* Version as of July 2021. Revised in accordance with Department Circular No.

2021- 0289, "Exemption from Value-Added Tax of Certain

Medicines under Executive Order No. 104"
* Mga gamot na kabilang sa Value-Added Tax (VAT) exemption.
** Isa sa dalawampu’t dalawang gamot na isinailalim sa price freeze.

1
 Maximum MRP with
Old Retail
Generic Name Dosage Strength and Form Retail Price SC/PWD
Price
(MRP) discounts
Anti-hypertensive Medicines
5 mg + 10 mg tablet* 22.82 18.26 29.45
Amlodipine + Bisoprolol
5 mg + 5 mg tablet* 22.90 18.32 29.45
10 mg + 5 mg tablet* 24.35 19.48 40.40
Amlodipine + 37.5 mg film-coated tablet* 18.59 14.87 23.66
Hydrochlorothiazide + 57.5 mg film-coated tablet 30.75** 21.96 30.75
Olmesartan Medoxomil 62.5 mg film-coated tablet 31.25** 22.32 31.25
Amlodipine + 5 mg + 160 mg + 25 mg film-coated tablet* 27.68 22.15 52.33
Hydrochlorothiazide + 10 mg + 160 mg + 25 mg film-coated tablet* 29.03 23.23 53.44
Valsartan 10 mg + 320 mg + 25 mg film-coated tablet* 34.51 27.61 66.67
Amlodipine + Indapamide 10 mg + 1.5 mg modified-release tablet 28.50** 20.36 28.50
5 mg + 1.25 mg + 5 mg film-coated tablet* 44.75** 35.80 44.75
Amlodipine + Indapamide +
10 mg + 1.25 mg + 5 mg film-coated tablet* 50.00** 40.00 50.00
Perindopril
10 mg + 2.5 mg + 10 mg film-coated tablet* 51.84 41.48 66.50
Amlodipine + Perindopril 2.5 mg + 3.5 mg tablet* 20.70 16.56 26.00
Bisoprolol + 2.5 mg + 6.25 mg film-coated tablet* 16.36 13.09 25.00
Hydrochlorothiazide 5 mg + 6.25 mg film-coated tablet* 19.30 15.44 32.00
Eprosartan 600 mg film-coated tablet* 41.17 32.93 52.25
Eprosartan +
600 mg + 12.5 mg film-coated tablet* 36.97 29.58 49.53
Hydrochlorothiazide
Imidapril 10 mg tablet* 25.62 20.50 32.88
Indapamide + Perindopril 2.5 mg + 10 mg film-coated tablet* 30.51 24.41 61.50
Levamlodipine 2.5 mg tablet* 11.84 9.47 14.29
Nimodipine 30 mg film-coated tablet 44.70 31.93 53.05

* Version as of July 2021. Revised in accordance with Department Circular No. 2021- 0289, "Exemption from Value-Added Tax of Certain
Medicines under Executive Order No. 104"
* Mga gamot na kabilang sa Value-Added Tax (VAT) exemption.
** Isa sa dalawampu’t dalawang gamot na isinailalim sa price freeze.

2
 Maximum MRP with
Old Retail
Generic Name Dosage Strength and Form Retail Price SC/PWD
Price
(MRP) discounts
Antidiabetic Medicines
Dapagliflozin 10 mg film-coated tablet* 44.20** 35.36 44.20
Empagliflozin 10 mg film-coated tablet* 55.31** 44.24 55.31
5 mg + 500 mg film-coated tablet* 33.83 27.06 41.52
5 mg + 1 g film-coated tablet* 41.52** 33.22 41.52
Empagliflozin + Metformin
12.5 mg + 500 mg film-coated tablet* 41.52** 33.22 41.52
12.5 mg + 1 g film-coated tablet* 41.52** 33.22 41.52
Insulin Aspart 100 IU/mL, 3 mL pre-filled pen* 424.04 339.23 790.75
Insulin Aspart + Insulin Aspart
100 IU/mL, 3 mL pre-filled pen 477.26 340.90 881.00
Protamine Crystalline
Insulin Degludec 100 U/mL, 3 mL pre-filled pen* 763.40 610.72 1,278.57
Insulin Detemir 100 U/mL, 3 mL pre-filled pen* 691.67 553.34 948.21
Insulin Glulisine 100 IU/mL, 3 mL pre-filled pen* 435.18 348.14 818.75
100 U/mL, 3 mL pre-filled pen* 420.53 336.43 731.25
Insulin Lispro
100 IU/mL, 10 mL vial* 1,192.25 953.80 1,232.59
Linagliptin 5 mg film-coated tablet* 55.78** 44.62 55.78
2.5 mg + 500 mg film-coated tablet* 30.56** 24.44 30.56
Linagliptin + Metformin
2.5 mg + 850 mg film-coated tablet* 30.36** 24.29 30.36
2.5 mg + 1 g film-coated tablet* 30.36** 24.29 30.36
500 mg + 5 mg extended-release tablet* 68.02 54.42 68.50
Metformin + Saxagliptin
1 g + 5 mg extended-release tablet* 68.38 54.70 68.50
500 mg + 50 mg film-coated tablet* 30.31** 24.24 30.31
850 mg + 50 mg film-coated tablet* 32.14** 25.71 32.14
Metformin + Sitagliptin
1 g + 50 mg film-coated tablet* 32.55** 26.04 32.55
1 g + 100 mg extended-release tablet* 62.50** 50.00 62.50
* Version as of July 2021. Revised in accordance with Department Circular No. 2021- 0289, "Exemption from Value-Added Tax of Certain
Medicines under Executive Order No. 104"
* Mga gamot na kabilang sa Value-Added Tax (VAT) exemption.
** Isa sa dalawampu’t dalawang gamot na isinailalim sa price freeze.

3
 Maximum MRP with
Old Retail
Generic Name Dosage Strength and Form Retail Price SC/PWD
Price
(MRP) discounts
2.5 mg film-coated tablet* 47.80 38.24 67.08
Saxagliptin
5 mg film-coated tablet* 57.00** 45.60 57.00
25 mg film-coated tablet* 46.19 36.95 53.12
Sitagliptin 50 mg film-coated tablet* 53.19** 42.55 53.19
100 mg film-coated tablet* 65.37 52.29 67.13
Anti-Neoplastic / Anti-Cancer Medicines
30 mg film-coated tablet* 3,623.04 2,898.43 7,687.50
Afatinib
40 mg film-coated tablet* 3,537.04 2,829.63 7,687.50
100 mg, 4 mL vial* 20,933.84 16,747.07 38,946.00
Bevacizumab
400 mg, 16 mL vial* 72,041.94 57,633.55 130,396.00
Cetuximab 5 mg/mL, 20 mL vial* 15,243.38 12,194.70 31,538.20
Denosumab 60 mg/mL, 1 mL pre-filled syringe (SC)* 12,110.00 9,688.00 20,500.00
Erlotinib 150 mg film-coated tablet* 1,890.01 1,512.01 4,180.00
3.6 mg pre-filled syringe (SC) 5,783.12 4,130.80 6,990.00
Goserelin
10.8 mg pre-filled syringe (SC) 19,725.85 14,089.89 19,990.00
Lapatinib 250 mg film-coated tablet 486.68 389.34 676.80
Panitumumab 20 mg/mL, 5 mL vial 28,929.94 20,664.24 57,240.00
Pertuzumab 30 mg/mL, 14 mL vial* 155,460.42 124,368.34 222,822.60
Regorafenib 40 mg film-coated tablet 2,853.62 2,038.30 3,570.00
100 mg/ 10 mL, 10 mL vial* 12,244.68 9,795.74 23,502.39
Rituximab
500 mg/ 50 mL, 50 mL vial* 59,606.74 47,685.39 106,355.50
Trastuzumab 150 mg vial* 32,546.55 26,037.24 50,776.28
100 mg vial* 81,662.91 65,330.33 158,270.00
Trastuzumab Emtansine
160 mg vial* 131,150.23 104,920.18 158,270.00

* Version as of July 2021. Revised in accordance with Department Circular No. 2021- 0289, "Exemption from Value-Added Tax of Certain
Medicines under Executive Order No. 104"
* Mga gamot na kabilang sa Value-Added Tax (VAT) exemption.
** Isa sa dalawampu’t dalawang gamot na isinailalim sa price freeze.

4
 Maximum MRP with
Old Retail
Generic Name Dosage Strength and Form Retail Price SC/PWD
Price
(MRP) discounts
Immunosuppresants
Azathioprine 50 mg tablet* 38.02 30.42 56.28
Basiliximab 20 mg vial* 67,476.86 53,981.49 95,690.00
Ciclosporin 100 mg/mL, 50 mL oral solution* 8,308.55 6,646.84 16,329.65
25 mg/ 0.5 mL, 0.5 mL pre-filled syringe
Etanercept 6,660.21 5,328.17 14,740.70
(SC)*
Golimumab 50 mg/ 0.5 mL, 0.5 mL pre-filled autoinjector 61,648.50 44,034.64 119,000.00
Immunoglobulin Anti-
25 mg vial 16,402.57 11,716.12 24,228.00
Thymocyte
Mycophenolic Acid 360 mg enteric coated tablet* 84.25 67.40 116.75
Secukinumab 150 mg vial 23,822.77 17,016.26 30,052.00
0.5 mg tablet* 186.21 148.97 215.00
Sirolimus
1 mg tablet* 247.15 197.72 377.63
0.5 mg prolonged-release capsule* 67.19 53.75 139.30
Tacrolimus
1 mg prolonged-release capsule* 117.29 93.83 237.00
200 mg/ 10 mL, 10 mL vial* 13,006.22 10,404.98 20,815.20
Tocilizumab
400 mg/ 20 mL, 20 mL vial* 25,741.82 20,593.45 55,507.20
Tofacitinib 5 mg film-coated tablet 814.26 581.61 1,531.99
Ustekinumab 45 mg/ 0.5 mL, 0.5 mL pre-filled syringe 160,923.83 114,945.59 244,659.80
Analgesics
10 mg modified-release tablet 16.00 11.43 32.00
Morphine
30 mg modified-release tablet 41.58 29.70 83.15
60 mg modified-release tablet 108.69 77.64 217.38

* Version as of July 2021. Revised in accordance with Department Circular No. 2021- 0289, "Exemption from Value-Added Tax of Certain
Medicines under Executive Order No. 104"
* Mga gamot na kabilang sa Value-Added Tax (VAT) exemption.
** Isa sa dalawampu’t dalawang gamot na isinailalim sa price freeze.

5
 Maximum MRP with
Old Retail
Generic Name Dosage Strength and Form Retail Price SC/PWD
Price
(MRP) discounts
2.5 mg + 5 mg prolonged-release tablet 124.13 88.66 248.25
5 mg + 10 mg prolonged-release tablet 113.50 81.07 227.00
Naloxone + Oxycodone
10 mg + 20 mg prolonged-release tablet 214.00 152.86 428.00
20 mg + 40 mg prolonged-release tablet 351.00 250.71 702.00
10 mg controlled-release tablet 175.39 125.28 234.00
Oxycodone 10 mg/mL, 1 mL vial 775.23 553.74 1,550.46
10 mg/mL, 2 mL vial 1,284.96 917.83 2,569.94
Parecoxib 40 mg ampule 478.01 341.44 693.00
Anti-Asthmatic & Chronic Obstructive Pulmonary Disease (COPD) Medicines
Fluticasone 500 mcg/ 2mL, 2 mL nebules 85.00** 60.71 85.00
Formoterol 12 mcg dry power for inhalation, capsule 24.88 17.77 40.00
150 mg inhalation powder, capsule 79.11 56.51 85.93
Indacaterol
300 mcg inhalation powder, capsule 77.21 55.15 89.68
10 mcg/ dose, 200 doses lung metered dose
Procaterol 842.78 601.99 1,365.50
inhaler
Roflumilast 500 mcg film-coated tablet 88.69 63.35 95.00
18 mcg powder for inhalation, capsule 92.28 65.91 117.00
Tiotropium Bromide
2.5 mcg per dose, 60 doses (4 mL) 2,988.26 2,134.47 3,360.75
Anticoagulants
2.5 mg film-coated tablet 91.17 65.12 91.75
Apixaban
5 mg film-coated tablet 90.98 64.99 91.75
Ticagrelor 90 mg film-coated tablet 80.25** 57.32 80.25
4500 anti-XA IU, 0.45 mL pre-filled syringe* 312.89 250.31 538.50
Tinzaparin
10,000 anti-XA IU, 2 mL vial (SC)* 904.46 723.57 1,729.00

* Version as of July 2021. Revised in accordance with Department Circular No. 2021- 0289, "Exemption from Value-Added Tax of Certain
Medicines under Executive Order No. 104"
* Mga gamot na kabilang sa Value-Added Tax (VAT) exemption.
** Isa sa dalawampu’t dalawang gamot na isinailalim sa price freeze.

6
 Maximum MRP with
Old Retail
Generic Name Dosage Strength and Form Retail Price SC/PWD
Price
(MRP) discounts
Tirofiban 250 mcg/mL, 50 mL vial 12,016.12 8,582.94 21,369.40
Triflusal 300 mg capsule 45.57 32.55 49.50
Anti-Angina
Isosorbide Dinitrate 0.1%, 10 mL ampule 696.81 497.72 864.75
5 mg film-coated tablet* 33.81 27.05 63.00
Ivabradine
7.5 mg film-coated tablet* 34.10 27.28 66.25
Agents affecting bone metabolism
100 IU/mL, 1 mL ampule 466.79 333.42 643.20
Calcitonin (Salmon)
200 IU nasal spray, 14 doses 4,274.99 3,053.56 4,873.00
Ibandronic Acid 6 mg/ 6 mL, 6 mL vial 10,762.26 7,687.33 19,380.00
Antiemetic medicines
Palonosetron 75 mcg/ 1.5 mL, 1.5 mL vial 1,280.26 914.47 2,318.00
100 mcg oral disintegrating tablet* 839.94 671.95 1,290.00
Ramosetron
300 mcg/ 2 mL, 2 mL ampule 1,420.05 1,014.32 1,480.00
Psoriasis, Seborrhea & Ichthyosis Preparations
Betamethasone + Calcipotriol 500 mcg + 50 mcg/ g, 30 g gel 1,726.70 1,233.36 1,924.00
Betamethasone + Salicylic
0.5 mg + 30 mg/ g, 5 g ointment 229.38 163.84 434.00
Acid
Antidepressants
5 mg film-coated tablet 53.57 38.27 72.00
Vortioxetine
10 mg film-coated tablet 98.83 70.59 119.00
20 mg film-coated tablet 99.08 70.77 196.50
Iron Chelating Agent
Deferoxamine 500 mg vial 245.96 175.68 448.00

* Version as of July 2021. Revised in accordance with Department Circular No. 2021- 0289, "Exemption from Value-Added Tax of Certain
Medicines under Executive Order No. 104"
* Mga gamot na kabilang sa Value-Added Tax (VAT) exemption.
** Isa sa dalawampu’t dalawang gamot na isinailalim sa price freeze.

7
 Maximum MRP with
Old Retail
Generic Name Dosage Strength and Form Retail Price SC/PWD
Price
(MRP) discounts
Growth Hormone Inhibitor
Octreotide 20 mg vial 67,857.95 48,469.96 126,420.00
Antiviral
Ganciclovir 500 mg vial 2,299.90 1,642.78 4,001.00
Fibrinolytic
Alteplase 50 mg, 50 mL vial 38,186.81 27,276.30 50,000.00
Hematopoietic Agent
Lenograstim 263 mcg/mL, 1 mL vial 5,599.27 3,999.48 8,540.00
Mucolytic
Erdosteine 175 mg/ 5 mL, 60 mL suspension 186.09 132.92 213.75
Parenteral Nutritional Product
Alanyl-Glutamine 200 mg/mL, 100 mL solution for infusion 2,489.26 1,778.04 3,205.25
Phosphate Binder
Sevelamer 800 mg film-coated tablet* 50.21 40.17 88.00
Surfactant
Beractant 25 mg/mL, 8 mL vial 19,600.27 14,000.19 28,000.38

* Version as of July 2021. Revised in accordance with Department Circular No. 2021- 0289, "Exemption from Value-Added Tax of Certain
Medicines under Executive Order No. 104"
* Mga gamot na kabilang sa Value-Added Tax (VAT) exemption.
** Isa sa dalawampu’t dalawang gamot na isinailalim sa price freeze.