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ACKNOWLEDGEMENTS

The 2018 Edition of the Drug Price Reference Index (DPRI) is a product of hard work and dedication of the
Department of Health (DOH) Pharmaceutical Division headed by Dr. Anna Melissa S. Guerrero, team efforts of the
System Support Unit supervised by Ms. Vanessa J. Saulog – Obera, and led by Mr. Achilles V. Aragona together with the
team members namely: Mr. Jeffrey T. Castro, Ms. Priscilla Margarette H. Alimario, Mr. Christian M. Villostas, Mr. John
Lester M. Custodio, Ms. Geny C. Belmonte, Mr. Jaldrin Ivan M. Bunag, Ms. Wilma C. Abrilla and Mr. Christian Joel M.
Tambong.

The technical contributions of other staff are also acknowledged in particulars: Ms. Anna Patricia D. Tiosejo for
assuring all medicines in this price list are in accordance with the current Philippine National Formulary (PNF), Mr. Aris M.
Posadas for continuously enhancing the DPRI website and database and Mr. Adell R. Azuelo for the processing of DPRI
booklet printing.

Special thanks also to all NDP Compliance Officers and EDPMS Helpdesks who aided in the implementation of
the DPRI and to the DOH-Pharmaceutical Division family. All DOH Retained / Specialty Hospitals and Centers for Health
Development (CHDs) for contributing their data to the Department of Health.

Lastly, we thank our Undersecretary for Health Regulation Rolando Enrique D. Domingo and Health Secretary
Francisco T. Duque III for their unwavering support and commitment in the implementation of the program.

2018 DPRI | Sixth 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.

It 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.

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.

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.

2|Page 2017 DPRI | Fifth Edition


What are the sources of Price Data?

The DPRI is computed based on the prevailing tender prices of the previous year (2017) reflected in the actual
Purchase Orders (POs) submitted by the DOH Retained Hospitals, Centers for Health Development (CHDs),
Central Office Bids and Awards Committee (COBAC) and Philippine Pharma Procurement Inc. (PPPI) to the
DOH.

The data coming from reputable suppliers are only considered in the database which means that they should be
licensed by the Philippine Food and Drug Administration (FDA) and have certificate of Good Manufacturing
Practice issued by the FDA.

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 tender prices of
essential medicines for each preparation and strength plus 10% to account for the inflation. However, for drugs
and medicines with two entries the reference price was set to lowest plus 10% to account for the inflation.

How often is the DPRI updated?

The DPRI is updated annually. All DOH hospitals and CHDs submit a copy of their latest Purchase Orders to
the DOH Pharmaceutical Division for annual collection and analysis of price data. The updated DPRI is based
on the procurement price data of medicines from the previous year.

Occurrence of Bid Failure

In case of failed biddings, provision of RA 9184 and its IRR shall be applied. All procuring entities are advised
to submit the list of medicines that resulted in bid failure to the DOH-PD. The report should comply the
template provided by DOH-PD which can be downloaded at their website at www.dpri.doh.gov.ph.

2018 DPRI | Sixth Edition Page|3


2018
Drugname Lowest - Highest
DPRI
A
1. Acetazolamide 250 mg Tablet 10.50 - 20.00 22.00
2. Acetylcysteine 100 mg Sachet 8.00 - 12.00 10.99
3. Acetylcysteine 100 mg/5 mL, 150 mL Suspension 262.08 - 337.40 288.29
4. Acetylcysteine 200 mg Sachet 7.00 - 15.80 10.19
5. Acetylcysteine 200 mg/mL, 25 mL Bottle 1,280.00 - 1,801.80 1,842.50
6. Acetylcysteine 600 mg Effervescent Tablet 8.20 - 35.00 27.74
7. Aciclovir 200 mg Tablet 2.18 - 53.20 4.00
8. Aciclovir 25 mg/mL, 10 mL Vial 695.00 - 938.00 993.17
9. Aciclovir 400 mg Tablet 4.39 - 14.89 10.14
10. Aciclovir 800 mg Tablet 14.21 - 49.88 44.00
11. Adenosine 3 mg/mL, 2 mL Vial 188.14 - 612.00 259.90
12. Albumin, Human 20%, 50 mL Bottle 798.00 - 3,200.00 2,307.25
13. Albumin, Human 25%, 50 mL Bottle 2,300.00 - 3,900.00 3,069.00
14. Alcohol, Ethyl 70% solution, 500 mL Bottle 46.40 - 61.75 56.10
15. Alendronate Sodium 70 mg Tablet 34.00 - 199.92 132.00
16. Alfuzosin 10 mg Tablet 30.75 - 42.00 44.00
17. All-in-One Admixtures ("3-in-1" or "dual energy" solutions) "3 in 1" 1000 Kcal Bottle 2,000.00 - 3,400.00 2,253.90
18. All-in-One Admixtures ("3-in-1" or "dual energy" solutions) "3 in 1" 1400 Kcal Bottle 1,749.80 - 3,400.00 2,363.90
19. All-in-One Admixtures ("3-in-1" or "dual energy" solutions) "3 in 1" 1500 Kcal Bottle 3,500.00 - 4,800.00 3,850.00
20. All-in-One Admixtures ("3-in-1" or "dual energy" solutions) "3 in 1" 1900 Kcal Bottle 2,545.00 - 5,100.00 3,520.00
21. Allopurinol 100 mg Tablet 0.50 - 5.00 0.83
22. Allopurinol 300 mg Tablet 0.95 - 15.00 1.65
23. Alprazolam 250 mcg Tablet 4.00 - 9.80 4.90
24. Alprazolam 500 mcg Tablet 5.35 - 13.25 8.69
25. Aluminum Hydroxide + Magnesium Hydroxide 200 mg + 100 mg Tablet 0.60 - 4.00 1.38
26. Aluminum Hydroxide + Magnesium Hydroxide 225 mg + 200 mg/5 mL, 120 mL 18.50 - 31.50 30.79
Suspension
27. Aluminum Hydroxide + Magnesium Hydroxide 225 mg + 200 mg/5 mL, 60 mL 17.86 - 103.00 28.93
Suspension
28. Amikacin (as Sulfate) 100 mg powder Vial 14.12 - 28.33 16.75
29. Amikacin (as Sulfate) 125 mg/mL, 2 mL Ampule 15.49 - 22.43 21.70
30. Amikacin (as Sulfate) 125 mg/mL, 2 mL Vial 15.89 - 23.39 19.93
31. Amikacin (as Sulfate) 250 mg/mL, 2 mL Ampule 18.12 - 24.49 23.23
32. Amikacin (as Sulfate) 250 mg/mL, 2 mL Vial 15.38 - 69.45 21.02
33. Amikacin (as Sulfate) 250 mg powder Vial 15.43 - 41.00 16.97
34. Amikacin (as Sulfate) 50 mg/mL, 2 mL Ampule 14.98 - 119.64 22.36
35. Amikacin (as Sulfate) 50 mg/ml, 2 ml Vial 15.49 - 85.00 23.89
36. Amikacin (as Sulfate) 500 mg powder Vial 16.34 - 22.49 18.58
37. Amino Acid Solutions for Hepatic Failure 8%, 500 mL Bottle 301.00 - 800.00 485.65
38. Amino Acid Solutions for Infants 6%, 100 mL Bottle 360.00 - 400.00 423.50
39. Amino Acid Solutions for Renal Conditions 7%, 500 mL Bottle 392.00 - 521.22 500.06
40. Amino Acids, Crystalline Standard 10%, 500 mL Glass Bottle 765.00 - 800.00 841.50
41. Amino Acids, Crystalline Standard 9.12%, 20 mL Ampule 125.00 - 208.00 137.50
42. Aminophylline 25 mg/mL, 10 mL Ampule 8.22 - 82.33 18.96
43. Amiodarone 200 mg Tablet 5.35 - 36.00 20.01
44. Amiodarone 50 mg/mL, 3 mL Ampule 134.66 - 306.00 253.00
45. Amlodipine 10 mg Tablet 0.31 - 3.00 0.79
46. Amlodipine 5 mg Tablet 0.23 - 6.86 0.54
47. Amoxicillin 100 mg/mL, 15 mL Drops 12.29 - 28.00 18.63

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2018
Drugname Lowest - Highest
DPRI
48. Amoxicillin 250 mg Capsule 0.85 - 1.25 1.08
49. Amoxicillin 250 mg/5 mL, 60 mL Suspension 13.65 - 59.64 17.88
50. Amoxicillin 500 mg Capsule 0.98 - 2.75 1.32
51. Amphotericin B (Lipid Complex) 50 mg Vial 1,488.88 - 10,976.68
11,988.00
52. Amphotericin B (Non-Lipid Complex) 50 mg Vial 1,018.00 - 2,875.00 1,637.77
53. Ampicillin + Sulbactam 1.5 g Vial 45.11 - 123.00 69.02
54. Ampicillin + Sulbactam 500mg + 250 mg Vial 16.44 - 265.00 24.74
55. Ampicillin 1 g Vial 7.99 - 59.00 10.98
56. Ampicillin 250 mg Vial 5.88 - 38.00 8.34
57. Ampicillin 500 mg Vial 5.45 - 62.94 8.73
58. Aripiprazole 10 mg Orally Disintegrating Tablet 196.80 - 222.03 230.65
59. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 120 mL Syrup 17.23 - 99.50 25.30
60. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 60 mL Syrup 10.15 - 32.00 15.40
61. Ascorbic Acid (Vitamin C) 100 mg/ml, 15 mL Oral Drops 13.75 - 72.00 16.25
62. Ascorbic Acid (Vitamin C) 100 mg/ml, 60 mL Oral Drops 14.70 - 30.50 18.48
63. Ascorbic Acid (Vitamin C) 250 mg/mL, 2 mL Ampule 16.50 - 42.88 29.43
64. Ascorbic Acid (Vitamin C) 500 mg Tablet 0.33 - 7.50 0.68
65. Asparaginase 10,000 IU Vial 1,678.00 - 1,828.00 1,919.78
66. Aspirin 80 mg Tablet 0.48 - 1.70 0.86
67. Atenolol 100 mg Tablet 3.50 - 3.81 3.85
68. Atenolol 50 mg Tablet 1.23 - 2.90 1.99
69. Atorvastatin 10 mg Tablet 2.49 - 10.00 6.05
70. Atorvastatin 20 mg Tablet 2.02 - 16.00 8.72
71. Atorvastatin 40 mg Tablet 4.05 - 28.00 13.75
72. Atorvastatin 80 mg Tablet 9.60 - 25.00 23.48
73. Atracurium 10 mg/mL, 2.5 mL Ampule 58.12 - 280.00 87.45
74. Atropine 1 mg/mL, 1 mL Ampule 5.23 - 28.88 7.62
75. Azithromycin 200 mg/5 mL, 15 mL Suspension 160.00 - 313.74 302.50
76. Azithromycin 500 mg Tablet 7.88 - 90.00 15.38
77. Azithromycin 500 mg Vial 13.33 - 707.16 600.71
B
78. Baclofen 10 mg Tablet 10.25 - 22.10 16.50
79. Basiliximab 20 mg Vial 43,495.83 - 47,845.41
86,991.65
80. Beractant 25 mg/mL, 4 mL Vial 10,073.00 - 11,081.31
10,500.00
81. Betahistine 16 mg Tablet 4.31 - 30.00 13.20
82. Betahistine 24 mg Tablet 18.75 - 59.80 44.00
83. Betahistine 8 mg Tablet 4.76 - 19.57 13.20
84. Betamethasone Cream 0.1%, 5 g Tube 38.50 - 140.00 47.30
85. Betamethasone Ointment 0.1%, 5 g Tube 52.00 - 140.00 121.00
86. Biperiden Hydrochloride 2 mg Tablet 3.40 - 7.45 5.38
87. Bisacodyl 10 mg Suppository 10.49 - 28.34 20.78
88. Bisacodyl 5 mg Suppository 29.72 - 39.00 32.69
89. Bisacodyl 5 mg Tablet 0.55 - 13.48 1.38
90. Bleomycin (as Sulfate) 15 mg Vial 1,410.00 - 4,375.00 2,139.50
91. Budesonide + Formoterol 160 mcg + 4.5 mcg x 120 doses Dry Powder Inhaler 793.00 - 924.69 930.29
92. Budesonide + Formoterol 160 mcg + 4.5 mcg x 60 doses Dry Powder Inhaler 681.25 - 973.35 856.55
93. Budesonide + Formoterol 80 mcg + 4.5 mcg x 60 doses Dry Powder Inhaler 664.85 - 755.51 731.34

2018 DPRI | Sixth Edition Page|5


2018
Drugname Lowest - Highest
DPRI
94. Budesonide 250 mcg/mL, 2 mL Respiratory Solution (Nebule) 18.03 - 54.52 29.36
95. Bumetanide 1 mg Tablet 21.08 - 23.52 24.41
96. Bupivacaine 0.5% (isobaric), 5 mL (spinal) (as hydrochloride) Ampule 53.22 - 238.00 58.54
97. Bupivacaine 0.5%, 10 mL Ampule 51.89 - 197.45 105.57
98. Bupivacaine 0.5%, 10 mL Vial 57.88 - 150.00 110.00
99. Bupivacaine 0.5%, 4 mL (spinal) with 8% Dextrose (as hydrochloride) Ampule 46.34 - 1,002.00 129.18
100. Bupivacaine 0.5%, 5 mL Ampule 67.33 - 180.18 120.38
101. Bupivacaine 0.5%, 5 mL Vial 98.88 - 240.00 153.34
102. Butamirate Citrate 50mg MR Tablet 9.00 - 16.00 13.75
103. Butorphanol (as Tartrate) 2 mg/mL, 1 mL Ampule 363.44 - 550.00 440.00
104. Butorphanol (as Tartrate) 2 mg/mL, 1 mL Vial 182.33 - 565.00 462.00
C
105. Calcipotriol (as Hydrate) + Betamethasone (as Dipropionate) 50 mcg + 500 mcg/g, 30 g 1,630.00 - 1,853.00 1,793.00
Tube
106. Calcitriol 0.25 mcg Capsule 24.00 - 25.44 26.40
107. Calcium Carbonate + Cholecalciferol (Vit. D3) 600 mg elementa Ca + 400 IU Vit. D3 2.45 - 4.00 2.70
Tablet
108. Calcium Carbonate 500 mg Chewable Tablet 3.80 - 4.30 4.40
109. Calcium Carbonate 500 mg Tablet 0.75 - 8.40 1.52
110. Calcium Carbonate 600 mg Tablet 2.58 - 4.00 4.40
111. Calcium Folinate (Leucovorin Calcium) 10 mg/mL, 5 mL Ampule 128.75 - 338.00 237.33
112. Calcium Folinate (Leucovorin Calcium) 10 mg/mL, 5 mL Vial 128.75 - 470.00 195.80
113. Calcium Gluconate 10%, 10 mL Ampule 11.70 - 35.95 17.60
114. Calcium Gluconate 10%, 10 mL Vial 13.98 - 14.39 15.65
115. Candesartan Cilexetil 16 mg Tablet 12.00 - 26.67 21.87
116. Candesartan Cilexetil 8 mg Tablet 6.65 - 11.00 11.00
117. Capecitabine 500 mg Tablet 54.55 - 95.00 71.50
118. Captopril 25 mg Tablet 0.41 - 2.25 0.69
119. Captopril 50 mg Tablet 2.22 - 2.70 2.44
120. Carbamazepine 200 mg Tablet 1.31 - 9.00 1.90
121. Carbetocin 100 mcg/mL, 1 mL ampule - 933.00•
122. Carbetocin 100 mcg/mL, 1 mL Vial - 933.00•
123. Carboplatin 10 mg/mL, 15 mL Vial 664.00 - 1,750.00 987.67
124. Carboplatin 10 mg/mL, 45 mL Vial 800.00 - 3,800.00 2,530.00
125. Carboplatin 150 mg powder Vial 664.00 - 1,260.00 955.63
126. Carboplatin 450 mg powder Vial 1,180.00 - 2,650.00 2,744.50
127. Carboprost 125 mcg/0.5 mL Solution 178.00 - 488.88 252.45
128. Carboprost 250 mcg/mL Solution 270.00 - 745.00 391.60
129. Carvedilol 25 mg Tablet 3.00 - 9.80 4.54
130. Carvedilol 6.25 mg Tablet 0.38 - 10.33 1.47
131. Cefalexin 100 mg/mL, 10 mL Drops 14.38 - 111.50 17.91
132. Cefalexin 250 mg/5 mL, 60 mL Bottle 19.75 - 174.96 25.30
133. Cefalexin 500 mg Capsule 1.73 - 5.00 2.27
134. Cefazolin 1 g Vial 15.21 - 62.00 20.23
135. Cefazolin 500 mg Vial 16.99 - 28.32 25.73
136. Cefepime 1 g Vial 61.12 - 296.00 91.54
137. Cefepime 2 g Vial 114.22 - 950.00 282.27
__________________________________
• The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

6|Page 2017 DPRI | Fifth Edition


2018
Drugname Lowest - Highest
DPRI
138. Cefepime 500 mg Vial 104.21 - 248.00 150.27
139. Cefixime 100 mg Capsule 18.00 - 38.00 24.20
140. Cefixime 100 mg/5 mL, 60 mL Suspension 76.00 - 325.00 170.50
141. Cefixime 20 mg/mL, 10 mL Suspension 100.00 - 183.00 159.50
142. Cefixime 200 mg Capsule 5.25 - 62.00 12.33
143. Cefixime 400 mg Capsule 38.75 - 85.00 42.63
144. Cefotaxime 500 mg Vial 44.39 - 59.33 52.12
145. Cefoxitin 1 g Vial 78.50 - 380.00 117.94
146. Ceftazidime 1 g Vial 17.39 - 220.00 39.24
147. Ceftazidime 500 mg Vial 54.39 - 229.00 67.07
148. Ceftriaxone (as Sodium/ Disodium) 1 g Vial 16.29 - 1,000.00 20.34
149. Ceftriaxone (as Sodium/ Disodium) 500 mg Vial 28.12 - 58.48 59.28
150. Ceftriaxone 1 g + 10 mL diluent Vial 15.38 - 149.00 20.83
151. Cefuroxime 1.5 g Vial 91.22 - 138.33 131.14
152. Cefuroxime 125 mg/5 mL, 70 mL Suspension 137.50 - 228.00 188.65
153. Cefuroxime 250 mg Vial 48.45 - 150.00 53.30
154. Cefuroxime 500 mg Tablet 7.50 - 45.00 9.90
155. Cefuroxime 750 mg Vial 14.98 - 75.50 18.91
156. Celecoxib 100 mg Capsule 0.50 - 5.95 4.95
157. Celecoxib 200 mg Capsule 1.85 - 10.30 4.13
158. Celecoxib 400 mg Capsule 1.99 - 21.00 16.50
159. Cetirizine (as Dihydrochloride) 2.5 mg/mL, 10mL Syrup 78.10 - 130.00 85.91
160. Cetirizine 1 mg/mL, 30 mL Bottle 69.00 - 96.00 80.85
161. Cetirizine 1 mg/mL, 60 mL Bottle 26.22 - 95.00 74.80
162. Cetirizine 10 mg Tablet 0.28 - 15.80 0.48
163. Cetirizine 10 mg/mL, 10 mL Oral Drops 2.28 - 130.64 77.00
164. Cetirizine 5 mg/5 mL, 30 mL Syrup 36.98 - 98.00 70.95
165. Chloramphenicol 1 g Vial 15.00 - 39.00 27.38
166. Chloramphenicol 125 mg/5 mL, 60 mL Suspension 14.00 - 44.20 25.74
167. Chloramphenicol 500 mg Capsule 2.00 - 2.50 2.31
168. Chlorhexidine Gluconate 0.12%, 120 mL Bottle 100.00 - 120.00 120.26
169. Chlorphenamine (Chlorpheniramine) 10 mg/mL,1 mL Ampule 6.12 - 17.24 11.97
170. Chlorphenamine (Chlorpheniramine) 2 mg/5 mL, 60 mL Syrup 12.35 - 17.00 13.59
171. Chlorphenamine (Chlorpheniramine) 4 mg Tablet 0.25 - 2.00 0.46
172. Chlorpromazine 100 mg Tablet 0.33 - 4.90 1.64
173. Chlorpromazine 200 mg Tablet 1.79 - 6.00 2.32
174. Cilostazol 100 mg Tablet 4.86 - 23.72 12.60
175. Cilostazol 50 mg Tablet 2.77 - 13.45 7.56
176. Cinnarizine 25 mg Tablet 0.49 - 1.20 1.10
177. Ciprofloxacin 2 mg/mL, 200 mL Vial 1,187.85 - 1,332.65 1,430.00
178. Ciprofloxacin 2 mg/mL,100 mL Vial 15.75 - 745.29 24.63
179. Ciprofloxacin 500 mg Tablet 1.04 - 31.00 1.39
180. Cisplatin 1 mg/mL, 10 mL Vial 142.77 - 257.00 187.00
181. Cisplatin 1 mg/mL, 50 mL Vial 32.12 - 700.00 406.27
182. Clarithromycin 125 mg/5 mL, 50 mL Suspension 97.50 - 175.00 140.25
183. Clarithromycin 250 mg Tablet 9.50 - 27.00 12.32
184. Clarithromycin 500 mg Tablet 4.60 - 20.00 10.97
185. Clindamycin 150 mg Capsule 2.49 - 12.02 2.92
186. Clindamycin 150 mg/mL, 2 mL Ampule 64.22 - 1,173.00 119.90

2018 DPRI | Sixth Edition Page|7


2018
Drugname Lowest - Highest
DPRI
187. Clindamycin 150 mg/mL, 4 mL Ampule 53.22 - 225.00 88.12
188. Clindamycin 300 mg Capsule 1.08 - 21.75 5.78
189. Clindamycin 75 mg/5 mL, 60 mL Suspension 99.00 - 284.26 225.89
190. Clobetasol Cream 0.05%, 5 g Tube 74.00 - 120.00 97.74
191. Clobetasol Ointment 0.05%, 5 g Tube 120.00 - 169.68 132.00
192. Clonazepam 2 mg Tablet 3.00 - 10.00 7.84
193. Clonidine 150 mcg Tablet 4.08 - 23.46 16.37
194. Clonidine 150 mcg/mL, 1 mL Ampule 7.05 - 108.22 110.92
195. Clonidine 75 mcg Tablet 4.78 - 17.88 8.80
196. Clopidogrel 75 mg Tablet 0.53 - 60.67 2.08
197. Cloxacillin (as Sodium) 250 mg Capsule 2.20 - 2.75 2.42
198. Cloxacillin (as Sodium) 250 mg/5 mL, 60 mL Bottle 32.00 - 42.57 39.60
199. Cloxacillin (as Sodium) 500 mg Capsule 1.76 - 5.20 2.78
200. Clozapine 100 mg Tablet 4.50 - 13.00 8.80
201. Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 200 mg + 28.5 mg/5 mL, 70 mL 16.18 - 192.00 150.54
Suspension
202. Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 400 mg + 57 mg/5 mL, 70 mL 110.00 - 314.00 198.00
Suspension
203. Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 500 mg + 125 mg Tablet 7.20 - 90.00 8.71
204. Colchicine 500 mcg Tablet 1.27 - 3.20 2.48
205. Combined Amino Acids Sorbitol 500 mL Bottle 400.00 - 780.00 503.80
206. Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 400 mg + 80 mg Tablet 0.60 - 1.02 0.85
207. Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 400 mg + 80 mg/5 mL, 60 mL 14.08 - 23.80 19.80
Suspension
208. Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 800 mg+160 mg Tablet 0.94 - 3.70 1.41
209. Cyclophosphamide 1 g powder Vial 160.00 - 358.98 297.55
210. Cyclophosphamide 500 mg powder Vial 130.00 - 254.00 180.40
211. Cytarabine 100 mg/mL, 1 mL Vial 100.88 - 150.00 123.20
212. Cytarabine 100 mg/mL, 10 mL Vial 1,075.00 - 1,275.00 1,294.70
213. Cytarabine 100 mg/mL, 5 mL Vial 118.99 - 579.00 300.82
214. Cytarabine 20 mg/mL, 5 mL Ampule 125.00 - 198.00 152.46
D
215. Dacarbazine 200 mg Vial 568.77 - 750.00 767.56
216. Dexamethasone 4 mg/mL, 2 mL Ampule 7.62 - 39.00 24.38
217. Dexamethasone 4 mg/mL, 2 mL Vial 11.22 - 32.22 27.75
218. Dexamethasone 5 mg/mL,1 mL Ampule 15.98 - 48.00 32.87
219. Dextran, High Molecular Weight (Dextran 70) 6%, Dextran 70 in 5% Dextrose 500 mL 412.00 - 535.60 550.00
Glass Bottle
220. Diazepam 5 mg Tablet 6.22 - 9.15 7.58
221. Diazepam 5 mg/mL, 2 mL Ampule 39.34 - 158.00 67.66
222. Diclofenac 100 mg MR Tablet 10.80 - 15.00 16.50
223. Diclofenac 25 mg/mL, 3 mL Ampule 9.88 - 60.00 18.57
224. Diclofenac 50 mg Tablet 0.29 - 1.29 0.76
225. Dicycloverine (Dicyclomine) 10 mg Tablet 0.24 - 0.65 0.41
226. Dicycloverine (Dicyclomine) 10 mg/5 mL, 60 mL Syrup 11.00 - 22.00 13.86
227. Digoxin 250 mcg Tablet 3.40 - 5.90 4.21
228. Digoxin 250 mcg/mL, 2 mL Ampule 93.22 - 178.44 124.91
229. Digoxin 50mcg/mL, 60mL Elixir 568.42 - 710.00 709.95
230. Diloxanide 500 mg Tablet 10.00 - 19.50 19.80
231. Diltiazem 60 mg Tablet 3.27 - 25.00 5.23
232. Diphenhydramine (as Hydrochloride) 12.5 mg/ 5 mL, 60 mL Syrup 9.25 - 58.00 16.66
8|Page 2017 DPRI | Fifth Edition
2018
Drugname Lowest - Highest
DPRI
233. Diphenhydramine (as Hydrochloride) 25 mg Capsule 1.00 - 5.00 2.75
234. Diphenhydramine (as Hydrochloride) 50 mg Capsule 0.53 - 68.00 0.99
235. Diphenhydramine (as Hydrochloride) 50 mg/mL, 1 mL Ampule 18.22 - 150.00 30.17
236. Dobutamine 2 mg/mL, 250 mL D5W Pre-mixed 687.00 - 988.00 822.80
237. Dobutamine 50 mg/mL, 5 mL Ampule 90.85 - 172.62 169.95
238. Docetaxel 20 mg/0.5 mL, 0.5 mL Vial 820.00 - 3,000.00 1,647.80
239. Docetaxel 40 mg/mL, 2 mL Vial 3,145.75 - 4,400.00
12,500.00
240. Domperidone 1 mg/mL, 60 mL Suspension 35.10 - 288.00 117.70
241. Domperidone 10 mg Tablet 0.63 - 5.55 1.53
242. Donepezil Hydrochloride 5 mg Tablet 16.88 - 65.00 18.57
243. Dopamine 1.6 mg/mL, 250 mL D5W Pre-mixed 202.79 - 545.33 372.65
244. Dopamine 40 mg/mL, 5 mL Ampule 26.36 - 90.00 42.54
245. Dopamine 800 mcg/mL, 250 mL D5W Pre-mixed 200.00 - 334.00 340.93
246. Doxorubicin 10 mg powder Vial 152.10 - 238.00 196.67
247. Doxorubicin 2 mg/mL, 25 mL Vial 547.31 - 1,000.00 933.63
248. Doxorubicin 2 mg/mL, 5 mL Vial 152.10 - 231.67 167.31
249. Doxorubicin 50 mg powder Vial 160.00 - 890.00 681.31
250. Doxycycline (as Hyclate) 100 mg Capsule 0.74 - 15.00 1.08
251. Dydrogesterone 10 mg Tablet 43.00 - 55.95 54.71
E
252. Enalapril 20 mg Tablet 3.11 - 9.66 8.80
253. Enalapril 5 mg Tablet 2.00 - 4.88 3.80
254. Enoxaparin 100 mg/mL, 0.2 mL Pre-filled syringe 402.00 - 422.60 458.92
255. Enoxaparin 100 mg/mL, 0.4 mL Pre-filled syringe 184.33 - 620.00 218.27
256. Enoxaparin 100 mg/mL, 0.6 mL Pre-filled syringe 258.00 - 655.00 320.80
257. Enteral Nutrition - Adult Polymeric 400 g Can 275.00 - 416.50 327.80
258. Enteral Nutrition - Disease-Specific (Diabetes) 400 g Can 275.00 - 583.50 500.50
259. Enteral Nutrition - Fiber-Containing 400 g Can 443.50 - 520.00 487.85
260. Eperisone Hydrochloride 50 mg Tablet 10.00 - 32.29 18.48
261. Ephedrine 50 mg/mL, 1 mL Ampule 55.00 - 88.28 66.83
262. Epinephrine 1 mg/mL, 1 mL Ampule 3.57 - 49.44 32.70
263. Epirubicin 10 mg Vial 692.00 - 979.28 886.19
264. Epirubicin 50 mg Vial 1,560.00 - 2,897.00 3,054.70
265. Epoetin Alfa (recombinant human erythropoietin) 10,000 IU/mL Pre-filled syringe 324.22 - 1,555.00 1,408.00
266. Epoetin Alfa (recombinant human erythropoietin) 2000 IU/0.5 mL Pre-filled syringe 290.00 - 388.00 374.00
267. Epoetin Alfa (recombinant human erythropoietin) 4000 IU/0.4 mL Pre-filled syringe 289.00 - 650.00 409.32
268. Epoetin Alfa (recombinant human erythropoietin) 4000 IU/mL, 1 mL Pre-filled Glass 218.00 - 346.23 342.34
Syringe
269. Epoetin Alfa (recombinant human erythropoietin) 4000 IU/mL, 1 mL Vial 288.22 - 590.00 340.26
270. Epoetin Beta (recombinant erythropoietin) 10000 IU/0.6 mL Pre-filled syringe 3,201.00 - 3,300.00 3,521.10
271. Epoetin Beta (recombinant erythropoietin) 2000 IU/ 0.3 mL Pre-filled syringe 407.67 - 475.31 482.50
272. Epoetin Beta (recombinant erythropoietin) 5000IU/0.3ml Pre-filled syringe 978.60 - 1,600.00 1,132.56
273. Ertapenem (as Sodium) 1 g Vial 2,262.00 - 2,562.71 2,562.87
274. Erythromycin 200 mg/5 mL, 60 mL Suspension 39.70 - 45.00 47.33
275. Erythromycin 500 mg Tablet 3.06 - 4.38 4.37
276. Erythromycin Eye Ointment 0.5%, 3.5 g Tube 108.00 - 141.39 134.64
277. Erythromycin Eye Ointment 0.5%, 5 g Tube 112.22 - 158.33 148.35
278. Escitalopram (as Oxalate) 10 mg Tablet 3.45 - 8.50 4.77
279. Esmolol 10 mg/mL, 10 mL Vial 800.00 - 1,000.00 1,015.30

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2018
Drugname Lowest - Highest
DPRI
280. Ethambutol Hydrochloride 400 mg Tablet 2.42 - 8.50 3.69
281. Etoposide 100 mg Vial 307.50 - 510.00 371.80
282. Etoposide 20 mg/mL, 5 mL Ampule 320.00 - 399.50 352.00
283. Etoposide 20 mg/mL, 5 mL Vial 270.00 - 597.00 374.00
F
284. Felodipine 10 mg MR Tablet 6.19 - 20.33 12.10
285. Felodipine 5 mg MR Tablet 4.05 - 8.20 7.92
286. Fenofibrate 160 mg Tablet 20.91 - 33.80 34.10
287. Fenofibrate 200 mg Capsule 5.25 - 16.86 12.10
288. Fentanyl 50mcg/mL, 10mL Ampule 79.99 - 525.44 447.19
289. Fentanyl 50mcg/mL, 2mL Ampule 53.33 - 206.15 70.27
290. Ferrous Fumarate 60 mg elemental iron Tablet 0.85 - 2.00 1.69
291. Ferrous Salt (equiv. to 15 mg elemental iron/0.6 mL), 15 mL Drops 11.80 - 24.00 20.74
292. Ferrous Salt (equiv. to 30 mg elemental iron/5 mL), 60 mL Syrup 24.70 - 28.00 27.17
293. Ferrous Salt equiv. to 60 mg elemental iron Tablet 0.46 - 2.50 0.94
294. Ferrous Sulfate + Folic Acid 60 mg elemental iron + 400 mcg folic acid Capsule 0.62 - 2.00 0.80
295. Ferrous Sulfate + Folic Acid 60 mg elemental iron + 400 mcg folic acid Film coated 0.58 - 1.19 0.79
tablet
296. Ferrous Sulfate + Folic Acid 60 mg elemental iron + 400 mcg folic acid Tablet 0.47 - 2.75 0.69
297. Ferrous Sulfate 15 mg elemental iron/0.6 mL, 15 mL Drops 17.48 - 24.00 19.80
298. Ferrous Sulfate 30 mg elemental iron/5 mL, 60 mL Syrup 18.44 - 28.00 21.98
299. Ferrous Sulfate 60 mg elemental iron Tablet 0.85 - 1.75 1.44
300. Filgrastim 300 mcg/0.5 mL Pre-filled syringe 724.32 - 2,000.00 1,428.90
301. Filgrastim 300 mcg/1.2 mL Vial 895.00 - 1,900.00 1,100.00
302. Filgrastim 300 mcg/mL Vial 818.33 - 2,400.00 1,070.85
303. Finasteride 5 mg Tablet 9.45 - 28.00 12.65
304. Fluconazole 150 mg Capsule 22.75 - 120.00 82.50
305. Fluconazole 2 mg/mL, 100 mL Vial 67.12 - 2,100.00 399.49
306. Fluconazole 200 mg Capsule 85.00 - 500.00 275.00
307. Fluconazole 50 mg Capsule 51.42 - 115.50 80.16
308. Fluocinolone Acetonide + Polymixin B sulfate Neomycin Sulfate 5 mL Bottle 155.00 - 180.00 170.50
309. Fluorouracil 50 mg/mL, 10 mL Vial 65.00 - 110.00 84.70
310. Fluoxetine 20 mg Capsule 3.45 - 6.12 5.38
311. Fluoxetine 20 mg Dispersible Capsule 3.45 - 10.86 6.60
312. Flupentixol 20 mg/mL, 1 mL Ampule 350.00 - 364.50 400.95
313. Fluphenazine (as Decanoate) 25 mg/mL, 10 mL Vial 388.00 - 575.00 519.24
314. Fluticasone + Salmeterol 125 mcg + 25 mcg x 120 doses Metered Dose Inhaler 171.50 - 400.00 281.05
315. Fluticasone + Salmeterol 250 mcg + 25 mcg x 120 doses Metered Dose Inhaler 172.00 - 586.00 429.00
316. Fluticasone + Salmeterol 250 mcg + 50 mcg x 60 doses Dry Powder Inhaler 415.00 - 971.25 772.57
317. Fluticasone + Salmeterol 500 mcg + 50 mcg x 60 doses Dry Powder Inhaler 465.00 - 1,186.50 525.25
318. Fluticasone + Salmeterol 50mcg + 25mcg x 120 doses Metered Dose Inhaler 120.00 - 261.00 188.21
319. Fluticasone 0.05% dose x 120 doses Nasal Aqueous Solution 394.00 - 1,224.00 550.00
320. Fluticasone 125 mcg/dose x 120 doses Metered Dose Inhaler 281.85 - 367.08 310.04
321. Fluticasone 50 mcg/dose x 120 doses Metered Dose Inhaler 265.00 - 600.00 291.50
322. Folic Acid 5 mg Capsule 1.67 - 4.00 3.41
323. Folic Acid 5 mg Tablet 1.42 - 4.98 3.00
324. Fondaparinux 2.5 mg/0.5 mL Solution 1,120.00 - 1,268.96 1,268.96
325. Furosemide 10 mg/mL, 2 mL Ampule 2.95 - 51.75 7.14
326. Furosemide 20 mg Tablet 0.52 - 4.75 1.02

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2018
Drugname Lowest - Highest
DPRI
327. Furosemide 40 mg Tablet 0.45 - 6.00 1.65
328. Fusidate Sodium/Fusidic Acid Cream 2%, 5 g Tube 60.00 - 308.32 203.50
329. Fusidate Sodium/Fusidic Acid Ointment 2%, 5 g Tube 53.00 - 347.68 225.50
G
330. Gabapentin 100 mg Capsule 4.35 - 12.16 7.70
331. Gabapentin 300 mg Capsule 4.95 - 13.05 8.94
332. Gadoteric acid 0.5 mmol/mL Solution for Injection, 10 mL glass Vial - 2,860.00•
333. Gemcitabine 1 g Vial 2,900.00 - 6,400.00 3,515.00
334. Gemcitabine 200 mg Vial 795.00 - 1,700.00 935.00
335. Gentamicin 40 mg/mL, 2 mL Ampule 1.25 - 53.00 4.53
336. Gentamicin 40 mg/mL, 2 mL Vial 4.11 - 44.00 41.37
337. Gliclazide 30 mg MR Tablet 1.67 - 3.90 2.96
338. Gliclazide 60 mg MR Tablet 5.49 - 19.00 13.97
339. Gliclazide 80 mg Tablet 2.00 - 4.95 3.27
340. Glucose (Dextrose) 50%, 50 mL Vial 25.00 - 52.00 35.20
341. Glyceryl Trinitrate (Nitroglycerine) 1 mg/mL, 10 mL Ampule 390.00 - 940.00 712.80
H
342. Haloperidol 5 mg Tablet 2.24 - 5.00 3.98
343. Haloperidol 5 mg/mL, 1 mL Ampule 450.00 - 725.00 731.50
344. Heparin (as Sodium) 1000 IU/mL, 5 mL Vial 48.88 - 208.00 63.19
345. Heparin (as Sodium) 5000 IU/mL, 5 mL Vial 52.98 - 185.00 171.09
346. Hydralazine 20 mg/mL, 1 mL Ampule 14.89 - 225.00 69.78
347. Hydrochlorothiazide 25 mg Tablet 2.95 - 3.10 3.30
348. Hydrocortisone 100 mg powder, Vial 18.89 - 190.00 24.01
349. Hydrocortisone 125 mg/mL, 2 mL Vial 62.33 - 285.00 92.41
350. Hydrocortisone 250 mg powder, Vial 22.88 - 396.00 67.41
351. Hydrocortisone 500 mg powder, Vial 77.92 - 94.33 102.43
352. Hydrocortisone Cream 1%, 5 g Tube 65.00 - 102.31 107.80
353. Hydrogen Peroxide 3%, 120 mL Bottle 15.00 - 40.00 24.20
354. Hydroxyethyl Starch 6%, 500 mL Bottle 347.00 - 630.00 484.00
355. Hydroxyurea 500 mg Capsule 12.90 - 16.00 17.55
356. Hydroxyzine 25 mg Tablet 13.95 - 25.25 19.83
357. Hyoscine (as N-butyl bromide) 10 mg Tablet 1.73 - 6.00 5.69
358. Hyoscine (as N-butyl bromide) 20 mg/mL, 1 mL Ampule 10.89 - 90.00 28.95
359. Hypromellose Ophthalmic Solution 0.3%, 10 mL Bottle 180.00 - 375.00 198.00
I
360. I.V. Fluids, 0.9% Sodium Chloride 1 L Bottle 32.48 - 72.00 46.68
361. I.V. Fluids, 0.9% Sodium Chloride 100 mL Bottle 41.99 - 75.00 82.50
362. I.V. Fluids, 0.9% Sodium Chloride 20 mL Ampule 14.25 - 35.00 29.62
363. I.V. Fluids, 0.9% Sodium Chloride 50 mL Bottle 19.95 - 40.00 26.64
364. I.V. Fluids, 0.9% Sodium Chloride 500 mL Bottle 34.98 - 95.00 48.40
365. I.V. Fluids, 0.9% Sodium Chloride 500 mL Glass Bottle 110.88 - 110.88 121.97
366. I.V. Fluids, 10% Dextrose in Water 1 L Bottle 42.35 - 45.00 49.48
367. I.V. Fluids, 10% Dextrose in Water 500 mL Bottle 39.89 - 65.98 49.27
368. I.V. Fluids, 5% Dextrose in 0.3% Sodium Chloride 1 L Bottle 35.00 - 57.85 49.31
369. I.V. Fluids, 5% Dextrose in 0.3% Sodium Chloride 500 mL Bottle 34.95 - 59.98 47.41
__________________________________
• The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

2018 DPRI | Sixth Edition P a g e | 11


2018
Drugname Lowest - Highest
DPRI
370. I.V. Fluids, 5% Dextrose in 0.3% Sodium Chloride 500 mL Glass Bottle 76.80 - 100.00 84.48
371. I.V. Fluids, 5% Dextrose in 0.9% Sodium Chloride 1 L Bottle 35.00 - 57.95 49.50
372. I.V. Fluids, 5% Dextrose in 0.9% Sodium Chloride 500 mL Bottle 40.50 - 115.51 47.73
373. I.V. Fluids, 5% Dextrose in Lactated Ringer's 1 L Bottle 35.00 - 72.00 48.66
374. I.V. Fluids, 5% Dextrose in Lactated Ringer's 1 L Glass Bottle 42.98 - 43.45 47.28
375. I.V. Fluids, 5% Dextrose in Lactated Ringer's 500 mL Bottle 36.60 - 57.95 48.28
376. I.V. Fluids, 5% Dextrose in Water 1 L Bottle 34.85 - 57.95 49.31
377. I.V. Fluids, 5% Dextrose in Water 250 mL Bottle 43.44 - 96.10 76.88
378. I.V. Fluids, 5% Dextrose in Water 250 mL Glass Bottle 80.00 - 96.10 105.60
379. I.V. Fluids, 5% Dextrose in Water 500 mL Bottle 32.95 - 57.95 47.18
380. I.V. Fluids, 5% Dextrose in Water 500 mL Glass Bottle 40.00 - 41.98 44.00
381. I.V. Fluids, Balanced Multiple Maintenance Solution with 5% Dextrose for Adult 1 L 34.85 - 55.00 49.38
Bottle
382. I.V. Fluids, Balanced Multiple Maintenance Solution with 5% Dextrose for Pedia 500 34.89 - 57.95 47.70
mL Bottle
383. I.V. Fluids, Balanced Multiple Replacement Solution with 5% Dextrose 1 L Bottle 35.00 - 56.65 49.50
384. I.V. Fluids, Lactated Ringer's Solution 1 L Bottle 39.45 - 72.00 48.95
385. I.V. Fluids, Lactated Ringer's Solution 500 mL Bottle 34.98 - 53.89 48.64
386. Ibuprofen 100 mg/5 mL, 60 mL Bottle 22.62 - 61.86 31.02
387. Ibuprofen 200 mg Tablet 0.60 - 0.94 0.97
388. Ibuprofen 200 mg/5 mL, 60 mL Bottle 47.00 - 115.00 80.59
389. Ibuprofen 400 mg Tablet 0.75 - 5.52 1.10
390. Idarubicin 5 mg Vial 6,645.00 - 7,000.26 7,309.50
391. Ifosfamide 1 g Vial 1,600.00 - 2,100.00 1,925.00
392. Ifosfamide 2 g Vial 2,457.00 - 2,467.00 2,702.70
393. Immunoglobulin, Hepatitis B (human) 0.5 mL Vial 1,200.00 - 1,900.00 1,485.00
394. Immunoglobulin, Normal, Human (IGIV) 50 mg/mL, 10 mL Vial 1,600.00 - 1,611.00 1,760.00
395. Immunoglobulin, Normal, Human (IGIV) 50 mg/mL, 100 mL Vial 10,449.00 - 14,850.00
17,500.00
396. Immunoglobulin, Normal, Human (IGIV) 50 mg/mL, 50 mL Vial 5,199.32 - 7,488.00 5,975.20
397. Immunoglobulin, Rabies (human) 150 IU/mL, 2 mL Ampule 3,100.00 - 4,800.00 3,410.00
398. Immunoglobulin, Rabies (human) 150 IU/mL, 2 mL Vial 3,100.00 - 3,194.00 3,410.00
399. Immunoglobulin, Rabies (human) 150 IU/mL, 5 mL Vial 1,038.00 - 3,900.00 1,452.00
400. Immunoglobulin, Tetanus (Human) 250 IU/mL, 1 mL Ampule 700.00 - 900.00 962.50
401. Immunoglobulin, Tetanus (Human) 250 IU/mL, 1 mL Pre-filled syringe 670.00 - 875.00 770.00
402. Immunoglobulin, Tetanus (Human) 250 IU/mL, 2 mL Ampule 778.00 - 875.00 855.80
403. Immunoglobulin, Tetanus (Human) 250 units/mL, 1 mL Vial 685.00 - 800.00 770.00
404. Insulin, Biphasic Isophane Human 70/30 (recombinant DNA) 100 IU/mL (Equiv. to 125.00 - 169.45 137.50
3.571 mg/mL), 5 mL Vial
405. Insulin, Biphasic Isophane Human 70/30 (recombinant DNA) 70% isophane 97.16 - 228.00 176.00
suspension + 30% soluble insulin in 100 IU/mL, 10 mL Vial
406. Insulin, Isophane Human 100 IU/mL, 10 mL Vial 120.00 - 320.00 176.00
407. Insulin, Regular (Recombinant DNA, human) 100 IU/mL, 10 mL Vial 118.97 - 230.00 176.00
408. Intraocular Irrigating Solution (balanced salt solution) 500 mL Bottle 370.00 - 500.00 434.50
409. Iohexol 300 mg iodine/mL, 50 mL Vial 988.50 - 1,190.00 1,199.37
410. Iohexol 350 mg iodine/mL, 50 mL Vial 1,448.50 - 1,495.00 1,593.35
411. Iopamidol 612 mg/mL equiv. to 300 mg iodine, 100 mL Vial 983.12 - 3,450.00 1,308.08
412. Iopamidol 612 mg/mL equiv. to 300 mg iodine, 50 mL Vial 545.23 - 2,450.00 779.35
413. Iopamidol 755 mg/mL equiv. to 370 mg iodine, 100 mL Vial 1,588.00 - 2,200.00 1,971.20
414. Iopamidol 755 mg/mL equiv. to 370 mg iodine, 50 mL Vial 929.00 - 1,165.00 1,103.85
415. Iopromide 300 mg/mL equiv. to 623 mg iodine, 50 mL Vial 708.00 - 1,200.00 808.50

12 | P a g e 2017 DPRI | Fifth Edition


2018
Drugname Lowest - Highest
DPRI
416. Iopromide 370 mg/mL equiv. to 769 mg iodine, 100 mL Vial 1,900.00 - 2,300.00 2,420.00
417. Iopromide 370 mg/mL equiv. to 769 mg iodine, 50 mL Vial 950.00 - 1,700.00 1,320.00
418. Ioversol 636 mg/mL equiv. to 300 mg/mL iodine, 100 mL Vial 2,000.00 - 2,100.00 2,200.00
419. Ioversol 636 mg/mL equiv. to 300 mg/mL iodine, 50 mL Vial 1,200.00 - 1,300.00 1,320.00
420. Ioversol 741 mg/mL equiv. to 350 mg/mL iodine, 50 mL Vial 1,300.00 - 1,800.00 1,815.00
421. Ipratropium + Salbutamol 500 mcg + 2.5 mg x 2.5 mL (unit dose) Respiratory Solution 6.88 - 29.44 10.45
422. Ipratropium 250 mcg/mL, 2 mL (unit dose) Respiratory Solution 75.33 - 85.00 82.86
423. Irbesartan + Hydrochlorothiazide 150 mg + 12.5 mg Tablet 4.23 - 20.00 11.28
424. Irbesartan 150 mg Tablet 2.49 - 19.50 5.21
425. Irbesartan 300 mg Tablet 6.28 - 29.40 15.15
426. Irinotecan 100 mg/5 mL concentrate Vial 3,299.00 - 4,000.00 3,740.00
427. Iron Sucrose 20 mg/mL, 5 mL Ampule 75.75 - 210.00 140.22
428. Isoflurane 100 mL Bottle 598.88 - 2,612.22 1,856.80
429. Isoniazid + Rifampicin + Ethambutol 75 mg + 150 mg + 275 mg Tablet 4.10 - 5.50 6.00
430. Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75 mg + 150 mg + 400 mg + 275 4.10 - 9.50 6.38
mg Tablet
431. Isoniazid 200 mg/5 mL, 120 mL Syrup 45.99 - 138.00 81.40
432. Isosorbide Dinitrate 1 mg/mL, 10 mL Ampule 398.80 - 600.00 451.84
433. Isosorbide Dinitrate 10 mg Tablet 0.74 - 11.80 9.02
434. Isosorbide Dinitrate 5 mg Tablet 3.25 - 18.13 8.25
435. Isosorbide-5-Mononitrate 30 mg MR Capsule 8.00 - 10.75 8.80
436. Isosorbide-5-Mononitrate 30 mg MR Tablet 6.40 - 18.00 12.32
437. Isosorbide-5-Mononitrate 60 mg MR Tablet 3.69 - 18.88 6.82
438. Isotonic Electrolyte Sodium Chloride 1 L Bottle 185.00 - 185.00 203.50
439. Isoxsuprine Hydrochloride 10 mg Tablet 1.89 - 18.50 4.66
440. Isoxsuprine Hydrochloride 5 mg/mL, 2 mL Ampule 100.00 - 300.00 162.16
441. Itraconazole 100 mg Capsule 17.80 - 40.24 32.45
K
442. Ketamine 50 mg/mL, 10 mL Vial 299.00 - 1,030.00 603.35
443. Ketoconazole 2%, 15 g aluminum tube 69.00 - 71.00 78.10
444. Ketorolac 30 mg/mL, 1mL Ampule 7.12 - 100.00 17.72
L
445. Lactulose 3.3 g/5 mL, 120 mL Syrup 48.00 - 149.88 73.15
446. Lagundi 300 mg Tablet 1.25 - 3.00 1.79
447. Lagundi 300 mg/5 mL, 120 mL Syrup 75.00 - 79.88 82.50
448. Lagundi 300 mg/5 mL, 60 mL Syrup 39.10 - 61.50 55.22
449. Lagundi 600 mg Tablet 2.08 - 3.15 2.90
450. Lamotrigine 100 mg Tablet 25.00 - 42.00 27.50
451. Lamotrigine 50 mg Tablet 16.80 - 27.00 20.90
452. Lansoprazole 30 mg Capsule 19.00 - 25.00 20.90
453. Lansoprazole 30 mg MR Tablet 9.50 - 17.00 10.45
454. L-Asparaginase 10,000 IU Vial 1,450.00 - 1,888.00 1,958.00
455. Latanoprost 50mcg/mL, 2.5mL Bottle 824.10 - 894.99 914.17
456. Letrozole 2.5 mg Tablet 12.98 - 80.00 83.60
457. Leuproreline 11.25 mg powder depot solution Vial + Syringe 13,500.00 - 14,850.00
13,800.00
458. Levodopa + Carbidopa 250 mg + 25 mg Tablet 25.00 - 72.06 41.35
459. Levofloxacin 500 mg Tablet 3.88 - 15.00 9.36
460. Levofloxacin 750 mg Tablet 7.34 - 60.00 14.79

2018 DPRI | Sixth Edition P a g e | 13


2018
Drugname Lowest - Highest
DPRI
461. Levofloxacin 5 mg/mL, 100 mL Vial 110.00 - 780.00 180.76
462. Levofloxacin 5 mg/mL, 150 mL Vial - 1,356.00•
463. Levothyroxine 100 mcg Tablet 5.52 - 8.81 7.25
464. Levothyroxine 150 mcg Tablet 9.62 - 11.00 10.58
465. Levothyroxine 50mcg Tablet 1.89 - 5.00 3.96
466. Lidocaine 10%, 50 mL Spray 2,461.62 - 2,953.00 2,707.78
467. Lidocaine 2%, 1.8mL w/ epinephrine Carpule 11.02 - 23.84 15.40
468. Lidocaine 2%, 20 mL Ampule 10.98 - 33.00 12.08
469. Lidocaine 2%, 5 mL Ampule 8.50 - 54.00 12.49
470. Lidocaine 2%, 50 mL Vial 21.00 - 69.00 39.60
471. Linezolid 2 mg/mL (600 mg/300 mL) Solution 3,655.00 - 4,160.86 4,435.06
472. Linezolid 600 mg Tablet - 3,961.69•
473. Lipids 10%, 500 mL Bottle 600.00 - 800.00 660.00
474. Lipids 20%, 100 mL Bottle 860.00 - 1,222.00 1,130.80
475. Lipids 20%, 250 mL Bottle 950.00 - 1,350.00 1,270.50
476. Lithium Carbonate 450 mg MR Tablet 4.33 - 5.00 4.84
477. Loperamide 2 mg Capsule 0.33 - 2.91 0.50
478. Loratadine 10 mg Film coated tablet 1.68 - 1.79 1.85
479. Loratadine 10 mg Tablet 0.94 - 13.31 2.00
480. Loratadine 5 mg/5 mL, 30 mL Syrup 52.00 - 119.70 98.86
481. Losartan + Hydrochlorothiazide 50mg +12.5 mg Tablet 1.17 - 4.12 1.87
482. Losartan 100 mg Tablet 0.59 - 15.40 2.37
483. Losartan 50 mg Tablet 0.63 - 6.50 0.90
M
484. Magnesium Sulfate 250 mg/mL, 10 mL Ampule 14.98 - 55.45 21.87
485. Magnesium Sulfate 250 mg/mL, 10 mL Vial 8.29 - 29.56 21.25
486. Magnesium Sulfate 250 mg/mL, 20 mL Vial 26.00 - 35.00 29.03
487. Mannitol 20%, 250 mL Bottle 84.33 - 228.33 92.76
488. Mannitol 20%, 500 mL Bottle 69.95 - 110.00 92.7
489. Mebendazole 100 mg/5 mL, 60 mL Suspension 10.00 - 19.00 15.40
490. Mebendazole 500 mg Tablet 1.73 - 3.00 1.90
491. Mecobalamin 500 mcg Tablet 8.00 - 15.91 14.08
492. Mecobalamin 500 mcg/mL, 1 mL Ampule 188.50 - 281.86 285.10
493. Medroxyprogesterone 150 mg/mL, 1 mL Vial 49.25 - 111.00 62.9
494. Mefenamic Acid 250 mg Capsule 0.43 - 1.00 0.61
495. Mefenamic Acid 250 mg Tablet 0.50 - 7.00 0.55
496. Mefenamic Acid 500 mg Capsule 0.45 - 1.04 0.62
497. Mefenamic Acid 500 mg Tablet 0.46 - 2.80 0.61
498. Meropenem 1 g Vial 116.00 - 1,688.00 192.69
499. Meropenem 500 mg Vial 98.42 - 180.00 124.48
500. Mesna 100 mg/mL, 4 mL Ampule 148.00 - 162.50 176.00
501. Metformin Hydrochloride 500 mg Film coated tablet 0.46 - 2.50 0.91
502. Metformin Hydrochloride 500 mg Tablet 0.41 - 4.56 0.98
503. Metformin Hydrochloride 850 mg Tablet 5.40 - 5.59 5.94
504. Methotrexate 100 mg/mL, 10 mL Vial 3,950.00 - 5,000.00 4,345.00
505. Methotrexate 2.5 mg Tablet 4.30 - 13.55 9.87
506. Methotrexate 25 mg/mL, 2 mL Ampule 145.75 - 154.75 160.33
__________________________________
• The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

14 | P a g e 2017 DPRI | Fifth Edition


2018
Drugname Lowest - Highest
DPRI
507. Methotrexate 25 mg/mL, 2 mL Vial 106.00 - 160.50 132.96
508. Methyldopa 250 mg Tablet 5.36 - 16.07 10.70
509. Methylergometrine 200 mcg/mL, 1 mL Ampule 6.99 - 100.00 12.53
510. Methylprednisolone 1 g lyophilized powder Vial 2,325.63 - 3,435.59 3,190.00
511. Methylprednisolone 1 g/16 mL + Diluent Vial 2,054.07 - 3,152.72 3,162.50
512. Methylprednisolone 125 mg/mL, 2 mL + diluent Vial 600.00 - 750.00 819.50
513. Methylprednisolone 16 mg Tablet 7.90 - 25.30 14.08
514. Methylprednisolone 4 mg Tablet 0.30 - 8.52 5.50
515. Methylprednisolone 40 mg ( single dose) Vial 189.30 - 552.25 312.35
516. Methylprednisolone 500 mg lyophilized powder Vial 1,155.00 - 2,368.08 1,270.50
517. Methylprednisolone 500 mg/8.0 mL + diluent vial Vial 1,161.00 - 2,368.08 1,277.10
518. Methylprednisolone 500mg/7.7mL + Diluent Vial 1,071.10 - 2,378.28 1,257.27
519. Metoclopramide 10 mg Tablet 0.65 - 8.20 1.90
520. Metoclopramide 5 mg/5 mL, 60 mL Syrup 17.50 - 32.20 25.77
521. Metoclopramide 5 mg/mL, 2 mL Ampule 2.18 - 32.00 3.43
522. Metoprolol (as Tartrate) 100 mg Tablet 1.12 - 2.36 1.60
523. Metoprolol (as Tartrate) 50 mg Tablet 0.46 - 2.58 0.99
524. Metronidazole 125 mg/5 mL, 60 mL Suspension 1.25 - 64.00 16.50
525. Metronidazole 5 mg/mL, 100 mL Vial 10.88 - 75.00 16.62
526. Metronidazole 500 mg Tablet 0.58 - 2.80 0.94
527. Midazolam 1 mg/mL, 5 mL Ampule 75.00 - 93.00 91.08
528. Midazolam 5 mg/mL, 3 mL Ampule 90.00 - 136.33 110.13
529. Midazolam 5 mg/mL,1 mL Ampule 48.34 - 87.11 76.87
530. Modified Fluid Gelatin (Formerly Polymerisate of Degraded Succinylated Gelatin) 4% 515.00 - 660.00 660.00
solution, 500 mL Bottle
531. Monobasic Sodium Phosphate, Dibasic Sodium Phosphate 19 g/ 7 g solution per 133 150.00 - 216.00 198.00
mL Bottle
532. Monobasic Sodium Phosphate, Dibasic Sodium Phosphate 48 g/18 g per 100 mL 180.00 - 348.00 217.80
solution, 45 mL Bottle
533. Montelukast 10 mg Tablet 2.50 - 17.98 9.35
534. Montelukast 4 mg Chewable Tablet 4.00 - 11.75 7.70
535. Montelukast 4 mg Sachet 8.08 - 10.60 8.89
536. Montelukast 5 mg Chewable Tablet 4.95 - 13.18 8.80
537. Morphine (As Sulfate) 10 mg MR Tablet 17.65 - 24.24 25.33
538. Morphine (As Sulfate) 10 mg Tablet 5.09 - 24.24 22.66
539. Morphine (As Sulfate) 10 mg/mL,1 mL Ampule 39.00 - 150.00 56.51
540. Morphine (As Sulfate) 30 mg MR Tablet 48.79 - 58.87 55.28
541. Morphine (As Sulfate) 30 mg Tablet 48.00 - 66.05 55.28
542. Moxifloxacin Hydrochloride 5 mg/mL (0.5% w/v) sterile ophthalmic solution, 5 mL - 543.75•
Bottle
543. Multivitamins for adults Capsule 0.17 - 6.89 1.32
544. Multivitamins for adults Tablet 0.95 - 2.80 2.19
545. Multivitamins per 1 mL ,15 mL Drops 11.31 - 60.00 18.74
546. Multivitamins per 5 mL, 120 mL Syrup 18.00 - 130.00 47.23
547. Multivitamins per 5 mL, 60 mL Syrup 11.61 - 47.00 19.42
548. Mupirocin Cream 2%, 15 g Tube 64.29 - 268.18 152.28
549. Mupirocin Cream 2%, 5 g Sachet 54.33 - 125.00 66.00

__________________________________
• The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

2018 DPRI | Sixth Edition P a g e | 15


2018
Drugname Lowest - Highest
DPRI
550. Mupirocin Ointment 2%, 15 g Tube 49.22 - 210.00 160.05
551. Mupirocin Ointment 2%, 5 g Tube 46.00 - 255.00 62.19
552. Mycophenolate Mofetil 500 mg Tablet 50.00 - 70.00 63.13
N
553. Nalbuphine 10 mg/mL, 1 mL Ampule 33.00 - 99.89 57.18
554. Naloxone 400 mcg/mL, 1 mL Ampule 212.00 - 509.00 338.04
555. Naproxen Sodium 550 mg Tablet 2.38 - 17.00 3.72
556. Neomycin + Polymyxin B + Fluocinolone Acetonide Ear Drops 3.5 mg neomycin + 179.00 - 294.34 242.00
10,000 units polymyxin B + 0.025% floucinolone acetonide/mL, 5 mL Bottle
557. Nicardipine 1 mg/mL, 10 mL Ampule 198.00 - 1,735.00 421.12
558. Nicardipine 1 mg/mL, 2 mL Ampule 74.22 - 144.86 90.33
559. Nifedipine 10 mg Capsule 2.00 - 4.45 3.63
560. Nifedipine 30 mg MR Tablet 24.95 - 45.24 32.53
561. Nimodipine 30 mg Tablet 35.04 - 38.00 41.68
562. Nitrofurantoin 100 mg Capsule 3.57 - 52.37 22.00
563. Norepinephrine 1 mg/mL, 10 mL Ampule 775.00 - 1,235.04 1,125.22
564. Norepinephrine 1 mg/mL, 2 mL Ampule 89.99 - 463.00 119.47
565. Norepinephrine 1 mg/mL, 4 mL Ampule 98.00 - 1,063.37 327.80
566. Norepinephrine 2 mg/mL, 4 mL Ampule - 1,650.00•
567. Nystatin 100,000 units/mL, 30 mL Suspension 90.00 - 300.00 247.50
O
568. Octreotide 100 mcg/mL, 1 mL Ampule 540.00 - 830.00 792.00
569. Ofloxacin 200 mg Tablet 3.50 - 18.50 4.95
570. Ofloxacin Ear Drops 0.3%, 5 mL Bottle 125.00 - 299.26 253.00
571. Ofloxacin Eye Drops 0.3%, 5 mL Bottle 98.45 - 250.00 170.06
572. Olanzapine 10 mg Tablet 3.68 - 68.80 10.98
573. Omeprazole 20 mg Capsule 0.72 - 5.05 1.01
574. Omeprazole 40 mg Capsule 2.50 - 18.89 10.04
575. Omeprazole 40 mg powder vial + 10 mL solvent Ampule 22.39 - 237.60 31.04
576. Ondansetron (as Hydrochloride) 2 mg/mL, 2 mL Ampule 143.29 - 450.00 267.16
577. Ondansetron (as Hydrochloride) 2 mg/mL, 4 mL Ampule 117.22 - 289.00 145.70
578. Ondansetron (as Hydrochloride) 8 mg Tablet 65.00 - 150.00 95.70
579. Oral Rehydration Salts (ORS 75-replacement) 20.5 g Sachet 2.89 - 5.98 4.68
580. Oral Rehydration Salts (ORS 75-replacement) 5.125 g Sachet 2.23 - 4.60 3.74
581. Oral Rehydration Salts (ORS 75-replacement) 75 replacement 2.17 g Sachet 2.25 - 5.00 2.77
582. Oxacillin 500 mg Vial 16.11 - 140.00 20.77
583. Oxaliplatin 50 mg powder Vial 919.88 - 4,500.00 3,047.00
584. Oxycodone 10 mg Tablet 123.46 - 142.43 152.11
585. Oxycodone 10 mg/mL, 1 mL Ampule 1,019.70 - 1,107.25 1,182.50
586. Oxycodone 10 mg/mL, 2 mL Ampule 1,720.00 - 1,771.60 1,892.00
587. Oxycodone 5 mg Capsule 110.25 - 130.32 139.76
588. Oxycodone Hydrochloride/Naloxone Hydrochloride 5 mg + 2.5 mg Prolonged Release - 113.94•
Tablet
589. Oxytocin 10 IU/mL, 1 mL Ampule 5.34 - 140.00 7.83
P
590. Paclitaxel 6 mg/mL, 25 mL Vial 3,744.00 - 9,800.00 4,118.40

__________________________________
• The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

16 | P a g e 2017 DPRI | Fifth Edition


2018
Drugname Lowest - Highest
DPRI
591. Paclitaxel 6 mg/mL, 43.4 mL Vial 3,418.00 - 6,670.00 4,760.25
592. Paclitaxel 6 mg/mL, 5 mL Vial 397.00 - 1,990.00 783.20
593. Paracetamol 10 mg/mL, 100 mL Vial 133.48 - 295.00 190.48
594. Paracetamol 10 mg/mL, 50 mL Vial 198.00 - 250.00 263.38
595. Paracetamol 100 mg/ml, 15 mL Drops 8.93 - 40.00 13.17
596. Paracetamol 120 mg/5 mL (125 mg/5 mL), 60 mL Bottle 10.30 - 60.00 14.00
597. Paracetamol 125 mg Suppository 12.90 - 24.90 19.75
598. Paracetamol 150 mg/mL, 2 mL Ampule 2.99 - 12.88 4.92
599. Paracetamol 250 mg Suppository 15.40 - 30.00 24.31
600. Paracetamol 250 mg/5 mL, 60 mL Bottle 9.05 - 95.00 14.17
601. Paracetamol 500 mg Tablet 0.19 - 2.00 0.25
602. Penicillin G Benzathine (benzathine benzylpenicillin) 1,200,000 units Vial 43.49 - 125.00 51.88
603. Penicillin G Crystalline 1 MU Vial 3.98 - 42.00 5.74
604. Penicillin G Crystalline 5 MU Vial 10.67 - 28.00 16.74
605. Peritoneal Dialysis Solution Sterile with 1.5% dextrose, 2 L Bottle 240.00 - 248.00 264.00
606. Permethrin Lotion 5%, 60 mL Bottle 200.00 - 240.00 232.93
607. Pethidine 50 mg/mL, 2 mL Ampule 148.53 - 188.01 198.00
608. Phenobarbital 120 mg/mL (130 mg/mL), 1 mL Ampule 377.00 - 699.00 523.07
609. Phenobarbital 30 mg Tablet 2.50 - 8.75 4.32
610. Phenobarbital 60 mg Tablet 4.76 - 9.00 5.24
611. Phenobarbital 90 mg Tablet 9.75 - 11.31 10.73
612. Phenytoin 100 mg Capsule 1.10 - 28.88 11.15
613. Phenytoin 30 mg/5 mL, 120 mL Suspension 142.98 - 385.00 157.28
614. Phenytoin 50 mg/mL, 2 mL Ampule 57.33 - 320.00 104.62
615. Phenytoin 50 mg/mL, 5 mL Ampule 399.00 - 843.30 737.74
616. Phytomenadione 10 mg/mL, 1 mL Ampule 6.24 - 59.00 18.83
617. Phytomenadione 2 mg/0.2 mL Pediatric Ampule 20.10 - 42.80 22.11
618. Piperacillin + Tazobactam 2 g + 250 mg Vial 34.00 - 505.50 86.04
619. Piperacillin + Tazobactam 4 g + 500 mg Vial 50.00 - 390.00 107.80
620. Potassium Chloride 2 mEq/mL, 20 mL Vial 18.33 - 34.70 26.40
621. Potassium Chloride 750 mg durules (equiv. to approximately 10 mEq) Tablet 6.99 - 24.00 21.89
622. Potassium Citrate 10 mEq Tablet 5.45 - 17.62 9.35
623. Povidone Iodine (Oral Antiseptic) 1%, 120 mL Bottle 126.65 - 134.10 139.32
624. Povidone Iodine (Oral Antiseptic) 1%, 60 mL Bottle 36.00 - 89.00 39.60
625. Povidone Iodine (Solution) 10%, 1 gallon Bottle 595.00 - 749.40 678.15
626. Povidone Iodine (Solution) 10%, 15 mL Bottle 36.80 - 41.40 40.48
627. Povidone Iodine (Solution) 10%, 60 mL Bottle 30.00 - 48.00 33.39
628. Povidone Iodine (Surgical Skin Cleanser) 7.5%, 1 gallon Bottle 595.00 - 700.00 654.50
629. Prednisolone Eye Drops 0.5%, 5 mL Bottle 200.00 - 200.00 220.00
630. Prednisolone Eye Drops 1%, 5 mL Bottle 134.00 - 245.00 165.00
631. Prednisone 10 mg Tablet 1.16 - 4.08 2.88
632. Prednisone 10 mg/5 mL, 60 mL Suspension 60.00 - 120.00 112.42
633. Prednisone 20 mg Tablet 2.46 - 4.20 3.25
634. Prednisone 5 mg Tablet 0.44 - 1.32 0.65
635. Propofol 10 mg/mL, 20 mL Ampule 47.22 - 899.00 65.57
636. Propofol 10 mg/mL, 20 mL Vial 55.00 - 230.00 65.00
637. Propofol 10 mg/mL, 50 mL Vial 385.00 - 659.00 605.00
638. Propranolol 10 mg Tablet 0.75 - 23.88 7.15
639. Propranolol 40 mg Tablet 0.55 - 28.00 16.62

2018 DPRI | Sixth Edition P a g e | 17


2018
Drugname Lowest - Highest
DPRI
640. Propylthiouracil 50 mg Tablet 8.94 - 11.00 10.34
641. Pyrazinamide 250 mg/5 mL, 120 mL Suspension 44.58 - 100.20 86.22
642. Pyrazinamide 500 mg Tablet 0.99 - 2.38 2.20
643. Pyridostigmine 60 mg Tablet 29.18 - 32.82 32.10
Q
644. Quetiapine (as Fumarate) 100 mg Tablet 26.85 - 88.88 93.43
645. Quetiapine (as Fumarate) 200 mg Tablet 23.00 - 73.06 38.96
646. Quetiapine (as Fumarate) 25 mg Tablet 18.88 - 28.00 22.46
647. Quetiapine (as Fumarate) 300 mg Tablet 24.80 - 60.00 61.60
R
648. Rabeprazole (as Sodium) 20 mg Tablet 15.72 - 41.00 17.29
649. Ranitidine 150 mg Tablet 0.63 - 4.00 0.81
650. Ranitidine 25 mg/mL, 2 mL Ampule 2.12 - 40.00 3.72
651. Ranitidine 300 mg Tablet 1.46 - 2.75 2.19
652. Remifentanil 1 mg Lyophilized powder - 1,500.00•
653. Remifentanil 2 mg Lyophilized powder - 3,000.00•
654. Rifampicin 200 mg/5 mL, 120 mL Suspension 91.67 - 250.00 172.70
655. Risperidone 1 mg Tablet 8.30 - 13.50 13.75
656. Risperidone 2 mg Orodispersible tab 45.00 - 48.00 51.48
657. Risperidone 2 mg Tablet 1.12 - 18.00 5.50
658. Risperidone 4 mg Tablet 9.00 - 23.07 13.20
659. Rituximab 10 mg/mL, 10 mL Vial 16,754.12 - 16,754.12
16,754.12
660. Rituximab 10 mg/mL, 50 mL Vial 82,127.48 - 90,340.23
82,127.48
661. Rocuronium 10 mg/mL, 5 mL Vial 179.22 - 548.80 219.87
662. Ropivacaine 10 mg/mL, 10 mL Ampule 404.99 - 426.30 445.49
663. Rosuvastatin (as Calcium) 10 mg Tablet 2.78 - 27.00 4.64
664. Rosuvastatin (as Calcium) 20 mg Tablet 4.02 - 13.00 9.19
S
665. Sacubitril/Valsartan 50 mg Tablet - 56.25•
666. Sacubitril/Valsartan 100 mg Tablet - 56.25•
667. Sacubitril/Valsartan 200 mg Tablet - 56.25•
668. Salbutamol 1 mg/mL, 2.5 mL (unit dose) Nebule 3.69 - 8.95 5.34
669. Salbutamol 100 mcg/dose x 200 doses Metered Dose Inhaler 57.12 - 320.00 80.54
670. Salbutamol 2 mg/5mL, 60 mL Syrup 8.18 - 60.00 12.74
671. Salbutamol 2 mg/mL, 2.5 mL (unit dose) Nebule 4.79 - 22.00 7.70
672. Sambong 500 mg Tablet 4.13 - 7.50 5.78
673. Sertraline 50 mg Tablet 5.00 - 32.00 8.14
674. Serum, Anti-rabies (equine) 200 IU/mL, 5 mL Vial 100.00 - 1,560.00 1,188.00
675. Serum, Anti-tetanus (ATS) (equine) 1500 IU/0.7 mL, 0.7 mL Ampule 65.00 - 104.00 80.41
676. Serum, Anti-tetanus (ATS) (equine) 1500 IU/mL, 1 mL Ampule 55.00 - 175.00 68.64
677. Serum, Anti-tetanus (ATS) (equine) 1500 IU/mL, 1 mL Vial 55.00 - 74.00 64.90
678. Sevelamer Carbonate 800 mg Tablet - 65.63•
679. Sevelamer Carbonate 800 mg powder for Suspension - 87.00•

__________________________________
• The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

18 | P a g e 2017 DPRI | Fifth Edition


2018
Drugname Lowest - Highest
DPRI
680. Sevoflurane 250 mL Bottle 4,167.22 - 5,835.50
15,500.00
681. Silver Sulfadiazine Cream 1%, 15 g Tube 72.38 - 74.33 79.62
682. Silver Sulfadiazine Cream 1%, 25 g Tube 65.12 - 98.33 87.87
683. Silver Sulfadiazine Cream 1%, 500 g Jar 799.00 - 1,138.15 935.00
684. Simvastatin 20 mg Tablet 0.75 - 4.88 1.41
685. Simvastatin 40 mg Tablet 1.70 - 10.71 4.22
686. Sodium Bicarbonate 1 meq/mL, 50 mL Ampule 58.00 - 129.50 69.25
687. Sodium Bicarbonate 1 meq/mL, 50 mL Vial 59.88 - 99.55 90.75
688. Sodium Bicarbonate 650 mg Tablet 0.47 - 2.18 1.31
689. Sodium Chloride 2.5 mEq/mL, 20 mL Vial 28.00 - 45.00 32.86
690. Sodium Chloride 2.5 mEq/mL, 50 mL Vial 42.90 - 47.50 47.19
691. Somatostatin 250 mcg Vial 638.34 - 798.00 833.91
692. Somatostatin 3 mg Vial 4,263.20 - 5,062.55 4,830.21
693. Spironolactone 25 mg Tablet 8.00 - 22.50 10.89
694. Spironolactone 50 mg Tablet 26.75 - 36.43 35.35
695. Standard Senna Concentrate 187 mg Tablet 6.26 - 8.09 8.31
696. Standard Senna Concentrate 374 mg Tablet 7.50 - 19.50 11.53
697. Sterile Water For injection 1 L Bottle 54.25 - 103.00 75.90
698. Sterile Water For injection 100 mL Bottle 47.00 - 95.00 84.70
699. Sterile Water For injection 50 mL Bottle 14.99 - 47.88 22.50
700. Streptokinase 1,500,000 IU Vial 3,500.00 - 6,300.00 4,276.80
701. Streptomycin 1 g Vial 8.88 - 14.24 11.36
702. Sucralfate 1 g Tablet 26.10 - 58.00 33.00
703. Sugammadex 100 mg/mL, 2 mL Vial 4,731.35 - 5,257.07 5,720.00
704. Suxamethonium (Succinylcholine) 20 mg/mL, 10 mL Vial 103.43 - 298.00 148.24
T
705. Tacrolimus 1 mg Capsule 145.00 - 198.42 163.90
706. Tafluprost 15 mcg/mL, 0.3 mL single dose ophthalmic solution Bottle - 991.00•
707. Tamoxifen 20 mg Tablet 3.68 - 23.98 7.15
708. Tamsulosin 200 mcg Capsule 15.50 - 61.58 33.00
709. Tamsulosin 200 mcg Orally Disintegrating Tablet 43.11 - 61.58 55.03
710. Tamsulosin 400 mcg MR Film Coated Tablet 11.67 - 30.00 26.13
711. Telmisartan + Hydrochlorothiazide 40 mg + 12.5 mg Tablet 10.65 - 21.21 20.99
712. Telmisartan 40 mg Tablet 9.45 - 23.57 18.74
713. Telmisartan 80 mg Tablet 10.65 - 36.00 29.41
714. Terbutaline 500 mcg/mL, 1 mL Ampule 41.32 - 98.00 47.17
715. Tetracycline 500 mg Capsule 2.29 - 2.35 2.52
716. Thiamazole (Methimazole) 5 mg Tablet 4.00 - 5.75 5.20
717. Thiopental Sodium 1 g + 50 mL diluent Vial 978.29 - 1,198.44 1,313.76
718. Thiopental Sodium 1 g Vial 1,198.00 - 1,198.48 1,317.80
719. Timolol Eye Drops 0.5%, 5 mL Bottle 234.00 - 370.00 306.08
720. Tinzaparin Sodium 10,000 anti-XA IU/mL, 0.35 mL Pre-filled syringe 387.73 - 432.62 426.50
721. Tinzaparin Sodium 10,000 anti-XA IU/mL, 2 mL Vial 1,289.74 - 1,439.08 1,461.27
722. Tiotropium 18 mcg/dose Dry Powder Inhaler 63.28 - 74.50 72.16
723. Tobramycin + Dexamethasone Eye Drops 0.3% + 0.1%, 5 mL Bottle 85.00 - 355.00 169.40

__________________________________
• The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

2018 DPRI | Sixth Edition P a g e | 19


2018
Drugname Lowest - Highest
DPRI
724. Tobramycin + Dexamethasone Eye Ointment 0.3% + 0.1%, 3.5 g Tube 230.00 - 503.00 433.99
725. Tobramycin Eye Drops 0.3%, 5 mL Bottle 86.60 - 400.00 193.05
726. Tobramycin Eye Ointment 0.3%, 3.5 g Tube 175.00 - 395.00 192.50
727. Topiramate 50 mg Tablet 9.20 - 41.48 12.16
728. Tramadol 100 mg MR Tablet 70.56 - 72.64 79.89
729. Tramadol 50 mg Capsule 1.00 - 7.50 2.16
730. Tramadol 50 mg/ml, 1 ml Ampule 6.49 - 90.00 11.44
731. Tramadol 50 mg/ml, 2 ml Ampule 3.69 - 178.11 7.05
732. Tranexamic Acid 100 mg/mL, 5 mL Ampule 7.59 - 140.00 14.62
733. Tranexamic Acid 500 mg Capsule 2.98 - 14.00 5.50
734. Tranexamic Acid 500 mg Tablet 3.60 - 14.68 3.96
735. Trastuzumab 120 mg/mL, 5 mL Vial - 17,305.20•
736. Trastuzumab 150 mg Lyophilized Powder 13,000.00 - 14,300.00*
38,272.00
737. Trimetazidine 35 mg Tablet 0.95 - 14.50 8.79
738. Tropicamide + Phenylephrine Hydrochloride 5 mg/5 mg, 10 mL Bottle - 665.00•
U
739. Ursodeoxycholic Acid 250 mg Capsule 8.00 - 50.23 39.68
740. Ursodeoxychloic Acid 500 mg Tablet - 95.00•
V
741. Vaccine, Hepatitis B (recombinant DNA) 10 mcg/0.5 mL (pediatric) Monodose Vial 126.33 - 180.00 151.49
742. Vaccine, Hepatitis B (recombinant DNA) 20 mcg/mL, 1 mL Vial 162.00 - 352.33 196.04
743. Vaccine, Influenza Polyvalent 0.5 mL Suspension Pre-filled syringe 320.00 - 750.00 385.06
744. Vaccine, Pneumococcal Polyvalent 25 mcg/0.5 mL, 0.5 mL Pre-filled syringe 450.00 - 520.00 495.00
745. Vaccine, Rabies Chick Embryo Cell (Purified Inactivated) 2.5 IU/mL, 1 dose + 1 mL 1,400.00 - 1,750.00 1,790.25
diluent Vial
746. Vaccine, Tetanus Toxoid 0.5 mL Ampule 21.89 - 109.00 35.33
747. Vaccine, Vero Cell (purified) 2.5 IU/0.5 mL Vial + diluent 600.00 - 1,171.00 1,039.21
748. Vaccine, Vero Cell (purified) 2.5 IU/mL, 1 mL Vial 590.00 - 871.11 649.00
749. Valaciclovir 500 mg Tablet 166.00 - 187.00 182.60
750. Valproate Disodium/Valproic Acid 250 mg Tablet 12.80 - 30.00 26.26
751. Valproic Acid + Sodium Valproate 500 mg MR Tablet 40.00 - 53.49 44.00
752. Valproic Acid 250 mg/5 mL, 120 mL Syrup 314.05 - 515.00 485.35
753. Valproic Acid 500 mg/5 mL, 5 mL Vial 1,701.23 - 2,482.34 1,927.06
754. Valsartan + Hydrochlorothiazide 80 mg + 12.5 mg Tablet 9.23 - 16.00 10.15
755. Valsartan 160 mg Film coated tablet 15.00 - 60.50 20.71
756. Valsartan 80 mg Film coated tablet 5.33 - 41.31 11.06
757. Vancomycin 1 g Vial 210.00 - 288.00 231.00
758. Vancomycin 500 mg Vial 97.22 - 800.00 163.47
759. Verapamil 2.5mg/ml, 2mL Ampule 126.48 - 169.24 151.35
760. Verapamil 240 mg MR Tablet 20.09 - 28.70 22.10
761. Verapamil 80 mg Tablet 30.25 - 50.13 33.28
762. Vinblastine 10 mg Vial 775.00 - 800.00 880.00
763. Vincristine (As Sulfate) 1 mg/mL, 1 mL Vial 195.00 - 350.00 248.05
764. Vincristine (As Sulfate) 1 mg/mL, 2 mL Vial 300.00 - 697.00 440.00
765. Vitamin B1 B6 B12 100 mg + 100 mg + 1 mg, 3 mL Ampule 15.11 - 65.00 32.81
766. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg Tablet 0.67 - 3.00 1.21
__________________________________
• The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

20 | P a g e 2017 DPRI | Fifth Edition


2018
Drugname Lowest - Highest
DPRI
W
767. Warfarin 2.5 mg Tablet 7.50 - 11.59 10.59
768. Warfarin 5 mg Tablet 9.40 - 15.60 13.07
Z
769. Zinc 27.5 mg/mL (Equiv. to 10 mg Elemental Zinc), 15 mL Oral Drops 19.39 - 50.00 38.50
770. Zinc 55 mg/5 mL (Equiv. to 20 mg Elemental Zinc), 60 mL Syrup 17.04 - 51.00 42.90
771. Zolpidem 10 mg Tablet 48.02 - 64.00 70.40

2018 DPRI | Sixth Edition P a g e | 21

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