GENERIC MENU CARD
Name of Drugstore:__________________________________________
Address: ___________________________________________________
AMBROXOL HCl 15MG/5ML SYRUP 60ML
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
AMBROXOL HCl 30MG/5ML SYRUP 60ML
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
AMBROXOL HCl 6MG/ML SYRUP 15ML (ORAL DROPS)
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
AMBROXOL 30MG TABLET
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
GENERIC MENU CARD
Name of Drugstore: _________________________________________
Address: ___________________________________________________
AMBROXOL 75MG CAPSULE
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
AMOXICILLIN 125MG/5ML SUSP. 60ML
POWDER FOR SUSPENSION
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
AMOXICILLIN 250MG/5ML SUSP. 60ML
POWDER FOR SUSPENSION
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
AMOXICILLIN 100MG/ML SUSP. (ORAL DROPS)
POWDER FOR SUSPENSION
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
GENERIC MENU CARD
Name of Drugstore: ________________________________________
Address: ___________________________________________________
AMOXICILLIN 250MG CAPSULE
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
AMOXICILLIN 500MG CAPSULE
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
CEFALEXIN 250MG CAPSULE
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
CEFALEXIN 500MG CAPSULE
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
GENERIC MENU CARD
Name of Drugstore: ________________________________________
Address: ___________________________________________________
CEFALEXIN 125MG SUSPENSION
POWDER FOR SUSPENSION
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
CEFALEXIN 250MG SUSPENSION
POWDER FOR SUSPENSION
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
CEFALEXIN 100MG SUSPENSION (ORAL DROPS)
POWDER FOR SUSPENSION
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
COTRIMOXAZOLE 800MG/160MG TABLET
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
GENERIC MENU CARD
Name of Drugstore: ________________________________________
Address: ___________________________________________________
COTRIMOXAZOLE 400MG/80MG SUSPENSION
POWDER FOR SUSPENSION
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
COTRIMOXAZOLE 200MG/40MG SUSPENSION
POWDER FOR SUSPENSION
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
AMLODIPINE 5MG TABLET
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
AMLODIPINE 10MG TABLET
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
GENERIC MENU CARD
Name of Drugstore:________________________________________
Address: ___________________________________________________
LOSARTAN 50MG TABLET
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
LOSARTAN 100MG TABLET
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
METOPROLOL 50MG TABLET
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
METOPROLOL 100MG TABLET
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
GENERIC MENU CARD
Name of Drugstore: _________________________________________
Address: ___________________________________________________
SALBUTAMOL 2MG/ML SYRUP
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
SALBUTAMOL 2MG TABLET
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
CARBOCISTEINE 100MG SYRUP
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
CARBOCISTEINE 200MG SYRUP
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
GENERIC MENU CARD
Name of Drugstore: ________________________________________
Address: ___________________________________________________
CARBOCISTEINE 20MG/ML SYRUP (ORAL DROPS)
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
CARBOCISTEINE 500MG CAPSULE
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
LOPERAMIDE 2MG CAPSULE
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
DICYCLOVERINE 10MG TABLET
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
GENERIC MENU CARD
Name of Drugstore: ________________________________________
Address: ___________________________________________________
DICYCLOVERINE 10MG/5ML SYRUP
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________
DICYCLOVERINE 15ML (ORAL DROPS)
BRAND NAME UNIT PRICE
1. _______________________________ ______________________
2. _______________________________ ______________________
3. _______________________________ ______________________
4. _______________________________ ______________________
5. _______________________________ ______________________