ACKNOWLEDGEMENTS. 23 November 2015 Manila, Philippines. Anna Melissa S. Guerrero, MD, MPH (HTA) Division Chief, Pharmaceutical Division.

Transcription

1 ACKNOWLEDGEMENTS The Third Edition of the Drug Price Reference Index (I) was made possible with the hard work, dedication and team effort of the Department of Health (DOH) Pharmaceutical Division s (formerly known as NCPAM) I Team headed by Mr. Manuel Alexander Haasis, Project Manager/Consultant, Ms. Marinette J. Ladioray, Senior Health Program Officer and her counterpart Mr. John Irving V. Telingban, Computer Operator III, together with the team members namely: Mr. Achilles V. Aragona, Health Program Officer II, Ms. Priscilla Margarette H. Alimario, Data Encoder III, Mr. Jeffrey T. Castro, Health Program Researcher and Mr. Adell R. Azuelo, Senior Health Program Officer and all Pharmaceutical Division staff for their support. We also acknowledge the guidance of the System Support Unit Head, Ms. Vanessa J. Saulog-Obera and lastly to the unwavering support and supervision of Dr. Anna Melissa S. Guerrero, Division Chief, DOH Pharmaceutical Division, Dr. Paulyn Jean B. Rosell-Ubial, Assistant Secretary of Health and Dr. Kenneth Y. Hartigan-Go, Undersecretary of Health. 23 November 2015 Manila, Philippines Anna Melissa S. Guerrero, MD, MPH (HTA) Division Chief, Pharmaceutical Division P a g e 1 19

2 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 DOH Pharmaceutical Division (formerly 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 Offices (ROs). 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. P a g e 2 19

3 What are the sources of the Price Data? The I is computed based on the prevailing public tender prices of the previous year (2014) reflected in the actual Purchase Orders (POs) submitted by the DOH Retained Hospitals, ROs, 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 four (4) manufacturers, 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 pro-duct has only one sole supplier. How often shall the I be updated? The I shall be updated annually. All DOH hospitals and ROs are directed to submit a copy of their POs of the previous year to the DOH Pharmaceutical Division 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. All solid oral dosage forms referred to herein as tablet shall pertain to the following (DM No ): Uncoated tablets; Coated tablets (including film-coated and sugar-coated tablets); Soluble tablets; Dispersible tablets; Effervescent tablets; Tablets for use in mouth (Including orally disintegrating, sublingual and buccal tablets); Modified-release tablets including delayed-release tablets (gastro-resistant/enteric-coated tablets) and sustained-release tablets (extended/prolonged-release tablets). P a g e 3 19

4 % Sodium Chloride 1L Bottle % Sodium Chloride 50 ml Bottle % Sodium Chloride 500 ml Bottle % Dextrose in Water 1 L Bottle % Dextrose in Water 500 ml Bottle % Dextrose in 0.3% Sodium Chloride 1 L Bottle % Dextrose in 0.3% Sodium Chloride 500 ml Bottle % Dextrose in 0.9% Sodium Chloride 1 L Bottle % Dextrose in 0.9% Sodium Chloride 500 ml Bottle % Dextrose in Lactated Ringer's 1 L Bottle % Dextrose in Lactated Ringer's 500 ml Bottle % Dextrose in Water 1 L Bottle % Dextrose in Water 250 ml Bottle % Dextrose in Water 500 ml Bottle A 15 Acarbose 100 mg Tablet Acarbose 50 mg Tablet Acetazolamide 250 mg Tablet Acetylcysteine 100 mg Sachet Acetylcysteine 100 mg/5 ml, 150 ml Suspension Acetylcysteine 200 mg Sachet Acetylcysteine 200 mg/ml, 25 ml Bottle 1, , , Acetylcysteine 600 mg Effervescent Tablet Aciclovir 200 mg Tablet Aciclovir 25 mg/ml, 10 ml Vial Aciclovir 400 mg Tablet Aciclovir 800 mg Tablet Adenosine 3 mg/ml, 2 ml Vial , Albendazole 400 mg Chewable Tablet Albumin, Human 20%, 50 ml Bottle 1, , , Albumin, Human 25%, 50 ml Bag 2, , Albumin, Human 25%, 50 ml Bottle 2, , , Alcohol, Ethyl 70% Solution, 500 ml Bottle Alendronate Sodium 70 mg Tablet Alfuzosin 10 mg Tablet All-in-One Admixtures 3-in-1 or Dual Energy Solution 3, , , Allopurinol 100 mg Tablet Allopurinol 300 mg Tablet Alprazolam 250 mcg Tablet Alprazolam 500 mcg Tablet Aluminum Hydroxide + Magnesium 225 mg mg/5 ml, 120 ml Hydroxide Suspension 41 Aluminum Hydroxide + Magnesium 225 mg mg/5 ml, 60 ml Hydroxide Suspension 42 Amikacin (as Sulfate) 100 mg/ml, 2 ml Vial Amikacin (as Sulfate) 125 mg/ml, 2 ml Vial Amikacin (as Sulfate) 250 mg/ml, 2 ml Vial Amikacin (as Sulfate) 50 mg/ml, 2 ml Vial Amikacin (as Sulfate) 500 mg Powder Vial P a g e 4 19

5 47 Amino Acid Solutions for Hepatic 8%, 500 ml Bottle Failure 48 Amino Acid Solutions for Infants 6%, 100 ml Bottle Amino Acid Solutions for Renal 7%, 500 ml Bottle Conditions 50 Amino Acids, Crystalline Standard 5%, 500 ml Bottle Amino Acids, Crystalline Standard 7%, 500 ml Bottle Amino Acids, Crystalline Standard 8%, 500 ml Bottle Amino Acids, Crystalline Standard 9.12%, 20 ml Ampule Aminophylline 25 mg/ml, 10 ml Ampule Amiodarone 200 mg Tablet Amiodarone 50 mg/ml, 3 ml Ampule Amlodipine 10 mg Tablet Amlodipine 5 mg Tablet Amoxicillin 100 mg/ml, 10 ml Drops Amoxicillin 100 mg/ml, 15 ml Drops Amoxicillin 125 mg/5 ml, 60 ml Suspension Amoxicillin 250 mg Capsule Amoxicillin 250 mg/5 ml, 60 ml Suspension Amoxicillin 500 mg Capsule Amphotericin B (Non-Lipid Complex) 50 mg Vial 2, , Ampicillin + Sulbactam 1.5 g Vial , Ampicillin + Sulbactam 250 mg mg Vial Ampicillin + Sulbactam 500 mg mg Vial Ampicillin 1 g Vial Ampicillin 250 mg Vial Ampicillin 500 mg Vial Anti-rabies Serum (Equine) 200 IU/mL, 5 ml Vial , Anti-tetanus Serum (ATS) (Equine) 1500 IU/mL, 1 ml Ampule Ascorbic Acid (Vitamin C) 100 mg/5 ml, 120 ml Syrup Ascorbic Acid (Vitamin C) 100 mg/5 ml, 60 ml Syrup Ascorbic Acid (Vitamin C) 100 mg/ml, 15 ml Drops Ascorbic Acid (Vitamin C) 100 mg/ml, 60 ml Drops Ascorbic Acid (Vitamin C) 500 mg Tablet Aspirin 80 mg Tablet Atenolol 100 mg Tablet Atenolol 50 mg Tablet Atracurium 10 mg/ml, 2.5 ml Ampule Atropine 1 mg/ml, 1 ml Ampule Atropine 1%, 5 ml Eye Drops Bottle Azithromycin 200 mg/5 ml, 15 ml Suspension Azithromycin 200 mg/5 ml, 30 ml Suspension Azithromycin 500 mg Tablet Azithromycin 500 mg Vial B 89 Baclofen 10 mg Tablet Balanced Multiple Maintenance 1 L Bottle Solution with 5% Dextrose for Adult 91 Balanced Multiple Maintenance 500 ml Bottle Solution with 5% Dextrose for Pedia 92 Balanced Multiple Replacement Solution with 5% Dextrose 1 L Bottle P a g e 5 19

6 93 Balanced Multiple Replacement 500 ml Bottle Solution with 5% Dextrose 94 Beractant 25 mg/ml, 4 ml Vial 10, , , Betahistine 24 mg Tablet Betahistine 8 mg Tablet Betamethasone 0.1%, 5 g Tube Cream Biperiden Hydrochloride 2 mg Tablet Biphasic Isophane Human Insulin 70/30 (Recombinant DNA) 70% Isophane Suspension + 30% Soluble Insulin in 100 IU/mL, 10 ml Biphasic Isophane Human Insulin 70/30 (Recombinant DNA) Vial 70% Isophane Suspension + 30% Soluble Insulin in 100 IU/mL, 3 ml Disposable Syringe Bisacodyl 10 mg Suppository Bisacodyl 5 mg Suppository Bisacodyl 5 mg Tablet Bleomycin (as Sulfate) 15 mg Vial 1, , Bromazepam 1.5 mg Tablet Budesonide + Formoterol 160 mcg mcg, 60 Doses Dry Powder Inhaler 107 Budesonide 250 mcg/ml, 2 ml Respiratory Solution 108 Bumetanide 1 mg Tablet Bumetanide 500 mcg/ml, 4 ml Ampule Bupivacaine 0.5% (Isobaric), 5 ml Ampule Bupivacaine 0.5%, 10 ml Ampule Bupivacaine 0.5%, 10 ml Vial Bupivacaine 0.5%, 4 ml with 8% Dextrose Ampule Butamirate Citrate 50 mg MR Tablet Butorphanol (as Tartrate) 2 mg/ml, 1 ml Vial Calcium Carbonate + Cholecalciferol 1.25 g (Equiv. to 500 mg Elem (Vit. D3) Calcium) IU Tablet 117 Calcium Carbonate + Cholecalciferol 600 mg Elemental Calcium IU (Vit. D3) Tablet 118 Calcium Carbonate 500 mg Tablet Calcium Carbonate 600 mg Tablet Calcium Folinate (Leucovorin 10 mg/ml, 5 ml Vial Calcium) 121 Calcium Gluconate 10%, 10 ml Ampule Calcium Gluconate 10%, 10 ml Vial Calcium Gluconate 10%, 20 ml Bottle Candesartan Cilexetil 16 mg Tablet Candesartan Cilexetil 8 mg Tablet Capecitabine 500 mg Tablet Captopril 25 mg Tablet Captopril 50 mg Tablet Carbachol 0.01%, 1.5 ml Intraocular Solution Vial 130 Carbamazepine 200 mg Tablet Carboplatin 10 mg/ml, 15 ml Vial , Carboplatin 10 mg/ml, 45 ml Vial 2, , , Carboplatin 150 mg Powder Vial Carboplatin 450 mg Powder Vial 1, , , C P a g e 6 19

7 135 Carvedilol 25 mg Tablet Carvedilol 6.25 mg Tablet Cefadroxil 500 mg Capsule Cefalexin 100 mg/ml, 10 ml Drops Cefalexin 125 mg/5 ml, 60 ml Bottle Cefalexin 250 mg Capsule Cefalexin 250 mg/5 ml, 60 ml Bottle Cefalexin 500 mg Capsule Cefazolin 1 g Vial Cefazolin 500 mg Vial Cefepime 1 g Vial Cefepime 500 mg Vial Cefixime 100 mg Capsule Cefixime 100 mg/5 ml, 30 ml Suspension Cefixime 100 mg/5 ml, 60 ml Suspension Cefixime 20 mg/ml, 10 ml Suspension Cefixime 200 mg Capsule Cefixime 400 mg Capsule Cefotaxime 1 g + 4 ml Diluent Vial Cefotaxime 500 mg + 2 ml Diluent Vial Cefoxitin 1 g Vial Ceftazidime 1 g Vial Ceftazidime 500 mg Vial Ceftriaxone 1 g + 10 ml Diluent Vial Ceftriaxone 500 mg + 5 ml Diluent Vial Cefuroxime 1.5 g Vial Cefuroxime 125 mg/5 ml, 50 ml Suspension Cefuroxime 125 mg/5 ml, 70 ml Suspension Cefuroxime 250 mg Tablet Cefuroxime 250 mg Vial Cefuroxime 250 mg/5 ml, 60 ml Suspension Cefuroxime 500 mg Tablet Cefuroxime 750 mg Vial Celecoxib 100 mg Capsule Celecoxib 200 mg Capsule Celecoxib 400 mg Capsule Cetirizine 1 mg/ml, 30 ml Bottle Cetirizine 1 mg/ml, 60 ml Bottle Cetirizine 10 mg Tablet Cetirizine 10 mg/ml, 10 ml Drops Chloramphenicol 0.5%, 5 ml Ear Drops Bottle Chloramphenicol 1 g Vial Chloramphenicol 125 mg/5 ml, 60 ml Suspension Chloramphenicol 500 mg Capsule Chlorphenamine (Chlorpheniramine) 10 mg/ml, 1 ml Ampule Chlorphenamine (Chlorpheniramine) 4 mg Tablet Chlorpromazine 100 mg Tablet Chlorpromazine 200 mg Tablet Cilostazol 100 mg Tablet Cilostazol 50 mg Tablet Cinnarizine 25 mg Tablet Cinnarizine 75 mg Capsule P a g e 7 19

8 187 Ciprofloxacin 2 mg/ml, 100 ml Vial Ciprofloxacin 250 mg Tablet Ciprofloxacin 500 mg Tablet Cisplatin 1 mg/ml, 10 ml Vial Cisplatin 1 mg/ml, 50 ml Vial Cisplatin 10 mg Powder Vial Cisplatin 50 mg Powder Vial Clarithromycin 125 mg/5 ml, 50 ml Suspension Clarithromycin 125 mg/5 ml, 70 ml Suspension Clarithromycin 250 mg Tablet Clarithromycin 250 mg/5 ml, 70 ml Suspension Clarithromycin 500 mg Tablet Clindamycin 150 mg Capsule Clindamycin 150 mg/ml, 2 ml Ampule , Clindamycin 150 mg/ml, 4 ml Ampule Clindamycin 300 mg Capsule Clindamycin 75 mg/5 ml, 60 ml Suspension Clobetasol 0.05%, 5g Cream Tube Clobetasol 0.05%, 5g Ointment Tube Clonazepam 2 mg Tablet Clonidine 150 mcg Tablet Clonidine 150 mcg/ml, 1 ml Ampule Clonidine 75 mcg Tablet Clopidogrel 75 mg Tablet Cloxacillin (as Sodium) 125 mg/5 ml, 60 ml Bottle Cloxacillin (as Sodium) 250 mg Capsule Cloxacillin (as Sodium) 250 mg/5 ml, 60 ml Bottle Cloxacillin (as Sodium) 500 mg Capsule Clozapine 100 mg Tablet Co-Amoxiclav (Amoxicillin + 1 g Tablet Potassium Clavulanate) 217 Co-Amoxiclav (Amoxicillin mg + 31 mg/5 ml, 60 ml Potassium Clavulanate) Suspension 218 Co-Amoxiclav (Amoxicillin mg mg/5 ml, 70 ml Potassium Clavulanate) Suspension 219 Co-Amoxiclav (Amoxicillin mg mg Tablet Potassium Clavulanate) 220 Co-Amoxiclav (Amoxicillin mg mg/5 ml, 60 ml Potassium Clavulanate) Suspension 221 Co-Amoxiclav (Amoxicillin mg + 57 mg/5 ml, 70 ml Potassium Clavulanate) Suspension 222 Co-Amoxiclav (Amoxicillin mg mg Tablet Potassium Clavulanate) 223 Colchicine 500 mcg Tablet Combined Amino Acids Sorbitol 500 ml Bottle Cotrimoxazole (Sulfamethoxazole mg + 40 mg/5 ml, 60 ml Trimethoprim) Suspension 226 Cotrimoxazole (Sulfamethoxazole mg + 80 mg, 5 ml Ampule Trimethoprim) 227 Cotrimoxazole (Sulfamethoxazole mg + 80 mg Capsule Trimethoprim) 228 Cotrimoxazole (Sulfamethoxazole mg + 80 mg Tablet Trimethoprim) 229 Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 400 mg + 80mg/5 ml, 60 ml Suspension P a g e 8 19

9 230 Cotrimoxazole (Sulfamethoxazole mg mg Tablet Trimethoprim) 231 Cyclophosphamide 1 g Powder Vial Cyclophosphamide 200 mg Powder Vial Cyclophosphamide 500 mg Powder Vial Cytarabine 100 mg Powder Vial Cytarabine 100 mg/ml, 1 ml Vial Cytarabine 100 mg/ml, 5 ml Vial D 237 Dactinomycin (Actinomycin D) 500 mcg Powder Vial Dexamethasone 4 mg Tablet Dexamethasone 4 mg/ml, 2 ml Ampule Dexamethasone 4 mg/ml, 2 ml Vial Dexamethasone 5 mg/ml, 1 ml Ampule Dextran, High Molecular Weight, 6%, 500 ml Bottle Dextran 70 in 0.9% NaCl 243 Dextran, High Molecular Weight, 6%, 500 ml Bottle Dextran 70 in 5% Dextrose 244 Dextromethorphan 10 mg Tablet Diazepam 10 mg Tablet Diazepam 5 mg Tablet Diazepam 5 mg/ml, 2 ml Ampule Diclofenac 25 mg/ml, 3 ml Ampule Diclofenac 50 mg Tablet Dicycloverine (Dicyclomine) 10 mg Tablet Dicycloverine (Dicyclomine) 10 mg/5 ml, 60 ml Syrup Digoxin 250 mcg Tablet Digoxin 250 mcg/ml, 2 ml Ampule Digoxin 50 mcg/ml, 60 ml Elixir Diltiazem 30 mg Tablet Diltiazem 60 mg Tablet Dimeglumine Gadopentetate 469 mg/ml, 10 ml Vial 1, , , Diphenhydramine (as Hydrochloride) 12.5 mg/5 ml, 60 ml Syrup Diphenhydramine (as Hydrochloride) 50 mg Capsule Diphenhydramine (as Hydrochloride) 50 mg/ml, 1 ml Ampule Dobutamine 1 mg/ml, 250 ml D5W Pre-mixed Dobutamine 12.5 mg/ml, 20 ml Vial Dobutamine 4 mg/ml, 250 ml D5W Pre-mixed , Dobutamine 50 mg/ml, 5 ml Ampule Docetaxel 20 mg/0.5 ml, 0.5 ml Vial 1, , , Docetaxel 40 mg/ml, 2 ml Vial 4, , , Domperidone 1 mg/ml, 60 ml Suspension Domperidone 10 mg Tablet Dopamine 1.6 mg/ml, 250 ml D5W Pre-mixed Dopamine 40 mg/ml, 5 ml Ampule Dopamine 800 mcg/ml, 250 ml D5W Pre-mixed Doxorubicin 10 mg Powder Vial Doxorubicin 2 mg/ml, 25 ml Vial , Doxorubicin 50 mg Powder Vial , Doxycycline (as Hyclate) 100 mg Capsule Dydrogesterone 10 mg Tablet P a g e 9 19

10 E 277 Enalapril 10 mg Tablet Enalapril 20 mg Tablet Enalapril 5 mg Tablet Enoxaparin 100 mg/ml, 0.2 ml Pre-filled Syringe Enoxaparin 100 mg/ml, 0.4 ml Pre-filled Syringe Enoxaparin 100 mg/ml, 0.6 ml Pre-filled Syringe Enteral Nutrition - Fiber-Containing 400 g Can Ephedrine 50 mg/ml, 1 ml Ampule Epinephrine 1 mg/ml, 1 ml Ampule Epoetin Alfa (recombinant human 10,000 IU/mL, Pre-filled Syringe 1, , , erythropoietin) 287 Epoetin Alfa (recombinant human 2,000 IU/0.5 ml, Pre-filled Syringe erythropoietin) 288 Epoetin Alfa (recombinant human 4,000 IU/0.4 ml, Pre-filled Syringe erythropoietin) 289 Epoetin Alfa (recombinant human 4,000 IU/mL, 1 ml Vial , erythropoietin) 290 Epoetin Beta (recombinant 2,000 IU/0.3 ml, Pre-filled Syringe erythropoietin) 291 Epoetin Beta (recombinant 5,000 IU/0.3 ml, Pre-filled Syringe , erythropoietin) 292 Ertapenem (as Sodium) 1 g Vial 2, , , Erythromycin 0.5%, 3.5g Eye Ointment Tube Erythromycin 0.5%, 5g Eye Ointment Tube Erythromycin 200 mg/5 ml, 60 ml Suspension Erythromycin 500 mg Tablet Escitalopram (as Oxalate) 10 mg Tablet Ethambutol Hydrochloride 400 mg Tablet Ethinylestradiol + Levonorgestrel 30 mcg mcg Cycle Etoposide 100 mg Vial Etoposide 20 mg/ml, 5 ml Vial F 302 Famotidine 10 mg/ml, 2 ml Ampule Felodipine 10 mg MR Tablet Felodipine 2.5 mg MR Tablet Felodipine 5 mg MR Tablet Fenofibrate 160 mg Tablet Fenofibrate 200 mg Capsule Fentanyl 50 mcg/ml, 10 ml Ampule Fentanyl 50 mcg/ml, 2 ml Ampule Ferrous Salt (Equiv. to 15 mg Elem. Iron/0.6 ml), ml Drops 311 Ferrous Salt (Equiv. to 30 mg Elem. Iron/5 ml), ml Syrup 312 Ferrous Salt Equiv. to 60 mg Elem. Iron Tablet Ferrous Sulfate + Folic Acid 60 mg Elem. Iron mcg Capsule Ferrous Sulfate + Folic Acid 60 mg Elem. Iron mcg Tablet Filgrastim 150 mcg/0.6 ml, Vial 1, , , Filgrastim 300 mcg/1.2 ml, Vial , Finasteride 5 mg Tablet Fluconazole 150 mg Capsule Fluconazole 2 mg/ml, 100 ml Vial , Fluconazole 200 mg Capsule P a g e 10 19

11 321 Fluconazole 50 mg Capsule Fluorouracil 50 mg/ml, 10 ml Vial Fluoxetine 20 mg Capsule Fluoxetine 20 mg Dispersible Tablet Fluphenazine (as Decanoate) 25 mg/ml, 10 ml Vial Fluticasone + Salmeterol 125 mcg + 25 mcg, 120 Doses Metered Dose Inhaler 327 Fluticasone + Salmeterol 250 mcg + 25 mcg, 120 Doses Metered Dose Inhaler 328 Fluticasone + Salmeterol 250 mcg + 50 mcg, 60 Doses Dry Powder Inhaler 329 Fluticasone + Salmeterol 500 mcg + 50 mcg, 60 Doses Dry 1, , , Powder Inhaler 330 Fluticasone + Salmeterol 50 mcg + 25 mcg, 120 Doses Metered Dose Inhaler 331 Fluticasone 0.0.5% / Dose, 120 Doses Nasal Aqueous Solution 332 Folic Acid 5 mg Capsule Folic Acid 5 mg Tablet Fondaparinux 2.5 mg/0.5 ml, Solution 1, , , Furosemide 10 mg/ml, 2 ml Ampule Furosemide 20 mg Tablet Furosemide 40 mg Tablet Fusidate Sodium/Fusidic Acid 2%, 5 g Cream Tube Fusidate Sodium/Fusidic Acid 2%, 1.5 g Medicated Surgical Dressing Ointment Sachet G 340 Gabapentin 100 mg Capsule Gabapentin 300 mg Capsule Gemcitabine 1 g Vial 5, , , Gemcitabine 200 mg Vial 1, , , Gentamicin 0.3%, 5 ml Eye Drops Bottle Gentamicin 40 mg/ml, 2 ml Ampule Glibenclamide 5 mg Tablet Gliclazide 30 mg MR Tablet Gliclazide 60 mg MR Tablet Gliclazide 80 mg Tablet Glipizide 5 mg Tablet Glucose (Dextrose) 50%, 50 ml Vial Glyceryl Trinitrate (Nitroglycerine) 5 mg Patch H 353 Haloperidol 20 mg Tablet Haloperidol 5 mg Tablet Haloperidol 5 mg/ml, 1 ml Ampule Haloperidol 50 mg/ml, 1 ml Ampule Heparin (as Sodium) 1000 IU/mL, 5 ml Vial Heparin (as Sodium) 5000 IU/mL, 5 ml Vial Hydralazine 20 mg/ml, 1 ml Ampule Hydralazine 25 mg Tablet Hydrochlorothiazide 25 mg Tablet Hydrocortisone 1%, 5 g Cream Tube Hydrocortisone 100 mg Powder Vial Hydrocortisone 250 mg Powder Vial Hydrocortisone 500 mg Powder Vial P a g e 11 19

12 366 Hydrogen Peroxide 3%, 120 ml Bottle Hydroxyethyl Starch 6%, 500 ml Bottle , Hydroxyurea 500 mg Capsule Hydroxyzine 10 mg Tablet Hydroxyzine 2 mg/ml, 60 ml Syrup Hydroxyzine 25 mg Tablet Hyoscine (as N-butyl bromide) 10 mg Tablet Hyoscine (as N-butyl bromide) 20 mg/ml, 1 ml Ampule I 374 Ibuprofen 100 mg/5 ml, 60 ml Bottle Ibuprofen 200 mg Tablet Ibuprofen 200 mg/5 ml, 60 ml Bottle Ibuprofen 400 mg Tablet Ifosfamide 2 g Vial 2, , , Intraocular Irrigating Solution 500 ml Bottle (Balanced Salt Solution) 380 Iohexol 300 mg Iodine/mL, 50 ml Vial 1, , , Iopamidol 612 mg/ml equiv to 300 mg Iodine, 1, , , ml Vial 382 Iopamidol 612 mg/ml equiv to 300 mg Iodine, , ml Vial 383 Iopamidol 755 mg/ml equiv. to 370 mg Iodine 1, , , ml Vial 384 Iopamidol 755 mg/ml equiv to 370 mg Iodine, , ml Vial 385 Ioversol 636 mg/ml equiv. to 300 mg/ml 1, , , Iodine, 50 ml Vial 386 Ipratropium + Salbutamol 500 mcg mg, 2.5 ml Respiratory Solution 387 Irbesartan + Hydrochlorothiazide 150 mg mg Tablet Irbesartan + Hydrochlorothiazide 300 mg mg Tablet Irbesartan 150 mg Tablet Irbesartan 300 mg Tablet Isoflurane 100 ml Inhalation Bottle , Isoniazid + Rifampicin + Ethambutol 75 mg mg mg Tablet Isoniazid + Rifampicin + 75 mg mg mg mg Pyrazinamide + Ethambutol Tablet 394 Isoniazid 200 mg/5 ml, 120 ml Syrup Isophane Insulin Human 100 IU/mL, 10 ml Vial Isosorbide Dinitrate 1 mg/ml, 10 ml Ampule Isosorbide Dinitrate 10 mg Tablet Isosorbide Dinitrate 5 mg Tablet Isosorbide-5-Mononitrate 20 mg Tablet Isosorbide-5-Mononitrate 60 mg MR Tablet Isoxsuprine Hydrochloride 10 mg Tablet Isoxsuprine Hydrochloride 5 mg/ml, 2 ml Ampule Itraconazole 100 mg Capsule K 404 Ketamine 50 mg/ml, 10 ml Vial , Ketorolac 30 mg/ml, 1 ml Ampule L 406 Lactated Ringer's Solution 1 L Bottle Lactated Ringer's Solution 500 ml Bottle Lactulose 3.3 g/5 ml, 120 ml Syrup P a g e 12 19

13 409 Lactulose 3.35 g/5 ml, 120 ml Syrup Lagundi 300 mg Tablet Lagundi 300 mg/5 ml, 60 ml Syrup Lagundi 600 mg Tablet Lamotrigine 50 mg Tablet Lansoprazole 30 mg MR Tablet L - Asparaginase 10,000 IU Vial 2, , Levofloxacin 5 mg/ml, 100 ml Vial Levofloxacin 500 mg Tablet Levofloxacin 750 mg Tablet Levothyroxine 100 mcg Tablet Levothyroxine 25 mcg Tablet Levothyroxine 50 mcg Tablet Lidocaine 10%, 50 ml Spray 1, , , Lidocaine 2%. 1.8 ml w/ Epinephrine Carpule Lidocaine 2%, 5 ml Ampule Lidocaine 2%, 5 ml Vial Lidocaine 2%, 50 ml Vial Lithium Carbonate 450 mg MR Tablet Loperamide 2 mg Capsule Loratadine 10 mg Tablet Loratadine 5 mg/5 ml, 30 ml Syrup Losartan + Hydrochlorothiazide 100 mg + 25 mg Tablet Losartan + Hydrochlorothiazide 50 mg mg Tablet Losartan 100 mg Tablet Losartan 50 mg tablet M 435 Magnesium Sulfate 250 mg/ml, 10 ml Ampule Magnesium Sulfate 250 mg/ml, 2 ml Ampule Magnesium Sulfate 250 mg/ml, 20 ml Vial Mannitol 20% 500 ml Bottle Mebendazole 100 mg/5 ml, 30 ml Suspension Mebendazole 100 mg/5 ml, 60 ml Suspension Mecobalamin 500 mcg Tablet Mecobalamin 500 mcg/ml, 1 ml Ampule Medroxyprogesterone 10 mg Tablet Medroxyprogesterone 150 mg/ml, 1 ml Vial Medroxyprogesterone 50 mg/ml, 3 ml Vial + Syringe Mefenamic Acid 250 mg Capsule Mefenamic Acid 250 mg Tablet Mefenamic Acid 50 mg/5 ml, 60 ml Suspension Mefenamic Acid 500 mg Capsule Mefenamic Acid 500 mg Tablet Mercaptopurine 50 mg Tablet Meropenem 1 g Vial , Meropenem 500 mg Vial Mesna 100 mg/ml, 4 ml Ampule Metformin Hydrochloride 500 mg Tablet Methotrexate 100 mg/ml, 10 ml Vial 4, , , Methotrexate 2.5 mg Tablet Methotrexate 25 mg/ml, 2 ml Vial Methotrexate 25 mg/ml, 20 ml Vial 2, , , P a g e 13 19

14 460 Methotrexate 50 mg/ml, 1 ml Vial Methyldopa 250 mg Tablet Methylergometrine 125 mcg Tablet Methylergometrine 200 mcg/ml, 1 ml Ampule Methylprednisolone 1 g/16 ml + Diluent Vial 2, , , Methylprednisolone 125 mg/ml, 2 ml + Diluent Vial , Methylprednisolone 16 mg Tablet Methylprednisolone 4 mg Tablet Methylprednisolone 40 mg/ml, 1 ml Vial Methylprednisolone 500 mg/7.7 ml + Diluent Vial 1, , , Metoclopramide 10 mg Tablet Metoclopramide 5 mg/5 ml, 60 ml Syrup Metoclopramide 5 mg/ml, 2 ml Ampule Metoprolol (as Tartrate) 100 mg Tablet Metoprolol (as Tartrate) 50 mg Tablet Metronidazole 125 mg/5 ml, 60 ml Suspension Metronidazole 5 mg/ml, 100 ml Vial Metronidazole 500 mg Tablet Midazolam 1 mg/ml, 5 ml Ampule Midazolam 1 mg/ml, 5 ml Vial Midazolam 15 mg Tablet Midazolam 5 mg/ml, 3 ml Ampule Midazolam 5 mg/ml, 1 ml Ampule Modified Fluid Gelatin (Formerly 4% Solution, 500 ml Bottle Polymerisate of Degraded Succinylated Gelatin) 484 Monobasic Sodium Phosphate, 19 g/7 g Solution per 133 ml Bottle Dibasic Sodium Phosphate 485 Monobasic Sodium Phosphate, 48 g/18 g per 100 ml Solution, 45 ml Dibasic Sodium Phosphate Bottle 486 Montelukast 10 mg Tablet Montelukast 4 mg Chewable Tablet Montelukast 4 mg Sachet Montelukast 5 mg Chewable Tablet Morphine (As Sulfate) 10 mg Tablet Morphine (As Sulfate) 10 mg/ml, 1 ml Ampule Morphine (As Sulfate) 30 mg Tablet Multivitamins Adult Capsule Multivitamins Adult Tablet Multivitamins Per 1 ml, 15 ml Drops Multivitamins Per 5 ml, 120 ml Syrup Multivitamins Per 5 ml, 60 ml Syrup Mupirocin 2% 15 g Ointment Tube Mupirocin 2%, 5g Ointment Tube Mycophenolate Mofetil 500 mg Tablet N 501 Nalbuphine 10 mg/ml, 1 ml Ampule Naloxone 400 mcg/ml, 1 ml Ampule Naproxen Sodium 550 mg Tablet Neostigmine 500 mcg/ml, 1 ml Ampule Nicardipine 1 mg/ml, 10 ml Ampule , Nicardipine 1 mg/ml, 2 ml Ampule Nifedipine 10 mg Capsule P a g e 14 19

15 508 Nifedipine 30 mg MR Tablet Nifedipine 5 mg Capsule Norepinephrine 1 mg/ml, 2 ml Ampule Norepinephrine 1 mg/ml, 4 ml Ampule Norfloxacin 400 mg Tablet Nystatin 100,000 Units/mL, 30 ml Suspension O 514 Octreotide 100 mcg/ml, 1 ml Ampule Ofloxacin 0.3%, 5 ml Ear Drops Bottle Ofloxacin 0.3%, 5 ml Eye Drops Bottle Ofloxacin 2 mg/ml, 100 ml Vial , Ofloxacin 200 mg Tablet Ofloxacin 400 mg Tablet Olanzapine 10 mg Tablet Omeprazole 20 mg Capsule Omeprazole 40 mg Powder Vial + 10 ml Solvent Ampule 523 Omeprazole 40 mg Capsule Ondansetron (as Hydrochloride) 2 mg/ml, 2 ml Ampule Ondansetron (as Hydrochloride) 2 mg/ml, 4 ml Ampule Oral Rehydration Salts (ORS g Sachet replacement) 527 Oral Rehydration Salts (ORS g Sachet replacement) 528 Oral Rehydration Salts (ORS g Sachet replacement) 529 Oral Rehydration Salts (ORS g Sachet replacement) 530 Oseltamivir 75 mg Capsule Oxacillin 500 mg Vial Oxaliplatin 2 mg/ml, 50 ml Vial 4, , , Oxycodone 10 mg Tablet Oxycodone 10 mg/ml, 1 ml Ampule 1, , Oxytocin 10 IU/mL, 1 ml Ampule P 536 Paclitaxel 6 mg/ml, 5 ml Vial , Paracetamol 100 mg/ml, 15 ml Drops Paracetamol 120 mg/5 ml (125 mg/5 ml), 60 ml Bottle 539 Paracetamol 125 mg Suppository Paracetamol 150 mg/ml, 2 ml Ampule Paracetamol 250 mg Suppository Paracetamol 250 mg/5 ml, 60 ml Bottle Paracetamol 500 mg Tablet Penicillin G Benzathine 1,200,000 Units Vial (Benzathine Benzylpenicillin) 545 Penicillin G Crystalline 1,000,000 Units Vial Penicillin G Crystalline 5,000,000 Units Vial Pethidine 50 mg/ml, 2 ml Ampule Phenobarbital 120 mg/ml (130 mg/ml), 1 ml Ampule 549 Phenobarbital 15 mg Tablet Phenobarbital 30 mg Tablet Phenobarbital 60 mg Tablet P a g e 15 19

16 552 Phenoxymethyl Penicillin 250 mg Capsule (Penicillin V) 553 Phenoxymethyl Penicillin 500 mg Capsule (Penicillin V) 554 Phenylephrine 2.5%, 5 ml Eye Drops Bottle Phenytoin 100 mg Capsule Phenytoin 50 mg/ml, 2 ml Ampule Phytomenadione 10 mg/ml, 1 ml Ampule Piperacillin + Tazobactam 2 g mg Vial Piperacillin + Tazobactam 4 g mg Vial Potassium Chloride 2 meq/ml, 20 ml Vial Potassium Chloride 750 mg Durules (Equiv. to Approx meq) Tablet 562 Potassium Citrate 10 meq Tablet Povidone Iodine 10%, 1 Gallon Bottle Povidone Iodine 10%, 120 ml Bottle Povidone Iodine 10%, 60 ml Bottle Povidone Iodine 7.5% Surgical Skin Cleanser, 1 Gallon Bottle 567 Praziquantel 600 mg Tablet Prednisolone 1%, 5 ml Eyes Drops Bottle Prednisolone 20 mg Tablet Prednisolone 20 mg/5 ml, 60 ml Syrup Prednisolone 5 mg Tablet Prednisone 10 mg Tablet Prednisone 10 mg/5 ml, 60 ml Suspension Prednisone 20 mg Tablet Prednisone 5 mg Tablet Propofol 10 mg/ml, 20 ml Ampule , Propofol 10 mg/ml, 20 ml Vial Propofol 10 mg/ml, 50 ml Vial Propranolol 10 mg Tablet Propranolol 40 mg Tablet Propylthiouracil 50 mg Tablet Pyrazinamide 250 mg/5 ml, 120 ml Suspension Pyrazinamide 250 mg/5 ml, 60 ml Suspension Q 584 Quetiapine (as Fumarate) 200 mg Tablet Rabies Chick Embryo Cell (Purified 2.5 IU/mL, 1 Dose + 1 ml Diluent , Inactivated) Vial 586 Rabies Immunoglobulin (Human) 150 IU/mL, 2 ml Ampule 3, , , Rabies Immunoglobulin (Human) 150 IU/mL, 2 ml Vial 3, , , Ranitidine 150 mg Tablet Ranitidine 25 mg/ml, 2 ml Ampule Ranitidine 300 mg Tablet Regular, Insulin (Recombinant DNA, 100 IU/mL, 10 ml Vial Human) 592 Retinol (Vitamin A) 100,000 IU Soft Gel Capsule Retinol (Vitamin A) 200,000 IU Soft Gel Capsule Rifampicin 200 mg/5 ml, 120 ml Suspension Rifampicin 200 mg/5 ml, 60 ml Suspension Risperidone 2 mg Tablet R P a g e 16 19

17 597 Risperidone 4 mg Tablet Rocuronium 10 mg/ml, 2.5 ml Vial Rocuronium 10 mg/ml, 5 ml Ampule Rocuronium 10 mg/ml, 5 ml Vial Ropivacaine 10 mg/ml, 10 ml Ampule Rosuvastatin (as Calcium) 10 mg Tablet Rosuvastatin (as Calcium) 20 mg Tablet S 604 Salbutamol 1 mg/ml, 2.5 ml Respiratory Solution 605 Salbutamol 100 mcg/dose, 200 Doses Metered Dose Inhaler 606 Salbutamol 2 mg Tablet Salbutamol 2 mg/5 ml, 60 ml Syrup Salbutamol 2 mg/ml, 2.5 ml Respiratory Solution 609 Sambong 250 mg Tablet Sambong 500 mg Tablet Sertraline 50 mg Tablet Sevoflurane 250 ml Bottle 4, , , Silver Sulfadiazine 1%, 15 g Cream Tube Silver Sulfadiazine 1%, 20 g Cream Tube Silver Sulfadiazine 1%, 25 g Cream Tube Silver Sulfadiazine 1%, 5 g Cream Tube Silver Sulfadiazine 1%, 50 g Cream Tube Silver Sulfadiazine 1%, 500 g Cream Jar , Simvastatin 10 mg 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 Spironolactone 100 mg Tablet Spironolactone 25 mg Tablet Spironolactone 50 mg Tablet Standard Senna Concentrate 187 mg Tablet Standard Senna Concentrate 374 mg Tablet Sterile Water For injection 1 L Bottle Sterile Water For injection 50 ml Bottle Streptokinase 1,500,000 IU Vial 3, , , Streptomycin 1 g Vial Sucralfate 1 g Tablet Suxamethonium (Succinylcholine) 20 mg/ml, 10 ml Vial T 636 Tacrolimus 1 mg Capsule Tamoxifen 20 mg Tablet Tamsulosin 200 mcg Capsule Telmisartan + Hydrochlorothiazide 40 mg mg Tablet Telmisartan + Hydrochlorothiazide 80 mg mg Tablet Telmisartan 40 mg Tablet Telmisartan 80 mg Tablet Terbutaline 500 mcg/ml, 1 ml Ampule P a g e 17 19

18 644 Tetanus Immunoglobulin (Human) 250 IU/mL, 1 ml Ampule Tetanus Immunoglobulin (Human) 250 IU/mL, 1 ml Pre-filled Syringe , Tetanus Immunoglobulin (Human) 250 Units/mL, 2 ml Vial , Tetanus Toxoid 0.5 ml Ampule Tetracycline 500 mg Capsule Thiamazole (Methimazole) 5 mg Tablet Thiopental Sodium 1 g + 50 ml Vial 1, , , Timolol 0.5%, 5 ml Eye Drops Bottle Tinzaparin Sodium 10,000 Anti-XA IU/mL, 2 ml Vial 1, , , Tiotropium 18 mcg/dose Dry Powder Inhaler Tobramycin + Dexamethasone 0.3% + 0.1%, 5 ml Eye Drops Bottle Tobramycin + Dexamethasone 0.3% + 0.1%, 3.5 g Eye Ointment Tube 656 Tobramycin 0.3%, 5 ml Eye Drops Bottle Topiramate 50 mg Tablet Tramadol 100 mg MR Tablet Tramadol 50 mg Capsule Tramadol 50 mg/ml, 1 ml Ampule Tramadol 50 mg/ml, 2 ml Ampule Tranexamic Acid 100 mg/ml, 5 ml Ampule Tranexamic Acid 500 mg Capsule Trimetazidine 20 mg Tablet Trimetazidine 35 mg Tablet Tropicamide 0.5%, 5 ml Eye Drops Bottle U 667 Ursodeoxycholic Acid 250 mg Capsule V 668 Valproate Disodium/Valproic Acid 250 mg Tablet Valproic Acid 250 mg/5 ml, 120 ml Syrup Valproic Acid 500 mg/5 ml, 5 ml Vial 1, , , Valsartan + Hydrochlorothiazide 80 mg mg Tablet Valsartan 160 mg Tablet Valsartan 80 mg Tablet Vancomycin 500 mg Vial Vecuronium 4 mg/ml + 1 ml Solvent Ampule Verapamil 2.5 mg/ml, 2 ml Ampule Verapamil 240 mg MR Tablet Verapamil 40 mg Tablet Vero Cell (Purified) 2.5 IU/0.5 ml + Diluent Vial , Vinblastine 10 mg Vial Vincristine (As Sulfate) 1 mg/ml, 1 ml Vial Vincristine (As Sulfate) 1 mg/ml, 2 ml Vial Vitamin B1 B6 B mg mg + 1 mg, 3 ml Ampule 684 Vitamin B1 B6 B mg + 5 mg + 50 mcg Tablet W 685 Warfarin 1 mg Tablet Warfarin 2.5 mg Tablet Warfarin 5 mg Tablet P a g e 18 19

19 Z 688 Zinc 27.5 mg/ml (Equiv. to 10 mg Elem Zinc), 15 ml Drops 689 Zinc 55 mg/ml (Equiv. to 20 mg Elem Zinc), 60 ml Syrup 690 Zolpidem 10 mg Tablet P a g e 19 19