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20 | P a g e 2017 DPRI | Fifth Edition

ACKNOWLEDGEMENTS

The 2017 Edition of the Drug Price Reference Index (DPRI) is a fruit of hard work, dedication and

supervised by Ms. Vanessa J. Saulog Obera, together with her team members namely: Mr. Achilles V.
Aragona who also prepared the cover design and layout of the booklet, Ms. Priscilla Margarette H.
Alimario, Mr. John Lester M. Custodio, Ms. Geny C. Belmonte, Mr. Christian M. Villostas and their team
leader Mr. Jeffrey T. Castro;

The Electronic Drug Price Monitoring System (EDPMS) team for providing market intelligence led
by Mr. Patrick D. Acuna, and his team members: Ms. Grace N. Lagunzad, and Ms. Arlyn A. Rabi;

Ms. Anna Patricia D. Tiosejo for assuring all medicines in this price list are in accordance to the
current Philippine National Formulary (PNF);

Mr. Aris Posadas for continuously enhancing the DPRI website and database;

Mr. Adell Azuelo for the printing of booklet procurement;

To all NDP Compliance Officers and EDPMS Helpdesks who aid in the implementation of the DPRI
and to the DOH-Pharmaceutical Division family with our former Director Corazon I. Flores for their
support;

All DOH Retained / Specialty Hospitals and Regional Offices for contributing their data to the
Department of Health;

We also thank our Health Secretary Francisco T. Duque III and Undersecretary Rolando Enrique D.
Domingo for their unwavering support and commitment to enforce the DPRI in the government.

Manila, Philippines

2 April 2018

ANNA MELISSA S. GUERRERO, MD, MPH (HTA)


Chief, Pharmaceutical Division

2017 DPRI | Fifth Edition Page|1


OVERVIEW

The high and extremely variable prices of medicines in the Philippines impact on access to
effective, efficient and equitable health care. In 2009, a study conducted by Health Action
International revealed that there was extreme variability in the procurement prices of essential
medicines across the national and local public health facilities in the country. On average,
originator brands and generic equivalents were procured almost 16 times and 3 times higher,
respectively, compared to prices available on the international market.1

The DOH-Central Bids and Awards Committee (DOH-COBAC) and DOH Hospitals were
shown to have more efficient procurement prices compared to provincial and municipal health
facilities, thus leading to variability in access to essential medicines across the Philippines.

Republic Act (RA) 9502 or the Universally Accessible Cheaper and Quality Medicines Act of
2008 gave the DOH instruments to monitor and regulate the prices of drugs and medicines to
protect consumers and the public procuring entities from excessive mark-ups applied to prices
of medicines resulting from information asymmetry and the lack of effective market
competition.

To address these issues, the DOH Pharmaceutical Division (formerly NCPAM) established a
Drug Price Reference Index (DPRI) for all essential medicines to guide all national and local
government health facilities in the efficient sourcing of pharmaceutical products in the public
sector.

What is the Drug Price Reference Index (DPRI)?

The DPRI lists the ceiling prices of essential medicines for government bidding and
procurement set by the DOH for all National and Local Government Health Facilities and
Government Agencies. Winning bid prices of essential medicines within the DPRI ceiling reflect
efficient and effective procurement in the government. Their transparency and enforcement
ensure consumer access to medicines and protection from excessive price mark-ups on
medicines.

The DPRI only reflects the acquisition costs including landed cost, packaging, drug content,
quality assurance, manufacturing overheads and Food and Drug Administration (FDA) fees. The
DPRI excludes other costs such as pharmacy services, preparation and storage fees, and other
reasonable pharmacy mark-ups, which are now being evaluated by the DOH.

The DPRI aims to improve the efficiency and good governance in the pricing and procurement
of medicines in the public sector through establishing a transparent and publicly available
reference price for affordable and quality medicines. It also aims to guide the Philippine Health
Insurance Corporation (PHIC) in setting reimbursement caps for medicines both for inpatient
and outpatient services.

Who should use the DPRI?

All government entities should be guided by the DPRI when procuring medicines. It shall be
applied to all forms of procurement such as public bidding, direct contracting, shopping,
negotiated procurement, emergency procurement and consignment to ensure that the
government achieves the best value for money in sourcing essential medicines.

___________________________________
1 Douglas B, Tisocki K (2009) Public Procurement Prices of Medicines in the Philippines. Health Action International.

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What are the sources of Price Data?

In general, the DPRI is calculated based on the prevailing market price collected by the DOH
through the Electronic Drug Price Monitoring System (EDPMS) from different drug
establishments which includes, Drug Stores, Drug Chains, Private Hospital Pharmacy and
Government Hospital Pharmacy nationwide.

How the Drug Price Reference Index (DPRI) determined?

The reference price is set at the Median or the 50th percentile across the range of prevailing
market prices of essential medicines for each preparation and strength but further reducing the
value by 30% to offset the estimated average retail mark-up. However, prices of innovator
products included in the data set are excluded in the calculation except for those cases wherein
the innovator products comprises at least 70% of the total data set

How often is the DPRI updated?

The DPRI is updated annually. All DOH hospitals and ROs submits a copy of their latest
purchase orders to the DOH Pharmaceutical Division. Price data uploaded by all drug
establishment nationwide is extracted and analyzed together with the procurement gathered
from DOH facilities. The updated DPRI is based on the current retail price data of medicines.

How to set the ABC of medicines not included in this edition?

For some medicines not listed in this edition, the method on setting the ABC shall depend on
the discretion of the procuring entity (e.g. review of historical awarded price, market survey,
MIMS).

Occurrence of Bid Failure

All procuring entities are advised to submit the list of medicines that resulted to bid failure at
DOH-PD. The report should comply the template provided by DOH-PD that can be downloaded
at their website at www.dpri.doh.gov.ph.

2017 DPRI | Fifth Edition Page|3


REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
A
1. Acetazolamide 250 mg Tablet 25.38
2. Acetylcysteine 600 mg Effervescent Tablet 37.49
3. Acetylcysteine 100 mg Sachet 11.54
4. Acetylcysteine 200 mg Sachet 14.62
5. Acetylcysteine 200 mg/mL, 25 mL Bottle 1,813.85
6. Aciclovir 200 mg Tablet 9.23
7. Aciclovir 400 mg Tablet 30.77
8. Aciclovir 800 mg Tablet 74.32
9. Aciclovir 25 mg/mL, 10 mL Vial 1,184.97
10. Adenosine 3 mg/mL, 2 mL Vial 1,069.76
11. Albumin, Human 20%, 50 mL Bottle 3,250.00
12. Albumin, Human 25%, 50 mL Bottle 3,984.62
13. Alcohol, Ethyl 70% topical solution, 500 mL Bottle 53.08
14. Alendronate 70 mg Tablet (As Sodium Salt) 265.71
15. Alfuzosin 10 mg Tablet (As Hydrochloride) 70.89
16. All-in-One Admixtures ("3-in-1" or 1400 Kcal Bottle 2,884.62
"dual energy" solutions)
17. All-in-One Admixtures ("3-in-1" or 1900 Kcal Bottle 5,736.15
"dual energy" solutions)
18. Allopurinol 100 mg Tablet 6.92
19. Allopurinol 300 mg Tablet 13.82
20. Alprazolam 250 mcg Tablet 19.67
21. Alprazolam 500 mcg Tablet 32.92
22. Aluminum Hydroxide + Magnesium 225 mg + 200 mg/5 mL, 60 mL 59.23
Hydroxide Suspension
23. Aluminum Hydroxide + Magnesium 225 mg + 200 mg/5 mL, 120 mL 40.77
Hydroxide Suspension
24. Amikacin 50 mg/mL, 2 mL Ampule (As Sulfate) 220.65
25. Amikacin 50 mg/ml, 2 ml Vial (As Sulfate) 61.54
26. Amikacin 100 mg/mL, 2 mL Vial (As Sulfate) 143.85
27. Amikacin 125 mg/mL, 2 mL Ampule (As Sulfate) 156.19
28. Amikacin 125 mg/mL, 2 mL Vial (As Sulfate) 76.83
29. Amikacin 250 mg/mL, 2 mL Ampule (As Sulfate) 679.81
30. Amikacin 250 mg/mL, 2 mL Vial (As Sulfate) 103.54
31. Amino Acid Solutions for Hepatic 7%, 500 mL Bottle 784.00
Failure
32. Amino Acid Solutions for Hepatic 8%, 500 mL Bottle 1,047.77
Failure
33. Amino Acid Solutions for Infants 6%, 100 mL Bottle 521.32
34. Amino Acids, Crystalline Standard 8%, 500 mL Plastic Bottle 991.71
35. Amino Acids, Crystalline Standard 9.12%, 20 mL Ampule 265.12
36. Aminophylline (Theophylline 25 mg/mL, 10 mL Ampule 45.38
ethylenediamine)
37. Amiodarone 200 mg Tablet (As Hydrochloride) 30.00
38. Amiodarone 50 mg/mL, 3 mL Ampule (As 279.23
Hydrochloride)

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REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
39. Amlodipine 5 mg Tablet (As Besilate/Camsylate) 7.35
40. Amlodipine 10 mg Tablet (As Besilate/Camsylate) 11.16
41. Amoxicillin 250 mg Capsule (As Trihydrate) 2.31
42. Amoxicillin 500 mg Capsule (As Trihydrate) 5.77
43. Amoxicillin 100 mg/mL, 15 mL Drops (As 42.15
Trihydrate)
44. Amoxicillin 250 mg/5 mL, 60 mL Suspension (As 94.62
Trihydrate)
45. Amphotericin B (Lipid Complex) 50 mg Vial (As Cholesteryl Complex, 10,438.46
Colloidal Dispersion)
46. Amphotericin B (Non-Lipid 50 mg Vial 3,328.25
Complex)
47. Ampicillin 1 g Vial (As Sodium Salt) 38.46
48. Ampicillin + Sulbactam 500 mg + 250 mg Vial (As Sodium Salt) 442.69
49. Ampicillin + Sulbactam 1,000 mg + 500 mg Vial (As Sodium Salt) 688.89
50. Ascorbic Acid (Vitamin C) 500 mg Tablet 3.85
51. Ascorbic Acid (Vitamin C) 100 mg/ml, 15 mL Oral Drops 56.15
52. Ascorbic Acid (Vitamin C) 100 mg/ml, 30 mL Oral Drops 79.23
53. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 60 mL Syrup 44.73
54. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 120 mL Syrup 93.85
55. Ascorbic Acid (Vitamin C) 250 mg/mL, 2 mL Ampule 46.54
56. Asparaginase 10,000 IU Vial 2,180.77
57. Aspirin 80 mg Tablet 2.31
58. Atenolol 50 mg Tablet 8.08
59. Atorvastatin Calcium 10 mg Tablet 22.11
60. Atorvastatin Calcium 20 mg Tablet 21.24
61. Atorvastatin Calcium 40 mg Tablet 19.33
62. Atorvastatin Calcium 80 mg Tablet 26.58
63. Atracurium 10 mg/mL, 2.5 mL Ampule (As Besilate) 273.28
64. Atropine 1 mg/mL, 1 mL Ampule (As Sulfate) 37.12
65. Azithromycin 500 mg Tablet (As Base/As 80.77
Dihydrate/As Monohydrate)
66. Azithromycin 200 mg/5 mL, 15 mL Suspension (As 328.46
Base/As Dihydrate/As Monohydrate)
67. Azithromycin 500 mg Powder Vial (As Base/ As 763.46
Dihydrate)
B
68. Baclofen 10 mg Tablet 20.06
69. Beractant 25 mg/mL, 4 mL Vial 10,325.78
70. Betahistine 8 mg Tablet (As Hydrochloride/As 15.77
Dihydrochloride)
71. Betahistine 24 mg Tablet (As Hydrochloride/As 54.12
Dihydrochloride)
72. Betamethasone 0.1% cream, 5 g Tube (As Valerate) 221.67
73. Biperiden 2 mg Tablet (As Hydrochloride) 12.92
74. Bisacodyl 5 mg Tablet 15.38
75. Bisacodyl 5 mg Suppository 30.77
76. Bisacodyl 10 mg Suppository 37.69
77. Bleomycin 15 mg Powder Vial (As Sulfate) 2,353.85
2017 DPRI | Fifth Edition Page|5
REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
78. Budesonide 250 mcg/mL, 2 mL Respiratory Solution 69.23
(Nebule)
79. Budesonide + Formoterol 160 mcg + 4.5 mcg (As Fumarate 838.46
Dihydrate) x 60 doses Dry Powder
Inhaler
80. Bumetanide 1 mg Tablet 22.52
81. Bupivacaine 0.5%, 5 mL Ampule (As Hydrochloride) 615.38
82. Bupivacaine 0.5%, 10 mL Ampule (As Hydrochloride) 406.68
83. Bupivacaine 0.5%, 10 mL Vial (As Hydrochloride) 325.42
84. Bupivacaine 0.5%, 4 mL (spinal) with 8% Dextrose 457.69
Ampule (As Hydrochloride)
85. Butamirate 50 mg MR Tablet (As Citrate) 16.01
86. Butorphanol 2 mg/mL, 1 mL Vial (As Tartrate) 568.41
C
87. Calcium Carbonate 500 mg Tablet 5.12
88. Calcium Carbonate 600 mg Tablet 6.15
89. Calcium Carbonate + Cholecalciferol 600 mg elemental Ca + 400 IU Vit. D3 6.33
(Vit. D3) Tablet
90. Calcium Folinate (Leucovorin 10 mg/mL, 5 mL Vial 280.19
Calcium)
91. Calcium Gluconate 10%, 10 mL Ampule 76.96
92. Calcium Gluconate 10%, 10 mL Vial 68.88
93. Capecitabine 500 mg Tablet 84.20
94. Captopril 25 mg Tablet 3.85
95. Carbamazepine 200 mg Tablet 5.00
96. Carboplatin 10 mg/mL, 15 mL Vial 1,640.02
97. Carboplatin 10 mg/mL, 45 mL Vial 3,088.00
98. Carvedilol 6.25 mg Tablet 8.46
99. Carvedilol 25 mg Tablet 14.19
100. Cefalexin 500 mg Capsule (As Monohydrate) 10.02
101. Cefalexin 250 mg/5 mL, 60 mL Bottle (As 61.54
Monohydrate)
102. Cefazolin 500 mg Vial (As Sodium Salt) 214.72
103. Cefazolin 1 g Vial (As Sodium Salt) 125.50
104. Cefepime 500 mg Vial (As Hydrochloride) 864.96
105. Cefepime 1 g Vial (As Hydrochloride) 1,486.92
106. Cefepime 2 g Vial (As Hydrochloride) 3,020.67
107. Cefixime 200 mg Capsule 31.23
108. Cefixime 20 mg/mL, 10 mL Drops Suspension 192.31
109. Cefixime 100 mg/5 mL, 60 mL Suspension 515.08
110. Cefotaxime 500 mg Vial (As Sodium Salt) + 2 mL 740.77
diluent
111. Cefoxitin 1 g Vial (As Sodium Salt) 814.87
112. Ceftazidime (Ceftaxidime) 500 mg Vial (As Pentahydrate) 651.94
113. Ceftazidime (Ceftaxidime) 1 g Vial (As Pentahydrate) 338.46
114. Ceftriaxone 1 g + 10 mL diluent Vial (As 576.92
Disodium/Sodium Salt)
115. Cefuroxime 500 mg Tablet (As Axetil) 45.69

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REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
116. Cefuroxime 125 mg/5 mL, 70 mL Suspension (As 238.46
Axetil)
117. Cefuroxime 250 mg Vial 266.04
118. Cefuroxime 750 mg Vial 292.31
119. Cefuroxime 1.5 g Vial (As Sodium Salt) 371.15
120. Celecoxib 100 mg Capsule 15.19
121. Celecoxib 200 mg Capsule 19.23
122. Celecoxib 400 mg Capsule 34.46
123. Cetirizine 10 mg Tablet (As Dihydrochloride) 16.71
124. Cetirizine 10 mg/mL, 10 mL Oral Drops (As 121.54
Dihydrochloride)
125. Cetirizine 1 mg/mL, 30 mL Bottle (As 113.85
Dihydrochloride)
126. Cetirizine 1 mg/mL, 60 mL Bottle (As 188.63
Dihydrochloride)
127. Chloramphenicol 500 mg Capsule 4.62
128. Chloramphenicol 125 mg/5 mL, 60 mL Suspension (As 57.69
Palmitate)
129. Chloramphenicol 1 g Vial (As Sodium Succinate) 50.00
130. Chlorphenamine 4 mg Tablet (As Maleate) 1.00
(Chlorpheniramine)
131. Chlorphenamine 10 mg/mL,1 mL Ampule (As Maleate) 31.15
(Chlorpheniramine)
132. Chlorpromazine 100 mg Tablet (As Hydrochloride) 6.54
133. Chlorpromazine 200 mg Tablet (As Hydrochloride) 11.52
134. Cilostazol 50 mg Tablet 13.85
135. Cilostazol 100 mg Tablet 25.73
136. Cinnarizine 25 mg Tablet 2.31
137. Ciprofloxacin 500 mg Tablet (As Hydrochloride) 12.31
138. Ciprofloxacin 2 mg/mL, 100 mL Vial (As Lactate) 300.00
139. Cisplatin 1 mg/mL, 10 mL Vial 269.23
140. Cisplatin 1 mg/mL, 50 mL Vial 731.54
141. Clarithromycin 500 mg Base Tablet 43.08
142. Clarithromycin 125 mg/5 mL, 50 mL Suspension 302.50
143. Clindamycin 150 mg Capsule (As Hydrochloride) 6.15
144. Clindamycin 300 mg Capsule (As Hydrochloride) 11.54
145. Clindamycin 75 mg/5 mL, 60 mL Suspension (As 372.60
Palmitate Hydrochloride)
146. Clindamycin 150 mg/mL, 2 mL Ampule (As 361.77
Phosphate)
147. Clindamycin 150 mg/mL, 4 mL Ampule (As 710.93
Phosphate)
148. Clobetasol 0.05% cream, 5 g Tube (As Propionate) 228.15
149. Clobetasol 0.05% ointment, 5 g Tube (As 230.00
Propionate)
150. Clonazepam 2 mg Tablet 12.69
151. Clonidine 75 mcg Tablet (As Hydrochloride) 17.69
152. Clonidine 150 mcg Tablet (As Hydrochloride) 23.08
153. Clonidine 150 mcg/mL, 1 mL Ampule (As 157.69
Hydrochloride)
2017 DPRI | Fifth Edition Page|7
REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
154. Clopidogrel 75 mg Tablet 22.12
155. Cloxacillin 500 mg Capsule (As Sodium Salt) 6.15
156. Cloxacillin 250 mg/5 mL, 60 mL Bottle (As Sodium 53.85
Salt)
157. Clozapine 100 mg Tablet 44.62
158. Co-Amoxiclav (Amoxicillin + 500 mg (As Trihydrate) + 125 mg Tablet 32.62
Potassium Clavulanate)
159. Co-Amoxiclav (Amoxicillin + 200 mg (As Trihydrate) + 28.5 mg/5 mL, 209.13
Potassium Clavulanate) 70 mL Suspension
160. Co-Amoxiclav (Amoxicillin + 400 mg (As Trihydrate) + 57 mg/5 mL, 321.92
Potassium Clavulanate) 70 mL Suspension
161. Colchicine 500 mcg Tablet 3.08
162. Cotrimoxazole (Sulfamethoxazole + 400 mg + 80 mg Tablet 1.92
Trimethoprim)
163. Cotrimoxazole (Sulfamethoxazole + 400 mg + 80 mg Capsule 2.31
Trimethoprim)
164. Cotrimoxazole (Sulfamethoxazole + 800 mg+160 mg Tablet 3.56
Trimethoprim)
165. Cotrimoxazole (Sulfamethoxazole + 400 mg + 80 mg/5 mL, 60 mL Suspension 46.15
Trimethoprim)
166. Cyclophosphamide 500 mg powder Vial 235.88
167. Cytarabine 100 mg/mL, 5 mL Vial 390.38
D
168. Dacarbazine 200 mg Powder Vial 776.35
169. Dactinomycin (Actinomycin D) 500 mcg Powder Vial 400.00
170. Dexamethasone 4 mg Tablet 26.67
171. Dexamethasone 4 mg/mL, 2 mL Ampule (As Sodium 70.58
Phosphate)
172. Dexamethasone 4 mg/mL, 2 mL Vial (As Sodium 88.23
Phosphate)
173. Dexamethasone 5 mg/mL, 1 mL Ampule (As Sodium 113.73
Phosphate)
174. Diazepam 5 mg Tablet 12.02
175. Diazepam 5 mg/mL, 2 mL Ampule 138.46
176. Diclofenac 50 mg Tablet (As Sodium or Potassium 3.17
Salt)
177. Diclofenac 25 mg/mL, 3 mL Ampule (As Sodium 57.54
Salt)
178. Dicycloverine (Dicyclomine) 10 mg Tablet (As Hydrochloride) 1.15
179. Dicycloverine (Dicyclomine) 10 mg/5 mL, 60 mL Syrup (As 50.00
Hydrochloride)
180. Digoxin 250 mcg Tablet 5.70
181. Digoxin 50 mcg/mL, 60 mL Elixir 674.62
182. Digoxin 250 mcg/mL, 2 mL Ampule 194.59
183. Diltiazem 60 mg Tablet (As Hydrochloride) 11.92
184. Diphenhydramine 25 mg Capsule (As Hydrochloride) 2.51
185. Diphenhydramine 50 mg Capsule (As Hydrochloride) 2.35
186. Diphenhydramine 12.5 mg/ 5 mL, 60 mL Syrup (As 26.92
Hydrochloride)
187. Diphenhydramine 50 mg/mL, 1 mL Ampule (As 133.85
Hydrochloride)
8|Page 2017 DPRI | Fifth Edition
REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
188. Divalproex Sodium 250 mg Tablet 27.77
189. Dobutamine 50 mg/mL, 5 mL Ampule (As 519.23
Hydrochloride)
190. Dobutamine 2 mg/mL, 250 mL D5W Pre-mixed (As 848.41
Hydrochloride)
191. Docetaxel 20 mg/0.5 mL, 0.5 mL Vial (Anhydrous) 2,263.73
192. Docetaxel 40 mg/mL, 2 mL Vial (Anhydrous) 8,400.00
193. Domperidone 10 mg Tablet 7.69
194. Domperidone 1 mg/mL, 60 mL Suspension 204.20
195. Dopamine 40 mg/mL, 5 mL Ampule (As 115.38
Hydrochloride)
196. Dopamine 800 mcg/mL, 250 mL D5W Pre-mixed 523.08
(As Hydrochloride)
197. Dopamine 1.6 mg/mL, 250 mL D5W Pre-mixed (As 490.00
Hydrochloride)
198. Doxorubicin 10 mg Powder Vial (As Hydrochloride) 426.02
199. Doxorubicin 50 mg Powder Vial (As Hydrochloride) 1,538.46
200. Doxorubicin 2 mg/mL, 25 mL Vial (As 1,689.23
Hydrochloride)
201. Doxycycline 100 mg Capsule (As Hyclate) 17.88
202. Dydrogesterone 10 mg Tablet 73.14
E
203. Enalapril 5 mg Tablet (As Maleate) 7.85
204. Enalapril 20 mg Tablet (As Maleate) 12.43
205. Enoxaparin 100 mg/mL, 0.2 mL Pre-filled syringe 516.15
(As Sodium Salt)
206. Enoxaparin 100 mg/mL, 0.4 mL Pre-filled syringe 650.00
(As Sodium Salt)
207. Enoxaparin 100 mg/mL, 0.6 mL Pre-filled syringe 861.15
(As Sodium Salt)
208. Ephedrine 50 mg/mL, 1 mL Ampule (As Sulfate) 91.54
209. Epinephrine (adrenaline) 1 mg/mL, 1 mL Ampule (As 66.23
Hydrochloride)
210. Epirubicin 10 mg Powder Vial (As Hydrochloride) 934.23
211. Epirubicin 50 mg Powder Vial (As Hydrochloride) 3,733.85
212. Epoetin Alfa (recombinant human 2000 IU/0.5 mL Pre-filled Syringe 438.46
erythropoietin)
213. Epoetin Alfa (recombinant human 4000 IU/0.4 mL Pre-filled Syringe 784.62
erythropoietin)
214. Epoetin Beta (recombinant 5000 IU/0.3 ml Pre-filled Syringe 1,278.98
erythropoietin)
215. Ertapenem 1 g Powder Vial (As Sodium Salt) 3,088.56
216. Erythromycin 500 mg Tablet (As Stearate) 7.69
217. Erythromycin 200 mg/5 mL, 60 mL Suspension (As 57.69
Ethyl Succinate)
218. Erythromycin 0.5% Eye Ointment, 3.5 g Tube 185.77
219. Erythromycin 0.5% Eye Ointment, 5 g Tube 265.12
220. Escitalopram 10 mg Tablet (As Oxalate) 41.15
221. Esmolol 10 mg/mL, 10 mL Vial (As 793.85
Hydrochloride)
222. Ethambutol 400 mg Tablet (As Hydrochloride) 3.85
2017 DPRI | Fifth Edition Page|9
REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
223. Etoposide 20 mg/mL, 5 mL Ampule 392.31
224. Etoposide 20 mg/mL, 5 mL Vial 379.04
225. Etoposide 100 mg Vial 354.18
F
226. Felodipine 5 mg MR Tablet 13.08
227. Fenofibrate 160 mg Tablet 32.31
228. Fenofibrate 200 mg Capsule 15.38
229. Fentanyl 50 mcg/mL, 2 mL Ampule (As Citrate) 188.49
230. Fentanyl 50 mcg/mL, 10 mL Ampule (As Citrate) 390.38
231. Ferrous Salt (Equiv. to 60 mg Elemental Iron) Tablet 2.88
(As Sulfate or Fumarate)
232. Ferrous Salt 15 mg Elemental Iron/0.6 mL, 15 mL 37.69
Drops (As Sulfate)
233. Ferrous Salt (Equiv. to 30 mg Elemental Iron/5 mL), 26.92
60 mL Syrup (As Sulfate)
234. Ferrous Sulfate + Folic Acid 60 mg Elemental Iron + 400 mcg Folic 3.85
Acid Tablet
235. Filgrastim (G-CSF) 300 mcg/mL Vial 3,587.69
236. Filgrastim (G-CSF) 300 mcg/1.2 mL Vial 3,230.77
237. Finasteride 5 mg Tablet 38.48
238. Fluconazole 50 mg Capsule 149.36
239. Fluconazole 150 mg Capsule 230.77
240. Fluconazole 200 mg Capsule 582.88
241. Fluconazole 2 mg/mL, 100 mL Vial 4,513.96
242. Fluorouracil 50 mg/mL, 10 mL Vial 113.36
243. Fluoxetine 20 mg Capsule 35.87
244. Flupentixol 20 mg/mL, 1 mL Ampule (As Decanoate) 386.93
245. Fluphenazine 25 mg/mL, 10 mL Vial (As Decanoate) 580.77
246. Fluticasone + Salmeterol 50mcg (As Propionate) + 25mcg (As 261.42
Xinafoate) x 120 actuations Metered
Dose Inhaler
247. Fluticasone + Salmeterol 125 mcg (As Propionate) + 25 mcg (As 362.87
Xinafoate) x 120 actuations Metered
Dose Inhaler
248. Fluticasone + Salmeterol 250 mcg (As propionate) + 25 mcg (As 549.23
Xinafoate) x 120 actuations Metered
Dose Inhaler
249. Fluticasone + Salmeterol 500 mcg (As Propionate) + 50 mcg (As 1,695.68
Xinafoate) x 60 doses Dry Powder
Inhaler
250. Folic Acid 5 mg Capsule 6.15
251. Folic Acid 5 mg Tablet 5.38
252. Fondaparinux 2.5 mg/0.5 mL Solution (As Sodium Salt) 1,604.29
253. Furosemide 20 mg Tablet 1.54
254. Furosemide 40 mg Tablet 2.31
255. Furosemide 10 mg/mL, 2 mL Ampule 36.92
256. Fusidate Sodium/Fusidic Acid 2% cream, 5 g Tube 286.43
G
257. Gabapentin 100 mg Capsule 22.88

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REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
258. Gabapentin 300 mg Capsule 25.58
259. Gemcitabine 200 mg Vial (As Hydrochloride) 1,711.54
260. Gemcitabine 1 g Vial (As Hydrochloride) 8,076.92
261. Gentamicin 40 mg/mL, 2 mL Ampule (As Sulfate) 38.27
262. Gentamicin 40 mg/mL, 2 mL Vial (As Sulfate) 76.92
263. Gliclazide 80 mg Tablet 6.92
264. Gliclazide 30 mg MR Tablet 6.54
265. Gliclazide 60 mg MR Tablet 20.00
266. Glucose (Dextrose) 50%, 50 mL Vial 61.27
H
267. Haloperidol 5 mg Tablet 23.85
268. Haloperidol 5 mg/mL, 1 mL Ampule 662.81
269. Haloperidol 50 mg/mL, 1 mL Ampule (As Decanoate) 1,129.23
270. Heparin 1000 IU/mL, 5 mL Vial (Unfractionated, 138.35
Bovine Origin) (As Sodium Salt)
271. Heparin 5000 IU/mL, 5 mL Vial (Unfractionated, 300.00
Bovine Origin) (As Sodium Salt)
272. Hydralazine 20 mg/mL, 1 mL Ampule (As 232.69
Hydrochloride)
273. Hydrocortisone 100 mg Powder Vial (As Sodium 92.31
Succinate)
274. Hydrocortisone 250 mg Powder, Vial (As Sodium 130.77
Succinate)
275. Hydrocortisone 125 mg/mL, 2 mL Vial (As Sodium 612.40
Succinate)
276. Hydrocortisone 1% cream, 5 g Tube 157.88
277. Hydroxyethyl Starch 6% solution, 500 mL Bottle 784.62
278. Hydroxyurea 500 mg Capsule 27.50
279. Hydroxyzine 25 mg Tablet (As Dihydrochloride) 19.62
280. Hyoscine 10 mg Tablet (As N-butyl Bromide) 6.15
281. Hyoscine 20 mg/mL, 1 mL Ampule (As N-butyl 63.08
Bromide)
I
282. I.V. Fluids, 0.9% Sodium Chloride 20 mL Ampule 35.56
283. I.V. Fluids, 0.9% Sodium Chloride 50 mL Bottle 53.85
284. I.V. Fluids, 0.9% Sodium Chloride 500 mL Plastic Bottle / Glass Bottle / Bag 83.85
285. I.V. Fluids, 0.9% Sodium Chloride 1 L Plastic Bottle / Glass Bottle / Bag 76.92
286. I.V. Fluids, 10% Dextrose in Water 500 mL Plastic Bottle / Glass Bottle / Bag 88.46
287. I.V. Fluids, 5% Dextrose in 0.3% 500 mL Plastic Bottle / Glass Bottle / Bag 81.13
Sodium Chloride
288. I.V. Fluids, 5% Dextrose in 0.3% 1 L Plastic Bottle / Glass Bottle / Bag 92.31
Sodium Chloride
289. I.V. Fluids, 5% Dextrose in 0.9% 500 mL Plastic Bottle / Glass Bottle / Bag 84.62
Sodium Chloride
290. I.V. Fluids, 5% Dextrose in 0.9% 1 L Plastic Bottle / Glass Bottle / Bag 84.62
Sodium Chloride
291. I.V. Fluids, 5% Dextrose in Lactated 500 mL Plastic Bottle / Glass Bottle / Bag 80.77
Ringer's
292. I.V. Fluids, 5% Dextrose in Lactated 1 L Plastic Bottle / Glass Bottle / Bag 79.81
Ringer's
2017 DPRI | Fifth Edition P a g e | 11
REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
293. I.V. Fluids, 5% Dextrose in Water 250 mL Plastic Bottle / Glass Bottle / Bag 111.74
294. I.V. Fluids, 5% Dextrose in Water 500 mL Plastic Bottle / Glass Bottle / Bag 76.92
295. I.V. Fluids, 5% Dextrose in Water 1 L Plastic Bottle / Glass Bottle / Bag 84.62
296. I.V. Fluids, Balanced Multiple 500 mL Plastic Bottle / Glass Bottle / Bag 83.08
Maintenance Solution with 5%
Dextrose for Pedia
297. I.V. Fluids, Balanced Multiple 1 L Plastic Bottle / Glass Bottle / Bag 84.62
Maintenance Solution with 5%
Dextrose for Adult
298. I.V. Fluids, Balanced Multiple 500 mL Plastic Bottle / Glass Bottle / Bag 81.95
Replacement Solution with 5%
Dextrose
299. I.V. Fluids, Balanced Multiple 1 L Plastic Bottle / Glass Bottle / Bag 100.78
Replacement Solution with 5%
Dextrose
300. I.V. Fluids, Lactated Ringer's Solution 500 mL Plastic Bottle / Glass Bottle / Bag 83.11
301. I.V. Fluids, Lactated Ringer's Solution 1 L Plastic Bottle / Glass Bottle / Bag 84.62
302. Ibuprofen 200 mg Tablet 6.15
303. Ibuprofen 400 mg Tablet 6.54
304. Ibuprofen 100 mg/5 mL, 60 mL Syrup/Suspension 66.15
305. Ibuprofen 200 mg/5 mL, 60 mL Suspension 105.85
306. Ifosfamide 1 g Powder Vial 2,152.70
307. Ifosfamide 2 g Powder Vial 2,692.31
308. Immunoglobulin, Hepatitis B 0.5 mL Vial 1,435.67
(human)
309. Immunoglobulin, Normal, (human) 50 mg/mL, 50 mL Vial 6,988.34
(IGIV)
310. Immunoglobulin, Rabies (human) 150 IU/mL, 2 mL Vial 4,501.40
311. Immunoglobulin, Tetanus (human) 250 units/mL, 1 mL Vial 1,050.45
312. Immunoglobulin, Tetanus (human) 250 IU/mL, 1 mL Pre-filled syringe 914.32
313. Insulin, Biphasic Isophane Human 70% Isophane Suspension + 30% Soluble 549.12
70/30 Insulin in 100 IU/mL, 5 mL Vial
314. Insulin, Biphasic Isophane Human 70% Isophane Suspension + 30% Soluble 625.38
70/30 (recombinant DNA) Insulin in 100 IU/mL, 10 mL Vial
315. Insulin, Isophane Human 100 IU/mL, 10 mL Vial 600.00
(recombinant DNA)
316. Insulin, Regular (recombinant DNA, 100 IU/mL, 10 mL Vial 736.54
human)
317. Intraocular Irrigating Solution 500 mL Bottle 500.00
(balanced salt solution)
318. Iohexol 300 mg iodine/mL, 50 mL Vial 1,275.00
319. Iopamidol 612 mg/mL equiv. to 300 mg Iodine, 50 1,365.38
mL Vial
320. Iopamidol 612 mg/mL equiv. to 300 mg Iodine, 100 2,544.27
mL Vial
321. Iopamidol 755 mg/mL equiv. to 370 mg Iodine, 50 1,615.38
mL Vial
322. Iopromide 300 mg/mL equiv. to 623 mg Iodine, 50 1,664.20
mL Vial
323. Iopromide 370 mg/mL equiv. to 769 mg Iodine, 50 1,928.33
mL Vial

12 | P a g e 2017 DPRI | Fifth Edition


REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
324. Ioversol 636 mg/mL equiv. to 300 mg/mL Iodine, 1,427.78
50 mL Vial
325. Ipratropium + Salbutamol 500 mcg (As Bromide Anhydrous) + 2.5 29.23
mg (As Base) x 2.5 mL (unit dose)
Respiratory Solution
326. Irbesartan 150 mg Tablet 16.33
327. Irbesartan 300 mg Tablet 26.65
328. Irbesartan + Hydrochlorothiazide 150 mg + 12.5 mg Tablet 22.12
329. Isoflurane 100 mL Bottle 2,867.31
330. Isoniazid + Rifampicin + Ethambutol 75 mg + 150 mg + 275 mg Tablet 8.36
331. Isoniazid + Rifampicin + 75 mg + 150 mg + 400 mg + 275 mg 10.58
Pyrazinamide + Ethambutol Tablet
332. Isosorbide Dinitrate 5 mg Tablet 8.85
333. Isosorbide Dinitrate 10 mg Tablet 9.23
334. Isosorbide Dinitrate 1 mg/mL, 10 mL Ampule 651.24
335. Isosorbide-5-Mononitrate 30 mg MR Tablet 17.14
336. Isosorbide-5-Mononitrate 30 mg MR Capsule 12.69
337. Isosorbide-5-Mononitrate 60 mg MR Tablet 12.69
338. Isoxsuprine 10 mg Tablet (As Hydrochloride) 16.92
339. Isoxsuprine 5 mg/mL, 2 mL Ampule (As 290.56
Hydrochloride)
340. Itraconazole 100 mg Capsule 76.08
K
341. Ketamine 50 mg/mL, 10 mL Vial (As 1,304.33
Hydrochloride)
342. Ketorolac 30 mg/mL, 1mL Ampule (As 92.31
Tromethamol)
L
343. Lactulose 3.3 g/5 mL (3.35 g/5 mL), 120 mL Syrup 215.38
344. Lagundi (Vitex Negundo L.) 300 mg Tablet 2.69
345. Lagundi (Vitex Negundo L.) 600 mg Tablet 4.62
346. Lagundi (Vitex Negundo L.) 300 mg/5 mL, 60 mL Syrup 75.50
347. Lamotrigine 50 mg Tablet 20.77
348. Lansoprazole 30 mg Capsule 35.89
349. Lansoprazole 30 mg MR Tablet 98.00
350. Latanoprost 50 mcg/mL Eye Drops Solution, 2.5mL 1,055.62
Bottle
351. Levofloxacin 500 mg Tablet 52.31
352. Levofloxacin 750 mg Tablet 76.86
353. Levofloxacin 5 mg/mL,100 mL Vial 1,184.62
354. Levothyroxine 50 mcg Tablet (As Anhydrous Sodium) 4.62
355. Levothyroxine 100 mcg Tablet (As Anhydrous Sodium) 8.46
356. Lidocaine 10%, 50 mL Spray (As Hydrochloride) 2,651.00
357. Lidocaine 2%, 1.8 mL Carpule (with Epinephrine) 21.54
(As Hydrochloride)
358. Lidocaine 2%, 5 mL Ampule (As Hydrochloride) 27.12
359. Lidocaine 2%, 5 mL Vial (As Hydrochloride) 47.81
360. Lidocaine 2%, 50 mL Vial (As Hydrochloride) 65.38
361. Lipids 10%, 500 mL Bottle 1,119.42
2017 DPRI | Fifth Edition P a g e | 13
REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
362. Lithium Carbonate 450 mg MR Tablet 6.15
363. Loperamide 2 mg Capsule (As Hydrochloride) 5.77
364. Loratadine 10 mg Tablet 16.62
365. Losartan 50 mg Tablet (As Potassium Salt) 10.00
366. Losartan 100 mg Tablet (As Potassium Salt) 13.85
367. Losartan + Hydrochlorothiazide 50 mg +12.5 mg Tablet 15.77
M
368. Magnesium Sulfate 250 mg/mL, 10 mL Ampule (As 63.65
Heptahydrate)
369. Magnesium Sulfate 250 mg/mL, 10 mL Vial (As 56.77
Heptahydrate)
370. Magnesium Sulfate 250 mg/mL, 20 mL Vial (As 57.20
Heptahydrate)
371. Magnesium Sulfate 500 mg/mL, 2mL Ampule (As 59.58
Heptahydrate)
372. Mannitol 20%, 250 mL Bottle 175.46
373. Mannitol 20%, 500 mL Bottle 192.31
374. Mebendazole 500 mg Tablet 3.85
375. Mebendazole 100 mg/5 mL, 30 mL Suspension 50.77
376. Mebendazole 100 mg/5 mL, 60 mL Suspension 26.92
377. Mecobalamin 500 mcg Tablet 17.22
378. Mecobalamin 500 mcg/mL, 1 mL Ampule 315.38
379. Medroxyprogesterone 150 mg/mL, 1 mL Vial (As Enanthate/As 58.65
Acetate)
380. Mefenamic Acid 250 mg Tablet 10.00
381. Mefenamic Acid 250 mg Capsule 3.08
382. Mefenamic Acid 500 mg Tablet 19.62
383. Mefenamic Acid 500 mg Capsule 11.15
384. Meropenem 500 mg Powder Vial (As Trihydrate) 1,168.86
385. Meropenem 1 g Powder Vial (As Trihydrate) 1,982.83
386. Mesna (Sodium-2- 100 mg/mL, 4 mL Ampule 167.46
Mercaptoethanesulphonate)
387. Metformin 500 mg Tablet (As Hydrochloride) 3.85
388. Metformin 850 mg Tablet (As Hydrochloride) 7.69
389. Methotrexate 2.5 mg Tablet (As Base/ As Sodium Salt) 9.46
390. Methotrexate 25 mg/mL, 2 mL Vial (As Base) 205.38
391. Methyldopa 250 mg Tablet 11.54
392. Methylergometrine 200 mcg/mL, 1 mL Ampule (As 65.00
(Methylergonovine) Hydrogen Maleate or Maleate)
393. Methylprednisolone 4 mg Tablet 12.77
394. Methylprednisolone 16 mg Tablet 42.31
395. Methylprednisolone 40 mg (single dose) Vial (As Sodium 716.89
Succinate)
396. Methylprednisolone 125 mg/mL, 2 mL Powder Vial + Diluent 1,333.52
Vial (As Sodium Succinate)
397. Methylprednisolone 500 mg Lyophilized Powder Vial (As 2,683.03
Sodium Succinate)
398. Methylprednisolone 500 mg/8.0 mL Powder Vial + Diluent 3,796.51
Vial (As Sodium Succinate)

14 | P a g e 2017 DPRI | Fifth Edition


REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
399. Methylprednisolone 1 g/16 mL Powder Vial + Diluent Vial 5,146.58
(As Sodium Succinate)
400. Metoclopramide 10 mg Tablet (As Hydrochloride) 6.92
401. Metoclopramide 5 mg/5 mL, 60 mL Syrup (As Base and 53.46
As Hydrochloride)
402. Metoclopramide 5 mg/mL, 2 mL Ampule (As Base and As 36.15
Hydrochloride)
403. Metoprolol 50 mg Tablet (As Tartrate) 3.08
404. Metoprolol 100 mg Tablet (As Tartrate) 5.15
405. Metronidazole 500 mg Tablet 3.85
406. Metronidazole 125 mg/5 mL (200 mg/5 mL (As 34.62
Benzoate)), 60 mL Suspension
407. Metronidazole 5 mg/mL, 100 mL Vial 92.31
408. Midazolam 15 mg Tablet 29.23
409. Midazolam 1 mg/mL, 5 mL Ampule 145.38
410. Midazolam 5 mg/mL,1 mL Ampule 159.08
411. Midazolam 5 mg/mL, 3 mL Ampule 220.38
412. Modified Fluid Gelatin (Formerly 4% solution, 500 mL Bottle 942.73
Polymerisate of Degraded
Succinylated Gelatin)
413. Monobasic Sodium Phosphate, 19 g/ 7 g solution per 133 mL Bottle 238.60
Dibasic Sodium Phosphate (Enema)
414. Monobasic Sodium Phosphate, 48 g/18 g per 100 mL Solution, 45 mL 248.73
Dibasic Sodium Phosphate Bottle
415. Montelukast 10 mg Tablet (As Sodium Salt) 26.15
416. Montelukast 4 mg Chewable Tablet (As Sodium Salt) 15.62
417. Montelukast 5 mg Chewable Tablet (As Sodium Salt) 17.69
418. Montelukast 4 mg Granules, Sachet (As Sodium Salt) 16.15
419. Morphine 10 mg Tablet (As Sulfate) 35.30
420. Morphine 30 mg Tablet (As Sulfate) 76.92
421. Morphine 10 mg/mL, 1 mL Ampule (As Sulfate) 90.72
422. Multivitamins Tablet 5.38
423. Multivitamins Capsule 8.46
424. Multivitamins 15 mL Drops 52.50
425. Multivitamins 60 mL Syrup 52.69
426. Multivitamins 120 mL Syrup 97.88
427. Mupirocin 2% cream, 15 g Tube 192.23
428. Mupirocin 2% ointment, 5 g Tube 192.31
429. Mupirocin 2% ointment, 15 g Tube 176.92
N
430. Nalbuphine 10 mg/mL, 1 mL Ampule (As 103.00
Hydrochloride)
431. Naloxone 400 mcg/mL, 1 mL Ampule (As 415.04
Hydrochloride)
432. Naproxen 500 mg Base (550 mg) Tablet (As Sodium 16.73
Salt)
433. Neomycin + Polymyxin B + 3.5 mg + 10,000 units + 0.025%/mL Ear 301.28
Fluocinolone Acetonide Drops, 5 mL Bottle (As Sulfate)
434. Nicardipine 1 mg/mL, 2 mL Ampule (As 206.71
Hydrochloride)
2017 DPRI | Fifth Edition P a g e | 15
REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
435. Nicardipine 1 mg/mL, 10 mL Ampule (As 1,030.85
Hydrochloride)
436. Nifedipine 10 mg Capsule 4.62
437. Nifedipine 30 mg MR Tablet 36.92
438. Nimodipine 30 mg Tablet 42.69
439. Norepinephrine 1 mg/mL, 2 mL Ampule (As Bitartrate) 500.00
440. Norepinephrine 1 mg/mL, 4 mL Ampule (As Bitartrate) 986.47
441. Norepinephrine 1 mg/mL, 10 mL Ampule (As Bitartrate) 1,615.06
442. Nystatin 100,000 units/mL, 30 mL Suspension 261.11
O
443. Octreotide 100 mcg/mL, 1 mL Ampule (As Acetate) 803.40
444. Ofloxacin 200 mg Tablet 42.38
445. Ofloxacin 0.3% Eye Drops Solution, 5 mL Bottle 288.46
446. Olanzapine 10 mg Tablet 83.38
447. Omeprazole 20 mg Capsule 19.23
448. Omeprazole 40 mg Capsule 34.58
449. Omeprazole 40 mg powder vial + 10 mL solvent 480.62
Ampule
450. Ondansetron 8 mg Tablet (As Hydrochloride 206.15
Dihydrate)
451. Ondansetron 2 mg/mL, 2 mL Ampule 452.31
452. Ondansetron 2 mg/mL, 4 mL Ampule 484.62
453. Oral Rehydration Salts (ORS 75- 2.17 g Sachet 6.15
replacement)
454. Oral Rehydration Salts (ORS 75- 4.1 g Sachet 11.73
replacement)
455. Oral Rehydration Salts (ORS 75- 5.125 g Sachet 7.69
replacement)
456. Oral Rehydration Salts (ORS 75- 20.5 g Sachet 8.85
replacement)
457. Oxacillin 500 mg Vial (As Sodium Salt) 146.15
458. Oxycodone 10 mg Tablet (As Hydrochloride) 185.16
459. Oxycodone 20 mg Tablet (As Hydrochloride) 286.27
460. Oxycodone 10 mg/mL, 1 mL Ampule (As 1,205.65
Hydrochloride)
461. Oxycodone 10 mg/mL, 2 mL Ampule (As 1,907.88
Hydrochloride)
462. Oxytocin 10 IU/mL, 1 mL Ampule 76.92
P
463. Paclitaxel 6 mg/mL, 5 mL Vial 2,309.62
464. Paclitaxel 6 mg/mL, 43.4 mL Vial 10,211.54
465. Paracetamol 500 mg Tablet 2.69
466. Paracetamol 100 mg/mL, 15 mL Drops (alcohol-free) 50.00
467. Paracetamol 250 mg/5 mL, 60 mL Syrup/Suspension 95.72
468. Paracetamol 10 mg/mL, 100 mL Vial 472.69
469. Paracetamol 150 mg/mL, 2 mL Ampule 37.12
470. Paracetamol 125 mg Suppository 25.02
471. Paracetamol 250 mg Suppository 26.45

16 | P a g e 2017 DPRI | Fifth Edition


REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
472. Penicillin G Benzathine (benzathine 1,200,000 Units Vial 123.46
benzylpenicillin)
473. Penicillin G Crystalline 1,000,000 Units Vial (As Sodium Salt) 16.92
474. Penicillin G Crystalline 5,000,000 Units Vial (As Sodium Salt) 38.46
475. Permethrin 5% Lotion, 60 mL Bottle 173.12
476. Pethidine (Meperidine) 50 mg/mL, 2 mL Ampule (As 253.85
Hydrochloride)
477. Phenobarbital 120 mg/mL (130 mg/mL), 1 mL Ampule 649.23
(As Sodium Salt)
478. Phenytoin 100 mg Capsule (As Sodium Salt) 31.46
479. Phenytoin 30 mg/5 mL, 120 mL Suspension (As 399.81
Sodium Salt)
480. Phenytoin 50 mg/mL, 2 mL Ampule (As Sodium 831.54
Salt)
481. Phytomenadione 10 mg/mL, 1 mL Ampule (As Mixed 50.00
(Phytonadione/Vitamin K1) Micelle)
482. Piperacillin + Tazobactam 2 g + 250 mg Vial (As Sodium Salt) 593.20
483. Piperacillin + Tazobactam 4 g + 500 mg Vial (As Sodium Salt) 976.97
484. Potassium Chloride 2 mEq/mL, 10 mL Vial 61.54
485. Potassium Chloride 2 mEq/mL, 20 mL Vial 59.14
486. Potassium Chloride 750 mg durules (equiv. to approximately 22.31
10 mEq potassium) Tablet
487. Potassium Citrate 10 mEq Tablet 11.92
488. Povidone Iodine 10% solution, 1 gallon Bottle 1,044.42
489. Prednisolone 1% Eye Drops Suspension, 5 mL Bottle 243.62
(As Acetate)
490. Prednisone 5 mg Tablet 2.12
491. Prednisone 10 mg Tablet 4.23
492. Prednisone 20 mg Tablet 6.46
493. Prednisone 10 mg/5 mL, 60 mL Suspension 130.77
494. Propofol 10 mg/mL, 20 mL Ampule 516.92
495. Propofol 10 mg/mL, 20 mL Vial 492.31
496. Propranolol 10 mg Tablet (As Hydrochloride) 10.81
497. Propranolol 40 mg Tablet (As Hydrochloride) 16.77
498. Pyridostigmine 60 mg Tablet (As Bromide) 36.92
Q
499. Quetiapine 100 mg Tablet (As Fumarate) 61.54
500. Quetiapine 200 mg Tablet (As Fumarate) 80.10
501. Quetiapine 300 mg Tablet (As Fumarate) 73.08
R
502. Ranitidine 150 mg Tablet (As Hydrochloride) 5.08
503. Ranitidine 300 mg Tablet (As Hydrochloride) 4.62
504. Ranitidine 25 mg/mL, 2 mL Ampule (As 57.69
Hydrochloride)
505. Risperidone 1 mg Tablet 37.12
506. Risperidone 2 mg Tablet 44.62
507. Risperidone 4 mg Tablet 94.92
508. Rocuronium 10 mg/mL, 5 mL Vial (As Bromide) 574.62

2017 DPRI | Fifth Edition P a g e | 17


REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
509. Ropivacaine 10 mg/mL, 10 mL Ampule (As 459.16
Hydrochloride)
510. Rosuvastatin 10 mg Tablet (As Calcium Salt) 21.42
511. Rosuvastatin 20 mg Tablet (As Calcium Salt) 29.23
S
512. Salbutamol 2 mg/5mL, 60 mL Syrup (As Sulfate) 53.85
513. Salbutamol 1 mg/mL, 2.5 mL (unit dose) Nebule (As 12.40
Sulfate)
514. Salbutamol 2 mg/mL, 2.5 mL (unit dose) Nebule (As 11.54
Sulfate)
515. Salbutamol 100 mcg/dose x 200 actuations Metered 233.50
Dose Inhaler (As Sulfate)
516. Sambong (Blumea Balsamifera (L) 500 mg Tablet 6.54
DC (Fam. Compositae)]
517. Sertraline 50 mg Tablet (As Hydrochloride) 38.42
518. Serum, Anti-rabies (equine) 200 IU/mL, 5 mL Vial 1,246.15
519. Serum, Anti-tetanus (ATS) (equine) 1500 IU/mL, 1 mL Ampule 84.62
520. Sevoflurane 250 mL Bottle 13,134.62
521. Silver Sulfadiazine 1% Cream, 15 g Tube 173.08
522. Silver Sulfadiazine 1% Cream, 25 g Tube 142.31
523. Silver Sulfadiazine 1% Cream, 500 g Jar 2,314.82
524. Simvastatin 20 mg Tablet 7.69
525. Simvastatin 40 mg Tablet 12.18
526. Sodium Bicarbonate 1 meq/mL, 50 mL Ampule 123.85
527. Sodium Bicarbonate 1 meq/mL, 50 mL Vial 129.31
528. Sodium Chloride 2.5 mEq/mL, 20 mL Vial 60.08
529. Somatostatin 250 mcg Vial 859.23
530. Somatostatin 3 mg Vial 5,638.69
531. Standard Senna Concentrate 187 mg Tablet 9.23
532. Standard Senna Concentrate 374 mg Tablet 12.50
533. Sterile Water For Injection 50 mL Bottle (No Preservative) 44.62
534. Sterile Water For Injection 100 mL Bottle (No Preservative) 63.65
535. Sterile Water For Injection 1 L Bottle (No Preservative) 100.38
536. Streptokinase 1,500,000 IU Powder Vial 7,516.92
537. Streptomycin 1 g Vial (As Sulfate) 26.92
538. Sucralfate 1 g Tablet 45.15
539. Sugammadex 100 mg/mL, 2 mL Vial 5,377.54
540. Suxamethonium (Succinylcholine) 20 mg/mL, 10 mL Vial (As Chloride) 303.15
T
541. Tamoxifen 20 mg Tablet (As Citrate) 16.31
542. Tamsulosin 200 mcg Capsule (As Hydrochloride) 49.23
543. Telmisartan 40 mg Tablet 19.23
544. Telmisartan 80 mg Tablet 34.02
545. Telmisartan + Hydrochlorothiazide 40 mg + 12.5 mg Tablet 19.23
546. Terbutaline 500 mcg/mL, 1 mL Ampule (As Sulfate) 96.73
547. Thiamazole (Methimazole) 5 mg Tablet 5.42
548. Tinzaparin 10,000 anti-XA IU/mL, 2 mL Vial (As 1,414.62
Sodium)
18 | P a g e 2017 DPRI | Fifth Edition
REFERENCE
GENERIC STRENGTH / FORM / VOLUME PRICE
(Php)
549. Tiotropium 18 mcg/dose Dry Powder Inhaler (As 87.62
Bromide)
550. Tobramycin 0.3% Eye Drops, 5 mL Bottle 223.08
551. Tobramycin + Dexamethasone 0.3% + 0.1% Eye Drops, 5 mL Bottle 201.15
552. Tobramycin + Dexamethasone 0.3% + 0.1% Eye Ointment, 3.5 g Tube 609.78
553. Tramadol 50 mg Capsule (As Hydrochloride) 7.69
554. Tramadol 100 mg MR Tablet (As Hydrochloride) 76.92
555. Tramadol 50 mg/ml, 1 ml Ampule (As 78.46
Hydrochloride)
556. Tramadol 50 mg/ml, 2 ml Ampule (As 84.62
Hydrochloride)
557. Tranexamic Acid 500 mg Tablet 13.85
558. Tranexamic Acid 500 mg Capsule 21.54
559. Tranexamic Acid 100 mg/mL, 5 mL Ampule 100.00
560. Trimetazidine 35 mg Tablet (As Hydrochloride) 14.50
U
561. Ursodeoxycholic Acid 250 mg Capsule 48.56
V
562. Vaccine, Hepatitis B (recombinant 10 mcg/0.5 mL (Pediatric) Monodose 346.15
DNA) Vial
563. Vaccine, Hepatitis B (recombinant 20 mcg/mL, 1 mL Vial 609.62
DNA)
564. Vaccine, Rabies, Vero Cell (Purified) 2.5 IU/0.5 mL Vial + diluent 1,230.77
565. Vaccine, Rabies, Chick Embryo Cell 2.5 IU/mL, 1 dose + 1 mL diluent Vial 1,756.15
(Purified Inactivated)
566. Vaccine, Tetanus Toxoid 0.5 mL Ampule 90.88
567. Valaciclovir 500 mg Tablet (As Hydrochloride) 149.02
568. Valproic Acid 250 mg/5 mL, 120 mL Syrup 473.27
569. Valproic Acid 500 mg/5 mL, 5 mL Vial 2,896.48
570. Valsartan 80 mg Tablet 21.54
571. Valsartan 160 mg Tablet 35.20
572. Vancomycin 500 mg Vial (As Hydrochloride) 1,259.81
573. Vancomycin 1 g Vial (As Hydrochloride) 743.08
574. Verapamil 2.5mg/ml, 2mL Ampule (As 207.69
Hydrochloride)
575. Vincristine 1 mg/mL, 1 mL Vial (As Sulfate) 461.96
576. Vincristine 1 mg/mL, 2 mL Vial (As Sulfate) 555.96
577. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Tablet 2.88
578. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Capsule 3.85
579. Vitamin B1 B6 B12 100 mg + 100 mg + 1 mg, 3 mL Ampule 69.23
W
580. Warfarin 1 mg Tablet (As Sodium Salt) 21.08
581. Warfarin 2.5 mg Tablet (As Sodium Salt) 26.15
582. Warfarin 5 mg Tablet (As Sodium Salt) 32.69
Z
583. Zinc 27.5 mg/mL (Equiv. to 10 mg Elemental 65.87
Zinc), 15 mL Oral Drops (As Sulfate
Monohydrate)
584. Zinc 55 mg/5 mL (Equiv. to 20 mg Elemental 69.83
Zinc), 60 mL Syrup (As Sulfate
Monohydrate)
2017 DPRI | Fifth Edition P a g e | 19

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