botswana medicine reference file -...

Generic cmposition Nappi Tradename Ref Price Markup% mup Price Pack @Ref Price @mup PriceItem Status Price

BOTSWANA MEDICINE REFERENCE FILE

Healthier, Happier Lives.SouthView

Administered by

1 ALPRAZOLAM TAB 0.25 MG 897965-021 MYLAN ALPRAZOLAM 0.25MG 0.259 50 0.39 100 25.9 392 ALPRAZOLAM TAB 0.5 MG 821098-004 ADCO ALZAM 0.5MG TAB 0.639 50 0.96 30 19.17 28.83 ALPRAZOLAM TAB 0.5 MG 895173-007 MYLAN ALPRAZOLAM 0.5MG 0.264 50 0.4 100 26.4 404 ALPRAZOLAM TAB 0.5 MG 778710-009 XANOR 0.5MG TAB 1.672 30 2.17 30 50.16 65.15 ALPRAZOLAM TAB 0.5 MG 821098-012 ADCO ALZAM 0.5MG TAB 0.639 50 0.96 100 63.9 966 ALPRAZOLAM TAB 0.5 MG 826693-016 ZOPAX 0.5MG TAB 0.63 50 0.95 100 63 957 ALPRAZOLAM TAB 0.5 MG 823252-019 AZOR 0.5MG TAB 0.641 50 0.96 100 64.1 968 ALPRAZOLAM TAB 0.5 MG 821098-020 ALZAM 0.5MG TAB 0.638 50 0.96 250 159.5 2409 ALPRAZOLAM TAB CR 0.5 MG 827185-006 XANOR SR 0.5MG TBCR 2.819 30 3.66 60 169.14 219.610 ALPRAZOLAM TAB 1 MG 821101-005 ADCO ALZAM 1MG TAB 1.35 50 2.03 30 40.5 60.911 ALPRAZOLAM TAB 1 MG 897968-007 MYLAN ALPRAZOLAM 1MG 0.282 50 0.42 100 28.2 4212 ALPRAZOLAM TAB 1 MG 821101-013 ADCO ALZAM 1MG TAB 1.35 50 2.03 100 135 20313 ALPRAZOLAM TAB CR 1 MG 827193-009 XANOR SR 1MG TBCR 5.274 30 6.86 60 316.44 411.614 ALPRAZOLAM TAB CR 2 MG 827207-018 XANOR SR 2MG TBCR 10.077 30 13.1 60 604.62 78615 BROMAZEPAM TAB 3 MG 737933-003 LEXOTAN 3MG TAB 1.981 30 2.58 30 59.43 77.416 BROMAZEPAM TAB 3 MG 737933-011 LEXOTAN 3MG TAB 1.981 30 2.58 90 178.29 232.217 Bromazepam tab 3 mg 796999-015 BRAZEPAM 3MG TAB 0.455 50 0.68 100 45.5 6818 Bromazepam tab 6 mg 821616-005 BROMAZE 6MG TAB 0.784 50 1.18 100 78.4 11819 BROMAZEPAM TAB 6 MG 737941-014 LEXOTAN 6MG TAB 3.47 30 4.51 90 312.3 405.920 BROMAZEPAM TAB 6 MG 800066-014 BRAZEPAM 6MG TAB 0.63 50 0.95 100 63 9522 Diazepam Tab 5 MG 753173-018 PAX 5MG TAB 0.122 50 0.18 30 3.66 5.423 Diazepam Tab 5 MG 708062-024 BETAPAM 5MG TAB 0.061 50 0.09 1000 61 9026 Lorazepam SL Tab 1 MG 816787-026 ATIVAN SL 1MG TAB 2.014 30 2.62 90 181.26 235.827 Lorazepam Tab 1 MG 705500-012 ATIVAN 1MG TAB 1.719 30 2.23 100 171.9 22329 Oxazepam tab 15 mg 763519-006 SEREPAX 15MG TAB 1.454 30 1.89 100 145.4 18930 Oxazepam tab 15 mg 751758-035 SANDOZ OXAZEPAM 15MG 0.188 50 0.28 250 47 7031 Oxazepam Tab 15 MG 751758-043 SANDOZ OXAZEPAM 15MG 0.168 50 0.25 30 5.04 7.532 Oxazepam tab 30 mg 758205-007 PURATA 30MG TAB 0.447 50 0.67 100 44.7 6733 Oxazepam Tab 30 MG 751766-038 SANDOZ OXAZEPAM 30MG 0.322 50 0.48 30 9.66 14.435 Diazepam Inj 5 MG/ML 785296-018 PAX 10MG/2ML INJ 8.836 30 11.49 10 88.36 114.938 Amitriptyline hcl tab 25 mg 771996-012 TREPILINE 25MG TAB 0.637 50 0.96 500 318.5 48041 Clomipramine hcl tab 25 mg 703427-009 ANAFRANIL 25MG TAB 5.005 30 6.51 50 250.25 325.543 Dothiepin hcl tab 75 mg 816515-018 SANDOZ DOTHIEPIN 75 2.716 50 4.07 28 76.05 113.9644 Imipramine hcl tab 10 mg 771120-001 TOFRANIL 10MG TAB 1.256 30 1.63 100 125.6 16345 Imipramine hcl tab 10 mg 724661-115 ETHIPRAMINE 10MG TAB 0.302 50 0.45 1000 302 45049 Citalopram hydrobromide tab 20 mg (base 700157-001 CILIFT 20MG TAB 1.898 50 2.85 30 56.94 85.551 Citalopram hydrobromide tab 20 mg (base 704331-001 CITALOHEXAL 20MG TAB 1.601 50 2.4 30 48.03 7252 Citalopram hydrobromide tab 20 mg (base 704590-001 SANDOZ CITALOPRAM 20MG TAB 1.701 50 2.55 30 51.03 76.553 FLUOXETINE HCL CAP 20 MG 703391-001 A-LENNON FLUOXETINE 20MG 0.603 50 0.9 28 16.88 25.254 Fluoxetine hcl cap 20 mg 700686-001 RANFLOCS 20 0.609 50 0.91 30 18.27 27.355 Fluoxetine hcl cap 20 mg 821063-006 LORIEN 20MG CAP 0.965 30 1.25 28 27.02 3556 Fluoxetine hcl cap 20 mg 838713-009 SANDOZ FLUOXETINE 20MG CA 0.894 50 1.34 30 26.82 40.259 Fluoxetine hcl tab disp 20 mg 894243-001 PROHEXAL 20T 1.814 50 2.72 30 54.42 81.661 Fluvoxamine maleate tab 100 mg 706443-001 FAVERIN 100MG TAB 6.033 50 9.05 30 180.99 271.563 PAROXETINE HCL TAB 20 MG 704904-001 ADCO PAROXETINE 20MG TAB 3.228 50 4.84 30 96.84 145.265 Paroxetine hcl tab 20 mg 791571-009 AROPAX 20MG TAB 7.929 30 10.31 28 222.01 288.6866 Paroxetine hcl tab 20 mg 705633-001 XET 20MG TAB 2.512 50 3.77 30 75.36 113.167 Venlafaxine hcl cap sr 24 hr 150 mg 706404-001 VENLOR XR 150MG SRC 8.664 50 13 30 259.92 39068 Venlafaxine hcl cap sr 24 hr 150 mg 852945-019 EFEXOR XR 150MG CAP 16.691 30 21.7 30 500.73 65170 Sulpiride cap 50 mg 819654-019 ESPIRIDE 50MG CAP 1.153 50 1.73 100 115.3 17373 Haloperidol Tab 5 MG 763454-001 SERENACE 5MG TAB 2.977 30 3.87 100 297.7 38774 Haloperidol Tab 5 MG 730327-019 SANDOZ HALOPERIDOL 5MG 0.843 50 1.26 30 25.29 37.877 Clozapine tab 100 mg 736716-009 LEPONEX 100MG TAB 8.293 30 10.78 100 829.3 107878 Sertraline hcl tab 50 mg 868833-002 ZOLOFT 50MG TAB 7.724 30 10.04 30 231.72 301.279 Sertraline hcl tab 50 mg 703992-001 SERTZOL 50MG TAB 4.942 50 7.41 30 148.26 222.380 Sertraline hcl tab 100 mg 703993-001 SERTZOL 100MG TAB 8.502 30 11.05 30 255.06 331.582 Lamotrigine tab 25 mg 805505-008 LAMICTIN 25MG TAB 1.658 30 2.16 60 99.48 129.686 Lamotrigine tab 50 mg 704487-001 LAMITOR-50 1.245 50 1.87 60 74.7 112.287 Lamotrigine tab 50 mg 705250-001 SANDOZ LAMOTRIGINE 50MG TAB 1.516 30 1.97 60 90.96 118.288 Lamotrigine Tab 50 MG 706347-001 MERCK LAMOTRIGINE 50MG TAB 1.761 30 2.29 60 105.66 137.489 Lamotrigine tab 100 mg 705248-001 SANDOZ LAMOTRIGINE 100MG 3.054 30 3.97 60 183.24 238.291 Lamotrigine tab 100mg 704381-001 EPITEC 100MG TAB 2.328 50 3.49 60 139.68 209.492 Lamotrigine tab 100mg 704488-001 LAMITOR-100 2.823 50 4.23 60 169.38 253.893 Lamotrigine tab 100mg 805521-003 LAMICTIN 100MG TAB 3.955 30 5.14 60 237.3 308.494 Lamotrigine Tab 200 MG 706349-001 MERCK LAMOTRIGINE 200MG TAB 5.008 30 6.51 60 300.48 390.695 Lamotrigine tab 200mg 819034-002 LAMICTIN 200MG TAB 7.481 30 9.73 60 448.86 583.899 CYCLIZINE HCL SYRUP 12.5 MG/5ML 808962-019 ADCO CYCLIZINE 2.5MG SYR 0.278 50 0.42 50ML 13.9 21100 Cyclizine hcl tab 50 mg 702573-001 PINALOID 50MG TAB 0.894 50 1.34 10 8.94 13.4101 Cyclizine hcl tab 50 mg 799424-005 NAUZINE 50MG TAB 0.506 50 0.76 20 10.12 15.2104 CYCLIZINE HCL TAB 50 MG 792217-004 ACULOID 50MG TAB 0.638 50 0.96 20 12.76 19.2105 Domperidone tab 10 mg 894498-015 VOMIDON TAB 2.899 50 4.35 100 289.9 435106 Domperidone tab 10 mg 744611-105 MOTILIUM 10MG TAB 5.321 30 6.92 10 53.21 69.2107 Metoclopramide hcl syrup 5 mg/5ml 714844-004 CLOPAMON 5MG/5ML SYR 0.152 50 0.23 100ml 15.2 23108 Metoclopramide hcl syrup 5 mg/5ml 783064-004 CONTROMET 5MG/5ML SYR 0.083 50 0.12 50ml 4.15 6111 Metoclopramide HCl Tab 10 MG 714828-017 CLOPAMON 10MG TAB 0.21 50 0.32 500 105 160113 Metoclopramide HCl Tab 10 MG 715875-124 CONTROMET 10MG TAB 0.083 50 0.12 500 41.5 60115 Prochlorperazine maleate tab 5 mg 762849-126 SCRIPTO-METIC 5MG TAB 0.121 50 0.18 500 60.5 90117 Ondansetron hcl tab 4 mg 785814-019 ZOFRAN 4MG TAB 30.998 30 40.3 15 464.97 604.5119 Ondansetron hcl tab 8 mg 785830-006 ZOFRAN 8MG TAB 48.925 30 63.6 15 733.87 954120 Clonidine hcl tab 0.025 mg 788317-016 MENOGRAINE 0.025MG 0.898 50 1.35 100 89.8 135121 Clonidine hcl tab 0.025 mg 788317-024 MENOGRAINE 0.025MG 0.897 50 1.35 30 26.91 40.5122 Tramadol hcl cap 50 mg 864900-007 TRAMAHEXAL 50MG 1.685 50 2.53 100 168.5 253123 Tramadol hcl cap 50 mg 864900-015 TRAMAHEXAL 50MG 1.685 50 2.53 20 33.7 50.6127 TRAMADOL HCL CAP 50 MG 706475-002 TRAMAZAC 50MG CAP 0.815 50 1.22 100 81.5 122129 Tramadol HCl Tab CR 150 MG 705811-001 TRAMAHEXAL SR 150MG SRT 4.341 50 6.51 60 260.46 390.6137 PARACETAMOL ELIXIR 120 MG/5ML 894281-003 ADCO PARACETAMOL ELIX 0.047 50 0.07 100ML 4.7 7138 Paracetamol elixir 120 mg/5ml 752118-005 PAINAMOL 120MG/5ML SYR 0.064 50 0.1 100ml 6.4 10139 Paracetamol elixir 120 mg/5ml 752118-013 PAINAMOL 120MG/5ML SYR 0.025 50 0.04 2500ml 62.5 100143 Paracetamol elixir 120 mg/5ml 789526-026 BRUNOMOL 120MG/5ML SYR 0.022 50 0.03 2500ml 55 75144 PARACETAMOL ELIXIR 120 MG/5ML 704093-001 ACTAMOL RED (UN-BOXED) 0.04 50 0.06 100ML 4 6145 Paracetamol elixir 120mg/5ml 863742-009 FEVERPAIN ELIX 0.05 50 0.08 100ml 5 8149 Paracetamol syrup 120 mg/5ml 895199-009 GO-PAIN P 0.085 50 0.13 100ml 8.5 13159 Paracetamol Tab 500 MG 824992-008 GENCETAMOL 500MG 0.055 50 0.08 1000 55 80161 Paracetamol Tab 500 MG 798053-011 DYNADOL 500MG TAB 0.153 50 0.23 1000 153 230162 Paracetamol Tab 500 MG 799629-014 PAINAMOL GREEN 500MG TAB 0.082 50 0.12 1000 82 120164 Paracetamol Tab 500 MG 805467-017 ANTALGIC 500MG TAB 0.046 50 0.07 5000 230 350167 Paracetamol Tab 500 MG 798053-038 DYNADOL 500MG TAB 0.153 50 0.23 5000 765 1150170 Paracetamol Tab 500 MG 757403-107 PROLIEF 500MG TAB 0.052 50 0.08 5000 260 400171 Paracetamol Tab 500 MG 757403-115 PROLIEF 500MG TAB 0.052 50 0.08 20000 1040 1600178 Aspirin tab 300 mg 706930-002 BAYER ASPIRIN TAB 0.474 50 0.71 100 47.4 71180 Aspirin tab 300 mg 798533-013 BE-TABS ASPIRIN 300MG TAB 0.065 50 0.1 1000 65 100181 Aspirin tab 300 mg 798533-021 BE-TABS ASPIRIN 300MG TAB 0.065 50 0.1 5000 325 500183 Aspirin Dispersible Tab 100 MG 847283-003 DISPRIN CV 100MG 0.906 50 1.36 30 27.18 40.8184 Aspirin Tab 100 MG 862304-008 BAYER ASPIRIN CARDIO 100MG 0.687 50 1.03 30 20.61 30.9185 MEFENAMIC ACID CAP 250 MG 796433-003 PONAC 250MG CAP 0.538 50 0.81 100 53.8 81188 Mefenamic acid cap 250 mg 797707-026 FENAMIN 250MG CAP 0.485 50 0.73 250 121.25 182.5189 Mefenamic acid tab 500 mg 810371-006 PONSTEL F 500MG TAB 1.55 50 2.33 50 77.5 116.5190 Mefenamic acid tab 500 mg 794201-008 PONAC FORTE 500MG TAB 1.455 50 2.18 50 72.75 109191 Mefenamic acid tab 500 mg 797715-010 FENAMIN 500MG TAB 1.285 50 1.93 100 128.5 193




Administered by

192 Mefenamic Acid Susp 50 MG/5ML 793264-006 PONAC 50MG/5ML SUSP 0.095 50 0.14 100ml 9.5 14194 Mefenamic Acid Susp 50 MG/5ML 793264-014 PONAC 50MG/5ML SUSP 0.095 50 0.14 200ml 19 28195 MEFENAMIC ACID SUSP 50 MG/5ML 875643-019 ADCO MEFENAMIC ACID 0.084 50 0.13 100ML 8.4 13196 MEFENAMIC ACID SUSP 50 MG/5ML 875643-027 ADCO MEFENAMIC ACID 0.084 50 0.13 200ML 16.8 26197 Mefenamic Acid Susp 50 MG/5ML 810398-028 PONSTEL S 50MG/5ML SUSP 0.11 50 0.17 200ml 22 34203 Paracetamol w/ Codeine Tab 500-8 MG 707910-021 PAINAMOL PLUS 0.237 50 0.36 1000 237 360204 Paracetamol w/ Codeine Tab 500-8 MG 720879-051 DOLOROL FORTE TAB 0.851 30 1.11 100 85.1 111206 Paracetamol-diphenhydramine-caff-cod tab 736228-020 LENADOL TAB 0.609 30 0.79 100 60.9 79208 Paracetamol-diphenhydramine-caff-cod tab 736228-047 LENADOL TAB 0.609 50 0.91 18 10.96 16.38211 Paracetamol-doxylamine-caffeine-codeine 703748-004 PHARMADOL TAB 0.438 50 0.66 500 219 330213 Paracetamol-doxylamine-caffeine-codeine 701105-006 B-DOL 0.324 50 0.49 100 32.4 49215 Paracetamol-doxylamine-caffeine-codeine 702609-013 DOXY CO TAB 0.36 50 0.54 100 36 54217 Paracetamol-doxylamine-caffeine-codeine 823864-014 SEDAPAIN TAB 0.624 50 0.94 100 62.4 94228 PARACETAMOL-DOXYLAMINE-CAFFEINE-CODEINE 780553-004 ADCO DOL TAB 0.479 50 0.72 100 47.9 72229 Paracetamol-doxylamine-caffeine-codeine 758493-029 PYNSTOP TAB 0.848 50 1.27 100 84.8 127231 Paracetamol-meprobamate-caff-cod cap 320 766933-008 STOPAYNE CAP 1.897 30 2.47 100 189.7 247234 Paracetamol-meprobamate-caff-cod tab 320 809055-007 SALTERPYN TAB 0.194 50 0.29 1000 194 290235 Paracetamol-meprobamate-caff-cod tab 320 766828-018 STILPANE TAB 0.359 50 0.54 100 35.9 54236 Paracetamol-meprobamate-caff-cod tab 320 834440-024 SPECTRAPAIN FORTE TAB 0.214 50 0.32 1000 214 320237 Paracetamol-meprobamate-caff-cod tab 320 766828-026 STILPANE TAB 0.359 50 0.54 1000 359 540240 Paracetamol-meprobamate-caff-cod tab 320 752177-036 PAINAGON TAB 0.231 50 0.35 1000 231 350242 Paracetamol-meprobamate-caff-cod tab 320 793574-022 GOLDGESIC TAB 0.221 50 0.33 1000 221 330245 Paracetamol-Promethazine w/ Codeine Syru 793566-002 GOLDGESIC SYR 0.061 50 0.09 100ml 6.1 9246 Paracetamol-Promethazine w/ Codeine Syru 766801-004 STILPANE SYR 0.097 50 0.15 100ml 9.7 15247 Paracetamol-Promethazine w/ Codeine Syru 836605-004 KID-EEZE SYRP 0.066 50 0.1 100ml 6.6 10248 Paracetamol-Promethazine w/ Codeine Syru 807583-006 SALTERPYN SYR 0.059 50 0.09 100ml 5.9 9252 Paracetamol-Promethazine w/ Codeine Syru 789984-008 PYNMED SYR 0.116 50 0.17 100ml 11.6 17255 Orphenadrine w/ APAP Tab 35-450 MG 747548-013 NORFLEX CO TAB 0.956 50 1.43 120 114.72 171.6257 Orphenadrine w/ APAP Tab 35-450 MG 881767-034 BESENOL NC 0.831 50 1.25 100 83.1 125258 Ibuprofen-paracetamol-codeine cap 200-25 704791-001 MYBULEN CAP 1.04 50 1.56 30 31.2 46.8259 Ibuprofen-paracetamol-codeine cap 200-25 704606-001 GEN-PAYNE CAP 1.04 50 1.56 30 31.2 46.8260 Ibuprofen-paracetamol-codeine cap 200-25 704791-002 MYBULEN CAP 1.04 50 1.56 100 104 156261 Ibuprofen-paracetamol-codeine cap 200-25 704606-002 GEN-PAYNE CAP 1.04 50 1.56 100 104 156262 Ibuprofen-paracetamol-codeine cap 200-25 745561-004 MYPRODOL CAPS 1.747 30 2.27 30 52.41 68.1265 Ibuprofen-Paracetamol Cap 200-250 MG 705266-001 DENTOPAIN CAP 0.827 50 1.24 30 24.81 37.2266 Ibuprofen-Paracetamol Cap 200-250 MG 810177-013 MYPAID CAP 1.308 30 1.7 60 78.48 102267 Ibuprofen-Paracetamol-Codeine 200-250-10 793744-008 MYPRODOL SUSP 0.469 30 0.61 100 46.9 61268 Ibuprofen-paracetamol susp 100-125 mg/5m 824496-019 LOTEM SUSP 0.364 30 0.47 100ml 36.4 47269 Meloxicam tab 15 mg 701522-001 LOXIFLAM 15MG 2.386 50 3.58 30 71.58 107.4270 Meloxicam tab 15 mg 842052-003 MOBIC 15MG TAB 2.354 30 3.06 10 23.54 30.6271 Meloxicam tab 15 mg 899070-019 COXFLAM 15MG 2.393 50 3.59 10 23.93 35.9273 Meloxicam tab 15 mg 705297-001 MELFLAM TAB 15MG 2.455 50 3.68 10 24.55 36.8274 Meloxicam tab 15 mg 704828-002 FLEXOCAM 15MG TAB 1.66 50 2.49 10 16.6 24.9276 Meloxicam tab 7.5 mg 701520-001 LOXIFLAM 7.5MG 0.784 50 1.18 30 23.52 35.4278 Meloxicam tab 7.5 mg 705296-001 MELFLAM TAB 7.5MG 0.917 50 1.38 30 27.51 41.4279 Meloxicam tab 7.5 mg 704829-001 FLEXOCAM 7.5MG TAB 0.633 50 0.95 30 18.99 28.5280 Meloxicam tab 7.5 mg 704588-001 SANDOZ MELOXICAM 7.5MG TAB 0.933 50 1.4 30 27.99 42288 Ibuprofen Tab 200 MG 733741-002 INZA 200MG TAB 0.154 50 0.23 30 4.62 6.9290 Ibuprofen Tab 200 MG 868221-007 IBUNATE 200MG 0.082 50 0.12 1000 82 120292 Ibuprofen Tab 200 MG 733741-010 INZA 200MG TAB 0.154 50 0.23 1000 154 230293 Ibuprofen Tab 200 MG 787426-016 BETAPROFEN 200MG TAB 0.081 50 0.12 1000 81 120297 Ibuprofen Tab 400 MG 701975-001 BETAPROFEN 400 FC 0.146 50 0.22 1000 146 220298 Ibuprofen Tab 400 MG 701654-003 RANFEN 400MG TAB 0.171 50 0.26 1000 171 260300 Ibuprofen Tab 400 MG 703974-009 SANDOZ IBUPROFEN 400MG TAB 0.274 50 0.41 30 8.22 12.3301 IBUPROFEN TAB 400 MG 780596-013 ADCO IBUPROFEN 400MG TAB 0.266 50 0.4 1000 266 400307 DICLOFENAC SODIUM EC TAB 25 MG 786594-004 ADCO DICLOFENAC 25MG TAB 0.164 50 0.25 30 4.92 7.5308 DICLOFENAC SODIUM EC TAB 25 MG 786594-012 ADCO DICLOFENAC 25MG TAB 0.164 50 0.25 500 82 125309 Diclofenac Sodium EC Tab 25 MG 786012-013 MERCK-DICLOF 25 MG TAB 0.096 50 0.14 500 48 70312 Diclofenac sodium ec tab 50 mg 786020-016 MERCK-DICLOF 50MG TAB 0.113 50 0.17 500 56.5 85313 Diclofenac sodium ec tab 50 mg 786020-008 MERCK-DICLOF 50MG TAB 0.258 50 0.39 21 5.42 8.19314 Diclofenac sodium ec tab 50 mg 841153-019 DICLOHEXAL 50MG 0.452 50 0.68 20 9.04 13.6318 Diclofenac sodium im inj soln 25 mg/ml 899186-009 DICLOFENAC 75MG/3ML 0.818 50 1.23 50 40.9 61.5319 DICLOFENAC SODIUM IM INJ SOLN 25 MG/ML 701114-010 ADCO DICLOFENAC 75MG/3ML 2.105 50 3.16 50 105.25 158320 Diclofenac sodium im inj soln 25 mg/ml 791555-011 MERCK-DICLOF 75MG/3ML 0.661 50 0.99 50 33.05 49.5324 Diclofenac sodium tab disp 50mg 888602-003 DICLOFLAM BLACK CURRENT 1.824 50 2.74 15 27.36 41.1326 Diclofenac sodium suppos 25 mg 780863-003 VOLTAREN 25MG SUP 8.824 30 11.47 5 44.12 57.35327 Diclofenac sodium suppos 100 mg 778214-001 VOLTAREN 100MG SUP 9.391 30 12.21 5 46.95 61.05328 Diclofenac sodium suppos 100 mg 845272-004 DICLOHEXAL 100MG SUPP 7.206 50 10.81 5 36.03 54.05329 Diclofenac sodium cap sr 24hr 75 mg 793663-008 VELTEX 75MG CAP 2.878 50 4.32 10 28.78 43.2330 Diclofenac sodium cap sr 24hr 75 mg 793663-016 VELTEX 75MG CAP 2.878 50 4.32 30 86.34 129.6333 Diclofenac sodium tab sr 24hr 100 mg 834327-007 SANDOZ DICLOFENAC 100SR 1.475 50 2.21 30 44.25 66.3334 Diclofenac sodium tab sr 24hr 100 mg 778230-015 VOLTAREN SR 100MG TBCR 4.431 30 5.76 30 132.93 172.8336 Diclofenac Diethylammonium Gel 1.16% 778257-010 VOLTAREN EMULGEL 1.006 30 1.31 50g 50.3 65.5337 Diclofenac Diethylammonium Gel 1.16% 778257-029 VOLTAREN EMULGEL 1.006 30 1.31 100g 100.6 131339 Diclofenac Sodium Lotion 1.08% 852201-001 ATHRU-DERM 1% LOT 0.6 50 0.9 50ml 30 45342 Naproxen Tab 250 MG 810185-024 MERCK-NAPROXEN TAB 0.318 50 0.48 250 79.5 120343 Naproxen Tab EC 250 MG 812625-013 NAFASOL EC 250MG 0.915 50 1.37 250 228.75 342.5345 Naproxen Tab 500 MG 840335-008 SANDOZ NAPROXEN 500MG 0.702 50 1.05 60 42.12 63348 PIROXICAM CAP 20 MG 785261-001 ADCO PIROXICAM 20MG CAP 0.639 50 0.96 30 19.17 28.8349 Piroxicam cap 20 mg 797030-018 XYCAM 20MG CAP 0.639 50 0.96 30 19.17 28.8350 Piroxicam tab disp 20 mg 797049-002 XYCAM DISP 20MG 0.79 50 1.19 30 23.7 35.7352 INDOMETHACIN CAP 25 MG 701891-002 AMDOCIN 25MG 0.086 30 0.11 500 43 55353 Indomethacin cap 25 mg 704725-002 ARTHREXIN 25MG CAP 0.194 50 0.29 100 19.4 29354 Indomethacin cap 25 mg 704776-006 SANDOZ INDOMETHACIN 25MG 0.148 50 0.22 100 14.8 22355 Indomethacin cap 25 mg 704725-010 ARTHREXIN 25MG CAP 0.194 50 0.29 500 97 145357 Indomethacin Cap 25 MG 806544-023 AFLAMIN 25MG CAP 0.108 50 0.16 500 54 80359 Indomethacin cap 25 mg 726389-110 FLAMECID 25MG CAP 0.191 50 0.29 500 95.5 145363 Naproxen sodium tab 275 mg 768448-018 SYNFLEX 275MG TAB 4.209 30 5.47 30 126.27 164.1364 Allopurinol tab 100 mg 758310-005 PURICOS 100MG TAB 0.478 50 0.72 100 47.8 72367 Allopurinol Tab 300 MG 738786-004 SANDOZ ALLOPURINOL 300 1.116 50 1.67 30 33.48 50.1370 Allopurinol Tab 300 MG 758329-016 PURICOS 300MG TAB 1.32 50 1.98 250 330 495371 Baclofen tab 10 mg 865567-018 NORTON-BACLOFEN 10MG 3.988 50 5.98 30 119.64 179.4372 Oxybutynin chloride tab 5 mg 701170-001 URIHEXAL 5MG 1.254 50 1.88 100 125.4 188375 Oxybutynin chloride tab 5 mg 720658-012 DITROPAN 5MG TAB 4.059 30 5.28 100 405.9 528376 Oxybutynin chloride tab 5 mg 701893-015 MERCK-OXYBUTYNIN HCL 5 1.089 50 1.63 100 108.9 163378 Atropine sulfate inj 0.5 mg/ml 798428-007 ATROPINE SULPH 0.5MG/ML 1.617 50 2.43 10 16.17 24.3380 ATROPINE SULFATE INJ 1 MG/ML 832758-019 MYLAN-ATROPINE SUL 1MG/ML INJ 2.333 50 3.5 10 23.33 35381 Cetirizine hcl syrup 5 mg/5ml 703313-001 ALLECET SYRUP 0.475 50 0.71 150ml 71.25 106.5382 Cetirizine hcl syrup 5 mg/5ml 820946-028 ZYRTEC 1MG/ML SYR 0.91 30 1.18 150ml 136.5 177383 CETIRIZINE HCL TAB 10 MG 703491-001 ADCO CETIRIZINE 10MG TAB 1.596 30 2.07 10 15.96 20.7384 Cetirizine hcl tab 10 mg 703821-001 ALLERMINE 10MG TAB 1.273 30 1.65 10 12.73 16.5385 Cetirizine hcl tab 10 mg 703864-001 CETIRIZINE-HEXAL 10MG TA 1.284 50 1.93 30 38.52 57.9386 Cetirizine hcl tab 10 mg 703821-002 ALLERMINE 10MG TAB 1.272 30 1.65 30 38.16 49.5387 Cetirizine hcl tab 10 mg 703314-003 TEXA 10MG TAB 1.343 50 2.01 30 40.29 60.3388 Cetirizine hcl tab 10 mg 785377-018 ZYRTEC 10MG TAB 3.722 30 4.84 30 111.66 145.2389 Cetirizine HCl Tab 10 MG 704659-001 ZYNCET 1.134 30 1.47 30 34.02 44.1391 Loratadine syrup 10 mg/10ml 703918-001 POLLENTYME S 0.425 50 0.64 100ml 42.5 64393 Loratadine syrup 10 mg/10ml 789291-002 CLARITYNE 5MG/5ML SYR 0.473 30 0.61 100ml 47.3 61394 Loratadine tab 10 mg 700092-001 LAURA 10 1.141 50 1.71 10 11.41 17.1




Administered by

395 Loratadine tab 10 mg 701407-001 SANDOZ LORATADINE 10MG 1.012 50 1.52 10 10.12 15.2396 Loratadine tab 10 mg 700092-002 LAURA 10 1.141 50 1.71 30 34.23 51.3398 Loratadine tab 10 mg 702159-003 CLARINESE 10MG 1.143 50 1.71 10 11.43 17.1400 Loratadine tab 10 mg 899430-014 AP-LORATADINE 10MG TAB 1.144 50 1.72 30 34.32 51.6404 Loratadine tab 10 mg 705359-001 LORFAST 10MG TAB 0.993 50 1.49 10 9.93 14.9405 Loratadine tab 10 mg 705410-002 RHINIGINE 10MG TAB 1.195 50 1.79 30 35.85 53.7408 Promethazine HCl Syrup 5 MG/5ML 757373-011 PROHIST 5MG/5ML SYR 0.058 50 0.09 100ml 5.8 9409 Promethazine HCl Syrup 5 MG/5ML 736244-018 LENAZINE 5MG/5ML SYR 0.053 50 0.08 2500ml 132.5 200410 Promethazine HCl Syrup 5 MG/5ML 757373-038 PROHIST 5MG/5ML SYR 0.058 50 0.09 2500ml 145 225411 Cyproheptadine hcl tab 4 mg 701422-001 CIPLA-ACTIN 4MG 0.825 50 1.24 30 24.75 37.2412 Promethazine HCl Tab 10 MG 754749-010 PHENERGAN 10MG TAB 0.401 30 0.52 500 200.5 260413 Promethazine HCl Tab 10 MG 803065-019 RECEPTOZINE 10MG TAB 0.092 50 0.14 1000 92 140415 Promethazine HCl Inj 25 MG/ML 754765-008 PHENERGAN 1ML 2.5% INJ 7.975 30 10.37 10 79.75 103.7416 Promethazine HCl Inj 25 MG/ML 757527-019 PROMETHAZINE HCL FSK 25MG/ML 4.16 50 6.24 10 41.6 62.4417 Fexofenadine hcl tab 120 mg 707199-001 FEXO 120 TAB 2.719 50 4.08 10 27.19 40.8418 Fexofenadine hcl tab 120 mg 848093-011 TELFAST 120 MG TAB 5.501 30 7.15 30 165.03 214.5419 Fexofenadine hcl tab 180 mg 848107-004 TELFAST 180 MG TAB 6.193 30 8.05 30 185.79 241.5421 Doxazosin mesylate cr 4 mg 869856-006 CARDURA XL 4MG 5.902 30 7.67 30 177.06 230.1423 DOXAZOSIN MESYLATE TAB 4 MG 701631-001 ADCO DOXAZOSIN 4MG TAB 1.194 50 1.79 30 35.82 53.7425 Propranolol HCl Tab 10 MG 758140-010 PUR-BLOKA 10MG TAB 0.117 50 0.18 1000 117 180426 Propranolol HCl Tab 10 MG 806552-034 INDOBLOK 10MG 0.061 50 0.09 1000 61 90428 Propranolol hcl tab 40 mg 787175-013 PRODOROL 40MG TAB 0.143 50 0.21 500 71.5 105429 Propranolol hcl tab 40 mg 758167-016 PUR-BLOKA 40MG TAB 0.155 50 0.23 250 38.75 57.5430 Timolol-Amiloride-Hydrochlorothiazide Ta 780472-004 SERVATRIN TAB 7.343 50 11.01 30 220.29 330.3431 Bisoprolol fumarate tab 5 mg 704372-001 BILOCOR 5 TAB 1.117 50 1.68 30 33.51 50.4432 Bisoprolol fumarate tab 5 mg 704440-001 CARDICOR 5MG TAB 2.401 30 3.12 30 72.03 93.6433 Bisoprolol fumarate tab 5 mg 818429-003 CONCOR 5MG TAB 2.291 30 2.98 30 68.73 89.4435 Bisoprolol fumarate tab 10 mg 704373-001 BILOCOR 10 TAB 1.879 50 2.82 30 56.37 84.6437 Bisoprolol fumarate tab 10 mg 704441-001 CARDICOR 10MG TAB 3.796 30 4.93 30 113.88 147.9438 Acebutolol hcl tab 400 mg 705056-001 BUTOBLOC 400MG 5.314 50 7.97 30 159.42 239.1439 Acebutolol hcl tab 400 mg 763047-007 SECTRAL 400MG TAB 7.725 30 10.04 30 231.75 301.2440 Carvedilol tab 6.25 mg 704670-001 CARVETREND 6.25MG TAB 1.521 50 2.28 30 45.63 68.4441 Carvedilol tab 6.25 mg 705749-001 CARVEDILOL-HEXAL 6.25MG 1.611 50 2.42 30 48.33 72.6443 Carvedilol tab 12.5 mg 836354-001 DILATREND 12.5MG TAB 3.441 30 4.47 30 103.23 134.1444 Carvedilol tab 12.5 mg 704671-001 CARVETREND 12.5MG TAB 1.601 50 2.4 30 48.03 72445 Carvedilol tab 25 mg 788856-006 DILATREND 25MG TAB 3.441 30 4.47 30 103.23 134.1446 Carvedilol tab 25 mg 897117-006 CARLOC 25MG TAB 2.198 50 3.3 30 65.94 99448 Captopril & hydrochlorothiazide tab 50-2 841137-005 CAPTORETIC TAB 1.54 50 2.31 30 46.2 69.3449 Captopril & hydrochlorothiazide tab 50-2 839795-009 ZAPTO-CO TAB 2.358 50 3.54 28 66.02 99.12452 Captopril tab 25 mg 839779-003 ZAPTO 25MG TAB 0.308 50 0.46 60 18.48 27.6453 CAPTOPRIL TAB 25 MG 852619-006 MERCK-CAPTOPRIL 25MG 0.185 50 0.28 60 11.1 16.8456 Captopril tab 50 mg 837644-003 CAPTOHEXAL 50MG 0.713 50 1.07 60 42.78 64.2457 CAPTOPRIL TAB 50 MG 837067-006 ADCO CAPTOPRIL 50MG 0.419 50 0.63 60 25.14 37.8458 CAPTOPRIL TAB 50 MG 899429-009 MERCK-CAPTOPRIL 50MG 0.268 50 0.4 60 16.08 24460 Enalapril maleate & hydrochlorothiazide 885019-005 PHARMAPRESS CO 2.267 50 3.4 30 68.01 102461 Enalapril maleate & hydrochlorothiazide 891287-008 ENAP CO 20MG/12.5MG TAB 2.242 50 3.36 30 67.26 100.8463 Enalapril maleate tab 5 mg 881473-006 ALAPREN 5MG TAB 0.458 50 0.69 28 12.82 19.32465 ENALAPRIL MALEATE TAB 10 MG 886843-001 ADCO ENALAPRIL 10MG 0.946 50 1.42 28 26.49 39.76466 Enalapril maleate tab 10 mg 868914-002 PHARMAPRESS 10MG 1.027 50 1.54 30 30.81 46.2467 Enalapril maleate tab 10 mg 881481-009 ALAPREN 10MG TAB 0.787 50 1.18 28 22.04 33.04468 Enalapril maleate tab 10 mg 867853-018 HR-ENALAPRIL 10MG 0.98 30 1.27 30 29.4 38.1469 Enalapril maleate tab 20 mg 701729-001 CIPLATEC 20MG 1.728 50 2.59 30 51.84 77.7470 Enalapril maleate tab 20 mg 881503-002 ALAPREN 20MG TAB 1.043 50 1.56 28 29.2 43.68471 Enalapril maleate tab 20 mg 868922-005 PHARMAPRESS 20MG 1.824 50 2.74 30 54.72 82.2473 Lisinopril tab 5 mg 703646-001 ZEMAX 5MG 0.979 50 1.47 30 29.37 44.1476 Lisinopril tab 10 mg 700692-001 SINOPREN 10MG TAB 0.529 50 0.79 30 15.87 23.7480 Lisinopril tab 20 mg 700694-001 SINOPREN 20MG TAB 0.529 50 0.79 30 15.87 23.7484 Perindopril erbumine tab 4 mg 703541-003 PREXUM 4MG TAB 2.432 50 3.65 30 72.96 109.5486 Ramipril cap 1.25 mg 705426-001 RAMPIL 1.25MG CAP 1.885 50 2.83 30 56.55 84.9488 Ramipril cap 2.5 mg 704023-001 RAMIWIN 2.5MG CAP 2.218 50 3.33 30 66.54 99.9489 Ramipril tab 2.5 mg 704374-001 RAMIPRIL HEXAL 2.5MG TAB 2.219 50 3.33 30 66.57 99.9490 Ramipril tab 2.5 mg 705427-001 RAMPIL 2.5MG CAP 2.288 50 3.43 30 68.64 102.9496 Lisinopril & hydrochlorothiazide tab 10- 704437-001 LISORETIC 10/HCTZ 1.061 50 1.59 30 31.83 47.7499 Lisinopril & hydrochlorothiazide tab 20- 704598-001 ZETOMAX-CO 20/12.5MG 1.998 50 3 30 59.94 90501 Ramipril cap 10 mg 705429-001 RAMPIL 10MG CAP 3.913 30 5.09 30 117.39 152.7503 Quinapril hcl tab 10 mg 705457-001 QUINASPEN 10MG 1.19 50 1.79 30 35.7 53.7504 QUINAPRIL HCL TAB 10 MG 783307-004 ACCUPRIL 10MG TAB 3.215 30 4.18 28 90.02 117.04505 Quinapril hcl tab 20 mg 705447-001 QUINASPEN 20MG TAB 1.799 50 2.7 30 53.97 81506 Perindopril erbumine-indapamide tab 4-1. 704929-001 PREXUM PLUS TAB 3.079 50 4.62 30 92.37 138.6507 Perindopril erbumine-indapamide tab 4-1. 877549-001 COVERSYL PLUS TAB 5.178 30 6.73 30 155.34 201.9508 QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10-12. 795755-007 ACCURETIC 10/12.5 TAB 4.083 30 5.31 28 114.32 148.68509 QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-12. 706236-001 ADCO QUINARETIC 20/12.5 TAB 2.692 50 4.04 30 80.76 121.2513 Diltiazem HCl Tab 60 MG 822213-001 ZILDEM 60MG TAB 1.879 50 2.82 50 93.95 141514 Diltiazem HCl Tab 90 MG 824364-007 ZILDEM 90MG TAB 4.305 50 6.46 60 258.3 387.6515 Diltiazem hcl cap sr 24hr 180 mg 813125-006 TILAZEM 180 CR 5.696 30 7.4 30 170.88 222516 Nifedipine cap 5 mg 780499-018 CARDIFEN TM 5MG CAP 0.922 50 1.38 100 92.2 138523 Verapamil hcl tab 40 mg 774944-021 VASOMIL 40MG TAB 0.34 50 0.51 500 170 255525 Verapamil HCl Tab 80 MG 774952-024 VASOMIL 80MG TAB 0.726 50 1.09 250 181.5 272.5530 Diltiazem hcl cap sr 24hr 240 mg 839191-006 ZILDEM 240MG SR 5.62 50 8.43 30 168.6 252.9532 Felodipine tab sr 24hr 10mg 703902-001 FELODIPINE-HEXAL 10MG TAB 3.794 50 5.69 30 113.82 170.7533 Amlodipine besylate tab 5 mg 791245-004 NORVASC 5MG TAB 3.914 30 5.09 30 117.42 152.7534 Amlodipine maleate tab 5 mg 703916-001 AMLOC 5MG TAB 1.883 50 2.82 30 56.49 84.6536 Amlodipine besylate tab 10 mg 704621-001 AMLOSYN 10MG TAB 4.122 50 6.18 30 123.66 185.4538 Amlodipine maleate tab 10 mg 703917-001 AMLOC 10MG TAB 2.797 50 4.2 30 83.91 126539 Isosorbide dinitrate tab 10 mg 784206-007 SANDOZ ISOSORBIDE 10 0.439 50 0.66 50 21.95 33540 Isosorbide Dinitrate Tab 30 MG 734403-003 ISORDIL 30MG TAB 1.241 30 1.61 50 62.05 80.5541 Isosorbide Dinitrate Tab 30 MG 784214-018 SANDOZ ISOSORBIDE 30 1.037 50 1.56 50 51.85 78543 Isosorbide Mononitrate Tab 20 MG 734055-013 ISMO 20MG TAB 2.619 30 3.4 500 1309.5 1700545 Hydralazine HCl Tab 25 MG 761400-001 SANDOZ HYDRALAZINE 25 0.544 50 0.82 30 16.32 24.6547 Hydralazine hcl tab 50 mg 731722-027 HYPERPHEN 50MG TAB 0.489 50 0.73 500 244.5 365549 Pentoxifylline tab cr 400 mg 771961-014 TRENTAL 400MG TAB 5.285 30 6.87 100 528.5 687550 Bezafibrate tab cr 400 mg 828300-003 SANDOZ BEZAFIBRATE 400 TBC 4.344 50 6.52 30 130.32 195.6551 Simvastatin tab 10 mg 703525-001 SIMVOTIN 10MG TAB 0.899 50 1.35 28 25.17 37.8556 Simvastatin tab 20 mg 703526-001 SIMVOTIN 20MG TAB 0.899 50 1.35 28 25.17 37.8557 SIMVASTATIN TAB 20 MG 701279-003 ADCO SIMVASTATIN 20MG 0.702 50 1.05 30 21.06 31.5558 Simvastatin tab 20 mg 705077-001 LIPIDEX 20MG 2.592 50 3.89 30 77.76 116.7560 Simvastatin tab 20 mg 705382-001 MERCK-SIMVASTATIN 20MG TAB 2.397 50 3.6 30 71.91 108562 SIMVASTATIN TAB 40 MG 701281-003 ADCO SIMVASTATIN 40MG 0.715 50 1.07 30 21.45 32.1567 Pravastatin sodium tab 10 mg 705901-001 SANDOZ PRAVASTATIN 10MG TAB 3.469 50 5.2 30 104.07 156572 Pravastatin sodium tab 40 mg 705903-001 SANDOZ PRAVASTATIN 40MG TAB 5.218 50 7.83 30 156.54 234.9573 Ephedrine-Promethazine-Codeine Syrup 7.2 736236-007 LENAZINE FORTE SYR 0.136 30 0.18 100ml 13.6 18574 Ephedrine-Promethazine-Codeine Syrup 7.2 754846-008 PHENSEDYL SYR 0.218 30 0.28 100ml 21.8 28575 Metaproterenol-Bromhexine Syrup 5-4 MG/5 710032-005 BISOLVON LINCTUS 0.179 50 0.27 100ml 17.9 27576 METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5 827304-005 ADCO LINCTOPENT SYR 0.106 50 0.16 100ML 10.6 16577 Metaproterenol-Bromhexine Syrup 5-4 MG/5 710032-013 BISOLVON LINCTUS 0.179 50 0.27 200ml 35.8 54579 Metaproterenol-Bromhexine Syrup 5-4 MG/5 710687-028 BRONKESE CO SYR 0.12 50 0.18 200ml 24 36580 Pseudoephedrine-Triprolidine w/ COD Syru 779873-009 ACUGEST CO LINCT SYR 0.12 30 0.16 100ml 12 16581 Pseudoephedrine-triprolidine w/ cod syru 827355-009 FLUDACTIL CO SYR 0.119 50 0.18 100ml 11.9 18582 PSEUDOEPHEDRINE-TRIPROLIDINE W/ COD SYRU 806226-013 ADCO TUSSEND SYR 0.127 50 0.19 200ML 25.4 38




Administered by

583 Theophylline-Etofylline-Diphenylpyraline 700238-001 THEOPHEN CO(UNBOXED) 0.04 50 0.06 200ml 8 12586 Diphenhydramine-amcl-sod citrate syrup 720291-119 DPH EXPECTORANT SYR 0.024 50 0.04 2500ml 60 100587 Diphenhydramine-amcl-sod citrate syrup 789976-005 MEDILYN SYR 0.085 30 0.11 100ml 8.5 11588 Diphenhydramine-amcl-sod citrate syrup 789976-013 MEDILYN SYR 0.085 30 0.11 200ml 17 22589 Diphenhydramine-amcl-sod citrate syrup 823554-015 RELIEF-COFF EXPECT 0.056 30 0.07 200ml 11.2 14590 Diphenhydramine-amcl-sod citrate syrup 895032-015 AMCOUGH 0.024 50 0.04 200ml 4.8 8592 Diphenhydramine-pholcodine-gg syr 15-8-1 727008-005 FOLCOFEN SYR 0.107 50 0.16 100ml 10.7 16593 Diphenhydramine-pholcodine-gg syr 15-8-1 727008-013 FOLCOFEN SYR 0.107 50 0.16 200ml 21.4 32595 Guaifenesin Syrup 100 MG/5ML 887966-001 BRONCHOLIN EXPECT 0.14 50 0.21 100ml 14 21596 Guaifenesin Syrup 100 MG/5ML 799319-007 LENNON COUGH SYR 0.254 30 0.33 50ml 12.7 16.5601 PSEUDOEPHED-TRIPROLIDINE-DM SYRUP 30-1.2 700827-005 ACTIFED DM COUGH(DRY COUG 0.19 30 0.25 100ML 19 25602 Pseudoephed-Triprolidine-DM Syrup 30-1.2 808717-014 MEDIFED LINCTUS 0.178 50 0.27 100ml 17.8 27607 PHENYLPROP-PHENYLTOLOX W/ COD-APAP TAB 2 791148-009 ADCO SINAL CO TAB 0.688 50 1.03 20 13.76 20.6610 Pseudoephedrine w/ Paracetamol Tab 30-50 893463-019 SINUGESIC TAB 0.943 50 1.41 20 18.86 28.2611 Pseudoephedrine-ibuprofen cap 30-200 mg 867128-003 SINUMAX IB CAP 1.514 30 1.97 20 30.28 39.4613 TRIPROLIDINE-PSEUDOEPHEDRINE-APAP SYRUP 806218-002 ADCO FLUPAIN SYR 0.103 30 0.13 100ML 10.3 13614 TRIPROLIDINE-PSEUDOEPHEDRINE-APAP SYRUP 703964-001 SINUCLEAR PAED SYR 0.234 30 0.3 100ML 23.4 30617 Pseudoephedrine HCl Syrup 30 MG/5ML 799440-019 DRILIX 30MG/5ML SYR 0.091 30 0.12 100ml 9.1 12618 PSEUDOEPHEDRINE HCL TAB 60 MG 796972-001 ADCO SUFEDRIN 60MG TAB 0.513 30 0.67 20 10.26 13.4619 Pseudoephedrine HCl Tab 60 MG 767212-002 SUDAFED SINUS ND TAB 1.05 30 1.37 20 21 27.4620 Triprolidine & Pseudoephedrine Syrup 1.2 835544-001 MERCK-FED COMP SYR 0.123 30 0.16 100ml 12.3 16621 Triprolidine & Pseudoephedrine Syrup 1.2 853003-009 BETAFED SYR 0.143 30 0.19 100ml 14.3 19622 TRIPROLIDINE & PSEUDOEPHEDRINE SYRUP 1.2 700770-011 ACTIFED COLD SYRUP 0.206 30 0.27 100ML 20.6 27624 Formoterol fumarate inhal cap 12 mcg 704175-001 FORATEC DP INH CAP 1.368 30 1.78 60 82.08 106.8625 Formoterol fumarate inhal cap 12 mcg 820911-003 FORADIL INHALETS 3.937 30 5.12 60 236.22 307.2626 Salbutamol sulfate inhal aero 108 mcg/ac 819603-007 ASTHAVENT INH 200D 16.511 30 21.46 1 16.51 21.46627 Salbutamol Sulfate Syrup 2 MG/5ML 824186-001 ASTHAVENT 2MG/5ML SYR 0.097 50 0.15 100ml 9.7 15629 Albuterol-ipratropium nebu soln 2.5(3)-0 705722-001 SABAX COMBINEB UDV 4.604 50 6.91 60 276.24 414.6630 Salbutamol-ipratropium nebu soln 2.5(3)- 703983-001 DUOLIN RESPULES FOR INHALAT 4.472 50 6.71 60 268.32 402.6632 Albuterol sulfate soln nebu 0.5% (5 mg/m 836001-029 VENTOLIN RESP SOLN 20ML 3.053 30 3.97 20ml 61.06 79.4634 Ipratropium bromide nebu soln 0.125 mg/m 794007-007 ATROVENT UDV PAED .25MG 2.447 30 3.18 60ml 146.82 190.8635 Ipratropium bromide nebu soln 0.125 mg/m 890164-007 SABAX IPRATROPIUM 0.25MG/ 2.01 50 3.02 60ml 120.6 181.2636 Ipratropium bromide nebu soln 0.25 mg/ml 890172-003 SABAX IPRATROPIUM 0.5MG/2 2.878 50 4.32 60ml 172.68 259.2637 Carbocysteine Cap 375 MG 744824-001 MUCOSPECT 375MG CAP 1.35 30 1.76 30 40.5 52.8638 Carbocysteine Cap 375 MG 805335-005 MUCOLESS 375MG CAP 0.646 50 0.97 30 19.38 29.1639 Carbocysteine Cap 375 MG 783633-130 LESSMUSEC 375MG CAP 0.635 50 0.95 30 19.05 28.5640 Carbocysteine syrup 250 mg/5ml 726451-002 FLEMEX 250MG/5ML SYR 0.255 30 0.33 100ml 25.5 33641 Carbocysteine Syrup 250 MG/5ML 779814-002 CO-FLEM 250MG SYR 0.064 50 0.1 200ml 12.8 20642 Carbocysteine Syrup 250 MG/5ML 785164-006 FLEMLITE SYR 0.099 50 0.15 200ml 19.8 30644 Carbocysteine syrup 250 mg/5ml 726451-010 FLEMEX 250MG/5ML SYR 0.259 30 0.34 200ml 51.8 68646 Carbocysteine Syrup 250 MG/5ML 710520-018 BRONCHETTE 250MG/5ML 0.064 50 0.1 200ml 12.8 20647 Carbocysteine Syrup 250 MG/5ML 708151-019 BETAPHLEM 250MG/5ML SYR 0.075 30 0.1 200ml 15 20653 Ketotifen fumarate syrup 0.2 mg/ml 854905-006 ZETOFEN 1MG/5ML SYR 0.269 50 0.4 200ml 53.8 80655 Beclomethasone dipropionate nasal soln 0 820709-018 BECLATE AQUANASE 50MCG 15 39.963 50 59.94 1 39.96 59.94656 Fluticasone propionate nasal susp 50 mcg 787795-003 FLIXONASE AQ NASAL SPRAY 135.482 30 176.13 1 135.48 176.13657 Cromolyn Sodium Nasal Soln 2% 704536-001 CROMOHEXAL N/SPRAY 15ML 15.6 50 23.4 1 15.6 23.4658 Cromolyn Sodium Nasal Soln 2% 804649-006 VIVIDRIN 15 ML NASAL SPRAY 22.467 30 29.21 1 22.47 29.21659 Fenoterol hbr soln nebu 0.625 mg/ml 791989-003 BEROTEC UDV ADULT 1.25MG 1.698 30 2.21 60ml 101.88 132.6660 Fenoterol hbr soln nebu 0.625 mg/ml 890156-004 SABAX FENOTEROL 1.25MG/2M 1.755 50 2.63 60ml 105.3 157.8661 Fenoterol-ipratropium nebu soln 0.3125-0 703469-003 SABAX NEBRAFEN 4ML 4.494 50 6.74 60ml 269.64 404.4662 Fenoterol-ipratropium nebu soln 0.3125-0 820733-016 ATROVENT BETA UDV 4.534 30 5.89 60ml 272.04 353.4663 Oxymetazoline HCl Nasal Soln 0.025% 732281-008 ILIADIN PAED 0.025% DROPS 31.044 30 40.36 1 31.04 40.36665 Oxymetazoline HCl Nasal Soln 0.05% 732303-001 ILIADIN PLASTIC NASAL SPR 30.637 30 39.83 1 30.64 39.83666 Oxymetazoline HCl Nasal Soln 0.05% 732265-002 ILIADIN ADULT 0.05% MET S 38.993 30 50.69 1 38.99 50.69668 Oxymetazoline HCl Nasal Soln 0.05% 721433-006 DRIXINE ADULT 0.05% DROPS 38.038 30 49.45 1 38.04 49.45669 Oxymetazoline HCl Nasal Soln 0.05% 721441-009 DRIXINE 0.05% N/SRAY 20ML 26.956 30 35.04 1 26.96 35.04670 Oxymetazoline HCl Nasal Soln 0.05% 783870-019 DRISTAN LL MET.PUMP 15ML 37.948 30 49.33 1 37.95 49.33671 Chlorhexidine Gluconate Soln 0.2% 731005-007 CORSODYL 2MG/ML SOL 0.219 30 0.28 200ml 43.8 56672 Chlorhexidine Gluconate Soln 0.2% 808377-019 CORSODYL 2MG/ML MINT SOL 0.219 30 0.28 200ml 43.8 56673 Povidone-iodine mouthwash 1% 819859-001 SEPTADINE ORAL ANTISEPTIC 0.079 30 0.1 200ml 15.8 20675 Povidone-iodine mouthwash 1% 785210-008 PODINE MOUTHW & GARGLE 0.102 30 0.13 200ml 20.4 26676 Povidone-iodine mouthwash 1% 707937-019 BETADINE GARGLE 0.101 30 0.13 200ml 20.2 26677 Dipyrone-hyoscine butylbromide tab 250-1 762717-114 SCOPEX COMPOUND TAB 0.411 50 0.62 500 205.5 310678 Mebeverine hcl tab 135 mg 701892-003 MERCK-MEBEVERINE HCL 0.997 50 1.5 20 19.94 30679 Mebeverine hcl tab 135 mg 701892-006 MERCK-MEBEVERINE HCL 0.997 50 1.5 100 99.7 150680 Mebeverine hcl tab 135 mg 715476-017 COLOFAC 135MG TAB 1.864 30 2.42 100 186.4 242683 Hyoscine n-butylbromide tab 10 mg 731951-018 HYOSPASMOL 10MG TAB 1.548 50 2.32 100 154.8 232685 Hyoscine n-butylbromide inj 20 mg/ml 731943-007 HYOSPASMOL 20MG/ML INJ 7.3 30 9.49 10 73 94.9686 Hyoscine n-butylbromide inj 20 mg/ml 762733-004 SCOPEX 20MG/ML INJ 2.906 50 4.36 10 29.06 43.6687 Scopolamine n-butylbromide syrup 5 mg/5m 707213-001 HYOSPASMOL 5MG/5ML SYRUP 0.216 50 0.32 100ml 21.6 32689 Aluminum Hydroxide Gel Susp 300 MG/5ML 703168-010 AMPHOJEL SUSP 0.09 30 0.12 500ml 45 60690 Aluminum Hydroxide Gel Susp 300 MG/5ML 702447-013 ALUM HYDROXIDE GEL 0.02 50 0.03 2500ml 50 75691 Alum hydrox-mag oxide-dicyclomine susp 4 702725-001 DICYCLOMINE CO GEL 0.043 50 0.06 100ml 4.3 6692 Alum hydrox-mag oxide-dicyclomine susp 4 707899-001 BETACLOMIN GEL 0.059 50 0.09 200ml 11.8 18693 Alum hydrox-mag oxide-dicyclomine susp 4 702725-002 DICYCLOMINE CO GEL 0.043 50 0.06 200ml 8.6 12694 Alum hydrox-mag oxide-dicyclomine susp 4 707899-028 BETACLOMIN GEL 0.059 50 0.09 350ml 20.65 31.5695 Alum hydrox-mag oxide-dicyclomine susp 4 707899-044 BETACLOMIN GEL 0.059 30 0.08 100ml 5.9 8698 CIMETIDINE TAB 200 MG 811459-004 ADCO CIMETIDINE 200MG 0.318 50 0.48 60 19.08 28.8700 Cimetidine tab 200 mg 886978-009 BIO-CIMETIDINE 200MG 0.247 50 0.37 150 37.05 55.5701 Cimetidine tab 200 mg 736252-010 LENAMET 200MG TAB 0.359 50 0.54 150 53.85 81702 Cimetidine tab 200 mg 854247-017 CIMLOK 200MG TAB 0.304 50 0.46 200 60.8 92704 Cimetidine tab 400 mg 854255-001 CIMLOK 400MG TAB 0.475 50 0.71 60 28.5 42.6705 Cimetidine tab 400 mg 736260-005 LENAMET 400MG TAB 0.387 50 0.58 56 21.67 32.48706 Cimetidine tab 400 mg 736260-013 LENAMET 400MG TAB 0.387 50 0.58 500 193.5 290707 Cimetidine tab 400 mg 854255-028 CIMLOK 400MG TAB 0.475 50 0.71 200 95 142712 Ranitidine HCl Tab 75 MG 873438-019 HISTAK 75MG TAB 0.988 50 1.48 12 11.86 17.76714 Ranitidine hcl tab 150 mg 700119-002 CPL ALLIANCE RANITIDINE 1 0.556 50 0.83 60 33.36 49.8716 Ranitidine hcl tab 150 mg 867934-018 ULTAK 150MG 0.875 50 1.31 60 52.5 78.6720 Ranitidine hcl tab 300 mg 700120-005 CPL ALLIANCE RANITIDINE 3 0.607 50 0.91 30 18.21 27.3721 Ranitidine hcl tab 300 mg 841617-007 RANIHEXAL 300MG TAB 1.219 50 1.83 30 36.57 54.9724 Pantoprazole sodium ec tab 20 mg (base e 705368-001 TOPZOLE 20MG TAB 4.605 50 6.91 28 128.94 193.48727 Pantoprazole sodium ec tab 40 mg (base e 705369-001 TOPZOLE 40MG TAB 6.846 50 10.27 28 191.69 287.56728 Omeprazole magnesium cap dr 10 mg 703988-001 ALTOSEC 10MG CAP 3.592 50 5.39 28 100.58 150.92731 Omeprazole magnesium cap dr 20 mg 703534-001 SANDOZ OMEPRAZOLE 20MG 3.329 50 4.99 30 99.87 149.7732 OMEPRAZOLE MAGNESIUM CAP DR 20 MG 703543-001 ADCO OMEPRAZOLE 20MG 3.46 50 5.19 30 103.8 155.7734 Omeprazole magnesium cap dr 20 mg 705466-001 LOKIT 20MG CAP 3.322 50 4.98 30 99.66 149.4735 Omeprazole tab 20mg mups 849391-008 LOSEC 20 MUPS 11.674 30 15.18 14 163.44 212.52738 LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 704753-001 LANSOLOC 15MG 2.254 50 3.38 30 67.62 101.4739 Lansoprazole cap delayed release 15 mg 831425-008 LANZOR 15MG CAP 8.148 30 10.59 28 228.14 296.52740 LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 707192-001 ADCO ROZNAL 15MG 4.33 50 6.5 14 60.62 91741 LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 707192-002 ADCO ROZNAL 15MG 4.33 50 6.5 28 121.24 182742 LANSOPRAZOLE CAP DELAYED RELEASE 30 MG 704668-001 ADCO ROZNAL 30MG CAP 3.042 50 4.56 28 85.18 127.68744 Lansoprazole cap delayed release 30 mg 793752-027 LANZOR 30MG CAP 13.235 30 17.21 28 370.58 481.88745 Bisacodyl ec tab 5 mg 721549-012 DULCOLAX 5MG TAB 1.002 30 1.3 200 200.4 260750 Lactulose Syrup 10 GM/15ML 817309-012 LAXETTE SYR 0.117 50 0.18 500ml 58.5 90752 LACTULOSE SYRUP 10 GM/15ML 878707-018 ADCO LIQUILAX SYR 0.11 50 0.17 100ML 11 17755 Lactulose Syrup 680 MG/ML 894629-005 SENOKOT-LACTULOSE (BANANA 0.175 30 0.23 150ml 26.25 34.5757 Loperamide hcl syrup 1 mg/5ml 820563-005 LOPERASTAT 1MG/5ML SYR 0.35 50 0.53 50ml 17.5 26.5




Administered by

761 LOPERAMIDE HCL TAB 2 MG 792071-026 ADCO LOPERAMIDE TAB 0.867 50 1.3 300 260.1 390762 Loperamide hcl tab 2 mg 796697-027 NORIMODE 2MG TAB 0.302 50 0.45 120 36.24 54763 LOPERAMIDE HCL TAB 2 MG 792071-115 ADCO LOPERAMIDE TAB 0.867 50 1.3 6 5.2 7.8765 Mebendazole chew tab 100 mg 775614-009 VERMOX 100MG CHEW 3.704 30 4.82 6 22.22 28.92766 Mebendazole Susp 20 MG/ML 845698-001 WORMSTOP SUS 0.262 50 0.39 30ml 7.86 11.7767 Mebendazole Susp 20 MG/ML 775606-006 VERMOX 100MG/5ML SUSP 0.733 30 0.95 30ml 21.99 28.5768 MEBENDAZOLE TAB 100 MG 703063-003 ADCO WORMEX 0.737 50 1.11 6 4.42 6.66776 Povidone-iodine oint 10% 707945-011 BETADINE 100MG/GM OINT 0.497 30 0.65 500g 248.5 325777 Povidone-iodine oint 10% 755834-011 PODINE OINT 0.322 50 0.48 500g 161 240778 Povidone-iodine oint 10% 821713-027 SEPTADINE ANTISEPT OINT 0.158 50 0.24 500g 79 120779 Povidone-iodine oint 10% 788716-093 DERMADINE OINT 0.804 50 1.21 25g 20.1 30.25780 Silver sulfadiazine cream 1% 836664-019 SILBECOR CREAM 0.538 50 0.81 50g 26.9 40.5781 Silver sulfadiazine cream 1% 836664-027 SILBECOR CREAM 0.538 50 0.81 250g 134.5 202.5782 Silver sulfadiazine cream 1% 836664-035 SILBECOR CREAM 0.538 50 0.81 500g 269 405787 Benzyl Benzoate Emulsion 25% 841080-003 APP BENZYL BENZ LOT 0.07 50 0.11 100ml 7 11788 Benzyl Benzoate Emulsion 25% 707716-004 APP BENZYL BENZ LOT 0.077 50 0.12 500ml 38.5 60793 Clotrimazole cream 1% 808857-002 CLOSCRIPT CREAM 0.309 50 0.46 20g 6.18 9.2796 Clotrimazole cream 1% 824011-007 CANEX TOPICAL CREAM 0.265 50 0.4 20g 5.3 8798 Clotrimazole Cream 1% 878421-009 CLOMADERM CREAM 0.227 50 0.34 20g 4.54 6.8799 Clotrimazole cream 1% 788554-018 CANDASPOR CREAM 0.336 50 0.5 20g 6.72 10801 Ketoconazole Cream 2% 890760-001 KETAZOL CREAM 1.167 50 1.75 20g 23.34 35804 KETOCONAZOLE SHAMPOO 2% 899101-007 ADCO DERMED 0.443 50 0.66 80ML 35.44 52.8806 Nystatin Cream 100000 U/GM 784966-001 CANSTAT CREAM 2.023 50 3.03 15g 30.35 45.45811 Betamethasone Valerate Cream 0.1% 701138-003 VARI-BETAMETHASONE CR 0.352 50 0.53 15g 5.28 7.95812 Betamethasone Valerate Cream 0.1% 833037-005 TOPIVATE 1MG/GM CREAM 0.324 50 0.49 15g 4.86 7.35813 Betamethasone Valerate Cream 0.1% 882934-011 REPIVATE CREAM 0.198 50 0.3 500g 99 150816 Betamethasone Valerate Cream 0.1% 800163-028 LENOVATE 0.1% CREAM 0.699 50 1.05 15g 10.49 15.75817 Betamethasone Valerate Cream 0.1% 800163-036 LENOVATE 0.1% CREAM 0.699 50 1.05 500g 349.5 525820 Betamethasone Valerate Oint 0.1% 754072-010 PERSIVATE OINT 1.067 50 1.6 500g 533.5 800821 Betamethasone Valerate Oint 0.1% 800171-012 LENOVATE 0.1% OINT 0.854 50 1.28 500g 427 640822 Clobetasol Propionate Cream 0.05% 868302-007 XENOVATE 1.764 50 2.65 25g 44.1 66.25823 Clobetasol Propionate Cream 0.05% 807249-009 DOVATE .5MG/GM CREAM 1.274 50 1.91 25g 31.85 47.75824 Clobetasol Propionate Oint 0.05% 807230-006 DOVATE .5MG/GM OINT 1.274 50 1.91 25g 31.85 47.75826 Fluocinolone Acetonide Cream 0.025% 716278-014 CORTODERM CREAM 0.485 50 0.73 500g 242.5 365828 Hydrocortisone acetate cream 0.5% 720011-019 DILUCORT CREAM 0.822 50 1.23 25g 20.55 30.75829 Hydrocortisone cream 0.5% 764353-004 SKINCALM CREAM 1.143 30 1.49 25g 28.58 37.25831 Hydrocortisone Acetate Cream 1% 807834-017 BIOCORT CREAM 0.514 50 0.77 500g 257 385835 Betamethasone Valerate Cream 0.05% 708321-003 BETNOVATE HALF STR CRE 1 50 1.5 15g 15 22.5836 Betamethasone Valerate Cream 0.05% 708321-011 BETNOVATE HALF STR CRE 1.001 50 1.5 45g 45.05 67.5840 Ethinyl estradiol-cyproterone acet tab 0 825859-018 DIANE-35 TAB 3.628 30 4.72 28 101.58 132.16852 Chloramphenicol Ophth Oint 1% 713759-003 CHLORCOL EYE OINT 4.793 50 7.19 1 4.79 7.19854 Chloramphenicol Ophth Oint 1% 817201-009 CHLORPHEN 1% 3.5G EYE OIN 3.592 30 4.67 1 3.59 4.67857 Ofloxacin ophth soln 0.3% 839957-009 EXOCIN EYE DROPS 50.03 30 65.04 1 50.03 65.04858 Ofloxacin ophth soln 0.3% 702935-018 OCTIN OPTH DROPS 38.933 50 58.4 1 38.93 58.4859 Atropine Sulfate Ophth Soln 1% 705632-008 ATROPINE 1% 5ML EYE DRP 21.933 30 28.51 1 21.93 28.51860 Timolol Maleate Ophth Soln 0.5% 770841-007 TIMOPTOL 0.5% 5ML DRP 78.163 30 101.61 1 78.16 101.61861 Cromolyn Sodium Ophth Soln 2% 700864-001 CROMABAK 10ML 53.215 30 69.18 1 53.22 69.18862 Cromolyn Sodium Ophth Soln 2% 804630-003 VIVIDRIN EYE 10ML EYE DRP 30.163 30 39.21 1 30.16 39.21863 Tetrahydrozoline-Antazoline Opth Soln 0. 728608-006 GEMINI EYE 15ML 24.467 30 31.81 1 24.47 31.81864 Tetrahydrozoline-Antazoline Opth Soln 0. 827150-008 OCULERGE 20ML EYE DROPS 18.015 30 23.42 1 18.01 23.42865 Tetrahydrozoline-Antazoline Opth Soln 0. 765856-018 SPERSALLERG DROPS 27.17 30 35.32 1 27.17 35.32869 Amiloride & Hydrochlorothiazide Tab 5-50 702803-014 AMILORETIC TAB 0.209 50 0.31 100 20.9 31870 AMILORIDE & HYDROCHLOROTHIAZIDE TAB 5-50 780618-017 ADCO RETIC TAB 0.197 50 0.3 1000 197 300873 Hydrochlorothiazide Tab 25 MG 890470-007 HEXAZIDE 25MG TAB 0.272 50 0.41 100 27.2 41874 Indapamide Tab 2.5 MG 831026-006 SANDOZ INDAPAMIDE 2.5 TAB 0.441 30 0.57 30 13.23 17.1875 Indapamide Tab 2.5 MG 822825-007 HYDRO-LESS 2.5MG TAB 0.513 50 0.77 30 15.39 23.1877 Indapamide Tab 2.5 MG 833045-016 DAPTRIL 2.5MG TAB 0.335 50 0.5 600 201 300878 Indapamide Tab 2.5 MG 819417-017 DAPAMAX 2.5MG TAB 0.463 50 0.69 600 277.8 414879 Indapamide Tab 2.5 MG 703329-001 MERCK-INDAPAMIDE 2.5 TAB 0.344 50 0.52 30 10.32 15.6882 Spironolactone Tab 25 MG 769665-004 SANDOZ SPIRONOLACTONE 25MG 0.782 50 1.17 30 23.46 35.1884 Spironolactone Tab 25 MG 769665-012 SANDOZ SPIRONOLACTONE 25MG 0.79 50 1.19 200 158 238886 Triamterene & Hydrochlorothiazide Tab 50 780146-026 RENEZIDE TAB 0.702 50 1.05 250 175.5 262.5888 Sod Bicarb-Sod Citrate-Citric Acid-Tart 816256-004 ALKAFIZZ GRAN 0.288 50 0.43 120 34.56 51.6889 SOD BICARB-SOD CITRATE-CITRIC ACID-TART 820059-005 ADCO SODASOL GRAN 0.214 50 0.32 60 12.84 19.2892 Sod Bicarb-Sod Citrate-Citric Acid-Tart 855227-028 QUATRO-SODA GRAN 0.189 50 0.28 120 22.68 33.6894 Clotrimazole Vaginal Cream 1% 831913-002 CANEX VAG CREAM 0.198 50 0.3 50g 9.9 15895 Clotrimazole Vaginal Cream 1% 831875-003 CANALBA VCR 0.318 50 0.48 50g 15.9 24897 Clotrimazole Vaginal Cream 1% 831921-005 CLOSCRIPT VAGINAL CREAM 0.271 50 0.41 50g 13.55 20.5898 Clotrimazole Vaginal Cream 1% 832499-005 XERASPOR-V CREAM 0.274 50 0.41 50g 13.7 20.5899 Clotrimazole Vaginal Cream 1% 832421-006 NORMOSPOR VCR 10MG/GM 0.344 50 0.52 50g 17.2 26902 Clotrimazole Vaginal Cream 1% 832405-019 MICOMISAN VAG CREAM 0.313 50 0.47 50g 15.65 23.5904 AMOXICILLIN & K CLAVULANATE TAB 875-125 703229-001 ADCO AMOCLAV BD 1000MG 9.061 50 13.59 10 90.61 135.9905 Amoxicillin & k clavulanate tab 875-125 853542-007 AUGMENTIN 1000MG BD 9.872 30 12.83 10 98.72 128.3906 Amoxicillin & K Clavulanate Tab 875-125 704049-001 CURAM 1000GM BD TAB 7.147 50 10.72 10 71.47 107.2907 Amoxicillin & K Clavulanate Tab 875-125 704484-001 AMOCLAN BID 1000MG TAB 8.342 50 12.51 10 83.42 125.1908 Amoxicillin & K Clavulanate For Susp 400 705471-002 SANDOZ CO-AMOCLAV BD 0.744 50 1.12 70ml 52.08 78.4909 Amoxicillin & K Clavulanate For Susp 400 705832-001 CURAM BD SUSP 0.775 50 1.16 35ml 27.12 40.6910 Amoxicillin & K Clavulanate For Susp 125 842524-002 CLAMENTIN S 0.258 30 0.34 100ml 25.8 34911 Amoxicillin & K Clavulanate For Susp 125 865540-004 BIO-AMOKSILAV 0.238 50 0.36 100ml 23.8 36912 Amoxicillin & K Clavulanate For Susp 125 861952-006 AUGMAXCIL S 0.234 30 0.3 100ml 23.4 30913 AMOXICILLIN & K CLAVULANATE FOR SUSP 125 899097-006 ADCO AMOCLAV S 0.245 50 0.37 100ML 24.5 37915 Amoxicillin & k clavulanate for susp 250 878782-001 SANDOZ AMOCLAV SF 0.359 50 0.54 100ml 35.9 54916 Amoxicillin & k clavulanate for susp 250 894125-001 RANCLAV FORTE SUSPENSION 0.402 50 0.6 100ml 40.2 60917 Amoxicillin & k clavulanate for susp 250 865559-007 BIO-AMOKSIKLAV 0.415 50 0.62 100ml 41.5 62920 Amoxicillin & k clavulanate tab 250-125 705691-004 AUGMENTIN 375MG TAB 10.359 30 13.47 15 155.39 202.05921 Amoxicillin & K Clavulanate Tab 250-125 867373-008 RANCLAV 375MG 2.274 50 3.41 15 34.11 51.15928 Amoxicillin & K Clavulanate Tab 500-125 867381-019 RANCLAV 625MG 3.4 50 5.1 15 51 76.5936 Amoxicillin (Trihydrate) Cap 250 MG 815268-017 IPCAMOX 250MG CAP 0.099 50 0.15 500 49.5 75939 Amoxicillin (Trihydrate) Cap 250 MG 788155-024 BETAMOX 250MG CAP 0.23 50 0.35 500 115 175941 AMOXICILLIN (TRIHYDRATE) CAP 250 MG 785229-035 ADCO AMOX 250MG CAP 0.345 30 0.45 15 5.17 6.75950 Amoxicillin (Trihydrate) Cap 500 MG 744697-026 MOXYPEN 500MG CAP 0.627 50 0.94 100 62.7 94959 Amoxicillin (Trihydrate) For Susp 125 MG 830739-009 ZOXIL S 125MG/5ML SUS 0.075 50 0.11 100ml 7.5 11960 AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG 829099-018 ADCO AMOX 125MG SUSP 0.07 50 0.11 100ML 7 11961 Amoxicillin (Trihydrate) For Susp 250 MG 830747-001 ZOXIL SF 250MG/5ML SUS 0.1 50 0.15 100ml 10 15969 Amoxicillin-Floxacillin For Susp 125-125 830208-003 MACROPEN SUSP 0.262 50 0.39 100ml 26.2 39979 Ampicillin-cloxacillin cap 250-250 mg 797553-010 APEN 500MG CAP 1.005 50 1.51 100 100.5 151981 Ampicillin-Cloxacillin For Susp 125-125 829250-018 APEN 250MG SUSP 0.217 50 0.33 100ml 21.7 33984 Penicillin V Potassium Tab 250 MG 780081-013 BETAPEN 250MG TAB 0.181 30 0.24 1000 181 240991 Ceftriaxone sodium for inj 250 mg 893119-005 OFRAMAX 250MG VIAL 8.4 50 12.6 1 8.4 12.6992 Ceftriaxone sodium for inj 500 mg 703463-003 SABAX CEFTRIAXONE POWDER 13.956 50 20.93 1 13.96 20.93993 Ceftriaxone Sodium For Inj 500 MG 705355-001 TRIAXIPHIN 500MG INJ 21.437 50 32.16 1 21.44 32.16994 Ceftriaxone sodium for inj 500 mg 705869-001 ARROW CEFTRIAXONE SODIUM 14.304 50 21.46 1 14.3 21.46995 Ceftriaxone sodium for inj 1 gm 703474-002 SABAX CEFTRIAXONE POWDER 9.815 50 14.72 1 9.81 14.72996 Ceftriaxone sodium for inj 1 gm 883365-006 PHARMACARE CEFTRIAXONE 1G 27.474 50 41.21 1 27.47 41.211001 Ceftriaxone sodium for inj 2 gm 703466-006 SABAX CEFTRIAXONE POWDER 31.215 50 46.82 1 31.22 46.821002 Cefuroxime Axetil Tab 250 MG 700689-001 CEROXIM 250MG 7.788 50 11.68 10 77.88 116.81003 Cefuroxime Axetil Tab 250 MG 703697-001 ZEFROXE 250MG TAB 7.744 50 11.62 10 77.44 116.21006 Cefuroxime Axetil Tab 500 MG 703868-001 SANDOZ CEFUROXIME 500MG TAB 11.826 50 17.74 10 118.26 177.41007 Cefuroxime Axetil Tab 500 MG 703695-001 ZEFROXE 500MG TAB 13.934 50 20.9 10 139.34 209




Administered by

1008 Cefuroxime Axetil Tab 500 MG 704983-001 CEFASYN 500MG TAB 10.924 50 16.39 10 109.24 163.91010 Cephalexin Cap 250 MG 830909-001 RANCEPH 250MG CAP 0.412 50 0.62 20 8.24 12.41013 Cephalexin Tab 250 MG 706326-001 BELEX 250MG TAB 0.408 50 0.61 500 204 3051014 Cephalexin Cap 500 MG 897887-006 CPL ALNCE CEPHALEXIN 500 0.816 50 1.22 100 81.6 1221016 Cephalexin Cap 500 MG 706327-001 BELEX 500MG CAP 0.84 50 1.26 100 84 1261017 Cefpodoxime Proxetil For Susp 40 MG/5ML 703058-002 CEPODEM SUSP 1.01 50 1.52 100ml 101 1521018 Cefpodoxime Proxetil For Susp 40 MG/5ML 805165-010 ORELOX JUNIOR SUSP 1.419 30 1.84 100ml 141.9 1841020 Cefpodoxime proxetil tab 100 mg 789224-003 ORELOX 100MG TAB 12.839 30 16.69 10 128.39 166.91022 Fluconazole Cap 50 MG 700131-001 FLUCORIC 50MG CAP 5.664 50 8.5 14 79.3 1191023 Fluconazole Cap 50 MG 703634-001 DIFLUZOLE 50MG 5.664 50 8.5 14 79.3 1191026 FLUCONAZOLE CAP 150 MG 700598-001 FLUZOL 150MG 25.615 50 38.42 1 25.61 38.421032 Fluconazole cap 200 mg 700202-001 FLUCORIC 200MG CAP 9.517 50 14.28 28 266.48 399.841033 FLUCONAZOLE CAP 200 MG 700601-001 FLUZOL 200MG 10.514 50 15.77 30 315.42 473.11036 Fluconazole Cap 200 MG 705385-001 MERCK-FLUCONAZOLE 200MG 10.237 50 15.36 28 286.64 430.081039 Ketoconazole tab 200 mg 747335-028 NIZORAL 200MG TAB 21.717 30 28.23 30 651.51 846.91040 Ketoconazole Tab 200 MG 875368-034 KETAZOL 200MG TAB 8.261 50 12.39 30 247.83 371.71041 Nystatin Susp 100000 U/ML 701100-002 CANDACIDE SUSP 30ML 1.034 50 1.55 30ml 31.02 46.51042 Nystatin Susp 100000 U/ML 835285-006 NYSTACID ORAL 100000 SUS 1.035 30 1.35 20ml 20.7 271045 Terbinafine hcl tab 250 mg 792713-001 LAMISIL 250MG TAB 34.187 30 44.44 14 478.62 622.161046 Terbinafine hcl tab 250 mg 705430-001 TERBICIL 250MG TAB 18.156 50 27.23 14 254.18 381.221049 ITRACONAZOLE CAP 100 MG 705371-001 ADCO SPOROZOLE 100MG 19.467 50 29.2 4 77.87 116.81053 Chloroquine sulfate cap 200 mg 794333-001 PLASMOQUINE 200MG CAP 1.507 50 2.26 20 30.14 45.21054 Chloroquine sulfate cap 200 mg 794333-036 PLASMOQUINE 200MG CAP 1.507 50 2.26 500 753.5 11301056 Metronidazole Tab 200 MG 779342-003 SANDOZ METRONIDAZOLE 200 0.107 50 0.16 21 2.25 3.361058 METRONIDAZOLE TAB 200 MG 742872-009 ADCO METRONIDAZOLE 200MG 0.112 50 0.17 250 28 42.51060 Metronidazole Tab 200 MG 821705-016 BE-METRAZOLE 200MG TAB 0.086 50 0.13 500 43 651061 Metronidazole Tab 200 MG 784710-023 MEDAMET 200MG TAB 0.084 50 0.13 1000 84 1301062 Metronidazole Tab 200 MG 793159-059 METAZOL 200MG 0.071 50 0.11 1000 71 1101063 METRONIDAZOLE TAB 400 MG 701076-003 ADCO METRONIDAZOLE 400MG 0.284 50 0.43 100 28.4 431066 Metronidazole Tab 400 MG 792136-013 SUPRAZOLE 400MG TAB 0.104 50 0.16 1000 104 1601068 Metronidazole Tab 400 MG 788708-023 BE-METRAZOLE 400MG TAB 0.119 50 0.18 500 59.5 901069 Metronidazole Tab 400 MG 783544-111 METROSTAT 400MG TAB 0.159 50 0.24 500 79.5 1201071 Mefloquine HCl Tab 250 MG 797677-011 LARIAM 250MG TAB 13.334 30 17.33 50 666.7 866.51072 Acyclovir Cream 5% 873551-001 ACITOP 5% CREAM 7.46 50 11.19 2g 14.92 22.381073 Acyclovir Cream 5% 701035-003 LOVIRE CREAM 7.13 50 10.7 2g 14.26 21.41075 ACYCLOVIR CREAM 5% 824674-014 ADCO ACYCLOVIR 50 CREAM 6.962 50 10.44 10G 69.62 104.41078 Acyclovir Tab 200 MG 824313-003 CYCLIVEX 200MG TAB 1.808 50 2.71 25 45.2 67.751079 Acyclovir Tab 200 MG 884972-005 VYROHEXAL 200MG TAB 1.6 50 2.4 25 40 601081 Acyclovir Tab 400 MG 704779-001 ACITAB-400 DT 2.992 30 3.89 60 179.52 233.41082 Pyrilamine Maleate Cream 2% 897334-011 ALSAN 2% CREAM 0.462 50 0.69 25g 11.55 17.251083 Pyrilamine Maleate Cream 2% 800511-018 MEPYRIMAL 2% CREAM 0.28 50 0.42 25g 7 10.51085 ERYTHROMYCIN ESTOLATE CAP 250 MG 780561-015 ADCO ERYTHROMYCIN 250 CAP 0.612 50 0.92 250 153 2301086 Erythromycin Estolate Cap 250 MG 765651-017 SPECTRASONE 250MG CAP 0.55 50 0.83 100 55 831087 Erythromycin Estolate Cap 250 MG 765651-025 SPECTRASONE 250MG CAP 0.55 50 0.83 500 275 4151088 ERYTHROMYCIN ESTOLATE CAP 250 MG 780561-031 ADCO ERYTHROMYCIN 250 CAP 0.612 50 0.92 20 12.24 18.41089 Erythromycin Estolate For Susp 125 MG/5M 798029-005 DYNA-ERYTHROMYCIN 125 SUS 0.138 30 0.18 100ml 13.8 181091 ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 786608-005 ADCO ERYTHROMYCIN 125 SUS 0.144 30 0.19 100ML 14.4 191092 Erythromycin Estolate Susp 125 MG/5ML 758396-007 PURMYCIN 125MG/5ML SUSP 0.113 50 0.17 100ml 11.3 171093 Erythromycin Estolate Susp 250 MG/5ML 787086-002 ERYMYCIN PF 250MG SUSP 0.281 30 0.37 100ml 28.1 371094 Erythromycin Estolate Susp 250 MG/5ML 783277-008 SPECTRASONE 250MG SUS 0.181 50 0.27 100ml 18.1 271095 Erythromycin Estolate Susp 250 MG/5ML 758418-019 PURMYCIN 250MG/5ML SUSP 0.281 30 0.37 100ml 28.1 371099 Roxithromycin Tab 150 MG 704614-001 THROSYN 150MG TAB 5.795 50 8.69 10 57.95 86.91100 Clarithromycin tab 500 mg 704464-001 KLARITHRAN 500MG TAB 5.256 50 7.88 14 73.58 110.321102 Clarithromycin Tab 500 MG 705031-001 CLARIHEXAL 500MG TAB 5.736 50 8.6 10 57.36 861105 Clarithromycin For Susp 125 MG/5ML 704649-001 KLARITHRAN 125MG/5ML SUS 0.885 50 1.33 60ml 53.1 79.81106 Clarithromycin For Susp 125 MG/5ML 830046-003 KLACID 125MG/5ML SUSP 1.581 30 2.06 50ml 79.05 1031107 Clarithromycin For Susp 250 MG/5ML 704650-001 KLARITHRAN 250MG/5ML SUS 1.628 50 2.44 60ml 97.68 146.41108 Clarithromycin For Susp 250 MG/5ML 830054-006 KLACID 250MG/5ML SUSP 2.739 30 3.56 50ml 136.95 1781110 AZITHROMYCIN TAB 500 MG 832278-009 ZITHROMAX 500MG TAB 37.81 30 49.15 3 113.43 147.451112 Doxycycline Hyclate Cap 50 MG 808407-007 DOXYCYL 50MG CAP 1.508 30 1.96 30 45.24 58.81113 Doxycycline Hyclate Cap DR Particles 50 812684-028 CYCLIDOX EC 50MG CAP 1.246 50 1.87 100 124.6 1871114 Doxycycline Hyclate Cap 100 MG 893402-006 A-LENNON DOXYCYCLINE HCL 0.327 50 0.49 1000 327 4901115 Doxycycline Hyclate Cap 100 MG 716944-014 CYCLIDOX 100MG CAP 0.304 50 0.46 30 9.12 13.81116 Doxycycline Hyclate Cap 100 MG 716944-030 CYCLIDOX 100MG CAP 0.296 50 0.44 1000 296 4401118 Doxycycline Hyclate Tab 100 MG 838691-005 DOXITAB 0.731 50 1.1 100 73.1 1101119 Doxycycline Monohydrate Tab 100 MG 883992-002 DOXIMAL 1.232 30 1.6 42 51.74 67.21120 Minocycline HCl Cap 50 MG 788287-001 CYCLIMYCIN 50MG CAP 2.244 30 2.92 60 134.64 175.21123 Minocycline HCl Cap 100 MG 788295-012 CYCLIMYCIN 100MG CAP 6.57 30 8.54 100 657 8541124 Oxytetracycline HCl Cap 250 MG 884167-003 NUCOTET 0.099 50 0.15 1000 99 1501126 Oxytetracycline HCl Cap 250 MG 895029-006 OXY 250MG CAP 0.131 30 0.17 20 2.62 3.41128 Oxytetracycline HCl Cap 250 MG 895029-022 OXY 0.13 50 0.2 1000 130 2001129 Chloramphenicol Cap 250 MG 814385-001 CHLORPHEN 250MG CAP 0.244 50 0.37 1000 244 3701130 Chloramphenicol Cap 250 MG 714135-119 CHLORCOL 250MG CAP 0.395 30 0.51 1000 395 5101133 Sulfamethoxazole-Trimethoprim Susp 200-4 705259-002 ILVITRIM SUSP 0.06 50 0.09 100ml 6 91134 Trimethoprim-Sulfamethoxazole Susp 40-20 703865-001 CASICOT SUSPENSION 0.058 30 0.08 50ml 2.9 41135 Sulfamethoxazole-Trimethoprim Susp 40-20 779881-001 CO-TRIM SUSP 0.048 50 0.07 50ml 2.4 3.51139 Trimethoprim-Sulfamethoxazole Susp 40-20 816337-004 XERAZOLE SUSP 0.057 50 0.09 50ml 2.85 4.51142 Sulfamethoxazole-Trimethoprim Susp 40-20 795070-012 BENCOLE SUSP 0.059 30 0.08 100ml 5.9 81143 Sulfamethoxazole-Trimethoprim Susp 40-20 816337-012 XERAZOLE SUSP 0.057 50 0.09 100ml 5.7 91144 Sulfamethoxazole-Trimethoprim Susp 40-20 793310-016 COZOLE SUSP 0.052 50 0.08 100ml 5.2 81147 Sulfamethoxazole-Trimethoprim Tab800-160 758256-028 PURBAC DS TAB 0.72 50 1.08 30 21.6 32.41151 Sulfamethoxazole-Trimethoprim Tab800-160 758256-027 PURBAC DS TAB 0.72 50 1.08 250 180 2701156 Sulfamethoxazole-Trimethoprim Tab 400-80 758248-016 PURBAC TAB 0.223 50 0.33 500 111.5 1651157 Sulfamethoxazole-Trimethoprim Tab 400-80 773603-018 SANDOZ CO-TRIMOXAZOL 480 0.152 50 0.23 20 3.04 4.61158 Sulfamethoxazole-Trimethoprim Tab 400-80 735698-023 LAGATRIM TAB 0.126 50 0.19 1000 126 1901159 SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 780464-028 ADCO CO-TRIMOXAZOLE 0.182 50 0.27 500 91 1351160 Sulfamethoxazole-Trimethoprim Tab 400-80 716731-029 COZOLE TAB 0.129 50 0.19 500 64.5 951163 Ciprofloxacin hcl tab 250 mg (base equiv 702377-001 CIPLOXX 250 1.024 50 1.54 10 10.24 15.41166 Ciprofloxacin hcl tab 250 mg (base equiv 892140-005 CIFRAN 250 1.033 50 1.55 10 10.33 15.51168 Ciprofloxacin hcl tab 250 mg (base equiv 893951-013 CIFLOC 250MG TAB 1.014 50 1.52 10 10.14 15.21170 Ciprofloxacin hcl tab 250 mg (base equiv 704777-001 CIPROL 250MG TAB 0.936 50 1.4 10 9.36 141175 Ciprofloxacin HCl Tab 500 MG (Base Equiv 703045-002 CIPROGEN 500MG TAB 1.257 50 1.89 100 125.7 1891177 CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV 893242-004 ADCO CIPRIN 500MG 1.494 50 2.24 10 14.94 22.41178 Ciprofloxacin hcl tab 500 mg (base equiv 892147-005 CIFRAN 500 0.883 50 1.32 10 8.83 13.21186 Norfloxacin Tab 400 MG 836338-006 UTIN-400 5.464 30 7.1 6 32.78 42.61187 Ofloxacin Tab 200 MG 700731-009 TAFLOC 200MG 8.214 50 12.32 10 82.14 123.21189 Clindamycin hcl cap 150 mg 849960-002 CLINDAHEXAL 150MG 2.491 50 3.74 20 49.82 74.81190 Clindamycin hcl cap 150 mg 849960-010 CLINDAHEXAL 150MG 2.491 50 3.74 100 249.1 3741191 Gliclazide Tab 80 MG 700639-003 MERCK-GLICLAZIDE 80MG 0.652 50 0.98 60 39.12 58.81197 Metformin HCl Tab 500 MG 815225-008 SANDOZ METFORMIN 500 FC 0.265 30 0.34 100 26.5 341198 Metformin HCl Tab 500 MG 729159-027 GLUCOPHAGE 500MG TAB 0.401 30 0.52 500 200.5 2601203 Metformin HCl Tab 850 MG 815233-019 SANDOZ METFORMIN 850 FC 0.496 30 0.64 60 29.76 38.41206 Glyburide Tab 5 MG 781258-006 SANDOZ GLIBENCLAMIDE 5 0.172 50 0.26 30 5.16 7.81207 Glyburide Tab 5 MG 894502-007 DIACARE TAB 0.188 50 0.28 1000 188 2801210 Glyburide Tab 5 MG 781258-022 SANDOZ GLIBENCLAMIDE 5 0.172 50 0.26 500 86 1301211 Glimepiride tab 1 mg 831557-001 AMARYL 1MG TAB 2.296 30 2.98 30 68.88 89.41212 Glimepiride tab 1 mg 704673-001 SANDOZ GLIMEPIRIDE 1MG TAB 1.238 50 1.86 30 37.14 55.81214 Glimepiride tab 2 mg 831565-004 AMARYL 2MG TAB 4.363 30 5.67 30 130.89 170.11216 Glimepiride tab 4 mg 704364-001 GLAMARYL 4MG TAB 6.05 50 9.08 30 181.5 272.4




Administered by

1217 Glimepiride tab 4 mg 831573-007 AMARYL 4MG TAB 8.066 30 10.49 30 241.98 314.71219 Betamethasone Syrup 0.6 MG/5ML 826936-008 BETANOID 0.6MG/5ML SYR 0.35 50 0.53 100ml 35 531221 Prednisolone Syrup 15 MG/5ML 700170-001 PREFLAM 1.274 50 1.91 50ml 63.7 95.51222 Prednisolone Syrup 15 MG/5ML 805149-023 PRELONE 15MG/5ML SYR 1.282 30 1.67 50ml 64.1 83.51224 Medroxyprogesterone Acetate Tab 5 MG 757934-013 PROVERA 5MG TAB 2.521 30 3.28 100 252.1 3281231 Danazol Cap 200 MG 893943-002 DANOGEN 200MG CAP 3.441 50 5.16 60 206.46 309.61232 Flutamide Tab 250 MG 701786-002 FLUTAHEXAL 250MG 5.341 50 8.01 105 560.81 841.051233 Flutamide Tab 250 MG 724947-019 EULEXIN 250MG TAB 11.237 30 14.61 100 1123.7 14611235 Tamsulosin hcl cap cr 0.4 mg 840599-005 FLOMAX 0.4MG SR 6.692 30 8.7 30 200.76 2611241 Potassium Chloride Tab CR 8 mEq 702947-001 SANDOZ K-600 0.731 50 1.1 30 21.93 331242 Potassium Chloride Tab CR 8 mEq 702947-002 SANDOZ K-600 0.731 50 1.1 500 365.5 5501251 MAGNESIUM CHLORIDE TAB CR 535 MG (64 MG 764418-025 SLOW MAG 535MG TAB 1.018 50 1.53 100 101.8 1531257 Azathioprine Tab 50 MG 706108-019 AZAPRESS 50MG TAB 4.769 50 7.15 100 476.9 7151258 Methyldopa Tab 250 MG 732052-017 HY-PO-TONE 250MG TAB 0.606 50 0.91 500 303 4551259 Methyldopa Tab 250 MG 785962-026 MERCK-METHYLDOPA 250 TAB 0.535 50 0.8 500 267.5 4001260 Methyldopa Tab 250 MG 764116-037 SANDOZ METHYLDOPA 250MG 0.457 50 0.69 90 41.13 62.11262 Methylphenidate hcl tab 10 mg 702505-001 METHYLPHENIDATE HCL-DOUGLAS 2.277 50 3.42 30 68.31 102.61263 Methylphenidate hcl tab 10 mg 761044-019 RITALIN 10 MG TAB 4.561 30 5.93 30 136.83 177.91265 Flunitrazepam Tab 1 MG 845620-002 ROHYPNOL 1MG TAB 3.16 30 4.11 30 94.8 123.31267 Flunitrazepam Tab 1 MG 704774-001 HYPNOR 1MG TAB 0.923 50 1.38 30 27.69 41.41268 Lormetazepam cap 1 mg 739294-008 LORAMET 1MG CAP 5.518 30 7.17 30 165.54 215.11269 Lormetazepam tab 1 mg 747394-008 NOCTAMID 1MG TAB 3.99 50 5.99 30 119.7 179.71270 Nitrazepam tab 5 mg 704482-002 AREM 5MG TAB 0.422 50 0.63 30 12.66 18.91271 Nitrazepam tab 5 mg 765198-002 SANDOZ NITRAZEPAM 5 0.422 50 0.63 30 12.66 18.91272 Nitrazepam tab 5 mg 744395-003 MOGADON 5MG TAB 3.287 30 4.27 30 98.61 128.11273 Nitrazepam tab 5 mg 704482-010 AREM 5MG TAB 0.422 50 0.63 250 105.5 157.51274 Zolpidem tartrate tab 10 mg 703912-001 NOXIDEM 10MG TAB 2.011 50 3.02 30 60.33 90.61275 Zolpidem tartrate tab 10 mg 701980-001 ZOLPIHEXAL 10MG TAB 2.119 50 3.18 30 63.57 95.41276 ZOLPIDEM TARTRATE TAB 10 MG 703809-001 ADCO ZOLPIDEM 10MG 2.243 50 3.36 30 67.29 100.81277 Zolpidem tartrate tab 10 mg 837180-007 STILNOX 10MG TAB 5.124 30 6.66 30 153.72 199.81278 Zolpidem tartrate tab 10 mg 703986-001 ZOLNOXS 10MG TAB 2.17 50 3.26 30 65.1 97.81279 Zolpidem tartrate tab 10 mg 706737-001 MERCK-ZOLPIDEM 10MG TAB 2.093 50 3.14 30 62.79 94.21280 Zopiclone tab 7.5 mg 732494-001 IMOVANE 7.5MG TAB 6.397 30 8.32 30 191.91 249.61281 Zopiclone tab 7.5 mg 857785-001 SANDOZ ZOPICLONE TAB 0.955 50 1.43 30 28.65 42.91282 Zopiclone tab 7.5 mg 874728-002 ALCHERA 7.5MG TAB 0.981 50 1.47 30 29.43 44.11283 Zopiclone tab 7.5 mg 894220-002 Z-DORM TAB 0.998 50 1.5 30 29.94 451284 Zopiclone tab 7.5 mg 700722-003 ZOPIVANE 7.5MG 0.926 50 1.39 30 27.78 41.71285 Zopiclone tab 7.5 mg 867365-005 ZOPIMED 7.5MG TAB 1.12 50 1.68 30 33.6 50.41287 Zopiclone tab 7.5 mg 705115-001 ZOPIGEN 7.5MG TAB 0.941 50 1.41 30 28.23 42.31288 Alprazolam tab 0.25 mg 897929-001 CPL ALNCE ALPRAZOLAM 0.25 0.165 50 0.25 100 16.5 251289 Alprazolam tab 0.25 mg 778702-006 XANOR 0.25MG TAB 0.972 30 1.26 30 29.16 37.81290 Alprazolam tab 0.25 mg 823244-008 AZOR 0.25MG TAB 0.456 50 0.68 100 45.6 681291 ALPRAZOLAM TAB 0.25 MG 821071-009 ADCO ALZAM 0.25MG TAB 0.456 50 0.68 30 13.68 20.41292 Alprazolam tab 0.25 mg 826685-013 ZOPAX 0.25MG TAB 0.45 50 0.68 100 45 681293 Alprazolam tab 0.25 mg 778702-014 XANOR 0.25MG TAB 0.972 30 1.26 100 97.2 1261294 ALPRAZOLAM TAB 0.25 MG 821071-017 ADCO ALZAM 0.25MG TAB 0.456 50 0.68 100 45.6 681295 Alprazolam tab 0.5 mg 897930-002 CPL ALNCE ALPRAZOLAM 0.5M 0.28 50 0.42 100 28 421297 Alprazolam tab 0.5 mg 778710-017 XANOR 0.5MG TAB 1.672 30 2.17 100 167.2 2171298 Alprazolam tab 1 mg 778729-001 XANOR 1MG TAB 3.185 30 4.14 30 95.55 124.21299 Alprazolam tab 1 mg 823260-003 AZOR 1MG TAB 1.181 50 1.77 100 118.1 1771300 Alprazolam tab 1 mg 826707-017 ZOPAX 1MG TAB 1.165 50 1.75 100 116.5 1751301 Alprazolam tab 2 mg 811696-006 XANOR 2MG TAB 6.072 50 9.11 30 182.16 273.31302 Bromazepam tab 3 mg 710784-007 SANDOZ BROMAZEPAM 3MG 0.361 50 0.54 30 10.83 16.21303 Bromazepam tab 3 mg 796999-007 BRAZEPAM 3MG TAB 0.455 50 0.68 30 13.65 20.41304 Bromazepam tab 6 mg 737941-006 LEXOTAN 6MG TAB 3.47 30 4.51 30 104.1 135.31305 Bromazepam tab 6 mg 800066-006 BRAZEPAM 6MG TAB 0.63 50 0.95 30 18.9 28.51306 Bromazepam tab 6 mg 710792-018 SANDOZ-BROMAZEPAM 6MG 0.581 50 0.87 30 17.43 26.11308 DIAZEPAM TAB 5 MG 774472-006 VALIUM 5MG TAB 2.585 30 3.36 90 232.65 302.41310 Diazepam tab 10 mg 753181-002 PAX 10MG TAB 0.495 50 0.74 30 14.85 22.21311 Lorazepam Tab 1 MG 771759-002 TRANQIPAM 1MG TAB 0.826 50 1.24 100 82.6 1241312 Oxazepam tab 10 mg 763500-003 SEREPAX 10MG TAB 1.028 30 1.34 100 102.8 1341314 Oxazepam tab 15 mg 758191-006 PURATA 15MG TAB 0.233 50 0.35 100 23.3 351317 Oxazepam tab 30 mg 763527-009 SEREPAX 30MG TAB 2.327 30 3.03 100 232.7 3031319 Diazepam Inj 5 MG/ML 703598-001 MICRO DIAZEPAM 10MG/2ML 3.172 50 4.76 10 31.72 47.61320 DIAZEPAM INJ 5 MG/ML 774510-005 VALIUM 10MG/2ML INJ 18.883 30 24.55 5 94.41 122.751321 Diazepam Inj 5 MG/ML 815241-003 TRANJECT 2ML INJ 2.95 50 4.43 10 29.5 44.31322 Amitriptyline hcl tab 25 mg 771996-004 TREPILINE 25MG TAB 0.637 50 0.96 100 63.7 961323 Amitriptyline hcl tab 25 mg 784230-005 SANDOZ AMITRIPTYLINE 25 0.377 50 0.57 100 37.7 571324 Clomipramine hcl tab 10 mg 703419-006 ANAFRANIL 10MG TAB 2.639 30 3.43 50 131.95 171.51325 Clomipramine hcl tab 25 mg 703381-001 CLOMIDEP 25MG 2.03 50 3.05 50 101.5 152.51326 Dothiepin hcl cap 25 mg 757888-003 PROTHIADEN 25MG CAP 1.547 30 2.01 100 154.7 2011328 Dothiepin hcl tab 75 mg 800201-019 THADEN 75MG TAB 2.976 50 4.46 28 83.33 124.881329 Imipramine hcl tab 25 mg 771139-004 TOFRANIL 25MG TAB 2.268 30 2.95 100 226.8 2951330 Imipramine hcl tab 25 mg 724688-110 ETHIPRAMINE 25MG TAB 0.356 50 0.53 1000 356 5301334 Citalopram hydrobromide tab 20 mg (base 810622-009 CIPRAMIL 20MG TAB 7.861 30 10.22 28 220.11 286.161335 Citalopram hydrobromide tab 20 mg (base 704328-001 DEPRAMIL 20MG TAB 1.797 50 2.7 30 53.91 811336 Citalopram Hydrobromide Tab 20 MG (Base 705417-001 MERCK-CITALOPRAM 20MG 1.399 50 2.1 30 41.97 631337 Citalopram hydrobromide tab 20 mg (base 707304-001 SIMAYLA CITALOPRAM 20MG T 1.808 50 2.71 28 50.62 75.881338 Fluoxetine hcl cap 20 mg 820016-004 LILLY-FLUOXETINE 20MG 3.182 50 4.77 28 89.1 133.561340 Fluoxetine hcl cap 20 mg 879282-010 PROHEXAL 20MG CAP 0.96 50 1.44 30 28.8 43.21341 Fluoxetine hcl cap 20 mg 840653-018 NUZAK 20MG CAP 0.997 50 1.5 30 29.91 451342 Fluoxetine hcl cap 20 mg 705064-001 ZYDUS FLUOXETINE 20MG 0.592 50 0.89 30 17.76 26.71343 Fluoxetine hcl tab 20 mg 700877-003 LORIEN 20MG TAB 1.829 50 2.74 30 54.87 82.21344 Fluoxetine hcl tab 20 mg 822981-017 PROZAC 20MG TAB 7.434 30 9.66 30 223.02 289.81345 Fluvoxamine maleate tab 100 mg 805203-028 LUVOX 100MG TAB 8.822 30 11.47 30 264.66 344.11346 Paroxetine hcl tab 20 mg 704794-001 PAXIL 20MG TAB 4.72 50 7.08 28 132.16 198.241347 Paroxetine hcl tab 20 mg 705186-001 PARAX 20MG TAB 3.396 50 5.09 30 101.88 152.71349 Venlafaxine hcl cap sr 24 hr 75 mg 706402-001 VENLOR XR 75MG SRC 5.09 50 7.64 30 152.7 229.21350 Venlafaxine hcl cap sr 24 hr 75 mg 852937-008 EFEXOR XR 75MG CAP 8.494 30 11.04 30 254.82 331.21353 Sulpiride cap 50 mg 722375-026 EGLONYL 50MG CAP 2.027 30 2.64 100 202.7 2641354 Haloperidol Tab 1.5 MG 730335-003 SANDOZ HALOPERIDOL 1.5MG 0.682 50 1.02 60 40.92 61.21355 Haloperidol Tab 1.5 MG 763446-009 SERENACE 1.5MG TAB 1.017 30 1.32 100 101.7 1321356 Clozapine tab 25 mg 736708-006 LEPONEX 25MG TAB 2.687 30 3.49 100 268.7 3491358 Sertraline hcl tab 50 mg 703132-001 SERLIFE 50MG TAB 1.789 50 2.68 30 53.67 80.41359 Sertraline hcl tab 50 mg 705420-001 SERDEP 50MG TAB 1.893 50 2.84 30 56.79 85.21360 Sertraline hcl tab 50 mg 707294-001 AUSTELL SERTRALINE TAB 50 2.843 50 4.26 30 85.29 127.81361 Sertraline hcl tab 100 mg 703999-001 SERLIFE 100MG TAB 3.577 30 4.65 30 107.31 139.51362 Lamotrigine tab 25 mg 704379-001 EPITEC 25MG TAB 0.975 50 1.46 60 58.5 87.61363 Lamotrigine tab 25 mg 704486-001 LAMITOR 25MG TAB 1.021 50 1.53 60 61.26 91.81364 Lamotrigine Tab 25 MG 706346-001 MERCK LAMOTRIGINE 25MG TAB 1.222 50 1.83 60 73.32 109.81365 Lamotrigine tab 50 mg 805513-019 LAMICTIN 50MG TAB 2.526 30 3.28 60 151.56 196.81366 Lamotrigine tab 50 mg 705440-001 ASPEN LAMOTRIGINE 50MG 2.135 50 3.2 60 128.1 1921367 Lamotrigine Tab 100 MG 706348-001 MERCK LAMOTRIGINE 100MG TAB 3.078 50 4.62 60 184.68 277.21368 Lamotrigine tab 200 mg 705249-001 SANDOZ LAMOTRIGINE 200MG 4.096 50 6.14 60 245.76 368.41369 Lamotrigine tab 200mg 704382-001 EPITEC 200MG TAB 3.802 50 5.7 60 228.12 3421372 Cyclizine hcl syrup 12.5 mg/5ml 820571-008 NAUZINE S 12.5MG/5 SYR 0.198 50 0.3 50ml 9.9 151373 Cyclizine hcl syrup 12.5 mg/5ml 774642-009 VALOID 2.5MG/ML SYR 0.474 30 0.62 50ml 23.7 311374 Cyclizine hcl tab 50 mg 774634-006 VALOID 50MG TAB 1.489 30 1.94 10 14.89 19.41375 CYCLIZINE HCL TAB 50 MG 808954-008 ADCO CYCLIZINE 50MG TAB 0.695 50 1.04 20 13.9 20.8




Administered by

1376 Cyclizine hcl tab 50 mg 792853-024 MEDAZINE-T 50MG 0.924 50 1.39 10 9.24 13.91377 Domperidone tab 10 mg 894498-007 VOMIDON TAB 2.899 50 4.35 10 28.99 43.51378 Domperidone tab 10 mg 744611-016 MOTILIUM 10MG TAB 5.322 30 6.92 100 532.2 6921379 Metoclopramide hcl syrup 5 mg/5ml 740500-007 MAXOLON 5MG/5ML SYR 0.342 30 0.44 100ml 34.2 441380 Metoclopramide HCl Tab 10 MG 740519-018 MAXOLON 10MG TAB 1.57 30 2.04 20 31.4 40.81381 Metoclopramide HCl Tab 10 MG 787817-023 BETACLOPRAMIDE 10MG TAB 0.091 50 0.14 500 45.5 701382 Metoclopramide HCl Tab 10 MG 783285-035 SETIN 10MG TAB 0.086 50 0.13 1000 86 1301383 Prochlorperazine maleate tab 5 mg 766542-009 STEMETIL 5MG TAB 2.07 30 2.69 25 51.75 67.251384 Prochlorperazine maleate tab 5 mg 744182-026 MITIL 5MG TAB 0.496 50 0.74 250 124 1851385 Ondansetron hcl tab 4 mg 704858-002 DANTRON 4MG TAB 22.694 50 34.04 5 113.47 170.21386 Ondansetron hcl tab 4 mg 705944-001 ZOFER 4MG TAB 12.395 50 18.59 10 123.95 185.91387 Ondansetron hcl tab 8 mg 706703-001 DANTRON 8MG TAB 33.05 50 49.58 15 495.75 743.71388 Clonidine hcl tab 0.025 mg 720704-006 DIXARIT 0.025MG TAB 2.311 30 3 100 231.1 3001389 Clonidine HCL 25 MCG/0.5ML oral drops 701789-001 EQUI-MIGRAINE DROPS 15ML 1.578 50 2.37 15 23.67 35.551390 Clonidine HCL 25 MCG/0.5ML oral drops 707453-001 MENOGRAINE 0.025MG/0.5ML 5.924 50 8.89 5 29.62 44.451391 Tramadol hcl cap 50 mg 797146-008 TRAMAL 50MG CAP 3.439 30 4.47 20 68.78 89.41393 Tramadol hcl cap 50 mg 705379-001 DOLOTRAM 50MG CAP 0.985 50 1.48 100 98.5 1481394 Tramadol hcl tab 50 mg 706557-001 TRAMGESIC FLASHTABS 50MG TAB 1.869 50 2.8 30 56.07 841395 Tramadol HCl Tab CR 100 MG 705810-001 TRAMAHEXAL SR 100MG SRT 3.618 50 5.43 60 217.08 325.81396 Tramadol HCl Tab CR 150 MG 891983-007 TRAMAL SR 150MG TAB 7.002 30 9.1 60 420.12 5461397 Tramadol HCl Inj 50 MG/ML 704044-001 DOLOTRAM 100MG/2ML 8.187 50 12.28 5 40.94 61.41398 Tramadol HCl Inj 50 MG/ML 704048-001 TRAMAHEXAL IV 100MG/2ML 11.763 50 17.64 5 58.81 88.21399 Paracetamol elixir 120 mg/5ml 703118-001 PANADO SYRUP STRAWBERRY 0.247 30 0.32 50ml 12.35 161401 Paracetamol elixir 120 mg/5ml 889772-003 PAINBLOK 120MG/5ML SYR 0.036 50 0.05 100ml 3.6 51403 Paracetamol elixir 120 mg/5ml 889772-012 PAINBLOK 120MG/5ML SYR 0.05 50 0.08 50ml 2.5 41404 Paracetamol elixir 120 mg/5ml 758558-015 PYRALEN 120MG/5ML SYR 0.018 50 0.03 2500 45 751406 Paracetamol elixir 120 mg/5ml 752118-021 PAINAMOL 120MG/5ML SYR 0.107 50 0.16 50ml 5.35 81408 Paracetamol elixir 120 mg/5ml 703820-003 FEVERPAIN (UNBOXED) 0.018 50 0.03 2500ml 45 751409 PARACETAMOL SUSP 120 MG/5ML 711993-009 CALPOL PAED SUSP 0.214 30 0.28 100ML 21.4 281412 Paracetamol syrup 120 mg/5ml 745715-028 NAPAMOL 120MG/5ML SYR 0.031 50 0.05 100ml 3.1 51413 Paracetamol syrup 120 mg/5ml 706192-001 MICROGESIC 120MG/5ML SYR 0.052 50 0.08 50ml 2.6 41414 Paracetamol Cap 500 MG 752355-015 PANADO 500MG CAP 0.736 30 0.96 20 14.72 19.21415 Paracetamol Effer Tab 500 MG 815306-008 PANADO EFF 500MG TAB 0.88 30 1.14 16 14.08 18.241416 Paracetamol Tab 500 MG 704465-001 PAINOGESIC TAB 0.044 50 0.07 5000 220 3501418 Paracetamol Tab 500 MG 799629-006 PAINAMOL GREEN 500MG TAB 0.082 50 0.12 5000 410 6001419 Paracetamol Tab 500 MG 894212-006 JP PARACETAMOL TAB 0.085 50 0.13 1000 85 1301420 Paracetamol Tab 500 MG 805467-009 ANTALGIC 500MG TAB 0.049 50 0.07 1000 49 701421 Paracetamol Tab 500 MG 752142-011 PAINAMOL WHITE 500MG TAB 0.082 50 0.12 100 8.2 121422 Paracetamol Tab 500 MG 752274-015 PANADO 500MG TAB 0.416 30 0.54 50 20.8 271423 Paracetamol Tab 500 MG 824992-016 GENCETAMOL 500MG 0.055 50 0.08 5000 275 4001424 Paracetamol Tab 500 MG 826588-018 LINK THERA-PAIN 0.183 50 0.27 20 3.66 5.41425 Paracetamol Tab 500 MG 867950-021 GULF PARACETAMOL 500MG 0.069 50 0.1 1000 69 1001427 Paracetamol Tab 500 MG 784443-033 PARAMED 500MG TAB 0.362 50 0.54 24 8.69 12.961428 Paracetamol Tab 500 MG 867969-033 PAINBLOK 500MG TAB 0.28 50 0.42 24 6.72 10.081431 Paracetamol Tab 500 MG 752274-066 PANADO 500MG TAB 0.614 50 0.92 12 7.37 11.041432 Paracetamol Tab 500 MG 752142-135 PAINAMOL WHITE 500MG TAB 0.082 50 0.12 1000 82 1201433 Paracetamol Tab 500 MG 745723-136 NAPAMOL 500MG TAB 0.049 50 0.07 5000 245 3501438 Aspirin dispersible tab 300 mg 807206-009 DISPRIN CV 300MG DISP 0.941 50 1.41 6 5.65 8.461441 Aspirin tab 300 mg 704645-001 ASPIRIN TAB 0.037 50 0.06 1000 37 601442 Aspirin Dispersible Tab 100 MG 845590-006 MYOPRIN 100MG 0.444 50 0.67 30 13.32 20.11443 Mefenamic acid cap 250 mg 812250-001 PONSTEL 250MG CAP 0.816 50 1.22 20 16.32 24.41444 MEFENAMIC ACID CAP 250 MG 883102-004 ADCO MEFENAMIC ACID 0.509 50 0.76 18 9.16 13.681445 MEFENAMIC ACID CAP 250 MG 883102-012 ADCO MEFENAMIC ACID 0.509 50 0.76 250 127.25 1901446 Mefenamic acid cap 250 mg 812250-036 PONSTEL 250MG CAP 0.816 50 1.22 250 204 3051447 Mefenamic acid tab 500 mg 756164-001 PONSTAN FORTE 500 TAB 1.129 30 1.47 50 56.45 73.51448 Mefenamic Acid Susp 50 MG/5ML 810398-001 PONSTEL S 50MG/5ML SUSP 0.11 50 0.17 100ml 11 171449 Mefenamic Acid Susp 50 MG/5ML 797014-004 FENAMIN 50MG/5ML SUSP 0.094 50 0.14 100ml 9.4 141451 Mefenamic Acid Susp 50 MG/5ML 756156-017 PONSTAN 10MG/ML SUSP 0.094 30 0.12 200ml 18.8 241454 Paracetamol w/ Codeine Tab 500-10 MG 795402-007 KODAPON 0.261 50 0.39 1000 261 3901455 Paracetamol w/ Codeine Tab 500-10 MG 745707-130 NAPACOD TAB 0.233 50 0.35 5000 1165 17501456 Paracetamol w/ Codeine Tab 500-8 MG 895030-009 PAINCODEIN 0.22 50 0.33 1000 220 3301457 Paracetamol w/ Codeine Tab 500-8 MG 720879-019 DOLOROL FORTE TAB 0.851 30 1.11 20 17.02 22.21458 Paracetamol w/ Codeine Tab 500-8 MG 720879-027 DOLOROL FORTE TAB 0.851 30 1.11 50 42.55 55.51459 Paracetamol w/ Codeine Tab 500-8 MG 895030-010 PAINCODEIN 0.21 50 0.32 5000 1050 16001460 Paracetamol-diphenhydramine-caff-cod tab 757632-009 PROPAIN TAB 1.01 30 1.31 18 18.18 23.581461 Paracetamol-diphenhydramine-caff-cod tab 769541-038 TENSOLVE TAB 0.419 50 0.63 500 209.5 3151462 Paracetamol-diphenhydramine-caff-cod tab 736228-039 LENADOL TAB 0.609 50 0.91 500 304.5 4551463 Paracetamol-doxylamine-caffeine-codeine 703660-001 CODOXOL TAB 0.257 50 0.39 1000 257 3901464 Paracetamol-doxylamine-caffeine-codeine 703748-002 PHARMADOL TAB 0.438 50 0.66 20 8.76 13.21465 Paracetamol-doxylamine-caffeine-codeine 703748-003 PHARMADOL TAB 0.438 50 0.66 100 43.8 661466 Paracetamol-doxylamine-caffeine-codeine 702609-005 DOXY CO TAB 0.36 50 0.54 20 7.2 10.81467 Paracetamol-doxylamine-caffeine-codeine 768391-008 SYNDOL TAB 0.908 30 1.18 10 9.08 11.81468 Paracetamol-doxylamine-caffeine-codeine 860808-009 LENAPAIN 0.602 50 0.9 100 60.2 901469 Paracetamol-doxylamine-caffeine-codeine 794821-014 PAXIDAL TAB 0.294 50 0.44 500 147 2201470 Paracetamol-doxylamine-caffeine-codeine 836613-015 TENSODOL TAB 0.303 50 0.45 100 30.3 451471 Paracetamol-doxylamine-caffeine-codeine 860808-017 LENAPAIN 0.602 50 0.9 500 301 4501473 Paracetamol-doxylamine-caffeine-codeine 836613-023 TENSODOL TAB 0.303 50 0.45 500 151.5 2251474 Paracetamol-doxylamine-caffeine-codeine 768391-032 SYNDOL TAB 0.909 30 1.18 100 90.9 1181475 Paracetamol-doxylamine-caffeine-codeine 763101-036 SEDINOL TAB 0.806 30 1.05 100 80.6 1051476 Paracetamol-doxylamine-caffeine-codeine 789135-132 XEROTENS CAP 0.515 30 0.67 100 51.5 671478 Paracetamol-doxylamine-caff-cod effer ta 894340-007 PYNCLEAR EFF TAB 1.098 30 1.43 18 19.76 25.741479 PARACETAMOL-DOXYLAMINE-CAFFEINE-CODEINE 780553-012 ADCO DOL TAB 0.479 50 0.72 500 239.5 3601480 PARACETAMOL-DOXYLAMINE-CAFFEINE-CODEINE 780553-020 ADCO DOL TAB 0.479 50 0.72 20 9.58 14.41481 Paracetamol-meprobamate-caff-cod cap 320 765643-014 SPECTRAPAIN FORTE CAP 0.533 50 0.8 100 53.3 801482 Paracetamol-meprobamate-caff-cod cap 320 765643-022 SPECTRAPAIN FORTE CAP 0.533 50 0.8 500 266.5 4001483 Paracetamol-meprobamate-caff-cod tab 320 701746-003 MICRO GESIC TAB 0.2 50 0.3 1000 200 3001484 Paracetamol-meprobamate-caff-cod tab 320 766925-005 STOPAYNE TAB 1.793 30 2.33 100 179.3 2331485 PARACETAMOL-MEPROBAMATE-CAFF-COD TAB 320 894282-006 ADCO PAYNE TAB 0.206 50 0.31 500 103 1551487 Paracetamol-meprobamate-caff-cod tab 320 793892-015 XEROGESIC TAB 0.267 50 0.4 100 26.7 401488 Paracetamol-meprobamate-caff-cod tab 320 789992-027 PYNMED TAB 0.209 50 0.31 100 20.9 311489 Paracetamol-meprobamate-caff-cod tab 320 786780-029 ANTIPYN FORTE TAB 0.317 50 0.48 500 158.5 2401494 Paracetamol-Promethazine w/ Codeine Syru 752185-004 PAINAGON SYR 0.087 50 0.13 100ml 8.7 131495 Paracetamol-Promethazine w/ Codeine Syru 786799-005 MEPROMOL SYR 0.055 50 0.08 100ml 5.5 81496 Paracetamol-Promethazine w/ Codeine Syru 823511-006 GO-PAIN SYR 0.076 50 0.11 100ml 7.6 111497 PARACETAMOL-PROMETHAZINE W/ CODEINE SYRU 894289-006 ADCO KIDDIPAYNE 0.098 50 0.15 100ML 9.8 151499 PARACETAMOL-PROMETHAZINE W/ CODEINE SYRU 710248-001 BAN PAIN SYR 0.11 50 0.17 100ML 11 171500 Orphenadrine w/ APAP Tab 35-450 MG 825123-003 BESEMAX TAB 0.919 50 1.38 20 18.38 27.61501 Orphenadrine w/ APAP Tab 35-450 MG 747548-005 NORFLEX CO TAB 0.957 30 1.24 24 22.97 29.761502 Orphenadrine w/ APAP Tab 35-450 MG 881767-018 BESENOL NC 0.683 50 1.02 20 13.66 20.41505 IBUPROFEN-PARACETAMOL-CODEINE CAP 200-25 704587-001 IBUPAIN FORTE CAP 0.949 50 1.42 30 28.47 42.61506 Ibuprofen-paracetamol-codeine cap 200-25 705264-001 DENTOPAIN FORTE CAP 0.992 50 1.49 30 29.76 44.71508 Ibuprofen-paracetamol-codeine cap 200-25 745561-020 MYPRODOL CAPS 1.747 30 2.27 100 174.7 2271509 Ibuprofen-Paracetamol Cap 200-250 MG 704586-001 IBUPAIN CAP 0.791 50 1.19 30 23.73 35.71510 Ibuprofen-Paracetamol Cap 200-250 MG 810177-005 MYPAID CAP 1.308 30 1.7 30 39.24 511511 Ibuprofen-Paracetamol-Codeine 200-250-10 705245-001 MYBULEN SUSP 0.369 50 0.55 100 36.9 551512 Ibuprofen-paracetamol susp 100-125 mg/5m 705781-001 IBUMOL SUSP GRAPE 0.313 50 0.47 100ml 31.3 471513 Ibuprofen-paracetamol susp 100-125 mg/5m 705782-001 IBUMOL SUSP BANANA 0.313 50 0.47 100ml 31.3 471514 Meloxicam tab 15 mg 704828-001 FLEXOCAM 15MG TAB 1.661 50 2.49 30 49.83 74.7




Administered by

1517 Meloxicam tab 15 mg 701522-002 LOXIFLAM 15MG 2.386 50 3.58 10 23.86 35.81518 Meloxicam tab 15mg 899070-020 COXFLAM 15MG 2.393 50 3.59 30 71.79 107.71519 Meloxicam tab 7.5 mg 899066-005 COXFLAM 7.5MG 0.835 50 1.25 30 25.05 37.51520 Meloxicam tab 7.5 mg 705229-001 ZYDUS-MELOXICAM 7.5MG TAB 0.653 50 0.98 30 19.59 29.41521 Meloxicam tab 7.5 mg 705176-001 M-CAM 7.5MG TAB 0.816 50 1.22 30 24.48 36.61522 MELOXICAM TAB 7.5 MG 705375-001 ADCO MELOXICAM 7.5MG TAB 0.828 50 1.24 30 24.84 37.21526 Ibuprofen Cap 200 MG 892302-005 ADVIL LIQUI GEL 1.331 30 1.73 20 26.62 34.61529 Ibuprofen Tab 200 MG 703966-006 SANDOZ IBUPROFEN 200MG 0.162 50 0.24 30 4.86 7.21530 Ibuprofen Tab 200 MG 708186-009 BETAGESIC 200MG TAB 0.835 30 1.09 20 16.7 21.81531 Ibuprofen Tab 200 MG 868469-009 LENAFEN 200MG 0.73 30 0.95 12 8.76 11.41533 Ibuprofen Tab 200 MG 748560-017 NUROFEN TAB 1.012 30 1.32 24 24.29 31.681534 Ibuprofen Tab 200 MG 868469-017 LENAFEN 200MG 0.729 30 0.95 24 17.5 22.81538 IBUPROFEN TAB 400 MG 780596-005 ADCO IBUPROFEN 400MG TAB 0.266 50 0.4 100 26.6 401539 Ibuprofen Tab 400 MG 733768-008 INZA 400MG TAB 0.197 30 0.26 30 5.91 7.81540 Ibuprofen Tab 400 MG 733768-016 INZA 400MG TAB 0.197 50 0.3 1000 197 3001543 Ibuprofen gel 5% 828076-006 IBULEVE GEL 0.608 50 0.91 50g 30.4 45.51544 Diclofenac Sodium EC Tab 25 MG 893390-003 A-LENNON DICLOFENAC 25MG 0.105 50 0.16 500 52.5 801545 Diclofenac sodium ec tab 25 mg 752371-010 PANAMOR 25MG TAB 0.598 30 0.78 100 59.8 781546 Diclofenac Sodium EC Tab 25 MG 778206-018 VOLTAREN 25MG TBEC 0.873 30 1.13 50 43.65 56.51547 Diclofenac Sodium EC Tab 25 MG 853240-019 DICLOHEXAL 25MG 0.128 50 0.19 500 64 951548 Diclofenac sodium ec tab 50 mg 778222-013 VOLTAREN GT 50MG TBEC 1.777 30 2.31 20 35.54 46.21549 Diclofenac sodium ec tab 50 mg 752398-016 PANAMOR AT 50MG TAB 0.312 50 0.47 21 6.55 9.871550 DICLOFENAC SODIUM EC TAB 50 MG 788597-019 ADCO DICLOFENAC 50MG 0.309 50 0.46 21 6.49 9.661551 DICLOFENAC SODIUM EC TAB 50 MG 788597-027 ADCO DICLOFENAC 50MG TAB 0.31 50 0.47 500 155 2351552 Diclofenac sodium ec tab 50 mg 719838-046 SANDOZ DICLOFENAC 50MG TAB 0.49 50 0.74 20 9.8 14.81553 DICLOFENAC SODIUM IM INJ SOLN 25 MG/ML 701114-002 ADCO DICLOFENAC 75MG/3ML 2.105 50 3.16 5 10.53 15.81555 Diclofenac sodium im inj soln 25 mg/ml 895024-012 TRIO-DICLOFENAC 3ML 0.767 50 1.15 50 38.35 57.51556 Diclofenac sodium im inj soln 25 mg/ml 808601-016 ACU-DICLOFENAC 75MG 1.619 50 2.43 50 80.95 121.51557 Diclofenac sodium im inj soln 25 mg/ml 706191-001 MICRO DICLOFENAC MULTIDOS 6.812 50 10.22 10 68.12 102.21558 Diclofenac sodium im inj soln 25 mg/ml 704361-002 AUSTELL DICLOFENAC SOD INJ 0.847 50 1.27 50 42.35 63.51559 Diclofenac sodium tab disp 50mg 813036-003 CATAFLAM D 50MG DISP TAB 2.56 30 3.33 15 38.4 49.951560 Diclofenac sodium suppos 12.5 mg 780855-019 VOLTAREN 12.5MG SUP 4.047 30 5.26 5 20.23 26.31561 Diclofenac sodium suppos 25 mg 807613-002 PANAMOR 25MG SUPP 8.433 50 12.65 5 42.16 63.251562 Diclofenac sodium suppos 100 mg 807621-005 PANAMOR 100MG SUPP 7.431 50 11.15 5 37.16 55.751563 Diclofenac sodium suppos 100 mg 893398-006 A-LENNON DICLOFENAC 100MG 4.927 50 7.39 10 49.27 73.91564 Diclofenac sodium tab sr 24hr 75 mg 827584-008 PANAMOR SR 75MG TAB 2.879 50 4.32 30 86.37 129.61566 Diclofenac sodium cap sr 24hr 100 mg 791547-078 FORTFEN SR 100MG CAP 2.283 50 3.42 30 68.49 102.61567 Diclofenac sodium tab sr 24hr 100 mg 827592-019 PANAMOR SR 100MG TAB 2.447 50 3.67 30 73.41 110.11568 Diclofenac sodium tab sr 24hr 100 mg 706314-001 DIFEN SR 100MG 2.06 50 3.09 30 61.8 92.71569 Diclofenac diethylammonium Gel 1.3% 702511-001 PANAMOR GEL 1.3% 0.74 50 1.11 60g 44.4 66.61570 Diclofenac diethylammonium Gel 1.3% 702511-002 PANAMOR GEL 1.3% 0.74 50 1.11 100g 74 1111572 Naproxen Tab 250 MG 789267-004 NAPREL 250MG TAB 0.451 50 0.68 100 45.1 681573 NAPROXEN TAB 250 MG 785245-014 ADCO NAPROXEN 250MG TAB 0.766 30 1 250 191.5 2501574 Naproxen Tab 250 MG 806447-036 NAPFLAM 250MG TAB 0.447 50 0.67 250 111.75 167.51575 Naproxen Tab EC 250 MG 812625-005 NAFASOL EC 250MG 0.915 30 1.19 30 27.45 35.71578 Piroxicam cap 20 mg 701072-001 ROXIFEN 20MG 0.537 50 0.81 30 16.11 24.31579 Piroxicam cap 20 mg 799432-008 PYROCAPS 20MG CAP 0.606 50 0.91 30 18.18 27.31580 Piroxicam cap 20 mg 797030-026 XYCAM 20MG CAP 0.638 50 0.96 500 319 4801581 Piroxicam tab disp 20 mg 827428-006 PIXICAM 20MG DISP TAB 0.756 50 1.13 30 22.68 33.91583 INDOMETHACIN CAP 25 MG 701891-003 AMDOCIN 25MG 0.086 50 0.13 1000 86 1301584 Indomethacin cap 25 mg 787833-010 BETACIN 25MG CAP 0.087 50 0.13 500 43.5 651586 INDOMETHACIN CAP 25 MG 701106-026 ADCO INDOMETHACIN 25 CAP 0.137 50 0.21 500 68.5 1051588 Indomethacin Suppos 100 MG 704741-008 ARTHREXIN 100MG SUPP 3.76 50 5.64 10 37.6 56.41591 Allopurinol tab 100 mg 779466-004 ZYLOPRIM 100MG TAB 1.07 30 1.39 150 160.5 208.51592 Allopurinol tab 100 mg 758310-013 PURICOS 100MG TAB 0.478 50 0.72 500 239 3601593 Allopurinol Tab 300 MG 779474-007 ZYLOPRIM 300MG TAB 2.533 30 3.29 28 70.92 92.121594 Allopurinol Tab 300 MG 758329-008 PURICOS 300MG TAB 1.32 50 1.98 30 39.6 59.41595 Allopurinol Tab 300 MG 811432-017 LONOL 300MG TAB 1.148 50 1.72 100 114.8 1721596 Baclofen tab 10 mg 738344-001 LIORESAL 10MG TAB 8.88 30 11.54 30 266.4 346.21598 Oxybutynin chloride tab 5 mg 701893-007 MERCK-OXYBUTYNIN HCL 5 1.089 50 1.63 20 21.78 32.61600 Oxybutynin chloride tab 5 mg 872253-015 LENDITRO 5MG TAB 1.117 50 1.68 100 111.7 1681601 Atropine sulfate inj 0.5 mg/ml 700218-001 MICRO ATROPINE 0.5MG/ML 1.703 50 2.55 10 17.03 25.51602 Atropine sulfate inj 1 mg/ml 705578-003 ATROPINE SULPH FSK 1MG/ML 3.169 30 4.12 10 31.69 41.21603 Atropine sulfate inj 1 mg/ml 798436-018 ATROPINE SUL 1MG/ML INJ 2.17 50 3.26 10 21.7 32.61604 Cetirizine hcl syrup 5 mg/5ml 700899-003 ZETOP 5MG/5ML 0.544 50 0.82 150ml 81.6 1231605 Cetirizine hcl tab 10 mg 703315-001 ALLECET 1.343 50 2.01 30 40.29 60.31607 CETIRIZINE HCL TAB 10 MG 703491-002 ADCO CETIRIZINE 10MG TAB 1.596 50 2.39 30 47.88 71.71609 Cetirizine hcl tab 10 mg 704188-001 ASPEN CETIRIZINE 10MG TAB 1.346 50 2.02 10 13.46 20.21610 Cetirizine hcl tab 10 mg 704359-001 AUSTELL CETIRIZINE 10MG TAB 1.116 50 1.67 10 11.16 16.71611 Cetirizine hcl tab 10 mg 704359-002 AUSTELL CETIRIZINE 10MG TAB 1.116 50 1.67 30 33.48 50.11612 Cetirizine hcl tab 10 mg 703314-005 TEXA 10MG TAB 1.342 50 2.01 10 13.42 20.11613 Loratadine syrup 10 mg/10ml 701640-001 LORAHIST SYRUP 0.379 50 0.57 150ml 56.85 85.51614 Loratadine syrup 10 mg/10ml 704886-001 AP LORATADINE 5MG/5ML SYR 0.425 50 0.64 150ml 63.75 961615 Loratadine syrup 10 mg/10ml 705102-001 CLARINESE SYR 0.427 50 0.64 100ml 42.7 641616 Loratadine tab 10 mg 701361-002 POLLENTYME 10MG TAB 1.092 50 1.64 30 32.76 49.21617 Loratadine tab 10 mg 701407-002 SANDOZ LORATADINE 10MG 1.013 50 1.52 30 30.39 45.61618 Loratadine tab 10 mg 702518-003 LORANO 10MG TAB 1.042 50 1.56 10 10.42 15.61619 Loratadine tab 10 mg 899430-006 AP-LORATADINE 10MG TAB 1.144 50 1.72 10 11.44 17.21620 Loratadine tab 10 mg 704773-001 ROHIST 10MG TAB 0.882 50 1.32 30 26.46 39.61621 Loratadine tab 10 mg 704773-002 ROHIST 10MG TAB 0.882 50 1.32 360 317.52 475.21622 Loratadine tab 10 mg 704275-002 LORAHIST 10MG TAB 0.952 50 1.43 30 28.56 42.91623 Loratadine tab 10 mg 705410-001 RHINIGINE 10MG TAB 1.196 50 1.79 10 11.96 17.91624 Loratadine tab 10 mg 705359-002 LORFAST 10MG TAB 0.992 50 1.49 30 29.76 44.71626 Promethazine HCl Syrup 5 MG/5ML 710873-018 BRUNAZINE 5MG/5ML 0.108 50 0.16 100ml 10.8 161628 Cyproheptadine hcl tab 4 mg 753858-010 PERIACTIN 4MG TAB 1.046 30 1.36 30 31.38 40.81629 Promethazine HCl Tab 10 MG 754749-002 PHENERGAN 10MG TAB 0.401 30 0.52 100 40.1 521630 Promethazine HCl Tab 25 MG 754757-013 PHENERGAN 25MG TAB 0.787 30 1.02 500 393.5 5101631 Promethazine HCl Tab 25 MG 803073-003 RECEPTOZINE 25MG TAB 0.162 50 0.24 1000 162 2401632 Promethazine HCl Inj 25 MG/ML 757535-003 PROMETHAZINE HCL FSK 50MG/2ML 8.321 50 12.48 10 83.21 124.81633 Fexofenadine hcl tab 120 mg 848093-003 TELFAST 120 MG TAB 5.2 30 6.76 10 52 67.61634 Fexofenadine HCl Tab 180 MG 707200-001 FEXO 180 TAB 3.641 50 5.46 30 109.23 163.81635 DOXAZOSIN MESYLATE TAB 1 MG 701626-001 ADCO DOXAZOSIN 1MG TAB 0.945 50 1.42 30 28.35 42.61636 Propranolol HCl Tab 10 MG 758140-002 PUR-BLOKA 10MG TAB 0.117 50 0.18 50 5.85 91637 Propranolol HCl Tab 10 MG 712604-006 SANDOZ PROPRANOLOL 10 0.094 50 0.14 50 4.7 71638 Propranolol HCl Tab 10 MG 787167-010 PRODOROL 10MG TB 0.079 50 0.12 1000 79 1201639 Propranolol hcl tab 40 mg 732575-001 INDERAL 40MG TAB 2.59 30 3.37 50 129.5 168.51640 Propranolol HCl Tab 40 MG 712612-009 SANDOZ PROPRANOLOL 40 0.125 50 0.19 50 6.25 9.51641 Propranolol hcl tab 40 mg 758167-024 PUR-BLOKA 40MG TAB 0.155 50 0.23 1000 155 2301642 Propranolol hcl tab 40 mg 806560-029 INDOBLOK 40MG 0.105 50 0.16 1000 105 1601643 BISOPROLOL FUMARATE TAB 5 MG 703913-001 ADCO BISOCOR 5MG TAB 1.163 50 1.74 30 34.89 52.21644 Bisoprolol fumarate tab 5 mg 704132-001 BISOHEXAL 5MG TAB 1.108 50 1.66 30 33.24 49.81647 BISOPROLOL FUMARATE TAB 10 MG 703914-001 ADCO BISOCOR 10MG TAB 1.959 50 2.94 30 58.77 88.21648 Bisoprolol fumarate tab 10 mg 818437-006 CONCOR 10MG TAB 3.796 30 4.93 30 113.88 147.91649 Bisoprolol Fumarate Tab 10 MG 707393-001 BISOPROLOL HEXAL 10MG TAB 2.176 50 3.26 30 65.28 97.81650 Carvedilol tab 6.25 mg 705459-001 CARLOC 6.25MG TAB 1.55 50 2.33 30 46.5 69.91651 Carvedilol tab 6.25 mg 833428-004 DILATREND 6.25MG TAB 3.301 30 4.29 30 99.03 128.71652 Carvedilol tab 12.5 mg 700168-001 CARLOC 12.5MG TAB 1.756 50 2.63 30 52.68 78.91653 Carvedilol tab 12.5 mg 705770-001 CARVEDILOL-HEXAL 12.5MG 1.763 50 2.64 30 52.89 79.21655 Carvedilol tab 25 mg 704672-001 CARVETREND 25MG TAB 2.022 50 3.03 30 60.66 90.9




Administered by

1656 Carvedilol tab 25 mg 705767-001 CARVEDILOL-HEXAL 25MG TAB 2.293 50 3.44 30 68.79 103.21659 Captopril tab 25 mg 850896-002 SANDOZ CAPTOPRIL 25MG 0.29 50 0.44 60 17.4 26.41661 Captopril tab 25 mg 852333-005 ACETEN 25MG 0.205 50 0.31 60 12.3 18.61664 Captopril tab 50 mg 839787-006 ZAPTO 50MG TAB 0.604 50 0.91 60 36.24 54.61665 Captopril tab 50 mg 850918-006 SANDOZ CAPTOPRIL 50MG 0.555 50 0.83 60 33.3 49.81666 Enalapril maleate & hydrochlorothiazide 787035-009 CO-RENITEC TAB 2.408 30 3.13 28 67.42 87.641667 ENALAPRIL MALEATE TAB 5 MG 894316-006 CIPLATEC 5MG 0.723 50 1.08 30 21.69 32.41668 Enalapril maleate tab 5 mg 867845-007 HR-ENALAPRIL 5MG 0.698 50 1.05 30 20.94 31.51670 Enalapril maleate tab 10 mg 759783-004 RENITEC 10MG TAB 1.203 30 1.56 28 33.68 43.681671 Enalapril maleate tab 10 mg 894324-008 CIPLATEC 10MG 1.068 50 1.6 30 32.04 481672 Enalapril maleate tab 10 mg 891279-005 ENAP 10MG TAB 1.029 50 1.54 30 30.87 46.21673 Enalapril maleate tab 20 mg 867861-002 HR-ENALAPRIL 20MG 1.659 50 2.49 30 49.77 74.71674 ENALAPRIL MALEATE TAB 20 MG 886851-004 ADCO ENALAPRIL 20MG 1.514 30 1.97 28 42.39 55.161675 Enalapril maleate tab 20 mg 891280-008 ENAP 20MG TAB 1.808 50 2.71 30 54.24 81.31676 Lisinopril tab 5 mg 700691-001 SINOPREN 5MG TAB 0.529 50 0.79 30 15.87 23.71678 Lisinopril tab 5 mg 781681-006 ZESTRIL 5MG TAB 0.758 30 0.99 30 22.74 29.71680 Lisinopril tab 10 mg 703645-001 ZEMAX 10MG 1.401 50 2.1 30 42.03 631681 Lisinopril tab 10 mg 701392-003 HEXAL-LISINOPRIL 10MG TAB 1.284 50 1.93 30 38.52 57.91683 Lisinopril tab 20 mg 701394-005 HEXAL-LISINOPRIL 20MG TAB 2.044 50 3.07 30 61.32 92.11684 Lisinopril tab 20 mg 705318-001 LISINOHEXAL 20MG TAB 1.999 50 3 30 59.97 901685 Lisinopril tab 20 mg 707312-001 SIMAYLA LISINOPRIL 20MG T 1.824 50 2.74 30 54.72 82.21686 Perindopril erbumine tab 4 mg 785121-005 COVERSYL 4MG TAB 3.531 30 4.59 30 105.93 137.71687 Ramipril tab 1.25 mg 841579-008 TRITACE 1.25MG TAB 3.104 30 4.04 30 93.12 121.21688 Ramipril tab 1.25 mg 705752-001 AUSTELL-RAMIPRIL 1.25MG 1.846 50 2.77 30 55.38 83.11689 Ramipril tab 2.5 mg 702968-001 RAMACE 2.5MG TAB 3.868 30 5.03 30 116.04 150.91690 Ramipril tab 2.5 mg 841587-019 TRITACE 2.5MG TAB 4.584 30 5.96 30 137.52 178.81691 Ramipril tab 2.5 mg 705753-001 AUSTELL-RAMIPRIL 2.5MG 2.277 50 3.42 30 68.31 102.61692 Ramipril cap 5 mg 704025-001 RAMIWIN 5MG CAP 3.489 50 5.23 30 104.67 156.91693 Ramipril tab 5 mg 702966-001 RAMACE 5MG TAB 5.162 50 7.74 30 154.86 232.21694 Ramipril tab 5 mg 705428-001 RAMPIL 5MG CAP 3.458 50 5.19 30 103.74 155.71695 Ramipril tab 5 mg 705754-001 AUSTELL-RAMIPRIL 5MG CAP 3.417 50 5.13 30 102.51 153.91696 Lisinopril & hydrochlorothiazide tab 10- 704597-001 ZETOMAX-CO 10/12.5MG 1.201 50 1.8 30 36.03 541697 Lisinopril & hydrochlorothiazide tab 10- 817848-002 ZESTORETIC 10 1.012 30 1.32 30 30.36 39.61698 Lisinopril & hydrochlorothiazide tab 20- 704438-001 LISORETIC 20/HCTZ 1.803 50 2.7 30 54.09 811699 Lisinopril & hydrochlorothiazide tab 20- 797685-006 ZESTORETIC 20 1.721 30 2.24 30 51.63 67.21700 Ramipril cap 10 mg 704975-001 RAN-RAMIPRIL 10MG CAP 3.913 50 5.87 30 117.39 176.11701 Ramipril cap 10 mg 705755-001 AUSTELL-RAMIPRIL 10MG CAP 1.118 50 1.68 30 33.54 50.41702 QUINAPRIL HCL TAB 20 MG 783315-007 ACCUPRIL 20MG TAB 4.531 30 5.89 28 126.87 164.921703 QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10-12. 706235-001 ADCO QUINARETIC 10/12.5 TAB 1.761 50 2.64 30 52.83 79.21704 Quinapril-hydrochlorothiazide tab 10-12. 707550-001 QUINAZIDE 10/12.5 TAB 1.64 50 2.46 30 49.2 73.81705 QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-12. 805297-006 ACCURETIC 20/12.5 TAB 5.183 30 6.74 28 145.12 188.721709 Diltiazem hcl cap sr 24hr 180 mg 839183-003 ZILDEM 180MG SR 5.598 50 8.4 30 167.94 2521710 Nifedipine cap 10 mg 818658-002 NIFEDALAT 10MG CAP 0.55 50 0.83 100 55 831712 Verapamil hcl tab 40 mg 774944-013 VASOMIL 40MG TAB 0.339 50 0.51 100 33.9 511714 Verapamil HCl Tab 80 MG 774952-016 VASOMIL 80MG TAB 0.726 50 1.09 100 72.6 1091715 Verapamil HCl Tab CR 240 MG 700071-003 VERAHEXAL 240 SR 2.807 50 4.21 30 84.21 126.31716 Verapamil HCl Tab CR 240 MG 734373-007 ISOPTIN SR 240MG TAB 4.242 30 5.51 30 127.26 165.31717 Verapamil HCl Tab CR 240 MG 734373-015 ISOPTIN SR 240MG TAB 4.243 30 5.52 100 424.3 5521718 Diltiazem hcl tab sr 24hr 240 mg 813133-009 TILAZEM 240 CR 5.985 30 7.78 30 179.55 233.41719 Felodipine tab sr 24hr 5mg 703221-001 FELODIPINE-HEXAL 5MG TAB 2.696 50 4.04 30 80.88 121.21720 Felodipine tab sr 24hr 10mg 813982-006 PLENDIL 10MG TAB 6.961 30 9.05 30 208.83 271.51721 Amlodipine besylate tab 5 mg 704620-001 AMLOSYN 5MG TAB 2.936 50 4.4 30 88.08 1321722 Amlodipine maleate tab 5 mg 707277-001 AMLATE 5MG TAB 1.645 50 2.47 30 49.35 74.11723 Amlodipine besylate tab 10 mg 799122-009 NORVASC 10MG TAB 5.495 30 7.14 30 164.85 214.21724 Amlodipine maleate tab 10 mg 707278-001 AMLATE 10MG TAB 2.683 50 4.02 30 80.49 120.61725 Isosorbide dinitrate tab 10 mg 734381-018 ISORDIL 10MG TAB 0.517 30 0.67 50 25.85 33.51726 Isosorbide dinitrate tab 10 mg 734381-026 ISORDIL 10MG TAB 0.517 50 0.78 500 258.5 3901727 Isosorbide Mononitrate Tab 20 MG 793418-003 ELANTAN 20MG TAB 1.594 50 2.39 60 95.64 143.41728 Isosorbide Mononitrate Tab 20 MG 793418-011 ELANTAN 20MG TAB 1.594 50 2.39 500 797 11951729 Isosorbide dinitrate sl tab 5 mg 734411-006 ISORDIL 5MG TAB 0.62 30 0.81 50 31 40.51732 Pentoxifylline tab cr 400 mg 703629-002 ASPEN PENTOXIFYLLINE SR 400 6.083 50 9.12 100 608.3 9121733 Bezafibrate tab cr 400 mg 779644-018 BEZALIP RET 400MG TAB 5.19 30 6.75 30 155.7 202.51734 SIMVASTATIN TAB 10 MG 701276-003 ADCO SIMVASTATIN 10MG 0.702 50 1.05 30 21.06 31.51735 Simvastatin tab 10 mg 705076-001 LIPIDEX 10MG 2.268 50 3.4 30 68.04 1021736 Simvastatin tab 10 mg 705464-001 AUSTELL-SIMVASTATIN 10MG 0.53 50 0.8 30 15.9 241737 Simvastatin tab 10 mg 706714-001 ASPEN SIMVASTATIN 10MG TAB 0.702 50 1.05 30 21.06 31.51738 Simvastatin tab 20 mg 783978-006 ZOCOR 20MG TAB 2.011 30 2.61 28 56.31 73.081740 Simvastatin tab 20 mg 705465-001 AUSTELL-SIMVASTATIN 20MG 0.589 50 0.88 30 17.67 26.41741 Simvastatin tab 20 mg 706715-001 ASPEN SIMVASTATIN 20MG TAB 0.702 50 1.05 30 21.06 31.51742 Simvastatin tab 40 mg 703527-001 SIMVOTIN 40MG TAB 0.899 50 1.35 28 25.17 37.81744 Simvastatin tab 40 mg 705467-001 AUSTELL-SIMVASTATIN 40MG 0.736 50 1.1 30 22.08 331745 Pravastatin sodium tab 10 mg 705212-001 ASPEN PRAVASTATIN 10MG 3.834 50 5.75 30 115.02 172.51748 Pravastatin Sodium Tab 20 MG 705902-001 SANDOZ PRAVASTATIN 20MG TAB 4.467 50 6.7 30 134.01 2011749 Ephedrine-Promethazine-Codeine Syrup 7.2 703958-003 ANTITUSS SYRUP 0.141 30 0.18 100ml 14.1 181750 Ephedrine-Promethazine-Codeine Syrup 7.2 717606-007 DEQUA-COFF SYR 0.127 50 0.19 100ml 12.7 191751 Metaproterenol-Bromhexine Syrup 5-4 MG/5 710687-001 BRONKESE CO SYR 0.12 50 0.18 100ml 12 181752 Metaproterenol-Bromhexine Syrup 5-4 MG/5 819743-003 FLEMEZE SYR 0.136 50 0.2 100ml 13.6 201753 Metaproterenol-Bromhexine Syrup 5-4 MG/5 819743-011 FLEMEZE SYR 0.137 50 0.21 200ml 27.4 421754 METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5 827304-013 ADCO LINCTOPENT SYR 0.106 50 0.16 200ML 21.2 321755 Metaproterenol-Bromhexine Syrup 5-4 MG/5 862037-026 BENYLIN CHESTY 0.224 30 0.29 200ml 44.8 581757 PSEUDOEPHEDRINE-TRIPROLIDINE W/ COD SYRU 806226-005 ADCO TUSSEND SYR 0.127 50 0.19 100ML 12.7 191758 PSEUDOEPHEDRINE-TRIPROLIDINE W/ COD SYRU 700797-017 ACTIFED CO LINCTUS 0.214 30 0.28 100ML 21.4 281761 Diphenhydramine-amcl-sod citrate syrup 720291-003 DPH EXPECTORANT SYR 0.024 50 0.04 100ml 2.4 41762 Diphenhydramine-amcl-sod citrate syrup 720291-011 DPH EXPECTORANT SYR 0.025 50 0.04 200ml 5 81763 Diphenhydramine-amcl-sod citrate syrup 823554-007 RELIEF-COFF EXPECT 0.056 30 0.07 100ml 5.6 71764 Diphenhydramine-amcl-sod citrate syrup 895032-007 AMCOUGH 0.027 50 0.04 100ml 2.7 41769 Diphenhydramine-pholcodine-gg syr 15-8-1 757233-007 PROCOF SYR 0.201 30 0.26 100ml 20.1 261772 Guaifenesin Syrup 100 MG/5ML 799319-015 LENNON COUGH SYR 0.195 50 0.29 100ml 19.5 291773 GUAIFENESIN SYRUP 100 MG/5ML 895150-015 BENYLIN WET COUGH MENTHOL 0.23 30 0.3 100ML 23 301774 Guaifenesin Syrup 100 MG/5ML 882829-002 DILINCT JUNIOR 0.193 50 0.29 100ml 19.3 291775 Pseudoephed-Triprolidine-DM Syrup 30-1.2 873985-001 ENDCOL DM ADULT SYR 0.12 50 0.18 100ml 12 181776 Pseudoephed-Triprolidine-DM Syrup 30-1.2 808717-006 MEDIFED LINCTUS 0.178 50 0.27 200ml 35.6 541777 Chlorphen-ephedrine-apap-caffeine tab 2- 726885-002 FLUSIN TAB 1.014 30 1.32 24 24.34 31.681778 Chlorphen-ephedrine-apap-caffeine tab 2- 715301-128 COLCLEER TAB 0.108 50 0.16 1000 108 1601779 Phenylprop-Phenyltolox w/ Cod-APAP Tab 2 764213-008 SINUTAB+COD TAB 1.652 30 2.15 20 33.04 431780 Phenylprop-Phenyltolox w/ Cod-APAP Tab 2 764213-024 SINUTAB+COD TAB 1.653 30 2.15 100 165.3 2151781 Pseudoephedrine w/ Paracetamol Tab 30-50 764272-004 SINUMAX TAB 1.755 30 2.28 20 35.1 45.61782 Pseudoephedrine-ibuprofen tab 30-200 mg 702941-001 SINUTAB 3-WAY 1.538 50 2.31 20 30.76 46.21783 Pseudoephedrine-ibuprofen tab 30-200 mg 826847-021 NUROFEN COLD & FLU TAB 1.468 50 2.2 24 35.23 52.81784 Triprolidine-Pseudoephedrine-APAP Syrup 792365-003 ACTIGESIC PAED SYR 0.125 30 0.16 100ml 12.5 161785 TRIPROLIDINE-PSEUDOEPHEDRINE-APAP SYRUP 703853-001 ACUFLU P SYR (ALC & SUGAR 0.129 50 0.19 100ML 12.9 191786 Triprolidine-Pseudoephedrine-APAP Syrup 703964-001 SINUCLEAR PAED ALC&SUGAR 0.234 30 0.3 100ml 23.4 301787 Pseudoephedrine HCl Syrup 30 MG/5ML 808598-007 SINU-MED 30MG/5ML SYR 0.22 30 0.29 100ml 22 291788 PSEUDOEPHEDRINE HCL SYRUP 30 MG/5ML 796964-009 ADCO SUFEDRIN 30MG/5ML SY 0.103 50 0.15 100ML 10.3 151789 Pseudoephedrine HCl Tab 60 MG 808571-001 SINU-MED 60MG TAB 1.055 30 1.37 20 21.1 27.41790 Pseudoephedrine HCl Tab 60 MG 794872-026 SYMPTOFED 60MG TAB 0.247 50 0.37 200 49.4 741791 TRIPROLIDINE & PSEUDOEPHEDRINE SYRUP 1.2 700770-003 ACTIFED COLD SYRUP 0.197 30 0.26 50ML 9.85 131793 TRIPROLIDINE & PSEUDOEPHEDRINE TAB 1.25- 700789-006 ACTIFED COLD TAB 0.878 30 1.14 20 17.56 22.81794 Salbutamol sulfate inhal aero 108 mcg/ac 703371-003 VENTOLIN INH 200D CFC-FRE 43.83 30 56.98 1 43.83 56.98




Administered by

1795 Salbutamol Sulfate Syrup 2 MG/5ML 700920-001 VARI-SALBUTAMOL SYRUP 0.073 50 0.11 100ml 7.3 111796 Salbutamol Sulfate Syrup 2 MG/5ML 775452-009 VENTEZE 2MG/5ML SYR 0.09 50 0.14 100ml 9 141797 Salbutamol Sulfate Syrup 2 MG/5ML 775452-017 VENTEZE 2MG/5ML SYR 0.09 50 0.14 500ml 45 701798 Salbutamol-ipratropium nebu soln 2.5(3)- 824577-019 COMBIVENT UDV 8.025 30 10.43 60ml 481.5 625.81799 Ipratropium Bromide Inhal Aerosol 40 MCG 885074-002 ATROVENT 40 MAC COMPL 300D 65.822 30 85.57 1 65.82 85.571801 Ipratropium bromide nebu soln 0.25 mg/ml 786241-004 ATROVENT UDV ADULT .5MG 3.514 50 5.27 60ml 210.84 316.21802 Ipratropium bromide nebu soln 0.25 mg/ml 835633-004 ATROVENT INHALER SOLN 4.48 30 5.82 20ml 89.6 116.41804 Carbocysteine Cap 375 MG 783633-122 LESSMUSEC 375MG CAP 0.635 50 0.95 1000 635 9501805 Carbocysteine Syrup 250 MG/5ML 789739-003 FLEMGO SYR 0.064 50 0.1 200ml 12.8 201807 Carbocysteine Syrup 250 MG/5ML 744816-009 MUCOSPECT SYR 0.1 50 0.15 200ml 20 301808 Carbocysteine Syrup 250 MG/5ML 805327-010 MUCOLESS S SYR 0.069 50 0.1 200ml 13.8 201810 Carbocysteine Syrup 250 MG/5ML 708151-027 BETAPHLEM 250MG/5ML SYR 0.075 50 0.11 2500ml 187.5 2751811 Carbocysteine Syrup 250 MG/5ML 805327-029 MUCOLESS S SYR 0.069 50 0.1 2500ml 172.5 2501814 Beclomethasone Dipropionate Inhal Aero 4 819611-018 BECLATE 50MCG INHALER 49.022 30 63.73 1 49.02 63.731815 KETOTIFEN FUMARATE SYRUP 0.2 MG/ML 878715-002 ADCO KETOTIFEN SYR 0.249 50 0.37 200ML 49.8 741816 Beclomethasone dipropionate nasal soln 0 707198-003 BECONASE AQ 50MCG 69.956 30 90.94 1 69.96 90.941817 Beclomethasone dipropionate nasal soln 0 702939-001 CIPLANAZE MULTICARE 26.03 50 39.05 1 26.03 39.051818 Fluticasone propionate nasal susp 50 mcg 704383-001 FLOMIST AQ NASAL SPRAY 54.637 50 81.96 1 54.64 81.961819 Fenoterol hbr soln nebu 0.25 mg/ml 890148-001 SABAX FENOTEROL 0.5MG/2ML 1.425 50 2.14 60ml 85.5 128.41820 Fenoterol hbr soln nebu 0.25 mg/ml 793973-007 BEROTEC UDV PAED .5MG 1.321 30 1.72 60ml 79.26 103.21822 Oxymetazoline HCl Nasal Soln 0.025% 721425-003 DRIXINE PAED O.025% DROPS 35.104 50 52.66 1 35.1 52.661823 Oxymetazoline HCl Nasal Soln 0.025% 732338-018 ILIADIN PAED 0.25% MET SP 42.393 50 63.59 1 42.39 63.591824 Oxymetazoline HCl Nasal Soln 0.025% 704730-001 ILIADIN SALINE NASAL DROP 24.022 50 36.03 1 24.02 36.031825 Oxymetazoline HCl Nasal Soln 0.05% 814199-003 DRIXINE ADULT M/S 10ML 42.252 30 54.93 1 42.25 54.931826 Oxymetazoline HCl Nasal Soln 0.05% 721387-004 DRISTAN LL N/SPRAY 15ML 29.6 50 44.4 1 29.6 44.41827 Oxymetazoline HCl Nasal Soln 0.05% 732257-018 ILIADIN ADULT 0.05% DROPS 28.696 50 43.04 1 28.7 43.041828 Oxymetazoline HCl Nasal Soln 0.05% 704729-001 ILIADIN SALINE NASAL MET 26.022 50 39.03 1 26.02 39.031829 Povidone-iodine mouthwash 1% 799688-002 DERMADINE GARGLE 0.1 50 0.15 200ml 20 301830 Povidone-iodine mouthwash 1% 890365-005 STERIDINE MOUTHWASH AND G 0.033 50 0.05 200ml 6.6 101831 Dipyrone-hyoscine butylbromide tab 250-1 711292-019 BUSCOPAN CO TAB 4.2 30 5.46 20 84 109.21832 Dipyrone-hyoscine butylbromide tab 250-1 711292-027 BUSCOPAN CO TAB 4.202 30 5.46 100 420.2 5461833 Mebeverine hcl tab 135 mg 825328-004 SANDOZ MEBEVERINE TAB 0.956 50 1.43 20 19.12 28.61834 Mebeverine hcl tab 135 mg 715476-009 COLOFAC 135MG TAB 1.864 30 2.42 20 37.28 48.41835 Mebeverine hcl tab 135 mg 822019-019 BEVISPAS 135MG TAB 0.928 50 1.39 100 92.8 1391836 Hyoscine n-butylbromide tab 10 mg 762725-001 SCOPEX 10MG TAB 1.559 50 2.34 10 15.59 23.41837 Hyoscine n-butylbromide tab 10 mg 711276-005 BUSCOPAN 10MG TAB 2.9 30 3.77 10 29 37.71838 Hyoscine n-butylbromide inj 20 mg/ml 701514-001 MICRO HYOSCINE BUTYLBROMIDE 2.498 50 3.75 10 24.98 37.51839 Hyoscine n-butylbromide inj 20 mg/ml 711306-001 BUSCOPAN 20MG/ML INJ 12.024 30 15.63 5 60.12 78.151840 Hyoscine n-butylbromide inj 20 mg/ml 832812-005 SCOPAJECT INJ 2.487 50 3.73 10 24.87 37.31841 Scopolamine n-butylbromide syrup 5 mg/5m 797413-006 BUSCOPAN 5MG/5ML SYR 0.419 30 0.54 100ml 41.9 541843 Aluminum Hydroxide Gel Susp 300 MG/5ML 703168-029 AMPHOJEL SUSP 0.119 30 0.15 200ml 23.8 301844 Alum hydrox-mag oxide-dicyclomine susp 4 700771-001 AMGEL 0.036 50 0.05 200ml 7.2 101845 Alum hydrox-mag oxide-dicyclomine susp 4 786810-009 NEUTRAGEL D SUSP 0.03 50 0.05 200ml 6 101846 Alum hydrox-mag oxide-dicyclomine susp 4 782173-012 CO-GEL SUSP 0.078 30 0.1 200ml 15.6 201847 Alum hydrox-mag oxide-dicyclomine susp 4 789933-101 GELUMEN SUSP 0.067 50 0.1 200ml 13.4 201848 Cimetidine tab 200 mg 886978-002 BIO-CIMETIDINE 200MG 0.247 50 0.37 60 14.82 22.21849 Cimetidine tab 200 mg 832901-008 LENAMET OTC 200MG TAB 0.36 30 0.47 20 7.2 9.41850 Cimetidine tab 200 mg 854247-009 CIMLOK 200MG TAB 0.304 50 0.46 60 18.24 27.61851 Cimetidine tab 200 mg 796735-018 ACIDOWN 200MG TAB 0.238 50 0.36 60 14.28 21.61852 Cimetidine tab 200 mg 797464-018 SECADINE 200MG TAB 0.285 50 0.43 60 17.1 25.81853 Cimetidine tab 400 mg 797472-002 SECADINE 400MG TAB 0.418 50 0.63 60 25.08 37.81854 CIMETIDINE TAB 400 MG 800252-004 ADCO CIMETIDINE 400MG 0.475 50 0.71 60 28.5 42.61856 Cimetidine tab 400 mg 806919-019 HEXAMET 400MG TAB 0.698 50 1.05 60 41.88 631857 Ranitidine hcl inj 25 mg/ml 704786-001 R-LOC 25MG/ML INJ 2ML 23.566 50 35.35 5 117.83 176.751858 Ranitidine HCl Effer Tab 75 MG 703241-003 ZANTAC EFFERVES 75 2.82 50 4.23 6 16.92 25.381860 Ranitidine HCl Tab 75 MG 822817-020 ZANTAC 75MG TAB 2.908 50 4.36 24 69.79 104.641861 Ranitidine hcl effer tab 150 mg 811882-020 ZANTAC EFFERVES 150 8.551 30 11.12 15 128.26 166.81862 Ranitidine hcl tab 150 mg 841765-006 HISTAK 150MG TAB 0.747 50 1.12 60 44.82 67.21863 Ranitidine hcl tab 150 mg 841609-012 RANIHEXAL 150MG TAB 1.496 50 2.24 300 448.8 6721864 Ranitidine hcl tab 150 mg 705361-001 RANIT 150MG TAB 0.704 50 1.06 60 42.24 63.61865 Ranitidine hcl tab 150 mg 707308-001 SIMAYLA RANITIDINE 150MG 0.747 50 1.12 60 44.82 67.21866 Ranitidine hcl tab 300 mg 867942-002 ULTAK 300MG 1.449 50 2.17 30 43.47 65.11867 Ranitidine hcl tab 300 mg 778974-006 ZANTAC 300MG TAB 14.643 30 19.04 30 439.29 571.21868 Ranitidine hcl tab 300 mg 841773-009 HISTAK 300MG TAB 0.996 50 1.49 30 29.88 44.71869 Pantoprazole sodium ec tab 20 mg (base e 881589-004 PANTOLOC 20MG TAB 5.79 30 7.53 28 162.12 210.841870 Pantoprazole sodium ec tab 20 mg (base e 892291-005 CONTROLOC 20MG TAB 4.421 50 6.63 28 123.79 185.641871 Pantoprazole sodium ec tab 40 mg (base e 812153-014 CONTROLOC 40MG TAB 6.571 50 9.86 28 183.99 276.081872 Pantoprazole sodium ec tab 40 mg (base e 811793-028 PANTOLOC 40MG TAB 10.925 50 16.39 28 305.9 458.921873 Omeprazole magnesium cap dr 10 mg 703461-001 OMEZ 10 3.765 50 5.65 30 112.95 169.51874 Omeprazole tab 10mg mups 849383-005 LOSEC 10 7.953 30 10.34 28 222.68 289.521875 Omeprazole magnesium cap dr 20 mg 703987-001 ALTOSEC 20MG CAP 3.602 50 5.4 28 100.86 151.21876 Omeprazole magnesium cap dr 20 mg 703459-001 OMEZ 20 3.612 50 5.42 30 108.36 162.61877 Omeprazole magnesium cap dr 20 mg 704629-001 NOZER 20MG CAP 3.228 50 4.84 30 96.84 145.21878 Omeprazole tab 20mg mups 849391-016 LOSEC 20 MUPS 13.279 30 17.26 28 371.81 483.281879 Omeprazole Magnesium Cap DR 40 MG 706688-001 OMEZ 40MG CAP 6.664 50 10 14 93.3 1401880 Lansoprazole cap delayed release 15 mg 704752-001 LANSOLOC OTC 2.423 50 3.63 7 16.96 25.411881 Lansoprazole cap delayed release 15 mg 704839-001 ASPEN LANSOPRAZOLE 15MG CAP 3.564 50 5.35 30 106.92 160.51882 Lansoprazole cap delayed release 15 mg 706642-001 RAN-LANSOPRAZOLE 15MG CAP 2.221 50 3.33 28 62.19 93.241883 Lansoprazole cap delayed release 30 mg 704838-001 ASPEN LANSOPRAZOLE 30MG CAP 5.272 50 7.91 30 158.16 237.31884 LANSOPRAZOLE CAP DELAYED RELEASE 30 MG 704754-001 LANSOLOC 30MG 4.621 50 6.93 30 138.63 207.91885 Lansoprazole cap delayed release 30 mg 706643-001 RAN-LANSOPRAZOLE 30MG CAP 3.058 50 4.59 28 85.62 128.521886 Bisacodyl ec tab 5 mg 721549-004 DULCOLAX 5MG TAB 1.275 30 1.66 30 38.25 49.81888 Lactulose Oral Crystal Packet 10 GM 815047-002 DUPHALAC DRY SACHET 2.372 30 3.08 10 23.72 30.81890 Lactulose Syrup 10 GM/15ML 817309-004 LAXETTE SYR 0.142 50 0.21 150ml 21.3 31.51891 Lactulose Syrup 10 GM/15ML 797723-005 LACSON SYR 0.125 50 0.19 150ml 18.75 28.51892 Lactulose Syrup 10 GM/15ML 797723-021 LACSON SYR 0.095 50 0.14 2500ml 237.5 3501893 Lactulose Syrup 10 GM/15ML 721611-028 DUPHALAC SYR 0.161 30 0.21 500ml 80.5 1051894 Lactulose Syrup 680 MG/ML 894630-001 SENOKOT-LACTULOSE (CREME 0.155 30 0.2 150ml 23.25 301895 Loperamide hcl cap 2 mg 807761-001 IMODIUM 2MG CAP 3.693 30 4.8 6 22.16 28.81896 Loperamide hcl effer tab 2 mg 823759-008 LOPEDIUM EFF TAB 2.125 50 3.19 10 21.25 31.91897 Loperamide hcl syrup 1 mg/5ml 732478-006 IMODIUM SYR 0.878 30 1.14 50ml 43.9 571898 LOPERAMIDE HCL SYRUP 1 MG/5ML 811467-007 ADCO LOPERAMIDE SYR 0.325 50 0.49 50ML 16.25 24.51899 Loperamide hcl tab 2 mg 810916-010 GASTRON 2MG TAB 0.709 50 1.06 300 212.7 3181901 Loperamide hcl tab 2 mg 791768-112 PRODIUM 2MG TAB 0.309 50 0.46 500 154.5 2301902 Loperamide hcl tab 2 mg 703393-001 DIS-CHEM ANTI-DIARRHOEAL TAB 2.224 50 3.34 6 13.34 20.041903 Mebendazole chew tab 100 mg 795607-008 D-WORM 100MG CHEW 1.412 50 2.12 6 8.47 12.721905 Mebendazole Susp 20 MG/ML 828297-002 CIPEX SUSP 0.367 50 0.55 30ml 11.01 16.51906 Mebendazole tab 100 mg 845671-006 WORMSTOP 100MG TAB 0.957 50 1.44 6 5.74 8.641907 Mebendazole tab 100 mg 878227-008 CIPEX 100MG TAB 1.351 30 1.76 6 8.11 10.561908 Mebendazole Tab 500 MG 833894-005 D-WORM SD 8.689 50 13.03 1 8.69 13.031909 MEBENDAZOLE TAB 500 MG 704656-001 ADCO WORMEX 500MG TAB 6.111 50 9.17 1 6.11 9.171910 Povidone-iodine oint 10% 826634-001 LINK DERMADEX 0.403 30 0.52 25g 10.07 131911 Povidone-iodine oint 10% 707945-003 BETADINE 100MG/GM OINT 0.624 30 0.81 25g 15.6 20.251912 Povidone-iodine oint 10% 755834-003 PODINE OINT 0.539 30 0.7 25g 13.47 17.51914 Povidone-iodine oint 10% 821713-019 SEPTADINE ANTISEPT OINT 0.393 50 0.59 25g 9.83 14.751918 Povidone-Iodine Cream 5% 708178-006 BETADINE CREAM 0.541 50 0.81 500g 270.5 4051919 Povidone-Iodine Cream 5% 871885-018 BIOCREAM 0.434 50 0.65 25g 10.85 16.251924 Benzyl Benzoate Emulsion 25% 707716-012 APP BENZYL BENZ LOT 0.074 50 0.11 100ml 7.4 111925 Clotrimazole cream 1% 702576-001 PINASPOR T 1% CREAM 0.549 50 0.82 20g 10.98 16.4




Administered by

1926 Clotrimazole cream 1% 797006-001 CANDIZOLE CREAM 0.417 50 0.63 20g 8.34 12.61927 Clotrimazole cream 1% 712205-004 CANESTEN TOPICAL CREAM 2.722 30 3.54 20g 54.44 70.81928 Clotrimazole cream 1% 793493-005 NORMOSPOR CREAM 0.293 50 0.44 20g 5.86 8.81929 Clotrimazole cream 1% 816299-005 XERASPOR-T CREAM 0.264 50 0.4 20g 5.28 81930 Clotrimazole cream 1% 839639-007 TRIMAZE CREAM 0.474 50 0.71 20g 9.48 14.21932 Clotrimazole Cream 1% 846422-018 FUNGISPOR 0.14 50 0.21 20g 2.8 4.21933 Clotrimazole cream 1% 814423-019 COVOSPOR CREAM 0.481 50 0.72 20g 9.62 14.41934 Ketoconazole Shampoo 2% 835587-002 NIZ SHAMPOO 0.907 30 1.18 80ml 72.56 94.41935 Ketoconazole Shampoo 2% 701565-003 KEZ SHAMPOO 0.428 50 0.64 80ml 34.24 51.21936 Miconazole Nitrate Cream 2% 700595-001 DERMAZOLE 2% 1.699 30 2.21 25g 42.48 55.251937 Miconazole Nitrate Cream 2% 877719-004 COVAREX 0.943 50 1.41 30g 28.29 42.31938 Nystatin Cream 100000 U/GM 745278-019 MYCOSTATIN CREAM 2.619 30 3.4 15g 39.28 511939 Terbinafine HCl Cream 1% 792705-009 LAMISIL CREAM 5.714 30 7.43 15g 85.71 111.451940 Terbinafine HCl Cream 1% 792705-017 LAMISIL CREAM 5.715 30 7.43 7.5g 42.86 55.731941 Betamethasone Valerate Cream 0.1% 882934-003 REPIVATE CREAM 0.395 50 0.59 15g 5.93 8.851942 BETAMETHASONE VALERATE CREAM 0.1% 827290-004 ADCO BETAMETHASONE CR 0.7 50 1.05 15G 10.5 15.751943 Betamethasone Valerate Cream 0.1% 833037-013 TOPIVATE 1MG/GM CREAM 0.39 50 0.59 500g 195 2951944 Betamethasone Valerate Cream 0.1% 708313-019 BETNOVATE 1MG/GM CREAM 1.18 30 1.53 15g 17.7 22.951946 Betamethasone Valerate Oint 0.1% 800171-004 LENOVATE 0.1% OINT 0.854 50 1.28 15g 12.81 19.21948 Clobetasol Propionate Cream 0.05% 718718-003 DERMOVATE CREAM 1.276 30 1.66 25g 31.9 41.51949 Clobetasol Propionate Oint 0.05% 718726-006 DERMOVATE OINTMENT 1.279 30 1.66 25g 31.98 41.51950 Clobetasol Propionate Oint 0.05% 868299-006 XENOVATE 1.764 50 2.65 25g 44.1 66.251951 Fluocinolone Acetonide Cream 0.025% 768278-007 SYNALAR .25MG/GM CREAM 2.725 30 3.54 15g 40.87 53.11952 Fluocinolone Acetonide Oint 0.025% 716286-017 CORTODERM OINT 0.695 50 1.04 500g 347.5 5201953 Fluocinolone Acetonide Oint 0.025% 768286-018 SYNALAR .25MG/GM OINT 2.725 30 3.54 15g 40.87 53.11954 Hydrocortisone Acetate Cream 1% 826642-004 LINK MEZZODERM 0.281 50 0.42 25g 7.02 10.51955 Hydrocortisone Acetate Cream 1% 810223-007 STOPITCH CREAM 0.831 50 1.25 20g 16.62 251956 Hydrocortisone Cream 1% 700445-001 VARI-HYDROCORTISONE 0.393 50 0.59 15g 5.9 8.851957 Hydrocortisone acetate oint 1% 745448-003 MYLOCORT 1GM/100GM OINT 1.063 50 1.59 25g 26.57 39.751958 Betamethasone Dipropionate Cream 0.05% 720399-009 DIPROSONE .5MG/GM CREAM 4.8 30 6.24 20g 96 124.81959 Benzoyl Peroxide Gel 5% 896079-002 CREME CLASSIQUE ACNE 5 GE 1.203 50 1.8 50g 60.15 901960 Benzoyl Peroxide Gel 5% 835366-006 PANOXYL ACNE 5% GEL 1.196 50 1.79 40g 47.84 71.61961 Ethinyl Estradiol-Cyproterone Acet Tab 0 897311-004 MINERVA 2.781 50 4.17 28 77.87 116.761962 ETHINYL ESTRADIOL-CYPROTERONE ACET TAB 0 706126-001 ADCO FEM 35 0.968 50 1.45 28 27.1 40.61963 Isotretinoin Cap 10 MG 701469-001 ORATANE 10MG 2.666 50 4 60 159.96 2401964 Isotretinoin Cap 10 MG 761125-019 ROACCUTANE 10MG CAP 4.594 30 5.97 60 275.64 358.21965 Isotretinoin Cap 20 MG 761133-003 ROACCUTANE 20MG CAP 8.357 30 10.86 60 501.42 651.61966 Isotretinoin Cap 20 MG 706955-001 TRETODERM 20MG CAP 4.857 50 7.29 60 291.42 437.41968 Tretinoin Gel 0.025% 760250-006 RETIN A 0.25MG/GM GEL 9.17 50 13.76 20g 183.4 275.21969 Salicylic Acid-Ichthammol-Zinc Oxide Oin 707202-001 MULTIPEOL OINT 1.224 50 1.84 50g 61.2 921970 Salicylic Acid-Ichthammol-Zinc Oxide Oin 703915-002 ANTIPEOL OINT 3.352 50 5.03 18g 60.34 90.541972 Chloramphenicol Ophth Oint 1% 765880-008 SPERSANICOL OINT 33.489 50 50.23 1 33.49 50.231974 Chloramphenicol Ophth Soln 0.5% 743550-013 MIN CHLORAMPHENICOL .5% 8.402 30 10.92 20 168.04 218.41975 Chloramphenicol Ophth Soln 0.5% 713821-019 CHLOROMYCETIN REDIDROPS 44.038 50 66.06 1 44.04 66.061976 Atropine Sulfate Ophth Soln 1% 734276-001 ISOPTO ATROPINE 1% DR 5ML 80.963 30 105.25 1 80.96 105.251977 Atropine Sulfate Ophth Soln 1% 743380-010 MIN ATROPINE 1% DROPS 8.639 50 12.96 20 172.78 259.21978 Timolol Maleate Ophth Soln 0.5% 821624-008 GLAUCOSAN 0.5% 5ML 41.57 50 62.36 1 41.57 62.361979 Cromolyn Sodium Ophth Soln 2% 894605-003 STOP ALLERG 13.5ML 23.089 50 34.63 1 23.09 34.631980 Cromolyn Sodium Ophth Soln 2% 822698-005 CROMOHEXAL EYE DROPS 28.526 50 42.79 1 28.53 42.791984 AMILORIDE & HYDROCHLOROTHIAZIDE TAB 5-50 780618-009 ADCO RETIC TAB 0.197 50 0.3 100 19.7 301985 Amiloride & Hydrochlorothiazide Tab 5-50 702803-022 AMILORETIC TAB 0.209 50 0.31 1000 209 3101986 Amiloride & Hydrochlorothiazide Tab 5-50 808695-029 BETARETIC TAB 0.151 50 0.23 1000 151 2301987 Indapamide Tab 2.5 MG 833045-008 DAPTRIL 2.5MG TAB 0.335 50 0.5 30 10.05 151988 Indapamide Tab 2.5 MG 819417-009 DAPAMAX 2.5MG TAB 0.463 50 0.69 30 13.89 20.71991 Spironolactone Tab 100 MG 898937-019 SPIRACTIN 100MG TAB 5.349 50 8.02 60 320.94 481.21992 Spironolactone Tab 25 MG 765910-004 SPIRACTIN 25MG TAB 0.867 50 1.3 30 26.01 391993 Spironolactone Tab 25 MG 765910-012 SPIRACTIN 25MG TAB 0.867 50 1.3 200 173.4 2601994 Triamterene & Hydrochlorothiazide Tab 50 721824-005 DYAZIDE TAB 1.546 30 2.01 28 43.29 56.281995 Triamterene & Hydrochlorothiazide Tab 50 780146-018 RENEZIDE TAB 0.702 50 1.05 28 19.66 29.41996 Sod Bicarb-Sod Citrate-Citric Acid-Tart 855227-001 QUATRO-SODA GRAN 0.188 50 0.28 60 11.28 16.81997 Sod Bicarb-Sod Citrate-Citric Acid-Tart 809942-003 CITRO-SODA ORANGE 0.467 30 0.61 60 28.02 36.61998 Sod Bicarb-Sod Citrate-Citric Acid-Tart 816256-012 ALKAFIZZ GRAN 0.383 50 0.57 60 22.98 34.21999 SOD BICARB-SOD CITRATE-CITRIC ACID-TART 820059-013 ADCO SODASOL GRAN 0.184 50 0.28 120 22.08 33.62000 Clotrimazole Vaginal Cream 1% 702574-001 PINASPOR V 1% VCR 0.392 50 0.59 50g 19.6 29.52002 Clotrimazole Vaginal Cream 1% 832332-003 COVOSPOR VAGINAL CREAM 0.405 50 0.61 50g 20.25 30.52003 Clotrimazole Vaginal Cream 1% 839620-004 GYNO-TRIMAZE VCR 0.149 50 0.22 50g 7.45 112004 Clotrimazole Vaginal Cream 1% 831883-006 CANDASPOR VCR 0.398 50 0.6 50g 19.9 302005 Clotrimazole Vaginal Cream 1% 832391-018 MEDASPOR VCR 0.415 50 0.62 50g 20.75 312006 Clotrimazole Vaginal Cream 1% 832596-019 CANDIZOLE VCR 0.318 50 0.48 50g 15.9 242007 Amoxicillin & K Clavulanate Tab 875-125 703356-001 SANDOZ CO-AMOXICLAV BD 1000MG 7.683 50 11.52 10 76.83 115.22008 Amoxicillin & K Clavulanate Tab 875-125 703903-003 FORCID SOLUTAB 875/125 8.293 50 12.44 10 82.93 124.42009 Amoxicillin & K Clavulanate For Susp 400 704068-001 AUGMENTIN BD SF SUSP 1.124 30 1.46 70ml 78.68 102.22010 Amoxicillin & K Clavulanate For Susp 400 705471-001 SANDOZ CO-AMOCLAV BD 0.741 50 1.11 35ml 25.93 38.852011 Amoxicillin & K Clavulanate For Susp 400 705832-002 CURAM BD SUSP 0.777 50 1.17 70ml 54.39 81.92012 Amoxicillin & K Clavulanate For Susp 125 894123-003 RANCLAV SUSPENSION 0.246 50 0.37 100ml 24.6 372013 Amoxicillin & K Clavulanate For Susp 125 878774-009 SANDOZ AMOCLAV S 0.22 50 0.33 100ml 22 332014 Amoxicillin & k clavulanate for susp 250 829277-005 AUGMENTIN SF SUSP 1.547 30 2.01 100ml 154.7 2012015 Amoxicillin & k clavulanate for susp 250 842532-005 CLAMENTIN SF 0.479 50 0.72 100ml 47.9 722016 AMOXICILLIN & K CLAVULANATE FOR SUSP 250 899100-007 ADCO AMOCLAV SF 0.509 30 0.66 100ML 50.9 662017 Amoxicillin & k clavulanate for susp 250 861960-009 AUGMAXCIL SF 0.401 50 0.6 100ml 40.1 602018 Amoxicillin & K Clavulanate Tab 250-125 865532-001 BIO-AMOKSIKLAV 1.827 50 2.74 15 27.41 41.12019 Amoxicillin & K Clavulanate Tab 250-125 878766-006 SANDOZ AMOCLAV 375 1.799 50 2.7 15 26.99 40.52020 AMOXICILLIN & K CLAVULANATE TAB 250-125 893218-006 ADCO AMOCLAV 375 1.978 50 2.97 15 29.67 44.552021 Amoxicillin & K Clavulanate Tab 250-125 842516-018 CLAMENTIN 375MG 2.281 50 3.42 15 34.21 51.32023 Amoxicillin & K Clavulanate Tab 500-125 701736-001 SANDOZ CO-AMOXICLAV 625 3.039 50 4.56 15 45.59 68.42024 AMOXICILLIN & K CLAVULANATE TAB 500-125 893224-007 ADCO AMOCLAV 625 3.603 50 5.4 15 54.04 812025 Amoxicillin & K Clavulanate Tab 500-125 865524-010 BIO-AMOKSIKLAV 625 TAB 3.015 50 4.52 15 45.23 67.82026 Amoxicillin & K Clavulanate Tab 500-125 707185-001 AMOCLAN FORTE TAB 3.172 50 4.76 15 47.58 71.42027 Amoxicillin (Trihydrate) Cap 250 MG 744689-007 MOXYPEN 250MG CAP 0.343 50 0.51 15 5.14 7.652033 Amoxicillin (Trihydrate) Cap 250 MG 704401-001 AMOXICAP 250MG CAP 0.215 50 0.32 500 107.5 1602034 Amoxicillin (Trihydrate) Cap 250 MG 706950-001 AMOCAS 250MG CAP 0.217 50 0.33 15 3.25 4.952035 AMOXICILLIN (TRIHYDRATE) CAP 500 MG 811440-001 ADCO AMOX 500MG CAP 0.629 30 0.82 15 9.44 12.32036 Amoxicillin (Trihydrate) Cap 500 MG 744697-018 MOXYPEN 500MG CAP 0.626 50 0.94 15 9.39 14.12037 Amoxicillin (Trihydrate) Cap 500 MG 788546-023 BETAMOX 500MG CAP 0.458 50 0.69 500 229 3452041 Amoxicillin (Trihydrate) Cap 500 MG 704444-001 ALLMOX 500MG CAP 0.363 50 0.54 500 181.5 2702042 Amoxicillin (Trihydrate) For Susp 125 MG 829145-001 AMOXIL S 125MG SUSP 0.466 30 0.61 100ml 46.6 612043 Amoxicillin (Trihydrate) For Susp 125 MG 829854-002 DYNA-AMOXYCILLIN125MG/5ML 0.093 50 0.14 100ml 9.3 142044 Amoxicillin (Trihydrate) For Susp 125 MG 829358-005 BETAMOX S 125MG/5ML SUS 0.07 50 0.11 100ml 7 112047 Amoxicillin (Trihydrate) For Susp 250 MG 701383-001 RANMOXY SUSP 250MG 0.093 50 0.14 100ml 9.3 142048 Amoxicillin (Trihydrate) For Susp 250 MG 829366-008 BETAMOX SF 250MG/5ML SUS 0.1 50 0.15 100ml 10 152050 AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG 829102-019 ADCO AMOX 250MG SUSP 0.1 50 0.15 100ML 10 152054 Ampicillin Cap 250 MG 783188-021 BE-AMPICIL 250MG CAP 0.246 50 0.37 1000 246 3702055 Ampicillin Cap 250 MG 784583-021 AMPIPEN 250MG CAP 0.222 50 0.33 1000 222 3302057 Ampicillin Sodium For Inj 250 MG 893889-005 AMPICILLIN 250MG VIAL 4.762 50 7.14 10 47.62 71.42058 Ampicillin Sodium For Inj 250 MG 893889-008 AMPICILLIN 250MG VIAL 4.762 50 7.14 100 476.2 7142059 Ampicillin Sodium For Inj 500 MG 893890-008 AMPICILLIN 500MG VIAL 8.116 50 12.17 100 811.6 12172060 Ampicillin-cloxacillin cap 250-250 mg 797553-002 APEN 500MG CAP 1.006 50 1.51 20 20.12 30.22061 Ampicillin-cloxacillin cap 250-250 mg 809616-017 CLOXAM 500MG CAP 2.136 50 3.2 100 213.6 320




Administered by

2063 Floxacillin Sodium Cap 250 MG 781231-019 SANDOZ FLUCLOXACILLIN 250 1.626 50 2.44 20 32.52 48.82065 Penicillin V Potassium Tab 250 MG 736635-017 LEN VK 250MG TAB 0.203 50 0.3 1000 203 3002067 Ceftriaxone sodium for inj 250 mg 761257-004 ROCEPHIN 250MG/ VIAL 34.415 30 44.74 1 34.42 44.742068 Ceftriaxone sodium for inj 500 mg 883357-003 PHARMACARE CEFTRIAXONE 0. 25.385 50 38.08 1 25.39 38.082069 Ceftriaxone sodium for inj 500 mg 761265-007 ROCEPHIN 500MG/ VIAL 56.807 30 73.85 1 56.81 73.852070 Ceftriaxone sodium for inj 1 gm 702483-003 ROCIJECT 1G VIAL 9.978 30 12.97 1 9.98 12.972071 Ceftriaxone sodium for inj 1 gm 893112-005 OFRAMAX 1000MG VIAL 10.407 50 15.61 1 10.41 15.612073 Ceftriaxone Sodium For Inj 1 GM 705870-001 ARROW CEFTRIAXONE SODIUM 23.363 50 35.04 1 23.36 35.042074 Ceftriaxone sodium for inj 2 gm 703319-001 ROCIJECT 2G VIAL 31.215 30 40.58 1 31.22 40.582075 Ceftriaxone sodium for inj 2 gm 701204-007 PHARMACARE CEFTRIAXONE 2G 52.081 50 78.12 1 52.08 78.122076 Cefuroxime Axetil Tab 250 MG 703867-001 SANDOZ CEFUROXIME 250MG TAB 6.43 50 9.65 10 64.3 96.52077 Cefuroxime Axetil Tab 250 MG 704982-001 CEFASYN 250MG TAB 6.8 50 10.2 10 68 1022078 Cefuroxime Axetil Tab 250 MG 704988-001 CEFU-HEXAL 250MG 7.752 50 11.63 10 77.52 116.32079 Cefuroxime Axetil Tab 500 MG 700687-001 CEROXIM 500MG 14.353 50 21.53 10 143.53 215.32080 Cefuroxime Axetil Tab 500 MG 781347-009 ZINNAT 500MG TAB 16.476 30 21.42 10 164.76 214.22081 Cefuroxime Axetil Tab 500 MG 704990-001 CEFU-HEXAL 500MG 13.705 50 20.56 10 137.05 205.62082 Cephalexin Cap 250 MG 897880-006 CPL ALNCE CEPHALEXIN 250 0.352 50 0.53 100 35.2 532084 Cephalexin Cap 500 MG 837253-004 RANCEPH 500MG CAP 0.809 50 1.21 20 16.18 24.22085 Cefpodoxime Proxetil For Susp 40 MG/5ML 703058-001 CEPODEM SUSP 1.009 50 1.51 50ml 50.45 75.52086 Cefpodoxime Proxetil For Susp 40 MG/5ML 805165-002 ORELOX JUNIOR SUSP 1.419 50 2.13 50ml 70.95 106.52087 Cefpodoxime Proxetil For Susp 40 MG/5ML 707301-002 SIMAYLA CEFPODOXIME 40MG/ 1.017 50 1.53 100ml 101.7 1532088 Cefpodoxime proxetil tab 100 mg 703056-001 CEPODEM 100MG TAB 6.77 50 10.16 10 67.7 101.62089 FLUCONAZOLE CAP 50 MG 700597-001 FLUZOL 50MG 10.04 50 15.06 14 140.56 210.842090 Fluconazole Cap 50 MG 703623-001 ASPEN FLUCONAZOLE 50MG 5.375 50 8.06 14 75.25 112.842091 Fluconazole Cap 50 MG 704358-001 AUSTELL FLUCON 50MG CAP 5.439 50 8.16 14 76.15 114.242092 Fluconazole Cap 150 MG 700149-001 FLUCORIC 150MG CAP 15.4 50 23.1 1 15.4 23.12093 Fluconazole Cap 150 MG 703635-001 DIFLUZOLE 150MG 16.393 50 24.59 1 16.39 24.592094 Fluconazole Cap 150 MG 786373-008 DIFLUCAN 150MG CAP 65.889 30 85.66 1 65.89 85.662095 Fluconazole Cap 150 MG 786373-091 DIFLUCAN 150MG CAP 65.889 30 85.66 4 263.56 342.642096 Fluconazole Cap 150 MG 704357-003 AUSTELL FLUCONAZOLE 150MG 14.5 50 21.75 4 58 872097 Fluconazole Cap 150 MG 707315-001 SIMAYLA FLUCONAZOLE 150MG 16.326 50 24.49 1 16.33 24.492098 Fluconazole Cap 200 MG 703626-001 ASPEN FLUCONAZOLE 200MG 10.249 50 15.37 28 286.97 430.362099 Fluconazole Cap 200 MG 820539-007 DIFLUCAN 200MG CAP 57.207 30 74.37 28 1601.8 2082.362100 Fluconazole Cap 200 MG 704116-001 CIPLA-FLUCONAZOLE 200MG 10.249 50 15.37 30 307.47 461.12101 Ketoconazole Tab 200 MG 747335-001 NIZORAL 200MG TAB 24.313 30 31.61 10 243.13 316.12102 Ketoconazole Tab 200 MG 875368-018 KETAZOL 200MG TAB 8.261 50 12.39 10 82.61 123.92103 Ketoconazole Tab 200 MG 704910-001 SANDOZ KETOCONAZOLE 200MG 7.32 50 10.98 30 219.6 329.42104 Nystatin Susp 100000 U/ML 701100-001 CANDACIDE 0.987 50 1.48 20ml 19.74 29.62105 Nystatin Susp 100000 U/ML 835056-007 CANSTAT ORAL DROPS 1.015 50 1.52 20ml 20.3 30.42107 Terbinafine hcl tab 250 mg 705114-001 MERCK TERBINAFINE 250MG T 12.133 50 18.2 14 169.86 254.82108 Terbinafine hcl tab 250 mg 706553-001 NAFIN 250MG TAB 10.959 50 16.44 28 306.85 460.322109 Terbinafine hcl tab 250 mg 706757-001 TERBANE 250MG TAB 16.5 50 24.75 14 231 346.52110 ITRACONAZOLE CAP 100 MG 705371-002 ADCO SPOROZOLE 100MG 19.467 50 29.2 14 272.54 408.82111 ITRACONAZOLE CAP 100 MG 705371-003 ADCO SPOROZOLE 100MG 19.467 50 29.2 28 545.08 817.62112 Itraconazole Cap 100 MG 786322-039 SPORANOX 100MG CAP 32.983 30 42.88 14 461.76 600.322114 Chloroquine sulfate cap 200 mg 794333-028 PLASMOQUINE 200MG CAP 1.507 30 1.96 100 150.7 1962115 Chloroquine sulfate tab 200 mg 747297-029 NIVAQUINE 200MG TAB 2.587 30 3.36 14 36.22 47.042116 Metronidazole Cap 200 MG 745863-027 NAROBIC 200MG CAP 0.341 50 0.51 100 34.1 512117 Metronidazole Tab 200 MG 772216-010 TRICHAZOLE 200MG TAB 0.112 50 0.17 250 28 42.52118 METRONIDAZOLE TAB 200 MG 792284-011 ACUZOLE 200MG TAB 0.091 50 0.14 500 45.5 702119 Metronidazole Tab 200 MG 804916-020 MERCK-METRON 200MG TAB 0.082 50 0.12 250 20.5 302120 Metronidazole Tab 200 MG 707241-001 BIO-METRONIDAZOLE TAB 0.055 50 0.08 250 13.75 202122 Metronidazole Tab 400 MG 702148-011 AMZOLE 400MG 0.102 50 0.15 1000 102 1502123 Metronidazole Tab 400 MG 772224-013 TRICHAZOLE 400MG TAB 0.284 50 0.43 100 28.4 432124 Metronidazole Tab 400 MG 726354-015 FLAGYL 400MG TAB 3.217 30 4.18 100 321.7 4182126 Metronidazole Tab 400 MG 793167-078 METAZOL 400MG 0.121 50 0.18 1000 121 1802128 Mefloquine HCl Tab 250 MG 835552-004 MEFLIAM TAB 11.249 50 16.87 6 67.49 101.222129 ACYCLOVIR CREAM 5% 824674-006 ADCO ACYCLOVIR 50 CREAM 6.96 50 10.44 2G 13.92 20.882130 Acyclovir Cream 5% 823473-007 ACTIVIR PUMP CREAM 20.326 30 26.42 2g 40.65 52.842131 Acyclovir Cream 5% 826340-016 ZOVIRAX 50MG/GM CREAM 11.504 50 17.26 2g 23.01 34.522132 Acyclovir Sodium IV Soln 25 MG/ML 895014-003 PHARMACARE ACYCLOVIR 250M 109.533 50 164.3 5 547.66 821.52133 ACYCLOVIR TAB 200 MG 827282-001 ADCO ACYCLOVIR TAB 200 MG 1.757 50 2.64 25 43.92 662134 Acyclovir Tab 200 MG 704778-001 ACITAB-200 DT 1.744 50 2.62 25 43.6 65.52135 Acyclovir Tab Disp 200 MG 838225-004 LOVIRE 200MG DISP TAB 1.624 50 2.44 25 40.6 612136 Pyrilamine Maleate Cream 2% 703834-002 ANTHISAN CREAM 1.015 30 1.32 25g 25.37 332137 Pyrilamine Maleate Cream 2% 701102-004 MEPYRADERM 0.385 50 0.58 25g 9.62 14.52139 Erythromycin Estolate Cap 250 MG 765651-009 SPECTRASONE 250MG CAP 0.55 50 0.83 20 11 16.62140 Erythromycin Estolate Cap 250 MG 758388-012 PURMYCIN 250MG CAP 0.644 50 0.97 100 64.4 972141 Erythromycin Estolate Cap 250 MG 824682-017 XERAMEL 250MG CAP 0.584 50 0.88 500 292 4402142 Erythromycin Estolate Cap 250 MG 758388-020 PURMYCIN 250MG CAP 0.644 50 0.97 500 322 4852143 Erythromycin Estolate Susp 125 MG/5ML 823570-002 XERAMEL S SUS 0.114 50 0.17 100ml 11.4 172144 Erythromycin Estolate Susp 125 MG/5ML 765678-004 SPECTRASONE 125MG SUS 0.096 50 0.14 100ml 9.6 142145 Erythromycin Estolate Susp 125 MG/5ML 787108-006 ERYMYCIN P 125MG SUSP 0.119 50 0.18 100ml 11.9 182146 Erythromycin Estolate Susp 125 MG/5ML 793329-019 BETAMYCIN 125MG SUS 0.116 50 0.17 100ml 11.6 172148 Erythromycin Stearate Cap 250 MG 724076-018 ERYMYCIN AF 250MG CAP 1.729 30 2.25 20 34.58 452149 Erythromycin Stearate Cap 250 MG 724076-026 ERYMYCIN AF 250MG CAP 1.729 30 2.25 100 172.9 2252151 Roxithromycin tab 150 mg 704782-001 ROXIBID 150MG TAB 5.77 50 8.66 10 57.7 86.62152 Clarithromycin Tab 500 MG 704033-001 CLACEE 500MG TAB 6.233 50 9.35 10 62.33 93.52153 Clarithromycin Tab 500 MG 704033-002 CLACEE 500MG TAB 6.234 50 9.35 14 87.28 130.92154 Clarithromycin Tab 500 MG 705416-002 MERCK-CLARITHROMYCIN 500MG 5.754 50 8.63 14 80.56 120.822157 Clarithromycin For Susp 125 MG/5ML 706758-001 CLARIHEXAL 125 P SUS 0.849 50 1.27 50ml 42.45 63.52158 Clarithromycin For Susp 125 MG/5ML 707357-001 RAN-CLARITHROMYCIN 125MG/ 0.987 50 1.48 60ml 59.22 88.82159 Clarithromycin For Susp 250 MG/5ML 706759-001 CLARIHEXAL 250 P SUS 1.56 50 2.34 50ml 78 1172160 Azithromycin Tab 500 MG 705100-001 ASPEN AZITHROMYCIN 500MG TAB 23.546 50 35.32 3 70.64 105.962161 Azithromycin Tab 500 MG 705975-001 ZITHROGEN 500MG TAB 19.494 50 29.24 3 58.48 87.722162 Doxycycline Hyclate Cap 50 MG 798401-028 DUMOXIN 50MG CAP 1.243 30 1.62 30 37.29 48.62163 Doxycycline Hyclate Cap DR Particles 50 812684-001 CYCLIDOX EC 50MG CAP 1.246 50 1.87 30 37.38 56.12164 Doxycycline Hyclate Cap 100 MG 716944-022 CYCLIDOX 100MG CAP 0.296 50 0.44 100 29.6 442165 Doxycycline Hyclate Cap 100 MG 809667-029 DOXYCYL 100MG CAP 0.326 50 0.49 100 32.6 492167 Doxycycline Hyclate Cap DR Particles 100 812692-039 CYCLIDOX EC 100MG CAP 1.598 30 2.08 100 159.8 2082168 Minocycline hcl tab 50 mg 823155-005 MINOTABS 50MG TAB 2.044 50 3.07 60 122.64 184.22169 Oxytetracycline HCl Cap 250 MG 703224-001 PHARMATET 250MG CAP 0.116 50 0.17 1000 116 1702170 Oxytetracycline HCl Cap 250 MG 812072-006 TETRACEM 250MG CAP 0.258 50 0.39 100 25.8 392172 Oxytetracycline HCl Cap 250 MG 787434-035 BE-OXYTET 250MG CAP 0.127 50 0.19 1000 127 1902173 Oxytetracycline HCl Cap 250 MG 751987-115 OXYPAN 250MG CAP 0.182 50 0.27 1000 182 2702174 Sulfamethoxazole-Trimethoprim IV Soln 80 785644-008 PURBAC 5ML INJ 29.337 50 44.01 10 293.37 440.12175 Sulfamethoxazole-Trimethoprim IV Soln 80 706418-018 BACTRIM 5ML INJ 35.372 30 45.98 5 176.86 229.92176 Sulfamethoxazole-Trimethoprim Susp 200-4 705259-003 ILVITRIM SUSP 0.06 50 0.09 500ml 30 452180 Sulfamethoxazole-Trimethoprim Susp 40-20 795070-004 BENCOLE SUSP 0.059 30 0.08 50ml 2.95 42181 Sulfamethoxazole-Trimethoprim Susp 40-20 894842-005 DOCTRIM 0.057 50 0.09 50ml 2.85 4.52182 Sulfamethoxazole-Trimethoprim Susp 40-20 758221-010 PURBAC SUSP 0.063 50 0.09 100ml 6.3 92183 Sulfamethoxazole-Trimethoprim Susp 40-20 894842-013 DOCTRIM 0.057 50 0.09 100ml 5.7 92184 Sulfamethoxazole-Trimethoprim Susp 40-20 779881-028 CO-TRIM SUSP 0.048 50 0.07 100ml 4.8 72186 Sulfamethoxazole-Trimethoprim Tab 160-80 706442-008 BACTRIM DS TAB 5.525 30 7.18 10 55.25 71.82187 Sulfamethoxazole-Trimethoprim Tab 400-80 704095-001 ILVITRIM TAB 0.104 50 0.16 1000 104 1602188 Sulfamethoxazole-Trimethoprim Tab 400-80 721751-009 DUROBAC TAB 0.118 30 0.15 1000 118 1502189 Sulfamethoxazole-Trimethoprim Tab 80-400 701754-003 MICRO CO-TRIMOXAZOLE 0.127 50 0.19 1000 127 1902190 Sulfamethoxazole-Trimethoprim Tab 80-400 793698-006 XEROPRIM 480MG 0.392 50 0.59 20 7.84 11.8




Administered by

2191 Sulfamethoxazole-Trimethoprim Tab 80-400 793698-014 XEROPRIM 480MG 0.392 50 0.59 100 39.2 592192 Sulfamethoxazole-Trimethoprim Tab 80-400 789836-025 TRIMETHOX TAB 0.108 50 0.16 1000 108 1602193 Sulfamethoxazole-Trimethoprim Tab 80-400 867977-027 NUCOTRIM 480MG 0.098 50 0.15 1000 98 1502195 Ciprofloxacin hcl tab 250 mg (base equiv 700516-001 DYNAFLOC 250 1.002 50 1.5 10 10.02 152196 Ciprofloxacin hcl tab 250 mg (base equiv 701778-001 CIPRO-HEXAL 250MG 1.127 50 1.69 10 11.27 16.92197 Ciprofloxacin hcl tab 250 mg (base equiv 703043-002 CIPROGEN 250MG TAB 0.76 50 1.14 100 76 1142198 Ciprofloxacin hcl tab 250 mg (base equiv 701208-003 ORPIC 250MG TAB 1.035 50 1.55 10 10.35 15.52199 CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV 893240-006 ADCO CIPRIN 250MG 0.706 50 1.06 10 7.06 10.62200 Ciprofloxacin hcl tab 250 mg (base equiv 704459-001 BIOCIP 250MG TAB 0.999 50 1.5 10 9.99 152201 Ciprofloxacin hcl tab 250 mg (base equiv 704353-002 AUSTELL CIPROFLOX 250MG TAB 0.874 50 1.31 100 87.4 1312202 Ciprofloxacin HCl Tab 500 MG (Base Equiv 700518-001 DYNAFLOC 500 1.548 50 2.32 10 15.48 23.22203 Ciprofloxacin HCl Tab 500 MG (Base Equiv 702379-001 CIPLOXX 500 2.26 50 3.39 10 22.6 33.92204 Ciprofloxacin HCl Tab 500 MG (Base Equiv 703045-001 CIPROGEN 500MG TAB 1.257 50 1.89 10 12.57 18.92205 Ciprofloxacin HCl Tab 500 MG (Base Equiv 786403-004 CIPROBAY 500MG TAB 11.184 30 14.54 10 111.84 145.42206 Ciprofloxacin HCl Tab 500 MG (Base Equiv 704775-001 CIPROL 500MG TAB 1.426 50 2.14 10 14.26 21.42207 Ciprofloxacin HCl Tab 500 MG (Base Equiv 704460-001 BIOCIP 500MG TAB 1.695 50 2.54 10 16.95 25.42210 Ciprofloxacin HCl Tab 750 MG (Base Equiv 704352-002 AUSTELL CIPROFLOX 750 MG TAB 6.155 50 9.23 100 615.5 9232212 Norfloxacin Tab 400 MG 702524-001 FLOXIN 400MG 2.522 50 3.78 6 15.13 22.682213 Ofloxacin Tab 200 MG 783358-008 TARIVID 200MG TAB 20.419 30 26.54 10 204.19 265.42215 Clindamycin hcl cap 150 mg 717347-028 DALACIN C 150MG CAP 2.778 30 3.61 100 277.8 3612216 Clindamycin hcl cap 150 mg 717347-117 DALACIN C 150MG CAP 2.777 30 3.61 20 55.54 72.22217 Gliclazide Tab 80 MG 834866-005 SANDOZ GLICLAZIDE 80MG 0.441 50 0.66 60 26.46 39.62219 Gliclazide Tab 80 MG 834599-015 GLUCOMED 0.618 50 0.93 500 309 4652220 Metformin HCl Tab 500 MG 702385-001 METFORAL 500MG 0.285 50 0.43 100 28.5 432221 Metformin HCl Tab 500 MG 719285-003 SANDOZ METFORMIN 500MG 0.269 30 0.35 100 26.9 352222 Metformin HCl Tab 500 MG 705757-001 AUSTELL-METFORMIN 500MG 0.288 50 0.43 100 28.8 432223 Metformin HCl Tab 500 MG 705757-002 AUSTELL-METFORMIN 500MG 0.288 50 0.43 500 144 2152224 Metformin HCl Tab 850 MG 729167-003 GLUCOPHAGE F 850MG TAB 0.73 30 0.95 60 43.8 572225 Metformin HCl Tab 850 MG 729167-011 GLUCOPHAGE F 850MG TAB 0.73 30 0.95 300 219 2852226 Metformin HCl Tab 850 MG 705358-001 DIABETMIN 850MG TAB 0.618 50 0.93 100 61.8 932227 Metformin HCl Tab 850 MG 706673-001 ARROW METFORMIN 850MG TAB 0.519 30 0.67 60 31.14 40.22228 Glyburide Tab 5 MG 729361-004 GLYCOMIN 5MG TAB 0.172 50 0.26 30 5.16 7.82229 GLYBURIDE TAB 5 MG 724858-016 EUGLUCON 5MG TAB 2.305 30 3 100 230.5 3002231 Glyburide Tab 5 MG 717452-026 DAONIL 5MG TAB 3.725 30 4.84 100 372.5 4842232 Glimepiride tab 1 mg 704362-001 GLAMARYL 1MG TAB 1.722 50 2.58 30 51.66 77.42233 Glimepiride tab 2 mg 704363-001 GLAMARYL 2MG TAB 3.272 50 4.91 30 98.16 147.32234 Glimepiride tab 2 mg 704674-001 SANDOZ GLIMEPIRIDE 2MG TAB 2.478 50 3.72 30 74.34 111.62235 Glimepiride tab 4 mg 704675-001 SANDOZ GLIMEPIRIDE 4MG TAB 3.716 50 5.57 30 111.48 167.12236 Betamethasone Syrup 0.6 MG/5ML 797596-003 STEROMIEN 0.6MG/5ML SYR 0.351 30 0.46 100ml 35.1 462237 Betamethasone Tab 0.5 MG 713139-005 CELESTONE 0.5MG TAB 2.412 30 3.14 100 241.2 3142238 Betamethasone Tab 0.5 MG 826928-013 BETANOID 0.5MG TAB 2.002 50 3 100 200.2 3002239 Prednisolone Syrup 15 MG/5ML 805149-031 PRELONE 15MG/5ML SYR 1.282 50 1.92 100ml 128.2 1922240 Medroxyprogesterone Acetate Tab 5 MG 706704-001 HEXAL-MPA 5MG TAB 2.103 50 3.15 30 63.09 94.52241 Medroxyprogesterone Acetate Tab 10 MG 808245-007 PROVERA 10MG TAB 4.336 30 5.64 30 130.08 169.22242 Clomiphene Citrate Tab 50 MG 840270-003 FERTOMID 50MG TAB 6.633 50 9.95 10 66.33 99.52243 Clomiphene Citrate Tab 50 MG 884980-008 CLOMIHEXAL 50MG TAB 2.852 50 4.28 10 28.52 42.82244 Cyproterone Acetate Tab 50 MG 703583-018 ANDROCUR 50MG TAB 19.638 30 25.53 20 392.76 510.62245 Danazol Cap 200 MG 735663-009 LADAZOL 200MG CAP 14.142 30 18.38 60 848.52 1102.82246 Flutamide Tab 250 MG 701389-001 FLUTAPLEX 250 6.289 50 9.43 90 566.01 848.72247 Bromocriptine Mesylate Tab 2.5 MG 752959-018 PARLODEL 2.5MG TAB 8.375 30 10.89 30 251.25 326.72248 Tamsulosin HCl Cap CR 0.4 MG 706713-001 TAMSUL 0.4MG SR 4.983 50 7.47 30 149.49 224.12249 Tetracaine HCl Cream 1% 703591-010 ANETHAINE CREAM 0.844 50 1.27 40g 33.76 50.82250 Lidocaine-Prilocaine Cream 2.5-2.5% 701499-001 TOPLA CREAM 22.004 50 33.01 5g 110.02 165.052252 Calcium Carbonate Chew Tab 1250 MG (500 828289-018 B-CAL CHEW 0.665 50 1 100 66.5 1002253 Calcium Carbonate Effer Tab 1250 MG 825131-014 CALCIUM-HEXAL EFF TAB 1.587 30 2.06 10 15.87 20.62254 Potassium Chloride Tab CR 8 mEq 764396-005 SLOW-K 600MG TAB 0.843 30 1.1 500 421.5 5502255 Potassium Chloride Tab CR 8 mEq 755753-011 PLENISH K 600MG TAB 0.756 50 1.13 500 378 5652258 MAGNESIUM CHLORIDE TAB CR 535 MG (64 MG 764418-009 SLOW MAG 535MG TAB 1.327 30 1.73 30 39.81 51.92259 MAGNESIUM CHLORIDE TAB CR 535 MG (64 MG 764418-017 SLOW MAG 535MG TAB 1.116 30 1.45 60 66.96 872260 Magnesium Chloride Tab CR 535 MG (64 MG 848514-017 LINK MAGNESIUM 0.317 50 0.48 100 31.7 482261 Magnesium Chloride Tab CR 535 MG (64 MG 705573-002 ALPHA PHARM MAGNESIUM SL 0.325 50 0.49 100 32.5 492262 Magnesium Chloride Tab CR 535 MG (64 MG 706356-001 CLICKS MAGNESIUM S/RELEAS 0.014 50 0.02 60 0.84 1.22265 Azathioprine Tab 50 MG 700777-007 ZAPRINE 50MG TAB 4.55 50 6.83 100 455 6832266 Methyldopa Tab 250 MG 732052-009 HY-PO-TONE 250MG TAB 0.606 50 0.91 100 60.6 912269 METRONIDAZOLE 200MG 702692-027 AMBRAL 200MG TAB 0.097 50 0.15 500 48.5 752281 Ketazol 200mg tab 721549-012 ORALAX TABLETS 1.002 50 1.5 200 200.4 3002290 Simvastatin tab 10 mg 707870-001 SIMAYLA SIMVASTATIN 10MG TAB 0.897 50 1.35 28 25.12 37.82291 Levofloxacin tab 250 mg 707946-001 SANDOZ LEVOFLOXACIN 250MG 6.687 50 10.03 5 33.43 50.152293 Citalopram hydrobromide tab 20 mg (base 707888-001 CILATE 20MG TAB 1.643 50 2.46 30 49.29 73.82296 Carbamazepine tab sr 12hr 200 mg 705597-001 SANDOZ CARBAMAZEPINE CR 200MG 1.878 50 2.82 30 56.34 84.62297 Carbamazepine tab sr 12hr 200 mg 779652-002 TEGRETOL CR 200MG TAB 2.578 50 3.87 30 77.34 116.12298 Metoclopramide hcl tab 10 mg 700712-002 CLOMAX 10MG TAB 0.077 50 0.12 500 38.5 602299 Paracetamol-meprobamate-caff-cod cap 320 766798-003 STILPANE CAP 0.917 50 1.38 100 91.7 1382300 Cetirizine hcl tab 10 mg 707885-001 BETEK 10MG TAB 0.767 50 1.15 10 7.67 11.52301 Cetirizine hcl tab 10 mg 707885-002 BETEK 10MG TAB 0.767 50 1.15 30 23.01 34.52302 Valsartan tab 80 mg 700000-001 DIOVAN 80MG F/COATED 5.808 50 8.71 28 162.62 243.882303 Valsartan tab 80 mg 705060-001 TAREG 80MG TAB 2.897 50 4.35 28 81.12 121.82304 Valsartan-hydrochlorothiazide tab 80-12. 700710-001 CO-TAREG 80/12.5MG 5.808 50 8.71 28 162.62 243.882305 Valsartan-hydrochlorothiazide tab 80-12. 839884-002 CO-DIOVAN 80/12.5MG 5.808 50 8.71 28 162.62 243.882306 Lansoprazole cap delayed release 15 mg 708052-001 LANCAP 15MG CAP 2.184 50 3.28 30 65.52 98.42307 Lansoprazole cap delayed release 30 mg 708053-001 LANCAP 30MG CAP 3.069 50 4.6 30 92.07 1382308 Bisacodyl ec tab 5 mg 708008-001 LAXADOR BISACODYL 5MG TAB 0.363 50 0.54 30 10.89 16.22309 Bisacodyl ec tab 5 mg 708008-001 LAXADOR BISACODYL 5MG TAB 0.182 50 0.27 60 10.92 16.22310 Ampicillin sodium for inj 250 mg 707902-002 AMPOXIN 250 INJ 6.163 50 9.24 1 6.16 9.242311 Ampicillin sodium for inj 500 mg 707903-002 AMPOXIN 500 INJ 6.985 50 10.48 1 6.99 10.482312 Ceftriaxone sodium for inj 2 gm 707964-001 FRESENIUS-CEFTRIAXONE 2000MG 50.089 50 75.13 1 50.09 75.132313 Ciprofloxacin hcl tab 250 mg (base equiv 707886-001 CILOFLOC 250MG TAB 0.859 50 1.29 10 8.59 12.92314 Ciprofloxacin hcl tab 500 mg (base equiv 707887-001 CILOFLOC 500MG TAB 1.353 50 2.03 10 13.53 20.32316 Metformin hcl tab 500 mg 708009-002 FORMINAL 500MG TAB 0.28 50 0.42 100 28 422317 Metformin hcl tab 500 mg 708009-003 FORMINAL 500MG TAB 0.28 50 0.42 500 140 2102318 Metformin hcl tab 850 mg 708010-001 FORMINAL 850MG TAB 0.508 50 0.76 60 30.48 45.62319 Metformin hcl tab 850 mg 708010-002 FORMINAL 850MG TAB 0.508 50 0.76 300 152.4 2282322 Pioglitazone hcl tab 15 mg (base equiv) 707974-001 CIPLA PIOGLITAZONE 15MG TAB 2.046 50 3.07 30 61.38 92.12323 PIOGLITAZONE HCL TAB 15 MG (BASE EQUIV) 878243-003 ACTOS 15MG TAB 7.465 50 11.2 28 209.02 313.62324 Pioglitazone hcl tab 30 mg (base equiv) 707981-001 CIPLA PIOGLITAZONE 30MG TAB 3.438 50 5.16 30 103.14 154.82326 Zolpidem tartrate tab 10 mg 703384-001 IVEDAL 10MG TAB 2.204 50 3.31 30 66.12 99.32327 Diazepam Tab 5 MG 721174-027 DOVAL 5MG TAB 0.065 50 0.1 100 6.5 102328 Lorazepam tab 2.5 mg 705519-015 ATIVAN 2.5MG TAB 3.93 50 5.9 100 393 5902329 Lorazepam tab 2.5 mg 771767-005 TRANQIPAM 2.5MG TAB 2.541 50 3.81 100 254.1 3812330 Clomipramine HCl Inj 12.5 MG/ML 703400-002 ANAFRANIL 25MG/2ML 43.394 50 65.09 10 433.94 650.92331 Clomipramine HCl Inj 12.5 MG/ML 706193-001 MICRO CLOMIPRAMINE 30.648 50 45.97 10 306.48 459.72332 Dothiepin hcl cap 25 mg 820660-019 SANDOZ DOTHIEPINE 25MG CAP 0.755 50 1.13 100 75.5 1132334 Escitalopram oxalate tab 20 mg (base equ 710304-001 LEXAMIL 20MG TABLETS 3.579 50 5.37 30 107.37 161.12335 Escitalopram oxalate tab 10 mg (base equ 703232-001 CIPRALEX 10MG TAB 5.993 50 8.99 28 167.8 251.722336 Escitalopram oxalate tab 10 mg (base equ 710303-001 LEXAMIL 10MG TABLETS 1.823 50 2.73 30 54.69 81.92337 Citalopram hydrobromide tab 40 mg (base 705252-001 DEPRAMIL 40MG TAB 2.564 50 3.85 30 76.92 115.52338 Citalopram hydrobromide tab 40 mg (base 707397-001 AUSTELL-CITALOPRAM 40MG TAB 2.526 50 3.79 30 75.78 113.72339 Citalopram hydrobromide tab 40 mg (base 709644-001 CITALOPRAM-WINTHROP 40MG TAB 2.046 50 3.07 30 61.38 92.12340 Citalopram hydrobromide tab 20 mg (base 707398-001 AUSTELL-CITALOPRAM 20MG TAB 1.641 50 2.46 30 49.23 73.8




Administered by

2341 Citalopram hydrobromide tab 20 mg (base 709407-001 CITALOPRAM-WINTHROP 20MG TAB 1.689 50 2.53 30 50.67 75.92342 Paroxetine hcl tab 20 mg 707399-001 AUSTELL-PAROXETINE 20MG TAB 3.201 50 4.8 30 96.03 1442344 MIRTAZAPINE TAB 15 MG 708239-001 ADCO MIRTERON 15MG TAB 5.787 50 8.68 30 173.61 260.42345 Mirtazapine tab 15 mg 708303-001 SANDOZ MIRTAZAPINE 15MG TAB 5.623 50 8.43 30 168.69 252.92346 Mirtazapine tab 15 mg 709692-001 ASPEN MIRTAZAPINE 15MG TABS 5.787 50 8.68 30 173.61 260.42347 Mirtazapine tab 15 mg 897760-018 REMERON 15MG TAB 9.099 50 13.65 30 272.97 409.52348 MIRTAZAPINE TAB 30 MG 708242-001 ADCO MIRTERON 30MG TAB 8.893 50 13.34 30 266.79 400.22349 Mirtazapine tab 30 mg 708304-001 SANDOZ MIRTAZAPINE 30MG TAB 8.542 50 12.81 30 256.26 384.32350 Mirtazapine tab 30 mg 709693-001 ASPEN MIRTAZAPINE 30MG TABS 8.892 50 13.34 30 266.76 400.22351 Mirtazapine tab 30 mg 842958-002 REMERON 30MG TAB 13.822 50 20.73 30 414.66 621.92352 Sulpiride cap 50 mg 820199-001 SANDOZ SULPIRIDE 0.83 50 1.25 30 24.9 37.52353 SULPIRIDE CAP 50 MG 820199-028 SANDOZ SULPIRIDE 0.831 50 1.25 100 83.1 1252354 Haloperidol Tab 5 MG 730327-028 SANDOZ HALOPERIDOL 5MG TABS 0.828 50 1.24 100 82.8 1242355 Sertraline hcl tab 50 mg 708915-001 ZYLIN 50MG TAB 2.341 50 3.51 30 70.23 105.32356 Sertraline hcl tab 50 mg 709850-001 ZOSERT 50MG TABS 4.365 50 6.55 30 130.95 196.52357 Sertraline hcl tab 50 mg 709904-001 SERTRALINE-WINTHROP TABS 2.945 50 4.42 30 88.35 132.62358 Lamotrigine tab 25 mg 707787-001 AUSTELL-LAMOTRIGINE 25MG 1.631 50 2.45 60 97.86 1472359 Lamotrigine tab 25 mg 709539-001 ARROW LAMOTRIGINE 25MG TABS 1.315 50 1.97 60 78.9 118.22360 Lamotrigine tab 25 mg 710387-001 DYNA-LAMOTRIGINE 25MG TAB 0.965 50 1.45 60 57.9 872361 Lamotrigine tab 50 mg 707788-001 AUSTELL-LAMOTRIGINE 50MG 2.661 50 3.99 60 159.66 239.42362 Lamotrigine tab 50 mg 709537-001 ARROW LAMOTRIGINE 50MG TABS 1.641 50 2.46 60 98.46 147.62363 Lamotrigine tab 50 mg 710388-001 DYNA-LAMOTRIGINE 50MG TAB 1.419 50 2.13 60 85.14 127.82364 Lamotrigine tab 100 mg 707789-001 AUSTELL-LAMOTRIGINE 100MG 4.37 50 6.56 60 262.2 393.62365 Lamotrigine tab 100 mg 709540-001 ARROW LAMOTRIGINE 100MG TABS 2.763 50 4.14 60 165.78 248.42366 Lamotrigine tab 100 mg 710389-001 DYNA-LAMOTRIGINE 100MG TAB 2.429 50 3.64 60 145.74 218.42367 Lamotrigine tab 200 mg 707790-001 AUSTELL-LAMOTRIGINE 200MG 7.11 50 10.67 60 426.6 640.22368 Lamotrigine tab 200 mg 709541-001 ARROW LAMOTRIGINE 200MG TABS 4.537 50 6.81 60 272.22 408.62369 Lamotrigine tab 200 mg 710390-001 DYNA-LAMOTRIGINE 200MG TAB 3.725 50 5.59 60 223.5 335.42370 Gabapentin cap 100 mg 707622-001 EPLEPTIN 100MG CAP 0.983 50 1.47 100 98.3 1472371 Gabapentin cap 100 mg 708949-001 NEUREXAL 100MG CAP 0.882 50 1.32 100 88.2 1322372 Gabapentin cap 100 mg 807443-018 NEURONTIN 100MG CAP 1.611 50 2.42 100 161.1 2422373 Gabapentin cap 300 mg 707623-001 EPLEPTIN 300MG CAP 2.455 50 3.68 100 245.5 3682374 Gabapentin cap 300 mg 708994-001 NEUREXAL 300MG CAP 2.201 50 3.3 100 220.1 3302375 Gabapentin cap 300 mg 807451-002 NEURONTIN 300MG CAP 4.022 50 6.03 100 402.2 6032376 Gabapentin cap 400 mg 707624-001 EPLEPTIN 400MG CAP 2.455 50 3.68 100 245.5 3682377 Gabapentin cap 400 mg 708995-001 NEUREXAL 400MG CAPS 2.201 50 3.3 100 220.1 3302378 Gabapentin cap 400 mg 807478-008 NEURONTIN 400MG CAP 4.022 50 6.03 100 402.2 6032379 Topiramate tab 25 mg 708389-001 TOPLEP 25MG TAB 1.837 50 2.76 60 110.22 165.62380 Topiramate tab 25 mg 709284-001 SANDOZ TOPIRAMATE 25MG TAB 1.663 50 2.49 60 99.78 149.42381 Topiramate tab 25 mg 709360-001 PIRAMAX 25MG TAB 1.46 50 2.19 60 87.6 131.42382 TOPIRAMATE TAB 25 MG 710240-001 ADCO TOPIRAMATE 25MG TABLET 1.496 50 2.24 60 89.76 134.42383 Topiramate tab 25 mg 822515-008 TOPAMAX 25MG TAB 4.316 50 6.47 60 258.96 388.22384 Topiramate tab 50 mg 708390-001 TOPLEP 50MG TAB 3.379 50 5.07 60 202.74 304.22385 Topiramate tab 50 mg 709285-001 SANDOZ TOPIRAMATE 50MG TAB 2.915 50 4.37 60 174.9 262.22386 TOPIRAMATE TAB 50 MG 710241-001 ADCO TOPIRAMATE 50MG TABLET 2.874 50 4.31 60 172.44 258.62387 Topiramate tab 50 mg 822523-019 TOPAMAX 50MG TAB 6.789 50 10.18 60 407.34 610.82388 Topiramate tab 100 mg 708391-001 TOPLEP 100MG TAB 6.003 50 9 60 360.18 5402389 Topiramate tab 100 mg 709286-001 SANDOZ TOPIRAMATE 100MG TAB 5.42 50 8.13 60 325.2 487.82390 Topiramate tab 100 mg 709361-001 PIRAMAX 100MG TAB 5.007 50 7.51 60 300.42 450.62391 TOPIRAMATE TAB 100 MG 710242-001 ADCO TOPIRAMATE 100MG TABLET 4.391 50 6.59 60 263.46 395.42392 Topiramate tab 100 mg 822531-003 TOPAMAX 100MG TAB 11.445 50 17.17 60 686.7 1030.22393 Topiramate tab 200 mg 708392-001 TOPLEP 200MG TAB 8.913 50 13.37 60 534.78 802.22394 Topiramate tab 200 mg 709287-001 SANDOZ TOPIRAMATE 200MG TAB 8.044 50 12.07 60 482.64 724.22395 Topiramate tab 200 mg 709362-001 PIRAMAX 200MG TAB 7.638 50 11.46 60 458.28 687.62396 TOPIRAMATE TAB 200 MG 710243-001 ADCO TOPIRAMATE 200MG TABLET 8.368 50 12.55 60 502.08 7532397 Topiramate tab 200 mg 836753-003 TOPAMAX 200MG TAB 17.413 50 26.12 60 1044.78 1567.22398 Amantadine HCl Cap 100 MG 700500-003 SYMADIN 100MG CAP 2.372 50 3.56 20 47.44 71.22399 Amantadine HCl Cap 100 MG 768243-009 SYMMETREL 100MG CAP 8.988 50 13.48 20 179.76 269.62400 Carbidopa & levodopa tab 25-100 mg 764078-003 SINEMET 25/100 TAB 2.497 50 3.75 100 249.7 3752401 Carbidopa & levodopa tab 25-100 mg 824321-006 CARBILEV 25/100 TAB 2.745 50 4.12 100 274.5 4122402 Carbidopa & levodopa tab 25-250 mg 764086-006 SINEMET 25/250 TAB 3.415 50 5.12 100 341.5 5122403 Carbidopa & levodopa tab 25-250 mg 824348-001 CARBILEV 25/250 TAB 3.754 50 5.63 100 375.4 5632404 Carbamazepine tab sr 12hr 400 mg 705602-001 SANDOZ CARBAMAZEPINE CR 400MG 3.5 50 5.25 30 105 157.52405 Carbamazepine tab sr 12hr 400 mg 779660-005 TEGRETOL CR 400MG TAB 4.768 50 7.15 30 143.04 214.52406 Carbamazepine tab 200 mg 712493-018 DEGRANOL 200MG TAB 1.387 50 2.08 100 138.7 2082407 Carbamazepine tab 200 mg 712523-006 SANDOZ CARBAMAZEPINE 0.672 50 1.01 100 67.2 1012408 Carbamazepine tab 200 mg 769398-007 TEGRETOL 200MG TAB 2.426 50 3.64 50 121.3 1822409 Phenytoin sodium prompt cap 100 mg 723525-005 EPANUTIN 100MG CAP 1.579 50 2.37 100 157.9 2372410 Phenytoin sodium prompt tab 100 mg 754870-015 PHENYTOIN SOD 100MG TAB 0.354 50 0.53 1000 354 5302411 Phenytoin sodium prompt tab 100 mg 754870-016 PHENYTOIN SOD 100MG TAB 0.354 50 0.53 90 31.86 47.72412 CYCLIZINE HCL SYRUP 12.5 MG/5ML 792225-015 ACULOID 12.5MG/5ML SYR 0.26 50 0.39 50 13 19.52414 Cyclizine hcl supp 50 mg 772135-002 TRIAZINE 50MG SUPP 3.177 50 4.77 6 19.06 28.622415 Cyclizine hcl supp 50 mg 774618-019 VALOID 50MG SUPP 4.626 50 6.94 6 27.76 41.642416 Metoclopramide hcl inj 5 mg/ml 705973-001 MICRO METOCLOPRAMIDE 10MG 2.276 50 3.41 10 22.76 34.12417 Metoclopramide hcl inj 5 mg/ml 714836-001 CLOPAMON 10MG/2ML INJ 5.042 50 7.56 10 50.42 75.62418 Metoclopramide hcl inj 5 mg/ml 740535-005 MAXOLON 10MG/2ML INJ 6.491 50 9.74 10 64.91 97.42419 Metoclopramide hcl inj 5 mg/ml 832839-019 PRAMALON 10MG/2ML 2.048 50 3.07 10 20.48 30.72420 Metoclopramide hcl inj 5 mg/ml 856134-007 SABAX METOCLOPRAMIDE 2ML 1.854 50 2.78 10 18.54 27.82421 Sumatriptan succinate tab 50 mg 707087-001 MIGREX 50MG TAB 29.626 50 44.44 2 59.25 88.882422 Sumatriptan succinate tab 50 mg 709895-001 IMIGEN 50MG TAB 24.663 50 36.99 2 49.33 73.982423 Sumatriptan succinate tab 50 mg 709895-002 IMIGEN 50MG TAB 24.663 50 36.99 6 147.98 221.942426 Sumatriptan succinate tab 50 mg 815640-005 IMIGRAN 50MG TAB 51.411 50 77.12 2 102.82 154.242427 Sumatriptan succinate tab 50 mg 815640-013 IMIGRAN 50MG TAB 51.41 50 77.12 6 308.46 462.722428 Sumatriptan succinate tab 100 mg 707088-001 MIGREX 100MG TAB 35.552 50 53.33 4 142.21 213.322429 Sumatriptan succinate tab 100 mg 709897-001 IMIGEN 100MG TAB 27.963 50 41.94 4 111.85 167.762431 Sumatriptan succinate tab 100 mg 791857-018 IMIGRAN 100MG TAB 72.861 50 109.29 4 291.44 437.162432 Tramadol hcl cap 50 mg 710250-001 AUSTELL-TRAMADOL 50MG CAPSULE 1.085 50 1.63 20 21.7 32.62433 Tramadol hcl cap 50 mg 710250-002 AUSTELL-TRAMADOL 50MG CAPSULE 1.085 50 1.63 100 108.5 1632434 Ketorolac Tromethamine Inj 30 MG/ML 709803-001 BEDORAL 30MG/ML AMPOULE 11.789 50 17.68 10 117.89 176.82435 Ketorolac Tromethamine Inj 30 MG/ML 819352-012 TORA-DOL 3% INJ 23.924 50 35.89 5 119.62 179.452436 Paracetamol elixir 120 mg/5ml 707562-001 PAINAMOL (GLASS BOTTLE) SYR 0.067 50 0.1 50 3.35 52437 Paracetamol elixir 120mg/5ml 707562-002 PAINAMOL (G/BOTTLE) 120MG/5ML 0.361 50 0.54 100 36.1 542439 Paracetamol elixir 120 mg/5ml 703349-002 PAINBLOK 120MG/5ML (GLASS 0.036 50 0.05 100 3.6 52440 PARACETAMOL ELIXIR 120 MG/5ML 792101-006 ACTAMOL 120MG/5ML SYR 0.049 50 0.07 100 4.9 72441 Paracetamol syrup 120 mg/5ml 710452-001 WOODWARDS PARACETAMOL 120MG/5 0.157 50 0.24 100 15.7 242442 Paracetamol Tab 500 MG 708438-001 PANADO MELT 1.117 50 1.68 12 13.4 20.162443 Paracetamol Tab 500 MG 867969-024 PAINBLOK 500MG TAB 0.13 50 0.2 100 13 202446 Aspirin dispersible tab 300 mg 807206-010 DISPRIN CV 300MG DISP 0.746 50 1.12 32 23.87 35.842447 Aspirin Tab Delayed Release 81 MG 823481-018 ECOTRIN 81MG TAB 0.561 50 0.84 50 28.05 422448 Aspirin Tab Delayed Release 81 MG 823481-026 ECOTRIN 81MG TAB 0.519 50 0.78 100 51.9 782449 Mefenamic acid cap 250 mg 741167-042 SANDOZ MEFENAMIC ACID 250 0.477 50 0.72 20 9.54 14.42450 Paracetamol w/ Codeine Tab 500-10 MG 752614-002 PARACETACOD TAB 0.873 50 1.31 20 17.46 26.22451 Paracetamol w/ Codeine Tab 500-10 MG 752614-010 PARACETACOD TAB 0.873 50 1.31 100 87.3 1312452 Paracetamol-doxylamine-caffeine-codeine 799815-012 TENSOPYN PLAIN TAB 0.475 50 0.71 100 47.5 712453 PARACETAMOL-DOXYLAMINE-CAFFEINE-CODEINE 792241-002 ACURATE TAB 0.238 50 0.36 20 4.76 7.22454 PARACETAMOL-DOXYLAMINE-CAFFEINE-CODEINE 792241-029 ACURATE TAB 0.235 50 0.35 100 23.5 352455 Paracetamol-meprobamate-caff-cod tab 320 800325-044 BRISCOPYN TAB 0.238 50 0.36 1000 238 3602456 Paracetamol-meprobamate-caff-cod tab 320 823538-003 GO-PAIN TAB 0.214 50 0.32 1000 214 3202457 Paracetamol-meprobamate-caff-cod tab 320 834440-008 SPECTRAPAIN FORTE TAB 0.214 50 0.32 100 21.4 32




Administered by

2458 Acetaminophen-Promethazine w/ Codeine Sy 710248-001 BAN PAIN SYRUP 0.11 50 0.17 100 11 172464 Meloxicam tab 15 mg 705177-002 M-CAM 15MG TAB 2.09 50 3.14 30 62.7 94.22465 Meloxicam tab 15 mg 705230-002 ZYDUS-MELOXICAM 15MG TAB 1.362 50 2.04 30 40.86 61.22466 Meloxicam tab 15 mg 704589-001 SANDOZ MELOXICAM 15MG TAB 2.447 50 3.67 10 24.47 36.72467 Ibuprofen Tab 200 MG 895196-006 IBOFLAM 200MG TAB 0.17 50 0.26 1000 170 2602469 Ibuprofen Tab 400 MG 708290-001 BREN 400MG TAB 0.151 50 0.23 1000 151 2302470 Ibuprofen Gel 5% 833096-001 DEEP RELIEF GEL 0.597 50 0.9 25 14.93 22.52471 Ibuprofen Gel 5% 833096-028 DEEP RELIEF GEL 0.597 50 0.9 50 29.85 452473 Diclofenac sodium im inj soln 25 mg/ml 894050-006 BE-TABS DICLOFENAC 3ML IN 0.754 50 1.13 50 37.7 56.52474 Diclofenac Diethylammonium Gel 1.16% 702362-001 DICLOHEXAL GEL 0.531 50 0.8 40 21.24 322475 Diclofenac Diethylammonium Gel 1.16% 704641-001 VOLTAREN EMULGEL PUMP 75ML 66.615 50 99.92 1 66.61 99.922476 NAPROXEN TAB 250 MG 805238-026 NAPROSCRIPT 250MG TAB 0.254 50 0.38 500 127 1902477 Naproxen Tab 250 MG 799459-011 BE-TABS NAPROXEN 250 0.208 50 0.31 250 52 77.52478 Indomethacin cap 25 mg 814393-012 METHOCAPS 25MG 0.075 50 0.11 500 37.5 552479 Alendronate sodium tab 10 mg 703937-001 OSTEOBON-10 TAB 4.806 50 7.21 30 144.18 216.32480 Alendronate sodium tab 10 mg 817341-005 FOSAMAX 10MG TAB 9.752 50 14.63 30 292.56 438.92481 Alendronate sodium tab 70 mg 705067-001 OSTEOBON-70 TAB 36.759 50 55.14 4 147.04 220.562482 Alendronate sodium tab 70 mg 706339-001 FOSAGEN TAB 70MG 43.056 50 64.58 4 172.22 258.322483 Alendronate sodium tab 70 mg 709760-001 SANDOZ ALENDRONATE 70MG TAB 35.258 50 52.89 4 141.03 211.562484 Alendronate sodium tab 70 mg 897302-001 FOSAMAX 70MG TAB 76.911 50 115.37 4 307.64 461.482486 Cetirizine hcl syrup 5 mg/5ml 708117-001 CETIRIZINE-HEXAL 1MG/1ML 0.251 50 0.38 150 37.65 572487 Cetirizine hcl syrup 5 mg/5ml 707224-001 ADCO CETIRIZINE 1MG/ML SYR 0.49 50 0.74 150 73.5 1112488 Cetirizine hcl tab 10 mg 708687-001 SINUTAB SINUS ALLERGY 10MG 2.017 50 3.03 7 14.12 21.212490 Fexofenadine hcl tab 120 mg 709073-001 FEXO-FAST 120MG TAB 2.296 50 3.44 10 22.96 34.42491 Fexofenadine hcl tab 120 mg 709073-002 FEXO-FAST 120MG TAB 2.297 50 3.45 30 68.91 103.52492 Fexofenadine hcl tab 120 mg 709841-001 FASTWAY 120 2.727 50 4.09 10 27.27 40.92493 Fexofenadine hcl tab 180 mg 709074-001 FEXO-FAST 180MG TAB 3.032 50 4.55 30 90.96 136.52494 Fexofenadine hcl tab 180 mg 709710-001 FASTWAY 180 3.416 50 5.12 30 102.48 153.62495 Desloratadine Tab 5 MG 709843-001 DAZIT 5MG TAB 2.773 50 4.16 30 83.19 124.82496 Desloratadine Tab 5 MG 898658-001 DESELEX 5MG TAB 5.497 50 8.25 30 164.91 247.52497 Desloratadine Tab 5 MG 898658-008 DESELEX 5MG TAB 5.495 50 8.24 7 38.46 57.682498 Desloratadine Tab 5 MG 898658-009 DESELEX 5MG TAB 5.493 50 8.24 10 54.93 82.42505 Atenolol tab 50 mg 704653-001 B-BLOCK 50MG 0.484 50 0.73 30 14.52 21.92506 Atenolol tab 50 mg 705874-001 TENOPRESS 50MG TAB 0.282 50 0.42 30 8.46 12.62507 Atenolol tab 50 mg 769584-004 TENORMIN 50MG TAB 4.77 50 7.16 30 143.1 214.82508 Atenolol tab 50 mg 786187-026 TEN-BLOKA 50MG TAB 0.925 50 1.39 30 27.75 41.72509 ATENOLOL TAB 50 MG 786578-017 ADCO ATENOLOL 50MG TAB 0.882 50 1.32 30 26.46 39.62510 Atenolol tab 50 mg 787892-009 SANDOZ ATENOLOL 50 0.433 50 0.65 30 12.99 19.52511 Atenolol tab 50 mg 806889-004 HEXABLOK 50MG TAB 0.57 50 0.86 30 17.1 25.82512 Atenolol tab 50 mg 826898-025 IVAX-ATENOLOL 50 0.384 50 0.58 30 11.52 17.42513 Atenolol tab 100 mg 704651-001 B-BLOCK 100MG 0.613 50 0.92 30 18.39 27.62514 Atenolol tab 100 mg 705873-001 TENOPRESS 100MG TAB 0.463 50 0.69 30 13.89 20.72515 Atenolol tab 100 mg 769576-001 TENORMIN 100MG TAB 7.756 50 11.63 30 232.68 348.92516 Atenolol tab 100 mg 786195-010 TEN-BLOKA 100MG TAB 1.355 50 2.03 30 40.65 60.92517 ATENOLOL TAB 100 MG 786586-001 ADCO ATENOLOL 100MG TAB 1.293 50 1.94 28 36.2 54.322518 Atenolol tab 100 mg 787914-002 SANDOZ ATENOLOL 100 0.817 50 1.23 30 24.51 36.92519 Atenolol tab 100 mg 806897-007 HEXABLOK 100MG TAB 1.141 50 1.71 30 34.23 51.32520 Atenolol tab 100 mg 826901-034 NORTON-ATENOLOL 100 0.668 50 1 30 20.04 302526 Carvedilol tab 6.25 mg 710338-001 ASPEN-CARVEDILOL 6.25MG TABLET 1.571 50 2.36 30 47.13 70.82527 Carvedilol tab 12.5 mg 710339-001 ASPEN-CARVEDILOL 12.5MG TABLET 1.761 50 2.64 30 52.83 79.22528 Carvedilol tab 25 mg 710340-001 ASPEN-CARVEDILOL 25MG TABLETS 2.292 50 3.44 30 68.76 103.22529 Enalapril maleate tab 5 mg 708109-001 PHARMAPRESS 5MG 0.721 50 1.08 30 21.63 32.42533 ENALAPRIL MALEATE TAB 5 MG 886835-005 ADCO ENALAPRIL 5MG 0.92 50 1.38 28 25.76 38.642534 Lisinopril tab 20 mg 708189-001 AUSTELL-LISINOPRIL 20MG T 0.53 50 0.8 30 15.9 242535 Perindopril erbumine tab 4 mg 710297-001 VECTORYL 4MG TABLETS 1.98 50 2.97 30 59.4 89.12536 Perindopril erbumine tab 4 mg 710302-001 CIPLA-PERINDOPRIL 4MG TABLETS 3.072 50 4.61 30 92.16 138.32537 Lisinopril & hydrochlorothiazide tab 20- 708260-001 ZESTOZIDE 20MG TAB 2.269 50 3.4 30 68.07 1022538 Ramipril cap 10 mg 707869-001 SIMAYLA RAMIPRIL CAP 10MG 3.913 50 5.87 30 117.39 176.12539 QUINAPRIL HCL TAB 10 MG 708119-001 ACCUMAX 10MG 0.965 50 1.45 30 28.95 43.52540 Quinapril hcl tab 10 mg 708982-001 QUINAGEN 10MG TAB 1.66 50 2.49 30 49.8 74.72541 QUINAPRIL HCL TAB 20 MG 708120-001 ACCUMAX 20MG 1.464 50 2.2 30 43.92 662542 Quinapril hcl tab 20 mg 708983-001 QUINAGEN 20MG TAB 2.507 50 3.76 30 75.21 112.82543 Perindopril erbumine-indapamide tab 4-1. 710298-001 VECTORYL PLUS TABLETS 2.716 50 4.07 30 81.48 122.12544 QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10-12. 708116-001 ACCUMAX CO 10/12.5MG 1.885 50 2.83 30 56.55 84.92545 QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-12. 708118-001 ACCUMAX CO 20/12.5MG 2.85 50 4.28 30 85.5 128.42546 Quinapril hcl tab 5 mg 708981-001 QUINAGEN 5MG TAB 1.342 50 2.01 30 40.26 60.32547 QUINAPRIL HCL TAB 5 MG 783293-003 ACCUPRIL 5MG TAB 3.054 50 4.58 28 85.51 128.242548 Quinapril hcl tab 40 mg 708985-001 QUINAGEN 40MG TAB 2.629 50 3.94 30 78.87 118.22549 QUINAPRIL HCL TAB 40 MG 853186-006 ACCUPRIL 40MG TAB 4.867 50 7.3 28 136.28 204.42550 Valsartan tab 160 mg 704696-001 TAREG 160MG TAB 2.897 50 4.35 28 81.12 121.82551 Valsartan-hydrochlorothiazide tab 80-12. 705068-001 CO-TAREG 80/12.5MG 3.579 50 5.37 28 100.21 150.362552 Losartan potassium tab 50 mg 709225-001 ZARTAN 50MG TAB 1.995 50 2.99 30 59.85 89.72554 Losartan potassium tab 50 mg 709844-001 CIPLA LOSARTAN 50MG TAB 2.292 50 3.44 30 68.76 103.22555 Losartan potassium tab 50 mg 709909-001 LOSARTAN-WINTHROP TABS 1.909 50 2.86 30 57.27 85.82556 Losartan potassium tab 50 mg 709924-001 LOS-ARB 50MG TAB 1.795 50 2.69 30 53.85 80.72557 Losartan potassium tab 50 mg 818739-002 COZAAR 50MG TAB 2.336 50 3.5 30 70.08 1052558 Losartan potassium tab 100 mg 709845-001 CIPLA LOSARTAN 100MG TAB 2.377 50 3.57 30 71.31 107.12559 Losartan potassium tab 100 mg 709964-001 ZARTAN 100MG TAB 1.995 50 2.99 30 59.85 89.72560 Losartan potassium tab 100 mg 710079-001 COZAAR 100MG TAB 2.336 50 3.5 30 70.08 1052561 Nifedipine cap 5 mg 826863-019 BIO-NIFEDIPINE 5MG 0.321 50 0.48 100 32.1 482562 Amlodipine besylate tab 5 mg 707979-001 CORVADIL 5MG TAB 1.332 50 2 30 39.96 602563 Amlodipine besylate tab 5 mg 708039-001 CALBLOC 5MG TAB 1.396 50 2.09 30 41.88 62.72564 Amlodipine besylate tab 5 mg 708050-001 AMLODAC 5MG TAB 1.334 50 2 30 40.02 602565 Amlodipine besylate tab 5 mg 708094-001 AUSTELL AMLODIPINE 5MG TAB 1.61 50 2.42 30 48.3 72.62566 Amlodipine besylate tab 5 mg 708141-001 ALMADIN 5MG TAB 1.586 50 2.38 30 47.58 71.42567 Amlodipine besylate tab 5 mg 708150-001 CIPLAVASC 5MG TAB 1.605 50 2.41 30 48.15 72.32568 Amlodipine besylate tab 5 mg 708162-001 KLODIP-5 1.462 50 2.19 30 43.86 65.72569 Amlodipine besylate tab 5 mg 708190-001 CPL ALLIANCE AMLODIPINE 5 1.61 50 2.42 30 48.3 72.62570 Amlodipine besylate tab 5 mg 708352-001 LOMANOR 5MG TAB 1.332 50 2 30 39.96 602571 Amlodipine besylate tab 5 mg 708648-001 INDO AMLODIPINE 5MG TAB 1.396 50 2.09 30 41.88 62.72572 Amlodipine besylate tab 5 mg 710236-001 PHARMA DYNAMICS AMLODIPINE BES 1.396 50 2.09 30 41.88 62.72573 Amlodipine besylate tab 10 mg 707980-001 CORVADIL 10MG TAB 2.073 50 3.11 30 62.19 93.32574 Amlodipine besylate tab 10 mg 708040-001 CALBLOC 10MG TAB 2.172 50 3.26 30 65.16 97.82575 Amlodipine besylate tab 10 mg 708051-001 AMLODAC 10MG TAB 2.073 50 3.11 30 62.19 93.32576 Amlodipine besylate tab 10 mg 708095-001 AUSTELL AMLODIPINE 10MG TAB 2.44 50 3.66 30 73.2 109.82577 Amlodipine besylate tab 10 mg 708142-001 ALMADIN 10MG TAB 2.47 50 3.71 30 74.1 111.32578 Amlodipine besylate tab 10 mg 708152-001 CIPLAVASC 10MG TAB 2.598 50 3.9 30 77.94 1172579 Amlodipine besylate tab 10 mg 708191-001 CPL ALLIANCE AMLODIPINE 1 2.44 50 3.66 30 73.2 109.82580 Amlodipine besylate tab 10 mg 708353-001 LOMANOR 10MG TAB 2.001 50 3 30 60.03 902581 Amlodipine besylate tab 10 mg 710238-001 PHARMA DYNAMICS AMLODIPINE BES 2.172 50 3.26 30 65.16 97.82582 NIFEDIPINE TAB SR 12HR 20 MG 783889-003 ADALAT RETARD 20MG 6.628 50 9.94 60 397.68 596.42583 Nifedipine tab sr 12hr 20 mg 829501-002 NIFEDALAT 20SR TAB 0.619 50 0.93 60 37.14 55.82584 Nifedipine tab sr 12hr 20 mg 864153-007 CIPALAT RETARD 20MG 0.654 50 0.98 60 39.24 58.82585 Isosorbide mononitrate tab sr 24hr 60 mg 710251-001 MONICOR SR 60MG SRT 3.251 50 4.88 30 97.53 146.42586 Isosorbide mononitrate tab sr 24hr 60 mg 821500-007 IMDUR 60MG TAB 4.493 50 6.74 30 134.79 202.22587 Amiodarone hcl tab 100 mg 703515-001 ARYCOR 100MG 4.658 50 6.99 30 139.74 209.72588 Amiodarone hcl tab 100 mg 800554-019 CORDARONE X 100MG TAB 7.134 50 10.7 30 214.02 3212589 Amiodarone hcl tab 100 mg 863157-009 HEXARONE 100MG TAB 4.198 50 6.3 30 125.94 1892590 Amiodarone hcl tab 200 mg 703513-001 ARYCOR 200MG TAB 8.298 50 12.45 30 248.94 373.5




Administered by

2591 Amiodarone hcl tab 200 mg 707851-001 BIO-AMIODARONE TAB 200MG 5.009 50 7.51 30 150.27 225.32592 Amiodarone hcl tab 200 mg 716111-004 CORDARONE X 200MG TAB 14.101 50 21.15 30 423.03 634.52593 Amiodarone hcl tab 200 mg 863165-001 HEXARONE 200MG TAB 7.481 50 11.22 30 224.43 336.62594 Pentoxifylline tab cr 400 mg 709077-001 DYNA-PENTOXYFILLIN SR 400MG TA 4.86 50 7.29 30 145.8 218.72595 Pentoxifylline tab cr 400 mg 709077-002 DYNA-PENTOXYFILLIN SR 400MG TA 4.86 50 7.29 100 486 7292596 Bezafibrate tab cr 400 mg 710122-001 DYNA-BEZAFIBRATE SR 400MG TAB 4.41 50 6.62 30 132.3 198.62597 Bezafibrate tab cr 400 mg 710337-001 BEZACHOLE SR 400MG TABLETS 5.189 50 7.78 30 155.67 233.42598 Simvastatin tab 10 mg 708307-001 CIPLA-SIMVASTATIN 10MG TAB 0.697 50 1.05 30 20.91 31.52599 Simvastatin tab 10 mg 709668-001 BIOVAC SIMVASTATIN 10MG TAB 0.739 50 1.11 30 22.17 33.32600 Simvastatin tab 20 mg 707871-001 SIMAYLA SIMVASTATIN 20MG TAB 0.897 50 1.35 28 25.12 37.82601 Simvastatin tab 20 mg 708308-001 CIPLA-SIMVASTATIN 20MG TAB 0.702 50 1.05 30 21.06 31.52602 Simvastatin tab 20 mg 709822-001 BIOVAC SIMVASTATIN 20MG TAB 0.878 50 1.32 30 26.34 39.62603 Simvastatin tab 40 mg 707873-001 SIMAYLA SIMVASTATIN 40MG 0.897 50 1.35 28 25.12 37.82604 Simvastatin tab 40 mg 708463-001 SIMVACOR 40MG TAB 0.735 50 1.1 30 22.05 332605 Simvastatin tab 40 mg 709823-001 BIOVAC SIMVASTATIN 40MG TAB 0.83 50 1.25 30 24.9 37.52606 Simvastatin tab 40 mg 710511-001 CIPLA-SIMVASTATIN 40MG TABLETS 0.741 50 1.11 30 22.23 33.32607 Atorvastatin calcium tab 10 mg (base equ 708121-001 ASPAVOR 10MG 0.695 50 1.04 30 20.85 31.22608 Atorvastatin calcium tab 10 mg (base equ 831484-006 LIPITOR 10MG TAB 4.828 50 7.24 30 144.84 217.22609 Atorvastatin calcium tab 20 mg (base equ 708122-001 ASPAVOR 20MG 0.739 50 1.11 30 22.17 33.32610 Atorvastatin calcium tab 20 mg (base equ 831492-008 LIPITOR 20MG TAB 7.505 50 11.26 30 225.15 337.82611 Theophylline-Etofylline-Diphenylpyraline 700238-002 THEOPHEN CO ELIX (UNBOXED) 0.04 50 0.06 100 4 62612 Diphenhydramine-amcl-sod citrate syrup 1 788120-018 BECOF SYR 0.033 50 0.05 100 3.3 52613 Diphenhydramine-amcl-sod citrate syrup 1 792144-007 BENCOUGH SYR 0.075 50 0.11 100 7.5 112614 Guaifenesin Syrup 100 MG/5ML 708182-001 FLUTEX COUGH MIXTURE HONE 0.197 50 0.3 100 19.7 302615 Guaifenesin Syrup 100 MG/5ML 708183-001 FLUTEX COUGH MIXTURE ORAN 0.197 50 0.3 100 19.7 302616 Guaifenesin Syrup 100 MG/5ML 708184-001 FLUTEX COUGH MIXTURE BLAC 0.197 50 0.3 100 19.7 302617 Guaifenesin Syrup 100 MG/5ML 708185-001 LENNON COUGH MIXTURE HONE 0.254 50 0.38 50 12.7 192618 Guaifenesin Syrup 100 MG/5ML 708185-002 LENNON COUGH MIXTURE HONE 0.195 50 0.29 100 19.5 292619 Guaifenesin Syrup 100 MG/5ML 708187-001 LENNON COUGH MIXTURE ORAN 0.257 50 0.39 50 12.85 19.52620 Guaifenesin Syrup 100 MG/5ML 708187-002 LENNON COUGH MIXTURE ORAN 0.197 50 0.3 100 19.7 302621 Pseudoeph-triprolidine w/ cod-gg syrup 1 738220-019 LINCTIFED EXP PAED SYR 0.216 50 0.32 100 21.6 322623 PSEUDOEPH-TRIPROLIDINE W/ COD-GG SYRUP 1 792195-019 ACUTUSSIVE EXPECT PAED 0.117 50 0.18 100 11.7 182624 Pseudoeph-triprolidine w/ cod-gg syrup 1 794813-003 NEOFED PAED SYR 0.122 50 0.18 50 6.1 92625 Pseudoeph-triprolidine w/ cod-gg syrup 1 794813-011 NEOFED PAED SYR 0.122 50 0.18 100 12.2 182626 Pseudoeph-triprolidine w/ cod-gg syrup 1 806269-006 TRIFEN EXP PAED SYR 0.102 50 0.15 100 10.2 152627 Pseudoeph-triprolidine w/ cod-gg syrup 1 826618-006 LINK DINEXOL PAED 0.077 50 0.12 100 7.7 122628 Pseudoeph-triprolidine w/ cod-gg syr 20- 738212-008 LINCTIFED EXP ADULT SYR 0.231 50 0.35 100 23.1 352630 PSEUDOEPH-TRIPROLIDINE W/ COD-GG SYR 20- 792187-008 ACUTUSSIVE EXPECT ADULT 0.141 50 0.21 100 14.1 212631 Pseudoeph-triprolidine w/ cod-gg syr 20- 799475-009 TRIFEN EXP ADULT SYR 0.135 50 0.2 100 13.5 202632 Pseudoephedrine w/ Paracetamol Tab 30-50 706321-001 FLUSIN SINUS TAB 1.228 50 1.84 24 29.47 44.162633 Pseudoephedrine-ibuprofen tab 30-200 mg 702941-002 SINUTAB 3-WAY TABS 1.537 50 2.31 10 15.37 23.12634 PSEUDOEPHEDRINE-IBUPROFEN TAB 30-200 MG 707952-001 BENYLIN FOR COLDS TAB 1.604 30 2.09 20 32.08 41.82635 Phenylpropanolamine w/Paracetamol Tab 18 779938-003 SINUTAB ND TAB 1.336 50 2 20 26.72 402636 Phenylpropanolamine w/Paracetamol Cap 18 795364-008 SINUCLEAR CAP 1.172 50 1.76 24 28.13 42.242637 PHENYLPROPANOLAMINE W/PARACETAMOL CAP 18 797618-007 SINUSTAT CAP 0.723 50 1.08 24 17.35 25.922641 Chlorphen-pe-apap-caff-vit c cap 2-5-300 723258-007 ENDCOL COLD AND FLU CAP 0.8 50 1.2 24 19.2 28.82642 Chlorphen-pe-apap-caff-vit c cap 2-5-300 729515-001 GRIPPON CAP 1.482 50 2.22 24 35.57 53.282643 Chlorphen-pe-apap-caff-vit c cap 2-5-300 729515-028 GRIPPON CAP 1.483 50 2.22 48 71.18 106.562644 Chlorphen-pe-apap-caff-vit c cap 2-5-300 729515-036 GRIPPON CAP 1.483 50 2.22 100 148.3 2222645 Chlorphen-pe-apap-caff-vit c cap 2-5-300 796832-005 MERCK-FLU CAP 0.802 50 1.2 24 19.25 28.82647 Chlorphen-pe-apap-caff-vit c cap 2-5-300 807486-019 ILVICO CAP 1.136 50 1.7 24 27.26 40.82648 Chlorphen-pe-apap-caff-vit c cap 2-5-300 807648-035 FLUSTAT CAP 0.197 50 0.3 1000 197 3002649 Chlorphen-pe-apap-caff-vit c cap 2-5-300 826596-002 LINK DINEXOL 0.429 50 0.64 24 10.3 15.362650 Chlorphen-pe-apap-caff-vit c cap 2-8-300 885004-002 DEGORAN C CAP 1.415 50 2.12 24 33.96 50.882651 Salbutamol sulfate inhal aero 108 mcg/ac 849332-001 ASTHAVENT INH 300D 17.022 50 25.53 1 17.02 25.532655 Theophylline tab sr 12hr 200 mg 783005-008 THEOPLUS 200MG TAB 1.954 50 2.93 60 117.24 175.82656 Theophylline tab sr 12hr 200 mg 788368-036 SANDOZ THEOPHYLLINE 200 0.482 50 0.72 60 28.92 43.22657 Theophylline Tab SR 12HR 250 MG 725005-009 EUPHYLLIN RET 250MG 2.267 50 3.4 60 136.02 2042658 Theophylline Tab SR 12HR 250 MG 748501-118 NUELIN SA 250 2.031 50 3.05 56 113.74 170.82662 Carbocysteine Cap 375 MG 709356-001 MUCOKLEER 375MG CAPS 0.565 50 0.85 30 16.95 25.52663 Carbocysteine Syrup 250 MG/5ML 703394-001 DIS-CHEM MUCOLYTIC 0.116 50 0.17 200 23.2 342664 Carbocysteine Syrup 250 MG/5ML 787078-018 MUCOLINCT 250MG/5ML SYR 0.062 50 0.09 200 12.4 182665 Budesonide inhal aero powd 200 mcg/inh ( 704020-001 INFLAMMIDE REF NOVOLIZER 200MCG 140.837 50 211.26 1 140.84 211.262666 Budesonide inhal aero powd 200 mcg/inh ( 704021-001 INFLAMMIDE COMP NOVOLIZER 200MCG 212.319 50 318.48 1 212.32 318.482667 Budesonide inhal aero powd 200 mcg/inh ( 791431-002 PULMICORT TURBU 200MCG 200D 69.215 50 103.82 1 69.21 103.822668 Budesonide inhal aero powd 400 mcg/inh ( 707879-001 INFLAMMIDE COMP NOVOLIZER 400MCG 212.319 50 318.48 1 212.32 318.482669 Budesonide inhal aero powd 400 mcg/inh ( 707881-001 INFLAMMIDE REF NOVOLIZER 400MCG 140.837 50 211.26 1 140.84 211.262670 Budesonide inhal aero powd 400 mcg/inh ( 823791-009 PULMICORT TURBU 400MCG 100D 155.756 50 233.63 1 155.76 233.632671 Beclomethasone dipropionate nasal soln 0 897937-004 CLENIL AQUEOUS 37.948 50 56.92 1 37.95 56.922673 Hyoscine n-butylbromide syrup 5 mg/5ml 703383-001 SCOPEX SYRUP 0.24 50 0.36 100 24 362675 Cimetidine Tab 400 MG 887003-015 BIO-CIMETIDINE 400MG TAB 0.377 50 0.57 14 5.28 7.982676 Cimetidine Tab 400 MG 887003-016 BIO-CIMETIDINE 400MG TAB 0.375 50 0.56 56 21 31.362677 Ranitidine hcl tab 150 mg 841765-008 HISTAK 150MG TAB 0.746 50 1.12 10 7.46 11.22678 Pantoprazole sodium ec tab 40 mg (base e 708031-001 PANTOCID 40MG TAB 4.633 50 6.95 30 138.99 208.52679 LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 707192-003 ADCO ROZNAL 15MG CAPS 4.33 50 6.5 7 30.31 45.52680 Lansoprazole cap delayed release 15 mg 707863-001 SIMAYLA LANSOPRAZOLE 15MG CAP 3.935 50 5.9 7 27.54 41.32681 Lansoprazole cap delayed release 15 mg 707863-002 SIMAYLA LANSOPRAZOLE 15MG CAP 3.936 50 5.9 28 110.21 165.22682 Lansoprazole cap delayed release 15 mg 709645-001 LANSOPRAZOLE-WINTHROP 15MG CAP 4.211 50 6.32 28 117.91 176.962683 Lansoprazole cap delayed release 30 mg 707864-001 SIMAYLA LANSOPRAZOLE 30MG CAP 6.066 50 9.1 28 169.85 254.82684 Lansoprazole cap delayed release 30 mg 709646-001 LANSOPRAZOLE-WINTHROP 30MG CAP 6.008 50 9.01 28 168.22 252.282686 Mesalamine Tab Delayed Release 400 MG 783668-007 ASACOL 400MG TAB 4.124 50 6.19 90 371.16 557.12687 Mesalamine Tab CR 500 MG 890775-004 PENTASA 500MG SR TAB 3.582 50 5.37 100 358.2 5372689 Lactulose Oral Crystal Packet 10 GM 815047-011 DUPHALAC DRY SACH 1.825 50 2.74 100 182.5 2742690 LACTULOSE SYRUP 10 GM/15ML 708722-001 ACULAX 3.3G/5ML SYRUP 0.112 50 0.17 150 16.8 25.52691 Lactulose Syrup 10 GM/15ML 708722-002 ACULAX 3.3G/5ML SYRUP 0.082 50 0.12 500 41 602692 Ispaghula Husk Powder Pack 3.5 GM 703167-001 AGIOGEL 3.5GM 2.039 50 3.06 30 61.17 91.82693 Ispaghula Husk Powder Pack 3.5 GM 703167-002 AGIOGEL 3.5GM 2.091 50 3.14 10 20.91 31.42694 Ispaghula Husk Powder Pack 3.5 GM 707446-001 SENOKOT HI-FIBRE ORANGE 3.766 50 5.65 10 37.66 56.52695 Ispaghula Husk Powder Pack 3.5 GM 707447-001 SENOKOT HI-FIBRE LEMON 4.244 50 6.37 10 42.44 63.72697 Ispaghula Husk Powder Pack 3.5 GM 727857-002 FYBOGEL SACHET 4.09 50 6.14 10 40.9 61.42698 Ispaghula Husk Powder Pack 3.5 GM 727857-010 FYBOGEL SACHET 3.566 50 5.35 30 106.98 160.52701 Ispaghula Husk Powder Pack 3.5 GM 710640-001 FYBOGO SACH 2.381 50 3.57 10 23.81 35.72702 Saccharomyces boulardii cap 250 mg 700485-003 INTEFLORA 250MG CAP 3.63 50 5.45 10 36.3 54.52703 Saccharomyces boulardii cap 250 mg 701325-001 CO-BIOTIC 250MG CAP 2.595 50 3.89 10 25.95 38.92704 Saccharomyces boulardii cap 250 mg 701325-002 CO-BIOTIC 250MG CAP 1.909 50 2.86 50 95.45 1432706 Saccharomyces boulardii cap 250 mg 709852-001 PROBIFLORA 1 S BOULARDII CAP 3.472 50 5.21 10 34.72 52.12707 Mebendazole tab 100 mg 810533-006 WORMGO 100MG TAB 0.941 50 1.41 6 5.65 8.462709 Silver Sulfadiazine Cream 1% 791725-014 BACTRAZINE 10MG/GM CREAM 0.439 50 0.66 250 109.75 1652710 Silver sulfadiazine cream 1% 791725-022 BACTRAZINE 10MG/GM CREAM 0.439 50 0.66 500 219.5 3302711 Silver sulfadiazine cream 1% 791725-006 BACTRAZINE 10MG/GM CREAM 0.439 50 0.66 50 21.95 332712 Benzyl Benzoate Emulsion 25% 707716-020 APP BENZYL BENZ LOT 0.044 50 0.07 2500 110 1752714 Isoconazole-Diflucortolone Cream 1-1% 709808-001 MAXADERM 1MG/10MG CREAM 5.218 50 7.83 20 104.36 156.62715 Isoconazole-Diflucortolone Cream 1-1% 771937-016 TRAVOCORT CREAM 6.334 50 9.5 20 126.68 1902716 Betamethasone Valerate Cream 0.1% 709810-001 LOCATOP 0.1% CREAM 1.928 50 2.89 30 57.84 86.72717 Mometasone Furoate Cream 0.1% 705444-001 ASPEN MOMETASONE CREAM 3.742 50 5.61 20 74.84 112.2




Administered by

2718 Mometasone Furoate Cream 0.1% 782017-002 ELOCON CREAM 4.698 50 7.05 20 93.96 1412721 Miconazole-HC Cream 2-1% 717266-001 DAKTACORT CREAM 7.897 50 11.85 20 157.94 2372722 Ethinyl Estradiol-Cyproterone Acet Tab 0 705607-001 CYPRENE-35 ED TAB 2.029 50 3.04 28 56.81 85.122723 Ethinyl Estradiol-Cyproterone Acet Tab 0 707875-001 DIVA-35 TAB 1.968 50 2.95 28 55.1 82.62724 Tretinoin (Facial Wrinkles) Cream 0.05% 709811-001 AIROL 0.05% CREAM 3.735 50 5.6 20 74.7 1122726 Chloramphenicol Ophth Oint 1% 713872-004 CHLORNICOL 3.5GM OINT 114.044 50 171.07 1 114.04 171.072727 Chloramphenicol Ophth Soln 0.5% 874175-003 CHLOROMYCETIN REDI 10MLS 31.2 50 46.8 1 31.2 46.82732 Indapamide Tab 2.5 MG 710313-001 CIPLA-INDAPAMIDE 2.5MG TAB 0.348 50 0.52 30 10.44 15.62740 Furosemide Tab 20 MG 735930-007 LASIX 20MG TAB 2.582 50 3.87 30 77.46 116.12741 Furosemide Tab 40 MG 705967-001 DIURESIX 40MG TAB 0.141 50 0.21 250 35.25 52.52742 Furosemide Tab 40 MG 707423-001 AUSTELL-FUROSEMIDE 40MG T 1.356 50 2.03 30 40.68 60.92743 Furosemide Tab 40 MG 731668-006 SANDOZ FUROSEMIDE 40 MG T 0.37 50 0.56 30 11.1 16.82744 Furosemide Tab 40 MG 735949-018 LASIX 40MG TAB 3.09 50 4.64 30 92.7 139.22745 Furosemide Tab 40 MG 735949-026 LASIX 40MG TAB 3.09 50 4.64 250 772.5 11602746 Furosemide Tab 40 MG 758272-006 PURESIS 40MG TAB 0.464 50 0.7 30 13.92 212747 Furosemide Tab 40 MG 758272-014 PURESIS 40MG TAB 0.464 50 0.7 250 116 1752748 Furosemide Tab 40 MG 821845-012 BEURESIS 40MG TAB 0.117 50 0.18 250 29.25 452749 Furosemide Tab 40 MG 857769-022 MERCK-FUROSEMIDE 40 MG TA 0.095 50 0.14 250 23.75 352750 Amoxicillin & K Clavulanate For IV Soln 705588-001 SANDOZ CO-AMOXYCLAV 0.6G/ 10.09 50 15.14 5 50.45 75.72751 Amoxicillin & K Clavulanate For IV Soln 789283-026 AUGMENTIN IV 0.6 19.107 50 28.66 10 191.07 286.62752 Amoxicillin & K Clavulanate For IV Soln 704658-001 SANDOZ CO-AMOCLAV 1.2GM I 20.185 50 30.28 5 100.92 151.42753 Amoxicillin & K Clavulanate For IV Soln 709165-001 AUGMAXCIL 1.2G INJ 20ML 22.852 50 34.28 1 22.85 34.282754 Amoxicillin & K Clavulanate For IV Soln 779725-026 AUGMENTIN IV 1.2 33.03 50 49.55 10 330.3 495.52755 Amoxicillin & K Clavulanate For IV Soln 812897-005 AUGMENTIN 1.2 COMBO 20ML 71.376 50 107.06 1 71.38 107.062756 Amoxicillin & K Clavulanate For IV Soln 889709-004 CLAMENTIN IV 1.2GM 20.335 50 30.5 10 203.35 3052758 Amoxicillin & K Clavulanate Tab 875-125 708893-001 RANCLAV 1000MG TAB 9.431 50 14.15 10 94.31 141.52759 Amoxicillin & K Clavulanate Tab 875-125 709232-001 CLAMENTIN 1000MG TABLETS 8.47 50 12.71 10 84.7 127.12760 Amoxicillin & K Clavulanate For Susp 125 829269-002 AUGMENTIN S SUSP 0.785 50 1.18 100 78.5 1182761 Amoxicillin & k clavulanate for susp 250 707666-001 APEX-CLAVUTIN SF 0.402 50 0.6 100 40.2 602762 Amoxicillin & K Clavulanate Tab 250-125 707407-001 AUSTELL-CO-AMOXICLAV 375MG 1.591 50 2.39 15 23.86 35.852763 Amoxicillin & K Clavulanate Tab 250-125 707663-001 APEX-CLAVUTIN 375MG TAB 1.93 50 2.9 15 28.95 43.52764 Amoxicillin & K Clavulanate Tab 500-125 707408-001 AUSTELL-CO-AMOXICLAV 625MG 2.322 50 3.48 15 34.83 52.22765 Amoxicillin & K Clavulanate Tab 500-125 707665-001 APEX-CLAVUTIN 625MG TAB 3.115 50 4.67 15 46.73 70.052766 Amoxicillin (Trihydrate) Cap 250 MG 704443-002 ALLMOX 250MG CAPS 0.221 50 0.33 500 110.5 1652767 Amoxicillin (Trihydrate) Cap 250 MG 708398-001 ZALOXY 250MG CAP 0.349 50 0.52 500 174.5 2602769 Amoxicillin (Trihydrate) Cap 250 MG 824860-004 RANMOXY 250MG CAP 0.36 50 0.54 500 180 2702770 Amoxicillin (Trihydrate) Cap 500 MG 708397-001 ZALOXY 500MG CAP 0.511 50 0.77 500 255.5 3852771 Amoxicillin (Trihydrate) For Susp 125 MG 708396-001 ZALOXY 125MG/5ML SUSP 0.06 50 0.09 75 4.5 6.752772 Amoxicillin (Trihydrate) For Susp 125 MG 708396-002 ZALOXY 125MG/5ML SUSP 0.06 50 0.09 100 6 92773 Amoxicillin (Trihydrate) For Susp 125 MG 830534-008 SALTERMOX S 125MG/5ML 0.056 50 0.08 100 5.6 82774 Amoxicillin (Trihydrate) For Susp 250 MG 830542-019 SALTERMOX SF 250MG/5ML 0.081 50 0.12 100 8.1 122775 Amoxicillin (Trihydrate) For Susp 250 MG 708395-001 ZALOXY 250MG/5M SUSP 0.079 50 0.12 100 7.9 122778 Cefuroxime Sodium For Inj 250 MG 703283-002 MEDAXIME 250MG INJ 9.383 50 14.07 10 93.83 140.72779 Cefuroxime Sodium For Inj 250 MG 704835-001 SABAX CEFUROXIME 250MG IN 10.815 50 16.22 1 10.81 16.222780 Cefuroxime Sodium For Inj 250 MG 704835-002 SABAX CEFUROXIME 250MG IN 10.822 50 16.23 10 108.22 162.32781 Cefuroxime Sodium For Inj 250 MG 705353-001 BETAROXIME 250MG INJ 14.081 50 21.12 1 14.08 21.122782 Cefuroxime Sodium For Inj 250 MG 779229-003 ZINACEF 250MG/ VIAL IJ 32.356 50 48.53 1 32.36 48.532783 Cefuroxime Sodium For Inj 250 MG 894846-002 CEFUROXIME STERILE 250MG 11.312 50 16.97 10 113.12 169.72784 Cefuroxime Sodium For Inj 750 MG 703279-003 MEDAXIME 750MG INJ 17.714 50 26.57 10 177.14 265.72785 Cefuroxime Sodium For Inj 750 MG 704635-001 SABAX CEFUROXIME 750MG VI 13.689 50 20.53 1 13.69 20.532786 Cefuroxime Sodium For Inj 750 MG 704635-002 SABAX CEFUROXIME 750MG VI 13.688 50 20.53 10 136.88 205.32787 Cefuroxime Sodium For Inj 750 MG 705354-001 BETAROXIME 750MG INJ 25.319 50 37.98 1 25.32 37.982788 Cefuroxime Sodium For Inj 750 MG 779237-006 ZINACEF 750MG INJ 46.185 50 69.28 1 46.19 69.282789 Cefuroxime Sodium For Inj 750 MG 892416-009 CEFUROXIME STERILE 750MG 14.389 50 21.58 10 143.89 215.82790 Cefuroxime Sodium For Inj 750 MG 894332-004 CIPOFIX-750 POWD FOR INJ 23.322 50 34.98 5 116.61 174.92791 Cefuroxime Sodium For Inj 1.5 GM 701205-003 CEFUROXIME 1.5GM/ VIAL 31.047 50 46.57 10 310.47 465.72792 Cefuroxime Sodium For Inj 1.5 GM 703280-002 MEDAXIME 1.5GM INJ 40.962 50 61.44 10 409.62 614.42793 Cefuroxime Sodium For Inj 1.5 GM 704637-001 SABAX CEFUROXIME (20ML) 29.578 50 44.37 1 29.58 44.372794 Cefuroxime Sodium For Inj 1.5 GM 704637-002 SABAX CEFUROXIME (20ML) 29.584 50 44.38 10 295.84 443.82795 Cefuroxime Sodium For IV Soln 1.5 GM 779245-008 ZINACEF 1500MG INJ 83.133 50 124.7 1 83.13 124.72796 Cefuroxime Sodium For Inj 1.5 GM 894338-005 CIPOFIX-1500 POWD FOR INJ 45.432 50 68.15 1 45.43 68.152797 Cefuroxime Axetil For Susp 125 MG/5ML 710077-001 SANDOZ CEFUROXIME 125MG/5ML 0.748 50 1.12 50 37.4 562798 Cefuroxime Axetil For Susp 125 MG/5ML 710077-002 SANDOZ CEFUROXIME 125MG/5ML 0.748 50 1.12 100 74.8 1122799 Cefuroxime Axetil For Susp 125 MG/5ML 814091-008 ZINNAT 125MG/5ML SUSP 1.016 50 1.52 50 50.8 762800 Cefuroxime Axetil For Susp 125 MG/5ML 814091-016 ZINNAT 125MG/5ML SUSP 1.016 50 1.52 100 101.6 1522801 Ceftriaxone sodium for inj 250 mg 707948-001 FRESENIUS-CEFTRIAXONE 250 15.129 50 22.69 10 151.29 226.92804 Ceftriaxone sodium for inj 500 mg 707949-001 FRESENIUS-CEFTRIAXONE 500 24.582 50 36.87 10 245.82 368.72805 Ceftriaxone sodium for inj 500 mg 708261-001 CPL ALLIANCE CEFTRIAXONE 8.644 50 12.97 1 8.64 12.972808 Ceftriaxone sodium for inj 500 mg 703320-001 ROCIJECT 500MG INJ 13.948 50 20.92 1 13.95 20.922809 Ceftriaxone sodium for inj 1 gm 708262-001 CPL ALLIANCE CEFTRIAXONE 15.474 50 23.21 1 15.47 23.212812 Ceftriaxone sodium for inj 1 gm 707950-001 FRESENIUS-CEFTRIAXONE 100 26.496 50 39.74 10 264.96 397.42813 Ceftriaxone sodium for inj 1 gm 710309-001 KOCEF-1000 INJ 41.756 50 62.63 1 41.76 62.632814 Ceftriaxone sodium for inj 2 gm 707951-001 FRESENIUS-CEFTRIAXONE 200 30.022 50 45.03 1 30.02 45.032815 Cefpodoxime Proxetil For Susp 40 MG/5ML 710126-001 SANDOZ CEFPODOXIME 40MG/5ML 0.738 50 1.11 50 36.9 55.52816 Cefpodoxime Proxetil For Susp 40 MG/5ML 710126-002 SANDOZ CEFPODOXIME 40MG/5ML 0.827 50 1.24 100 82.7 1242817 Cefpodoxime proxetil tab 100 mg 710125-001 SANDOZ CEFPODOXIME 100MG TAB 5.028 50 7.54 10 50.28 75.42818 Ceftazidime For Inj 500 MG 705569-001 TAZIJECT 500MG INJ 45.919 50 68.88 1 45.92 68.882819 Ceftazidime For Inj 500 MG 727148-001 FORTUM 500MG INJ 47.074 50 70.61 1 47.07 70.612820 Ceftazidime For Inj 500 MG 727148-002 FORTUM 500MG INJ 45.259 50 67.89 10 452.59 678.92821 Ceftazidime For Inj 1 GM 705570-001 TAZIJECT 1G INJ 56.393 50 84.59 1 56.39 84.592822 Ceftazidime For Inj 1 GM 727156-004 FORTUM 1GM INJ 105.326 50 157.99 1 105.33 157.992823 Ceftazidime For Inj 1 GM 727156-005 FORTUM 1G INJ 93.037 50 139.56 10 930.37 1395.62825 Ceftazidime For Inj 2 GM 705572-001 TAZIJECT 2GM INJ 112.815 50 169.22 1 112.82 169.222826 Ceftazidime For Inj 2 GM 727172-018 FORTUM 2GM INJ 213.156 50 319.73 1 213.16 319.732827 Ceftazidime For Inj 2 GM 727172-019 FORTUM 2G INJ 188.296 50 282.44 10 1882.96 2824.42828 Fluconazole Cap 150 MG 707684-001 APEX-FLUCONAZOLE 150MG CAP 8.985 50 13.48 1 8.98 13.482829 Fluconazole Cap 150 MG 707684-002 APEX-FLUCONAZOLE 150MG CAP 8.982 50 13.47 4 35.93 53.882830 Fluconazole Cap 200 MG 707685-001 APEX-FLUCONAZOLE 200MG CAP 5.565 50 8.35 30 166.95 250.52831 Itraconazole Cap 100 MG 708074-001 MERCK- ITRACONAZOLE 100MG 20.517 50 30.78 4 82.07 123.122832 Itraconazole Cap 100 MG 708074-002 MERCK- ITRACONAZOLE 100MG 20.517 50 30.78 14 287.24 430.922833 Itraconazole Cap 100 MG 708074-003 MERCK- ITRACONAZOLE 100MG 20.517 50 30.78 28 574.48 861.842834 Itraconazole Cap 100 MG 708721-001 TRISPORAL 100MG CAP 21.682 50 32.52 4 86.73 130.082835 Itraconazole Cap 100 MG 708721-002 TRISPORAL 100MG CAP 21.678 50 32.52 14 303.49 455.282836 Itraconazole Cap 100 MG 708721-003 TRISPORAL 100MG CAP 21.679 50 32.52 28 607.01 910.562839 Metronidazole Tab 400 MG 779822-014 METRAZOLE 400MG TAB 0.134 50 0.2 1000 134 2002840 METRONIDAZOLE TAB 400 MG 792292-014 ACUZOLE 400MG TAB 0.14 50 0.21 250 35 52.52841 Acyclovir Tab 400 MG 860581-004 CYCLIVEX 400MG TAB 2.605 50 3.91 70 182.35 273.72842 Acyclovir Tab Disp 400 MG 838233-015 LOVIRE 400MG DISP TAB 2.221 50 3.33 70 155.47 233.12843 Pyrilamine Maleate Cream 2% 701102-003 MEPYRADERM 0.385 50 0.58 500 192.5 2902844 Erythromycin Stearate Tab 250 MG 707437-001 BETAMYCIN 250MG TAB 0.736 50 1.1 100 73.6 1102846 Erythromycin Stearate Tab 250 MG 710310-001 ERYKO-250 TABLETS 0.601 50 0.9 100 60.1 902847 Azithromycin Tab 500 MG 707852-001 SANDOZ AZITHROMYCIN 500 21.23 50 31.85 3 63.69 95.552850 Clarithromycin Tab SR 24HR 500 MG 707761-001 KLARITHRAN MR 500MG TAB 11.179 50 16.77 5 55.89 83.852851 Clarithromycin Tab SR 24HR 500 MG 707761-002 KLARITHRAN MR 500MG TAB 11.178 50 16.77 10 111.78 167.72852 Clarithromycin Tab SR 24HR 500 MG 841552-002 KLACID XL 500MG TAB 20.99 50 31.49 5 104.95 157.452853 Clarithromycin Tab SR 24HR 500 MG 841552-003 KLACID XL 500MG TAB 20.99 50 31.49 10 209.9 314.92856 Sulfamethoxazole-Trimethoprim Susp 200-4 816337-020 XERAZOLE SUSP 0.054 50 0.08 500 27 402857 Ciprofloxacin hcl tab 250 mg (base equiv 704353-003 AUSTELL CIPROFLOXACIN 250MG 0.874 50 1.31 14 12.24 18.342858 Ciprofloxacin hcl tab 250 mg (base equiv 708015-001 SIMAYLA CIPROFLOXACIN 250MG 1.007 50 1.51 10 10.07 15.1




Administered by

2859 Ciprofloxacin hcl tab 250 mg (base equiv 784354-006 CIPROBAY 250MG TAB 8.264 50 12.4 10 82.64 1242860 Ciprofloxacin HCl Tab 500 MG (Base Equiv 708014-001 SIMAYLA CIPROFLOXACIN 500MG 1.695 50 2.54 10 16.95 25.42861 Ciprofloxacin HCl Tab 750 MG (Base Equiv 893963-005 CIFLOC 750MG TAB 7.548 50 11.32 10 75.48 113.22862 Levofloxacin Tab 250 MG 710311-001 LEVOFLOXACIN-WINTHROP 250MG TA 11.833 50 17.75 5 59.17 88.752863 Levofloxacin Tab 250 MG 845876-007 TAVANIC 250MG 12.216 50 18.32 5 61.08 91.62864 Levofloxacin Tab 500 MG 707947-001 SANDOZ LEVOFLOXACIN 500MG 11.147 50 16.72 5 55.74 83.62865 Levofloxacin Tab 500 MG 707947-002 SANDOZ LEVOFLOXACIN 500MG 11.147 50 16.72 10 111.47 167.22866 Levofloxacin Tab 500 MG 709846-001 TAVALOXX 500MG TABS 18.874 50 28.31 5 94.37 141.552868 Levofloxacin Tab 500 MG 710312-002 LEVOFLOXACIN-WINTHROP 500MG TA 19.781 50 29.67 10 197.81 296.72869 Levofloxacin Tab 500 MG 845884-018 TAVANIC 500MG 20.464 50 30.7 10 204.64 3072870 Levofloxacin Tab 500 MG 845884-026 TAVANIC 500MG 20.464 50 30.7 5 102.32 153.52871 Clindamycin Phosphate Inj 150 MG/ML 701051-003 CLINDAMYCIN FSK 150MG/ML 24.196 50 36.29 10 241.96 362.92872 Clindamycin Phosphate Inj 150 MG/ML 703672-002 MICRO CLINDAMYCIN 600MG/4 7.173 50 10.76 10 71.73 107.62873 Clindamycin Phosphate Inj 150 MG/ML 717355-004 DALACIN C 4ML150MG/ML INJ 24.711 50 37.07 1 24.71 37.072874 Didanosine Chew Tab 25 MG 703330-001 ASPEN DIDANOSINE 25MG 1.624 50 2.44 60 97.44 146.42875 Didanosine Chew Tab 25 MG 709870-001 SONKE-DIDANOSINE 25MG TAB 1.502 50 2.25 60 90.12 1352876 Didanosine Chew Tab 50 MG 703332-001 ASPEN DIDANOSINE 50MG 1.605 50 2.41 60 96.3 144.62877 Didanosine Chew Tab 50 MG 709871-001 SONKE-DIDANOSINE 50MG TAB 1.477 50 2.22 60 88.62 133.22879 Didanosine Chew Tab 100 MG 703333-001 ASPEN DIDANOSINE 100MG 1.708 50 2.56 60 102.48 153.62880 Didanosine Chew Tab 100 MG 709872-001 SONKE-DIDANOSINE 100MG TAB 1.641 50 2.46 60 98.46 147.62883 Efavirenz Tab 600 MG 703318-001 STOCRIN 600MG TAB 6.074 50 9.11 30 182.22 273.32884 Efavirenz Tab 600 MG 709331-001 CIPLA EFAVIRENZ 600MG TABS 3.255 50 4.88 30 97.65 146.42886 EFAVIRENZ TAB 600 MG 709545-001 ADCO EFAVIRENZ 600MG TAB 2.309 50 3.46 30 69.27 103.82887 Efavirenz Tab 600 MG 710019-001 ASPEN EFAVIRENZ 600MG TAB 4.298 50 6.45 30 128.94 193.52888 Lamivudine Tab 150 MG 701282-003 CIPLA LAMIVUDINE 150MG 0.89 50 1.34 60 53.4 80.42889 LAMIVUDINE TAB 150 MG 703378-001 SONKE-LAMIVUDINE 150 MG T 2.99 50 4.49 60 179.4 269.42890 Lamivudine Tab 150 MG 703716-001 ASPEN LAMIVUDINE 150MG TA 1.348 50 2.02 60 80.88 121.22891 LAMIVUDINE TAB 150 MG 707962-001 ADCO LAMIVUDINE 150MG TAB 0.455 50 0.68 60 27.3 40.82892 Lamivudine Tab 150 MG 821632-019 3TC 150MG TAB 1.681 50 2.52 60 100.86 151.22893 Lamivudine Oral Soln 10 MG/ML 703715-001 ASPEN LAMIVUDINE 10MG/ML 0.264 50 0.4 240 63.36 962895 Lamivudine Oral Soln 10 MG/ML 704041-002 CIPLA LAMIVUDINE 10MG/ML 0.264 50 0.4 240 63.36 962896 LAMIVUDINE ORAL SOLN 10 MG/ML 708708-001 ADCO LAMIVUDINE 10MG/1ML 0.162 50 0.24 240 38.88 57.62897 LAMIVUDINE ORAL SOLN 10 MG/ML 708713-001 ADCO LAMIVUDINE ALC/SUG F 0.182 50 0.27 240 43.68 64.82898 Lamivudine Oral Soln 10 MG/ML 821640-003 3TC ORAL 10MG/ML SOL 0.298 50 0.45 240 71.52 1082899 Stavudine Cap 15 MG 704885-001 ASPEN STAVUDINE 15MG CAP 0.466 50 0.7 60 27.96 422900 Stavudine Cap 15 MG 841315-019 ZERIT 15MG CAP 0.589 50 0.88 60 35.34 52.82901 Stavudine Cap 20 MG 701172-001 ASPEN STAVUDINE 20MG CAP 0.52 50 0.78 60 31.2 46.82902 Stavudine Cap 20 MG 837458-005 ZERIT 20MG CAP 0.483 50 0.72 60 28.98 43.22903 Stavudine Cap 30 MG 701174-001 ASPEN STAVUDINE 30MG CAP 0.576 50 0.86 60 34.56 51.62904 Stavudine Cap 30 MG 701342-001 STAVIR 30MG CAP 0.486 50 0.73 60 29.16 43.82905 Stavudine Cap 30 MG 709530-001 SONKE-STAVUDINE 30MG CAP 0.397 50 0.6 60 23.82 362906 Stavudine Cap 30 MG 709880-001 VARI-STAVUDINE 30MG CAPS 0.576 50 0.86 60 34.56 51.62907 Stavudine Cap 30 MG 841323-003 ZERIT 30MG CAP 0.483 50 0.72 60 28.98 43.22908 Stavudine Cap 40 MG 701175-001 ASPEN STAVUDINE 40MG CAP 0.666 50 1 60 39.96 602910 Stavudine Cap 40 MG 837407-001 ZERIT 40MG CAP 0.483 50 0.72 60 28.98 43.22911 Zidovudine Cap 100 MG 704037-002 CIPLA ZIDOVUDINE 100MG CAP 1.268 50 1.9 120 152.16 2282912 Zidovudine Cap 100 MG 705452-001 ASPEN ZIDOVUDINE 100MG 1.256 50 1.88 100 125.6 1882913 Zidovudine Cap 100 MG 784265-003 RETROVIR 100MG CAP 1.927 50 2.89 100 192.7 2892914 Zidovudine Cap 250 MG 705455-001 ASPEN ZIDOVUDINE 250MG 4.18 50 6.27 60 250.8 376.22915 Zidovudine Cap 250 MG 837350-026 RETROVIR 250MG CAP 4.407 50 6.61 60 264.42 396.62916 Zidovudine Tab 300 MG 703712-002 ASPEN ZIDOVUDINE 300MG TA 3.555 50 5.33 60 213.3 319.82917 Zidovudine Tab 300 MG 704038-001 CIPLA ZIDOVUDINE 300MG TA 3.85 50 5.78 60 231 346.82918 ZIDOVUDINE TAB 300 MG 707960-001 ADCO ZIDOVUDINE 300MG TAB 1.709 50 2.56 60 102.54 153.62919 Zidovudine Tab 300 MG 709531-001 SONKE-ZIDOVUDINE 300MG TAB 2.355 50 3.53 60 141.3 211.82920 Zidovudine Syrup 10 MG/ML 703713-001 ASPEN ZIDOVUDINE SYR 50MG 0.334 50 0.5 200 66.8 1002921 ZIDOVUDINE SYRUP 10 MG/ML 708709-001 ADCO ZIDOVUDINE 50MG/5ML 0.195 50 0.29 200 39 582922 ZIDOVUDINE SYRUP 10 MG/ML 708711-001 ADCO ZIDOVUDINE ALC/SUG F 0.212 50 0.32 200 42.4 642923 Zidovudine Syrup 10 MG/ML 794236-006 RETROVIR S 50MG/5ML SYR 0.377 50 0.57 200 75.4 1142924 Nevirapine Tab 200 MG 703718-001 ASPEN NEVIRAPINE 200MG TA 2.644 50 3.97 60 158.64 238.22925 Nevirapine Tab 200 MG 704036-001 CIPLA NEVIRAPINE 200MG TA 2.644 50 3.97 60 158.64 238.22926 NEVIRAPINE TAB 200 MG 707961-001 ADCO NEVIRAPINE 200MG TAB 1.546 50 2.32 60 92.76 139.22927 Nevirapine Tab 200 MG 709533-001 SONKE-NEVIRAPINE 200MG TAB 1.84 50 2.76 60 110.4 165.62928 Nevirapine Tab 200 MG 840645-007 VIRAMUNE 200MG TAB 2.644 50 3.97 60 158.64 238.22929 Nevirapine Susp 50 MG/5ML 704040-001 CIPLA NEVIRAPINE ORAL SUS 0.427 50 0.64 240 102.48 153.62930 Nevirapine Susp 50 MG/5ML 704731-001 ASPEN NEVIRAPINE 50MG/5ML 0.429 50 0.64 240 102.96 153.62931 Nevirapine Susp 50 MG/5ML 861855-019 VIRAMUNE ORAL 0.459 50 0.69 240 110.16 165.62932 Lamivudine-Zidovudine Tab 150-300 MG 703627-001 ASPEN LAMZID TAB 4.298 50 6.45 60 257.88 3872933 Lamivudine-Zidovudine Tab 150-300 MG 707300-001 CIPLA DUOVIR TAB 2.863 50 4.29 60 171.78 257.42934 LAMIVUDINE-ZIDOVUDINE TAB 150-300 MG 707971-001 SONKE-LAMIVUDINE/ZIDOVUD 2.87 50 4.31 60 172.2 258.62935 Lamivudine-Zidovudine Tab 150-300 MG 875821-006 COMBIVIR TAB 5.106 50 7.66 60 306.36 459.62936 Gliclazide Tab 80 MG 707587-001 ALEMBIC GLICLAZIDE 80MG 0.685 50 1.03 60 41.1 61.82937 Gliclazide Tab 80 MG 709538-001 ARROW GLICLAZIDE 80MG TABS 0.61 50 0.92 60 36.6 55.22939 Metformin HCl Tab 500 MG 707670-001 APEX-METFORMIN 500MG TAB 0.256 50 0.38 100 25.6 382940 Metformin HCl Tab 500 MG 707670-002 APEX-METFORMIN 500MG TAB 0.256 50 0.38 500 128 1902941 Metformin HCl Tab 500 MG 708281-001 BIGSENS 500MG TAB 0.237 50 0.36 100 23.7 362942 Metformin HCl Tab 500 MG 709246-001 METPHAGE 500MG TAB 0.27 50 0.41 100 27 412943 Metformin HCl Tab 500 MG 709338-001 INDO METFORMIN FC 500MG TABS 0.262 50 0.39 100 26.2 392946 Metformin HCL Tab SR Modified Release 50 710196-001 GLUCOPHAGE XR 500MG 0.521 50 0.78 90 46.89 70.22947 Metformin HCL Tab SR Modified Release 50 710196-002 GLUCOPHAGE XR 500MG 0.521 50 0.78 120 62.52 93.62949 Metformin HCl Tab 500 MG 897957-016 MERCK-METFORMIN 500MG 0.242 50 0.36 500 121 1802950 Metformin HCl Tab 850 MG 897961-006 MERCK-METFORMIN 850MG 0.484 50 0.73 60 29.04 43.82951 Metformin HCl Tab 850 MG 897961-014 MERCK-METFORMIN 850MG 0.484 50 0.73 300 145.2 2192952 Metformin HCl Tab 850 MG 707669-001 APEX-METFORMIN FORTE 850M 0.467 50 0.7 60 28.02 422953 Metformin HCl Tab 850 MG 707669-002 APEX-METFORMIN FORTE 850M 0.467 50 0.7 300 140.1 2102954 Metformin HCl Tab 850 MG 708282-001 BIGSENS 850MG TAB 0.428 50 0.64 60 25.68 38.42955 Metformin HCl Tab 850 MG 709247-001 METPHAGE 850MG TAB 0.492 50 0.74 60 29.52 44.42956 Metformin HCl Tab 850 MG 709339-001 INDO METFORMIN FC 850MG TABS 0.483 50 0.72 60 28.98 43.22958 Glyburide Tab 5 MG 827053-002 BIO-GLIBENCLAMIDE TAB 0.16 50 0.24 500 80 1202959 Glimepiride tab 1 mg 709984-001 MERCK-GLIMEPIRIDE 1MG TAB 1.18 50 1.77 30 35.4 53.12960 Glimepiride tab 1 mg 710207-001 EUGLIM 1GM TAB 1.182 50 1.77 30 35.46 53.12962 Glimepiride tab 2 mg 710208-001 EUGLIM 2MG TAB 2.34 50 3.51 30 70.2 105.32963 Glimepiride tab 4 mg 709986-001 MERCK-GLIMEPIRIDE 4MG TAB 4.408 50 6.61 30 132.24 198.32964 Glimepiride tab 4 mg 710209-001 EUGLIM 4MG TAB 3.573 50 5.36 30 107.19 160.82965 Metformin hcl tab 1000 mg 703909-001 GLUCOPHAGE 1000MG TAB 0.793 50 1.19 60 47.58 71.42966 Metformin hcl tab 1000 mg 703909-002 GLUCOPHAGE 1000MG TAB 0.793 50 1.19 300 237.9 3572967 Metformin hcl tab 1000 mg 709172-001 BIGSENS 1000MG TABLETS 0.448 50 0.67 60 26.88 40.22968 PIOGLITAZONE HCL TAB 30 MG (BASE EQUIV) 878251-006 ACTOS 30MG TAB 11.297 50 16.95 28 316.32 474.62972 Glucose Blood Test Strip 462973-002 GLUCOMETER GLUCOSE STRIPS 2.402 50 3.6 50 120.1 1802973 Glucose Blood Test Strip 700893-003 FREESTYLE TEST STRIPS 2.089 50 3.13 50 104.45 156.52974 Glucose Blood Test Strip 701260-001 ASCENSIA ENTRUST TEST STR 5.413 50 8.12 50 270.65 4062976 Glucose Blood Test Strip 702690-001 ONE TOUCH ULTRA TEST STRI 3.66 50 5.49 50 183 274.52981 Glucose Blood Test Strip 705298-001 GLUCOPLUS TEST STRIPS 2.281 50 3.42 50 114.05 1712982 Glucose Blood Test Strip 705372-001 GLUCOPLUS PROVIDER STRIPS 2.33 50 3.5 50 116.5 1752987 Glucose Blood Test Strip 811394-018 ASCENSIA ELITE STRIPS 6.711 50 10.07 50 335.55 503.52988 Glucose Blood Test Strip 831743-026 ACCUTREND STRIPS 25 4.763 50 7.14 50 238.15 3572989 Glucose Blood Test Strip 831980-001 GLUCOSTIX 50 COASTAL 3.471 50 5.21 50 173.55 260.52990 Glucose Blood Test Strip 831999-004 GLUCOSTIX 50 HIGH ALTITU 2.925 50 4.39 50 146.25 219.52991 Glucose Blood Test Strip 847887-014 MEDISENSE PRECISION + ELE 2.17 50 3.26 50 108.5 1632994 Glucose Blood Test Strip 890752-005 ASCENSIA (ESPRIT SENSORS) 3.22 50 4.83 50 161 241.5




Administered by

2995 Glucose Blood Test Strip 891500-001 ACCU-CHECK ADVANTAGE STRI 4.068 50 6.1 50 203.4 3052996 Glucose Blood Test Strip 892998-005 MEDISENSE OPTIUM PLUS STRIPS 2.089 50 3.13 50 104.45 156.52997 Glucose Blood Test Strip 892998-006 MEDISENSE OPTIUM PLUS STRIPS 2.089 50 3.13 100 208.9 3133000 Glucose Blood Test Strip 491915-001 GLUCOSE CONTOUR TS STRIPS 2.514 50 3.77 25 62.85 94.253003 Glucose Blood Test Strip 510233-001 ONE TOUCH GLUCOSE TEST STRIPS 2.27 50 3.41 50 113.5 170.53032 Insulin Syringe/Needle U-40 1 ML 497746-018 SYRIN DISP INS/NDL 1ML 1.996 50 2.99 100 199.6 2993036 Insulin Syringe/Needle U-100 1 ML 26 x 1 526374-003 SYRINGE INSU&NDL 26G 1ML 0.874 50 1.31 100 87.4 1313040 Insulin Syringe/Needle U-100 0.3 ML 30 G 565618-004 SYRINGE 0.3ML INSU + 30X8 2.517 50 3.78 1 2.52 3.783045 Insulin Syringe/Needle U-100 1/2 ML 29 x 631329-005 SYRINGE DISP INS/NDL 0.5M 2.303 50 3.45 100 230.3 3453054 Insulin Pen Needle 458317-004 NOVOFINE NEEDLES 1.588 50 2.38 100 158.8 2383055 Insulin Pen Needle 31 G X 5 MM (3/16 ) 460272-001 NEEDLE BD PEN 29G X 8MM 1.273 50 1.91 100 127.3 1913056 Insulin Pen Needle 31 G X 5 MM (3/16 ) 460280-001 NEEDLE UNIFINE PEN 31G X 1.104 50 1.66 100 110.4 1663067 Insulin Syringe/Needle U-100 1/2 ML 30 x 491052-001 NEEDLE ACCUFINE INSULIN PEN 6 1.069 50 1.6 100 106.9 1603068 Lancets 403143-002 ONE TOUCH ULTRASOFT LANCE 1.1 50 1.65 100 110 1653070 Lancets 405288-001 MEDISENSE THIN LANCETS 20 0.47 50 0.71 200 94 1423084 Lancets 438732-001 GLUCOPLUS LANCET NEEDLE 0.366 50 0.55 200 73.2 1103088 Lancets 446274-001 ONE TOUCH SURESOFT LANCET 1.255 50 1.88 200 251 3763099 Lancets 508771-007 MICROLET LANCETS 0.677 50 1.02 200 135.4 2043112 Lancets 616102-008 ACCU-CHECK SOFTCLIX LANCE 1.486 50 2.23 200 297.2 4463113 Lancets 616102-001 ACCU-CHECK SOFTCLIX LANCE 2.615 50 3.92 25 65.38 983114 Lancets 627550-010 AUTOCLIX LANCETS 2.298 50 3.45 200 459.6 6903115 Lancets 627550-002 AUTOCLIX LANCETS 4.868 50 7.3 25 121.7 182.53137 Alcohol Swabs 471925-004 SKIN PREP WIPES 3.444 50 5.17 50 172.2 258.53144 Prednisolone Tab 5 MG 703720-002 PRELONE 5MG TAB 0.837 50 1.26 200 167.4 2523145 Prednisolone Tab 5 MG 800155-017 LENISOLONE 5MG TAB 0.223 50 0.33 1000 223 3303146 Prednisolone Tab 5 MG 814407-013 CAPSOID 5MG TAB 0.146 50 0.22 1000 146 2203147 Prednisone Tab 5 MG 742732-002 METICORTEN 5MG TAB 2.822 50 4.23 30 84.66 126.93148 Prednisone Tab 5 MG 742732-030 METICORTEN 5MG TAB 2.823 50 4.23 90 254.07 380.73149 Prednisone Tab 5 MG 752304-119 PANAFCORT 5MG TAB 0.086 50 0.13 1000 86 1303150 Prednisone Tab 5 MG 788783-009 BE-TABS PREDNISONE 5MG TA 0.108 50 0.16 1000 108 1603151 Prednisone Tab 5 MG 818267-038 TROLIC 5MG TAB 0.082 50 0.12 1000 82 1203152 Methylprednisolone Sodium Succinate For 710341-001 AP METHYLPRED 500MG VIAL 8ML 168.104 50 252.16 1 168.1 252.163153 Methylprednisolone Sodium Succinate For 765066-009 SOLU-MEDROL 500MG(8ML) INJ 125.511 50 188.27 1 125.51 188.273154 Flutamide Tab 250 MG 708814-001 SPEC-FLUTAMIDE 250MG TABL 5.032 50 7.55 100 503.2 7553155 Tamsulosin HCl Cap CR 0.4 MG 710306-001 UROMAX 0.4MG SRC 3.181 50 4.77 30 95.43 143.13156 Finasteride Tab 5 MG 708750-001 FINPRO 5MG TABLETS 5.091 50 7.64 28 142.55 213.923157 Finasteride Tab 5 MG 709473-001 FINCAR 5MG TAB 5.729 50 8.59 30 171.87 257.73158 Finasteride Tab 5 MG 793736-005 PROSCAR 5MG TAB 15.177 50 22.77 28 424.96 637.563159 Finasteride Tab 1 MG 709848-001 FINPECIA 1MG TABS 3.069 50 4.6 30 92.07 1383160 Finasteride Tab 1 MG 852570-007 PROPECIA 1MG TAB 6.67 50 10.01 28 186.76 280.283161 Calcium 750 MG w/ Vitamin D Tab 782114-008 CALTRATE D CHEW 2.343 50 3.51 30 70.29 105.33162 CALCIUM 750 MG W/ VITAMIN D TAB 846155-001 CALPIN D 0.65 50 0.98 30 19.5 29.43163 Calcium Carbonate Chew Tab 750MG 712035-001 CALTRATE 300MG CHEW 2.343 50 3.51 30 70.29 105.33166 Estradiol Valerate Tab 1 MG 757330-002 PROGYNOVA 1MG TAB 3.024 50 4.54 21 63.5 95.343167 Estradiol Valerate Tab 1 MG 822477-009 ESTRO-PAUSE 1MG TAB 2.178 50 3.27 28 60.98 91.563168 Estradiol Valerate Tab 2 MG 757349-005 PROGYNOVA 2MG TAB 4.126 50 6.19 21 86.65 129.993169 Estradiol Valerate Tab 2 MG 822485-001 ESTRO-PAUSE 2MG TAB 2.303 50 3.45 28 64.48 96.63170 Immune Globulin (Human) Inj 707783-003 BERIGLOBIN 2ML INJ 320.452 50 480.68 1 320.45 480.683171 Immune Globulin (Human) Inj 731455-002 INTRAGAM 16% 2ML 68.785 50 103.18 1 68.79 103.183172 Immune Globulin (Human) Inj 707791-006 BERIGLOBIN 5ML INJ 801.156 50 1201.73 1 801.16 1201.733173 Immune Globulin (Human) Inj 731463-005 INTRAGAM 16% 5ML 171.956 50 257.93 1 171.96 257.933174 Mirtazapine tab 15 mg 710528-001 BERON 15MG TABLETS 5.071 50 7.61 30 152.13 228.33175 Mirtazapine tab 30 mg 710529-001 BERON 30MG TABLETS 7.723 50 11.58 30 231.69 347.43176 Cetirizine hcl syrup 1 mg/ml (5 mg/5ml) 710672-001 TEXA 5MG/5ML SYRP 0.475 50 0.71 100 47.5 713177 Fexofenadine hcl tab 180 mg 710837-001 FEXAWAY 180MG TABLETS 3.616 50 5.42 30 108.48 162.63178 Omeprazole Magnesium Tab CR 40 MG 708110-002 DRL-OMEPRAZOLE 40MG 6.458 50 9.69 30 193.74 290.73179 Floxacillin Sodium Cap 250 MG 710308-001 FLUPEN 250MG CAPS 1.755 50 2.63 100 175.5 2633180 Cefuroxime Axetil Tab 250 MG 710530-001 BETAROXIME T 250MG TABLETS 7.788 50 11.68 10 77.88 116.83181 Cefuroxime Axetil Tab 500 MG 710531-001 BETAROXIME T 500MG TABLETS 13.394 50 20.09 10 133.94 200.93182 Ceftazidime For Inj 500 MG 710421-001 KEFTAZ VIAL POWDER FOR RECONST 44.119 50 66.18 1 44.12 66.183183 Ceftazidime For Inj 1 GM 710422-001 KEFTAZ VIAL POWDER FOR RECONST 67.911 50 101.87 1 67.91 101.873184 Ceftazidime For Inj 2 GM 710424-001 KEFTAZ VIAL POWDER FOR RECONST 129.163 50 193.74 1 129.16 193.743185 Efavirenz Tab 600 MG 710594-001 AURO-EFAVIRENZ 600MG TABLETS 4.353 50 6.53 30 130.59 195.93186 Lamivudine Tab 150 MG 710602-001 AURO-LAMIVUDINE 150MG TABLETS 1.314 50 1.97 60 78.84 118.23187 Lamivudine Oral Soln 10 MG/ML 710603-001 AURO-LAMIVUDINE 10MG/1ML SOLUT 0.252 50 0.38 240 60.48 91.23188 Stavudine Cap 30 MG 710589-001 AURO-STAVUDINE 30MG CAPSULES 0.536 50 0.8 60 32.16 483189 Stavudine Cap 40 MG 710590-001 AURO-STAVUDINE 40MG CAPSULES 0.522 50 0.78 60 31.32 46.83190 Zidovudine Cap 100 MG 710597-001 AURO-ZIDOVUDINE 100MG CAPSULES 1.396 50 2.09 100 139.6 2093191 Zidovudine Tab 300 MG 710600-001 AURO-ZIDOVUDINE 300MG TABLETS 3.602 50 5.4 60 216.12 3243192 Zidovudine Syrup 10 MG/ML 710634-001 AURO-ZIDOVUDINE 50MG/5ML SOLUT 0.279 50 0.42 240 66.96 100.83193 Zidovudine Syrup 10 MG/ML 704039-001 CIPLA ZIDOVUDINE ORAL SOLUTION 0.337 50 0.51 100 33.7 513194 Zidovudine Syrup 10 MG/ML 704039-002 CIPLA ZIDOVUDINE ORAL SOLUTION 0.337 50 0.51 200 67.4 1023195 Nevirapine Tab 200 MG 710606-001 AURO-NEVIRAPINE 200MG TABLETS 2.561 50 3.84 60 153.66 230.43196 Nevirapine Susp 50 MG/5ML 710604-001 AURO-NEVIRAPINE 50MG/5ML SUSPE 0.443 50 0.66 240 106.32 158.43197 Lamivudine-Zidovudine Tab 150-300 MG 710596-001 AURO-LAMIZIDO 150MG/300MG TABL 4.286 50 6.43 60 257.16 385.83199 Glucose Blood Test Strip 476006-002 ACCU-CHECK ACTIVE STRIPS 1.794 50 2.69 50 89.7 134.53200 Glucose Blood Test Strip 464291-001 ACCU-CHEK PERFORMA STRIPS 2.72 50 4.08 50 136 2043202 Glucose Blood Test Strip 468774-001 ON-CALL PLUS EZ STRIPS 1.825 50 2.74 50 91.25 1373203 Glucose Blood Test Strip 468774-002 ON-CALL PLUS EZ STRIPS 1.822 50 2.73 25 45.55 68.253205 Glucose Blood Test Strip 473771-001 ELECTRODES OPTIUM OMEGA 50 1.505 50 2.26 50 75.25 1133217 Lancets 472303-001 LANCET THIN ABBOTT 50S 0.578 50 0.87 50 28.9 43.53228 Mirtazapine tab 15 mg 710802-1 MERCK-MIRTAZAPINE 15MG TABLETS 5.369 50 8.05 30 161.07 241.53229 Mirtazapine tab 30 mg 710803-1 MERCK-MIRTAZAPINE 30MG TABLETS 8.156 50 12.23 30 244.68 366.93230 Gabapentin cap 100 mg 710525-1 RAN-GABAPENTIN 100MG CAPS 1.048 50 1.57 100 104.8 1573231 Gabapentin cap 400 mg 710527-1 RAN-GABAPENTIN 400MG CAPS 2.617 50 3.93 100 261.7 3933232 Acetaminophen Tab 500 MG 710211-2 ZYDUS-PARACETAMOL 500MG 0.038 50 0.06 5000 190 3003233 Oxybutynin chloride tab sr 24hr 5 mg 710616-1 LYRINEL 5MG SRT 6.457 50 9.69 30 193.71 290.73234 Fexofenadine hcl tab 120 mg 710836-1 FEXAWAY 120MG TABLETS 2.727 50 4.09 10 27.27 40.93235 Desloratadine Tab 5 MG 709843-2 DAZIT 5MG TAB 2.774 50 4.16 10 27.74 41.63237 Amoxicillin (Trihydrate) For Susp 250 MG 830283-5 MOXYMAX 250 SUSP 0.099 50 0.15 100 9.9 153238 Ceftriaxone sodium for inj 500 mg 703463-4 SABAX CEFTRIAXONE POWDER F/INJ 13.953 50 20.93 10 139.53 209.33239 Ceftriaxone sodium for inj 1 gm 703474-003 SABAX CEFTRIAXONE POWDER FOR I 9.818 50 14.73 10 98.18 147.33240 Ceftriaxone sodium for inj 2 gm 703466-7 SABAX CEFTRIAXONE POWDER F/INF 31.218 50 46.83 5 156.09 234.153241 Sulfamethoxazole-trimethoprim tab 800-16 782793-011 SANDOZ CO-TRIMOXAZOLE 800MG/16 0.501 50 0.75 30 15.03 22.53242 Glucose Blood Test Strip 468774-3 ON-CALL PLUS EZ STRIPS (ALL SI 1.822 50 2.73 30 54.66 81.93253 Moxonidine Tab 0.2 MG 710744-1 MOXOTENS 0.2MG TABLETS 4.684 50 7.03 28 131.15 196.843254 Moxonidine Tab 0.3 MG 710745-1 MOXOTENS 0.3MG TABLETS 4.684 50 7.03 28 131.15 196.843255 Moxonidine Tab 0.4 MG 710746-1 MOXOTENS 0.4MG TABLETS 4.684 50 7.03 28 131.15 196.843256 Moxonidine Tab 0.2 MG 851892-19 PHYSIOTENS 0.2MG TAB 5.809 50 8.71 28 162.65 243.883257 Moxonidine Tab 0.3 MG 851906-1 PHYSIOTENS 0.3MG TAB 5.809 50 8.71 28 162.65 243.883258 Moxonidine Tab 0.4 MG 851914-4 PHYSIOTENS 0.4MG TAB 5.809 50 8.71 28 162.65 243.883262 Topiramate tab 25 mg 710899-001 EPITOZ 25MG TAB 1.619 50 2.43 60 97.14 145.83263 Topiramate tab 50 mg 710900-001 EPITOZ 50MG TAB 3.195 50 4.79 60 191.7 287.43264 Topiramate tab 100 mg 710901-001 EPITOZ 100MG TAB 4.451 50 6.68 60 267.06 400.83266 Carvedilol tab 6.25 mg 710958-001 VEDIBLOK 6.25MG TAB 1.454 50 2.18 30 43.62 65.43267 Carvedilol tab 12.5 mg 710959-001 VEDIBLOK 12.5MG TAB 1.58 50 2.37 30 47.4 71.13268 Carvedilol tab 25 mg 710960-001 VEDIBLOK 25MG TAB 0.987 50 1.48 30 29.61 44.43269 Perindopril erbumine tab 4 mg 710611-001 RAN-PERINDOPRIL 4MG TAB 0.968 50 1.45 30 29.04 43.53270 Simvastatin tab 10 mg 710826-001 ZYSIM 10MG TAB 0.619 50 0.93 30 18.57 27.9




Administered by

3271 Simvastatin tab 10 mg 710868-001 MICHOL 10MG TAB 0.739 50 1.11 30 22.17 33.33272 Simvastatin tab 20 mg 710827-001 ZYSIM 20MG TAB 0.619 50 0.93 30 18.57 27.93273 Simvastatin tab 20 mg 710869-001 MICHOL 20MG TAB 0.736 50 1.1 30 22.08 333274 Simvastatin tab 40 mg 710828-001 ZYSIM 40MG TAB 0.799 50 1.2 30 23.97 363275 Simvastatin tab 40 mg 710870-001 MICHOL 40MG TAB 0.749 50 1.12 30 22.47 33.63276 Chlorphen-ephedrine-apap-caffeine tab 2- 715301-129 COLCLEER(COLD+FLU) TAB 0.108 50 0.16 120 12.96 19.23284 Ceftriaxone Sodium For Inj 500 MG 710966-001 SANDOZ CEFTRIAXONE 500MG POW 21.785 50 32.68 1 21.78 32.683285 Ceftriaxone Sodium For Inj 1 GM 710967-001 SANDOZ CEFTRIAXONE 1000MG POWD 23.578 50 35.37 1 23.58 35.373286 Glimepiride tab 1 mg 710904-001 SULPHONUR 1MG TABLETS 1.129 50 1.69 30 33.87 50.73287 Glimepiride tab 2 mg 710905-001 SULPHONUR 2MG TABLETS 2.258 50 3.39 30 67.74 101.73288 Glimepiride tab 4 mg 710906-001 SULPHONUR 4MG TABLETS 3.386 50 5.08 30 101.58 152.43295 Lamotrigine tab disp 50 mg 891708-006 LAMICTIN P 50MG DISP TAB 2.526 50 3.79 60 151.56 227.43296 Lamotrigine Tab Disp 100 MG 813907-004 LAMICTIN P 100MG DISP TAB 3.955 50 5.93 60 237.3 355.83297 Lamotrigine Tab Disp 200 MG 891716-002 LAMICTIN P 200MG DISP TAB 7.481 50 11.22 60 448.86 673.23298 Topiramate sprinkle cap 25 mg 878022-007 TOPAMAX SC SPRIN 25MG 2.978 50 4.47 60 178.68 268.23299 Topiramate sprinkle cap 50 mg 890728-003 TOPAMAX SC SPRIN 50MG 5.028 50 7.54 60 301.68 452.43300 Ramipril cap 2.5 mg 711159-001 ARROW RAMIPRIL 2.5MG CAP 1.677 50 2.52 30 50.31 75.63301 Ramipril cap 5 mg 711161-001 ARROW RAMIPRIL 5MG CAP 2.516 50 3.77 30 75.48 113.13302 Ramipril cap 10 mg 711162-001 ARROW RAMIPRIL 10MG CAP 2.823 50 4.23 30 84.69 126.93303 Perindopril erbumine tab 8 mg 710925-001 VECTORYL 8MG TAB 2.843 50 4.26 30 85.29 127.83304 Perindopril erbumine tab 8 mg 710510-001 CIPLA-PERINDOPRIL 8MG TABLETS 3.072 50 4.61 30 92.16 138.33305 Perindopril erbumine tab 10 mg 705915-001 COVERSYL 10MG TAB 5.344 50 8.02 30 160.32 240.63306 Amiodarone hcl inj 50 mg/ml 716162-008 CORDARONE X 150MG/3ML INJ 59.204 50 88.81 10 592.04 888.13307 Amiodarone hcl inj 50 mg/ml 711183-001 AMIOTACH AMPOULE 50MG/1ML 3ML 55.623 50 83.43 10 556.23 834.33308 Simvastatin tab 10 mg 711232-001 REDICOR 10MG TAB 0.742 50 1.11 30 22.26 33.33309 Simvastatin tab 20 mg 711234-001 REDICOR 20MG TAB 0.742 50 1.11 30 22.26 33.33310 Simvastatin tab 40 mg 711235-001 REDICOR 40MG TAB 0.742 50 1.11 30 22.26 33.33311 Heparin Sodium (Porcine) Inj 5000 Unit/M 782262-007 HEPARIN FSK 5ML 5000U/ML VIAL 32.236 50 48.35 10 322.36 483.53313 Heparin Sodium (Porcine) Inj 5000 Unit/M 707865-002 BIO-HEPARIN 5000IU INJ 30.395 50 45.59 10 303.95 455.93315 Heparin Sodium (Porcine) Inj 5000 Unit/M 711093-002 BIO-HEPARIN AMPOULE 5000IU/1ML 28.275 50 42.41 10 282.75 424.13316 Clotrimazole Cream 1% 711138-001 INNOSPORE 1% TOPICAL 0.22 50 0.33 20 4.4 6.63317 Clotrimazole Vaginal Cream 1% 711138-002 INNOSPORE 1% VCR 0.22 50 0.33 50 11 16.53318 Aminophylline Dihydrate Inj 25 MG/ML 702889-008 AMINOPHYLLIN 250MG/10ML INJ 26.467 50 39.7 5 132.33 198.53319 Aminophylline Dihydrate Inj 25 MG/ML 754315-002 AMINOPHYLLIN IV FSK 250MG/10ML 8.256 50 12.38 10 82.56 123.83320 Aminophylline Dihydrate Inj 25 MG/ML 832731-005 MERCK-AMINOPHYLLIN 250MG/10ML 2.944 50 4.42 10 29.44 44.23321 Aminophylline Dihydrate Inj 25 MG/ML 802360-009 AMINOPHYLLIN 250MG/10ML INJ 6.684 50 10.03 10 66.84 100.33322 Cimetidine inj 100 mg/ml 820652-008 LENAMET 200MG/2ML INJ 12.44 50 18.66 10 124.4 186.63323 Cimetidine inj 100 mg/ml 703601-001 MICRO CIMETIDINE 200MG/2ML 6.482 50 9.72 10 64.82 97.23324 Cimetidine inj 100 mg/ml 838276-008 SABAX CIMETIDINE 2ML INJ 5.232 50 7.85 10 52.32 78.53325 Cefazolin Sodium For Inj 1 GM 840742-002 CEFAZOLIN FSK 1000MG VIAL 7.242 50 10.86 10 72.42 108.63326 Cefazolin Sodium For Inj 1 GM 703368-001 SABAX CEFAZOLIN 1000MG FOR INJ 1.13 50 1.7 10 11.3 173331 Potassium Chloride Inj 2 mEq/ML 709422-001 POTASSIUM CHLORIDE AMP 14.9 2.883 50 4.32 20 57.66 86.43332 Potassium Chloride Inj 2 mEq/ML 807389-005 POT CHLOR 15% 10ML INJ 3.099 50 4.65 10 30.99 46.53333 Risperidone Tab 0.5 MG 711471-001 ASPEN RISPERIDONE 0.5MG TAB 4.423 50 6.63 30 132.69 198.93334 Risperidone Tab 0.5 MG 891523-008 RISPERDAL 0.5MG TAB 7.099 50 10.65 30 212.97 319.53335 Risperidone Tab 0.5 MG 711419-001 RISPERLET 0.5MG TAB 5.017 50 7.53 30 150.51 225.93336 Risperidone Tab 0.5 MG 711511-001 ZOXADON 0.5MG 3.328 50 4.99 30 99.84 149.73337 Risperidone Tab 1 MG 711472-001 ASPEN RISPERIDONE 1MG TAB 7.571 50 11.36 30 227.13 340.83338 Risperidone Tab 1 MG 711420-001 RISPERLET 1MG TAB 8.664 50 13 30 259.92 3903339 Risperidone Tab 1 MG 711512-001 ZOXADON 1MG 6.257 50 9.39 30 187.71 281.73340 Risperidone tab 2 mg 711473-001 ASPEN RISPERIDONE 2MG TAB 12.843 50 19.26 30 385.29 577.83341 Risperidone tab 2 mg 711421-001 RISPERLET 2MG TAB 14.589 50 21.88 30 437.67 656.43342 Risperidone tab 2 mg 711513-001 ZOXADON 2MG 10.671 50 16.01 30 320.13 480.33343 Risperidone Tab 4 MG 711475-001 ASPEN RISPERIDONE 4MG TAB 24.868 50 37.3 30 746.04 11193344 Risperidone Tab 4 MG 828440-018 RISPERDAL 4MG TAB 40.215 50 60.32 30 1206.45 1809.63345 Risperidone Tab 3 MG 711474-001 ASPEN RISPERIDONE 3MG TAB 18.778 50 28.17 30 563.34 845.13346 Lisinopril & hydrochlorothiazide tab 20- 710978-001 DIACE CO 20/12.5 MG TAB 2.12 50 3.18 28 59.36 89.043347 Pravastatin sodium tab 10 mg 710974-001 COLITE 10MG TAB 3.271 50 4.91 30 98.13 147.33348 Pravastatin Sodium Tab 20 MG 710975-001 COLITE 20MG TAB 4.026 50 6.04 30 120.78 181.23349 Pravastatin sodium tab 40 mg 710976-001 COLITE 40MG TAB 4.906 50 7.36 30 147.18 220.83350 Clopidogrel bisulfate tab 75 mg (base eq 711440-001 CLOPIDOGREL-WINTHROP 4.243 50 6.36 28 118.8 178.083351 Clopidogrel bisulfate tab 75 mg (base eq 711422-001 MISTRO 75MG TAB 3.813 50 5.72 30 114.39 171.63352 Clopidogrel bisulfate tab 75 mg (base eq 711423-001 PLAGROL 75MG TAB 1.807 50 2.71 30 54.21 81.33353 Clopidogrel bisulfate tab 75 mg (base eq 874965-004 PLAVIX 75MG FILMCOAT TAB 13.534 50 20.3 28 378.95 568.43355 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 711378-001 SMART-SODA GRA 0.222 50 0.33 60 13.32 19.83360 Folic Acid Tab 5 MG 810967-006 BE-TABS FOLIC ACID 5MG 0.414 50 0.62 1000 414 6203361 Folic Acid Tab 5 MG 810967-014 BE-TABS FOLIC ACID 5MG 0.414 50 0.62 5000 2070 31003362 Folic Acid Tab 5 MG 810967-015 BE-TABS FOLIC ACID 5MG 0.414 50 0.62 100 41.4 623363 Folic Acid Cap 5 MG 702348-003 FOLIC ACID 5MG 0.902 50 1.35 30 27.06 40.53364 Oxymetazoline HCl Nasal Soln 0.025% 702618-003 DRINASAL DROPS 10ML 19.63 50 29.45 1 19.63 29.453365 Oxymetazoline HCl Nasal Soln 0.025% 702620-003 DRINASAL PAED MET SPRAY 26.793 50 40.19 1 26.79 40.193366 Risperidone Tab 1 MG 711537-001 RISPONZ 1MG TABLETS 5.956 50 8.93 30 178.68 267.93367 Risperidone tab 2 mg 711534-001 RISPONZ 2MG TABLETS 10.05 50 15.08 30 301.5 452.43368 Risperidone Tab 4 MG 711538-001 RISPONZ 4MG TABLETS 20.468 50 30.7 30 614.04 9213369 Risperidone Tab 3 MG 711536-001 RISPONZ 3MG TABLETS 15.053 50 22.58 30 451.59 677.43370 Ondansetron hcl tab 4 mg 711531-001 VOMIZ 4MG TABLETS 9.404 50 14.11 10 94.04 141.13371 Ondansetron HCl Tab 8 MG 711532-001 VOMIZ 8MG TABLETS 18.809 50 28.21 10 188.09 282.13372 Meloxicam Tab 15 MG 711325-001 ARROW MELOXICAM 15MG TABS 2.208 50 3.31 10 22.08 33.13373 Meloxicam Tab 15 MG 711325-002 ARROW MELOXICAM 15MG TABS 2.208 50 3.31 30 66.24 99.33374 Meloxicam tab 7.5 mg 711324-001 ARROW MELOXICAM 7.5MG TABS 0.728 50 1.09 30 21.84 32.73375 Clopidogrel Bisulfate Tab 75 MG (Base Eq 711593-001 CLOPIVAS 75MG TAB 3.861 50 5.79 30 115.83 173.73376 Salbutamol Sulfate Inhal Aero 108 MCG/AC 711213-001 VENTEZE CFC FREE 200 DOSE 100M 18.274 50 27.41 1 18.27 27.413377 Fluconazole Cap 150 MG 711530-001 MYCOREST 150MG CAPSULES 8.919 50 13.38 1 8.92 13.383378 Fluconazole Cap 150 MG 711530-002 MYCOREST 150MG CAPSULES 7.965 50 11.95 4 31.86 47.83384 Nifedipine Tab SR 24HR 30 MG 711682-001 FEDALOC SR 30MG SRT 3.785 50 5.68 30 113.55 170.43385 NIFEDIPINE TAB SR 24HR 30 MG 793124-026 ADALAT XL 30MG TAB 4.752 50 7.13 28 133.06 199.643386 Nifedipine Tab SR 24HR 60 MG 711714-001 FEDALOC SR 60MG SRT 5.512 50 8.27 30 165.36 248.13387 NIFEDIPINE TAB SR 24HR 60 MG 793132-010 ADALAT XL 60MG TAB 6.58 50 9.87 28 184.24 276.363388 Imipramine HCl Tab 10 MG 724661-107 ETHIPRAMINE 10MG TAB 0.302 50 0.45 100 30.2 453389 Paroxetine HCl Tab 20 MG 711911-001 ZYDUS-PAROXETINE 20MG TABS 3.628 50 5.44 30 108.84 163.23390 Venlafaxine HCl Cap SR 24HR 75 MG 710742-001 SANDOZ VENLAFAXINE XL 75MG SRC 5.46 50 8.19 30 163.8 245.73391 Venlafaxine HCl Cap SR 24HR 150 MG 710743-001 SANDOZ VENLAFAXINE XL 150MG SR 8.993 50 13.49 30 269.79 404.73392 Alendronate Sodium Tab 70 MG 711414-001 RAN-ALENDRONATE 70MG TABS 42.739 50 64.11 4 170.96 256.443393 Cetirizine HCl Syrup 1 MG/ML (5 MG/5ML) 711745-001 SINUTAB SINUS ALLERGY 1MG/1ML 0.544 50 0.82 100 54.4 823394 Chlorphen-ephedrine-apap-caffeine tab 2- 764264-001 SINUCON TAB 0.745 50 1.12 20 14.9 22.43395 Chlorphen-ephedrine-apap-caffeine tab 2- 822744-015 SINUEND TAB 0.448 50 0.67 20 8.96 13.43396 Isotretinoin Cap 10 MG 711877-001 APEX-ISOTRETINOIN 10MG CAPS 2.709 50 4.06 60 162.54 243.63397 Isotretinoin Cap 20 MG 711876-001 APEX-ISOTRETINOIN 20MG CAPS 5.327 50 7.99 60 319.62 479.43398 Terbinafine HCl Tab 250 MG 711778-001 LAMISPOR 250MG TAB 13.093 50 19.64 14 183.3 274.963399 Metformin HCl Tab 500 MG 711636-001 METORED 500MG TABLETS 0.278 50 0.42 90 25.02 37.83400 Metformin HCl Tab 850 MG 711638-001 METORED 850MG TABLETS 0.508 50 0.76 60 30.48 45.63401 Glimepiride tab 1 mg 711908-001 ZYDUS-GLIMEPIRIDE 1MG TABS 1.383 50 2.07 30 41.49 62.13402 Glimepiride tab 2 mg 711909-001 ZYDUS-GLIMEPIRIDE 2MG TABS 2.695 50 4.04 30 80.85 121.23403 Glimepiride tab 4 mg 711910-001 ZYDUS-GLIMEPIRIDE 4MG TABS 4.837 50 7.26 30 145.11 217.83404 Metformin hcl tab 1000 mg 711773-001 METORED 1000MG TABLETS 0.54 50 0.81 60 32.4 48.63419 Insulin Pen Needle 30 G X 8 MM (1/3 o 528034-002 NEEDLE PEN BD MICROFINE 31G 5M 1.156 50 1.73 100 115.6 1733423 Risperidone Tab 0.5 MG 712212-001 DRL RISPERIDONE 0.5MG TABS 4.014 50 6.02 30 120.42 180.63424 Risperidone Tab 1 MG 712211-001 DRL RISPERIDONE 1MG TABS 6.932 50 10.4 30 207.96 312




Administered by

3425 Risperidone tab 2 mg 712210-001 DRL RISPERIDONE 2MG TABS 11.673 50 17.51 30 350.19 525.33426 Risperidone Tab 3 MG 712209-001 DRL RISPERIDONE 3MG TABS 18.275 50 27.41 30 548.25 822.33427 Sertraline HCl Tab 50 MG 712093-001 ARROW SERTRALINE 50MG TABS 2.767 50 4.15 30 83.01 124.53428 Sertraline HCl Tab 100 MG 712092-001 ARROW SERTRALINE 100MG TABS 5.507 50 8.26 30 165.21 247.83429 Lamotrigine Tab 200 MG 712217-001 LAMITOR 200MG TABS 3.79 50 5.69 60 227.4 341.43430 Ibuprofen Cap 200 MG 711948-001 NUROFEN CAPLETS 200MG CAPS 0.824 50 1.24 12 9.89 14.883431 Ibuprofen Cap 200 MG 711948-002 NUROFEN CAPLETS 200MG CAPS 0.823 50 1.23 24 19.75 29.523432 Loratadine Tab 10 MG 785113-031 CLARITYNE 10MG TAB 1.096 50 1.64 5 5.48 8.23434 Heparin Sodium (Porcine) Inj 5000 Unit/M 730602-001 HEPARIN FSK 5ML 5000IU/ML 20.042 50 30.06 10 200.42 300.63435 Ranitidine HCl Tab 75 MG 712136-001 AUSTAC 75MG TAB 0.435 50 0.65 12 5.22 7.83436 Ranitidine hcl tab 150 mg 712134-001 AUSTAC 150MG TAB 0.338 50 0.51 60 20.28 30.63437 Ranitidine HCl Tab 300 MG 712135-001 AUSTAC 300MG TAB 0.716 50 1.07 30 21.48 32.13438 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 712312-001 MEDI SODA EFFERVESCENT GRAN 0.181 50 0.27 60 10.86 16.23439 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 712312-002 MEDI SODA EFFERVESCENT GRAN 0.134 50 0.2 120 16.08 243440 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 712393-001 BAO SODA GRANULES 0.279 50 0.42 60 16.74 25.23441 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 712393-002 BAO SODA GRANULES 0.199 50 0.3 120 23.88 363442 Efavirenz Cap 50 MG 710592-001 AURO-EFAVIRENZ 50MG CAPSULES 0.858 50 1.29 30 25.74 38.73444 Efavirenz Cap 50 MG 712069-001 STOCRIN 50MG TAB 1.091 50 1.64 30 32.73 49.23447 Efavirenz Cap 200 MG 712070-001 STOCRIN 200MG TAB 3.445 50 5.17 90 310.05 465.33454 Risperidone Tab 0.5 MG 712252-001 RISPERIDONE HEXAL 0.5MG TABLET 4.037 50 6.06 30 121.11 181.83455 Risperidone Tab 0.5 MG 712191-001 MERCK RISPERIDONE 0.5MG TABLET 4.115 50 6.17 30 123.45 185.13456 Risperidone Tab 1 MG 712190-001 MERCK RISPERIDONE 1MG TABLETS 7.094 50 10.64 30 212.82 319.23457 Risperidone tab 2 mg 712189-001 MERCK RISPERIDONE 2MG TABLETS 11.947 50 17.92 30 358.41 537.63458 Diclofenac Sodium EC Tab 25 MG 719811-023 SANDOZ DICLOFENAC 25 0.105 50 0.16 500 52.5 803461 Levofloxacin Tab 500 MG 709846-002 TAVALOXX 500MG TAB 18.875 50 28.31 10 188.75 283.13468 Moxonidine Tab 0.2 MG 712382-001 CYNT 0.2MG TAB 4.482 50 6.72 28 125.5 188.163469 Moxonidine Tab 0.4 MG 712383-001 CYNT 0.4MG TAB 4.482 50 6.72 28 125.5 188.163470 Acetaminophen Tab 500 MG 784443-034 PARAMED 500MG TAB 0.588 50 0.88 10 5.88 8.83471 Alendronate Sodium-Cholecalciferol Tab 7 709865-001 FOSAVANCE TAB 40.489 50 60.73 4 161.96 242.923472 Theophylline-Etofylline-Diphenylpyr-Ammo 765023-008 SOLPHYLLEX SYR 0.225 50 0.34 200 45 683473 THEOPHYLLINE-ETOFYLLINE-DIPHENYLPYR-AMMO 779784-006 ACTOPHLEM 0.198 50 0.3 200ML 39.6 603474 Glucose Blood Test Strip 597789-001 GLUCOSE STRIPS MEDSET EASY TOU 2.681 50 4.02 50 134.05 2013482 Lancets 597788-001 LANCET MEDSET EASY TOUCH 1.778 50 2.67 25 44.45 66.753483 Zopiclone Tab 7.5 MG 712508-001 AUSTELL-ZOPICLONE 7.5MG TABLET 1.003 50 1.5 30 30.09 453484 Risperidone Tab 0.5 MG 712617-001 PERIZAL 0.5MG TAB 3.522 50 5.28 30 105.66 158.43485 Risperidone Tab 1 MG 712618-001 PERIZAL 1MG TAB 5.927 50 8.89 30 177.81 266.73486 Risperidone tab 2 mg 712619-001 PERIZAL 2MG TAB 9.982 50 14.97 30 299.46 449.13487 Risperidone Tab 3 MG 712621-001 PERIZAL 3MG TAB 15.106 50 22.66 30 453.18 679.83490 Alendronate Sodium Tab 70 MG 712479-001 BONIRAN 70MG TAB 42.746 50 64.12 4 170.98 256.483491 Lisinopril Tab 10 MG 712598-001 AUSTELL-LISINOPRIL 10MG TABLET 0.53 50 0.8 30 15.9 243492 Irbesartan Tab 150 MG 837814-006 APROVEL 150MG TAB 6.319 50 9.48 28 176.93 265.443493 Irbesartan Tab 150 MG 712385-001 IRBEWIN 150MG TABLETS 2.195 50 3.29 28 61.46 92.123494 Irbesartan Tab 300 MG 712384-001 IRBEWIN 300MG TABLETS 2.517 50 3.78 28 70.48 105.843495 Irbesartan Tab 300 MG 837822-009 APROVEL 300MG TAB 5.903 50 8.85 28 165.28 247.83496 Irbesartan-Hydrochlorothiazide Tab 150-1 891353-004 COAPROVEL 150/12.5 TAB 5.878 50 8.82 28 164.58 246.963497 Irbesartan-Hydrochlorothiazide Tab 150-1 712386-001 CO-IRBEWIN 150/12.5MG TABLETS 4.246 50 6.37 28 118.89 178.363498 Irbesartan-Hydrochlorothiazide Tab 300-1 898597-005 COAPROVEL 300/12.5 TAB 6.319 50 9.48 28 176.93 265.443499 Irbesartan-Hydrochlorothiazide Tab 300-1 712387-001 CO-IRBEWIN 300/12.5MG TABLETS 4.246 50 6.37 28 118.89 178.363500 Amiodarone HCl Inj 50 MG/ML 711776-001 ADCORONE 150MG/3ML 35.324 50 52.99 10 353.24 529.93501 Albendazole Tab 400 MG 840262-019 BENDEX 400MG TAB 11.548 50 17.32 1 11.55 17.323502 Albendazole Tab 400 MG 707436-001 WORMADOLE 400MG CHEW 3.096 50 4.64 1 3.1 4.643508 Ceftriaxone Sodium For IV Soln 2 GM 710968-001 SANDOZ CEFTRIAXONE 2000MG INJ 44.711 50 67.07 1 44.71 67.073509 Oseltamivir Phosphate Cap 75 MG (Base Eq 712392-001 CIPLA-OSELTAMIVIR 75MG CAPSULE 15.101 50 22.65 10 151.01 226.53510 Oseltamivir Phosphate Cap 75 MG (Base Eq 705728-001 TAMIFLU 75MG CAP 20.633 50 30.95 10 206.33 309.53527 Methotrexate Tab 2.5 MG 712504-001 EMTHEXATE 2.5MG TABS 0.834 50 1.25 100 83.4 1253528 Methotrexate Tab 2.5 MG 742465-004 METHOTREXATE 2.5MG TAB 1.145 50 1.72 100 114.5 1723529 Mycophenolate Mofetil Cap 250 MG 712505-001 MYCOPHENOLATE-HEXAL 250MG CAPS 8.575 50 12.86 100 857.5 12863530 MYCOPHENOLATE 250 MG 833630-008 CELLCEPT 250MG TABS 10.999 50 16.5 100 1099.9 16503531 ONDANSETRON HCL TAB 4 MG 707912-001 MYLAN ONDANSETRON 4MG TAB 13.01 50 19.52 15 195.15 292.83532 Ondansetron HCl Tab 8 MG 707913-001 MERCK-ONDANSETRON 8MG TAB 26 50 39 15 390 5853533 Pravastatin Sodium Tab 20 MG 712952-001 NOVALES 20MG FCT TABS 3.282 50 4.92 30 98.46 147.63534 Budesonide Nasal Inhal 100 MCG/DOSE 864145-004 BUDEFLAM AQUANASE 100MCG 150D 96.407 50 144.61 1 96.41 144.613535 Budesonide Nasal Inhal 100 MCG/DOSE 712253-001 INFLANAZE 100MCG/DOSE 200D 133.215 50 199.82 1 133.21 199.823536 Budesonide Nasal Inhal 100 MCG/DOSE 712614-001 SPEC-BUDESONIDE 100MCG AQ NAS 90.504 50 135.76 1 90.5 135.763543 Lancets 605351-001 GLUCOCHECK LANCETS STERILE 50 0.524 50 0.79 50 26.2 39.53546 Escitalopram Oxalate Tab 10 MG (Base Equ 712595-001 ASPEN ESCITALOPRAM 10MG TAB 3.416 50 5.12 30 102.48 153.63547 Tramadol HCl Inj 50 MG/ML 710832-001 DOMADOL 50MG/ML AMP INJ 5.289 50 7.93 5 26.45 39.653548 Tramadol HCl Inj 50 MG/ML 710833-001 DOMADOL 100MG/2ML AMP INJ 10.587 50 15.88 5 52.93 79.43549 Acetaminophen Tab 500 MG 713153-001 AUSTELL-PARACETAMOL 500MG TAB 0.336 50 0.5 10 3.36 53550 Acetaminophen Tab 500 MG 713153-002 AUSTELL-PARACETAMOL 500MG TAB 0.336 50 0.5 20 6.72 103551 Amlodipine maleate tab 5 mg 712953-001 GULF AMLODIPINE 5MG TABLETS 0.862 50 1.29 30 25.86 38.73552 Amlodipine maleate tab 10 mg 712954-001 GULF AMLODIPINE 10MG TABLETS 1.53 50 2.3 30 45.9 693553 Insulin Pen Needle 29 G X 8 MM (5/16 ) 624509-001 NEEDLE INSUPEN 8MM 29G 1.037 50 1.56 100 103.7 1563554 Insulin Pen Needle 30 G X 12 MM (1/2 ) 624512-001 NEEDLE INSUPEN 12MM 30G 1.018 50 1.53 100 101.8 1533556 Duloxetine HCl Enteric Coated Pellets Ca 712786-001 CYMGEN 60MG CAP 5.614 50 8.42 28 157.19 235.763557 Duloxetine HCl Enteric Coated Pellets Ca 703910-002 CYMBALTA 60MG CAP 11.703 50 17.55 28 327.68 491.43558 CETIRIZINE HCL SYRUP 1 MG/ML (5 MG/5ML) 712889-001 ACUZYRT 5MG/5ML SYRP 0.475 50 0.71 150 71.25 106.53559 CETIRIZINE HCL TAB 10 MG 712890-001 ACUZYRT 10MG TABS 1.295 50 1.94 10 12.95 19.43560 CETIRIZINE HCL TAB 10 MG 712890-002 ACUZYRT 10MG TABS 1.295 50 1.94 30 38.85 58.23561 Lactulose Solution 10 GM/15ML 713232-001 AGAROL LACTULOSE 3300MG/5ML SY 0.089 50 0.13 150 13.35 19.53563 Loratadine Tab 10 MG 704780-002 CIPLA-LORATADINE 10MG TABLETS 1.222 50 1.83 30 36.66 54.93566 Ibuprofen Susp 100 MG/5ML 712683-001 NUROFEN FOR CHILD STRAWBER SUS 0.332 50 0.5 100 33.2 503567 Cetirizine HCl Syrup 1 MG/ML (5 MG/5ML) 713231-001 ASPEN CETIRIZINE 5MG/5ML SUSP 0.475 50 0.71 150 71.25 106.53572 Glucose Blood Test 621608-001 CARESENS N TEST STRIPS 29G 2.022 50 3.03 50 101.1 151.53573 Glucose Blood Test 621614-001 CARESENS II TEST STRIPS 29G 1.763 50 2.64 50 88.15 1323575 Citalopram Hydrobromide Tab 40 MG (Base 713757-001 DRL CITALOPRAM 40MG TAB 2.291 50 3.44 30 68.73 103.23576 Citalopram Hydrobromide Tab 20 MG (Base 713445-001 DRL CITALOPRAM 20MG TAB 1.736 50 2.6 30 52.08 783577 Citalopram Hydrobromide Tab 20 MG (Base 713356-001 AURO-CITALOPRAM 20MG TABLETS 1.688 50 2.53 30 50.64 75.93578 Venlafaxine HCl Tab SR 24HR 150 MG (Base 713650-001 ILLOVEX SR 150MG TABLETS 8.343 50 12.51 30 250.29 375.33579 Amlodipine besylate tab 5 mg 713490-001 STAMLO 5MG TAB 1.647 50 2.47 30 49.41 74.13580 Amlodipine besylate tab 10 mg 713491-001 STAMLO 10MG TAB 2.565 50 3.85 30 76.95 115.53581 Simvastatin Tab 10 MG 713487-001 SIMCOR 10MG TAB 0.742 50 1.11 30 22.26 33.33582 Simvastatin Tab 20 MG 713488-001 SIMCOR 20MG TAB 0.742 50 1.11 30 22.26 33.33583 Simvastatin Tab 40 MG 713489-001 SIMCOR 40MG TAB 0.742 50 1.11 30 22.26 33.33584 Ranitidine hcl tab 150 mg 713553-001 GULF RANITIDINE 150MG TAB 0.63 50 0.95 60 37.8 573585 Ranitidine HCl Tab 300 MG 713554-001 GULF RANITIDINE 300MG TAB 1.082 50 1.62 30 32.46 48.63587 Amoxicillin & K Clavulanate Tab 875-125 713383-001 AURO-AMOXICLAV 1000MG TABLETS 8.938 50 13.41 10 89.38 134.13588 Amoxicillin & K Clavulanate For Susp 125 713358-001 AURO-AMOXICLAV 125/31.25MG SUS 0.236 50 0.35 100 23.6 353589 Amoxicillin & K Clavulanate For Susp 250 713360-001 AURO-AMOXICLAV 250/62.5 MG SUS 0.482 50 0.72 100 48.2 723590 Amoxicillin & K Clavulanate Tab 250-125 713381-001 AURO-AMOXICLAV 375MG TABLETS 1.648 50 2.47 15 24.72 37.053591 Amoxicillin & K Clavulanate Tab 500-125 713382-001 AURO-AMOXICLAV 625MG TABLETS 2.889 50 4.33 15 43.33 64.953592 Amoxicillin (Trihydrate) Cap 250 MG 705679-002 MYMOX 250MG CAP 0.348 50 0.52 500 174 2603593 Amoxicillin (Trihydrate) Cap 250 MG 713363-001 AURO-AMOXYCILLIN 250MG CAPSULE 0.302 50 0.45 500 151 2253594 Amoxicillin (Trihydrate) Cap 500 MG 705709-002 MYMOX 500MG CAP 0.629 50 0.94 500 314.5 4703595 Amoxicillin (Trihydrate) Cap 500 MG 713364-001 AURO-AMOXYCILLIN 500MG CAPSULE 0.625 50 0.94 100 62.5 943596 Ceftriaxone sodium for inj 250 mg 713200-001 MEDAXONE 250MG INJ 8.256 50 12.38 10 82.56 123.83597 Ceftriaxone Sodium For Inj 500 MG 713197-001 MEDAXONE 500MG INJ 16.514 50 24.77 10 165.14 247.73598 Ceftriaxone Sodium For Inj 1 MG 713199-001 MEDAXONE 1G INJ 33.029 50 49.54 10 330.29 495.43599 Cefuroxime Axetil Tab 250 MG 713531-001 AUROXIME 250MG TABLETS 6.701 50 10.05 10 67.01 100.5




Administered by

3600 Cefuroxime Axetil Tab 500 MG 713532-001 AUROXIME 500MG TABLETS 13.273 50 19.91 10 132.73 199.13601 Fluconazole Cap 50 MG 713555-001 GULF FLUCONAZOLE 50MG CAP 4.774 50 7.16 14 66.84 100.243602 Fluconazole Cap 150 MG 713556-001 GULF FLUCONAZOLE 150MG CAP 13.185 50 19.78 1 13.19 19.783603 Fluconazole Cap 200 MG 713557-001 GULF FLUCONAZOLE 200MG CAP 8.746 50 13.12 28 244.89 367.363604 Ciprofloxacin HCl Tab 250 MG (Base Equiv 713361-001 LOXIP 250MG TABLETS 0.89 50 1.34 10 8.9 13.43605 Ciprofloxacin HCl Tab 500 MG (Base Equiv 713362-001 LOXIP 500MG TABLETS 1.475 50 2.21 10 14.75 22.13613 Azathioprine Tab 50 MG 712609-001 AZATHIOPRINE PCH 50MG TAB 3.476 50 5.21 100 347.6 5213615 Amoxicillin & K Clavulanate Tab 875-125 708387-002 BIO-AMOKSIKLAV 1000MG TAB 7.673 50 11.51 10 76.73 115.13616 Lancets 445485-001 ACCU-CHEK MULTICLIX LANCET DRU 16.22 50 24.33 4 64.88 97.323618 Lancets 445485-003 ACCU-CHEK MULTICLIX LANCET DRU 8.675 50 13.01 34 294.95 442.343619 Lancets 410866-002 MEDISENSE EASY TOUCH DEV+50 LA 1.244 50 1.87 50 62.2 93.53620 Duloxetine HCl Enteric Coated Pellets Ca 713705-001 CYMGEN 30MG CAPSULES 5.614 50 8.42 28 157.19 235.763621 Duloxetine HCl Enteric Coated Pellets Ca 703911-002 CYMBALTA 30MG CAP 11.703 50 17.55 28 327.68 491.43622 Carbidopa & Levodopa Tab 25-100 MG 710286-001 TEVA CARBI-LEVO 25/100 TABLETS 1.921 50 2.88 100 192.1 2883623 Carbidopa & Levodopa Tab 25-250 MG 710468-001 TEVA CARBI-LEVO 25/250 TABLETS 2.647 50 3.97 100 264.7 3973624 Baclofen Tab 10 MG 712607-001 TEVA BACLOFEN 10MG TAB 3.55 50 5.33 30 106.5 159.93625 Loratadine Tab 10 MG 702518-007 LORANO 10MG TABLETS 1.042 50 1.56 30 31.26 46.83626 Cefazolin Sodium For Inj 500 MG 703372-002 SABAX CEFAZOLIN 500MG 8.83 50 13.25 1 8.83 13.253628 Bicalutamide Tab 50MG 710996-001 SANDOZ BICALUTAMIDE 50MG 11.918 50 17.88 30 357.54 536.43629 Bicalutamide Tab 50MG 712506-001 BICALOX 50MG TAB 11.236 50 16.85 30 337.08 505.53630 Bicalutamide tab 50mg 822566-001 CASODEX 50MG TAB 56.145 50 84.22 30 1684.35 2526.63631 Cyclizine HCl Syrup 12.5 MG/5ML 796700-001 TRIAZINE PEAD SYRP 0.217 50 0.33 50 10.85 16.53632 Ondansetron hcl tab 4 mg 713980-001 ZOFER RAPITAB 4MG DSP 25.833 50 38.75 10 258.33 387.53633 Granisetron HCl Tab 1 MG 713782-001 ASPEN GRANISETRON 1MG TABS 25.036 50 37.55 10 250.36 375.53634 Granisetron HCl Tab 1 MG 812374-003 KYTRIL 1MG TAB 54.43 50 81.65 10 544.3 816.53635 Granisetron HCl Tab 2 MG (Base Equivalen 713784-001 ASPEN GRANISETRON 2MG TABS 40.847 50 61.27 5 204.24 306.353636 Granisetron HCl Tab 2 MG (Base Equivalen 701453-001 KYTRIL 2MG TAB 111.727 50 167.59 5 558.63 837.953637 Loratadine Tab 10 MG 713908-001 LORMEG 10MG TABS 1.076 50 1.61 10 10.76 16.13638 Loratadine Tab 10 MG 713908-002 LORMEG 10MG TABS 1.076 50 1.61 30 32.28 48.33639 Tenofovir Disoproxil Fumarate Tab 300 MG 714097-001 CIPLA TENOFOVIR 300MG TABLETS 2.865 50 4.3 30 85.95 1293640 Tenofovir Disoproxil Fumarate Tab 300 MG 708253-001 VIREAD 300MG TAB 7.2 50 10.8 30 216 3243643 Venlafaxine HCl Cap SR 24 HR 75 MG 713649-001 ILLOVEX SR 75MG TABLETS 4.172 50 6.26 30 125.16 187.83644 Risperidone Tab 0.5 MG 714101-001 RISPACOR 0.5MG TABLETS 3.204 50 4.81 30 96.12 144.33645 Risperidone Tab 1 MG 713967-001 RISPACOR 1MG TABLETS 6.127 50 9.19 30 183.81 275.73646 Risperidone tab 2 mg 713966-001 RISPACOR 2MG TABLETS 10.389 50 15.58 30 311.67 467.43647 Risperidone Tab 3 MG 713965-001 RISPACOR 3MG TABLETS 14.437 50 21.66 30 433.11 649.83648 Risperidone Tab 4 MG 713964-001 RISPACOR 4MG TABLETS 23.131 50 34.7 30 693.93 10413649 Fexofenadine HCl Tab 120 MG 714055-001 TELLERGE 120MG TABLETS 2.69 50 4.04 10 26.9 40.43650 Fexofenadine HCl Tab 180 MG 714053-001 TELLERGE 180MG TABLETS 3.607 50 5.41 10 36.07 54.13651 Desloratadine Tab 5 MG 714103-001 DESODENE 5MG TAB 2.773 50 4.16 10 27.73 41.63652 Desloratadine Tab 5 MG 714103-002 DESODENE 5MG TAB 2.773 50 4.16 30 83.19 124.83653 Amlodipine besylate tab 5 mg 713971-001 AMTAS 5MG TABLETS 1.328 50 1.99 30 39.84 59.73654 Amlodipine besylate tab 10 mg 713972-001 AMTAS 10MG TABLETS 2.091 50 3.14 30 62.73 94.23656 Metronidazole Tab 400 MG 707242-004 BIO-METRONIDAZOLE 400MG 0.119 50 0.18 500 59.5 903657 Ciprofloxacin HCl Tab 250 MG (Base Equiv 713792-001 BIOTECH CIPROFLOXACIN 250MG TA 0.762 50 1.14 10 7.62 11.43658 Ciprofloxacin HCl Tab 500 MG (Base Equiv 713793-001 BIOTECH CIPROFLOXACIN 500MG T 1.199 50 1.8 10 11.99 183659 Ciprofloxacin HCl Tab 750 MG (Base Equiv 713794-001 BIOTECH CIPROFLOXACIN 750MG TA 6.075 50 9.11 10 60.75 91.13660 Levofloxacin Tab 250 MG 713786-001 ASPEN LEVOFLOXACIN 250MG TABS 10.665 50 16 5 53.32 803661 Levofloxacin Tab 500 MG 713785-001 ASPEN LEVOFLOXACIN 500MG TABS 17.868 50 26.8 5 89.34 1343662 Levofloxacin Tab 500 MG 713785-002 ASPEN LEVOFLOXACIN 500MG TABS 17.867 50 26.8 10 178.67 2683665 Escitalopram Oxalate Tab 20 MG (Base Equ 714013-001 MYLAN ESCITALOPRAM 20MG TABS 4.298 50 6.45 28 120.34 180.63666 Escitalopram Oxalate Tab 10 MG (Base Equ 714012-001 MYLAN ESCITALOPRAM 10MG TABS 2.149 50 3.22 28 60.17 90.163669 Donepezil Hydrochloride Tab 5 MG 837326-001 ARICEPT 5MG 13.596 50 20.39 28 380.69 570.923670 Donepezil Hydrochloride Tab 5 MG 714066-001 ARIKNOW 5MG TAB 6.818 50 10.23 30 204.54 306.93671 Donepezil Hydrochloride Tab 5 MG 714081-001 RAN-DONEPEZIL 5MG TAB 7.953 50 11.93 30 238.59 357.93672 Donepezil Hydrochloride Tab 10 MG 837334-004 ARICEPT 10MG 14.536 50 21.8 28 407.01 610.43673 Donepezil Hydrochloride Tab 10 MG 714065-001 ARIKNOW 10MG TAB 6.763 50 10.14 30 202.89 304.23674 Donepezil Hydrochloride Tab 10 MG 714082-001 RAN-DONEPEZIL 10MG TAB 8.589 50 12.88 30 257.67 386.43675 Acetaminophen-Doxylamine-Caffeine-Codein 758493-038 PYNSTOP TAB 0.847 50 1.27 20 16.94 25.43676 Fexofenadine HCl Tab 120 MG 714068-001 FENOFEX 120MG TAB 2.61 50 3.92 10 26.1 39.23677 Fexofenadine HCl Tab 120 MG 714068-002 FENOFEX 120MG TAB 2.61 50 3.92 30 78.3 117.63678 Fexofenadine HCl Tab 180 MG 714069-001 FENOFEX 180MG TAB 3.367 50 5.05 30 101.01 151.53679 Fexofenadine HCl Tab 180 MG 714069-002 FENOFEX 180MG TAB 3.367 50 5.05 10 33.67 50.53680 Doxazosin Mesylate Tab CR 4 MG 714292-001 CARZIN XL 4MG 2.748 50 4.12 30 82.44 123.63681 Atorvastatin calcium tab 10 mg (base equ 714071-001 LIPOGEN 10MG TAB 0.768 50 1.15 30 23.04 34.53682 Atorvastatin calcium tab 10 mg (base equ 714075-001 RAN-ATORVASTATIN 10MG TAB 1.756 50 2.63 30 52.68 78.93683 Atorvastatin calcium tab 20 mg (base equ 714072-001 LIPOGEN 20MG TAB 0.811 50 1.22 30 24.33 36.63684 Atorvastatin calcium tab 20 mg (base equ 714076-001 RAN-ATORVASTATIN 20MG TAB 2.132 50 3.2 30 63.96 963685 Atorvastatin calcium tab 40 mg (base equ 714073-001 LIPOGEN 40MG TAB 1.678 50 2.52 30 50.34 75.63686 Atorvastatin calcium tab 40 mg (base equ 714077-001 RAN-ATORVASTATIN 40MG TAB 2.437 50 3.66 30 73.11 109.83687 Atorvastatin calcium tab 80 mg (base equ 704186-001 LIPITOR 80MG TAB 7.505 50 11.26 30 225.15 337.83688 Atorvastatin calcium tab 80 mg (base equ 714074-001 LIPOGEN 80MG TAB 2.649 50 3.97 30 79.47 119.13689 Atorvastatin calcium tab 80 mg (base equ 714078-001 RAN-ATORVASTATIN 80MG TAB 3.045 50 4.57 30 91.35 137.13690 Mometasone Furoate Nasal Susp 50 MCG/ACT 883253-004 NASONEX AQ 140 DOSE 161.822 50 242.73 1 161.82 242.733691 Mometasone Furoate Nasal Susp 50 MCG/ACT 713968-001 NEXOMIST 140 METERED DOSES 50M 121.978 50 182.97 1 121.98 182.973692 Lansoprazole Cap Delayed Release 15 MG 714126-001 ASPEN LANSOPRAZOLE OTC 15MG CA 3.565 50 5.35 7 24.96 37.453693 Albendazole Tab 400 MG 712381-001 ZENTEL 400MG TABLETS 19.667 50 29.5 1 19.67 29.53694 Mometasone Furoate Cream 0.1% 714014-001 MOMETAGEN 0.1% CREAM 3.536 50 5.3 20 70.72 1063695 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 714248-001 ALKAFIZZ EFFERVESCENT GRAN SAC 1.392 50 2.09 30 41.76 62.73696 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 832588-008 CITRO-SODA SACHETS GRAN 1.471 50 2.21 30 44.13 66.33697 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 832588-024 CITRO-SODA SACHETS GRAN 2.066 50 3.1 8 16.53 24.83698 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 710639-001 SMART-SODA SACH 0.389 50 0.58 30 11.67 17.43699 Amoxicillin (Trihydrate) For Susp 125 MG 714179-001 ALLMOX S 125MG/5ML SUSPENSION 0.064 50 0.1 100 6.4 103700 Amoxicillin (Trihydrate) For Susp 250 MG 714180-001 ALLMOX SF 250MG/5ML SUSPENSION 0.082 50 0.12 100 8.2 123701 Ceftriaxone sodium for inj 250 mg 714188-001 TRIAPHIN VIAL 5ML 250MG INJ 7.467 50 11.2 1 7.47 11.23702 Ceftriaxone Sodium For Inj 1 GM 714189-001 TRIAPHIN VIAL 15ML 1G INJ 9.237 50 13.86 1 9.24 13.863703 Cefuroxime Axetil Tab 500 MG 713007-001 ZEFURIME 500MG TAB 12.271 50 18.41 10 122.71 184.13704 CEFOTAXIME SODIUM FOR INJ 500 MG 708508-001 ADCO CEFOTAXIME 500MG INJ 15.042 50 22.56 10 150.42 225.63705 CEFOTAXIME SODIUM FOR INJ 500 MG 708508-002 ADCO CEFOTAXIME 500MG INJ 15.044 50 22.57 1 15.04 22.573706 Cefotaxime Sodium For Inj 500 MG 707289-001 AUSTELL-CEFOTAXIME INJ 8.407 50 12.61 1 8.41 12.613707 Cefotaxime Sodium For Inj 500 MG 714569-003 CLAFORAN 500MG INJ 68.51 50 102.77 1 68.51 102.773708 Cefotaxime Sodium For Inj 500 MG 710425-001 CLATAX VIAL POWDER FOR RECONST 16.956 50 25.43 1 16.96 25.433709 Cefotaxime Sodium For Inj 500 MG 870749-005 KLAFOTAXIM-500 VIAL 11.378 50 17.07 1 11.38 17.073711 Cefotaxime Sodium For Inj 500 MG 889203-001 PHARMACARE CEFOTAXIME 500MG 15.022 50 22.53 1 15.02 22.533712 Cefotaxime Sodium For Inj 500 MG 714190-001 TAXOKEF VIAL 15ML 500MG INJ 8.407 50 12.61 1 8.41 12.613713 Cefotaxime Sodium For Inj 500 MG 886286-005 TOTAM 500 VIAL 18.133 50 27.2 1 18.13 27.23714 CEFOTAXIME SODIUM FOR INJ 1 GM 708509-001 ADCO CEFOTAXIME 1000MG INJ 24.553 50 36.83 10 245.53 368.33715 CEFOTAXIME SODIUM FOR INJ 1 GM 708509-002 ADCO CEFOTAXIME 1000MG INJ 24.556 50 36.83 1 24.56 36.833716 Cefotaxime Sodium For Inj 1 GM 707290-001 AUSTELL-CEFOTAXIME INJ 14.296 50 21.44 1 14.3 21.443717 Cefotaxime Sodium For Inj 1 GM 714577-006 CLAFORAN 1000MG INJ 59.521 50 89.28 1 59.52 89.283719 Cefotaxime Sodium For Inj 1 GM 871338-009 KLAFOTAXIM-1000 VIAL 10.681 50 16.02 1 10.68 16.023721 Cefotaxime Sodium For Inj 1 GM 711032-001 ORZID POWDER FOR INJECTION 71.274 50 106.91 1 71.27 106.913722 Cefotaxime Sodium For Inj 1 GM 712857-001 ORZID POWDER FOR INJECTION VIA 117.585 50 176.38 1 117.58 176.383723 Cefotaxime Sodium For Inj 1 GM 889199-001 PHARMACARE CEFOTAXIME 1GM 24.215 50 36.32 1 24.22 36.323725 Cefotaxime Sodium For Inj 1 GM 714191-001 TAXOKEF VIAL 15ML 1G INJ 16.815 50 25.22 1 16.82 25.223726 Cefotaxime Sodium For Inj 1 GM 886294-001 TOTAM 1G VIAL 39.481 50 59.22 1 39.48 59.223727 Doxycycline Hyclate Cap 100 MG 714192-001 DOXYTET 100MG CAP 0.289 50 0.43 1000 289 4303728 Moxifloxacin HCl Tab 400 MG (Base Equiv) 881988-006 AVELON 400MG TAB 32.24 50 48.36 5 161.2 241.83729 Moxifloxacin HCl Tab 400 MG (Base Equiv) 881988-014 AVELON 400MG TAB 32.242 50 48.36 10 322.42 483.6




Administered by

3730 Moxifloxacin HCl Tab 400 MG (Base Equiv) 714104-001 DRL MOXIFLOXACIN 400MG TAB 21.176 50 31.76 5 105.88 158.83732 Abacavir Sulfate Tab 300 MG (Base Equiv) 714098-001 CIPLA-ABACAVIR 300MG TABS 9.988 50 14.98 60 599.28 898.83733 Abacavir Sulfate Tab 300 MG (Base Equiv) 898531-003 ZIAGEN 300MG TAB 13.417 50 20.13 60 805.02 1207.83734 Abacavir Sulfate Soln 20 MG/ML (Base Equ 713758-001 ASPEN ABACAVIR SOL 20MG/ML 0.887 50 1.33 240 212.88 319.23735 Abacavir Sulfate Soln 20 MG/ML (Base Equ 714099-001 CIPLA-ABACAVIR 100MG/5ML SOL 0.942 50 1.41 240 226.08 338.43736 Abacavir Sulfate Soln 20 MG/ML (Base Equ 898538-009 ZIAGEN 100MG/5ML SOL 1.27 50 1.91 240 304.8 458.43737 Glucose Blood Test Strip 491915-002 GLUCOSE CONTOUR TS STRIPS 2.155 50 3.23 50 107.75 161.53738 Glucose Blood Test Strip 667990-001 GLUCOCHECK STRIPS 50S 1.977 50 2.97 50 98.85 148.53744 Paracetamol dextropropoxyphene diphenhyd 768340-004 synap fort tablets 3.002 50 4.5 100 300.2 4503745 Esomeprazole 897125-009 nexiam 40mg tabs 12.286 50 18.43 28 344.01 516.043746 Esomeprazole 897132-017 nexiam 20mg tabs 7.967 50 11.95 28 223.08 334.63747 Esomeprazole 897132-009 nexiam 20mg tabs 7.967 50 11.95 14 111.54 167.33748 Telmisartan hidrochlorothiaz 894621-009 co-micardis 80/12.5mg 6.399 50 9.6 28 179.17 268.83749 Econazole nitr 832367-001 gyno pevaryl vcr 3.234 50 4.85 78 252.25 378.33750 Fe-fumarate folicacid vitb12 vitc 705853-004 Autrin CAPS 2.594 50 3.89 30 77.82 116.73751 Salmeterol fluticasone 874507-006 seretide accuhaler 50/250 278.807 50 418.21 1 278.81 418.213752 Benzydamine chlorohexadine gluconata 827630-018 andolex-c oral rinse 0.287 50 0.43 200 57.4 863753 Celecoxib 862452-007 celebrex 200mg 6.006 50 9.01 30 180.18 270.33754 Cefprozel mono 824941-004 prozef 500mg tab 16.299 50 24.45 10 162.99 244.53755 Cefprozel mono 841625-018 prozef 250mg tab 9.95 50 14.93 10 99.5 149.33756 Betamethasone dexclorphenirime 713058-006 celestamine syrup 1.263 50 1.89 120 151.56 226.83757 Betamethasone dexclorphenirime 713066-017 celestamine tablets 4.651 50 6.98 30 139.53 209.43758 Betamethasone gentamicine tolnaftate cli 758760-020 quadriderm cream 8.109 50 12.16 15 121.64 182.43759 Diphenhydramine paracetamol pseudoephedr 881570-001 benylin four flu 0.197 50 0.3 200 39.4 603760 Telmisartan 860395-006 micardis 80mg 6.45 50 9.67 28 180.6 270.763762 Valsartan hydrochlorothiazide 891894-005 co-diovan 160mg/12.5mg 4.246 50 6.37 28 118.89 178.363763 Telmisartan hydrochlorothiaz 894614-002 co-micardis 40mg/12.5mg 6.399 50 9.6 28 179.17 268.83764 Fluorometholone tetryzoline hydroxypropy 722294-018 efemoline eye drop 105.56 50 158.34 1 105.56 158.343765 Framycetin sulph gramicidine dexanethaso 764868-004 sofradex ear drp 98.422 50 147.63 1 98.42 147.633766 Salmeterol fluticasone 894990-004 seretide 25/125 120 dose 278.807 50 418.21 1 278.81 418.213767 Flunarizine 763780-006 sibelium 5mg cap 6.379 50 9.57 60 382.74 574.23768 Miconazole nitrate 832502-006 gyno-daktarin vcr 5.26 50 7.89 40 210.4 315.63769 Vitb 746916-019 neurobion tab 2.248 50 3.37 100 224.8 3373771 Levocetirizine dihydrochloride 703450-001 xyzal 5MG Tabs 4.162 50 6.24 30 124.86 187.23772 Montelukast 849472-008 singulair 10mg 8.89 50 13.34 28 248.92 373.523773 Rosuvastatin 705989-001 crestor 10mg 5.434 50 8.15 30 163.02 244.53774 Salmeterol fluticasone 874493-005 seretide accuhaler 50/100 201.119 50 301.68 1 201.12 301.683775 Rosuvastatin 705988-001 crestor 20mg tabs 7.865 50 11.8 30 235.95 3543776 Rosuvastatin 705990-002 crestor 40mg tabs 9.559 50 14.34 30 286.77 430.23777 Bisoprololhemyphumarate hydrochlorothiaz 840319-002 ziak 5mg tab 3.414 50 5.12 30 102.42 153.63778 Prednisolone caproate cinchocaine 875384-005 scheriproct supp 8.589 50 12.88 12 103.07 154.563779 Norethisterone 757012-019 primolut n tab 5mg 4.965 50 7.45 30 148.95 223.53780 Conjug oestrog 756733-030 premarin .625mg tab 2.958 50 4.44 28 82.82 124.323781 Chlorpheniramine phenylephrine 877891-001 demazin syr alcohol free 0.331 50 0.5 100 33.1 503782 Doxazosin 869864-009 cardura xl 8mg 8.167 50 12.25 30 245.01 367.53783 Azithromycin 830720-014 zithromax 200mg/5ml 4.587 50 6.88 30 137.61 206.43784 Azithromycin 830720-006 zithromax 200mg/5ml 4.587 50 6.88 15 68.8 103.23785 Sucralfate 773441-042 ulsanic 1mg/5ml susp 0.549 50 0.82 250 137.25 2053786 Telmisartan 860387-003 micardis 40mg tab 6.45 50 9.67 28 180.6 270.763787 Benzydamine chlorohexadine gluconata 816167-001 andolex 30ml spray 45.333 50 68 1 45.33 683788 Gestodine ethinyloesdradio placebo 826014-003 minulette tab 2.152 50 3.23 28 60.26 90.443789 Betamethasone 708291-007 betnesol n eye/ear/n 80.489 50 120.73 1 80.49 120.733790 Beta-hydroxyethyltheophyl diphenhydrane 720003-008 dilinct syr 0.2 50 0.3 200 40 603791 DEXTROMETHRORPHAN PSEUDOEPHEDRINE CODEIN 707600-006 BENYLIN WITH CODEINE 0.266 30 0.35 100ML 26.6 353792 DEXTROMETHRORPHAN PSEUDOEPHEDRINE CODEIN 707600-014 BENYLIN WITH CODEINE 0.266 30 0.35 200ML 53.2 703793 Carbimazole 746398-018 neo-mercarzole 5mg tabs 3.131 50 4.7 100 313.1 4703794 Famciclovir 815853-009 famvir 250mg tab 30.73 50 46.1 21 645.33 968.13795 Famciclovir 826715-001 famvir 125mg tab 15.096 50 22.64 10 150.96 226.43796 Esomeprazole 897125-002 nexiam 40mg tabs 12.286 50 18.43 14 172 258.023797 Progesterone 810215-004 cyclogest 200mg pes 13.002 50 19.5 15 195.03 292.53798 Betamethasone 821594-001 celestone 4mg/ml inj 239.437 50 359.16 1 239.44 359.163799 Griseofulvin 729574-008 microcidal 500mg tab 4.068 50 6.1 30 122.04 1833800 Griseofulvin 729574-016 microcidal 500mg tab 4.069 50 6.1 100 406.9 6103801 Cefprozel mono 830518-002 prozef 125mg/5ml sus 0.789 50 1.18 100 78.9 1183802 Pimecrolimus 702081-002 elidel cream 6.642 50 9.96 30 199.26 298.83803 Pimecrolimus 702081-001 elidel cream 6.642 50 9.96 15 99.63 149.43804 Ergotamine tartrate 711527-008 cafergot tab 12.528 50 18.79 20 250.56 375.83805 Fliorometholone neonycin alchohol 726966-002 fml neo drp 110.133 50 165.2 1 110.13 165.23806 Bisoprololhemyphumarate hydrochlorothiaz 852929-005 ziak 10 mg tab 3.414 50 5.12 30 102.42 153.63807 Tibolone 797111-018 livifem 2 8.865 50 13.3 28 248.22 372.43808 Dextromethrorphan pseudoephedrine 707627-028 benylin expectorant original 0.232 50 0.35 200 46.4 703809 Dextromethrorphan pseudoephedrine 707627-001 benylin expectorant original 0.232 50 0.35 100 23.2 353810 CELECOXIB 862444-012 CELEBREX 100MG 3.005 50 4.51 60 180.3 270.63811 Rabies pre-exposprophylax 814970-001 verorab vac 237.704 50 356.56 1 237.7 356.563812 Cefprozel mono 830526-005 prozef 250mg/5ml sus 1.283 50 1.92 100 128.3 1923813 Falacicolovir 852228-007 zelitrex 250mg tab 9.017 50 13.53 60 541.02 811.83814 Prednisolone 756466-008 predmild eye drops 86.919 50 130.38 1 86.92 130.383815 Natrium valprurate 818682-019 epilim cr 500mg tab 6.168 50 9.25 100 616.8 9253816 Candesartan 898635-005 atacant plus 16m/12.5mg 6.037 50 9.06 28 169.04 253.683817 Thyroxine so.hydrox 722952-007 eltroxin 0.1mg tab 0.829 50 1.24 100 82.9 1243818 Mupirocin 706493-001 bactroban topical ung 3.065 50 4.6 15 45.98 693819 Mupirocin 706493-028 bactroban topical ung 3.064 50 4.6 10 30.64 463820 Al.hydrox mg.hydrox 739715-003 maalox plus suspension 0.188 50 0.28 350 65.8 983821 Al.hydrox mg.hydrox 739715-011 maalox plus suspension 0.199 50 0.3 150 29.85 453822 ESTRADIOL NORETHISTERONE 881112-003 ACTIVELLE TAB 4.529 50 6.79 28 126.81 190.123823 Bimatoprost 703666-003 lumigan 3ml 144.607 50 216.91 1 144.61 216.913824 Tripoladine pseudoephedrine vitc 827460-007 coryx paed syr 0.2 50 0.3 100 20 303825 Levobunolol polyvinyl 781134-005 betagan opth sol 116.993 50 175.49 1 116.99 175.493826 Methylphenidate 701627-003 ritalin la 20mg caps 9.799 50 14.7 30 293.97 4413827 Triamcinolone 895149-004 nasacor t 120 dose nasal spray 168.926 50 253.39 1 168.93 253.393828 Alganic acid mg-trisil na-bicarb 728462-142 gaviscon aniseed susp 0.235 50 0.35 300 70.5 1053829 Tranexamic 717134-016 cyklokapron 500mg tab 4.508 50 6.76 100 450.8 6763830 Dextropropoxyphine paracetamol l-glutami 736570-004 lentogesic caps 3.104 50 4.66 100 310.4 4663831 Benzydamine 810576-007 andolex mow 0.273 50 0.41 200 54.6 823832 Aspirin vitc chlorprophenpyridamine phen 716170-019 corenza c tab 3.236 50 4.85 10 32.36 48.53833 Chlordiazepoxide clidinium bromid 737984-007 librax tab 3.261 50 4.89 100 326.1 4893834 Estradiol 825883-008 estrofem 2mg tab 3.2 50 4.8 28 89.6 134.43835 Metronidazole 726338-001 flagyl susp 0.886 50 1.33 100 88.6 1333836 Falacicolovir 817783-024 Zelitrex 500mg tabs 18.121 50 27.18 30 543.63 815.43837 Falacicolovir 817783-008 Zelitrex 500mg tabs 18.121 50 27.18 42 761.08 1141.563838 Citalopram Hydrobromide Tab 20 MG (Base 711988-001 CILORAM 20MG TAB 1.723 50 2.58 30 51.69 77.43839 Sertraline HCl Tab 50 MG 711992-001 ZOLID 50MG TAB 1.907 50 2.86 30 57.21 85.83841 Sertraline HCl Tab 100 MG 711991-001 ZOLID 100MG TAB 2.349 50 3.52 30 70.47 105.63844 Mefenamic Acid Cap 250 MG 756148-112 PONSTAN 250MG CAP 0.749 50 1.12 20 14.98 22.43845 Acetaminophen w/ Codeine Tab 500-8 MG 713688-001 VARI-COCODAMOL 8MG/500MG TAB 0.165 50 0.25 1000 165 2503846 Desloratadine Tab 5 MG 714362-001 DESAWAY 5MG TABS 3.014 50 4.52 30 90.42 135.63847 Lisinopril & Hydrochlorothiazide Tab 10- 711990-001 LISINOZIDE 10MG/12.5MG TAB 1.369 50 2.05 30 41.07 61.53848 Lisinopril & hydrochlorothiazide tab 20- 711989-001 LISINOZIDE 20MG/12.5MG TAB 2.234 50 3.35 30 67.02 100.53849 Telmisartan Tab 40 MG 714249-001 PRITOR 40MG TAB 3.748 50 5.62 28 104.94 157.36




Administered by

3850 Telmisartan Tab 80 MG 714250-001 PRITOR 80MG TAB 3.748 50 5.62 28 104.94 157.363851 Telmisartan-Hydrochlorothiazide Tab 40-1 714251-001 CO-PRITOR 40/12.5 MG TAB 3.748 50 5.62 28 104.94 157.363852 Telmisartan-Hydrochlorothiazide Tab 80-1 714252-001 CO-PRITOR 80/12.5MG TAB 3.748 50 5.62 28 104.94 157.363853 Amlodipine besylate tab 5 mg 712215-001 KEYSAL 5MG TAB 1.605 50 2.41 30 48.15 72.33854 Amlodipine besylate tab 5 mg 714310-001 AURO-AMLODIPINE 5MG TAB 1.548 50 2.32 30 46.44 69.63855 Amlodipine besylate tab 10 mg 712216-001 KEYSAL 10MG TAB 2.598 50 3.9 30 77.94 1173856 Amlodipine besylate tab 10 mg 714311-001 AURO-AMLODIPINE 10MG TAB 2.578 50 3.87 30 77.34 116.13857 Clopidogrel Bisulfate Tab 75 MG (Base Eq 714293-001 PHARMA DYNAMICS CLOPIDOGREL 3.813 50 5.72 30 114.39 171.63858 Ipratropium Bromide Nebu Soln 0.25 MG/ML 714287-001 IPVENT RESPULES 0.5MG/2ML UDV 1.424 50 2.14 60 85.44 128.43859 Acetylcysteine Powd Pack 200 MG 710392-001 MUCOLATOR 200MG SACHETS 1.147 50 1.72 30 34.41 51.63860 Acetylcysteine Powd Pack 200 MG 809284-006 SOLMUCOL 200MG SACHET 3.909 50 5.86 20 78.18 117.23861 Cephalexin Tab 500 MG 714312-001 AURO-CEFALEXIN 500MG TAB 1.067 50 1.6 20 21.34 323862 Cefpodoxime Proxetil Tab 200 MG 703057-001 CEPODEM 200MG TAB 8.873 50 13.31 10 88.73 133.13863 Cefpodoxime Proxetil Tab 200 MG 714125-001 ORELOX 200MG TAB 11.954 50 17.93 10 119.54 179.33865 Moxifloxacin HCl Tab 400 MG (Base Equiv) 714361-001 LITARES 400MG TABS 21.31 50 31.97 5 106.55 159.853866 Moxifloxacin HCl Tab 400 MG (Base Equiv) 714361-002 LITARES 400MG TABS 21.31 50 31.97 10 213.1 319.73869 Cyclizine HCl Tab 50 MG 809322-014 COVAMET 50MG TABS 0.522 50 0.78 10 5.22 7.83870 Cyclizine HCl Tab 50 MG 809322-005 COVAMET 50MG TABS 0.523 50 0.78 20 10.46 15.63871 Perindopril Erbumine Tab 4 MG 712615-001 SPEC-PERINDOPRIL 4MG 1.722 50 2.58 30 51.66 77.43872 Perindopril Erbumine Tab 4 MG 714527-001 PEARINDA 4MG TABS 1.805 50 2.71 30 54.15 81.33873 Perindopril Erbumine-Indapamide Tab 4-1. 713763-001 SPEC-PERINDOPRIL PLUS 4MG/1.25 2.372 50 3.56 30 71.16 106.83874 Perindopril erbumine tab 8 mg 712616-001 SPEC-PERINDOPRIL 8MG 2.307 50 3.46 30 69.21 103.83875 Perindopril erbumine tab 8 mg 714528-001 PEARINDA 8MG TABS 2.827 50 4.24 30 84.81 127.23876 Perindopril erbumine tab 10 mg 714646-001 PREXUM 10MG TABS 2.938 50 4.41 30 88.14 132.33877 Isosorbide Dinitrate Tab 10 MG 784206-016 SANDOZ ISOSORBIDE 10MG TAB 0.431 50 0.65 84 36.2 54.63878 Hydralazine HCl Tab 50 MG 761419-013 SANDOZ HYDRALAZINE 50MG TAB 0.55 50 0.83 100 55 833881 Atorvastatin calcium tab 10 mg (base equ 714370-001 ATOLIP 10MG TABS 0.63 50 0.95 30 18.9 28.53882 Atorvastatin calcium tab 20 mg (base equ 714371-001 ATOLIP 20MG TABS 0.663 50 0.99 30 19.89 29.73883 Atorvastatin calcium tab 40 mg (base equ 714372-001 ATOLIP 40MG TABS 1.085 50 1.63 30 32.55 48.93884 Atorvastatin calcium tab 80 mg (base equ 714373-001 ATOLIP 80MG TABS 2.352 50 3.53 30 70.56 105.93885 Tiotropium Bromide Monohydrate Inhal Cap 714152-001 FORVENT 18MCG INH CAPS REFILL 8.939 50 13.41 30 268.17 402.33886 Tiotropium Bromide Monohydrate Inhal Cap 702526-003 SPIRIVA INH CAP REFILL 14.551 50 21.83 30 436.53 654.93887 Tiotropium Bromide Monohydrate Inhal Cap 714167-001 FORVENT HANDIHALER COMP WITH 3 295.815 50 443.72 1 295.82 443.723888 Tiotropium Bromide Monohydrate Inhal Cap 702523-006 SPIRIVA INH CAPS&HANDIHAL 450.482 50 675.72 1 450.48 675.723889 Bisacodyl Tab Delayed Release 5 MG 708008-003 LAXADOR BISACODYL 5MG TAB 0.441 50 0.66 10 4.41 6.63891 Furosemide Tab 40 MG 731668-016 SANDOZ FUROSEMIDE 40MG TABS 0.364 50 0.55 56 20.38 30.83892 Furosemide Tab 40 MG 731668-017 SANDOZ FUROSEMIDE 40MG TABS 0.364 50 0.55 500 182 2753893 Cefotaxime Sodium For Inj 1 GM 714470-001 CEFOTAXIME-FRESENIUS POWDER FO 24.282 50 36.42 10 242.82 364.23894 Terbinafine HCl Tab 250 MG 706553-002 NAFIN 250MG TAB 11.595 50 17.39 14 162.33 243.463895 Acyclovir Cream 5% 713942-001 BETA-VIRA 5% CREAM 6.989 50 10.48 2 13.98 20.963896 Sulfamethoxazole-Trimethoprim Tab 800-16 782793-012 SANDOZ CO-TRIMOXAZOLE 0.493 50 0.74 500 246.5 3703897 Moxifloxacin HCl Tab 400 MG (Base Equiv) 714067-001 AVEBACT 400MG TABS 19.41 50 29.12 5 97.05 145.63898 Moxifloxacin HCl Tab 400 MG (Base Equiv) 714067-002 AVEBACT 400MG TABS 19.41 50 29.12 10 194.1 291.23899 Moxifloxacin HCl Tab 400 MG (Base Equiv) 714083-001 RAN-MOXIFLOXACIN 400MG TABS 21.567 50 32.35 5 107.83 161.753900 Moxifloxacin HCl Tab 400 MG (Base Equiv) 714083-002 RAN-MOXIFLOXACIN 400MG TABS 21.567 50 32.35 10 215.67 323.53901 Gliclazide Tab 80 MG 834866-014 SANDOZ GLICLAZIDE 80MG TABS 0.433 50 0.65 504 218.23 327.63902 Metformin HCl Tab 500 MG 714427-001 ACCORD METFORMIN 500MG 0.223 50 0.33 100 22.3 333903 Metformin HCl Tab 850 MG 714426-001 ACCORD METFORMIN 850MG 0.403 50 0.6 60 24.18 363909 Prednisolone Syrup 15 MG/5ML (USP Soluti 714552-001 ASPELONE 15MG/5ML SYR 1.139 50 1.71 50 56.95 85.53910 Citalopram Hydrobromide Tab 40 MG (Base 713584-001 ARROW CITALOPRAM 40MG TAB 2.304 50 3.46 30 69.12 103.83911 Citalopram Hydrobromide Tab 20 MG (Base 713583-001 ARROW CITALOPRAM 20MG TAB 1.587 50 2.38 30 47.61 71.43912 Levetiracetam Tab 250 MG 700958-003 KEPPRA 250MG TAB 3.459 50 5.19 60 207.54 311.43913 Levetiracetam Tab 250 MG 714662-001 REDILEV 250MG TABS 1.958 50 2.94 30 58.74 88.23914 Acetaminophen Elixir 120 MG/5ML 714708-001 PYNGESIC S 120MG/5ML SYR 0.109 50 0.16 100 10.9 163915 Acetaminophen Tab 500 MG 714707-001 PYNGESIC T 500MG TABS 0.125 50 0.19 100 12.5 193916 Ibuprofen Tab 200 MG 708186-010 BETAGESIC 200MG TAB 0.835 50 1.25 100 83.5 1253918 Chlorpheniramine Maleate Tab 4 MG 703162-002 RHINETON 4MG TAB 0.115 50 0.17 1000 115 1703919 Chlorpheniramine Maleate Tab 4 MG 702072-125 ALLERGEX 4MG TABS 0.281 50 0.42 30 8.43 12.63920 Chlorpheniramine Maleate Tab 4 MG 702072-052 ALLERGEX 4MG TABS 0.281 50 0.42 100 28.1 423921 Losartan Potassium Tab 50 MG 713255-001 SPEC-LOSARTAN 50MG TABS 1.592 50 2.39 30 47.76 71.73922 Losartan Potassium Tab 100 MG 713254-001 SPEC-LOSARTAN 100MG TABS 1.798 50 2.7 30 53.94 813923 Tranexamic Acid Tab 500 MG 714722-001 TRANEXAMIC ACID MEDWICH 500MG 2.963 50 4.44 100 296.3 4443924 Pantoprazole sodium ec tab 20 mg (base e 714674-001 PENTOZ 20MG TABS 3.119 50 4.68 30 93.57 140.43925 Pantoprazole Sodium EC Tab 40 MG (Base E 714675-001 PENTOZ 40MG TABS 4.633 50 6.95 30 138.99 208.53928 Amoxicillin (Trihydrate) Cap 250 MG 714185-001 AMYN 250MG CAP 0.244 50 0.37 500 122 1853929 Amoxicillin (Trihydrate) Cap 500 MG 714184-001 AMYN 500MG CAP 0.486 50 0.73 500 243 3653930 Amoxicillin (Trihydrate) For Susp 125 MG 714182-001 AMYN S 125MG/5ML SUS 0.057 50 0.09 75 4.28 6.753931 Amoxicillin (Trihydrate) For Susp 125 MG 714182-002 AMYN S 125MG/5ML SUS 0.057 50 0.09 100 5.7 93932 Amoxicillin (Trihydrate) For Susp 250 MG 714183-001 AMYN SF 250MG/5ML SUS 0.076 50 0.11 100 7.6 113933 Gliclazide Tab SR 24HR 30 MG 714582-001 DIAGLUCIDE MR 30MG SRT 0.789 50 1.18 60 47.34 70.83934 Gliclazide Tab SR 24HR 30 MG 702923-001 DIAMICRON MR 30MG TABS 1.196 50 1.79 60 71.76 107.43939 Oxazepam Tab 30 MG 751766-003 SANDOZ OXAZEPAM 30MG 0.353 50 0.53 100 35.3 533940 Trazodone HCl Cap 50 MG 714596-001 ASPEN TRAZODONE 50MG CAPSULES 2.547 50 3.82 100 254.7 3823941 Trazodone HCl Cap 50 MG 744417-007 MOLIPAXIN 50MG CAP 4.196 50 6.29 100 419.6 6293942 Trazodone HCl Cap 100 MG 714597-001 ASPEN TRAZODONE 100MG CAPSULES 4.89 50 7.34 100 489 7343943 Trazodone HCl Cap 100 MG 744425-018 MOLIPAXIN 100MG CAP 8.036 50 12.05 100 803.6 12053944 Diclofenac Potassium Tab 50 MG 705272-002 DICLOHEXAL K 50MG TAB 2.071 50 3.11 15 31.07 46.653945 Diclofenac Potassium Tab 50 MG 705058-001 DYNAK 50MG 1.639 50 2.46 20 32.78 49.23946 Diclofenac Potassium Tab 50 MG 704384-002 K-FENAK 50MG TAB 1.188 50 1.78 15 17.82 26.73947 Simvastatin Tab 20 MG 714705-001 CHOLESTE 20MG TABS 0.736 50 1.1 30 22.08 333948 Simvastatin Tab 40 MG 714706-001 CHOLESTE 40MG TABS 0.736 50 1.1 30 22.08 333950 Saccharomyces boulardii cap 250 mg 715044-001 FLORAWIN 250MG CAPSULES 3.005 50 4.51 10 30.05 45.13951 Povidone-Iodine Oint 10% 715022-001 GERMADINE 10% OINT 0.415 50 0.62 25 10.37 15.53952 Povidone-Iodine Oint 10% 715022-002 GERMADINE 10% OINT 0.163 50 0.24 500 81.5 1203953 Amoxicillin & K Clavulanate Tab 875-125 714704-001 BETACLAV 1000MG TABS 8.571 50 12.86 10 85.71 128.63954 Metformin HCl Tab 500 MG 714525-001 GLUCONORM 500MG TABS 0.274 50 0.41 100 27.4 413955 Metformin HCl Tab 850 MG 714526-001 GLUCONORM 850MG TABS 0.518 50 0.78 60 31.08 46.83956 Glyburide Tab 5 MG 827053-003 BIO-GLIBENCLAMIDE TAB 0.16 50 0.24 100 16 243965 Paracetamol Elixir 120 MG/5ML 715111-001 GRAYS PARACETAMOL SYRP 120MG/5 0.115 50 0.17 100 11.5 173969 NIFEDIPINE CAP CR 30 MG 861545-001 ADCO VASCARD 30 SR CAPS 4.379 50 6.57 30 131.37 197.13970 Triprolidine & Pseudoephedrine Tab 1.25- 835536-009 MERCK-FED COMP TAB 0.71 50 1.07 20 14.2 21.43971 Fluticasone Propionate Nasal Susp 50 MCG 714595-001 FLONASE 120 DOSE 50MCG AQS 46.578 50 69.87 1 46.58 69.873972 Terbinafine HCl Tab 250 MG 714754-001 ARROW TERBINAFINE HCL 250MG T 12.106 50 18.16 14 169.48 254.243985 Calcium Carbonate Effer Tab 1250 MG 715192-001 PC CALCIUM 500MG EFF TAB 1.375 50 2.06 10 13.75 20.63986 Levetiracetam Tab 750 MG 703165-001 KEPPRA 750MG TABS 10.377 50 15.57 60 622.62 934.23987 Levetiracetam Tab 750 MG 714664-001 REDILEV 750MG TABS 5.872 50 8.81 30 176.16 264.33991 Perindopril Erbumine Tab 4 MG 714869-001 ACTI-PREX 4MG TABS (GLENMARK P 1.93 50 2.9 30 57.9 873992 Pravastatin Sodium Tab 10 MG 714336-001 ARROW PRAVASTATIN 10MG TABLETS 2.815 50 4.22 30 84.45 126.63993 Pravastatin Sodium Tab 20 MG 714337-001 ARROW PRAVASTATIN 20MG TABLETS 3.506 50 5.26 30 105.18 157.83994 Pravastatin Sodium Tab 40 MG 714338-001 ARROW PRAVASTATIN 40MG TABLETS 4.247 50 6.37 30 127.41 191.13997 Cephalexin For Susp 125 MG/5ML 897892-003 CPL ALNCE CEPHALEXIN 125 0.162 50 0.24 100 16.2 243998 Cephalexin For Susp 125 MG/5ML 860603-008 RANCEPH 125MG/5ML SUSP 0.161 50 0.24 100 16.1 244000 Terbinafine HCl Tab 250 MG 714868-001 TERBI-CLEAR 250MG TABS (GLENMA 13.157 50 19.74 14 184.2 276.364001 Metformin HCl Tab 500 MG 897957-033 MYLAN METFORMIN 500MG TABS 0.259 50 0.39 90 23.31 35.14002 Metformin HCl Tab 500 MG 714186-001 DIAMIN 500MG TABLETS 0.267 50 0.4 100 26.7 404003 Metformin HCl Tab 500 MG 714186-002 DIAMIN 500MG TABLETS 0.267 50 0.4 500 133.5 2004004 Metformin HCl Tab 850 MG 714187-001 DIAMIN 850MG TABLETS 0.493 50 0.74 300 147.9 2224005 Metformin HCl Tab 850 MG 714187-002 DIAMIN 850MG TABLETS 0.493 50 0.74 60 29.58 44.44007 Emtricitabine-tenofovir disoproxil fumar 708254-001 TRUVADA TAB 11.919 50 17.88 30 357.57 536.4




Administered by

4008 Emtricitabine-tenofovir disoproxil fumar 715071-001 TYRICTEN 200/300MG 8.737 50 13.11 30 262.11 393.34009 Mirtazapine Tab 15 MG 714684-001 AURO-MIRTAZAPINE 15MG TABLETS 4.976 50 7.46 30 149.28 223.84010 Mirtazapine Tab 30 MG 714685-001 AURO-MIRTAZAPINE 30MG TABLETS 7.74 50 11.61 30 232.2 348.34011 Risperidone Orally Disintegrating Tab 0. 707993-001 RISPERDAL QUICKLET 0.5MG ME 5.599 50 8.4 28 156.77 235.24012 Risperidone Tab 0.5 MG 714686-001 AUROPIDONE 0.5MG TABLETS 3.26 50 4.89 30 97.8 146.74013 Risperidone Tab 1 MG 714687-001 AUROPIDONE 1MG TABLETS 6.605 50 9.91 30 198.15 297.34014 Risperidone Tab 2 MG 714688-001 AUROPIDONE 2MG TABLETS 11.125 50 16.69 30 333.75 500.74015 Risperidone Tab 3 MG 714689-001 AUROPIDONE 3MG TABLETS 16.704 50 25.06 30 501.12 751.84016 Risperidone Tab 4 MG 714690-001 AUROPIDONE 4MG TABLETS 23.133 50 34.7 30 693.99 10414018 Lisinopril Tab 5 MG 714677-001 AURO-LISINOPRIL 5MG TABLETS 0.987 50 1.48 30 29.61 44.44019 Lisinopril Tab 10 MG 714678-001 AURO-LISINOPRIL 10MG TABLETS 1.335 50 2 30 40.05 604020 Lisinopril Tab 20 MG 714679-001 AURO-LISINOPRIL 20MG TABLETS 1.832 50 2.75 30 54.96 82.54021 Guaifenesin Syrup 100 MG/5ML 849413-029 LCC PEPPERMINT COUGH MIXTURE S 0.147 50 0.22 50 7.35 114022 Fluticasone-Salmeterol Inhal Aerosol 50- 894989-006 SERETIDE 25/50 120 DOSE 201.119 50 301.68 1 201.12 301.684023 Fluticasone-Salmeterol Inhal Aerosol 50- 715189-001 SEREFLO 25/50 HFA 120 DOSE INH 83.504 50 125.26 1 83.5 125.264024 Fluticasone-Salmeterol Inhal Aerosol 125 715190-001 SEREFLO 25/125 HFA 120 DOSE IN 112.222 50 168.33 1 112.22 168.334025 Fluticasone-Salmeterol Inhal Aerosol 250 895006-007 SERETIDE 25/250 120 DOSE 371.082 50 556.62 1 371.08 556.624026 Fluticasone-Salmeterol Inhal Aerosol 250 715191-001 SEREFLO 25/250 HFA 120 DOSE IN 150.97 50 226.46 1 150.97 226.464027 Fluticasone-Salmeterol Aer Powder BA 100 715009-001 FOXAIR ACCUHALER 60 DOSE 50/10 150.837 50 226.26 1 150.84 226.264028 Fluticasone-Salmeterol Aer Powder BA 250 715008-001 FOXAIR ACCUHALER 60 DOSE 50/25 209.104 50 313.66 1 209.1 313.664029 Fluticasone-Salmeterol Aer Powder BA 500 874515-009 SERETIDE 50/500 ACCUHALER 371.082 50 556.62 1 371.08 556.624030 Fluticasone-Salmeterol Aer Powder BA 500 715007-001 FOXAIR ACCUHALER 60 DOSE 50/50 278.304 50 417.46 1 278.3 417.464031 Lamivudine Tab 300 MG 709337-001 CIPLA LAMIVUDINE 300MG TAB 1.78 50 2.67 30 53.4 80.14032 Lamivudine Tab 300 MG 715302-001 ASPEN LAMIVUDINE 300MG TABS 2.233 50 3.35 30 66.99 100.54033 Tenofovir Disoproxil Fumarate Tab 300 MG 715072-001 ZEFIN 300MG TABLETS 5.877 50 8.82 30 176.31 264.64034 Emtricitabine-tenofovir disoproxil fumar 715091-001 DIDIVIR TABS 8.748 50 13.12 30 262.44 393.64035 Metformin HCl Tab 500 MG 714680-001 AURO-METFORMIN 500MG TABLETS 0.245 50 0.37 100 24.5 374036 Metformin HCl Tab 850 MG 714681-001 AURO-METFORMIN 850MG TABLETS 0.501 50 0.75 60 30.06 454037 Metformin HCl Tab 1000 MG 714683-001 AURO-METFORMIN 1000MG TABLETS 0.524 50 0.79 60 31.44 47.44041 ESCITALOPRAM OXALATE TAB 20 MG (BASE EQU 715403-001 ZYTOMIL 20MG TAB 2.465 50 3.7 30 73.95 1114042 Escitalopram Oxalate Tab 10 MG (Base Equ 715402-001 ZYTOMIL 10MG TAB 1.929 50 2.89 30 57.87 86.74043 Venlafaxine HCl Cap SR 24HR 75 MG (Base 715254-001 EFEGEN XR 75 CAPS 4.604 50 6.91 30 138.12 207.34044 Venlafaxine HCl Cap SR 24HR 150 MG (Base 715256-001 EFEGEN XR 150 CAPS 8.343 50 12.51 30 250.29 375.34045 Ondansetron HCl Tab 8 MG 714957-001 ZOFER RAPITAB 8MG DSP 51.377 50 77.07 10 513.77 770.74046 Granisetron HCl Tab 2 MG (Base Equivalen 715305-001 GRANICIP 2MG TABS 42.606 50 63.91 5 213.03 319.554047 Donepezil Hydrochloride Tab 5 MG 715039-001 DONECEPT 5MG TABS 7.588 50 11.38 30 227.64 341.44048 Donepezil Hydrochloride Tab 10 MG 715040-001 DONECEPT 10MG TABS 8.195 50 12.29 30 245.85 368.74049 Perindopril Erbumine-Indapamide Tab 4-1. 714952-001 PEARINDA PLUS 4MG/1.25MG TABLE 2.497 50 3.75 30 74.91 112.54050 Nifedipine Tab SR 24HR 30 MG 715000-001 MACOREL 30 SR TABS 3.413 50 5.12 30 102.39 153.64051 Nifedipine Tab SR 24HR 60 MG 715001-001 MACOREL 60 SR TABS 5.034 50 7.55 30 151.02 226.54052 Pantoprazole sodium ec tab 20 mg (base e 715312-001 CONORAN 20 TABS 2.336 50 3.5 30 70.08 1054053 Pantoprazole Sodium EC Tab 40 MG (Base E 715313-001 CONORAN 40 TABS 3.706 50 5.56 30 111.18 166.84054 Lansoprazole Cap Delayed Release 15 MG 715079-001 GASTRID 15MG CAPSULES 2.831 50 4.25 30 84.93 127.54055 Lansoprazole Cap Delayed Release 30 MG 715080-001 GASTRID 30MG CAPSULES 3.372 50 5.06 30 101.16 151.84058 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 715589-001 CITRO-SODA CRANBERRY GRAN 0.407 50 0.61 60 24.42 36.64059 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 715589-002 CITRO-SODA CRANBERRY GRAN 0.299 50 0.45 120 35.88 544060 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 715590-001 CITRO-SODA CRANBERRY GRAN 1.471 50 2.21 30 44.13 66.34062 Cefuroxime Axetil Tab 250 MG 713006-001 ZEFURIME 250MG TABLETS 6.717 50 10.08 10 67.17 100.84064 Efavirenz Cap 50 MG 715585-001 ADCO EFAVIRENZ 50MG CAPS 0.481 50 0.72 30 14.43 21.64065 EFAVIRENZ CAP 200 MG 712932-001 ADCO EFAVIRENZ 200MG CAPS 1.429 50 2.14 90 128.61 192.64066 Lamivudine Tab 150 MG 714830-001 VARI-LAMIVUDINE 150MG TABLETS 1.354 50 2.03 60 81.24 121.84067 Zidovudine Tab 300 MG 714829-001 VARI-ZIDOVUDINE 300MG TABLETS 3.645 50 5.47 60 218.7 328.24068 Tenofovir Disoproxil Fumarate Tab 300 MG 715056-001 ASPEN TENOFOVIR 300MG TABS 5.466 50 8.2 30 163.98 2464069 Nevirapine Tab 200 MG 714831-001 VARI-NEVIRAPINE 200MG TABLETS 2.641 50 3.96 60 158.46 237.64070 Lamivudine-Zidovudine Tab 150-300 MG 714827-001 COLAMZIV 150/300 MG TABLETS 4.531 50 6.8 60 271.86 4084071 Abacavir Sulfate Tab 300 MG (Base Equiv) 715493-001 AURO-ABACAVIR 300MG TABS 9.983 50 14.97 60 598.98 898.24072 Abacavir Sulfate Tab 300 MG (Base Equiv) 715063-001 ASPEN ABACAVIR 300MG TAB 9.438 50 14.16 60 566.28 849.64073 Abacavir Sulfate Soln 20 MG/ML (Base Equ 715494-001 AURO-ABACAVIR 20MG/1ML SOLN 0.885 50 1.33 240 212.4 319.24074 Gliclazide Tab SR 24HR 30 MG 714909-001 DIARAN MR 30MG TABS 0.623 50 0.93 60 37.38 55.84075 Glimepiride Tab 1 MG 714854-001 ASPEN GLIMEPIRIDE 1MG TABS 1.339 50 2.01 30 40.17 60.34076 Glimepiride Tab 2 MG 714855-001 ASPEN GLIMEPIRIDE 2MG TABS 2.624 50 3.94 30 78.72 118.24077 Glimepiride Tab 4 MG 714856-001 ASPEN GLIMEPIRIDE 4MG TABS 3.96 50 5.94 30 118.8 178.24079 Glucose Blood Test Strip 694731-001 ACCU-CHEK ADVANTAGE BLOOD GLUC 3.648 50 5.47 50 182.4 273.54089 Escitalopram Oxalate Tab 20 MG (Base Equ 715597-001 BE-TABS ESCITALOPRAM 20MG 2.502 50 3.75 30 75.06 112.54090 Escitalopram Oxalate Tab 10 MG (Base Equ 715596-001 BE-TABS ESCITALOPRAM 10MG 1.796 50 2.69 30 53.88 80.74097 Meperidine HCl Inj 25 MG/ML 754455-009 PETHIDINE HCL FSK 25MG/ML 3.389 50 5.08 10 33.89 50.84098 Meperidine HCl Inj 25 MG/ML 895156-008 MICRO PETHIDINE 25MG/ML 2.54 50 3.81 10 25.4 38.14099 Meperidine HCl Inj 50 MG/ML 711847-002 SABAX PETHIDINE 50MG/ML A 2.524 50 3.79 10 25.24 37.94101 Meperidine HCl Inj 50 MG/ML 754463-001 PETHIDINE HCL FSK 50MG/ML 2.709 50 4.06 10 27.09 40.64103 Meperidine HCl Inj 50 MG/ML 824089-006 MERCK-PETHIDINE HCL 50MG 2.613 50 3.92 10 26.13 39.24104 Meperidine HCl Inj 50 MG/ML 894958-003 MICRO PETHIDINE 50MG/ML 2.126 50 3.19 10 21.26 31.94106 Morphine Sulfate Inj 10 MG/ML 711033-001 SABAX MORPHINE SULPH 10MG 3.564 50 5.35 10 35.64 53.54107 Morphine Sulfate Inj 10 MG/ML 744530-008 MORPHINE SULPH FSK 10MG/M 3.442 50 5.16 10 34.42 51.64108 Morphine Sulfate Inj 10 MG/ML 824275-004 MERCK-MORPHINE SULPH 10MG 2.003 50 3 10 20.03 304109 Morphine Sulfate Inj 10 MG/ML 895157-007 MICRO MORPHINE 10MG/ML 2.622 50 3.93 10 26.22 39.34110 Morphine Sulfate Inj 15 MG/ML 711034-001 SABAX MORPHINE SULPH 15MG 3.945 50 5.92 10 39.45 59.24111 Morphine Sulfate Inj 15 MG/ML 744549-019 MORPHINE SULPH FSK 15MG/M 3.776 50 5.66 10 37.76 56.64112 Morphine Sulfate Inj 15 MG/ML 824267-001 MERCK-MORPHINE SULPH 15MG 1.883 50 2.82 10 18.83 28.24113 Morphine Sulfate Inj 15 MG/ML 894951-004 MICRO MORPHINE 15MG/ML 2.807 50 4.21 10 28.07 42.14122 Pentazocine Lactate Inj 30 MG/ML 701043-003 PENTAZOCINE FSK 1ML 30MG/ 9.636 50 14.45 10 96.36 144.54123 Pentazocine Lactate Inj 30 MG/ML 706243-001 MICRO PENTAZOCINE 30MG/ML 6.527 50 9.79 10 65.27 97.94128 Diclofenac Sodium Tab Disp 50 MG 715311-001 CATAFAST-D TABS 2.433 50 3.65 15 36.5 54.754129 Cetirizine HCl Tab 10 MG 712764-001 ZETOP 10MG TABS 1.03 50 1.55 30 30.9 46.54130 Atenolol Tab 50 MG 715625-001 GULF ATENOLOL 50MG TABS 0.431 50 0.65 28 12.07 18.24131 Atenolol Tab 100 MG 715626-001 GULF ATENOLOL 100MG TABS 0.732 50 1.1 28 20.5 30.84132 PERINDOPRIL ERBUMINE TAB 4 MG 715649-001 ACESYL 4MG TABS 1.952 50 2.93 30 58.56 87.94133 PERINDOPRIL ERBUMINE-INDAPAMIDE TAB 4-1. 715651-001 ACESYL CO 4MG/1.25MG TABS 2.708 50 4.06 30 81.24 121.84134 Perindopril Erbumine-Indapamide Tab 2-0. 700512-001 PRETERAX TAB 4.717 50 7.08 30 141.51 212.44135 Perindopril Erbumine-Indapamide Tab 2-0. 713762-001 SPEC-PERINDOPRIL PLUS 2MG/0.62 1.972 50 2.96 30 59.16 88.84136 Perindopril Erbumine-Indapamide Tab 2-0. 715650-001 ACESYL CO 2MG/0.625MG TABS 2.363 50 3.54 30 70.89 106.24137 Valsartan-Hydrochlorothiazide Tab 160-12 715559-001 CO-ZOMEVEK 160/12.5MG TABS 3.585 50 5.38 28 100.38 150.644138 Valsartan-Hydrochlorothiazide Tab 160-12 715571-001 CO-MIGROBEN 160MG/12.5MG TABLE 3.579 50 5.37 28 100.21 150.364139 Valsartan-Hydrochlorothiazide Tab 160-25 706051-001 CO-DIOVAN 160MG PLUS 5.808 50 8.71 28 162.62 243.884140 Valsartan-Hydrochlorothiazide Tab 160-25 715572-001 CO-MIGROBEN 160/25MG TABS 3.579 50 5.37 28 100.21 150.364141 Valsartan-Hydrochlorothiazide Tab 160-25 715560-001 CO-ZOMEVEK160MG/25MG TABLETS 3.415 50 5.12 28 95.62 143.364142 Valsartan Tab 80 MG 715555-001 ZOMEVEK 80MG TABS 2.897 50 4.35 28 81.12 121.84143 Valsartan Tab 80 MG 715568-001 MIGROBEN 80MG TABS 2.897 50 4.35 28 81.12 121.84144 Valsartan Tab 160 MG 715569-001 MIGROBEN 160MG TABLETS 2.897 50 4.35 28 81.12 121.84145 Valsartan Tab 160 MG 715556-001 ZOMEVEK 160MG TABS 2.897 50 4.35 28 81.12 121.84146 Valsartan-Hydrochlorothiazide Tab 80-12. 715570-001 CO-MIGROBEN 80/12.5MG TABS 3.579 50 5.37 28 100.21 150.364147 Valsartan-Hydrochlorothiazide Tab 80-12. 715558-001 CO-ZOMEVEK 80MG/12.5MG TAB 3.585 50 5.38 28 100.38 150.644148 Losartan Potassium & Hydrochlorothiazide 715064-001 SARTOC 50/12.5 TABS 2.065 50 3.1 30 61.95 934149 Losartan Potassium & Hydrochlorothiazide 828181-004 COZAAR COMP TABS 2.644 50 3.97 30 79.32 119.14150 Nifedipine Tab SR 24HR 30 MG 715002-001 SPEC NIFEDIPINE SR 30MG SRT 3.178 50 4.77 30 95.34 143.14151 Nifedipine Tab SR 24HR 60 MG 715003-001 SPEC NIFEDIPINE SR 60MG SRT 4.698 50 7.05 30 140.94 211.54156 Pantoprazole sodium ec tab 20 mg (base e 715610-001 PANTOCID 20MG 3.119 50 4.68 30 93.57 140.44157 Pantoprazole sodium ec tab 20 mg (base e 715306-001 PEPLOC 20MG TABS 3.15 50 4.73 28 88.2 132.444158 Pantoprazole Sodium EC Tab 40 MG (Base E 715307-001 PEPLOC 40MG TABS 4.686 50 7.03 28 131.21 196.844159 Pantoprazole Sodium For IV Soln 40 MG (B 706111-001 PANTOCID 40MG IV 30.643 50 45.96 5 153.21 229.8




Administered by

4160 Pantoprazole Sodium For IV Soln 40 MG (B 707420-001 CONTROLOC IV 40MG INJ 58.283 50 87.42 5 291.42 437.14161 Pantoprazole Sodium For IV Soln 40 MG (B 878197-001 PANTOLOC IV VIAL 10ML 80.948 50 121.42 5 404.74 607.14165 Sennosides Tab 7.5 MG 710368-001 LENNON SENNA 7.5MG TAB 0.868 50 1.3 15 13.02 19.54166 Sennosides Tab 7.5 MG 710370-001 LAXADOR SENNA 7.5MG TAB 0.92 50 1.38 15 13.8 20.74172 Sennosides Tab 7.5 MG 763225-046 SENOKOT TAB 1.042 50 1.56 20 20.84 31.24173 Sennosides Tab 7.5 MG 763225-047 SENOKOT TAB 0.843 50 1.26 60 50.58 75.64174 Sennosides Tab 7.5 MG 763225-048 SENOKOT TAB 0.699 50 1.05 100 69.9 1054175 Hydrocortisone Cream 1% 700445-002 VARI-HYDROCORTISONE 1% CREAM 0.388 50 0.58 20 7.76 11.64176 Miconazole-HC Cream 2-1% 715635-001 ELOZART CREAM 1.898 50 2.85 20 37.96 574177 Vancomycin HCl For Inj 1000 MG 701396-001 VANCOMYCIN-FAULDING POWD F/INJ 96.296 50 144.44 1 96.3 144.444178 Vancomycin HCl For Inj 1000 MG 714112-001 MYLAN VANCOMYCIN 1G INJ 111.678 50 167.52 10 1116.78 1675.24179 Vancomycin HCl For Inj 1000 MG 794198-008 ASPEN VANCOMYCIN 1000MG 111.787 50 167.68 10 1117.87 1676.84180 Vancomycin hcl for inj 1000 mg 808431-021 VANCOCIN CP 1000MG IJ 106.667 50 160 10 1066.67 16004181 Meropenem IV For Soln 500 MG 714381-001 ASPEN MEROPENEM 500MG 98.059 50 147.09 1 98.06 147.094182 Meropenem IV For Soln 500 MG 820636-010 MERONEM 500MG/ VIAL 108.985 50 163.48 1 108.99 163.484183 Meropenem IV For Soln 1 GM 714382-001 ASPEN MEROPENEM 1000MG 196.111 50 294.17 1 196.11 294.174184 Meropenem IV For Soln 1 GM 820644-013 MERONEM 1000MG/ VIAL 217.978 50 326.97 1 217.98 326.974185 Imipenem-Cilastatin Intravenous For Soln 715342-001 CILAPEN 500 INJ 132.459 50 198.69 1 132.46 198.694186 Imipenem-Cilastatin Intravenous For Soln 770779-018 TIENAM 500 181.193 50 271.79 1 181.19 271.794187 Valacyclovir HCl Tab 500 MG 817783-016 ZELITREX 500MG TABS 18.122 50 27.18 10 181.22 271.84188 Valacyclovir HCl Tab 500 MG 715249-001 ZELIVIRE 500MG TABS 12.685 50 19.03 30 380.55 570.94189 Moxifloxacin HCl Tab 400 MG (Base Equiv) 715146-001 MOXIBAY 400MG TABS 23.856 50 35.78 5 119.28 178.94190 Moxifloxacin HCl Tab 400 MG (Base Equiv) 715146-002 MOXIBAY 400MG TABS 23.857 50 35.79 10 238.57 357.94191 Moxifloxacin HCl Tab 400 MG (Base Equiv) 715250-001 NUMOXX 400MG TABLETS 21.567 50 32.35 5 107.83 161.754192 Moxifloxacin HCl Tab 400 MG (Base Equiv) 715250-002 NUMOXX 400MG TABLETS 21.567 50 32.35 10 215.67 323.54193 Efavirenz Tab 600 MG 715591-001 HEVAZ 600MG TABS 4.353 50 6.53 30 130.59 195.94194 Lamivudine-Zidovudine Tab 150-300 MG 715669-001 COMBOZIL 150/300MG TABS 4.298 50 6.45 60 257.88 3874195 Emtricitabine-Tenofovir Disoproxil Fumar 715579-001 ASPEN TENOFOVIR & EMTRICITABIN 8.748 50 13.12 30 262.44 393.64196 Lamivudine-Nevirapine-Stavudine Tab 150- 707970-001 TRIOMUNE-30 TAB 3.969 50 5.95 60 238.14 3574197 Lamivudine-Nevirapine-Stavudine Tab 150- 709840-001 SONKE-LAMINEVSTAV 30 TAB 2.796 50 4.19 60 167.76 251.44203 Tamsulosin HCl Cap CR 0.4 MG 714723-001 PROSTAFLO SR 0.4MG 4.7 50 7.05 30 141 211.54204 IRON POLYMALTOSE SYRUP 50 MG/5ML (ELEMEN 713274-001 FEROFOLS SYRP 0.16 50 0.24 150 24 364205 Iron Polymaltose Syrup 50 MG/5ML (Elemen 725935-006 FERRIMED 50MG/5ML SYR 0.857 50 1.29 100 85.7 1294206 Estradiol TD Patch Biweekly 0.025 MG/24H 706049-001 ESTRADOT 25MCG TD PATCH 11.395 50 17.09 8 91.16 136.724207 Estradiol TD Patch Biweekly 0.025 MG/24H 823007-006 EVOREL 25MCG TDS 12.859 50 19.29 8 102.87 154.324208 Estradiol TD Patch Biweekly 0.025 MG/24H 834939-002 ESTRADERM TTS 25MCG TDS 9.944 50 14.92 8 79.55 119.364209 Estradiol TD Patch Biweekly 0.05 MG/24HR 706053-001 ESTRADOT 50MCG TD PATCH 13.732 50 20.6 8 109.86 164.84210 Estradiol TD Patch Biweekly 0.05 MG/24HR 810290-006 EVOREL 50MCG TDS 13.895 50 20.84 8 111.16 166.724211 Estradiol TD Patch Biweekly 0.075 MG/24H 706054-001 ESTRADOT 75MCG TD PATCH 13.732 50 20.6 8 109.86 164.84212 Estradiol TD Patch Biweekly 0.075 MG/24H 823015-009 EVOREL 75MCG TDS 14.503 50 21.75 8 116.02 1744213 Estradiol TD Patch Biweekly 0.1 MG/24HR 706055-001 ESTRADOT 100MCG TD PATCH 13.732 50 20.6 8 109.86 164.84214 Estradiol TD Patch Biweekly 0.1 MG/24HR 823023-001 EVOREL 100MCG TDS 15.15 50 22.73 8 121.2 181.844215 Estradiol TD Patch Biweekly 0.1 MG/24HR 834920-018 ESTRADERM TTS 100MCG TDS 11.703 50 17.55 8 93.62 140.44218 Ibuprofen Tab 200 MG 824852-002 RANFEN 200MG TAB 0.135 50 0.2 28 3.78 5.64219 Desloratadine Tab 5 MG 715715-001 POLLENTYME ND 5MG TABS 2.071 50 3.11 10 20.71 31.14220 Desloratadine Tab 5 MG 715715-002 POLLENTYME ND 5MG TABS 2.071 50 3.11 30 62.13 93.34221 Theophylline-Etofylline-Diphenylpyraline 715681-001 DYNALEX SYRUP 0.093 50 0.14 200 18.6 284224 Guaifenesin Syrup 100 MG/5ML 715471-001 EXPIGEN WET COUGH PEPPERMINT S 0.204 50 0.31 100 20.4 314225 Cefotaxime Sodium For Inj 500 MG 714469-001 CEFOTAXIME-FRESENIUS 500MG POW 14.936 50 22.4 10 149.36 2244227 Vancomycin HCl For Inj 500 MG 701393-001 VANCOMYCIN-FAULDING POWD F/INJ 71.356 50 107.03 1 71.36 107.034228 Vancomycin HCl For Inj 500 MG 701393-002 VANCOMYCIN-FAULDING 500MG POWD 71.354 50 107.03 10 713.54 1070.34229 Vancomycin HCl For Inj 500 MG 714111-001 MYLAN VANCOMYCIN 500MG INJ 55.839 50 83.76 10 558.39 837.64230 Vancomycin HCl For Inj 500 MG 774731-028 VANCOCIN 500MG/10ML IJ 66.519 50 99.78 10 665.19 997.84231 Vancomycin HCl For Inj 500 MG 774758-008 ASPEN VANCOMYCIN 500MG 69.711 50 104.57 10 697.11 1045.74234 Glucose Blood Test Strip 106675-001 ACCU CHECK PERFORMA BLOOD GLUC 2.652 50 3.98 50 132.6 1994236 Risperidone Tab 0.5 MG 715736-001 SCHIZOROL 0.5MG TABS 3.522 50 5.28 30 105.66 158.44237 Risperidone Tab 1 MG 715737-001 SCHIZOROL 1MG TABS 7.064 50 10.6 30 211.92 3184238 Risperidone Tab 2 MG 715738-001 SCHIZOROL 2MG TABS 11.898 50 17.85 30 356.94 535.54239 Ropinirole Hydrochloride Tab 0.25 MG 700647-003 REQUIP 0.25MG 1.095 50 1.64 210 229.95 344.44240 Ropinirole Hydrochloride Tab 0.25 MG 700647-004 REQUIP 0.25MG 1.095 50 1.64 84 91.98 137.764241 Ropinirole Hydrochloride Tab 0.25 MG 715081-001 RESURE 0.25MG TABS 0.664 50 1 30 19.92 304242 Ropinirole Hydrochloride Tab 0.25 MG 715081-002 RESURE 0.25MG TABS 0.664 50 1 90 59.76 904243 Ropinirole Hydrochloride Tab 0.5 MG 700650-002 REQUIP 0.5MG 2.045 50 3.07 84 171.78 257.884244 Ropinirole Hydrochloride Tab 0.5 MG 715082-001 RESURE 0.5MG TABS 1.106 50 1.66 30 33.18 49.84245 Ropinirole Hydrochloride Tab 0.5 MG 715082-002 RESURE 0.5MG TABS 1.106 50 1.66 90 99.54 149.44246 Ropinirole Hydrochloride Tab 1 MG 700652-003 REQUIP 1.0MG 2.703 50 4.05 84 227.05 340.24247 Ropinirole Hydrochloride Tab 1 MG 715083-001 RESURE 1MG TABS 1.659 50 2.49 30 49.77 74.74248 Ropinirole Hydrochloride Tab 1 MG 715083-002 RESURE 1MG TABS 1.659 50 2.49 90 149.31 224.14249 Ropinirole Hydrochloride Tab 2 MG 700655-003 REQUIP 2.0MG 5.204 50 7.81 84 437.14 656.044250 Ropinirole Hydrochloride Tab 2 MG 715084-001 RESURE 2MG TABS 2.581 50 3.87 90 232.29 348.34251 Ropinirole Hydrochloride Tab 5 MG 700658-003 REQUIP 5.0MG 8.319 50 12.48 84 698.8 1048.324252 Ropinirole Hydrochloride Tab 5 MG 715086-001 RESURE 5MG TABS 4.24 50 6.36 90 381.6 572.44253 Indomethacin Cap 25 MG 788996-003 MEDIFLEX 25MG CAPS 0.085 50 0.13 1000 85 1304254 Alendronate Sodium Tab 10 MG 715712-001 OSTENA 10MG TABS 4.501 50 6.75 28 126.03 1894255 Alendronate Sodium Tab 70 MG 715636-001 ALDREN 70MG TABS 28.208 50 42.31 4 112.83 169.244256 Alendronate Sodium Tab 70 MG 715713-001 OSTENA 70MG TABS 29.002 50 43.5 4 116.01 1744257 Enalapril Maleate Tab 5 MG 712762-001 ENVAS 5MG TABS 0.67 50 1.01 30 20.1 30.34258 Enalapril Maleate Tab 10 MG 712763-001 ENVAS 10MG TABS 0.984 50 1.48 30 29.52 44.44259 Losartan Potassium & Hydrochlorothiazide 715740-001 LOZAAN CO 50/12.5 TABS 2.144 50 3.22 30 64.32 96.64260 Losartan Potassium & Hydrochlorothiazide 887096-005 FORTZAAR TAB 2.816 50 4.22 30 84.48 126.64261 Losartan Potassium & Hydrochlorothiazide 715739-001 LOZAAN CO 100/25 TABS 2.324 50 3.49 30 69.72 104.74262 NIFEDIPINE CAP CR 20 MG 840963-009 ADCO VASCARD 20 SR 20MG SR CAP 0.488 50 0.73 60 29.28 43.84263 Pravastatin Sodium Tab 10 MG 715709-001 PRAVACOR 10MG TABS 3.001 50 4.5 30 90.03 1354264 Pravastatin Sodium Tab 20 MG 715710-001 PRAVACOR 20MG TABS 3.288 50 4.93 30 98.64 147.94265 Pravastatin Sodium Tab 40 MG 715711-001 PRAVACOR 40MG TABS 4.531 50 6.8 30 135.93 2044266 Omeprazole Magnesium Tab CR 40 MG 706688-003 OMEZ 40MG CAP 6.665 50 10 30 199.95 3004267 Sulfamethoxazole-Trimethoprim Tab 400-80 715609-001 TRIXAZOLE 480MG TABS 0.119 50 0.18 1000 119 1804268 Tenofovir Disoproxil Fumarate Tab 300 MG 714994-001 SONKE-TENOFOVIR 300MG TABS 3.672 50 5.51 30 110.16 165.34269 Abacavir Sulfate Tab 300 MG (Base Equiv) 715012-001 SONKE-ABACAVIR 300MG TABS 5.873 50 8.81 60 352.38 528.64270 Lamivudine-Nevirapine-Stavudine Tab 150- 715716-001 VIRTRIUM 30MG/150MG/200MG TABS 3.112 50 4.67 60 186.72 280.24271 Dexamethasone Sodium Phosphate Inj 4 MG/ 818763-019 DECASONE 4MG/ML INJ 32.31 50 48.47 10 323.1 484.74272 Dexamethasone Sodium Phosphate Inj 4 MG/ 701589-001 MICRO DEXAMETHASONE 4MG/M 5.196 50 7.79 10 51.96 77.94273 Dexamethasone Sodium Phosphate Inj 4 MG/ 713730-001 DEXONA AMPOULE 4MG/ML 1ML 5.944 50 8.92 10 59.44 89.24274 Bicalutamide Tab 50 MG 715705-001 ACCORD BICALUTAMIDE 50MG TABS 12.142 50 18.21 30 364.26 546.34275 Anastrozole Tab 1 MG 824224-019 ARIMIDEX 1MG TAB 35.031 50 52.55 30 1050.93 1576.54276 Anastrozole Tab 1 MG 715703-001 ACCORD ANASTROZOLE 1MG TABS 8.812 50 13.22 30 264.36 396.64277 Letrozole Tab 2.5 MG 831468-009 FEMARA 2.5MG TAB 22.819 50 34.23 30 684.57 1026.94278 Letrozole Tab 2.5 MG 715704-001 ACCORD LETROZOLE 2.5MG TABS 10.076 50 15.11 30 302.28 453.34280 GRANISETRON HCL INJ 1 MG/ML 712891-002 ADCO GRANISETRON 1MG/1ML AMP 138.23 50 207.35 1 138.23 207.354281 Granisetron HCl Inj 1 MG/ML 714500-001 SANDOZ GRANISETRON VIAL 1MG/1ML 22.677 50 34.02 5 113.39 170.14282 Granisetron HCl Inj 1 MG/ML 715706-001 GRANITRIL 1MG/ML INJ 24.721 50 37.08 5 123.61 185.44283 Granisetron HCl Inj 1 MG/ML 861863-003 KYTRIL IV 1ML 27.65 50 41.48 5 138.25 207.44284 GRANISETRON HCL INJ 3 MG/3ML 712892-001 ADCO GRANISETRON 3MG/3ML INJ 82.939 50 124.41 5 414.7 622.054286 Granisetron HCl Inj 3 MG/3ML 714109-001 MYLAN GRANISETRON 3MG/3ML AMP 79.883 50 119.82 5 399.42 599.14287 Granisetron HCl Inj 3 MG/3ML 714501-001 SANDOZ GRANISETRON VIAL 3MG/3ML 68.031 50 102.05 5 340.15 510.254288 Granisetron HCl Inj 3 MG/3ML 787019-003 KYTRIL 3MG/3ML INJ 72.204 50 108.31 5 361.02 541.554289 Granisetron HCl Tab 1 MG 715707-001 GRANITRIL 1MG TABS 18.743 50 28.11 10 187.43 281.14290 Fluticasone-Salmeterol Inhal Aerosol 50- 715752-001 FOXAIR 25/50 120 DOSE 119.289 50 178.93 1 119.29 178.93




Administered by

4291 Fluticasone-Salmeterol Inhal Aerosol 125 715753-001 FOXAIR 25/125 120 DOSE 160.319 50 240.48 1 160.32 240.484292 Fluticasone-Salmeterol Inhal Aerosol 250 715754-001 FOXAIR 25/250 120 DOSE 215.667 50 323.5 1 215.67 323.54294 Efavirenz Cap 200 MG 709529-001 SONKE-EFAVIRENZ 200MG CAP 1.994 50 2.99 90 179.46 269.14299 Perindopril Erbumine Tab 4 MG 715786-001 CIPLASYL 4MG TABS 1.3 50 1.95 30 39 58.54300 Perindopril Erbumine Tab 8 MG 715795-001 CIPLASYL 8MG TABS 2.698 50 4.05 30 80.94 121.54301 Guaifenesin Syrup 100 MG/5ML 715471-002 EXPIGEN WET COUGH PEPPERMINT S 0.205 50 0.31 200 41 624302 Scopolamine N-Butylbromide Inj 20 MG/ML 715836-001 FRESENIUS HYOSCINE BUTYLBROM 2 1.662 50 2.49 10 16.62 24.94304 LAMIVUDINE TAB 300 MG 715335-001 ADCO LAMIVUDINE 300MG TABS 1.58 50 2.37 30 47.4 71.14305 ABACAVIR SULFATE TAB 300 MG (BASE EQUIV) 715347-001 ADCO ABACAVIR 300MG TABS 6.378 50 9.57 60 382.68 574.24311 Sertraline HCl Tab 50 MG 715350-001 SERTRA 50MG TABS 2.951 50 4.43 30 88.53 132.94312 Domperidone Tab 10 MG 715830-001 BIO-DOMPERIDONE 10MG TABS 2.756 50 4.13 10 27.56 41.34313 Domperidone Tab 10 MG 715830-002 BIO-DOMPERIDONE 10MG TABS 2.756 50 4.13 100 275.6 4134314 Ondansetron Orally Disintegrating Tab 4 862223-008 ZOFRAN ZYDIS 4MG 42.84 50 64.26 10 428.4 642.64315 Ondansetron Orally Disintegrating Tab 8 862231-019 ZOFRAN ZYDIS 8MG 66.13 50 99.19 10 661.3 991.94317 MEPERIDINE HCL INJ 100 MG/2ML (50 MG/ML) 824097-009 MYLAN PETHIDINE HCL 100MG/2ML 4.24 50 6.36 10 42.4 63.64318 Naproxen Tab 250 MG 715831-001 BIO-NAPROXEN 250MG TABS 0.399 50 0.6 140 55.86 844319 Valsartan-Hydrochlorothiazide Tab 160-12 715672-001 CO-TAREG 160MG/12.5MG TABS 3.579 50 5.37 28 100.21 150.364320 Valsartan-Hydrochlorothiazide Tab 160-25 715673-001 CO-TAREG PLUS 160MG/25MG TABS 3.579 50 5.37 28 100.21 150.364321 Losartan Potassium Tab 50 MG 715871-001 RENICARD 50MG TABS 1.553 50 2.33 30 46.59 69.94322 Phenyltoloxamine-PPA w/ APAP Tab 22-25-3 791296-018 SINUSTOP TAB 0.634 50 0.95 20 12.68 194323 Phenyltoloxamine-PPA w/ APAP Tab 22-25-3 764191-012 SINUTAB TABS 1.135 50 1.7 50 56.75 854324 Phenyltoloxamine-PPA w/ APAP Tab 22-25-3 764191-004 SINUTAB TABS 1.137 50 1.71 20 22.74 34.24325 PE-CPM-APAP-Atropine-Caff-Vit C Cap 5-2- 715506-013 COLSTAT CAPS 0.995 50 1.49 500 497.5 7454326 PE-CPM-APAP-Atropine-Caff-Vit C Cap 5-2- 725544-031 FAMUCAPS CAPS 0.523 50 0.78 1000 523 7804327 PE-CPM-APAP-Atropine-Caff-Vit C Cap 5-2- 725544-007 FAMUCAPS CAPS 0.523 50 0.78 20 10.46 15.64328 Metronidazole Tab 400 MG 715866-001 ANAEROBYL 400MG TABS 0.114 50 0.17 1000 114 1704333 Sertraline HCl Tab 100 MG 715935-001 APEX-SERTRALINE 100MG TABS 3.105 50 4.66 30 93.15 139.84334 Topiramate Tab 25 MG 715978-001 TOPALEX 25MG TABS 1.837 50 2.76 60 110.22 165.64335 Topiramate Tab 50 MG 715979-001 TOPALEX 50MG TABS 3.381 50 5.07 60 202.86 304.24336 Topiramate Tab 100 MG 715981-001 TOPALEX 100MG TABS 6.005 50 9.01 60 360.3 540.64337 Sumatriptan Succinate Tab 50 MG 715852-001 ACCORD SUMATRIPTAN 50MG TABS 28.052 50 42.08 2 56.1 84.164338 Sumatriptan Succinate Tab 100 MG 715853-001 ACCORD SUMATRIPTAN 100MG TABS 33.956 50 50.93 4 135.82 203.724339 Acetaminophen-Doxylamine-Caffeine-Codein 716041-001 ALPHA-DOL TABS 0.34 50 0.51 20 6.8 10.24340 Acetaminophen-Doxylamine-Caffeine-Codein 716041-002 ALPHA-DOL TABS 0.34 50 0.51 100 34 514341 Alendronate Sodium Tab 10 MG 715854-001 ACCORD ALENDRONATE 10MG TABS 4.597 50 6.9 28 128.72 193.24342 Alendronate Sodium Tab 70 MG 715855-001 ACCORD ALENDRONATE 70MG TABS 35.506 50 53.26 4 142.02 213.044343 Alendronate Sodium Tab 70 MG 715987-001 OSTEONATE 70MG TABS 31.38 50 47.07 4 125.52 188.284344 Lisinopril Tab 20 MG 715938-001 APEX-LISINOPRIL 20MG TABS 1.824 50 2.74 30 54.72 82.24345 Losartan Potassium & Hydrochlorothiazide 715856-001 LOSAAR PLUS 50/12.5 TABS 1.646 50 2.47 30 49.38 74.14346 Losartan Potassium & Hydrochlorothiazide 715848-001 NETRASOL CO 50/12.5MG TABS 1.599 50 2.4 30 47.97 724347 Losartan Potassium & Hydrochlorothiazide 715857-001 LOSAAR PLUS 100/25 TABS 1.775 50 2.66 30 53.25 79.84348 Atorvastatin Calcium Tab 10 MG (Base Equ 711621-001 ATORVASTATIN UNICORN 10MG TABS 0.728 50 1.09 30 21.84 32.74349 Atorvastatin Calcium Tab 20 MG (Base Equ 712170-001 ATORVASTATIN UNICORN 20MG TABS 0.741 50 1.11 30 22.23 33.34350 Atorvastatin Calcium Tab 40 MG (Base Equ 713522-001 ATORVASTATIN UNICORN 40MG TABS 1.3 50 1.95 30 39 58.54351 PE-CPM-APAP-Atropine-Caff-Vit C Cap 5-2- 715506-005 COLSTAT CAPS 0.995 50 1.49 24 23.88 35.764352 Lansoprazole Cap Delayed Release 15 MG 715812-001 LANCAP OTC 15MG CAPS 2.184 50 3.28 14 30.58 45.924353 Mupirocin Oint 2% 706493-036 BACTROBAN TOPICAL OINT 3.065 50 4.6 100 306.5 4604354 Mupirocin Oint 2% 715837-001 SUPIROBAN OINTMENT 2MG/1G 2.328 50 3.49 15 34.92 52.354355 Erythromycin Stearate Tab 250 MG 710310-002 ERYKO 250MG TABS 0.601 50 0.9 500 300.5 4504356 Azithromycin Tab 500 MG 715934-001 APEX-AZITHROMYCIN 500MG TABS 23.536 50 35.3 3 70.61 105.94357 Metformin HCl Tab 500 MG 715936-001 DIAFORMIN 500MG TABS 0.269 50 0.4 100 26.9 404358 Metformin HCl Tab 850 MG 715937-001 DIAFORMIN FORTE 850MG TABS 0.501 50 0.75 60 30.06 454368 INSULIN PEN NEEDLE 29 G X 12 MM (1/2 ) 116596-001 HAEMOFINE PEN NEEDLE 29G 12MM 5.712 50 8.57 100 571.2 8574369 Olanzapine Tab 2.5 MG 715683-001 REDILANZ 2.5MG TABS 5.653 50 8.48 30 169.59 254.44370 Olanzapine Tab 5 MG 715684-001 REDILANZ 5MG TABS 10.296 50 15.44 30 308.88 463.24371 Olanzapine Tab 10 MG 715685-001 REDILANZ 10MG TABS 13.46 50 20.19 30 403.8 605.74372 Sertraline HCl Tab 50 MG 711387-001 SERMAX 50MG TABS 4.743 50 7.11 30 142.29 213.34373 Sertraline HCl Tab 100 MG 710907-001 SERMAX 100MG TABS 8.455 50 12.68 30 253.65 380.44374 Tramadol HCl Cap 50 MG 705379-002 DOLOTRAM 50MG CAPS 0.984 50 1.48 20 19.68 29.64375 Acetaminophen w/ Codeine Tab 500-8 MG 761303-014 ROCODIN TABS 0.799 50 1.2 100 79.9 1204376 Acetaminophen w/ Codeine Tab 500-8 MG 761303-146 ROCODIN TABS 0.799 50 1.2 20 15.98 244377 Erythromycin Estolate Susp 250 MG/5ML 848409-019 XERAMEL SF 250MG/5ML SUSP 0.189 50 0.28 100 18.9 284378 Lamivudine Oral Soln 10 MG/ML 715969-001 PHARMA-Q LAMIVUDINE 10MG/ML SY 0.241 50 0.36 240 57.84 86.44379 Atazanavir Sulfate Cap 150 MG (Base Equi 708257-001 REYATAZ 150MG CAPS 2.828 50 4.24 60 169.68 254.44380 Atazanavir Sulfate Cap 150 MG (Base Equi 715828-001 ASPEN ATAZANAVIR 150MG CAPS 4.119 50 6.18 60 247.14 370.84381 Atazanavir Sulfate Cap 200 MG (Base Equi 708258-001 REYATAZ 200MG CAPS 3.393 50 5.09 60 203.58 305.44382 Atazanavir Sulfate Cap 200 MG (Base Equi 715827-001 ASPEN ATAZANAVIR 200MG CAPS 5.089 50 7.63 60 305.34 457.84383 Alfuzosin HCl Tab SR 24HR 10 MG 701590-001 XATRAL XL 10MG TAB 9.385 50 14.08 30 281.55 422.44384 Alfuzosin HCl Tab SR 24HR 10 MG 715829-001 RANTRAL MR 10MG TABS 6.576 50 9.86 30 197.28 295.84385 Olanzapine Orally Disintegrating Tab 5 M 715967-001 OLEANZ RAPITAB 5MG TAB DISP 12.146 50 18.22 28 340.09 510.164386 Olanzapine Orally Disintegrating Tab 10 715968-001 OLEANZ RAPITAB 10MG TAB DISP 15.572 50 23.36 28 436.02 654.084387 Meloxicam Tab 15 MG 716169-001 MELOXICAM UNICORN 15MG TABS 2.186 50 3.28 30 65.58 98.44388 Ibuprofen Cap 400 MG 716004-001 ADVIL LIQUI-GELS 400MG CAPS 1.994 50 2.99 20 39.88 59.84389 Bisoprolol Fumarate Tab 5 MG 716167-001 BISOPROLOL UNICORN 5MG TABS 1.103 50 1.65 30 33.09 49.54390 Bisoprolol Fumarate Tab 10 MG 716166-001 BISOPROLOL UNICORN 10MG TABS 1.863 50 2.79 30 55.89 83.74391 Ramipril Cap 2.5 MG 715954-001 APEX-RAMIPRIL 2.5MG CAPS 2.115 50 3.17 28 59.22 88.764392 Ramipril Cap 5 MG 715955-001 APEX-RAMIPRIL 5MG CAPS 3.199 50 4.8 28 89.57 134.44393 Lisinopril & Hydrochlorothiazide Tab 10- 716120-001 AURO-LISINOPRIL CO 10MG TABS 1.588 50 2.38 30 47.64 71.44394 Lisinopril & Hydrochlorothiazide Tab 20- 716121-001 AURO-LISINOPRIL CO 20MG TABS 2.46 50 3.69 30 73.8 110.74395 Ramipril Cap 10 MG 715957-001 APEX-RAMIPRIL 10MG CAPS 3.625 50 5.44 28 101.5 152.324396 Losartan Potassium & Hydrochlorothiazide 716058-001 LOHYPE PLUS 50MG/12.5MG 2.269 50 3.4 30 68.07 1024397 Losartan Potassium & Hydrochlorothiazide 716059-001 LOHYPE FORTE PLUS 100MG/25MG 2.303 50 3.45 30 69.09 103.54398 Pseudoephed-Triprolidine-DM Syrup 30-1.2 716132-001 SINUCLEAR COUGH SYRUP 0.182 50 0.27 100 18.2 274399 Triprolidine & Pseudoephedrine Syrup 1.2 716134-001 FLUSIN SINUS SYRUP 0.187 50 0.28 100 18.7 284401 Ranitidine HCl Tab 75 MG 822817-021 ZANTAC 75MG TABS 2.907 50 4.36 6 17.44 26.164402 Ranitidine HCl Tab 75 MG 822817-022 ZANTAC 75MG TABS 2.907 50 4.36 12 34.88 52.324403 Furosemide Tab 40 MG 716048-001 DINO-RETIC 40MG TABS 0.121 50 0.18 1000 121 1804404 Amoxicillin & K Clavulanate Tab 875-125 716126-001 BINDOCLAV 1000MG TABS 8.99 50 13.49 10 89.9 134.94405 Amoxicillin & K Clavulanate Tab 250-125 716124-001 BINDOCLAV 375MG TABS 1.953 50 2.93 15 29.29 43.954406 Amoxicillin & K Clavulanate Tab 500-125 716125-001 BINDOCLAV 625MG TABS 3.136 50 4.7 15 47.04 70.54407 Amoxicillin (Trihydrate) Cap 250 MG 716122-001 YOMAX 250MG CAPS 0.281 50 0.42 500 140.5 2104408 Amoxicillin (Trihydrate) Cap 500 MG 716123-001 YOMAX 500MG CAPS 0.582 50 0.87 100 58.2 874409 Cefuroxime Axetil Tab 250 MG 715142-001 ZINOXIME 250MG TABS 7.241 50 10.86 10 72.41 108.64410 Cefuroxime Axetil Tab 500 MG 715261-001 ZINOXIME 500MG TABS 13.35 50 20.03 10 133.5 200.34411 Efavirenz Tab 600 MG 716055-001 ARROW EFAVIRENZ 600MG TABS 4.044 50 6.07 30 121.32 182.14412 Zidovudine Syrup 10 MG/ML 715970-001 PHARMA-Q ZIDOVUDINE 50MG/5ML S 0.295 50 0.44 200 59 884413 Alfuzosin HCl Tab SR 24HR 10 MG 716113-001 ALFUWIN XL 10MG 6.999 50 10.5 30 209.97 3154414 Bicalutamide Tab 50 MG 715721-001 CALOXA 50MG TABS 11.202 50 16.8 30 336.06 5044415 Anastrozole Tab 1 MG 715720-001 STRADEXA 1MG TABS 8.668 50 13 30 260.04 3904416 Letrozole Tab 2.5 MG 715718-001 LARADEX 2.5MG TABS 20.366 50 30.55 30 610.98 916.54418 Ibuprofen-Acetaminophen-Codeine Cap 200- 745561-021 MYPRODOL CAPS 1.747 50 2.62 10 17.47 26.24419 Ibuprofen Tab 400 MG 897984-006 NUROFEN PERIOD PAIN 400MG TABS 1.467 50 2.2 12 17.6 26.44420 Losartan Potassium & Hydrochlorothiazide 716216-001 ZARTAN CO 50MG/12.5MG TABS 1.995 50 2.99 30 59.85 89.74421 Losartan Potassium & Hydrochlorothiazide 715849-001 NETRASOL CO 100/25MG TABS 1.841 50 2.76 30 55.23 82.84422 Losartan Potassium & Hydrochlorothiazide 716217-001 ZARTAN CO 100MG/25MG TABS 1.886 50 2.83 30 56.58 84.94423 Didanosine Delayed Release Capsule 250 M 704783-001 VIDEX 250MG EC CAP 4.33 50 6.5 30 129.9 1954424 Didanosine Delayed Release Capsule 250 M 715073-001 DELADEX DR 250MG CAPSULES 4.413 50 6.62 30 132.39 198.64425 Didanosine Delayed Release Capsule 250 M 715670-001 SONKE-DIDANOSINE 250MG CAPS 4.209 50 6.31 30 126.27 189.34426 Didanosine Delayed Release Capsule 400 M 704785-001 VIDEX 400MG EC CAP 5.587 50 8.38 30 167.61 251.4




Administered by

4427 Didanosine Delayed Release Capsule 400 M 715074-001 DELADEX DR 400MG CAPSULES 5.693 50 8.54 30 170.79 256.24428 Didanosine Delayed Release Capsule 400 M 715671-001 SONKE-DIDANOSINE 400MG CAPS 2.914 50 4.37 30 87.42 131.14432 Bicalutamide Tab 50 MG 716181-001 BICADEX 50MG TABS 12.201 50 18.3 30 366.03 5494433 Anastrozole Tab 1 MG 716226-001 SANDOZ ANASTROZOLE 1MG TABS 8.339 50 12.51 30 250.17 375.34434 Tranexamic Acid Tab 500 MG 716276-001 TRANIC 500MG TABS 3.415 50 5.12 30 102.45 153.64435 Miconazole Nitrate Cream 2% 877719-005 COVAREX CREAM 0.942 50 1.41 40 37.68 56.44436 Miconazole Nitrate Cream 2% 877719-006 COVAREX CREAM 0.943 50 1.41 50 47.15 70.54438 Amoxicillin & K Clavulanate For IV Soln 705588-002 SANDOZ CO-AMOXYCLAV 0.6G/10ML 10.308 50 15.46 10 103.08 154.64439 Amoxicillin & K Clavulanate For IV Soln 716128-001 SANDOZ CO-AMOXYCLAV 1.2G/20ML 20.204 50 30.31 10 202.04 303.14440 Cefprozil Tab 250 MG 715059-001 AUROPROZIL 250MG TABS 7.701 50 11.55 10 77.01 115.54441 Cefprozil Tab 500 MG 715075-001 AUROPROZIL 500MG TABS 12.722 50 19.08 10 127.22 190.84442 Atazanavir Sulfate Cap 150 MG (Base Equi 716208-001 ATAZOR 150MG CAPS 3.363 50 5.04 60 201.78 302.44443 Atazanavir Sulfate Cap 200 MG (Base Equi 716209-001 ATAZOR 200MG CAPS 4.033 50 6.05 60 241.98 3634447 Methyldopa Tab 250 MG 785962-018 MYLAN METHYLDOPA 250MG TABS 0.509 50 0.76 100 50.9 764448 Losartan Potassium & Hydrochlorothiazide 716274-001 LOSACAR CO 50MG/12.5MG TABS 1.638 50 2.46 30 49.14 73.84449 Losartan Potassium & Hydrochlorothiazide 716515-001 SARTOC 100MG/25MG TABS 2.302 50 3.45 30 69.06 103.54451 Cefazolin Sodium For Inj 1 GM 716193-001 MYLAN CEFAZOLIN INJ 1G VIAL PO 7.913 50 11.87 10 79.13 118.74452 Valacyclovir HCl Tab 500 MG 716508-001 ANVIRO 500MG TABS 10.775 50 16.16 10 107.75 161.64453 Valacyclovir HCl Tab 500 MG 716508-002 ANVIRO 500MG TABS 10.775 50 16.16 30 323.25 484.84458 Insulin Pen Needle 32 G X 4 MM (5/32 ) 129935-001 NEEDLE INSUPEN 32GX4MM 1.067 50 1.6 100 106.7 1604460 Prednisolone Syrup 15 MG/5ML (USP Soluti 716381-001 ADCO PREDNISOLONE 15MG/5ML SYR 0.477 50 0.72 50 23.85 364461 Olanzapine Tab 2.5 MG 715994-001 OLEANZ 2.5MG TABS 6.844 50 10.27 28 191.63 287.564462 Olanzapine Tab 5 MG 715995-001 OLEANZ 5MG TABS 10.677 50 16.02 28 298.96 448.564463 Olanzapine Tab 10 MG 715996-001 OLEANZ 10MG TABS 13.689 50 20.53 28 383.29 574.844464 Quetiapine Fumarate Tab 25 MG 716050-001 DOPAQUEL 25MG TABS 1.532 50 2.3 100 153.2 2304465 Quetiapine Fumarate Tab 25 MG 850527-015 SEROQUEL 25MG TABS 6.444 50 9.67 100 644.4 9674466 Quetiapine Fumarate Tab 100 MG 716051-001 DOPAQUEL 100MG TABS 2.803 50 4.2 90 252.27 3784467 Quetiapine Fumarate Tab 100 MG 850535-018 SEROQUEL 100MG TABS 11.538 50 17.31 90 1038.42 1557.94468 Quetiapine Fumarate Tab 200 MG 716052-001 DOPAQUEL 200MG TABS 5.137 50 7.71 60 308.22 462.64469 Quetiapine Fumarate Tab 200 MG 850543-002 SEROQUEL 200MG TABS 18.432 50 27.65 60 1105.92 16594470 Quetiapine Fumarate Tab 300 MG 703344-003 SEROQUEL 300MG TABS 20.955 50 31.43 60 1257.3 1885.84471 Quetiapine Fumarate Tab 300 MG 716053-001 DOPAQUEL 300MG TABS 5.852 50 8.78 60 351.12 526.84472 Beclomethasone Dipropionate Inhaler Aero 864471-009 QVAR PRESS/BREATH 50MCG 133.667 50 200.5 1 133.67 200.54473 Beclomethasone Diprop Breath Activated I 864455-003 QVAR AUTOHALER 50MCG 200D 61.933 50 92.9 1 61.93 92.94474 Beclomethasone Diprop Breath Activated I 864463-006 QVAR AUTOHALER 100MCG 200 150.837 50 226.26 1 150.84 226.264475 Beclomethasone Dipropionate Inhaler Aero 864501-005 QVAR PRESS/BREATH 100MCG 150.585 50 225.88 1 150.59 225.884476 Beclomethasone Dipropionate Inhal Aero 8 819638-005 BECLATE 100MCG INHALER 20 93.126 50 139.69 1 93.13 139.694477 Timolol Maleate Ophth Soln 0.25% 770833-004 TIMOPTOL 0.25% 5ML DRP 63.637 50 95.46 1 63.64 95.464478 Levofloxacin Tab 250 MG 716514-001 MYLAN LEVOFLOXACIN 250MG TABS 12.557 50 18.84 5 62.79 94.24479 Levofloxacin Tab 500 MG 716513-001 MYLAN LEVOFLOXACIN 500MG TABS 21.036 50 31.55 5 105.18 157.754480 Levofloxacin Tab 500 MG 716513-002 MYLAN LEVOFLOXACIN 500MG TABS 21.037 50 31.56 10 210.37 315.64482 Levothyroxine Sodium Tab 50 MCG 713168-001 EUTHYROX 50MCG TABS 0.429 50 0.64 100 42.9 644483 Levothyroxine Sodium Tab 50 MCG 722944-004 ELTROXIN 50MCG TABS 0.655 50 0.98 100 65.5 984484 Levothyroxine Sodium Tab 100 MCG 713169-001 EUTHYROX 100MCG TABS 0.611 50 0.92 100 61.1 924485 Levothyroxine Sodium Tab 100 MCG 713169-002 EUTHYROX 100MCG TABS 0.727 50 1.09 30 21.81 32.74486 Quetiapine Fumarate Tab 25 MG 716651-001 SEREZ 25MG TABS 1.613 50 2.42 100 161.3 2424487 Quetiapine Fumarate Tab 100 MG 716652-001 SEREZ 100MG TABS 3.011 50 4.52 100 301.1 4524488 Quetiapine Fumarate Tab 200 MG 716653-001 SEREZ 200MG TABS 5.173 50 7.76 100 517.3 7764489 Quetiapine Fumarate Tab 300 MG 716654-001 SEREZ 300MG TABS 5.837 50 8.76 100 583.7 8764490 Topiramate Tab 25 MG 716000-001 PAMIRAM 25MG TABS 1.83 50 2.75 60 109.8 1654491 Topiramate Tab 50 MG 716001-001 PAMIRAM 50MG TABS 3.36 50 5.04 60 201.6 302.44492 Topiramate Tab 100 MG 716468-001 PAMIRAM 100MG TABS 5.876 50 8.81 60 352.56 528.64493 Topiramate Tab 200 MG 716482-001 PAMIRAM 200MG TABS 8.879 50 13.32 60 532.74 799.24494 Meloxicam Tab 15 MG 842052-004 MOBIC 15MG TABS 2.356 50 3.53 30 70.68 105.94495 Losartan Potassium & Hydrochlorothiazide 716612-001 CIPLAZAR CO 50MG/12.5MG TABS 2.088 50 3.13 30 62.64 93.94496 Losartan Potassium & Hydrochlorothiazide 716613-001 CIPLAZAR CO 100MG/25MG TABS 2.088 50 3.13 30 62.64 93.94497 Atorvastatin Calcium Tab 10 MG (Base Equ 716615-001 ATORVASTATIN 10MG TABS WINTHRO 0.793 50 1.19 30 23.79 35.74498 Atorvastatin Calcium Tab 20 MG (Base Equ 716616-001 ATORVASTATIN 20MG TABS WINTHRO 0.861 50 1.29 30 25.83 38.74499 Atorvastatin Calcium Tab 40 MG (Base Equ 716617-001 ATORVASTATIN 40MG TABS WINTHRO 2.385 50 3.58 30 71.55 107.44500 CHLORPHEN-PE-APAP-CAFF-VIT C CAP 2-5-300 796832-014 SINUSTAT FLU CAPS 0.802 50 1.2 20 16.04 244501 Ceftriaxone Sodium For Inj 500 MG 716475-001 ARROW CEFTRIAXONE 500MG VIAL P 12.584 50 18.88 10 125.84 188.84502 Ceftriaxone Sodium For Inj 1 GM 716474-001 ARROW CEFTRIAXONE 1000MG VIAL 7.763 50 11.64 10 77.63 116.44503 Tenofovir Disoproxil Fumarate Tab 300 MG 715993-001 ADCO TENOFOVIR 300MG TABS 2.543 50 3.81 30 76.29 114.34504 Lamivudine-Zidovudine Tab 150-300 MG 715992-001 ADCO LAMIVUDINE & ZIDOVUDINE 2.036 50 3.05 60 122.16 1834505 Emtricitabine-Tenofovir Disoproxil Fumar 715997-001 ADCO EMTEVIR 200MG/300MG TABS 5.068 50 7.6 60 304.08 4564506 Emtricitabine-Tenofovir Disoproxil Fumar 715997-002 ADCO EMTEVIR 200MG/300MG TABS 5.068 50 7.6 30 152.04 2284508 Levothyroxine Sodium Tab 50 MCG 713168-002 EUTHYROX 50MCG TABS 0.511 50 0.77 30 15.33 23.14509 Anastrozole Tab 1 MG 716573-001 MYLAN ANASTROZOLE 1MG TABS 8.812 50 13.22 30 264.36 396.64510 Hydroxyzine hcl im soln 50 mg/ml 705497-011 ATERAX 50MG/ML 2ML INJ 5.939 50 8.91 10 59.39 89.14511 Hydroxyzine hcl im soln 50 mg/ml 831255-005 NEURAX 50MG/ML 50 INJ 2.801 50 4.2 10 28.01 424512 Hydroxyzine hcl im soln 50 mg/ml 703584-001 PHARMA-Q HYDROXYZINE 100MG INJ 3.05 50 4.58 10 30.5 45.84513 Olanzapine tab 2.5 mg 715683-002 REDILANZ 2.5MG TABS 5.653 50 8.48 28 158.28 237.444514 Olanzapine tab 10 mg 715685-002 REDILANZ 10MG TABS 13.463 50 20.19 28 376.96 565.324516 Ibuprofen-paracetamol cap 200-250 mg 716543-001 PANADO PLUS CAPS 1.121 50 1.68 20 22.42 33.64517 Ibuprofen-paracetamol cap 200-250 mg 716543-002 PANADO PLUS CAPS 1.121 50 1.68 50 56.05 844518 Montelukast sodium chew tab 4 mg (base e 700251-001 SINGULAIR 4MG CHEW 8.89 50 13.34 28 248.92 373.524519 Montelukast sodium chew tab 4 mg (base e 716544-001 TOPRAZ 4MG CHEW 4.441 50 6.66 28 124.35 186.484520 Perindopril erbumine tab 4 mg 716680-001 ZYDUS PERINDOPRIL 4MG TABS 1.783 50 2.67 30 53.49 80.14521 Clopidogrel bisulfate tab 75 mg (base eq 716667-001 ARROW CLOPIDOGREL 75MG TABS 3.5 50 5.25 30 105 157.54522 Cefpodoxime proxetil for susp 40 mg/5ml 716658-001 DYNA CEFPODOXIME 40MG/5ML SUSP 0.924 50 1.39 50 46.2 69.54523 Cefpodoxime proxetil for susp 40 mg/5ml 716658-002 DYNA CEFPODOXIME 40MG/5ML SUSP 0.924 50 1.39 100 92.4 1394524 Cefpodoxime proxetil tab 100 mg 716657-001 DYNA CEFPODOXIME 100MG TABS 5.259 50 7.89 10 52.59 78.94525 Levofloxacin tab 250 mg 716673-001 LINTRIP 250MG TABS 5.234 50 7.85 5 26.17 39.254526 Levofloxacin tab 500 mg 716674-001 LINTRIP 500MG TABS 8.29 50 12.44 5 41.45 62.24527 Levofloxacin tab 500 mg 716674-002 LINTRIP 500MG TABS 8.293 50 12.44 10 82.93 124.44534 Cabergoline tab 0.5 mg 842109-005 DOSTINEX 0.5MG TAB 58.456 50 87.68 2 116.91 175.364535 Cabergoline tab 0.5 mg 842109-013 DOSTINEX 0.5MG TAB 58.458 50 87.69 4 233.83 350.764536 Cabergoline tab 0.5 mg 716420-001 ARIGOLINE 0.5MG TABS 32.022 50 48.03 2 64.04 96.064537 Cabergoline tab 0.5 mg 716420-002 ARIGOLINE 0.5MG TABS 30.556 50 45.83 4 122.22 183.324538 Fluticasone furoate 712866-001 AVAMYS NASAL SPRAY 121.378 50 182.07 1 121.38 182.074539 Dabigatran etexilate 75mg 714548-001 PRADAXA 75MG 10.106 50 15.16 30 303.18 454.84540 Dabigatran etexilate 75mg 714548-002 PRADAXA 75MG 10.106 50 15.16 60 606.36 909.64541 Dabigatran etexilate 110mg 714547-001 PRADAXA 110MG 10.106 50 15.16 30 303.18 454.84542 Dabigatran etexilate 110mg 714547-002 PRADAXA 110MG 10.106 50 15.16 60 606.36 909.64544 Azithromycin 2g 710314-001 ZITHROMAX ONE SUSP 113.422 50 170.13 1 113.42 170.134545 Paroxetine 25mg 704646-001 AROPAX CR 25MG 6.083 50 9.12 28 170.32 255.364546 Amoxicillin & k clavulanate tab 1000 703449-001 AUGMENTIN SR 1000MG TABS 28 4.988 50 7.48 28 139.66 209.444547 Metformin hci 250/1.25mg 701109-001 GLUCOVANCE 250/1.25MG TABS 0.906 50 1.36 30 27.18 40.84548 Metformin hci 250/1.25mg 701112-001 GLUCOVANCE 500/5MG TABS 1.814 50 2.72 30 54.42 81.64549 Desloratadine 150ml 702044-001 DESELEX SYR 150ML 1.017 50 1.53 150 152.55 229.54550 Prednisolone cinchocaine 875376-002 SCHERIPROCT UNG 6.655 50 9.98 15 99.83 149.74551 Insulin glargine 100ml 709860-001 LANTUS SOLOSTAR DISP 95.295 50 142.94 5 476.47 714.74552 Human erythropoietin 2000 704772-001 recormon 2000 pre-filled 110.298 50 165.45 6 661.79 992.74553 Betamethasone sod.phosh 5ml 708267-009 BETNESOL 5ML DRP 101.267 50 151.9 1 101.27 151.94554 Dexamethasone 1mg 789194-007 TOBRADEX SUS 5ML 99.741 50 149.61 1 99.74 149.614555 Polymyxin dexamethasone 740454-005 MAXITROL SUSPENSION 89.111 50 133.67 1 89.11 133.674556 Polymixin neomycin 820717-002 OTOSPORIN DROPS 63.452 50 95.18 1 63.45 95.184557 Prednisolone acet 756458-005 PRED-FORT DRP 107.185 50 160.78 1 107.18 160.784559 Ciprofloxacin hci ung 701064-001 CILOXAN OINT 101.156 50 151.73 1 101.16 151.73




Administered by

4560 Brimonidine tartrate 709410-001 ALPHAGAN PURITE 5ML 137.393 50 206.09 1 137.39 206.094561 Citalopram Hydrobromide Tab 20 MG (Base 716521-001 CITALOPRAM ACTOR 20MG TABS 1.681 50 2.52 30 50.43 75.64562 Fluoxetine HCl Cap 20 MG 716520-001 FLUOXETINE ACTOR 20MG CAPS 0.607 50 0.91 30 18.21 27.34563 Olanzapine Tab 5 MG 715684-002 REDILANZ 5MG TABS 10.296 50 15.44 28 288.29 432.324564 Quetiapine Fumarate Tab 25 MG 716668-001 MYLAN QUETIAPINE 25MG TABS 1.635 50 2.45 100 163.5 2454565 Quetiapine Fumarate Tab 100 MG 716670-001 MYLAN QUETIAPINE 100MG TABS 3.142 50 4.71 90 282.78 423.94566 Quetiapine Fumarate Tab 200 MG 716671-001 MYLAN QUETIAPINE 200MG TABS 5.148 50 7.72 60 308.88 463.24567 Quetiapine Fumarate Tab 300 MG 716672-001 MYLAN QUETIAPINE 300MG TABS 5.588 50 8.38 60 335.28 502.84568 Granisetron HCl Tab 1 MG 716740-001 GRANICIP 1MG TABS 26.182 50 39.27 10 261.82 392.74569 Aspirin Dispersible Tab 100 MG 847283-004 DISPRIN CARDIOCARE 100MG 0.715 50 1.07 60 42.9 64.24570 Piroxicam Tab Disp 20 MG 716517-001 PIROXICAM ACTOR DT 20MG DISP T 0.776 50 1.16 30 23.28 34.84571 Montelukast Sodium Oral Granules Packet 706567-001 SINGULAIR SPRINKLES 4MG 8.89 50 13.34 28 248.92 373.524572 Montelukast Sodium Chew Tab 5 MG (Base E 716546-001 TOPRAZ 5MG CHEW 4.441 50 6.66 28 124.35 186.484573 Montelukast Sodium Chew Tab 5 MG (Base E 849464-005 SINGULAIR 5MG CHEW 8.89 50 13.34 28 248.92 373.524574 Montelukast Sodium Tab 10 MG (Base Equiv 716547-001 TOPRAZ 10MG TABS 4.441 50 6.66 28 124.35 186.484576 Ciprofloxacin HCl Tab 250 MG (Base Equiv 716518-001 CIPROFLOXACIN ACTOR 250MG TABS 0.982 50 1.47 10 9.82 14.74577 Ciprofloxacin HCl Tab 500 MG (Base Equiv 716519-001 CIPROFLOXACIN ACTOR 500MG TABS 1.763 50 2.64 10 17.63 26.44578 Norfloxacin Tab 400 MG 716516-001 NORFLOXACIN ACTOR 400MG TABS 3.822 50 5.73 6 22.93 34.384579 Efavirenz-Emtricitabine-Tenofovir DF Tab 715578-001 ATRIPLA TABS (SA CODE) 13.216 50 19.82 30 396.48 594.64580 Efavirenz-Emtricitabine-Tenofovir DF Tab 716630-001 TRIBUSS TABS 11.48 50 17.22 30 344.4 516.64581 Efavirenz-Emtricitabine-Tenofovir DF Tab 716768-001 ODIMUNE TABS 11.48 50 17.22 30 344.4 516.64582 Glimepiride Tab 1 MG 716714-001 ACCORD GLIMEPIRIDE 1MG TABS 0.987 50 1.48 30 29.61 44.44583 Glimepiride Tab 2 MG 716715-001 ACCORD GLIMEPIRIDE 2MG TABS 1.953 50 2.93 30 58.59 87.94584 Glimepiride Tab 4 MG 716716-001 ACCORD GLIMEPIRIDE 4MG TABS 3.085 50 4.63 30 92.55 138.94585 Glucose Blood Test Strip 136699-001 GLUCOSE TEST STRIPS H FREESTYL 1.956 50 2.93 100 195.6 2934586 Glucose Blood Test Strip 136701-001 GLUCOSE TEST STRIPS FREESTYLE 1.921 50 2.88 50 96.05 1444587 Glucose Blood Test Strip 136701-002 GLUCOSE TEST STRIPS FREESTYLE 1.907 50 2.86 100 190.7 2864588 Glucose Blood Test Strip 136707-001 GLUCOSE TEST STRIPS FREESTYLE 2.089 50 3.13 50 104.45 156.54589 Insulin Pen Needle 30 G X 8 MM (1/3 or 5 132632-001 NEEDLE HYPODERM NOVOTWIST 30X8 1.649 50 2.47 100 164.9 2474590 Insulin Pen Needle 32 G X 5 MM (1/5) 132634-001 NEEDLE HYPODERM NOVOTWIST 32G 1.588 50 2.38 100 158.8 2384593 Hydrocortisone Sodium Succinate For Inj 709866-001 SOLU CORTEF 100MG VIAL 2ML POW 25.764 50 38.65 5 128.82 193.254594 Hydrocortisone Sodium Succinate For Inj 715627-001 CORTAJECT VIAL 100MG INJ 14.698 50 22.05 5 73.49 110.254595 Hydrocortisone Sodium Succinate For Inj 765074-001 SOLU-CORTEF 100MG(2ML) IN 17.763 50 26.64 1 17.76 26.644596 Hydrocortisone Sodium Succinate For Inj 765074-028 SOLU-CORTEF 100MG(2ML) IN 17.764 50 26.65 5 88.82 133.254597 Finasteride Tab 5 MG 716739-001 ACCORD FINASTERIDE 5MG TABS 4.375 50 6.56 30 131.25 196.84598 Finasteride Tab 5 MG 716741-001 INTAS FINASTERIDE 5MG TABS 4.219 50 6.33 30 126.57 189.94599 Quetiapine Fumarate Tab 25 MG 716635-001 QUETOSER 25MG TABS 1.722 50 2.58 100 172.2 2584600 Quetiapine Fumarate Tab 25 MG 716646-001 TRUVALIN 25MG TABS 2.188 50 3.28 100 218.8 3284601 Quetiapine Fumarate Tab 100 MG 716647-001 TRUVALIN 100MG TABS 4.188 50 6.28 90 376.92 565.24602 Quetiapine Fumarate Tab 200 MG 716637-001 QUETOSER 200MG TABS 5.078 50 7.62 60 304.68 457.24603 Quetiapine Fumarate Tab 200 MG 716648-001 TRUVALIN 200MG TABS 7.561 50 11.34 60 453.66 680.44604 Quetiapine Fumarate Tab 300 MG 716649-001 TRUVALIN 300MG TABS 8.097 50 12.15 60 485.82 7294605 Ondansetron HCl Tab 4 MG 716801-001 CIPLA-ONDANSETRON 4MG TABS 11.212 50 16.82 10 112.12 168.24606 Ondansetron HCl Tab 8 MG 716802-001 CIPLA-ONDANSETRON 8MG TABS 22.424 50 33.64 10 224.24 336.44607 Bisoprolol Fumarate Tab 5 MG 715274-001 ZIAPRO 5MG TABS 1.161 50 1.74 30 34.83 52.24608 Bisoprolol Fumarate Tab 10 MG 715276-001 ZIAPRO 10MG TABS 1.959 50 2.94 30 58.77 88.24609 Carvedilol Tab 6.25 MG 716742-001 CARVEDILOL UNICORN 6.25MG TABS 1.533 50 2.3 30 45.99 694610 Carvedilol Tab 12.5 MG 716743-001 CARVEDILOL UNICORN 12.5MG TABS 1.651 50 2.48 30 49.53 74.44611 Carvedilol Tab 25 MG 716744-001 CARVEDILOL UNICORN 25MG TABS 2.144 50 3.22 30 64.32 96.64612 Lisinopril Tab 5 MG 716792-001 LYSIN 5MG TABS 0.962 50 1.44 30 28.86 43.24613 Lisinopril Tab 20 MG 716794-001 LYSIN 20MG TABS 1.695 50 2.54 30 50.85 76.24614 Beclomethasone Dipropionate Inhal Aero 4 827061-005 BECEZE 50MCG INHALER 43.237 50 64.86 1 43.24 64.864615 Beclomethasone Dipropionate Inhal Aero 8 827088-019 BECEZE 100MCG INHALER 82.785 50 124.18 1 82.79 124.184616 Lansoprazole Cap Delayed Release 15 MG 716841-001 ROZNAL 15MG CAPS OTC 2.568 50 3.85 7 17.98 26.954617 Memantine hci 705592-001 Ebixa Tabs 8.511 50 12.77 56 476.62 715.124618 Paroxetine hcl tab 20 mg 716745-001 PAROXETINE UNICORN 20MG TABS 3.462 50 5.19 30 103.86 155.74619 Clozapine tab 25 mg 717081-001 ASPEN CLOZAPINE 25MG TABS 1.556 50 2.33 100 155.6 2334620 Clozapine tab 100 mg 717082-001 ASPEN CLOZAPINE 100MG TABS 4.804 50 7.21 100 480.4 7214621 Quetiapine fumarate tab 100 mg 716636-001 QUETOSER 100MG TABS 3.189 50 4.78 90 287.01 430.24622 Quetiapine fumarate tab 300 mg 716638-001 QUETOSER 300MG TABS 5.814 50 8.72 60 348.84 523.24624 RISEDRONATE SODIUM TAB 35 MG 701117-001 ACTONEL 35MG TABS 72.233 50 108.35 4 288.93 433.44625 RISEDRONATE SODIUM TAB 35 MG 716659-001 ACTAMAX 35MG TABS 31.295 50 46.94 4 125.18 187.764626 Lisinopril & hydrochlorothiazide tab 10- 716943-001 LISINOPRIL CO UNICORN 10MG/12. 1.118 50 1.68 30 33.54 50.44627 Lisinopril & hydrochlorothiazide tab 20- 716945-001 LISINOPRIL CO UNICORN 20MG/12. 2.086 50 3.13 30 62.58 93.94628 Anagrelide hcl cap 0.5 mg 710080-001 THROMBOREDUCTIN CAPS 34.179 50 51.27 100 3417.9 51274629 Anagrelide HCl Cap 0.5 MG 875112-005 AGRYLIN 0.5MG CAPS 29.525 50 44.29 100 2952.5 44294630 Valacyclovir hcl tab 500 mg 716508-003 ANVIRO 500MG TABS 10.774 50 16.16 42 452.51 678.724631 Nevirapine tab 200 mg 717003-001 NEVIVIR 200MG TABS 2.585 50 3.88 60 155.1 232.84632 Gliclazide tab sr 24hr 30 mg 716953-001 DYNA GLICLAZIDE SR 30MG TABS 0.607 50 0.91 60 36.42 54.64637 Levothyroxine sodium tab 50 mcg 716574-001 SYNTHROID 50MCG TABS 0.478 50 0.72 90 43.02 64.84638 Levothyroxine sodium tab 100 mcg 716576-001 SYNTHROID 100MCG TABS 0.677 50 1.02 90 60.93 91.84639 Bicalutamide tab 50 mg 716660-001 TEVA BICALUTAMIDE 50MG TABS 12.08 50 18.12 30 362.4 543.64640 Letrozole Tab 2.5 MG 716696-001 FEMZOLE 2.5MG TABS 9.419 50 14.13 30 282.57 423.94641 Tamoxifen citrate tab 10 mg (base equiva 735167-001 KESSAR 10MG TABS 1.94 50 2.91 30 58.2 87.34642 Tamoxifen citrate tab 10 mg (base equiva 735167-028 KESSAR 10MG TABS 1.245 50 1.87 250 311.25 467.54643 Tamoxifen citrate tab 10 mg (base equiva 782157-009 NEOPHEDAN 10MG TABS 2.076 50 3.11 30 62.28 93.34644 Tamoxifen citrate tab 20 mg (base equiva 710403-001 TAMOXIHEXAL 20MG TABS 2.408 50 3.61 30 72.24 108.34645 Tamoxifen citrate tab 20 mg (base equiva 712610-001 TAMOPLEX 20MG TABS 2.629 50 3.94 30 78.87 118.24646 Tamoxifen citrate tab 20 mg (base equiva 712610-002 TAMOPLEX 20MG TABS 2.629 50 3.94 250 657.25 9854647 Tamoxifen citrate tab 20 mg (base equiva 782165-001 NEOPHEDAN 20MG TABS 2.826 50 4.24 30 84.78 127.24648 Tamoxifen citrate tab 20 mg (base equiva 735175-004 KESSAR 20MG TABS 2.508 50 3.76 30 75.24 112.84649 Tamoxifen citrate tab 20 mg (base equiva 747432-007 NOLVADEX D 20MG TABS 11.654 50 17.48 30 349.62 524.44650 Citalopram Hydrobromide Tab 20 MG (Base 717094-001 BIO CITALOPRAM 20MG TABS 1.552 50 2.33 30 46.56 69.94651 Risperidone Tab 0.5 MG 716500-001 AUROPERDAL 0.5MG TABS 4.371 50 6.56 30 131.13 196.84652 Risperidone Tab 1 MG 716501-001 AUROPERDAL 1MG TABS 7.54 50 11.31 30 226.2 339.34653 Risperidone Tab 2 MG 716502-001 AUROPERDAL 2MG TABS 12.811 50 19.22 30 384.33 576.64654 Risperidone Tab 3 MG 716503-001 AUROPERDAL 3MG TABS 18.741 50 28.11 30 562.23 843.34655 Risperidone Tab 4 MG 716504-001 AUROPERDAL 4MG TABS 24.858 50 37.29 30 745.74 1118.74656 Quetiapine Fumarate Tab 25 MG 716050-002 DOPAQUEL 25MG TABS 1.532 50 2.3 30 45.96 694657 Meloxicam Tab 15 MG 717092-001 FLAMARYX 15MG TABS 1.639 50 2.46 30 49.17 73.84658 Meloxicam Tab 7.5 MG 717091-001 FLAMARYX 7.5MG TABS 0.738 50 1.11 30 22.14 33.34659 Perindopril Erbumine Tab 4 MG 716505-001 AURO PERINDOPRIL 4MG TABS 1.961 50 2.94 30 58.83 88.24660 Perindopril Erbumine-Indapamide Tab 4-1. 717095-001 ZYDUS PERINDOPRIL CO 4MG/1.25MG 2.04 50 3.06 30 61.2 91.84661 Perindopril Erbumine Tab 8 MG 716506-001 AURO PERINDOPRIL 8MG TABS 2.977 50 4.47 30 89.31 134.14662 Losartan Potassium Tab 50 MG 716494-001 AURO LOSARTAN 50MG TABS 1.83 50 2.75 30 54.9 82.54663 Losartan Potassium Tab 50 MG 716643-001 CIPLAZAR 50MG TABS 2.146 50 3.22 30 64.38 96.64664 Losartan Potassium Tab 50 MG 717024-001 HYTENZA 50MG TABS 1.729 50 2.59 30 51.87 77.74665 Losartan Potassium Tab 100 MG 716495-001 AURO LOSARTAN 100MG TABS 2.076 50 3.11 30 62.28 93.34666 Losartan Potassium Tab 100 MG 716644-001 CIPLAZAR 100MG TABS 2.146 50 3.22 30 64.38 96.64667 Losartan Potassium Tab 100 MG 717042-001 HYTENZA 100MG TABS 1.962 50 2.94 30 58.86 88.24668 Losartan Potassium & Hydrochlorothiazide 716476-001 HYTENZA CO 50MG/12.5MG TABS 1.845 50 2.77 30 55.35 83.14669 Losartan Potassium & Hydrochlorothiazide 717084-001 HYTENZA CO 100MG/25MG TABS 2.118 50 3.18 30 63.54 95.44670 Mometasone Furoate Nasal Susp 50 MCG/ACT 716718-001 RINELON 50MCG/DOSE 60 DOSE AQ 51.444 50 77.17 1 51.44 77.174671 Sulfamethoxazole-Trimethoprim Tab 800-16 721778-004 DUROBAC DS 960MG TABS 0.668 50 1 30 20.04 304674 Glucose Blood Test Strip 141904-001 GLUCOSE METER STRIPS SELF MONI 1.851 50 2.78 50 92.55 1394675 Lancets 141911-001 LANCETS BLOOD GLUCOSE 0.487 50 0.73 200 97.4 1464676 Potassium Chloride Inj 2 mEq/ML 716842-001 STRONG POTASSIUM CHLORIDE FLEX 2.581 50 3.87 20 51.62 77.44677 Amoxycillin & clavulanic acid 710041-001 AUGMENTIN ES SUSP 50ML 1.45 50 2.18 50 72.5 109




Administered by

4678 Amoxycillin & clavulanic acid 710041-002 AUGMENTIN ES SUSP 100ML 1.45 50 2.18 100 145 2184680 Ibuprofen-paracetamol-codeine cap 200-25 704587-002 IBUPAIN FORTE CAPS 0.949 50 1.42 10 9.49 14.24681 Ibuprofen-paracetamol cap 200-250 mg 704586-002 IBUPAIN CAPS 0.79 50 1.19 10 7.9 11.94682 Zoledronic acid inj conc for iv infusion 717192-001 ZOMEDRON 4MG POWDER FOR RECONS 1089.156 50 1633.73 1 1089.16 1633.734683 Loratadine tab 10 mg 717051-001 APEX-LORATADINE 10MG TABS 1.147 50 1.72 10 11.47 17.24684 Loratadine tab 10 mg 717051-002 APEX-LORATADINE 10MG TABS 1.147 50 1.72 30 34.41 51.64685 Montelukast sodium chew tab 4 mg (base e 717256-001 SINTRINE 4MG CHEW 4.24 50 6.36 28 118.72 178.084686 Montelukast sodium chew tab 5 mg (base e 717255-001 SINTRINE 5MG CHEW 4.24 50 6.36 28 118.72 178.084687 Montelukast sodium tab 10 mg (base equiv 717257-001 SINTRINE 10MG TABS 4.24 50 6.36 28 118.72 178.084688 Nebivolol tab 5 mg 716483-001 LOVISPES 5MG TABS 3.366 50 5.05 30 100.98 151.54689 Nebivolol tab 5 mg 700558-003 NEBILET 5MG 4.911 50 7.37 30 147.33 221.14690 Ipratropium bromide nebu soln 0.25 mg/ml 717204-001 TROPIVENT 0.25MG/ML UDV 1ML 1.704 50 2.56 60 102.24 153.64691 Carbocysteine syrup 250 mg/5ml 717241-001 FLUSIN MUCOUS COUGH 250MG/5ML 0.151 50 0.23 200 30.2 464692 Ranitidine hcl tab 150 mg 717160-001 APEX-RANITIDINE 150MG TABS 0.745 50 1.12 60 44.7 67.24693 Ranitidine hcl tab 300 mg 717159-001 APEX-RANITIDINE 300MG TABS 1.281 50 1.92 30 38.43 57.64694 Pantoprazole sodium for iv soln 40 mg (b 717247-001 ASPEN PANTOPRAZOLE 40MG IV POW 23.153 50 34.73 5 115.76 173.654698 Indapamide tab cr 1.5 mg 716962-001 DYNA INDAPAMIDE SR 1.5MG TABS 0.82 50 1.23 30 24.6 36.94699 Indapamide tab cr 1.5 mg 830836-004 NATRILIX SR 1.5MG TAB 2.351 50 3.53 30 70.53 105.94700 Sildenafil citrate tab 50 mg 716914-001 AVIGRA 50MG TABS 27.645 50 41.47 2 55.29 82.944701 Sildenafil citrate tab 50 mg 716914-002 AVIGRA 50MG TABS 27.645 50 41.47 4 110.58 165.884702 Sildenafil citrate tab 50 mg 843660-007 VIAGRA 50MG TAB 62.596 50 93.89 4 250.38 375.564703 Sildenafil citrate tab 50 mg 843660-008 VIAGRA 50MG TAB 62.597 50 93.9 2 125.19 187.84704 Sildenafil citrate tab 100 mg 716915-001 AVIGRA 100MG TABS 37.934 50 56.9 2 75.87 113.84705 Sildenafil citrate tab 100 mg 716915-002 AVIGRA 100MG TABS 37.933 50 56.9 4 151.73 227.64706 Sildenafil citrate tab 100 mg 843679-018 VIAGRA 100MG TAB 81.715 50 122.57 4 326.86 490.284707 Sildenafil citrate tab 100 mg 843679-019 VIAGRA 100MG TAB 81.715 50 122.57 2 163.43 245.144708 Azithromycin iv for soln 500 mg 702721-001 ZITHROMAX IV 500MG 170.096 50 255.14 1 170.1 255.144709 Azithromycin iv for soln 500 mg 716738-001 CIPLA AZITHROMYCIN POWD FOR SO 108.867 50 163.3 1 108.87 163.34710 Azithromycin tab 500 mg 717181-001 ZEEMIDE 500MG TABS 23.533 50 35.3 3 70.6 105.94711 Ofloxacin tab 200 mg 717063-001 APEX-OFLOXACIN 200MG TABS 0.878 50 1.32 10 8.78 13.24712 Levofloxacin tab 250 mg 717066-001 AUSTELL LEVOFLOXACIN 250MG TAB 11.244 50 16.87 5 56.22 84.354713 Levofloxacin tab 500 mg 717067-001 AUSTELL LEVOFLOXACIN 500MG TAB 18.686 50 28.03 5 93.43 140.154714 Glimepiride tab 1 mg 717076-001 AUSTELL GLIMEPIRIDE 1MG TABS 1.166 50 1.75 30 34.98 52.54715 Glimepiride tab 2 mg 717077-001 AUSTELL GLIMEPIRIDE 2MG TABS 2.285 50 3.43 30 68.55 102.94716 Glimepiride tab 4 mg 717078-001 AUSTELL GLIMEPIRIDE 4MG TABS 3.551 50 5.33 30 106.53 159.94720 Levothyroxine sodium tab 25 mcg 713172-001 EUTHYROX 25MCG TABS 0.32 50 0.48 100 32 484721 Levothyroxine sodium tab 25 mcg 716571-001 SYNTHROID 25MCG TABS 0.367 50 0.55 90 33.03 49.54722 Levothyroxine sodium tab 25 mcg 713172-002 EUTHYROX 25MCG TABS 0.382 50 0.57 30 11.46 17.14724 Bicalutamide tab 150 mg 869872-001 CASODEX 150MG TAB 123.378 50 185.07 30 3701.34 5552.14725 Bicalutamide tab 150 mg 716661-001 TEVA BICALUTAMIDE 150MG TABS 63.065 50 94.6 30 1891.95 28384726 Montelukast Sodium Chew Tab 4 MG (Base E 717383-001 LUMONT 4MG CHEW 3.922 50 5.88 28 109.82 164.644727 Montelukast Sodium Chew Tab 5 MG (Base E 717384-001 LUMONT 5MG CHEW 3.922 50 5.88 28 109.82 164.644728 Montelukast Sodium Tab 10 MG (Base Equiv 717385-001 LUMONT 10MG TABS 3.922 50 5.88 28 109.82 164.644729 Pravastatin Sodium Tab 10 MG 717073-001 AUSTELL PRAVASTATIN 10MG TABS 3.2 50 4.8 30 96 1444730 Pravastatin Sodium Tab 20 MG 717074-001 AUSTELL PRAVASTATIN 20MG TABS 4.039 50 6.06 30 121.17 181.84731 Pravastatin Sodium Tab 40 MG 717075-001 AUSTELL PRAVASTATIN 40MG TABS 4.951 50 7.43 30 148.53 222.94732 Norfloxacin Tab 400 MG 717382-001 UTIFLOXA 400MG TABS 2.49 50 3.74 6 14.94 22.444733 Levofloxacin Tab 250 MG 717359-001 TAVALOXX 250MG TABS 8.024 50 12.04 30 240.72 361.24735 Telmisartan 40mg amlodipine 5mg 717366-001 TWYNSTA 40/5MG TABS 5.256 50 7.88 28 147.17 220.644736 Telmisartan 40mg amlodipine 10mg 717367-001 TWYNSTA 10/10MG TABS 5.984 50 8.98 28 167.55 251.444737 Telmisartan 80mg amlodipine 5mg 717368-001 TWYNSTA 80/5MG TABS 5.256 50 7.88 28 147.17 220.644738 Telmisartan 80mg amlodipine 10mg 717369-001 TWYNSTA 80/10MG 5.984 50 8.98 28 167.55 251.444739 Amoxicillin & k clavulanate for susp 400 704069-001 AUGMENTIN BD S SUSP 0.82 50 1.23 70ml 57.4 86.14740 Amoxicillin & k clavulanate tab 1000 703449-002 AUGMENTIN SR 1000MG TABS 40 4.989 50 7.48 40 199.56 299.24741 Oxcarbazepine Tab 300 MG 717226-001 MYLAN OXCARBAZEPINE 300MG TABS 2.94 50 4.41 50 147 220.54742 Oxcarbazepine Tab 300 MG 892484-008 TRILEPTAL FCT 300MG 3.754 50 5.63 50 187.7 281.54743 Oxcarbazepine Tab 600 MG 717227-001 MYLAN OXCARBAZEPINE 600MG TABS 5.536 50 8.3 50 276.8 4154744 Oxcarbazepine Tab 600 MG 892491-020 TRILEPTAL FCT 600MG 7.068 50 10.6 50 353.4 5304745 Domperidone Tab 10 MG 717054-001 VOMI-GUARD 10MG TABS 2.899 50 4.35 100 289.9 4354746 Tramadol HCl Cap 50 MG 717391-001 TRAMASPEN 50MG CAPS 1.098 50 1.65 100 109.8 1654747 Tramadol HCl Cap 50 MG 717391-002 TRAMASPEN 50MG CAPS 1.098 50 1.65 20 21.96 334749 Ibuprofen Tab 200 MG 708536-002 IBUSOR 200MG TABS 0.08 50 0.12 1000 80 1204750 Montelukast Sodium Chew Tab 4 MG (Base E 717468-001 MONTE-AIR 4MG CHEW 6.273 50 9.41 28 175.64 263.484751 Montelukast Sodium Chew Tab 5 MG (Base E 717469-001 MONTE-AIR 5MG CHEW 6.273 50 9.41 28 175.64 263.484752 Montelukast Sodium Tab 10 MG (Base Equiv 717470-001 MONTE-AIR 10MG TABS 6.273 50 9.41 28 175.64 263.484753 Perindopril Erbumine Tab 4 MG 717293-001 BINDACE 4MG TABS 1.952 50 2.93 30 58.56 87.94754 Perindopril Erbumine Tab 8 MG 717294-001 BINDACE 8MG TABS 2.843 50 4.26 30 85.29 127.84755 Valsartan Tab 80 MG 717034-001 DIOLO 80MG TABS 0.969 50 1.45 28 27.13 40.64756 Valsartan Tab 160 MG 717035-001 DIOLO 160MG TABS 0.969 50 1.45 28 27.13 40.64757 Losartan Potassium Tab 50 MG 717068-001 AUSTELL LOSARTAN 50MG TABS 1.843 50 2.76 30 55.29 82.84758 Losartan Potassium Tab 100 MG 717069-001 AUSTELL LOSARTAN 100MG TABS 2.093 50 3.14 30 62.79 94.24759 Losartan Potassium & Hydrochlorothiazide 717070-001 AUSTELL LOSARTAN CO 50MG/12.5M 1.997 50 3 30 59.91 904760 Albuterol Sulfate Soln Nebu 0.1% 717205-001 SALBU-NEB 2.5MG/2.5ML UDV 2.399 50 3.6 30 71.97 1084761 Albuterol Sulfate Soln Nebu 0.1% 791229-009 VENTOLIN 2.5MG NEB 4.002 50 6 30 120.06 1804762 Albuterol Sulfate Soln Nebu 0.2% 791237-001 VENTOLIN 5MG NEB 4.359 50 6.54 30 130.77 196.24763 Albuterol Sulfate Soln Nebu 0.2% 717206-001 SALBU-NEB 5MG/2.5ML UDV 2.614 50 3.92 30 78.42 117.64764 Acetylcysteine Effer Tab 200 MG 716267-001 AMUCO 200MG EFF TABS 1.695 50 2.54 20 33.9 50.84765 ACETYLCYSTEINE EFFER TAB 200 MG 824291-018 ACC 200MG EFF TABS 1.74 50 2.61 25 43.5 65.254766 Pantoprazole Sodium EC Tab 20 MG (Base E 717420-001 MYLAN PANTOPRAZOLE 20MG TBEC 2.196 50 3.29 30 65.88 98.74767 Pantoprazole Sodium EC Tab 20 MG (Base E 717376-001 ASPEN PANTOPRAZOLE 20MG TBEC 3.119 50 4.68 30 93.57 140.44768 Pantoprazole Sodium EC Tab 40 MG (Base E 717421-001 MYLAN PANTOPRAZOLE 40MG TBEC 3.419 50 5.13 30 102.57 153.94769 Pantoprazole Sodium EC Tab 40 MG (Base E 717377-001 ASPEN PANTOPRAZOLE 40MG TBEC 4.633 50 6.95 30 138.99 208.54770 Pantoprazole Sodium For IV Soln 40 MG (B 717406-001 TOPRAFLUX 40MG VIAL IV POWD FO 36.954 50 55.43 5 184.77 277.154771 Nevirapine Tab 200 MG 717492-001 NEVIR 200MG TABS 2.413 50 3.62 60 144.78 217.24775 Methylprednisolone Sodium Succinate For 717229-001 MYLAN METHYLPREDNISOLONE 500MG 115.57 50 173.36 1 115.57 173.364776 Zolpidem tartrate tab 10 mg 716497-001 MEDPLOZ 10MG TABS 2.076 50 3.11 30 62.28 93.34777 Paroxetine hcl tab 20 mg 717561-001 TEXINE 20MG TABS 3.228 50 4.84 30 96.84 145.24778 Montelukast Sodium Chew Tab 4 MG (Base E 717623-001 MINAIR 4MG CHEW 4.444 50 6.67 28 124.43 186.764779 Montelukast Sodium Chew Tab 5 MG (Base E 717624-001 MINAIR 5MG CHEW 4.444 50 6.67 28 124.43 186.764780 Montelukast Sodium Tab 10 MG (Base Equiv 717625-001 MINAIR 10MG TABS 4.444 50 6.67 28 124.43 186.764781 Amiodarone HCl Inj 150 MG/3ML (50 MG/ML) 716162-009 CORDARONE X 150MG 3ML INJ 59.204 50 88.81 6 355.22 532.864782 Ipratropium-Albuterol Nebu Soln 0.5-2.5( 717437-001 CO-IPRASAL 2.5ML UDV NEBU 4.128 50 6.19 60 247.68 371.44783 Pantoprazole Sodium For IV Soln 40 MG (B 717375-001 PEPLOC 40MG IV POWDER FOR INJ 22.092 50 33.14 5 110.46 165.74784 Saccharomyces boulardii Cap 250 MG 717798-001 FLORA-BALANCE S.B 250MG CAPS 2.373 50 3.56 10 23.73 35.64785 Cefuroxime Sodium For Inj 750 MG 717566-001 GULF CEFUROXIME 750MG VIAL POW 14.247 50 21.37 10 142.47 213.74786 Ceftriaxone Sodium For Inj 1 GM 717562-001 GULF CEFTRIAXONE 1G POWD FOR I 10.277 50 15.42 10 102.77 154.24787 Acyclovir Tab 200 MG 717157-001 APEX-ACYCLOVIR 200MG TABS 1.804 50 2.71 30 54.12 81.34788 Acyclovir Tab 200 MG 717370-001 ACICLOVIR SANDOZ 200MG TABS 1.464 50 2.2 25 36.6 554789 Acyclovir Tab 400 MG 717158-001 APEX-ACYCLOVIR 400MG TABS 2.605 50 3.91 70 182.35 273.74790 Acyclovir Tab 400 MG 717371-001 ACICLOVIR SANDOZ 400MG TABS 1.996 50 2.99 70 139.72 209.34791 Clarithromycin For Susp 125 MG/5ML 716627-001 CLAREN 125MG/5ML SUSR 0.447 50 0.67 90 40.23 60.34792 Clarithromycin For Susp 250 MG/5ML 716628-001 CLAREN 250MG/5ML SUSR 0.895 50 1.34 90 80.55 120.64793 Emtricitabine-Tenofovir Disoproxil Fumar 717275-001 TEMECIT 200/300MG TABS 8.734 50 13.1 30 262.02 3934799 Anastrozole Tab 1 MG 717608-001 EVERDEX 1MG TABS 15.161 50 22.74 30 454.83 682.24800 Phenylephr.hci 2.5mg 783625-006 I-GLO eye drops 15ml 10.311 50 15.47 1 10.31 15.474801 Cetirizine HCl Syrup 1 MG/ML (5 MG/5ML) 717812-001 ZELARY 1MG/ML SYRP 0.429 50 0.64 150 64.35 96




Administered by

4802 Montelukast Sodium Chew Tab 4 MG (Base E 717831-001 MONTELUKAST 4MG CHEW SPECPHARM 5.388 50 8.08 28 150.86 226.244803 Montelukast Sodium Chew Tab 5 MG (Base E 717832-001 MONTELUKAST 5MG CHEW SPECPHARM 5.388 50 8.08 28 150.86 226.244804 Montelukast Sodium Tab 10 MG (Base Equiv 717833-001 MONTELUKAST 10MG TABS SPECPHAR 5.388 50 8.08 28 150.86 226.244805 Perindopril Erbumine Tab 4 MG 717783-001 PERINDOPRIL UNICORN 4MG TABS 1.811 50 2.72 30 54.33 81.64806 Perindopril Erbumine-Indapamide Tab 4-1. 717782-001 PERINDOPRIL CO UNICORN 4MG/1.2 2.04 50 3.06 30 61.2 91.84807 Perindopril Erbumine Tab 8 MG 717784-001 PERINDOPRIL UNICORN 8MG TABS 2.847 50 4.27 30 85.41 128.14808 Losartan Potassium Tab 50 MG 717295-001 RASOL 50MG TABS 1.843 50 2.76 30 55.29 82.84809 Losartan Potassium Tab 100 MG 717296-001 RASOL 100MG TABS 2.093 50 3.14 30 62.79 94.24810 Irbesartan Tab 150 MG 717793-001 DYNARB 150MG TABS 1.886 50 2.83 30 56.58 84.94811 Irbesartan Tab 300 MG 717794-001 DYNARB 300MG TABS 1.995 50 2.99 30 59.85 89.74812 Albuterol Sulfate Soln Nebu 0.1% 717655-001 ASTHAVENT 2.5MG/2.5ML RESPULES 2.179 50 3.27 30 65.37 98.14813 Clarithromycin Tab SR 24HR 500 MG 717722-001 CLARIHEXAL XL 500MG TABS 10.348 50 15.52 10 103.48 155.24814 Clarithromycin Tab SR 24HR 500 MG 717722-002 CLARIHEXAL XL 500MG TABS 10.347 50 15.52 5 51.74 77.64815 Azithromycin Cap 250 MG 717496-001 VARIMAX 250MG CAPS 10.745 50 16.12 6 64.47 96.724816 Azithromycin Cap 250 MG 710609-001 AZIMAX 250MG CAPS 12.059 50 18.09 6 72.35 108.544817 Efavirenz Tab 600 MG 717778-001 EFAVIRENZ WINTHROP 600MG TABS 4.35 50 6.53 30 130.5 195.94818 Tenofovir Disoproxil Fumarate Tab 300 MG 717779-001 TENOFOVIR WINTHROP 300MG TABS 5.463 50 8.19 30 163.89 245.74828 Methylprednisolone Sodium Succinate For 765155-001 SOLU-MEDROL 1000MG(16ML)I 251.03 50 376.55 1 251.03 376.554829 Methylprednisolone Sodium Succinate For 717230-001 MYLAN METHYLPREDNISOLONE 1000M 231.133 50 346.7 1 231.13 346.74830 Etomidate IV Soln 2 MG/ML 717646-001 B.BRAUN ETOMIDATE 2MG/ML 10ML 76.249 50 114.37 10 762.49 1143.74831 Etomidate IV Soln 2 MG/ML 732036-003 HYPNOMIDATE 20MG/10ML INJ 93.049 50 139.57 5 465.25 697.854832 FENTANYL TD PATCH 72HR 25 MCG/HR 716797-001 ADCO TENYL 25MCG PATCH 53.659 50 80.49 5 268.3 402.454833 Fentanyl TD Patch 72HR 25 MCG/HR 814008-003 DUROGESIC 25 PATCH 71.547 50 107.32 5 357.73 536.64834 FENTANYL TD PATCH 72HR 50 MCG/HR 716798-001 ADCO TENYL 50MCG PATCH 88.827 50 133.24 5 444.14 666.24835 Fentanyl TD Patch 72HR 50 MCG/HR 814016-006 DUROGESIC 50 PATCH 118.437 50 177.66 5 592.18 888.34836 FENTANYL TD PATCH 72HR 75 MCG/HR 716799-001 ADCO TENYL 75MCG PATCH 122.357 50 183.54 5 611.79 917.74837 Fentanyl TD Patch 72HR 75 MCG/HR 819425-001 DUROGESIC 75 PATCH 163.144 50 244.72 5 815.72 1223.64838 FENTANYL TD PATCH 72HR 100 MCG/HR 716800-001 ADCO TENYL 100MCG PATCH 156.634 50 234.95 5 783.17 1174.754839 Fentanyl TD Patch 72HR 100 MCG/HR 814024-009 DUROGESIC 100 PATCH 208.846 50 313.27 5 1044.23 1566.354850 Citalopram Hydrobromide Tab 20 MG (Base 717372-001 GLENMARK CITALOPRAM 20MG TABS 1.604 50 2.41 30 48.12 72.34855 Metoclopramide HCl Tab 10 MG 717891-001 BIO METOCLOPRAMIDE 10MG TABS 0.063 50 0.09 500 31.5 454856 Ondansetron HCl Inj 2 MG/ML 717050-001 ALEPET 8MG/4ML AMPOULE INJ 17.569 50 26.35 5 87.85 131.754857 Ondansetron HCl Inj 2 MG/ML 705538-001 MYLAN ONDANSETRON 8MG/4ML 13.15 50 19.73 5 65.75 98.654858 Ondansetron HCl Inj 2 MG/ML 710909-001 DANSET AMPOULE 8MG/4ML INJ 23.111 50 34.67 5 115.56 173.354859 Ondansetron HCl Inj 2 MG/ML 705943-001 ZOFER 8MG/4ML INJ 29.898 50 44.85 5 149.49 224.254860 Ondansetron HCl Inj 2 MG/ML 711905-001 SABAX ONDANSETRON 8MG/2ML 33.821 50 50.73 10 338.21 507.34861 Ondansetron HCl Inj 2 MG/ML 708106-001 DANTRON 8MG/4ML INJ 92.234 50 138.35 5 461.17 691.754862 Ondansetron HCl Inj 2 MG/ML 710989-001 DANTRON VIAL 8MG/ 4ML INJ 37.867 50 56.8 5 189.34 2844863 Ondansetron HCl Inj 2 MG/ML 705079-001 NAUSETRON 8MG VIAL 49.219 50 73.83 5 246.1 369.154864 Ondansetron HCl Inj 2 MG/ML 710420-001 HEXAL-ONDANSETRON 8MG AMPOULE 42.401 50 63.6 5 212.01 3184865 Ondansetron HCl Inj 2 MG/ML 711533-001 VOMIZ AMP 8MG/4ML INJ 42.27 50 63.41 5 211.35 317.054866 Ondansetron HCl Inj 2 MG/ML 711907-001 ZYDUS-ONDANSETRON 8MG/2ML 46.163 50 69.24 5 230.81 346.24867 Ondansetron HCl Inj 2 MG/ML 705460-001 ASPEN ONDANSETRON 8MG/4ML 72.348 50 108.52 5 361.74 542.64868 Ondansetron HCl Inj 2 MG/ML 785822-003 ZOFRAN 8MG/4ML INJ 67.206 50 100.81 5 336.03 504.054869 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 717049-001 ALEPET 4MG/2ML AMPOULE INJ 8.382 50 12.57 5 41.91 62.854870 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 705537-001 MYLAN ONDANSETRON 4MG/2ML 6.576 50 9.86 5 32.88 49.34871 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 710908-001 DANSET AMPOULE 4MG/2ML INJ 11.556 50 17.33 5 57.78 86.654872 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 705941-001 ZOFER 4MG/2ML INJ 14.95 50 22.43 5 74.75 112.154873 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 716548-001 VOMIZ AMP 4MG/2ML INJ 11.556 50 17.33 5 57.78 86.654874 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 711904-001 SABAX ONDANSETRON 4MG/2ML 16.91 50 25.37 10 169.1 253.74875 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 708105-001 DANTRON 4MG/2ML INJ 20.03 50 30.05 5 100.15 150.254876 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 710988-001 DANTRON VIAL 4MG/ 2ML INJ 19.111 50 28.67 5 95.56 143.354877 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 705078-001 NAUSETRON 4MG VIAL 24.607 50 36.91 5 123.04 184.554878 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 710419-001 HEXAL-ONDANSETRON 4MG AMPOULE 23.04 50 34.56 5 115.2 172.84879 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 711906-001 ZYDUS-ONDANSETRON 4MG/2ML 23.084 50 34.63 5 115.42 173.154880 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 705458-001 ASPEN ONDANSETRON 4MG/2ML 36.173 50 54.26 5 180.87 271.34881 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 785806-008 ZOFRAN 4MG/2ML INJ 33.601 50 50.4 5 168.01 2524882 ACETAMINOPHEN TAB 500 MG 717725-001 ACTAMOL 500MG TABS 0.092 50 0.14 1000 92 1404883 Diphenhydramine-Acetaminophen Tab 25-500 716347-001 MYPAID NIGHT PAIN TABS 1.674 50 2.51 20 33.48 50.24884 Diphenhydramine-Acetaminophen Tab 25-500 820849-006 TYLENOL PM TAB 1.668 50 2.5 20 33.36 504885 Lidocaine HCl Local Inj 1% 709414-001 LIGNOCAINE 1% AMP 20ML INJ 4.47 50 6.71 20 89.4 134.24886 Lidocaine HCl Local Inj 1% 898666-004 LIGNOCAINE HCL FSK 1% 20ML 5.962 50 8.94 10 59.62 89.44887 Cetirizine HCl Tab 10 MG 704659-002 ZYNCET 10MG TABS 1.133 50 1.7 10 11.33 174888 Desloratadine Tab 5 MG 714362-002 DESAWAY 5MG TABS 3.014 50 4.52 10 30.14 45.24889 Montelukast Sodium Chew Tab 4 MG (Base E 717587-001 DILAIR 4MG CHEW TABS 5.681 50 8.52 30 170.43 255.64890 Montelukast Sodium Chew Tab 4 MG (Base E 717888-001 BELAIR 4MG CHEW TABS 4.889 50 7.33 28 136.89 205.244891 Montelukast Sodium Chew Tab 5 MG (Base E 717588-001 DILAIR 5MG CHEW TABS 5.681 50 8.52 30 170.43 255.64892 Montelukast Sodium Chew Tab 5 MG (Base E 717889-001 BELAIR 5MG CHEW TABS 4.889 50 7.33 28 136.89 205.244893 Montelukast Sodium Tab 10 MG (Base Equiv 717589-001 DILAIR 10MG TABS 5.681 50 8.52 30 170.43 255.64894 Perindopril Erbumine-Indapamide Tab 4-1. 717795-001 ARIPREL PLUS 4MG/1.25MG TABS 2.697 50 4.05 30 80.91 121.54895 Nifedipine Tab SR 24HR 30 MG 718083-001 BIO NIFEDIPINE XL 30MG TABS 1.831 50 2.75 30 54.93 82.54896 Nifedipine Tab SR 24HR 60 MG 718085-001 BIO NIFEDIPINE XL 60MG TABS 2.628 50 3.94 30 78.84 118.24897 ATORVASTATIN CALCIUM TAB 10 MG (BASE EQU 718073-001 ADCO ATORVASTATIN 10MG TABS 0.661 50 0.99 30 19.83 29.74898 ATORVASTATIN CALCIUM TAB 20 MG (BASE EQU 718074-001 ADCO ATORVASTATIN 20MG TABS 0.695 50 1.04 30 20.85 31.24899 ATORVASTATIN CALCIUM TAB 40 MG (BASE EQU 718075-001 ADCO ATORVASTATIN 40MG TABS 1.201 50 1.8 30 36.03 544900 Carbocysteine Syrup 250 MG/5ML 717745-001 FLUTEX MUCOUS COUGH 250MG/5ML 0.101 50 0.15 200 20.2 304901 Clotrimazole Vaginal Tab 100 MG 717811-001 GLENMARK CLOTRIMAZOLE 100MG VA 7.866 50 11.8 6 47.2 70.84902 Clotrimazole Vaginal Tab 100 MG 712213-007 CANESTEN 100MG VAG TAB 17.631 50 26.45 6 105.79 158.74903 Amoxicillin & K Clavulanate For IV Soln 717564-001 GULF AMOXY CO 500/100MG VIAL P 10.432 50 15.65 10 104.32 156.54904 Amoxicillin & K Clavulanate For IV Soln 717565-001 GULF AMOXY CO 1000/200MG VIAL 20.863 50 31.29 10 208.63 312.94905 Cefazolin Sodium For Inj 500 MG 718070-001 ZEFKOL 0.5G VIAL POWDER FOR IN 6.515 50 9.77 10 65.15 97.74906 Cefazolin Sodium For Inj 1 GM 718071-001 ZEFKOL 1G VIAL POWDER FOR INJE 7.247 50 10.87 10 72.47 108.74907 Levofloxacin in D5W IV Soln 250 MG/50ML 715654-001 LEVOFLOXACIN-WINTHROP IV 50ML 40.467 50 60.7 1 40.47 60.74908 Levofloxacin in D5W IV Soln 250 MG/50ML 717653-001 LEVOTAV IV 250MG/50ML IV INF 68 50 102 1 68 1024909 Levofloxacin in D5W IV Soln 250 MG/50ML 885975-007 TAVANIC 250MG IV 50ML 41.03 50 61.55 1 41.03 61.554910 Levofloxacin in D5W IV Soln 250 MG/50ML 717697-001 SPEC LEVOFLOXACIN 250MG/50ML 40.289 50 60.43 1 40.29 60.434911 Levofloxacin in D5W IV Soln 500 MG/100ML 715655-001 LEVOFLOXACIN-WINTHROP IV 100ML 73.333 50 110 1 73.33 1104912 Levofloxacin in D5W IV Soln 500 MG/100ML 717652-001 LEVOTAV 500MG/100ML IV INF 77.267 50 115.9 1 77.27 115.94914 Levofloxacin in D5W IV Soln 500 MG/100ML 717698-001 SPEC LEVOFLOXACIN 500MG/100ML 80.57 50 120.86 1 80.57 120.864915 Levofloxacin in D5W IV Soln 500MG/100ML 717973-001 ASPEN LEVOFLOXACIN 500MG/100ML 86.822 50 130.23 1 86.82 130.234916 Efavirenz-Emtricitabine-Tenofovir DF Tab 717837-001 ATROIZA TABS 11.48 50 17.22 30 344.4 516.64917 Efavirenz Tab 600 MG 717978-001 EFRIN 600MG TABS 4.353 50 6.53 30 130.59 195.94918 Lamivudine Tab 150 MG 717806-001 HETLAM 150MG TABS 1.339 50 2.01 60 80.34 120.64919 Lamivudine Tab 150 MG 717979-001 LAZENA 150MG TABS 1.348 50 2.02 60 80.88 121.24920 Lamivudine Tab 300 MG 717980-001 LAZENA 300MG TABS 2.877 50 4.32 30 86.31 129.64921 Zidovudine Tab 100 MG 717982-001 ZIDOMAT 100MG TABS 1.256 50 1.88 100 125.6 1884922 Zidovudine Tab 300 MG 717984-001 ZIDOMAT 300MG TABS 2.135 50 3.2 100 213.5 3204923 NEVIRAPINE TAB 200 MG 717834-001 ACRIPTAZ 200MG TABS 2.644 50 3.97 60 158.64 238.24924 Lamivudine-Zidovudine Tab 150-300 MG 718081-001 DIVUWIN 150MG/300MG TABS 4.298 50 6.45 60 257.88 3874925 Emtricitabine-Tenofovir Disoproxil Fumar 717981-001 TENEMINE TABS 8.748 50 13.12 30 262.44 393.64926 Metformin HCl Tab 500 MG 709338-002 INDO METFORMIN FC 500MG TABS 0.262 50 0.39 500 131 1954927 Metformin HCl Tab 850 MG 709339-002 INDO METFORMIN FC 850MG TABS 0.483 50 0.72 300 144.9 2164934 Betamethasone Tab 0.5 MG 713139-006 CELESTONE 0.5MG TABS 2.529 50 3.79 30 75.87 113.74935 Betamethasone Sodium Phosphate Inj 4 MG/ 800023-005 LENASONE 4MG/ML INJ 17.334 50 26 10 173.34 2604936 Betamethasone Sodium Phosphate Inj 4 MG/ 899124-006 PHARMA-Q BETAMETHASONE 5.785 50 8.68 10 57.85 86.8




Administered by

4937 Betamethasone Sodium Phosphate Inj 4 MG/ 839361-009 BETANOID 4MG INJ 16.508 50 24.76 10 165.08 247.64938 Methylprednisolone Sodium Succinate For 717086-001 MYLAN METHYLPREDNISOLONE 40MG 15.059 50 22.59 1 15.06 22.594939 Methylprednisolone Sodium Succinate For 765082-004 SOLU-MEDROL 40MG(1ML) INJ 15.452 50 23.18 1 15.45 23.184940 Methotrexate Sodium For Inj 50 MG 711328-001 METHACHOR VIAL 2ML 25MG/ML 17.074 50 25.61 1 17.07 25.614941 Methotrexate Sodium For Inj 50 MG 782548-009 ABITREXATE 50MG/2ML 22.089 50 33.13 1 22.09 33.134942 Methotrexate Sodium For Inj 50 MG 840815-018 P&U METHOTREXATE 50MG/2ML 26.184 50 39.28 5 130.92 196.44943 Methotrexate Sodium For Inj 500 MG 825557-004 EMTHEXATE RTU 500-20 20ML 139.644 50 209.47 1 139.64 209.474944 Methotrexate Sodium For Inj 500 MG 840807-007 P&U METHOTREXATE 500MG 261.8 50 392.7 1 261.8 392.74945 Methotrexate Sodium For Inj 500 MG 782556-019 ABITREXATE 500MG/20ML 83.659 50 125.49 1 83.66 125.494950 Letrozole Tab 2.5 MG 717971-001 TROZOLT 2.5MG TABS 17.721 50 26.58 30 531.63 797.44951 Carboplatin IV For Inj 150 MG 711367-001 ACCORD-CARBOPLATIN 150MG/15ML 168.844 50 253.27 1 168.84 253.274952 Carboplatin IV For Inj 150 MG 840866-003 P&U CARBOPLATIN 150MG 227.015 50 340.52 1 227.01 340.524953 Carboplatin IV For Inj 150 MG 825069-010 CARBOSIN 150MG/15ML INJ 169.459 50 254.19 1 169.46 254.194954 Carboplatin IV For Inj 450 MG 704097-001 CARBOSIN 450MG/10ML SOL FOR INJ 508.43 50 762.65 1 508.43 762.654955 Carboplatin IV For Inj 450 MG 711368-001 ACCORD-CARBOPLATIN 450MG 506.43 50 759.65 1 506.43 759.654956 CARBOPLATIN IV FOR INJ 450 MG 840874-006 P&U CARBOPLATIN 450MG 594.73 50 892.1 1 594.73 892.14957 Cisplatin Inj 10 MG/10ML (1 MG/ML) 708896-001 PLATOSIN 10MG/10ML VIAL 24.911 50 37.37 1 24.91 37.374958 Cisplatin Inj 10 MG/10ML (1 MG/ML) 782505-007 ABIPLATIN PWD 10MG INJ 35.119 50 52.68 1 35.12 52.684959 Cisplatin Inj 10 MG/10ML (1 MG/ML) 840858-019 P&U CISPLATIN 10MG/10ML 16.852 50 25.28 5 84.26 126.44960 Cisplatin Inj 50 MG/50ML (1 MG/ML) 709157-001 PLATOSIN 50MG/ 50ML VIAL 63.704 50 95.56 1 63.7 95.564961 Cisplatin Inj 50 MG/50ML (1 MG/ML) 840831-005 P&U CISPLATIN 50MG/50ML 88.296 50 132.44 1 88.3 132.444962 Cisplatin Inj 50 MG/50ML (1 MG/ML) 782513-018 ABIPLATIN PWD 50MG INJ 175.689 50 263.53 1 175.69 263.534963 Cisplatin IV For Inj 10 MG 710400-001 CISPLATIN-HEXAL 10MG/20ML 26.059 50 39.09 1 26.06 39.094964 Cisplatin IV For Inj 10 MG 825573-010 PLATOSIN RTU 10-20 20ML 25.264 50 37.9 1 25.26 37.94965 Cisplatin IV For Inj 50 MG 710401-001 CISPLATIN-HEXAL 50MG/100ML 66.519 50 99.78 1 66.52 99.784966 Cisplatin IV For Inj 50 MG 825581-002 PLATOSIN RTU 50-100 100ML 68.8 50 103.2 1 68.8 103.24967 Oxaliplatin IV Soln 50 MG/10ML 716224-001 EXIPLAT 50MG/10ML VIAL POWD FOR SOL 663.348 50 995.02 1 663.35 995.024968 Oxaliplatin IV Soln 50 MG/10ML 710319-001 OXALIWIN RTU VIAL 50MG/10ML IN 717.393 50 1076.09 1 717.39 1076.094969 Oxaliplatin IV Soln 50 MG/10ML 707494-001 ELOXATIN 50MG/10ML INF 951.97 50 1427.96 1 951.97 1427.964970 Oxaliplatin IV Soln 50 MG/10ML 717567-001 OXALIPLATIN 50MG/10ML CONCENT 627.778 50 941.67 1 627.78 941.674971 Oxaliplatin IV Soln 100 MG/20ML 716225-001 EXIPLAT 100MG /20MLVIAL POWD FOR SO 1326.689 50 1990.03 1 1326.69 1990.034972 Oxaliplatin IV Soln 100 MG/20ML 710317-001 OXALIWIN RTU VIAL 100MG/20ML I 1434.793 50 2152.19 1 1434.79 2152.194973 Oxaliplatin IV Soln 100 MG/20ML 707495-001 ELOXATIN 100MG/20ML INF 1903.933 50 2855.9 1 1903.93 2855.94974 Oxaliplatin IV Soln 100 MG/20ML 717569-001 OXALIPLATIN 100MG/20ML CONCENT 1255.556 50 1883.33 1 1255.56 1883.334975 Doxorubicin HCl For Inj 10 MG 713679-001 DOXORUBICIN EBEWE 10MG SOL FOR 48.148 50 72.22 1 48.15 72.224976 Doxorubicin HCl For Inj 10 MG 710404-001 DOXORUBICIN-HEXAL 10MG/5ML INJ 53.8 50 80.7 1 53.8 80.74977 Doxorubicin HCl For Inj 10 MG 823619-002 DOXORUBICIN PCH 10 44.77 50 67.16 1 44.77 67.164978 Doxorubicin HCl For Inj 10 MG 894042-003 ADRIBLASTINA CSV 10MG 70.637 50 105.96 1 70.64 105.964979 Doxorubicin HCl For Inj 10 MG 823635-008 DOXORUBICIN RTU 10-5 5ML 57.607 50 86.41 1 57.61 86.414980 Doxorubicin HCl For Inj 10 MG 701254-009 ADRIBLASTINA 10MG INJ 70.637 50 105.96 1 70.64 105.964981 Doxorubicin HCl For Inj 50 MG 713680-001 DOXORUBICIN EBEWE 50MG SOL FOR 240.77 50 361.16 1 240.77 361.164982 Doxorubicin HCl For Inj 50 MG 701262-001 ADRIBLASTINA 50MG INJ 353.2 50 529.8 1 353.2 529.84983 Doxorubicin HCl For Inj 50 MG 894044-001 ADRIBLASTINA CSV 50MG 353.2 50 529.8 1 353.2 529.84984 Doxorubicin HCl For Inj 50 MG 710405-001 DOXORUBICIN-HEXAL 50MG/25ML IN 269.007 50 403.51 1 269.01 403.514985 Doxorubicin HCl For Inj 50 MG 823627-005 DOXORUBICIN PCH 50 330.733 50 496.1 1 330.73 496.14986 Doxorubicin HCl For Inj 50 MG 823643-019 DOXORUBICIN RTU 50-25 25ML 69.748 50 104.62 1 69.75 104.624987 Doxorubicin HCl For Inj 50 MG 895326-019 DOXORUBICIN HCL FAULDING POWDE 309.882 50 464.82 1 309.88 464.824988 Epirubicin HCl For Inj 10 MG 710406-001 EPIRUBICIN-HEXAL 10MG/5ML 78.193 50 117.29 1 78.19 117.294989 Epirubicin HCl For Inj 10 MG 715147-001 EPIRUBICIN-LEMERY 10MG POWD 94.348 50 141.52 1 94.35 141.524990 Epirubicin HCl For Inj 10 MG 716240-001 EPICORD 10MG/5ML VIAL 83.748 50 125.62 1 83.75 125.624991 Epirubicin HCl For Inj 10 MG 716228-001 ACCORD EPIRUBICIN 10MG/5ML VIA 74.156 50 111.23 1 74.16 111.234992 Epirubicin HCl For Inj 10 MG 714218-001 ASPEN EPIRUBICIN 10ML POWD 99.844 50 149.77 1 99.84 149.774993 Epirubicin HCl For Inj 10 MG 714241-001 ASPEN EPIRUBICIN 5ML VIAL 77.467 50 116.2 1 77.47 116.24994 Epirubicin HCl For Inj 10 MG 891674-007 FARMORUBICIN CSV 10MG/5ML 147.244 50 220.87 1 147.24 220.874995 Epirubicin HCl For Inj 10 MG 725587-008 FARMORUBICIN 10MG INJ 143.533 50 215.3 1 143.53 215.34996 Epirubicin HCl For Inj 50 MG/25ML 710408-001 EPIRUBICIN-HEXAL 50M/25ML 391.007 50 586.51 1 391.01 586.514997 Epirubicin HCl For Inj 50 MG/25ML 716241-001 EPICORD 50MG/25ML VIAL 418.778 50 628.17 1 418.78 628.174998 Epirubicin HCl For Inj 50 MG/25ML 716239-001 ACCORD EPIRUBICIN 50MG/25ML VI 370.785 50 556.18 1 370.79 556.184999 EPIRUBICIN HCL FOR INJ 50 MG/25ML 714220-001 ASPEN EPIRUBICIN VIAL 25ML 387.319 50 580.98 1 387.32 580.985000 Epirubicin HCl For Inj 50 MG/25ML 891682-003 FARMORUBICIN CSV 50MG/25ML 736.267 50 1104.4 1 736.27 1104.45001 Epirubicin HCl For Inj 50 MG 715148-001 EPIRUBICIN-LEMERY 50MG POWD 380.333 50 570.5 1 380.33 570.55002 EPIRUBICIN HCL FOR INJ 50 MG 714219-001 ASPEN EPIRUBICIN 30ML POWD 421.785 50 632.68 1 421.79 632.685003 Epirubicin HCl For Inj 50 MG 725595-019 FARMORUBICIN 50MG INJ 717.696 50 1076.54 1 717.7 1076.545004 Cytarabine For Inj 100 MG 840750-005 P&U CYTARABINE CSV 5ML 23.733 50 35.6 5 118.66 1785005 Cytarabine For Inj 100 MG 717207-005 CYTOSAR 100MG INJ 89.807 50 134.71 1 89.81 134.715006 Cytarabine For Inj 100 MG 861839-005 CYTARABINE-FAULD 5ML INJ 50.764 50 76.15 5 253.82 380.755008 Cytarabine For Inj 500 MG 708730-001 LARACIT VIAL 10ML 500MG INJ 92.081 50 138.12 1 92.08 138.125009 Cytarabine For Inj 500 MG 717215-008 CYTOSAR 500MG 10ML INJ 292.496 50 438.74 1 292.5 438.745011 Fluorouracil Inj 500 MG/10ML (50 MG/ML) 711136-001 FLURACEDYL VIAL 500MG/10ML INJ 19.348 50 29.02 1 19.35 29.025012 Fluorouracil Inj 500 MG/10ML (50 MG/ML) 711366-001 FLORACOR VIAL 10ML 50MG/ML 18.385 50 27.58 1 18.39 27.585013 Fluorouracil Inj 500 MG/10ML (50 MG/ML) 703564-001 FLUOROURACIL-FAULDING 500MG/10ML 20.763 50 31.14 5 103.82 155.75014 Fluorouracil Inj 500 MG/10ML (50 MG/ML) 782491-007 ABIC FLUOROURACIL 500MG/10ML 17.452 50 26.18 1 17.45 26.185015 Fluorouracil Inj 500 MG/10ML (50 MG/ML) 726877-018 FLUROBLASTIN 500MG/10ML 24.404 50 36.61 10 244.04 366.15016 Gemcitabine HCl For Inj 200 MG 715322-001 CYTIGEM 200MG INJ 176.415 50 264.62 1 176.41 264.625017 Gemcitabine HCl For Inj 200 MG 715251-001 GEMTAZ 200MG/5ML INJECTION 208.645 50 312.97 1 208.65 312.975018 Gemcitabine HCl For Inj 200 MG 716719-001 SANDOZ GEMCITABINE 200MG POWDE 168.415 50 252.62 1 168.41 252.625019 Gemcitabine HCl For Inj 200 MG 713874-001 ACCORD GEMCITABINE 200MG POWD 189.304 50 283.96 1 189.3 283.965020 Gemcitabine HCl For Inj 200 MG 815799-004 GEMZAR 200MG INJ 316.082 50 474.12 1 316.08 474.125021 Gemcitabine HCl For Inj 1 GM 715323-001 CYTIGEM 1G INJ 882.067 50 1323.1 1 882.07 1323.15022 Gemcitabine HCl For Inj 1 GM 715252-001 GEMTAZ 1GM INJECTION 1043.082 50 1564.62 1 1043.08 1564.625023 Gemcitabine HCl For Inj 1 GM 716717-001 SANDOZ GEMCITABINE 1G POWDER F 842.104 50 1263.16 1 842.1 1263.165024 Gemcitabine HCl For Inj 1 GM 713873-001 ACCORD GEMCITABINE 1GM POWD FO 946.541 50 1419.81 1 946.54 1419.815025 Gemcitabine HCl For Inj 1 GM 815802-005 GEMZAR 1000MG INJ 1580.489 50 2370.73 1 1580.49 2370.735026 Docetaxel For Inj Conc 20 MG/0.5ML (40 M 715749-001 CIPLA DOCETAXEL 20MG/0.5ML VIA 529.563 50 794.34 1 529.56 794.345027 Docetaxel For Inj Conc 20 MG/0.5ML (40 M 710737-001 DOCETERE 20MG/0.5ML WITH SOLVE 569.252 50 853.88 1 569.25 853.885028 Docetaxel For Inj Conc 20 MG/0.5ML (40 M 814768-008 TAXOTERE 20MG/1.5ML INJ 1549.659 50 2324.49 1 1549.66 2324.495029 Docetaxel For Inj Conc 80 MG/2ML (40 MG/ 715807-001 CIPLA DOCETAXEL 80MG/2ML VIAL 2118.259 50 3177.39 1 2118.26 3177.395030 Docetaxel For Inj Conc 80 MG/2ML (40 MG/ 710740-001 DOCETERE 80MG/2ML WITH SOLVENT 2277.096 50 3415.64 1 2277.1 3415.645031 Docetaxel For Inj Conc 80 MG/2ML (40 MG/ 814741-002 TAXOTERE 80MG INJ 5698.541 50 8547.81 1 5698.54 8547.815032 Etoposide Inj 20 MG/ML 710402-001 ETOPOSIDE-HEXAL 20MG/ML 5ML 98.111 50 147.17 1 98.11 147.175033 Etoposide Inj 20 MG/ML 850926-010 EPOSIN 100MG/5ML 108.852 50 163.28 1 108.85 163.285034 Etoposide Inj 20 MG/ML 841021-015 P&U ETOPOSIDE 100MG INJ 146.404 50 219.61 10 1464.04 2196.15035 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 717008-001 PAXITAS 5ML VIAL 30MG/5ML IV 108.985 50 163.48 1 108.99 163.485036 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 711892-001 SANDOZ PACLITAXEL 30MG/5ML 103.993 50 155.99 1 103.99 155.995037 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 716178-001 CIPLA PACLITAXEL 30MG/5ML VIAL 96.63 50 144.95 1 96.63 144.955038 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 716908-001 MYLAN PACLITAXEL 30MG/5ML VIAL 108.882 50 163.32 1 108.88 163.325039 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 716631-001 ASPEN PACLITAXEL 30MG/5ML VIAL 261.474 50 392.21 1 261.47 392.215040 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 704208-001 ANZATAX 30MG/5ML 111.785 50 167.68 1 111.79 167.685041 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 714756-001 PCH-PACLITAXEL 30MG/5ML SOL FO 112.356 50 168.53 1 112.36 168.535042 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 700427-001 TEVA-PACLITAXEL 30MG/5ML 370.822 50 556.23 1 370.82 556.235043 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 715013-001 EBETAXEL 30MG/5ML VIAL 485.785 50 728.68 1 485.79 728.685044 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 703386-001 BIOLYSE PACLITAXEL FOR INJ 5ML 229.007 50 343.51 1 229.01 343.515045 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 799777-005 TAXOL 30MG/5ML INJ 104.237 50 156.36 1 104.24 156.365046 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/M 717009-001 PAXITAS 16.7ML VIAL 100MG/16.7 364.015 50 546.02 1 364.02 546.025047 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/M 716179-001 CIPLA PACLITAXEL 100MG/16.7ML 322.741 50 484.11 1 322.74 484.115048 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/M 716909-001 MYLAN PACLITAXEL 100MG/16.7ML 362.948 50 544.42 1 362.95 544.425049 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/M 716632-001 ASPEN PACLITAXEL 100MG/16.67ML 871.756 50 1307.63 1 871.76 1307.63




Administered by

5050 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/M 712753-001 ANZATAX 100MG/16.7ML INJECTION 373.37 50 560.06 1 373.37 560.065051 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/M 714757-001 PCH-PACLITAXEL 100MG/16.7ML SO 375.282 50 562.92 1 375.28 562.925052 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/M 700431-001 TEVA-PACLITAXEL 100MG/16.7ML 1238.519 50 1857.78 1 1238.52 1857.785053 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/M 715014-001 EBETAXEL 100MG/16.7ML 20ML VIA 1612.793 50 2419.19 1 1612.79 2419.195054 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/M 841730-008 TAXOL 100MG/ VIAL INJ 347.489 50 521.23 1 347.49 521.235055 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 717011-001 PAXITAS 300MG VIAL 300MG/50ML 1089.874 50 1634.81 1 1089.87 1634.815056 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 711901-001 SANDOZ PACLITAXEL 300MG/50ML 1039.955 50 1559.93 1 1039.95 1559.935057 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 716180-001 CIPLA PACLITAXEL 300MG/50ML VI 966.281 50 1449.42 1 966.28 1449.425058 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 716910-001 MYLAN PACLITAXEL 300MG/50ML VI 1088.859 50 1633.29 1 1088.86 1633.295059 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 716633-001 ASPEN PACLITAXEL 300MG/50ML VI 2614.8 50 3922.2 1 2614.8 3922.25060 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 712754-001 ANZATAX 300MG/50ML INJECTION 1117.867 50 1676.8 1 1117.87 1676.85061 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 714758-001 PCH-PACLITAXEL 300/50ML SOL FO 1123.585 50 1685.38 1 1123.58 1685.385062 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 700432-001 TEVA-PACLITAXEL 300MG/50ML 1072.126 50 1608.19 1 1072.13 1608.195063 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 715016-001 EBETAXEL 300MG/50ML VIAL 4857.83 50 7286.75 1 4857.83 7286.755064 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 704126-001 TAXOL 300MG/50ML INJ 1042.452 50 1563.68 1 1042.45 1563.685065 Paclitaxel IV Conc 150 MG/25ML (6 MG/ML) 704209-001 ANZATAX 150MG/25ML 558.933 50 838.4 1 558.93 838.45066 Paclitaxel IV Conc 150 MG/25ML (6 MG/ML) 715015-001 EBETAXEL 150MG/25ML VIAL 2428.911 50 3643.37 1 2428.91 3643.375067 Vincristine Sulfate IV Soln 1 MG/ML 713432-001 ACCORD VINCRISTINE 2MG/2ML 2ML 69.163 50 103.74 1 69.16 103.745068 Vincristine Sulfate IV Soln 1 MG/ML 840785-003 P&U VINCRISTINE 2MG/2ML 88.717 50 133.08 5 443.59 665.45069 Vincristine Sulfate IV Soln 1 MG/ML 785202-005 ABIC VINCRISTINE 2MG/2ML INJ 110.844 50 166.27 1 110.84 166.275070 Vincristine Sulfate For IV Soln 1 MG 753971-003 ABIC VINCRISTINE 1MG/ML INJ 52.052 50 78.08 1 52.05 78.085071 Vincristine Sulfate For IV Soln 1 MG 840793-006 P&U VINCRISTINE 1MG 44.36 50 66.54 5 221.8 332.75072 Vinblastine Sulfate Inj 1 MG/ML 717203-001 CYTOBLASTIN AQUEOUS VIAL 1MG/M 143.407 50 215.11 1 143.41 215.115073 Vinblastine Sulfate Inj 1 MG/ML 827851-007 VINBLASTINE RTU 10-10 10ML 153.637 50 230.46 1 153.64 230.465074 Vinorelbine Tartrate Inj 10 MG/ML 715784-001 VINORELBINE 10MG/ML PIERRE FAB 156.741 50 235.11 10 1567.41 2351.15075 Vinorelbine Tartrate Inj 10 MG/ML 716184-001 CIPLA VINORELBINE 10MG/ML 2ML 138.067 50 207.1 1 138.07 207.15076 Vinorelbine Tartrate Inj 10 MG/ML 715822-001 ASPEN VINORELBIN 10MG/ML CONCE 186.859 50 280.29 10 1868.59 2802.95077 Vinorelbine Tartrate Inj 10 MG/ML 716039-001 VINORELBIN EBEWE VIAL 10MG/1ML 185.148 50 277.72 1 185.15 277.725078 Vinorelbine Tartrate Inj 10 MG/ML 712613-001 VINOREL 10MG/ML INJECTION 113.007 50 169.51 1 113.01 169.515079 Vinorelbine Tartrate Inj 10 MG/ML 715526-001 TEVA VINORELBINE 10MG/ML CONC 212.333 50 318.5 1 212.33 318.55080 Vinorelbine Tartrate Inj 10 MG/ML 822655-004 NAVELBINE 10MG INJ 141.067 50 211.6 10 1410.67 21165081 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 715783-001 VINORELBINE 50MG/5ML PIERRE FA 783.711 50 1175.57 1 783.71 1175.575082 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 716185-001 CIPLA VINORELBINE 50MG/5ML INJ 690.304 50 1035.46 1 690.3 1035.465083 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 716040-001 VINORELBIN EBEWE VIAL 50MG/5ML 925.822 50 1388.73 1 925.82 1388.735084 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 715821-001 ASPEN VINORELBIN 50MG/5ML CONC 934.296 50 1401.44 1 934.3 1401.445085 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 712611-001 VINOREL 50MG/5ML INJECTION 706.326 50 1059.49 1 706.33 1059.495086 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 819263-001 NAVELBINE 50MG INJ 705.333 50 1058 10 7053.33 105805087 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 715783-002 VINORELBINE 50MG/5ML PIERRE FA 783.704 50 1175.56 10 7837.04 11755.65088 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 819263-028 NAVELBINE 50MG INJ 705.333 50 1058 1 705.33 10585089 Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 712643-001 IRINOTAS VIAL 40MG/2ML INF 252.244 50 378.37 1 252.24 378.375090 Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 717026-001 MYLAN IRINOTECAN 40MG/2ML VIAL 255.363 50 383.04 1 255.36 383.045091 Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 716182-001 CIPLA IRINOTECAN 40MG/2ML VIAL 246.911 50 370.37 1 246.91 370.375092 Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 712603-001 ACCORD IRINOTECAN 40MG/2ML INF 254.948 50 382.42 1 254.95 382.425093 Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 711903-001 SANDOZ IRINOTECAN 40MG/2ML 242.963 50 364.44 1 242.96 364.445094 Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 829560-009 CAMPTO 2ML 20MG/ML INJ 750.644 50 1125.97 1 750.64 1125.975095 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) 712873-001 IRINOTAS 5ML VIAL 100MG/5ML IN 630.607 50 945.91 1 630.61 945.915096 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) 717027-001 MYLAN IRINOTECAN 100MG/5ML VIA 638.4 50 957.6 1 638.4 957.65097 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) 716183-001 CIPLA IRINOTECAN 100MG/5ML VIA 617.282 50 925.92 1 617.28 925.925098 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) 712872-001 ACCORD IRINOTECAN 100MG/5ML IN 637.378 50 956.07 1 637.38 956.075099 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) 711902-001 SANDOZ IRINOTECAN 100MG/5ML 607.407 50 911.11 1 607.41 911.115100 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) 829579-001 CAMPTO 5ML 20MG/ML INJ 1876.615 50 2814.92 1 1876.61 2814.925101 Paroxetine HCl Tab 20 MG 718058-001 AURO PAROXETINE 20MG TABS 3.228 50 4.84 30 96.84 145.25102 Mirtazapine Tab 15 MG 718214-001 RAMURE 15MG TABS 5.002 50 7.5 30 150.06 2255103 Mirtazapine Tab 30 MG 718215-001 RAMURE 30MG TABS 7.784 50 11.68 30 233.52 350.45104 Risperidone Tab 0.5 MG 717996-001 RISNIA 0.5MG TABS 2.797 50 4.2 30 83.91 1265105 Risperidone Tab 1 MG 717997-001 RISNIA 1MG TABS 4.268 50 6.4 30 128.04 1925106 Risperidone Tab 2 MG 717998-001 RISNIA 2MG TABS 9.125 50 13.69 30 273.75 410.75107 Risperidone Tab 3 MG 717999-001 RISNIA 3MG TABS 14.129 50 21.19 30 423.87 635.75108 Montelukast Sodium Chew Tab 4 MG (Base E 718123-001 KULAIR 4MG CHEW TABS 5.992 50 8.99 28 167.78 251.725109 Montelukast Sodium Chew Tab 5 MG (Base E 718124-001 KULAIR 5MG CHEW TABS 5.992 50 8.99 28 167.78 251.725110 Montelukast Sodium Tab 10 MG (Base Equiv 718125-001 KULAIR 10MG TABS 5.992 50 8.99 28 167.78 251.725111 Quinapril-Hydrochlorothiazide Tab 10-12. 718056-001 AURO QUINAPRIL CO 10MG/12.5MG 1.575 50 2.36 30 47.25 70.85112 Quinapril-Hydrochlorothiazide Tab 20-12. 718057-001 AURO QUINAPRIL CO 20MG/12.5MG 2.427 50 3.64 30 72.81 109.25113 Atorvastatin Calcium Tab 10 MG (Base Equ 718218-001 DYNATOR 10MG TABS 0.729 50 1.09 30 21.87 32.75114 Atorvastatin Calcium Tab 20 MG (Base Equ 718219-001 DYNATOR 20MG TABS 0.776 50 1.16 30 23.28 34.85115 Atorvastatin Calcium Tab 40 MG (Base Equ 718220-001 DYNATOR 40MG TABS 1.294 50 1.94 30 38.82 58.25116 Atorvastatin Calcium Tab 80 MG (Base Equ 718221-001 DYNATOR 80MG TABS 2.465 50 3.7 30 73.95 1115117 Pseudoephedrine w/ Acetaminophen Tab 30- 714955-001 SINUTAB SINUS PAIN NON-DROWSY 1.337 50 2.01 10 13.37 20.15118 Pseudoephedrine w/ Acetaminophen Tab 30- 714955-002 SINUTAB SINUS PAIN NON-DROWSY 1.337 50 2.01 20 26.74 40.25119 Acetylcysteine Effer Tab 200 MG 718049-001 MUCATAK 200MG EFFER TABS 1.598 50 2.4 25 39.95 605120 Phenylephrine-Naphazoline Nasal Soln 2.5 723363-005 ENT DROPS 25ML 25.015 50 37.52 1 25.01 37.525121 Phenylephrine-Naphazoline Nasal Soln 2.5 723371-008 ENT SPRAY 25ML 27.504 50 41.26 1 27.5 41.265122 Phenylephrine-Naphazoline Nasal Soln 2.5 725765-003 FENOX NOSE DROPS 25ML 16.917 50 25.38 1 16.92 25.385123 Phenylephrine-Naphazoline Nasal Soln 2.5 703661-001 JACKS THICK NOSE DROPS 0.562 50 0.84 30 16.86 25.25124 Phenylephrine-Naphazoline Nasal Soln 2.5 745871-003 NASDRO DROPS 15ML 17.607 50 26.41 1 17.61 26.415125 Phenylephrine-Naphazoline Nasal Soln 2.5 840025-009 NAZO-EZZE DOSE DROPS 18.533 50 27.8 1 18.53 27.85126 Phenylephrine-Naphazoline Nasal Soln 2.5 783579-004 NITRO DROPS 7.548 50 11.32 1 7.55 11.325127 Phenylephrine-Naphazoline Nasal Soln 2.5 717502-001 RINOL 25ML NASAL DROPS 0.444 50 0.67 25 11.1 16.755129 Phenylephrine-Naphazoline Nasal Soln 2.5 705620-001 TERINE NASAL DROPS 15ML 12.911 50 19.37 1 12.91 19.375130 Phenylephrine-Naphazoline Nasal Soln 2.5 773867-007 UNIVERSAL NOSE DROPS 15ML 9.222 50 13.83 1 9.22 13.835131 Clotrimazole Vaginal Tab 500 MG 712264-019 CANESTEN VAG TAB 500MG 77.348 50 116.02 1 77.35 116.025132 Clotrimazole Vaginal Tab 500 MG 717842-001 GLENMARK CLOTRIMAZOLE 1 VAG TAB 500MG 45.03 50 67.55 1 45.03 67.555133 Efavirenz Tab 600 MG 718099-001 VIREF 600MG TABS 3.603 50 5.4 30 108.09 1625134 Lamivudine Tab 150 MG 718080-001 LAMIVUDINE WINTHROP 150MG TABS 1.281 50 1.92 60 76.86 115.25135 Tenofovir Disoproxil Fumarate Tab 300 MG 718283-001 RICOVIR 300MG TABS 5.536 50 8.3 30 166.08 2495136 Pioglitazone HCl Tab 15 MG (Base Equiv) 718148-001 ACCORD PIOGLITAZONE 15MG TABS 1.727 50 2.59 30 51.81 77.75137 Pioglitazone HCl Tab 30 MG (Base Equiv) 718150-001 ACCORD PIOGLITAZONE 30MG TABS 2.901 50 4.35 30 87.03 130.55142 Dexamethasone Sodium Phosphate Inj 4 MG/ 718224-001 MYLAN DEXAMETHASONE AMP 4MG/ML 5.512 50 8.27 10 55.12 82.75143 Finasteride Tab 5 MG 718109-001 FENRYDE 5MG TABS 5.298 50 7.95 28 148.34 222.65144 Finasteride Tab 1 MG 718147-001 PROFINA 1MG TABS 2.588 50 3.88 30 77.64 116.45145 Anastrozole tab 1 mg 718266-001 TEVA ANASTROZOLE 1MG TABS 8.409 50 12.61 30 252.27 378.35146 Oxaliplatin IV Soln 50 MG/10ML 718138-001 ACCORD OXALIPLATIN 50MG POWD F 667.343 50 1001.02 1 667.34 1001.025147 Oxaliplatin IV Soln 50 MG/10ML 717829-001 INTAS OXALIPLATIN 50MG VIAL PO 657.126 50 985.69 1 657.13 985.695148 Oxaliplatin IV Soln 100 MG/20ML 718139-001 ACCORD OXALIPLATIN 100MG POWD 1334.689 50 2002.03 1 1334.69 2002.035149 Oxaliplatin IV Soln 100 MG/20ML 717830-001 INTAS OXALIPLATIN 100MG VIAL P 1314.259 50 1971.39 1 1314.26 1971.395150 HY-PO-TONE 500MG TABS 732079-004 HY-PO-TONE 500MG TABS 2.244 50 3.37 100 224.4 3375151 CRESTOR 5MG TABS 710892-001 CRESTOR 5MG TABS 2.63 50 3.95 30 78.9 118.55152 GALVUS 50MG 715554-002 GALVUS 50MG 3.406 50 5.11 56 190.74 286.165153 MYCOPHENOLATE 500MG TABS 707162-001 CELLCEPT 500MG TABS 21.998 50 33 50 1099.9 16505156 LOMEP 20MG 267121-001 LOMEP 20MG 0.988 50 1.48 30 29.64 44.45157 Diclomax 50mg tabs 267135-001 Diclomax 50mg tabs 0.296 50 0.44 20 5.92 8.85158 Nexpro 40mg 267148-001 Nexpro 40mg 3.19 50 4.79 50 159.5 239.55159 Ranitin 150mg tabs 267150-001 Ranitin 150mg tabs 0.444 50 0.67 100 44.4 675160 Apo imipramine 10mg tab 267168-001 Apo imipramine 10mg tab 0.148 50 0.22 100 14.8 225161 Candid cream 1% 267190-001 Candid cream 1% 0.704 50 1.06 20 14.08 21.25162 Candid v6 pessaries 100mg 267193-001 Candid v6 pessaries 100mg 2.222 50 3.33 6 13.33 19.98




Administered by

5163 Candibiotic ear drops 5ml 267219-001 Candibiotic ear drops 5ml 22.222 50 33.33 1 22.22 33.335164 Apo folic 5mg 267239-001 Apo folic 5mg 0.081 50 0.12 1000 81 1205165 Apo ibuprofen 400mg 267242-001 Apo ibuprofen 400mg 0.325 50 0.49 100 32.5 495166 Apo propanolol 10mg 267246-001 Apo propanolol 10mg 0.222 50 0.33 100 22.2 335167 Azulix 2mg tablets 267254-001 Azulix 2mg tablets 1.776 50 2.66 30 53.28 79.85168 APO AMITRIPTYLINE 25MG 267255-001 APO AMITRIPTYLINE 25MG 0.37 50 0.56 100 37 565169 Griseofulvin 500mg 267265-001 Griseofulvin 500mg 1.926 50 2.89 30 57.78 86.75170 Zinplex paediatric syrup 705119-001 Zinplex paediatric syrup 0.142 50 0.21 200 28.4 425171 Lp299v 20caps 705769-002 Lp299v 20caps 3.045 50 4.57 20 60.9 91.45172 Atrovent hfa 200dose 706543-001 Atrovent hfa 200dose 109.785 50 164.68 1 109.79 164.685173 Relestat 5ml 707876-001 Relestat 5ml 82.837 50 124.26 1 82.84 124.265174 Cataflam d pwd 712602-001 Cataflam d pwd 2.202 50 3.3 9 19.82 29.75175 Preg omega plus (28 day 713755-001 Preg omega plus (28 day 175.474 50 263.21 1 175.47 263.215176 Gaviscon plus 300ml 715428-002 Gaviscon plus 300ml 0.265 50 0.4 300 79.5 1205178 Vicks actaplus dry cough syrup 200ml 852457-017 Vicks actaplus dry cough syrup 200ml 0.191 50 0.29 200 38.2 585179 Benylin 4 flu syrup 200ml 881570-002 Benylin 4 flu syrup 200ml 0.098 50 0.15 200 19.6 305181 Escitalopram oxalate tab 10 mg (base equ 718287-001 NEXITO 10MG TABS 2.149 50 3.22 30 64.47 96.65182 Montelukast Sodium Oral Granules Packet 717467-001 MONTE-AIR SPRINKLES 4MG SACH 6.273 50 9.41 28 175.64 263.485183 Rosuvastatin Calcium Tab 10 MG 717520-001 ZUVAMOR 10MG TABS 3.124 50 4.69 28 87.47 131.325184 Rosuvastatin Calcium Tab 20 MG 717521-001 ZUVAMOR 20MG TABS 6.319 50 9.48 28 176.93 265.445185 Rosuvastatin Calcium Tab 40 MG 717522-001 ZUVAMOR 40MG TABS 7.68 50 11.52 28 215.04 322.565187 Cefuroxime Axetil Tab 250 MG 717990-001 ORCHID CEFUROXIME 250MG TABS 6.689 50 10.03 10 66.89 100.35188 Cefuroxime Axetil Tab 500 MG 717992-001 ORCHID CEFUROXIME 500MG TABS 12.357 50 18.54 10 123.57 185.45189 Cefpodoxime Proxetil Tab 100 MG 718333-001 ASPEN CEFPODOXIME 100MG TABS 6.447 50 9.67 10 64.47 96.75190 Cefpodoxime Proxetil Tab 200 MG 718334-001 ASPEN CEFPODOXIME 200MG TABS 8.211 50 12.32 10 82.11 123.25191 Ceftazidime For Inj 1 GM 710422-002 KEFTAZ 1G VIAL POWD FOR RECON 67.912 50 101.87 10 679.12 1018.75192 Meropenem IV For Soln 500 MG 718222-001 MEROJECT 500MG POWDER FOR INJE 77.778 50 116.67 1 77.78 116.675193 Meropenem IV For Soln 1 GM 718223-001 MEROJECT 1G POWDER FOR INJECTI 155.556 50 233.33 1 155.56 233.335194 Abacavir Sulfate Soln 20 MG/ML (Base Equ 718160-001 KAVIMUN PAED 60MG TABS 2.803 50 4.2 60 168.18 2525195 Metformin HCl Tab 500 MG 718231-001 METCHEK 500MG TABS 0.242 50 0.36 100 24.2 365196 Metformin HCl Tab 850 MG 718232-001 METCHEK 850MG TABS 0.445 50 0.67 60 26.7 40.25204 Temozolomide Cap 5 MG 859931-005 TEMODAL 5MG CAPS 13.08 50 19.62 5 65.4 98.15205 Temozolomide Cap 5 MG 718095-001 TEMINTAS 5MG CAPS 12.111 50 18.17 5 60.56 90.855206 Temozolomide Cap 5 MG 718133-001 ACCORD TEMOZOLOMIDE 5MG CAPS 12.507 50 18.76 5 62.53 93.85207 Temozolomide Cap 20 MG 859958-019 TEMODAL 20MG CAPS 52.32 50 78.48 5 261.6 392.45208 Temozolomide Cap 20 MG 718096-001 TEMINTAS 20MG CAPS 48.44 50 72.66 5 242.2 363.35209 Temozolomide Cap 20 MG 718134-001 ACCORD TEMOZOLOMIDE 20MG CAPS 50.021 50 75.03 5 250.1 375.155210 Temozolomide Cap 100 MG 859494-004 TEMODAL 100MG CAPS 261.597 50 392.4 5 1307.98 19625211 Temozolomide Cap 100 MG 718097-001 TEMINTAS 100MG CAPS 242.203 50 363.3 5 1211.02 1816.55212 Temozolomide Cap 100 MG 718135-001 ACCORD TEMOZOLOMIDE 100MG CAPS 250.096 50 375.14 5 1250.48 1875.75213 Temozolomide Cap 250 MG 718136-001 ACCORD TEMOZOLOMIDE 250MG CAPS 638.585 50 957.88 5 3192.93 4789.45214 Temozolomide Cap 250 MG 859966-003 TEMODAL 250MG CAPS 616.404 50 924.61 5 3082.02 4623.055215 Temozolomide Cap 250 MG 718098-001 TEMINTAS 250MG CAPS 638.585 50 957.88 5 3192.93 4789.45216 Carboplatin IV For Inj 150 MG 856207-004 ABIC CARBOPLATIN SOL 150 179.23 50 268.85 1 179.23 268.855218 Carboplatin IV For Inj 450 MG 856215-007 ABIC CARBOPLATIN SOL 450 483.141 50 724.71 1 483.14 724.715220 Doxorubicin HCl For Inj 10 MG 718301-001 CIPLA DOXORUBICIN 10MG VIAL PO 48.022 50 72.03 1 48.02 72.035221 Doxorubicin HCl For Inj 50 MG 718302-001 CIPLA DOXORUBICIN 50MG VIAL PO 240.133 50 360.2 1 240.13 360.25222 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 715527-001 TEVA VINORELBINE 50MG/5ML CONC 780.37 50 1170.56 1 780.37 1170.565223 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 713083-001 CARCYT 50MG/5ML VIAL 5ML 1208.333 50 1812.5 1 1208.33 1812.55224 Vinorelbine Tartrate Inj 50 MG/5ML (10 M 713083-002 CARCYT 50MG/5ML VIAL 5ML 1208.333 50 1812.5 10 12083.33 181255225 Zopiclone Tab 7.5 MG 718473-001 BIO ZOPICLONE 7.5MG TABS 0.867 50 1.3 30 26.01 395226 Quetiapine Fumarate Tab 25 MG 718352-001 PSYQUET 25MG TABS 1.56 50 2.34 105 163.8 245.75227 Quetiapine Fumarate Tab 100 MG 718353-001 PSYQUET 100MG TABS 2.998 50 4.5 90 269.82 4055228 Quetiapine Fumarate Tab 200 MG 718354-001 PSYQUET 200MG TABS 4.936 50 7.4 60 296.16 4445229 Quetiapine Fumarate Tab 300 MG 718355-001 PSYQUET 300MG TABS 5.569 50 8.35 60 334.14 5015230 Diclofenac Sodium Tab Delayed Release 25 718479-001 DICLOFENAC BIOTECH 25MG TABS 0.089 50 0.13 500 44.5 655231 Diclofenac Sodium Tab SR 24HR 100 MG 718480-001 DICLOFENAC SR BIOTECH 100MG SR 2.218 50 3.33 30 66.54 99.95232 Levocetirizine Dihydrochloride Tab 5 MG 703450-002 XYZAL 5MG TABS 3.858 50 5.79 7 27.01 40.535233 Levocetirizine Dihydrochloride Tab 5 MG 718132-001 CETLEV 5MG TABS 1.528 50 2.29 10 15.28 22.95234 Levocetirizine Dihydrochloride Tab 5 MG 718132-002 CETLEV 5MG TABS 1.528 50 2.29 30 45.84 68.75235 Desloratadine Tab 5 MG 718393-001 NEOCLARITYNE 5MG TABS 2.575 50 3.86 10 25.75 38.65236 Desloratadine Tab 5 MG 718393-002 NEOCLARITYNE 5MG TABS 2.574 50 3.86 30 77.22 115.85237 Fluvastatin Sodium Tab SR 24 HR 80 MG 700963-002 LESCOL XL 80MG TABS 6.059 50 9.09 28 169.65 254.525238 Fluvastatin Sodium Tab SR 24 HR 80 MG 718208-001 VATICOL XL 80MG TABS 4.671 50 7.01 28 130.79 196.285239 Ranitidine HCl Tab 300 MG 718482-001 RANITIDINE BIOTECH 300MG TABS 1.158 50 1.74 30 34.74 52.25240 Mupirocin Oint 2% 715837-002 SUPIROBAN 2GM/100GM OINTMENT 2.329 50 3.49 50 116.45 174.55242 Letrozole Tab 2.5 MG 718349-001 CIPLA LETROZOLE 2.5MG TABS 19.277 50 28.92 30 578.31 867.65243 Gemcitabine HCl For Inj 1 GM 718304-001 ONCOGEM 1000MG VIAL POWDER FOR 948.711 50 1423.07 1 948.71 1423.075244 Gemcitabine HCl For Inj 200 MG 718303-001 ONCOGEM 200MG VIAL POWDER FOR 189.741 50 284.61 1 189.74 284.615245 Escitalopram Oxalate Tab 5 MG (Base Equi 710374-001 LEXAMIL 5MG TABS 1.823 50 2.73 30 54.69 81.95246 Escitalopram Oxalate Tab 5 MG (Base Equi 718143-001 CITRAZ 5MG TABS 1.704 50 2.56 30 51.12 76.85247 Venlafaxine HCl Cap SR 24HR 75 MG (Base 718361-001 VENLAFAXINE UNICORN XR 75MG CA 3.871 50 5.81 30 116.13 174.35248 Venlafaxine HCl Cap SR 24HR 150 MG (Base 718362-001 VENLAFAXINE UNICORN XR 150MG C 7.865 50 11.8 30 235.95 3545249 Valproate Sodium Tab CR 200 MG 818666-005 EPILIM CR 200MG TAB 2.486 50 3.73 100 248.6 3735250 Valproate Sodium Tab CR 200 MG 718274-001 EPILIZINE CR 200MG TABS 1.997 50 3 100 199.7 3005251 Valproate Sodium Tab CR 200 MG 718465-001 NAVALPRO CR 200MG TABS 1.645 50 2.47 100 164.5 2475252 Valproate Sodium Tab CR 300 MG 818674-008 EPILIM CR 300MG TAB 3.467 50 5.2 100 346.7 5205253 Valproate Sodium Tab CR 300 MG 718275-001 EPILIZINE CR 300MG TABS 2.994 50 4.49 100 299.4 4495254 Valproate Sodium Tab CR 300 MG 718466-001 NAVALPRO CR 300MG TABS 2.466 50 3.7 100 246.6 3705255 Valproate Sodium Tab CR 500 MG 718276-001 EPILIZINE CR 500MG TABS 4.955 50 7.43 100 495.5 7435256 Valproate Sodium Tab CR 500 MG 718468-001 NAVALPRO CR 500MG TABS 4.081 50 6.12 100 408.1 6125257 Valproate Sodium For IV Soln 400 MG 821551-019 EPILIM IV 400MG INJ 248.163 50 372.24 1 248.16 372.245258 Valproate Sodium For IV Soln 400 MG 718277-001 EPILIZINE 400MG IV POWD FOR IN 179.785 50 269.68 1 179.79 269.685259 Granisetron HCl Inj 1 MG/ML 718524-001 GRANISETRON TEVA 1 1MG/1ML IN 18.764 50 28.15 5 93.82 140.755260 Granisetron HCl Inj 3 MG/3ML (1 MG/ML) 718525-001 GRANISETRON TEVA 3 3MG/3ML INJ 56.293 50 84.44 5 281.46 422.25261 Montelukast Sodium Chew Tab 4 MG (Base E 718308-001 GLENMONT 4MG CHEW TABS 4.441 50 6.66 28 124.35 186.485262 Montelukast Sodium Chew Tab 5 MG (Base E 718309-001 GLENMONT 5MG CHEW TABS 4.441 50 6.66 28 124.35 186.485263 Montelukast Sodium Tab 10 MG (Base Equiv 718310-001 GLENMONT 10MG TABS 4.441 50 6.66 28 124.35 186.485264 Bisoprolol & Hydrochlorothiazide Tab 2.5 840300-018 ZIAK 2.5MG TABS 3.414 50 5.12 30 102.42 153.65265 Bisoprolol & Hydrochlorothiazide Tab 2.5 718082-001 BISOPROLOL HCTZ 2.5/6.25MG 1.704 50 2.56 30 51.12 76.85266 Bisoprolol & Hydrochlorothiazide Tab 2.5 717986-001 ZIRINAK CO 2.5MG/6.25MG TABS 2.733 50 4.1 30 81.99 1235267 Bisoprolol & Hydrochlorothiazide Tab 5-6 718086-001 BISOPROLOL HCTZ 5/6.25MG 1.79 50 2.69 30 53.7 80.75268 Bisoprolol & Hydrochlorothiazide Tab 5-6 717987-001 ZIRINAK CO 5MG/6.25MG TABS 2.733 50 4.1 30 81.99 1235269 Bisoprolol & Hydrochlorothiazide Tab 10- 718087-001 BISOPROLOL HCTZ 10/6.25MG 1.831 50 2.75 30 54.93 82.55270 Bisoprolol & Hydrochlorothiazide Tab 10- 717988-001 ZIRINAK CO 10MG/6.25MG TABS 2.733 50 4.1 30 81.99 1235271 Valsartan Tab 80 MG 718363-001 VALSARTAN UNICORN 80MG TABS 2.485 50 3.73 28 69.58 104.445272 Valsartan Tab 160 MG 718364-001 VALSARTAN UNICORN 160MG TAB 2.485 50 3.73 28 69.58 104.445273 Losartan Potassium Tab 50 MG 718365-001 LOSARTAN UNICORN 50MG TABS 1.803 50 2.7 30 54.09 815274 Losartan Potassium Tab 100 MG 718366-001 LOSARTAN UNICORN 100MG TABS 1.947 50 2.92 30 58.41 87.65275 Losartan Potassium & Hydrochlorothiazide 718367-001 LOSARTAN CO UNICORN 50MG/12.5M 1.716 50 2.57 30 51.48 77.15276 Losartan Potassium & Hydrochlorothiazide 718368-001 LOSARTAN CO UNICORN 100MG/25MG 1.886 50 2.83 30 56.58 84.95277 Sildenafil Citrate Tab 50 MG 718397-001 DYNAFIL 50MG TABS 24.541 50 36.81 4 98.16 147.245278 Sildenafil Citrate Tab 100 MG 718396-001 DYNAFIL 100MG TABS 33.659 50 50.49 4 134.64 201.965279 Azithromycin Tab 500 MG 717052-001 AUSTELL AZITHROMYCIN 500 TABS 23.533 50 35.3 3 70.6 105.95280 Abacavir Sulfate-Lamivudine Tab 600-300 707321-001 KIVEXA TABS 15.302 50 22.95 30 459.06 688.55281 Abacavir Sulfate-Lamivudine Tab 600-300 717977-001 DUMIVA TABS 14.594 50 21.89 30 437.82 656.75282 Gliclazide Tab SR 24HR 60 MG 718245-001 DIAMICRON MR 60MG TABS 2.261 50 3.39 30 67.83 101.75283 Gliclazide Tab SR 24HR 60 MG 718247-001 DIAGLUCIDE MR 60MG TABS 1.259 50 1.89 30 37.77 56.7




Administered by

5284 Glucose Blood Test Strip 161552-001 ACCU CHECK ACTIVE MIC STRIPS 8 2.067 50 3.1 50 103.35 1555286 Escitalopram Oxalate Tab 10 MG (Base Equ 718669-001 ZYDUS ESCITALOPRAM 10MG TABS 1.802 50 2.7 30 54.06 815287 Duloxetine HCl Enteric Coated Pellets Ca 718212-001 YELATE 60MG CAPS 4.895 50 7.34 30 146.85 220.25288 Duloxetine HCl Enteric Coated Pellets Ca 718210-001 YELATE 30MG CAPS 4.895 50 7.34 30 146.85 220.25289 Levetiracetam Tab 250 MG 718486-001 DYNA LEVETIRACETAM 250MG TABS 1.781 50 2.67 60 106.86 160.25290 Levetiracetam Tab 750 MG 718484-001 DYNA LEVETIRACETAM 750MG TABS 5.344 50 8.02 60 320.64 481.25291 Carbamazepine Tab 200 MG 715962-001 ZEPTOL 200MG TABS 1.219 50 1.83 50 60.95 91.55292 Irbesartan Tab 150 MG 718667-001 ADCO IRBESARTAN 150MG TABS 2.462 50 3.69 28 68.94 103.325293 Irbesartan Tab 150 MG 718506-001 IRTANEL 150MG TABS 2.479 50 3.72 28 69.41 104.165294 Irbesartan Tab 300 MG 718668-001 ADCO IRBESARTAN 300MG TABS 2.462 50 3.69 28 68.94 103.325295 Irbesartan Tab 300 MG 718507-001 IRTANEL 300MG TABS 2.479 50 3.72 28 69.41 104.165296 Irbesartan-Hydrochlorothiazide Tab 150-1 718571-001 ISART CO 150MG/12.5MG TABS 1.637 50 2.46 28 45.84 68.885297 Irbesartan-Hydrochlorothiazide Tab 300-1 718573-001 ISART CO 300MG/12.5MG TABS 1.878 50 2.82 28 52.58 78.965298 Paracetamol-Caffeine-Vit C Packet 800-50 703119-001 PANADO MEDSIP HONEY/LEMON 1.759 50 2.64 8 14.07 21.125299 Paracetamol-Caffeine-Vit C Packet 800-50 703120-001 PANADO MEDSIP GINGER 5GM 1.759 50 2.64 8 14.07 21.125300 Paracetamol-Caffeine-Vit C Packet 800-50 714196-001 MED-LEMON FLU & CONGESTION HOT 2.453 50 3.68 10 24.53 36.85302 Paracetamol-Caffeine-Vit C Packet 800-50 806293-004 MED-LEMON HOT MEDICATION SACHE 2.306 50 3.46 8 18.45 27.685304 Econazole Nitrate Vaginal Cream 1% 703089-001 VARI-ECONAZOLE 1% VC 1.743 50 2.61 80 139.44 208.85305 Cefuroxime Axetil Tab 250 MG 717799-001 ALKOXIME 250MG TABS 6.153 50 9.23 10 61.53 92.35306 Cefuroxime Axetil Tab 250 MG 718658-001 POXIM 250MG TABS 6.153 50 9.23 10 61.53 92.35307 Cefuroxime Axetil Tab 500 MG 717801-001 ALKOXIME 500MG TABS 11.448 50 17.17 10 114.48 171.75308 CEFUROXIME AXETIL TAB 500 MG 718659-001 POXIM 500MG TABS 11.448 50 17.17 10 114.48 171.75309 Efavirenz Tab 50 MG 718603-001 EFAMAT 50MG TABS 0.823 50 1.23 30 24.69 36.95310 Efavirenz Tab 200 MG 718601-001 EFAMAT 200MG TABS 2.152 50 3.23 90 193.68 290.75311 Glucose Blood Test Strip 168518-001 CONTOUR PLUS GLUCOSE STRIPS 3.487 50 5.23 25 87.17 130.755312 Glucose Blood Test Strip 168519-001 CONTOUR PLUS GLUCOSE STRIPS 2.559 50 3.84 50 127.95 1925320 Calcium Chloride Inj 10% 782211-003 CALC CHLOR FSK 10ML 10% 9.982 50 14.97 10 99.82 149.75321 Calcium Chloride Inj 10% 862789-001 CALCIUM CHLORIDE 10% 10ML 8.033 50 12.05 10 80.33 120.55325 MAGNESIUM CHLORIDE CAP SR 24HR 450 MG 700472-004 SLOW-MAG 450MG CAPS 1.809 50 2.71 60 108.54 162.65326 MAGNESIUM CHLORIDE CAP SR 24HR 450 MG 700472-003 SLOW-MAG 450MG CAPS 2.006 50 3.01 30 60.18 90.35328 PARACETAMOL SUSP 120 MG/5ML 711993-010 CALPOL PAED SUSP 0.232 50 0.35 50ML 11.6 17.55329 Meloxicam Tab 15 MG 718382-001 MEDOXICAM 15MG TABS 1.438 50 2.16 10 14.38 21.65330 Meloxicam Tab 15 MG 718382-002 MEDOXICAM 15MG TABS 1.438 50 2.16 30 43.14 64.85331 Meloxicam Tab 7.5 MG 718381-001 MEDOXICAM 7.5MG TABS 0.553 50 0.83 30 16.59 24.95332 Alendronate Sodium Tab 70 MG 718742-001 FEMAX 70MG TABS 30.802 50 46.2 4 123.21 184.85333 Cetirizine HCl Tab 10 MG 718452-001 TRANTRIN 10MG TABS 0.994 50 1.49 30 29.82 44.75334 Montelukast Sodium Chew Tab 4 MG (Base E 718604-001 SINTAIR 4MG CHEW TABS 4.033 50 6.05 30 120.99 181.55335 Montelukast Sodium Chew Tab 5 MG (Base E 718605-001 SINTAIR 5MG CHEW TABS 4.033 50 6.05 30 120.99 181.55336 Montelukast Sodium Tab 10 MG (Base Equiv 718606-001 SINTAIR 10MG TABS 4.033 50 6.05 30 120.99 181.55337 Pantoprazole Sodium EC Tab 20 MG (Base E 718142-001 TOPZOLE 20MG TABS OTC 4.394 50 6.59 7 30.76 46.135338 Pantoprazole Sodium EC Tab 20 MG (Base E 718142-002 TOPZOLE 20MG TABS OTC 4.395 50 6.59 14 61.53 92.265339 Rabeprazole Sodium EC Tab 10 MG 718384-001 RABEMED 10MG TABS 2.94 50 4.41 28 82.32 123.485340 Rabeprazole Sodium EC Tab 10 MG 863106-005 PARIET 10MG TAB 4.173 50 6.26 28 116.84 175.285341 Rabeprazole Sodium EC Tab 20 MG 718385-001 RABEMED 20MG TABS 5.9 50 8.85 14 82.6 123.95342 Rabeprazole Sodium EC Tab 20 MG 718385-002 RABEMED 20MG TABS 5.901 50 8.85 28 165.23 247.85343 Rabeprazole Sodium EC Tab 20 MG 863114-016 PARIET 20MG TAB 8.343 50 12.51 28 233.6 350.285344 Furosemide Tab 40 MG 716048-002 DINO-RETIC 40MG TABS 0.12 50 0.18 250 30 455345 Lamivudine-Nevirapine-Stavudine Tab 150- 717287-001 TRI-NESTLAM TABS 2.599 50 3.9 60 155.94 2345346 Lamivudine-Nevirapine-Stavudine Tab 150- 718829-001 NEVASTA TABS 2.789 50 4.18 60 167.34 250.85356 Tamsulosin HCl Cap CR 0.4 MG 718715-001 OMSAL 0.4MG CAPS 4.381 50 6.57 30 131.43 197.15358 Imatinib Mesylate Cap 100 MG (Base Equiv 718595-001 IMAVEC 100MG CAPS 75.494 50 113.24 60 4529.64 6794.45359 Imatinib Mesylate Cap 100 MG (Base Equiv 718477-001 VATIVIO 100MG CAPS 81.494 50 122.24 120 9779.28 14668.85360 Cetirizine HCl Tab 10 MG 718452-001 TRANTRIN 10MG TABS 0.994 50 1.49 30 29.82 44.75361 Pantoprazole Sodium EC Tab 20 MG (Base E 718142-001 TOPZOLE 20MG TABS OTC 4.394 50 6.59 7 30.76 46.135362 Pantoprazole Sodium EC Tab 20 MG (Base E 718142-002 TOPZOLE 20MG TABS OTC 4.395 50 6.59 14 61.53 92.265363 Rabeprazole Sodium EC Tab 10 MG 718384-001 RABEMED 10MG TABS 2.94 50 4.41 28 82.32 123.485364 Rabeprazole Sodium EC Tab 20 MG 718385-001 RABEMED 20MG TABS 5.9 50 8.85 14 82.6 123.95365 Rabeprazole Sodium EC Tab 20 MG 718385-002 RABEMED 20MG TABS 5.901 50 8.85 28 165.23 247.85375 Tamsulosin HCl Cap CR 0.4 MG 718715-001 OMSAL 0.4MG CAPS 4.381 50 6.57 30 131.43 197.15377 Imatinib Mesylate Tab 100 MG (Base Equiv 705491-001 GLEEVEC 100MG TAB 205.773 50 308.66 60 12346.38 18519.65378 Amitriptyline hcl tab 25 mg 718746-001 GULF AMITRIPTYLINE 25MG TABS 0.369 50 0.55 500 184.5 2755379 Escitalopram oxalate tab 20 mg (base equ 718744-001 ZITOLEX 20MG TABS 1.525 50 2.29 28 42.7 64.125380 Escitalopram oxalate tab 10 mg (base equ 718743-001 ZITOLEX 10MG TABS 0.998 50 1.5 28 27.94 425381 Quetiapine fumarate tab 25 mg 718674-001 SIZONORM 25MG TABS 1.602 50 2.4 100 160.2 2405382 Quetiapine fumarate tab 100 mg 718704-001 SIZONORM 100MG TABS 2.966 50 4.45 90 266.94 400.55383 Quetiapine fumarate tab 200 mg 718705-001 SIZONORM 200MG TABS 4.724 50 7.09 60 283.44 425.45384 Quetiapine fumarate tab 300 mg 718706-001 SIZONORM 300MG TABS 5.784 50 8.68 60 347.04 520.85385 Topiramate tab 50 mg 718290-002 TOPIROL 50MG TABS 3.195 50 4.79 30 95.85 143.75386 Levetiracetam tab 500 mg 718485-001 DYNA LEVETIRACETAM 500MG TABS 3.563 50 5.34 60 213.78 320.45387 Levetiracetam tab 500 mg 714663-001 REDILEV 500MG TABS 3.915 50 5.87 30 117.45 176.15390 Meloxicam tab 15 mg 718305-001 GLENMARK MELOXICAM 15MG TABS 1.535 50 2.3 30 46.05 695391 Meloxicam tab 7.5 mg 718306-001 GLENMARK MELOXICAM 7.5MG TABS 0.831 50 1.25 30 24.93 37.55392 Desloratadine tab 5 mg 718710-001 NEOLORIDIN 5MG TABS 2.096 50 3.14 10 20.96 31.45393 Desloratadine tab 5 mg 718710-002 NEOLORIDIN 5MG TABS 2.096 50 3.14 30 62.88 94.25394 Montelukast sodium chew tab 4 mg (base e 719046-001 MONTELUKAST CIPLA 4MG CHEW TAB 4.731 50 7.1 28 132.47 198.85395 Montelukast sodium chew tab 5 mg (base e 719047-001 MONTELUKAST CIPLA 5MG CHEW TAB 4.731 50 7.1 28 132.47 198.85396 Montelukast sodium tab 10 mg (base equiv 719048-001 MONTELUKAST CIPLA 10MG FILM CO 4.731 50 7.1 28 132.47 198.85397 Atenolol tab 50 mg 705874-002 TENOPRESS 50MG TABS 0.282 50 0.42 28 7.9 11.765398 Valsartan-hydrochlorothiazide tab 160-12 718608-001 DIOLO CO 160MG/12.5MG TABS 2.682 50 4.02 28 75.1 112.565399 Valsartan-hydrochlorothiazide tab 80-12. 718607-001 DIOLO CO 80MG/12.5MG TABS 2.682 50 4.02 28 75.1 112.565400 Fenoterol hbr syrup 2.5 mg/5ml 718554-001 FENOVENT 2.5MG/5ML LIQUID 0.281 50 0.42 150 42.15 635401 Fenoterol hbr syrup 2.5 mg/5ml 707813-018 BEROTEC SYR 0.375 50 0.56 150 56.25 845402 Valacyclovir hcl tab 500 mg 718863-001 VAVIREX 500MG TABS 11.99 50 17.99 10 119.9 179.95403 Valacyclovir hcl tab 500 mg 718863-002 VAVIREX 500MG TABS 11.989 50 17.98 30 359.67 539.45404 Valacyclovir hcl tab 500 mg 718863-003 VAVIREX 500MG TABS 11.99 50 17.99 42 503.58 755.585405 Azithromycin tab 500 mg 718709-001 ZYBACT 500MG TABS 15.984 50 23.98 5 79.92 119.95406 Azithromycin tab 500 mg 718709-002 ZYBACT 500MG TABS 15.984 50 23.98 10 159.84 239.85407 Azithromycin tab 500 mg 718711-001 AZITHROMYCIN ZYDUS 500MG TABS 19.758 50 29.64 3 59.27 88.925408 Efavirenz-emtricitabine-tenofovir df tab 718874-001 CITENVIR TABS 11.45 50 17.18 30 343.5 515.45409 Metformin hcl tab 500 mg 718828-001 METFORMIN ALKEM 500MG TABS 0.244 50 0.37 100 24.4 375410 Metformin hcl tab 850 mg 718827-001 METFORMIN ALKEM 850MG TABS 0.456 50 0.68 60 27.36 40.85413 Corenza cold and flu 714203-002 Corenza cold and flu 0.267 50 0.4 100 26.7 405414 Andolex-c spray 710149-001 Andolex-c spray 47.607 50 71.41 1 47.61 71.415415 Metrogel v 706439-001 Metrogel v 3.027 50 4.54 40 121.08 181.65416 Dilinct dry 708132-002 Dilinct dry 0.179 50 0.27 200 35.8 545417 Gaviscon advance peppermi 711031-002 Gaviscon advance peppermi 0.27 50 0.41 500 135 2055418 ACTRAPHANE HM (GE) FLEXPE 714977-001 ACTRAPHANE HM (GE) FLEXPE 81.544 50 122.32 5 407.72 611.65419 4CS SYRUP [100 ML] 267001-001 4CS SYRUP [100 ML] 0.171 50 0.26 100 17.1 265420 Allergon Cream 2% [25 G] 267002-001 Allergon Cream 2% [25 G] 0.37 50 0.56 20 7.4 11.25424 AMOCILLIN 125MG/5ML SUSP [100 ML] 267005-001 AMOCILLIN 125MG/5ML SUSP [100 ML 0.111 50 0.17 100 11.1 175425 AMOCILLIN 250MG/5ML SUSP 267006-001 AMOCILLIN 250MG/5ML SUSP 0.111 50 0.17 100 11.1 175430 Benzyl Penicillin 5mu Inj 267010-001 Benzyl Penicillin 5mu Inj 0.007 50 0.01 1 0.01 0.015431 Biotet 1% Eye Ointment [1 G] 267011-001 Biotet 1% Eye Ointment [1 G] 7.185 50 10.78 1 7.18 10.785437 Chlornicol Eye Ointment [1 G] 267017-001 Chlornicol Eye Ointment [1 G] 6.459 50 9.69 1 6.46 9.695438 Chlorphen 1g Injection 267018-001 Chlorphen 1g Injection 0.007 50 0.01 1 0.01 0.015440 Cloxil 250mg Capsules 267020-001 Cloxil 250mg Capsules 0.052 50 0.08 1000 52 805442 Codeine Phosphate 30mg Tabs 267022-001 Codeine Phosphate 30mg Tabs 2.832 50 4.25 100 283.2 4255444 Dexone 5mg/ml Injection 267024-001 Dexone 5mg/ml Injection 0.001 50 0 5 0.01 05448 Dizam 10mg/2ml Injection 267028-001 Dizam 10mg/2ml Injection 0.004 50 0.01 2 0.01 0.02




Administered by

5450 Doxyclin 100mg Capsules 267030-001 Doxyclin 100mg Capsules 0.648 50 0.97 24 15.55 23.285454 Ferrous Sulphate Co Tabs 267034-001 Ferrous Sulphate Co Tabs 0.005 50 0.01 1000 5 105458 Flumel Tablets 267036-003 Flumel Tablets 0.001 50 0 12 0.01 05472 Ikleer Eye Drops 267050-001 Ikleer Eye Drops 0.007 50 0.01 1 0.01 0.015474 Kanamycin 1g Injection 267052-001 Kanamycin 1g Injection 0.007 50 0.01 1 0.01 0.015477 Malaquin 250mg Tablets 267054-002 Malaquin 250mg Tablets 0.001 50 0 10 0.01 05498 Miconazole 2% Cream [15 G] 267070-001 Miconazole 2% Cream [15 G] 0.741 50 1.11 20 14.82 22.25501 Mr Strong Capsules 267072-001 Mr Strong Capsules 0.001 50 0 12 0.01 05502 Neodexone Eye Ointment [1 G] 267073-001 Neodexone Eye Ointment [1 G] 0.007 50 0.01 1 0.01 0.015503 Neodexone Eye/ear Drops 267074-001 Neodexone Eye/ear Drops 0.007 50 0.01 1 0.01 0.015521 Ringers Lactate Infusion 267088-001 Ringers Lactate Infusion 0.008 50 0.01 1000 8 105526 Staplex 25mg Tablets 267093-001 Staplex 25mg Tablets 0.009 50 0.01 1000 9 105532 Ultracillin La 2.4 Injection 267098-001 Ultracillin La 2.4 Injection 0.007 50 0.01 1 0.01 0.015537 Atripla 267103-001 Atripla 8.222 50 12.33 30 246.66 369.95541 Matrix-lam+zido 267108-001 Matrix-lam+zido 1.235 50 1.85 60 74.1 1115543 Matrix-tdf/efv/ftc 267110-001 Matrix-tdf/efv/ftc 5.432 50 8.15 30 162.96 244.55557 Alminth Susp (10ml) 267125-001 Alminth Susp (10ml) 0.001 50 0 10 0.01 05558 Alminth 200mg Tablets 267126-001 Alminth 200mg Tablets 0.004 50 0.01 2 0.01 0.025560 Amlocor 10mg Tablets 267128-001 Amlocor 10mg Tablets 1.63 50 2.45 30 48.9 73.55563 Calcigard 10mg Caps 267131-001 Calcigard 10mg Caps 0.593 50 0.89 100 59.3 895564 Calcigard Retard 20mg Tabs 267132-001 Calcigard Retard 20mg Tabs 0.207 50 0.31 100 20.7 315567 Domstal 10mg Tabs 267136-001 Domstal 10mg Tabs 0.296 50 0.44 100 29.6 445568 Domstal Susp (30ml) 267137-001 Domstal Susp (30ml) 0.457 50 0.69 30 13.71 20.75569 Fegem 100mg tabs 267138-001 Fegem 100mg Tabs 0.667 50 1 30 20.01 305570 Fegem Syrup (150ml) 267139-001 Fegem Syrup (150ml) 0.148 50 0.22 150 22.2 335571 Fungicide 200mg tabs 267140-001 Fungicide 200mg Tabs 0.741 50 1.11 30 22.23 33.35572 Herpex cream (5g) 267141-001 Herpex Cream (5g) 1.581 50 2.37 5 7.9 11.855573 Herpex 200mg tabs 267142-001 Herpex 200mg Tabs 0.889 50 1.33 30 26.67 39.95574 Listril 10mg Tabs 267143-001 Listril 10mg Tabs 0.889 50 1.33 30 26.67 39.95576 Lopamide 2mg Tabs 267145-001 Lopamide 2mg Tabs 0.001 50 0 10 0.01 05578 Nexpro 20mg Tabs 267147-001 Nexpro 20mg Tabs 1.975 50 2.96 50 98.75 1485579 Quintor 500mg Tabs 267149-001 Quintor 500mg Tabs 1.185 50 1.78 10 11.85 17.85581 Ranitin Inj 50mg 267152-001 Ranitin Inj 50mg 0.001 50 0 5 0.01 05584 Apo Amitriptyline 10mg Tab 267154-001 Apo Amitriptyline 10mg Tab 0.37 50 0.56 100 37 565585 Apo K 600mg Tab 267155-001 Apo K 600mg Tab 0.009 50 0.01 1000 9 105586 Apo Pen-vk 300mg Tab 267156-001 Apo Pen-vk 300mg Tab 0.444 50 0.67 1000 444 6705590 Apo Carbamazepine 200mg Tab 267159-001 Apo Carbamazepine 200mg Tab 0.593 50 0.89 100 59.3 895591 Apo Cetrizine 10mg Tab 267160-001 Apo Cetrizine 10mg Tab 0.148 50 0.22 100 14.8 225592 Apo Cimetidine 400mg Tab 267161-001 Apo Cimetidine 400mg Tab 0.37 50 0.56 500 185 2805594 Apo diazepam 5mg tab 267163-001 Apo Diazepam 5mg Tab 0.296 50 0.44 100 29.6 445596 Apo Ferrous Gluconate 300mg Tab 267165-001 Apo Ferrous Gluconate 300mg Tab 0.222 50 0.33 500 111 1655598 Apo Hydrochlorothiazide 25mg Tab 267167-001 Apo Hydrochlorothiazide 25mg Tab 0.005 50 0.01 1000 5 105599 Apo Imipramine 25mg Tab 267169-001 Apo Imipramine 25mg Tab 0.007 50 0.01 1000 7 105600 Apo Imipramine 50mg Tab 267170-001 Apo Imipramine 50mg Tab 0.296 50 0.44 100 29.6 445604 Apo Methyldopa 250mg Tab 267174-001 Apo Methyldopa 250mg Tab 0.052 50 0.08 1000 52 805605 Apo Naproxen 250mg Tab 267175-001 Apo Naproxen 250mg Tab 0.444 50 0.67 1000 444 6705608 Apo Nitrofurantoin 100mg Tab 267178-001 Apo Nitrofurantoin 100mg Tab 0.148 50 0.22 100 14.8 225609 Apo Nitrofurantoin 50mg Tab 267179-001 Apo Nitrofurantoin 50mg Tab 0.37 50 0.56 100 37 565611 Apo Piroxicam 20mg Tab 267181-001 Apo Piroxicam 20mg Tab 0.741 50 1.11 100 74.1 1115613 Apo Propranolol 40mg Tab 267183-001 Apo Propranolol 40mg Tab 0.004 50 0.01 1000 4 105618 APO ACETAZOLAMIDE 250MG TAB 267188-001 APO ACETAZOLAMIDE 250MG TAB 0.222 50 0.33 100 22.2 335622 Candid V1 Pessaries 500mg 267192-001 Candid V1 Pessaries 500mg 10.37 50 15.56 1 10.37 15.565623 Syscan 150mg Tabs 267194-001 Syscan 150mg Tabs 0.007 50 0.01 1 0.01 0.015624 Torocef 1g Inj 267195-001 Torocef 1g Inj 0.007 50 0.01 1 0.01 0.015625 Tozaar 50mg Tabs 267196-001 Tozaar 50mg Tabs 1.235 50 1.85 30 37.05 55.55627 Uroflox 400mg Tabs 267198-001 Uroflox 400mg Tabs 1.852 50 2.78 10 18.52 27.85628 Omizac 20mg 267199-001 Omizac 20mg 0.741 50 1.11 30 22.23 33.35634 Dervacort Cream (15g) 267205-001 Dervacort Cream (15g) 0.938 50 1.41 15 14.07 21.155640 Relcer Gel 180mls 267211-001 Relcer Gel 180mls 0.062 50 0.09 180 11.16 16.25641 Remethan Gel 20g 267212-001 Remethan Gel 20g 1.852 50 2.78 20 37.04 55.65649 Serum Doxorubicin 267221-001 Serum Doxorubicin 0.007 50 0.01 1 0.01 0.015650 Betacard 267222-001 Betacard 0.247 50 0.37 30 7.41 11.15656 Apo Cephalex 250mg 267228-001 Apo Cephalex 250mg 0.593 50 0.89 1000 593 8905658 Apo Chlorax 5/2.5 267230-001 Apo Chlorax 5/2.5 0.519 50 0.78 100 51.9 785659 Apo Chlordiazepoxide 25mg 267231-001 Apo Chlordiazepoxide 25mg 0.296 50 0.44 100 29.6 445661 Apo Cloxacillin 250mg 267233-001 Apo Cloxacillin 250mg 0.37 50 0.56 100 37 565662 Apo Diclofenac 25mg 267234-001 Apo Diclofenac 25mg 1.481 50 2.22 100 148.1 2225664 Apo Diltiaz 60mg 267236-001 Apo Diltiaz 60mg 0.852 50 1.28 100 85.2 1285666 Apo Erythro Base 250mg 267238-001 Apo Erythro Base 250mg 0.444 50 0.67 100 44.4 675667 Apo Glyburide 5mg 267240-001 Apo Glyburide 5mg 0.027 50 0.04 500 13.5 205671 Apo Prednisone 5mg 267245-001 Apo Prednisone 5mg 0.044 50 0.07 100 4.4 75675 Apo Tamoxifen 10mg 267250-001 Apo Tamoxifen 10mg 0.444 50 0.67 100 44.4 675676 Apo Trihex 5mg 267251-001 Apo Trihex 5mg 0.239 50 0.36 100 23.9 365697 Tamigen Ear Eye Drops 267274-001 Tamigen Ear Eye Drops 14.815 50 22.22 1 14.81 22.225698 Nexonase Nasal Spray 267275-001 Nexonase Nasal Spray 0.007 50 0.01 1 0.01 0.015699 Decocort Cream 15g 267276-001 Decocort Cream 15g 1.679 50 2.52 15 25.19 37.85702 Gyno-Daktarin 400mg Pessaries 267279-001 Gyno-Daktarin 400mg Pessaries 0.002 50 0 3 0.01 05703 Canditral 100mg Capsules 267280-001 Canditral 100mg Capsules 11.111 50 16.67 4 44.44 66.685704 Pharmacy Compounding Fee 267281-001 Pharmacy Compounding Fee 0.007 50 0.01 1 0.01 0.015705 Rhinathiol 2% paed syrup 267285-001 Rhinathiol 2% paed syrup 0.126 50 0.19 125 15.75 23.755707 Candid v-gel 267339-001 Candid v-gel 0.267 50 0.4 50 13.35 205708 Powercort cream 267343-001 Powercort cream 0.988 50 1.48 15 14.82 22.25709 Griseofulvin 125mg 267397-001 Griseofulvin 125mg 0.494 50 0.74 100 49.4 745710 Remethan supps 100mg 267434-001 Remethan supps 100mg 5.234 50 7.85 5 26.17 39.255711 Valproate Sodium For IV Soln 400 MG 718849-002 EPIPROATE 400MG/4ML VIAL INJ 176.074 50 264.11 1 176.07 264.115713 Domperidone Tab 10 MG 717054-002 VOMI-GUARD 10MG TABS 2.899 50 4.35 10 28.99 43.55714 ALLOPURINOL TAB 300 MG 719128-001 ADCO ALLOPURINOL 300MG TABS 1.228 50 1.84 30 36.84 55.25715 Pantoprazole Sodium EC Tab 20 MG (Base E 718886-001 PENTOZ OTC TABS 2.207 50 3.31 7 15.45 23.175716 Pantoprazole Sodium EC Tab 20 MG (Base E 718886-002 PENTOZ OTC TABS 2.208 50 3.31 14 30.91 46.345717 Omeprazole Magnesium For Inj 40 MG 893846-008 LOSEC INF 40MG POWDER FOR INJ 185.167 50 277.75 5 925.84 1388.755720 Terbinafine HCl Tab 250 MG 718919-001 ADCO TERBINAFINE 250MG TABS 13.093 50 19.64 14 183.3 274.965721 Efavirenz-Emtricitabine-Tenofovir DF Tab 718672-001 TRIVENZ TABS 6.602 50 9.9 30 198.06 2975722 Efavirenz-Emtricitabine-Tenofovir DF Tab 718925-001 ATRESLAWIN TABS 10.719 50 16.08 30 321.57 482.45723 Glucose Blood Test Strip 173709-001 GLUCOSE BLOOD TEST STRIPS DIAM 1.702 50 2.55 50 85.1 127.55729 Risperidone Tab 1 MG 718226-001 RISPEVON 1MG TABS 6.004 50 9.01 60 360.24 540.65730 Risperidone Tab 2 MG 718227-001 RISPEVON 2MG TABS 10.182 50 15.27 60 610.92 916.25731 Risperidone Tab 3 MG 718228-001 RISPEVON 3MG TABS 14.886 50 22.33 60 893.16 1339.85732 Risperidone Tab 4 MG 718229-001 RISPEVON 4MG TABS 19.714 50 29.57 60 1182.84 1774.25733 Ondansetron HCl Inj 2 MG/ML 718558-001 ONDANSETRON 8MG/4ML FRES AMP 11.852 50 17.78 5 59.26 88.95734 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 718557-001 ONDANSETRON 4MG/2ML FRES AMP 5.926 50 8.89 5 29.63 44.455736 Allopurinol Tab 100 MG 779466-013 ZYLOPRIM 100MG TABS 1.069 50 1.6 30 32.07 485737 Allopurinol Tab 300 MG 779474-008 ZYLOPRIM 300MG TABS 2.534 50 3.8 30 76.02 1145738 Bisoprolol & Hydrochlorothiazide Tab 2.5 719200-001 BILOCOR CO 2.5MG/6.25MG TABS 1.913 50 2.87 30 57.39 86.15739 Bisoprolol & Hydrochlorothiazide Tab 5-6 719201-001 BILOCOR CO 5MG/6.25MG TABS 2.031 50 3.05 30 60.93 91.55740 Bisoprolol & Hydrochlorothiazide Tab 10- 719202-001 BILOCOR CO 10MG/6.25MG TABS 2.178 50 3.27 30 65.34 98.15741 Irbesartan Tab 150 MG 719162-001 ISART 150MG TABS 1.8 50 2.7 28 50.4 75.65742 Irbesartan Tab 300 MG 719163-001 ISART 300MG TABS 1.904 50 2.86 28 53.31 80.085743 Atorvastatin Calcium Tab 10 MG (Base Equ 718933-001 VASTOR 10MG TABS 0.71 50 1.07 30 21.3 32.15744 Atorvastatin Calcium Tab 10 MG (Base Equ 719185-001 ASTOR 10MG TABS 0.795 50 1.19 30 23.85 35.7




Administered by

5745 Atorvastatin Calcium Tab 20 MG (Base Equ 718934-001 VASTOR 20MG TABS 0.747 50 1.12 30 22.41 33.65746 Atorvastatin Calcium Tab 20 MG (Base Equ 719186-001 ASTOR 20MG TABS 0.854 50 1.28 30 25.62 38.45747 Atorvastatin Calcium Tab 40 MG (Base Equ 718935-001 VASTOR 40MG TABS 1.222 50 1.83 30 36.66 54.95748 Atorvastatin Calcium Tab 40 MG (Base Equ 719187-001 ASTOR 40MG TABS 1.28 50 1.92 30 38.4 57.65749 Atorvastatin Calcium Tab 80 MG (Base Equ 718936-001 VASTOR 80MG TABS 2.503 50 3.75 30 75.09 112.55750 Atorvastatin Calcium Tab 80 MG (Base Equ 719189-001 ASTOR 80MG TABS 2.502 50 3.75 30 75.06 112.55751 Rosuvastatin Calcium Tab 10 MG 719194-001 STORWIN 10MG TABS 3.26 50 4.89 30 97.8 146.75752 Rosuvastatin Calcium Tab 10 MG 719082-001 VUSOR 10MG TABS 3.258 50 4.89 30 97.74 146.75753 Rosuvastatin Calcium Tab 20 MG 719195-001 STORWIN 20MG TABS 4.719 50 7.08 30 141.57 212.45754 Rosuvastatin Calcium Tab 20 MG 719083-001 VUSOR 20MG TABS 4.716 50 7.07 30 141.48 212.15755 Rosuvastatin Calcium Tab 40 MG 719197-001 STORWIN 40MG TABS 5.736 50 8.6 30 172.08 2585756 Rosuvastatin Calcium Tab 40 MG 719084-001 VUSOR 40MG TABS 5.733 50 8.6 30 171.99 2585757 Pantoprazole Sodium For IV Soln 40 MG (B 718987-001 PANTOPRAZOLE SPECPHARM 40MG IV 28.593 50 42.89 5 142.97 214.455758 Cefuroxime Sodium For Inj 750 MG 718555-001 FKSA CEFUROXIME 750MG VIAL POW 11.262 50 16.89 10 112.62 168.95759 Cefuroxime Sodium For Inj 1.5 GM 718560-001 FKSA CEFUROXIME 1500MG VIAL PO 22.529 50 33.79 10 225.29 337.95760 Fluconazole Cap 150 MG 718565-001 FLUCONAZOLE UNICORN 150MG CAPS 24.074 50 36.11 1 24.07 36.115761 Terbinafine HCl Tab 250 MG 719135-001 TERBINAFINE UNICORN 250MG TABS 12.458 50 18.69 14 174.41 261.665762 Azithromycin Tab 500 MG 719156-001 CIPLA AZITHROMYCIN 500MG TABS 23.496 50 35.24 3 70.49 105.725768 Potassium Chloride Tab CR 8 mEq (600 MG) 718911-001 ULTIPOT 600MG SLOW RELEASE TAB 0.763 50 1.14 30 22.89 34.25769 Potassium Chloride Tab CR 8 mEq (600 MG) 718911-002 ULTIPOT 600MG SLOW RELEASE TAB 0.763 50 1.14 500 381.5 5705770 Bicalutamide Tab 50 MG 718988-001 SPEC BICALUTAMIDE 50MG TABS 12.144 50 18.22 30 364.32 546.65771 Venlafaxine HCl Cap SR 24HR 75 MG (Base 719403-001 VENLAFAXINE ADCO 75MG XR CAPS 5.422 50 8.13 30 162.66 243.95772 Venlafaxine HCl Cap SR 24HR 150 MG (Base 719405-001 VENLAFAXINE ADCO 150MG XR CAPS 9.116 50 13.67 30 273.48 410.15773 Tramadol HCl Tab CR 100 MG 719275-001 TRAMAZAC 100MG TABS SR 2.707 50 4.06 60 162.42 243.65774 Tramadol HCl Tab CR 150 MG 719276-001 TRAMAZAC 150MG TABS SR 3.682 50 5.52 60 220.92 331.25775 Alendronate Sodium Tab 70 MG 719397-001 ALENDRONATE UNICORN 70MG TABS 31.052 50 46.58 4 124.21 186.325776 Rosuvastatin Calcium Tab 10 MG 719251-001 ROSVATOR 10MG TABS 3.26 50 4.89 30 97.8 146.75777 Rosuvastatin Calcium Tab 20 MG 719252-001 ROSVATOR 20MG TABS 4.719 50 7.08 30 141.57 212.45778 Rosuvastatin Calcium Tab 40 MG 719253-001 ROSVATOR 40MG TABS 5.736 50 8.6 30 172.08 2585779 Cimetidine Tab 200 MG 796735-027 ACIDOWN 200MG TABS 0.237 50 0.36 20 4.74 7.25781 Furosemide Tab 40 MG 716048-003 DINO-RETIC 40MG TABS 0.121 50 0.18 30 3.63 5.45782 Amoxicillin & K Clavulanate Tab 875-125 719284-001 SANDOZ CO-AMOXYCLAV 1000MG DIS 7.583 50 11.37 10 75.83 113.75783 Amoxicillin & K Clavulanate Tab 500-125 719283-001 SANDOZ CO-AMOXYCLAV 625MG DISP 4.213 50 6.32 10 42.13 63.25785 Potassium Chloride Tab CR 8 mEq (600 MG) 719270-001 POTASSIUM CHLORIDE UNICORN 600 0.758 50 1.14 500 379 5705786 Cisplatin Inj 10 MG/10ML (1 MG/ML) 840858-020 P&U CISPLATIN CSV 10MG/10ML VI 17.652 50 26.48 1 17.65 26.485787 Escitalopram Oxalate Tab 20 MG (Base Equ 719548-001 ACCORD ESCITALOPRAM 20MG TABS 1.865 50 2.8 28 52.22 78.45788 Escitalopram Oxalate Tab 10 MG (Base Equ 719547-001 ACCORD ESCITALOPRAM 10MG TABS 1.339 50 2.01 28 37.49 56.285789 Haloperidol Tab 5 MG 719549-001 GULF HALOPERIDOL 5MG TABS 0.668 50 1 100 66.8 1005790 Olanzapine Tab 2.5 MG 718995-001 MYLAN OLANZAPINE 2.5MG TABS 5.552 50 8.33 30 166.56 249.95791 Olanzapine Tab 5 MG 718996-001 MYLAN OLANZAPINE 5MG TABS 10.199 50 15.3 30 305.97 4595792 Olanzapine Tab 10 MG 718997-001 MYLAN OLANZAPINE 10MG TABS 12.91 50 19.37 30 387.3 581.15793 Tramadol-Acetaminophen Tab 37.5-325 MG 719052-001 TRAMAZAC CO 37.5/325MG TABS 1.245 50 1.87 60 74.7 112.25794 Tramadol-Acetaminophen Tab 37.5-325 MG 719300-001 ULTRACET TABS 1.569 50 2.35 60 94.14 1415795 Tramadol-Acetaminophen Tab 37.5-325 MG 700243-002 TRAMACET TABS 1.846 50 2.77 60 110.76 166.25796 Fentanyl TD Patch 72HR 25 MCG/HR 719279-001 FENDERMAL 4.2MG 25MCG/1H PATCH 46.2 50 69.3 5 231 346.55797 Fentanyl TD Patch 72HR 50 MCG/HR 719280-001 FENDERMAL 8.4MG 50MCG/1H PATCH 77.267 50 115.9 5 386.33 579.55798 Fentanyl TD Patch 72HR 75 MCG/HR 719281-001 FENDERMAL 12.6MG 75MCG/1H PATC 106.973 50 160.46 5 534.86 802.35799 Fentanyl TD Patch 72HR 100 MCG/HR 719282-001 FENDERMAL 16.8MG 100MCG/1H PAT 137.64 50 206.46 5 688.2 1032.35800 Paracetamol IV Soln 10 MG/ML 705103-001 PERFALGAN 1G INF 16.062 50 24.09 12 192.74 289.085801 Paracetamol IV Soln 10 MG/ML 719180-001 PARASPEN 1GM SOLN VIAL 100ML I 14.129 50 21.19 10 141.29 211.95803 Naproxen Tab 250 MG 715831-002 BIO-NAPROXEN 250MG TABS 0.399 50 0.6 250 99.75 1505804 Montelukast Sodium Chew Tab 4 MG (Base E 719638-001 MONTELUKAST 4MG CHEW BIOTECH 4.514 50 6.77 28 126.39 189.565805 Montelukast Sodium Chew Tab 5 MG (Base E 719639-001 MONTELUKAST 5MG CHEW BIOTECH 4.514 50 6.77 28 126.39 189.565806 Montelukast Sodium Tab 10 MG (Base Equiv 719640-001 MONTELUKAST 10MG TABS BIOTECH 4.514 50 6.77 28 126.39 189.565807 Nifedipine Tab SR 24HR 30 MG 719449-001 GITSALAT 30MG TABS 3.873 50 5.81 28 108.44 162.685808 Nifedipine Tab SR 24HR 60 MG 719450-001 GITSALAT 60MG TABS 5.533 50 8.3 28 154.92 232.45809 Atorvastatin Calcium Tab 10 MG (Base Equ 719366-001 LESTAVOR 10MG TABS 0.733 50 1.1 30 21.99 335810 Atorvastatin Calcium Tab 20 MG (Base Equ 719367-001 LESTAVOR 20MG TABS 0.776 50 1.16 30 23.28 34.85811 Atorvastatin Calcium Tab 40 MG (Base Equ 719368-001 LESTAVOR 40MG TABS 1.294 50 1.94 30 38.82 58.25812 Atorvastatin Calcium Tab 80 MG (Base Equ 719369-001 LESTAVOR 80MG TABS 2.649 50 3.97 30 79.47 119.15813 Rosuvastatin Calcium Tab 5 MG 719081-001 VUSOR 5MG TABS 1.948 50 2.92 30 58.44 87.65814 Rosuvastatin Calcium Tab 5 MG 719249-001 ROSVATOR 5MG TABS 1.841 50 2.76 30 55.23 82.85815 Budesonide Soln Nebu 0.25 MG/ML 718677-001 ARROW BUDESONIDE UDV 0.25/ML 5.56 50 8.34 20 111.2 166.85816 Budesonide Soln Nebu 0.25 MG/ML 825441-013 PULMICORT 0.25MG/ML NEB 8.035 50 12.05 20 160.7 2415817 Budesonide Soln Nebu 0.5 MG/ML 718678-001 ARROW BUDESONIDE UDV 0.5MG/ML 8.032 50 12.05 20 160.64 2415818 Budesonide Soln Nebu 0.5 MG/ML 807885-010 PULMICORT 0.5MG/ML NEBS 10.724 50 16.09 20 214.48 321.85819 Ranitidine HCl Tab 150 MG 719669-001 RANITIDINE 150MG TABS BIOTECH 0.566 50 0.85 60 33.96 515820 Miconazole Gel 2% (Mouth-Throat) 718641-001 VARI MICONAZOLE 2% ORAL GEL 20 2.051 50 3.08 40 82.04 123.25821 Miconazole Gel 2% (Mouth-Throat) 835307-018 DAKTARIN ORAL GEL 4.134 50 6.2 30 124.02 1865822 Mometasone Furoate Cream 0.1% 718942-001 MOMATE 0.1% CREAM 3.664 50 5.5 20 73.28 1105823 Mometasone Furoate Oint 0.1% 718307-001 MOMATE OINTMENT 3.854 50 5.78 20 77.08 115.65824 Mometasone Furoate Oint 0.1% 782025-005 ELOCON OINT 5.007 50 7.51 20 100.14 150.25826 Carboxymethylcellulose Sodium Ophth Soln 714826-001 OPTIVE 0.4ML EYE DROPS 2.284 50 3.43 30 68.52 102.95827 Carboxymethylcellulose Sodium Ophth Soln 711710-001 OPTIVE 15ML EYE DROPS 71.963 50 107.94 1 71.96 107.945828 Carboxymethylcellulose Sodium Ophth Soln 709652-001 OPTIVE 10ML EYE DROPS 59.178 50 88.77 1 59.18 88.775829 Carboxymethylcellulose Sodium Ophth Soln 704150-001 REFRESH TEARS 59 50 88.5 1 59 88.55830 Carboxymethylcellulose Sodium Ophth Soln 861510-003 CELLUFRESH 0.4ML 1.975 50 2.96 30 59.25 88.85832 Artificial Tear Ophth Solution 715566-001 OCULET 10ML 20MG/1ML OPD 72.311 50 108.47 1 72.31 108.475833 Artificial Tear Ophth Solution 717190-001 OPTIVE PLUS 10ML 67.733 50 101.6 1 67.73 101.65834 Artificial Tear Ophth Solution 817562-001 TEARS NATURALE II DROPS 51.615 50 77.42 1 51.62 77.425835 Artificial Tear Ophth Solution 876070-004 HYPOTEARS PLUS 10ML 28.4 50 42.6 1 28.4 42.65836 Artificial Tear Ophth Solution 789208-008 OPTI-TEARS 15ML 26.444 50 39.67 1 26.44 39.675837 Artificial Tear Ophth Solution 817511-008 TEARS NATURAL P/FREE DROP 2.813 50 4.22 30 84.39 126.65838 Artificial Tear Ophth Solution 866849-009 HYPOTEARS PLUS SDU 1.42 50 2.13 20 28.4 42.65839 Gentamicin Sulfate Inj 10 MG/ML 701618-001 GENTAMYCIN FRESENIUS 2ML 10.349 50 15.52 10 103.49 155.25840 Gentamicin Sulfate Inj 10 MG/ML 899132-002 PHARMA-Q GENTAMYCIN 20MG/2ML 6.346 50 9.52 10 63.46 95.25841 Gentamicin Sulfate Inj 10 MG/ML 725862-009 GENTAMYCIN FSK 20MG/2ML AMP 6.649 50 9.97 10 66.49 99.75842 Gentamicin Sulfate Inj 10 MG/ML 728101-009 GARAMYCIN 20MG/2ML 44.133 50 66.2 1 44.13 66.25843 Gentamicin Sulfate Inj 40 MG/ML 899139-002 PHARMA-Q GENTAMYCIN 80MG/2ML 2.729 50 4.09 10 27.29 40.95844 Gentamicin Sulfate Inj 40 MG/ML 832804-002 MYLAN GENTAMYCIN 80MG/2ML INJ 2.612 50 3.92 10 26.12 39.25845 Gentamicin Sulfate Inj 40 MG/ML 701046-003 GENTAMYCIN FSK 40MG/ML 16.276 50 24.41 10 162.76 244.15846 Gentamicin Sulfate Inj 40 MG/ML 899135-005 PHARMA-Q GENTAMYCIN 40MG/ML 8.393 50 12.59 10 83.93 125.95847 Gentamicin Sulfate Inj 40 MG/ML 792683-005 SANDOZ GENTAMYCIN 80MG/2 5.57 50 8.36 10 55.7 83.65848 Gentamicin Sulfate Inj 40 MG/ML 725854-006 GENTAMYCIN FSK 80MG/2ML VIAL 16.276 50 24.41 10 162.76 244.15849 Gentamicin Sulfate Inj 40 MG/ML 825182-018 ASPEN GENTAMYCIN 2ML INJ 2.767 50 4.15 10 27.67 41.55850 Gentamicin Sulfate Inj 40 MG/ML 725838-019 GENTAMYCIN FSK 40MG/ML AMP 12.593 50 18.89 10 125.93 188.95851 Piperacillin Sodium-Tazobactam Sodium Fo 718878-001 CAPLIN POWDER FOR SOLN VIAL 50 97.037 50 145.56 1 97.04 145.565852 Piperacillin Sodium-Tazobactam Sodium Fo 711924-001 CURITAZ 4000MG/500MG VIAL 77.97 50 116.96 1 77.97 116.965853 Piperacillin Sodium-Tazobactam Sodium Fo 709201-001 TAZOCIN 4 EF 4000MG/500MG INJ 268.93 50 403.4 12 3227.16 4840.85854 Piperacillin Sodium-Tazobactam Sodium Fo 703067-001 TAZOBAX 4 INJ 150.067 50 225.1 1 150.07 225.15855 Piperacillin Sodium-Tazobactam Sodium Fo 718626-001 LITHA PIPERACILLIN CO 50ML VI 108.682 50 163.02 1 108.68 163.025857 Metronidazole IV Soln 5 MG/ML 718918-001 BIO METRONIDAZOLE 500MG/100ML 7.089 50 10.63 1 7.09 10.635858 Metronidazole IV Soln 5 MG/ML 714988-001 METRIS 5MG/ML 100ML 7.867 50 11.8 1 7.87 11.85859 Metronidazole IV Soln 5 MG/ML 710435-001 METRONIDAZOLE B BRAUN VIAL 100 5.778 50 8.67 1 5.78 8.675860 Metronidazole IV Soln 5 MG/ML 708770-001 SABAX METRONIDAZ 500MG/100ML 9.244 50 13.87 1 9.24 13.875861 Metronidazole IV Soln 5 MG/ML 779539-001 FLAGYL IV 500MG/100ML INJ 6.281 50 9.42 1 6.28 9.425863 Metronidazole IV Soln 5 MG/ML 708770-002 SABAX METRONIDAZ 500MG/100ML 9.25 50 13.88 50 462.5 6945864 Metronidazole IV Soln 5 MG/ML 772232-091 TRICHAZOLE 500MG/100ML 6.052 50 9.08 1 6.05 9.08




Administered by

5865 Efavirenz-Lamivudine-Tenofovir DF Tab 60 718733-001 EFLATEN TABS 6.919 50 10.38 30 207.57 311.45866 Efavirenz-Lamivudine-Tenofovir DF Tab 60 717780-001 TENARENZ TABS 6.919 50 10.38 30 207.57 311.45871 Mycophenolate Mofetil Tab 500 MG 718504-001 MYCOCEPT 500MG TABS 17.15 50 25.73 50 857.5 1286.55873 Immune Globulin (Human) IV For Soln 1 GM 800775-007 POLYGAM 1GM 50ML INJ 382.985 50 574.48 1 382.98 574.485874 Immune Globulin (Human) IV Soln 2.5 GM/5 713089-001 OCTAGAM 50ML 50MG/1ML INFUSION 799.822 50 1199.73 1 799.82 1199.735875 Immune Globulin (Human) IV Soln 2.5 GM/5 803413-009 INTRAGLOBIN F 50ML 959.074 50 1438.61 1 959.07 1438.615876 Immune Globulin (Human) IV Soln 5 GM/100 713090-001 OCTAGAM 100ML 50MG/1ML INFUSIO 1599.637 50 2399.46 1 1599.64 2399.465877 Immune Globulin (Human) IV Soln 5 GM/100 810304-007 INTRAGLOBIN F 100ML 1918.126 50 2877.19 1 1918.13 2877.195878 Immune Globulin (Human) IV Soln 10 GM/20 713098-001 OCTAGAM 200ML 50MG/1ML INFUSIO 3199.274 50 4798.91 1 3199.27 4798.915879 Immune Globulin (Human) IV Soln 10 GM/20 803405-006 INTRAGLOBIN F 200ML 3836.267 50 5754.4 1 3836.27 5754.45880 Fluoxetine HCl Cap 20 MG 719658-001 PROLAX 20MG CAPS 0.567 50 0.85 28 15.88 23.85881 Vecuronium Bromide IV Soln 2 MG/ML 705378-001 MUSCURON 4MG/2ML INJ 34.927 50 52.39 10 349.27 523.95882 Vecuronium Bromide IV Soln 2 MG/ML 793280-001 NORCURON 4MG/2ML INJ 39.835 50 59.75 10 398.35 597.55883 Vecuronium Bromide IV Soln 2 MG/ML 793280-028 NORCURON 4MG/2ML INJ 39.835 50 59.75 50 1991.75 2987.55885 Pramipexole Dihydrochloride Tab 0.125 MG 719542-001 OXPOLA 0.125MG TABS 1.748 50 2.62 100 174.8 2625886 Pramipexole Dihydrochloride Tab 0.25 MG 719543-001 OXPOLA 0.25MG TABS 2.13 50 3.2 100 213 3205887 Tramadol HCl Tab CR 200 MG 719277-001 TRAMAZAC 200MG SRT 4.332 50 6.5 60 259.92 3905888 Tramadol HCl Tab CR 200 MG 705812-001 TRAMAHEXAL SR 200MG SRT 5.209 50 7.81 60 312.54 468.65889 Ibuprofen-Acetaminophen-Codeine Cap 200- 719664-001 IBUPAIN FORTE CAPS BLISTER PAC 0.949 50 1.42 30 28.47 42.65890 Ibuprofen-Acetaminophen Cap 200-250 MG 719663-001 IBUPAIN CAPS BLISTER PACK 0.791 50 1.19 30 23.73 35.75891 Diclofenac Sodium IM Inj Soln 25 MG/ML 719679-001 BIO DICLOFENAC 25MG/ML 3ML AMP 1.111 50 1.67 5 5.55 8.355892 Atenolol Tab 50 MG 719656-001 ZETENOL 50MG TABS 0.395 50 0.59 30 11.85 17.75893 Atenolol Tab 100 MG 719657-001 ZETENOL 100MG TABS 0.674 50 1.01 30 20.22 30.35894 Candesartan Cilexetil Tab 8 MG 719209-001 MYLACAND 8MG TABS 2.683 50 4.02 30 80.49 120.65895 Candesartan Cilexetil Tab 8 MG 856096-009 ATACAND 8MG TABS 5.264 50 7.9 28 147.39 221.25896 Candesartan Cilexetil Tab 16 MG 719210-001 MYLACAND 16MG TABS 2.683 50 4.02 30 80.49 120.65897 Candesartan Cilexetil Tab 16 MG 856118-002 ATACAND 16MG TABS 6.037 50 9.06 28 169.04 253.685898 Candesartan Cilexetil-Hydrochlorothiazid 719453-001 CANDEPRESS PLUS 16MG/12.5MG 2.688 50 4.03 30 80.64 120.95899 Tranexamic Acid Tab 500 MG 719414-001 MORWAK 500MG TABS 3.532 50 5.3 20 70.64 1065900 Vancomycin HCl For Inj 1000 MG 719677-001 GULF VANCOMYCIN 1G POWD INJ 116.833 50 175.25 10 1168.33 1752.55901 Vancomycin HCl For Inj 500 MG 719675-001 GULF VANCOMYCIN 500MG POWD INJ 58.416 50 87.62 10 584.16 876.25902 Levofloxacin in D5W IV Soln 750 MG/150ML 719151-001 LEVOFLOXACIN-WINTHROP IV 750MG 121.393 50 182.09 1 121.39 182.095903 Levofloxacin in D5W IV Soln 750 MG/150ML 719227-001 TAVANIC 750MG IV 150ML VIAL 110.778 50 166.17 1 110.78 166.175904 Teicoplanin For Inj 200 MG 717364-001 SPEC TEICOPLANIN 200MG POWD FO 283.733 50 425.6 1 283.73 425.65905 Teicoplanin For Inj 200 MG 717373-001 ASPEN TEICOPLANIN 200MG POWD F 305.126 50 457.69 1 305.13 457.695906 Teicoplanin For Inj 200 MG 826774-016 TARGOCID 200MG VIAL 560.893 50 841.34 2 1121.79 1682.685907 Teicoplanin For Inj 200 MG 719385-001 TEICOWIN 200MG IV 10ML VIAL 379.326 50 568.99 2 758.65 1137.985908 Teicoplanin For Inj 400 MG 717365-001 SPEC TEICOPLANIN 400MG POWD FO 546.607 50 819.91 1 546.61 819.915909 Teicoplanin For Inj 400 MG 717374-001 ASPEN TEICOPLANIN 400MG POWD 601.2 50 901.8 1 601.2 901.85910 Teicoplanin For Inj 400 MG 876909-004 TARGOCID 400MG VIAL 1105.156 50 1657.73 1 1105.16 1657.735911 Teicoplanin For Inj 400 MG 719387-001 TEICOWIN 400MG IV 20ML VIAL 747.407 50 1121.11 1 747.41 1121.115912 Acyclovir Tab 200 MG 719670-001 ACYCLOVIR BIOTECH 200MG TABS 1.202 50 1.8 100 120.2 1805913 Erythromycin Stearate Tab 250 MG 719683-001 RACEMIN 250MG TABS 0.876 50 1.31 100 87.6 1315914 Glucose Blood Test Strip 180991-001 ACCU-CHEK PERFORMA BLOOD GLUCO 2.297 50 3.45 50 114.85 172.55918 MAGNESIUM W/ VIT C EFFER TAB 172-150 MG 706488-001 SLOW-MAG FIZZY EFF TABS 3.044 50 4.57 20 60.88 91.45920 Zolpidem Tartrate Tab 10 MG 719875-001 NYXE 10MG TABS 1.941 50 2.91 30 58.23 87.35921 Olanzapine Orally Disintegrating Tab 5 M 719806-001 PREXOLAN 5MG TABS 9.244 50 13.87 30 277.32 416.15922 Olanzapine Orally Disintegrating Tab 10 719807-001 PREXOLAN 10MG TABS 11.852 50 17.78 30 355.56 533.45923 Pramipexole Dihydrochloride Tab 0.125 MG 719844-001 PRAMEX 0.125MG TABS 1.652 50 2.48 100 165.2 2485924 Pramipexole Dihydrochloride Tab 0.25 MG 719843-001 PRAMEX 0.25MG TABS 1.652 50 2.48 100 165.2 2485925 Ibuprofen Tab 200 MG 710822-112 BRUFEN 200MG TABS 1.021 50 1.53 10 10.21 15.35926 Ibuprofen Tab 200 MG 710822-113 BRUFEN 200MG TABS 1.021 50 1.53 20 20.42 30.65927 Desloratadine Tab 5 MG 719454-001 CLAREX 5MG TABS 2.751 50 4.13 10 27.51 41.35928 Desloratadine Tab 5 MG 719454-002 CLAREX 5MG TABS 2.751 50 4.13 30 82.53 123.95929 Bisoprolol Fumarate Tab 5 MG 719154-001 BISLO 5MG TABS 1.066 50 1.6 30 31.98 485930 Bisoprolol Fumarate Tab 10 MG 719155-001 BISLO 10MG TABS 1.793 50 2.69 30 53.79 80.75931 Valsartan-Hydrochlorothiazide Tab 160-12 719205-001 DYNAVAL CO 160MG/12.5MG TABS 2.043 50 3.06 30 61.29 91.85932 Valsartan-Hydrochlorothiazide Tab 160-25 719206-001 DYNAVAL CO 160MG/25MG TABS 2.043 50 3.06 30 61.29 91.85933 Valsartan Tab 80 MG 719850-001 VALANT 80MG TABS 1.77 50 2.66 28 49.56 74.485934 Valsartan Tab 160 MG 719851-001 VALANT 160MG TABS 1.77 50 2.66 28 49.56 74.485935 Valsartan-Hydrochlorothiazide Tab 80-12. 719204-001 DYNAVAL CO 80MG/12.5MG TABS 2.043 50 3.06 30 61.29 91.85936 Candesartan Cilexetil-Hydrochlorothiazid 719506-001 MYLACAND PLUS 16MG/12.5MG 2.981 50 4.47 30 89.43 134.15937 Simvastatin Tab 20 MG 705465-002 AUSTELL-SIMVASTATIN 20MG TABS 0.589 50 0.88 28 16.49 24.645938 Acetylcysteine Effer Tab 200 MG 719848-001 MUCOFIZZ 200MG EFFERV TABS 1.49 50 2.24 20 29.8 44.85939 Cefpodoxime Proxetil For Susp 40 MG/5ML 719702-001 ASPEN CEFPODOXIME 40MG/5ML SUS 0.934 50 1.4 50 46.7 705940 Cefpodoxime Proxetil For Susp 40 MG/5ML 719702-002 ASPEN CEFPODOXIME 40MG/5ML SUS 0.934 50 1.4 100 93.4 1405941 Teicoplanin For Inj 200 MG 719287-001 PLANITEC 200MG POWD VIAL FOR S 238.882 50 358.32 1 238.88 358.325942 Atovaquone-Proguanil HCl Tab 250-100 MG 700780-001 MALANIL TAB 20.595 50 30.89 12 247.14 370.685943 Atovaquone-Proguanil HCl Tab 250-100 MG 719384-001 NUMAL TABS 17.386 50 26.08 12 208.63 312.965944 Clarithromycin Tab 500 MG 719921-001 KLARYVID 500MG TABS 5.257 50 7.89 10 52.57 78.95945 Clarithromycin Tab 250 MG 716675-001 KLARYVID 250MG TABS 4.84 50 7.26 10 48.4 72.65946 Metformin HCl Tab 500 MG 719784-001 DIAPHAGE 500MG TABS 0.269 50 0.4 90 24.21 365947 Metformin HCl Tab 500 MG 718828-002 METFORMIN ALKEM 850MG TABS 0.244 50 0.37 500 122 1855948 Metformin HCl Tab 850 MG 719785-001 DIAPHAGE 850MG TABS 0.445 50 0.67 60 26.7 40.25949 Metformin HCl Tab 850 MG 719644-001 ROMIDAB 850MG TABS 0.478 50 0.72 60 28.68 43.25950 Metformin HCl Tab 850 MG 718827-002 METFORMIN ALKEM 850MG TABS 0.454 50 0.68 300 136.2 2045951 Metformin HCl Tab 850 MG 718827-003 METFORMIN ALKEM 850MG TABS 0.454 50 0.68 250 113.5 1705952 Metformin HCl Tab 1000 MG 719786-001 DIAPHAGE 1000MG TABS 0.459 50 0.69 60 27.54 41.45953 Metformin HCl Tab 1000 MG 719645-001 ROMIDAB 1000MG TABS 0.457 50 0.69 60 27.42 41.45955 Lancets 181145-001 ACCU-CHEK FASTCLIX DRUMS 2.686 50 4.03 24 64.46 96.725957 Gemcitabine HCl For Inj 200 MG 717963-001 MYLAN GEMCITABINE 200MG POWD V 176.509 50 264.76 1 176.51 264.765958 Gemcitabine HCl For Inj 1 GM 717964-001 MYLAN GEMCITABINE 1GM POWD FOR 882.519 50 1323.78 1 882.52 1323.785959 Docetaxel For Inj Conc 20 MG/0.5ML (40 M 719680-001 DOCEFREZ 20MG POWD VIAL FOR SO 554.985 50 832.48 1 554.98 832.485960 Docetaxel For Inj Conc 80 MG/2ML (40 MG/ 719681-001 DOCEFREZ 80MG POWD VIAL FOR SO 2219.933 50 3329.9 1 2219.93 3329.95961 Pramipexole Dihydrochloride Tab 1 MG 898828-012 PEXOLA 1MG TABS 9.353 50 14.03 100 935.3 14035962 Pramipexole Dihydrochloride Tab 1 MG 719545-001 OXPOLA 1MG TABS 7.012 50 10.52 100 701.2 10525963 Pramipexole Dihydrochloride Tab 1 MG 719845-001 PRAMEX 1MG TABS 6.626 50 9.94 100 662.6 9945964 PARACETAMOL TAB 500 MG 717725-002 ACTAMOL 500MG TABS 0.346 50 0.52 10 3.46 5.25965 PARACETAMOL TAB 500 MG 717725-003 ACTAMOL 500MG TABS 0.322 50 0.48 20 6.44 9.65966 Levocetirizine Dihydrochloride Tab 5 MG 719790-001 ALLERWAY 5MG TABS 1.627 50 2.44 10 16.27 24.45967 Levocetirizine Dihydrochloride Tab 5 MG 719790-002 ALLERWAY 5MG TABS 1.626 50 2.44 30 48.78 73.25978 Etoposide Inj 20 MG/ML 719861-001 ASPEN ETOPOSIDE 100MG/5ML INF 110.511 50 165.77 1 110.51 165.775979 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/M 716950-001 GENEXOL 100MG/16.7ML CONC FOR 384.178 50 576.27 1 384.18 576.275980 Estradiol valerate 716676-001 Qlaira tab 28 3.578 50 5.37 28 100.18 150.365981 Ropinirole Hydrochloride Tab 0.25 MG 719569-001 ACCORD ROPINIROLE 0.25MG TABS 0.661 50 0.99 84 55.52 83.165982 Ropinirole Hydrochloride Tab 0.5 MG 719570-001 ACCORD ROPINIROLE 0.5MG TABS 1.103 50 1.65 84 92.65 138.65983 Ropinirole Hydrochloride Tab 1 MG 719571-001 ACCORD ROPINIROLE 1MG TABS 1.652 50 2.48 84 138.77 208.325984 Ropinirole Hydrochloride Tab 2 MG 719572-001 ACCORD ROPINIROLE 2MG TABS 2.575 50 3.86 84 216.3 324.245985 Ropinirole Hydrochloride Tab 5 MG 719573-001 ACCORD ROPINIROLE 5MG TABS 4.234 50 6.35 84 355.66 533.45986 Ondansetron HCl Tab 4 MG 716720-001 AUSTELL ONDANSETRON 4MG TABS 14.083 50 21.12 5 70.42 105.65987 Ondansetron HCl Tab 4 MG 716720-002 AUSTELL ONDANSETRON 4MG TABS 14.084 50 21.13 10 140.84 211.35988 Ondansetron HCl Tab 8 MG 717154-001 AUSTELL ONDANSETRON 8MG TABS 28.159 50 42.24 5 140.8 211.25989 Valsartan Tab 40 MG 719849-001 VALANT 40MG TABS 1.77 50 2.66 28 49.56 74.485990 Valsartan Tab 40 MG 705488-001 DIOVAN 40MG F/COATED TABS 4.363 50 6.54 28 122.16 183.125991 Clopidogrel Bisulfate Tab 75 MG (Base Eq 719884-001 SPEC CLOPIDOGREL 75MG TABS 3.638 50 5.46 30 109.14 163.85992 Omeprazole Magnesium For Inj 40 MG 718490-001 OMEPRAZOLE 40MG SAFELINE POWD 63.274 50 94.91 1 63.27 94.915993 Famciclovir Tab 125 MG 718876-001 CIPLAFAM 125MG TABS 9.241 50 13.86 10 92.41 138.65994 Famciclovir Tab 250 MG 718877-001 CIPLAFAM 250MG TABS 19.145 50 28.72 21 402.05 603.12




Administered by

5995 Levofloxacin Tab 750 MG 719775-001 LEVOFLOXACIN-WINTHROP 750MG TABS 20.028 50 30.04 5 100.14 150.25996 Levofloxacin Tab 750 MG 709847-001 TAVALOXX 750MG TABS 19.624 50 29.44 5 98.12 147.25998 Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 718488-001 IRINOTECAN 40MG/2ML SAFELINE 243.667 50 365.5 1 243.67 365.55999 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) 718489-001 IRINOTECAN 100MG/5ML SAFELINE 609.163 50 913.74 1 609.16 913.746000 Quinapril-Hydrochlorothiazide Tab 10-12. 719873-001 BIQURETIC 10MG/12.5MG TABS 1.404 50 2.11 30 42.12 63.36001 Quinapril-Hydrochlorothiazide Tab 20-12. 719874-001 BIQURETIC 20MG/12.5MG TABS 2.177 50 3.27 30 65.31 98.16002 Ranitidine HCl Effer Tab 150 MG 811882-021 ZANTAC 150MG TABS EFFERVES 8.55 50 12.83 14 119.7 179.626003 Ranitidine HCl Effer Tab 300 MG 791733-018 ZANTAC 300MG TABS EFFERVES 16.617 50 24.93 14 232.64 349.026005 Valacyclovir HCl Tab 500 MG 719995-001 SHILOVA 500MG TABS 11.639 50 17.46 10 116.39 174.66006 Valacyclovir HCl Tab 500 MG 719995-002 SHILOVA 500MG TABS 11.639 50 17.46 30 349.17 523.86007 Valacyclovir HCl Tab 500 MG 719995-003 SHILOVA 500MG TABS 11.638 50 17.46 42 488.8 733.326008 Metformin HCl Tab 500 MG 719643-001 ROMIDAB 500MG TABS 0.24 50 0.36 100 24 366012 Valproate Sodium Tab CR 300 MG 720026-1 VANAPRO 300MG TABS 2.167 50 3.25 100 216.7 3256013 Valproate Sodium Tab CR 500 MG 720027-1 VANAPRO 500MG TABS 3.575 50 5.36 100 357.5 5366014 ACETAMINOPHEN IV SOLN 10 MG/ML 720007-001 PARACETAMOL FRESENIUS 10MG/ML 1.304 50 1.96 50 65.2 986015 ACETAMINOPHEN IV SOLN 10 MG/ML 720008-001 PARACETAMOL FRES 10MG/ML 100ML 13.037 50 19.56 10 130.37 195.66016 Pantoprazole Sodium EC Tab 20 MG (Base E 720116-1 PANTOR 20MG TABLETS 2.782 50 4.17 30 83.46 125.16017 Pantoprazole Sodium EC Tab 40 MG (Base E 720117-1 PANTOR 40MG TABLETS 3.755 50 5.63 30 112.65 168.96018 Ceftazidime For Inj 1 GM 720009-1 CEFTAZIDIME FRESENIUS 1000MG V 48.396 50 72.59 10 483.96 725.96023 Lancets 189918-1 LANCET BIONIME STERILE DISPOSA 0.584 50 0.88 100 58.4 886024 Dexamethasone Sodium Phosphate Inj 4 MG/ 720206-1 FRESENIUS DEXAMETHASONE 4MG/ML 5.556 50 8.33 10 55.56 83.36025 Levofloxacin Tab 750 MG 720239-1 TAVANIC 750MG TABS 20.696 50 31.04 5 103.48 155.26026 Sertraline HCl Tab 50 MG 719972-001 DYNA SERTRALINE 50MG TABS 1.596 50 2.39 30 47.88 71.76027 Sertraline HCl Tab 100 MG 719973-001 DYNA SERTRALINE 100MG TABS 1.702 50 2.55 30 51.06 76.56028 Donepezil Hydrochloride Tab 5 MG 720339-001 DONERIN 5MG TABS 7.934 50 11.9 28 222.15 333.26029 Donepezil Hydrochloride Tab 10 MG 720340-001 DONERIN 10MG TABS 8.479 50 12.72 28 237.41 356.166030 Bisoprolol Fumarate Tab 5 MG 720043-001 BISOPROLOL ZYDUS 5MG TABS 1.024 50 1.54 30 30.72 46.26031 Bisoprolol Fumarate Tab 10 MG 720044-001 BISOPROLOL ZYDUS 10MG TABS 1.746 50 2.62 30 52.38 78.66032 Bisoprolol & Hydrochlorothiazide Tab 2.5 720031-001 ZIABETA 2.5/6.25MG TABS 2.201 50 3.3 30 66.03 996033 Bisoprolol & Hydrochlorothiazide Tab 5-6 720032-001 ZIABETA 5/6.25MG TABS 2.201 50 3.3 30 66.03 996034 Bisoprolol & Hydrochlorothiazide Tab 10- 720033-001 ZIABETA 10/6.25MG TABS 2.201 50 3.3 30 66.03 996035 Candesartan Cilexetil Tab 8 MG 720318-001 CANDAGEN 8MG TABS 2.535 50 3.8 30 76.05 1146036 Candesartan Cilexetil Tab 16 MG 720319-001 CANDAGEN 16MG TABS 2.535 50 3.8 30 76.05 1146037 Simvastatin Tab 10 MG 707089-001 ARROW SIMVASTATIN 10MG TABS 0.739 50 1.11 28 20.69 31.086038 Simvastatin Tab 20 MG 707090-001 ARROW SIMVASTATIN 20MG TABS 0.83 50 1.25 28 23.24 356039 Simvastatin Tab 40 MG 707091-002 ARROW SIMVASTATIN 40MG TABS 0.83 50 1.25 28 23.24 356040 Teicoplanin For Inj 200 MG 719992-001 DYNA TEICOPLANIN 200MG POWD 201.83 50 302.75 1 201.83 302.756041 Teicoplanin For Inj 400 MG 719993-001 DYNA TEICOPLANIN 400MG POWD 388.148 50 582.22 1 388.15 582.226042 Fluconazole Cap 200 MG 720045-001 ZYDUS FLUCONAZOLE 200MG CAPS 7.732 50 11.6 30 231.96 3486043 Ciprofloxacin HCl Tab 250 MG (Base Equiv 719659-001 PROFLOXIN 250MG TABS 1.142 50 1.71 10 11.42 17.16044 Ciprofloxacin HCl Tab 500 MG (Base Equiv 719660-001 PROFLOXIN 500MG TABS 1.542 50 2.31 10 15.42 23.16050 Mycophenolate Mofetil Cap 250 MG 720269-001 MYCOKEM 250MG CAPS 7.722 50 11.58 100 772.2 11586051 Mycophenolate Mofetil Cap 250 MG 720271-001 MYCOPHENOLATE ALKEM 250MG CAPS 7.887 50 11.83 100 788.7 11836052 Mycophenolate Mofetil Tab 500 MG 720270-001 MYCOKEM 500MG TABS 15.041 50 22.56 50 752.05 11286053 Mycophenolate Mofetil Tab 500 MG 720272-001 MYCOPHENOLATE ALKEM 500MG TABS 15.774 50 23.66 50 788.7 11836054 Docetaxel For Inj Conc 20 MG/0.5ML (40 M 719959-001 ERIOX 20MG VIAL CONCENTRATE IN 445.659 50 668.49 1 445.66 668.496055 Docetaxel For Inj Conc 80 MG/2ML (40 MG/ 719960-001 ERIOX 80MG VIAL CONCENTRATE IN 1782.667 50 2674 1 1782.67 26746056 Escitalopram Oxalate Tab 20 MG (Base Equ 720378-001 DOLIN 20MG TABS 2.291 50 3.44 30 68.73 103.26057 Escitalopram Oxalate Tab 10 MG (Base Equ 720377-001 DOLIN 10MG TABS 1.999 50 3 30 59.97 906058 Risperidone Tab 0.5 MG 720334-001 PERIDA 0.5MG TABS 3.281 50 4.92 30 98.43 147.66059 Risperidone Tab 1 MG 720335-001 PERIDA 1MG TABS 6.673 50 10.01 30 200.19 300.36060 Levetiracetam Tab 500 MG 720322-001 TORCETAM 500MG TABS 3.314 50 4.97 60 198.84 298.26061 Levetiracetam Tab 250 MG 720320-001 TORCETAM 250MG TABS 1.657 50 2.49 60 99.42 149.46062 Levetiracetam Tab 750 MG 720323-001 TORCETAM 750MG TABS 4.971 50 7.46 60 298.26 447.66063 Montelukast Sodium Tab 10 MG (Base Equiv 720431-001 BELAIR 10MG TABLETS 4.889 50 7.33 28 136.89 205.246066 Esomeprazole Magnesium Tab Delayed Relea 718879-001 NEXMEZOL 20MG TABS 5.082 50 7.62 14 71.15 106.686067 Esomeprazole Magnesium Tab Delayed Relea 718879-002 NEXMEZOL 20MG TABS 5.081 50 7.62 28 142.27 213.366068 Esomeprazole Magnesium Tab Delayed Relea 720215-001 TRUSTAN 20MG TABS 5.324 50 7.99 14 74.54 111.866069 Esomeprazole Magnesium Tab Delayed Relea 720215-002 TRUSTAN 20MG TABS 5.324 50 7.99 28 149.07 223.726070 Esomeprazole Magnesium Tab Delayed Relea 718880-001 NEXMEZOL 40MG TABS 7.842 50 11.76 14 109.79 164.646071 Esomeprazole Magnesium Tab Delayed Relea 718880-002 NEXMEZOL 40MG TABS 7.838 50 11.76 28 219.46 329.286072 Esomeprazole Magnesium Tab Delayed Relea 720217-001 TRUSTAN 40MG TABS 8.211 50 12.32 14 114.95 172.486073 Esomeprazole Magnesium Tab Delayed Relea 720217-002 TRUSTAN 40MG TABS 8.211 50 12.32 28 229.91 344.966074 Carboxymethylcellulose Sodium Ophth Soln 720433-001 XAILIN FRESH EYE DROPS 0.4ML 1.728 50 2.59 30 51.84 77.76075 Ampicillin Sodium For Inj 500 MG 719996-001 AURO AMPICILLIN 500MG POWD FOR 7.511 50 11.27 1 7.51 11.276076 Cefprozil Tab 250 MG 720375-001 LIZORP 250MG TABS 7.61 50 11.42 10 76.1 114.26077 Cefprozil Tab 500 MG 720376-001 LIZORP 500MG TABS 12.59 50 18.89 10 125.9 188.96083 Anastrozole Tab 1 MG 719925-001 ANABREZ 1MG TABS 12.295 50 18.44 30 368.85 553.26084 Carboplatin IV For Inj 150 MG 720402-001 ASPEN CARBOPLATIN 150MG/15ML S 180.082 50 270.12 1 180.08 270.126085 Carboplatin IV For Inj 450 MG 720403-001 ASPEN CARBOPLATIN 450MG/45ML S 540.237 50 810.36 1 540.24 810.366086 Imatinib Mesylate Tab 100 MG (Base Equiv 719926-001 IMALEK 100MG TABS 80.67 50 121.01 60 4840.2 7260.66087 Olanzapine Tab 2.5 MG 720527-001 LANAZYP 2.5MG TABS 4.964 50 7.45 28 138.99 208.66088 Olanzapine Tab 5 MG 720528-001 LANAZYP 5MG TABS 9.931 50 14.9 28 278.07 417.26089 Olanzapine Tab 10 MG 720529-001 LANAZYP 10MG TABS 13.358 50 20.04 28 374.02 561.126090 Betahistine Hydrochloride Tab 24 MG 707452-002 SERC 24MG TABS 8.371 50 12.56 20 167.42 251.26091 Betahistine Hydrochloride Tab 24 MG 720325-001 HIDRIST 24MG TABS 7.073 50 10.61 20 141.46 212.26092 Donepezil Hydrochloride Tab 5 MG 720362-001 ARIMER 5MG TABS 6.991 50 10.49 30 209.73 314.76093 Donepezil Hydrochloride Tab 10 MG 720363-001 ARIMER 10MG TABS 7.55 50 11.33 30 226.5 339.96094 Tramadol-Paracetamol Tab 37.5-325 MG 719052-002 TRAMAZAC CO 37.5/325MG TABS 1.245 50 1.87 30 37.35 56.16095 Paracetamol Effer Tab 500 MG 720438-001 PARAFIZZ 500MG EFFERVESCENT 0.684 50 1.03 16 10.94 16.486096 Paracetamol Effer Tab 500 MG 720438-002 PARAFIZZ 500MG EFFERVESCENT 0.684 50 1.03 48 32.83 49.446097 Zoledronic Acid Inj Conc For IV Infusion 719858-001 ZOMABON 4MG/5ML VIAL FOR SOL 1141.141 50 1711.71 1 1141.14 1711.716098 Perindopril Erbumine-Indapamide Tab 4-1. 720389-001 COVERSYL PLUS 5MG/1.25MG TABS 4.597 50 6.9 30 137.91 2076099 Irbesartan Tab 150 MG 720582-001 ANTOSART 150MG TABS 2.182 50 3.27 28 61.1 91.566100 Irbesartan Tab 300 MG 720583-001 ANTOSART 300MG TABS 2.503 50 3.75 28 70.08 1056101 Simvastatin Tab 10 MG 705464-002 AUSTELL-SIMVASTATIN 10MG TABS 0.53 50 0.8 28 14.84 22.46102 Atorvastatin Calcium Tab 80 MG (Base Equ 720211-001 ASPAVOR 80MG TABS 2.352 50 3.53 30 70.56 105.96103 Omeprazole Magnesium Tab CR 20 MG 720358-001 CORPOCID 20MG TABS 3.382 50 5.07 30 101.46 152.16107 Sildenafil Citrate Tab 25 MG 843652-004 VIAGRA 25MG TABS 52.465 50 78.7 4 209.86 314.86108 Emtricitabine-Tenofovir Disoproxil Fumar 720242-001 TENEMCOM 200/300MG TABS 7.779 50 11.67 30 233.37 350.16111 Polysaccharide Iron Complex IV Soln 20 M 719989-001 RAUTEVENE 100MG/5ML AMP INJECT 85.89 50 128.84 5 429.45 644.26112 Anastrozole Tab 1 MG 720035-001 MEDIVISION ANASTROZOLE 1MG TAB 13.592 50 20.39 30 407.76 611.76113 Cisplatin Inj 10 MG/10ML (1 MG/ML) 720381-001 CISACOR 1MG/ML VIAL 10ML SOLN 15.659 50 23.49 1 15.66 23.496114 Cisplatin Inj 50 MG/50ML (1 MG/ML) 720382-001 CISACOR 1MG/ML VIAL 50ML SOLN 78.311 50 117.47 1 78.31 117.476115 Diazepam Tab 5 MG 721174-028 DOVAL 5MG TABS 0.065 50 0.1 1000 65 1006116 Topiramate Tab 25 MG 718288-002 TOPIROL 25MG TABS 1.615 50 2.42 30 48.45 72.66117 Topiramate Tab 25 MG 718855-001 EPIMATE 25MG TABS 1.615 50 2.42 60 96.9 145.26118 Topiramate Tab 50 MG 718856-001 EPIMATE 50MG TABS 2.944 50 4.42 60 176.64 265.26119 Topiramate Tab 100 MG 718857-001 EPIMATE 100MG TABS 4.994 50 7.49 60 299.64 449.46120 Topiramate Tab 200 MG 718858-001 EPIMATE 200MG TABS 7.411 50 11.12 60 444.66 667.26121 PARACETAMOL TAB 500 MG 720327-001 PANADO 500MG TABS BLISTER PACK 0.41 50 0.62 24 9.84 14.886122 Cetirizine HCl Tab 10 MG 720664-001 ZINALLERG 10MG TABS 0.939 50 1.41 30 28.17 42.36123 Bisoprolol Fumarate Tab 5 MG 720659-001 BISBETA 5MG TABS 1.122 50 1.68 30 33.66 50.46124 Bisoprolol Fumarate Tab 10 MG 720660-001 BISBETA 10MG TABS 1.928 50 2.89 30 57.84 86.76125 Perindopril Erbumine Tab 5 MG 720387-001 PREXUM 5MG TABS 1.728 50 2.59 30 51.84 77.76126 Perindopril Erbumine-Indapamide Tab 8-2. 720388-001 PREXUM PLUS 5MG/1.25MG TABS 2.04 50 3.06 30 61.2 91.86127 Telmisartan Tab 40 MG 720592-001 TELGEN 40MG TABS 2.729 50 4.09 30 81.87 122.76128 Telmisartan Tab 40 MG 720439-001 MIZART 40MG TABS 2.729 50 4.09 30 81.87 122.7




Administered by

6129 Telmisartan Tab 80 MG 720593-001 TELGEN 80MG TABS 2.729 50 4.09 30 81.87 122.76130 Telmisartan Tab 80 MG 720440-001 MIZART 80MG TABS 2.729 50 4.09 30 81.87 122.76132 Amiloride & Hydrochlorothiazide Tab 5-50 719984-001 DEZRETIC 5MG/50MG TABS 0.184 50 0.28 1000 184 2806133 Teicoplanin For Inj 200 MG 720522-001 TARBACT 200MG POWD FOR INJ VIA 155.259 50 232.89 1 155.26 232.896134 Teicoplanin For Inj 400 MG 720523-001 TARBACT 400MG POWD FOR INJ VIA 310.519 50 465.78 1 310.52 465.786135 Fluconazole Cap 200 MG 720661-001 AURO FLUCONAZOLE 200MG CAPS 8.76 50 13.14 30 262.8 394.26136 Efavirenz-Emtricitabine-Tenofovir DF Tab 716768-002 ODIMUNE TABS 11.48 50 17.22 28 321.44 482.166137 Efavirenz-Emtricitabine-Tenofovir DF Tab 720428-002 ATENEF TABS 10.849 50 16.27 30 325.47 488.16138 Lamivudine-Zidovudine Tab 150-300 MG 720618-001 ZOVILAM 150MG/300MG TABS 3.998 50 6 60 239.88 3606139 Gliclazide Tab 80 MG 720665-001 DIAGLUMED 80MG TABS 0.598 50 0.9 60 35.88 546142 Folic Acid Tab 5 MG 720727-001 GULF FOLIC ACID 5MG TABS 0.37 50 0.56 1000 370 5606143 Polysaccharide Iron Complex IV Soln 20 M 873276-019 VENOFER 20MG/ML INJ 5ML 107.401 50 161.1 5 537.01 805.56144 Polysaccharide Iron Complex IV Soln 20 M 720231-001 ZYPIRON 20MG/ML 5ML VIAL 72.074 50 108.11 5 360.37 540.556145 Mycophenolate Mofetil Cap 250 MG 720413-001 MYCOCEPT 250MG CAPS 8.575 50 12.86 100 857.5 12866146 Imatinib Mesylate Tab 400 MG (Base Equiv 705490-001 GLEEVEC 400MG TABS 823.091 50 1234.64 30 24692.73 37039.26147 Imatinib Mesylate Tab 400 MG (Base Equiv 719927-001 IMALEK 400MG TABS 322.681 50 484.02 30 9680.43 14520.66148 Olanzapine Tab 2.5 MG 720712-001 PREXOLAN 2.5MG TABS 6.553 50 9.83 30 196.59 294.96149 Olanzapine Tab 5 MG 720713-001 PREXOLAN 5MG TABS 9.403 50 14.1 30 282.09 4236150 Olanzapine Tab 10 MG 720714-001 PREXOLAN 10MG TABS 12.056 50 18.08 30 361.68 542.46151 Levetiracetam Tab 250 MG 720697-001 LEVETIRACETAM BIOTECH 250MG 2.13 50 3.2 60 127.8 1926152 Levetiracetam Tab 750 MG 720696-001 LEVETIRACETAM BIOTECH 750MG 6.391 50 9.59 60 383.46 575.46153 Donepezil Hydrochloride Tab 5 MG 720802-001 ARIMENTIA 5MG TABS 6.818 50 10.23 30 204.54 306.96154 Donepezil Hydrochloride Tab 10 MG 720803-001 ARIMENTIA 10MG TABS 6.763 50 10.14 30 202.89 304.26155 Paracetamol IV Soln 10 MG/ML 720634-001 INTRAMOL 10MG/1ML 100ML INF VI 14.556 50 21.83 1 14.56 21.836157 Piroxicam Tab Disp 20 MG 821144-015 RHEUGESIC 20MG DISP TABS 1.316 50 1.97 5 6.58 9.856158 Alendronate Sodium Tab 70 MG 720516-001 DENSATE 70MG TABS 31.082 50 46.62 4 124.33 186.486159 Desloratadine Tab 5 MG 720738-001 LORALEX 5MG TABS 2.196 50 3.29 10 21.96 32.96160 Desloratadine Tab 5 MG 720738-002 LORALEX 5MG TABS 2.196 50 3.29 30 65.88 98.76161 Losartan Potassium Tab 50 MG 720775-001 LOZAAN 50MG TABS 2.025 50 3.04 30 60.75 91.26162 Losartan Potassium Tab 100 MG 720776-001 LOZAAN 100MG TABS 2.025 50 3.04 30 60.75 91.26163 Salbutamol Sulfate Inhal Aero 108 MCG/AC 720723-001 VENTIMAX CFC FREE 100MCG 200 D 17.459 50 26.19 1 17.46 26.196164 Pantoprazole Sodium For IV Soln 40 MG (B 720716-001 PRAZOLOC 40MG POWD FOR SOLN 19.881 50 29.82 1 19.88 29.826165 Esomeprazole Magnesium Tab Delayed Relea 720753-001 NEXIPRAZ 20MG TABS 4.729 50 7.09 30 141.87 212.76166 Esomeprazole Magnesium Tab Delayed Relea 720754-001 NEXIPRAZ 40MG TABS 7.274 50 10.91 30 218.22 327.36167 TERBINAFINE HCL CREAM 1% 720777-001 ALMATIL 1% CRM 2.962 50 4.44 7.5 22.21 33.36168 Terbinafine HCl Cream 1% 720777-002 ALMATIL 1% CRM 2.963 50 4.44 15 44.45 66.66169 Sildenafil Citrate Tab 50 MG 720638-001 SILWIN 50MG TABS 25.619 50 38.43 2 51.24 76.866170 Sildenafil Citrate Tab 50 MG 720638-002 SILWIN 50MG TABS 25.621 50 38.43 4 102.48 153.726171 Sildenafil Citrate Tab 50 MG 720645-001 VITRIXA 50MG TABS 26.382 50 39.57 4 105.53 158.286172 Sildenafil Citrate Tab 100 MG 720639-001 SILWIN 100MG TABS 34.771 50 52.16 2 69.54 104.326173 Sildenafil Citrate Tab 100 MG 720639-002 SILWIN 100MG TABS 34.772 50 52.16 4 139.09 208.646174 Sildenafil Citrate Tab 100 MG 720646-001 VITRIXA 100MG TABS 36.185 50 54.28 4 144.74 217.126175 Amoxicillin (Trihydrate) For Susp 125 MG 830275-003 MOXYMAX S 125MG/5ML SUSP 0.076 50 0.11 75 5.7 8.256176 Levofloxacin in D5W IV Soln 500 MG/100ML 720718-001 LEVOFLOXACIN 5MG/ML INF 100ML 60.956 50 91.43 1 60.96 91.436177 Levofloxacin in D5W IV Soln 500 MG/100ML 720332-001 LEVONIC 500MG/100ML INF CONCEN 65.985 50 98.98 1 65.99 98.986178 PIPERACILLIN SODIUM-TAZOBACTAM SODIUM FO 720746-001 RAZOBIN 4 POWDER VIAL FOR INJ 98.741 50 148.11 1 98.74 148.116179 Ciprofloxacin HCl Tab 500 MG (Base Equiv 720331-001 FLOPRO 500MG TABS 1.194 50 1.79 10 11.94 17.96184 PACLITAXEL IV CONC 30 MG/5ML (6 MG/ML) 720614-001 ACCORD PACLITAXEL 30MG/5ML INF 109.059 50 163.59 1 109.06 163.596185 PACLITAXEL IV CONC 100 MG/16.7ML (6 MG/M 720616-001 ACCORD PACLITAXEL 100MG/16.7ML 364.252 50 546.38 1 364.25 546.386186 PACLITAXEL IV CONC 300 MG/50ML (6 MG/ML) 720617-001 ACCORD PACLITAXEL 300MG/50ML I 1090.556 50 1635.83 1 1090.56 1635.836187 Orphenadrine w/ APAP Tab 35-450 MG 708038-035 BETAFLEX TABS 0.876 50 1.31 20 17.52 26.26188 Povidone-Iodine Cream 5% 813060-002 BETADINE FIRST AID CREAM 0.982 50 1.47 15 14.73 22.056189 TERBINAFINE HCL CREAM 1% 720710-001 TERBASPOR 10MG/1GM CRM 3.184 50 4.78 7.5 23.88 35.856190 Terbinafine HCl Cream 1% 720710-002 TERBASPOR 10MG/1GM CRM 3.185 50 4.78 15 47.77 71.76191 Adapalene Gel 0.1% 827215-002 DIFFERIN GEL 5.069 50 7.6 30 152.07 2286192 Adapalene Gel 0.1% 720276-001 DERIVA 1MG/1G GEL 3.813 50 5.72 30 114.39 171.66193 Norgestrel & Ethinyl Estradiol Tab 0.5 M 720417-001 FAMYNOR TABS 1.57 50 2.36 28 43.96 66.086194 Norgestrel & Ethinyl Estradiol Tab 0.5 M 826138-004 OVRAL TABS 1.688 50 2.53 28 47.26 70.846195 Levonorgestrel Tab 30 MCG 720418-001 HY-AN 30MCG TABS 1.473 50 2.21 28 41.24 61.886196 Levonorgestrel Tab 30 MCG 826006-019 MICROVAL TABS 1.584 50 2.38 28 44.35 66.646197 Levonorgestrel & Ethinyl Estradiol Tab 0 720419-001 ORALCON TABS 1.865 50 2.8 28 52.22 78.46198 Levonorgestrel & Ethinyl Estradiol Tab 0 826030-009 NORDETTE TABS 2.005 50 3.01 28 56.14 84.286199 Levonorgestrel-Eth Estra Tab 0.05-30/0.0 720420-001 TRIGESTREL TABS 1.666 50 2.5 28 46.65 706200 Levonorgestrel-Eth Estra Tab 0.05-30/0.0 825956-005 LOGYNON ED TABS 1.089 50 1.63 28 30.49 45.646201 Levonorgestrel-Eth Estra Tab 0.05-30/0.0 825832-004 TRIPHASIL TABS 1.79 50 2.69 28 50.12 75.326202 Ciprofloxacin HCl Ophth Soln 0.3% 719415-001 CEPROLEN 0.3% EYE DROPS 5ML 71.304 50 106.96 1 71.3 106.966203 Ciprofloxacin HCl Ophth Soln 0.3% 794104-002 CILOXAN 3MG/ML DROPS 96.007 50 144.01 1 96.01 144.016204 Ciprofloxacin HCl Ophth Soln 0.3% 720733-001 FOXIN 0.3% DROPS 5ML 79.756 50 119.63 1 79.76 119.636205 Timolol Maleate Ophth Soln 0.5% 720734-001 OCCUMOL 0.5% DROPS 34.57 50 51.86 1 34.57 51.866206 Tadalafil Tab 20 MG 720345-001 CIAVOR 20MG TABS 55.908 50 83.86 4 223.63 335.446207 Tadalafil Tab 20 MG 720345-002 CIAVOR 20MG TABS 55.9 50 83.85 2 111.8 167.76208 Tadalafil Tab 20 MG 700204-002 CIALIS 20MG TABS 70.706 50 106.06 4 282.82 424.246209 Tadalafil Tab 20 MG 700204-001 CIALIS 20MG TABS 70.697 50 106.05 2 141.39 212.16210 Valacyclovir HCl Tab 500 MG 720818-001 MYLAN VALACICLOVIR 500MG TABS 10.893 50 16.34 10 108.93 163.46211 Valacyclovir HCl Tab 500 MG 720818-002 MYLAN VALACICLOVIR 500MG TABS 10.894 50 16.34 30 326.82 490.26213 Tenofovir Disoproxil Fumarate Tab 300 MG 714097-002 CIPLA TENOFOVIR 300MG TABS 2.865 50 4.3 28 80.22 120.46214 Polysaccharide Iron Complex IV Soln 20 M 720333-001 SUCROFER 20MG/ML INJ 5ML 72.074 50 108.11 5 360.37 540.556215 Exemestane Tab 25 MG 720023-001 EQUISIN 25MG TABS 23.657 50 35.49 30 709.71 1064.76216 Exemestane Tab 25 MG 700482-003 AROMASIN 25MG 31.55 50 47.33 30 946.5 1419.96217 Doxorubicin HCl For Inj 20 MG 867411-007 CAELYX 20MG/10ML 4341.015 50 6511.52 1 4341.02 6511.526218 Doxorubicin HCl For Inj 20 MG 720412-001 DOXOPEG 20MG/10ML VIAL INF 3379.8 50 5069.7 1 3379.8 5069.76219 Doxorubicin HCl For Inj 20 MG 719985-001 DOXOLIP 3379.8 50 5069.7 1 3379.8 5069.76220 Escitalopram Oxalate Tab 5 MG (Base Equi 720724-001 ESCITALOPRAM WINTHROP 5MG TAB 1.682 50 2.52 30 50.46 75.66221 Escitalopram Oxalate Tab 5 MG (Base Equi 720822-001 MARPREM 5MG TABS 1.914 50 2.87 30 57.42 86.16222 Escitalopram Oxalate Tab 20 MG (Base Equ 720726-001 ESCITALOPRAM WINTHROP 20MG TA 2.588 50 3.88 30 77.64 116.46223 Escitalopram Oxalate Tab 20 MG (Base Equ 720824-001 MARPREM 20MG TABS 1.525 50 2.29 30 45.75 68.76224 Escitalopram Oxalate Tab 10 MG (Base Equ 720725-001 ESCITALOPRAM WINTHROP 10MG TA 1.941 50 2.91 30 58.23 87.36225 Escitalopram Oxalate Tab 10 MG (Base Equ 720823-001 MARPREM 10MG TABS 1.668 50 2.5 30 50.04 756226 Olanzapine Tab 2.5 MG 720687-001 ADCO OLANZAPINE 2.5MG TABS 6.716 50 10.07 28 188.05 281.966227 Olanzapine Tab 5 MG 720691-001 ADCO OLANZAPINE 5MG TABS 11.299 50 16.95 28 316.37 474.66228 Olanzapine Tab 10 MG 720692-001 ADCO OLANZAPINE 10MG TABS 14.485 50 21.73 28 405.58 608.446229 Olanzapine Tartrate For Inj 10 MG (Base 720715-001 PREXOLAN 10MG VIAL POWD FOR SOL 75.57 50 113.36 1 75.57 113.366230 Olanzapine Tartrate For Inj 10 MG (Base 702949-001 ZYPREXA POWDER FOR INJECTION 100.748 50 151.12 1 100.75 151.126231 Betahistine Hydrochloride Tab 24 MG 720825-001 TREVIGO 24MG TABS 7.048 50 10.57 20 140.96 211.46232 Metoclopramide HCl Inj 5 MG/ML 717166-001 AUSTELL METOCLOPRAMIDE 10MG/2ML 2.718 50 4.08 10 27.18 40.86233 Ondansetron HCl Inj 2 MG/ML 720788-001 EMISTOP 8MG/4ML 4ML AMPOULE 11.556 50 17.33 5 57.78 86.656234 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 720786-001 EMISTOP 4MG/2ML 2ML AMPOULE 5.778 50 8.67 5 28.89 43.356235 NAPROXEN TAB 250 MG 785245-015 ADCO NAPROXEN 250MG TABS 0.862 50 1.29 10 8.62 12.96236 Cetirizine HCl Tab 10 MG 720846-001 GULF CETIRIZINE 10MG TABS 0.894 50 1.34 28 25.03 37.526237 Bisoprolol Fumarate Tab 5 MG 720820-001 RETOCAR 5MG TABS 1.073 50 1.61 30 32.19 48.36238 Bisoprolol Fumarate Tab 10 MG 720821-001 RETOCAR 10MG TABS 1.825 50 2.74 30 54.75 82.26239 Amlodipine Besylate Tab 5 MG 720693-001 ADCO NORPENE 5MG TABS 1.498 50 2.25 30 44.94 67.56240 Amlodipine Besylate Tab 10 MG 720694-001 ADCO NORPENE 10MG TABS 2.27 50 3.41 30 68.1 102.36241 Ciclesonide Inhal Aerosol 160 MCG/ACT 720735-001 CICLOVENT 160MCG 120 DOSES 238.519 50 357.78 1 238.52 357.786242 Ciclesonide Inhal Aerosol 160 MCG/ACT 705269-001 ALVESCO 160MCG 120DOSE 416.533 50 624.8 1 416.53 624.86243 Sildenafil Citrate Tab 50 MG 720855-001 VIDENA 50MG TABS 23.833 50 35.75 4 95.33 1436244 Sildenafil Citrate Tab 100 MG 720856-001 VIDENA 100MG TABS 32.345 50 48.52 4 129.38 194.086245 Fluconazole Tab 50 MG 720857-001 GLENMARK FLUCONAZOLE 50MG TABS 5.196 50 7.79 14 72.74 109.066246 Fluconazole Cap 150 MG 720826-001 INSEP 150MG CAPS 12.919 50 19.38 1 12.92 19.38




Administered by

6247 Fluconazole Tab 150 MG 720858-001 GLENMARK FLUCONAZOLE 150MG TABS 13.459 50 20.19 1 13.46 20.196248 Fluconazole Cap 200 MG 720827-001 INSEP 200MG CAPS 8.73 50 13.1 30 261.9 3936249 Fluconazole Tab 200 MG 720859-001 GLENMARK FLUCONAZOLE 200MG TABS 9.573 50 14.36 30 287.19 430.86250 Brimonidine tartrate timolol 709863-001 Combigan eye drops 5ml 143.978 50 215.97 1 143.98 215.976252 Paracet ephedr caff chlorphenir 707677-001 efferflu c 2.265 50 3.4 12 27.18 40.86253 Verapamil trandolapril 714625-001 Tarka 240/4mg tabs 7.515 50 11.27 30 225.45 338.16254 Verapamil trandolapril 714624-001 tarka 180/2mg tabs 7.515 50 11.27 30 225.45 338.16255 Ezetimibe simvastatin 715237-001 Inegy 10/10mg 5.376 50 8.06 30 161.28 241.86256 BIMATOPROST 716754-001 LUMIGAN 0.01% 118.489 50 177.73 1 118.49 177.736257 OXYMETAZOLINE HCL NASAL SOLN 0.025% 720641-001 ZADIN 0.025% NASAL DROPS 10ML 21.593 50 32.39 1 21.59 32.396258 OXYMETAZOLINE HCL NASAL SOLN 0.025% 720643-001 ZADIN 0.025% NASAL SPRAY 10ML 30.126 50 45.19 1 30.13 45.196259 OXYMETAZOLINE HCL NASAL SOLN 0.05% 720642-001 ZADIN 0.05% NASAL DROPS 10ML 21.593 50 32.39 1 21.59 32.396260 OXYMETAZOLINE HCL NASAL SOLN 0.05% 720644-001 ZADIN 0.05% NASAL SPRAY 10ML 28.504 50 42.76 1 28.5 42.766261 Omeprazole Magnesium Tab CR 20 MG 720812-002 PROBITOR 20MG CAPS 3.148 50 4.72 30 94.44 141.66262 Sildenafil Citrate Tab 50 MG 718397-002 DYNAFIL 50MG TABS 24.541 50 36.81 12 294.49 441.726263 Atovaquone-Proguanil HCl Tab 250-100 MG 720917-001 MOZITEC 250MG/100MG TABS 13.715 50 20.57 12 164.58 246.846264 Atovaquone-Proguanil HCl Tab 250-100 MG 720918-001 ATORIA TABS 13.715 50 20.57 12 164.58 246.846271 Cetirizine HCl Tab 10 MG 718452-002 TRANTRIN 10MG TABS 0.993 50 1.49 10 9.93 14.96272 GUAIFENESIN SYRUP 50 MG/5ML 703793-003 BENYLIN CHILDRENS WET COUGH 0.23 30 0.3 100 23 306273 GUAIFENESIN SYRUP 50 MG/5ML 705889-001 BENYLIN CHILDRENS SYR 0.146 30 0.19 200 29.2 386274 Guaifenesin Syrup 50 MG/5ML 826782-019 MED-LEMON CO SYR 0.142 50 0.21 100 14.2 216303 Ranitidine HCl Tab 150 MG 705361-002 RANIT 150MG TABS 0.703 50 1.05 10 7.03 10.56304 Esomeprazole Magnesium Tab Delayed Relea 721056-001 NEXIFLUX 20MG TABS 5.379 50 8.07 28 150.61 225.966305 Esomeprazole Magnesium Tab Delayed Relea 721056-002 NEXIFLUX 20MG TABS 5.379 50 8.07 14 75.31 112.986306 Esomeprazole Magnesium Tab Delayed Relea 721057-001 NEXIFLUX 40MG TABS 8.298 50 12.45 28 232.34 348.66307 Esomeprazole Magnesium Tab Delayed Relea 721057-002 NEXIFLUX 40MG TABS 8.298 50 12.45 14 116.17 174.36310 Amoxicillin & K Clavulanate Tab 875-125 720898-001 ADCO AMOXYCLAV BD 1000MG TABS 7.368 50 11.05 100 736.8 11056313 VALACYCLOVIR HCL TAB 500 MG 720931-001 VORIOR 500MG TABS 11.084 50 16.63 10 110.84 166.36314 VALACYCLOVIR HCL TAB 500 MG 720931-002 VORIOR 500MG TABS 11.086 50 16.63 30 332.58 498.96315 VALACYCLOVIR HCL TAB 500 MG 720931-003 VORIOR 500MG TABS 11.086 50 16.63 42 465.61 698.466319 Moxifloxacin hci 707883-001 Vigamox 5ml eye drops 115.163 50 172.74 1 115.16 172.746320 NIFEDIPINE TAB SR 24HR 20 MG 711607-001 ADALAT XL 20MG TAB 4.6 50 6.9 28 128.8 193.26321 720914 720914-002 PHLEXY 250MG/5ML VIAL 151.611 0 151.61 10 1516.11 1516.16322 723576 723576-011 EPANUTIN 250MG/5ML INJ 207.627 0 207.63 10 2076.27 2076.36323 720978 720978-001 DAHIDE 24MG TABS 7.073 0 7.07 20 141.46 141.46324 720943 720943-001 GRANISETRON FRESENIUS 1MG/ML 39.259 0 39.26 5 196.29 196.36325 721061 721061-001 NECTIZOLE 20MG TABS 4.872 0 4.87 30 146.16 146.16326 721089 721089-001 NESOPRAM 20MG TABS 4.729 0 4.73 28 132.41 132.446327 721090 721090-001 NESOPRAM 40MG TABS 7.274 0 7.27 28 203.67 203.566328 721062 721062-001 NECTIZOLE 40MG TABS 7.274 0 7.27 30 218.22 218.16329 720977 720977-001 KLARIBIN 500MG TABS 5.176 0 5.18 10 51.76 51.86330 720976 720976-001 KLARIBIN 250MG TABS 4.767 0 4.77 10 47.67 47.76331 720853 720853-001 TRUNO 600/200/300 TABS 11.45 0 11.45 30 343.5 343.56333 Escitalopram Oxalate Tab 20 MG (Base Equ 721159-001 MACLEODS ESCITALOPRAM 20MG TABS 2.315 50 3.47 30 69.45 104.16334 Escitalopram Oxalate Tab 10 MG (Base Equ 721157-001 MACLEODS ESCITALOPRAM 10MG TABS 1.859 50 2.79 30 55.77 83.76335 Valproate Sodium Tab CR 300 MG 720762-001 EPROLEP CR 300MG TABS 2.42 50 3.63 100 242 3636336 Valproate Sodium Tab CR 500 MG 721055-001 EPROLEP CR 500MG TABS 4.005 50 6.01 100 400.5 6016337 Granisetron HCl Inj 1 MG/ML 721164-001 GRANTRYL AMPOULE 1MG/ML 1ML IN 18.997 50 28.5 5 94.98 142.56338 Granisetron HCl Inj 3 MG/3ML (1 MG/ML) 721165-001 GRANTRYL AMPOULE 3MG/3ML 3ML IN 56.993 50 85.49 5 284.97 427.456339 Cetirizine HCl Tab 10 MG 720873-001 CETICIT 10MG TABS 1.089 50 1.63 10 10.89 16.36340 Cetirizine HCl Tab 10 MG 720873-002 CETICIT 10MG TABS 1.089 50 1.63 30 32.67 48.96342 Desloratadine Syrup 0.5 MG/ML 720915-002 ADCO DESLORATADINE 2.5MG/5ML 0.715 50 1.07 100 71.5 1076343 Desloratadine Syrup 0.5 MG/ML 720915-003 ADCO DESLORATADINE 2.5MG/5ML 0.715 50 1.07 150 107.25 160.56344 Desloratadine Syrup 0.5 MG/ML 720915-004 ADCO DESLORATADINE 2.5MG/5ML 0.715 50 1.07 200 143 2146345 Lansoprazole Cap Delayed Release 15 MG 704752-002 LANSOLOC 15MG OTC CAPS 2.423 50 3.63 14 33.92 50.826347 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 721236-001 CLICKS EFFERVESCENT GRANULES 0.325 50 0.49 120 39 58.86348 Moxifloxacin HCl Tab 400 MG (Base Equiv) 721071-001 MOFLOXX 400MG TABS 20.059 50 30.09 5 100.3 150.456349 Moxifloxacin HCl Tab 400 MG (Base Equiv) 721160-001 MACLEODS MOXIFLOXACIN 400MG TABS 17.976 50 26.96 5 89.88 134.86350 Insulin Syringe/Needle U-100 1/2 ML 28 x 217670-001 SYRINGE INSULIN 0.5ML 1.598 50 2.4 100 159.8 2406351 Insulin Syringe/Needle U-100 1 ML 30 G x 217615-001 NEEDLE INSULIN 30G 13MM 1.598 50 2.4 100 159.8 2406352 Insulin Syringe/Needle U-100 1 ML 30 G x 217673-001 SYRINGE INSULIN 1ML 1.598 50 2.4 100 159.8 2406353 Insulin Pen Needle 32 G X 4 MM (5/32) 216799-001 INSULIN PEN NEEDLE 4MM X 32G 1.342 50 2.01 100 134.2 2016354 Insulin Pen Needle 31 G X 5 MM (3/16) 216801-001 INSULIN PEN NEEDLE 5MM X 31G 1.342 50 2.01 100 134.2 2016355 Insulin Pen Needle 31 G X 5 MM (3/16) 216802-001 INSULIN PEN NEEDLE 8MM X 31G 1.342 50 2.01 100 134.2 2016356 Mirtazapine Tab 15 MG 721209-001 MIRADEP 15MG TABS 3.843 50 5.76 30 115.29 172.86357 Mirtazapine Tab 30 MG 721210-001 MIRADEP 30MG TABS 5.84 50 8.76 30 175.2 262.86358 Topiramate Tab 100 MG 718291-002 TOPIROL 100MG TABS 5.278 50 7.92 30 158.34 237.66359 Montelukast Sodium Chew Tab 4 MG (Base E 721300-001 MONTEFLO 4MG CHEWS 4.206 50 6.31 30 126.18 189.36360 Montelukast Sodium Chew Tab 5 MG (Base E 721302-001 MONTEFLO 5MG CHEWS 4.206 50 6.31 30 126.18 189.36361 Montelukast Sodium Tab 10 MG (Base Equiv 721303-001 MONTEFLO 10MG TABS 4.206 50 6.31 30 126.18 189.36363 Valacyclovir HCl Tab 500 MG 721152-001 VALATREX 500MG TABS 10 50 15 42 420 6306364 Valacyclovir HCl Tab 500 MG 721152-002 VALATREX 500MG TABS 10 50 15 10 100 1506365 Valacyclovir HCl Tab 500 MG 721152-003 VALATREX 500MG TABS 10 50 15 30 300 4506366 Glucose Blood Test Strip 218449-001 TEST STRIPS ONETOUCH SELECT PL 1.911 50 2.87 50 95.55 143.56367 Lancets 218450-001 LANCET ONETOUCH DELICA 1 50 1.5 100 100 1506368 Trazodone HCl Cap 50 MG 720912-001 BIOTECH TRAZODONE 50MG CAPS 1.898 50 2.85 100 189.8 2856369 Trazodone HCl Cap 100 MG 720913-001 BIOTECH TRAZODONE 100MG CAPS 3.886 50 5.83 100 388.6 5836370 Donepezil Hydrochloride Tab 5 MG 721161-001 MACLEODS DONEPEZIL 5MG TABS 5.592 50 8.39 30 167.76 251.76371 Donepezil Hydrochloride Tab 10 MG 721162-001 MACLEODS DONEPEZIL 10MG TABS 5.592 50 8.39 30 167.76 251.76372 Aspirin Tab 100 MG 721258-001 MYOPRIN 100MG TABS 0.641 50 0.96 30 19.23 28.86373 Diclofenac Sodium IM Inj Soln 25 MG/ML 719679-002 BIO DICLOFENAC 25MG/ML 3ML AMP 1.111 50 1.67 100 111.1 1676374 Zoledronic Acid Inj Conc For IV Infusion 720613-001 ZOLAPOR 4MG/5ML CONC SOLN FOR 1127.207 50 1690.81 1 1127.21 1690.816375 Montelukast Sodium Tab 10 MG (Base Equiv 721269-001 MONTELUKAST UNICORN 10MG TABS 4.836 50 7.25 28 135.41 2036376 Pantoprazole Sodium EC Tab 20 MG (Base E 721183-001 TOPRAFLUX 20MG TABS 3.007 50 4.51 28 84.2 126.286377 Pantoprazole Sodium EC Tab 40 MG (Base E 721184-001 TOPRAFLUX 40MG TABS 4.472 50 6.71 28 125.22 187.886378 Sildenafil Citrate Tab 100 MG 718396-002 DYNAFIL 100MG TABS 33.66 50 50.49 12 403.92 605.886379 Lancets 161579-002 LANCET SAFE PRESSURE ACTIVATED 1.957 50 2.94 100 195.7 2946380 Lancets 161580-002 LANCET SAFE PRESSURE ACTIVATED 1.957 50 2.94 100 195.7 2946381 Memantine HCl Tab 10 MG 721208-001 MEMOR 10MG TABS 5.494 50 8.24 60 329.64 494.46382 Clopidogrel Bisulfate Tab 75 MG (Base Eq 721326-001 CLOSOLVE 75MG TABS 3.286 50 4.93 30 98.58 147.96383 Budesonide Soln Nebu 0.25 MG/ML 721277-001 BUDONEB 0.25MG/ML NEB SUSP 2ML 5.312 50 7.97 20 106.24 159.46384 Budesonide Soln Nebu 0.5 MG/ML 721278-001 BUDONEB NEB 0.5MG/1ML SUSP 2ML 7.666 50 11.5 20 153.32 2306385 Latanoprost Ophth Soln 0.005% 720971-001 ATANA 50MCG/ML OPHTH DRP 2.5ML 98.393 50 147.59 1 98.39 147.596386 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 721466-001 SPAR CITRIC GRANULES UNFLAVOUR 0.325 50 0.49 60 19.5 29.46387 Sod Bicarb-Sod Citrate-Citric Acid-Tarta 721490-001 MEDIRITE CITRIC GRANULES UNFLAV 0.325 50 0.49 60 19.5 29.46388 Linezolid Tab 600 MG 700464-007 ZYVOXID 600MG TABS 528.676 50 793.01 10 5286.76 7930.16390 Linezolid Tab 600 MG 721141-002 LINEZOLID HETERO 600MG TABS 373.762 50 560.64 30 11212.86 16819.26393 Insulin Syringe (Disp) U-100 1 ML 223248-001 SYRINGE INSULIN 1ML WITH NEEDLE 1.598 50 2.4 100 159.8 2406394 Insulin Pen Needle 32 G X 4 MM (5/32) 155014-001 NEEDLE PEN MICROFINE PLUS 0.2 1.47 50 2.21 100 147 2216395 Insulin Pen Needle 31 G X 5 MM (3/16) 460279-001 NEEDLE UNIFINE PEN 31G X 1.47 50 2.21 100 147 2216396 Insulin Pen Needle 31 G X 5 MM (3/16) 528707-001 NEEDLE PEN 5MM 31G 1.47 50 2.21 100 147 2216397 Alcohol Swabs 222777-001 ALCOHOL SWABS 50G 0.256 50 0.38 200 51.2 766398 Bupropion HCl (Smoking Deterrent) Tab SR 703659-001 ZYBAN 150MG TABS 4.294 50 6.44 60 257.64 386.46399 Bupropion HCl (Smoking Deterrent) Tab SR 721257-001 NICOLIFT 150MG TABS 2.642 50 3.96 60 158.52 237.66400 Olanzapine Tab 2.5 MG 721385-001 OLAWIN 2.5MG TABS 5.652 50 8.48 30 169.56 254.46401 Olanzapine Orally Disintegrating Tab 5 M 721386-001 OLAWIN 5MG ORADISPERSIBLE TABS 9.397 50 14.1 30 281.91 423




Administered by

6402 Olanzapine Tab 5 MG 721388-001 OLAWIN 5MG TABS 9.239 50 13.86 30 277.17 415.86403 Olanzapine Tab 10 MG 721389-001 OLAWIN 10MG TABS 11.849 50 17.77 30 355.47 533.16404 Olanzapine Orally Disintegrating Tab 10 721390-001 OLAWIN 10MG ORADISPERSIBLE TAB 12.053 50 18.08 30 361.59 542.46405 Quetiapine Fumarate Tab 25 MG 720979-001 KIZOFRIN 25MG TABS 1.525 50 2.29 100 152.5 2296406 Quetiapine Fumarate Tab 200 MG 720981-001 KIZOFRIN 200MG TABS 4.721 50 7.08 60 283.26 424.86407 Valproate Sodium Tab CR 200 MG 721460-001 EPROLEP CR 200MG TABS 1.631 50 2.45 100 163.1 2456408 Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5 703313-002 ALLECET 5MG/5ML SYRUP 0.475 50 0.71 50 23.75 35.56409 Perindopril Erbumine-Indapamide Tab 2-0. 721507-001 PREXUM PLUS 2.5MG/0.625MG TABS 1.951 50 2.93 30 58.53 87.96410 Losartan Potassium Tab 50 MG 721259-001 NORMOTEN 50MG TABS 1.798 50 2.7 30 53.94 816411 Losartan Potassium Tab 100 MG 721260-001 NORMOTEN 100MG TABS 1.947 50 2.92 30 58.41 87.66412 Pantoprazole Sodium For IV Soln 40 MG (B 720385-001 ADCO PANTOPRAZOLE 40MG/15ML 17.705 50 26.56 5 88.52 132.86413 Pantoprazole Sodium For IV Soln 40 MG (B 720385-002 ADCO PANTOPRAZOLE 40MG/15ML 17.704 50 26.56 1 17.7 26.566414 Sildenafil Citrate Tab 50 MG 721402-001 RAVIAG 50MG TABS 24.543 50 36.81 4 98.17 147.246415 Sildenafil Citrate Tab 100 MG 721403-001 RAVIAG 100MG TABS 33.661 50 50.49 4 134.64 201.966416 Metformin HCl Tab SR 24HR Modified Relea 720926-001 GLUCOPHAGE XR 1000MG TABS 1.048 50 1.57 30 31.44 47.16417 Metformin HCl Tab SR 24HR Modified Relea 720926-002 GLUCOPHAGE XR 1000MG TABS 1.049 50 1.57 60 62.94 94.26418 Glucose Blood Test Strip 225206-001 TEST STRIP BEWELL MYGLUCO 2.512 50 3.77 50 125.6 188.56419 Glucose Blood Test Strip 225580-001 BLOOD GLUCOSE TEST STRIPS CDE 2.512 50 3.77 50 125.6 188.56420 Insulin Syringe (Disp) U-100 0.3 ML 225660-001 SYRINGE INSULIN SAFETY WITH NE 1.496 50 2.24 500 748 11206421 Insulin Syringe (Disp) U-100 0.3 ML 225665-001 SYRINGE INSULIN SAFETY WITH NE 1.496 50 2.24 500 748 11206422 Insulin Syringe (Disp) U-100 0.3 ML 225667-001 SYRINGE INSULIN SAFETY WITH NE 1.496 50 2.24 500 748 11206423 Insulin Pen Needle 31 G X 6 MM (1/4) 224868-001 HAEMOFINE PEN NEEDLE 32G X 4MM 1.376 50 2.06 100 137.6 2066424 Insulin Pen Needle 31 G X 6 MM (1/4) 224872-001 HAEMOFINE PEN NEEDLE 32G X 5MM 1.376 50 2.06 100 137.6 2066425 Insulin Pen Needle 31 G X 6 MM (1/4) 224875-001 HAEMOFINE PEN NEEDLE 31G X 5MM 1.376 50 2.06 100 137.6 2066426 Insulin Pen Needle 31 G X 6 MM (1/4) 224876-001 HAEMOFINE PEN NEEDLE 31G X 8MM 1.376 50 2.06 100 137.6 2066427 Insulin Pen Needle 29 G X 12 MM (1/2) 224877-001 HAEMOFINE PEN NEEDLE 29G X 12M 1.376 50 2.06 100 137.6 2066428 Lancets 225205-001 LANCET STERILE BEWELL MYGLUCO 1.832 50 2.75 100 183.2 2756429 Lancets 225579-001 LANCETS CDE PARTNER STERILE DI 1.832 50 2.75 100 183.2 2756431 IBUPROFEN TAB 200 MG 721114-001 IBUCARE 200MG TABS 0.987 50 1.48 10 9.87 14.86432 IBUPROFEN TAB 200 MG 721118-001 AUSTIFEN 200MG TABS 0.168 50 0.25 1000 168 2506433 Ibuprofen Tab 200 MG 721114-002 IBUCARE 200MG TABS 0.987 50 1.48 20 19.74 29.66434 IBUPROFEN TAB 400 MG 721116-001 IBUCARE 400MG TABS 1.423 50 2.13 10 14.23 21.36435 IBUPROFEN TAB 400 MG 721119-001 AUSTIFEN 400MG TABS 0.212 50 0.32 1000 212 3206436 IBUPROFEN TAB 400 MG 710830-131 BRUFEN 400MG TABS 1.667 50 2.5 10 16.67 256437 ALLOPURINOL TAB 100 MG 721623-001 AUSTELL ALLOPURINOL 100MG TABS 0.478 50 0.72 30 14.34 21.66438 ALLOPURINOL TAB 100 MG 721623-002 AUSTELL ALLOPURINOL 100MG TABS 0.478 50 0.72 100 47.8 726439 ALLOPURINOL TAB 300 MG 721624-001 AUSTELL ALLOPURINOL 300MG TABS 1.228 50 1.84 30 36.84 55.26440 ALLOPURINOL TAB 300 MG 721624-002 AUSTELL ALLOPURINOL 300MG TABS 1.228 50 1.84 100 122.8 1846444 ENALAPRIL MALEATE TAB 5 MG 721625-001 AUSTELL ENALAPRIL 5MG TABS 0.72 50 1.08 30 21.6 32.46445 ENALAPRIL MALEATE TAB 10 MG 721626-001 AUSTELL ENALAPRIL 10MG TABS 1.03 50 1.55 30 30.9 46.56446 ENALAPRIL MALEATE TAB 20 MG 721627-001 AUSTELL ENALAPRIL 20MG TABS 1.808 50 2.71 30 54.24 81.36447 PERINDOPRIL ERBUMINE TAB 4 MG 721339-001 PERISTAR 4MG TABS 1.816 50 2.72 30 54.48 81.66448 PERINDOPRIL ERBUMINE TAB 8 MG 721340-001 PERISTAR 8MG TABS 2.61 50 3.92 30 78.3 117.66449 PANTOPRAZOLE SODIUM EC TAB 20 MG (BASE E 721270-001 PANTOPRAZOLE UNICORN 20MG TABS 3.19 50 4.79 28 89.32 134.126450 PANTOPRAZOLE SODIUM EC TAB 20 MG (BASE E 721552-001 PEPTAZOL 20MG TABS 1.811 50 2.72 15 27.16 40.86451 PANTOPRAZOLE SODIUM EC TAB 40 MG (BASE E 721273-001 PANTOPRAZOLE UNICORN 40MG TABS 3.19 50 4.79 28 89.32 134.126452 PANTOPRAZOLE SODIUM EC TAB 40 MG (BASE E 721553-001 PEPTAZOL 40MG TABS 2.846 50 4.27 30 85.38 128.16453 LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 715079-002 LANSOPRAZOLE UNICORN 15MG CAPS 2.826 50 4.24 14 39.56 59.366455 MUPIROCIN OINT 2% 721587-001 NUBAN 2GM/100GM OINTMENT 2.329 50 3.49 15 34.93 52.356456 SILDENAFIL CITRATE TAB 50 MG 716914-003 AVIGRA 50MG TABS 27.645 50 41.47 8 221.16 331.766457 SILDENAFIL CITRATE TAB 100 MG 716915-003 AVIGRA 100MG TABS 37.933 50 56.9 8 303.46 455.26458 MEROPENEM IV FOR SOLN 500 MG 820636-002 MERONEM 500MG INJ 108.988 50 163.48 10 1089.88 1634.86460 CLARITHROMYCIN TAB SR 24HR 500 MG 721268-001 CLARITHROMYCIN UNICORN 500MG X 10.348 50 15.52 5 51.74 77.66461 GLUCOSE BLOOD TEST STRIP 229024-001 GLUCOSE TEST STRIPS 2.51 50 3.77 100 251 3776462 LANCETS 228800-001 LANCET BLOOD SAFETY HAEMOLANCE 1.83 50 2.75 150 274.5 412.56463 ALCOHOL SWABS 227524-001 ALCOHOL SWAB STICK CLEANING AN 0.24 50 0.36 16 3.84 5.766464 ALCOHOL SWABS 227526-001 ALCOHOL SWAB STICK CLEANING AN 0.24 50 0.36 60 14.4 21.66465 Olanzapine Tab 5 MG 721652-001 ZYLENA 5MG TABS 9.315 50 13.97 30 279.45 419.16466 Olanzapine Tab 10 MG 721653-001 ZYLENA 10MG TABS 11.926 50 17.89 30 357.78 536.76467 Acetaminophen-Diphenhydramine-Caff-Cod T 757632-034 PROPAIN TABS 1.01 50 1.52 40 40.4 60.86468 Acetaminophen-Doxylamine-Caffeine-Codein 758493-039 PYNSTOP TABS 0.848 50 1.27 40 33.92 50.86469 Acetaminophen-Meprobamate-Caff-Codeine T 769649-026 TENSTON SA TABS 1.634 50 2.45 40 65.36 986470 Bisoprolol & Hydrochlorothiazide Tab 5-6 721588-001 BISOPROLOL CO UNICORN 5MG/6.25 1.992 50 2.99 30 59.76 89.76471 Bisoprolol & Hydrochlorothiazide Tab 10- 721589-001 BISOPROLOL CO UNICORN 10MG/6.2 1.992 50 2.99 30 59.76 89.76472 Levonorgestrel & Ethinyl Estradiol Tab 0 721606-001 LEVETTE 0.15MG/0.03MG TAB 1.604 50 2.41 28 44.91 67.486473 Insulin Glargine Soln Pen-Injector 100 U 721502-001 OPTISULIN PEN 100IU/ML 3ML INJ 81 50 121.5 5 405 607.56549 Quetiapine Fumarate Tab 100 MG 720980-001 KIZOFRIN 100MG TABS 2.8 50 4.2 90 252 3786550 Quetiapine Fumarate Tab 300 MG 720982-001 KIZOFRIN 300MG TABS 5.584 50 8.38 60 335.04 502.86551 Granisetron HCl Inj 1 MG/ML 720942-001 GRANISETRON FRESENIUS 1MG/1ML 13.089 50 19.63 5 65.44 98.156552 Meloxicam Tab 15 MG 705297-002 MELFLAM 15MG TABS 2.456 50 3.68 30 73.68 110.46553 Montelukast Sodium Chew Tab 4 MG (Base E 721574-001 MONTELUKAST 4MG CHEW TABS UNIC 4.836 50 7.25 28 135.41 2036554 Montelukast Sodium Chew Tab 5 MG (Base E 721575-001 MONTELUKAST 5MG CHEW TABS UNIC 4.836 50 7.25 28 135.41 2036555 Esomeprazole Magnesium Tab Delayed Relea 721578-001 NEXOMEP 20MG TABS 5.026 50 7.54 28 140.73 211.126556 Esomeprazole Magnesium Tab Delayed Relea 721579-001 NEXOMEP 40MG TABS 7.804 50 11.71 28 218.51 327.886557 Levofloxacin Tab 750 MG 721737-001 ARTAV 750MG TABS 19.111 50 28.67 5 95.56 143.356558 Levofloxacin Tab 250 MG 721734-001 ARTAV 250MG TABS 10.074 50 15.11 5 50.37 75.556559 Levofloxacin Tab 500 MG 721736-001 ARTAV 500MG TABS 16.69 50 25.04 5 83.45 125.26560 Levofloxacin Tab 500 MG 721736-002 ARTAV 500MG TABS 16.69 50 25.04 10 166.9 250.46561 Tenofovir Disoproxil Fumarate Tab 300 MG 718284-001 HETERO TENOFOVIR 300MG TABS 5.077 50 7.62 30 152.31 228.66562 Abacavir Sulfate Tab 300 MG (Base Equiv) 720837-001 BAVIR 300MG TABS 9.42 50 14.13 60 565.2 847.86563 Abacavir Sulfate Soln 20 MG/ML (Base Equ 720838-001 BAVIR 20MG/ML SOLN 0.882 50 1.32 240 211.68 316.86564 Emtricitabine-Tenofovir Disoproxil Fumar 721498-001 EMTROC TABS 8.734 50 13.1 30 262.02 3936565 Quetiapine Fumarate Tab 25 MG 721744-001 BIOTECH QUETIAPINE 25MG TABS 1.54 50 2.31 100 154 2316566 Quetiapine Fumarate Tab 100 MG 721745-001 BIOTECH QUETIAPINE 100MG TABS 2.87 50 4.31 100 287 4316567 Quetiapine Fumarate Tab 200 MG 721746-001 BIOTECH QUETIAPINE 200MG TABS 4.592 50 6.89 60 275.52 413.46568 Quetiapine Fumarate Tab 300 MG 721747-001 BIOTECH QUETIAPINE 300MG TABS 5.187 50 7.78 60 311.22 466.86569 Gabapentin Cap 100 MG 721740-001 BIOTECH GABAPENTIN 100MG CAPS 0.881 50 1.32 100 88.1 1326570 Gabapentin Cap 300 MG 721741-001 BIOTECH GABAPENTIN 300MG CAPS 2.185 50 3.28 100 218.5 3286571 Gabapentin Cap 400 MG 721742-001 BIOTECH GABAPENTIN 400MG CAPS 2.185 50 3.28 100 218.5 3286572 Tramadol-Acetaminophen Tab 37.5-325 MG 721680-001 TRAMAHEXAL CO 37.5/325 TABS 1.245 50 1.87 60 74.7 112.26575 Rosuvastatin Calcium Tab 10 MG 721807-001 ROCREST 10MG TABS 3.587 50 5.38 30 107.61 161.46576 Rosuvastatin Calcium Tab 20 MG 721809-001 ROCREST 20MG TABS 5.181 50 7.77 30 155.43 233.16577 Rosuvastatin Calcium Tab 40 MG 721810-001 ROCREST 40MG TABS 6.299 50 9.45 30 188.97 283.56578 Amoxicillin & K Clavulanate Tab 250-125 721444-001 BETACLAV 375MG TABS 1.867 50 2.8 15 28 426579 Amoxicillin & K Clavulanate Tab 500-125 721445-001 BETACLAV 625MG TABS 3.044 50 4.57 15 45.66 68.556580 Fluconazole Cap 150 MG 721667-001 AURO FLUCONAZOLE 150MG CAPS 12.911 50 19.37 1 12.91 19.376581 Levofloxacin Tab 250 MG 721540-001 MACLEODS LEVOFLOXACIN 250MG TA 10.486 50 15.73 5 52.43 78.656582 Levofloxacin Tab 250 MG 721540-002 MACLEODS LEVOFLOXACIN 250MG TA 10.487 50 15.73 10 104.87 157.36583 Levofloxacin Tab 250 MG 721540-003 MACLEODS LEVOFLOXACIN 250MG TA 10.487 50 15.73 30 314.61 471.96584 Levofloxacin Tab 500 MG 721541-001 MACLEODS LEVOFLOXACIN 500MG TA 17.705 50 26.56 5 88.52 132.86585 Levofloxacin Tab 500 MG 721541-002 MACLEODS LEVOFLOXACIN 500MG TA 17.705 50 26.56 10 177.05 265.66586 Levofloxacin Tab 500 MG 721541-003 MACLEODS LEVOFLOXACIN 500MG TA 17.705 50 26.56 30 531.15 796.86587 Gliclazide Tab SR 24HR 30 MG 721692-001 GLICLAZIDE UNICORN MR 30MG TAB 0.625 50 0.94 60 37.5 56.46589 Insulin Syringe/Needle U-100 1 ML 30 G x 232156-001 NEEDLE INSULIN BD AUTO SHIELD 1.438 50 2.16 100 143.8 2166590 Insulin Syringe/Needle U-100 1 ML 30 G x 232157-001 NEEDLE INSULIN BD AUTO SHIELD 1.438 50 2.16 100 143.8 2166591 Folic Acid Tab 5 MG 720727-002 GULF FOLIC ACID 5MG TABS 0.37 50 0.56 100 37 566592 Quetiapine Fumarate Tab 25 MG 720893-001 SPEC QUETIAPINE 25MG TABS 1.494 50 2.24 100 149.4 2246593 Quetiapine Fumarate Tab 100 MG 720894-001 SPEC QUETIAPINE 100MG TABS 2.819 50 4.23 90 253.71 380.7




Administered by

6594 Quetiapine Fumarate Tab 200 MG 720896-001 SPEC QUETIAPINE 200MG TABS 4.9 50 7.35 60 294 4416595 Quetiapine Fumarate Tab 300 MG 720897-001 SPEC QUETIAPINE 300MG TABS 5.523 50 8.28 60 331.38 496.86596 Clonazepam Tab 0.5 MG 721545-001 CLONAM 0.5MG TABS 0.792 50 1.19 90 71.28 107.16597 Clonazepam Tab 2 MG 721546-001 CLONAM 2MG TABS 1.819 50 2.73 90 163.71 245.76598 Clonazepam Tab 0.5 MG 761079-009 RIVOTRIL 0.5MG TABS 1.181 50 1.77 90 106.29 159.36599 Clonazepam Tab 2 MG 761087-001 RIVOTRIL 2MG TABS 2.713 50 4.07 90 244.17 366.36600 Levetiracetam Tab 500 MG 721702-001 EPIKEPP 500MG TABS 2.778 50 4.17 60 166.68 250.26601 Levetiracetam Tab 250 MG 721701-001 EPIKEPP 250MG TABS 1.42 50 2.13 60 85.2 127.86602 Levetiracetam Tab 750 MG 721703-001 EPIKEPP 750MG TABS 4.136 50 6.2 60 248.16 3726603 Pramipexole Dihydrochloride Tab 0.125 MG 721393-001 PAZORAM 0.125MG TABS 1.748 50 2.62 100 174.8 2626604 Pramipexole Dihydrochloride Tab 0.25 MG 721392-001 PAZORAM 0.25MG TABS 2.13 50 3.2 100 213 3206605 Pramipexole Dihydrochloride Tab 1 MG 721391-001 PAZORAM 1MG TABS 7.012 50 10.52 100 701.2 10526606 Desloratadine Tab 5 MG 721853-001 DESOTAB 5MG TABS 2.407 50 3.61 10 24.07 36.16607 Desloratadine Tab 5 MG 721853-002 DESOTAB 5MG TABS 2.407 50 3.61 30 72.21 108.36608 Bisoprolol Fumarate Tab 5 MG 721437-001 MYLAN BISOPROLOL 5MG TABS 1.29 50 1.94 30 38.7 58.26609 Bisoprolol Fumarate Tab 10 MG 721438-001 MYLAN BISOPROLOL 10MG TABS 2.177 50 3.27 30 65.31 98.16610 Telmisartan Tab 40 MG 721678-001 TESAR 40MG TABS 2.84 50 4.26 30 85.2 127.86611 Telmisartan Tab 80 MG 721679-001 TESAR 80MG TABS 2.84 50 4.26 30 85.2 127.86612 Pseudoephedrine-Ibuprofen Tab 30-200 MG 721827-001 IBUMAX COLD & FLU TABS 1.08 50 1.62 12 12.96 19.446613 Pseudoephedrine-Ibuprofen Tab 30-200 MG 721827-002 IBUMAX COLD & FLU TABS 1.08 50 1.62 24 25.92 38.886615 Mupirocin Oint 2% 721693-001 DERMOBAN 20MG/1G OINT 2.612 50 3.92 15 39.18 58.86616 Dorzolamide HCl Opth Soln 2% 720983-001 GLAUCOPRESS 2% OPHT DRP 78.163 50 117.24 1 78.16 117.246617 Dorzolamide HCl Opth Soln 2% 819832-006 TRUSOPT 2% 5ML EYE DRP 97.822 50 146.73 1 97.82 146.736618 Linezolid Tab 600 MG 721512-001 LINEZOLID 600MG TABS SPECPHARM 373.762 50 560.64 10 3737.62 5606.46619 Piperacillin Sodium-Tazobactam Sodium Fo 721483-001 TAZOGEN VIAL POWD FOR INFUSION 147.496 50 221.24 1 147.5 221.246620 Azithromycin Tab 500 MG 721677-001 JUBAZI 500MG TABS 21.79 50 32.69 3 65.37 98.076621 Azithromycin Tab 250 MG 721676-001 JUBAZI 250MG TABS 10.895 50 16.34 6 65.37 98.046622 Efavirenz-Emtricitabine-Tenofovir DF Tab 721430-001 TRENVIR TABS 6.42 50 9.63 30 192.6 288.96623 Glucose Blood Test Strip 234033-001 GLUCOSE ELECTRODES LUX METER L 2.326 50 3.49 50 116.3 174.56625 Doxorubicin HCl For Inj 10 MG 721800-001 RUBEXET 10MG/5ML CONCENT INF 44.444 50 66.67 1 44.44 66.676626 Doxorubicin HCl For Inj 50 MG 721801-001 RUBEXET 50MG/25ML CONCENT INF 222.222 50 333.33 1 222.22 333.336627 Leflunomide Tab 10 MG 721609-001 RHEUMALEF 10MG TABS 14.321 50 21.48 30 429.63 644.46628 Leflunomide Tab 10 MG 898171-008 ARAVA 10MG TABS 21.341 50 32.01 30 640.23 960.36629 Leflunomide Tab 20 MG 721610-001 RHEUMALEF 20MG TABS 14.618 50 21.93 30 438.54 657.96630 Leflunomide Tab 20 MG 898175-005 ARAVA 20MG TABS 21.81 50 32.72 30 654.3 981.66631 Levocetirizine Dihydrochloride Tab 5 MG 721713-001 LEVOGEX 5MG TABS 1.618 50 2.43 10 16.18 24.36632 Levocetirizine Dihydrochloride Tab 5 MG 721713-002 LEVOGEX 5MG TABS 1.618 50 2.43 30 48.54 72.96633 Promethazine HCl Syrup 5 MG/5ML 710873-035 BRUNAZINE 5MG/5ML 0.108 50 0.16 200 21.6 326634 Desloratadine Syrup 0.5 MG/ML 721616-001 DEHRIN 2.5MG/5ML SYRP 0.679 50 1.02 120 81.48 122.46635 Desloratadine Syrup 0.5 MG/ML 721616-002 DEHRIN 2.5MG/5ML SYRP 0.679 50 1.02 150 101.85 1536636 Guaifenesin Syrup 100 MG/5ML 722013-001 STEARNS GUAIPHENESIN COUGH CHE 0.207 50 0.31 50 10.35 15.56637 Guaifenesin Syrup 100 MG/5ML 722013-002 STEARNS GUAIPHENESIN COUGH CHE 0.207 50 0.31 100 20.7 316638 Ciclesonide Inhal Aerosol 160 MCG/ACT 705267-001 ALVESCO 160MCG 60DOSE 208.267 50 312.4 1 208.27 312.46639 Ciclesonide Inhal Aerosol 160 MCG/ACT 721620-001 CICLOVENT 160MCG 60 DOSES IN 119.259 50 178.89 1 119.26 178.896640 Ciclesonide Inhal Aerosol 80 MCG/ACT 705265-001 ALVESCO 80MCG 60DOSE 162.452 50 243.68 1 162.45 243.686641 Ciclesonide Inhal Aerosol 80 MCG/ACT 721621-001 CICLOVENT 80MCG 60 DOSES INHAL 72.222 50 108.33 1 72.22 108.336642 Adapalene Cream 0.1% 721707-001 DAPTA 1MG/1G CRM 3.404 50 5.11 30 102.12 153.36643 Adapalene Gel 0.1% 721708-001 DAPTA 1MG/1G GEL 3.404 50 5.11 30 102.12 153.36644 Vardenafil HCl Tab 10 MG 701069-002 LEVITRA 10 TABS 40.321 50 60.48 4 161.28 241.926645 Vardenafil HCl Orally Disintegrating Tab 717985-001 LEVITRA ODT 10MG TABS 43.822 50 65.73 4 175.29 262.926646 Efavirenz-Emtricitabine-Tenofovir DF Tab 721197-001 HEFTENAM TABS 11.327 50 16.99 30 339.81 509.76647 Efavirenz-Emtricitabine-Tenofovir DF Tab 721720-001 RIZENE TABS 10.741 50 16.11 30 322.23 483.36648 Efavirenz-Lamivudine-Tenofovir DF Tab 60 721547-001 ARION TABS 6.411 50 9.62 30 192.33 288.66649 Metformin HCl Tab 1000 MG 721443-001 MYLAN METFORMIN 1000MG TABS 0.478 50 0.72 60 28.68 43.26652 N Risperidone Tab 3 MG 721750-001 ZOXADON 3MG TABS 17.956 50 26.93 30 538.68 807.96653 N Risperidone Tab 4 MG 721752-001 ZOXADON 4MG TABS 24.874 50 37.31 30 746.22 1119.36656 N Ibuprofen Tab 200 MG 717155-001 AUSTELL IBUPROFEN 200MG TABS 0.156 50 0.23 1000 156 2306657 N Ibuprofen Tab 400 MG 717153-001 AUSTELL IBUPROFEN 400MG TABS 0.2 50 0.3 1000 200 3006658 N Desloratadine Tab 5 MG 722045-001 AERZIT 5MG TABS 2.778 50 4.17 10 27.78 41.76659 N Desloratadine Tab 5 MG 722045-002 AERZIT 5MG TABS 2.778 50 4.17 30 83.34 125.16660 N Candesartan Cilexetil Tab 8 MG 721629-001 ABECARD 8MG TABS 2.644 50 3.97 30 79.32 119.16661 N Candesartan Cilexetil Tab 16 MG 721630-001 ABECARD 16MG TABS 2.644 50 3.97 30 79.32 119.16662 N Rosuvastatin Calcium Tab 10 MG 721858-001 ROSTOR 10MG TABS 3.26 50 4.89 30 97.8 146.76663 N Rosuvastatin Calcium Tab 20 MG 721860-001 ROSTOR 20MG TABS 4.719 50 7.08 30 141.57 212.46664 N Rosuvastatin Calcium Tab 40 MG 721861-001 ROSTOR 40MG TABS 5.736 50 8.6 30 172.08 2586665 N Rosuvastatin Calcium Tab 5 MG 721857-001 ROSTOR 5MG TABS 1.948 50 2.92 30 58.44 87.66666 N Clopidogrel Bisulfate Tab 75 MG (Base Eq 721968-001 CLOPIDOGREL BIOTECH 75MG TABS 3.815 50 5.72 28 106.82 160.166668 N Carboxymethylcellulose Sodium Ophth Soln 218654-001 DRI-GON 10ML 0.5% 48.148 50 72.22 1 48.15 72.226669 N Carboxymethylcellulose Sodium Ophth Soln 218655-001 DRI-GON 0.4ML 0.5% 1.607 50 2.41 30 48.21 72.36670 N Carboxymethylcellulose Sodium Ophth Soln 218655-002 DRI-GON 0.4ML 0.5% 3.215 50 4.82 15 48.22 72.36671 N Carboxymethylcellulose Sodium Ophth Soln 221729-001 XAILIN HA 10ML 70.37 50 105.56 1 70.37 105.566672 N Carboxymethylcellulose Sodium Ophth Soln 221732-001 XAILIN EYE DROPS 10ML 48.148 50 72.22 1 48.15 72.226673 N Carboxymethylcellulose Sodium Ophth Soln 222667-001 DRI-GON 15ML 0.5% 48.148 50 72.22 1 48.15 72.226675 N Meropenem IV For Soln 500 MG 721378-001 ADCO-MEROPENEM 500MG/ VIAL 20ML 78.689 50 118.03 1 78.69 118.036676 N Meropenem IV For Soln 1 GM 721380-001 ADCO-MEROPENEM 1000MG/ VIAL 20M 157.37 50 236.06 1 157.37 236.066677 N Teicoplanin For Inj 400 MG 721682-001 CIPLA TEICOPLANIN 400MG POWD F 333.333 50 500 1 333.33 5006679 N Efavirenz Cap 50 MG 720840-001 ZENVIR 50MG CAPS 0.859 50 1.29 30 25.77 38.76680 N Efavirenz Cap 200 MG 720841-001 ZENVIR 200MG CAPS 2 50 3 90 180 2706681 N Insulin Syringe/Needle U-100 1/2 ML 28 x 238759-001 INSULIN PEN NEEDLE MEDISPO 31G 1.385 50 2.08 100 138.5 2086682 N Insulin Syringe/Needle U-100 1 ML 27 x 1 238764-001 SYRINGE MEDISPO TB LUER SLIP 1 1.385 50 2.08 100 138.5 2086683 N Insulin Syringe/Needle U-100 1 ML 27 x 1 238765-001 SYRINGE MEDISPO 1ML INSULIN LU 1.385 50 2.08 100 138.5 2086684 N Doxorubicin HCl For Inj 10 MG 721804-001 DOXORUBICIN ACCORD 10MG/5ML CO 45.296 50 67.94 1 45.3 67.946685 N Doxorubicin HCl For Inj 50 MG 721805-001 DOXORUBICIN ACCORD 50MG/25ML C 226.482 50 339.72 1 226.48 339.72

BOTSWANA MEDICINE REFERENCE FILEFile Date: May 2016 all prices excl. of VATVersion 4 Run date:30-May-2016LegendSatus: N = New D = Mark for deletionPrice: P = Price change

botswana medicine reference file -...

Documents