QUEEN MARY HOSPITAL
DRUG FORMULARY
D14
EXPLANATION OF FORMULARY LISTINGS Details of individual drug entries are listed in the following format: Examples:
(1) MYLANTA (OR EQUIV)
(2)
(3)
(4)
(5)
SUSP
(6)
(7)
0.02/ML
G
SALBUTAMOL (SULPHATE) INHALER 100MCG/DOSE 200 DOSES
VENTOLIN
14.70/VIAL
G
TRAMADOL HCL
TRAMAL
2.73/AMP
G
INJ
50MG/ML
2ML
Remarks: (1)
Generic Name (or Trade Name for compound preparations)
(2)
Dosage Form Description
(3)
Strength / Concentration
(4)
Pack Size
(5)
Common Trade Name
(6)
Average Unit Cost in HK$ (as at August 2010)
(7)
HA Drug Formulary Category
Abbreviations for Dosage Form Description: CAP = CAPSULE
SOLN = SOLUTION
INF
SUPP = SUPPOSITORY
= INFUSION
INJ = INJECTION
SUSP = SUSPENSION
NEB = NEBULIZING
SYR
= SYRUP
OINT = OINTMENT
TAB
= TABLET
Abbreviations for HA Drug Formulary (HADF) Category: G
= General Drug
S
= Special Drug
$
= Self-financed Item
N
= Self-financed Item with Safety Net
NA
= Not Applicable (item not listed in HA Drug Formulary)
S/$
= Special Drug or Self-financed Item depending on indication
$/N = Self-financed Item or Self-financed Item with Safety Net depending on indication
1
1 1.1
Gastro-intestinal system Dyspepsia and gastro-oesophageal reflux disease
1.1.1
Antacids and simeticone ALUMINIUM / MAGNESIUM HYDROXIDE AND SIMETHICONE TAB TRIACT (OR EQUIV) $0.06 / TAB ALUMINIUM HYDROXIDE CHEW TAB 500MG ALUSORB $0.05 / TAB ALUMINIUM HYDROXIDE SUSP 6% ALUSORB $0.02 / ML DIMETHYLPOLYSILOXANE LIQUID 20MG/ML BABCON $0.45 / ML DIMETHYLPOLYSILOXANE TAB 40MG GASTEEL $0.19 / TAB GELUSIL (OR EQUIV) TAB $0.06 / TAB MAGNESIUM TRISILICATE MIXTURE $0.02 / ML MYLANTA (OR EQUIV) SUSP $0.02 / ML 1.2
Antispasmodics and other drugs altering gut motility
HYOSCINE BUTYLBROMIDE INJ 20MG/ML 1ML HYOSCINE BUTYLBROMIDE SYR 1MG/ML HYOSCINE METHOBROMIDE TAB 1MG MEBEVERINE HCL PROLONGED RELEASE CAP 200MG PEPPERMINT OIL CAP 0.2ML PROPANTHELINE BROMIDE TAB 15MG TRIMEBUTINE MALEATE TAB 100MG
BUSCOPAN BUSCOPAN HOLOPON DUSPATALIN RETARD COLPERMIN PROBANTHINE CEREKINON
$2.30 / AMP $0.03 / ML $0.06 / TAB $3.55 / CAP $1.45 / CAP $0.22 / TAB $1.20 / TAB
1.3
Antisecretory drugs and mucosal protectants
1.3.1
H2-receptor antagonists
CIMETIDINE TAB 200MG CIMETIDINE TAB 400MG FAMOTIDINE TAB 20MG FAMOTIDINE TAB 40MG RANITIDINE (HCL) INJ 25MG/ML 2ML RANITIDINE (HCL) TAB 150MG RANITIDINE (HCL) SUGAR-FREE SYR 150MG/10ML
1.3.3
TAGAMET TAGAMET PEPCIDINE PEPCIDINE ZANTAC ZANTAC ZANTAC DENOL ULSANIC
S S G G G S S
$3.56 / TAB $0.42 / TAB
G G
Prostaglandin analogues
MISOPROSTOL TAB 200MCG
1.3.5
$0.73 / TAB $0.65 / TAB $0.06 / TAB $0.13 / TAB $13.64 / AMP $0.37 / TAB $1.19 / ML
G G G G G G G
Chelates and complexes
BISMUTH SUBCITRATE (120MG OF BI2O3) TAB 300MG SUCRALFATE TAB 1G
1.3.4
G G G G G G G G
CYTOTEC
$1.31 / TAB
G
Proton pump inhibitors
ESOMEPRAZOLE (MAGNESIUM TRIHYDRATE) TAB 20MG ESOMEPRAZOLE (MAGNESIUM TRIHYDRATE) TAB 40MG ESOMEPRAZOLE (SODIUM) INJ/INF 40MG LANSOPRAZOLE ORODISPERSIBLE TAB 15MG LANSOPRAZOLE ORODISPERSIBLE TAB 30MG OMEPRAZOLE (MAGNESIUM) TAB 10MG (FOR PAED ONLY) OMEPRAZOLE (MAGNESIUM) TAB 20MG (FOR PAED ONLY) PANTOPRAZOLE (SODIUM SESQUIHYDRATE) TAB 20MG PANTOPRAZOLE (SODIUM SESQUIHYDRATE) TAB 40MG PANTOPRAZOLE (SODIUM) INJ 40MG
NEXIUM NEXIUM NEXIUM TAKEPRON OD TAKEPRON OD LOSEC MUPS LOSEC MUPS PANTOLOC PANTOLOC PANTOLOC
2
$3.89 / TAB $6.94 / TAB $62.50 / VIAL $3.49 / TAB $3.90 / TAB $6.57 / TAB $9.02 / TAB $1.00 / TAB $0.97 / TAB $29.51 / VIAL
S S S S S S S S S S
RABEPRAZOLE SODIUM ENTERIC COATED TAB 10MG RABEPRAZOLE SODIUM ENTERIC COATED TAB 20MG
$2.63 / TAB $2.67 / TAB
PARIET PARIET
1.4
Acute diarrhoea
1.4.1
Adsorbents and bulk-forming drugs
DIOCTAHEDRAL SMECTITE POWDER 3G/SACHET
1.4.2
$1.58 / PACK
SMECTA
$0.41 / TAB $0.17 / CAP
1.5
Chronic bowel disorders
1.5.1
Aminosalicylates
MESALAZINE ENEMA 1G/100ML MESALAZINE ENEMA 4G/60ML MESALAZINE ENTERIC COATED TAB 250MG MESALAZINE ENTERIC COATED TAB 400MG MESALAZINE PROLONGED RELEASE GRANULES 1G/SACHET MESALAZINE PROLONGED RELEASE GRANULES 500MG/SACHET MESALAZINE RECTAL SUPP 1G MESALAZINE RECTAL SUPP 250MG MESALAZINE SLOW RELEASE TAB 500MG SULPHASALAZINE ENTERIC COATED TAB 500MG
PENTASA SALOFALK SALOFALK ASACOL SALOFALK GRANU-STIX SALOFALK GRANU-STIX PENTASA SALOFALK PENTASA SALAZOPYRIN ENTABS
$44.29 / NO $49.94 / NO $3.25 / TAB $3.25 / TAB $7.00 / PACK $3.50 / PACK $11.42 / NO $10.33 / NO $3.90 / TAB $0.59 / TAB
G G
G G G G G G G G G G
Corticosteroids
BUDESONIDE ENEMA 0.02MG/ML 115ML BUDESONIDE CONTROLLED ILEAL RELEASE CAP 3MG PREDNISOLONE (SODIUM PHOSPHATE) ENEMA 0.2MG/ML 100ML PREDNISOLONE (METASULPHOBENZOATE NA) FOAM 20MG/DOSE 14DOSES
1.5.3
G
Antimotility drugs
CODEINE PHOSPHATE TAB 30MG LOPERAMIDE HCL CAP 2MG IMODIUM
1.5.2
S S
ENTOCORT ENTOCORT PREDSOL PREDFOAM
$61.27 / TUBE $10.56 / CAP $16.03 / BOTT $240.00 / BOX
G G G G
Drugs affecting the immune response
ADALIMUMAB PREFILLED SYRINGE 40MG/0.8ML HUMIRA $4,830.00 / NO AZATHIOPRINE TAB 25MG IMURAN $3.24 / TAB AZATHIOPRINE TAB 50MG IMURAN $0.96 / TAB AZATHIOPRINE (SODIUM) INJ 50MG IMURAN $615.58 / VIAL CYCLOSPORIN A INJ 50MG/ML 5ML SANDIMMUN $314.97 / AMP CYCLOSPORIN A (NEORAL) CAP 10MG SANDIMMUN NEORAL $1.70 / CAP CYCLOSPORIN A (NEORAL) CAP 25MG SANDIMMUN NEORAL $3.40 / CAP CYCLOSPORIN A (NEORAL) CAP 100MG SANDIMMUN NEORAL $13.28 / CAP CYCLOSPORIN A (NEORAL) SOLN 100MG/ML 50ML SANDIMMUN NEORAL $680.00 / BOTT INFLIXIMAB INJ 100MG REMICADE $5,799.98 / VIAL MERCAPTOPURINE TAB 50MG (6-MP) PURI-NETHOL $19.40 / TAB METHOTREXATE TAB 2.5MG $0.44 / TAB METHOTREXATE (SODIUM) INJ 10MG/ML 5ML $16.00 / VIAL
1.6
Laxatives
1.6.1
Bulk-forming laxatives
METAMUCIL (OR EQUIV) GRANULES 538G
3
$0.09 / G
$/N G G G S S S S S N G G G
G
1.6.2
Stimulant laxatives
BISACODYL RECTAL SUPP 10MG DULCOLAX BISACODYL TAB 5MG DULCOLAX DOCUSATE SODIUM CAP 100MG SOFTON GLYCERIN ENEMA 20G LAPTON GLYCERIN (ADULT) RECTAL SUPP 2.4G GLYCERIN (CHILD) RECTAL SUPP 1.26G SENNA TAB 7.5MG SENOKOT
1.6.4
G G G G G G G
Osmotic laxatives
FLEET (OR EQUIV) ENEMA 4.5FL OZ LACTULOSE LIQUID DUPHALAC
1.6.5
$0.90 / NO $0.12 / TAB $0.14 / CAP $3.00 / NO $2.21 / NO $1.54 / NO $0.12 / TAB
$4.63 / PACK $0.04 / ML
G G
Bowel cleansing preparations
FLEET PHOSPHO-SODA BUFFERED SALINE MIXTURE 45ML POLYETHYLENE GLYCOL ELE (KLEAN-PREP) POWDER 68.6G/PK
FLEET PHOSPHO-SODA $10.93 / BOTT KLEAN PREP $10.50 / PACK
G G
1.7
Local preparations for anal and rectal disorders
1.7.1
Soothing haemorrhoidal preparations
ANUSOL (OR EQUIV) OINT 25G ANUSOL (OR EQUIV) RECTAL SUPP FAKTU (OR EQUIV) OINT 20G FAKTU (OR EQUIV) RECTAL SUPP
1.7.2
G G G G
Compound haemorrhoidal preparations with corticosteroids
ULTRAPROCT N (OR EQUIV) CREAM 10G ULTRAPROCT N (OR EQUIV) RECTAL SUPP
1.7.3
$24.95 / TUBE $1.13 / NO $21.20 / TUBE $1.98 / NO
$57.00 / TUBE $2.07 / NO
G G
Rectal sclerosants
PHENOL IN ALMOND OIL INJ 5% 5ML PHENOL IN CONRAY 280 INJ 10% 5ML
$179.46 / AMP $500.00 / VIAL
G NA
1.9
Drugs affecting intestinal secretions
1.9.1
Drugs affecting biliary composition and flow
CHENODEOXYCHOLIC ACID CAP 250MG CHENOFALK URSODEOXYCHOLIC ACID TAB 50MG URSOSAN URSODEOXYCHOLIC ACID CAP 250MG URSOFALK URSODEOXYCHOLIC ACID SUSP 20MG/ML
1.9.2
QUESTRAN / PACK
S
Pancreatin
COMBIZYM (OR EQUIV) TAB PANCREATIN CAP 150MG CREON
1.A
NA G G G
Bile acid sequestrants
CHOLESTYRAMINE (SUGAR FREE) GRANULES 4G/SACHET
1.9.4
$7.92 / CAP $0.58 / TAB $5.66 / CAP $0.24 / ML
$1.20 / TAB $2.65 / CAP
G G
Miscellaneous
CHARCOAL ACTIVATED TAB 300MG $0.53 / TAB ENZYPLEX (OR EQUIV) TAB $0.29 / TAB
4
G G
2
Cardiovascular system
2.1
Positive inotropic drugs
2.1.1
Cardiac glycosides
DIGOXIN ELIXIR 50MCG/ML DIGOXIN INJ 250MCG/ML 2ML DIGOXIN TAB 62.5MCG DIGOXIN TAB 250MCG
2.1.2
LANOXIN LANOXIN LANOXIN LANOXIN
$2.50 / ML $26.49 / AMP $0.25 / TAB $0.23 / TAB
Phosphodiesterase inhibitors
MILRINONE (LACTATE) INJ 1MG/ML 10ML
PRIMACOR
$246.50 / VIAL
2.2
Diuretics
2.2.1
Thiazides and related diuretics
HYDROCHLOROTHIAZIDE SYR 2MG/ML HYDROCHLOROTHIAZIDE TAB 50MG INDAPAMIDE SR TAB 1.5MG INDAPAMIDE TAB 2.5MG METOLAZONE TAB 5MG
2.2.2
DICHLOTRIDE DICHLOTRIDE NATRILIX SR NATRILIX DIULO
BURINEX LASIX LASIX LASIX LASIX
MIDAMOR ALDACTONE ALDACTONE
$1.65 / TAB $67.92 / AMP $2.45 / AMP $0.05 / TAB $1.64 / TAB
G G G G G
$0.21 / TAB $0.00 / ML $0.23 / TAB
G G G
Potassium-sparing diuretics with other diuretics
AMILORIDE 5MG + HYDROCHLOROTHIAZIDE 50MG TAB TRIAMTERENE 50MG + HYDROCHLOROTHIAZIDE 25MG TAB
2.2.5
G G G G G
Potassium-sparing diuretics and aldosterone antagonists
AMILORIDE HCL TAB 5MG SPIRONOLACTONE SYR 2MG/ML SPIRONOLACTONE TAB 25MG
2.2.4
$0.01 / ML $0.07 / TAB $0.35 / TAB $0.12 / TAB $3.45 / TAB
NA
Loop diuretics
BUMETANIDE TAB 1MG FRUSEMIDE INF 10MG/ML 25ML FRUSEMIDE INJ 10MG/ML 2ML FRUSEMIDE TAB 40MG FRUSEMIDE TAB 500MG
2.2.3
G G G G
MODURETIC DYAZIDE
$0.16 / TAB $0.16 / TAB
G G
Osmotic diuretics
OSMOFUNDIN INF 20% 250ML
MANNITOL (OR EQUIV) $14.50 / BOTT
2.3
Anti-arrhythmic drugs
2.3.2
Drugs for arrhythmias
ADENOSINE TRIPHOSPHATE DISODIUM INJ 10MG/ML 2ML AMIODARONE HCL INJ 50MG/ML 3ML CORDARONE AMIODARONE HCL TAB 200MG CORDARONE BRETYLIUM TOSYLATE INJ 50MG/ML 10ML BRETYLOL DISOPYRAMIDE CAP 100MG RYTHMODAN FLECAINIDE ACETATE INJ 10MG/ML 15ML TAMBOCOR FLECAINIDE ACETATE TAB 100MG TAMBOCOR
5
$5.30 / AMP $4.60 / AMP $0.67 / TAB $1,395.78 / AMP $2.53 / CAP $132.78 / VIAL $6.71 / TAB
G
G G G NA NA G G
MEXILETINE HCL CAP 50MG MEXITIL PROCAINAMIDE HCL INJ 0.1G/ML 10ML PRONESTYL PROPAFENONE HCL TAB 150MG RYTMONORM QUINIDINE SULPHATE TAB 200MG
2.4
$5.40 / CAP $55.61 / VIAL $3.90 / TAB $2.80 / TAB
Beta-adrenoceptor blocking drugs
ATENOLOL TAB 50MG ATENOLOL TAB 100MG BISOPROLOL HEMIFUMARATE 2.5MG + HYDROCHLOROTHIAZIDE 6.25MG TAB BISOPROLOL HEMIFUMARATE 5MG + HYDROCHLOROTHIAZIDE 6.25MG TAB BISOPROLOL HEMIFUMARATE TAB 2.5MG BISOPROLOL HEMIFUMARATE TAB 5MG CARVEDILOL TAB 6.25MG CARVEDILOL TAB 25MG ESMOLOL HCL INJ 10MG/ML 10ML LABETALOL HCL INJ 5MG/ML 5ML LABETALOL HCL TAB 100MG LABETALOL HCL TAB 200MG METOPROLOL CR TAB 25MG METOPROLOL CR TAB 50MG METOPROLOL CR TAB 100MG METOPROLOL TARTRATE TAB 50MG METOPROLOL TARTRATE TAB 100MG METOPROLOL TARTRATE INJ 1MG/ML 5ML NADOLOL TAB 80MG PINDOLOL TAB 5MG PROPRANOLOL HCL INJ 1MG/ML 1ML PROPRANOLOL HCL SUSP 0.5MG/ML PROPRANOLOL HCL TAB 10MG PROPRANOLOL HCL TAB 40MG SOTALOL HCL TAB 80MG
TENORMIN TENORMIN LODOZ 2.5/6.25
$0.06 / TAB $0.07 / TAB $0.84 / TAB
G G G
LODOZ 5/6.25
$1.35 / TAB
G
CONCOR CONCOR DILATREND DILATREND BREVIBLOC TRANDATE TRANDATE TRANDATE BETALOC ZOK BETALOC ZOK BETALOC ZOK BETALOC BETALOC BETALOC CORGARD VISKEN INDERAL INDERAL INDERAL INDERAL SOTACOR
$0.80 / TAB $1.35 / TAB $0.15 / TAB $0.42 / TAB $145.00 / VIAL $25.98 / AMP $0.48 / TAB $0.75 / TAB $0.77 / TAB $0.81 / TAB $1.63 / TAB $0.06 / TAB $0.11 / TAB $201.45 / AMP $1.86 / TAB $2.20 / TAB $37.27 / AMP $0.00 / ML $0.05 / TAB $0.08 / TAB $0.88 / TAB
G G G G NA G G G G G G G G G G G G G G G G
2.5
Hypertension and heart failure
2.5.1
Vasodilator antihypertensive drugs
HYDRALAZINE HCL INJ 20MG APRESOLINE HYDRALAZINE HCL TAB 10MG APRESOLINE HYDRALAZINE HCL TAB 25MG APRESOLINE ILOPROST (TROMETAMOL) INF 20MCG/ML 1ML ILOMEDIN MINOXIDIL TAB 5MG LONITEN NITROPRUSSIDE DIHYDRATE SODIUM INJ 50MG SILDENAFIL (CITRATE) TAB 20MG (FOR PAED ONLY) REVATIO
2.5.2
NA NA G NA
$33.12 / AMP $0.13 / TAB $0.24 / TAB $304.00 / AMP $4.20 / TAB $201.98 / VIAL $44.87 / TAB
G G G S NA G S
Centrally acting antihypertensive drugs
METHYLDOPA TAB 125MG METHYLDOPA TAB 250MG
ALDOMET ALDOMET
6
$0.13 / TAB $0.18 / TAB
G G
2.5.4
Alpha-adrenoceptor blocking drugs
DOXAZOSIN MESYLATE TAB 2MG DOXAZOSIN MESYLATE GITS TAB 4MG DOXAZOSIN MESYLATE GITS TAB 8MG PHENTOLAMINE METHANESULPHONATE INJ 10MG/ML 1ML PRAZOSIN (HCL) TAB 1MG PRAZOSIN (HCL) TAB 2MG TERAZOSIN HCL TAB 1MG TERAZOSIN HCL TAB 2MG
2.5.5
CARDURA CARDURA XL CARDURA XL REGITINE MINIPRESS MINIPRESS HYTRIN HYTRIN
$3.56 / TAB $2.90 / TAB $5.25 / TAB $11.60 / AMP $0.05 / TAB $0.08 / TAB $0.23 / TAB $0.30 / TAB
S S S G G G S S
Drugs affecting the renin-angiotensin system
2.5.5.1 Angiotensin-converting enzyme inhibitors CAPTOPRIL TAB 12.5MG CAPOTEN $0.39 / TAB CAPTOPRIL TAB 25MG CAPOTEN $0.09 / TAB CAPTOPRIL TAB 50MG CAPOTEN $0.53 / TAB ENALAPRIL MALEATE TAB 5MG RENITEC $0.16 / TAB ENALAPRIL MALEATE TAB 10MG RENITEC $0.17 / TAB ENALAPRIL MALEATE TAB 20MG RENITEC $0.31 / TAB LISINOPRIL TAB 5MG ZESTRIL $0.07 / TAB LISINOPRIL TAB 10MG ZESTRIL $0.09 / TAB PERINDOPRIL TERTBUTYLAMINE TAB 2MG ACERTIL $0.95 / TAB PERINDOPRIL TERTBUTYLAMINE TAB 4MG ACERTIL $0.48 / TAB RAMIPRIL TAB 2.5MG TRITACE $0.28 / TAB RAMIPRIL TAB 5MG TRITACE $0.43 / TAB RAMIPRIL TAB 10MG TRITACE $0.80 / TAB
G G G G G G G G G G G G G
2.5.5.2 Angiotensin-II receptor antagonists CANDESARTAN CILEXETIL TAB 8MG BLOPRESS $2.44 / TAB IRBESARTAN 150MG + HYDROCHLOROTHIAZIDE 12.5MG TAB COAPROVEL 150/12.5 $1.96 / TAB IRBESARTAN 300MG + HYDROCHLOROTHIAZIDE 12.5MG TAB COAPROVEL 300/12.5 $2.95 / TAB IRBESARTAN TAB 150MG APROVEL $1.96 / TAB IRBESARTAN TAB 300MG APROVEL $2.94 / TAB LOSARTAN 50MG + HYDROCHLOROTHIAZIDE 12.5MG TAB HYZAAR $2.35 / TAB LOSARTAN 100MG + HYDROCHLOROTHIAZIDE 12.5MG TAB HYZAAR PLUS $2.95 / TAB LOSARTAN POTASSIUM TAB 50MG COZAAR $1.65 / TAB LOSARTAN POTASSIUM TAB 100MG COZAAR $2.07 / TAB TELMISARTAN 40MG + HYDROCHLOROTHIAZIDE 12.5MG TAB MICARDIS PLUS $2.30 / TAB TELMISARTAN TAB 40MG MICARDIS $2.30 / TAB TELMISARTAN TAB 80MG MICARDIS $3.20 / TAB VALSARTAN 80MG + HYDROCHLOROTHIAZIDE 12.5MG TAB CO-DIOVAN 80/12.5 $2.38 / TAB VALSARTAN TAB 80MG DIOVAN $2.38 / TAB
S S S S S S S S S S S S S S
2.6
Nitrates, calcium-channel blockers, and other antianginal drugs
2.6.1
Nitrates
GLYCERYL TRINITRATE SPRAY 0.4MG/DOSE 200DOSES GLYCERYL TRINITRATE SUBL TAB 500MCG GLYCERYL TRINITRATE (DEPONIT NT) SR PATCH 5MG
NITROLINGUAL ANGISED DEPONIT NT
7
$56.70 / BOTT $0.18 / TAB $2.30 / PCS
G G G
GLYCERYL TRINITRATE (DEPONIT NT) SR PATCH 10MG GLYCERYL TRINITRATE (NO ALCOHOL) INF 1MG/ML 10ML GLYCERYL TRINITRATE (NO ALCOHOL) INF 1MG/ML 50ML ISOSORBIDE DINITRATE INJ 1MG/ML 10ML ISOSORBIDE DINITRATE TAB 10MG ISOSORBIDE DINITRATE SR TAB 40MG ISOSORBIDE MONONITRATE TAB 20MG ISOSORBIDE MONONITRATE SR CAP 50MG ISOSORBIDE MONONITRATE CR TAB 60MG
2.6.2
DEPONIT NT NITROCINE NITRO POHL ISOKET ISORDIL ISORDIL TEMBIDS ELANTAN ELANTAN LONG IMDUR
G G G G G G G G G
Calcium-channel blockers
AMLODIPINE (BESYLATE) TAB 5MG AMLODIPINE (BESYLATE) TAB 10MG AMLODIPINE 5MG + VALSARTAN 160MG TAB AMLODIPINE 10MG + VALSARTAN 160MG TAB DILTIAZEM HCL CR TAB 30MG DILTIAZEM HCL SR CAP 90MG DILTIAZEM HCL SR CAP 100MG DILTIAZEM HCL SR CAP 200MG DILTIAZEM HCL INJ 10MG DILTIAZEM HCL INJ 50MG FELODIPINE EXTENDED RELEASE TAB 2.5MG FELODIPINE EXTENDED RELEASE TAB 5MG LACIDIPINE TAB 2MG LACIDIPINE TAB 4MG LERCANIDIPINE HCL TAB 10MG NIFEDIPINE CAP 5MG NIFEDIPINE SR TAB 20MG NIFEDIPINE EXTENDED RELEASE TAB 30MG NIFEDIPINE EXTENDED RELEASE TAB 60MG NIMODIPINE INJ 0.2MG/ML 50ML NIMODIPINE TAB 30MG VERAPAMIL HCL INJ 2.5MG/ML 2ML VERAPAMIL HCL TAB 40MG VERAPAMIL HCL SR TAB 240MG
2.6.4
$3.45 / PCS $7.20 / AMP $26.97 / VIAL $20.50 / AMP $0.03 / TAB $0.55 / TAB $0.12 / TAB $1.85 / CAP $0.98 / TAB
NORVASC $0.30 / TAB NORVASC $0.40 / TAB EXFORGE 5MG/160MG $2.95 / TAB EXFORGE 10MG/160MG $3.05 / TAB HERBESSER $0.18 / TAB HERBESSER SR $1.15 / CAP HERBESSER R $1.20 / CAP HERBESSER R $2.19 / CAP HERBESSER $21.94 / AMP HERBESSER $44.85 / AMP PLENDIL $0.92 / TAB PLENDIL $1.06 / TAB LACIPIL $1.46 / TAB LACIPIL $2.39 / TAB ZANIDIP $1.96 / TAB ADALAT $0.89 / CAP ADALAT RETARD $0.17 / TAB ADALAT GITS $2.25 / TAB ADALAT GITS $4.53 / TAB NIMOTOP $428.11 / VIAL NIMOTOP $17.57 / TAB ISOPTIN $20.00 / AMP ISOPTIN $0.23 / TAB ISOPTIN SR $1.80 / TAB
G G S S G G G G G G S S S S S G G S S G G G G G
Peripheral vasodilators and related drugs
CILOSTAZOL TAB 50MG NAFTIDROFURYL OXALATE CAP 100MG NAFTIDROFURYL OXALATE TAB 200MG OXPENTIFYLLINE (PENTOXIFYLLINE) CR TAB 400MG OXPENTIFYLLINE (PENTOXIFYLLINE) INJ 20MG/ML 5ML
PLETAAL PRAXILENE PRAXILENE TRENTAL TRENTAL
$2.48 / TAB $1.90 / CAP $3.30 / TAB $1.11 / TAB $16.96 / AMP
2.7
Sympathomimetics
2.7.1
Inotropic sympathomimetics
DOBUTAMINE (HCL) INJ 12.5MG/ML 20ML DOBUTREX DOPAMINE HCL INJ 40MG/ML 5ML ISOPRENALINE (ISOPROTERENOL) HCL INJ 0.2MG/ML 5ML SAVENTRINE
8
$24.00 / VIAL $6.60 / AMP $136.84 / AMP
S S S S S
G G G
2.7.2
Vasoconstrictor sympathomimetics
EPHEDRINE SULPHATE INJ 30MG/ML 1ML
$26.70 / AMP
G
NOREPINEPHRINE (BITARTRATE) INJ 1MG/ML 4ML
$72.50 / VIAL
G
$41.38 / AMP
G
LEVOPHED
PHENYLEPHRINE HCL INJ 10MG/ML 1ML
2.7.3
Cardiopulmonary resuscitation
ADRENALINE PREFILLED SYRINGE 1:10000 10ML ADRENALINE (ACID TARTRATE) INJ 1:10000 10ML
$100.00 / NO $18.30 / AMP
2.8
Anticoagulants and protamine
2.8.1
Parenteral anticoagulants
G G
ENOXAPARIN SODIUM PREFILLED SYRINGE 20MG/0.2ML
CLEXANE
$26.55 / AMP
G
ENOXAPARIN SODIUM PREFILLED SYRINGE 40MG/0.4ML
CLEXANE
$39.39 / AMP
G
ENOXAPARIN SODIUM PREFILLED SYRINGE 60MG/0.6ML
CLEXANE
$49.44 / AMP
G
ENOXAPARIN SODIUM PREFILLED SYRINGE 80MG/0.8ML
CLEXANE
$62.88 / AMP
G
HEPARIN SALINE INJ 10U/ML 5ML
$3.70 / AMP
G
HEPARIN SODIUM INJ 1000U/ML 5ML
$6.92 / VIAL
G
HEPARIN SODIUM INJ 5000U/ML 5ML
$14.45 / VIAL
G
HEPARIN SODIUM (PRESERVATIVE FREE) INJ 1000U/ML 1ML
$13.49 / AMP
G
NADROPARIN CA (LMW HEPARIN) SYRINGE 1900AXA IU 0.2ML
FRAXIPARINE
$29.60 / NO
G
NADROPARIN CA (LMW HEPARIN) SYRINGE 2850AXA IU 0.3ML
FRAXIPARINE
$31.20 / NO
G
NADROPARIN CA (LMW HEPARIN) SYRINGE 3800AXA IU 0.4ML
FRAXIPARINE
$34.29 / NO
G
TINZAPARIN SODIUM INJ 10000AXA IU/ML 2ML
INNOHEP
$142.86 / VIAL
G
TINZAPARIN SODIUM SYRINGE 10000AXA IU/0.5ML
INNOHEP
$79.84 / NO
G
TINZAPARIN SODIUM SYRINGE 14000AXA IU/0.7ML
INNOHEP
$105.00 / NO
G
2.8.2
Oral anticoagulants
DABIGATRAN ETEXILATE CAP 75MG
PRADAXA
$13.00 / CAP
DABIGATRAN ETEXILATE CAP 110MG
PRADAXA
$13.00 / CAP
S
WARFARIN SODIUM TAB 1MG
MAREVAN
$0.22 / TAB
G
WARFARIN SODIUM TAB 3MG
MAREVAN
$0.27 / TAB
G
WARFARIN SODIUM TAB 5MG
MAREVAN
$0.32 / TAB
G
2.8.3
Protamine sulphate
PROTAMINE SULPHATE (PRESERVATIVE FREE) INJ 1% 5ML
2.9
S
PROSULF
$44.85 / AMP
G
Antiplatelet drugs
ASPIRIN TAB 80MG
$0.02 / TAB
G
ASPIRIN ENTERIC COATED TAB 100MG
CARTIA
$0.22 / TAB
G
ASPIRIN (ENTERIC COATED PELLETS) CAP 100MG
ASTRIX
$0.44 / CAP
G
ASPIRIN 100MG + GLYCINE 45MG TAB
CARDIPRIN
$0.21 / TAB
G
ASPIRIN TAB 300MG
$0.06 / TAB
G
CLOPIDOGREL (HYDROGEN SULPHATE) TAB 75MG
PLAVIX
$8.30 / TAB
S
DIPYRIDAMOLE INJ 5MG/ML 2ML
PERSANTIN
$5.90 / AMP
G
DIPYRIDAMOLE TAB 25MG
PERSANTIN
$0.07 / TAB
G
DIPYRIDAMOLE TAB 75MG
PERSANTIN
$0.14 / TAB
G
9
2.10
Myocardial infarction and fibrinolysis
2.10.2
Fibrinolytic drugs
ALTEPLASE INJ 50MG ACTILYSE STREPTOKINASE INJ 1500000U STREPTASE TENECTEPLASE INJ 10000U METALYSE UROKINASE INJ 60000 U
2.11
NOVOSEVEN $5,920.00 / VIAL ALEVIATE $497.06 / VIAL FEIBA TIM 4 $7,000.00 / BOTT PROTHROMBINEX-HT $349.16 / BOTT MONOFIX-VF $815.00 / VIAL TRANSAMIN $0.31 / CAP TRANSAMIN S $12.90 / AMP
S S S S S S S S S S S S S S S S S
Local sclerosants
ETHANOLAMINE OLEATE INJ 5% 5ML SODIUM TETRADECYL SULPHATE INJ 1% 2ML
2.A
S G G G G G G
Lipid-regulating drugs
ATORVASTATIN (CALCIUM) TAB 10MG LIPITOR $5.53 / TAB ATORVASTATIN (CALCIUM) TAB 20MG LIPITOR $9.40 / TAB ATORVASTATIN (CALCIUM) TAB 40MG LIPITOR $9.40 / TAB ATORVASTATIN (CALCIUM) TAB 80MG LIPITOR $17.92 / TAB CHOLESTYRAMINE (SUGAR FREE) GRANULES 4G/SACHET QUESTRAN / PACK EZETIMIBE TAB 10MG EZETROL $7.23 / TAB FENOFIBRATE (MICRONISED) CAP 200MG LIPANTHYL 200M $3.00 / CAP FLUVASTATIN (SODIUM) CAP 20MG LESCOL $1.69 / CAP FLUVASTATIN (SODIUM) CAP 40MG LESCOL $1.99 / CAP GEMFIBROZIL CAP 300MG LOPID $0.16 / CAP GEMFIBROZIL TAB 600MG LOPID $0.25 / TAB NICOTINIC ACID TAB 50MG $0.07 / TAB ROSUVASTATIN (CALCIUM) TAB 10MG CRESTOR $5.44 / TAB ROSUVASTATIN (CALCIUM) TAB 20MG CRESTOR $9.34 / TAB SIMVASTATIN TAB 10MG ZOCOR $0.21 / TAB SIMVASTATIN TAB 20MG ZOCOR $0.28 / TAB SIMVASTATIN TAB 40MG ZOCOR $0.30 / TAB
2.13
S G G G
Antifibrinolytic drugs and haemostatics
FACTOR VIIA (ACTIVATED EPTACOG ALFA) INJ 60KIU/VIAL FACTOR VIII (HUMAN) (CSL) INJ 250 IU FACTOR VIII INHIBITOR BYPASSING FRACTION INJ 1000U FACTOR IX COMPLEX, HUMAN (RC) INJ 500 IU FACTOR IX, HUMAN, PURIFIED (RC) INJ 500 IU TRANEXAMIC ACID CAP 250MG TRANEXAMIC ACID INJ 100MG/ML 10ML
2.12
$5,020.00 / VIAL $913.55 / VIAL $8,345.83 / VIAL $310.00 / VIAL
$62.50 / AMP $107.72 / VIAL
NA NA
Miscellaneous
CARDIOPLEGIA (OR EQUIV) INJ 20ML DAFLON 500 (OR EQUIV) TAB DUXARIL (OR EQUIV) TAB HYDERGINE (OR EQUIV) TAB 1MG INSTENON (OR EQUIV) TAB NICERGOLINE TAB 10MG SERMION NICERGOLINE TAB 30MG SERMION TRIMETAZIDINE DIHYDROCHLORIDE MODIFIED RELEASE TAB 35MG VASTAREL MR UBIDECARENONE TAB 10MG EIQUINON
10
$172.00 / AMP $2.78 / TAB $2.89 / TAB $2.23 / TAB $0.65 / TAB $0.90 / TAB $4.42 / TAB $2.12 / TAB $1.80 / TAB
G G G G G G G S G
3
Respiratory system
3.1
Bronchodilators
3.1.1
Adrenoceptor agonists
3.1.1.1 Selective beta2 agonists FORMOTEROL FUMARATE TURBUHALER 4.5MCG/DOSE 60DOSES OXIS $171.75 / NO FORMOTEROL FUMARATE TURBUHALER 9MCG/DOSE 60DOSES OXIS $246.00 / NO SALBUTAMOL (SULPHATE) INHALER 100MCG/DOSE 200DOSES VENTOLIN $14.70 / VIAL SALBUTAMOL (SULPHATE) ACCUHALER 200MCG/DOSE 60DOSES VENTOLIN $63.00 / NO SALBUTAMOL (SULPHATE) SYR 2MG/5ML VENTOLIN $0.04 / ML SALBUTAMOL (SULPHATE) TAB 4MG VENTOLIN $0.12 / TAB SALBUTAMOL (SULPHATE) UNIT DOSE NEB SOLN 1MG/ML 2.5ML VENTOLIN $1.22 / NO SALMETEROL (XINAFOATE) INHALER 25MCG/DOSE 120DOSES SEREVENT $278.22 / NO SALMETEROL (XINAFOATE) ACCUHALER 50MCG/DOSE 60DOSES SEREVENT $327.00 / NO TERBUTALINE SULPHATE INJ 0.5MG/ML 1ML BRICANYL $15.96 / AMP TERBUTALINE SULPHATE SR TAB 5MG BRICANYL DURULE $0.26 / TAB TERBUTALINE SULPHATE SR TAB 7.5MG BRICANYL DURULE $0.34 / TAB TERBUTALINE SULPHATE SYR 0.3MG/ML BRICANYL $0.02 / ML TERBUTALINE SULPHATE TURBUHALER 0.5MG/DOSE 200DOSES BRICANYL $107.86 / NO
S S G S G G G S S G G G G S
3.1.1.2 Other adrenoceptor agonists EPHEDRINE HCL TAB 30MG $0.18 / TAB
G
3.1.2
Antimuscarinic bronchodilators
IPRATROPIUM BROMIDE INHALER 20MCG/DOSE 200DOSES IPRATROPIUM BROMIDE NEB SOLN 0.025% 20ML TIOTROPIUM (BROMIDE) INHAL CAP 18MCG
3.1.3
ATROVENT ATROVENT SPIRIVA
$14.47 / AMP $0.04 / ML $0.31 / CAP $0.35 / CAP $0.19 / TAB $0.28 / TAB
NA G G G G G
Compound bronchodilator preparations
IPRATROPIUM + SALBUTAMOL (0.5MG+2.5MG/2.5ML) UNIT DOSE VIAL NEB SOLN 2.5ML
3.2
G G S
Theophylline
AMINOPHYLLINE IV INJ 25MG/ML 10ML THEOPHYLLINE SYR 80MG/15ML NUELIN THEOPHYLLINE (SLO-THEO) SLOW RELEASE CAP 50MG SLO-THEO THEOPHYLLINE (SLO-THEO) SLOW RELEASE CAP 100MG SLO-THEO THEOPHYLLINE (NUELIN SR) SR TAB 200MG NUELIN SR THEOPHYLLINE (NUELIN SR) SR TAB 300MG NUELIN SR
3.1.4
$87.00 / NO $47.86 / BOTT $10.50 / CAP
COMBIVENT
$4.10 / NO
G
Corticosteroids
BECLOMETHASONE DIPROPIONATE INHALER 50MCG/DOSE 200DOSES BECLOMETHASONE DIPROPIONATE INHALER 250MCG/DOSE 200DOSES BUDESONIDE TURBUHALER 100MCG/DOSE 200DOSES BUDESONIDE TURBUHALER 200MCG/DOSE 200DOSES BUDESONIDE TURBUHALER 400MCG/DOSE 200DOSES BUDESONIDE (UNIT DOSE) NEB SOLN 250MCG/ML 2ML BUDESONIDE (UNIT DOSE) NEB SOLN 500MCG/ML 2ML BUDESONIDE 160MCG + FORMOTEROL 4.5MCG TURBUHALER 60DOSES
11
BECOTIDE BECLOFORTE PULMICORT PULMICORT PULMICORT PULMICORT PULMICORT SYMBICORT
$31.68 / NO $35.66 / NO $124.57 / NO $270.00 / NO $534.30 / NO $15.30 / NO $26.13 / NO $137.43 / NO
G G S S S G G S
BUDESONIDE 320MCG + FORMOTEROL 9MCG TURBUHALER 60DOSES FLUTICASONE PROPIONATE INHALER 50MCG/DOSE 120DOSES FLUTICASONE PROPIONATE INHALER 125MCG/DOSE 60DOSES FLUTICASONE PROPIONATE INHALER 250MCG/DOSE 120DOSES SALMETEROL 25MCG + FLUTICASONE 50MCG INHALER 120DOSES SALMETEROL 25MCG + FLUTICASONE 125MCG INHALER 120DOSES SALMETEROL 25MCG + FLUTICASONE 250MCG INHALER 120DOSES SALMETEROL 50MCG + FLUTICASONE 100MCG ACCUHALER 60DOSES SALMETEROL 50MCG + FLUTICASONE 250MCG ACCUHALER 60DOSES SALMETEROL 50MCG + FLUTICASONE 500MCG ACCUHALER 60DOSES
SYMBICORT FLIXOTIDE FLIXOTIDE FLIXOTIDE SERETIDE LITE SERETIDE MEDIUM SERETIDE FORTE SERETIDE 100 SERETIDE 250 SERETIDE 500
$227.94 / NO $149.00 / NO $98.00 / NO $388.86 / NO $98.84 / NO $273.87 / NO $458.82 / NO $142.00 / NO $341.41 / NO $520.00 / NO
3.3
Cromoglicate and related therapy and leukotriene receptor antagonists
3.3.2
Leukotriene receptor antagonists
MONTELUKAST (SODIUM) CHEW TAB 4MG MONTELUKAST (SODIUM) CHEW TAB 5MG MONTELUKAST (SODIUM) TAB 10MG
SINGULAIR SINGULAIR SINGULAIR
$7.96 / TAB $9.93 / TAB $9.93 / TAB
S S S S S S S S S S
S S S
3.4
Antihistamines, hyposensitisation, and allergic emergencies
3.4.1
Antihistamines
CETIRIZINE 5MG + PSEUDOEPHEDRINE HCL 120MG ZYRTEC-D PROLONGED RELEASE TAB CETIRIZINE HCL TAB 10MG ZYRTEC CHLORPHENIRAMINE MALEATE ELIXIR 2MG/5ML PIRITON CHLORPHENIRAMINE MALEATE INJ 10MG/ML 10ML PIRITON CHLORPHENIRAMINE MALEATE TAB 4MG PIRITON CYPROHEPTADINE HCL SYR 2MG/5ML PERIACTIN CYPROHEPTADINE HCL TAB 4MG PERIACTIN DEXCHLORPHENIRAMINE MALEATE TAB 2MG POLARAMINE DEXCHLORPHENIRAMINE MALEATE SR TAB 6MG POLARAMINE S.R. DIPHENHYDRAMINE HCL ELIXIR 10MG/5ML BENADRYL DIPHENHYDRAMINE HCL INJ 50MG/ML 1ML BENADRYL FEXOFENADINE HCL 60MG + PSEUDOEPHEDRINE HCL 120MG TAB TELFAST D FEXOFENADINE HCL TAB 180MG TELFAST HYDROXYZINE (HCL) TAB 25MG ATARAX KETOTIFEN (HYDROGEN FUMARATE) SYR 0.2MG/ML ZADITEN KETOTIFEN (HYDROGEN FUMARATE) TAB 1MG ZADITEN LORATADINE 5MG + PSEUDOEPHEDRINE SULPHATE 120 MG TAB CLARINASE REPETABS LORATADINE 10MG + PSEUDOEPHEDRINE SULPHATE 240MG ER TAB CLARINASE ER LORATADINE SYR 5MG/5ML CLARITYNE LORATADINE TAB 10MG CLARITYNE NEOZEP (OR EQUIV) TAB PROMETHAZINE HCL ELIXIR 5MG/5ML PHENERGAN PROMETHAZINE HCL TAB 10MG PHENERGAN PROMETHAZINE HCL TAB 25MG PHENERGAN PROMETHAZINE THEOCLATE TAB 25MG AVOMINE TRIPROLIDINE HCL + PSEUDOEPHEDRINE HCL ACTIFED (1.25MG+30MG/5ML) SYR TRIPROLIDINE HCL 2.5MG + PSEUDOEPHEDRINE HCL 60MG TAB ACTIFED
12
$1.35 / TAB
S
$0.25 / TAB $0.01 / ML $9.80 / VIAL $0.01 / TAB $0.02 / ML $0.12 / TAB $0.07 / TAB $0.62 / TAB $0.02 / ML $10.62 / VIAL $1.93 / TAB $2.08 / TAB $0.18 / TAB $0.61 / ML $2.49 / TAB $1.95 / TAB $3.20 / TAB $0.56 / ML $0.19 / TAB $0.38 / TAB $0.00 / ML $0.03 / TAB $0.11 / TAB $0.15 / TAB $0.03 / ML
G G G G G G G G G G S S G G G S S G G G G G G G G
$0.07 / TAB
G
3.4.3
Allergic emergencies
ADRENALINE PREFILLED SYRINGE 1:10000 10ML ADRENALINE (ACID TARTRATE) INJ 1:10000 10ML ADRENALINE (ACID TARTRATE) NO PRESERVATIVE INJ 1:1000 1ML ADRENALINE (EPINEPHRINE) INJ 1:1000 30ML EPINEPHRINE (AUTO-INJECTOR) INJ 0.15MG EPIPEN JR EPINEPHRINE (AUTO-INJECTOR) INJ 0.3MG EPIPEN
$100.00 / NO $18.30 / AMP $4.15 / AMP $33.91 / VIAL $761.26 / NO $755.00 / NO
G G G G NA NA
3.5
Respiratory stimulants and pulmonary surfactants
3.5.1
Respiratory stimulants
CAFFEINE CITRATE INJ 10MG/ML 10ML
3.5.2
SURVANTA
$4,681.92 / VIAL
FLUIMUCIL FLUIMUCIL SOLMUCOL MUCOSOLVAN BISOLVON BISOLVON MUCOFLUX MISTABRON
$0.25 / PACK $0.34 / PACK $1.84 / PACK $0.82 / TAB $0.02 / ML $0.02 / TAB $0.77 / CAP $21.99 / NO $0.09 / ML
3.9
Cough preparations
3.9.1
Cough suppressants
CODEINE PHOSPHATE SYR 25MG/5ML CODEINE PHOSPHATE TAB 30MG OPIATE SQUILL (GEES) LINCTUS PHOLCODINE LINCTUS 5MG/5ML ETHNINE
$0.12 / ML $0.41 / TAB $0.07 / ML $0.02 / ML
NA
G G G G
Expectorant and demulcent cough preparations
AMMONIA AND IPECACUANHA MIXTURE (MES) CHLORPHENIRAMINE MALEATE EXPECTORANT SYR 2MG/5ML PIRITON EXPECTORANT BENADRYL EXPECTORANT DIPHENHYDRAMINE COMPOUND LINCTUS EXPECTORANT STIMULANT PRO INFANT MIXTURE PROMETHAZINE COMPOUND LINCTUS PHENSEDYL
3.A
G G G G G G G G
Aromatic inhalations
BENZOIN COMPOUND TINCTURE
3.9.2
G
Mucolytics
ACETYLCYSTEINE GRANULES 100MG/SACHET ACETYLCYSTEINE GRANULES 200MG/SACHET ACETYLCYSTEINE GRANULES 600MG/SACHET AMBROXOL HCL TAB 30MG BROMHEXINE HCL ELIXIR 4MG/5ML BROMHEXINE HCL TAB 8MG CYCLIDROL CAP 100MG MESNA NEB SOLN 20% 3ML
3.8
G
Pulmonary surfactants
BERACTANT INTRA-TRACHEAL SUSP 8ML
3.7
$24.90 / VIAL
$0.01 / ML $0.00 / ML $0.01 / ML $0.00 / ML $0.02 / ML
G G G G G
Miscellaneous
LYSOZYME CHLORIDE TAB 30MG NEUZYM $0.23 / TAB TALC STERILE POWDER 4G STERITALC $400.00 / VIAL
13
G G
4
Central nervous system
4.1
Hypnotics and anxiolytics
4.1.1
Hypnotics
CHLORMETHIAZOLE EDISYLATE CAP 300MG FLUNITRAZEPAM TAB 1MG MIDAZOLAM (MALEATE) TAB 15MG NITRAZEPAM TAB 5MG PROMETHAZINE HCL ELIXIR 5MG/5ML PROMETHAZINE HCL TAB 10MG PROMETHAZINE HCL TAB 25MG TRIAZOLAM TAB 0.25MG ZOLPIDEM TARTRATE TAB 10MG ZOPICLONE TAB 7.5MG
4.1.2
HEMINEVRIN ROHYPNOL DORMICUM MOGADON PHENERGAN PHENERGAN PHENERGAN HALCION STILNOX IMOVANE
$1.58 / CAP $2.23 / TAB $2.70 / TAB $0.64 / TAB $0.00 / ML $0.03 / TAB $0.11 / TAB $3.27 / TAB $0.85 / TAB $0.19 / TAB
NA G G G G G G G G G
Anxiolytics
ALPRAZOLAM TAB 0.25MG ALPRAZOLAM TAB 0.5MG BROMAZEPAM TAB 1.5MG BUSPIRONE HCL TAB 10MG DIAZEPAM INJ 5MG/ML 2ML DIAZEPAM RECTAL SOLN 2MG/ML 2.5ML DIAZEPAM RECTAL SOLN 4MG/ML 2.5ML DIAZEPAM TAB 2MG DIAZEPAM TAB 5MG DIAZEPAM EMULSION INJ 5MG/ML 2ML LORAZEPAM INJ 4MG/ML 1ML LORAZEPAM TAB 1MG LORAZEPAM TAB 2MG
XANAX XANAX LEXOTAN BUSPAR VALIUM STESOLID STESOLID VALIUM VALIUM DIAZEMULS ATIVAN ATIVAN ATIVAN
$0.20 / TAB $0.21 / TAB $0.33 / TAB $3.90 / TAB $12.49 / AMP $15.86 / TUBE $17.60 / TUBE $0.16 / TAB $0.17 / TAB $8.50 / AMP $197.50 / AMP $0.21 / TAB $0.26 / TAB
G G G G G G G G G G G G G
4.2
Drugs used in psychoses and related disorders
4.2.1
Antipsychotic drugs
AMISULPRIDE TAB 100MG AMISULPRIDE TAB 200MG AMISULPRIDE TAB 400MG ARIPIPRAZOLE TAB 10MG ARIPIPRAZOLE TAB 15MG CHLORPROMAZINE HCL INJ 25MG/ML 2ML CHLORPROMAZINE HCL TAB 25MG CHLORPROMAZINE HCL TAB 50MG CHLORPROMAZINE HCL TAB 100MG CLOZAPINE TAB 25MG CLOZAPINE TAB 100MG FLUPENTHIXOL (DIHYDROCHLORIDE) TAB 3MG HALOPERIDOL DROPS 2MG/ML 15ML HALOPERIDOL INJ 5MG/ML 1ML HALOPERIDOL TAB 1MG
SOLIAN SOLIAN SOLIAN ABILIFY ABILIFY LARGACTIL LARGACTIL LARGACTIL LARGACTIL CLOZARIL CLOZARIL FLUANXOL HALDOL HALDOL SERENACE
14
$4.13 / TAB $5.90 / TAB $10.69 / TAB $19.83 / TAB $19.83 / TAB $20.19 / AMP $0.21 / TAB $0.32 / TAB $0.45 / TAB $0.35 / TAB $1.10 / TAB $0.57 / TAB $120.98 / BOTT $30.20 / AMP $0.06 / TAB
S S S S S G G G G S S G G G G
HALOPERIDOL TAB 5MG OLANZAPINE IM INJ 10MG OLANZAPINE ORODISPERSIBLE TAB 5MG OLANZAPINE ORODISPERSIBLE TAB 10MG OLANZAPINE TAB 5MG OLANZAPINE TAB 10MG PALIPERIDONE EXTENDED RELEASE TAB 3MG PALIPERIDONE EXTENDED RELEASE TAB 6MG PALIPERIDONE EXTENDED RELEASE TAB 9MG PERICYAZINE TAB 2.5MG PERICYAZINE TAB 10MG PERPHENAZINE TAB 4MG PIMOZIDE TAB 1MG PIMOZIDE TAB 4MG PROCHLORPERAZINE MALEATE TAB 5MG PROCHLORPERAZINE MESYLATE INJ 12.5MG/ML 1ML QUETIAPINE (FUMARATE) TAB 25MG QUETIAPINE (FUMARATE) EXTENDED RELEASE TAB 50MG QUETIAPINE (FUMARATE) EXTENDED RELEASE TAB 200MG QUETIAPINE (FUMARATE) EXTENDED RELEASE TAB 300MG RISPERIDONE ORODISPERSIBLE TAB 1MG RISPERIDONE ORODISPERSIBLE TAB 2MG RISPERIDONE TAB 1MG RISPERIDONE TAB 3MG SULPIRIDE CAP 50MG SULPIRIDE TAB 200MG TRIFLUOPERAZINE (HCL) TAB 1MG TRIFLUOPERAZINE (HCL) TAB 5MG ZIPRASIDONE (HCL) CAP 20MG ZIPRASIDONE (HCL) CAP 40MG ZIPRASIDONE (HCL) CAP 60MG ZIPRASIDONE (HCL) CAP 80MG ZIPRASIDONE (MESYLATE) IM INJ 20MG/ML
4.2.2
SERENACE ZYPREXA ZYPREXA ZYDIS ZYPREXA ZYDIS ZYPREXA ZYPREXA INVEGA INVEGA INVEGA NEULACTIL NEULACTIL TRILAFON ORAP ORAP STEMETIL STEMETIL SEROQUEL SEROQUEL XR SEROQUEL XR SEROQUEL XR RISPERDAL QUICKLET RISPERDAL QUICKLET RISPERDAL RISPERDAL DOGMATIL DOGMATIL STELAZINE STELAZINE ZELDOX ZELDOX ZELDOX ZELDOX ZELDOX
G S S S S S S S S G G G G G G G S S S S S S G G G G G G S S S S S
Antipsychotic depot injections
FLUPENTHIXOL DECANOATE IM INJ 20MG/ML 1ML FLUPHENAZINE DECANOATE IM INJ 25MG/ML 1ML HALOPERIDOL DECANOATE INJ 50MG/ML 1ML HALOPERIDOL DECANOATE INJ 100MG/ML 1ML RISPERIDONE (MICROSPHERES) IM PR INJ 25MG RISPERIDONE (MICROSPHERES) IM PR INJ 37.5MG RISPERIDONE (MICROSPHERES) IM PR INJ 50MG ZUCLOPENTHIXOL DECANOATE INJ 200MG/ML 1ML
4.2.3
$0.14 / TAB $67.50 / VIAL $15.78 / TAB $31.55 / TAB $16.58 / TAB $33.16 / TAB $15.24 / TAB $19.44 / TAB $29.85 / TAB $0.52 / TAB $1.14 / TAB $0.18 / TAB $0.50 / TAB $2.31 / TAB $0.11 / TAB $4.20 / AMP $2.52 / TAB $2.93 / TAB $7.04 / TAB $10.56 / TAB $7.59 / TAB $14.20 / TAB $0.69 / TAB $2.40 / TAB $0.18 / CAP $0.55 / TAB $0.10 / TAB $0.10 / TAB $6.29 / CAP $12.58 / CAP $12.83 / CAP $17.80 / CAP $180.00 / VIAL
FLUANXOL $39.43 / AMP MODECATE $24.63 / AMP HALDOL DECANOAS $67.56 / AMP HALDOL DECANOAS $153.99 / AMP RISPERDAL CONSTA $886.53 / VIAL RISPERDAL CONSTA $1,293.23 / VIAL RISPERDAL CONSTA $1,768.53 / VIAL CLOPIXOL DEPOT $51.00 / AMP
G G G G S S S G
Antimanic drugs
CARBAMAZEPINE TAB 200MG CARBAMAZEPINE CR TAB 200MG CARBAMAZEPINE SUSP 100MG/5ML LITHIUM CARBONATE TAB 250MG LITHIUM CARBONATE CR TAB 400MG LITHIUM SULPHATE SR TAB 660MG
TEGRETOL TEGRETOL CR TEGRETOL CAMCOLIT PRIADEL LITHIOFOR
15
$0.55 / TAB $1.19 / TAB $0.35 / ML $0.51 / TAB $0.69 / TAB $2.66 / TAB
G G G G G G
4.3
Antidepressant drugs
4.3.1
Tricyclic and related antidepressant drugs
AMITRIPTYLINE HCL TAB 10MG AMITRIPTYLINE HCL TAB 25MG CLOMIPRAMINE HCL TAB 10MG CLOMIPRAMINE HCL TAB 25MG DOTHIEPIN (DOSULEPIN) HCL CAP 25MG DOTHIEPIN (DOSULEPIN) HCL TAB 75MG DOXEPIN (HCL) CAP 10MG DOXEPIN (HCL) CAP 25MG FLUPENTHIXOL DIHYDROCHLORIDE 0.5MG + MELITRACEN HCL 10MG TAB IMIPRAMINE HCL TAB 10MG IMIPRAMINE HCL TAB 25MG MIANSERIN HCL TAB 10MG MIANSERIN HCL TAB 30MG NORTRIPTYLINE (HCL) TAB 10MG NORTRIPTYLINE (HCL) TAB 25MG TRAZODONE HCL TAB 50MG TRIMIPRAMINE MALEATE TAB 25MG
4.3.2
TOFRANIL TOFRANIL TOLVON TOLVON NORTRILEN NORTRILEN TRITTICO SURMONTIL
$0.12 / TAB $0.09 / TAB $0.46 / TAB $1.05 / TAB $0.56 / TAB $0.82 / TAB $1.16 / TAB $1.07 / TAB
G G G G G G G G
AURORIX CIPRAM LEXAPRO LEXAPRO PROZAC PROZAC FAVERIN SEROXAT CR SEROXAT CR ZOLOFT
$3.49 / TAB
G
$1.25 / TAB $7.00 / TAB $11.89 / TAB $0.18 / CAP $0.11 / CAP $3.75 / TAB $3.00 / TAB $6.00 / TAB $0.59 / TAB
G S S G G S S S G
Other antidepressant drugs
BUPROPION HCL (WELLBUTRIN SR) SR TAB 150MG DULOXETINE (HCL) CAP 30MG DULOXETINE (HCL) CAP 60MG FLUPENTHIXOL (DIHYDROCHLORIDE) TAB 0.5MG MIRTAZAPINE ORODISPERSIBLE TAB 15MG MIRTAZAPINE ORODISPERSIBLE TAB 30MG OXITRIPTAN CAP 100MG VENLAFAXINE (HCL) EXTENDED RELEASE CAP 37.5MG VENLAFAXINE (HCL) EXTENDED RELEASE CAP 75MG VENLAFAXINE (HCL) EXTENDED RELEASE CAP 150MG
4.4
G G G G G G G G G
Selective serotonin re-uptake inhibitors
CITALOPRAM (HBR) TAB 20MG ESCITALOPRAM (OXALATE) TAB 10MG ESCITALOPRAM (OXALATE) TAB 20MG FLUOXETINE (HCL) CAP 10MG FLUOXETINE (HCL) CAP 20MG FLUVOXAMINE (MALEATE) TAB 50MG PAROXETINE (HCL) CR TAB 12.5MG PAROXETINE (HCL) CR TAB 25MG SERTRALINE (HCL) TAB 50MG
4.3.4
$0.36 / TAB $0.08 / TAB $0.35 / TAB $0.48 / TAB $0.41 / CAP $0.98 / TAB $0.50 / CAP $1.45 / CAP $0.54 / TAB
Monoamine-oxidase inhibitors
MOCLOBEMIDE TAB 150MG
4.3.3
SAROTEN SAROTEN ANAFRANIL ANAFRANIL PROTHIADEN PROTHIADEN SINEQUAN SINEQUAN DEANXIT
WELLBUTRIN SR CYMBALTA CYMBALTA FLUANXOL REMERON REMERON TRIPTOH EFEXOR XR EFEXOR XR EFEXOR XR
$6.33 / TAB $5.60 / CAP $8.33 / CAP $0.25 / TAB $2.54 / TAB $5.08 / TAB $8.00 / CAP $4.09 / CAP $7.98 / CAP $14.94 / CAP
S S S G S S NA S S S
CNS stimulants and drugs used for attention deficit hyperactivity disorder
ATOMOXETINE (HCL) CAP 10MG ATOMOXETINE (HCL) CAP 18MG ATOMOXETINE (HCL) CAP 25MG
STRATTERA STRATTERA STRATTERA
16
$21.10 / CAP $21.10 / CAP $21.10 / CAP
S S S
ATOMOXETINE (HCL) CAP 40MG ATOMOXETINE (HCL) CAP 60MG METHYLPHENIDATE HCL EXTENDED RELEASE TAB 18MG METHYLPHENIDATE HCL EXTENDED RELEASE TAB 27MG METHYLPHENIDATE HCL EXTENDED RELEASE TAB 36MG METHYLPHENIDATE HCL EXTENDED RELEASE TAB 54MG METHYLPHENIDATE HCL TAB 10MG
4.6
STRATTERA STRATTERA CONCERTA CONCERTA CONCERTA CONCERTA RITALIN
$21.10 / CAP $21.10 / CAP $18.16 / TAB $20.10 / TAB $22.12 / TAB $29.07 / TAB $0.99 / TAB
S S S S S S G
Drugs used in nausea and vertigo
APREPITANT CAP 125MG/80MG/80MG BETAHISTINE MESYLATE TAB 6MG CHLORPROMAZINE HCL INJ 25MG/ML 2ML CHLORPROMAZINE HCL TAB 25MG CHLORPROMAZINE HCL TAB 50MG CHLORPROMAZINE HCL TAB 100MG DIMENHYDRINATE LIQUID 15MG/5ML DIMENHYDRINATE RECTAL SUPP 50MG DOMPERIDONE SYR 5MG/5ML DOMPERIDONE TAB 10MG FLUNARIZINE CAP 5MG GRANISETRON (HCL) INJ 1MG/ML 1ML GRANISETRON (HCL) INJ 1MG/ML 3ML GRANISETRON (HCL) TAB 1MG METOCLOPRAMIDE HCL INJ 5MG/ML 2ML METOCLOPRAMIDE HCL SYR 5MG/5ML METOCLOPRAMIDE HCL TAB 10MG ONDANSETRON (HCL DIHYDRATE) INJ 2MG/ML 2ML ONDANSETRON (HCL DIHYDRATE) INJ 2MG/ML 4ML ONDANSETRON (HCL DIHYDRATE) TAB 4MG ONDANSETRON (HCL DIHYDRATE) TAB 8MG PERPHENAZINE TAB 4MG PROCHLORPERAZINE MALEATE TAB 5MG PROCHLORPERAZINE MESYLATE INJ 12.5MG/ML 1ML PROMETHAZINE HCL ELIXIR 5MG/5ML PROMETHAZINE HCL TAB 10MG PROMETHAZINE HCL TAB 25MG PROMETHAZINE THEOCLATE TAB 25MG TRIFLUOPERAZINE (HCL) TAB 1MG TRIFLUOPERAZINE (HCL) TAB 5MG TROPISETRON (HCL) CAP 5MG TROPISETRON (HCL) INJ 1MG/ML 5ML
EMEND MERISLON LARGACTIL LARGACTIL LARGACTIL LARGACTIL GRAVOL GRAVOL MOTILIUM MOTILIUM SIBELIUM KYTRIL KYTRIL KYTRIL MAXOLON MAXOLON MAXOLON ZOFRAN ZOFRAN ZOFRAN ZOFRAN TRILAFON STEMETIL STEMETIL PHENERGAN PHENERGAN PHENERGAN AVOMINE STELAZINE STELAZINE NAVOBAN NAVOBAN
$568.00 / PACK $0.14 / TAB $20.19 / AMP $0.21 / TAB $0.32 / TAB $0.45 / TAB $0.02 / ML $1.32 / NO $0.73 / ML $0.68 / TAB $4.40 / CAP $61.99 / AMP $173.60 / AMP $71.50 / TAB $3.73 / AMP $0.02 / ML $0.08 / TAB $50.00 / AMP $54.52 / AMP $18.00 / TAB $20.00 / TAB $0.18 / TAB $0.11 / TAB $4.20 / AMP $0.00 / ML $0.03 / TAB $0.11 / TAB $0.15 / TAB $0.10 / TAB $0.10 / TAB $63.33 / CAP $58.82 / AMP
4.7
Analgesics
4.7.1
Non-opioid analgesics
ASPIRIN TAB 300MG PARACETAMOL RECTAL SUPP 125MG PANADOL PARACETAMOL RECTAL SUPP 250MG PANADOL
17
$0.06 / TAB $0.68 / NO $0.73 / NO
$ G G G G G G G G G G S S S G G G S S S S G G G G G G G G G S S
G G G
PARACETAMOL TAB 500MG PARACETAMOL (ALCOHOL-FREE) SUSP 125MG/5ML
4.7.2
PANADOL PANADOL
$0.12 / ML $0.41 / TAB $2.00 / TAB $79.95 / NO $138.89 / NO $230.69 / NO $30.00 / AMP $0.90 / TAB $17.00 / AMP $3.50 / AMP $1.97 / TAB $5.33 / TAB $10.46 / TAB $0.12 / ML $1.73 / AMP $2.07 / AMP $0.32 / CAP $55.00 / BOTT $2.73 / AMP
G G G S S S G G G G S S S G G G G G G
Neuropathic pain
CARBAMAZEPINE TAB 200MG TEGRETOL CARBAMAZEPINE CR TAB 200MG TEGRETOL CR CARBAMAZEPINE SUSP 100MG/5ML TEGRETOL GABAPENTIN (TEVA) CAP 100MG GABAPENTIN (TEVA) CAP 300MG GABAPENTIN (TEVA) CAP 400MG PHENYTOIN SODIUM CAP 30MG DILANTIN PHENYTOIN SODIUM TAB 100MG DILANTIN PHENYTOIN SODIUM SYR 125MG/5ML DILANTIN PREGABALIN CAP 25MG LYRICA PREGABALIN CAP 75MG LYRICA PREGABALIN CAP 150MG LYRICA
4.7.4
G G
Opioid analgesics
CODEINE PHOSPHATE SYR 25MG/5ML CODEINE PHOSPHATE TAB 30MG DIHYDROCODEINE TARTRATE TAB 30MG DF118 FENTANYL TRANSDERMAL PATCH 2.1MG DUROGESIC FENTANYL TRANSDERMAL PATCH 4.2MG DUROGESIC FENTANYL TRANSDERMAL PATCH 8.4MG DUROGESIC METHADONE HCL INJ 10MG/ML 1ML PHYSEPTONE METHADONE HCL TAB 5MG PHYSEPTONE MORPHINE SULPHATE (PRESERVATIVE FREE) INJ 10MG/ML 1ML MORPHINE SULPHATE (PRESERVATIVE FREE) INJ 15MG/ML 1ML MORPHINE SULPHATE SR TAB 10MG MST CONTINUS MORPHINE SULPHATE SR TAB 30MG MST CONTINUS MORPHINE SULPHATE SR TAB 60MG MST CONTINUS MORPHINE SULPHATE SYR 10MG/5ML PETHIDINE HCL INJ 50MG/ML 1ML PETHIDINE HCL INJ 50MG/ML 2ML TRAMADOL HCL CAP 50MG TRAMAL TRAMADOL HCL DROPS 100MG/ML 20ML TRAMADOL HCL INJ 50MG/ML 2ML TRAMAL
4.7.3
$0.03 / TAB $0.02 / ML
$0.55 / TAB $1.19 / TAB $0.35 / ML $1.13 / CAP $1.58 / CAP $2.10 / CAP $1.33 / CAP $0.06 / TAB $0.62 / ML $6.66 / CAP $8.18 / CAP $13.07 / CAP
G G G S S S G G G S S S
Antimigraine drugs
4.7.4.1 Treatment of acute migraine ERGOTAMINE TARTRATE 1MG + CAFFEINE 100MG TAB CAFERGOT $3.51 / TAB SUMATRIPTAN (SUCCINATE) TAB 50MG IMIGRAN $42.17 / TAB ZOLMITRIPTAN TAB 2.5MG ZOMIG $30.97 / TAB
G S S
4.7.4.2 Prophylaxis of migraine CLONIDINE HCL TAB 0.025MG DIXARIT $1.14 / TAB PIZOTIFEN HYDROGEN MALATE TAB 0.5MG SANDOMIGRAN $2.09 / TAB
G G
18
4.8
Antiepileptic drugs
4.8.1
Control of epilepsy
CARBAMAZEPINE TAB 200MG CARBAMAZEPINE CR TAB 200MG CARBAMAZEPINE SUSP 100MG/5ML CLOBAZAM TAB 10MG CLONAZEPAM TAB 0.5MG CLONAZEPAM TAB 2MG ETHOSUXIMIDE CAP 250MG GABAPENTIN (NEURONTIN) CAP 100MG GABAPENTIN (NEURONTIN) CAP 300MG GABAPENTIN (NEURONTIN) CAP 400MG GABAPENTIN (NEURONTIN) TAB 600MG LAMOTRIGINE CHEW/DISP TAB 5MG LAMOTRIGINE TAB 50MG LAMOTRIGINE TAB 100MG LEVETIRACETAM INF 100MG/ML 5ML LEVETIRACETAM SOLN 100MG/ML LEVETIRACETAM TAB 500MG LEVETIRACETAM TAB 1000MG OXCARBAZEPINE SUSP 300MG/5ML OXCARBAZEPINE TAB 300MG OXCARBAZEPINE TAB 600MG PHENOBARBITONE TAB 30MG PHENOBARBITONE SODIUM INJ 200MG/ML 1ML PHENYTOIN SODIUM CAP 30MG PHENYTOIN SODIUM TAB 100MG PHENYTOIN SODIUM SYR 125MG/5ML PREGABALIN CAP 25MG PREGABALIN CAP 75MG PREGABALIN CAP 150MG TOPIRAMATE TAB 25MG TOPIRAMATE TAB 50MG TOPIRAMATE TAB 100MG VALPROATE SODIUM TAB 100MG VALPROATE SODIUM ENTERIC COATED TAB 200MG VALPROATE SODIUM CR TAB 200MG VALPROATE SODIUM CR TAB 300MG VALPROATE SODIUM CR TAB 500MG VALPROATE SODIUM INJ 400MG VALPROATE SODIUM SOLN 200MG/5ML VIGABATRIN TAB 500MG
4.8.2
TEGRETOL TEGRETOL CR TEGRETOL FRISIUM RIVOTRIL RIVOTRIL ZARONTIN NEURONTIN NEURONTIN NEURONTIN NEURONTIN LAMICTAL LAMICTAL LAMICTAL KEPPRA KEPPRA KEPPRA KEPPRA TRILEPTAL TRILEPTAL TRILEPTAL LUMINAL LUMINAL DILANTIN DILANTIN DILANTIN LYRICA LYRICA LYRICA TOPAMAX TOPAMAX TOPAMAX EPILIM CRUSHABLE EPILIM EPILIM CHRONO EPILIM CHRONO EPILIM CHRONO EPILIM EPILIM SABRIL
$0.55 / TAB $1.19 / TAB $0.35 / ML $1.59 / TAB $1.09 / TAB $2.20 / TAB $9.77 / CAP $3.00 / CAP $6.30 / CAP $7.20 / CAP $9.50 / TAB $2.54 / TAB $7.54 / TAB $12.92 / TAB $249.00 / ML $2.88 / ML $10.30 / TAB $20.60 / TAB $0.87 / ML $3.78 / TAB $6.94 / TAB $0.08 / TAB $39.93 / AMP $1.33 / CAP $0.06 / TAB $0.62 / ML $6.66 / CAP $8.18 / CAP $13.07 / CAP $7.50 / TAB $11.26 / TAB $19.66 / TAB $0.47 / TAB $0.39 / TAB $0.68 / TAB $1.01 / TAB $1.71 / TAB $191.15 / VIAL $0.13 / ML $9.21 / TAB
G G G G G G G S S S S S S S S S S S S S S G G G G G S S S S S S G G G G G G G S
Drugs used in status epilepticus
DIAZEPAM INJ 5MG/ML 2ML VALIUM DIAZEPAM RECTAL SOLN 2MG/ML 2.5ML STESOLID DIAZEPAM RECTAL SOLN 4MG/ML 2.5ML STESOLID DIAZEPAM EMULSION INJ 5MG/ML 2ML DIAZEMULS LORAZEPAM INJ 4MG/ML 1ML ATIVAN PARALDEHYDE INJ 5ML PHENOBARBITONE SODIUM INJ 200MG/ML 1ML LUMINAL PHENYTOIN SODIUM INJ 50MG/ML 5ML DILANTIN
19
$12.49 / AMP $15.86 / TUBE $17.60 / TUBE $8.50 / AMP $197.50 / AMP $1,048.50 / AMP $39.93 / AMP $19.35 / VIAL
G G G G G G G G
4.9
Drugs used in parkinsonism and related disorders
4.9.1
Dopaminergic drugs used in parkinsonism
AMANTADINE SULPHATE TAB 100MG BROMOCRIPTINE (MESYLATE) TAB 2.5MG CABERGOLINE TAB 0.5MG CARBIDOPA 25MG + LEVODOPA 100MG TAB CARBIDOPA 25MG + LEVODOPA 250MG TAB CARBIDOPA 50MG + LEVODOPA 200MG CR TAB ENTACAPONE TAB 200MG LEVODOPA 100MG + BENSERAZIDE 25MG CAP LEVODOPA 100MG + BENSERAZIDE 25MG DISPERSIBLE TAB LEVODOPA 100MG + CARBIDOPA 25MG + ENTACAPONE 200MG TAB LEVODOPA 200MG + BENSERAZIDE 50MG TAB PRAMIPEXOLE DIHYDROCHLORIDE TAB 1MG SELEGILINE HCL TAB 5MG
4.9.2
ARTANE COGENTIN
BOTOX DYSPORT HALDOL SERENACE SERENACE NOOTROPIL NOOTROPIL NOOTROPIL NITOMAN PHYSEPTONE PHYSEPTONE
G G S G
$0.04 / TAB $31.00 / AMP
G G
$1,950.00 / VIAL $2,120.75 / VIAL $120.98 / BOTT $0.06 / TAB $0.14 / TAB $9.65 / AMP $1.41 / ML $0.49 / TAB $12.95 / TAB
S S G G G G G G NA
$30.00 / AMP $0.90 / TAB
G G
Drugs for dementia
DONEPEZIL HCL TAB 5MG DONEPEZIL HCL TAB 10MG GALANTAMINE (HBR) PROLONGED RELEASE CAP 8MG GALANTAMINE (HBR) PROLONGED RELEASE CAP 16MG GALANTAMINE (HBR) PROLONGED RELEASE CAP 24MG MEMANTINE HCL TAB 10MG RIVASTIGMINE CAP 1.5MG RIVASTIGMINE CAP 3MG RIVASTIGMINE CAP 4.5MG RIVASTIGMINE CAP 6MG RIVASTIGMINE TRANSDERMAL PATCH 4.6MG/24HR RIVASTIGMINE TRANSDERMAL PATCH 9.5MG/24HR
4.A
$7.60 / TAB $1.30 / TAB $16.00 / TAB $1.26 / TAB
Drugs used in substance dependence
METHADONE HCL INJ 10MG/ML 1ML METHADONE HCL TAB 5MG
4.11
G G S G G G G G G
Drugs used in essential tremor, chorea, tics, and related disorders
BOTULINUM TYPE A TOXIN (BOTOX) INJ 100 U BOTULINUM TYPE A TOXIN (DYSPORT) INJ 500 U HALOPERIDOL DROPS 2MG/ML 15ML HALOPERIDOL TAB 1MG HALOPERIDOL TAB 5MG PIRACETAM INJ 0.2G/ML 5ML PIRACETAM SOLN 200MG/ML PIRACETAM TAB 800MG TETRABENAZINE TAB 25MG
4.10
$3.44 / TAB $0.39 / TAB $60.80 / TAB $0.42 / TAB $0.62 / TAB $2.67 / TAB $7.60 / TAB $1.30 / CAP $1.30 / TAB
Antimuscarinic drugs used in parkinsonism
BENZHEXOL HCL TAB 2MG BENZTROPINE MESYLATE INJ 1MG/ML 2ML
4.9.3
PK-MERZ PARLODEL DOSTINEX SINEMET 25/100 SINEMET 25/250 SINEMET CR 50/200 COMTAN MADOPAR 125MG MADOPAR DISPERSIBLE 125MG STALEVO 100/25/200 MADOPAR 250MG MIRAPEX JUMEX
ARICEPT ARICEPT REMINYL REMINYL REMINYL EBIXA EXELON EXELON EXELON EXELON EXELON EXELON
$15.00 / TAB $15.00 / TAB $15.53 / CAP $15.53 / CAP $15.18 / CAP $7.46 / TAB $7.51 / CAP $7.50 / CAP $7.50 / CAP $7.50 / CAP $15.00 / PCS $15.00 / PCS
S S S S S S S S S S S S
Miscellaneous
PYRITINOL HCL TAB 100MG
ENCEPHABOL
20
$1.74 / TAB
G
5
Infections
5.1
Antibacterial drugs
5.1.1
Penicillins
5.1.1.1 Benzylpenicillin and phenoxymethylpenicillin BENZATHINE PENICILLIN INJ 1.2MU PENADUR $18.00 / VIAL BENZYLPENICILLIN SODIUM INJ 1MU (600MG) (PENICILLIN G) CRYSTAPEN $14.77 / VIAL PHENOXYMETHYLPENICILLIN POTASSIUM SYR 125MG/5ML PENICILLIN V $0.08 / ML PHENOXYMETHYLPENICILLIN POTASSIUM TAB 250MG PENICILLIN V $0.34 / TAB
G G G G
5.1.1.2 Penicillinase-resistant penicillins CLOXACILLIN (SODIUM) CAP 250MG ORBENIN $0.33 / CAP CLOXACILLIN (SODIUM) CAP 500MG ORBENIN $0.43 / CAP CLOXACILLIN (SODIUM) INJ 500MG ORBENIN $3.84 / VIAL FLUCLOXACILLIN ELIXIR 125MG/5ML $0.12 / ML
G G G G
5.1.1.3 Broad-spectrum penicillins AMOXYCILLIN + CLAVULANIC ACID (400MG+57MG/5ML) SYR AUGMENTIN 457MG/5ML $0.62 / ML AMOXYCILLIN 250MG + CLAVULANIC ACID 125MG TAB AUGMENTIN 375MG $0.94 / TAB AMOXYCILLIN 875MG + CLAVULANIC ACID 125MG TAB AUGMENTIN 1G $1.63 / TAB AMOXYCILLIN 500MG + CLAVULANIC ACID 100MG INJ AUGMENTIN 600MG $14.09 / VIAL AMOXYCILLIN SODIUM 1G + CLAVULANIC ACID 200MG INJ AUGMENTIN 1.2G $13.30 / VIAL AMOXYCILLIN CAP 250MG AMOXIL $0.10 / CAP AMOXYCILLIN SUSP 125MG/5ML AMOXIL $0.15 / ML AMPICILLIN CAP 250MG $0.19 / CAP AMPICILLIN CAP 500MG $0.36 / CAP AMPICILLIN SODIUM INJ 500MG $1.73 / VIAL AMPICILLIN SYR 125MG/5ML $0.29 / ML AMPICILLIN SODIUM 500MG + SULBACTAM SODIUM 250MG INJ UNASYN 750MG $15.00 / VIAL AMPICILLIN 220MG + SULBACTAM 147MG TAB UNASYN 375MG $5.65 / TAB SULTAMICILLIN (MUTUAL PRODRUG OF SULBACTAM AND AMPICILLIN) UNASYN 250MG/5ML $1.49 / ML 250MG/5ML SUSP 5.1.1.4 Antipseudomonal penicillins PIPERACILLIN SODIUM 4G + TAZOBACTAM SODIUM 500MG INJ TAZOCIN 4.5G $89.00 / VIAL PIPERACILLIN SODIUM INJ 4G PIPRACIL $38.01 / VIAL TICARCILLIN DISODIUM 3G + CLAVULANIC ACID 200MG INJ TIMENTIN 3.2G $52.00 / VIAL
5.1.2
G G G G G G G G G G G G G G
G G G
Cephalosporins, carbapenems, and other beta-lactams
5.1.2.1 Cephalosporins CEFACLOR SYR 125MG/5ML CECLOR $0.21 / ML CEFAZOLIN (SODIUM) INJ 1G CEFAMEZIN $3.70 / VIAL CEFEPIME HCL INJ 1G MAXIPIME $102.00 / VIAL CEFOPERAZONE 500MG + SULBACTAM 500MG INJ SULPERAZON 1G $59.93 / VIAL CEFOTAXIME (SODIUM) INJ 1G CLAFORAN $18.50 / VIAL CEFTAZIDIME INJ 500MG FORTUM $42.20 / VIAL CEFTAZIDIME INJ 1G FORTUM $85.80 / VIAL
21
G G G G G G G
CEFTAZIDIME INJ 2G CEFTIBUTEN CAP 400MG CEFTIBUTEN SUSP 180MG/5ML CEFTRIAXONE DISODIUM IM INJ 1G CEFTRIAXONE DISODIUM IV INJ 1G CEFUROXIME (AXETIL) SUSP 125MG/5ML CEFUROXIME (AXETIL) TAB 125MG CEFUROXIME (AXETIL) TAB 250MG CEFUROXIME (SODIUM) INJ 750MG CEPHALEXIN CAP 250MG
$172.60 / VIAL $22.92 / CAP $3.27 / ML $55.00 / VIAL $29.30 / VIAL $1.07 / ML $2.20 / TAB $2.30 / TAB $4.81 / VIAL $0.40 / CAP
G G G G G G G G G G
5.1.2.2 Carbapenems DORIPENEM INF 500MG DORIBAX $160.00 / VIAL ERTAPENEM INJ 1G INVANZ $228.00 / VIAL IMIPENEM 500MG + CILASTATIN 500MG IV INJ TIENAM 500MG $74.10 / VIAL MEROPENEM INJ 500MG MERONEM $106.54 / VIAL MEROPENEM INJ 1G MERONEM $184.47 / VIAL
G G G G G
5.1.3
FORTUM CEDAX CEDAX ROCEPHIN ROCEPHIN ZINNAT ZINNAT ZINNAT ZINACEF KEFLEX
Tetracyclines
DOXYCYCLINE HYCLATE TAB 100MG MINOCYCLINE (HCL) CAP 50MG MINOCYCLINE (HCL) CAP 100MG MINOCYCLINE (HCL) INJ 100MG OXYTETRACYCLINE (WITH LIGNOCAINE) IM INJ 50MG/ML 10ML TETRACYCLINE HCL CAP 250MG TIGECYCLINE INF 50MG
5.1.4
VIBRAMYCIN MINOCIN MINOCIN MINOCIN OXYLIM ACHROMYCIN TYGACIL
$60.00 / VIAL $2.20 / AMP $530.00 / PACK $1,398.00 / PACK $5.53 / VIAL $0.50 / TAB $29.36 / VIAL
G G G G G G G
Macrolides
AZITHROMYCIN INF 500MG AZITHROMYCIN SUSP 200MG/5ML AZITHROMYCIN TAB 250MG CLARITHROMYCIN INJ 500MG CLARITHROMYCIN SUSP 125MG/5ML CLARITHROMYCIN TAB 250MG ERYTHROMYCIN (LACTOBIONATE) INF 500MG
5.1.6
G G G G G G G
Aminoglycosides
AMIKACIN SULPHATE INJ 250MG/ML 2ML AMIKIN GENTAMICIN INJ 40MG/ML 2ML GARAMYCIN GENTAMICIN (SULPHATE) BEADS 3.5MM 10NO SEPTOPAL GENTAMICIN (SULPHATE) BEADS 7MM 30NO SEPTOPAL KANAMYCIN SULPHATE INJ 1000MG NEOMYCIN SULPHATE TAB 250 MG NEOATE TOBRAMYCIN (SULPHATE) INJ 40MG/ML 2ML NEBCIN
5.1.5
$0.29 / TAB $1.80 / CAP $3.10 / CAP $114.23 / VIAL $12.00 / VIAL $0.11 / CAP $324.00 / VIAL
ZITHROMAX ZITHROMAX ZITHROMAX KLACID KLACID KLACID ERYTHROCIN
$165.00 / VIAL $1.67 / ML $2.92 / TAB $60.00 / VIAL $0.45 / ML $1.23 / TAB $32.00 / VIAL
G G G G G G G
Clindamycin
CLINDAMYCIN (HCL) CAP 150MG CLINDAMYCIN (PHOSPHATE) INJ 150MG/ML 2ML
DALACIN C DALACIN C
22
$2.90 / CAP $12.00 / VIAL
G G
5.1.7
Some other antibacterials
FUSIDATE SODIUM INF 500MG FUSIDATE SODIUM TAB 250MG FUSIDIC ACID SYR 250MG/5ML LINEZOLID INJ 2MG/ML 300ML LINEZOLID TAB 600MG TEICOPLANIN INJ 200MG VANCOMYCIN (HCL) INJ 500MG
5.1.8
FUCIDIN FUCIDIN FUCIDIN ZYVOX ZYVOX TARGOCID VANCOCIN SEPTRIN SEPTRIN SEPTRIN MONOTRIM
FLAGYL FLAGYL FLAGYL
G G G G G G G G G G G G G G G
$0.91 / TAB
G
$3.90 / VIAL $0.11 / TAB $1.05 / ML
G G G
Quinolones
CIPROFLOXACIN (HCL) TAB 250MG CIPROFLOXACIN (LACTATE) INF 2MG/ML 100ML LEVOFLOXACIN INF 5MG/ML 100ML LEVOFLOXACIN TAB 250MG MOXIFLOXACIN (HCL) TAB 400MG MOXIFLOXACIN (HCL) IN NACL INF 1.6MG/ML 250ML
5.1.13
$0.27 / TAB $0.65 / TAB $0.00 / ML $0.06 / TAB $0.04 / ML $0.60 / TAB $69.00 / CAP $2.13 / TAB $1.70 / TAB $3.40 / TAB $0.40 / CAP $0.79 / CAP $144.59 / VIAL $0.67 / ML $6.00 / VIAL
Metronidazole and tinidazole
METRONIDAZOLE INF 5MG/ML 100ML METRONIDAZOLE TAB 200MG METRONIDAZOLE (BENZOATE) SYR 200MG/5ML
5.1.12
G G G G
Antileprotic drugs
DAPSONE TAB 100MG
5.1.11
$29.17 / AMP $0.04 / ML $0.19 / TAB $0.47 / ML
Antituberculosis drugs
ETHAMBUTOL HCL TAB 100MG MYAMBUTOL ETHAMBUTOL HCL TAB 400MG MYAMBUTOL ISONIAZID ELIXIR 100MG/5ML RIMIFON ISONIAZID TAB 100MG RIMIFON PYRAZINAMIDE SYR 1G/10ML PYRAZINAMIDE TAB 500MG PYRAFAT RIFABUTIN CAP 150MG MYCOBUTIN RIFAMPICIN 120MG + ISONIAZID 50MG + PYRAZINAMIDE 300MG TAB RIFATER RIFAMPICIN 150MG + ISONIAZID 100MG TAB RIFINAH 150 RIFAMPICIN 300MG + ISONIAZID 150MG TAB RIFINAH 300 RIFAMPICIN CAP 150MG RIFADIN RIFAMPICIN CAP 300MG RIFADIN RIFAMPICIN INF 600MG RIFADIN RIFAMPICIN SYR 100MG/5ML RIFADIN STREPTOMYCIN (SULPHATE) INJ 1G
5.1.10
G G G S S G G
Sulphonamides and trimethoprim
COTRIMOXAZOLE INJ 96MG/ML 5ML COTRIMOXAZOLE SUSP 240MG/5ML COTRIMOXAZOLE TAB 480MG TRIMETHOPRIM SUSP 50MG/5ML
5.1.9
$140.24 / VIAL $9.88 / TAB $5.83 / ML $412.00 / BAG $401.07 / TAB $371.88 / VIAL $22.62 / VIAL
CIPROXIN CIPROXIN CRAVIT CRAVIT AVELOX AVELOX
$0.59 / TAB $169.79 / VIAL $250.39 / BOTT $2.20 / TAB $18.98 / TAB $219.86 / BOTT
G G G G G G
Urinary-tract infections
NITROFURANTOIN TAB 50MG
FURADANTIN
23
$0.11 / TAB
G
5.2
Antifungal drugs
AMPHOTERICIN B INJ 50MG AMPHOTERICIN B (LIPOSOMAL) INJ 50MG ANIDULAFUNGIN INF 100MG CASPOFUNGIN ACETATE INF 50MG CASPOFUNGIN ACETATE INF 70MG FLUCONAZOLE CAP 50MG FLUCONAZOLE CAP 150MG FLUCONAZOLE SUSP 50MG/5ML FLUCONAZOLE INF 2MG/ML 100ML GRISEOFULVIN TAB 125MG ITRACONAZOLE CAP 100MG ITRACONAZOLE INF 10MG/ML 25ML ITRACONAZOLE SOLN 10MG/ML KETOCONAZOLE TAB 200MG MICAFUNGIN SODIUM INF 50MG NYSTATIN SUSP 100000U/ML TERBINAFINE (HCL) TAB 250MG VORICONAZOLE INF 200MG VORICONAZOLE TAB 50MG VORICONAZOLE TAB 200MG
FUNGIZONE AMBISOME ERAXIS CANCIDAS CANCIDAS DIFLUCAN DIFLUCAN DIFLUCAN DIFLUCAN FULCIN SPORANOX SPORANOX SPORANOX NIZORAL MYCAMINE MYCOSTATIN LAMISIL VFEND VFEND VFEND
$195.00 / VIAL $1,662.85 / VIAL $1,500.00 / VIAL $1,556.57 / VIAL $2,013.12 / VIAL $0.94 / CAP $3.28 / CAP $6.83 / ML $375.00 / VIAL $0.46 / TAB $6.61 / CAP $574.95 / AMP $6.29 / ML $1.50 / TAB $530.00 / VIAL $0.97 / ML $1.45 / TAB $806.95 / VIAL $88.00 / TAB $377.75 / TAB
5.3
Antiviral drugs
5.3.1
HIV infection (FOR PAED ONLY)
DIDANOSINE E.C. DELAYED RELEASE CAP 250MG EFAVIRENZ TAB 600MG LAMIVUDINE 150MG + ZIDOVUDINE 300MG TAB LAMIVUDINE SOLN 10MG/ML LAMIVUDINE TAB 150MG LOPINAVIR + RITONAVIR (400MG+100MG/5ML) SOLN LOPINAVIR 100MG + RITONAVIR 25MG TAB LOPINAVIR 200MG + RITONAVIR 50MG TAB NELFINAVIR (MESYLATE) TAB 250MG NEVIRAPINE TAB 200MG STAVUDINE CAP 40MG ZIDOVUDINE CAP 100MG ZIDOVUDINE INJ 10MG/ML 20ML ZIDOVUDINE SYR 10MG/ML
5.3.2
VIDEX EC STOCRIN COMBIVIR 3TC 3TC KALETRA KALETRA 100/25 KALETRA 200/50 VIRACEPT VIRAMUNE ZERIT RETROVIR RETROVIR RETROVIR
$54.00 / CAP $78.00 / TAB $66.00 / TAB $2.50 / ML $33.17 / TAB $12.53 / ML $15.00 / TAB $28.36 / TAB $10.93 / TAB $35.57 / TAB $37.13 / CAP $10.17 / CAP $398.00 / VIAL $2.15 / ML
G S S S S G G G G G G S G G S G G S S S
G G G G G G G G G G G G G G
Herpesvirus infections
5.3.2.1 Herpes simplex and varicellazoster infection ACYCLOVIR SUSP 200MG/5ML ZOVIRAX $5.08 / ML ACYCLOVIR TAB 200MG ZOVIRAX $0.46 / TAB ACYCLOVIR TAB 400MG ZOVIRAX $0.54 / TAB ACYCLOVIR TAB 800MG ZOVIRAX $1.43 / TAB ACYCLOVIR (SODIUM) INJ 250MG ZOVIRAX $43.00 / VIAL FAMCICLOVIR TAB 250MG FAMVIR $47.14 / TAB VALACICLOVIR (HCL) TAB 500MG VALTREX $23.81 / TAB
24
G G G G G G G
5.3.2.2 Cytomegalovirus infection FOSCARNET SODIUM INF 24MG/ML 250ML FOSCAVIR $550.00 / BOTT GANCICLOVIR (SODIUM) INJ 500MG CYMEVENE $560.00 / VIAL VALGANCICLOVIR (HCL) TAB 450MG VALCYTE $273.69 / TAB
5.3.3
Viral hepatitis
ADEFOVIR DIPIVOXIL TAB 10MG ENTECAVIR TAB 0.5MG BARACLUDE ENTECAVIR TAB 1MG BARACLUDE LAMIVUDINE TAB 100MG ZEFFIX TELBIVUDINE TAB 600MG SEBIVO
5.3.4
$53.33 / TAB $49.90 / TAB $99.80 / TAB $26.00 / TAB $35.00 / TAB
PK-MERZ TAMIFLU TAMIFLU TAMIFLU TAMIFLU RELENZA
$3.44 / TAB $7.28 / CAP $10.92 / CAP $14.00 / CAP $1.98 / ML $195.00 / PACK
5.4
Antiprotozoal drugs
5.4.1
Antimalarials
ARTESUNATE INJ 60MG ARTESUNATE TAB 50MG CHLOROQUINE PHOSPHATE (=150MG BASE) TAB 250MG DOXYCYCLINE HYCLATE TAB 100MG VIBRAMYCIN MEFLOQUINE (HCL) TAB 250MG LARIAM QUININE SULPHATE TAB 200MG
$197.50 / VIAL $18.95 / TAB $0.33 / TAB $0.29 / TAB $25.50 / TAB $1.61 / TAB
FLAGYL FLAGYL
$0.11 / TAB $1.05 / ML
LOMIDINE
$519.32 / VIAL
5.5
Anthelmintics
5.5.1
Drugs for threadworms
MEBENDAZOLE TAB 100MG PYRANTEL (PAMOATE) TAB 125MG
VERMOX COMBANTRIN
G G
$1.25 / TAB $0.53 / TAB
G
G G
Ascaricides
LEVAMISOLE (HCL) TAB 50MG MEBENDAZOLE TAB 100MG PYRANTEL (PAMOATE) TAB 125MG
5.5.5
NA NA G G G G
Drugs for pneumocystis pneumonia
PENTAMIDINE ISETHIONATE INJ 300MG
5.5.2
G S S S S S
Amoebicides
METRONIDAZOLE TAB 200MG METRONIDAZOLE (BENZOATE) SYR 200MG/5ML
5.4.8
S S S S $
Influenza
AMANTADINE SULPHATE TAB 100MG OSELTAMIVIR (PHOSPHATE) CAP 30MG OSELTAMIVIR (PHOSPHATE) CAP 45MG OSELTAMIVIR (PHOSPHATE) CAP 75MG OSELTAMIVIR (PHOSPHATE) SUSP 12MG/ML ZANAMIVIR ROTADISK 5MG 20BLISTER(S)
5.4.2
NA G G
DECARIS VERMOX COMBANTRIN
$6.67 / TAB $1.25 / TAB $0.53 / TAB
G G G
Schistosomicides
PRAZIQUANTEL TAB 600MG BILTRICIDE $95.00 / TAB
25
G
6
Endocrine system
6.1
Drugs used in diabetes
6.1.1
Insulins
6.1.1.1 Short-acting insulins INSULIN ASPART HUMAN ANALOG (NOVORAPID) NOVORAPID $51.60 / NO FLEXPEN 100U/ML 3ML INSULIN LISPRO HUMAN ANALOG (HUMALOG) PENFILL 100U/ML 3ML HUMALOG $45.10 / NO INSULIN LISPRO HUMAN ANALOG(HUMALOG) INJ 100U/ML 10ML HUMALOG $160.85 / VIAL INSULIN NEUTRAL HUMAN (ACTRAPID HM) INJ 100U/ML 10ML ACTRAPID HM $84.30 / VIAL INSULIN NEUTRAL HUMAN (ACTRAPID HM) PENFILL 100U/ML 3ML ACTRAPID HM $27.30 / NO INSULIN NEUTRAL HUMAN (HUMULIN R) INJ 100U/ML 10ML HUMULIN R $85.50 / VIAL INSULIN NEUTRAL HUMAN (HUMULIN R) PENFILL 100U/ML 3ML HUMULIN R $26.94 / NO 6.1.1.2 Intermediate- and long-acting insulins INSULIN ASPART HUMAN ANALOG (NOVOMIX 30) NOVOMIX 30 $55.54 / NO FLEXPEN 100U/ML 3ML INSULIN DETEMIR (LEVEMIR) FLEXPEN 100U/ML 3ML LEVEMIR $93.00 / NO INSULIN GLARGINE (LANTUS SOLOSTAR) LANTUS SOLOSTAR $112.60 / NO PREFILLED PEN 100U/ML 3ML INSULIN GLARGINE (LANTUS) INJ 100U/ML 10ML LANTUS $101.96 / VIAL INSULIN HUMAN (HUMULIN 70/30) PENFILL 100U/ML 3ML HUMULIN 70/30 $26.94 / NO INSULIN HUMAN (MIXTARD 30HM) INJ 100U/ML 10ML MIXTARD 30HM $84.30 / VIAL INSULIN HUMAN (MIXTARD 30HM) PENFILL 100U/ML 3ML MIXTARD 30HM $27.49 / NO INSULIN ISOPHANE HM (PROTAPHANE HM) INJ 100U/ML 10ML PROTAPHANE HM $84.30 / VIAL INSULIN ISOPHANE HUMAN (PROTAPHANE HM) PENFILL 100U/ML 3ML PROTAPHANE HM $27.84 / NO INSULIN ISOPHANE HUMAN (HUMULIN N) INJ 100U/ML 10ML HUMULIN N $85.50 / VIAL INSULIN ISOPHANE HUMAN (HUMULIN N) PENFILL 100U/ML 3ML HUMULIN N $26.94 / NO
6.1.2
S S S G G G G S S S S G G G G G G G
Antidiabetic drugs
6.1.2.1 Sulphonylureas GLIBENCLAMIDE TAB 5MG DAONIL $0.02 / TAB GLICLAZIDE MODIFIED RELEASE TAB 30MG DIAMICRON MR $0.30 / TAB GLICLAZIDE TAB 80MG DIAMICRON $0.14 / TAB GLIMEPIRIDE TAB 1MG AMARYL $0.60 / TAB GLIMEPIRIDE TAB 2MG AMARYL $0.46 / TAB GLIMEPIRIDE TAB 4MG AMARYL $0.92 / TAB GLIPIZIDE TAB 5MG MINIDIAB $0.11 / TAB
G G G G G G G
6.1.2.2 Biguanides METFORMIN HCL TAB 250MG GLUCOPHAGE $0.17 / TAB METFORMIN HCL TAB 500MG GLUCOPHAGE $0.13 / TAB METFORMIN HCL EXTENDED RELEASE TAB 500MG GLUCOPHAGE XR $0.90 / TAB
G G S
6.1.2.3 Other antidiabetic drugs ACARBOSE TAB 50MG GLUCOBAY $0.99 / TAB ACARBOSE TAB 100MG GLUCOBAY $1.35 / TAB PIOGLITAZONE (HCL) TAB 15MG ACTOS $6.67 / TAB PIOGLITAZONE (HCL) TAB 30MG ACTOS $11.11 / TAB
S S S S
26
SITAGLIPTIN (PHOSPHATE) TAB 100MG SITAGLIPTIN 50MG + METFORMIN 500MG TAB SITAGLIPTIN 50MG + METFORMIN 1000MG TAB
6.1.4
JANUVIA $7.91 / TAB JANUMET 50MG/500MG $3.96 / TAB JANUMET 50MG/1000MG $3.96 / TAB
Treatment of hypoglycaemia
DIAZOXIDE CAP 25MG $12.60 / CAP GLUCAGON (HCL) INJ 1MG GLUCAGEN HYPOKIT $401.50 / NO
6.2
Thyroid and antithyroid drugs
6.2.1
Thyroid hormones
LIOTHYRONINE SODIUM TAB 20MCG (T3) THYROXINE SODIUM TAB 50MCG (T4) THYROXINE SODIUM TAB 100MCG (T4)
6.2.2
TERTROXIN ELTROXIN ELTROXIN
$12.78 / TAB $0.07 / TAB $0.07 / TAB
NA G
NA G G
Antithyroid drugs
CARBIMAZOLE TAB 5MG NEO MERCAZOLE IODINE AQUEOUS SOLN METHIMAZOLE TAB 5MG TAPAZOLE POTASSIUM IODIDE TAB 130MG IOSAT PROPYL THIOURACIL TAB 50MG
$0.08 / TAB $0.14 / ML $0.13 / TAB $2.01 / TAB $0.24 / TAB
6.3
Corticosteroids
6.3.1
Replacement therapy
FLUDROCORTISONE ACETATE TAB 100MCG FLORINEF HYDROCORTISONE TAB 20MG HYDROCORTISONE SODIUM SUCCINATE INJ 100MG SOLU CORTEF
6.3.2
S S S
$0.81 / TAB $0.37 / TAB $15.70 / VIAL
G G G G G
G G G
Glucocorticoid therapy
BETAMETHASONE INJ 7MG/ML 1ML DIPROSPAN DEXAMETHASONE TAB 0.5MG DECADRON DEXAMETHASONE TAB 4MG DECADRON DEXAMETHASONE SODIUM PHOSPHATE INJ 4MG/ML 1ML DECADRON DEXAMETHASONE SODIUM PHOSPHATE (P F) INJ 4MG/ML 2ML DECADRON HYDROCORTISONE TAB 20MG HYDROCORTISONE SODIUM SUCCINATE INJ 100MG SOLU CORTEF METHYLPREDNISOLONE ACETATE INJ 40MG/ML 1ML DEPO MEDROL METHYLPREDNISOLONE SODIUM SUCCINATE INJ 500MG SOLU MEDROL PREDNISOLONE (SODIUM PHOSPHATE) LIQUID 5MG/ML 30ML REDIPRED PREDNISOLONE TAB 1MG PREDNISOLONE TAB 5MG TRIAMCINOLONE ACETONIDE I-ARTICULAR INJ 10MG/ML 5ML KENACORT A TRIAMCINOLONE ACETONIDE IM INJ 40MG/ML 1ML KENACORT A
$17.25 / AMP $0.11 / TAB $0.62 / TAB $2.45 / AMP $49.00 / AMP $0.37 / TAB $15.70 / VIAL $30.00 / AMP $80.00 / VIAL $1.67 / ML $0.09 / TAB $0.12 / TAB $49.87 / VIAL $26.37 / VIAL
6.4
Sex hormones
6.4.1
Female sex hormones
6.4.1.1 Oestrogens and HRT CONJUGATED ESTROGENS 0.625MG PREMELLE $69.99 / PACK + MEDROXYPROGESTERONE ACETATE 2.5MG TAB
27
G G G G G G G G G G G G G G
S
ESTRADIOL HEMIHYDRATE 1MG + NORETHISTERONE ACETATE 0.5MG TAB ESTRADIOL 2MG + NORETHISTERONE ACETATE 1MG TAB ESTRADIOL TRANSDERMAL PATCH 25MCG/24HR OESTRADIOL TAB 2MG OESTROGENS CONJUGATED IV INJ 25MG OESTROGENS CONJUGATED TAB 0.3MG OESTROGENS CONJUGATED TAB 0.625MG
ACTIVELLE KLIOGEST ESTRADERM TTS ESTROFEM PREMARIN PREMARIN PREMARIN
$44.70 / CYCL
S
$55.16 / CYCL $11.67 / PCS $0.95 / TAB $254.62 / VIAL $2.14 / TAB $2.14 / TAB
S S S G S S
6.4.1.2 Progestogens LEVONORGESTREL TAB 0.75MG POSTINOR $9.75 / TAB MEDROXYPROGESTERONE ACETATE TAB 5MG PROVERA $0.80 / TAB NORETHISTERONE TAB 5MG PRIMOLUT N $0.45 / TAB PROGESTERONE (MICRONIZED) PESSARY 100MG ENDOMETRIN $10.00 / NO
6.4.2
Male sex hormones and antagonists
CYPROTERONE ACETATE TAB 50MG FINASTERIDE TAB 5MG TESTOSTERONE ENANTHATE INJ 250MG/ML 1ML TESTOSTERONE UNDECANOATE CAP 40MG
6.4.3
S G G S
ANDROCUR PROSCAR TESTOVIRON DEPOT ANDRIOL
$12.10 / TAB $1.05 / TAB $87.80 / AMP $3.61 / CAP
S S G G
Anabolic steroids
OXANDROLONE TAB 2.5MG
LONAVAR
$49.00 / TAB
NA
6.5
Hypothalamic and pituitary hormones and anti-oestrogens
6.5.1
Hypothalamic and anterior pituitary hormones and anti-oestrogens
CHORIONIC GONADOTROPHIN (PREGNYL) INJ 1500 IU (hCG) PREGNYL $25.33 / AMP CHORIONIC GONADOTROPHIN (PREGNYL) INJ 5000 IU (hCG) PREGNYL $45.36 / AMP CLOMIPHENE CITRATE TAB 50MG CLOMID $1.60 / TAB CORTICORELIN (HUMAN) (TRIFLUOROACETATE) INJ 0.1MG CRH $1,920.00 / AMP FOLLITROPIN BETA INJ 100 IU/0.5ML PUREGON $128.75 / VIAL FOLLITROPIN BETA INJ 300 IU/0.36ML PUREGON $345.00 / NO FOLLITROPIN BETA INJ 600 IU/0.72ML PUREGON $675.00 / NO GONADORELIN (LHRH) INJ 100MCG RELISORM L $399.93 / AMP MENOTROPHIN INJ 75 UNIT(S) (hMG) MENOGON $54.60 / AMP PROTIRELIN (TRH) INJ 0.2MG/ML 1ML $599.83 / AMP SOMATROPIN INJ 4 IU (1.33MG) HUMATROPE $98.00 / VIAL TETRACOSACTIDE (ACETATE) INJ 0.25MG CORTROSYN $62.64 / AMP TETRACOSACTIDE (ACETATE-ZINC) DEPOT IM INJ 1MG/ML 1ML CORTROSYN DEPOT $131.11 / AMP THYROTROPIN ALFA IM INJ 1.1MG THYROGEN $5,200.00 / VIAL
6.5.2
S S G G $ $ $ NA S G S/N G G $
Posterior pituitary hormones and antagonists
DESMOPRESSIN ACETATE (DDAVP) ORAL LYOPHILISATE 60MCG DESMOPRESSIN ACETATE (DDAVP) ORAL LYOPHILISATE 120MCG DESMOPRESSIN ACETATE (DDAVP) TAB 0.1MG DESMOPRESSIN ACETATE (DDAVP) TAB 0.2MG DESMOPRESSIN ACETATE (DDAVP) INJ 4MCG/ML 1ML DESMOPRESSIN ACETATE (DDAVP) INJ 15MCG/ML 1ML TERLIPRESSIN (ACETATE) INJ 1MG VASOPRESSIN INJ 20U/ML 1ML
28
MINIRIN MELT MINIRIN MELT MINIRIN MINIRIN MINIRIN OCTOSTIM GLYPRESSIN PITRESSIN
$5.67 / NO $11.33 / NO $5.90 / TAB $11.80 / TAB $75.00 / AMP $100.00 / AMP $294.89 / VIAL $199.50 / AMP
S S S S G G G G
6.6
Drugs affecting bone metabolism
6.6.1
Calcitonin and parathyroid hormone
SALCATONIN INJ 100 IU/ML 1ML SALCATONIN NASAL SPRAY 200 IU/DOSE 14DOSES
6.6.2
MIACALCIC MIACALCIC
$112.43 / AMP $339.00 / BOTT
S S
Bisphosphonates and other drugs affecting bone metabolism
ALENDRONATE SODIUM TAB 10MG FOSAMAX ALENDRONATE SODIUM TAB 70MG FOSAMAX DISODIUM PAMIDRONATE INF 3MG/ML 10ML DISODIUM PAMIDRONATE INF 6MG/ML 10ML PAMISOL IBANDRONIC ACID PREFILLED SYRINGE 1MG/ML 3ML BONVIVA IBANDRONIC ACID TAB 150MG BONVIVA RISEDRONATE SODIUM TAB 5MG ACTONEL RISEDRONATE SODIUM TAB 35MG ACTONEL STRONTIUM RANELATE GRANULES 2G/SACHET PROTOS ZOLEDRONIC ACID (ACLASTA) INF 50MCG/ML 100ML ACLASTA ZOLEDRONIC ACID (ZOMETA) INF 4MG ZOMETA
$9.78 / TAB $16.25 / TAB $414.17 / VIAL $826.67 / VIAL $406.13 / NO $62.45 / TAB $8.57 / TAB $59.93 / TAB $5.71 / PACK $2,708.67 / BOTT $1,886.33 / VIAL
S S S S S S S S S S S
6.7
Other endocrine drugs
6.7.1
Bromocriptine and other dopaminergic drugs
BROMOCRIPTINE (MESYLATE) TAB 2.5MG CABERGOLINE TAB 0.5MG
6.7.2
PARLODEL DOSTINEX
G S
Drugs affecting gonadotrophins /
BUSERELIN (ACETATE) NASAL SPRAY 150MCG/DOSE 84DOSES DANAZOL CAP 200MG GOSERELIN (ACETATE) SYRINGE 3.6MG LEUPRORELIN ACETATE SR INJ 3.75MG LEUPRORELIN ACETATE (3 MONTH DEPOT) INJ 11.25MG TRIPTORELIN INJ 3.75MG TRIPTORELIN IM PR INJ 11.25MG
6.7.3
$0.39 / TAB $60.80 / TAB
SUPRECUR DANOCRINE ZOLADEX ENANTONE SR ENANTONE DECAPEPTYL CR DIPHERELINE PR
$498.00 / BOTT $3.60 / CAP $1,037.92 / NO $1,200.00 / VIAL $2,800.00 / VIAL $1,090.91 / AMP $2,605.71 / VIAL
S/$ G S/$ S/$ S/$ S/$ S/$
Metyrapone and trilostane
METYRAPONE CAP 250MG
METOPIRONE
29
$11.80 / CAP
G
7
Obstetrics, gynaecology, and urinary-tract disorders
7.1
Drugs used in obstetrics
7.1.1
Prostaglandins and oxytocics
CARBOPROST (TROMETHAMINE) INJ 0.25MG/ML 1ML HEMABATE DINOPROSTONE INJ 5MG/0.5ML PROSTIN E2 DINOPROSTONE PESSARY 3MG PROSTIN E2 DINOPROSTONE TAB 0.5MG PROSTIN E2 OXYTOCIN INJ 10U/ML 1ML SYNTOCINON SYNTOMETRINE (OR EQUIV) INJ 1ML
$710.51 / AMP $798.90 / AMP $233.00 / NO $50.50 / TAB $4.90 / AMP $9.33 / AMP
7.1.1.1 Ductus arteriosus ALPROSTADIL INJ 0.5MG/ML 1ML (PGE1) PROSTIN VR $2,788.00 / AMP PEDIATRIC INDOMETHACIN PDA IV INJ 1MG INDOCID PDA $270.18 / AMP
7.1.3
G G G G G G G G
Myometrial relaxants
ATOSIBAN (ACETATE) INF 7.5MG/ML 5ML TERBUTALINE SULPHATE INJ 0.5MG/ML 1ML
TRACTOCILE BRICANYL
$650.00 / VIAL $15.96 / AMP
S G
7.2
Treatment of vaginal and vulval conditions
7.2.1
Preparations for vaginal and vulval changes
OESTROGENS CONJUGATED VAGINAL CREAM 14G
7.2.2
PREMARIN
$30.00 / TUBE
Vaginal and vulval infections
CLOTRIMAZOLE CREAM 1% 20G CLOTRIMAZOLE PESSARY 100MG
CANESTEN CANESTEN
$4.30 / TUBE $1.19 / NO
7.3
Contraceptives
7.3.1
Combined hormonal contraceptives
LEVONORGESTREL 0.15MG + ETHINYLESTRADIOL 0.03MG TAB
7.3.2
MICROGYNON 30 ED
$5.19 / CYCL
S
G
Intra-uterine progestogen-only device
LEVONORGESTREL INTRAUTERINE SYSTEM 52MG
7.3.5
G G
Progestogen-only contraceptives
7.3.2.2 Parenteral progestogen-only contraceptives MEDROXYPROGESTERONE ACETATE INJ 150MG/ML 1ML DEPO PROVERA $46.00 / VIAL
7.3.2.3
G
MIRENA
$1,017.48 / PACK
S
Emergency contraception
LEVONORGESTREL TAB 0.75MG
POSTINOR
$9.75 / TAB
7.4
Drugs for genito-urinary disorders
7.4.1
Drugs for urinary retention
ALFUZOSIN HCL SR TAB 5MG ALFUZOSIN HCL PROLONGED RELEASE TAB 10MG DISTIGMINE BROMIDE TAB 5MG DOXAZOSIN MESYLATE TAB 2MG DOXAZOSIN MESYLATE GITS TAB 4MG
XATRAL SR XATRAL XL UBRETID CARDURA CARDURA XL
30
$5.14 / TAB $3.22 / TAB $3.53 / TAB $3.56 / TAB $2.90 / TAB
S
S S G S S
DOXAZOSIN MESYLATE GITS TAB 8MG PRAZOSIN (HCL) TAB 1MG PRAZOSIN (HCL) TAB 2MG TAMSULOSIN HCL PROLONGED RELEASE TAB 0.4MG TERAZOSIN HCL TAB 1MG TERAZOSIN HCL TAB 2MG
7.4.2
CARDURA XL MINIPRESS MINIPRESS HARNAL OCAS HYTRIN HYTRIN CYMBALTA CYMBALTA DITROPAN PROBANTHINE VESICARE VESICARE DETRUSITOL
S S G G S S S
$0.37 / TAB $0.01 / ML $0.00 / ML
G G G
Bladder instillations and urological surgery
GLYCINE UROLOGICAL IRRI SOLN 1.5% 2L SODIUM CITRATE SOLN 4% W/V 250ML
7.4.5
$5.60 / CAP $8.33 / CAP $0.80 / TAB $0.22 / TAB $5.90 / TAB $5.90 / TAB $4.16 / TAB
Drugs used in urological pain
PHENAZOPYRIDINE HCL TAB 100MG PYRIDIUM POTASSIUM CITRATE MIXTURE 3G/10ML SODIUM CITRATE MIXTURE 0.3MOLAR
7.4.4
S G G S S S
Drugs for urinary frequency, enuresis, and incontinence
DULOXETINE (HCL) CAP 30MG DULOXETINE (HCL) CAP 60MG OXYBUTYNIN HCL TAB 5MG PROPANTHELINE BROMIDE TAB 15MG SOLIFENACIN SUCCINATE TAB 5MG SOLIFENACIN SUCCINATE TAB 10MG TOLTERODINE TARTRATE TAB 2MG
7.4.3
$5.25 / TAB $0.05 / TAB $0.08 / TAB $2.60 / TAB $0.23 / TAB $0.30 / TAB
$17.83 / BAG $90.00 / BAG
G G
Drugs for erectile dysfunction
ALPROSTADIL (CAVERJECT) DUAL CHAMBER SYRINGE 20MCG CAVERJECT PAPAVERINE HCL INJ 12MG/ML 10ML
31
$138.00 / NO $220.00 / AMP
S S
8 8.1
Malignant disease and immunosuppression Cytotoxic drugs
CALCIUM FOLINATE (LEUCOVORIN CA) INJ 7.5MG/ML 2ML RESCUVOLIN CALCIUM FOLINATE (LEUCOVORIN CA) INJ 100MG (FOLINIC ACID) RESCUVOLIN CALCIUM FOLINATE (LEUCOVORIN CA) INJ 300MG (FOLINIC ACID) RESCUVOLIN FOLINIC ACID CAP 15MG MESNA INJ 100MG/ML 4ML UROMITEXAN
8.1.1
BUSULFEX MYLERAN BICNU LEUKERAN ENDOXAN ENDOXAN ENDOXAN HOLOXAN ALKERAN ALKERAN
$1,753.08 / VIAL $8.90 / TAB $830.00 / VIAL $9.40 / TAB $16.44 / VIAL $45.50 / VIAL $1.24 / TAB $222.50 / VIAL $11.80 / TAB $2,698.71 / VIAL
G G G G G G G S G G
Anthracyclines and other cytotoxic antibiotics
ACTINOMYCIN D INJ 500MCG BLEOMYCIN HCL INJ 15MG DAUNORUBICIN HCL INJ 20MG DOXORUBICIN HCL INJ 50MG DOXORUBICIN HCL (LIPOSOMAL) INF 2MG/ML 10ML EPIRUBICIN HCL INJ 10MG EPIRUBICIN HCL INJ 50MG IDARUBICIN HCL IV INJ 5MG MITOMYCIN INJ 2MG MITOMYCIN INJ 10MG MITOXANTRONE (HCL) INJ 2MG/ML 10ML
8.1.3
G G G G G
Alkylating drugs
BUSULPHAN INF 6MG/ML 10ML BUSULPHAN TAB 2MG CARMUSTINE INJ 100MG CHLORAMBUCIL TAB 2MG CYCLOPHOSPHAMIDE INJ 200MG CYCLOPHOSPHAMIDE INJ 1000MG CYCLOPHOSPHAMIDE COATED TAB 50MG IFOSFAMIDE INJ 1G MELPHALAN TAB 2MG MELPHALAN (HCL) INJ 50MG
8.1.2
$24.00 / AMP $27.00 / AMP $50.00 / VIAL $4.26 / CAP $41.93 / AMP
COSMEGEN LYOVAC BLEOCIN DAUNOBLASTINA ADRIAMYCIN CAELYX PHARMORUBICIN PHARMORUBICIN ZAVEDOS MITOMYCIN C MITOMYCIN C NOVANTRONE
$139.79 / VIAL $279.00 / VIAL $223.00 / VIAL $73.50 / VIAL $3,533.33 / VIAL $111.11 / VIAL $540.31 / VIAL $1,585.00 / VIAL $55.00 / VIAL $297.24 / VIAL $1,144.00 / VIAL
G S G G $ G G G G G S
Antimetabolites
CAPECITABINE TAB 150MG XELODA CAPECITABINE TAB 500MG XELODA CYTARABINE INJ 100MG CYTOSAR CYTARABINE INJ 500MG CYTOSAR CYTARABINE INJ 100MG/ML 10ML FLUDARABINE PHOSPHATE INJ 50MG FLUDARA FLUDARABINE PHOSPHATE TAB 10MG FLUDARA FLUOROURACIL INJ 50MG/ML 10ML FLUOROURACIL INJ 50MG/ML 100ML GEMCITABINE INJ 200MG GEMZAR GEMCITABINE INJ 1G GEMZAR MERCAPTOPURINE TAB 50MG (6-MP) PURI-NETHOL METHOTREXATE (SODIUM) INJ 10MG/ML 5ML METHOTREXATE (SODIUM) INJ 500MG METHOTREXATE (SODIUM) INJ 100MG/ML 10ML
32
$8.65 / TAB $28.69 / TAB $76.00 / VIAL $68.00 / VIAL $120.83 / VIAL $1,380.19 / VIAL $215.00 / TAB $12.00 / VIAL $60.23 / VIAL $250.50 / VIAL $1,401.19 / VIAL $19.40 / TAB $16.00 / VIAL $66.00 / VIAL $130.00 / VIAL
$ $ G G G S S G G $ $ G G G G
METHOTREXATE (SODIUM) INJ 100MG/ML 50ML PEMETREXED (DISODIUM) INF 100MG ALIMTA PEMETREXED (DISODIUM) INF 500MG ALIMTA TEGAFUR CAP 200MG FUTRAFUL THIOGUANINE TAB 40MG LANVIS
8.1.4
G $/N $/N G G
Vinca alkaloids and etoposide
ETOPOSIDE CAP 50MG VEPESID ETOPOSIDE CAP 100MG VEPESID ETOPOSIDE (PRESERVATIVE FREE) INJ 20MG/ML 5ML VEPESID VINBLASTINE SULPHATE INJ 10MG VELBE VINCRISTINE SULPHATE INJ 1MG ONCOVIN VINCRISTINE SULPHATE INJ 2MG VINORELBINE (DITARTRATE) INJ 10MG/ML 1ML NAVELBINE VINORELBINE (TARTRATE) CAP 20MG NAVELBINE VINORELBINE (TARTRATE) CAP 30MG NAVELBINE
8.1.5
$800.00 / VIAL $2,220.00 / VIAL $9,000.00 / VIAL $9.58 / CAP $40.80 / TAB
$32.00 / CAP $48.08 / CAP $40.50 / VIAL $460.76 / VIAL $30.00 / VIAL $37.03 / VIAL $200.00 / VIAL $833.00 / CAP $1,249.53 / CAP
G G G G G G S/$ $ $
Other antineoplastic drugs
AMSACRINE INF 50MG/ML 1.5ML AMSIDINE ASPARAGINASE INJ 10000 KYOWA UNIT LEUNASE BEVACIZUMAB INF 25MG/ML 4ML AVASTIN BORTEZOMIB IV INJ 3.5MG VELCADE CARBOPLATIN INJ 450MG CETUXIMAB INF 5MG/ML 20ML ERBITUX CISPLATIN INJ 1MG/ML 10ML PLATINOL CISPLATIN INJ 1MG/ML 50ML PLATINOL CISPLATIN INJ 1MG/ML 100ML PLATINOL DACARBAZINE INJ 200MG DASATINIB TAB 20MG SPRYCEL DASATINIB TAB 50MG SPRYCEL DASATINIB TAB 70MG SPRYCEL DOCETAXEL INJ 20MG/0.5ML TAXOTERE DOCETAXEL INJ 40MG/ML 2ML TAXOTERE ERLOTINIB (HCL) TAB 25MG TARCEVA ERLOTINIB (HCL) TAB 100MG TARCEVA ERLOTINIB (HCL) TAB 150MG TARCEVA GEFITINIB TAB 250MG IRESSA IMATINIB (MESYLATE) CAP 100MG GLIVEC IRINOTECAN HCL (CONCENTRATE) INF 20MG/ML 2ML CAMPTO IRINOTECAN HCL (CONCENTRATE) INF 20MG/ML 5ML CAMPTO LAPATINIB (DITOSYLATE) TAB 250MG TYKERB MITOTANE TAB 500MG LYSODREN NILOTINIB (HCL) CAP 200MG TASIGNA OXALIPLATIN INF 5MG/ML 10ML ELOXATIN OXALIPLATIN INF 5MG/ML 40ML ELOXATIN PACLITAXEL (ANZATAX) INJ 6MG/ML 5ML ANZATAX PACLITAXEL (ANZATAX) INJ 100MG/16.7ML ANZATAX PACLITAXEL (TAXOL) INJ 6MG/ML 5ML TAXOL PACLITAXEL (TAXOL) INJ 100MG/16.7ML TAXOL
33
$1,206.98 / VIAL $477.60 / VIAL $3,600.00 / VIAL $9,300.00 / VIAL $209.32 / VIAL $2,524.00 / VIAL $40.92 / VIAL $79.00 / VIAL $151.00 / VIAL $693.08 / VIAL $200.68 / TAB $401.45 / TAB $450.25 / TAB $1,215.89 / VIAL $4,359.55 / VIAL $125.00 / TAB $443.33 / TAB $583.33 / TAB $456.96 / TAB $153.40 / CAP $343.70 / VIAL $668.00 / VIAL $120.00 / TAB $11.55 / TAB $198.21 / CAP $1,685.94 / VIAL $6,084.08 / VIAL $144.00 / VIAL $287.26 / VIAL $195.83 / VIAL $644.17 / VIAL
NA G $ $/N G N G G G G $/N $/N $/N S S $ $ $ $ N S/$ S/$ $ G N $/N $/N S S S S
PROCARBAZINE (HCL) CAP 50MG NATULAN SORAFENIB (TOSYLATE) TAB 200MG NEXAVAR SUNITINIB (MALATE) CAP 12.5MG SUTENT SUNITINIB (MALATE) CAP 50MG SUTENT TEMOZOLOMIDE CAP 20MG TEMODAL TEMOZOLOMIDE CAP 100MG TEMODAL TOPOTECAN (HCL) INJ 4MG HYCAMTIN TRASTUZUMAB INJ 150MG HERCEPTIN TRASTUZUMAB INJ 440MG HERCEPTIN TRETINOIN CAP 10MG (ATRA)
$17.74 / CAP $309.00 / TAB $277.88 / CAP $1,111.50 / CAP $182.60 / CAP $816.00 / CAP $1,600.00 / VIAL $5,200.00 / VIAL $15,000.00 / VIAL $33.71 / CAP
8.2
Drugs affecting the immune response
8.2.1
Antiproliferative immunosuppressants
AZATHIOPRINE TAB 25MG AZATHIOPRINE TAB 50MG MYCOPHENOLATE (SODIUM) ENTERIC COATED TAB 180MG MYCOPHENOLATE (SODIUM) ENTERIC COATED TAB 360MG MYCOPHENOLATE MOFETIL CAP 250MG MYCOPHENOLATE MOFETIL TAB 500MG MYCOPHENOLATE MOFETIL (HCL) INF 500MG
8.2.2
G G S S S S S
ATGAM $1,680.00 / AMP THYMOGLOBULINE $1,682.43 / VIAL SIMULECT $15,225.00 / VIAL SANDIMMUN $314.97 / AMP SANDIMMUN NEORAL $1.70 / CAP SANDIMMUN NEORAL $3.40 / CAP SANDIMMUN NEORAL $13.28 / CAP SANDIMMUN NEORAL $680.00 / BOTT CERTICAN $14.35 / TAB CERTICAN $28.69 / TAB CERTICAN $43.04 / TAB RAPAMUNE $2,800.00 / BOTT RAPAMUNE $43.48 / TAB ADVAGRAF $15.92 / CAP ADVAGRAF $26.28 / CAP ADVAGRAF $131.32 / CAP PROGRAF $0.01 / ML PROGRAF $16.94 / CAP PROGRAF $27.95 / CAP PROGRAF $139.70 / CAP PROGRAF $825.00 / AMP
S S S S S S S S S S S S S S S S S S S S S
Rituximab and alemtuzumab
RITUXIMAB INJ 10MG/ML 10ML RITUXIMAB INJ 10MG/ML 50ML
8.2.4
$3.24 / TAB $0.96 / TAB $13.53 / TAB $26.02 / TAB $13.28 / CAP $26.56 / TAB $126.00 / VIAL
Corticosteroids and other immunosuppressants
ANTITHYMOCYTE IMMUNOGLOBULIN (HORSE) INJ 50MG/ML 5ML ANTITHYMOCYTE IMMUNOGLOBULIN (RABBIT) INJ 25MG BASILIXIMAB INJ 20MG CYCLOSPORIN A INJ 50MG/ML 5ML CYCLOSPORIN A (NEORAL) CAP 10MG CYCLOSPORIN A (NEORAL) CAP 25MG CYCLOSPORIN A (NEORAL) CAP 100MG CYCLOSPORIN A (NEORAL) SOLN 100MG/ML 50ML EVEROLIMUS TAB 0.25MG EVEROLIMUS TAB 0.5MG EVEROLIMUS TAB 0.75MG SIROLIMUS SOLN 1MG/ML 60ML SIROLIMUS TAB 1MG TACROLIMUS PROLONGED RELEASE CAP 0.5MG TACROLIMUS PROLONGED RELEASE CAP 1MG TACROLIMUS PROLONGED RELEASE CAP 5MG TACROLIMUS SYR 2.5MG/5ML TACROLIMUS ANHYDROUS CAP 0.5MG TACROLIMUS ANHYDROUS CAP 1MG TACROLIMUS ANHYDROUS CAP 5MG TACROLIMUS ANHYDROUS INF 5MG/ML 1ML
8.2.3
IMURAN IMURAN MYFORTIC MYFORTIC CELLCEPT CELLCEPT CELLCEPT
NA $ $ $ $ $ $ N N G
MABTHERA MABTHERA
$2,862.54 / VIAL $14,452.19 / VIAL
$/N $/N
Other immunomodulating drugs
BCG (IMMUCYST) INTRA-VESICAL SUSP 81MG
IMMUCYST
34
$863.64 / VIAL
G
INTERFERON BETA-1A PREFILLED SYRINGE 6 MIU/0.5ML (22MCG) REBIF $555.00 / NO INTERFERON BETA-1B INJ 8 MIU BETAFERON $480.00 / SET INTERFERON GAMMA-1B INJ 100MCG/0.5ML IMMUKIN $1,286.67 / VIAL PEGINTERFERON ALFA-2A PREFILLED SYRINGE 135MCG/0.5ML PEGASYS $493.33 / NO PEGINTERFERON ALFA-2A PREFILLED SYRINGE 180MCG/0.5ML PEGASYS $616.32 / NO PEGINTRON REDIPEN $825.00 / NO PEGINTERFERON ALFA-2B PEN 50MCG/0.5ML PEGINTRON REDIPEN $875.00 / NO PEGINTERFERON ALFA-2B PEN 80MCG/0.5ML PEGINTRON REDIPEN $925.00 / NO PEGINTERFERON ALFA-2B PEN 100MCG/0.5ML PEGINTRON REDIPEN $1,124.99 / NO PEGINTERFERON ALFA-2B PEN 120MCG/0.5ML THALIDOMIDE TAB 50MG $5.71 / TAB
$/N $/N $/N S S S S S S NA
8.3
Sex hormones and hormone antagonists in malignant disease
8.3.2
Progestogens
MEDROXYPROGESTERONE ACETATE INJ 150MG/ML 1ML MEGESTROL ACETATE TAB 40MG NORETHISTERONE TAB 5MG
8.3.4
DEPO PROVERA MEGACE PRIMOLUT N
$46.00 / VIAL $1.29 / TAB $0.45 / TAB
G G G
Hormone antagonists
8.3.4.1 Breast cancer ANASTROZOLE TAB 1MG ARIMIDEX $39.22 / TAB EXEMESTANE TAB 25MG AROMASIN $38.99 / TAB LETROZOLE TAB 2.5MG FEMARA $36.30 / TAB TAMOXIFEN (CITRATE) TAB 20MG NOLVADEX $0.99 / TAB
S S S G
8.3.4.2 Gonadorelin analogues and gonadotrophin-releasing hormone antagonists BICALUTAMIDE TAB 50MG CASODEX $47.08 / TAB BICALUTAMIDE TAB 150MG CASODEX $106.22 / TAB BUSERELIN (ACETATE) NASAL SPRAY 150MCG/DOSE 84DOSES SUPRECUR $498.00 / BOTT CYPROTERONE ACETATE TAB 50MG ANDROCUR $12.10 / TAB FLUTAMIDE TAB 250MG FUGEREL $1.51 / TAB GOSERELIN (ACETATE) SYRINGE 3.6MG ZOLADEX $1,037.92 / NO GOSERELIN (ACETATE) SYRINGE 10.8MG ZOLADEX LA $2,661.33 / NO LEUPRORELIN ACETATE SR INJ 3.75MG ENANTONE SR $1,200.00 / VIAL LEUPRORELIN ACETATE (3 MONTH DEPOT) INJ 11.25MG ENANTONE $2,800.00 / VIAL TRIPTORELIN INJ 3.75MG DECAPEPTYL CR $1,090.91 / AMP TRIPTORELIN IM PR INJ 11.25MG DIPHERELINE PR $2,605.71 / VIAL
$ $ S/$ S S S/$ S S/$ S/$ S/$ S/$
8.3.4.3 Somatostatin analogues OCTREOTIDE (ACETATE) INJ 0.05MG/ML 1ML SANDOSTATIN $88.57 / AMP OCTREOTIDE (ACETATE) INJ 0.1MG/ML 1ML SANDOSTATIN $167.62 / AMP OCTREOTIDE (ACETATE) INJ 0.5MG/ML 1ML SANDOSTATIN $822.48 / AMP OCTREOTIDE (ACETATE) INJ 20MG SANDOSTATIN LAR $8,979.98 / VIAL OCTREOTIDE (ACETATE) INJ 30MG SANDOSTATIN LAR $11,350.00 / VIAL SOMATOSTATIN (ACETATE) CYCLIC INJ 3MG STILAMIN $426.00 / AMP
35
G G G S S G
9
Nutrition and blood
9.1
Anaemias and some other blood disorders
9.1.1
Iron-deficiency anaemias
9.1.1.1 Oral iron FERROUS SULPHATE TAB 300MG (60MG FE) FERASUL FERRUM HAUSMANN (OR EQUIV) DROPS 50MG FE/ML FORTIFER (OR EQUIV) TAB
$0.07 / TAB $1.10 / ML $0.33 / TAB
G G G
9.1.1.2 Parenteral iron FERRIC SACCHARATE IV INJ 20MG FE/ML 5ML VENOFER $74.74 / AMP
G
9.1.2
Drugs used in megaloblastic anaemias
CYANOCOBALAMIN (VIT B12) INJ 1000MCG/ML 1ML CYANOCOBALAMIN (VIT B12) TAB 10MCG CYANOCOBALAMIN (VIT B12) TAB 100MCG FOLIC ACID TAB 1MG FOLIC ACID TAB 5MG
9.1.3
G G G G G
Drugs used in hypoplastic, haemolytic, and renal anaemias
DARBEPOETIN ALFA PREFILLED SYRINGE 20MCG/0.5ML ARANESP DARBEPOETIN ALFA PREFILLED SYRINGE 40MCG/0.4ML ARANESP DARBEPOETIN ALFA PREFILLED SYRINGE 100MCG/0.5ML ARANESP DEFERASIROX DISPERSIBLE TAB 125MG EXJADE DEFERASIROX DISPERSIBLE TAB 500MG EXJADE DEFERIPRONE TAB 500MG FERRIPROX DESFERRIOXAMINE MESILATE INJ 500MG DESFERAL ERYTHROPOIETIN ALPHA PREFILLED SYRINGE 1000 IU/0.5ML EPREX ERYTHROPOIETIN ALPHA PREFILLED SYRINGE 2000 IU/0.5ML EPREX ERYTHROPOIETIN ALPHA PREFILLED SYRINGE 5000 IU/0.5ML EPREX ERYTHROPOIETIN BETA PREFILLED SYRINGE 1000 IU/0.3ML RECORMON ERYTHROPOIETIN BETA PREFILLED SYRINGE 2000 IU/0.3ML RECORMON ERYTHROPOIETIN BETA PREFILLED SYRINGE 4000 IU/0.3ML RECORMON ERYTHROPOIETIN BETA PREFILLED SYRINGE 5000 IU/0.3ML RECORMON HYDROXYUREA CAP 500MG HYDREA MIRCERA (OR EQUIV) PREFILLED SYRINGE 50MCG/0.3ML MIRCERA (OR EQUIV) PREFILLED SYRINGE 75MCG/0.3ML MIRCERA (OR EQUIV) PREFILLED SYRINGE 100MCG/0.3ML MIRCERA (OR EQUIV) PREFILLED SYRINGE 150MCG/0.3ML
9.1.6
$2.21 / AMP $0.09 / TAB $0.05 / TAB $0.74 / TAB $0.02 / TAB $210.00 / NO $415.00 / NO $622.54 / NO $58.20 / TAB $232.80 / TAB $14.00 / TAB $24.67 / VIAL $94.96 / NO $135.22 / NO $294.45 / NO $73.00 / NO $146.00 / NO $268.00 / NO $313.00 / NO $1.36 / CAP $641.00 / NO $866.00 / NO $998.00 / NO $1,497.00 / NO
S S S S S S G S S S S S S S G S S S S
Drugs used in neutropenia
FILGRASTIM (G-CSF) INJ 30MU/ML 1ML FILGRASTIM (G-CSF) PREFILLED SYRINGE 30MU/0.5ML
NEUPOGEN NEUPOGEN
$888.53 / VIAL $886.08 / NO
S S
9.2
Fluids and electrolytes
9.2.1
Oral preparations for fluid and electrolyte imbalance
9.2.1.1 Oral potassium POLYSTYRENE SULPHONATE CALCIUM POWDER RESONIUM CAL $0.93 / G POLYSTYRENE SULPHONATE SODIUM POWDER RESONIUM A $1.10 / G POTASSIUM CHLORIDE SOLN 1G/10ML (13.4MMOL K/10ML) $0.00 / ML POTASSIUM CHLORIDE SR TAB 600MG (8MMOL K) SLOW K $0.28 / TAB
36
G G G G
9.2.1.2 Oral sodium and water ORS (OR EQUIV) POWDER $0.58 / PACK SODIUM CHLORIDE TAB 900MG $0.06 / TAB
G G
9.2.1.3 Oral bicarbonate SODIUM BICARBONATE TAB 300MG $0.06 / TAB
G
9.2.2
Parenteral preparations for fluid and electrolyte imbalance
9.2.2.1 Electrolytes and water DEXTROSE 10% IN COLLAPSIBLE BAG INF 500ML $5.56 / BAG DEXTROSE 2.5% + NACL 0.45% IN COLLAP. BAG INF 500ML $6.20 / BAG DEXTROSE 20% INF 500ML $8.80 / BOTT DEXTROSE 30% INF 500ML $13.50 / BOTT DEXTROSE 4.3% + SODIUM CHLORIDE 0.18% INF 500ML $5.00 / BOTT DEXTROSE 5% INF 250ML $8.50 / BOTT DEXTROSE 5% IN PLASTIC BOTTLE INF 500ML $3.90 / BOTT DEXTROSE 5% IN SEMI RIGID PLASTIC BOTTLE INF 100ML $3.75 / BOTT DEXTROSE 50% INF 20ML $1.75 / AMP DEXTROSE 50% INF 500ML $19.00 / BOTT DEXTROSE 70% (IN 1L BOTTLE) INF 500ML $152.78 / BOTT HARTMANN`S (OR EQUIV) IRRI SOLN 1000ML $12.00 / BOTT HARTMANN`S (OR EQUIV) SEMI-RIGID INF 500ML $4.30 / BOTT LACTATED RINGER`S (COLLAPSIBLE BAG) INF 500ML $7.83 / BAG POTASSIUM CHLORIDE 14.9% INJ 2MMOL/ML 10ML $0.84 / AMP POTASSIUM CHLORIDE IN 0.9% NACL INF 10MMOL K/500ML $6.48 / BOTT POTASSIUM CHLORIDE IN 0.9% NACL INF 20MMOL K/500ML $6.68 / BOTT POTASSIUM CHLORIDE IN 5% DEXTROSE INF 10MMOL K/500ML $6.48 / BOTT POTASSIUM CHLORIDE IN 5% DEXTROSE INF 20MMOL K/500ML $6.68 / BOTT POTASSIUM CHLORIDE IN WATER FOR INJ 10MMOL/100ML $11.20 / BAG POTASSIUM CHLORIDE IN WATER FOR INJ 20MMOL/100ML $11.40 / BAG POTASSIUM CHLORIDE IN 2.5% DEXT 0.45% NACL INF 10MMOL K/500ML $9.25 / BOTT POTASSIUM CHLORIDE IN 2.5% DEXT 0.45% NACL INF 20MMOL K/500ML $9.50 / BOTT SODIUM ACETATE INJ 2MEQ/ML 20ML $9.20 / VIAL SODIUM BICARBONATE INF 8.4% 100ML $14.00 / VIAL SODIUM CHLORIDE 0.9% INF 100ML $3.80 / VIAL SODIUM CHLORIDE 0.9% INF 250ML $7.50 / BOTT SODIUM CHLORIDE 0.9% INJ 10ML $0.63 / AMP SODIUM CHLORIDE 0.9% (COLLAPSIBLE BAG) INF 1000ML $8.85 / BAG SODIUM CHLORIDE 0.9% (COLLAPSIBLE BAG) INF 500ML $5.23 / BAG SODIUM CHLORIDE 0.9% (SEMI RIGID PLASTIC) INF 1L $6.00 / BAG SODIUM CHLORIDE 0.9% (SEMI RIGID PLASTIC) INF 500ML $3.60 / BOTT SODIUM CHLORIDE 5.85% INF 20ML $2.96 / BOTT SODIUM CHLORIDE 23.4% INF 30ML $13.72 / VIAL WATER FOR INJ 20ML $1.50 / AMP WATER FOR INJ IN SEMI RIGID PLASTIC 100ML $3.80 / BOTT
G G G G G G G G G G G G G G G G G G G G G G G NA G G G G G G G G G G G G
9.2.2.2 Plasma and plasma substitutes ALBUMIN (ALBUMEX 20) INJ 20% (0.2G/ML) 50ML ALBUMEX 20 $106.00 / BOTT GELOFUSINE (OR EQUIV) INF 500ML $31.00 / BOTT HYDROXYETHYL STARCH 6% IN NORMAL SALINE INF 500ML VOLUVEN $53.33 / BAG PLASMA PROTEIN FRACTION (RC) INJ 5% 250ML SPPS $131.00 / BOTT
G G G G
37
9.3
Intravenous nutrition
KABIVEN (OR EQUIV) INF 1540ML KABIVEN (OR EQUIV) INF 2053ML KABIVEN (OR EQUIV) PERIPHERAL INF 1440ML KABIVEN (OR EQUIV) PERIPHERAL INF 1920ML NUTRIFLEX LIPID PERI (OR EQUIV) INF 1250ML NUTRIFLEX LIPID PLUS (OR EQUIV) INF 1250ML NUTRIFLEX LIPID SPECIAL (OR EQUIV) INF 1250ML NUTRIFLEX PERI (OR EQUIV) INF 1000ML NUTRIFLEX PLUS (OR EQUIV) INF 1000ML STRUCTOKABIVEN (OR EQUIV) INF 1477ML
9.3.1
G G G G G
$41.78 / BOTT $37.00 / BOTT $49.00 / BOTT $65.00 / BOTT $145.00 / VIAL
G G G G G
Trace elements
ADDAMEL N (OR EQUIV) INJ 10ML PEDITRACE (OR EQUIV) INJ 10ML
9.3.4
$86.15 / BOTT $80.00 / BOTT $60.00 / BOTT $180.00 / BOTT $104.00 / BOTT
Fats preparations
INTRALIPID (OR EQUIV) INF 10% 500ML INTRALIPID (OR EQUIV) INF 20% 250ML INTRALIPID (OR EQUIV) INF 20% 500ML LIPOFUNDIN MCT/LCT (OR EQUIV) INF 20% 250ML OMEGAVEN (OR EQUIV) INF 100ML
9.3.3
G G G G G G G G G G
Amino acid preparations
AMINOLEBAN (OR EQUIV) INJ 8% 500ML AMINOPLASMAL HEPA (OR EQUIV) INF 10% 500ML AMINOPLASMAL L10 (OR EQUIV) INF 500ML NEPHRAMINE (OR EQUIV) INF 5.4% 250ML VAMINOLACT (OR EQUIV) INJ 500ML
9.3.2
$240.88 / BAG $296.52 / BAG $223.48 / BAG $310.00 / BAG $227.78 / BAG $240.00 / BAG $247.89 / BAG $159.78 / BAG $180.00 / BAG $278.00 / BAG
$36.48 / AMP $105.00 / VIAL
G G
Vitamins
SOLUVIT N (OR EQUIV) INF 10ML VITALIPID N ADULT (OR EQUIV) INJ 10ML VITALIPID N INFANT (OR EQUIV) INJ 10ML
$44.95 / VIAL $32.49 / AMP $31.50 / VIAL
9.4
Oral nutrition
9.4.2
Enteral nutrition
AMINOLEBAN EN (OR EQUIV) POWDER 50G/SACHET
$49.81 / PACK
9.5
Minerals
9.5.1
Calcium and magnesium
9.5.1.1 Calcium supplements CALCIUM CARBONATE CHEW TAB 1G (10MMOL CA) $0.09 / TAB CALCIUM CARBONATE CHEW TAB 1250MG (12.5MMOL CA) OSCAL 500 CHEWABLE $1.12 / TAB CALCIUM CARBONATE TAB 1250MG (12.5MMOL CA) OSCAL-500 $0.29 / TAB CALCIUM CARBONATE TAB 1500MG (15MMOL CA) CALTRATE 600 $0.21 / TAB CALCIUM CHLORIDE DIHYDRATE INJ 10% 10ML (0.68MMOL CA/ML) $17.08 / AMP CALCIUM GLUCONATE INJ 10% 10ML (0.226MMOL CA/ML) $4.00 / AMP CALCIUM GLUCONATE TAB 300MG (0.675MMOL CA) $0.03 / TAB
38
G G G
S
G G G G G G G
9.5.1.3 Magnesium MAGNESIUM SULPHATE INJ 49.3% 5ML (2MMOL MG/ML) $25.19 / AMP MAGNESIUM SULPHATE INJ 50% 20ML $13.44 / VIAL
9.5.2
G G
Phosphorus
9.5.2.1 Phosphate supplements PHOSPHATE SANDOZ (OR EQUIV) SOLUBLE TAB (16.1MMOL PO4) $2.71 / TAB POTASSIUM PHOSPHATE INJ 150MMOL 50ML $36.80 / VIAL POTASSIUM PHOSPHATES (KH2PO4+K2HPO4) INJ 10ML $23.50 / AMP SODIUM GLYCEROPHOSPHATE INF (1MMOL P+2MMOL NA)/ML 20ML GLYCOPHOS $25.20 / VIAL SODIUM PHOSPHATE SOLN 7MMOL PO4/5ML $0.00 / ML
G G G G G
9.5.2.2 Phosphate-binding agents ALUMINIUM HYDROXIDE CHEW TAB 500MG ALUSORB $0.05 / TAB ALUMINIUM HYDROXIDE SUSP 6% ALUSORB $0.02 / ML CALCIUM CARBONATE CHEW TAB 1G (10MMOL CA) $0.09 / TAB CALCIUM CARBONATE CHEW TAB 1250MG (12.5MMOL CA) OSCAL 500 CHEWABLE $1.12 / TAB CALCIUM CARBONATE TAB 1250MG (12.5MMOL CA) OSCAL-500 $0.29 / TAB CALCIUM CARBONATE TAB 1500MG (15MMOL CA) CALTRATE 600 $0.21 / TAB SEVELAMER HCL TAB 400MG RENAGEL $3.93 / TAB
G G G G G G S
9.5.4
Zinc
ZINC (CHLORIDE) INJ 1MG/ML 10ML ZINC (SULPHATE) CAP (ELEMENTAL ZINC 50MG) ZINCAPS
9.5.5
$14.73 / VIAL $1.00 / CAP
Selenium
SELENIOUS ACID INJ 0.04MG/ML 10ML
SELEPEN
$32.43 / AMP
9.6
Vitamins
9.6.2
Vitamin B group
BIOTIN SOLN 0.5MG/ML PYRIDOXINE HCL (VIT B6) TAB 10MG PYRIDOXINE HCL (VIT B6) TAB 50MG RIBOFLAVINE (VIT B2) TAB 20MG THIAMINE HCL (VIT B1) INJ 100MG/ML 2ML THIAMINE HCL (VIT B1) TAB 10MG THIAMINE HCL (VIT B1) TAB 50MG VITAMIN B COMPLEX TAB
9.6.3
$0.04 / ML $0.03 / TAB $0.05 / TAB $0.10 / TAB $104.00 / VIAL $0.06 / TAB $0.02 / TAB $0.02 / TAB
NA
G G G G G G G G
Vitamin C
ASCORBIC ACID (VIT C) TAB 100MG
9.6.4
G G
$0.06 / TAB
G
Vitamin D
ALFACALCIDOL CAP 0.25MCG ONE ALPHA ALFACALCIDOL CAP 1MCG ONE ALPHA ALFACALCIDOL DROPS 2MCG/ML ONE ALPHA CALCIFEROL (VIT D2) DROPS 0.2MG/ML (8000U/ML) CALCITRIOL CAP 0.25MCG ROCALTROL CALCITRIOL CAP 0.5MCG ROCALTROL CHOLECALCIFEROL 400UNIT + CALCIUM CARBONATE 1250MG TAB CALPEROS D3 PARICALCITOL INJ 5MCG/ML 1ML ZEMPLAR
39
$0.47 / CAP $0.89 / CAP $15.00 / ML $4.44 / ML $0.69 / CAP $0.97 / CAP $0.62 / TAB $162.00 / AMP
G G G G G G G S
9.6.5
Vitamin E
ALPHA TOCOPHERYL ACETATE (D) (VIT E) CAP 200 IU ALPHA TOCOPHERYL ACETATE (D) (VIT E) CAP 400 IU ALPHA TOCOPHERYL ACETATE (DL) (VIT E) DROPS 50 IU/ML AQUASOL E
9.6.6
$0.07 / TAB $10.54 / AMP $7.79 / AMP $0.80 / TAB
G G G G
Multivitamin preparations
CENTRUM (OR EQUIV) TAB ENERVON C (OR EQUIV) TAB ENERVON C PLUS (OR EQUIV) SYR ESSENTIALE (OR EQUIV) CAP MATERNA (OR EQUIV) TAB MULTIVITAMIN COATED TAB POLY-VI-SOL (OR EQUIV) DROPS
$0.75 / TAB $0.35 / TAB $0.06 / ML $1.71 / CAP $0.87 / TAB $0.06 / TAB $0.80 / ML
9.8
Metabolic disorders
9.8.1
Drugs used in metabolic disorders
PENICILLAMINE TAB 250MG ZINC (CHLORIDE) INJ 1MG/ML 10ML ZINC (SULPHATE) CAP (ELEMENTAL ZINC 50MG) ZINCAPS
9.A
G G G
Vitamin K
ACETOMENAPHTHONE (VIT K4) TAB 10MG PHYTOMENADIONE (VIT K1) INJ 10MG/ML 1ML KONAKION MM PHYTOMENADIONE (VIT K1) INJ 2MG/0.2ML KONAKION MM PHYTOMENADIONE (VIT K1) TAB 5MG K1 DELAGRANGE
9.6.7
$0.36 / CAP $0.33 / CAP $11.82 / ML
$2.73 / TAB $14.73 / VIAL $1.00 / CAP
G G G G G G G
G G G
Miscellaneous
YEAST TAB 300MG $0.07 / TAB
40
G
10
Musculoskeletal and joint diseases
10.1
Drugs used in rheumatic diseases and gouts
10.1.1
Non-steroidal anti-inflammatory drugs
DICLOFENAC POTASSIUM TAB 25MG DICLOFENAC SODIUM INJ 25MG/ML 3ML DICLOFENAC SODIUM RECTAL SUPP 12.5MG DICLOFENAC SODIUM RECTAL SUPP 25MG DICLOFENAC SODIUM RECTAL SUPP 100MG DICLOFENAC SODIUM TAB 25MG DICLOFENAC SODIUM SLOW RELEASE TAB 100MG IBUPROFEN SYR 100MG/5ML IBUPROFEN TAB 200MG INDOMETHACIN CAP 25MG INDOMETHACIN SUSP 25MG/5ML MEFENAMIC ACID CAP 250MG NAPROXEN TAB 250MG PIROXICAM CAP 10MG SULINDAC TAB 200MG
10.1.2
CATAFLAM VOLTAREN VOLTAREN VOLTAREN VOLTAREN VOLTAREN VOLTAREN SR BRUFEN BRUFEN INDOCID INDOCID PONSTAN NAPROSYN FELDENE CLINORIL
$0.28 / TAB $8.18 / AMP $2.30 / NO $3.60 / NO $11.40 / NO $0.08 / TAB $0.17 / TAB $0.39 / ML $0.12 / TAB $0.13 / CAP $1.95 / ML $0.15 / CAP $0.22 / TAB $0.30 / CAP $1.73 / TAB
Corticosteroids
10.1.2.2 Local corticosteroid injections DEXAMETHASONE SODIUM PHOSPHATE INJ 4MG/ML 1ML DECADRON $2.45 / AMP DEXAMETHASONE SODIUM PHOSPHATE (P F) INJ 4MG/ML 2ML DECADRON $49.00 / AMP METHYLPREDNISOLONE ACETATE INJ 40MG/ML 1ML DEPO MEDROL $30.00 / AMP TRIAMCINOLONE ACETONIDE I-ARTICULAR INJ 10MG/ML 5ML KENACORT A $49.87 / VIAL TRIAMCINOLONE ACETONIDE IM INJ 40MG/ML 1ML KENACORT A $26.37 / VIAL
10.1.3
S G G G G G G G G G G G G S S
G G G G G
Drugs that suppress the rheumatic disease process
ADALIMUMAB PREFILLED SYRINGE 40MG/0.8ML HUMIRA AURANOFIN TAB 3MG RIDAURA AUROTHIOMALATE SODIUM IM INJ 50MG/0.5ML MYOCRISIN AZATHIOPRINE TAB 25MG IMURAN AZATHIOPRINE TAB 50MG IMURAN AZATHIOPRINE (SODIUM) INJ 50MG IMURAN CHLOROQUINE PHOSPHATE (=150MG BASE) TAB 250MG SANDIMMUN NEORAL CYCLOSPORIN A (NEORAL) CAP 10MG SANDIMMUN NEORAL CYCLOSPORIN A (NEORAL) CAP 25MG SANDIMMUN NEORAL CYCLOSPORIN A (NEORAL) CAP 100MG SANDIMMUN NEORAL CYCLOSPORIN A (NEORAL) SOLN 100MG/ML 50ML ETANERCEPT INJ 25MG ENBREL ETANERCEPT PREFILLED SYRINGE 25MG ENBREL ETANERCEPT PREFILLED SYRINGE 50MG ENBREL HYDROXYCHLOROQUINE SULPHATE TAB 200MG PLAQUENIL INFLIXIMAB INJ 100MG REMICADE LEFLUNOMIDE TAB 10MG ARAVA LEFLUNOMIDE TAB 20MG ARAVA
41
$4,830.00 / NO $6.97 / TAB $216.00 / AMP $3.24 / TAB $0.96 / TAB $615.58 / VIAL $0.33 / TAB $1.70 / CAP $3.40 / CAP $13.28 / CAP $680.00 / BOTT $1,010.04 / VIAL $1,009.94 / NO $2,020.83 / NO $0.85 / TAB $5,799.98 / VIAL $12.65 / TAB $15.98 / TAB
$/N S NA G G G G S S S S $/N $/N $/N S N S S
METHOTREXATE TAB 2.5MG $0.44 / TAB PENICILLAMINE TAB 250MG $2.73 / TAB RITUXIMAB INJ 10MG/ML 10ML MABTHERA $2,862.54 / VIAL RITUXIMAB INJ 10MG/ML 50ML MABTHERA $14,452.19 / VIAL SALAZOPYRIN ENTABS $0.59 / TAB SULPHASALAZINE ENTERIC COATED TAB 500MG
10.1.4
G G N N G
Gout and cytotoxic-induced hyperuricaemia
ALLOPURINOL TAB 100MG ZYLORIC COLCHICINE TAB 0.5MG PROBENECID TAB 500MG
$0.12 / TAB $0.10 / TAB $0.88 / TAB
G G G
10.2
Drugs used in neuromuscular disorders
10.2.1
Drugs that enhance neuromuscular transmission
EDROPHONIUM CHLORIDE INJ 10MG/ML 1ML TENSILON NEOSTIGMINE METHYLSULPHATE LUER FIT INJ 2.5MG/ML 1ML PYRIDOSTIGMINE BROMIDE TAB 10MG MESTINON PYRIDOSTIGMINE BROMIDE TAB 60MG MESTINON
10.2.2
10.3.1
10.3.2
NA G G G
Skeletal muscle relaxants
BACLOFEN TAB 10MG LIORESAL DANTROLENE SODIUM CAP 25MG DANTRIUM DIAZEPAM TAB 2MG VALIUM DIAZEPAM TAB 5MG VALIUM DIAZEPAM INJ 5MG/ML 2ML VALIUM DIAZEPAM EMULSION INJ 5MG/ML 2ML DIAZEMULS ORPHENADRINE CITRATE TAB 100MG NORFLEX QUININE SULPHATE TAB 200MG
10.3
$196.43 / AMP $5.19 / AMP $0.29 / TAB $2.78 / TAB $0.17 / TAB $2.86 / CAP $0.16 / TAB $0.17 / TAB $12.49 / AMP $8.50 / AMP $0.27 / TAB $1.61 / TAB
G NA G G G G G G
Drugs for the relief of soft-tissue inflammation Enzymes HYALURONIDASE INJ 1500U
HYALASE
$159.96 / AMP
S
Rubefacients and other topical antirheumatics
METHYL SALICYLATE COMPOUND OINT 20G ANALGESIC BALM $1.54 / TUBE
42
G
11
Eye
11.3
Anti-infective eye preparations
11.3.1
Antibacterials
CHLORAMPHENICOL EYE DROPS 0.5% 10ML CHLOROMYCETIN CHLORAMPHENICOL EYE OINT 1% 4G KEMICETINE CHLORTETRACYCLINE HCL EYE OINT 1% 3.5G AUREOMYCIN CIPROFLOXACIN (HCL) EYE DROPS 0.3% 5ML CILOXAN CIPROFLOXACIN (HCL) EYE OINT 3MG/G 3.5G CILOXAN FUSIDIC ACID EYE DROPS 1% 5G FUCITHALMIC GENTAMICIN EYE/EAR DROPS 0.3% 5ML GARAMYCIN LEVOFLOXACIN EYE DROPS 0.5% 5ML CRAVIT NEOSPORIN (OR EQUIV) EYE DROPS 5ML OFLOXACIN EYE OINT 3MG/G 3.5G TARIVID TOBRAMYCIN EYE DROPS 0.3% 5ML TOBREX
11.3.3
$4.93 / BOTT $4.00 / TUBE $6.00 / TUBE $18.00 / BOTT $20.00 / TUBE $37.50 / TUBE $12.05 / BOTT $26.92 / BOTT $36.00 / BOTT $30.00 / TUBE $11.00 / BOTT
G G G G G G G G G G G
Antivirals
ACYCLOVIR EYE OINT 3% 4.5G
ZOVIRAX
$60.00 / TUBE
G
11.4
Corticosteroids and other anti-inflammatory preparations
11.4.1
Corticosteroids
DEXAMETHASONE 0.1% + NEOMYCIN 0.5% EYE DROPS 10ML DEXOPTIC-N DEXAMETHASONE SODIUM PHOSPHATE EYE DROPS 0.1% 5ML SPERSADEX FLUOROMETHOLONE EYE DROPS 0.1% 5ML FML LIQUIFILM MAXITROL (OR EQUIV) EYE DROPS 5ML MAXITROL (OR EQUIV) EYE OINT 3.5G PREDNISOLONE ACETATE EYE DROPS 0.12% 5ML PRED MILD PREDNISOLONE ACETATE EYE DROPS 1% 5ML PRED FORTE SOFRADEX (OR EQUIV) EYE/EAR DROPS 8ML
11.4.2
PATANOL
$18.00 / BOTT
G
Mydriatics and cycloplegics
ATROPINE SULPHATE EYE DROPS 1% 10ML CYCLOPENTOLATE HCL EYE DROPS 1% 15ML CYCLOGYL HOMATROPINE HBR EYE DROPS 4% 10ML PHENYLEPHRINE HCL EYE DROPS 2.5% 10ML PHENYLEPHRINE HCL MINIMS 10% 0.5ML TROPICAMIDE 0.5% + PHENYLEPHRINE HCL 0.5% EYE DROPS 10ML MYDRIN-P TROPICAMIDE EYE DROPS 1% 15ML MYDRIACYL
11.6
G G G G G G G G
Other anti-inflammatory preparations
OLOPATADINE (HCL) EYE DROPS 0.1% 5ML
11.5
$5.00 / BOTT $16.00 / BOTT $7.43 / BOTT $12.00 / BOTT $18.00 / TUBE $13.87 / BOTT $14.00 / BOTT $18.20 / BOTT
$1.30 / BOTT $30.00 / BOTT $3.51 / BOTT $0.58 / BOTT $13.65 / UNIT $38.24 / BOTT $33.00 / BOTT
G G G G G G G
Treatment of glaucoma
ACETAZOLAMIDE (SODIUM) INJ 500MG ACETAZOLAMIDE TAB 250MG BETAXOLOL (HCL) EYE DROPS 0.25% 5ML BIMATOPROST 0.03% + TIMOLOL 0.5% EYE DROPS 3ML BIMATOPROST EYE DROPS 0.03% 3ML BRIMONIDINE TARTRATE EYE DROPS 0.15% 5ML
DIAMOX DIAMOX BETOPTIC S GANFORT LUMIGAN ALPHAGAN P
43
$283.06 / VIAL $0.41 / TAB $32.00 / BOTT $80.00 / BOTT $100.00 / BOTT $41.96 / BOTT
G G G S S S
BRINZOLAMIDE EYE DROPS 1% 5ML CARTEOLOL HCL EYE DROPS 2% 5ML DORZOLAMIDE HCL 2% + TIMOLOL 0.5% EYE DROPS 5ML LATANOPROST 0.005% + TIMOLOL 0.5% EYE DROPS 2.5ML LATANOPROST EYE DROPS 0.005% 2.5ML LEVOBUNOLOL HCL EYE DROPS 0.5% 5ML PILOCARPINE HCL EYE DROPS 1% 10ML PILOCARPINE HCL EYE DROPS 2% 10ML PILOCARPINE HCL EYE DROPS 4% 10ML TIMOLOL (MALEATE) EYE DROPS 0.25% 5ML TIMOLOL (MALEATE) EYE DROPS 0.5% 5ML TRAVOPROST 0.004% + TIMOLOL 0.5% EYE DROPS 2.5ML TRAVOPROST EYE DROPS 0.004% 2.5ML
11.7
AZOPT ARTEOPTIC COSOPT XALACOM XALATAN BETAGAN ISOPTO CARPINE ISOPTO CARPINE ISOPTO CARPINE TIMOPTOL TIMOPTOL DUOTRAV TRAVATAN
$77.50 / BOTT $38.00 / BOTT $68.46 / BOTT $162.01 / BOTT $134.33 / BOTT $9.08 / BOTT $1.87 / BOTT $3.74 / BOTT $7.49 / BOTT $12.01 / BOTT $4.96 / BOTT $133.33 / BOTT $122.47 / BOTT
S G S S S G G G G G G S S
Local anaesthetics
COCAINE HCL EYE/NASAL DROPS 5% 10ML OXYBUPROCAINE HCL EYE DROPS 0.4% 10ML NOVESIN
$179.00 / BOTT $19.00 / BOTT
G G
11.8
Miscellaneous ophthalmic preparations
11.8.1
Tear deficiency, ocular lubricants, and astringents
BALANCED SALT SOLN 500ML BSS BALANCED SALT PLUS SOLN 500ML BSS PLUS CARBOXYMETHYLCELLULOSE SODIUM EYE DROPS 0.5% 15ML REFRESH TEARS DURATEARS (OR EQUIV) EYE OINT 3.5G GENTEAL (OR EQUIV) EYE GEL 10G HYPROMELLOSE EYE DROPS 10ML NATURALE TEARS FORTE (OR EQUIV) EYE DROPS 15ML NATURALE TEARS FREE (OR EQUIV) EYE DROPS 0.8ML SODIUM CHLORIDE EYE DROPS 0.9% 5ML SODIUM CHLORIDE EYE DROPS 5% 10ML SYSTANE (OR EQUIV) EYE DROPS 10ML
11.8.2
G G S S S G S S G G S
Ocular diagnostic and perioperative preparations and photodynamic treatment
CARBACHOL INTRA-OCULAR SOLN 0.01% 1.5ML DICLOFENAC SODIUM EYE DROPS 0.1% 5ML FLUORESCEIN SODIUM OPH STRIP 1MG RANIBIZUMAB INTRA-VITREAL INJ 2.3MG/0.23ML
11.A
$40.00 / BOTT $155.00 / BOTT $12.18 / BOTT $19.00 / TUBE $13.75 / TUBE $2.01 / BOTT $12.00 / BOTT $1.09 / VIAL $4.56 / BOTT $16.00 / BOTT $10.00 / BOTT
MIOSTAT $45.00 / VIAL VOLTAREN OPHTHA $21.68 / BOTT FLUORETS $0.65 / UNIT LUCENTIS $8,300.00 / VIAL
G G G $
Miscellaneous
SOLCOSERYL (OR EQUIV) EYE GEL 20% 5G $16.00 / TUBE ZINC SULPHATE 0.02% OCULOSAN $17.00 / BOTT + NAPHAZOLINE NITRATE 0.005% EYE DROPS 10ML
44
G G
12
Ear, nose, and oropharynx
12.1
Drugs acting on the ear
12.1.1
Otitis externa
BORIC ACID EAR DROPS OFLOXACIN EAR DROPS 3MG/ML 5ML TARIVID OTOSPORIN (OR EQUIV) EAR DROPS 5ML SOFRADEX (OR EQUIV) EYE/EAR DROPS 8ML
12.1.3
$0.00 / ML $26.00 / BOTT $37.61 / BOTT $18.20 / BOTT
Removal of ear wax
OLIVE OIL EAR DROPS SODIUM BICARBONATE EAR DROPS
$0.01 / BOTT $0.01 / ML
12.2
Drugs acting on the nose
12.2.1
Drugs used in nasal allergy
BECLOMETHASONE DIPROPIONATE AQ NASAL SPRAY 50MCG/DOSE 200DOSES BUDESONIDE NASAL TURBUHALER 100MCG/DOSE 200DOSES BUDESONIDE AQUEOUS NASAL SPRAY 32MCG/DOSE 120DOSES BUDESONIDE AQUEOUS NASAL SPRAY 64MCG/DOSE 120DOSES FLUTICASONE FUROATE NASAL SPRAY 27.5MCG/SPRAY 120SPRAYS FLUTICASONE PROPIONATE AQ NASAL SPRAY 50MCG/SPRAY 150SPRAYS MOMETASONE FUROATE AQ NASAL SPRAY 50MCG/DOSE 140DOSES
12.2.2
BECONASE AQUEOUS $22.00 / NO RHINOCORT RHINOCORT AQUA RHINOCORT AQUA AVAMYS FLIXONASE AQUEOUS NASONEX
G
$121.34 / NO $30.23 / NO $33.56 / NO $65.00 / BOTT $35.46 / BOTT
S G G S S
$79.37 / BOTT
S
$0.04 / ML $24.48 / BOTT $0.12 / BOTT $16.00 / BOTT $14.50 / BOTT
G G G G G
Nasal preparations for infection
MUPIROCIN NASAL OINT 2%
BACTROBAN
$102.00 / TUBE
12.3
Drugs acting on the oropharynx
12.3.1
Drugs for oral ulceration and inflammation
BENZYDAMINE HCL LOZENGE 3MG DIFFLAM BENZYDAMINE HCL MOUTHWASH 22.5MG/15ML DIFFLAM BONJELA (OR EQUIV) ORAL GEL 15G SOLCOSERYL (OR EQUIV) DENTAL PASTE 5G
12.3.2
G G
Topical nasal decongestants
GLUCOSE IN GLYCERIN NASAL DROPS 25% OXYMETAZOLINE HCL NASAL SPRAY 0.05% 15ML AFRIN PHENYLEPHRINE HCL NASAL DROPS 0.5% 10ML XYLOMETAZOLINE HCL NASAL DROPS 0.05% 10ML OTRIVIN PAED XYLOMETAZOLINE HCL NASAL DROPS 0.1% 10ML OTRIVIN ADULT
12.2.3
G G G G
$1.39 / TAB $0.06 / ML $8.90 / TUBE $24.00 / TUBE
G
G G G G
Oropharyngeal anti-infective drugs
AMPHOTERICIN B LOZENGE 10MG NYSTATIN SUSP 100000U/ML
FUNGILIN MYCOSTATIN
45
$2.67 / NO $0.97 / ML
NA G
12.3.3
Lozenges and sprays
DEQUALINIUM CHLORIDE LOZENGE 250MCG DEQUADIN STREPSILS (OR EQUIV) LOZENGE
12.3.4
G G
Mouthwashes, gargles, and dentifrices
CHLORHEXIDINE GLUCONATE MOUTHWASH 0.2% 300ML CORSODYL HEXETIDINE MOUTHWASH 0.1% BACTIDOL THYMOL GARGLE COMPOUND MOUTHWASH 1 IN 4
12.A
$0.07 / TAB $0.67 / NO $7.50 / BOTT $0.08 / ML $0.01 / ML
G G G
Miscellaneous
BISMUTH SUBNITRATE + IODOFORM PASTE 20% + 40% 30G $250.00 / PACK
46
NA
13
Skin
13.2
Emollient and barrier preparations
13.2.1
Emollients
AQUEOUS CREAM 30G AQUEOUS CREAM 100G AQUEOUS CREAM 500G EMULSIFYING OINT 100G EMULSIFYING OINT 250G HYDROUS WOOL FAT LANOLIN LIQUID PARAFFIN 50% + WHITE SOFT PARAFFIN 50% OINT PARAFFIN SOFT WHITE VASELINE UREA CREAM 10% 50G UREDERM
$0.24 / TUBE $18.00 / TUBE $29.97 / JAR $8.00 / JAR $12.00 / JAR $0.04 / G $0.13 / G $0.04 / G $6.84 / TUBE
13.2.1.1 Emollient bath additives OILATUM PLUS (OR EQUIV) EMOLLIENT 150ML $39.99 / BOTT
13.2.2
$1.50 / TUBE $4.20 / JAR
G G
Topical local anaesthetics and antipruritics
CALAMINE CREAM CALAMINE LOTION 120ML CALAMINE + SULPHUR 5% LOTION CROTAMITON CREAM 10% 20G EURAX CROTAMITON CREAM 10% 60G EURAX LIGNOCAINE SPRAY 10% 50ML XYLOCAINE LIGNOCAINE HCL GEL 2% 30G XYLOCAINE MEPYRAMINE MALEATE CREAM 2% 15G ANTHISAN
13.4
$
Barrier preparations
ZINC CREAM 20G ZINC CREAM 60G
13.3
G G G G G NA G G G
$0.06 / G $7.69 / BOTT $0.01 / ML $8.90 / TUBE $13.50 / TUBE $141.00 / BOTT $14.90 / TUBE $0.26 / TUBE
G G G G G G G G
Topical corticosteroids
BETAMETHASONE DIPROPIONATE CREAM 0.05% 15G BETAMETHASONE DIPROPIONATE OINT 0.05% 15G BETAMETHASONE VALERATE CREAM 0.1% 15G BETAMETHASONE VALERATE OINT 0.1% 15G BETAMETHASONE VALERATE SCALP APPN 0.1% 30ML BETAMETHASONE 0.05% + GENTAMICIN SULPHATE 0.1% CREAM 15G BETAMETHASONE 0.05% + SALICYLIC ACID 2% LOTION 10ML BETAMETHASONE 0.05% + SALICYLIC ACID 3% OINT 15G CLOBETASOL PROPIONATE CREAM 0.05% 15G CLOBETASOL PROPIONATE OINT 0.05% 15G CLOBETASOL PROPIONATE SCALP APPN 0.05% 30ML CLOBETASONE BUTYRATE CREAM 0.05% 15G DIFLUCORTOLONE VALERATE (FATTY BASE) OINT 0.1% 10G DIFLUCORTOLONE VALERATE 0.1% + CHLORQUINADOL 1% CREAM 10G DIFLUCORTOLONE VALERATE 0.1% + ISOCONAZOLE NITRATE 1% CREAM 10G
47
DIPROSONE DIPROSONE BETNOVATE BETNOVATE BETNOVATE DIPROGENTA DIPROSALIC DIPROSALIC DERMASONE DERMASONE DERMOVATE EUMOVATE NERISONE FATTY NERISONE C TRAVOCORT
$12.00 / TUBE $12.00 / TUBE $11.80 / TUBE $12.40 / TUBE $96.99 / BOTT $14.70 / TUBE $21.90 / BOTT $11.17 / TUBE $5.00 / TUBE $6.00 / TUBE $103.99 / BOTT $52.00 / TUBE $21.00 / TUBE $26.50 / TUBE
G G G G G G G G S S S S S S
$22.80 / TUBE
S
FLUOCINOLONE ACETONIDE 0.025% + CLIOQUINOL 3% CREAM 5G SYNALAR + VIOFORM FLUOCINOLONE ACETONIDE CREAM 0.005% 100G SYNALAR FLUOCINOLONE ACETONIDE CREAM 0.0125% 100G SYNALAR FLUOCINOLONE ACETONIDE CREAM 0.025% 5G SYNALAR FLUOCINOLONE ACETONIDE CREAM 0.025% 100G SYNALAR FLUTICASONE PROPIONATE CREAM 0.05% 15G CUTIVATE HYDROCORTISONE 1% + CLIOQUINOL 3% CREAM 5G (H1V3) HYDROCORTISONE 1% + MICONAZOLE NITRATE 2% CREAM 15G DAKTACORT HYDROCORTISONE ACETATE CREAM 1% 15G HYDROCORTISONE ACETATE CREAM 1% 100G HYDROCORTISONE LOTION 1% 15G AQUANIL HC METHYLPREDNISOLONE ACEPONATE CREAM 0.1% 15G ADVANTAN METHYLPREDNISOLONE ACEPONATE OINT 0.1% 10G ADVANTAN MOMETASONE FUROATE 0.1% + SALICYLIC ACID 5% OINT 15G ELOSALIC MOMETASONE FUROATE CREAM 0.1% 15G ELOMET MOMETASONE FUROATE LOTION 0.1% 30ML ELOMET MOMETASONE FUROATE OINT 0.1% 15G ELOMET
$0.43 / TUBE $4.20 / JAR $4.80 / JAR $0.95 / TUBE $5.17 / JAR $37.50 / TUBE $0.50 / TUBE $46.00 / TUBE $7.50 / TUBE $13.98 / JAR $11.60 / BOTT $23.75 / TUBE $15.83 / TUBE $29.50 / TUBE $31.00 / TUBE $63.80 / BOTT $31.00 / TUBE
13.5
Preparations for eczema and psoriasis
13.5.2
Preparations for psoriasis
ACITRETIN CAP 10MG NEOTIGASON ACITRETIN CAP 25MG NEOTIGASON CALCIPOTRIOL 0.005% + BETAMETHASONE 0.05% OINT 15G DAIVOBET CALCIPOTRIOL CREAM 0.005% 30G DAIVONEX CALCIPOTRIOL OINT 0.005% 30G DAIVONEX CALCIPOTRIOL SCALP SOLN 50MCG/ML 30ML DAIVONEX CALCITRIOL OINT 3MCG/G 30G SILKIS COAL TAR SOLN METHOXSALEN TAB 10MG MELADININE POLYTAR (OR EQUIV) EMOLLIENT SALICYLIC ACID + SULPHUR CREAM SALICYLIC ACID 2% + COAL TAR 4% + SULPHUR 2% OINT SALICYLIC ACID 3% IN 70% ALCOHOL SOLN SALICYLIC ACID OINT 3%
13.5.3
$10.47 / CAP $22.33 / CAP $69.20 / TUBE $111.00 / TUBE $111.00 / TUBE $111.00 / BOTT $90.00 / TUBE $0.30 / ML $2.67 / TAB $0.34 / ML $0.01 / G $0.05 / G $0.01 / ML $0.03 / G
G G G G G S G G G G G S S S S S S
S S S S S S S G S S G G G G
Drugs affecting the immune response
ADALIMUMAB PREFILLED SYRINGE 40MG/0.8ML HUMIRA $4,830.00 / NO SANDIMMUN NEORAL $1.70 / CAP CYCLOSPORIN A (NEORAL) CAP 10MG SANDIMMUN NEORAL $3.40 / CAP CYCLOSPORIN A (NEORAL) CAP 25MG SANDIMMUN NEORAL $13.28 / CAP CYCLOSPORIN A (NEORAL) CAP 100MG SANDIMMUN NEORAL $680.00 / BOTT CYCLOSPORIN A (NEORAL) SOLN 100MG/ML 50ML ETANERCEPT INJ 25MG ENBREL $1,010.04 / VIAL HYDROXYUREA CAP 500MG HYDREA $1.36 / CAP INFLIXIMAB INJ 100MG REMICADE $5,799.98 / VIAL METHOTREXATE TAB 2.5MG $0.44 / TAB TACROLIMUS OINT 0.03% 30G PROTOPIC $270.00 / TUBE TACROLIMUS OINT 0.1% 30G PROTOPIC $300.00 / TUBE
48
$/N S S S S $/N G N G S S
13.6
Acne and rosacea
13.6.1
Topical preparations for acne
ADAPALENE GEL 0.1% 30G BENZOYL PEROXIDE GEL 2.5% 60G BENZOYL PEROXIDE CREAM 4% 40G CLINDAMYCIN (HCL) TOPICAL SOLN 1% 30ML ERYTHROMYCIN TOPICAL SOLN 2% 25ML TRETINOIN CREAM 0.025% 25G TRETINOIN CREAM 0.05% 25G TRETINOIN CREAM 0.1% 25G
13.6.2
DIFFERIN PANOXYL BREVOXYL EUROCIN A STIEMYCIN STIEVA-A STIEVA-A STIEVA-A DIANE VIBRAMYCIN ROACCUTANE ROACCUTANE MINOCIN MINOCIN ACHROMYCIN
$38.49 / CYCL $0.29 / TAB $6.70 / CAP $12.17 / CAP $1.80 / CAP $3.10 / CAP $0.11 / CAP
S G S S G G G
Preparations for warts and calluses
PODOPHYLLIN COMPOUND PAINT 15% SALICYLIC ACID COLLODION 10% SALICYLIC ACID COLLODION 20% SILVER NITRATE CAUSTIC PENCIL 95%
13.9
S G G S S S S S
Oral preparations for acne
CYPROTERONE ACETATE 2MG + ETHINYLESTRADIOL 0.035MG TAB DOXYCYCLINE HYCLATE TAB 100MG ISOTRETINOIN CAP 10MG ISOTRETINOIN CAP 20MG MINOCYCLINE (HCL) CAP 50MG MINOCYCLINE (HCL) CAP 100MG TETRACYCLINE HCL CAP 250MG
13.7
$48.73 / TUBE $45.00 / TUBE $34.00 / TUBE $12.00 / BOTT $36.11 / BOTT $45.08 / TUBE $45.40 / TUBE $50.90 / TUBE
$0.40 / ML $0.19 / ML $0.19 / ML $34.23 / NO
G G G G
Shampoos and other preparations for scalp and hair conditions
KETOCONAZOLE SHAMPOO 2% 100ML NIZORAL OLIVE OIL POLYTAR (OR EQUIV) LIQUID 150ML
$36.40 / BOTT $0.36 / ML $48.10 / BOTT
13.10
Anti-infective skin preparations
13.10.1
Antibacterial preparations
13.10.1.1 Antibacterial preparations only used topically MUPIROCIN OINT 2% 15G BACTROBAN $47.00 / TUBE NEOMYCIN SULPHATE CREAM 0.5% 15G $8.98 / TUBE SILVER SULPHADIAZINE CREAM 1% 25G DERMAZIN $14.48 / TUBE SILVER SULPHADIAZINE CREAM 1% 250G DERMAZIN $0.48 / G SILVER SULPHADIAZINE (STERILE) CREAM 1% FLAMAZINE $1.15 / G SULPHACETAMIDE 10% + ALCOHOL 50% SOLN $0.03 / ML
G G S
G G G G G G
13.10.1.2 Antibacterial preparations also used systemically CHLORTETRACYCLINE HCL OINT 3% 5G AUREOMYCIN $0.11 / TUBE G CHLORTETRACYCLINE HCL OINT 3% AUREOMYCIN $0.02 / G G FUSIDATE SODIUM OINT 2% 15G FUCIDIN $55.00 / TUBE G FUSIDATE SODIUM (STERILE) GAUZE 2% FUCIDIN INTERTULLE $7.48 / PCS G FUSIDIC ACID CREAM 2% 15G FUCIDIN $55.00 / TUBE G METRONIDAZOLE GEL 0.75% 15G ROZEX $40.00 / TUBE G
49
13.10.2
Antifungal preparations
AMOROLFINE HCL NAIL LACQUER 5% 2.5ML LOCERYL BENZOIC ACID COMPOUND OINT 20G WHITFIELDS BENZOIC ACID COMPOUND OINT 1/2 STRENGTH WHITFIELDS CLOTRIMAZOLE CREAM 1% 20G CANESTEN CLOTRIMAZOLE SOLN 1% 10ML LOTREMIN ISOCONAZOLE NITRATE CREAM 1% 20G TRAVOGEN MICONAZOLE NITRATE CREAM 2% 15G DAKTARIN TIOCONAZOLE CREAM 1% 15G TROSYD ZINC UNDECENOATE CREAM 25G
13.10.3
ZOVIRAX ZOVIRAX
$14.00 / TUBE $40.00 / TUBE $0.02 / ML $0.83 / ML
13.11
Skin cleansers and antiseptics
13.11.1
Alcohols and saline
DIALDEHYDE GLUTARIC DISINF SOLN 2.4% 5L CIDEX FORMALIN (BUFFERED) DISINF SOLN 10% SODIUM CHLORIDE 0.9% IRRI SOLN 1L SODIUM CHLORIDE 0.9% (COLLAPSIBLE BAG) IRRI SOLN 3L
$12.52 / BOTT $12.47 / BOTT $1.72 / PACK
NA NA NA
$18.00 / BOTT $80.17 / BOTT $1.53 / PACK $18.36 / BOTT
NA NA NA NA
$0.04 / ML $0.03 / ML
G G
Iodine
IODOFORM COMPOUND PAINT 100ML POVIDONE IODINE OINT 10% 100G POVIDONE IODINE ANTISEPTIC SOLN 10% W/V POVIDONE IODINE SURGICAL SCRUB 7.5%
13.11.5
NA NA G G
Cationic surfactants and soaps
CETRIMIDE SOLN 20% SOAP SPIRIT SHAMPOO
13.11.4
$94.00 / BOTT $0.02 / ML $6.35 / BOTT $25.40 / BAG
G S
Chlorhexidine salts
CHLORHEXIDINE ACETATE IRRI SOLN 0.05% 1L CHLORHEXIDINE ACETATE + CETRIMIDE IRRI SOLN 0.015%:0.15% 1L CHLORHEXIDINE GLUCONATE + CETRIMIDE DISINF TISEPT SOLN 0.015%:0.15% 25ML CHLORHEXIDINE GLUCONATE 2% IN 70% ALCOHOL DISINF SOLN 120ML CHLORHEXIDINE GLUCONATE 2% IN 70% ALCOHOL DISINF SOLN 500ML BAXEDIN CHLORHEXIDINE GLUCONATE DISINF SOLN 0.05% 25ML CHLORHEXIDINE GLUCONATE DISINF SOLN 4% 500ML HIBISCRUB
13.11.3
G G
Parasiticidal preparations
BENZYL BENZOATE APPN 25% PERMETHRIN LOTION 5% QUELLADA
13.11.2
S G G G G G G G G
Antiviral preparations
ACYCLOVIR CREAM 5% 2G ACYCLOVIR CREAM 5% 5G
13.10.4
$200.11 / BOTT $1.68 / TUBE $0.03 / G $4.30 / TUBE $18.13 / BOTT $25.50 / TUBE $11.91 / TUBE $23.00 / TUBE $3.80 / TUBE
WHITEHEADS VARNISH $2,407.14 / BOTT BETADINE $56.50 / TUBE BETADINE $0.03 / ML BETADINE $0.04 / ML
NA G G G
Phenolics
TRICOLSAN SOLN 1% W/V
MICROSHIELD T
50
$0.17 / ML
G
13.11.6
Oxidisers and dyes
CASTELLANIS (OR EQUIV) PAINT GENTIAN VIOLET SOLN 1% 30ML BANITORE HYDROGEN PEROXIDE SOLN 3% (10 VOL) POTASSIUM PERMANGANATE SOLN 4%
13.11.7
G G
$0.02 / ML
G
Topical circulatory preparations
HEPARINOID CREAM 14G
13.A
$24.00 / TUBE $98.00 / TUBE
Antiperspirants
ALUMINIUM CHLORIDE 20% IN ALCOHOL 70% SOLN
13.13
G S G G
Preparations for promotion of wound healing
ACTOVEGIN (OR EQUIV) JELLY 20% 20G CLOSTRIDIOPEPTIDASE A OINT 15G IRUXOL MONO
13.12
$0.04 / ML $5.00 / BOTT $0.02 / ML $0.00 / ML
HIRUDOID
$5.20 / TUBE
G
Miscellaneous
ACETIC ACID SOLN 5% $0.03 / ML GLYCERIN STERILE LIQUID 10ML $19.00 / BOTT HYDROQUINONE CREAM 2% 15G ELDOQUIN $57.00 / TUBE HYDROQUINONE CREAM 4% 15G ELDOQUIN $99.00 / TUBE K Y (OR EQUIV) STERILE PACK JELLY 5G $1.00 / PACK K Y (OR EQUIV) STERILE JELLY 82G $5.20 / TUBE LIPIODOL ULTRA FLUID (OR EQUIV) INJ 48% 10ML $126.00 / AMP LIQUID PARAFFIN STERILE 10ML $24.97 / BOTT SODIUM DICHLOROISOCYANURATE DISINF TAB 0.5G PRESEPT $0.67 / TAB SOLCOSERYL (OR EQUIV) JELLY 10% 20G $20.57 / TUBE SOLCOSERYL (OR EQUIV) OINT 5% 20G $16.00 / TUBE WATER FOR IRRIGATION 1000ML $6.35 / BOTT
51
G NA S S NA NA NA NA NA G G G
14 14.4
Immunological products and vaccines Vaccines and antisera
BCG INTRADERMAL VACCINE 1ML DIPHTHERIA TETANUS PERTUSIS POLIOMYELITIS TETRAXIM (INACT) VACCINE 0.5ML DIPHTHERIA TETANUS (ADSORBED) VACCINE ADULT 5ML DI TE ANATOXAL DIPHTHERIA TETANUS (ADSORBED) CHILD VACCINE 5ML DT VAX HAEMOPHILUS B CONJUGATE VACCINE 10MCG/0.5ML HEPATITIS B IM VACCINE 20MCG/ML 0.5ML ENGERIX B HEPATITIS B IM VACCINE 20MCG/ML 1ML ENGERIX B HUMAN SWINE INFLUENZA (H1N1) (2009/10 CAMPAIGN) VACCINE PANENZA INFLUENZA (2009/2010 CAMPAIGN) VACCINE 1DOSES VAXIGRIP MEASLES MUMPS RUBELLA (M-M-R II) WITH DILUENT VACCINE M-M-R II MENINGOCOCCAL A + C VACCINE 0.5ML PNEUMOCOCCAL 23-VALENT POLYSACCHARIDE PNEUMO 23 PREFILLED SYRINGE 0.5ML PNEUMOCOCCAL 23-VALENT POLYSACCHAR. PNEUMO 23 (CAMPAIGN) SYRINGE 0.5ML PNEUMOCOCCAL 7-VALENT CONJUGATE PREFILLED SYRINGE 0.5ML PREVENAR POLIOMYELITIS INACTIVATED TRIVALENT VACCINE 0.5ML RABIES INACTIVATED VACCINE TETANUS (ADSORBED) VACCINE 5ML TUBERCULIN PPD RT23 INJ 2TU/0.1ML 1.5ML VARICELLA SC VACCINE 0.5ML VARIVAX
$52.67 / VIAL $73.00 / NO
G NA
$30.93 / VIAL $99.34 / VIAL $78.82 / VIAL $10.40 / VIAL $19.80 / VIAL $0.00 / VIAL $0.00 / NO $31.00 / SET $105.00 / VIAL $100.00 / NO
G G G G G S S G G G/S
$0.00 / NO
S
$529.97 / NO $70.00 / AMP $165.50 / VIAL $36.50 / VIAL $68.40 / VIAL $279.48 / VIAL
G/S G G G G G
14.5
Immunoglobulins
14.5.1
Normal immunoglobulin
NORMAL IMMUNOGLOBULIN (HUMAN) INF 6% 50ML
14.5.2
INTRAGAM P
ANTIRABIES IMMUNOGLOBULIN (HUMAN) INJ 150IU/ML 2ML HYPERAB HEPATITIS B IMMUNOGLOBULIN IM INJ 220 IU/ML 5ML HYPERHEP B S/D HEPATITIS B IMMUNOGLOBULIN PREFILLED SYRINGE 110 IU/0.5ML HYPERHEP B S/D HUMAN CMV IMMUNOGLOBULIN INF 10% 50ML MEGALOTECT TETANUS IMMUNE GLOBULIN, HUMAN PREFILLED SYRINGE 250U VARICELLA ZOSTER IMMUNOGLOBULIN IV INJ 25 IU/ML 5ML VARITECT CP
14.5.3
$613.00 / VIAL
S
Disease-specific immunoglobulins $844.31 / VIAL $3,496.54 / VIAL $399.60 / NO $5,350.00 / VIAL $397.81 / NO $1,250.00 / AMP
G G G G G G
Anti-D (Rh0) immunoglobulin
ANTI-D IMMUNOGLOBULIN (HUMAN) INJ 1250 IU RHOGAM $400.00 / VIAL ANTI-D IMMUNOGLOBULIN (HUMAN) INJ 1500 IU WINRHO SDF $788.93 / VIAL
52
G G
15
Anaesthesia
15.1
General anaesthesia
15.1.1
Intravenous anaesthetics
ETOMIDATE EMULSION INJ 2MG/ML 10ML KETAMINE (HCL) INJ 10MG/ML 20ML PROPOFOL INJ 10MG/ML 20ML PROPOFOL SYRINGE 10MG/ML 50ML THIOPENTAL SODIUM INJ 500MG
15.1.2
ETOMIDATE-LIPURO KETALAR DIPRIVAN DIPRIVAN PENTOTHAL SUPRANE FORANE SEVORANE
$680.00 / BOTT $154.96 / BOTT $1,422.75 / BOTT
G G G
Antimuscarinic drugs
ATROPINE SULPHATE INJ 1.2MG/ML 1ML HYOSCINE HBR INJ 400MCG/ML 1ML
15.1.4
G G G G G
Inhalational anaesthetics
DESFLURANE INHALATION LIQUID 240ML ISOFLURANE INHALATION LIQUID 250ML SEVOFLURANE INHALATION LIQUID 250ML
15.1.3
$29.75 / AMP $162.00 / VIAL $12.00 / AMP $158.66 / NO $23.98 / VIAL
$7.37 / AMP $26.99 / AMP
G G
Sedative and analgesic peri-operative drugs
DEXMEDETOMIDINE (HCL) INF 100MCG/ML 2ML
PRECEDEX
$210.00 / VIAL
G
15.1.4.1 Anxiolytics and neuroleptics DIAZEPAM RECTAL SOLN 2MG/ML 2.5ML STESOLID $15.86 / TUBE DIAZEPAM RECTAL SOLN 4MG/ML 2.5ML STESOLID $17.60 / TUBE DIAZEPAM TAB 2MG VALIUM $0.16 / TAB DIAZEPAM TAB 5MG VALIUM $0.17 / TAB DIAZEPAM EMULSION INJ 5MG/ML 2ML DIAZEMULS $8.50 / AMP LORAZEPAM INJ 4MG/ML 1ML ATIVAN $197.50 / AMP LORAZEPAM TAB 1MG ATIVAN $0.21 / TAB LORAZEPAM TAB 2MG ATIVAN $0.26 / TAB MIDAZOLAM (HCL) INJ 1MG/ML 5ML DORMICUM $6.40 / AMP MIDAZOLAM (HCL) INJ 5MG/ML 3ML DORMICUM $5.88 / AMP MIDAZOLAM (MALEATE) TAB 15MG DORMICUM $2.70 / TAB
G G G G G G G G G G G
15.1.4.2 Non-opioid analgesics KETOROLAC TROMETAMOL INJ 30MG/ML 1ML TORADOL $34.02 / AMP
G
15.1.4.3 Opioid analgesics ALFENTANYL (HCL) INJ 0.5MG/ML 2ML RAPIFEN $67.77 / AMP FENTANYL (CITRATE) INJ 50MCG/ML 2ML $2.70 / AMP FENTANYL (CITRATE) INJ 50MCG/ML 10ML $9.30 / AMP REMIFENTANIL (HCL) INJ 1MG ULTIVA $67.00 / VIAL REMIFENTANIL (HCL) INJ 2MG ULTIVA $117.00 / VIAL ROPIVACAINE 0.15% + FENTANYL 2MCG/ML IN NS INF 50ML $0.69 / NO
G G G G G G
53
15.1.5
Neuromuscular blocking drugs
ATRACURIUM BESYLATE INJ 10MG/ML 2.5ML TRACRIUM ATRACURIUM BESYLATE INJ 10MG/ML 5ML TRACRIUM CISATRACURIUM (BESYLATE) INJ 2MG/ML 2.5ML NIMBEX CISATRACURIUM (BESYLATE) INJ 2MG/ML 5ML NIMBEX MIVACURIUM (CHLORIDE) INJ 2MG/ML 5ML MIVACRON PANCURONIUM BROMIDE INJ 2MG/ML 2ML PAVULON ROCURONIUM BROMIDE INJ 10MG/ML 5ML ESMERON SUXAMETHONIUM CHLORIDE INJ 50MG/ML 2ML
15.1.6
ANEXATE NARCAN
NA G
$320.00 / AMP $70.00 / AMP
G G
Drugs for malignant hyperthermia
DANTROLENE SODIUM INJ 20MG
15.2
$196.43 / AMP $5.19 / AMP
Antagonists for central and respiratory depression
FLUMAZENIL IV INJ 0.1MG/ML 5ML NALOXONE HCL INJ 0.4MG/ML 1ML
15.1.8
G G G G G G G G
Drugs for reversal of neuromuscular blockade
EDROPHONIUM CHLORIDE INJ 10MG/ML 1ML TENSILON NEOSTIGMINE METHYLSULPHATE LUER FIT INJ 2.5MG/ML 1ML
15.1.7
$11.00 / AMP $19.76 / AMP $18.00 / AMP $33.60 / AMP $33.00 / AMP $44.63 / AMP $34.25 / VIAL $8.97 / AMP
DANTRIUM
$781.38 / AMP
NA
Local anaesthesia
AMETHOCAINE (TETRACAINE) GEL 4% 1.5G $20.33 / TUBE BUPIVACAINE HCL (POLYAMP) INJ 0.25% 20ML MARCAIN $54.81 / AMP BUPIVACAINE HCL (POLYAMP) INJ 0.5% 20ML MARCAIN $85.08 / AMP MARCAIN SPINAL HEAVY $65.28 / AMP BUPIVACAINE HCL 0.5% + GLUCOSE 8% INJ 4ML COCAINE HCL EYE/NASAL DROPS 5% 10ML $179.00 / BOTT ETHYL CHLORIDE SPRAY 100ML $50.96 / TUBE INSTILLAGEL (OR EQUIV) GEL 11ML $19.50 / NO LEVOBUPIVACAINE (HCL) INJ 5MG/ML 10ML CHIROCAINE $21.50 / AMP LIGNOCAINE 2.5% + PRILOCAINE 2.5% CREAM 5G EMLA 5% $68.66 / TUBE LIGNOCAINE HCL INJ 1% 50ML XYLOCAINE $40.00 / VIAL LIGNOCAINE HCL INJ 2% 50ML XYLOCAINE $16.50 / VIAL LIGNOCAINE HCL SOLN 2% XYLOCAINE $0.16 / ML LIGNOCAINE HCL (PRESERVATIVE FREE) INJ 2% 5ML XYLOCAINE $2.80 / AMP LIGNOCAINE HCL 2% + ADRENALINE 1:200000 INJ 20ML XYLOCAINE $84.00 / VIAL LIGNOCAINE HCL 2% + ADRENALINE 1:80000 (STD) CARTRIDGE 1.8ML XYLOCAINE $2.14 / NO LIGNOCAINE HCL LUER FIT POLYAMPS INJ 1% 5ML XYLOCAINE $5.15 / AMP ROPIVACAINE HCL (PRESERVATIVE FREE) INJ 10MG/ML 20ML NAROPIN $89.91 / AMP ROPIVACAINE HCL (PRESERVATIVE FREE) INJ 7.5MG/ML 20ML NAROPIN $85.03 / AMP
54
G G G G G G G G G G G G G G G G G G
16
Drugs used in emergency treatment of poisoning
ACETAMIDE INJ 0.5G/ML 5ML ACETYLCYSTEINE INF 200MG/ML 25ML HIDONAC CALCIUM DISODIUM VERSENATE INJ 200MG/ML 5ML CHARCOAL ACTIVATED SUSP 50G CARBOSORB DIGOXIN IMMUNE FAB (OVINE) INJ 40MG DIGIFAB DIMERCAPROL INJ 50MG/ML 2ML DIMERCAPTOPROPANE SODIUM SULPHONATE INJ 62.5MG/ML 2ML HYDROXOCOBALAMIN INJ 2.5G CYANOKIT NALOXONE HCL INJ 0.4MG/ML 1ML NARCAN NALTREXONE HCL TAB 50MG TREXAN PHYSOSTIGMINE SALICYLATE INJ 1MG/ML 2ML PRALIDOXIME CHLORIDE INJ 0.25G/ML 2ML PRUSSIAN BLUE CAP 500MG SODIUM NITRITE INJ 3% 10ML SODIUM THIOSULPHATE INJ 25% 50ML
16.1
$221.00 / AMP $149.99 / VIAL $357.83 / AMP $80.00 / BOTT $3,285.00 / VIAL $630.43 / AMP $54.00 / AMP $3,800.00 / VIAL $70.00 / AMP $29.33 / TAB $59.15 / AMP $16.57 / AMP $30.00 / CAP $162.06 / AMP $337.73 / VIAL
G G G G G G G G G G NA G G G G
Antivenom
AGKISTRODON ACUTUS ANTIVENIN INJ 2000U $1,551.74 / AMP AGKISTRODON HALYS ANTIVENIN INJ 6000U $1,399.69 / AMP BUNGARUS MULTICINCTUS ANTIVENIN INJ 10000U $1,311.11 / AMP COBRA ANTIVENIN INJ $1,139.17 / VIAL GREEN PIT VIPER ANTIVENIN INJ $1,836.48 / VIAL KING COBRA ANTIVENIN INJ $1,514.15 / VIAL KRAIT (BANDED) ANTIVENIN INJ $1,311.52 / VIAL NAJA NAJA ANTIVENIN INJ 1000U $1,585.00 / AMP RUSSELL`S VIPER ANTIVENIN INJ $1,426.31 / VIAL STONEFISH ANTIVENOM INJ 2000U $5,420.83 / AMP TIGER SNAKE ANTIVENENE VENOM INJ 3000U $6,996.50 / VIAL
55
G G G G G G G G G G G
17 17.1
Haemodialysis and peritoneal dialysis solutions Haemodialysis solutions
ANTICOAGULANT CITRATE DEXTROSE A INJ 500ML HAEMOFILTRATION SOLN 5L HEMOSOL BO
$90.00 / BAG $163.50 / KIT
NA G
PDF DEXT 1.5% LOW CA 2LITRES SOLN STAY SAFE $39.10 / BAG PDF DEXT 1.5% STD CA 2LITRES SOLN STAY SAFE $39.10 / BAG PDF DEXT 2.3% LOW CA 2LITRES SOLN STAY SAFE $39.10 / BAG PDF DEXT 2.3% STD CA 2LITRES SOLN STAY SAFE $39.10 / BAG PDF DEXT 4.25% LOW CA 2LITRES SOLN STAY SAFE $39.10 / BAG PDF DEXT 4.25% STD CA 2LITRES SOLN STAY SAFE $39.10 / BAG PDF DEXT 1.5/2.5/3.9% LOW CA 2LITRES SOLN DOUBLE BAG GAMBROSOL TRIO $51.00 / BAG PDF DEXT 1.5/2.5/3.9% STD CA 2LITRES SOLN DOUBLE BAG GAMBROSOL TRIO $47.00 / BAG PDF DEXT 1.5% LOW CA 2LITRES SOLN SPIKE $38.15 / BAG PDF DEXT 1.5% STD CA 2LITRES SOLN SPIKE $38.74 / BAG PDF DEXT 2.5% LOW CA 2LITRES SOLN SPIKE $38.60 / BAG PDF DEXT 2.5% STD CA 2LITRES SOLN SPIKE $39.20 / BAG PDF DEXT 4.25% LOW CA 2LITRES SOLN SPIKE $39.03 / BAG PDF DEXT 4.25% STD CA 2LITRES SOLN SPIKE $38.97 / BAG PDF AMINO ACIDS 1.1% LOW CA 2LITRES SOLN ULTRA BAG NUTRINEAL $70.00 / BAG PDF DEXT 1.5% LOW CA 2LITRES SOLN ULTRA BAG $40.58 / BAG PDF DEXT 1.5% STD CA 2LITRES SOLN ULTRA BAG $40.58 / BAG PDF DEXT 2.5% LOW CA 2LITRES SOLN ULTRA BAG $41.37 / BAG PDF DEXT 2.5% STD CA 2LITRES SOLN ULTRA BAG $41.37 / BAG PDF DEXT 4.25% LOW CA 2LITRES SOLN ULTRA BAG $41.95 / BAG PDF DEXT 4.25% STD CA 2LITRES SOLN ULTRA BAG $40.44 / BAG PDF ICODEXTRIN 7.5% STD CA 2LITRES SOLN ULTRA BAG EXTRANEAL $85.13 / BAG
G G G G G G G G G G G G G G G G G G G G G G
17.2
Peritoneal dialysis solutions
56
18
Medical gases
AIR BREATHING 0.7CUM (E) CYLINDER E SIZE $47.00 / CYN AIR BREATHING 6.8CUM (R) CYLINDER R SIZE $161.00 / CYN CARBON DIOXIDE CYLINDER (B) 0.9KG $103.00 / CYN CARBON DIOXIDE B.P. CYLINDER (G) 9KG $178.00 / CYN NITRIC OXIDE MIXTURE MEDICAL 1000 PPM CYLINDER 5.96CUM (R) $18,000.00 / CYN NITRIC OXIDE MIXTURE MEDICAL1000PPM CYLINDER 1.49CUM $6,700.00 / CYN NITROUS OXIDE 1.6CUM (E) CYLINDER $264.63 / CYN NITROUS OXIDE 15.5CUM (R) CYLINDER $2,125.00 / CYN OXYGEN LIQUID TANK $6.05 / CU M OXYGEN MEDICAL (ALUMINIUM) 0.32CUM (D) CYLINDER $48.00 / CYN OXYGEN MEDICAL 0.32CUM (D) CYLINDER $48.00 / CYN OXYGEN MEDICAL 0.7CUM (E) CYLINDER $52.00 / CYN OXYGEN MEDICAL 0.7CUM (FX) CYLINDER $72.00 / CYN OXYGEN MEDICAL 1.4CUM (G) CYLINDER $87.00 / CYN OXYGEN MEDICAL 6.8CUM (R) CYLINDER $178.00 / CYN
57
G G G G G G G G G G G G G G G
19
Miscellaneous items
ALCOHOL ABSOLUTE INJ 5ML DEXTROSE MONOHYDRATE 82.5G/PACK FLUORESCEIN SODIUM IV INJ 10% 5ML FLUORESCITE INDIGO CARMINE INJ 0.8% 5ML METHYLENE BLUE INJ 1% 5ML PATENT BLUE V INJ 2.5% 2ML
58
$85.04 / AMP $6.00 / PACK $102.66 / VIAL $86.00 / AMP $80.07 / AMP $40.00 / AMP
G G G NA NA NA
LATE ADDITION OF NEW DRUGS FROM SEP 2010 UP TO MAR 2011 BRINZOLAMIDE 10MG/ML + TIMOLOL 5MG/ML EYE DROPS AZARGA - / BOTT CALCIPOTRIOL 50MCG/G + BETAMETHASONE XAMIOL $69.20 / BOTT DIPROPIONATE 0.5MG/G GEL 15G CLOBETASOL PROPIONATE SHAMPOO 0.05% CLOBEX - / BOTT ESCITALOPRAM (OXALATE) TAB 20MG LEXAPRO $11.90 / TAB LEVODOPA 150MG + CARBIDOPA 37.5MG + STALEVO 150/37.5/200 - / TAB ENTACAPONE 200MG TAB LEVODOPA 200MG + CARBIDOPA 50MG + STALEVO 200/50/200 $7.60 / TAB ENTACAPONE 200MG TAB OLICLINOMEL N7-1000E (OR EQUIV) INF 1500ML $300.00 / BAG PALIPERIDONE (PALMITATE) PREFILLED SYRINGE 50MG/0.5ML INVEGA SUSTENNA $1,626.70 / NO PALIPERIDONE (PALMITATE) PREFILLED SYRINGE 75MG/0.75ML INVEGA SUSTENNA $2,450.00 / NO PALIPERIDONE (PALMITATE) PREFILLED SYRINGE 100MG/ML 1ML INVEGA SUSTENNA $3,253.30 / NO PALIPERIDONE (PALMITATE) PREFILLED SYRINGE 150MG/ML 1.5ML INVEGA SUSTENNA - / NO TIOTROPIUM SOFT MIST INHALER 2.5MCG/PUFF 60 DOSES SPIRIVA RESPIMAT - / NO VILDAGLIPTIN 50MG + METFORMIN 1000MG GALVUSMET 50/1000 - / TAB VILDAGLIPTIN 50MG + METFORMIN 500MG GALVUSMET 50/500 - / TAB VILDAGLIPTIN TAB 50MG GALVUS $3.50 / TAB
59
S S S S G G G S S S S S S S S
