2017 DPRI | Fifth Edition 0|Page

ACKNOWLEDGEMENTS

The 2017 Edition of the Drug Price Reference Index (DPRI) is a fruit of hard work, dedication and team efforts
of the Department of Health (DOH) Pharmaceutical Division’s System Support Unit 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;

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 OIC-Chief Irene V. Florentino-Farinas for their support;

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

The Drug Price and Access Advisory Committee (DPAAC) who provided recommendations for the improvement
of the policy headed by Governor Roberto Pagdanganan as Chairman, Dr. Alvin Caballes as Vice-chairman, and the
members of the committee: Dr. Michael Abrigo, Dr. John Wong and Mr. Oscar Picazo;

We also recognize and thank our Health Secretary Francisco T. Duque and former Health Secretary Dr. Paulyn
Jean B. Rosell – Ubial, and OIC – Assistant Secretary Enrique A. Tayag for their unwavering support and commitment
to enforce the DPRI in the government.

Manila, Philippines

18 December 2017

Corazon I. Flores, MD, MPH, CESO IV

Director III

2017 DPRI | Fifth Edition 1|Page

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.

2017 DPRI | Fifth Edition 2|Page

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 3|Page

 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
A
1. Acetazolamide 250 mg Tablet 25.38
2. Acetylcysteine 100 mg Sachet 11.54
3. Acetylcysteine 200 mg Sachet 14.62
4. Acetylcysteine 200 mg/mL, 25 mL Bottle 1,813.85
5. Acetylcysteine 600 mg Effervescent Tablet 29.23
6. Aciclovir 200 mg Tablet 9.23
7. Aciclovir 25 mg/mL, 10 mL Vial 1,184.97
8. Aciclovir 400 mg Tablet 30.77
9. Aciclovir 800 mg Tablet 47.69
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% solution, 500 mL Bottle 53.08
14. Alendronate 70 mg Tablet (As Sodium Salt) 196.06
15. Alfuzosin 10 mg Tablet (as Hydrochloride) 43.81
16. All-in-One Admixtures ("3-in-1" or "dual "3 in 1" 1400 Kcal Bottle 2,884.62
energy" solutions)
17. All-in-One Admixtures ("3-in-1" or "dual "3 in 1" 1900 Kcal Bottle 5,736.15
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, 120 mL 40.77
Hydroxide Suspension
23. Aluminum Hydroxide + Magnesium 225 mg + 200 mg/5 mL, 180 mL 222.31
Hydroxide Suspension
24. Aluminum Hydroxide + Magnesium 225 mg + 200 mg/5 mL, 60 mL 59.23
Hydroxide Suspension
25. Amikacin 100 mg powder Vial (As Sulfate) 41.15
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. Amikacin 50 mg/mL, 2 mL Ampule (As Sulfate) 220.65
32. Amikacin 50 mg/ml, 2 ml Vial (As Sulfate) 61.54
33. Amino Acid Solutions for Hepatic Failure 7%, 500 mL Bottle 784.00
34. Amino Acid Solutions for Hepatic Failure 8%, 500 mL Bottle 1,047.77
35. Amino Acid Solutions for Infants 6%, 100 mL Bottle 521.32
36. Amino Acids, Crystalline Standard 8%, 500 mL Plastic Bottle 991.71
37. Amino Acids, Crystalline Standard 9.12%, 20 mL Ampule 230.77
38. Aminophylline 25 mg/mL, 10 mL Ampule 45.38
39. Amiodarone 200 mg Tablet (As Hydrochloride) 30.00
40. Amiodarone 50 mg/mL, 3 mL Ampule (As 279.23
Hydrochloride)
41. Amlodipine 10 mg Tablet (As Besilate/Camsylate) 11.16
2017 DPRI | Fifth Edition 4|Page
 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
42. Amlodipine 5 mg Tablet (As Besilate/Camsylate) 7.35
43. Amoxicillin 100 mg/mL, 10 mL Drops (As 56.15
Trihydrate)
44. Amoxicillin 100 mg/mL, 15 mL Drops (As 42.15
Trihydrate)
45. Amoxicillin 125 mg/5 mL, 60 mL Suspension (As 50.00
Trihydrate)
46. Amoxicillin 250 mg Capsule (As Trihydrate) 2.31
47. Amoxicillin 250 mg/5 mL, 60 mL Suspension 94.62
48. Amoxicillin 500 mg Capsule (As Trihydrate) 5.77
49. Amphotericin B (Lipid Complex) 50 mg Vial (As Cholesteryl Complex, 10,438.46
Colloidal Dispersion)
50. Amphotericin B (Non-Lipid Complex) 50 mg Vial 3,328.25
51. Ampicillin + Sulbactam 1.5 g Vial 688.89
52. Ampicillin + Sulbactam 250 mg + 125 mg Vial (As Sodium Salt) 241.44
53. Ampicillin + Sulbactam 500 mg + 250 mg Vial (As Sodium Salt) 442.69
54. Ampicillin 1 g Vial (As Sodium Salt) 38.46
55. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 120 mL Syrup 93.85
56. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 60 mL Syrup 44.73
57. Ascorbic Acid (Vitamin C) 100 mg/ml, 15 mL Oral Drops 56.15
58. Ascorbic Acid (Vitamin C) 100 mg/ml, 30 mL Oral Drops 79.23
59. Ascorbic Acid (Vitamin C) 100 mg/ml, 60 mL Oral Drops 44.62
60. Ascorbic Acid (Vitamin C) 250 mg/mL, 2 mL Ampule 46.54
61. Ascorbic Acid (Vitamin C) 500 mg Tablet 3.85
62. Asparaginase 10,000 IU Vial 2,180.77
63. Aspirin 80 mg Tablet 2.31
64. Atenolol 50 mg Tablet 8.08
65. Atorvastatin 10 mg Tablet 11.54
66. Atorvastatin 20 mg Tablet 15.38
67. Atorvastatin 40 mg Tablet 19.33
68. Atorvastatin 80 mg Tablet 26.58
69. Atracurium 10 mg/mL, 2.5 mL Ampule (As 273.28
Besilate)
70. Atropine 1 mg/mL, 1 mL Ampule (As Sulfate) 37.12
71. Azithromycin 200 mg/5 mL, 15 mL Suspension (As 328.46
Base/As Dihydrate)
72. Azithromycin 500 mg Tablet (As Base/As Dihydrate) 80.77

73. Azithromycin 500 mg Vial (As Base/As Dihydrate) 763.46

B
74. Baclofen 10 mg Tablet 16.92
75. Beractant 25 mg/mL, 4 mL Vial 10,325.78
76. Betahistine 24 mg Tablet (As Hydrochloride) 54.12
77. Betahistine 8 mg Tablet (As Hydrochloride) 15.77
78. Betamethasone Cream 0.1%, 5 g Tube (As Valerate) 221.67
79. Biperiden 2 mg Tablet (As Hydrochloride) 12.92
80. Bisacodyl 10 mg Suppository 37.69
2017 DPRI | Fifth Edition 5|Page
 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
81. Bisacodyl 5 mg Suppository 30.77
82. Bisacodyl 5 mg Tablet 15.38
83. Bleomycin 15 mg Vial (As Sulfate) 2,353.85
84. Budesonide + Formoterol 160 mcg + 4.5 mcg x 60 doses Dry 838.46
Powder Inhaler (As Fumarate
Dihydrate)
85. Budesonide 250 mcg/mL, 2 mL Respiratory 69.23
Solution (Nebule)
86. Bumetanide 1 mg Tablet 22.52
87. Bupivacaine 0.5%, 10 mL Ampule (As 406.68
Hydrochloride)
88. Bupivacaine 0.5%, 10 mL Vial (As Hydrochloride) 325.42
89. Bupivacaine 0.5%, 4 mL (spinal) with 8% Dextrose 457.69
Ampule (As Hydrochloride)
90. Bupivacaine 0.5%, 5 mL Ampule (As 615.38
Hydrochloride)
91. Butamirate 50 mg MR Tablet (As Citrate) 14.22
92. Butorphanol 2 mg/mL, 1 mL Vial (As Tartrate) 436.22
C
93. Calcium Carbonate + Cholecalciferol (Vit. 1.25 g (equiv. to 500 mg elemental 6.73
D3) calcium) + 250 IU Tablet
94. Calcium Carbonate + Cholecalciferol (Vit. 600 mg elementa Ca + 400 IU Vit. D3 6.33
D3) Tablet
95. Calcium Carbonate 500 mg Tablet 5.12
96. Calcium Carbonate 600 mg Tablet 6.15
97. Calcium Folinate (Leucovorin Calcium) 10 mg/mL, 5 mL Ampule 488.46
98. Calcium Folinate (Leucovorin Calcium) 10 mg/mL, 5 mL Vial 280.19
99. Calcium Folinate (Leucovorin Calcium) 50 mg powder Vial 213.65
100. Calcium Gluconate 10%, 10 mL Ampule 76.96
101. Calcium Gluconate 10%, 10 mL Vial 68.88
102. Candesartan 16 mg Tablet (As Cilexetil) 25.27
103. Candesartan 8 mg Tablet (As Cilexetil) 14.62
104. Capecitabine 500 mg Tablet 84.20
105. Captopril 25 mg Tablet 3.85
106. Carbamazepine 200 mg Tablet 5.00
107. Carboplatin 10 mg/mL, 15 mL Vial 918.06
108. Carboplatin 10 mg/mL, 45 mL Vial 3,088.00
109. Carvedilol 25 mg Tablet 14.19
110. Carvedilol 6.25 mg Tablet 8.46
111. Cefadroxil 125 mg/5 mL, 60 mL Syrup (As 146.54
Monohydrate)
112. Cefadroxil 250 mg/5 mL, 60 mL Suspension (As 87.69
Monohydrate)
113. Cefadroxil 500 mg Capsule 10.77
114. Cefalexin 100 mg/mL, 15 mL Drops (As 34.62
Monohydrate)
115. Cefalexin 125 mg/5 mL, 60 mL Bottle (As 46.15
Monohydrate)
116. Cefalexin 250 mg Capsule (As Monohydrate) 3.85
2017 DPRI | Fifth Edition 6|Page
 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
117. Cefalexin 250 mg/5 mL, 60 mL Bottle (As 61.54
Monohydrate)
118. Cefalexin 500 mg Capsule (As Monohydrate) 10.02
119. Cefazolin 1 g Vial (As Sodium Salt) 125.50
120. Cefazolin 500 mg Vial (As Sodium Salt) 214.72
121. Cefepime 1 g Vial (As Hydrochloride) 1,486.92
122. Cefepime 2 g Vial (As Hydrochloride) 3,020.67
123. Cefepime 500 mg Vial (As Hydrochloride) 864.96
124. Cefixime 100 mg Capsule (As Trihydrate) 68.46
125. Cefixime 100 mg/5 mL, 30 mL Suspension 450.35
126. Cefixime 100 mg/5 mL, 60 mL Suspension 515.08
127. Cefixime 20 mg/mL, 10 mL Suspension 192.31
128. Cefixime 200 mg Capsule (As Trihydrate) 31.23
129. Cefotaxime 1 g Vial (As Sodium Salt) 224.23
130. Cefotaxime 500 mg Vial (As Sodium Salt) 740.77
131. Cefoxitin 1 g Vial (As Sodium Salt) 814.87
132. Ceftazidime 1 g Vial (As Sodium Salt) 338.46
133. Ceftazidime 500 mg Vial (As Pentahydrate) 651.94
134. Ceftriaxone 1 g + 10 mL diluent Vial (As 576.92
Disodium/Sodium Salt)
135. Ceftriaxone 500 mg + 5 mL diluent Vial (As 566.15
Disodium/Sodium Salt)
136. Cefuroxime 1.5 g Vial 371.15
137. Cefuroxime 125 mg/5 mL, 50 mL Suspension (As 180.77
Axetil)
138. Cefuroxime 125 mg/5 mL, 70 mL Suspension (As 238.46
Axetil)
139. Cefuroxime 250 mg Vial 266.04
140. Cefuroxime 250 mg/5 mL, 60 mL Suspension 238.46
141. Cefuroxime 500 mg Tablet (As Axetil) 45.69
142. Cefuroxime 750 mg Vial 292.31
143. Celecoxib 100 mg Capsule 15.19
144. Celecoxib 200 mg Capsule 19.23
145. Celecoxib 400 mg Capsule 34.46
146. Cetirizine 1 mg/mL, 30 mL Bottle (As 113.85
Dihydrochloride)
147. Cetirizine 1 mg/mL, 60 mL Bottle (As 188.63
Dihydrochloride)
148. Cetirizine 10 mg Tablet (As Dihydrochloride) 16.71
149. Cetirizine 10 mg/mL, 10 mL Oral Drops (As 121.54
Dihydrochloride)
150. Chloramphenicol 1 g Vial (As Sodium Succinate) 50.00
151. Chloramphenicol 125 mg/5 mL, 60 mL Suspension (As 57.69
Palmitate)
152. Chloramphenicol 500 mg Capsule (As Palmitate) 4.62
153. Chlorphenamine (Chlorpheniramine) 10 mg/mL,1 mL Ampule (As Maleate) 31.15
154. Chlorphenamine (Chlorpheniramine) 4 mg Tablet (As Maleate) 1.00
155. Chlorpromazine 100 mg Tablet (As Hydrochloride) 6.54

2017 DPRI | Fifth Edition 7|Page

 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
156. Chlorpromazine 200 mg Tablet (As Hydrochloride) 11.52
157. Cilostazol 100 mg Tablet 25.73
158. Cilostazol 50 mg Tablet 13.85
159. Cinnarizine 25 mg Tablet 2.31
160. Cinnarizine 75 mg Capsule 100.00
161. Ciprofloxacin 2 mg/mL, 100 mL Vial (As Lactate) 300.00
162. Ciprofloxacin 2 mg/mL, 50 mL Vial (As Lactate) 602.17
163. Ciprofloxacin 500 mg Tablet (As Hydrochloride) 12.31
164. Cisplatin 1 mg/mL, 10 mL Vial 269.23
165. Cisplatin 1 mg/mL, 50 mL Vial 731.54
166. Cisplatin 50 mg powder Vial 672.69
167. Clarithromycin 125 mg/5 mL, 25 mL Suspension 184.62
168. Clarithromycin 125 mg/5 mL, 50 mL Suspension 302.50
169. Clarithromycin 125 mg/5 mL, 70 mL Suspension 520.31
170. Clarithromycin 250 mg/5 mL, 70 mL Suspension 750.46
171. Clarithromycin 500 mg Tablet 43.08
172. Clindamycin 150 mg Capsule (As Hydrochloride) 6.15
173. Clindamycin 150 mg/mL, 2 mL Ampule (As 361.77
Phosphate)
174. Clindamycin 150 mg/mL, 4 mL Ampule (As 710.93
Phosphate)
175. Clindamycin 300 mg Capsule (As Phosphate) 11.54
176. Clindamycin 75 mg/5 mL, 60 mL Suspension (As 372.60
Palmitate Hydrochloride)
177. Clobetasol Cream 0.05%, 5 g Tube (As Propionate) 228.15
178. Clobetasol Ointment 0.05%, 5 g Tube (As Propionate) 230.00
179. Clonazepam 2 mg Tablet 12.69
180. Clonidine 150 mcg Tablet (As Hydrochloride) 23.08
181. Clonidine 150 mcg/mL, 1 mL Ampule (As 157.69
Hydrochloride)
182. Clonidine 75 mcg Tablet (As Hydrochloride) 17.69
183. Clopidogrel 75 mg Tablet 22.12
184. Cloxacillin 125 mg/5 mL, 60 mL Bottle (As 33.85
Sodium Salt)
185. Cloxacillin 250 mg/5 mL, 60 mL Bottle (As 53.85
Sodium Salt)
186. Cloxacillin 500 mg Capsule (As Sodium Salt) 6.15
187. Clozapine 100 mg Tablet 44.62
188. Co-Amoxiclav (Amoxicillin + Potassium 1 g Tablet 53.85
Clavulanate)
189. Co-Amoxiclav (Amoxicillin + Potassium 200 mg (As Trihydrate) + 28.5 mg/5 209.13
Clavulanate) mL, 70 mL Suspension
190. Co-Amoxiclav (Amoxicillin + Potassium 250 mg (As Trihydrate) + 125 mg 30.58
Clavulanate) Tablet
191. Co-Amoxiclav (Amoxicillin + Potassium 250 mg (As Trihydrate) + 62.5 mg/5 192.31
Clavulanate) mL, 100 mL Suspension
192. Co-Amoxiclav (Amoxicillin + Potassium 250 mg (As Trihydrate) + 62.5 mg/5 190.58
Clavulanate) mL, 60 mL Suspension

2017 DPRI | Fifth Edition 8|Page

 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
193. Co-Amoxiclav (Amoxicillin + Potassium 400 mg (As Trihydrate) + 57 mg/5 mL, 321.92
Clavulanate) 70 mL Suspension
194. Co-Amoxiclav (Amoxicillin + Potassium 500 mg (As Trihydrate) + 125 mg 32.62
Clavulanate) Tablet
195. Colchicine 500 mcg Tablet 3.08
196. Cotrimoxazole (Sulfamethoxazole + 200 mg + 40 mg/5 mL, 60 mL 26.92
Trimethoprim) Suspension
197. Cotrimoxazole (Sulfamethoxazole + 400 mg + 80 mg Capsule 2.31
Trimethoprim)
198. Cotrimoxazole (Sulfamethoxazole + 400 mg + 80 mg Tablet 1.92
Trimethoprim)
199. Cotrimoxazole (Sulfamethoxazole + 400 mg + 80 mg/5 mL, 60 mL 46.15
Trimethoprim) Suspension
200. Cotrimoxazole (Sulfamethoxazole + 800 mg+160 mg Tablet 3.56
Trimethoprim)
201. Cyclophosphamide 500 mg powder Vial 235.88
202. Cytarabine 100 mg powder Vial 176.44
203. Cytarabine 100 mg/mL, 5 mL Vial 390.38
D
204. Dacarbazine 200 mg Vial 776.35
205. Dactinomycin (Actinomycin D) 500 mcg powder Vial 400.00
206. Dexamethasone 4 mg Tablet 21.73
207. Dexamethasone 4 mg/mL, 2 mL Ampule (As Sodium 70.58
Phosphate)
208. Dexamethasone 4 mg/mL, 2 mL Vial (As Sodium 88.23
Phosphate)
209. Dexamethasone 5 mg/mL, 1 mL Ampule (As Sodium 113.73
Phosphate)
210. Diazepam 5 mg Tablet 12.02
211. Diazepam 5 mg/mL, 2 mL Ampule 138.46
212. Diclofenac 25 mg/mL, 3 mL Ampule (As Sodium 57.54
Salt)
213. Diclofenac 50 mg Tablet (As Sodium or 3.17
Potassium Salt)
214. Dicycloverine (Dicyclomine) 10 mg Tablet (As Hydrochloride) 1.15
215. Dicycloverine (Dicyclomine) 10 mg/5 mL, 60 mL Syrup 50.00
216. Digoxin 250 mcg Tablet 4.62
217. Digoxin 250 mcg/mL, 2 mL Ampule 194.59
218. Digoxin 50 mcg/mL, 60 mL Elixir 674.62
219. Diltiazem 30 mg Tablet (As Hydrochloride) 7.69
220. Diltiazem 60 mg Tablet (As Hydrochloride) 6.15
221. Diphenhydramine 12.5 mg/ 5 mL, 60 mL Syrup (As 26.92
Hydrochloride)
222. Diphenhydramine 25 mg Capsule (As Hydrochloride) 1.54
223. Diphenhydramine 50 mg Capsule (As Hydrochloride) 2.35
224. Diphenhydramine 50 mg/mL, 1 mL Ampule (As 133.85
Hydrochloride)
225. Dobutamine 1 mg/mL, 250 mL D5W Pre-mixed (As 902.69
Hydrochloride)

2017 DPRI | Fifth Edition 9|Page

 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
226. Dobutamine 12.5 mg/mL, 20 mL Vial (As 500.00
Hydrochloride)
227. Dobutamine 2 mg/mL, 250 mL D5W Pre-mixed (As 848.41
Hydrochloride)
228. Dobutamine 50 mg/mL, 5 mL Ampule (As 519.23
Hydrochloride)
229. Docetaxel 20 mg/0.5 mL, 0.5 mL Vial 1,795.42
(Anhydrous)
230. Docetaxel 40 mg/mL, 2 mL Vial (Anhydrous) 8,400.00
231. Domperidone 1 mg/mL, 60 mL Suspension 107.69
232. Domperidone 10 mg Tablet 7.69
233. Dopamine 1.6 mg/mL, 250 mL D5W Pre-mixed 490.00
(As Hydrochloride)
234. Dopamine 20 mg/mL, 10 mL Ampule (As 111.54
Hydrochloride)
235. Dopamine 40 mg/mL, 5 mL Ampule (As 115.38
Hydrochloride)
236. Dopamine 800 mcg/mL, 250 mL D5W Pre-mixed 523.08
(As Hydrochloride)
237. Doxorubicin 10 mg powder Vial (As Hydrochloride) 426.02
238. Doxorubicin 2 mg/mL, 25 mL Vial (As 1,689.23
Hydrochloride)
239. Doxorubicin 50 mg powder Vial (As Hydrochloride) 1,538.46
240. Doxycycline 100 mg Capsule (As Hyclate) 17.88
241. Dydrogesterone 10 mg Tablet 51.83
E
242. Enalapril 10 mg Tablet (As Maleate) 8.46
243. Enalapril 20 mg Tablet (As Maleate) 12.43
244. Enalapril 5 mg Tablet (As Maleate) 7.85
245. Enoxaparin 100 mg/mL, 0.2 mL Pre-filled syringe 516.15
(As Sodium Salt)
246. Enoxaparin 100 mg/mL, 0.4 mL Pre-filled syringe 650.00
(As Sodium Salt)
247. Enoxaparin 100 mg/mL, 0.6 mL Pre-filled syringe 861.15
(As Sodium Salt)
248. Ephedrine 50 mg/mL, 1 mL Ampule (As Sulfate) 91.54
249. Epinephrine 1 mg/mL, 1 mL Ampule (As 66.23
Hydrochloride)
250. Epirubicin 10 mg Vial (As Hydrochloride) 934.23
251. Epirubicin 50 mg Vial (As Hydrochloride) 3,733.85
252. Epoetin Alfa (recombinant human 2000 IU/0.5 mL Pre-filled syringe 438.46
erythropoietin)
253. Epoetin Alfa (recombinant human 4000 IU/0.4 mL Pre-filled syringe 784.62
erythropoietin)
254. Epoetin Alfa (recombinant human 4000 IU/mL, 1 mL Pre-filled Glass 777.69
erythropoietin) Syringe
255. Epoetin Alfa (recombinant human 4000 IU/mL, 1 mL Vial 847.69
erythropoietin)
256. Epoetin Beta (recombinant erythropoietin) 5000 IU/0.3 ml Pre-filled syringe 1,278.98
257. Ertapenem 1 g Vial (As Sodium Salt) 3,088.56
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 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
258. Erythromycin 200 mg/5 mL, 60 mL Suspension (As 57.69
Ethyl Succinate)
259. Erythromycin 500 mg Tablet (As Stearate) 7.69
260. Erythromycin Eye Ointment 0.5%, 3.5 g Tube 185.77
261. Erythromycin Eye Ointment 0.5%, 5 g Tube 176.92
262. Escitalopram 10 mg Tablet (As Oxalate) 41.15
263. Esmolol 10 mg/mL, 10 mL Vial (As 793.85
Hydrochloride)
264. Ethambutol 400 mg Tablet (As Hydrochloride) 3.85
265. Etoposide 100 mg Vial 354.18
266. Etoposide 20 mg/mL, 5 mL Ampule 392.31
267. Etoposide 20 mg/mL, 5 mL Vial 379.04
F
268. Famotidine 20 mg Lyophilized Powder Vial 212.40
269. Felodipine 5 mg MR Tablet 13.08
270. Fenofibrate 145 mg Tablet 26.15
271. Fenofibrate 160 mg Tablet 32.31
272. Fenofibrate 200 mg Capsule 15.38
273. Fentanyl 50 mcg/mL, 10 mL Ampule (As 390.38
Citrate)
274. Fentanyl 50 mcg/mL, 2 mL Ampule (As Citrate) 188.49
275. Ferrous Salt (equiv. to 30 mg elemental iron/5 26.92
mL), 60 mL Syrup (As Sulfate)
276. Ferrous Salt equiv. to 60 mg elemental iron Tablet 2.88
(As Sulfate or Fumarate)
277. Ferrous Sulfate + Folic Acid 60 mg elemental iron + 400 mcg folic 3.85
acid Tablet
278. Ferrous Sulfate 15 mg elemental iron/0.6 mL, 15 mL 37.69
Drops
279. Filgrastim 150 mcg/0.6 mL Vial 1,076.15
280. Filgrastim 300 mcg/1.2 mL Vial 3,230.77
281. Filgrastim 300 mcg/mL Vial 3,587.69
282. Finasteride 5 mg Tablet 38.48
283. Fluconazole 150 mg Capsule 230.77
284. Fluconazole 2 mg/mL, 100 mL Vial 4,513.96
285. Fluconazole 200 mg Capsule 582.88
286. Fluconazole 50 mg Capsule 149.36
287. Fluorouracil 50 mg/mL, 10 mL Vial 113.36
288. Fluoxetine 20 mg Capsule 35.87
289. Flupentixol 20 mg/mL, 1 mL Ampule (As 386.93
Decanoate)
290. Fluphenazine 25 mg/mL, 10 mL Vial (As Decanoate) 580.77
291. Fluticasone + Salmeterol 125 mcg (As Propionate) + 25 mcg (As 362.87
Xinafoate) x 120 doses Metered Dose
Inhaler
292. Fluticasone + Salmeterol 250 mcg (As propionate) + 25 mcg (As 549.23
Xinafoate) x 120 doses Metered Dose
Inhaler

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 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
293. Fluticasone + Salmeterol 500 mcg (As Propionate) + 50 mcg (As 1,695.68
Xinafoate) x 60 doses Dry Powder
Inhaler
294. Fluticasone + Salmeterol 50mcg (As Propionate) + 25mcg (As 261.42
Xinafoate) x 120 doses Metered Dose
Inhaler
295. Folic Acid 5 mg Capsule 6.15
296. Folic Acid 5 mg Tablet 5.38
297. Fondaparinux 2.5 mg/0.5 mL Solution (As Sodium 1,604.29
Salt)
298. Furosemide 10 mg/mL, 2 mL Ampule 36.92
299. Furosemide 20 mg Tablet 1.54
300. Furosemide 40 mg Tablet 2.31
301. Fusidate Sodium/Fusidic Acid Cream 2%, 5 g Tube 286.43
302. Fusidate Sodium/Fusidic Acid Ointment 2%, 5 g Tube 278.28
303. Fusidate/Fusidic Acid Ointment 2%, 1.5 g (Medicated Surgical 109.62
Dressing) Sachet (As Sodium)
G
304. Gabapentin 100 mg Capsule 22.88
305. Gabapentin 300 mg Capsule 25.58
306. Gemcitabine 1 g Vial (As Hydrochloride) 8,076.92
307. Gemcitabine 200 mg Vial (As Hydrochloride) 1,711.54
308. Gentamicin 40 mg/mL, 2 mL Ampule (As Sulfate) 38.27
309. Gentamicin 40 mg/mL, 2 mL Vial (As Sulfate) 76.92
310. Gentamicin Eye Drops 0.3%, 5 mL Bottle (As Sulfate) 115.38
311. Glibenclamide 5 mg Tablet 2.31
312. Gliclazide 30 mg MR Tablet 6.54
313. Gliclazide 60 mg MR Tablet 20.00
314. Gliclazide 80 mg Tablet 6.92
315. Glipizide 5 mg Tablet 15.77
316. Glucose (Dextrose) 50%, 50 mL Vial 61.27
317. Glyceryl Trinitrate (Nitroglycerine) 5 mg Patch 99.34
H
318. Haloperidol 20 mg Tablet 23.94
319. Haloperidol 5 mg Tablet 23.85
320. Haloperidol 5 mg/mL, 1 mL Ampule 400.00
321. Haloperidol 50 mg/mL, 1 mL Ampule (As 1,129.23
Decanoate)
322. Heparin 1000 IU/mL, 5 mL Vial (As Sodium 138.35
Salt)
323. Heparin 5000 IU/mL, 5 mL Vial (As Sodium 300.00
Salt)
324. Hydralazine 20 mg/mL, 1 mL Ampule (As 232.69
Hydrochloride)
325. Hydrocortisone 100 mg powder Vial (As Sodium 92.31
Succinate)
326. Hydrocortisone 125 mg/mL, 2 mL Vial (As Sodium 612.40
Succinate)

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 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
327. Hydrocortisone 250 mg powder, Vial (As Sodium 130.77
Succinate)
328. Hydrocortisone 50 mg/mL, 2 mL Vial (As Sodium 161.92
Succinate)
329. Hydrocortisone 500 mg powder, Vial (As Sodium 146.81
Succinate)
330. Hydrocortisone Cream 1%, 5 g Tube 157.88
331. Hydroxyethyl Starch 6%, 500 mL Bottle 784.62
332. Hydroxyurea 500 mg Capsule 27.50
333. Hydroxyzine 10 mg Tablet (As Dihydrochloride) 10.77
334. Hydroxyzine 25 mg Tablet (As Dihydrochloride) 19.62
335. Hydroxyzine 50 mg/ml, 1 ml Vial 410.38
336. Hyoscine 10 mg Tablet (As N-butyl Bromide) 6.15
337. Hyoscine 20 mg/mL, 1 mL Ampule (As N-butyl 63.08
Bromide)
I
338. I.V. Fluids, 0.9% Sodium Chloride 1 L Plastic Bottle / Glass Bottle / Bag 76.92
339. I.V. Fluids, 0.9% Sodium Chloride 100 mL Bottle 92.90
340. I.V. Fluids, 0.9% Sodium Chloride 20 mL Ampule 35.56
341. I.V. Fluids, 0.9% Sodium Chloride 50 mL Bottle 53.85
342. I.V. Fluids, 0.9% Sodium Chloride 500 mL Plastic Bottle / Glass Bottle / 83.85
Bag
343. I.V. Fluids, 10% Dextrose in Water 500 mL Plastic Bottle / Glass Bottle / 88.46
Bag
344. I.V. Fluids, 5% Dextrose in 0.3% Sodium 1 L Plastic Bottle / Glass Bottle / Bag 92.31
Chloride
345. I.V. Fluids, 5% Dextrose in 0.3% Sodium 500 mL Plastic Bottle / Glass Bottle / 81.13
Chloride Bag
346. I.V. Fluids, 5% Dextrose in 0.9% Sodium 1 L Plastic Bottle / Glass Bottle / Bag 84.62
Chloride
347. I.V. Fluids, 5% Dextrose in 0.9% Sodium 500 mL Plastic Bottle / Glass Bottle / 84.62
Chloride Bag
348. I.V. Fluids, 5% Dextrose in Lactated Ringer's 1 L Plastic Bottle / Glass Bottle / Bag 79.81
349. I.V. Fluids, 5% Dextrose in Lactated Ringer's 500 mL Plastic Bottle / Glass Bottle / 80.77
Bag
350. I.V. Fluids, 5% Dextrose in Water 1 L Plastic Bottle / Glass Bottle / Bag 84.62
351. I.V. Fluids, 5% Dextrose in Water 250 mL Plastic Bottle / Glass Bottle / 111.74
Bag
352. I.V. Fluids, 5% Dextrose in Water 500 mL Plastic Bottle / Glass Bottle / 76.92
Bag
353. I.V. Fluids, Balanced Multiple Maintenance 1 L Plastic Bottle / Glass Bottle / Bag 84.62
Solution with 5% Dextrose for Adult
354. I.V. Fluids, Balanced Multiple Maintenance 500 mL Plastic Bottle / Glass Bottle / 83.08
Solution with 5% Dextrose for Pedia Bag
355. I.V. Fluids, Balanced Multiple Replacement 1 L Plastic Bottle / Glass Bottle / Bag 100.78
Solution with 5% Dextrose
356. I.V. Fluids, Balanced Multiple Replacement 500 mL Plastic Bottle / Glass Bottle / 81.95
Solution with 5% Dextrose Bag
357. I.V. Fluids, Lactated Ringer's Solution 1 L Plastic Bottle / Glass Bottle / Bag 84.62

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 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
358. I.V. Fluids, Lactated Ringer's Solution 500 mL Plastic Bottle / Glass Bottle / 83.11
Bag
359. Ibuprofen 100 mg/5 mL, 60 mL Bottle 66.15
360. Ibuprofen 200 mg Tablet 6.15
361. Ibuprofen 200 mg/5 mL, 60 mL Bottle 105.85
362. Ibuprofen 400 mg Tablet 6.54
363. Ifosfamide 1 g Vial 1,567.31
364. Ifosfamide 2 g Vial 2,692.31
365. Immunoglobulin, Hepatitis B (human) 0.5 mL Vial 1,435.67
366. Immunoglobulin, Normal, Human (IGIV) 50 mg/mL, 50 mL Vial 5,845.73
367. Immunoglobulin, Rabies (human) 150 IU/mL, 2 mL Vial 4,501.40
368. Immunoglobulin, Tetanus (Human) 250 IU/mL, 1 mL Pre-filled syringe 914.32
369. Immunoglobulin, Tetanus (Human) 250 units/mL, 1 mL Vial 900.00
370. Insulin, Biphasic Isophane Human 70/30 100 IU/mL (Equiv. to 3.571 mg/mL), 5 549.12
(recombinant DNA) mL Vial
371. Insulin, Biphasic Isophane Human 70/30 70% isophane suspension + 30% 625.38
(recombinant DNA) soluble insulin in 100 IU/mL, 10 mL
Vial
372. Insulin, Isophane Human 100 IU/mL, 10 mL Vial 600.00
373. Insulin, Regular (Recombinant DNA, 100 IU/mL, 10 mL Vial 736.54
human)
374. Intraocular Irrigating Solution (balanced 500 mL Bottle 500.00
salt solution)
375. Iohexol 300 mg iodine/mL, 50 mL Vial 1,275.00
376. Iopamidol 612 mg/mL equiv. to 300 mg iodine, 2,544.27
100 mL Vial
377. Iopamidol 612 mg/mL equiv. to 300 mg iodine, 1,365.38
50 mL Vial
378. Iopamidol 755 mg/mL equiv. to 370 mg iodine, 1,615.38
50 mL Vial
379. Iopromide 300 mg/mL equiv. to 623 mg iodine, 1,664.20
50 mL Vial
380. Iopromide 370 mg/mL equiv. to 769 mg iodine, 1,928.33
50 mL Vial
381. Ioversol 636 mg/mL equiv. to 300 mg/mL 1,427.78
iodine, 50 mL Vial
382. Ipratropium + Salbutamol 500 mcg (As Bromide Anhydrous) + 29.23
2.5 mg (As Base) x 2.5 mL (unit dose)
Respiratory Solution
383. Irbesartan + Hydrochlorothiazide 150 mg + 12.5 mg Tablet 22.12
384. Irbesartan + Hydrochlorothiazide 300 mg + 12.5 mg Tablet 36.69
385. Irbesartan 150 mg Tablet 16.33
386. Irbesartan 300 mg Tablet 26.65
387. Isoflurane 100 mL Bottle 2,867.31
388. Isoniazid + Rifampicin + Ethambutol 75 mg + 150 mg + 275 mg Tablet 8.36
389. Isoniazid + Rifampicin + Pyrazinamide + 75 mg + 150 mg + 400 mg + 275 mg 10.58
Ethambutol Tablet
390. Isoniazid 200 mg/5 mL, 60 mL Syrup 26.92
391. Isosorbide Dinitrate 1 mg/mL, 10 mL Ampule 651.24

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 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
392. Isosorbide Dinitrate 10 mg Tablet 9.23
393. Isosorbide Dinitrate 5 mg Tablet 8.85
394. Isosorbide-5-Mononitrate 30 mg MR Capsule 12.69
395. Isosorbide-5-Mononitrate 30 mg MR Tablet 12.31
396. Isosorbide-5-Mononitrate 60 mg MR Tablet 12.69
397. Isoxsuprine 10 mg Tablet (As Hydrochloride) 16.92
398. Isoxsuprine 5 mg/mL, 2 mL Ampule (As 169.23
Hydrochloride)
399. Itraconazole 100 mg Capsule 76.08
K
400. Ketamine 50 mg/mL, 10 mL Vial (As 1,304.33
Hydrochloride)
401. Ketorolac 30 mg/mL, 1mL Ampule (As 92.31
Tromethamol)
L
402. Lactulose 3.3 g/5 mL (3.35 g/5 mL), 120 mL 215.38
Syrup
403. Lagundi (Vitex Negundo L.) 300 mg Tablet 2.69
404. Lagundi (Vitex Negundo L.) 300 mg/5 mL, 60 mL Syrup 75.50
405. Lagundi (Vitex Negundo L.) 600 mg Tablet 4.62
406. Lamotrigine 50 mg Tablet 20.77
407. Lansoprazole 30 mg Capsule 25.77
408. Lansoprazole 30 mg MR Tablet 98.00
409. Latanoprost 50mcg/mL, 2.5mL Bottle 1,055.62
410. Levofloxacin 5 mg/mL,100 mL Vial 1,184.62
411. Levofloxacin 500 mg Tablet 52.31
412. Levofloxacin 750 mg Tablet 76.86
413. Levothyroxine 100 mcg Tablet (As Anhydrous 8.46
Sodium)
414. Levothyroxine 25 mcg Tablet (As Anhydrous Sodium) 3.92
415. Levothyroxine 50 mcg Tablet (As Anhydrous Sodium) 4.62
416. Lidocaine 10%, 50 mL Spray (As Hydrochloride) 2,651.00
417. Lidocaine 2%, 1.8 mL w/ Epinephrine Carpule 21.54
418. Lidocaine 2%, 5 mL Ampule (As Hydrochloride) 27.12
419. Lidocaine 2%, 5 mL Vial (As Hydrochloride) 47.81
420. Lidocaine 2%, 50 mL Vial (As Hydrochloride) 65.38
421. Lipids 10%, 500 mL Bottle 1,119.42
422. Lithium Carbonate 450 mg MR Tablet 6.15
423. Loperamide 2 mg Capsule (As Hydrochloride) 5.77
424. Loratadine 10 mg Tablet 16.62
425. Losartan + Hydrochlorothiazide 100 mg + 25 mg Tablet 29.12
426. Losartan + Hydrochlorothiazide 50 mg +12.5 mg Tablet 15.77
427. Losartan 100 mg Tablet (As Potassium Salt) 13.85
428. Losartan 50 mg Tablet (As Potassium Salt) 10.00
M
429. Magnesium Sulfate 250 mg/mL, 10 mL Ampule (As 63.65
Heptahydrate)

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 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
430. Magnesium Sulfate 250 mg/mL, 10 mL Vial (As 56.77
Heptahydrate)
431. Magnesium Sulfate 250 mg/mL, 20 mL Vial (As 57.20
Heptahydrate)
432. Magnesium Sulfate 500mg/mL, 2mL Ampule (As 59.58
Heptahydrate)
433. Mannitol 20%, 250 mL Bottle 175.46
434. Mannitol 20%, 500 mL Bottle 192.31
435. Mebendazole 100 mg/5 mL, 30 mL Suspension 50.77
436. Mebendazole 100 mg/5 mL, 60 mL Suspension 26.92
437. Mebendazole 500 mg Tablet 3.85
438. Mecobalamin 500 mcg Tablet 17.22
439. Mecobalamin 500 mcg/mL, 1 mL Ampule 315.38
440. Medroxyprogesterone 150 mg/mL, 1 mL Vial (As Enanthate) 58.65
441. Mefenamic Acid 250 mg Capsule 3.08
442. Mefenamic Acid 250 mg Tablet 10.00
443. Mefenamic Acid 50 mg/5 mL, 60 mL Suspension 35.77
444. Mefenamic Acid 500 mg Capsule 11.15
445. Mefenamic Acid 500 mg Tablet 19.62
446. Meropenem 1 g Vial (As Trihydrate) 1,982.83
447. Meropenem 500 mg Vial (As Trihydrate) 1,168.86
448. Mesna 100 mg/mL, 4 mL Ampule 167.46
449. Metformin Hydrochloride 500 mg Tablet (As Hydrochloride) 3.85
450. Metformin Hydrochloride 850 mg Tablet (As Hydrochloride) 7.69
451. Methotrexate 2.5 mg Tablet (As Base) 9.46
452. Methotrexate 25 mg/mL, 2 mL Vial (As Base) 205.38
453. Methyldopa 250 mg Tablet 11.54
454. Methylergometrine 125 mcg Tablet (As Hydrogen Maleate 7.69
or Maleate)
455. Methylergometrine 200 mcg/mL, 1 mL Ampule (As 65.00
Hydrogen Maleate or Maleate)
456. Methylprednisolone 1 g/16 mL + Diluent Vial (As Sodium 5,146.58
Succinate)
457. Methylprednisolone 125 mg/mL, 2 mL + diluent Vial (As 1,333.52
Sodium Succinate)
458. Methylprednisolone 16 mg Tablet 42.31
459. Methylprednisolone 4 mg Tablet 12.77
460. Methylprednisolone 40 mg (single dose) Vial (As Sodium 716.89
Succinate)
461. Methylprednisolone 40 mg/mL, 1 mL Vial (As Sodium 346.73
Acetate)
462. Methylprednisolone 500 mg lyophilized powder Vial (As 2,034.62
Sodium Succinate)
463. Methylprednisolone 500 mg/8.0 mL + Diluent Vial (As 3,796.51
Sodium Succinate)
464. Metoclopramide 10 mg Tablet (As Hydrochloride) 6.92
465. Metoclopramide 5 mg/5 mL, 60 mL Syrup (As Base and 30.77
As Hydrochloride)

2017 DPRI | Fifth Edition 16 | P a g e

 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
466. Metoclopramide 5 mg/mL, 2 mL Ampule (As Base and 36.15
As Hydrochloride)
467. Metoprolol (as Tartrate) 100 mg Tablet (As Tartrate) 5.15
468. Metoprolol (as Tartrate) 50 mg Tablet (As Tartrate) 3.08
469. Metronidazole 125 mg/5 mL, 60 mL Suspension (As 34.62
Benzoate)
470. Metronidazole 5 mg/mL, 100 mL Vial 92.31
471. Metronidazole 500 mg Tablet 3.85
472. Midazolam 1 mg/mL, 5 mL Ampule 145.38
473. Midazolam 15 mg Tablet 29.23
474. Midazolam 5 mg/mL, 3 mL Ampule 220.38
475. Midazolam 5 mg/mL,1 mL Ampule 159.08
476. Modified Fluid Gelatin (Formerly 4% solution, 500 mL Bottle 942.73
Polymerisate of Degraded Succinylated
Gelatin)
477. Monobasic Sodium Phosphate, Dibasic 19 g/ 7 g solution per 133 mL Bottle 238.60
Sodium Phosphate (Enema)
478. Monobasic Sodium Phosphate, Dibasic 48 g/18 g per 45 mL solution Bottle 248.73
Sodium Phosphate
479. Montelukast 10 mg Tablet (As Sodium Salt) 26.15
480. Montelukast 4 mg Chewable Tablet (As Sodium 15.62
Salt)
481. Montelukast 4 mg Sachet (As Sodium Salt) 16.15
482. Montelukast 5 mg Chewable Tablet (As Sodium 17.69
Salt)
483. Morphine (As Sulfate) 10 mg Tablet (As Sulfate) 35.30
484. Morphine (As Sulfate) 10 mg/mL, 1 mL Ampule (As Sulfate) 90.72
485. Morphine (As Sulfate) 30 mg Tablet (As Sulfate) 76.92
486. Multivitamins for adults Capsule 8.46
487. Multivitamins for adults Tablet 5.38
488. Multivitamins per 1 mL, 15 mL Drops 52.50
489. Multivitamins per 5 mL, 120 mL Syrup 97.88
490. Multivitamins per 5 mL, 60 mL Syrup 52.69
491. Mupirocin Cream 2%, 15 g Tube 192.23
492. Mupirocin Ointment 2%, 15 g Tube 176.92
493. Mupirocin Ointment 2%, 5 g Tube 192.31
N
494. Nalbuphine 10 mg/mL, 1 mL Ampule (As 103.00
Hydrochloride)
495. Naloxone 400 mcg/mL, 1 mL Ampule (As 415.04
Hydrochloride)
496. Naproxen 550 mg Tablet (As Sodium Salt) 16.73
497. Neomycin + Polymyxin B + Fluocinolone 3.5 mg neomycin + 10,000 units 214.62
Acetonide Ear Drops polymyxin B + 0.025% floucinolone
acetonide/mL, 5 mL Bottle (As
Sulfate)
498. Neostigmine 500 mcg/mL, 1 mL Ampule (As Methyl 144.97
Sulfate)

2017 DPRI | Fifth Edition 17 | P a g e

 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
499. Nicardipine 1 mg/mL, 10 mL Ampule (As 1,030.85
Hydrochloride)
500. Nicardipine 1 mg/mL, 2 mL Ampule (As 206.71
Hydrochloride)
501. Nifedipine 10 mg Capsule 4.62
502. Nifedipine 30 mg MR Tablet 36.92
503. Nifedipine 5 mg Capsule 3.85
504. Nimodipine 30 mg Tablet 42.69
505. Norepinephrine 1 mg/mL, 10 mL Ampule 1,615.06
506. Norepinephrine 1 mg/mL, 2 mL Ampule (As Bitartrate) 500.00
507. Norepinephrine 1 mg/mL, 4 mL Ampule 986.47
508. Nystatin 100,000 units/mL, 30 mL Suspension 192.31
O
509. Octreotide 100 mcg/mL, 1 mL Ampule (As 681.23
Acetate)
510. Ofloxacin 2 mg/mL, 100 mL Vial 1,465.48
511. Ofloxacin 200 mg Tablet 42.38
512. Ofloxacin 400 mg Tablet 61.15
513. Ofloxacin Eye Drops 0.3%, 5 mL Bottle 288.46
514. Olanzapine 10 mg Tablet 83.38
515. Omeprazole 20 mg Capsule 19.23
516. Omeprazole 40 mg Capsule 34.58
517. Omeprazole 40 mg powder vial + 10 mL solvent 480.62
Ampule
518. Ondansetron 2 mg/mL, 2 mL Ampule (As 452.31
Hydrochloride)
519. Ondansetron 2 mg/mL, 4 mL Ampule (As 484.62
Hydrochloride)
520. Ondansetron 8 mg Tablet (As Hydrochloride 206.15
Dihydrate)
521. Oral Rehydration Salts (ORS 75- 20.5 g Sachet 8.85
replacement)
522. Oral Rehydration Salts (ORS 75- 4.1 g Sachet 11.73
replacement)
523. Oral Rehydration Salts (ORS 75- 5.125 g Sachet 7.69
replacement)
524. Oral Rehydration Salts (ORS 75- 2.17 g Sachet 6.15
replacement)
525. Oxacillin 500 mg Vial (As Sodium Salt) 146.15
526. Oxaliplatin 2 mg/mL, 25 mL Vial 4,112.50
527. Oxaliplatin 2 mg/mL, 50 mL Vial 2,812.50
528. Oxycodone 10 mg Tablet (As Hydrochloride) 146.79
529. Oxycodone 10 mg/mL, 1 mL Ampule 1,205.65
530. Oxycodone 10 mg/mL, 2 mL Ampule 1,907.88
531. Oxycodone 20 mg Tablet (As Hydrochloride) 286.27
532. Oxytocin 10 IU/mL, 1 mL Ampule 76.92
P
533. Paclitaxel 6 mg/mL, 16.7 mL Vial 5,500.00
534. Paclitaxel 6 mg/mL, 43.4 mL Vial 10,211.54
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 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
535. Paclitaxel 6 mg/mL, 5 mL Vial 2,309.62
536. Paracetamol 10 mg/mL, 100 mL Vial 472.69
537. Paracetamol 100 mg/ml, 15 mL Drops 50.00
538. Paracetamol 125 mg Suppository 11.54
539. Paracetamol 150 mg/mL, 2 mL Ampule 37.12
540. Paracetamol 250 mg Suppository 13.08
541. Paracetamol 250 mg/5 mL, 60 mL Bottle 95.72
542. Paracetamol 500 mg Tablet 2.69
543. Penicillin G Benzathine (benzathine 1,200,000 units Vial 123.46
benzylpenicillin)
544. Penicillin G Crystalline 1 MU Vial (As Sodium Salt) 16.92
545. Penicillin G Crystalline 5 MU Vial (As Sodium Salt) 38.46
546. Peritoneal Dialysis Solution Sterile with 1.5% dextrose, 1 L Bottle 74.04
547. Permethrin Lotion 5%, 60 mL Bottle 173.12
548. Pethidine 50 mg/mL, 2 mL Ampule (As 253.85
Hydrochloride)
549. Phenobarbital 120 mg/mL (130 mg/mL), 1 mL 649.23
Ampule (As Sodium Salt)
550. Phenytoin 100 mg Capsule (As Sodium Salt) 31.46
551. Phenytoin 30 mg/5 mL, 120 mL Suspension (As 399.81
Sodium Salt)
552. Phenytoin 50 mg/mL, 2 mL Ampule (As Sodium 831.54
Salt)
553. Phytomenadione 10 mg/mL, 1 mL Ampule (As Mixed 50.00
Micelle)
554. Piperacillin + Tazobactam 2 g + 250 mg Vial (As Sodium Salt) 593.20
555. Piperacillin + Tazobactam 4 g + 500 mg Vial (As Sodium Salt) 976.97
556. Potassium Chloride 2 mEq/mL, 10 mL Vial 61.54
557. Potassium Chloride 2 mEq/mL, 20 mL Vial 59.14
558. Potassium Chloride 750 mg durules (equiv. to 22.31
approximately 10 mEq) Tablet
559. Potassium Citrate 10 mEq Tablet 11.92
560. Povidone Iodine (Solution) 10%, 1 gallon Bottle 661.54
561. Prednisolone 5 mg Tablet 2.12
562. Prednisolone Eye Drops 1%, 5 mL Bottle 243.62
563. Prednisone 10 mg Tablet 4.23
564. Prednisone 10 mg/5 mL, 60 mL Suspension 130.77
565. Prednisone 20 mg Tablet 6.46
566. Prednisone 5 mg Tablet 2.12
567. Propofol 10 mg/mL, 20 mL Ampule 516.92
568. Propofol 10 mg/mL, 20 mL Vial 492.31
569. Propranolol 10 mg Tablet (As Hydrochloride) 10.81
570. Propranolol 40 mg Tablet (As Hydrochloride) 16.77
571. Pyridostigmine 60 mg Tablet (As Bromide) 36.92
Q
572. Quetiapine 100 mg Tablet (As Fumarate) 61.54
573. Quetiapine 200 mg Tablet (As Fumarate) 80.10
574. Quetiapine 300 mg Tablet (As Fumarate) 73.08

2017 DPRI | Fifth Edition 19 | P a g e

 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
R
575. Ranitidine 150 mg Tablet (As Hydrochloride) 5.08
576. Ranitidine 25 mg/mL, 2 mL Ampule (As 57.69
Hydrochloride)
577. Ranitidine 300 mg Tablet (As Hydrochloride) 4.62
578. Rifampicin + Isoniazid + Ethambutol 75 mg + 150 mg + 275 mg Tablet 8.17
Hydrochlorde
579. Rifampicin 200 mg/5 mL, 60 mL Suspension 83.46
580. Risperidone 1 mg Tablet 37.12
581. Risperidone 2 mg Tablet 44.62
582. Risperidone 4 mg Tablet 94.92
583. Rocuronium 10 mg/mL, 5 mL Vial (As Bromide) 574.62
584. Ropivacaine 10 mg/mL, 10 mL Ampule (As 459.16
Bromide)
585. Rosuvastatin 10 mg Tablet (As Calcium Salt) 21.42
586. Rosuvastatin 20 mg Tablet (As Calcium Salt) 29.23
S
587. Salbutamol 1 mg/mL, 2.5 mL (unit dose) Nebule 12.40
(As Sulfate)
588. Salbutamol 100 mcg/dose x 200 doses Metered 233.50
Dose Inhaler (As Sulfate)
589. Salbutamol 2 mg Tablet (As Sulfate) 1.54
590. Salbutamol 2 mg/5mL, 60 mL Syrup (As Sulfate) 53.85
591. Salbutamol 2 mg/mL, 2.5 mL (unit dose) Nebule 11.54
(As Sulfate)
592. Sambong (Blumea Balsamifera) 500 mg Tablet 6.54
593. Sertraline 50 mg Tablet (As Hydrochloride) 38.42
594. Serum, Anti-rabies (equine) 200 IU/mL, 5 mL Vial 1,246.15
595. Serum, Anti-tetanus (ATS) (equine) 1500 IU/mL, 1 mL Ampule 84.62
596. Sevoflurane 250 mL Bottle 13,134.62
597. Silver Sulfadiazine Cream 1%, 15 g Tube 173.08
598. Silver Sulfadiazine Cream 1%, 20 g Tube 226.92
599. Silver Sulfadiazine Cream 1%, 25 g Tube 142.31
600. Silver Sulfadiazine Cream 1%, 500 g Jar 2,314.82
601. Simvastatin 10 mg Tablet 4.62
602. Simvastatin 20 mg Tablet 7.69
603. Simvastatin 40 mg Tablet 12.18
604. Sodium Bicarbonate 1 meq/mL, 50 mL Ampule 123.85
605. Sodium Bicarbonate 1 meq/mL, 50 mL Vial 129.31
606. Sodium Chloride 2.5 mEq/mL, 20 mL Vial 60.08
607. Somatostatin 250 mcg Vial 859.23
608. Somatostatin 3 mg Vial 5,638.69
609. Standard Senna Concentrate 187 mg Tablet 9.23
610. Standard Senna Concentrate 374 mg Tablet 12.50
611. Sterile Water For injection 1 L Bottle 100.38
612. Sterile Water For injection 100 mL Bottle 63.65
613. Sterile Water For injection 50 mL Bottle 44.62
614. Streptokinase 1,500,000 IU Vial 7,516.92
2017 DPRI | Fifth Edition 20 | P a g e
 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
615. Streptomycin 1 g Vial (As Sulfate) 26.92
616. Sucralfate 1 g Tablet 45.15
617. Sugammadex 100 mg/mL, 2 mL Vial 5,377.54
618. Suxamethonium (Succinylcholine) 20 mg/mL, 10 mL Vial (As Chloride) 303.15
T
619. Tamoxifen 20 mg Tablet (As Citrate) 16.31
620. Tamsulosin 200 mcg Capsule (As Hydrochloride) 49.23
621. Telmisartan + Hydrochlorothiazide 40 mg + 12.5 mg Tablet 19.23
622. Telmisartan + Hydrochlorothiazide 80 mg + 12.5 mg Tablet 34.23
623. Telmisartan 40 mg Tablet 19.23
624. Telmisartan 80 mg Tablet 34.02
625. Terbutaline 500 mcg/mL, 1 mL Ampule (As 96.73
Sulfate)
626. Thiamazole (Methimazole) 5 mg Tablet 5.42
627. Thiopental Sodium 1 g + 50 mL diluent Vial 2,143.88
628. Tinzaparin 10,000 anti-XA IU/mL, 2 mL Vial (As 1,414.62
Sodium)
629. Tiotropium 18 mcg/dose Dry Powder Inhaler (As 87.62
Bromide)
630. Tobramycin + Dexamethasone Eye Drops 0.3% + 0.1%, 5 mL Bottle 201.15
631. Tobramycin + Dexamethasone Eye 0.3% + 0.1%, 3.5 g Tube 436.37
Ointment
632. Tobramycin Eye Drops 0.3%, 5 mL Bottle 223.08
633. Tramadol 100 mg MR Tablet (As Hydrochloride) 76.92
634. Tramadol 50 mg Capsule (As Hydrochloride) 7.69
635. Tramadol 50 mg/ml, 1 ml Ampule (As 78.46
Hydrochloride)
636. Tramadol 50 mg/ml, 2 ml Ampule (As 84.62
Hydrochloride)
637. Tranexamic Acid 100 mg/mL, 5 mL Ampule 100.00
638. Tranexamic Acid 500 mg Capsule 21.54
639. Tranexamic Acid 500 mg Tablet 13.85
640. Trimetazidine 20 mg Tablet (As Hydrochloride) 6.83
641. Trimetazidine 35 mg Tablet (As Hydrochloride) 14.50
U
642. Ursodeoxycholic Acid 250 mg Capsule 48.56
V
643. Vaccine, Hepatitis B (recombinant DNA) 10 mcg/0.5 mL (Pediatric) Monodose 346.15
Vial
644. Vaccine, Hepatitis B (recombinant DNA) 20 mcg/mL, 1 mL Vial 609.62
645. Vaccine, Pneumococcal Polyvalent 25 mcg/0.5 mL, 0.5 mL Pre-filled 923.08
syringe
646. Vaccine, Rabies Chick Embryo Cell (Purified 2.5 IU/mL, 1 dose + 1 mL diluent Vial 1,307.69
Inactivated)
647. Vaccine, Tetanus Toxoid 0.5 mL Ampule 90.88
648. Vaccine, Vero Cell (purified) 2.5 IU/0.5 mL Vial + diluent 1,230.77
649. Valaciclovir 500 mg Tablet (As Hydrochloride) 149.02
650. Valproate Disodium/Valproic Acid 250 mg Tablet 27.77

2017 DPRI | Fifth Edition 21 | P a g e

 DPRI (Php)
GENERIC NAME STRENGTH / FORM / VOLUME
(Ceiling Price)
651. Valproic Acid 250 mg/5 mL, 120 mL Syrup 473.27
652. Valproic Acid 500 mg/5 mL, 5 mL Vial 2,896.48
653. Valsartan 160 mg Tablet 35.20
654. Valsartan 80 mg Tablet 21.54
655. Vancomycin 1 g Vial (As Hydrochloride) 743.08
656. Vancomycin 500 mg Vial (As Hydrochloride) 1,259.81
657. Verapamil 2.5mg/ml, 2mL Ampule (As 207.69
Hydrochloride)
658. Verapamil 40 mg Tablet (As Hydrochloride) 30.48
659. Vincristine 1 mg/mL, 1 mL Vial (As Sulfate) 269.42
660. Vincristine 1 mg/mL, 2 mL Vial (As Sulfate) 555.96
661. Vitamin B1 B6 B12 100 mg + 100 mg + 1 mg, 3 mL 69.23
Ampule
662. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Capsule 3.85
663. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Tablet 2.88
664. Vitamin B1 B6 B12 250 mg + 250 mg + 1000 mcg Tablet 12.69
W
665. Warfarin 1 mg Tablet (As Sodium Salt) 21.08
666. Warfarin 2.5 mg Tablet (As Sodium Salt) 26.15
667. Warfarin 5 mg Tablet (As Sodium Salt) 32.69
Z
668. Zinc 27.5 mg/mL (Equiv. to 10 mg 65.87
Elemental Zinc), 15 mL Oral Drops (As
Sulfate Monohydrate)
669. Zinc 55 mg/5 mL (Equiv. to 20 mg 69.83
Elemental Zinc), 60 mL Syrup (As
Sulfate Monohydrate)

2017 DPRI | Fifth Edition 22 | P a g e