Forms for Submission of Dossier for Listing into the Ministry of Health Medicines Formulary (MOHMF)

These forms are used for proposal to list medicines into the Ministry of Health Medicines Formulary (MOHMF) based on new Guidelines for Submission of Dossier for Listing into the MOH Medicines Formulary - 2nd Edition, which take effect by January 2019.  

Forms adopted from the guideline are listed as below:

  1. Dossier D1: 
    • Proposal to list new medicine(s) into the MOH Medicines Formulary, or
    • Proposal to list new indication(s) for existing medicines in the MOH Medicines Formulary
  2. Dossier D2: Proposal to Add or Amend Formulation/Dosage Form/Strength of Medicines Listed in the MOH Medicines Formulary
  3. Dossier D3: Proposal to Change Category of Prescriber of Medicines in the MOH Medicines Formulary
  4. Dossier D4: Proposal to Add Approved Medicines in the MOH Medicines Formulary into Institution’s Medicines Formulary
  5. Dossier D5: Proposal to Delist Approved Medicine(s)/ Indication(s) From the MOH Medicines Formulary
  6. Checklist for Dossier D1
  7. Checklist for Dossier D2
  8. Checklist for Dossier D3
  9. Template for Letter of Intent and Eligibility Criteria (Appendix 1 and 1a)
  10. Medicine Price Declaration Form (Appendix 3)
  11. Evidence table for effectiveness and safety (Appendix 5).
  12. Evidence table for reporting economic evaluations (Appendix 7).
  13. Table for cost comparison (Appendix 8)
Document categories: 
Forms