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2017 DPRI | Fifth Edition 0 | P a g e


ACKNOWLEDGEMENTS

The 2017 Edition of the Drug Price Reference Index (DPRI) is a fruit of hard work, dedication and team efforts

of the Department of Health (DOH) Pharmaceutical Division’s System Support Unit supervised by Ms. Vanessa J. Saulog

– Obera, together with her team members namely: Mr. Achilles V. Aragona who also prepared the cover design and

layout of the booklet, Ms. Priscilla Margarette H. Alimario, Mr. John Lester M. Custodio, Ms. Geny C. Belmonte, Mr.

Christian M. Villostas and their team leader Mr. Jeffrey T. Castro;

The Electronic Drug Price Monitoring System (EDPMS) team for providing market intelligence led by Mr. Patrick

D. Acuna, and his team members: Ms. Grace N. Lagunzad, and Ms. Arlyn A. Rabi;

Mr. Aris Posadas for continuously enhancing the DPRI website and database;

Mr. Adell Azuelo for the printing of booklet procurement;

To all NDP Compliance Officers and EDPMS Helpdesks who aid in the implementation of the DPRI and to the

DOH-Pharmaceutical Division family with our OIC-Chief Irene V. Florentino-Farinas for their support;

All DOH Retained / Specialty Hospitals and Regional Offices for contributing their data to the Department of

Health;

The Drug Price and Access Advisory Committee (DPAAC) who provided recommendations for the improvement

of the policy headed by Governor Roberto Pagdanganan as Chairman, Dr. Alvin Caballes as Vice-chairman, and the

members of the committee: Dr. Michael Abrigo, Dr. John Wong and Mr. Oscar Picazo;

We also recognize and thank our Health Secretary Francisco T. Duque and former Health Secretary Dr. Paulyn

Jean B. Rosell – Ubial, and OIC – Assistant Secretary Enrique A. Tayag for their unwavering support and commitment

to enforce the DPRI in the government.

Manila, Philippines

18 December 2017

Corazon I. Flores, MD, MPH, CESO IV

Director III


OVERVIEW

The high and extremely variable prices of medicines in the Philippines impact on access to effective, efficient and

equitable health care. In 2009, a study conducted by Health Action International revealed that there was extreme

variability in the procurement prices of essential medicines across the national and local public health facilities in the

country. On average, originator brands and generic equivalents were procured almost 16 times and 3 times higher,

respectively, compared to prices available on the international market.1

The DOH-Central Bids and Awards Committee (DOH-COBAC) and DOH Hospitals were shown to have more efficient

procurement prices compared to provincial and municipal health facilities, thus leading to variability in access to

essential medicines across the Philippines.

Republic Act (RA) 9502 or the Universally Accessible Cheaper and Quality Medicines Act of 2008 gave the DOH

instruments to monitor and regulate the prices of drugs and medicines to protect consumers and the public procuring

entities from excessive mark-ups applied to prices of medicines resulting from information asymmetry and the lack of

effective market competition.

To address these issues, the DOH Pharmaceutical Division (formerly NCPAM) established a Drug Price Reference Index

(DPRI) for all essential medicines to guide all national and local government health facilities in the efficient sourcing of

pharmaceutical products in the public sector.

What is the Drug Price Reference Index (DPRI)? The DPRI lists the ceiling prices of essential medicines for government bidding and procurement set by the DOH for all National and Local Government Health Facilities and Government Agencies. Winning bid prices of essential medicines within the DPRI ceiling reflect efficient and effective procurement in the government. Their transparency and enforcement ensure consumer access to medicines and protection from excessive price mark-ups on medicines. The DPRI only reflects the acquisition costs including landed cost, packaging, drug content, quality assurance, manufacturing overheads and Food and Drug Administration (FDA) fees. The DPRI excludes other costs such as pharmacy services, preparation and storage fees, and other reasonable pharmacy mark-ups, which are now being evaluated by the DOH. The DPRI aims to improve the efficiency and good governance in the pricing and procurement of medicines in the

public sector through establishing a transparent and publicly available reference price for affordable and quality

medicines. It also aims to guide the Philippine Health Insurance Corporation (PHIC) in setting reimbursement caps for

medicines both for inpatient and outpatient services.

Who should use the DPRI? All government entities should be guided by the DPRI when procuring medicines. It shall be applied to all forms of

procurement such as public bidding, direct contracting, shopping, negotiated procurement, emergency procurement

and consignment to ensure that the government achieves the best value for money in sourcing essential medicines.

___________________________________ 1 Douglas B, Tisocki K (2009) Public Procurement Prices of Medicines in the Philippines. Health Action International.


What are the sources of Price Data?

In general, the DPRI is calculated based on the prevailing market price collected by the DOH through the Electronic

Drug Price Monitoring System (EDPMS) from different drug establishments which includes, Drug Stores, Drug Chains,

Private Hospital Pharmacy and Government Hospital Pharmacy nationwide.

How the Drug Price Reference Index (DPRI) determined?

The reference price is set at the Median or the 50th percentile across the range of prevailing market prices of essential

medicines for each preparation and strength but further reducing the value by 30% to offset the estimated average

retail mark-up. However, prices of innovator products included in the data set are excluded in the calculation except

for those cases wherein the innovator products comprises at least 70% of the total data set

How often is the DPRI updated?

The DPRI is updated annually. All DOH hospitals and ROs submits a copy of their latest purchase orders to the DOH

Pharmaceutical Division. Price data uploaded by all drug establishment nationwide is extracted and analyzed together

with the procurement gathered from DOH facilities. The updated DPRI is based on the current retail price data of

medicines.

How to set the ABC of medicines not included in this edition?

For some medicines not listed in this edition, the method on setting the ABC shall depend on the discretion of the

procuring entity (e.g. review of historical awarded price, market survey, MIMS).

Occurrence of Bid Failure

All procuring entities are advised to submit the list of medicines that resulted to bid failure at DOH-PD. The report

should comply the template provided by DOH-PD that can be downloaded at their website at www.dpri.doh.gov.ph.

http://www.dpri.doh.gov.ph/


GENERIC NAME STRENGTH / FORM / VOLUME DPRI (Php)

(Ceiling Price)

A

1. Acetazolamide 250 mg Tablet 25.38

2. Acetylcysteine 100 mg Sachet 11.54

3. Acetylcysteine 200 mg Sachet 14.62

4. Acetylcysteine 200 mg/mL, 25 mL Bottle 1,813.85

5. Acetylcysteine 600 mg Effervescent Tablet 29.23

6. Aciclovir 200 mg Tablet 9.23

7. Aciclovir 25 mg/mL, 10 mL Vial 1,184.97



10. Adenosine 3 mg/mL, 2 mL Vial 1,069.76

11. Albumin, Human 20%, 50 mL Bottle 3,250.00

12. Albumin, Human 25%, 50 mL Bottle 3,984.62

13. Alcohol, Ethyl 70% solution, 500 mL Bottle 53.08

14. Alendronate 70 mg Tablet (As Sodium Salt) 196.06

15. Alfuzosin 10 mg Tablet (as Hydrochloride) 43.81

16. All-in-One Admixtures ("3-in-1" or "dual energy" solutions)

"3 in 1" 1400 Kcal Bottle 2,884.62

17. All-in-One Admixtures ("3-in-1" or "dual energy" solutions)

"3 in 1" 1900 Kcal Bottle 5,736.15

18. Allopurinol 100 mg Tablet 6.92

19. Allopurinol 300 mg Tablet 13.82

20. Alprazolam 250 mcg Tablet 19.67

21. Alprazolam 500 mcg Tablet 32.92

22. Aluminum Hydroxide + Magnesium Hydroxide

225 mg + 200 mg/5 mL, 120 mL Suspension

40.77



222.31



59.23

25. Amikacin 100 mg powder Vial (As Sulfate) 41.15

26. Amikacin 100 mg/mL, 2 mL Vial (As Sulfate) 143.85

27. Amikacin 125 mg/mL, 2 mL Ampule (As Sulfate) 156.19





32. Amikacin 50 mg/ml, 2 ml Vial (As Sulfate) 61.54

33. Amino Acid Solutions for Hepatic Failure 7%, 500 mL Bottle 784.00

34. Amino Acid Solutions for Hepatic Failure 8%, 500 mL Bottle 1,047.77

35. Amino Acid Solutions for Infants 6%, 100 mL Bottle 521.32

36. Amino Acids, Crystalline Standard 8%, 500 mL Plastic Bottle 991.71

37. Amino Acids, Crystalline Standard 9.12%, 20 mL Ampule 230.77

38. Aminophylline 25 mg/mL, 10 mL Ampule 45.38

39. Amiodarone 200 mg Tablet (As Hydrochloride) 30.00

40. Amiodarone 50 mg/mL, 3 mL Ampule (As Hydrochloride)

279.23

41. Amlodipine 10 mg Tablet (As Besilate/Camsylate) 11.16



(Ceiling Price)

42. Amlodipine 5 mg Tablet (As Besilate/Camsylate) 7.35

43. Amoxicillin 100 mg/mL, 10 mL Drops (As Trihydrate)

56.15

44. Amoxicillin 100 mg/mL, 15 mL Drops (As Trihydrate)

42.15

45. Amoxicillin 125 mg/5 mL, 60 mL Suspension (As Trihydrate)

50.00

46. Amoxicillin 250 mg Capsule (As Trihydrate) 2.31

47. Amoxicillin 250 mg/5 mL, 60 mL Suspension 94.62

48. Amoxicillin 500 mg Capsule (As Trihydrate) 5.77

49. Amphotericin B (Lipid Complex) 50 mg Vial (As Cholesteryl Complex, Colloidal Dispersion)

10,438.46

50. Amphotericin B (Non-Lipid Complex) 50 mg Vial 3,328.25

51. Ampicillin + Sulbactam 1.5 g Vial 688.89

52. Ampicillin + Sulbactam 250 mg + 125 mg Vial (As Sodium Salt) 241.44

53. Ampicillin + Sulbactam 500 mg + 250 mg Vial (As Sodium Salt) 442.69

54. Ampicillin 1 g Vial (As Sodium Salt) 38.46

55. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 120 mL Syrup 93.85

56. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 60 mL Syrup 44.73

57. Ascorbic Acid (Vitamin C) 100 mg/ml, 15 mL Oral Drops 56.15



60. Ascorbic Acid (Vitamin C) 250 mg/mL, 2 mL Ampule 46.54

61. Ascorbic Acid (Vitamin C) 500 mg Tablet 3.85

62. Asparaginase 10,000 IU Vial 2,180.77

63. Aspirin 80 mg Tablet 2.31

64. Atenolol 50 mg Tablet 8.08

65. Atorvastatin 10 mg Tablet 11.54




69. Atracurium 10 mg/mL, 2.5 mL Ampule (As Besilate)

273.28

70. Atropine 1 mg/mL, 1 mL Ampule (As Sulfate) 37.12

71. Azithromycin 200 mg/5 mL, 15 mL Suspension (As Base/As Dihydrate)

328.46

72. Azithromycin 500 mg Tablet (As Base/As Dihydrate) 80.77

73. Azithromycin 500 mg Vial (As Base/As Dihydrate) 763.46

B

74. Baclofen 10 mg Tablet 16.92

75. Beractant 25 mg/mL, 4 mL Vial 10,325.78

76. Betahistine 24 mg Tablet (As Hydrochloride) 54.12

77. Betahistine 8 mg Tablet (As Hydrochloride) 15.77

78. Betamethasone Cream 0.1%, 5 g Tube (As Valerate) 221.67

79. Biperiden 2 mg Tablet (As Hydrochloride) 12.92

80. Bisacodyl 10 mg Suppository 37.69



(Ceiling Price)

81. Bisacodyl 5 mg Suppository 30.77

82. Bisacodyl 5 mg Tablet 15.38

83. Bleomycin 15 mg Vial (As Sulfate) 2,353.85

84. Budesonide + Formoterol 160 mcg + 4.5 mcg x 60 doses Dry Powder Inhaler (As Fumarate Dihydrate)

838.46

85. Budesonide 250 mcg/mL, 2 mL Respiratory Solution (Nebule)

69.23

86. Bumetanide 1 mg Tablet 22.52

87. Bupivacaine 0.5%, 10 mL Ampule (As Hydrochloride)

406.68

88. Bupivacaine 0.5%, 10 mL Vial (As Hydrochloride) 325.42

89. Bupivacaine 0.5%, 4 mL (spinal) with 8% Dextrose Ampule (As Hydrochloride)

457.69

90. Bupivacaine 0.5%, 5 mL Ampule (As Hydrochloride)

615.38

91. Butamirate 50 mg MR Tablet (As Citrate) 14.22

92. Butorphanol 2 mg/mL, 1 mL Vial (As Tartrate) 436.22

C

93. Calcium Carbonate + Cholecalciferol (Vit. D3)

1.25 g (equiv. to 500 mg elemental calcium) + 250 IU Tablet

6.73

94. Calcium Carbonate + Cholecalciferol (Vit. D3)

600 mg elementa Ca + 400 IU Vit. D3 Tablet

6.33

95. Calcium Carbonate 500 mg Tablet 5.12

96. Calcium Carbonate 600 mg Tablet 6.15

97. Calcium Folinate (Leucovorin Calcium) 10 mg/mL, 5 mL Ampule 488.46

98. Calcium Folinate (Leucovorin Calcium) 10 mg/mL, 5 mL Vial 280.19

99. Calcium Folinate (Leucovorin Calcium) 50 mg powder Vial 213.65

100. Calcium Gluconate 10%, 10 mL Ampule 76.96

101. Calcium Gluconate 10%, 10 mL Vial 68.88

102. Candesartan 16 mg Tablet (As Cilexetil) 25.27

103. Candesartan 8 mg Tablet (As Cilexetil) 14.62

104. Capecitabine 500 mg Tablet 84.20

105. Captopril 25 mg Tablet 3.85

106. Carbamazepine 200 mg Tablet 5.00

107. Carboplatin 10 mg/mL, 15 mL Vial 918.06

108. Carboplatin 10 mg/mL, 45 mL Vial 3,088.00

109. Carvedilol 25 mg Tablet 14.19

110. Carvedilol 6.25 mg Tablet 8.46

111. Cefadroxil 125 mg/5 mL, 60 mL Syrup (As Monohydrate)

146.54

112. Cefadroxil 250 mg/5 mL, 60 mL Suspension (As Monohydrate)

87.69

113. Cefadroxil 500 mg Capsule 10.77

114. Cefalexin 100 mg/mL, 15 mL Drops (As Monohydrate)

34.62

115. Cefalexin 125 mg/5 mL, 60 mL Bottle (As Monohydrate)

46.15

116. Cefalexin 250 mg Capsule (As Monohydrate) 3.85



(Ceiling Price)

117. Cefalexin 250 mg/5 mL, 60 mL Bottle (As Monohydrate)

61.54

118. Cefalexin 500 mg Capsule (As Monohydrate) 10.02

119. Cefazolin 1 g Vial (As Sodium Salt) 125.50

120. Cefazolin 500 mg Vial (As Sodium Salt) 214.72

121. Cefepime 1 g Vial (As Hydrochloride) 1,486.92

122. Cefepime 2 g Vial (As Hydrochloride) 3,020.67

123. Cefepime 500 mg Vial (As Hydrochloride) 864.96

124. Cefixime 100 mg Capsule (As Trihydrate) 68.46

125. Cefixime 100 mg/5 mL, 30 mL Suspension 450.35

126. Cefixime 100 mg/5 mL, 60 mL Suspension 515.08

127. Cefixime 20 mg/mL, 10 mL Suspension 192.31

128. Cefixime 200 mg Capsule (As Trihydrate) 31.23

129. Cefotaxime 1 g Vial (As Sodium Salt) 224.23

130. Cefotaxime 500 mg Vial (As Sodium Salt) 740.77

131. Cefoxitin 1 g Vial (As Sodium Salt) 814.87

132. Ceftazidime 1 g Vial (As Sodium Salt) 338.46

133. Ceftazidime 500 mg Vial (As Pentahydrate) 651.94

134. Ceftriaxone 1 g + 10 mL diluent Vial (As Disodium/Sodium Salt)

576.92

135. Ceftriaxone 500 mg + 5 mL diluent Vial (As Disodium/Sodium Salt)

566.15

136. Cefuroxime 1.5 g Vial 371.15

137. Cefuroxime 125 mg/5 mL, 50 mL Suspension (As Axetil)

180.77

138. Cefuroxime 125 mg/5 mL, 70 mL Suspension (As Axetil)

238.46

139. Cefuroxime 250 mg Vial 266.04

140. Cefuroxime 250 mg/5 mL, 60 mL Suspension 238.46

141. Cefuroxime 500 mg Tablet (As Axetil) 45.69

142. Cefuroxime 750 mg Vial 292.31

143. Celecoxib 100 mg Capsule 15.19



146. Cetirizine 1 mg/mL, 30 mL Bottle (As Dihydrochloride)

113.85

147. Cetirizine 1 mg/mL, 60 mL Bottle (As Dihydrochloride)

188.63

148. Cetirizine 10 mg Tablet (As Dihydrochloride) 16.71

149. Cetirizine 10 mg/mL, 10 mL Oral Drops (As Dihydrochloride)

121.54

150. Chloramphenicol 1 g Vial (As Sodium Succinate) 50.00

151. Chloramphenicol 125 mg/5 mL, 60 mL Suspension (As Palmitate)

57.69

152. Chloramphenicol 500 mg Capsule (As Palmitate) 4.62

153. Chlorphenamine (Chlorpheniramine) 10 mg/mL,1 mL Ampule (As Maleate) 31.15

154. Chlorphenamine (Chlorpheniramine) 4 mg Tablet (As Maleate) 1.00

155. Chlorpromazine 100 mg Tablet (As Hydrochloride) 6.54



(Ceiling Price)

156. Chlorpromazine 200 mg Tablet (As Hydrochloride) 11.52

157. Cilostazol 100 mg Tablet 25.73

158. Cilostazol 50 mg Tablet 13.85

159. Cinnarizine 25 mg Tablet 2.31

160. Cinnarizine 75 mg Capsule 100.00

161. Ciprofloxacin 2 mg/mL, 100 mL Vial (As Lactate) 300.00

162. Ciprofloxacin 2 mg/mL, 50 mL Vial (As Lactate) 602.17

163. Ciprofloxacin 500 mg Tablet (As Hydrochloride) 12.31

164. Cisplatin 1 mg/mL, 10 mL Vial 269.23

165. Cisplatin 1 mg/mL, 50 mL Vial 731.54

166. Cisplatin 50 mg powder Vial 672.69

167. Clarithromycin 125 mg/5 mL, 25 mL Suspension 184.62




171. Clarithromycin 500 mg Tablet 43.08

172. Clindamycin 150 mg Capsule (As Hydrochloride) 6.15

173. Clindamycin 150 mg/mL, 2 mL Ampule (As Phosphate)

361.77

174. Clindamycin 150 mg/mL, 4 mL Ampule (As Phosphate)

710.93

175. Clindamycin 300 mg Capsule (As Phosphate) 11.54

176. Clindamycin 75 mg/5 mL, 60 mL Suspension (As Palmitate Hydrochloride)

372.60

177. Clobetasol Cream 0.05%, 5 g Tube (As Propionate) 228.15

178. Clobetasol Ointment 0.05%, 5 g Tube (As Propionate) 230.00

179. Clonazepam 2 mg Tablet 12.69

180. Clonidine 150 mcg Tablet (As Hydrochloride) 23.08

181. Clonidine 150 mcg/mL, 1 mL Ampule (As Hydrochloride)

157.69

182. Clonidine 75 mcg Tablet (As Hydrochloride) 17.69

183. Clopidogrel 75 mg Tablet 22.12

184. Cloxacillin 125 mg/5 mL, 60 mL Bottle (As Sodium Salt)

33.85

185. Cloxacillin 250 mg/5 mL, 60 mL Bottle (As Sodium Salt)

53.85

186. Cloxacillin 500 mg Capsule (As Sodium Salt) 6.15

187. Clozapine 100 mg Tablet 44.62

188. Co-Amoxiclav (Amoxicillin + Potassium Clavulanate)

1 g Tablet 53.85


200 mg (As Trihydrate) + 28.5 mg/5 mL, 70 mL Suspension

209.13


250 mg (As Trihydrate) + 125 mg Tablet

30.58



192.31



190.58



(Ceiling Price)


400 mg (As Trihydrate) + 57 mg/5 mL, 70 mL Suspension

321.92


500 mg (As Trihydrate) + 125 mg Tablet

32.62

195. Colchicine 500 mcg Tablet 3.08

196. Cotrimoxazole (Sulfamethoxazole + Trimethoprim)


26.92


400 mg + 80 mg Capsule 2.31


400 mg + 80 mg Tablet 1.92



46.15


800 mg+160 mg Tablet 3.56

201. Cyclophosphamide 500 mg powder Vial 235.88

202. Cytarabine 100 mg powder Vial 176.44

203. Cytarabine 100 mg/mL, 5 mL Vial 390.38

D

204. Dacarbazine 200 mg Vial 776.35

205. Dactinomycin (Actinomycin D) 500 mcg powder Vial 400.00

206. Dexamethasone 4 mg Tablet 21.73

207. Dexamethasone 4 mg/mL, 2 mL Ampule (As Sodium Phosphate)

70.58

208. Dexamethasone 4 mg/mL, 2 mL Vial (As Sodium Phosphate)

88.23

209. Dexamethasone 5 mg/mL, 1 mL Ampule (As Sodium Phosphate)

113.73

210. Diazepam 5 mg Tablet 12.02

211. Diazepam 5 mg/mL, 2 mL Ampule 138.46

212. Diclofenac 25 mg/mL, 3 mL Ampule (As Sodium Salt)

57.54

213. Diclofenac 50 mg Tablet (As Sodium or Potassium Salt)

3.17

214. Dicycloverine (Dicyclomine) 10 mg Tablet (As Hydrochloride) 1.15

215. Dicycloverine (Dicyclomine) 10 mg/5 mL, 60 mL Syrup 50.00

216. Digoxin 250 mcg Tablet 4.62

217. Digoxin 250 mcg/mL, 2 mL Ampule 194.59

218. Digoxin 50 mcg/mL, 60 mL Elixir 674.62

219. Diltiazem 30 mg Tablet (As Hydrochloride) 7.69

220. Diltiazem 60 mg Tablet (As Hydrochloride) 6.15

221. Diphenhydramine 12.5 mg/ 5 mL, 60 mL Syrup (As Hydrochloride)

26.92

222. Diphenhydramine 25 mg Capsule (As Hydrochloride) 1.54

223. Diphenhydramine 50 mg Capsule (As Hydrochloride) 2.35

224. Diphenhydramine 50 mg/mL, 1 mL Ampule (As Hydrochloride)

133.85

225. Dobutamine 1 mg/mL, 250 mL D5W Pre-mixed (As Hydrochloride)

902.69



(Ceiling Price)

226. Dobutamine 12.5 mg/mL, 20 mL Vial (As Hydrochloride)

500.00

227. Dobutamine 2 mg/mL, 250 mL D5W Pre-mixed (As Hydrochloride)

848.41

228. Dobutamine 50 mg/mL, 5 mL Ampule (As Hydrochloride)

519.23

229. Docetaxel 20 mg/0.5 mL, 0.5 mL Vial (Anhydrous)

1,795.42

230. Docetaxel 40 mg/mL, 2 mL Vial (Anhydrous) 8,400.00

231. Domperidone 1 mg/mL, 60 mL Suspension 107.69

232. Domperidone 10 mg Tablet 7.69

233. Dopamine 1.6 mg/mL, 250 mL D5W Pre-mixed (As Hydrochloride)

490.00

234. Dopamine 20 mg/mL, 10 mL Ampule (As Hydrochloride)

111.54

235. Dopamine 40 mg/mL, 5 mL Ampule (As Hydrochloride)

115.38

236. Dopamine 800 mcg/mL, 250 mL D5W Pre-mixed (As Hydrochloride)

523.08

237. Doxorubicin 10 mg powder Vial (As Hydrochloride) 426.02

238. Doxorubicin 2 mg/mL, 25 mL Vial (As Hydrochloride)

1,689.23

239. Doxorubicin 50 mg powder Vial (As Hydrochloride) 1,538.46

240. Doxycycline 100 mg Capsule (As Hyclate) 17.88

241. Dydrogesterone 10 mg Tablet 51.83

E

242. Enalapril 10 mg Tablet (As Maleate) 8.46



245. Enoxaparin 100 mg/mL, 0.2 mL Pre-filled syringe (As Sodium Salt)

516.15


650.00


861.15

248. Ephedrine 50 mg/mL, 1 mL Ampule (As Sulfate) 91.54

249. Epinephrine 1 mg/mL, 1 mL Ampule (As Hydrochloride)

66.23

250. Epirubicin 10 mg Vial (As Hydrochloride) 934.23

251. Epirubicin 50 mg Vial (As Hydrochloride) 3,733.85

252. Epoetin Alfa (recombinant human erythropoietin)

2000 IU/0.5 mL Pre-filled syringe 438.46


4000 IU/0.4 mL Pre-filled syringe 784.62


4000 IU/mL, 1 mL Pre-filled Glass Syringe

777.69


4000 IU/mL, 1 mL Vial 847.69

256. Epoetin Beta (recombinant erythropoietin) 5000 IU/0.3 ml Pre-filled syringe 1,278.98

257. Ertapenem 1 g Vial (As Sodium Salt) 3,088.56



(Ceiling Price)

258. Erythromycin 200 mg/5 mL, 60 mL Suspension (As Ethyl Succinate)

57.69

259. Erythromycin 500 mg Tablet (As Stearate) 7.69

260. Erythromycin Eye Ointment 0.5%, 3.5 g Tube 185.77

261. Erythromycin Eye Ointment 0.5%, 5 g Tube 176.92

262. Escitalopram 10 mg Tablet (As Oxalate) 41.15

263. Esmolol 10 mg/mL, 10 mL Vial (As Hydrochloride)

793.85

264. Ethambutol 400 mg Tablet (As Hydrochloride) 3.85

265. Etoposide 100 mg Vial 354.18

266. Etoposide 20 mg/mL, 5 mL Ampule 392.31

267. Etoposide 20 mg/mL, 5 mL Vial 379.04

F

268. Famotidine 20 mg Lyophilized Powder Vial 212.40

269. Felodipine 5 mg MR Tablet 13.08

270. Fenofibrate 145 mg Tablet 26.15

271. Fenofibrate 160 mg Tablet 32.31

272. Fenofibrate 200 mg Capsule 15.38

273. Fentanyl 50 mcg/mL, 10 mL Ampule (As Citrate)

390.38

274. Fentanyl 50 mcg/mL, 2 mL Ampule (As Citrate) 188.49

275. Ferrous Salt (equiv. to 30 mg elemental iron/5 mL), 60 mL Syrup (As Sulfate)

26.92

276. Ferrous Salt equiv. to 60 mg elemental iron Tablet (As Sulfate or Fumarate)

2.88

277. Ferrous Sulfate + Folic Acid 60 mg elemental iron + 400 mcg folic acid Tablet

3.85

278. Ferrous Sulfate 15 mg elemental iron/0.6 mL, 15 mL Drops

37.69

279. Filgrastim 150 mcg/0.6 mL Vial 1,076.15

280. Filgrastim 300 mcg/1.2 mL Vial 3,230.77

281. Filgrastim 300 mcg/mL Vial 3,587.69

282. Finasteride 5 mg Tablet 38.48

283. Fluconazole 150 mg Capsule 230.77

284. Fluconazole 2 mg/mL, 100 mL Vial 4,513.96



287. Fluorouracil 50 mg/mL, 10 mL Vial 113.36

288. Fluoxetine 20 mg Capsule 35.87

289. Flupentixol 20 mg/mL, 1 mL Ampule (As Decanoate)

386.93

290. Fluphenazine 25 mg/mL, 10 mL Vial (As Decanoate) 580.77

291. Fluticasone + Salmeterol 125 mcg (As Propionate) + 25 mcg (As Xinafoate) x 120 doses Metered Dose Inhaler

362.87

292. Fluticasone + Salmeterol 250 mcg (As propionate) + 25 mcg (As Xinafoate) x 120 doses Metered Dose Inhaler

549.23



(Ceiling Price)

293. Fluticasone + Salmeterol 500 mcg (As Propionate) + 50 mcg (As Xinafoate) x 60 doses Dry Powder Inhaler

1,695.68

294. Fluticasone + Salmeterol 50mcg (As Propionate) + 25mcg (As Xinafoate) x 120 doses Metered Dose Inhaler

261.42

295. Folic Acid 5 mg Capsule 6.15

296. Folic Acid 5 mg Tablet 5.38

297. Fondaparinux 2.5 mg/0.5 mL Solution (As Sodium Salt)

1,604.29

298. Furosemide 10 mg/mL, 2 mL Ampule 36.92

299. Furosemide 20 mg Tablet 1.54

300. Furosemide 40 mg Tablet 2.31

301. Fusidate Sodium/Fusidic Acid Cream 2%, 5 g Tube 286.43

302. Fusidate Sodium/Fusidic Acid Ointment 2%, 5 g Tube 278.28

303. Fusidate/Fusidic Acid Ointment 2%, 1.5 g (Medicated Surgical Dressing) Sachet (As Sodium)

109.62

G

304. Gabapentin 100 mg Capsule 22.88

305. Gabapentin 300 mg Capsule 25.58

306. Gemcitabine 1 g Vial (As Hydrochloride) 8,076.92

307. Gemcitabine 200 mg Vial (As Hydrochloride) 1,711.54

308. Gentamicin 40 mg/mL, 2 mL Ampule (As Sulfate) 38.27

309. Gentamicin 40 mg/mL, 2 mL Vial (As Sulfate) 76.92

310. Gentamicin Eye Drops 0.3%, 5 mL Bottle (As Sulfate) 115.38

311. Glibenclamide 5 mg Tablet 2.31

312. Gliclazide 30 mg MR Tablet 6.54

313. Gliclazide 60 mg MR Tablet 20.00

314. Gliclazide 80 mg Tablet 6.92

315. Glipizide 5 mg Tablet 15.77

316. Glucose (Dextrose) 50%, 50 mL Vial 61.27

317. Glyceryl Trinitrate (Nitroglycerine) 5 mg Patch 99.34

H

318. Haloperidol 20 mg Tablet 23.94

319. Haloperidol 5 mg Tablet 23.85

320. Haloperidol 5 mg/mL, 1 mL Ampule 400.00

321. Haloperidol 50 mg/mL, 1 mL Ampule (As Decanoate)

1,129.23

322. Heparin 1000 IU/mL, 5 mL Vial (As Sodium Salt)

138.35

323. Heparin 5000 IU/mL, 5 mL Vial (As Sodium Salt)

300.00

324. Hydralazine 20 mg/mL, 1 mL Ampule (As Hydrochloride)

232.69

325. Hydrocortisone 100 mg powder Vial (As Sodium Succinate)

92.31

326. Hydrocortisone 125 mg/mL, 2 mL Vial (As Sodium Succinate)

612.40



(Ceiling Price)

327. Hydrocortisone 250 mg powder, Vial (As Sodium Succinate)

130.77

328. Hydrocortisone 50 mg/mL, 2 mL Vial (As Sodium Succinate)

161.92

329. Hydrocortisone 500 mg powder, Vial (As Sodium Succinate)

146.81

330. Hydrocortisone Cream 1%, 5 g Tube 157.88

331. Hydroxyethyl Starch 6%, 500 mL Bottle 784.62

332. Hydroxyurea 500 mg Capsule 27.50

333. Hydroxyzine 10 mg Tablet (As Dihydrochloride) 10.77

334. Hydroxyzine 25 mg Tablet (As Dihydrochloride) 19.62

335. Hydroxyzine 50 mg/ml, 1 ml Vial 410.38

336. Hyoscine 10 mg Tablet (As N-butyl Bromide) 6.15

337. Hyoscine 20 mg/mL, 1 mL Ampule (As N-butyl Bromide)

63.08

I

338. I.V. Fluids, 0.9% Sodium Chloride 1 L Plastic Bottle / Glass Bottle / Bag 76.92

339. I.V. Fluids, 0.9% Sodium Chloride 100 mL Bottle 92.90

340. I.V. Fluids, 0.9% Sodium Chloride 20 mL Ampule 35.56

341. I.V. Fluids, 0.9% Sodium Chloride 50 mL Bottle 53.85

342. I.V. Fluids, 0.9% Sodium Chloride 500 mL Plastic Bottle / Glass Bottle / Bag

83.85

343. I.V. Fluids, 10% Dextrose in Water 500 mL Plastic Bottle / Glass Bottle / Bag

88.46

344. I.V. Fluids, 5% Dextrose in 0.3% Sodium Chloride

1 L Plastic Bottle / Glass Bottle / Bag 92.31


500 mL Plastic Bottle / Glass Bottle / Bag

81.13





84.62

348. I.V. Fluids, 5% Dextrose in Lactated Ringer's 1 L Plastic Bottle / Glass Bottle / Bag 79.81

349. I.V. Fluids, 5% Dextrose in Lactated Ringer's 500 mL Plastic Bottle / Glass Bottle / Bag

80.77

350. I.V. Fluids, 5% Dextrose in Water 1 L Plastic Bottle / Glass Bottle / Bag 84.62


111.74


76.92

353. I.V. Fluids, Balanced Multiple Maintenance Solution with 5% Dextrose for Adult


354. I.V. Fluids, Balanced Multiple Maintenance Solution with 5% Dextrose for Pedia


83.08

355. I.V. Fluids, Balanced Multiple Replacement Solution with 5% Dextrose


356. I.V. Fluids, Balanced Multiple Replacement Solution with 5% Dextrose


81.95

357. I.V. Fluids, Lactated Ringer's Solution 1 L Plastic Bottle / Glass Bottle / Bag 84.62



(Ceiling Price)

358. I.V. Fluids, Lactated Ringer's Solution 500 mL Plastic Bottle / Glass Bottle / Bag

83.11

359. Ibuprofen 100 mg/5 mL, 60 mL Bottle 66.15

360. Ibuprofen 200 mg Tablet 6.15

361. Ibuprofen 200 mg/5 mL, 60 mL Bottle 105.85

362. Ibuprofen 400 mg Tablet 6.54

363. Ifosfamide 1 g Vial 1,567.31

364. Ifosfamide 2 g Vial 2,692.31

365. Immunoglobulin, Hepatitis B (human) 0.5 mL Vial 1,435.67

366. Immunoglobulin, Normal, Human (IGIV) 50 mg/mL, 50 mL Vial 5,845.73

367. Immunoglobulin, Rabies (human) 150 IU/mL, 2 mL Vial 4,501.40

368. Immunoglobulin, Tetanus (Human) 250 IU/mL, 1 mL Pre-filled syringe 914.32

369. Immunoglobulin, Tetanus (Human) 250 units/mL, 1 mL Vial 900.00

370. Insulin, Biphasic Isophane Human 70/30 (recombinant DNA)

100 IU/mL (Equiv. to 3.571 mg/mL), 5 mL Vial

549.12

371. Insulin, Biphasic Isophane Human 70/30 (recombinant DNA)

70% isophane suspension + 30% soluble insulin in 100 IU/mL, 10 mL Vial

625.38

372. Insulin, Isophane Human 100 IU/mL, 10 mL Vial 600.00

373. Insulin, Regular (Recombinant DNA, human)

100 IU/mL, 10 mL Vial 736.54

374. Intraocular Irrigating Solution (balanced salt solution)

500 mL Bottle 500.00

375. Iohexol 300 mg iodine/mL, 50 mL Vial 1,275.00

376. Iopamidol 612 mg/mL equiv. to 300 mg iodine, 100 mL Vial

2,544.27


1,365.38


1,615.38

379. Iopromide 300 mg/mL equiv. to 623 mg iodine, 50 mL Vial

1,664.20

380. Iopromide 370 mg/mL equiv. to 769 mg iodine, 50 mL Vial

1,928.33

381. Ioversol 636 mg/mL equiv. to 300 mg/mL iodine, 50 mL Vial

1,427.78

382. Ipratropium + Salbutamol 500 mcg (As Bromide Anhydrous) + 2.5 mg (As Base) x 2.5 mL (unit dose) Respiratory Solution

29.23

383. Irbesartan + Hydrochlorothiazide 150 mg + 12.5 mg Tablet 22.12

384. Irbesartan + Hydrochlorothiazide 300 mg + 12.5 mg Tablet 36.69

385. Irbesartan 150 mg Tablet 16.33

386. Irbesartan 300 mg Tablet 26.65

387. Isoflurane 100 mL Bottle 2,867.31

388. Isoniazid + Rifampicin + Ethambutol 75 mg + 150 mg + 275 mg Tablet 8.36

389. Isoniazid + Rifampicin + Pyrazinamide + Ethambutol

75 mg + 150 mg + 400 mg + 275 mg Tablet

10.58

390. Isoniazid 200 mg/5 mL, 60 mL Syrup 26.92

391. Isosorbide Dinitrate 1 mg/mL, 10 mL Ampule 651.24



(Ceiling Price)

392. Isosorbide Dinitrate 10 mg Tablet 9.23

393. Isosorbide Dinitrate 5 mg Tablet 8.85

394. Isosorbide-5-Mononitrate 30 mg MR Capsule 12.69

395. Isosorbide-5-Mononitrate 30 mg MR Tablet 12.31

396. Isosorbide-5-Mononitrate 60 mg MR Tablet 12.69

397. Isoxsuprine 10 mg Tablet (As Hydrochloride) 16.92

398. Isoxsuprine 5 mg/mL, 2 mL Ampule (As Hydrochloride)

169.23

399. Itraconazole 100 mg Capsule 76.08

K

400. Ketamine 50 mg/mL, 10 mL Vial (As Hydrochloride)

1,304.33

401. Ketorolac 30 mg/mL, 1mL Ampule (As Tromethamol)

92.31

L

402. Lactulose 3.3 g/5 mL (3.35 g/5 mL), 120 mL Syrup

215.38

403. Lagundi (Vitex Negundo L.) 300 mg Tablet 2.69

404. Lagundi (Vitex Negundo L.) 300 mg/5 mL, 60 mL Syrup 75.50

405. Lagundi (Vitex Negundo L.) 600 mg Tablet 4.62

406. Lamotrigine 50 mg Tablet 20.77

407. Lansoprazole 30 mg Capsule 25.77

408. Lansoprazole 30 mg MR Tablet 98.00

409. Latanoprost 50mcg/mL, 2.5mL Bottle 1,055.62

410. Levofloxacin 5 mg/mL,100 mL Vial 1,184.62

411. Levofloxacin 500 mg Tablet 52.31

412. Levofloxacin 750 mg Tablet 76.86

413. Levothyroxine 100 mcg Tablet (As Anhydrous Sodium)

8.46

414. Levothyroxine 25 mcg Tablet (As Anhydrous Sodium) 3.92

415. Levothyroxine 50 mcg Tablet (As Anhydrous Sodium) 4.62

416. Lidocaine 10%, 50 mL Spray (As Hydrochloride) 2,651.00

417. Lidocaine 2%, 1.8 mL w/ Epinephrine Carpule 21.54

418. Lidocaine 2%, 5 mL Ampule (As Hydrochloride) 27.12

419. Lidocaine 2%, 5 mL Vial (As Hydrochloride) 47.81

420. Lidocaine 2%, 50 mL Vial (As Hydrochloride) 65.38

421. Lipids 10%, 500 mL Bottle 1,119.42

422. Lithium Carbonate 450 mg MR Tablet 6.15

423. Loperamide 2 mg Capsule (As Hydrochloride) 5.77

424. Loratadine 10 mg Tablet 16.62

425. Losartan + Hydrochlorothiazide 100 mg + 25 mg Tablet 29.12

426. Losartan + Hydrochlorothiazide 50 mg +12.5 mg Tablet 15.77

427. Losartan 100 mg Tablet (As Potassium Salt) 13.85

428. Losartan 50 mg Tablet (As Potassium Salt) 10.00

M

429. Magnesium Sulfate 250 mg/mL, 10 mL Ampule (As Heptahydrate)

63.65



(Ceiling Price)

430. Magnesium Sulfate 250 mg/mL, 10 mL Vial (As Heptahydrate)

56.77

431. Magnesium Sulfate 250 mg/mL, 20 mL Vial (As Heptahydrate)

57.20

432. Magnesium Sulfate 500mg/mL, 2mL Ampule (As Heptahydrate)

59.58

433. Mannitol 20%, 250 mL Bottle 175.46

434. Mannitol 20%, 500 mL Bottle 192.31

435. Mebendazole 100 mg/5 mL, 30 mL Suspension 50.77

436. Mebendazole 100 mg/5 mL, 60 mL Suspension 26.92

437. Mebendazole 500 mg Tablet 3.85

438. Mecobalamin 500 mcg Tablet 17.22

439. Mecobalamin 500 mcg/mL, 1 mL Ampule 315.38

440. Medroxyprogesterone 150 mg/mL, 1 mL Vial (As Enanthate) 58.65

441. Mefenamic Acid 250 mg Capsule 3.08

442. Mefenamic Acid 250 mg Tablet 10.00

443. Mefenamic Acid 50 mg/5 mL, 60 mL Suspension 35.77

444. Mefenamic Acid 500 mg Capsule 11.15

445. Mefenamic Acid 500 mg Tablet 19.62

446. Meropenem 1 g Vial (As Trihydrate) 1,982.83

447. Meropenem 500 mg Vial (As Trihydrate) 1,168.86

448. Mesna 100 mg/mL, 4 mL Ampule 167.46

449. Metformin Hydrochloride 500 mg Tablet (As Hydrochloride) 3.85

450. Metformin Hydrochloride 850 mg Tablet (As Hydrochloride) 7.69

451. Methotrexate 2.5 mg Tablet (As Base) 9.46

452. Methotrexate 25 mg/mL, 2 mL Vial (As Base) 205.38

453. Methyldopa 250 mg Tablet 11.54

454. Methylergometrine 125 mcg Tablet (As Hydrogen Maleate or Maleate)

7.69

455. Methylergometrine 200 mcg/mL, 1 mL Ampule (As Hydrogen Maleate or Maleate)

65.00

456. Methylprednisolone 1 g/16 mL + Diluent Vial (As Sodium Succinate)

5,146.58

457. Methylprednisolone 125 mg/mL, 2 mL + diluent Vial (As Sodium Succinate)

1,333.52

458. Methylprednisolone 16 mg Tablet 42.31

459. Methylprednisolone 4 mg Tablet 12.77

460. Methylprednisolone 40 mg (single dose) Vial (As Sodium Succinate)

716.89

461. Methylprednisolone 40 mg/mL, 1 mL Vial (As Sodium Acetate)

346.73

462. Methylprednisolone 500 mg lyophilized powder Vial (As Sodium Succinate)

2,034.62

463. Methylprednisolone 500 mg/8.0 mL + Diluent Vial (As Sodium Succinate)

3,796.51

464. Metoclopramide 10 mg Tablet (As Hydrochloride) 6.92

465. Metoclopramide 5 mg/5 mL, 60 mL Syrup (As Base and As Hydrochloride)

30.77



(Ceiling Price)

466. Metoclopramide 5 mg/mL, 2 mL Ampule (As Base and As Hydrochloride)

36.15

467. Metoprolol (as Tartrate) 100 mg Tablet (As Tartrate) 5.15

468. Metoprolol (as Tartrate) 50 mg Tablet (As Tartrate) 3.08

469. Metronidazole 125 mg/5 mL, 60 mL Suspension (As Benzoate)

34.62

470. Metronidazole 5 mg/mL, 100 mL Vial 92.31

471. Metronidazole 500 mg Tablet 3.85

472. Midazolam 1 mg/mL, 5 mL Ampule 145.38

473. Midazolam 15 mg Tablet 29.23

474. Midazolam 5 mg/mL, 3 mL Ampule 220.38

475. Midazolam 5 mg/mL,1 mL Ampule 159.08

476. Modified Fluid Gelatin (Formerly Polymerisate of Degraded Succinylated Gelatin)

4% solution, 500 mL Bottle 942.73

477. Monobasic Sodium Phosphate, Dibasic Sodium Phosphate

19 g/ 7 g solution per 133 mL Bottle (Enema)

238.60

478. Monobasic Sodium Phosphate, Dibasic Sodium Phosphate

48 g/18 g per 45 mL solution Bottle 248.73

479. Montelukast 10 mg Tablet (As Sodium Salt) 26.15

480. Montelukast 4 mg Chewable Tablet (As Sodium Salt)

15.62

481. Montelukast 4 mg Sachet (As Sodium Salt) 16.15

482. Montelukast 5 mg Chewable Tablet (As Sodium Salt)

17.69

483. Morphine (As Sulfate) 10 mg Tablet (As Sulfate) 35.30

484. Morphine (As Sulfate) 10 mg/mL, 1 mL Ampule (As Sulfate) 90.72

485. Morphine (As Sulfate) 30 mg Tablet (As Sulfate) 76.92

486. Multivitamins for adults Capsule 8.46

487. Multivitamins for adults Tablet 5.38

488. Multivitamins per 1 mL, 15 mL Drops 52.50

489. Multivitamins per 5 mL, 120 mL Syrup 97.88

490. Multivitamins per 5 mL, 60 mL Syrup 52.69

491. Mupirocin Cream 2%, 15 g Tube 192.23

492. Mupirocin Ointment 2%, 15 g Tube 176.92

493. Mupirocin Ointment 2%, 5 g Tube 192.31

N

494. Nalbuphine 10 mg/mL, 1 mL Ampule (As Hydrochloride)

103.00

495. Naloxone 400 mcg/mL, 1 mL Ampule (As Hydrochloride)

415.04

496. Naproxen 550 mg Tablet (As Sodium Salt) 16.73

497. Neomycin + Polymyxin B + Fluocinolone Acetonide Ear Drops

3.5 mg neomycin + 10,000 units polymyxin B + 0.025% floucinolone acetonide/mL, 5 mL Bottle (As Sulfate)

214.62

498. Neostigmine 500 mcg/mL, 1 mL Ampule (As Methyl Sulfate)

144.97



(Ceiling Price)

499. Nicardipine 1 mg/mL, 10 mL Ampule (As Hydrochloride)

1,030.85

500. Nicardipine 1 mg/mL, 2 mL Ampule (As Hydrochloride)

206.71

501. Nifedipine 10 mg Capsule 4.62

502. Nifedipine 30 mg MR Tablet 36.92

503. Nifedipine 5 mg Capsule 3.85

504. Nimodipine 30 mg Tablet 42.69

505. Norepinephrine 1 mg/mL, 10 mL Ampule 1,615.06

506. Norepinephrine 1 mg/mL, 2 mL Ampule (As Bitartrate) 500.00

507. Norepinephrine 1 mg/mL, 4 mL Ampule 986.47

508. Nystatin 100,000 units/mL, 30 mL Suspension 192.31

O

509. Octreotide 100 mcg/mL, 1 mL Ampule (As Acetate)

681.23

510. Ofloxacin 2 mg/mL, 100 mL Vial 1,465.48

511. Ofloxacin 200 mg Tablet 42.38

512. Ofloxacin 400 mg Tablet 61.15

513. Ofloxacin Eye Drops 0.3%, 5 mL Bottle 288.46

514. Olanzapine 10 mg Tablet 83.38

515. Omeprazole 20 mg Capsule 19.23

516. Omeprazole 40 mg Capsule 34.58

517. Omeprazole 40 mg powder vial + 10 mL solvent Ampule

480.62

518. Ondansetron 2 mg/mL, 2 mL Ampule (As Hydrochloride)

452.31

519. Ondansetron 2 mg/mL, 4 mL Ampule (As Hydrochloride)

484.62

520. Ondansetron 8 mg Tablet (As Hydrochloride Dihydrate)

206.15

521. Oral Rehydration Salts (ORS 75-replacement)

20.5 g Sachet 8.85


4.1 g Sachet 11.73


5.125 g Sachet 7.69


2.17 g Sachet 6.15

525. Oxacillin 500 mg Vial (As Sodium Salt) 146.15

526. Oxaliplatin 2 mg/mL, 25 mL Vial 4,112.50

527. Oxaliplatin 2 mg/mL, 50 mL Vial 2,812.50

528. Oxycodone 10 mg Tablet (As Hydrochloride) 146.79

529. Oxycodone 10 mg/mL, 1 mL Ampule 1,205.65

530. Oxycodone 10 mg/mL, 2 mL Ampule 1,907.88

531. Oxycodone 20 mg Tablet (As Hydrochloride) 286.27

532. Oxytocin 10 IU/mL, 1 mL Ampule 76.92

P

533. Paclitaxel 6 mg/mL, 16.7 mL Vial 5,500.00

534. Paclitaxel 6 mg/mL, 43.4 mL Vial 10,211.54



(Ceiling Price)

535. Paclitaxel 6 mg/mL, 5 mL Vial 2,309.62

536. Paracetamol 10 mg/mL, 100 mL Vial 472.69

537. Paracetamol 100 mg/ml, 15 mL Drops 50.00

538. Paracetamol 125 mg Suppository 11.54

539. Paracetamol 150 mg/mL, 2 mL Ampule 37.12

540. Paracetamol 250 mg Suppository 13.08

541. Paracetamol 250 mg/5 mL, 60 mL Bottle 95.72

542. Paracetamol 500 mg Tablet 2.69

543. Penicillin G Benzathine (benzathine benzylpenicillin)

1,200,000 units Vial 123.46

544. Penicillin G Crystalline 1 MU Vial (As Sodium Salt) 16.92

545. Penicillin G Crystalline 5 MU Vial (As Sodium Salt) 38.46

546. Peritoneal Dialysis Solution Sterile with 1.5% dextrose, 1 L Bottle 74.04

547. Permethrin Lotion 5%, 60 mL Bottle 173.12

548. Pethidine 50 mg/mL, 2 mL Ampule (As Hydrochloride)

253.85

549. Phenobarbital 120 mg/mL (130 mg/mL), 1 mL Ampule (As Sodium Salt)

649.23

550. Phenytoin 100 mg Capsule (As Sodium Salt) 31.46

551. Phenytoin 30 mg/5 mL, 120 mL Suspension (As Sodium Salt)

399.81

552. Phenytoin 50 mg/mL, 2 mL Ampule (As Sodium Salt)

831.54

553. Phytomenadione 10 mg/mL, 1 mL Ampule (As Mixed Micelle)

50.00

554. Piperacillin + Tazobactam 2 g + 250 mg Vial (As Sodium Salt) 593.20

555. Piperacillin + Tazobactam 4 g + 500 mg Vial (As Sodium Salt) 976.97

556. Potassium Chloride 2 mEq/mL, 10 mL Vial 61.54

557. Potassium Chloride 2 mEq/mL, 20 mL Vial 59.14

558. Potassium Chloride 750 mg durules (equiv. to approximately 10 mEq) Tablet

22.31

559. Potassium Citrate 10 mEq Tablet 11.92

560. Povidone Iodine (Solution) 10%, 1 gallon Bottle 661.54

561. Prednisolone 5 mg Tablet 2.12

562. Prednisolone Eye Drops 1%, 5 mL Bottle 243.62

563. Prednisone 10 mg Tablet 4.23

564. Prednisone 10 mg/5 mL, 60 mL Suspension 130.77



567. Propofol 10 mg/mL, 20 mL Ampule 516.92

568. Propofol 10 mg/mL, 20 mL Vial 492.31

569. Propranolol 10 mg Tablet (As Hydrochloride) 10.81

570. Propranolol 40 mg Tablet (As Hydrochloride) 16.77

571. Pyridostigmine 60 mg Tablet (As Bromide) 36.92

Q

572. Quetiapine 100 mg Tablet (As Fumarate) 61.54





(Ceiling Price)

R

575. Ranitidine 150 mg Tablet (As Hydrochloride) 5.08

576. Ranitidine 25 mg/mL, 2 mL Ampule (As Hydrochloride)

57.69

577. Ranitidine 300 mg Tablet (As Hydrochloride) 4.62

578. Rifampicin + Isoniazid + Ethambutol Hydrochlorde

75 mg + 150 mg + 275 mg Tablet 8.17

579. Rifampicin 200 mg/5 mL, 60 mL Suspension 83.46

580. Risperidone 1 mg Tablet 37.12



583. Rocuronium 10 mg/mL, 5 mL Vial (As Bromide) 574.62

584. Ropivacaine 10 mg/mL, 10 mL Ampule (As Bromide)

459.16

585. Rosuvastatin 10 mg Tablet (As Calcium Salt) 21.42

586. Rosuvastatin 20 mg Tablet (As Calcium Salt) 29.23

S

587. Salbutamol 1 mg/mL, 2.5 mL (unit dose) Nebule (As Sulfate)

12.40

588. Salbutamol 100 mcg/dose x 200 doses Metered Dose Inhaler (As Sulfate)

233.50

589. Salbutamol 2 mg Tablet (As Sulfate) 1.54

590. Salbutamol 2 mg/5mL, 60 mL Syrup (As Sulfate) 53.85

591. Salbutamol 2 mg/mL, 2.5 mL (unit dose) Nebule (As Sulfate)

11.54

592. Sambong (Blumea Balsamifera) 500 mg Tablet 6.54

593. Sertraline 50 mg Tablet (As Hydrochloride) 38.42

594. Serum, Anti-rabies (equine) 200 IU/mL, 5 mL Vial 1,246.15

595. Serum, Anti-tetanus (ATS) (equine) 1500 IU/mL, 1 mL Ampule 84.62

596. Sevoflurane 250 mL Bottle 13,134.62

597. Silver Sulfadiazine Cream 1%, 15 g Tube 173.08



600. Silver Sulfadiazine Cream 1%, 500 g Jar 2,314.82

601. Simvastatin 10 mg Tablet 4.62



604. Sodium Bicarbonate 1 meq/mL, 50 mL Ampule 123.85

605. Sodium Bicarbonate 1 meq/mL, 50 mL Vial 129.31

606. Sodium Chloride 2.5 mEq/mL, 20 mL Vial 60.08

607. Somatostatin 250 mcg Vial 859.23

608. Somatostatin 3 mg Vial 5,638.69

609. Standard Senna Concentrate 187 mg Tablet 9.23

610. Standard Senna Concentrate 374 mg Tablet 12.50

611. Sterile Water For injection 1 L Bottle 100.38

612. Sterile Water For injection 100 mL Bottle 63.65

613. Sterile Water For injection 50 mL Bottle 44.62

614. Streptokinase 1,500,000 IU Vial 7,516.92



(Ceiling Price)

615. Streptomycin 1 g Vial (As Sulfate) 26.92

616. Sucralfate 1 g Tablet 45.15

617. Sugammadex 100 mg/mL, 2 mL Vial 5,377.54

618. Suxamethonium (Succinylcholine) 20 mg/mL, 10 mL Vial (As Chloride) 303.15

T

619. Tamoxifen 20 mg Tablet (As Citrate) 16.31

620. Tamsulosin 200 mcg Capsule (As Hydrochloride) 49.23

621. Telmisartan + Hydrochlorothiazide 40 mg + 12.5 mg Tablet 19.23

622. Telmisartan + Hydrochlorothiazide 80 mg + 12.5 mg Tablet 34.23

623. Telmisartan 40 mg Tablet 19.23

624. Telmisartan 80 mg Tablet 34.02

625. Terbutaline 500 mcg/mL, 1 mL Ampule (As Sulfate)

96.73

626. Thiamazole (Methimazole) 5 mg Tablet 5.42

627. Thiopental Sodium 1 g + 50 mL diluent Vial 2,143.88

628. Tinzaparin 10,000 anti-XA IU/mL, 2 mL Vial (As Sodium)

1,414.62

629. Tiotropium 18 mcg/dose Dry Powder Inhaler (As Bromide)

87.62

630. Tobramycin + Dexamethasone Eye Drops 0.3% + 0.1%, 5 mL Bottle 201.15

631. Tobramycin + Dexamethasone Eye Ointment

0.3% + 0.1%, 3.5 g Tube 436.37

632. Tobramycin Eye Drops 0.3%, 5 mL Bottle 223.08

633. Tramadol 100 mg MR Tablet (As Hydrochloride) 76.92

634. Tramadol 50 mg Capsule (As Hydrochloride) 7.69

635. Tramadol 50 mg/ml, 1 ml Ampule (As Hydrochloride)

78.46

636. Tramadol 50 mg/ml, 2 ml Ampule (As Hydrochloride)

84.62

637. Tranexamic Acid 100 mg/mL, 5 mL Ampule 100.00

638. Tranexamic Acid 500 mg Capsule 21.54

639. Tranexamic Acid 500 mg Tablet 13.85

640. Trimetazidine 20 mg Tablet (As Hydrochloride) 6.83

641. Trimetazidine 35 mg Tablet (As Hydrochloride) 14.50

U

642. Ursodeoxycholic Acid 250 mg Capsule 48.56

V

643. Vaccine, Hepatitis B (recombinant DNA) 10 mcg/0.5 mL (Pediatric) Monodose Vial

346.15

644. Vaccine, Hepatitis B (recombinant DNA) 20 mcg/mL, 1 mL Vial 609.62

645. Vaccine, Pneumococcal Polyvalent 25 mcg/0.5 mL, 0.5 mL Pre-filled syringe

923.08

646. Vaccine, Rabies Chick Embryo Cell (Purified Inactivated)

2.5 IU/mL, 1 dose + 1 mL diluent Vial 1,307.69

647. Vaccine, Tetanus Toxoid 0.5 mL Ampule 90.88

648. Vaccine, Vero Cell (purified) 2.5 IU/0.5 mL Vial + diluent 1,230.77

649. Valaciclovir 500 mg Tablet (As Hydrochloride) 149.02

650. Valproate Disodium/Valproic Acid 250 mg Tablet 27.77



(Ceiling Price)

651. Valproic Acid 250 mg/5 mL, 120 mL Syrup 473.27

652. Valproic Acid 500 mg/5 mL, 5 mL Vial 2,896.48

653. Valsartan 160 mg Tablet 35.20

654. Valsartan 80 mg Tablet 21.54

655. Vancomycin 1 g Vial (As Hydrochloride) 743.08

656. Vancomycin 500 mg Vial (As Hydrochloride) 1,259.81

657. Verapamil 2.5mg/ml, 2mL Ampule (As Hydrochloride)

207.69

658. Verapamil 40 mg Tablet (As Hydrochloride) 30.48

659. Vincristine 1 mg/mL, 1 mL Vial (As Sulfate) 269.42

660. Vincristine 1 mg/mL, 2 mL Vial (As Sulfate) 555.96

661. Vitamin B1 B6 B12 100 mg + 100 mg + 1 mg, 3 mL Ampule

69.23

662. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Capsule 3.85

663. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Tablet 2.88

664. Vitamin B1 B6 B12 250 mg + 250 mg + 1000 mcg Tablet 12.69

W

665. Warfarin 1 mg Tablet (As Sodium Salt) 21.08

666. Warfarin 2.5 mg Tablet (As Sodium Salt) 26.15

667. Warfarin 5 mg Tablet (As Sodium Salt) 32.69

Z

668. Zinc 27.5 mg/mL (Equiv. to 10 mg Elemental Zinc), 15 mL Oral Drops (As Sulfate Monohydrate)

65.87

669. Zinc 55 mg/5 mL (Equiv. to 20 mg Elemental Zinc), 60 mL Syrup (As Sulfate Monohydrate)

69.83

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