1
1 Date:
2 District
3 County
4 Sub-county
5 Parish
6 Town/village
7 Outlet name
8a Is the outlet from one of the sampled parishes or thedistrict capital?
YES NO
8b GPS location identification number:FILL ALL BOXES
North
East
9 Type of outlet(code - see table at bottom of this page)
10
NOTES
Parts 1,2,3 4 of the data collection form are completed and correct – UNIT price calculations checked
11Data collector names and signatures:
1 2
12
Verification (forms checked including UNIT price calculations)
Name
Signed: Date:
District: Outlet code:
For area supervisor useTotal number of medicines - items, rows filled(fill in after completing whole survey form)
PART 2PART 3
Coding for question 9
Public sector:
1 Public health facility
2 Community-directed distributors
Private sector
3 Retail pharmacies (licensed by NDA within last 3 years)
4 Drug shops (licensed by NDA within last 3 years)
5 Private clinics/dispensing doctors
6 Retail stores and general provisions stores, kiosks (fixed structures)
7 Market stalls/mobile hawkers and other informal distribution points (temporary structures/mobile)
Not-for profit sector
8 NGO/mission health facilities
ANSWER ALL QUESTIONS – IF NO RESPONSE STATE “notapplicable” …or “no response obtained” …or another reason
2
13(OPTIONAL)
Name of owner/manager of the facility:
14
Background of owner/ manager:
the items listed to the right should not be read out, theyare for the data collector to use to code the response;although prompts can be made to assist the personbeing interviewed)
Tick one
Pharmacist
Pharmacy technician
Doctor
Clinical officer/medicalassistant
Nurse
Nursing assistant (trained)
Other health
other (Specify)
15(OPTIONAL)
Name of person(s) who provided information on medicine prices andavailability
16
Background of the personproviding the information?
Pharmacist
Pharmacy technician
the items listed to the rightshould not be read out, they arefor the data collector to use tocode the response; althoughprompts can be made to assistthe person being interviewed)
Doctor
Clinical officer/medical assistant
Nurse
Nursing assistant (trained)
Other health
other (Specify)
Tick one
17
Describe main items for sale inoutlet:
(for the private sector outlets)
Medicines
Food
Soft drinks
the items listed to the right shouldnot be read out, they are for thedata collector to use to code theresponse; although prompts canbe made to assist the personbeing interviewed)
Tick as applicable
Toiletries
Household goods
Alcoholic drinks
Mobile phone airtime
Newspapers
Cosmetics
Cigarettes
Other (specify)
18 Do you sell medicines to others to re-sell (e.g. to other outlets, vendors) YES NO
3
19(OPTIONAL)
Where does theoutlet/facility buy/obtainits anti-malarialmedicines from?
(name and place oftop 3)
Write name and/or tick the type of outlet that source is
Name Wholesaler Pharmacy other
20
How do you themanager/ owner/ in-charge decide whichtype of anti-malarialmedicines to stock?
the items listed to theright should not beread out, they are forthe data collector touse to code theresponse; althoughprompts can be madeto assist the personbeing interviewed)
Tick as applicable
Medicines recommended by Ministry of Health
Customer demand
Most profitable
Recommended by local health professional
Special purchase terms offered
Lowest priced
Drug company/rep influence
Influence of the pricing of same therapeutic group
Location of pharmacy and type(wealth) of customer
Country of origin of product
Season disease patterns
Other (state)
21
If more than one anti-malarial is stocked,how do the staff in theoutlet decide which tosell /dispense
Tick as applicable
Recommended by Ministry of Health
Customer demand
Most profitable
Personal preference of staff member
Recommended by local health professional
Special purchase terms offered
Lowest priced
Appearance of the patient
Fast moving brand
Patient awareness/perceptions of drug quality and preference for somebrands/countries of originPatient perception that if price too low, that must be poor quality
Time of the day, week, month
Short shelf life
Drug company/rep influence
other (state)
22Approximately how many people bought an anti-malarial medicine yesterday- e.g. 1, 5, 10, 20, 50, >50
4
23Out of patients/customers you served yesterday, how many would you say do not buy a fullcourse of anti-malarial medicine e.g. 1,2,3,5,6,10
24Approximately how many people bought an anti-malarial medicine in the last week- e.g. 1, 5, 10, 20, 50, >50
25
If the patient does not have enoughmoney for the full course of anti-malarialtreatment, what do you do?
the items listed to the right should not beread out, they are for the data collector touse to code the response; althoughprompts can be made to assist theperson being interviewed)
Tick as applicable
Sell as many tablets as have money for
Give credit
Offer cheaper alternative
Refuse to sell
Refer elsewhere
other (state)
26[OBSERVATION]
Were the anti-malarial medicines on open display?(vs. hidden out of sight) Tick one
All types Some types None
27
What are your sources of informationabout anti-malarial medicines?
the items listed to the right should not beread out, they are for the data collector touse to code the response; althoughprompts can be made to assist theperson being interviewed)
Tick as applicable
Own knowledge
Box/leaflet with medicine
Drug company information
Ministry of Health guideline
Medical reference book
Workshops, seminars, CME
Media (print, radio, TV)
other (state)
28 Are antibiotics used to treat malaria? YES NO
29 Is co-trimoxazole used to treat malaria? YES NO
30 How do customers/patients ask for medicines for malaria?
Tick one
by something formalaria/ feverby a specific medicinename
5
31
True=1, False=0
[ASSESSMENT]
Adequate storage conditions and handling of medicines - checklist - forthe outlet and the area where the medicines are stored
Sales/dispensingand storage area
[A]
1. There is a method in place to control temperature(e.g. roof and ceiling with space between them in hot climates).(1=there is a method)
2. There are windows that can be opened or there are air vents.
(1=there are windows)
3. No direct sunlight can enter the area where the medicines are stores(1= no sunlight)
4. Area is free from moisture (e.g. leaking ceiling, roof, drains, taps)
(1=no moisture)
5. Medicines are not stored directly on the floor.
(1= not on floor)
6. There is no evidence of pests in the area
(1=no pests)
7. Loose tablets/capsules are not manipulated by naked hand.
(1= not handled)
8. Premises can be secured to prevent theft
(1= secure)
[A1] = Sum of A =
% adequate storage conditions = ([A1]/8) x 100
32[OBSERVATION]
[Optional]
Please provide a description of the environment where question 31 does not adequatelydescribe the situation.
33[OBSERVATION]
Was the patient pack of Coartem available) – i.e. the 6,12,18,24 packs with special patient instructions (should also bemarked as available in part 3)
YES NO
6
34 Does the outlet sell/provide TB medicines? YES NO
If yes to #34 - the outlet sells/provides TB medicines, ask questions 35-40 – otherwise END of part 1:
35
How do you themanager/owner/in-chargedecide which type of TBmedicines to stock?
The items listed to the rightshould not be read out, theyare for the data collector touse to code the response;although prompts can bemade to assist the personbeing interviewed
Tick as applicable
Medicines recommended by Ministry of Health
Customer demand
Most profitable
Recommended by local health professional
Special purchase terms offered
Lowest priced
Drug company/rep influence
Influence of the pricing of same therapeutic group
Location of pharmacy and type (wealth) of customer
Country of origin of product
Season disease patterns
Other (state)
36 Approximately how many people bought TB medicine yesterday- e.g. 1, 5, 10, 20, 50, >50
37Out of patients/customers you served yesterday, how many would you say did not buy afull course of TB treatment e.g. 1,2,3,5,6,10
38Approximately how many people bought TB medicine in the last week- e.g. 1, 5, 10, 20, 50, >50
39
What are your sources ofinformation about TBmedicines?
The items listed to the rightshould not be read out, theyare for the data collector touse to code the response;although prompts can bemade to assist the personbeing interviewed
Tick as applicable
Own knowledge
Box/leaflet with medicine
Drug company information
Ministry of Health guideline
Medical reference book
Workshops, seminars, CME
Media (print, radio, TV)
Other (state)
40
How do customers/patients ask for TB medicines?Tick one by something for
TB/persistent cough
by specific medicine name
7
Part 2
Generic name,dosage form,strength
MedicineType
Brand orproductname(s)
Manufacturer Totalnumber ofgenericversion onshelf
Available1/0
Pack sizerecommended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Totalnumberpacksfound
Anyexpired(1/0)
Comments
Amitriptyline25mg cap/tab
Highestprice
10
Lowest Price 10
Amoxicillin500mg cap/tab
Highestprice
15
Lowest Price 15
Atenolol 50mgcap/tab
Highestprice
28
Lowest Price 28
Captopril 25mgcap/tab
Highestprice
10
Lowest Price 10
Ceftriaxone1g/vial injection
Highestprice
1
Lowest Price 1
Ciprofloxacin500mg cap/tab
Highestprice
10
Lowest Price 10
Co-trimoxazole8+40mg/mlsuspension
Highestprice
100ml
Lowest Price 100ml
Diazepam 5mgcap/tab
Highestprice
10
Lowest Price 10
Diclofenac50mg cap/tab
Highestprice
1
Lowest Price 1
8
Generic name,dosage form,strength
MedicineType
Brand orproductname(s)
Manufacturer Totalnumber ofgenericversion onshelf
Available1/0
Pack sizerecommeNded
Packsizefound
Price ofpackfound
Unitprice (4digits)
Totalnumberpacksfound
Anyexpired(1/0)
Comments
Glibenclamide5mg cap/tab
Highestprice
30
Lowest Price 30
Omeprazole20mg cap/tab
Highestprice
20
Lowest Price 20
Paracetamol24mg/ml
suspension
Highestprice
100ml
Lowest Price 100ml
Salbutamolinhaler
0.1mg/doseinhaler
Highestprice
1 Cannister(200 doses)
Unit price = 1 dose
Lowest Price 1 Cannister(200 doses)
Unit price = 1 dose
Simvastatin20mg cap/tab
Highestprice
30
Lowest Price 30
9
If the outlet stocks TB medicines
Generic name, dosageform, strength
MedicineType
Brand orproductname(s)
Manufacturer Totalnumber ofgenericversion onshelf
Available1/0
Pack sizerecomme
Nded
Packsize
found
Price ofpackfound
Unitprice (4digits)
Totalnumberpacksfound
Anyexpired
(1/0)
Comments
Isoniazid (INH) 100mg tab/cap
HighestpriceLowest Price
Isoniazid (INH) 300mg tab/cap
HighestpriceLowest Price
Rifampicin 150 mgtab/cap
HighestpriceLowest Price
Rifampicin 300 mgtab/cap
HighestpriceLowest Price
Ethambutol (EMB)400 mg tab/cap
HighestpriceLowest Price
Pyrazinamide (PZA)400 mg tab/cap
HighestpriceLowest Price
Isoniazid/ Ethambutol150mg/ 400mgtab/cap
HighestpriceLowest Price
Rifampicin/Isoniazid tab/cap150 mg/75 mg
HighestpriceLowest Price
Rifampicin/ Isoniazidtab/cap:300 mg/150 mg
Highestprice
Lowest Price
Rifampicin/ Isoniazid/Pyrazinamide/Ethambutol tab/cap:150mg/ 75mg/ 400mg/275 mg
Highestprice
Lowest Price
10
Part 3
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsize
found
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired
1/0
Comments
Amodiaquine50mg./5ml oral suspension
Loquin001
Medriech Sterilab 60ml
Amobine002
Regal 60ml
Camoren003
Rene Industries 60ml
Amodiaquine200mg tablet
Uniquin004
PharmaceuticalManufacturing Co.(K)
8
Maratab005
Lincoln Pharmaceuticals, 8
Amoquine(thane) 006
Agog Pharma 8
Loquin007
Medriech Sterilab 8
Betaquine008
Beta HealthcareInternational
8
Amodiaquine009
Uganda Pharmaceuticals 8
Camoren010
Rene Industries 8
Amobin011
Regal Pharmaceuticals 8
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Artemether40mg capsule
Larither012
Ipca Laboratories 12
Artemether100mg/ml injection
Artesiane013
Rotexmedica 1
Rtitas014
Intas 1
Artenam015
Ebewe Pharma 1
Artemether20mg/ml injection
Artesiane016
Rotexmedica Gmbh 1
Artenapaediatric017
Ebewe Pharma 1
11
Artemether80mg/ml injection
Artemedine018
Kunming Pharmaceutical 1
Romether019
Zhejiang TianfengPhamaceutical
1
Artemedine020
Kunming Pharmaceutical 1
Larither021
Ipca Laboratories Ltd 1
Artesiane022
Rotexmedica Gmbh 1
Artemether3mg/ml powder for oral suspension
Ametherde023
Mpf Bv 60ml
Artesiane024
Mpf Bv Oudehaske 60ml
Artemether40mg suppository
Artesiane025
Erfa Rue 6
Artemether50mg tablet
Artemedine026
Kunming Pharmaceutical 12
Rtitas027
Intas 12
Artenam028
Qualiphar Nv/Sa 12
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Artemether + lumefantrine20mg + 120mg tablet
Coartem029 - 032
Novartis 6
12
18
24
Lumiter033
Macleods Pharmaceuticals 24
Artefan 20/120034
Ajanta Pharmaceuticals 24
Lumartem035
Cipla 24
Artemisinin + napthoquinephosphate 125mg + 50mg tablet
Arco036
Kunming Pharmaceutical 1
12
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Artesunate200mg suppository
Plasmotrim037
R P Scherer Gmbh & Co. 6
Artesunate50mg suppository
Plasmotrim038
R P Scherer Gmbh & Co. 6
Artesunate100mg tablet
Arinate039
Erfa 6
Allnat040
Ajanta Pharma 6
Falcinil041
Cipla 6
Azunate042
Macleods Pharmaceuticals 6
Artesunate200mg tablet
Plasmotrim043
Mepha 6
Artesunate50mg tablet
Allnat044
Ajanta Pharma 12
Falcinil045
Cipla 12
Azunate046
Macleods Pharmaceuticals 12
Artesunate047
Zhejiang Holley Nanhu 12
Plasmotrim048
Mepha 12
Arinate049
Erfa 12
Artesunate + sulfamethoxypyrazine/pyrimethamine100mg + 500mg/ 25mg tablet
Ariplus050
Erfa 3+3
Artesunate + sulfamethoxypyrazine/pyrimethamine100mg + 250mg/12.5mg tablet
Co-arinatejunior051
Erfa 3+3
Artesunate + sulfamethoxypyrazine/pyrimethamine100mg + 250mg/12.5mg tablet
Combisunateforte052
Ajanta Pharma 3+3
Artesunate + sulfamethoxypyrazine/pyrimethamine200mg + 500mg/25mg tablet
Co-arinate053
Erfa 3+3
Artesunate + amodiaquine100mg + 200mg tablet
AmonateJunior 054
Erfa 3+6
Artesunate + amodiaquine200mg + 153.1mg tablet
Amonate adult055
Erfa 3+12
13
Artesunate + amodiaquine200mg + 200mg tablet
Amonate056
Erfa 3+12
Artesunate + amodiaquine50mg + 150mg tablet
Amqunate057
Cosmos 6+6
Artesunate + amodiaquine50mg + 153.1mg tablet
Larimal058
Ipca Laboratories 12+12
Artesunate + amodiaquine50mg + 200mg tablet
Falcimon kit(adults) 059
Cipla 12+12
Arsucamtablets 060
Marphar 12+12
Falcimon kit(children)061
Cipla 3+3
Falcimon kit062
Cipla 6+6
Macsunateplus 063
Macleods Pharmaceuticals 12+12
Macsunateplus jr. 064
Macleods Pharmaceuticals 3+3
Macsunateplus kid 065
Macleods Pharmaceuticals 6+6
Artesunate +amodiaquine066
Cipla 12+12
Artesunate + mefloquine200mg + 250mg tablet
Artequin600/1500 067
Mepha 3+6
Artequine600/750 lactab068
Mepha 3+3
Artesunate + mefloquine300mg + 375mg tablet
Artequin300/375 069
Mepha 3+6
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Atovaquone+ proguanil 62.5mg/25.0mg tablet
Malanilpaediatric070
Glaxosmithkline Inc., 12
14
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Chloroquine phosphate40mg/ml injection
Chloroquine071
Shijiahuang 1
Chloroquinephosphate072
Claris Lifesciences 1
Chlorointa073
Intas Pharmaceuticals 1
Chloroquinephosphate074
Shanghai Sine Jinzhu 1
Chloroquine075
Ningbo DahongyingPharmaceuticals
1
Chloroqiune phosphate120mg/5ml syrup
Medquine076
Medipharm Industries 60ml
Intaclor077
Regal Pharmaceuticals 60ml
Chloroqiune phosphate75mg/5ml syrup
Ago-cq(thane) 078
Agog Pharma 60ml
Chloroqiune phosphate80mg/5ml syrup
Kam quin079
Kampala Pharmaceutical 60ml
Chloroqiune phosphate250mg tablet
Chloroquinephosphate080
Lincoln Pharmaceuticals 10
Chloroquinephosphate081
Ningbo Dahongying 10
Chloroquinephosphate082
Wuhan GrandPharmaceutical
10
083
Ago-cq084
Agog Pharma 10
Afrim085
Panacea Biotec 10
Kam quin086
Kampala Pharmaceutical 10
Fraquine087
Fredun Pharmaceuticals 10
Flaci-chlor088
Flamingo Pharmaceuticals 10
Uniquin089
Unibios Laboratories 10
15
Cosmoquin090
Cosmos 10
Chloroquine091
Shanghai Sine JiufuPharmaceuticals Co.
10
Lariago092
Ipca 10
Renequin093
Rene Industries Ltd 10
Chloroquinephosphate094
Uganda Pharmaceuticals 10
Simquine095
Simrone Pharmaceuical 10
Oroquin096
Elys Chemical 10
Sugaquin097
Kampala Pharmaceutical 10
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Clindamycin150mg capsule
Clindacin-150098
Flamingo PharmaceuticalsLtd
16
Dalacin C099
Pharmacia & Upjohn 16
Clindamycin hydrochloride300mg capsule
Dalacin C100
Pharmacia & Upjohn 16
Clindamycin palmitate75mg/5ml granule for oral use
Dalacin C101
Pharmacia & Upjohn 80ml
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Dihydroartemisin/piperaquinephosphate 40mg + 320mg tablet
Duo-cotecxin102
Zhejiang Holley Nanhu 8
Dihydroartemisinin 160mg/80ml oralpowder for suspension
Cotecxin103
Zhejiang Holley Nanhu 80ml
Dihydroartemisinin60mg tablet
Cotecxin104
Zhejiang Holley Nanhu 8
Abaxin105
Lincoln Pharmaceuticals 8
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Doxycycline100mg capsule
Microdox106
Micro Labs 10
Doxyren107
Rene Industries 10
Doxefil108
Fourts (India) Laboratories 10
16
Revidox109
Macleods Pharmaceuticals 10
Restacycline110
Medibios Laboratories 10
Doxycycline111
Elys Chemical Industries 10
112
Doxycycline113
Micro Labs 10
Doxycyline114
Labotatoire Baily-CreatChemin De Nuisement
10
Unidox 100115
Unibios Laboratories 10
Fradox116
Fredun Pharmaceuticals 10
Doxina117
Centaur Pharmaceuticals 10
Doxycycline118
Flamingo Pharmaceuticals 10
Azudox119
Kampala Pharmaceutical 10
Agodox120
Agog Pharma 10
Brodox121
Plethico Pharmaceuticals 10
Doxycycline122
Simrone Pharmaceuical 10
Doxycycline123
Cosmos 10
Doxitab124
Cipla 10
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Halofantrine hydrochloride100mg/5ml oral suspension
Halfan125
Glaxowellcome 30ml
Halofantrine hydrochloride250mg tablet
Halfan126
Glaxowellcome 6
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Mefloquine250mg tablet
Mephaquin127
Mepha 4
Primaquine phosphate15mg tablet
Primaquine128
Cyano Pharma 14
17
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Quinine bisulphate300mg tablet
Quininebisulphate129
Regal Pharmaceuticals 42
Quinine dihydrochloride300mg/ml inject ion
Rogoquin130
Zhenjiang Tianfeng 1
Quinine131
Ningbo Dahongying 1
Quinine dhcl132
Zhejiang Pharmaceutical 1
Linquine F133
Lincoln Pharmaceuticals 1
Quinine dhcl134
Indus Pharma Pvt 1
Quinine135
Pharmedic (Pvt) 1
Kwinil136
Intas Pharmaceuticals 1
Quinine dhcl137
Rotexmedica Gmbh 1
Quinine dihydrochloride100mg/5ml syrup
Quinisha138
Intermed 4, G.K 100ml
Quinimix139
Medipharm Industries 100ml
140
Requin141
Rene Industriesd 100ml
Upquin142
Uganda Pharmaceuticals 100ml
Kamquin143
Kampala Pharmaceutical 100ml
Agog-quine144
Agog Pharma 100ml
Quinine sulphate300mg tablet
Flaci-quin 300145
Flamingo Pharmaceuticals 42
Quininesulphate 146
Lincoln Pharmaceuticals, 42
Quinil 300147
Ajanta Pharma 42
18
Quininga148
Inga Labs 42
Quininesulphate 149
Macleods Pharmaceuticals 42
Quinisha150
Intermed, 4 G.K. 42
Quininesulphate 151
Micro Labs 42
Ago quinine152
Agog Pharma 42
Qinarsol153
Cipla 42
Rez-q-300154
Plethico Pharmaceuticals 42
Requin155
Rene Industries Ltd 42
Quinfer156
Fredun Pharmaceuticals Ltd, 42
Quininesulphate 157
Kampala Pharmaceutical 42
Quininetablets 158
Elys Chemical Industries Ltd 42
Quininesulphate 159
Uganda Pharmaceuticals ( 42
19
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Sulfadoxine/pyrimethamine250mg/5ml + 12.5mg/5mlsuspension
Meldar160
Centaur Pharmaceuticals 15ml
Falcidin161
Cosmos 10ml
Sulfadoxine/pyrimethamine500mg+25mg suspension powder
Malarest162
Pharmedic (Pvt) 15ml
Sulfadoxine/pyrimethamine500mg+25mg tablet
Malarest163
Pharmedic (Pvt) 3
L-kelfin164
Lincoln Pharmaceuticals 3
Malaren165
Rene Industries 3
Fansidar166
Roche Products Pty 3
Malamox167
Milan Laboratorie 3
Sulfadoxine +pyrimethamine168
Micro Labs 3
Malwin169
Medibios Laboratories 3
Beta sp170
Beta Healcare 3
Neosidar171
Kampala Pharmaceutical 3
Amalar172
Micro Labs Ltd 3
Mal-ps173
Simrone Pharmaceuical 3
Malargard174
Intermed, 3
Agosidar175
Agog Pharma 3
Falcistat176
Remedica 3
Kamsidar177
Kampala Pharmaceutical 3
Sudorin178
Fredun 3
Sulfadoxine/pyrimethamine179
Fourts (India) Laboratories 3
20
Malareich180
Medreich Sterilab 3
Sulphadoxine/pyrimethamine181
Panacea Biotec 3
Falcidin182
Cosmos 3
Meldar183
Centaur Pharmaceuticals 3
Nopyrin184
Flamingo Pharmaceuticals 3
Intadoxine185
Regal Pharmaceuticals 3
Orodar186
Elys Chemical Industries 3
Rimodar187
Anglofrench Drugs &Industries
3
Malagon188
Uganda Pharmaceuticals 3
Laridox189
Ipca Laboratories 3
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Sulfadoxine+pyrimethamine+chloroquine250/12.5mg+75mg tablet
Falcidin+cqtabletpaediatric 190
Cosmos 1+3
Sulfadoxine+pyrimethamine+chloroquine250/12.5mg +1 25mg tablet
Homapak(halfstrength)GREEN 191
1+3
Sulfadoxine+pyrimethamine+chloroquine500/25mg+150mg tablet
Falcidin+cqtablet junior192
Cosmos 1+3
Sulfadoxine+pyrimethamine+chloroquine500 /25mg + 250mg tablet
Homapak(adult/ fullstrength RED193
3+10
Homapak(fullstrength)
Kampala Pharmaceutical 1+3
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Sulphamethoxypyrazine/pyrimethamine500mg + 25mg tablet
Kelfalin195
Cosmos 2
Dafrafin 500196
Erfa 2
Metakelfin197
Pfizer -Pharmacia 2
21
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Pack sizerecomm-Ended
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments
Tetracycline hydrochloride250mg capsule
Tetracycline198
Ningbo DahongyingPharmaceuticals
28
Tetracycline199
ShijiazhuangPharmaceutical
28
Aramycin200
Intermed 28
Tetracycline201
Simrone Pharmaceuical 28
Tetraren202
Rene Industries 28
Teracin203
Uganda Pharmaceuticals 28
Tetracycline204
Astra Life Care 28
Agotetra(thane) 205
Agog Pharma 28
Kam tetra206
Kampala Pharmaceuticals 28
207
28
22
Part 4For anti-malarial medicines not listed above – please complete in full
Generic name, dosage form,strength
Brand name Manufacturer Available1/0
Packsizefound
Price ofpackfound
Unitprice (4digits)
Total #packsfound
Anyexpired1/0
Comments AREA SUPERVISOR:
medicine code formedicines not in part 3(where exists)