keycare acute medicine list 2022 - discovery.co.za
TRANSCRIPT
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd, registration
number 1997/013480/07, an authorised financial services provider.
KEYCARE ACUTE MEDICINE
LIST (FORMULARY)
DISCOVERY HEALTH MEDICAL SCHEME 2022
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 2
KeyCare acute medicine list 2022
DISCLAIMER
The information contained in this document may be subject to change.
The KeyCare acute medicine benefit and the utilisation of the benefits and programmes associated with the KeyCare acute
medicine benefit is subject to specific conditions and rules. Members must ensure that they are familiar with these rules and
conditions. The scheme rules are available on www.discovery.co.za
Any instruction or advice we give about medicines and the management of your condition is intended as a supplement to, and
not a substitute for, the knowledge, expertise, skill and judgement of your doctor, pharmacist or other healthcare professional.
You may need to get your medicine from a designated service provider (DSP) to avoid a 20% co-payment. Visit
www.discovery.co.za under Medical Aid > Find a doctor or click on Find a provider in the Discovery app to find providers in our
network.
Discovery Health Medical Scheme reserves the right to change the benefit at any time. We will communicate any changes to the
way we pay medicines when we make these. The latest version is always available on www.discovery.co.za under Medical Aid >
Manage your health plan > Find important documents and certificates.
About some of the terms we use in this document
There may be some terms we refer to in the document that you may not be familiar with. Here are the meanings of these terms.
TERMINOLOGY DESCRIPTION
NAPPI code This is a unique identifier for a given medicine, surgical or consumable product.
KeyCare acute medicine list (formulary)
This medicine list (formulary) contains medicines for acute (short term) use only. We have set the quantity of medicine for each
medicine sub-category according to a specified number of days. For example, you can claim up to a maximum of 30 Moxymax 250
mg capsules once every 120 days or 200 ml Augmaxcil S suspension once every 120 days.
Please note: We will cover one medicine from each medicine sub-category in the specified time period. For example: a prescription
may not include Aspirin and Paracetamol within 120 days of each other, because both medicines are in the same medicine sub-
category.
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Analgesics Analgesics and
anti-pyretics
Syrup 792101 Actamol red (boxed) 120 mg/5 ml 200 ml 120
Analgesics Analgesics and
anti-pyretics
Syrup 704093 Actamol red
(un-boxed)
120 mg/5 ml 200 ml 120
Analgesics Analgesics and
anti-pyretics
Syrup 703820 Feverpain 120 mg/5 ml 200 ml 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 3
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Analgesics Analgesics and
anti-pyretics
Syrup 863742 Feverpain (boxed) 120 mg/5 ml 200 ml 120
Analgesics Analgesics and
anti-pyretics
Syrup 895199 Go-Pain P 120 mg/5 ml 200 ml 120
Analgesics Analgesics and
anti-pyretics
Syrup 889772 Painblok (plastic
bottle)
120 mg/5 ml 200 ml 120
Analgesics Analgesics and
anti-pyretics
Syrup 704450 Painogesic 120 mg/5 ml 200 ml 120
Analgesics Analgesics and
anti-pyretics
Syrup 707583 Paracetamol elixir
SAD (alcohol free)
120 mg/5 ml 200 ml 120
Analgesics Analgesics and
anti-pyretics
Syrup 758558 Pyralen 120 mg/5 ml 200 ml 120
Analgesics Analgesics and
anti-pyretics
Tablet 745707 Adco-Napacod 500 mg/10
mg
30 120
Analgesics Analgesics and
anti-pyretics
Tablet 745723 Adco-Napamol 500 mg 30 120
Analgesics Analgesics and
anti-pyretics
Tablet 757403 Adco-Prolief 500 mg 30 120
Analgesics Analgesics and
anti-pyretics
Tablet 805467 Antalgic 500 mg 30 120
Analgesics Analgesics and
anti-pyretics
Tablet 787043 Codorol 500 mg/8 mg 30 120
Analgesics Analgesics and
anti-pyretics
Tablet 719662 Cogesic 500 mg/8 mg 30 120
Analgesics Analgesics and
anti-pyretics
Tablet 720577 Disprin 300 mg 30 120
Analgesics Analgesics and
anti-pyretics
Tablet 704465 Painogesic 500 mg 30 120
Analgesics Analgesics and
anti-pyretics
Tablet 713688 Varipan Co 500 mg/8 mg 30 120
Anti-
histamines
Oral anti-
histamines
Syrup 702145 Allergex 2 mg/5 ml 100 ml 180
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 4
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Anti-
histamines
Oral anti-
histamines
Syrup 736244 Lenazine 5 mg/5 ml 100 ml 180
Anti-
histamines
Oral anti-
histamines
Syrup 757373 Prohist 5 mg/5 ml 100 ml 180
Anti-
histamines
Oral anti-
histamines
Tablet 703162 Rhineton 4 mg 30 180
Anti-
microbials
Anti-protozoals Suspension 726338 Flagyl 200 mg/5 ml 200 ml 120
Anti-
microbials
Anti-protozoals Tablet 742872 Adco-Metronidazole 200 mg 60 120
Anti-
microbials
Anti-protozoals Tablet 702148 Amzole 400 mg 60 120
Anti-
microbials
Anti-protozoals Tablet 715866 Anaerobyl 400 mg 60 120
Anti-
microbials
Anti-protozoals Tablet 821705 Bemetrazole 200 mg 60 120
Anti-
microbials
Anti-protozoals Tablet 788708 Bemetrazole 400 mg 60 120
Anti-
microbials
Anti-protozoals Tablet 707242 Bio-Metronidazole 400 mg 60 120
Anti-
microbials
Anti-protozoals Tablet 793159 Metazol 200 mg 60 120
Anti-
microbials
Anti-protozoals Tablet 793167 Metazol 400 mg 60 120
Anti-
microbials
Anti-protozoals Tablet 779822 Metrazole 400 mg 60 120
Anti-
microbials
Anti-protozoals Tablet 772216 Trichazole 200 mg 60 120
Anti-
microbials
Beta-lactams Capsule 704443 Allmox 250 mg 30 120
Anti-
microbials
Beta-lactams Capsule 704444 Allmox 500 mg 30 120
Anti-
microbials
Beta-lactams Capsule 714184 Amyn 500 mg 30 120
Anti-
microbials
Beta-lactams Capsule 707499 Austell-Amoxicillin 250 mg 30 120
Anti-
microbials
Beta-lactams Capsule 705637 Austell-Amoxicillin 500 mg 30 120
Anti-
microbials
Beta-lactams Capsule 806579 Moxymax 250 mg 30 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 5
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Anti-
microbials
Beta-lactams Capsule 806587 Moxymax 500 mg 30 120
Anti-
microbials
Beta-lactams Capsule 808741 Promoxil 250 mg 30 120
Anti-
microbials
Beta-lactams Capsule 808768 Promoxil 500 mg 30 120
Anti-
microbials
Beta-lactams Capsule 830909 Ranceph 250 mg 30 120
Anti-
microbials
Beta-lactams Capsule 837253 Ranceph 500 mg 30 120
Anti-
microbials
Beta-lactams Capsule 809632 Cloxin 250 mg 40 120
Anti-
microbials
Beta-lactams Capsule 809640 Cloxin 500 mg 40 120
Anti-
microbials
Beta-lactams Suspension 899097 Adco-Amoclav S 156 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 714179 Allmox S 125 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 714180 Allmox SF 250 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 707186 Amoclan S 156 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 707187 Amoclan SF 312 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 714182 Amyn S 125 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 714183 Amyn SF 250 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 716611 Athlone
Phenoxymethyl -
penicillin
125 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 829358 Betamox S 125 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 865540 Bio-Amoksiklav S 156 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 842524 Clamentin S 156 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 897892 CPL Alliance
Cephalexin
125 mg/5 ml 200 ml 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 6
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Anti-
microbials
Beta-lactams Suspension 705832 Curam BD 457 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 830275 Moxymax S 125 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 830291 Moxypen S 125 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 830488 Promoxil S 125 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 830496 Promoxil SF 250 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 860603 Ranceph 125 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 860611 Ranceph 250 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 894123 Ranclav 156 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 894125 Ranclav Forte 312 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 830542 Saltermox SF 250 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 878782 Sandoz Co-Amoclav
SF
312 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 705471 Sandoz Co-
Amoxyclav BD SF
457 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 878774 Sandoz Co-
Amoxyclav S
156 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 708396 Zaloxy 125 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 708395 Zaloxy 250 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Suspension 830739 Zoxil S 125 mg/5 ml 200 ml 120
Anti-
microbials
Beta-lactams Tablet 893218 Adco-Amoclav 375 mg 30 120
Anti-
microbials
Beta-lactams Tablet 707184 Amoclan 375 mg 30 120
Anti-
microbials
Beta-lactams Tablet 707663 Apex-Clavutin 375 mg 30 120
Anti-
microbials
Beta-lactams Tablet 707665 Apex-Clavutin 625 mg 30 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 7
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Anti-
microbials
Beta-lactams Tablet 861936 Augmaxcil 375 mg 30 120
Anti-
microbials
Beta-lactams Tablet 861944 Augmaxcil 625 mg 30 120
Anti-
microbials
Beta-lactams Tablet 713381 Auro-Amoxiclav 375 mg 30 120
Anti-
microbials
Beta-lactams Tablet 713382 Auro-Amoxiclav 625 mg 30 120
Anti-
microbials
Beta-lactams Tablet 707407 Austell-Co-
Amoxiclav
375 mg 30 120
Anti-
microbials
Beta-lactams Tablet 707408 Austell-Co-
Amoxiclav
625 mg 30 120
Anti-
microbials
Beta-lactams Tablet 721445 Betaclav 625 mg 30 120
Anti-
microbials
Beta-lactams Tablet 716124 Bindoclav 375 mg 30 120
Anti-
microbials
Beta-lactams Tablet 716125 Bindoclav 625 mg 30 120
Anti-
microbials
Beta-lactams Tablet 865532 Bio-Amoksiklav 375 mg 30 120
Anti-
microbials
Beta-lactams Tablet 865524 Bio-Amoksiklav 625 mg 30 120
Anti-
microbials
Beta-lactams Tablet 701736 Sandoz Co-
Amoxiclav
625 mg 30 120
Anti-
microbials
Beta-lactams Tablet 878766 Sandoz Co-
Amoxyclav
375 mg 30 120
Anti-
microbials
Beta-lactams Tablet 719283 Sandoz Co-
Amoxyclav
625 mg 30 120
Anti-
microbials
Combinations
of penicillins
Capsule 797561 Macropen 500 mg 30 120
Anti-
microbials
Combinations
of penicillins
Capsule 797553 Apen 500 mg 40 120
Anti-
microbials
Combinations
of penicillins
Suspension 829250 Apen S 250 mg/5 ml 200 ml 120
Anti-
microbials
Combinations
of penicillins
Suspension 830208 Macropen S 250 mg/5 ml 201 ml 121
Anti-
microbials
Flucloxacillin Capsule 781231 Sandoz
Flucloxacillin
250 mg 40 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 8
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Anti-
microbials
Lincosamides Capsule 849960 Clindahexal 150 mg 40 120
Anti-
microbials
Macrolides Capsule 780561 Adco-Erythromycin 250 mg 40 120
Anti-
microbials
Macrolides Capsule 758388 Purmycin 250 mg 40 120
Anti-
microbials
Macrolides Capsule 824682 Xeramel 250 mg 40 120
Anti-
microbials
Macrolides Granule 716627 Claren granules 125 mg/5 ml 180 ml 120
Anti-
microbials
Macrolides Granule 716628 Claren granules 250 mg/5 ml 180 ml 120
Anti-
microbials
Macrolides Suspension 793329 Betamycin 125 mg/5 ml 100 ml 120
Anti-
microbials
Macrolides Suspension 787108 Erymycin P 125 mg/5 ml 100 ml 120
Anti-
microbials
Macrolides Suspension 787086 Erymycin PF 250 mg/5 ml 100 ml 120
Anti-
microbials
Macrolides Suspension 758396 Purmycin 125 mg/5 ml 100 ml 120
Anti-
microbials
Macrolides Suspension 758418 Purmycin 250 mg/5 ml 100 ml 120
Anti-
microbials
Macrolides Tablet 720976 Klaribin 250 mg 20 120
Anti-
microbials
Macrolides Tablet 720977 Klaribin 500 mg 20 120
Anti-
microbials
Macrolides Tablet 704464 Klarithran 500 mg 20 120
Anti-
microbials
Macrolides Tablet 716675 Klaryvid 250 mg 20 120
Anti-
microbials
Macrolides Tablet 719921 Klaryvid 500 mg 20 120
Anti-
microbials
Macrolides Tablet 710310 Eryko 250 mg 40 120
Anti-
microbials
Macrolides Tablet 718711 Azithromycin Zydus 500 mg 2 180
Anti-
microbials
Macrolides Tablet 705975 Zithrogen 500 mg 2 180
Anti-
microbials
Oral anti-
fungals
Suspension 701100 Candacide 100 000u/1
ml
40 ml 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 9
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Anti-
microbials
Oral anti-
fungals
Suspension 835056 Canstat oral 100 000u/1
ml
40 ml 120
Anti-
microbials
Oral anti-
fungals
Suspension 835285 Nystacid 100 000u/1
ml
40 ml 120
Anti-
microbials
Quinolones Tablet 704353 Austell Ciprofloxacin 250 mg 20 120
Anti-
microbials
Quinolones Tablet 704351 Austell Ciprofloxacin 500 mg 20 120
Anti-
microbials
Quinolones Tablet 713792 Biotech
Ciprofloxacin
250 mg 20 120
Anti-
microbials
Quinolones Tablet 713793 Biotech
Ciprofloxacin
500 mg 20 120
Anti-
microbials
Quinolones Tablet 892147 Cifran 500 mg 20 120
Anti-
microbials
Quinolones Tablet 703043 Ciprogen 250 mg 20 120
Anti-
microbials
Quinolones Tablet 703045 Ciprogen 500 mg 20 120
Anti-
microbials
Quinolones Tablet 704777 Ciprol 250 mg 20 120
Anti-
microbials
Quinolones Tablet 704775 Ciprol 500 mg 20 120
Anti-
microbials
Quinolones Tablet 700284 CPL Alliance
Ciprofloxacin
250 mg 20 120
Anti-
microbials
Quinolones Tablet 700287 CPL Alliance
Ciprofloxacin
500 mg 20 120
Anti-
microbials
Quinolones Tablet 720331 Flopro 500 mg 20 120
Anti-
microbials
Quinolones Tablet 713362 Loxip 500 mg 20 120
Anti-
microbials
Quinolones Tablet 701210 Orpic 500 mg 20 120
Anti-
microbials
Sulphonamide
s
Suspension 894842 Doctrim 240 mg/5 ml 200 ml 120
Anti-
microbials
Sulphonamide
s
Suspension 705259 Ilvitrim 240 mg/5 ml 200 ml 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 10
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Anti-
microbials
Sulphonamide
s
Suspension 758221 Purbac 240 mg/5 ml 200 ml 120
Anti-
microbials
Sulphonamide
s
Tablet 704095 Ilvitrim 480 mg 40 120
Anti-
microbials
Sulphonamide
s
Tablet 735698 Lagatrim 480 mg 40 120
Anti-
microbials
Sulphonamide
s
Tablet 867977 Nucotrim 480 mg 40 120
Anti-
microbials
Sulphonamide
s
Tablet 715609 Trixazole 480 mg 40 120
Anti-
microbials
Tetracyclines Capsule 893402 A-Lennon
Doxycycline HCl
100 mg 40 120
Anti-
microbials
Tetracyclines Capsule 716944 Cyclidox 100 mg 40 120
Anti-
microbials
Tetracyclines Capsule 809667 Doxycyl 100 mg 40 120
Anti-
microbials
Tetracyclines Capsule 714192 Doxytet 100 mg 40 120
Anti-
microbials
Tetracyclines Capsule 884167 Nucotet 250 mg 40 120
Anti-
microbials
Tetracyclines Capsule 703224 Pharmatet
(yellow/orange)
250 mg 40 120
Central
nervous
system
Anti-migraine
preparations
Tablet 743283 Migril 30 180
Central
nervous
system
Anxiolytics Tablet 708062 Betapam 5 mg 30 180
Central
nervous
system
Anxiolytics Tablet 721174 Doval 5 mg 30 180
Central
nervous
system
Anxiolytics Tablet 753173 Pax 5 mg 30 180
Circulatory
system
Iron
preparations
Tablet 877832 Ferrous sulphate 30 mg 120 120
Iron
preparations
Tablet 710372 Ferrous sulphate 75 mg 120 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 11
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Corticosteroid
s
Glucocorticoid
s
Syrup 716381 Adco Prednisolone 15 mg/5 ml 100 ml 120
Corticosteroid
s
Glucocorticoid
s
Syrup 714552 Aspelone 15 mg/5 ml 100 ml 120
Corticosteroid
s
Glucocorticoid
s
Tablet 788783 Be-Tabs Prednisone 5 mg 40 90
Corticosteroid
s
Glucocorticoid
s
Tablet 752304 Panafcort 5 mg 40 90
Corticosteroid
s
Glucocorticoid
s
Tablet 818267 Trolic 5 mg 40 90
Corticosteroid
s
Topical
corticosteroids
Cream 827290 Adco-
Betamethasone
0,1% 20g 120
Corticosteroid
s
Topical
corticosteroids
Cream 807834 Biocort (stx) 0.01 20g 120
Corticosteroid
s
Topical
corticosteroids
Cream 800163 Lenovate 0,1% 20g 120
Corticosteroid
s
Topical
corticosteroids
Cream 754064 Persivate 0,1% 20g 120
Corticosteroid
s
Topical
corticosteroids
Cream 882934 Repivate 0,1% 20g 120
Corticosteroid
s
Topical
corticosteroids
Cream 833037 Topivate 0,1% 20g 120
Corticosteroid
s
Topical
corticosteroids
Cream 701138 Vari-Betamethasone 0,1% 20g 120
Corticosteroid
s
Topical
corticosteroids
Cream 700445 Vari-Hydrocortisone 0.01 20g 120
Dermato-
logicals
Anti-fungals Cream 824011 Canex topical 0.01 20 g 180
Dermato-
logicals
Anti-fungals Cream 878421 Clomaderm 0.01 20 g 180
Dermato-
logicals
Anti-fungals Cream 846422 Fungispor 0.01 20 g 180
Dermato-
logicals
Anti-microbial/
Anti-septics
Ointment 717217 Barrs Povidone-
Iodine
25 g 180
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 12
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Dermato-
logicals
Anti-microbial/
Anti-septics
Ointment 821713 Septadine antiseptic 26 g 181
Dermato-
logicals
Anti pruritics Cream 800511 Allergex
Mepyramine
25 g 180
Dermato-
logicals
Anti pruritics Lotion 705561 Calamine lotion BP 200 ml 180
Dermato-
logicals
Anti pruritics Lotion 715602 Calamine lotion -
Darol
200 ml 180
Dermato-
logicals
Anti pruritics Lotion 712969 Clicks Calamine 200 ml 180
Dermato-
logicals
Scabicides Lotion 700205 Alpha Benzyl
benzoate
application
0.25 100 ml 180
Dermato-
logicals
Scabicides Lotion 707716 App Benzyl benz
bpc
0.25 100 ml 180
Dermato-
logicals
Scabicides Scalp lotion 885588 App Benzyl benz -
Allied
0.25 100 ml 180
Dermato-
logicals
Topica anti-
virals
Cream 873551 Acitop 0.05 1 180
Dermato-
logicals
Topica anti-
virals
Cream 824674 Adco-Acyclovir 0.05 1 180
Gastro-
intestinal
system
Antacids Suspension 703640 Alumag D 500 ml 30
Gastro-
intestinal
system
Antacids Suspension 702725 Dicyclomine Co gel 500 ml 30
Gastro-
intestinal
system
Antacids Suspension 892654 Magasil 500 ml 30
Gastro-
intestinal
system
Antacids Suspension 740551 Mayogel 500 ml 30
Gastro-
intestinal
system
Antacids Suspension 740683 Medigel 500 ml 30
Gastro-
intestinal
system
Antacids Suspension 757675 Propan gel S 500 ml 30
Gastro-
intestinal
system
Antacids Suspension 765538 Spasmogel 500 ml 30
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 13
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Gastro-
intestinal
system
Anthelminthics Suspension 845698 Wormstop 100 mg/5 ml 60 ml 180
Gastro-
intestinal
system
Anthelminthics Tablet 703063 Adco-Wormex 100 mg 12 180
Gastro-
intestinal
system
Anti-emetics Syrup 783064 Adco-Contromet 5 mg/5 ml 100 ml 120
Gastro-
intestinal
system
Anti-emetics Syrup 723037 Emetrol 100 ml 120
Gastro-
intestinal
system
Anti-emetics Syrup 784346 Emex 100 ml 120
Gastro-
intestinal
system
Anti-emetics Syrup 792845 Medazine-S 12,5 mg/5 ml 100 ml 120
Gastro-
intestinal
system
Anti-emetics Syrup 820571 Nauzine S 12,5 mg/5 ml 100 ml 120
Gastro-
intestinal
system
Anti-emetics Tablet 715875 Adco-Contromet 10 mg 20 120
Gastro-
intestinal
system
Anti-emetics Tablet 717891 Bio Metoclopramide 10 mg 20 120
Gastro-
intestinal
system
Anti-emetics Tablet 700712 Clomax 10 mg 20 120
Gastro-
intestinal
system
Anti-emetics Tablet 809322 Covamet 50 mg 20 120
Gastro-
intestinal
system
Anti-emetics Tablet 744182 Mitil 5 mg 20 120
Gastro-
intestinal
system
Anti-emetics Tablet 762849 Scripto-metic 5 mg 20 120
Gastro-
intestinal
system
Anti-emetics Tablet 799424 Nauzine 50 mg 20 120
Gastro-
intestinal
system
Anti-
diarrhoeals
Tablet 791768 Adco-Prodium 2 mg 12 90
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 14
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Gastro-
intestinal
system
Anti-
haemorrhoidal
s
Ointment 756849 Preparation H OIN 25g 120
Gastro-
intestinal
system
Anti-
haemorrhoidal
s
Ointment 826375 Anusol OIN 25g 120
Gastro-
intestinal
system
Anti-
spasmodics
Syrup 707213 Hyospasmol 5 mg/5 ml 100 ml 120
Gastro-
intestinal
system
Anti-
spasmodics
Syrup 703383 Scopex syrup 5 mg/5 ml 100 ml 120
Gastro-
intestinal
system
Anti-
spasmodics
Tablet 731951 Hyospasmol 10 mg 20 120
Gastro-
intestinal
system
Anti-
spasmodics
Tablet 762725 Scopex 10 mg 25 120
Gastro-
intestinal
system
Biltricides Tablet 717169 Cysticide 500 mg 100 360
Gastro-
intestinal
system
Electrolyte
replacement
Syrup 762873 Scriptolyte 200 ml 180
Gastro-
intestinal
system
H2-Receptor
blockers
Tablet 811459 Adco-Cimetidine 200 mg 90 180
Gastro-
intestinal
system
H2-Receptor
blockers
Tablet 800252 Adco-Cimetidine 400 mg 90 180
Gastro-
intestinal
system
H2-Receptor
blockers
Tablet 886978 Bio-Cimetidine 200 mg 90 180
Gastro-
intestinal
system
H2-Receptor
blockers
Tablet 887003 Bio-Cimetidine 400 mg 90 180
Gastro-
intestinal
system
H2-Receptor
blockers
Tablet 854247 Ci mlok 200 mg 90 180
Gastro-
intestinal
system
H2-Receptor
blockers
Tablet 854255 Ci mlok 400 mg 90 180
Gastro-
intestinal
system
H2-Receptor
blockers
Tablet 736260 Lenamet 400 mg 90 180
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 15
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Gastro-
intestinal
system
Laxatives Syrup 708722 Aculax 3300 mg/5
ml
150 ml 120
Gastro-
intestinal
system
Laxatives Syrup 797723 Lacson 3300 mg/5
ml
150 ml 120
Gastro-
intestinal
system
Laxatives Tablet 868078 Soflax 13,5 mg 48 120
Genito-Urinary
System
Urinary
alkalinisers
Granule 712312 Medi Soda
Effervescent
500 g 30
Genito-Urinary
System
Urinary
alkalinisers
Suspension 805130 Mist Pot Cit simplex 416,6 mg/5
ml
500 ml 30
Genito-Urinary
System
Vaginal anti-
fungals
Vaginal
cream
831913 Canex Vag 0.01 50 g 120
Genito-Urinary
System
Vaginal anti-
fungals
Vaginal
cream
846341 Fungispor
(1 applicator)
0.01 50 g 120
Musculo-
skeletal
Anti-gout
preparations
Tablet 715271 Colchicine 0,5 mg 30 180
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Capsule 701891 Amdocin 25 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Capsule 787833 Betacin 25 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Capsule 868213 Gulf Indomethacin 25 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Suspension 875643 Adco-Mefenamic
Acid
50 mg/5 ml 200 ml 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Suspension 797014 Fenamin 50 mg/5 ml 200 ml 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 16
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Suspension 700315 Ibucine (was
Ibumax)
100 mg/5 ml 200 ml 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Suspension 704781 Ibugesic 100 mg/5 ml 200 ml 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Suspension 721335 Inflamax Paediatric 100 mg/5 ml 200 ml 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Suspension 793264 Ponac 50 mg/5 ml 200 ml 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Suspension 756156 Ponstan 50 mg/5 ml 200 ml 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 788597 Adco-Diclofenac 50 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 893390 A-Lennon
Diclofenac
25 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 893391 A-Lennon
Diclofenac
50 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 787426 Betaprofen 200 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 701975 Betaprofen FC 400 mg 30 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 17
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 708290 Bren 400 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 718479 Diclofenac Biotech 25 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 700316 Ibucine (was
Ibumax)
200 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 700318 Ibucine (was
Ibumax)
400 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 868221 Ibunate 200 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 708536 Ibusor 200 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 786012 Mylan Diclofenac 25 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 786020 Mylan Diclofenac 50 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 752398 Panamor AT 50 mg 30 120
Musculo-
skeletal
Non-steroidal
anti-
inflammatories
(NSAIDs)
Tablet 701654 Ranfen 400 mg 30 120
Ophthalmics Eye drops Eye drops 728608 Gemini 15 ml 2 120
Ophthalmics Eye drops Eye drops 702935 Octin ophthalmic
drops 5 ml
0,3% 2 120
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 18
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Ophthalmics Eye drops Eye drops 874922 Allergex 15 ml 2 120
Ophthalmics Eye drops Eye drops 894605 Stop allerg 13,5 ml 2 120
Ophthalmics Eye ointment Eye
ointment
713759 Chlorcol 3.5g 0.01 2 120
Ophthalmics Eye ointment Eye
ointment
713872 Chlornicol 3.5g 0.01 2 120
Ophthalmics Eye ointment Eye
ointment
817201 Chlorphen 3.5g 0.01 2 120
Ophthalmics Eye ointment Eye
ointment
767360 Sulphacetamide
3.5g
2 120
Respiratory
system
Flu
preparations
Cough/
Mucolytic
syrup
701742 Alcophyllex 200 ml 180
Respiratory
system
Flu
preparations
Cough/
Mucolytic
syrup
701750 Alcophyllin 26,67 mg/5
ml
200 ml 180
Respiratory
system
Flu
preparations
Cough/
Mucolytic
syrup
708151 Betaphlem 250 mg/5 ml 200 ml 180
Respiratory
system
Flu
preparations
Cough/
Mucolytic
syrup
710520 Bronchette 250 mg/5 ml 200 ml 180
Respiratory
system
Flu
preparations
Cough/
Mucolytic
syrup
779814 Co-Flem 250 mg/5 ml 200 ml 180
Respiratory
system
Flu
preparations
Cough/
Mucolytic
syrup
789739 Fle mgo 250 mg/5 ml 200 ml 180
Respiratory
system
Flu
preparations
Cough/
Mucolytic
syrup
770388 Theophen 80 mg/15 ml 200 ml 180
Respiratory
system
Flu
preparations
Cough/
Mucolytic
syrup
700238 Theophen
Compound elixir
200 ml 180
Respiratory
system
Flu
preparations
Decon-
gestant
syrup
703853 Acuflu P (alcohol
and sugar free)
200 ml 180
Respiratory
system
Flu
preparations
Decon-
gestant
syrup
806218 Adco-Flupain 200 ml 180
Respiratory
system
Flu
preparations
Nasal
spray/
702618 Drinasal Paediatric
10 ml
0,025% 1 180
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 19
BROAD MEDICINE CATEGORY
MEDICINE SUB-CATEGORY
DOSAGE FORM
NAPPI CODE
MEDICINE NAME MEDICINE STRENGTH
MAXIMUM ALLOWABLE QUANTITY
PER NUMBER OF DAYS
Respiratory
system
Flu
preparations
Nasal drop 746126 Nazene Z 20 ml 0,05% 1 180
Respiratory
system
Flu
preparations
Tablet 822744 Sinuend 20 120
Respiratory
system
Nasal cortico-
steroids
Nasal spray 820709 Beclate aquanase
150 dose
50mcg 1 180
Respiratory
system
Nasal cortico-
steroids
Nasal spray 897937 Clenil aqueous
200 dose
50mcg 1 180
Contact us
Tel (members): 0860 99 88 77, Tel (health partners): 0860 44 55 66
Go to www.discovery.co.za to Get Help or ask a question on WhatsApp. Save this number 0860 756 756 on your phone and say
"Hi" to start chatting with us 24/7.
PO Box 784262, Sandton, 2146. 1 Discovery Place, Sandton, 2196.
Complaints process
Discovery Health Medical Scheme is committed to providing you with the highest standard of service and your feedback is
important to us. The following channels are available for your complaints and we encourage you to follow the process:
1|STEP 1 – TO TAKE YOUR QUERY FURTHER:
If you have already contacted the Discovery Health Medical Scheme and feel that your query has still not been resolved, please
complete our online complaints form on www.discovery.co.za. We would also love to hear from you if we have exceeded your
expectations.
KEYCARE ACUTE MEDICINE LIST FORMULARY
Discovery Health Medical Scheme, registration number 1125, is regulated by the Council for Medical Schemes and administered by Discovery Health (Pty) Ltd,
registration number 1997/013480/07, an authorised financial services provider. Find a healthcare provider and the Discovery app are brought to you by Discovery Health (Pty)
Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. 20
2|STEP 2 – TO CONTACT THE PRINCIPAL OFFICER:
If you are still not satisfied with the resolution of your complaint after following the process in Step 1 you are able to escalate your
complaint to the Principal Officer of the Discovery Health Medical Scheme. You may lodge a query or complaint with Discovery
Health Medical Scheme by completing the online form on www.discovery.co.za or by emailing [email protected].
3|STEP 3 – TO LODGE A DISPUTE:
If you have received a final decision from Discovery Health Medical Scheme and want to challenge it, you may lodge a formal
dispute. You can find more information of the Scheme’s dispute process on the website.
4|STEP 4 – TO CONTACT THE COUNCIL FOR MEDICAL SCHEMES:
Discovery Health Medical Scheme is regulated by the Council for Medical Schemes. You may contact the Council at any stage of the
complaints process, but we encourage you to first follow the steps above to resolve your complaint before contacting the Council.
Contact details for the Council for Medical Schemes: Council for Medical Schemes Complaints Unit, Block A, Eco Glades
2 Office Park, 420 Witch-Hazel Avenue, Eco Park, Centurion 0157 | [email protected] | 0861 123 267 |
www.medicalschemes.co.za