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 – 3^rd Edition, which take effect by February 2024. 

Forms adopted from the guideline are listed as below:

1. Appendix 1A: Letter of Intent Format (Dossiers D1 & D2)
2. Appendix 1B: Letter of Intent (Dossier D3).
3. Appendix 2: Pre-Submission Meeting Request Form
4. Appendix 3A: Checklist for Dossier D1
5. Appendix 3B: Dossier D1 Form (Proposal to list new medicine(s)/ indication(s) into the MOH Medicines Formulary)
6. Appendix 4A: Checklist for Dossier D2
7. Appendix 4B: Dossier D2 Form (Proposal to Add or Amend Formulation/Dosage Form/Strength of Medicines Listed in the MOH Medicines Formulary)
8. Appendix 5A: Checklist for Dossier D3
9. Appendix 5B: Dossier D3 Form (Proposal to Change Category of Prescriber of Medicines in the MOH Medicines Formulary)
10. Appendix 6: Medicine Price Declaration Form
11. Appendix 7: Cost Comparison Table
12. Appendix 8A: Applicant Statement of Declaration (Dossiers D1 & D2)
13. Appendix 8B: Applicant Statement of Declaration (Dossier D3)
14. Appendix 9: Evidence table for effectiveness and safety
15. Appendix 10: Evidence table for reporting economic evaluation.
16. Appendix 11A: Dossier D4 Form (Proposal to Delist Approved Medicine(s)/ Indication(s) From the MOH Medicines Formulary)
17. Appendix 11B: Applicant Statement of Declaration (Dossier D4)