Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY
UTILIZATION / INVENTORY FOR PUBLIC HEALTH PROGRAMS IN THE PRIMARY HEALTHCARE FACILITIES
(for the use of the Public Health Pharmacists)
Name of Health Facility: Health Facility Classification: Name of City/ Municipal Health Officer: Contact Number:
RURAL HEALTH UNIT OF RURAL HEALTH UNIT
Address: Municipality: Province: Region: Year: Quarter:
SURIGAO DEL NORTE CARAGA 2023
Beginning Stocks Transfer Expired, Losses and
Deliveries Consumption Ending Balance
balance Transferred Received Damages (if any)
(from
Name of Commodity Quarter
previous Ending
Total Total Total Total Total Balance
quarter) (B) (C) (D) (E) (F)
(A) (A+B+E) –
(C+D+F)
LIFESTYLE RELATED DISEASE PREVENTION AND CONTROL PROGRAM
Metformin 500mg – PER
TREATMENT PACK
Losartan 50mg – PER
TREATMENT PACK
Regular Insulin 100 IU/mL, (SC,
IV/IM) – PER VIAL
Isophane Insulin Human 100 IU/mL
– PER VIAL
Biphasic Isophane Human Insulin
100 IU/mL, 70/30 (SC) – PER VIAL
Amlodipine 5mg – PER
TREATMENT PACK
Gliclazide 30mg – PER
TREATMENT PACK
Simvastatin 20mg – PER
TREATMENT PACK
NATIONAL IMMUNIZATION PROGRAM
BCG – PER DOSES
Hepatitis B – PER DOSES
Pentavalent Vaccine (DPT-HepB-
HiB Vaccine) – PER DOSES
Page 1 of 8
Bivalent Oral Polio Vaccine (bOPV)
– PER DOSES
Inactivated Polio Vaccine (IPV) –
PER DOSES
Pneumococcal Conjugate Vaccine
(PCV) – PER DOSES
Measles Mumps Rubella (MMR) –
PER DOSES
Measles Rubella (MR) Vaccine –
PER DOSES
Tetanus-Diphtheria (TD) Vaccine –
PER DOSES
Human Papilloma Vaccine (HPV) –
PER DOSES
Influenza Vaccine (Flu) – PER
DOSES
Pneumococcal Polysaccharide
Polyvalent Vaccine (PPV23) – PER
DOSES
NATIONAL FAMILY PLANNING
Ethinylestradiol + Levonorgestrel/
Combined Oral Contraceptives
(COC) – PER CYCLE
Lynestrenol/ Progestin Only Pill
(POP) – PER CYCLE
Depo Medroxyprogesterone
Acetate (DMPA) – PER VIAL
Intrauterine Device (IUD) – PER
PIECE
Male Condoms – PER PIECE
Etonogestrel/ Progestin Sub-dermal
Implant (PSI) – PER ROD
Cycle Beads – PER PIECE
Progestin Sub-dermal Implant (PSI)
Kit – PER KIT
NATIONAL TUBERCULOSIS CONTROL PROGRAM
Page 2 of 8
Isoniazid 200mg/5mL Syrup – PER
BOTTLE
Rifampicin 200mg/5mL 120mL –
PER SUSPENSION
Pyrazinamide 250mg/5ml – PER
SUSPENSION
Ethambutol 400mg – PER TABLET
Isoniazid 75mg + Rifampicin 150mg
Tablet (FDC 2 Adult) – PER
TABLET
Isoniazid 75mg + Rifampicin 150mg
+ Pyrazinamide 400mg +
Ethambutol 275mg Tablet (FDC 4
Adult) – PER TABLET
Isoniazid 50mg + Rifampicin 75mg
Tablet (FDC 2 Children) – PER
TABLET
Isoniazid 50mg + Rifampicin 75mg
+ Pyrazinamide 150mg Tablet
(FDC 3 Children) – PER TABLET
Bedaquiline 100mg – PER
TABLET
Purified Protein Derivative
2TU/0.1Ml – PER VIAL
MTB/RIF Cartridge – PER
CARTRIDGE
NUTRITION PROGRAM
Vitamin A 100,000IU – PER
CAPSULE
Vitamin A 200,000IU – PER
CAPSULE
Ferrous with Folic Acid – PER
TABLET
Micronutrient Powder – PER
SACHET
MUAC Tape for Adult – PER
PIECE
MUAC Tape for Children – PER
PIECE
INTEGRATED HELMINTH CONTROL PROGRAM (IHCP)
Page 3 of 8
Albendazole 400 mg (Chewable) –
PER TABLET
Albendazole 400mg Tablet – PER
TABLET
Mebendazole 500mg – PER
TABLET
Albendazole 200mg – PER
TABLET
PHILIPPINE INTEGRATED MANAGEMENT OF SEVERE ACUTE MALNUTRITION (PIMAM)
Ready-to-Use-Supplementary
(RUSF) for Children – PER
SACHET
Ready-to-Use Therapeutic Food
(RUTF) – PER SACHET
F-75 Therapeutic Milk – PER
CANS
F-100 Therapeutic Milk – PER
VIAL
Ready-to-Use-Supplementary For
(RUSF) MOMS – PER VIAL
FOOD AND WATERBORNE DISEASE PREVENTION AND CONTROL PROGRAM
Metronidazole 125mg/5 ml, 60 ml
bottle – PER BOTTLE
Metronidazole 250mg suspension –
PER BOTTLE
Metronidazole 250mg Tablet – PER
TABLET
Metronidazole 500mg Tablet – PER
TABLET
Oral Rehydration Salts (75
replacement) – PER SACHET
Ciprofloxacin 500MG – PER
TABLET
Ciprofloxacin 250mg tablet – PER
TABLET
Zinc sulfate 27.5mg/ml drops –
PER BOTTLE
Page 4 of 8
Diloxanide 500mg tablet
(as furoate) – PER TABLET
Zinc Syrup – PER BOTTLE
NATIONAL FILARIASIS ELIMINATION PROGRAM
Filariasis Test Strip – PER STRIPS
Diethylcarbamazine Citrate – PER
TABLET
SCHISTOSOMIASIS CONTROL AND ELIMINATION PROGRAM (SCEP)
Praziquantel- PER TABLET
Kato Katz- PER KIT
COVID – 19
N95 Mask
Personal Protective Equipment
Gloves
Surgical Masks
0.9% Sodium Chloride, 2Ml – PER
VIAL
0.9% Sodium Chloride Injection
USP, 10mL – PER VIAL
N95 Mask
AstraZeneca Vaccine – PER VIAL
Sinovac (CoronaVac) Vaccine –
PER VIAL
Pfizer (Comirnaty) Vaccine – PER
VIAL
Pfizer (Comirnaty) Vaccine "
Pediatric " (Nucleoside
Modified) – PER VIAL
Janssen Vaccine – PER VIAL
Moderna Vaccine – PER VIAL
Page 5 of 8
Sputnik V (Gamaleya) Component I
– PER VIAL
Sputnik V (Gamaleya) Component
II – PER VIAL
Vector Vaccine Sputnik Light
Vaccine Sinopharm – PER VIAL
Gene Xpert Cartridge
NATIONAL LEPROSY CONTROL PROGRAM
Betamethasone 5g – PER CREAM
Prednisone 10mg – PER TABLET
Fusidate Sodium/Acid 2% 15g –
PER CREAM
Ascorbic Acid – PER TABLET
Itraconazole 100mg – PER
TABLET
Ferrous Sulfate + Folic Acid – PER
TABLET
Vitamin B Complex – PER TABLET
MENTAL HEALTH DIVISION
Lithium Carbonate 450mg
Flupentixol 20mg/mL
Escitalopram Oxalate 10mg
Fluoxetine 20mg
Quetiapine Fumarate 200mg
Sertraline HCl 50mg
Risperidone 2mg
Risperidone 2mg ODT
Valproate Disodium + Valproic Acid
250mg/5mL, 120mL syrup
Haloperidol 5mg
Page 6 of 8
Haloperidol 5mg/mL, 1 mL
Olanzapine 10mg
Fluphenazine Decanoate 25mg/mL,
1mL
Chlorpromazine 200mg
Carbamazepine 200mg
Biperiden HCl 2mg
Diphenhydramine (as
Hydrochloride) 50 mg/mL, 1 mL
Clozapine 100mg
Divalproex Sodium 250mg ER
Divalproex Sodium 500mg MR
Levetiracetam 500mg
Lamotrigine 100mg tablet
Donepezil 10mg
Paliperidone 150mg/1.5 mL
Olanzapine 10 mg ODT
Chemical Reagents (Coliform/ E
Coli Test Reagent)
Prepared by: Attested by: Noted by: Noted by:
ERWIN G. PINGAL, RMT, MPM LESLIE C. CORTES, RPh
Public Health Nurse Municipal Health Officer DMO V National Drug Policy Compliance officer
Page 7 of 8
Noted by:
MELMA MARIE I. CLAVERO, RPh
Public Health Pharmacist
Page 8 of 8
