ACKNOWLEDGEMENTS - Secretary of Health

2 0 2 0 D P R I | E i g h t h E d i t i o n P a g e 1 | 44

ACKNOWLEDGEMENTS

The 2020 Edition of the Drug Price Reference Index (DPRI) is a product of hard work and dedication of the Department of Health (DOH) Pharmaceutical Division Headed by Anna Melissa S. Guerrero, MD, MPH (HTA), team efforts of the System Support Unit supervised by Ms. Vanessa J. Saulog – Obera, and led by Mr. Achilles V. Aragona together with the team members namely: Mr. Christian M. Villostas, Mr. John Lester M. Custodio, Ms. Geny C. Belmonte, Mr. Jacob P. Manahan, Mr. Jaldrin Ivan M. Bunag and Mr. Christian Joel M. Tambong

The technical contributions of other staff are also acknowledged in particulars: Ms. Christine M. Magturo for continuously enhancing the DPRI website and database and Mr. Adell R. Azuelo for the processing of the DPRI booklet printing.

Special thanks also to all NDP Compliance Officers and EDPMS Helpdesk who aided in the implementation of the DPRI and to the DOH-Pharmaceutical Division family. All DOH Retained / Specialty Hospitals and Centers for Health Development (CHDs) for contributing their data to the Department of Health.

Lastly, we thank our Assistant Secretary for Health Regulation Charade B. Mercado-Grande, Undersecretary for Health Regulation Maria Rosario Singh-Vergeire and Health Secretary Francisco T. Duque III for their unwavering support and commitment in the implementation of the program.


Overview

The high and extreme 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 across 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 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 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 transparency and enforcement ensure consumer access to medicines and protection from excessive price mark-ups on medicines.

_________________________________ 1 Douglas B, Tisocki K (2009) Public Procurement Prices of Medicines in the Philippines. Health Action International. The data coming from reputable suppliers are only considered in the database which means that they should be licensed by the Philippine Food and Drug Administration (FDA) and have certificate of Good Manufacturing Practice issued by the FDA.


It 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.

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 other reasonable pharmacy mark-ups, which are now being evaluated by the DOH. 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 Price Data?

The DPRI is computed based on the prevailing tender prices of the previous year (2019) reflected in the actual Purchase Orders (POs) submitted by the DOH Retained Hospitals, Centers for Health Development (CHDs), Central Office Bids and Awards Committee (COBAC) and Philippine Pharma Procurement Inc. (PPPI) to the DOH. How the Drug Price Reference Index (DPRI) determined?

The reference price 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 two entries, for patented drugs and

medicines and with limited competition the reference price was set to lowest. Health

facilities may add an allowable margin up to 10% to account for the inflation.


How often is the DPRI updated?

The DPRI is updated annually. All DOH hospitals and CHDs submit a copy of their latest Purchase Orders to the DOH Pharmaceutical Division for annual collection and analysis of price data. The updated DPRI is based on the procurement price data of medicines from the previous year. Who can use the Maximum Price Range use in the Calculation of DPRI?

Only area under the Geographically Isolated and Disadvantaged Areas (GIDA) can use the maximum price range use in the calculation of DPRI. The list of GIDA shall be based on the updated list from the DOH-Bureau of Local Health Systems and Development (BLHSD) How to set the ABC of medicines not included in this edition?

In case where the latest DPRI published has no reference price available for certain essential medicines, government health facilities and agencies may do any of the following options in compliance with the Implementing Rules and Regulations (IRR) of Republic Act (RA) 9184 or the Government Procurement Act:

The facility may utilize the previous year’s awarded price as an approved budget for the contract (ABC).

The procuring entity may conduct a market survey and use the cheapest price in the market.

Occurrence of Bid Failure

In case of failed biddings, provision of RA 9184 and its IRR shall be applied.

All procuring entities are advised to submit the list of medicines that resulted in bid

failure to the DOH-PD. The report should comply the template provided by DOH-PD

which can be downloaded at their website at www.dpri.doh.gov.ph.


Disclaimer

The 2020 DPRI Column shall be use in procurement price of essential

medicines. Only area under the Geographically Isolated and Disadvantaged Areas

(GIDA) can use the maximum price range in the calculation of DPRI. The list of GIDA

shall be based on the updated list from the DOH-Bureau of Local Health Systems

and Development (BLHSD) refer to Department Memorandum No. 2019-0277

entitled “Consolidated List of Geographically Isolated and Disadvantaged Areas

Based on the Submission of the Centers for Health Development and Ministry of

Health-Bangsamoro Autonomous Region in Muslim Mindanao (MOH-BARMM) as

of April 30, 2019” and its amendments.


Drugname Lowest – Highest

(GIDA Area) 2020 DPRI

A

1. Abacavir 300 mg Tablet - 14.99*

2. Acetazolamide 250 mg Tablet 20.00 - 20.00 20.00

3. Acetylcysteine 100 mg Sachet 8.00 - 11.54 10.00

4. Acetylcysteine 100 mg/mL, 3 mL Ampule

84.00 - 137.30 84.00

5. Acetylcysteine 200 mg Sachet 7.00 - 14.62 10.00

6. Acetylcysteine 200 mg/mL, 25 mL Bottle

982.00 - 1,813.00 1,500.00

7. Acetylcysteine 600 mg Effervescent Tablet

16.90 - 36.49 20.24

8. Aciclovir 200 mg Tablet 4.50 - 38.00 4.50

9. Aciclovir 25 mg/mL, 10 mL Vial 215.04 - 1,184.96 748.34



12. Adenosine 3 mg/mL, 2 mL Vial 117.44 - 1,960.00 259.00

13. Albumin, Human 20%, 50 mL Bottle 1,500.00 - 4,700.00 1,800.00

14. Albumin, Human 25%, 50 mL Bottle 1,800.00 - 6,500.00 2,654.00

15. Alendronate Sodium 70 mg Tablet 44.00 - 180.00 119.00

16. All-in-One Admixtures ("3-in-1" or "dual energy" solutions) "3 in 1" 1300 Kcal Bottle

2,594.00 - 3,900.00 2,594.00


1,575.00 - 3,640.00 1,750.00


2,800.00 - 3,500.00 2,800.00


1,750.00 - 4,500.00 2,879.00

20. Allopurinol 100 mg Tablet 0.14 - 4.80 1.30

21. Allopurinol 300 mg Tablet 1.50 - 13.00 2.85

* The Reference Price was based on the DOH COBAC Procurement Price 2019 Health facilities may have a price variation up to 10% above the DPRI to account for inflation




22. Alprazolam 250 mcg Tablet 4.20 - 18.50 4.20

23. Alprazolam 500 mcg Tablet 7.90 - 19.00 7.90

24. Aluminum Hydroxide + Magnesium Hydroxide 200 mg + 100 mg Tablet

0.49 - 1.90 1.50

25. Aluminum Hydroxide + Magnesium Hydroxide 225 mg + 200 mg/5 mL, 120 mL Suspension

27.80 - 40.00 38.25

26. Aluminum Hydroxide + Magnesium Hydroxide 225 mg + 200 mg/5 mL, 60 mL Suspension

16.00 - 39.00 22.50

27. Amikacin (as Sulfate) 125 mg/mL, 2 mL Vial

19.88 - 152.33 38.66

28. Amikacin (as Sulfate) 250 mg/mL, 2 mL Ampule

63.00 - 219.00 89.00

29. Amikacin (as Sulfate) 250 mg/mL, 2 mL Vial

20.98 - 97.88 35.33

30. Amikacin (as Sulfate) 50 mg/ml, 2 ml Vial

20.33 - 44.23 20.33

31. Amino Acid Solutions for Hepatic Failure 5%, 500 mL Bottle

293.00 - 488.00 293.00

32. Amino Acid Solutions for Hepatic Failure 8%, 500 mL Bottle

430.00 - 991.68 875.70

33. Amino Acid Solutions for Infants 6%, 100 mL Bottle

360.00 - 492.80 450.75

34. Amino Acid Solutions for Renal Conditions 7%, 500 mL Bottle

410.00 - 784.00 410.00

35. Amino Acids, Crystalline Standard 5%, 500 mL Plastic Bottle

425.00 - 799.50 425.00


400.00 - 483.00 400.00


650.00 - 875.70 650.00

38. Amino Acids, Crystalline Standard 9.12%, 20 mL Ampule

130.00 - 178.50 145.80

39. Aminophylline 25 mg/mL, 10 mL Ampule

13.00 - 45.38 18.98

40. Amiodarone 200 mg Tablet 5.30 - 27.00 18.00

Health facilities may have a price variation up to 10% above the DPRI to account for inflation




41. Amiodarone 50 mg/mL, 3 mL Ampule

190.83 - 560.00 253.00

42. Amlodipine 10 mg Tablet 0.30 - 10.16 0.68

43. Amlodipine 5 mg Tablet 0.22 - 5.00 0.40

44. Amoxicillin 100 mg/mL, 15 mL Drops

13.10 - 38.45 18.85

45. Amoxicillin 250 mg Capsule 1.01 - 2.31 1.25

46. Amoxicillin 250 mg/5 mL, 60 mL Suspension

16.00 - 61.00 23.00

47. Amoxicillin 500 mg Capsule 1.08 - 6.00 1.36

48. Amphotericin B (Lipid Complex) 50 mg Vial

1,800.00 - 10,973.00 10,436.00

49. Amphotericin B (Non-Lipid Complex) 50 mg Vial

1,300.00 - 3,323.00 1,500.00

50. Ampicillin + Sulbactam 1.5 g Vial 50.00 - 300.00 81.48

51. Ampicillin + Sulbactam 500mg + 250 mg Vial

18.81 - 442.65 24.00

52. Ampicillin 1 g Vial 9.88 - 38.00 11.67

53. Ampicillin 250 mg Vial 7.38 - 220.00 8.88

54. Ampicillin 500 mg Vial 7.79 - 54.00 8.81

55. Aripiprazole 10 mg Orally Disintegrating Tablet

196.00 - 234.00 196.00

56. Aripiprazole 10 mg Tablet 26.56 - 230.65 59.00

57. Aripiprazole 15 mg Orally Disintegrating Tablet

222.03 - 234.00 222.03

58. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 120 mL Syrup

21.00 - 90.00 29.00

59. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 60 mL Syrup

11.40 - 55.00 15.86

60. Ascorbic Acid (Vitamin C) 100 mg/ml, 15 mL Oral Drops

13.50 - 50.00 17.10

61. Ascorbic Acid (Vitamin C) 100 mg/ml, 30 mL Oral Drops

50.00 - 50.00 50.00

62. Ascorbic Acid (Vitamin C) 250 mg/mL, 2 mL Ampule

4.80 - 40.00 27.00





63. Ascorbic Acid (Vitamin C) 500 mg Tablet

0.51 - 4.00 0.89

64. Asparaginase 10,000 IU Vial 1,495.00 - 1,701.00 1,638.50

65. Aspirin 80 mg Tablet 0.56 - 4.00 0.79

66. Atenolol 100 mg Tablet 2.81 - 3.20 2.81

67. Atenolol 50 mg Tablet 1.70 - 7.00 2.10

68. Atorvastatin 10 mg Tablet 2.08 - 11.54 5.00




72. Atracurium 10 mg/mL, 2.5 mL Ampule

61.29 - 472.00 88.67

73. Atropine 1 mg/mL, 1 mL Ampule 6.12 - 37.12 11.55

74. Azathioprine 50 mg tablet - 38.42

75. Azithromycin 200 mg/5 mL, 15 mL Suspension

125.00 - 387.00 240.00

76. Azithromycin 500 mg Tablet 4.00 - 79.77 10.83

77. Azithromycin 500 mg Vial 241.23 - 660.00 436.08

78. Aztreonam 1 g Powder 1,100.00 - 4,888.88 1,100.00

B

79. Baclofen 10 mg Tablet 10.70 - 18.00 15.25

80. Basiliximab 20 mg vial - 43,495.83

81. Beractant 25 mg/mL, 4 mL Vial 9,884.15 - 11,070.25 9,884.15

82. Beractant 25 mg/mL, 8 mL Vial 15,776.53

83. Betahistine 16 mg Tablet 4.86 - 35.00 11.40



86. Betamethasone Cream 0.1%, 5 g Tube

36.50 - 150.00 40.68

87. Betamethasone Ointment 0.1%, 5 g Tube

41.74 - 50.00 41.74

88. Bicalutamide 50 mg Tablet 48.50 - 80.00 48.50

The Reference Price was based on the Maximum Wholesale Price (MWP) plus Value-Added-Tax (VAT) (excluded from the maximum 10% inflationary cost) Health facilities may have a price variation up to 10% above the DPRI to account for inflation




89. Biperiden Hydrochloride 2 mg Tablet

4.00 - 10.40 5.22

90. Bisacodyl 10 mg Suppository 10.77 - 120.00 18.98

91. Bisacodyl 5 mg Suppository 1.30 - 25.00 1.55

92. Bisacodyl 5 mg Tablet 0.59 - 12.00 1.32

93. Bleomycin (as Sulfate) 15 mg Vial 1,689.00 - 2,200.00 1,750.00

94. Budesonide + Formoterol 160 mcg + 4.5 mcg x 60 doses Dry Powder Inhaler

721.00 - 838.44 835.47

95. Budesonide + Formoterol 80 mcg + 4.5 mcg x 60 doses Dry Powder Inhaler

714.37 - 793.74 731.09

96. Budesonide 250 mcg/mL, 2 mL Respiratory Solution (Nebule)

19.00 - 123.38 38.75

97. Bupivacaine 0.5%, 10 mL Ampule 63.89 - 341.78 95.00

98. Bupivacaine 0.5%, 4 mL (spinal) with 8% Dextrose (as hydrochloride) Ampule

59.88 - 457.50 102.33

99. Butamirate Citrate 50mg MR Tablet 6.96 - 16.00 13.00

100. Butamirate Citrate 7.5 mg/5 mL, 120 mL Syrup

120.00 - 170.00 120.00

101. Butorphanol (as Tartrate) 2 mg/mL, 1 mL Ampule

425.00 - 568.41 425.00

102. Butorphanol (as Tartrate) 2 mg/mL, 1 mL Vial

436.20 - 568.41 436.20

C

103. Calcium Carbonate + Cholecalciferol (Vit. D3) 600 mg elementa Ca + 400 IU Vit. D3 Tablet

2.20 - 6.00 4.00

104. Calcium Carbonate 500 mg Chewable Tablet

1.58 - 17.00 4.00

105. Calcium Carbonate 500 mg Tablet 0.85 - 6.50 1.65

106. Calcium Folinate (Leucovorin Calcium) 10 mg/mL, 5 mL Ampule

114.00 - 127.00 114.00

107. Calcium Folinate (Leucovorin Calcium) 10 mg/mL, 5 mL Vial

127.00 - 218.85 133.38





108. Calcium Gluconate 10%, 10 mL Ampule

13.78 - 165.00 16.83

109. Calcium Gluconate 10%, 10 mL Vial 15.65 - 65.00 27.00

110. Calcium Gluconate 10%, 20 mL Bottle

48.00 - 50.00 48.00

111. Carbetocin 100 mcg/mL, 1 mL Vial - 933.00

112. Capecitabine 500 mg Tablet 39.00 - 60.00 48.20

113. Captopril 25 mg Tablet 0.33 - 3.00 1.30

114. Carbamazepine 200 mg Tablet 1.59 - 4.89 1.78

115. Carbetocin 100 mcg/mL, 1 mL Ampule

933.00 - 1,200.00 933.00

116. Carboplatin 10 mg/mL, 15 mL Vial 760.00 - 849.00 778.00

117. Carboplatin 10 mg/mL, 45 mL Vial 1,508.00 - 2,395.00 1,589.00

118. Carboprost 125 mcg/0.5 mL Solution

114.00 - 310.00 174.00

119. Carboprost 250 mcg/mL Solution 195.00 - 560.70 280.00

120. Carvedilol 25 mg Tablet 3.40 - 7.50 4.45

121. Carvedilol 6.25 mg Tablet 0.40 - 18.00 1.33

122. Cefalexin 100 mg/mL, 10 mL Drops 16.00 - 28.10 20.54

123. Cefalexin 100 mg/mL, 10 mL Drops 16.00 - 28.10 20.54

124. Cefalexin 250 mg/5 mL, 60 mL Bottle

20.00 - 65.00 26.25

125. Cefalexin 500 mg Capsule 0.75 - 6.45 2.81

126. Cefazolin 1 g Vial 15.45 - 355.00 17.88

127. Cefepime 1 g Vial 63.44 - 248.00 93.22

128. Cefepime 2 g Vial 218.22 - 1,618.00 418.00

129. Cefepime 500 mg Vial 67.33 - 778.44 148.00

130. Cefixime 100 mg/5 mL, 60 mL Suspension

90.00 - 515.00 162.88

131. Cefixime 20 mg/mL, 10 mL Suspension

97.00 - 192.31 150.00

132. Cefixime 200 mg Capsule 5.10 - 31.00 9.06

133. Cefixime 400 mg Capsule 9.75 - 148.00 36.00

134. Cefotaxime 500 mg Vial 45.75 - 740.75 339.89





135. Cefoxitin 1 g Vial 31.30 - 814.87 82.43

136. Ceftazidime 1 g Vial 31.43 - 335.00 38.15

137. Ceftazidime 500 mg Vial 64.93 - 620.00 64.93

138. Ceftriaxone 1 g + 10 mL diluent Vial 0.26 - 385.00 18.47

139. Cefuroxime 1.5 g Vial 38.00 - 210.00 140.00

140. Cefuroxime 125 mg/5 mL, 70 mL Suspension

118.00 - 220.00 175.00

141. Cefuroxime 250 mg/5 mL, 120 mL Granule for suspension

151.00 - 165.00 151.00

142. Cefuroxime 500 mg Tablet 4.99 - 44.69 9.46

143. Cefuroxime 750 mg Vial 13.61 - 250.00 17.77

144. Celecoxib 100 mg Capsule 2.50 - 12.00 5.00



147. Cetirizine (as Dihydrochloride) 2.5 mg/mL, 10mL Syrup

22.10 - 140.00 35.88

148. Cetirizine (as Dihydrochloride) 5 mg/5 mL, 30 mL Syrup

60.00 - 100.00 70.00

149. Cetirizine 1 mg/mL, 30 mL Bottle 29.00 - 113.85 65.00

150. Cetirizine 1 mg/mL, 60 mL Bottle 19.50 - 245.00 54.50

151. Cetirizine 10 mg Tablet 0.27 – 10.00 0.42

152. Cetirizine 10 mg/mL, 10 mL Oral Drops

26.00 - 120.00 65.56

153. Chloramphenicol 1 g Vial 24.33 - 49.88 38.98

154. Chloramphenicol 125 mg/5 mL, 60 mL Suspension

20.00 - 49.00 34.00

155. Chloramphenicol 500 mg Capsule 1.75 - 4.00 1.75

156. Chlorhexidine Gluconate 0.12%, 120 mL Bottle

105.00 - 120.26 105.00

157. Chlorphenamine (Chlorpheniramine) 10 mg/mL,1 mL Ampule

7.47 - 14.00 11.94

158. Chlorphenamine (Chlorpheniramine) 4 mg Tablet

0.35 - 1.00 0.40

159. Chlorpromazine 100 mg Tablet 1.42 - 11.95 3.60

160. Chlorpromazine 200 mg Tablet 2.08 - 11.52 3.98





161. Ciclosporin 100 mg/mL solution, 50 mL

- 7,431.02

162. Cilostazol 100 mg Tablet 5.30 - 16.60 12.50

163. Cilostazol 50 mg Tablet 7.50 - 12.75 10.40

164. Cinnarizine 25 mg Tablet 0.42 - 2.30 0.95

165. Ciprofloxacin 2 mg/mL, 200 mL Vial 1,187.50 - 1,332.65 1,332.64

166. Ciprofloxacin 2 mg/mL,100 mL Vial 18.50 - 299.90 24.22

167. Ciprofloxacin 500 mg Tablet 1.05 - 12.30 1.52

168. Cisplatin 1 mg/mL, 10 mL Vial 178.00 - 260.00 189.00

169. Cisplatin 1 mg/mL, 50 mL Vial 294.44 - 672.69 383.94

170. Clarithromycin 125 mg/5 mL, 50 mL Suspension

100.00 - 250.00 160.32

171. Clarithromycin 250 mg Tablet 8.00 - 15.00 8.00

172. Clarithromycin 500 mg Tablet 8.75 - 43.00 10.99

173. Clindamycin 150 mg Capsule 1.80 - 8.00 3.00

174. Clindamycin 150 mg/mL, 2 mL Ampule

78.00 - 361.70 91.00

175. Clindamycin 150 mg/mL, 4 mL Ampule

49.77 - 300.00 78.67

176. Clindamycin 300 mg Capsule 2.10 - 10.80 5.50

177. Clindamycin 75 mg/5 mL, 60 mL Suspension

175.00 - 424.00 353.89

178. Clobetasol Cream 0.05%, 5 g Tube 50.00 - 165.00 75.00

179. Clobetasol Ointment 0.05%, 5 g Tube

48.32 - 95.00 59.16

180. Clonazepam 2 mg Tablet 3.00 - 10.52 7.80

181. Clonidine 150 mcg Tablet 5.79 - 23.00 15.19

182. Clonidine 150 mcg/mL, 1 mL Ampule

16.44 - 168.00 95.04

183. Clonidine 75 mcg Tablet 1.19 - 53.57 5.22

184. Clopidogrel 75 mg Tablet 0.98 - 19.77 1.26

185. Cloxacillin (as Sodium) 250 mg/5 mL, 60 mL Bottle

18.50 - 66.00 30.13





186. Cloxacillin (as Sodium) 500 mg Capsule

2.10 - 12.00 2.96

187. Clozapine 100 mg Tablet 5.95 - 32.88 7.85

188. Clozapine 25 mg Tablet 7.45 - 16.87 13.00

189. Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 200 mg + 28.5 mg/5 mL, 70 mL Suspension

105.00 - 218.00 115.76

190. Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 400 mg + 57 mg/5 mL, 70 mL Suspension

119.00 - 312.60 195.00

191. Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 500 mg + 125 mg Tablet

5.99 - 26.00 7.98

192. Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 875 mg + 125 mg Tablet

11.00 - 11.00 11.00

193. Colchicine 500 mcg Tablet 0.99 - 3.08 2.25

194. Colistin 2,000,000 IU Lyophilized Powder

1,665.00 - 2,400.00 1,665.00

195. Combined Amino Acids Sorbitol 500 mL Bottle

549.88 - 723.06 636.47

196. Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 200 mg + 40 mg/5 mL, 70 mL Suspension

18.00 - 23.00 18.00

197. Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 400 mg + 80 mg Tablet

0.75 - 1.05 0.75

198. Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 400 mg + 80 mg/5 mL, 60 mL Suspension

17.75 - 570.00 37.00

199. Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 800 mg+160 mg Tablet

1.05 - 4.00 2.00

200. Cyclophosphamide 1 g powder Vial 185.00 - 298.00 250.00

201. Cyclophosphamide 500 mg powder Vial

125.00 - 198.00 150.00





202. Cytarabine 100 mg/mL, 1 mL Vial 113.00 - 123.20 113.00

203. Cytarabine 100 mg/mL, 10 mL Vial 118.00 - 1,050.00 118.00

204. Cytarabine 100 mg/mL, 5 mL Vial 115.75 - 376.88 115.75

D

205. Dacarbazine 200 mg Vial 400.00 - 679.00 400.00

206. Daclatasvir 60 mg film-coated Tablet

- 114.29*

207. Dactinomycin (Actinomycin D) 500mcg powder Vial

400.00 - 424.00 400.00

208. Deferasirox 250 mg Dispersible Tablet

674.52 - 674.52 674.52

209. Deferiprone 500 mg Tablet 85.00 - 343.95 85.00

210. Deferoxamine 500 mg Vial 183.32

211. Dexamethasone 4 mg Tablet 7.00 - 26.67 22.30

212. Dexamethasone 4 mg/mL, 2 mL Ampule

6.89 - 70.00 11.72

213. Dexamethasone 4 mg/mL, 2 mL Vial 16.88 - 70.00 25.00

214. Dexamethasone 5 mg/mL,1 mL Ampule

28.00 - 95.00 49.00

215. Dextran, High Molecular Weight (Dextran 70) 6%, Dextran 70 in 0.9% NaCl 500 mL Bottle

420.00 - 600.00 420.00

216. Dextran, High Molecular Weight (Dextran 70) 6%, Dextran 70 in 5% Dextrose 500 mL Bottle

535.00 - 1,480.00 535.00

217. Diazepam 5 mg Tablet 8.60 - 9.88 9.29

218. Diazepam 5 mg/mL, 2 mL Ampule 60.67 - 138.45 78.44

219. Diclofenac 25 mg/mL, 3 mL Ampule 5.38 - 45.00 14.27

220. Diclofenac 50 mg Tablet 0.32 - 2.00 0.75

221. Dicycloverine (Dicyclomine) 10 mg Tablet

0.24 - 4.00 0.48

222. Dicycloverine (Dicyclomine) 10 mg/5 mL, 60 mL Syrup

10.80 - 68.00 14.65

223. Diethylcarbamazine Citrate 50 mg Tablet

- 0.30*





224. Digoxin 250 mcg Tablet 3.10 - 8.00 4.04

225. Digoxin 250 mcg/mL, 2 mL Ampule 85.00 - 549.40 115.17

226. Digoxin 50mcg/mL, 60mL Elixir 113.44 - 716.22 113.44

227. Diloxanide (as furoate) 500 mg Tablet

- 18.00*

228. Diltiazem 60 mg Tablet 3.10 - 10.95 3.10

229. Diphenhydramine (as Hydrochloride) 12.5 mg/ 5 mL, 60 mL Syrup

11.80 - 85.00 17.90

230. Diphenhydramine (as Hydrochloride) 25 mg Capsule

1.05 - 25.00 1.10

231. Diphenhydramine (as Hydrochloride) 50 mg Capsule

0.70 - 4.00 1.10

232. Diphenhydramine (as Hydrochloride) 50 mg/mL, 1 mL Ampule

0.60 - 132.85 21.89

233. Dobutamine 2 mg/mL, 250 mL D5W Pre-mixed

350.00 - 980.00 848.41

234. Dobutamine 50 mg/mL, 5 mL Ampule

75.00 - 510.51 155.85

235. Docetaxel 20 mg/0.5 mL, 0.5 mL Vial

789.00 - 1,900.00 899.00

236. Docetaxel 20 mg/mL, 1 mL Vial 984.75 - 1,189.00 984.75

237. Docetaxel 40 mg/mL, 2 mL Vial 1,345.00 - 3,968.88 2,545.25

238. Domperidone 1 mg/mL, 60 mL Suspension

62.00 - 188.88 98.50

239. Domperidone 10 mg Tablet 0.90 - 5.00 1.50

240. Donepezil Hydrochloride 10 mg Tablet

18.00 - 60.00 51.50

241. Donepezil Hydrochloride 5 mg Tablet

10.00 - 63.00 18.00

242. Dopamine 1.6 mg/mL, 250 mL D5W Pre-mixed

334.12 - 1,250.00 375.00

243. Dopamine 40 mg/mL, 5 mL Ampule 24.88 - 235.00 39.09

244. Dopamine 40 mg/mL, 5 mL Vial 32.33 - 110.00 42.12





245. Dopamine 800 mcg/mL, 250 mL D5W Pre-mixed

288.00 - 427.88 334.11

246. Dorzolamide 2%, 5 mL Vial 782.25 - 886.55 782.25

247. Doxorubicin 10 mg powder Vial 147.75 - 185.00 147.75

248. Doxorubicin 2 mg/mL, 25 mL Vial 396.00 - 1,500.00 485.00

249. Doxorubicin 2 mg/mL, 5 mL Vial 152.88 - 401.00 158.50

250. Doxorubicin 50 mg powder Vial 430.00 - 675.88 502.50

251. Doxycycline (as Hyclate) 100 mg Capsule

0.99 - 15.00 3.95

252. Dydrogesterone 10 mg Tablet 43.26 - 122.00 43.26

E

253. Efavirenz 600 mg Tablet - 8.43*

254. Enalapril 20 mg Tablet 4.88 - 12.38 9.00

255. Enalapril 5 mg Tablet 2.50 - 8.71 4.06

256. Enoxaparin 100 mg/mL, 0.4 mL Pre-filled syringe

187.33 - 740.00 218.00

257. Enoxaparin 100 mg/mL, 0.6 mL Pre-filled syringe

242.32 - 972.00 320.00

258. Enteral Nutrition - Adult Polymeric 400 g Can

191.00 - 200.00 195.50

259. Eperisone Hydrochloride 50 mg Tablet

9.50 - 85.00 12.00

260. Ephedrine 50 mg/mL, 1 mL Ampule 76.75 - 85.00 76.75

261. Epinephrine 1 mg/mL, 1 mL Ampule 15.44 - 898.00 23.34

262. Epirubicin 10 mg Vial 637.00 - 668.00 637.00

263. Epirubicin 50 mg Vial 2,490.00 - 2,800.00 2,677.50

264. Epoetin Alfa (recombinant human erythropoietin) 10,000 IU/mL Pre-filled syringe

1,310.00 - 1,548.00 1,310.00

265. Epoetin Alfa (recombinant human erythropoietin) 2000 IU/0.5 mL Pre-filled syringe

298.00 - 420.00 345.00

266. Epoetin Alfa (recombinant human erythropoietin) 4000 IU/0.4 mL Pre-filled syringe

284.34 - 600.00 405.00





267. Epoetin Alfa (recombinant human erythropoietin) 4000 IU/mL, 1 mL Pre-filled Glass Syringe

323.33 - 783.62 323.33

268. Epoetin Alfa (recombinant human erythropoietin) 4000 IU/mL, 1 mL Vial

192.33 - 783.62 192.33

269. Epoetin Beta (recombinant erythropoietin) 5000IU/0.3ml Pre-filled syringe

978.00 - 1,318.00 978.00

270. Ertapenem (as Sodium) 1 g Vial 2,562.71 - 3,088.56 2,562.71

271. Etonogestrel 68 mg subdermal implant

- 650.00*

272. Erythromycin 200 mg/5 mL, 60 mL Suspension

45.00 - 46.00 45.50

273. Erythromycin 500 mg Tablet 3.80 - 12.00 6.50

274. Erythromycin Eye Ointment 0.5%, 3.5 g Tube

92.22 - 180.00 124.44

275. Erythromycin Eye Ointment 0.5%, 5 g Tube

92.22 - 148.28 131.00

276. Escitalopram (as Oxalate) 10 mg Tablet

2.98 - 220.00 3.48

277. Esmolol 10 mg/mL, 10 mL Vial 436.75 - 873.44 436.75

278. Esmolol 100 mg/mL, 10 mL Vial 522.33 - 793.85 522.33

279. Ethambutol Hydrochloride 400 mg Tablet

2.59 - 3.62 3.43

280. Ethinylestradiol + Levonorgestrel 30 mcg + 150 mcg Cycle

- 30.00*

281. Etoposide 20 mg/mL, 5 mL Ampule 307.00 - 338.30 307.00

282. Etoposide 20 mg/mL, 5 mL Vial 219.00 - 360.00 347.50

F

283. Famotidine 10 mg/mL, 2 mL Ampule 131.11 - 212.34 131.11

284. Famotidine 10 mg/mL, 2 mL Vial 129.22 - 131.00 129.22

285. Famotidine 20 mg Lyophilized Powder Vial

121.88 - 249.88 121.88

286. Felodipine 5 mg MR Tablet 7.00 - 13.08 8.60





287. Fenofibrate 160 mg Tablet 9.63 - 29.75 27.05

288. Fenofibrate 200 mg Capsule 6.52 - 14.00 13.00

289. Fentanyl 50mcg/mL, 10mL Ampule 210.00 - 380.00 210.00

290. Fentanyl 50mcg/mL, 2mL Ampule 31.33 - 188.33 56.56

291. Ferrous Salt (equiv. to 15 mg elemental iron/0.6 mL), 15 mL Drops

16.50 - 35.00 21.00

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

13.16 - 26.90 13.16

293. Ferrous Salt equiv. to 60 mg elemental iron Tablet

0.90 - 2.80 2.00

294. Ferrous Sulfate + Folic Acid 60 mg elemental iron + 400 mcg folic acid Capsule

0.69 - 5.00 0.75

295. Ferrous Sulfate + Folic Acid 60 mg elemental iron + 400 mcg folic acid Film coated tablet

0.51 - 0.78 0.51

296. Ferrous Sulfate + Folic Acid 60 mg elemental iron + 400 mcg folic acid Tablet

0.49 - 3.12 0.67

297. Filgrastim 150 mcg/0.6 mL Vial 1,000.00 - 1,076.00 1,000.00

298. Filgrastim 300 mcg/0.5 mL Pre-filled syringe

834.33 - 2,500.00 1,100.00

299. Filgrastim 300 mcg/1.2 mL Vial 799.00 - 2,990.80 1,190.00

300. Filgrastim 300 mcg/mL Vial 744.23 - 1,380.00 1,026.69

301. Finasteride 5 mg Tablet 5.20 - 25.00 8.10

302. Fluconazole 150 mg Capsule 10.00 - 225.00 70.00

303. Fluconazole 2 mg/mL, 100 mL Vial 111.32 - 4,349.77 336.77



306. Fluorouracil 50 mg/mL, 10 mL Ampule

69.00 - 79.00 75.00

307. Fluorouracil 50 mg/mL, 10 mL Vial 69.00 - 100.00 75.00

308. Fluoxetine 20 mg Capsule 4.11 - 30.40 23.75

309. Flupentixol 20 mg/mL, 1 mL Ampule 344.00 - 386.93 344.00





310. Fluphenazine (as Decanoate) 25 mg/mL, 1 mL Ampule

63.22 - 89.77 82.22

311. Fluphenazine (as Decanoate) 25 mg/mL, 10 mL Vial

84.95 - 120.00 84.95

312. Fluticasone + Salmeterol 125 mcg + 25 mcg x 120 doses Metered Dose Inhaler

170.00 - 350.00 220.50

313. Fluticasone + Salmeterol 250 mcg + 25 mcg x 120 doses Metered Dose Inhaler

219.00 - 510.00 319.50

314. Fluticasone + Salmeterol 250 mcg + 50 mcg x 60 doses Dry Powder Inhaler

386.02 - 895.00 428.00

315. Fluticasone + Salmeterol 500 mcg + 50 mcg x 60 doses Dry Powder Inhaler

463.98 - 463.98 463.98

316. Fluticasone + Salmeterol 50mcg + 25mcg x 120 doses Metered Dose Inhaler

135.00 - 175.00 161.05

317. Fluticasone 0.05% dose x 120 doses Nasal Aqueous Solution

247.79 - 247.79 247.79

318. Fluticasone 125 mcg/dose x 120 doses Metered Dose Inhaler

178.90 - 272.88 215.82

319. Fluticasone 50 mcg/dose x 120 doses Metered Dose Inhaler

160.88 - 430.00 160.88

320. Folic Acid 400 mcg Tablet 0.62 - 5.00 0.62

321. Folic Acid 5 mg Capsule 2.42 - 5.10 3.15

322. Folic Acid 5 mg Tablet 1.50 - 9.00 3.20

323. Fondaparinux 2.5 mg/0.5 mL Solution

1,100.00 - 3,700.00 1,100.00

324. Formoterol 12 mcg dry powder for inhalation

- 17.16

325. Fosfomycin 3 g Sachet 400.00 - 439.00 429.00

326. Furosemide 10 mg/mL, 2 mL Ampule

4.00 - 36.90 6.43





327. Furosemide 20 mg Tablet 0.57 - 2.00 1.30

328. Furosemide 40 mg Tablet 0.50 - 3.00 1.80

329. Fusidate Sodium/Fusidic Acid Cream 2%, 5 g Tube

45.44 - 183.88 65.83

330. Fusidate Sodium/Fusidic Acid Ointment 2%, 15 g Tube

121.00 - 650.00 121.00

G

331. Gabapentin 100 mg Capsule 4.85 - 25.00 5.90

332. Gabapentin 300 mg Capsule 4.00 - 21.13 6.78

333. Gadobutrol 1.0 mmol/mL, 15 mL Vial

2,550.00 - 5,500.00 2,550.00

334. Gadobutrol 1.0 mmol/mL, 5 mL Pre-filled syringe

2,000.00 - 3,600.00 2,000.00

335. Gadoteric Acid 0.5 mmol/mL, 10 mL Vial

2,200.00 - 2,700.00 2,200.00

336. Ganciclovir (as sodium) 500 mg vial - 1,826.47

337. Gemcitabine 1 g Vial 1,199.00 - 2,995.00 2,418.50

338. Gemcitabine 200 mg Vial 567.00 - 828.00 652.50

339. Gentamicin 40 mg/mL, 2 mL Ampule

2.98 - 40.00 3.99

340. Gentamicin 40 mg/mL, 2 mL Vial 4.39 - 38.25 17.66

341. Gliclazide 30 mg MR Tablet 1.59 - 3.50 2.50

342. Gliclazide 60 mg MR Tablet 7.06 - 14.90 10.60

343. Gliclazide 80 mg Tablet 2.02 - 5.55 3.20

344. Glucose (Dextrose) 50%, 50 mL Vial 26.00 - 65.00 35.50

345. Glyceryl Trinitrate (Nitroglycerine) 1 mg/mL, 10 mL Ampule

428.88 - 1,500.00 500.88

346. Goserelin (as acetate) 3.6 mg depot solution, pre-filled syringe

- 4,613.06

347. Goserelin (as acetate)10.8 mg depot solution, pre-filled syringe

- 15,767.24

H

348. Haloperidol 5 mg Tablet 2.89 - 12.00 3.98

349. Haloperidol 5 mg/mL, 1 mL Ampule 325.00 - 731.50 479.88





350. Haloperidol 50 mg/mL, 1 mL Ampule

435.00 - 450.00 442.50

351. Heparin (as Sodium) 1000 IU/mL, 5 mL Vial

39.89 - 137.35 44.78

352. Heparin (as Sodium) 5000 IU/mL, 5 mL Vial

114.34 - 220.80 148.88

353. Human Recombinant Tissue Type Plasminogen-Activator (Alteplase) 50 mg powder

- 30,536.02

354. Hydralazine 20 mg/mL, 1 mL Ampule

16.22 - 232.65 34.96

355. Hydrochlorothiazide 25 mg Tablet 2.92 - 4.00 3.00

356. Hydrocortisone 100 mg powder, Vial 4.58 - 150.00 21.26

357. Hydrocortisone 125 mg/mL, 2 mL Vial

20.34 - 385.00 67.42

358. Hydrocortisone 250 mg powder, Vial 31.00 - 210.00 53.44

359. Hydrocortisone 50 mg/mL, 2 mL Vial 16.22 - 150.00 49.83

360. Hydrocortisone Cream 1%, 5 g Tube

98.00 - 150.00 117.20

361. Hydrogen Peroxide 3%, 120 mL Bottle

13.00 - 38.00 25.00

362. Hydroxychloroquine 200 mg Tablet 40.00 - 44.90 40.00

363. Hydroxyethyl Starch 6%, 500 mL Bottle

290.00 - 784.60 401.74

364. Hydroxyurea 500 mg Capsule 14.97 - 26.00 18.96

365. Hydroxyzine 25 mg Tablet 18.00 - 65.00 18.25

366. Hyoscine (as N-butyl bromide) 10 mg Tablet

3.39 - 12.00 4.61

367. Hyoscine (as N-butyl bromide) 20 mg/mL, 1 mL Ampule

10.98 - 63.00 21.64

368. Hyoscine (as N-butyl bromide) 5 mg/5 mL, 60 mL Syrup

20.00 - 45.00 20.00

369. Hypromellose Eye Drops Solution 5 mg/mL, 10 mL Bottle

175.00 - 195.00 175.00





370. Hypromellose Ophthalmic Solution 0.3%, 10 mL Bottle

150.00 - 315.00 150.00

I

371. I.V. Fluids, 0.9% Sodium Chloride 1 L Bottle

23.70 - 90.00 33.27

372. I.V. Fluids, 0.9% Sodium Chloride 1 L Soln for irrigation Bottle

36.00 - 90.00 39.80

373. I.V. Fluids, 0.9% Sodium Chloride 100 mL Bag

54.50 - 64.50 62.09

374. I.V. Fluids, 0.9% Sodium Chloride 100 mL Bottle

23.44 - 65.50 64.50

375. I.V. Fluids, 0.9% Sodium Chloride 20 mL Ampule

18.00 - 30.00 23.50


18.76 - 40.00 21.33


21.10 - 90.00 37.24

378. I.V. Fluids, 10% Dextrose in Water 1 L Bottle

39.00 - 49.88 39.00

379. I.V. Fluids, 10% Dextrose in Water 500 mL Bottle

27.77 - 54.00 37.50

380. I.V. Fluids, 5% Dextrose in 0.3% Sodium Chloride 1 L Bottle

21.33 - 81.31 39.98

381. I.V. Fluids, 5% Dextrose in 0.3% Sodium Chloride 500 mL Bottle

25.98 - 75.00 34.98

382. I.V. Fluids, 5% Dextrose in 0.9% Sodium Chloride 1 L Bottle

30.23 - 90.00 39.94

383. I.V. Fluids, 5% Dextrose in 0.9% Sodium Chloride 500 mL Bottle

27.25 - 116.48 34.72

384. I.V. Fluids, 5% Dextrose in Lactated Ringer's 1 L Bottle

27.70 - 90.00 37.93

385. I.V. Fluids, 5% Dextrose in Lactated Ringer's 500 mL Bottle

27.40 - 118.72 43.89

386. I.V. Fluids, 5% Dextrose in Water 1 L Bottle

31.20 - 90.00 40.88


33.88 - 99.77 69.45






26.78 - 81.00 36.22

389. I.V. Fluids, 5% Dextrose in Water 500 mL Glass Bottle

75.00 - 115.00 76.92

390. I.V. Fluids, Balanced Multiple Maintenance Solution with 5% Dextrose for Adult 1 L Bottle

30.50 - 69.78 41.23

391. I.V. Fluids, Balanced Multiple Maintenance Solution with 5% Dextrose for Pedia 500 mL Bottle

28.30 - 81.00 34.66

392. I.V. Fluids, Balanced Multiple Replacement Solution with 5% Dextrose 1 L Bottle

34.00 - 40.50 35.00

393. I.V. Fluids, Balanced Multiple Replacement Solution with 5% Dextrose 500 mL Bottle

30.50 - 45.00 38.98

394. I.V. Fluids, Lactated Ringer's Solution 1 L Bottle

29.20 - 72.00 38.50

395. I.V. Fluids, Lactated Ringer's Solution 500 mL Bottle

31.22 - 59.88 34.00

396. Ibuprofen 100 mg/5 mL, 60 mL Bottle

21.89 - 110.00 36.34

397. Ibuprofen 200 mg Tablet 0.82 - 4.80 0.94

398. Ibuprofen 200 mg/5 mL, 60 mL Bottle

41.20 - 105.86 65.15

399. Ibuprofen 400 mg Tablet 0.84 - 5.10 1.11

400. Idarubicin 5 mg Vial 6,531.74 - 7,041.50 6,531.74

401. Ifosfamide 1 g Vial 1,100.00 - 1,625.00 1,350.00

402. Immunoglobulin, Antithymocyte (ATG) (rabbit) 25 mg/5 mL vial

- 13,108.61

403. Immunoglobulin, Hepatitis B (human) 0.5 mL Vial

1,122.00 - 1,930.00 1,435.67

404. Immunoglobulin, Normal, Human (IGIV) 5 g freeze-dried powder + 100 mL diluent vial Bottle

10,208.00 - 10,500.00

10,208.00





405. Immunoglobulin, Normal, Human (IGIV) 50 mg/mL, 10 mL Vial

1,600.00 - 16,000.00 9,650.00


9,625.00 - 11,720.00 9,999.00


4,236.00 - 6,977.43 4,650.00

408. Immunoglobulin, Rabies (human) 150 IU/mL, 2 mL Ampule

2,758.93 - 5,500.00 2,758.93

409. Immunoglobulin, Rabies (human) 150 IU/mL, 2 mL Vial

3,000.00 - 4,250.00 3,000.00

410. Immunoglobulin, Tetanus (Human) 250 IU/mL, 1 mL Ampule

700.00 - 710.00 700.00

411. Immunoglobulin, Tetanus (Human) 250 IU/mL, 1 mL Pre-filled syringe

480.00 - 914.28 480.00

412. Immunoglobulin, Tetanus (Human) 250 units/mL, 1 mL Vial

616.07 - 1,050.45 700.00

413. Indacaterol (as maleate) + glycopyrronium (as bromide) 110 mcg/50 mcg powder Hard Capsule

62.48 - 69.42 62.48

414.

Insulin, Biphasic Isophane Human 70/30 (recombinant DNA) 70% isophane suspension + 30% soluble insulin in 100 IU/mL, 10 mL Vial

79.00 - 425.00 105.00

415.

Insulin, Biphasic Isophane Human 70/30 (recombinant DNA) 70% isophane suspension + 30% soluble insulin in 100 IU/mL, 3 mL Disposable Syringe

89.00 - 430.00 89.00

416. Insulin, Isophane Human 100 IU/mL, 10 mL Vial

79.00 - 450.00 107.38

417. Insulin, Regular (Recombinant DNA, human) 100 IU/mL, 10 mL Vial

89.00 - 990.00 109.88

418. Intraocular Irrigating Solution (balanced salt solution) 500 mL Bottle

390.00 - 500.00 390.00

419. Iohexol 300 mg iodine/mL, 50 mL Vial

1,026.80 - 1,428.88 1,088.48






2,080.88 - 2,498.88 2,080.88


1,388.48 - 1,458.00 1,428.88

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

1,305.80 - 1,450.00 1,305.80


672.33 - 1,000.00 768.80


1,310.00 - 2,890.00 1,904.12


888.88 - 1,615.00 1,088.40

426. Iopromide 300 mg/mL equiv. to 623 mg iodine, 50 mL Vial

672.33 - 1,050.00 808.50

427. Iopromide 370 mg/mL equiv. to 769 mg iodine, 50 mL Vial

1,050.00 - 2,302.00 1,475.00

428. Ioversol 636 mg/mL equiv. to 300 mg/mL iodine, 50 mL Vial

1,200.00 - 1,300.00 1,200.00

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

1,300.00 - 1,800.00 1,300.00

430. Ipratropium + Salbutamol 500 mcg + 2.5 mg x 2.5 mL (unit dose) Respiratory Solution

8.60 - 35.00 12.00

431. Ipratropium 250 mcg/mL, 2 mL (unit dose) Respiratory Solution

55.00 - 79.70 75.00

432. Irbesartan + Hydrochlorothiazide 150 mg + 12.5 mg Tablet

8.30 - 23.73 9.19

433. Irbesartan 150 mg Tablet 0.32 - 19.40 3.88

434. Irbesartan 300 mg Tablet 6.03 - 29.40 7.29

435. Irinotecan 100 mg/5 mL concentrate Vial

2,878.00 - 3,308.00 2,878.00

436. Iron Sucrose 20 mg/mL, 5 mL Ampule

92.33 - 200.00 114.51

437. Isoflurane 100 mL Bottle 583.44 - 2,877.82 1,388.34

438. Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75 mg + 150 mg + 400 mg + 275 mg Tablet

3.84 - 11.00 7.63





439. Isoniazid + Rifampicin 75 mg + 150 mg Tablet

6.00 - 563.00 9.25

440. Isoniazid 200 mg/5 mL, 120 mL Syrup

58.00 - 138.00 71.94

441. Isoniazid 300 mg Tablet 1.20 - 2.93 1.20

442. Isosorbide Dinitrate 1 mg/mL, 10 mL Ampule

131.78 - 544.01 131.78

443. Isosorbide Dinitrate 10 mg Tablet 3.00 - 19.05 9.00

444. Isosorbide Dinitrate 5 mg Sublingual Tablet

7.00 - 10.00 8.25

445. Isosorbide-5-Mononitrate 30 mg MR Tablet

5.70 - 17.00 8.30

446. Isosorbide-5-Mononitrate 60 mg MR Tablet

6.00 - 12.00 7.15

447. Isotonic Electrolyte Sodium Chloride 1 L Bottle

120.00 - 220.00 120.00

448. Isoxsuprine Hydrochloride 10 mg Tablet

2.98 - 16.00 6.17

449. Isoxsuprine Hydrochloride 5 mg/mL, 2 mL Ampule

81.00 - 269.36 156.00

450. Itraconazole 100 mg Capsule 32.40 - 65.00 32.40

K

451. Ketamine 50 mg/mL, 10 mL Vial 378.32 - 1,304.10 378.32

452. Ketoconazole 2%, 15 g aluminum tube

42.00 - 155.00 72.00

453. Ketorolac 30 mg/mL, 1mL Ampule 9.77 - 92.30 14.70

L

454. Lactulose 3.3 g/5 mL, 120 mL Syrup 56.00 - 420.00 87.44

455. Lagundi 300 mg Tablet 1.20 - 3.00 1.70

456. Lagundi 300 mg/5 mL, 120 mL Syrup

41.28 - 82.50 71.22

457. Lagundi 300 mg/5 mL, 60 mL Syrup 35.70 - 125.00 49.50

458. Lagundi 600 mg Tablet 1.80 - 3.36 2.90

459. Lamivudine + Efavirenz + Tenofovir 300 mg + 600 mg + 300 mg Tablet

- 13.83*

Adjusted HPR Flexibility for GIDA based on MWP plus VAT * The Reference Price was based on the DOH COBAC Procurement Price 2019 Health facilities may have a price variation up to 10% above the DPRI to account for inflation




460. Lynestrenol 500 mcg tablet cycle - 40.00*

461. Lamivudine + Tenofovir 300 mg + 300 mg Tablet

- 10.04*

462. Lamivudine + Zidovudine 150 mg + 300 mg Tablet

- 6.35*

463. Lamotrigine 100 mg Tablet 7.42 - 27.00 22.00

464. Lamotrigine 50 mg Tablet 5.37 - 17.00 13.00

465. Lansoprazole 30 mg Capsule 14.50 - 18.00 17.00

466. L-Asparaginase 10,000 IU Vial 1,180.00 - 1,888.00 1,180.00

467. Latanoprost 50mcg/mL, 2.5mL Bottle

200.00 - 900.00 785.00

468. Letrozole 2.5 mg Tablet 30.00 - 55.00 49.80

469. Leuproreline 11.25 mg powder depot solution Vial + Syringe

11,319.00 - 11,678.00

11,319.00

470. Levetiracetam 100 mg/mL, 300 mL Bottle

1,538.38 - 1,538.38 1,538.38

471. Levetiracetam 500 mg Film coated tablet

10.20 - 14.98 10.25

472. Levetiracetam 500 mg/5 mL Vial 1,500.00 - 2,088.00 1,735.00

473. Levodopa + Carbidopa 100 mg + 25 mg Tablet

15.00 - 21.00 16.80

474. Levodopa + Carbidopa 250 mg + 25 mg Tablet

23.85 - 48.00 25.25

475. Levofloxacin 5 mg/mL (0.5% w/v) Bottle

300.00 - 373.60 300.00

476. Levofloxacin 5 mg/mL,100 mL Vial 67.33 - 1,050.00 104.88

477. Levofloxacin 5 mg/mL, 150 mL Vial - 1,356.00●

478. Levofloxacin 500 mg Tablet 3.75 - 52.30 8.00

479. Levofloxacin 750 mg Tablet 11.22 - 61.09 21.55

480. Levothyroxine 100 mcg Tablet 5.00 - 8.08 6.38

481. Levothyroxine 150 mcg Tablet 9.90 - 11.00 10.31

482. Levothyroxine 50mcg Tablet 2.50 - 4.55 3.25

483. Lidocaine 10%, 50 mL Spray 1,969.30 - 2,461.62 1,969.30

* The Reference Price was based on the DOH COBAC Procurement Price 2019 ● The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost) Health facilities may have a price variation up to 10% above the DPRI to account for inflation




484. Lidocaine 2%, 1.8mL w/ epinephrine Carpule

15.10 - 24.08 19.00

485. Lidocaine 2%, 20 mL Ampule 21.00 - 30.00 21.00

486. Lidocaine 2%, 5 mL Ampule 7.48 - 47.75 9.34

487. Lidocaine 2%, 50 mL Vial 21.00 - 65.00 39.00

488. Linezolid 600 mg Tablet 3,572.00 - 3,700.00 3,572.00

489. Lipids 10%, 500 mL Bottle 600.00 - 850.00 600.00

490. Lipids 20%, 100 mL Bottle 900.00 - 1,080.00 989.00

491. Lipids 20%, 250 mL Bottle 800.00 - 1,100.00 860.00

492. Lithium Carbonate 450 mg MR Tablet

4.33 - 14.52 4.33

493. Loperamide Hydrochloride 2 mg Capsule

0.40 - 2.72 0.56

494. Loratadine 10 mg Tablet 0.84 - 13.44 1.47

495. Loratadine 5 mg/5 mL, 30 mL Syrup 89.00 - 95.00 89.00

496. Losartan + Hydrochlorothiazide 50mg +12.5 mg Tablet

1.20 - 12.33 2.00

497. Losartan 100 mg Tablet 1.75 - 9.00 2.57

498. Losartan 50 mg Tablet 0.65 - 9.85 0.80

M

499. Magnesium Sulfate 250 mg/mL, 10 mL Ampule

33.97 - 108.00 56.76

500. Magnesium Sulfate 250 mg/mL, 10 mL Vial

21.44 - 52.33 32.00

501. Magnesium Sulfate 250 mg/mL, 20 mL Vial

21.00 - 95.00 21.00

502. Magnesium Sulfate 500mg/mL, 2mL Ampule

65.00 - 75.00 65.00

503. Mannitol 20%, 250 mL Bottle 100.00 - 168.00 100.00

504. Mannitol 20%, 500 mL Bottle 45.32 - 157.33 79.88

505. Mebendazole 100 mg/5 mL, 60 mL Suspension

17.00 - 26.00 17.00

506. Mebendazole 500 mg Tablet 2.40 - 2.85 2.45

507. Mecobalamin 500 mcg Tablet 7.90 - 15.19 12.16





508. Mecobalamin 500 mcg/mL, 1 mL Ampule

74.10 - 315.00 200.00

509. Mefenamic Acid 250 mg Capsule 0.55 - 3.08 1.26

510. Mefenamic Acid 250 mg Tablet 2.20 - 2.20 2.20

511. Mefenamic Acid 500 mg Capsule 0.56 - 11.10 1.36

512. Mefenamic Acid 500 mg Tablet 0.61 - 8.00 1.50

513. Mercaptopurine 50 mg Tablet 18.00 - 25.00 18.00

514. Meropenem 1 g Vial 138.00 - 950.00 169.33

515. Meropenem 500 mg Vial 54.85 - 540.00 123.33

516. Mesna 100 mg/mL, 4 mL Ampule 140.00 - 166.00 148.50

517. Metformin Hydrochloride 500 mg Tablet

0.42 - 21.00 0.88

518. Methotrexate 2.5 mg Tablet 8.25 - 8.98 8.79

519. Methotrexate 25 mg/mL, 2 mL Vial 110.00 - 199.00 125.00

520. Methyldopa 250 mg Tablet 5.10 - 19.00 8.50

521. Methylergometrine 200 mcg/mL, 1 mL Ampule

10.75 - 64.89 16.60

522. Methylprednisolone 1 g/16 mL + Diluent Vial

2,050.00 - 3,675.00 2,600.00

523. Methylprednisolone 125 mg/mL, 2 mL + diluent Vial

613.77 - 995.00 613.77

524. Methylprednisolone 16 mg Tablet 6.32 - 42.31 8.50

525. Methylprednisolone 4 mg Tablet 4.20 - 8.52 4.95

526. Methylprednisolone 40 mg (single dose) Vial

172.00 - 669.00 310.00

527. Methylprednisolone 500 mg lyophilized powder Vial

2,186.00 - 2,285.00 2,186.00

528. Methylprednisolone 500 mg/8.0 mL + diluent vial Vial

2,000.00 - 3,796.51 3,000.00

529. Methylprednisolone 500mg/7.7mL + Diluent Vial

1,178.00 - 2,700.00 1,178.00

530. Metoclopramide 10 mg Tablet 0.95 - 8.00 1.90

531. Metoclopramide 5 mg/5 mL, 60 mL Syrup

17.20 - 32.30 23.00





532. Metoclopramide 5 mg/mL, 2 mL Ampule

2.10 - 35.15 3.85

533. Metoprolol (as Tartrate) 100 mg Tablet

1.10 - 4.99 1.89

534. Metoprolol (as Tartrate) 50 mg Tablet

0.48 - 3.00 0.98

535. Metronidazole 125 mg/5 mL, 60 mL Suspension

3.00 - 62.00 24.00

536. Metronidazole 5 mg/mL, 100 mL Vial

12.39 - 90.00 15.05

537. Metronidazole 500 mg Tablet 0.85 - 20.00 1.56

538. Midazolam 1 mg/mL, 5 mL Ampule 69.00 - 106.90 69.00

539. Midazolam 15 mg Tablet 24.68 - 25.98 24.68

540. Midazolam 5 mg/mL, 3 mL Ampule 85.67 - 215.84 106.45

541. Midazolam 5 mg/mL,1 mL Ampule 19.50 - 220.34 66.80

542.

Modified Fluid Gelatin (Formerly Polymerisate of Degraded Succinylated Gelatin) 4% solution, 500 mL Bottle

515.00 - 942.50 515.00

543. Monobasic Sodium Phosphate, Dibasic Sodium Phosphate 19 g/ 7 g solution per 133 mL Bottle

189.19 - 377.00 197.00

544. Montelukast 10 mg Tablet 3.55 - 13.25 6.95

545. Montelukast 4 mg Chewable Tablet 3.50 - 10.77 6.00

546. Montelukast 4 mg Sachet 4.00 - 7.75 4.00

547. Montelukast 5 mg Chewable Tablet 3.00 - 15.60 7.00

548. Morphine (As Sulfate) 10 mg MR Tablet

- 11.29

549. Morphine (As Sulfate) 10 mg Tablet 21.50 - 35.00 24.24

550. Morphine (As Sulfate) 10 mg/mL,1 mL Ampule

49.94 - 480.00 55.00

551. Morphine (As Sulfate) 30 mg MR Tablet

- 29.32

552. Morphine (As Sulfate) 30 mg Tablet 71.07 - 75.02 71.07





553. Morphine (as sulfate) 60 mg MR tablet

- 78.03

554. Moxifloxacin 5 mg/mL, 5 mL Ophthalmic Solution

453.56 - 458.49 453.56

555. Multivitamins for adults Capsule 0.79 - 8.00 1.31

556. Multivitamins for adults Tablet 0.80 - 5.00 2.25

557. Multivitamins per 1 mL ,15 mL Drops

12.40 - 98.00 18.00

558. Multivitamins per 5 mL, 120 mL Syrup

31.00 - 70.00 50.00

559. Multivitamins per 5 mL, 60 mL Syrup

15.55 - 52.00 20.91

560. Mupirocin Cream 2%, 15 g Tube 46.33 - 164.45 119.11

561. Mupirocin Cream 2%, 5 g Sachet 42.44 - 65.00 46.44

562. Mupirocin Ointment 2%, 15 g Tube 85.00 - 160.00 137.50

563. Mupirocin Ointment 2%, 5 g Tube 38.33 - 160.30 46.44

564. Mycophenolate Mofetil 500 mg Tablet

44.20 - 65.00 57.50

565. Mycophenolic Acid (as Mycophenolate Sodium) 360 mg tablet

- 65.76

N

566. Nalbuphine 10 mg/mL, 1 mL Ampule

44.88 - 103.00 53.44

567. Naloxone 400 mcg/mL, 1 mL Ampule

200.00 - 415.00 272.50

568. Naproxen Sodium 550 mg Tablet 3.38 - 17.00 8.50

569.

Neomycin + Polymyxin B + Fluocinolone Acetonide Ear Drops 3.5 mg neomycin + 10,000 units polymyxin B + 0.025% floucinolone acetonide/mL, 5 mL Bottle

162.00 - 200.00 190.00

570. Neostigmine 500 mcg/mL, 1 mL Ampule

40.00 - 124.34 118.75





571. Neostigmine 500 mcg/mL, 10 mL Vial

72.00 - 131.94 118.00

572. Nevirapine 200 mg Tablet - 3.52*

573. Nicardipine 1 mg/mL, 10 mL Ampule 93.44 - 1,030.85 211.33

574. Nicardipine 1 mg/mL, 2 mL Ampule 64.33 - 390.00 89.22

575. Nifedipine 10 mg Capsule 2.30 - 4.90 3.44

576. Nimodipine 30 mg Tablet - 30.82

577. Norepinephrine (as Bitartate) 2 mg/mL, 4 mL Ampule

986.00 - 1,600.00 986.40

578. Norepinephrine 1 mg/mL, 10 mL Ampule

380.00 - 1,615.00 872.50


77.88 - 280.00 97.33


108.22 - 986.45 183.17

581. Nystatin 100,000 units/mL, 30 mL Suspension

77.00 - 220.00 160.00

O

582. Octreotide 100 mcg/mL, 1 mL Ampule

585.00 - 650.00 650.00

583. Octreotide 500 mcg/mL, 1 mL Ampule

3,841.48 - 4,268.26 3,841.48

584. Ofloxacin 200 mg Tablet 2.54 - 5.00 4.50

585. Ofloxacin Ear Drops 0.3%, 5 mL Bottle

110.00 - 285.49 193.00

586. Ofloxacin Eye Drops 0.3%, 5 mL Bottle

95.00 - 285.49 192.00

587. Olanzapine 10 mg Orodispersible tab

10.00 - 38.00 20.98

588. Olanzapine 10 mg Tablet 2.98 - 83.00 4.25

589. Olanzapine 5 mg Tablet 8.05 - 14.98 8.05

590. Omeprazole 20 mg Capsule 0.70 - 19.20 0.89

591. Omeprazole 40 mg Capsule 3.34 - 97.00 6.86

* The Reference Price was based on the DOH COBAC Procurement Price 2019 The Reference Price was based on the Maximum Wholesale Price (MWP) plus Value-Added-Tax (VAT) (excluded from the maximum 10% inflationary cost) Health facilities may have a price variation up to 10% above the DPRI to account for inflation




592. Omeprazole 40 mg powder vial + 10 mL solvent Ampule

21.78 - 480.60 25.85

593. Ondansetron (as Hydrochloride) 2 mg/mL, 2 mL Ampule

123.60 - 798.00 217.88

594. Ondansetron (as Hydrochloride) 2 mg/mL, 4 mL Ampule

73.44 - 484.00 87.16

595. Ondansetron (as Hydrochloride) 8 mg Tablet

60.00 - 90.00 69.50

596. Oral Rehydration Salts (ORS 75-replacement) 20.5 g Sachet

2.71 - 7.00 4.64

597. Oral Rehydration Salts (ORS 75-replacement) 250 mL Bottle

5.52 - 9.00 5.52


3.39 - 7.50 3.39


3.74 - 5.83 3.74

600. Oral Rehydration Salts (ORS 75-replacement) 75 replacement 2.17 g Sachet

2.76 - 3.40 2.76

601. Oral Rehydration Salts (ORS 75-replacement) 75 replacement Sachet

4.25 - 9.68 4.82

602. Oseltamovir 75 mg Capsule - 40.00*

603. Oxacillin 500 mg Vial 9.49 - 145.15 20.33

604. Oxaliplatin 2 mg/mL, 50 mL Vial 2,095.00 - 2,700.00 2,095.00

605. Oxaliplatin 5 mg/mL concentrate solution, 10 mL Vial

1,159.22 - 3,188.00 1,788.00

606. Oxaliplatin 5 mg/mL concentrate solution, 20 mL Vial

1,787.00 - 3,780.00 2,798.00

607. Oxaliplatin 50 mg powder Vial 1,788.00 - 2,998.00 2,480.00

608. Oxcarbazepine 300 mg Tablet 10.00 - 23.19 14.93

609. Oxycodone (as hydrochloride) + Naloxone (as hydrochloride) 5 mg + 2.5 mg prolonged-released tablet

- 89.71





610. Oxycodone (as hydrochloride) + Naloxone (as hydrochloride) 10 mg + 5 mg prolonged-released tablet

- 81.67

611. Oxycodone (as hydrochloride) + Naloxone (as hydrochloride) 20 mg + 10 mg prolonged-release tablet

- 161.06

612. Oxycodone (as hydrochloride) + Naloxone (as hydrochloride) 40 mg + 20 mg prolonged-release tablet

- 272.76

613. Oxycodone 10 mg Tablet - 129.75

614. Oxycodone 10 mg/mL, 1 mL Ampule

- 618.69

615. Oxycodone 10 mg/mL, 2 mL Ampule

- 1,034.32

616. Oxycodone 20 mg Tablet 286.27 - 321.76 286.27

617. Oxytocin 10 IU/mL, 1 mL Ampule 5.43 - 76.92 7.79

P

618. Paclitaxel 6 mg/mL, 16.7 mL Vial 1,745.00 - 2,488.00 2,076.50

619. Paclitaxel 6 mg/mL, 17 mL Vial 1,040.00 - 5,434.00 1,638.50

620. Paclitaxel 6 mg/mL, 43.4 mL Vial 4,700.00 - 6,879.00 5,000.00

621. Paclitaxel 6 mg/mL, 5 mL Vial 397.32 - 928.88 548.28

622. Paliperidone 100 mg/mL Prolonged release

6,794.00 - 6,794.00 6,794.00

623. Paliperidone 150 mg/1.5 mL Prolonged release

6,794.00 - 6,794.00 6,794.00

624. Paracetamol 10 mg/mL, 100 mL Vial 90.00 - 472.65 133.80

625. Paracetamol 10 mg/mL, 50 mL Vial 217.18 - 363.00 217.18

626. Paracetamol 100 mg/ml, 15 mL Drops

12.50 - 50.00 19.50

627. Paracetamol 120 mg/5 mL (125 mg/5 mL), 60 mL Bottle

13.56 - 65.00 16.00

628. Paracetamol 125 mg Suppository 8.77 - 55.00 19.72

629. Paracetamol 150 mg/mL, 2 mL Ampule

2.98 - 37.10 3.98

630. Paracetamol 250 mg Suppository 17.50 - 58.00 23.94





631. Paracetamol 250 mg/5 mL, 60 mL Bottle

12.50 - 87.04 21.44

632. Paracetamol 500 mg Tablet 0.23 - 2.65 0.40

633. Penicillin G Benzathine (benzathine benzylpenicillin) 1,200,000 units Vial

45.44 - 310.00 49.87

634. Penicillin G Crystalline 1 MU Vial 4.11 - 27.00 7.39

635. Penicillin G Crystalline 5 MU Vial 13.34 - 29.00 16.51

636. Permethrin Lotion 5%, 60 mL Bottle 173.00 - 231.00 173.00

637. Pethidine 50 mg/mL, 2 mL Ampule 148.49 - 253.79 148.49

638. Phenobarbital 30 mg Tablet 3.50 - 8.68 3.80

639. Phenobarbital 60 mg Tablet 4.70 - 8.88 5.10

640. Phenytoin 100 mg Capsule 5.50 - 31.45 10.62

641. Phenytoin 50 mg/mL, 2 mL Ampule 61.29 - 831.50 100.70

642. Phytomenadione 10 mg/mL, 1 mL Ampule

14.00 - 50.00 19.65

643. Piperacillin + Tazobactam 2 g + 250 mg Vial

63.23 - 593.00 83.44

644. Piperacillin + Tazobactam 4 g + 500 mg Vial

89.77 - 976.90 108.50

645. Potassium Chloride 2 mEq/mL, 20 mL Vial

17.21 - 58.00 30.00

646. Potassium Chloride 600 mg Tablet 9.50 - 11.00 11.00

647. Potassium Chloride 750 mg durules (equiv. to approximately 10 mEq) Tablet

5.60 - 22.30 11.63

648. Potassium Citrate 10 mEq Tablet 6.10 - 15.39 8.00

649. Povidone Iodine (Solution) 10%, 1 gallon Bottle

560.00 - 800.00 560.00

650. Povidone Iodine (Surgical Skin Cleanser) 7.5%, 1 gallon Bottle

600.00 - 680.00 620.00

651. Praziquantel 600 mg Tablet - 4.54*

652. Prednisolone Eye Drops 1%, 5 mL Bottle

120.00 - 215.00 165.00

653. Prednisone 10 mg Tablet 0.60 - 4.18 2.44





654. Prednisone 10 mg/5 mL, 60 mL Suspension

54.00 - 390.00 82.86



657. Propofol 10 mg/mL, 20 mL Ampule 46.89 - 510.00 60.00

658. Propofol 10 mg/mL, 20 mL Vial 51.23 - 198.00 65.00

659. Propofol 10 mg/mL, 50 mL Pre-filled syringe

449.00 - 600.00 528.00

660. Propofol 10 mg/mL, 50 mL Vial 299.88 - 659.00 445.00

661. Propranolol 10 mg Tablet 0.56 - 19.00 6.38

662. Propranolol 40 mg Tablet 1.00 - 24.00 10.00

663. Propylthiouracil 50 mg Tablet 8.82 - 18.00 8.82

664. Pyrazinamide 250 mg/5 mL, 120 mL Suspension

35.00 - 86.22 83.00

Q

665. Quetiapine (as Fumarate) 100 mg Tablet

21.00 - 88.88 30.00


24.50 - 38.95 30.92


12.00 - 30.00 17.78


44.00 - 480.00 53.00

R

669. Ranitidine 150 mg Tablet 0.62 - 10.00 0.80

670. Ranitidine 25 mg/mL, 2 mL Ampule 2.60 - 57.65 3.68

671. Ranitidine 300 mg Tablet 1.60 - 2.75 2.10

672. Remifentanil 1 mg Lyophilized powder

- 1,500.00●

673. Remifentanil 2 mg Lyophilized powder

- 3,000.00●

674. Retinol (vitamin A) (as palminate) 100,000 IU soft gel Capsule

- 1.24*

● The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost) * The Reference Price was based on the DOH COBAC Procurement Price 2019 Health facilities may have a price variation up to 10% above the DPRI to account for inflation




675. Rifampicin 200 mg/5 mL, 120 mL Suspension

135.00 - 200.00 172.70

676. Rifaximin 200 mg Tablet 63.20 - 89.95 63.20

677. Risperidone 1 mg Tablet 2.50 - 12.04 7.67

678. Risperidone 2 mg Orodispersible tab

2.49 - 38.00 33.00



681. Rituximab 10 mg/mL, 10 mL vial - 10,957.79

682. Rituximab 10 mg/mL, 50 mL Vial - 53,394.20

683. Rocuronium 10 mg/mL, 5 mL Ampule

158.88 - 305.71 160.00

684. Rocuronium 10 mg/mL, 5 mL Vial 152.05 - 728.00 160.00

685. Ropivacaine 10 mg/mL, 10 mL Ampule

383.66 - 404.95 383.66

686. Rosuvastatin (as Calcium) 10 mg Tablet

2.34 - 21.00 4.45

687. Rosuvastatin (as Calcium) 20 mg Tablet

4.20 - 26.47 6.70

S

688. Sacubtril/Valsartan 200 mg Tablet - 56.25●

689. Sacubitril/Valsartan 100 mg Tablet 56.25 - 56.25 56.25●

690. Sacubitril/Valsartan 50 mg Tablet 56.25 - 56.25 56.25●

691. Salbutamol 1 mg/mL, 2.5 mL (unit dose) Nebule

4.11 - 18.00 6.17

692. Salbutamol 100 mcg/dose x 200 doses Breath Actuated MDI

69.88 - 80.29 69.88

693. Salbutamol 100 mcg/dose x 200 doses Metered Dose Inhaler

68.98 - 128.50 83.89

694. Salbutamol 2 mg/5mL, 60 mL Syrup 10.00 - 53.85 15.84

695. Salbutamol 2 mg/mL, 2.5 mL (unit dose) Nebule

6.43 - 11.50 7.70

696. Sambong 500 mg Tablet 3.40 - 7.00 5.27

The Reference Price was based on the Maximum Wholesale Price (MWP) plus Value-Added-Tax (VAT) (excluded from the maximum 10% inflationary cost) ● The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost) Health facilities may have a price variation up to 10% above the DPRI to account for inflation




697. Sertraline 50 mg Tablet 6.00 - 44.00 7.20

698. Serum, Anti-rabies (equine) 200 IU/mL, 5 mL Vial

731.00 - 1,452.00 1,188.00

699. Serum, Anti-tetanus (ATS) (equine) 1500 IU/0.7 mL, 0.7 mL Ampule

44.33 - 79.77 58.31

700. Serum, Anti-tetanus (ATS) (equine) 1500 IU/mL, 1 mL Ampule

50.50 - 83.58 59.00

701. Serum, Anti-tetanus (ATS) (equine) 1500 IU/mL, 1 mL Vial

53.44 - 70.00 53.44

702. Sevelemer Carbonate 800 mg Tablet

- 38.79

703. Sevelemer Carbonate 800 mg powder for Suspension

- 87.00●

704. Sevoflurane 250 mL Bottle 4,128.33 - 5,103.22 5,123.33

705. Silver Sulfadiazine Cream 1%, 25 g Tube

33.88 - 115.00 72.83

706. Silver Sulfadiazine Cream 1%, 500 g Jar

840.00 - 1,788.00 895.00

707. Simvastatin 20 mg Tablet 0.72 - 6.00 1.10

708. Simvastatin 40 mg Tablet 2.16 - 8.50 4.00

709. Sirolimus 0.5 mg tablet - 153.41

710. Sirolimus 1 mg Tablet - 208.01

711. Sodium Bicarbonate 1 mEq/ mL, 20 mL Ampule

79.88 - 150.00 104.95

712. Sodium Bicarbonate 1 meq/mL, 50 mL Ampule

101.94 - 210.00 107.50

713. Sodium Bicarbonate 1 meq/mL, 50 mL Vial

54.00 - 129.31 54.00

714. Sodium Bicarbonate 650 mg Tablet 0.95 - 1.32 1.00

715. Sodium Chloride 2.5 mEq/mL, 20 mL Vial

28.00 - 65.00 36.85

716. Sodium Hyaluronate 1 mg/mL, 5 mL Ophthalmic Solution

138.00 - 271.20 211.13

The Reference Price was based on the Maximum Wholesale Price (MWP) plus Value-Added-Tax (VAT) (excluded from the maximum 10% inflationary cost) ● The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost) Health facilities may have a price variation up to 10% above the DPRI to account for inflation




717. Sofosbuvir 400 mg Tablet - 153.57*

718. Sofosbuvir + Ledipasvir 400 mg + 90 mg Tablet

- 231.74*

719. Somatostatin 250 mcg Ampule 638.00 - 859.20 798.00

720. Somatostatin 3 mg Ampule 4,796.10 - 4,828.00 4,796.10

721. Somatostatin 3 mg Vial 4,263.20 - 5,062.55 4,796.10

722. Spironolactone 25 mg Tablet 1.79 - 22.00 9.78

723. Spironolactone 50 mg Tablet 23.74 - 35.28 24.96

724. Standard Senna Concentrate 187 mg Tablet

7.00 - 9.06 7.00

725. Sterile Water For injection 1 L Bottle 34.00 - 70.00 34.00

726. Sterile Water For injection 10 mL Ampule

10.50 - 11.50 10.50

727. Sterile Water For injection 100 mL Bottle

17.23 - 54.60 44.73


14.80 - 53.79 20.17


18.78 - 96.00 18.78

730. Streptokinase 1,500,000 IU Vial 3,468.00 - 6,500.00 4,050.00

731. Streptomycin 1 g Vial 21.20 - 26.50 21.20

732. Sucralfate 1 g Tablet 25.00 - 44.28 33.00

733. Sugammadex 100 mg/mL, 2 mL Vial 4,915.36 - 5,257.07 4,915.36

734. Suxamethonium (Succinylcholine) 20 mg/mL, 10 mL Vial

102.33 - 303.15 142.49

T

735. Tacrolimus 1 mg slow-release capsules

- 93.16

736. Tafluprost 15 mcg/mL, 0.3 mL single dose Ophthalmic Solution

24.78 - 743.25 24.78

737. Tamoxifen 20 mg Tablet 4.89 - 13.00 6.50

738. Tamsulosin 200 mcg Capsule 18.00 - 49.23 38.49

739. Tamsulosin 400 mcg MR Film Coated Tablet

2.60 - 25.00 13.50





740. Telmisartan + Hydrochlorothiazide 40 mg + 12.5 mg Tablet

10.00 - 19.08 10.00

741. Telmisartan 40 mg Tablet 4.00 - 19.23 12.14

742. Telmisartan 80 mg Tablet 13.00 - 34.02 24.89

743. Terazosin 2 mg Tablet 21.75 - 77.52 25.00

744. Terbutaline 500 mcg/mL, 1 mL Ampule

16.50 - 98.77 16.50

745. Tetracycline 500 mg Capsule 1.77 - 2.34 1.77

746. Thiamazole (Methimazole) 5 mg Tablet

4.72 - 5.41 5.07

747. Thiopental Sodium 1 g + 50 mL diluent Vial

1,270.44 - 1,317.00 1,270.44

748. Thiopental Sodium 500 mg Vial 960.00 - 960.00 960.00

749. Timolol Eye Drops 0.5%, 5 mL Bottle

210.00 - 360.00 289.00

750. Tinzaparin (as sodium) 10,000 anti-Xa IU/mL, 0.45 mL pre-filled syringe

- 266.91

751. Tinzaparin (as sodium) 10,000 anti-Xa IU/mL, 2 mL Vial

- 796.96

752. Tiotropium (as bromide) 18 mcg/dose with appropriate accompanying dispenser

- 64.21

753. Tobramycin + Dexamethasone Eye Drops 0.3% + 0.1%, 5 mL Bottle

85.00 - 290.00 164.00

754. Tobramycin + Dexamethasone Eye Ointment 0.3% + 0.1%, 3.5 g Tube

145.00 - 560.00 424.64

755. Tobramycin Eye Drops 0.3%, 5 mL Bottle

72.00 - 300.00 150.00

756. Topiramate 100 mg Tablet 75.08 - 81.00 75.08



759. Tramadol 100 mg MR Tablet 75.00 - 90.10 80.00

760. Tramadol 50 mg Dispersible Tablet 0.90 - 2.00 1.45

761. Tramadol 50 mg Capsule 0.89 - 7.60 1.95





762. Tramadol 50 mg/ml, 1 ml Ampule 6.89 - 47.41 11.49

763. Tramadol 50 mg/ml, 2 ml Ampule 5.72 - 84.60 9.84

764. Tranexamic Acid 100 mg/mL, 5 mL Ampule

7.33 - 99.00 14.35

765. Tranexamic Acid 500 mg Capsule 2.90 - 49.00 5.40

766. Tranexamic Acid 500 mg Tablet 2.90 - 15.00 4.46

767. Trastuzumab 120 mg/mL, 5 mL Vial - 26,000.00●

768. Trastuzumab 150 mg Lyophilized Powder

- 29,148.27

769. Trimetazidine 35 mg Tablet 1.24 - 12.88 4.37

770. Tropicamide + Phenyleprine Hydrochloride 5 mg/5 mg, 10 mL Bottle

- 665.00●

U

771. Ursodeoxycholic Acid 250 mg Capsule

28.98 - 140.00 38.32

772. Ursodeoxycholic Acid 500 mg Tablet

- 95.00●

V

773.

Vaccine, Diptheria, Tetanus, Pertussis, Hepatitis B Recombinant and Haemophilus Influenza Type B (Hib) Combined 0.5 mL vial

- 63.50*

774. Vaccine, Hepatitis B (recombinant DNA) 10 mcg/0.5 mL (pediatric) Monodose Vial

118.34 - 245.00 151.61

775. Vaccine, Hepatitis B (recombinant DNA) 20 mcg/mL, 1 mL Vial

133.12 - 525.00 163.22

776. Vaccine, Human Papillomavirus Quadrivalent (types 6, 11, 16, 18) Recombinant Vaccine

- 680.00*

777. Vaccine, Inactivated Poliomyelitis (Type 1, 2 and 3) 0.5 mL per dose

- 181.00*

● The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost) The Reference Price was based on the Maximum Wholesale Price (MWP) plus Value-Added-Tax (VAT) (excluded from the maximum 10% inflationary cost) * The Reference Price was based on the DOH COBAC Procurement Price 2019 Health facilities may have a price variation up to 10% above the DPRI to account for inflation




778. Vaccine, Influenza Polyvalent 15 mcg/0.5 mL, 5 mL per dose

- 184.00*

779. Vaccine, Pneumococcal Polyvalent 25 mcg/0.5 mL solution for injection 0.5 mL vial

- 503.00*

780. Vaccine, Pneumococcal 13 Valent Conjugate 0.5 mL Pre-filled syringe

2,561.47 - 3,397.56 2,561.47

781. Vaccine, Rabies Chick Embryo Cell (Purified Inactivated) 2.5 IU/mL, 1 dose + 1 mL diluent Vial

800.00 - 1,790.25 800.00

782. Vaccine, Tetanus Toxoid 0.5 mL Ampule

27.88 - 80.00 38.99

783. Vaccine, Vero Cell (purified) 2.5 IU/0.5 mL Vial + diluent

589.00 - 1,302.00 1,165.00

784. Valaciclovir 500 mg Tablet 31.60 - 31.61 31.60

785. Valproate Disodium/Valproic Acid 250 mg Tablet

7.10 - 27.00 15.43

786. Valproate Disodium/Valproic Acid 500 mg Film coated tablet

9.45 - 39.00 28.50

787. Valproic Acid + Sodium Valproate 500 mg MR Tablet

7.20 - 44.00 11.25

788. Valproic Acid 250 mg/5 mL, 120 mL Syrup

225.00 - 1,900.00 225.00

789. Valproic Acid 500 mg/5 mL, 5 mL Vial

1,752.16 - 2,896.48 1,927.20

790. Valsartan + Hydrochlorothiazide 80 mg + 12.5 mg Tablet

9.00 - 25.79 12.00

791. Valsartan 160 mg Tablet 9.57 - 14.00 13.39

792. Valsartan 80 mg Tablet 7.32 - 11.98 8.43

793. Vancomycin 1 g Vial 200.00 - 625.00 312.00

794. Vancomycin 500 mg Vial 93.44 - 1,258.81 159.23

795. Verapamil 2.5mg/ml, 2mL Ampule 120.00 - 430.00 120.00

796. Verapamil 240 mg MR Tablet 19.68 - 56.54 19.68

797. Verapamil 80 mg Tablet 18.75 - 53.14 18.75

798. Vinblastine 1 mg/mL, 10 mL Vial 769.00 - 860.00 769.00

799. Vinblastine 10 mg Vial 772.00 - 890.00 858.00





800. Vincristine (As Sulfate) 1 mg/mL, 1 mL Vial

177.00 - 398.00 194.85

801. Vincristine (As Sulfate) 1 mg/mL, 2 mL Vial

318.00 - 515.00 400.00

802. Vitamin B1 B6 B12 100 mg + 100 mg + 1 mg, 3 mL Ampule

9.00 - 65.00 28.00

803. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Capsule

1.35 - 2.50 2.50

804. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Tablet

0.84 - 10.00 1.45

805. Voriconazole 200 mg lyophilized powder for solution, 30 mL Vial

5,616.70 - 5,700.00 5,616.70

W

806. Warfarin 1 mg Tablet 15.43 - 17.63 15.43

807. Warfarin 2.5 mg Tablet 7.85 - 42.00 13.00

808. Warfarin 5 mg Tablet 9.40 - 74.00 12.80

Z

809. Zinc 27.5 mg/mL (Equiv. to 10 mg Elemental Zinc), 15 mL Oral Drops

21.20 - 105.00 34.75

810. Zinc 55 mg/5 mL (Equiv. to 20 mg Elemental Zinc), 60 mL Syrup

23.60 - 92.00 40.00

811. Zinc 70 mg/5 mL (Equiv. 10 mg Elemental Zinc), 60 mL Syrup

31.20 - 42.00 31.20

812. Zolpidem 10 mg Tablet 39.00 - 64.00 42.69


Documents

ACKNOWLEDGEMENTS - Secretary of Health