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ACKNOWLEDGEMENTS

The Revised Edition of the 2015 Drug Price Reference Index


(DPRI) was made possible with the hard work, dedication and
team effort of the Department of Health (DOH) Pharmaceutical
Division’s (formerly known as NCPAM) DPRI Team headed by
Ms. Marinette J. Ladioray, Senior Health Program Officer and
her counterpart Mr. Jeffrey T. Castro, Administrative Officer
IV together with the team members namely: Mr. John Irving V.
Telingban, Health Program Officer II, Mr. Achilles V. Aragona,
Health Program Officer II, Ms. Priscilla Margarette H. Alimario,
Data Encoder III, John Lester M. Custodio, Data Encoder III
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.

6 June 2016 Manila, Philippines


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 (DPRI) 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 (DPRI)?


The DPRI lists the ceiling prices of essential medicines for government bidding and
procurement set by the DOH for all National and Local Government Health Facilities and
Government Agencies. Winning bid prices of essential medicines within the DPRI ceiling
reflect efficient and effective procurement that facilitates consumer access to medicines and
protection from excessive mark-ups of prices.

The DPRI only reflects the acquisition costs including landed cost, packaging, drug
content, quality assurance, manufacturing overheads and Food and Drug Administration
(FDA) fees. The DPRI 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 DPRI 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.

1 Douglas B, Tisocki K (2009) Public Procurement Prices of Medicines in the Philippines. Health Action International

2|
Who should use the DPRI?
All government entities should be guided by the DPRI 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.

What are the sources of the Price Data?


The DPRI 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 (DPR) determined?


The DPR is set at the Median or the 50th percentile across the range of prevailing
tender prices of essential medicines. For patented medicines, the DPR may be set at the
lowest winning bid from a reputable supplier. Projected inflationary cost and testing for
interchangeability (bioavailability and bioequivalence) for certain drugs based on the latest
data provided by FDA have already been considered in the calculation of the DPR.

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 product has only one supplier.

How often shall the DPRI be updated?


The DPRI 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 DPRI 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. 2015 – 0286):
• 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).

|3
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
0
1 0.9% Sodium Chloride 1 L Plastic Bottle 7.25 - 119.95 45.00
2 0.9% Sodium Chloride 50 mL Bottle 17.00 - 85.00 26.00
3 0.9% Sodium Chloride 500 mL Plastic Bottle 11.75 - 98.00 45.00
1
4 10% Dextrose in Water 1 L Plastic Bottle 16.25 - 68.50 45.00
5 10% Dextrose in Water 500 mL Plastic Bottle 19.80 - 80.00 45.00
5
6 5% Dextrose in 0.3% Sodium Chloride 1 L Plastic Bottle 23.00 - 125.00 45.00
7 5% Dextrose in 0.3% Sodium Chloride 500 mL Plastic Bottle 13.30 - 80.00 45.00
8 5% Dextrose in 0.9% Sodium Chloride 1 L Plastic Bottle 10.70 - 80.00 45.00
9 5% Dextrose in 0.9% Sodium Chloride 500 mL Plastic Bottle 11.75 - 115.51 45.00
10 5% Dextrose in Lactated Ringer's 1 L Plastic Bottle 10.70 - 80.00 45.00
11 5% Dextrose in Lactated Ringer's 500 mL Plastic Bottle 11.75 - 59.95 45.00
12 5% Dextrose in Water 1 L Plastic Bottle 15.50 - 69.50 45.00
13 5% Dextrose in Water 250 mL Plastic Bottle 40.00 - 96.10 45.00
14 5% Dextrose in Water 500 mL Plastic Bottle 11.50 - 100.00 45.00
A
15 Acarbose 100 mg Tablet 17.54 - 18.57 18.06
16 Acarbose 50 mg Tablet 5.92 - 11.01 10.36
17 Acetazolamide 250 mg Tablet 20.00 - 29.40 20.00
18 Acetylcysteine 100 mg Sachet 9.99 - 12.02 12.00
19 Acetylcysteine 100 mg/5 mL, 150 mL Suspension 226.80 - 252.00 252.00
20 Acetylcysteine 200 mg Sachet 5.00 - 21.88 8.49
21 Acetylcysteine 200 mg/mL, 25 mL Bottle 1,650.00 - 1,700.44 1,675.22
22 Acetylcysteine 600 mg Effervescent Tablet 18.00 - 49.12 29.00
23 Aciclovir 200 mg Tablet 2.35 - 50.03 9.45
24 Aciclovir 25 mg/mL, 10 mL Vial 730.00 - 976.05 903.05
25 Aciclovir 400 mg Tablet 7.29 - 88.49 15.00
26 Aciclovir 800 mg Tablet 22.50 - 295.00 53.65
27 Adenosine 3 mg/mL, 2 mL Vial 889.88 - 1,150.00 889.89
28 Albendazole 400 mg Chewable Tablet 0.83 - 4.50 2.93
29 Albumin, Human 20%, 50 mL Bottle 1,650.00 - 2,800.00 2,000.00
30 Albumin, Human 25%, 50 mL Bag 2,300.00 2,300.00
31 Albumin, Human 25%, 50 mL Bottle 2,000.00 - 3,100.00 2,432.15
32 Alcohol, Ethyl 70% Solution, 500 mL Bottle 48.90 - 53.00 50.95
33 Alendronate Sodium 70 mg Tablet 124.95 - 253.00 169.85
34 Alfuzosin 10 mg Tablet 24.76 - 47.75 30.75
35 Allopurinol 100 mg Tablet 0.43 - 7.14 0.77
36 Allopurinol 300 mg Tablet 0.92 - 20.30 1.50
37 Alprazolam 250 mcg Tablet 4.00 - 12.72 4.50
38 Alprazolam 500 mcg Tablet 5.00 - 16.00 8.00
39 Aluminum Hydroxide + Magnesium 225 mg + 200 mg/5 mL, 120 mL 13.33 - 80.00 31.50
Hydroxide Suspension
40 Aluminum Hydroxide + Magnesium 225 mg + 200 mg/5 mL, 60 mL 13.28 - 149.00 18.85
Hydroxide Suspension
41 Amikacin (as Sulfate) 100 mg/mL, 2 mL Vial 13.82 - 339.00 22.54
42 Amikacin (as Sulfate) 125 mg/mL, 2 mL Vial 10.95 - 195.00 25.49
43 Amikacin (as Sulfate) 250 mg/mL, 2 mL Vial 10.88 - 194.00 21.89
44 Amikacin (as Sulfate) 50 mg/mL, 2 mL Vial 16.85 - 90.00 21.50
45 Amikacin (as Sulfate) 500 mg Powder Vial 17.65 - 28.48 25.64

P a g e 4 | 18

4|
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
46 Amino Acid Solutions for Hepatic 8%, 500 mL Bottle 394.00 - 798.00 440.00
Failure
47 Amino Acid Solutions for Infants 6%, 100 mL Bottle 362.00 - 480.00 400.00
48 Amino Acid Solutions for Renal 7%, 500 mL Bottle 420.00 - 490.00 489.00
Conditions
49 Amino Acids, Crystalline Standard 5%, 500 mL Bottle 366.00 - 468.16 425.60
50 Amino Acids, Crystalline Standard 7%, 500 mL Bottle 453.60 - 489.00 454.61
51 Amino Acids, Crystalline Standard 8%, 500 mL Bottle 348.50 - 465.00 463.05
52 Amino Acids, Crystalline Standard 9.12%, 20 mL Ampule 120.00 - 280.00 139.00
53 Aminophylline 25 mg/mL, 10 mL Ampule 14.00 - 84.00 21.88
54 Amiodarone 200 mg Tablet 4.95 - 20.00 16.50
55 Amiodarone 50 mg/mL, 3 mL Ampule 135.00 - 488.00 231.86
56 Amlodipine 10 mg Tablet 0.29 - 4.70 2.25
57 Amlodipine 5 mg Tablet 0.28 - 4.00 1.98
58 Amoxicillin 100 mg/mL, 10 mL Drops 11.35 - 48.60 13.89
59 Amoxicillin 100 mg/mL, 15 mL Drops 11.43 - 68.00 14.00
60 Amoxicillin 125 mg/5 mL, 60 mL Suspension 12.35 - 97.50 13.80
61 Amoxicillin 250 mg Capsule 0.76 - 3.80 0.89
62 Amoxicillin 250 mg/5 mL, 60 mL Suspension 12.75 - 97.50 16.69
63 Amoxicillin 500 mg Capsule 1.05 - 6.80 1.27
64 Ampicillin + Sulbactam 1.5 g Vial 87.54 - 1,239.77 300.00
65 Ampicillin + Sulbactam 250 mg + 125 mg Vial 78.39 - 246.00 85.00
66 Ampicillin + Sulbactam 500 mg + 250 mg Vial 20.00 - 250.00 72.19
67 Ampicillin 1 g Vial 6.92 - 60.00 9.14
68 Ampicillin 250 mg Vial 3.97 - 49.88 6.70
69 Ampicillin 500 mg Vial 3.59 - 63.22 5.45
70 Anti-rabies Serum (equine) 200 IU/mL, 5 mL Vial 920.00 - 1,350.00 1,000.00
71 Anti-tetanus Serum (ATS) (equine) 1500 IU/mL, 1 mL Ampule 18.00 - 28.00 26.00
72 Ascorbic Acid (Vitamin C) 100 mg/5 mL, 120 mL Syrup 14.68 - 99.50 19.13
73 Ascorbic Acid (Vitamin C) 100 mg/5 mL, 60 mL Syrup 9.10 - 30.00 12.00
74 Ascorbic Acid (Vitamin C) 100 mg/mL, 15 mL Drops 9.10 - 58.93 14.33
75 Ascorbic Acid (Vitamin C) 100 mg/mL, 60 mL Drops 10.44 - 12.00 11.62
76 Ascorbic Acid (Vitamin C) 500 mg Tablet 0.45 - 3.95 0.68
77 Aspirin 80 mg Tablet 0.65 - 2.88 0.99
78 Atenolol 100 mg Tablet 2.80 - 11.00 3.38
79 Atenolol 50 mg Tablet 1.26 - 2.79 1.88
80 Atracurium 10 mg/mL, 2.5 mL Ampule 43.68 - 384.00 115.75
81 Atropine 1 mg/mL, 1 mL Ampule 2.20 - 25.00 4.88
82 Atropine 1%, 5 mL Eye Drops Bottle 168.50 - 260.49 241.20
83 Azithromycin 200 mg/5 mL, 15 mL Suspension 160.00 - 365.52 304.59
84 Azithromycin 200 mg/5 mL, 30 mL Suspension 189.75 - 241.50 215.63
85 Azithromycin 500 mg Tablet 10.00 - 110.77 47.50
86 Azithromycin 500 mg Vial 238.90 - 750.00 707.16
B
87 Baclofen 10 mg Tablet 16.00 - 49.50 24.87
88 Balanced Multiple Maintenance 1 L Plastic Bottle 11.75 - 125.00 45.00
Solution with 5% Dextrose for Adult
89 Balanced Multiple Maintenance 500 mL Plastic Bottle 15.00 - 80.00 45.00
Solution with 5% Dextrose for Pedia
90 Balanced Multiple Replacement 1 L Plastic Bottle 25.00 - 120.00 45.00
Solution with 5% Dextrose
91 Balanced Multiple Replacement 500 mL Plastic Bottle 35.05 - 46.00 45.00
Solution with 5% Dextrose
92 Beractant 25 mg/mL, 4 mL Vial 10,073.92 - 11,070.25 10,073.92
P a g e 5 | 18

|5
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
93 Betahistine 24 mg Tablet 32.00 - 45.87 42.50
94 Betahistine 8 mg Tablet 7.20 - 35.00 15.00
95 Betamethasone Cream 0.1%, 5 g Tube Cream 36.71 - 160.00 150.00
96 Biperiden Hydrochloride 2 mg Tablet 2.69 - 9.88 3.49
97 Biphasic Isophane Human Insulin 70% Isophane Suspension + 30% 164.29 - 280.00 211.50
70/30 (recombinant DNA) Soluble Insulin in 100 IU/mL, 10
mL Vial
98 Biphasic Isophane Human Insulin 70% Isophane Suspension + 30% 341.90 - 420.00 380.95
70/30 (recombinant DNA) Soluble Insulin in 100 IU/mL, 3
mL Disposable Syringe
99 Bisacodyl 10 mg Suppository 14.12 - 29.62 24.49
100 Bisacodyl 5 mg Suppository 22.85 - 39.00 24.66
101 Bisacodyl 5 mg Tablet 0.35 - 14.96 1.05
102 Bromazepam 1.5 mg Tablet 8.01 8.01
103 Budesonide + Formoterol 160 mcg + 4.5 mcg, 60 Doses Dry 709.42 - 854.35 792.46
Powder Inhaler
104 Budesonide 250 mcg/mL, 2 mL Respiratory 9.00 - 50.67 15.28
Solution
105 Bumetanide 1 mg Tablet 21.08 - 22.19 21.64
106 Bumetanide 500 mcg/mL, 4 mL Ampule 388.74 - 409.20 394.87
107 Bupivacaine 0.5% (isobaric), 5 mL Ampule 55.20 - 422.00 176.30
108 Bupivacaine 0.5%, 10 mL Ampule 57.55 - 402.10 132.33
109 Bupivacaine 0.5%, 10 mL Vial 98.00 - 271.20 148.50
110 Bupivacaine 0.5%, 4 mL with 8% Dextrose 55.20 - 790.00 168.50
Ampule
111 Butamirate Citrate 50 mg MR Tablet 10.75 - 23.90 13.97
112 Butorphanol (as Tartrate) 2 mg/mL, 1 mL Vial 368.00 - 423.50 395.75
C
113 Calcium Carbonate + Cholecalciferol 1.25 g (Equiv. to 500 mg Elem. 3.45 - 4.20 4.00
(Vit. D3) Calcium) + 250 IU Tablet
114 Calcium Carbonate + Cholecalciferol 600 mg Elemental Calcium + 400 4.00 - 4.45 4.45
(Vit. D3) IU Tablet
115 Calcium Carbonate 500 mg Tablet 0.79 - 10.00 1.40
116 Calcium Carbonate 600 mg Tablet 3.99 - 5.00 4.00
117 Calcium Folinate (Leucovorin Calcium) 10 mg/mL, 5 mL Vial 139.75 - 450.00 260.50
118 Calcium Gluconate 10%, 10 mL Ampule 6.93 - 49.45 11.60
119 Calcium Gluconate 10%, 10 mL Vial 11.79 - 18.36 14.00
120 Calcium Gluconate 10%, 20 mL Bottle 18.00 - 23.00 18.00
121 Candesartan Cilexetil 16 mg Tablet 21.00 - 27.68 24.89
122 Candesartan Cilexetil 8 mg Tablet 11.00 - 14.45 11.50
123 Capecitabine 500 mg Tablet 86.25 - 89.00 87.63
124 Captopril 25 mg Tablet 0.47 - 6.05 0.68
125 Captopril 50 mg Tablet 2.80 - 4.56 3.68
126 Carbachol 0.01%, 1.5 mL Intraocular Solution 500.00 - 504.16 502.08
Vial
127 Carbamazepine 200 mg Tablet 0.88 - 20.83 1.33
128 Carboplatin 10 mg/mL, 15 mL Vial 540.00 - 1,205.00 872.50
129 Carboplatin 10 mg/mL, 45 mL Vial 2,094.50 - 3,800.00 2,775.00
130 Carboplatin 150 mg Powder Vial 561.26 - 873.60 853.80
131 Carvedilol 25 mg Tablet 1.80 - 28.50 4.75
132 Carvedilol 6.25 mg Tablet 0.83 - 4.40 1.57
133 Cefadroxil 500 mg Capsule 20.50 - 27.00 23.00

P a g e 6 | 18

6|
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
134 Cefalexin 100 mg/mL, 10 mL Drops 15.40 - 29.75 16.28
135 Cefalexin 125 mg/5 mL, 60 mL Bottle 15.31 - 105.68 19.99
136 Cefalexin 250 mg Capsule 1.40 - 7.80 1.69
137 Cefalexin 250 mg/5 mL, 60 mL Bottle 14.95 - 174.96 22.38
138 Cefalexin 500 mg Capsule 1.76 - 17.50 2.10
139 Cefazolin 1 g Vial 11.48 - 242.50 20.92
140 Cefazolin 500 mg Vial 17.19 - 120.00 25.00
141 Cefepime 1 g Vial 56.30 - 950.00 130.00
142 Cefepime 500 mg Vial 161.39 - 510.00 222.50
143 Cefixime 100 mg Capsule 15.50 - 68.00 29.99
144 Cefixime 100 mg/5 mL, 30 mL Suspension 170.00 - 397.86 210.00
145 Cefixime 100 mg/5 mL, 60 mL Suspension 178.00 - 656.52 235.00
146 Cefixime 20 mg/mL, 10 mL Suspension 107.00 - 190.00 152.36
147 Cefixime 200 mg Capsule 3.65 - 89.83 18.22
148 Cefotaxime 1 g + 4 mL Diluent Vial 16.42 - 450.00 39.26
149 Cefotaxime 500 mg + 2 mL Diluent Vial 36.92 - 94.38 46.22
150 Cefoxitin 1 g Vial 226.00 - 470.00 285.00
151 Ceftazidime 1 g Vial 29.89 - 430.00 45.35
152 Ceftazidime 500 mg Vial 43.50 - 290.00 64.89
153 Ceftriaxone 1 g + 10 mL Diluent Vial 10.29 - 329.00 19.12
154 Ceftriaxone 500 mg + 5 mL Diluent Vial 29.68 - 89.92 55.55
155 Cefuroxime 1.5 g Vial 74.89 - 182.00 175.00
156 Cefuroxime 125 mg/5 mL, 50 mL Suspension 149.00 - 221.60 170.00
157 Cefuroxime 125 mg/5 mL, 70 mL Suspension 160.00 - 310.10 215.00
158 Cefuroxime 250 mg Tablet 10.42 - 25.95 16.66
159 Cefuroxime 250 mg Vial 28.82 - 98.50 51.05
160 Cefuroxime 250 mg/5 mL, 60 mL Suspension 98.00 - 398.40 249.00
161 Cefuroxime 500 mg Tablet 2.56 - 24.00 11.65
162 Cefuroxime 750 mg Vial 13.20 - 200.00 20.62
163 Celecoxib 100 mg Capsule 4.00 - 12.50 6.00
164 Celecoxib 200 mg Capsule 1.79 - 28.59 8.50
165 Celecoxib 400 mg Capsule 15.00 - 34.98 19.88
166 Cetirizine 1 mg/mL, 30 mL Bottle 29.00 - 100.00 75.50
167 Cetirizine 1 mg/mL, 60 mL Bottle 52.00 - 118.00 89.45
168 Cetirizine 10 mg Tablet 0.30 - 13.80 0.78
169 Cetirizine 10 mg/mL, 10 mL Drops 58.00 - 150.00 123.76
170 Chloramphenicol 0.5%, 5 mL Ear Drops Bottle 90.00 - 165.71 104.00
171 Chloramphenicol 1 g Vial 13.75 - 140.00 19.44
172 Chloramphenicol 125 mg/5 mL, 60 mL Suspension 17.49 - 199.64 21.82
173 Chloramphenicol 500 mg Capsule 1.98 - 34.66 2.10
174 Chlorphenamine (Chlorpheniramine) 10 mg/mL, 1 mL Ampule 8.00 - 22.48 12.37
175 Chlorphenamine (Chlorpheniramine) 4 mg Tablet 0.21 - 3.50 0.40
176 Chlorpromazine 100 mg Tablet 0.57 - 5.90 0.94
177 Chlorpromazine 200 mg Tablet 1.00 - 11.38 2.75
178 Cilostazol 100 mg Tablet 6.25 - 56.45 12.05
179 Cilostazol 50 mg Tablet 3.25 - 15.01 7.00
180 Cinnarizine 25 mg Tablet 0.68 - 5.00 1.02
181 Cinnarizine 75 mg Capsule 80.00 - 143.00 108.84
182 Ciprofloxacin 2 mg/mL, 100 mL Vial 15.45 - 785.07 31.88
183 Ciprofloxacin 250 mg Tablet 1.14 - 24.00 1.39
184 Ciprofloxacin 500 mg Tablet 0.82 - 11.00 1.37

P a g e 7 | 18

|7
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
185 Cisplatin 1 mg/mL, 10 m L Vial 168.25 - 364.00 266.13
186 Cisplatin 1 mg/mL, 50 mL Vial 276.89 - 567.50 450.25
187 Cisplatin 50 mg Powder Vial 276.89 - 474.50 451.75
188 Clarithromycin 125 mg/5 mL, 50 mL Suspension 115.00 - 346.75 172.25
189 Clarithromycin 125 mg/5 mL, 70 mL Suspension 150.00 - 346.50 236.25
190 Clarithromycin 250 mg Tablet 11.20 11.20
191 Clarithromycin 250 mg/5 mL, 70 mL Suspension 465.00 - 925.00 511.50
192 Clarithromycin 500 mg Tablet 7.70 - 28.50 10.99
193 Clindamycin 150 mg Capsule 1.62 - 22.07 1.83
194 Clindamycin 150 mg/mL, 2 mL Ampule 119.99 - 1,159.00 239.05
195 Clindamycin 150 mg/mL, 4 mL Ampule 57.43 - 411.37 125.80
196 Clindamycin 300 mg Capsule 1.99 - 39.31 2.49
197 Clindamycin 75 mg/5 mL, 60 mL Suspension 105.09 - 364.45 184.37
198 Clobetasol 0.05%, 5g Cream Tube 85.40 - 92.30 88.85
199 Clobetasol 0.05%, 5g Ointment Tube 90.00 - 150.00 120.00
200 Clonazepam 2 mg Tablet 3.00 - 10.02 7.50
201 Clonidine 150 mcg Tablet 3.45 - 34.82 19.00
202 Clonidine 150 mcg/mL, 1 mL Ampule 87.92 - 149.25 109.73
203 Clonidine 75 mcg Tablet 11.00 - 34.80 15.25
204 Clopidogrel 75 mg Tablet 0.27 - 11.16 3.69
205 Cloxacillin (as Sodium) 125 mg/5 mL, 60 mL Bottle 13.48 - 67.00 17.76
206 Cloxacillin (as Sodium) 250 mg Capsule 2.20 - 5.68 3.94
207 Cloxacillin (as Sodium) 250 mg/5 mL, 60 mL Bottle 28.93 - 47.52 35.00
208 Cloxacillin (as Sodium) 500 mg Capsule 1.34 - 9.26 2.70
209 Clozapine 100 mg Tablet 2.38 - 36.00 18.20
210 Co-Amoxiclav (Amoxicillin + 1 g Tablet 13.79 - 24.29 17.86
Potassium Clavulanate)
211 Co-Amoxiclav (Amoxicillin + 125 mg + 31 mg/5 mL, 60 mL 70.00 - 106.10 85.00
Potassium Clavulanate) Suspension
212 Co-Amoxiclav (Amoxicillin + 200 mg + 28.5 mg/5 mL, 70 mL 85.00 - 184.64 102.40
Potassium Clavulanate) Suspension
213 Co-Amoxiclav (Amoxicillin + 250 mg + 125 mg Tablet 8.18 - 28.30 15.94
Potassium Clavulanate)
214 Co-Amoxiclav (Amoxicillin + 250 mg + 62.5 mg/5 mL, 60 mL 90.00 - 279.56 130.00
Potassium Clavulanate) Suspension
215 Co-Amoxiclav (Amoxicillin + 400 mg + 57 mg/5 mL, 70 mL 120.00 - 450.00 157.50
Potassium Clavulanate) Suspension
216 Co-Amoxiclav (Amoxicillin + 500 mg + 125 mg Tablet 6.30 - 35.00 9.00
Potassium Clavulanate)
217 Colchicine 500 mcg Tablet 1.87 - 4.95 3.43
218 Combined Amino Acids Sorbitol 500 mL Bottle 540.00 - 750.00 702.00
219 Cotrimoxazole (Sulfamethoxazole + 200 mg + 40 mg/5 mL, 60 mL 9.89 - 65.00 12.13
Trimethoprim) Suspension
220 Cotrimoxazole (Sulfamethoxazole + 400 mg + 80 mg, 5 mL Ampule 14.00 - 20.00 17.00
Trimethoprim)
221 Cotrimoxazole (Sulfamethoxazole + 400 mg + 80 mg Capsule 0.52 - 0.59 0.52
Trimethoprim)
222 Cotrimoxazole (Sulfamethoxazole + 400 mg + 80 mg Tablet 0.52 - 2.50 0.77
Trimethoprim)
223 Cotrimoxazole (Sulfamethoxazole + 400 mg + 80mg/5 mL, 60 mL 12.33 - 186.27 19.00
Trimethoprim) Suspension
224 Cotrimoxazole (Sulfamethoxazole + 800 mg + 160 mg Tablet 0.92 - 31.86 1.18
Trimethoprim)
225 Cyclophosphamide 500 mg Powder Vial 165.00 - 250.00 199.00
226 Cytarabine 100 mg Powder Vial 102.60 - 185.00 143.80

P a g e 8 | 18

8|
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
D
227 Dactinomycin (Actinomycin D) 500 mcg Powder Vial 350.00 - 360.00 355.00
228 Dexamethasone 4 mg Tablet 15.50 - 21.28 17.89
229 Dexamethasone 4 mg/mL, 2 mL Ampule 13.00 - 108.00 27.69
230 Dexamethasone 4 mg/mL, 2 mL Vial 18.20 - 49.85 31.39
231 Dexamethasone 5 mg/mL, 1 mL Ampule 26.82 - 72.08 33.82
232 Dextran, High Molecular Weight, 6%, 500 mL Bottle 450.00 - 504.00 450.00
Dextran 70 in 0.9% NaCl
233 Dextran, High Molecular Weight, 6%, 500 mL Bottle 400.00 - 502.74 455.00
Dextran 70 in 5% Dextrose
234 Dextromethorphan 10 mg Tablet 0.85 - 3.00 0.95
235 Diazepam 10 mg Tablet 13.49 - 14.03 13.76
236 Diazepam 5 mg Tablet 5.89 - 15.00 6.69
237 Diazepam 5 mg/mL, 2 mL Ampule 28.12 - 101.95 59.35
238 Diclofenac 25 mg/mL, 3 mL Ampule 4.10 - 185.00 14.50
239 Diclofenac 50 mg Tablet 0.29 - 20.45 0.86
240 Dicycloverine (Dicyclomine) 10 mg Tablet 0.23 - 4.90 0.43
241 Dicycloverine (Dicyclomine) 10 mg/5 mL, 60 mL Syrup 8.95 - 60.00 13.00
242 Digoxin 250 mcg Tablet 3.46 - 13.45 4.55
243 Digoxin 250 mcg/mL, 2 mL Ampule 89.49 - 164.85 120.66
244 Digoxin 50 mcg/mL, 60 mL Elixir 677.73 - 694.05 692.31
245 Diltiazem 30 mg Tablet 2.84 - 21.92 9.88
246 Diltiazem 60 mg Tablet 2.95 - 30.83 15.00
247 Dimeglumine Gadopentetate 469 mg/mL, 10 mL Vial 1,800.00 - 2,500.00 2,150.00
248 Diphenhydramine (as Hydrochloride) 12.5 mg/5 mL, 60 mL Syrup 10.00 - 60.00 15.54
249 Diphenhydramine (as Hydrochloride) 50 mg Capsule 0.51 - 28.00 0.90
250 Diphenhydramine (as Hydrochloride) 50 mg/mL, 1 mL Ampule 34.50 - 199.89 47.94
251 Dobutamine 1 mg/mL, 250 mL D5W Pre-mixed 189.00 - 750.50 685.00
252 Dobutamine 12.5 mg/mL, 20 mL Vial 96.95 - 420.00 130.00
253 Dobutamine 4 mg/mL, 250 mL D5W Pre-mixed 480.00 - 1,200.00 647.50
254 Dobutamine 50 mg/mL, 5 mL Ampule 105.50 - 400.00 169.75
255 Docetaxel 20 mg/0.5 mL, 0.5 mL Vial 1,077.00 - 3,500.00 2,500.00
256 Docetaxel 40 mg/mL, 2 mL Vial 4,112.00 - 12,000.00 5,500.00
257 Domperidone 1 mg/mL, 60 mL Suspension 99.45 - 304.50 289.56
258 Domperidone 10 mg Tablet 1.23 - 21.05 2.80
259 Dopamine 1.6 mg/mL, 250 mL D5W Pre- 224.50 - 550.00 316.31
mixed
260 Dopamine 40 mg/mL, 5 mL Ampule 21.59 - 144.00 45.75
261 Dopamine 800 mcg/mL, 250 mL D5W Pre- 199.00 - 420.00 255.00
mixed
262 Doxorubicin 10 mg Powder Vial 128.30 - 359.00 260.63
263 Doxorubicin 2 mg/mL, 25 mL Vial 612.22 - 1,000.00 926.00
264 Doxorubicin 50 mg Powder Vial 540.25 - 1,150.00 890.00
265 Doxycycline (as Hyclate) 100 mg Capsule 0.72 - 104.15 1.06
266 Dydrogesterone 10 mg Tablet 42.00 - 56.39 50.76
E
267 Enalapril 10 mg Tablet 0.57 - 7.50 7.00
268 Enalapril 20 mg Tablet 5.96 - 12.54 9.41
269 Enalapril 5 mg Tablet 2.33 - 5.72 4.05
270 Enoxaparin 100 mg/mL, 0.2 mL Pre-filled 394.40 - 507.56 417.20
Syringe
271 Enoxaparin 100 mg/mL, 0.4 mL Pre-filled 229.00 - 500.00 256.45
Syringe

P a g e 9 | 18

|9
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
272 Enoxaparin 100 mg/mL, 0.6 mL Pre-filled 378.48 - 543.00 450.00
Syringe
273 Enteral Nutrition - Fiber-Containing 400 g Can 514.24 - 732.74 577.90
274 Ephedrine 50 mg/mL, 1 mL Ampule 48.50 - 244.00 61.10
275 Epinephrine 1 mg/mL, 1 mL Ampule 32.95 - 98.60 41.89
276 Epoetin Alfa (recombinant human 10,000 IU/mL, Pre-filled Syringe 1,600.00 - 1,700.00 1,650.00
erythropoietin)
277 Epoetin Alfa (recombinant human 2,000 IU/0.5 mL, Pre-filled Syringe 299.00 - 597.60 448.30
erythropoietin)
278 Epoetin Alfa (recombinant human 4,000 IU/0.4 mL, Pre-filled Syringe 329.50 - 710.00 429.45
erythropoietin)
279 Epoetin Alfa (recombinant human 4,000 IU/mL, 1 mL Vial 427.00 - 1,153.80 599.00
erythropoietin)
280 Epoetin Beta (recombinant 2,000 IU/0.3 mL, Pre-filled Syringe 448.57 - 451.63 450.10
erythropoietin)
281 Epoetin Beta (recombinant 5,000 IU/0.3 mL, Pre-filled Syringe 950.10 - 1,076.78 1,076.78
erythropoietin)
282 Ertapenem (as Sodium) 1 g Vial 2,345.75 - 3,000.00 2,457.00
283 Erythromycin 0.5%, 3.5g Eye Ointment Tube 88.82 - 189.00 124.25
284 Erythromycin 0.5%, 5g Eye Ointement Tube 95.00 - 404.50 141.88
285 Erythromycin 200 mg/5 mL, 60 mL Suspension 33.00 - 65.00 39.80
286 Erythromycin 500 mg Tablet 2.88 - 5.00 4.50
287 Escitalopram (as Oxalate) 10 mg Tablet 5.19 - 16.00 8.80
288 Ethambutol Hydrochloride 400 mg Tablet 2.89 - 4.32 3.61
289 Ethinylestradiol + Levonorgestrel 30 mcg + 150 mcg Cycle 18.00 - 28.50 19.39
290 Etoposide 100 mg Vial 330.00 - 445.00 387.50
291 Etoposide 20 mg/mL, 5 mL Vial 241.00 - 560.00 445.00
F
292 Famotidine 10 mg/mL, 2 mL Ampule 60.00 - 199.80 109.89
293 Felodipine 10 mg MR Tablet 8.00 - 22.77 14.30
294 Felodipine 2.5 mg MR Tablet 11.28 - 16.96 13.34
295 Felodipine 5 mg MR Tablet 3.50 - 18.00 7.40
296 Fenofibrate 160 mg Tablet 23.75 - 32.00 24.00
297 Fenofibrate 200 mg Capsule 8.50 - 24.00 17.00
298 Fentanyl 50 mcg/mL, 10 mL Ampule 90.00 - 660.00 419.13
299 Fentanyl 50 mcg/mL, 2 mL Ampule 68.00 - 280.00 80.75
300 Ferrous Salt (Equiv. to 15 mg Elem. Iron/0.6 15.05 - 28.00 15.79
mL), 15 mL Drops
301 Ferrous Salt (Equiv. to 30 mg Elem. Iron/5 11.55 - 73.50 22.00
mL), 60 mL Syrup
302 Ferrous Salt Equiv. to 60 mg Elem. Iron Tablet 0.44 - 3.00 0.84
303 Ferrous Sulfate + Folic Acid 60 mg Elem. Iron + 400 mcg 0.48 - 3.99 1.56
Capsule
304 Ferrous Sulfate + Folic Acid 60 mg Elem. Iron + 400 mcg 0.36 - 3.90 0.59
Tablet
305 Filgrastim 300 mcg/1.2 mL, Vial 950.00 - 3,000.00 2,000.00
306 Finasteride 5 mg Tablet 10.50 - 26.00 19.60
307 Fluconazole 150 mg Capsule 39.56 - 519.83 85.00
308 Fluconazole 2 mg/mL, 100 mL Vial 41.00 - 2,476.21 149.50
309 Fluconazole 200 mg Capsule 184.41 - 660.78 476.85
310 Fluconazole 50 mg Capsule 39.55 - 187.27 76.99
311 Fluorouracil 50 mg/mL, 10 mL Vial 59.75 - 99.00 80.00
312 Fluoxetine 20 mg Capsule 6.99 - 32.25 7.89
313 Fluoxetine 20 mg Dispersable Tablet 9.80 - 29.95 20.00

P a g e 10 | 18

10 |
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
314 Fluphenazine (as Decanoate) 25 mg/mL, 10 mL Vial 375.00 - 822.00 409.00
315 Fluticasone + Salmeterol 125 mcg + 25 mcg, 120 Doses 125.65 - 459.00 287.65
Metered Dose Inhaler
316 Fluticasone + Salmeterol 250 mcg + 25 mcg, 120 Doses 250.00 - 639.00 466.50
Metered Dose Inhaler
317 Fluticasone + Salmeterol 250 mcg + 50 mcg, 60 Doses Dry 399.00 - 894.60 714.40
Powder Inhaler
318 Fluticasone + Salmeterol 500 mcg + 50 mcg, 60 Doses Dry 1,186.50 - 1,198.54 1,186.50
Powder Inhaler
319 Fluticasone + Salmeterol 50 mcg + 25 mcg, 120 Doses 107.20 - 289.00 244.50
Metered Dose Inhaler
320 Fluticasone 0.0.5% / Dose, 120 Doses Nasal 392.46 - 500.00 446.23
Aqueous Solution
321 Folic Acid 5 mg Capsule 2.80 - 6.45 4.60
322 Folic Acid 5 mg Tablet 1.49 - 6.10 2.28
323 Fondaparinux 2.5 mg/0.5 mL, Solution 1,176.00 - 1,352.27 1,176.00
324 Furosemide 10 mg/mL, 2 mL Ampule 1.93 - 44.00 2.99
325 Furosemide 20 mg Tablet 0.54 - 3.00 0.84
326 Furosemide 40 mg Tablet 0.44 - 12.69 2.20
327 Fusidate Sodium/Fusidic Acid 2%. 5 g Cream Tube 35.00 - 308.32 218.91
328 Fusidate Sodium/Fusidic Acid 2% Ointment, 1.5g Medicated 94.41 - 99.66 94.41
Surgical Dressing Sachet
G
329 Gabapentin 100 mg Capsule 7.50 - 31.40 12.16
330 Gabapentin 300 mg Capsule 8.73 - 32.67 13.00
331 Gemcitabine 1 g Vial 5,100.00 - 10,100.00 6,640.00
332 Gemcitabine 200 mg Vial 1,450.00 - 2,050.00 1,700.00
333 Gentamicin 0.3%, 5 mL Eye Drops Bottle 119.00 - 130.00 124.50
334 Gentamicin 40 mg/mL, 2 mL Ampule 1.63 - 44.00 4.90
335 Glibenclamide 5 mg Tablet 0.27 - 3.50 0.42
336 Gliclazide 30 mg MR Tablet 1.80 - 14.00 3.00
337 Gliclazide 60 mg MR Tablet 10.00 - 14.00 12.73
338 Gliclazide 80 mg Tablet 2.00 - 8.00 3.80
339 Glipizide 5 mg Tablet 4.60 - 12.58 6.00
340 Glucose (Dextrose) 50%, 50 mL Vial 11.33 - 50.00 25.30
341 Glyceryl Trinitrate (Nitroglycerine) 5 mg Patch 50.00 - 108.00 72.42
H
342 Haloperidol 20 mg Tablet 15.50 - 34.00 25.00
343 Haloperidol 5 mg Tablet 2.08 - 16.74 4.31
344 Haloperidol 5 mg/mL, 1 mL Ampule 104.44 - 399.89 121.75
345 Haloperidol 50 mg/mL, 1 mL Ampule 149.50 - 215.00 163.28
346 Heparin (as Sodium) 1000 IU/mL, 5 mL Vial 34.45 - 108.00 54.98
347 Heparin (as Sodium) 5000 IU/mL, 5 mL Vial 155.55 - 242.00 192.20
348 Hydralazine 20 mg/mL, 1 mL Ampule 120.00 - 258.50 199.00
349 Hydralazine 25 mg Tablet 19.39 - 20.89 19.99
350 Hydrochlorothiazide 25 mg Tablet 3.10 - 3.18 3.18
351 Hydrocortisone 1%, 5 g Cream Tube 60.00 - 108.00 88.50
352 Hydrocortisone 100 mg Powder Vial 18.43 - 240.50 24.80
353 Hydrocortisone 250 mg Powder Vial 23.40 - 397.00 49.42
354 Hydrocortisone 500 mg Powder Vial 78.79 - 109.85 95.00
355 Hydrogen Peroxide 3%, 120 mL Bottle 14.30 - 71.56 39.90
356 Hydroxyethyl Starch 6%, 500 mL Bottle 419.00 - 1,650.00 525.00

P a g e 11 | 18

| 11
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
357 Hydroxyurea 500 mg Capsule 19.50 - 22.50 20.00
358 Hydroxyzine 10 mg Tablet 8.46 - 31.15 9.29
359 Hydroxyzine 2 mg/mL, 60 mL Syrup 150.00 - 199.99 194.53
360 Hydroxyzine 25 mg Tablet 14.95 - 31.15 18.03
361 Hyoscine (as N-butyl bromide) 10 mg Tablet 1.56 - 17.87 1.72
362 Hyoscine (as N-butyl bromide) 20 mg/mL, 1 mL Ampule 9.00 - 101.20 11.13

I
363 Ibuprofen 100 mg/5 mL, 60 mL Bottle 22.68 - 61.86 28.31
364 Ibuprofen 200 mg Tablet 0.55 - 3.40 1.17
365 Ibuprofen 200 mg/5 mL, 60 mL Bottle 55.00 - 115.00 73.26
366 Ibuprofen 400 mg Tablet 0.68 - 20.00 0.89
367 Intraocular Irrigating Solution 500 mL Bottle 230.00 - 490.00 406.00
(balanced salt solution)
368 Iohexol 300 mg Iodine/mL, 50 mL Vial 1,068.80 - 1,437.52 1,232.16
369 Iopamidol 612 mg/mL equiv to 300 mg 1,345.00 - 2,350.00 1,439.99
Iodine, 100 mL Vial
370 Iopamidol 612 mg/mL equiv to 300 mg 558.87 - 1,400.00 750.00
Iodine, 50 mL Vial
371 Iopamidol 755 mg/mL equiv. to 370 mg 1,650.00 - 2,700.00 2,175.00
Iodine 100 mL Vial
372 Iopamidol 755 mg/mL equiv to 370 mg 950.00 - 1,400.00 1,050.00
Iodine, 50 mL Vial
373 Ioversol 636 mg/mL equiv. to 300 mg/mL 1,200.00 - 1,280.00 1,240.00
Iodine, 50 mL Vial
374 Ipratropium + Salbutamol 500 mcg + 2.5 mg, 2.5 mL 9.29 - 40.46 10.49
Respiratory Solution
375 Irbesartan + Hydrochlorothiazide 150 mg + 12.5 mg Tablet 16.00 - 22.71 19.44
376 Irbesartan + Hydrochlorothiazide 300 mg + 12.5 mg Tablet 21.00 - 56.00 32.01
377 Irbesartan 150 mg Tablet 10.50 - 21.00 12.50
378 Irbesartan 300 mg Tablet 6.00 - 34.00 22.50
379 Isoflurane 100 mL Inhalation Bottle 549.00 - 6,200.00 943.00
380 Isoniazid + Rifampicin + Ethambutol 75 mg + 150 mg + 275 mg Tablet 5.10 - 6.25 6.25
381 Isoniazid + Rifampicin + Pyrazinamide 75 mg + 150 mg + 400 mg + 275 3.98 - 8.00 5.63
+ Ethambutol mg Tablet
382 Isoniazid 200 mg/5 mL, 120 mL Syrup 30.45 - 60.00 43.75
383 Isophane Insulin Human 100 IU/mL, 10 mL Vial 164.29 - 280.00 217.95
384 Isosorbide Dinitrate 1 mg/mL, 10 mL Ampule 400.00 - 779.00 487.52
385 Isosorbide Dinitrate 10 mg Tablet 1.63 - 19.20 9.82
386 Isosorbide Dinitrate 5 mg Tablet 3.00 - 46.75 8.08
387 Isosorbide-5-Mononitrate 20 mg Tablet 10.50 - 38.00 10.51
388 Isosorbide-5-Mononitrate 60 mg MR Tablet 3.40 - 70.30 6.50
389 Isoxsuprine Hydrochloride 10 mg Tablet 1.95 - 16.45 8.95
390 Isoxsuprine Hydrochloride 5 mg/mL, 2 mL Ampule 93.87 - 217.50 160.40
391 Itraconazole 100 mg Capsule 25.00 - 30.00 27.50
K
392 Ketamine 50 mg/mL, 10 mL Vial 610.00 - 12,825.00 749.25
393 Ketorolac 30 mg/mL, 1 mL Ampule 4.98 - 120.00 19.89
L
394 Lactated Ringer's Solution 1 L Plastic Bottle 10.00 - 80.00 45.00
395 Lactated Ringer's Solution 500 mL Plastic Bottle 19.80 - 59.95 45.00
396 Lactulose 3.3 g/5 mL, 120 mL Syrup 56.25 - 465.00 84.50
397 Lactulose 3.35 g/5 mL, 120 mL Syrup 52.29 - 294.00 62.85
P a g e 12 | 18

12 |
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
398 Lagundi 300 mg Tablet 1.49 - 4.00 2.18
399 Lagundi 300 mg/5 mL, 60 mL Syrup 55.00 - 66.67 56.00
400 Lagundi 600 mg Tablet 3.15 - 3.60 3.24
401 Lamotrigine 50 mg Tablet 27.34 27.34
402 Lansoprazole 30 mg MR Tablet 24.00 - 72.80 24.00
403 Levofloxacin 5 mg/mL, 100 mL Vial 139.95 - 380.00 199.50
404 Levofloxacin 500 mg Tablet 2.25 - 35.75 11.76
405 Levofloxacin 750 mg Tablet 17.65 - 60.00 30.00
406 Levothyroxine 100 mcg Tablet 6.27 - 15.44 7.38
407 Levothyroxine 25 mcg Tablet 2.85 - 8.00 3.21
408 Levothyroxine 50 mcg Tablet 4.80 - 5.40 5.08
409 Lidocaine 10%, 50 mL Spray 1,879.23 - 2,100.31 1,950.75
410 Lidocaine 2%. 1.8 mL w/ Epinephrine 11.75 - 17.90 15.35
Carpule
411 Lidocaine 2%, 5 mL Ampule 3.00 - 26.00 5.44
412 Lidocaine 2%, 5 mL Vial 4.82 - 35.00 14.37
413 Lidocaine 2%, 50 mL Vial 8.00 - 59.00 24.00
414 Lithium Carbonate 450 mg MR Tablet 2.25 - 5.08 4.40
415 Loperamide 2 mg Capsule 0.30 - 6.49 0.48
416 Loratadine 10 mg Tablet 0.89 - 21.85 2.17
417 Loratadine 5 mg/5 mL, 30 mL Syrup 111.66 - 175.50 119.70
418 Losartan + Hydrochlorothiazide 100 mg + 25 mg Tablet 3.00 - 20.82 5.00
419 Losartan + Hydrochlorothiazide 50 mg + 12.5 mg Tablet 1.28 - 7.75 2.34
420 Losartan 100 mg Tablet 1.39 - 23.71 3.33
421 Losartan 50 mg tablet 0.59 - 3.95 1.30
M
422 Magnesium Sulfate 250 mg/mL, 10 mL Ampule 5.22 - 26.50 9.05
423 Magnesium Sulfate 250 mg/mL, 2 mL Ampule 8.92 - 27.00 18.37
424 Magnesium Sulfate 250 mg/mL, 20 mL Vial 8.00 - 65.00 17.85
425 Mannitol 20% 500 mL Bottle 44.23 - 197.00 72.90
426 Mebendazole 100 mg/5 mL, 30 mL Suspension 10.00 - 48.00 10.00
427 Mebendazole 100 mg/5 mL, 60 mL Suspension 10.00 - 21.84 14.00
428 Mecobalamin 500 mcg Tablet 12.95 - 17.72 15.95
429 Mecobalamin 500 mcg/mL, 1 mL Ampule 179.00 - 289.56 260.60
430 Medroxyprogesterone 10 mg Tablet 29.79 - 69.89 31.50
431 Medroxyprogesterone 150 mg/mL, 1 mL Vial 46.00 - 57.00 49.25
432 Medroxyprogesterone 50 mg/mL, 3 mL Vial + Syringe 37.49 - 52.88 49.69
433 Mefenamic Acid 250 mg Capsule 0.35 - 2.25 0.55
434 Mefenamic Acid 250 mg Tablet 0.35 - 0.69 0.52
435 Mefenamic Acid 50 mg/5 mL, 60 mL Suspension 9.98 - 15.45 10.80
436 Mefenamic Acid 500 mg Capsule 0.42 - 4.98 0.74
437 Mefenamic Acid 500 mg Tablet 0.39 - 2.37 0.47
438 Meropenem 1 g Vial 285.00 - 1,356.46 328.00
439 Meropenem 500 mg Vial 162.12 - 380.00 200.00
440 Metformin Hydrochloride 500 mg Tablet 0.39 - 5.30 2.93
441 Methotrexate 2.5 mg Tablet 7.25 - 11.50 8.25
442 Methotrexate 25 mg/mL, 2 mL Vial 112.00 - 190.00 162.00
443 Methyldopa 250 mg Tablet 2.62 - 20.87 11.15
444 Methylergometrine 125 mcg Tablet 1.50 - 25.90 2.70
445 Methylergometrine 200 mcg/mL, 1 mL Ampule 9.88 - 102.95 12.40
446 Methylprednisolone 1 g/16 mL + Diluent Vial 2,263.94 - 3,419.11 2,917.96
P a g e 13 | 18

| 13
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
447 Methylprednisolone 125 mg/mL, 2 mL + Diluent Vial 702.98 - 1,212.04 835.48
448 Methylprednisolone 16 mg Tablet 15.69 - 34.85 19.00
449 Methylprednisolone 4 mg Tablet 1.00 - 10.42 7.00
450 Methylprednisolone 40 mg/mL, 1 mL Vial 216.52 - 644.55 580.10
451 Methylprednisolone 500 mg/7.7 mL + Diluent Vial 1,049.00 - 1,560.00 1,161.70
452 Metoclopramide 10 mg Tablet 0.90 - 7.96 1.30
453 Metoclopramide 5 mg/5 mL, 60 mL Syrup 20.00 - 50.40 24.70
454 Metoclopramide 5 mg/mL, 2 mL Ampule 1.98 - 35.87 2.66
455 Metoprolol (as Tartrate) 100 mg Tablet 1.14 - 5.45 1.76
456 Metoprolol (as Tartrate) 50 mg Tablet 0.45 - 3.51 1.38
457 Metronidazole 125 mg/5 mL, 60 mL Suspension 10.50 - 59.00 14.00
458 Metronidazole 5 mg/mL, 100 mL Vial 10.12 - 70.00 15.56
459 Metronidazole 500 mg Tablet 0.52 - 20.86 0.74
460 Midazolam 1 mg/mL, 5 mL Ampule 90.00 - 169.45 96.71
461 Midazolam 1 mg/mL, 5 mL Vial 89.49 - 94.00 90.00
462 Midazolam 15 mg Tablet 22.27 - 24.74 24.73
463 Midazolam 5 mg/mL, 3 mL Ampule 129.40 - 248.50 165.50
464 Midazolam 5 mg/mL, 1 mL Ampule 69.92 - 154.34 93.85
465 Modified Fluid Gelatin (Formerly 4% Solution, 500 mL Bottle 500.00 - 750.00 500.00
Polymerisate of Degraded Succinylated
Gelatin)
466 Monobasic Sodium Phosphate, Dibasic 19 g/7 g Solution per 133 mL Bottle 180.00 - 216.00 180.00
Sodium Phosphate
467 Monobasic Sodium Phosphate, Dibasic 48 g/18 g per 100 mL Solution, 45 180.00 - 223.00 180.00
Sodium Phosphate mL Bottle
468 Montelukast 10 mg Tablet 8.00 - 36.10 11.58
469 Montelukast 4 mg Chewable Tablet 4.78 - 43.32 8.75
470 Montelukast 4 mg Sachet 11.60 - 75.00 15.60
471 Montelukast 5 mg Chewable Tablet 5.22 - 14.00 8.75
472 Morphine (As Sulfate) 10 mg Tablet 16.66 - 24.95 21.04
473 Morphine (As Sulfate) 10 mg/mL, 1 mL Ampule 30.00 - 102.80 53.30
474 Morphine (As Sulfate) 30 mg Tablet 36.26 - 59.75 54.88
475 Multivitamins Adult Capsule 0.78 - 6.00 1.63
476 Multivitamins Adult Tablet 0.50 - 8.00 3.00
477 Multivitamins Per 1 mL, 15 mL Drops 12.90 - 60.92 20.00
478 Multivitamins Per 5 mL, 120 mL Syrup 24.00 - 158.40 65.50
479 Multivitamins Per 5 mL, 60 mL Syrup 9.50 - 74.00 16.56
480 Mupirocin Ointment 2% 15 g Ointment Tube 179.20 - 250.85 215.50
481 Mupirocin 2%, 5g Ointment Tube 59.95 - 270.00 72.09
482 Mycophenolate Mofetil 500 mg Tablet 60.00 - 84.00 60.00
N
483 Nalbuphine 10 mg/mL, 1 mL Ampule 24.29 - 275.20 77.95
484 Naloxone 400 mcg/mL, 1 mL Ampule 95.00 - 535.80 345.00
485 Naproxen Sodium 550 mg Tablet 1.85 - 19.76 10.14
486 Neostigmine 500 mcg/mL, 1 mL Ampule 90.55 - 180.50 107.27
487 Nicardipine 1 mg/mL, 10 mL Ampule 508.50 - 1,822.93 650.00
488 Nicardipine 1 mg/mL, 2 mL Ampule 82.00 - 160.00 135.92
489 Nifedipine 10 mg Capsule 2.00 - 9.90 3.45
490 Nifedipine 30 mg MR Tablet 25.18 - 39.60 36.16
491 Nifedipine 5 mg Capsule 1.08 - 16.90 2.00
492 Norepinephrine 1 mg/mL, 2 mL Ampule 138.88 - 530.00 226.00
493 Norepinephrine 1 mg/mL, 4 mL Ampule 252.48 - 960.00 507.24
494 Norfloxacin 400 mg Tablet 2.17 - 3.10 2.64
P a g e 14 | 18

14 |
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
495 Nystatin 100,000 Units/mL, 30 mL 136.00 - 390.00 229.00
Suspension

O
496 Octreotide 100 mcg/mL, 1 mL Ampule 500.00 - 600.00 540.00
497 Ofloxacin 0.3%, 5 mL Ear Drops Bottle 145.00 - 198.50 173.50
498 Ofloxacin 0.3%, 5 mL Eye Drops Bottle 118.44 - 237.50 125.00
499 Ofloxacin 2 mg/mL, 100 mL Vial 153.48 - 1,100.00 175.00
500 Ofloxacin 200 mg Tablet 2.28 - 37.85 4.00
501 Ofloxacin 400 mg Tablet 3.29 - 43.76 5.86
502 Olanzapine 10 mg Tablet 6.12 - 72.00 30.00
503 Omeprazole 20 mg Capsule 0.74 - 9.50 1.20
504 Omeprazole 40 mg Powder Vial + 10 mL 19.95 - 165.00 58.46
Solvent Ampule
505 Omeprazole 40 mg Capsule 5.80 - 28.50 10.35
506 Ondansetron (as Hydrochloride) 2 mg/mL, 2 mL Ampule 285.00 - 420.56 336.45
507 Ondansetron (as Hydrochloride) 2 mg/mL, 4 mL Ampule 154.50 - 756.60 249.00
508 Oral Rehydration Salts (ORS 75- 20.5 g Sachet 10.29 - 14.50 14.09
replacement)
509 Oral Rehydration Salts (ORS 75- 4.1 g Sachet 8.00 -11.06 9.53
replacement)
510 Oral Rehydration Salts (ORS 75- 5.125 g Sachet 4.60 - 7.00 4.82
replacement)
511 Oral Rehydration Salts (ORS 75- 2.17 g Sachet 3.38 - 5.00 4.19
replacement)
512 Oxacillin 500 mg Vial 18.89 - 140.00 20.24
513 Oxaliplatin 2 mg/mL, 50 mL Vial 4,500.00 - 12,000.00 4,500.00
514 Oxycodone 10 mg Tablet 83.00 - 91.29 87.15
515 Oxycodone 10 mg/mL, 1 mL Ampule 1,075.00 1,075.00
516 Oxytocin 10 IU/mL, 1 mL Ampule 3.94 - 192.13 7.99
P
517 Paclitaxel 6 mg/mL, 5 mL Vial 985.00 - 1,430.00 1,238.00
518 Paracetamol 100 mg/mL, 15 mL Drops 9.84 - 45.35 11.71
519 Paracetamol 120 mg/5 mL (125 mg/5 mL), 60 9.91 - 79.75 12.95
mL Bottle
520 Paracetamol 125 mg Suppository 14.12 - 24.88 18.49
521 Paracetamol 150 mg/mL, 2 mL Ampule 4.90 - 52.00 16.89
522 Paracetamol 250 mg Suppository 20.00 - 68.88 24.99
523 Paracetamol 250 mg/5 mL, 60 mL Bottle 8.87 - 80.00 12.93
524 Paracetamol 500 mg Tablet 0.17 - 3.11 0.23
525 Penicillin G Benzathine (benzathine 1,200,000 Units Vial 41.98 - 167.53 46.00
benzylpenicillin)
526 Penicillin G Crystalline 1,000,000 Units Vial 3.79 - 17.00 4.65
527 Penicillin G Crystalline 5,000,000 Units Vial 12.83 - 45.00 14.89
528 Pethidine 50 mg/mL, 2 mL Ampule 100.00 - 207.00 179.67
529 Phenobarbital 120 mg/mL (130 mg/mL), 1 mL 377.00 - 833.00 475.52
Ampule
530 Phenobarbital 15 mg Tablet 1.95 - 1.98 1.97
531 Phenobarbital 30 mg Tablet 2.20 - 2.54 2.41
532 Phenobarbital 60 mg Tablet 3.02 - 3.98 3.50
533 Phenoxymethyl Penicillin (Penicillin V) 250 mg Capsule 9.08 - 10.00 9.54
534 Phenoxymethyl Penicillin (Penicillin V) 500 mg Capsule 13.87 - 14.00 13.94
535 Phenylephrine 2.5%, 5 mL Eye Drops Bottle 318.60 - 340.56 329.58
536 Phenytoin 100 mg Capsule 7.08 - 42.00 12.23
537 Phenytoin 50 mg/mL, 2 mL Ampule 130.00 - 600.00 245.00
P a g e 15 | 18

|15
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
538 Phytomenadione 10 mg/mL, 1 mL Ampule 6.38 - 92.65 17.62
539 Piperacillin + Tazobactam 2 g + 250 mg Vial 53.72 - 330.00 93.00
540 Piperacillin + Tazobactam 4 g + 500 mg Vial 72.48 - 685.00 120.00
541 Potassium Chloride 2 mEq/mL, 20 mL Vial 9.48 - 32.00 15.45
542 Potassium Chloride 750 mg Durules (Equiv. to Approx. 15.27 - 28.00 21.86
10 mEq) Tablet
543 Potassium Citrate 10 mEq Tablet 9.00 - 13.20 12.25
544 Povidone Iodine (Solution) 10%, 1 Gallon Bottle 409.00 - 650.00 502.50
545 Povidone Iodine (Solution) 10%, 120 mL Bottle 35.20 - 54.00 44.60
546 Povidone Iodine (Solution) 10%, 60 mL Bottle 25.00 - 60.00 43.00
547 Povidone Iodine 7.5% Surgical Skin Cleanser, 1 409.00 - 650.00 502.50
Gallon Bottle
548 Prednisolone 1%, 5 mL Eyes Drops Bottle 110.00 - 228.57 156.00
549 Prednisolone 20 mg Tablet 4.50 - 13.40 6.30
550 Prednisolone 20 mg/5 mL, 60 mL Syrup 120.00 - 180.00 133.00
551 Prednisolone 5 mg Tablet 0.55 - 0.95 0.75
552 Prednisone 10 mg Tablet 1.52 - 15.00 3.04
553 Prednisone 10 mg/5 mL, 60 mL Suspension 60.00 - 168.00 110.00
554 Prednisone 20 mg Tablet 2.80 - 11.10 4.80
555 Prednisone 5 mg Tablet 0.53 - 2.80 0.71
556 Propofol 10 mg/mL, 20 mL Ampule 84.45 - 1,032.00 119.25
557 Propofol 10 mg/mL, 20 mL Vial 81.33 - 122.00 97.94
558 Propofol 10 mg/mL, 50 mL Vial 600.00 - 820.00 710.00
559 Propranolol 10 mg Tablet 0.50 - 11.53 8.24
560 Propranolol 40 mg Tablet 0.65 - 18.33 14.66
561 Propylthiouracil 50 mg Tablet 8.20 - 18.80 15.00
562 Pyrazinamide 250 mg/5 mL, 120 mL Suspension 44.70 - 65.00 64.00
563 Pyrazinamide 250 mg/5 mL, 60 mL Suspension 35.00 - 65.00 45.00
Q
564 Quetiapine (as Fumarate) 200 mg Tablet 23.47 - 33.00 28.24
R
565 Rabies Chick Embryo Cell (Purified 2.5 IU/mL, 1 Dose + 1 mL Diluent 730.00 - 1,750.00 1,480.00
Inactivated) Vial
566 Rabies Immunoglobulin (human) 150 IU/mL, 2 mL Ampule 3,000.00 - 4,889.00 4,500.00
567 Rabies Immunoglobulin (human) 150 IU/mL, 2 mL Vial 3,160.00 - 4,950.00 4,500.00
568 Ranitidine 150 mg Tablet 0.55 - 7.50 0.76
569 Ranitidine 25 mg/mL, 2 mL Ampule 0.59 - 35.00 2.98
570 Ranitidine 300 mg Tablet 0.55 - 69.74 2.36
571 Regular, Insulin (Recombinant DNA, 100 IU/mL, 10 mL Vial 164.29 - 385.00 218.00
human)
572 Rifampicin 200 mg/5 mL, 120 mL Suspension 103.45 - 190.00 114.88
573 Rifampicin 200 mg/5 mL, 60 mL Suspension 94.00 - 120.00 120.00
574 Risperidone 2 mg Tablet 1.99 - 82.00 17.64
575 Risperidone 4 mg Tablet 5.42 - 20.00 12.00
576 Rocuronium 10 mg/mL, 2.5 mL Vial 321.00 - 480.00 400.50
577 Rocuronium 10 mg/mL, 5 mL Ampule 214.00 - 410.00 310.00
578 Rocuronium 10 mg/mL, 5 mL Vial 230.00 - 410.00 320.00
579 Ropivacaine 10 mg/mL, 10 mL Ampule 372.42 - 413.80 372.42
580 Rosuvastatin (as Calcium) 10 mg Tablet 7.00 - 31.50 8.88
581 Rosuvastatin (as Calcium) 20 mg Tablet 9.00 - 38.31 12.00

P a g e 16 | 18

16 |
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
S
582 Salbutamol 1 mg/mL, 2.5 mL Respiratory 2.22 - 15.00 4.87
Solution
583 Salbutamol 100 mcg/Dose, 200 Doses Metered 69.92 - 347.40 129.25
Dose Inhaler
584 Salbutamol 2 mg Tablet 0.18 - 3.00 0.29
585 Salbutamol 2 mg/5 mL, 60 mL Syrup 8.89 - 45.00 11.60
586 Salbutamol 2 mg/mL, 2.5 mL Respiratory 4.45 - 20.00 8.00
Solution
587 Sambong 250 mg Tablet 1.80 - 1.98 1.88
588 Sambong 500 mg Tablet 4.50 - 9.75 6.37
589 Sertraline 50 mg Tablet 4.69 - 53.34 8.29
590 Sevoflurane 250 mL Bottle 4,497.00 - 19,222.50 8,899.00
591 Silver Sulfadiazine 1%, 15 g Cream Tube 93.89 - 120.00 95.00
592 Silver Sulfadiazine 1%, 20 g Cream Tube 47.50 - 456.80 252.15
593 Silver Sulfadiazine 1%, 25 g Cream Tube 81.50 - 376.00 89.95
594 Silver Sulfadiazine 1%, 5 g Cream Tube 93.29 - 145.00 119.15
595 Silver Sulfadiazine 1%, 50 g Cream Tube 120.00 - 124.49 122.25
596 Silver Sulfadiazine 1%, 500 g Cream Jar 799.00 - 3,044.56 1,089.00
597 Simvastatin 10 mg Tablet 1.13 - 7.60 1.85
598 Simvastatin 20 mg Tablet 0.42 - 11.66 1.54
599 Simvastatin 40 mg Tablet 3.20 - 12.00 5.00
600 Sodium Bicarbonate 1 mEq/mL, 50 mL Ampule 47.55 - 103.99 63.49
601 Sodium Bicarbonate 1 mEq/mL, 50 mL Vial 48.92 - 100.86 66.68
602 Sodium Chloride 2.5 mEq/mL, 20 mL Vial 18.00 - 60.00 29.50
603 Spironolactone 100 mg Tablet 23.36 - 30.62 29.59
604 Spironolactone 25 mg Tablet 6.90 - 41.00 9.63
605 Spironolactone 50 mg Tablet 12.14 - 18.76 13.14
606 Standard Senna Concentrate 187 mg Tablet 5.90 - 7.56 7.56
607 Standard Senna Concentrate 374 mg Tablet 9. 95 - 10.53 10.53
608 Sterile Water For injection 1 L Bottle 48.50 - 60.00 54.25
609 Sterile Water For injection 50 mL Bottle 13.00 - 32.00 22.00
610 Streptokinase 1,500,000 IU Vial 3,200.00 - 6,600.00 3,888.88
611 Streptomycin 1 g Vial 7.09 - 40.00 8.99
612 Sucralfate 1 g Tablet 30.26 - 34.10 30.44
613 Suxamethonium (Succinylcholine) 20 mg/mL, 10 mL Vial 169.00 - 374.95 189.40
T
614 Tacrolimus 1 mg Capsule 84.40 - 202.69 154.00
615 Tamoxifen 20 mg Tablet 4.90 - 15.40 11.00
616 Tamsulosin 200 mcg Capsule 20.00 - 54.00 42.85
617 Telmisartan + Hydrochlorothiazide 40 mg + 12.5 mg Tablet 17.39 - 22.92 21.83
618 Telmisartan + Hydrochlorothiazide 80 mg + 12.5 mg Tablet 30.60 - 38.81 35.70
619 Telmisartan 40 mg Tablet 12.00 - 22.92 20.02
620 Telmisartan 80 mg Tablet 30.00 - 39.63 35.70
621 Terbutaline 500 mcg/mL, 1 mL Ampule 13.00 - 79.50 15.49
622 Tetanus Immunoglobulin (Human) 250 IU/mL, 1 mL Ampule 639.00 - 750.00 730.00
623 Tetanus Immunoglobulin (Human) 250 IU/mL, 1 mL Pre-filled 545.00 - 1,084.00 710.00
Syringe
624 Tetanus Immunoglobulin (Human) 250 Units/mL, 2 mL Vial 800.00 - 1,185.00 992.50
625 Tetanus Toxoid 0.5 mL Ampule 20.12 - 99.89 27.15
626 Tetracycline 500 mg Capsule 1.90 1.90
P a g e 17 | 18

|17
Lowest - Highest
Generic Name Dosage Strength / Form DPR (Php)
Tender Price (Php)
627 Thiamazole (Methimazole) 5 mg Tablet 3.75 - 5.62 4.75
628 Thiopental Sodium 1 g + 50 mL Vial 1,098.00 - 1,299.00 1,198.50
629 Timolol 0.5%, 5 mL Eye Drops Bottle 165.00 - 195.00 180.00
630 Tinzaparin Sodium 10,000 Anti-XA IU/mL, 2 mL Vial 1,289.74 - 1,357.62 1,289.74
631 Tiotropium 18 mcg/dose Dry Powder Inhaler 72.56 - 263.00 76.70
632 Tobramycin + Dexamethasone 0.3% + 0.1%, 5 mL Eye Drops 98.50 - 350.00 154.00
Bottle
633 Tobramycin + Dexamethasone 0.3% + 0.1%, 3.5 g Eye Ointment 387.45 - 425.19 387.45
Tube
634 Tobramycin 0.3%, 5 mL Eye Drops Bottle 98.50 - 271.43 115.00
635 Topiramate 50 mg Tablet 10.00 - 13.00 11.50
636 Tramadol 100 mg MR Tablet 70.56 - 86.00 74.10
637 Tramadol 50 mg Capsule 1.00 - 10.00 2.45
638 Tramadol 50 mg/mL, 1 mL Ampule 3.78 - 70.00 5.25
639 Tramadol 50 mg/mL, 2 mL Ampule 3.50 - 178.11 6.40
640 Tranexamic Acid 100 mg/mL, 5 mL Ampule 5.94 - 114.00 14.79
641 Tranexamic Acid 500 mg Capsule 4.39 - 15.85 6.45
642 Trimetazidine 20 mg Tablet 2.00 - 21.20 5.82
643 Trimetazidine 35 mg Tablet 4.50 - 26.92 9.57
644 Tropicamide 0.5%, 5 mL Eye Drops Bottle 310.50 - 341.55 326.03
U
645 Ursodeoxycholic Acid 250 mg Capsule 37.60 - 54.98 51.93
V
646 Valproate Disodium/Valproic Acid 250 mg Tablet 22.83 - 27.45 23.87
647 Valproic Acid 250 mg/5 mL, 120 mL Syrup 285.50 - 493.14 336.00
648 Valproic Acid 500 mg/5 mL, 5 mL Vial 1,701.23 - 1,913.89 1,701.23
649 Valsartan + Hydrochlorothiazide 80 mg + 12.5 mg Tablet 41.31 - 52.56 48.36
650 Valsartan 160 mg Tablet 60.50 60.50
651 Valsartan 80 mg Tablet 41.31 41.31
652 Vancomycin 500 mg Vial 149.40 - 585.00 198.23
653 Vecuronium 4 mg/mL + 1 mL Solvent Ampule 339.00 - 349.50 344.25
654 Verapamil 2.5 mg/mL, 2 mL Ampule 126.52 - 156.59 135.65
655 Verapamil 240 mg MR Tablet 26.12 - 45.92 28.74
656 Verapamil 40 mg Tablet 18.38 - 23.88 21.47
657 Vero Cell (Purified) 2.5 IU/0.5 mL + Diluent Vial 650.00 - 1,380.00 975.00
658 Vincristine (As Sulfate) 1 mg/mL, 2 mL Vial 223.50 - 380.50 355.25
659 Vitamin B1 B6 B12 100 mg + 100 mg + 1 mg, 3 mL 29.80 - 129.00 60.00
Ampule
660 Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Tablet 0.44 - 4.00 0.91
W
661 Warfarin 1 mg Tablet 9.00 - 17.84 10.00
662 Warfarin 2.5 mg Tablet 7.50 - 12.79 11.59
663 Warfarin 5 mg Tablet 10.00 - 22.00 15.00
Z
664 Zinc 27.5 mg/mL, 15 mL Drops 24.00 - 78.50 39.00
665 Zinc 55 mg/mL, 60 mL Syrup 18.57 - 64.00 41.00
666 Zolpidem 10 mg Tablet 39.93 - 59.77 56.78

P a g e 18 | 18

18 |

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