Dpri 2016 176960

2016 DPRI | Fourth Edition

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ACKNOWLEDGEMENTS

The Fourth Edition of the Drug Price Reference Index (DPRI) is a product of the hard work, dedication and team efforts of the Department of Health (DOH) Pharmaceutical Division’s DPRI Team headed by Mr. Jeffrey T. Castro together with his team namely: Mr. Achilles V. Aragona, Ms. Priscilla Margarette H. Alimario, Mr. Lester M. Custodio, and Ms. Geny C. Belmonte and also the guidance and supervision of the System Unit Head, Ms. Vanessa J. Saulog - Obera; Mr. Adell R. Azuelo, for the layout and hard copy of this publication; Mr. Aris G. Posadas and Mr. Peter R. Emmans Palma for enhancing the DPRI database and website; To all NDP compliance officers and EDPMS Helpdesks who aid in the implementation of the DPRI and to the DOH – Pharmaceutical Division family for their ; All DOH Retained / Specialty Hospitals and Regional Offices for contributing their data to the Department of Health. We also acknowledge Dr. Paulyn Jean B. Rosell – Ubial, our Secretary of Health and Assistant Secretary Agnette P. Peralta for their unwavering and commitment to enforce the DPRI in the government.

18 November 2016

Manila, Philippines

Anna Melissa S. Guerrero, MD, MPH (HTA) Chief, Pharmaceutical Division


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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 The 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 NAM) 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 in the government. Their transparencies and enforcement ensure consumer access to medicines and protection from excessive price mark-ups on medicines. The DPRI only reflects the acquisition costs including landed cost, packaging, drug content, quality assurance, manufacturing overheads and Food and Drug istration (FDA) fees. The DPRI excludes other costs such as pharmacy services, preparation and storage fees, 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. 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.

____________________________________ 1

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


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What are the sources of the Price Data? The DPRI is computed based on the prevailing public tender prices of the previous year (2015) reflected in the actual Purchase Orders (POs) submitted by the DOH Retained Hospitals, ROs, Central Office Bids and Awards Committee (COBAC) and Philippine Pharma Procurement Inc. (PPPI) 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 istration (FDA) and have a certificate of Good Manufacturing Practice issued by the FDA. How is the Drug Price Reference (DPR) determined? In general, the drug price reference is set at the Median or the 50th percentile across the range of prevailing tender prices of essential medicines for each preparation and strength. However, for drugs and medicines with only 1 participating manufacturer, the DPR is set at the lowest winning bid from a reputable supplier. Projected inflationary cost (3% per annum) 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) and through international reference price (MSH). 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 is the DPRI updated? The DPRI is being updated annually. All DOH hospitals and ROs submits a copy of their latest purchase orders to the DOH Pharmaceutical Division for annual collection and analyzation of price data. The updated DPRI is based on the procurement price data of medicines from the previous year.


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Generic Name

Strength / Form / Volume

Lowest to Highest Tender Price (Php)

DPR (Php) (Ceiling Price)

A 50 mg Tablet 250 mg Tablet 100 mg Sachet 200 mg Sachet 200 mg/mL, 25 mL Bottle 600 mg Effervescent Tablet 200 mg Tablet 25 mg/mL, 10 mL Vial 400 mg Tablet 800 mg Tablet 3 mg/mL, 2 mL Vial 400 mg Chewable Tablet 20%, 50 mL Bottle 70% solution, 500 mL Bottle 10 mg Tablet "3 in 1" 1400 Kcal Bottle

5.92 - 12.00 17.00 - 20.00 8.00 - 15.00 6.34 - 19.99 1,500.00 - 1,742.72 11.00 - 45.00 2.33 - 53.20 699.00 - 928.00 2.70 - 88.49 22.00 - 215.15 149.89 - 1,880.00 1.00 1,840.00 - 3,699.00 47.18 - 90.00 24.76 - 67.02 2,400.00 - 4,834.72

10.14 20.00 8.24 9.27 1,545.00 27.81 5.04 751.87 15.44 75.53 583.04♣ 1.03 2,523.50 51.40 41.07 3,311.97

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

Acarbose Acetazolamide Acetylcysteine Acetylcysteine Acetylcysteine Acetylcysteine Aciclovir Aciclovir Aciclovir Aciclovir Adenosine Albendazole Albumin, Human Alcohol, Ethyl Alfuzosin All-in-One ixtures ("3-in-1" or "dual energy" solutions)

17. 18. 19. 20. 21.

Allopurinol Allopurinol Alprazolam Alprazolam Aluminum Hydroxide + Magnesium Hydroxide

100 mg Tablet 300 mg Tablet 250 mcg Tablet 500 mcg Tablet 200 mg + 100 mg Tablet

0.43 - 6.53 0.92 - 18.56 4.00 - 15.39 5.00 - 24.75 -

0.69 1.62 4.12 9.79 1.50*

22.

Aluminum Hydroxide + Magnesium Hydroxide

225 mg + 200 mg/5 mL, 120 mL Suspension

18.00 - 85.00

29.66

23.



230.01 - 249.23

236.91

24.



19.00 - 35.10

29.15

25. 26. 27. 28. 29. 30. 31.

Amikacin (as Sulfate) Amikacin (as Sulfate) Amikacin (as Sulfate) Amikacin (as Sulfate) Amikacin (as Sulfate) Amikacin (as Sulfate) Amino Acid Solutions for Hepatic Failure Amino Acid Solutions for Infants Amino Acid Solutions for Renal Conditions

100 mg/mL, 2 mL Vial 125 mg/mL, 2 mL Vial 250 mg/mL, 2 mL Ampule 250 mg/mL, 2 mL Vial 50 mg/mL, 2 mL Ampule 50 mg/ml, 2 ml Vial 8%, 500 mL Bottle

19.98 - 69.75 17.79 - 218.77 47.00 - 493.36 16.29 - 195.00 43.00 - 518.03 16.89 - 94.45 293.55 - 798.00

20.58 18.32 409.94 22.93 138.48 26.46 302.36

362.00 - 492.80 400.00 - 1,200.00

372.86 484.10

34. Amino Acids, Crystalline Standard 35. Amino Acids, Crystalline Standard 36. Aminophylline __________________________________

5%, 500 mL Glass Bottle 9.12%, 20 mL Ampule 25 mg/mL, 10 mL Ampule

400.00 - 421.34 187.00 - 280.00 10.49 - 79.09

412.00 280.00 17.81

32. 33.

*

6%, 100 mL Bottle 7%, 500 mL Bottle

The Reference Price was based on the cheapest price gathered through market survey

♣

The Reference Price was based from the Thailand Drug Reference Price


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Generic Name 37. 38. 39. 40. 41. 42. 43.

Amiodarone Amiodarone Amlodipine Amlodipine Amoxicillin Amoxicillin Amoxicillin

44. 45.

Amoxicillin Amoxicillin

46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58.

Amoxicillin Amphotericin B (Lipid Complex) Ampicillin Ampicillin Ampicillin Ampicillin + Sulbactam Ampicillin + Sulbactam Ampicillin + Sulbactam Artesunate Artesunate Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C)

59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70.

Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Aspirin Atenolol Atenolol Atorvastatin Atorvastatin Atorvastatin Atorvastatin Atracurium Atropine Azithromycin

71. 72.

Azithromycin Azithromycin

73. 74.

Baclofen Basiliximab

Strength / Form / Volume 200 mg Tablet 50 mg/mL, 3 mL Ampule 10 mg Tablet 5 mg Tablet 100 mg/mL, 10 mL Drops 100 mg/mL, 15 mL Drops 125 mg/5 mL, 60 mL Suspension 250 mg Capsule 250 mg/5 mL, 60 mL Suspension 500 mg Capsule 50 mg Vial 1 g Vial 250 mg Vial 500 mg Vial 1.5 g Vial 250 mg + 125 mg Vial 500mg + 250 mg Vial 50 mg Suppository 60 mg Vial 100 mg/5 mL, 120 mL Syrup 100 mg/5 mL, 60 mL Syrup 100 mg/ml, 15 mL Oral Drops 250 mg/mL, 2 mL Ampule 500 mg Tablet 80 mg Tablet 100 mg Tablet 50 mg Tablet 10 mg Tablet 20 mg Tablet 40 mg Tablet 80 mg Tablet 10 mg/mL, 2.5 mL Ampule 1 mg/mL, 1 mL Ampule 200 mg/5 mL, 15 mL Suspension 500 mg Tablet 500 mg Vial B 10 mg Tablet 20 mg Vial


5.04 - 45.00 130.00 - 274.79 0.22 - 8.00 0.22 - 4.00 11.98 - 72.00 11.80 - 47.50 12.90 - 21.00

DPR (Php) (Ceiling Price) 19.13 236.90 3.71 2.05 14.30 28.45 15.22

0.85 - 5.00 13.80 - 97.50

1.05 16.22

1.00 - 6.60 2,299.00 - 6,495.44 7.27 - 59.00 1.15 - 58.44 4.05 - 30.00 41.78 - 953.67 79.98 - 272.99 19.99 - 295.00 12.75 - 99.50 9.68 - 39.00 11.57 - 58.93

1.33 2,678.00 10.80 7.02 6.50 122.97 87.44 30.58 24.77+ 90.93+ 25.65 14.14 14.14

22.00 - 26.15 0.34 - 2.50 0.72 - 4.40 1.95 - 8.33 1.25 - 5.15 61.79 - 377.00 2.43 - 50.00 135.00 - 345.21

22.66 0.67 0.92 5.48 2.04 6.40* 14.00* 20.00* 23.00* 91.67 6.50 313.74

12.38 - 149.00 246.85 - 801.44

38.86 660.39

10.00 - 19.00 78,291.82 86,991.65

17.00 80,640.57

__________________________________ *

The Reference Price was based lon the cheapest price gathered through market survey

+

The Reference Price was based from the International Reference Price Indicator Guide


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Generic Name


75.

Beractant

25 mg/mL, 4 mL Vial

76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86.

Betahistine Betahistine Betamethasone Cream Biperiden Hydrochloride Bisacodyl Bisacodyl Bisacodyl Bisacodyl Bisoprolol Brimonidine Tartrate Budesonide

87.

Budesonide

88.

Budesonide + Formoterol

24 mg Tablet 8 mg Tablet 0.1%, 5 g Tube 2 mg Tablet 10 mg Suppository 5 mg MR Tablet 5 mg Suppository 5 mg Tablet 5 mg Tablet 0.15%, 5 mL Bottle 250 mcg/mL, 2 mL Respiratory Solution (Nebule) 500mcg/mL,2mL Respiratory Solution (Nebule) 160 mcg + 4.5 mcg x 120 doses Dry Powder Inhaler

89.

Budesonide + Formoterol

90. 91. 92.

Bumetanide Bumetanide Bupivacaine

93. 94. 95.

Bupivacaine Bupivacaine Bupivacaine

96. 97.

Butamirate Citrate Butorphanol (as Tartrate)

98. 99. 100. 101.

Calamine, Plain Calcium Carbonate Calcium Carbonate Calcium Carbonate + Cholecalciferol (Vit. D3)

102.


10,073.92 11,070.25 16.10 - 64.22 7.75 - 26.00 38.56 2.99 - 15.80 11.80 - 42.08 0.90 - 27.40 10.75 - 40.00 0.75 - 28.50 19.15 - 24.07 563.00 - 589.78 10.00 - 74.89

DPR (Php) (Ceiling Price) 10,376.14 47.25 14.42 39.72 4.01 21.80 7.36 25.40 1.53 19.72 579.89 18.76

15.89 - 49.00

18.03

772.06 - 847.45

795.22

160 mcg + 4.5 mcg x 60 doses Dry Powder Inhaler

749.99 - 862.89

772.49

21.88 - 22.19 243.00 - 409.20 63.99 - 359.00

22.19 409.20 114.71

63.99 - 270.19 105.00 - 221.55 68.49 - 689.00

84.20 133.90 181.69

9.00 - 20.00 338.50 - 515.00

13.80 436.21

29.00 4.38 - 7.86 0.56 - 7.80 3.45 - 4.00

29.87 4.52 3.09 3.91

Calcium Carbonate + Cholecalciferol (Vit. D3)

1 mg Tablet 500mcg/mL, 4mL Ampule 0.5% (isobaric), 5 mL (spinal) (as hydrochloride) Ampule 0.5%, 10 mL Ampule 0.5%, 10 mL Vial 0.5%, 4 mL (spinal) with 8% Dextrose (as hydrochloride) Ampule 50mg MR Tablet 2 mg/mL, 1 mL Vial C 8%, 60 mL Bottle 500 mg Chewable Tablet 500 mg Tablet 1.25 g (equiv. to 500 mg elemental calcium) + 250 IU Tablet 600 mg elementa Ca + 400 IU Vit. D3 Tablet

3.73 - 8.16

3.84

103.

Calcium Carbonate + Cholecalciferol (Vit. D3)

600 mg elemental Ca + 200 IU Vit. D3 Tablet

3.95 - 4.00

4.00

104.

Calcium Folinate (Leucovorin Calcium) Calcium Gluconate Calcium Gluconate Candesartan Cilexetil

10 mg/mL, 5 mL Vial

162.00 - 450.00

261.62

7.09 - 55.69 6.95 - 21.92 13.48 - 57.92

15.34 16.48 20.52

105. 106. 107.


10%, 10 mL Ampule 10%, 10 mL Vial 16 mg Tablet

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Generic Name 108. 109. 110. 111. 112. 113. 114. 115. 116. 117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129.

Candesartan Cilexetil Capecitabine Captopril Carbamazepine Carboplatin Carboplatin Carvedilol Carvedilol Cefadroxil Cefalexin Cefalexin Cefalexin Cefalexin Cefalexin Cefalexin Cefazolin Cefazolin Cefepime Cefepime Cefepime Cefixime Cefixime

130.

Cefixime

131.

Cefixime

132. 133. 134. 135. 136. 137. 138. 139. 140.

Cefixime Cefotaxime Cefotaxime Cefoxitin Ceftazidime Ceftazidime Ceftriaxone Ceftriaxone Cefuroxime

141.

Cefuroxime

142. 143.

Cefuroxime Cefuroxime

144. 145. 146. 147. 148. 149.

Cefuroxime Cefuroxime Celecoxib Celecoxib Celecoxib Cetirizine


Strength / Form / Volume 8 mg Tablet 500 mg Tablet 25 mg Tablet 200 mg Tablet 10 mg/mL, 15 mL Vial 10 mg/mL, 45 mL Vial 25 mg Tablet 6.25 mg Tablet 500 mg Capsule 100 mg/mL, 10 mL Drops 100 mg/mL, 15 mL Drops 125 mg/5 mL, 60 mL Bottle 250 mg Capsule 250 mg/5 mL, 60 mL Bottle 500 mg Capsule 1 g Vial 500 mg Vial 1 g Vial 2 g Vial 500 mg Vial 100 mg Capsule 100 mg/5 mL, 30 mL Suspension 100 mg/5 mL, 60 mL Suspension 20 mg/mL, 10 mL Suspension 200 mg Capsule 1 g Vial 500 mg Vial 1 g Vial 1 g Vial 500 mg Vial 1 g + 10 mL diluent Vial 500 mg + 5 mL diluent Vial 125 mg/5 mL, 50 mL Suspension 125 mg/5 mL, 70 mL Suspension 250 mg Vial 250 mg/5 mL, 60 mL Suspension 500 mg Tablet 750 mg Vial 100 mg Capsule 200 mg Capsule 400 mg Capsule 1 mg/mL, 30 mL Bottle


8.00 - 39.00 87.80 - 157.28 0.40 - 4.00 0.98 - 29.95 782.00 - 1,465.00 1,290.00 - 4,000.00 3.15 - 23.65 0.92 - 17.99 13.50 - 25.00 14.00 - 56.00 14.90 - 34.00 13.85 - 38.00 1.19 - 2.90 10.90 - 90.00 0.71 - 17.00 14.89 - 150.00 25.49 - 110.00 71.25 - 1,195.00 250.00 - 1,279.99 129.49 - 845.00 15.50 - 57.77 135.00 - 404.88

DPR (Php) (Ceiling Price) 10.82 91.05 0.60 1.74 1,109.10 2,659.46 4.76 1.93 22.63 16.01 17.33 20.31 1.23 23.01 2.16 17.74 45.65 161.20 442.39 154.08 47.38 329.60

88.00 - 600.00

195.70

107.00 - 248.00

154.50

2.38 - 83.00 23.89 - 438.00 48.29 - 549.55 163.23 - 479.89 29.49 - 430.00 37.64 - 228.00 11.82 - 208.00 39.85 - 270.00 110.00 - 360.00

14.42 35.49 49.74 272.32 39.81 57.11 20.23 47.78 157.33

50.00 - 295.00

177.68

28.82 - 74.50 90.00 - 380.00

56.65 195.70

1.80 - 27.14 13.49 - 397.00 2.50 - 8.33 0.25 - 17.08 12.35 - 30.00 31.85 - 146.88

9.23 18.54 5.67 6.18 17.51 83.70 7|Page

Generic Name 150. 151. 152.

Cetirizine Cetirizine Cetirizine

153. 154.

Chloramphenicol Chloramphenicol

155. 156.

158. 159. 160.

Chloramphenicol Chlorphenamine (Chlorpheniramine) Chlorphenamine (Chlorpheniramine) Chlorpromazine Chlorpromazine Cilostazol

161. 162.

Cilostazol Cilostazol

163. 164. 165. 166. 167. 168. 169. 170. 171.

Cilostazol Cinnarizine Cinnarizine Ciprofloxacin Ciprofloxacin Ciprofloxacin Ciprofloxacin Cisplatin Clarithromycin

172.

Clarithromycin

173.

Clarithromycin

174.

Clarithromycin

175. 176. 177. 178. 179. 180.

Clarithromycin Clindamycin Clindamycin Clindamycin Clindamycin Clindamycin

157.

181. Clonazepam 182. Clonidine 183. Clonidine 184. Clonidine 185. Clopidogrel __________________________________ •


70.00 - 85.00 0.35 - 13.80 36.00 - 156.40

DPR (Php) (Ceiling Price) 77.25 0.49 128.75

13.79 - 69.99 14.00 - 99.50

22.13 22.43

1.90 - 2.50 10.98 - 29.00

2.06 14.64

4 mg Tablet

0.21 - 4.35

0.77

100 mg Tablet 200 mg Tablet 100 mg (20% w/w), 0.5 g Sachet 100 mg Tablet 50 mg (20% w/w), 0.25 g Sachet 50 mg Tablet 25 mg Tablet 75 mg Capsule 2 mg/mL, 200 mL Vial 2 mg/mL, 50 mL Vial 2 mg/mL,100 mL Vial 500 mg Tablet 1 mg/mL, 50 mL Vial 125 mg/5 mL, 25 mL Suspension 125 mg/5 mL, 50 mL Suspension 125 mg/5 mL, 70 mL Suspension 250 mg/5 mL, 70 mL Suspension 500 mg Tablet 150 mg Capsule 150 mg/mL, 2 mL Ampule 150 mg/mL, 4 mL Ampule 300 mg Capsule 75 mg/5 mL, 60 mL Suspension 2 mg Tablet 150 mcg Tablet 150 mcg/mL, 1 mL Ampule 75 mcg Tablet 75 mg Tablet

0.67 - 4.98 1.33 - 5.00 -

1.16 1.64 29.79•

5.53 - 22.77 -

9.89 17.78•

3.10 - 16.00 0.69 - 30.50 16.40 - 100.00 21.69 - 1,187.85 20.89 - 567.00 16.29 - 697.84 1.12 - 11.00 388.88 - 497.60 118.00 - 250.00

7.14 1.15 91.67 393.82 549.66 20.72 1.37 452.69 142.60

108.10 - 473.00

144.20

167.50 - 488.00

274.50

450.00 - 500.00

499.55

1.32 - 43.00 1.78 - 15.25 102.40 - 1,159.00 15.00 - 411.37 2.11 - 33.00 85.75 - 343.01

11.11 2.01 118.66 115.87 2.78 205.36

2.00 - 10.80 4.29 - 38.07 88.89 - 169.00 3.75 - 38.88 1.22 - 18.50

7.93 15.45 117.72 15.14 2.87

Strength / Form / Volume 1 mg/mL, 60 mL Bottle 10 mg Tablet 10 mg/mL, 10 mL Oral Drops 1 g Vial 125 mg/5 mL, 60 mL Suspension 500 mg Capsule 10 mg/mL,1 mL Ampule

The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary


8|Page



186. 187. 188. 189. 190. 191.

Clotrimazole Ear Drops Cloxacillin (as Sodium) Cloxacillin (as Sodium) Cloxacillin (as Sodium) Clozapine Co-Amoxiclav (Amoxicillin + Potassium Clavulanate)

1%, 20 mL 125 mg/5 mL, 60 mL Bottle 250 mg/5 mL, 60 mL Bottle 500 mg Capsule 100 mg Tablet 1 g Tablet

15.68 - 40.00 21.75 - 120.00 1.86 - 15.00 2.95 - 35.00 13.99 - 24.29

DPR (Php) (Ceiling Price) 287.00* 20.60 36.05 2.71 13.12 19.04

192.

Co-Amoxiclav (Amoxicillin + Potassium Clavulanate)

200 mg + 28.5 mg/5 mL, 70 mL Suspension

120.00 - 229.60

160.18

193.


250 mg + 125 mg Tablet

11.76 - 16.00

14.42

194.



98.00 - 275.00

187.46

195.



107.01 - 280.00

173.53

196.



170.00 - 300.00

241.84

197.



0.20 - 35.00

9.10

198. 199. 200.

Colchicine Combined Amino Acids Sorbitol Cotrimoxazole (Sulfamethoxazole + Trimethoprim)

500 mcg Tablet 500 mL Bottle 200 mg + 40 mg/5 mL, 60 mL Suspension

0.36 - 4.50 458.00 - 1,080.00 9.74 - 38.00

2.68 723.06 14.09

201.

Cotrimoxazole (Sulfamethoxazole + Trimethoprim)


0.65 - 1.15

0.79

202.



14.00 - 43.66

18.03

203.


800 mg+160 mg Tablet

0.52 - 9.50

1.19

204. 205.

Cyclophosphamide Cytarabine

150.00 - 300.00 101.90 - 227.00

231.75 104.96

206. 207. 208. 209. 210. 211. 212. 213. 214.

Dacarbazine Deferasirox Deferasirox Dexamethasone Dexamethasone Dexamethasone Dexamethasone Dexamethasone Dextran, High Molecular Weight (Dextran 70)

500 mg powder Vial 100 mg powder Vial D 200 mg Vial 125 mg Dispersible Tablet 250 mg Dispersible Tablet 4 mg Tablet 4 mg/mL, 2 mL Ampule 4 mg/mL, 2 mL Vial 4 mg/mL,1 mL Ampule 5 mg/mL,1 mL Ampule 6%, Dextran 70 in 5% Dextrose 500 mL Bottle

785.00 - 1,900.00 5.00 - 25.04 16.66 - 62.00 13.00 - 41.75 29.82 - 83.00 26.82 - 72.00 400.00 - 930.00

808.55 337.26• 674.52• 17.63 32.64 30.99 56.65 37.44 412.00

6.99 - 14.03 5.98 - 11.20

7.51 7.20

Generic Name

215. Diazepam 216. Diazepam __________________________________

10 mg Tablet 5 mg Tablet

•


*



9|Page

Generic Name 217. 218. 219. 220. 221. 222. 223. 224. 225. 226. 227. 228. 229. 230. 231.

234.

Diazepam Diclofenac Diclofenac Diclofenac Diclofenac Dicycloverine (Dicyclomine) Dicycloverine (Dicyclomine) Diethylcarbamazine Digoxin Digoxin Digoxin Diloxanide Diltiazem Diltiazem Diphenhydramine (as Hydrochloride) Diphenhydramine (as Hydrochloride) Diphenhydramine (as Hydrochloride) Dobutamine

235. 236.

Dobutamine Dobutamine

237. 238. 239.

Dobutamine Docetaxel Docetaxel

240.

Domperidone

241. 242.

Domperidone Dopamine

243.

Dopamine

244. 245.

Dopamine Dopamine

246. 247. 248. 249. 250.

Doxorubicin Doxorubicin Doxorubicin Doxycycline (as Hyclate) Dydrogesterone

251. 252. 253. 254.

Enalapril Enalapril Enalapril Enoxaparin

232. 233.




5 mg/mL, 2 mL Ampule 100 mg MR Tablet 25 mg/mL, 3 mL Ampule 50 mg MR Tablet 50 mg Tablet 10 mg Tablet 10 mg/5 mL, 60 mL Syrup 50 mg Tablet 250 mcg Tablet 250 mcg/mL, 2 mL Ampule 50mcg/mL, 60mL Elixir 500 mg Tablet 30 mg Tablet 60 mg Tablet 12.5 mg/ 5 mL, 60 mL Syrup

12.63 - 331.50 6.87 - 23.00 12.79 - 119.00 0.88 - 20.21 0.29 - 22.00 0.24 - 11.50 9.99 - 34.26 0.69 2.80 - 6.20 87.00 - 260.00 627.00 - 728.75 3.75 - 23.40 2.62 - 20.09 25.00 - 47.50 9.70 - 108.00

DPR (Php) (Ceiling Price) 63.85 7.08 31.21 1.00 0.81 0.52 17.00 0.71 4.54 147.29 645.81 3.86 15.40 31.75 18.08

0.50 - 7.25

0.93

50 mg/mL, 1 mL Ampule

29.89 - 198.99

39.64

1 mg/mL, 250 mL D5W Premixed 12.5 mg/mL, 20 mL Vial 2 mg/mL, 250 mL D5W Premixed 50 mg/mL, 5 mL Ampule 20 mg/0.5 mL, 0.5 mL Vial 40 mg/mL, 2 mL Vial

350.00 - 833.00

360.50

15.00 - 495.00 142.88 - 1,025.00

107.12 750.87

135.00 - 487.00 1,680.00 - 3,500.00 5,328.00 12,000.00 115.00 - 196.87

195.32 1,936.40 8,116.40

1.25 - 22.00 198.49 - 525.55

3.08 286.84

196.88 - 399.89

202.79

34.92 - 152.00 155.00 - 455.55

46.16 246.52

158.25 - 261.25 336.00 - 650.00 688.00 - 878.75 0.75 - 122.20 42.00 - 73.00

163.00 401.70 708.64 0.98 43.26

1.40 - 12.00 5.60 - 12.00 1.90 - 21.79 394.40 - 440.00

4.02 9.66 3.86 406.23

50 mg Capsule

1 mg/mL, 60 mL Suspension 10 mg Tablet 1.6 mg/mL, 250 mL D5W Pre-mixed 3.2 mg/mL, 250 mL D5W Pre-mixed 40 mg/mL, 5 mL Ampule 800 mcg/mL, 250 mL D5W Pre-mixed 10 mg powder Vial 2 mg/mL, 5 mL Vial 50 mg powder Vial 100 mg Capsule 10 mg Tablet E 10 mg Tablet 20 mg Tablet 5 mg Tablet 100 mg/mL, 0.2 mL Prefilled syringe

149.35

10 | P a g e

Generic Name 255.

Enoxaparin

256.

Enoxaparin

257.

Enteral Nutrition - Adult Polymeric Eperisone Hydrochloride Ephedrine Epinephrine Epoetin Alfa (recombinant human erythropoietin)

258. 259. 260. 261.


100 mg/mL, 0.4 mL Prefilled syringe 100 mg/mL, 0.6 mL Prefilled syringe 400 g Can

221.50 - 599.99

DPR (Php) (Ceiling Price) 244.11

349.00 - 785.00

390.77

525.00 - 544.17

543.84

50 mg Tablet 50 mg/mL, 1 mL Ampule 1 mg/mL, 1 mL Ampule 10,000 IU/mL Pre-filled syringe

48.00 - 179.99 29.99 - 98.49 1,550.00 - 1,585.00

21.32• 61.80 41.92 1,585.00


262.

Epoetin Alfa (recombinant human erythropoietin)

2000 IU/0.5 mL Pre-filled syringe

290.00 - 597.60

365.65

263.


4000 IU/0.4 mL Pre-filled syringe

389.00 - 1,350.00

463.50

264.


4000 IU/mL, 1 mL Pre-filled Glass Syringe

380.00 - 750.00

487.19

265.


4000 IU/mL, 1 mL Vial

339.99 - 449.99

350.19

266.

Epoetin Beta (recombinant erythropoietin)

2000 IU/ 0.3 mL Pre-filled syringe

395.80 - 554.12

407.67

267.

Epoetin Beta (recombinant erythropoietin)

5000IU/0.3ml Pre-filled syringe

950.10 - 1,076.78

978.60

268. 269.

Ertapenem (as Sodium) Erythromycin

2,262.02 - 3,016.02 35.00 - 54.23

2,329.88 44.03

270. 271. 272. 273. 274. 275. 276.

Erythromycin Erythromycin Eye Ointment Erythromycin Eye Ointment Escitalopram (as Oxalate) Ethambutol Hydrochloride Ethinylestradiol + Levonorgestrel Etoposide

3.35 - 4.42 99.50 - 143.33 139.00 - 170.00 4.29 - 14.50 1.92 - 12.00 16.25 - 21.66 330.00 - 450.00

4.12 126.04 158.62 4.91 7.35 19.52 339.90

277.

Famotidine

93.99 - 150.00

100.85

278. 279. 280. 281. 282. 283. 284. 285.

Felodipine Felodipine Fenofibrate Fenofibrate Fenofibrate Fentanyl Fentanyl Ferrous Salt

1 g Vial 200 mg/5 mL, 60 mL Suspension 500 mg Tablet 0.5%, 3.5 g Tube 0.5%, 5 g Tube 10 mg Tablet 400 mg Tablet 30 mcg + 150 mcg Cycle 100 mg Vial F 20 mg Lyophilized Powder Vial 10 mg MR Tablet 5 mg MR Tablet 145 mg Tablet 160 mg Tablet 200 mg Capsule 50mcg/mL, 10mL Ampule 50mcg/mL, 2mL Ampule (equiv. to 15 mg elemental iron/0.6 mL), 15 mL Drops

3.50 - 28.66 3.25 - 15.18 25.86 - 39.84 20.91 - 35.79 6.00 - 22.00 64.89 - 450.00 62.49 - 240.00 9.08 - 40.00

14.73 7.73 26.64 26.78 14.24 206.52 70.04 18.54

__________________________________ •



11 | P a g e


10.00 - 79.00


0.42 - 6.50

3.09

0.38 - 6.99

0.74

-

990.00•

1,050.00 - 1,538.00 1,199.00 - 2,940.00 7.35 - 48.59 25.00 - 519.83 45.00 - 3,517.93 100.00 - 660.78 49.29 - 187.27 67.25 - 148.00 2.19 - 32.25 4.89 - 35.00 354.49 - 600.00 320.00 - 613.90

1,081.50 1,493.50 22.92 94.31 401.69 256.42 88.96 82.40 6.17 23.45 400.67 513.97

125 mcg + 25 mcg x 120 doses Metered Dose Inhaler

194.00 - 440.00

281.86

Fluticasone + Salmeterol

250 mcg + 25 mcg x 120 doses Metered Dose Inhaler

250.00 - 619.00

410.97

304.


250 mcg + 50 mcg x 60 doses Dry Powder Inhaler

391.00 - 894.60

654.67♣

305.


500 mcg + 50 mcg x 60 doses Dry Powder Inhaler

1,100.00 - 1,186.50

1,156.82

306.


50mcg + 25mcg x 120 doses Metered Dose Inhaler

190.00 - 235.00

200.85

307. 308. 309. 310. 311. 312. 313.

Folic Acid Folic Acid Fondaparinux Furosemide Furosemide Furosemide Fusidate Sodium/Fusidic Acid Cream Fusidate Sodium/Fusidic Acid Ointment Fusidate Sodium/Fusidic Acid Ointment

5 mg Capsule 5 mg Tablet 2.5 mg/0.5 mL Solution 10 mg/mL, 2 mL Ampule 20 mg Tablet 40 mg Tablet 2%, 5 g Tube

1.58 - 6.50 0.72 - 5.00 1,120.00 - 1,391.50 2.12 - 30.00 0.50 - 2.00 0.44 - 12.66 50.89 - 78.88

3.32 2.37 1,153.60 5.15 1.08 1.60 60.00

2%, 15 g Tube

90.00 - 115.00

110.21

2%, 5 g Tube

38.00 - 328.00

211.25

Generic Name


286.

Ferrous Salt

(equiv. to 30 mg elemental iron/5 mL), 60 mL Syrup

287.

Ferrous Salt

288.

Ferrous Sulfate + Folic Acid

289.

Filgrastim

290. 291. 292. 293. 294. 295. 296. 297. 298. 299. 300. 301.

Filgrastim Filgrastim Finasteride Fluconazole Fluconazole Fluconazole Fluconazole Fluorouracil Fluoxetine Fluoxetine Fluphenazine (as Decanoate) Fluticasone + Salmeterol

equiv. to 60 mg elemental iron Tablet 60 mg elemental iron + 400 mcg folic acid Film coated tablet 300 mcg/0.5 mL Pre-filled Syringe 300 mcg/1.2 mL Vial 300 mcg/mL Vial 5 mg Tablet 150 mg Capsule 2 mg/mL, 100 mL Vial 200 mg Capsule 50 mg Capsule 50 mg/mL, 10 mL Vial 20 mg Capsule 20 mg Dispersible Tablet 25 mg/mL, 10 mL Vial 100 mcg + 50 mcg x 60 doses Dry Powder Inhaler

302.


303.

314. 315.

__________________________________ •


♣

The Reference Price was based from the Thailand Drug Reference Price


12 | P a g e

Generic Name 316. 317. 318. 319. 320. 321. 322. 323. 324. 325. 326. 327. 328. 329.

Gabapentin Gabapentin Gemcitabine Gemcitabine Gentamicin Gentamicin Gentamicin Eye Drops Glibenclamide Gliclazide Gliclazide Gliclazide Glipizide Glucose (Dextrose) Glyceryl Trinitrate (Nitroglycerine)

330. 331. 332. 333. 334. 335. 336. 337. 338. 339. 340. 341. 342. 343. 344. 345. 346. 347. 348.

Haloperidol Haloperidol Heparin (as Sodium) Heparin (as Sodium) Hydralazine Hydrochlorothiazide Hydrocortisone Hydrocortisone Hydrocortisone Hydrocortisone Hydrocortisone Hydrocortisone Cream Hydrogen Peroxide Hydroxyethyl Starch Hydroxyurea Hydroxyzine Hydroxyzine Hyoscine (as N-butyl bromide) Hyoscine (as N-butyl bromide)

349. 350. 351. 352. 353. 354. 355. 356.

I.V. Fluids, 0.9% Sodium Chloride I.V. Fluids, 0.9% Sodium Chloride I.V. Fluids, 0.9% Sodium Chloride I.V. Fluids, 0.9% Sodium Chloride I.V. Fluids, 0.9% Sodium Chloride I.V. Fluids, 10% Dextrose in Water I.V. Fluids, 10% Dextrose in Water I.V. Fluids, 5% Dextrose in 0.3% Sodium Chloride


Strength / Form / Volume G 100 mg Capsule 300 mg Capsule 1 g Vial 200 mg Vial 40 mg/mL, 2 mL Ampule 40 mg/mL, 2 mL Vial 0.3%, 5 mL Bottle 5 mg Tablet 30 mg MR Tablet 60 mg MR Tablet 80 mg Tablet 5 mg Tablet 50%, 50 mL Vial 5 mg Patch H 20 mg Tablet 5 mg Tablet 1000 IU/mL, 5 mL Vial 5000 IU/mL, 5 mL Vial 20 mg/mL, 1 mL Ampule 25 mg Tablet 100 mg powder, Vial 125 mg/mL, 2 mL Vial 250 mg powder, Vial 50 mg/mL, 2 mL Vial 500 mg powder, Vial 1%, 5 g Tube 3%, 120 mL Bottle 6%, 500 mL Bottle 500 mg Capsule 10 mg Tablet 25 mg Tablet 10 mg Tablet 20 mg/mL, 1 mL Ampule I 1 L Plastic Bottle 100 mL Plastic Bottle 20 mL Ampule 50 mL Bottle 500 mL Plastic Bottle 1 L Plastic Bottle 500 mL Plastic Bottle 1 L Plastic Bottle



7.00 - 25.75 6.90 - 23.36 3,860.00 - 6,900.00 129.00 - 1,400.00 1.78 - 15.00 40.00 - 44.00 110.00 - 200.00 0.27 - 10.81 0.57 - 4.20 11.00 - 20.00 1.94 - 7.00 6.30 - 14.09 11.42 - 75.49 50.00 - 100.00

10.30 11.85 5,665.00 1,344.15 3.39 44.00 113.30 0.82 2.78 11.33 3.09 8.14 26.27 51.50

11.80 - 34.00 2.11 - 5.00 48.50 - 110.00 48.50 - 228.00 68.88 - 359.00 1.00 - 2.95 19.12 - 159.49 128.00 - 428.84 40.29 - 398.00 111.64 - 239.23 83.49 - 118.50 82.00 - 143.00 12.00 - 38.00 399.00 - 850.00 16.00 - 26.00 5.00 - 11.00 9.20 - 24.48 1.57 - 17.67 8.78 - 65.00

15.97 2.91 73.27 215.01 169.18 2.95 22.55 131.84 66.73 114.99 85.99 103.00 22.66 493.89 16.48 9.30 17.83 1.90 11.62

25.00 - 95.80 44.95 - 95.00 16.00 - 40.66 17.00 - 58.45 27.00 - 98.00 34.70 - 50.00 29.95 - 99.45 33.39 - 65.89

45.00 45.00 16.48 27.81 45.00 45.00 45.00 45.00

13 | P a g e


357.

I.V. Fluids, 5% Dextrose in 0.3% Sodium Chloride

500 mL Plastic Bottle

23.99 - 103.00


358.


1 L Plastic Bottle

23.96 - 95.80

45.00

359.



29.95 - 60.00

45.00

360.

I.V. Fluids, 5% Dextrose in Lactated Ringer's

1 L Plastic Bottle

22.31 - 95.80

45.00

361.

I.V. Fluids, 5% Dextrose in Lactated Ringer's


29.95 - 82.00

45.00

362. 363. 364. 365.

I.V. Fluids, 5% Dextrose in Water I.V. Fluids, 5% Dextrose in Water I.V. Fluids, 5% Dextrose in Water I.V. Fluids, Balanced Multiple Maintenance Solution with 5% Dextrose for Adult

1 L Plastic Bottle 250 mL Plastic Bottle 500 mL Plastic Bottle 1 L Plastic Bottle

16.08 - 69.89 60.00 - 136.50 29.89 - 90.45 30.49 - 74.00

45.00 45.00 45.00 45.00

366.

I.V. Fluids, Balanced Multiple Maintenance Solution with 5% Dextrose for Pedia


29.95 - 110.00

45.00

367.

I.V. Fluids, Balanced Multiple Replacement Solution with 5% Dextrose I.V. Fluids, Lactated Ringer's Solution I.V. Fluids, Lactated Ringer's Solution Ibuprofen Ibuprofen Ibuprofen Ibuprofen Ifosfamide Ifosfamide Immunoglobulin, Hepatitis B (human) Immunoglobulin, Normal, Human (IGIV) Immunoglobulin, Tetanus (Human) Immunoglobulin, Tetanus (Human) Insulin, Biphasic Isophane Human 70/30 (recombinant DNA) Insulin, Isophane Human Insulin, Regular (Recombinant DNA, human)

1 L Plastic Bottle

34.12 - 55.00

45.00

1 L Plastic Bottle

30.00 - 95.80

45.00


29.95 - 56.45

45.00

100 mg/5 mL, 60 mL Bottle 200 mg Tablet 200 mg/5 mL, 60 mL Bottle 400 mg Tablet 1 g Vial 2 g Vial 0.5 mL Vial

20.00 - 75.00 0.60 - 5.00 33.90 - 115.00 0.70 - 20.00 1,650.00 - 2,000.00 2,105.00 - 2,500.00 128.00 - 1,163.00

34.92 0.94 73.13 0.96 1,854.00 2,394.75 175.57

50 mg/mL, 50 mL Vial

6,650.00 - 8,118.00

7,094.64

250 IU/mL, 1 mL Pre-filled syringe 250 units/mL, 1 mL Vial

760.00 – 1,000.00

955.33

679.00 - 1,099.00

751.90

70% isophane suspension + 30% soluble insulin in 100 IU/mL, 10 mL Vial 100 IU/mL, 10 mL Vial 100 IU/mL, 10 mL Vial

124.69 - 250.00

176.65

158.12 - 498.00 160.00 - 790.00

179.99 216.30

383.

Intraocular Irrigating Solution (balanced salt solution)

500 mL Bottle

380.00 - 485.00

391.40

384.

Iodized Oil Fluid

500 mg Soft Gel Capsule

40.00

41.20

Generic Name

368. 369. 370. 371. 372. 373. 374. 375. 376. 377. 378. 379. 380. 381. 382.



14 | P a g e


385.

Iopamidol

612 mg/mL equiv. to 300 mg iodine, 100 mL Vial

1,298.78 - 2,300.00

DPR (Php) (Ceiling Price) 1,474.96

386.

Iopamidol


509.00 - 1,350.00

719.97

387.

Iopamidol


1,6000.00 2,700.00

2,213.47

388.

Iopamidol


990.00 - 1,600.00

1,019.70

389.

Ioversol

741 mg/mL equiv. to 350 mg/mL iodine, 50 mL Vial

1,280.00 - 1,800.00

1,318.40

390.

Ipratropium + Salbutamol

4.98 - 41.25

10.83

391. 392. 393. 394. 395. 396. 397. 398. 399. 400.

Irbesartan Irbesartan Irbesartan + Hydrochlorothiazide Irbesartan + Hydrochlorothiazide Iron Sucrose Isoflurane Isoniazid Isoniazid Isoniazid + Rifampicin Isoniazid + Rifampicin + Ethambutol Isoniazid + Rifampicin + Pyrazinamide + Ethambutol

500 mcg + 2.5 mg x 2.5 mL (unit dose) Respiratory Solution 150 mg Tablet 300 mg Tablet 150 mg + 12.5 mg Tablet 300 mg + 12.5 mg Tablet 20 mg/mL, 5 mL Ampule 100 mL Bottle 200 mg/5 mL, 120 mL Syrup 300 mg Tablet 75 mg + 150 mg Tablet 75 mg + 150 mg + 275 mg Tablet 75 mg + 150 mg + 400 mg + 275 mg Tablet

2.57 - 23.75 14.00 - 35.00 12.10 - 22.71 19.00 - 40.00 619.00 - 4,750.00 49.00 - 178.00 1.05 - 2.15 4.46 - 5.60 5.00 - 7.22

11.33 17.77 18.25 29.88 139.50▲ 2,616.20 74.11 1.80 5.15 5.15

3.98 - 7.40

5.51

398.80 - 770.00 1.08 - 12.30 1.10 - 29.00 4.00 - 11.33 8.44 - 12.50 6.00 - 22.84 4.05 - 41.49 3.00 - 300.00 110.85 - 300.00 16.50 - 43.66

410.76 10.52 8.70 5.02 8.69 13.80 6.70 7.51 114.18 39.22

589.00 - 1,095.00 50.00 - 104.65 5.79 - 300.00

795.15 72.10 23.99

52.00 - 230.00 1.00 - 3.10 76.50 - 90.00 48.37 - 67.50

66.84 1.96 81.37 61.80

Generic Name

401. 402. 403. 404. 405. 406. 407. 408. 409. 410. 411.

Isosorbide Dinitrate Isosorbide Dinitrate Isosorbide Dinitrate Isosorbide-5-Mononitrate Isosorbide-5-Mononitrate Isosorbide-5-Mononitrate Isosorbide-5-Mononitrate Isoxsuprine Hydrochloride Isoxsuprine Hydrochloride Itraconazole

412. 413. 414.

Ketamine Ketoconazole Ketorolac

415. 416. 417. 418.

Lactulose Lagundi Lagundi Lagundi


1 mg/mL, 10 mL Ampule 10 mg Tablet 5 mg Tablet 20 mg Tablet 30 mg MR Capsule 30 mg MR Tablet 60 mg MR Tablet 10 mg Tablet 5 mg/mL, 2 mL Ampule 100 mg Capsule K 50 mg/mL, 10 mL Vial 2%, 15 g Tube 30 mg/mL, 1mL Ampule L 3.3 g/5 mL, 120 mL Syrup 300 mg Tablet 300 mg/5 mL, 120 mL Syrup 300 mg/5 mL, 60 mL Syrup

__________________________________ ▲

The Reference Price was based from the previous procurement price of National Kidney and Transplant Institute


15 | P a g e

Generic Name 419. 420. 421. 422. 423. 424. 425. 426. 427. 428. 429. 430. 431. 432.

Lagundi Lansoprazole Lansoprazole L-Asparaginase Levodopa + Carbidopa Levofloxacin Levofloxacin Levofloxacin Levothyroxine Levothyroxine Levothyroxine Levothyroxine Lidocaine Lidocaine

433. 434. 435. 436. 437. 438. 439. 440. 441. 442. 443. 444.

Lidocaine Lidocaine Lipids Lithium Carbonate Loperamide Loratadine Loratadine Losartan Losartan Losartan + Hydrochlorothiazide Losartan + Hydrochlorothiazide Lynestrenol

445. 446. 447. 448. 449.

Magnesium Sulfate Magnesium Sulfate Mannitol Mannitol Mebendazole

450.

Mebendazole

451. 452. 453. 454. 455.

Mecobalamin Mecobalamin Medroxyprogesterone Medroxyprogesterone Medroxyprogesterone

456. 457.

Mefenamic Acid Mefenamic Acid

458. 459. 460.

Mefenamic Acid Mefenamic Acid Mercaptopurine


Strength / Form / Volume 600 mg Tablet 30 mg Capsule 30 mg MR Tablet 10,000 IU Vial 250 mg + 25 mg Tablet 5 mg/mL,100 mL Vial 500 mg Tablet 750 mg Tablet 100 mcg Tablet 150 mcg Tablet 25 mcg Tablet 50mcg Tablet 10%, 50 mL Spray 2%, 1.8mL w/ epinephrine Carpule 2%, 5 mL Ampule 2%, 50 mL Vial 10%, 500 mL Bottle 450 mg MR Tablet 2 mg Capsule 10 mg Tablet 5 mg/5 mL, 30 mL Syrup 100 mg Tablet 50 mg Tablet 100 mg + 25 mg Tablet 50mg +12.5 mg Tablet 500 mcg Cycle M 250 mg/mL, 10 mL Ampule 250 mg/mL, 20 mL Vial 20%, 250 mL Bottle 20%, 500 mL Bottle 100 mg/5 mL, 30 mL Suspension 100 mg/5 mL, 60 mL Suspension 500 mcg Tablet 500 mcg/mL, 1 mL Ampule 10 mg Tablet 150 mg/mL, 1 mL Vial 50 mg/mL, 3 mL Vial + Syringe 250 mg Capsule 50 mg/5 mL, 60 mL Suspension 500 mg Capsule 500 mg Tablet 50 mg Tablet


3.00 - 5.50 9.80 - 15.00 21.00 - 86.66 1,500.00 - 2,933.77 23.85 - 60.14 139.50 - 999.00 6.25 - 200.00 13.99 - 82.00 7.22 - 9.37 10.50 - 11.00 1.65 - 3.46 2.25 - 4.74 1,950.75 - 3,100.00 14.16 - 27.36

DPR (Php) (Ceiling Price) 3.09 10.30 30.90 2,043.76 45.93 257.50 8.18 18.42 8.81 10.82 2.96 3.86 2,009.27 18.54

3.29 - 52.00 7.00 - 48.49 780.00 - 1,750.00 4.20 - 7.00 0.38 - 18.00 1.25 - 21.85 34.50 - 84.00 0.79 - 23.71 0.27 - 8.95 3.00 - 20.82 1.39 - 15.00 64.32 - 90.00

8.76 28.07 803.40 4.33 0.44 2.27 40.17 2.90 0.93 6.18 1.92 66.95

5.39 - 37.00 8.00 - 90.00 68.49 - 110.00 55.00 - 240.00 11.50 - 42.08

15.22 26.78 74.68 92.17 16.48

14.20 - 28.00

14.63

8.64 - 17.72 168.50 - 289.56 32.33 - 120.00 37.98 - 57.00 49.95 - 144.50

11.98 217.72 33.30 50.32 59.74

0.38 - 3.51 12.00 - 120.00

0.48 19.34

0.47 - 16.43 0.35 - 4.50 17.50 - 33.08

0.56 0.47 20.60 16 | P a g e


139.00 - 2,200.00 55.00 - 800.00 160.00 - 166.67 0.48 - 5.52 0.48 - 4.90 1.50 - 15.85 2.85 - 11.00 110.75 - 218.00 6.00 - 21.31 0.84 - 15.00 8.12 - 219.00 995.45 - 3,270.30 606.02 - 798.98

DPR (Php) (Ceiling Price) 286.68 179.73 164.80 0.65 1.03 7.17 11.00 133.51 12.36 2.58 13.69 2,866.11 624.20

12.69 - 30.24 5.00 - 9.76 216.52 - 567.20 1,109.68 - 3,286.03

16.85 6.64 223.02 1,142.97

0.90 - 7.96 18.00 - 36.00 1.82 - 35.87 0.50 - 4.75 0.40 - 3.70 12.60 - 70.00

1.71 18.54 3.08 1.56 1.55 15.19

10.12 - 99.00 0.55 - 20.81 1.18 91.62 - 101.80 23.50 - 24.74 73.88 - 199.89 64.89 - 168.00 500.00 - 900.00

12.46 0.99 1.22 94.37 24.21 113.22 80.12 515.00

19 g/ 7 g solution per 133 mL Bottle

180.00 - 216.00

185.40

Monobasic Sodium Phosphate, Dibasic Sodium Phosphate

48 g/18 g per 45 mL solution Bottle

180.00 - 212.73

185.40

Montelukast Montelukast Montelukast Morphine (As Sulfate) Morphine (As Sulfate) Morphine (As Sulfate) Morphine (As Sulfate) Morphine (As Sulfate)

10 mg Tablet 4 mg Chewable Tablet 5 mg Chewable Tablet 10 mg MR Tablet 10 mg Tablet 10 mg/mL,1 mL Ampule 30 mg MR Tablet 30 mg Tablet

7.00 - 25.20 4.49 - 12.25 5.40 - 65.00 18.30 - 24.95 17.93 - 25.00 33.00 - 81.00 44.50 - 62.73 50.00 - 63.06

10.30 7.13 8.11 20.61 21.01 51.50 45.84 51.50

Generic Name 461. 462. 463. 464. 465. 466. 467. 468. 469. 470. 471. 472. 473.

Meropenem Meropenem Mesna Metformin Hydrochloride Metformin Hydrochloride Metformin Hydrochloride Methotrexate Methotrexate Methyldopa Methylergometrine Methylergometrine Methylprednisolone Methylprednisolone

474. 475. 476. 477.

Methylprednisolone Methylprednisolone Methylprednisolone Methylprednisolone

478. 479. 480. 481. 482. 483.

Metoclopramide Metoclopramide Metoclopramide Metoprolol (as Tartrate) Metoprolol (as Tartrate) Metronidazole

484. 485. 486. 487. 488. 489. 490. 491.

Metronidazole Metronidazole Micronutrient Powder Midazolam Midazolam Midazolam Midazolam Modified Fluid Gelatin (Formerly Polymerisate of Degraded Succinylated Gelatin)

492.

Monobasic Sodium Phosphate, Dibasic Sodium Phosphate

493. 494. 495. 496. 497. 498. 499. 500. 501.


Strength / Form / Volume 1 g Vial 500 mg Vial 100 mg/mL, 4 mL Ampule 500 mg Film coated tablet 500 mg Tablet 850 mg Tablet 2.5 mg Tablet 25 mg/mL, 2 mL Vial 250 mg Tablet 125 mcg Tablet 200 mcg/mL, 1 mL Ampule 1 g/16 mL + Diluent Vial 125 mg/mL, 2 mL + diluent Vial 16 mg Tablet 4 mg Tablet 40 mg ( single dose) Vial 500 mg/8.0 mL + diluent vial Vial 10 mg Tablet 5 mg/5 mL, 60 mL Syrup 5 mg/mL, 2 mL Ampule 100 mg Tablet 50 mg Tablet 125 mg/5 mL, 60 mL Suspension 5 mg/mL, 100 mL Vial 500 mg Tablet 1 g Sachet 1 mg/mL, 5 mL Ampule 15 mg Tablet 5 mg/mL, 3 mL Ampule 5 mg/mL,1 mL Ampule 4% solution, 500 mL Bottle

17 | P a g e

Generic Name 502. 503. 504. 505. 506. 507. 508. 509. 510.

511. 512. 513. 514. 515. 516.

517. 518. 519. 520. 521. 522. 523. 524. 525. 526. 527. 528. 529.

530. 531. 532. 533. 534. 535. 536. 537. 538. 539. 540. 541.

Multivitamins Multivitamins Multivitamins Multivitamins Multivitamins Mupirocin Ointment Mupirocin Ointment Mycophenolate Mofetil Mycophenolic Acid ( As Mycophenolate Sodium)

Strength / Form / Volume for adults Capsule for adults Tablet per 1 mL ,15 mL Drops per 5 mL, 120 mL Syrup per 5 mL, 60 mL Syrup 2%, 15 g Tube 2%, 5 g Tube 500 mg Tablet 360 mg Tablet

N Nalbuphine 10 mg/mL, 1 mL Ampule Naloxone 20 mcg/mL, 2 mL Ampule Naloxone 400 mcg/mL, 1 mL Ampule Naproxen Sodium 500 mg MR Tablet Naproxen Sodium 550 mg Tablet Neomycin + Polymyxin B + 3.5 mg neomycin + 10,000 Fluocinolone Acetonide Ear Drops units polymyxin B + 0.025% floucinolone acetonide/mL, 5 mL Bottle Neostigmine 500 mcg/mL, 1 mL Ampule Nepafenac 1 mg/mL, 5 mL Bottle Nicardipine 1 mg/mL, 10 mL Ampule Nicardipine 1 mg/mL, 2 mL Ampule Nifedipine 10 mg Capsule Nifedipine 20 mg MR Tablet Nifedipine 30 mg MR Tablet Nifedipine 5 mg Capsule Norepinephrine 1 mg/mL, 10 mL Ampule Norepinephrine 1 mg/mL, 2 mL Ampule Norepinephrine 1 mg/mL, 4 mL Ampule Norfloxacin 400 mg Tablet Nystatin 100,000 units/mL, 30 mL Suspension O Octreotide 100 mcg/mL, 1 mL Ampule Ofloxacin 2 mg/mL, 100 mL Vial Ofloxacin 200 mg Tablet Ofloxacin 400 mg Tablet Ofloxacin Ear Drops 0.3%, 5 mL Bottle Ofloxacin Eye Drops 0.3%, 5 mL Bottle Olanzapine 10 mg Tablet Omeprazole 10 mg Capsule Omeprazole 20 mg Capsule Omeprazole 40 mg Capsule Omeprazole 40 mg powder vial + 10 mL solvent Ampule Ondansetron (as Hydrochloride)


2 mg/mL, 2 mL Ampule


0.63 - 22.00 0.64 - 22.00 12.00 - 71.22 18.00 - 124.00 10.48 - 78.00 96.40 - 245.00 52.33 - 250.00 53.48 - 102.29 93.61 - 110.11

DPR (Php) (Ceiling Price) 1.03 2.32 22.56 43.21 18.54 167.38 60.14 60.77 97.22

24.49 - 149.99 200.00 - 360.00 95.00 - 392.00 2.97 - 7.50 2.18 - 2.59 150.00 - 319.93

64.50 309.00 392.00 3.71 2.59 190.55

90.99 - 123.49 542.61 445.00 - 1,760.00 82.00 - 1,342.00 1.95 - 15.00 3.00 - 34.47 28.42 - 41.58 1.30 - 38.00 1,162.18 - 1,844.73 131.20 - 530.00 355.00 - 1190.00 1.45 - 1.80 105.00 - 335.00

93.72 558.89 628.30 150.38 3.50 23.46 34.80 1.89 1,197.05 188.89 544.48 1.49 198.28

500.00 - 600.00 145.00 - 1,100.00 2.11 - 37.85 3.29 - 25.00 135.00 - 396.00 118.44 - 180.00 4.09 - 86.66 1.20 - 19.64 0.85 - 9.50 1.50 - 35.00 27.00 - 460.00

515.00 393.98 4.12 7.83 219.61 130.75 27.81 20.23 1.01 10.30 39.13

124.00 - 450.00

309.00 18 | P a g e

Generic Name

122.48 - 550.00 2.79 - 75.00 2.60 - 16.00

2.68

33.00 19.28 - 140.00 3,995.00 - 5,950.00 95.85 - 148.18 990.00 - 1,075.00 124.11 - 130.32 4.97 - 116.88

33.99 21.09 4,635.00 127.16 1,019.70 127.83 9.89

1,589.00 - 7,500.00 3,018.00 11,500.00 1,179.00 - 4,885.00 40.00 - 379.50 9.09 - 59.00 9.94 - 24.00

2,163.00 3,108.54

125 mg Suppository 150 mg/mL, 2 mL Ampule 250 mg Suppository 250 mg/5 mL, 60 mL Bottle 500 mg Tablet 1,200,000 units Vial

12.50 - 29.88 3.12 - 65.00 13.20 - 28.95 9.66 - 79.70 0.13 - 3.12 41.89 - 167.53

19.82 5.67 22.54 12.88 0.23 55.21

1 MU Vial 5 MU Vial Sterile with 1.5% dextrose, 1 L Bottle 50 mg/mL, 2 mL Ampule 50 mg/mL, 30 mL Vial 120 mg/mL (130 mg/mL), 1 mL Ampule 100 mg Capsule 30 mg/5 mL, 120 mL Suspension 50 mg/mL, 2 mL Ampule 50 mg/mL, 5 mL Ampule 10 mg/mL, 1 mL Ampule 2 g + 250 mg Vial 4 g + 500 mg Vial 2 mEq/mL, 20 mL Vial 750 mg durules (equiv. to approximately 10 mEq) Tablet

3.89 - 14.00 7.49 - 49.49 69.65 - 74.00

5.27 15.37 71.74

113.62 - 225.88 2,400.00 - 2,719.74 377.00 - 870.00

189.85 2,472.00 489.79

7.50 - 27.36 153.65 - 465.61

11.44 158.26

111.49 - 595.00 270.00 - 857.63 13.49 - 92.48 34.00 - 500.00 50.00 - 936.00 9.00 - 87.50 18.85 - 68.00

211.15 278.10 18.42 74.79 104.84 20.60 24.01

542. 543.

Ondansetron (as Hydrochloride) Oral Rehydration Salts (ORS 75replacement)

2 mg/mL, 4 mL Ampule 20.5 g Sachet

544.

Oral Rehydration Salts (ORS 75replacement)

5.125 g Sachet

545. 546. 547. 548. 549. 550. 551.

Oseltamivir Oxacillin Oxaliplatin Oxycodone Oxycodone Oxycodone Oxytocin

552. 553.

Paclitaxel Paclitaxel

75 mg Capsule 500 mg Vial 2 mg/mL, 50 mL Vial 10 mg Tablet 10 mg/mL, 1 mL Ampule 5 mg Capsule 10 IU/mL, 1 mL Ampule P 6 mg/mL, 16.7 mL Vial 6 mg/mL, 25 mL Vial

554. 555. 556. 557.

Paclitaxel Paracetamol Paracetamol Paracetamol

6 mg/mL, 5 mL Vial 10 mg/mL, 100 mL Vial 100 mg/ml, 15 mL Drops 120 mg/5 mL (125 mg/5 mL), 60 mL Bottle

558. 559. 560. 561. 562. 563.

Paracetamol Paracetamol Paracetamol Paracetamol Paracetamol Penicillin G Benzathine (benzathine benzylpenicillin)

564. 565. 566.

Penicillin G Crystalline Penicillin G Crystalline Peritoneal Dialysis Solution

567. 568. 569.

Pethidine Pethidine Phenobarbital

570. 571.

Phenytoin Phenytoin

572. 573. 574. 575. 576. 577. 578.

Phenytoin Phenytoin Phytomenadione Piperacillin + Tazobactam Piperacillin + Tazobactam Potassium Chloride Potassium Chloride



DPR (Php) (Ceiling Price) 225.57 3.29


1,348.27 306.16 12.10 12.10

19 | P a g e

Generic Name


579. 580. 581. 582. 583. 584. 585. 586. 587. 588.

Potassium Citrate Povidone Iodine (Oral Antiseptic) Povidone Iodine (Solution) Povidone Iodine (Solution) Praziquantel Prednisolone Prednisolone Prednisolone Eye Drops Prednisone Prednisone

589. 590. 591. 592. 593.

Prednisone Prednisone Propofol Propofol Propofol

594. 595. 596. 597. 598.

Propofol Propranolol Propranolol Propylthiouracil Pyrazinamide

599.

Pyrazinamide

600. 601. 602.

Quetiapine (as Fumarate) Quetiapine (as Fumarate) Quetiapine (as Fumarate)

603. 604. 605. 606. 607.

Ranitidine Ranitidine Ranitidine Recombinant Tissue Plasminogen Activator (rTPA) Rifampicin

10 mEq Tablet 1%, 60 mL Bottle 10%, 1 gallon Bottle 10%, 60 mL Bottle 600 mg Tablet 20 mg Tablet 5 mg Tablet 1%, 5 mL Bottle 10 mg Tablet 10 mg/5 mL, 60 mL Suspension 20 mg Tablet 5 mg Tablet 10 mg/mL, 20 mL Ampule 10 mg/mL, 20 mL Vial 10 mg/mL, 50 mL Pre-filled syringe 10 mg/mL, 50 mL Vial 10 mg Tablet 40 mg Tablet 50 mg Tablet 250 mg/5 mL, 120 mL Suspension 500 mg Tablet Q 100 mg Tablet 200 mg Tablet 300 mg Tablet R 150 mg Tablet 25 mg/mL, 2 mL Ampule 300 mg Tablet 50 mg powder, Vial

608. 609. 610. 611. 612. 613. 614. 615. 616.

Risperidone Risperidone Risperidone Rocuronium Rocuronium Rocuronium Ropivacaine Rosuvastatin (as Calcium) Rosuvastatin (as Calcium)

617.

Salbutamol


200 mg/5 mL, 120 mL Suspension 1 mg Tablet 2 mg Tablet 4 mg Tablet 10 mg/mL, 2.5 mL Vial 10 mg/mL, 5 mL Ampule 10 mg/mL, 5 mL Vial 10 mg/mL, 10 mL Ampule 10 mg Tablet 20 mg Tablet S 1 mg/mL, 2.5 mL (unit dose) Nebule


7.00 - 13.50 50.00 - 105.00 420.00 - 749.40 25.00 - 60.00 9.88 2.90 - 5.50 0.54 - 4.90 117.00 - 221.00 1.16 - 15.00 60.00 - 128.00

DPR (Php) (Ceiling Price) 11.85 77.25 659.20 37.08 10.18 2.99 1.13 161.71 4.12 92.70

3.00 - 10.50 0.47 - 4.65 70.00 - 790.00 84.99 - 430.00 1,196.84 - 1,249.98

4.94 0.81 90.11 110.98 1,232.75

449.00 - 850.00 1.20 - 11.98 1.40 - 19.14 1.85 - 14.95 62.40 - 119.00

616.97 9.99 13.97 8.94 77.25

1.90 - 5.50

4.02

24.10 - 85.87 27.55 - 68.13 24.00 - 84.18

24.82 37.40 66.74

0.59 - 23.60 1.05 - 85.00 1.34 - 11.50 30,000.00

0.93 3.42 2.09 30,000.00

120.00 - 298.00

162.23

8.90 - 19.21 1.43 - 55.10 3.24 - 13.50 219.00 - 450.00 205.00 - 418.88 189.99 - 410.00 341.04 - 400.00 5.75 - 31.50 8.00 - 38.31

15.60 14.83 9.01 309.00 314.15 252.35 351.27 8.42 11.77

1.61 - 9.00

4.40

20 | P a g e


618.

Salbutamol

100 mcg/dose x 200 doses Metered Dose Inhaler

69.42 - 277.00


619. 620. 621.

Salbutamol Salbutamol Salbutamol

0.15 - 2.50 8.15 - 42.00 4.28 - 20.00

0.23 11.69 6.39

622. 623. 624. 625. 626. 627.

1.78 - 5.50 3.00 - 9.00 3.00 - 59.74 900.00 - 2,050.00 1,100.00 - 1,200.00 18.75 - 72.00

1.83 6.08 8.03 1,076.29 1,200.00 56.87

628.

Sambong Sambong Sertraline Serum, Anti-rabies (equine) Serum, Anti-rabies (equine) Serum, Anti-tetanus (ATS) (equine) Sevoflurane

2 mg Tablet 2 mg/5mL, 60 mL Syrup 2 mg/mL, 2.5 mL (unit dose) Nebule 250 mg Tablet 500 mg Tablet 50 mg Tablet 200 IU/mL, 5 mL Vial 400 IU/mL, 5 mL Vial 1500 IU/mL, 1 mL Ampule

7,585.95

629. 630. 631. 632. 633. 634. 635. 636. 637. 638. 639. 640. 641. 642. 643. 644. 645. 646. 647. 648. 649. 650. 651. 652. 653.

Silver Sulfadiazine Cream Silver Sulfadiazine Cream Silver Sulfadiazine Cream Silver Sulfadiazine Cream Simvastatin Simvastatin Simvastatin Sodium Bicarbonate Sodium Bicarbonate Sodium Chloride Sodium Hypochlorite Somatostatin Spironolactone Spironolactone Spironolactone Standard Senna Concentrate Sterile Water For injection Sterile Water For injection Sterile Water For injection Streptokinase Streptomycin Sucralfate Sugammadex Sulfur (Ointment) Suxamethonium (Succinylcholine)

5,439.00 13,128.76 81.88 - 138.50 86.95 - 508.14 68.00 - 130.00 795.00 - 3,042.90 1.80 - 4.00 0.42 - 6.00 2.28 - 10.00 49.39 - 226.00 64.00 - 108.86 12.71 - 80.00 45.00 3,300.00 - 5,062.55 23.36 - 51.38 8.44 - 18.41 12.26 - 29.00 6.18 - 8.83 19.00 - 47.00 10.50 - 42.00 10.90 - 48.00 2,479.00 - 5,300.00 7.42 - 38.00 28.98 - 51.14 4,731.35 - 5,257.07 31.00 - 65.00 151.29 - 595.00

654. 655. 656. 657.

Tacrolimus Tamoxifen Tamsulosin Tamsulosin

142.50 - 198.42 3.77 - 25.00 17.50 - 53.88 16.25 - 53.88

169.95 10.09 51.93 38.05

658. 659.

Telmisartan Telmisartan

2.52 - 22.92 29.90 - 39.63

20.62 30.80

Generic Name



250 mL Bottle 1%, 15 g Tube 1%, 20 g Tube 1%, 25 g Tube 1%, 500 g Jar 10 mg Tablet 20 mg Tablet 40 mg Tablet 1 meq/mL, 50 mL Ampule 1 meq/mL, 50 mL Vial 2.5 mEq/mL, 20 mL Vial 1.25%, 100 mL Bottle 3 mg Vial 100 mg Tablet 25 mg Tablet 50 mg Tablet 187 mg Tablet 100 mL Bottle 20 mL Ampule 50 mL Bottle 1,500,000 IU Vial 1 g Vial 1 g Tablet 100 mg/mL, 2 mL Vial 5%, 15 g Tube 20 mg/mL, 10 mL Vial T 1 mg Capsule 20 mg Tablet 200 mcg Capsule 200 mcg Orally Disintegrating Tablet 40 mg Tablet 80 mg Tablet

96.30 113.29 86.36 875.50 3.61 0.82 3.89 64.78 65.92 29.87 46.35 4,391.10 24.06 9.96 25.50 6.37 45.32 25.24 22.15 3,914.00 10.55 29.85 4,873.29 47.38 185.40

21 | P a g e

Generic Name 660.

40 mg + 12.5 mg Tablet

14.00 - 23.63

80 mg + 12.5 mg Tablet

30.10 - 38.81

31.00

16.68 - 42.29 3.00 - 6.50 949.89 - 1,499.00 290.00 - 700.00 1,289.74 -1,357.62

17.18 5.15 978.39 298.70 1,328.43

67.50 - 197.25

74.53

157.00 -430.20

236.90

367.41 - 426.19

378.43

110.00 - 406.80 12.60 - 36.00 70.56 - 77.82 0.78 - 15.00 3.85 - 138.60 3.00 - 178.11 3.79 - 81.00 3.60 - 15.85 5.45 - 10.00 5.00 - 12.50 4.50 - 15.16 341.55 500.00 - 2,095.00

316.65 12.98 72.68 2.03 9.22 5.04 12.65 5.15 6.44 7.21 9.25 351.80 515.00

34.14 - 58.04

35.16

143.40

147.70

14.68

14.68♦

98.70

101.66

139.50 - 300.00

175.10

189.48 - 380.00

220.42

662. 663. 664. 665. 666.

Telmisartan + Hydrochlorothiazide Telmisartan + Hydrochlorothiazide Terbutaline Thiamazole (Methimazole) Thiopental Sodium Timolol Eye Drops Tinzaparin Sodium

667.

Tiotropium

668.

Tobramycin + Dexamethasone Eye Drops

669.

Tobramycin + Dexamethasone Eye Ointment

0.3% + 0.1%, 3.5 g Tube

670. 671. 672. 673. 674. 675. 676. 677. 678. 679. 680. 681. 682.

Tobramycin Eye Drops Topiramate Tramadol Tramadol Tramadol Tramadol Tranexamic Acid Tranexamic Acid Tranexamic Acid Trimetazidine Trimetazidine Tropicamide Eye Drops Tuberculin, Purified Protein Derivative (PPD)

0.3%, 5 mL Bottle 50 mg Tablet 100 mg MR Tablet 50 mg Capsule 50 mg/ml, 1 ml Ampule 50 mg/ml, 2 ml Ampule 100 mg/mL, 5 mL Ampule 500 mg Capsule 500 mg Tablet 20 mg Tablet 35 mg Tablet 0.5%, 5 mL Bottle 2 TU/0.1 mL, 1 mL Vial

661.

500 mcg/mL, 1 mL Ampule 5 mg Tablet 1 g + 50 mL diluent Vial 0.5%, 5 mL Bottle 10,000 anti-XA IU/mL, 2 mL Vial 18 mcg/dose Dry Powder Inhaler 0.3% + 0.1%, 5 mL Bottle

U 250 mg Capsule V 500 mcg/mL + 1 mL diluent, 20 doses Vial + Ampule ≥ 2 IU Diphtheria Toxoid + ≥ 40 IU Tetanus Toxoid, per dose 0.5 mL Vial

683.

Ursodeoxycholic Acid

684.

Vaccine, Bacillus Calmette-Guérin (BCG)

685.

Vaccine, Diphtheria - Tetanus Toxoid (Td)

686.

Vaccine, Diphtheria, Tetanus, Pertussis, Hepatitis B Recombinant and Haemophilus Influenza Type B (Hib) Combined Vaccine, Hepatitis B (recombinant 10 mcg/0.5 mL (pediatric) DNA) Monodose Vial Vaccine, Hepatitis B (recombinant 20 mcg/mL, 1 mL Vial DNA)

687. 688.




__________________________________ ♦

The Reference Price was based from the 2016 Procurement Price of DOH – COBAC


22 | P a g e

675.00 - 2,225.00

695.25

1,019.99

1,050.59

0.5 mL Suspension Pre-filled syringe Vaccine, Influenza Polyvalent 15 mcg/0.5 mL, 5 mL multidose Glass Vial Vaccine, Live Attenuated Trivalent 2 mL (20 doses) Vial Oral Polio

300.00 - 530.00

360.50

1,700.00

1,751.00

160.00

164.80

Vaccine, Pneumococcal 13 Valent 0.5 mL single dose vial Conjugate Vaccine, Pneumococcal Polyvalent 25 mcg/0.5 mL, 0.5 mL Vial Vaccine, Pneumococcal Polyvalent 25 mcg/0.5 mL, 2.5 mL (multidose) Vial Vaccine, Rabies Chick Embryo 2.5 IU/mL, 1 dose + 1 mL Cell (Purified Inactivated) diluent Vial

800.00

824.00

445.00 - 650.00 342.00

535.60 352.26

730.00 - 2,510.00

751.90

0.5 mL Ampule 2.5 IU/0.5 mL Vial + diluent 500 mg Tablet 250 mg Tablet

23.32 - 110.00 365.00 - 1,248.00 98.00 - 150.01 22.83 - 32.57

46.35 751.90 100.94 24.59

250 mg/5 mL, 120 mL Syrup 500 mg/5 mL, 5 mL Vial 500 mg Controlled Release Tablet 160 mg Tablet 80 mg Tablet 80 mg + 12.5 mg Tablet 500 mg Vial 2.5mg/ml, 2mL Ampule 80 mg Tablet 200,000 IU Soft Gel Capsule 100 mg + 100 mg + 1 mg, 3 mL Ampule 100 mg + 5 mg + 50 mcg Capsule 100 mg + 5 mg + 50 mcg Tablet 250 mg + 250 mg + 1000 mcg Tablet

285.50 – 2,087.73 1,701.13 - 2,456.16 -

515.00 1,752.16 33.75*

16.33 - 60.50 11.00 - 42.55 17.00 - 49.81 95.00 -1,400.00 126.40 - 191.93 30.25 - 50.00 1.10 - 5.01 26.00 - 247.00

43.26 22.92 26.06 162.74 130.19 44.45 1.13 63.71

0.78 - 3.00

0.80

0.42 - 6.00

1.29

0.90 - 10.50

3.04


689.

Vaccine, Human Papillomavirus Bivalent (types 16 and 18)

0.5 mL in 3 mL (monodose) Vial

690.

Vaccine, Human Papillomavirus Quadrivalent Recombinant (Type 6, 11, 16 and 18)

0.5 mL Suspension Glass Pre-filled Syringe

691.

Vaccine, Inactivated Poliomyelitis (Type 1, 2 & 3)

0.5 mL, 5 mL Vial

692.

Vaccine, Influenza Polyvalent

693. 694. 695. 696. 697. 698. 699. 700. 701. 702.


DPR (Php) (Ceiling Price) 440.00 (PAHO)■

Generic Name

703. 704. 705.

Vaccine, Tetanus Toxoid Vaccine, Vero Cell (purified) Valaciclovir Valproate Disodium/Valproic Acid Valproic Acid Valproic Acid Valproic Acid + Sodium Valproate

706. 707. 708. 709. 710. 711. 712. 713.

Valsartan Valsartan Valsartan + Hydrochlorothiazide Vancomycin Verapamil Verapamil Vitamin A Vitamin B1 B6 B12

714.

Vitamin B1 B6 B12

715.

Vitamin B1 B6 B12

716.

Vitamin B1 B6 B12

__________________________________

*


■

The data for Bivalent HPV Vaccine can be availed at Pan American Health Organization (PAHO), you may their Vaccine Price Data at www.paho.org/hq/index.php?option=com_docman&task=doc_&gid=34166&Itemid=270&lang=en


23 | P a g e

Generic Name 717. 718. 719.

Warfarin Warfarin Warfarin

720.

Zinc

721.

Zinc

722.

Zolpidem


Strength / Form / Volume W 1 mg Tablet 2.5 mg Tablet 5 mg Tablet Z 27.5 mg/mL (Equiv. to 10 mg Elemental Zinc), 15 mL Oral Drops 55 mg/5 mL (Equiv. to 20 mg Elemental Zinc), 60 mL Syrup 10 mg Tablet



7.00 - 14.70 7.50 - 21.35 9.00 - 35.00

9.63 10.71 14.83

22.50 - 85.20

39.14

14.88 - 68.00

42.23

38.39 - 50.00

50.00

24 | P a g e

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