ORDER. Table. Retail Price (Rs.) (1) (2) (3) (4) (5) (6) 1. Rosuvastatin + Clopidogrel Capsule (Crevast CV 20)

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1 (Published in Part II, Section 3, Sub-section (ii) of the Gazette of India, Extraordinary) Government of India Ministry of Chemicals and Fertilizers Department of Pharmaceuticals National Pharmaceutical Pricing Authority ORDER New Delhi, the 4th July, 2018 S. O. 3240(E) In exercise of the powers conferred by paragraphs 5, 11 and 15 of the Drugs (Prices Control) Order, 2013, read with S.O. 1394(E) dated the 30 th May, 2013 and S. O. 701(E) dated 10 th March, 2016 issued by the Government of India in the Ministry of Chemicals and Fertilizers, the National Pharmaceutical Pricing Authority (hereinafter referred as NPPA), hereby fixes, the price as specified in column (6) of the table herein below as the retail price, exclusive of goods and services tax, if any, in relation to the formulation specified in the corresponding entry in column (2) of the said Table with the strength, unit and name of manufacturer & marketing company, as specified in the corresponding entries in columns (3), (4) and (5) thereof; Sl. No. Name of the Formulation / Brand Name Table Strength Unit Manufacturer & Marketing Company Retail Price (Rs.) (1) (2) (3) (4) (5) (6) 1. Rosuvastatin + Clopidogrel Capsule (Crevast CV 20) 1 Capsule M/s Synokem Pharmaceuticals Ltd/ M/s Eris Lifesciences Ltd Fluconazole Dispersible (ULTICAN 50 DT) 3. Amoxycillin + Clavulante Dry Syrup (Clanoxy Forte) 4. Telmisartan + Metoprolol (Metolar TL 50) 5. Telmisartan + Metoprolol (Metolar TL 25) 6. Hydroxychloroquine Sulphate (OXCQ 300mg) Each Hard gelatine capsule Rosuvastatin Calcium IP eq. to Rosuvastatin 20mg, Clopidogrel Bisulphate IP eq. to Clopidogrel 75mg. Each uncoated tablet Fluconazole IP 50mg Each 5ml of reconstituted Suspension: Amoxycillin Trihydrate IP eq. to Amoxycillin 400mg, Potassium Clavulante Diluted IP eq. to Clavulnic Acid 57mg Metoprolol Succinate IP 47.50mg eq. to Metoprolol Tartrate 50mg (ER) Metoprolol Succinate IP 23.50mg eq. to Metoprolol Tartrate 25mg (ER) Each film coated tablet Hydroxychloroquine Sulphate 300mg Glimepiride 3mg, Glimepiride 2mg, 1 M/s Acme Formulations Pvt. Ltd. / M/s Sun Pharmaceutical Industries Ltd. 1 ML M/s Galpha Laboratories 1 M/s Revenbhel Biotech Ltd./ M/s Cipla Ltd. 1 M/s Revenbhel Biotech Ltd. / M/s Cipla Ltd. 1 M/s Wallace

2 Telmisartan + Clinidipine + Chlorthalidone 12. Clonazepam + Propranolol 13. Telmisartan + Chlorthalidone (Telpha-CH) 14. Doxorubicin Hydrochloride Liposome 2mg/ml (20mg/vial) 10ml (Pegylated Liposomal) Concentrate for Infusion 15. Cilnidipine + (Cilniblu T) 16. Sofosbuvir + Velpatsvir 17. Sofosbuvir + Ledipasvir Voglibose 0.3mg s Glimepiride 2mg, Metformin SR 1000mg Voglibose 0.2mg s Glimepiride 1mg, Voglibose 0.3mg s Clinidipine 10mg & Chlorthalidone IP 6.25mg Each uncoated tablet Clonazepam IP 0.50mg, Propranolol Hydrochloride IP 20mg Chlorthalidone IP 12.5mg Each ml Doxorubicin Hydrochloride 2mg (Pegylated Liposomal) Water for Each film coated tablet Cilnidipine IP 10mg, Each film coated tablet Sofosbuvir 400mg, Velpatsvir 100mg Each film coated tablet Sofosbuvir 400mg, Ledipasvir 90mg M/s Akums Drugs & Pharmaceutical / M/s Emcure Pharmaceuticals M/s Pharmafabrikon ML vial M/s Natco Pharma / M/s Aureate Health Pvt. Ltd. 1 M/s Akums Drugs & 28 s s M/s Natco Pharma Ltd. / M/s Aprazer Health Care Pvt. Ltd. 1 M/s Natco Pharma Ltd. / M/s Aprazer Health Care Pvt. Ltd Etoricoxib + Paracetamol 19. Adapalene + Benzoyl Gel 20 Teneligliptin + (Walaphage T 1000) 21. Teneligliptin + (Walaphage T 500) Each film coated tablet Etoricoxib 60mg, Paracetamol 325mg Adapalene BP 0.1% w/w Benzoyl Peroxide IP eq. to Anhydrous Benzoyl Peroxide 2.5%w/w Each uncoated bilayer tablet Metformin HCl 1000mg (SR) Each uncoated bilayer tablet Metformin HCl 500mg (SR) 1 M/s Cadila Pharmaceuticals 1 GM M/s Apex Laboratories Private M/s Wallace M/s Wallace

3 22. Brimonidine + Timolol Eye Drops (New Albrim LST) 23. Glimiepiride + (GLYCOMET GP 3) 24. Paclitaxel (Protein bound Particles) for Injectable Suspension Brimonidine Tartrate IP 0.2%w/v, w/v Sterile aqueous vehicle q.s. Each modified bi-layered ed tablet Glimiepiride IP 3mg, Metformin Hydrochloride IP 500mg (ER) Each vial Paclitaxel IP 100mg/vial Lyophilized Human albumin q.s. 1 ML M/s Akums Drugs & M/s Alembic Pharmaceuticals 1 M/s Anphar Organics. / M/s USV Private Each Pack M/s Beta Drugs Ltd / M/s RPG Life Sciences Glimiepiride + (Glimison M 0.5) 26. Teneligliptin + (Teneblu M Forte) 27. Teneligliptin + (Teneblu M) 28. Olmesartan + Amlodipine + Hydrochlorothiazide (Amlokind 5) 29. Travoprost + Timolol Maleate + Benzalkonium Eye Drops 30. Brimonidine + Timolol Maleate + Benzalkonium Eye Drops 31. Teneligliptin + (Glipijub M Forte) 32. Teneligliptin + (Glipijub M) 33. Teneligliptin Teneligliptin + Each Uncoated bilayered Glimepiride IP 0.5mg & Metformin HCL IP 500mg (in prolonged release form) Each uncoated bilayer tablet Metformin HCl 1000mg (SR) Each uncoated bilayer tablet Metformin HCl 500mg (SR) Each film coated tablet Olmesartan Medoxomil IP 40mg, Amlodipine Besilate IP eq. to Amlodipine 5mg & Hydrochlorothiazide IP 12.5 Travoprost IP 0.004%w/v, w/v, Benzalkonium Chloride Solution IP 0.01% v/v Brimonidine Tartrate IP 0.2%w/v, w/v, Benzalkonium Chloride Solution IP 0.02% v/v Metformin HCl 1000mg (ER) Metformin HCl 500mg (ER) Metformin HCl 1000mg (ER) Pharmaceuticals 1 M/s Pure & Cure Mankind Pharma 1 ML M/s Pure & Cure LifeStar Pharma Private 1 ML M/s Pure & Cure LifeStar Pharma Private 1 M/s M/s Jubilant Lifesciences 1 M/s M/s Jubilant Lifesciences

4 35. Travoprost + Timolol Eye Drops (Travisight T) 36. Cilnidipine + Telmisartan + Chlorthalidone 37. Telmisartan + Hydrochlorthiazide (Telpha-H) 38. Ferrous Ascorbate + Folic Acid 39. Doxorubicin Hydrochloride 40. Rosuvastation + Clopidogrel Capsule 41. Cilnidipine + (NEXOVAS T) Metformin HCl 500mg (ER) Each ml Travoprost IP 40mcg, Timolol Maleate IP eq. to Timolol 5mg Each filmcoated tablet Cilnidipine 10mg, Chlorthalidone 6.25mg Hydrochlorthiazide IP 12.5mg Each film coated tablet Ferrous Ascorbate eq. to Elemental Iron 100mg, Folic Acid IP 1.5mg, Each ml Doxorubicin Hydrochloride IP 2mg (As pegylated liposomal) Water for Each hard gelatine capsule Rosuvastation IP 20mg (As pellets), Clopidogrel IP 75mg (as pellets) Each film coated tablet 1 ML M/s Akums Drugs & M/s Alembic 1 M/s Safetab Life Science / M/s Lupin M/s Pharmafabrikon M/s Tirupati Medicare Ltd / M/s Zydus Cadila Healthcare 25 ML vial M/s Natco Pharma Ltd. / M/s Zydus Cadila Healthcare 1 Capsule M/s Synokem Pharmaceuticals / M/s INTAS Pharmaceuticals 1 s M/s Macleods Pharmaceuticals Cilnidipine + (ZITELMI CL) Each film coated tablet 1 s M/s Akums Drugs & Pharmaceuticals / M/s FDC Diclofenac + Linseed Oil + Methyl Salicylate + Menthol + Benzyl Alcohol GEL (Dan) 44. Telmisartan + Amlodipine (Telmiride AM) Diclofenac Diethylamine 1.16% w/w + Linseed Oil 3% w/w + Methyl Salicylate 10% w/w Menthol 5% w/w Benzyl Alcohol 1% w/w GEL base q. s. Each film coated tablets + Amlodipine 5mg 1 GM M/s Tuton Pharmaceuticals / M/s Unison Pharmaceuticals Pvt. Ltd Cilnidipine + (Telmiride LN) 46. Voglibose + Metformin (Voglyson M 0.2) 47. Voglibose + (BETAGLIM 2 MV 0.3) Each film coated tablet Voglibose 0.2mg & Metformin Hydrochloride 500mg Each tablets Voglibose IP 0.3mg, Glimepiride IP 2mg & Ltd. / M/s Unison

5 48. Voglibose + (BETAGLIM 1 MV 0.3) Each tablets Voglibose IP 0.3mg, Glimepiride IP 1mg & Voglibose + (BETAGLIM 2 MV) Each tablets Voglibose IP 0.2mg, Glimepiride IP 2mg & Voglibose + (BETAGLIM 1 MV) Each tablets Voglibose IP 0.2mg, Glimepiride IP 1mg & 7.14 Note: (a) The manufacturer of above mentioned formulations i.e. new drug under paragraph 2(u) of the DPCO, 2013 shall fix the retail price as specified in column (6) of the table hereinabove. (b) The manufacturer may add goods and services tax only if they have paid actually or it is payable to the Government on the retail price mentioned in column (6) of the above said table. (c) The retail price for a pack of the aforesaid formulation shall be arrived at by the concerned manufacturer in accordance with the retail price specified in column (6) of the above table as per provisions contained in paragraph 11 of the DPCO, The manufacturer shall issue a price list in Form V from date of Notification as per paragraph 24 of the DPCO, 2013 to NPPA through IPDMS and submit a copy to State Drug Controller and dealers. (d) As per para 24(4) of DPCO 2013, every retailer and dealer shall display price list and the supplementary price list, if any, as furnished by the manufacturer, on a conspicuous part of the premises where he carries on business in a manner so as to be easily accessible to any person wishing to consult the same. (e) The above mentioned retail price is applicable only to the individual manufacturer / marketeer as mentioned above i.e. who have applied for the same by submitting Form-I for price fixation / revision as stipulated under DPCO, 2013 and subject to fulfilment of all the applicable statutory requirements as laid down by the Govt. under relevant statutes/ rules, including manufacturing license permission from the Competent Authority i.e. the Central/State Licensing Authority, as may be applicable, by the concerned manufacturer/marketing companies. (f) In case the retail price of any of the aforesaid formulations is not complied with, as per instant price notification and notes specified hereinabove, then the concerned manufacturer/marketing company shall be liable to deposit the overcharged amount along with the interest thereon under the provisions of the DPCO, 2013 read with the Essential Commodities Act, (g) Consequent to the issue of ceiling price of such formulation as specified in column (2) of the above table in this notification, the price order(s) fixing ceiling or retail price, if any, issued prior to the above said date of notification, stand(s) superseded. PN/190/58/2018/F F. No. 8(58)/2018/D.P./NPPA-Div.-II (BALJIT SINGH) Assistant Director

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