patch)
Boxes 5s
BFAD Reg No. DR-XY33325
valid until 18 May 2012
Durogesic patch I: J & J
12mcg/hr D: ZPC
Boxes 5s R: Interphil
Durogesic Transdermal Patch
2.5mg (25mcg/hr) M: in Belgium
BFAD Reg No. DR-XY27277
valid until 19 April 2012
Durogesic Transdermal Patch
5mg (50mcg/hr)
Boxes 5s
BFAD Reg No. DR-XY27276
valid until 19 April 2012
Fentanyl Citrate Fentanyl Citrate ampule I: Hospira Phils. Inc., Pasig
50mcg/mL, 2mL, 10mL, 20mL City
Boxes 10s for 2mL
Boxes 5s for 10mL D: Zuellig Pharma Corp,
Boxes 5s for 20mL Makati City
BFAD Reg No. DR-XY17752
valid until 07 Nov 2012 Manufactured in: USA
Fentanyl Citrate ampule I/D: Hospira Phils Inc.
50mcg/mL, 2mL & 10mL
BFAD Reg No. DR-XY32871 M: in Germany
valid until 06 Feb 2012

Page 5 / 16
 Sublimax ampule I/D: Int’l Apex Pharmls, Pasig
50mcg/mL, 2mL City
Boxes 100s
BFAD Reg No. DR-XY30403 Manufactured in: Malaysia
valid until 14 Dec 2009
Sublimaze ampule I: J & J, Pque
50mcg/mL, 2mL & 10mL R: Interphil Labs, Laguna
Boxes 5s D: ZPC, Makati
BFAD Reg No. DR-XY22177
valid until 07 Nov 2008 M: in Belgium
Trofentyl amp I/D: Pharmasan Inc
50mcg/mL, 10mL
Boxes 5s M: in India
BFAD Reg No. DR-XY35224
valid until 11 Dec 2010
Flurazepam ** Dalmane capsulet I: Valiant Pharmaceuticals
15mg Phils inc
Blister 10s D: ZPC, Makati
Box of 30s & 100s
BFAD Reg No. DR-7176 M: in Spain
valid until 27 Nov 2013
Hydromorphone HCl Jurnista tablet Johnson & Johnson
4, 8, 16, 32, 64mg _____
Blister 14’s
Boxes 28’s
With importation for 2008
For BFAD Regn
Ketamine * * Ketaject vial I/D: PharmAsia-Cuvest, Inc.,
50mg/mL Makati City
Box - 1
BFAD Reg No. DR-XY14004 Manufactured in: Germany
Valid until 17 Sep 2008
* Ketamax vial I/D: Duopharma Trade Phils
50mg/mL, 10mL
Boxes 25s Manufactured in: Germany
BFAD Reg No. DR-XY19615
Valid until 17 Feb 2010
* Ketram vial I/D: Ethical Pharma
50mg/mL, 10mL Manufactured in India
Boxes 1s
BFAD Reg No. DRP-783
valid until 24 Feb 2009
* Ketazol vial I/D: Phil Pharmawealth
50mg/mL, 10mL
Boxes 10s Manufactured in: Korea
BFAD Reg No. DR-XY25958
valid until 12 Jan 2010
* Uniket vial I/D: Claris Lifesciences Phils
10mg/mL, 10mL
* Uniket vial I/D: Claris Lifesciences Phils
50mg/mL, 10mL
Box 10s Manufactured in India
BFAD Reg No. DR-XY31311
valid until 13 Oct 2013

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Mazindol ** Mazzol tablet M: E.L. Labs Inc, Laguna
500mcg
- short term mgmt of obesity Blister 10s D: St. Carlos Pharma Int’l Inc,
Boxes 100s Pasig City
BFAD Reg No. DR-XY29278
valid until 05 Jan 2009
** Mazzol tablet
1mg
Blister 10s
Boxes 100s
** Mazzol tablet
2mg
Blister 10s
Boxes 100s
Methylphenidate Concerta extended release tablet I: Johnson & Johnson Phils
18mg Inc., Pque City
Bottles 30s
BFAD Reg No. DR-XY27940 D: Zuellig Pharma Corp,
valid until 03 Aug 2011 Makati City
Concerta extended release tablet
27mg Packed by: Interphil Labs
Bottles 30s Phils, Laguna
BFAD Reg No. DR-XY30659 Manufactured in: USA
valid until 20 Apr 2008
Concerta extended release tablet
36mg
Bottles 30s
BFAD Reg No. DR-XY27941
valid until 03 Aug 2011
Ritalin tablet I: Novartis Healthcare Phils.,
10mg Inc., Makati City
Blister 10s
Boxes 30s D: Zuellig Pharma??
BFAD Reg No. DR-XY28528
valid until 10 Apr 2008 Manufactured in: Spain
Midazolam Dormicum ampule I: Roche Phils Inc., Makati
1mg/mL, 5mL City
Boxes 10s
BFAD Reg No: DR-XY28582 D: Zuellig Pharma Corp,
valid until 28 Apr 2013 Makati City
Dormicum ampule
5mg/mL, 3mL Packed By: Interphil Labs,
Boxes 5s Inc., Laguna
BFAD Reg No: DR-XY28583
valid until 28 Apr 2013 Manufactured in: France /
Dormicum ampule Switzerland
5mg/mL, 1mL
Boxes 10s
BFAD Reg No: DR-XY28584
valid until 28 Apr 2013
** Dormicum tablet
15mg
Blister 10s
Boxes 100s

Page 7 / 16
 BFAD Reg No: DR-XY3516
valid until 10 Jan 2012
Dormizol Amp I/D: Intl Apex Pharmls, Pasig
5mg/mL, 1mL City
Boxes 10s
BFAD Reg No: DR-XY28964 Manufactured in: Malaysia
valid until 10 Oct 2008
Dormizol Amp
1mg/mL, 5mL
Boxes 10s
BFAD Reg No: DR-XY29021
valid until 10 Oct 2010
Midazolam Hydrochloride amp
5mg/mL, 1mL & 3mL
Bottles 20s
(This is Dormizol, awaiting for
amendment of CPR)
BFAD Reg No: DR-XY29020
valid until 10 Oct 2010
Midazolam Hydrochloride amp
5mg/mL, 1mL
Boxes 10s
BFAD Reg No: DR-XY28964
valid until 10 Oct 2010
Sedoz ampule I/D: Claris Lifesciences Phils.
1mg/mL, 5mL & 10mL vial Inc., Makati City
BFAD Reg No: DR-XY30768
valid until 23 May 2010 Manufactured in: India

Morphine Sulfate M-Dolor tablet -PHASED OUT Hexal /

10mg, 30mg,60mg tablet Sandoz Phils
BFAD Reg No: DR-XY29965-67
valid until 10Sep2009
Morin ampule I/D: Int’l Apex Pharm’ls, Pasig
10mg/mL, 1mL City
Boxes 10s
BFAD Reg No: DR-XY30404 Manufactured in: Malaysia
valid until 14 Dec 2009
Morphine Sulfate tablet M: Hizon Labs, Antipolo City
10mg
Boxes 100s
BFAD Reg No: DR-XY27441
valid until 09 Apr 2012
Morphine Sulfate tablet
20mg
Strip Foil 4s
Boxes 100s
BFAD Reg No: DR-XY27462
valid until 24 Apr 2012
Morphine Sulfate tablet
30mg
Boxes 100s
BFAD Reg No: DR-XY27463
valid until 18 Apr 2012

Page 8 / 16
Morphine Sulfate ampule
(1/4grain) 16mg/mL, 1mL
BFAD Reg No: DR-9210
Valid until 05 Sep 2012
Morphine Sulfate ampule
(1/6grain) 10mg/mL, 1mL
Boxes 100s
BFAD Reg No: DR-9208
Valid until 31 May 2010
Morphine Sulfate ampule I/D: Hospira Phils
10mg/mL, 1mL
Boxes 5s and 50s M: in Germany
BFAD Reg No: DR-XY33322
Valid until 18 May 2012
Morphine Sulfate ampule
15mg/mL, 1mL
Boxes 5s and 50s
BFAD Reg No: DR-XY33321
Valid until 18 May 2012
MST Continus modified release tablet I & Repacker: Mundipharma
10mg
Blister 30s D: Zuellig Pharma Corp,
Box 60s Makati City
BFAD Reg No: DR-XY13020
Valid until 17 Jul 2011 Manufactured in: UK
MST Continus modified release tablet
30mg
Box 30s
BFAD Reg No: DR-XY13019
Valid until 17 Jul 2009
MST Continus modified release tablet
60mg
Boxes 30s & 60s
BFAD Reg No: DR-XY13021
valid until 16 Jul 2008
MST ContinusModifiedRelease Tablet
100mg
Box 30s
BFAD Reg No: DR-XY13022
valid until 28Sep2009
MXL Prolonged Release Capsule
30mg
Blister 14s
Boxes 28s
BFAD Reg No: DR-XY26881
Valid until 06 March 2011
MXL Prolonged Release Capsule
60mg
Blister 14s
Boxes 28s
BFAD Reg No: DR-XY26880
Valid until 06 March 2011
MXL Prolonged Release Capsule
90mg

Page 9 / 16
 Blister 14s
Boxes 28s
BFAD Reg No: DR-XY26879
Valid until 06 March 2011
MXL Prolonged Release Capsule
120mg
Blister 14s
Boxes 28s
BFAD Reg No: DR-XY26878
Valid until 06 March 2011
MXL Prolonged release Capsule
150mg
Blister 14s
Boxes 28s
BFAD Reg No: DR-XY26876
Valid until 06 March 2011
MXL Prolonged release Capsule
200mg
Blister 14s
Boxes 28s
BFAD Reg No: DR-XY26877
Valid until 06 March 2011
Relimal CR Controlled Release Tablet I: Marketlink
10mg D:Metro Drug
Blister 10s
Boxes 30s Manufactured in: Hungary
BFAD Reg No: DR-XY27307
Valid until 15 Feb 2012
Relimal CR Controlled Release Tablet
30mg
Blister 10s
Boxes 30s
BFAD Reg No: DR-XY27306
Valid until 11 Dec 2009
Relimal CR tablet
60mg
Bottles 30s
Sevredol 10mg I: Mundipharma
60s
Sevredol 20mg
60s
Sevredol 30mg
60s
Nitrazepam ** Mozepam tablet I/D: Intl Apex Pharmls inc
5mg
Blister 10s Manufactured in: India
Box 200s
BFAD Reg. No. DR-XY34732
Valid until 21 July 2013
** Mozepam tablet
10mg
Blister 10s
Box 200s
BFAD Reg. No. DR-XY34733

Page 10 / 16
 Valid until 21 July 2013
Oxycodone HCl Oxycontin tablet I: Mundipharma, Pasig City
5mg
Boxes 28s D: Zuellig Pharma
Oxycontin prolonged release tablet
10mg Manufactured in : UK
Blister 14s
Boxes 28s
BFAD Reg No: DR-XY27751
valid until 09 Aug 2009
Oxycontin prolonged release tablet
20mg
Blister 14s
Boxes 28s
BFAD Reg No: DR-XY27748
valid until 09 Aug 2009
Oxycontin prolonged release tablet
40mg
Blister 14s
Boxes 28s
BFAD Reg No: DR-XY27750
valid until 09 Aug 2009
Oxycontin tablet
80mg
Boxes 28s
BFAD Reg No: DR-XY27749
valid until 09 Aug 2009
Oxynorm capsule
5mg
Blister 14s
Boxes 28s
BFAD Reg No: DR-XY32009
valid until 20 Jul 2009
Oxynorm capsule
10mg
Blister 14s
Boxes 28s
BFAD Reg No: DR-XY32011
valid until 20 Jul 2009
Oxynorm capsule
20mg
Boxes 28s
Oxynorm Amps
10mg/mL, 5mL
Boxes 5s
Oxynorm Amps
20mg/2mL, 10mL
Boxes 5s
Pethidine HCl Deme Amp I/D: Int’l Apex Pharm’l Inc.
50mg/mL, 1mL & 2mL
Boxes 10s M: in Malaysia
BFAD Reg No: XY30001
valid until 20 Sep 2009
Demerol ampule I: Hospira

Page 11 / 16
 50mg/mL, 2mL D: Zuellig Pharma
Boxes 25s
BFAD Reg No: DR-2148 M: in USA
valid until 29 Jul 2009
Demerol vial
50mg/mL, 30mL vial
Boxes 1s
BFAD Reg No: DR-2149
valid until 24Mar2010
Pethidine HCl amp I/D: Hospira Phils, Inc.
50mg/mL, 1mL & 2mL
Boxes 5s & 50s M: in Germany for Hospira,
BFAD Reg No: DR-XY33001 Australia
Valid until 05 Mar 2012
Pethidine ampule / vial Intl Apex Pharmls
50mg/mL, 1mL, 2mL, 10mL Phil Pharmawealth
Endure Medical
Ferj’s Pharmacy
Pentobarbial Sodium Euthal Vial I: La Croesus Pharma, Inc.
(Pentobarbital Na + Phenytoin Na)
170mg/25mg per mL, 100mL M: Australia
BFAD Reg No: VR-2885
valid until 25 Jul 2012
Phenobarbital Sodium Luminal ampule I: Hospira
130mg/mL, 1mL
Boxes 5s D: Zuellig Pharma
BFAD Reg No: DR-X7787
valid until 24 Mar 2009 Manufactured in : USA
** Phenobarbital tablet D: Philusa Corp
15mg
Bottles 100s M: Amherst Labs
BFAD Reg No: DR-X1824
valid until 29 May 2009
** Phenobarbital tablet
30mg
Bottles 100s
BFAD Reg No: DR-5064
valid until 29 May 2009
** Phenobarbital tablet
60mg
Bottles 100s
BFAD Reg No: DR-X2017
valid until 19 May 2009
** Phenobarbital tablet
90mg
Bottles 100s
BFAD Reg No: DR-XY21882
valid until 05 Sep 2011
Phentermine Resin ** Duromine capsule I: 3M Phils Inc, Makati City
15mg
Blister 15s D: Metro Drug Inc, Taguig
Boxes 30s City
BFAD Reg No: DR-XY26998
valid until 30 May 2011 Manufactured in: Australia

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 ** Duromine capsule
30mg
Blister 15s
Boxes 30s
BFAD Reg No: DR-XY26999
valid until 30 May 2011
** Ionamine capsule Pfizer
15mg, 30mg Zuellig Pharma
Boxes 100s
** Phentermine HCl capsule EL Labs Inc
15mg St. Carlos Pharma
** Phentermine HCl capsule
30mg
Pseudoephedrine HCl ** Flucor Day soft gel capsule Hovid, Inc.
30mg
** Rhinos SR tablet I/D: Diethelm???
120mg
Blister 10s Or Getz Bros. Phils
Boxes 50s
BFAD Reg No: DR-XY33005
valid until 21 Feb 2012
*** Robitussin DM-P syrup M: Interphil Labs for
(For Export Only)
30mg/5mL, 200mL Trader: Whitehall, Australia
Bottles 1s
BFAD Reg No: DR-XY31860
valid until 13 Jun 2011
*** Robitussin PS syrup M: Interphil Labs for
(For Export Only)
60mg/10mL, 100mL & 200mL Trader: Wyeth Australia
Bottles 1s
BFAD Reg No: DR-XY31528
valid until 07 Mar 2011
Pseudoephedrine Sulfate ** Clarinase syrup I: Schering Plough Corp.
12mg/5mL, 60mL
Bottles 1s Manufactured in: Belgium
** Clarinase tablet
120mg
Boxes 100s
BFAD Reg No: DR-XY14927
valid until 04 Sep 2012
** Rhinase tablet Essex
120mg Zuellig Pharma
Boxes 100s
** Rhinase syrup
12mg/5mL, 60mL
Bottles 1s
Sufentanil Citrate Sufenta Amp I: J & J
___mg/mL, 1mL
Zolpidem ** Pidezol tablet I/D: Pharmasia Cuvest
10mg
Blister 10s Manufactured in: Hungary
BFAD Reg. No.: DR-XY33929
Valid until 22 Oct 2012

Page 13 / 16
 ** Stilnox tablet I/D: Sanofi-Aventis Phils
10mg R: Interphil Labs
Blister 10s
Boxes 50s
BFAD Reg. No.: DRP-014
Valid until 13 Apr 2009
** Stilnox MR tablet
6.25mg
Boxes 14s
BFAD Reg. No.: DRXY34972
valid until 29Sep2013
** Stilnox MR tablet
12.5mg
Boxes 14s
BFAD Reg. No.: DRXY34971
valid until 29Sep2013
** Ziohex film coated tablet Sandoz Phils
10mg
Boxes 50s
** Zoldem film coated tablet M: United Labs, Mand. City
10mg
Blister 10s D: Medichem, Makati City
Boxes 30s
BFAD Reg. No.: DR-XY32230
Valid until 08 Sep 2011
** Zulnap tablet I/D: Zuneca Inc, Q.C.
10mg M: Highnoon Lab, Pakistan
Blister 10s
Boxes 100s
BFAD Reg. No.: DR-XY31505
valid until 13 Mar 2009
* Exempted from the DOH Official Prescription Form (Yellow Rx) requirement, per DDB Reg. 3 s. 2005
**Exempted from PDEA Form 1-04 (transfer from S4 to S3) & Yellow Rx requirement. Bulk transfer (from
S5I to S4 or S4 to S4) still covered by PDEA Form 1-04. To be prescribed through a Personalized
Prescription with the S2 license indicated therein (DDB Resolution 8 s. 2004, DDB Reg. 4 s. 2005)
*** For export purposes

ITEMS IN RED FONT – FOR VERIFICATION / UPDATING OF CPR

Page 14 / 16
LIST OF DRUG PREPARATIONS CONTAINING TABLE I CONTROLLED CHEMICALS
(1988 UN Convention Against Illicit Traffic in Narcotic Drugs and Psychotropic Substances)

DISPENSING / PRESCRIBING:

To be be dispensed and prescribed through a Personalized Prescription issued by a prescribing

physician with the S2 license #, among others, indicated therein. Only one (1) drug preparation shall be
prescribed in one single prescription form. Partial filling allowed. STRICTLY NO REFILL.

RECORDING / REPORTING :
To be recorded in an appropriate Dangerous Drugs Register in accordance with the PDEA-prescribed
format. To submit semi-annual report not later than January 15 and July 15 of each year.

LICENSE REQUIRED:
Prescribing Physician S2 License
Retail Dealer of DDPs / Table 1 contg-drug preparations S3 License / S1
Wholesaler Dealer of DDPs, etc. S4 License
Manufacturer / Repacker of DDPs, etc. S5-C License
Importer of DDPs, etc. S5-I License

Active Ingredient Brand Name, Importer (I) / Distributor (D)

Ergotamine tartrate
Methylergometrine Maleate
Dosage Form & Strength / CPR / Manufacturer (M)
Avamigran tablet Trader: Asta Medica Phils,
1mg Makati City
Blister 10s
Boxes 100s D: Zuellig Pharma Corp,
BFAD Reg. No: DR-XY17647 Makati City
valid until 07 June 2007
M: Interphil Labs, Laguna
Cethergo ampule I/D: Lord and Lady Sales
200mcg/mL ampule, 1mL
BFAD Reg No. DR-XY23015-B M: in Thailand
valid until 10 Jul 2013
LBS Methylergometrine maleate Intl Apex Pharmls.
ampule
200mcg/mL, 1mL
Boxes 50s
Methylergometrine maleate I/D: Ethical Pharma Inc,
200mcg/mL ampule, 1mL Pasay City
Boxes 10s
BFAD Reg No. DRP-643 M: in India
valid until 20 Oct 2009
Medisyl ampule I/D: JCP Medica Inc, Quezon
200mcg/mL, 1mL City
Boxes 10s
BFAD Reg No. DR-XY15077 Manufactured in: Korea
valid until 30 Jun 2009
Mergotrex ampule I/D: Duopharma Trade Phils
200mcg/mL, 1mL
Boxes 10s Manufactured: in Germany
BFAD Reg No. DRP-463
Valid until 30 Mar 2010
Methergin ampule I: Novartis Healthcare Phils

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 200mcg/mL, 1mL Inc
Boxes 10s
BFAD Reg No. DR-4595
Valid until 13 June 2011
Methergin tablet
125mcg/tab
Boxes 100s
Myometril ampule I/D: Endure Medical Inc.,
200mcg/mL, 1mL Pasig City
Boxes 10s
BFAD Reg No. DR-XY29893 Manufactured in: Taiwan
valid until 16 Aug 2011
Usamena tablet M: Hizon Labs, Inc., Antipolo
125mcg tablet City
BFAD Reg. No. DR-XY7729-B
valid until 30 Jan 2012 D: Icon Pharma Corp, Pasig
City
Utermet ampule I/D: Biolink Pharma, Quezon
200mcg/mL, 1mL City
Boxes 10s
BFAD Reg No. DR-XY31292 Manufactured in: Taiwan
valid until 25 Nov 2007

ITEMS IN RED FONT – FOR VERIFICATION / UPDATING OF CPR

ADM/12/05/2008

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