bac form bbghmc.doh.gov.ph/wp-content/uploads/2019/10/bac-form-b-2019.p… · in connection with...

Form No.: MCC-BAC-038

Revision No.: Ø

Effectivity Date: September 1, 2016

ATTENTION: BIDS AND AWARDS COMMITTEE

Dear Sir/Madam:

______________________________________

UNIT DESCRIPTION QTY BID PRICE TOTAL PRICE BRAND MANUFACTURERCOUNTRY OF

ORIGINCPR NUMBER SPECIFICATIONS

1 ACETAZOLAMIDE 250 mg, tablet tablet 12,000 20.00 240,000.002 ACETYLCYSTEINE 100mg/ml, 3 ml ampule 6,000 137.30 823,800.003 ACETYLCYSTEINE 200 mg sachet, sachet 36,100 9.26 334,286.004 ACETYLCYSTEINE 200 mg/ml, 25 ml bottle 300 1,280.00 384,000.005 ACETYLCYSTEINE 600 mg, effervescent tablet 111,501 25.22 2,812,055.226 ACETYLCYSTEINE, 100 mg sachet, sachet 6,000 8.00 48,000.007 ACICLOVIR 200 mg, Tablet tablet 1,000 3.64 3,640.008 ACICLOVIR 400 mg, tablet tablet 2,000 9.22 18,440.009 ACICLOVIR 800 mg, tablet tablet 1,000 40.00 40,000.00

10 ACICLOVIR, 25 mg/ml, 10ml vial vial 2,400 695.00 1,668,000.0011 ACTIVATED CHARCOAL,USP grade, can 15 8,305.00 124,575.0012 ADENOSINE, 3 mg/mL, 2 mL (IV) ampule/vial 600 236.27 141,762.0013 ALBENDAZOLE, 400 mg chewable tablet tablet 200 5.00 1,000.0014 ALBUMIN, HUMAN 20%, 50 ml vial vial 2,656 2,097.50 5,570,960.0015 ALENDRONATE 70 mg tablet (as sodium tablet 600 120.00 72,000.0016 ALENDRONATE + CHOLECALCIFEROL tablet 400 540.00 216,000.0017 All-in One Admixtures ("3-in-1" or "dual bag 800 2,149.00 1,719,200.0018 ALLOPURINOL 100 mg, tablet tablet 80,000 0.75 60,000.0019 ALLOPURINOL 300 mg, tablet tablet 30,000 1.50 45,000.0020 ALPRAZOLAM 250 mcg, tablet tablet 6,000 4.45 26,700.0021 ALPRAZOLAM 500 mcg, tablet tablet 8,000 7.90 63,200.0022 ALUMINUM HYDROXIDE 225mg + bot 102 27.99 2,854.9823 ALUMINUM HYDROXIDE + MAGNESIUM tablet 15,000 1.25 18,750.0024 AMIKACIN 125mg/ml, 2ml vial (250 mg) vial 1,800 15.89 28,602.0025 AMIKACIN 250mg/ml, 2ml vial (500 mg) vial 2,000 19.11 38,220.0026 AMIKACIN 50mg/ml, 2 ml vial (100 mg) vial 3,500 14.12 49,420.0027 AMINO ACID 7% 500 mL, bottle, as bottle 1,100 392.00 431,200.0028 AMINO ACID 8% 500 mL, bottle, as bottle 4,383 301.00 1,319,283.0029 AMINO ACID SOL'N, 9.12 % with ampule 3,300 125.00 412,500.0030 AMIODARONE 200 mg, tablet (as tablet 6,000 18.19 109,140.0031 AMIODARONE 50 mg/ml, 3ml ampule ampule 2,300 230.00 529,000.0032 AMLODIPINE, 10 mg tablet (as besilate) tablet 300,500 0.72 216,360.0033 AMLODIPINE, 5 mg tablet (as besilate) tablet 220,000 0.49 107,800.0034 AMOXICILLIN 100mg/ml, 10 ml. drops bottle 3,000 16.94 50,820.0035 AMOXICILLIN 250mg/5 mL, 60 ml bottle bottle 8,000 16.25 130,000.0036 AMOXICILLIN 500 mg, capsule (as capsule 109,099 1.20 130,918.8037 AMPHOTERICIN B, 50 mg LYOPHILIZED vial 200 1,488.88 297,776.0038 AMPICILLIN + SULBACTAM 500 mg + vial 15,000 22.49 337,350.0039 AMPICILLIN + SULBACTAM 1.5 g, vial vial 65,000 62.75 4,078,750.0040 AMPICILLIN SODIUM 1gm vial (as vial 6,000 9.98 59,880.0041 AMPICILLIN SODIUM 500 mg vial (as vial 1,220 7.94 9,686.8042 ARIPIPRAZOLE 10 mg Orally tablet 780 196.80 153,504.0043 ASCORBIC ACID 500 mg, Tablet tablet 142,000 0.62 88,040.0044 ASCORBIC ACID 250 mg/ ml, 2ml (IV) ampule 1,700 26.78 45,526.0045 ASCORBIC ACID, 100mg/5ml, 120 ml bottle 2,000 23.00 46,000.0046 ASCORBIC ACID, 100mg/ml drops, 15ml bottle 1,500 14.77 22,155.0047 ASPIRIN , 300 mg tablet tablet 2000 2.75 5,500.0048 ASPIRIN, 100 mg tablet tablet 2000 2.75 5,500.0049 ASPIRIN 80 mg, tablet tablet 151,000 0.78 117,780.0050 ATENOLOL 100mg tablet 1,000 3.50 3,500.0051 ATENOLOL 50mg tablet 1,000 1.81 1,810.0052 ATORVASTATIN, 10 mg tablet (as tablet 10,000 5.50 55,000.0053 ATORVASTATIN, 20 mg tablet (as tablet 120,000 7.93 951,600.0054 ATORVASTATIN, 40 mg tablet (as tablet 80,001 12.50 1,000,012.5055 ATORVASTATIN, 80 mg tablet tablet 8,000 21.35 170,800.0056 ATRACURIUM 10mg/ml, 2.5 ml ampule ampule 550 79.50 43,725.0057 ATROPINE SULFATE 1 mg/mL, 1 ml ampule 2,500 6.93 17,325.0058 ATROPINE SULFATE, 1% eye drops bottle 150 312.65 46,897.5059 AZATHIOPRINE 50 mg, tablet tablet 100 46.40 4,640.0060 AZITHROMYCIN 500 mg powder, vial (as vial 900 546.10 491,490.0061 AZITHROMYCIN 500 mg tablet (as tablet 33,000 13.98 461,340.00

BAC FORM B

UNIT OF ISSUE UNIT COST QUANTITYBGHMC'S REQUIREMENT

In connection with the bidding schedule on October 24, 2019 for the Procurement of Various Drugs and Medicines for FY 2020. I/We in conformity with the specification/s hereunder quote the following:

Name of Company

APPROVED BUDGET

FOR THE CONTRACT

Republic of the Philippines

SUPPLIERS/ BIDDERS SPECIFICATION

* Please use the Details form the CPR for Brand and Manufacturer

Department of Health

BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER

Baguio City

62 AZITHROMYCIN, 200 mg/5 ml, 15 ml bottle 40 275.00 11,000.0063 AZTREONAM 1g powder for injection vial 1,000 1,559.80 1,559,800.0064 BACLOFEN 10 mg, tablet tablet 12,000 15.00 180,000.0065 BALANCED MULTIPLE MAINTENANCE bottle 12,000 43.36 520,320.0066 BALANCED MULTIPLE MAINTENANCE bottle 6,500 44.89 291,785.0067 BALANCED MULTIPLE REPLACEMENT bottle 300 45.00 13,500.0068 BERACTANT, 25mg/ml suspension, 4 mL vial 120 10,073.00 1,208,760.0069 BETAHISTINE, 16 mg tablet (as tablet 13,500 12.00 162,000.0070 BETAHISTINE, 24 mg tablet (as tablet 24,000 40.00 960,000.0071 BETAHISTINE, 8 mg tablet (as tablet 3,001 12.00 36,012.0072 BETAMETHASONE 1mg/gx5g Cream tube 300 43.00 12,900.0073 BETAMETHASONE 1mg/gx5g Ointment tube 300 45.95 13,785.0074 BICALUTAMIDE 50 mg tablet/film tablet 8,000 53.35 426,800.0075 BIPERIDEN, 2 mg Tablet(as tablet 80,000 4.89 391,200.0076 BIPHASIC ISOPHANE HUMAN INSULIN prefilled syringe 200 550.00 110,000.0077 BIPHASIC ISOPHANE HUMAN vial 7,000 160.00 1,120,000.0078 BISACODYL 10 mg, suppository (ADULT) suppository 12,000 18.99 227,880.0079 BISACODYL 5 mg, tablet tablet 12,900 1.25 16,125.0080 BISACODYL 5 mg, suppository (PEDIA) suppository 100 29.72 2,972.0081 BRIMONIDINE 1.5MG/ml (0.15%), 5ml bot 30 563.00 16,890.0082 BROMOCRIPTINE (as mesilate), 2.5mg tablet 100 177.50 17,750.0083 BUDESONIDE + FORMOTEROL 160 piece 80 793.00 63,440.0084 BUDESONIDE 250 mcg/ml, 2ml nebule nebule 10,000 26.69 266,900.0085 BUPIVACAINE 0.5% 10mL Isobaric (as ampule/vial 3,000 100.00 300,000.0086 BUPIVACAINE 0.5% heavy, 4ml ampule ampule 6,500 117.44 763,360.0087 BUTAMIRATE 50 mg MR tablet (as tablet 10,000 12.50 125,000.0088 BUTORPHANOL 2mg/mL, 1ml ampule ampule/vial 2,500 400.00 1,000,000.0089 CALCITRIOL 0.25 mcg, capsule capsule 1,200 24.00 28,800.0090 CALCIUM CARBONATE 500 mg, tablet tablet 1000 1.38 1,380.0091 CALCIUM CARBONATE + VIT. D3 , equiv. tablet 200,000 2.45 490,000.0092 CALCIUM GLUCONATE 10%, 10 mL ampule 2,000 16.00 32,000.0093 CAPTOPRIL, 25 mg tablet tablet 11,000 0.63 6,930.0094 CARBACHOL INTRAOCULAR SOLUTION vial 200 600.00 120,000.0095 CARBAMAZEPINE 200 mg, tablet tablet 35,000 1.73 60,550.0096 CARBOXYMETHYL CELLULOSE 0.5%, bottle 30 530.00 15,900.0097 CARBOPROST, 125 mcg/0.5 mL for ampule/vial 1,200 229.50 275,400.0098 CARBOPROST, 250 mcg solution for ampule/vial 1,300 356.00 462,800.0099 CARVEDILOL 25 mg, tablet tablet 15,000 4.13 61,950.00

100 CARVEDILOL 6.25 mg, tablet tablet 81,200 1.34 108,808.00101 CASTOR OIL USP, 30ml bottle bottle 30 43.45 1,303.50102 CEFALEXIN, 250mg/5mL, 60ml bottle 144 23.00 3,312.00103 CEFALEXIN, 500mg capsule (as capsule 4,000 2.06 8,240.00104 CEFALEXIN, 100 mg/ml. 10 ml drops(as bottle 20 16.28 325.60105 CEFAZOLIN, 1 gram vial vial 4,000 18.39 73,560.00106 CEFEPIME, 1 gm vial (as hydrochloride): vial 4,000 83.22 332,880.00107 CEFEPIME, 2 gm vial (as hydrochloride): vial 8,000 256.61 2,052,880.00108 CEFEPIME, 500 mg vial (as vial 700 136.61 95,627.00109 Cefixime 20mg/ml, 10 ml. Oral Drops bottle 40 145.00 5,800.00110 CEFIXIME, 100mg/5 mL, granules for bottle 200 155.00 31,000.00111 CEFIXIME 100mg/5ml, granules for oral bottle 50 23.00 1,150.00112 CEFIXIME, 200 mg capsule/tablet capsule 10,000 11.21 112,100.00113 CEFIXIME, 400 mg capsule/tablet capsule 3,000 38.75 116,250.00114 CEFOTAXIME, 1 gm vial (as sodium vial 600 100.00 60,000.00115 CEFOTAXIME, 500mg vial (as sodium vial 1,200 47.38 56,856.00116 CEFOXITIN, 1 gram vial (as sodium salt) vial 11,000 107.22 1,179,420.00117 CEFTAZIDIME, 1 gm vial (as vial 10,000 35.67 356,700.00118 CEFTAZIDIME, 2 gm vial (as vial 100 2,000.00 200,000.00119 CEFTAZIDIME, 500 mg vial (as vial 2,500 60.97 152,425.00120 CEFTRIAXONE, 1 gm vial (IV) (as vial 22,000 18.94 416,680.00121 CEFTRIAXONE 250 mg vial +2 mL 1% vial 10 300.00 3,000.00122 CEFTRIAXONE, 500 mg vial + 5ml vial 12,000 28.12 337,440.00123 CEFUROXIME 1.5 g vial (as sodium salt) vial 13,000 119.22 1,549,860.00124 CEFUROXIME 750 mg, vial vial 5,500 17.19 94,545.00125 CEFUROXIME, 125mg/5mL suspension, bottle 250 171.50 42,875.00126 CEFUROXIME, 250mg/5mL granules for bottle 300 240.00 72,000.00127 CEFUROXIME, 500 mg tablet (as axetil) tablet 110,000 9.00 990,000.00128 CELECOXIB, 200 mg capsule capsule 250,000 3.75 937,500.00129 CELECOXIB, 400 mg capsule capsule 6,000 15.00 90,000.00130 CETIRIZINE ; 2.5 mg/mL syrup (oral bottle 350 78.10 27,335.00131 CETIRIZINE, 1 mg/ml solution, 30 ml bottle 700 73.50 51,450.00132 CETIRIZINE, 1 mg/ml solution, 60 ml bottle 1,200 68.00 81,600.00133 CETIRIZINE, 10 mg tablet (as tablet 100,000 0.44 44,000.00134 CHLORAMPHENICOL, 1 g vial (as sodium vial 500 24.89 12,445.00135 CHLORAMPHENICOL, 125mg/5 mL bottle 300 23.40 7,020.00136 CHLORAMPHENICOL, 500mg capsule capsule 602 2.10 1,264.20137 CHLORHEXIDINE, Solution, 0.12%, Oral bottle 8,000 100.00 800,000.00138 CHLORPROMAZINE, 100 mg tablet (as tablet 1,000 1.49 1,490.00139 CHLORPROMAZINE, 200 mg tablet (as tablet 110,000 2.11 232,100.00

140 CILOSTAZOL 100 mg, tablet tablet 31,000 11.45 354,950.00

141 CILOSTAZOL 50 mg, tablet tablet 40,000 6.87 274,800.00142 CINNARIZINE 25 mg, tablet tablet 10,155 1.00 10,155.00143 CIPROFLOXACIN, 2mg/ml 100ml vial (IV vial 400 22.39 8,956.00

144 CIPROFLOXACIN, 400mg/ 200ml vial (IV vial 800 1,187.85 950,280.00145 CIPROFLOXACIN, 500 mg tablet (as tablet 30,000 1.26 37,800.00146 CLARITHROMYCIN, 125mg/5 mL bottle 400 127.50 51,000.00147 CLARITHROMYCIN, 250mg/5 mL bottle 400 400.00 160,000.00148 CLARITHROMYCIN, 500 mg base tablet tablet 13,000 9.97 129,610.00149 CLINDAMYCIN, 150 mg capsule (as capsule 4,000 2.65 10,600.00150 CLINDAMYCIN, 150 mg/ml, 4ml ampule ampule 18,000 80.11 1,441,980.00151 CLINDAMYCIN, 300 mg capsule (as capsule 110,000 5.25 577,500.00152 CLINDAMYCIN, 75mg/5 mL granules for bottle 600 99.00 59,400.00153 CLOBETASOL 0.05% X 5g Ointment tube 150 120.00 18,000.00154 CLOBETASOL 0.05% X 5g ointment tube 30 120.00 3,600.00155 CLOMIPHENE 50 mg (as citrate) capsule 50 80.00 4,000.00156 CLONAZEPAM 2 mg tablet tablet 3,000 3.00 9,000.00157 CLONIDINE, 150 mcg tablet (as tablet 5,000 14.88 74,400.00

158CLONIDINE, 150mcg/ml, 1ml ampule (as

hydrochloride) (I.V.)ampule 250 100.84 25,210.00

159CLONIDINE, 75 mcg tablet (as

hydrochloride)tablet 45,000 8.00 360,000.00

160 CLOPIDOGREL, 75 mg tablet tablet 160,000 1.89 302,400.00161 CLOTRIMAZOLE, 1% otic solution , in bottle 200 308.00 61,600.00162 CLOTRIMAZOLE, 1%, 3.5 g Cream tube 200 125.00 25,000.00163 CLOXACILLIN, 250mg/5ml powder for bottle 700 36.00 25,200.00164 CLOXACILLIN, 500 mg capsule (as capsule 30,000 2.53 75,900.00165 CLOZAPINE, 100mg tablet tablet 48,000 8.00 384,000.00166 CO-AMOXICLAV 400+57mg/5ml bottle 3,500 180.00 630,000.00167 CO-AMOXICLAV, 1 gm tablet tablet 32,000 15.00 480,000.00168 CO-AMOXICLAV, 625 mg, tablet tablet 230,000 7.92 1,821,600.00169 CO-AMOXICLAV, 200mg+ 28.5 mg/5ml bottle 50 136.85 6,842.50170 COBRA ANTIVENOM 800 MU ampule 40 1,200.00 48,000.00171 COLCHICINE, 500 mcg tablet tablet 29,980 2.25 67,455.00172 COLISTIN 2,000,000 IU lyophilized vial 1,700 2,400.00 4,080,000.00173 CONJUGATED ESTROGENS 625 mcg, tablet 100 39.33 3,933.00174 COTRIMOXAZOLE, (800 mg tablet 10,000 1.28 12,800.00175 COTRIMOXAZOLE, 400+80 mg/5ml bottle 300 18.00 5,400.00176 COTRIMOXAZOLE, 200+40 mg/5ml bottle 30 70.00 2,100.00177 COTRIMOXAZOLE, 400 mg ampule 10 1,500.00 15,000.00178 D10 WATER, 500mL, plastic bottle bottle 900 44.79 40,311.00

179 D5 0.3% NACl, 1000mL, plastic bottle bottle 1,200 44.83 53,796.00

180 D5 0.3% NACl, 500mL, plastic bottle bottle 1,000 43.10 43,100.00

181 D5 0.45% NACl, 500mL, plastic bottle bottle 600 50.00 30,000.00

182 D5 LRS, 1L, plastic bottle bottle 34,000 44.24 1,504,160.00

183 D5 LRS, 500 mL, plastic bottle bottle 6,000 43.89 263,340.00

184 D5 NSS, 1L plastic bottle bottle 2,400 45.00 108,000.00

185D5 WATER, 100 mL, (Non-DEHP, non

PVC or latex) bottlebottle 1,000 65.00 65,000.00

186D5 WATER, 1000mL, (Non-DEHP, non


187 D5 WATER, 1L plastic bottle bottle 4,000 44.83 179,320.00





190 D5 WATER, 500 mL, plastic bottle bottle 13,200 42.89 566,148.00

191 DEFERASIROX 125mg dispersable tablet tablet 100 371.00 37,100.00

192 DEFERASIROX 250mg dispersable tablet tablet 100 674.52 67,452.00

193DEFEROXAMINE powder, 500 mg vial

(IM, IV Infusion, SC)vial 30 343.95 10,318.50

194 DESMOPRESSIN (as acetate) 100mcg tablet 100 95.00 9,500.00

195 DESMOPRESSIN (as acetate) 200mcg tablet 100 165.00 16,500.00

196 DEXAMETHASONE, 4 mg tablet tablet 26,500 33.85 897,025.00

197DEXAMETHASONE, 4mg/ml, 2ml

vial/ampule (as sodium phosphate)ampule/vial 18,200 25.23 459,186.00

198DEXTROSE (Glucose) 50% 50mL, vial,

plastic hypertonic solution (with rubber

stopper)

vial 11,506 25.00 287,650.00

199 DIAZEPAM, 5mg/ml, 2ml ampule ampule 3,700 61.51 227,587.00

200 DIAZEPAM, 5 mg tablet tablet 1,000 6.89 6,890.00

201DICLOFENAC, 25 mg/ml, 3 ml ampule

(IM,IV) (as sodium salt)ampule 2,200 16.88 37,136.00

202 DICLOFENAC 50mg tablet tablet 100 0.69 69.00

203DICLOFENAC, 100mg MR tablet (as

sodium or potassium salt)tablet 100 10.80 1,080.00

204DICYCLOVERINE, 10 mg/5 ml, 60 ml

Syrup (as hydrochloride)bottle 10 12.60 126.00

205 DIGOXIN, 250 mcg tablet tablet 41,500 3.83 158,945.00

206 DIGOXIN, 250mcg/ml, 2ml ampule ampule 700 113.55 79,485.00

207 DIGOXIN, 50mcg/ml elixir, 60 ml bottle bottle 130 568.42 73,894.60

208DILOXANIDE FUROATE, 125 mg/5ml

syrup/suspension, 60 ml bottlebottle 180 161.70 29,106.00

209 DILOXANIDE, 500 mg tablet (as furoate) tablet 1,000 18.00 18,000.00

210DILTIAZEM, 60 mg tablet (as


211DILTIAZEM, 30 mg tablet (as


212DIPHENHYDRAMINE, 12.5mg/5ml

syrup, 60 ml bottlebottle 144 15.15 2,181.60

213DIPHENHYDRAMINE, 50 mg capsule (as

hydrochloride)capsule 22,000 0.90 19,800.00

214DOBUTAMINE, 2mg/ml 250ml D5W (pre

mixed) IV (as hydrochloride)bag 2,000 687.00 1,374,000.00

215Dobutamine, Inj.: 50 mg/mL, 5 mL

ampule (concentrate) (IV infusion) (as

hydrochloride)

ampule 1,800 154.50 278,100.00

216DOMPERIDONE, 1mg/ml suspension,

60 ml bottlebottle 30 107.00 3,210.00

217 DOMPERIDONE, 10 mg tablet tablet 36,000 1.39 50,040.00

218 DONEPEZIL 10 mg tablet tablet 2,400 24.00 57,600.00

219 DONEPEZIL 5 mg tablet tablet 3,000 16.88 50,640.00

220DOPAMINE, 1.6mg/ml, 250ml D5W (pre

mixed) IV bottle (as hydrochloride)bottle 600 338.77 203,262.00

221DOPAMINE, 40mg/mL, 5ml ampule IV

(as hydrochloride)ampule 3,000 38.67 116,010.00

222DOXYCYCLINE, 100 mg capsule (as

hyclate)capsule 19,000 0.98 18,620.00

223 DYDROGESTERONE, 10mg Tablet tablet 13,000 43.00 559,000.00

224 ENALAPRIL, 20 mg tablet (as maleate) tablet 1,000 8.00 8,000.00

225 ENALAPRIL, 5 mg tablet (as maleate) tablet 15,000 3.45 51,750.00

226ENOXAPARIN, 100 mg/ml, 0.4ml pre

filled syringe SC (as sodium salt)prefilled syringe 1,500 198.43 297,645.00

227ENOXAPARIN, 100mg/ml, 0.6 ml pre

filled syringe SC (as sodium salt)prefilled syringe 2,100 291.64 612,444.00

228Enteral feeding for tube feeding adults,

400 grams

- 500 grams

cans 30,000 298.00 8,940,000.00

229ENTERAL FEEDING for tube feeding (3

years and above), 400gms - 500 gmscan 72 313.00 22,536.00

230Enteral Feeding for patients w/

hyperglycemia, 400 - 600 gramscan/ pack 3577 300.00 1,073,100.00

231Enteral Nutrition, modular protien, 227 -

300 gramscan 720 890.00 640,800.00

232EPERISONE, 50mg tablet (as

hydrochloride)tablet 89,000 16.80 1,495,200.00

233EPHEDRINE, 50mg/ml, 1ml ampule (as

sulfate)ampule 2,000 60.75 121,500.00

234EPINEPHRINE, 1 mg/mL, 1ml ampule (IV,

IM,SC) (as hydrochloride), amber

colored ampule

ampule 19,000 29.73 564,870.00

235EPOETIN ALPHA, 4000 IU/0.4 ml, pre

filled syringe (IV, SC)prefilled syringe 22,000 372.11 8,186,420.00

236EPOETIN ALPHA, 4000 IU/ml, 1 mL pre

filled syringe (IV, SC)prefilled syringe 5,000 309.33 1,546,650.00

237EPOETIN BETA, 5000 IU/0.3ml, pre filled

syringe (IV, SC)prefilled syringe 9,200 978.00 8,997,600.00

238EPOETIN BETA, 10,000 IU/0.6 mL,

pre‐filled syringe (IV, SCpre-filled syringe 60 3,201.00 192,060.00

239ERTAPENEM 1 gram, vial (as sodium

salt)vial 1,200 2,262.00 2,714,400.00

240ERYTHROMYCIN, 0.5% 3.5 - 5 gm, eye

ointmenttube 1,600 122.40 195,840.00

241

ERYTHROMYCIN, 200mg/5ml

granules/powder for suspension, 60 ml

bottle (as ethyl succinate), with flavor

except bubble gum & tutti frutti

bottle 10 43.03 430.30

242

ERYTHROMYCIN, 400mg/5 mL

granules/powder for suspension, 60 ml

bottle (as ethyl succinate), with flavor

except bubble gum & tutti frutti

bottle 10 468.00 4,680.00

243 ERYTHROMYCIN, 500 mg tablet tablet 500 3.97 1,985.00

244ESCITALOPRAM, 10mg tablet (as

oxalate)tablet 80,000 4.34 347,200.00

245ESMOLOL (as hydrochloride); Inj.:

10 mg/mL, 10 mL vial (IV) vial 20 923.00 18,460.00

246 FAMOTIDINE, 10mg/ml, 2ml vial vial 3,000 234.00 702,000.00

247 FAMOTIDINE, 20mg tablet tablet 100 25.30 2,530.00

248 FELODIPINE, 10 mg tablet MR tablet 2,000 11.00 22,000.00

249 FELODIPINE, 5 mg tablet tablet 9,000 7.20 64,800.00

250 FENOFIBRATE, 160 mg tablet tablet 8,000 24.05 192,400.00

251 FENOFIBRATE, 200 mg capsule capsule 11,000 11.00 121,000.00

252FENTANYL, 50 mcg/ml, 2ml ampule (as

citrate)ampule 4,200 63.88 268,296.00

253FERROUS SALT, solution (equiv. to 15mg

elemental Iron/0.6ml) drops, 15 ml

bottle

bottle 450 18.85 8,482.50

254FERROUS SALT, solution (equiv. to 30mg

elemental iron/5ml) syrup, 60 ml bottlebottle 400 24.70 9,880.00

255FERROUS SALT, tablet individually

wrapped in blister or foil packtablet 60,000 0.85 51,000.00

256 FINASTERIDE, 5 mg tablet tablet 30,000 11.50 345,000.00

257 FLUCONAZOLE, 150 mg capsule capsule 1,200 75.00 90,000.00


259FLUCONAZOLE, 2mg/ml, 100 ml vial

with rubber stopper (I.V. Infusion)vial 200 363.17 72,634.00


261FLUMAZENIL 100 mcg/mL, 5 mL (slow

IV, IV infusion)ampule 15 100.00 1,500.00

262FLUORESCEIN (as sodium salt), Inj.: 10%

(100mg/mL), 5 mL amp (IV)ampule 15 100.00 1,500.00

263 FLUOXETINE, 20mg capsule capsule 6,000 6.00 36,000.00

264FLUTICASONE NASAL AQUEOUS

SOLUTION PROPIONATE, 0.05%/dose x

120 doses

piece 200 500.00 100,000.00

265FLUTICASONE PROPIONATE +

SALMETEROL XINAFOATE

125mcg/25mcg X 120 doses MDI

piece 75 255.50 19,162.50

266FLUTICASONE PROPIONATE +

SALMETEROL XINAFOATE

250mcg/25mcg X 120 doses, MDI

piece 1,200 390.00 468,000.00

267 FOLIC ACID, 5 mg tablet/capsule capsule/tablet 25,000 3.10 77,500.00

268FONDAPARINUX, 2.5 mg/0.5mL solution

(as sodium salt)prefilled syringe 800 1,120.00 896,000.00

269 FOSFOMYCIN 3g granules for solution sachet 300 483.60 145,080.00

270FUROSEMIDE, 10mg/ml, 2ml ampule

(I.M.,I.V.)ampule 48,000 6.49 311,520.00

271 FUROSEMIDE, 20 mg tablet tablet 51,000 0.93 47,430.00

272 FUROSEMIDE, 40 mg tablet tablet 20,000 1.50 30,000.00

273FUSIDATE SODIUM, 2% Cream: 2%, 5g

tubetube 120 185.00 22,200.00

274FUSIDATE SODIUM, 2% ointment, 15

gram tubetube 100 133.10 13,310.00

275FUSIDATE SODIUM, 2% ointment, 5

gram tubetube 150 110.00 16,500.00

276 GABAPENTIN, 100 mg capsule capsule 18,000 7.00 126,000.00

277 GABAPENTIN, 300 mg capsule capsule 26,000 8.13 211,380.00

278GADOBUTROL, 1.0 mmol/mL solution

for injection, 5 mL pre-filled syringe

Unit: pre-filled syringe

prefilled syringe 1,500 3,500.00 5,250,000.00

279GADOTERIC ACID, Inj.: 0.5 mmol/mL

solution for injection, 10 mLvial 5 2,860.00 14,300.00

280 GANCYCLOVIR Eye Gel, 0.15%, 15g tube 10 375.00 3,750.00

281GENTAMYCIN, 40mg/ml, 2ml

ampule/vial (as sulfate)ampule/vial 10,000 19.25 192,500.00

282 GLICLAZIDE, 30 mg MR, tablet tablet 40,200 2.69 108,138.00

283 GLICLAZIDE, 60 mg MR, tablet tablet 10,000 12.70 127,000.00

284 GLICLAZIDE, 80 mg tablet tablet 18,000 2.97 53,460.00

285GLYCERYL TRINITRATE (Nitroglycerine)

Inj: 1 mg/mL, 10 mL, ampule (IV

infusion)

ampule 10 390.00 3,900.00

286 HALOPERIDOL, 5 mg tablet tablet 15,000 3.62 54,300.00

287 HALOPERIDOL, 5 mg/mL, 1ml ampule ampule 500 450.00 225,000.00

288HEPARIN, 1000 IU/ml, 5ml vial (as

sodium salt)vial 1,800 57.45 103,410.00

289HEPATITIS B IMMUNOGLOBULIN

(HUMAN), 0.5 ml IMvial 200 1,200.00 240,000.00

290HEPATITIS B VACCINE (recombinant

DNA), 20 micrograms/mL monodose

vial (IM) adult

vial 300 178.22 53,466.00

291HUMAN RECOMBINANT TISSUE TYPE

PLASMINOGEN ACTIVATOR (Alteplase)vial 153 36,000.00 5,508,000.00

292HYDRALAZINE, 20 mg/mL, 1ml ampule

(as hydrochloride)ampule 1,000 63.44 63,440.00

293 HYDROCHLORTHIAZIDE 12.5 mg tablet tablet 100 63.00 6,300.00

294 HYDROCORTISONE, 1% Cream, 5 g tube tube 1,002 98.00 98,196.00

295 HYDROCORTISONE, 1% Ointment, 5g tube 50 98.00 4,900.00

296HYDROCORTISONE, 500 mg vial (as

sodium succinate)(500 mg)vial 20 77.92 1,558.40


sodium succinate)vial 15,500 21.83 338,365.00


sodium succinate)vial 4,200 61.28 257,376.00

299HYDROXYETHYL STARCH, 6 % solution,

500 ml bag (IV infusion)bag 660 440.00 290,400.00

300HYDROXYZINE 2 mg/ml Syrup, 100 ml

(as dihydrochloride)bottle 10 277.34 2,773.40

301HYDROXYZINE 10mg tablet (as

dihydrochloride)tablet 100 12.32 1,232.00

302HYOSCINE, 20 mg/ml, 1ml (IM, IV, SC)

ampule (as N-butyl bromide)ampule 19,000 26.32 500,080.00

303HYOSCINE,10 mg tablet (as N-butyl

bromide)tablet 20,000 5.17 103,400.00

304HYPROMELLOSE 5mg/ml eye drops

solution, 10ml bottlebottle 300 180.00 54,000.00

305IBUPROFEN, 100 mg/5 mL, 60ml

suspension, with flavor except bubble

gum & tutti frutti

bottle 50 28.20 1,410.00

306 IBUPROFEN, 200 mg tablet tablet 25,000 0.88 22,000.00

307IBUPROFEN, 200 mg/5 mL, 60ml

suspension, with pleasant flavorbottle 600 73.26 43,956.00

308 IBUPROFEN, 400 mg tablet tablet 14,120 1.00 14,120.00

309IMMUNOGLOBULIN NORMAL HUMAN

(IGIV), 50 mg/ml, 100 ml vial (5 grams)vial 400 13,500.00 5,400,000.00

310IMMUNOGLOBULIN NORMAL HUMAN

(IGIV), 50 mg/ml, 50 ml vial (2.5 grams)vial 750 5,432.00 4,074,000.00

311

IMMUNOGLUBULIN, TETANUS (human),

250 IU/ml, ampule/vial/pre-filled

syringe

Unit: ampule/vial/pre-filled syringe

ampule/vial/pfs 60 778.00 46,680.00

312

INDACATEROL (as maleate) +

GLYCOPYRRONIUM (as bromide)

110mcg/50mcg inhalation powder in

hard capsules

capsule 3,660 69.42 254,077.20

313INSULIN, ISOPHANE HUMAN

(recombinant DNA), 100 IU/ ml, 10ml

vial (IM, SC)

vial 20 160.00 3,200.00

314INTRAOCULAR IRRIGATING SOLUTION

(Balanced Salt Solution) 500 mLbottle 600 370.00 222,000.00

315IODIXANOL, Inj.: 652 mg/mL (equivalent

to 320 mg iodine) solution for injection,

50 mL vial

Vial 200 2,757.36 551,472.00

316 IOHEXOL 300 mg iodine/mL, 50 mL vial 3,000 1,090.34 3,271,020.00

317 IOHEXOL 350 mg iodine/mL, 50 mL vial 2,500 1,448.50 3,621,250.00

318IOPAMIDOL 755 mg/mL equiv. to 370

mg iodine, 50 mL vial 5,000 1,792.00 8,960,000.00

319

IPRATROPIUM + SALBUTAMOL, 500

micrograms ipratropium (as bromide

anhydrous) + 2.5 mg salbutamol (as

base) x

2.5 mL (unit dose)

nebule 110,000 17.75 1,952,500.00

320IRBESARTAN +

HYDROCHLOROTHIAZIDE, 150

mg/12.5mg tablet

tablet 600 10.25 6,150.00

321 IRBESARTAN, 150 mg tablet tablet 18,000 4.74 85,320.00

322 IRBESARTAN, 300 mg tablet tablet 9,000 13.77 123,930.00

323IRON SUCROSE, 20 mg/mL, 5 mL

ampuleampule 2,000 127.47 254,940.00

324

ISOFLURANE, 100 ml bottle with

connector to dispenser or w/

appropriate vaporizer (8 units) and

dispenser

bottle 1,050 923.35 969,517.50

325ISOSORBIDE MONONITRATE, 60 mg MR

tablettablet 10,000 6.20 62,000.00

326ISOSORBIDE DINITRATE, 1mg/ml, 10ml

ampule (IV)ampule 200 410.76 82,152.00

327ISOSORBIDE DINITRATE, 5 mg tablet

(sublingual)tablet 3,000 7.50 22,500.00

328ISOSORBIDE MONONITRATE 30 mg MR

tablettablet 70,000 8.00 560,000.00

329ISOXSUPRINE 10mg tablet (as


330ISOXSUPRINE 5mg/ml, 2ml ampule (IM,

IV infusion) (as hydrochloride)ampule 250 147.42 36,855.00

331 ITRACONAZOLE, 100 mg capsule capsule 600 29.50 17,700.00

332KETAMINE, 50mg/ml, 10 mL vial (IM, IV)

(as hydrochloride)vial 180 548.50 98,730.00

333KETOCONAZOLE, Cream: 2% (20 mg/ g),

15 g tubetube 200 71.00 14,200.00

334KETOROLAC, 30 mg/ml, 1ml ampule

(IM, IV) (as tromethamol)ampule 61,000 16.11 982,710.00

335LACTATED RINGER'S SOLUTION, 1 liter

plastic bottlebottle 44,997 44.50 2,002,366.50

336LACTULOSE, 3.3 g/5 ml syrup, 120ml

bottlebottle 7,900 66.50 525,350.00

337 LAGUNDI, 300 mg tablet tablet 6,500 1.63 10,595.00

338LAGUNDI, 300 mg/5 mL syrup, 120ml

bottle, with pleasant flavorbottle 800 75.00 60,000.00

339 LAMOTRIGINE 100 mg tablet tablet 6,500 22.50 146,250.00

340 LAMOTRIGINE 50 mg tablet tablet 6,000 15.95 95,700.00

341 LANSOPRAZOLE, 30 mg capsule capsule 12,000 16.50 198,000.00

342LATANOPROST, Eye Drops Soluiton: 50

micrograms/mL, 2.5mL bottle 10 824.10 8,241.00

343LEVETIRACETAM, 500 mg/5 mL (100

mg/mL) concentrate solution for IV

infusion, 5 mL vial

vial 400 2,858.38 1,143,352.00

344 LEVETIRACETAM, Oral 1 mg tablet tablet 8,000 22.00 176,000.00

345 LEVETIRACETAM, Oral 500 mg tablet tablet 25,000 11.50 287,500.00

346LEVETIRACETAM, Solution: 100 mg/mL

oral solution, 300 mL bottle bottle 20 2,124.00 42,480.00

347LEVODOPA+CARBIDOPA, 250+25 mg

tablettablet 600 30.00 18,000.00

348 LEVOFLOXACIN Eyedrops 5mg/mL, 5mL piece 1,500 330.00 495,000.00

349 LEVOFLOXACIN, 500 mg tablet tablet 6,000 8.51 51,060.00

350 LEVOFLOXACIN, 750 mg tablet tablet 1,800 13.45 24,210.00

351LEVOTHYROXINE, 100 mcg tablet (as

anhydrous sodium)tablet 6,300 6.59 41,517.00





354LIDOCAINE, 10%, 50ml Spray (as

hydrochloride)bottle 65 2,461.62 160,005.30

355 LIDOCAINE, 2 %, 5ml ampule ampule 8,500 11.35 96,475.00

356LIDOCAINE, 2% 20 ml (as

hydrochloride)vial 4,000 10.98 43,920.00

357LIDOCAINE, 2% 50ml vial (as

hydrochloride)vial 3,000 36.00 108,000.00

358 LIDOCAINE, 2%, 1.8 ml, w/ epinephrine carpule 8,200 14.00 114,800.00

359LINEZOLID, 2 mg/mL, 300 mL solution

for infusionbag 6 3,655.00 21,930.00

360 LINEZOLID, 600 mg tablet tablet 40 3,961.69 158,467.60

361 LIPIDS, 10% 500 ml bottle bottle 3,000 600.00 1,800,000.00

362LOPERAMIDE, 2 mg capsule (as


363 LORATADINE 5mg/5ml syrup, 30ml bottle 20 89.87 1,797.40

364 LORATADINE, 10 mg tablet Film Coated tablet 8,000 1.82 14,560.00

365LOSARTAN, 100 mg tablet (as potassium

salt)tablet 23,000 2.15 49,450.00

366LOSARTAN, 50 mg tablet (as potassium

salt)tablet 300,000 0.82 246,000.00

367LOSARTAN+HYDROCHLORTHIAZIDE, 50

mg + 12.5 mg tablettablet 26,000 1.70 44,200.00

368MAGNESIUM SULFATE, 250 mg/mL,

20ml vial (as heptahydrate)vial 4,000 26.00 104,000.00

369MANNITOL, 20% 500 ml plastic/glass

bottle (IV) with rubber stopperbottle 4,700 84.27 396,069.00

370MEBENDAZOLE 100 mg/5ml

suspension, 60 ml bottle, with pleasant

flavor

bottle 488 14.00 6,832.00

371 MEBENDAZOLE , 500 mg tablet tablet 100 1.73 173.00

372MEBEVERINE, 100 mg tablet (as

hydrochloride)tablet 100 17.86 1,786.00

373 MECOBALAMIN, 500 mcg tablet tablet 38,000 12.80 486,400.00

374MECOBALAMIN, 500 mcg/ml, 1ml

ampule (IM, IV) individually wrappedampule 15,000 165.00 2,475,000.00

375MEDROXYPROGESTERONE 10 mg tablet

(as acetate)tablet 100 70.00 7,000.00

376MEFENAMIC ACID, 250 mg

tablet/capsulecapsule/tablet 1,000 0.55 550.00

377MEFENAMIC ACID, 500 mg

tablet/capsulecapsule/tablet 90,000 0.56 50,400.00

378MEROPENEM, 1 gm vial (as trihydrate):

minimum stability of 4 hours at 25°C

after reconstitution.

vial 13,200 175.17 2,312,244.00

379MEROPENEM, 500 mg vial (as

trihydrate): minimum stability of 4

hours at 25°C after reconstitution.

vial 2,000 113.16 226,320.00

380METFORMIN, 500 mg tablet (as


381METHIMAZOLE (THIAMAZOLE) 10 mg,

tablettablet 20,000 9.46 189,200.00

382METHIMAZOLE (THIAMAZOLE) 5 mg,

tablettablet 20,000 4.73 94,600.00

383 METHYLDOPA, 250 mg tablet tablet 14,000 9.73 136,220.00

384METHYLERGOMETRINE, 200 mcg/ml,

1ml ampule (as hydrogen maleate or

maleate)

ampule 600 11.39 6,834.00

385METHYLPHENIDATE 27 mg MR tablet

(as hydrochloride)tablet 100 202.70 20,270.00

386 METHYLPREDNISOLONE, 16 mg tablet tablet 5,600 12.80 71,680.00

387 METHYLPREDNISOLONE, 4 mg tablet tablet 800 5.00 4,000.00

388METHYLPREDNISOLONE, 40 mg/ml, in

single dose vial, solution for injection

(IV, IM) (as sodium succinate)

vial 100 283.95 28,395.00

389METHYLPREDNISOLONE, powder 1

gm/16ml vial + diluent vial (IM, IV, IV

infusion) (as sodium succinate)

vial 276 2,875.00 793,500.00

390METHYPREDNISOLONE, powder 500

mg/7.7 ml vial (IV) + diluent vial (IM,

IV,IV infusion) (as sodium succinate)

vial 250 1,161.00 290,250.00

391METHYPREDNISOLONE, powder, 125

mg (IM, IV) (as sodium succinate) vial 250 600.00 150,000.00

392METOCLOPRAMIDE, 10 mg tablet (as


393METOCLOPRAMIDE, 5 mg/mL, 2ml

ampule (IM, IV) (as base and as

hydrochloride)

ampule 30,000 3.12 93,600.00

394METOCLOPRAMIDE, 5 mg/5 mL syrup,

60ml bottle (as base and as

hydrochloride)

bottle 30 23.43 702.90

395METOPROLOL, 100 mg tablet (as

tartrate)tablet 3,000 1.45 4,350.00

396METOPROLOL, 50 mg tablet (as

tartrate)tablet 80,000 0.90 72,000.00

397METRONIDAZOLE, 125 mg/5ml

suspension, 60 ml bottle, flavoredbottle 750 15.00 11,250.00

398METRONIDAZOLE, 5 mg/ml, 100 ml (IV

infusion) vialvial 26,000 15.11 392,860.00

399 METRONIDAZOLE, 500 mg tablet tablet 58,000 0.85 49,300.00

400MICAFUNGIN, 50mg lyophilized powder

for injectionvial 10 2,900.00 29,000.00

401MICONAZOLE 20mg oral gel 3.5g

aluminum tubetube 300 300.00 90,000.00

402 MIDAZOLAM 5mg/ml, 3ml ampule ampule 1,000 100.12 100,120.00

403 MIDAZOLAM, 15 mg tablet tablet 400 23.50 9,400.00

404MIDAZOLAM, 5 mg/mL, 1ml ampule

(IM, IV)ampule 10,500 82.80 869,400.00

405MONOBASIC/DIBASIC SODIUM

PHOSPHATE 19g/7g per 133 mL bottle

(enema)

bottle 700 180.00 126,000.00

406MONOBASIC/DIBASIC SODIUM

PHOSPHATE 48g/18g per 100ml

solution, 45ml bottle

bottle 200 198.00 39,600.00

407MONTELUKAST, 10 mg tablet (as

sodium salt)tablet 15,999 8.50 135,991.50

408MONTELUKAST, 4 mg chewable tablet

(as sodium salt)tablet 2,500 7.00 17,500.00

409MONTELUKAST, 5 mg chewable tablet


410MORPHINE, 10 mg MR tablet (as

sulfate)tablet 120 48.79 5,854.80

411 MORPHINE, 10 mg tablet (as sulfate) tablet 12,000 20.60 247,200.00

412 MORPHINE, 30 mg tablet (as sulfate) tablet 2,000 48.79 97,580.00

413MORPHINE, 30 mg MR tablet (as

sulfate)tablet 100 45.84 4,584.00

414MORPHINE, 10 mg/mL, 1ml ampule (as

sulfate)ampule 1,800 51.37 92,466.00

415

MULTIVITAMIN Syrup(Vits. A, B

Complex, C,D,Fe polymaltose, Zinc,

Iodine, Taurine, Calcium, Chlorella) 120

ml, with pleasant flavor

bottle 1,500 42.94 64,410.00

416 MULTIVITAMINS Drops, 15 ml bottle 1,600 17.04 27,264.00

417MULTIVITAMINS, (in blister pack or foil

pack)capsule/tablet 110,000 1.99 218,900.00

418MULTIVITAMINS, tablet/capsule

(Pre/Post-natal)(in blister/foil pack)capsule/tablet 80,000 5.00 400,000.00

419MUPIROCIN, Ointment 2%, 15 grams

tubetube 1,500 145.50 218,250.00

420 MUPIROCIN, Cream 2%, 15 grams tube tube 27 145.50 3,928.50

421MUPIROCIN, Ointment 2%, 5 grams

tubetube 4,200 56.54 237,468.00

422NALBUPHINE, 10 mg/mL, 1ml ampule

(IM, IV, SC) (as hydrochloride)ampule 2,900 51.98 150,742.00

423NALOXONE, 400mcg/ml, 1ml ampule

(IM, IV) (as hydrochloride)ampule 150 307.31 46,096.50

424NAPROXEN, 500 mg base(550mg) tablet


425

NEOMYCIN SULFATE 3.5 mg +

POLYMYXIN B SULFATE 10000iu +

0.025% FLUOCINOLONE ACETONIDE /

ml, Ear Drops Solution, 5ml bottle

bottle 900 220.00 198,000.00

426NEOSTIGMINE, 500 mcg/ml, 1ml

ampule (IM, IV, SC) (as methyl sulfate)ampule 600 107.27 64,362.00

427 NEOSTIGMINE 500 mcg/mL, 10mL VIAL vial 5 107.27 536.35

428NEPAFENAC 1 mg/mL, 0.1% Eye

Suspension 5 mLbottle 30 558.89 16,766.70

429NICARDIPINE, 1 mg/1 ml, 10ml ampule

(IV) (as hydrochloride)ampule 10,000 82.12 821,200.00

430 NICOTINE 14mg patch 50 100.00 5,000.00



433 NICOTINE , 2 mg, gum gum 100 75.00 7,500.00

434 NICOTINE POLACRILEX, 1 mg pastille 100 200.00 20,000.00

435 NICOTINE POLACRILEX, 2 mg pastille 100 250.00 25,000.00

436 NIFEDIPINE, 10 mg capsule capsule 3,800 3.30 12,540.00

437NIFEDIPINE, 30 mg tablet OD

Unit: tablet

tablet5,000 24.95 124,750.00

438 NIMODIPINE, 30 mg tablet tablet 15,000 35.04 525,600.00

439NITROFURANTOIN, 100 mg capsule (as

macrocrystals)capsule 14,000 20.00 280,000.00

440NOREPINEPHRINE, 1 mg/ml, 2ml

ampuleampule 600 108.61 65,166.00

441NOREPINEPHRINE, 1 mg/ml, 4 ml

ampuleampule 18,000 298.00 5,364,000.00

442 NOREPINEPHRINE 2mg/ml, 4mL amp ampule 50 1,650.00 82,500.00

443NORMAL SALINE, 100 mL (Non-DEHP,

non PVC or latex) bottlebottle 1,500 75.00 112,500.00

444NORMAL SALINE, 1L (Non-DEHP, non


445 NORMAL SALINE, 1L plastic bottle bottle 130,000 42.44 5,517,200.00

446NORMAL SALINE, 500 mL (Non-DEHP,

non PVC or latex) bottlebottle 1,500 75.50 113,250.00

447 NORMAL SALINE, 500 ml plastic bottle bottle 13,000 44.00 572,000.00

448 NSS IRRIGATING SOLUTION, 1 L bottle bottle 59,000 44.00 2,596,000.00

449NYSTATIN 100,000 U/mL, 30 mL

SuspensionSuspension 800 225.00 180,000.00

450OCTREOTIDE, 100 mcg/mL, 1ml ampule

(as acetate)ampule 700 540.00 378,000.00

451OCTREOTIDE, 500 mcg/mL, 1ml ampule

(as acetate)ampule 10 540.00 5,400.00

452 OFLOXACIN, 200 mg tablet tablet 7,000 4.50 31,500.00

453OFLOXACIN, ear drops solution 0.3 %,

5ml bottle

Unit: bottle

bottle500 230.00 115,000.00

454 OLANZAPINE, 10 mg tablet tablet 100,000 9.98 998,000.00

455 OMEPRAZOLE, 20mg capsule capsule 6,000 0.92 5,520.00

456 OMEPRAZOLE, 40mg capsule capsule 227,000 9.13 2,072,510.00

457OMEPRAZOLE, powder 40 mg vial +

10ml solvent ampule/vial

Unit: ampule/vial

vial/ampule60,000 28.22 1,693,200.00

458ORAL REHYDRATION SALTS, sachet (1

sachet to 1L)sachet 40,000 4.25 170,000.00

459OXACILLIN, 500 mg vial (IM, IV) (as

sodium salt)vial 13,000 18.88 245,440.00

460 OXCARBAZEPINE, 300 mg tablet tablet 600 15.00 9,000.00

461 OXCARBAZEPINE, 600 mg tablet tablet 600 30.00 18,000.00

462OXCARBAZEPINE, 60mg/ml, 100 ml

bottlebottle 50 500.00 25,000.00

463OXCARBAZEPINE, 60mg/ml, 250 ml

bottlebottle 20 941.00 18,820.00

464OXYCODONE Controlled Release, 10 mg

tablet (as hydrochloride)tablet 600 123.46 74,076.00

465OXYCODONE HCl + Naloxone HCl 10

mg/5 mg tablettablet 300 113.94 34,182.00

466OXYCODONE HCl + Naloxone HCl 20

mg/10 mg tablettablet 200 214.50 42,900.00

467OXYCODONE Immediate release 10mg

(as Hydrochloride)mg 600 123.46 74,076.00

468 OXYCODONE, 10mg/ml ampule ampule 600 1,019.70 611,820.00

469OXYCODONE, 20 mg tablet (as


470OXYMETAZOLINE NASAL SPRAY 0.05%

15 ml, bottlebottle 700 230.00 161,000.00

471OXYTOCIN, 10 IU/ml, 1ml ampule (IM,

IV)ampule 23,000 7.12 163,760.00

472PARACETAMOL, 10 mg/mL, 100 mL vial

solution for infusion (IV)vial 2,200 173.16 380,952.00

473PARACETAMOL, 100 mg/mL oral drops,

15 ml bottle (alcohol free), with

pleasant flavor

bottle 3,000 11.97 35,910.00

474PARACETAMOL, 150 mg/ml, 2ml

ampule solution for injection (IM, IV)ampule 63,000 4.47 281,610.00

475PARACETAMOL, 250 mg/5 mL

syrup/suspension,, 60 ml bottle (alcohol

free), with pleasant flavor

bottle 6,000 12.88 77,280.00

476 PARACETAMOL, 500 mg tablet tablet 126,000 0.23 28,980.00

477PENICILLIN G BENZATHINE, 1.2 IU vial

(MR) (IM)vial 1,000 47.16 47,160.00

478PENICILLIN G CRYSTALLINE, 1 M units

vial (IM, IV) (as sodium salt)vial 13,000 5.22 67,860.00

479PENICILLIN G CRYSTALLINE, 5 M units

vial (IM, IV) (as sodium salt)vial 6,000 15.22 91,320.00

480

PERITONEAL DIALYSIS SOLUTION;

Solution: Sterile with 1.5% dextrose, 2 L

bottle/bag w/ accompanying

disinfection cup

bottle/bag 26,250 240.00 6,300,000.00

481




disinfection cup

bottle/bag 5,625 240.00 1,350,000.00

482


Solution: Sterile with 4.25% dextrose,

2 L bottle/bag w/ accompanying

disinfection cup

bottle/bag 5,625 240.00 1,350,000.00

483




disinfection cup

bottle/bag 300 450.00 135,000.00

484




disinfection cup

bottle/bag 300 450.00 135,000.00

485


Solution: Sterile with 4.25% dextrose,

5 L bottle/bag w/ accompanying

disinfection cup

bottle/bag 300 450.00 135,000.00

486PHENOBARBITAL, 130 mg/mL, 1ml

ampule (IM, IV) (as sodium salt)ampule 800 377.00 301,600.00

487PHENOBARBITAL, 30 mg tablet (as



sodium salt)tablet 600 4.76 2,856.00


sodium salt)tablet 300 9.75 2,925.00

490PHENYTOIN, 100 mg capsule (as sodium

salt)capsule 20,000 10.14 202,800.00

491PHENYTOIN, 50 mg/mL, 2ml ampule (IV)

(as sodium salt)ampule 4,600 95.11 437,506.00

492PETHIDINE , 50 mg/ml, 2 ml

ampule(IM,IV,SC) (as hydrochloride)ampule 10 148.53 1,485.30

493PHENOXYMETHYLPENICILLIN (penicillin

V) (as potassium salt), 250mg/ 5mL

200mL

bottle 10 700.00 7,000.00

494PHENOXYMETHYLPENICILLIN, 500 mg

capsulecapsule 500 13.94 6,970.00

495PHENYTOIN, 125mg/5mL suspension,

120mL bottle 10 712.127,121.20

496PHYTOMENADIONE, 10 mg/mL, 1ml

ampuleampule 12,000 17.12 205,440.00

497PILOCARPINE EYEDROPS 20 mg/ml,

bottle 2%, 15 mLbottle 50 299.00 14,950.00

498

PIPERACILLIN + TAZOBACTAM, 2 g + 250

mg per vial (as sodium salt): minimum

stability of 24 hours at 25°C after

reconstitution.

vial 12,100 78.22 946,462.00

499

PIPERACILLIN + TAZOBACTAM, 4 g + 500

mg per vial (as sodium salt): minimum

stability of 24 hours at 25°C after

reconstitution.

vial 32,000 98.00 3,136,000.00

500

POLYMYXIN B (as sulfate); Inj.:

500,000 Units powder for solution for

injection

(Intrathecal/IM/IV), 5 mL vial

vial 140 2,700.00 378,000.00

501 POTASSIUM 10 meq, tablet (as citrate) tablet 40,000 8.50 340,000.00

502POTASSIUM CHLORIDE, 2 mEq/ml, 20ml

vial /ampuleampule/vial 5,500 24.00 132,000.00

503 POTASSIUM, 600 mg, tablet tablet 2,000 12.10 24,200.00

504POTASSIUM, 750 mg, tablet (as

chloride)(equivalent to 10 meq)tablet 33,000 8.50 280,500.00

505PRALIDOXIME CHLORIDE 50mg/mL,

20mL vial (IV)vial 10 1,000.00 10,000.00

506PREDNISOLONE ACETATE, 1%, 5 ml

bottle, eyedrops, milky white solutionbottle 1,800 200.00 360,000.00

507 PREDNISONE, 10 mg tablet tablet 20,000 2.62 52,400.00

508PREDNISONE, 10 mg/5 mL suspension,

60 ml bottle, with pleasant flavorbottle 351 102.20 35,872.20



511PROPARACAINE, Eye Drops Solution

0.5%, 15ml bottle (as hydrochloride)bottle 100 552.00 55,200.00

512PROPOFOL, 10 mg/mL, 20ml ampule

(IV)ampule 7,000 59.61 417,270.00

513 Propofol, 10mg/ml, 50ml vial vial 300 550.00 165,000.00

514PROPRANOLOL, 10 mg tablet (as


515PROPRANOLOL, 40 mg tablet (as


516 PROPYLTHIOURACIL, 50 mg tablet tablet 3,000 9.40 28,200.00

517PYRIDOSTIGMINE, 60 mg tablet (as

bromide)tablet 4,650 29.18 135,687.00

518QUETIAPINE, 100mg tablet (as

fumarate)tablet 2,500 84.94 212,350.00

519QUETIAPINE, 200 mg tablet (as

fumarate)tablet 4,000 35.42 141,680.00

520 QUETIAPINE, 25 mg tablet (as fumarate) tablet 600 20.42 12,252.00

521QUETIAPINE, 300mg tablet (as

fumarate)tablet 1,000 56.00 56,000.00

522 RABEPRAZOLE, 10 mg (as sodium) tablet 600 14.00 8,400.00

523 RABEPRAZOLE, 20 mg (as sodium) tablet 1,500 15.72 23,580.00

524RANITIDINE, (as hydrochloride)Inj.: 25

mg/mL, 2 mL ampule/vial (IM, IV, IV

infusion)

ampule 9,000 3.38 30,420.00

525RANITIDINE, 150mg tablet (as


526RANITIDINE, 300 mg tablet (as

hydrochloride)tablet 100 1.99 199.00

527REGULAR, INSULIN (recombinant DNA,

human) 100 IU/ml, 10ml vial (IM, IV, SC)vial 350 160.00 56,000.00

528 RIFAXIMIN, 200mg tablet 4,000 63.20 252,800.00

529 RISPERIDONE, 1 mg tablet tablet 3,000 12.50 37,500.00

530 RISPERIDONE, 2 mg tablet tablet 150,000 5.00 750,000.00

531 RISPERIDONE, 4mg tablet tablet 5,000 12.00 60,000.00

532ROCURONIUM, 10 mg/mL, 5ml vial (as

bromide)vial 2,900 199.88 579,652.00

533ROPIVACAINE, 10 mg/mL, 10 ml ampule

(as hydrochloride)ampule 400 404.99 161,996.00

534ROSUVASTATIN, 10 mg tablet (as

calcium salt)tablet 60,000 4.22 253,200.00

535ROSUVASTATIN, 20 mg tablet (as

calcium salt)tablet 46,000 8.35 384,100.00

536 SACUBITRIL/VALSARTAN 100 mg tablet 600 56.25 33,750.00

537 SACUBITRIL/VALSARTAN 50 mg tablet 600 56.25 33,750.00

538SALBUTAMOL, 1mg/ml, 2.5ml nebule

(as sulfate)nebule 44,000 4.85 213,400.00

539SALBUTAMOL, 2mg/5ml syrup, 60 ml

bottle, sugar free, with pleasant flavorbottle 60 11.58 694.80

540SALBUTAMOL, 2mg/ml, 2.5 ml, nebule

(as sulfate)nebule 50,073 7.00 350,511.00

541SALBUTAMOL, Metered Dose Inhaler:

100 mcg/dose x 200 doses (as sulfate)piece 500 73.22 36,610.00

542 SAMBONG 500 mg, tablet tablet 38,000 5.25 199,500.00

543SERTRALINE, 50 mg tablet (as


544SERUM, ANTI TETANUS (ATS) 1500 IU

ampuleampule 25,000 73.10 1,827,500.00

545SERUM, ANTI-RABIES VACCINE 200

IU/ML, 5ml vial (equine)vial 1,200 1,080.00 1,296,000.00

546 SEVELAMER CARBONATE 800 mg tablet tablet 4,000 65.63 262,520.00

547

SEVOFLURANE, 250ml bottle with

connector to dispenser or w/

appropriate vaporizer (8 units) and

dispenser

bottle 427 5,305.00 2,265,235.00

548 SILVER SULFADIAZINE, 1 %, 25 g cream tube 2,000 79.88 159,760.00

549SILVER SULFADIAZINE, 1%, 500 g cream

jarjar 400 850.00 340,000.00

550 SIMVASTATIN, 20 mg tablet tablet 90,800 1.28 116,224.00

551 SIMVASTATIN, 40 mg tablet tablet 22,000 3.84 84,480.00

552 SODIUM BICARBONATE 650 mg tablet tablet 52,000 1.19 61,880.00

553SODIUM BICARBONATE, 1 mEq/ml, 50

ml vial (with rubber stopper)vial 7,000 82.50 577,500.00

554 SODIUM CHLORIDE, 2.5 mEq/ml, 20 ml vial 2,800 28.00 78,400.00

555SODIUM HYALURONATE, Ophthalmic

Solution: 0.1% (1 mg/mL), 5 mL bottlebottle 1,200 184.80 221,760.00

556 SOFOSBUVIR 400mg tablet 100 357.00 35,700.00

557SOFOSBUVIR + LEDIPASVIR

400mg+90mgtablet 100 500.00 50,000.00

558SOFOSBUVIR + VELPATASVIR

400mg+100mgtablet 100 500.00 50,000.00

559STANDARD SENNA CONCENTRATE, 187

mg tablettablet 100 6.26 626.00

560 SOMATOSTATIN, 3 mg per ampule/vial vial 1,000 4,391.10 4,391,100.00

561 SPIRONOLACTONE, 25 mg tablet tablet 30,000 9.90 297,000.00

562 SPIRONOLACTONE, 50 mg tablet tablet 7,000 32.14 224,980.00

563 STREPTOKINASE, 1.5 M IU vial vial 30 3,888.00 116,640.00

564STREPTOMYCIN, 1 gm vial (IM) (as

sulfate)vial 50 10.33 516.50

565SUCCIMER (dimercapto succinic acid,

DMSA), 100mg capsulecapsule 100 500.00 50,000.00

566 SUCRALFATE, 1 gm tablet tablet 2,500 30.00 75,000.00

567SUXAMETHONIUM (SUCCINYLCHOLINE),

20 mg/ml, 10 ml vial (as chloride)vial 290 134.76 39,080.40

568TAMSULOCIN, 200 mcg capsule(as

hydrochloride)capsule/tablet 8,000 30.00 240,000.00

569TAMSULOCIN, 400 mcg prolonged

release tablet(as hydrochloride)tablet 23,000 23.75 546,250.00

570TELMISARTAN +

HYDROCHLOROTHIAZIDE, 40 + 12.5 mg

tablet

tablet 10,000 19.08 190,800.00

571 TELMISARTAN, 40 mg tablet tablet 38,000 17.04 647,520.00

572 TELMISARTAN, 80 mg tablet tablet 26,000 26.74 695,240.00

573 TENOFOVIR disoproxil 300mg/tab tablet 900 42.35 38,115.00

574TERAZOSIN 2 mg tablet (as


575 TERBUTALINE 5 mg tablet (as sulfate) tablet 100 20.00 2,000.00

576 TETANUS TOXOID, 0.5ml ampule (IM) ampule 12,000 32.12 385,440.00

577THEOPHYLLINE (ANAHYDROUS), 25

mg/5ml (26.7 mg/5 ml) syrup 120 mlbottle 20 720.00 14,400.00

578 THIOPENTAL SODIUM, 500 mg vial (IV) vial 10 1,200.00 12,000.00

579TIMOLOL 0.5%, eye drops solution 5ml

bottle (as maleate)bottle 200 278.25 55,650.00

580TIOTROPIUM, 18 mcg/dose (as

bromide) with appropriate dispenserpiece 10 63.28 632.80

581TOBRAMYCIN 0.3% + DEXAMETHASONE

0.1%, Eye Drops Suspension, 5ml bottlebottle 700 154.00 107,800.00

582TOBRAMYCIN, Eye Drops Solution:

0.3%, 5ml bottlebottle 2,200 175.50 386,100.00

583 TOPIRAMATE 50 mg tablet tablet 3,000 11.05 33,150.00

584 TRAMADOL, 100 mg tablet tablet 3,000 70.56 211,680.00

585TRAMADOL, 50 mg capsule (as


586TRAMADOL, 50 mg/ml, 1ml ampule (IM,

IV) (as hydrochloride)ampule 25,000 10.40 260,000.00

587TRAMADOL, 50 mg/ml, 2ml ampule (IM,

IV) (as hydrochloride)ampule 20,000 6.41 128,200.00

588TRANEXAMIC ACID, 100 mg/mL, 5ml

ampuleampule 53,000 13.29 704,370.00

589 TRANEXAMIC ACID, 500 mg capsule capsule 21,000 3.60 75,600.00

590TRIMETAZIDINE, 35 mg tablet (as

hydrochloride)tablet 300,000 7.99 2,397,000.00

591

Tropicamide + Phenylephrine

Ophthalmic Solution:

5 mg + 5 mg/mL (eye drops) fixed dose

combination, 10 mL bottle

combination 120 665.00 79,800.00

592TROPICAMIDE EYEDROPS 5mg/ml

(0.5%), 5mlbottle 68 382.00 25,976.00

593URSODEOXYCHOLIC ACID, 250 mg

capsulecapsule 10,000 36.07 360,700.00

594VACCINE Diptheria-Tetanus Toxoids and

Acellular Pertussis (DTaP), Inj.: 0.5 mL

pre‐filled syringe (IM)

prefilled syringe 1 1,520.00 1,520.00

595VACCINE, Hepatitis B( Recombinant

DNA)10 mcg/0.5 mLvial 10 137.72 1,377.20

596VACCINE, Human Papillomavirus

Quadrivalent Recombinant (Type 6,11,

16 & 18)0.5 mL Suspension

prefilled

syringe/vial1 2,300.00 2,300.00

597VACCINE, INFLUENZA VACCINE,

QUADRIVALENTunit 5 350.05 1,750.25

598

VACCINE, PNEUMOCOCCAL 13 – valent,

0.5 mL single dose vial/0.5 mL pre-

filled syringe, suspension for IM

injection

prefilled

syringe/vial1 3,060.00 3,060.00

599

VACCINE, PNEUMOCOCCAL

POLYVALENT, Inj.: 25 micrograms/0.5

mL (polysaccharide from each

capsular type) solution for injection, 0.5

mL pre‐filled syringe or single dose vial

(IM, SC)

prefilled

syringe/vial5 450.00 2,250.00

600

VACCINE, RABIES CHICK EMBRYO CELL

(purified,inactivated) , lyophilized

powder, 2.5iu/ml,1 dose vial + 1ml

diluent (ID, IM) WHO pre approved

brand

vial 5 1,627.50 8,137.50

601

VACCINE, RABIES VERO CELL (purified) ,

lyophilized powder, 2.5iu/0.5ml,vial +

diluent (ID, IM) WHO pre approved

brand

vial 1,000 944.74 944,740.00

602VALACICLOVIR, 500 mg tablet (as

hydrochloride)

Unit: tablet

tablet 100 166.00 16,600.00

603 VALGANCICLOVIR, Oral: 450 mg tablet tablet 200 2,200.00 440,000.00

604VALPROATE DISODIUM / VALPROIC

ACID, 250 mg tablettablet 20,000 16.00 320,000.00

605VALPROATE DISODIUM / VALPROIC

ACID, 500 mg tablettablet 120,000 22.50 2,700,000.00

606VALPROIC ACID 500 mg/5 mL IV

infusionvial 1,500 1,701.23 2,551,845.00

607VALPROIC ACID, 250 mg/5ml syrup, 120

ml bottlebottle 400 314.05 125,620.00

608VALSARTAN + HYDROCHLORTHIAZIDE,

80 mg+12.5 mg tablettablet 1,200 9.23 11,076.00

609 VALSARTAN, 160 mg tablet tablet 3,000 18.83 56,490.00

610 VALSARTAN, 80 mg tablet tablet 8,000 10.05 80,400.00

611VANCOMYCIN, 1 g vial (as

hydrochloride): minimum stability of 24


vial 3,000 210.00 630,000.00

612VANCOMYCIN, 500 mg vial (as

hydrochloride): minimum stability of 24


vial 8,000 148.61 1,188,880.00

613VERAPAMIL, 2.5 mg/mL, 2ml ampule

(IV) (as hydrochloride)ampule 60 126.48 7,588.80

614VERAPAMIL, 40 mg tablet (as


615VERAPAMIL, 80 mg tablet (as


616VITAMIN A, 100,000 IU soft gel capsule

(as palmitate)capsule 1000 2.10 2,100.00

617VITAMIN A, 200,000 IU soft gel capsule

(as palmitate)capsule 1000 5.00 5,000.00

618VITAMIN B1 B6 B12, 100mg + 100mg +

1mg/3 ml, ampule (IV)ampule 4,500 29.83 134,235.00

619VITAMIN B1 B6 B12, 100mg + 5mg +

50mcgtablet 200,000 1.10 220,000.00

620 VORICONAZOLE, 200 mg tablet tablet 28 1,613.70 45,183.60

621VORICONAZOLE, 200 mg/vial,

Lyophilized powder for solution for IV

infusion, 30ml vial

vial 3 6,000.00 18,000.00

622 WARFARIN, 1 mg tablet tablet 100 21.00 2,100.00

623 WARFARIN, 2.5 mg tablet tablet 8,000 7.50 60,000.00

624 WARFARIN, 5 mg tablet tablet 2,000 11.88 23,760.00

625ZINC SULFATE, solution (equiv. to 20mg

elemental zinc/5ml) syrup, 60 ml bottle,

with pleasant flavor

bottle 1,900 39.00 74,100.00

626

ZINC SULFATE, solution, (equiv. to 10mg

elemental zinc/ml) drops, 15 ml bottle

(as sulfate monohydrate), with pleasant

flavor

bottle 2,500 35.00 87,500.00

627 ANAZTROZOLE 1 mg film coated tablet tablet 2,000 83.60 167,200.00

628BLEOMYCIN Inj.: powder, 15 mg

ampule/vial (IM, IV, SC) (as sulfate)SC) 250 1,945.00 486,250.00

629CALCIUM FOLINATE(LEUCOVORIN

CALCIUM) Inj.: 50 mg vial (IM, IV)vial 4,000 215.75 863,000.00

630 CAPECITABINE Oral: 500 mg tablet tablet 40,000 65.00 2,600,000.00

631CARBOPLATIN Inj.: 10mg/mL 45 mLvial

(IV) vial 850 2,300.00 1,955,000.00

632 CARBOPLATIN Inj.: 150 mg vial (IV) vial 350 897.88 314,258.00

633 CHLORAMBUCIL Oral: 2 mg tablet tablet 100 380.00 38,000.00

634 CICLOSPORIN Oral: 25 mg tablet tablet 100 41.75 4,175.00

635 CISPLATIN Inj.: 10 mg (IV) vial vial 570 170.00 96,900.00

636 CISPLATIN Inj.: 50 mg (IV) vial vial 800 369.34 295,472.00

637CYCLOPHOSPHAMIDE Inj.: powder 500

mg vial (IV)vial 900 164.00 147,600.00

638 CYCLOPHOSPHAMIDE, 1 g vial (IV) vial 600 270.50 162,300.00

639CYTARABINE Inj.; 100 mg vial (IM, SC,

intrathecal)vial 800 100.88 80,704.00

640CYTARABINE Inj.; 500 mg vial (IM, SC,

intrathecal)vial 100 118.99 11,899.00

641DACARBAZINE Inj.: powder 200 mg vial

(IV, IV infusion) vial 150 697.78 104,667.00

642DACTINOMYCIN(actinomycin D) Inj.:

powder 500 micrograms vial (IV)vial 1 400.00 400.00

643DOXORUBICIN Inj.: powder, 10 mg vial

(IV) as hydrochloride) vial 200 178.79 35,758.00

644DOXORUBICIN Inj.: powder, 50 mg vial

(IV) as hydrochloride) vial 1,300 619.37 805,181.00

645EPIRUBICIN Inj.: powder 10 mg vial

(IV)(as hydrochloride)vial 10 805.63 8,056.30

646EPIRUBICIN Inj.: 50 mg vial (IV)(as

hydrochloride) vial 20 2,777.00 55,540.00

647ETOPOSIDE Inj.: 20 mg/mL, 5 mL

ampul/vial (IV)ampule/vial 500 340.00 170,000.00

648FILGRASTIM(G-CSF) 300 mcg/1mL, vial

(IV, SC)vial 600 973.50 584,100.00

649FILGRASTIM, 300 mcg/0.5 ml (IV/SC) pre-

filled syringeprefilled syringe 2,200 1,299.00 2,857,800.00

650FLUOROURACIL Inj.: 50 mg/mL, 10 mL

ampul/vial (IV, IV infusion)vial 4,500 77.00 346,500.00

651 FLUTAMIDE Oral: 250 mg tablet tablet 100 72.00 7,200.00

652 HYDROXYUREA Oral: 500 mg capsule capsule 8,000 15.95 127,600.00

653IDARUBICIN Inj.: powder, 5 mg vial

(IV)(as hydrochloride)vial 5 6,645.00 33,225.00

654 IFOSFAMIDE Inj.: 1 g vial (IV infusion) vial 300 1,750.00 525,000.00

655 IFOSFAMIDE Inj.: 2 g vial (IV infusion) vial 200 2,457.00 491,400.00

656IRINOTECAN Inj.: 100 mg/5 mL

concentrate, vial (IV infusion)(as

hydrochloride)

vial 300 3,400.00 1,020,000.00

657L-ASPARAGINASE Inj.: lyophilized

powder 10,000 IU vial (IV)vial 200 1,780.00 356,000.00

658 LETROZOLE, 2.5 mg tablet tablet 8,000 76.00 608,000.00

659MEGESTROL Oral: 160 mg tablet (as

acetate)tablet 300 105.00 31,500.00

660 MELPHALAN Oral: 2 mg tablet tablet 300 28.75 8,625.00

661 MERCAPTOPURINE Oral: 50 mg tablet tablet 6,000 19.25 115,500.00

662MESNA (sodium-2-

mercaptoethanesulphonate) Inj.: 100

mg/mL, 4 mL ampule (IV)

ampule 3,000 160.00 480,000.00

663METHOTREXATE Inj.: 25 mg/mL, 2 mL

vial (IM, IV, intrathecal) (as sodium salt),

(preservative free)

vial 600 120.87 72,522.00

664METHOTREXATE Oral: 2.5 mg tablet (as


665METHOTREXATE Inj.: 500 mg vial (IM,

IV, intrathecal) (as sodium salt),

(preservative free)

vial 10 1,400.00 14,000.00

666ONDANSETRON, 2 mg/ml, 4ml ampule

(IM, IV) (as hydrochloride)ampule 14,000 132.45 1,854,300.00

667ONDANSETRON, Oral: 8 mg tablet (as

hydrochloride dihydrate)tablet 400 87.00 34,800.00

668RITUXIMAB Inj.: 10mg/mL, 50mL (500

mg vial) (IV) vial 90 82,127.48 7,391,473.20

669RITUXIMAB Inj.: 10mg/mL, 10mL

(100mg vial) (IV)vial 10 16,754.12 167,541.20

670 TAMOXIFEN: Oral 20 mg tablet tablet 10,000 6.50 65,000.00

671TRASTUZUMAB 600 mg/5 mL (120

mg/mL) solution for injection(SC), 5 mL

vial

vial 265 26,000.00 6,890,000.00

672TRASTUZUMAB Inj.: 150 mg lyophilized

powder (IV infusion)vial 217 13,000.00 2,821,000.00

673VINBLASTINE Inj: 1 mg/mL, 10 mL vial

(IV)(as sulfate)vial 80 775.00 62,000.00

674VINCRISTINE Inj.: 1 mg/mL, 1 mL vial

(IV)(as sulafte)vial 400 195.00 78,000.00

675VINCRISTINE Inj.: powder 2 mg vial

(IV)(as sulfate)vial 600 400.00 240,000.00

DOCETAXEL Inj.: 20 mg vial (IV infusion) vial 550 1,498.00 823,900.00

DOCETAXEL Inj.: 80 mg vial (IV infusion) vial 800 4,000.00 3,200,000.00

GEMCITABINE Inj.: 1 g vial (IV infusion

(as hydrochloride) vial 449 2,846.80 1,278,213.20

GEMCITABINE Inj.: 200 mg vial (IV

infusion (as hydrochloride) vial 300 850.00 255,000.00

LEUPRORELINE Inj.: 3.75/2 mL vial with

syringe (IM, SC)(as acetate)vial 90 6,187.50 556,875.00

LEUPRORELINE Inj.: powder (depot),

11.25 mg vial with syringe (IM, SC)(as

acetate)

vial 70 13,500.00 945,000.00

OXALIPLATIN Inj.: 100 mg vial (IV

Infusion)vial 600 3,070.00 1,842,000.00

OXALIPLATIN Inj.: 50 mg vial (IV

Infusion)vial 1,100 2,770.00 3,047,000.00

PACLITAXEL Inj.: 6 mg/mL, 16.7 mL vial

(IV)(w/ compatible infusion set 0.20

micron In line bacterial/fungal retention

filter with no DEHP tubing)

vial 225 1,919.50 431,887.50

PACLITAXEL Inj.: 6 mg/mL, 43.4 mL vial

(IV, IV infusion)(w/ compatible infusion

set 0.20 micron In line bacterial/fungal

retention filter with no DEHP tubing)

vial 570 4,327.50 2,466,675.00

676 ABACAVIR 300 mg tablet tablet 4,320 14.00 60,480.00

677 EFAVIRENZ 200 mg tablet tablet 4,050 2.39 9,679.50

678 EFAVIRENZ 600 mg tablet tablet 22,410 9.00 201,690.00

679 LAMIVUDINE 10 mg/mL, Suspension bottle 36 58.30 2,098.80

680 LAMIVUDINE 150 mg tablet tablet 4,320 1.31 5,659.20

681LAMIVUDINE 150 mg/ZIDOVUDINE 300

mg tablettablet 84,780 4.00 339,120.00

682LAMIVUDINE 300 mg/TENOFOVIR 300

mg tablettablet 18,360 9.30 170,748.00

683LAMIVUDINE 300 mg/TENOFOVIR 300

mg tablet/EFAVIRENZ 600 mg tablettablet 44,550 16.50 735,075.00

684 LOPINAVIR 200 mg/RITONAVIR 50 mg tablet 20,520 22.30 457,596.00

685 NEVIRAPINE 200 mg tablet tablet 61,020 1.74 106,174.80

686NEVIRAPINE 50 mg/5 mL, Oral

Suspensionbottle 9 75.00 675.00

687 ZIDOVUDINE 50 mg/5 mL, Suspension bottle 27 130.00 3,510.00

LOT 3

LOT 4

LOT 5

LOT 1

LOT 2

bac form bbghmc.doh.gov.ph/wp-content/uploads/2019/10/bac-form-b-2019.p… · in connection with...

Documents