cghs life saving medicines

17
S.NO BRAND NAME GENERIC NAME PACKING CGHS Rate without VAT 1 ABRAXANE 100MG ALBUMIN BOUND PACLITAXEL VIAL 13913.05 2 ACLASTA LIVI 5MG INJ ZOLEDRONIC ACID 5MG VIAL 15012.31 3 ACTEMRA 200 MG TOCILIZUMAB VIAL 28000.00 4 ACTEMRA 400 MG TOCILIZUMAB VIAL 14000.00 5 ACTEMRA 80 MG TOCILIZUMAB VIAL 5600.00 6 AFINITOR 10MG EVEROLIMUS 1X10 58330.00 7 AFINITOR 5MG EVEROLIMUS 1X10 40831.00 8 AIMAFIX FACTOR IX VIAL 15111.00 9 ALBUPAX 100MG PACLITEXAL+ALBUMIN VIAL 8846.14 10 ALIMTA 100MG PEMETREXED DISODIUM 500MG VIAL 14282.42 11 ALIMTA 500MG PEMETREXED DISODIUM 500MG VIAL 59494.61 12 ALTRAZ 1MG ANASTRAZOL VIAL 569.10 13 AMBISOME 50MG LIPOSOMAL AMPHOYTERICIN B 1X14 9085.00 14 ARIMIDEX 1MG ANASTRAZOL VIAL 5033.85 15 AROMACIN 25 MG EXEMESTANE 25MG 2X 14 6242.17 16 ASUNRA 100MG DEFRASIROX 1X30 220.00 17 ASUNRA 400MG DEFRASIROX 1x6 660.00 18 ATGAM 250 MG LYMPHOCYTE IMMUNE GLOBULIN 1x6 11885.71 19 AVASTIN 100MG BEBACIZUMAB 100MG VIAL 20348.00 20 AVONEX 30MIU INTERFERONBETA-1 ALPHA VIAL 7169.75 21 BANDRONE 50MG IBANDORNIC ACID 50MG PFS 400.00 22 BANDRONE 6MG IBANDORNIC ACID 6MG 1X10 2023.08

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Page 1: CGHS Life Saving Medicines

S.NO BRAND NAME GENERIC NAME PACKING CGHS Rate without VAT

1 ABRAXANE 100MG ALBUMIN BOUND PACLITAXEL VIAL 13913.05

2 ACLASTA LIVI 5MG INJ ZOLEDRONIC ACID 5MG VIAL 15012.31

3 ACTEMRA 200 MG TOCILIZUMAB VIAL 28000.00

4 ACTEMRA 400 MG TOCILIZUMAB VIAL 14000.00

5 ACTEMRA 80 MG TOCILIZUMAB VIAL 5600.00

6 AFINITOR 10MG EVEROLIMUS 1X10 58330.00

7 AFINITOR 5MG EVEROLIMUS 1X10 40831.00

8 AIMAFIX FACTOR IX VIAL 15111.00

9 ALBUPAX 100MG PACLITEXAL+ALBUMIN VIAL 8846.14

10 ALIMTA 100MG PEMETREXED DISODIUM 500MG VIAL 14282.42

11 ALIMTA 500MG PEMETREXED DISODIUM 500MG VIAL 59494.61

12 ALTRAZ 1MG ANASTRAZOL VIAL 569.10

13 AMBISOME 50MG LIPOSOMAL AMPHOYTERICIN B 1X14 9085.00

14 ARIMIDEX 1MG ANASTRAZOL VIAL 5033.85

15 AROMACIN 25 MG EXEMESTANE 25MG 2X 14 6242.17

16 ASUNRA 100MG DEFRASIROX 1X30 220.00

17 ASUNRA 400MG DEFRASIROX 1x6 660.00

18 ATGAM 250 MG LYMPHOCYTE IMMUNE GLOBULIN 1x6 11885.71

19 AVASTIN 100MG BEBACIZUMAB 100MG VIAL 20348.00

20 AVONEX 30MIU INTERFERONBETA-1 ALPHA VIAL 7169.75

21 BANDRONE 50MG IBANDORNIC ACID 50MG PFS 400.00

22 BANDRONE 6MG IBANDORNIC ACID 6MG 1X10 2023.08

23 BARACLUDE 0.5MG (TAB.) ENTACAVIR 0.5 INJ 1883.14

24 BARACLUDE 1MG (TAB.) ENTACAVIR 0.5 1X10 3006.00

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25 BICAL 50MG (TAB.) BICALUTAMIDE 1X10 798.00

26 BIOCARB 150MG (INJ.) CARBOPLATIN 150MG 1X30 945.00

27 BIOCARB 450MG (INJ.) CARBOPLATIN 450MG VIAL 2500.00

28 BIOMAB NIMOTUZUMAB 50MG VIAL 37625.00

29 BIURA TAB BICLUTAMIDE 50MG VIAL (1X4) 338.00

30 BONDRONATE 50MG IBANDORNIC ACID 50MG 1X10 2752.00

31 BONDRONATE 6MG IBANDORNIC ACID 6MG 1X 7 8415.00

32 BONISTA TERIPARATIDIE (R- HUMAN PARATHYROID HARMONE (1-34) VIAL 9855.72

33 BORTENAT 2MG BORTIZOMIB 2MG VIAL OF 750 µg 9615.38

34 BORTENAT 3.5MG BORTIZOMIB 3.5MG VIAL 13569.23

35 BOTOX (INJ.) 100IU BOTULINUM TOXIN TYPE A VIAL 13100.00

36 BOTOX (INJ.) 50IU BOTULINUM TOXIN TYPE A 1 Vial 7090.00

37 CAELYX 20MG DOXORUBICIN HCL LIPOSOMAL 1 Vial 37658.67

38 CALCIT SG0.25 CALCITRIOL BP 0.25mcg VIAL 65.00

39 CALURAN 50MG (TAB.) BICALUTAMIDE 50 VIAL 625.00

40 CAMPTO 100 IRINOTECAN 100MG 1X10 14262.86

41 CAMPTO 40MG IRINOTECAN 40MG VIAL 5705.14

42 CANTRET 50 ALTETAMINE 50MG VIAL 4050.00

43 (CAPD)(BAXTER) 4-PRONG PD SET 1X10 470.00

44 (CAPD)(BAXTER) CAPD 1.5% 2.5 LTR PCS 187.46

45 (CAPD)(BAXTER)CAPD 1.5%(LOW CALCIULM) 2 LTR 2.5 ltr 217.00

46 (CAPD)(BAXTER) CAPD 2.5% 2.5 LTR 2 ltr 187.46

47 (CAPD)(BAXTER)CAPD 2.5%(LOW CALCIULM) 2 LTR 2.5 LTR 217.00

48 (CAPD)(BAXTER)CAPD MINI CAP 2 ltr 15.00

49 (CAPD)(BAXTER)CAPD SOL 1.5% 2 LTR PCS 140.00

Page 3: CGHS Life Saving Medicines

50 (CAPD)(BAXTER)CAPD SOL 1.5% 5 LTR 2 ltr 350.00

51 (CAPD)(BAXTER)CAPD SOLN 2.5% 2 LTR 5 LTR 140.00

52 (CAPD)(BAXTER)CAPD SOLN 2.5% 5 LTR 2 ltr 350.00

53 (CAPD)(BAXTER)CAPD SOLN 4.25% 2 LTR 5 ltr 140.00

54 (CAPD)(BAXTER)CAPD SOLN 4.25% 5 LTR 2 ltr 350.00

55 (CAPD)(BAXTER)CLAMP 5 LTR 85.00

56 (CAPD)(BAXTER)DRAIN BAG 15 LTR PCS 150.00

57 (CAPD)(BAXTER)DRESSING KIT 15 ltr 1500.00

58 (CAPD)(BAXTER) EXTRANEAL (ICODEXTRIN 7.5%) ONE KIT 519.00

59 (CAPD)(BAXTER)TENCKHOFF CATHETER 5500.00

60 (CAPD)(BAXTER) TITANIUM ADOPTER PCS 3000.00

61 (CAPD)(BAXTER)TRANSFER SET PCS 1600.00

62 (CAPD)(BAXTER) ULTRA Y SET 2 LTR PCS 105.00

63 (CAPD)(CLARISE)CAPD SOLN 1.38% PCS 160.00

64 (CAPD)(CLARISE)CAPD SOLN 2.27% 160.00

65 (CAPD)(CLARISE)CAPD SOLN 3.86% 160.00

66 (CAPD)(CLARISE)DRESSING KIT 1450.00

67 (CAPD)(CLARISE) EMPTY SET 49.00

68 (CAPD)(CLARISE) SAFETY CAP 21.00

69 (CAPD)(CLARISE)TENCKHOFF CATHETER 6200.00

70 (CAPD)(CLARISE)TITANIUM ADOPTOR 6500.00

71 (CAPD)(CLARISE)TRANSFER SET 2250.00

72 (CAPD)(CLARISE)TRISAFE 375.00

73 (CAPD)(FRESENIUS)CAPD SOLN 1.5% 2 LTR 210.00

74 (CAPD)(FRESENIUS)CAPD SOLN 2.3% 2 LTR 210.00

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75 (CAPD)(FRESENIUS)CAPD SOLN 4.25% 2 LTR 210.00

76 (CAPD)(FRESENIUS)CATHETER ADAPTER LUER LOCK 720.00

77 (CAPD)(FRESENIUS)CATHETER EXTENSION LINE 2000.00

78 (CAPD)(FRESENIUS)DISINFECTION SAFETY CAP 25.00

79 (CAPD)(FRESENIUS)DRAINAGE BAG KIT 140.00

80 (CAPD)(FRESENIUS)HOLDER FOR ORGANISER 3250.00

81 (CAPD)(FRESENIUS)ORGANISER 1650.00

82 (CAPD)(J MITRA)CAPD SOLN 1.5% 2 LTR 135.00

83 (CAPD)(J MITRA)CAPD SOLN 2.5% 2 LTR 135.00

84 (CAPD)(J MITRA)CAPD SOLN 4.25% 2 LTR 135.00

85 (CAPD)(J MITRA)DRESSING KIT 1300.00

86 (CAPD)(J MITRA) MINI CAP 15.00

87 (CAPD)(J MITRA)TITANIUM ADOPTER 2250.00

88 (CAPD)(J MITRA)TRANSFER SET 1350.00

89 (CAPD)(J MITRA)TRICHOICE 450.00

90 (CAPD)(J MITRA)ULTRA Y SET 45.00

91 CAPECITE 500 CAPECITABINE 500MG 857.60

92 CELLCEPT 250 MYCOPHENOLATE MOFETIL 1x8 231.00

93 CELLCEPT 500 MYCOPHENOLATE MOFETIL 1x10 250.00

94 CERTICAN 0.050MG EVEROLIMUS 1x10 1440.00

95 CERTICAN 0.25MG EVEROLIMUS 1X10 720.00

96 CERTICAN 0.75MG EVEROLIMUS 1X10 2149.00

97 CLOKERAN 2 MG CHLORAMBUCL 2MG 1X10 1360.58

98 CLOKERAN 5 MG CHLORAMBUCL 5MG 1X30 2336.54

99 CYTOGEM 1 GM GEMCITABINE 1GM 1X30 4926.14

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100 CYTOGEM 200MG GEMCITABINE 200MG VIAL 1185.84

101 DACOTIN 100MG OXALIPATIN 100MG VIAL 7685.96

102 DACOTIN 50MG OXALIPATIN 50MG VIAL 3832.98

103 DECAPEPTYL 0.1MG (INJ.) TRIPTORELIN ACETATE VIAL 223.85

104 DECAPEPTYL 3.75MG (INJ.) TRIPTORELIN ACETATE DEPOT 5243.15

105 DEFLUX 4MG (INJ.) DEXTRANOMER DEPOT 21920.19

106 DESFEROL 500MG DESFROXAMINE VIAL 165.50

107 DOCENAT 120 DOCETAXEL 120MG INJ 1X1 11538.46

108 DOCENAT 20 DOCETAXEL 80MG VIAL 6923.08

109 DOCENAT 80 DOCETAXEL 20MG PFS 2307.69

110 DOCEREX 120MG DOCETAXEL VIAL 11475.00

111 DOCEREX 20MG DOCETAXEL VIAL 2700.00

112 DOCEREX 80MG DOCETAXEL VIAL 8100.00

113 DOCETERE 120MG DOCETAXEL 120MG VIAL 12457.00

114 DOCETERE 20MG DOCETAXEL 20MG VIAL 3110.64

115 DOCETERE 80MG DOCETAXEL 80MG VIAL 9526.35

116 DURAGESIC 12 MCG FENTANYL TRANSDERMAL 12 MG VIAL 638.40

117 DURAGESIC 25 MCG FENTANYL TRANSDERMAL 25MG PATCH 1188.00

118 DURAGESIC 50MCG FENTANYL TRANSDERMAL 50MG PATCH 2287.20

119 ELIDEL CREAM PIMECROLIMUS 1% PATCH 490.50

120 ELIGARD 22.5 LEUPROLIDE 22.5MG CREAM 18286.00

121 ELIGARD 45 LEUPROLIDE 45MG VIAL 30476.00

122 EMCLOT FACTOR VIII VIAL 14454.00

123 ENBREL 25 MG (INJ.) ETANERCEPT VIAL 6420.76

124 ENBREL 50 MG (INJ.) ETANERCEPT 1X4 PFS 12675.99

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125 EPILASTA 10MG EPIRUBICINE 1X4 PFS 337.50

126 EPILASTA 50MG EPIRUBICINE VIAL 1725.00

127 EPOFIT 10000 ERYTHROPOITEIN VIAL 1800.00

128 EPOFIT 2000 ERYTHROPOITEIN PFS 471.52

129 EPOFIT 3000 ERYTHROPOITEIN PFS 793.27

130 EPOFIT 4000 ERYTHROPOITEIN PFS 841.35

131 EPOFIT 6000 ERYTHROPOITEIN PFS 1513.46

132 EPREX 10000 ERYTHROPOITEIN PFS 3360.00

133 EPREX 2000 ERYTHROPOITEIN PFS 680.00

134 EPREX 3000 ERYTHROPOITEIN PFS 1016.00

135 EPREX 4000 ERYTHROPOITEIN PFS 1330.00

136 EPREX 40000 ERYTHROPOITEIN PFS 10080.00

137 EPREX 6000 ERYTHROPOITEIN PFS 1698.00

138 EPREX 8000 ERYTHROPOITEIN PFS 2378.00

139 ERBITUX 100 CETUXIMAB 100MG PFS 14521.86

140 ERBITUX 500 CETUXIMAB 100MG VIAL 69152.46

141 ERLOCIP ERLOTINIB HCL VIAL 39721.15

142 ERYKINE 10000 ERYTHROPOITEIN 1X30 1970.00

143 ERYKINE 40000 ERYTHROPOITEIN PFS 7995.00

144 ERYPRO SAFE 10000IU ERYTHROPOITEIN PFS 2281.90

145 ERYPRO SAFE 2000IU ERYTHROPOITEIN PFS 620.95

146 ERYPRO SAFE 3000IU ERYTHROPOITEIN PFS 819.05

147 ERYPRO SAFE 4000IU ERYTHROPOITEIN PFS 1062.86

148 ERYPRO SAFE 5000IU ERYTHROPOITEIN PFS 1192.38

149 ESPOGEN 10000 ERYTHROPOITEIN PFS 2520.00

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150 ESPOGEN 2000 ERYTHROPOITEIN PFS 756.00

151 ESPOGEN 20000 ERYTHROPOITEIN PFS 4200.00

152 ESPOGEN 3000 ERYTHROPOITEIN PFS 924.00

153 ESPOGEN 4000 ERYTHROPOITEIN PFS 1218.00

154 ETHYOL 375 AMIFOSTINE 375MG PFS

155 ETHYOL 500 AMIFOSTINE 500MG VIAL 9971.81

156 EXELON 1.5 MG (CAP.) RIVASTIGMIN VIAL 2936.00

157 EXELON 3 MG (CAP.) RIVASTIGMIN 1X60 2936.00

158 EXELON 4.5 MG (CAP.) RIVASTIGMIN 1X60 2936.00

159 EXELON 6 MG (CAP.) RIVASTIGMIN 1X60 2936.00

160 EXELON PATCH 10 RIVASTIGMIN 1X60 2936.00

161 EXELON PATCH 5 RIVASTIGMIN 1X30 2936.00

162 FARMARUBICIN 10 EPIRUBICIN HCL 10MG 1X30 426.41

163 FARMORUBICIN 50 EPIRUBICIN HCL 50MG VIAL 2016.48

164 FASLODEX 250 FULBEXTERANT VIAL 19671.54

165 FEMARA 2.5 LETROZOLE 2.5MG PFS 4890.00

166 FEROVISC 25MG SODIUM HYLURONATE 1X 30 2300.00

167 FLUDARA 10MG FLUDARABINE PHOSPHATE 2.5ML/ PFS 28649.25

168 FLUDARA 50 MG (INJ.) FLUDARABINE PHOSPHATE 1X20 8694.16

169 FLURAMAX INJ FLUDARABINE 50MG 1 Vail 6000.00

170 FORTEO TERIPARATIDIE (R- HUMAN PARATHYROID HARMONE (1-34) VIAL 18698.42

171 FULVENAT 250MG FULBEXTERANT PEN 750 µg 13076.92

172 GAMA I.V. 0.5GM NORMAL IMMUNOGLOBIN 0.5 GM VIAL 1201.92

173 GAMA I.V.2.5GM NORMAL IMMUNOGLOBIN 2.5 GM VIAL 5048.08

174 GAMA I.V.5GM NORMAL IMMUNOGLOBIN 5 GM VIAL 10096.15

Page 8: CGHS Life Saving Medicines

175 GEFISSA CAP GIFITINIB 250MG VIAL 8100.00

176 GEFTINAT 250 GEFTINIB 250MG 1X30 8096.15

177 GEMCITE 1GM GEMCITABINE 1GM 1X30 6963.92

178 GEMCITE 200MG GEMCITABINE 200MG VIAL 1558.04

179 GEMIBINE 1GM GEMCITABINE 1GM VIAL 4290.00

180 GEMIBINE 200MG GEMCITABINE 200MG VIAL 995.00

181 GENTROPIN 16 IU (INJ.) SOMATROPIN VIAL 6120.00

182 GRAFEEL 300 mcg FILGRASTIM 300mcg CATRIDGE 1958.15

183 GRANOCYTE 263 mcg LENOGRASTIN 263mcg PFS 4400.00

184 HEAMOPHILL M/ IMMUNATE (AHF VIII) ANTI HEAMOPHILLIC FACTOR VIII VIAL 10.58

185 HERCEPTIN 440 MG TRASTUZUMAB 440MG 250 IU 86957.00

186 HUMATROPE 18IU (INJ.) SOMATROPIN VIAL 6330.69

187 HUMATROPE 36 IU (INJ.) SOMATROPIN PFS 12660.58

188 HYNEES 20 SODIUM HYLURONATE 20MG PFS 1904.69

189 HYRUAN 2.5ML SODIUM HYLURONATE PFS 2100.00

190 IMMUNUNINE (AHF IX) ANTI HEAMOPHILLIC FACTOR IX PFS 17.31

191 INTALFA 3MIU (INJ.) INTERFERON ALFA 2B 600 IU 482.00

192 INTALFA 5MIU (INJ.) INTERFERON ALFA 2B PFS 520.00

193 INTRON 18 MIU (INJ.) INTERFERON ALFA 2B PFS 11213.71

194 INTRON 30 MIU (INJ.) INTERFERON ALFA 2B PEN 18689.52

195 IRNOCAM 100 (INJ.) IRNOTICAN PEN 3079.22

196 IRNOCAM 40MG IRNOTICAN VIAL 1445.38

197 IRNOZEN 100MG IRINOTECAN 100MG VIAL 2077.02

198 IRNOZEN 40MG IRINOTECAN 40MG VIAL 937.55

199 IXEMPRA 15 IXABEPILONE VIAL 21060.00

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200 IXEMPRA 45 IXABEPILONE VIAL 56940.00

201 K BIND SACHET 15 GM CALCIUM POLYSTYRENE VIAL 61.60

202 LENALID 10 LENALIDOMIDE 10MG SACHET 1X15 GM 7040.00

203 LENALID 15 LENALIDOMIDE 15MG 1X30 9600.00

204 LENALID 25 LENALIDOMIDE 25MG 1X30 14400.00

205 LENALID 5 LENALIDOMIDE 5MG 1X30 3440.00

206 LETROZ 2.5MG (TAB.) LETROZOLE 2.5MG 1X30 130.00

207 LIPODEX (INJ.) LIPOSOMAL DOXORUBICIN 1X5 6826.92

208 LUCENTIS 0.3 (INJ.) RANIBIZUMAB DEPOT 56218.27

209 LUCRIN DEPOT 11.25 LENNPRORELIN ACETATE 11.25MG PFS 13290.00

210 LUCRIN DEPOT 3.75 LENNPRORELIN ACETATE 3.75MG PFS 7668.00

211 MABTHERA 100 RITUXIMAB 100MG PFS 12000.00

212 MABTHERA 500 RITUXIMAB 500MG VIAL 60000.00

213 MACUGEN 0.3MG (INJ.) PEGAPTANIB SODIUM VIAL 35657.14

214 MEGESTRA 40MG MEGESTROL ACETATE 1 PFS 262.50

215 MEGLOB 2.5GM NORMAL IMMUNOGLOBIN 2.5 GM 1X10 5782.00

216 MEGLOB 5GM NORMAL IMMUNOGLOBIN 5 GM VIAL 13534.00

217 MIRCERA 100MG (INJ.) METHOXY POLYETHYLENE GLYCOL VIAL 6685.00

218 MIRCERA 50MG (INJ.) METHOXY POLYETHYLENE GLYCOL 1 PFS 3325.00

219 MIRCERA 75mcg (INJ.) METHOXY POLYETHYLENE GLYCOL 1 PFS 4990.00

220 MITOTAX 100 PACLITAXEL 100MG 1 PFS 3143.13

221 MITOTAX 250 PACLITAXEL 250MG VIAL 7394.14

222 MITOTAX 30 PACLITAXEL 30MG VIAL 1337.88

223 MITOTAX 300 PACLITAXEL 300MG VIAL 8387.13

224 MOFILET 250MG MYCOPHENOLATE MOFETIL 250 VIAL 336.00

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225 MOFILET 500MG MYCOPHENOLATE MOFETIL 500 1X10 641.08

226 MOFILET S360MG MYCOPHENOLATE MOFETILS360MG 1X10 641.08

227 MYCEPT 250 MYCOPHENOLATE MOFETIL 250 1X10 320.00

228 MYCEPT 500 MYCOPHENOLATE MOFETIL 500 1X10 600.00

229 MYCEPT S 180 MYCOPHENOLATE MOFETIL S 180 1X10 304.76

230 MYCEPT S 360 MYCOPHENOLATE MOFETIL S 360 1X10 571.43

231 MYCOFIT 500 (TAB.) MYCOPHENOLATE MOFETIL 1X10 677.00

232 MYCOFIT S360 (TAB.) MYCOPHENOLATE MOFETIL 1X10 771.00

233 MYEZOM 2MG BORTEZOMIB 2MG 1X10 9086.54

234 MYEZOM 3.5MG BORTEZOMIB 3.5MG VIAL 12822.89

235 MYFORTIC 180 MG (TAB.) MYCOPHENOLATE MOFETIL VIAL 320.00

236 MYFORTIC 360 MG (TAB.) MYCOPHENOLATE MOFETIL 1X10 640.00

237 NATCLOVIR 250MG GANCICLOVIR 250MG 1X10 8390.39

238 NATCLOVIR INJ 250 MG GANCICLOVIR 250MG 1X10 1684.80

239 NATZOLD 5 MG ZOLEDRONIC ACID 5MG VIAL 2061.54

240 NAVELBINE 10 VINORELBINE 10 VIAL 2550.00

241 NAVELBINE 50 VINORELBINE 50 VIAL 12180.00

242 NEORAL 100MG (TAB.) CYCLOSPORINE VIAL 5710.00

243 NEORAL 25MG (TAB.) CYCLOSPORINE 1X50 1428.00

244 NEORAL 50MG (TAB.) CYCLOSPORINE 1X50 2855.00

245 NEORECORMON 10000 EPOTEIN BETA 10000 I.U. 1X50 2000.00

246 NEORECORMON 2000 EPOTEIN BETA 2000 I.U. VIAL 257.00

247 NEORECORMON 3000 EPOTEIN BETA 3000 I.U. VIAL 456.00

248 NEORECORMON 30000 EPOTEIN BETA 30000 I.U. VIAL 6000.00

249 NEORECORMON 4000 EPOTEIN BETA 4000 I.U. VIAL 580.00

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250 NEORECORMON 5000 EPOTEIN BETA 5000 I.U. VIAL 1102.00

251 NEPHRODIL 2000 IU ERYTHROPOITEIN VIAL 684.76

252 NEPHRODIL 4000 IU ERYTHROPOITEIN PFS 1114.29

253 NEPHRODIL 6000 IU ERYTHROPOITEIN PFS 1544.29

254 NEUKINE 300mcg FILGRASTIM 300mcg PFS 1590.00

255 NEULASTIM 6MG PEGFILGRASTIM 6MG PFS 20182.00

256 NEUPEG 6MG PEGFILGRASTIM 6MG PFS 19904.54

257 NEUPOGEN 300mcg FILGRASTIM 300mcg PFS 915.00

258 NEURONEX 100 (INJ) PURIFIED BOTULINUM TOXIN TYPE A COMPLEX PFS 11971.15

259 NEXAVAR 200MG (TAB.) SORAFENIB TOSYLATE VIAL 108895.19

260 NEXIRON 100 IRON SUCROSE 1X60 190.00

261 NORDITROPIN 15 IU (INJ.) SOMATROPIN VIAL 5336.54

262 NORDITROPIN 45 IU (INJ.) SOMATROPIN PFS 13461.54

263 NUDOXA 20 DOXORUBICIN HCL LIPOSOMAL PFS 6500.00

264 OCTORIDE DEPOT 20 mg OCTREOLIDE 20 mg VIAL 12692.31

265 ORENCIA ABATACEPT 250MG VIAL 21600.00

266 OXIDECH 100 OXALIPATIN 100MG INJ 2682.72

267 OXIDECH 50 OXALIPATIN 50MG VIAL 1419.14

268 PANGRAF 0.5MG (TAB.) TACROLIMUS VIAL 160.00

269 PANGRAF 1MG (TAB.) TACROLIMUS 1X10 312.38

270 PANGRAF 5MG (TAB.) TACROLIMUS 1X10 1500.95

271 PARAPLATIN 150 CARBOPLATIN 150MG 1X10 1624.00

272 PARAPLATIN 450 CARBOPLATIN 450MG VIAL 3600.00

273 PAXTEL 100MG PACLITAXEL 100MG VIAL 3250.00

274 PAXTEL 260MG PACLITAXEL 260MG VIAL 6750.00

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275 PAXTEL 30MG PACLITAXEL 300MG VIAL 1400.00

276 PEGASYS 135 PEGYLATED INTERFERON ALFA 2a 135 VIAL 6000.00

277 PEGASYS 180 PEGYLATED INTERFERON ALFA 2a 180 VIAL 6300.00

278 PEGFIL 6MG PEGYLATED FILGRASTA VIAL 19327.00

279 PEMINAT 100MG PEMETREXED DISODIUM 500MG VIAL 3675.00

280 PEMINAT 500MG PEMETREXED DISODIUM 500MG 1X10 16474.00

281 PHOSTATE 500 CALCIUM ACETATE 1X10 17.00

282 REBIFF 44mcg (INJ.) RECOMBINENT INTERFERION 1X10 4225.00

283 RECIL 18 MU INTERLEUKIN-2 PFS 8400.00

284 REDEMIDE 100 THALIODOMIDE 100MG VIAL 497.00

285 REDEMIDE 50 THALIODOMIDE 50MG 1X10 325.00

286 REDITUX RA 500 RITUXIMAB 1GM 1X10 59808.56

287 REDITUX 100 RITUXIMAB 100MG VIAL 7476.16

288 REDITUX 500 RITUXIMAB 500MG VIAL 29904.28

289 REMICADE 100MG (INJ.) INFLIXIMAB RECOMBINANT VIAL 31267.81

290 ROCAS TAB SIROLIMUS 1 Vial 865.00

291 ROFERON A3 MIU INTERFERON ALFA 2a 1X6 250.00

292 ROFERON A4.5 INTERFERON ALFA 2a PFS 661.00

293 RUBIZEN 10MG EPIRUBICIN HCL 10MG PFS 302.04

294 RUBIZEN 50MG EPIRUBICIN HCL 50MG VIAL 1410.58

295 SANDIMMUN NEORAL 100MG (liq)/50ml CYCLOSPORIN VIAL 5864.00

296 SANDOSTATIN 0.1 OCTREOLIDE .0.1MG BOTTLE 552.00

297 SANDOSTATIN 0.5 OCTREOLIDE .05MG VIAL 294.00

298 SANDOSTATIN LAR 10 OCTREOLIDE LAR 10MG VIAL 39700.00

299 SANDOSTATIN LAR 20 OCTREOLIDE LAR 20MG VIAL 53850.00

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300 SEBEVIO 600 MG TELBIVUDINE 1x30 4303.00

301 SIMULECT 20MG BASILIXIMAB VIAL 60225.00

302 SIROMUS 1 SIROLIMUS INJ 720.00

303 SPRYCEL 20 DASATINIB 20MG 1X60 70988.57

304 SPRYCEL 50 DASATINIB 50MG 1X60 141638.00

305 SPRYCEL 70 DASATINIB 70MG 1X60 151902.86

306 SUTENT 12.5 (TAB.) SUNITINIB MALATE 1X60 11619.44

307 SUTENT 25 (TAB.) SUNITINIB MALATE 1X7 23239.40

308 SUTENT 50 (TAB.) SUNITINIB MALATE 1X7 46478.81

309 SYNJECT SODIUM HYLURONATE 1X7 1190.00

310 SYNVISC ONE HYLAN G-F 20 PFS 12500.00

311 TABI 50 BICALUTAMIDE VIAL 1041.50

312 TACROMUS 0.5 MG (TAB.) TACROLIMUS 1X30 143.48

313 TACROMUS 1 MG (TAB.) TACROLIMUS 1X60 290.00

314 TACROMUS 5 MG (TAB.) TACROLIMUS 1X60 1420.00

315 TARCEVA 100 IRLOTINIB 100MG 1X10 24298.00

316 TARCEVA 150 IRLOTINIB 150MG 1X10 28070.00

317 TAXOGEM 120MG DOCETAXEL 120MG 1X10 10000.00

318 TAXOGEM 20MG DOCETAXEL 20MG VIAL 2400.00

319 TAXOGEM 80MG DOCETAXEL 80MG VIAL 7450.00

320 TAXOL 100 PACLITAXEL 100MG VIAL 4683.84

321 TAXOL 30 PACLITAXEL 30MG VIAL 1941.33

322 TAXOL 300 PACLITAXEL 300MG VIAL 11930.65

323 TAXOTERE 20 DOCETAXEL 20MG VIAL 3384.62

324 TAXOTERE 80 DOCETAXEL 80MG VIAL 12923.08

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325 TEMODOL 100 TEMOZOLOMIDE 100MG VIAL 29648.57

326 TEMODOL 20 TEMOZOLOMIDE 20MG 1X5 6342.86

327 TEMODOL 250 TEMOZOLOMIDE 250MG 1X15 68571.43

328 TEMONAT 100 TEMOZOLOMIDE 100MG 1X5 7200.00

329 TEMONAT 20 TEMOZOLOMIDE 20MG 1X5 4800.00

330 TEMONAT 250 TEMOZOLOMIDE 250MG 1X15 16923.08

331 THAILIX 100 THALIODOMIDE 100MG 1X5 655.67

332 THAILIX 50 THALIODOMIDE 50MG 1X10 370.77

333 TYKERB 250 MG (TAB.) LEPATINIB 250MG 1X10 35403.85

334 UFT 100MG TEGAFUR & URACIL 1X10 17396.77

335 VALCYTE 450MG (TAB.) VALGONCILOVIR 450 120 27700.00

336 VARIGESTROL 160MG (TAB.) MEGESTROL ACETATE 1X60 3215.00

337 VARIGESTROL 40MG (TAB.) MEGESTROL ACETATE 1X10 3011.00

338 VEENAT 100MG IMATINIB 100MG 1X10 8390.38

339 VELCADE 1MG BORTEZOMIB 1.0MG 1X20 16032.69

340 VELCADE 3.5MG BORTIZOMIB 3.5MG VIA 47606.92

341 VENOFER 100 IRON SUCROSE AMP 268.00

342 VERZ 200MG VORICONAZOLE 200MG AMP 2957.39

343 VERZ 200MG INJ VORICONAZOLE 200MG 1X4 1329.63

344 VERZ 50MG VORICONAZOLE 50MG VIAL 631.38

345 VINGRAF CAP 0.5MG TACROLIMUS 0.5MG 1X4 164.19

346 VINGRAF CAP 1MG TACROLIMUS 1MG 1X10 312.36

347 VINGRAF CAP 5MG TACROLIMUS 5MG 1X10 1522.95

348 VINTOR 10000 ERYTHROPOITEIN 1X10 2460.00

349 VINTOR 2000 ERYTHROPOITEIN PFS 630.17

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350 VINTOR 20000 ERYTHROPOITEIN PFS 4100.00

351 VINTOR 3000 ERYTHROPOITEIN PFS 890.93

352 VINTOR 4000 ERYTHROPOITEIN PFS 1191.69

353 VINTOR 40000 ERYTHROPOITEIN PFS 7380.00

354 VINTOR 6000 ERYTHROPOITEIN PFS 1586.62

355 VIRAFERON 50 PEGINTERFERON ALPHA 2B 50mcg PFS 7777.52

356 VIRAFERON 80 PEGINTERFERON ALPHA 2BTmcg REDIPEN 12074.67

357 VIRAFERON 100 PEGINTERFERON ALPHA 2B REDIPEN 12548.57

358 VIRAFERON 120 PEGINTERFERON ALPHA 2B REDIPEN 13670.86

359 VIRAFERON PEG 50 PEGYLATED INTERFERON ALFA 2b 50 REDIPEN 7061.33

360 VIRAFERON PEG 80 PEGYLATED INTERFERON ALFA 2b 80 VIAL 10944.76

361 VORITRA 200MG VORICONAZOLE VIAL 6650.00

362 VORITRA 50MG VORICONAZOLE 1X10 1081.73

363 VORIZOL 200 INJ VORICONAZOLE INJ 1X10 1830.77

364 VORIZOL 200 TAB VORICONAZOLE VIAL 2764.19

365 XELODA 500 CAPECITABINE 500MG 1X4 500.00

366 XOLAIR 150MG (INJ.) OMALIZUMAB 1X8 23211.00

367 X-TANE 25MG EXEMESTANE 25MG 1 Vial 992.31

368 XTINIB 250 GEFTINIB 250MG 1X30 7500.00

369 X-TRANT 140MG ESTRAMUSTINE 140MG 1X30 11852.88

370 ZENEPAX 25MG (INJ.) DACLUZIMAB 1X100 14348.00

371 ZENOTERE 120MG DOCETAXEL 120MG VIAL 9519.30

372 ZENOTERE 20MG DOCETAXEL 20MG VIAL 1774.04

373 ZENOTERE 80MG DOCETAXEL 80MG VIAL 5884.64

374 ZOLADEX 10.8 GOSERELIN 10.8MG VIAL 21120.00

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375 ZOLADEX 3.6 GOSERELIN 3.6MG PFS 7128.00

376 ZOLDONAT 4MG ZOLEDRONIC ACID 4MG PFS 1129.81

377 ZOMETA 4MG ZOLEDRONIC ACID 4MG VIAL 12500.00

378 ZYMURINE 50 AZOTHYAPRINE VIAL 48.00

379 ZYROP 10000 ERYTHROPOITEIN 1X10 2519.23

380 ZYROP 2000 ERYTHROPOITEIN PFS 501.92

381 ZYROP 3000 ERYTHROPOITEIN PFS 804.81

382 ZYROP 4000 ERYTHROPOITEIN PFS 1006.73