Skim Perubatan MADANI List of Services and Fee Schedule

1st Edition- 30 May 2023

Revision 1 – 13 Jun 2023
Revision 2 – 28 Jun 2023

SKIM PERUBATAN MADANI is an initiative by the Government through the Ministry of Health (MOH)
to accommodate the health needs of the B40 group for Acute Primary Care Services through a
partnership between the public/government and private sectors.

This document lists the services and drugs claimable under Skim Perubatan MADANI, which will be
updated periodically and published in ProtectHealth’s Primary Care Information System (PRIMIS).
Panel General Practitioner clinics should always refer to the latest version.

The fee structure is separated into three (3) categories whereby each category has a maximum limit
for a single visit. The categories and maximum limits are:

A. Combined Consultation and Medication : RM 60 per visit

- Consultation fee up to RM 30 per visit.
B. Investigations (POCT or Diagnostic Procedures) : RM 50 per visit
C. Therapeutic procedures (excluding basic life support) : RM 50 per visit

Basic life support in cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED)
are reimbursed as per service item shown in Skim Perubatan MADANI List of Services and Fee Schedule
without being subject to maximum limit.

I. List of Investigations
Fee per Service Maximum
No Service Item
Item (RM) per visit
Investigations (Point of care testing (POCT) or Diagnostic Procedures)
*Including consumables
1. Full Blood Count (FBC) - haematology analyser 25
2. Glucometer 5
3. Urine ketone (dipstick) 5
4. Urine Pregnancy Test (UPT) 10
5. Urinalysis (dipstick) 5
6. Dengue NS 1 antigen only 15
7. Dengue IgM/IgG only 10 RM 50
8. Dengue Combo Test (NS 1 & IgM/IgG) 25
9. COVID-19 RTK Ag saliva test 8
10. COVID-19 RTK Ag swab test 20
11. HIV 1 & 2 rapid test 12
12. Urine drug of abuse (MET - Methamphetamines) 3
13. Urine drug of abuse (OPI - Opiates) 3

Kesihatan Anda, Misi Kami

Page 1 of 10
 Fee per Service Maximum
No Service Item
Item (RM) per visit
14. Urine drug of abuse (AMP - Amphetamines) 3
15. Urine drug of abuse (KET - Ketamine) 3
16. Urine drug of abuse (THC - Cannabinoids) 3
17. Electrocardiogram (ECG) 25
18. Single view 35
Chest x-ray with films/ images
19. 2 views 50
20. Upper limb, single view 35
21. Limb or joint x-ray with films/ Upper limb, 2 views 50
22. images Lower limb, single view 35
23. Lower limb, 2 views 50
(Female) Pelvis ultrasound for O&G emergencies
24. 30
25. Speculum examination 20
26. Proctoscopy examination 20

II. List of Therapeutic Procedures

Fee per Service Maximum

No Service Item
Item (RM) per Visit
Therapeutic Procedures
*Including consumables
*Drugs for nebulisation and local anaesthesia to be reimbursed under drug prescription
1. Nebulisation 15
2. Compression and bandaging for haemorrhage 15
3. Bandaging for immobilisation 15
2
4. < 4 cm 15
5. Simple wound dressing 4cm2 - 8cm2 20
2
6. > 8 cm 25
7. < 4 cm 30
8. Wound toilet and closure 4cm - 8cm 40
9. > 8 cm 50 RM 50
10. < 4 sutures 15
Suture to open (STO)
11. ≥ 4 sutures 25
12. Staining of eye for foreign body examination 10
13. Eye irrigation 20
14. from eye
15. Removal of foreign body from ear 25
16. from nose
17. Removal of nail under local anaesthesia 50
18. Evacuation or nail trephination for subungual hematoma 40

Kesihatan Anda, Misi Kami

Page 2 of 10
 Fee per Service Maximum
No Service Item
Item (RM) per Visit
Urine catheter and bag
19. 30
provided by patient
Urinary catheterisation
Urine catheter and bag
20. 40
provided by GP
Insertion of intravenous canula and/or Intravenous infusion,
21. 30
initiation
22. Basic life support - Cardiopulmonary resuscitation (CPR) 150 -
23. Basic life support - Automated External Defibrillator (AED) 150 -

III. List of Drugs

Price per ordering

No. Generic Name Ordering Unit
unit (RM)
Respiratory System
Beclomethasone Dipropionate 100
1. 1 cannister of 200 doses 21.40
mcg/dose Inhalation
1 bottle of 60ml 3.50
1 bottle of 90ml 5.30
2. Bromhexine HCl 4 mg/5 ml Elixir
1 bottle of 100ml 5.90
1 bottle of 120ml 7.10
3. Bromhexine HCl 8mg Tablet 1 tab/cap 0.10
4. Cetirizine HCl 10mg Tablet 1 tab/cap 0.30
1 bottle of 60ml 4.80
1 bottle of 90ml 7.20
5. Chlorpheniramine Maleate 2 mg/5 ml Syrup
1 bottle of 100ml 8.00
1 bottle of 120ml 9.60
6. Chlorpheniramine Maleate 4mg Tablet 1 tab/cap 0.10
1 bottle of 90ml 4.20
Diphenhydramine HCl Expectorant (Adult)
7. 1 bottle of 100ml 4.60
14mg/5ml
1 bottle of 120ml 5.50
1 bottle of 60ml 7.40
Diphenhydramine HCl Expectorant 1 bottle of 90ml 11.10
8.
(Paediatric) 7mg/5ml 1 bottle of 100ml 12.30
1 bottle of 120ml 14.80
Ipratropium Br 0.5mg, Salbutamol 2.5mg
9. 1 respule 3.00
Neb (UDV)
10. Loratadine 10 mg Tablet 1 tab/cap 0.30
Loratadine 5 mg and Pseudoephedrine
11. 1 tab/cap 1.70
Sulphate 120 mg Tablet
1 bottle of 60ml 5.00
12. Promethazine HCl 5 mg/5 ml Syrup 1 bottle of 90ml 7.50
1 bottle of 100ml 8.40

Kesihatan Anda, Misi Kami

Page 3 of 10
 Price per ordering
No. Generic Name Ordering Unit
unit (RM)
1 bottle of 120ml 10.10
13. Salbutamol 0.5% Inhalation Solution 1 respule 2.80
Salbutamol 100 mcg/dose Inhaler (200
14. 1 cannister of 200 doses 15.10
doses)
1 bottle of 60ml 7.70
15. Thymol Compound Gargle 1 bottle of 100ml 12.90
1 bottle of 120ml 15.50
1 bottle of 60ml 3.30
Triprolidine 1.25mg and Pseudoephedrine 1 bottle of 90ml 4.90
16.
30mg/5ml Syrup 1 bottle of 100ml 5.40
1 bottle of 120ml 6.50
Triprolidine HCl 2.5 mg and
17. 1 tab/cap 0.40
Pseudoephedrine HCl 60 mg Tablet
Analgesics & Antipyretics
18. Ibuprofen 200 mg Tablet 1 tab/cap 0.20
1 bottle of 30ml 3.00
1 bottle of 60ml 5.90
19. Paracetamol 120 mg/5 ml Syrup 1 bottle of 90ml 8.90
1 bottle of 100ml 9.90
1 bottle of 120ml 11.90
1 bottle of 60ml 5.10
1 bottle of 90ml 7.70
20. Paracetamol 250 mg/5 ml Syrup
1 bottle of 100ml 8.60
1 bottle of 120ml 10.30
21. Paracetamol 500 mg Tablet 1 tab/cap 0.20
22. Paracetamol 125 mg Suppository 1 suppository 0.90
23. Paracetamol 250 mg Suppository 1 suppository 1.30
Gastrointestinal System
Benzyl Benzoate, Zinc Oxide & Balsam Peru
24. 1 suppository 1.70
Suppository (Anusol)
25. Bisacodyl 5 mg Tablet 1 tab/cap 0.30
26. Charcoal Activated 250mg Tablet 1 tab/cap 0.60
27. Diosmectite (Smecta) 1 sachet 1.70
28. Diphenoxylate with Atropine Sulphate Tablet 1 tab/cap 0.10
Glycerin 25%, Sodium Chloride 15% Enema 1 tube of 10ml 0.70
29.
(Ravin) 1 tube of 20ml 1.30
1 bottle of 60ml 9.80
30. Hyoscine N-Butylbromide 1 mg/ml Liquid 1 bottle of 100ml 16.40
1 bottle of 120ml 19.70
31. Hyoscine N-Butylbromide 10 mg Tablet 1 tab/cap 0.50
1 bottle of 100ml 12.40
32. Lactulose 3.35 g/5 ml Liquid
1 bottle of 120ml 14.90

Kesihatan Anda, Misi Kami

Page 4 of 10
 Price per ordering
No. Generic Name Ordering Unit
unit (RM)
1 bottle of 60ml 3.10
1 bottle of 90ml 4.70
1 bottle of 100ml 5.20
33. Magnesium Trisilicate Mixture
1 bottle of 120ml 6.30
1 bottle of 200ml 10.40
1 bottle of 240ml 12.50
34. Magnesium Trisilicate Tablet 1 tab/cap 0.70
35. Metoclopramide HCl 10 mg Tablet 1 tab/cap 0.20
36. Metoclopramide injection 1 ampoule 4.70
37. Oral Rehydration Salt 1 sachet 0.40
38. Pantoprazole 40 mg Tablet 1 tab/cap 1.00
Prochlorperazine Mesylate 12.5 mg/ml
39. 1 ampoule 3.10
Injection
Sodium Alginate, Potassium Bicarbonate
40. 1 sachet 3.20
Suspension
1 bottle of 60ml 3.50
1 bottle of 90ml 5.30
Sodium Bicarbonate and Magnesium
1 bottle of 100ml 5.90
41. Carbonate Compound Mixture (Carminative
Mixt) 1 bottle of 120ml 7.10
1 bottle of 200ml 11.80
1 bottle of 240ml 14.10
Cardiovascular System
Acetylsalicylic Acid 100 mg, Glycine 45 mg
42. 1 tab/cap 0.40
Tablet
43. Acetylsalicylic Acid 300 mg Soluble Tablet 1 tab/cap 0.30
44. Adrenaline injection 1/1000 (1mg/1ml) 1 ampoule 6.00
45. Amlodipine 10mg Tablet 1 tab/cap 0.60
46. Amlodipine 5mg Tablet 1 tab/cap 0.50
47. Atenolol 100mg Tablet 1 tab/cap 0.50
48. Atenolol 50mg Tablet 1 tab/cap 0.40
49. Atropine Sulphate solution 1 ampoule 4.70
50. Bisoprolol Fumarate 2.5 mg Tablet 1 tab/cap 1.30
51. Bisoprolol 5mg Tablet 1 tab/cap 1.60
52. Captopril 25mg Tablet 1 tab/cap 0.60
53. Frusemide 40 mg Tablet 1 tab/cap 0.20
54. Glyceryl Trinitrate 0.5 mg Tablet 1 tab/cap 0.40
55. GTN Spray 1 dose/ 1 spray 0.40
56. Hydrochlorothiazide 25mg Tablet 1 tab/cap 0.30
57. Labetalol 100mg Tablet 1 tab/cap 1.40
58. Metoprolol 100mg Tablet 1 tab/cap 0.40
59. Metoprolol 50mg Tablet 1 tab/cap 0.60
60. Nifedipine 10mg Tablet 1 tab/cap 0.30
61. Potassium Chloride 600 mg SR Tablet 1 tab/cap 0.20

Kesihatan Anda, Misi Kami

Page 5 of 10
 Price per ordering
No. Generic Name Ordering Unit
unit (RM)
Musculoskeletal system
62. Baclofen 10 mg Tablet 1 tab/cap 2.70
63. Colchicine 0.5 mg Tablet 1 tab/cap 0.30
1 tube of 15g 3.60
64. Methyl Salicylate 25% Ointment 1 tube of 25g 6.10
1 tube of 50g 12.20
65. Orphenadrine 100 Mg Tablet 1 tab/cap 1.50
Orphenadrine Citrate 35mg, Paracetamol
66. 1 tab/cap 0.20
450mg
67. Prolase Tablet 1 tab/cap 0.30
Analgesics
68. Celecoxib 200mg Capsule 1 tab/cap 1.70
69. Diclofenac Sodium 50 mg Tablet 1 tab/cap 0.30
70. Diclofenac Sodium 75mg/3 ml Injection 1 ampoule 4.70
71. Flurbiprofen 40mg Patch 1 pack of 6 plaster 21.70
72. Indomethacin 25 mg Capsule 1 tab/cap 0.20
73. Ketoprofen 30 Mg Transdermal Plaster 1 pack of 6 plaster 12.60
74. Mefenamic Acid 250 mg Capsule 1 tab/cap 0.20
75. Mefenamic Acid 250 mg Tablet 1 tab/cap 0.20
Lignocaine HCl (Lidocaine) 2% Injection
76. 1 vial 8.20
(10ml) for local anaesthetic
Genito-urinary/ Gynaecology System
77. Clotrimazole 100mg Vaginal pessary 1 tab/cap 1.70
78. Clotrimazole 200mg Vaginal pessary 1 tab/cap 3.40
79. Clotrimazole 500 mg Vaginal Tablet 1 tab/cap 10.10
80. Levonorgestrel 1.5 mg Tablet 1 tab/cap 11.10
81. Medroxyprogesterone Acetate 5 mg Tablet 1 tab/cap 1.70
82. Nitrofurantoin 100 mg Tablet 1 tab/cap 0.90
83. Potassium Citrate 3g/10ml Mixture BPC 1 bottle of 120ml 5.80
Sodium Bicarbonate, Citric Acid, Sodium
84. 1 sachet 1.60
Citrate, Tartaric Acid 4g/sachet (Ural)
85. Tranexamic Acid 250 mg Capsule 1 tab/cap 1.00
Anti-infectives
86. Albendazole 200 mg Tablet 1 tab/cap 3.10
1 bottle of 10ml 9.60
87. Albendazole 200 mg/5 ml Suspension
1 bottle of 20ml 19.30
88. Amoxicillin + Clavulanate 228 mg/5 ml Syrup 1 bottle of 70ml 19.50
1 bottle of 60ml 12.50
89. Amoxicillin + Clavulanate 156 mg/5 ml Syrup
1 bottle of 100ml 20.80
Amoxicillin + Clavulanate 312.5 mg /5ml
90. 1 bottle of 60ml 17.30
Syrup
91. Amoxicillin + Clavulanate 457 mg /5ml Syrup 1 bottle of 35ml 18.20

Kesihatan Anda, Misi Kami

Page 6 of 10
 Price per ordering
No. Generic Name Ordering Unit
unit (RM)
Amoxicillin 500 mg Clavulanate 125 mg
92. 1 tab/cap 1.40
Tablet
93. Amoxicillin 250mg Capsule 1 tab/cap 0.30
94. Amoxicillin 500mg Capsule 1 tab/cap 0.40
95. Amoxicillin Trihydrate 125 mg/5 ml Syrup 1 bottle of 60ml 5.10
1 bottle of 60ml 7.40
96. Amoxicillin Trihydrate 250 mg/5 ml Syrup
1 bottle of 100ml 12.30
97. Azithromycin 250 mg Tablet 1 tab/cap 1.70
98. Cephalexin Monohydrate 125 mg/5 ml Syrup 1 bottle of 60ml 8.50
1 bottle of 60ml 9.40
99. Cephalexin Monohydrate 250 mg/5 ml Syrup
1 bottle of 100ml 15.70
100. Cephalexin Monohydrate 250mg Capsule 1 tab/cap 0.40
101. Cephalexin Monohydrate 500mg Capsule 1 tab/cap 0.60
102. Cloxacillin 250mg Capsule 1 tab/cap 0.40
103. Cloxacillin 500mg Capsule 1 tab/cap 0.40
104. Cloxacillin Sodium 125 mg/5 ml Suspension 1 bottle of 60ml 7.90
105. Doxycycline 100 mg Capsule 1 tab/cap 0.30
Erythromycin Ethylsuccinate 200 mg/5 ml 1 bottle of 60ml 8.40
106.
Suspension 1 bottle of 100ml 14.10
107. Erythromycin Ethylsuccinate 400 mg Tablet 1 tab/cap 1.00
Erythromycin Ethylsuccinate 400 mg/5 ml
108. 1 bottle of 60ml 18.10
Suspension
109. Metronidazole 200 mg Tablet 1 tab/cap 0.20
110. Metronidazole 400 mg Tablet 1 tab/cap 0.20
1 bottle of 12ml 3.80
111. Nystatin 100,000 units/ml Suspension 1 bottle of 30 ml 9.60
1 bottle of 60ml 19.20
Sulfamethoxazole 400 mg, Trimethoprim 80
112. 1 tab/cap 0.20
mg Tablet
Neurological
113. Cinnarizine 25 mg Tablet 1 tab/cap 0.30
114. Gabapentin 300 mg Capsule 1 tab/cap 1.50
115. Prochlorperazine Maleate 5mg Tab 1 tab/cap 0.10
ENT/ Eyes/ Oral
Artificial Tears/Eye Lubricant Ophthalmic 1 bottle of 5ml 3.60
116.
Solution 1 bottle of 10ml 7.20
1 bottle of 5ml 4.70
117. Chloramphenicol 0.5% Eye Drops
1 bottle of 10ml 9.30
118. Chloramphenicol 1% Eye Ointment 1 tube of 5g 4.70
119. Chloramphenicol 5% w/v Ear Drops 1 bottle of 5ml 9.30
120. Chlorhexidine Gluconate 0.2% Mouthwash 1 bottle of 80ml 5.60

Kesihatan Anda, Misi Kami

Page 7 of 10
 Price per ordering
No. Generic Name Ordering Unit
unit (RM)
Propylene glycol dicaprylocaprate, butoxyl,
121. turpentine oil, chlorocresol Ear Drops 1 bottle of 10 ml 19.80
(Cerumol)
1 tube of 5g 7.20
Choline Salicylate 8.7%, Cetylkonium 1 tube of 8g 11.50
122.
Chloride 0.01% Dental Gel 1 tube of 10g 14.40
1 tube of 15g 21.70
123. Docusate sodium (SOLUWAX Ear Drops) 1 bottle of 10ml 19.50
Lidocaine 2.5%, chlorhexidine HCl 0.5%, 1 bottle of 5ml 6.80
124.
triamcinolone acetonide 0.1% (Oral Aid) 1 bottle of 6ml 8.20
Sodium acyl sarcosinate solution 15%,
125. sucrose laurate solution 5%, propanediol 5% 1 vial of 2ml 2.60
Ear Drops (A-Cerumen)
1 bottle of 5ml 9.20
126. Sodium Chloride 0.9% Eye Drops
1 bottle of 10ml 18.40
1 bottle of 5ml 9.90
127. Sodium Cromoglycate 2% Eye Drops
1 bottle of 10ml 19.70
Dermatological
1 bottle of 15ml 2.00
1 bottle of 30ml 4.00
1 bottle of 60ml 8.10
128. Acriflavine lotion
1 bottle of 90ml 12.10
1 bottle of 100ml 13.50
1 bottle of 120ml 16.10
1 tube of 15g 3.30
1 tube of 30g 6.60
129. Aqueous Cream
1 tube of 50g 10.90
1 bottle of 100g 21.90
Benzalkonium Chloride 0.02% w/w, 1 tube of 10g 4.30
130. Cetrimide 0.2% w/w & Zinc Oxide 10% w/w 1 tube of 50g 21.30
Cream 1 tube of 55g 23.40
1 tube of 5g 6.50
131. Benzoyl Peroxide 5% Gel
1 tube of 15g 19.50
1 bottle of 100ml 9.40
132. Benzyl Benzoate 25% Emulsion (Adult) 1 bottle of 120ml 11.30
1 bottle of 200ml 18.80
1 tube of 5g 5.00
133. Betamethasone Valerate 0.05% cream 1 tube of 10g 10.10
1 tube of 15g 15.10
1 tube of 15g 4.10
134. Calamine cream 1 tube of 25g 6.80
1 tube of 50g 13.70
135. Calamine lotion 1 bottle of 30ml 2.10

Kesihatan Anda, Misi Kami

Page 8 of 10
 Price per ordering
No. Generic Name Ordering Unit
unit (RM)
1 bottle of 60ml 4.30
1 bottle of 100ml 7.10
1 bottle of 120ml 8.50
1 bottle of 200ml 14.20
1 bottle of 250ml 17.80
1 tube of 5g 3.80
1 tube of 10g 7.60
136. Clotrimazole 1% Cream
1 tube of 15g 11.40
1 tube of 20g 15.20
1 tube of 5g 2.60
137. Crotamiton 10 % Cream 1 tube of 10g 5.20
1 tube of 15g 7.80
1 tube of 5g 4.90
1 tube of 10g 9.70
138. Fusidic Acid 2% Cream
1 tube of 15g 14.60
1 tube of 20g 19.40
1 tube of 10g 4.50
1 tube of 15g 6.80
139. Hydrocortisone 1% Neomycin 0.5% Cream 1 tube of 20g 9.00
1 tube of 30g 13.60
1 tube of 50g 22.60
1 tube of 5g 2.30
1 tube of 10g 4.60
1 tube of 15g 6.90
140. Hydrocortisone 1% Cream
1 tube of 20g 9.20
1 tube of 30g 13.80
1 tube of 50g 23.00
1 tube of 5g 2.60
1 tube of 10g 5.20
141. Miconazole 2% Cream 1 tube of 15g 7.80
1 tube of 20g 10.50
1 tube of 30g 15.70
142. Permethrin 1% w/v Lotion 1 bottle of 30ml 21.90
143. Permethrin 5% w/v Lotion 1 bottle of 30ml 17.00
1 jar of 30g 3.10
144. Petrolatum Jelly BP 1 jar of 50g 5.20
1 pack of 100g 10.40
1 tube of 10g 7.20
1 tube of 15g 10.70
145. Salicylic Acid 2% Ointment 1 tube of 20g 14.30
1 tube of 25g 17.90
1 tube of 30g 21.50

Kesihatan Anda, Misi Kami

Page 9 of 10
 Price per ordering
No. Generic Name Ordering Unit
unit (RM)
146. Salicylic Acid 20% Ointment 1 tube of 15g 23.60
1 tube of 15g 1.40
1 tube of 25g 2.40
147. Silver Sulfadiazine 1% Cream 1 tube of 30g 2.90
1 tube of 50g 4.80
1 jar of 250g 23.80
Others
148. Chlorpheniramine 10mg/ml Injection 1 ampoule 3.60
Hydrocortisone Sodium Succinate 100mg
149. 1 vial 8.30
Injection
150. Metformin 500 mg Tablet 1 tab/cap 0.20
151. Prednisolone 5 mg Tablet 1 tab/cap 0.10
152. Tetanus Toxoid Injection (10 doses) 1 dose 8.10

Kesihatan Anda, Misi Kami

Page 10 of 10