CHF

PRICE
PER
INVESTIG
CHF FEE SCHEDULE FOR INVESTIGATIONS-DISPENSARY&HEALTH CENTER
ATION IN
CODE NAMES OF INVESTIGATION TSHS.
BIOCHEMISTRY
I113 BLOOD SUGAR-RANDOM OR FASTING 1250
I114 GLUCOSE TOLERANCE TEST 1900
HAEMATOLOGY
I115 HB LEVEL 650
I116 WBC 1250
I117 BLOOD SLIDE FOR MALARIAL PARASITES (BS FOR MPS) 650
I118 BLOOD GROUPING-A,B & O ANTIGENTS 1900
I119 BLOOD GROUP & CROSS MATCHING 3250
I120 BLOOD GROUP - RHESUS FACTOR 950
I121 WIDAL TEST 1900
I122 MALARIA RAPID DIAGNOSTIC TEST (MRDT) 500
I123 VENEREAL DISEASESS RESEARCH LAB (VDRL) 1250
I124 VDRL (WITH SD BIOLINE-SPHYLLIS) 500
OTHER TESTS
I125 URINE ANALYSIS (ROUTINE) 650
I126 URINALYSIS-SUGAR, ALBUMIN ETC 950
I127 URINE FOR PREGNANCY TEST (UPT) 950
I128 STOOL ANALYSIS (ROUTINE) 650
I129 STOOL FOR OCCULT BLOOD 650
I130 GRAM STAIN 1250
 CHF PRICE SCHEDULE FOR INVESTIGATIONS -DISTRICT HOSPITAL
CODE NAMES OF INVESTIGATIONS PROPOSED PRICE
I BIOCHEMISTRY
I1 BLOOD SUGAR- RANDOM OR FASTING 1300
I2 HDL CHOLESTEROL 1900
I3 LDL CHOLESTEROL 1900
I4 SERUM TRIGLYCERIDES 1900
I5 GLUCOSE TOLERANCE TEST 1900
I6 SERUM TOTAL CHOLESTEROL 1600
I7 SERUM BILIRUBIN - UNCONJUGATED 1600
I8 SERUM BILIRUBIN - TOTAL 1900
I9 ALAT, ASAT & ALP 1900
I10 ALAT-Alanine Amino Transferase 1900
I11 ASAT-Aspatate Amino Transferase 1900
I12 ALP-Alkaline Phosphatase 1900
I13 SERUM ELECTROLYTES 6450
I14 URIC ACID 3250
II HAEMATOLOGY
I15 HB LEVEL 1800
I16 FBP 1250
I17 WBC - T & D 1250
I18 BS QBC 800
I19 ESR 950
I20 FBP + ESR 1250
I21 BLOOD GROUPING - A, B & O ANTIGENS 1900
I22 BLOOD GROUP - RHESUS FACTOR 950
I23 BLOOD GROUPING & CROSS MATCHING 3250
I24 SICKLING TEST 950
I25 WIDAL TEST 1900
I26 BLOOD SLIDE FOR MALARIAL PARASITES (BS 800
I27 VDRL 1299
III MICROBIOLOGY
I28 URINE FOR CULTURE & SENSITIVITY 1900
I29 STOOL FOR CULTURE & SENSITIVITY 1900
I30 HVS FOR CULTURE & SENSITIVITY 1900
I31 PUS FOR CULTURE & SENSITIVITY 1900
I32 SPUTUM FOR CULTURE & SENSITIVITY 1900
I33 THROAT SWAB FOR CULTURE & SENSITIVITY 1900
I34 BLOOD FOR CULTURE & SENSITIVITY 3850
I35 CSF FOR CULTURE & SENSITIVITY 3850
I36 PERITONEAL FLUID FOR CULTURE & SENSITIV 3850
I37 ASCITIC FLUID FOR CULTURE & SENSITIVITY 3850
I38 BRONCHIAL WASHING FOR CULTURE 3850
I39 FUNGUS FOR CULTURE & SENSITIVITY 3850
IV X-RAYS
I40 CHEST - POSTERIOANTERIAL (PA) VIEW 3250
I41 60 CHEST - ANTERIOPOSTERIAL (AP) VIEW 3250
I42 61 CHEST - LATERAL VIEW 3250
I43 62 RIBS 3250
I44 STERNUM/ STERNOCLAVICULAR JOINT 3250
I45 ABDOMINAL - SUPINE 3250
I46 ABDOMINAL - ERECT 3250
I47 ABDOMEN- KUB 3250
I48 LEG 3250
I49 KNEE 3250
I50 HIP JOINT 3250
I51 FEMUR 3250
I52 FOOT 3250
I53 TOE 3250
I54 PELVIS 3250
I55 FINGER 3250
I56 HAND 3250
I57 WRIST 3250
I58 ARM 3250
I59 ELBOW JOINT 3250
I60 HUMERUS 3250
I61 SHOULDER 3250
I62 CLAVICLE 3250
I63 SCAPULA 3250
I64 UPPER LIMB 3250
I65 ORBITS 3250
I66 NASAL 3250
I67 PARANASAL SINUSES 3250
I68 MANDIBLE - LATERAL 3250
I69 MANDIBLE - PA 3250
I70 TEMPOROMANDIBULAR JOINT (TMJ) 3250
I71 DENTAL (OPG) 3250
I72 SKULL 3250
I73 CERVICLE SPINE 3250
I74 THORACIC SPINE 3250
I75 LUMBAR SPINE 3250
I76 BARIUM MEAL 22500
I77 BARIUM ENEMA 32500
I78 BARIUM SWALLOW 19000
I79 INTAVENOUS PYELOGRAM - I.V.P (I.V.U ) 32500
I80 URETHROGRAM 16000
I81 FISTULOGRAM 16000
I82 HYSTEROSALPINGOGRAM - (H.S.G) 26000
VI ULTRASOUND
I83 OBSTETRIC 6450
I84 PELVIC 6450
I85 ABDOMINAL 6450
I86 RENAL 6450
I87 TRANSRECTAL 6450
I88 TRANSVAGINAL 6450
I89 BREAST 6450
I90 MASS ( EXTRA ABDOMINAL ) 6450
I91 KUB 6450
I92 THYROID 6450
I93 SOFT TISSUE 6450
I94 MAMMOGRAPHY 6450
I95 OTHER AREAS (not stated in this list) 6450
I96 BLEEDING INDICES 0
I97 BLEEDING TIME 1500
I98 CLOTTING TIME 3,000.00 1500
I99 PROTHROMBIN RATIO 3,000.00 1500
VI OTHER TESTS
I100 URINE ANALYSIS ( ROUTINE ) 650
I101 URINALYSIS - SUGAR, ALBUMIN ETC 950
I102 URINE FOR PREGNANCY TEST (UPT) 950
I103 STOOL ANALYSIS (ROUTINE) 650
I104 STOOL FOR OCCULT BLOOD 650
I105 RHEUMATOID FACTOR 2500
I106 CSF FOR SUGAR AND PROTEIN 1900
I107 PLEURAL FLUID ANALYSIS 1900
I108 ECG - ELECTROCARDIOGRAPHY 6450
I109 VENEREAL DISEASES RESEARCH LABORATORY 1250
I110 RAPID PLASMA REAGIN (RPR) 950
I111 GRAM STAIN 1250
I112 EYE REFRACTION TEST 950
 CHF PRICE LIST FOR DODOMA REGION
CODE LEVEL ITEM DESCRIPTION UNIT PRICE
0001 A ACETYLSALICYLIC ACID (ASPIRIN) TABS 300MG 1000 TABLETS 10
0002 A ADRENALINE 1ML INJ 1MG/ML 10 VIALS 1000
0006 A ALBENDAZOLE TABS 200 MG 100 TABLETS 25
0008 A AMINOPHYLLINE TABS 100 MG 1000 TABLETS 10
0009 A AMINOPHYLLINE 10ML INJ 25MG/ML 10 VIALS 290
0016 A ANTI-TOXIN TETANUS INJ 1500 IU/1ML 1 VIAL 6400
0017 A ARTEMETHER/LUMEFANTRINE 20/120 MG 180T 300
0018 A ARTEMETHER/LUMEFANTRINE 20/120 MG 360T 300
0019 A ARTEMETHER/LUMEFANTRINE 20/120 MG 720T 500
0020 A ARTEMETHER/LUMEFANTRINE 20/120 MG 540T 500
0024 A AZITHROMYCIN DEHYDRATE CAP 250MG 6 CAPSULESULESULES 240
0025 A BANDAGE CREPE 15CM X 4.5 M 12 PIECES 1000
0026 A BANDAGE CREPE 7.5 CM X 4 M 12 PIECES 600
0027 A BANDAGE ELASTIC ADHESIVE 4CM X 4M 12 PIECES 2010
0028 A BANDAGE ELASTIC ADHESIVE 7.5 CM X 4.5 M 12 PIECES 3020
0029 A BANDAGE HOSPITAL QUALITY SIZE 10 CM X 4 M 12 PIECES 600
0030 A BANDAGE HOSPITAL QUALITY SIZE 12.5 CM X 4 M 12 PIECES 750
0031 A BANDAGE HOSPITAL QUALITY SIZE 15 CM X 4 M 12 PIECES 850
0032 A BANDAGE HOSPITAL QUALITY SIZE 5 CM X 4 M 12 PIECES 450
0033 A BANDAGE HOSPITAL QUALITY SIZE 7.5 CM X 4 M 12 PIECES 550

A 40 GRAMS
0039 BENZOIC ACID COMPOUND (WHITFIELD) OINTMENT 6%+3% 720
0041 A BENZYLBENZOATE 25% EMULSION , 100ML 12 BOTTLES 840
0044 A BLOOD GIVING SET 25 PIECES 400
0046 A CALAMINE LOTION 100MLS 12 BOTTLES 2010
0053 A CETRIZINE SYRUP 5mg/5ml 30 MILLILITRES 1800
0054 A CETRIZINE TABS 10 MG 100 TABLETS 25
0059 A CHLORPHENIRAMINE TABS 4 MG 1000 TABLETS 10
0060 A CHLORPHENIRAMINE 1ML INJ 10MG/ML 10 VIALS 3300
0061 A CHLORPROMAZINE TABS 100 MG 500 TABLETS 20
0062 A CHLORPROMAZINE TABS 25 MG 500 TABLETS 20
0063 A CHLORPROMAZINE 2ML INJ 25MG/ML 10 VIALS 1090
0065 A CIPROFLOXACIN TABS 500MG 100 TABLETS 70
0068 A CLOXACILLIN CAPSULES 250 MG 1000 CAPSULESULESULES 40
0069 A CLOXACILLIN PDR F INJ 500 MG 50 VIALS 480
0070 A COLOSTOMY BAG 160 X 260MM (COLOPLAST NO.3) 25 3860
0073 A COTTON WOOL ABSORBENT 500 G 500 GRAMS 6040
0074 A COUGH EXPECTORANT ADULT 100ML SYRUP 24 BOTTLES 1100
0075 A COUGH EXPECTORANT CHILD 100ML SYRUP 24 BOTTLES 880
0077 A DEXTROSE 50% INTRAVENEOUS 100 MILLILITRES 7250
0078 A DEXTROSE INJECTION 10%,500ML 24 BOTTLES 800
0079 A DEXTROSE INJECTION 5%,1000MLS 12 BOTTLES 1610
0080 A DEXTROSE INJECTION 5%,500ML 24 BOTTLES 800
0081 A DIAZEPAM 2ML INJ 5 MG/ML 10 VIALS 250
0084 A DICLOFENAC TABS 50 MG 100 TABLETS 10
0087 A DISPENSING ENVELOPS 100 PIECES 60
0089 A ENDOTRACHEAL TUBE DISPOSABLE, SIZE 2 20 TUBES 4290
0090 A EPHEDRINE TABS 30 MG 1000 TABLETS 10
0091 A EPHEDRINE 1ML INJ 30MG/ML 10 VIALS 2480
0093 A ERGOMETRINE 1ML INJ 0.5MG/ML 10 VIALS 850
0095 A ERYTHROMYCIN TABS 250 MG 1000 TABLETS 70
0096 A FERROUS SULPHATE + FOLIC ACID TABS 200+0.25 MG 1000 TABLETS 15
0097 A FLUCONAZOLE 150MG TABS 100 TABLETS 100
0098 A FOLEY BALLOON CATHETER 30CC 14F- STERILE- TWO WAYS 10 PIECES 1030
0099 A FOLEY BALLOON CATHETER 30CC 16F- STERILE- TWO WAYS 10 PIECES 1030
0100 A FOLEY BALLOON CATHETER 30CC 18F- STERILE- TWO WAYS 10 PIECES 1030
0101 A FOLEY BALLOON CATHETER 30CC 20F- STERILE- TWO WAYS 10 PIECES 1030
0102 A FOLEY BALLOON CATHETER 30CC 22F- STERILE- TWO WAYS 10 PIECES 1030
0103 A FOLIC ACID TABS 5 MG 1000 TABLETS 10

A FOLLEY BALOON CATHETER 30CC, 26FR, STERILE,THREE WAYS 10 PIECES

0104 (FOR IRRIGATION) 1690
0105 A FOLLEY BALOON CATHETER THREE WAYS SIZE 16FR 10 PIECES 1690
0109 A FOLLEY BALOON CATHETER THREE WAYS SIZE 24FR 10 PIECES 1690
0110 A FOLLEY BALOON CATHETER TWO WAY SIZE 10FR 10 PIECES 1030
0111 A FOLLEY BALOON CATHETER TWO WAY SIZE 12FR 10 PIECES 1030
0117 A GAUZE ABSORBENT BPC 90 CM X 100 M 1 ROLL 48300
0123 A GRISEOFULVIN TABS 500 MG 1000 TABLETS 120
0131 A HYDROCORTISONE CREAM 1% 15 GRAMS TUBE 970
0133 A HYOSCINE-N-BUTYLBROMIDE TABS 10 MG 500 TABLETS 55
0134 A I.V. CANULA 14 G 50 PIECES 410
0135 A I.V. CANULA 16 G 50 PIECES 340
0136 A I.V. CANULA 18 G 50 PIECES 340
0137 A I.V. CANULA 20 G 50 PIECES 340
0138 A I.V. CANULA 22 G 50 PIECES 340
0139 A I.V. CANULA 24 G 50 PIECES 340
0140 A I.V. GIVING SET 25 PIECES 310
0149 A LIGNOCAINE 50ML INJ 2% 10 VIALS 2640
0150 A LOPERAMIDE 2MG 100 TABLETS 50
0152 A MAGNESIUM TRISILICATE BPC COMPOUND TABS 1000 TABLETS 10
0154 A MATERNITY PADS 10 PIECES 220
0155 A MEBENDAZOLE SUSP 100 MG/5ML 30 MILLILITRES 850
0156 A MEBENDAZOLE TABS 100 MG 1000 TABLETS 10
0160 A METRONIDAZOLE 100ML INJ 5MG/ML 10 AMPOULES 600
0161 A METRONIDAZOLE SUSPENSION 200MG/ML, 100ML 24 BOTTLES X 100 MILLILITRES 800
0162 A METRONIDAZOLE TABS 200 MG 1000 TABLETS 10
0172 A NITROFURANTOIN TABS 100 MG 1000 TABLETS 30
0173 A NYSTATIN SUSP 100000 IU/ML 30 MILLILITRES 1030
0174 A NYSTATIN WITH APPLICATOR PESSARY 100000 IU 15 PESSARIES 1200
0175 A OMEPRAZOLE TABLETS 20MG 100 TABLETS 30
0176 A ORAL REHYDRATION SALTS (ORS) FOR 1 LITRE POWDER 100 SACCHETS 130
0177 A OXYTETRACYCLINE EYE OINTMENT,5GM 20 TUBES 430
0181 A PARACETAMOL SYRUP 120MG/5MLS,100MLS 24 BOTTLES 890
0182 A PARACETAMOL TABS 500 MG 1000 TABLETS 10

A 10 PIECES
0184 PARAFIN GAUZE DRESSING 10CM X 30CM WITH ANTIBACTERIAL 1330
0187 A PHENOBARBITAL SODIUM 100MG/ML,2ML INJECTION 10 VIALS 1350
0188 A PHENOBARBITAL TABS 100 MG 1000 TABLETS 20
0189 A PHENOBARBITAL TABS 30 MG 1000 TABLETS 10

A 24 BOTTLES
0190 PHENOXYMETHYL PENICILLIN GRANULES 125MG/5ML,100MLS 810
0191 A PHENOXYMETHYL PENICILLIN TABS 250 MG 1000 TABLETS 30
0192 A PHENYTOIN TABS 100 MG 1000 TABLETS 10
0198 A PRAZIQUANTEL TABS 600 MG 100 TABLETS 180
0200 A PROCAINE PENICILLIN FORTIFIED PDR F INJ 4 MU 50 VIALS 430
0201 A PROMETHAZINE 2ML INJ 25MG/ML 10 VIALS 230
0202 A PROMETHAZINE TABS 25 MG 1000 TABLETS 10
0205 A QUININE SULPHATE TABS 300MG 500 TABLETS 90

A 1 AMPOULE
0207 RABIES VACCINE USP(potency of rabies antigen < 2.5 IU/dose) 17390
0212 A SCALP VEIN SET 21 G 100 PIECES 70
0213 A SCALP VEIN SET 23 G 100 PIECES 70
0214 A SCALP VEIN SET 25 G 100 PIECES 70

A 12 BOTTLES
0217 SODIUM CHLORIDE + DEXTROSE INJECTION ISOTONIC,1000MLS 1710

A 24 BOTTLES
0218 SODIUM CHLORIDE + DEXTROSE INJECTION ISOTONIC,500MLS 860
0219 A SODIUM CHLORIDE INJECTION 0.9% FOR IV,500ML 24 BOTTLES 860
0227 A SUCTION TUBE YANKAUER , WITH NOZZLE, DISPOSABLE. EACH 6880
0228 A SULPHADOXINE+PYRIMETHAMINE 500MG/25MG 100 TABLETS 80
0230 A SYRINGE DISPOSABLE WITH NEEDLE 10CC 100 PIECES 120
0231 A SYRINGE DISPOSABLE WITH NEEDLE 2CC 100 PIECES 60
0233 A SYRINGE DISPOSALE WITH NEEDLE 5CC 100 PIECES 90
0237 A TINIDAZOLE 500MG TABS 100 TABLETS 50
0238 A TRAMADOL 50MG CAPSULES 100 CAPSULES 100
0241 A TUBE FEEDING 10FG 50 TUBES 655
0246 A URINE COLLECTION BAG FOR ADULTS 2000 CC 25 160
0250 A VITAMIN A CAPSULESULE 1000I.U 100 TABLETS 140
0251 A VITAMIN B COMPLEX 100ML SYRUP 24 BOTTLES 500
0253 A VITAMIN B COMPLEX TABS 1000 TABLETS 10
0255 A WATER FOR INJECTION 10ML 100 VIALS 70
0257 A ZINC SULPHATE 20MG TABS 100 TABLETS 50

B AMOXICILLIN TRIHYDRATE+CLAVULANIC POTASSIUM 15 CAPSULESULESULES

0013 500MG+125MG CAPSULES 1110
12 SUPPOSITORIES 1760
B
0015 ANTI-HAEMORRHOIDS SUPPOSITORIES
0092 B EPHEDRINE NASAL DROPS 0.5% (PAEDIATRIC) 1 BOTTLE 7600
0106 B FOLLEY BALOON CATHETER THREE WAYS SIZE 18FR 10 PIECES 1690
0107 B FOLLEY BALOON CATHETER THREE WAYS SIZE 20FR 10 PIECES 1690
0115 B FRUSEMIDE TABS 40 MG 1000 TABLETS 20
0116 B FRUSEMIDE 2ML INJ 10MG/ML 10 AMPOULES 250
0143 B IRON DEXTRAN 5ML INJ 50MG/ML 10 VIALS 850
0146 B KETOCONAZOLE TABS 200 MG 100 TABLETS 50
0148 B LIGNOCAIN+ADRENALINE 50ML INJ 2%+1: 80000 10 VIALS 3600
0151 B MAGNESIUM SULPHATE 500MG/ML 10ML INJECTION 25 VIALS X 10 MILILLITRES 3400
0158 B METFORMIN 500MG TABLETS 100 TABLETS 40
0159 B METHYLDOPA TABS 250 MG 500 TABLETS 50
0163 B MICONAZOLE CREAM 2%, 20GM 12 TUBES 630
0164 B MICONAZOLE ORAL GEL, 20GM 12 TUBES 2310
0165 B MICONAZOLE VAGINAL PESSARIES 100000 IU 6 PESSARIES 810
0167 B MORPHINE INJECTION 10MG/ML 10 VIALS 970
0185 B PETHIDINE INJ 50MG/ML 10 VIALS 780
0186 B PETHIDINE INJECTION 100MG/2ML 10 VIALS 1090
0195 B PLASTER ZINC OXIDE 2.5CMX5M 12 PIECES 1060
0196 B PLASTER ZINC OXIDE 5CMX5M 12 PIECES 1210
0197 B PLASTER ZINC OXIDE 7.5CMX5M 12 PIECES 1810
0204 B QUININE 2ML INJ 300MG/ML 10 VIALS 410
0206 B QUININE TABS 300 MG 1000 TABLETS 120
0210 B SALBUTAMOL AEOROSOL INHALATION 0.1 MG/INHAL 20 GRAMS TUBE 3860
0211 B SALBUTAMOL TABS 4 MG 1000 TABLETS 10
0220 B SODIUM CHLORIDE INJECTION 0.9%,1000MLS 12 BOTTLES 1710

B 12 BOTTLES
0221 SODIUM LACTATE COMP(HARTMANN'S)INJECTION,1000MLS 1710
0222 B SODIUM LACTATE COMPOUND (HARTMANN'S),500MLS 24 BOTTLES 860
0242 B TUBE FEEDING CH8 50 PIECES 170
0254 B WARFARIN TABS 5MG 30 TABLETS 90
0256 B YELLOW FEVER VACCINE INJ 10 DOSES 1 AMPOULE 78490
0003 C AIRWAY GUEDEL RUBBER CHILD SIZE 67 MM 10 PIECES 3620
0004 C AIRWAY GUEDEL RUBBER INFANT SIZE 54 MM 10 PIECES 4590
0005 C AIRWAY GUEDEL RUBBER SMALL ADULT SIZE 82 MM 10 PIECES 4590
0007 C ALLOPURINOL TABS 100 MG 100 TABLETS 160
0010 C AMITRYPTILINE TABS 25 MG 500 TABLETS 80
0011 C AMOXICILLIN CAPSULESULES 250MG 1000 CAPSULESULESULES 40
0012 C AMOXICILLIN GRANULES 125MG/5ML 100MLS 24 BOTTLES 970
0014 C AMPICILLIN PDR F INJ 500 MG 50 VIALS 520
0021 C ASCORBIC ACID TABS 100 MG 1000 TABLETS 10
0022 C ATENOLOL 50MG TABLTES 28 TABLETS 130
0023 C ATROPINE 1ML INJ 1MG/ML 10 VIALS 270
0034 C BANDAGE PLASTER OF PARIS BPC 15 CM X 2.7 M 12 PIECES 800
0035 C BANDAGE PLASTER OF PARIS BPC 7.5 CM X 2.7 M 12 PIECES 500
0036 C BENDROFLUAZIDE TABS 5 MG 1000 TABLETS 10
0037 C BENZATHINE PENICILLIN FORTIFIED PDR F INJ 2.4 MU 50 VIALS 410
0038 C BENZHEXOL(ARTANE) TABS 5MG 100 TABLETS 100
0040 C BENZYL PENICILLIN PDR F INJ 5 MU 50 VIALS 390
0042 C BETAMETHASONE CREAM 0.1% 15GM 12 TUBES 770
0043 C BISACODYL TABS 5 MG 200T TABLETS 50
0045 C BRINERDIN 100 TABLETS 430
0047 C CALCIUM GLUCONATE 10ML INJ 100MG/ML 10 VIALS 2170
0048 C CAPTOPRIL 25 MG TABLETS 100 TABLETS 90
0049 C CARBAMAZEPINE TABS 200 MG 500 TABLETS 90
0050 C CARBIMAZOLE TABS 5 MG 100 TABLETS 100
0051 C CEFTRIAXONE PDR F INJ 1G 1 VIAL 1810
0052 C CEFTRIAXONE POWDER INJ 250 MG 20 VIALS 1090
0055 C CHLORAMPHENICOL CAPSULES 250 MG 1000 TABLETS 30
0056 C CHLORAMPHENICOL EYE OINTMENT 1% 3.5GM 100 TUBES 220
0057 C CHLORAMPHENICOL PDR F INJ 1 G 50 VIALS 540
0058 C CHLORAMPHENICOL SYRUP 125MG/5ML 100MLS 24 BOTTLES 1010
0064 C CHLORPROPAMIDE TABS 250 MG 100 TABLETS 100
0066 C CLOTRIMAZOLE CREAM/OINTMENT 1%,20GM 24 TUBES 380

C 6 PESSARIES
0067 CLOTRIMAZOLE PESSARY WITH APPLICATOR PESSARY 100 MG 200
0071 C CO-TRIMOXAZOLE TABS 400 MG/80 MG 1000 TABLETS 20
0072 C CO-TRIMOXAZOLE SUSPENSION 200/40MG/5ML, 100MLS 24 BOTTLES 750
0076 C DEXAMETHASONE INJ 4 MG/ML 10 AMPOULES 360
0082 C DIAZEPAM TABS 5 MG 500 TABLETS 10
0083 C DICLOFENAC SODIUM INJ 25 MG 10 VIALS 200
0085 C DIGOXIN 2ML INJ 0.25MG/ML 10 VIALS 600
0086 C DIGOXIN TABS 0.25 MG 500 TABLETS 30
0088 C DOXYCYCLINE CAPSULES 100 MG 1000 TABLETS 30
0094 C ERYTHROMYCIN GRANULES 125 MG/5 ML 100 MILLILITRES 1200
0108 C FOLLEY BALOON CATHETER THREE WAYS SIZE 22FR 10 PIECES 1690
0112 C FOLLEY BALOON CATHETER TWO WAY SIZE 6FR 10 PIECES 1030
0113 C FOLLEY BALOON CATHETER TWO WAY SIZE 8FR 10 PIECES 1030

C FRAMYCETIN+DEXAMETASONE+GRAMICIDIN EYE DROPS 0.5% 8 MILLILITRES

0114 +0.05%+0.005% 7850
0118 C GENTAMYCIN 2ML INJ 10MG/ML 10 VIALS 430
0119 C GENTAMYCIN 2ML INJ 40MG/ML 10 VIALS 180
0120 C GLIBENCLAMIDE 5MG TABLETS 100 TABLETS 30
0121 C GLIPIZIDE 5MG TABLETS 100 TABLETS 460
0122 C GLYCERYLTRINITRATE TABS 0.5 MG 100 TABLETS 390
0124 C HALOPERIDOL 1ML INJ 5MG/ML 10 VIALS 1330
0125 C HALOPERIDOL TABS 1.5 MG 250 TABLETS 40
0126 C HALOTHANE INHALATION 250 MILLILITRES 72450
0127 C HEPARIN INJ 5 VIALS 8450
0128 C HEPATITIS B VACCINES INJ. SINGLE DOSE 1 AMPOULE 10870
0129 C HYDRALAZINE TABS 25 MG 100 TABLETS 90
0130 C HYDRALAZINE 1ML PDR F INJ 20MG/ML 5 VIALS 3330
0132 C HYDROCORTISONE POWDER FOR INJECTION. 100 MG 10 VIALS 780
0141 C INSULIN HUMAN INJECTION 100IU (SOLUBLE) 10 VIALS 7850

C 10 VIALS
0142 INSULIN HUMAN ZINC SUSPENSION INJECTION 100IU (LENTE) 7850
0144 C ISOSORBIDE DINITRATE 10MG TABS 100 TABLETS 40
0145 C KETAMINE 10ML INJECTION 50MG/ML 10ml X 25VIALS 1950
0147 C LIGNOCAIN SPINAL IN 7.5 % DEXTROSE 2ML INJ 5% 10 VIALS 750
0153 C MANNITOL INJ 20% 500 MILLILITRES 7450
0157 C MENINGITIS VACCINE 10DOSES 1 AMPOULE 59170
0166 C MISOPROSTOL 200MCG 20 TABLETS 480
0168 C NALOXONE INJ 0.4 MG/ML. 1 MILILLITRE. 1 AMPOULE 8450
0169 C NEONATE FEEDING TUBE 3.5 FG 10 PIECES 3260
0170 C NEOSTIGMINE 1ML INJ 2.5MG/ML 10 VIALS 11450
0171 C NIFEDIPINE RETARD TABS 20 MG 100 TABLETS 35
0178 C OXYTETRACYCLINE+HYDROCORTISONE EYE/EAR 1 TUBE 8940
0179 C OXYTOCIN 1ML INJ 5IU/ML 10 VIALS 450
0180 C PANCURONIUM BROMIDE 2MG/ML- 2ML INJECTION 10 AMPOULES 2170
0183 C PARAFIN GAUZE DRESSING 10CM X 10CM 10 PIECES 350
0193 C PHYTOMENADIONE(VITAMIN K1) INJECTION 1 AMPOULE 1450
0194 C PILOCARPINE EYE DROPS 5 MILILITRES 5430
0199 C PREDNISOLONE TABS 5 MG 1000 TABLETS 20
0203 C PROPRANOLOL TABS 40 MG 500 TABLETS 20
0208 C RANITIDINE 150MG TABLETS 500 TABLETS 20
0209 C RANITIDINE 150MG TABLETS 100 TABLETS 20
0215 C SIMVASTATIN 20MG TABS 100 TABLETS 40
0216 C SNAKE VENOM ANTISERUM CENTRAL AFRICAN TYP INJ 1 VIAL 36230
0223 C SUCTION CATHETER/TUBE 3.5FG 40CM DISPOSABLE 10 PIECES 480
0224 C SUCTION CATHETER/TUBE 4FG 40CM DISPOSABLE 10 PIECES 480
0225 C SUCTION CATHETER/TUBE,STERILE,DISPOSABLE SIZE 14FG 10 PIECES 780
0226 C SUCTION CATHETER/TUBE,STERILE,DISPOSABLE SIZE 6FG 10 PIECES 780
0229 C SUXAMETHONIUM CHLORIDE 2ML INJ 50MG/ML 10 VIALS 1160
0232 C SYRINGE DISPOSALE INSULIN 1CC WITH NEEDLE 100IU 100 PIECES 150
0234 C SYRINGE FEEDING, DISPOSABLE 50CC 50 PIECES 290
0235 C TAPE PLASTIC ADHESIVE MICROPERFORATED 5 CM X 5 M 12 PIECES 620
0236 C THIOPENTAL PDR F INJ 500 MG 25 VIALS 5650
0239 C TRAMADOL INJECTION 50MG/ML, 2ML 10 AMPOULES 540
0240 C TRIFLUOPERAZINE TABLETS 5MG 1000 TABLETS 30
0243 C TUBE NASAL FEEDING (INFANT) CH5 50 PIECES 170
0244 C TUBE NASAL FEEDING ADULT CH14 50 PIECES 340
0245 C TUBE SUCTION YANKAUER 270MM/10 3/4'' EACH 4830
0247 C VERAPAMIL 40MG TABS 100 TABLETS 70
0248 C VERAPAMIL INJECTION 2.5MG/ML , 2ML 10 AMPOULES 8600
0252 C VITAMIN B COMPLEX 2ML INJ 10 VIALS 480
0249 VITAMIN A CAPSULES 200000 IU 100 CAPSULES 0
 LIST OF MINOR SURGICAL SERVICES
CODE NAME OF SERVICE PRICE
M1 OBG Cervical Cerclage - Shrodikar 21000
M2 OBG Cervix Repair 21000
M3 OBG Colpotomy 21000
M4 OBG Mursupialisation 21000
M5 OBG Perineal / Genital Repair 21000
M6 OBG Polypectomy - Cervical 21000
M7 OBG Surgical Toilet and Suture for 3rd Degree Tears 21000
M8 SUR Anal Dilatation 21000
M9 SUR Biopsy - Incisional 21000
M10 SUR Biopsy - Lymph Node 21000
M11 SUR Biopsy - Testicular 21000
M12 SUR Breast Lumpectomy 21000
M13 SUR Circumcision (Paraphimosis & Phymosis) 21000
M14 SUR In Growing Toe Nail 21000
M15 SUR Incision & Drainage - Abscess 21000
M16 SUR Incision & Drainage - Ischial Rectal Abscess 21000
M17 SUR Lipoma Excision (Minor) 21000
M18 SUR Meatotomy 21000
M19 SUR Sloughectomy 21000
M20 SUR Stitch Sinus Exploration 21000
M21 SUR Urethroplasty - Direct Visual (DVU) 21000
M22 SUR Wide Excision (Minor) 21000
M23 SUR Skin grafting(minor) 21000
M24 DEN Dental Tumour Excision - Small Tumours 21000
M25 DEN Dental Tumour Excision 21000
M26 DEN Keloids Excision Minor 21000
M27 DEN Biopsy - Excision 21000
M28 DEN Biopsy - Excision Dental 21000
M29 DEN Biopsy - Histopathology Charges Extra 21000
M30 DEN Biopsy - Incision 21000
M31 DEN Extraction of Impacted Tooth 21000
M32 DEN Incision & Drainage - Small Dental Abscess 21000
M33 DEN Suturing and Surgical Toilet in Dentistry 21000
M34 DEN Splinting of Teeth/Stabilisation 21000
M35 DEN Impaction Removal 21000
M36 OPH Conjunctival Flap 21000
M37 OPH Conjunctival Graft 21000
M38 OPH Conjunctival Mass Excision 21000
M39 OPH Evisceration 21000
M40 OPH Exenteration 21000
M41 OPH Eye Anterior Chamber Washout 21000
M42 OPH Foreign Body Removal - Eye(inter-ocular) 21000
M43 OPH Lid Repair 21000
M44 OPH Squint Surgery 21000
M45 OPH Surgical Toilet & Suturing - Eye 21000
M46 OPH Tarsorrhaphy 21000
M47 OPH Trabeculectomy 21000
M48 ENT Myringotomy + Grunets 21000
M49 ENT Preauricular Sinus /Fistula Excision 21000
M50 INTMED Esophageal dilation & Stenting 21000
M51 INTMED ERCP – Diagnostic & Br cytology 21000
M52 INTMED ERCP Stent 21000
M53 SUR Surgical toilet + suture 21000
M54 SUR Syndactyl operation(release/separation) 21000
M55 ENT Tracheostomy 21000
M56 ENT Incision & Drainage under GA 21000
M57 ENT Incision & Drainage under LA 21000
 LIST OF MAJOR SURGICAL SERVICES
CODE NAME OF SERVICE PRICE
G1 DEN Intermaxillary Fixation 42000
G2 DEN Cleft Lip & Palate Repair 42000
G3 DEN Cleft Lip Repair 42000
G4 DEN Condylectomy Bilateral 42000
G5 DEN Dental Cystectomy 42000
G6 DEN Keloids Excision Major 42000
G7 DEN Management of Mandibular Fracture 42000
G8 DEN Maxillary Stitch Sinus Excision 42000
G9 DEN Open Reduction TMJ 42000
G10 DEN Open Reduction Zygomatic Arch 42000
G11 DEN Condylectomy Unilateral 42000
G12 DEN Incision & Drainage - Big Dental Abscess 42000
G13 DEN Sequestrectomy - Dental 42000
G14 ENT Adenotomy 42000
G15 ENT Adenotonsillectomy 42000
G16 ENT Hemilaryngectomy 42000
G17 ENT Microlaryngeal Surgery 42000
G18 ENT Parotidectomy 42000
G19 ENT Submandibular Gland Excision 42000
G20 20 ENT Tonsilllectomy 42000
G21 ENT Mastoidectomy - Simple 42000
G22 ENT Meactoplasty 42000
G23 ENT Tympanotomy Posterior 42000
G24 ENT Cald Well Luc Operation 42000
G25 ENT Ethomoidectomy External 42000
G26 ENT Nasal Polypectomy 42000
G27 ENT Rhinotomy Lateral 42000
G28 ENT Septoplasly 42000
G29 ENT Turbinectomy 42000
G30 ENT Thyroglossal Cyst / Fistula Excision 42000
G31 ENT Brachial Cyst / Fistula Excision 42000
G32 ENT Cald Well Luc Operation Bilateral 42000
G33 ENT Laryngeal Fissure 42000
G34 OBG Caesarean Section Delivery 42000
G35 OBG Hysterectomy 42000
G36 OBG Laparotomy 42000
G37 OBG Myomectomy 42000
G38 OBG Pelvic Surgery 42000
G39 OBG Tubal Ligation 42000
G40 OBG Tubal Surgery 42000
G41 OBG Vaginal Hysterectomy 42000
G42 OBG VVF Repair 42000
G43 OPH Cataract Surgery - Phaeco 42000
G44 OPH Cataract Surgery - With IOL 42000
G45 OPH Corneal Graft 42000
G46 OPH Corneal Repair 42000
G47 OPH Dacryorhinostomy 42000
G48 OPH Ptosis Surgery 42000
G49 SUR Amputation - Above Knee 42000
G50 SUR Amputation - Below Knee 42000
G51 SUR Amputation of Digits or Disarticulation 42000
G52 SUR Appendicectomy 42000
G53 SUR Cleft Lip / Palate Repair 42000
G54 SUR Colostomy Closure - Non Laparotomy 42000
G55 SUR Colostomy Revision 42000
G56 SUR Cystolithotomy / Vesicostomy 42000
G57 SUR Fissurectomy 42000
G58 SUR Fistulectomy 42000
G59 SUR Gastrojejunostomy 42000
G60 SUR Gastrostomy 42000
G61 SUR Haemorrhoidectomy 42000
G62 SUR Hernia Herniotomy 42000
G63 SUR Hydrocelectomy 42000
G64 SUR Hypospadia Repair (One stage) 42000
G65 SUR Keloid Excision (Minor) 42000
G66 SUR Laparotomy - Perforation of Viscera 42000
G67 SUR Laparotomy - Peritonitis (Traumatic, Infection) 42000
G68 SUR Laparotomy for Intestinal Obstruction 42000
G69 SUR Laparotomy for Other Surgical Conditions 42000
G70 SUR Lipoma Excision (Major) 42000
G71 SUR Mastectomy - Simple 42000
G72 SUR Michodocotomy 42000
G73 SUR Nephrectomy 42000
G74 SUR Nephrolithotomy 42000
G75 SUR Orchidectomy 42000
G76 SUR Orchidopexy 42000
G77 SUR Pericardiostomy - Subxiphoid 42000
G78 SUR Pleurodesis 42000
G79 SUR Priaprism Operation (Shunting) 42000
G80 SUR Prostatectomy - Open 42000
G81 SUR Pyeloplasty - PUJ 42000
G82 SUR Pyloromyotomy 42000
G83 SUR Rib Resection 42000
G84 SUR Scrotoplasty 42000
G85 SUR Skin Grafting (Major) 42000
G86 SUR Splenectomy 42000
G87 SUR Transurethral Resection Bladder Tumour 42000
G88 SUR Transurethral Resection of Prostate 42000
G89 SUR Ureteric Reimplantation 42000
G90 SUR Ureterolithotomy 42000
G91 SUR Urethroplasty 42000
G92 SUR Vagotomy + Bypass / Antidy + Bypass 42000
G93 SUR Varicose Vein Stripping 42000
G94 SUR Wide Excision (Major) 42000
G95 SUR Tunnelled pemacath insertion 42000
G96 SUR Picc line peripheracy inserted central lines 42000
G97 SUR Stripping of oesophagel varies 42000
G98 SUR Colostomy defunctionig 42000
G99 SUR Glanosplasty 42000
G100 SUR Burst Abdomen 42000
G101 SUR Cholecystectomy 42000
G102 SUR Colostomy Closure - Laparotomy 42000
G103 SUR Hernia Repair - Diaphragmatic 42000
G104 SUR Hernia Repair - Epigastric 42000
G105 SUR Hernia Repair - Incisional 42000
G106 SUR Hernia Repair - Inguinal 42000
G107 SUR Hernia Repair - Umbilical 42000
G108 SUR Incision + Drainage - Liver Abscess (Open) 42000
G109 SUR Keloid Excision (Major) 42000
G110 SUR Mastectomy - Modified 42000
G111 SUR Mastectomy - Radical 42000
G112 SUR Varicose Vein high ligh + stipping 42000
G113 SUR Embolectomy-vein 42000
G114 SUR Embolectomy artery 42000