|
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 | |
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