ACKNOWLEDGEMENTS. 13 October 2014 Manila, Philippines

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2 ACKNOWLEDGEMENTS The Second Edition of the Drug Price Reference Index (I) was made possible with the hard work, dedication and team effort of the National Center for Pharmaceutical Access and Management s I Team headed by Mr. Manuel Alexander Haasis, Project Manager/Consultant and Ms. Marinette J. Ladioray, Senior Health Program Officer, together with the team members namely: Mr. Achilles Aragona, Information System Researcher II, Mr. Julius Jocson, Health Program Officer I, Mr. John Irving Telingban, Supply Officer I and Mr. Jeffrey Castro, Health Program Researcher and all NCPAM staff for their support. We also acknowledge the guidance of the System Support Division Head, Ms. Vanessa Saulog-Obera and lastly to the unwavering support and supervision of Dr. Anna Melissa S. Guerrero, OIC- Program Manager, NCPAM, Dir. Lilibeth C. David, OIC- Health Policy Finance and Research Development Cluster, and Dr. Madeleine De Rosas-Valera, former Undersecretary of Health. 13 October 2014 Manila, Philippines 1 P a g e

3 Overview The high and extremely variable prices of medicines in the Philippines impact on access to effective, efficient and equitable health care. In 2009, a study conducted by Health Action International revealed that there was extreme variability in the procurement prices of essential medicines in the national and local public health facilities in the country. On average, originator brands and generic equivalents were procured almost 16 times and 3 times higher, respectively, compared to prices available on the international market. 1 DOH-Central Office Bids and Awards Committee (DOH-COBAC) and DOH hospitals were shown to have more efficient procurement prices compared to provincial and municipal health facilities, thus leading to variability in access to essential medicines across the Philippines. Republic Act (RA) 9502 or the Universally Accessible Cheaper and Quality Medicines Act of 2008 gave the DOH instruments to monitor and regulate the prices of drugs and medicines to protect consumers and the public procuring entities from excessive mark-ups applied to prices of medicines resulting from information asymmetry and the lack of effective market competition. To address these issues, the National Center for Pharmaceutical Access and Management (NCPAM) has established a Drug Price Reference Index (I) for all essential medicines to guide all national and local government health facilities in the efficient sourcing of pharmaceutical products in the public sector. What is the Drug Price Reference Index (I)? The I lists the ceiling prices of essential medicines for government bidding and procurement set by the DOH for all DOH Retained Hospitals and Regional Health Offices (RHOs). Winning bid prices of essential medicines within the I ceiling reflect efficient and effective procurement that facilitates consumer access to medicines and protection from excessive mark-ups of prices. The I only reflects the acquisition costs including landed cost, packaging, drug content, quality assurance, manufacturing overheads and Food and Drug Administration (FDA) fees. The I excludes other costs such as pharmacy services, preparation and storage fees and applicable taxes to medicines (i.e. VAT), and other reasonable pharmacy mark-ups, which are now being evaluated by the DOH. The I aims to improve the efficiency and good governance in the pricing and procurement of medicines in the public sector through establishing a transparent and publicly available reference price for affordable and quality medicines. It also aims to guide the Philippine Health Insurance Corporation (PHIC) in setting reimbursement caps for medicines both for inpatient and outpatient services. Who should use the I? All government entities should be guided by the I when procuring medicines. It shall be applied to all forms of procurement such as public bidding, direct contracting, shopping, negotiated procurement, emergency procurement and consignment to ensure that the government achieves the best value for money in sourcing essential medicines. 1 Douglas B, Tisocki K (2009) Public Procurement Prices of Medicines in the Philippines. Health Action International. 2 P a g e

4 What are the sources of the Price Data? The I is computed based on the prevailing public tender prices of the previous year reflected in the actual Purchase Orders (POs) submitted by the DOH Retained Hospitals, RHOs, Central Office Bids and Awards Committee (COBAC) and Philippine International Trading Corporation (PITC) Pharma Inc. (PPI) to the DOH. Only data coming from reputable suppliers are considered in the database which means that they should be licensed by the Philippine Food and Drug Administration (FDA) and have a certificate of Good Manufacturing Practice issued by the FDA. How is the Drug Price Reference () determined? The is set at the Median or the 50th percentile across the range of prevailing tender prices of essential medicines. For medicines with less than three (3) suppliers, the may be set at the lowest winning bid price from a reputable supplier. Projected inflationary costs have already been considered in the calculation of the. For innovator drugs approved for inclusion in the Philippine National Formulary, the price may be set by referencing with relevant international markets particularly those with similar income status (i.e. Thailand, India). It may also be informed by economic evaluations conducted in the Philippines used by the DOH to value their claimed clinical benefits and negotiate tender prices where an innovative pharmaceutical p roduct has only one sole supplier. How often shall the I be updated? The I shall be updated annually. All DOH hospitals and RHOs are directed to submit a copy of their POs of the previous year to the NCPAM at or before the end of the first quarter of the succeeding year. The updated I shall be based on the procurement price data of medicines from the previous year. 3 P a g e

5 A 1 Acarbose 100 mg Tablet Acarbose 50 mg Tablet Acetazolamide 250 mg Tablet Acetylcysteine 100 mg Sachet Acetylcysteine 200 mg Sachet Acetylcysteine 200mg/mL, 25mL Bottle 1, , , Acetylcysteine 100mg/5mL. 150mL Suspension Acetylcysteine 600 mg Effervescent Tablet Aciclovir 200 mg Tablet Aciclovir 400 mg Tablet Aciclovir 800mg Tablet Aciclovir 25 mg/ml, 10 ml Vial Albendazole 400 mg Chewable Tablet Albumin, Human 20% 50mL Bottle , Albumin, Human 25% 50mL Bottle 1, , , Alfuzosin 10mg Tablet Allopurinol 100 mg Tablet Allopurinol 300 mg Tablet Alprazolam 250 mcg Tablet Alprazolam 500 mcg Tablet Aluminum Hydroxide mg mg/5 ml, 120 ml Magnesium Hydroxide Suspension 22 Aluminum Hydroxide mg mg/5 ml, 60 ml Magnesium Hydroxide Suspension 23 Amikacin (as Sulfate) 100 mg Vial Amikacin (as Sulfate) 100 mg/ml, 2mL vial Amikacin (as Sulfate) 125mg/mL, 2mL Vial Amikacin (as Sulfate) 250 mg Vial Amikacin (as Sulfate) 250 mg/ml, 2 ml Vial Amikacin (as Sulfate) 50mg/ml, 2ml Vial Amino Acid Solutions for Hepatic 8%, 500mL Bottle Failure 30 Amino Acids, Crystalline 10%, 500mL Bottle Standard 31 Amino Acids, Crystalline 5%, 500mL Bottle Standard 32 Amino Acids, Crystalline 6%, 100mL Bottle Standard 33 Amino Acids, Crystalline 7%, 500mL Bottle Standard 34 Amino Acids, Crystalline 8%, 500mL Bottle Standard 35 Aminophylline 25 mg/ml, 10 ml Ampule P a g e

6 36 Amiodarone 50 mg/ml, 3 ml Ampule Amiodarone 200 mg Tablet Amlodipine 10mg Tablet Amlodipine 5 mg Tablet Amoxicillin 100mg/mL, 10mL Drops Amoxicillin 100mg/mL, 15mL Drops Amoxicillin 125mg/5mL, 60mL Suspension Amoxicillin 250 mg/5 ml, 60 ml Suspension Amoxicillin 250 mg Capsule Amoxicillin 500 mg Capsule Amphotericin B (Non-Lipid 50 mg Vial 3, , Complex) 5, Ampicillin 1g Vial Ampicillin 250 mg Vial Ampicillin 500 mg Vial Ampicillin + Sulbactam 1.5g Vial Ampicillin + Sulbactam 250mg + 125mg Vial Ampicillin + Sulbactam 500mg mg Vial Anti-rabies Serum (equine) 200 IU/mL,5mL Vial , Anti-tetanus Serum (ATS) 1500IU/mL, 1mL Ampule (equine) 55 Ascorbic Acid (Vitamin C) 100 mg/ml, 15 ml Oral Drops Ascorbic Acid (Vitamin C) 100 mg/ml, 60 ml Oral Drops Ascorbic Acid (Vitamin C) 100mg/5mL, 120mL Syrup Ascorbic Acid (Vitamin C) 100mg/5mL, 60mL Syrup Ascorbic Acid (Vitamin C) 500 mg Tablet Aspirin 80 mg Tablet Atenolol 100 mg Tablet Atenolol 50 mg Tablet Atracurium 10mg/mL, 2.5mL Ampule Atropine 1mg/mL, 1mL Ampule Atropine 500 mcg/ml, 1 ml Ampule Atropine 1%, 5mL Bottle Azithromycin 200 mg/5 ml, 15 ml Suspension Azithromycin 500 mg Tablet Azithromycin 500 mg Vial B 70 Baclofen 10mg Tablet Balanced Multiple Maintenance 1L Bottle Solution with 5% Dextrose for Adult 72 Balanced Multiple Maintenance 500 ml Bottle Solution with 5% Dextrose for Pedia 73 Balanced Multiple Replacement Solution with 5% Dextrose 500 ml Bottle P a g e

7 74 Balanced Multiple Replacement 1L Bottle Solution with 5% Dextrose 75 BCG Vaccine 500 mcg/ml vial + 1 ml diluent in ampul x 20 dose 76 BCG Vaccine 2 ml vial BCG Vaccine Multidose vial + 5 ml diluent Beractant 25 mg/ml, 4 ml Vial 9, , , Betahistine 24mg Tablet Betahistine 8 mg Tablet Biperiden Hydrochloride 2 mg Tablet Biphasic Isophane Human Insulin 70/30 (recombinant DNA) 83 Biphasic Isophane Human Insulin 70/30 (recombinant DNA) 70% isophane suspension + 30% soluble insulin in 100 IU/mL, 10 ml Vial 70% isophane suspension + 30% soluble insulin in 100 IU/mL, 3 ml Disposable Syringe Bisacodyl 5 mg Suppository Bisacodyl 10mg Suppository Bisacodyl 5 mg Tablet Bisoprolol 5 mg Tablet Bleomycin (as Sulfate) 15mg Vial 1, , Budesonide 250 mcg/ml, 2 ml Respiratory Solution (Nebule) 90 Budesonide + Formoterol 160 mcg mcg x 60 doses Dry Powder Inhaler 91 Bupivacaine 0.5%, 10 ml Ampule Bupivacaine 0.5%, 4 ml (spinal) with 8% Dextrose (as hydrochloride) Ampule 93 Butamirate Citrate 50mg MR Tablet C 94 Calcium Carbonate 500 mg Tablet Calcium Carbonate 500 mg Chewable Tablet Calcium Carbonate 600 mg Tablet Calcium Folinate (Leucovorin 50 mg Vial Calcium) 98 Calcium Folinate (Leucovorin 10mg/mL, 5mL Vial Calcium) 99 Calcium Gluconate 10%, 10mL Ampule Calcium Gluconate 10%, 20mL Bottle Calcium Gluconate 10%, 10mL Vial Candesartan Cilexetil 16mg Tablet Candesartan Cilexetil 8 mg Tablet Captopril 25 mg Tablet Captopril 50 mg Tablet Carbamazepine 200 mg Tablet Carboplatin 150mg Vial , P a g e

8 108 Carboplatin 450mg Vial 1, , , Carvedilol 25 mg Tablet Carvedilol 6.25mg Tablet Cefadroxil 500 mg Capsule Cefalexin 100mg/mL, 15mL Drops Cefalexin 125mg/5mL, 60mL Bottle Cefalexin 250 mg/5 ml, 60 ml Bottle Cefalexin 250 mg Capsule Cefalexin 500 mg Capsule Cefalexin 100 mg/ml, 10 ml Drops Cefalexin 125 mg/5 ml, 60 ml Bottle Cefazolin 1g Vial Cefazolin 500 mg Vial Cefepime 1g Vial Cefepime 2 g Vial , Cefepime 500 mg Vial Cefixime 100mg/5ml, 30mL Suspension Cefixime 100mg/5mL, 60mL Suspension Cefixime 20 mg/ml, 10 ml Suspension Cefixime 100 mg Capsule Cefixime 200 mg Capsule Cefixime 400 mg Capsule Cefotaxime 1 g + 4 ml diluent Vial Cefotaxime 500 mg + 2 ml diluent Vial Cefoxitin 1g Vial Ceftazidime 1g Vial Ceftazidime 500 mg Vial Ceftriaxone 1 g + 10 ml diluent Vial Ceftriaxone 500 mg + 5 ml diluent Vial Cefuroxime 125mg/5mL, 50mL Suspension Cefuroxime 125mg/5mL, 70mL Suspension Cefuroxime 250 mg/5 ml, 60 ml Suspension Cefuroxime 250 mg Tablet Cefuroxime 500 mg Tablet Cefuroxime 1.5g Vial Cefuroxime 250 mg Vial Cefuroxime 750 mg Vial Celecoxib 100 mg Capsule Celecoxib 200 mg Capsule Celecoxib 400 mg Capsule Cetirizine 10mg/mL, 10mL Oral Drops Cetirizine 1mg/mL, 30mL Solution Cetirizine 1mg/mL, 60mL Solution Cetirizine 5 mg/5 ml, 30 ml Syrup Cetirizine 10mg Tablet Chloramphenicol 0.5%, 5 ml Bottle P a g e

9 154 Chloramphenicol 125mg/5mL, 60mL Suspension Chloramphenicol 500 mg Capsule Chloramphenicol 1g Vial Chlorphenamine 10mg/mL,1mL Ampule (Chlorpheniramine) 158 Chlorphenamine 4 mg Tablet (Chlorpheniramine) 159 Chlorphenamine 2.5 mg/5 ml, 60 ml Syrup (Chlorpheniramine) 160 Chlorpromazine 100 mg Tablet Chlorpromazine 200 mg Tablet Cilostazol 100 mg Tablet Cilostazol 50 mg Tablet Cinnarizine 75 mg Capsule Cinnarizine 25 mg Tablet Ciprofloxacin 250 mg Tablet Ciprofloxacin 500 mg Tablet Ciprofloxacin 2mg/mL,100mL Vial Ciprofloxacin 2mg/mL,50mL Vial Cisplatin 10mg Vial Cisplatin 1mg/mL, 50mL Vial Cisplatin 50 mg Vial Clarithromycin 125mg/5mL,50mL Suspension Clarithromycin 125mg/5mL,70mL Suspension Clarithromycin 500 mg Tablet Clarithromycin 500 mg MR Tablet Clarithromycin 250 mg/5 ml, 70 ml Suspension Clindamycin 150mg/mL, 4ml Ampule Clindamycin 150mg Capsule Clindamycin 300 mg Capsule Clindamycin 75mg/5mL, 60mL Suspension Clobetasol 0.05%, 5 g Tube Cream Clobetasol 0.05%, 5 g Tube Ointment Clonazepam 2 mg Tablet Clonidine 150mcg/mL, 1mL Ampule Clonidine 150mcg Tablet Clonidine 75mcg Tablet Clopidogrel 75 mg Tablet Cloxacillin (as Sodium) 125mg/5mL, 60mL Bottle Cloxacillin (as Sodium) 250 mg Capsule Cloxacillin (as Sodium) 500 mg Capsule Cloxacillin (as Sodium) 250 mg/5 ml, 60 ml Bottle Clozapine 100 mg Tablet Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 125mg + 31 mg/5ml, 60mL Suspension Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 200mg mg/5mL, 70mL Suspension P a g e

10 196 Co-Amoxiclav (Amoxicillin + 250mg mg/5mL, 60mL Potassium Clavulanate) Suspension 197 Co-Amoxiclav (Amoxicillin + 400mg + 57mg/5mL, 70mL Suspension Potassium Clavulanate) 198 Co-Amoxiclav (Amoxicillin + 1g Tablet Potassium Clavulanate) 199 Co-Amoxiclav (Amoxicillin mg mg Tablet Potassium Clavulanate) 200 Colchicine 500 mcg Tablet Conjugated Equine Estrogen 625mcg Tablet Cotrimoxazole 200mg+40mg/5mL, 60mL Suspension (Sulfamethoxazole + Trimethoprim) 203 Cotrimoxazole 400mg+80mg/5mL, 60mL Suspension (Sulfamethoxazole + Trimethoprim) 204 Cotrimoxazole 400 mg + 80 mg Tablet (Sulfamethoxazole + Trimethoprim) 205 Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 800mg+160mg Tablet Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 200 mg + 40 mg/5 ml, 100 ml Suspension Cyclophosphamide 50 mg Tablet Cyclophosphamide 1g Vial Cyclophosphamide 100 mg Vial Cyclophosphamide 200 mg Vial Cyclophosphamide 500 mg Vial Cytarabine 100 mg Vial Cytarabine 100mg/mL, 5mL Vial D 214 Dactinomycin (Actinomycin D) 500mcg powder Vial Desflurane 240mL Bottle 9, , , Dexamethasone 4 mg/ml, 2 ml Ampule Dexamethasone 5 mg/ml,1 ml Ampule Dexamethasone 4 mg Tablet Dexamethasone 4 mg/ml, 2 ml Vial Dextran, High Molecular Weight 6%, Dextran 70 in 5% Dextrose 500mL (Dextran 70) Bottle 221 Dextran, High Molecular Weight 6%, Dextran 70 in 5% Dextrose 500mL (Dextran 70) Glass Bottle 222 Dextromethorphan 10mg/5mL, 60 ml Syrup Dextromethorphan 5mg/5mL, 60mL Syrup Diazepam 5 mg/ml, 2 ml Ampule Diazepam 10mg Tablet P a g e

11 226 Diazepam 5 mg Tablet Diclofenac 25 mg/ml, 2 ml Ampule Diclofenac 25mg/mL, 3mL Ampule Diclofenac 50 mg Tablet Dicycloverine (Dicyclomine) 10mg/5mL, 60 ml Syrup Dicycloverine (Dicyclomine) 10mg Tablet Digoxin 250 mcg/ml, 2 ml Ampule Digoxin 50mcg/mL, 60mL Elixir Digoxin 250 mcg Tablet Diloxanide 500 mg Tablet Diltiazem 30 mg Tablet Diltiazem 60 mg Tablet Dimeglumine Gadopentetate 469mg/mL, 10mL Vial 1, , , Diphenhydramine (as 50 mg/ml, 1 ml Ampule Hydrochloride) 240 Diphenhydramine (as 25 mg Capsule Hydrochloride) 241 Diphenhydramine (as 50 mg Capsule Hydrochloride) 242 Diphenhydramine (as 12.5mg/ 5mL, 60mL Syrup Hydrochloride) 243 Dobutamine 2 mg/ml, 250 ml D5W Pre-mixed Dobutamine 50mg/mL, 5mL Ampule Dobutamine 12.5mg/mL, 20mL Vial Dobutamine 1 mg/ml, 250 ml D5W Pre-mixed Docetaxel 20mg/0.5mL, 0.5mL Vial 1, , , Docetaxel 40mg/mL, 2mL Vial 3, , , Domperidone 1mg/mL, 60mL Suspension Domperidone 10mg Tablet Dopamine 1.6 mg/ml, 250 ml D5W Pre-mixed Dopamine 800 mcg/ml, 250 ml D5W Pre-mixed Dopamine 20 mg/ml, 10 ml Ampule Dopamine 40 mg/ml, 5 ml Ampule Doxorubicin 10mg Vial Doxorubicin 2mg/mL, 25mL Vial Doxorubicin 2mg/mL, 5mL Vial Doxorubicin 50 mg Vial Doxycycline (as Hyclate) 100 mg Capsule E 260 Enalapril 10mg Tablet Enalapril 20 mg Tablet Enalapril 5 mg Tablet Enoxaparin 100mg/mL, 0.2mL Pre-filled syringe Enoxaparin 100mg/mL, 0.4mL Pre-filled syringe P a g e

12 265 Enoxaparin 100mg/mL, 0.6mL Pre-filled syringe Ephedrine 50 mg/ml, 1 ml Ampule Epinephrine 1mg/mL, 1mL Ampule Epoetin Alfa (recombinant 2000IU/0.5mL Pre-filled syringe human erythropoietin) 269 Epoetin Alfa (recombinant 4000IU/0.4mL Pre-filled syringe human erythropoietin) 270 Epoetin Alfa (recombinant 4000IU/mL, 1mL Vial human erythropoietin) 271 Epoetin Beta (recombinant 2000IU/ 0.3ml Pre-filled syringe erythropoietin) 272 Epoetin Beta (recombinant 5000IU/0.3ml Pre-filled syringe 1, , erythropoietin) 1, Ertapenem (as Sodium) 1g Vial 2, , , Erythromycin 200 mg/5 ml, 60 ml Suspension Erythromycin 500 mg Tablet Erythromycin 0.5%, 3.5 g Tube Erythromycin 0.5%, 5 g Tube Escitalopram (as Oxalate) 10mg Tablet Ethambutol Hydrochloride 400 mg Tablet Ethinylestradiol + Levonorgestrel 30 mcg mcg Cycle Etoposide 20 mg/ml, 5 ml Ampule F 282 Famotidine 10mg/mL, 2mL Ampule Famotidine 20 mg Tablet Famotidine 10mg/mL, 2mL Vial Famotidine 20 mg Lyophilized Powder Vial Felodipine 10mg MR Tablet Felodipine 2.5 mg MR Tablet Felodipine 5 mg MR Tablet Fenofibrate 200 mg Capsule Fenofibrate 160 mg Tablet Fenofibrate 145 mg Tablet Fentanyl 50mcg/mL, 10mL Ampule Fentanyl 50mcg/mL, 2mL Ampule Ferrous Sulfate equiv. to 60 mg elemental iron Tablet Ferrous Salt + Folic Acid 60 mg elemental iron mcg folic acid Tablet 296 Ferrous Salt + Folic Acid 60 mg elemental iron mcg folic acid Capsule 297 Ferrous Sulfate 15mg/0.6mL, 15mL Drops Ferrous Sulfate 30mg/5mL, 60mL Syrup Ferrous Sulfate 60 mg Tablet Filgrastim 150mcg/0.6mL Vial 1, , , P a g e

13 301 Filgrastim 300mcg/mL Vial 1, , , Finasteride 5 mg Tablet Fluconazole 150mg Capsule Fluconazole 200 mg Capsule Fluconazole 2 mg/ml, 100 ml Vial Fluorouracil 50 mg/ml, 10 ml Vial Fluoxetine 20 mg Capsule Fluoxetine 20 mg Dispersable Tablet Flupentixol 20 mg/ml, 1 ml Ampule Fluphenazine (as Decanoate) 25 mg/ml, 1 ml Ampule Fluticasone 250 mcg/ml, 2 ml Respiratory Solution 312 Fluticasone + Salmeterol 500 mcg + 50 mcg x 60 doses Dry 1, , Powder Inhaler 1, Fluticasone + Salmeterol 125 mcg + 25 mcg x 120 doses Metered Dose Inhaler 314 Fluticasone + Salmeterol 250 mcg + 25 mcg x 120 doses Metered Dose Inhaler 315 Fluticasone + Salmeterol 50mcg + 25mcg x 120 doses Metered Dose Inhaler 316 Folic Acid 5 mg Tablet Folic Acid 5 mg Capsule Fondaparinux 2.5mg/0.5mL Solution 1, , , Furosemide 10mg/mL, 2mL Ampule Furosemide 20 mg Tablet Furosemide 40 mg Tablet Fusidate Sodium/Fusidic Acid 2%, 1.5 g Sachet Fusidate Sodium/Fusidic Acid 2%, 5 g Tube Cream 324 Fusidate Sodium/Fusidic Acid 2%, 5 g Tube Ointment G 325 Gabapentin 100 mg Capsule Gabapentin 300 mg Capsule Gabapentin 100 mg Tablet Gabapentin 300 mg Tablet Gentamicin 40 mg/ml, 2 ml Ampule Gentamicin 0.3%, 5 ml Bottle Gentamicin 40 mg/ml, 2 ml Vial Glibenclamide 5 mg Tablet Gliclazide 80 mg Tablet Gliclazide 30 mg MR Tablet Gliclazide 60 mg MR Tablet Glipizide 5 mg Tablet Glucose (Dextrose) 50% 50mL Vial P a g e

14 338 Glyceryl Trinitrate (Nitroglycerine) 5 mg Patch H 339 Haloperidol 5mg/mL, 1mL Ampule Haloperidol 20 mg Tablet Haloperidol 5 mg Tablet Heparin (as Sodium) 1000IU/mL, 5mL Vial Heparin (as Sodium) 5000 iu /ml, 5mL Vial Hepatitis B Immunoglobulin 0.5 ml Vial , (human) 345 Hepatitis B Vaccine (recombinant 10 mcg/0.5 ml (pediatric) Monodose DNA) Vial 346 Hepatitis B Vaccine (recombinant 20 mcg/ml (adult) Monodose Vial DNA) 347 Hepatitis B Vaccine (recombinant 20mcg/mL, 1mL Vial DNA) 348 Hepatitis B Vaccine (recombinant 10 ml vial, 10 doses DNA) 349 Hydralazine 20 mg/ml, 1 ml Ampule Hydralazine 25 mg Tablet Hydrochlorothiazide 25 mg Tablet Hydrocortisone 1%, 5g Tube Hydrocortisone 100 mg powder, Vial Hydrocortisone 125mg/mL, 2mL Vial Hydrocortisone 125mg/mL, 4mL Vial Hydrocortisone 250 mg powder, Vial Hydrocortisone 500 mg powder, Vial Hydrocortisone 50 mg/ml, 2 ml Vial Hydrogen Peroxide 3%, 120mL Bottle Hydroxyethyl Starch 6%, 500mL Bottle Hydroxyurea 500 mg Capsule Hydroxyzine 2mg/mL, 60mL Syrup Hydroxyzine 10mg Tablet Hydroxyzine 25 mg Tablet Hydroxyzine 50mg/ml, 1ml Vial Hyoscine (as N-butyl bromide) 10 mg Tablet Hyoscine (as N-butyl bromide) 20 mg/ml, 1 ml Ampule I 368 Ibuprofen 100mg/5mL, 60mL Bottle Ibuprofen 200 mg Tablet Ibuprofen 400 mg Tablet Ibuprofen 200 mg/5 ml, 60 ml Bottle Ifosfamide 2 g Vial 2, , , Immunoglobulin Normal, Human 50 mg/ml, 10 ml Vial 1, , (IGIV) 2, Influenza Polyvalent Vaccine 0.5 ml Suspension Pre-filled syringe P a g e

15 375 Intraocular Irrigating Solution 500 ml Bottle (balanced salt solution) 376 Iodized Oil Fluid 500 mg Soft Gel Capsule Iopamidol 612 mg/ml equiv. to 300 mg iodine, ml Vial 378 Iopamidol 612 mg/ml equiv. to 300 mg iodine, 1, , ml Vial 1, Iopamidol 755 mg/ml equiv. to 370 mg iodine, 1, , ml Vial 1, Iopamidol 755 mg/ml equiv. to 370 mg iodine, 2, , ml Vial 2, Ioversol 636 mg/ml equiv. to 300 mg/ml 1, , iodine, 50 ml Vial 1, Ipratropium 250 mcg/ml, 2 ml (unit dose) Respiratory Solution 383 Ipratropium + Salbutamol 500 mcg mg x 2.5 ml (unit dose) Respiratory Solution 384 Ipratropium + Salbutamol 21 mcg mcg x 200 doses x 10 ml Metered Dose Inhaler 385 Irbesartan 150 mg Tablet Irbesartan 300 mg Tablet Irbesartan + Hydrochlorothiazide 150mg mg Tablet Irbesartan + Hydrochlorothiazide 300mg mg Tablet Isoflurane 100mL Bottle Isoniazid 200mg/5mL. 120mL Syrup Isoniazid 200 mg/5 ml, 60 ml Syrup Isoniazid 400 mg Tablet Isoniazid + Rifampicin + 75mg + 150mg + 275mg Tablet Ethambutol 394 Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg + 400mg + 275mg Tablet Isophane Insulin Human 100IU/mL, 10mL Vial Isosorbide Dinitrate 1mg/mL, 10mL Ampule Isosorbide Dinitrate 10mg Tablet Isosorbide Dinitrate 5 mg Tablet Isosorbide-5-Mononitrate 60 mg MR Tablet Isoxsuprine Hydrochloride 5 mg/ml, 2 ml Ampule Isoxsuprine Hydrochloride 10mg Tablet Itraconazole 100 mg Capsule K 403 Ketamine 50 mg/ml, 10 ml Vial Ketoconazole 200 mg Tablet Ketoconazole 2%, 3.5 g Tube Ketorolac 30mg/mL, 1ml Ampule L 407 Lactulose 3.3g/5mL, 120mL Syrup Lagundi 300mg/5mL, 120mL Syrup P a g e

16 409 Lagundi 300mg/5mL, 60mL Syrup Lagundi 300 mg Tablet Lagundi 600 mg Tablet L-Asparaginase 10,000 IU Vial 2, , , Levofloxacin 500 mg Tablet Levofloxacin 750mg Tablet Levofloxacin 5mg/mL,100mL Vial Levothyroxine 100mcg Tablet Levothyroxine 25mcg Tablet Levothyroxine 50mcg Tablet Lidocaine 2%, 5mL Ampule Lidocaine 20 mg/ml, 5 ml Ampule Lidocaine 10%, 50mL SPRAY 1, , , Lidocaine 2% 1.8mL w/ epinephrine Carpule Lidocaine 2%, 50mL Vial Lidocaine 2%, 5mL Vial Lipids 10%,500mL Bottle Lipids 20%,500mL Bottle Live Attenuated Measles Multidose vial + 5 ml diluent Live Attenuated MMR Vaccine Multidose vial + 5 ml diluent Loperamide 2 mg Capsule Loratadine 5 mg/5 ml, 30 ml Syrup Loratadine 10mg Tablet Loratadine 10 mg Film coated tablet Losartan 100 mg Tablet Losartan 50 mg Tablet Losartan + Hydrochlorothiazide 100mg +25mg Tablet Losartan + Hydrochlorothiazide 50mg mg Tablet M 437 Magnesium Sulfate 250 mg/ml, 10 ml Ampule Magnesium Sulfate 250 mg/ml, 2 ml Ampule Magnesium Sulfate 250 mg/ml, 10 ml Vial Magnesium Sulfate 250mg/mL, 20mL Vial Mannitol 20% 250mL Bottle Mannitol 20% 500mL Bottle Mebendazole 100mg/5mL, 30mL Suspension Mebendazole 100mg/5mL, 60mL Suspension Mebendazole 500 mg Tablet Mecobalamin 500 mcg Tablet Mecobalamin 500 mcg/ml, 1 ml Ampule Medroxyprogesterone 10mg Tablet Medroxyprogesterone 150mg/mL, 1mL Vial Medroxyprogesterone 50 mg/ml, 3 ml Vial + Syringe Mefenamic Acid 250 mg Capsule Mefenamic Acid 500 mg Capsule P a g e

17 453 Mefenamic Acid 250 mg Tablet Mefenamic Acid 500 mg Tablet Mefenamic Acid 50 mg/5 ml, 60 ml Suspension Meningococcal Polysaccharide (Neisseria Meningitidis) Vaccine 50 mcg/0.5 ml dose (Group A + C) multidose (10 doses) + 5 ml diluent Lyophilized Powder + Vial 1, , Mercaptopurine 50 mg Tablet Meropenem 1g Vial Meropenem 500 mg Vial Mesna 100mg/mL, 4mL Ampule Metformin Hydrochloride 500 mg Tablet Metformin Hydrochloride 500 mg Film coated tablet Metformin Hydrochloride 850 mg Tablet Methotrexate 2.5 mg Tablet Methotrexate 100mg/mL, 10mL Vial 4, , , Methotrexate 25 mg/ml, 2 ml Vial Methotrexate 25 mg/ml, 20 ml Vial 2, , Methotrexate 25 mg/ml, 2 ml Ampule Methyldopa 250 mg Tablet Methylergometrine 200mcg/mL, 1mL Ampule Methylergometrine 125mcg Tablet Methylprednisolone 16mg Tablet Methylprednisolone 4 mg Tablet Methylprednisolone 1g/16mL + Diluent Vial 2, , , Methylprednisolone 40 mg/ml, 1 ml Vial Methylprednisolone 500mg/7.7mL + Diluent Vial 1, , , Methylprednisolone 125 mg lyophilized powder Vial Methylprednisolone 500 mg lyophilized powder Vial Methylprednisolone 125 mg/ml, 2 ml + diluent Vial Methylprednisolone 1 g lyophilized powder Vial 2, , , Metoclopramide 5 mg/ml, 2 ml Ampule Metoclopramide 5mg/5mL, 60mL Syrup Metoclopramide 10mg Tablet Metoprolol (as Tartrate) 100 mg Tablet Metoprolol (as Tartrate) 50 mg Tablet Metronidazole 125mg/5mL, 60mL Suspension Metronidazole 500 mg Tablet Metronidazole 5mg/mL, 100mL Vial Midazolam 5mg/mL, 3mL Ampule Midazolam 5 mg/ml,1 ml Ampule Midazolam 15mg Tablet Midazolam 1mg/mL,5mL Ampule Modified Fluid Gelatin (Formerly 4% solution, 500mL Bottle P a g e

18 Polymerisate of Degraded Succinylated Gelatin) 494 Monobasic Sodium Phosphate, 48 g/18 g per 100 ml solution, 45 ml Dibasic Sodium Phosphate Bottle 495 Monobasic Sodium Phosphate, Dibasic Sodium Phosphate 19 g/ 7 g solution per 133 ml Bottle Montelukast 4 mg Sachet Montelukast 10mg Tablet Montelukast 4 mg Chewable Tablet Montelukast 5 mg Chewable Tablet Morphine (As Sulfate) 10mg/mL,1mL Ampule Morphine (As Sulfate) 10mg Tablet Morphine (As Sulfate) 30 mg Tablet Morphine (As Sulfate) 10 mg MR Tablet Morphine (As Sulfate) 30 mg MR Tablet Multivitamins for adults Tablet Multivitamins for adults Capsule Multivitamins per 5 ml, 60 ml Syrup Multivitamins 120 ml Syrup Multivitamins per 1mL,15 ml Drops Mupirocin 2%, 5 g Tube Mupirocin 2%, 15g Tube Ointment Mupirocin 2%, 15g Tube Cream Mycophenolate Mofetil 500 mg Tablet N 514 Nalbuphine 10mg/mL, 1mL Ampule Naloxone 400mcg/mL, 1mL Ampule Naproxen Sodium 550 mg Tablet Neostigmine 500 mcg/ml, 1 ml Ampule Nicardipine 1mg/mL, 10mL Ampule Nicardipine 1mg/mL, 2mL Ampule Nifedipine 10mg Capsule Nifedipine 5 mg Capsule Nifedipine 20 mg MR Tablet Nifedipine 30 mg MR Tablet Norepinephrine 1mg/mL, 2mL Ampule Norepinephrine 1 mg/ml, 4 ml Ampule Norfloxacin 400 mg Tablet Nystatin 100,000 units/ml, 30 ml Suspension O 528 Ofloxacin 0.3%, 5 ml Bottle Ofloxacin 200 mg Tablet Ofloxacin 400 mg Tablet Ofloxacin 2 mg/ml, 100 ml Vial Ofloxacin Ear Drops 0.3%, 5 ml Bottle Olanzapine 10mg Tablet Olanzapine 10mg Vial P a g e

19 535 Omeprazole 20 mg Capsule Omeprazole 40 mg Capsule Omeprazole 40 mg powder vial + 10 ml solvent Ampule 538 Ondansetron (as Hydrochloride) 2mg/mL,2mL Ampule Ondansetron (as Hydrochloride) 2mg/mL,4mL Ampule Oral Rehydration Salts (ORS ml Bottle replacement) 541 Oral Rehydration Salts (ORS g Sachet replacement) 542 Oral Rehydration Salts (ORS g Sachet replacement) 543 Oral Rehydration Salts (ORS g Sachet replacement) 544 Oseltamivir 75 mg Capsule Oxacillin 500 mg Vial Oxaliplatin 2mg/mL, 50mL Vial , Oxytocin 10 iu/ml, 1mL Ampule P 548 Paclitaxel 6mg/mL, 25mL Vial 8, , , Paracetamol 125mg/5mL, 60mL Bottle Paracetamol 125mg Suppository Paracetamol 250 mg Suppository Paracetamol 250 mg/5 ml, 60 ml Bottle Paracetamol 500 mg Tablet Paracetamol 100 mg/ml, 15 ml Drops Paracetamol 120 mg/5 ml (125 mg/5 ml), 120 ml Syrup 556 Paracetamol 250 mg/5 ml, 120 ml Bottle Penicillin G Benzathine 1,200,000 units Vial (benzathine benzylpenicillin) 558 Penicillin G Crystalline 1MU Vial Penicillin G Crystalline 5MU Vial Pethidine 50 mg/ml, 2 ml Ampule Pethidine 50mg/mL, 30mL Vial 2, , , Phenobarbital 120mg/mL (130mg/mL), 1mL Ampule Phenobarbital 15mg Tablet Phenobarbital 30 mg Tablet Phenobarbital 60 mg Tablet Phenoxymethyl Penicillin 250 mg Capsule (Penicillin V) 567 Phenoxymethyl Penicillin 500 mg Capsule (Penicillin V) 568 Phenytoin 50 mg/ml, 2 ml Ampule P a g e

20 569 Phenytoin 100 mg Capsule Phytomenadione 10mg/mL, 1mL Ampule Phytomenadione 2 mg/0.2 ml Pediatric Ampule Piperacillin + Tazobactam 2g+250mg Vial Piperacillin + Tazobactam 4g+500mg Vial Pneumococcal Polyvalent 25 mcg/0.5 ml, 0.5 ml Pre-filled Vaccine syringe 575 Pneumococcal Polyvalent 13 valent Single dose 0.5 ml vial Vaccine 576 Potassium Chloride 750 mg durules (equiv. to approximately 10 meq) Tablet 577 Potassium Chloride 2mEq/mL, 20mL Vial Potassium Chloride 2 meq/ml, 10 ml Vial Potassium Citrate 10 meq Tablet Povidone Iodine 10%, 1 gallon Bottle Povidone Iodine 10%, 120mL Bottle Povidone Iodine 10%, 60mL Bottle Povidone Iodine 10%, 15 g Tube Povidone Iodine 7.5%, 120mL Bottle Povidone Iodine 7.5%, 1gallon Bottle Praziquantel 600 mg Tablet Prednisolone 1%, 5mL Bottle Prednisolone 5 mg Tablet Prednisolone 20 mg Tablet Prednisone 10mg/5mL, 60 ml Suspension Prednisone 10mg Tablet Prednisone 20 mg Tablet Prednisone 5 mg Tablet Propofol 10mg/mL, 20mL Ampule Propofol 10mg/mL, 20mL Vial Propofol 10mg/mL, 50mL Vial Propranolol 10mg Tablet Propranolol 40 mg Tablet Propylthiouracil 50 mg Tablet Pyrazinamide 250 mg/5 ml, 120 ml Suspension Pyrazinamide 500 mg Tablet Q 602 Quetiapine (as Fumarate) 200 mg Tablet Quetiapine (as Fumarate) 25 mg Tablet Quetiapine (as Fumarate) 300 mg Tablet Rabies Chick Embryo Cell 2.5IU/mL, 1 dose + 1mL diluent Vial , (Purified Inactivated) 606 Rabies Immunoglobulin (human) 150IU/mL, 2mL Ampule 4, , , Rabies Immunoglobulin (human) 150IU/mL, 2mL Vial 3, , , R 19 P a g e

21 608 Ranitidine 25 mg/ml, 2 ml Ampule Ranitidine 150mg Tablet Ranitidine 300 mg Tablet Regular, Insulin (Recombinant 100IU/mL, 10mL Vial DNA, human) 612 Retinol (vitamin A) 200,000 IU Soft Gel Capsule with Nipple 613 Retinol (vitamin A) 100,000 iu Soft Gel Capsule Rifampicin 450 mg Capsule Rifampicin 200mg/5mL, 120mL Suspension Rifampicin 200 mg/5 ml, 60 ml Suspension Risperidone 2 mg Orodispersible tab Risperidone 2 mg Tablet Risperidone 4 mg Tablet Rocuronium 10mg/mL, 2.5mL Vial Rocuronium 10mg/mL, 5mL Vial Rocuronium 10mg/mL, 5mL Ampule Ropivacaine 10mg/mL, 10mL Ampule Rosuvastatin (as Calcium) 10mg Tablet Rosuvastatin (as Calcium) 20 mg Tablet S 626 Salbutamol 1 mg/ml, 2.5 ml Nebule Salbutamol 2mg/5ml, 60mL Syrup Salbutamol 2 mg Tablet Salbutamol 200 mcg/dose Dry Powder Inhaler Salbutamol 100 mcg/dose x 200 doses Metered Dose Inhaler 631 Salbutamol 100 mcg/dose x 200 doses Breath Actuated MDI 632 Salbutamol 2 mg/ml, 2.5 ml (unit dose) Nebule Sambong 250 mg Tablet Sambong 500 mg Tablet Sertraline 50 mg Tablet Sevoflurane 250 ml Bottle 4, , , Silver Sulfadiazine 1%, 500 g Jar , Silver Sulfadiazine 1% 20 g Tube Silver Sulfadiazine 1%, 25 g Tube Simvastatin 10mg Tablet Simvastatin 20 mg Tablet Simvastatin 40 mg Tablet Sodium Bicarbonate 1 meq/ml, 50 ml Ampule Sodium Bicarbonate 1 meq/ml, 50 ml Vial Sodium Chloride 2.5 meq/ml, 20 ml Vial Sodium Chloride 2.5 meq/ml, 50 ml Vial Somatostatin 250 mcg Vial Spironolactone 100 mg Tablet P a g e

22 649 Spironolactone 25 mg Tablet Spironolactone 50 mg Tablet Standard Senna Concentrate 187mg Tablet Standard Senna Concentrate 374mg Tablet Sterile Water For injection 1L Bottle Sterile Water For injection 50 ml Bottle Streptokinase 1,500,000IU Vial 4, , , Streptomycin 1g Vial Sucralfate 1g Tablet Sulfur 5%, 30 g Tube Suxamethonium 20 mg/ml, 10 ml Vial (Succinylcholine) T 660 Tamoxifen 20 mg Tablet Tamsulosin 200mcg Capsule Telmisartan 40 mg Tablet Telmisartan 80 mg Tablet Telmisartan + 40mg mg Tablet Hydrochlorothiazide 665 Telmisartan + 80 mg mg Tablet Hydrochlorothiazide 666 Terbutaline 500 mcg/ml, 1 ml Ampule Terbutaline 2.5 mg/ml, 2 ml (unit dose) Nebule Tetanus Immunoglobulin 250 IU/mL, 1 ml Ampule (Human) 669 Tetanus Immunoglobulin 250 IU/mL, 1 ml Pre-filled syringe (Human) 670 Tetanus Immunoglobulin 250 units/ml, 1 ml Vial (Human) 671 Tetanus Immunoglobulin 250 units/ml, 2 ml Vial (Human) 672 Tetanus Toxoid 0.5 ml Ampule Tetracycline 500 mg Capsule Thiamazole (Methimazole) 5 mg Tablet Timolol 0.5%, 5 ml Bottle Tinzaparin Sodium 10,000 anti-xa IU/mL, 2 ml Vial , Tiotropium 18mcg/dose Dry Powder Inhaler Tobramycin Eye drops 0.3%, 5 ml Bottle Tobramycin 0.3%, 3.5 g Tube Tobramycin + Dexamethasone 0.3% + 0.1%, 5 ml Bottle Tramadol 50mg/ml, 1ml Ampule Tramadol 50mg/ml, 2ml Ampule Tramadol 50 mg Capsule Tramadol 50 mg Dispersable Tablet Tranexamic Acid 100mg/mL, 5mL Ampule P a g e

23 686 Tranexamic Acid 500 mg Capsule Tranexamic Acid 500 mg Tablet Trimetazidine 20 mg Tablet Trimetazidine 35mg Tablet U 690 Ursodeoxycholic Acid 250 mg Capsule V 691 Valaciclovir 500 mg Tablet Valproate Disodium/Valproic 250 mg Tablet Acid 693 Valproate Disodium/Valproic Acid 250 mg/5 ml, 120 ml Syrup Valsartan 160 mg Tablet Valsartan 80 mg Tablet Valsartan + Hydrochlorothiazide 80 mg mg Tablet Vancomycin 500 mg Vial Vecuronium 4 mg/ml + 1 ml solvent Ampule Verapamil 2.5mg/ml, 2mL Ampule Verapamil 40 mg Tablet Verapamil 240 mg MR Tablet Vero Cell (purified) 2.5 IU/0.5 ml + diluent Vial Vinblastine 10 mg Vial Vinblastine 1mg/mL, 10mL Vial Vincristine (As Sulfate) 1mg/mL, 1mL Vial Vincristine (As Sulfate) 1mg/mL, 2mL Vial Vitamin B1 B6 B12 100mg + 100mg + 1mg, 3mL Ampule Vitamin B1 B6 B12 100mg + 5mg + 50mcg Tablet Vitamin B1 B6 B mg mg + 1 mg/3 ml ampule W 710 Warfarin 1mg Tablet Warfarin 2.5 mg Tablet Warfarin 5 mg Tablet Z 713 Zinc 27.5mg/mL, 15mL Oral Drops Zinc 55 mg/5 ml, 60 ml Syrup Zolpidem 10mg Tablet P a g e

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