ABCDEFGPWXYZAAABAC
1
UBAT KAWALAN KHUSUS - REQUISITION ORDER (RO) SPECIAL REQUEST (SRQ) 2026
2
No.Nama ItemLokasi ubatIndent byJabatan & LOPF incharge at UnitJenis kawalanJenis Perolehan
3
1N-Acetylcystine 600mg TabletFPDFPDAnesth (LO: Nurul Afifah)Siti Nur Fatin AmirahLP Kuota (UKK bulk off label)NON-APPL
4
2Estradiol 1mg + Dydrogesterone 5mg Tablet (28 tabs)FPLFPLO&G
(LO: Maria Embong)		Fatin AmieraLP KuotaNON-APPL
5
3Etonogestrel 68 mg ImplantFPD/FPLFPDO&G
(LO: Maria Embong)		Anis Syamimi/ Fatin AmieraLP KuotaNON-APPL
6
4Letrozole 2.5mg tab (Ectopic Pregnancy)FPD/FPLFPD/FPLO&G
(LO: Maria Embong)		Anis Syamimi/ Fatin AmieraLP Kuota (UKK bulk off label)NON-APPL
7
5Glycine 1.5% Irrigating Solution, 3000mLFPDFPDO&G
(LO: Maria Embong)		Anis SyamimiLP by patientNON-APPL
8
6Brinzolamide 1%, Brimonidine 0.2% Ophthalmic SuspensionFPD/FPLFPLOftalmologi
(LO: Junaidah)		Imran / Aini RosmizaLP KuotaNON-APPL
9
7Polyvinyl Alcohol 1.4% w/v, Povidone 0.6% w/v , Benzalkonium Chloride 0.01% w/v (10ml) (I Lube)FPLFPLOftalmologi
(LO: Junaidah)		JunaidahLP KuotaNON-APPL
10
8Bimatoprost 0.01% Ophthalmic solutionFPLFPLOftalmologi
(LO: Junaidah)		Aini RosmizaLP KuotaNON-APPL
11
9Voriconazole 200mg/20ml Powder for InjectionFPDFPDOftalmologi
(LO: Junaidah)		ImranLP by patientNON-APPL
12
10Carboxymethylcellulose Sod. 0.5% (Lubricant eye drop)FPLFPLOftalmologi
(LO: Junaidah)		JunaidahLP KuotaNON-APPL
13
11Sodium Hyaluronate 2mg/ml Preservative Free (HYLOGEL)FPD/FPLFPLOftalmologi
(LO: Junaidah)		Imran / Aini RosmizaLP KuotaNON-APPL
14
12Travoprost 0.004% Timolol 0.5% Eye Drops (2.5ml)FPLFPLOftalmologi
(LO: Junaidah)		Imran / Aini RosmizaLP KuotaNON-APPL
15
13Gentamicin 0.3% Eye OintmentFPD/FPLFPLOftalmologi
(LO: Junaidah)		Imran / Aini RosmizaLP by patientNON-APPL
16
14Gabapentin 100 mg TabletFPD/FPLFPD/FPLOrtopedik
(LO: Fatin Amiera)		Fatin Amiera /
Wadina/ Aini (Pain)		LP by patientNON-APPL
17
15Lidocaine (Lignocaine) 5 % w/w PlasterFPDFPDOrtopedik
(LO: Fatin Amiera)		Wadina / Aini (Pain)LP KuotaNON-APPL
18
16Cholecalciferol 1000iu Capsule/TabletFPLFPLPediatrik NICU/SCN
(LO: Aisyah)		AzliniLP by patient
19
17Insulin aspart (Novorapid) 100 IU/ml PenfillFPLFPLPediatrik AM
(LO: Izzati)		AffinLP by patientNON-APPL
20
19Recombinant Factor VIII 500 IU Injection (ADVATE)FPDFPDPediatrik AM
(LO: Izzati)		WadinaLP by patient PDNNON-APPL
21
21Capecitabine 500mg TabletFPDFPDPembedahan
(LO: Mazlina)

MajidahLP by patientAPPL
22
22Pazopanib 400mg tabletFPDFPDPembedahan
(LO: Mazlina)

MazlinaLP by patientNON-APPL
23
23Thyrotropin alfa 0.9mg/ml InjectionFPDFPDPembedahan
(LO: Mazlina)

MazlinaLP by patientNON-APPL
24
24Goserelin 10.8mg Depot InjectionFPDFPDPembedahan
(LO: Mazlina)

MazlinaLP by patientNON-APPL
25
25Mesna 400mg/4ml InjectionFPDFPDPembedahan
(LO: Mazlina)

MazlinaLP by patientNON-APPL
26
26Trastuzumab 440mg InjectionFPDFPDPembedahan
(LO: Mazlina)

MazlinaLP by patientNON-APPL
27
27Trastuzumab 600mg/5ml Solution for Subcutaneous InjectionFPDFPDPembedahan
(LO: Mazlina)

MajidahLP by patientNON-APPL
28
28Rituximab 500mg/50ml InjectionFPDFPDPembedahan
(LO: Mazlina)

MajidahLP by patientNON-APPL
29
29Zoledronic Acid 4 mg InjFPDFPDPembedahan
(LO: Mazlina)

MajidahPembedahan - LP by patient
Perubatan am -LP kuota (STAT dose)		NON-APPL
30
30Abiraterone 250mg TabletFPDFPDPembedahan
(LO: Mazlina)

MajidahLP by patientNON-APPL
31
31Mesalazine 6.67% w/w Enema (2g/30ml)FPDFPDPembedahan
(LO: Mazlina)

MajidahLP by patientNON-APPL
32
32Bicalutamide 50mg TabletFPLFPLPembedahan
(LO: Mazlina)

Nurul Nadira SahiraLP by patientNON-APPL
33
33Trospium Chloride 20mg TabletFPLFPLPembedahan
(LO: Mazlina)

Nurul Nadira SahiraLP KuotaNON-APPL
34
34Mebeverine 135 mg TabletFPLFPLPembedahan
(LO: Mazlina)

Nurul Nadira SahiraLP by patientNON-APPL
35
35Pemetrexed Disodium 500mg InjectionFPDFPDPembedahan
(LO: Mazlina)

MajidahLP by patientNON-APPL
36
36Leucovorin Calcium 15mg Tablet (Folinic acid)FPDFPDPembedahan
(LO: Mazlina)

MajidahLP by patient NON-APPL
37
37Imatinib Mesylate 400 mg TabletFPDFPDPembedahan
(LO: Mazlina)

MazlinaLP by patientNON-APPL
38
38Imatinib Mesylate 100 mg TabletFPDFPDPembedahan
(LO: Mazlina)

MazlinaLP by patientNON-APPL
39
39Pamidronate Disodium 30mg/10ml InjFPDFPDPembedahan
(LO: Mazlina)

MazlinaLP by patient
NON-APPL
40
40Palbociclib 125 mg Capsule/TabletFPDFPDPembedahan
(LO: Mazlina)

MazlinaLP by patient/NON-APPL
41
41Cetuximab 5mg/ml Injection (20ml Vial)FPDFPDPembedahan
(LO: Mazlina)

MazlinaLP by patientUbat Baru JKUT Bil 2/2025NON-APPL
42
42Vinorelbine 10mg InjectionFPD FPDPembedahan
(LO: Mazlina)

MazlinaLP by patientUbat Baru JKUT Bil 2/2025NON-APPL
43
43Dutasteride 0.5mg & Tamsulosin 0.4mg CapsuleFPD/FPLFPD/FPLPembedahan
(LO: Mazlina)

Majidah /Nurul Nadira SahiraLP KuotaAPPL
44
44Tegafur 100 mg +Uracil 224 mg CapsuleFPDFPDPembedahan
(LO: Mazlina)

MajidahLP by patientNON-APPL
45
45Calcium Carbonate 500mg CapsuleFPLFPLPerubatan Nefro (LO: Tuan Ain Najwa)AdibahLP KuotaNON-APPL
46
46Bumetanide 1mg TabletFPLFPLPerubatan Nefro (LO: Tuan Ain Najwa)AdibahLP KuotaNON-APPL
47
47Methoxy Polyethylene Glycol Epoetin Beta 50mcg/0.3 ml InjFPDFPDPerubatan Nefro (LO: Tuan Ain Najwa)Ruhaini LP KuotaUbat Baru JKUT Bil 2/2025NON-APPL
48
48Methoxy Polyethylene Glycol Epoetin Beta 100mcg/0.3 ml InjFPDFPDPerubatan Nefro (LO: Tuan Ain Najwa)Ruhaini LP KuotaNON-APPL
49
49Methoxy Polyethylene Glycol Epoetin Beta 150mcg/0.3 ml InjFPDFPDPerubatan Nefro (LO: Tuan Ain Najwa)Ruhaini LP by patientNON-APPL
50
50Methoxy Polyethylene Glycol Epoetin Beta 200 mcg/0.3 ml InjFPDFPDPerubatan Nefro (LO: Tuan Ain Najwa)RuhainiLP KuotaNON-APPL
51
51Minoxidil 5 mg TabletFPLFPLPerubatan Nefro (LO: Tuan Ain Najwa)AdibahLP by patientNON-APPL
52
52Cinacalcet Hydrochloride 25 mg TabletFPLFPLPerubatan Nefro (LO: Tuan Ain Najwa)AdibahLP by patientNON-APPL
53
53Beclomethasone Dipr. 100mcg, Formoterol 6mcg InhalationFPD/FPLFPDPerubatan Respiratori (LO:Zulhilmi)Farah Adibah / BalqisLP KuotaNON-APPL
54
54Umeclidinium 62.5mcg and Vilanterol 25mcg Inhalation Powder (30doses)FPD/FPLFPDPerubatan Respiratori (LO:Zulhimi)Farah Adibah / BalqisLP KuotaNON-APPL
55
55Clofazimine 100mg CapsuleFPD/FPLFPDPerubatan Respiratori (LO:Zulhimi)Farah Adibah / BalqisLP by patient NON-APPL
56
56Moxifloxacin 400mg TabletFPD/FPLFPDPerubatan Respiratori (LO:Zulhimi)Farah Adibah / BalqisLP by patient NON-APPL
57
57Dabigatran Etexilate 110 mg CapsuleFPLFPLPerubatan: DOAC (LO: Najah Nadhiera)Nor ZanaLP KuotaNON-APPL
58
58Alteplase 50mg/50ml Powder for Injection (rTPA)ED/FPDFPDPerubatan: DOAC (LO: Najah Nadhiera)AzuraLP by patient (medical)
UKK by patient (PE off label)		NON-APPL
59
59Factor IX, II, VII, X in Combination InjFPDFPDPerubatan: DOAC (LO: Najah Nadhiera)AzuraLP by patientNON-APPL
60
60Apixaban 5 mg Film-coated TabletFPD/FPLFPLPerubatan: DOAC (LO: Najah Nadhiera)Azura / Nor ZanaLP Kuota Ubat Baru JKUT Bil 2/2025NON-APPL
61
61Sildenafil Citrate 20 mg Film Coated TabletFPLFPLPerubatan: Cardio (LO: Diyana)Nor ZanaLP KuotaNON-APPL
62
62Ivabradine 5 mg TabletFPD/FPLFPLPerubatan: Cardio (LO: Diyana)Syakirah / Nor ZanaLP by patientNON-APPL
63
63Ivabradine 7.5 mg TabletFPD/FPLFPLPerubatan: Cardio (LO: Diyana)Syakirah / Nor ZanaLP by patientNON-APPL
64
64Amantadine HCl 100mg Capsule/TabletFPLFPLPerubatan Am (LO: Asikin Efiza )Ali ImranLP by patientNON-APPL
65
65Pramipexole Dihydrochloride 0.375mg ER TabletFPLFPLPerubatan Am (LO: Asikin Efiza )Ali ImranLP by patientNON-APPL
66
66Eltrombopag Olamine 25 mg Film-coated TabletFPLFPLPerubatan Am (LO: Asikin Efiza )Ali ImranLP by patientNON-APPL
67
67Febuxostat 80mg tabletFPLFPLPerubatan Am (LO: Asikin Efiza )Ali ImranLP by patientNON-APPL
68
68Rivastigmine 1.5 mg CapsuleFPLFPLPerubatan Am (LO: Asikin Efiza )Ali ImranLP by patient (Medical / Psikiatri)NON-APPL
69
69Ceritinib 150mg Capsule/TabletFPLFPLPerubatan Am (LO: Asikin Efiza )Asikin EfizaLP by patientNON-APPL
70
70Sumatriptan 50 mg TabletFPLFPLPerubatan Am (LO: Asikin Efiza )Asikin EfizaLP by KuotaNON-APPL
71
71Leflunomide 20 mg TabletFPLFPLPerubatan Am (LO: Asikin Efiza )Asikin EfizaLP by patientNON-APPL
72
72Evolocumab 140mg/ml InjFPLFPLPerubatan Am (LO: Asikin Efiza )Asikin EfizaLP by patient (UKK by patient)NON-APPL
73
73Ferric Derisomaltose 100mg/ml solution for injection/ infusionFPDFPDPerubatan Am (LO: Asikin Efiza )SyakirahLP KuotaUbat Baru JKUT Bil 2/2025NON-APPL
74
74Terlipressin 1mg InjectionFPDFPDPerubatan Am (LO: Asikin Efiza )SyakirahLP KuotaUbat Baru JKUT Bil 2/2025NON-APPL
75
75Mesalazine 2g prolonged release granules (sachet)FPLFPLPerubatan Am (LO: Asikin Efiza )Asikin EfizaLP by patientUbat Baru JKUT Bil 2/2025NON-APPL
76
76Mesalazine 1200mg gastro-resistant prolonged release tabletsFPLFPLPerubatan Am (LO: Asikin Efiza )Asikin EfizaLP by patientUbat Baru JKUT Bil 2/2025NON-APPL
77
77Zonisamide 100mg tabletFPLFPLPerubatan Am (LO: Asikin Efiza )Asikin EfizaLP by patientUbat Baru JKUT Bil 2/2025NON-APPL
78
78Insulin Detemir (Levemir) 100 IU/ml FlexPenFPD/FPLFPD/FPLPerubatan Endokrin (LO: Rohayu Abd Rahman) Rohayu / Siti AzmaLP KuotaNON-APPL
79
79Insulin Glulisine 100 iu/ml injection, 3ml pre-filled penFPD/FPLFPD/FPLPerubatan Endokrin (LO: Rohayu Abd Rahman) Rohayu / Siti AzmaLP KuotaNON-APPL
80
80Abacavir 300mg TabFPLFPLPerubatan ID (LO: Noor Aziah Mamat)AkmalLP by patientNON-APPL
81
81Lamivudine 100 mg TabletFPLFPLPerubatan ID (LO: Noor Aziah Mamat)AkmalLP by patientNON-APPL
82
82Lamivudine 150 mg TabletFPLFPLPerubatan ID (LO: Noor Aziah Mamat)AkmalLP by patientNON-APPL
83
83Aripiprazole 400mg Prolonged-Release Suspension For InjectionFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Fatimah ZahraLP by patientNON-APPL
84
84Rivastigmine 9.5 mg/24hr Transdermal PatchFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)AshrafizaLP by patientNON-APPL
85
85Clomipramine HCl 25mg TabletFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)AshrafizaLP by patientNON-APPL
86
86Methylphenidate HCl 36 mg Extended-release TabletFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Mohamad SyihanLP by patientNON-APPL
87
87Methylphenidate HCl 18 mg Extended-release TabletFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Mohamad SyihanLP by patientNON-APPL
88
88Methylphenidate HCl 20 mg LA CapsuleFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Mohamad SyihanLP by patientNON-APPL
89
89Paliperidone 263mg/1.315ml Prolonged-Release InjectionFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Mohamad SyihanLP KuotaNON-APPL
90
90Paliperidone 350mg/1.750ml Prolonged-Release InjectionFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Mohamad SyihanLP KuotaNON-APPL
91
91Paliperidone 525mg/2.625ml Prolonged-Release InjectionFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Fatimah ZahraLP by patientNON-APPL
92
92Paliperidone 150 mg Prolonged Release InjectionFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Mohamad SyihanLP by patientNON-APPL
93
93Paliperidone 100mg Prolonged Release InjectionFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Mohamad SyihanLP KuotaNON-APPL
94
94Paliperidone 75mg Prolonged Release InjectionFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Mohamad SyihanLP KuotaNON-APPL
95
95Fluoxetine 20mg Tablet (ANZACK)FPLFPLJabatan Psikiatri (LO: Fatimah Zahra)AshrafizaLP by patientNON-APPL
96
96Venlafaxine HCl 75 mg Extended Release CapsuleFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)AshrafizaLP KuotaNON-APPL
97
97Perphenazine 4 mg TabletFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)AshrafizaLP KuotaNON-APPL
98
98Risperidone 1mg/ml Oral Solution (RISPERDAL)FPD/FPLFPLJabatan Psikiatri (LO: Fatimah Zahra)Ashrafiza / FatihahLP KuotaNON-APPL
99
99Vortioxetine 10 mg TabletFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)AshrafizaLP by patientNON-APPL
100
100Amisulpride 400 mg TabletFPLFPLJabatan Psikiatri (LO: Fatimah Zahra)AshrafizaLP by patientNON-APPL