essential drug list (2007)

47
Essential Drug List http://www.doh.gov.ph/ndps/EssentialDrugsList.htm (accessed 24 April 2007) COMPANY BRAND NAME SRP 1. DRUGS ACTING ON THE NERVOUS SYSTEM 1.1 ANALGESICS 1.1.1 NON-OPIOIDS Ibuprofen 200 mg tab Doctors Pharm'l., Inc. Genselax 3.35 Lejal Laboratories, Inc. 3.50 Novartis Bu-Aid 3.76 400 mg tab DLI Generics 4.25 Unilab Skelan Forte <Biomedis> 6.45 Novartis Bu-Aid 7.91 100 mg/5 mL, 30 mL Unilab Dolan FP <Pediatrica> 30.50 100 mg/5 mL, 60 mL Unilab Dolan FP <Pediatrica> 40.80 Boots Company Nuprofen 47.50 Paracetamol 500 mg tab DLI Generics 0.90 Unilab <Unilab Generics> 0.95 Pharex Pharex Paracetamol 1.00 Unilab Defebrol <UAP> 1.05 Unilab Medicol-A <Myra> 1.25 Doctors Pharm'l., Inc. Napalgin 1.29 Lejal Laboratories, Inc. 1.54 Novartis Servigesic 1.57 Paren-Pharma 1.80 Filadams Detramol Tab 1.83 Glaxo Wellcome Calpol 1.98 Unilab Biogesic <Biomedis> 2.00 100 mg/mL drops, 15 mL Unilab Defebrol <UAP> 29.95 Unilab Naprex <Pediatrica> 30.95 Unilab Afebrin <Westmont> 36.00 Unilab Rexidol <Medichem> 36.20 120 mg/5 mL (125 mg/5 mL) syrup, 30 mL Unilab Defebrol <UAP> 23.75 Unilab Biogesic <Biomedis> 25.00 Unilab Afebrin <Westmont> 30.25 120 mg/5 mL (125 mg/5 mL) syrup, 60 mL Unilab <Unilab Generics> 25.00 Lejal Laboratories, Inc. 26.90 Unilab Defebrol <UAP> 32.00 Unilab Biogesic <Biomedis> 34.00 Unilab Afebrin <Westmont> 42.00 Glaxo Wellcome Calpol Pediatric Suspension 44.00 120 mg/5 mL (125 mg/5 mL) syrup, 120 mL Unilab Afebrin <Westmont> 68.20 Unilab Biogesic <Biomedis> 81.00 120 mg/5 mL (125 mg/5 mL) (alcohol-free), 60 mL suspension Filadams Detramol Susp. 53.75 250 mg/5 mL, 30 mL syrup Unilab Defebrol <UAP> 30.00 Unilab Biogesic <Biomedis> 31.75 250 mg/5 mL, 60 mL syrup Unilab Pharex Paracetamol 250 Syr 37.00 Pharex Defebrol <UAP> 41.65 Unilab Napalgin Syrup 49.00

Upload: lamliem

Post on 01-Jan-2017

229 views

Category:

Documents


0 download

TRANSCRIPT

Essential Drug List

http://www.doh.gov.ph/ndps/EssentialDrugsList.htm (accessed 24 April 2007) COMPANY BRAND NAME SRP 1. DRUGS ACTING ON THE NERVOUS SYSTEM 1.1 ANALGESICS 1.1.1 NON-OPIOIDS

Ibuprofen 200 mg tab Doctors Pharm'l., Inc. Genselax 3.35

Lejal Laboratories, Inc. 3.50

Novartis Bu-Aid 3.76 400 mg tab DLI Generics 4.25

Unilab Skelan Forte <Biomedis> 6.45

Novartis Bu-Aid 7.91 100 mg/5 mL, 30 mL Unilab Dolan FP <Pediatrica> 30.50 100 mg/5 mL, 60 mL Unilab Dolan FP <Pediatrica> 40.80 Boots Company Nuprofen 47.50 Paracetamol 500 mg tab DLI Generics 0.90 Unilab <Unilab Generics> 0.95 Pharex Pharex Paracetamol 1.00 Unilab Defebrol <UAP> 1.05 Unilab Medicol-A <Myra> 1.25 Doctors Pharm'l., Inc. Napalgin 1.29

Lejal Laboratories, Inc. 1.54

Novartis Servigesic 1.57 Paren-Pharma 1.80 Filadams Detramol Tab 1.83 Glaxo Wellcome Calpol 1.98 Unilab Biogesic <Biomedis> 2.00 100 mg/mL drops, 15 mL Unilab Defebrol <UAP> 29.95 Unilab Naprex <Pediatrica> 30.95 Unilab Afebrin <Westmont> 36.00 Unilab Rexidol <Medichem> 36.20 120 mg/5 mL (125 mg/5 mL) syrup, 30 mL Unilab Defebrol <UAP> 23.75 Unilab Biogesic <Biomedis> 25.00 Unilab Afebrin <Westmont> 30.25 120 mg/5 mL (125 mg/5 mL) syrup, 60 mL Unilab <Unilab Generics> 25.00

Lejal Laboratories, Inc. 26.90

Unilab Defebrol <UAP> 32.00 Unilab Biogesic <Biomedis> 34.00 Unilab Afebrin <Westmont> 42.00 Glaxo Wellcome Calpol Pediatric

Suspension 44.00 120 mg/5 mL (125 mg/5 mL) syrup, 120 mL Unilab Afebrin <Westmont> 68.20 Unilab Biogesic <Biomedis> 81.00 120 mg/5 mL (125 mg/5 mL) (alcohol-free), 60 mL suspension Filadams Detramol Susp. 53.75 250 mg/5 mL, 30 mL syrup Unilab Defebrol <UAP> 30.00 Unilab Biogesic <Biomedis> 31.75 250 mg/5 mL, 60 mL syrup Unilab Pharex Paracetamol

250 Syr 37.00 Pharex Defebrol <UAP> 41.65 Unilab Napalgin Syrup 49.00

Paren-Pharma Biogesic <Biomedis> 52.25 Doctors Pharm'l., Inc. Afebrin <Westmont> 63.50 Unilab 65.00 Glaxo Wellcome Calpol Six Plus 71.00 250 mg/5 mL, 120 mL syrup Unilab Afebrin <Westmont> 100.10 250 mg/5 mL (alcohol-free preferred),

60 mL suspension Unilab Naprex <Pediatrica> 53.10 Filadams Detramol Susp. 69.88 1.1.2 OPIOID ANALGESICS

Nalbuphine 10 mg/mL , 1mL ampule (as HCl) Boots Company Nubain 67.50 Abbott 77.81 Pethidine (meperidine) 50 mg/mL, 2 mL ampule (as HCl) Abbott Demerol 89.56

50 mg/mL, 30 mL vial (as HCl) Abbott Demerol 1,282.98

Tramadol 50 mg/mL, 1 mL ampul (as HCl) Unilab Siverol <Biomedis> 81.00 50 mg/mL, 2 mL ampul (as HCl) Marketlink Int'l. Corp. [Korea United Pharm,

Inc.] 840.00 1.2 ANESTHETICS

1.2.1 GENERAL ANESTHETICS 1.2.1.1 INHALATION

1.2.1.1.1 VOLATILE AGENTS Enflurane Inhalation: 250 mL bottle Abbott Ethrane

4,189.12

Isoflurane Inhalation: 1000 mL bottle Abbott Forane 3,314.04

Sevoflurane Inhalation: 250 mL bottle Abbott Sevorane 8,865.14

1.2.1.2 INTRAVENOUS AGENTS

Ketamine 50 mg/mL, 10 mL vial (as HCl) Cuvest Pharm. Calypsol 660.00 Pharm Asia, Inc. Ketaject 600.00 Thiopental Sodium 1 g vial + 50 mL diluent Abbott Pentothal 258.93 Propofol 10 mg/mL, 20 mL vial Abbott

1,564.87 1.2.1.3 ADJUVANTS

1.2.1.3.1 NON-OPIOID ANALGESICS

Diclofenac 25 mg/mL, 3 mL ampul (as sodium salt) Cathay Denkoran 47.00 Cathay Doloflam 53.00 Novartis Voltaren 90.08 1.2.1.3.2 ANXIOLYTICS Diazepam 2 mg tablet Unilab Anxionil <L.R.Imperial> 4.05 Unilab Trazepam

<Therapharma> 4.07 5 mg tablet Unilab <Unilab Generics> 3.00 Unilab Anxionil <L.R.Imperial> 7.50

Unilab Trazepam <Therapharma> 7.50

10 mg tablet Unilab Trazepam <Therapharma> 12.10

5 mg/mL, 2 mL ampul Unilab Anxionil <L.R. Imperial> 70.18 1.2.1.3.3 BETA ADRENOCEPTOR BLOCKER Esmolol 100 mg/mL, 10 mL vial (as HCl) Boots Company Brevibloc 436.75

1.2.2 LOCAL ANESTHETICS Lidocaine 2%, 50 mL vial (epidural, local infiltration)

(as hydrochloride) Clinbaxy 35.65

Abbott 107.91

Tetracaine 20 mg ampul (sterile powder) (spinal) (as hydrochloride) Abbott Pontocaine 336.61

1.3 ANTICONVULSANTS Carbamazepine 200 mg tablet Novartis Tegretol 11.80 200 mg SR tablet Novartis Tegretol 31.86 400 mg LA tablet Novartis Tegretol 29.08 100 mg/5 mL syrup, 120 mL Novartis Tegretol 258.48 Diazepam 5 mg/mL, 2 mL ampul (IV) Unilab Trazepam

<Therapharma> 70.20 Valproate Disodium/ Valproic Acid 250 mg tablet (as disodium salt) Abbott Epival Abbott 17.98 250 mg/5 mL syrup, 120 mL(as valproic acid) Abbott Depakene 344.71 Thiopental Sodium 1 g vial + 50 mL diluent Abbott Pentothal 258.93 1.4 ANTI-MIGRAINE Propranolol 10 mg tablet (as Hydrochloride) Unilab <Unilab Generics> 2.00 40 mg tablet (as Hydrochloride) DLI Generics 2.50

Unilab <Unilab Generics> 3.40 Novartis Servol 4.94 1.5 ANTIPARKINSONISM 1.5.1 DOPAMINERGICS Levodopa + Carbidopa 100 mg levodopa + 25 mg carbidopa per tablet Cathay Sinemet 30.12 250 mg levodopa + 25 mg carbidopa per

tablet Cathay Sinemet 45.64 Amantadine 100 mg tablet (as hydrochloride) Boots Company Symmetrel 14.75 50mg/5 mL syrup, 60 mL (as hydrochloride) Boots Company Symmetrel 152.5 1.5.2 ANTICHOLINERGICS Biperiden 2 mg tablet (as hydrochloride) G.D. Searle Akineton 10.95

5 mg/mL, 1 mL ampul (IM, IV) (as lactate) G.D. Searle Akineton 83.38 Diphenhydramine 50 mg capsule Lejal Laboratories,

Inc. 1.82 Trihexyphenidyl 5 mg tablet (as hydrochloride) Wyeth Phils., Inc. Artane 18.07 1.6 ANTIPYRETICS

Paracetamol 500 mg tablet DLI Generics 0.90 Unilab <Unilab Generics> 0.95

Pharex Pharex Paracetamol 1.00

Unilab Defebrol <UAP> 1.05 Unilab Medicol-A <Myra> 1.25 Doctors Pharm'l., Inc. Napalgin 1.29

Lejal Laboratories, Inc. 1.54

Novartis Servigesic 1.57 Paren-Pharma 1.80 Filadams Detramol Tab 1.83 Glaxo Wellcome Calpol 1.98 Unilab Biogesic <Biomedis> 2.00 100 mg/mL drops, 15 mL Unilab Defebrol <UAP> 29.95 Unilab Naprex <Pediatrica> 30.95 Unilab Afebrin <Westmont> 36.00 Unilab Rexidol <Medichem> 36.20 100 mg/mL drops, 15 mL (alcohol-free) Filadams Detramol Drops 37.62

120 mg/5 mL (125 mg/5 mL) syrup, 30 mL Unilab Defebrol <UAP> 23.75 Unilab Biogesic <Biomedis> 25.00 Unilab Afebrin <Westmont> 30.25 120 mg/5 mL (125 mg/5 mL) syrup, 60 mL Unilab <Unilab Generics> 25.00

Lejal Laboratories, Inc. 26.90

Unilab Defebrol <UAP> 32.00

Unilab Biogesic <Biomedis> 34.00

Unilab Afebrin <Westmont> 42.00

Glaxo Wellcome Calpol Pediatric Syrup 44.00

120 mg/5 mL(125 mg/5 mL) syrup, 120 mL Unilab Afebrin <Westmont> 68.20

Unilab Biogesic <Biomedis> 81.00

120 mg/5 mL (125 mg/5 mL) (alcohol-free)

60 mL suspension Filadams Detramol Susp. 53.75

250 mg/5 mL syrup, 30 mL Unilab Defebrol <UAP> 30.00

Unilab Biogesic <Biomedis> 31.75

250 mg/5 mL syrup, 60 mL Pharex Pharex Paracetamol 250 Syr 37.00

Unilab Defebrol <UAP> 41.65

Doctors Pharm'l., Inc. Napalgin Syrup 49.00

Unilab Biogesic <Biomedis> 52.25

Unilab Afebrin <Westmont> 63.50

Paren-Pharma 65.00

Glaxo Wellcome Calpol Six Plus 71.00

250 mg/5 mL syrup, 120 mL Unilab Afebrin <Westmont> 100.10

250 mg/5 ml (alcohol-free preferred), 60 mL suspension Unilab Naprex <Pediatrica> 53.10

Filadams Detramol Susp. 69.88

Ibuprofen 200 mg tab Doctors Pharm'l., Inc. Genselax 3.35

Lejal Laboratories, Inc. 3.50

Novartis Bu-Aid 3.76 400 mg tab DLI Generics 4.25

Unilab Skelan Forte <Biomedis> 6.45

Novartis Bu-Aid 7.91

100 mg/5 mL syrup, 30 mL Unilab Dolan FP <Pediatrica> 30.50

100mg/5 mL syrup, 60 mL Unilab Dolan FP <Pediatrica> 40.80

Boots Company Nurofen 47.50 1.7 DRUGS TO REDUCE CEREBRAL EDEMA

Dexamethasone 500 mcg tablet Unilab <Unilab Generics> 1.20

Unilab Decilone <Westmont> 3.82 Organon Oradexon Tablet 4.57 4 mg tablet Unilab Decilone <Westmont> 14.29 4 mg/mL, 2 mL ampul/vial (as sodium

phosphate) Clinbaxy 41.0

Cathay Decadron 199.30

5 mg/mL, 1 mL ampul (as sodium phosphate) Organon Oradexon 115.74

Mannitol 20%, 500 mL bottle Euromed 112.00

Furosemide 20 mg tablet (as Hydrochloride) Doctors Pharm'l., Inc. Flexamide 3.50

Unilab Frusema <L.R. Imperial> 4.25

40 mg tablet (as Hydrochloride) Unilab Frusema <L.R. Imperial> 7.50

10 mg/mL, 2 mL ampul Faulding/DBL Products DBL-Furosemide 24.80

Unilab Frusema <L.R. Imperial> 45.65

COMPANY BRAND NAME SRP

1.8 PSYCHOPHARMACOLOGIC AGENTS

1.8.1 ANXIOLYTICS Diazepam 2 mg tablet Unilab Anxionil <L.R.Imperial> 4.05 Unilab Trazepam

<Therapharma> 4.07

5 mg tablet Unilab <Unilab Generics> 3.00 Unilab Anxionil <L.R.Imperial> 7.50

Unilab Trazepam <Therapharma> 7.50

10 mg tablet Unilab Trazepam <Therapharma> 12.10

5 mg/mL, 2 mL ampul Unilab Anxionil <L.R. Imperial> 70.18

Alprazolam 250 mcg tablet Pharmacia & Upjohn Xanor Tablet 12.49

500 mcg tablet Pharmacia & Upjohn Xanor Tablet 18.00

1 mg tablet Pharmacia & Upjohn Xanor Tablet 30.87

1.8.2 ANTIDEPRESSANTS Fluoxetine 20 mg dispersable capsule (as

Hydrochloride) Eli Lilly Prozac Pulvule 79.70 Imipramine 25 mg tablet (as hydrochloride) Novartis Tofranil 16.92 Trazodone 50 mg tablet (as hydrochloride) Unilab Depresil <L.R.

Imperial> 14.70 1.8.3 MOOD STABILIZERS Carbamazepine 200 mg tablet Novartis Tegretol 11.80 200 mg SR tablet Novartis Tegretol 31.86 400 mg LA tablet Novartis Tegretol 29.08 100 mg/5 mL syrup, 120 mL Novartis Tegretol 258.48

1.8.4 ANTIPSYCHOTICS Chlorpromazine 50 mg tablet (as hydrochloride) Smithkline Beecham Thorazine 4.77

100 mg tablet (as hydrochloride) Pharm Asia, Inc. Psynor 100 4.00

Doctors Pharm'l., Inc. Proma Tablet 4.91

Smithkline Beecham Thorazine 6.27

200 mg tablet (as hydrochloride) Pharm Asia, Inc. Psynor 200 7.50

Smithkline Beecham Thorazine 11.20

25 mg/mL, 1 mL ampul (as hydrochloride) Smithkline Beecham Thorazine 137.19

Fluphenazine 25 mg/ml, 10 mL vial (as decanoate) Pharm Asia, Inc. Phlufdek 1,477.25

Haloperidol 500 mcg tablet G.D. Searle Serenace 4.82

1.5 mg tablet G.D. Searle Serenace 5.44 5 mg tablet G.D. Searle Serenace 14.95 20 mg tablet G.D. Searle Serenace 29.58 5 mg/mL, 1 mL ampul G.D. Searle Serenace 84.96

50 mg/mL, 1 mL ampul (as decanoate) Faulding/DBL Products DBL-Haloperidol 120.00

Thioridazine 25 mg tablet (as hydrochloride) Novartis Melleril 7.98 50 mg tablet (as hydrochloride) Novartis Melleril 15.02 100 mg tablet (as hydrochloride) Novartis Melleril 24.50 2.0 DRUGS ACTING ON THE MUSCULO- SKELETAL SYSTEM AND JOINTS

2.1 NSAID's Ibuprofen 200 mg tab Doctors Pharm'l., Inc. Genselax 3.35

Lejal Laboratories, Inc. 3.50

Novartis Bu-Aid 3.76 400 mg tab DLI Generics 4.25

Unilab Skelan Forte <Biomedis> 6.45

Novartis Bu-Aid 7.91 100 mg/5 mL syrup, 30 mL Unilab Dolan FP <Pediatrica> 30.50 100 mg/5 mL syrup, 60 mL Unilab Dolan FP <Pediatrica> 40.80

Boots Company Nurofen 47.50

Naproxen 250 mg base (275 mg) tablet (as sodium salt) Unilab Reumax <Unilab

Generics> 5.10 Celecoxib 100 mg capsule Unilab Coxid <Biomedis> 20.13 G.D. Searle Celebrex 22.14 200 mg capsule Unilab Coxid <Biomedis> 33.26 G.D. Searle Celebrex 33.60

Diclofenac 25 mg tablet (as sodium or potassium salt) Cathay Denkoran 5.05

Novartis Cataflam 8.14 Novartis Voltaren 9.62

50 mg tablet (as sodium or potassium salt) DLI Generics 4.70

GX INTL., INC. Difenax 5.55

Unilab <Unilab Generics> 5.75 Fil-Adams Clofil Tab 6.02 Cathay Denkoran 7.10

Unilab Arthrifen <Therapharma> 8.05

Cathay Doloflam 9.20

Unilab Neo-pyrazon 50mg Enteric Coated Tablet <UAP>

12.05

Novartis Cataflam 14.22 Novartis Voltaren 15.75

75 mg SR capsule (as sodium or potassium salt) Novartis Voltaren 22.16

100 mg SR tablet (as sodium or potassium salt) Cathay Indocid 8.45

Cathay Denkoran 13.50

Unilab Arthrifen-SR 100 mg Diffucaps <Therapharma>

15.05

Unilab Neo-pyrazon <UAP> 18.78 Novartis Voltaren 29.80 Indometacin 25 mg capsule Mefenamic acid 250 mg capsule DLI Generics 2.50

Doctors Pharm'l., Inc. Isagesic 3.99

500 mg tablet DLI Generics 3.00

Pharex Pharex Mefenamic Acid 500 Tabs 4.92

Unilab <Unilab Generics> 4.95 Fil-Adams Afligec Tablet 5.91 2.2 SKELETAL MUSCLE RELAXANTS 2.2.1 SPASMOLYTICS Baclofen 10 mg tablet Novartis Lioresal 18.41 2.2.2 NEUROMUSCULAR BLOCKERS 2.2.2.1 DEPOLARIZING Suxamethonium (succinylcholine) 20 mg/mL, 10 mL vial (IV) (as chloride) Glaxo Wellcome Anectine 170.00

Abbott Quelicin 171.88

2.2.2.2

Atracurium 10 mg/mL, 2.5 mL ampul (as besilate) Faulding/DBL Products DBL-Atracurium 25mg/2.5 ml 108.00

Glaxo Wellcome Tracrium 25mg/2.5ml Injection 175.00

Faulding/DBL Products DBL-Atracurium 50mg/5ml 220.00

2.3 ANTI-GOUT Allopurinol 100 mg tablet DLI Generics 3.00

DLI Generics 3.00

Doctors Pharm'l., Inc. 3.95

Filadams Synol Tab 4.30 Unilab Llanol <Therapharma> 5.72

Unilab Purinase <L.R. Imperial> 5.72

Glaxo Wellcome Zyloprim 6.09

100 mg capsule DLI Generics 6.25

300 mg tablet Cygnet Novo/Canada-Lopurine-Allopurinol 13.33

Unilab Llanol <Therapharma> 16.45

Unilab Purinase <L.R. Imperial> 16.45

Glaxo Wellcome Zyloprim 17.50 Indometacin 25 mg capsule Cathay Indocid 8.45 NSAID's (See 2.1) 2.4 SLOW ACTING (RHEUMATOID DISEASE MODIFYING) ANTI-INFLAMMATORY DRUGS

Azathioprine 50 mg tablet Marketlink Int'l. Corp. [Pharmachemie B.V.] 30.00

Glaxo Wellcome Imuran 35.00

50 mg vial Glaxo Wellcome Imuran 50 mg injection 2,000.00

Chloroquine 250 mg (150 mg base) tablet (as phosphate or diphosphate) Unilab <Unilab Generics> 1.90

50 mg/mL,20 mL vial (as phosphate or hydrochloride) Doctors Pharm'l., Inc. Clorkin 120.00

Ciclosporin 25 mg capsule Novartis Neoral 43.65 100 mg capsule Novartis Neoral 171.14

100 mg/mL solution, 50 mL Novartis Neoral 8,555.92

Cyclophosphamide 50 mg tablet (as anhydrous) Pharmacia & Upjohn Cyclophar 24.07

200 mg powder Pharmacia & Upjohn Cyclophar 219.25

500 mg powder Pharmacia & Upjohn Cyclophar 424.60

Methotrexate 25 mg/mL, 2 mL (as sodium salt) Faulding/DBL Products DBL-Methotrexate 50 mg/ml 252.00

Pharmacia & Upjohn 330.10

COMPANY BRAND NAME SRP 3.0 ANTI-INFECTIVES 3.1 ANTIBACTERIALS 3.1.1 AMINOGLYCOSIDES

Amikacin 50 mg/mL , 2 mL ampul (as sulfate) Unilab Pediakin 100 mg/2ml Solution for Inj <Pediatrica> 168.00

125 mg/mL, 2 mL ampu l(as sulfate) Unilab Pediakin 250 mg/2ml Solution for Inj <Pediatrica> 357.05

250 mg/mL , 2 mL ampul (as sulfate) Unilab Pediakin 500 mg/2ml Solution for Inj <Pediatrica> 576.30

Gentamicin 40 mg/mL, 1 mL ampul (as sulfate) Clinbaxy Gentamicin Sulfate 80mg/2ml Amp 11.35

Faulding/DBL Products DBL-Gentamycin 40 mg/ml 34.00

Novartis Servigenta 136.00 Unilab Garamycin <Biomedis> 161.12 3.1.2 CEPHALOSPORINS FIRST GENERATION Cefazolin 500 mg vial (as sodium salt) Unilab Stancef 500 mg Lyophilized

Pdr for Inj 155.00 Cefalexin 250 mg capsule (as monohydrate) Cygnet Lupin- Keff-Cefalexin 6.00 Pharex Pharex Cefalexin 250 caps 10.20 Unilab Lexum <Westmont> 11.50 Unilab Cefalin <Therapharma> 13.50 Novartis Servispor 14.68 Glaxo Wellcome Ceporex 15.23 Eli Lilly Keflex Pulvule 18.50 500 mg capsule (as monohydrate) DLI Generics 11.00 Cygnet Lupin-Keff-Cefalexin 12.37 Pharex Pharex Cefalexin 500 caps 16.00 GX INTL., INC. Forexine 18.22 Unilab Lexum <Westmont> 19.75

Cygnet Novo/Canada-Cromlex-Cefalexin 22.40

Unilab Cefalin <Therapharma> 23.45 Novartis Servispor 28.38 Glaxo Wellcome Ceporex 29.40 Eli Lilly Keflex Pulvule 33.95 1 g tablet (as monohydrate) Glaxo Wellcome Ceporex 52.50

100 mg/mL, granules, 10 mL (as monohydrate) drops Pharex Pharex Cefalexin 100 drops 58.00

Glaxo Wellcome Ceporex 107.00 Eli Lilly Keflex 124.00

100 mg/mL powder , 10 mL (as monohydrate) drops Unilab Lexum <Westmont> 75.95

Unilab Cefalin <Pediatrica> 89.25

125 mg/5 mL, powder 60 mL syrup (as monohydrate) Cygnet Lupin-Keff-Cefalexin 84.21

Unilab Lexum <Westmont> 111.50

125 mg/5 mL, granules, 60 mL suspension (as monohydrate) Cygnet Lupin-Keff-Cefalexin 84.21

Pharex Pharex Cefalexin 125 susp 88.00 GX INTL., INC. Forexine 99.00 Unilab Cefalin <Pediatrica> 118.70 Eli Lilly Keflex 197.75

250 mg/5 mL granules, 30 mL syrup (as monohydrate) Glaxo Wellcome Ceporex 147.00

250 mg/5 mL, powder, 30 mL syrup (as monohydrate) Unilab Lexum <Westmont> 110.30

250 mg/5 mL, powder 60 mL syrup (as monohydrate) Cygnet Lupin-Keff-Cefalexin 131.00

Unilab Lexum <Westmont> 177.45

250 mg/5 mL, granules, 30 mL suspension (as monohydrate) Eli Lilly Keflex DS susp. 179.50

250 mg/5 mL, granules, 60 mL suspension (as monohydrate) Cygnet Lupin-Keff-Cefalexin 131.00

Pharex Pharex Cefalexin 250 susp 148.00 GX INTL., INC. Forexine 150.7 Eli Lilly Keflex DS susp. 328.75

250 mg/5 mL, powder, 30 mL suspension (as monohydrate) Unilab Cefalin <Pediatrica> 122.70

250 mg/5 mL, powder 60 mL syrup (as monohydrate) Unilab Cefalin <Pediatrica> 197.05

SECOND GENERATION Cefoxitin 1g vial (as sodium salt) Cathay Mefoxin 542.00 Cefuroxime 125 mg tablet (as axetil) Glaxo Wellcome Zinacef 30.20 Glaxo Wellcome Zinnat 30.20 250 mg tablet (as axetil) Glaxo Wellcome Zinacef 57.00 Glaxo Wellcome Zinnat 57.00 500 mg tablet (as axetil) Glaxo Wellcome Zinacef 109.00 Glaxo Wellcome Zinnat 109.00

125 mg/5 mL granules for suspension (as axetil), 50 mL Glaxo Wellcome Zinacef 300.00

Glaxo Wellcome Zinnat 300.00

125 mg/5 mL granules for suspension (as axetil), 70 mL Glaxo Wellcome Zinacef 395.00

Glaxo Wellcome Zinnat 395.00 250 mg vial (as sodium salt) Pharm Asia, Inc. Kefox 250 159.00 Glaxo Wellcome Zinacef 250mg Injection 163.00 Glaxo Wellcome Zinnat 250mg Injection 163.00 750 mg vial (as sodium salt) Glaxo Wellcome Zinacef 750mg Injection 335.00 Glaxo Wellcome Zinnat 750mg Injection 335.00 Pharm Asia, Inc. Kefox 750 380.00 Eli Lilly Lifurox 432.35

1.5 g vial (as sodium salt) Glaxo Wellcome Zinacef 1.5g EC Pack (plus diluent) 668.00

THIRD GENERATION Ceftazidime 250 mg vial (as pentahydrate) Glaxo Wellcome Fortum 250 mg Injection 295.00 500 mg vial (as pentahydrate) Glaxo Wellcome Fortum 500mg Injection 505.00 1 g vial vial (as pentahydrate) Glaxo Wellcome Fortum 1g Injection 900.00

2 g vial vial (as pentahydrate) Glaxo Wellcome Fortum 2g EC Pack (plus diluent)

1,550.00

Ceftriaxone 250 mg vial + 5 mL diluent (IV) (as disodium salt) Cygnet Lupin-Ceftin-Ceftriaxone

Sodium 240.00

500 mg vial + 5 mL diluent (IV) (as disodium salt) Cygnet Lupin-Ceftin-Ceftriaxone

Sodium 412.50

1 g vial + 10 mL diluent (IV) (as disodium salt) Cygnet Lupin-Ceftin-Ceftriaxone

Sodium 727.50 Cefixime 100 mg capsule Unilab Tergecef <Medichem> 54.60 Unilab Zefral <UAP> 54.60 200 mg capsule Unilab Tergecef <Medichem> 82.55 Unilab Zefral <UAP> 82.55

20 mg/mL granules for drops (suspension), 10 mL Unilab Tergecef <Medichem> 166.45

Unilab Ultrxime <Pediatrica> 166.45 Unilab Zefral <UAP> 166.45 100 mg/5mL granles for suspension, 30 mL Unilab Tergecef <Medichem> 391.75 Unilab Ultrxime <Pediatrica> 391.75 Unilab Zefral <UAP> 391.75 100 mg/5mL granles for suspension, 60 mL Unilab Tergecef <Medichem> 550.75 Unilab Ultrxime <Pediatrica> 550.75 Unilab Zefral <UAP> 550.75

50 mg/g fine granules for suspension, 1 g sachet Unilab Ultrxime <Pediatrica> 37.09

Unilab Zefral <UAP> 37.09 Unilab Tergecef <Medichem> 39.00 3.1.3 CHLORAMPHENICOL 250 mg capsule Unilab <Unilab Generics> 5.05

Doctors Pharm'l., Inc. Venimicetin 6.03

Unilab Neophenicol <Unilab Generics> 8.50

Unilab Chloramol<Biomedis> 9.77 Pharmacia & Upjohn Kemicetine 17.95 500 mg capsule DLI Generics 5.50

Pharex Pharex Chloramphenicol 500 caps 8.90

Lejal Laboratories, Inc. 10.43

Unilab Chloramol <Biomedis> 17.90 Pharmacia & Upjohn Kemicetine 34.93

125 mg/5mL suspension, 30 mL (as palmitate) Unilab Neophenicol <Unilab

Generics> 90.60

Unilab Chloramol <Biomedis> 103.00 Pharmacia & Upjohn Kemicetine Palmitate 192.70

125 mg/5mL suspension, 60 mL (as palmitate) DLI Generics 63.00

Pharex Pharex Chloramphenicol 125 Susp 70.00

Unilab <Unilab Generics> 70.00

Lejal Laboratories, Inc. 83.35

Unilab Neophenicol <Unilab Generics> 129.10

Unilab Chloramol <Biomedis> 153.00 Unilab Pediachlor <Pediatrica> 175.00 Pharmacia & Upjohn Kemicetine Palmitate 345.85 1 g vial (as sodium succinate) Clinbaxy 30.25 Pharmacia & Upjohn Kemicetine Palmitate 281.15 3.1.4 GLYCOPEPTIDE Vancomycin 500 mg vial (as hydrochloride) Faulding/DBL

Products DBL-Vancomycin 500 mg 500.00

Eli Lilly Vancocin 1,502.53

3.1.5 LINCOSAMIDE Clindamycin 150 mg capsule (as hydrochloride) Pharmacia & Upjohn Dalacin C 36.71 300 mg capsule (as hydrochloride) Pharmacia & Upjohn Dalacin C 57.17

75 mg/5 mL granules for suspension (as palmitate hydrochloride) 60 mL Pharmacia & Upjohn Dalacin C 278.50

150 mg/mL (as phosphate), 4 mL Pharmacia & Upjohn Dalacin C 951.70 3.1.6 MACROLIDES Erythromycin 250 mg base tablet/capsule (B) Unilab <Unilab Generics> 6.80 250 mg tablet (as stearate) Pharex Pharex Erythromycin 250

Tabs 7.10

Novartis Servitrocin 10.05 Unilab Erycin <Biomedis> 10.85 Abbott Erythrocin 13.85

500 mg tablet (as stearate) Pharex Pharex Erythromycin 500 Tabs 12.48

Novartis Servitrocin 17.74

200 mg/5 mL granules for suspension, 60 mL (as ethyl succinate) Unilab <Unilab Generics> 95.00

Unilab Ethiocin <Medichem> 136.95 Abbott Erythrocin Grans. 171.06

200 mg/5 mL powder for suspension, 60 mL (as ethyl succinate) Pharex

Pharex Erythromycin 200mg/5ml Powder for Suspension

99.00

Unilab Erycin <Biomedis> 160.00

400 mg/5 mL granules for suspension, 50 mL (as ethyl succinate) Abbott Erythrocin DS 247.12

500 mg vial (as lactobionate) Abbott 471.38 Clarithromycin 250 mg base tablet Abbott Klaricid 79.52 500 mg base tablet Abbott Klaricid 159.13

125 mg/5 mL granules/powder for suspension, 25 mL Abbott Klaricid Pediatric 253.26

125 mg/5 mL granules/powder for suspension, 50 mL Abbott Klaricid Pediatric 466.02

3.1.7 NITROIMIDAZOLE Metronidazole 250 mg tablet G.D. Searle Anerobia 11.26 500 mg tablet Pharex Pharex Metronidazole 500

tabs 8.30

Novartis Servizol 16.56 G.D. Searle Anerobia 16.68

125 mg base/5 mL (200 mg/5 mL as benzoate) suspension, 30 mL G.D. Searle Anerobia 50.22

125 mg base/5 mL (200 mg/5 mL as benzoate) suspension, 60 mL Pharex Pharex Metronidazole 125

susp 60.00

G.D. Searle Anerobia 96.80 Novartis Servizol 106.42 5 mg/mL, 100 mL vial Abbott 91.11 Novartis Servizol 260.15 G.D. Searle Anerobia 271.70

COMPANY BRAND NAME SRP 3.1.8 PENICILLINS Amoxicillin 250 mg capsule (as trihydrate) DLI Generics 3.75 Pharex Pharex Amoxicillin 250 caps 4.25 Unilab Sumoxil <Medichem> 5.87 Unilab <Unilab Generics> 6.00 Cathay Curamox 6.16 Glaxo Wellcome Glamox 6.55

Filadams Bactigent 6.99

Doctors Pharm'l., Inc. Pharmamox 7.17

Unilab Himox <Westmont> 7.62 Unilab Moxicillin <UAP> 7.65

SMITHKLINE BEECHAM Amoxil 8.34

Novartis Servimox 8.40 Wyeth Phils., Inc. Wyamox 10.64 500 mg capsule (as trihydrate) Cathay Curamox 9.96 DLI Generics 6.00

Doctors Pharm'l., Inc. Pharmamox 13.04

Filadams Bactigent 11.82 Glaxo Wellcome Glamox 12.15 GX INTL., INC. Globapen 10.12 Novartis Servimox 14.90 Pharex Pharex Amoxicillin 500 caps 6.75

Smithkline Beecham Amoxil 14.82

Unilab <Unilab Generics> 9.95 Unilab Himox<Westmont> 13.30 Unilab Moxicillin <UAP> 13.30 Unilab Sumoxil <Medichem> 10.24 Wyeth Phils., Inc. Wyamox 19.88

100 mg/mL granules/powder fordrops (suspension), 10 mL (as trihydrate) Pharex Pharex Amoxicillin 100 drops 45.00

Unilab Sumoxil <Medichem> 45.96 Unilab Pediamox <Pediatrica> 64.95 Unilab Himox <Westmont> 68.00 Unilab Moxicillin <UAP> 68.25 Novartis Servimox 68.80

100 mg/mL granules/powder fordrops (suspension), 15 mL (as trihydrate) GX INTL., INC. Globapen 53.90

Glaxo Wellcome Glamox 125mg/1.25ml Infant Drops 66.00

Wyeth Phils., Inc. Wyamox 103.42

125 mg/5 mL granules/powder for suspension, 30 mL (as trihydrate) Unilab Sumoxil <Medichem> 30.20

Doctors Pharm'l., Inc. Pharmamox 43.00

Unilab <Unilab Generics> 43.00 Unilab Himox <Westmont> 49.50

Unilab Moxicillin <UAP> 49.50

Smithkline Beecham Amoxil 51.81

Wyeth Phils., Inc. Wyamox 55.97

125 mg/5 mL granules/powder for suspension, 60 mL (as trihydrate) DLI Generics 45.00

Unilab Sumoxil <Medichem> 49.80 Pharex Pharex Amoxicillin 125 Susp 50.00 GX INTL., INC. Globapen 60.10 Unilab <Unilab Generics> 63.00

Doctors Pharm'l., Inc. Pharmamox 70.00

Filadams Bactigent 75.25 Unilab Himox <Westmont> 83.00 Unilab Moxicillin <UAP> 83.00 Novartis Servimox 83.85

Smithkline Beecham Amoxil 86.71

250 mg/5 mL granules/powder for suspension, 30 mL (as trihydrate)

Doctors Pharm'l., Inc. Pharmamox DS 62.00

Smithkline Beecham Amoxil 77.15

Unilab <Unilab Generics> 63.00 Unilab Himox <Westmont> 73.00 Unilab Moxicillin <UAP> 73.00 Unilab Pediamox <Pediatrica> 69.35 Wyeth Phils., Inc. Wyamox 81.74

250 mg/5 mL granules/powder for suspension, 60 mL (as trihydrate) Unilab Sumoxil <Medichem> 71.85

GX INTL., INC. Globapen 72.60 Pharex Pharex Amoxicillin 250 Susp 75.00 Filadams Bactigent Sus 96.75

Doctors Pharm'l., Inc. Pharmamox DS 100.00

Unilab Pediamox <Pediatrica> 114.00 Unilab Moxicillin <UAP> 119.75 Unilab Himox <Westmont> 120.00 Novartis Servimox 121.48

Smithkline Beecham Amoxil 126.67

Ampicillin 250 mg vial (as sodium salt) Paren-Pharma 15.00 Clinbaxy 19.50 Cathay 38.50

Unilab Ampedia 250 mg Pdr for inj 55.15 Unilab Ampicin <Westmont> 63.10

Unilab Pensyn 250 mg Pdr for Inj <Biomedis> 66.50

Novartis Excillin 67.41 500 mg vial (as sodium salt) Paren-Pharma 19.00 Clinbaxy 20.50 DLI Generics 35.00 Cathay 55.00 Novartis Excillin 93.42 Unilab Ampicin <Westmont> 104.75

Unilab Pensyn 500 mg Pdr for Inj <Biomedis> 110.25

1 g vial (as sodium salt) Paren-Pharma 33.00 Novartis Excillin 121.15 Cloxacillin 250 mg capsule (as sodium salt) Pharex Pharex Cloxacillin 250 Caps 10.44 500 mg capsule (as sodium salt) Pharex Pharex Cloxacillin 500 Caps 16.00 500 mg vial (IM, IV) ( as sodium salt) Paren-Pharma 19.00 Clinbaxy 31.30

125 mg/5 mL powder for suspension (as sodium salt)

Lejal Laboratories, Inc. 122.22

Oxacillin 250 mg vial (as sodium salt) Cathay 83.00 500 mg vial (as sodium salt) Cathay 147.00 Penicillin G Benzathine (benzathine benzylpenicillin)

1,200,000 units vial (LA) (IM) Paren-Pharma 28.00

Cathay 110.00 Wyeth Phils., Inc. Penadur 153.63 2,400,000 units vial (LA) (IM) Paren-Pharma 35.00 Cathay 182.00 Wyeth Phils., Inc. Penadur 210.00 Penicillin G Crystalline (benzylpenicillin) 1,000,000 units vial (IM, IV) (as sodium salt) Paren-Pharma 16.00

Cathay 18.75 5,000,000 units vial (IM, IV) (as sodium salt) Paren-Pharma 38.00 Cathay 60.00 Co-amoxiclav (amoxicillin +potassium clavulanate)

250 mg amoxicillin (as trihydrate) + 125 mg potassium clavulanate per tablet

Smithkline Beecham Augmentin 59.62

500 mg amoxicillin (as trihydrate) + 125 mg potassium clavulanate per tablet

Smithkline Beecham Augmentin 80.50

Piperacillin + Tazobactam 2 g piperacillin + 250 mg tazobactam per vial Wyeth Phils., Inc. Tazocin 917.04

4 g piperacillin + 500 mg tazobactam per vial Wyeth Phils., Inc. Tazocin 1,595.00

3.1.9 Quinolones Fluorinated Ciprofloxacin 250 mg tablet (as hydrochloride) Bayer Ciprobay 48.00 500 mg tablet (as hydrochloride) Bayer Ciprobay 69.00 2 mg/mL, 50 mL vial (as lactate) Bayer Ciprobay 1,034.00

2 mg/mL, 100 mL vial (as lactate) Bayer Ciprobay 1,132.13

Ofloxacin 200 mg tablet Unilab Qinolon <UAP> 39.90 Unilab Inoflox <Biomedis> 42.00 400 mg tablet Unilab Qinolon <UAP> 56.35 Unilab Inflox <Biomedis> 58.00 2 mg/mL, 100 mL vial Unilab Inoflox <Biomedis> 1,200.00

Unilab Qinolon <UAP> 1,200.00

3.1.10 SULFONAMIDE Cotrimoxazole (sulfamethoxazole + trimethoprim)

400 mg sulfamethoxazole + 80 mg trimethoprim per tablet DLI Generics 4.00

GX INTL., INC. Globaxol 6.05 Filadams Syltrifil Tab 6.24

Lejal Laboratories, Inc. 6.38

Pharex Pharex Cotrimoxazole 80/400 7.50

Doctors Pharm'l., Inc. Doctrimox 9.38

Unilab Microbid <UAP> 9.90 Glaxo Wellcome Septrin 14.05

800 mg sulfamethoxazole + 160 mg trimethoprim per tablet GX INTL., INC. Globaxol Forte 11.00

Pharex Pharex Cotrimoxazole 160/800 13.62

Glaxo Wellcome Septrin Forte 24.60 Novartis Servitrim 24.83

800 mg sulfamethoxazole + 160 mg trimethoprim per tablet Unilab <Unilab Generics> 17.05

Unilab Microbid-DS <UAP> 17.50 Unilab Bacidal-DS <Adenphar> 20.00

200 mg sulfamethoxazole + 40 mg trimethoprim per 5 mL suspension, 30 mL Unilab Microbid <UAP> 63.45

Glaxo Wellcome Septrin Pediatric Suspension 79.00 Unilab Bacidal <Adenphar> 104.90

200 mg sulfamethoxazole + 40 mg trimethoprim per 5 mL suspension, 60 mL DLI Generics 56.00

GX INTL., INC. Globaxol 78.65 Pharex Pharex Cotrimoxazole 40/200 79.00

Doctors Pharm'l., Inc. Doctrimox 85.00

Unilab Microbid <UAP> 86.25 Filadams Syltrifil Susp. 91.38 Unilab Bacidal <Adenphar> 144.75

400 mg sulfamethoxazole + 80 mg trimethoprim per 5 mL suspension, 30 mL Unilab Trizole <Pediatrica> 134.00

400 mg sulfamethoxazole + 80 mg trimethoprim per 5 mL suspension, 60 mL

Lejal Laboratories, Inc. 77.05

Unilab <Unilab Generics> 110.00 Unilab Trizole <Pediatrica> 195.00

400 mg sulfamethoxazole + 80 mg trimethoprim, 5 mL ampul Glaxo Wellcome Septrin 400/80mg Solution for

Infusion 125.00

3.1.11 TETRACYCLINES Doxycycline 100 mg capsule (as hyclate) Novartis Servidoxyne 31.93 Unilab Doxin <Therapharma> 47.40 Tetracycline 250 mg capsule Unilab <Unilab Generics> 2.70 Unilab Unimycin <UAP> 3.45 500 mg capsule Unilab <Unilab Generics> 4.80 Unilab Unimycin <UAP> 5.98 3.1.12 ANTI-H.PYLORI Amoxicillin 250 mg capsule (as trihydrate) Wyeth Phils., Inc. Wyamox 10.64 DLI Generics 3.75 Pharex Pharex Amoxicillin 250 caps 4.25 Unilab Sumoxil <Medichem> 5.87 Unilab <Unilab Generics> 6.00

Lejal Laboratories, Inc. 6.06

Glaxo Wellcome Glamox 6.55 Filadams Bactigent 6.99

Doctors Pharm'l., Inc. Pharmamox 7.17

Unilab Himox <Westmont> 7.62 Unilab Moxicillin <UAP> 7.65

Smithkline Beecham Amoxil 8.34

Novartis Servimox 8.40 500 mg capsule (as trihydrate) DLI Generics 6.00 Pharex Pharex Amoxicillin 500 caps 6.75

Lejal Laboratories, Inc. 9.87

Unilab <Unilab Generics> 9.95 GX INTL., INC. Globapen 10.12 Unilab Sumoxil <Medichem> 10.24 Filadams Bactigent 11.82 Glaxo Wellcome Glamox 12.15

Doctors Pharm'l., Inc. Pharmamox 13.04

Unilab Himox<Westmont> 13.30 Unilab Moxicillin <UAP> 13.30

Smithkline Beecham Amoxil 14.82

Novartis Servimox 14.90 Wyeth Phils., Inc. Wyamox 19.88

100 mg/mL powder for drops (suspension), 10 mL

Lejal Laboratories, Inc. 60.00

125 mg/5 mL granules/powder for suspension, 60 mL (as trihydrate)

Lejal Laboratories, Inc. 96.55

250 mg/5 mL granules/powder for suspension, 60 mL (as trihydrate) Unilab Sumoxil <Medichem> 71.85

Pharex Pharex Amoxicillin 250 Susp 75.00 Filadams Bactigent Sus 96.75

Doctors Pharm'l., Inc. Pharmamox DS 100.00

Unilab Pediamox <Pediatrica> 114.00 Unilab Moxicillin <UAP> 119.75 Unilab Himox <Westmont> 120.00 Novartis Servimox 121.48

Lejal Laboratories, Inc. 123.95

SmithKline Beecham Amoxil 126.67

Clarithromycin 250 mg base tablet Abbott Klaricid 79.52 500 mg base tablet Abbott Klaricid 159.13

125 mg/5 mL granules/powder for suspension, 25 ml Abbott Klaricid Pediatric 253.26

125 mg/5 mL granules/powder for suspension, 50 ml Abbott Klaricid Pediatric 466.02

Metronidazole 250 mg tablet G.D. Searle Anerobia 11.26 500 mg tablet Pharex Pharex Metronidazole 500

tabs 8.30

Novartis Servizol 16.56 G.D. Searle Anerobia 16.68

125 mg base/5 mL (200 mg/5 mL as benzoate) suspension, 30 mL G.D. Searle Anerobia 50.22

125 mg base/5 mL (200 mg/5 mL as benzoate) suspension, 60 mL Pharex Pharex Metronidazole 125

susp 60.00

G.D. Searle Anerobia 96.80 Novartis Servizol 106.42

COMPANY BRAND NAME SRP 3.1.13 ANTI-LEPROSY DRUGS Rifampicin 300 mg tablet Unilab <Unilab Generics> 13.00 Unilab Ramicin <Westmont> 13.85

Doctors Pharm'l., Inc. Dipicin 15.20

450 mg tablet Filadams Flemodam Tab 17.20 Unilab <Unilab Generics> 17.75 Unilab Ramicin <Westmont> 19.39

Doctors Pharm'l., Inc. Dipicin 21.80

Novartis Rimactane 57.04 600 mg tablet Unilab Ramicin <Westmont> 24.99 Novartis Rimactane 36.48 150 mg capsule Novartis Rimactane 11.02 300 mg capsule Unilab Medifam <Medichem> 13.80 Glaxo Wellcome Rifadin 16.83 Novartis Rimactane 21.11 450 mg capsule Pharex Pharex Rifampicin Cap 13.00 DLI Generics 15.00 Unilab Medifam <Medichem> 19.40

Lejal Laboratories, Inc. 21.40

Glaxo Wellcome Rifadin 24.00 600 mg capsule Unilab Medifam <Medichem> 25.00 Glaxo Wellcome Rifadin 30.17 100 mg/ 5 ml suspension 60 ml DLI Generics 75.00

Doctors Pharm'l., Inc. Dipicin 85.00

Pharex Pharex Rifampicin 100mg 85.00 Filadams Flemodam Sus 91.38

100 mg/ 5 ml suspension 120 ml Doctors Pharm'l., Inc. Dipicin 160.00

200 mg/ 5ml suspension 60 ml Pascual Labs., Inc. Ricyn 175.00

200 mg/ 5ml suspension 120 ml Pascual Labs., Inc. Ricyn 300.00

Minocycline 50 mg capsule Wyeth Phils., Inc. Minocin 29.00 100 mg capsule Wyeth Phils., Inc. Minocin 43.28

3.1.14 ANTI-TUBERCULOSIS DRUGS

Ethambutol 200 mg tablet (as hydrochloride) Doctors Pharm'l., Inc. Triambutol 2.37

400 mg tablet (as hydrochloride) Cygnet Lupin-Ethambutol 3.50 Pharex Pharex Ethambutol 400 mg 4.00

Doctors Pharm'l., Inc. 4.81

Unilab Odetol <Medichem> 7.40 Isoniazid 100 mg tablet Unilab <Unilab Generics> 0.40 Lejal Laboratories,

Inc. 0.90

300 mg tablet Lejal Laboratories 1.67 400 mg tablet Pharex Pharex INH 400mg 1.35

Doctors Pharm'l., Inc. Zidrid 1.42

100 mg/5 mL syrup, 60 mL Cygnet Lupin-Pyrazinamide 4.80 Pyrazinamide 500 mg tablet Pharex Pharex PZA 500 mg 3.40 Doctors Pharm'l.,

Inc. Dipimide 3.63

Unilab Pyzamed<Medichem> 3.75 Unilab <Unilab Generics> 3.80 Novartis PZA-Ciba 5.96

Lejal Laboratories, Inc. 6.10

DLI Generics 45.00 250 mg/5 mL suspension, 60 mL Novartis PZA-Ciba 71.11 250 mg/5 mL suspension, 120 mL Novartis PZA-Ciba 130.94 Streptomycin 1 g vial (IM) (as sulfate) Paren-Pharma 14.00 Cathay 23.50 Isoniazid + Rifampicin 150 mg + 300 mg tablet Doctors Pharm'l.,

Inc. Dipicin-INH 18.20

Glaxo Wellcome Rifinah 22.00 Novartis Rimactazid 300 27.52 Isoniazid + Rifampicin + Pyrazinamide 150 mg + 150 mg + 500 mg tablet Unilab Pyrina <Westmont> 9.36

Ofloxacin 200 mg tablet Unilab Qinolon <UAP> 39.90 Unilab Inoflox <Biomedis> 42.00 400 mg tablet Unilab Qinolon <UAP> 56.35 Unilab Inflox <Biomedis> 58.00 2 mg/mL, 100 mL vial Unilab Inoflox <Biomedis> 1,200.00 Unilab Qinolon <UAP> 1,200.00 3.1.15 URINARY ANTISEPTICS

Norfloxacin 200 mg tablet Pharex Pharex Norfloxacin 200 Tabs 17.76 400 mg tablet Pharex Pharex Norfloxacin 400 Tabs 24.48 Unilab Uritracin <Therapharma> 39.90 3.2 ANTIFUNGALS Griseofulvin (2) 125 mg tablet (microsize) Glaxo Wellcome Grisovin-FP 7.15 500 mg tablet (microsize) Glaxo Wellcome Grisovin-FP 25.76 3.3 ANTIPARASITICS 3.3.1 ANTHELMINTICS 3.3.1.1 FOR COMMON ROUNDWORM INFECTIONS

Albendazole 400 mg chewable tablet Cygnet Kopran -Fruticil-D799 Albendazole 12.50

SmithKline Beecham Zentel 23.10

Mebendazole 100 mg tablet Lejal Laboratories, Inc. 2.01

100 mg/5 mL suspension, 30 mL Lejal Laboratories, Inc. 23.55

3.3.2 ANTIPROTOZOALS 3.3.2.1 AMEBECIDES Diloxanide 500 mg tablet (as furoate) Boots Company Furamide 8.08 125 mg/5 mL syrup, 60 mL (as furoate) Boots Company Furamide 83.00 Metronidazole 250 mg tablet G.D. Searle Anerobia 11.26 500 mg tablet Pharex Pharex Metronidazole 500 tabs 8.30 Novartis Servizol 16.56 G.D. Searle Anerobia 16.68

125 mg base/5 mL (200 mg/5 mL as benzoate) suspension, 30 mL G.D. Searle Anerobia 50.22

125 mg base/5 mL (200 mg/5 mL as benzoate) suspension, 60 mL Pharex Pharex Metronidazole 125 susp 60.00

G.D. Searle Anerobia 96.80 Novartis Servizol 106.42

Chloroquine 50 mg/mL, 20 mL vial (as phosphate or hydrochloride)

Doctors Pharm'l., Inc. Clorkin 120.00

3.3.2.2 ANTIMALARIALS

Chloroquine 250 mg (150 mg base) tablet (as phosphate or diphosphate) Unilab <Unilab Generics> 1.90

50 mg/mL,20 mL vial (as phosphate or hydrochloride)

Doctors Pharm'l., Inc. Clorkin 120.00

Sulfadoxine + Pyrimethamine

500 mg sulfadoxine + 25mg pyrimethamine per tablet

Lejal Laboratories, Inc. 10.70

3.4 ANTIVIRALS Aciclovir 200 mg tablet Cathay Acevir 45.00 Cygnet Cox/U.K. England-Viralex- 47.25

Aciclovir

Pharm Asia, Inc. 51.00 Glaxo Wellcome Zovirax 66.16 400 mg tablet Cathay Acevir 75.00

Cygnet Cox/U.K. England-Viralex DS-Aciclovir 75.96

Pharm Asia, Inc. 82.50 Glaxo Wellcome Zovirax 106.36 800 mg tablet Pharm Asia, Inc. 97.50 Glaxo Wellcome Zovirax 177.91

25 mg/mL, 10 mL vial Faulding/DBL Products DBL-Acyclovir 250mg/10ml 660.00

25 mg/mL, 20 mL vial Faulding/DBL Products DBL-Aciclovir 500 mg/20ml 1,100.00

Lamivudine 100 mg tablet Glaxo Wellcome Zeffix 135.00 Valaciclovir 500 mg tablet Glaxo Wellcome Valtarex 90.20 Zidovudine 100 mg capsule Glaxo Wellcome Retrovir 100mg Capsule 44.88 4.0 IMMUNOLOGICALS 4.1 DIAGNOSTIC AGENT Tuberculin, Purified Protein Derivative (PPD) powder, 2 TU with 5 mL diluent (ID) Marketlink Int'l.

Corp. Biocinetest PPD 120.00

4.2 VACCINES Diptheria-Tetanus Toxoids and Pertussis Vaccine (DPT)

0.5 mL pre-filled syringe (IM) Marketlink Int'l. Corp. Accelluvax DTP [Chiron S.p.A] 780.00

0.5 mL vial Marketlink Int'l. Corp.

Dif-Tet-All (Pedia) [Chiron S.p.A] 31.20

Dif-Tet-All (Pedia) [Chiron S.p.A] (Adult) 33.60

Hepatitis B Vaccine (recombinant DNA)

10 mcg/0.5 mL monodose vial (IM) (pediatric)

SmithKline Beecham Engerix-B 307.04

Marketlink Int'l. Corp. [Boryung Biopharma] 420.00

20 mcg/mL monodose vial Marketlink Int'l. Corp. [Boryung Biopharma] 552.00

Live Attenuated Measles Vaccine monodose vial + 0.5 mL diluent (SC) SmithKline

Beecham Rimevax 69.00

Live Attenuated Rubella Vaccine monodose vial + 0.5 mL diluent (SC) Marketlink Int'l.

Corp. Gunevax [Chiron S.p.A] 121.00

SmithKline Beecham Ervevax 130.00

Tetanus Toxoid 0.5 mL ampul Marketlink Int'l. Corp. Anetetall [Chiron S.p.A] 30.00

DTP + Hepatitis B Vaccine 0.5 mL vial (IM, SC) SmithKline Beecham Tritanrix-HB 278.30

Influenza Polyvalent Vaccine 0.5 mL vial + pre-filled syringe diluent Marketlink Int'l.

Corp. Agrippal S1 [Chiron S.p.A] 648.00

Live Attenuated Measles,Mumps, and Rubella (MMR) Vaccine

monodose vial + 0.5 mL diluent (SC) SmithKline Beecham Priorix 360.00

Marketlink Int'l. Corp. Morupar [Chiron S.p.A] 378.00

Live Attenuated Varicella Vaccine

freeze-dried powder, 1,000 PFU (OKA strain varicella zoster virus) monodose vial + diluent (0.7 mL water for injection) ampul

SmithKline Beecham Varilrix 1,012.00

COMPANY BRAND NAME SRP

5.0 CARDIOVASCULAR DRUGS

5.1 CARDIOACTIVE AGENTS 5.1.1 INOTROPIC AGENTS 5.1.1.1 CARDIAC GLYCOSIDE Digoxin 250 mcg tablet Glaxo Wellcome Lanoxin 250mcg Tablet 2.75 50 mcg/mL elixir, 60 mL Glaxo Wellcome Lanoxin 50mcg/ml

Pediatric Elixir 60ml 440.00

250 mcg/mL, 2 mL ampul (IM, IV) Glaxo Wellcome Lanoxin 250mcg/ml Injection 103.40

5.1.1.2 ADRENERGIC AGENTS Dobutamine 12.5 mg/mL, 20 mL vial (IV) (as

hydrochloride) Abbott 617.79

250 mg vial (IV) (as hydrochloride) Faulding/DBL Products DBL-Dobutamine HCL 250.00

Eli Lilly Dobutrex (20 ml) 861.75 Dopamine 40 mg/mL, 5 mL vial/ampul (IV) (as

hydrochloride) Faulding/DBL Products

DBL-Dopamine 200mg/5ml 51.00

Cuvest Pharm. Docard 166.10 Abbott 174.51

200 mg/250 mL D5W (pre-mixed) (as HCl) Abbott 289.60

400 mg/250 mL D5W (pre-mixed) (as HCl) Abbott 476.80

5.1.2 ANTI-ANGINAL AGENTS 5.1.2.1 NITRATES

Glyceryl Trinitrate (nitroglycerin) 5 mg patch Novartis Transderm-Nitro 44.94

10 mg patch Novartis Transderm-Nitro 67.04 Isosorbide Dinitrate 5 mg tablet Wyeth Phils., Inc. Isordil 4.30 5.1.2.2 BETA ADRENOCEPTOR BLOCKERS

Atenolol (cardioselective/no ISA) 50 mg tablet Unilab <Unilab Generics> 7.40

Pharm Asia, Inc. 11.50 100 mg tablet Unilab <Unilab Generics> 12.21 Pharm Asia, Inc. 17.00 Metoprolol (cardioselective/no ISA) 50 mg tablet (as tartrate) GX INTL., INC. Neobloc 3.96

Cygnet Novo/Canada-Cygbloc-Metoprolol 5.25

Unilab Cardiosel <L.R. Imperial> 6.34

100 mg tablet (as tartrate) GX INTL., INC. Neobloc 6.38 Unilab Cardiosel <L.R. Imperial> 11.61 Propranolol cardioselective/no ISA) 40 mg tablet (as hydochloride) Novartis Servol 4.94

5.1.2.3 CALCIUM CHANNEL BLOCKERS

Diltiazem 30 mg tablet (as hydrochloride) Filadams Filazem 11.82 Unilab Zandil <Westmont> 12.60 60 mg tablet (as hydrochloride) Unilab Zandil <Westmont> 17.35 Novartis Servazen 21.33

90mg SR capsule (as hydrochloride) DLI Generics 11.20

Verapamil 40 mg tablet (as hydochloride) G.D. Searle Isoptin 15.83 80 mg tablet (as hydochloride) G.D. Searle Isoptin 21.88 5.1.3 ANTI-ARRYTHMIC AGENTS

Propranolol (cardioselective/no ISA) 40 mg tablet (as hydochloride) Novartis Servol 4.94

Verapamil 40 mg tablet (as hydochloride) G.D. Searle Isoptin 15.83 80 mg tablet (as hydochloride) G.D. Searle Isoptin 21.88 180 mg SR tablet (as hydrochloride) G.D. Searle Isoptin 34.87 240 mg SR tablet (as hydrochoride) G.D. Searle Isoptin 46.02

2.5 mg/mL, 2 mL ampul (IM, IV) (as hydrochloride) G.D. Searle Isoptin 99.66

5.2 ANTI-HYPERTENSIVES 5.2.1 DIURETICS Spironolactone (K-sparer) 25 mg tablet G.D. Searle Aldactone 7.62 50 mg tablet G.D. Searle Aldactone 13.94 100 mg tablet G.D. Searle Aldactone 27.07 5.2.2 ANTI-ADRENERGICS 5.2.2.1 ADRENOCEPTOR BLOCKERS

5.2.2.1.1 ALPHA ADRENOCEPTOR BLOCKERS

Terazosin 1 mg tablet (as hydrochloride) Abbott Hytrin 31.50 2 mg tablet (as hydrochloride) Abbott Hytrin 44.96 5 mg tablet (as hydrochloride) Abbott Hytrin 79.21 5.2.2.1.2 BETA ADRENOCEPTOR BLOCKERS

Metoprolol (cardioselective/no ISA) 50 mg tablet (as tartrate) GX INTL., INC. Neobloc 3.96

Cygnet Novo/Canada-Cygbloc-Metoprolol 5.25

Unilab Cardiosel <L.R. Imperial> 6.34 100 mg tablet (as tartrate) GX INTL., INC. Neobloc 6.38 Propranolol cardioselective/no ISA) 40 mg tablet (as hydochloride) Novartis Servol 4.94

Other Beta Adrenoceptor Blockers (See 5.1.2.2)

5.2.2.2 ADRENERGIC NEURON BLOCKER

Reserpine 125 mcg tablet Unilab Rauverid <UAP> 2.08 5.2.2.3 CENTRALLY ACTING Methyldopa 125 mg tablet Cathay Aldomet 7.70 Unilab Meldopa <L.R.Imperial> 4.75 Unilab <Unilab Generics> 2.85 250 mg tablet Cathay Aldomet 11.44 Unilab Meldopa <L.R.Imperial> 6.85 Unilab <Unilab Generics> 4.40 5.2.3 CALCIUM CHANNEL BLOCKERS

Nifedipine 5 mg capsule GX INTL., INC. Normadil 5.22 Pharm Asia, Inc. 8.00 DLI Generics 9.00 Novartis Servidipine 9.46 Unilab Calcibloc <Therapharma> 10.20

Cygnet Cox/U.K. England-Calfed-Nifedipine 10.75

Bayer Adalat 14.20 10 mg capsule GX INTL., INC. Normadil 9.35 Novartis Servidipine 14.78 Pharm Asia, Inc. 11.00 Unilab Calcibloc <Therapharma> 14.60 Bayer Adalat 20.00

Cygnet Cox/U.K. England-Calfed DS-Nifedipine 15.25

DLI Generics 13.00 20 mg SR tablet Pharm Asia, Inc. 20.00 Bayer Adalat GITS 25.25 30 mg SR tablet Bayer Adalat GITS 32.65 Nicardipine 10 mg tablet (as hydochloride) Unilab Cardepine <L.R.Imperial> 9.00

20 mg tablet (as hydrochloride) Unilab Cardepine <L.R.Imperial> 12.55

40 mg SR capsule (as hydrochloride) Unilab Cardepine-SR 40 mg

Capsule <L.R.Imperial> 20.00

1 mg/mL, 2 mL ampul (as hydrochloride) Unilab Cardepine 2mg/2ml

Inj.<L.R.Imperial> 34.20

1 mg/mL ,10 mL ampul (as hydrochloride) Unilab Cardepine <L.R.Imperial> 37.87

Nimodipine 30 mg tablet Bayer Nimotop 23.45 Verapamil 40 mg tablet (as hydochloride) G.D. Searle Isoptin 15.83 80 mg tablet (as hydochloride) G.D. Searle Isoptin 21.88 180 mg SR tablet (as hydrochloride) G.D. Searle Isoptin 34.87 240 mg SR tablet (as hydrochoride) G.D. Searle Isoptin 46.02

2.5 mg/mL, 2 mL ampul (IM, IV) (as hydrochloride) G.D. Searle Isoptin 99.66

5.2.4 ANGIOTENSIN CONVERTING ENZYME INHIBITOR

Captopril 25 mg tablet Cygnet Novo/Canada-Typrilace-Captopril 12.40

5.3 DRUGS FOR BLOOD LIPID DISORDERS

Gemfibrozil 300 mg capsule GX INTL., INC. Reducel 11.28 5.4 ANTITHROMBOTICS (ANTIPLATELETS)

Aspirin 80 mg tablet Unilab Aspilets <L.R.Imperial> 1.10 Dipyridamole 25 mg tablet GX INTL., INC. Sanper 3.36 Unilab Prexin <L.R.Imperial> 3.65 G.D. Searle Ridamol 4.07 50 mg tablet GX INTL., INC. Sanper 4.95 Unilab Prexin <L.R.Imperial> 5.50 G.D. Searle Ridamol 6.02 5.5 THROMBOLYTIC (FIBRINOLYTIC)

Streptokinase 1,500,000 IU vial Marketlink Int'l. Corp. [Korea United Pharm, Inc.] 8,400.00

Pharmacia & Upjohn Kabikinase 9,525.60

5.6 DRUGS USED IN SHOCK

5.6.1 CARDIOGENIC/VASCULAR SHOCK

Dobutamine 250 mg vial (IV) (as hydrochloride) Faulding/DBL Products DBL-Dobutamine HCL 250.00

Eli Lilly Dobutrex (20ml) 861.75 Dopamine 40 mg/mL, 5 mL vial (as

hydrochloride) Faulding/DBL Products

DBL-Dopamine 200mg/5ml 51.00

Abbott 174.51

200 mg/250 mL D5W (pre-mixed) (as HCl) Abbott 289.60

400 mg/250 mL D5W (pre-mixed) (as HCl) Abbott 476.80

5.6.2 SEPTIC SHOCK ANTIMICROBIALS (see 3.0) 6.0 DIURETICS Furosemide 20 mg tablet (as Hydrochloride) Doctors Pharm'l.,

Inc. Flexamide 3.50

Unilab Frusema <L.R. Imperial> 4.25 40 mg tablet (as Hydrochloride) Unilab Frusema <L.R. Imperial> '7.50

10 mg/mL, 2 mL ampul Faulding/DBL Products DBL-Furosemide 24.80

Unilab Frusema <L.R. Imperial> 45.65 Mannitol 20%, 500 ml bottle Euromed 112.00

Sambong [Blumea balsamifera, L. DC (fam. Compositae)] 250 mg tablet Pharex Releaf 250 Tabs 2.20

Spironolactone (K-sparer) 25 mg tablet G.D. Searle Aldactone 7.62 50 mg tablet G.D. Searle Aldactone 13.94 100 mg tablet G.D. Searle Aldactone 27.07

COMPANY BRAND NAME SRP 7.0 RESPIRATORY DRUGS 7.1 ANTIASTHMA 7.1.1 RELIEVERS (quick relief/rescue medications

7.1.1.1 BRONCHODILATORS Salbutamol 2 mg tablet (as sulfate) DLI Generics 1.75

Lejal Laboratories, Inc. 1.94

Unilab Asmalin <UAP> 1.95 Cathay Broncaire 2.85 Unilab Librentin <Westmont> 2.90 GX INTL., INC. Ventar 3.19 Glaxo Wellcome Ventolin 3.72 2 mg/5 mL syrup, 60 mL (as sulfate) DLI Generics 42.00 Unilab Asmalin <UAP> 42.75

Lejal Laboratories, Inc. 51.90

GX INTL., INC. Ventar 58.96 Unilab Librentin <Westmont> 65.70 Glaxo Wellcome Ventolin 76.00 2 mg/5 mL syrup, 120 ml (as sulfate) Unilab Asmalin <UAP> 79.50 Glaxo Wellcome Ventolin 143.00

Dry Powder Inhaler (DPI): 200 mcg/dose (as sulfate) with appropriate accompanying dispenser

Glaxo Wellcome Ventolin 200mcg Rotacap 4.80

Glaxo Wellcome Ventolin 200mcg Rotadisk 33.33

Metered Dose Inhaler (MDI): 100 mcg/dose x 200 doses (as sulfate) Cathay Asmacaire

100mcg/actuation MDI 215.00

Unilab Librentin 100 mcg/Actuation MDI <Westmont>

218.35

Unilab Asmalin 100 mcg/Actuation MDI <UAP> 229.30

Novartis Rev-Air 258.00

Glaxo Wellcome Ventolin 100mcg Inhaler non-CFC 280.00

Marketlink Int'l. Corp.

Butovent [Chiesi Farmaceutica] 280.80

Resp. Soln.: (for nebulization) 1 mg/mL, 2.5 mL (unit dose) (as sulfate)

Pharmacia & Upjohn Salbutamol Sterinebs 17.60

Glaxo Wellcome Ventolin2.5mg/2.5ml Nebule 21.67

Resp. Soln.: (for nebulization) 5 mg/mL, 10 mL (multidose) (as sulfate) Glaxo Wellcome Ventolin Respirator 5mg/ml

Solution 180.00

Resp. Soln.: (for nebulization) 5 mg/mL, 20 mL (multidose) (as sulfate) Glaxo Wellcome Ventolin Respirator 5mg/ml

Solution 320.00

500 mcg/mL, 1 mL ampul (as sulfate) Glaxo Wellcome Ventolin 500mcg/ml Injection 62.00

Terbutaline 2.5 mg tablet (as sulfate) Fil-Adams Bronchodam Tab 2.53 Unilab Terbulin <Medichem> 4.85 1.5 mg/5 mL syrup, 60 mL (as sulfate) DLI Generics 47.50 Filadams Bronchodam 64.50 GX INTL., INC. Pulmoxcel 73.70 Unilab Terbulin <Medichem> 81.45

Resp. Soln.: (for nebulization) 2.5 mg/mL, 15 mL (multidose) (as sulfate) GX INTL., INC. Pulmoxcel 60.50

Resp. Soln.: (for nebulization) 2.5 mg/mL, 30 mL (multidose) (as sulfate) GX INTL., INC. Pulmoxcel 104.50

Theophylline (anhydrous) 150 mg tablet Unilab Phenedrine <Medichem> 4.10 25 mg/5 mL (26.7 mg/5 ml) syrup, 60

mL Unilab Brondil <UAP> 81.95

25 mg/5 mL (26.7 mg/5 ml) syrup, 120 mL Unilab Brondil <UAP> 97.65

7.1.1.2 CORTICOSTEROIDS Prednisolone 5 mg tablet Unilab <Unilab Generics> 2.20 Prednisone 5 mg tablet Organon Prednisone Organon Tab 2.68 Methylprednisolone 4 mg tablet Pharmacia &

Upjohn Medrol Tablet 11.93

16 mg tablet Pharmacia & Upjohn Medrol Tablet 49.50

40 mg/mL, 1 mL suspension vial (IM) (as depo methyl prednisolone acetate)

Pharmacia & Upjohn Depo-Medrol 255.80

powder, 500 mg, 7.7 mL vial (IV) + diluent vial (IV) (as sodium succinate)

Faulding/DBL Products DBL-Methylprednisolone 830.00

Pharmacia & Upjohn Solu-Medrol 2,649.75

powder, 1 g/16 mL vial + diluent vial (as sodium succinate)

Faulding/DBL Products DBL-Methylprednisolone 1,020.00

Pharmacia & Upjohn Solu-Medrol 3,844.25

7.1.2 CONTROLLERS (prophylactic/maintenance medications

7.1.2.1 BRONCHODILATORS Lagundi [Vitex negundo, L. (Fam. Verbenaceae)] 300 mg tablet Pharex Ascof 300 Tabs [Altermed] 1.80

600 mg tablet Pharex Ascof 600 Forte Tabs [Altermed] 2.92

Salbutamol 4 mg CR tablet (as sulfate) Glaxo Wellcome Ventolin Volmax 8.04 8 mg CR tablet (as sulfate) Glaxo Wellcome Ventolin Volmax 11.61

Salmeterol DPI:50 mcg/dose x 15 doses with appropriate accompanying dispenser (as xinafoate)

Glaxo Wellcome Serevent 50mcg Rotadisk 546.00

MDI: 25 mcg/dose x 60 doses (as xinafoate) Glaxo Wellcome Serevent 25mcg Inhaler

60D 470.00 7.1.2.2 CORTICOSTEROIDS Beclometasone MDI: 50 mcg/dose x 200 doses (as

dipropionate) Marketlink Int'l. Corp. Clenil [Chiesi Farmaceutici] 432.00

Glaxo Wellcome Becotide mcg inhaler 200D 455.00

MDI: 250 mcg/dose x 200 doses (as dipropionate) Glaxo Wellcome Becloforte 250 mcg Inhaler

200D 680.00

Marketlink Int'l. Corp. Clenil [Chiesi Farmaceutici] 720.00

Methylprednisolone 4 mg tablet Pharmacia & Upjohn Medrol Tablet 11.93

16 mg tablet Pharmacia & Upjohn Medrol Tablet 49.50

Prednisolone 5 mg tablet Unilab <Unilab Generics> 2.20 Prednisone 5 mg tablet Organon Prednisone Organon Tab 2.68 7.2 CENTRALLY ACTING ANTITUSSIVES

Butamirate 50 mg tablet (as citrate) Novartis Sinecod 7.15 7.5 mg/5 mL syrup, 60 mL (as citrate) Novartis Sinecod 64.50 7.5 mg/5 mL syrup, 120 mL (as citrate) Novartis Sinecod 107.50 Dextromethorphan 5 mg/5mL syrup, 60 mL (as

hydrobromide) Paren-Pharma Flemonex DXM syrup 56.00

10 mg tablet (as hydrobromide) Lejal Laboratories, Inc. 1.40

Unilab <Unilab Generics> 2.50 7.3 NASAL DECONGESTANTS (SYSTEMIC)

Phenylpropanolamine 6.25 mg/mL drops (solution), 10 mL (as hydrochloride) Unilab Disudrin <Pediatrica> 72.00

12.5 mg/5 mL syrup, 60 ml (as

hydrochloride) Unilab Disudrin <Pediatrica> 75.00 8.0 ANTI-ALLERGICS 8.1 H1 RECEPTOR ANTAGONISTS (ANTIHISTAMINES)

Chlorphenamine (Chlorpheniramine) 4 mg tablet (as maleate) Unilab <Unilab Generics> 1.20

Pharex Antamin 1.78 Unilab Cohistan <Biomedis> 6.00

Lejal Laboratories, Inc. 13.26

2mg/5mL syrup, 60 mL (as maleate) Unilab Cohistan <Biomedis> 90.00 10 mg/mL, 1 mL ampul Pharex Antamin 114.00 Diphenhydramine 12.5 mg/5mL syrup, 60 mL (as

hydrochloride) Lejal Laboratories, Inc. 38.60

Doctors Pharm'l., Inc. Tussicon 46.00

12.5 mg/5mL syrup, 120 mL (as hydrochloride)

Doctors Pharm'l., Inc. Tussicon 61.00

Hydroxyzine 10 mg tablet (as dihydrochloride) UCB Pharma Iterax 5.94 25 mg tablet (as dihydrochloride) UCB Pharma Iterax 8.75

2 mg/mL syrup, 60 mL (as dihydrochloride) UCB Pharma Iterax 118.80

Cetirizine 10 mg tablet (as dihydrochloride) UCB Pharma Zyrtec 25.30 Glaxo Wellcome Virlix 26.56

10 mg/mL drops, 10 mL (as dihydrochloride) UCB Pharma Zyrtec 236.50

Glaxo Wellcome Virlix 248.00

1mg/mL solution, 30 mL (as dihydrochloride) UCB Pharma Zyrtec 133.10

Glaxo Wellcome Virlix 140.00 Clemastine 1 mg tablet (as hydrogen fumarate) Novartis Tavegyl 15.35

500 mcg/5mL syrup, 60 mL (as hydrogen fumarate) Novartis Tavegyl 192.42

Meclozine (meclizine) 25 mg tablet (as hydrochloride) UCB Pharma Postadoxine 6.40 8.2 H2 RECEPTOR ANTAGONISTS

Cimetidine 200 mg tablet Unilab <Unilab Generics> 8.50 Doctors Pharm'l.,

Inc. Temaryl 9.08

Cathay Duogastril 10.50

SmithKline Beecham Tagamet 14.64

400 mg tablet Unilab <Unilab Generics> 12.00 Cathay Duogastril 19.95

SmithKline Beecham Tagamet 29.35

100 mg/5 mL liquid, 100 mL SmithKline Beecham Tagamet 204.40

100 mg/mL, 2 mL ampul Cathay Duogastril 67.00

SmithKline Beecham Tagamet 200 mg/2ml 92.80

150 mg/mL, 2 ml ampul SmithKline Beecham Tagamet 300 mg/2ml 125.74

Famotidine 20 mg tablet Unilab H2BLOC <Westmont> 21.50 40 mg tablet Unilab H2BLOC <Westmont> 41.20 Nizatidine 150 mg capsule Eli Lilly Axid Pulvule 32.90 300 mg capsule Eli Lilly Axid Pulvule 62.45 Ranitidine 150 mg tablet (as hydrochloride) Cygnet Novo/Canada-Cygran-

Ranitidine 19.80

Cathay Ulcin 22.93 Glaxo Wellcome Zantac 150mg Tablet 27.72 300 mg tablet (as hydrochloride) Cathay Ulcin 43.67 Glaxo Wellcome Zantac 300mg Tablet 53.03

150 mg dispersable/effervescent tablet (as hydrochloride) Glaxo Wellcome Zantac FR Effervescent

Tab 27.75

300 mg dispersable/effervescent tablet (as hydrochloride) Glaxo Wellcome Zantac FR Effervescent

Tab 53.08

25 mg/mL, 2 mL ampul Cathay Ulcin 86.70 Glaxo Wellcome Zantac 97.50 8.3 CORTICOSTEROIDS Hydrocortisone powder, 100 mg vial (as sodium

succinate) Pharmacia & Upjohn Solu-Cortef Inj. 208.80

powder, 250mg vial (as sodium succinate) Pharm Asia, Inc. Pharmacort 264.00

Pharmacia & Upjohn Solu-Cortef Inj. 381.60

powder, 500 mg vial (as sodium succinate)

Pharmacia & Upjohn Solu-Cortef Inj. 730.80

Prednisolone 5 mg tablet Unilab <Unilab Generics> 2.20 Prednisone 5 mg tablet Organon Prednisone Organon Tab 2.68 Methylprednisolone 4 mg tablet Pharmacia &

Upjohn Medrol Tablet 11.93

16 mg tablet Pharmacia & Upjohn Medrol Tablet 49.50

powder, 500 mg, 7.7 mL vial (IV) + diluent vial (IV) (as sodium succinate)

Pharmacia & Upjohn Solu-Medrol 2,649.75

powder, 1 g/16 mL vial + diluent vial (as sodium succinate)

Pharmacia & Upjohn Solu-Medrol 3,844.25

9.0 ANTINEOPLASTICS AND IMMUNOSUPPRESSANTS 9.1 CYTOTOXIC DRUGS 9.1.1 ALKYLATING AGENTS Cyclophosphamide 50 mg tablet (as anhydrous) Glaxo Wellcome Leukeran 2mg Tablet 21.20 Melphalan 2 mg tablet Glaxo Wellcome Alkeran 33.60 Busulfan 2 mg tablet Glaxo Wellcome Myleran 2mg Tablet 10.80

Dacarbazine powder, 200 mg vial Faulding/DBL Products DBL-Dacarbazine 1125.00

Epirubicin powder, 10 mg vial (as hydrochloride) Pharmacia & Upjohn Pharmorubicin 997.90

powder, 50 mg vial (as hydrochloride) Pharmacia & Upjohn Pharmorubicin 4,276.80

COMPANY BRAND NAME SRP 9.1.2 CYTOTOXIC ANTIBIOTICS Doxorubicin powder, 10 mg vial (as

hydrochloride) Faulding/DBL Products Doxorubicin 10mg/5ml 831.00

Pharmacia & Upjohn Adriblastina RD 859.30

powder, 50 mg vial (as hydrochloride)

Faulding/DBL Products

DBL-Doxorubicin 50mg/25ml 2,772.00

Pharmacia & Upjohn Adriblastina RD 3,439.80

2 mg/mL, 5 mL vial (as hydrochloride)

Pharmacia & Upjohn 728.30

2 mg/mL, 25 mL vial (as hydrochloride)

Pharmacia & Upjohn 2,831.25

Idarubicin powder, 5 mg vial (as hydrochloride)

Pharmacia & Upjohn Zavedos I.V. 5,143.30

Mitoxantrone 10 mg vial (as hydrochloride) Wyeth Phils., Inc. Novantrone 3,469.68 20 mg vial (as hydrochloride) Wyeth Phils., Inc. Novantrone 6,158.72 9.1.3 ANTIMETABOLITES Cytarabine powder, 100 mg vial (IM, SC,

Intrathecal) Faulding/DBL Products

DBL-Cytarabine 100mg/ml 55.44

Pharmacia & Upjohn Cytosar 559.85

Fluorouracil 50 mg /mL, 5 mL vial Pharm Asia, Inc. 191.00

Faulding/DBL Products

DBL-Fluouracil 250mg/5ml 152.46

50 mg/mL, 10 mL vial Faulding/DBL Products

DBL-Fluouracil 500mg/10ml 221.76

Pharm Asia, Inc. 282.00

Marketlink Int'l. Corp.

Fluracedyl [Pharmachemie B.V.] 294.00

Mercaptopurine 50 mg tablet Glaxo Wellcome Puri-nethol 50mg Tablet 60.00 Methotrexate 2.5 mg tablet (as sodium salt) Marketlink Int'l.

Corp. Emthrexate [Pharmachemie B.V.] 20.88

2.5 mg/mL, 2 mL vial (as sodium salt, preservative free)

Marketlink Int'l. Corp.

Emthrexate [Pharmachemie B.V.] 285.60

5 mg/mL, 2 mL vial (as sodium salt, preservative free)

Marketlink Int'l. Corp.

Emthrexate [Pharmachemie B.V.] 712.80

25 mg/mL (as sodium salt, preservative free) 2 mL vial

Faulding/DBL Products

DBL-Methotrexate 50 mg/ml 252.00

Pharmacia & Upjohn 330.10

9.1.4 MITOTIC INHIBITORS Vinblastine powder, 10 mg vial for

reconstitution (as sulfate) Faulding/DBL Products

DBL-Vinblastine FD 10 mg 1,275.00

Vincristine 1 mg/mL (as sulfate) 2 mL vial Faulding/DBL Products DBL-Vincristine 1 mg/2ml 55.44

Pharmacia & Upjohn Vincristine Sulphate Inj. 842.95

powder, 1 mg vial + diluent (as sulfate) Cuvest Pharm. 528.00

Marketlink Int'l. Corp. [Pharmachemie B.V.] 936.00

powder, 2 mg vial + diluent (as sulfate)

Marketlink Int'l. Corp. [Pharmachemie B.V.] 1,800.00

9.1.5 OTHER CYTOTOXICS Cisplatin powder, 10 mg vial Pharmacia &

Upjohn Platamine 705.60

powder, 50 mg vial Pharmacia & Upjohn Platamine 1,890.00

1 mg/mL, 10 mL vial Faulding/DBL Products DBL-Cisplatin 10mg/10ml 378.00

Pharmacia & Upjohn 630.95

Marketlink Int'l. Corp.

Platosin [Pharmachemie B.V.] 1,108.80

1 mg/mL, 50 mL vial Marketlink Int'l. Corp.

Platosin [Pharmachemie B.V.] 4,896.00

Pharmacia & Upjohn 1,663.20

Etoposide 20 mg/mL, 5 mL ampul Faulding/DBL Products

DBL-Etoposide 100mg/2ml 750.00

Pharmacia & Upjohn 1,005.50

Carboplatin powder, 150 mg vial Faulding/DBL Products

DBL-Carboplatin 150mg/15ml 2,654.10

powder, 450 mg vial Faulding/DBL Products

DBL-Carboplatin 450mg/15ml 6,300.00

10 mg/ mL,15 mL vial Marketlink Int'l. Corp. [Pharmachemie B.V.] 4,800.00

9.2 SEX HORMONES AND ANTAGONISTS IN MALIGNANT DISEASES

Megestrol 40 mg tablet (as acetate) Marketlink Int'l. Corp. [Pharmachemie B.V.] 46.80

160 mg tablet (as acetate) Marketlink Int'l. Corp. [Pharmachemie B.V.] 156.00

Tamoxifen 10 mg tablet (as citrate) Cygnet Cox/U.K. England-Canifen-Tamoxifen 21.75

Pharmacia & Upjohn Kessar Tablet 25.52

Marketlink Int'l. Corp.

Tamoplex [Pharmachemie B.V.] 34.86

Cuvest Pharm. Zitazonium 36.85

20 mg tablet (as citrate) Cygnet Cox/U.K. England-Canifen DS-Tamoxifen 42.60

Marketlink Int'l. Corp.

Tamoplex [Pharmachemie B.V.] 66.96

Cuvest Pharm. Zitazonium 73.95

Leuproreline 3.75 mg depot powder, 2 mL vial (as acetate)

BOIE-TAKEDA CHEMICALS, INC. Luprolex 7,380.00

9.3 IMMUNOTHERAPY

9.3.1 IMMUNOSUPPRESSANTS

Azathioprine 50 mg tablet Marketlink Int'l. Corp. [Pharmachemie B.V.] 30.00

Glaxo Wellcome Imuran 35.00 50 mg vial Glaxo Wellcome Imuran 50 mg injection 2,000.00 Ciclosporin 25 mg capsule Novartis Neoral 43.65 100 mg capsule Novartis Neoral 171.14 100 mg/mL solution, 50 mL Novartis Neoral 8,555.92 9.4 MISCELLANEOUS Calcium Folinate (leucovorin calcium) 15 mg vial Marketlink Int'l.

Corp. Rescuvolin [Pharmachemie B.V.] 432.00

Ondansetron (for antineoplastic-induced emesis)

8 mg tablet (as hydrochloride dihydrate) Glaxo Wellcome Zofran 8mg Tablet 566.67

2 mg/mL, 2 mL ampul Glaxo Wellcome Zofran 4mg Injection 320.00 2 mg/mL, 4mL ampul Glaxo Wellcome Zofran 8mg Injection 630.00 10.0 BLOOD, DRUGS AFFECTING THE 10.1 ANTICOAGULANTS

Heparin Low Molecular Weight:5000 IU/0.2 mL pre-filled syringe (SC) (as dalteparin sodium)

Pharmacia & Upjohn Fragmin 382.27

Warfarin 1 mg tablet (as sodium salt) Boots Compony Coumadin 12.50 2.5 mg tablet (as sodium salt) Boots Compony Coumadin 15.58 5 mg tablet (as sodium salt) Boots Compony Coumadin 20.88 10.2 ANTITHROMBOTICS (ANTIPLATELETS)

Aspirin 80 mg tablet Unilab Aspilets <L.R.Imperial> 1.10 Dipyridamole 25 mg tablet GX INTL., INC. Sanper 3.36 G.D. Searle Ridamol 4.07 50 mg tablet GX INTL., INC. Sanper 4.95 G.D. Searle Ridamol 6.02 Tranexamic acid 250 mg capsule Unilab Hemostan 9.46 500 mg tablet Unilab Hemostan 12.10

Pharmacia & Upjohn Cyklokapron Tablet 15.37

100 mg/mL, 5 mL ampul Unilab Hemostan 105.69

Pharmacia & Upjohn Cyklokapron Ampule 115.92

11.0 BLOOD PRODUCTS AND BLOOD SUBSTITUTES Dextran, high molecular weight (dextran 70)

6% dextran 70 in 0.9% sodium chloride, 500 mL bottle (IV) Euromed 321.00

6% dextran 70 in 5% dextrose, 500 mL bottle (IV) Euromed 344.00

12.0 ANTIDOTES 12.1 SPECIFIC ANTIDOTES/ANTAGONISTS

Acetylcysteine 600 mg effervescent tablet Cathay Fluimucil 32.80

100 mg sachet Cathay Fluimucil 10.27

100 mg/5 mL granules for suspension,150 Ml Cathay Fluimucil 316.25

Calcium Folinate (leucovorin calcium) 7.5 mg/mL, 2 mL ampul (IM, IV) Faulding/DBL

Products DBL-Leucovorin 15mg/2ml 22.68

50 mg vial Faulding/DBL Products

DBL-Leucovorin 50mg/5ml vial 831.60

Deferoxamine 500 mg vial (PO, IM, SC, IV infusion)

Faulding/DBL Products DBL-Deferoxamine 27.00

Novartis Desferal 161.25

Naloxone 20 mcg/mL, 2 mL ampul (IM, IV, SC)(as hydrochloride) Boots Compony Narcan 367.75

400 mcg/mL, 1 mL ampul (IM, IV, SC) (as hydrochloride)

Faulding/DBL Products

DBL-Naloxone HCL 0.4 mg 9.60

Boots Compony Narcan 410.00 Penicillin G Crystalline (benzylpenicillin) 1 MU (as sodium salt) Paren-Pharma 16.00

5 MU (as sodium salt) Paren-Pharma 38.00 Phytomenadione (phytonadione, vitamin K1)

10 mg/mL, 1 mL ampul (IM, IV) (as aqueous colloidal solution with benzyl alcohol)

Cathay AquaMephyton 129.75

Pyridoxine (Vitamin B6) 50 mg tablet (as Hydrochloride) Lejal Laboratories, Inc. 14.60

COMPANY BRAND NAME SRP 13.0 GASTROINTESTINAL DRUGS 13.1 ANTACIDS Aluminum Hydroxide + Magnesium Hydroxide

225 mg aluminum hydroxide + 200 mg magnesium hydroxide per 5 mL suspension, 120 mL

Lejal Laboratories, Inc. 63.65

13.2 ANTICHOLINERGICS Dicycloverin (dicyclomine) 10 mg tablet (as hydrochloride) Lejal Laboratories,

Inc. 1.28

Glaxo Wellcome Bentyl 10mg Tablet 7.35

10 mg/5 mL syrup, 60 mL (as hydrochloride)

Lejal Laboratories, Inc. 40.00

Unilab <Unilab Generics> 40.00 Glaxo Wellcome Bentyl Syrup 100.00 13.3 ANTIEMETICS Dimenhydrinate 50 mg tablet Doctors Pharm'l.,

Inc. EMES Tablet 2.40

Promethazine 25 mg/mL, 2 mL ampul (as hydrochloride) Pharm Asia, Inc. Thaprozine 40.00

Ondansetron 8 mg tablet (as hydrochloride dihydrate) Glaxo Wellcome Zofran 8mg Tablet 566.67

2 mg/mL, 2 mL ampul Glaxo Wellcome Zofran 4mg Injection 320.00 4 mL ampul Glaxo Wellcome Zofran 8mg Injection 630.00 13.4 ANTIMOTILITY Loperamide 2 mg capsule (as hydrochloride) DLI Generics 2.75 Filadams Diamide Caps 3.01

Lejal Laboratories, Inc. 3.60

Unilab Lormide <Westmont> 4.30 13.5 CYTOPROTECTORS Sucralfate 500 mg tablet Wyeth Phils., Inc. Iselpin 9.85 1 g tablet Wyeth Phils., Inc. Iselpin 16.46 13.6 H2 ANTAGONISTS Ranitidine 150 mg tablet (as hydrochloride) Glaxo Wellcome Zantac 150mg Tablet 26.56 300 mg tablet (as hydrochloride) Glaxo Wellcome Zantac 300mg Tablet 53.03 25 mg/ml, 2 ml ampul Glaxo Wellcome Zantac 97.50 Cimetidine 200 mg tablet Unilab <Unilab Generics> 8.50 Doctors Pharm'l.,

Inc. Temaryl 9.08

Cathay Duogastril 10.50

SmithKline Beecham Tagamet 14.64

400 mg tablet Unilab <Unilab Generics> 12.00 Cathay Duogastril 19.95

SmithKline Beecham Tagamet 29.35

100 mg/5 mL liquid, 100 mL SmithKline Beecham Tagamet 204.40

100 mg/mL, 2 mL ampul Cathay Duogastril 67.00

SmithKline Beecham Tagamet 200 mg/2ml 92.80

150 mg/mL, 2 mL ampul SmithKline Beecham Tagamet 300 mg/2ml 125.74

Nizatidine 150 mg capsule Eli Lilly Axid 32.90 300 mg capsule Eli Lilly Axid 62.45 25 mg/mL , 4 mL ampul Eli Lilly Axid IV (100mg/4ml) 147.50 13.7 GASTRO-KINETICS (PROKINETICS)

Metoclopramide 10 mg tablet (as hydrochloride) Pharex Reglan 3.09 Glaxo Wellcome Plasil Tablet 4.83

5 mg/5 mL syrup, 60 mL (as hydrochloride) Pharex Reglan 45.00

Glaxo Wellcome Plasil Syrup 79.00

5 mg/mL, 2 mL ampul (as hydrochloride) Pharex Reglan 22.00

Glaxo Wellcome Plasil 10mg/2ml Inj. 32.60

Lansoprazole 15 mg capsule BOIE-TAKEDA CHEMICALS, INC. Prevacid 42.84

Unilab Lanz <L.R.Imperial> 44.05 Unilab Suprecid <Westmont> 44.05 G.D. Searle Promp 50.07

30 mg capsule BOIE-TAKEDA CHEMICALS, INC. Prevacid 71.14

Unilab Lanz <L.R.Imperial> 73.02 Unilab Suprecid <Westmont> 73.02 G.D. Searle Promp 82.58 13.8 HEMOSTATIC AGENTS FOR ESOPHAGEAL VARICES

Octreotide 100 mcg/mL, 1 mL ampul Novartis Sandostatin 751.64 500 mcg/mL, 1 mL ampul Novartis Sandostatin 3,432.91 Somatostatin 250 mcg ampul Marketlink Int'l.

Corp. Stilamin [Serono] 966.00

3 mg ampul Marketlink Int'l. Corp. Stilamin 3,000 [Serono] 6,468.00

14.0 HORMONES AND HORMONE ANTAGONIST 14.1 CORTICOSTEROIDS Dexamethasone 500 mcg tablet Organon Oradexon Tablet 4.57 750 mcg tablet Unilab Drenex <Adenphar> 6.00 1.5 mg tablet Organon Oradexon Tablet 7.48 3 mg tablet Unilab Drenex <Adenphar> 10.15 Prednisolone 5 mg tablet Unilab <Unilab Generics> 2.20 Prednisone 5 mg tablet Organon Prednisone Organon Tab 2.68 Methylprednisolone 4 mg tablet Pharmacia &

Upjohn Medrol Tablet 11.93

16 mg tablet Pharmacia & Upjohn Medrol Tablet 49.50

powder, 500 mg, 7.7 mL vial (IV) + diluent vial (IV) (as sodium succinate)

Pharmacia & Upjohn Solu-Medrol 2,649.75

powder, 1 g/16 mL vial + diluent vial (as sodium succinate)

Faulding/DBL Products DBL-Methylprednisolone 1,020.00

Pharmacia & Upjohn Solu-Medrol 3,844.25

14.2 ANTERIOR PITUITARY HORMONES AND ANTERIOR PITUITARY LIKE HORMONES

Human Chorionic Gonadotrophin

lyophilized powder, 2000 IU ampul + 1 mL solvent

Marketlink Int'l. Corp. Profasi [Serono] 527.20

lyophilized powder, 5000 IU ampul + 1 mL solvent

Marketlink Int'l. Corp. Profasi [Serono] 740.40

lyophilized powder, 5000 IU ampul + 1 mL solvent Organon Pregnyl 739.37

Human Menopausal Gonadotrophin (HMG)

freeze-dried powder, 75 IU FSH +75 IU LH per ampul + 1 mL solvent

Marketlink Int'l. Corp. Pergonal [Serono] 1,406.40

14.3 POSTERIOR PITUITARY HORMONES

Oxytocin (synthetic) 10 IU/mL, 1 mL ampul Clinbaxy 22.70

14.5 SEX HORMONES AND ANTAGONISTS

14.5.1 ANDROGENS Testosterone 40 mg capsule (as

undecanoate) Organon Andriol 27.62

14.5.2 OVULATION INDUCING AGENTS

Clomifene (clomiphene) 50 mg tablet (as citrate) Glaxo Wellcome Clomid 50 mg Tablet 133.33 Marketlink Int'l.

Corp. Clomiphene Serono [Serono] 156.60

Human Menopausal Gonadotrophin (HMG)

freeze-dried powder, 75 IU FSH +75 IU LH per ampul + 1 mL solvent

Marketlink Int'l. Corp. Pergonal [Serono] 1,406.40

14.5.3 PROGESTINS (PROGESTOGENS) Medroxyprogesterone 2.5mg tablet (as acetate) Pharmacia &

Upjohn Provera Tablet 10.86

5 mg tablet (as acetate) Pharmacia & Upjohn Provera Tablet 25.64

10 mg tablet (as acetate) Pharmacia & Upjohn Provera Tablet 41.74

100 mg tablet (as acetate) Marketlink Int'l. Corp. [Pharmachemie B.V.] 39.00

250 mg tablet (as acetate) Marketlink Int'l. Corp. [Pharmachemie B.V.] 72.00

400 mg tablet (as acetate) Pharmacia & Upjohn Provera Tablet 102.61

500 mg tablet (as acetate) Marketlink Int'l. Corp. [Pharmachemie B.V.] 98.40

150 mg/mL, 1 mL vial (as acetate)

Pharmacia & Upjohn Depo-Provera 132.30

14.6 THYROID HORMONES AND ANTI-THYROID DRUGS

14.6.1 THYROID HORMONE REPLACEMENT

Levothyroxine 25 mcg tablet (as anhydrous sodium) Organon Thyrax 3.25

100 mcg tablet (as anhydrous sodium) Organon Thyrax 7.43

14.6.2 ANTI-THYROID DRUGS 14.6.2.1 THIOAMIDES Methimazole 5 mg tablet Eli Lilly Tapazole 6.50 14.6.2.2 ADJUNCT FOR CRISIS STATES

PROPRANOLOL OR OTHER BETA ADRENOCEPTORS (see 5.1.2.2)

14.7 INSULINS AND OTHER ANTI-DIABETIC AGENTS

14.7.1 INSULINS 14.7.1.1 SHORT ACTING

REGULAR, INSULIN (recombinant DNA, human) 100 IU/mL, 10 mL vial Eli Lilly Humulin R U-100 10ml 806.50

14.7.1.2 INTERMEDIATE ACTING Isophane Insulin Human (recombinant DNA) 100 IU/mL, 10 mL vial Eli Lilly Humulin N U-100 10ml 806.50

14.7.2 ORAL HYPOGLYCEMICS

14.7.2.1 SULFONYLUREAS Glibenclamide 5 mg tablet DLI Generics 2.00 Novartis Glymod 8.16 Cathay Orabetic 8.25 Gliclazide 80 mg tablet Novartis Clizid 8.47 Cathay Gluconil 9.00 Glipizide 2.5 mg tablet Pharmacia &

Upjohn Minidiab 11.30

5 mg tablet Pharmacia & Upjohn Minidiab 15.70

14.7.2.2 BIGUANIDE Metformin 500 mg tablet (as hydrochloride) Cathay Denkaform 3.95 Cygnet Cox/U.K. England-Diametin-

Metformin 5.25

Novartis Diafat 5.54 Boots Compony Fornidd 6.05 Eli Lilly Humamet 6.30 850 mg tablet (as hydrochloride) Novartis Diafat 9.26 Eli Lilly Humamet 10.50 15.0 DRUGS ACTING ON THE UTERUS 15.1 OXYTOCICS (UTERINE STIMULANTS)

Methylergometrine (methylergonovine)

125 mcg tablet (as hydrogen maleate or maleate) Novartis Methergin 16.93

200 mcg/mL, 1 mL ampul (IM, IV) (as hydrogen maleate or maleate)

Clinbaxy 23.75

Pharm Asia, Inc. Stimutrine 70.00 Novartis Methergin 155.77 Oxytocin (synthetic) 10 IU/mL, 1 mL ampul Novartis Methergin 119.65 15.2 TOCOLYTICS (UTERINE RELAXANTS)

Terbutaline 2.5 mg tablet (as sulfate) Filadams Bronchodam Tab 2.53 Unilab Terbulin <Medichem> 4.85 Isoxsuprine 10 mg tablet (as hydrochloride) Unilab Isoxilan <Biomedis> 7.95

COMPANY BRAND NAME SRP

16.0 SOLUTIONS CORRECTING WATER ELECTROLYTE, ACID BASE AND CALORIC DISTURBANCES

16.1 ORAL Oral Rehydration Salts (ORS 90-replacement)

Composition per liter of water (WHO recommended):

Pharex Glucost Oral Sol'n 5.00

Sodium chloride - 3.5 g Novartis Servidrat 90

mmol 14.19

Trisodium citrate dihydrate - 2.9 g

(or 2.5 g sodium bicarbonate)

Potassium chloride - 1.5 g

Sucrose - 40 g (or 20 g glucose [anhydrous])

Equivalent in mmol/L: Sodium 90 16.2 PARENTERAL

Acetated Ringer's Solution 500 ml Unilab

LVP Dextrose 5% in Acetated Ringer's Solution

53.40

1 L bottle composition: Unilab

LVP Dextrose 5% in Acetated Ringer's Solution

69.40

Na+ - 130 mmol/L K+ - 4 mmol/L Ca++ - 3 mmol/L Cl- -109mmol/L Acetate- 28 mmol/L Balanced Multiple Maintenance Solution

500 mL (infants) Unilab LVP Maintesol

Solution 54.60

1 L (children & adults) Unilab LVP Maintesol

Solution 72.70 Composition: infants

Children & Adults Dextrose 50 g/L

50 g/L Na+ 25-30 mmol/L

40-50 mmol/L K+ 20-25 mmol/L

13-30 mmol/L Mg++ 3 mmol/L

3 mmol/L Cl- 22 mmol/L

40 mmol/L Acetate 23 mmol/L

16 mmol/L

Balanced Multiple Replacement Solution 500 mL bottle Unilab

LVP Replesol Dextrose Solution

59.70

1L bottle Unilab LVP Replesol Dextrose Solution

74.40

Composition: Na+ - 140 mmol/L K+ - 5 mmol/L Mg++ - 3 mmol/L Cl- - 98 mmol/L Acetate - 50 mmol/L plus 5% dextrose (50 g/L)

5% Dextrose in 0.3% Sodium Chloride 500 mL bottle Unilab

LVP Dextrose 5% in 0.3% Sodium Chloride Solution

54.10

Euromed 59.50

1 L bottle Unilab LVP Dextrose 5% in 0.3% Sodium Chloride Solution

69.70

Euromed 77.00

5% Dextrose in 0.45% Sodium Chloride 500 mL bottle Unilab

LVP Dextrose 0.45% Sodium Chloride Solution

50.40

Euromed 56.00

5% Dextrose in 0.9% Sodium Chloride 500 mL bottle Unilab

LVP Dextrose 5% in 0.9% Sodium Chloride Solution

51.50

Euromed 57.00

5% Dextrose in Water 500 mL bottle Unilab LVP Dextrose 5% in Water Intravenous Infusion

49.20

Euromed 54.00

1L bottle Unilab LVP Dextrose 5% in Water Intravenous Infusion

65.20

Euromed 71.50

10% Dextrose in Water 500 mL bottle Unilab LVP Dextrose 10% in Water Intravenous Infusion

55.50

Euromed 61.50

1L bottle Unilab LVP Dextrose 10% in Water Intravenous Infusion

71.30

Euromed 79.00 3 mL ampul Euromed 16.50 Lactated Ringer's Solution (Ringer's lactate)

500 mL bottle Unilab LVP Plain Lactated Ringer's Solution

51.90

Euromed 57.00

1 L bottle Unilab LVP Plain Lactated Ringer's Solution

65.10

Euromed 72.50 0.9% Sodium Chloride 20 mL ampul Euromed 30.50 50 mL ampul Euromed 36.50

500 mL bottle Unilab Sodium Chloride 0.9% Intravenous Infusion Solution

49.20

Euromed 54.50

1 L bottle Unilab Sodium Chloride 0.9% Intravenous Infusion Solution

66.30

Euromed 73.50

5% Dextrose in Lactated Ringer's 500 mL bottle Unilab

LVP Dextrose 5% in Lactated Ringer's Solution

59.20

Euromed 65.50

1 L bottle Unilab LVP Dextrose 5% in Lactated Ringer's Solution

73.40

Euromed 81.00 16.3 ELECTROLYTE OR IV ADDITIVE SOLUTIONS Potassium Chloride (also for parenteral nutrition)

2 mEq/ml, 20 ml vial Euromed 36.50

Abbott 74.50 17.0 DERMATOLOGICAL AND MUCOUS MEMBRANE AGENTS (TOPICAL) 17.1 ANTI-INFECTIVES 17.1.1 ANTIBACTERIALS Mupirocin 2%, 15 g tube cream SmithKline Beecham Bactroban 420.00 2%, 5 g tube ointment SmithKline Beecham Bactroban 186.00

2%, 15 g tube ointment SmithKline Beecham Bactroban 368.83

17.1.2 ANTIFUNGALS Terbinafine 1% cream, 10 g tube

(as hydrochloride) Novartis Lamisil 213.92

1% cream, 15 g tube (as hydrochloride) Novartis Lamisil 293.48

17.1.3 SCABICIDES AND PEDICULICIDES

Crotamiton 10% lotion, 60 mL bottle Novartis Eurax 111.80

10% lotion, 120 mL bottle Novartis Eurax 183.82

10% cream, 10 g tube Novartis Eurax 60.20 17.2 ANTI-INFLAMMATORY AND ANTIPRURITIC DRUGS

Fluticasone 0.005% ointment, 5 g tube (as propionate) Glaxo Wellcome Cutivate

Ointment 132.00

0.05% cream, 5 g tube (as propionate) Glaxo Wellcome Cutivate Cream 132.00

17.3 ANTISEPTICS Povidone Iodine 10% solution, 60 mL

bottle Lejal Laboratories, Inc. Midine 45.75

7.5% surgical skin cleanser 1 gallon bottle

Lejal Laboratories, Inc. Midine 1,333.75

Sodium Dichloroisocyanurate (to be used for water purification)

solution: 3.5 mg tablet (free available chlorine 2 mg)

Marketlink Int'l. Corp. Aquatabs [Medentech Ltd.]

2.50

12.5 mg tablet (free available chlorine 8 mg)

Marketlink Int'l. Corp. Aquatabs [Medentech Ltd.]

4.60

17 mg tablet (free available chlorine10 mg)

Marketlink Int'l. Corp. Aquatabs [Medentech Ltd.]

4.80

67 mg tablet (free available chlorine 40 mg)

Marketlink Int'l. Corp. Aquatabs [Medentech Ltd.]

9.60

18.0 OPHTHALMOLOGICAL PREPARATIONS 18.1 ADJUVANT TO SURGERY Intraocular Irrigating Solution (balanced salt solution)

500 mL bottle solution Novartis locare Balanced Salt Solution 752.50

18.2 ANTI-INFECTIVE AGENTS Chloramphenicol 1% eye ointment,4.0

g tube Novartis Spersanicol 141.90

0.5% eyedrops solution, 10 mL bottle

Novartis Spersanicol 141.90

Gentamicin 0.5% eye ointment, 5 g tube (as sulfate) Cuvest Pharm. Ophtagram 244.20

0.5% eye drops solution, 5 mL bottle (as sulfate)

Cuvest Pharm. Ophtagram 202.95

Ofloxacin 0.3% eye ointment, 3.5g tube Unilab Inoflox

<Biomedis> 190.00

0.3% eyedrops solution, 5 mL Unilab Inoflox

<Biomedis> 197.00 18.3 ANTI-INFLAMMATORY 18.3.1 NON-STEROIDAL

Diclofenac 0.1% eye drops solution, 5 mL bottle (as sodium salt)

Novartis Naclof 261.22

18.4 GLAUCOMA, DRUGS USED IN 18.4.1 CHOLINERGIC AGONISTS (Miotics)

Pilocarpine 2% eye drops solution (as hydrochloride) 10 mL bottle

Novartis Spersacarpine 160.18

4% eye drops solution (as hydrochloride) 10 mL bottle

Novartis Spersacarpine 225.75

18.4.2 PROSTAGLANDIN ANALOGUE

Latanoprost 50 mcg/ml eye drops solution, 2.5 mL bottle Pharmacia & Upjohn Xalatan Eye

Drops 1,108.80 18.4.3 CARBONIC ANHYDRASE INHIBITORS

Acetazolamide 250 mg tablet Wyeth Phils., Inc. Diamox 19.98

18.4.4 MYDRIATICS AND CYCLOPLEGICS (ANTICHOLINERGICS)

Atropine 1% eye drops solution (as sulfate) , 10 ml bottle

Novartis 176.30

19.0 EAR, NOSE AND THROAT PREPARATIONS 19.1 TOPICAL ANTIMICROBIAL COMBINATIONS

Polymyxin B + Acetic acid

10,000 units polymyxin B (as sulfate) + 1% acetic acid (glacial) eye drops solution 10 mL bottle

Glaxo Wellcome Aerosporin Ear Drops 176.00

19.2 TOPICAL NASAL CORTICOSTEROIDS

Beclometasone 50 mcg/dose x 200 metered doses nasal aq. Spray

Glaxo Wellcome Beconase Aq. Nasal Spray 200D

430.00

Fluticasone 0.05%/dose x 120 doses (as propionate) nasal aq. Sol'n.

Glaxo Wellcome Flixotide 50 mcg Aq. Nasal Spray 120D

551.00

20.0 VITAMINS AND MINERALS 20.1 VITAMINS Ascorbic Acid (Vitamin C) 100 mg tablet Unilab <Unilab

Generics> 0.35

Unilab Cetrinets 100 mg Chew Tablet <Westmont>

1.17

Lejal Laboratories, Inc. 1.41

250 mg tablet Unilab UHP Ascorbic Acid 0.45

Unilab <Unilab Generics> 0.60

500 mg tablet Unilab UHP Ascorbic Acid 0.80

Unilab <Unilab Generics> 0.95

Unilab Cetrin <Westmont> 3.26

Abbott Cecon Chewable 3.74

100 mg/mL drops, 15 mL Unilab Ceelin

<Pediatrica> 55.00

Abbott Cecon Drops 55.28

100 mg/mL drops, 30 mL Unilab Cetrin

<Westmont> 67.95

Unilab Ceelin <Pediatrica> 78.00

100 mg/5 mL syrup, 120 mL Unilab Ceelin

<Pediatrica> 95.00

100 mg/5 mL syrup, 250 mL Unilab Ceelin

<Pediatrica> 155.00

Pyridoxine (Vitamin B6) 50 mg tablet (as hydrochloride) Lejal Laboratories, Inc. 14.60

Thiamine (vitamin B1) 50 mg tablet (as hydrochloride) Unilab <Unilab

Generics> 0.40

100 mg tablet (as hyrochloride) Unilab <Unilab

Generics> 0.70

300 mg tablet (as hydrochloride) Unilab <Unilab

Generics> 1.55

Vitamin B1B6B12 100 mg+5 mg+50 mcg per tablet Lejal Laboratories, Inc. 1.70

Pharex Pharex Vitamin B1B6B12 Tabs 1.99

Filadams Nervafil 4.03 Cathay One-Six-Twelve 6.74 20.2 MINERALS Fluoride 250 mcg tablet (as

sodium salt) Novartis Zymafluor 1.22

Ferrous Sulfate + Folic Acid

60 mg elemental iron + 400 mcg sodium folate per tablet

Unilab UHP-Femina <UAP> 2.80

21.0 DISINFECTANTS Povidone-Iodine 10% Solution, 60 mL

bottle Lejal Laboratories, Inc. Midine 45.75