ACKNOWLEDGEMENTS The Second Edition of the Drug Price Reference Index (DPRI) was made possible with the hard work, dedication and team effort of the National Center for Pharmaceutical Access and Management’s DPRI Team headed by Mr. Manuel Alexander Haasis, Project Manager/Consultant and Ms. Marinette J. Ladioray, Senior Health Program Officer, together with the team members namely: Mr. Achilles Aragona, Information System Researcher II, Mr. Julius Jocson, Health Program Officer I, Mr. John Irving Telingban, Supply Officer I and Mr. Jeffrey Castro, Health Program Researcher and all NCPAM staff for their support. We also acknowledge the guidance of the System Support Division Head, Ms. Vanessa Saulog-Obera and lastly to the unwavering support and supervision of Dr. Anna Melissa S. Guerrero, OIC- Program Manager, NCPAM, Dir. Lilibeth C. David, OIC- Health Policy Finance and Research Development Cluster, and Dr. Madeleine De Rosas-Valera, former Undersecretary of Health. 13 October 2014 1|Page Manila, Philippines Overview The high and extremely variable prices of medicines in the Philippines impact on access to effective, efficient and equitable health care. In 2009, a study conducted by Health Action International revealed that there was extreme variability in the procurement prices of essential medicines in the national and local public health facilities in the country. On average, originator brands and generic equivalents were procured almost 16 times and 3 times higher, respectively, compared to prices available on the international market. 1 DOH-Central Office Bids and Awards Committee (DOH-COBAC) and DOH hospitals were shown to have more efficient procurement prices compared to provincial and municipal health facilities, thus leading to variability in access to essential medicines across the Philippines. Republic Act (RA) 9502 or the Universally Accessible Cheaper and Quality Medicines Act of 2008 gave the DOH instruments to monitor and regulate the prices of drugs and medicines to protect consumers and the public procuring entities from excessive mark-ups applied to prices of medicines resulting from information asymmetry and the lack of effective market competition. To address these issues, the National Center for Pharmaceutical Access and Management (NCPAM) has established a Drug Price Reference Index (DPRI) for all essential medicines to guide all national and local government health facilities in the efficient sourcing of pharmaceutical products in the public sector. What is the Drug Price Reference Index (DPRI)? The DPRI lists the ceiling prices of essential medicines for government bidding and procurement set by the DOH for all DOH Retained Hospitals and Regional Health Offices (RHOs). Winning bid prices of essential medicines within the DPRI ceiling reflect efficient and effective procurement that facilitates consumer access to medicines and protection from excessive mark-ups of prices. The DPRI only reflects the acquisition costs including landed cost, packaging, drug content, quality assurance, manufacturing overheads and Food and Drug Administration (FDA) fees. The DPRI excludes other costs such as pharmacy services, preparation and storage fees and applicable taxes to medicines (i.e. VAT), and other reasonable pharmacy mark-ups, which are now being evaluated by the DOH. The DPRI aims to improve the efficiency and good governance in the pricing and procurement of medicines in the public sector through establishing a transparent and publicly available reference price for affordable and quality medicines. It also aims to guide the Philippine Health Insurance Corporation (PHIC) in setting reimbursement caps for medicines both for inpatient and outpatient services. Who should use the DPRI? All government entities should be guided by the DPRI when procuring medicines. It shall be applied to all forms of procurement such as public bidding, direct contracting, shopping, negotiated procurement, emergency procurement and consignment to ensure that the government achieves the best value for money in sourcing essential medicines. 1 Douglas B, Tisocki K (2009) Public Procurement Prices of Medicines in the Philippines. Health Action International. 2|Page What are the sources of the Price Data? The DPRI is computed based on the prevailing public tender prices of the previous year reflected in the actual Purchase Orders (POs) submitted by the DOH Retained Hospitals, RHOs, Central Office Bids and Awards Committee (COBAC) and Philippine International Trading Corporation (PITC) Pharma Inc. (PPI) to the DOH. Only data coming from reputable suppliers are considered in the database which means that they should be licensed by the Philippine Food and Drug Administration (FDA) and have a certificate of Good Manufacturing Practice issued by the FDA. How is the Drug Price Reference (DPR) determined? The DPR is set at the Median or the 50th percentile across the range of prevailing tender prices of essential medicines. For medicines with less than three (3) suppliers, the DPR may be set at the lowest winning bid price from a reputable supplier. Projected inflationary costs have already been considered in the calculation of the DPR. For innovator drugs approved for inclusion in the Philippine National Formulary, the price may be set by referencing with relevant international markets particularly those with similar income status (i.e. Thailand, India). It may also be informed by economic evaluations conducted in the Philippines used by the DOH to value their claimed clinical benefits and negotiate tender prices where an innovative pharmaceutical p roduct has only one sole supplier. How often shall the DPRI be updated? The DPRI shall be updated annually. All DOH hospitals and RHOs are directed to submit a copy of their POs of the previous year to the NCPAM at or before the end of the first quarter of the succeeding year. The updated DPRI shall be based on the procurement price data of medicines from the previous year. 3|Page Generic Name Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 13.11 - 17.54 8.23 - 11.01 19.00 - 33.00 7.90 - 16.80 6.49 - 15.56 1,610.84 – 1,650.00 290.00 - 313.00 19.80 - 53.00 2.45 - 22.83 5.25 - 139.24 55.00 - 206.87 729.94 - 938.49 0.84 1650.00 - 2500.00 1,938.00 – 2,800.00 27.50 - 59.49 0.45 - 4.95 0.61 - 7.90 4.00 - 12.72 5.00 - 18.33 17.65 - 150.00 13.11 8.23 19.00 11.75 11.05 1,610.84 11.95 - 35.00 18.90 28.12 - 49.81 22.08 - 22.10 18.10 - 94.50 19.05 - 42.10 16.78 - 339.00 17.45 - 194.00 444.44 - 480.00 28.12 22.08 25.90 19.05 22.40 23.74 444.44 10%, 500mL Bottle 450.00 - 770.00 450.00 5%, 500mL Bottle 400.00 - 425.00 400.00 6%, 100mL Bottle 362.00 - 480.00 362.00 7%, 500mL Bottle 450.00 - 500.00 450.00 8%, 500mL Bottle 412.00 - 1018.00 442.22 14.35 - 55.00 24.13 A 1 2 3 4 5 6 Acarbose Acarbose Acetazolamide Acetylcysteine Acetylcysteine Acetylcysteine 100 mg Tablet 50 mg Tablet 250 mg Tablet 100 mg Sachet 200 mg Sachet 200mg/mL, 25mL Bottle 7 8 9 10 11 12 13 14 15 Acetylcysteine Acetylcysteine Aciclovir Aciclovir Aciclovir Aciclovir Albendazole Albumin, Human Albumin, Human 100mg/5mL. 150mL Suspension 600 mg Effervescent Tablet 200 mg Tablet 400 mg Tablet 800mg Tablet 25 mg/mL, 10 mL Vial 400 mg Chewable Tablet 20% 50mL Bottle 25% 50mL Bottle 16 17 18 19 20 21 Alfuzosin Allopurinol Allopurinol Alprazolam Alprazolam Aluminum Hydroxide + Magnesium Hydroxide Aluminum Hydroxide + Magnesium Hydroxide Amikacin (as Sulfate) Amikacin (as Sulfate) Amikacin (as Sulfate) Amikacin (as Sulfate) Amikacin (as Sulfate) Amikacin (as Sulfate) Amino Acid Solutions for Hepatic Failure Amino Acids, Crystalline Standard Amino Acids, Crystalline Standard Amino Acids, Crystalline Standard Amino Acids, Crystalline Standard Amino Acids, Crystalline Standard Aminophylline 10mg Tablet 100 mg Tablet 300 mg Tablet 250 mcg Tablet 500 mcg Tablet 225 mg + 200 mg/5 mL, 120 mL Suspension 225 mg + 200 mg/5 mL, 60 mL Suspension 100 mg Vial 100 mg/mL, 2mL vial 125mg/mL, 2mL Vial 250 mg Vial 250 mg/mL, 2 mL Vial 50mg/ml, 2ml Vial 8%, 500mL Bottle 22 23 24 25 26 27 28 29 30 31 32 33 34 35 4|Page 25 mg/mL, 10 mL Ampule 290.00 32.94 4.74 22.85 70.00 729.94 0.84 1,650.00 2,450.00 28.75 0.70 1.70 4.00 5.00 25.00 Generic Name 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) Amiodarone Amiodarone Amlodipine Amlodipine Amoxicillin Amoxicillin Amoxicillin Amoxicillin Amoxicillin Amoxicillin Amphotericin B (Non-Lipid Complex) Ampicillin Ampicillin Ampicillin Ampicillin + Sulbactam Ampicillin + Sulbactam Ampicillin + Sulbactam Anti-rabies Serum (equine) Anti-tetanus Serum (ATS) (equine) Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Aspirin Atenolol Atenolol Atracurium Atropine Atropine Atropine Azithromycin Azithromycin Azithromycin 50 mg/mL, 3 mL Ampule 200 mg Tablet 10mg Tablet 5 mg Tablet 100mg/mL, 10mL Drops 100mg/mL, 15mL Drops 125mg/5mL, 60mL Suspension 250 mg/5 mL, 60 mL Suspension 250 mg Capsule 500 mg Capsule 50 mg Vial 210.14 21.45 1.05 0.94 16.20 18.95 14.75 18.50 0.95 1.22 3,150.00 1g Vial 250 mg Vial 500 mg Vial 1.5g Vial 250mg + 125mg Vial 500mg + 250 mg Vial 200 IU/mL,5mL Vial 1500IU/mL, 1mL Ampule 137.77 - 450.00 6.50 - 80.45 0.27 - 23.26 0.31 - 13.24 11.98 - 48.50 11.44 - 33.48 11.90 - 43.00 13.65 - 70.00 0.69 - 3.81 1.08 - 6.90 3,150.00 – 5,800.00 6.87 - 169.00 4.10 - 54.25 2.94 - 106.00 45.00 - 583.56 78.00 - 153.09 18.42 - 702.00 940.00 - 1300.00 15.80 - 160.00 100 mg/ml, 15 mL Oral Drops 100 mg/ml, 60 mL Oral Drops 100mg/5mL, 120mL Syrup 100mg/5mL, 60mL Syrup 500 mg Tablet 80 mg Tablet 100 mg Tablet 50 mg Tablet 10mg/mL, 2.5mL Ampule 1mg/mL, 1mL Ampule 500 mcg/mL, 1 mL Ampule 1%, 5mL Bottle 200 mg/5 mL, 15 mL Suspension 500 mg Tablet 500 mg Vial 9.35 - 60.90 10.07 - 13.00 14.81 - 102.82 9.40 - 23.00 0.43 - 4.95 0.70 - 3.00 2.54 - 24.46 1.48 - 3.95 49.10 - 290.00 2.00 - 135.00 4.00 - 12.00 150.00 - 187.00 155.00 - 398.01 16.15 - 256.60 623.00 - 870.00 14.98 11.00 24.00 15.25 0.69 1.39 13.28 1.98 85.45 3.50 4.00 150.00 328.97 107.18 726.02 Baclofen Balanced Multiple Maintenance Solution with 5% Dextrose for Adult Balanced Multiple Maintenance Solution with 5% Dextrose for Pedia Balanced Multiple Replacement Solution with 5% Dextrose 10mg Tablet 1L Bottle 15.00 - 33.20 7.25 - 128.50 15.00 18.00 500 mL Bottle 7.25 - 110.00 19.90 500 mL Bottle 10.11 - 40.00 10.11 9.00 5.98 5.75 285.00 94.25 87.00 1,050.00 27.41 B 70 71 72 73 5|Page Generic Name 74 75 Balanced Multiple Replacement Solution with 5% Dextrose BCG Vaccine 76 77 78 BCG Vaccine BCG Vaccine Beractant 79 80 81 82 Betahistine Betahistine Biperiden Hydrochloride Biphasic Isophane Human Insulin 70/30 (recombinant DNA) 83 Biphasic Isophane Human Insulin 70/30 (recombinant DNA) 84 85 86 87 88 89 Bisacodyl Bisacodyl Bisacodyl Bisoprolol Bleomycin (as Sulfate) Budesonide 90 Budesonide + Formoterol 91 92 Bupivacaine Bupivacaine 93 Butamirate Citrate Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 13.00 - 128.50 31.00 123.05 123.05 117.29 71.19 9,963.9211,070.25 42.00 - 50.00 14.63 - 35.00 2.99 - 11.22 199.00 - 343.18 117.29 71.19 9,963.92 341.90 - 420.00 341.90 38.00 12.22 - 149.80 0.72 - 27.00 12.16 - 16.66 1,775.00 9.04 - 55.00 38.00 15.29 1.49 12.16 1,775.00 18.99 645.47 - 847.63 645.47 58.22 - 715.00 89.10 - 760.00 127.00 175.00 12.00 - 18.03 14.13 500 mg Tablet 500 mg Chewable Tablet 600 mg Tablet 50 mg Vial 0.81 - 10.00 4.00 - 5.62 3.94 – 4.41 150.75 - 265.00 1.00 4.00 3.94 196.15 10mg/mL, 5mL Vial 259.75 - 350.00 259.75 10%, 10mL Ampule 10%, 20mL Bottle 10%, 10mL Vial 16mg Tablet 8 mg Tablet 25 mg Tablet 50 mg Tablet 200 mg Tablet 150mg Vial 4.50 - 45.00 11.00 - 23.00 8.08 - 16.00 19.41 - 22.83 11.03 - 33.58 0.49 - 4.48 1.57 - 4.94 0.92 - 19.84 509.75 – 1,600.00 10.60 11.00 8.08 19.41 11.03 0.81 2.70 1.50 509.75 1L Bottle 500 mcg/mL vial + 1 mL diluent in ampul x 20 dose 2 mL vial Multidose vial + 5 mL diluent 25 mg/mL, 4 mL Vial 24mg Tablet 8 mg Tablet 2 mg Tablet 70% isophane suspension + 30% soluble insulin in 100 IU/mL, 10 mL Vial 70% isophane suspension + 30% soluble insulin in 100 IU/mL, 3 mL Disposable Syringe 5 mg Suppository 10mg Suppository 5 mg Tablet 5 mg Tablet 15mg Vial 250 mcg/mL, 2 mL Respiratory Solution (Nebule) 160 mcg + 4.5 mcg x 60 doses Dry Powder Inhaler 0.5%, 10 mL Ampule 0.5%, 4 mL (spinal) with 8% Dextrose (as hydrochloride) Ampule 50mg MR Tablet 42.00 17.15 3.66 234.50 C 94 95 96 97 98 99 100 101 102 103 104 105 106 107 Calcium Carbonate Calcium Carbonate Calcium Carbonate Calcium Folinate (Leucovorin Calcium) Calcium Folinate (Leucovorin Calcium) Calcium Gluconate Calcium Gluconate Calcium Gluconate Candesartan Cilexetil Candesartan Cilexetil Captopril Captopril Carbamazepine Carboplatin 6|Page Generic Name Dosage Strength/Form 108 Carboplatin 450mg Vial 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 Carvedilol Carvedilol Cefadroxil Cefalexin Cefalexin Cefalexin Cefalexin Cefalexin Cefalexin Cefalexin Cefazolin Cefazolin Cefepime Cefepime Cefepime Cefixime Cefixime Cefixime Cefixime Cefixime Cefixime Cefotaxime Cefotaxime Cefoxitin Ceftazidime Ceftazidime Ceftriaxone Ceftriaxone Cefuroxime Cefuroxime Cefuroxime Cefuroxime Cefuroxime Cefuroxime Cefuroxime Cefuroxime Celecoxib Celecoxib Celecoxib Cetirizine Cetirizine Cetirizine Cetirizine Cetirizine Chloramphenicol 25 mg Tablet 6.25mg Tablet 500 mg Capsule 100mg/mL, 15mL Drops 125mg/5mL, 60mL Bottle 250 mg/5 mL, 60 mL Bottle 250 mg Capsule 500 mg Capsule 100 mg/mL, 10 mL Drops 125 mg/5 mL, 60 mL Bottle 1g Vial 500 mg Vial 1g Vial 2 g Vial 500 mg Vial 100mg/5ml, 30mL Suspension 100mg/5mL, 60mL Suspension 20 mg/mL, 10 mL Suspension 100 mg Capsule 200 mg Capsule 400 mg Capsule 1 g + 4 mL diluent Vial 500 mg + 2 mL diluent Vial 1g Vial 1g Vial 500 mg Vial 1 g + 10 mL diluent Vial 500 mg + 5 mL diluent Vial 125mg/5mL, 50mL Suspension 125mg/5mL, 70mL Suspension 250 mg/5 mL, 60 mL Suspension 250 mg Tablet 500 mg Tablet 1.5g Vial 250 mg Vial 750 mg Vial 100 mg Capsule 200 mg Capsule 400 mg Capsule 10mg/mL, 10mL Oral Drops 1mg/mL, 30mL Solution 1mg/mL, 60mL Solution 5 mg/5 mL, 30 mL Syrup 10mg Tablet 0.5%, 5 mL Bottle 7|Page Lowest-Highest Tender Price (Php) DPR (Php) 1,176.58 – 2,600.00 3.50 - 8.50 1.49 - 5.49 7.52 - 27.69 14.18 - 60.00 16.18 - 63.00 19.18 - 115.00 1.45 - 7.95 1.78 - 18.26 14.40 - 37.50 16.18 - 63.00 16.00 - 262.72 17.94 - 120.00 55.00 - 1333.00 537.60 - 1800.00 185.00 - 659.00 294.50 - 385.00 138.00 - 732.72 150.00 - 214.21 39.29 - 68.00 3.70 - 92.00 168.00 15.00 - 205.00 32.44 - 195.00 200.00 - 596.00 37.50 - 430.00 39.68 - 300.00 15.79 - 470.00 29.68 - 250.00 183.54 - 220.00 180.00 - 310.10 180.00 - 310.10 12.00 - 39.00 8.40 - 45.00 109.50 - 179.00 26.89 - 42.00 2.91 - 227.00 6.00 6.25 - 28.00 15.00 - 37.82 70.00 - 280.00 35.00 - 110.50 85.00 - 185.00 29.00 - 110.00 0.41 - 19.00 83.00 - 120.00 1,176.58 6.00 2.00 21.00 30.00 17.80 24.85 1.79 2.28 20.00 17.80 20.36 24.70 183.00 1,573.00 252.00 294.50 300.00 175.00 39.29 19.10 168.00 38.88 32.44 285.00 49.60 95.00 27.52 29.68 183.54 180.00 280.00 25.95 14.88 109.50 26.89 21.00 6.00 10.80 25.00 70.00 93.40 85.00 76.00 1.29 83.00 Generic Name 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 Chloramphenicol Chloramphenicol Chloramphenicol Chlorphenamine (Chlorpheniramine) Chlorphenamine (Chlorpheniramine) Chlorphenamine (Chlorpheniramine) Chlorpromazine Chlorpromazine Cilostazol Cilostazol Cinnarizine Cinnarizine Ciprofloxacin Ciprofloxacin Ciprofloxacin Ciprofloxacin Cisplatin Cisplatin Cisplatin Clarithromycin Clarithromycin Clarithromycin Clarithromycin Clarithromycin Clindamycin Clindamycin Clindamycin Clindamycin Clobetasol Clobetasol Clonazepam Clonidine Clonidine Clonidine Clopidogrel Cloxacillin (as Sodium) Cloxacillin (as Sodium) Cloxacillin (as Sodium) Cloxacillin (as Sodium) Clozapine Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 8|Page Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 14.78 - 200.89 1.76 - 31.51 11.89 - 290.00 6.64 - 30.00 18.43 2.16 16.53 11.25 4 mg Tablet 0.23 - 2.00 0.45 2.5 mg/5 mL, 60 mL Syrup 9.98 - 43.10 18.20 0.62 - 5.20 0.97 - 10.94 6.80 - 37.00 4.25 - 36.00 76.00 - 84.46 0.86 - 38.72 1.38 - 8.13 0.82 - 11.00 23.69 - 785.07 141.00 - 660.00 112.00 - 175.00 455.00 - 510.00 249.20 - 570.91 100.00 - 292.00 150.00 - 367.50 5.80 - 80.00 14.99 - 86.79 680.00 - 820.00 58.00 - 685.61 1.50 - 16.00 2.00 - 39.22 105.09 - 300.13 71.89 - 92.30 73.00 - 80.00 2.00 - 10.02 25.25 - 146.70 5.20 - 34.21 14.00 - 37.00 2.05 - 19.00 15.00 - 42.30 1.80 - 5.70 1.79 - 15.00 15.18 - 60.00 3.35 - 35.50 71.80 - 117.00 0.73 2.20 6.80 4.25 76.00 1.08 1.38 1.40 44.42 141.00 112.00 490.00 249.20 159.52 285.38 12.00 39.75 680.00 113.50 1.95 2.77 105.09 71.89 73.00 2.00 116.49 29.30 22.45 4.68 20.23 2.50 2.94 36.55 16.50 71.80 87.00 - 170.00 87.00 125mg/5mL, 60mL Suspension 500 mg Capsule 1g Vial 10mg/mL,1mL Ampule 100 mg Tablet 200 mg Tablet 100 mg Tablet 50 mg Tablet 75 mg Capsule 25 mg Tablet 250 mg Tablet 500 mg Tablet 2mg/mL,100mL Vial 2mg/mL,50mL Vial 10mg Vial 1mg/mL, 50mL Vial 50 mg Vial 125mg/5mL ,50mL Suspension 125mg/5mL ,70mL Suspension 500 mg Tablet 500 mg MR Tablet 250 mg/5 mL, 70 mL Suspension 150mg/mL, 4ml Ampule 150mg Capsule 300 mg Capsule 75mg/5mL, 60mL Suspension 0.05%, 5 g Tube Cream 0.05%, 5 g Tube Ointment 2 mg Tablet 150mcg/mL, 1mL Ampule 150mcg Tablet 75mcg Tablet 75 mg Tablet 125mg/5mL, 60mL Bottle 250 mg Capsule 500 mg Capsule 250 mg/5 mL, 60 mL Bottle 100 mg Tablet 125mg + 31 mg/5mL, 60mL Suspension 200mg + 28.5mg/5mL, 70mL Suspension Generic Name 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Colchicine Conjugated Equine Estrogen Cotrimoxazole (Sulfamethoxazole + Trimethoprim) Cotrimoxazole (Sulfamethoxazole + Trimethoprim) Cotrimoxazole (Sulfamethoxazole + Trimethoprim) Cotrimoxazole (Sulfamethoxazole + Trimethoprim) Cotrimoxazole (Sulfamethoxazole + Trimethoprim) Cyclophosphamide Cyclophosphamide Cyclophosphamide Cyclophosphamide Cyclophosphamide Cytarabine Cytarabine Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 250mg + 62.5mg/5mL, 60mL Suspension 400mg + 57mg/5mL, 70mL Suspension 95.00 - 280.00 140.00 120.00 - 450.00 120.00 1g Tablet 12.19 - 40.00 19.68 500 mg + 125 mg Tablet 6.23 - 48.63 9.19 500 mcg Tablet 625mcg Tablet 200mg+40mg/5mL, 60mL Suspension 2.30 - 4.85 24.23 - 26.35 9.96 - 123.20 3.35 24.23 13.85 400mg+80mg/5mL, 60mL Suspension 12.32 - 43.00 16.88 400 mg + 80 mg Tablet 0.55 - 12.68 0.78 800mg+160mg Tablet 0.88 - 10.00 1.18 200 mg + 40 mg/5 mL, 100 mL Suspension 12.00 - 28.95 12.00 15.00 - 17.50 350.00 - 500.00 254.00 110.00 - 150.00 145.00 - 270.00 105.00 - 205.00 430.00 15.00 350.00 254.00 110.00 145.00 105.00 430.00 350.00 - 400.00 9,464.0013,068.00 12.45 - 65.00 26.80 - 65.00 10.00 - 19.07 9.69 - 113.00 420.00 - 504.00 350.00 9,464.00 400.00 - 455.00 400.00 16.45 - 20.00 13.79 28.12 - 120.00 12.63 - 14.03 16.45 13.79 58.88 12.63 50 mg Tablet 1g Vial 100 mg Vial 200 mg Vial 500 mg Vial 100 mg Vial 100mg/mL, 5mL Vial D 214 215 Dactinomycin (Actinomycin D) Desflurane 500mcg powder Vial 240mL Bottle 216 217 218 219 220 Dexamethasone Dexamethasone Dexamethasone Dexamethasone Dextran, High Molecular Weight (Dextran 70) Dextran, High Molecular Weight (Dextran 70) Dextromethorphan Dextromethorphan Diazepam Diazepam 4 mg/mL, 2 mL Ampule 5 mg/mL,1 mL Ampule 4 mg Tablet 4 mg/mL, 2 mL Vial 6%, Dextran 70 in 5% Dextrose 500mL Bottle 6%, Dextran 70 in 5% Dextrose 500mL Glass Bottle 10mg/5mL, 60 mL Syrup 5mg/5mL, 60mL Syrup 5 mg/mL, 2 mL Ampule 10mg Tablet 221 222 223 224 225 9|Page 34.99 34.30 10.00 32.25 420.00 Generic Name Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 6.21 - 9.15 15.81 - 19.00 4.29 - 609.00 0.22 - 21.77 7.93 - 45.00 0.18 - 4.27 28.16 - 195.00 583.84 - 749.85 3.12 - 7.20 19.85 - 25.00 2.38 - 21.92 2.95 - 35.97 1,800.00 – 2,500.00 40.89 - 208.45 7.14 15.81 18.00 0.57 11.50 0.30 119.05 583.84 4.33 19.85 17.48 17.61 1,800.00 25 mg Capsule 0.69 - 4.56 0.69 50 mg Capsule 0.55 - 8.59 0.94 12.5mg/ 5mL, 60mL Syrup 9.00 - 60.00 13.60 350.00 - 929.00 84.50 - 215.00 98.40 - 750.00 200.00 - 800.49 1,010.00 – 3,791.00 3,850.00 – 13,535.98 177.18 - 264.45 1.50 - 21.00 268.00 - 650.95 215.00 - 416.11 23.84 - 62.00 37.45 - 144.00 130.00 - 380.00 998.50 - 1250.00 330.00 - 725.00 550.00 - 1450.00 0.74 - 103.91 350.00 185.00 130.75 200.00 1,010.00 0.62 - 19.85 6.50 - 24.85 1.80 - 16.00 374.00 - 477.00 264.00 - 1081.23 5.00 10.38 5.48 374.00 339.00 226 227 228 229 230 231 232 233 234 235 236 237 238 Diazepam Diclofenac Diclofenac Diclofenac Dicycloverine (Dicyclomine) Dicycloverine (Dicyclomine) Digoxin Digoxin Digoxin Diloxanide Diltiazem Diltiazem Dimeglumine Gadopentetate 5 mg Tablet 25 mg/mL, 2 mL Ampule 25mg/mL, 3mL Ampule 50 mg Tablet 10mg/5mL, 60 mL Syrup 10mg Tablet 250 mcg/mL, 2 mL Ampule 50mcg/mL, 60mL Elixir 250 mcg Tablet 500 mg Tablet 30 mg Tablet 60 mg Tablet 469mg/mL, 10mL Vial 239 50 mg/mL, 1 mL Ampule 243 244 245 246 247 Diphenhydramine (as Hydrochloride) Diphenhydramine (as Hydrochloride) Diphenhydramine (as Hydrochloride) Diphenhydramine (as Hydrochloride) Dobutamine Dobutamine Dobutamine Dobutamine Docetaxel 248 Docetaxel 40mg/mL, 2mL Vial 249 250 251 252 253 254 255 256 257 258 259 Domperidone Domperidone Dopamine Dopamine Dopamine Dopamine Doxorubicin Doxorubicin Doxorubicin Doxorubicin Doxycycline (as Hyclate) 1mg/mL, 60mL Suspension 10mg Tablet 1.6 mg/mL, 250 mL D5W Pre-mixed 800 mcg/mL, 250 mL D5W Pre-mixed 20 mg/mL, 10 mL Ampule 40 mg/mL, 5 mL Ampule 10mg Vial 2mg/mL, 25mL Vial 2mg/mL, 5mL Vial 50 mg Vial 100 mg Capsule 240 241 242 2 mg/mL, 250 mL D5W Pre-mixed 50mg/mL, 5mL Ampule 12.5mg/mL, 20mL Vial 1 mg/mL, 250 mL D5W Pre-mixed 20mg/0.5mL, 0.5mL Vial 63.25 3,850.00 177.18 3.41 324.00 299.00 23.84 48.11 130.00 998.50 330.00 550.00 1.15 E 260 261 262 263 264 Enalapril Enalapril Enalapril Enoxaparin Enoxaparin 10 | P a g e 10mg Tablet 20 mg Tablet 5 mg Tablet 100mg/mL, 0.2mL Pre-filled syringe 100mg/mL, 0.4mL Pre-filled syringe Generic Name 265 266 267 268 Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 100mg/mL, 0.6mL Pre-filled syringe 50 mg/mL, 1 mL Ampule 1mg/mL , 1mL Ampule 2000IU/0.5mL Pre-filled syringe 420.00 - 656.54 40.00 - 350.00 32.10 - 60.00 325.00 - 500.00 420.00 56.50 41.89 450.00 4000IU/0.4mL Pre-filled syringe 374.88 - 750.00 650.00 4000IU/mL, 1mL Vial 309.99 - 600.00 479.50 2000IU/ 0.3ml Pre-filled syringe 448.57 - 554.12 448.57 5000IU/0.3ml Pre-filled syringe 274 275 276 277 278 279 280 281 Erythromycin Erythromycin Erythromycin Erythromycin Escitalopram (as Oxalate) Ethambutol Hydrochloride Ethinylestradiol + Levonorgestrel Etoposide 200 mg/5 mL, 60 mL Suspension 500 mg Tablet 0.5%, 3.5 g Tube 0.5%, 5 g Tube 10mg Tablet 400 mg Tablet 30 mcg + 150 mcg Cycle 20 mg/mL, 5 mL Ampule 1,076.78 – 1,330.14 2,100.00 – 3,000.00 33.10 - 250.00 3.33 - 16.95 115.00 - 206.00 101.50 - 249.85 10.00 - 96.43 2.40 - 8.00 12.10 - 32.50 340.00 - 450.00 1,076.78 273 Enoxaparin Ephedrine Epinephrine Epoetin Alfa (recombinant human erythropoietin) Epoetin Alfa (recombinant human erythropoietin) Epoetin Alfa (recombinant human erythropoietin) Epoetin Beta (recombinant erythropoietin) Epoetin Beta (recombinant erythropoietin) Ertapenem (as Sodium) 282 283 284 285 286 287 288 289 290 291 292 293 294 295 Famotidine Famotidine Famotidine Famotidine Felodipine Felodipine Felodipine Fenofibrate Fenofibrate Fenofibrate Fentanyl Fentanyl Ferrous Sulfate Ferrous Salt + Folic Acid 60.00 - 199.80 4.99 - 180.00 96.10 - 109.42 80.50 - 142.00 10.12 - 29.33 9.79 - 18.47 3.98 - 17.59 9.00 - 24.75 24.00 - 62.43 24.63 - 37.90 84.00 - 442.41 67.00 - 145.00 0.42 - 2.00 0.48 - 3.48 118.00 24.68 96.10 80.50 20.27 9.79 8.42 9.00 30.00 24.63 84.00 85.00 0.85 0.59 296 Ferrous Salt + Folic Acid 0.39 - 4.28 1.61 297 298 299 300 Ferrous Sulfate Ferrous Sulfate Ferrous Sulfate Filgrastim 10mg/mL, 2mL Ampule 20 mg Tablet 10mg/mL, 2mL Vial 20 mg Lyophilized Powder Vial 10mg MR Tablet 2.5 mg MR Tablet 5 mg MR Tablet 200 mg Capsule 160 mg Tablet 145 mg Tablet 50mcg/mL, 10mL Ampule 50mcg/mL, 2mL Ampule equiv. to 60 mg elemental iron Tablet 60 mg elemental iron + 400 mcg folic acid Tablet 60 mg elemental iron + 400 mcg folic acid Capsule 15mg/0.6mL, 15mL Drops 30mg/5mL, 60mL Syrup 60 mg Tablet 150mcg/0.6mL Vial 9.88 - 45.90 10.65 - 80.50 0.42 - 2.00 1,300.00 – 1,389.00 12.93 10.65 0.85 1,300.00 269 270 271 272 1g Vial 2,100.00 45.00 4.06 147.50 111.35 10.00 3.93 22.50 340.00 F 11 | P a g e Generic Name Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 1,500.00 – 2,960.00 1,500.00 11.50 - 26.00 148.00 - 418.00 50.00 - 522.18 68.00 - 2694.24 65.00 - 150.00 7.89 - 33.95 15.50 - 29.95 303.75 - 328.05 84.88 - 169.50 85.00 - 125.15 18.00 148.00 241.00 189.00 95.00 9.36 15.50 303.75 84.88 85.00 1,000.00 – 1,186.50 126.00 - 590.00 1,000.00 473.85 - 715.20 473.85 107.50 - 274.89 178.19 3.00 2.75 1,120.00 301 Filgrastim 300mcg/mL Vial 302 303 304 305 306 307 308 309 310 311 Finasteride Fluconazole Fluconazole Fluconazole Fluorouracil Fluoxetine Fluoxetine Flupentixol Fluphenazine (as Decanoate) Fluticasone 312 Fluticasone + Salmeterol 313 Fluticasone + Salmeterol 314 Fluticasone + Salmeterol 315 Fluticasone + Salmeterol 316 317 318 Folic Acid Folic Acid Fondaparinux 5 mg Tablet 150mg Capsule 200 mg Capsule 2 mg/mL, 100 mL Vial 50 mg/mL, 10 mL Vial 20 mg Capsule 20 mg Dispersable Tablet 20 mg/mL, 1 mL Ampule 25 mg/mL, 1 mL Ampule 250 mcg/mL, 2 mL Respiratory Solution 500 mcg + 50 mcg x 60 doses Dry Powder Inhaler 125 mcg + 25 mcg x 120 doses Metered Dose Inhaler 250 mcg + 25 mcg x 120 doses Metered Dose Inhaler 50mcg + 25mcg x 120 doses Metered Dose Inhaler 5 mg Tablet 5 mg Capsule 2.5mg/0.5mL Solution 319 320 321 322 323 Furosemide Furosemide Furosemide Fusidate Sodium/Fusidic Acid Fusidate Sodium/Fusidic Acid Cream Fusidate Sodium/Fusidic Acid Ointment 10mg/mL, 2mL Ampule 20 mg Tablet 40 mg Tablet 2%, 1.5 g Sachet 2%, 5 g Tube 1.75 - 6.45 2.24 - 3.30 1,120.00 – 1,352.27 1.79 - 45.00 0.46 - 8.00 0.47 - 14.85 94.41 - 104.90 58.80 - 150.15 2%, 5 g Tube 55.00 - 150.15 55.00 Gabapentin Gabapentin Gabapentin Gabapentin Gentamicin Gentamicin Gentamicin Glibenclamide Gliclazide Gliclazide Gliclazide Glipizide Glucose (Dextrose) 100 mg Capsule 300 mg Capsule 100 mg Tablet 300 mg Tablet 40 mg/mL, 2 mL Ampule 0.3%, 5 mL Bottle 40 mg/mL, 2 mL Vial 5 mg Tablet 80 mg Tablet 30 mg MR Tablet 60 mg MR Tablet 5 mg Tablet 50% 50mL Vial 7.50 - 28.00 4.59 - 22.94 9.30 - 15.81 13.00 - 20.00 3.44 - 64.93 128.50 - 150.00 3.99 - 75.00 0.23 - 6.00 2.08 - 7.07 2.00 - 7.00 10.00 - 14.00 4.55 - 14.51 11.00 - 70.00 12.00 10.48 9.30 13.00 5.23 140.00 8.50 0.45 4.15 3.30 10.00 7.00 18.00 324 126.00 2.81 0.89 0.86 94.41 89.67 G 325 326 327 328 329 330 331 332 333 334 335 336 337 12 | P a g e Generic Name 338 Glyceryl Trinitrate (Nitroglycerine) Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 50.00 - 120.00 65.00 44.89 - 178.00 9.88 - 24.00 2.29 - 12.00 40.89 - 149.50 129.45 - 240.00 999.00 – 1,200.00 44.89 9.88 2.29 53.12 129.45 999.00 10 mcg/0.5 mL (pediatric) Monodose Vial 20 mcg/mL (adult) Monodose Vial 148.10 - 178.45 148.10 225.00 - 390.00 225.00 20mcg/mL, 1mL Vial 198.88 - 600.00 198.88 10 mL vial, 10 doses 71.19 71.19 119.00 - 331.00 14.92 - 18.89 0.74 - 4.95 105.00 - 179.90 19.18 - 288.00 27.77 - 682.00 83.49 - 936.69 26.99 - 398.00 79.81 - 98.89 18.43 - 310.00 8.95 - 24.00 440.00 - 900.00 17.00 - 20.00 174.58 - 215.82 8.46 - 13.75 14.95 - 30.60 495.00 - 539.00 1.60 - 3.49 8.82 - 113.85 205.00 14.92 0.74 134.00 29.91 160.61 106.56 54.17 79.81 79.90 17.00 564.25 17.00 174.58 8.46 14.95 495.00 1.78 12.09 22.18 - 92.00 0.59 - 5.94 0.68 - 7.00 75.00 - 89.52 2,105.00 – 2,800.00 1,650.00 – 2,499.85 320.00 - 520.00 31.13 2.16 0.84 75.00 2,105.00 5 mg Patch H 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 Haloperidol Haloperidol Haloperidol Heparin (as Sodium) Heparin (as Sodium) Hepatitis B Immunoglobulin (human) Hepatitis B Vaccine (recombinant DNA) Hepatitis B Vaccine (recombinant DNA) Hepatitis B Vaccine (recombinant DNA) Hepatitis B Vaccine (recombinant DNA) Hydralazine Hydralazine Hydrochlorothiazide Hydrocortisone Hydrocortisone Hydrocortisone Hydrocortisone Hydrocortisone Hydrocortisone Hydrocortisone Hydrogen Peroxide Hydroxyethyl Starch Hydroxyurea Hydroxyzine Hydroxyzine Hydroxyzine Hydroxyzine Hyoscine (as N-butyl bromide) Hyoscine (as N-butyl bromide) 5mg/mL, 1mL Ampule 20 mg Tablet 5 mg Tablet 1000IU/mL, 5mL Vial 5000 iu /mL, 5mL Vial 0.5 mL Vial 20 mg/mL, 1 mL Ampule 25 mg Tablet 25 mg Tablet 1%, 5g Tube 100 mg powder, Vial 125mg/mL, 2mL Vial 125mg/mL, 4mL Vial 250 mg powder, Vial 500 mg powder, Vial 50 mg/mL, 2 mL Vial 3%, 120mL Bottle 6%, 500mL Bottle 500 mg Capsule 2mg/mL, 60mL Syrup 10mg Tablet 25 mg Tablet 50mg/ml, 1ml Vial 10 mg Tablet 20 mg/mL, 1 mL Ampule I 368 369 370 371 372 Ibuprofen Ibuprofen Ibuprofen Ibuprofen Ifosfamide 100mg/5mL, 60mL Bottle 200 mg Tablet 400 mg Tablet 200 mg/5 mL, 60 mL Bottle 2 g Vial 373 Immunoglobulin Normal, Human (IGIV) Influenza Polyvalent Vaccine 50 mg/mL, 10 mL Vial 374 13 | P a g e 0.5 mL Suspension Pre-filled syringe 1,650.00 320.00 Generic Name 375 376 377 Intraocular Irrigating Solution (balanced salt solution) Iodized Oil Fluid Iopamidol 378 Iopamidol 379 Iopamidol 380 Iopamidol 381 Ioversol 382 Ipratropium 383 Ipratropium + Salbutamol 384 Ipratropium + Salbutamol 385 386 387 388 389 390 391 392 393 Irbesartan Irbesartan Irbesartan + Hydrochlorothiazide Irbesartan + Hydrochlorothiazide Isoflurane Isoniazid Isoniazid Isoniazid Isoniazid + Rifampicin + Ethambutol Isoniazid + Rifampicin + Pyrazinamide + Ethambutol Isophane Insulin Human Isosorbide Dinitrate Isosorbide Dinitrate Isosorbide Dinitrate Isosorbide-5-Mononitrate Isoxsuprine Hydrochloride Isoxsuprine Hydrochloride Itraconazole 394 395 396 397 398 399 400 401 402 Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 500 mL Bottle 400.00 - 498.00 400.00 500 mg Soft Gel Capsule 612 mg/mL equiv. to 300 mg iodine, 50 mL Vial 612 mg/mL equiv. to 300 mg iodine, 100 mL Vial 755 mg/mL equiv. to 370 mg iodine, 50 mL Vial 755 mg/mL equiv. to 370 mg iodine, 100 mL Vial 636 mg/mL equiv. to 300 mg/mL iodine, 50 mL Vial 250 mcg/mL, 2 mL (unit dose) Respiratory Solution 500 mcg + 2.5 mg x 2.5 mL (unit dose) Respiratory Solution 21 mcg + 120 mcg x 200 doses x 10 mL Metered Dose Inhaler 150 mg Tablet 300 mg Tablet 150mg + 12.5mg Tablet 300mg + 12.5mg Tablet 100mL Bottle 200mg/5mL. 120mL Syrup 200 mg/5 mL, 60 mL Syrup 400 mg Tablet 75mg + 150mg + 275mg Tablet 40.00 650.00 - 1595.00 40.00 800.00 1,499.00 – 1,580.00 1,100.00 – 1,400.00 2,200.00 – 2,225.00 1,000.00 – 1,200.00 11.75 - 61.74 1,499.00 8.00 - 40.45 10.34 112.00 - 650.00 112.00 15.20 - 21.31 25.50 - 52.00 19.85 - 28.71 34.48 - 36.01 479.86 - 2800.00 26.98 - 180.00 13.78 - 46.80 0.90 5.10 - 7.02 15.20 31.61 19.85 34.48 645.00 34.69 16.65 0.90 5.10 5.50 - 6.96 5.50 179.00 - 343.18 398.89 - 562.97 5.00 - 10.58 4.00 - 18.37 4.28 - 19.01 9.95 - 219.87 6.00 - 17.50 17.86 - 45.95 227.14 398.89 9.75 8.08 4.28 105.00 9.45 17.86 168.50 - 1125.00 13.00 - 25.75 80.00 - 133.90 5.80 - 100.00 750.00 13.00 80.00 18.89 55.92 - 205.16 90.00 - 101.50 64.67 90.00 75mg + 150mg + 400mg + 275mg Tablet 100IU/mL, 10mL Vial 1mg/mL, 10mL Ampule 10mg Tablet 5 mg Tablet 60 mg MR Tablet 5 mg/mL, 2 mL Ampule 10mg Tablet 100 mg Capsule 1,100.00 2,200.00 1,000.00 11.75 K 403 404 405 406 Ketamine Ketoconazole Ketoconazole Ketorolac 50 mg/mL, 10 mL Vial 200 mg Tablet 2%, 3.5 g Tube 30mg/mL, 1ml Ampule L 407 408 Lactulose Lagundi 14 | P a g e 3.3g/5mL, 120mL Syrup 300mg/5mL, 120mL Syrup Generic Name Dosage Strength/Form 409 410 411 412 Lagundi Lagundi Lagundi L-Asparaginase 300mg/5mL, 60mL Syrup 300 mg Tablet 600 mg Tablet 10,000 IU Vial 413 414 415 416 417 418 419 420 421 Levofloxacin Levofloxacin Levofloxacin Levothyroxine Levothyroxine Levothyroxine Lidocaine Lidocaine Lidocaine 500 mg Tablet 750mg Tablet 5mg/mL,100mL Vial 100mcg Tablet 25mcg Tablet 50mcg Tablet 2%, 5mL Ampule 20 mg/mL, 5 mL Ampule 10%, 50mL SPRAY 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 Lidocaine Lidocaine Lidocaine Lipids Lipids Live Attenuated Measles Live Attenuated MMR Vaccine Loperamide Loratadine Loratadine Loratadine Losartan Losartan Losartan + Hydrochlorothiazide Losartan + Hydrochlorothiazide 2% 1.8mL w/ epinephrine Carpule 2%, 50mL Vial 2%, 5mL Vial 10%,500mL Bottle 20%,500mL Bottle Multidose vial + 5 mL diluent Multidose vial + 5 mL diluent 2 mg Capsule 5 mg/5 mL, 30 mL Syrup 10mg Tablet 10 mg Film coated tablet 100 mg Tablet 50 mg Tablet 100mg +25mg Tablet 50mg +12.5 mg Tablet Lowest-Highest Tender Price (Php) DPR (Php) 60.00 - 119.70 0.80 - 5.00 3.15 - 3.33 2,054.00 – 2,054.45 10.35 - 176.40 18.00 - 117.60 164.00 - 999.00 5.79 - 8.70 2.96 - 3.36 3.25 - 9.85 3.33 - 24.95 8.00 - 14.50 1,062.50 – 2,125.00 5.92 - 29.00 8.00 - 80.00 3.89 - 20.00 600.00 - 900.00 900.00 185.19 214.00 0.33 - 2.00 58.00 - 249.85 1.89 - 17.00 1.89 - 5.60 1.33 - 12.08 0.74 - 24.96 1.80 - 20.82 1.59 - 22.57 64.50 1.79 3.15 2,054.00 3.00 - 37.00 8.40 - 33.22 9.90 - 35.00 12.00 - 55.00 80.00 - 152.32 40.00 - 271.00 11.00 - 310.00 15.00 - 20.00 1.89 - 14.85 9.21 - 15.95 160.00 - 298.00 25.88 - 60.00 50.00 - 60.14 62.00 - 76.85 0.40 - 0.70 0.40 - 21.34 10.00 17.75 9.90 12.00 80.00 70.00 16.25 15.00 1.97 9.21 160.00 25.88 54.75 62.88 0.50 0.53 15.60 47.00 267.50 5.79 2.96 4.36 6.45 8.00 1,062.50 13.60 20.93 8.00 600.00 900.00 185.19 214.00 0.49 138.50 2.36 1.89 4.00 2.46 7.20 3.50 M 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 Magnesium Sulfate Magnesium Sulfate Magnesium Sulfate Magnesium Sulfate Mannitol Mannitol Mebendazole Mebendazole Mebendazole Mecobalamin Mecobalamin Medroxyprogesterone Medroxyprogesterone Medroxyprogesterone Mefenamic Acid Mefenamic Acid 15 | P a g e 250 mg/mL, 10 mL Ampule 250 mg/mL, 2 mL Ampule 250 mg/mL, 10 mL Vial 250mg/mL, 20mL Vial 20% 250mL Bottle 20% 500mL Bottle 100mg/5mL, 30mL Suspension 100mg/5mL, 60mL Suspension 500 mg Tablet 500 mcg Tablet 500 mcg/mL, 1 mL Ampule 10mg Tablet 150mg/mL, 1mL Vial 50 mg/mL, 3 mL Vial + Syringe 250 mg Capsule 500 mg Capsule Generic Name Dosage Strength/Form 453 454 455 456 Mefenamic Acid Mefenamic Acid Mefenamic Acid Meningococcal Polysaccharide (Neisseria Meningitidis) Vaccine 457 458 459 460 461 462 463 464 465 Mercaptopurine Meropenem Meropenem Mesna Metformin Hydrochloride Metformin Hydrochloride Metformin Hydrochloride Methotrexate Methotrexate 250 mg Tablet 500 mg Tablet 50 mg/5 mL, 60 mL Suspension 50 mcg/0.5 mL dose (Group A + C) multidose (10 doses) + 5 mL diluent Lyophilized Powder + Vial 50 mg Tablet 1g Vial 500 mg Vial 100mg/mL, 4mL Ampule 500 mg Tablet 500 mg Film coated tablet 850 mg Tablet 2.5 mg Tablet 100mg/mL, 10mL Vial 466 467 468 469 470 471 472 473 474 Methotrexate Methotrexate Methotrexate Methyldopa Methylergometrine Methylergometrine Methylprednisolone Methylprednisolone Methylprednisolone 25 mg/mL, 2 mL Vial 25 mg/mL, 20 mL Vial 25 mg/mL, 2 mL Ampule 250 mg Tablet 200mcg/mL, 1mL Ampule 125mcg Tablet 16mg Tablet 4 mg Tablet 1g/16mL + Diluent Vial 475 476 Methylprednisolone Methylprednisolone 40 mg/mL, 1 mL Vial 500mg/7.7mL + Diluent Vial 477 478 479 480 Methylprednisolone Methylprednisolone Methylprednisolone Methylprednisolone 125 mg lyophilized powder Vial 500 mg lyophilized powder Vial 125 mg/mL, 2 mL + diluent Vial 1 g lyophilized powder Vial 481 482 483 484 485 486 487 488 489 490 491 492 493 Metoclopramide Metoclopramide Metoclopramide Metoprolol (as Tartrate) Metoprolol (as Tartrate) Metronidazole Metronidazole Metronidazole Midazolam Midazolam Midazolam Midazolam Modified Fluid Gelatin (Formerly 5 mg/mL, 2 mL Ampule 5mg/5mL, 60mL Syrup 10mg Tablet 100 mg Tablet 50 mg Tablet 125mg/5mL, 60mL Suspension 500 mg Tablet 5mg/mL, 100mL Vial 5mg/mL, 3mL Ampule 5 mg/mL,1 mL Ampule 15mg Tablet 1mg/mL,5mL Ampule 4% solution, 500mL Bottle 16 | P a g e Lowest-Highest Tender Price (Php) DPR (Php) 0.55 - 2.25 0.31 - 2.80 13.75 - 20.00 1,650.00 2.10 0.44 13.75 1,650.00 18.00 - 18.90 274.00 - 1100.00 161.50 - 550.00 121.95 - 150.00 0.44 - 3.63 0.58 - 3.50 5.08 - 15.07 4.50 - 49.85 4,000.00 – 4,545.45 130.00 - 245.00 2,000.00 145.00 - 163.00 8.90 - 29.85 6.10 - 102.95 0.93 - 27.19 18.00 - 46.98 5.00 - 11.96 2,930.66 – 3,907.55 216.52 - 293.85 1,200.00 – 2,044.00 823.71 - 882.55 989.00 - 2525.05 847.25 - 894.31 2,930.66 – 3,516.80 1.02 - 34.16 6.80 - 50.00 0.94 - 24.00 1.00 - 5.47 0.50 - 2.98 11.50 - 73.00 0.55 - 20.86 9.23 - 78.90 112.50 - 216.40 78.88 - 250.00 18.90 - 24.74 61.20 - 150.00 666.75 - 790.00 18.00 342.00 209.00 121.95 0.90 1.00 5.08 4.50 4,000.00 130.00 2,000.00 145.00 13.41 17.16 3.61 23.00 8.56 2,930.66 216.52 1,200.00 823.71 989.00 847.25 2,930.66 2.85 23.43 2.20 1.84 0.86 16.75 0.85 13.43 112.50 97.24 18.90 95.81 666.75 Generic Name 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 Polymerisate of Degraded Succinylated Gelatin) Monobasic Sodium Phosphate, Dibasic Sodium Phosphate Monobasic Sodium Phosphate, Dibasic Sodium Phosphate Montelukast Montelukast Montelukast Montelukast Morphine (As Sulfate) Morphine (As Sulfate) Morphine (As Sulfate) Morphine (As Sulfate) Morphine (As Sulfate) Multivitamins Multivitamins Multivitamins Multivitamins Multivitamins Mupirocin Mupirocin Mupirocin Mycophenolate Mofetil Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 48 g/18 g per 100 mL solution, 45 mL Bottle 19 g/ 7 g solution per 133 mL Bottle 180.00 - 205.00 180.00 178.85 - 180.00 178.85 4 mg Sachet 10mg Tablet 4 mg Chewable Tablet 5 mg Chewable Tablet 10mg/mL,1mL Ampule 10mg Tablet 30 mg Tablet 10 mg MR Tablet 30 mg MR Tablet for adults Tablet for adults Capsule per 5 mL, 60 mL Syrup 120 mL Syrup per 1mL ,15 mL Drops 2%, 5 g Tube 2%, 15g Tube Ointment 2%, 15g Tube Cream 500 mg Tablet 11.7 8.15 - 23.50 5.04 - 15.42 6.04 - 36.48 10.00 - 81.00 21.35 - 35.00 50.78 - 60.00 18.30 - 21.35 48.00 - 54.19 0.80 - 4.90 0.71 - 6.00 10.70 - 77.50 18.88 - 87.87 12.35 - 40.00 69.94 - 209.34 188.99 - 240.00 243.80 - 400.00 65.00 - 100.06 11.70 13.03 8.75 9.52 58.00 22.68 50.78 18.30 48.00 2.85 1.00 15.45 22.00 21.45 81.58 189.99 243.80 65.00 18.10 - 140.00 85.00 - 395.00 2.40 - 12.38 89.40 - 114.62 515.00 - 959.44 86.36 - 720.00 2.50 - 5.46 0.97 - 13.13 21.53 - 31.50 15.03 - 41.58 119.00 - 536.54 450.00 - 750.00 1.98 - 25.00 140.00 - 309.45 30.00 392.00 8.00 89.40 660.00 131.69 3.30 1.30 21.53 15.03 299.45 450.00 2.15 250.00 109.00 - 237.00 1.88 - 37.90 2.40 - 40.00 191.00 - 1100.00 143.00 - 195.50 9.79 - 200.00 414.00 - 455.00 128.00 5.50 5.67 318.50 143.00 73.50 414.00 N 514 515 516 517 518 519 520 521 522 523 524 525 526 527 Nalbuphine Naloxone Naproxen Sodium Neostigmine Nicardipine Nicardipine Nifedipine Nifedipine Nifedipine Nifedipine Norepinephrine Norepinephrine Norfloxacin Nystatin 10mg/mL, 1mL Ampule 400mcg/mL, 1mL Ampule 550 mg Tablet 500 mcg/mL, 1 mL Ampule 1mg/mL, 10mL Ampule 1mg/mL, 2mL Ampule 10mg Capsule 5 mg Capsule 20 mg MR Tablet 30 mg MR Tablet 1mg/mL, 2mL Ampule 1 mg/mL, 4 mL Ampule 400 mg Tablet 100,000 units/mL, 30 mL Suspension O 528 529 530 531 532 533 534 Ofloxacin Ofloxacin Ofloxacin Ofloxacin Ofloxacin Ear Drops Olanzapine Olanzapine 17 | P a g e 0.3%, 5 mL Bottle 200 mg Tablet 400 mg Tablet 2 mg/mL, 100 mL Vial 0.3%, 5 mL Bottle 10mg Tablet 10mg Vial Generic Name 535 536 537 Omeprazole Omeprazole Omeprazole 538 539 540 544 545 546 Ondansetron (as Hydrochloride) Ondansetron (as Hydrochloride) Oral Rehydration Salts (ORS 75replacement) Oral Rehydration Salts (ORS 75replacement) Oral Rehydration Salts (ORS 75replacement) Oral Rehydration Salts (ORS 75replacement) Oseltamivir Oxacillin Oxaliplatin 547 Oxytocin 541 542 543 Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 0.74 - 10.00 4.55 - 29.50 14.88 - 498.00 1.34 10.38 59.95 275.00 - 404.38 240.00 - 325.00 4.18 - 24.50 275.00 240.00 4.18 20.5 g Sachet 2.00 - 19.00 3.38 4.1 g Sachet 8.00 - 8.34 8.00 6.1 g Sachet 3.50 - 7.12 4.98 33 18.98 - 150.00 6272.73 15179.00 4.05 - 115.00 33.00 21.89 6,272.73 8,574.54 – 12,000.00 9.99 - 40.00 8.74 - 17.00 9.05 - 35.00 9.74 - 80.00 0.14-2.86 9.91 - 45.00 10.99 - 29.10 8,574.54 10.40 - 29.10 44.81 - 164.25 10.40 58.45 2.50 - 38.00 7.79 - 67.60 113.62 - 843.00 2,719.74 – 4,070.00 365.00 - 750.00 1.89 - 2.50 2.20 - 3.89 1.99 - 4.78 8.16 - 10.00 5.24 14.48 175.54 3,300.00 10.40 - 16.65 10.40 229.20 - 780.00 399.00 20 mg Capsule 40 mg Capsule 40 mg powder vial + 10 mL solvent Ampule 2mg/mL,2mL Ampule 2mg/mL,4mL Ampule 250 mL Bottle 75 mg Capsule 500 mg Vial 2mg/mL, 50mL Vial 10 iu/mL, 1mL Ampule 10.35 P 548 Paclitaxel 6mg/mL, 25mL Vial 549 550 551 552 553 554 555 Paracetamol Paracetamol Paracetamol Paracetamol Paracetamol Paracetamol Paracetamol 556 557 Paracetamol Penicillin G Benzathine (benzathine benzylpenicillin) Penicillin G Crystalline Penicillin G Crystalline Pethidine Pethidine 125mg/5mL, 60mL Bottle 125mg Suppository 250 mg Suppository 250 mg/5 mL, 60 mL Bottle 500 mg Tablet 100 mg/ml, 15 mL Drops 120 mg/5 mL (125 mg/5 mL), 120 mL Syrup 250 mg/5 mL, 120 mL Bottle 1,200,000 units Vial 558 559 560 561 562 563 564 565 566 567 568 Phenobarbital Phenobarbital Phenobarbital Phenobarbital Phenoxymethyl Penicillin (Penicillin V) Phenoxymethyl Penicillin (Penicillin V) Phenytoin 18 | P a g e 1MU Vial 5MU Vial 50 mg/mL, 2 mL Ampule 50mg/mL, 30mL Vial 120mg/mL (130mg/mL), 1mL Ampule 15mg Tablet 30 mg Tablet 60 mg Tablet 250 mg Capsule 500 mg Capsule 50 mg/mL, 2 mL Ampule 19.00 13.22 14.00 16.00 0.21 11.84 10.99 475.52 1.89 2.20 1.99 8.16 Generic Name 569 570 571 572 573 574 576 Phenytoin Phytomenadione Phytomenadione Piperacillin + Tazobactam Piperacillin + Tazobactam Pneumococcal Polyvalent Vaccine Pneumococcal Polyvalent Vaccine Potassium Chloride 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 Potassium Chloride Potassium Chloride Potassium Citrate Povidone Iodine Povidone Iodine Povidone Iodine Povidone Iodine Povidone Iodine Povidone Iodine Praziquantel Prednisolone Prednisolone Prednisolone Prednisone Prednisone Prednisone Prednisone Propofol Propofol Propofol Propranolol Propranolol Propylthiouracil Pyrazinamide Pyrazinamide 575 Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 100 mg Capsule 10mg/mL, 1mL Ampule 2 mg/0.2 mL Pediatric Ampule 2g+250mg Vial 4g+500mg Vial 25 mcg/0.5 mL, 0.5 mL Pre-filled syringe 13 valent Single dose 0.5 mL vial 7.66 - 49.00 6.12 - 92.48 22.00 - 36.38 53.72 - 320.00 71.80 - 1875.00 540.00 - 1000.00 7.66 16.99 22.00 94.80 120.50 540.00 708.05 708.05 750 mg durules (equiv. to approximately 10 mEq) Tablet 2mEq/mL, 20mL Vial 2 mEq/mL, 10 mL Vial 10 mEq Tablet 10%, 1 gallon Bottle 10%, 120mL Bottle 10%, 60mL Bottle 10%, 15 g Tube 7.5%, 120mL Bottle 7.5%, 1gallon Bottle 600 mg Tablet 1%, 5mL Bottle 5 mg Tablet 20 mg Tablet 10mg/5mL, 60 mL Suspension 10mg Tablet 20 mg Tablet 5 mg Tablet 10mg/mL, 20mL Ampule 10mg/mL, 20mL Vial 10mg/mL, 50mL Vial 10mg Tablet 40 mg Tablet 50 mg Tablet 250 mg/5 mL, 120 mL Suspension 500 mg Tablet 12.67 - 36.60 19.45 9.10 - 48.00 14.98 - 42.00 6.10 - 21.28 400.00 - 495.00 35.00 - 55.00 25.00 - 85.00 149.5 35.00 - 117 409.00 - 495.00 11.88 115.00 - 235.71 0.59 - 1.00 5.00 - 8.40 70.00 - 132.00 1.16 - 19.45 3.00 - 14.50 0.41 - 3.90 78.50 - 1112.00 85.78 - 210.00 600.00 - 800.00 0.58 - 9.23 0.60 - 18.33 9.00 - 18.00 28.50 - 177.78 1.5 18.00 30.00 12.50 400.00 35.00 25.00 149.50 53.99 409.00 11.88 117.00 0.59 5.00 90.00 3.40 5.00 0.64 112.22 85.78 600.00 6.35 11.44 10.20 58.50 1.50 35.00 - 76.00 15 75.00 - 95.00 35.00 15.00 75.00 730.00 – 1,480.00 730.00 4,000.00 – 4,875.00 3,050.00 – 4,950.00 4,000.00 Q 602 603 604 Quetiapine (as Fumarate) Quetiapine (as Fumarate) Quetiapine (as Fumarate) 200 mg Tablet 25 mg Tablet 300 mg Tablet 605 2.5IU/mL, 1 dose + 1mL diluent Vial 606 Rabies Chick Embryo Cell (Purified Inactivated) Rabies Immunoglobulin (human) 607 Rabies Immunoglobulin (human) 150IU/mL, 2mL Vial R 19 | P a g e 150IU/mL, 2mL Ampule 3,050.00 Generic Name 608 609 610 611 612 Ranitidine Ranitidine Ranitidine Regular, Insulin (Recombinant DNA, human) Retinol (vitamin A) 613 614 615 616 617 618 619 620 621 622 623 624 625 Retinol (vitamin A) Rifampicin Rifampicin Rifampicin Risperidone Risperidone Risperidone Rocuronium Rocuronium Rocuronium Ropivacaine Rosuvastatin (as Calcium) Rosuvastatin (as Calcium) Dosage Strength/Form 25 mg/mL, 2 mL Ampule 150mg Tablet 300 mg Tablet 100IU/mL, 10mL Vial 200,000 IU Soft Gel Capsule with Nipple 100,000 iu Soft Gel Capsule 450 mg Capsule 200mg/5mL, 120mL Suspension 200 mg/5 mL, 60 mL Suspension 2 mg Orodispersible tab 2 mg Tablet 4 mg Tablet 10mg/mL, 2.5mL Vial 10mg/mL, 5mL Vial 10mg/mL, 5mL Ampule 10mg/mL, 10mL Ampule 10mg Tablet 20 mg Tablet Lowest-Highest Tender Price (Php) DPR (Php) 1.69 - 60.00 0.49 - 6.00 1.84 - 13.00 179.00 - 850.00 2.95 1.09 3.00 226.00 1.33 1.33 1.36 3.20 - 4.50 79.89 - 700.00 78.00 - 94.00 49.50 - 128.00 4.99 - 64.00 8.00 - 27.00 310.00 - 348.88 225.00 - 451.84 350.00 - 388.00 372.42 - 413.80 9.00 - 100.00 7.91 - 38.94 1.36 3.50 113.50 78.00 49.50 11.55 8.00 310.00 225.00 350.00 372.42 12.00 15.00 1.77 - 15.00 9.00 - 146.16 0.18 - 3.00 6.11 - 91.00 69.89 - 347.40 2.66 14.00 0.31 6.11 155.00 76.50 - 79.50 76.50 2.10 - 20.00 1.78 - 8.00 3.80 - 8.00 7.00 - 53.11 4,859.00 – 15,000.00 700.00 – 2,704.80 50.00 - 139.34 47.92 - 140.00 1.28 - 10.00 0.33 - 15.64 3.90 - 26.00 56.65 - 140.00 50.00 - 100.86 19.00 - 55.00 26.00 - 35.00 638.40 - 718.20 28.31 - 30.20 2.10 2.03 6.16 10.00 6,598.00 S 626 627 628 629 630 Salbutamol Salbutamol Salbutamol Salbutamol Salbutamol 631 Salbutamol 632 633 634 635 636 Salbutamol Sambong Sambong Sertraline Sevoflurane 1 mg/mL, 2.5 mL Nebule 2mg/5ml, 60mL Syrup 2 mg Tablet 200 mcg/dose Dry Powder Inhaler 100 mcg/dose x 200 doses Metered Dose Inhaler 100 mcg/dose x 200 doses Breath Actuated MDI 2 mg/mL, 2.5 mL (unit dose) Nebule 250 mg Tablet 500 mg Tablet 50 mg Tablet 250 mL Bottle 637 638 639 640 641 642 643 644 645 646 647 648 Silver Sulfadiazine Silver Sulfadiazine Silver Sulfadiazine Simvastatin Simvastatin Simvastatin Sodium Bicarbonate Sodium Bicarbonate Sodium Chloride Sodium Chloride Somatostatin Spironolactone 1%, 500 g Jar 1% 20 g Tube 1%, 25 g Tube 10mg Tablet 20 mg Tablet 40 mg Tablet 1 meq/mL, 50 mL Ampule 1 meq/mL, 50 mL Vial 2.5 mEq/mL, 20 ml Vial 2.5 mEq/mL, 50 ml Vial 250 mcg Vial 100 mg Tablet 20 | P a g e 900.00 101.50 89.50 1.50 1.80 5.80 63.42 65.95 19.00 26.00 638.40 28.31 Generic Name Dosage Strength/Form Lowest-Highest Tender Price (Php) DPR (Php) 6.97 - 18.95 12.14 - 25.01 5.78 - 6.55 7.78 - 8.16 64.00 - 92.40 12.00 - 34.72 4,500.00 – 7,000.00 7.10 - 12.00 29.39 - 68.00 38.5 174.50 - 320.00 6.97 12.14 5.78 7.78 64.00 19.50 4,500.00 649 650 651 652 653 654 655 Spironolactone Spironolactone Standard Senna Concentrate Standard Senna Concentrate Sterile Water For injection Sterile Water For injection Streptokinase 25 mg Tablet 50 mg Tablet 187mg Tablet 374mg Tablet 1L Bottle 50 mL Bottle 1,500,000IU Vial 656 657 658 659 Streptomycin Sucralfate Sulfur Suxamethonium (Succinylcholine) 1g Vial 1g Tablet 5%, 30 g Tube 20 mg/mL, 10 mL Vial 660 661 662 663 664 20 mg Tablet 200mcg Capsule 40 mg Tablet 80 mg Tablet 40mg + 12.5mg Tablet 4.10 - 38.00 36.86 - 69-28 18.30 - 25.75 31.82 - 38.81 18.30 - 22.92 4.10 43.50 22.43 31.82 18.30 80 mg + 12.5 mg Tablet 31.82 - 39.63 31.82 500 mcg/mL, 1 mL Ampule 2.5 mg/mL, 2 mL (unit dose) Nebule 250 IU/mL, 1 mL Ampule 13.00 - 85.00 10.00 - 15.00 645.00 - 700.00 13.00 10.00 645.00 250 IU/mL, 1 mL Pre-filled syringe 545.00 - 730.00 611.00 250 units/mL, 1 mL Vial 690.00 - 730.00 690.00 250 units/mL, 2 mL Vial 640.00 - 800.00 640.00 672 673 674 675 676 Tamoxifen Tamsulosin Telmisartan Telmisartan Telmisartan + Hydrochlorothiazide Telmisartan + Hydrochlorothiazide Terbutaline Terbutaline Tetanus Immunoglobulin (Human) Tetanus Immunoglobulin (Human) Tetanus Immunoglobulin (Human) Tetanus Immunoglobulin (Human) Tetanus Toxoid Tetracycline Thiamazole (Methimazole) Timolol Tinzaparin Sodium 0.5 mL Ampule 500 mg Capsule 5 mg Tablet 0.5%, 5 mL Bottle 10,000 anti-XA IU/mL, 2 mL Vial 28.50 2.42 5.32 180.00 1,289.74 677 678 679 680 681 682 683 684 685 Tiotropium Tobramycin Eye drops Tobramycin Tobramycin + Dexamethasone Tramadol Tramadol Tramadol Tramadol Tranexamic Acid 18mcg/dose Dry Powder Inhaler 0.3%, 5 mL Bottle 0.3%, 3.5 g Tube 0.3% + 0.1%, 5 mL Bottle 50mg/ml, 1ml Ampule 50mg/ml, 2ml Ampule 50 mg Capsule 50 mg Dispersable Tablet 100mg/mL, 5mL Ampule 4.00 - 80.00 1.25 - 3.18 5.00 - 26.00 180.00 - 195.00 1289.74 13500.00 72.60 - 2100.00 105.00 - 310.65 292.86 - 310.65 94.00 - 495.00 4.94 - 94.00 4.12 - 70.00 1.26 - 12.00 5.00 - 35.00 5.20 - 174.00 13.30 35.72 38.50 219.00 T 665 666 667 668 669 670 671 21 | P a g e 72.60 108.00 292.86 160.00 7.00 9.95 2.41 5.00 17.90 Generic Name Dosage Strength/Form 686 687 688 689 Tranexamic Acid Tranexamic Acid Trimetazidine Trimetazidine 500 mg Capsule 500 mg Tablet 20 mg Tablet 35mg Tablet 690 Ursodeoxycholic Acid 250 mg Capsule Lowest-Highest Tender Price (Php) DPR (Php) 4.48 - 16.85 5.55 - 61.00 5.00 - 7.00 7.71 - 23.10 7.00 8.75 6.00 11.00 51.93 - 61.09 51.93 U V 691 692 500 mg Tablet 250 mg Tablet 128.20 - 150.01 13.50 - 28.69 128.20 13.50 250 mg/5 mL, 120 mL Syrup 55.34 - 493.14 55.34 694 695 696 697 698 699 700 701 702 703 704 705 706 707 708 709 Valaciclovir Valproate Disodium/Valproic Acid Valproate Disodium/Valproic Acid Valsartan Valsartan Valsartan + Hydrochlorothiazide Vancomycin Vecuronium Verapamil Verapamil Verapamil Vero Cell (purified) Vinblastine Vinblastine Vincristine (As Sulfate) Vincristine (As Sulfate) Vitamin B1 B6 B12 Vitamin B1 B6 B12 Vitamin B1 B6 B12 60.50 41.31 42.55 - 48.36 148.00 - 643.00 244.80 - 402.00 131.26 - 159.36 18.38 - 25.92 39.19 - 45.85 680.00 - 1100.00 695.00 - 775.00 770.00 - 1050.00 100.00 - 290.00 225.50 - 425.00 43.00 - 129.00 0.52 - 77.78 43.00- 129.00 60.50 41.31 42.55 256.00 244.80 131.26 18.38 39.19 680.00 695.00 770.00 147.50 245.50 77.85 1.25 77.85 710 711 712 Warfarin Warfarin Warfarin 1mg Tablet 2.5 mg Tablet 5 mg Tablet 7.98 - 11.00 8.00 - 20.14 10.00 - 11.76 8.80 10.54 10.00 20.93 - 83.00 20.00 - 101.73 34.07 - 56.78 40.00 41.00 34.07 693 160 mg Tablet 80 mg Tablet 80 mg + 12.5 mg Tablet 500 mg Vial 4 mg/mL + 1 mL solvent Ampule 2.5mg/ml, 2mL Ampule 40 mg Tablet 240 mg MR Tablet 2.5 IU/0.5 mL + diluent Vial 10 mg Vial 1mg/mL, 10mL Vial 1mg/mL, 1mL Vial 1mg/mL, 2mL Vial 100mg + 100mg + 1mg, 3mL Ampule 100mg + 5mg + 50mcg Tablet 100 mg + 100 mg + 1 mg/3 mL ampule W Z 713 714 715 Zinc Zinc Zolpidem 22 | P a g e 27.5mg/mL, 15mL Oral Drops 55 mg/5 mL, 60 mL Syrup 10mg Tablet