|
|
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-Aciclovir |
47.25 |
|
|
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 |