|
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 |
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