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Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 4/18/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
Asparaginase 10,000 IU powder 20
Cilostazole 100mg 500
Epoetin Beta 5,000 IU/0.3ml (Recombinant Erythropoetin) 10

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 4/18/2018
NO BIDDER/FAILED BIDDING
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 1/29/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Cobra Antivenom 100

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 1/29/2018
NO BIDDER/FAILED BIDDING
NAME OF SUPPLIER ADDRESS EMAIL NAME OF CONCERNED
METRODRUG BAGUMBAYAN TAGUIG METRO MANILA EPerez@metrodrug.com.ph ETHYL PEREZ
Ellebasy Medicale Trading rosefelea63@gmail.com ROSARIO VALENCIA
JM Trade Distributor Inc irishgailllanto@yahoo.com IRISH GAIL PEREZ
CONTACT# CO-INCHARCONTACT#EMAIL
09175698155 VON RYAN 091785326VRYgnacio@metrodrug.com.ph

09177956629
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 4/17/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
pcs Wall Cabinet - Double Lock 25

NOTE: FOR PLACEMENT OF DANGEROUS DRUGS TO ALL WARDS


PLEASE SEE ATTACHED DOCUMENTS

Purpose: FOR CVMC PHARMACY SECTION USE

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name MARLIZA P. BALETE, RPh, MS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA MARLIZA P. BALETE, RPh, MS

Designation PHARMACIST V CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST V
Date 4/17/2018
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 1/5/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
set Computer Laptop w/ complete accessories 2
set Laserjet Printer w/ complete accessories 2

Purpose: FOR CVMC PHARMACY SECTION USE

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROMEO FERRER JR. SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 1/5/2018
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 1/5/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
set Intravenous Administration Set (Macroset) 20 drops/ml 5,000
set Intravenous Administration Set (Microset) 60 drops/ml 2,000
set IV Cannula G18 with injection port 5,000
set IV Cannula G20 with injection port 3,000
set IV Cannula G22 with injection port 1,000
set IV Cannula G24 with injection port 3,000
set IV Cannula G26 with injection port 3,000
set Blood Transfusion Set 2,000
set Soluset 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 1/5/2018
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date:
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
amp/vial Amikacin 100mg/ml, 2ml (IM, IV) (as SO4) 300
capsule Amoxicillin 250mg (as Trihydrate) 500
vial Cefazolin 500mg (IM,IV) (as Sodium salt) 250
tablet Cefuroxime 250mg (as Axetil) 125
capsule Chloramphenicol 500mg 250
capsule Clindamycin HCl 150mg 250
capsule Clindamycin HCl 300mg 5,000
bottle Diloxanide Furoate 125mg/5ml syrup/suspension 30ml 25
tablet Diloxanide Furoate 500mg 30
capsule Doxycycline 100mg (as Hyclate) 200
capsule Doxycycline 50mg (as Hyclate) 50
bottle Erythromycin 200mg/5ml granules/powder for suspension 60ml (as Ethyl Succinate) 50
tablet Erythromycin 500mg (as Stearate) 30
tablet Ethambutol 200mg (as HCl) 50
tablet Isoniazid + Rifampicin + Pyrazinamide 75mg + 150mg +400mg 400
tube Lidocaine 5% ointment 35g (as Hydrochloride) 5
bottle Mebendazole 100mg/5ml suspension 30ml 5
tablet Mebendazole 500mg 50
suppository Metronidazole rectal 1g 10
bottle Nalidixic Acid 250mg/5ml, 60ml suspension 10
bottle Nystatin 100,000 "u"/ml, 30ml suspension 30
vial Ofloxacin 2mg/ml, 100ml (Iv infusion) 10
tablet Ofloxacin 400mg 200
capsule Oseltamivir 75mg (as Phosphate) 30
bottle Oxantel Pyrantel (100mg Oxantel + 100mg Pyrantel)/5ml susp. 10ml (as Embonate) 5
bottle Phennoxymethyl Penicillin (penicillin V) 250mg/5ml granules/powder susp., 60ml (as 5
cap/tab Phennoxymethyl Penicillin 500mg (as Sodium salt) 400
tablet Primaquine 15mg base (as Diphosphate) 30

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/30/1899
NO BIDDER/FAILED BIDDING

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date:
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
amp/vial Quinine 300mg/ml, 1ml Iv (as diHCl) 20
tablet Quinine Sulfate 300mg (325) (as Sulfate) 30
bottle Rifampicin 200mg/5ml suspension 120ml 10
tablet Sulfadoxine/Pyrimethamine 500mg/25mg 30
amp/vial Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml (IM) 800
ampule Aminophylline 25mg/ml, 10ml (IV) 125
tablet Aspirin 100mg 250
tablet Aspirin 300mg 30
tablet Atenolol 100mg 500
tablet Butamirate Citrate 50mg MR 800
tablet Captopril 25mg 1,000
tablet Carbimazole 20mg 50
tablet Carbimazole 5mg 130
tablet Clopidogrel 75mg 2,500
ampule Cobra Antivenom 50
tablet Dexamethasone 4mg 200
tablet Diltiazem 30mg (as Hydrochloride) 300
vial Diphtheria Anti toxin 20,000 iu 10ml (IV) 5
tablet Dydrogesteone 10mg 500
vial Esmolol 100mg/ml, 10ml (as HCl) 5
tablet Fenofibrate 200mg 30
p.syringe Fondaparinux 2.5mg/0.5ml solution (as Sodium salt) 300
tablet Furosemide 20mg 250
tablet Furosemide 40mg 800
patch Glyceryl Trinitrate (Nitroglycerin) 5mg 30
amp/vial Hepa B vaccine 5
ampule Hydralazine 20mg/ml, 1ml (IM,IV) (as HCl) 400
tablet Hydralazine 25mg (as HCl) 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/30/1899
NO BIDDER/FAILED BIDDING

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date:
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
canister Ipratropium + Salbutamol MDI x 200 doses 30
nebule Ipratropium + Salbutamol UDV 2.5ml/ unit dose 7,600
tablet Isosorbide dinitrate 10mg 100
tablet Isosorbide dinitrate 5mg SL 500
tablet Levothyroxine 100mcg (as Anhydrous Sodium) 30
tablet Medroxyprogesterone Acetate 5mg 30
tablet Metformin 500mg (as HCl) 5,000
capsule Nifedipine 10mg 250
tablet Nifedipine 30mg MR 100
tablet Prednisone 20mg 500
tablet Prednisone 30mg 200
tablet Prednisone 50mg 50
tablet Prednisone 5mg 50
tablet Rosiglitazone 4mg (as Maleate) 20
tablet Salbutamol 2mg 150
canister Salbutamol MDI 100mcg/dose x 200 doses (as SO4) 30
tablet Spironolactone 100mg 250
tablet Spironolactone 25mg 500
tablet Spironolactone 50mg 200
ampule Terbutaline 500mcg/ml, 1ml (IM,IV,SC) (as SO4) 20
nebule Terbutaline 2.5mg/ml, 2ml (unit dose)(as SO4) 30
vial Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM) 20
tablet Theophylline anhydrous 150mg 20
canister Tiotropium 18mcg/dose (as Br) w/ appropriate accompanying dispenser 5
ampule Tranexamic Acid 100mg/ml, 5ml (IM,IV) 2,500
capsule Tranexamic Acid 250mg 100
ampule Verapamil 2.5mg/ml, 2ml (IV) (as Hydrochloride) 30
tablet Verapamil 240mg (as Hydrochloride) 50

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/30/1899

NO BIDDER/FAILED BIDDING

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date:
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Warfarin 2.5mg 200
can Activated Charcoal 1kg 2
bottle Al hydroxide 225mg/200mg Mg hydroxide/5ml susp., 120ml 20
tablet Allopurinol 300mg 300
ampule Ascorbic 250mg/ml, 2ml 100
ampule Atropine 1mg/ml, 1ml (IM,IV) (as SO4) 300
bottle Atropine Sulfate Ophthalmic drops 1%, 10ml 5
suppository Bisacodyl 5mg pediatric 30
tablet Bisacodyl 5mg 100
bottle Castor Oil USP Grade 60ml 50
tablet Cetirizine 10mg (as Dihydrochloride) 500
tablet Cinnarizine 25mg 150
tube Clobetasol cream 0.05% , 5g (as Propionate) 50
tablet Diazepam 5mg 250
ampule Diazepam 5mg/ml, 2ml (IM,IV) 1,500
bottle Dicycloverine 10mg/5ml, 60ml syrup 20
bottle Diphenhydramine HCl 12.5mg/5ml syrup 60ml 50
capsule Diphenhydramine HCl 50mg 500
ampule Ephedrine Sulfate 50mg/ml, 1ml (IM,IV) 900
ampule Fentanyl 50mcg/ml, 2ml (IV) (as Citrate) 1,000
tablet Ferrous Fumarate 500mg (100mg elemental iron)+ B complex 2,500
bottle Ferrous Sulfate 15mg elemental iron/0.6ml drops, 30ml 30
bottle Ferrous Sulfate 30mg elemental iron/5ml syrup, 60ml 30
tablet Ferrous sulfate 325mg 800
bottle Fluphenazine 25mg/ml, 10ML 100
bottle Folic Acid 2.5mg/ml drops, 10ml 30
bottle Folic Acid 5mg/ml drops 50
ampule Haloperidol 5mg/ml, 1ml (IM) 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/30/1899

NO BIDDER/FAILED BIDDING

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date:
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt) 30
ampule Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide) 750
bottle Hyoscine 5mg/5ml, 60ml syrup (as N-Butyl Bromide) 5
ampule Iron Sucrose 20mg/ml 100
tablet Ketoprofen 100mg 30
ampule Ketoprofen 50mg/ml, 2ml (IM) 10
ampule Lidocaine HCl in 4mg/ml,250ml D5W (pre-mixed) (IV)(as HCl) 20
capsule Loperamide 2mg 200
bottle Loratadine 5mg/5ml syrup, 30ml 30
tablet Mefenamic Acid 250mg 500
tablet Methylergometrine Maleate 125mcg (as Hydrogen Maleate or Maleate) 1,000
ampule Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleat 2,000
ampule Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl) 2,500
ampule Morphine 15mg/ml, 1ml (IM,IV,SC) (as Sulfate) 500
bottle Multivitamins 15ml drops 30
bottle Multivitamins 30ml drops 30
tube Mupirocin 2%, 5g 200
ampule Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl) 1,500
ampule Naloxone 20mcg/ml, 2ml (IM,IV,SC) (as HCl) 30
tablet Naproxen 275mg 30
tablet Naproxen 550mg 50
ampule Pethidine (Meperiden) 50mg/ml, 2ml (Im, IV, SC) (as HCl) 10
tablet Phenobarbital 15mg (1/4 grain) 500
tablet Phenobarbital 60mg (1 grain) 2,000
tablet Phenobarbital gr 1/2 (30mg) 1,300
ampule Pyridoxine (Vit. B6) 100mg/ml, 10ml (IM,IV) (as Hydrochloride) 20
tablet Quetiapine 100mg 1,500
tablet Ranitidine 300mg (as HCl) 150

Purpose: FOR REQUEST OF PURCHASE ORDER


Requested by: Approved by: Issued by: Received by:
Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/30/1899

NO BIDDER/FAILED BIDDING

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date:
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Recombinant H Granulocyte stimulating 20
ampule Ropivacaine 2mg/ml, 10ml (IV) 100
ampule Ropivacaine 7.5mg/ml, 10ml (IV) 5
tube Silver Sulfadiazine Cream 1% 50g 50
tablet Sodium Sulfate 5
tablet Sodium Valproate 500mg 1,300
ampule Tetracaine 20mg sterile powder (spinal) (as HCl) 5
amp/vial Thiamine 100mg/ml, 1ml (IV) 20
tablet Thiamine 300mg (as Hydrochloride) 30
vial Thiopenthal Sodium 1g + 50ml diluent (IV) 5
bottle Timolol eye drops solution 0.5%,5ml 5
tube Tobramycin Ophthalmic Ointment 0.3%,3.5g 5
capsule Tramadol 50mg (as HCl) 250
vial Bleomycin Sulfate 15 units 25
vial Dactinomycin 500mcg 25
vial Fluorouracil 25mg/ml, 10ml (IV, IV Infusion) 300
bottle Vinblastin 10mg/10ml 10
vial Vincristine 1mg/ml, 1ml (IV) (as Sulfate) 25
vial Vincristine 2mg/2ml, 1ml (IV) (as Sulfate) 100
ampule 0.9% NaCl 20ml 100
vial 6% Dextran 70 in 0.9% NaCl 500ml (IV Infusion) 50
bottle Combined Amino Acids + Sorbitol Solution (IV Infusion) 500ml bottle 15
ampule Dextran 70 in 0.9% Sodium Chloride 25
ampule Dextrose 10% in Water 3ml ampule (as solvent) 150
set Dextrose 5% in Water 500ml (Glass) 600

Purpose: FOR REQUEST OF PURCHASE ORDER


Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/30/1899

NO BIDDER/FAILED BIDDING

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date:
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/30/1899

NO BIDDER/FAILED BIDDING
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 1/5/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate) 1,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 1/5/2018
ZYRE PHARMA

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date:
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/30/1899
ZYRE PHARMA
1 date delivered 1-29-2018 complete qty delivered to MMS (not fast moving)
PO dtd 1-24-2018
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 1/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Midazolam 5mg/ml, 3ml (IM,IV) 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 1/10/2018
DELEX PHARMA

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date:
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/30/1899
DELEX PHARMA
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 1/5/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster

canister Budesonide + Formoterol 160/4.5mcg/ unit dose 10

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name MARLIZA P. BALETE, RPh, MS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST V / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 1/5/2018
ZUELLIG PHARMA - ASTRAZENECA
PO dtd 1-30-2018 complete qty delivered dtd 2-20-2018 to MMS
AZENECA
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Acetylcisteine 600mg Effervescent tablet 1200
prefilled syr Epoetin Alfa 4,000 IU/ 0.4 ml, prefilled syringe IV,SC 400
ampule/vial Omeprazole 40mg + 10ml solvent amp/ vial (IV) 3000
vial Piperacillin + Tazobactam( 4g piperacillin+ 500mg Tazobactam) per vial ( IV In 2000

Purpose: FOR REQUEST OF PURCHASE ORDER


Requested by: Approved by: Issued by: Received by:
Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Aciclovir 400mg tablet 500
ampule Amikacin 250mg/ml, 2ml amp/vial (IM,IV) ( as SO4) 1000
tablet Amoxicillin 500mg/cap. (as Trihydrate) 2000
ampule Atracurium Besylate 10mg/ml, 2.5 ml amp. (IV) 500
ampule Atropine 1mg/ml, 1ml amp.(IM,IV) (as SO4) 500
tablet Clonidine 75mcg tablet (as HCl) 500
ampule Epinephrine 1:1000 1mg/ml, 1ml amp (IM,SC) (as Hydrochloride) 3000
suspension Ibuprofen 100mg/5ml, 60ml suspension bottle 50
bottle Isoflurane 100ml bottle 36
vial Meropenem 500mg vial (IV) (as Trihydrate) 500
bottle Metronidazole 5mg/ml, 100ml vial IV infusion 3000
ampule Nalbuphine 10mg/ml, 1ml amp (IM,IV,SC) (as HCl) 1000
capsule Omeprazole 20mg capsule 3000
ampule Paracetamol 150mg/ml, 2ml amp (IM,IV) 15000
tablet Paracetamol 500mg tablet 2000
vial Penicillin G Crystalline (Benzylpenicillin) IM "u" vl. (IM,IV) (as Sodium ) 300
vial Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl.( IM,IV) (as Sodium) 1500
ampule Phytomenadione (Phytonadione, Vit. K1) 10mg/ml, 1ml amp (IM,IV) 3000
tablet Prednisone 5mg tablet 1000
ampule/vial Propofol 10mg/ml, 20ml amp/vial, IV (oil in water emulsion) 1000
ampule/vial Streptomycin 1g vial IM (as Sulfate) 100
ampule Tetanus Toxoid 0.5ml ampule (IM) 1500
ampule Tramadol 50mg/ml, 2ml ampule (IM, IV, SC) (as HCl) 1000
bottle Dextrose 5% in Lactated Ringers 1000ml 6000
bottle Plain NSS 1000ml 12000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Allopurinol 300mg tablet 500
tablet Folic Acid 5mg tablet 1000
suspension Metronidazole 125mg base / 5ml suspension 60ml 1000
ampule Tranexamic Acid 100mg/ml, 5ml ampule (IM,IV) 1000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Amlodipine 5mg tablet (as Besylate or Camsylate) 1000
vial Cefazolin 1g vial (IM,IV) (as Sodium Salt) 500
vial Cefuroxime 750mg vial (IM,IV) (as Sodium Salt) 2000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Amoxicillin 250mg /5ml granules /powder for suspension 60ml (as Trihydrate) 100
tablet Ascorbic Acid 500mg tablet 2000
capsule Cefalexin 500mg capsule (as Monohydrate) 2000
capsule Tranexamic Acid 500mg capsule 1000

Purpose: FOR REQUEST OF PURCHASE ORDER


Requested by: Approved by: Issued by: Received by:
Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) vial (IM, IV) 2000
tablet Azithromycin 500mg tablet (as base/as dihydrate) 2000
vial Cefoxitin 1g vial (IM,IV) (as Sodium Salt) 2000
tablet Chlorpromazine 200mg tablet (as HCl) 15000
tablet Clopidogrel 75mg tablet 2000
tablet/capsulFluoxetin 20mg dispersal tablet/ capsule 1000
nebule Ipratropium + Salbutamol UDV 2.5ml / unit dose 3000
tablet Losartan 50mg tablet (as Potassium Salt) 1000
vial Penicillin G Benzathine (Benzathine Benzyl Penicillin) 1.2M units vial 200
syrup Salbutamol 2mg/5ml, 60ml syrup (as Sulfate) 50
tablet Sertraline 50mg tablet (as HCl) 2000

Purpose: FOR REQUEST OF PURCHASE ORDER


Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Bupivacaine 0.5% 4ml/amp (spinal) w/ 8 dextrose (as HCl) HEAVY 500
ampule/vial Calcium Folinate (Leucoverin Calcium) 10mg/ml, 5ml ampule/vial (IM,IV) 1000
vial Carboplatin 450mg vial 100
cream Clobetasol cream 0.05%, 5g tube (as Propionate) 100
bottle Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) 1000
ampule/vial Dopamine 40mg/ml, 5ml ampule/vial (IV) (as HCl) 500
prefilled syr Fondaparinux 2.5mg/0.5ml solution (as Sodium Salt) 400
tablet Morphine 30mg CR tab (as Sulfate) 960
ampule Nicardipine 1mg/ml, 10ml amp (IV) (as HCl) 1000
ampule Norepinephrine 1mg/ml, 2ml amp (IV Infusion) (as Bitartrate) 1500
vial Oxiplatin 100mg vial 50
vial Paclitaxel 100mg vial 100
vial Paclitaxel 30mg vial 100
ampule/vial Rocuronium Bromide 10mg/ml, 5ml amp/vial (IV) 300
vial Suxamethonium (Succinyl Choline) 20mg/ml, 10ml vial IV (as Chloride) 300
capsule Tamsulosin 200mcg capsule (as HCl) 280
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Metoclopromide 5mg/ml, 2ml amp (IM,IV) (as Base & HCl) 500
bottle Dextrose 10% in Water 500ml 480
bottle Dextrose 5% 0.3 NaCl 500ml 2400
bottle Dextrose 5% 0.9 NaCl 1L 2400
bottle Dextrose 5% Balanced Multiple Maint. Sol'n 500ml 2400
bottle Dextrose 5% Balanced Multiple Maint. Sol'n 1000ml 1200
bottle Dextrose 5% Balanced Multiple Replacement Sol'n 1000ml 1200
bottle Dextrose 5% in Water 1000ml 2400
bottle Dextrose 5% in Water 500ml 4800
bottle Dextrose 50% in Water 50ml 3000
bottle Plain Lactated Ringers Solution 1000ml 2400
bottle Water for injection (triple distilled water), 50ml vial 2000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Phenytoin 50mg/ml, 2ml amp (IV) (as Sodium Salt) 300
vial Vancomycin 500mg vial (IV) (as HCl) 300
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
set Intravenous Administration Set (Macroset) 20 drops/ml 5000
set Intravenous Administration Set (Microset) 60 drops/ml 2000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/25/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
set IV Cannula G18 with injection port 3000
set IV Cannula G20 with injection port 3000
set IV Cannula G22 with injection port 1000
set IV Cannula G24 with injection port 3000
set IV Cannula G26 with injection port 3000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 8/25/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/29/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Atropine Sulfate Ophthalmic drops 1%, 10ml bottle 50
ampule/vial Calcium Gluconate 10%, 10ml ampule/vial (IV) 300
tablet Capecitabine 500mg tablet 500
tablet Captopril 25mg tablet 1500
vial Ceftazidime 1g vial (as Pentahydrate) 2000
tablet Cefuroxime 500mg tablet (as Axetil) 1000
capsule Celecoxib 400mg capsule 1000
tablet Cetirizine 10mg tablet (as Dihydrochloride) 500
drops Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride) 50
capsule Chloramphenicol 500mg capsule 500
vial Ciprofloxacin 2mg/ml, 100ml vial (as Lactate) IV infusion 500
tablet Ciprofloxacin 500mg tablet (as Hydrochloride) 1000
tablet Clozapine 100mg tablet 2000
vial Cyclophosphamide 1g vial (IV) 50
vial Cyclophosphamide 500mg vial (IV) 50
ampule Digoxin 250mcg/ml, 2ml ampule (IM, IV) 1000
ampule Diphenhydramine HCl 50mg/ml, 1ml amp (IM, IV) (as HCl) 1000
pack Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) 300
vial Docetaxel 20mg/2ml vial 100
vial Docetaxel 80mg/8ml vial 100
vial Doxorubicin powder 10mg vial (IV) (as HCl) 100
vial Doxorubicin powder 50mg vial (IV) (as HCl) 100
capsule Doxycycline 100mg/cap (as Hyclate) 500
ampule Ephedrine Sulfate 50mg/ml, 1ml amp (IM, IV) 300
ampule Famotidine 10mg/ml, 2ml amp (IM, IV) 200
vial Filgrastin 300mcg vial 50
vial Fluphenazine 25mg/ml, 10ml 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 8/29/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/29/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Gemcitabine 200mg vial 50
ampule/vial Gentamycin 40mg/ml, 2ml amp/vial (IM, IV) (as SO4) 1000
ampule Haloperidol 5mg/ml, 1ml amp (IM) 500
bottle Human Albumin 20%, 50ml 500
vial Hydrocortisone 50mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vial 2000
ampule Hydroxyzine 50mg/ml, 1ml (IM, IV) 200
ampule Hyoscine 20mg/ml, 1ml amp (IM, IV, SC) (as N-Butyl Bromide) 1000
vial Iopamidol 755mg/ml equi. to 370mg iodine, 50ml vial 500
ampule Isosorbide dinitrate 1mg/ml, 10ml amp (IV) 1000
tablet Levofloxacin 500mg tablet 500
polyamp Lidocaine 2%, 5ml polyamp (as HCl) 2000
bottle Lidocaine spray 10%, 50ml (as HCl) 10
tablet Loratadine 10mg tablet 500
tablet Metformin 500mg tab/film coated tab (as HCl) 3000
ampule/vial Methotrexate 25mg/ml, 2ml amp/vial (IM,IV, Intrathecal) (as base) 200
tablet Metoprolol 50mg tablet (as Tartrate) 1000
tablet Metronidazole 500mg tablet 2000
ampule Midazolam 1mg/ml, 5ml amp (IM, IV) 500
tablet Morphine 10mg CR tab (as Sulfate) 960
ampule Morphine 15mg/ml, 1ml amp (IM, IV, SC) (as Sulfate) 400
tablet Nifedipine 30mg MR tablet 1200
ampule Ondansetron 2mg/ml, 4ml ampule (IM, IV) 500
ampule Oxytocin 10 "IU"/ml, 1ml ampule (IM, IV) 2000
ampule Paracetamol 10mg/ml, 100ml solution for infusion (IV) 100
syrup Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension 100
tablet Phenobarbital 15mg (1/4 grain) 1000
tablet Phenobarbital 60mg (1 grain) 1000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 8/29/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 8/29/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Phenobarbital gr 1/2 (30mg) 1000
tablet Prednisone 20mg tablet 1000
tablet Prednisone 30mg tablet 500
tablet Prednisone 50mg tablet 500
ampule Pyridoxine (Vit. B6) 100mg/ml, 10ml ampule (IM, IV) (as Hydrochloride) 50
vial Rabbies Vaccine Lyophillyzed Powder 2.5 IU/ml, 1 dose vial + 1ml Diluent 50
ampule Ranitidine 25mg/ml, 2ml amp (IM, IV, IV Infusion) (as HCl) 2000
tablet Risperidone 2mg tablet 2000
nebule Salbutamol nebules 2mg/ml, 2.5ml (unit dose) (as Sulfate) 3000
tablet Simvastatin 20mg tablet 2000
tablet Simvastatin 40mg tablet 1000
vial Tetanus Immune Globulin Human (TIG) 250 "U"/ml, 2ml vial (IM) 20
ointment Tobramycin Opthalmic Ointment 0.3%, 3.5g tube 50
capsule Tramadol 50mg capsule (as HCl) 1000
capsule Tranexamic Acid 250mg capsule 500
tablet Valproate disodium/ Valproic Acid 250mg/tab (as disodium salt or as valpr 5000
tablet Verapamil 180mg tablet (as Hydrochloride) 500
ampule Verapamil 2.5mg/ml, 2ml ampule (IV) (as Hydrochloride) 100
tablet Verapamil 240mg tablet (as Hydrochloride) 300
vial Vinblastin 10mg/10ml 20
vial Vincristine 1mg/ml, 1ml vial (IV) (as Sulfate) 20
vial Vincristine 2mg/2ml, 1ml vial (IV) (as Sulfate) 20
ampule Vitamin B Complex 100mg+100mg+1mg per 3ml ampule (IV) 200
tablet Warfarin 2.5mg tablet 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 8/29/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
sachet Acetylcisteine 200mg sachet 600
tablet Alprazolam 250mcg tablet 500
ampule Amiodarone 50mg/ml, 3ml amp (IV) (as HCl) 48
tablet Calcium Carbonate tablet/chewable 1,000
tablet Clonazepam 2mg tablet 2,000
tablet Clozapine 100mg tablet 2,000
vial Docetaxel 20mg/2ml vial 50
vial Docetaxel 80mg/8ml vial 50
tablet Domperidone 10mg tablet 500
vial Doxorubicin powder 50mg vial (IV) (as HCl) 100
tablet Fluconazole 150mg tablet 300
tablet/capsulFluoxetin 20mg dispersal tablet/capsule 1,000
tablet/capsulIsosorbide-5- Mononitrate 60mg MR tablet/capsule 1,000
vial Levofloxacin 5mg/ml solution for IV infusion, 100ml vial 50
tablet Levofloxacin 750mg tablet 500
tablet Levothyroxine 50mcg/tab (as Anhydrous Sodium) 1,000
tablet Losartan+ Hydrochlorothiazide 50mg+12.5mg tablet 1,000
tablet Losartan 100mg tablet (as Potassium salt) 1,000
tablet Methimazole 5mg tablet 300
tablet Methyprednisolone 16mg tablet 500
ampule Midazolam 1mg/ml, 5ml amp (IM, IV) 500
tablet Montelukast 10mg tablet (as Sodium) 1,000
ampule/vial Omeprazole 40mg + 10ml solvent amp/vial (IV) 3,000
ampule/vial Propofol 10mg/ml, 20ml amp/vial, IV (oil in water emulsion) 1,000
tablet Sertraline 50mg tablet (as HCl) 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Acetylcisteine 600mg Effervescent tablet 1,200
vial Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) vial (IM, IV) 2,000
vial Cefepime 500mg vial (IM,IV) (as HCl) 500
tablet Fenofibrate 160mg tablet 1,000
ampule Isoxsuprine 5mg/ml, 2ml amp (IM,IV infusion) (as HCl) 200
ampule Nicardipine 1mg/ml, 10ml amp (IV) (as HCl) 1,000
vial Piperacillin + Tazobactam( 4g Piperacillin+ 500mg Tazobactam) per vial ( IV In 2,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Amikacin 250mg/ml, 2ml amp/vial (IM,IV) ( as SO4) 1,000
capsule Amoxicillin 500mg/cap (as Trihydrate) 2,000
vial Ampicillin 1g vial (IM, IV) (as Sodium Salt) 2,000
vial Ampicillin 500mg vial (IM, IV) (as Sodium Salt) 1,000
tablet Aspirin 80mg tablet 2,000
ampule Atracurium Besylate 10mg/ml, 2.5ml amp. (IV) 500
tablet Azithromycin 500mg tablet (as base/as dihydrate) 2,000
tablet Biperiden 2mg/tablet (as HCl) 10,000
suppository Bisacodyl 10mg adult suppository 500
ampule Bupivacaine 0.5% 4ml/amp (spinal) w/ 8 dextrose (as HCl) HEAVY 500
tablet Carbamazepine 200mg tablet 10,000
vial Cefazolin 1g vial (IM,IV) (as Sodium Salt) 500
vial Ceftazidime 1g vial (as Pentahydrate) 2,000
vial Chloramphenicol 1g vial (IM,IV) (as Sodium Succinate) 500
tablet Ciprofloxacin 500mg tablet (as Hydrochloride) 1,000
tablet Clarithromycin 500mg tablet as base tab 500
vial Dobutamine 12.5mg/ml, 20ml (IV,IM) (as HCl) 2,000
prefilled syr Epoetin Alfa 4,000 IU/ 0.4 ml, prefilled syringe IV,SC 400
ointment Erythromycin Opthalmic Ointment 0.5%, 3.5g tube 50
tablet Escitalopram 10mg tab (as oxalate) 1,000
vial Filgrastin 300mcg vial 50
ampule Furosemide 10mg/ml, 2ml amp (IM,IV) 8,000
tablet Hyoscine 10mg tablet (as N-Butyl Bromide) 500
suspension Ibuprofen 100mg/5ml, 60ml suspension bottle 50
vial Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) 6,000
bottle Mannitol 20%, 500ml bottle (IV) 2,400
cap/tab Mefenamic Acid 500mg cap/tab 10,000
vial Meropenem 1g vial (IV) (as Trihydrate) 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Meropenem 500mg vial (IV) (as Trihydrate) 500
capsule Omeprazole 20mg capsule 3,000
vial Oxiplatin 100mg vial 50
vial Paclitaxel 100mg vial 100
vial Paclitaxel 30mg vial 100
ampule Paracetamol 150mg/ml, 2ml amp (IM,IV) 15,000
tablet Paracetamol 500mg tablet 2,000
vial Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl.( IM,IV) (as Sodium) 1,500
tablet Ranitidine 150mg tablet (as HCl) 1,000
ampule Ranitidine 25mg/ml, 2ml amp (IM, IV, IV Infusion) (as HCl) 3,000
tablet Risperidone 2mg tablet 3,000
ampule/vial Streptomycin 1g vial IM (as Sulfate) 100
vial Suxamethonium (Succinyl Choline) 20mg/ml, 10ml vial IV (as Chloride) 300
bottle Dextrose 5% in Lactated Ringers 1000ml 6,000
bottle Dextrose 5% in Water 500ml 2,400
bottle Plain Lactated Ringers Solution 1000ml 2,400
bottle Plain NSS 1000ml 1,200
bottle Water for injection (triple distilled water), 50ml vial 3,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Amiodarone 200mg tablet (as HCl) 200
tablet Loratadine 10mg tablet 500
drops Zinc 10mg/ml drops 50
syrup Zinc 20mg/5ml syrup 50
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
drops Amoxicillin 100mg/ml granules /powder for drops 10ml (as Trihydrate) 50
tablet Ascorbic Acid 500mg tablet 2,000
drops Cefalexin 100mg/ml, 10ml drops (as Monohydrate) 50
suspension Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate) 50
capsule Celecoxib 200mg capsule 2,000
suspension Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate) 50
suspension Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml 50
tablet Ibuprofen 400mg tablet 1,000
spray Lidocaine spray 10%, 50ml (as HCl) 20
tablet Metoprolol 50mg tablet (as Tartrate) 1,000
tablet Metronidazole 500mg tablet 2,000
syrup Paracetamol 100mg/ml (alcohol free), 15ml 100
syrup Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension 100
tablet Prophylthiouracil 50mg tablet 1,000
syrup Salbutamol 2mg/5ml, 60ml syrup (as Sulfate) 50

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) vial (IM, IV) 2,000
ampule Calcium Folinate (Leucoverin Calcium) 10mg/ml, 5ml ampule/vial (IM,IV) 1,000
tablet Carvedilol 25mg tablet 500
capsule Celecoxib 400mg capsule 1,000
suspension Clindamycin 75mg/5ml granules for suspension, 60ml (as Palmitate HCl) 50
vial Dacarbazine 200mg vial 50
tablet Digoxin 250mcg (0.25mcg) tablet 2,000
ampule Digoxin 250mcg/ml, 2ml ampule (IM, IV) 1,000
bottle Dopamine 1.6mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) 100
bottle Dopamine 200mg/250ml D5W (pre-mixed) (IV) (as HCl) 1,000
ampule/vial Dopamine 40mg/ml, 5ml ampule/vial (IV) (as HCl) 500
capsule Fluconazole 200mg capsule 300
vial Fluconazole 2mg/ml, 100ml vial (IV Infusion) 50
tablet Folic Acid 5mg tablet 1,000
tablet Isoniazid +Rifampicin+ Pyrazinamide+ Ethambutol 75mg +150mg+ 400mg + 3,000
ampule Isosorbide dinitrate 1mg/ml, 10ml amp (IV) 1,000
ampule Methotrexate 25mg/ml, 2ml amp/vial (IM,IV, Intrathecal) (as base) 200
tablet Methyldopa 250mg tablet 1,000
vial Methyprednisolone 125mg/ml, 2ml vial + diluent vial (IM,IV) IV infusion (as S 50
tablet Metoprolol 100mg tablet (as Tartrate) 1,000
tablet Morphine 10mg CR tab (as Sulfate) 960
tablet Morphine 30mg CR tab (as Sulfate) 960
ampule Neostigmine 500mcg/ml, 1ml ampule (IM,IV,SC) (as Methylsulfate) 50
drops Ofloxacin 0.3%, 5ml bottle ear drops solution 30
drops Ofloxacin Ophthalmic Drop 0.3%, 5ml bottle solution 50
ampule Phenobarbital 130mg/ml , 1ml ampule (IM,IV) (as sodium) 1,000
capsule Phenytoin 100mg capsule (as Sodium Salt) 500
tablet Potassium 750mg durules (approx. equiv. to 10mEq) 1,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
drops Prednisolone eye drops suspension 0.5%, 5ml (as Acetate) 50
tablet Propranolol 10mg tablet (as HCl) 1,000
tablet Propranolol 40mg tablet (as HCl) 1,000
ampule Rabbies Vaccine (0.5ml of 4% Sodium Chloride) ampule 50
nebule Salbutamol nebules 2mg/ml, 2.5ml (unit dose) (as Sulfate) 3,000
bottle Sevoflurane 250ml bottle 24
ampule/vial Sodium Bicarbonate 1mEq/ml, 50ml amp/vial (IV Infusion) 500
ampule Somatostatin 250mcg/amp (IV,IV infusion) 50
ampule/vial Somatostatin 3mg amp/vial (IV,IV infusion) 50
tablet Sucralfate 1g tablet 200
drops Tobramycin Opthalmic drops 0.3%, 3.5g bottle 50
tablet Valproate disodium/ Valproic Acid 250mg/tab (as disodium salt or as valpr) 5,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
nebule Budesonide Nebule 250mcg/ml, 2ml (unit dose) 500
ampule/vial Calcium Gluconate 10%, 10ml ampule/vial (IV) 300
ampule Lidocaine 2%, 5ml polyamp (as HCl) 2,000
ampule Magnesium Sulfate 250mg/ml, 20ml amp (IM,IV) (as Heptahydrate) 1,000
vial Potassium Chloride 2mEq/ml, 20ml vial (IV Infusion) 1,000
bottle Dextrose 50% in Water 50ml 3,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Bupivacaine 0.5% 10ml/amp (as HCl) 500
ampule Norepinephrine 1mg/ml, 2ml amp (IV Infusion) (as Bitartrate) 1,500
ampule Paracetamol 10mg/ml, 100ml solution for infusion (IV) 100
ampule Phenytoin 50mg/ml, 2ml amp (IV) (as Sodium Salt) 300

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Carvedilol 6.25mg tablet 500
capsule Cefixime 200mg capsule 1,200
granules Clarithromycin 125mg/5ml, 70ml granules/powder for suspension 50
tablet Clarithromycin 500mg tab OD Modified Release tablet 300
suspension Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension 50
suspension Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension 50
bottle Lactulose 3.3g/5ml (66% syrup), 120ml bottle 500
tablet Losartan+ Hydrocholorothiazide 100mg+ 25mg tablet 1,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan
MATERIAL MANAGEMENT SECTION
REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Cefepime 1g vial (IM,IV) ( as HCl) 500
vial Ceftriaxone 1g vial (as Disodium/ Sodium Salt) 2,000
ampule Tramadol 50mg/ml, 2ml ampule (IM, IV, SC) (as HCl) 1,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Co-Amoxiclav 625mg tablet (as Trihydrate) 3,000
vial Metronidazole 5mg/ml, 100ml vial IV infusion 3,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule/vial Fluorouracil 50mg/ml, 10ml amp/vial (IV, IV Infusion) 300

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Allopurinol 100mg tablet 1,000
ampule Aminophylline 25mg/ml, 10ml ampule (IV) 100
tablet Amlodipine 10mg/tab (as Besylate) 2,000
ampule/vial Anti-Tetanus Serum (equine) 1500 IU/ml, 1ml amp/vial (IM) 2,000
tablet Atenolol 100mg tablet 500
bottle Atropine Sulfate Ophthalmic drops 1%, 10ml bottle 50
suppository Bisacodyl 5mg pediatric suppository 500
tablet Bisacodyl 5mg tablet 1,000
ampule Butorphanol 2mg/ml, 1ml amp (IM,IV) (as Tartrate) 500
vial Cefazolin 500mg vial (IM,IV) (as Sodium Salt) 500
vial Ciprofloxacin 2mg/ml, 100ml vial (as Lactate) IV infusion 500
vial Cisplatin 50mg vial (IV) 50
capsule Clindamycin HCl 150mg capsule 1,000
capsule Clindamycin HCl 300mg capsule 2,000
cream Clobetasol cream 0.05%, 5g tube (as Propionate) 100
tablet Clonidine 75mcg tablet (as HCl) 500
tablet Clopidogrel 75mg tablet 2,000
bottle Combined Amino Acids + Sorbitol Solution (IV Infusion) 500ml bottle 100
vial Dactinomycin 500mcg vial 50
tablet Dexamethasone 4mg tablet 500
ampule/vial Dexamethasone 4mg/ml, 2ml amp/vial (IM,IV) (as Sodium Phosphate) 1,000
ampule Diazepam 5mg/ml, 2ml amp (IM,IV) 1,000
tablet Diltiazem 60mg tablet (as Hydrochloride) 1,000
capsule Diphenhydramine HCl 50mg capsule 1,000
ampule Diphenhydramine HCl 50mg/ml, 1ml amp (IM, IV) (as HCl) 1,000
tablet Dydrogesterone 10mg tablet 1,000
suspension Erythromycin 200mg/5ml granules/powder for suspension 60ml 50
tablet Erythromycin 500mg tablet (as Stearate) 500
ampule/vial Etoposide 20mg/ml, 5ml amp/vial (IV) 100

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Famotidine 10mg/ml, 2ml amp (IM, IV) 200
tablet Fenofibrate 200mg tablet 1,000
vial Fluorouracil 25mg/ml, 10ml vial (IV, IV Infusion) 300
vial Fluphenazine 25mg/ml, 10ml 500
prefilled syr Fondaparinux 2.5mg/0.5ml solution (as Sodium Salt) 400
ampule/vial Gentamycin 40mg/ml, 2ml amp/vial (IM, IV) (as SO4) 1,000
patch Glyceryl Trinitrate (Nitroglycerin) 5mg patch 100
ampule Haloperidol 5mg/ml, 1ml amp (IM) 500
vial Heparin Standard 1000 IU/ml, 5ml (IV as Sodium salt) 300
tablet Hydroxyurea 500mg tablet 500
ampule Hyoscine 20mg/ml, 1ml amp (IM, IV, SC) (as N-Butyl Bromide) 1,000
syrup Hyoscine 5mg/5ml , 60ml syrup (as N-Butyl Bromide) 50
nebule Ipratropium + Salbutamol UDV 2.5ml / unit dose 6,000
tablet Isosorbide dinitrate 10mg tablet 500
tablet Isosorbide dinitrate 5mg tablet SL 1,000
tablet Isoxsuprine 10mg tablet (as HCl) 1,000
tablet Levothyroxine 100mcg/tab (as Anhydrous Sodium) 1,000
bottle Lidocaine HCl in 4mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) bottle 200
syrup Loratadine 5mg/5ml syrup, 30ml 50
suspension Mebendazole 100mg/5ml suspension 30ml 50
tablet Mebendazole 500mg tablet/chewable tablet 100
ampule Mecobalamin 500mcg/ml ampule (IM,IV) 300
tablet Medroxyprogesterone Acetate 5mg tablet 200
capsule/tableMefenamic Acid 250mg cap/tab 500
tablet Metformin 500mg tab/film coated tab ( as HCl) 3,000
tablet Methylergometrine Maleate 125mcg tablet (as Hydrogen Maleate or Maleate 1,000
ampule Methylergometrine Maleate 200mcg/ml, 1ml amp (IM,IV) (as Hydrogen Maleat 1,000
ampule Metoclopromide 5mg/ml, 2ml amp (IM,IV) (as Base & HCl) 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ointment Mupirocin 2%, 5g tube 200
ampule Nalbuphine 10mg/ml, 1ml amp (IM,IV,SC) (as HCl) 2,000
ampule Naloxone 20mcg/ml, 2ml amp (IM,IV,SC) (as HCl) 50
tablet Nifedipine 30mg MR tablet 1,200
tablet Nimodipine 30mg tablet 1,200
vial Ofloxacin 2mg/ml, 100ml vial (IV infusion) 50
tablet Ofloxacin 400mg tablet 500
ampule Ondansetron 2mg/ml, 4ml ampule (IM, IV) 500
capsule Oseltamivir 75mg capsule (as Phosphate) 200
suspension Oxantel Pyrantel (100mg Oxantel + 100mg Pyrantel)/5ml susp. 10ml (as 50
ampule Oxytocin 10 "IU"/ml, 1ml ampule (IM, IV) 2,000
ampule Phytomenadione (Phytonadione, Vit. K1) 10mg/ml, 1ml amp (IM,IV) 3,000
suspension Prednisone 10mg/5ml suspension, 60ml 50
tablet Ranitidine 300mg tablet (as HCl) 2,000
cream Silver Sulfadiazine Cream 1% 50g tube 50
tablet Spironolactone 100mg tablet 1,000
tablet Spironolactone 50mg tablet 1,000
ampule Tetanus Toxoid 0.5ml ampule (IM) 1,500
bottle Timolol eye drops solution 0.5%, 5ml bottle 50
ampule Tranexamic Acid 100mg/ml, 5ml ampule (IM,IV) 2,000
capsule Tranexamic Acid 500mg capsule 2,000
vial Vancomycin 500mg vial (IV) (as HCl) 500
ampule Verapamil 2.5mg/ml, 2ml ampule (IV) (as Hydrochloride) 100
vial Vinblastin 10mg/10ml 20
vial Vincristine 1mg/ml, 1ml vial (IV) (as Sulfate) 20
vial Vincristine 2mg/2ml, 1ml vial (IV) (as Sulfate) 20
ampule Vitamin B Complex 100mg+100mg+1mg per 3ml ampule (IV) 200
tablet Warfarin 2.5mg tablet 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
set Intravenous Administration Set (Macroset) 20 drops/ml 5,000
set Intravenous Administration Set (Microset) 60 drops/ml 2,000
set IV Cannula G18 with injection port 3,000
set IV Cannula G20 with injection port 3,000
set IV Cannula G22 with injection port 1,000
set IV Cannula G24 with injection port 3,000
set IV Cannula G26 with injection port 3,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Gemcitabine 1g vial 100
vial Gemcitabine 200mg vial 50
tablet Tamoxifen 20mg tablet (as Citrate) 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER


Requested by: Approved by: Issued by: Received by:
Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Human Albumin 20%, 50ml 500

Purpose: FOR REQUEST OF PURCHASE ORDER


Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Hydrocortisone 125mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vial 1,000
vial Hydrocortisone 50mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vial 2,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Hydroxyethyl starch 6% solution 500ml bottle (IV Infusion) 300
bottle Isoflurane 100ml bottle 24
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Hydroxyzine 50mg/ml, 1ml (IM, IV) 300
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Iopamidol 755mg/ml equi. to 370mg iodine, 50ml vial 500
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Midazolam 5mg/ml, 3ml amp (IM, IV) 1,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 9/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
capsule Tamsulosin 200mcg capsule (as HCl) 1,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 9/19/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-003 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Cefuroxime 750mg (IM,IV) (as Sodium salt) 2,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

DYNASTY

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-004 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
set Dextrose 5% Balance multiple maint.sol'n 500ml 2,400
set Dextrose 50% in Water 50ml 3,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

EUROMED

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-005 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Capecitabine 500mg 200
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

GENACE PHARMA

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-006 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Candesartan 8mg 500
vial Isophane Insulin Human (intermediate, acting, Neutral) inj. 100IU/ml, 10ml (IM,SC) 20
tablet Simvastatin 40mg 2,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

GETZ BROS

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-007 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Cytarabine 500mg/10ml 50
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

GLOBO ASIATICO

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-008 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
p. syringe Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human erythropoetin) 50
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

GOOD FELLOW

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-009 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Clarithromycin 250mg/5ml, powder for suspension 50
tablet Levofloxacin 500mg 500
vial Oxacillin 500mg 2,000
tablet Amlodipine 5mg (as Besylate or Camsylate) 2,000
tablet Atorvastatin 20mg 3,000
p. syringe Enoxaparin Sodium 100mg/ml, 0.4ml 100
p. syringe Enoxaparin Sodium 100mg/ml, 0.6ml 100
tablet Gliclazide 80mg 1,000
tablet Glipizide 5mg 500
tablet Losartan 50mg (as Potassium salt) 2,000
tablet Montelukast 5mg (as Sodium) 1,000
tablet Trimetazidine 35mg 1,000
tablet Acetazolamide 250mg 100
tablet Chlorpromazine 100mg (as HCl) 10,000

tablet Chlorpromazine 200mg (as HCl) 10,000

capsule Gabapentine 100mg 500


capsule Gabapentine 300mg 500
tablet Haloperidol 20mg 10,000

tablet Lamotrigine 50mg 500


tablet Olanzapine 10mg 1,000
tablet Quetiapine 25mg 1,000
tablet Quetiapine 300mg 1,000
tablet Risperidone 4mg 2,000
tablet Sodium Valproate 500mg 2,000
vial Cyclophosphamide 1g (IV) 50
vial Cyclophosphamide 500mg (IV) 50

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

METRODRUG

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-010 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate) 50
capsule Cefalexin 500mg (as Monohydrate) 500
capsule Cloxacillin 500mg 2,000
bottle Co-Trimoxazole 200mg/40mg/5ml suspension, 60ml 50
cap/tab Co-Trimoxazole 400mg/80mg 500
cap/tab Co-Trimoxazole 800mg/160mg 500
tablet Metronidazole 125mg base/ 5ml suspension 60ml 50
tablet Furosemide 40mg 1,000
tablet Sambong 250mg 2,000
tablet Simvastatin 20mg 2,000
bottle Ascorbic Acid 100mg/5ml, 60ml syrup 50
bottle Ascorbic Acid 100mg/ml, 15ml drops 50
tablet Betahistine 24mg 1,000
tablet Ferrous sulfate 325mg 10,000

bottle Multivitamins 120ml syrup 50


bottle Multivitamins 15ml drops 50
capsule Multivitamins capsule 1,000
tablet Vitamin B Complex 10,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

MPA PHARMACARE

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-011 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Co-Amoxiclav 156.25mg/5ml,powder for suspension 50
bottle Co-Amoxiclav 228.5mg/5ml,powder for suspension 50
tablet Atorvastatin 40mg 2,000
tablet Atorvastatin 80mg 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

NATRAPHARM

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-012 Date: 10/6/2017
Stock
Requisition Issue
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Cetirizine 1mg/ml syr, 60ml (as Dihydrochloride) 50

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

OXFORD

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-013 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Aciclovir 400mg 500
vial Cefoxitin 1g (IM,IV) (as Sodium salt) 2,000
tablet Cefuroxime 500mg (as Axetil) 1,000
vial Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV infusion 500
vial Penicillin G Crystalline (Benzylpenicillin) 1M "u" vl. (IM,IV) (as Sodium) 2,000
tablet Atenolol 50mg 1,000
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) 2,000
tablet Glibenclamide 5mg 1,000
tablet Prednisone 5mg 1,000
vial Rabbies Vaccine Lyophillyzed powder 2.5 IU/ml, 1 dose + 1ml Diluent (ID,IM) 50
ampule Atropine 1mg/ml, 1ml (IM,IV) (as SO4) 1,000
tablet Cetirizine 10mg (as Dihydrochloride) 1,000
ampule Chlorpheniramine 10mg/ml, 1ml (IM,IV) (as Maleate) 100
tablet Diclofenac Sodium 50mg (as Sodium or Potassium salt) 500
ampule Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt) 300
ampule Iron Sucrose 20mg/ml 200
sachet Oral Rehydration Solution 500
vial Recombinant H Granulocyte stimulating 50
amp/vial Rocuronium Bromide 10mg/ml, 5ml (IV) 200
set Dextrose 10% in Water 500ml 240
set Dextrose 5% 0.3 NaCl 500ml 1,200
set Dextrose 5% 0.9 NaCl 1L 1,200
set Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml 2,400
set Dextrose 5% in Lactated Ringers 1000ml 6,000
set Dextrose 5% in Water 1000ml 2,400
set Dextrose 5% in Water 500ml 2,400
set Plain Lactated Ringers Solution 1000ml 2,400
set Plain NSS 1000ml 12,000

vial Water for injection (triple distilled water), 50ml vial 3,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

PHIL PHARMAWEALTH

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-014 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Cefuroxime 250mg/5ml, 70ml granules/suspension (as Axetil) Generic 10
capsule Omeprazole 40mg 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

RBC-MDC

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan
MATERIAL MANAGEMENT SECTION
REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-015 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
cap/tab Isosorbide- 5- Mononitrate 30mg 1,000
bottle Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride) 50

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

UNITED LABORATORIES

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-016 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Cefuroxime 125mg/5ml, 70ml granules/suspension (as Axetil) 10
bottle Sevoflurane 250ml 24
bottle Digoxin 50mcg (0.05mg)/ml elixir, 60ml 20
vial Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) 200
vial Methylprednisolone 1g/16ml 50
vial Methylprednisolone 500mg/7.7ml 50
vial Methylprednisolone inj. 40mg 1ml 50
tablet Baclofen 10mg 2,000
tablet Hydroxyzine 25mg (as Dihydrochloride) 500
ampule Morphine 15mg/ml, 1ml (IM,IV,SC) (as Sulfate) 500
capsule Ursodeoxycholic Acid 250mg 2,000
tablet Zolpidem 10mg 200
vial Carboplatin 450mg 300
vial Cytarabine 1g/10ml 50
vial Doxorubicin powder 10mg (IV) (as HCl) 50

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017

ZUELLIG PHARMA

Republic of the Philippines MM-001-1


MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-017 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
capsule Amoxicillin 250mg (as Trihydrate) 200
capsule Chloramphenicol 500mg 1,000
amp/vial Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml (IM) 1,000
tablet Captopril 25mg 2,000
tablet Furosemide 20mg 500
tablet Gliclazide 30mg MR 1,000
capsule Nifedipine 10mg 500
capsule Nifedipine 5mg 500
tablet Prednisone 20mg 1,000
tablet Prednisone 30mg 1,000
tablet Prednisone 50mg 1,000
tablet Spironolactone 25mg 1,000
vial Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM) 10
capsule Tranexamic Acid 250mg 500
tablet Verapamil 180mg (as Hydrochloride) 500
tablet Verapamil 240mg (as Hydrochloride) 500
tablet Allopurinol 300mg 500
ampule Ascorbic 250mg/ml, 2ml 200
bottle Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride) 50
ampule Ephedrine Sulfate 50mg/ml, 1ml (IM,IV) 500
tablet Ferrous Fumarate 500mg (100mg elemental iron)+ B complex 10,000

bottle Ferrous Sulfate 15mg elemental iron/0.6ml drops, 30ml 50


bottle Ferrous Sulfate 30mg elemental iron/5ml syrup, 60ml 50
bottle Folic Acid 2.5mg/ml drops, 10ml 50
bottle Folic Acid 5mg/ml drops 50
tablet Ketoprofen 100mg 100
ampule Ketoprofen 50mg/ml, 2ml (IM) 200

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017
NO BIDDER

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-017 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
capsule Loperamide 2mg 300
bottle Multivitamins 30ml drops 50
tablet Naproxen 275mg 500
tablet Naproxen 550mg 500
tablet Phenobarbital 15mg (1/4 grain) 1,000
tablet Phenobarbital 60mg (1 grain) 1,000
tablet Phenobarbital gr 1/2 (30mg) 1,000
tablet Quetiapine 100mg 1,000
tube Tobramycin Ophthalmic Ointment 0.3%,3.5g 20
capsule Tramadol 50mg (as HCl) 1,000
vial Bleomycin Sulfate 15 units 50
ampule Ondansetron 1mg/ml, 4ml (IM,IV) 500
set Dextrose 5% in Water 500ml (Glass) 300

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/6/2017
NO BIDDER

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-018 Date: 10/6/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
set Intravenous Administration Set (Macroset) 20 drops/ml 5,000
set Intravenous Administration Set (Microset) 60 drops/ml 2,000
set IV Cannula G18 with injection port 3,000
set IV Cannula G20 with injection port 3,000
set IV Cannula G22 with injection port 1,000
set IV Cannula G24 with injection port 3,000
set IV Cannula G26 with injection port 3,000
set Blood Transfusion Set 300
set Soluset 3,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS
Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV
Date 10/6/2017

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-019 Date: 10/19/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Human Albumin 20%, 50ml 300

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/19/2017

VIZCARRA

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-020 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Cefepime 1g (IM,IV) (as Hcl) 500
vial Ceftriaxone 1g (as Disodium/ Sodium salt) 2,000
ampule Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl) 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER


Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

DYNASTY

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-021 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
polyamp Lidocaine 2%, 5ml (as HCl) 2,000
vial Potassium Chloride 2mEq/ml, 20ml (IV infusion) 1,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

EUROMED

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-022 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Gemcitabine 1g 200
vial Gemcitabine 200mg 100
tablet Tamoxifen 20mg (as Citrate) 2,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

GENACE PHARMA

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-023 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Carvedilol 6.25mg 1,000
tablet Losartan + Hydrochlorothiazide 100mg +25mg 1,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

GETZ BROS

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-024 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) 1,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

GLOBO ASIATICO

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-025 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Levofloxacin 5mg/ml solution for IV infusion, 100ml 100
tablet Levofloxacin 750mg 1,000
ampule Amiodarone 50mg/ml, 3ml (IV) (as HCl) 50
tablet Losartan + Hydrochlorothiazide 50mg +12.5mg 1,000
tablet Losartan 100mg (as Potassium salt) 1,000
tablet Montelukast 10mg (as Sodium) 1,000
sachet Acetylcisteine 200mg 1,200
tube Clobetasol cream 0.05% , 5g (as Propionate) 100
tablet Clozapine 100mg 3,000
ampule Omeprazole 40mg + 10ml solvent (IV) 4,000
tablet Sertraline 50mg (as HCl) 2,000
vial Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) 100
vial Docetaxel 40mg/ml, 2ml (IV infusion) 100
vial Doxorubicin powder 50mg (IV) (as HCl) 200
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

METRODRUG

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-026 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Metronidazole 500mg 2,000
tablet Metoprolol 50mg (as Tartrate) 1,000
tablet Ascorbic Acid 500mg 2,000
capsule Celecoxib 200mg 2,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

MPA PHARMACARE

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-027 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
amp/vial Amikacin 250mg/ml, 2ml (IM, IV) (as SO4) 1,000
tablet Azithromycin 500mg (as base/as dihydrate) 2,000
ampule Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY 500
vial Ceftazidime 1g (as Pentahydrate) 2,000
tablet Ciprofloxacin 500mg (as Hydrochloride) 2,000
amp/vial Gentamycin 40mg/ml, 2ml (IM,IV) (as SO4) 1,000
vial Meropenem 1g (IV) (as Trihydrate) 500
vial Meropenem 500mg (IV) (as Trihydrate) 500
vial Vancomycin 500mg (IV) (as HCl) 500
tablet Amlodipine 10mg (as Besylate) 2,000
tablet Aspirin 80mg 2,000
tablet Clonidine 75mcg (as HCl) 1,000
tablet Clopidogrel 75mg 3,000
vial Dobutamine 12.5mg/ml, 20ml (IV) (as HCl) 1,000
ampule Furosemide 10mg/ml, 2ml (IM,IV) 10,000
tablet Metformin 500mg (as HCl) 3,000
ampule Tetanus Toxoid 0.5ml (IM) 1,500
ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) 500
suppository Bisacodyl 10mg adult 1,000
ampule Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate) 1,000
tablet Diazepam 5mg 1,000
ampule Diazepam 5mg/ml, 2ml (IM,IV) 2,000
ampule Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl) 1,000
amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) 500
ampule Famotidine 10mg/ml, 2ml (IM,IV) 200
ampule Fentanyl 50mcg/ml, 2ml (IV) (as Citrate) 500
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) 6,000
tube Mupirocin 2%, 5g 200

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

PHIL PHARMAWEALTH

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-027 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl) 2,000
capsule Omeprazole 20mg 3,000
ampule Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV) 3,000
ampule Vitamin B Complex 100mg+100mg+1mg per 3ml (IV) 200
vial Filgrastim 300mcg 100
ampule Ondansetron 2mg/ml, 4ml (IM,IV) 500
vial Oxaliplatin 100mg 50
vial Paclitaxel 100mg 200
vial Paclitaxel 30mg 200
bottle Mannitol 20%, 500ml (IV) 2,400
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

PHIL PHARMAWEALTH

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-028 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate) 2,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

PHILCARE PHARMA

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-029 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Metronidazole 5mg/ml, 100ml IV infusion 3,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

QUALIFIRST

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-030 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) 1,000
vial Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) 3,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

SANNOVEX

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-031 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Isoflurane 100ml 36
bottle Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) 300
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

SERAPH ENTERPRISES

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-032 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) (IM,IV) (as Na salt) 4,000
vial Cefepime 500mg (IM,IV) (as HCl) 500
vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV infusion) (as Na) 2,000
tablet Fenofibrate 160mg 1,000
tablet Acetylcisteine 600mg 1,200

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

UNILAB

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-033 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) 2,000
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) 2,000
vial Fluconazole 2mg/ml, 100ml (IV infusion) 50
tablet Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275 3,000
bottle Ofloxacin 0.3%, 5ml ear drops solution 30
bottle Ofloxacin Ophthalmic Drop 0.3%, 5ml solution 30
tablet Carvedilol 25mg 1,000
tablet Digoxin 250mcg (0.25mg) 2,000
nebule Ipratropium + Salbutamol UDV 2.5ml/ unit dose 6,000
ampule Isosorbide dinitrate 1mg/ml, 10ml (IV) 1,000
tablet Methyldopa 250mg 1,000
tablet Metoprolol 100mg (as Tartrate) 1,000
nebule Salbutamol 2mg/ml, 2.5ml (unit dose) (as Sulfate) 3,000
capsule Celecoxib 400mg 2,000
ampule Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate) 50
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 500
tablet Valproate disodium/ Valproic Acid 250mg (as disodium salt or as valproic acid) 5,000
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) 1,000
vial Dacarbazine 200mg 100

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

ZUELLIG PHARMA

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: 17-10-034 Date: 10/23/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
capsule Doxycycline 100mg (as Hyclate) 100
capsule Doxycycline 50mg (as Hyclate) 100
tablet Atenolol 100mg 500
tablet Fenofibrate 200mg 1,000
p. syringe Fondaparinux 2.5mg/0.5ml solution (as Sodium salt) 500
tablet Nimodipine 30mg 1,200
bottle Prednisone 10mg/5ml suspension, 60ml 50
tablet Spironolactone 100mg 1,000
capsule Tranexamic Acid 500mg 1,000
can Activated Charcoal 1kg 5
bottle Dicycloverine 10mg/5ml, 60ml syrup 50
bottle Diphenhydramine HCl 12.5mg/5ml syrup 60ml 50
ampule Haloperidol 5mg/ml, 1ml (IM) 500
vial Cisplatin 50mg (IV) 50
vial Dactinomycin 500mcg 50
amp/vial Etoposide 20mg/ml, 5ml (IV) 100

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 10/23/2017

NO BIDDER

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/8/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
amp/vial Amikacin 100mg/ml, 2ml (IM, IV) (as SO4) 300
capsule Amoxicillin 250mg (as Trihydrate) 500
vial Cefazolin 500mg (IM,IV) (as Sodium salt) 200
tablet Cefuroxime 250mg (as Axetil) 500
capsule Chloramphenicol 500mg 500
capsule Clindamycin HCl 150mg 300
capsule Clindamycin HCl 300mg 5,000
bottle Diloxanide Furoate 125mg/5ml syrup/suspension 30ml 10
tablet Diloxanide Furoate 500mg 100
capsule Doxycycline 100mg (as Hyclate) 500
capsule Doxycycline 50mg (as Hyclate) 500
bottle Erythromycin 200mg/5ml granules/powder for suspension 60ml (as Ethyl Succinate) 10
tablet Erythromycin 500mg (as Stearate) 300
tablet Ethambutol 200mg (as HCl) 500
tablet Isoniazid + Rifampicin + Pyrazinamide 75mg + 150mg +400mg 1,000
tube Lidocaine 5% ointment 35g (as Hydrochloride) 10
bottle Mebendazole 100mg/5ml suspension 30ml 10
tablet Mebendazole 500mg 200
bottle Nalidixic Acid 250mg/5ml, 60ml suspension 5
bottle Nystatin 100,000 "u"/ml, 30ml suspension 20
vial Ofloxacin 2mg/ml, 100ml (Iv infusion) 10
tablet Ofloxacin 400mg 500
capsule Oseltamivir 75mg (as Phosphate) 100
bottle Oxantel Pyrantel (100mg Oxantel + 100mg Pyrantel)/5ml susp. 10ml (as Embonate) 10
bottle Phennoxymethyl Penicillin (penicillin V) 250mg/5ml granules/powder susp., 60ml (as 10
cap/tab Phennoxymethyl Penicillin 500mg (as Sodium salt) 500
tablet Primaquine 15mg base (as Diphosphate) 100

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/8/2017

FAILED/NO BIDDER

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/8/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
amp/vial Quinine 300mg/ml, 1ml Iv (as diHCl) 100
tablet Quinine Sulfate 300mg (325) (as Sulfate) 500
bottle Rifampicin 200mg/5ml suspension 120ml 20
tablet Sulfadoxine/Pyrimethamine 500mg/25mg 100
amp/vial Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml (IM) 1,500
ampule Aminophylline 25mg/ml, 10ml (IV) 200
tablet Aspirin 100mg 500
tablet Aspirin 300mg 300
tablet Atenolol 100mg 500
tablet Butamirate Citrate 50mg MR 300
tablet Captopril 25mg 2,000
tablet Carbimazole 20mg 200
tablet Carbimazole 5mg 200
tablet Clopidogrel 75mg 3,000
ampule Cobra Antivenom 50
tablet Dexamethasone 4mg 500
tablet Diltiazem 30mg (as Hydrochloride) 2,000
tablet Dydrogesteone 10mg 1,000
vial Esmolol 100mg/ml, 10ml (as HCl) 10
tablet Fenofibrate 200mg 500
p. syringe Fondaparinux 2.5mg/0.5ml solution (as Sodium salt) 300
tablet Furosemide 20mg 1,000
tablet Furosemide 40mg 1,000
patch Glyceryl Trinitrate (Nitroglycerin) 5mg 100
amp/vial Hepa B vaccine 10
ampule Hydralazine 20mg/ml, 1ml (IM,IV) (as HCl) 200
tablet Hydralazine 25mg (as HCl) 300

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/8/2017

FAILED/NO BIDDER

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan
MATERIAL MANAGEMENT SECTION
REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/8/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
canister Ipratropium + Salbutamol MDI x 200 doses 20
nebule Ipratropium + Salbutamol UDV 2.5ml/ unit dose 9,000
tablet Isosorbide dinitrate 10mg 100
tablet Isosorbide dinitrate 5mg SL 1,000
tablet Levothyroxine 100mcg (as Anhydrous Sodium) 200
tablet Medroxyprogesterone Acetate 5mg 200
tablet Metformin 500mg (as HCl) 5,000
capsule Nifedipine 10mg 2,000
tablet Nifedipine 30mg MR 900
tablet Prednisone 20mg 1,000
tablet Prednisone 30mg 1,000
tablet Prednisone 50mg 500
tablet Prednisone 5mg 2,000
tablet Rosiglitazone 4mg (as Maleate) 500
tablet Salbutamol 2mg 1,000
canister Salbutamol MDI 100mcg/dose x 200 doses (as SO4) 10
tablet Spironolactone 100mg 2,000
tablet Spironolactone 25mg 500
tablet Spironolactone 50mg 1,000
ampule Terbutaline 500mcg/ml, 1ml (IM,IV,SC) (as SO4) 50
nebule Terbutaline 2.5mg/ml, 2ml (unit dose)(as SO4) 50
vial Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM) 20
canister Tiotropium 18mcg/dose (as Br) w/ appropriate accompanying dispenser 10
ampule Tranexamic Acid 100mg/ml, 5ml (IM,IV) 3,500
capsule Tranexamic Acid 250mg 1,000
ampule Verapamil 2.5mg/ml, 2ml (IV) (as Hydrochloride) 50
tablet Verapamil 240mg (as Hydrochloride) 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/8/2017

FAILED/NO BIDDER

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/8/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Warfarin 2.5mg 200
can Activated Charcoal 1kg 5
bottle Al hydroxide 225mg/200mg Mg hydroxide/5ml susp., 120ml 30
tablet Allopurinol 300mg 500
ampule Ascorbic 250mg/ml, 2ml 50
ampule Atropine 1mg/ml, 1ml (IM,IV) (as SO4) 500
bottle Atropine Sulfate Ophthalmic drops 1%, 10ml 100
suppository Bisacodyl 5mg pediatric 200
tablet Bisacodyl 5mg 500
bottle Castor Oil USP Grade 60ml 100
tablet Cetirizine 10mg (as Dihydrochloride) 1,000
tablet Cinnarizine 25mg 500
tube Clobetasol cream 0.05% , 5g (as Propionate) 100
tablet Diazepam 5mg 1,000
ampule Diazepam 5mg/ml, 2ml (IM,IV) 3,000
bottle Dicycloverine 10mg/5ml, 60ml syrup 100
bottle Diphenhydramine HCl 12.5mg/5ml syrup 60ml 100
capsule Diphenhydramine HCl 50mg 2,000
ampule Ephedrine Sulfate 50mg/ml, 1ml (IM,IV) 500
ampule Fentanyl 50mcg/ml, 2ml (IV) (as Citrate) 2,000
tablet Ferrous Fumarate 500mg (100mg elemental iron)+ B complex 10,000
bottle Ferrous Sulfate 15mg elemental iron/0.6ml drops, 30ml 100
bottle Ferrous Sulfate 30mg elemental iron/5ml syrup, 60ml 100
tablet Ferrous sulfate 325mg 10,000
bottle Fluphenazine 25mg/ml, 10ML 200
bottle Folic Acid 2.5mg/ml drops, 10ml 100
bottle Folic Acid 5mg/ml drops 100
ampule Haloperidol 5mg/ml, 1ml (IM) 1,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/8/2017

FAILED/NO BIDDER

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/8/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt) 300
ampule Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide) 2,000
bottle Hyoscine 5mg/5ml, 60ml syrup (as N-Butyl Bromide) 100
ampule Iron Sucrose 20mg/ml 300
tablet Ketoprofen 100mg 200
ampule Ketoprofen 50mg/ml, 2ml (IM) 100
ampule Lidocaine HCl in 4mg/ml,250ml D5W (pre-mixed) (IV)(as HCl) 200
capsule Loperamide 2mg 500
bottle Loratadine 5mg/5ml syrup, 30ml 50
tablet Mefenamic Acid 250mg 1,000
tablet Methylergometrine Maleate 125mcg (as Hydrogen Maleate or Maleate) 2,000
ampule Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleat 2,000
ampule Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl) 3,000
ampule Morphine 15mg/ml, 1ml (IM,IV,SC) (as Sulfate) 500
bottle Multivitamins 15ml drops 50
bottle Multivitamins 30ml drops 50
tube Mupirocin 2%, 5g 200
ampule Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl) 6,000
ampule Naloxone 20mcg/ml, 2ml (IM,IV,SC) (as HCl) 100
tablet Naproxen 275mg 1,000
tablet Naproxen 550mg 1,000
ampule Pethidine (Meperiden) 50mg/ml, 2ml (Im, IV, SC) (as HCl) 200
tablet Phenobarbital 15mg (1/4 grain) 3,000
tablet Phenobarbital 60mg (1 grain) 3,000
tablet Phenobarbital gr 1/2 (30mg) 3,000
ampule Pyridoxine (Vit. B6) 100mg/ml, 10ml (IM,IV) (as Hydrochloride) 100
tablet Quetiapine 100mg 2,000
tablet Ranitidine 300mg (as HCl) 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/8/2017

FAILED/NO BIDDER
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/8/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Ropivacaine 2mg/ml, 10ml (IV) 20
ampule Ropivacaine 7.5mg/ml, 10ml (IV) 20
tube Silver Sulfadiazine Cream 1% 50g 100
tablet Sodium Valproate 500mg 5,000
ampule Tetracaine 20mg sterile powder (spinal) (as HCl) 100
amp/vial Thiamine 100mg/ml, 1ml (IV) 100
tablet Thiamine 300mg (as Hydrochloride) 500
bottle Timolol eye drops solution 0.5%,5ml 20
tube Tobramycin Ophthalmic Ointment 0.3%,3.5g 30
capsule Tramadol 50mg (as HCl) 2,000
vial Bleomycin Sulfate 15 units 50
vial Dactinomycin 500mcg 100
vial Fluorouracil 25mg/ml, 10ml (IV, IV Infusion) 1,000
bottle Vinblastin 10mg/10ml 50
vial Vincristine 1mg/ml, 1ml (IV) (as Sulfate) 50
vial Vincristine 2mg/2ml, 1ml (IV) (as Sulfate) 50
ampule 0.9% NaCl 20ml 500
vial 6% Dextran 70 in 0.9% NaCl 500ml (Iv Infusion) 500
bottle Combined Amino Acids + Sorbitol Solution (IV infusion) 500ml bottle 1,000
ampule Dextrose 10% in Water 3ml ampule (as solvent) 200
set Dextrose 5% in Water 500ml (Glass) 200

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/8/2017
FAILED/NO BIDDER

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Aciclovir 400mg 500
tablet Azithromycin 500mg (as base/as dihydrate) 2,000
ampule Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY 500
vial Cefoxitin 1g (IM,IV) (as Sodium salt) 3,000
vial Ceftazidime 1g (as Pentahydrate) 6,000
vial Chloramphenicol 1g (IM,IV) (as Sodium Succinate) 300
vial Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV infusion 1,000
tablet Ciprofloxacin 500mg (as Hydrochloride) 3,000
amp/vial Gentamycin 40mg/ml, 2ml (IM,IV) (as SO4) 2,000
vial Meropenem 1g (IV) (as Trihydrate) 500
vial Meropenem 500mg (IV) (as Trihydrate) 500
vial Vancomycin 500mg (IV) (as HCl) 500
tablet Amlodipine 10mg (as Besylate) 4,000
tablet Aspirin 80mg 2,000
tablet Clonidine 75mcg (as HCl) 1,000
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) 5,000
ampule Furosemide 10mg/ml, 2ml (IM,IV) 15,000
ampule Tetanus Toxoid 0.5ml (IM) 2,000
tablet Carbamazepine 200mg 10,000
amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) 500
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) 15,000
tablet Mefenamic Acid 500mg 10,000
capsule Omeprazole 20mg 3,000
vial Paracetamol 150mg/ml, 2ml (IM,IV) 20,000
tablet Paracetamol 500mg 2,000
tablet Risperidone 2mg 4,000
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) 300
vial Filgrastim 300mcg 50

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

PHIL PHARMAWEALTH

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Paclitaxel 100mg 300
vial Paclitaxel 30mg 300
set Dextrose 5% 0.3 NaCl 500ml 1,200
set Dextrose 5% 0.9 NaCl 1L 1,200
set Dextrose 5% in Lactated Ringers 1000ml 6,000
set Dextrose 5% in Water 500ml 2,400
bottle Mannitol 20%, 500ml (IV) 1,200
set Plain Lactated Ringers Solution 1000ml 6,000
set Plain NSS 1000ml 24,000
vial Water for injection (triple distilled water), 50ml vial 3,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

PHIL PHARMAWEALTH

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) 5,000
capsule Fluconazole 200mg 300
bottle Sevoflurane 250ml 36
canister Budesonide + Formoterol 160/4.5mcg/ unit dose 10
tablet Bumetamide 1mg 100
tablet Carvedilol 25mg 500
tablet Digoxin 250mcg (0.25mg) 2,000
vial Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) 300
vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) 1,000
amp/vial Dopamine 40mg/ml, 5ml (IV) (as HCl) 300
ampule Isosorbide dinitrate 1mg/ml, 10ml (IV) 500
tablet Methyldopa 250mg 1,000
nebule Salbutamol 2mg/ml, 2.5ml (unit dose) (as Sulfate) 10,000
capsule Celecoxib 400mg 2,000
tablet Folic Acid 5mg 2,000
ampule Mecobalamin 500mcg/ml (IM/IV) 500
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 1,000
vial Carboplatin 450mg 300
ampule Methotrexate 25mg/ml, 2ml (IM,IV, Intrathecal) (as base) 200

Purpose: FOR REQUEST OF PURCHASE ORDER


Requested by: Approved by: Issued by: Received by:
Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

ZUELLIG PHARMA

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) (IM,IV) (as Na salt) 5,000
vial Cefepime 500mg (IM,IV) (as HCl) 500
vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV infusion) (as Na) 3,000
tablet Fenofibrate 160mg 2,000
ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) 2,000
tablet Acetylcisteine 600mg 1,200
ampule Isoxsuprine 5mg/ml, 2ml (IM, IV infusion )(as HCl) 200
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

UNILAB

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Bupivacaine 0.5%, 10ml/amp (as HCl) 300
ampule Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate) 3,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

PHILCARE PHARMA

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Cefalexin 100mg/ml, 10ml drops (as Monohydrate) 50
bottle Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate) 50
bottle Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate) 50
capsule Cloxacillin 500mg 3,000
tablet Metronidazole 500mg 3,000
amp/vial Dexamethasone 4mg/ml, 2ml (IM,IV) (as Sodium Phosphate) 3,000
tablet Metoprolol 50mg (as Tartrate) 1,000
tablet Sambong 250mg 3,000
tablet Simvastatin 20mg 2,000
tablet Ascorbic Acid 500mg 3,000
tablet Betahistine 24mg 1,000
capsule Celecoxib 200mg 3,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

MPA PHARMACARE

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Cefepime 1g (IM,IV) (as HCl) 500
vial Ceftriaxone 1g (as Disodium/ Sodium salt) 6,000
vial Cefuroxime 750mg (IM,IV) (as Sodium salt) 2,000
ampule Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl) 4,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

DYNASTY

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
capsule Cefixime 200mg 1,200
bottle Clarithromycin 125mg/5ml, 70ml granules/powder for suspension 50
bottle Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension 100
bottle Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension 100
tablet Candesartan 8mg 500
tablet Losartan + Hydrochlorothiazide 100mg +25mg 1,000
tablet Simvastatin 40mg 2,000
bottle Lactulose 3.3g/5ml (66% syrup), 120ml 500
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

GETZ BROS

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Co-Amoxiclav 156.25mg/5ml,powder for suspension 50
bottle Co-Amoxiclav 228.5mg/5ml,powder for suspension 100
tablet Atorvastatin 40mg 4,000
tablet Atorvastatin 80mg 4,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

NATRAPHARM

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Co-Amoxiclav 625mg (as Trihydrtate) 8,000
vial Metronidazole 5mg/ml, 100ml IV infusion 6,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

QUALIFIRST

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Fluconazole 150mg 300
tablet Levofloxacin 500mg 500
tablet Levofloxacin 750mg 500
tablet Amlodipine 5mg (as Besylate or Camsylate) 3,000
tablet Atorvastatin 20mg 4,000
tablet Losartan + Hydrochlorothiazide 50mg +12.5mg 1,000
tablet Losartan 100mg (as Potassium salt) 1,000
tablet Losartan 50mg (as Potassium salt) 1,000
sachet Acetylcisteine 200mg 1,200
tablet Chlorpromazine 100mg (as HCl) 5,000
tablet Chlorpromazine 200mg (as HCl) 15,000
tablet Clozapine 100mg 5,000
ampule Midazolam 1mg/ml, 5ml (IM,IV) 1,000
ampule Omeprazole 40mg + 10ml solvent (IV) 4,000
amp/vial Propofol 10mg/ml, 20ml IV (oil in water emulsion) 500
tablet Risperidone 4mg 2,000
vial Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) 100
vial Docetaxel 40mg/ml, 2ml (IV infusion) 100
vial Doxorubicin powder 50mg (IV) (as HCl) 100

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

METRODRUG

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Isoflurane 100ml 24
bottle Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) 300
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

SERAPH ENTERPRISES

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
polyamp Lidocaine 2%, 5ml (as HCl) 2,000
nebule Budesonide 250mcg/ml, 2ml (unit dose) 500
ampule Calcium Gluconate 10%, 10ml (IV) 200
ampule Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate) 2,000
set Dextrose 50% in Water 50ml 300
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

EUROMED

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Amiodarone 200mg (as HCl) 300
tablet Loratadine 10mg 300
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

OXFORD

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) 2,000
vial Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) 4,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

SANNOVEX

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
capsule Tranexamic Acid 500mg 3,000
ampule Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl) 1,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

CANOMED

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate) 2,000
Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

ZYRE PHARMA

Republic of the Philippines MM-001-1


Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Hydroxyzine 50mg/ml, 1ml (IM,IV) 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

MARK ERICSON

MM-001-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Iopamidol 755mg/ml equiv. to 370mg iodine, 50ml 500
capsule Omeprazole 40mg 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

RBC-MDC

MM-001-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Midazolam 5mg/ml, 3ml (IM,IV) 1,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

DELEX PHARMA INC

MM-001-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) 1,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

GLOBO ASIATICO

MM-001-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan
MATERIAL MANAGEMENT SECTION
REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Gemcitabine 1g 100
vial Gemcitabine 200mg 100

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

GENACE PHARMA

MM-001-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 11/15/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
set Intravenous Administration Set (Macroset) 20 drops/ml 5,000
set Intravenous Administration Set (Microset) 60 drops/ml 1,000
set IV Cannula G18 with injection port 5,000
set IV Cannula G20 with injection port 4,000
set IV Cannula G22 with injection port 1,000
set IV Cannula G24 with injection port 3,000
set IV Cannula G26 with injection port 3,000
set Blood Transfusion Set 3,000
set Soluset 3,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ROWENA M. VILLAVERDE SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II WAREHOUSEMAN III PHARMACIST IV


Date 11/15/2017

MM-001-1
MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 12/12/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Biperiden 2mg (as HCl) 10,000
tablet Risperidone 2mg 25,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/12/2017
PHIL PHARMAWEALTH

MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 12/12/2017
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Haloperidol 20mg 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 12/12/2017
FAILED BIDDING
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 1/5/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Cefuroxime 250mg/5ml, 70ml granules/suspension (as Axetil) Generic 50
vial Iopamidol 755mg/ml equiv. to 370mg iodine, 50ml 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 1/5/2018
RBC-MDC

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 2/14/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
capsule Omeprazole 40mg 1,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name MARLIZA P. BALETE, RPh, MS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST V / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 2/14/2018
RBC-MDC
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 1/5/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Hydroxyzine 50mg/ml, 1ml (IM,IV) 300

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 1/5/2018
MARK ERICSON ENT.

Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 1/29/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Hydroxyzine 50mg/ml, 1ml (IM,IV) 100

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name MARLIZA P. BALETE, RPh, MS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST V / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 1/29/2018

MARK ERICSON ENT.


DM NO. ITEM DESCRIPTION/GENERAL SPECIFICATION UNIT
DM -01 Aciclovir 400mg tablet
DM -02 Amikacin 100mg/ml, 2ml (IM, IV) (as SO4) amp/vial
DM -03 Amikacin 250mg/ml, 2ml (IM, IV) (as SO4) amp/vial
DM -04 Amoxicillin 100mg/ml granules/ powder for drops 10ml (as Trihydrate) bottle
DM -05 Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate) bottle
DM -06 Amoxicillin 250mg (as Trihydrate) capsule
DM -07 Amoxicillin 500mg (as Trihydrate) capsule
DM -08 Ampicillin 1g (IM,IV) (as Sodium salt) vial
DM -09 Ampicillin 500mg (IM,IV) (as Sodium salt) vial
DM -10 Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) vial
DM -11 Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) (IM,IV) (as Na salt) vial
DM -12 Azithromycin 500mg powder (IV infusion) (as base/ as Dihydrate) vial
DM -13 Azithromycin 500mg (as base/as dihydrate) tablet
DM -14 Bupivacaine 0.5%, 10ml/amp (as Hcl) ampule
DM -15 Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY ampule
DM -16 Cefalexin 100mg/ml, 10ml drops (as Monohydrate) bottle
DM -17 Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate) bottle
DM -18 Cefalexin 500mg (as Monohydrate) capsule
DM -19 Cefazolin 1g (IM,IV) (as Sodium salt) vial
DM -20 Cefazolin 500mg (IM,IV) (as Sodium salt) vial
DM -21 Cefepime 1g (IM,IV) (as HCl) vial
DM -22 Cefepime 500mg (IM,IV) (as Hcl) vial
DM -23 Cefixime 100mg/5ml, 60ml granules suspension bottle
DM -24 Cefixime 200mg capsule
DM -25 Cefixime 20mg/ml granules drops, 10ml bottle
DM -26 Cefoxitin 1g (IM,IV) (as Sodium salt) vial
DM -27 Ceftazidime 1g (as Pentahydrate) vial
DM -28 Ceftriaxone 1g (as Disodium/ Sodium salt) vial
DM -29 Cefuroxime 125mg/5ml, 70ml granules/suspension (as Axetil) bottle
DM -30 Cefuroxime 250mg (as Axetil) tablet
DM -31 Cefuroxime 250mg/5ml, 70ml granules/suspension (as Axetil) Generic bottle
DM -32 Cefuroxime 500mg (as Axetil) tablet
DM -33 Cefuroxime 750mg (IM,IV) (as Sodium salt) vial
DM -34 Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate) bottle
DM -35 Chloramphenicol 1g (IM,IV) (as Sodium Succinate) vial
DM -36 Chloramphenicol 500mg capsule
DM -37 Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV infusion vial
DM -38 Ciprofloxacin 500mg (as Hydrochloride) tablet
DM -39 Clarithromycin 125mg/5ml, 70ml granules/powder for suspension bottle
DM -40 Clarithromycin 250mg/5ml, powder for suspension bottle
DM -41 Clarithromycin 500mg tab OD Modified Release tablet
DM -42 Clarithromycin 500mg tablet as base tablet
DM -43 Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) ampule
DM -44 Clindamycin 75mg/5ml granules for suspension, 60ml (as Palmitate HCl) bottle
DM -45 Clindamycin HCl 150mg capsule
DM -46 Clindamycin HCl 300mg capsule
DM -47 Cloxacillin 500mg capsule
DM -48 Co-Amoxiclav 156.25mg/5ml,powder for suspension bottle
DM -49 Co-Amoxiclav 228.5mg/5ml,powder for suspension bottle
DM -50 Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension bottle
DM -51 Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension bottle
DM -52 Co-Amoxiclav 625mg (as Trihydrtate) tablet
DM -53 Co-Trimoxazole 200mg/40mg/5ml suspension, 60ml bottle
DM -54 Co-Trimoxazole 400mg/80mg cap/tab
DM -55 Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml bottle
DM -56 Co-Trimoxazole 800mg/160mg cap/tab
DM -57 Diloxanide Furoate 125mg/5ml syrup/suspension 30ml bottle
DM -58 Diloxanide Furoate 500mg tablet
DM -59 Doxycycline 100mg (as Hyclate) capsule
DM -60 Doxycycline 50mg (as Hyclate) capsule
DM -61 Erythromycin 200mg/5ml granules/powder for suspension 60ml (as Ethyl Succinate) bottle
DM -62 Erythromycin 500mg (as Stearate) tablet
DM -63 Erythromycin Ophthalmic Ointment 0.5%, 3.5g tube
DM -64 Ethambutol 200mg (as HCl) tablet
DM -65 Fluconazole 150mg tablet
DM -66 Fluconazole 200mg capsule
DM -67 Fluconazole 2mg/ml, 100ml (IV infusion) vial
DM -68 Gentamycin 40mg/ml, 2ml (IM,IV) (as SO4) amp/vial
DM -69 Isoflurane 100ml bottle
DM -70 Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275mg tablet
DM -71 Isoniazid + Rifampicin + Pyrazinamide 75mg + 150mg +400mg tablet
DM -72 Isoniazid + Rifampicin 75mg + 150mg tablet
DM -73 Isoniazid 200mg/5ml, 120ml syrup bottle
DM -74 Ketamine HCl 50mg/ml, 10ml (IM,IV) vial
DM -75 Levofloxacin 500mg tablet
DM -76 Levofloxacin 5mg/ml solution for IV infusion, 100ml vial
DM -77 Levofloxacin 750mg tablet
DM -78 Lidocaine 2%, 5ml (as HCl) polyamp
DM -79 Lidocaine 5% ointment 35g (as Hydrochloride) tube
DM -80 Lidocaine spray 10%, 50ml (as HCl) bottle
DM -81 Mebendazole 100mg/5ml suspension 30ml bottle
DM -82 Mebendazole 500mg tablet
DM -83 Meropenem 1g (IV) (as Trihydrate) vial
DM -84 Meropenem 500mg (IV) (as Trihydrate) vial
DM -85 Metronidazole 125mg base/ 5ml suspension 60ml tablet
DM -86 Metronidazole 500mg tablet
DM -87 Metronidazole 5mg/ml, 100ml IV infusion vial
DM -88 Metronidazole rectal 1g suppository
DM -89 Nalidixic Acid 250mg/5ml, 60ml suspension bottle
DM -90 Nystatin 100,000 "u"/ml, 30ml suspension bottle
DM -91 Ofloxacin 0.3%, 5ml ear drops solution bottle
DM -92 Ofloxacin 2mg/ml, 100ml (Iv infusion) vial
DM -93 Ofloxacin 400mg tablet
DM -94 Ofloxacin Ophthalmic Drop 0.3%, 5ml solution bottle
DM -95 Oseltamivir 75mg (as Phosphate) capsule
DM -96 Oxacillin 500mg vial
DM -97 Oxantel Pyrantel (100mg Oxantel + 100mg Pyrantel)/5ml susp. 10ml (as Embonate) bottle
DM -98 Penicillin G Benzathine (Benzathine Benzyl Penicillin) 1.2M units vial
DM -99 Penicillin G Crystalline (Benzylpenicillin) 1M "u" vl. (IM,IV) (as Sodium) vial
DM -100 Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl. (IM,IV) (as Sodium) vial
DM -101 Phennoxymethyl Penicillin (penicillin V) 250mg/5ml granules/powder susp., 60ml (as K salt) bottle
DM -102 Phennoxymethyl Penicillin 500mg (as Sodium salt) cap/tab
DM -103 Piperacillin+Tazobactam (2g Piperacillin+250mg Tazobactam) vial
DM -104 Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV infusion) (as Na) vial
DM -105 Primaquine 15mg base (as Diphosphate) tablet
DM -106 Pyrazynamide 250mg/5ml, 120ml suspension bottle
DM -107 Quinine 300mg/ml, 1ml Iv (as diHCl) amp/vial
DM -108 Quinine Sulfate 300mg (325) (as Sulfate) tablet
DM -109 Rifampicin 200mg/5ml suspension 120ml bottle
DM -110 Sevoflurane 250ml bottle
DM -111 Streptomycin 1g IM (as Sulfate) vial
DM -112 Sulfadoxine/Pyrimethamine 500mg/25mg tablet
DM -113 Vancomycin 500mg (IV) (as HCl) vial
DM -114 Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml (IM) amp/vial
DM -115 Adenosine 3mg/ml, 2ml (IV) vial
DM -116 Aminophylline 25mg/ml, 10ml (IV) ampule
DM -117 Amiodarone 200mg (as HCl) tablet
DM -118 Amiodarone 50mg/ml, 3ml (IV) (as HCl) ampule
DM -119 Amlodipine 10mg (as Besylate) tablet
DM -120 Amlodipine 5mg (as Besylate or Camsylate) tablet
DM -121 Aspirin 100mg tablet
DM -122 Aspirin 300mg tablet
DM -123 Aspirin 80mg tablet
DM -124 Atenolol 100mg tablet
DM -125 Atenolol 50mg tablet
DM -126 Atorvastatin 20mg tablet
DM -127 Atorvastatin 40mg tablet
DM -128 Atorvastatin 80mg tablet
DM -129 Budesonide + Formoterol 160/4.5mcg/ unit dose canister
DM -130 Budesonide 250mcg/ml, 2ml (unit dose) nebule
DM -131 Bumetamide 1mg tablet
DM -132 Butamirate Citrate 50mg MR tablet
DM -133 Candesartan 8mg tablet
DM -134 Captopril 25mg tablet
DM -135 Carbimazole 20mg tablet
DM -136 Carbimazole 5mg tablet
DM -137 Carvedilol 25mg tablet
DM -138 Carvedilol 6.25mg tablet
DM -139 Clonidine 150mcg/ml, 1ml (IV) (as HCl) ampule
DM -140 Clonidine 75mcg (as HCl) tablet
DM -141 Clopidogrel 75mg tablet
DM -142 Cobra Antivenom ampule
DM -143 Dexamethasone 4mg tablet
DM -144 Dexamethasone 4mg/ml, 2ml (IM,IV) (asSodium Phosphate) amp/vial
DM -145 Digoxin 250mcg (0.25mg) tablet
DM -146 Digoxin 250mcg/ml, 2ml (IM,IV) ampule
DM -147 Digoxin 50mcg (0.05mg)/ml elixir, 60ml bottle
DM -148 Diltiazem 30mg ( as Hydrochloride) tablet
DM -149 Diltiazem 60mg ( as Hydrochloride) tablet
DM -150 Diphtheria Anti toxin 20,000 iu 10ml (IV) vial
DM -151 Dobutamine 12.5mg/ml, 20ml (IV) (as HCl) vial
DM -152 Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) vial
DM -153 Dopamine 1.6mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) vial
DM -154 Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) vial
DM -155 Dopamine 40mg/ml, 5ml (IV) (as HCl) amp/vial
DM -156 Dydrogesteone 10mg tablet
DM -157 Enoxaparin Sodium 100mg/ml, 0.4ml p. syringe
DM -158 Enoxaparin Sodium 100mg/ml, 0.6ml p. syringe
DM -159 Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) ampule
DM -160 Esmolol 100mg/ml, 10ml (as HCl) vial
DM -161 Felodipine 10mg MR tablet
DM -162 Felodipine 5mg tablet
DM -163 Fenofibrate 160mg tablet
DM -164 Fenofibrate 200mg tablet
DM -165 Fondaparinux 2.5mg/0.5ml solution (as Sodium salt) p.syringe
DM -166 Furosemide 10mg/ml, 2ml (IM,IV) ampule
DM -167 Furosemide 20mg tablet
DM -168 Furosemide 40mg tablet
DM -169 Glibenclamide 5mg tablet
DM -170 Gliclazide 30mg MR tablet
DM -171 Gliclazide 80mg tablet
DM -172 Glipizide 5mg tablet
DM -173 Glyceryl Trinitrate (Nitroglycerin) 5mg patch
DM -174 Hepa B vaccine amp/vial
DM -175 Hydralazine 20mg/ml, 1ml (IM,IV) (as Hcl) ampule
DM -176 Hydralazine 25mg (asHCl) tablet
DM -177 Hydrocortisone 1% cream, 5g tube
DM -178 Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) vial
DM -179 Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) vial
DM -180 Ipratropium + Salbutamol MDI x 200 doses canister
DM -181 Ipratropium + Salbutamol UDV 2.5ml/ unit dose nebule
DM -182 Isophane Insulin Human (intermediate, acting, Neutral) inj. 100IU/ml, 10ml (IM,SC) vial
DM -183 Isosorbide- 5- Mononitrate 30mg cap/tab
DM -184 Isosorbide- 5- Mononitrate 60mg cap/tab
DM -185 Isosorbide dinitrate 10mg tablet
DM -186 Isosorbide dinitrate 1mg/ml, 10ml (IV) ampule
DM -187 Isosorbide dinitrate 5mg SL tablet
DM -188 Levothyroxine 100mcg (as Anhydrous Sodium) tablet
DM -189 Levothyroxine 50mcg (as Anhydrous Sodium) tablet
DM -190 Losartan + Hydrochlorothiazide 100mg +25mg tablet
DM -191 Losartan + Hydrochlorothiazide 50mg +12.5mg tablet
DM -192 Losartan 100mg (as Potassium salt) tablet
DM -193 Losartan 50mg (as Potassium salt) tablet
DM -194 Medroxyprogesterone Acetate 5mg tablet
DM -195 Metformin 500mg (as HCl) tablet
DM -196 Methimazole 5mg tablet
DM -197 Methyldopa 250mg tablet
DM -198 Methylprednisolone 125mg/ml, 2ml + diluent (IM,IV) Iv infusion (as Na succinate) vial
DM -199 Methylprednisolone 1g/16ml vial
DM -200 Methylprednisolone 500mg/7.7ml vial
DM -201 Methylprednisolone inj. 40mg 1ml vial
DM -202 Methyprednisolone 16mg tablet
DM -203 Metoprolol 100mg (as Tartrate) tablet
DM -204 Metoprolol 50mg (as Tartrate) tablet
DM -205 Montelukast 10mg (as Sodium) tablet
DM -206 Montelukast 5mg (as Sodium) tablet
DM -207 Nicardipine 1mg/ml, 10ml (IV) (as HCl) ampule
DM -208 Nifedipine 10mg capsule
DM -209 Nifedipine 30mg MR tablet
DM -210 Nifedipine 5mg capsule
DM -211 Nimodipine 30mg tablet
DM -212 Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate) ampule
DM -213 Prednisone 10mg/5ml suspension, 60ml bottle
DM -214 Prednisone 20mg tablet
DM -215 Prednisone 30mg tablet
DM -216 Prednisone 50mg tablet
DM -217 Prednisone 5mg tablet
DM -218 Propranolol 10mg (as HCl) tablet
DM -219 Propranolol 40mg (as HCl) tablet
DM -220 Propylthiouracil 50mg tablet
DM -221 Rabbies Vaccine (0.5ml of 4% Sodium Chloride) VERORAB ampule
DM -222 Rabbies Vaccine Lyophillyzed powder 2.5 IU/ml, 1 dose + 1ml Diluent (ID,IM) vial
DM -223 Regular Insulin 100IU/ml, 3ml (IM,IV,SC) p. syringe
DM -224 Rosiglitazone 4mg (as Maleate) tablet
DM -225 Salbutamol 2mg tablet
DM -226 Salbutamol 2mg/5ml, 60ml syrup (asSulfate) bottle
DM -227 Salbutamol MDI 100mcg/dose x 200 doses (as SO4) canister
DM -228 Salbutamol 2mg/ml, 2.5ml (unit dose) (as Sulfate) nebule
DM -229 Sambong 250mg tablet
DM -230 Simvastatin 20mg tablet
DM -231 Simvastatin 40mg tablet
DM -232 Spironolactone 100mg tablet
DM -233 Spironolactone 25mg tablet
DM -234 Spironolactone 50mg tablet
DM -235 Tamsulosin 200mcg (as HCl) capsule
DM -236 Terbutaline 500mcg/ml, 1ml (IM,IV,SC) (as SO4) ampule
DM -237 Terbutaline 2.5mg/ml, 2ml (unit dose)(as SO4) nebule
DM -238 Terbutaline syrup 1.5mg/5ml, 60ml (as SO4) bottle
DM -239 Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM) vial
DM -240 Tetanus Toxoid 0.5ml (IM) ampule
DM -241 Theophylline anhydrous 150mg tablet
DM -242 Tiotropium 18mcg/dose (as Br) w/ appropriate accompanying dispenser canister
DM -243 Tranexamic Acid 100mg/ml, 5ml (IM,IV) ampule
DM -244 Tranexamic Acid 250mg capsule
DM -245 Tranexamic Acid 500mg capsule
DM -246 Trimetazidine 35mg tablet
DM -247 Verapamil 180mg (as Hydrochloride) tablet
DM -248 Verapamil 2.5mg/ml, 2ml (IV) (as Hydrochloride) ampule
DM -249 Verapamil 240mg (as Hydrochloride) tablet
DM -250 Warfarin 2.5mg tablet
DM -251 Acetazolamide 250mg tablet
DM -252 Acetylcisteine 200mg sachet
DM -253 Acetylcisteine 200mg/ml, 25ml (IV infusion) bottle
DM -254 Acetylcisteine 600mg tablet
DM -255 Acetylcystein 100mg soln for inj bottle
DM -256 Acetylcystein 100mg/ml, inhalation bottle
DM -257 Activated Charcoal 1kg can
DM -258 Al hydroxide 225mg/200mg Mg hydroxide/5ml susp., 120ml bottle
DM -259 Alendronate 70mg (as Sodium salt) tablet
DM -260 Allopurinol 100mg tablet
DM -261 Allopurinol 300mg tablet
DM -262 Alprazolam 250mcg tablet
DM -263 Ascorbic 250mg/ml, 2ml ampule
DM -264 Ascorbic Acid 100mg/5ml, 60ml syrup bottle
DM -265 Ascorbic Acid 100mg/ml, 15ml drops bottle
DM -266 Ascorbic Acid 500mg tablet
DM -267 Atracurium Besylate 10mg/ml, 2.5ml (IV) ampule
DM -268 Atropine 1mg/ml, 1ml (IM,IV) (as SO4) ampule
DM -269 Atropine Sulfate Ophthalmic drops 1%, 10ml bottle
DM -270 Baclofen 10mg tablet
DM -271 Betahistine 24mg tablet
DM -272 Biperiden 2mg (as Hcl) tablet
DM -273 Bisacodyl 10mg adult suppository
DM -274 Bisacodyl 5mg pediatric suppository
DM -275 Bisacodyl 5mg tablet
DM -276 Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate) ampule
DM -277 Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) tablet
DM -278 Calcium Gluconate 10%, 10ml (IV) ampule
DM -279 Carbamazepine 200mg tablet
DM -280 Castor Oil USP Grade 60ml bottle
DM -281 Celecoxib 200mg capsule
DM -282 Celecoxib 400mg capsule
DM -283 Cetirizine 10mg (as Dihydrochloride) tablet
DM -284 Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride) bottle
DM -285 Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride) bottle
DM -286 Cetirizine 1mg/ml syr, 60ml (as Dihydrochloride) bottle
DM -287 Chlorpheniramine 10mg/ml, 1ml (IM,IV) (as Maleate) ampule
DM -288 Chlorpromazine 100mg (as HCl) tablet
DM -289 Chlorpromazine 200mg (as HCl) tablet
DM -290 Cinnarizine 25mg tablet
DM -291 Clobetasol cream 0.05% , 5g (as Propionate) tube
DM -292 Clonazepam 2mg tablet
DM -293 Clozapine 100mg tablet
DM -294 Diazepam 5mg tablet
DM -295 Diazepam 5mg/ml, 2ml (IM,IV) ampule
DM -296 Diclofenac Sodium 25mg/ml, 3ml (IM,IV) ampule
DM -297 Diclofenac Sodium 50mg (as Sodium or Potassium salt) tablet
DM -298 Dicycloverine 10mg/5ml, 60ml syrup bottle
DM -299 Diphenhydramine HCl 12.5mg/5ml syrup 60ml bottle
DM -300 Diphenhydramine HCl 50mg capsule
DM -301 Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl) ampule
DM -302 Domperidone 10mg tablet
DM -303 Ephedrine Sulfate 50mg/ml, 1ml (IM,IV) ampule
DM -304 Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) amp/vial/PFS
DM -305 Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human erythropoetin) prefilled syrnge
DM -306 Escitalopram 10mg (as oxalate) tablet
DM -307 Famotidine 10mg/ml, 2ml (IM,IV) ampule
DM -308 Fentanyl 50mcg/ml, 2ml (IV) (as Citrate) ampule
DM -309 Ferrous Fumarate 500mg (100mg elemental iron)+ B complex tablet
DM -310 Ferrous Sulfate 15mg elemental iron/0.6ml drops, 30ml bottle
DM -311 Ferrous Sulfate 30mg elemental iron/5ml syrup, 60ml bottle
DM -312 Ferrous sulfate 325mg tablet
DM -313 Fluoxetin 20mg dispersal tab/cap
DM -314 Fluphenazine 25mg/ml, 10ML bottle
DM -315 Folic Acid 2.5mg/ml drops, 10ml bottle
DM -316 Folic Acid 5mg tablet
DM -317 Folic Acid 5mg/ml drops bottle
DM -318 Gabapentine 100mg capsule
DM -319 Gabapentine 300mg capsule
DM -320 Haloperidol 20mg tablet
DM -321 Haloperidol 5mg/ml, 1ml (IM) ampule
DM -322 Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt) ampule
DM -323 Human Albumin 20%, 50ml vial
DM -324 Hydroxyzine 25mg (as Dihydrochloride) tablet
DM -325 Hydroxyzine 50mg/ml, 1ml (IM,IV) ampule
DM -326 Hyoscine 10mg (as N- Butyl Bromide) tablet
DM -327 Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide) ampule
DM -328 Hyoscine 5mg/5ml, 60ml syrup (as N-Butyl Bromide) bottle
DM -329 Ibuprofen 100mg/5ml, 60ml suspension bottle
DM -330 Ibuprofen 400mg tablet
DM -331 Iopamidol 755mg/ml equiv. to 370mg iodine, 50ml vial
DM -332 Iron Sucrose 20mg/ml ampule
DM -333 Isoxsuprine 10mg (as HCl) tablet
DM -334 Isoxsuprine 5mg/ml, 2ml (IM, IV infusion )(as HCl) ampule
DM -335 Ketoprofen 100mg tablet
DM -336 Ketoprofen 50mg/ml, 2ml (IM) ampule
DM -337 Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) ampule
DM -338 Lactulose 3.3g/5ml (66% syrup), 120ml bottle
DM -339 Lamotrigine 50mg tablet
DM -340 Lidocaine HCl in 4mg/ml,250ml D5W (pre-mixed) (IV)(as HCl) ampule
DM -341 Lithium Carbonate 450mg MR tablet
DM -342 Loperamide 2mg capsule
DM -343 Loratadine 10mg tablet
DM -344 Loratadine 5mg/5ml syrup, 30ml bottle
DM -345 Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate) ampule
DM -346 Mecobalamin 500mcg/ml (IM/IV) ampule
DM -347 Mefenamic Acid 250mg tablet
DM -348 Mefenamic Acid 500mg tablet
DM -349 Methylergometrine Maleate 125mcg (as Hydrogen Maleate or Maleate) tablet
DM -350 Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleate) ampule
DM -351 Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl) ampule
DM -352 Midazolam 1mg/ml, 5ml (IM,IV) ampule
DM -353 Midazolam 5mg/ml, 3ml (IM,IV) ampule
DM -354 Morphine 10mg CR (as Sulfate) tablet
DM -355 Morphine 15mg/ml, 1ml (IM,IV,SC) (as Sulfate) ampule
DM -356 Morphine 30mg CR (as Sulfate) tablet
DM -357 Multivitamins 120ml syrup bottle
DM -358 Multivitamins 15ml drops bottle
DM -359 Multivitamins 30ml drops bottle
DM -360 Multivitamins capsule capsule
DM -361 Mupirocin 2%, 5g tube
DM -362 Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl) ampule
DM -363 Naloxone 20mcg/ml, 2ml (IM,IV,SC) (as HCl) ampule
DM -364 Naproxen 275mg tablet
DM -365 Naproxen 550mg tablet
DM -366 Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate) ampule
DM -367 Olanzapine 10mg tablet
DM -368 Omeprazole 20mg capsule
DM -369 Omeprazole 40mg + 10ml solvent (IV) ampule
DM -370 Omeprazole 40mg capsule
DM -371 Oral Rehydration Solution sachet
DM -372 Oxytocin 10 "IU"/ml, 1ml (IM,IV) ampule
DM -373 Paracetamol 100mg/ml, (alcohol free), 15ml bottle
DM -374 Paracetamol 10mg/ml, 100ml solution for infusion (IV) vial
DM -375 Paracetamol 150mg/ml, 2ml (IM,IV) vial
DM -376 Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension bottle
DM -377 Paracetamol 500mg tablet
DM -378 Pethidine (Meperiden) 50mg/ml, 2ml (Im, IV, SC) (as HCl) ampule
DM -379 Phenobarbital 130mg/ml, 1ml (IM,IV) (as Sodium) ampule
DM -380 Phenobarbital 15mg (1/4 grain) tablet
DM -381 Phenobarbital 60mg (1 grain) tablet
DM -382 Phenobarbital gr 1/2 (30mg) tablet
DM -383 Phenytoin 100mg (as Sodium salt) capsule
DM -384 Phenytoin 50mg/ml, 2ml (IV)(as Sodium salt) ampule
DM -385 Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV) ampule
DM -386 Potassium 750mg durules (approx. equiv. to 10 mEq) tablet
DM -387 Potassium Chloride 2mEq/ml, 20ml (IV infusion) vial
DM -388 Potassium Chloride 600mg tablet
DM -389 Prednisolone eye drops suspension 0.5%,5ml(as acetate) bottle
DM -390 Propofol 10mg/ml, 20ml IV (oil in water emulsion) amp/vial
DM -391 Pyridoxine (Vit. B6) 100mg/ml, 10ml (IM,IV) (as Hydrochloride) ampule
DM -392 Quetiapine 100mg tablet
DM -393 Quetiapine 25mg tablet
DM -394 Quetiapine 300mg tablet
DM -395 Ranitidine 150mg (as HCl) tablet
DM -396 Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) ampule
DM -397 Ranitidine 300mg (as HCl) tablet
DM -398 Recombinant H Granulocyte stimulating vial
DM -399 Risperidone 2mg tablet
DM -400 Risperidone 4mg tablet
DM -401 Rocuronium Bromide 10mg/ml, 5ml (IV) amp/vial
DM -402 Ropivacaine 2mg/ml, 10ml (IV) ampule
DM -403 Ropivacaine 7.5mg/ml, 10ml (IV) ampule
DM -404 Sertraline 50mg (as HCl) tablet
DM -405 Silver Sulfadiazine Cream 1% 500g (micronized) jar
DM -406 Silver Sulfadiazine Cream 1% 50g tube
DM -407 Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) ampule
DM -408 Sodium Sulfate tablet
DM -409 Sodium Valproate 500mg tablet
DM -410 Somatostatin 250mcg (IV, IV infusion) ampule
DM -411 Somatostatin 3mg (IV, IV infusion) ampule
DM -412 Sucralfate 1g tablet
DM -413 Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) vial
DM -414 Tetracaine 20mg sterile powder (spinal) (as HCl) ampule
DM -415 Thiamine 100mg/ml, 1ml (IV) amp/vial
DM -416 Thiamine 300mg (as Hydrochloride) tablet
DM -417 Thiopenthal Sodiun 1g + 50ml diluent (IV) vial
DM -418 Timolol eye drops solution 0.5%,5ml bottle
DM -419 Tobramycin Ophthalmic drops 0.3%, 3.5g bottle
DM -420 Tobramycin Ophthalmic Ointment 0.3%,3.5g tube
DM -421 Topiramate 25mg tablet
DM -422 Tramadol 50mg (as HCl) capsule
DM -423 Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl) ampule
DM -424 Ursodeoxycholic Acid 250mg capsule
DM -425 Valproate disodium/ Valproic Acid 250mg (as disodium salt or as valproic acid) tablet
DM -426 Vitamin B Complex 100mg+100mg+1mg per 3ml (IV) ampule
DM -427 Vitamin B Complex tablet
DM -428 Zinc 10mg/ml drops bottle
DM -429 Zinc 20mg/5ml syrup bottle
DM -430 Zolpidem 10mg tablet
DM -431 Bleomycin Sulfate 15 units vial
DM -432 Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) ampule
DM -433 Capecitabine 500mg tablet
DM -434 Carboplatin 450mg vial
DM -435 Cisplatin 50mg (IV) vial
DM -436 Cyclophosphamide 1g (IV) vial
DM -437 Cyclophosphamide 500mg (IV) vial
DM -438 Cytarabine 1g/10ml vial
DM -439 Cytarabine 500mg/10ml vial
DM -440 Dacarbazine 200mg vial
DM -441 Dactinomycin 500mcg vial
DM -442 Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) vial
DM -443 Docetaxel 40mg/ml, 2ml (IV infusion) vial
DM -444 Doxorubicin powder 10mg (IV) (as HCl) vial
DM -445 Doxorubicin powder 50mg (IV) (as HCl) vial
DM -446 Etoposide 20mg/ml, 5ml (IV) amp/vial
DM -447 Filgrastim 300mcg vial
DM -448 Fluorouracil 25mg/ml, 10ml (IV, IV Infusion) vial
DM -449 Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) ampule
DM -450 Gemcitabine 1g vial
DM -451 Gemcitabine 200mg vial
DM -452 Hydroxyurea 500mg tablet
DM -453 Methotrexate 25mg/ml, 2ml (IM,IV, Intrathecal) (as base) ampule
DM -454 Ondansetron 1mg/ml, 4ml (IM,IV) ampule
DM -455 Ondansetron 2mg/ml, 4ml (IM,IV) ampule
DM -456 Oxaliplatin 100mg vial
DM -457 Paclitaxel 100mg vial
DM -458 Paclitaxel 30mg vial
DM -459 Tamoxifen 20mg (as Citrate) tablet
DM -460 Vinblastin 10mg/10ml bottle
DM -461 Vincristine 1mg/ml, 1ml (IV) (as Sulfate) vial
DM -462 Vincristine 2mg/2ml, 1ml (IV) (as Sulfate) vial
DM -463 0.9% NaCl 20ml ampule
DM -464 6% Dextran 70 in 0.9% NaCl 500ml (Iv Infusion) vial
DM -465 Amino Acids Crystaline 5% (IV Infusion) 500ml bottle
DM -466 Combined Amino Acids + Sorbitol Solution (IV infusion) 500ml bottle bottle
DM -467 Dextran 70 in 0.9% Sodium Chloride ampule
DM -468 Dextrose 10% in Water 3ml ampule (as solvent) ampule
DM -469 Dextrose 10% in Water 500ml set
DM -470 Dextrose 5% 0.3 NaCl 500ml set
DM -471 Dextrose 5% 0.9 NaCl 1L set
DM -472 Dextrose 5% Balance multiple maint.sol'n 500ml set
DM -473 Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml set
DM -474 Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000Ml set
DM -475 Dextrose 5% in Lactated Ringers 1000ml set
DM -476 Dextrose 5% in Water 1000ml set
DM -477 Dextrose 5% in Water 500ml set
DM -478 Dextrose 5% in Water 500ml (Glass) set
DM -479 Dextrose 50% in Water 50ml set
DM -480 Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) bottle
DM -481 Mannitol 20%, 500ml (IV) bottle
DM -482 Plain Lactated Ringers Solution 1000ml set
DM -483 Plain NSS 1000ml set
DM -484 Water for injection (triple distilled water), 50ml vial vial

SUPPLIES
Intravenous Administration Set (Macroset) 20 drops/ml set
Intravenous Administration Set (Microset) 60 drops/ml set
IV Cannula G18 with injection port set
IV Cannula G20 with injection port set
IV Cannula G22 with injection port set
IV Cannula G24 with injection port set
IV Cannula G26 with injection port set
Blood Transfusion Set set
Soluset set
BRAND NAME SEPT OCT OCT NOV DEC REMARKS
QTY QTY QTY QTY
Ciclox W - 500 PASSED
N - -
Cinmik W 1,000 - 1,000 PASSED
Moxylor W 50 - PASSED
Moxylor W - 50 PASSED
N - 200
Harbimox W 2,000 - PASSED
Ampitrex W 2,000 - PASSED
Ampitrex W 1,000 - PASSED
Unasyn W 2,000 - 2,000 PASSED
Ampimax W 2,000 - 4,000 PASSED
zithromax W - - PASSED
Trozin W 2,000 - 2,000 PASSED
Bupican W 500 - PASSED
Senpivac 0.5% Heavy W 500 - 500 PASSED
Diacef W 50 - PASSED
Diacef W 50 - PASSED
Diacef W - 500 PASSED
Hazolin W 500 - PASSED
Hazolin F 500 - FAILED
Sefpime W 500 - 500 PASSED
Axera W 500 - 500 PASSED
Taxim-O Forte W - - PASSED
Taxim- O W 1,200 - PASSED
Triocef W - - PASSED
Haxotin W - 2,000 PASSED
Ceftibac W 2,000 - 2,000 PASSED
Generic W 2,000 - 2,000 PASSED
Cimex W - 10 PASSED
N - -
Suncetin-250 W - 10 PASSED
Axefime W - 1,000 PASSED
Harox W - 2,000 PASSED
Chlorolem W 50 - PASSED
Klorfen W 500 - PASSED
N - 1,000
Floxil F 500 500 FAILED
Ciprodex W 1,000 - 2,000 PASSED
Clariget W 50 - PASSED
Clarithrocid W - 50 PASSED
Clariget OD W 300 - PASSED
Klarcyn W 500 - PASSED
Dalacin - C W - - 2,000 PASSED
Dalacin C W 50 - PASSED
N 1,000 -
N 2,000 -
Flactamacin 500 W - 2,000 PASSED
Natravox W - 50 PASSED
Natravox W - 50 PASSED
Auget W 50 - PASSED
Auget W 50 - PASSED
Agcomen W 3,000 - PASSED
Diazole W - 50 PASSED
Diazole W - 500 PASSED
Diazole W 50 - PASSED
Diazole W - 500 PASSED
N - -
N - -
N - - 100
N - 100
N 50 -
N 500 -
Erycortin W 50 - PASSED
N - -
Mycozole W 300 - PASSED
Diflucan W 300 - PASSED
Diflucan W 50 - 50 PASSED
Maxigen F 1,000 - 1,000 FAILED
Isorane W 24 - 36 PASSED
Myrin -P Forte W 3,000 - 3,000 PASSED
N - -
Duomax W - - PASSED
Curazid Forte W - - PASSED
Uniket W - - PASSED
levoday 500 W - 500 PASSED
Loxeva W 50 - 100 PASSED
Loxeva W 500 - 1,000 PASSED
Eurocaine W 2,000 - 2,000 PASSED
N - -
W 20 - PASSED
N 50 -
N 100 -
Mepenem W 500 - 500 PASSED
Mepenem W 500 - 500 PASSED
Metrozole W - 50 PASSED
Metrozole W 2,000 - 2,000 PASSED
Generic W 3,000 - 3,000 PASSED
N - -
N - -
N - -
Dizoflox W 30 - 30 PASSED
N 50 -
N 500 -
Dizoflox W 50 - 30 PASSED
N 200 -
Wydox W - 2,000 PASSED
N 50 -
Zalpen W - - PASSED
Harbipen W - 2,000 PASSED
Harbipen W 1,500 - PASSED
N - -
N - -
Piptaz W - - PASSED
Piptaz W 2,000 - 2,000 PASSED
N - -
Zcure W - - PASSED
N - -
N - -
N - -
Sojourn W 24 24 PASSED
Streptocin W 100 - PASSED
N - -
Vancin F 500 - 500 FAILED
N 2,000 1,000
Adesan W - - PASSED
Ainofil F 100 - FAILED
Medodarone W 200 - PASSED
Cordarone W 48 - 50 PASSED
Amlodibloc F 2,000 - 2,000 FAILED
Amlodac W - 2,000 PASSED
N - -
N - -
Generic W 2,000 - 2,000 PASSED
N 500 - 500
Myovasc W - 1,000 PASSED
Zydusatorva 20 W - 3,000 PASSED
Atorvast - Natrapharm W - 2,000 PASSED
Atorvast - Natrapharm W - 2,000 PASSED
Symbicort Turbuhaler W - - PASSED
Bromex W 500 - PASSED
Burinex W - - PASSED
N - -
Atasart W - 500 PASSED
N - 2,000
N - -
N - -
Carvedol W 500 - 1,000 PASSED
Xicard W 500 - 1,000 PASSED
Catapin F - - FAILED
Dinetab F 500 - 1,000 FAILED
Artheogrel F 2,000 - 3,000 FAILED
N - -
N 500 -
Dexticort F 1,000 - FAILED
Lanoxin W 2,000 - 2,000 PASSED
Lanoxin W 1,000 - PASSED
Lanoxin W - 20 PASSED
N - -
N 1,000 -
N - -
Dobucard W 2,000 - 1,000 PASSED
Generic W - 200 PASSED
Generic W 100 - PASSED
Generic W 1,000 - PASSED
W 500 - PASSED
N 1,000 -
Lomoh- 40 W - 100 PASSED
Lomoh- 60 W - 100 PASSED
Generic W - 2,000 PASSED
Esobloc N - - FAILED
Efdipin 10 W - - PASSED
Felodipin-Natrapharm W - - PASSED
Fenoflex W 1,000 - 1,000 PASSED
N 1,000 - 1,000
N 400 - 500
Generic W 8,000 - 10,000 PASSED
N - 500
Pisamor F - 1,000 FAILED
Euglomax W - 1,000 PASSED
N - 1,000
Zebet W - 1,000 PASSED
Glipdin W - 500 PASSED
N 100 -
N - -
Hydroxy F - - FAILED
N - -
Hovicor F - - FAILED
Hydrovex W 1,000 - 1,000 PASSED
Hydrovex W 2,000 - 3,000 PASSED
N - -
Multivent F 6,000 - 6,000 FAILED
Insuget-N W - 20 PASSED
Montra W - 1,000 PASSED
Vasotrate-60-OD W 1,000 - PASSED
N 500 -
Isoket W 1,000 - 1,000 PASSED
N 1,000 -
N 1,000 -
Thydin W 1,000 - PASSED
Getzar Plus W 1,000 - 1,000 PASSED
Losacar W 1,000 - 1,000 PASSED
Losacar W 1,000 - 1,000 PASSED
Losacar W - 2,000 PASSED
N 200 -
Formet 500 F 3,000 - 3,000 FAILED
Tapdin W 300 - PASSED
Aldomet W 1,000 - 1,000 PASSED
Solu-Medrol W 50 - PASSED
Solu-Medrol W - 50 PASSED
Solu-Medrol W - 50 PASSED
Solu Medrol W - 50 PASSED
Prednivex 16 W 500 - PASSED
Cardiostat W 1,000 - 1,000 PASSED
Metocard W 1,000 - 1,000 PASSED
Montezyd 10 W 1,000 - 1,000 PASSED
Montelair 5 W - 1,000 PASSED
Cardepine W 1,000 - PASSED
N - 500
N 1,200 -
N - 500
N 1,200 - 1,200
Sandine W 1,500 - 2,000 PASSED
N 50 - 50
N - 1,000
N - 1,000
N - 1,000
Predsone F - 1,000 FAILED
Inderal W 1,000 - PASSED
Inderal W 1,000 - PASSED
Generic W 1,000 - PASSED
Verorab W 50 - PASSED
Indirab W - 50 PASSED
Scilin R F - - FAILED
N - -
N - -
Albulem W 50 - PASSED
N - -
Provexel W 3,000 - 3,000 PASSED
W - 2,000 PASSED
Diastatin W - 2,000 PASSED
Simvoget W - 2,000 PASSED
N 1,000 - 1,000
N - 1,000
N 1,000 -
Tamsumax W 1,000 - PASSED
Bricalin F - - FAILED
N - -
N - -
N - 10
Generic F 1,500 - 1,500 FAILED
N - -
N - -
Hemoxane F 2,000 - FAILED
N - 500
N 2,000 - 1,000
Angimax MR W - 1,000 PASSED
N - 500
N 100 -
N - 500
Warik F 500 - FAILED
Cetamid W - 100 PASSED
Fluimucil W 600 - 1,200 PASSED
Hidonac F - - FAILED
Exflem W 1,200 - 1,200 PASSED
Fluimucil W - - PASSED
Fluimucil W - - PASSED
N - - 5
N - -
Aldren 70 W - - PASSED
N 1,000 -
N - 500
Altrox 250 W 500 - PASSED
N - 200
Vitcee W - 50 PASSED
Vitcee W - 50 PASSED
Vitcee W 2,000 - 2,000 PASSED
Acurium W 500 - 500 PASSED
Atropan F - 1,000 FAILED
N 50 -
Trilaxant W - 2,000 PASSED
Vert W - 1,000 PASSED
Aketon W 10,000 - PASSED
Dulxative W 500 - 1,000 PASSED
N 500 -
N 1,000 -
Orfadol F 500 - 1,000 FAILED
Calvin Plus W 1,000 - PASSED
Generic W 300 - PASSED
Tegrepin W 10,000 - PASSED
N - -
Coxto W 2,000 - 2,000 PASSED
Celebrex W 1,000 - 2,000 PASSED
Rhizinegone F - 1,000 FAILED
Allerkid W - 50 PASSED
N - 50
Generic W - 50 PASSED
Generic F - 100 FAILED
Zycloran W - 10,000 PASSED
Zycloran W - 10,000 PASSED
N - -
Glevate F 100 - 100 FAILED
Clonotril-2 W 2,000 - PASSED
Clopixene W 2,000 - 3,000 PASSED
Vexepam F - - 1,000 FAILED
Anxiol F 1,000 - 2,000 FAILED
Dicofen F - - FAILED
Vodefen W - 500 PASSED
N - - 50
N - - 50
N 1,000 -
Bexil F 1,000 - 1,000 FAILED
Toridon W 500 - PASSED
N - 500
Epogen W 400 - 500 PASSED
Eposino W - 50 PASSED
Ecsapro W 1,000 - PASSED
Hista-Bloc F 200 - 200 FAILED
Sublimax F - - 500 FAILED
N - 10,000
N - 50
N - 50
F - 10,000 FAILED
Drafzin W 1,000 - PASSED
N 500 -
N - 50
Folimax W 1,000 - PASSED
N - 50
Gabavex 100 W - 500 PASSED
Gabavex 300 W - 500 PASSED
Zuredel F - 10,000 FAILED
N 500 - 500
Heprin F 300 300 FAILED
Albumax W 500 - PASSED
Iterax W - 500 PASSED
Droxiem W 300 - PASSED
Pasbutyl W 500 - PASSED
N 1,000 -
N 50 -
Feverfree W 50 - PASSED
Alaxpro W 1,000 - PASSED
Scanlux W 500 - PASSED
Feron F - 200 FAILED
Dupavar F 1,000 - FAILED
Isoxilan W 200 - PASSED
N - 100
N - 200
Ketral W 6,000 - 6,000 PASSED
Lilac W 500 - PASSED
Lamitor 50 F 500 FAILED
N 200 -
Litcab F - - FAILED
N - 300
Generic W 500 - PASSED
N 50 -
Generic W 1,000 - PASSED
Methycobal W 300 - PASSED
N 500 -
Fenamax W 10,000 - PASSED
N 1,000 -
Utergin F 1,000 - FAILED
Clozil F 500 - FAILED
Sedoz W 500 - PASSED
Midazolex W 1,000 - PASSED
MST Continus W 960 - PASSED
Generic F - 500 FAILED
MST Continus W 960 - PASSED
Diavit W - 50 PASSED
Multilem F - 50 FAILED
N - 50
Diavit W - 1,000 PASSED
Bactriderm F 200 - 200 FAILED
Nukaine F 2,000 - 2,000 FAILED
Generic F 50 - FAILED
N - 500
N - 500
Prostigmine W 50 - 50 PASSED
Olandus 10 W - 1,000 PASSED
Azibloc W 3,000 - 3,000 PASSED
Zyom W 3,000 - 4,000 PASSED
Wilom W - 2,000 PASSED
Glucosol W - 500 PASSED
Generic F 2,000 - FAILED
Alagesic W 100 - PASSED
Tamin W 100 - PASSED
Febrinil W 15,000 - PASSED
Alagesic W 100 - PASSED
Febrile Free W 2,000 - PASSED
N - -
Luminal W 1,000 - PASSED
N - 1,000
N - 1,000
N - 1,000
Dilantin W 500 - PASSED
Santon W 300 - PASSED
Hema-K F 3,000 - 3,000 FAILED
Kalium / Durules W 1,000 - PASSED
Generic W 1,000 - 1,000 PASSED
K-Lyte F - - FAILED
Venpred W 50 - PASSED
Iv-Pro W 1,000 - PASSED
N - -
N - 1,000
Qtipine 25 W - 1,000 PASSED
Qtipine 300 F - 1,000 FAILED
Ulci-Bloc W 1,000 - PASSED
Zantol W 3,000 - PASSED
F 2,000 - FAILED
Recombicyte F - 50 FAILED
Rispedin-2 W 3,000 - PASSED
Residon F - 2,000 FAILED
Neumeron F - 200 FAILED
N - -
N - -
Deperin W 2,000 - 2,000 PASSED
Silvederma W - - PASSED
Flamizin F 50 - FAILED
Generic W 500 - 500 PASSED
N - -
Depamax F - 2,000 FAILED
Generic W 50 - PASSED
Generic W 50 - PASSED
Iselpin W 200 - PASSED
Anektil W 300 - PASSED
N - -
N - -
N - -
Penthal F - - FAILED
N 50 -
Mytocin W 50 - PASSED
N - 20
Topvex 25 W - - PASSED
N - 1,000
Dynatram W 1,000 - 2,000 PASSED
Ursofalk W - 2,000 PASSED
Epival W 5,000 - 5,000 PASSED
Neurobex F 200 - 200 FAILED
Bernaoin W - 10,000 PASSED
Immuzine W 50 - PASSED
Immuzine W 50 - PASSED
Stilnox W - 200 PASSED
N - 50
Cafonate W 1,000 1,000 PASSED
Cetagen 500 W - 200 PASSED
Kemocarb W - 300 PASSED
N 50 - 50
Cyphos-1 W - 50 PASSED
Cyphos-500 W - 50 PASSED
Cancyt W - 50 PASSED
MPL- Cyta W - 50 PASSED
Arzi-200 W 50 - 100 PASSED
N 50 - 50
Vexdo 20 W 50 - 100 PASSED
Vexdo 80 W 50 - 100 PASSED
Adrosal W - 50 PASSED
Doxvex 50 W 100 - 200 PASSED
N 100 - 100
Recombicyte W 50 - 100 PASSED
N 300 -
Fluonco W 300 - 1,000 PASSED
Omnicure- 1 W 100 - 200 PASSED
Omnicure W 50 - 100 PASSED
N 500 -
Alltrex W 200 - PASSED
N - 500
Emitron F 500 - 500 FAILED
Meslatin W 50 - 50 PASSED
Paclizel W 100 - 200 PASSED
Paclizel W 100 - 200 PASSED
Tamoxigen 20 W 2,000 - 2,000 PASSED
N 20 -
N 20 -
N 20 -
N - -
N - -
N - -
Nirmin 5-S F 100 - FAILED
N - -
N - -
Generic W - 240 PASSED
Generic W - 1,200 PASSED
Generic W - 1,200 PASSED
Eurosol-M in D5 WateW - 2,400 PASSED
W - 2,400 PASSED
Endusol-R W - - PASSED
Generic W 6,000 6,000 PASSED
Generic W - 2,400 PASSED
Generic W 2,400 2,400 PASSED
N - 300
Generic W 3,000 300 PASSED
Nirhes 130 W 300 - 300 PASSED
Renimax W 2,400 - 2,400 PASSED
Generic W 2,400 2,400 PASSED
Generic W 1,200 12,000 PASSED
Generic W 3,000 3,000 PASSED

5,000 5,000
2,000 2,000
3,000 3,000
3,000 3,000
1,000 1,000
3,000 3,000
3,000 3,000
- 300
- 3,000
REMARKS
SUPPLIER
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
MPA PHARMACARE
MPA PHARMACARE
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
ZUELLIG PHARMA
UNITED LABORATORIES
ZUELLIG PHARMA
PHIL PHARMAWEALTH
PHILCARE PHARMA
PHIL PHARMAWEALTH
MPA PHARMACARE
MPA PHARMACARE
MPA PHARMACARE
PHIL PHARMAWEALTH
NO Certificate oPHIL PHARMAWEALTH
DYNASTY
UNITED LABORATORIES
GETZ BROS.
GETZ BROS.
METRODRUG
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
DYNASTY
ZUELLIG PHARMA
NO BIDDER NO BIDDER
RBC-MDC
PHIL PHARMAWEALTH
DYNASTY
MPA PHARMACARE
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO Certificate oPHIL PHARMAWEALTH
PHIL PHARMAWEALTH
GETZ BROS.
METRODRUG
GETZ BROS.
PHIL PHARMAWEALTH
ZUELLIG PHARMA
ZUELLIG PHARMA
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
MPA PHARMACARE
NATRAPHARM
NATRAPHARM
GETZ BROS.
GETZ BROS.
QUALIFIRST
MPA PHARMACARE
MPA PHARMACARE
MPA PHARMACARE
MPA PHARMACARE
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
METRODRUG
ZUELLIG PHARMA
ZUELLIG PHARMA
NO Certificate oPHIL PHARMAWEALTH
SERAPH ENTERPRISES
ZUELLIG PHARMA
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ZUELLIG PHARMA
NATRAPHARM
PHILCARE PHARMA
METRODRUG
METRODRUG
METRODRUG
EUROMED
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MPA PHARMACARE
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NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
MPA PHARMACARE
MPA PHARMACARE
QUALIFIRST
NO BIDDER NO BIDDER
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ZUELLIG PHARMA
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NO BIDDER NO BIDDER
ZUELLIG PHARMA
NO BIDDER NO BIDDER
METRODRUG
NO BIDDER NO BIDDER
METRODRUG
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
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UNITED LABORATORIES
UNITED LABORATORIES
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NATRAPHARM
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OXFORD
METRODRUG
SAMPLE IS NOT PHIL PHARMAWEALTH
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PHIL PHARMAWEALTH
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PHIL PHARMAWEALTH
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NATRAPHARM
NATRAPHARM
ZUELLIG PHARMA
EUROMED
ZUELLIG PHARMA
NO BIDDER NO BIDDER
GETZ BROS.
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
ZUELLIG PHARMA
GETZ BROS.
NO Certificate oPHIL PHARMAWEALTH
NO CA/ BRAND NAME PHIL PHARMAWEALTH

Expired CGMP PHIL ( PHARMAWEALTH


NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO Certificate oPHIL PHARMAWEALTH
ZUELLIG PHARMA
ZUELLIG PHARMA
ZUELLIG PHARMA
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
ZUELLIG PHARMA
ZUELLIG PHARMA
ZUELLIG PHARMA
ZUELLIG PHARMA
NO BIDDER NO BIDDER
METRODRUG
METRODRUG
PHIL PHARMAWEALTH
NO Certificate oPHIL PHARMAWEALTH
METRODRUG
NATRAPHARM
UNITED LABORATORIES
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO Certificate of MPA PHARMACARE
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
METRODRUG
METRODRUG
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
SAMPLE IS NOT PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO Certificate oMETRODRUG
SANNOVEX
SANNOVEX
NO BIDDER NO BIDDER
Cerificate of AnZUELLIG PHARMA
GETZ BROS.
UNITED LABORATORIES
METRODRUG
NO BIDDER NO BIDDER
ZUELLIG PHARMA
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
METRODRUG
GETZ BROS.
METRODRUG
METRODRUG
METRODRUG
NO BIDDER NO BIDDER
Expired CGMP PHIL
( PHARMAWEALTH
METRODRUG
ZUELLIG PHARMA
ZUELLIG PHARMA
ZUELLIG PHARMA
ZUELLIG PHARMA
ZUELLIG PHARMA
METRODRUG
ZUELLIG PHARMA
MPA PHARMACARE
METRODRUG
METRODRUG
UNITED LABORATORIES
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
PHILCARE PHARMA
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
Expired CPR ( June 20PHIL PHARMAWEALTH
ZUELLIG PHARMA
ZUELLIG PHARMA
MPA PHARMACARE
ZUELLIG PHARMA
PHIL PHARMAWEALTH
Cerificate of AnMETRODRUG
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
MPA PHARMACARE
NO BIDDER NO BIDDER
ZUELLIG PHARMA
MPA PHARMACARE
MPA PHARMACARE
GETZ BROS.
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
GOOD FELLOW
NO Certificate oPHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO Certificate oPHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO Certificate oPHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
METRODRUG
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO SAMPLE METRODRUG
METRODRUG
METRODRUG
Cerificate of AnMETRODRUG
UNITED LABORATORIES
METRODRUG
METRODRUG
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
METRODRUG
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
METRODRUG
NO BIDDER NO BIDDER
MPA PHARMACARE
MPA PHARMACARE
MPA PHARMACARE
PHIL PHARMAWEALTH
NO Certificate oPHIL PHARMAWEALTH
NO BIDDER NO BIDDER
ZUELLIG PHARMA
MPA PHARMACARE
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO Certificate oPHIL PHARMAWEALTH
METRODRUG
EUROMED
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
MPA PHARMACARE
ZUELLIG PHARMA
NO Certificate oPHIL PHARMAWEALTH
UNITED LABORATORIES
NO BIDDER NO BIDDER
OXFORD
NO Certificate oPHIL PHARMAWEALTH
METRODRUG
METRODRUG
NO BIDDER NO BIDDER
Cerificate of AnMETRODRUG
METRODRUG
METRODRUG
NO CA/ CPR NOT COM PHIL PHARMAWEALTH

NO Certificate oPHIL PHARMAWEALTH


NO Certificate oPHIL PHARMAWEALTH
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO Certificate oPHIL PHARMAWEALTH
METRODRUG
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
GOOD FELLOW
PHIL PHARMAWEALTH
NO Certificate oPHIL PHARMAWEALTH
NO CA/ NO S PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO DOCUMENMPA PHARMACARE
METRODRUG
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
ZUELLIG PHARMA
NO BIDDER NO BIDDER
METRODRUG
METRODRUG
NO BABE METRODRUG
NO BIDDER PHIL PHARMAWEALTH
NO CA/ EXPI PHIL PHARMAWEALTH
VIZCARRA
ZUELLIG PHARMA
MARK ERICSON
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
MPA PHARMACARE
RBC-MDC
NO CA/ EXPIRED CGMPPHIL
(0 PHARMAWEALTH
PHIL PHARMAWEALTH
NO CA/ EXPIRED CGMP(06

UNITED LABORATORIES
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
GETZ BROS.
EXPIRED CPRMETRODRUG
NO BIDDER NO BIDDER
NO BIOEQUI METRODRUG
NO BIDDER NO BIDDER
OXFORD
NO BIDDER NO BIDDER
EUROMED
ZUELLIG PHARMA
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO Certificate oPHIL PHARMAWEALTH
NO Certificate oPHIL PHARMAWEALTH
METRODRUG
DELEX PHARMA INC.
ZUELLIG PHARMA
Cerificate of AnZUELLIG PHARMA
ZUELLIG PHARMA
MPA PHARMACARE
MPA PHARMACARE
NO BIDDER NO BIDDER
MPA PHARMACARE
NO Certificate of ana PHIL PHARMAWEALTH

NO Certificate oPHIL PHARMAWEALTH


NO Certificate oZUELLIG PHARMA
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
ZUELLIG PHARMA
METRODRUG
PHIL PHARMAWEALTH
METRODRUG
RBC-MDC
PHIL PHARMAWEALTH
NO Certificate oPHIL PHARMAWEALTH
MPA PHARMACARE
PHILCARE PHARMA
PHIL PHARMAWEALTH
MPA PHARMACARE
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
ZUELLIG PHARMA
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
ZUELLIG PHARMA
PHILCARE PHARMA
NO Certificate oPHIL PHARMAWEALTH
ZUELLIG PHARMA
EUROMED
NO BA/BE METRODRUG
ZUELLIG PHARMA
METRODRUG
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
METRODRUG
EXPIRED CPRMETRODRUG
(O
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
NO Certificate oPHIL PHARMAWEALTH
NO Certificate oPHIL PHARMAWEALTH
PHIL PHARMAWEALTH
EXPIRED CPR/METRODRUG
NO Certificate oPHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
METRODRUG
METRODRUG
NO Certificate oPHIL PHARMAWEALTH
ZUELLIG PHARMA
NO BIDDER NO BIDDER
NO BIOEQUI METRODRUG
ZUELLIG PHARMA
ZUELLIG PHARMA
ZUELLIG PHARMA
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO Certificate oPHIL PHARMAWEALTH
NO BIDDER NO BIDDER
ZUELLIG PHARMA
NO BIDDER NO BIDDER
METRODRUG
NO BIDDER NO BIDDER
DYNASTY
ZUELLIG PHARMA
ZUELLIG PHARMA
NO Certificate oPHIL PHARMAWEALTH
MPA PHARMACARE
OXFORD
OXFORD
ZUELLIG PHARMA
NO BIDDER NO BIDDER
ZUELLIG PHARMA
GENACE PHARMA
ZUELLIG PHARMA
NO BIDDER NO BIDDER
METRODRUG
METRODRUG
ZUELLIG PHARMA
GLOBO ASIATICO
ZUELLIG PHARMA
NO BIDDER NO BIDDER
METRODRUG
METRODRUG
ZUELLIG PHARMA
METRODRUG
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
GLOBO ASIATICO
GENACE PHARMA
GENACE PHARMA
NO DOCUMENGLOBO ASIATICO
ZUELLIG PHARMA
NO BIDDER NO BIDDER
NO Certificate oPHIL PHARMAWEALTH
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
GENACE PHARMA
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
Certicateof AnaSERAPH ENTERPRISES
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
EUROMED
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
EUROMED
SERAPH ENTERPRISES
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 3/13/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Sevoflurane 250ml 20

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 3/13/2018
ZUELLIG PHARMA - FRESENIUS KABI
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 4/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Capecitabine 500mg 2,000
vial Gemcitabine 1g 100
vial Gemcitabine 200mg 50

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 4/25/2018

FAST MOVING
GENACE PHARMA
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 4/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Human Albumin 20%, 50ml 300

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 4/25/2018
FAST MOVING
VIZCARRA
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 4/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate) 1,000

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 4/25/2018

FAST MOVING
PHILCARE PHARMA
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 4/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Valproate disodium/ Valproic Acid 250mg (as disodium salt or as valproic acid) 5,000

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 4/25/2018

FAST MOVING
ZUELLIG PHARMA - ABBOTT INT'L
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 4/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) 500
vial Doxorubicin powder 10mg (IV) (as HCl) 50
nebule Salbutamol 1mg/ml, 2.5ml (unit dose) (as Sulfate) 6,000

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 4/25/2018

FAST MOVING
ZUELLIG PHARMA - MULTICARE PHARMACEUTICALS INC
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 4/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Atorvastatin 40mg 2,000

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 4/25/2018

FAST MOVING
NATRAPHARM
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 4/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Co-Amoxiclav 625mg (as Trihydrtate) 2,000
vial Metronidazole 5mg/ml, 100ml IV infusion 3,000

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 4/25/2018

FAST MOVING
QUALIFIRST
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 4/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Cefepime 1g (IM,IV) (as HCl) 1,000
vial Ceftriaxone 1g (as Disodium/ Sodium salt) 2,000
vial Cefuroxime 750mg (IM,IV) (as Sodium salt) 2,000

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 4/25/2018

FAST MOVING
DYNASTY
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Potassium 750mg durules (approx. equiv. to 10 mEq) 1,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
ZUELLIG PHARMA - PHARMALINK-INTERPHIL
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate) 20

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
ZUELLIG PHARMA - A MENARINI PHILS
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Loratadine 10mg 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
OXFORD
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Calcium Gluconate 10%, 10ml (IV) 200

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
EUROMED
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Baclofen 10mg 100

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
ZUELLIG PHARMA-ONE PHARMA CO
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
capsule Tamsulosin 200mcg (as HCl) 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
GOODFELLOW
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Methyldopa 250mg 1,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
ZUELLIG PHARMA - ASPEN PHILS INC
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Diltiazem 60mg (as Hydrochloride) 500
ampule Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl) 500

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
CANOMED
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Isoflurane 100ml 12

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
SERAPH ENTERPRISES
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Ascorbic Acid 100mg/5ml, 60ml syrup 20
bottle Ascorbic Acid 100mg/ml, 15ml drops 20
tablet Betahistine 24mg 300
capsule Celecoxib 200mg 2,000
capsule Cloxacillin 500mg 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
MPA PHARMACARE
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Clarithromycin 125mg/5ml, 70ml granules/powder for suspension 20

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
GETZ BROS
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
tablet Carvedilol 25mg 200
bottle Cefuroxime 125mg/5ml, 70ml granules/suspension (as Axetil) 15
bottle Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride) 10
vial Cisplatin 50mg (IV) 30
tablet Folic Acid 5mg 500
bottle Ofloxacin 0.3%, 5ml ear drops solution 10
bottle Ofloxacin Ophthalmic Drop 0.3%, 5ml solution 10
capsule Phenytoin 100mg (as Sodium salt) 300
ampule Sodium Bicarbonate 1mEq/ml, 50ml (IV infusion) 300
ampule Somatostatin 3mg (IV, IV infusion) 20
bottle Tobramycin Ophthalmic drops 0.3%, 3.5g 10

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
ZUELLIG PHARMACORP
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) (IM,IV) (as Na salt) 2,000

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
UNILAB
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
amp/vial Etoposide 20mg/ml, 5ml (IV) 10

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/25/2018

FAST MOVING
GLOBO ASIATICO
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) 1,000

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/25/2018

FAST MOVING
SANNOVEX
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Levofloxacin 5mg/ml solution for IV infusion, 100ml - (1's) 25
vial Oxacillin 500mg - (10's) 1,000
tablet Sertraline 50mg (as HCl) - (50's) 500

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/25/2018

FAST MOVING
METRO DRUG
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) 1,000

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/25/2018

FAST MOVING
ZUELLIG PHARMA - PFIZER INC
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/25/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
vial Ampicillin 1g (IM,IV) (as Sodium salt) 2,000
ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) 250
vial Cefoxitin 1g (IM,IV) (as Sodium salt) 1,500
tablet Clonidine 75mcg (as HCl) 1,000
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) 4,000
amp/vial Gentamycin 40mg/ml, 2ml (IM,IV) (as SO4) 2,000
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) 6,000
bottle Mannitol 20%, 500ml (IV) 1,000
ampule Oxytocin 10 "IU"/ml, 1ml (IM,IV) 1,000
vial Oxaliplatin 100mg (5mg/ml, 20ml) 50
ampule Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV) 2,000

******** FAST MOVING ********

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/25/2018

FAST MOVING
PHIL PHARMAWEALTH
Republic of the Philippines MM-001-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIAL MANAGEMENT SECTION


REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 5/10/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks Fund Cluster
bottle Atropine Sulfate Ophthalmic drops 1%, 10ml 10
tube Clobetasol cream 0.05% , 5g (as Propionate) 100
tablet Dydrogesteone 10mg 500
tablet Ferrous sulfate 325mg 2,000
bottle Folic Acid 2.5mg/ml drops, 10ml 10
bottle Folic Acid 5mg/ml drops 10
bottle Loratadine 5mg/5ml syrup, 30ml 20
tablet Methylergometrine Maleate 125mcg (as Hydrogen Maleate or Maleate) 500
ampule Naloxone 20mcg/ml, 2ml (IM,IV,SC) (as HCl) 20
vial Ofloxacin 2mg/ml, 100ml (IV infusion) 20
tablet Ofloxacin 400mg 300
tablet Ranitidine 300mg (as HCl) 500
tube Silver Sulfadiazine Cream 1%, 50g 50
tablet Sodium Valproate 500mg 6,000
vial Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM) 10
tube Tobramycin Ophthalmic Ointment 0.3%,3.5g 10
capsule Tramadol 50mg (as HCl) 1,000
ampule Verapamil 2.5mg/ml, 2ml (IV) (as Hydrochloride) 30

Purpose: FOR REQUEST OF PURCHASE ORDER

Requested by: Approved by: Issued by: Received by:


Signature
Printed Name SHERYL A. DELOS SANTOS / PAUL M. BALISI, MD, FPCS EDUARDO M. BADUA III, MD, FPSP ODESSA S. LAVADIA SHERYL A. DELOS SANTOS

Designation PHARMACIST IV / CHAIR, PTC CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III PHARMACIST IV
Date 5/10/2018

FAST MOVING
NO BIDDER/FAILED BIDDING
DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -01 tablet Aciclovir 400mg

DM -02 amp/vial Amikacin 100mg/ml, 2ml (IM, IV) (as SO4)

DM -03 amp/vial Amikacin 125mg/ml,( 250mg/2ml) (IM, IV) (as SO4)

DM -04 bottle Amoxicillin 100mg/ml granules/ powder for drops 10ml (as Trihydrate)

DM -05 bottle Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate)

DM -06 capsule Amoxicillin 250mg (as Trihydrate)

DM -07 capsule Amoxicillin 500mg (as Trihydrate)

DM -08 vial Ampicillin 1g (IM,IV) (as Sodium salt)

DM -09 vial Ampicillin 500mg (IM,IV) (as Sodium salt)

DM -10 vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt)

DM -11 vial Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) (IM,IV) (as Na salt)

DM -12 vial Azithromycin 500mg powder (IV infusion) (as base/ as Dihydrate)

DM -13 tablet Azithromycin 500mg (as base/as dihydrate)

DM -14 ampule Bupivacaine 0.5%, 10ml/amp (as HCl)

DM -15 ampule Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY

DM -16 bottle Cefalexin 100mg/ml, 10ml drops (as Monohydrate)

DM -17 bottle Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate)

DM -18 capsule Cefalexin 500mg (as Monohydrate)

DM -19 vial Cefazolin 1g (IM,IV) (as Sodium salt)

DM -20 vial Cefazolin 500mg (IM,IV) (as Sodium salt)

DM -21 vial Cefepime 1g (IM,IV) (as HCl)

DM -22 vial Cefepime 500mg (IM,IV) (as HCl)

DM -23 bottle Cefixime 100mg/5ml, 60ml granules suspension

DM -24 capsule Cefixime 200mg

DM -25 bottle Cefixime 20mg/ml granules drops, 10ml - (1's)

DM -26 vial Cefoxitin 1g (IM,IV) (as Sodium salt)

DM -27 vial Ceftazidime 1g (as Pentahydrate)

DM -28 vial Ceftriaxone 1g (as Disodium/ Sodium salt)

DM -29 bottle Cefuroxime 125mg/5ml, 70ml granules/suspension (as Axetil)

DM -30 tablet Cefuroxime 250mg (as Axetil)

DM -31 bottle Cefuroxime 250mg/5ml, 70ml granules/suspension (as Axetil)

DM -32 tablet Cefuroxime 500mg (as Axetil)

DM -33 vial Cefuroxime 750mg (IM,IV) (as Sodium salt)

DM -34 bottle Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate)

DM -35 vial Chloramphenicol 1g (IM,IV) (as Sodium Succinate)

DM -36 capsule Chloramphenicol 500mg

DM -37 vial Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV Infusion

DM -38 tablet Ciprofloxacin 500mg (as Hydrochloride)

DM -39 bottle Clarithromycin 125mg/5ml, 70ml granules/powder for suspension

DM -40 bottle Clarithromycin 250mg/5ml, powder for suspension - (1's)

DM -41 tablet Clarithromycin 500mg tab OD Modified Release

DM -42 tablet Clarithromycin 500mg tablet as base

DM -43 ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4)

Page 237 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -44 bottle Clindamycin 75mg/5ml granules for suspension, 60ml (as Palmitate HCl)

DM -45 capsule Clindamycin HCl 150mg

DM -46 capsule Clindamycin HCl 300mg

DM -47 capsule Cloxacillin 500mg

DM -48 bottle Co-Amoxiclav 156.25mg/5ml,powder for suspension

DM -49 bottle Co-Amoxiclav 228.5mg/5ml,powder for suspension

DM -50 bottle Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension - Auget

DM -51 bottle Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension - Auget

DM -52 tablet Co-Amoxiclav 625mg (as Trihydrtate)

DM -53 bottle Co-Trimoxazole 200mg/40mg/5ml suspension, 60ml

DM -54 cap/tab Co-Trimoxazole 400mg/80mg

DM -55 bottle Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml

DM -56 cap/tab Co-Trimoxazole 800mg/160mg

DM -57 bottle Diloxanide Furoate 125mg/5ml syrup/suspension 30ml

DM -58 tablet Diloxanide Furoate 500mg

DM -59 capsule Doxycycline 100mg (as Hyclate)

DM -60 capsule Doxycycline 50mg (as Hyclate)

DM -61 bottle Erythromycin 200mg/5ml granules/powder for suspension 60ml (as Ethyl Succinate)

DM -62 tablet Erythromycin 500mg (as Stearate)

DM -63 tube Erythromycin Ophthalmic Ointment 0.5%, 3.5g

DM -64 tablet Ethambutol 200mg (as HCl)

DM -65 tablet Fluconazole 150mg - (20's)

DM -66 capsule Fluconazole 200mg

DM -67 vial Fluconazole 2mg/ml, 100ml (IV infusion) (1's)

DM -68 amp/vial Gentamycin 40mg/ml, 2ml (IM,IV) (as SO4)

DM -69 bottle Isoflurane 100ml

DM -70 tablet Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275mg

DM -71 tablet Isoniazid + Rifampicin + Pyrazinamide 75mg + 150mg +400mg

DM -72 tablet Isoniazid + Rifampicin 75mg + 150mg

DM -73 bottle Isoniazid 200mg/5ml, 120ml syrup

DM -74 vial Ketamine HCl 50mg/ml, 10ml (IM,IV)

DM -75 tablet Levofloxacin 500mg - (60's)

DM -76 vial Levofloxacin 5mg/ml solution for IV infusion, 100ml - (1's)

DM -77 tablet Levofloxacin 750mg - (20's)

DM -78 polyamp Lidocaine 2%, 5ml (as HCl) (20mg/ml)

DM -79 tube Lidocaine 5% ointment 35g (as Hydrochloride)

DM -80 bottle Lidocaine spray 10%, 50ml (as HCl)

DM -81 bottle Mebendazole 100mg/5ml suspension 30ml

DM -82 tablet Mebendazole 500mg

DM -83 vial Meropenem 1g (IV) (as Trihydrate)

DM -84 vial Meropenem 500mg (IV) (as Trihydrate)

DM -85 tablet Metronidazole 125mg base/ 5ml suspension 60ml

DM -86 tablet Metronidazole 500mg

Page 238 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -87 vial Metronidazole 5mg/ml, 100ml IV infusion

DM -88 suppository Metronidazole rectal 1g

DM -89 bottle Nalidixic Acid 250mg/5ml, 60ml suspension

DM -90 bottle Nystatin 100,000 "u"/ml, 30ml suspension

DM -91 bottle Ofloxacin 0.3%, 5ml ear drops solution

DM -92 vial Ofloxacin 2mg/ml, 100ml (Iv infusion)

DM -93 tablet Ofloxacin 400mg

DM -94 bottle Ofloxacin Ophthalmic Drop 0.3%, 5ml solution

DM -95 capsule Oseltamivir 75mg (as Phosphate)

DM -96 vial Oxacillin 500mg - (10's)

DM -97 bottle Oxantel Pyrantel (100mg Oxantel + 100mg Pyrantel)/5ml susp. 10ml (as Embonate)

DM -98 vial Penicillin G Benzathine (Benzathine Benzyl Penicillin) 1.2M units - (10's)

DM -99 vial Penicillin G Crystalline (Benzylpenicillin) 1M "u" vl. (IM,IV) (as Sodium)

DM -100 vial Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl. (IM,IV) (as Sodium)

DM -101 bottle Phennoxymethyl Penicillin (penicillin V) 250mg/5ml granules/powder susp., 60ml (as K salt)

DM -102 cap/tab Phennoxymethyl Penicillin 500mg (as Sodium salt)

DM -103 vial Piperacillin+Tazobactam (2g Piperacillin+250mg Tazobactam)

DM -104 vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV infusion) (as Na)

DM -105 tablet Primaquine 15mg base (as Diphosphate)

DM -106 bottle Pyrazynamide 250mg/5ml, 120ml suspension

DM -107 amp/vial Quinine 300mg/ml, 1ml Iv (as diHCl)

DM -108 tablet Quinine Sulfate 300mg (325) (as Sulfate)

DM -109 bottle Rifampicin 200mg/5ml suspension 120ml

DM -110 bottle Sevoflurane 250ml

DM -111 vial Streptomycin 1g IM (as Sulfate)

DM -112 tablet Sulfadoxine/Pyrimethamine 500mg/25mg

DM -113 vial Vancomycin 500mg (IV) (as HCl)

DM -114 amp/vial Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml (IM)

DM -115 vial Adenosine 3mg/ml, 2ml (IV)

DM -116 ampule Aminophylline 25mg/ml, 10ml (IV)

DM -117 tablet Amiodarone 200mg (as HCl)

DM -118 ampule Amiodarone 50mg/ml, 3ml (IV) (as HCl) - (6's)

DM -119 tablet Amlodipine 10mg (as Besylate)

DM -120 tablet Amlodipine 5mg (as Besylate or Camsylate) - (100's)

DM -121 tablet Aspirin 100mg

DM -122 tablet Aspirin 300mg

DM -123 tablet Aspirin 80mg

DM -124 tablet Atenolol 100mg

DM -125 tablet Atenolol 50mg

DM -126 tablet Atorvastatin 20mg - (100's)

DM -127 tablet Atorvastatin 40mg

DM -128 tablet Atorvastatin 80mg

DM -129 canister Budesonide + Formoterol 160/4.5mcg/ unit dose - Symbicort Turbuhaler

Page 239 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -130 nebule Budesonide 250mcg/ml, 2ml (unit dose)

DM -131 tablet Bumetamide 1mg

DM -132 tablet Butamirate Citrate 50mg MR

DM -133 tablet Candesartan 8mg

DM -134 tablet Captopril 25mg

DM -135 tablet Carbimazole 20mg

DM -136 tablet Carbimazole 5mg

DM -137 tablet Carvedilol 25mg

DM -138 tablet Carvedilol 6.25mg

DM -139 ampule Clonidine 150mcg/ml, 1ml (IV) (as HCl)

DM -140 tablet Clonidine 75mcg (as HCl)

DM -141 tablet Clopidogrel 75mg

DM -142 ampule Cobra Antivenom

DM -143 tablet Dexamethasone 4mg

DM -144 amp/vial Dexamethasone 4mg/ml, 2ml (IM,IV) (as Sodium Phosphate)

DM -145 tablet Digoxin 250mcg (0.25mg)

DM -146 ampule Digoxin 250mcg/ml, 2ml (IM,IV)

DM -147 bottle Digoxin 50mcg (0.05mg)/ml Elixir, 60ml

DM -148 tablet Diltiazem 30mg (as Hydrochloride)

DM -149 tablet Diltiazem 60mg (as Hydrochloride)

DM -150 vial Diphtheria Anti toxin 20,000 iu 10ml (IV)

DM -151 vial Dobutamine 12.5mg/ml, 20ml (IV) (as HCl)

DM -152 vial Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl)

DM -153 vial Dopamine 1.6mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl)

DM -154 vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green)

DM -155 amp/vial Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine 200mg/5ml)

DM -156 tablet Dydrogesteone 10mg

DM -157 p. syringe Enoxaparin Sodium 100mg/ml, 0.4ml - (1's)

DM -158 p. syringe Enoxaparin Sodium 100mg/ml, 0.6ml - (1's)

DM -159 ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride)

DM -160 vial Esmolol 100mg/ml, 10ml (as HCl)

DM -161 tablet Felodipine 10mg MR - (100's)

DM -162 tablet Felodipine 5mg (100's)

DM -163 tablet Fenofibrate 160mg

DM -164 tablet Fenofibrate 200mg

DM -165 p.syringe Fondaparinux 2.5mg/0.5ml solution (as Sodium salt)

DM -166 ampule Furosemide 10mg/ml, 2ml (IM,IV)

DM -167 tablet Furosemide 20mg

DM -168 tablet Furosemide 40mg

DM -169 tablet Glibenclamide 5mg

DM -170 tablet Gliclazide 30mg MR

DM -171 tablet Gliclazide 80mg - (100's)

DM -172 tablet Glipizide 5mg - (100's)

Page 240 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -173 patch Glyceryl Trinitrate (Nitroglycerin) 5mg

DM -174 amp/vial Hepa B vaccine

DM -175 ampule Hydralazine 20mg/ml, 1ml (IM,IV) (as HCl)

DM -176 tablet Hydralazine 25mg (as HCl)

DM -177 tube Hydrocortisone 1% cream, 5g - (1's)

DM -178 vial Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate)

DM -179 vial Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate)

DM -180 canister Ipratropium + Salbutamol MDI x 200 doses

DM -181 nebule Ipratropium + Salbutamol UDV 2.5ml/ unit dose

DM -182 vial Isophane Insulin Human (intermediate, acting, Neutral) inj. 100IU/ml, 10ml (IM,SC) - Insuget-N

DM -183 cap/tab Isosorbide- 5- Mononitrate 30mg

DM -184 cap/tab Isosorbide- 5- Mononitrate 60mg - (70's)

DM -185 tablet Isosorbide dinitrate 10mg

DM -186 ampule Isosorbide dinitrate 1mg/ml, 10ml (IV)

DM -187 tablet Isosorbide dinitrate 5mg SL

DM -188 tablet Levothyroxine 100mcg (as Anhydrous Sodium)

DM -189 tablet Levothyroxine 50mcg (as Anhydrous Sodium) - (100's)

DM -190 tablet Losartan + Hydrochlorothiazide 100mg +25mg - Getzar Plus

DM -191 tablet Losartan + Hydrochlorothiazide 50mg +12.5mg - (100's)

DM -192 tablet Losartan 100mg (as Potassium salt) - (100's)

DM -193 tablet Losartan 50mg (as Potassium salt) - (70's)

DM -194 tablet Medroxyprogesterone Acetate 5mg

DM -195 tablet Metformin 500mg (as HCl)

DM -196 tablet Methimazole 5mg - (100's)

DM -197 tablet Methyldopa 250mg

DM -198 vial Methylprednisolone 125mg/ml, 2ml + diluent (IM,IV) Iv infusion (as Na succinate)

DM -199 vial Methylprednisolone 1g/16ml

DM -200 vial Methylprednisolone 500mg/8ml

DM -201 vial Methylprednisolone inj. 40mg 1ml

DM -202 tablet Methyprednisolone 16mg (30's)

DM -203 tablet Metoprolol 100mg (as Tartrate) - Cardiostat

DM -204 tablet Metoprolol 50mg (as Tartrate)

DM -205 tablet Montelukast 10mg (as Sodium) (30's)

DM -206 tablet Montelukast 5mg (as Sodium) (30's)

DM -207 ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl)

DM -208 capsule Nifedipine 10mg

DM -209 tablet Nifedipine 30mg MR

DM -210 capsule Nifedipine 5mg

DM -211 tablet Nimodipine 30mg

DM -212 ampule Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate)

DM -213 bottle Prednisone 10mg/5ml suspension, 60ml

DM -214 tablet Prednisone 20mg

DM -215 tablet Prednisone 30mg

Page 241 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -216 tablet Prednisone 50mg

DM -217 tablet Prednisone 5mg

DM -218 tablet Propranolol 10mg (as HCl)

DM -219 tablet Propranolol 40mg (as HCl)

DM -220 tablet Propylthiouracil 50mg

DM -221 ampule Rabbies Vaccine (0.5ml of 4% Sodium Chloride) - Verorab

DM -222 vial Rabbies Vaccine Lyophillyzed powder 2.5 IU/ml, 1 dose + 1ml Diluent (ID,IM)

DM -223 p. syringe Regular Insulin 100IU/ml, 3ml (IM,IV,SC) (1's)

DM -224 tablet Rosiglitazone 4mg (as Maleate)

DM -225 tablet Salbutamol 2mg

DM -226 bottle Salbutamol 2mg/5ml, 60ml syrup (as Sulfate)


Salbutamol 2mg/ml, 2
DM -227 canister Salbutamol MDI 100mcg/dose x 200 doses (as SO4)

DM -228 nebule Salbutamol 1mg/ml, 2.5ml (unit dose) (as Sulfate)

DM -229 tablet Sambong 250mg

DM -230 tablet Simvastatin 20mg

DM -231 tablet Simvastatin 40mg - Simvoget

DM -232 tablet Spironolactone 100mg

DM -233 tablet Spironolactone 25mg

DM -234 tablet Spironolactone 50mg

DM -235 capsule Tamsulosin 200mcg (as HCl)

DM -236 ampule Terbutaline 500mcg/ml, 1ml (IM,IV,SC) (as SO4)

DM -237 nebule Terbutaline 2.5mg/ml, 2ml (unit dose)(as SO4)

DM -238 bottle Terbutaline syrup 1.5mg/5ml, 60ml (as SO4)

DM -239 vial Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM)

DM -240 ampule Tetanus Toxoid 0.5ml (IM)

DM -241 tablet Theophylline anhydrous 150mg

DM -242 canister Tiotropium 18mcg/dose (as Br) w/ appropriate accompanying dispenser

DM -243 ampule Tranexamic Acid 100mg/ml, 5ml (IM,IV)

DM -244 capsule Tranexamic Acid 250mg

DM -245 capsule Tranexamic Acid 500mg

DM -246 tablet Trimetazidine 35mg - (60's)

DM -247 tablet Verapamil 180mg (as Hydrochloride)

DM -248 ampule Verapamil 2.5mg/ml, 2ml (IV) (as Hydrochloride)

DM -249 tablet Verapamil 240mg (as Hydrochloride)

DM -250 tablet Warfarin 2.5mg

DM -251 tablet Acetazolamide 250mg - (100's)

DM -252 sachet Acetylcisteine 200mg - (30's)

DM -253 bottle Acetylcisteine 200mg/ml, 25ml (IV infusion) - (1's)

DM -254 tablet Acetylcisteine 600mg

DM -255 bottle Acetylcystein 100mg soln for inj - (5's)

DM -256 bottle Acetylcystein 100mg/ml, inhalation - (5's)

DM -257 can Activated Charcoal 1kg

DM -258 bottle Al hydroxide 225mg/200mg Mg hydroxide/5ml susp., 120ml

Page 242 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION

DM -259 tablet Alendronate 70mg (as Sodium salt) - (4's)

DM -260 tablet Allopurinol 100mg

DM -261 tablet Allopurinol 300mg

DM -262 tablet Alprazolam 250mcg - (100's)

DM -263 ampule Ascorbic 250mg/ml, 2ml

DM -264 bottle Ascorbic Acid 100mg/5ml, 60ml syrup

DM -265 bottle Ascorbic Acid 100mg/ml, 15ml drops

DM -266 tablet Ascorbic Acid 500mg

DM -267 ampule Atracurium Besylate 10mg/ml, 2.5ml (IV)

DM -268 ampule Atropine 1mg/ml, 1ml (IM,IV) (as SO4)

DM -269 bottle Atropine Sulfate Ophthalmic drops 1%, 10ml

DM -270 tablet Baclofen 10mg

DM -271 tablet Betahistine 24mg

DM -272 tablet Biperiden 2mg (as HCl)

DM -273 suppository Bisacodyl 10mg adult

DM -274 suppository Bisacodyl 5mg pediatric

DM -275 tablet Bisacodyl 5mg

DM -276 ampule Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate)

DM -277 tablet Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) - (120's)

DM -278 ampule Calcium Gluconate 10%, 10ml (IV)

DM -279 tablet Carbamazepine 200mg

DM -280 bottle Castor Oil USP Grade 60ml

DM -281 capsule Celecoxib 200mg

DM -282 capsule Celecoxib 400mg - (60's)

DM -283 tablet Cetirizine 10mg (as Dihydrochloride)

DM -284 bottle Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride)

DM -285 bottle Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride)

DM -286 bottle Cetirizine 1mg/ml syr, 60ml (as Dihydrochloride)

DM -287 ampule Chlorpheniramine 10mg/ml, 1ml (IM,IV) (as Maleate)

DM -288 tablet Chlorpromazine 100mg (as HCl) (100's)

DM -289 tablet Chlorpromazine 200mg (as HCl) (100's)

DM -290 tablet Cinnarizine 25mg

DM -291 tube Clobetasol cream 0.05% , 5g (as Propionate)

DM -292 tablet Clonazepam 2mg - (100's)

DM -293 tablet Clozapine 100mg - (100's)

DM -294 tablet Diazepam 5mg

DM -295 ampule Diazepam 5mg/ml, 2ml (IM,IV)

DM -296 ampule Diclofenac Sodium 25mg/ml, 3ml (IM,IV)

DM -297 tablet Diclofenac Sodium 50mg (as Sodium or Potassium salt)

DM -298 bottle Dicycloverine 10mg/5ml, 60ml syrup

DM -299 bottle Diphenhydramine HCl 12.5mg/5ml syrup 60ml

DM -300 capsule Diphenhydramine HCl 50mg

DM -301 ampule Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl)

Page 243 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -302 tablet Domperidone 10mg

DM -303 ampule Ephedrine Sulfate 50mg/ml, 1ml (IM,IV)

DM -304 amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin)

DM -305 prefilled syrnge Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human erythropoetin) - Eposino

DM -306 tablet Escitalopram 10mg (as oxalate)

DM -307 ampule Famotidine 10mg/ml, 2ml (IM,IV)

DM -308 ampule Fentanyl 50mcg/ml, 2ml (IV) (as Citrate)

DM -309 tablet Ferrous Fumarate 500mg (100mg elemental iron)+ B complex

DM -310 bottle Ferrous Sulfate 15mg elemental iron/0.6ml drops, 30ml

DM -311 bottle Ferrous Sulfate 30mg elemental iron/5ml syrup, 60ml

DM -312 tablet Ferrous sulfate 325mg

DM -313 tab/cap Fluoxetin 20mg dispersal - (30's)

DM -314 bottle Fluphenazine Decanoate 25mg/ml, 10ML

DM -315 bottle Folic Acid 2.5mg/ml drops, 10ml

DM -316 tablet Folic Acid 5mg

DM -317 bottle Folic Acid 5mg/ml drops

DM -318 capsule Gabapentine 100mg - (100's)

DM -319 capsule Gabapentine 300mg - (100's)

DM -320 tablet Haloperidol 20mg - (100's)

DM -321 ampule Haloperidol 5mg/ml, 1ml (IM)

DM -322 ampule Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt)

DM -323 vial Human Albumin 20%, 50ml

DM -324 tablet Hydroxyzine 25mg (as Dihydrochloride)

DM -325 ampule Hydroxyzine 50mg/ml, 1ml (IM,IV) - Droxiem

DM -326 tablet Hyoscine 10mg (as N- Butyl Bromide)

DM -327 ampule Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide)

DM -328 bottle Hyoscine 5mg/5ml, 60ml syrup (as N-Butyl Bromide)

DM -329 bottle Ibuprofen 100mg/5ml, 60ml suspension

DM -330 tablet Ibuprofen 400mg

DM -331 vial Iopamidol 755mg/ml equiv. to 370mg iodine, 50ml - Scanlux

DM -332 ampule Iron Sucrose 20mg/ml

DM -333 tablet Isoxsuprine 10mg (as HCl)

DM -334 ampule Isoxsuprine 5mg/ml, 2ml (IM, IV infusion )(as HCl)

DM -335 tablet Ketoprofen 100mg

DM -336 ampule Ketoprofen 50mg/ml, 2ml (IM)

DM -337 ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol)

DM -338 bottle Lactulose 3.3g/5ml (66% syrup), 120ml - Lilac

DM -339 tablet Lamotrigine 50mg - (30's)

DM -340 ampule Lidocaine HCl in 4mg/ml,250ml D5W (pre-mixed) (IV)(as HCl)

DM -341 tablet Lithium Carbonate 450mg MR - (100's)

DM -342 capsule Loperamide 2mg

DM -343 tablet Loratadine 10mg

DM -344 bottle Loratadine 5mg/5ml syrup, 30ml

Page 244 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -345 ampule Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate)

DM -346 ampule Mecobalamin 500mcg/ml (IM/IV)

DM -347 tablet Mefenamic Acid 250mg

DM -348 tablet Mefenamic Acid 500mg

DM -349 tablet Methylergometrine Maleate 125mcg (as Hydrogen Maleate or Maleate)

DM -350 ampule Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleate)

DM -351 ampule Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl)

DM -352 ampule Midazolam 1mg/ml, 5ml (IM,IV) - (1's)

DM -353 ampule Midazolam 5mg/ml, 3ml (IM,IV) (15mg/3ml)

DM -354 tablet Morphine 10mg CR (as Sulfate) (48's)

DM -355 ampule Morphine 15mg/ml, 1ml (IM,IV,SC) (as Sulfate)

DM -356 tablet Morphine 30mg CR (as Sulfate) (48's)

DM -357 bottle Multivitamins 120ml syrup

DM -358 bottle Multivitamins 15ml drops

DM -359 bottle Multivitamins 30ml drops

DM -360 capsule Multivitamins capsule

DM -361 tube Mupirocin 2%, 5g

DM -362 ampule Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl)

DM -363 ampule Naloxone 20mcg/ml, 2ml (IM,IV,SC) (as HCl)

DM -364 tablet Naproxen 275mg

DM -365 tablet Naproxen 550mg

DM -366 ampule Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate) - Prostigmine

DM -367 tablet Olanzapine 10mg - (100's)

DM -368 capsule Omeprazole 20mg

DM -369 ampule Omeprazole 40mg + 10ml solvent (IV) - (1's)

DM -370 capsule Omeprazole 40mg

DM -371 sachet Oral Rehydration Solution

DM -372 ampule Oxytocin 10 "IU"/ml, 1ml (IM,IV)

DM -373 bottle Paracetamol 100mg/ml, (alcohol free), 15ml

DM -374 vial Paracetamol 10mg/ml, 100ml solution for infusion (IV)

DM -375 vial Paracetamol 150mg/ml, 2ml (IM,IV)

DM -376 bottle Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension

DM -377 tablet Paracetamol 500mg

DM -378 ampule Pethidine (Meperiden) 50mg/ml, 2ml (Im, IV, SC) (as HCl)

DM -379 ampule Phenobarbital 130mg/ml, 1ml (IM,IV) (as Sodium) - Luminal

DM -380 tablet Phenobarbital 15mg (1/4 grain)

DM -381 tablet Phenobarbital 60mg (1 grain)

DM -382 tablet Phenobarbital gr 1/2 (30mg)

DM -383 capsule Phenytoin 100mg (as Sodium salt)

DM -384 ampule Phenytoin 50mg/ml, 2ml (IV)(as Sodium salt)

DM -385 ampule Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV)

DM -386 tablet Potassium 750mg durules (approx. equiv. to 10 mEq)

DM -387 vial Potassium Chloride 2mEq/ml, 20ml (IV infusion)

Page 245 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION

DM -389 bottle Prednisolone eye drops suspension 0.5%,5ml (as acetate)

DM -390 amp/vial Propofol 10mg/ml, 20ml IV (oil in water emulsion) - (1's)

DM -391 ampule Pyridoxine (Vit. B6) 100mg/ml, 10ml (IM,IV) (as Hydrochloride)

DM -392 tablet Quetiapine 100mg

DM -393 tablet Quetiapine 25mg - (100's)

DM -394 tablet Quetiapine 300mg - (100's)

DM -395 tablet Ranitidine 150mg (as HCl)

DM -396 ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl)

DM -397 tablet Ranitidine 300mg (as HCl)

DM -398 vial Recombinant H Granulocyte stimulating

DM -399 tablet Risperidone 2mg

DM -400 tablet Risperidone 4mg - (50's)

DM -401 amp/vial Rocuronium Bromide 10mg/ml, 5ml (IV)

DM -402 ampule Ropivacaine 2mg/ml, 10ml (IV)

DM -403 ampule Ropivacaine 7.5mg/ml, 10ml (IV)

DM -404 tablet Sertraline 50mg (as HCl) - (50's)

DM -405 jar Silver Sulfadiazine Cream 1% 500g (micronized) - (1's)

DM -406 tube Silver Sulfadiazine Cream 1%, 50g

DM -407 ampule Sodium Bicarbonate 1mEq/ml, 50ml (IV infusion)

DM -408 tablet Sodium Sulfate

DM -409 tablet Sodium Valproate 500mg

DM -410 ampule Somatostatin 250mcg (IV, IV infusion)

DM -411 ampule Somatostatin 3mg (IV, IV infusion)

DM -412 tablet Sucralfate 1g

DM -413 vial Suxamethonium (Succinyl Choline) 20mg/ml, 10ml IV (as Chloride)

DM -414 ampule Tetracaine 20mg sterile powder (spinal) (as HCl)

DM -415 amp/vial Thiamine 100mg/ml, 1ml (IV)

DM -416 tablet Thiamine 300mg (as Hydrochloride)

DM -417 vial Thiopenthal Sodium 1g + 50ml diluent (IV)

DM -418 bottle Timolol eye drops solution 0.5%,5ml

DM -419 bottle Tobramycin Ophthalmic drops 0.3%, 3.5g

DM -420 tube Tobramycin Ophthalmic Ointment 0.3%,3.5g

DM -421 tablet Topiramate 25mg - (60's)

DM -422 capsule Tramadol 50mg (as HCl)

DM -423 ampule Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl)

DM -424 capsule Ursodeoxycholic Acid 250mg - Ursofalk

DM -425 tablet Valproate disodium/ Valproic Acid 250mg (as disodium salt or as valproic acid) - Epival

DM -426 ampule Vitamin B Complex 100mg+100mg+1mg per 3ml (IV)

DM -427 tablet Vitamin B Complex

DM -428 bottle Zinc 10mg/ml drops - Immuzine

DM -429 bottle Zinc 20mg/5ml syrup - Immuzine

DM -430 tablet Zolpidem 10mg

Page 246 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -431 vial Bleomycin Sulfate 15 units

DM -432 ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV)

DM -433 tablet Capecitabine 500mg

DM -434 vial Carboplatin 450mg - Kemocarb

DM -435 vial Cisplatin 50mg (IV)

DM -436 vial Cyclophosphamide 1g (IV) - (1's)

DM -437 vial Cyclophosphamide 500mg (IV) - (1's)

DM -438 vial Cytarabine 1g/10ml

DM -439 vial Cytarabine 500mg/10ml

DM -440 vial Dacarbazine 200mg

DM -441 vial Dactinomycin 500mcg

DM -442 vial Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) - (1's)

DM -443 vial Docetaxel 40mg/ml, 2ml (IV infusion) - (1's)

DM -444 vial Doxorubicin powder 10mg (IV) (as HCl)

DM -445 vial Doxorubicin powder 50mg (IV) (as HCl) - (1's)

DM -446 amp/vial Etoposide 20mg/ml, 5ml (IV)

DM -447 vial Filgrastim 300mcg

DM -448 vial Fluorouracil 25mg/ml, 10ml (IV, IV Infusion)

DM -449 ampule Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) - Fluonco

DM -450 vial Gemcitabine 1g

DM -451 vial Gemcitabine 200mg

DM -452 tablet Hydroxyurea 500mg

DM -453 ampule Methotrexate 25mg/ml, 2ml (IM,IV, Intrathecal) (as base)

DM -454 ampule Ondansetron 1mg/ml, 4ml (IM,IV)

DM -455 ampule Ondansetron 2mg/ml, 4ml (IM,IV)

DM -456 vial Oxaliplatin 100mg (5mg/ml, 20ml)

DM -457 vial Paclitaxel 100mg

DM -458 vial Paclitaxel 30mg

DM -459 tablet Tamoxifen 20mg (as Citrate)

DM -460 bottle Vinblastin 10mg/10ml

DM -461 vial Vincristine 1mg/ml, 1ml (IV) (as Sulfate)

DM -462 vial Vincristine 1mg/ml, 2ml (IV) (as Sulfate)

DM -463 ampule 0.9% NaCl 20ml

DM -464 vial 6% Dextran 70 in 0.9% NaCl 500ml (IV Infusion)

DM -465 bottle Amino Acids Crystaline 5% (IV Infusion) 500ml

DM -466 bottle Combined Amino Acids + Sorbitol Solution (IV Infusion) 500ml bottle

DM -467 ampule Dextran 70 in 0.9% Sodium Chloride

DM -468 ampule Dextrose 10% in Water 3ml ampule (as solvent)

DM -469 set Dextrose 10% in Water 500ml

DM -470 set Dextrose 5% 0.3 NaCl 500ml (Light Blue)

DM -471 set Dextrose 5% 0.9 NaCl 1L (D5NSS)

DM -472 set Dextrose 5% Balance Multiple Maint. Sol'n 500ml (Violet)

DM -473 set Dextrose 5% Balanced Multiple Maint. Sol'n. 1000ml (D5NM 1L)

DM -474 set Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000ml (D5NR 1L)

Page 247 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -475 set Dextrose 5% in Lactated Ringers 1000ml (Pink)

DM -476 set Dextrose 5% in Water 1000ml

DM -477 set Dextrose 5% in Water 500ml (Red)

DM -478 set Dextrose 5% in Water 500ml (Glass)

DM -479 set Dextrose 50% in Water 50ml

DM -480 bottle Hydroxyethyl starch 6% solution 500ml bottle (IV infusion) - Nirhes 130

DM -481 bottle Mannitol 20%, 500ml (IV)

DM -482 set Dextrose Plain Lactated Ringers Solution 1000ml (Blue)

DM -483 set Dextrose Plain NSS 1000ml (Green)

DM -484 vial Water for injection (triple distilled water), 50ml vial (steriile water for injection)

SUPPLI
set Intravenous Administration Set (Macroset) 20 drops/ml
set Intravenous Administration Set (Microset) 60 drops/ml
set IV Cannula G18 with injection port
set IV Cannula G20 with injection port
set IV Cannula G22 with injection port
set IV Cannula G24 with injection port
set IV Cannula G26 with injection port
set Blood Transfusion Set
set Soluset

Page 248 of 413


PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE
EXCLUDED IN APP 13.11 PASSED PHIL PHARMAWEALTH 500
NO BIDDER NO BIDDER

NON-PNF WAG NA IREQUEST


21.33 PASSED PHIL PHARMAWEALTH -
15.30 PASSED MPA PHARMACARE 50
19.88 PASSED MPA PHARMACARE 250
NO BIDDER NO BIDDER
1.16 PASSED PHIL PHARMAWEALTH 2,500
11.88 PASSED PHIL PHARMAWEALTH -
7.78 PASSED PHIL PHARMAWEALTH -
1's 107.10 PASSED ZUELLIG PHARMA CORP - PFIZER 3,000
39.00 PASSED UNITED LABORATORIES 4,000
1's 548.00 PASSED ZUELLIG PHARMA CORP - PFIZER -
8.34 PASSED PHIL PHARMAWEALTH -
67.88 PASSED PHILCARE PHARMA 300
102.22 PASSED PHIL PHARMAWEALTH 900
NON-PNF WAG NA IREQUEST 20.00 PASSED MPA PHARMACARE -
24.75 PASSED MPA PHARMACARE -
2.55 PASSED MPA PHARMACARE 2,500
21.22 PASSED PHIL PHARMAWEALTH 1,500
FAILED BIDDINFAILED FAILED BIDDING
180.00 PASSED DYNASTY 500
192.00 PASSED UNITED LABORATORIES 200
200.00 PASSED GETZ BROS. PHIL. INC. -
16.00 PASSED GETZ BROS. PHIL. INC. -
1's 140.00 PASSED METRODRUG 15
99.44 PASSED PHIL PHARMAWEALTH 2,000
34.12 PASSED PHIL PHARMAWEALTH 4,000
20.00 PASSED DYNASTY 4,000
NON-PNF WAG NA IREQUEST 228.00 PASSED ZUELLIG PHARMA CORP -
NO BIDDER NO BIDDER
243.25 PASSED RBC-MDC CORP 50
8.88 PASSED PHIL PHARMAWEALTH 1,250
20.00 PASSED DYNASTY 1,500
29.00 PASSED MPA PHARMACARE -
27.88 PASSED PHIL PHARMAWEALTH 200
NO BIDDER NO BIDDER
26.49 PASSED PHIL PHARMAWEALTH -
1.24 PASSED PHIL PHARMAWEALTH 2,500
185.00 PASSED GETZ BROS. PHIL. INC. 200
1's 450.00 PASSED METRODRUG 200
33.00 PASSED GETZ BROS. PHIL. INC. -
9.49 PASSED PHIL PHARMAWEALTH 500
1's 140.00 PASSED ZUELLIG PHARMA CORP - PFIZER 2,000

Page 249 of 413


PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE
1's 235.40 PASSED ZUELLIG PHARMA CORP - PFIZER -
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
3.24 PASSED MPA PHARMACARE 1,500
154.00 PASSED NATRAPHARM 75
NON-PNF WAG NA IREQUEST 175.00 PASSED NATRAPHARM 75
180.00 PASSED GETZ BROS. PHIL. INC. 75
190.00 PASSED GETZ BROS. PHIL. INC. 75
7.80 PASSED QUALIFIRST HEALTH INC 2,500
18.00 PASSED MPA PHARMACARE -
1.13 PASSED MPA PHARMACARE 300
23.00 PASSED MPA PHARMACARE 25
1.50 PASSED MPA PHARMACARE -
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
148.44 PASSED PHIL PHARMAWEALTH 400
NO BIDDER NO BIDDER
20's 120.00 PASSED METRODRUG -
333.00 PASSED ZUELLIG PHARMA CORP - PFIZER -
1's 522.00 PASSED ZUELLIG PHARMA CORP - PFIZER -
4.38 PASSED PHIL PHARMAWEALTH -
1,975.00 PASSED SERAPH ENTERPRISES 25
80 7.00 PASSED ZUELLIG PHARMA CORP - PFIZER -
NO BIDDER NO BIDDER
6.50 PASSED ZUELLIG PHARMA - MULTICARE PHA 700
78.00 PASSED NATRAPHARM 10
548.00 PASSED PHILCARE PHARMA -
60's 5.20 PASSED METRODRUG 625
1's 250.00 PASSED METRODRUG 25
20's 20.00 PASSED METRODRUG -
11.00 PASSED EUROMED 3,000
NO BIDDER NO BIDDER
2,953.00 PASSED MPA PHARMACARE -
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
167.23 PASSED PHIL PHARMAWEALTH 600
99.78 PASSED PHIL PHARMAWEALTH 500
18.00 PASSED MPA PHARMACARE -
1.28 PASSED MPA PHARMACARE 4,500

Page 250 of 413


PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE
15.77 PASSED QUALIFIRST HEALTH INC 4,000
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
230.00 PASSED ZUELLIG PHARMA CORP -
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
160.00 PASSED ZUELLIG PHARMA CORP -
NO BIDDER NO BIDDER
10's 23.00 PASSED METRODRUG 750
NO BIDDER NO BIDDER
10's 55.00 PASSED METRODRUG 200
6.49 PASSED PHIL PHARMAWEALTH -
17.22 PASSED PHIL PHARMAWEALTH -
NO BIDDER NO BIDDER
di fast moving NO BIDDER NO BIDDER
fast moving 90.00 PASSED UNITED LABORATORIES -
EXCLUDED IN APP 96.00 PASSED UNITED LABORATORIES 1,000
NO BIDDER NO BIDDER
90.00 PASSED NATRAPHARM 10
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
5,600.00 PASSED ZUELLIG PHARMA CORP - FRESENIUS 36
12.88 PASSED PHIL PHARMAWEALTH -
NO BIDDER NO BIDDER
153.22 PASSED PHIL PHARMAWEALTH -
NO BIDDER NO BIDDER
290.00 PASSED PHILCARE PHARMA -
FAILED BIDDINFAILED FAILED BIDDING canomed
23.50 PASSED OXFORD -
6's 243.04 PASSED METRODRUG -
0.78 PASSED PHIL PHARMAWEALTH -
100'sin APP
excluded 1.08 PASSED METRODRUG 2,500
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
0.88 PASSED PHIL PHARMAWEALTH 2,500
NO BIDDER NO BIDDER
1.98 PASSED PHIL PHARMAWEALTH 500
100's 3.80 PASSED METRODRUG -
20.00 PASSED NATRAPHARM 2,000
23.00 PASSED NATRAPHARM -
681.35 PASSED ZUELLIG PHARMA CORP - ASTRAZEN 10

Page 251 of 413


PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE
24.00 PASSED EUROMED 300
23.52 PASSED ZUELLIG PHARMA CORP -
NO BIDDER
NON-PNF WAG NA IREQUEST NO BIDDER
10.84 PASSED GETZ BROS. PHIL. INC. 125
NO BIDDER NO BIDDER canomed
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
4.60 PASSED ZUELLIG PHARMA CORP -
2.27 PASSED GETZ BROS. PHIL. INC. 1,500
115.22 PASSED PHIL PHARMAWEALTH -
4.11 PASSED PHIL PHARMAWEALTH -
1.59 FAILED PHIL PHARMAWEALTH
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
24.00 PASSED MPA PHARMACARE -
4.16 PASSED ZUELLIG PHARMA - ASPEN PHILS INC 2,000
160.16 PASSED ZUELLIG PHARMA CORP -
716.22 PASSED ZUELLIG PHARMA - ASPEN PHILS INC 10
NO BIDDER NO BIDDER
19.00 PASSED CANOMED -
NO BIDDER NO BIDDER
112.22 PASSED PHIL PHARMAWEALTH -
1's 726.00 PASSED ZUELLIG PHARMA CORP - PFIZER c/o sir paul -
marami stock 1740 as of 4-11-2018
369.02 PASSED ZUELLIG PHARMA CORP -
248.00 PASSED ZUELLIG PHARMA CORP 1,500
1's 59.89 PASSED ZUELLIG PHARMA CORP - PFIZER 500
NO BIDDER NO BIDDER
1's 288.00 PASSED METRODRUG -
1's 460.00 PASSED METRODRUG -
37.22 PASSED PHIL PHARMAWEALTH 3,000
FAILED BIDDINFAILED FAILED BIDDING
100's 11.00 PASSED METRODRUG -
9.75 PASSED NATRAPHARM 50
33.80 PASSED UNITED LABORATORIES 500
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
6.48 PASSED PHIL PHARMAWEALTH 10,000
NO BIDDER NO BIDDER
FAILED
NON PNF WAG NA IREQUEST BIDDINFAILED FAILED BIDDING
0.98 PASSED PHIL PHARMAWEALTH -
2.50 PASSED METRODRUG 1,000
100's 1.83 PASSED METRODRUG -
100's 10.20 PASSED METRODRUG -

Page 252 of 413


PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
87.33 FAILED PHIL PHARMAWEALTH phil pharmawealth
NO BIDDER NO BIDDER
1's 130.00 PASSED METRODRUG -
140.00 PASSED SANNOVEX 500
75.00 PASSED SANNOVEX 1,500
NO BIDDER NO BIDDER
13.75 FAILED ZUELLIG PHARMA CORP zuellig
205.91 PASSED GETZ BROS. PHIL. INC. 50
13.04 PASSED UNITED LABORATORIES 2,000
70's 7.00 PASSED METRODRUG -
NO BIDDER NO BIDDER
533.99 PASSED ZUELLIG PHARMA CORP -
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
100's
NON PNF WAG NA IREQUEST 4.05 PASSED METRODRUG -
7.36 PASSED GETZ BROS. PHIL. INC. 750
100's 1.29 PASSED METRODRUG 1,000
100's 3.20 PASSED METRODRUG 1,250
70's 1.02 PASSED METRODRUG 3,750
marami pa stock doh
NO BIDDER NO BIDDER
donation
0.78 FAILED FAILED BIDDING phil pharmawealth
100's 5.40 PASSED METRODRUG 150
16.07 PASSED ZUELLIG PHARMA - ASPEN PHILS INC 3,000
1's 745.00 PASSED ZUELLIG PHARMA CORP - PFIZER -
1's 3,126.93 PASSED ZUELLIG PHARMA CORP - PFIZER -
Methylprednisolone 500mg/7.7ml pinalitan ni sheng ito
1's 2,378.28 PASSED ZUELLIG PHARMA CORP - PFIZER -
1's 289.93 PASSED ZUELLIG PHARMA CORP - PFIZER -
30's 8.20 PASSED METRODRUG -
marami pa stock doh 1.90 PASSED ZUELLIG PHARMA CORP - ONE PHAR 3,000
donation
1.38 PASSED MPA PHARMACARE -
30's 5.79 PASSED METRODRUG -
30's 9.40 PASSED METRODRUG -
611.04 PASSED UNITED LABORATORIES 1,000
FAILED BIDDINFAILED FAILED BIDDING canomed
NO BIDDER
NON PNF WAG NA IREQUEST NO BIDDER
NO BIDDER PASSED CANOMED -
37.89 PASSED ZUELLIG PHARMA CORP -
298.00 PASSED PHILCARE PHARMA 3,000
104.00 PASSED CANOMED -
NO BIDDER
NON PNF WAG NA IREQUEST NO BIDDER
NON PNF WAG NA IREQUEST 10.00 FAILED FAILED BIDDING biolink

Page 253 of 413


PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
NON PNF WAG NA IREQUEST PRICE
UNIT
NO BIDDER NO BIDDER
FAILED BIDDINFAILED FAILED BIDDING canomed
10.91 PASSED ZUELLIG PHARMA CORP -
17.43 PASSED ZUELLIG PHARMA CORP -
11.00 PASSED MPA PHARMACARE -
1,250.00 PASSED ZUELLIG PHARMA CORP - SANOFI PA 30
873.22 PASSED PHIL PHARMAWEALTH -
1'sWAG NA IREQUEST
NON PNF 120.00 PASSED METRODRUG -
NO BIDDER
NON PNF WAG NA IREQUEST NO BIDDER
NO BIDDER NO BIDDER
2mg/ml, 2.5ml (unit dose) (as Sulfate) pinalitan ni14.90
shengPASSED
ito
MPA PHARMACARE 300
68.48 FAILED PHIL PHARMAWEALTH phil pharmawealth
NON PNF WAG NA IREQUEST 7.25 PASSED ZUELLIG PHARMA - MULTICARE PHA 10,000
2.25 PASSED MPA PHARMACARE 1,000
1.00 PASSED MPA PHARMACARE -
4.00 PASSED GETZ BROS. PHIL. INC. 1,000
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
18.08 PASSED GOOD FELLOW PHARMA 200
FAILED BIDDINFAILED FAILED BIDDING
NO BIDDER NO BIDDER
19.00 PASSED CANOMED -
NO BIDDER NO BIDDER
28.33 PASSED PHIL PHARMAWEALTH -
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
FAILED BIDDINFAILED FAILED BIDDING phil pharmawealth
NO BIDDER NO BIDDER
5.40 PASSED CANOMED -
60's 11.88 PASSED METRODRUG -
44.43 PASSED ZUELLIG PHARMA CORP -
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
FAILED BIDDINFAILED FAILED BIDDING
100's 20.00 PASSED METRODRUG 100
30's 11.38 PASSED METRODRUG 500
1's 1,699.00 PASSED METRODRUG -
15.00 PASSED UNITED LABORATORIES 1,000
NON-PNF WAG NA IREQUEST
5's 118.00 PASSED METRODRUG 25
5's 118.00 PASSED METRODRUG 13
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER

Page 254 of 413


PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE
4's 80.00 PASSED METRODRUG -
0.87 PASSED CANOMED -
NO BIDDER NO BIDDER
100's 5.25 PASSED METRODRUG 250
FAILED BIDDINFAILED FAILED BIDDING canomed
16.80 PASSED MPA PHARMACARE -
16.80 PASSED MPA PHARMACARE -
0.78 PASSED MPA PHARMACARE 15,000
85.22 PASSED PHIL PHARMAWEALTH 500
FAILED BIDDINFAILED FAILED BIDDING
NO BIDDER NO BIDDER
14.95 PASSED ZUELLIG PHARMA CORP - ONE PHARMA CO INC 500
59.80 PASSED MPA PHARMACARE -
4.28 PASSED PHIL PHARMAWEALTH -
22.32 PASSED PHIL PHARMAWEALTH 1,000
NO BIDDER NO BIDDER
marami pa stock notNO BIDDER
fast moving NO BIDDER
567.07 PASSED ZYRE PHARMA 1,000
120's 4.00 PASSED METRODRUG 250
19.00 PASSED EUROMED 100
2.11 PASSED PHIL PHARMAWEALTH 7,500
NO BIDDER NO BIDDER
2.81 PASSED MPA PHARMACARE 7,500
60's 21.00 PASSED ZUELLIG PHARMA CORP - PFIZER 1,000
0.59 FAILED PHIL PHARMAWEALTH phil pharmawealth
126.74 PASSED UNITED LABORATORIES 50
108.80 PASSED ZUELLIG PHARMA CORP -
38.73 PASSED OXFORD 50
11.32 PASSED PHIL PHARMAWEALTH -
100's 1.51 PASSED METRODRUG 10,000
100's 2.13 PASSED METRODRUG 23,750
NO BIDDER NO BIDDER
FAILED BIDDINFAILED FAILED BIDDING
100's 9.97 PASSED METRODRUG 7,500
100's 5.50 PASSED METRODRUG 15,000
8.88 FAILED PHIL PHARMAWEALTH phil pharmawealth
81.89 FAILED PHIL PHARMAWEALTH phil pharmawealth
11.89 PASSED PHIL PHARMAWEALTH -
1.12 PASSED PHIL PHARMAWEALTH -
NO BIDDER NO BIDDER
FAILED BIDDINFAILED FAILED BIDDING canomed
NO BIDDER NO BIDDER
34.00 PASSED CANOMED 1,500
Page 255 of 413
PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE
3.50 PASSED METRODRUG 375
NO BIDDER NO BIDDER
269.44 PASSED PHIL PHARMAWEALTH 1,000
1,280.00 PASSED GOOD FELLOW PHARMA 20
4.74 PASSED PHIL PHARMAWEALTH 5,000
130.89 PASSED PHIL PHARMAWEALTH -
74.44 FAILED PHIL PHARMAWEALTH phil pharmawealth
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
FAILED BIDDINFAILED FAILED BIDDING canomed
30's 5.00 PASSED METRODRUG 1,000
excluded in APP NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
2.65 PASSED ZUELLIG PHARMA CORP -
NO BIDDER NO BIDDER
100's 5.50 PASSED METRODRUG -
100's
NON PNF WAG NA IREQUEST 6.50 PASSED METRODRUG -
100's 20.75 PASSED METRODRUG -
NO BIDDER NO BIDDER
51.88 FAILED PHIL PHARMAWEALTH phil pharmawealth
2,175.00 PASSED VIZCARRA 500
NON PNF WAG NA IREQUEST 23.18 PASSED ZUELLIG PHARMA CORP -
495.00 PASSED MARK ERICSON 300
5.45 PASSED PHIL PHARMAWEALTH 200
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
38.33 PASSED PHIL PHARMAWEALTH -
marami pa stock 260 1.25 PASSED MPA PHARMACARE -
1,098.00 PASSED RBC-MDC CORP 500
162.33 FAILED PHIL PHARMAWEALTH phil pharmawealth
2.89 PASSED PHIL PHARMAWEALTH -
119.34 PASSED UNITED LABORATORIES 50
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
21.44 PASSED PHIL PHARMAWEALTH 15,000
80.00 PASSED GETZ BROS. PHIL. INC. 600
30'sWAG NA IREQUEST
NON PNF 17.00 PASSED METRODRUG -
NO BIDDER NO BIDDER
100's 5.63 PASSED METRODRUG -
NO BIDDER NO BIDDER
1.70 PASSED OXFORD 500
NO BIDDER NO BIDDER

Page 256 of 413


PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE
47.00 PASSED EUROMED -
NO BIDDER PASSED NO BIDDER ZUELLIG PH 300
NO BIDDER NO BIDDER
NON PNF WAG NA IREQUEST 0.52 PASSED PHIL PHARMAWEALTH 15,000
NO BIDDER NO BIDDER
FAILED BIDDINFAILED FAILED BIDDING
FAILED BIDDINFAILED FAILED BIDDING
1's 84.00 PASSED METRODRUG 1,500
136.33 PASSED DELEX PHARMA INC. 500
24.24 PASSED ZUELLIG PHARMA CORP 500
FAILED BIDDINFAILED FAILED BIDDING
55.28 PASSED ZUELLIG PHARMA CORP 500
38.00 PASSED MPA PHARMACARE 25
28.00 FAILED MPA PHARMACARE canomed
FAILED BIDDINFAILED FAILED BIDDING canomed
1.21 PASSED MPA PHARMACARE 5,000
49.88 FAILED PHIL PHARMAWEALTH phil pharmawealth
58.25 FAILED ZUELLIG PHARMA CORP c/o sir paul
FAILED BIDDINFAILED FAILED BIDDING
NO BIDDER NO BIDDER
FAILED BIDDINFAILED FAILED BIDDING canomed
116.99 PASSED ZUELLIG PHARMA CORP - A MENARIN 50
100's 9.92 PASSED METRODRUG 5,000
0.84 PASSED PHIL PHARMAWEALTH 3,000
1's 37.00 PASSED METRODRUG 7,500
marami pa stock 12.39 PASSED RBC-MDC CORP -
4.24 PASSED PHIL PHARMAWEALTH 1,000
10.89 PASSED PHIL PHARMAWEALTH -
14.25 PASSED MPA PHARMACARE -
248.00 PASSED PHILCARE PHARMA 75
6.33 PASSED PHIL PHARMAWEALTH 12,500
15.20 PASSED MPA PHARMACARE 100
0.27 PASSED PHIL PHARMAWEALTH 4,000
NO BIDDER NO BIDDER
509.28 PASSED ZUELLIG PHARMA CORP - HOSPIRA PH 500
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
10.14 PASSED ZUELLIG PHARMA CORP -
118.00 PASSED PHILCARE PHARMA -
18.78 PASSED PHIL PHARMAWEALTH -
15.00 PASSED ZUELLIG PHARMA CORP - PHARMALIN 2,000
12.40 PASSED EUROMED 1,250

Page 257 of 413


PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE

marami pa stock 200.00 PASSED ZUELLIG PHARMA CORP - MULTICAR 10


1's 84.00 PASSED METRODRUG -
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
100's 19.00 PASSED METRODRUG 200
100's 60.00 PASSED METRODRUG -
0.83 PASSED PHIL PHARMAWEALTH -
3.89 PASSED PHIL PHARMAWEALTH 2,000
FAILED BIDDINFAILED FAILED BIDDING
FAILED BIDDINFAILED FAILED BIDDING
1.49 PASSED PHIL PHARMAWEALTH -
50's PASSED METRODRUG -
PASSED PHIL PHARMAWEALTH -
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
50's 4.50 PASSED METRODRUG 1,500
1's 895.00 PASSED METRODRUG 2
FAILED BIDDINFAILED FAILED BIDDING
84.21 PASSED ZUELLIG PHARMA CORP 500
NO BIDDER NO BIDDER
FAILED BIDDINFAILED FAILED BIDDING
638.40 PASSED ZUELLIG PHARMA CORP -
4,796.10 PASSED ZUELLIG PHARMA CORP -
34.75 PASSED ZUELLIG PHARMA CORP -
112.33 PASSED PHIL PHARMAWEALTH 100
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
FAILED BIDDINFAILED FAILED BIDDING
NO BIDDER NO BIDDER
320.00 PASSED ZUELLIG PHARMA CORP -
NO BIDDER NO BIDDER
60's 13.65 PASSED METRODRUG 50
NO BIDDER NO BIDDER
10.00 PASSED DYNASTY 3,000
NON PNF WAG NA IREQUEST 36.07 PASSED ZUELLIG PHARMA CORP - A MENARINI PHILS 300
29.00 PASSED ZUELLIG PHARMA CORP - ABBOTT IN 25,000
PASSED SANNOVEX -
1.67 PASSED PHIL PHARMAWEALTH 20,000
40.00 PASSED OXFORD -
41.00 PASSED OXFORD 50
64.00 PASSED ZUELLIG PHARMA - MULTICARE PHA 25

Page 258 of 413


PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE
NO BIDDER NO BIDDER ONCO
215.75 PASSED ZUELLIG PHARMA - MULTICARE PHA ONCO 900
62.00 PASSED GENACE PHARMA ONCO 200
1,199.00 PASSED ZUELLIG PHARMA CORP - FRESENIUSONCO 250
PASSED ZUELLIG PHARMA CORP ONCO -
1's 350.00 PASSED METRODRUG ONCO 150
1's 254.00 PASSED METRODRUG ONCO 100
1,275.00 PASSED ZUELLIG PHARMA - MULTICARE PHA ONCO 75
691.00 PASSED GLOBO ASIATICO ONCO 100
689.00 PASSED ZUELLIG PHARMA - MULTICARE PHA ONCO 75
NO BIDDER NO BIDDER ONCO
1's 820.00 PASSED METRODRUG ONCO 20
1's 3,465.00 PASSED METRODRUG ONCO 100
182.75 PASSED ZUELLIG PHARMA - MULTICARE PHA ONCO 200
1's 594.75 PASSED METRODRUG ONCO 250
429.55 PASSED GLOBO ASIATICO ONCO 50
818.33 PASSED PHIL PHARMAWEALTH ONCO 250
NO BIDDER NO BIDDER ONCO
103.00 PASSED GLOBO ASIATICO ONCO 500
2,975.00 PASSED GENACE PHARMA ONCO 50
795.00 PASSED GENACE PHARMA ONCO 50
PASSED GLOBO ASIATICO ONCO 200
145.75 PASSED ZUELLIG PHARMA - MULTICARE PHA ONCO 250
PASSED SERAPH ENTERPRISES ONCO -
PASSED PHIL PHARMAWEALTH ONCO -
1,622.00 PASSED PHIL PHARMAWEALTH ONCO 100
1,198.22 PASSED PHIL PHARMAWEALTH ONCO 200
398.33 PASSED PHIL PHARMAWEALTH ONCO 100
6.50 PASSED GENACE PHARMA ONCO 700
NO BIDDER NO BIDDER ONCO
NO BIDDER NO BIDDER ONCO
NO BIDDER NO BIDDER ONCO
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
PASSED ZUELLIG PHARMA CORP -
FAILED BIDDINFAILED FAILED BIDDING
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER
45.00 PASSED PHIL PHARMAWEALTH -
40.89 PASSED PHIL PHARMAWEALTH -
45.00 PASSED PHIL PHARMAWEALTH -
46.00 PASSED EUROMED -
45.00 PASSED PHIL PHARMAWEALTH -
45.00 PASSED PHIL PHARMAWEALTH -
Page 259 of 413
PACKAGING ACTUAL REMARKS RIS(1-5-2018)
SUPPLIER
UNIT PRICE
45.00 PASSED PHIL PHARMAWEALTH 6,000
45.00 PASSED PHIL PHARMAWEALTH -
42.33 PASSED PHIL PHARMAWEALTH -
NO BIDDER NO BIDDER
28.00 PASSED EUROMED -
580.00 PASSED SERAPH ENTERPRISES 200
84.22 PASSED PHIL PHARMAWEALTH -
45.00 PASSED PHIL PHARMAWEALTH 4,800
41.99 PASSED PHIL PHARMAWEALTH 24,000
17.88 PASSED PHIL PHARMAWEALTH 6,000

5,000
2,000
5,000
3,000
1,000
3,000
3,000
2,000
2,000

Page 260 of 413


Page 261 of 413
Code

419 ampule
420 vial
1 tablet
5 sachet
2 bottle
3 tablet
4 ampule
7 vial
8 can
6 tablet
9 vial
10 bottle
11 tablet
17 pack
12 tablet
13 tablet
14 tablet
15 ampule
421 bottle
16 ampule
18 tablet
19 ampule
20 tablet
21 tablet
22 capsule
23 bottle
24 capsule
25 vial
26 vial
27 vial
28 vial
29 amp/vial
30 ampule
31 bottle
32 bottle
33 tablet
34 vial
35 tablet
36 tablet
37 tablet
38 tablet
39 tablet
40 tablet
41 ampule
42 ampule
43 bottle
44 tablet
45 vial
46 tablet
47 vial
50 tablet
49 tablet
48 tube
51 tablet
52 suppository
53 tablet
54 suppository
55 amp/vial
56 bottle
57 nebule
58 canister
59 tablet
60 ampule
61 ampule
62 tablet
63 ampule
64 tablet
65 ampule
66 ampule
67 tablet
68 tablet
70 vial
69 tablet
71 vial
72 vial
73 tablet
74 tablet
75 bottle
76 bottle
77 bottle
78 capsule
79 vial
80 vial
81 vial
82 vial
83 bottle
84 capsule
85 bottle
87 Vial
88 vial
86 vial
89 vial
90 vial
91 bottle
92 bottle
93 tablet
94 vial
95 capsule
96 capsule
97 tablet
98 bottle
99 bottle
100 bottle
101 bottle
102 vial
103 capsule
104 ampule
105 tablet
106 tablet
107 tablet
110 tablet
111 vial
112 tablet
113 vial
114 bottle
115 bottle
116 tablet
108 capsule
117 ampule
109 capsule
118 bottle
119 tube
120 tablet
121 ampule
122 tablet
123 tablet
124 bottle
125 capsule
126 tablet
127 tablet
131 tablet
128 bottle
129 bottle
130 tablet
132 ampule
133 tablet
134 bottle
135 tablet
136 bottle
137 cap/tab
138 vial
140 vial
139 vial
141 vial
142 vial
143 vial
144 tablet
145 amp/vial
422 bottle
423 bottle
424 bottle
426 bottle
425 bottle
427 bottle
428 bottle
429 bottle
430 bottle
431 bottle
432 bottle
146 ampule
147 ampule
148 tablet
149 bottle
150 tablet
151 ampule
152 bottle
153 bottle
154 tablet
155 tablet
156 bottle
157 capsule
158 ampule
160 vial
159 vial
161 vial
162 vial
163 tablet
165 amp/vial
164 vial
166 vial
167 vial
168 capsule
169 tablet
171 tablet
170 tablet
172 p. syringe
173 p. syringe
174 p. syringe
175 tablet
176 ampule
177 ampule
178 p. syringe
180 amp/vial/PFS
179 p. syringe
181 bottle
182 tablet
183 tube
184 tablet
185 amp/vial
186 ampule
187 tablet
188 tablet
189 tablet
190 ampule
194 tablet
192 tablet
191 bottle
193 bottle
195 vial
196 tablet
197 capsule
198 vial
199 ampule
200 tab/cap
201 bottle
202 MDI
203 tablet
204 p.syringe
205 ampule
206 tablet
207 capsule
208 capsule
209 vial
210 vial
211 amp/vial
212 tablet
213 tablet
214 tablet
215 ampule
216 ampule
217 vial
218 vial
219 vial
220 ampule
221 tube
222 vial
223 vial
225 capsule
224 tablet
226 tablet
227 ampule
228 bottle
229 tablet
230 vial
231 vial
232 nebule
233 ampule
234 bottle
235 tablet
236 cap/tab
237 cap/tab
238 tablet
239 ampule
240 tablet
241 tablet
242 vial
243 ampule
244 bottle
245 tablet
246 tablet
247 vial
248 tablet
249 tablet
250 polyamp
251 bottle
252 tablet
253 capsule
254 tablet
255 bottle
256 tablet
257 tablet
258 tablet
259 ampule
260 bottle
261 bottle
262 tablet
263 ampule
264 capsule
265 capsule
266 tablet
267 vial
268 vial
269 vial
270 tablet
271 vial
272 tablet
273 tablet
274 ampule
275 vial
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278 vial
279 tablet
281 tablet
280 ampule
282 tablet
283 tablet
284 bottle
285 tablet
286 vial
287 ampule
288 ampule
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291 tablet
292 tablet
293 tablet
294 ampule
295 tablet
296 bottle
297 bottle
298 bottle
299 capsule
300 tube
301 ampule
302 ampule
303 tablet
304 ampule
305 ampule
306 capsule
307 tablet
308 tablet
309 ampule
310 ampule
311 bottle
312 bottle
313 tablet
314 bottle
315 tablet
316 capsule
317 capsule
318 ampule
320 ampule
319 ampule
321 sachet
322 vial
323 vial
324 ampule
326 vial
325 vial
327 bottle
328 vial
332 bottle
329 ampule
330 bottle
331 tablet
333 vial
334 ampule
335 ampule
336 tablet
337 tablet
338 tablet
339 capsule
340 ampule
341 ampule
342 ampule
343 vial
344 vial
434 bottle
435 bottle
345 tablet
346 vial
347 bottle
349 tablet
350 bottle
351 tablet
348 tablet
352 vial
353 tablet
354 tablet
355 tablet
356 tablet
357 tablet
358 tablet
359 amp/vial
360 tablet
361 tablet
362 ampule
363 tablet
364 tablet
365 amp/vial
366 ampule
367 tablet
368 tablet
369 nebule
370 bottle
371 canister
372 tablet
373 tablet
374 vial
375 bottle
376 jar
377 tube
378 tablet
379 tablet
380 ampule
381 vial
382 tablet
383 tablet
384 tablet
385 vial
386 vial
387 tablet
388 tablet
389 capsule
391 nebule
390 ampule
392 bottle
393 vial
394 ampule
395 bottle
396 canister
398 bottle
397 bottle
399 tube
400 tablet
401 capsule
402 ampule
403 ampule
404 capsule
405 capsule
406 tablet
407 capsule
433 bottle
408 vial
409 vial
410 ampule
411 tablet
412 bottle
413 vial
414 vial
415 capsule
416 ampule
417 tablet
436 vial
418 tablet
General Description

0.9% NaCl 50ml


6% Dextran 70 in 0.9% NaCl 500ml (IV Infusion)
Acetazolamide 250mg
Acetylcisteine 200mg
Acetylcisteine 200mg/ml, 25ml (IV infusion)
Acetylcisteine 600mg
Acetylcysteine 100mg/ml,3ml solution for inhalation
Actinomycin D 500mcg
Activated Charcoal 1kg USP Grade
Acyclovir 400mg
Adenosine 3mg/ml, 2ml (IV)
Al hydroxide 225mg/200mg Mg hydroxide/5ml susp., 120ml
Alendronate 70mg (as Sodium salt)
ALL-IN-One Admixtures (3 in 1)1,400Kcal
Allopurinol 100mg
Allopurinol 300mg
Alprazolam 250mcg
Amikacin 250mg/ml, 2ml (IM, IV) (as SO4)
Amino Acids Crystaline 5% (IV Infusion) 500ml
Aminophylline 25mg/ml, 10ml (IV)
Amiodarone 200mg (as HCl)
Amiodarone 50mg/ml, 3ml (IV) (as HCl)
Amlodipine 10mg (as Besylate or Camsylate)
Amlodipine 5mg (as Besylate or Camsylate)
Amoxicillin 250mg (as Trihydrate)
Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate)
Amoxicillin 500mg (as Trihydrate)
Ampicillin 1g (IM,IV) (as Sodium salt)
Ampicillin 500mg (IM,IV) (as Sodium salt)
Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt)
Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) (IM,IV) (as Na salt)
Anti-Tetanus Serum (equine) 1,500IU/ml, 1.5ml (IM)
Ascorbic 250mg/ml, 2ml IV)
Ascorbic Acid 100mg/5ml, 60ml syrup
Ascorbic Acid 100mg/ml, 15ml drops
Ascorbic Acid 500mg
Asparaginase 10,000 IU (IV) lyophilized powder
Aspirin 80mg
Atenolol 100mg
Atenolol 50mg
Atorvastatin 20mg
Atorvastatin 40mg
Atorvastatin 80mg
Atracurium Besylate 10mg/ml, 2.5ml (IV)
Atropine 1mg/ml, 1ml (IM,IV) (as SO4)
Atropine Sulfate Ophthalmic drops 1%, 10ml
Azithromycin 500mg (as base/as dihydrate)
Azithromycin 500mg powder (IV infusion) (as base/ as Dihydrate)
Baclofen 10mg
Benzathine Benzyl Penicillin 1.2M units
Betahistine 24mg
Betahistine 8mg
Betamethasone cream 0.1%, 5g
Biperiden 2mg (as HCl)
Bisacodyl 10mg adult
Bisacodyl 5mg
Bisacodyl 5mg pediatric
Bleomycin Sulfate 15 mg (IM,IV,SC) (as sulfate)
Brimonidine eye drops 0.15%, 5ml
Budesonide 250mcg/ml, 2ml (unit dose)
Budesonide + Formoterol 160/4.5mcg/ unit dose
Bumetamide 1mg
Bupivacaine 0.5%, 10ml/amp (as HCl)
Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose
Butamirate Citrate 50mg MR
Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate)
Calcium Carbonate (equiv. to 500mg & 600mg elemental ca)
Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV)
Calcium Gluconate 10%, 10ml (IV)
Capecitabine 500mg
Captopril 25mg
Carbachol 0.01% Intraocular Solution, 1.5ml
Carbamazepine 200mg
Carboplatin 10mg/ml, 15ml
Carboplatin 450mg
Carvedilol 25mg
Carvedilol 6.25mg
Castor Oil USP Grade 60ml
Cefalexin 100mg/ml, 10ml drops (as Monohydrate)
Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate)
Cefalexin 500mg (as Monohydrate)
Cefazolin 1g (IM,IV) (as Sodium salt)
Cefazolin 500mg (IM,IV) (as Sodium salt)
Cefepime 1g (IM,IV) (as HCl)
Cefepime 500mg (IM,IV) (as HCl)
Cefixime 100mg/5ml, 60ml granules suspension
Cefixime 200mg
Cefixime 20mg/ml granules drops, 10ml
Cefotaxime 250mg (as Sodium Salt) + 2ml diluent
Cefotaxime 500mg (as Sodium salt) + 2ml diluent
Cefoxitin 1g (IM,IV) (as Sodium salt)
Ceftazidime 1g (as Pentahydrate)
Ceftriaxone 1g (as Disodium/ Sodium salt)
Cefuroxime 125mg/5ml, 70ml granules/suspension (as Axetil)
Cefuroxime 250mg/5ml, 70ml granules/suspension (as Axetil) Generic
Cefuroxime 500mg (as Axetil)
Cefuroxime 750mg (IM,IV) (as Sodium salt)
Celecoxib 200mg
Celecoxib 400mg
Cetirizine 10mg (as Dihydrochloride)
Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride)
Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride)
Cetirizine 1mg/ml syr, 60ml (as Dihydrochloride)
Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate)
Chloramphenicol 1g (IM,IV) (as Sodium Succinate)
Chloramphenicol 500mg
Chlorpheniramine 10mg/ml, 1ml (IM,IV) (as Maleate)
Chlorpromazine 100mg (as HCl)
Chlorpromazine 200mg (as HCl)
Cilostazole 100mg
Cinnarizine 25mg
Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV infusion
Ciprofloxacin 500mg (as Hydrochloride)
Cisplatin 50mg (IV)
Clarithromycin 125mg/5ml, 50ml granules/powder for suspension
Clarithromycin 250mg/5ml, powder for suspension
Clarithromycin 500mg as base
Clindamycin 150mg
Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4)
Clindamycin 300mg
Clindamycin 75mg/5ml granules for suspension, 60ml (as Palmitate HCl)
Clobetasol cream 0.05% , 5g (as Propionate)
Clonazepam 2mg
Clonidine 150mcg/ml, 1ml (IV) (as HCl)
Clonidine 75mcg (as HCl)
Clopidogrel 75mg
Cloxacillin 250mg/5ml, (as Sodium) 60 ml
Cloxacillin 500mg
Clozapine 100mg
Clozapine 25mg
Co-Amoxiclav 1g (as Trihydrate)
Co-Amoxiclav 200mg/28.5mg/5ml,60ml granules/powder for suspension
Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension
Co-Amoxiclav 625mg (as Trihydrate)
Cobra Antivenin 800IU, 4.8ml
Colchicine 500mcg
Co-Trimoxazole 200mg/40mg/5ml suspension, 70ml
Co-Trimoxazole 400mg/80mg
Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml
Co-Trimoxazole 800mg/160mg
Cyclophosphamide 1g (IV)
Cyclophosphamide 200g (IV)
Cyclophosphamide 500mg (IV)
Cytarabine 100mg/ml, 10ml
Cytarabine 100mg/ml, 5 ml
Dacarbazine 200mg
Dexamethasone 4mg
Dexamethasone 4mg/ml, 2ml (IM,IV) (as Sodium Phosphate)
Dextrose 10% in Water 500ml
Dextrose 5% 0.3 NaCl 500ml
Dextrose 5% 0.9 NaCl 1L
Dextrose 5% Balanced Multiple Maint. Sol'n. 1000ml
Dextrose 5% Balanced Multiple Maint. Sol'n. 500ml
Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000ml
Dextrose 5% in Lactated Ringers 1000ml
Dextrose 5% in Water 1000ml
Dextrose 5% in Water 500ml
Dextrose 5% in Water 500ml (Glass)
Dextrose 50% in Water 50ml
Diazepam 5mg/ml, 2ml (IM,IV)
Diclofenac Sodium 25mg/ml, 3ml (IM,IV)
Diclofenac Sodium 50mg (as Sodium or Potassium salt)
Dicycloverine 10mg/5ml, 60ml syrup
Digoxin 250mcg (0.25mg)
Digoxin 250mcg/ml, 2ml (IM,IV)
Digoxin 50mcg (0.05mg)/ml elixir, 60ml
Diloxanide Furoate 125mg/5ml syrup/suspension 30ml
Diloxanide Furoate 500mg
Diltiazem 60mg ( as Hydrochloride)
Diphenhydramine HCl 12.5mg/5ml syrup 60ml
Diphenhydramine HCl 50mg
Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl)
Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl)
Dobutamine 50 mg/ml, 5ml (IV) (as HCl)
Docetaxel 20mg/0.5ml, 0.5ml
Docetaxel 40mg/ml, 2ml
Domperidone 10mg
Dopamine 40mg/ml, 5ml (IV) (as HCl)
Dopamine 800 mcg/ml,250ml D5W (premixed) (IV) (as HCl)
Doxorubicin powder 10mg (IV) (as HCl)
Doxorubicin powder 50mg (IV) (as HCl)
Doxycycline 100mg (as Hyclate)
Dydrogesteone 10mg
Enalapril 20mg
Enalapril 5mg
Enoxaparin Sodium 100mg/ml, 0.2ml
Enoxaparin Sodium 100mg/ml, 0.4ml
Enoxaparin Sodium 100mg/ml, 0.6ml
Eperisone 50mg (as HCl)
Ephedrine Sulfate 50mg/ml, 1ml (IM,IV)
Epinephrine 1mg/ml, 1ml (IM,SC) (as Hydrochloride)
Epoetin Alfa 10,000 IU/ml
Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin)
Epoetin Beta 5000 IU/0.3ml (Recombinant erythropoetin)
Erythromycin 200mg/5ml granules/powder for suspension 60ml (as Ethyl Succinate)
Erythromycin 500mg (as Stearate)
Erythromycin Ophthalmic Ointment 0.5%, 3.5g
Escitalopram 10mg (as oxalate)
Etoposide 20mg/ml, 5ml (IV)
Famotidine 10mg/ml, 2ml (IM,IV)
Felodipine 10mg MR
Felodipine 5mg
Fenofibrate 160mg
Fentanyl 50mcg/ml, 2ml (IV) (as Citrate)
Ferrous Salt (equiv to 60 mg elemental iron)
Ferrous Salt + Folic Acid 60mg elemental iron+ 400mcg FA
Ferrous Salt 15mg elemental iron/0.6ml drops, 30ml
Ferrous Sulfate syrup 30mg elemental iron/5ml, 60ml syrup
Filgrastim 300mcg +1.2ml
Fluconazole 150mg
Fluconazole 200mg
Fluconazole 2mg/ml, 100ml (IV infusion)
Fluorouracil 50mg/ml, 10ml (IV, IV Infusion)
Fluoxetin 20mg dispersal
Fluphenazine Decanoate 25mg/ml, 10ML
Fluticasone + Salmeterol 250mcg+25mcgx120 actuations
Folic Acid 5mg
Fondaparinux 2.5mg/0.5ml solution (as Sodium salt)
Furosemide 10mg/ml, 2ml (IM,IV)
Furosemide 20mg
Gabapentine 100mg
Gabapentine 300mg
Gemcitabine 1g
Gemcitabine 200mg
Gentamycin 40mg/ml, 2ml (IM,IV) (as SO4)
Gliclazide 30mg MR
Gliclazide 80mg
Haloperidol 5mg
Haloperidol 5mg/ml, 1ml (IM)
Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt)
Human Albumin 20%, 50ml
Human Insulin Isophane 100IU/ml 10ml
Human Insulin R (Recombinant DNA, human) 100 IU/ml
Hydralazine 20mg/ml, 1ml (IM,IV) (as HCl)
Hydrocortisone 1% cream, 5g
Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate)
Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate)
Hydroxyurea 500mg
Hydroxyzine 25mg (as Dihydrochloride)
Hyoscine 10mg (as N- Butyl Bromide)
Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide)
Ibuprofen 100mg/5ml, 60ml suspension
Ibuprofen 400mg
Ifosfamide 1g
Iopamidol 755mg/ml equiv. to 370mg iodine, 50ml
Ipratropium + Salbutamol 500 mcg+2.5 mg, 2.5ml/ unit dose
Iron Sucrose 20mg/ml,5ml
Isoflurane 100ml
Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275mg
Isosorbide- 5- Mononitrate 30mg
Isosorbide- 5- Mononitrate 60mg
Isosorbide dinitrate 10mg
Isosorbide dinitrate 1mg/ml, 10ml (IV)
Isosorbide dinitrate 5mg SL
Isoxsuprine 10mg (as HCl)
Ketamine HCl 50mg/ml, 10ml (IM,IV)
Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol)
Lactulose 3.3g/5ml (66% syrup), 120ml
Lagundi 300mg
Levofloxacin 500mg
Levofloxacin 5mg/ml solution for IV infusion, 100ml
Levofloxacin 750mg
Levothyroxine 100mcg (as Anhydrous Sodium)
Lidocaine 2%, 5ml (as HCl)
Lidocaine spray 10%, 50ml (as HCl)
Lithium Carbonate 450mg MR
Loperamide 2mg
Loratadine 10mg
Loratadine 5mg/5ml syrup, 30ml
Losartan + Hydrochlorothiazide 50mg +12.5mg
Losartan 100mg (as Potassium salt)
Losartan 50mg (as Potassium salt)
Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate)
Mannitol 20%, 500ml (IV)
Mebendazole 100mg/5ml, 60ml susp
Mebendazole 500mg (chewable tablet)
Mecobalamin 500mcg/ml (IM/IV)
Mefenamic Acid 250mg
Mefenamic Acid 500mg
Mercaptopurine 50mg
Meropenem 1g (IV) (as Trihydrate)
Meropenem 500mg (IV) (as Trihydrate)
Mesna 100mg/ml, 4ml
Metformin 500mg (as HCl)
Methotrexate 10mg/ml, 5ml (IM,IV, Intrathecal) (as Sodium salt)
Methotrexate 2.5mg
Methyldopa 250mg
Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleate)
Methylprednisolone 125mg/ml, 2ml + diluent (IM,IV) Iv infusion (as Na succinate)
Methylprednisolone 1g/16ml
Methylprednisolone 500mg/7.7ml
Methylprednisolone inj. 40mg 1ml
Methyprednisolone 16mg
Metoclopromide 10mg
Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl)
Metoprolol 100mg (as Tartrate)
Metoprolol 50mg (as Tartrate)
Metronidazole 125mg base/ 5ml suspension 60ml
Metronidazole 500mg
Metronidazole 5mg/ml, 100ml IV infusion
Midazolam 1mg/ml, 5ml (IM,IV)
Midazolam 5mg/ml, 3ml (IM,IV)
Monobasic/Dibasic Soduim Phosphate 19g/7g/133ml, 66ml
Monobasic/Dibasic Soduim Phosphate 48g/18g/100ml soln, 45 ml
Montelukast 10mg (as Sodium)
Montelukast 5mg (as Sodium) chewable tablet
Morphine 10mg MR (as Sulfate)
Morphine 15mg/ml, 1ml (IM,IV,SC) (as Sulfate)
Morphine 30mg MR (as Sulfate)
Multivitamins 120ml syr
Multivitamins 15ml drops
Multivitamins 30ml drops
Multivitamins capsule
Mupirocin 2%,15g
Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl)
Naloxone 400mcg/ml, 1ml (IM,IV,SC) (as HCl)
Naproxen 550mg
Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate)
Nicardipine 1mg/ml, 10ml (IV) (as HCl)
Nifedipine 10mg
Nifedipine 30mg MR
Nimodipine 30mg
Norepinephrine 1mg/ml, 2ml (IV infusion) (as Bitartrate)
Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate)
Nystatin 100,000 "u"/ml, 30ml suspension
Ofloxacin 0.3%, 5ml ear drops solution
Ofloxacin 200mg
Ofloxacin Ophthalmic Drop 0.3%, 5ml solution
Olanzapine 10mg
Omeprazole 20mg
Omeprazole 40mg
Omeprazole 40mg + 10ml solvent (IV)
Ondansetron 2mg/ml, 2ml (IM,IV)
Ondansetron 2mg/ml, 4ml (IM,IV)
Oral Rehydration Solution
Oxacillin 500mg
Oxaliplatin 5mg/ml, 20ml
Oxytocin 10 "IU"/ml, 1ml (IM,IV)
Paclitaxel 30mg (6MG/ML,5ML)
Paclitaxel 6mg/ml,16.7ml (100mg vial)
Paracetamol 100mg/ml, (alcohol free), 15ml
Paracetamol 10mg/ml, 100ml solution for infusion (IV)
Paracetamol 120mg/ml, 60ml
Paracetamol 150mg/ml, 2ml (IM,IV)
Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension
Paracetamol 500mg
Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl. (IM,IV) (as Sodium)
Pethidine (Meperiden) 50mg/ml, 2ml (Im, IV, SC) (as HCl)
Phenobarbital 130mg/ml, 1ml (IM,IV) (as Sodium)
Phenobarbital 15mg (1/4 grain)
Phenobarbital 60mg (1 grain)
Phenobarbital gr 1/2 (30mg)
Phenytoin 100mg (as Sodium salt)
Phenytoin 50mg/ml, 2ml (IV)(as Sodium salt)
Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV)
Pilocarpine HCl eye drops
Piperacillin+Tazobactam (2g Piperacillin+250mg Tazobactam)
Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV infusion) (as Na)
Plain Lactated Ringers Solution 1000ml
Plain NSS 1000ml
Potassium 750mg durules (approx. equiv. to 10 mEq)
Potassium Chloride 2mEq/ml, 20ml (IV infusion)
Prednisolone eye drops suspension 0.5%, 5ml (as acetate)
Prednisone 10mg
Prednisone 10mg/5ml suspension, 60ml
Prednisone 20mg
Prednisone 5mg
Propofol 10mg/ml, 20ml IV
Propranolol 10mg (as HCl)
Propranolol 40mg (as HCl)
Propylthiouracil 50mg
Quetiapine 100mg
Quetiapine 25mg
Quetiapine 300mg
Quinine 300mg/ml, 1ml IV (as diHCl)
Quinine Sulfate 300mg (325) (as Sulfate)
Ranitidine 150mg (as HCl)
Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl)
Ranitidine 300mg (as HCl)
Risperidone 2mg
Rocuronium Bromide 10mg/ml, 5ml (IV)
Ropivacaine 10mg/ml, 10ml (IV)
Rosuvastatin 10mg
Rosuvastatin 20mg
Salbutamol 1mg/ml, 2.5ml (unit dose) (as Sulfate)
Salbutamol 2mg/5ml, 60ml syrup (as Sulfate)
Salbutamol MDI 100mcg/dose x 200 doses (as SO4)
Sambong 500mg
Sertraline 50mg (as HCl)
Serum, Anti Rabies(euine) 200 IU/ml, 5ml
Sevoflurane 250ml
Silver Sulfadiazine Cream 1% 500g (micronized)
Silver Sulfadiazine Cream 1%, 25g
Simvastatin 20mg
Simvastatin 40mg
Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion)
Sodium Chloride 2.5mEq/ml, 20ml
Spironolactone 100mg
Spironolactone 25mg
Spironolactone 50mg
Streptomycin 1g IM (as Sulfate)
Succinylcholine 20mg/ml, 10ml
Sucralfate 1g
Tamoxifen 20mg (as Citrate)
Tamsulosin 200mcg (as HCl)
Terbutaline 2.5mg/ml, 2ml (unit dose)(as SO4)
Terbutaline 500mcg/ml, 1ml
Terbutaline syrup 1.5mg/5ml, 60ml (as SO4)
Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM)
Tetanus Toxoid 0.5ml (IM)
Timolol eye drops solution 0.5%,5ml
Tiotropium 18mcg/dose (as Br) w/ appropriate accompanying dispenser
Tobramycin + Dexamethasone 0.3/0.1 5ml drops
Tobramycin Ophthalmic drops 0.3%, 5ml
Tobramycin Ophthalmic Ointment 0.3%,3.5g
Topiramate 25mg
Tramadol 50mg (as HCl)
Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl)
Tranexamic Acid 100mg/ml, 5ml (IM,IV)
Tranexamic Acid 250mg
Tranexamic Acid 500mg
Trimetazidine 35mg
Ursodeoxycholic Acid 250mg
Ursodeoxycholic Acid 250mg
Vancomycin 1g (IV) (as HCl)
Vancomycin 500mg (IV) (as HCl)
Verapamil 2.5mg/ml, 2ml (IV) (as Hydrochloride)
Verapamil 240mg (as Hydrochloride)
Vinblastin 10mg/10ml (as sulfate)
Vincristine 1mg/ml, 1ml (IV) (as Sulfate)
Vincristine 1mg/ml, 2ml (IV) (as Sulfate)
Vitamin B Complex (100mg+5mg+50mcg)
Vitamin B Complex 100mg+100mg+1mg per 3ml (IV)
Warfarin 2.5mg
Water for injection (Sterile Water for Injection), 50ml vial
Zolpidem 10mg
Price Quantity/Size Estimated Budget
Jan Feb Mar Apr May Jun
ampule 21.42 1,200 25,704.00 100 100 100 100 100 100
vial 535.60 100 53,560.00 50 0 0 0 0 0
tablet 25.38 480 12,182.40 40 40 40 40 40 40
sachet 14.62 2,400 35,088.00 200 200 200 200 200 200
bottle 1,813.85 5 9,069.25 5 0 0 0 0 0
tablet 29.23 3,600 105,228.00 300 300 300 300 300 300
ampule 140.14 300 42,042.00 100 0 0 0 100 0
vial 400.00 60 24,000.00 10 0 10 0 10 0
can 3,500.00 12 42,000.00 6 0 0 0 0 0
tablet 30.77 900 27,693.00 150 0 150 0 150 0
vial 1,069.76 12 12,837.12 6 0 0 0 0 6
bottle 40.77 120 4,892.40 10 10 10 10 10 10
tablet 196.06 50 9,803.00 50 0 0 0 0 0
pack 2,884.62 80 230,769.60 20 0 0 20 0 0
tablet 6.92 1,200 8,304.00 100 100 100 100 100 100
tablet 13.82 1,200 16,584.00 100 100 100 100 100 100
tablet 19.67 300 5,901.00 100 0 0 0 100 0
ampule 679.81 1,200 815,772.00 100 100 100 100 100 100
bottle 535.60 300 160,680.00 150 0 0 0 150 0
ampule 45.38 300 13,614.00 100 0 0 0 100 0
tablet 30.00 600 18,000.00 100 0 100 0 100 0
ampule 279.23 200 55,846.00 100 0 0 0 0 100
tablet 11.16 16,000 178,560.00 1600 1200 1200 1600 1200 1200
tablet 7.35 3,600 26,460.00 300 300 300 300 300 300
capsule 2.31 2,400 5,544.00 200 200 200 200 200 200
bottle 94.62 300 28,386.00 100 0 0 0 100 0
capsule 5.77 6,000 34,620.00 500 500 500 500 500 500
vial 38.46 6,000 230,760.00 500 500 500 500 500 500
vial 8.45 3,600 30,420.00 300 300 300 300 300 300
vial 688.89 8,000 5,511,120.00 700 650 650 700 650 650
vial 442.69 4,000 1,770,760.00 400 300 300 400 300 300
amp/vial 84.62 3,600 304,632.00 300 300 300 300 300 300
ampule 46.54 600 27,924.00 50 50 50 50 50 50
bottle 44.73 240 10,735.20 20 20 20 20 20 20
bottle 56.15 240 13,476.00 20 20 20 20 20 20
tablet 3.85 6,000 23,100.00 500 500 500 500 500 500
vial 2,180.77 30 65,423.10 10 0 0 0 10 0
tablet 5.48 6,000 32,880.00 500 500 500 500 500 500
tablet 5.48 1,200 6,576.00 100 100 100 100 100 100
tablet 8.08 1,200 9,696.00 100 100 100 100 100 100
tablet 15.38 6,000 92,280.00 500 500 500 500 500 500
tablet 19.33 6,000 115,980.00 500 500 500 500 500 500
tablet 26.58 6,000 159,480.00 500 500 500 500 500 500
ampule 273.28 1,200 327,936.00 100 100 100 100 100 100
ampule 37.12 600 22,272.00 100 0 100 0 100 0
bottle 173.50 60 10,410.00 5 5 5 5 5 5
tablet 80.77 3,600 290,772.00 300 300 300 300 300 300
vial 763.46 100 76,346.00 25 0 0 25 0 0
tablet 16.92 2,400 40,608.00 200 200 200 200 200 200
vial 123.46 300 37,038.00 100 0 0 0 100 0
tablet 54.12 1,000 54,120.00 250 0 0 250 0 0
tablet 15.77 1,000 15,770.00 250 0 0 250 0 0
tube 221.67 36 7,980.12 3 3 3 3 3 3
tablet 12.92 80,000 1,033,600.00 8000 6000 6000 8000 6000 6000
suppository 37.69 600 22,614.00 50 50 50 50 50 50
tablet 15.38 300 4,614.00 50 0 50 0 50 0
suppository 30.77 100 3,077.00 50 0 0 0 0 0
amp/vial 2,353.85 50 117,692.50 25 0 0 0 0 0
bottle 753.85 12 9,046.20 6 0 0 0 0 0
nebule 69.23 1,200 83,076.00 100 100 100 100 100 100
canister 838.46 24 20,123.04 6 0 0 6 0 0
tablet 22.52 200 4,504.00 100 0 0 0 0 0
ampule 406.68 1,200 488,016.00 100 100 100 100 100 100
ampule 457.69 3,600 1,647,684.00 300 300 300 300 300 300
tablet 14.22 1,200 17,064.00 300 0 0 300 0 0
ampule 436.22 2,400 1,046,928.00 200 200 200 200 200 200
tablet 5.12 2,400 12,288.00 200 200 200 200 200 200
ampule 488.46 1,200 586,152.00 100 100 100 100 100 100
ampule 76.96 1,200 92,352.00 100 100 100 100 100 100
tablet 84.20 1,000 84,200.00 500 0 0 0 0 0
tablet 3.85 6,000 23,100.00 500 500 500 500 500 500
vial 200.00 12 2,400.00 6 0 0 0 0 0
tablet 5.00 50,000 250,000.00 4500 4000 4000 4500 4000 4000
vial 918.06 40 36,722.40 10 0 0 10 0 0
vial 3,088.00 400 1,235,200.00 100 0 0 100 0 0
tablet 14.19 600 8,514.00 100 0 100 0 100 0
tablet 8.46 6,000 50,760.00 500 500 500 500 500 500
bottle 30.00 120 3,600.00 10 10 10 10 10 10
bottle 34.62 60 2,077.20 10 0 10 0 10 0
bottle 61.54 120 7,384.80 10 10 10 10 10 10
capsule 10.02 6,000 60,120.00 500 500 500 500 500 500
vial 125.50 600 75,300.00 100 0 100 0 100 0
vial 214.72 1,200 257,664.00 100 100 100 100 100 100
vial 1,486.92 1,200 1,784,304.00 100 100 100 100 100 100
vial 864.96 600 518,976.00 100 0 100 0 100 0
bottle 515.08 50 25,754.00 5 4 4 4 4 4
capsule 31.23 2,400 74,952.00 200 200 200 200 200 200
bottle 192.31 60 11,538.60 10 0 10 0 10 0
Vial 224.23 60 13,453.80 10 0 10 0 10 0
vial 740.77 60 44,446.20 10 0 10 0 10 0
vial 814.87 6,000 4,889,220.00 500 500 500 500 500 500
vial 338.46 1,500 507,690.00 150 150 150 150 150 0
vial 576.92 6,000 3,461,520.00 500 500 500 500 500 500
bottle 238.46 10 2,384.60 5 0 0 0 0 0
bottle 238.46 24 5,723.04 6 0 0 6 0 0
tablet 45.69 6,000 274,140.00 500 500 500 500 500 500
vial 292.31 10,000 2,923,100.00 900 800 800 900 800 800
capsule 19.23 3,600 69,228.00 300 300 300 300 300 300
capsule 34.46 3,600 124,056.00 300 300 300 300 300 300
tablet 16.71 1,200 20,052.00 100 100 100 100 100 100
bottle 121.54 120 14,584.80 10 10 10 10 10 10
bottle 113.85 60 6,831.00 5 5 5 5 5 5
bottle 188.63 60 11,317.80 5 5 5 5 5 5
bottle 57.69 60 3,461.40 5 5 5 5 5 5
vial 50.00 1,200 60,000.00 100 100 100 100 100 100
capsule 4.62 60 277.20 10 0 10 0 10 0
ampule 31.15 300 9,345.00 100 0 0 0 100 0
tablet 6.54 1,200 7,848.00 100 100 100 100 100 100
tablet 11.52 80,000 921,600.00 7000 7000 6000 7000 7000 6000
tablet 25.73 100 2,573.00 100 0 0 0 0 0
tablet 2.31 1,200 2,772.00 100 100 100 100 100 100
vial 300.00 2,400 720,000.00 200 200 200 200 200 200
tablet 12.31 3,600 44,316.00 300 300 300 300 300 300
vial 672.69 150 100,903.50 50 0 0 0 50 0
bottle 302.50 300 90,750.00 25 25 25 25 25 25
bottle 750.46 240 180,110.40 20 20 20 20 20 20
tablet 43.08 3,600 155,088.00 300 300 300 300 300 300
capsule 6.15 600 3,690.00 200 0 0 0 200 0
ampule 710.93 3,600 2,559,348.00 300 300 300 300 300 300
capsule 11.54 3,600 41,544.00 300 300 300 300 300 300
bottle 372.60 60 22,356.00 10 0 10 0 10 0
tube 228.15 120 27,378.00 20 0 20 0 20 0
tablet 12.69 3,600 45,684.00 300 300 300 300 300 300
ampule 157.69 300 47,307.00 100 0 0 0 100 0
tablet 17.69 3,600 63,684.00 300 300 300 300 300 300
tablet 22.12 3,600 79,632.00 300 300 300 300 300 300
bottle 53.85 120 6,462.00 20 0 20 0 20 0
capsule 6.15 2,400 14,760.00 200 200 200 200 200 200
tablet 44.62 4,800 214,176.00 400 400 400 400 400 400
tablet 17.06 4,800 81,888.00 400 400 400 400 400 400
tablet 53.85 1,200 64,620.00 100 100 100 100 100 100
bottle 209.13 240 50,191.20 20 20 20 20 20 20
bottle 321.92 240 77,260.80 20 20 20 20 20 20
tablet 32.62 4,800 156,576.00 400 400 400 400 400 400
ampule 1,350.00 120 162,000.00 60 0 0 0 0 0
tablet 3.08 300 924.00 100 0 0 0 100 0
bottle 26.92 60 1,615.20 10 0 10 0 10 0
tablet 1.92 600 1,152.00 100 0 100 0 100 0
bottle 46.15 60 2,769.00 10 0 10 0 10 0
cap/tab 3.56 480 1,708.80 40 40 40 40 40 40
vial 500.00 300 150,000.00 25 25 25 25 25 25
vial 360.50 120 43,260.00 20 0 20 0 20 0
vial 235.88 120 28,305.60 20 0 20 0 20 0
vial 176.44 120 21,172.80 20 0 20 0 20 0
vial 390.38 120 46,845.60 20 0 20 0 20 0
vial 776.35 120 93,162.00 20 0 20 0 20 0
tablet 21.73 3,600 78,228.00 300 300 300 300 300 300
amp/vial 70.58 2,400 169,392.00 200 200 200 200 200 200
bottle 88.46 1,200 106,152.00 100 100 100 100 100 100
bottle 81.13 8,000 649,040.00 700 700 600 700 700 600
bottle 84.62 6,000 507,720.00 500 500 500 500 500 500
bottle 84.62 2,000 169,240.00 150 150 200 150 150 200
bottle 83.08 4,000 332,320.00 300 300 400 300 300 400
bottle 100.78 1,200 120,936.00 100 100 100 100 100 100
bottle 79.81 20,000 1,596,200.00 1500 1500 2000 1500 1500 2000
bottle 84.62 10,000 846,200.00 800 800 900 800 800 900
bottle 76.92 3,000 230,760.00 250 250 250 250 250 250
bottle 76.92 500 38,460.00 50 50 50 50 50 0
bottle 29.00 3,600 104,400.00 300 300 300 300 300 300
ampule 138.46 1,200 166,152.00 100 100 100 100 100 100
ampule 57.54 600 34,524.00 200 0 0 0 200 0
tablet 3.17 1,200 3,804.00 100 100 100 100 100 100
bottle 50.00 60 3,000.00 10 0 10 0 10 0
tablet 4.62 6,000 27,720.00 500 500 500 500 500 500
ampule 194.59 1,200 233,508.00 100 100 100 100 100 100
bottle 674.62 30 20,238.60 10 0 0 0 10 0
bottle 120.00 30 3,600.00 10 0 0 0 10 0
tablet 5.02 60 301.20 5 5 5 5 5 5
tablet 6.15 2,400 14,760.00 200 200 200 200 200 200
bottle 26.92 60 1,615.20 10 0 10 0 10 0
capsule 2.35 6,000 14,100.00 500 500 500 500 500 500
ampule 133.85 3,600 481,860.00 300 300 300 300 300 300
vial 848.41 200 169,682.00 50 0 0 50 0 0
vial 519.23 2,400 1,246,152.00 200 200 200 200 200 200
vial 1,795.42 240 430,900.80 20 20 20 20 20 20
vial 8,400.00 150 1,260,000.00 25 0 25 0 25 0
tablet 7.69 3,600 27,684.00 300 300 300 300 300 300
amp/vial 115.38 3,000 346,140.00 250 250 250 250 250 250
vial 320.48 3,000 961,440.00 250 250 250 250 250 250
vial 426.02 120 51,122.40 10 10 10 10 10 10
vial 1,538.46 400 615,384.00 50 50 0 50 50 0
capsule 17.88 600 10,728.00 50 50 50 50 50 50
tablet 51.83 1,200 62,196.00 100 100 100 100 100 100
tablet 12.43 120 1,491.60 10 10 10 10 10 10
tablet 8.46 200 1,692.00 100 0 0 0 0 0
p. syringe 516.15 120 61,938.00 10 10 10 10 10 10
p. syringe 650.00 120 78,000.00 10 10 10 10 10 10
p. syringe 861.15 120 103,338.00 10 10 10 10 10 10
tablet 21.32 1,200 25,584.00 100 100 100 100 100 100
ampule 91.54 1,200 109,848.00 100 100 100 100 100 100
ampule 66.23 10,000 662,300.00 800 800 900 800 800 900
p. syringe 1,743.50 30 52,305.00 10 0 0 0 10 0
amp/vial/P 784.62 2,400 1,883,088.00 200 200 200 200 200 200
p. syringe 1,278.98 30 38,369.40 10 0 0 0 10 0
bottle 57.69 60 3,461.40 10 0 10 0 10 0
tablet 7.69 200 1,538.00 100 0 0 0 0 0
tube 185.77 120 22,292.40 20 0 20 0 20 0
tablet 41.15 200 8,230.00 100 0 0 0 0 0
amp/vial 392.31 240 94,154.40 20 20 20 20 20 20
ampule 212.40 1,200 254,880.00 100 100 100 100 100 100
tablet 14.73 100 1,473.00 100 0 0 0 0 0
tablet 13.08 300 3,924.00 100 0 0 0 100 0
tablet 32.31 600 19,386.00 200 0 0 0 200 0
ampule 188.49 6,000 1,130,940.00 500 500 500 500 500 500
tablet 2.88 6,000 17,280.00 500 500 500 500 500 500
tablet 3.85 4,800 18,480.00 400 400 400 400 400 400
bottle 3.00 60 180.00 5 5 5 5 5 5
bottle 26.92 60 1,615.20 5 5 5 5 5 5
vial 3,230.77 240 775,384.80 20 20 20 20 20 20
tablet 230.77 60 13,846.20 5 5 5 5 5 5
capsule 582.88 600 349,728.00 50 50 50 50 50 50
vial 4,513.96 120 541,675.20 20 0 20 0 20 0
ampule 113.36 1,200 136,032.00 100 100 100 100 100 100
tab/cap 35.87 6,000 215,220.00 500 500 500 500 500 500
bottle 580.77 600 348,462.00 50 50 50 50 50 50
MDI 549.23 60 32,953.80 10 0 10 0 10 0
tablet 5.38 3,600 19,368.00 300 300 300 300 300 300
p.syringe 1,604.29 600 962,574.00 100 0 100 0 100 0
ampule 36.92 3,600 132,912.00 300 300 300 300 300 300
tablet 1.54 2,400 3,696.00 200 200 200 200 200 200
capsule 22.88 600 13,728.00 50 50 50 50 50 50
capsule 25.58 2,400 61,392.00 200 200 200 200 200 200
vial 8,076.92 240 1,938,460.80 20 20 20 20 20 20
vial 1,711.54 120 205,384.80 20 0 20 0 20 0
amp/vial 38.27 4,800 183,696.00 400 400 400 400 400 400
tablet 6.54 2,400 15,696.00 200 200 200 200 200 200
tablet 6.92 3,600 24,912.00 300 300 300 300 300 300
tablet 23.85 6,000 143,100.00 500 500 500 500 500 500
ampule 400.00 600 240,000.00 100 0 100 0 100 0
ampule 138.35 600 83,010.00 100 0 100 0 100 0
vial 3,250.00 600 1,950,000.00 100 0 100 0 100 0
vial 600.00 240 144,000.00 20 20 20 20 20 20
vial 736.54 240 176,769.60 20 20 20 20 20 20
ampule 232.69 300 69,807.00 100 0 0 0 100 0
tube 157.88 20 3,157.60 10 0 0 0 0 0
vial 612.40 600 367,440.00 100 0 100 0 100 0
vial 161.92 6,000 971,520.00 500 500 500 500 500 500
capsule 27.50 3,600 99,000.00 300 300 300 300 300 300
tablet 19.62 1,200 23,544.00 100 100 100 100 100 100
tablet 6.15 1,200 7,380.00 100 100 100 100 100 100
ampule 63.08 2,400 151,392.00 200 200 200 200 200 200
bottle 66.15 120 7,938.00 20 0 20 0 20 0
tablet 6.54 3,600 23,544.00 300 300 300 300 300 300
vial 1,567.31 120 188,077.20 20 0 20 0 20 0
vial 1,615.38 300 484,614.00 50 0 50 0 50 0
nebule 29.23 12,000 350,760.00 1000 1000 1000 1000 1000 1000
ampule 181.35 200 36,270.00 100 0 0 0 0 0
bottle 2,867.31 144 412,892.64 24 0 24 0 24 0
tablet 10.58 2,400 25,392.00 200 200 200 200 200 200
cap/tab 12.31 6,000 73,860.00 500 500 500 500 500 500
cap/tab 12.69 6,000 76,140.00 500 500 500 500 500 500
tablet 9.23 600 5,538.00 50 50 50 50 50 50
ampule 651.24 1,200 781,488.00 100 100 100 100 100 100
tablet 8.85 3,600 31,860.00 300 300 300 300 300 300
tablet 16.92 2,400 40,608.00 200 200 200 200 200 200
vial 1,304.33 150 195,649.50 50 0 0 0 50 0
ampule 92.31 9,600 886,176.00 800 800 800 800 800 800
bottle 215.38 1,200 258,456.00 100 100 100 100 100 100
tablet 2.69 4,800 12,912.00 400 400 400 400 400 400
tablet 52.31 2,400 125,544.00 200 200 200 200 200 200
vial 1,184.62 300 355,386.00 50 0 50 0 50 0
tablet 76.86 2,400 184,464.00 200 200 200 200 200 200
tablet 8.46 6,000 50,760.00 500 500 500 500 500 500
polyamp 27.12 3,600 97,632.00 300 300 300 300 300 300
bottle 2,651.00 10 26,510.00 3 0 0 2 0 0
tablet 6.15 1,200 7,380.00 100 100 100 100 100 100
capsule 5.77 2,400 13,848.00 200 200 200 200 200 200
tablet 16.62 480 7,977.60 40 40 40 40 40 40
bottle 52.22 120 6,266.40 10 10 10 10 10 10
tablet 15.77 3,600 56,772.00 300 300 300 300 300 300
tablet 13.85 6,000 83,100.00 500 500 500 500 500 500
tablet 10.00 6,000 60,000.00 500 500 500 500 500 500
ampule 57.20 3,600 205,920.00 300 300 300 300 300 300
bottle 192.31 3,600 692,316.00 300 300 300 300 300 300
bottle 26.92 60 1,615.20 10 0 10 0 10 0
tablet 3.85 300 1,155.00 100 0 0 0 100 0
ampule 315.38 200 63,076.00 50 0 0 50 0 0
capsule 3.08 2,400 7,392.00 200 200 200 200 200 200
capsule 11.15 12,000 133,800.00 1000 1000 1000 1000 1000 1000
tablet 26.78 6,000 160,680.00 500 500 500 500 500 500
vial 1,982.83 2,000 3,965,660.00 200 150 150 200 150 150
vial 1,168.86 300 350,658.00 75 0 0 75 0 0
vial 167.46 200 33,492.00 100 0 0 0 0 0
tablet 3.85 2,400 9,240.00 200 200 200 200 200 200
vial 205.38 300 61,614.00 100 0 0 0 100 0
tablet 9.46 2,400 22,704.00 200 200 200 200 200 200
tablet 11.54 3,600 41,544.00 300 300 300 300 300 300
ampule 65.00 2,400 156,000.00 200 200 200 200 200 200
vial 1,333.52 50 66,676.00 25 0 0 0 0 0
vial 5,146.58 20 102,931.60 10 0 0 0 0 0
vial 3,796.51 20 75,930.20 10 0 0 0 0 0
vial 346.73 36 12,482.28 6 0 6 0 6 0
tablet 42.31 240 10,154.40 20 20 20 20 20 20
tablet 6.92 3,600 24,912.00 300 300 300 300 300 300
ampule 36.15 2,400 86,760.00 200 200 200 200 200 200
tablet 5.15 3,600 18,540.00 300 300 300 300 300 300
tablet 3.08 3,600 11,088.00 300 300 300 300 300 300
bottle 34.62 240 8,308.80 20 20 20 20 20 20
tablet 3.85 6,000 23,100.00 500 500 500 500 500 500
vial 92.31 3,600 332,316.00 300 300 300 300 300 300
ampule 145.38 3,600 523,368.00 300 300 300 300 300 300
ampule 220.38 1,200 264,456.00 100 100 100 100 100 100
bottle 238.60 240 57,264.00 20 20 20 20 20 20
bottle 248.73 240 59,695.20 20 20 20 20 20 20
tablet 26.15 2,400 62,760.00 200 200 200 200 200 200
tablet 17.69 1,200 21,228.00 100 100 100 100 100 100
tablet 35.30 2,400 84,720.00 200 200 200 200 200 200
ampule 90.72 1,200 108,864.00 100 100 100 100 100 100
tablet 76.92 3,600 276,912.00 300 300 300 300 300 300
bottle 97.88 120 11,745.60 10 10 10 10 10 10
bottle 52.50 120 6,300.00 10 10 10 10 10 10
bottle 29.33 120 3,519.60 10 10 10 10 10 10
capsule 8.46 6,000 50,760.00 500 500 500 500 500 500
tube 192.23 360 69,202.80 30 30 30 30 30 30
ampule 103.00 3,600 370,800.00 300 300 300 300 300 300
ampule 415.04 60 24,902.40 10 0 10 0 10 0
tablet 16.73 240 4,015.20 20 20 20 20 20 20
ampule 144.97 120 17,396.40 20 0 20 0 20 0
ampule 1,030.85 6,000 6,185,100.00 500 500 500 500 500 500
capsule 4.62 1,200 5,544.00 100 100 100 100 100 100
tablet 42.69 2,400 102,456.00 200 200 200 200 200 200
tablet 42.69 3,600 153,684.00 300 300 300 300 300 300
ampule 500.00 10,000 5,000,000.00 800 800 900 800 800 900
ampule 986.47 240 236,752.80 60 0 0 60 0 0
bottle 192.31 24 4,615.44 6 0 0 6 0 0
bottle 285.49 24 6,851.76 6 0 0 6 0 0
tablet 42.38 600 25,428.00 50 50 50 50 50 50
bottle 288.46 60 17,307.60 10 0 10 0 10 0
tablet 83.38 200 16,676.00 100 0 0 0 0 0
capsule 19.23 3,600 69,228.00 300 300 300 300 300 300
capsule 34.58 3,600 124,488.00 300 300 300 300 300 300
ampule 480.62 2,400 1,153,488.00 200 200 200 200 200 200
ampule 452.31 1,200 542,772.00 100 100 100 100 100 100
ampule 484.62 1,200 581,544.00 100 100 100 100 100 100
sachet 8.85 600 5,310.00 100 0 100 0 100 0
vial 146.15 1,200 175,380.00 100 100 100 100 100 100
vial 2,812.50 60 168,750.00 10 0 10 0 10 0
ampule 76.92 4,000 307,680.00 300 300 300 400 300 300
vial 2,309.62 120 277,154.40 10 10 10 10 10 10
vial 5,500.00 600 3,300,000.00 100 0 100 0 100 0
bottle 50.00 240 12,000.00 20 20 20 20 20 20
vial 472.69 600 283,614.00 50 50 50 50 50 50
bottle 15.73 300 4,719.00 25 25 25 25 25 25
ampule 7.37 40,000 294,800.00 3300 3300 3400 3300 3300 3400
bottle 95.72 300 28,716.00 50 0 50 0 50 0
tablet 2.69 15,000 40,350.00 1300 1200 1300 1200 1300 1200
vial 38.46 1,200 46,152.00 100 100 100 100 100 100
ampule 253.85 200 50,770.00 100 0 0 0 0 0
ampule 649.23 1,200 779,076.00 100 100 100 100 100 100
tablet 1.95 3,600 7,020.00 300 300 300 300 300 300
tablet 2.05 3,600 7,380.00 300 300 300 300 300 300
tablet 2.27 3,600 8,172.00 300 300 300 300 300 300
capsule 31.46 600 18,876.00 100 0 100 0 100 0
ampule 831.54 300 249,462.00 50 0 50 0 50 0
ampule 50.00 2,400 120,000.00 200 200 200 200 200 200
ampule 200.00 120 24,000.00 10 10 10 10 10 10
vial 593.20 300 177,960.00 50 0 50 0 50 0
vial 976.97 3,600 3,517,092.00 300 300 300 300 300 300
bottle 84.62 12,000 1,015,440.00 1350 1345 1000 1000 1000 1000
bottle 76.92 48,000 3,692,160.00 4000 4000 4000 4000 4000 4000
tablet 22.31 6,000 133,860.00 500 500 500 500 500 500
vial 59.14 2,400 141,936.00 200 200 200 200 200 200
bottle 243.62 60 14,617.20 10 0 10 0 10 0
tablet 5.36 600 3,216.00 50 50 50 50 50 50
bottle 120.51 300 36,153.00 25 25 25 25 25 25
tablet 6.42 360 2,311.20 30 30 30 30 30 30
tablet 2.12 2,400 5,088.00 200 200 200 200 200 200
vial 492.31 1,500 738,465.00 400 0 0 350 0 0
tablet 10.81 1,200 12,972.00 100 100 100 100 100 100
tablet 16.77 1,200 20,124.00 100 100 100 100 100 100
tablet 11.62 3,600 41,832.00 300 300 300 300 300 300
tablet 61.54 4,800 295,392.00 400 400 400 400 400 400
tablet 23.47 6,000 140,820.00 500 500 500 500 500 500
tablet 73.08 3,600 263,088.00 300 300 300 300 300 300
amp/vial 51.50 100 5,150.00 100 0 0 0 0 0
tablet 5.15 600 3,090.00 100 0 100 0 100 0
tablet 5.08 1,200 6,096.00 100 100 100 100 100 100
ampule 57.69 4,800 276,912.00 400 400 400 400 400 400
tablet 4.62 1,000 4,620.00 500 0 0 0 0 0
tablet 44.62 6,000 267,720.00 500 500 500 500 500 500
amp/vial 574.62 200 114,924.00 50 0 0 50 0 0
ampule 459.16 30 13,774.80 10 0 0 0 10 0
tablet 21.42 600 12,852.00 100 0 100 0 100 0
tablet 29.23 600 17,538.00 100 0 100 0 100 0
nebule 11.54 6,000 69,240.00 500 500 500 500 500 500
bottle 53.85 120 6,462.00 10 10 10 10 10 10
canister 233.50 12 2,802.00 6 0 0 0 0 0
tablet 6.54 6,000 39,240.00 500 500 500 500 500 500
tablet 38.42 3,600 138,312.00 300 300 300 300 300 300
vial 1,246.15 50 62,307.50 10 0 10 0 5 0
bottle 13,134.62 144 1,891,385.28 12 12 12 12 12 12
jar 2,314.82 12 27,777.84 3 0 3 0 0 3
tube 147.28 240 35,347.20 20 20 20 20 20 20
tablet 7.69 3,600 27,684.00 300 300 300 300 300 300
tablet 12.18 1,200 14,616.00 100 100 100 100 100 100
ampule 123.85 2,400 297,240.00 200 200 200 200 200 200
vial 60.08 4,800 288,384.00 400 400 400 400 400 400
tablet 31.28 1,200 37,536.00 100 100 100 100 100 100
tablet 12.95 2,400 31,080.00 200 200 200 200 200 200
tablet 33.15 1,200 39,780.00 100 100 100 100 100 100
vial 24.65 100 2,465.00 50 0 0 0 0 0
vial 303.15 600 181,890.00 100 0 100 0 100 0
tablet 45.15 1,200 54,180.00 100 100 100 100 100 100
tablet 16.31 1,200 19,572.00 100 100 100 100 100 100
capsule 49.23 1,200 59,076.00 100 100 100 100 100 100
nebule 10.30 120 1,236.00 10 10 10 10 10 10
ampule 96.73 24 2,321.52 2 2 2 2 2 2
bottle 51.50 24 1,236.00 2 2 2 2 2 2
vial 659.20 60 39,552.00 10 0 10 0 10 0
ampule 29.36 3,600 105,696.00 300 300 300 300 300 300
bottle 388.31 36 13,979.16 3 3 3 3 3 3
canister 87.62 12 1,051.44 1 1 1 1 1 1
bottle 201.15 36 7,241.40 3 3 3 3 3 3
bottle 223.08 120 26,769.60 10 10 10 10 10 10
tube 436.370 120 52,364.40 10 10 10 10 10 10
tablet 27.50 480 13,200.00 40 40 40 40 40 40
capsule 7.69 3,600 27,684.00 300 300 300 300 300 300
ampule 84.62 4,800 406,176.00 400 400 400 400 400 400
ampule 100.00 2,400 240,000.00 200 200 200 200 200 200
capsule 10.60 1,200 12,720.00 100 100 100 100 100 100
capsule 21.54 4,800 103,392.00 400 400 400 400 400 400
tablet 14.50 600 8,700.00 100 0 100 0 100 0
capsule 48.56 1,200 58,272.00 100 100 100 100 100 100
bottle 784.62 1,000 784,620.00 80 80 90 80 80 90
vial 743.08 1,200 891,696.00 100 100 100 100 100 100
vial 1,259.81 600 755,886.00 100 0 100 0 100 0
ampule 207.690 120 24,922.80 20 0 20 0 20 0
tablet 59.37 600 35,622.00 100 0 100 0 100 0
bottle 716.00 60 42,960.00 10 0 10 0 10 0
vial 269.42 120 32,330.40 10 10 10 10 10 10
vial 555.96 240 133,430.40 20 20 20 20 20 20
capsule 4.31 1,200 5,172.00 100 100 100 100 100 100
ampule 69.23 1,200 83,076.00 100 100 100 100 100 100
tablet 26.15 1,200 31,380.00 100 100 100 100 100 100
vial 44.67 6,994 312,421.98 592 582 582 582 582 582
tablet 65.00 300 19,500.00 25 25 25 25 25 25
Jul Aug Sep Oct Nov Dec
100 100 100 100 100 100
50 0 0 0 0 0
40 40 40 40 40 40
200 200 200 200 200 200
0 0 0 0 0 0
300 300 300 300 300 300
0 0 100 0 0 0
10 0 10 0 10 0
6 0 0 0 0 0
150 0 150 0 150 0
0 0 0 0 0 0
10 10 10 10 10 10
0 0 0 0 0 0
20 0 0 20 0 0
100 100 100 100 100 100
100 100 100 100 100 100
0 0 100 0 0 0
100 100 100 100 100 100
0 0 150 0 0 0
0 0 100 0 0 0
100 0 100 0 100 0
0 0 0 0 0 0
1600 1200 1200 1600 1200 1200
300 300 300 300 300 300
200 200 200 200 200 200
0 0 100 0 0 0
500 500 500 500 500 500
500 500 500 500 500 500
300 300 300 300 300 300
700 650 650 700 650 650
400 300 300 400 300 300
300 300 300 300 300 300
50 50 50 50 50 50
20 20 20 20 20 20
20 20 20 20 20 20
500 500 500 500 500 500
0 0 10 0 0 0
500 500 500 500 500 500
100 100 100 100 100 100
100 100 100 100 100 100
500 500 500 500 500 500
500 500 500 500 500 500
500 500 500 500 500 500
100 100 100 100 100 100
100 0 100 0 100 0
5 5 5 5 5 5
300 300 300 300 300 300
25 0 0 25 0 0
200 200 200 200 200 200
0 0 100 0 0 0
250 0 0 250 0 0
250 0 0 250 0 0
3 3 3 3 3 3
8000 6000 6000 8000 6000 6000
50 50 50 50 50 50
50 0 50 0 50 0
50 0 0 0 0 0
25 0 0 0 0 0
6 0 0 0 0 0
100 100 100 100 100 100
6 0 0 6 0 0
100 0 0 0 0 0
100 100 100 100 100 100
300 300 300 300 300 300
300 0 0 300 0 0
200 200 200 200 200 200
200 200 200 200 200 200
100 100 100 100 100 100
100 100 100 100 100 100
500 0 0 0 0 0
500 500 500 500 500 500
6 0 0 0 0 0
4500 4000 4000 4500 4000 4000
10 0 0 10 0 0
100 0 0 100 0 0
100 0 100 0 100 0
500 500 500 500 500 500
10 10 10 10 10 10
10 0 10 0 10 0
10 10 10 10 10 10
500 500 500 500 500 500
100 0 100 0 100 0
100 100 100 100 100 100
100 100 100 100 100 100
100 0 100 0 100 0
5 4 4 4 4 4
200 200 200 200 200 200
10 0 10 0 10 0
10 0 10 0 10 0
10 0 10 0 10 0
500 500 500 500 500 500
150 150 150 150 150 0
500 500 500 500 500 500
5 0 0 0 0 0
6 0 0 6 0 0
500 500 500 500 500 500
900 800 800 900 800 800
300 300 300 300 300 300
300 300 300 300 300 300
100 100 100 100 100 100
10 10 10 10 10 10
5 5 5 5 5 5
5 5 5 5 5 5
5 5 5 5 5 5
100 100 100 100 100 100
10 0 10 0 10 0
0 0 10 0 0 0
100 100 100 100 100 100
7000 7000 6000 7000 7000 6000
0 0 0 0 0 0
100 100 100 100 100 100
200 200 200 200 200 200
300 300 300 300 300 300
0 0 50 0 0 0
25 25 25 25 25 25
20 20 20 20 20 20
300 300 300 300 300 300
0 0 200 0 0 0
300 300 300 300 300 300
300 300 300 300 300 300
10 0 10 0 10 0
20 0 20 0 20 0
300 300 300 300 300 300
0 0 100 0 0 0
300 300 300 300 300 300
300 300 300 300 300 300
20 0 20 0 20 0
200 200 200 200 200 200
400 400 400 400 400 400
400 400 400 400 400 400
100 100 100 100 100 100
20 20 20 20 20 20
20 20 20 20 20 20
400 400 400 400 400 400
60 0 0 0 0 0
0 0 100 0 0 0
10 0 10 0 10 0
100 0 100 0 100 0
10 0 10 0 10 0
40 40 40 40 40 40
25 25 25 25 25 25
20 0 20 0 20 0
20 0 20 0 20 0
20 0 20 0 20 0
20 0 20 0 20 0
20 0 20 0 20 0
300 300 300 300 300 300
200 200 200 200 200 200
100 100 100 100 100 100
700 700 600 700 700 600
500 500 500 500 500 500
150 150 200 150 150 200
300 300 400 300 300 400
100 100 100 100 100 100
1500 1500 2000 1500 1500 2000
800 800 900 800 800 900
250 250 250 250 250 250
50 50 50 50 50 0
300 300 300 300 300 300
100 100 100 100 100 100
0 0 200 0 0 0
100 100 100 100 100 100
10 0 10 0 10 0
500 500 500 500 500 500
100 100 100 100 100 100
0 0 10 0 0 0
0 0 10 0 0 0
5 5 5 5 5 5
200 200 200 200 200 200
10 0 10 0 10 0
500 500 500 500 500 500
300 300 300 300 300 300
50 0 0 50 0 0
200 200 200 200 200 200
20 20 20 20 20 20
0 25 0 25 0 25
300 300 300 300 300 300
250 250 250 250 250 250
250 250 250 250 250 250
10 10 10 10 10 10
50 50 0 50 50 0
50 50 50 50 50 50
100 100 100 100 100 100
10 10 10 10 10 10
100 0 0 0 0 0
10 10 10 10 10 10
10 10 10 10 10 10
10 10 10 10 10 10
100 100 100 100 100 100
100 100 100 100 100 100
800 800 900 800 800 900
0 0 10 0 0 0
200 200 200 200 200 200
0 0 10 0 0 0
10 0 10 0 10 0
100 0 0 0 0 0
20 0 20 0 20 0
100 0 0 0 0 0
20 20 20 20 20 20
100 100 100 100 100 100
0 0 0 0 0 0
0 0 100 0 0 0
0 0 300 0 0 0
500 500 500 500 500 500
500 500 500 500 500 500
400 400 400 400 400 400
5 5 5 5 5 5
5 5 5 5 5 5
20 20 20 20 20 20
5 5 5 5 5 5
50 50 50 50 50 50
20 0 20 0 20 0
100 100 100 100 100 100
500 500 500 500 500 500
50 50 50 50 50 50
10 0 10 0 10 0
300 300 300 300 300 300
100 0 100 0 100 0
300 300 300 300 300 300
200 200 200 200 200 200
50 50 50 50 50 50
200 200 200 200 200 200
20 20 20 20 20 20
20 0 20 0 20 0
400 400 400 400 400 400
200 200 200 200 200 200
300 300 300 300 300 300
500 500 500 500 500 500
100 0 100 0 100 0
100 0 100 0 100 0
100 0 100 0 100 0
20 20 20 20 20 20
20 20 20 20 20 20
0 0 100 0 0 0
10 0 0 0 0 0
100 0 100 0 100 0
500 500 500 500 500 500
300 300 300 300 300 300
100 100 100 100 100 100
100 100 100 100 100 100
200 200 200 200 200 200
20 0 20 0 20 0
300 300 300 300 300 300
20 0 20 0 20 0
50 0 50 0 50 0
1000 1000 1000 1000 1000 1000
100 0 0 0 0 0
24 0 24 0 24 0
200 200 200 200 200 200
500 500 500 500 500 500
500 500 500 500 500 500
50 50 50 50 50 50
100 100 100 100 100 100
300 300 300 300 300 300
200 200 200 200 200 200
0 0 50 0 0 0
800 800 800 800 800 800
100 100 100 100 100 100
400 400 400 400 400 400
200 200 200 200 200 200
50 0 50 0 50 0
200 200 200 200 200 200
500 500 500 500 500 500
300 300 300 300 300 300
3 0 0 2 0 0
100 100 100 100 100 100
200 200 200 200 200 200
40 40 40 40 40 40
10 10 10 10 10 10
300 300 300 300 300 300
500 500 500 500 500 500
500 500 500 500 500 500
300 300 300 300 300 300
300 300 300 300 300 300
10 0 10 0 10 0
0 0 100 0 0 0
50 0 0 50 0 0
200 200 200 200 200 200
1000 1000 1000 1000 1000 1000
500 500 500 500 500 500
200 150 150 200 150 150
75 0 0 75 0 0
100 0 0 0 0 0
200 200 200 200 200 200
0 0 100 0 0 0
200 200 200 200 200 200
300 300 300 300 300 300
200 200 200 200 200 200
25 0 0 0 0 0
10 0 0 0 0 0
10 0 0 0 0 0
6 0 6 0 6 0
20 20 20 20 20 20
300 300 300 300 300 300
200 200 200 200 200 200
300 300 300 300 300 300
300 300 300 300 300 300
20 20 20 20 20 20
500 500 500 500 500 500
300 300 300 300 300 300
300 300 300 300 300 300
100 100 100 100 100 100
20 20 20 20 20 20
20 20 20 20 20 20
200 200 200 200 200 200
100 100 100 100 100 100
200 200 200 200 200 200
100 100 100 100 100 100
300 300 300 300 300 300
10 10 10 10 10 10
10 10 10 10 10 10
10 10 10 10 10 10
500 500 500 500 500 500
30 30 30 30 30 30
300 300 300 300 300 300
10 0 10 0 10 0
20 20 20 20 20 20
20 0 20 0 20 0
500 500 500 500 500 500
100 100 100 100 100 100
200 200 200 200 200 200
300 300 300 300 300 300
800 800 900 800 800 900
60 0 0 60 0 0
6 0 0 6 0 0
6 0 0 6 0 0
50 50 50 50 50 50
10 0 10 0 10 0
100 0 0 0 0 0
300 300 300 300 300 300
300 300 300 300 300 300
200 200 200 200 200 200
100 100 100 100 100 100
100 100 100 100 100 100
100 0 100 0 100 0
100 100 100 100 100 100
10 0 10 0 10 0
300 400 300 300 300 400
10 10 10 10 10 10
100 0 100 0 100 0
20 20 20 20 20 20
50 50 50 50 50 50
25 25 25 25 25 25
3300 3300 3400 3300 3300 3400
50 0 50 0 50 0
1300 1200 1300 1200 1300 1200
100 100 100 100 100 100
100 0 0 0 0 0
100 100 100 100 100 100
300 300 300 300 300 300
300 300 300 300 300 300
300 300 300 300 300 300
100 0 100 0 100 0
50 0 50 0 50 0
200 200 200 200 200 200
10 10 10 10 10 10
50 0 50 0 50 0
300 300 300 300 300 300
1000 1000 1000 1000 1000 1000
4000 4000 4000 4000 4000 4000
500 500 500 500 500 500
200 200 200 200 200 200
10 0 10 0 10 0
50 50 50 50 50 50
25 25 25 25 25 25
30 30 30 30 30 30
200 200 200 200 200 200
400 0 0 350 0 0
100 100 100 100 100 100
100 100 100 100 100 100
300 300 300 300 300 300
400 400 400 400 400 400
500 500 500 500 500 500
300 300 300 300 300 300
0 0 0 0 0 0
100 0 100 0 100 0
100 100 100 100 100 100
400 400 400 400 400 400
500 0 0 0 0 0
500 500 500 500 500 500
50 0 0 50 0 0
0 0 10 0 0 0
100 0 100 0 100 0
100 0 100 0 100 0
500 500 500 500 500 500
10 10 10 10 10 10
6 0 0 0 0 0
500 500 500 500 500 500
300 300 300 300 300 300
10 0 10 0 5 0
12 12 12 12 12 12
0 0 3 0 0 0
20 20 20 20 20 20
300 300 300 300 300 300
100 100 100 100 100 100
200 200 200 200 200 200
400 400 400 400 400 400
100 100 100 100 100 100
200 200 200 200 200 200
100 100 100 100 100 100
50 0 0 0 0 0
100 0 100 0 100 0
100 100 100 100 100 100
100 100 100 100 100 100
100 100 100 100 100 100
10 10 10 10 10 10
2 2 2 2 2 2
2 2 2 2 2 2
10 0 10 0 10 0
300 300 300 300 300 300
3 3 3 3 3 3
1 1 1 1 1 1
3 3 3 3 3 3
10 10 10 10 10 10
10 10 10 10 10 10
40 40 40 40 40 40
300 300 300 300 300 300
400 400 400 400 400 400
200 200 200 200 200 200
100 100 100 100 100 100
400 400 400 400 400 400
100 0 100 0 100 0
100 100 100 100 100 100
80 80 90 80 80 90
100 100 100 100 100 100
100 0 100 0 100 0
20 0 20 0 20 0
100 0 100 0 100 0
10 0 10 0 10 0
10 10 10 10 10 10
20 20 20 20 20 20
100 100 100 100 100 100
100 100 100 100 100 100
100 100 100 100 100 100
582 582 582 582 582 582
25 25 25 25 25 25
DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -463 ampule 0.9% NaCl 20ml

DM -464 vial 6% Dextran 70 in 0.9% NaCl 500ml (IV Infusion)

DM -251 tablet Acetazolamide 250mg - (100's)

DM -252 sachet Acetylcisteine 200mg - (30's)

DM -253 bottle Acetylcisteine 200mg/ml, 25ml (IV infusion) - (1's)

DM -254 tablet Acetylcisteine 600mg

DM -255 bottle Acetylcystein 100mg soln for inj - (5's)

DM -256 bottle Acetylcystein 100mg/ml, inhalation - (5's)

DM -01 tablet Aciclovir 400mg

DM -257 can Activated Charcoal 1kg

DM -115 vial Adenosine 3mg/ml, 2ml (IV)

DM -258 bottle Al hydroxide 225mg/200mg Mg hydroxide/5ml susp., 120ml

DM -259 tablet Alendronate 70mg (as Sodium salt) - (4's)

DM -260 tablet Allopurinol 100mg

DM -261 tablet Allopurinol 300mg

DM -262 tablet Alprazolam 250mcg - (100's)

DM -02 amp/vial Amikacin 100mg/ml, 2ml (IM, IV) (as SO4)

DM -03 amp/vial Amikacin 125mg/ml,( 250mg/2ml) (IM, IV) (as SO4)

DM -465 bottle Amino Acids Crystaline 5% (IV Infusion) 500ml

DM -116 ampule Aminophylline 25mg/ml, 10ml (IV)

DM -117 tablet Amiodarone 200mg (as HCl)

DM -118 ampule Amiodarone 50mg/ml, 3ml (IV) (as HCl) - (6's)

DM -119 tablet Amlodipine 10mg (as Besylate)

DM -120 tablet Amlodipine 5mg (as Besylate or Camsylate) - (100's)

DM -04 bottle Amoxicillin 100mg/ml granules/ powder for drops 10ml (as Trihydrate)

DM -06 capsule Amoxicillin 250mg (as Trihydrate)

DM -05 bottle Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate)

DM -07 capsule Amoxicillin 500mg (as Trihydrate)

DM -08 vial Ampicillin 1g (IM,IV) (as Sodium salt)

DM -09 vial Ampicillin 500mg (IM,IV) (as Sodium salt)

DM -10 vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt)

DM -11 vial Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) (IM,IV) (as Na salt)

DM -114 amp/vial Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml (IM)

DM -263 ampule Ascorbic 250mg/ml, 2ml

DM -264 bottle Ascorbic Acid 100mg/5ml, 60ml syrup

DM -265 bottle Ascorbic Acid 100mg/ml, 15ml drops

DM -266 tablet Ascorbic Acid 500mg

DM -121 tablet Aspirin 100mg

DM -122 tablet Aspirin 300mg

DM -123 tablet Aspirin 80mg

DM -124 tablet Atenolol 100mg

DM -125 tablet Atenolol 50mg

DM -126 tablet Atorvastatin 20mg - (100's)

DM -127 tablet Atorvastatin 40mg

DM -128 tablet Atorvastatin 80mg

Page 302 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION

DM -267 ampule Atracurium Besylate 10mg/ml, 2.5ml (IV)

DM -268 ampule Atropine 1mg/ml, 1ml (IM,IV) (as SO4)

DM -269 bottle Atropine Sulfate Ophthalmic drops 1%, 10ml

DM -13 tablet Azithromycin 500mg (as base/as dihydrate)

DM -12 vial Azithromycin 500mg powder (IV infusion) (as base/ as Dihydrate)

DM -270 tablet Baclofen 10mg - Trilaxant

DM -271 tablet Betahistine 24mg

DM -272 tablet Biperiden 2mg (as HCl)

DM -273 suppository Bisacodyl 10mg adult

DM -275 tablet Bisacodyl 5mg

DM -274 suppository Bisacodyl 5mg pediatric

DM -431 vial Bleomycin Sulfate 15 units

DM -130 nebule Budesonide 250mcg/ml, 2ml (unit dose)

DM -129 canister Budesonide + Formoterol 160/4.5mcg/ unit dose - Symbicort Turbuhaler

DM -131 tablet Bumetamide 1mg

DM -14 ampule Bupivacaine 0.5%, 10ml/amp (as HCl)

DM -15 ampule Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY

DM -132 tablet Butamirate Citrate 50mg MR

DM -276 ampule Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate)

DM -277 tablet Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) - (120's)

DM -432 ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV)

DM -278 ampule Calcium Gluconate 10%, 10ml (IV)

DM -133 tablet Candesartan 8mg - Atasart

DM -433 tablet Capecitabine 500mg

DM -134 tablet Captopril 25mg

DM -279 tablet Carbamazepine 200mg

DM -135 tablet Carbimazole 20mg

DM -136 tablet Carbimazole 5mg

DM -434 vial Carboplatin 450mg - Kemocarb

DM -137 tablet Carvedilol 25mg

DM -138 tablet Carvedilol 6.25mg - Xicard

DM -280 bottle Castor Oil USP Grade 60ml

DM -16 bottle Cefalexin 100mg/ml, 10ml drops (as Monohydrate)

DM -17 bottle Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate)

DM -18 capsule Cefalexin 500mg (as Monohydrate)

DM -19 vial Cefazolin 1g (IM,IV) (as Sodium salt)

DM -20 vial Cefazolin 500mg (IM,IV) (as Sodium salt)

DM -21 vial Cefepime 1g (IM,IV) (as HCl)

DM -22 vial Cefepime 500mg (IM,IV) (as HCl)

DM -23 bottle Cefixime 100mg/5ml, 60ml granules suspension

DM -24 capsule Cefixime 200mg

DM -25 bottle Cefixime 20mg/ml granules drops, 10ml - (1's)

DM -26 vial Cefoxitin 1g (IM,IV) (as Sodium salt)

DM -27 vial Ceftazidime 1g (as Pentahydrate)

DM -28 vial Ceftriaxone 1g (as Disodium/ Sodium salt)

Page 303 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -29 bottle Cefuroxime 125mg/5ml, 70ml granules/suspension (as Axetil)

DM -30 tablet Cefuroxime 250mg (as Axetil)

DM -31 bottle Cefuroxime 250mg/5ml, 70ml granules/suspension (as Axetil) - Suncetin-250

DM -32 tablet Cefuroxime 500mg (as Axetil)

DM -33 vial Cefuroxime 750mg (IM,IV) (as Sodium salt)

DM -281 capsule Celecoxib 200mg

DM -282 capsule Celecoxib 400mg

DM -283 tablet Cetirizine 10mg (as Dihydrochloride)

DM -284 bottle Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride)

DM -285 bottle Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride)

DM -286 bottle Cetirizine 1mg/ml syr, 60ml (as Dihydrochloride)

DM -34 bottle Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate)

DM -35 vial Chloramphenicol 1g (IM,IV) (as Sodium Succinate)

DM -36 capsule Chloramphenicol 500mg

DM -287 ampule Chlorpheniramine 10mg/ml, 1ml (IM,IV) (as Maleate)

DM -288 tablet Chlorpromazine 100mg (as HCl)

DM -289 tablet Chlorpromazine 200mg (as HCl) - (100's)

DM -290 tablet Cinnarizine 25mg

DM -37 vial Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV infusion

DM -38 tablet Ciprofloxacin 500mg (as Hydrochloride)

DM -435 vial Cisplatin 50mg (IV)

DM -39 bottle Clarithromycin 125mg/5ml, 70ml granules/powder for suspension - Clariget

DM -40 bottle Clarithromycin 250mg/5ml, powder for suspension - (1's)

DM -41 tablet Clarithromycin 500mg tab OD Modified Release

DM -42 tablet Clarithromycin 500mg tablet as base

DM -43 ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4)

DM -44 bottle Clindamycin 75mg/5ml granules for suspension, 60ml (as Palmitate HCl)

DM -45 capsule Clindamycin HCl 150mg

DM -46 capsule Clindamycin HCl 300mg

DM -291 tube Clobetasol cream 0.05% , 5g (as Propionate)

DM -292 tablet Clonazepam 2mg - (100's)

DM -139 ampule Clonidine 150mcg/ml, 1ml (IV) (as HCl)

DM -140 tablet Clonidine 75mcg (as HCl)

DM -141 tablet Clopidogrel 75mg

DM -47 capsule Cloxacillin 500mg

DM -293 tablet Clozapine 100mg - (100')

DM -48 bottle Co-Amoxiclav 156.25mg/5ml,powder for suspension

DM -49 bottle Co-Amoxiclav 228.5mg/5ml,powder for suspension

DM -50 bottle Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension - Auget

DM -51 bottle Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension - Auget

DM -52 tablet Co-Amoxiclav 625mg (as Trihydrtate)

DM -142 ampule Cobra Antivenom

DM -466 bottle Combined Amino Acids + Sorbitol Solution (IV Infusion) 500ml bottle

DM -53 bottle Co-Trimoxazole 200mg/40mg/5ml suspension, 60ml

DM -54 cap/tab Co-Trimoxazole 400mg/80mg

Page 304 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -55 bottle Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml

DM -56 cap/tab Co-Trimoxazole 800mg/160mg

DM -436 vial Cyclophosphamide 1g (IV) - (1's)

DM -437 vial Cyclophosphamide 500mg (IV) - (1's)

DM -438 vial Cytarabine 1g/10ml

DM -439 vial Cytarabine 500mg/10ml

DM -440 vial Dacarbazine 200mg

DM -441 vial Dactinomycin 500mcg

DM -143 tablet Dexamethasone 4mg

DM -144 amp/vial Dexamethasone 4mg/ml, 2ml (IM,IV) (as Sodium Phosphate)

DM -467 ampule Dextran 70 in 0.9% Sodium Chloride

DM -468 ampule Dextrose 10% in Water 3ml ampule (as solvent)

DM -469 set Dextrose 10% in Water 500ml

DM -470 set Dextrose 5% 0.3 NaCl 500ml (Light Blue)

DM -471 set Dextrose 5% 0.9 NaCl 1L (D5NSS)

DM -472 set Dextrose 5% Balance Multiple Maint.sol'n 500ml

DM -473 set Dextrose 5% Balanced Multiple Maint. Sol'n. 1000ml (D5NM 1L)

DM -474 set Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000ml (D5NR 1L)

DM -475 set Dextrose 5% in Lactated Ringers 1000ml (Pink)

DM -476 set Dextrose 5% in Water 1000ml

DM -478 set Dextrose 5% in Water 500ml (Glass)

DM -477 set Dextrose 5% in Water 500ml (Red)

DM -479 set Dextrose 50% in Water 50ml

DM -294 tablet Diazepam 5mg

DM -295 ampule Diazepam 5mg/ml, 2ml (IM,IV)

DM -296 ampule Diclofenac Sodium 25mg/ml, 3ml (IM,IV)

DM -297 tablet Diclofenac Sodium 50mg (as Sodium or Potassium salt)

DM -298 bottle Dicycloverine 10mg/5ml, 60ml syrup

DM -145 tablet Digoxin 250mcg (0.25mg)

DM -146 ampule Digoxin 250mcg/ml, 2ml (IM,IV)

DM -147 bottle Digoxin 50mcg (0.05mg)/ml Elixir, 60ml

DM -57 bottle Diloxanide Furoate 125mg/5ml syrup/suspension 30ml

DM -58 tablet Diloxanide Furoate 500mg

DM -148 tablet Diltiazem 30mg (as Hydrochloride)

DM -149 tablet Diltiazem 60mg (as Hydrochloride)

DM -299 bottle Diphenhydramine HCl 12.5mg/5ml syrup 60ml

DM -300 capsule Diphenhydramine HCl 50mg

DM -301 ampule Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl)

DM -150 vial Diphtheria Anti toxin 20,000 iu 10ml (IV)

DM -151 vial Dobutamine 12.5mg/ml, 20ml (IV) (as HCl)

DM -152 vial Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl)

DM -442 vial Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) - (1's)

DM -443 vial Docetaxel 40mg/ml, 2ml (IV infusion) - (1's)

DM -302 tablet Domperidone 10mg

DM -153 vial Dopamine 1.6mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl)

Page 305 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -154 vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl)

DM -155 amp/vial Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine 200mg/5ml)

DM -444 vial Doxorubicin powder 10mg (IV) (as HCl)

DM -445 vial Doxorubicin powder 50mg (IV) (as HCl) - (1's)

DM -59 capsule Doxycycline 100mg (as Hyclate)

DM -60 capsule Doxycycline 50mg (as Hyclate)

DM -156 tablet Dydrogesteone 10mg

DM -157 p. syringe Enoxaparin Sodium 100mg/ml, 0.4ml - (1's)

DM -158 p. syringe Enoxaparin Sodium 100mg/ml, 0.6ml - (1's)

DM -303 ampule Ephedrine Sulfate 50mg/ml, 1ml (IM,IV)

DM -159 ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride)

DM -305 prefilled syrnge Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human erythropoetin) - Eposino

DM -304 amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin)

DM -61 bottle Erythromycin 200mg/5ml granules/powder for suspension 60ml (as Ethyl Succinate)

DM -62 tablet Erythromycin 500mg (as Stearate)

DM -63 tube Erythromycin Ophthalmic Ointment 0.5%, 3.5g

DM -306 tablet Escitalopram 10mg (as oxalate)

DM -160 vial Esmolol 100mg/ml, 10ml (as HCl)

DM -64 tablet Ethambutol 200mg (as HCl)

DM -446 amp/vial Etoposide 20mg/ml, 5ml (IV)

DM -307 ampule Famotidine 10mg/ml, 2ml (IM,IV)

DM -161 tablet Felodipine 10mg MR - (100's)

DM -162 tablet Felodipine 5mg

DM -163 tablet Fenofibrate 160mg

DM -164 tablet Fenofibrate 200mg

DM -308 ampule Fentanyl 50mcg/ml, 2ml (IV) (as Citrate)

DM -309 tablet Ferrous Fumarate 500mg (100mg elemental iron)+ B complex

DM -310 bottle Ferrous Sulfate 15mg elemental iron/0.6ml drops, 30ml

DM -311 bottle Ferrous Sulfate 30mg elemental iron/5ml syrup, 60ml

DM -312 tablet Ferrous sulfate 325mg

DM -447 vial Filgrastim 300mcg

DM -65 tablet Fluconazole 150mg - (20's)

DM -66 capsule Fluconazole 200mg

DM -67 vial Fluconazole 2mg/ml, 100ml (IV infusion)

DM -448 vial Fluorouracil 25mg/ml, 10ml (IV, IV Infusion)

DM -449 ampule Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) - Fluonco

DM -313 tab/cap Fluoxetin 20mg dispersal - (30's)

DM -314 bottle Fluphenazine 25mg/ml, 10ML

DM -315 bottle Folic Acid 2.5mg/ml drops, 10ml

DM -316 tablet Folic Acid 5mg

DM -317 bottle Folic Acid 5mg/ml drops

DM -165 p.syringe Fondaparinux 2.5mg/0.5ml solution (as Sodium salt)

DM -166 ampule Furosemide 10mg/ml, 2ml (IM,IV)

DM -167 tablet Furosemide 20mg

DM -168 tablet Furosemide 40mg

Page 306 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -318 capsule Gabapentine 100mg - (30's)

DM -319 capsule Gabapentine 300mg - (100's)

DM -450 vial Gemcitabine 1g

DM -451 vial Gemcitabine 200mg

DM -68 amp/vial Gentamycin 40mg/ml, 2ml (IM,IV) (as SO4)

DM -169 tablet Glibenclamide 5mg

DM -170 tablet Gliclazide 30mg MR

DM -171 tablet Gliclazide 80mg - (100's)

DM -172 tablet Glipizide 5mg - (100's)

DM -173 patch Glyceryl Trinitrate (Nitroglycerin) 5mg

DM -320 tablet Haloperidol 20mg - (100's)

DM -321 ampule Haloperidol 5mg/ml, 1ml (IM)

DM -174 amp/vial Hepa B vaccine

DM -322 ampule Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt)

DM -323 vial Human Albumin 20%, 50ml

DM -175 ampule Hydralazine 20mg/ml, 1ml (IM,IV) (as HCl)

DM -176 tablet Hydralazine 25mg (as HCl)

DM -177 tube Hydrocortisone 1% cream, 5g - (1's)

DM -178 vial Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate)

DM -179 vial Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate)

DM -480 bottle Hydroxyethyl starch 6% solution 500ml bottle (IV infusion) - Nirhes 130

DM -452 tablet Hydroxyurea 500mg

DM -324 tablet Hydroxyzine 25mg (as Dihydrochloride)

DM -325 ampule Hydroxyzine 50mg/ml, 1ml (IM,IV) - Droxiem

DM -326 tablet Hyoscine 10mg (as N- Butyl Bromide)

DM -327 ampule Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide)

DM -328 bottle Hyoscine 5mg/5ml, 60ml syrup (as N-Butyl Bromide)

DM -329 bottle Ibuprofen 100mg/5ml, 60ml suspension

DM -330 tablet Ibuprofen 400mg

DM -331 vial Iopamidol 755mg/ml equiv. to 370mg iodine, 50ml - Scanlux

DM -180 canister Ipratropium + Salbutamol MDI x 200 doses

DM -181 nebule Ipratropium + Salbutamol UDV 2.5ml/ unit dose

DM -332 ampule Iron Sucrose 20mg/ml

DM -69 bottle Isoflurane 100ml - Isorane

DM -70 tablet Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275mg

DM -71 tablet Isoniazid + Rifampicin + Pyrazinamide 75mg + 150mg +400mg

DM -72 tablet Isoniazid + Rifampicin 75mg + 150mg

DM -73 bottle Isoniazid 200mg/5ml, 120ml syrup

DM -182 vial Isophane Insulin Human (intermediate, acting, Neutral) inj. 100IU/ml, 10ml (IM,SC) - Insuget-N

DM -183 cap/tab Isosorbide- 5- Mononitrate 30mg

DM -184 cap/tab Isosorbide- 5- Mononitrate 60mg - (70's)

DM -185 tablet Isosorbide dinitrate 10mg

DM -186 ampule Isosorbide dinitrate 1mg/ml, 10ml (IV)

DM -187 tablet Isosorbide dinitrate 5mg SL

DM -333 tablet Isoxsuprine 10mg (as HCl)

Page 307 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -334 ampule Isoxsuprine 5mg/ml, 2ml (IM, IV infusion )(as HCl)

DM -74 vial Ketamine HCl 50mg/ml, 10ml (IM,IV)

DM -335 tablet Ketoprofen 100mg

DM -336 ampule Ketoprofen 50mg/ml, 2ml (IM)

DM -337 ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol)

DM -338 bottle Lactulose 3.3g/5ml (66% syrup), 120ml - Lilac

DM -339 tablet Lamotrigine 50mg - (30's)

DM -75 tablet Levofloxacin 500mg - (60's)

DM -76 vial Levofloxacin 5mg/ml solution for IV infusion, 100ml - (1's)

DM -77 tablet Levofloxacin 750mg - (20's)

DM -188 tablet Levothyroxine 100mcg (as Anhydrous Sodium)

DM -189 tablet Levothyroxine 50mcg (as Anhydrous Sodium) - (100's)

DM -78 polyamp Lidocaine 2%, 5ml (as HCl)

DM -79 tube Lidocaine 5% ointment 35g (as Hydrochloride)

DM -340 ampule Lidocaine HCl in 4mg/ml,250ml D5W (pre-mixed) (IV)(as HCl)

DM -80 bottle Lidocaine spray 10%, 50ml (as HCl)

DM -341 tablet Lithium Carbonate 450mg MR - (100's)

DM -342 capsule Loperamide 2mg

DM -343 tablet Loratadine 10mg

DM -344 bottle Loratadine 5mg/5ml syrup, 30ml

DM -190 tablet Losartan + Hydrochlorothiazide 100mg +25mg - Getzar Plus

DM -191 tablet Losartan + Hydrochlorothiazide 50mg +12.5mg - (100's)

DM -192 tablet Losartan 100mg (as Potassium salt) - (100's)

DM -193 tablet Losartan 50mg (as Potassium salt) - (70's)

DM -345 ampule Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate)

DM -481 bottle Mannitol 20%, 500ml (IV)

DM -81 bottle Mebendazole 100mg/5ml suspension 30ml

DM -82 tablet Mebendazole 500mg

DM -346 ampule Mecobalamin 500mcg/ml (IM/IV)

DM -194 tablet Medroxyprogesterone Acetate 5mg

DM -347 tablet Mefenamic Acid 250mg

DM -348 tablet Mefenamic Acid 500mg

DM -83 vial Meropenem 1g (IV) (as Trihydrate)

DM -84 vial Meropenem 500mg (IV) (as Trihydrate)

DM -195 tablet Metformin 500mg (as HCl)

DM -196 tablet Methimazole 5mg - (100's)

DM -453 ampule Methotrexate 25mg/ml, 2ml (IM,IV, Intrathecal) (as base)

DM -197 tablet Methyldopa 250mg - Aldomet

DM -349 tablet Methylergometrine Maleate 125mcg (as Hydrogen Maleate or Maleate)

DM -350 ampule Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleate)

DM -198 vial Methylprednisolone 125mg/ml, 2ml + diluent (IM,IV) Iv infusion (as Na succinate)

DM -199 vial Methylprednisolone 1g/16ml

DM -200 vial Methylprednisolone 500mg/7.7ml

DM -201 vial Methylprednisolone inj. 40mg 1ml

DM -202 tablet Methyprednisolone 16mg

Page 308 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -351 ampule Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl)

DM -203 tablet Metoprolol 100mg (as Tartrate) - Cardiostat

DM -204 tablet Metoprolol 50mg (as Tartrate)

DM -85 tablet Metronidazole 125mg base/ 5ml suspension 60ml

DM -86 tablet Metronidazole 500mg

DM -87 vial Metronidazole 5mg/ml, 100ml IV infusion - Generic

DM -88 suppository Metronidazole rectal 1g

DM -352 ampule Midazolam 1mg/ml, 5ml (IM,IV) - (1's)

DM -353 ampule Midazolam 5mg/ml, 3ml (IM,IV)

DM -205 tablet Montelukast 10mg (as Sodium)

DM -206 tablet Montelukast 5mg (as Sodium)

DM -354 tablet Morphine 10mg CR (as Sulfate)

DM -355 ampule Morphine 15mg/ml, 1ml (IM,IV,SC) (as Sulfate)

DM -356 tablet Morphine 30mg CR (as Sulfate)

DM -357 bottle Multivitamins 120ml syrup

DM -358 bottle Multivitamins 15ml drops

DM -359 bottle Multivitamins 30ml drops

DM -360 capsule Multivitamins capsule

DM -361 tube Mupirocin 2%, 5g

DM -362 ampule Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl)

DM -89 bottle Nalidixic Acid 250mg/5ml, 60ml suspension

DM -363 ampule Naloxone 20mcg/ml, 2ml (IM,IV,SC) (as HCl)

DM -364 tablet Naproxen 275mg

DM -365 tablet Naproxen 550mg

DM -366 ampule Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate) - Prostigmine

DM -207 ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl)

DM -208 capsule Nifedipine 10mg

DM -209 tablet Nifedipine 30mg MR

DM -210 capsule Nifedipine 5mg

DM -211 tablet Nimodipine 30mg

DM -212 ampule Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate)

DM -90 bottle Nystatin 100,000 "u"/ml, 30ml suspension

DM -91 bottle Ofloxacin 0.3%, 5ml ear drops solution

DM -92 vial Ofloxacin 2mg/ml, 100ml (Iv infusion)

DM -93 tablet Ofloxacin 400mg

DM -94 bottle Ofloxacin Ophthalmic Drop 0.3%, 5ml solution

DM -367 tablet Olanzapine 10mg - (100's)

DM -368 capsule Omeprazole 20mg

DM -370 capsule Omeprazole 40mg

DM -369 ampule Omeprazole 40mg + 10ml solvent (IV) - (1's)

DM -454 ampule Ondansetron 1mg/ml, 4ml (IM,IV)

DM -455 ampule Ondansetron 2mg/ml, 4ml (IM,IV)

DM -371 sachet Oral Rehydration Solution

DM -95 capsule Oseltamivir 75mg (as Phosphate)

DM -96 vial Oxacillin 500mg - (10's)

Page 309 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -456 vial Oxaliplatin 100mg

DM -97 bottle Oxantel Pyrantel (100mg Oxantel + 100mg Pyrantel)/5ml susp. 10ml (as Embonate)

DM -372 ampule Oxytocin 10 "IU"/ml, 1ml (IM,IV)

DM -457 vial Paclitaxel 100mg

DM -458 vial Paclitaxel 30mg

DM -373 bottle Paracetamol 100mg/ml, (alcohol free), 15ml

DM -374 vial Paracetamol 10mg/ml, 100ml solution for infusion (IV)

DM -375 vial Paracetamol 150mg/ml, 2ml (IM,IV)

DM -376 bottle Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension

DM -377 tablet Paracetamol 500mg

DM -98 vial Penicillin G Benzathine (Benzathine Benzyl Penicillin) 1.2M units - (10's)

DM -99 vial Penicillin G Crystalline (Benzylpenicillin) 1M "u" vl. (IM,IV) (as Sodium)

DM -100 vial Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl. (IM,IV) (as Sodium)

DM -378 ampule Pethidine (Meperiden) 50mg/ml, 2ml (Im, IV, SC) (as HCl)

DM -101 bottle Phennoxymethyl Penicillin (penicillin V) 250mg/5ml granules/powder susp., 60ml (as K salt)

DM -102 cap/tab Phennoxymethyl Penicillin 500mg (as Sodium salt)

DM -379 ampule Phenobarbital 130mg/ml, 1ml (IM,IV) (as Sodium) - Luminal

DM -380 tablet Phenobarbital 15mg (1/4 grain)

DM -381 tablet Phenobarbital 60mg (1 grain)

DM -382 tablet Phenobarbital gr 1/2 (30mg)

DM -383 capsule Phenytoin 100mg (as Sodium salt)

DM -384 ampule Phenytoin 50mg/ml, 2ml (IV)(as Sodium salt)

DM -385 ampule Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV)

DM -103 vial Piperacillin+Tazobactam (2g Piperacillin+250mg Tazobactam)

DM -104 vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV infusion) (as Na)

DM -482 set Plain Lactated Ringers Solution 1000ml (Blue)

DM -483 set Plain NSS 1000ml (Green)

DM -386 tablet Potassium 750mg durules (approx. equiv. to 10 mEq) - Kalium Durules

DM -387 vial Potassium Chloride 2mEq/ml, 20ml (IV infusion)

DM -389 bottle Prednisolone eye drops suspension 0.5%,5ml (as acetate)

DM -213 bottle Prednisone 10mg/5ml suspension, 60ml

DM -214 tablet Prednisone 20mg

DM -215 tablet Prednisone 30mg

DM -216 tablet Prednisone 50mg

DM -217 tablet Prednisone 5mg

DM -105 tablet Primaquine 15mg base (as Diphosphate)

DM -390 amp/vial Propofol 10mg/ml, 20ml IV (oil in water emulsion) - (1's)

DM -218 tablet Propranolol 10mg (as HCl)

DM -219 tablet Propranolol 40mg (as HCl)

DM -220 tablet Propylthiouracil 50mg

DM -106 bottle Pyrazynamide 250mg/5ml, 120ml suspension

DM -391 ampule Pyridoxine (Vit. B6) 100mg/ml, 10ml (IM,IV) (as Hydrochloride)

DM -392 tablet Quetiapine 100mg

DM -393 tablet Quetiapine 25mg - (100's)

DM -394 tablet Quetiapine 300mg - (100's)

Page 310 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -107 amp/vial Quinine 300mg/ml, 1ml Iv (as diHCl)

DM -108 tablet Quinine Sulfate 300mg (325) (as Sulfate)

DM -221 ampule Rabbies Vaccine (0.5ml of 4% Sodium Chloride) - Verorab

DM -222 vial Rabbies Vaccine Lyophillyzed powder 2.5 IU/ml, 1 dose + 1ml Diluent (ID,IM)

DM -395 tablet Ranitidine 150mg (as HCl)

DM -396 ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl)

DM -397 tablet Ranitidine 300mg (as HCl)

DM -398 vial Recombinant H Granulocyte stimulating

DM -223 p. syringe Regular Insulin 100IU/ml, 3ml (IM,IV,SC)

DM -109 bottle Rifampicin 200mg/5ml suspension 120ml

DM -399 tablet Risperidone 2mg

DM -400 tablet Risperidone 4mg - (50's)

DM -401 amp/vial Rocuronium Bromide 10mg/ml, 5ml (IV)

DM -402 ampule Ropivacaine 2mg/ml, 10ml (IV)

DM -403 ampule Ropivacaine 7.5mg/ml, 10ml (IV)

DM -224 tablet Rosiglitazone 4mg (as Maleate)

DM -228 nebule Salbutamol 2mg/ml, 2.5ml (unit dose) (as Sulfate)

DM -225 tablet Salbutamol 2mg

DM -226 bottle Salbutamol 2mg/5ml, 60ml syrup (as Sulfate)

DM -227 canister Salbutamol MDI 100mcg/dose x 200 doses (as SO4)

DM -229 tablet Sambong 250mg

DM -404 tablet Sertraline 50mg (as HCl) - (50's)

DM -110 bottle Sevoflurane 250ml - Sojourn

DM -405 jar Silver Sulfadiazine Cream 1% 500g (micronized) - (1's)

DM -406 tube Silver Sulfadiazine Cream 1% 50g

DM -230 tablet Simvastatin 20mg

DM -231 tablet Simvastatin 40mg - Simvoget

DM -407 ampule Sodium Bicarbonate 1mEq/ml, 50ml (IV infusion)

DM -408 tablet Sodium Sulfate

DM -409 tablet Sodium Valproate 500mg

DM -410 ampule Somatostatin 250mcg (IV, IV infusion)

DM -411 ampule Somatostatin 3mg (IV, IV infusion)

DM -232 tablet Spironolactone 100mg

DM -233 tablet Spironolactone 25mg

DM -234 tablet Spironolactone 50mg

DM -111 vial Streptomycin 1g IM (as Sulfate)

DM -412 tablet Sucralfate 1g

DM -112 tablet Sulfadoxine/Pyrimethamine 500mg/25mg

DM -413 vial Suxamethonium (Succinyl Choline) 20mg/ml, 10ml IV (as Chloride)

DM -459 tablet Tamoxifen 20mg (as Citrate)

DM -235 capsule Tamsulosin 200mcg (as HCl)

DM -237 nebule Terbutaline 2.5mg/ml, 2ml (unit dose)(as SO4)

DM -236 ampule Terbutaline 500mcg/ml, 1ml (IM,IV,SC) (as SO4)

DM -238 bottle Terbutaline syrup 1.5mg/5ml, 60ml (as SO4)

DM -239 vial Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM)

Page 311 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
DM -240 ampule Tetanus Toxoid 0.5ml (IM)

DM -414 ampule Tetracaine 20mg sterile powder (spinal) (as HCl)

DM -241 tablet Theophylline anhydrous 150mg

DM -415 amp/vial Thiamine 100mg/ml, 1ml (IV)

DM -416 tablet Thiamine 300mg (as Hydrochloride)

DM -417 vial Thiopenthal Sodium 1g + 50ml diluent (IV)

DM -418 bottle Timolol eye drops solution 0.5%,5ml

DM -242 canister Tiotropium 18mcg/dose (as Br) w/ appropriate accompanying dispenser

DM -419 bottle Tobramycin Ophthalmic drops 0.3%, 3.5g

DM -420 tube Tobramycin Ophthalmic Ointment 0.3%,3.5g

DM -421 tablet Topiramate 25mg - (60's)

DM -422 capsule Tramadol 50mg (as HCl)

DM -423 ampule Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl)

DM -243 ampule Tranexamic Acid 100mg/ml, 5ml (IM,IV)

DM -244 capsule Tranexamic Acid 250mg

DM -245 capsule Tranexamic Acid 500mg

DM -246 tablet Trimetazidine 35mg - (60's)

DM -424 capsule Ursodeoxycholic Acid 250mg - Ursofalk

DM -425 tablet Valproate disodium/ Valproic Acid 250mg (as disodium salt or as valproic acid) - Epival

DM -113 vial Vancomycin 500mg (IV) (as HCl)

DM -247 tablet Verapamil 180mg (as Hydrochloride)

DM -248 ampule Verapamil 2.5mg/ml, 2ml (IV) (as Hydrochloride)

DM -249 tablet Verapamil 240mg (as Hydrochloride)

DM -460 bottle Vinblastin 10mg/10ml

DM -461 vial Vincristine 1mg/ml, 1ml (IV) (as Sulfate)

DM -462 vial Vincristine 2mg/2ml, 1ml (IV) (as Sulfate)

DM -427 tablet Vitamin B Complex

DM -426 ampule Vitamin B Complex 100mg+100mg+1mg per 3ml (IV)

DM -250 tablet Warfarin 2.5mg

DM -484 vial Water for injection (triple distilled water), 50ml vial (steriile water for injection)

DM -428 bottle Zinc 10mg/ml drops

DM -429 bottle Zinc 20mg/5ml syrup

DM -430 tablet Zolpidem 10mg

SUPPLIES
set Intravenous Administration Set (Macroset) 20 drops/ml
set Intravenous Administration Set (Microset) 60 drops/ml
set IV Cannula G18 with injection port
set IV Cannula G20 with injection port
set IV Cannula G22 with injection port
set IV Cannula G24 with injection port
set IV Cannula G26 with injection port
set Blood Transfusion Set
set Soluset

Page 312 of 413


DM NO. UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION

Page 313 of 413


QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
100 ampule 400 N NO BIDDER NO BIDDER
50 vial 200 N NO BIDDER NO BIDDER
tablet Cetamid 100's W 20.00 26.00
600 sachet Fluimucil 30's W 11.38 14.79
bottle Hidonac 1's W 1,699.00 2,208.70
tablet Exflem W 15.00 19.50
bottle Fluimucil 5's W 118.00 153.40
bottle Fluimucil 5's W 118.00 153.40
500 tablet Ciclox 2,000 W 13.11 17.04
2 can 8 N NO BIDDER NO BIDDER
vial Adesan W 290.00 377.00
20 bottle 60 N NO BIDDER NO BIDDER
tablet Aldren 70 4's W 80.00 104.00
250 tablet 1,000 W 0.87 1.13
300 tablet 1,000 N NO BIDDER NO BIDDER
tablet Altrox 250 100's W 5.25 6.83
250 amp/vial 1,000 N NO BIDDER NO BIDDER
750 amp/vial Cinmik 3,000 W 21.33 27.73
750 bottle 3,000 W -
125 ampule Ainofil 500 F FAILED BIDDIN NO BIDDER
tablet Medodarone W 23.50 30.55
100 ampule Cordarone 6's W 243.04 315.95
tablet Amlodibloc W 0.78 1.01
3,000 tablet Amlodac 100's W 1.08 1.40
50 bottle Moxylor 200 W 15.30 19.89
500 capsule 2,000 N NO BIDDER NO BIDDER
250 bottle Moxylor 1,000 W 19.88 25.84
2,500 capsule Harbimox 10,000 W 1.16 1.51
1,500 vial Ampitrex 6,000 W 11.88 15.44
500 vial Ampitrex 2,000 W 7.78 10.11
2,500 vial Unasyn 10,000 1's W 107.10 139.23
4,000 vial Ampimax 16,000 W 39.00 50.70
800 amp/vial 3,200 N NO BIDDER NO BIDDER
100 ampule 400 F FAILED BIDDIN FAILED BIDDIN
bottle Vitcee W 16.80 21.84
bottle Vitcee W 16.80 21.84
tablet Vitcee W 0.78 1.01
250 tablet 1,000 N NO BIDDER NO BIDDER
30 tablet 100 N NO BIDDER NO BIDDER
tablet Generic W 0.88 1.14
500 tablet 2,000 N NO BIDDER NO BIDDER
tablet Myovasc W 1.98 2.57
4,000 tablet Zydusatorva 20 100's W 3.80 4.94
tablet Atorvast - Natrapharm W 20.00 26.00
tablet Atorvast - Natrapharm W 23.00 29.90
Page 314 of 413
QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
ampule Acurium W 85.22 110.79
300 ampule Atropan 1,000 F FAILED BIDDIN FAILED BIDDIN
5 bottle 10 N NO BIDDER NO BIDDER
1,250 tablet Trozin 5,000 W 8.34 10.84
25 vial zithromax 100 1's W 548.00 712.40
tablet Trilaxant W 14.95 19.44
tablet Vert W 59.80 77.74
tablet Aketon W 4.28 5.56
suppository Dulxative W 22.32 29.02
100 tablet 400 N NO BIDDER NO BIDDER
30 suppository 100 N NO BIDDER NO BIDDER
25 vial 100 N NO BIDDER NO BIDDER
nebule Bromex W 24.00 31.20
canister Symbicort Turbuhaler W 681.35 885.76
tablet Burinex W 23.52 30.58
250 ampule Bupican 1,000 W 67.88 88.24
900 ampule Senpivac 0.5% Heavy 3,600 W 102.22 132.89
800 tablet 3,200 N NO BIDDER NO BIDDER
ampule W 567.07 737.19
tablet Calvin Plus 120's W 4.00 5.20
900 ampule Cafonate 3,600 W 215.75 280.48
ampule Generic W 19.00 24.70
tablet Atasart W 10.84 14.09
200 tablet Cetagen 500 800 W 62.00 80.60
1,000 tablet 4,000 N NO BIDDER NO BIDDER
tablet Tegrepin W 2.11 2.74
50 tablet 200 N NO BIDDER NO BIDDER
130 tablet 500 N NO BIDDER NO BIDDER
250 vial Kemocarb 1,000 W 1,199.00 1,558.70
tablet Carvedol W 4.60 5.98
tablet Xicard W 2.27 2.95
50 bottle 200 N NO BIDDER NO BIDDER
10 bottle Diacef 40 W 20.00 26.00
25 bottle Diacef 100 W 24.75 32.18
2,500 capsule Diacef 10,000 W 2.55 3.32
1,500 vial Hazolin 6,000 W 21.22 27.59
250 vial Hazolin 1,000 F FAILED BIDDIN FAILED BIDDIN
500 vial Sefpime 2,000 W 180.00 234.00
200 vial Axera 500 W 192.00 249.60
50 bottle Taxim-O Forte 100 W 200.00 260.00
300 capsule Taxim- O 1,000 W 16.00 20.80
30 bottle Triocef 60 1's W 140.00 182.00
2,000 vial Haxotin 8,000 W 99.44 129.27
4,000 vial Ceftibac 16,000 W 34.12 44.36
4,000 vial Generic 16,000 W 20.00 26.00
Page 315 of 413
QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
50 bottle Cimex 100 W 228.00 296.40
125 tablet 500 N NO BIDDER NO BIDDER
50 bottle Suncetin-250 200 W 243.25 316.23
1,250 tablet Axefime 5,000 W 8.88 11.54
1,500 vial Harox 6,000 W 20.00 26.00
capsule Coxto W 2.81 3.65
capsule Celebrex 60's W 21.00 27.30
500 tablet Rhizinegone 2,000 F 0.59 0.77
bottle Allerkid W 126.74 164.76
bottle W 108.80 141.44
bottle Generic W 38.73 50.35
50 bottle Chlorolem 200 W 29.00 37.70
200 vial Klorfen 800 W 27.88 36.24
250 capsule 1,000 N NO BIDDER NO BIDDER
ampule Generic W 11.32 14.72
5,000 tablet Zycloran 100's W 1.51 1.96
10,000 tablet Zycloran 100's W 2.13 2.77
150 tablet 500 N NO BIDDER NO BIDDER
2,500 vial Floxil 10,000 W 26.49 34.44
2,500 tablet Ciprodex 10,000 W 1.24 1.61
10 vial 40 W -
200 bottle Clariget 800 W 185.00 240.50
200 bottle Clarithrocid 800 1's W 450.00 585.00
150 tablet Clariget OD 500 W 33.00 42.90
500 tablet Klarcyn 500 W 9.49 12.34
2,500 ampule Dalacin - C 10,000 1's W 140.00 182.00
50 bottle Dalacin C 100 1's W 235.40 306.02
250 capsule 1,000 N NO BIDDER NO BIDDER
5,000 capsule 20,000 N NO BIDDER NO BIDDER
50 tube Glevate 150 F FAILED BIDDIN FAILED BIDDIN
tablet Clonotril-2 100's W 9.97 12.96
ampule Catapin W 115.22 149.79
tablet Catapin W 4.11 5.34
2,500 tablet Vexagril 75 10,000 F 1.59 2.07
1,500 capsule Flactamacin 500 6,000 W 3.24 4.21
5,000 tablet Clopixene 100's W 5.50 7.15
75 bottle Natravox 300 W 154.00 200.20
75 bottle Natravox 300 W 175.00 227.50
75 bottle Auget 300 W 180.00 234.00
75 bottle Auget 300 W 190.00 247.00
2,500 tablet Agcomen 10,000 W 7.80 10.14
100 ampule 200 N NO BIDDER NO BIDDER
15 bottle Nirmin 5-S 50 F FAILED BIDDIN FAILED BIDDIN
50 bottle Diazole 100 W 18.00 23.40
125 cap/tab Diazole 500 W 1.13 1.47

Page 316 of 413


QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
50 bottle Diazole 100 W 23.00 29.90
250 cap/tab Diazole 1,000 W 1.50 1.95
150 vial Cyphos-1 600 1's W 350.00 455.00
100 vial Cyphos-500 400 1's W 254.00 330.20
75 vial Cancyt 300 W 1,275.00 1,657.50
75 vial MPL- Cyta 300 W 691.00 898.30
75 vial Arzi-200 300 W 689.00 895.70
25 vial 100 N NO BIDDER NO BIDDER
200 tablet 800 N NO BIDDER NO BIDDER
amp/vial Dexticort W 24.00 31.20
25 ampule 100 N NO BIDDER NO BIDDER
150 ampule 600 N NO BIDDER NO BIDDER
250 set Generic 1,000 W 45.00 58.50
1,200 set Generic 4,800 W 40.89 53.16
1,080 set Generic 4,320 W 45.00 58.50
2,160 set Eurosol-M in D5 Wate 8,640 W 46.00 59.80
750 set 3,000 W 45.00 58.50
180 set Endusol-R 720 W 45.00 58.50
10,500 set Generic 42,000 W 45.00 58.50
200 set Generic 800 W 45.00 58.50
600 set 2,400 N NO BIDDER NO BIDDER
2,400 set Generic 9,600 W 42.33 55.03
750 set Generic 3,000 W 28.00 36.40
250 tablet Vexepam 1,000 F 8.88 11.54
1,500 ampule Anxiol 6,000 F 81.89 106.46
ampule Dicofen W 11.89 15.46
tablet Vodefen W 1.12 1.46
20 bottle 50 N NO BIDDER NO BIDDER
tablet Lanoxin W 4.16 5.41
ampule Lanoxin W 160.16 208.21
bottle Lanoxin W 716.22 931.09
25 bottle 100 N NO BIDDER NO BIDDER
30 tablet 100 N NO BIDDER NO BIDDER
300 tablet 1,000 N NO BIDDER NO BIDDER
tablet W 19.00 24.70
50 bottle 200 F FAILED BIDDIN FAILED BIDDIN
500 capsule 2,000 N NO BIDDER NO BIDDER
1,500 ampule Bexil W 34.00 44.20
5 vial 10 N NO BIDDER NO BIDDER
vial Dobucard W 112.22 145.89
vial Generic 1's W 726.00 943.80
20 vial Vexdo 20 80 1's W 820.00 1,066.00
100 vial Vexdo 80 360 1's W 3,465.00 4,504.50
tablet Toridon W 3.50 4.55
vial Generic W 369.02 479.73

Page 317 of 413


QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
vial Generic W 248.00 322.40
amp/vial Generic 1's W 59.89 77.86
200 vial Adrosal 800 W 182.75 237.58
250 vial Doxvex 50 1,000 1's W 594.75 773.18
200 capsule 800 N NO BIDDER NO BIDDER
50 capsule 200 N NO BIDDER NO BIDDER
500 tablet 2,000 N NO BIDDER NO BIDDER
p. syringe Lomoh- 40 1's W 288.00 374.40
p. syringe Lomoh- 60 1's W 460.00 598.00
900 ampule 3,500 N NO BIDDER NO BIDDER
ampule Generic W 37.22 48.39
prefilled syrnge Eposino W 1,280.00 1,664.00
amp/vial/PFS Epogen W 269.44 350.27
50 bottle 10 N NO BIDDER NO BIDDER
30 tablet 100 N NO BIDDER NO BIDDER
400 tube Erycortin 1,600 W 148.44 192.97
tablet Ecsapro W 4.74 6.16
5 vial Esobloc 10 F FAILED BIDDIN FAILED BIDDIN
50 tablet 200 N NO BIDDER NO BIDDER
75 amp/vial 300 W -
ampule Hista-Bloc W 130.89 170.16
tablet Efdipin 10 100's W 11.00 14.30
tablet Felodipin-Natrapharm W 9.75 12.68
tablet Fenoflex W 33.80 43.94
30 tablet 100 N NO BIDDER NO BIDDER
1,000 ampule Sublimax 4,000 F 74.44 96.77
2,500 tablet 10,000 N NO BIDDER NO BIDDER
30 bottle 100 N NO BIDDER NO BIDDER
30 bottle 100 N NO BIDDER NO BIDDER
800 tablet 3,000 F FAILED BIDDIN FAILED BIDDIN
250 vial Recombicyte 1,000 W 818.33 1,063.83
60 tablet Mycozole 100 20's W 120.00 156.00
100 capsule Diflucan 300 W 333.00 432.90
50 vial Diflucan 100 1's W 522.00 678.60
300 vial 1,200 N NO BIDDER NO BIDDER
300 ampule Fluonco 1,200 W 103.00 133.90
tab/cap Drafzin 30's W 5.00 6.50
100 bottle 400 N NO BIDDER NO BIDDER
30 bottle 100 N NO BIDDER NO BIDDER
tablet Folimax W 2.65 3.45
50 bottle 200 N NO BIDDER NO BIDDER
300 p.syringe 1,000 N NO BIDDER NO BIDDER
ampule Generic W 6.48 8.42
250 tablet 1,000 N NO BIDDER NO BIDDER
800 tablet Pisamor 3,000 F FAILED BIDDIN FAILED BIDDIN

Page 318 of 413


QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
capsule Gabavex 100 100's W 5.50 7.15
capsule Gabavex 300 100's W 6.50 8.45
50 vial Omnicure- 1 200 W 2,975.00 3,867.50
50 vial Omnicure 200 W 795.00 1,033.50
2,500 amp/vial Maxigen 10,000 W 4.38 5.69
tablet Euglomax W 0.98 1.27
tablet Azukom MR W 2.50 3.25
tablet Zebet 100's W 1.83 2.38
tablet Glipdin 100's W 10.20 13.26
30 patch 100 N NO BIDDER NO BIDDER
tablet Zuredel 100's W 20.75 26.98
500 ampule Seredol 2,000 N NO BIDDER NO BIDDER
5 amp/vial 10 N NO BIDDER NO BIDDER
30 ampule Heprin 100 F 51.88 67.44
vial Albumax W 2,175.00 2,827.50
400 ampule Hydroxy 1,500 F 87.33 113.53
500 tablet 2,000 N NO BIDDER NO BIDDER
tube Hovicor 1's W 130.00 169.00
vial Hydrovex W 140.00 182.00
vial Hydrovex W 75.00 97.50
200 bottle Nirhes 130 800 W 580.00 754.00
50 tablet 200 W -
tablet Iterax W 23.18 30.13
ampule Droxiem W 495.00 643.50
tablet Pasbutyl W 5.45 7.09
750 ampule 3,000 N NO BIDDER NO BIDDER
5 bottle 20 N NO BIDDER NO BIDDER
bottle Feverfree W 38.33 49.83
tablet Alaxpro W 1.25 1.63
vial Scanlux W 1,098.00 1,427.40
30 canister 100 N NO BIDDER NO BIDDER
7,600 nebule Multivent 30,400 F 13.75 17.88
100 ampule Feron 300 F 162.33 211.03
50 bottle Isorane 100 W 1,975.00 2,567.50
300 tablet Myrin -P Forte 1,200 80 W 7.00 9.10
400 tablet 1,200 N NO BIDDER NO BIDDER
700 tablet Duomax 2,800 W 6.50 8.45
10 bottle Curazid Forte 30 W 78.00 101.40
vial Insuget-N W 205.91 267.68
cap/tab Montra W 13.04 16.95
cap/tab Vasotrate-60-OD 70's W 7.00 9.10
100 tablet 400 N NO BIDDER NO BIDDER
ampule Isoket W 533.99 694.19
500 tablet 2,000 N NO BIDDER NO BIDDER
tablet Dupavar W 2.89 3.76

Page 319 of 413


QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
ampule Isoxilan W 119.34 155.14
100 vial Uniket 400 W 548.00 712.40
30 tablet 100 N NO BIDDER NO BIDDER
10 ampule 40 N NO BIDDER NO BIDDER
ampule Ketral W 21.44 27.87
bottle Lilac W 80.00 104.00
tablet Lamitor 50 30's W 17.00 22.10
600 tablet levoday 500 2,500 60's W 5.20 6.76
25 vial Loxeva 100 1's W 250.00 325.00
400 tablet Loxeva 1,500 20's W 20.00 26.00
30 tablet 100 N NO BIDDER NO BIDDER
tablet Thydin 100's W 4.05 5.27
3,000 polyamp Eurocaine 12,000 W 11.00 14.30
5 tube 10 N NO BIDDER NO BIDDER
20 ampule 50 N NO BIDDER NO BIDDER
5 bottle 10 W 2,953.00 3,838.90
tablet Litcab 100's W 5.63 7.32
200 capsule 800 N NO BIDDER NO BIDDER
tablet Generic W 1.70 2.21
30 bottle 100 N NO BIDDER NO BIDDER
tablet Getzar Plus W 7.36 9.57
1,000 tablet Losacar 100's W 1.29 1.68
1,000 tablet Losacar 100's W 3.20 4.16
1,050 tablet Losacar 70's W 1.02 1.33
ampule Generic W 47.00 61.10
1,250 bottle Renimax 5,000 W 84.22 109.49
5 bottle 10 N NO BIDDER NO BIDDER
50 tablet 200 N NO BIDDER NO BIDDER
ampule Methycobal W NO BIDDER NO BIDDER
30 tablet 100 N NO BIDDER NO BIDDER
500 tablet 2,000 N NO BIDDER NO BIDDER
tablet Fenamax W 0.52 0.68
600 vial Mepenem 2,400 W 167.23 217.40
500 vial Mepenem 2,000 W 99.78 129.71
5,000 tablet 20,000 F 0.78 1.01
tablet Tapdin 100's W 5.40 7.02
250 ampule Alltrex 1,000 W 145.75 189.48
tablet Aldomet W 16.07 20.89
1,000 tablet 4,000 N NO BIDDER NO BIDDER
2,000 ampule Utergin 8,000 F FAILED BIDDIN FAILED BIDDIN
vial Solu-Medrol 1's W 745.00 968.50
vial Solu-Medrol 1's W 3,126.93 4,065.01
vial Solu-Medrol 1's W 2,378.28 3,091.76
vial Solu Medrol 1's W 289.93 376.91
tablet Prednivex 16 30's W 8.20 10.66

Page 320 of 413


QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
2,500 ampule Clozil 10,000 F FAILED BIDDIN FAILED BIDDIN
tablet Cardiostat W 1.90 2.47
tablet Metocard W 1.38 1.79
50 tablet Metrozole 200 W 18.00 23.40
4,500 tablet Metrozole 18,000 W 1.28 1.66
4,000 vial Generic 16,000 W 15.77 20.50
10 suppository 50 N NO BIDDER NO BIDDER
1,000 ampule Sedoz 1's W 84.00 109.20
250 ampule Midazolex 1,000 W 136.33 177.23
tablet Montezyd 10 30's W 5.79 7.53
tablet Montelair 5 30's W 9.40 12.22
tablet MST Continus W 24.24 31.51
500 ampule Generic 2,000 F FAILED BIDDIN FAILED BIDDIN
tablet MST Continus W 55.28 71.86
bottle Diavit W 38.00 49.40
30 bottle Multilem 100 F 28.00 36.40
30 bottle 100 F FAILED BIDDIN FAILED BIDDIN
capsule Diavit W 1.21 1.57
200 tube Bactriderm 800 F 49.88 64.84
1,500 ampule Nukaine 6,000 F 58.25 75.73
10 bottle 50 N NO BIDDER NO BIDDER
30 ampule Generic 100 F FAILED BIDDIN FAILED BIDDIN
30 tablet 100 N NO BIDDER NO BIDDER
50 tablet 200 F FAILED BIDDIN FAILED BIDDIN
ampule Prostigmine W 116.99 152.09
ampule Cardepine W 611.04 794.35
250 capsule 1,000 F FAILED BIDDIN FAILED BIDDIN
100 tablet 400 N NO BIDDER NO BIDDER
capsule W NO BIDDER NO BIDDER
tablet W 37.89 49.26
ampule Sandine W 298.00 387.40
30 bottle 100 N NO BIDDER NO BIDDER
5 bottle Dizoflox 20 W 230.00 299.00
10 vial 30 N NO BIDDER NO BIDDER
200 tablet 800 N NO BIDDER NO BIDDER
5 bottle Dizoflox 20 W 160.00 208.00
tablet Olandus 10 100's W 9.92 12.90
capsule Azibloc W 0.84 1.09
capsule Wilom W 12.39 16.11
5,000 ampule Zyom 1's W 37.00 48.10
500 ampule Onsia 2,000 W -
500 ampule Emitron 2,000 W -
sachet Glucosol W 4.24 5.51
30 capsule 100 N NO BIDDER NO BIDDER
750 vial Wydox 3,000 10's W 23.00 29.90

Page 321 of 413


QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
100 vial Meslatin 400 W 1,622.00 2,108.60
5 bottle 20 N NO BIDDER NO BIDDER
ampule Generic W FAILED BIDDIN FAILED BIDDIN
200 vial Paclizel 800 W 1,198.22 1,557.69
100 vial Paclizel 400 W 398.33 517.83
bottle Alagesic W 14.25 18.53
vial Tamin W 248.00 322.40
vial Febrinil W 6.33 8.23
bottle Alagesic W 15.20 19.76
tablet Febrile Free W 0.27 0.35
200 vial Zalpen 800 10's W 55.00 71.50
50 vial Harbipen 200 W 6.49 8.44
1,000 vial Harbipen 4,000 W 17.22 22.39
10 ampule 30 N NO BIDDER NO BIDDER
5 bottle 20 N NO BIDDER NO BIDDER
400 cap/tab 1,500 N NO BIDDER NO BIDDER
ampule Luminal W 509.28 662.06
500 tablet 2,000 N NO BIDDER NO BIDDER
2,000 tablet 8,000 N NO BIDDER NO BIDDER
1,300 tablet 5,000 N NO BIDDER NO BIDDER
capsule Dilantin W 10.14 13.18
ampule Santon W 118.00 153.40
ampule Hema-K W 18.78 24.41
250 vial Piptaz 1,000 W 90.00 117.00
500 vial Piptaz 2,000 W 96.00 124.80
1,800 set Generic 7,200 W 45.00 58.50
24,000 set Generic 96,000 W 41.99 54.59
tablet Kalium / Durules W 15.00 19.50
vial Generic W 12.40 16.12
bottle Venpred W 200.00 260.00
bottle W 104.00 135.20
500 tablet 2,000 N NO BIDDER NO BIDDER
200 tablet 600 F 10.00 13.00
50 tablet 200 N NO BIDDER NO BIDDER
50 tablet Prednisa 200 F FAILED BIDDIN FAILED BIDDIN
30 tablet 100 N NO BIDDER NO BIDDER
500 amp/vial IV-Pro 1's W 84.00 109.20
tablet Inderal W 10.91 14.18
tablet Inderal W 17.43 22.66
tablet Generic W 11.00 14.30
bottle Zcure W 90.00 117.00
20 ampule 50 N NO BIDDER NO BIDDER
1,500 tablet 6,000 N NO BIDDER NO BIDDER
tablet Qtipine 25 100's W 19.00 24.70
tablet Qtipine 300 100's W 60.00 78.00

Page 322 of 413


QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
20 amp/vial 50 N NO BIDDER NO BIDDER
30 tablet 100 N NO BIDDER NO BIDDER
ampule Verorab W 1,250.00 1,625.00
vial Indirab W 873.22 1,135.19
tablet Ulci-Bloc W 0.83 1.08
ampule Zantol W 3.89 5.06
150 tablet 500 F FAILED BIDDIN FAILED BIDDIN
20 vial Recombicyte 50 F FAILED BIDDIN FAILED BIDDIN
p. syringe Scilin R 1's W 120.00 156.00
10 bottle 20 N NO BIDDER NO BIDDER
tablet Rispedin-2 W 1.49 1.94
tablet Residon 50's W -
amp/vial Neumeron W -
100 ampule 400 N NO BIDDER NO BIDDER
5 ampule 10 N NO BIDDER NO BIDDER
20 tablet 50 N NO BIDDER NO BIDDER
nebule Provexel W 7.25 9.43
150 tablet 500 N NO BIDDER NO BIDDER
bottle Albulem W 14.90 19.37
30 canister 100 F 68.48 89.02
tablet W 2.25 2.93
tablet Deperin 50's W 4.50 5.85
bottle Sojourn W 5,600.00 7,280.00
jar Silvederma 1's W 895.00 1,163.50
50 tube Flamizin 200 F FAILED BIDDIN FAILED BIDDIN
tablet Diastatin W 1.00 1.30
tablet Simvoget W 4.00 5.20
ampule Generic W 84.21 109.47
5 tablet 5 N NO BIDDER NO BIDDER
1,300 tablet Depamax 5,000 F FAILED BIDDIN FAILED BIDDIN
ampule Generic W 638.40 829.92
ampule Generic W 4,796.10 6,234.93
250 tablet 1,000 N NO BIDDER NO BIDDER
500 tablet 2,000 N NO BIDDER NO BIDDER
200 tablet 600 N NO BIDDER NO BIDDER
vial Streptocin W 12.88 16.74
tablet Iselpin W 34.75 45.18
30 tablet 100 N NO BIDDER NO BIDDER
vial Anektil W 112.33 146.03
700 tablet Tamoxigen 20 2,800 W 6.50 8.45
capsule Tamsumax W 18.08 23.50
30 nebule 100 N NO BIDDER NO BIDDER
20 ampule Bricalin 50 F FAILED BIDDIN FAILED BIDDIN
3 bottle 10 W 19.00 24.70
20 vial 50 N NO BIDDER NO BIDDER

Page 323 of 413


QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE
ampule Generic W 28.33 36.83
5 ampule 10 N NO BIDDER NO BIDDER
20 tablet 50 N NO BIDDER NO BIDDER
20 amp/vial 50 N NO BIDDER NO BIDDER
30 tablet 100 N NO BIDDER NO BIDDER
5 vial Penthal 10 F FAILED BIDDIN FAILED BIDDIN
5 bottle 10 N NO BIDDER NO BIDDER
5 canister 5 N NO BIDDER NO BIDDER
bottle Mytocin W 320.00 416.00
5 tube 5 N NO BIDDER NO BIDDER
tablet Topvex 25 60's W 13.65 17.75
250 capsule 1,000 N NO BIDDER NO BIDDER
ampule Dynatram W 10.00 13.00
2,500 ampule Hemoxane 10,000 F FAILED BIDDIN FAILED BIDDIN
100 capsule 400 N NO BIDDER NO BIDDER
750 capsule 3,000 W 5.40 7.02
tablet Angimax MR 60's W 11.88 15.44
capsule Ursofalk W 36.07 46.89
tablet Epival W 29.00 37.70
vial Vancin W 153.22 199.19
tablet W 44.43 57.76
30 ampule 100 N NO BIDDER NO BIDDER
50 tablet 200 N NO BIDDER NO BIDDER
10 bottle 40 N NO BIDDER NO BIDDER
25 vial 100 N NO BIDDER NO BIDDER
100 vial 25 N NO BIDDER NO BIDDER
tablet Bernaoin W 1.67 2.17
ampule Neurobex W -
200 tablet Warik 700 F FAILED BIDDIN FAILED BIDDIN
6,000 vial Generic 24,000 W 17.88 23.24
bottle Immuzine W 40.00 52.00
bottle Immuzine W 41.00 53.30
tablet Stilnox W 64.00 83.20

3,000 set
3,000 set
3,000 set
3,000 set
3,000 set
3,000 set
3,000 set
3,000 set
3,000 set
Page 324 of 413
QTY TO BRAND NAME QTY ANNUAL PACKAGING ACTUAL HOSPITAL
UNIT
ORDER UNIT PRICE PRICE

Page 325 of 413


REMARKS
SUPPLIER
NO BIDDER NO BIDDER 100 300
NO BIDDER NO BIDDER - 200
PASSED METRODRUG
PASSED METRODRUG 2,780 (2,280)
PASSED METRODRUG 300 (296)
PASSED UNITED LABORATORIES 4,100 (3,100)
PASSED METRODRUG
PASSED METRODRUG
PASSED PHIL PHARMAWEALTH 1,900 (1,700)
NO BIDDER NO BIDDER
PASSED PHILCARE PHARMA 3 2
NO BIDDER NO BIDDER 70 (50)
PASSED METRODRUG 100 (90)
PASSED NO BIDDER CANOMED 1,500 500
NO BIDDER NO BIDDER 1,000 1,000
PASSED METRODRUG 1,000 (400)
NO BIDDER NO BIDDER
PASSED PHIL PHARMAWEALTH 5,500 (4,100)
PASSED NO BIOEQUIVZUELLIG PHARMA CORP
FAILED NO Certificate of analysis 300 (100) canomed
PASSED OXFORD 1,100 (700)
PASSED METRODRUG 288 (188)
PASSED PHIL PHARMAWEALTH 13,000 (8,000)
PASSED METRODRUG 4,000 -
PASSED MPA PHARMACARE 2,100 (2,050)
NO BIDDER NO BIDDER 1,500 (1,000)
PASSED MPA PHARMACARE 250 (150)
PASSED PHIL PHARMAWEALTH 8,000 (6,000)
PASSED PHIL PHARMAWEALTH 4,500 (500)
PASSED PHIL PHARMAWEALTH 2,000 -
PASSED ZUELLIG PHARMA CORP - PFIZER 7,000 (4,000)
PASSED UNITED LABORATORIES 13,000 (5,000)
NO BIDDER NO BIDDER 5,500 (2,500)
FAILED CPR NOT COMPATIBLE W/ SAMPLE canomed
PASSED MPA PHARMACARE
PASSED MPA PHARMACARE
PASSED MPA PHARMACARE 9,500 (6,500)
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER 500 100
PASSED PHIL PHARMAWEALTH 6,000 (3,000)
NO BIDDER NO BIDDER 2,000 (1,200)
PASSED PHIL PHARMAWEALTH
PASSED METRODRUG
PASSED NATRAPHARM
PASSED NATRAPHARM
Page 326 of 413
REMARKS
SUPPLIER

PASSED PHIL PHARMAWEALTH 2,800 (800)


FAILED NO Certificate of analysis 800 200
NO BIDDER NO BIDDER 120 (100)
PASSED PHIL PHARMAWEALTH 6,994 4,994
PASSED ZUELLIG PHARMA CORP - PFIZER 50 -
PASSED ZUELLIG PHARMA CORP - ONE PHARMA CO INC
PASSED MPA PHARMACARE
PASSED PHIL PHARMAWEALTH 55,000 (15,000)
PASSED PHIL PHARMAWEALTH 3,200 (1,200)
NO BIDDER NO BIDDER 1,000 (600)
NO BIDDER NO BIDDER 1,500 (1,400)
NO BIDDER NO BIDDER 130 (110) ONCO
PASSED EUROMED 2,400 (2,200)
PASSED ZUELLIG PHARMA CORP - ASTRAZEN 60 (50)
PASSED ZUELLIG PHARMA CORP
PASSED PHILCARE PHARMA 1,800 (600)
PASSED PHIL PHARMAWEALTH 1,800 200
NO BIDDER NO BIDDER 500 -
PASSED ZYRE PHARMA 1,900 (1,700)
PASSED METRODRUG 2,700 (1,700)
PASSED ZUELLIG PHARMA - MULTICARE PHA 3,500 (3,400) ONCO
PASSED EUROMED 1,000 (600)
PASSED GETZ BROS. PHIL. INC.
PASSED GENACE PHARMA 2,000 (1,500) ONCO
NO BIDDER NO BIDDER 5,000 (1,000) canomed
PASSED PHIL PHARMAWEALTH 38,000 (26,000)
NO BIDDER NO BIDDER 200 -
NO BIDDER NO BIDDER 200 -
PASSED ZUELLIG PHARMA CORP - FRESENIUS 320 (270) ONCO
PASSED ZUELLIG PHARMA CORP 800 (500)
PASSED GETZ BROS. PHIL. INC. 800 (600)
NO BIDDER NO BIDDER 100 -
PASSED MPA PHARMACARE 80 -
PASSED MPA PHARMACARE 80 20
PASSED MPA PHARMACARE 6,000 4,000
PASSED PHIL PHARMAWEALTH
FAILED NO Certificate of analysis - 500
PASSED DYNASTY 1,500 (1,100)
PASSED UNITED LABORATORIES 1,000 (800)
PASSED GETZ BROS. PHIL. INC. - 80
PASSED GETZ BROS. PHIL. INC. 2,100 (1,200)
PASSED METRODRUG - 40
PASSED PHIL PHARMAWEALTH 12,000 (4,000)
PASSED PHIL PHARMAWEALTH 10,000 (7,800)
PASSED DYNASTY 10,000 6,000
Page 327 of 413
REMARKS
SUPPLIER
PASSED ZUELLIG PHARMA CORP - 50
NO BIDDER NO BIDDER 1,000 (800)
PASSED RBC-MDC CORP
PASSED PHIL PHARMAWEALTH 4,300 (300)
PASSED DYNASTY 7,000 (3,000)
PASSED MPA PHARMACARE 10,000 6,000
PASSED ZUELLIG PHARMA CORP - PFIZER 4,500 3,500
FAILED NO CGMP 2,500 1,700 phil pharmawealth
PASSED UNITED LABORATORIES 200 (180)
PASSED ZUELLIG PHARMA CORP
PASSED OXFORD
PASSED MPA PHARMACARE 120 (20)
PASSED PHIL PHARMAWEALTH 1,200 (800)
NO BIDDER NO BIDDER 2,000 (1,500)
PASSED PHIL PHARMAWEALTH 900 (800)
PASSED METRODRUG
PASSED METRODRUG 65,000 (45,000)
NO BIDDER NO BIDDER
PASSED PHIL PHARMAWEALTH 3,300 (2,800)
PASSED PHIL PHARMAWEALTH 8,000 (6,000)
PASSED ZUELLIG PHARMA CORP 100 (70) ONCO
PASSED GETZ BROS. PHIL. INC. 80 20
PASSED METRODRUG
PASSED GETZ BROS. PHIL. INC. 300 (200)
PASSED PHIL PHARMAWEALTH 500 100
PASSED ZUELLIG PHARMA CORP - PFIZER 6,000 (2,000)
PASSED ZUELLIG PHARMA CORP - PFIZER 50 150
NO BIDDER NO BIDDER 1,500 (300)
NO BIDDER NO BIDDER 4,000 2,000
FAILED Cerificate of Analysis done in house 430 (400)
PASSED METRODRUG 2,000 (800)
PASSED PHIL PHARMAWEALTH 500 (300)
PASSED PHIL PHARMAWEALTH 2,300 (300)
FAILED no certificate of analysis 7,500 (1,500) metrodrug
PASSED MPA PHARMACARE
PASSED METRODRUG 13,000 (9,000)
PASSED NATRAPHARM
PASSED NATRAPHARM
PASSED GETZ BROS. PHIL. INC. 180 420
PASSED GETZ BROS. PHIL. INC. 180 20
PASSED QUALIFIRST HEALTH INC 15,000 (7,000)
NO BIDDER NO BIDDER
FAILED Certicateof Analysis done in house 100 (50)
PASSED MPA PHARMACARE 50 50
PASSED MPA PHARMACARE 1,050 150

Page 328 of 413


REMARKS
SUPPLIER
PASSED MPA PHARMACARE - 100
PASSED MPA PHARMACARE 2,000 (800)
PASSED METRODRUG 250 (150) ONCO
PASSED METRODRUG 270 (230) ONCO
PASSED ZUELLIG PHARMA - MULTICARE PHARMACEUTICALS INC ONCO
PASSED GLOBO ASIATICO ONCO
PASSED ZUELLIG PHARMA - MULTICARE PHA 200 (170) ONCO
NO BIDDER NO BIDDER 150 (100) ONCO
NO BIDDER NO BIDDER 2,800 (2,000)
PASSED MPA PHARMACARE 4,000 (2,000)
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER 120 480
PASSED PHIL PHARMAWEALTH 1,440 (440)
PASSED PHIL PHARMAWEALTH 15,600 (10,800)
PASSED PHIL PHARMAWEALTH 13,200 (8,880)
PASSED EUROMED 12,000 (3,360)
PASSED PHIL PHARMAWEALTH 3,600 1,200
PASSED PHIL PHARMAWEALTH 3,600 (3,000)
PASSED PHIL PHARMAWEALTH 36,000 (12,000)
PASSED PHIL PHARMAWEALTH 9,000 (8,200)
NO BIDDER NO BIDDER
PASSED PHIL PHARMAWEALTH 21,600 (15,600)
PASSED EUROMED 16,200 (15,000)
FAILED EXPIRED CGMP phil pharmawealth
FAILED NO SAMPLE 2,200 3,800 phil pharmawealth
PASSED PHIL PHARMAWEALTH 800 -
PASSED PHIL PHARMAWEALTH 1,000 (400)
NO BIDDER NO BIDDER
PASSED ZUELLIG PHARMA - ASPEN PHILS INC 8,000 (4,000)
PASSED ZUELLIG PHARMA CORP 4,300 (3,900)
PASSED ZUELLIG PHARMA - ASPEN PHILS INC 50 (40)
NO BIDDER NO BIDDER - 10
NO BIDDER NO BIDDER 100 -
NO BIDDER NO BIDDER
PASSED NO BIDDER CANOMED 4,000 (2,000)
FAILED CPR NOT COMPATIBLE W/ SAMPLE 30 10 canomed
NO BIDDER NO BIDDER 6,000 (4,000)
PASSED CANOMED 5,500 (4,700)
NO BIDDER NO BIDDER - 8
PASSED PHIL PHARMAWEALTH 4,000 -
PASSED ZUELLIG PHARMA CORP - PFIZER 1,800 (1,000) c/o sir paul
PASSED METRODRUG 320 (290) ONCO
PASSED METRODRUG 320 (290) ONCO
PASSED METRODRUG 2,700 (1,900)
PASSED ZUELLIG PHARMA CORP - 100

Page 329 of 413


REMARKS
SUPPLIER
PASSED ZUELLIG PHARMA CORP 6,500 (2,500)
PASSED ZUELLIG PHARMA CORP - PFIZER 2,100 (1,700)
PASSED ZUELLIG PHARMA - MULTICARE PHA 470 (420) ONCO
PASSED METRODRUG 370 (320) ONCO
NO BIDDER NO BIDDER 800 (400)
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER 2,500 (500)
PASSED METRODRUG
PASSED METRODRUG
NO BIDDER NO BIDDER 2,700 (1,500)
PASSED PHIL PHARMAWEALTH 11,000 1,000
PASSED GOOD FELLOW PHARMA
PASSED PHIL PHARMAWEALTH 2,800 (1,800)
NO BIDDER NO BIDDER 100 (90)
NO BIDDER NO BIDDER 800 (700)
PASSED PHIL PHARMAWEALTH 200 (160)
PASSED PHIL PHARMAWEALTH 3,000 3,000
FAILED NO Certificate of analysis 100 (90)
NO BIDDER NO BIDDER 2,500 (2,100)
PASSED GLOBO ASIATICO 300 (250) ONCO
PASSED PHIL PHARMAWEALTH 2,000 (1,600)
PASSED METRODRUG 200 (100)
PASSED NATRAPHARM 1,000 (600)
PASSED UNITED LABORATORIES 2,300 (2,100)
NO BIDDER NO BIDDER 2,800 (2,700)
FAILED NO CA/ NO SAMPLE 7,000 (3,000) phil pharmawealth
NO BIDDER NO BIDDER 21,000 (11,000)
NO BIDDER NO BIDDER 2,030 (1,950)
NO BIDDER NO BIDDER 230 (150)
FAILED CPR NOT COMPATIBLE W/ SAMPLE canomed
PASSED PHIL PHARMAWEALTH 470 (420) ONCO
PASSED METRODRUG 400 (300)
PASSED ZUELLIG PHARMA CORP - PFIZER 1,000 (900)
PASSED ZUELLIG PHARMA CORP - PFIZER 130 (30)
NO BIDDER NO BIDDER 900 (850) ONCO
PASSED GLOBO ASIATICO ONCO
PASSED METRODRUG 1,990 (1,190)
NO BIDDER NO BIDDER 1,900 1,800
NO BIDDER NO BIDDER
PASSED ZUELLIG PHARMA CORP 6,000 (1,000)
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER 2,600 (1,600)
PASSED PHIL PHARMAWEALTH 32,000 (12,000)
NO BIDDER NO BIDDER
FAILED NO Certificate of Analysis / NO SAMPLE 2,300 (1,300)

Page 330 of 413


REMARKS
SUPPLIER
PASSED METRODRUG 1,500 (1,000)
PASSED METRODRUG 1,800 (1,300)
PASSED GENACE PHARMA 350 (330) ONCO
PASSED GENACE PHARMA 350 (300) ONCO
PASSED PHIL PHARMAWEALTH 4,500 5,500
PASSED PHIL PHARMAWEALTH 1,300 (1,100)
PASSED METRODRUG 1,000 3,000
PASSED METRODRUG 500 2,500
PASSED METRODRUG 700 (500)
NO BIDDER NO BIDDER 100 -
PASSED METRODRUG - 10,000
NO BIDDER NO BIDDER 2,800 (2,600)
NO BIDDER NO BIDDER - 10
FAILED NO ANALYSIS/ASSAY 1,150 (950) phil pharmawealth
PASSED VIZCARRA 2,300 (2,200)
FAILED NO Certificate of analysis 1,100 100 phil pharmawealth
NO BIDDER NO BIDDER 200 600
PASSED METRODRUG 30 (10)
PASSED SANNOVEX 3,500 (2,000)
PASSED SANNOVEX 13,500 (9,500)
PASSED SERAPH ENTERPRISES 900 (100)
PASSED GLOBO ASIATICO 1,800 (1,600) ONCO
PASSED ZUELLIG PHARMA CORP 1,100 (600)
PASSED MARK ERICSON 1,400 (400)
PASSED PHIL PHARMAWEALTH 1,300 (1,100)
NO BIDDER NO BIDDER 4,500 (1,500)
NO BIDDER NO BIDDER 100 (80)
PASSED PHIL PHARMAWEALTH 210 (130)
PASSED MPA PHARMACARE 3,000 (1,800)
PASSED RBC-MDC CORP 3,100 (2,300)
NO BIDDER NO BIDDER 25 75
FAILED NO CERTIFICATE OF PRODUCT REG 24,000 (12,000) zuellig
FAILED EXPIRED CPR,NO CGMP,NO ANALYSIS/ASSAY phil pharmawealth
PASSED SERAPH ENTERPRISES 96 (36)
PASSED ZUELLIG PHARMA CORP - PFIZER 6,960 (5,760)
NO BIDDER NO BIDDER 1,000 200
PASSED ZUELLIG PHARMA - MULTICARE PHA 500 300
PASSED NATRAPHARM 50 (20)
PASSED GETZ BROS. PHIL. INC. 650 (570)
PASSED UNITED LABORATORIES
PASSED METRODRUG 3,970 (2,370)
NO BIDDER NO BIDDER 500 (100)
PASSED ZUELLIG PHARMA CORP 3,000 (2,000)
NO BIDDER NO BIDDER 2,500 (500)
PASSED PHIL PHARMAWEALTH 2,300 (1,800)

Page 331 of 413


REMARKS
SUPPLIER
PASSED UNITED LABORATORIES 600 (400)
PASSED PHILCARE PHARMA 250 (220)
NO BIDDER NO BIDDER 300 (200)
NO BIDDER NO BIDDER 200 (160)
PASSED PHIL PHARMAWEALTH 22,000 (6,000)
PASSED GETZ BROS. PHIL. INC. 2,300 (1,100)
PASSED METRODRUG
PASSED METRODRUG 2,500 (1,500)
PASSED METRODRUG 250 (200)
PASSED METRODRUG 1,100 (100)
NO BIDDER NO BIDDER 2,300 (2,200)
PASSED METRODRUG 2,500 (2,400)
PASSED EUROMED 10,500 (2,500)
NO BIDDER NO BIDDER 20 (17)
NO BIDDER NO BIDDER 600 (440)
PASSED MPA PHARMACARE 60 (50)
PASSED METRODRUG 1,000 (500)
NO BIDDER NO BIDDER
PASSED OXFORD 2,500 (1,900)
NO BIDDER NO BIDDER 150 (130)
PASSED GETZ BROS. PHIL. INC. 2,970 (2,170)
PASSED METRODRUG 2,550 (550)
PASSED METRODRUG 3,500 (1,500)
PASSED METRODRUG 4,440 (2,440)
PASSED EUROMED 7,500 (5,500)
PASSED PHIL PHARMAWEALTH 15,200 (10,200)
NO BIDDER NO BIDDER 70 (50)
NO BIDDER NO BIDDER 300 (150)
PASSED ZUELLIG PHARMA CORP 800 (600)
NO BIDDER NO BIDDER 200 -
NO BIDDER NO BIDDER 500 500
PASSED PHIL PHARMAWEALTH 48,000 (8,000)
PASSED PHIL PHARMAWEALTH 1,400 (1,200)
PASSED PHIL PHARMAWEALTH 2,000 (1,900)
FAILED NO CERTICATE OF ANALYSIS, EXPIRED CPR 20,000 (12,000) phil pharmawealth
PASSED METRODRUG 700 (600)
PASSED ZUELLIG PHARMA - MULTICARE PHA 800 (200) ONCO
PASSED ZUELLIG PHARMA - ASPEN PHILS INC 7,500 (3,500)
NO BIDDER NO BIDDER 4,000 2,000
FAILED NO Certificate of analysis 4,000 4,000
PASSED ZUELLIG PHARMA CORP - PFIZER 70 (45)
PASSED ZUELLIG PHARMA CORP - PFIZER
PASSED ZUELLIG PHARMA CORP - PFIZER
PASSED ZUELLIG PHARMA CORP - PFIZER
PASSED METRODRUG 1,200 (900)

Page 332 of 413


REMARKS
SUPPLIER
FAILED NO Certificate of analysis 6,000 (2,800)
PASSED ZUELLIG PHARMA CORP - ONE PHAR 4,500 3,500
PASSED MPA PHARMACARE 5,000 7,000
PASSED MPA PHARMACARE 1,130 (930)
PASSED MPA PHARMACARE 11,000 (1,000)
PASSED QUALIFIRST HEALTH INC 18,000 (10,000)
NO BIDDER NO BIDDER - 30
PASSED METRODRUG 4,000 -
PASSED DELEX PHARMA INC. 3,000 (2,000)
PASSED METRODRUG 2,100 (1,100)
PASSED METRODRUG
PASSED ZUELLIG PHARMA CORP 3,380 4,620
FAILED Cerificate of Analysis done in house 1,500 (700)
PASSED ZUELLIG PHARMA CORP 3,380 620
PASSED MPA PHARMACARE
FAILED CPR NOT COMPATIBLE W/ SAMPLE canomed
FAILED NO SAMPLE canomed
PASSED MPA PHARMACARE
FAILED EXPIRED CGMP 750 (650) phil pharmawealth
FAILED NO Certificate of analysis 8,000 (2,000) c/o sir paul
NO BIDDER NO BIDDER - 10
FAILED NO Certificate of analysis 180 (120)
NO BIDDER NO BIDDER
FAILED canomed
PASSED ZUELLIG PHARMA CORP - A MENARIN 230 (30)
PASSED UNITED LABORATORIES 6,300 (4,300)
FAILED CPR NOT COMPATIBLE W/ SAMPLE canomed
NO BIDDER NO BIDDER 3,600 (1,600)
PASSED NO BIDDER CANOMED
PASSED INNOVATOR ZUELLIG PHARMA CORP 3,900 (3,500)
PASSED PHILCARE PHARMA 10,000 (4,000)
NO BIDDER NO BIDDER 20 (10)
PASSED ZUELLIG PHARMA CORP 60 (20)
NO BIDDER NO BIDDER 170 (150)
NO BIDDER NO BIDDER 700 100
PASSED ZUELLIG PHARMA CORP 100 (80)
PASSED METRODRUG
PASSED PHIL PHARMAWEALTH 8,500 1,500
PASSED RBC-MDC CORP
PASSED METRODRUG 21,000 (11,000)
PASSED SERAPH ENTERPRISES ONCO
PASSED PHIL PHARMAWEALTH 2,100 (2,000) ONCO
PASSED PHIL PHARMAWEALTH
NO BIDDER NO BIDDER 400 (300)
PASSED METRODRUG

Page 333 of 413


REMARKS
SUPPLIER
PASSED PHIL PHARMAWEALTH 360 (330) ONCO
NO BIDDER NO BIDDER 70 (50)
PASSED PHIL PHARMAWEALTH 4,000 4,000
PASSED PHIL PHARMAWEALTH 540 (510) ONCO
PASSED PHIL PHARMAWEALTH 350 (320) ONCO
PASSED MPA PHARMACARE 420 (220)
PASSED PHILCARE PHARMA 250 150
PASSED PHIL PHARMAWEALTH 56,000 (44,000)
PASSED MPA PHARMACARE 330 (80)
PASSED PHIL PHARMAWEALTH 10,000 -
PASSED METRODRUG 600 (200)
PASSED PHIL PHARMAWEALTH 300 500
PASSED PHIL PHARMAWEALTH 4,500 (500)
NO BIDDER NO BIDDER 500 (400)
NO BIDDER NO BIDDER 50 (40)
NO BIDDER NO BIDDER 200 -
PASSED ZUELLIG PHARMA CORP - HOSPIRA PH 6,000 (4,000)
NO BIDDER NO BIDDER 3,000 (2,000)
NO BIDDER NO BIDDER 3,000 (1,000)
NO BIDDER NO BIDDER 3,000 (1,900)
PASSED ZUELLIG PHARMA CORP 1,500 (500)
PASSED PHILCARE PHARMA 1,200 (700)
PASSED PHIL PHARMAWEALTH 9,500 (8,000)
PASSED UNITED LABORATORIES
PASSED UNITED LABORATORIES 5,500 (3,500)
PASSED PHIL PHARMAWEALTH 19,200 (13,200)
PASSED PHIL PHARMAWEALTH 72,000 (48,000)
PASSED ZUELLIG PHARMA CORP - PHARMALIN 4,000 (500)
PASSED EUROMED 9,500 (7,500)
PASSED ZUELLIG PHARMA CORP - MULTICAR 180 (170)
PASSED NO BIDDER CANOMED 180 (100)
NO BIDDER NO BIDDER 4,800 (4,200)
FAILED 1,800 (1,200) biolink
NO BIDDER NO BIDDER 2,500 (1,900)
FAILED CPR NOT COMPATIBLE W/ SAMPLE 5,000 (4,400) canomed
NO BIDDER NO BIDDER 200 100
PASSED METRODRUG 3,800 (2,800)
PASSED ZUELLIG PHARMA CORP 2,300 (2,100)
PASSED ZUELLIG PHARMA CORP 2,300 (1,800)
PASSED MPA PHARMACARE 1,500 (700)
PASSED NATRAPHARM 50 (30)
NO BIDDER NO BIDDER 50 -
NO BIDDER NO BIDDER
PASSED METRODRUG
PASSED METRODRUG

Page 334 of 413


REMARKS
SUPPLIER
NO BIDDER NO BIDDER 50 50
NO BIDDER NO BIDDER 1,000 (700)
PASSED ZUELLIG PHARMA CORP - SANOFI PA 100 (80)
PASSED PHIL PHARMAWEALTH 150 (140)
PASSED PHIL PHARMAWEALTH 3,500 (2,000)
PASSED PHIL PHARMAWEALTH 16,000 (14,000)
FAILED NO Certificate of analysis 4,500 (3,000)
FAILED NO Certificate of analysis 100 (50)
PASSED METRODRUG 2,100 (2,060)
NO BIDDER NO BIDDER 50 (30)
PASSED PHIL PHARMAWEALTH 14,000 (12,800)
PASSED METRODRUG
PASSED PHIL PHARMAWEALTH 1,400 (1,100)
NO BIDDER NO BIDDER 100 (90)
NO BIDDER NO BIDDER 100 (90)
NO BIDDER NO BIDDER 300 (250)
PASSED ZUELLIG PHARMA - MULTICARE PHA 30,000 (18,000)
NO BIDDER NO BIDDER
PASSED MPA PHARMACARE 150 (90)
FAILED NO CERTIFICATE OF ANALYSIS 50 50 phil pharmawealth
PASSED MPA PHARMACARE
PASSED METRODRUG 5,980 (4,480)
PASSED ZUELLIG PHARMA CORP - FRESENIUS 144 (48)
PASSED METRODRUG 4 (2)
FAILED NO Certificate of analysis 250 (220)
PASSED MPA PHARMACARE 9,500 (7,500)
PASSED GETZ BROS. PHIL. INC. 6,500 (5,500)
PASSED ZUELLIG PHARMA CORP 1,600 (800)
NO BIDDER NO BIDDER
FAILED NO BIOEQUIVALENCE
PASSED ZUELLIG PHARMA CORP 50 (40)
PASSED ZUELLIG PHARMA CORP 50 (40)
NO BIDDER NO BIDDER 2,000 (1,600)
NO BIDDER NO BIDDER
NO BIDDER NO BIDDER 2,300 (1,900)
PASSED PHIL PHARMAWEALTH 500 (420)
PASSED ZUELLIG PHARMA CORP 800 (600)
NO BIDDER NO BIDDER 200 -
PASSED PHIL PHARMAWEALTH 800 (550)
PASSED GENACE PHARMA 4,500 (3,700) ONCO
PASSED GOOD FELLOW PHARMA 1,036 (836)
NO BIDDER NO BIDDER 100 -
FAILED NO Certificate of analysis 120 (70)
PASSED NO BIDDER CANOMED - 20
NO BIDDER NO BIDDER 70 30

Page 335 of 413


REMARKS
SUPPLIER
PASSED PHIL PHARMAWEALTH 6,000 (4,500)
NO BIDDER NO BIDDER - 10
NO BIDDER NO BIDDER - 100
NO BIDDER NO BIDDER - 50
NO BIDDER NO BIDDER - 100
FAILED NO Certificate of analysis - 10
NO BIDDER NO BIDDER - 20
NO BIDDER NO BIDDER - 5
PASSED ZUELLIG PHARMA CORP 110 (105)
NO BIDDER NO BIDDER 190 (180)
PASSED METRODRUG
NO BIDDER NO BIDDER 3,500 (3,000)
PASSED DYNASTY 5,000 (1,000)
FAILED NO Certificate of analysis 6,500 (4,000) phil pharmawealth
NO BIDDER NO BIDDER 3,500 (2,700)
PASSED NO BIDDER CANOMED 3,000 (1,000)
PASSED METRODRUG
PASSED ZUELLIG PHARMA CORP - A MENARINI PHILS
PASSED ZUELLIG PHARMA CORP - ABBOTT IN 21,000 (17,000)
PASSED PHIL PHARMAWEALTH 1,800 (1,600)
PASSED INNOVATOR ZUELLIG PHARMA CORP 2,000 (1,640)
NO BIDDER NO BIDDER 600 (500)
NO BIDDER NO BIDDER 1,000 (800)
NO BIDDER NO BIDDER 30 - ONCO
NO BIDDER NO BIDDER 50 (30) ONCO
NO BIDDER NO BIDDER 50 50 ONCO
PASSED MPA PHARMACARE
PASSED SANNOVEX 500 (300)
FAILED NO SAMPLE 2,200 (1,600)
PASSED PHIL PHARMAWEALTH 16,000 (12,000)
PASSED OXFORD 350 (330)
PASSED OXFORD 350 (330)
PASSED ZUELLIG PHARMA - MULTICARE PHA - 400

27,000 (19,000)
10,000 (4,000)
32,000 (24,000)
22,000 (14,000)
5,000 (1,000)
13,000 (9,000)
18,000 (10,000)

Page 336 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
ampule 0.9% NaCl 20ml NO BIDDER
vial 6% Dextran 70 in 0.9% NaCl 500ml (IV Infusion) NO BIDDER
tablet Acetazolamide 250mg - (100's) METRODRUG

sachet Acetylcisteine 200mg - (30's) METRODRUG

bottle Acetylcisteine 200mg/ml, 25ml (IV infusion) - (1's) METRODRUG

tablet Acetylcisteine 600mg UNITED LABORATORIES

bottle Acetylcystein 100mg soln for inj - (5's) METRODRUG

bottle Acetylcystein 100mg/ml, inhalation - (5's) METRODRUG

tablet Aciclovir 400mg PHIL PHARMAWEALTH


can Activated Charcoal 1kg NO BIDDER
vial Adenosine 3mg/ml, 2ml (IV) PHILCARE PHARMA
bottle Al hydroxide 225mg/200mg Mg hydroxide/5ml susp., 120ml NO BIDDER
tablet Alendronate 70mg (as Sodium salt) - (4's) METRODRUG

tablet Allopurinol 100mg CANOMED


tablet Allopurinol 300mg NO BIDDER
tablet Alprazolam 250mcg - (100's) METRODRUG

amp/vial Amikacin 100mg/ml, 2ml (IM, IV) (as SO4) NO BIDDER


amp/vial Amikacin 125mg/ml,( 250mg/2ml) (IM, IV) (as SO4) PHIL PHARMAWEALTH
bottle Amino Acids Crystaline 5% (IV Infusion) 500ml ZUELLIG PHARMA CORP
ampule Aminophylline 25mg/ml, 10ml (IV) FAILED BIDDING
tablet Amiodarone 200mg (as HCl) OXFORD
ampule Amiodarone 50mg/ml, 3ml (IV) (as HCl) - (6's) METRODRUG
tablet Amlodipine 10mg (as Besylate) PHIL PHARMAWEALTH
tablet Amlodipine 5mg (as Besylate or Camsylate) - (100's) METRODRUG
bottle Amoxicillin 100mg/ml granules/ powder for drops 10ml (as Trihydrate) MPA PHARMACARE
capsule Amoxicillin 250mg (as Trihydrate) NO BIDDER
bottle Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate) MPA PHARMACARE
capsule Amoxicillin 500mg (as Trihydrate) PHIL PHARMAWEALTH
vial Ampicillin 1g (IM,IV) (as Sodium salt) PHIL PHARMAWEALTH

Page 337 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
vial Ampicillin 500mg (IM,IV) (as Sodium salt) PHIL PHARMAWEALTH
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) - (1's) ZUELLIG PHARMA CORP - PFIZER
vial Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) (IM,IV) (as Na salt) UNITED LABORATORIES
amp/vial Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml (IM) NO BIDDER
ampule Ascorbic 250mg/ml, 2ml FAILED BIDDING
bottle Ascorbic Acid 100mg/5ml, 60ml syrup MPA PHARMACARE

bottle Ascorbic Acid 100mg/ml, 15ml drops MPA PHARMACARE

tablet Ascorbic Acid 500mg MPA PHARMACARE

tablet Aspirin 100mg NO BIDDER


tablet Aspirin 300mg NO BIDDER
tablet Aspirin 80mg PHIL PHARMAWEALTH
tablet Atenolol 100mg NO BIDDER
tablet Atenolol 50mg PHIL PHARMAWEALTH
tablet Atorvastatin 20mg - (100's) METRODRUG
tablet Atorvastatin 40mg NATRAPHARM
tablet Atorvastatin 80mg NATRAPHARM
ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) PHIL PHARMAWEALTH

ampule Atropine 1mg/ml, 1ml (IM,IV) (as SO4) FAILED BIDDING

bottle Atropine Sulfate Ophthalmic drops 1%, 10ml NO BIDDER


tablet Azithromycin 500mg (as base/as dihydrate) PHIL PHARMAWEALTH
vial Azithromycin 500mg powder (IV infusion) (as base/ as Dihydrate) - (1's) ZUELLIG PHARMA CORP - PFIZER
tablet Baclofen 10mg - Trilaxant ZUELLIG PHARMA CORP - ONE PHARMA CO INC
tablet Betahistine 24mg MPA PHARMACARE

tablet Biperiden 2mg (as HCl) PHIL PHARMAWEALTH

suppository Bisacodyl 10mg adult PHIL PHARMAWEALTH

tablet Bisacodyl 5mg NO BIDDER


suppository Bisacodyl 5mg pediatric NO BIDDER
vial Bleomycin Sulfate 15 units NO BIDDER
nebule Budesonide 250mcg/ml, 2ml (unit dose) EUROMED

Page 338 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
canister Budesonide + Formoterol 160/4.5mcg/ unit dose - Symbicort Turbuhaler ZUELLIG PHARMA CORP - ASTRAZENECA
tablet Bumetamide 1mg ZUELLIG PHARMA CORP
ampule Bupivacaine 0.5%, 10ml/amp (as HCl) PHILCARE PHARMA
ampule Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY PHIL PHARMAWEALTH
tablet Butamirate Citrate 50mg MR NO BIDDER
ampule Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate) ZYRE PHARMA
tablet Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) - (120's) METRODRUG
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) ZUELLIG PHARMA - MULTICARE PHARMACEUTICALS INC

ampule Calcium Gluconate 10%, 10ml (IV) EUROMED


tablet Candesartan 8mg - Atasart GETZ BROS. PHIL. INC.
tablet Capecitabine 500mg GENACE PHARMA

tablet Captopril 25mg NO BIDDER


tablet Carbamazepine 200mg PHIL PHARMAWEALTH

tablet Carbimazole 20mg NO BIDDER


tablet Carbimazole 5mg NO BIDDER
vial Carboplatin 450mg - Kemocarb ZUELLIG PHARMA CORP - FRESENIUS KABI
tablet Carvedilol 25mg ZUELLIG PHARMA CORP
tablet Carvedilol 6.25mg - Xicard GETZ BROS. PHIL. INC.
bottle Castor Oil USP Grade 60ml NO BIDDER
bottle Cefalexin 100mg/ml, 10ml drops (as Monohydrate) MPA PHARMACARE
bottle Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate) MPA PHARMACARE
capsule Cefalexin 500mg (as Monohydrate) MPA PHARMACARE
vial Cefazolin 1g (IM,IV) (as Sodium salt) PHIL PHARMAWEALTH
vial Cefazolin 500mg (IM,IV) (as Sodium salt) FAILED BIDDING
vial Cefepime 1g (IM,IV) (as HCl) DYNASTY
vial Cefepime 500mg (IM,IV) (as HCl) UNITED LABORATORIES

bottle Cefixime 100mg/5ml, 60ml granules suspension GETZ BROS. PHIL. INC.
capsule Cefixime 200mg GETZ BROS. PHIL. INC.
bottle Cefixime 20mg/ml granules drops, 10ml - (1's) METRODRUG

Page 339 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
vial Cefoxitin 1g (IM,IV) (as Sodium salt) - Haxotin PHIL PHARMAWEALTH
vial Ceftazidime 1g (as Pentahydrate) PHIL PHARMAWEALTH
vial Ceftriaxone 1g (as Disodium/ Sodium salt) DYNASTY
bottle Cefuroxime 125mg/5ml, 70ml granules/suspension (as Axetil) ZUELLIG PHARMA CORP
tablet Cefuroxime 250mg (as Axetil) NO BIDDER
bottle Cefuroxime 250mg/5ml, 70ml granules/suspension (as Axetil) RBC-MDC CORP
tablet Cefuroxime 500mg (as Axetil) PHIL PHARMAWEALTH
vial Cefuroxime 750mg (IM,IV) (as Sodium salt) DYNASTY
capsule Celecoxib 200mg MPA PHARMACARE

capsule Celecoxib 400mg - (60's) ZUELLIG PHARMA CORP - PFIZER


tablet Cetirizine 10mg (as Dihydrochloride) PHIL PHARMAWEALTH

bottle Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride) UNITED LABORATORIES

bottle Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride) ZUELLIG PHARMA CORP
bottle Cetirizine 1mg/ml syr, 60ml (as Dihydrochloride) OXFORD

bottle Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate) MPA PHARMACARE


vial Chloramphenicol 1g (IM,IV) (as Sodium Succinate) PHIL PHARMAWEALTH
capsule Chloramphenicol 500mg NO BIDDER
ampule Chlorpheniramine 10mg/ml, 1ml (IM,IV) (as Maleate) PHIL PHARMAWEALTH

tablet Chlorpromazine 100mg (as HCl) - (100's) METRODRUG


tablet Chlorpromazine 200mg (as HCl) - (100's) METRODRUG
tablet Cinnarizine 25mg NO BIDDER
vial Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV infusion PHIL PHARMAWEALTH
tablet Ciprofloxacin 500mg (as Hydrochloride) PHIL PHARMAWEALTH
vial Cisplatin 50mg (IV) ZUELLIG PHARMA CORP
bottle Clarithromycin 125mg/5ml, 70ml granules/powder for suspension - Clariget GETZ BROS. PHIL. INC.
bottle Clarithromycin 250mg/5ml, powder for suspension - (1's) METRODRUG
tablet Clarithromycin 500mg tab OD Modified Release GETZ BROS. PHIL. INC.
tablet Clarithromycin 500mg tablet as base PHIL PHARMAWEALTH
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - (1's) ZUELLIG PHARMA CORP - PFIZER

Page 340 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
bottle Clindamycin 75mg/5ml granules for suspension, 60ml (as Palmitate HCl) - (1's) ZUELLIG PHARMA CORP - PFIZER
capsule Clindamycin HCl 150mg NO BIDDER
capsule Clindamycin HCl 300mg NO BIDDER
tube Clobetasol cream 0.05% , 5g (as Propionate) FAILED BIDDING

tablet Clonazepam 2mg - (100's) METRODRUG

ampule Clonidine 150mcg/ml, 1ml (IV) (as HCl) PHIL PHARMAWEALTH


tablet Clonidine 75mcg (as HCl) PHIL PHARMAWEALTH
tablet Clopidogrel 75mg PHIL PHARMAWEALTH
capsule Cloxacillin 500mg MPA PHARMACARE
tablet Clozapine 100mg - (100's) METRODRUG

bottle Co-Amoxiclav 156.25mg/5ml,powder for suspension NATRAPHARM


bottle Co-Amoxiclav 228.5mg/5ml,powder for suspension NATRAPHARM
bottle Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension - Auget GETZ BROS. PHIL. INC.
bottle Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension - Auget GETZ BROS. PHIL. INC.
tablet Co-Amoxiclav 625mg (as Trihydrtate) QUALIFIRST HEALTH INC
ampule Cobra Antivenom NO BIDDER
bottle Combined Amino Acids + Sorbitol Solution (IV Infusion) 500ml bottle FAILED BIDDING

bottle Co-Trimoxazole 200mg/40mg/5ml suspension, 60ml MPA PHARMACARE


cap/tab Co-Trimoxazole 400mg/80mg MPA PHARMACARE
bottle Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml MPA PHARMACARE
cap/tab Co-Trimoxazole 800mg/160mg MPA PHARMACARE
vial Cyclophosphamide 1g (IV) - (1's) METRODRUG

vial Cyclophosphamide 500mg (IV) - (1's) METRODRUG

vial Cytarabine 1g/10ml ZUELLIG PHARMA - MULTICARE PHARMACEUTICALS INC

vial Cytarabine 500mg/10ml GLOBO ASIATICO

vial Dacarbazine 200mg ZUELLIG PHARMA - MULTICARE PHARMACEUTICALS INC

vial Dactinomycin 500mcg NO BIDDER


tablet Dexamethasone 4mg NO BIDDER
amp/vial Dexamethasone 4mg/ml, 2ml (IM,IV) (as Sodium Phosphate) MPA PHARMACARE

Page 341 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
ampule Dextran 70 in 0.9% Sodium Chloride NO BIDDER
ampule Dextrose 10% in Water 3ml ampule (as solvent) NO BIDDER
set Dextrose 10% in Water 500ml PHIL PHARMAWEALTH

set Dextrose 5% 0.3 NaCl 500ml (Light Blue) PHIL PHARMAWEALTH

set Dextrose 5% 0.9 NaCl 1L (D5NSS) PHIL PHARMAWEALTH

set Dextrose 5% Balance Multiple Maint. Sol'n 500ml (Violet) EUROMED

set Dextrose 5% Balanced Multiple Maint. Sol'n. 1000ml (D5NM 1L) PHIL PHARMAWEALTH

set Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000ml (D5NR 1L) PHIL PHARMAWEALTH

set Dextrose 5% in Lactated Ringers 1000ml (Pink) PHIL PHARMAWEALTH

set Dextrose 5% in Water 1000ml PHIL PHARMAWEALTH

set Dextrose 5% in Water 500ml (Glass) NO BIDDER


set Dextrose 5% in Water 500ml (Red) PHIL PHARMAWEALTH

set Dextrose 50% in Water 50ml EUROMED

set Dextrose Plain Lactated Ringers Solution 1000ml (Blue) PHIL PHARMAWEALTH

set Dextrose Plain NSS 1000ml (Green) PHIL PHARMAWEALTH

tablet Diazepam 5mg PHIL PHARMAWEALTH

ampule Diazepam 5mg/ml, 2ml (IM,IV) PHIL PHARMAWEALTH

ampule Diclofenac Sodium 25mg/ml, 3ml (IM,IV) PHIL PHARMAWEALTH

tablet Diclofenac Sodium 50mg (as Sodium or Potassium salt) PHIL PHARMAWEALTH

bottle Dicycloverine 10mg/5ml, 60ml syrup NO BIDDER


tablet Digoxin 250mcg (0.25mg) ZUELLIG PHARMA - ASPEN PHILS INC
ampule Digoxin 250mcg/ml, 2ml (IM,IV) ZUELLIG PHARMA CORP
bottle Digoxin 50mcg (0.05mg)/ml Elixir, 60ml ZUELLIG PHARMA - ASPEN PHILS INC
bottle Diloxanide Furoate 125mg/5ml syrup/suspension 30ml NO BIDDER
tablet Diloxanide Furoate 500mg NO BIDDER
tablet Diltiazem 30mg (as Hydrochloride) NO BIDDER
tablet Diltiazem 60mg (as Hydrochloride) CANOMED
bottle Diphenhydramine HCl 12.5mg/5ml syrup 60ml FAILED BIDDING
capsule Diphenhydramine HCl 50mg NO BIDDER

Page 342 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
ampule Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl) CANOMED

vial Diphtheria Anti toxin 20,000 iu 10ml (IV) NO BIDDER


vial Dobutamine 12.5mg/ml, 20ml (IV) (as HCl) PHIL PHARMAWEALTH
vial Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) - (1's) ZUELLIG PHARMA CORP - PFIZER
vial Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) - (1's) METRODRUG
vial Docetaxel 40mg/ml, 2ml (IV infusion) - (1's) METRODRUG

tablet Domperidone 10mg METRODRUG

vial Dopamine 1.6mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) ZUELLIG PHARMA CORP
vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) ZUELLIG PHARMA CORP
amp/vial Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine 200mg/5ml) - (1's) ZUELLIG PHARMA CORP - PFIZER
vial Doxorubicin powder 10mg (IV) (as HCl) ZUELLIG PHARMA - MULTICARE PHARMACEUTICALS INC

vial Doxorubicin powder 50mg (IV) (as HCl) - (1's) METRODRUG

capsule Doxycycline 100mg (as Hyclate) NO BIDDER


capsule Doxycycline 50mg (as Hyclate) NO BIDDER
tablet Dydrogesteone 10mg NO BIDDER
p. syringe Enoxaparin Sodium 100mg/ml, 0.4ml - (1's) METRODRUG
p. syringe Enoxaparin Sodium 100mg/ml, 0.6ml - (1's) METRODRUG
ampule Ephedrine Sulfate 50mg/ml, 1ml (IM,IV) NO BIDDER
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) PHIL PHARMAWEALTH
prefilled syrnge Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human erythropoetin) - Eposino GOOD FELLOW PHARMA

amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) PHIL PHARMAWEALTH

bottle Erythromycin 200mg/5ml granules/powder for suspension 60ml (as Ethyl Succinate) NO BIDDER
tablet Erythromycin 500mg (as Stearate) NO BIDDER
tube Erythromycin Ophthalmic Ointment 0.5%, 3.5g PHIL PHARMAWEALTH
tablet Escitalopram 10mg (as oxalate) PHIL PHARMAWEALTH
vial Esmolol 100mg/ml, 10ml (as HCl) FAILED BIDDING
tablet Ethambutol 200mg (as HCl) NO BIDDER
amp/vial Etoposide 20mg/ml, 5ml (IV) GLOBO ASIATICO
ampule Famotidine 10mg/ml, 2ml (IM,IV) PHIL PHARMAWEALTH

tablet Felodipine 10mg MR - (100's) METRODRUG


Page 343 of 413
FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
tablet Felodipine 5mg NATRAPHARM
tablet Fenofibrate 160mg UNITED LABORATORIES

tablet Fenofibrate 200mg NO BIDDER


ampule Fentanyl 50mcg/ml, 2ml (IV) (as Citrate) PHIL PHARMAWEALTH

tablet Ferrous Fumarate 500mg (100mg elemental iron)+ B complex NO BIDDER


bottle Ferrous Sulfate 15mg elemental iron/0.6ml drops, 30ml NO BIDDER
bottle Ferrous Sulfate 30mg elemental iron/5ml syrup, 60ml NO BIDDER
tablet Ferrous sulfate 325mg FAILED BIDDING

vial Filgrastim 300mcg PHIL PHARMAWEALTH

tablet Fluconazole 150mg - (20's) METRODRUG


capsule Fluconazole 200mg ZUELLIG PHARMA CORP - PFIZER
vial Fluconazole 2mg/ml, 100ml (IV infusion) - (1's) ZUELLIG PHARMA CORP - PFIZER
vial Fluorouracil 25mg/ml, 10ml (IV, IV Infusion) NO BIDDER
ampule Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) - Fluonco GLOBO ASIATICO

tab/cap Fluoxetin 20mg dispersal - (30's) METRODRUG

bottle Fluphenazine Decanoate 25mg/ml, 10ML NO BIDDER


bottle Folic Acid 2.5mg/ml drops, 10ml NO BIDDER
tablet Folic Acid 5mg ZUELLIG PHARMA CORP
bottle Folic Acid 5mg/ml drops NO BIDDER
p.syringe Fondaparinux 2.5mg/0.5ml solution (as Sodium salt) NO BIDDER
ampule Furosemide 10mg/ml, 2ml (IM,IV) PHIL PHARMAWEALTH
tablet Furosemide 20mg NO BIDDER
tablet Furosemide 40mg FAILED BIDDING
capsule Gabapentine 100mg - (30's) METRODRUG
capsule Gabapentine 300mg - (100's) METRODRUG
vial Gemcitabine 1g GENACE PHARMA
vial Gemcitabine 200mg GENACE PHARMA

amp/vial Gentamycin 40mg/ml, 2ml (IM,IV) (as SO4) PHIL PHARMAWEALTH


tablet Glibenclamide 5mg PHIL PHARMAWEALTH
tablet Gliclazide 30mg MR METRODRUG
Page 344 of 413
FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
tablet Gliclazide 80mg - (100's) METRODRUG
tablet Glipizide 5mg - (100's) METRODRUG
patch Glyceryl Trinitrate (Nitroglycerin) 5mg NO BIDDER
tablet Haloperidol 20mg - (100's) METRODRUG

ampule Haloperidol 5mg/ml, 1ml (IM) NO BIDDER


amp/vial Hepa B vaccine NO BIDDER
ampule Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt) PHIL PHARMAWEALTH

vial Human Albumin 20%, 50ml VIZCARRA

ampule Hydralazine 20mg/ml, 1ml (IM,IV) (as HCl) PHIL PHARMAWEALTH


tablet Hydralazine 25mg (as HCl) NO BIDDER
tube Hydrocortisone 1% cream, 5g - (1's) METRODRUG
vial Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) SANNOVEX
vial Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) SANNOVEX
bottle Hydroxyethyl starch 6% solution 500ml bottle (IV infusion) - Nirhes 130 SERAPH ENTERPRISES

tablet Hydroxyurea 500mg GLOBO ASIATICO

tablet Hydroxyzine 25mg (as Dihydrochloride) ZUELLIG PHARMA CORP


ampule Hydroxyzine 50mg/ml, 1ml (IM,IV) - Droxiem MARK ERICSON

tablet Hyoscine 10mg (as N- Butyl Bromide) PHIL PHARMAWEALTH

ampule Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide) NO BIDDER


bottle Hyoscine 5mg/5ml, 60ml syrup (as N-Butyl Bromide) NO BIDDER
bottle Ibuprofen 100mg/5ml, 60ml suspension PHIL PHARMAWEALTH
tablet Ibuprofen 400mg MPA PHARMACARE
vial Iopamidol 755mg/ml equiv. to 370mg iodine, 50ml - Scanlux RBC-MDC CORP
canister Ipratropium + Salbutamol MDI x 200 doses NO BIDDER
nebule Ipratropium + Salbutamol UDV 2.5ml/ unit dose ZUELLIG PHARMA CORP
ampule Iron Sucrose 20mg/ml PHIL PHARMAWEALTH

bottle Isoflurane 100ml - Isorane SERAPH ENTERPRISES


tablet Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275mg ZUELLIG PHARMA CORP - PFIZER
tablet Isoniazid + Rifampicin + Pyrazinamide 75mg + 150mg +400mg NO BIDDER

Page 345 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
tablet Isoniazid + Rifampicin 75mg + 150mg ZUELLIG PHARMA - MULTICARE PHARMACEUTICALS INC
bottle Isoniazid 200mg/5ml, 120ml syrup NATRAPHARM
vial Isophane Insulin Human (intermediate, acting, Neutral) inj. 100IU/ml, 10ml (IM,SC) - Insuget-N GETZ BROS. PHIL. INC.
cap/tab Isosorbide- 5- Mononitrate 30mg UNITED LABORATORIES

cap/tab Isosorbide- 5- Mononitrate 60mg - (70's) METRODRUG


tablet Isosorbide dinitrate 10mg NO BIDDER
ampule Isosorbide dinitrate 1mg/ml, 10ml (IV) ZUELLIG PHARMA CORP
tablet Isosorbide dinitrate 5mg SL NO BIDDER
tablet Isoxsuprine 10mg (as HCl) PHIL PHARMAWEALTH

ampule Isoxsuprine 5mg/ml, 2ml (IM, IV infusion )(as HCl) UNITED LABORATORIES

vial Ketamine HCl 50mg/ml, 10ml (IM,IV) PHILCARE PHARMA


tablet Ketoprofen 100mg NO BIDDER
ampule Ketoprofen 50mg/ml, 2ml (IM) NO BIDDER
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) PHIL PHARMAWEALTH

bottle Lactulose 3.3g/5ml (66% syrup), 120ml - Lilac GETZ BROS. PHIL. INC.
tablet Lamotrigine 50mg - (30's) METRODRUG

tablet Levofloxacin 500mg - (60's) METRODRUG


vial Levofloxacin 5mg/ml solution for IV infusion, 100ml - (1's) METRODRUG
tablet Levofloxacin 750mg - (20's) METRODRUG
tablet Levothyroxine 100mcg (as Anhydrous Sodium) NO BIDDER
tablet Levothyroxine 50mcg (as Anhydrous Sodium) - (100's) METRODRUG
polyamp Lidocaine 2%, 5ml (as HCl) EUROMED
tube Lidocaine 5% ointment 35g (as Hydrochloride) NO BIDDER
ampule Lidocaine HCl in 4mg/ml,250ml D5W (pre-mixed) (IV)(as HCl) NO BIDDER
bottle Lidocaine spray 10%, 50ml (as HCl) MPA PHARMACARE
tablet Lithium Carbonate 450mg MR - (100's) METRODRUG

capsule Loperamide 2mg NO BIDDER


tablet Loratadine 10mg OXFORD

bottle Loratadine 5mg/5ml syrup, 30ml NO BIDDER

Page 346 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
tablet Losartan + Hydrochlorothiazide 100mg +25mg - Getzar Plus GETZ BROS. PHIL. INC.
tablet Losartan + Hydrochlorothiazide 50mg +12.5mg - (100's) METRODRUG
tablet Losartan 100mg (as Potassium salt) - (100's) METRODRUG
tablet Losartan 50mg (as Potassium salt) - (70's) METRODRUG
ampule Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate) EUROMED

bottle Mannitol 20%, 500ml (IV) PHIL PHARMAWEALTH

bottle Mebendazole 100mg/5ml suspension 30ml NO BIDDER


tablet Mebendazole 500mg NO BIDDER
ampule Mecobalamin 500mcg/ml (IM/IV) NO BIDDER
tablet Medroxyprogesterone Acetate 5mg NO BIDDER
tablet Mefenamic Acid 250mg NO BIDDER
tablet Mefenamic Acid 500mg PHIL PHARMAWEALTH

vial Meropenem 1g (IV) (as Trihydrate) PHIL PHARMAWEALTH


vial Meropenem 500mg (IV) (as Trihydrate) PHIL PHARMAWEALTH
tablet Metformin 500mg (as HCl) PHIL PHARMAWEALTH
tablet Methimazole 5mg - (100's) METRODRUG

ampule Methotrexate 25mg/ml, 2ml (IM,IV, Intrathecal) (as base) ZUELLIG PHARMA - MULTICARE PHARMACEUTICALS INC

tablet Methyldopa 250mg - Aldomet ZUELLIG PHARMA - ASPEN PHILS INC

tablet Methylergometrine Maleate 125mcg (as Hydrogen Maleate or Maleate) NO BIDDER


ampule Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleate) FAILED BIDDING

vial Methylprednisolone 125mg/ml, 2ml + diluent (IM,IV) Iv infusion (as Na succinate) ZUELLIG PHARMA CORP - PFIZER
vial Methylprednisolone 1g/16ml ZUELLIG PHARMA CORP - PFIZER
vial Methylprednisolone 500mg/7.7ml ZUELLIG PHARMA CORP - PFIZER
vial Methylprednisolone inj. 40mg 1ml ZUELLIG PHARMA CORP - PFIZER
tablet Methyprednisolone 16mg - (30's) METRODRUG

ampule Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl) FAILED BIDDING

tablet Metoprolol 100mg (as Tartrate) - Cardiostat ZUELLIG PHARMA CORP - ONE PHARMA CO INC
tablet Metoprolol 50mg (as Tartrate) MPA PHARMACARE

tablet Metronidazole 125mg base/ 5ml suspension 60ml MPA PHARMACARE

Page 347 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
tablet Metronidazole 500mg MPA PHARMACARE
vial Metronidazole 5mg/ml, 100ml IV infusion - Generic QUALIFIRST HEALTH INC
suppository Metronidazole rectal 1g NO BIDDER
ampule Midazolam 1mg/ml, 5ml (IM,IV) - (1's) METRODRUG

ampule Midazolam 5mg/ml, 3ml (IM,IV) DELEX PHARMA INC.

tablet Montelukast 10mg (as Sodium) - (30's) METRODRUG

tablet Montelukast 5mg (as Sodium) - (30's) METRODRUG

tablet Morphine 10mg CR (as Sulfate) ZUELLIG PHARMA CORP


ampule Morphine 15mg/ml, 1ml (IM,IV,SC) (as Sulfate) FAILED BIDDING

tablet Morphine 30mg CR (as Sulfate) ZUELLIG PHARMA CORP


bottle Multivitamins 120ml syrup MPA PHARMACARE

bottle Multivitamins 15ml drops MPA PHARMACARE

bottle Multivitamins 30ml drops FAILED BIDDING


capsule Multivitamins capsule MPA PHARMACARE

tube Mupirocin 2%, 5g PHIL PHARMAWEALTH

ampule Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl) ZUELLIG PHARMA CORP

bottle Nalidixic Acid 250mg/5ml, 60ml suspension NO BIDDER


ampule Naloxone 20mcg/ml, 2ml (IM,IV,SC) (as HCl) FAILED BIDDING

tablet Naproxen 275mg NO BIDDER


tablet Naproxen 550mg FAILED BIDDING
ampule Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate) - Prostigmine ZUELLIG PHARMA CORP - A MENARINI PHILS
ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) UNITED LABORATORIES

capsule Nifedipine 10mg FAILED BIDDING


tablet Nifedipine 30mg MR NO BIDDER
capsule Nifedipine 5mg CANOMED
tablet Nimodipine 30mg ZUELLIG PHARMA CORP
ampule Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate) PHILCARE PHARMA

bottle Nystatin 100,000 "u"/ml, 30ml suspension NO BIDDER


bottle Ofloxacin 0.3%, 5ml ear drops solution ZUELLIG PHARMA CORP

Page 348 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
vial Ofloxacin 2mg/ml, 100ml (Iv infusion) NO BIDDER
tablet Ofloxacin 400mg NO BIDDER
bottle Ofloxacin Ophthalmic Drop 0.3%, 5ml solution ZUELLIG PHARMA CORP
tablet Olanzapine 10mg - (100's) METRODRUG
capsule Omeprazole 20mg PHIL PHARMAWEALTH

capsule Omeprazole 40mg RBC-MDC CORP


ampule Omeprazole 40mg + 10ml solvent (IV) - (1's) METRODRUG
ampule Ondansetron 1mg/ml, 4ml (IM,IV) SERAPH ENTERPRISES
ampule Ondansetron 2mg/ml, 4ml (IM,IV) PHIL PHARMAWEALTH

sachet Oral Rehydration Solution PHIL PHARMAWEALTH

capsule Oseltamivir 75mg (as Phosphate) NO BIDDER


vial Oxacillin 500mg - (10's) METRODRUG
vial Oxaliplatin 100mg (5mg/ml, 20ml) PHIL PHARMAWEALTH

bottle Oxantel Pyrantel (100mg Oxantel + 100mg Pyrantel)/5ml susp. 10ml (as Embonate) NO BIDDER
ampule Oxytocin 10 "IU"/ml, 1ml (IM,IV) PHIL PHARMAWEALTH

vial Paclitaxel 100mg PHIL PHARMAWEALTH

vial Paclitaxel 30mg PHIL PHARMAWEALTH

bottle Paracetamol 100mg/ml, (alcohol free), 15ml MPA PHARMACARE

vial Paracetamol 10mg/ml, 100ml solution for infusion (IV) PHILCARE PHARMA

vial Paracetamol 150mg/ml, 2ml (IM,IV) PHIL PHARMAWEALTH

bottle Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension MPA PHARMACARE

tablet Paracetamol 500mg PHIL PHARMAWEALTH

vial Penicillin G Benzathine (Benzathine Benzyl Penicillin) 1.2M units - (10's) METRODRUG
vial Penicillin G Crystalline (Benzylpenicillin) 1M "u" vl. (IM,IV) (as Sodium) PHIL PHARMAWEALTH
vial Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl. (IM,IV) (as Sodium) PHIL PHARMAWEALTH
ampule Pethidine (Meperiden) 50mg/ml, 2ml (Im, IV, SC) (as HCl) NO BIDDER
bottle Phennoxymethyl Penicillin (penicillin V) 250mg/5ml granules/powder susp., 60ml (as K salt) NO BIDDER
cap/tab Phennoxymethyl Penicillin 500mg (as Sodium salt) NO BIDDER
ampule Phenobarbital 130mg/ml, 1ml (IM,IV) (as Sodium) - Luminal ZUELLIG PHARMA CORP - HOSPIRA PHILS INC

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tablet Phenobarbital 15mg (1/4 grain) NO BIDDER
tablet Phenobarbital 60mg (1 grain) NO BIDDER
tablet Phenobarbital gr 1/2 (30mg) NO BIDDER
capsule Phenytoin 100mg (as Sodium salt) ZUELLIG PHARMA CORP
ampule Phenytoin 50mg/ml, 2ml (IV)(as Sodium salt) PHILCARE PHARMA

ampule Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV) PHIL PHARMAWEALTH

vial Piperacillin+Tazobactam (2g Piperacillin+250mg Tazobactam) UNITED LABORATORIES

vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV infusion) (as Na) UNITED LABORATORIES

tablet Potassium 750mg durules (approx. equiv. to 10 mEq) - Kalium Durules ZUELLIG PHARMA CORP - PHARMALINK INTERPHIL

vial Potassium Chloride 2mEq/ml, 20ml (IV infusion) EUROMED

bottle Prednisolone eye drops suspension 0.5%,5ml (as acetate) ZUELLIG PHARMA CORP - MULTICARE PHARMACEUTICALS INC
bottle Prednisone 10mg/5ml suspension, 60ml CANOMED
tablet Prednisone 20mg NO BIDDER
tablet Prednisone 30mg NO BIDDER
tablet Prednisone 50mg NO BIDDER
tablet Prednisone 5mg FAILED BIDDING

tablet Primaquine 15mg base (as Diphosphate) NO BIDDER


amp/vial Propofol 10mg/ml, 20ml IV (oil in water emulsion) - (1's) METRODRUG
tablet Propranolol 10mg (as HCl) ZUELLIG PHARMA CORP
tablet Propranolol 40mg (as HCl) ZUELLIG PHARMA CORP
tablet Propylthiouracil 50mg MPA PHARMACARE

bottle Pyrazynamide 250mg/5ml, 120ml suspension NATRAPHARM


ampule Pyridoxine (Vit. B6) 100mg/ml, 10ml (IM,IV) (as Hydrochloride) NO BIDDER
tablet Quetiapine 100mg NO BIDDER
tablet Quetiapine 25mg - (100's) METRODRUG

tablet Quetiapine 300mg - (100's) METRODRUG

amp/vial Quinine 300mg/ml, 1ml Iv (as diHCl) NO BIDDER


tablet Quinine Sulfate 300mg (325) (as Sulfate) NO BIDDER
ampule Rabbies Vaccine (0.5ml of 4% Sodium Chloride) - Verorab ZUELLIG PHARMA CORP - SANOFI PASTEUR

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vial Rabbies Vaccine Lyophillyzed powder 2.5 IU/ml, 1 dose + 1ml Diluent (ID,IM) PHIL PHARMAWEALTH

tablet Ranitidine 150mg (as HCl) PHIL PHARMAWEALTH

ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) PHIL PHARMAWEALTH

tablet Ranitidine 300mg (as HCl) FAILED BIDDING

vial Recombinant H Granulocyte stimulating FAILED BIDDING

p. syringe Regular Insulin 100IU/ml, 3ml (IM,IV,SC) - (1's) METRODRUG

bottle Rifampicin 200mg/5ml suspension 120ml NO BIDDER


tablet Risperidone 2mg PHIL PHARMAWEALTH

tablet Risperidone 4mg - (50's) METRODRUG

amp/vial Rocuronium Bromide 10mg/ml, 5ml (IV) PHIL PHARMAWEALTH

ampule Ropivacaine 2mg/ml, 10ml (IV) NO BIDDER


ampule Ropivacaine 7.5mg/ml, 10ml (IV) NO BIDDER
tablet Rosiglitazone 4mg (as Maleate) NO BIDDER
nebule Salbutamol 2mg/ml, 2.5ml (unit dose) (as Sulfate) ZUELLIG PHARMA - MULTICARE PHARMACEUTICALS INC
tablet Salbutamol 2mg NO BIDDER
bottle Salbutamol 2mg/5ml, 60ml syrup (as Sulfate) MPA PHARMACARE

canister Salbutamol MDI 100mcg/dose x 200 doses (as SO4) PHIL PHARMAWEALTH
tablet Sambong 250mg MPA PHARMACARE

tablet Sertraline 50mg (as HCl) - (50's) METRODRUG

bottle Sevoflurane 250ml ZUELLIG PHARMA CORP - FRESENIUS KABI


jar Silver Sulfadiazine Cream 1% 500g (micronized) - (1's) METRODRUG

tube Silver Sulfadiazine Cream 1%, 25g FAILED BIDDING

tablet Simvastatin 20mg MPA PHARMACARE

tablet Simvastatin 40mg - Simvoget GETZ BROS. PHIL. INC.


ampule Sodium Bicarbonate 1mEq/ml, 50ml (IV infusion) ZUELLIG PHARMA CORP
tablet Sodium Sulfate NO BIDDER
tablet Sodium Valproate 500mg FAILED BIDDING
ampule Somatostatin 250mcg (IV, IV infusion) ZUELLIG PHARMA CORP
ampule Somatostatin 3mg (IV, IV infusion) ZUELLIG PHARMA CORP
tablet Spironolactone 100mg NO BIDDER
Page 351 of 413
FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
tablet Spironolactone 25mg NO BIDDER
tablet Spironolactone 50mg NO BIDDER
vial Streptomycin 1g IM (as Sulfate) PHIL PHARMAWEALTH
tablet Sucralfate 1g ZUELLIG PHARMA CORP
tablet Sulfadoxine/Pyrimethamine 500mg/25mg NO BIDDER
vial Suxamethonium (Succinyl Choline) 20mg/ml, 10ml IV (as Chloride) PHIL PHARMAWEALTH
tablet Tamoxifen 20mg (as Citrate) GENACE PHARMA
capsule Tamsulosin 200mcg (as HCl) GOOD FELLOW PHARMA

nebule Terbutaline 2.5mg/ml, 2ml (unit dose)(as SO4) NO BIDDER


ampule Terbutaline 500mcg/ml, 1ml (IM,IV,SC) (as SO4) FAILED BIDDING

bottle Terbutaline syrup 1.5mg/5ml, 60ml (as SO4) CANOMED


vial Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM) NO BIDDER
ampule Tetanus Toxoid 0.5ml (IM) PHIL PHARMAWEALTH
ampule Tetracaine 20mg sterile powder (spinal) (as HCl) NO BIDDER
tablet Theophylline anhydrous 150mg NO BIDDER
amp/vial Thiamine 100mg/ml, 1ml (IV) NO BIDDER
tablet Thiamine 300mg (as Hydrochloride) NO BIDDER
vial Thiopenthal Sodium 1g + 50ml diluent (IV) FAILED BIDDING

bottle Timolol eye drops solution 0.5%,5ml NO BIDDER


canister Tiotropium 18mcg/dose (as Br) w/ appropriate accompanying dispenser NO BIDDER
bottle Tobramycin Ophthalmic drops 0.3%, 3.5g ZUELLIG PHARMA CORP
tube Tobramycin Ophthalmic Ointment 0.3%,3.5g NO BIDDER

tablet Topiramate 25mg - (60's) METRODRUG

capsule Tramadol 50mg (as HCl) NO BIDDER


ampule Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl) DYNASTY

ampule Tranexamic Acid 100mg/ml, 5ml (IM,IV) FAILED BIDDING

capsule Tranexamic Acid 250mg NO BIDDER


capsule Tranexamic Acid 500mg CANOMED
tablet Trimetazidine 35mg - (60's) METRODRUG
capsule Ursodeoxycholic Acid 250mg - Ursofalk ZUELLIG PHARMA CORP - A MENARINI PHILS

Page 352 of 413


FAST QTY TO
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION SUPPLIER MOVING ORDER
tablet Valproate disodium/ Valproic Acid 250mg (as disodium salt or as valproic acid) - Epival ZUELLIG PHARMA CORP - ABBOTT INTL
vial Vancomycin 500mg (IV) (as HCl) PHIL PHARMAWEALTH
tablet Verapamil 180mg (as Hydrochloride) ZUELLIG PHARMA CORP
ampule Verapamil 2.5mg/ml, 2ml (IV) (as Hydrochloride) NO BIDDER
tablet Verapamil 240mg (as Hydrochloride) NO BIDDER
bottle Vinblastin 10mg/10ml NO BIDDER
vial Vincristine 1mg/ml, 1ml (IV) (as Sulfate) NO BIDDER
vial Vincristine 1mg/ml, 2ml (IV) (as Sulfate) NO BIDDER
tablet Vitamin B Complex PHIL PHARMAWEALTH

ampule Vitamin B Complex 100mg+100mg+1mg per 3ml (IV) SANNOVEX

tablet Warfarin 2.5mg FAILED BIDDING

vial Water for injection (triple distilled water), 50ml vial (steriile water for injection) PHIL PHARMAWEALTH

bottle Zinc 10mg/ml drops - Immuzine OXFORD

bottle Zinc 20mg/5ml syrup - Immuzine OXFORD

tablet Zolpidem 10mg ZUELLIG PHARMA - MULTICARE PHARMACEUTICALS INC

set Intravenous Administration Set (Macroset) 20 drops/ml


set Intravenous Administration Set (Microset) 60 drops/ml
set IV Cannula G18 with injection port
set IV Cannula G20 with injection port
set IV Cannula G22 with injection port
set IV Cannula G24 with injection port
set IV Cannula G26 with injection port
set Blood Transfusion Set
set Soluset

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Code

1 tablet
2 bottle
3 tablet
4 ampule
5 sachet
6 tablet
7 vial
8 can
9 vial
10 bottle
11 tablet
12 tablet
13 tablet
14 tablet
15 ampule
16 ampule
17 pack
18 tablet
19 ampule
20 tablet
21 tablet
22 capsule
23 bottle
24 capsule
25 vial
26 vial
27 vial
28 vial
29 amp/vial
30 ampule
31 bottle
32 bottle
33 tablet
34 vial
35 tablet
36 tablet
37 tablet
38 tablet
39 tablet
40 tablet
41 ampule
42 ampule
43 bottle
44 tablet
45 vial
46 tablet
47 vial
48 tube
49 tablet
50 tablet
51 tablet
52 suppository
53 tablet
54 suppository
55 amp/vial
56 bottle
57 nebule
58 canister
59 tablet
60 ampule
61 ampule
62 tablet
63 ampule
64 tablet
65 ampule
66 ampule
67 tablet
68 tablet
69 tablet
70 vial
71 vial
72 vial
73 tablet
74 tablet
75 bottle
76 bottle
77 bottle
78 capsule
79 vial
80 vial
81 vial
82 vial
83 bottle
84 capsule
85 bottle
86 vial
87 Vial
88 vial
89 vial
90 vial
91 bottle
92 bottle
93 tablet
94 vial
95 capsule
96 capsule
97 tablet
98 bottle
99 bottle
100 bottle
101 bottle
102 vial
103 capsule
104 ampule
105 tablet
106 tablet
107 tablet
108 capsule
109 capsule
110 tablet
111 vial
112 tablet
113 vial
114 bottle
115 bottle
116 tablet
117 ampule
118 bottle
119 tube
120 tablet
121 ampule
122 tablet
123 tablet
124 bottle
125 capsule
126 tablet
127 tablet
128 bottle
129 bottle
130 tablet
131 tablet
132 ampule
133 tablet
134 bottle
135 tablet
136 bottle
137 cap/tab
138 vial
139 vial
140 vial
141 vial
142 vial
143 vial
144 tablet
145 amp/vial
146 ampule
147 ampule
148 tablet
149 bottle
150 tablet
151 ampule
152 bottle
153 bottle
154 tablet
155 tablet
156 bottle
157 capsule
158 ampule
159 vial
160 vial
161 vial
162 vial
163 tablet
164 vial
165 amp/vial
166 vial
167 vial
168 capsule
169 tablet
170 tablet
171 tablet
172 p. syringe
173 p. syringe
174 p. syringe
175 tablet
176 ampule
177 ampule
178 p. syringe
179 p. syringe
180 amp/vial/PFS
181 bottle
182 tablet
183 tube
184 tablet
185 amp/vial
186 ampule
187 tablet
188 tablet
189 tablet
190 ampule
191 bottle
192 tablet
193 bottle
194 tablet
195 vial
196 tablet
197 capsule
198 vial
199 ampule
200 tab/cap
201 bottle
202 MDI
203 tablet
204 p.syringe
205 ampule
206 tablet
207 capsule
208 capsule
209 vial
210 vial
211 amp/vial
212 tablet
213 tablet
214 tablet
215 ampule
216 ampule
217 vial
218 vial
219 vial
220 ampule
221 tube
222 vial
223 vial
224 tablet
225 capsule
226 tablet
227 ampule
228 bottle
229 tablet
230 vial
231 vial
232 nebule
233 ampule
234 bottle
235 tablet
236 cap/tab
237 cap/tab
238 tablet
239 ampule
240 tablet
241 tablet
242 vial
243 ampule
244 bottle
245 tablet
246 tablet
247 vial
248 tablet
249 tablet
250 polyamp
251 bottle
252 tablet
253 capsule
254 tablet
255 bottle
256 tablet
257 tablet
258 tablet
259 ampule
260 bottle
261 bottle
262 tablet
263 ampule
264 capsule
265 capsule
266 tablet
267 vial
268 vial
269 vial
270 tablet
271 vial
272 tablet
273 tablet
274 ampule
275 vial
276 vial
277 vial
278 vial
279 tablet
280 ampule
281 tablet
282 tablet
283 tablet
284 bottle
285 tablet
286 vial
287 ampule
288 ampule
289 bottle
290 bottle
291 tablet
292 tablet
293 tablet
294 ampule
295 tablet
296 bottle
297 bottle
298 bottle
299 capsule
300 tube
301 ampule
302 ampule
303 tablet
304 ampule
305 ampule
306 capsule
307 tablet
308 tablet
309 ampule
310 ampule
311 bottle
312 bottle
313 tablet
314 bottle
315 tablet
316 capsule
317 capsule
318 ampule
319 ampule
320 ampule
321 sachet
322 vial
323 vial
324 ampule
325 vial
326 vial
327 bottle
328 vial
329 ampule
330 bottle
331 tablet
332 bottle
333 vial
334 ampule
335 ampule
336 tablet
337 tablet
338 tablet
339 capsule
340 ampule
341 ampule
342 ampule
343 vial
344 vial
345 tablet
346 vial
347 bottle
348 tablet
349 tablet
350 bottle
351 tablet
352 vial
353 tablet
354 tablet
355 tablet
356 tablet
357 tablet
358 tablet
359 amp/vial
360 tablet
361 tablet
362 ampule
363 tablet
364 tablet
365 amp/vial
366 ampule
367 tablet
368 tablet
369 nebule
370 bottle
371 canister
372 tablet
373 tablet
374 vial
375 bottle
376 jar
377 tube
378 tablet
379 tablet
380 ampule
381 vial
382 tablet
383 tablet
384 tablet
385 vial
386 vial
387 tablet
388 tablet
389 capsule
390 ampule
391 nebule
392 bottle
393 vial
394 ampule
395 bottle
396 canister
397 bottle
398 bottle
399 tube
400 tablet
401 capsule
402 ampule
403 ampule
404 capsule
405 capsule
406 tablet
407 capsule
408 vial
409 vial
410 ampule
411 tablet
412 bottle
413 vial
414 vial
415 capsule
416 ampule
417 tablet
418 tablet
419 ampule
420 vial
421 bottle
422 bottle
423 bottle
424 bottle
425 bottle
426 bottle
427 bottle
428 bottle
429 bottle
430 bottle
431 bottle
432 bottle
433 bottle
434 bottle
435 bottle
436 vial
General Description

Acetazolamide 250mg
Acetylcisteine 200mg/ml, 25ml (IV infusion)
Acetylcisteine 600mg
Acetylcysteine 100mg/ml,3ml solution for inhalation
Acetylcisteine 200mg
Acyclovir 400mg
Actinomycin D 500mcg
Activated Charcoal 1kg USP Grade
Adenosine 3mg/ml, 2ml (IV)
Al hydroxide 225mg/200mg Mg hydroxide/5ml susp., 120ml
Alendronate 70mg (as Sodium salt)
Allopurinol 100mg
Allopurinol 300mg
Alprazolam 250mcg
Amikacin 250mg/ml, 2ml (IM, IV) (as SO4)
Aminophylline 25mg/ml, 10ml (IV)
ALL-IN-One Admixtures (3 in 1)1,400Kcal
Amiodarone 200mg (as HCl)
Amiodarone 50mg/ml, 3ml (IV) (as HCl)
Amlodipine 10mg (as Besylate or Camsylate)
Amlodipine 5mg (as Besylate or Camsylate)
Amoxicillin 250mg (as Trihydrate)
Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate)
Amoxicillin 500mg (as Trihydrate)
Ampicillin 1g (IM,IV) (as Sodium salt)
Ampicillin 500mg (IM,IV) (as Sodium salt)
Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt)
Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) (IM,IV) (as Na salt)
Anti-Tetanus Serum (equine) 1,500IU/ml, 1.5ml (IM)
Ascorbic 250mg/ml, 2ml IV)
Ascorbic Acid 100mg/5ml, 60ml syrup
Ascorbic Acid 100mg/ml, 15ml drops
Ascorbic Acid 500mg
Asparaginase 10,000 IU (IV) lyophilized powder
Aspirin 80mg
Atenolol 100mg
Atenolol 50mg
Atorvastatin 20mg
Atorvastatin 40mg
Atorvastatin 80mg
Atracurium Besylate 10mg/ml, 2.5ml (IV)
Atropine 1mg/ml, 1ml (IM,IV) (as SO4)
Atropine Sulfate Ophthalmic drops 1%, 10ml
Azithromycin 500mg (as base/as dihydrate)
Azithromycin 500mg powder (IV infusion) (as base/ as Dihydrate)
Baclofen 10mg
Benzathine Benzyl Penicillin 1.2M units
Betamethasone cream 0.1%, 5g
Betahistine 8mg
Betahistine 24mg
Biperiden 2mg (as HCl)
Bisacodyl 10mg adult
Bisacodyl 5mg
Bisacodyl 5mg pediatric
Bleomycin Sulfate 15 mg (IM,IV,SC) (as sulfate)
Brimonidine eye drops 0.15%, 5ml
Budesonide 250mcg/ml, 2ml (unit dose)
Budesonide + Formoterol 160/4.5mcg/ unit dose
Bumetamide 1mg
Bupivacaine 0.5%, 10ml/amp (as HCl)
Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose
Butamirate Citrate 50mg MR
Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate)
Calcium Carbonate (equiv. to 500mg & 600mg elemental ca)
Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV)
Calcium Gluconate 10%, 10ml (IV)
Capecitabine 500mg
Captopril 25mg
Carbamazepine 200mg
Carbachol 0.01% Intraocular Solution, 1.5ml
Carboplatin 10mg/ml, 15ml
Carboplatin 450mg
Carvedilol 25mg
Carvedilol 6.25mg
Castor Oil USP Grade 60ml
Cefalexin 100mg/ml, 10ml drops (as Monohydrate)
Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate)
Cefalexin 500mg (as Monohydrate)
Cefazolin 1g (IM,IV) (as Sodium salt)
Cefazolin 500mg (IM,IV) (as Sodium salt)
Cefepime 1g (IM,IV) (as HCl)
Cefepime 500mg (IM,IV) (as HCl)
Cefixime 100mg/5ml, 60ml granules suspension
Cefixime 200mg
Cefixime 20mg/ml granules drops, 10ml
Cefoxitin 1g (IM,IV) (as Sodium salt)
Cefotaxime 250mg (as Sodium Salt) + 2ml diluent
Cefotaxime 500mg (as Sodium salt) + 2ml diluent
Ceftazidime 1g (as Pentahydrate)
Ceftriaxone 1g (as Disodium/ Sodium salt)
Cefuroxime 125mg/5ml, 70ml granules/suspension (as Axetil)
Cefuroxime 250mg/5ml, 70ml granules/suspension (as Axetil) Generic
Cefuroxime 500mg (as Axetil)
Cefuroxime 750mg (IM,IV) (as Sodium salt)
Celecoxib 200mg
Celecoxib 400mg
Cetirizine 10mg (as Dihydrochloride)
Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride)
Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride)
Cetirizine 1mg/ml syr, 60ml (as Dihydrochloride)
Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate)
Chloramphenicol 1g (IM,IV) (as Sodium Succinate)
Chloramphenicol 500mg
Chlorpheniramine 10mg/ml, 1ml (IM,IV) (as Maleate)
Chlorpromazine 100mg (as HCl)
Chlorpromazine 200mg (as HCl)
Cilostazole 100mg
Clindamycin 150mg
Clindamycin 300mg
Cinnarizine 25mg
Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV infusion
Ciprofloxacin 500mg (as Hydrochloride)
Cisplatin 50mg (IV)
Clarithromycin 125mg/5ml, 50ml granules/powder for suspension
Clarithromycin 250mg/5ml, powder for suspension
Clarithromycin 500mg as base
Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4)
Clindamycin 75mg/5ml granules for suspension, 60ml (as Palmitate HCl)
Clobetasol cream 0.05% , 5g (as Propionate)
Clonazepam 2mg
Clonidine 150mcg/ml, 1ml (IV) (as HCl)
Clonidine 75mcg (as HCl)
Clopidogrel 75mg
Cloxacillin 250mg/5ml, (as Sodium) 60 ml
Cloxacillin 500mg
Clozapine 100mg
Clozapine 25mg
Co-Amoxiclav 200mg/28.5mg/5ml,60ml granules/powder for suspension
Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension
Co-Amoxiclav 625mg (as Trihydrate)
Co-Amoxiclav 1g (as Trihydrate)
Cobra Antivenin 800IU, 4.8ml
Colchicine 500mcg
Co-Trimoxazole 200mg/40mg/5ml suspension, 70ml
Co-Trimoxazole 400mg/80mg
Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml
Co-Trimoxazole 800mg/160mg
Cyclophosphamide 1g (IV)
Cyclophosphamide 500mg (IV)
Cyclophosphamide 200g (IV)
Cytarabine 100mg/ml, 10ml
Cytarabine 100mg/ml, 5 ml
Dacarbazine 200mg
Dexamethasone 4mg
Dexamethasone 4mg/ml, 2ml (IM,IV) (as Sodium Phosphate)
Diazepam 5mg/ml, 2ml (IM,IV)
Diclofenac Sodium 25mg/ml, 3ml (IM,IV)
Diclofenac Sodium 50mg (as Sodium or Potassium salt)
Dicycloverine 10mg/5ml, 60ml syrup
Digoxin 250mcg (0.25mg)
Digoxin 250mcg/ml, 2ml (IM,IV)
Digoxin 50mcg (0.05mg)/ml elixir, 60ml
Diloxanide Furoate 125mg/5ml syrup/suspension 30ml
Diloxanide Furoate 500mg
Diltiazem 60mg ( as Hydrochloride)
Diphenhydramine HCl 12.5mg/5ml syrup 60ml
Diphenhydramine HCl 50mg
Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl)
Dobutamine 50 mg/ml, 5ml (IV) (as HCl)
Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl)
Docetaxel 20mg/0.5ml, 0.5ml
Docetaxel 40mg/ml, 2ml
Domperidone 10mg
Dopamine 800 mcg/ml,250ml D5W (premixed) (IV) (as HCl)
Dopamine 40mg/ml, 5ml (IV) (as HCl)
Doxorubicin powder 10mg (IV) (as HCl)
Doxorubicin powder 50mg (IV) (as HCl)
Doxycycline 100mg (as Hyclate)
Dydrogesteone 10mg
Enalapril 5mg
Enalapril 20mg
Enoxaparin Sodium 100mg/ml, 0.2ml
Enoxaparin Sodium 100mg/ml, 0.4ml
Enoxaparin Sodium 100mg/ml, 0.6ml
Eperisone 50mg (as HCl)
Ephedrine Sulfate 50mg/ml, 1ml (IM,IV)
Epinephrine 1mg/ml, 1ml (IM,SC) (as Hydrochloride)
Epoetin Alfa 10,000 IU/ml
Epoetin Beta 5000 IU/0.3ml (Recombinant erythropoetin)
Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin)
Erythromycin 200mg/5ml granules/powder for suspension 60ml (as Ethyl Succinate)
Erythromycin 500mg (as Stearate)
Erythromycin Ophthalmic Ointment 0.5%, 3.5g
Escitalopram 10mg (as oxalate)
Etoposide 20mg/ml, 5ml (IV)
Famotidine 10mg/ml, 2ml (IM,IV)
Felodipine 10mg MR
Felodipine 5mg
Fenofibrate 160mg
Fentanyl 50mcg/ml, 2ml (IV) (as Citrate)
Ferrous Salt 15mg elemental iron/0.6ml drops, 30ml
Ferrous Salt + Folic Acid 60mg elemental iron+ 400mcg FA
Ferrous Sulfate syrup 30mg elemental iron/5ml, 60ml syrup
Ferrous Salt (equiv to 60 mg elemental iron)
Filgrastim 300mcg +1.2ml
Fluconazole 150mg
Fluconazole 200mg
Fluconazole 2mg/ml, 100ml (IV infusion)
Fluorouracil 50mg/ml, 10ml (IV, IV Infusion)
Fluoxetin 20mg dispersal
Fluphenazine Decanoate 25mg/ml, 10ML
Fluticasone + Salmeterol 250mcg+25mcgx120 actuations
Folic Acid 5mg
Fondaparinux 2.5mg/0.5ml solution (as Sodium salt)
Furosemide 10mg/ml, 2ml (IM,IV)
Furosemide 20mg
Gabapentine 100mg
Gabapentine 300mg
Gemcitabine 1g
Gemcitabine 200mg
Gentamycin 40mg/ml, 2ml (IM,IV) (as SO4)
Gliclazide 30mg MR
Gliclazide 80mg
Haloperidol 5mg
Haloperidol 5mg/ml, 1ml (IM)
Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt)
Human Albumin 20%, 50ml
Human Insulin Isophane 100IU/ml 10ml
Human Insulin R (Recombinant DNA, human) 100 IU/ml
Hydralazine 20mg/ml, 1ml (IM,IV) (as HCl)
Hydrocortisone 1% cream, 5g
Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate)
Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate)
Hydroxyzine 25mg (as Dihydrochloride)
Hydroxyurea 500mg
Hyoscine 10mg (as N- Butyl Bromide)
Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide)
Ibuprofen 100mg/5ml, 60ml suspension
Ibuprofen 400mg
Ifosfamide 1g
Iopamidol 755mg/ml equiv. to 370mg iodine, 50ml
Ipratropium + Salbutamol 500 mcg+2.5 mg, 2.5ml/ unit dose
Iron Sucrose 20mg/ml,5ml
Isoflurane 100ml
Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275mg
Isosorbide- 5- Mononitrate 30mg
Isosorbide- 5- Mononitrate 60mg
Isosorbide dinitrate 10mg
Isosorbide dinitrate 1mg/ml, 10ml (IV)
Isosorbide dinitrate 5mg SL
Isoxsuprine 10mg (as HCl)
Ketamine HCl 50mg/ml, 10ml (IM,IV)
Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol)
Lactulose 3.3g/5ml (66% syrup), 120ml
Lagundi 300mg
Levofloxacin 500mg
Levofloxacin 5mg/ml solution for IV infusion, 100ml
Levofloxacin 750mg
Levothyroxine 100mcg (as Anhydrous Sodium)
Lidocaine 2%, 5ml (as HCl)
Lidocaine spray 10%, 50ml (as HCl)
Lithium Carbonate 450mg MR
Loperamide 2mg
Loratadine 10mg
Loratadine 5mg/5ml syrup, 30ml
Losartan + Hydrochlorothiazide 50mg +12.5mg
Losartan 100mg (as Potassium salt)
Losartan 50mg (as Potassium salt)
Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate)
Mannitol 20%, 500ml (IV)
Mebendazole 100mg/5ml, 60ml susp
Mebendazole 500mg (chewable tablet)
Mecobalamin 500mcg/ml (IM/IV)
Mefenamic Acid 250mg
Mefenamic Acid 500mg
Mercaptopurine 50mg
Meropenem 1g (IV) (as Trihydrate)
Meropenem 500mg (IV) (as Trihydrate)
Mesna 100mg/ml, 4ml
Metformin 500mg (as HCl)
Methotrexate 10mg/ml, 5ml (IM,IV, Intrathecal) (as Sodium salt)
Methotrexate 2.5mg
Methyldopa 250mg
Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleate)
Methylprednisolone 125mg/ml, 2ml + diluent (IM,IV) Iv infusion (as Na succinate)
Methylprednisolone 1g/16ml
Methylprednisolone 500mg/7.7ml
Methylprednisolone inj. 40mg 1ml
Methyprednisolone 16mg
Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl)
Metoclopromide 10mg
Metoprolol 100mg (as Tartrate)
Metoprolol 50mg (as Tartrate)
Metronidazole 125mg base/ 5ml suspension 60ml
Metronidazole 500mg
Metronidazole 5mg/ml, 100ml IV infusion
Midazolam 1mg/ml, 5ml (IM,IV)
Midazolam 5mg/ml, 3ml (IM,IV)
Monobasic/Dibasic Soduim Phosphate 48g/18g/100ml soln, 45 ml
Monobasic/Dibasic Soduim Phosphate 19g/7g/133ml, 66ml
Montelukast 10mg (as Sodium)
Montelukast 5mg (as Sodium) chewable tablet
Morphine 10mg MR (as Sulfate)
Morphine 15mg/ml, 1ml (IM,IV,SC) (as Sulfate)
Morphine 30mg MR (as Sulfate)
Multivitamins 120ml syr
Multivitamins 15ml drops
Multivitamins 30ml drops
Multivitamins capsule
Mupirocin 2%,15g
Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl)
Naloxone 400mcg/ml, 1ml (IM,IV,SC) (as HCl)
Naproxen 550mg
Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate)
Nicardipine 1mg/ml, 10ml (IV) (as HCl)
Nifedipine 10mg
Nifedipine 30mg MR
Nimodipine 30mg
Norepinephrine 1mg/ml, 2ml (IV infusion) (as Bitartrate)
Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate)
Nystatin 100,000 "u"/ml, 30ml suspension
Ofloxacin 0.3%, 5ml ear drops solution
Ofloxacin 200mg
Ofloxacin Ophthalmic Drop 0.3%, 5ml solution
Olanzapine 10mg
Omeprazole 20mg
Omeprazole 40mg
Omeprazole 40mg + 10ml solvent (IV)
Ondansetron 2mg/ml, 4ml (IM,IV)
Ondansetron 2mg/ml, 2ml (IM,IV)
Oral Rehydration Solution
Oxacillin 500mg
Oxaliplatin 5mg/ml, 20ml
Oxytocin 10 "IU"/ml, 1ml (IM,IV)
Paclitaxel 6mg/ml,16.7ml (100mg vial)
Paclitaxel 30mg (6MG/ML,5ML)
Paracetamol 100mg/ml, (alcohol free), 15ml
Paracetamol 10mg/ml, 100ml solution for infusion (IV)
Paracetamol 150mg/ml, 2ml (IM,IV)
Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension
Paracetamol 500mg
Paracetamol 120mg/ml, 60ml
Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl. (IM,IV) (as Sodium)
Pethidine (Meperiden) 50mg/ml, 2ml (Im, IV, SC) (as HCl)
Phenobarbital 130mg/ml, 1ml (IM,IV) (as Sodium)
Phenobarbital 15mg (1/4 grain)
Phenobarbital 60mg (1 grain)
Phenobarbital gr 1/2 (30mg)
Phenytoin 100mg (as Sodium salt)
Phenytoin 50mg/ml, 2ml (IV)(as Sodium salt)
Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV)
Pilocarpine HCl eye drops
Piperacillin+Tazobactam (2g Piperacillin+250mg Tazobactam)
Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV infusion) (as Na)
Potassium 750mg durules (approx. equiv. to 10 mEq)
Potassium Chloride 2mEq/ml, 20ml (IV infusion)
Prednisolone eye drops suspension 0.5%, 5ml (as acetate)
Prednisone 5mg
Prednisone 10mg
Prednisone 10mg/5ml suspension, 60ml
Prednisone 20mg
Propofol 10mg/ml, 20ml IV
Propranolol 10mg (as HCl)
Propranolol 40mg (as HCl)
Propylthiouracil 50mg
Quetiapine 100mg
Quetiapine 25mg
Quetiapine 300mg
Quinine 300mg/ml, 1ml IV (as diHCl)
Quinine Sulfate 300mg (325) (as Sulfate)
Ranitidine 150mg (as HCl)
Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl)
Ranitidine 300mg (as HCl)
Risperidone 2mg
Rocuronium Bromide 10mg/ml, 5ml (IV)
Ropivacaine 10mg/ml, 10ml (IV)
Rosuvastatin 10mg
Rosuvastatin 20mg
Salbutamol 1mg/ml, 2.5ml (unit dose) (as Sulfate)
Salbutamol 2mg/5ml, 60ml syrup (as Sulfate)
Salbutamol MDI 100mcg/dose x 200 doses (as SO4)
Sambong 500mg
Sertraline 50mg (as HCl)
Serum, Anti Rabies(euine) 200 IU/ml, 5ml
Sevoflurane 250ml
Silver Sulfadiazine Cream 1% 500g (micronized)
Silver Sulfadiazine Cream 1%, 25g
Simvastatin 20mg
Simvastatin 40mg
Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion)
Sodium Chloride 2.5mEq/ml, 20ml
Spironolactone 100mg
Spironolactone 25mg
Spironolactone 50mg
Streptomycin 1g IM (as Sulfate)
Succinylcholine 20mg/ml, 10ml
Sucralfate 1g
Tamoxifen 20mg (as Citrate)
Tamsulosin 200mcg (as HCl)
Terbutaline 500mcg/ml, 1ml
Terbutaline 2.5mg/ml, 2ml (unit dose)(as SO4)
Terbutaline syrup 1.5mg/5ml, 60ml (as SO4)
Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM)
Tetanus Toxoid 0.5ml (IM)
Timolol eye drops solution 0.5%,5ml
Tiotropium 18mcg/dose (as Br) w/ appropriate accompanying dispenser
Tobramycin Ophthalmic drops 0.3%, 5ml
Tobramycin + Dexamethasone 0.3/0.1 5ml drops
Tobramycin Ophthalmic Ointment 0.3%,3.5g
Topiramate 25mg
Tramadol 50mg (as HCl)
Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl)
Tranexamic Acid 100mg/ml, 5ml (IM,IV)
Tranexamic Acid 250mg
Tranexamic Acid 500mg
Trimetazidine 35mg
Ursodeoxycholic Acid 250mg
Vancomycin 1g (IV) (as HCl)
Vancomycin 500mg (IV) (as HCl)
Verapamil 2.5mg/ml, 2ml (IV) (as Hydrochloride)
Verapamil 240mg (as Hydrochloride)
Vinblastin 10mg/10ml (as sulfate)
Vincristine 1mg/ml, 1ml (IV) (as Sulfate)
Vincristine 1mg/ml, 2ml (IV) (as Sulfate)
Vitamin B Complex (100mg+5mg+50mcg)
Vitamin B Complex 100mg+100mg+1mg per 3ml (IV)
Warfarin 2.5mg
Zolpidem 10mg
0.9% NaCl 50ml
6% Dextran 70 in 0.9% NaCl 500ml (IV Infusion)
Amino Acids Crystaline 5% (IV Infusion) 500ml
Dextrose 10% in Water 500ml
Dextrose 5% 0.3 NaCl 500ml
Dextrose 5% 0.9 NaCl 1L
Dextrose 5% Balanced Multiple Maint. Sol'n. 500ml
Dextrose 5% Balanced Multiple Maint. Sol'n. 1000ml
Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000ml
Dextrose 5% in Lactated Ringers 1000ml
Dextrose 5% in Water 1000ml
Dextrose 5% in Water 500ml
Dextrose 5% in Water 500ml (Glass)
Dextrose 50% in Water 50ml
Ursodeoxycholic Acid 250mg
Plain Lactated Ringers Solution 1000ml
Plain NSS 1000ml
Water for injection (Sterile Water for Injection), 50ml vial

NOTE: Technical Specifications for each Item/Project being proposed shall be submitted as part of the PPMP

Prepared By:

Bernadine T. Odasco, RPh


Pharmacist IV
Funded by:

Daisy A. Andal, MPA


Supervising Administrative Officer
Schedule/Milestone of Activities
Quantity/Size Estimated Budget
Price Jan Feb Mar Apr May Jun
tablet 25.38 480 12,182.40 40 40 40 40 40 40
bottle 1,813.85 5 9,069.25 5 0 0 0 0 0
tablet 29.23 3,600 105,228.00 300 300 300 300 300 300
ampule 140.14 300 42,042.00 100 0 0 0 100 0
sachet 14.62 2,400 35,088.00 200 200 200 200 200 200
tablet 30.77 900 27,693.00 150 0 150 0 150 0
vial 400.00 60 24,000.00 10 0 10 0 10 0
can 3,500.00 12 42,000.00 6 0 0 0 0 0
vial 1,069.76 12 12,837.12 6 0 0 0 0 6
bottle 40.77 120 4,892.40 10 10 10 10 10 10
tablet 196.06 50 9,803.00 50 0 0 0 0 0
tablet 6.92 1,200 8,304.00 100 100 100 100 100 100
tablet 13.82 1,200 16,584.00 100 100 100 100 100 100
tablet 19.67 300 5,901.00 100 0 0 0 100 0
ampule 679.81 1,200 815,772.00 100 100 100 100 100 100
ampule 45.38 300 13,614.00 100 0 0 0 100 0
pack 2,884.62 80 230,769.60 20 0 0 20 0 0
tablet 30.00 600 18,000.00 100 0 100 0 100 0
ampule 279.23 200 55,846.00 100 0 0 0 0 100
tablet 11.16 16,000 178,560.00 1600 1200 1200 1600 1200 1200
tablet 7.35 3,600 26,460.00 300 300 300 300 300 300
capsule 2.31 2,400 5,544.00 200 200 200 200 200 200
bottle 94.62 300 28,386.00 100 0 0 0 100 0
capsule 5.77 6,000 34,620.00 500 500 500 500 500 500
vial 38.46 6,000 230,760.00 500 500 500 500 500 500
vial 8.45 3,600 30,420.00 300 300 300 300 300 300
vial 688.89 8,000 5,511,120.00 700 650 650 700 650 650
vial 442.69 4,000 1,770,760.00 400 300 300 400 300 300
amp/vial 84.62 3,600 304,632.00 300 300 300 300 300 300
ampule 46.54 600 27,924.00 50 50 50 50 50 50
bottle 44.73 240 10,735.20 20 20 20 20 20 20
bottle 56.15 240 13,476.00 20 20 20 20 20 20
tablet 3.85 6,000 23,100.00 500 500 500 500 500 500
vial 2,180.77 30 65,423.10 10 0 0 0 10 0
tablet 5.48 6,000 32,880.00 500 500 500 500 500 500
tablet 5.48 1,200 6,576.00 100 100 100 100 100 100
tablet 8.08 1,200 9,696.00 100 100 100 100 100 100
tablet 15.38 6,000 92,280.00 500 500 500 500 500 500
tablet 19.33 6,000 115,980.00 500 500 500 500 500 500
tablet 26.58 6,000 159,480.00 500 500 500 500 500 500
ampule 273.28 1,200 327,936.00 100 100 100 100 100 100
ampule 37.12 600 22,272.00 100 0 100 0 100 0
bottle 173.50 60 10,410.00 5 5 5 5 5 5
tablet 80.77 3,600 290,772.00 300 300 300 300 300 300
vial 763.46 100 76,346.00 25 0 0 25 0 0
tablet 16.92 2,400 40,608.00 200 200 200 200 200 200
vial 123.46 300 37,038.00 100 0 0 0 100 0
tube 221.67 36 7,980.12 3 3 3 3 3 3
tablet 15.77 1,000 15,770.00 250 0 0 250 0 0
tablet 54.12 1,000 54,120.00 250 0 0 250 0 0
tablet 12.92 80,000 1,033,600.00 8000 6000 6000 8000 6000 6000
suppository 37.69 600 22,614.00 50 50 50 50 50 50
tablet 15.38 300 4,614.00 50 0 50 0 50 0
suppository 30.77 100 3,077.00 50 0 0 0 0 0
amp/vial 2,353.85 50 117,692.50 25 0 0 0 0 0
bottle 753.85 12 9,046.20 6 0 0 0 0 0
nebule 69.23 1,200 83,076.00 100 100 100 100 100 100
canister 838.46 24 20,123.04 6 0 0 6 0 0
tablet 22.52 200 4,504.00 100 0 0 0 0 0
ampule 406.68 1,200 488,016.00 100 100 100 100 100 100
ampule 457.69 3,600 1,647,684.00 300 300 300 300 300 300
tablet 14.22 1,200 17,064.00 300 0 0 300 0 0
ampule 436.22 2,400 1,046,928.00 200 200 200 200 200 200
tablet 5.12 2,400 12,288.00 200 200 200 200 200 200
ampule 488.46 1,200 586,152.00 100 100 100 100 100 100
ampule 76.96 1,200 92,352.00 100 100 100 100 100 100
tablet 84.20 1,000 84,200.00 500 0 0 0 0 0
tablet 3.85 6,000 23,100.00 500 500 500 500 500 500
tablet 5.00 50,000 250,000.00 4500 4000 4000 4500 4000 4000
vial 200.00 12 2,400.00 6 0 0 0 0 0
vial 918.06 40 36,722.40 10 0 0 10 0 0
vial 3,088.00 400 1,235,200.00 100 0 0 100 0 0
tablet 14.19 600 8,514.00 100 0 100 0 100 0
tablet 8.46 6,000 50,760.00 500 500 500 500 500 500
bottle 30.00 120 3,600.00 10 10 10 10 10 10
bottle 34.62 60 2,077.20 10 0 10 0 10 0
bottle 61.54 120 7,384.80 10 10 10 10 10 10
capsule 10.02 6,000 60,120.00 500 500 500 500 500 500
vial 125.50 600 75,300.00 100 0 100 0 100 0
vial 214.72 1,200 257,664.00 100 100 100 100 100 100
vial 1,486.92 1,200 1,784,304.00 100 100 100 100 100 100
vial 864.96 600 518,976.00 100 0 100 0 100 0
bottle 515.08 50 25,754.00 5 4 4 4 4 4
capsule 31.23 2,400 74,952.00 200 200 200 200 200 200
bottle 192.31 60 11,538.60 10 0 10 0 10 0
vial 814.87 6,000 4,889,220.00 500 500 500 500 500 500
Vial 224.23 60 13,453.80 10 0 10 0 10 0
vial 740.77 60 44,446.20 10 0 10 0 10 0
vial 338.46 1,500 507,690.00 150 150 150 150 150 0
vial 576.92 6,000 3,461,520.00 500 500 500 500 500 500
bottle 238.46 10 2,384.60 5 0 0 0 0 0
bottle 238.46 24 5,723.04 6 0 0 6 0 0
tablet 45.69 6,000 274,140.00 500 500 500 500 500 500
vial 292.31 10,000 2,923,100.00 900 800 800 900 800 800
capsule 19.23 3,600 69,228.00 300 300 300 300 300 300
capsule 34.46 3,600 124,056.00 300 300 300 300 300 300
tablet 16.71 1,200 20,052.00 100 100 100 100 100 100
bottle 121.54 120 14,584.80 10 10 10 10 10 10
bottle 113.85 60 6,831.00 5 5 5 5 5 5
bottle 188.63 60 11,317.80 5 5 5 5 5 5
bottle 57.69 60 3,461.40 5 5 5 5 5 5
vial 50.00 1,200 60,000.00 100 100 100 100 100 100
capsule 4.62 60 277.20 10 0 10 0 10 0
ampule 31.15 300 9,345.00 100 0 0 0 100 0
tablet 6.54 1,200 7,848.00 100 100 100 100 100 100
tablet 11.52 80,000 921,600.00 7000 7000 6000 7000 7000 6000
tablet 25.73 100 2,573.00 100 0 0 0 0 0
capsule 6.15 600 3,690.00 200 0 0 0 200 0
capsule 11.54 3,600 41,544.00 300 300 300 300 300 300
tablet 2.31 1,200 2,772.00 100 100 100 100 100 100
vial 300.00 2,400 720,000.00 200 200 200 200 200 200
tablet 12.31 3,600 44,316.00 300 300 300 300 300 300
vial 672.69 150 100,903.50 50 0 0 0 50 0
bottle 302.50 300 90,750.00 25 25 25 25 25 25
bottle 750.46 240 180,110.40 20 20 20 20 20 20
tablet 43.08 3,600 155,088.00 300 300 300 300 300 300
ampule 710.93 3,600 2,559,348.00 300 300 300 300 300 300
bottle 372.60 60 22,356.00 10 0 10 0 10 0
tube 228.15 120 27,378.00 20 0 20 0 20 0
tablet 12.69 3,600 45,684.00 300 300 300 300 300 300
ampule 157.69 300 47,307.00 100 0 0 0 100 0
tablet 17.69 3,600 63,684.00 300 300 300 300 300 300
tablet 22.12 3,600 79,632.00 300 300 300 300 300 300
bottle 53.85 120 6,462.00 20 0 20 0 20 0
capsule 6.15 2,400 14,760.00 200 200 200 200 200 200
tablet 44.62 4,800 214,176.00 400 400 400 400 400 400
tablet 17.06 4,800 81,888.00 400 400 400 400 400 400
bottle 209.13 240 50,191.20 20 20 20 20 20 20
bottle 321.92 240 77,260.80 20 20 20 20 20 20
tablet 32.62 4,800 156,576.00 400 400 400 400 400 400
tablet 53.85 1,200 64,620.00 100 100 100 100 100 100
ampule 1,350.00 120 162,000.00 60 0 0 0 0 0
tablet 3.08 300 924.00 100 0 0 0 100 0
bottle 26.92 60 1,615.20 10 0 10 0 10 0
tablet 1.92 600 1,152.00 100 0 100 0 100 0
bottle 46.15 60 2,769.00 10 0 10 0 10 0
cap/tab 3.56 480 1,708.80 40 40 40 40 40 40
vial 500.00 300 150,000.00 25 25 25 25 25 25
vial 235.88 120 28,305.60 20 0 20 0 20 0
vial 360.50 120 43,260.00 20 0 20 0 20 0
vial 176.44 120 21,172.80 20 0 20 0 20 0
vial 390.38 120 46,845.60 20 0 20 0 20 0
vial 776.35 120 93,162.00 20 0 20 0 20 0
tablet 21.73 3,600 78,228.00 300 300 300 300 300 300
amp/vial 70.58 2,400 169,392.00 200 200 200 200 200 200
ampule 138.46 1,200 166,152.00 100 100 100 100 100 100
ampule 57.54 600 34,524.00 200 0 0 0 200 0
tablet 3.17 1,200 3,804.00 100 100 100 100 100 100
bottle 50.00 60 3,000.00 10 0 10 0 10 0
tablet 4.62 6,000 27,720.00 500 500 500 500 500 500
ampule 194.59 1,200 233,508.00 100 100 100 100 100 100
bottle 674.62 30 20,238.60 10 0 0 0 10 0
bottle 120.00 30 3,600.00 10 0 0 0 10 0
tablet 5.02 60 301.20 5 5 5 5 5 5
tablet 6.15 2,400 14,760.00 200 200 200 200 200 200
bottle 26.92 60 1,615.20 10 0 10 0 10 0
capsule 2.35 6,000 14,100.00 500 500 500 500 500 500
ampule 133.85 3,600 481,860.00 300 300 300 300 300 300
vial 519.23 2,400 1,246,152.00 200 200 200 200 200 200
vial 848.41 200 169,682.00 50 0 0 50 0 0
vial 1,795.42 240 430,900.80 20 20 20 20 20 20
vial 8,400.00 150 1,260,000.00 25 0 25 0 25 0
tablet 7.69 3,600 27,684.00 300 300 300 300 300 300
vial 320.48 3,000 961,440.00 250 250 250 250 250 250
amp/vial 115.38 3,000 346,140.00 250 250 250 250 250 250
vial 426.02 120 51,122.40 10 10 10 10 10 10
vial 1,538.46 400 615,384.00 50 50 0 50 50 0
capsule 17.88 600 10,728.00 50 50 50 50 50 50
tablet 51.83 1,200 62,196.00 100 100 100 100 100 100
tablet 8.46 200 1,692.00 100 0 0 0 0 0
tablet 12.43 120 1,491.60 10 10 10 10 10 10
p. syringe 516.15 120 61,938.00 10 10 10 10 10 10
p. syringe 650.00 120 78,000.00 10 10 10 10 10 10
p. syringe 861.15 120 103,338.00 10 10 10 10 10 10
tablet 21.32 1,200 25,584.00 100 100 100 100 100 100
ampule 91.54 1,200 109,848.00 100 100 100 100 100 100
ampule 66.23 10,000 662,300.00 800 800 900 800 800 900
p. syringe 1,743.50 30 52,305.00 10 0 0 0 10 0
p. syringe 1,278.98 30 38,369.40 10 0 0 0 10 0
amp/vial/P 784.62 2,400 1,883,088.00 200 200 200 200 200 200
bottle 57.69 60 3,461.40 10 0 10 0 10 0
tablet 7.69 200 1,538.00 100 0 0 0 0 0
tube 185.77 120 22,292.40 20 0 20 0 20 0
tablet 41.15 200 8,230.00 100 0 0 0 0 0
amp/vial 392.31 240 94,154.40 20 20 20 20 20 20
ampule 212.40 1,200 254,880.00 100 100 100 100 100 100
tablet 14.73 100 1,473.00 100 0 0 0 0 0
tablet 13.08 300 3,924.00 100 0 0 0 100 0
tablet 32.31 600 19,386.00 200 0 0 0 200 0
ampule 188.49 6,000 1,130,940.00 500 500 500 500 500 500
bottle 3.00 60 180.00 5 5 5 5 5 5
tablet 3.85 4,800 18,480.00 400 400 400 400 400 400
bottle 26.92 60 1,615.20 5 5 5 5 5 5
tablet 2.88 6,000 17,280.00 500 500 500 500 500 500
vial 3,230.77 240 775,384.80 20 20 20 20 20 20
tablet 230.77 60 13,846.20 5 5 5 5 5 5
capsule 582.88 600 349,728.00 50 50 50 50 50 50
vial 4,513.96 120 541,675.20 20 0 20 0 20 0
ampule 113.36 1,200 136,032.00 100 100 100 100 100 100
tab/cap 35.87 6,000 215,220.00 500 500 500 500 500 500
bottle 580.77 600 348,462.00 50 50 50 50 50 50
MDI 549.23 60 32,953.80 10 0 10 0 10 0
tablet 5.38 3,600 19,368.00 300 300 300 300 300 300
p.syringe 1,604.29 600 962,574.00 100 0 100 0 100 0
ampule 36.92 3,600 132,912.00 300 300 300 300 300 300
tablet 1.54 2,400 3,696.00 200 200 200 200 200 200
capsule 22.88 600 13,728.00 50 50 50 50 50 50
capsule 25.58 2,400 61,392.00 200 200 200 200 200 200
vial 8,076.92 240 1,938,460.80 20 20 20 20 20 20
vial 1,711.54 120 205,384.80 20 0 20 0 20 0
amp/vial 38.27 4,800 183,696.00 400 400 400 400 400 400
tablet 6.54 2,400 15,696.00 200 200 200 200 200 200
tablet 6.92 3,600 24,912.00 300 300 300 300 300 300
tablet 23.85 6,000 143,100.00 500 500 500 500 500 500
ampule 400.00 600 240,000.00 100 0 100 0 100 0
ampule 138.35 600 83,010.00 100 0 100 0 100 0
vial 3,250.00 600 1,950,000.00 100 0 100 0 100 0
vial 600.00 240 144,000.00 20 20 20 20 20 20
vial 736.54 240 176,769.60 20 20 20 20 20 20
ampule 232.69 300 69,807.00 100 0 0 0 100 0
tube 157.88 20 3,157.60 10 0 0 0 0 0
vial 612.40 600 367,440.00 100 0 100 0 100 0
vial 161.92 6,000 971,520.00 500 500 500 500 500 500
tablet 19.62 1,200 23,544.00 100 100 100 100 100 100
capsule 27.50 3,600 99,000.00 300 300 300 300 300 300
tablet 6.15 1,200 7,380.00 100 100 100 100 100 100
ampule 63.08 2,400 151,392.00 200 200 200 200 200 200
bottle 66.15 120 7,938.00 20 0 20 0 20 0
tablet 6.54 3,600 23,544.00 300 300 300 300 300 300
vial 1,567.31 120 188,077.20 20 0 20 0 20 0
vial 1,615.38 300 484,614.00 50 0 50 0 50 0
nebule 29.23 12,000 350,760.00 1000 1000 1000 1000 1000 1000
ampule 181.35 200 36,270.00 100 0 0 0 0 0
bottle 2,867.31 144 412,892.64 24 0 24 0 24 0
tablet 10.58 2,400 25,392.00 200 200 200 200 200 200
cap/tab 12.31 6,000 73,860.00 500 500 500 500 500 500
cap/tab 12.69 6,000 76,140.00 500 500 500 500 500 500
tablet 9.23 600 5,538.00 50 50 50 50 50 50
ampule 651.24 1,200 781,488.00 100 100 100 100 100 100
tablet 8.85 3,600 31,860.00 300 300 300 300 300 300
tablet 16.92 2,400 40,608.00 200 200 200 200 200 200
vial 1,304.33 150 195,649.50 50 0 0 0 50 0
ampule 92.31 9,600 886,176.00 800 800 800 800 800 800
bottle 215.38 1,200 258,456.00 100 100 100 100 100 100
tablet 2.69 4,800 12,912.00 400 400 400 400 400 400
tablet 52.31 2,400 125,544.00 200 200 200 200 200 200
vial 1,184.62 300 355,386.00 50 0 50 0 50 0
tablet 76.86 2,400 184,464.00 200 200 200 200 200 200
tablet 8.46 6,000 50,760.00 500 500 500 500 500 500
polyamp 27.12 3,600 97,632.00 300 300 300 300 300 300
bottle 2,651.00 10 26,510.00 3 0 0 2 0 0
tablet 6.15 1,200 7,380.00 100 100 100 100 100 100
capsule 5.77 2,400 13,848.00 200 200 200 200 200 200
tablet 16.62 480 7,977.60 40 40 40 40 40 40
bottle 52.22 120 6,266.40 10 10 10 10 10 10
tablet 15.77 3,600 56,772.00 300 300 300 300 300 300
tablet 13.85 6,000 83,100.00 500 500 500 500 500 500
tablet 10.00 6,000 60,000.00 500 500 500 500 500 500
ampule 57.20 3,600 205,920.00 300 300 300 300 300 300
bottle 192.31 3,600 692,316.00 300 300 300 300 300 300
bottle 26.92 60 1,615.20 10 0 10 0 10 0
tablet 3.85 300 1,155.00 100 0 0 0 100 0
ampule 315.38 200 63,076.00 50 0 0 50 0 0
capsule 3.08 2,400 7,392.00 200 200 200 200 200 200
capsule 11.15 12,000 133,800.00 1000 1000 1000 1000 1000 1000
tablet 26.78 6,000 160,680.00 500 500 500 500 500 500
vial 1,982.83 2,000 3,965,660.00 200 150 150 200 150 150
vial 1,168.86 300 350,658.00 75 0 0 75 0 0
vial 167.46 200 33,492.00 100 0 0 0 0 0
tablet 3.85 2,400 9,240.00 200 200 200 200 200 200
vial 205.38 300 61,614.00 100 0 0 0 100 0
tablet 9.46 2,400 22,704.00 200 200 200 200 200 200
tablet 11.54 3,600 41,544.00 300 300 300 300 300 300
ampule 65.00 2,400 156,000.00 200 200 200 200 200 200
vial 1,333.52 50 66,676.00 25 0 0 0 0 0
vial 5,146.58 20 102,931.60 10 0 0 0 0 0
vial 3,796.51 20 75,930.20 10 0 0 0 0 0
vial 346.73 36 12,482.28 6 0 6 0 6 0
tablet 42.31 240 10,154.40 20 20 20 20 20 20
ampule 36.15 2,400 86,760.00 200 200 200 200 200 200
tablet 6.92 3,600 24,912.00 300 300 300 300 300 300
tablet 5.15 3,600 18,540.00 300 300 300 300 300 300
tablet 3.08 3,600 11,088.00 300 300 300 300 300 300
bottle 34.62 240 8,308.80 20 20 20 20 20 20
tablet 3.85 6,000 23,100.00 500 500 500 500 500 500
vial 92.31 3,600 332,316.00 300 300 300 300 300 300
ampule 145.38 3,600 523,368.00 300 300 300 300 300 300
ampule 220.38 1,200 264,456.00 100 100 100 100 100 100
bottle 248.73 240 59,695.20 20 20 20 20 20 20
bottle 238.60 240 57,264.00 20 20 20 20 20 20
tablet 26.15 2,400 62,760.00 200 200 200 200 200 200
tablet 17.69 1,200 21,228.00 100 100 100 100 100 100
tablet 35.30 2,400 84,720.00 200 200 200 200 200 200
ampule 90.72 1,200 108,864.00 100 100 100 100 100 100
tablet 76.92 3,600 276,912.00 300 300 300 300 300 300
bottle 97.88 120 11,745.60 10 10 10 10 10 10
bottle 52.50 120 6,300.00 10 10 10 10 10 10
bottle 29.33 120 3,519.60 10 10 10 10 10 10
capsule 8.46 6,000 50,760.00 500 500 500 500 500 500
tube 192.23 360 69,202.80 30 30 30 30 30 30
ampule 103.00 3,600 370,800.00 300 300 300 300 300 300
ampule 415.04 60 24,902.40 10 0 10 0 10 0
tablet 16.73 240 4,015.20 20 20 20 20 20 20
ampule 144.97 120 17,396.40 20 0 20 0 20 0
ampule 1,030.85 6,000 6,185,100.00 500 500 500 500 500 500
capsule 4.62 1,200 5,544.00 100 100 100 100 100 100
tablet 42.69 2,400 102,456.00 200 200 200 200 200 200
tablet 42.69 3,600 153,684.00 300 300 300 300 300 300
ampule 500.00 10,000 5,000,000.00 800 800 900 800 800 900
ampule 986.47 240 236,752.80 60 0 0 60 0 0
bottle 192.31 24 4,615.44 6 0 0 6 0 0
bottle 285.49 24 6,851.76 6 0 0 6 0 0
tablet 42.38 600 25,428.00 50 50 50 50 50 50
bottle 288.46 60 17,307.60 10 0 10 0 10 0
tablet 83.38 200 16,676.00 100 0 0 0 0 0
capsule 19.23 3,600 69,228.00 300 300 300 300 300 300
capsule 34.58 3,600 124,488.00 300 300 300 300 300 300
ampule 480.62 2,400 1,153,488.00 200 200 200 200 200 200
ampule 484.62 1,200 581,544.00 100 100 100 100 100 100
ampule 452.31 1,200 542,772.00 100 100 100 100 100 100
sachet 8.85 600 5,310.00 100 0 100 0 100 0
vial 146.15 1,200 175,380.00 100 100 100 100 100 100
vial 2,812.50 60 168,750.00 10 0 10 0 10 0
ampule 76.92 4,000 307,680.00 300 300 300 400 300 300
vial 5,500.00 600 3,300,000.00 100 0 100 0 100 0
vial 2,309.62 120 277,154.40 10 10 10 10 10 10
bottle 50.00 240 12,000.00 20 20 20 20 20 20
vial 472.69 600 283,614.00 50 50 50 50 50 50
ampule 7.37 40,000 294,800.00 3300 3300 3400 3300 3300 3400
bottle 95.72 300 28,716.00 50 0 50 0 50 0
tablet 2.69 15,000 40,350.00 1300 1200 1300 1200 1300 1200
bottle 15.73 300 4,719.00 25 25 25 25 25 25
vial 38.46 1,200 46,152.00 100 100 100 100 100 100
ampule 253.85 200 50,770.00 100 0 0 0 0 0
ampule 649.23 1,200 779,076.00 100 100 100 100 100 100
tablet 1.95 3,600 7,020.00 300 300 300 300 300 300
tablet 2.05 3,600 7,380.00 300 300 300 300 300 300
tablet 2.27 3,600 8,172.00 300 300 300 300 300 300
capsule 31.46 600 18,876.00 100 0 100 0 100 0
ampule 831.54 300 249,462.00 50 0 50 0 50 0
ampule 50.00 2,400 120,000.00 200 200 200 200 200 200
ampule 200.00 120 24,000.00 10 10 10 10 10 10
vial 593.20 300 177,960.00 50 0 50 0 50 0
vial 976.97 3,600 3,517,092.00 300 300 300 300 300 300
tablet 22.31 6,000 133,860.00 500 500 500 500 500 500
vial 59.14 2,400 141,936.00 200 200 200 200 200 200
bottle 243.62 60 14,617.20 10 0 10 0 10 0
tablet 2.12 2,400 5,088.00 200 200 200 200 200 200
tablet 5.36 600 3,216.00 50 50 50 50 50 50
bottle 120.51 300 36,153.00 25 25 25 25 25 25
tablet 6.42 360 2,311.20 30 30 30 30 30 30
vial 492.31 1,500 738,465.00 400 0 0 350 0 0
tablet 10.81 1,200 12,972.00 100 100 100 100 100 100
tablet 16.77 1,200 20,124.00 100 100 100 100 100 100
tablet 11.62 3,600 41,832.00 300 300 300 300 300 300
tablet 61.54 4,800 295,392.00 400 400 400 400 400 400
tablet 23.47 6,000 140,820.00 500 500 500 500 500 500
tablet 73.08 3,600 263,088.00 300 300 300 300 300 300
amp/vial 51.50 100 5,150.00 100 0 0 0 0 0
tablet 5.15 600 3,090.00 100 0 100 0 100 0
tablet 5.08 1,200 6,096.00 100 100 100 100 100 100
ampule 57.69 4,800 276,912.00 400 400 400 400 400 400
tablet 4.62 1,000 4,620.00 500 0 0 0 0 0
tablet 44.62 6,000 267,720.00 500 500 500 500 500 500
amp/vial 574.62 200 114,924.00 50 0 0 50 0 0
ampule 459.16 30 13,774.80 10 0 0 0 10 0
tablet 21.42 600 12,852.00 100 0 100 0 100 0
tablet 29.23 600 17,538.00 100 0 100 0 100 0
nebule 11.54 6,000 69,240.00 500 500 500 500 500 500
bottle 53.85 120 6,462.00 10 10 10 10 10 10
canister 233.50 12 2,802.00 6 0 0 0 0 0
tablet 6.54 6,000 39,240.00 500 500 500 500 500 500
tablet 38.42 3,600 138,312.00 300 300 300 300 300 300
vial 1,246.15 50 62,307.50 10 0 10 0 5 0
bottle 13,134.62 144 1,891,385.28 12 12 12 12 12 12
jar 2,314.82 12 27,777.84 3 0 3 0 0 3
tube 147.28 240 35,347.20 20 20 20 20 20 20
tablet 7.69 3,600 27,684.00 300 300 300 300 300 300
tablet 12.18 1,200 14,616.00 100 100 100 100 100 100
ampule 123.85 2,400 297,240.00 200 200 200 200 200 200
vial 60.08 4,800 288,384.00 400 400 400 400 400 400
tablet 31.28 1,200 37,536.00 100 100 100 100 100 100
tablet 12.95 2,400 31,080.00 200 200 200 200 200 200
tablet 33.15 1,200 39,780.00 100 100 100 100 100 100
vial 24.65 100 2,465.00 50 0 0 0 0 0
vial 303.15 600 181,890.00 100 0 100 0 100 0
tablet 45.15 1,200 54,180.00 100 100 100 100 100 100
tablet 16.31 1,200 19,572.00 100 100 100 100 100 100
capsule 49.23 1,200 59,076.00 100 100 100 100 100 100
ampule 96.73 24 2,321.52 2 2 2 2 2 2
nebule 10.30 120 1,236.00 10 10 10 10 10 10
bottle 51.50 24 1,236.00 2 2 2 2 2 2
vial 659.20 60 39,552.00 10 0 10 0 10 0
ampule 29.36 3,600 105,696.00 300 300 300 300 300 300
bottle 388.31 36 13,979.16 3 3 3 3 3 3
canister 87.62 12 1,051.44 1 1 1 1 1 1
bottle 223.08 120 26,769.60 10 10 10 10 10 10
bottle 201.15 36 7,241.40 3 3 3 3 3 3
tube 436.370 120 52,364.40 10 10 10 10 10 10
tablet 27.50 480 13,200.00 40 40 40 40 40 40
capsule 7.69 3,600 27,684.00 300 300 300 300 300 300
ampule 84.62 4,800 406,176.00 400 400 400 400 400 400
ampule 100.00 2,400 240,000.00 200 200 200 200 200 200
capsule 10.60 1,200 12,720.00 100 100 100 100 100 100
capsule 21.54 4,800 103,392.00 400 400 400 400 400 400
tablet 14.50 600 8,700.00 100 0 100 0 100 0
capsule 48.56 1,200 58,272.00 100 100 100 100 100 100
vial 743.08 1,200 891,696.00 100 100 100 100 100 100
vial 1,259.81 600 755,886.00 100 0 100 0 100 0
ampule 207.690 120 24,922.80 20 0 20 0 20 0
tablet 59.37 600 35,622.00 100 0 100 0 100 0
bottle 716.00 60 42,960.00 10 0 10 0 10 0
vial 269.42 120 32,330.40 10 10 10 10 10 10
vial 555.96 240 133,430.40 20 20 20 20 20 20
capsule 4.31 1,200 5,172.00 100 100 100 100 100 100
ampule 69.23 1,200 83,076.00 100 100 100 100 100 100
tablet 26.15 1,200 31,380.00 100 100 100 100 100 100
tablet 65.00 300 19,500.00 25 25 25 25 25 25
ampule 21.42 1,200 25,704.00 100 100 100 100 100 100
vial 535.60 100 53,560.00 50 0 0 0 0 0
bottle 535.60 300 160,680.00 150 0 0 0 150 0
bottle 88.46 1,200 106,152.00 100 100 100 100 100 100
bottle 81.13 8,000 649,040.00 700 700 600 700 700 600
bottle 84.62 6,000 507,720.00 500 500 500 500 500 500
bottle 83.08 4,000 332,320.00 300 300 400 300 300 400
bottle 84.62 2,000 169,240.00 150 150 200 150 150 200
bottle 100.78 1,200 120,936.00 100 100 100 100 100 100
bottle 79.81 20,000 1,596,200.00 1500 1500 2000 1500 1500 2000
bottle 84.62 10,000 846,200.00 800 800 900 800 800 900
bottle 76.92 3,000 230,760.00 250 250 250 250 250 250
bottle 76.92 500 38,460.00 50 50 50 50 50 0
bottle 29.00 3,600 104,400.00 300 300 300 300 300 300
bottle 784.62 1,000 784,620.00 80 80 90 80 80 90
bottle 84.62 12,000 1,015,440.00 1350 1345 1000 1000 1000 1000
bottle 76.92 48,000 3,692,160.00 4000 4000 4000 4000 4000 4000
vial 44.67 6,994 312,421.98 592 582 582 582 582 582
118,583,282.21

Noted by: Submitted By:

Paul M.Balisi, MD, FPCS


Chair- Pharmacy and Therapeutics Committee
Recommended by: Approved by:

Eduardo M. Badua III, MD, FPSP Glenn Mathew G. Baggao,


Chief Medical Professional Staff Medical Center Chief II
edule/Milestone of Activities
Jul Aug Sep Oct Nov Dec
40 40 40 40 40 40
0 0 0 0 0 0
300 300 300 300 300 300
0 0 100 0 0 0
200 200 200 200 200 200
150 0 150 0 150 0
10 0 10 0 10 0
6 0 0 0 0 0
0 0 0 0 0 0
10 10 10 10 10 10
0 0 0 0 0 0
100 100 100 100 100 100
100 100 100 100 100 100
0 0 100 0 0 0
100 100 100 100 100 100
0 0 100 0 0 0
20 0 0 20 0 0
100 0 100 0 100 0
0 0 0 0 0 0
1600 1200 1200 1600 1200 1200
300 300 300 300 300 300
200 200 200 200 200 200
0 0 100 0 0 0
500 500 500 500 500 500
500 500 500 500 500 500
300 300 300 300 300 300
700 650 650 700 650 650
400 300 300 400 300 300
300 300 300 300 300 300
50 50 50 50 50 50
20 20 20 20 20 20
20 20 20 20 20 20
500 500 500 500 500 500
0 0 10 0 0 0
500 500 500 500 500 500
100 100 100 100 100 100
100 100 100 100 100 100
500 500 500 500 500 500
500 500 500 500 500 500
500 500 500 500 500 500
100 100 100 100 100 100
100 0 100 0 100 0
5 5 5 5 5 5
300 300 300 300 300 300
25 0 0 25 0 0
200 200 200 200 200 200
0 0 100 0 0 0
3 3 3 3 3 3
250 0 0 250 0 0
250 0 0 250 0 0
8000 6000 6000 8000 6000 6000
50 50 50 50 50 50
50 0 50 0 50 0
50 0 0 0 0 0
25 0 0 0 0 0
6 0 0 0 0 0
100 100 100 100 100 100
6 0 0 6 0 0
100 0 0 0 0 0
100 100 100 100 100 100
300 300 300 300 300 300
300 0 0 300 0 0
200 200 200 200 200 200
200 200 200 200 200 200
100 100 100 100 100 100
100 100 100 100 100 100
500 0 0 0 0 0
500 500 500 500 500 500
4500 4000 4000 4500 4000 4000
6 0 0 0 0 0
10 0 0 10 0 0
100 0 0 100 0 0
100 0 100 0 100 0
500 500 500 500 500 500
10 10 10 10 10 10
10 0 10 0 10 0
10 10 10 10 10 10
500 500 500 500 500 500
100 0 100 0 100 0
100 100 100 100 100 100
100 100 100 100 100 100
100 0 100 0 100 0
5 4 4 4 4 4
200 200 200 200 200 200
10 0 10 0 10 0
500 500 500 500 500 500
10 0 10 0 10 0
10 0 10 0 10 0
150 150 150 150 150 0
500 500 500 500 500 500
5 0 0 0 0 0
6 0 0 6 0 0
500 500 500 500 500 500
900 800 800 900 800 800
300 300 300 300 300 300
300 300 300 300 300 300
100 100 100 100 100 100
10 10 10 10 10 10
5 5 5 5 5 5
5 5 5 5 5 5
5 5 5 5 5 5
100 100 100 100 100 100
10 0 10 0 10 0
0 0 10 0 0 0
100 100 100 100 100 100
7000 7000 6000 7000 7000 6000
0 0 0 0 0 0
0 0 200 0 0 0
300 300 300 300 300 300
100 100 100 100 100 100
200 200 200 200 200 200
300 300 300 300 300 300
0 0 50 0 0 0
25 25 25 25 25 25
20 20 20 20 20 20
300 300 300 300 300 300
300 300 300 300 300 300
10 0 10 0 10 0
20 0 20 0 20 0
300 300 300 300 300 300
0 0 100 0 0 0
300 300 300 300 300 300
300 300 300 300 300 300
20 0 20 0 20 0
200 200 200 200 200 200
400 400 400 400 400 400
400 400 400 400 400 400
20 20 20 20 20 20
20 20 20 20 20 20
400 400 400 400 400 400
100 100 100 100 100 100
60 0 0 0 0 0
0 0 100 0 0 0
10 0 10 0 10 0
100 0 100 0 100 0
10 0 10 0 10 0
40 40 40 40 40 40
25 25 25 25 25 25
20 0 20 0 20 0
20 0 20 0 20 0
20 0 20 0 20 0
20 0 20 0 20 0
20 0 20 0 20 0
300 300 300 300 300 300
200 200 200 200 200 200
100 100 100 100 100 100
0 0 200 0 0 0
100 100 100 100 100 100
10 0 10 0 10 0
500 500 500 500 500 500
100 100 100 100 100 100
0 0 10 0 0 0
0 0 10 0 0 0
5 5 5 5 5 5
200 200 200 200 200 200
10 0 10 0 10 0
500 500 500 500 500 500
300 300 300 300 300 300
200 200 200 200 200 200
50 0 0 50 0 0
20 20 20 20 20 20
0 25 0 25 0 25
300 300 300 300 300 300
250 250 250 250 250 250
250 250 250 250 250 250
10 10 10 10 10 10
50 50 0 50 50 0
50 50 50 50 50 50
100 100 100 100 100 100
100 0 0 0 0 0
10 10 10 10 10 10
10 10 10 10 10 10
10 10 10 10 10 10
10 10 10 10 10 10
100 100 100 100 100 100
100 100 100 100 100 100
800 800 900 800 800 900
0 0 10 0 0 0
0 0 10 0 0 0
200 200 200 200 200 200
10 0 10 0 10 0
100 0 0 0 0 0
20 0 20 0 20 0
100 0 0 0 0 0
20 20 20 20 20 20
100 100 100 100 100 100
0 0 0 0 0 0
0 0 100 0 0 0
0 0 300 0 0 0
500 500 500 500 500 500
5 5 5 5 5 5
400 400 400 400 400 400
5 5 5 5 5 5
500 500 500 500 500 500
20 20 20 20 20 20
5 5 5 5 5 5
50 50 50 50 50 50
20 0 20 0 20 0
100 100 100 100 100 100
500 500 500 500 500 500
50 50 50 50 50 50
10 0 10 0 10 0
300 300 300 300 300 300
100 0 100 0 100 0
300 300 300 300 300 300
200 200 200 200 200 200
50 50 50 50 50 50
200 200 200 200 200 200
20 20 20 20 20 20
20 0 20 0 20 0
400 400 400 400 400 400
200 200 200 200 200 200
300 300 300 300 300 300
500 500 500 500 500 500
100 0 100 0 100 0
100 0 100 0 100 0
100 0 100 0 100 0
20 20 20 20 20 20
20 20 20 20 20 20
0 0 100 0 0 0
10 0 0 0 0 0
100 0 100 0 100 0
500 500 500 500 500 500
100 100 100 100 100 100
300 300 300 300 300 300
100 100 100 100 100 100
200 200 200 200 200 200
20 0 20 0 20 0
300 300 300 300 300 300
20 0 20 0 20 0
50 0 50 0 50 0
1000 1000 1000 1000 1000 1000
100 0 0 0 0 0
24 0 24 0 24 0
200 200 200 200 200 200
500 500 500 500 500 500
500 500 500 500 500 500
50 50 50 50 50 50
100 100 100 100 100 100
300 300 300 300 300 300
200 200 200 200 200 200
0 0 50 0 0 0
800 800 800 800 800 800
100 100 100 100 100 100
400 400 400 400 400 400
200 200 200 200 200 200
50 0 50 0 50 0
200 200 200 200 200 200
500 500 500 500 500 500
300 300 300 300 300 300
3 0 0 2 0 0
100 100 100 100 100 100
200 200 200 200 200 200
40 40 40 40 40 40
10 10 10 10 10 10
300 300 300 300 300 300
500 500 500 500 500 500
500 500 500 500 500 500
300 300 300 300 300 300
300 300 300 300 300 300
10 0 10 0 10 0
0 0 100 0 0 0
50 0 0 50 0 0
200 200 200 200 200 200
1000 1000 1000 1000 1000 1000
500 500 500 500 500 500
200 150 150 200 150 150
75 0 0 75 0 0
100 0 0 0 0 0
200 200 200 200 200 200
0 0 100 0 0 0
200 200 200 200 200 200
300 300 300 300 300 300
200 200 200 200 200 200
25 0 0 0 0 0
10 0 0 0 0 0
10 0 0 0 0 0
6 0 6 0 6 0
20 20 20 20 20 20
200 200 200 200 200 200
300 300 300 300 300 300
300 300 300 300 300 300
300 300 300 300 300 300
20 20 20 20 20 20
500 500 500 500 500 500
300 300 300 300 300 300
300 300 300 300 300 300
100 100 100 100 100 100
20 20 20 20 20 20
20 20 20 20 20 20
200 200 200 200 200 200
100 100 100 100 100 100
200 200 200 200 200 200
100 100 100 100 100 100
300 300 300 300 300 300
10 10 10 10 10 10
10 10 10 10 10 10
10 10 10 10 10 10
500 500 500 500 500 500
30 30 30 30 30 30
300 300 300 300 300 300
10 0 10 0 10 0
20 20 20 20 20 20
20 0 20 0 20 0
500 500 500 500 500 500
100 100 100 100 100 100
200 200 200 200 200 200
300 300 300 300 300 300
800 800 900 800 800 900
60 0 0 60 0 0
6 0 0 6 0 0
6 0 0 6 0 0
50 50 50 50 50 50
10 0 10 0 10 0
100 0 0 0 0 0
300 300 300 300 300 300
300 300 300 300 300 300
200 200 200 200 200 200
100 100 100 100 100 100
100 100 100 100 100 100
100 0 100 0 100 0
100 100 100 100 100 100
10 0 10 0 10 0
300 400 300 300 300 400
100 0 100 0 100 0
10 10 10 10 10 10
20 20 20 20 20 20
50 50 50 50 50 50
3300 3300 3400 3300 3300 3400
50 0 50 0 50 0
1300 1200 1300 1200 1300 1200
25 25 25 25 25 25
100 100 100 100 100 100
100 0 0 0 0 0
100 100 100 100 100 100
300 300 300 300 300 300
300 300 300 300 300 300
300 300 300 300 300 300
100 0 100 0 100 0
50 0 50 0 50 0
200 200 200 200 200 200
10 10 10 10 10 10
50 0 50 0 50 0
300 300 300 300 300 300
500 500 500 500 500 500
200 200 200 200 200 200
10 0 10 0 10 0
200 200 200 200 200 200
50 50 50 50 50 50
25 25 25 25 25 25
30 30 30 30 30 30
400 0 0 350 0 0
100 100 100 100 100 100
100 100 100 100 100 100
300 300 300 300 300 300
400 400 400 400 400 400
500 500 500 500 500 500
300 300 300 300 300 300
0 0 0 0 0 0
100 0 100 0 100 0
100 100 100 100 100 100
400 400 400 400 400 400
500 0 0 0 0 0
500 500 500 500 500 500
50 0 0 50 0 0
0 0 10 0 0 0
100 0 100 0 100 0
100 0 100 0 100 0
500 500 500 500 500 500
10 10 10 10 10 10
6 0 0 0 0 0
500 500 500 500 500 500
300 300 300 300 300 300
10 0 10 0 5 0
12 12 12 12 12 12
0 0 3 0 0 0
20 20 20 20 20 20
300 300 300 300 300 300
100 100 100 100 100 100
200 200 200 200 200 200
400 400 400 400 400 400
100 100 100 100 100 100
200 200 200 200 200 200
100 100 100 100 100 100
50 0 0 0 0 0
100 0 100 0 100 0
100 100 100 100 100 100
100 100 100 100 100 100
100 100 100 100 100 100
2 2 2 2 2 2
10 10 10 10 10 10
2 2 2 2 2 2
10 0 10 0 10 0
300 300 300 300 300 300
3 3 3 3 3 3
1 1 1 1 1 1
10 10 10 10 10 10
3 3 3 3 3 3
10 10 10 10 10 10
40 40 40 40 40 40
300 300 300 300 300 300
400 400 400 400 400 400
200 200 200 200 200 200
100 100 100 100 100 100
400 400 400 400 400 400
100 0 100 0 100 0
100 100 100 100 100 100
100 100 100 100 100 100
100 0 100 0 100 0
20 0 20 0 20 0
100 0 100 0 100 0
10 0 10 0 10 0
10 10 10 10 10 10
20 20 20 20 20 20
100 100 100 100 100 100
100 100 100 100 100 100
100 100 100 100 100 100
25 25 25 25 25 25
100 100 100 100 100 100
50 0 0 0 0 0
0 0 150 0 0 0
100 100 100 100 100 100
700 700 600 700 700 600
500 500 500 500 500 500
300 300 400 300 300 400
150 150 200 150 150 200
100 100 100 100 100 100
1500 1500 2000 1500 1500 2000
800 800 900 800 800 900
250 250 250 250 250 250
50 50 50 50 50 0
300 300 300 300 300 300
80 80 90 80 80 90
1000 1000 1000 1000 1000 1000
4000 4000 4000 4000 4000 4000
582 582 582 582 582 582

Marliza P. Balete, RPh, MS


Pharmacist V
Glenn Mathew G. Baggao, MD, MHA,MSN, FPSMS
Medical Center Chief II

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