|
|
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 |