of the Philippines

Republic
Department of Health
OFFICE OF THE SECRETARY

July 6, 2021

DEPARTMENT CIRCULAR
No. 2021 -_ 029]
FOR: ALL UNDERSECRETARIES AND ASSISTANT SECRETARIES;
DIRECTORS OF BUREAUS AND SERVICES AND CENTERS
FOR HEALTH DEVELOPMENT; MINISTER OF HEALTH -
BANGSAMORO AUTONOMOUS REGION IN MUSLIM
MINDANAO; EXECUTIVE DIRECTORS OF SPECIALTY
HOSPITAL, NATIONAL NUTRITION COUNCIL, CHIEFS OF
MEDICAL CENTERS, HOSPITALS, SANITARIA AND
INSTITUTES; PRESIDENT OF THE PHILIPPIN HEALTH
INSURANCE CORPORATION, DIRECTORS OF PHILIPPINE
NATIONAL AIDS COUNCIL AND TREATMENT AND
REHABILITATION CENTERS, LOCAL GOVERNMENT
UNITS, AND ALL OTHERS CONCERNED

SUBJECT: UPDATED SUGGESTED RETAIL PRICE (SRPs) FOR

EMERGENCY ESSENTIAL MEDICINES AND MEDICAL
DEVICES DUE TO THE CORONAVIRUS DISEASE 2019
(COVID-19) HEALTH EVENT AS OF JULY 6, 2021

The Department of Health is hereby issuing the “Updated Suggested Retail Price
(SRPs) for Essential Emergency Medicines and Medical Devices due to the Coronavirus
Disease 2019 (COVID-19) Health Event as
of July 6, 2021”.
Attached herewith is the revised Annex 1
Updated Suggested Retail Price on
Emergency Medicines and Medical Devices.

Dissemination of the information to all concerned is requested.

FRANCISCO T/DUQUE III MD, MSc

of Health

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800 local 1108, 1111, 1112, 1113
Direct Line: 711-9502; 711-9503 Fax: 743-1829 e URL: http://www.doh.gov.ph; e-mail: fiduque@doh.gov.ph
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
o <
.
= =
-
<= <
. 9
~
. =
.

1 Ibuprofen 100 mg/5 mL Syrup 60 mL Bottle 60.00 88.50

2 Ibuprofen 200 mg Tablet 3.00 8.50
3 Ibuprofen 200 mg/5 mL Suspension 60 mL Bottle 62.00 110.00
4 |buprofen 400 mg Tablet 0.90 5.00
Ketorolac (As Tromethamol) 30 mg/mL Solution 1 mL Ampule
5 37.50 108.50
6 Mefenamic Acid 250 mg Capsule 0.61 15.256
7 Mefenamic Acid 250 mg Tablet 1.45 15.38
8 Mefenamic Acid 500 mg Capsule 0.62 6.88
9 Mefenamic Acid 500 mg Tablet 1.00 28.38
10 Paracetamol 10 mg/mL Solution 100 mL Vial 235.25 440.50
11 Paracetamol 10 mg/mL Solution 50 mL Vial 252.60 390.00
12 Paracetamol 100 mg/mL Drops 15 mL Bottle 15.00 60.25
Paracetamol 120 mg/5 mL (125 mg/5 mL ) Suspension 120
13 50.00 158.75
mL Bottle
Paracetamol 120 mg/5 mL (125 mg/5 mL ) Suspension 30
14 28.00 58.00
mL Bottle

15
End 120 mg/5 mL (125 mg/5 mL ) Syrup 120 mL
144.00 159.50

16

17
rad
5 ead
120 mg/5 mL (125 mg/5 mL ) Syrup 30 mL

120 mg/5 mL (125 mg/5 mL) Suspension 60 mL

35.00

12.54
58.00

81.75
Paracetamol 120 mg/5 mL (125 mg/5 mL) Syrup 60 mL Bottle
18 18.00 72.25
19 Paracetamol 125 mg Suppository 10.71 17.75
20 Paracetamol 150 mg/mL Solution 2 mL Ampule 10.80 20.00
21 Paracetamol 250 mg Suppository 11.00 20.00
22 Paracetamol 250 mg/5 mL Suspension 120 mL Bottle 222.00 237.00
23 Paracetamol 250 mg/5 mL Suspension 30 mL Bottle 30.00 100.75
24 Paracetamol 250 mg/5 mL Suspension 60 mL Bottle 11.96 116.13
25 Paracetamol 250 mg/5 mL Syrup 120 mL Bottle 220.00 239.50
26 Paracetamol 250 mg/5 mL Syrup 30 mL Bottle 50.00 70.50
27 Paracetamol 250 mg/5 mL Syrup 60 mL Bottle 22.26 143.00
28 Paracetamol 300 mg Tablet 2.70 3.85
29 Paracetamol 500 mg Tablet 0.51 3.75
30 Tramadol 100 mg Tablet Modified Release 72.00 110.00
31 Tramadol 50 mg Capsule 0.68 30.50
32 Tramadol 50 mg Dispersible Tablet 35.25 52.50
33 Tramadol 50 mg/mL Solution 1 mL Ampule 32.50 120.25
34 Tramadol 50 mg/mL Solution 2 mL Ampule 13.70 149.75
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices

EI
Generic Name / Strength / Form BINT Highest
(Php) (Php)
Antiasthma
Budesonide
Formoterol (As Fumarate Dihydrate) 160 mcg
+
Doses Dispenser
+ 4.5 mcg Dry Powder 60

Er
Budesonide + Formoterol (As Fumarate Dihydrate) 80 mcg +
36 684.00
4.5 meg Dry Powder 60 Doses Dispenser

ag
Budesonide 200 mcg/Dose x 100 Doses Dry Powder Inhaler
ge
1,458.00
2.13675

1,459.00
Budesonide 200 mcg/Dose x 200 Doses Dry Powder Inhaler
3g 1,422.00
Fluticasone + Formoterol 125 mcg + 5 meg X 120 Actuations
40 1,214.00
Metered Dose Inhaler
Fluticasone + Formoterol 250 mcg + 10 mcg X 120
— 1:859:16 2,060.00
Actuations Metered Dose Inhaler
Fluticasone + Formoterol 50 mcg + 5 mcg X 120 Actuations
42 1,214.00
Metered Dose Inhaler
Fluticasone + Salmeterol 100 mcg + 50 mcg x 60 Doses Dry
43 1,043.75 1,048.75
Powder Inhaler
Fluticasone + Salmeterol 125 mcg + 25 mcg x 120 Doses
a4 20.00 438,00
Metered Dose Inhaler Inhaler
Fluticasone + Salmeterol 250 meg + 25 mcg x 120 Doses
45 357.50 619.00
Metered Dose Inhaler Inhaler
Fluticasone + Salmeterol 250 mcg + 50 mcg x 28 Doses Dry
46 494.00 624.25
Powder Inhaler
Fluticasone + Salmeterol 250 mcg + 50 mcg x 60 Doses Dry
47 880.00 1,496.25
PowderInhaler
Fluticasone Salmeterol 50 mcg + 25 mcg x 120 Doses
+
48 290.00 356.38
Metered Dose Inhaler Inhaler
Fluticasone + Salmeterol 500 mcg + 50 mcg x 60 Doses Dry
49 572.00 1,971.65
Powder Inhaler
Fluticasone 125 mcg/Dose x 120 Doses Metered Dose
50 463.00 479.00
Inhaler Inhaler
51 Formoterol 12 mcg Dry Powder For Inhalation Capsule 24.75
Ipratropium + Fenoterol 20 mcg + 50 meg x 10 mL (200
= Doses) Metered Dose Inhaler 68.00.
-
Olodaterol 2.5 meg/Puff, 4 mL (60 Puffs Or 30 Doses) Inhaler
53 1,720.00
Salbutamol (As Sulfate) 100 mcg/Dose x 200 Doses Breath
54 150.00 439.00
Actuated MDI
Salbutamol (As Sulfate) 100 mcg/Dose x 200 Doses Metered
55 83.50 367.13
Dose Inhaler
56 Salbutamol (As Sulfate) 200 mcg/Dose Dry Powder 7.78 9.25
Tiotropium (As Bromide) 18 mcg/Dose Dry Powder Capsule
57 64.21 92.08
{ele]s lo] = glechy
Aspirin 100 mg Tablet 1.79 2.54
59 Aspirin 300 mg Tablet 2.50 2.90
60 Aspirin 325 mg Tablet 0.67 1.79
61 Aspirin 80 mg Tablet 1.03 3.13
62 Clopidogrel 75 mg Tablet 1.86 25.89
Sodium Salt) 100 mg/mL Solution 0.2 mL Pre-
63 Enoxaparin (As 427.68 544.64
Filled Syringe
Sodium Salt) 100 mg/mL Solution 0.4 mL Pre-
64 Enoxaparin (As 341.52 601.90
Filled Syringe
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
Generic Name Form Highest
/ Strength /

65
Enoxaparin (As Sodium Salt) 100 mg/mL Solution 0.6 mL Pre-
es)
Filled Syringe
§ 482.14 904.02
66 Fondaparinux 2.5 mg/0.5 mL Solution 1,183.04 1,517.86
67 Heparin (As Sodium) 1000 IU/mL Solution 5 mL Vial 48.48 184.82
68 Heparin (As Sodium) 5000 IU/mL Solution 5 mL Vial 62.50 321.43
69 Tinzaparin (As Sodium) 10,000 Anti-Xa IU/mL Solution 0.35 441.52 511.61
mL Pre-Filled Syringe

70 Tinzaparin (As Sodium) 10,000 Anti-Xa IU/mL Solution 0.45

mL Pre-Filled Syringe
y . 312.89

71
aa ao (As Sodium) 10,000 Anti-Xa IU/mL Solution 2 mL
904.46
72 Warfarin 1 mg Tablet 16.74 21.88
73 Warfarin 2.5 mg Tablet 15.85 27.46
74 Warfarin 5 mg Tablet 19.64
Antidotes
75 Sugammadex 100 mg/mL, 2 mL Vial 5,257.00 6,834.00
Antiemetics
77 Metoclopramide (As Hydrochloride) 10 mg Tablet 0.99 12.00

geig (As Hydrochloride) 5 mg/5 mL Syrup 60 mL

ps
78 He 13.50 45.00

79 a (As Hydrochloride) 5 mg/mL Solution 2 mL

7.61 73.00
ves &Anti-Aginal Agents
80 Amlodipine 10 mg Tablet 0.75 15.50
81 Amlodipine 5 mg Tablet 0.75 10.75
82 Captopril 25 mg Tablet 0.49 6.00
83 Captopril 50 mg Tablet 11.60 12.00
84 Clonidine (As Hydrochloride) 150 mcg Tablet 8.50 30.25
85
86
ese (As Hydrochloride) 150 meg/mL Solution

Clonidine (As Hydrochioride) 75 mcg Tablet

1 mL
100.00
6.50
213.25
21.15
87 Enalapril (As Maleate) 20 mg Tablet 6.07 11.13
88 Enalapril (As Maleate) 5 mg Tablet 3.08 7.81
89 Felodipine 10 mg Tablet Modified Release 17.50 30.00
90 Felodipine 5 mg Tablet Modified Release 8.96 14.00
91 Isosorbide Dinitrate 1 mg/mL Solution 10 mL Ampule 520.00 665.00
92 Isosorbide Dinitrate 10 mg Tablet 2.50 21.25
93 Isosorbide Dinitrate 20 mg Tablet 10.00 12.25
94 Isosorbide Dinitrate 20 mg Tablet Modified Release 16.75
95 Isosorbide Dinitrate 5 mg Sublingual Tablet 15.00 22.50
96 Isosorbide-5-Mononitrate 30 mg Capsule Modified Release 7.00 16.00
97 Isosorbide-5-Mononitrate 30 mg Tablet Modified Release 5.00 33.75
98 Isosorbide-5-Mononitrate 60 mg Capsule Modified Release 8.00 39.88
99 Isosorbide-5-Mononitrate 60 mg Tablet Modified Release 4.46 23.44
100 Losartan 100 mg Tablet 2.37 20.38
101 Losartan 50 mg Tablet 0.95 14.00
102 Metoprolol (As Tartrate) 100 mg Tablet 1.90 4.90
103 Metoprolol (As Tartrate) 50 mg Tablet 1.20 3.13
104 Nicardipine 1 mg/mL Solution 10 mL Ampule 426.00 768.75
105 Nicardipine 1 mg/mL Solution 2 mL Ampule 101.00 159.60
106 Nifedipine 10 mg Capsule 2.70 5.50
107 Nifedipine 30 mg MR Tablet 25.00 44.40
108 Nimodipine 30 mg Tablet 44.50 44.70
g
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
9 . 2
e < 2
. 0
ale
%

dale

109 Amikacin (As Sulfate) 100 mg/mL Solution 2 mL Ampule 115.00 201.34
110 Amikacin (As Sulfate) 100 mg/mL Solution 2 mL Vial 26.79 221.34
111 Amikacin (As Sulfate) 125 mg/mL Solution 2 mL Ampule 31.25 426.79
112 Amikacin (As Sulfate) 125 mg/mL Solution 2 mL Vial 17.79 120.09
113 Amikacin (As Sulfate) 250 mg Powder Vial 20.54 151.79
114 Amikacin (As Sulfate) 250 mg/mL Solution 2 mL Ampule 130.00 426,79
115 Amikacin (As Sulfate) 250 mg/mL Solution 2 mL Vial 26.07 142.86
116 Amikacin (As Sulfate) 50 mg/mL Solution 2 mL Ampule 167.86 201.34
117 Amikacin (As Sulfate) 50 mg/mL Solution 2 mL Vial 23.21 89.96
118 Amikacin (As Sulfate) Powder 100 mg Vial 23.21 109.82
119 Amikacin (As Sulfate) Solution 1 g Vial 68.75 70.98

be =
120 Amikacin Powder 500 mg Vial 34.60 216.52
(As Trihydrate) 100 mg/mL Suspension 15 mL
121 17.11 98.66
122 Amoxicillin (As Trihydrate) 250 mg Capsule 0.69 4.91
123
124
SR (As Trihydrate) 250 mg/5 mL Suspension 60 mL

Amoxicillin (As Trihydrate) 500 mg Capsule

12.28
0.89
100.89
6.70
125 Amphotericin B (Lipid Complex) 50 mg Solution Vial 1,897.54 4,017.86
126 Amphotericin B (Non-Lipid Complex) 50 mg Solution Vial 1,043.48 1,835.04
127 Ampicillin + Sulbactam 1 g + 500 mg Solution Vial 336.61 767.86
128
129
Ampicillin + Sulbactam
2 + 1 g Solution Vial
Ampicillin + Sulbactam 500 mg + 250 mg Solution Vial
44.64 428.57

2
71.43 851.12
130 Ampicillin 1 g Solution Vial 11.08 126.79
131 Ampicillin 250 mg Solution Vial 7.14 106.03
132 Ampicillin 500 mg Solution Vial 8.00 180.00
200 mg/5 mL Powder For Suspension 15 mL
133 133.93 256.25

134
135
136
oh, 200 mg/5 mL Powder For Suspension 60 mL

Azithromycin 250 mg Capsule

Azithromycin 250 mg Tablet
250.00
96.88
96.88
475.67

137 Azithromycin 500 mg Powder Vial 685.71 886.16

138 Azithromycin 500 mg Tablet 18.57 101.90
139 Aztreonam 1 g Powder for Injection Vial 1,250.00
140 Cefazolin (As Sodium Salt) 1 g Solution Vial 12.95 402.68
141 Cefazolin (As Sodium Salt) 500 mg Solution Vial 33.04 314.51
142 Cefepime (As Hydrochloride) 1 g Solution Vial 471.43 1,832.14
143 Cefepime (As Hydrochloride) 2 g Solution Vial 2,410.71 3,673.44
144 Cefepime (As Hydrochloride) 500 mg Solution Vial 584.33 906.25
(As Sodium Salt) 500 mg + 2 mL Diluent Solution
145 Joiotaxime 69.09 983.00
146 Ceftazidime (As Pentahydrate) 1 g Solution Vial 25.00 667.41
147 Ceftazidime (As Pentahydrate) 2 g Solution Vial 2,209.15
148 Ceftazidime (As Pentahydrate) 500 mg Solution Vial 267.86 756.25
Ceftriaxone (As Disodium/Sodium Salt) 1 g + 10 mL Diluent
142 94.82 85:71
Solution Vial
Ceftriaxone (As Disodium/Sodium Salt) 1g + 3.5 mL 1%
day 35:7] 982.14
Solution Of Lidocaine Vial
Ceftriaxone (As Disodium/Sodium Salt) 500 mg + 2 mL 1%
131
Solution Of Lidocaine Vial peiv2 664.00
(As Axetil) 125 mg/5 mL Suspension 70 mL
152 poturoxime 132.14 398.66
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
Lowest Highest
Generic Name / Strength
g / Form
153 Cefuroxime (As Axetil) 500 mg Tablet
(Php)
13.39
Gn)
47.10
154 Cefuroxime 250 mg/5 mL Suspension 120 mL Bottle 151.79 295.98
155 Cefuroxime 250 mg/5 mL Suspension 50 mL Bottle 78.57 390.96
156 Ciprofloxacin (As Lactate) 2 mg/mL Solution 100 mL Vial 21.74 799.11
157 Ciprofloxacin (As Lactate) 2 mg/mL Solution 200 mL Vial 93.30 1,606.25

a
158 Clarithromycin 125 mg/5 mL Suspension 50 mL Bottle 89.29 383.04
159 Clarithromycin 250 mg Tablet 17.86 76.79
160 Clarithromycin 250 mg/5 mL Suspension 50 mL Bottle 133.93 1,250.00
161 Clarithromycin 500 mg Tablet 7.14 72.54
(As Phosphate) 150 mg/mL Solution 2 mL
162 120.54 428.57
163 Clindamycin (As Phosphate) 150 mg/mL Solution 2 mL Vial 192.86 338.39
Clindamycin (As Phosphate) 150 mg/mL Solution 4 mL
164 101.31 814.06
Ampule
Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) (As
165 47.28 gaa8
Trihydrate) 1 g Tablet

Le
Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) (As
865 129.20
Trinydrate) 200 mg + 28.5 mg/5 mL 70 mL Bottle

i
Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) (As
16%
Trihydrate) 400 mg + 57 mg/5 mL Suspension 70 mL Bottle
20887 BFS
Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) (As
168
Trihydrate) 500 mg + 125 mg Tablet Ee
Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) (As
169 Trihydrate) 600 mg + 42.9 mg/5 mL Suspension 100 mL 301.79 440.40
Bottle
Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) (As
170 Trihydrate) 600 mg + 42.9 mg/5 mL Suspension 50 mL Bottle 267.86 320.96

Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) (As

171 Trihydrate) 600 mg + 42.9 mg/5 mL Suspension 70 mL Bottle 262.50 332.14

IU
172 Colistin 2,000,000 Lyophilized Powder For Injection 1,725.00 2,232.14
Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 200 mg +
A 40 mg/5 mL Suspension 70 mL Bottle £2.82 fifa
Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 400 mg +
174 1.25 268
80 mg Capsule
Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 400 mg +
175 0.67 13.28
80 mg Tablet
Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 400 mg +
176 13:29 17081
80 mg/5 mL Suspension 60 mL Bottle
Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 800 mg +
177 1.95 16.29
160 mg Tablet
178 Doxycycline (As Hyclate) 100 mg Capsule 0.71 41.85
179 Ertapenem (As Sodium) 1 g Powder Vial 2,287.50 3,276.79
(As Ethyl Succinate) 200 mg/5 mL Suspension
180 Erythromycin 40.18 96.21
60 mL Bottle
181 Erythromycin (As Stearate) 500 mg Tablet 2.68 14.29
182 Gentamicin 10 mg/mL Solution 2 mL Ampule 8.84 25.00
183 Gentamicin 40 mg/mL Solution 2 mL Ampule 3.13 53.57
184 Gentamicin 40 mg/mL Solution 2 mL Vial 8.93 71.43
185 Levofloxacin 5 mg/mL Solution 100 mL Vial 428.57 1,493.86
186 Levofloxacin 5 mg/mL Solution 150 mL Vial 1,052.10 1,658.48
187 Levofloxacin 500 mg Tablet 5.45 49.00
188 Levofloxacin 750 mg Tablet 15.18 89.17
189 Linezolid 2 mg/mL, 300 mL Solution For Infusion 2,558.04 3,502.23
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
Generic Name /
:
Strength / Form
Lowest
(Php)
[a
[IE
(Php)
190 Linezolid 600 mg Film-Coated Tablet 2,071.88 4,044.64
191 Meropenem (As Sodium) 1 g Powder Vial 848.21 1,938.84
192 Meropenem (As Sodium) 500 mg Powder Vial 642.86 1,158.04
Metronidazole (As Benzoate) 125 mg/5 mL Suspension 60
193 14.29 111.38
mL Bottle
194 Metronidazole 250 mg Tablet 4.46 9.88
195 Metronidazole 5 mg/mL Solution 100 mL Vial 10.71 180.69
196 Metronidazole 500 mg Tablet 0.73 12.50
197 Oxacillin (As Sodium Salt) 500 mg Solution Vial 17.41 234.24
Penicillin G Benzathine (Benzathine Benzylpenicillin)
198 8.93 23126
4,200,000 Units Solution Vial
199 Penicillin G Crystalline 1 MU Solution Vial 5.04 27.68
200 Penicillin G Crystalline 5 MU Vial

Ey
14.95 46.65
+ Tazobactam (As Sodium) 2 g + 250 mg Solution
201 424.11 673.21
+ Tazobactam (As Sodium) 4 g + 500 mg Solution
202 psmacna 571.43 1,163.17
203 Vancomycin (As Hydrochloride) 1 g Powder Vial 264.29 2,281.25
204 Vancomycin (As Hydrochloride) 500 mg Powder Vial 291.96 1,529.91

205 Haloperidol 5 mg Tablet 4.46 30.58

206 Haloperidol 5 mg/mL 1 mL Ampule 267.86 814.79
207 Haloperidol 50 mg/mL 1 mL Ampule 513.39 1,038.39

208 Acetylcysteine 100 mg Sachet 10.00 13.25

209 Acetylcysteine 100 mg/5 mL Suspension 150 mL Bottle 271.00 309.00
100 mg/mL, 3 mL Solution for Inhalation
210 Acetylcysteine 110.00 151.75
Ampule
211 Acetylcysteine 200 mg Sachet 9.39 17.50
212 Acetylcysteine 200 mg/mL Solution 10 mL Ampule 137.25 183.50
213 Acetylcysteine 200 mg/mL Solution 25 mL Bottle 1,452.60 2,458.17
214 Acetylcysteine 600 mg Tablet Effervescent 20.80 38.25
215 Butamirate (As Citrate) 7.5 mg/5 mL Syrup 120 mL Bottle 197.50 273.75
216 Butamirate 50 mg Modified Release Tablet 10.75 21.00

217 Furosemide 10 mg/mL Solution 2 mL Ampule 6.43 65.00

218 Furosemide 20 mg Tablet 0.51 3.79
219 Furosemide 40 mg Tablet 0.42 7.50
220 Hydrochlorothiazide 12.5 mg Tablet 4.59 5.25
221 Hydrochlorothiazide 25 mg Tablet 4.15 6.35
222 Mannitol 20% Solution 250 mL Bottle 190.74 341.23
223 Mannitol 20% Solution 500 mL Bottle 86.28 207.77
Dsylipidemic Agents
224 Atorvastatin 10 mg Tablet 1.51 13.20
225 Atorvastatin 20 mg Tablet 3.00 16.25
226 Atorvastatin 40 mg Tablet 5.50 22.50
227 Atorvastatin 80 mg Tablet 11.76 29.00
228 Rosuvastatin 10 mg Tablet 4.16 27.75
229 Rosuvastatin 20 mg Tablet 8.45 30.25
230 Simvastatin 20 mg Tablet 0.71 16.00
231 Simvastatin 40 mg Tablet 2.30 21.50
L
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
Generic Name / Strength / Form a |G CY
(Php)
Insulin Preparations

ve
233
Biphasic Isophane Human Insulin 70/30 (Recombinant DNA)
100 IU/mL Solution 10 mL Vial
Biphasic Isophane Human Insulin 70/30 (Recombinant DNA)
iffy
471.50
hi
084.50
100 IU/mL Solution 3 mL Disposable Syringe
Isophane Human Insulin 70/30 (Recombinant DNA)
234 Biphasic 410.00 585.0
100 IU/ML Solution 3 mL Glass Cartridge
235
Biphasic Isophane Human Insulin 70/30 (Recombinant DNA)
400 IU/mL Solution 5 mL Vial
236 Isophane Insulin Human 100 IU/mL Solution 10 mL Vial
4700
182.00
jaa
709.00
Insulin Human 100 IU/mL Solution 3 mL Pre-Filled
237 Isophane 303.57 726.50
Syringe
Regular Insulin (Recombinant DNA, Human) 100 [U/mL
238 239.00 795.00
Solution 10 mL Vial
Regular Insulin (Recombinant DNA, Human) 100 IU/mL
239
Solution 3 mL Pre-Filled Syringe
55025
Regular Insulin (Recombinant DNA, Human) 100 IU/mL
240 322.25
Solution 5 mL Vial
Medicines for actrolyte, Acid-Base and Caloric Disturbances
241 0.9% Sodium Chloride Solution 1 L Bottle 37.20 126.00
242 0.9% Sodium Chloride Solution 100 mL Bottle 72.00 125.75
243 0.9% Sodium Chloride Solution 50 mL Bottle 25.00 49.50
244 0.9% Sodium Chloride Solution 500 mL Bottle 54.90 117.50
245 10% Dextrose In Water Solution 1 L Bottle 54.00 150.00
246 10% Dextrose In Water Solution 250 mL Bottle 65.00 148.25

a
247 10% Dextrose In Water Solution 500 mL Bottle
Pr 34.25 129.50 0

EL
248 5% Dextrose In 0.3% Sodium Chloride Solution 1 L Bottle 43.78 139.00
In 0.3% Sodium Chloride Solution 250 mL
249 110.05 188.32
In 0.3% Sodium Chloride Solution 500 mL
250 40.00 122.50

Ee
251 5% Dextrose In 0.45% Sodium Chloride Solution L Bottle 1 118.80 260.00
i In 0.45% Sodium Chloride Solution 500 mL
- 3 =

252 e 65.00 250.00

253 5% Dextrose In 0.9% Sodium Chloride Solution 1 L Bottle 38.00 136.00
7

: ens In 0.9%
=
Sodium Chloride Solution 500 mL
n =

254 44.05 122.50

255 5% Dextrose In Lactated Ringer's Solution 1 L Bottle 32.62 145.00
256 5% Dextrose In Lactated Ringer's Solution 250 mL Bottle 150.00 192.50
257 5% Dextrose In Lactated Ringer's Solution 500 mL Bottle 38.43 124.70
258 5% Dextrose In Water Solution 1 L Bottle 39.66 129.00
259 5% Dextrose In Water Solution 250 mL Bottle 60.00 174.80
260 5% Dextrose In Water Solution 500 mL Bottle 38.00 121.25
261 Acetated Ringer's Solution Solution 1 L Bottle 135.00 276.00
262 Acetated Ringer's Solution Solution 500 mL Bottle 95.20 120.00
Balanced Multiple Maintenance Solution With 5% Dextrose
263 35.50 148.25
Solution 1 L Bottle
Balanced Multiple Maintenance Solution With 5%Dextrose
264
Solution 250 mL Bottle — gait
Balanced Multiple Maintenance Solution With 5% Dextrose
So Solution 500 mL Bottle 33.90 122.50
Balanced Multiple Replacement Solution With 5% Dextrose
265 48.00 fSE50
Solution 1 Bottle
Balanced Multiple Replacement Solution With 5% Dextrose
1
0,

267 35.00 128.50

Solution 500 mL Bottle
g
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
Lowest Highest
Generic Name / Strength / Form
rT
}

Balanced Multiple Replacement Solution With Ph 7.4

es)
259
Solution 1 L Bottle RIT 118.78
Balanced Multiple Replacement Solution With Ph 7.4
ed Solution 500 mL Bottle 95.00
270 Lactated Ringer's Solution 1 L Solution Bottle 33.50 130.50
271 Lactated Ringer's Solution 500 mL Solution Bottle 41.00 127.25
272 Magnesium Sulfate 250 mg/mL Solution 10 mL Ampule 28.00 127.34
273 Magnesium Sulfate 250 mg/mL Solution 10 mL Vial 49.00 109.28
274 Magnesium Sulfate 250 mg/mL Solution 2 mL Ampule 56.50 110.63
275 Magnesium Sulfate 250 mg/mL Solution 20 mL Vial 26.60 85.00
276 Magnesium Sulfate 250 mg/mL Solution 50 mL Vial 66.25 95.00
277 Magnesium Sulfate 500 mg/mL Solution 10 mL Ampule 78.00 100.00
278 Magnesium Sulfate 500 mg/mL Solution 2 mL Ampule 56.50 127.07
Oral Rehydration Salts (ORS 75-Replacement) Powder 2.17
279 5.00 14.50
Sachet
280

281
oad La Salts (ORS 75-Replacement) Powder 4.1 g

Oral Rehydration Salts (ORS 75-Replacement) Powder 5.125

Sachet
12.86

3.00
15.00

8.40
282 Potassium Chloride 2 mEg/mL Solution 10 mL Vial 35.00 95.00
283 Potassium Chloride 2 mEqg/mL Solution 2 mL Ampule 44.00 125.04
284 Potassium Chloride 2 mEg/mL Solution 20 mL Vial 27.00 65.00
285 Potassium Chloride 2 mEg/mL Solution 5 mL Ampule 50.00 55.00
286 Potassium Chloride 600 mg Tablet 8.00 15.50
et Potassium Chloride 750 mg Durules (Equiv. To
Approximately 10 Meq) Tablet 14.50 2258
288 Sodium Bicarbonate 1 mEg/mL Solution 10 mL Ampule 98.00 222.50
289 Sodium Bicarbonate 1 mEg/mL Solution 10 mL Vial 90.00 155.41
290 Sodium Bicarbonate 1 mEg/mL Solution 100 mL Ampule 210.00 353.75
291 Sodium Bicarbonate 1 mEqg/mL Solution 100 mL Vial 310.10 470.00
292 Sodium Bicarbonate 1 mEg/mL Solution 20 mL Ampule 96.00 207.39
293 Sodium Bicarbonate 1 mEg/mL Solution 20 mL Vial 174.00 225.00
294 Sodium Bicarbonate 1 mEg/mL Solution 50 mL Ampule 65.00 162.57
295 Sodium Bicarbonate 1 mEg/mL Solution 50 mL Vial 84.21 169.75
296 Sodium Bicarbonate 325 mg Tablet 0.59 0.98
297 Sodium Bicarbonate 650 mg Tablet 0.40 1.65
298 Sodium Chloride 2.5 mEg/mL Solution 20 mL Vial 27.14 85.03
299 Sodium Chloride 2.5 mEqg/mL Solution 50 mL Vial 53.00 124.38
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
Generic Name / Strength / Form gies
(Php)
Sedatives & Anaesthetics
300 Midazolam 1 mg/mL Solution 5 mL Ampule 84.60 105.36
301 Midazolam 1 mg/mL Solution 5 mL Vial 98.21 197.90
302 Midazolam 15 mg Tablet 24.74 29.00
303 Midazolam 5 mg/mL Solution 1 mL Ampule 70.08 105.36
304 Midazolam 5 mg/mL Solution 2 mL Ampule 80.36 267.86
305 Midazolam 5 mg/mL Solution 3 mL Ampule 101.34 224.11
306 Midazolam 5 mg/mL Solution 5 mL Ampule 80.36 141.41
307 Propofol 10 mg/mL Solution 20 mL Ampule 253.00 531.50
308 Propofol 10 mg/mL Solution 20 mL Vial 350.00 694.00
309 Propofol 10 mg/mL Solution 50 mL Pre-Filled Syringe 1,752.00 1,762.00
310 Propofol 10 mg/mL Solution 50 mL Vial 498.50 900.00
311 Rocuronium 10 mg/mL Solution, 10 mL Ampule 206.50 684.00

ae
312 Rocuronium 10 mg/mL Solution, 5 mL Ampule 204.70 634.50
313 Rocuronium 10 mg/mL Solution, 5 mL Vial 194.84 520.00
314 (Succinylcholine) 20 mg/mL Solution, 10 mL
122.80 364.50

nr
Vasopressors Medicines for Shock
315 Dobutamine 50 mg/mL Solution 5 mL Ampule 257.50 591.88
(As Bitartrate) 1 mg/mL Solution 2 mL
316 46.80 714.00
317 Norepinephrine mg/mL Solution 10 mL Ampule
1 590.00 1,590.50
318 Norepinephrine 1 mg/mL Solution 4 mL Ampule 530.00 1,101.00
Norepinephrine 2 mg/mL Solution 4 mL Solution For Injection
319 420.00 1,992.00
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
8 2
. :
= <=

a
< 8
. o
- . ~ °

320 Ascorbic Acid (Vitamin C) 100 mg Tablet 3.00 4.25

Ascorbic Acid (Vitamin C) 100 mg/5 mL Syrup 120 mL Bottle
321 58.00 122.00
322 Ascorbic Acid (Vitamin C) 100 mg/5 mL Syrup 60 mL Bottle 12.50 66.00
323 Ascorbic Acid (Vitamin C) 100 mg/mL Drops 15 mL Bottle 15.00 72.50
324 Ascorbic Acid (Vitamin C) 100 mg/mL Drops 30 mL Bottle 106.00 130.00
325 Ascorbic Acid (Vitamin C) 500 mg Tablet 0.70 4.00
326 Multivitamins 1 mL Drops 15 mL Bottle 17.50 78.75
327 Multivitamins Capsule 0.80 12.50
328 Multivitamins Oral Drops 10 mL Bottle 25.65 84.00
329 Multivitamins Oral Drops 30 mL Bottle 45.00 125.00
330 Multivitamins Per 5 mL Syrup 120 mL Bottle 85.00 150.38
331 Multivitamins Per 5 mL Syrup 60 mL Bottle 21.00 83.00
332 Multivitamins Tablet 2.85 4.25
Zinc 27.5 mg/mL (Equiv. To 10 mg Elemental Zinc) Oral
333 28.00 81.00
Drops 15 mL Bottle
Zinc 55 mg/5 mL (Equiv. To 20 mg Elemental Zinc) Syrup 60
334 29.00 86.00
mL Bottle
Zinc 70 mg/5 mL (Equiv. 10 mg Elemental Zinc) Syrup 120
335 95.74 160.00
mL Bottle
)
mg/5 mL (Equiv. 10 mg Elemental Zinc) Syrup 60 mL
336 exer 32.50 86.50
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
Generic Name Lowest Highest
/ Strength / Form
(Php) (Php)
for COVID-19 Management
Investigational Drugs
Dexamethasone (As Sodium Phosphate) 4 mg/mL Solution 1
337 16.96 136.83

pals
mL Ampule
(As Sodium Phosphate) 4 mg/mL Solution 1
338 26.79 77.12
Dexamethasone (As Sodium Phosphate) 4 mg/mL Solution 2
339 13.04 89.29
mL Ampule

340
Seale (As Sodium Phosphate) 4 mg/mL Solution 2

Dexamethasone (As Sodium Phosphate) 5 mg/mL Solution 1

28.57 126.79

341 50.89 136.83

mL Ampule

342
Dexamethasone 2 mg/mL, 2 mL Solution For Injection
40.00 100.00
Ampule
343 Favipiravir 200 mg Tablet 240.63 310.83
344 Remdesivir 100 mg Vial I 1,500.00 | 8,200.00
345 Tocilizumab 200 mg/10 mL 10 mL Vial 13,006.22
346 Tocilizumab 400 mg/20 mL 20 mL Vial 25,726.81 25,736.61
347 Tocilizumab 80 mg/4 mL 4 mL Vial 7,867.06 8,303.57
1). For medicines with generic counterparts, prices are set based on the lowest to the median prices prevailing in the market

2) Formedicines with no generic counterpart or where there are single brands in the market, price are set based on the lowest
price prevailing in the market
3). All medicines reflect the
final price to patient and are generally VAT inclusive except for VAT exempted medicines under
TRAIN and CREATE law
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices

Medical Devices
1 [Cover All Gown (Hazmat) 315.00 - 650.00

z
Disposable Face Mask , 3 ply, Sterile Medical Use, ear loop or tie
on (pc) 6.00 - 9.00
Disposable Face Mask , 3 ply , non-sterile, medical or general use,
5
ear loop or tie
on (pack of 50s) 100.00 250.00
-
4 [Ethyl Alcohol 70% Solution 60mL 18.50 25.50
-
5 |Ethyl Alcohol 70% Solution 250mL 44.50 - 48.00
6 |Ethyl Alcohol 70% Solution S00mL (Fliptop bottle) 68.44 - 86.50
7 |Ethyl Alcohol 70% Solution 500mL (Pump) 80.00 - 100.00
8 |Ethyl Alcohol 70% Solution 1L (Fliptop bottle) 126.00 - 170.00
9 |Ethyl Alcohol 70% Solution 1L (Pump) 170.00 - 184.00
10 [Ethyl Alcohol 70% Solution 2L 252.00 - 340.00
11 [Ethyl Alcohol 70% Solution 3L 378.00 - 510.00
12 [Ethyl Alcohol 70% Solution 1 Gallon 477.54 - 644.30
Examination/ Medical Gloves, Non-Sterile, Vinyl, Nitrile or Latex
13 ARG.00-As0.00
Material per pack of 100s (ize 6.5, 7, 7.5, 8)
14 [Face Shield 15.00 - 52.50
15 |High Flow Nasal Cannula 280,000.00 - 400,000.00
16 |Infrared Non-Contact Thermometer (for the head) 1,300.00 - 2,545.00
17 |Isoprophyl Alcohol 70% Solution 7SmL 22.00 - 27.00
18 |Isoprophyl Alcohol 70% Solution 150mL 36.50 - 39.50
19 |Isoprophyl Alcohol 70% Solution 250mL 50.00 - 53.50
20 [Isoprophyl Alcohol 70% Solution 330mL 77.00 - 85.00
21 |lsoprophyl Alcohol 70% Solution 500mL (Fliptop bottle) 78.00 - 92.88
22 |Isoprophyl Alcohol 70% Solution 500mL (Pump) 105.00 - 115.00
23 |lsoprophyl Alcohol 70% Solution 1L (Fliptop bottle) 137.50 - 185.00
24 |Isoprophyl Alcohol 70% Solution 1L (Pump) 193.80 - 220.00
25 |Isoprophyl Alcohol 70% Solution 2L 275.00
26 |Isoprophyl Alcohol 70% Solution 3L 412.50
27 |lsoprophyl Alcohol 70% Solution 1 Gallon 350.00 - 520.00
Mask, oxygen, with Connection Jube;
58 FeseIvain bag and valve, high- 40.00 - 98.00
concentration, adult and paediatric non-sterile, single use
Medical gas cylinder, portable, for oxygen, fitted with a valve and a
59 1,380.00 - 2,500.00
pressure and flow regulator
30 [N95 / KN95, medical use, sterile or unsterile (per piece) 103.00 - 200.00
31 |N95 / KN95 general or industrial use, non-sterile (per piece) 32.10- 112.50
32 |Nebulizer 1,072.00 - 2,980.00
33 [Neb Kit: Adult
45.00 - 90.00
34 [Neb Kit: Pedia
69.00 - 90.00
35 [Oxygen Cannula: Adult 20.00 - 60.00
36 [Oxygen Cannula: Pedia 19.00 - 53.00
37 |Oxygen Cannula: Neonatal 42.00 - 60.00
38 |Oxygen Concentrator 1L 11,250.00 - 13,125.00
39 |Oxygen Concentrator 3L 16,580.00 - 21,000.00
40 |Oxygen Concentrator 5L 16,500.00 - 29,250.00***
41 |Oxygen Concentrator 10 L, with accessories 45,000.00 - 50,000.00
42 [Oxygen tanks, 5 Ibs 2,465.00 - 3,400.00
43 (Oxygen tanks, 15 Ibs 4,030.00 - 5,500.00
44 [Patient ventilator, transport, for adult and paediatric, with breathin| 450,00.00 - 558,500.00
45 [Pulse oximeter - portable handheld, with cables and sensor 22,680.00 - 26,090.00***
46 |Pulse oximeter - fingertip 499.75 - 1,755.00
47 |Pulse oximeter - table top, with cables and sensor 25,200.00 - 53,000.00
48 [Pulse oximeters, pedia 1,500.00 - 2,500.00
Annex 1. Suggested Retail Price for Drugs and Medicines and
Medical Devices
2 =
%
< <-
. 0
o =<

. <

i . -
.
49 Pulse oximeters, adult 1,150.00 - 1,785.00
Surgical Gloves, Sterile, Vinyl, Nitrile or Latex Material, 1 pair per
50 25.00 - 35.00
pack
51 |Shoe Cover, pack of 100s 450.00
52 |Safety Goggles 80.00 - 250.00
53 |Surgical cap (disposable, 100 pcs/pack) 160.00 - 350.00
54 |Surgical Gown, Sterile Disposable 650.00 - 850.00
55 |Surgical Gown, Non -sterile 95.00 - 157.25
56 |Tubing, silicone 80.00 - 192.98
57 Ventilator portable 667,000.00 - 790.000.00
** Common face shield for general
community use. These are not medical grade face shields registered by the PHL FDA
** Face Shield (Non-medical grade face shield for
community use) Specifications: Clear plastic or acetate material, provides good visibility,
fog resistant, MAY OR MAY NOT HAVE ADJUSTABLE BAND AS LONG AS
IT IS ATTACHED FIRMLY AROUND THE HEAD,
snuggly against the forehead, full face coverage completely cover the sides and length of
fit
the face), made of robust material that can be easily
cleaned and disinfected, disposable or re-usable
** 10% Distribution Cost from the SRP
may be applied in the Visayas and Mindanao arcas
** Alcohol can be computed
per volume (i.¢ for 5 Gallons Ethyl- Php 650 per gallon x 5 = Php 3,250.00)
** Please be reminded to check
or verify if the products are approved by the Food and Drug Administration (FDA) (as per FDA Advisory No.
2020-451-A)
*** Based on DOH Procurement
prices