GETZ

GETZBROS.
BROS.PHILIPPINES,
PHILIPPINES,INC.
INC. Form No. SOF.01.17
5th5thFloor,
Floor,
Ortigas
Ortigas
Building,
Building,
Ortigas
Ortigas
Avenue,
Avenue,
1605
1605 Pasig
Pasig
City,
City,
Metro
Metro
Manila,
Manila,Philippines
Philippines
Tel.Tel.
(632)
(632)
784-0400
784-0400Fax.
Fax.
(632)
(632)
631-1636
631-1636
Email:
Email: customerservices@getz.com.ph
customerservices@getz.com.ph SALES ORDER
VAT
VAT
Reg.
Reg.
TIN
TIN
000-280-423-00000
000-280-423-00000 NO.

PHARMA SALES DIVISION

CUSTOMER CODE SHIP TO CODE

CUSTOMER NAME Lourdes pharmacy SHIP TO NAME

ADDRESS ADDRESS

PAYMENT TERMS CBD COD CHD15D 30D P07 P15 P30 Others: ___________________________

SPECIAL INSTRUCTION
FROM CUSTOMER

ORDER TAKEN BY DATE (MM/DD/YYYY)

REMARKS FROM GBPI: REMARKS FROM PRINCIPAL:

GETZ PHARMA

MATERIAL QUANTITY
MATERIAL DESCRIPTION GENERIC NAME UOM FG UNIT PRICE NET AMOUNT
NUMBER ORDERED

10000765 ALCEMAX 1 G VIAL 1'S/VIAL CEFEPIME HYDROCHLORIDE VL 1,227.27 -

AMLODIPINE + LOSARTAN PAC 654.55
10000766 AMAZAR 5MG / 50MG TABLET 30'S/PACK -
ANGIVENT OD 60MG CAPSULE POTASSIUM
10000767 TRIMETAZIDINE HYDROCHLORIDE PAC 2,545.45 -
100'S/PACK
10000768 ATASART 16 MG TABLET 28'S/PACK CANDESARTAN CILEXETIL PAC 674.55 -
10000769 ATASART 8 MG TABLET 14'S/PACK CANDESARTAN CILEXETIL PAC 190.91 -
10000770 AUGET 1.2G IV 1'S/VIAL CO-AMOXICLAV VL 409.09 -
10000771 AUGET 1G TABLET 14'S/PACK CO-AMOXICLAV PAC 738.18 -
10000772 AUGET 312.5MG / 5 ML SUSP. 1'S/BT CO-AMOXICLAV BT 204.55 -
10000773 AUGET 375MG TABLET 100'S/PACK CO-AMOXICLAV PAC 3,090.91 -
10000774 AUGET 457MG / 5ML SUSP. 1'S/BT CO-AMOXICLAV BT 272.73 -
10000775 AUGET 600MG IV 1'S/VIAL CO-AMOXICLAV VL 272.73 -
10000776 AUGET 625MG TABLET 100'S/PACK CO-AMOXICLAV PAC 3,181.82 -
10000777 CEFUGET 500 MG TABLET 50'S/PACK CEFUROXIME AXETIL PAC 2,727.27 -
10000778 CEFUGET 750 MG INFUSION VIAL 1'S/VIAL CEFUROXIME SODIUM PAC 272.73 -
10000780 CELCOXX 100 MG CAPSULE 20’S/PACK CELECOXIB PAC 376.59 -
10000782 CELCOXX 200 MG CAPSULE 20’S/PACK CELECOXIB PAC 544.77 -
10000783 CELCOXX 400 MG CAPSULE 20’S/PACK CELECOXIB PAC 845.45 -
10000784 CLARIGET 250 MG TABLET 10’S/PACK CLARITHROMYCIN PAC 454.55 -
10000786 CLARIGET 500 MG TABLET 10’S/PACK CLARITHROMYCIN PAC 590.91 -
10000787 CLARIGET 25 ML DROPS 1’S/BT CLARITHROMYCIN BT 218.18 -
CLARIGET 125 MG /5 ML SUSPENSION BT 390.00
10000789 CLARITHROMYCIN -
1’S/BT
10000790 CLARIGET 70 ML GRANULE 1’S/BT CLARITHROMYCIN BT 554.55 -
10000793 CLARIGET OD 500 MG TABLET 5’S/PACK CLARITHROMYCIN PAC 409.09 -
10000795 ESOGET 40 MG VIAL 1'S/VIAL ESOMEPRAZOLE VL 590.91 -
10000797 GABIX 100 MG CAPSULE 10'S/PACK GABAPENTIN PAC 100 270.45 27,045.00
10000799 GABIX 300 MG CAPSULE 10'S/PACK GABAPENTIN PAC 200 315.91 63,182.00
LEVOCETIRIZINE PAC 181.82
10000800 GETCET 5 MG TABLET 10'S/PACK -
DIHYDROCHLORIDE
10000802 GETRYL 1 MG TABLET 20’S/PACK GLIMEPIRIDE PAC 240.91 -
10000804 GETRYL 2 MG TABLET 20’S/PACK GLIMEPIRIDE PAC 304.55 -
10000806 GETRYL 3 MG TABLET 20’S/PACK GLIMEPIRIDE PAC 377.27 -
10000808 GETRYL 4 MG TABLET 20’S/PACK GLIMEPIRIDE PAC 627.27 -
10000809 GETZAR 100 MG TABLET 50'S/PACK LOSARTAN POTASSIUM PAC 954.55 -
10000810 GETZAR 50 MG TABLET 100'S/PACK LOSARTAN POTASSIUM PAC 30 1,250.00 37,500.00
 LOSARTAN POTASSIUM/ PAC 2,454.55
10000812 GETZAR PLUS 100 MG TABLET 100'S/PACK -
HYDROCHLOROTHIAZIDE
LOSARTAN POTASSIUM/
10000813 GETZAR PLUS 50 MG TABLET 50'S/PACK PAC 863.64 -
HYDROCHLOROTHIAZIDE
BIPHASIC ISOPHANE HUMAN
10000814 INSUGET 70/30 INJECTION 1'S/VIAL VL 8 1 686.36 5,490.88
INSULIN (RDNA)
ISOPHANE INSULIN HUMAN,
10000815 INSUGET -N INJECTION 1'S/VIAL VL 686.36 -
(RDNA)
10000816 INSUGET -R INJECTION 1'S/VIAL REGULAR, INSULIN (RDNA) VL 686.36 -
10000819 LEVOCIN 500 MG TABLET 10'S/PACK LEVOFLOXACIN PAC 100 654.55 65,455.00
10000820 LEVOCIN 750 MG TABLET 10'S/PACK LEVOFLOXACIN PAC 872.73 -
10000821 LEVOCIN 500 MG /100 ML VIAL 1'S/VIAL LEVOFLOXACIN VL 1,000.00 -
10000822 LEVOCIN 750 MG /150 ML VIAL 1'S/VIAL LEVOFLOXACIN VL 1,400.00 -
10000824 LILAC 120 ML SYRUP 1'S/BT LACTULOSE BT 200 240.91 48,182.00
10000826 LILAC 60 ML SYRUP 1'S/BT LACTULOSE BT 200 152.73 30,546.00
10000828 LOPICARD 10 MG TABLET 20'S/PACK AMLODIPINE PAC 345.45 -
10000830 LOPICARD 5 MG TABLET 20'S/PACK AMLODIPINE PAC 236.36 -
10000831 MEROGET 1 G VIAL 1'S/VIAL MEROPENEM TRIHYDRATE VL 1,818.18 -
10000832 MEROGET 500 MG VIAL 1'S/VIAL MEROPENEM TRIHYDRATE VL 1,090.91 -
10000834 MONTIGET 10 MG TABLET 14’S/PACK MONTELUKAST PAC 100 458.18 45,818.00
10000836 MONTIGET 4 MG TABLET 14’S/PACK MONTELUKAST PAC 251.36 -
10000838 MONTIGET 5 MG TABLET 14’S/PACK MONTELUKAST PAC 100 305.45 30,545.00
10000840 MONTIGET 4 MG GRANULES 14'S/PACK MONTELUKAST PAC 50 340.45 17,022.50
10000841 NEBIL 2.5 MG TABLET 14'S/PACK NEBIVOLOL HYDROCHLORIDE PAC 114.55 -
10000842 NEBIL 5 MG TABLET 14'S/PACK NEBIVOLOL HYDROCHLORIDE PAC 229.10 -
10000844 NORPLAT 75MG TABLET 28'S/PACK CLOPIDOGREL PAC 801.82 -
NORPLAT-S 75 MG / 75 MG TABLET PAC 345.45
10000845 CLOPIDOGREL + ASPIRIN -
10'S/PACK
PANTO PLUS 40MG / 30MG CAPSULE
10000846 PANTOPRAZOLE + DOMPERIDONE PAC 1,500.00 -
30'S/PACK
PARATRAM 37.5MG / 325 MG TAB
10000847 TRAMADOL HCL + PARACETAMOL PAC 545.45 -
30'S/PACK
10000848 REVENTA 70MG TABLET 4'S/PACK ALENDRONIC ACID PAC 818.18 -
10000850 RISEK 20 MG CAPSULE 14’S/PACK OMEPRAZOLE PAC 445.45 -
10000852 RISEK 40 MG CAPSULE 14’S/PACK OMEPRAZOLE PAC 630.00 -
10000854 RISEK 40 MG INFUSION VIAL 1’S/VIAL OMEPRAZOLE VL 550.00 -
OMEPRAZOLE + SODIUM PAC 272.73
10000855 RISEK INSTA 20 MG POWDER 10’S/PACK -
BICARBONATE
OMEPRAZOLE + SODIUM
10000856 RISEK INSTA 40 MG POWDER 10’S/PACK PAC 363.64 -
ROVISTA 10MG FILM COATED TAB. BICARBONATE
10000858 ROSUVASTATIN PAC 245.45 -
10'S/PACK
ROVISTA 20MG FILM COATED TAB.
10000859 ROSUVASTATIN PAC 290.91 -
10'S/PACK
ROVISTA 5MG FILM COATED TABLET
10000860 ROSUVASTATIN PAC 154.55 -
10'S/PACK
10000862 SIMVOGET 20 MG TABLET 10'S/PACK SIMVASTATIN PAC 80 10 145.45 11,636.00
10000864 SIMVOGET 10 MG TABLET 10'S/PACK SIMVASTATIN PAC 118.18 -
10000865 SIMVOGET 40 MG TABLET 10'S/PACK SIMVASTATIN PAC 200.00 -
10000866 TAMSOLIN 400 MCG CAPSULE 10'S/PACK TAMSULOSIN HCL PAC 160 20 336.36 53,817.60
10000867 TAZOGET 2G / 250MG VIAL 1'S/VIAL PIPERACILLIN TAZOBACTAM VL 545.45 -
10000868 TAZOGET 4G / 500MG VIAL 1'S/VIAL PIPERACILLIN TAZOBACTAM VL 1,000.00 -
10000869 VALSOLO 160 MG CAPSULE 100'S/PACK VALSARTAN PAC 3,181.82 -
10000870 VALSOLO 80 MG CAPSULE 100'S/PACK VALSARTAN PAC 2,181.82 -
10000871 VALTAM 160MG / 5MG TABLET 100'S/PACK AMLODIPINE + VALSARTAN PAC 859.09 -
10000872 VALTAM 80MG / 5MG TABLET 100'S/PACK AMLODIPINE + VALSARTAN PAC 811.36 -
10000873 XICARD 25 MG TABLET 10'S/PACK CARVEDILOL PAC 136.36 -
10000874 XICARD 6.25 MG TABLET 10'S/PACK CARVEDILOL PAC 90.91 -
10000875 ZADAXIN 1.6 MG INJECTION 2'S/VIAL THYMOSIN ALPHA PAC 9,400.00 -
10000877 ZOLID 15 MG TABLET 14'S/PACK PIOGLITAZONE PAC 226.82 -
10000879 ZOLID 30 MG TABLET 14'S/PACK PIOGLITAZONE PAC 295.91 -
ZOLID PLUS 15MG+500 MG TABLET PAC 477.27
10000880 PIOGLITAZONE + METFORMIN -
28'S/PACK
10000881 ZOLIGET 15 MG/2 MG TABLET 14'S/PACK PIOGLITAZONE/GLIMEPIRIDE PAC 267.27 -
10000882 ZOLIGET 30 MG/2 MG TABLET 14'S/PACK PIOGLITAZONE/GLIMEPIRIDE
MONTELUCAST SODIUM + PAC 343.64 -
10002763 MONTI PLUS 10MG /5MG TABLET 30'S LEVOCETIRIZINE PAC 790.91 -
DIHYDROCHLORIDE
NO. OF MATERIALS ORDERED: TOTAL QUANTITY : TOTAL AMOUNT : 436,239.98
(Effective October 7, 2016)
 No. SOF.01.17

________________

NET AMOUNT

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
27,045.00
63,182.00
-
-
-
-
-
-
37,500.00
 -
-
5,490.88
-
-
65,455.00
-
-
-
48,182.00
30,546.00
-
-
-
-
45,818.00
-
30,545.00
17,022.50
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
11,636.00
-
-
53,817.60
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

436,239.98