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Essential Drug List

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

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