List of Medicines and Corresponding Maximum Drug Retail Price

List of Medicines and Corresponding Maximum Drug Retail Price (MDRP) 702

(Effective August 15, 2009) Dosage Strength and Form ANTI-HYPERTENSIVE 2.5 mg tablet Amlodipine (including its Sisomer and all salt form) 5 mg tablet 10 mg tablet ANTI-CHOLESTEROL 10 mg film-coated Atorvastatin tablet 20 mg film-coated tablet 40 mg film-coated tablet 80 mg film-coated tablet Amlodipine besilate 5 mg + Atorvastatin calcium 10 mg tablet Amlodipine besilate 5 mg + Atorvastatin calcium 20 mg tablet Amlodipine besilate 5 mg + Atorvastatin calcium 40 mg tablet Amlodipine besilate 5 mg + Atorvastatin calcium 80 mg tablet Amlodipine besilate 10 mg + Atorvastatin calcium 10 mg tablet Amlodipine besilate 10 mg + Atorvastatin calcium 20 mg tablet Amlodipine besilate 10 mg + Atorvastatin calcium 40 mg tablet Amlodipine besilate 10 mg + Atorvastatin calcium 80 mg tablet ANTIBIOTIC/ANTIBACTERIAL 250 mg tablet Azithromycin and all its salt 200 mg/5mL powder form for suspension (15mL) 200 mg/5mL powder for suspension (22.50mL) 500 mg tablet

Active Ingredient/ Molecule

1.

2.

3.

MDRP (PhP)

9.60 22.85 38.50 34.45 39.13 50.50 50.63 45.75 66.25 84.42 89.99 51.13 73.25 91.79 91.79

108.50 427.50 638.00 151.43

500 mg vial for Injection 2 g granules

List of Medicines and Correspondi ng Government Mediated Access Price (GMAP)

992.50 468.00

Effective August 15, 2009

704

Active Ingredient/ Molecule

Dosage Strength and (Brand Form Name)

GMAP(PhP)

ANTI-HYPERTENSIVE (Micar dis) Telmisartan 40 mg(Micar + Hydrochlorothiazidedis 12.5 mg tablet plus) (Micar 80 mg tablet dis) Telmisartan 80 mg(Micar + Hydrochlorothiazidedis 12.5 mg tablet plus) Sanofi Aventi 150 mg tablet s via Winthr op Sanofi Irbesartan 150 mg + Aventi Hydrochlorothiazide s via 12.5 mg tablet Winthr op Sanofi Aventi 300 mg tablet s via Winthr op Sanofi Irbesartan 300 mg + Aventi Hydrochlorothiazide s via 12.5 mg tablet Winthr op 40 mg tablet

1

2

Telmisartan

Irbesartan

25.75 25.00 44.50 44.50

24.38

25.13

40.00

41.50

ANTI-THROMBOTIC 3

4

Clopidogrel

Gliclazide

75 mg film-coated(Plavix tablet ) ANTI-DIABETIC/ANTIHYPOGLYCEMIC (Diami 30 mg Modified cron Release tablet MR) (Diami 80 mg tablet cron) ANTIBIOTIC/ANTIBACTERIAL Piperacillin 2 g + (Tazoc

61.75

7.50 7.50