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04/2023 Part VIIIA

BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category


Part VIIIA - Basic Prices of Drugs Product List
Part VIIIA products A

Abacavir 600mg / Lamivudine 30 19000 C Lupin Healthcare


300mg tablets (UK) Ltd
Abatacept 125mg/1ml solution for 4 120960 C Orencia ClickJect
injection pre-filled disposable
devices
Abatacept 125mg/1ml solution for 4 120960 C Orencia
injection pre-filled syringes
Acacia spray dried powder 250 g 1632 C J M Loveridge Ltd
Acamprosate 333mg gastro- 168 2367 L M
resistant tablets
Acarbose 100mg tablets 90 5121 K A
Acarbose 50mg tablets 90 3019 K A
Acebutolol 400mg tablets 28 2510 K A
Aceclofenac 100mg tablets 60 674 L A
Acenocoumarol 1mg tablets 100 462 C Sinthrome
Acetazolamide 250mg modified- 30 1666 C Diamox SR
release capsules
Acetazolamide 250mg tablets 112 513 L M
Acetic acid 2% ear spray S 5 ml 492 C EarCalm
Acetone liquid 50 ml 129 A
Acetylcysteine 200mg oral powder 30 11250 A
sachets sugar free
Acetylcysteine 2g/10ml solution for 10 2126 C Martindale
infusion ampoules Pharmaceuticals Ltd
Acetylcysteine 5% eye drops S 10 ml 5999 C Ilube
Acetylcysteine 600mg capsules 30 9873 K A
Acetylcysteine 600mg effervescent 30 550 C
tablets sugar free (2xS15)
Aciclovir 200mg dispersible tablets 25 182 A
Aciclovir 200mg tablets 25 136 L M
Aciclovir 200mg/5ml oral 125 ml 3578 A
suspension sugar free
Aciclovir 3% eye ointment S 4.5 g 4500 C Agepha Pharma
s.r.o.
Aciclovir 400mg dispersible tablets 56 1199 A
Aciclovir 400mg tablets 56 295 L M
Aciclovir 400mg/5ml oral 100 ml 3949 A
suspension sugar free
Aciclovir 5% cream S 2 g 211 K A
S 10 g 1053 K A
Aciclovir 800mg dispersible tablets 35 1099 A
Aciclovir 800mg tablets 35 340 L M
Acipimox 250mg capsules 90 4633 C Olbetam
Acitretin 10mg capsules 60 3040 L A
Acitretin 25mg capsules 60 5880 K A
Aclidinium bromide 375micrograms/ S 60 dose 3250 C Eklira
dose dry powder inhaler

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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Aclidinium bromide 396micrograms/ S 60 dose 3250 C Duaklir Genuair


dose / Formoterol
11.8micrograms/dose dry
powder inhaler
Acrivastine 8mg capsules 12 366 C Benadryl Allergy
Relief
Activated charcoal 200mg/ml oral S 250 ml 1425 C Charcodote
suspension sugar free
Activated charcoal 300mg tablets 100 271 C J.L. Bragg's
Medicinal Charcoal
Activated charcoal 81.3% granules S 50 g 1190 C Carbomix
sugar free
Adalimumab 20mg/0.2ml solution 2 35214 C Humira
for injection pre-filled syringes
Adalimumab 40mg/0.4ml solution 2 70428 C Humira
for injection pre-filled
disposable devices
Adalimumab 40mg/0.4ml solution 2 70428 C Humira
for injection pre-filled syringes
Adapalene 0.1% / Benzoyl peroxide S 45 g 1953 C Epiduo
2.5% gel
Adapalene 0.1% cream S 45 g 1643 C Differin
Adapalene 0.1% gel S 45 g 1643 C Differin
Adapalene 0.3% / Benzoyl peroxide S 45 g 1953 C Epiduo
2.5% gel
Adefovir 10mg tablets S 30 25222 C Hepsera
Adrenaline (base) 100micrograms/ 10 12436 C Martindale
1ml (1 in 10,000) dilute solution Pharmaceuticals Ltd
for injection ampoules
Adrenaline (base) 10mg/10ml (1 in 10 14952 C Martindale
1,000) solution for injection Pharmaceuticals Ltd
ampoules
Adrenaline (base) 150micrograms/ S 1 3430 C Jext
0.15ml (1 in 1,000) solution for
injection pre-filled disposable
devices
Adrenaline (base) 150micrograms/ S 1 5380 K C EpiPen Jr.
0.3ml (1 in 2,000) solution for
injection pre-filled disposable
devices
2 10760 K C EpiPen Jr.
Adrenaline (base) 1mg/10ml (1 in 10 14411 C Martindale
10,000) dilute solution for Pharmaceuticals Ltd
injection ampoules
Adrenaline (base) 1mg/1ml (1 in 10 1071 K A
1,000) solution for injection
ampoules
Adrenaline (base) 1mg/1ml (1 in S 1 1181 A
1,000) solution for injection
pre-filled syringes
Adrenaline (base) 300micrograms/ S 1 5380 K C EpiPen
0.3ml (1 in 1,000) solution for
injection pre-filled disposable
devices

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04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Adrenaline (base) 500micrograms/ 10 26384 K A


0.5ml (1 in 1,000) solution for
injection ampoules
Adrenaline (base) 500micrograms/ S 1 2699 C Emerade
0.5ml (1 in 1,000) solution for
injection pre-filled disposable
devices
Adrenaline (base) 500micrograms/ 10 13248 C Martindale
5ml (1 in 10,000) dilute solution Pharmaceuticals Ltd
for injection ampoules
Adrenaline (base) 5mg/5ml (1 in 10 15243 C Martindale
1,000) solution for injection Pharmaceuticals Ltd
ampoules
Agomelatine 25mg tablets 28 1545 L A
Alclometasone 0.05% cream S 50 g 1862 K A
Alendronic acid 10mg tablets 28 750 C Accord Healthcare
Ltd
Alendronic acid 70mg / S 4 425 C Bentexo
Colecalciferol 140microgram
tablets
Alendronic acid 70mg / S 4 2280 C Fosavance
Colecalciferol 70microgram
tablets
Alendronic acid 70mg effervescent S 4 1160 C Binosto
tablets sugar free
Alendronic acid 70mg tablets S 4 392 L M
Alendronic acid 70mg/100ml oral 4 3285 K A
solution unit dose sugar free
Alfacalcidol 1microgram capsules S 30 348 L M
Alfacalcidol 1micrograms/0.5ml 10 2157 C One-Alpha
solution for injection ampoules
Alfacalcidol 250nanogram capsules S 30 493 A
Alfacalcidol 2micrograms/1ml 10 4113 C One-Alpha
solution for injection ampoules
Alfacalcidol 2micrograms/ml oral S 10 ml 2130 C One-Alpha
drops sugar free
Alfacalcidol 500nanogram capsules S 30 990 A
Alfentanil 1mg/2ml solution for 10 634 C Rapifen
injection ampoules
Alfentanil 5mg/10ml solution for 5 1600 C Rapifen
injection ampoules
10 2980 C hameln pharma Ltd
Alfentanil 5mg/1ml solution for 10 2319 C Rapifen Intensive
injection ampoules Care
Alfuzosin 10mg modified-release 30 1251 C
tablets
Alfuzosin 2.5mg tablets 60 147 M

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Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Alginate raft-forming oral 150 ml 291 C Gaviscon Original


suspension sugar free Aniseed Relief
300 ml 452 C Gaviscon Original
Aniseed Relief
500 ml 199 C Peptac liquid
600 ml 711 C Gaviscon Original
Aniseed Relief
Alimemazine 10mg tablets 28 11288 A
Alimemazine 10mg/5ml oral 100 ml 18200 C Lucis Pharma Ltd
solution sugar free
Alimemazine 30mg/5ml oral 100 ml 24351 A
solution
Alimemazine 30mg/5ml oral 100 ml 18991 L A
solution sugar free
Alimemazine 7.5mg/5ml oral 100 ml 17958 A
solution
Alimemazine 7.5mg/5ml oral 100 ml 14005 L A
solution sugar free
Alirocumab 150mg/1ml solution for 2 33600 C Praluent
injection pre-filled disposable
devices
Alirocumab 300mg/2ml solution for S 1 33600 C Praluent
injection pre-filled disposable
devices
Alirocumab 75mg/1ml solution for 2 33600 C Praluent
injection pre-filled disposable
devices
Aliskiren 150mg tablets 28 2851 C Rasilez
Aliskiren 300mg tablets 28 3427 C Rasilez
Alitretinoin 10mg capsules 30 49372 C Toctino
Alitretinoin 30mg capsules 30 49372 C Toctino
Allantoin 0.5% / Lidocaine 0.5% S 25 g 372 C Anodesyn
ointment
Allantoin 10.25mg / Lidocaine 12 311 C Anodesyn
10.25mg suppositories
Allopurinol 100mg tablets 28 84 L M
Allopurinol 300mg tablets 28 121 K M
Almotriptan 12.5mg tablets 3 805 L A
6 1609 L A
9 2414 L A
Alogliptin 12.5mg / Metformin 1g 56 2660 C Vipdomet
tablets
Alogliptin 12.5mg tablets 28 2660 C Vipidia
Alogliptin 25mg tablets 28 2660 C Vipidia
Alogliptin 6.25mg tablets 28 2660 C Vipidia
Alpha tocopheryl acetate 500mg/ 100 ml 7681 C Alliance
5ml oral suspension Pharmaceuticals Ltd
§ Alprostadil 10microgram powder S 2 2013 C Viridal Duo Starter
and solvent for solution for Pack
injection cartridges with device

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04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

§ Alprostadil 10microgram powder 2 1470 C Caverject Dual


and solvent for solution for Chamber
injection pre-filled disposable
devices
§ Alprostadil 10microgram powder S 1 924 C Caverject
and solvent for solution for
injection vials
§ Alprostadil 1mg urethral sticks S 1 1156 C Muse
§ Alprostadil 20microgram powder S 2 2454 C Viridal Duo Starter
and solvent for solution for Pack
injection cartridges with device
§ Alprostadil 20microgram powder 2 1900 C Caverject Dual
and solvent for solution for Chamber
injection pre-filled disposable
devices
§ Alprostadil 20microgram powder S 1 1194 C Caverject
and solvent for solution for
injection vials
§ Alprostadil 3mg/g cream 4 4000 C Vitaros
§ Alprostadil 40microgram powder S 2 2983 C Viridal Duo Starter
and solvent for solution for Pack
injection cartridges with device
§ Alprostadil 40microgram powder S 1 2158 C Caverject
and solvent for solution for
injection vials
§ Alprostadil 500microgram urethral S 1 1130 C Muse
sticks
Alum powder 500 g 672 C J M Loveridge Ltd
Aluminium chloride 20% solution S 20 ml 395 C Driclor
S 60 ml 251 C Anhydrol Forte
Aluminium chloride 20% spray S 30 ml 733 C Odaban
Alverine 120mg capsules 60 390 L M
Alverine 60mg / Simeticone 300mg 90 1100 C SimAlvia
capsules
Alverine 60mg capsules 100 363 L M
Amantadine 100mg capsules 56 1082 L M
Amantadine 50mg/5ml oral solution 150 ml 14000 A
sugar free
Ambrisentan 10mg tablets 30 161808 C
Ambrisentan 5mg tablets 30 161808 C
Amiloride 5mg / Bumetanide 1mg 28 5800 A
tablets
Amiloride 5mg tablets 28 1232 K M
Amiloride 5mg/5ml oral solution 150 ml 15885 C Essential Pharma Ltd
sugar free
Aminophylline 250mg/10ml solution 10 1200 C hameln pharma Ltd
for injection ampoules
Aminosalicylic acid gastro-resistant 30 33100 C Granupas
granules 4g sachets sugar free
Amiodarone 100mg tablets 28 186 A
Amiodarone 200mg tablets 28 162 L M
Amiodarone 300mg/10ml solution S 1 2801 L A
for injection pre-filled syringes

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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Amisulpride 100mg tablets 60 1592 K M


Amisulpride 100mg/ml oral solution S 60 ml 10952 L A
sugar free
Amisulpride 200mg tablets 60 3234 K M
Amisulpride 400mg tablets 60 7136 K A
Amisulpride 50mg tablets 60 1157 K M
Amitriptyline 10mg tablets 28 75 K M
Amitriptyline 10mg/5ml oral solution 150 ml 13647 A
sugar free
Amitriptyline 25mg tablets 28 79 K M
Amitriptyline 25mg/5ml oral solution 150 ml 2026 L A
sugar free
Amitriptyline 50mg tablets 28 98 L M
Amitriptyline 50mg/5ml oral solution 150 ml 1920 A
sugar free
Amlodipine 10mg / Valsartan 160mg 28 2651 C Exforge
tablets
Amlodipine 10mg tablets 28 76 M
Amlodipine 10mg/5ml oral solution 150 ml 11573 A
sugar free
Amlodipine 2.5mg tablets 28 597 L M
Amlodipine 5mg / Valsartan 160mg 28 2651 C Exforge
tablets
Amlodipine 5mg / Valsartan 80mg 28 2011 C Exforge
tablets
Amlodipine 5mg tablets 28 71 L M
Amlodipine 5mg/5ml oral solution 150 ml 7578 A
sugar free
Amlodipine 5mg/5ml oral 150 ml 7000 C Rosemont
suspension sugar free Pharmaceuticals Ltd
Amorolfine 5% medicated nail S 5 ml 699 L M
lacquer
Amoxicillin 125mg/5ml oral R 100 ml 229 K M
suspension
Amoxicillin 125mg/5ml oral R 100 ml 240 K M
suspension sugar free
Amoxicillin 1g dispersible tablets 6 480 C Almus
sugar free Pharmaceuticals Ltd
Amoxicillin 1g powder for solution S 1 192 C Wockhardt UK Ltd
for injection vials
Amoxicillin 250mg capsules 15 109 K M
21 153 K M
Amoxicillin 250mg/5ml oral R 100 ml 288 K M
suspension
Amoxicillin 250mg/5ml oral R 100 ml 311 K M
suspension sugar free
Amoxicillin 3g oral powder sachets 2 2258 L A
sugar free
Amoxicillin 500mg capsules 15 184 K M
21 258 K M
Amoxicillin 500mg powder for 10 960 C Wockhardt UK Ltd
solution for injection vials

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04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Amoxicillin 500mg/5ml oral R 100 ml 336 K A


suspension sugar free
Amphotericin B 50mg powder for S 1 1621 C Fungizone
solution for infusion vials
Ampicillin 250mg capsules 28 6858 L A
Ampicillin 500mg capsules 28 4796 C Crescent Pharma Ltd
Ampicillin 500mg powder for 10 8222 A
solution for injection vials
Anagrelide 500microgram capsules 100 40457 A
Anakinra 100mg/0.67ml solution for 7 18361 C Kineret
injection pre-filled syringes
Anastrozole 1mg tablets 28 109 M
Antazoline 0.5% / Xylometazoline S 10 ml 335 C Otrivine-Antistin
0.05% eye drops
Apixaban 2.5mg tablets 60 5700 C
Apixaban 5mg tablets 56 5320 C
Apomorphine 100mg/20ml solution 5 14500 C Dacepton
for infusion vials
Apomorphine 30mg/3ml solution for 5 12300 C Dacepton
injection cartridges
Apomorphine 30mg/3ml solution for 5 12391 C APO-go PEN
injection pre-filled disposable
devices
Apomorphine 50mg/10ml solution 5 7311 C APO-go
for infusion pre-filled syringes
Apomorphine 50mg/5ml solution for 5 7311 C APO-go
injection ampoules
Apraclonidine 1% eye drops 0.25ml 24 7785 C Iopidine
unit dose preservative free (12xS2)
Apraclonidine 5mg/ml eye drops S 5 ml 1088 C Iopidine
Apremilast 30mg tablets 56 55000 C Otezla
Aprepitant 125mg capsules 5 7903 C
Aprepitant 125mg capsules and S 3 4771 C Accord Healthcare
Aprepitant 80mg capsules Ltd
Aprepitant 80mg capsules 2 3161 C
Aqueous calamine cream S 100 g 190 C Thornton & Ross Ltd
Aqueous cream S 100 g 144 K M
500 g 720 K M
Arachis oil 130ml enema S 1 5206 A
Arachis oil liquid 200 ml 320 C J M Loveridge Ltd
Aripiprazole 10mg orodispersible 28 7314 K A
tablets sugar free
Aripiprazole 10mg tablets 28 1629 L M
Aripiprazole 15mg orodispersible 28 6949 K A
tablets sugar free
Aripiprazole 15mg tablets 28 1880 K M
Aripiprazole 1mg/ml oral solution 150 ml 11511 K A
Aripiprazole 30mg tablets 28 3386 L A
Aripiprazole 400mg powder and S 1 22041 C Abilify Maintena
solvent for suspension for
injection pre-filled syringes

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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Aripiprazole 400mg powder and S 1 22041 C Abilify Maintena


solvent for suspension for
injection vials
Aripiprazole 5mg tablets 28 2005 K M
Arnica montana gel S 50 ml 474 C Atrogel Arnica
S 100 ml 768 C Atrogel Arnica
Artemether 20mg / Lumefantrine 24 2250 C Riamet
120mg tablets
Artificial saliva lozenges 30 304 C AS Saliva Orthana
Ascorbic acid 100mg tablets 28 4943 L A
Ascorbic acid 200mg tablets 28 7307 L A
Ascorbic acid 500mg tablets 28 5327 L A
Ascorbic acid 50mg tablets 28 4460 K A
Ascorbic acid powder S 100 g 597 C J M Loveridge Ltd
Asenapine 10mg sublingual tablets 60 10260 C Sycrest
sugar free (6xS10)
Asenapine 5mg sublingual tablets 60 10260 C Sycrest
sugar free (6xS10)
Aspirin 150mg suppositories 10 2897 C Martindale
Pharmaceuticals Ltd
Aspirin 300mg dispersible tablets 32 114 L A
Aspirin 300mg gastro-resistant 100 3250 K A
tablets
Aspirin 300mg suppositories 10 5568 C Martindale
Pharmaceuticals Ltd
Aspirin 300mg tablets 32 402 A
100 1256 A
Aspirin 325mg / Caffeine 15mg 12 94 C Anadin Original
tablets
16 119 C Anadin Original
Aspirin 75mg dispersible tablets 28 88 K M
100 314 K M
Aspirin 75mg gastro-resistant 28 93 K M
tablets
Aspirin 75mg tablets 28 77 K M
Aspirin 900mg / Metoclopramide 6 661 C Migramax
10mg oral powder sachets
sugar free
Aspirin powder S 250 g 999 C J M Loveridge Ltd
Atenolol 100mg tablets 28 122 K M
Atenolol 25mg tablets 28 111 K M
Atenolol 25mg/5ml oral solution 300 ml 1061 K A
sugar free
Atenolol 50mg tablets 28 142 M
Atomoxetine 100mg capsules 28 1954 L A
Atomoxetine 10mg capsules 28 1304 L A
Atomoxetine 18mg capsules 28 1304 L A
Atomoxetine 25mg capsules 28 1373 L A
Atomoxetine 40mg capsules 28 1329 L A
Atomoxetine 4mg/ml oral solution 300 ml 8500 C Strattera
sugar free (3xS100)

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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Atomoxetine 60mg capsules 28 1432 L A


Atomoxetine 80mg capsules 28 1936 L A
Atorvastatin 10mg chewable tablets 30 1380 C Lipitor
sugar free
Atorvastatin 10mg tablets 28 69 K M
Atorvastatin 20mg chewable tablets 30 2640 C Lipitor
sugar free
Atorvastatin 20mg tablets 28 92 M
Atorvastatin 20mg/5ml oral S 150 ml 19876 C Rosemont
suspension sugar free Pharmaceuticals Ltd
Atorvastatin 30mg tablets 28 2372 K A
Atorvastatin 40mg tablets 28 103 K M
Atorvastatin 60mg tablets 28 2697 K A
Atorvastatin 80mg tablets 28 138 L M
Atovaquone 750mg/5ml oral S 226 ml 48637 C Wellvone
suspension sugar free
Atropine 1% eye drops S 10 ml 23380 L A
Atropine 1% eye drops 0.5ml unit 20 1631 C Minims
dose preservative free
Atropine 1mg/1ml solution for 10 14024 K A
injection ampoules
Atropine 3mg/10ml solution for S 1 1300 C Aguettant Ltd
injection pre-filled syringes
Atropine 600micrograms/1ml 10 1171 A
solution for injection ampoules
§ Avanafil 100mg tablets 4 1408 C Spedra
§ 8 2626 C Spedra
§ Avanafil 200mg tablets 4 2190 C Spedra
§ 8 3940 C Spedra
§ Avanafil 50mg tablets 4 1094 C Spedra
§ 8 1970 C Spedra
Azathioprine 25mg tablets 28 143 L M
Azathioprine 50mg powder for S 1 1538 C Imuran
solution for injection vials
Azathioprine 50mg tablets 56 185 L M
Azelaic acid 15% gel S 30 g 748 C Finacea
Azelaic acid 20% cream S 30 g 449 C Skinoren
Azelastine 0.05% eye drops S 8 ml 640 C Optilast
Azelastine 140micrograms/dose S 22 ml 1050 C Rhinolast
nasal spray
Azilsartan medoxomil 20mg tablets 28 1680 C Edarbi
Azilsartan medoxomil 40mg tablets 28 1680 C Edarbi
Azilsartan medoxomil 80mg tablets 28 1995 C Edarbi
Azithromycin 15mg/g eye drops 6 699 C Azyter
0.25g unit dose preservative
free
Azithromycin 200mg/5ml oral R 15 ml 406 C Zithromax
suspension
R 22.5 ml 610 C Zithromax
R 30 ml 1104 C Zithromax
Azithromycin 250mg capsules 6 123 M

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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Azithromycin 250mg tablets 4 109 K M


Azithromycin 500mg tablets 3 112 K M
Aztreonam 75mg powder and S 84 218153 C Cayston
solvent for nebuliser solution
vials with device

Part VIIIA products B

Baclofen 10mg tablets 84 176 L M


Baclofen 10mg/20ml solution for S 1 7001 C Lioresal Intrathecal
infusion ampoules
Baclofen 10mg/5ml oral solution 150 ml 1072 C Thame Laboratories
sugar free Ltd
Baclofen 10mg/5ml solution for S 1 7001 C Lioresal Intrathecal
infusion ampoules
Baclofen 50micrograms/1ml S 1 316 C Lioresal Intrathecal
solution for injection ampoules
Baclofen 5mg/5ml oral solution 300 ml 569 K M
sugar free
Balsalazide 750mg capsules 130 3042 C Colazide
Baricitinib 2mg tablets 28 80556 C Olumiant
Baricitinib 4mg tablets 28 80556 C Olumiant
Beclometasone 0.025% cream S 30 g 7033 A
Beclometasone 0.025% ointment S 30 g 7033 A
Beclometasone 100micrograms/ S 120 dose 2932 C Fostair NEXThaler
dose / Formoterol
6micrograms/dose dry powder
inhaler
Beclometasone 100micrograms/ S 120 dose 2932 C Fostair
dose / Formoterol
6micrograms/dose inhaler CFC
free
Beclometasone 100micrograms/ S 200 dose 1721 C Qvar Autohaler
dose breath actuated inhaler
CFC free
Beclometasone 100micrograms/ S 200 dose 742 C Clenil Modulite
dose inhaler CFC free
Beclometasone 200micrograms/ S 120 dose 2932 C Fostair NEXThaler
dose / Formoterol
6micrograms/dose dry powder
inhaler
Beclometasone 200micrograms/ S 120 dose 2932 C Fostair
dose / Formoterol
6micrograms/dose inhaler CFC
free
Beclometasone 200micrograms/ S 200 dose 1493 C Easyhaler
dose dry powder inhaler Beclometasone
Beclometasone 200micrograms/ S 200 dose 1617 C Clenil Modulite
dose inhaler CFC free
Beclometasone 250micrograms/ S 200 dose 1629 C Clenil Modulite
dose inhaler CFC free
Beclometasone 50micrograms/dose S 200 dose 787 C Qvar Autohaler
breath actuated inhaler CFC
free

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Drug Quantity Basic Price Category

Beclometasone 50micrograms/dose S 200 dose 370 C Clenil Modulite


inhaler CFC free
Beclometasone 50micrograms/dose S 200 dose 273 L M
nasal spray
Beclometasone 5mg gastro- 30 5656 C Clipper
resistant modified-release
tablets
Beeswax white solid 500 g 882 C J M Loveridge Ltd
Belladonna medicated plaster 28cm S 1 353 K A
x 17.5cm
Belladonna medicated plaster 2 293 K A
9.5cm x 12.5cm
Bempedoic acid 180mg / Ezetimibe 28 5544 C Nustendi
10mg tablets
Bempedoic acid 180mg tablets 28 5544 C Nilemdo
Bendroflumethiazide 2.5mg tablets 28 70 L M
Bendroflumethiazide 5mg tablets 28 78 L M
Benzalkonium chloride 0.5% S 250 ml 569 C Dermax Therapeutic
shampoo
Benzocaine 10% dental gel sugar S 5.3 g 274 C
free
Benzocaine 1mg/dose oromucosal S 15 ml 349 C
spray sugar free
Benzocaine 20% dental gel sugar S 5.3 g 298 C Orajel Extra Strength
free
Benzoin compound tincture 500 ml 1576 C J M Loveridge Ltd
Benzoin tincture 500 ml 1055 C J M Loveridge Ltd
Benzoyl peroxide 3% / Clindamycin S 30 g 1314 C Duac Once Daily
1% gel
Benzoyl peroxide 5% / Clindamycin S 30 g 865 L M
1% gel
S 60 g 1857 L M
Benzoyl peroxide 5% gel S 30 g 544 C Acnecide
S 60 g 1068 C Acnecide
Benzydamine 0.15% mouthwash S 300 ml 481 L M
sugar free
Benzydamine 0.15% oromucosal S 30 ml 384 L M
spray sugar free
Benzydamine 3% cream S 35 g 263 C Difflam
S 100 g 684 C Difflam
Benzyl benzoate crystals 500 g 1651 C J M Loveridge Ltd
Benzylpenicillin 1.2g powder for 25 10950 A
solution for injection vials
Benzylpenicillin 600mg powder for 2 590 A
solution for injection vials
Betahistine 16mg tablets 84 142 L M
Betahistine 8mg tablets 84 101 L M
Betaine oral powder S 180 g 34700 C Cystadane
Betamethasone 0.1% / Neomycin S 10 ml 239 C Betnesol-N
0.5% ear/eye/nose drops
Betamethasone 0.1% ear/eye/nose S 10 ml 232 C Betnesol
drops

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Drug Quantity Basic Price Category

Betamethasone 0.1% foam S 100 g 1162 C Bettamousse


Betamethasone 4mg/1ml solution 5 11352 K A
for injection ampoules
Betamethasone 500microgram 100 5815 A
soluble tablets sugar free
Betamethasone dipropionate 0.05% S 100 ml 1010 C Diprosalic
/ Salicylic acid 2% scalp
application
Betamethasone dipropionate 0.05% S 30 g 318 C Diprosalic
/ Salicylic acid 3% ointment
S 100 g 914 C Diprosalic
Betamethasone dipropionate 0.05% S 100 g 612 C Diprosone
cream
Betamethasone dipropionate 0.05% S 30 g 216 C Diprosone
ointment
Betamethasone dipropionate 0.05% S 100 ml 780 C Diprosone
scalp lotion
Betamethasone dipropionate S 30 g 634 C Lotriderm
0.064% / Clotrimazole 1%
cream
Betamethasone valerate 0.025% S 100 g 315 C Betnovate-RD
cream
Betamethasone valerate 0.025% S 100 g 315 C Betnovate-RD
ointment
Betamethasone valerate 0.1% / S 30 g 4082 A
Clioquinol 3% cream
Betamethasone valerate 0.1% / S 30 g 4261 A
Clioquinol 3% ointment
Betamethasone valerate 0.1% / S 30 g 638 C Fucibet
Fusidic acid 2% cream
S 60 g 1276 C Fucibet
Betamethasone valerate 0.1% / S 30 g 3997 A
Neomycin 0.5% cream
S 100 g 13322 A
Betamethasone valerate 0.1% / S 30 g 3279 A
Neomycin 0.5% ointment
S 100 g 10930 A
Betamethasone valerate 0.1% S 30 g 173 K A
cream
S 100 g 574 K A
Betamethasone valerate 0.1% S 100 ml 458 C Betnovate
lotion
Betamethasone valerate 0.1% S 30 g 167 L M
ointment
S 100 g 557 L M
Betamethasone valerate 0.1% scalp S 100 ml 394 C Betacap
application
Betamethasone valerate 2.25mg 4 1398 C Betesil
medicated plasters
Betaxolol 0.25% eye drops S 5 ml 266 C Betoptic Susp
Betaxolol 0.25% eye drops 0.25ml 50 1377 C Betoptic
unit dose preservative free
Betaxolol 0.5% eye drops S 5 ml 190 C Betoptic

263
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Drug Quantity Basic Price Category

Bethanechol chloride 10mg tablets 100 1851 C Myotonine


Bethanechol chloride 25mg tablets 100 2726 C Myotonine
Bezafibrate 200mg tablets 100 863 C Bezalip
Bezafibrate 400mg modified- 30 763 C Bezalip-Mono
release tablets
Bicalutamide 150mg tablets 28 298 L M
Bicalutamide 50mg tablets 28 188 K M
Bifonazole 1% cream S 20 g 367 C Canesten Bifonazole
Once Daily
Bilastine 10mg orodispersible 30 500 C Ilaxten
tablets sugar free
Bilastine 2.5mg/ml oral solution 120 ml 500 C Ilaxten
sugar free
Bilastine 20mg tablets 30 600 C Ilaxten
Bimatoprost 100micrograms/ml eye S 3 ml 367 L M
drops
Bimatoprost 300micrograms/ml / S 3 ml 1416 C Ganfort
Timolol 5mg/ml eye drops
Bimatoprost 300micrograms/ml / 30 1794 C Ganfort
Timolol 5mg/ml eye drops (6xS5)
0.4ml unit dose preservative
free
Bimatoprost 300micrograms/ml / S 3 ml 1416 C Eyzeetan
Timolol 5mg/ml eye drops
preservative free
Bimatoprost 300micrograms/ml eye S 3 ml 1454 A
drops
Bimatoprost 300micrograms/ml eye 30 1956 K A
drops 0.4ml unit dose (6xS5)
preservative free
Bimatoprost 300micrograms/ml eye S 3 ml 979 C Eyreida
drops preservative free
Bisacodyl 10mg suppositories 12 277 C Dulcolax Twelve Plus
Bisacodyl 5mg gastro-resistant 60 425 K M
tablets
Bisacodyl 5mg suppositories 5 111 C Dulcolax
Bisoprolol 1.25mg tablets 28 76 M
Bisoprolol 10mg tablets 28 80 M
Bisoprolol 2.5mg tablets 28 75 K M
Bisoprolol 3.75mg tablets 28 87 M
Bisoprolol 5mg tablets 28 73 M
Bisoprolol 7.5mg tablets 28 94 M
Blackcurrant syrup 500 ml 1230 C J M Loveridge Ltd
Boric acid powder S 500 g 742 C J M Loveridge Ltd
Brimonidine 0.2% eye drops S 5 ml 172 L M
Brimonidine 2mg/ml / Timolol 5mg/ S 5 ml 1353 K A
ml eye drops
Brimonidine 3mg/g gel S 30 g 3369 C Mirvaso
Brinzolamide 10mg/ml / Brimonidine S 5 ml 923 C Simbrinza
2mg/ml eye drops
Brinzolamide 10mg/ml / Timolol S 5 ml 336 K M
5mg/ml eye drops

264
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Drug Quantity Basic Price Category

Brinzolamide 10mg/ml eye drops S 5 ml 219 L M


Brivaracetam 100mg tablets 56 12964 C Briviact
Brivaracetam 10mg tablets 14 3464 C Briviact
Brivaracetam 25mg tablets 56 12964 C Briviact
Brivaracetam 50mg tablets 56 12964 C Briviact
Brivaracetam 50mg/5ml oral 300 ml 11583 C Briviact
solution sugar free
Brivaracetam 75mg tablets 56 12964 C Briviact
Bromfenac 900micrograms/ml eye S 5 ml 850 C Yellox
drops
Bromocriptine 2.5mg tablets 30 7499 A
Budesonide 100micrograms/dose / S 120 dose 1400 C Symbicort
Formoterol 3micrograms/dose
inhaler CFC free
Budesonide 100micrograms/dose / S 120 dose 2800 C Symbicort 100/6
Formoterol 6micrograms/dose Turbohaler
dry powder inhaler
Budesonide 100micrograms/dose S 200 dose 1425 C Pulmicort Turbohaler
dry powder inhaler 100
Budesonide 1mg orodispersible 90 32300 C Jorveza
tablets sugar free
Budesonide 1mg/2ml nebuliser 20 4210 L A
liquid unit dose vials
Budesonide 200micrograms/dose / S 120 dose 2800 C Symbicort 200/6
Formoterol 6micrograms/dose Turbohaler
dry powder inhaler
Budesonide 200micrograms/dose / S 120 dose 2800 C Symbicort
Formoterol 6micrograms/dose
inhaler CFC free
Budesonide 200micrograms/dose S 100 dose 959 C Budelin Novolizer
dry powder inhalation cartridge
Budesonide 200micrograms/dose S 100 dose 1486 C Budelin Novolizer
dry powder inhalation cartridge
with device
Budesonide 200micrograms/dose S 100 dose 1425 C Pulmicort Turbohaler
dry powder inhaler 200
Budesonide 2mg foam enema S 14 dose 5711 C Budenofalk
Budesonide 2mg/100ml enema 7 3366 C Entocort
(7xS1)
Budesonide 3mg gastro-resistant 100 7505 C Budenofalk
capsules
Budesonide 3mg gastro-resistant S 100 7505 C Entocort CR
modified-release capsules
Budesonide 400micrograms/dose / S 60 dose 2800 C Symbicort 400/12
Formoterol 12micrograms/ Turbohaler
dose dry powder inhaler
Budesonide 400micrograms/dose S 50 dose 1425 C Pulmicort Turbohaler
dry powder inhaler 400
Budesonide 500micrograms/2ml 20 2706 L A
nebuliser liquid unit dose vials
Budesonide 64micrograms/dose S 120 dose 924 K A
nasal spray

265
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Drug Quantity Basic Price Category

Budesonide 9mg gastro-resistant 60 13500 C Budenofalk


granules sachets
Budesonide 9mg modified-release 30 7500 C Cortiment
tablets
Bumetanide 1mg tablets 28 153 K M
Bumetanide 1mg/5ml oral solution 150 ml 23500 C Rosemont
sugar free Pharmaceuticals Ltd
Bumetanide 5mg tablets 28 2207 K A
Bupivacaine 25mg/10ml (0.25%) / 10 4600 C Advanz Pharma
Adrenaline (base)
50micrograms/10ml (1 in
200,000) solution for injection
ampoules
Bupivacaine 25mg/10ml (0.25%) 5 792 C Marcain
solution for injection ampoules
20 1750 C Bupivacaine Sure-
Amp
Bupivacaine 50mg/10ml (0.5%) / 10 5175 C Advanz Pharma
Adrenaline (base)
50micrograms/10ml (1 in
200,000) solution for injection
ampoules
Bupivacaine 50mg/10ml (0.5%) 5 925 C Marcain
solution for injection ampoules
10 756 C Advanz Pharma
20 1830 C Bupivacaine Sure-
Amp
Buprenorphine 10micrograms/hour 4 3155 C BuTrans
transdermal patches
Buprenorphine 128mg/0.36ml S 1 23970 C Buvidal
prolonged-release solution for
injection pre-filled syringes
Buprenorphine 15micrograms/hour 4 4915 C BuTrans
transdermal patches
Buprenorphine 160mg/0.45ml S 1 23970 C Buvidal
prolonged-release solution for
injection pre-filled syringes
Buprenorphine 16mg / Naloxone 28 15238 C Suboxone
4mg sublingual tablets sugar
free
Buprenorphine 16mg/0.32ml S 1 5593 C Buvidal
prolonged-release solution for
injection pre-filled syringes
Buprenorphine 200microgram 50 504 C Temgesic
sublingual tablets sugar free
Buprenorphine 20micrograms/hour 4 5746 C BuTrans
transdermal patches
Buprenorphine 24mg/0.48ml S 1 5593 C Buvidal
prolonged-release solution for
injection pre-filled syringes
Buprenorphine 2mg / Naloxone 28 2794 C Suboxone
500microgram sublingual films
sugar free

266
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Drug Quantity Basic Price Category

Buprenorphine 2mg / Naloxone 28 2540 C Suboxone


500microgram sublingual
tablets sugar free
Buprenorphine 2mg oral 28 2540 C Espranor
lyophilisates sugar free
Buprenorphine 2mg sublingual 7 163 L M
tablets sugar free
Buprenorphine 32mg/0.64ml S 1 5593 C Buvidal
prolonged-release solution for
injection pre-filled syringes
Buprenorphine 35micrograms/hour 4 1580 C Transtec
transdermal patches
Buprenorphine 400microgram 7 136 C
sublingual tablets sugar free
50 1007 C Temgesic
Buprenorphine 52.5micrograms/ 4 2371 C Transtec
hour transdermal patches
Buprenorphine 5micrograms/hour 4 1760 C BuTrans
transdermal patches
Buprenorphine 64mg/0.18ml S 1 23970 C Buvidal
prolonged-release solution for
injection pre-filled syringes
Buprenorphine 70micrograms/hour 4 3160 C Transtec
transdermal patches
Buprenorphine 8mg / Naloxone 28 8381 C Suboxone
2mg sublingual films sugar free
Buprenorphine 8mg / Naloxone 28 7619 C Suboxone
2mg sublingual tablets sugar
free
Buprenorphine 8mg oral 28 7620 C Espranor
lyophilisates sugar free
Buprenorphine 8mg sublingual 7 377 L M
tablets sugar free
Buprenorphine 8mg/0.16ml S 1 5593 C Buvidal
prolonged-release solution for
injection pre-filled syringes
Buprenorphine 96mg/0.27ml S 1 23970 C Buvidal
prolonged-release solution for
injection pre-filled syringes
Bupropion 150mg modified-release 60 4176 C Zyban
tablets
Buserelin 150micrograms/dose 168 dose 10516 C Suprecur
nasal spray (2xS84)
Buserelin 5.5mg/5.5ml solution for 2 3437 C
injection vials
Buspirone 10mg tablets 30 690 L A
Buspirone 15mg tablets 30 2333 C Zentiva Pharma UK
Ltd
Buspirone 30mg tablets 30 3038 C Zentiva Pharma UK
Ltd
Buspirone 5mg tablets 30 548 K A
Buspirone 7.5mg tablets 30 1500 C Strides Pharma UK
Ltd
Busulfan 2mg tablets 25 1443 L A

267
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Part VIIIA products C

C1-esterase inhibitor 1,500unit S 1 201000 C Berinert


powder and solvent for solution
for injection vials
C1-esterase inhibitor 500unit S 1 67000 C Berinert
powder and solvent for solution
for injection vials
Cabergoline 1mg tablets S 20 6575 L A
Cabergoline 2mg tablets S 20 7808 K A
Cabergoline 500microgram tablets S 8 3499 C Teva UK Ltd
Caffeine citrate 50mg/5ml oral S 5 ml 2599 C Martindale
solution Pharmaceuticals Ltd
Calamine lotion 200 ml 138 C Thornton & Ross Ltd
Calcipotriol 0.005% / S 60 g 3566 C Wynzora
Betamethasone dipropionate
0.05% cream
Calcipotriol 0.005% / S 60 g 2744 L M
Betamethasone dipropionate
0.05% gel
Calcipotriol 0.005% / S 30 g 613 K M
Betamethasone dipropionate
0.05% ointment
Calcipotriol 50micrograms/g / S 60 g 3968 C Enstilar
Betamethasone dipropionate
500micrograms/g foam
Calcipotriol 50micrograms/g S 30 g 778 K A
ointment
Calcipotriol 50micrograms/ml scalp S 60 ml 9110 K A
solution
S 120 ml 18219 K A
Calcitonin (salmon) 100units/1ml 5 22550 A
solution for injection ampoules
Calcitonin (salmon) 50units/1ml 5 16750 A
solution for injection ampoules
Calcitriol 250nanogram capsules 100 1804 C Rocaltrol
Calcitriol 3micrograms/g ointment S 100 g 1806 C Silkis
Calcitriol 500nanogram capsules 100 3225 C Rocaltrol
Calcium acetate 1g tablets 180 1979 C Phosex
Calcium acetate 435mg / 180 2400 C Osvaren
Magnesium carbonate heavy
235mg tablets
Calcium acetate 475mg tablets 200 1150 C Renacet
Calcium acetate 950mg tablets 200 1975 C Renacet
Calcium and Ergocalciferol tablets 28 4315 K M
Calcium carbonate 1.25g chewable 100 933 C Calcichew
tablets sugar free
Calcium carbonate 1.25g 76 1296 C Accord Healthcare
effervescent tablets sugar free (4xS19) Ltd
Calcium carbonate 1.5g chewable 100 870 C Adcal
tablets sugar free

268
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Drug Quantity Basic Price Category

Calcium carbonate 2.5g chewable 60 1316 C Calcichew Forte


tablets sugar free
Calcium carbonate 500mg 48 323 C Rennie Orange
chewable tablets
Calcium chloride 10% solution for S 1 1098 C Martindale
injection 10ml pre-filled Pharmaceuticals Ltd
syringes
Calcium chloride 14.7% solution for 10 11889 K A
injection 10ml ampoules
Calcium folinate 15mg tablets 10 4818 K A
Calcium folinate 15mg/2ml solution 5 3900 C Pfizer Ltd
for injection ampoules
Calcium gluconate 10% solution for 10 2417 A
injection 10ml ampoules
Calcium gluconate 1g effervescent 28 1835 A
tablets
Calcium lactate gluconate 2.263g / 30 1282 C Calvive 1000
Calcium carbonate 1.75g (3xS10)
effervescent tablets sugar free
Calcium polystyrene sulfonate 300 g 8216 C Calcium Resonium
powder sugar free
Camellia sinensis extract 10% S 15 g 3900 C Catephen
ointment
Canagliflozin 100mg tablets 30 3920 C Invokana
Canagliflozin 300mg tablets 30 3920 C Invokana
Canagliflozin 50mg / Metformin 1g 60 3920 C Vokanamet
tablets
Canagliflozin 50mg / Metformin 60 3920 C Vokanamet
850mg tablets
Candesartan 16mg tablets 28 147 K M
Candesartan 2mg tablets 7 92 L M
Candesartan 32mg tablets 28 150 L M
Candesartan 4mg tablets 7 70 K M
Candesartan 8mg tablets 28 123 K M
Capecitabine 150mg tablets 60 3000 C Dr Reddy's
Laboratories (UK) Ltd
Capecitabine 300mg tablets 60 7604 C Accord Healthcare
Ltd
Capecitabine 500mg tablets 120 22572 C Dr Reddy's
Laboratories (UK) Ltd
Capsaicin 0.025% cream S 45 g 1771 C Zacin
Capsaicin 0.075% cream S 45 g 1458 C Axsain
Capsaicin 179mg cutaneous S 1 21000 C Qutenza
patches
Capsicum tincture 500 ml 1390 C J M Loveridge Ltd
Captopril 12.5mg tablets 56 188 A
Captopril 25mg tablets 56 162 L A
Captopril 25mg/5ml oral solution 100 ml 10351 A
sugar free
Captopril 50mg tablets 56 165 L A
Captopril 5mg/5ml oral solution 100 ml 9476 L A
sugar free

269
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Carbamazepine 100mg tablets 84 207 C Tegretol


Carbamazepine 100mg/5ml oral 300 ml 1022 K A
suspension sugar free
Carbamazepine 125mg 5 12000 A
suppositories
Carbamazepine 200mg modified- 56 520 C Tegretol Prolonged
release tablets Release
Carbamazepine 200mg tablets 84 383 C Tegretol
Carbamazepine 250mg 5 16111 C Essential Pharma Ltd
suppositories
Carbamazepine 400mg modified- 56 1024 C Tegretol Prolonged
release tablets Release
Carbamazepine 400mg tablets 56 502 C Tegretol
Carbimazole 10mg tablets 100 8132 A
Carbimazole 15mg tablets 100 24208 K A
Carbimazole 20mg tablets 100 374 L M
Carbimazole 5mg tablets 100 259 L M
Carbocisteine 250mg/5ml oral 300 ml 746 K M
solution
Carbocisteine 250mg/5ml oral 300 ml 839 C Brown & Burk UK Ltd
solution sugar free
Carbocisteine 375mg capsules 120 681 K M
Carbocisteine 750mg capsules 60 1898 C Brown & Burk UK Ltd
Carbocisteine 750mg/10ml oral 15 385 A
solution 10ml sachets sugar
free
Carbocisteine 750mg/5ml oral 200 ml 3386 K A
solution sugar free
Carbomer '980' 0.2% eye drops S 10 g 280 C GelTears Ophthalmic
Gel
Carbomer '980' 0.2% eye drops 30 542 C Viscotears
0.6ml unit dose preservative
free
Carbomer 974P 0.25% eye gel S 10 g 450 C Liquivisc
Cariprazine 1.5mg capsules 28 8036 C Reagila
Cariprazine 3mg capsules 28 8036 C Reagila
Cariprazine 4.5mg capsules 28 8036 C Reagila
Cariprazine 6mg capsules 28 8036 C Reagila
Carmellose 0.5% eye drops 0.4ml 30 480 C Celluvisc
unit dose preservative free
Carmellose 1% eye drops 0.4ml unit 30 300 C Celluvisc
dose preservative free
Carvedilol 12.5mg tablets 28 144 K M
Carvedilol 25mg tablets 28 126 K M
Carvedilol 3.125mg tablets 28 88 K M
Carvedilol 6.25mg tablets 28 150 K M
Caspofungin 50mg powder for S 1 23887 C Zentiva Pharma UK
solution for infusion vials Ltd
Cefaclor 125mg/5ml oral R 100 ml 413 C Distaclor
suspension
Cefaclor 250mg/5ml oral R 100 ml 826 C Distaclor
suspension

270
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Cefaclor 375mg modified-release 14 910 C Distaclor MR


tablets
Cefaclor 500mg capsules 21 750 C Distaclor
Cefadroxil 500mg capsules 20 2238 C Sandoz Ltd
Cefalexin 125mg/5ml oral R 100 ml 310 A
suspension
Cefalexin 125mg/5ml oral R 100 ml 292 C Milpharm Ltd
suspension sugar free
Cefalexin 250mg capsules 28 201 L M
Cefalexin 250mg tablets 28 264 L M
Cefalexin 250mg/5ml oral R 100 ml 351 A
suspension
Cefalexin 250mg/5ml oral R 100 ml 338 C Milpharm Ltd
suspension sugar free
Cefalexin 500mg capsules 21 245 L M
Cefalexin 500mg tablets 21 257 L M
Cefixime 200mg tablets 7 1323 C Suprax
Cefradine 250mg capsules 20 822 K A
Cefradine 500mg capsules 20 993 K A
Ceftriaxone 1g powder for solution S 1 958 C Rocephin
for injection vials
Ceftriaxone 250mg powder for S 1 240 C Rocephin
solution for injection vials
Ceftriaxone 2g powder for solution S 1 1918 C Rocephin
for injection vials
Cefuroxime 125mg tablets 14 456 C Zinnat
Cefuroxime 125mg/5ml oral R 70 ml 520 C Zinnat
suspension
Cefuroxime 250mg tablets 14 1772 A
Celecoxib 100mg capsules 60 532 L M
Celecoxib 200mg capsules 30 519 K M
Celiprolol 200mg tablets 28 1243 K A
Celiprolol 400mg tablets 28 2087 K A
Cenobamate 100mg tablets 14 8736 C Ontozry
28 13650 C Ontozry
Cenobamate 12.5mg tablets and S 28 16562 C Ontozry
Cenobamate 25mg tablets
Cenobamate 150mg tablets 14 8918 C Ontozry
28 18200 C Ontozry
Cenobamate 200mg tablets 14 9100 C Ontozry
28 18200 C Ontozry
Cenobamate 50mg tablets 14 8554 C Ontozry
28 9100 C Ontozry
Cetirizine 10mg capsules 7 309 C Benadryl Allergy
Liquid Release
Cetirizine 10mg tablets 30 82 M
Cetirizine 1mg/ml oral solution 200 ml 1716 A
sugar free
Cetomacrogol cream (Formula A) 500 g 287 A

271
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Cetrimide 0.2% / Benzalkonium S 100 g 374 C Drapolene


chloride 0.01% cream
200 g 531 C Drapolene
350 g 843 C Drapolene
Cetrimide 0.5% cream S 15 g 56 C Cetrimide Antiseptic
First Aid
S 30 g 62 C Numark Antiseptic
S 50 g 275 C Cetavlex
Cetrorelix 250microgram powder S 1 2713 C Cetrotide
and solvent for solution for
injection vials
Chenodeoxycholic acid 250mg 100 1400000 C Leadiant Biosciences
capsules Ltd
Chloral hydrate 143.3mg/5ml oral 150 ml 24425 A
solution BP
Chloral hydrate 500mg/5ml oral 150 ml 24425 C Marlborough
solution Pharmaceuticals Ltd
Chlorambucil 2mg tablets 25 1115 A
Chloramphenicol 0.5% eye drops S 10 ml 968 K A
Chloramphenicol 0.5% eye drops 20 1143 C Minims
0.5ml unit dose preservative
free
Chloramphenicol 0.5% eye drops S 10 ml 1012 C
preservative free
Chloramphenicol 1% eye ointment S 4 g 191 L M
Chloramphenicol 10% ear drops S 10 ml 9157 A
Chloramphenicol 1g powder for S 1 9130 A
solution for injection vials
Chloramphenicol 250mg capsules 60 37700 A
Chloramphenicol 5% ear drops S 10 ml 9934 A
Chlordiazepoxide 10mg capsules 100 3531 K A
Chlordiazepoxide 5mg capsules 100 2977 K A
Chlorhexidine 0.2% oral spray S 60 ml 428 C Corsodyl
sugar free
Chlorhexidine 1% dental gel sugar S 50 g 324 C Corsodyl
free
Chlorhexidine acetate 0.02% S 100 ml 270 C Uro-Tainer
catheter maintenance solution
Chlorhexidine gluconate 0.015% / 10 685 C Sterets Tisept
Cetrimide 0.15% solution
100ml sachets
Chlorhexidine gluconate 0.015% / 25 533 C Sterets Tisept
Cetrimide 0.15% solution 25ml
sachets
Chlorhexidine gluconate 0.05% 10 683 C Sterets Unisept
solution 100ml sachets
Chlorhexidine gluconate 0.05% 25 554 C Sterets Unisept
solution 25ml sachets
Chlorhexidine gluconate 0.06% / 500 ml 264 C Corsodyl Daily
Sodium fluoride 0.05%
mouthwash sugar free

272
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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Chlorhexidine gluconate 0.1% / S 15 g 114 C Savlon


Cetrimide 0.5% cream
S 30 g 158 C Savlon
S 60 g 241 C Savlon
S 100 g 354 C Savlon
Chlorhexidine gluconate 0.2% 300 ml 235 K M
mouthwash
Chlorhexidine gluconate 0.25% S 30 g 203 C Acriflex
cream
Chlorhexidine gluconate 0.5% 500 ml 617 K C HiBi Liquid Hand
solution Rub+
600 ml 491 C Hydrex
Chlorhexidine gluconate 1% cream S 250 ml 2088 C Hibitane Obstetric
Chlorhexidine gluconate 1% S 150 ml 3713 C Cepton
solution
Chlorhexidine gluconate 2% / 20 1155 C ChloraPrep
Isopropyl alcohol 70% solution
1.5ml applicators
Chlorhexidine gluconate 2% / 25 7665 C ChloraPrep
Isopropyl alcohol 70% solution
10.5ml applicators
Chlorhexidine gluconate 2% / 25 17063 C ChloraPrep
Isopropyl alcohol 70% solution
26ml applicators
Chlorhexidine gluconate 2% / 25 2231 C ChloraPrep
Isopropyl alcohol 70% solution
3ml applicators
Chlorhexidine gluconate 4% S 250 ml 486 K C HiBiScrub
solution
S 500 ml 611 K C HiBiScrub
S 5000 ml 3102 K C HiBiScrub
Chlorhexidine hydrochloride 0.5% S 30 g 254 C Germolene Wound
cream Care
Chloroprocaine 400mg/20ml S 1 1472 C Ampres
solution for injection vials
Chloroquine phosphate 250mg 20 859 C Avloclor
tablets
Chloroquine phosphate 80mg/5ml 75 ml 3000 C Malarivon
oral solution
Chloroxylenol 4.8% solution 750 ml 288 C Dettol
Chlorphenamine 10mg/1ml solution 5 2400 K A
for injection ampoules
Chlorphenamine 2mg/5ml oral 150 ml 278 C Piriton Syrup
solution
Chlorphenamine 2mg/5ml oral 150 ml 221 C Allerief
solution sugar free
Chlorphenamine 4mg tablets 28 361 K A
Chlorpromazine 100mg tablets 28 2145 L M
Chlorpromazine 100mg/5ml oral 150 ml 550 A
solution
Chlorpromazine 10mg tablets 28 1085 C Genesis
Pharmaceuticals Ltd
Chlorpromazine 25mg tablets 28 2174 L M

273
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Chlorpromazine 25mg/5ml oral 150 ml 235 C Rosemont


solution Pharmaceuticals Ltd
Chlorpromazine 25mg/5ml oral 150 ml 325 K C AAH
solution sugar free Pharmaceuticals Ltd
Chlorpromazine 50mg tablets 28 2219 L M
Chlortalidone 12.5mg tablets 30 4200 C Hylaton
Chlortalidone 50mg tablets 30 8804 A
Cholera vaccine oral suspension 2 dose 4320 C Dukoral
and vehicle
Choline salicylate 8.7% oromucosal S 15 g 355 C Bonjela
gel sugar free
Choriogonadotropin alfa S 1 3766 C Ovitrelle
250micrograms/0.5ml solution
for injection pre-filled
disposable devices
Choriogonadotropin alfa S 1 3766 C Ovitrelle
250micrograms/0.5ml solution
for injection pre-filled syringes
Ciclesonide 160micrograms/dose S 60 dose 1931 C Alvesco 160
inhaler CFC free
S 120 dose 3862 C Alvesco 160
Ciclesonide 80micrograms/dose S 120 dose 3283 C Alvesco 80
inhaler CFC free
Ciclosporin 0.1% eye drops 0.3ml 30 7200 C Ikervis
unit dose (6xS5)
Ciclosporin 100mg capsules 30 6828 C Neoral
Ciclosporin 100mg/ml oral solution S 50 ml 16472 C
sugar free
Ciclosporin 10mg capsules 60 1825 C Neoral
Ciclosporin 25mg capsules 30 1837 C Neoral
Ciclosporin 50mg capsules 30 3597 C Neoral
Ciclosporin 50mg/1ml solution for 10 2323 C Sandimmun
infusion ampoules
Cilostazol 100mg tablets 56 2369 K A
Cilostazol 50mg tablets 56 3678 K A
Cimetidine 200mg tablets 60 1997 L A
Cimetidine 200mg/5ml oral solution 600 ml 2849 C Tagamet Syrup
Cimetidine 200mg/5ml oral solution 300 ml 4875 C Rosemont
sugar free Pharmaceuticals Ltd
Cimetidine 400mg tablets 60 2611 K A
Cinacalcet 30mg tablets 28 868 L M
Cinacalcet 60mg tablets 28 3106 L A
Cinacalcet 90mg tablets 28 4659 L A
Cinchocaine 0.5% / Hydrocortisone S 30 g 1034 C Proctosedyl
0.5% ointment
Cinchocaine 0.5% / Prednisolone S 30 g 323 C Scheriproct
0.19% ointment
Cinchocaine 1mg / Prednisolone 12 152 C Scheriproct
hexanoate 1.3mg suppositories
Cinchocaine 5mg / Hydrocortisone 12 508 C Proctosedyl
5mg suppositories
Cinnarizine 15mg tablets 84 472 L M

274
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Cinnarizine 20mg / Dimenhydrinate 100 2400 C Arlevert


40mg tablets
Ciprofibrate 100mg tablets 28 12253 A
Ciprofloxacin 0.3% / S 5 ml 612 C Consilient Health Ltd
Dexamethasone 0.1% ear
drops
Ciprofloxacin 0.3% eye drops S 5 ml 470 C Ciloxan
Ciprofloxacin 250mg tablets 10 97 L M
Ciprofloxacin 250mg/5ml oral R 100 ml 2129 C Ciproxin
suspension
Ciprofloxacin 2mg/ml ear drops 15 601 C Cetraxal
0.25ml unit dose preservative (3xS5)
free
Ciprofloxacin 3mg/ml / Fluocinolone 15 601 C Cetraxal Plus
acetonide 0.25mg/ml ear drops (3xS5)
0.25ml unit dose preservative
free
Ciprofloxacin 500mg tablets 10 126 L M
Ciprofloxacin 750mg tablets 10 1215 K A
Cisplatin 50mg/50ml solution for S 1 2672 A
infusion vials
Citalopram 10mg tablets 28 122 L M
Citalopram 20mg tablets 28 159 L M
Citalopram 40mg tablets 28 110 L M
Citalopram 40mg/ml oral drops S 15 ml 1720 K M
sugar free
Citric acid 17.79g / Magnesium 10 2050 C Citramag
carbonate 11.57g effervescent
powder sachets sugar free
Citric acid monohydrate powder 500 g 471 C J M Loveridge Ltd
Clarithromycin 125mg/5ml oral R 70 ml 348 L M
suspension
Clarithromycin 250mg granules 14 1168 C Klaricid Adult
sachets
Clarithromycin 250mg tablets 14 319 K M
Clarithromycin 250mg/5ml oral R 70 ml 500 L M
suspension
Clarithromycin 500mg modified- 7 672 C
release tablets
Clarithromycin 500mg powder for S 1 945 C Klaricid IV
solution for infusion vials
Clarithromycin 500mg tablets 14 693 K M
Clindamycin 1% / Tretinoin 0.025% S 30 g 1194 C Treclin
gel
Clindamycin 1% aqueous lotion S 30 ml 508 C Dalacin T Topical
Clindamycin 1% gel S 30 g 866 C Zindaclin
Clindamycin 150mg capsules 24 280 K M
Clindamycin 2% vaginal cream S 40 g 1086 C Dalacin
Clindamycin 300mg capsules 30 3431 L A
Clindamycin 75mg capsules 24 745 C Dalacin C
§ Clobazam 10mg tablets 30 641 L A

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Drug Quantity Basic Price Category

§ Clobazam 10mg/5ml oral 150 ml 9001 K A


suspension sugar free
§ 250 ml 15002 K A
§ Clobazam 5mg/5ml oral suspension 150 ml 7909 K A
sugar free
§ 250 ml 13182 K A
Clobetasol 0.05% cream S 30 g 269 C Dermovate
S 100 g 790 C Dermovate
Clobetasol 0.05% ointment S 30 g 269 C Dermovate
S 100 g 790 C Dermovate
Clobetasol 0.05% scalp application S 30 ml 307 C Dermovate
S 100 ml 1042 C Dermovate
Clobetasol 500microgram / S 30 g 10012 A
Neomycin 5mg / Nystatin
100,000units/g cream
Clobetasol 500microgram / S 30 g 10012 A
Neomycin 5mg / Nystatin
100,000units/g ointment
Clobetasol 500micrograms/g foam S 100 g 1106 C Clarelux
Clobetasol 500micrograms/g S 125 ml 915 C Etrivex
shampoo
Clobetasone 0.05% / S 30 g 1245 C Trimovate
Oxytetracycline 3% / Nystatin
100,000units/g cream
Clobetasone 0.05% cream S 15 g 501 C Eumovate Eczema &
Dermatitis
S 30 g 186 C Eumovate
S 100 g 544 C Eumovate
Clobetasone 0.05% ointment S 30 g 186 C Eumovate
S 100 g 544 C Eumovate
Clomethiazole 157.5mg/5ml oral S 300 ml 4257 K A
solution sugar free
Clomethiazole 192mg capsules 60 3280 A
Clomifene 50mg tablets 30 1015 C Clomid
Clomipramine 10mg capsules 28 356 K A
Clomipramine 25mg capsules 28 527 K M
Clomipramine 50mg capsules 28 889 L M
Clonazepam 1mg tablets 100 4195 C Neuraxpharm UK Ltd
Clonazepam 2mg tablets 100 2735 K M
Clonazepam 2mg/5ml oral solution 150 ml 10838 A
sugar free
Clonazepam 500microgram tablets 100 2570 K M
Clonazepam 500micrograms/5ml 150 ml 7709 A
oral solution sugar free
Clonidine 100microgram tablets 100 804 C Catapres
Clonidine 150micrograms/1ml 5 209 C Catapres
solution for injection ampoules
Clonidine 25microgram tablets 112 1675 K M
Clonidine 50micrograms/5ml oral 100 ml 16534 K A
solution sugar free
Clopidogrel 300mg tablets 30 14254 C Plavix
Clopidogrel 75mg tablets 28 136 M

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Drug Quantity Basic Price Category

Clotrimazole 1% cream S 20 g 137 K M


S 50 g 343 K M
Clotrimazole 1% solution S 20 ml 253 C Canesten
Clotrimazole 1% spray S 40 ml 499 C Canesten
Dermatological
Clotrimazole 10% cream and S 1 1073 L C Canesten Combi
Clotrimazole 2% cream Internal & External
Clotrimazole 10% vaginal cream S 5 g 748 K C Canesten Internal
Clotrimazole 100mg pessaries S 6 385 C Canesten
Clotrimazole 2% cream S 20 g 571 K C Canesten Thrush
Clotrimazole 200mg pessaries S 3 341 C Canesten
Clotrimazole 500mg pessaries S 1 979 K M
Clotrimazole 500mg pessary and S 1 573 C Canesten Combi
Clotrimazole 2% cream
Clove oil liquid 10 ml 214 C Thornton & Ross Ltd
Clozapine 100mg orodispersible 28 2218 C Zaponex
tablets sugar free
Clozapine 100mg tablets 84 6653 C
Clozapine 12.5mg orodispersible 28 277 C Zaponex
tablets sugar free
Clozapine 200mg orodispersible 28 4435 C Zaponex
tablets sugar free
Clozapine 200mg tablets 100 15840 C Denzapine
Clozapine 25mg orodispersible 28 555 C Zaponex
tablets sugar free
Clozapine 25mg tablets 84 1664 C
Clozapine 50mg orodispersible 28 1109 C Zaponex
tablets sugar free
Clozapine 50mg tablets 100 3960 C Denzapine
Clozapine 50mg/ml oral suspension S 100 ml 5350 C Denzapine
sugar free
Coal tar 2.5% scalp lotion S 250 ml 474 C Psoriderm
Coal tar 4% shampoo S 150 ml 346 C Polytar Scalp
Coal tar 6% cream S 225 ml 942 C Psoriderm
Coal tar extract 2% shampoo S 125 ml 436 C Neutrogena T/Gel
Therapeutic
shampoo
S 250 ml 661 C Neutrogena T/Gel
Therapeutic
shampoo
Coal tar extract 5% shampoo S 250 ml 646 C Alphosyl 2 in 1
Coal tar solution 5% cutaneous S 100 ml 811 C Exorex
emulsion
S 250 ml 1624 C Exorex
Co-amilofruse 10mg/80mg tablets 28 1552 A
Co-amilofruse 2.5mg/20mg tablets 28 427 K M
Co-amilofruse 5mg/40mg tablets 28 1422 L A
Co-amilozide 2.5mg/25mg tablets 28 2249 K A
Co-amilozide 5mg/50mg tablets 28 1740 L M
Co-amoxiclav 125mg/31mg/5ml R 100 ml 500 C Viatris UK Healthcare
oral suspension Ltd

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Drug Quantity Basic Price Category

Co-amoxiclav 125mg/31mg/5ml R 100 ml 198 L A


oral suspension sugar free
Co-amoxiclav 250mg/125mg tablets 21 196 K M
Co-amoxiclav 250mg/62mg/5ml R 100 ml 500 C Viatris UK Healthcare
oral suspension Ltd
Co-amoxiclav 250mg/62mg/5ml R 100 ml 182 K M
oral suspension sugar free
Co-amoxiclav 400mg/57mg/5ml R 35 ml 413 C Augmentin Duo 400/
oral suspension sugar free 57
R 70 ml 579 C Augmentin Duo 400/
57
Co-amoxiclav 500mg/125mg tablets 21 439 K M
Co-amoxiclav 875mg/125mg tablets 14 1800 C Brown & Burk UK Ltd
Co-beneldopa 12.5mg/50mg S 100 440 L A
capsules
Co-beneldopa 12.5mg/50mg S 100 590 C Madopar
dispersible tablets sugar free
Co-beneldopa 25mg/100mg S 100 691 C Madopar
capsules
Co-beneldopa 25mg/100mg S 100 1045 C Madopar
dispersible tablets sugar free
Co-beneldopa 25mg/100mg S 100 1277 C Madopar CR
modified-release capsules
Co-beneldopa 50mg/200mg S 100 1178 C Madopar
capsules
Co-careldopa 10mg/100mg tablets 100 1398 A
Co-careldopa 12.5mg/50mg tablets 90 419 K M
Co-careldopa 25mg/100mg 60 1160 C Half Sinemet CR
modified-release tablets
Co-careldopa 25mg/100mg tablets 100 633 K M
Co-careldopa 25mg/250mg tablets 100 3511 L A
Co-careldopa 50mg/200mg 60 1160 C Sinemet CR
modified-release tablets
Co-codamol 12.8mg/500mg tablets 20 420 C Solpadeine Max
30 536 C Solpadeine Max
Co-codamol 15mg/500mg capsules 100 725 C Codipar
Co-codamol 15mg/500mg tablets 100 281 K M
Co-codamol 30mg/500mg capsules 100 397 L M
Co-codamol 30mg/500mg 32 304 K M
effervescent tablets
100 950 K M
Co-codamol 30mg/500mg tablets 30 121 K M
100 403 K M
Co-codamol 30mg/500mg/5ml oral 150 ml 1199 A
solution sugar free
Co-codamol 8mg/500mg capsules 32 889 A
100 2778 A
Co-codamol 8mg/500mg 32 293 K M
effervescent tablets
100 916 K M
Co-codamol 8mg/500mg tablets 30 111 K M
100 370 K M

278
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Drug Quantity Basic Price Category

Coconut oil 500 g 513 C J M Loveridge Ltd


Co-cyprindiol 2000microgram/ 63 1078 A
35microgram tablets
Co-danthramer 25mg/200mg/5ml 300 ml 24837 K A
oral suspension sugar free
Co-danthramer 75mg/1000mg/5ml 300 ml 50394 L A
oral suspension sugar free
Co-danthrusate 50mg/60mg/5ml 200 ml 25988 K C AAH
oral suspension sugar free Pharmaceuticals Ltd
Codeine 15mg tablets 28 80 L M
100 286 L M
Codeine 15mg/5ml linctus 200 ml 240 C Thornton & Ross Ltd
Codeine 15mg/5ml linctus sugar 200 ml 193 K A
free
Codeine 25mg/5ml oral solution 500 ml 664 A
Codeine 30mg tablets 28 106 L M
100 379 L M
Codeine 60mg tablets 28 191 K A
Co-dydramol 10mg/500mg tablets 30 272 L M
100 907 L M
Co-dydramol 20mg/500mg tablets 56 587 C Remedeine
112 1113 C Remedeine
Co-dydramol 30mg/500mg tablets 56 682 C Remedeine Forte
Co-flumactone 25mg/25mg tablets 100 2023 C Aldactide 25
Co-flumactone 50mg/50mg tablets 100 3823 C Aldactide 50
Colchicine 500microgram tablets 100 284 L M
Colecalciferol 1,000unit / Calcium 28 250 K C Calci-D
carbonate 2.5g chewable (2xS14)
tablets
Colecalciferol 1,000unit capsules 30 425 L M
Colecalciferol 1,000unit tablets 28 295 C Stexerol-D3
Colecalciferol 10,000unit capsules 20 999 C Alissa Healthcare
Research Ltd
Colecalciferol 10,000units/ml oral S 10 ml 585 C Thorens
drops sugar free
Colecalciferol 10,000units/ml oral S 2.5 ml 155 C Thorens
solution sugar free
10 ml 585 C Thorens
(4xS2.5)
Colecalciferol 15,000units/5ml oral S 100 ml 14400 A
solution
Colecalciferol 2,400units/ml oral S 10 ml 360 C InVita D3
drops sugar free
Colecalciferol 2,740units/ml oral S 25 ml 1070 C Fultium-D3
drops sugar free
Colecalciferol 20,000unit capsules 15 1704 C Fultium-D3
30 2900 C
Colecalciferol 200unit / Calcium 100 768 C Calcichew D3
carbonate 1.25g chewable
tablets
Colecalciferol 200unit / Calcium 112 295 C Adcal-D3
carbonate 750mg tablets

279
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Drug Quantity Basic Price Category

Colecalciferol 25,000unit capsules 3 395 C InVita D3


Colecalciferol 25,000unit tablets 12 1700 C Stexerol-D3
Colecalciferol 25,000units/1ml oral 3 445 C InVita D3
solution unit dose ampoules
sugar free
Colecalciferol 3,200unit capsules 30 1332 C Fultium-D3
Colecalciferol 4,000unit tablets 70 1590 C Desunin
Colecalciferol 40,000unit capsules 10 1500 C Plenachol
Colecalciferol 400unit / Calcium 60 424 C Calcichew D3 Forte
carbonate 1.25g chewable
tablets
Colecalciferol 400unit / Calcium 56 365 C Adcal-D3
carbonate 1.5g chewable
tablets
Colecalciferol 400unit / Calcium 56 599 C Adcal-D3 Dissolve
carbonate 1.5g effervescent (4xS14)
tablets
Colecalciferol 400unit / Calcium 60 295 C Accrete D3
carbonate 1.5g tablets
Colecalciferol 400unit capsules 28 185 C InVita D3
Colecalciferol 440unit / Calcium 30 406 C Cacit D3
carbonate 1.25g effervescent
granules sachets
Colecalciferol 5,600unit capsules 4 250 C InVita D3
Colecalciferol 50,000unit capsules 3 495 C InVita D3
Colecalciferol 50,000units/1ml oral 3 625 C InVita D3
solution unit dose ampoules
sugar free
Colecalciferol 800unit / Calcium 30 421 C Kalcipos-D
carbonate 1.25g chewable
tablets
Colecalciferol 800unit / Calcium 30 675 C Calcichew D3 Once
carbonate 2.5g chewable Daily
tablets
Colecalciferol 800unit / Calcium 30 432 C Calfovit D3
phosphate 3.1g oral powder
sachets
Colecalciferol 800unit capsules 30 360 C Fultium-D3
Colecalciferol 800unit tablets 30 501 A
Colecalciferol 880unit / Calcium 30 295 C
carbonate 2.5g chewable
tablets
Colesevelam 625mg tablets S 180 11532 C Cholestagel
Colestipol 5g granules sachets 30 1505 C Colestid
sugar free
Colestyramine 4g oral powder 50 1076 C Questran
sachets
Colestyramine 4g oral powder 50 5259 K A
sachets sugar free
Colistimethate 1,662,500unit 56 96880 C Colobreathe
inhalation powder capsules
Colistimethate 1million unit powder S 30 20400 C Promixin
for nebuliser solution unit dose
vials

280
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Drug Quantity Basic Price Category

Colistimethate 1million unit powder 10 1800 C Colomycin


for solution for injection vials
Colistimethate 2million unit powder 10 3240 C Colomycin
for solution for injection vials
Co-magaldrox 195mg/220mg/5ml 500 ml 299 C Mucogel
oral suspension sugar free
Co-magaldrox 200mg/175mg/5ml 250 ml 384 K C Maalox
oral suspension sugar free
Conjugated oestrogens 1.25mg 84 358 C Premarin
tablets
Conjugated oestrogens 84 652 C Premique Low Dose
300microgram /
Medroxyprogesterone 1.5mg
modified-release tablets
Conjugated oestrogens 84 607 C Premarin
300microgram tablets
Conjugated oestrogens 84 402 C Premarin
625microgram tablets
Co-simalcite 125mg/500mg/5ml 500 ml 600 C Altacite Plus
oral suspension sugar free
Co-tenidone 100mg/25mg tablets 28 143 K A
Co-tenidone 50mg/12.5mg tablets 28 117 K M
Co-trimoxazole 160mg/800mg 100 2361 L A
tablets
Co-trimoxazole 40mg/200mg/5ml S 100 ml 996 A
oral suspension sugar free
Co-trimoxazole 80mg/400mg 28 224 K M
tablets
Co-trimoxazole 80mg/400mg/5ml S 100 ml 1096 A
oral suspension
Co-trimoxazole 80mg/400mg/5ml 10 4715 C Aspen Pharma
solution for infusion ampoules Trading Ltd
Crotamiton 10% cream S 30 g 250 C Eurax
S 100 g 435 C Eurax
Cyanocobalamin 1mg tablets 30 999 C Orobalin
Cyanocobalamin 1mg/1ml solution 5 1729 C Cytamen
for injection ampoules
Cyanocobalamin 50microgram 50 1608 K M
tablets
Cyclizine 50mg tablets 100 387 L M
Cyclizine 50mg/1ml solution for 5 506 K M
injection ampoules
Cyclopentolate 0.5% eye drops S 5 ml 808 C Mydrilate
Cyclopentolate 0.5% eye drops 20 1198 C Minims
0.5ml unit dose preservative
free
Cyclopentolate 1% eye drops S 5 ml 808 C Mydrilate
Cyclopentolate 1% eye drops 0.5ml 20 1226 C Minims
unit dose preservative free
Cyclophosphamide 50mg tablets 100 13900 C Alliance Healthcare
(Distribution) Ltd
Cycloserine 250mg capsules S 100 44289 C Neon Healthcare Ltd
Cyproheptadine 4mg tablets 30 599 C Periactin

281
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Cyproterone 100mg tablets 84 11226 K A


Cyproterone 50mg tablets 56 5886 K A

Part VIIIA products D

Dabigatran etexilate 110mg 60 5100 C Pradaxa


capsules
Dabigatran etexilate 150mg 60 5100 C Pradaxa
capsules
Dabigatran etexilate 75mg capsules 60 5100 C Pradaxa
Dalteparin sodium 10,000units/ 5 2823 C Fragmin
0.4ml solution for injection pre-
filled syringes
Dalteparin sodium 10,000units/1ml 10 5122 C Fragmin
solution for injection ampoules
Dalteparin sodium 10,000units/1ml 5 2823 C Fragmin Graduated
solution for injection pre-filled Syringe
syringes
Dalteparin sodium 10,000units/4ml 10 5122 C Fragmin
solution for injection ampoules
Dalteparin sodium 100,000units/4ml S 1 4866 C Fragmin
solution for injection vials
Dalteparin sodium 12,500units/ 5 3529 C Fragmin
0.5ml solution for injection pre-
filled syringes
Dalteparin sodium 15,000units/ 5 4234 C Fragmin
0.6ml solution for injection pre-
filled syringes
Dalteparin sodium 18,000units/ 5 5082 C Fragmin
0.72ml solution for injection
pre-filled syringes
Dalteparin sodium 2,500units/0.2ml 10 1858 C Fragmin
solution for injection pre-filled
syringes
Dalteparin sodium 5,000units/0.2ml 10 2823 C Fragmin
solution for injection pre-filled
syringes
Dalteparin sodium 7,500units/0.3ml 10 4234 C Fragmin
solution for injection pre-filled
syringes
Dantrolene 100mg capsules 100 4307 C Dantrium
Dantrolene 25mg capsules 100 1687 C Dantrium
Dapagliflozin 10mg tablets 28 3659 C Forxiga
Dapagliflozin 5mg / Metformin 1g 56 3659 C Xigduo
tablets
Dapagliflozin 5mg / Metformin 56 3659 C Xigduo
850mg tablets
Dapagliflozin 5mg tablets 28 3659 C Forxiga
Dapoxetine 30mg tablets 3 1471 C Priligy
6 2648 C Priligy
Dapoxetine 60mg tablets 3 1912 C Priligy
6 3442 C Priligy
Dapsone 100mg tablets 28 3016 L A

282
Part VIIIA 04/2023
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Drug Quantity Basic Price Category

Dapsone 50mg tablets 28 727 K A


Darbepoetin alfa 100micrograms/ S 1 14681 C Aranesp SureClick
0.5ml solution for injection pre-
filled disposable devices
Darbepoetin alfa 100micrograms/ 4 58724 C Aranesp
0.5ml solution for injection pre-
filled syringes
Darbepoetin alfa 10micrograms/ 4 5872 C Aranesp
0.4ml solution for injection pre-
filled syringes
Darbepoetin alfa 130micrograms/ 4 76342 C Aranesp
0.65ml solution for injection
pre-filled syringes
Darbepoetin alfa 150micrograms/ S 1 22022 C Aranesp SureClick
0.3ml solution for injection pre-
filled disposable devices
Darbepoetin alfa 150micrograms/ 4 88086 C Aranesp
0.3ml solution for injection pre-
filled syringes
Darbepoetin alfa 20micrograms/ S 1 2936 C Aranesp SureClick
0.5ml solution for injection pre-
filled disposable devices
Darbepoetin alfa 20micrograms/ 4 11745 C Aranesp
0.5ml solution for injection pre-
filled syringes
Darbepoetin alfa 300micrograms/ S 1 44043 C Aranesp SureClick
0.6ml solution for injection pre-
filled disposable devices
Darbepoetin alfa 300micrograms/ S 1 44043 C Aranesp
0.6ml solution for injection pre-
filled syringes
Darbepoetin alfa 30micrograms/ 4 17617 C Aranesp
0.3ml solution for injection pre-
filled syringes
Darbepoetin alfa 40micrograms/ S 1 5872 C Aranesp SureClick
0.4ml solution for injection pre-
filled disposable devices
Darbepoetin alfa 40micrograms/ 4 23490 C Aranesp
0.4ml solution for injection pre-
filled syringes
Darbepoetin alfa 500micrograms/ S 1 73405 C Aranesp SureClick
1ml solution for injection pre-
filled disposable devices
Darbepoetin alfa 500micrograms/ S 1 73405 C Aranesp
1ml solution for injection pre-
filled syringes
Darbepoetin alfa 50micrograms/ 4 29362 C Aranesp
0.5ml solution for injection pre-
filled syringes
Darbepoetin alfa 60micrograms/ S 1 8809 C Aranesp SureClick
0.3ml solution for injection pre-
filled disposable devices
Darbepoetin alfa 60micrograms/ 4 35235 C Aranesp
0.3ml solution for injection pre-
filled syringes

283
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Darbepoetin alfa 80micrograms/ S 1 11745 C Aranesp SureClick


0.4ml solution for injection pre-
filled disposable devices
Darbepoetin alfa 80micrograms/ 4 46979 C Aranesp
0.4ml solution for injection pre-
filled syringes
Darifenacin 15mg modified-release 28 2548 C Emselex
tablets
Darifenacin 7.5mg modified-release 28 2548 C Emselex
tablets
Darunavir 800mg tablets 30 26802 A
Dasatinib 100mg tablets 30 250496 C Sprycel
Dasatinib 140mg tablets 30 250496 C Sprycel
Dasatinib 20mg tablets 60 125248 C Sprycel
Dasatinib 50mg tablets 60 250496 C Sprycel
Dasatinib 80mg tablets 30 250496 C Sprycel
Deferasirox 180mg tablets 30 25200 C
Deferasirox 360mg tablets 30 50400 C
Deferasirox 90mg tablets 30 12600 C
Deferiprone 100mg/ml oral solution 500 ml 15239 C Ferriprox
sugar free
Deferiprone 1g tablets 50 13000 C Ferriprox
Deferiprone 500mg tablets 100 13000 C Ferriprox
Deflazacort 6mg tablets 60 1582 C Calcort
Degarelix 120mg powder and 2 26000 C Firmagon
solvent for solution for injection
vials
Degarelix 80mg powder and solvent S 1 12937 C Firmagon
for solution for injection vials
Demeclocycline 150mg capsules 28 23841 C Advanz Pharma
Denosumab 120mg/1.7ml solution S 1 30986 C Xgeva
for injection vials
Denosumab 60mg/1ml solution for S 1 18300 C Prolia
injection pre-filled syringes
Dequalinium chloride 10mg vaginal 6 695 C Fluomizin
tablets
Desferrioxamine 500mg powder for 10 4663 C Desferal
solution for injection vials
Desloratadine 2.5mg/5ml oral 150 ml 2021 K A
solution sugar free
Desloratadine 5mg tablets 30 352 L M
Desmopressin 100microgram S 90 7934 K A
tablets
Desmopressin 10micrograms/dose S 60 dose 2947 L M
nasal spray
Desmopressin 120microgram oral 30 3034 C DesmoMelt
lyophilisates sugar free
100 10107 C DDAVP Melt
Desmopressin 15micrograms/1ml 10 19220 C Octim
solution for injection ampoules
Desmopressin 200microgram S 30 2381 L M
tablets

284
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Drug Quantity Basic Price Category

Desmopressin 240microgram oral 30 6068 C DesmoMelt


lyophilisates sugar free
Desmopressin 25microgram oral 30 1516 C Noqdirna
lyophilisates sugar free
Desmopressin 4micrograms/1ml 10 1316 C DDAVP
solution for injection ampoules
Desmopressin 50microgram oral 30 1516 C Noqdirna
lyophilisates sugar free
Desmopressin 60microgram oral 100 5053 C DDAVP Melt
lyophilisates sugar free
Desogestrel 75microgram tablets 84 313 K M
Dexamethasone (base) 3.3mg/1ml 10 2399 A
solution for injection ampoules
Dexamethasone (base) 3.8mg/1ml 10 1999 A
solution for injection vials
Dexamethasone (base) 6.6mg/2ml 10 2578 K A
solution for injection ampoules
Dexamethasone (base) 6.6mg/2ml 5 2400 C Pfizer Ltd
solution for injection vials
Dexamethasone 0.1% / Tobramycin S 5 ml 537 C Tobradex
0.3% eye drops
Dexamethasone 0.1% eye drops S 5 ml 142 C Maxidex
Dexamethasone 0.1% eye drops 20 1153 C Dropodex
0.4ml unit dose preservative
free
Dexamethasone 0.1% eye drops 20 1146 C Minims
0.5ml unit dose preservative
free
Dexamethasone 0.1% eye drops S 6 ml 975 C Eythalm
preservative free
Dexamethasone 10mg/5ml oral 150 ml 12464 L A
solution sugar free
Dexamethasone 1mg/ml / S 5 ml 830 C Ducressa
Levofloxacin 5mg/ml eye drops
Dexamethasone 20mg/5ml oral 50 ml 4200 C Synchrony Pharma
solution sugar free Ltd
Dexamethasone 2mg soluble 50 2998 K A
tablets sugar free
Dexamethasone 2mg tablets 50 362 K M
Dexamethasone 2mg/5ml oral 150 ml 4230 C Dexsol
solution sugar free
Dexamethasone 4mg soluble 50 6001 A
tablets sugar free
Dexamethasone 4mg tablets 50 11550 A
Dexamethasone 500microgram 28 293 L M
tablets
Dexamethasone 8mg soluble 50 11976 K A
tablets sugar free
Dexamfetamine 10mg tablets 30 3978 C Amfexa
Dexamfetamine 20mg tablets 30 7956 C Amfexa
Dexamfetamine 5mg tablets 28 3166 K A
Dexamfetamine 5mg/5ml oral 150 ml 15500 C Rosemont
solution sugar free Pharmaceuticals Ltd

285
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Drug Quantity Basic Price Category

Dexketoprofen 25mg tablets 50 918 C Keral


Dexpanthenol 5% ointment S 100 g 574 C Bepanthen Nappy
Care
Dextromethorphan 7.5mg/5ml oral 100 ml 229 C Robitussin Dry
solution sugar free Cough
250 ml 477 C Robitussin Dry
Cough
Diamorphine 100mg powder for 5 4240 A
solution for injection ampoules
Diamorphine 30mg powder for 5 1653 A
solution for injection ampoules
Diamorphine 500mg powder for 5 18771 A
solution for injection ampoules
Diamorphine 5mg powder for 5 1281 A
solution for injection ampoules
Diazepam 10mg tablets 28 90 L M
Diazepam 10mg/2.5ml rectal 5 878 C Accord Healthcare
solution tube Ltd
Diazepam 10mg/2ml solution for 10 650 A
injection ampoules
Diazepam 2mg tablets 28 79 K M
Diazepam 2mg/5ml oral solution 100 ml 6252 K A
sugar free
Diazepam 5mg tablets 28 84 K M
Diazepam 5mg/2.5ml rectal solution 5 585 C Desitin Pharma Ltd
tube
Diazoxide 50mg tablets 100 8649 C Eudemine
Dibrompropamidine 0.15% cream S 25 g 213 C Brulidine
Dibrompropamidine 0.15% eye S 5 g 444 C Golden Eye
ointment
Dichlorobenzyl alcohol 1.2mg / 24 290 C Strepsils Honey and
Amylmetacresol 600microgram Lemon
lozenges
Diclofenac 0.074% mouthwash 200 ml 1295 C Morningside
sugar free Healthcare Ltd
Diclofenac 0.1% eye drops S 5 ml 668 C Voltarol Ophtha
Multidose
Diclofenac 0.1% eye drops 0.3ml 5 400 C Voltarol Ophtha
unit dose preservative free
40 3200 C Voltarol Ophtha
Diclofenac 100mg suppositories 10 364 C Voltarol
Diclofenac 12.5mg suppositories 10 70 C Voltarol
Diclofenac 140mg medicated 2 599 C Voltarol
plasters
Diclofenac 25mg suppositories 10 124 C Voltarol
Diclofenac 50mg suppositories 10 204 C Voltarol
Diclofenac 75mg/1ml solution for 5 2400 C Akis
injection ampoules
Diclofenac 75mg/3ml solution for 10 991 C Voltarol I/M
injection ampoules
Diclofenac diethylammonium 1.16% S 100 g 463 C Voltarol Emulgel
gel

286
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Drug Quantity Basic Price Category

Diclofenac diethylammonium 2.32% S 30 g 461 C Voltarol 12 Hour


gel Emulgel P
S 50 g 659 C Voltarol 12 Hour
Emulgel P
S 100 g 1121 C Voltarol 12 Hour
Emulgel P
Diclofenac potassium 25mg tablets 28 386 C Accord Healthcare
Ltd
Diclofenac potassium 50mg tablets 28 741 A
Diclofenac sodium 1% gel S 100 g 487 K A
Diclofenac sodium 100mg modified- 28 820 C Diclomax Retard
release capsules
Diclofenac sodium 100mg modified- 28 1133 C Dicloflex Retard
release tablets
Diclofenac sodium 25mg gastro- 28 413 C Teva UK Ltd
resistant tablets
Diclofenac sodium 3% gel S 50 g 3830 C Solaraze
Diclofenac sodium 50mg gastro- 60 1198 C
resistant / Misoprostol
200microgram tablets
Diclofenac sodium 50mg gastro- 28 106 K M
resistant tablets
Diclofenac sodium 75mg gastro- 60 1583 C
resistant / Misoprostol
200microgram tablets
Diclofenac sodium 75mg gastro- 56 800 C Motifene 75mg
resistant modified-release
capsules
Diclofenac sodium 75mg modified- 56 1140 C Diclomax SR
release capsules
Diclofenac sodium 75mg modified- 56 1756 C Dicloflex
release tablets
Dicycloverine 10mg tablets 100 21228 L A
Dicycloverine 10mg/5ml oral 120 ml 17413 A
solution
Dicycloverine 20mg tablets 84 22661 A
Dienogest 2mg tablets 28 2050 C
Diethylamine salicylate 10% cream S 50 g 149 C Algesal
Diethylstilbestrol 1mg tablets 28 12211 L A
Digoxin 125microgram tablets 28 340 K M
Digoxin 250microgram tablets 28 263 K M
Digoxin 50micrograms/ml oral S 60 ml 535 C Lanoxin PG Elixir
solution
Digoxin 62.5microgram tablets 28 306 K M
Dihydrocodeine 120mg modified- 56 1095 C DHC Continus
release tablets
Dihydrocodeine 30mg tablets 28 215 K M
100 768 K M
Dihydrocodeine 60mg modified- 56 520 C DHC Continus
release tablets
Dihydrocodeine 90mg modified- 56 866 C DHC Continus
release tablets

287
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Drug Quantity Basic Price Category

Diltiazem 120mg modified-release 28 914 C Adizem-XL


capsules
56 945 C Adizem-SR
Diltiazem 120mg modified-release 56 715 C Tildiem Retard
tablets
Diltiazem 180mg modified-release 28 1037 C Adizem-XL
capsules
56 1415 C Adizem-SR
Diltiazem 200mg modified-release 28 629 C Tildiem LA 200
capsules
Diltiazem 240mg modified-release 28 1152 C Adizem-XL
capsules
Diltiazem 300mg modified-release 28 901 C Tildiem LA
capsules
Diltiazem 360mg modified-release 28 1385 C Viazem XL
capsules
Diltiazem 60mg modified-release 84 758 L M
tablets
Diltiazem 90mg modified-release 56 850 C Adizem-SR
capsules
Diltiazem 90mg modified-release 56 727 C Tildiem Retard
tablets
Dimethyl fumarate 120mg gastro- 90 19080 C Skilarence
resistant tablets
180 38160 C Skilarence
Dimethyl fumarate 30mg gastro- 42 8904 C Skilarence
resistant tablets
Dimeticone 10% / Cetrimide 0.3% S 50 g 465 C Siopel
cream
Dimeticone 4% cutaneous spray S 120 ml 1030 C Hedrin
Dimeticone 4% lotion S 50 ml 436 C Hedrin
S 150 ml 1000 C Hedrin
Diphenhydramine 10mg/5ml oral 150 ml 2600 C Histergan
solution
Diphenhydramine 25mg tablets 20 342 C Nytol
Diphenhydramine 50mg tablets 20 472 C Nytol One-A-Night
Diphtheria (low dose) / Tetanus / S 1 2000 C Repevax
Pertussis (acellular
component) / Poliomyelitis
(inactivated) vaccine
(adsorbed) suspension for
injection 0.5ml pre-filled
syringes
Diphtheria / Tetanus / Poliomyelitis S 1 780 C Revaxis
(inactivated) vaccine
(adsorbed) suspension for
injection 0.5ml pre-filled
syringes
Dipipanone 10mg / Cyclizine 30mg 50 44065 C Advanz Pharma
tablets
Dipyridamole 100mg tablets 84 3557 K A
Dipyridamole 200mg modified- S 60 1315 C Attia
release capsules

288
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Drug Quantity Basic Price Category

Dipyridamole 200mg/5ml oral 150 ml 8403 A


suspension sugar free
Dipyridamole 25mg tablets 84 987 K A
Dipyridamole 50mg/5ml oral 150 ml 13495 K A
suspension sugar free
Disopyramide 100mg capsules 84 2527 A
Disopyramide 150mg capsules 84 3155 A
Disopyramide 250mg modified- 60 3208 C Rythmodan Retard
release tablets
Disulfiram 200mg tablets 50 16603 L A
Docusate 100mg capsules 30 209 C Dioctyl
Docusate 100mg/5ml oral solution 300 ml 2977 C Lucis Pharma Ltd
sugar free
Docusate 12.5mg/5ml oral solution 300 ml 2443 K A
sugar free
Docusate 120mg/10g enema 6 2800 C Norgalax
Docusate 50mg/5ml oral solution 300 ml 1733 K M
sugar free
Docusate sodium 0.5% ear drops S 10 ml 195 C Waxsol
Dolutegravir 10mg tablets S 30 9975 C Tivicay
Dolutegravir 25mg tablets 30 24938 C Tivicay
Dolutegravir 50mg tablets 30 49875 C Tivicay
Domperidone 10mg tablets 30 75 K M
100 250 K M
Domperidone 1mg/ml oral 200 ml 6577 K A
suspension sugar free
Donepezil 10mg orodispersible 28 8800 K A
tablets sugar free
Donepezil 10mg tablets 28 142 K M
Donepezil 1mg/ml oral solution 150 ml 9700 C Rosemont
sugar free Pharmaceuticals Ltd
Donepezil 5mg orodispersible 28 3612 K A
tablets sugar free
Donepezil 5mg tablets 28 122 K M
Dornase alfa 2.5mg/2.5ml nebuliser 30 49643 C Pulmozyme
liquid ampoules
Dorzolamide 20mg/ml / Timolol S 5 ml 186 K M
5mg/ml eye drops
Dorzolamide 20mg/ml / Timolol 60 2095 L M
5mg/ml eye drops 0.2ml unit (12xS5)
dose preservative free
Dorzolamide 20mg/ml / Timolol S 5 ml 813 C Eylamdo
5mg/ml eye drops preservative
free
Dorzolamide 20mg/ml eye drops S 5 ml 416 L M
Dorzolamide 20mg/ml eye drops 60 2418 C Trusopt
0.2ml unit dose preservative (6xS10)
free
Dorzolamide 20mg/ml eye drops S 5 ml 708 C Eydelto
preservative free
Dosulepin 25mg capsules 28 616 K M
Dosulepin 75mg tablets 28 978 L M

289
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Doxazosin 1mg tablets 28 78 M


Doxazosin 2mg tablets 28 80 M
Doxazosin 4mg modified-release 28 500 C Cardura XL
tablets
Doxazosin 4mg tablets 28 92 K M
Doxazosin 8mg modified-release 28 998 C Cardura XL
tablets
Doxazosin 8mg tablets 28 948 A
Doxepin 10mg capsules 28 8150 A
Doxepin 25mg capsules 28 9700 A
Doxepin 5% cream S 30 g 1366 C Xepin
Doxepin 50mg capsules 28 15400 A
Doxycycline 100mg capsules 8 70 L M
Doxycycline 100mg dispersible 8 491 C Vibramycin-D
tablets sugar free
Doxycycline 20mg tablets 56 1730 C Periostat
Doxycycline 40mg modified-release 14 799 C Efracea
capsules
Doxycycline 50mg capsules 28 145 A
Doxylamine 10mg / Pyridoxine 20 2850 C Xonvea
10mg gastro-resistant tablets
Dronabinol 2.7mg/dose / 270 dose 30000 C Sativex
Cannabidiol 2.5mg/dose (3xS90)
oromucosal spray
Dronedarone 400mg tablets 20 2250 C Multaq
Dulaglutide 0.75mg/0.5ml solution 4 7325 C Trulicity
for injection pre-filled
disposable devices
Dulaglutide 1.5mg/0.5ml solution for 4 7325 C Trulicity
injection pre-filled disposable
devices
Dulaglutide 3mg/0.5ml solution for 4 7325 C Trulicity
injection pre-filled disposable
devices
Dulaglutide 4.5mg/0.5ml solution for 4 7325 C Trulicity
injection pre-filled disposable
devices
Duloxetine 120mg gastro-resistant 28 1754 L A
capsules
Duloxetine 20mg gastro-resistant 28 218 L M
capsules
Duloxetine 30mg gastro-resistant 28 272 K M
capsules
Duloxetine 40mg gastro-resistant 56 365 L M
capsules
Duloxetine 60mg gastro-resistant 28 363 K M
capsules
Duloxetine 90mg gastro-resistant 28 1431 K A
capsules
Dutasteride 500microgram capsules 30 255 K M

Part VIIIA products E

290
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Drug Quantity Basic Price Category

Econazole 1% cream S 30 g 378 C


Econazole 150mg pessaries S 3 417 C Gyno-Pevaryl
Edoxaban 15mg tablets 10 1750 C Lixiana
Edoxaban 30mg tablets 28 4900 C Lixiana
Edoxaban 60mg tablets 28 4900 C Lixiana
Eflornithine 11.5% cream S 60 g 5687 C Vaniqa
Eicosapentaenoic acid 460mg / 28 1424 C Omacor
Docosahexaenoic acid 380mg
capsules
Eletriptan 20mg tablets 6 2250 C Relpax
Eletriptan 40mg tablets 6 2250 C Relpax
Eltrombopag 25mg tablets 28 77000 C Revolade
Eltrombopag 50mg tablets 28 154000 C Revolade
Eltrombopag 75mg tablets 28 231000 C Revolade
Empagliflozin 10mg / Linagliptin 28 5588 C Glyxambi
5mg tablets
Empagliflozin 10mg tablets 28 3659 C Jardiance
Empagliflozin 12.5mg / Metformin 56 3659 C Synjardy
1g tablets
Empagliflozin 12.5mg / Metformin 56 3659 C Synjardy
850mg tablets
Empagliflozin 25mg / Linagliptin 28 5588 C Glyxambi
5mg tablets
Empagliflozin 25mg tablets 28 3659 C Jardiance
Empagliflozin 5mg / Metformin 1g 56 3659 C Synjardy
tablets
Empagliflozin 5mg / Metformin 56 3659 C Synjardy
850mg tablets
Emtricitabine 200mg / Tenofovir 30 35573 C Truvada
245mg tablets
Emtricitabine 200mg / Tenofovir S 30 35573 C Descovy
alafenamide 10mg tablets
Emtricitabine 200mg / Tenofovir S 30 35573 C Descovy
alafenamide 25mg tablets
Enalapril 10mg tablets 28 105 L M
Enalapril 2.5mg tablets 28 669 L M
Enalapril 20mg / 28 2285 K A
Hydrochlorothiazide 12.5mg
tablets
Enalapril 20mg tablets 28 111 L M
Enalapril 5mg tablets 28 99 L M
Enoxaparin sodium 100mg/1ml 10 7230 C
solution for injection pre-filled
syringes
Enoxaparin sodium 120mg/0.8ml 10 8793 C
solution for injection pre-filled
syringes
Enoxaparin sodium 150mg/1ml 10 9991 C
solution for injection pre-filled
syringes

291
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Enoxaparin sodium 20mg/0.2ml 10 2086 C


solution for injection pre-filled
syringes
Enoxaparin sodium 300mg/3ml S 1 2133 C Clexane
solution for injection vials
Enoxaparin sodium 40mg/0.4ml 10 3027 C
solution for injection pre-filled
syringes
Enoxaparin sodium 60mg/0.6ml 10 3926 C
solution for injection pre-filled
syringes
Enoxaparin sodium 80mg/0.8ml 10 5513 C
solution for injection pre-filled
syringes
Entacapone 200mg tablets 30 632 K A
Entecavir 1mg tablets 30 36326 C Baraclude
Entecavir 500microgram tablets 30 36326 C Baraclude
Entecavir 50micrograms/ml oral 210 ml 42380 C Baraclude
solution sugar free
Enzalutamide 40mg tablets 112 273467 C Xtandi
Ephedrine 30mg/10ml solution for S 1 950 C Aguettant Ltd
injection pre-filled syringes
Ephedrine 30mg/1ml solution for 10 18062 K A
injection ampoules
Ephedrine hydrochloride 15mg / 10 1651 C Haymine
Chlorphenamine 10mg tablets
Ephedrine hydrochloride 15mg 28 12083 L A
tablets
Ephedrine hydrochloride 30mg 28 17788 L A
tablets
Epinastine 500micrograms/ml eye S 5 ml 990 C Relestat
drops
Eplerenone 25mg tablets 28 314 L M
Eplerenone 50mg tablets 28 405 L M
Epoetin alfa 1,000units/0.5ml 6 3318 C Eprex
solution for injection pre-filled
syringes
Epoetin alfa 10,000units/1ml 6 33185 C Eprex
solution for injection pre-filled
syringes
Epoetin alfa 2,000units/0.5ml 6 6637 C Eprex
solution for injection pre-filled
syringes
Epoetin alfa 20,000units/0.5ml S 1 11062 C Eprex
solution for injection pre-filled
syringes
Epoetin alfa 3,000units/0.3ml 6 9955 C Eprex
solution for injection pre-filled
syringes
Epoetin alfa 30,000units/0.75ml S 1 19911 C Eprex
solution for injection pre-filled
syringes

292
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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Epoetin alfa 4,000units/0.4ml 6 13274 C Eprex


solution for injection pre-filled
syringes
Epoetin alfa 40,000units/1ml S 1 26548 C Eprex
solution for injection pre-filled
syringes
Epoetin alfa 5,000units/0.5ml 6 16592 C Eprex
solution for injection pre-filled
syringes
Epoetin alfa 6,000units/0.6ml 6 19911 C Eprex
solution for injection pre-filled
syringes
Epoetin alfa 8,000units/0.8ml 6 26548 C Eprex
solution for injection pre-filled
syringes
Epoetin beta 10,000units/0.6ml 6 42085 C NeoRecormon
solution for injection pre-filled
syringes
Epoetin beta 2,000units/0.3ml 6 8417 C NeoRecormon
solution for injection pre-filled
syringes
Epoetin beta 20,000units/0.6ml 6 84171 C NeoRecormon
solution for injection pre-filled
syringes
Epoetin beta 3,000units/0.3ml 6 12625 C NeoRecormon
solution for injection pre-filled
syringes
Epoetin beta 30,000units/0.6ml 4 84171 C NeoRecormon
solution for injection pre-filled
syringes
Epoetin beta 4,000units/0.3ml 6 16834 C NeoRecormon
solution for injection pre-filled
syringes
Epoetin beta 5,000units/0.3ml 6 21042 C NeoRecormon
solution for injection pre-filled
syringes
Epoetin beta 500units/0.3ml 6 2105 C NeoRecormon
solution for injection pre-filled
syringes
Epoetin beta 6,000units/0.3ml 6 25250 C NeoRecormon
solution for injection pre-filled
syringes
Epoetin zeta 1,000units/0.3ml 6 2885 C Retacrit
solution for injection pre-filled
syringes
Epoetin zeta 10,000units/1ml 6 28848 C Retacrit
solution for injection pre-filled
syringes
Epoetin zeta 2,000units/0.6ml 6 5770 C Retacrit
solution for injection pre-filled
syringes
Epoetin zeta 20,000units/0.5ml S 1 9616 C Retacrit
solution for injection pre-filled
syringes

293
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Drug Quantity Basic Price Category

Epoetin zeta 3,000units/0.9ml 6 8655 C Retacrit


solution for injection pre-filled
syringes
Epoetin zeta 30,000units/0.75ml S 1 14425 C Retacrit
solution for injection pre-filled
syringes
Epoetin zeta 4,000units/0.4ml 6 11540 C Retacrit
solution for injection pre-filled
syringes
Epoetin zeta 40,000units/1ml S 1 19332 C Retacrit
solution for injection pre-filled
syringes
Epoetin zeta 5,000units/0.5ml 6 14425 C Retacrit
solution for injection pre-filled
syringes
Epoetin zeta 6,000units/0.6ml 6 17309 C Retacrit
solution for injection pre-filled
syringes
Epoetin zeta 8,000units/0.8ml 6 23079 C Retacrit
solution for injection pre-filled
syringes
Eprosartan 400mg tablets 56 2339 A
Eprosartan 600mg tablets 28 1431 C Teveten
Erdosteine 300mg capsules 20 500 C Erdotin
Erenumab 70mg/1ml solution for S 1 38650 C Aimovig
injection pre-filled disposable
devices
Ergocalciferol 300,000units/1ml 10 9351 A
solution for injection ampoules
Ertapenem 1g powder for solution S 1 3165 C Invanz
for infusion vials
Ertugliflozin 15mg tablets 28 2940 C Steglatro
Ertugliflozin 5mg tablets 28 2940 C Steglatro
Erythromycin 250mg gastro- 28 187 K M
resistant tablets
Erythromycin 40mg/ml / Zinc S 30 ml 925 C Zineryt
acetate 12mg/ml lotion
S 90 ml 2002 C Zineryt
Erythromycin ethyl succinate R 100 ml 590 L A
125mg/5ml oral suspension
Erythromycin ethyl succinate R 100 ml 641 A
125mg/5ml oral suspension
sugar free
Erythromycin ethyl succinate R 100 ml 1026 L A
250mg/5ml oral suspension
Erythromycin ethyl succinate R 100 ml 1641 A
250mg/5ml oral suspension
sugar free
Erythromycin ethyl succinate 28 1595 C Dawa Ltd
500mg tablets
Erythromycin ethyl succinate R 100 ml 1966 K A
500mg/5ml oral suspension

294
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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Erythromycin ethyl succinate R 140 ml 1056 C Erythroped Forte


500mg/5ml oral suspension
sugar free
Erythromycin stearate 250mg 100 1820 C Erythrocin
tablets
Erythromycin stearate 500mg 100 3640 C Erythrocin 500
tablets
Escitalopram 10mg tablets 28 152 K M
Escitalopram 20mg tablets 28 156 K M
Escitalopram 20mg/ml oral drops S 15 ml 2016 C Cipralex
sugar free
Escitalopram 5mg tablets 28 113 L M
Eslicarbazepine 200mg tablets 60 6800 C Zebinix
Eslicarbazepine 50mg/1ml oral 200 ml 5667 C Zebinix
suspension sugar free
Eslicarbazepine 800mg tablets 30 13600 A
Esomeprazole 10mg gastro- 28 2519 C Nexium
resistant granules sachets
Esomeprazole 20mg gastro- 28 174 L M
resistant capsules
Esomeprazole 20mg gastro- 28 566 L M
resistant tablets
Esomeprazole 40mg gastro- 28 195 L M
resistant capsules
Esomeprazole 40mg gastro- 28 589 L M
resistant tablets
Estradiol 0.06% gel (750microgram S 80 g 617 K C Oestrogel
per actuation)
Estradiol 1.53mg/dose transdermal S 56 dose 690 C Lenzetto
spray
168 dose 2070 C Lenzetto
(3xS56)
Estradiol 1.5mg / Nomegestrol 84 1980 C Zoely
2.5mg tablets
Estradiol 100micrograms/24hours 4 728 C FemSeven 100
transdermal patches
8 428 C Evorel 100
12 2070 C Progynova TS
24 1999 C Estraderm MX 100
Estradiol 10microgram pessaries S 24 1112 L M
Estradiol 1mg / Dydrogesterone 84 2443 C Femoston-conti
5mg tablets
Estradiol 1mg / Norethisterone 84 1320 C Kliovance
acetate 500microgram tablets (3xS28)
Estradiol 1mg / Progesterone 28 814 C Bijuve
100mg capsules
Estradiol 1mg gel sachets 28 585 C Sandrena
Estradiol 1mg tablets 84 506 C Elleste Solo
Estradiol 25micrograms/24hours 8 342 C Evorel 25
transdermal patches
24 1646 C Estraderm MX 25
Estradiol 2mg / Norethisterone 84 1702 C Elleste Duet Conti
acetate 1mg tablets

295
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Estradiol 2mg tablets 84 506 C Elleste Solo


Estradiol 37.5micrograms/24hours 8 600 C Estradot
transdermal patches
Estradiol 500microgram gel sachets 28 508 C Sandrena
Estradiol 500micrograms / 84 2443 C Femoston-conti
Dydrogesterone 2.5mg tablets
Estradiol 50micrograms/24hours / 4 1548 C FemSeven Conti
Levonorgestrel 7micrograms/
24hours transdermal patches
12 4412 C FemSeven Conti
Estradiol 50micrograms/24hours / 24 3722 C Evorel Conti
Norethisterone
170micrograms/24hours
transdermal patches
Estradiol 50micrograms/24hours 4 604 C FemSeven 50
transdermal patches
8 388 C Evorel 50
12 1802 C FemSeven 50
24 1166 C Evorel 50
Estradiol 7.5micrograms/24hours S 1 3142 C Estring
vaginal delivery system
Estradiol 75micrograms/24hours 8 412 C Evorel 75
transdermal patches
Estradiol valerate 1mg / 84 2058 C Indivina
Medroxyprogesterone 2.5mg
tablets
Estradiol valerate 1mg / 84 2058 C Indivina
Medroxyprogesterone 5mg
tablets
Estradiol valerate 1mg tablets 84 730 C Progynova
Estradiol valerate 2mg / 84 2058 C Indivina
Medroxyprogesterone 5mg
tablets
Estradiol valerate 2mg tablets 84 730 C Progynova
Estramustine 140mg capsules 100 17128 C Estracyt
Estriol 0.01% cream with applicator S 1 2500 A
Estriol 0.1% cream S 15 g 445 C Ovestin
Estriol 30microgram pessaries 24 1338 C Imvaggis
Estriol 50micrograms/g vaginal gel S 30 g 1890 C Blissel
with applicator
Etanercept 25mg/0.5ml solution for 4 35750 C Enbrel
injection pre-filled syringes
Etanercept 50mg/1ml solution for 4 71500 C
injection pre-filled disposable
devices
Etanercept 50mg/1ml solution for 4 71500 C Enbrel
injection pre-filled syringes
Ethambutol 100mg tablets 56 1151 A
Ethambutol 400mg tablets 56 4274 A
Ethanol 90% including duty 100 ml 1626 C J M Loveridge Ltd
Ethinylestradiol 2.7mg / 3 2970 C NuvaRing
Etonogestrel 11.7mg vaginal
delivery system

296
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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Ethinylestradiol 20microgram / 63 598 C Gedarel


Desogestrel 150microgram
tablets
Ethinylestradiol 20microgram / 84 1470 C Eloine
Drospirenone 3mg tablets
Ethinylestradiol 20microgram / 63 885 C Femodette
Gestodene 75microgram
tablets
Ethinylestradiol 30microgram / 63 493 C Gedarel
Desogestrel 150microgram
tablets
Ethinylestradiol 30microgram / 63 1470 C Yasmin
Drospirenone 3mg tablets
Ethinylestradiol 30microgram / 63 673 C Femodene
Gestodene 75microgram
tablets
Ethinylestradiol 30microgram / 63 282 C
Levonorgestrel 150microgram
tablets
Ethinylestradiol 33.9micrograms/ 9 1951 C Evra
24hours / Norelgestromin
203micrograms/24hours
transdermal patches
Ethinylestradiol 35microgram / 63 228 C Norimin
Norethisterone 1mg tablets
Ethinylestradiol 35microgram / 63 199 C Brevinor
Norethisterone 500microgram
tablets
Ethinylestradiol 35microgram / 63 465 C Cilique
Norgestimate 250microgram
tablets
Ethosuximide 250mg capsules 56 21067 L A
Ethosuximide 250mg/5ml oral 200 ml 17300 A
solution
Ethosuximide 250mg/5ml oral 250 ml 23266 L A
solution sugar free (2xS125)
Etodolac 600mg modified-release 30 1550 C Lodine SR
tablets
Etonogestrel 68mg implant S 1 8343 C Nexplanon
Etoricoxib 120mg tablets 28 2084 K A
Etoricoxib 30mg tablets 28 229 L M
Etoricoxib 60mg tablets 28 226 L M
Etoricoxib 90mg tablets 28 239 L M
Eucalyptus oil liquid 500 ml 1885 C J M Loveridge Ltd
Evolocumab 140mg/1ml solution for 2 34020 C Repatha SureClick
injection pre-filled disposable
devices
Exemestane 25mg tablets 30 1240 L M
Exenatide 10micrograms/0.04ml S 1 8189 C Byetta
solution for injection 2.4ml pre-
filled disposable devices

297
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Drug Quantity Basic Price Category

Exenatide 2mg/0.85ml prolonged- 4 7336 C Bydureon BCise


release suspension for
injection pre-filled disposable
devices
Exenatide 5micrograms/0.02ml S 1 8189 C Byetta
solution for injection 1.2ml pre-
filled disposable devices
Ezetimibe 10mg tablets 28 184 K M

Part VIIIA products F

Famciclovir 125mg tablets 10 5345 C Famvir


Famciclovir 250mg tablets 21 21823 L A
Famciclovir 500mg tablets 14 41812 K A
Famotidine 20mg tablets 28 2180 L M
Famotidine 40mg tablets 28 3417 L M
Febuxostat 120mg tablets 28 2436 C Adenuric
Febuxostat 80mg tablets 28 328 K M
Felodipine 10mg modified-release 28 481 C Cardioplen XL
tablets
Felodipine 2.5mg modified-release / 28 2455 C Triapin
Ramipril 2.5mg tablets
Felodipine 2.5mg modified-release 28 568 C Cardioplen XL
tablets
Felodipine 5mg modified-release 28 387 C Cardioplen XL
tablets
Fenofibrate 145mg / Simvastatin 30 771 C Cholib
20mg tablets
Fenofibrate 145mg / Simvastatin 30 833 C Cholib
40mg tablets
Fenofibrate micronised 160mg 28 359 K M
tablets
Fenofibrate micronised 200mg 28 299 L M
capsules
Fenofibrate micronised 267mg 28 354 L M
capsules
Fenofibrate micronised 67mg 90 2323 A
capsules
Fentanyl 1.2mg lozenges 3 2105 C Actiq
30 21041 C Actiq
Fentanyl 1.6mg lozenges 3 2105 C Actiq
30 21041 C Actiq
Fentanyl 100microgram buccal 28 13972 C Effentora
tablets sugar free
Fentanyl 100microgram sublingual 10 4999 C Abstral
tablets sugar free
Fentanyl 100micrograms/2ml 10 1493 K A
solution for injection ampoules
Fentanyl 100micrograms/dose 6 dose 3570 C Instanyl
nasal spray (6xS1)
S 8 dose 3648 C PecFent
32 dose 14592 C PecFent
(4xS8)

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Drug Quantity Basic Price Category

Fentanyl 100micrograms/hour 5 5786 C


transdermal patches
Fentanyl 12micrograms/hour 5 1259 C
transdermal patches
Fentanyl 200microgram buccal 28 13972 C Effentora
tablets sugar free
Fentanyl 200microgram lozenges 3 2105 C Actiq
30 21041 C Actiq
Fentanyl 200microgram sublingual 10 4999 C Abstral
tablets sugar free
Fentanyl 25micrograms/hour 5 1799 C
transdermal patches
Fentanyl 300microgram sublingual 10 4999 C Abstral
tablets sugar free
Fentanyl 37.5microgram/hour 5 1546 C Mezolar Matrix
transdermal patches
Fentanyl 400microgram buccal 28 13972 C Effentora
tablets sugar free
Fentanyl 400microgram lozenges 3 2105 C Actiq
30 21041 C Actiq
Fentanyl 400microgram sublingual 10 4999 C Abstral
tablets sugar free
Fentanyl 400micrograms/dose S 8 dose 3648 C PecFent
nasal spray
32 dose 14592 C PecFent
(4xS8)
Fentanyl 500micrograms/10ml 5 653 C Sublimaze
solution for injection ampoules
Fentanyl 50micrograms/hour 5 3366 C
transdermal patches
Fentanyl 600microgram buccal 28 13972 C Effentora
tablets sugar free
Fentanyl 600microgram lozenges 3 2105 C Actiq
30 21041 C Actiq
Fentanyl 600microgram sublingual 30 14970 C Abstral
tablets sugar free
Fentanyl 75micrograms/hour 5 4699 C
transdermal patches
Fentanyl 800microgram buccal 28 13972 C Effentora
tablets sugar free
Fentanyl 800microgram lozenges 3 2105 C Actiq
30 21041 C Actiq
Fentanyl 800microgram sublingual 30 14970 C Abstral
tablets sugar free
Ferric chloride solution 500 ml 656 C J M Loveridge Ltd
Ferric maltol (iron 30mg) capsules 56 4760 C Feraccru
Ferrous fumarate 140mg/5ml oral 200 ml 392 C Advanz Pharma
solution
Ferrous fumarate 140mg/5ml oral 300 ml 533 C Galfer Syrup
solution sugar free
Ferrous fumarate 210mg tablets 84 399 C Advanz Pharma
Ferrous fumarate 305mg capsules 100 500 C Galfer

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Drug Quantity Basic Price Category

Ferrous fumarate 322mg / Folic acid 28 125 C Pregaday


350microgram tablets
Ferrous fumarate 322mg tablets 28 100 C Advanz Pharma
Ferrous gluconate 300mg tablets 28 102 K M
Ferrous sulfate 125mg/ml oral drops S 15 ml 3000 C Ironorm
sugar free
Ferrous sulfate 200mg tablets 28 151 L M
Ferrous sulfate 325mg / Folic acid 30 264 C Ferrograd Folic
350microgram modified-
release tablets
Ferrous sulfate 325mg modified- 30 258 C Ferrograd
release tablets
Fesoterodine 4mg modified-release 28 446 L M
tablets
Fesoterodine 8mg modified-release 28 467 L M
tablets
Fexofenadine 120mg tablets 30 149 L M
Fexofenadine 180mg tablets 30 207 K M
Fexofenadine 30mg tablets 60 546 C Telfast 30
Fidaxomicin 200mg tablets 20 135000 C Dificlir
Fidaxomicin 40mg/ml oral R 110 ml 135000 C Dificlir
suspension sugar free
Filgrastim 30million units/0.5ml 5 25075 C Zarzio
solution for injection pre-filled
syringes
Filgrastim 30million units/1ml 5 26352 C Neupogen
solution for injection vials
Filgrastim 48million units/0.5ml 5 39950 C Zarzio
solution for injection pre-filled
syringes
Finasteride 5mg tablets 28 309 K M
Finerenone 10mg tablets 28 3668 C Kerendia
Finerenone 20mg tablets 28 3668 C Kerendia
Fingolimod 500microgram capsules 28 147000 C Gilenya
Flavoxate 200mg tablets 90 1167 C Urispas 200
Flecainide 100mg tablets 60 356 L M
Flecainide 50mg tablets 60 261 K M
Flucloxacillin 125mg/5ml oral R 100 ml 219 K M
solution
Flucloxacillin 125mg/5ml oral R 100 ml 409 L A
solution sugar free
Flucloxacillin 1g powder for solution 10 3450 C Bowmed Ibisqus Ltd
for injection vials
Flucloxacillin 250mg capsules 28 181 K M
Flucloxacillin 250mg powder for 10 860 C Bowmed Ibisqus Ltd
solution for injection vials
Flucloxacillin 250mg/5ml oral R 100 ml 327 K M
solution
Flucloxacillin 250mg/5ml oral R 100 ml 246 L M
solution sugar free
Flucloxacillin 2g powder for solution S 1 600 C Bowmed Ibisqus Ltd
for injection vials

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Drug Quantity Basic Price Category

Flucloxacillin 500mg capsules 28 295 K M


Flucloxacillin 500mg powder for 10 1720 C Bowmed Ibisqus Ltd
solution for injection vials
Fluconazole 150mg capsule and S 1 991 L C Canesten Oral &
Clotrimazole 2% cream Cream Duo
Fluconazole 150mg capsules S 1 77 M
Fluconazole 200mg capsules 7 401 L A
Fluconazole 200mg/100ml solution S 1 2928 C Advanz Pharma
for infusion vials
Fluconazole 200mg/5ml oral R 35 ml 6642 C Diflucan
suspension
Fluconazole 50mg capsules 7 105 L M
Fluconazole 50mg/25ml solution for S 1 2000 C Advanz Pharma
infusion vials
Fluconazole 50mg/5ml oral R 35 ml 2841 A
suspension
Fludrocortisone 100microgram 30 695 L M
tablets
Fludroxycortide 0.0125% cream S 60 g 599 A
Fludroxycortide 4micrograms/ S 20 1911 A
square cm tape 7.5cm
S 50 2895 A
Flumetasone 0.02% / Clioquinol 1% S 7.5 ml 1134 C Advanz Pharma
ear drops
S 10 ml 1513 C Advanz Pharma
Fluocinolone acetonide 0.00625% S 50 g 484 C Synalar 1 in 4
cream Dilution
Fluocinolone acetonide 0.00625% S 50 g 484 C Synalar 1 in 4
ointment Dilution
Fluocinolone acetonide 0.025% S 30 g 414 C Synalar
cream
S 100 g 1175 C Synalar
Fluocinolone acetonide 0.025% gel S 30 g 556 C Synalar
S 60 g 1002 C Synalar
Fluocinolone acetonide 0.025% S 30 g 414 C Synalar
ointment
S 100 g 1175 C Synalar
Fluocinonide 0.05% cream S 25 g 396 C Metosyn FAPG
S 100 g 1334 C Metosyn FAPG
Fluocinonide 0.05% ointment S 25 g 350 C Metosyn
S 100 g 1315 C Metosyn
Fluorescein 1% eye drops 0.5ml 20 971 C Minims
unit dose preservative free
Fluorescein 2% eye drops 0.5ml 20 990 C Minims
unit dose preservative free
Fluorometholone 0.1% eye drops S 5 ml 171 C FML Liquifilm
S 10 ml 295 C FML Liquifilm
Fluorouracil 0.5% / Salicylic acid S 25 ml 3830 C Actikerall
10% cutaneous solution
Fluorouracil 5% cream S 40 g 3290 C Efudix
Fluoxetine 10mg capsules 30 2414 L M
Fluoxetine 20mg capsules 30 141 K M

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Drug Quantity Basic Price Category

Fluoxetine 20mg dispersible tablets 28 344 C Olena


sugar free
Fluoxetine 20mg/5ml oral solution S 70 ml 867 K M
Fluoxetine 20mg/5ml oral solution S 70 ml 1295 C Prozep
sugar free
Fluoxetine 30mg capsules 30 322 K A
Fluoxetine 40mg capsules 30 250 C Medreich Plc
Fluoxetine 60mg capsules 30 215 L M
Flupentixol 100mg/1ml solution for 10 6251 C Depixol Conc
injection ampoules
Flupentixol 1mg tablets 60 486 C Fluanxol
Flupentixol 200mg/1ml solution for 5 9759 C
injection ampoules
Flupentixol 20mg/1ml solution for 10 1517 C
injection ampoules
Flupentixol 3mg tablets 100 1392 C Depixol
Flupentixol 40mg/2ml solution for 10 2539 C
injection ampoules
Flupentixol 500microgram tablets 60 288 C Fluanxol
Flupentixol 50mg/0.5ml solution for 10 3412 C Psytixol
injection ampoules
Flurbiprofen 0.03% eye drops 0.4ml S 40 3715 C Ocufen
unit dose preservative free
Flurbiprofen 100mg tablets 100 10958 K A
Flurbiprofen 50mg tablets 100 6379 K A
Flurbiprofen 8.75mg lozenges 16 342 C Strefen
Flutamide 250mg tablets 84 14528 K A
Fluticasone 0.005% ointment S 30 g 424 C Cutivate
Fluticasone 0.05% cream S 30 g 424 C Aspire Pharma Ltd
Fluticasone 125micrograms/dose / S 120 dose 2800 C Flutiform
Formoterol 5micrograms/dose
inhaler CFC free
Fluticasone 125micrograms/dose / S 120 dose 2345 C Seretide 125
Salmeterol 25micrograms/dose Evohaler
inhaler CFC free
Fluticasone 125micrograms/dose S 120 dose 2126 C Flixotide Evohaler
inhaler CFC free
Fluticasone 250micrograms/dose / S 120 dose 4556 C Flutiform
Formoterol 10micrograms/
dose inhaler CFC free
Fluticasone 250micrograms/dose / S 120 dose 2932 C Seretide 250
Salmeterol 25micrograms/dose Evohaler
inhaler CFC free
Fluticasone 250micrograms/dose S 120 dose 3614 C Flixotide Evohaler
inhaler CFC free
Fluticasone 2mg/2ml nebuliser 10 3735 C Flixotide
liquid unit dose vials
Fluticasone 400microgram/unit 28 1299 C Flixonase
dose nasal drops (4xS7)
Fluticasone 500micrograms/2ml 10 934 C Flixotide
nebuliser liquid unit dose vials

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Drug Quantity Basic Price Category

Fluticasone 50micrograms/dose / S 120 dose 1440 C Flutiform


Formoterol 5micrograms/dose
inhaler CFC free
Fluticasone 50micrograms/dose / S 120 dose 1746 C Seretide 50 Evohaler
Salmeterol 25micrograms/dose
inhaler CFC free
Fluticasone 50micrograms/dose S 120 dose 653 C Flixotide Evohaler
inhaler CFC free
Fluticasone furoate 184micrograms/ S 30 dose 2950 C Relvar Ellipta
dose / Vilanterol
22micrograms/dose dry
powder inhaler
Fluticasone furoate S 120 dose 644 C Avamys
27.5micrograms/dose nasal
spray
Fluticasone furoate 92micrograms/ S 30 dose 2200 C Relvar Ellipta
dose / Vilanterol
22micrograms/dose dry
powder inhaler
Fluticasone propionate S 60 dose 2397 C Seffalair Spiromax
100micrograms/dose /
Salmeterol 12.75micrograms/
dose dry powder inhaler
Fluticasone propionate S 60 dose 1746 C Seretide 100
100micrograms/dose / Accuhaler
Salmeterol 50micrograms/dose
dry powder inhaler
Fluticasone propionate S 60 dose 402 C Flixotide Accuhaler
100micrograms/dose dry
powder inhaler
Fluticasone propionate S 60 dose 2397 C Seffalair Spiromax
202micrograms/dose /
Salmeterol 12.75micrograms/
dose dry powder inhaler
Fluticasone propionate S 60 dose 3395 C
250micrograms/dose /
Salmeterol 50micrograms/dose
dry powder inhaler
Fluticasone propionate S 60 dose 423 C Flixotide Accuhaler
250micrograms/dose dry
powder inhaler
Fluticasone propionate S 60 dose 3274 C Seretide 500
500micrograms/dose / Accuhaler
Salmeterol 50micrograms/dose
dry powder inhaler
Fluticasone propionate S 60 dose 473 C Flixotide Accuhaler
500micrograms/dose dry
powder inhaler
Fluticasone propionate S 120 dose 1480 C Dymista
50micrograms/dose /
Azelastine 137micrograms/
dose nasal spray
Fluticasone propionate S 60 dose 400 C Flixotide Accuhaler
50micrograms/dose dry
powder inhaler

303
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Drug Quantity Basic Price Category

Fluticasone propionate S 150 dose 1101 C Flixonase


50micrograms/dose nasal
spray
Fluvastatin 20mg capsules 28 377 K A
Fluvastatin 40mg capsules 28 449 K A
Fluvastatin 80mg modified-release 28 1920 C
tablets
Fluvoxamine 100mg tablets 30 2098 C Wockhardt UK Ltd
Fluvoxamine 50mg tablets 60 1710 C Faverin
Folic acid 2.5mg/5ml oral solution 150 ml 916 C Lexpec
sugar free
Folic acid 400microgram tablets 90 352 A
Folic acid 5mg tablets 28 87 L M
Folic acid 5mg/5ml oral solution 150 ml 4802 A
sugar free
Follitropin alfa 150units/0.25ml S 1 5170 C Bemfola
solution for injection pre-filled
disposable devices
Follitropin alfa 225units/0.375ml S 1 7755 C Bemfola
solution for injection pre-filled
disposable devices
Follitropin alfa 300units/0.5ml S 1 11280 C Gonal-f
solution for injection pre-filled
disposable devices
Follitropin alfa 450units/0.75ml S 1 16920 C Gonal-f
solution for injection pre-filled
disposable devices
Follitropin alfa 75unit powder and S 1 2522 C Gonal-f
solvent for solution for injection
vials
Follitropin alfa 75units/0.125ml S 1 2585 C Bemfola
solution for injection pre-filled
disposable devices
Follitropin alfa 900units/1.5ml S 1 33840 C Gonal-f
solution for injection pre-filled
disposable devices
Fondaparinux sodium 1.5mg/0.3ml 10 6279 C Arixtra
solution for injection pre-filled
syringes
Fondaparinux sodium 10mg/0.8ml 10 11653 C Arixtra
solution for injection pre-filled
syringes
Fondaparinux sodium 2.5mg/0.5ml 10 6279 C Arixtra
solution for injection pre-filled
syringes
Fondaparinux sodium 5mg/0.4ml 10 11653 C Arixtra
solution for injection pre-filled
syringes
Fondaparinux sodium 7.5mg/0.6ml 10 11653 C Arixtra
solution for injection pre-filled
syringes
Formaldehyde (Buffered) 4% 1000 ml 491 A
solution
Formaldehyde solution 500 ml 879 C J M Loveridge Ltd

304
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Drug Quantity Basic Price Category

Formoterol 12microgram inhalation S 60 2806 C Foradil


powder capsules with device
Formoterol 12micrograms/dose dry S 60 dose 2480 C Oxis Turbohaler 12
powder inhaler
S 120 dose 2375 C Formoterol
Easyhaler
Formoterol 12micrograms/dose S 100 dose 3006 C Atimos Modulite
inhaler CFC free
Formoterol 6micrograms/dose dry S 60 dose 2480 C Oxis Turbohaler 6
powder inhaler
Fosfomycin 3g granules sachets S 1 486 C Monuril
Fosinopril 10mg tablets 28 277 K A
Fosinopril 20mg tablets 28 307 A
Frovatriptan 2.5mg tablets 6 283 L M
Fulvestrant 250mg/5ml solution for 2 52241 C Faslodex
injection pre-filled syringes
Furosemide 20mg tablets 28 83 K M
Furosemide 20mg/2ml solution for 10 512 L A
injection ampoules
Furosemide 20mg/5ml oral solution 150 ml 1481 A
sugar free
Furosemide 250mg/25ml solution 10 4000 C Advanz Pharma
for injection ampoules
Furosemide 40mg tablets 28 80 K M
Furosemide 40mg/5ml oral solution 150 ml 1953 A
sugar free
Furosemide 500mg tablets 28 4290 K A
Furosemide 50mg/5ml oral solution 150 ml 2021 A
sugar free
Furosemide 50mg/5ml solution for 10 700 C Accord Healthcare
injection ampoules Ltd
Fusidic acid 1% modified-release S 5 g 3428 K M
eye drops
Fusidic acid 2% cream S 15 g 278 L M
S 30 g 556 L M
Fusidic acid 250mg/5ml oral S 90 ml 1211 C Fucidin
suspension

Part VIIIA products G

Gabapentin 100mg capsules 100 335 L M


Gabapentin 300mg capsules 100 319 K M
Gabapentin 400mg capsules 100 384 K M
Gabapentin 50mg/ml oral solution 150 ml 6524 A
sugar free
Gabapentin 600mg tablets 100 925 K M
Gabapentin 800mg tablets 100 2691 A
Galantamine 16mg modified- 28 6490 C
release capsules
Galantamine 20mg/5ml oral solution S 100 ml 12000 A
sugar free

305
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Drug Quantity Basic Price Category

Galantamine 24mg modified- 28 7980 C


release capsules
Galantamine 8mg modified-release 28 5188 C
capsules
Ganciclovir 0.15% eye gel S 5 g 1999 C Virgan
Gemfibrozil 300mg capsules 100 3176 C Lopid
Gemfibrozil 600mg tablets 56 3557 C Lopid
Gentamicin 0.3% / Hydrocortisone S 10 ml 3326 C Advanz Pharma
acetate 1% ear drops
Gentamicin 0.3% ear/eye drops S 10 ml 2284 L A
Gentamicin 20mg/2ml solution for 5 1125 C Wockhardt UK Ltd
injection ampoules
Gentamicin 20mg/2ml solution for 5 1125 C Gentamicin
injection vials Paediatric
Gentamicin 5mg/1ml solution for 5 3628 C Gentamicin
injection ampoules Intrathecal
Gentamicin 80mg/2ml solution for 5 688 C Cidomycin
injection ampoules
Gentamicin 80mg/2ml solution for 5 688 C Cidomycin
injection vials
Glatiramer acetate 20mg/1ml 28 51395 C Copaxone
solution for injection pre-filled
syringes
Glatiramer acetate 40mg/1ml 12 51395 C Copaxone
solution for injection pre-filled
syringes
Gliclazide 160mg tablets 28 327 C Glydex
Gliclazide 30mg modified-release 28 281 C
tablets
Gliclazide 40mg tablets 28 113 L M
Gliclazide 60mg modified-release 28 562 C Laaglyda MR
tablets
Gliclazide 80mg tablets 28 104 M
Glimepiride 1mg tablets 30 87 M
Glimepiride 2mg tablets 30 93 K M
Glimepiride 3mg tablets 30 97 L M
Glimepiride 4mg tablets 30 105 M
Glipizide 5mg tablets 28 126 C Minodiab
Glucagon 1mg powder and solvent S 1 1152 C GlucaGen Hypokit
for solution for injection vials
Glucagon 1mg/0.2ml solution for S 1 7300 C Ogluo
injection pre-filled disposable
devices
Glucagon 500micrograms/0.1ml S 1 7300 C Ogluo
solution for injection pre-filled
disposable devices
Glucose 40% oral gel 75 g 716 C
(3xS25)
Glucose 50% solution for infusion 10 1400 A
20ml ampoules
Glucose 50% solution for infusion 25 6000 A
50ml vials

306
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Drug Quantity Basic Price Category

Glucose powder for oral use BP 500 g 209 C Thornton & Ross Ltd
1980
Glycerol 1g suppositories 12 390 K A
Glycerol 2g suppositories 12 313 A
Glycerol 4g suppositories 12 323 K A
Glycerol liquid 200 ml 182 C Thornton & Ross Ltd
500 ml 566 C J M Loveridge Ltd
Glyceryl trinitrate 0.4% rectal S 30 g 3930 C Rectogesic
ointment
Glyceryl trinitrate 10mg/24hours 28 1406 C Deponit 10
transdermal patches
Glyceryl trinitrate 15mg/24hours 30 1419 C Minitran 15
transdermal patches
Glyceryl trinitrate 400micrograms/ S 180 dose 385 A
dose aerosol sublingual spray
S 200 dose 415 A
Glyceryl trinitrate 400micrograms/ S 180 dose 241 L M
dose pump sublingual spray
S 200 dose 248 L M
Glyceryl trinitrate 500microgram S 100 772 K A
sublingual tablets
Glyceryl trinitrate 5mg/24hours 28 1277 C Deponit 5
transdermal patches
Glycopyrronium 7.2micrograms/ S 120 dose 3250 C Bevespi Aerosphere
dose / Formoterol
5micrograms/dose inhaler CFC
free
Glycopyrronium bromide 1mg 30 26528 L A
tablets
Glycopyrronium bromide 1mg/5ml S 150 ml 10395 L A
oral solution sugar free
Glycopyrronium bromide 10 1637 L A
200micrograms/1ml solution
for injection ampoules
Glycopyrronium bromide 2mg 30 29282 L A
tablets
Glycopyrronium bromide S 60 ml 7680 C Sialanar
400micrograms/ml oral solution
sugar free
S 250 ml 32000 C Sialanar
Glycopyrronium bromide S 30 2750 C Seebri Breezhaler
55microgram inhalation
powder capsules with device
Glycopyrronium bromide 10 2112 C Martindale
600micrograms/3ml solution Pharmaceuticals Ltd
for injection ampoules
Golimumab 100mg/1ml solution for S 1 152594 C Simponi
injection pre-filled disposable
devices
Golimumab 50mg/0.5ml solution for S 1 76297 C Simponi
injection pre-filled disposable
devices
Golimumab 50mg/0.5ml solution for S 1 76297 C Simponi
injection pre-filled syringes

307
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Drug Quantity Basic Price Category

Goserelin 10.8mg implant pre-filled S 1 23500 C Zoladex LA


syringes
Goserelin 3.6mg implant pre-filled S 1 7000 C Zoladex
syringes
Granisetron 1mg tablets 10 4080 A
Granisetron 1mg/1ml solution for 10 2420 C hameln pharma Ltd
injection ampoules
Granisetron 2mg tablets 5 5239 C Kytril
Granisetron 3.1mg/24hours S 1 5600 C Sancuso
transdermal patches
Granisetron 3mg/3ml solution for 10 7200 C hameln pharma Ltd
injection ampoules
Griseofulvin 125mg tablets 100 10150 A
Griseofulvin 500mg tablets 100 9458 K A
Guaifenesin 100mg/5ml / 100 ml 332 C Benylin Mucus
Pseudoephedrine 30mg/5ml Cough Plus
oral solution Decongestant syrup
Guaifenesin 100mg/5ml oral 100 ml 229 C Robitussin Chesty
solution sugar free Cough
250 ml 477 C Robitussin Chesty
Cough
Guaifenesin 66.67mg/5ml oral 150 ml 410 C Covonia Chesty
solution sugar free Cough Sugar Free
syrup
Guanfacine 1mg modified-release 28 5600 C Intuniv
tablets
Guanfacine 2mg modified-release 28 5852 C Intuniv
tablets
Guanfacine 3mg modified-release 28 6552 C Intuniv
tablets
Guanfacine 4mg modified-release 28 7616 C Intuniv
tablets

Part VIIIA products H

Haemophilus type b / S 1 3776 C Menitorix


Meningococcal C conjugate
vaccine powder and solvent for
solution for injection 0.5ml vials
Haloperidol 1.5mg tablets 28 221 L M
Haloperidol 10mg tablets 28 1603 A
Haloperidol 10mg/5ml oral solution 100 ml 759 A
sugar free
Haloperidol 200micrograms/ml oral S 100 ml 8990 C Halkid
solution sugar free
Haloperidol 500microgram tablets 28 22548 K A
Haloperidol 5mg tablets 28 248 L M
Haloperidol 5mg/1ml solution for 10 6210 K A
injection ampoules
Haloperidol 5mg/5ml oral solution 100 ml 738 K A
sugar free
Haloperidol decanoate 100mg/1ml 5 2526 C Haldol Decanoate
solution for injection ampoules

308
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Drug Quantity Basic Price Category

Haloperidol decanoate 50mg/1ml 5 1906 C Haldol Decanoate


solution for injection ampoules
Hamamelis water 13% eye drops S 10 ml 355 C Optrex Sore Eyes
Heparin calcium 5,000units/0.2ml 10 4470 C Wockhardt UK Ltd
solution for injection ampoules
Heparin sodium 1,000units/1ml 10 1485 C Wockhardt UK Ltd
solution for injection ampoules
Heparin sodium 10,000units/10ml 10 6459 C Wockhardt UK Ltd
solution for injection ampoules
Heparin sodium 20,000units/20ml 10 7088 C Wockhardt UK Ltd
solution for injection ampoules
Heparin sodium 200units/2ml 10 1568 A
patency solution ampoules
Heparin sodium 25,000units/1ml 10 7695 C Wockhardt UK Ltd
solution for injection ampoules
Heparin sodium 25,000units/5ml 10 7578 C Wockhardt UK Ltd
solution for injection ampoules
Heparin sodium 25,000units/5ml 10 4500 C LEO Pharma
solution for injection vials
Heparin sodium 5,000units/0.2ml 10 3735 C Wockhardt UK Ltd
solution for injection ampoules
Heparin sodium 5,000units/1ml 10 2904 C Wockhardt UK Ltd
solution for injection ampoules
Heparin sodium 5,000units/5ml 10 3747 C Wockhardt UK Ltd
solution for injection ampoules
Heparin sodium 5,000units/5ml 10 1650 C LEO Pharma
solution for injection vials
Heparin sodium 50units/5ml 10 1496 A
patency solution ampoules
Heparinoid 0.3% cream S 50 g 399 C Hirudoid
Heparinoid 0.3% gel S 50 g 399 C Hirudoid
Hepatitis A (inactivated) / Hepatitis S 1 2079 C Twinrix Paediatric
B (rDNA) vaccine (adsorbed)
suspension for injection 0.5ml
pre-filled syringes
Hepatitis A (inactivated) / Hepatitis S 1 3118 C Ambirix
B (rDNA) vaccine (adsorbed)
suspension for injection 1ml
pre-filled syringes
Hepatitis A GBM strain (adsorbed) / S 1 3576 C ViATIM
Typhoid polysaccharide
vaccine suspension for
injection 1ml pre-filled syringes
Hepatitis A vaccine (inactivated, S 1 2214 C Havrix Monodose
adsorbed) suspension for
injection 1ml pre-filled syringes
Hepatitis B (rDNA) 10micrograms/ S 1 967 C Engerix B
0.5ml vaccine suspension for
injection pre-filled syringes
Hepatitis B (rDNA) 20micrograms/ S 1 3810 C Fendrix
0.5ml vaccine suspension for
injection pre-filled syringes

309
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Drug Quantity Basic Price Category

Hepatitis B (rDNA) 20micrograms/ S 1 1299 C Engerix B


1ml vaccine suspension for
injection pre-filled syringes
Hepatitis B (rDNA) 40micrograms/ S 1 2760 C HBvaxPRO
1ml vaccine suspension for
injection vials
Hepatitis B (rDNA) 5micrograms/ S 1 895 C HBVAXPRO
0.5ml vaccine suspension for
injection pre-filled syringes
Hexetidine 0.1% mouthwash sugar 200 ml 292 C Oraldene
free
Hexylresorcinol 2.4mg lozenges 24 355 C Strepsils Extra Triple
Action
Human papillomavirus (type 6, 11, S 1 10500 C Gardasil 9
16, 18, 31, 33, 45, 52, 58)
vaccine (adsorbed) suspension
for injection 0.5ml pre-filled
syringes
Hydralazine 25mg tablets 56 461 L M
Hydralazine 50mg tablets 56 540 L M
Hydrocortisone 0.1% cream S 15 g 283 C Dermacort
Hydrocortisone 0.1% topical S 100 g 591 C Locoid Crelo
emulsion
Hydrocortisone 0.25% / Crotamiton S 15 g 217 C Eurax Hc
10% cream
Hydrocortisone 0.5% cream S 15 g 150 L M
Hydrocortisone 0.5% ointment S 15 g 4400 A
Hydrocortisone 1% / Clotrimazole S 15 g 391 K C Canesten
1% cream Hydrocortisone
S 30 g 242 C Canesten HC
Hydrocortisone 1% / Miconazole S 15 g 428 C Daktacort
2% cream Hydrocortisone
S 30 g 249 C Daktacort
Hydrocortisone 1% / Miconazole S 30 g 250 C Daktacort
2% ointment
Hydrocortisone 1% cream S 15 g 99 L M
S 30 g 198 L M
S 50 g 330 L M
Hydrocortisone 1% ointment S 15 g 252 K A
S 30 g 503 K A
S 50 g 838 K A
Hydrocortisone 10mg modified- S 50 27500 C Efmody
release capsules
Hydrocortisone 10mg soluble 30 5497 K A
tablets sugar free (3xS10)
Hydrocortisone 10mg tablets 30 236 L M
Hydrocortisone 15mg tablets 30 3088 K A
Hydrocortisone 1mg granules in 50 6750 C Alkindi
capsules for opening
Hydrocortisone 2.5% cream S 15 g 5297 K M
Hydrocortisone 2.5% ointment S 15 g 4400 C Essential Generics
Ltd

310
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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Hydrocortisone 2.5mg muco- 20 940 K A


adhesive buccal tablets sugar
free
Hydrocortisone 2.5mg tablets 30 2142 K A
Hydrocortisone 20mg modified- 50 40000 C Plenadren
release tablets
Hydrocortisone 20mg tablets 30 331 K A
Hydrocortisone 2mg granules in 50 13500 C Alkindi
capsules for opening
Hydrocortisone 500microgram 50 3375 C Alkindi
granules in capsules for
opening
Hydrocortisone 5mg granules in 50 33750 C Alkindi
capsules for opening
Hydrocortisone 5mg modified- S 50 13500 C Efmody
release capsules
Hydrocortisone 5mg modified- 50 24250 C Plenadren
release tablets
Hydrocortisone 5mg tablets 30 2219 K A
Hydrocortisone acetate 1% / Fusidic S 30 g 602 C Fucidin H
acid 2% cream
S 60 g 1205 C Fucidin H
Hydrocortisone acetate 1% cream S 15 g 290 C Hc45 Hydrocortisone
Hydrocortisone butyrate 0.1% S 100 g 493 C Locoid
cream
Hydrocortisone butyrate 0.1% S 100 g 493 C Locoid
ointment
Hydrocortisone butyrate 0.1% scalp S 100 ml 683 C Locoid
lotion
Hydrocortisone sodium phosphate 5 1060 C Advanz Pharma
100mg/1ml solution for
injection ampoules
Hydrocortisone sodium phosphate 30 1099 C Softacort
3.35mg/ml eye drops 0.4ml unit
dose preservative free
Hydrocortisone sodium succinate S 1 116 C Solu - Cortef
100mg powder and solvent for
solution for injection vials
Hydrocortisone sodium succinate 10 917 C Solu-Cortef
100mg powder for solution for
injection vials
Hydrogen peroxide 1% cream S 25 g 807 C Crystacide
Hydrogen peroxide 1.5% 300 ml 294 C Peroxyl
mouthwash sugar free
Hydrogen peroxide 3% solution 200 ml 80 C Thornton & Ross Ltd
Hydrogen peroxide 6% solution 200 ml 85 C Thornton & Ross Ltd
Hydrogen peroxide 9% solution 200 ml 91 C Thornton & Ross Ltd
Hydromorphone 1.3mg capsules 56 882 C Palladone
Hydromorphone 10mg/1ml solution 5 6600 C Palladone
for injection ampoules
Hydromorphone 16mg modified- 56 10653 C Palladone SR
release capsules
Hydromorphone 2.6mg capsules 56 1764 C Palladone

311
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Hydromorphone 24mg modified- 56 15982 C Palladone SR


release capsules
Hydromorphone 2mg modified- 56 2098 C Palladone SR
release capsules
Hydromorphone 2mg/1ml solution 5 799 C Palladone
for injection ampoules
Hydromorphone 4mg modified- 56 2875 C Palladone SR
release capsules
Hydromorphone 8mg modified- 56 5608 C Palladone SR
release capsules
Hydrous wool fat 500 g 1847 C J M Loveridge Ltd
Hydroxocobalamin 1mg/1ml 5 1102 K M
solution for injection ampoules
Hydroxycarbamide 100mg tablets 60 10000 C Siklos
Hydroxycarbamide 1g tablets 30 50000 C Siklos
Hydroxycarbamide 500mg capsules 100 1421 K A
Hydroxycarbamide 500mg/5ml oral S 150 ml 25000 C Xromi
solution sugar free
Hydroxychloroquine 200mg tablets 60 255 L M
Hydroxychloroquine 300mg tablets 30 950 C Blackrock
Pharmaceuticals Ltd
Hydroxyzine 10mg tablets 84 236 A
Hydroxyzine 25mg tablets 28 111 K M
Hyetellose 0.44% eye drops 0.5ml 20 933 C Minims artificial tears
unit dose preservative free
Hyoscine 1mg/72hours transdermal 2 1287 C Scopoderm
patches
Hyoscine butylbromide 10mg 56 383 C Buscopan
tablets
Hyoscine butylbromide 20mg/1ml 10 389 C Buscopan
solution for injection ampoules
Hyoscine hydrobromide 12 199 C Joy-rides
150microgram chewable
tablets sugar free
Hyoscine hydrobromide 12 184 C Kwells Kids
150microgram tablets
Hyoscine hydrobromide 12 184 C Kwells
300microgram tablets
Hyoscine hydrobromide 10 4721 A
400micrograms/1ml solution
for injection ampoules
Hyoscine hydrobromide 10 14243 K A
600micrograms/1ml solution
for injection ampoules
Hypromellose 0.32% eye drops S 10 ml 499 C Artelac
Hypromellose 0.32% eye drops 30 1695 C Artelac Single Dose
0.5ml unit dose preservative Unit
free

Part VIIIA products I

Ibandronic acid 150mg tablets S 1 164 L M

312
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Ibandronic acid 3mg/3ml solution S 1 6540 C Accord Healthcare


for injection pre-filled syringes Ltd
Ibandronic acid 50mg tablets 28 8314 L M
Ibuprofen 10% gel S 100 g 579 C Ibugel Forte
Ibuprofen 100mg chewable 12 323 C Nurofen for Children
capsules
Ibuprofen 100mg/5ml oral 500 ml 888 C Brufen Syrup
suspension
Ibuprofen 100mg/5ml oral 12 242 C Calprofen
suspension 5ml sachets sugar
free
16 358 C Nurofen for Children
Singles
Ibuprofen 100mg/5ml oral 100 ml 491 K M
suspension sugar free
Ibuprofen 200mg / Codeine 12.8mg 24 549 C Nurofen Plus
tablets
32 679 C Nurofen Plus
Ibuprofen 200mg / Phenylephrine 16 326 C Sudafed Sinus Pain
6.1mg tablets Relief
Ibuprofen 200mg / 12 303 C Sudafed Sinus
Pseudoephedrine Pressure & Pain
hydrochloride 30mg tablets
24 467 C Sudafed Sinus
Pressure & Pain
Ibuprofen 200mg capsules 30 485 C Nurofen Express
Ibuprofen 200mg medicated 2 517 C Nurofen Joint &
plasters Muscular Pain Relief
4 841 C Nurofen Joint &
Muscular Pain Relief
Ibuprofen 200mg orodispersible 12 258 C Nurofen Meltlets
tablets sugar free
Ibuprofen 200mg tablets 24 89 L M
84 312 L M
Ibuprofen 200mg/5ml oral 100 ml 349 C Ibuprofen Seven Plus
suspension sugar free Pain Relief
Ibuprofen 300mg modified-release 24 485 C Nurofen Back Pain
capsules SR
Ibuprofen 400mg capsules 20 646 C Nurofen Express
Ibuprofen 400mg tablets 24 94 K M
84 329 K M
Ibuprofen 5% / Levomenthol 3% gel S 30 g 300 C Deep Relief
S 50 g 375 C Deep Relief
S 100 g 672 C Deep Relief
Ibuprofen 5% gel S 50 g 132 K M
S 100 g 264 K M
Ibuprofen 5% spray S 35 ml 365 C Ibuleve Pain Relief
S 100 ml 618 C Ibuspray
Ibuprofen 600mg effervescent 20 680 C Brufen
granules sachets
Ibuprofen 600mg tablets 84 493 A

313
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Ibuprofen 800mg modified-release 56 774 C Brufen Retard


tablets
Ibuprofen lysine 342mg tablets 8 200 C Feminax Express
16 312 C Feminax Express
Ibuprofen lysine 684mg tablets 12 368 C Nurofen Maximum
Strength Migraine
Pain
24 640 C Nurofen Express
Ichthammol liquid 100 g 1299 C J M Loveridge Ltd
Icosapent 998mg capsules 120 14421 C Vazkepa
Idebenone 150mg tablets 180 636400 C Raxone
Imatinib 100mg tablets 60 33341 A
Imatinib 400mg tablets 30 64183 A
Imidapril 10mg tablets 28 1227 C Tanatril
Imidapril 20mg tablets 28 1474 C Tanatril
Imidapril 5mg tablets 28 1088 C Tanatril
Imipramine 10mg tablets 28 141 K A
Imipramine 25mg tablets 28 162 L M
Imipramine 25mg/5ml oral solution 150 ml 25000 C Essential Pharma Ltd
sugar free
Imiquimod 3.75% cream 250mg 28 5475 C Zyclara
sachets
Imiquimod 5% cream 250mg 12 4860 C
sachets
Indacaterol 125micrograms/dose / S 30 2150 C Atectura Breezhaler
Mometasone
127.5micrograms/dose
inhalation powder capsules
with device
Indacaterol 125micrograms/dose / S 30 2797 C Atectura Breezhaler
Mometasone 260micrograms/
dose inhalation powder
capsules with device
Indacaterol 125micrograms/dose / S 30 1749 C Atectura Breezhaler
Mometasone 62.5micrograms/
dose inhalation powder
capsules with device
Indacaterol 150microgram S 30 3219 C Onbrez Breezhaler
inhalation powder capsules
with device
Indacaterol 300microgram S 30 3219 C Onbrez Breezhaler
inhalation powder capsules
with device
Indacaterol 85micrograms/dose / S 30 3250 C Ultibro Breezhaler
Glycopyrronium bromide
54micrograms/dose inhalation
powder capsules with device
Indapamide 1.5mg modified-release 30 340 C Natrilix SR
tablets
Indapamide 2.5mg tablets 28 102 K M
Indometacin 100mg suppositories 10 1761 C Indocid
Indometacin 25mg capsules 28 254 K A
Indometacin 50mg capsules 28 166 K M

314
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Indoramin 20mg tablets 60 8059 L A


Inosine acedoben dimepranol 100 3950 C Imunovir
500mg tablets
Insulin aspart 100units/ml solution 5 1510 C NovoRapid
for injection 1.6ml cartridges PumpCart
Insulin aspart 100units/ml solution S 1 1408 C
for injection 10ml vials
Insulin aspart 100units/ml solution 5 2831 C
for injection 3ml cartridges
Insulin aspart 100units/ml solution 5 3060 C
for injection 3ml pre-filled
disposable devices
Insulin aspart biphasic 30/70 5 2879 C NovoMix 30 Penfill
100units/ml suspension for
injection 3ml cartridges
Insulin aspart biphasic 30/70 5 2989 C NovoMix 30 FlexPen
100units/ml suspension for
injection 3ml pre-filled
disposable devices
Insulin degludec 100units/ml / 3 9553 C Xultophy
Liraglutide 3.6mg/ml solution
for injection 3ml pre-filled
disposable devices
Insulin degludec 100units/ml 5 4660 C Tresiba Penfill
solution for injection 3ml
cartridges
Insulin degludec 100units/ml 5 4660 C Tresiba FlexTouch
solution for injection 3ml pre-
filled disposable devices
Insulin degludec 200units/ml 3 5592 C Tresiba FlexTouch
solution for injection 3ml pre-
filled disposable devices
Insulin detemir 100units/ml solution 5 4200 C Levemir Penfill
for injection 3ml cartridges
Insulin detemir 100units/ml solution 5 4200 C Levemir FlexPen
for injection 3ml pre-filled
disposable devices
Insulin glargine 100units/ml / 3 4860 C Suliqua SoloStar
Lixisenatide 33micrograms/ml
solution for injection 3ml pre-
filled disposable devices
Insulin glargine 100units/ml / 3 6750 C Suliqua SoloStar
Lixisenatide 50micrograms/ml
solution for injection 3ml pre-
filled disposable devices
Insulin glargine 100units/ml solution S 1 2569 C Lantus
for injection 10ml vials
Insulin glargine 100units/ml solution 5 3475 C Lantus
for injection 3ml cartridges
Insulin glargine 100units/ml solution 5 3475 C Lantus SoloStar
for injection 3ml pre-filled
disposable devices
Insulin glargine 300units/ml solution 3 3214 C Toujeo SoloStar
for injection 1.5ml pre-filled
disposable devices

315
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Insulin glargine 300units/ml solution 3 6427 C Toujeo DoubleStar


for injection 3ml pre-filled
disposable devices
Insulin glulisine 100units/ml solution S 1 1600 C Apidra
for injection 10ml vials
Insulin glulisine 100units/ml solution 5 2830 C Apidra
for injection 3ml cartridges
Insulin glulisine 100units/ml solution 5 2830 C Apidra SoloStar
for injection 3ml pre-filled
disposable devices
Insulin human 100units/ml solution 5 25000 C Insuman Infusat
for injection 3.15ml cartridges
Insulin isophane biphasic human 5 1750 C Insuman Comb 25
25/75 100units/ml suspension
for injection 3ml cartridges
Insulin isophane biphasic human 5 1980 C Insuman Comb 25
25/75 100units/ml suspension SoloStar
for injection 3ml pre-filled
disposable devices
Insulin isophane biphasic human S 1 1568 C Humulin M3
30/70 100units/ml suspension
for injection 10ml vials
Insulin isophane biphasic human 5 1908 C Humulin M3
30/70 100units/ml suspension
for injection 3ml cartridges
Insulin isophane biphasic human 5 2170 C Humulin M3 KwikPen
30/70 100units/ml suspension
for injection 3ml pre-filled
disposable devices
Insulin isophane biphasic porcine S 1 3939 C Hypurin Porcine 30/
30/70 100units/ml suspension 70 Mix
for injection 10ml vials
Insulin isophane biphasic porcine 5 5908 C Hypurin Porcine 30/
30/70 100units/ml suspension 70 Mix
for injection 3ml cartridges
Insulin isophane human 100units/ml S 1 1568 C Humulin I
suspension for injection 10ml
vials
Insulin isophane human 100units/ml 5 1908 C Humulin I
suspension for injection 3ml
cartridges
Insulin isophane human 100units/ml 5 2170 C Humulin I KwikPen
suspension for injection 3ml
pre-filled disposable devices
Insulin isophane porcine 100units/ S 1 3939 C Hypurin Porcine
ml suspension for injection Isophane
10ml vials
Insulin isophane porcine 100units/ 5 5908 C Hypurin Porcine
ml suspension for injection 3ml Isophane
cartridges
Insulin lispro 100units/ml solution S 1 1661 C
for injection 10ml vials
Insulin lispro 100units/ml solution 5 2831 C
for injection 3ml cartridges

316
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Insulin lispro 100units/ml solution 5 2946 C


for injection 3ml pre-filled
disposable devices
Insulin lispro 200units/ml solution 5 5892 C
for injection 3ml pre-filled
disposable devices
Insulin lispro biphasic 25/75 S 1 1661 C Humalog Mix25
100units/ml suspension for
injection 10ml vials
Insulin lispro biphasic 25/75 5 2946 C Humalog Mix25
100units/ml suspension for
injection 3ml cartridges
Insulin lispro biphasic 25/75 5 3098 C Humalog Mix25
100units/ml suspension for KwikPen
injection 3ml pre-filled
disposable devices
Insulin lispro biphasic 50/50 5 2946 C Humalog Mix50
100units/ml suspension for
injection 3ml cartridges
Insulin lispro biphasic 50/50 5 3098 C Humalog Mix50
100units/ml suspension for KwikPen
injection 3ml pre-filled
disposable devices
Insulin soluble human 100units/ml S 1 1568 C Humulin S
solution for injection 10ml vials
Insulin soluble human 100units/ml 5 1908 C Humulin S
solution for injection 3ml
cartridges
Insulin soluble porcine 100units/ml S 1 3939 C Hypurin Porcine
solution for injection 10ml vials Neutral
Insulin soluble porcine 100units/ml 5 5908 C Hypurin Porcine
solution for injection 3ml Neutral
cartridges
Interferon beta-1b 300microgram 15 59663 C
powder and solvent for solution
for injection vials
Ipratropium bromide 20micrograms/ S 200 dose 556 C
dose inhaler CFC free
Ipratropium bromide 21micrograms/ S 180 dose 654 C Rinaspray
dose nasal spray
Ipratropium bromide 20 650 A
250micrograms/1ml nebuliser
liquid unit dose vials
Ipratropium bromide 20 363 L M
500micrograms/2ml nebuliser
liquid unit dose vials
Irbesartan 150mg / 28 1178 L A
Hydrochlorothiazide 12.5mg
tablets
Irbesartan 150mg tablets 28 133 L M
Irbesartan 300mg / 28 1695 L A
Hydrochlorothiazide 12.5mg
tablets

317
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Irbesartan 300mg / 28 1189 K A


Hydrochlorothiazide 25mg
tablets
Irbesartan 300mg tablets 28 168 L M
Irbesartan 75mg tablets 28 105 L M
Iron dextran 100mg/2ml solution for 5 3985 C CosmoFer
injection ampoules
Iron dextran 500mg/10ml solution 2 7970 C CosmoFer
for injection ampoules
Iron sucrose 100mg/5ml solution for 5 5120 C Venofer
injection vials
Isocarboxazid 10mg tablets 56 27401 C Alliance
Pharmaceuticals Ltd
Isoniazid 100mg tablets 28 2618 L A
Isoniazid 50mg tablets 56 1925 A
Isopropyl alcohol 70% liquid 500 ml 519 C J M Loveridge Ltd
Isopropyl myristate 15% / Liquid S 100 g 265 C
paraffin 15% gel
S 500 g 583 C Doublebase
Isosorbide dinitrate 10mg tablets 56 2072 A
Isosorbide dinitrate 20mg modified- 56 258 C Isoket Retard 20
release tablets
Isosorbide dinitrate 20mg tablets 56 2067 A
Isosorbide dinitrate 40mg modified- 56 636 C Isoket Retard 40
release tablets
Isosorbide mononitrate 10mg 56 99 L M
tablets
Isosorbide mononitrate 20mg 56 121 K M
tablets
Isosorbide mononitrate 25mg 28 340 C Elantan LA25
modified-release capsules
Isosorbide mononitrate 25mg 28 675 C Isotard 25XL
modified-release tablets
Isosorbide mononitrate 40mg 28 652 C Nyzamac SR
modified-release capsules
Isosorbide mononitrate 40mg 28 675 C Isotard 40XL
modified-release tablets
Isosorbide mononitrate 40mg 56 148 K M
tablets
Isosorbide mononitrate 50mg 28 369 C Elantan LA50
modified-release capsules
Isosorbide mononitrate 50mg 28 675 C Isotard 50 XL
modified-release tablets
Isosorbide mononitrate 60mg 28 886 C Nyzamac SR
modified-release capsules
Isosorbide mononitrate 60mg 28 1050 C Imdur
modified-release tablets
Isotretinoin 10mg capsules 30 2194 K A
Isotretinoin 20mg capsules 30 1037 L M
Isotretinoin 5mg capsules 56 2556 K A
Ispaghula husk 3.5g / Mebeverine 10 852 K C Fybogel Mebeverine
135mg effervescent granules
sachets sugar free

318
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Ispaghula husk 3.5g effervescent 30 444 K C Fybogel


granules sachets gluten free
sugar free
Itraconazole 100mg capsules 15 312 K M
Itraconazole 50mg/5ml oral solution 150 ml 6595 A
sugar free
Ivabradine 2.5mg tablets 56 1989 K M
Ivabradine 5mg tablets 56 509 L M
(4xS14)
Ivabradine 7.5mg tablets 56 550 K M
(4xS14)
Ivermectin 10mg/g cream S 45 g 2743 C Soolantra

Part VIIIA products J

Japanese encephalitis vaccine S 1 6248 C Ixiaro


(inactivated, adsorbed)
suspension for injection 0.5ml
pre-filled syringes

Part VIIIA products K

Kaolin and Morphine mixture 200 ml 227 C Thornton & Ross Ltd
Kaolin poultices S 200 g 276 C KL Pharmaceutical
Ltd
Ketamine 200mg/20ml solution for S 1 506 C Ketalar
injection vials
Ketamine 500mg/10ml solution for S 1 877 C Ketalar
injection vials
Ketoconazole 2% cream S 30 g 424 C Nizoral
Ketoconazole 2% shampoo S 120 ml 707 K A
Ketoconazole 200mg tablets 60 51500 K A
Ketoprofen 100mg modified-release 56 2393 C Oruvail 100
capsules
Ketoprofen 2.5% gel S 50 g 260 A
Ketoprofen 200mg modified-release 28 2385 C Oruvail 200
capsules
Ketorolac 0.5% eye drops S 5 ml 399 A
Ketorolac 30mg/1ml solution for 5 536 C Toradol
injection ampoules
Ketotifen 1mg tablets 60 1456 K C Zaditen
Ketotifen 1mg/5ml oral solution 300 ml 1725 K C Zaditen Elixir
sugar free
Ketotifen 250micrograms/ml eye S 5 ml 780 C Zaditen
drops
Ketotifen 250micrograms/ml eye 30 695 C Ketofall
drops 0.4ml unit dose (6xS5)
preservative free

Part VIIIA products L

Labetalol 100mg tablets 56 494 L M

319
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Labetalol 100mg/20ml solution for 5 15048 K A


injection ampoules
Labetalol 200mg tablets 56 869 K A
Labetalol 400mg tablets 56 1964 A
Labetalol 50mg tablets 56 379 C Trandate
Lacidipine 2mg tablets 28 400 K M
Lacidipine 4mg tablets 28 370 L M
Lacidipine 6mg tablets 28 575 C Dr Reddy's
Laboratories (UK) Ltd
Lacosamide 100mg tablets 56 1903 L M
Lacosamide 10mg/ml oral solution S 200 ml 2574 C Vimpat Syrup
sugar free
Lacosamide 150mg tablets 56 12974 C Vimpat
Lacosamide 200mg tablets 56 3509 L M
Lacosamide 200mg/20ml solution S 1 2970 C Vimpat
for infusion vials
Lacosamide 50mg tablets 14 331 L M
Lactulose 10g/15ml oral solution 10 251 L A
15ml sachets sugar free
Lactulose 3.1-3.7g/5ml oral solution 500 ml 296 K M
Lamivudine 100mg tablets 28 5672 A
Lamivudine 150mg tablets 60 14332 C Epivir
Lamivudine 300mg tablets 30 15751 C Epivir
Lamotrigine 100mg dispersible 56 1370 L M
tablets sugar free
Lamotrigine 100mg tablets 56 220 K M
Lamotrigine 200mg tablets 56 245 K M
Lamotrigine 25mg dispersible 56 819 K M
tablets sugar free
Lamotrigine 25mg tablets 56 165 K M
Lamotrigine 2mg dispersible tablets 30 1881 C Lamictal Dispersible
sugar free
Lamotrigine 50mg tablets 56 208 K M
Lamotrigine 5mg dispersible tablets 28 853 L M
sugar free
Lanreotide 120mg/0.5ml solution for S 1 93700 C Somatuline Autogel
injection pre-filled syringes
Lanreotide 60mg/0.5ml solution for S 1 55100 C Somatuline Autogel
injection pre-filled syringes
Lanreotide 90mg/0.5ml solution for S 1 73600 C Somatuline Autogel
injection pre-filled syringes
Lansoprazole 15mg gastro-resistant 28 91 K M
capsules
Lansoprazole 15mg orodispersible 28 293 L M
tablets
Lansoprazole 30mg gastro-resistant 28 117 K M
capsules
Lansoprazole 30mg orodispersible 28 518 L M
tablets
Lanthanum carbonate 1g chewable 90 19359 C Fosrenol
tablets

320
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Lanthanum carbonate 1g oral 90 19359 C Fosrenol


powder sachets
Lanthanum carbonate 500mg 90 12406 C Fosrenol
chewable tablets
Lanthanum carbonate 750mg 90 18260 C Fosrenol
chewable tablets
Lanthanum carbonate 750mg oral 90 18260 C Fosrenol
powder sachets
Latanoprost 50micrograms/ml / S 2.5 ml 352 M
Timolol 5mg/ml eye drops
Latanoprost 50micrograms/ml / 30 1349 C Fixapost
Timolol 5mg/ml eye drops (6xS5)
0.2ml unit dose preservative
free
Latanoprost 50micrograms/ml eye S 2.5 ml 170 L M
drops
Latanoprost 50micrograms/ml eye 30 849 C Monopost
drops 0.2ml unit dose (3xS10)
preservative free
90 2547 C Monopost
(9xS10)
Leflunomide 10mg tablets S 30 232 L M
Leflunomide 15mg tablets S 30 4600 C medac UK
Leflunomide 20mg tablets S 30 253 M
Lemon spirit 100 ml 1349 C J M Loveridge Ltd
Lenalidomide 10mg capsules 21 378000 C
Lenalidomide 15mg capsules 21 396900 C
Lenalidomide 2.5mg capsules 21 342600 C
Lenalidomide 20mg capsules 21 416850 C
Lenalidomide 25mg capsules 21 436800 C
Lenalidomide 5mg capsules 21 357000 C
Lenalidomide 7.5mg capsules 21 367500 C
Lenograstim 13.4million unit powder S 1 4011 C Granocyte
and solvent for solution for
injection pre-filled syringes
Lenograstim 33.6million unit powder S 1 6254 C Granocyte
and solvent for solution for
injection pre-filled syringes
Lercanidipine 10mg tablets 28 379 L M
Lercanidipine 20mg tablets 28 804 L M
Letrozole 2.5mg tablets 14 96 K M
Leuprorelin 10.72mg implant pre- S 1 20879 C Staladex
filled syringes
Leuprorelin 11.25mg powder and S 1 22572 C Prostap 3 DCS
solvent for suspension for
injection pre-filled syringes
Leuprorelin 3.75mg powder and S 1 7524 C Prostap SR DCS
solvent for suspension for
injection pre-filled syringes
Levetiracetam 100mg/ml oral S 300 ml 745 K M
solution sugar free
Levetiracetam 1g granules sachets 60 7627 C Desitrend
sugar free

321
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Levetiracetam 1g tablets 60 606 K M


Levetiracetam 250mg granules 60 2241 C Desitrend
sachets sugar free
Levetiracetam 250mg tablets 60 211 K M
Levetiracetam 500mg granules 60 3946 C Desitrend
sachets sugar free
Levetiracetam 500mg tablets 60 337 K M
Levetiracetam 500mg/5ml solution 10 12731 C Desitrend
for infusion ampoules
Levetiracetam 500mg/5ml solution 10 12731 C Keppra
for infusion vials
Levetiracetam 750mg tablets 60 439 K M
Levobunolol 0.5% eye drops 0.4ml 30 998 C Betagan Unit Dose
unit dose preservative free
Levocarnitine 1.5g/5ml oral solution S 20 ml 7140 C Cenote Pharma Ltd
paediatric sugar free
S 50 ml 17850 C Cenote Pharma Ltd
Levocarnitine 1g chewable tablets 10 3500 C Carnitor
Levocarnitine 1g/10ml oral solution 10 3500 C Carnitor
unit dose vials sugar free
Levocarnitine 1g/5ml solution for 5 5950 C Carnitor
injection ampoules
Levocetirizine 500micrograms/ml 200 ml 600 C Xyzal
oral solution sugar free
Levocetirizine 5mg tablets 30 437 A
Levodopa 100mg / Carbidopa 25mg 30 2079 C Stalevo
/ Entacapone 200mg tablets
100 6931 C Stalevo
Levodopa 125mg / Carbidopa 30 2079 C Stalevo
31.25mg / Entacapone 200mg
tablets
100 6931 C Stalevo
Levodopa 150mg / Carbidopa 30 2079 C Stalevo
37.5mg / Entacapone 200mg
tablets
100 6931 C Stalevo
Levodopa 175mg / Carbidopa 30 2079 C Stalevo
43.75mg / Entacapone 200mg
tablets
100 6931 C Stalevo
Levodopa 200mg / Carbidopa 50mg 30 2079 C Stalevo
/ Entacapone 200mg tablets
100 6931 C Stalevo
Levodopa 50mg / Carbidopa 30 2079 C Stalevo
12.5mg / Entacapone 200mg
tablets
100 6931 C Stalevo
Levodopa 75mg / Carbidopa 30 2079 C Stalevo
18.75mg / Entacapone 200mg
tablets
100 6931 C Stalevo
Levofloxacin 100mg/ml nebuliser S 56 218153 C Quinsair
liquid ampoules

322
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Drug Quantity Basic Price Category

Levofloxacin 250mg tablets 10 824 L A


Levofloxacin 500mg tablets 5 878 L A
10 1756 L A
Levofloxacin 5mg/ml eye drops S 5 ml 876 A
Levofloxacin 5mg/ml eye drops 30 1795 C Oftaquix
0.3ml unit dose preservative (3xS10)
free
Levofloxacin 5mg/ml eye drops 20 1525 C Oxalux
0.5ml unit dose preservative (4xS5)
free
Levofloxacin 5mg/ml eye drops S 5 ml 1346 C Eyflox
preservative free
Levomenthol 0.3% ointment S 14 g 214 C Happinose
Levomenthol sticks S 3.6 g 370 C 4Head
Levomepromazine 25mg tablets 84 2026 A
Levomepromazine 25mg/1ml 10 2013 C Nozinan
solution for injection ampoules
Levomepromazine 50mg tablets 84 3400 A
Levomepromazine 6mg tablets 28 24720 A
Levonorgestrel 1.5mg tablets S 1 520 A
Levonorgestrel 13.5mg intrauterine S 1 6922 C Jaydess
device
Levonorgestrel 19.5mg intrauterine S 1 7600 C Kyleena
device
Levonorgestrel 20micrograms/ S 1 8800 C Mirena
24hours intrauterine device
Levonorgestrel 30microgram tablets 35 92 C Norgeston
Levothyroxine sodium 28 79 L M
100microgram tablets
Levothyroxine sodium 100 ml 16499 A
100micrograms/5ml oral
solution sugar free
Levothyroxine sodium 28 1249 A
12.5microgram tablets
Levothyroxine sodium 100 ml 18500 C Zentiva Pharma UK
125micrograms/5ml oral Ltd
solution sugar free
Levothyroxine sodium 25microgram 28 90 M
tablets
Levothyroxine sodium 100 ml 9499 A
25micrograms/5ml oral solution
sugar free
Levothyroxine sodium 50microgram 28 78 L M
tablets
Levothyroxine sodium 100 ml 8908 L A
50micrograms/5ml oral solution
sugar free
Levothyroxine sodium 75microgram 28 258 A
tablets
Levothyroxine sodium 100 ml 12500 C Brillpharma Ltd
75micrograms/5ml oral solution
sugar free

323
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Drug Quantity Basic Price Category

Lidocaine 0.05% / Chlorhexidine S 30 ml 450 C Covonia Sore Throat


0.2% oromucosal spray sugar
free
Lidocaine 0.33% / Cetylpyridinium S 10 g 219 C Calgel
chloride 0.1% oromucosal gel
sugar free
Lidocaine 0.66% / Aminoacridine S 15 g 176 C Medijel
0.05% oromucosal gel
Lidocaine 0.66% / Aminoacridine S 8 g 372 C Iglu
0.05% oromucosal gel sugar
free
Lidocaine 100mg/10ml (1%) 10 500 A
solution for injection ampoules
Lidocaine 100mg/5ml (2%) solution 10 320 A
for injection ampoules
Lidocaine 10mg/dose spray sugar S 50 ml 629 C Xylocaine
free
Lidocaine 2% and Chlorhexidine gel 60 ml 1050 C Instillagel
(10xS6)
110 ml 1100 C Instillagel
(10xS11)
Lidocaine 2% cream S 30 g 347 C Vagisil
Lidocaine 2.5% / Prilocaine 2.5% S 30 g 1230 C Emla
cream
Lidocaine 200mg/20ml (1%) / 5 966 C Xylocaine 1% with
Adrenaline (base) Adrenaline
100micrograms/20ml (1 in
200,000) solution for injection
vials
Lidocaine 200mg/20ml (1%) 10 1400 C hameln pharma Ltd
solution for injection ampoules
Lidocaine 200mg/20ml (1%) 10 2640 C hameln pharma Ltd
solution for injection vials
Lidocaine 20mg/2ml (1%) solution 10 250 A
for injection ampoules
Lidocaine 36mg/1.8ml (2%) / 50 2195 C Lignospan Special
Adrenaline (base)
22.5micrograms/1.8ml (1 in
80,000) solution for injection
cartridges
Lidocaine 4% / Fluorescein 0.25% 20 1227 C Minims
eye drops 0.5ml unit dose
preservative free
Lidocaine 4% cream S 5 g 298 C LMX 4
S 30 g 1490 C LMX 4
Lidocaine 400mg/20ml (2%) / 5 885 C Xylocaine 2% with
Adrenaline (base) Adrenaline
100micrograms/20ml (1 in
200,000) solution for injection
vials
Lidocaine 400mg/20ml (2%) 10 1364 C hameln pharma Ltd
solution for injection ampoules
Lidocaine 400mg/20ml (2%) 10 2750 C hameln pharma Ltd
solution for injection vials

324
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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Lidocaine 40mg/2ml (2%) solution 10 270 A


for injection ampoules
Lidocaine 44mg/2.2ml (2%) / 50 2195 C Lignospan Special
Adrenaline (base)
27.5micrograms/2.2ml (1 in
80,000) solution for injection
cartridges
Lidocaine 5% / Hydrocortisone S 20 g 419 C Xyloproct
acetate 0.275% ointment
Lidocaine 5% / Phenylephrine 0.5% S 2.5 ml 1753 K A
nasal spray
Lidocaine 5% medicated plasters 30 7240 C Versatis
(6xS5)
Lidocaine 5% ointment S 15 g 1050 C AAH
Pharmaceuticals Ltd
Lidocaine 50mg/10ml (0.5%) 10 1000 C Advanz Pharma
solution for injection ampoules
Lidocaine 50mg/5ml (1%) solution 10 300 A
for injection ampoules
Lidocaine hydrochloride 0.5% / S 15 g 258 C Bonjela Junior
Cetylpyridinium chloride
0.025% oromucosal gel sugar
free
Linaclotide 290microgram capsules S 28 3756 C Constella
Linagliptin 2.5mg / Metformin 1g 56 3326 C Jentadueto
tablets
Linagliptin 2.5mg / Metformin 56 3326 C Jentadueto
850mg tablets
Linagliptin 5mg tablets 28 3326 C Trajenta
Linezolid 100mg/5ml oral R 150 ml 22250 C Zyvox
suspension
Linezolid 600mg tablets 10 32688 K A
Liothyronine 10microgram capsules 28 6500 C Roma
Pharmaceuticals Ltd
Liothyronine 10microgram tablets 28 15244 C Morningside
Healthcare Ltd
Liothyronine 20microgram capsules 28 5500 C Roma
Pharmaceuticals Ltd
Liothyronine 20microgram powder 5 156750 C Advanz Pharma
for solution for injection vials
Liothyronine 20microgram tablets 28 5016 L M
Liothyronine 5microgram capsules 28 5500 C Roma
Pharmaceuticals Ltd
Liothyronine 5microgram tablets 28 9947 A
Liquid paraffin 65% bath additive S 500 ml 545 C Doublebase
Liquid paraffin light 63.4% bath S 150 ml 295 C
additive
S 300 ml 502 C
S 500 ml 580 C Oilatum Emollient
S 600 ml 734 C Oilatum Junior
Liquid paraffin light 70% gel S 150 g 527 C Oilatum shower gel
fragrance free

325
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Liquid paraffin light 82.8% bath S 500 ml 575 C Cetraben emollient


additive
Liquid paraffin light liquid 500 ml 474 C J M Loveridge Ltd
Liquid paraffin liquid 150 ml 221 K C Bell,Sons & Co
(Druggists) Ltd
2000 ml 1240 C J M Loveridge Ltd
5000 ml 2466 C J M Loveridge Ltd
Liquorice liquid extract 500 ml 1272 C J M Loveridge Ltd
Liraglutide 6mg/ml solution for 2 7848 C Victoza
injection 3ml pre-filled
disposable devices
Lisdexamfetamine 20mg capsules 28 5462 C Elvanse
Lisdexamfetamine 30mg capsules 28 5824 C
Lisdexamfetamine 40mg capsules 28 6282 C Elvanse
Lisdexamfetamine 50mg capsules 28 6860 C
Lisdexamfetamine 60mg capsules 28 7518 C Elvanse
Lisdexamfetamine 70mg capsules 28 8316 C
Lisinopril 10mg / 28 227 A
Hydrochlorothiazide 12.5mg
tablets
Lisinopril 10mg tablets 28 95 L M
Lisinopril 2.5mg tablets 28 81 K M
Lisinopril 20mg / 28 248 A
Hydrochlorothiazide 12.5mg
tablets
Lisinopril 20mg tablets 28 106 L M
Lisinopril 5mg tablets 28 87 K M
Lisinopril 5mg/5ml oral solution 150 ml 19800 C Rosemont
sugar free Pharmaceuticals Ltd
Lithium carbonate 200mg modified- 100 750 C Priadel
release tablets
Lithium carbonate 250mg tablets 100 8700 A
Lithium carbonate 400mg modified- 100 850 C Priadel
release tablets
Lithium carbonate 450mg modified- 60 1184 C Liskonum
release tablets
Lithium citrate 1.018g/5ml oral 150 ml 1749 C Li-Liquid
solution
Lithium citrate 509mg/5ml oral 150 ml 579 C Li-Liquid
solution
Lithium citrate 520mg/5ml oral 150 ml 673 C Priadel
solution sugar free
Lixisenatide 10micrograms/0.2ml S 1 3167 C Lyxumia
solution for injection 3ml pre-
filled disposable devices
Lixisenatide 20micrograms/0.2ml 2 5793 C Lyxumia
solution for injection 3ml pre-
filled disposable devices
Lodoxamide 0.1% eye drops S 10 ml 521 C Alomide
Lofepramine 70mg tablets 56 1254 L M
Lofepramine 70mg/5ml oral 150 ml 14007 C Essential Pharma Ltd
suspension sugar free

326
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Loperamide 2mg / Simeticone 6 302 C Imodium Dual Action


125mg tablets Relief
12 440 C Imodium Dual Action
Relief
Loperamide 2mg capsules 30 93 M
Loperamide 2mg orodispersible 18 636 C Imodium Instant
tablets sugar free Melts
Loperamide 2mg tablets 30 252 L M
Loprazolam 1mg tablets 28 2250 A
Loratadine 10mg tablets 30 86 M
Loratadine 5mg/5ml oral solution 100 ml 427 L M
Loratadine 5mg/5ml oral solution 100 ml 285 C Torrent Pharma (UK)
sugar free Ltd
Lorazepam 1mg tablets 28 162 L M
Lorazepam 1mg/ml oral solution 150 ml 10362 A
sugar free
Lorazepam 2.5mg tablets 28 301 K A
Lorazepam 4mg/1ml solution for 10 11000 C Macure Pharma UK
injection ampoules Ltd
Lorazepam 500microgram tablets 28 3458 K A
Lormetazepam 1mg tablets 30 1777 A
Lormetazepam 500microgram 30 1894 A
tablets
Losartan 100mg / 28 959 L A
Hydrochlorothiazide 12.5mg
tablets
Losartan 100mg / 28 583 L M
Hydrochlorothiazide 25mg
tablets
Losartan 100mg tablets 28 122 L M
Losartan 12.5mg tablets 28 451 L M
Losartan 25mg tablets 28 94 L M
Losartan 50mg / 28 458 L M
Hydrochlorothiazide 12.5mg
tablets
Losartan 50mg tablets 28 102 L M
Loteprednol 0.5% eye drops S 5 ml 550 C Lotemax
Lurasidone 18.5mg tablets 28 3960 C Latuda
Lurasidone 37mg tablets 28 3960 C Latuda
Lurasidone 74mg tablets 28 3960 C Latuda
Lymecycline 408mg capsules 28 469 L M
56 938 L M

Part VIIIA products M

Macrogol 3350 oral powder 8.5g 28 9985 C TransiSoft


sachets sugar free
Macrogol compound half-strength 30 438 C Movicol Paediatric
oral powder sachets NPF
sugar free
Macrogol compound oral liquid 30 772 C Movicol Ready to
25ml sachets NPF sugar free Take

327
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Macrogol compound oral liquid NPF 500 ml 541 C Movicol Liquid


sugar free
Macrogol compound oral powder 30 472 C
sachets NPF sugar free
Magnesium aspartate (magnesium 10 945 C Magnaspartate
10mmol) oral powder sachets
Magnesium glycerophosphate 200 ml 3787 C MagnaPhos
(magnesium 121.25mg/5ml
(5mmol/5ml)) oral solution
Magnesium glycerophosphate S 50 2277 A
(magnesium 97.2mg (4mmol))
chewable tablets
Magnesium glycerophosphate 50 2277 C Neomag
(magnesium 97.2mg (4mmol))
chewable tablets sugar free
Magnesium hydroxide 7.45-8.35% 200 ml 387 C Phillips' Milk of
oral suspension BP Magnesia
Magnesium hydroxide 8% oral 500 ml 805 C Alliance Healthcare
suspension (Distribution) Ltd
Magnesium sulfate 10% 10 8418 A
(magnesium 0.4mmol/ml)
solution for injection 10ml
ampoules
Magnesium sulfate 50% 10 2171 A
(magnesium 2mmol/ml)
solution for injection 10ml
ampoules
Magnesium sulfate 50% 10 1735 A
(magnesium 2mmol/ml)
solution for injection 2ml
ampoules
Magnesium sulfate paste 50 g 336 K A
Magnesium sulfate powder 500 g 403 C J M Loveridge Ltd
Magnesium trisilicate oral 200 ml 208 C Thornton & Ross Ltd
suspension
Malathion 0.5% aqueous liquid S 150 ml 1170 K C Derbac-M
Mannitol 40mg inhalation powder S 280 23166 C Bronchitol
capsules with two devices
Maraviroc 150mg tablets 60 51914 C Celsentri
Maraviroc 20mg/ml oral solution 230 ml 23044 C Celsentri
sugar free
Maraviroc 300mg tablets 60 51914 C Celsentri
Measles, Mumps and Rubella S 1 764 C Priorix
vaccine (live) powder and
solvent for solution for injection
0.5ml pre-filled syringes
Measles, Mumps and Rubella S 1 1100 C M-M-RVAXPRO
vaccine (live) powder and
solvent for suspension for
injection 0.5ml pre-filled
syringes
Mebendazole 100mg chewable 6 134 C Vermox
tablets sugar free

328
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Mebendazole 100mg/5ml oral S 30 ml 155 C Vermox


suspension
Mebeverine 135mg tablets 100 462 K M
Mebeverine 200mg modified- 60 362 L M
release capsules
Mebeverine 50mg/5ml oral 300 ml 20570 C Essential Generics
suspension sugar free Ltd
Medroxyprogesterone 100mg 100 4994 C Provera
tablets
Medroxyprogesterone 104mg/ S 1 690 C Sayana Press
0.65ml suspension for injection
pre-filled disposable devices
Medroxyprogesterone 10mg tablets 90 2216 C Provera
Medroxyprogesterone 150mg/1ml S 1 601 C Depo-Provera
suspension for injection pre-
filled syringes
Medroxyprogesterone 2.5mg tablets 30 184 C Provera
Medroxyprogesterone 200mg 30 2965 C Provera
tablets
Medroxyprogesterone 400mg 30 5867 C Provera
tablets
Medroxyprogesterone 5mg tablets 10 123 C Provera
Mefenamic acid 250mg capsules 100 3316 K A
Mefenamic acid 500mg tablets 28 1467 L M
Mefenamic acid 50mg/5ml oral 125 ml 18348 A
suspension
Mefloquine 250mg tablets 8 1453 C Lariam
Megestrol 160mg tablets 30 1952 C Megace
Meglumine amidotrizoate 3.3g/5ml / 1000 ml 17500 C Gastrografin
Sodium amidotrizoate 500mg/ (10xS100
5ml oral solution sugar free )
Melatonin 1mg modified-release 60 4120 C Slenyto
tablets
Melatonin 1mg tablets 30 1330 C Adaflex
Melatonin 1mg/ml oral solution 150 ml 14448 L M
sugar free
Melatonin 2mg capsules 30 5750 C Colonis Pharma Ltd
Melatonin 2mg modified-release 30 825 L M
tablets
Melatonin 2mg tablets 30 1530 C Adaflex
Melatonin 3mg capsules 30 6250 C Colonis Pharma Ltd
Melatonin 3mg tablets 30 1981 A
Melatonin 4mg tablets 30 2023 C Adaflex
Melatonin 5mg capsules 30 10500 C Colonis Pharma Ltd
Melatonin 5mg modified-release 30 10300 C Slenyto
tablets
Melatonin 5mg tablets 30 2327 C Adaflex
Meloxicam 15mg orodispersible 30 2550 C Fontus Health Ltd
tablets sugar free
Meloxicam 15mg tablets 30 233 K M
Meloxicam 7.5mg orodispersible 30 2550 C Fontus Health Ltd
tablets sugar free

329
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Meloxicam 7.5mg tablets 30 127 L M


Melphalan 2mg tablets 25 1648 L A
Memantine 10mg orodispersible 28 2499 C Valios
tablets sugar free
Memantine 10mg tablets 28 125 K M
Memantine 10mg/ml oral solution S 50 ml 746 K M
sugar free
Memantine 20mg orodispersible 28 4998 C Valios
tablets sugar free
Memantine 20mg tablets 28 160 K M
Memantine 5mg/10mg/15mg/20mg S 28 3124 C Valios
orodispersible tablets initiation
pack sugar free
Memantine 5mg/10mg/15mg/20mg S 28 4313 C Ebixa
tablets treatment initiation pack
Menadiol 10mg tablets 100 23672 C Alliance
Pharmaceuticals Ltd
Meningococcal oligosaccharide A, S 1 3000 C Menveo
C, W135 and Y conjugate
vaccine powder and solvent for
solution for injection 0.5ml vials
Meningococcal polysaccharide A, S 1 3000 C Nimenrix
C, W135 and Y conjugate
vaccine powder and solvent for
solution for injection 0.5ml pre-
filled syringes
Menotrophin 1,200unit powder and S 1 28829 C Menopur
solvent for solution for injection
vials
Menotrophin 150unit powder and 10 36036 C Menopur
solvent for solution for injection
vials
Menotrophin 600unit powder and S 1 14414 C Menopur
solvent for solution for injection
vials
Menotrophin 75unit powder and 10 18018 C Menopur
solvent for solution for injection
vials
Menthol 0.5% in Aqueous cream S 500 g 1719 C Dermacool
Menthol 1% in Aqueous cream S 100 g 425 C Dermacool
500 g 1775 C Dermacool
Menthol 2% in Aqueous cream S 500 g 1816 C Dermacool
Menthol crystals 5 g 203 K A
Meptazinol 200mg tablets 112 2211 C Meptid
Mepyramine 2% cream S 25 g 261 L C Anthisan
Mercaptamine 150mg capsules S 100 19000 C Cystagon
Mercaptamine 25mg gastro- S 60 33597 C Procysbi
resistant capsules
Mercaptamine 3.8mg/ml eye drops S 5 ml 86500 C Cystadrops
Mercaptamine 50mg capsules S 100 7000 C Cystagon
Mercaptamine 75mg gastro- S 250 419965 C Procysbi
resistant capsules

330
Part VIIIA 04/2023
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Drug Quantity Basic Price Category

Mercaptopurine 20mg/ml oral 100 ml 17000 C Xaluprine


suspension
Mercaptopurine 50mg tablets 25 984 L M
Meropenem 1g powder for solution 10 22420 C Fresenius Kabi Ltd
for injection vials
Meropenem 500mg powder for 10 11210 C Fresenius Kabi Ltd
solution for injection vials
Mesalazine 1.2g gastro-resistant 60 4295 C Mezavant XL
modified-release tablets
Mesalazine 1.5g gastro-resistant 60 4885 C Salofalk
modified-release granules
sachets sugar free
Mesalazine 1.6g gastro-resistant S 30 3008 C Octasa 1600mg MR
tablets
Mesalazine 1g gastro-resistant 50 2874 C Salofalk
modified-release granules
sachets sugar free
Mesalazine 1g gastro-resistant 90 5850 C Salofalk
tablets
Mesalazine 1g modified-release 50 3074 C Pentasa
granules sachets sugar free
Mesalazine 1g modified-release 60 3689 C Pentasa
tablets
Mesalazine 1g suppositories 28 4001 C Pentasa
Mesalazine 1g/100ml enema 7 1773 C Pentasa Mesalazine
Mesalazine 1g/application foam S 14 actn 3017 C Salofalk
enema
Mesalazine 250mg gastro-resistant 100 1619 C Salofalk
tablets
Mesalazine 2g modified-release 60 7378 C Pentasa
granules sachets sugar free
Mesalazine 2g/59ml enema 7 2992 C Salofalk
Mesalazine 3g gastro-resistant 60 9770 C Salofalk
modified-release granules
sachets sugar free
Mesalazine 400mg gastro-resistant 84 2745 C Asacol
tablets
90 1950 C Octasa
Mesalazine 4g modified-release 30 7378 C Pentasa
granules sachets sugar free
Mesalazine 500mg gastro-resistant 100 2874 C Salofalk
modified-release granules
sachets sugar free
Mesalazine 500mg gastro-resistant 100 3238 C Salofalk
tablets
Mesalazine 500mg modified- 100 3074 C Pentasa SR
release tablets
Mesalazine 500mg suppositories 30 1481 C Salofalk
Mesalazine 800mg gastro-resistant 84 5490 C Asacol
tablets
180 8075 C Octasa
Mestranol 50microgram / 63 219 C Norinyl-1
Norethisterone 1mg tablets

331
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Metformin 1g / Sitagliptin 50mg 56 3326 C Janumet


tablets
Metformin 1g modified-release 56 217 L M
tablets
Metformin 1g tablets 28 5253 K A
Metformin 1g/5ml oral solution 150 ml 8000 A
sugar free
Metformin 500mg modified-release 56 156 L M
tablets
Metformin 500mg oral powder 30 630 C Morningside
sachets sugar free Healthcare Ltd
Metformin 500mg tablets 28 82 K M
Metformin 500mg/5ml oral solution 150 ml 3240 L M
sugar free
Metformin 750mg modified-release 56 640 C
tablets
Metformin 850mg tablets 56 124 K M
Metformin 850mg/5ml oral solution 150 ml 6800 A
sugar free
Methadone 10mg/1ml solution for 10 847 C Physeptone
injection ampoules
Methadone 10mg/ml oral solution 150 ml 1201 C Methadose
sugar free
Methadone 1mg/ml oral solution 100 ml 104 M
500 ml 520 M
Methadone 1mg/ml oral solution 100 ml 106 K M
sugar free
500 ml 530 K M
Methadone 20mg/ml oral solution 150 ml 2402 C Methadose
sugar free
Methadone 50mg/1ml solution for 10 1967 C Physeptone
injection ampoules
Methadone 5mg tablets 50 1500 C Martindale
Pharmaceuticals Ltd
Methenamine hippurate 1g tablets 60 3351 K A
Methocarbamol 1500mg tablets 100 2946 K A
Methocarbamol 750mg tablets 100 1278 K M
Methotrexate 10mg tablets 100 5507 A
Methotrexate 10mg/0.2ml solution S 1 1326 C Metoject PEN
for injection pre-filled
disposable devices
Methotrexate 10mg/0.2ml solution S 1 1125 C Methofill
for injection pre-filled syringes
Methotrexate 10mg/0.4ml solution S 1 1377 C Nordimet
for injection pre-filled
disposable devices
Methotrexate 10mg/0.4ml solution S 1 1377 C Zlatal
for injection pre-filled syringes
Methotrexate 12.5mg/0.25ml S 1 1435 C Metoject PEN
solution for injection pre-filled
disposable devices

332
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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Methotrexate 12.5mg/0.25ml S 1 1234 C Methofill


solution for injection pre-filled
syringes
Methotrexate 12.5mg/0.5ml solution S 1 1485 C Nordimet
for injection pre-filled
disposable devices
Methotrexate 12.5mg/0.5ml solution S 1 1485 C Zlatal
for injection pre-filled syringes
Methotrexate 15mg/0.3ml solution S 1 1441 C Metoject PEN
for injection pre-filled
disposable devices
Methotrexate 15mg/0.3ml solution S 1 1240 C Methofill
for injection pre-filled syringes
Methotrexate 15mg/0.6ml solution S 1 1492 C Nordimet
for injection pre-filled
disposable devices
Methotrexate 15mg/0.6ml solution S 1 1492 C Zlatal
for injection pre-filled syringes
Methotrexate 17.5mg/0.35ml S 1 1525 C Metoject PEN
solution for injection pre-filled
disposable devices
Methotrexate 17.5mg/0.35ml S 1 1324 C Methofill
solution for injection pre-filled
syringes
Methotrexate 17.5mg/0.7ml solution S 1 1575 C Nordimet
for injection pre-filled
disposable devices
Methotrexate 17.5mg/0.7ml solution S 1 1575 C Zlatal
for injection pre-filled syringes
Methotrexate 2.5mg tablets 28 163 L M
Methotrexate 20mg/0.4ml solution S 1 1556 C Metoject PEN
for injection pre-filled
disposable devices
Methotrexate 20mg/0.4ml solution S 1 1355 C Methofill
for injection pre-filled syringes
Methotrexate 20mg/0.8ml solution S 1 1606 C Nordimet
for injection pre-filled
disposable devices
Methotrexate 20mg/0.8ml solution S 1 1606 C Zlatal
for injection pre-filled syringes
Methotrexate 22.5mg/0.45ml S 1 1611 C Metoject PEN
solution for injection pre-filled
disposable devices
Methotrexate 22.5mg/0.45ml S 1 1410 C Methofill
solution for injection pre-filled
syringes
Methotrexate 22.5mg/0.9ml solution S 1 1661 C Nordimet
for injection pre-filled
disposable devices
Methotrexate 22.5mg/0.9ml solution S 1 1661 C Zlatal
for injection pre-filled syringes
Methotrexate 25mg/0.5ml solution S 1 1613 C Metoject PEN
for injection pre-filled
disposable devices

333
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Methotrexate 25mg/0.5ml solution S 1 1424 C Methofill


for injection pre-filled syringes
Methotrexate 25mg/1ml solution for S 1 1664 C Nordimet
injection pre-filled disposable
devices
Methotrexate 25mg/1ml solution for S 1 1664 C Zlatal
injection pre-filled syringes
Methotrexate 27.5mg/0.55ml S 1 1650 C Metoject PEN
solution for injection pre-filled
disposable devices
Methotrexate 27.5mg/0.55ml S 1 1449 C Methofill
solution for injection pre-filled
syringes
Methotrexate 2mg/ml oral solution S 35 ml 9500 C Rosemont
sugar free Pharmaceuticals Ltd
S 65 ml 12500 C Rosemont
Pharmaceuticals Ltd
Methotrexate 30mg/0.6ml solution S 1 1656 C Metoject PEN
for injection pre-filled
disposable devices
Methotrexate 30mg/0.6ml solution S 1 1455 C Methofill
for injection pre-filled syringes
Methotrexate 7.5mg/0.15ml solution S 1 1287 C Metoject PEN
for injection pre-filled
disposable devices
Methotrexate 7.5mg/0.15ml solution S 1 1086 C Methofill
for injection pre-filled syringes
Methotrexate 7.5mg/0.3ml solution S 1 1337 C Nordimet
for injection pre-filled
disposable devices
Methotrexate 7.5mg/0.3ml solution S 1 1337 C Zlatal
for injection pre-filled syringes
Methoxy polyethylene glycol- S 1 14681 C Mircera
epoetin beta 100micrograms/
0.3ml solution for injection pre-
filled syringes
Methoxy polyethylene glycol- S 1 17618 C Mircera
epoetin beta 120micrograms/
0.3ml solution for injection pre-
filled syringes
Methoxy polyethylene glycol- S 1 22022 C Mircera
epoetin beta 150micrograms/
0.3ml solution for injection pre-
filled syringes
Methoxy polyethylene glycol- S 1 29362 C Mircera
epoetin beta 200micrograms/
0.3ml solution for injection pre-
filled syringes
Methoxy polyethylene glycol- S 1 36703 C Mircera
epoetin beta 250micrograms/
0.3ml solution for injection pre-
filled syringes

334
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Drug Quantity Basic Price Category

Methoxy polyethylene glycol- S 1 4405 C Mircera


epoetin beta 30micrograms/
0.3ml solution for injection pre-
filled syringes
Methoxy polyethylene glycol- S 1 52856 C Mircera
epoetin beta 360micrograms/
0.6ml solution for injection pre-
filled syringes
Methoxy polyethylene glycol- S 1 7341 C Mircera
epoetin beta 50micrograms/
0.3ml solution for injection pre-
filled syringes
Methoxy polyethylene glycol- S 1 11011 C Mircera
epoetin beta 75micrograms/
0.3ml solution for injection pre-
filled syringes
Methyl salicylate 105mg / 3 299 C Salonpas Pain Relief
Levomenthol 31.5mg Patch
medicated plasters
5 419 C Salonpas Pain Relief
Patch
Methyl salicylate 30% / Menthol 8% S 35 g 300 C Deep Heat Maximum
cream Strength
Methyldopa 125mg tablets 56 9992 L A
Methyldopa 250mg tablets 56 2440 A
Methyldopa 500mg tablets 56 1790 A
Methylnaltrexone bromide 12mg/ 7 14735 C Relistor
0.6ml solution for injection vials
Methylphenidate 10mg modified- 30 2500 C Equasym XL
release capsules
Methylphenidate 10mg tablets 30 292 L M
Methylphenidate 18mg modified- 30 3119 C Concerta XL
release tablets
Methylphenidate 20mg modified- 30 3000 C Equasym XL
release capsules
Methylphenidate 20mg tablets 30 1092 C
Methylphenidate 27mg modified- 30 3681 C Concerta XL
release tablets
Methylphenidate 30mg modified- 30 3500 C Equasym XL
release capsules
Methylphenidate 36mg modified- 30 4245 C Concerta XL
release tablets
Methylphenidate 40mg modified- 30 5772 C Medikinet XL
release capsules
Methylphenidate 50mg modified- 30 6252 C Medikinet XL
release capsules
Methylphenidate 54mg modified- 30 3680 C
release tablets
Methylphenidate 5mg modified- 30 2404 C Medikinet XL
release capsules
Methylphenidate 5mg tablets 30 303 C
Methylphenidate 60mg modified- 30 6732 C Medikinet X
release capsules
Methylprednisolone 100mg tablets 20 4832 C Medrone

335
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Methylprednisolone 16mg tablets 30 1717 C Medrone


Methylprednisolone 2mg tablets 30 388 C Medrone
Methylprednisolone 40mg/1ml / S 1 394 C Depo-Medrone with
Lidocaine 10mg/1ml (1%) Lidocaine
suspension for injection vials
Methylprednisolone 4mg tablets 30 619 C Medrone
Methylprednisolone 80mg/2ml / S 1 706 C Depo-Medrone with
Lidocaine 20mg/2ml (1%) Lidocaine
suspension for injection vials
Methylprednisolone acetate 120mg/ S 1 896 C Depo-Medrone
3ml suspension for injection
vials
Methylprednisolone acetate 40mg/ S 1 344 C Depo-Medrone
1ml suspension for injection
vials
Methylprednisolone acetate 80mg/ S 1 618 C Depo-Medrone
2ml suspension for injection
vials
Methylprednisolone sodium S 1 475 C Solu-Medrone
succinate 125mg powder and
solvent for solution for injection
vials
Methylprednisolone sodium S 1 1730 C Solu-Medrone
succinate 1g powder and
solvent for solution for injection
vials
Methylprednisolone sodium S 1 158 C Solu-Medrone
succinate 40mg powder and
solvent for solution for injection
vials
Methylprednisolone sodium S 1 960 C Solu-Medrone
succinate 500mg powder and
solvent for solution for injection
vials
Metoclopramide 10mg tablets 28 96 L M
Metoclopramide 10mg/2ml solution 10 406 K A
for injection ampoules
Metoclopramide 5mg tablets 28 375 C Bristol Laboratories
Ltd
Metoclopramide 5mg/5ml oral 150 ml 1979 A
solution sugar free
Metolazone 5mg tablets 20 11000 C Xaqua
Metoprolol 100mg tablets 28 165 K A
Metoprolol 25mg tablets 28 2986 K A
Metoprolol 50mg tablets 28 135 K M
Metronidazole 0.75% cream S 30 g 660 C Rozex
S 40 g 988 C Rozex
Metronidazole 0.75% gel S 15 g 564 C Anabact
S 40 g 2263 C Metrogel
Metronidazole 0.75% vaginal gel S 40 g 431 C Zidoval
Metronidazole 1g suppositories 10 2306 C Flagyl
Metronidazole 200mg tablets 21 403 A

336
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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Metronidazole 200mg/5ml oral 100 ml 6227 L A


suspension
Metronidazole 400mg tablets 21 137 K M
Metronidazole 500mg suppositories 10 1518 C Flagyl
Metronidazole 500mg tablets 21 4305 L A
Metronidazole 500mg/100ml 20 7185 K C AAH
infusion 100ml bags Pharmaceuticals Ltd
Metyrapone 250mg capsules 100 43857 C Metopirone
Mexiletine hydrochloride 200mg 100 500000 C Namuscla
(Mexiletine 167mg) capsules
Mianserin 10mg tablets 28 2006 K A
Mianserin 30mg tablets 28 4895 K A
Miconazole 0.16% dry powder S 100 g 402 C Daktarin Aktiv
spray
Miconazole 2% cream S 30 g 182 C Daktarin
Miconazole 2% powder S 20 g 358 C Daktarin
Miconazole 2% vaginal cream S 78 g 433 C Gyno-Daktarin
Miconazole 20mg/g oromucosal gel S 15 g 446 C Daktarin
sugar free
S 80 g 438 C Daktarin
Midazolam 10mg/1ml oromucosal S 1 4576 C Epistatus
solution pre-filled oral syringes
sugar free
Midazolam 10mg/2ml oromucosal 4 9150 C Buccolam
solution pre-filled oral syringes
sugar free
Midazolam 10mg/2ml solution for 10 577 L M
injection ampoules
Midazolam 10mg/5ml solution for 10 709 A
injection ampoules
Midazolam 2.5mg/0.5ml 4 8200 C Buccolam
oromucosal solution pre-filled
oral syringes sugar free
Midazolam 2mg/2ml solution for 10 600 A
injection ampoules
Midazolam 50mg/10ml solution for 10 3151 A
injection ampoules
Midazolam 5mg/1ml oromucosal 4 8550 C Buccolam
solution pre-filled oral syringes
sugar free
Midazolam 5mg/5ml solution for 10 1359 A
injection ampoules
Midazolam 7.5mg/1.5ml 4 8900 C Buccolam
oromucosal solution pre-filled
oral syringes sugar free
Midodrine 10mg tablets 100 8234 C Bramox
Midodrine 2.5mg tablets 100 2557 L M
Midodrine 5mg tablets 100 3863 L M
Minocycline 100mg modified- 56 2008 C Minocin MR
release capsules
Minocycline 100mg tablets 28 1250 A
Minocycline 50mg tablets 28 619 A
Minoxidil 10mg tablets 60 3068 C Loniten

337
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Minoxidil 2.5mg tablets 60 888 C Loniten


Minoxidil 5% foam S 60 g 2450 C Regaine for Men
Extra Strength
120 g 3334 C Regaine for Women
(2xS60) Once a Day
180 g 5635 C Regaine for Men
(3xS60) Extra Strength
Minoxidil 5mg tablets 60 1583 C Loniten
Mirabegron 25mg modified-release 30 2900 C Betmiga
tablets
Mirabegron 50mg modified-release 30 2900 C Betmiga
tablets
Mirtazapine 15mg orodispersible 30 186 L M
tablets
Mirtazapine 15mg tablets 28 104 L M
Mirtazapine 15mg/ml oral solution S 66 ml 11700 C Rosemont
sugar free Pharmaceuticals Ltd
Mirtazapine 30mg orodispersible 30 199 L M
tablets
Mirtazapine 30mg tablets 28 110 K M
Mirtazapine 45mg orodispersible 30 222 L M
tablets
Mirtazapine 45mg tablets 28 136 M
Misoprostol 200microgram tablets 60 1003 C Cytotec
Misoprostol 400microgram tablets S 1 800 C Topogyne
Mitotane 500mg tablets 100 59097 C Lysodren
Mizolastine 10mg modified-release 30 692 C Mizollen
tablets
Moclobemide 150mg tablets 30 933 C
Moclobemide 300mg tablets 30 1399 C Manerix
Modafinil 100mg tablets 30 274 K M
Modafinil 200mg tablets 30 712 K A
Mometasone 0.1% cream S 30 g 355 L M
S 100 g 1183 L M
Mometasone 0.1% ointment S 30 g 388 L M
S 100 g 1293 L M
Mometasone 0.1% scalp lotion S 30 ml 436 C Elocon
Mometasone 200micrograms/dose S 30 dose 1570 C Asmanex Twisthaler
dry powder inhaler
S 60 dose 2354 C Asmanex Twisthaler
Mometasone 25micrograms/dose / S 240 dose 1332 C Ryaltris
Olopatadine 600micrograms/
dose nasal spray
Mometasone 400micrograms/dose S 30 dose 2178 C Asmanex Twisthaler
dry powder inhaler
S 60 dose 3605 C Asmanex Twisthaler
Mometasone 50micrograms/dose S 140 dose 276 L M
nasal spray
Montelukast 10mg tablets 28 134 M
Montelukast 4mg chewable tablets 28 107 L M
sugar free

338
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Montelukast 4mg granules sachets 28 776 L M


sugar free
Montelukast 5mg chewable tablets 28 120 K M
sugar free
Morphine 100mg modified-release 60 2180 C Zomorph
capsules
Morphine 100mg modified-release 60 3850 C MST Continus
tablets
Morphine 10mg modified-release 60 347 C Zomorph
capsules
Morphine 10mg modified-release 60 520 C MST Continus
tablets
Morphine 10mg orodispersible 56 475 C Actimorph
tablets sugar free
Morphine 10mg tablets 56 531 C Sevredol
Morphine 120mg modified-release 28 2915 C MXL
capsules
Morphine 150mg modified-release 28 3643 C MXL
capsules
Morphine 15mg modified-release 60 910 C MST Continus
tablets
Morphine 1mg orodispersible 56 200 C Actimorph
tablets sugar free
Morphine 2.5mg orodispersible 56 250 C Actimorph
tablets sugar free
Morphine 200mg modified-release 60 4360 C Zomorph
capsules
Morphine 200mg modified-release 60 8134 C MST Continus
tablets
Morphine 20mg orodispersible 56 950 C Actimorph
tablets sugar free
Morphine 20mg tablets 56 1061 C Sevredol
Morphine 30mg modified-release 60 830 C Zomorph
capsules
Morphine 30mg modified-release 60 1247 C MST Continus
tablets
Morphine 30mg orodispersible 56 1300 C Actimorph
tablets sugar free
Morphine 50mg tablets 56 2802 C Sevredol
Morphine 5mg modified-release 60 329 C MST Continus
tablets
Morphine 5mg orodispersible 56 350 C Actimorph
tablets sugar free
Morphine 60mg modified-release 60 1620 C Zomorph
capsules
Morphine 60mg modified-release 60 2432 C MST Continus
tablets
Morphine 90mg modified-release 28 2204 C MXL
capsules
Morphine sulfate 10mg/10ml 10 1500 C hameln pharma Ltd
solution for injection ampoules
Morphine sulfate 10mg/1ml solution 10 1699 A
for injection ampoules

339
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Morphine sulfate 10mg/5ml oral 300 ml 455 L M


solution
Morphine sulfate 15mg/1ml solution 10 1217 C Martindale
for injection ampoules Pharmaceuticals Ltd
Morphine sulfate 20mg/1ml solution 10 21539 K A
for injection ampoules
Morphine sulfate 20mg/ml oral 120 ml 1950 C Oramorph
solution sugar free
Morphine sulfate 30mg/1ml solution 10 3934 L A
for injection ampoules
Morphine sulfate 50mg/50ml S 1 578 A
solution for infusion vials
Morphine sulfate 5mg/5ml solution 10 5120 C Torbay
for injection ampoules Pharmaceuticals
Morphine sulfate 60mg/2ml solution 5 1007 C Wockhardt UK Ltd
for injection ampoules
Moxifloxacin 0.5% eye drops S 5 ml 980 C Moxivig
Moxifloxacin 400mg tablets 5 700 L A
Moxonidine 200microgram tablets 28 525 L M
Moxonidine 300microgram tablets 28 498 L M
Moxonidine 400microgram tablets 28 451 L M
Mupirocin 2% cream S 15 g 526 C Bactroban
Mupirocin 2% nasal ointment S 3 g 424 C Bactroban Nasal
Mupirocin 2% ointment S 15 g 1631 K A
Mycophenolate mofetil 1g/5ml oral S 175 ml 11516 C CellCept
suspension sugar free
Mycophenolate mofetil 250mg 100 8226 C CellCept
capsules
Mycophenolate mofetil 500mg 50 675 K M
tablets
Mycophenolic acid 180mg gastro- 120 9672 C Myfortic
resistant tablets
Mycophenolic acid 360mg gastro- 120 19343 C Myfortic
resistant tablets

Part VIIIA products N

Nabilone 1mg capsules 20 19600 C Brown & Burk UK Ltd


Nabilone 250microgram capsules 20 15000 C Brown & Burk UK Ltd
Nabumetone 500mg tablets 56 1411 K A
Nadolol 80mg tablets 28 600 C Corgard
Nafarelin 200micrograms/dose S 60 dose 5243 C Synarel
nasal spray
Naftidrofuryl 100mg capsules 84 1026 K M
Nalmefene 18mg tablets 14 4242 C Selincro
Naloxegol 12.5mg tablets 30 5520 C Moventig
Naloxegol 25mg tablets 30 5520 C Moventig
Naloxone 1.8mg/0.1ml nasal spray 2 2600 C Nyxoid
unit dose (2xS1)
Naloxone 2mg/2ml solution for S 1 1800 C Prenoxad
injection pre-filled syringes

340
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Naloxone 400micrograms/1ml 10 4151 K A


solution for injection ampoules
Naltrexone 50mg tablets 28 7989 K A
Naltrexone 8mg / Bupropion 90mg 112 7300 C Mysimba
modified-release tablets
Naphazoline 0.012% eye drops S 10 ml 213 C Murine irritation &
redness
Naproxen 125mg/5ml oral 100 ml 11001 A
suspension sugar free
Naproxen 250mg effervescent 20 5272 C Stirlescent
tablets sugar free (2xS10)
Naproxen 250mg gastro-resistant 56 295 K M
tablets
Naproxen 250mg tablets 28 109 K M
Naproxen 250mg/5ml oral 100 ml 4501 A
suspension
Naproxen 375mg gastro-resistant 56 2777 A
tablets
Naproxen 500mg / Esomeprazole 60 1495 C Vimovo
20mg modified-release tablets
Naproxen 500mg gastro-resistant 56 567 K M
tablets
Naproxen 500mg tablets 28 159 K M
Naratriptan 2.5mg tablets 6 218 K M
12 436 K M
Nebivolol 1.25mg tablets 28 5933 K A
Nebivolol 10mg tablets 28 3772 L A
Nebivolol 2.5mg tablets 28 1070 L M
Nebivolol 5mg tablets 28 142 K M
Nefopam 30mg tablets 90 442 L M
Neomycin 0.5% / Chlorhexidine S 15 g 199 C Naseptin
hydrochloride 0.1% cream
Neostigmine 2.5mg/1ml solution for 10 775 A
injection ampoules
Nepafenac 1mg/ml eye drops S 5 ml 1492 C Nevanac
Nepafenac 3mg/ml eye drops S 3 ml 1492 C Nevanac
Netilmicin 3mg/ml / Dexamethasone 20 1129 C Netildex
1mg/ml eye drops 0.3ml unit
dose preservative free
Nevirapine 400mg modified-release 30 8019 A
tablets
Nicardipine 20mg capsules 56 552 C Cardene
Nicardipine 30mg capsules 56 640 C Cardene
Nicorandil 10mg tablets 60 196 L M
(6xS10)
Nicorandil 20mg tablets 60 261 L M
(6xS10)
Nicotinamide 4% gel S 10 g 310 C Freederm
S 25 g 556 C Freederm Treatment
Nicotine 1.5mg lozenges sugar free 60 1256 C NiQuitin Minis
Nicotine 10mg/16hours transdermal 7 1143 C Nicorette invisi
patches

341
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Nicotine 14mg/24hours transdermal 7 940 C Nicotinell TTS 20


patches
Nicotine 15mg inhalation cartridges S 4 611 C Nicorette
with device
S 20 2117 C Nicorette
S 36 3338 C Nicorette
Nicotine 15mg/16hours transdermal 7 1143 C Nicorette invisi
patches
Nicotine 1mg/dose oromucosal S 13.2 ml 1424 C Nicorette QuickMist
spray sugar free
Nicotine 21mg/24hours transdermal 7 997 C
patches
Nicotine 25mg/16hours transdermal 7 1143 C Nicorette Invisi
patches
Nicotine 2mg lozenges sugar free S 20 334 C Nicorette Cools
72 740 C NiQuitin Mint
80 1205 C
(4xS20)
Nicotine 2mg medicated chewing 96 950 K C Nicotinell
gum sugar free
Nicotine 2mg sublingual tablets 100 1809 C Nicorette Microtabs
sugar free
Nicotine 4mg lozenges sugar free 60 1256 C NiQuitin Minis Mint
(3xS20)
72 740 C NiQuitin Mint
80 1217 C Nicorette Cools
(4xS20)
Nicotine 4mg medicated chewing 96 1179 K C Nicotinell
gum sugar free
Nicotine 500micrograms/dose nasal S 10 ml 1933 C Nicorette
spray
Nicotine 7mg/24hours transdermal 7 912 C Nicotinell TTS 10
patches
Nicotine bitartrate 1mg lozenges 96 912 C Nicotinell
sugar free
Nicotine bitartrate 2mg lozenges 96 1060 C Nicotinell
sugar free
144 1350 C Nicotinell
204 1494 C Nicotinell
Nifedipine 10mg capsules 90 6563 C Relonchem Ltd
Nifedipine 10mg modified-release 60 390 C Coracten SR
capsules
Nifedipine 10mg modified-release 56 923 C Nifedipress MR 10
tablets
Nifedipine 20mg modified-release 60 541 C Coracten SR
capsules
Nifedipine 20mg modified-release 56 1006 C
tablets
Nifedipine 30mg modified-release 28 489 C Coracten XL
capsules
Nifedipine 30mg modified-release 28 470 C
tablets

342
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Nifedipine 40mg modified-release 30 1440 C Fortipine LA 40


tablets
Nifedipine 5mg capsules 90 5195 C Relonchem Ltd
Nifedipine 60mg modified-release 28 734 C Coracten XL
capsules
Nifedipine 60mg modified-release 28 710 C
tablets
Nilotinib 150mg capsules 112 243285 C Tasigna
Nilotinib 200mg capsules 112 243285 C Tasigna
Nilotinib 50mg capsules 120 243285 C Tasigna
Nimodipine 30mg tablets 100 4000 C Nimotop
Nitisinone 20mg capsules 60 338400 C Orfadin
Nitisinone 2mg capsules 60 42300 C Orfadin
Nitisinone 4mg/ml oral suspension S 90 ml 169200 C Orfadin
sugar free
Nitrazepam 2.5mg/5ml oral 70 ml 11400 A
suspension
Nitrazepam 5mg tablets 28 255 L M
Nitrofurantoin 100mg capsules 30 1043 A
Nitrofurantoin 100mg modified- 14 950 C Macrobid
release capsules
Nitrofurantoin 100mg tablets 28 502 K M
Nitrofurantoin 25mg/5ml oral 300 ml 45474 A
suspension sugar free
Nitrofurantoin 50mg capsules 30 357 L M
Nitrofurantoin 50mg tablets 28 373 K M
Nizatidine 150mg capsules 30 2183 L M
Nizatidine 300mg capsules 30 7028 K A
Nonoxinol-9 2% gel S 81 g 1100 C Gygel
Norethisterone 200mg/1ml solution S 1 405 C Noristerat
for injection ampoules
Norethisterone 350microgram 84 210 C Noriday
tablets
Norethisterone 5mg tablets 30 810 K M
Nortriptyline 10mg capsules 100 825 C Kent Pharma (UK)
Ltd
Nortriptyline 10mg tablets 100 202 L M
Nortriptyline 10mg/5ml oral solution 250 ml 24600 C Colonis Pharma Ltd
sugar free
Nortriptyline 25mg capsules 100 1000 C Kent Pharma (UK)
Ltd
Nortriptyline 25mg tablets 100 236 L M
Nortriptyline 25mg/5ml oral solution 250 ml 32400 C Colonis Pharma Ltd
sugar free
Nortriptyline 50mg tablets 30 6427 A
Nystatin 100,000units/g / S 30 g 966 C Nystaform HC
Chlorhexidine acetate 1% /
Hydrocortisone 1% ointment
Nystatin 100,000units/g / S 30 g 966 C Nystaform HC
Chlorhexidine hydrochloride
1% / Hydrocortisone 0.5%
cream

343
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Nystatin 100,000units/g / S 30 g 950 C Nystaform


Chlorhexidine hydrochloride
1% cream
Nystatin 100,000units/ml oral S 30 ml 180 C Nystan
suspension

Part VIIIA products O

Octreotide 100micrograms/1ml 5 2797 C Sandostatin


solution for injection ampoules
Octreotide 100micrograms/1ml 5 4690 K A
solution for injection pre-filled
syringes
Octreotide 100micrograms/1ml 5 3265 C Pfizer Ltd
solution for injection vials
Octreotide 10mg powder and S 1 54971 C Sandostatin LAR
solvent for suspension for
injection vials
Octreotide 1mg/5ml solution for S 1 6500 C Pfizer Ltd
injection vials
Octreotide 20mg powder and S 1 79933 C Sandostatin LAR
solvent for suspension for
injection vials
Octreotide 30mg powder and S 1 99841 C Sandostatin LAR
solvent for suspension for
injection vials
Octreotide 500micrograms/1ml 5 13547 C Sandostatin
solution for injection ampoules
Octreotide 500micrograms/1ml 5 24094 K A
solution for injection pre-filled
syringes
Octreotide 500micrograms/1ml 5 15825 C Pfizer Ltd
solution for injection vials
Octreotide 50micrograms/1ml 5 1487 C Sandostatin
solution for injection ampoules
Octreotide 50micrograms/1ml 5 2731 K A
solution for injection pre-filled
syringes
Ofloxacin 0.3% eye drops S 5 ml 217 C Exocin
Ofloxacin 200mg tablets 10 898 A
Ofloxacin 400mg tablets 5 1282 A
Oily phenol 5% solution for injection 10 10318 C Martindale
5ml ampoules Pharmaceuticals Ltd
Olanzapine 10mg oral lyophilisates 28 8740 C Zyprexa Velotab
sugar free
Olanzapine 10mg orodispersible 28 4998 A
tablets
Olanzapine 10mg orodispersible 28 1985 A
tablets sugar free
Olanzapine 10mg powder for S 1 3595 C Zyprexa
solution for injection vials
Olanzapine 10mg tablets 28 93 L M
Olanzapine 15mg oral lyophilisates 28 13110 C Zyprexa Velotab
sugar free

344
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Olanzapine 15mg orodispersible 28 4879 A


tablets
Olanzapine 15mg orodispersible 28 2019 A
tablets sugar free
Olanzapine 15mg tablets 28 115 L M
Olanzapine 2.5mg tablets 28 88 K M
Olanzapine 20mg oral lyophilisates 28 17479 C Zyprexa Velotab
sugar free
Olanzapine 20mg orodispersible 28 7998 A
tablets
Olanzapine 20mg orodispersible 28 1323 A
tablets sugar free
Olanzapine 20mg tablets 28 146 K M
Olanzapine 5mg oral lyophilisates 28 4807 C Zyprexa Velotab
sugar free
Olanzapine 5mg orodispersible 28 2998 A
tablets
Olanzapine 5mg orodispersible 28 1162 A
tablets sugar free
Olanzapine 5mg tablets 28 86 L M
Olanzapine 7.5mg tablets 28 104 K M
Olanzapine embonate 210mg S 1 14276 C Zypadhera
powder and solvent for
suspension for injection vials
Olanzapine embonate 300mg S 1 22264 C Zypadhera
powder and solvent for
suspension for injection vials
Olanzapine embonate 405mg S 1 28552 C Zypadhera
powder and solvent for
suspension for injection vials
Olaparib 100mg tablets 56 231750 C Lynparza
Olaparib 150mg tablets 56 231750 C Lynparza
Olmesartan medoxomil 10mg 28 178 L M
tablets
Olmesartan medoxomil 20mg / 28 1695 C Sevikar
Amlodipine 5mg tablets
Olmesartan medoxomil 20mg / 28 1295 C Olmetec Plus
Hydrochlorothiazide 12.5mg
tablets
Olmesartan medoxomil 20mg / 28 1295 C Olmetec Plus
Hydrochlorothiazide 25mg
tablets
Olmesartan medoxomil 20mg 28 193 L M
tablets
Olmesartan medoxomil 40mg / 28 1695 C Sevikar
Amlodipine 10mg tablets
Olmesartan medoxomil 40mg / 28 1695 C Sevikar
Amlodipine 5mg tablets
Olmesartan medoxomil 40mg / 28 1750 C Olmetec Plus
Hydrochlorothiazide 12.5mg
tablets
Olmesartan medoxomil 40mg 28 343 L M
tablets

345
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Olodaterol 2.5micrograms/dose S 60 dose 2635 C Striverdi Respimat


inhalation solution cartridge
CFC free
Olodaterol 2.5micrograms/dose S 60 dose 2635 C Striverdi Respimat
solution for inhalation cartridge
with device CFC free
Olopatadine 1mg/ml eye drops S 5 ml 468 C Opatanol
Olsalazine 250mg capsules 112 14400 A
Olsalazine 500mg tablets 60 16100 A
Omalizumab 150mg/1ml solution for S 1 25615 C Xolair
injection pre-filled syringes
Omalizumab 75mg/0.5ml solution S 1 12807 C Xolair
for injection pre-filled syringes
Omeprazole 10mg dispersible 28 930 C Losec MUPS
gastro-resistant tablets
Omeprazole 10mg gastro-resistant 28 90 K M
capsules
Omeprazole 10mg gastro-resistant 28 890 K A
tablets
Omeprazole 10mg/5ml oral S 75 ml 11200 C Rosemont
suspension sugar free Pharmaceuticals Ltd
Omeprazole 20mg dispersible 28 1392 C Losec MUPS
gastro-resistant tablets
Omeprazole 20mg gastro-resistant 28 109 K M
capsules
Omeprazole 20mg gastro-resistant 28 675 L M
tablets
Omeprazole 20mg/5ml oral S 75 ml 21600 C Rosemont
suspension sugar free Pharmaceuticals Ltd
Omeprazole 40mg dispersible 7 696 C Losec MUPS
gastro-resistant tablets
Omeprazole 40mg gastro-resistant 7 68 M
capsules
Omeprazole 40mg gastro-resistant 7 674 L M
tablets
Omeprazole 40mg powder for 5 2600 C Bowmed Ibisqus Ltd
solution for infusion vials
Ondansetron 4mg oral lyophilisates 10 3597 C Zofran Melt
sugar free
Ondansetron 4mg orodispersible 10 2850 C Setofilm
films sugar free
Ondansetron 4mg orodispersible 10 4348 A
tablets
Ondansetron 4mg tablets 10 88 L M
Ondansetron 4mg/2ml solution for 5 2997 C Zofran Flexi-amp
injection ampoules
10 1870 C hameln pharma Ltd
Ondansetron 4mg/5ml oral solution 50 ml 3837 A
sugar free
Ondansetron 8mg oral lyophilisates 10 7194 C Zofran Melt
sugar free
Ondansetron 8mg orodispersible 10 5700 C Setofilm
films sugar free

346
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BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Ondansetron 8mg orodispersible 10 8543 A


tablets
Ondansetron 8mg tablets 10 123 K A
Ondansetron 8mg/4ml solution for 5 5995 C Zofran Flexi-amp
injection ampoules
Opicapone 50mg capsules 30 9390 C Ongentys
Orange syrup 500 ml 1206 C J M Loveridge Ltd
Orlistat 120mg capsules 84 2402 L M
Orlistat 60mg capsules 84 3070 C Alli
Orphenadrine 50mg/5ml oral 150 ml 12100 C Rosemont
solution sugar free Pharmaceuticals Ltd
§ Oseltamivir 30mg capsules 10 771 C Tamiflu
§ Oseltamivir 45mg capsules 10 1541 C Tamiflu
§ Oseltamivir 6mg/ml oral suspension R 65 ml 1027 C Tamiflu
sugar free
§ Oseltamivir 75mg capsules 10 1541 C Tamiflu
Ospemifene 60mg tablets 28 3950 C Senshio
Oxazepam 10mg tablets 28 433 L A
Oxazepam 15mg tablets 28 310 K A
Oxcarbazepine 150mg tablets 50 1729 L A
Oxcarbazepine 300mg tablets 50 654 K A
Oxcarbazepine 600mg tablets 50 3871 A
Oxcarbazepine 60mg/ml oral 250 ml 4896 C Trileptal
suspension sugar free
Oxerutins 250mg capsules 120 2707 C Paroven
Oxybuprocaine 0.4% eye drops 20 1140 C Minims
0.5ml unit dose preservative
free
Oxybutynin 10mg modified-release S 28 3014 L A
tablets
Oxybutynin 2.5mg tablets 56 159 L M
Oxybutynin 2.5mg/5ml oral solution 150 ml 21484 A
sugar free
Oxybutynin 3.9mg/24hours 8 2720 C Kentera
transdermal patches
Oxybutynin 3mg tablets 56 2381 K A
Oxybutynin 5mg modified-release S 28 1507 L A
tablets
Oxybutynin 5mg tablets 56 174 L M
Oxybutynin 5mg/5ml oral solution 150 ml 23870 L A
sugar free
Oxycodone 10mg / Naloxone 5mg 56 4232 C Targinact
modified-release tablets
Oxycodone 10mg capsules 56 2286 C OxyNorm
Oxycodone 10mg modified-release 56 2504 C OxyContin
tablets
Oxycodone 10mg tablets 56 1029 C Oxyact
Oxycodone 10mg/1ml solution for 5 800 C OxyNorm
injection ampoules
Oxycodone 10mg/ml oral solution 120 ml 4663 C OxyNorm
sugar free

347
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Oxycodone 120mg modified- 56 30502 C OxyContin


release tablets
Oxycodone 15mg modified-release 56 3812 C OxyContin
tablets
Oxycodone 20mg / Naloxone 10mg 56 8462 C Targinact
modified-release tablets
Oxycodone 20mg capsules 56 4571 C OxyNorm
Oxycodone 20mg modified-release 56 5008 C OxyContin
tablets
Oxycodone 20mg tablets 56 2057 C Oxyact
Oxycodone 20mg/2ml solution for 5 1600 C OxyNorm
injection ampoules
Oxycodone 30mg modified-release 56 7623 C OxyContin
tablets
Oxycodone 40mg / Naloxone 20mg 56 16928 C Targinact
modified-release tablets
Oxycodone 40mg modified-release 56 10019 C OxyContin
tablets
Oxycodone 50mg/1ml solution for 5 7010 C OxyNorm
injection ampoules
Oxycodone 5mg / Naloxone 2.5mg 28 2116 C Targinact
modified-release tablets
Oxycodone 5mg capsules 56 1143 C OxyNorm
Oxycodone 5mg modified-release 28 1252 C OxyContin
tablets
Oxycodone 5mg tablets 56 515 C Oxyact
Oxycodone 5mg/5ml oral solution 250 ml 977 K M
sugar free
Oxycodone 60mg modified-release 56 15249 C OxyContin
tablets
Oxycodone 80mg modified-release 56 20039 C OxyContin
tablets
Oxytetracycline 250mg tablets 28 140 K M
Oxytetracycline 3% / S 30 g 501 C Terra-Cortril
Hydrocortisone 1% ointment

Part VIIIA products P

Paliperidone 100mg/1ml prolonged- S 1 31407 C Xeplion


release suspension for
injection pre-filled syringes
Paliperidone 150mg/1.5ml S 1 39259 C Xeplion
prolonged-release suspension
for injection pre-filled syringes
Paliperidone 175mg/0.875ml S 1 55176 C Trevicta
prolonged-release suspension
for injection pre-filled syringes
Paliperidone 263mg/1.315ml S 1 73470 C Trevicta
prolonged-release suspension
for injection pre-filled syringes
Paliperidone 350mg/1.75ml S 1 94221 C Trevicta
prolonged-release suspension
for injection pre-filled syringes

348
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Paliperidone 3mg modified-release 28 9728 C Invega


tablets
Paliperidone 50mg/0.5ml S 1 18392 C Xeplion
prolonged-release suspension
for injection pre-filled syringes
Paliperidone 525mg/2.625ml S 1 117777 C Trevicta
prolonged-release suspension
for injection pre-filled syringes
Paliperidone 6mg modified-release 28 9728 C Invega
tablets
Paliperidone 75mg/0.75ml S 1 24490 C Xeplion
prolonged-release suspension
for injection pre-filled syringes
Paliperidone 9mg modified-release 28 14592 C Invega
tablets
Pamidronate disodium 90mg/6ml S 1 17046 C Wockhardt UK Ltd
solution for infusion ampoules
Pantoprazole 20mg gastro-resistant 28 111 K M
tablets
Pantoprazole 40mg gastro-resistant 28 112 K M
tablets
Pantoprazole 40mg powder for S 1 500 C Sun Pharmaceutical
solution for injection vials Industries Europe
B.V.
5 2250 C Bowmed Ibisqus Ltd
Paracetamol 120mg suppositories 10 3595 K A
Paracetamol 120mg/5ml oral 2000 ml 2380 C Alliance Healthcare
solution paediatric sugar free (Distribution) Ltd
Paracetamol 120mg/5ml oral 12 283 C Calpol Infant
suspension 5ml sachets sugar
free
20 449 C Calpol Infant
Paracetamol 120mg/5ml oral 100 ml 369 K A
suspension paediatric sugar
free
Paracetamol 125mg suppositories 10 1380 C Alvedon
Paracetamol 1g effervescent tablets 50 789 C Altridexamol
sugar free
Paracetamol 1g suppositories 10 6000 A
Paracetamol 1g tablets 100 920 C Dawa Ltd
Paracetamol 1g/100ml solution for 12 1440 C Accord Healthcare
infusion vials Ltd
Paracetamol 240mg suppositories 10 6491 K A
Paracetamol 250mg orodispersible 12 316 C Calpol Six Plus
tablets sugar free Fastmelts
24 493 C Calpol Six Plus
Fastmelts
Paracetamol 250mg suppositories 10 2760 C Alvedon
Paracetamol 250mg/5ml oral 100 ml 324 K M
suspension
Paracetamol 250mg/5ml oral 12 340 C Calpol Six Plus
suspension 5ml sachets sugar
free

349
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Paracetamol 250mg/5ml oral 200 ml 597 K M


suspension sugar free
Paracetamol 325mg / 15 420 C Midrid
Isometheptene 65mg capsules
Paracetamol 500mg / 20 350 K C Panadol NightPain
Diphenhydramine 25mg tablets
Paracetamol 500mg / Ibuprofen 12 258 C Nuromol Dual Action
200mg tablets Pain Relief
Paracetamol 500mg / 15 382 C Sinutab Non-Drowsy
Pseudoephedrine
hydrochloride 30mg tablets
Paracetamol 500mg capsules 32 117 L M
100 366 L M
Paracetamol 500mg effervescent 100 876 L M
tablets
Paracetamol 500mg soluble tablets 24 332 K M
100 1383 K M
Paracetamol 500mg suppositories 10 4127 A
Paracetamol 500mg tablets 32 80 K M
100 250 K M
Paracetamol 500mg/5ml oral 200 ml 1800 C Advanz Pharma
solution sugar free
Paracetamol 500mg/5ml oral 150 ml 3008 K A
suspension sugar free
Paracetamol 60mg suppositories 10 1195 C Alvedon
Paracetamol 80mg suppositories 10 1000 C Phoenix Labs Ltd
Paraffin hard MP 43-46C solid 500 g 547 C J M Loveridge Ltd
Paraffin hard solid 500 g 393 C J M Loveridge Ltd
Parecoxib 40mg powder and 5 2834 C Dynastat
solvent for solution for injection
vials
Parecoxib 40mg powder for solution 10 4960 C Dynastat
for injection vials
Paricalcitol 1microgram capsules 28 6944 C Zemplar
Paricalcitol 2microgram capsules 28 13888 C Zemplar
Paroxetine 10mg tablets 28 187 L M
Paroxetine 20mg tablets 30 171 K M
Paroxetine 30mg tablets 30 162 K M
Paroxetine 40mg tablets 30 1554 A
Patiromer calcium 16.8g oral 30 17250 C Veltassa
powder sachets
Patiromer calcium 8.4g oral powder 30 17250 C Veltassa
sachets
Peginterferon alfa-2a S 1 10776 C Pegasys
135micrograms/0.5ml solution
for injection pre-filled syringes
Penicillamine 125mg tablets 56 7126 K A
Penicillamine 250mg tablets 56 13538 K A
Pentamidine 300mg powder for 5 15886 C Pentacarinat
solution for injection vials
Pentazocine 25mg tablets 28 2717 K A
Pentazocine 50mg capsules 28 2850 C

350
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Pentosan polysulfate sodium 90 45000 C Elmiron (Consilient


100mg capsules Health Ltd)
Pentoxifylline 400mg modified- 90 1939 C Trental 400
release tablets
Peppermint oil 0.2ml gastro- 84 704 C Mintec
resistant capsules
Peppermint oil 0.2ml gastro- 100 1599 C Colpermin IBS Relief
resistant modified-release
capsules
Peppermint oil liquid 100 ml 1503 C J M Loveridge Ltd
Peppermint water BP 1973 100 ml 1239 C Martindale
Pharmaceuticals Ltd
Peppermint water concentrated 100 ml 1118 C J M Loveridge Ltd
Perampanel 10mg tablets 28 14000 C Fycompa
Perampanel 12mg tablets 28 14000 C Fycompa
Perampanel 2mg tablets 7 3500 C Fycompa
28 14000 C Fycompa
Perampanel 4mg tablets 28 14000 C Fycompa
Perampanel 500micrograms/ml oral S 340 ml 12750 C Fycompa
suspension sugar free
Perampanel 6mg tablets 28 14000 C Fycompa
Perampanel 8mg tablets 28 14000 C Fycompa
Pericyazine 10mg tablets 84 7200 A
Pericyazine 10mg/5ml oral solution 100 ml 8280 A
Pericyazine 2.5mg tablets 84 2790 A
Perindopril arginine 10mg tablets S 30 1065 C Coversyl Arginine
Perindopril arginine 2.5mg tablets S 30 443 C Coversyl Arginine
Perindopril arginine 5mg / S 30 951 C Coversyl Arginine
Indapamide 1.25mg tablets Plus
Perindopril arginine 5mg tablets S 30 628 C Coversyl Arginine
Perindopril erbumine 2mg tablets 30 96 K M
Perindopril erbumine 4mg tablets 30 108 L M
Perindopril erbumine 8mg tablets 30 140 L M
Permethrin 1% scalp application S 118 ml 775 C Lyclear
Permethrin 5% cream S 30 g 851 A
Pethidine 100mg/2ml solution for 10 466 C Martindale
injection ampoules Pharmaceuticals Ltd
Pethidine 50mg tablets 50 6120 L A
Pethidine 50mg/1ml solution for 10 511 A
injection ampoules
Phenazone 40mg/g / Lidocaine S 15 ml 892 C Otigo
10mg/g ear drops
Phenelzine 15mg tablets 100 12000 C Nardil
Phenindione 10mg tablets 28 65700 C Advanz Pharma
Phenindione 25mg tablets 28 65700 C Advanz Pharma
Phenobarbital 15mg tablets 28 2425 A
Phenobarbital 15mg/5ml elixir 500 ml 8301 A
Phenobarbital 200mg/1ml solution 10 11646 K A
for injection ampoules
Phenobarbital 30mg tablets 28 96 K M

351
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Phenobarbital 30mg/1ml solution for 10 13129 A


injection ampoules
Phenobarbital 60mg tablets 28 806 A
Phenobarbital 60mg/1ml solution for 10 15237 C Martindale
injection ampoules Pharmaceuticals Ltd
Phenoxybenzamine 10mg capsules 30 12921 C Advanz Pharma
Phenoxymethylpenicillin 125mg/5ml R 100 ml 231 K M
oral solution
Phenoxymethylpenicillin 125mg/5ml R 100 ml 913 K A
oral solution sugar free
Phenoxymethylpenicillin 250mg 28 263 K M
tablets
Phenoxymethylpenicillin 250mg/5ml R 100 ml 238 K M
oral solution
Phenoxymethylpenicillin 250mg/5ml R 100 ml 1038 K A
oral solution sugar free
Phentolamine 2mg/0.35ml / 5 4750 C Invicorp
Aviptadil 25micrograms/0.35ml
solution for injection ampoules
Phenylbutazone 100mg tablets 84 13500 A
Phenylephrine 10% eye drops 0.5ml 20 1282 C Minims
unit dose preservative free
Phenylephrine 2.5% eye drops 20 1246 C Minims
0.5ml unit dose preservative
free
Phenytoin 30mg/5ml oral 500 ml 427 C Epanutin
suspension
Phenytoin 50mg chewable tablets 200 1318 C Epanutin Infatabs
Phenytoin sodium 100mg capsules 84 974 L M
Phenytoin sodium 100mg tablets 28 681 L M
Phenytoin sodium 25mg capsules 28 724 A
Phenytoin sodium 300mg capsules 28 911 A
Phenytoin sodium 50mg capsules 28 707 A
Phosphates enema (Formula B) S 1 3078 A
128ml long tube
Phosphates enema (Formula B) S 1 2793 A
128ml standard tube
Phytomenadione 10mg/1ml solution 10 1049 C Neon Healthcare Ltd
for injection ampoules
Phytomenadione 1mg capsules 12 395 C Neokay
Phytomenadione 2mg/0.2ml 5 1049 C Neon Healthcare Ltd
solution for injection ampoules
Pilocarpine 5mg tablets 84 4114 C Salagen
Pilocarpine hydrochloride 1% eye S 10 ml 2432 A
drops
Pilocarpine hydrochloride 2% eye S 10 ml 2769 K A
drops
Pilocarpine hydrochloride 4% eye S 10 ml 3110 A
drops
Pilocarpine nitrate 2% eye drops 20 1309 C Minims
0.5ml unit dose preservative
free

352
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Pimecrolimus 1% cream S 30 g 1969 C Elidel


S 60 g 3741 C Elidel
S 100 g 5907 C Elidel
Pimozide 4mg tablets 100 4031 C Orap
Pioglitazone 15mg / Metformin 56 4516 L A
850mg tablets
Pioglitazone 15mg tablets 28 126 L M
Pioglitazone 30mg tablets 28 176 L M
Pioglitazone 45mg tablets 28 216 L M
Piperacillin 2g / Tazobactam 250mg S 1 765 C Tazocin
powder for solution for infusion
vials
Piracetam 1.2g tablets 60 1097 C Nootropil
Piracetam 333.3mg/ml oral solution 300 ml 1631 C Nootropil 33%
sugar free
Piracetam 800mg tablets 90 1175 C Nootropil
Piroxicam 0.5% gel S 60 g 207 L M
S 112 g 386 L M
Piroxicam 10mg capsules 56 1474 K A
Piroxicam 20mg capsules 28 1970 K A
Piroxicam 20mg orodispersible 30 1053 C Feldene Melt
tablets sugar free
Pitolisant 18mg tablets 30 31000 C Wakix
Pitolisant 4.5mg tablets 30 31000 C Wakix
Pivmecillinam 200mg tablets 10 540 C Selexid
Pizotifen 1.5mg tablets 28 168 L M
Pizotifen 500microgram tablets 28 133 K M
Pneumococcal polysaccharide S 1 4910 C Prevenar 13
conjugated vaccine (adsorbed)
suspension for injection 0.5ml
pre-filled syringes
Pneumococcal polysaccharide S 1 1680 C Pneumovax 23
vaccine solution for injection
0.5ml pre-filled syringes
Podophyllotoxin 0.15% cream S 5 g 1783 C Warticon
Podophyllotoxin 0.5% solution S 3 ml 1486 C Warticon
S 3.5 ml 1449 C Condyline
Posaconazole 100mg gastro- 24 59696 C
resistant tablets
Posaconazole 40mg/ml oral 105 ml 49120 C
suspension
Potassium aminobenzoate 3g oral 40 3431 C Potaba
powder sachets
Potassium chloride 375mg/5ml 500 ml 958 C Kay-Cee-L syrup
(potassium 5mmol/5ml) oral
solution sugar free
Potassium chloride 600mg / 100 995 C Sando-K
Potassium bicarbonate 400mg (5xS20)
(total potassium 12mmol)
effervescent tablets
Potassium chloride powder 500 g 1182 C J M Loveridge Ltd

353
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Potassium citrate 1.5g / Citric acid S 12 398 C Effercitrate


250mg effervescent tablets
sugar free
Potassium citrate 3g granules 6 443 K C Cystopurin
sachets sugar free
Potassium citrate mixture 200 ml 172 K A
Potassium citrate powder 500 g 672 C J M Loveridge Ltd
Potassium dihydrogen phosphate 10 15099 C Martindale
13.6% (potassium 10mmol/ Pharmaceuticals Ltd
10ml) solution for infusion 10ml
ampoules
Potassium iodide powder 500 g 7099 C J M Loveridge Ltd
Potassium permanganate 400mg 30 2602 C Permitabs
tablets for cutaneous solution
Povidone-Iodine 10% alcoholic 500 ml 797 C Videne
solution
Povidone-Iodine 10% antiseptic 500 ml 797 C Videne
solution
Povidone-Iodine 5% eye drops 20 1600 C Minims
0.4ml unit dose preservative
free
Povidone-Iodine 7.5% surgical S 500 ml 797 C Videne
scrub solution
Pramipexole 1.05mg modified- 30 12188 K A
release tablets
Pramipexole 1.57mg modified- 30 19209 K A
release tablets
Pramipexole 180microgram tablets 30 202 L M
Pramipexole 2.1mg modified- 30 24672 K A
release tablets
Pramipexole 2.62mg modified- 30 31686 K A
release tablets
Pramipexole 260microgram 30 3085 K A
modified-release tablets
Pramipexole 3.15mg modified- 30 37010 K A
release tablets
Pramipexole 350microgram tablets 30 1447 L A
Pramipexole 520microgram 30 6104 K A
modified-release tablets
Pramipexole 700microgram tablets 30 244 K A
Pramipexole 88microgram tablets 30 209 L M
Prasterone 6.5mg pessaries S 28 1594 C Intrarosa
Prasugrel 10mg tablets 28 819 L M
Prasugrel 5mg tablets 28 4218 L A
Pravastatin 10mg tablets 28 155 L M
Pravastatin 20mg tablets 28 177 L M
Pravastatin 40mg tablets 28 208 M
Prazosin 500microgram tablets 60 269 C Hypovase
Prednisolone 10mg tablets 28 966 C Accord Healthcare
Ltd
Prednisolone 10mg/ml oral solution S 30 ml 5550 C Advanz Pharma
sugar free

354
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Prednisolone 1mg gastro-resistant 100 3249 C Phoenix Labs Ltd


tablets
Prednisolone 1mg tablets 28 78 L M
Prednisolone 2.5mg gastro- 28 137 L M
resistant tablets
Prednisolone 2.5mg tablets 28 391 C Accord Healthcare
Ltd
Prednisolone 20mg tablets 28 1945 C Accord Healthcare
Ltd
Prednisolone 20mg/100ml rectal 7 1495 C RPH
solution Pharmaceuticals AB
Prednisolone 20mg/application S 14 dose 21520 A
foam enema
Prednisolone 25mg tablets 56 4230 K A
Prednisolone 30mg tablets 28 2912 C Accord Healthcare
Ltd
Prednisolone 5mg gastro-resistant 28 160 K M
tablets
Prednisolone 5mg soluble tablets 30 5655 K M
Prednisolone 5mg tablets 28 93 L M
Prednisolone 5mg/5ml oral solution 10 1141 A
unit dose (2xS5)
Prednisolone acetate 1% eye drops S 5 ml 182 C Pred Forte
S 10 ml 366 C Pred Forte
Prednisolone sodium phosphate S 10 ml 257 C RPH
0.5% ear/eye drops Pharmaceuticals AB
Prednisolone sodium phosphate 20 1286 C Minims
0.5% eye drops 0.5ml unit
dose preservative free
Prednisolone sodium phosphate 10 24963 L A
5mg suppositories
Pregabalin 100mg capsules 84 245 K M
Pregabalin 100mg tablets 84 559 A
Pregabalin 150mg capsules 56 230 K M
Pregabalin 150mg tablets 56 559 A
Pregabalin 200mg capsules 84 317 K M
Pregabalin 200mg tablets 84 719 A
Pregabalin 20mg/ml oral solution S 473 ml 8522 A
sugar free
Pregabalin 225mg capsules 56 194 K M
Pregabalin 225mg tablets 56 639 A
Pregabalin 25mg capsules 56 151 K M
Pregabalin 25mg tablets 56 399 A
Pregabalin 300mg capsules 56 302 K M
Pregabalin 300mg tablets 56 719 A
Pregabalin 50mg capsules 84 187 K M
Pregabalin 50mg tablets 84 399 A
Pregabalin 75mg capsules 56 172 K M
Pregabalin 75mg tablets 56 479 A
Pridinol 3mg tablets 20 536 C Myopridin
100 2616 C Myopridin

355
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Primidone 250mg tablets 100 9659 L M


Primidone 50mg tablets 100 12139 K A
Procarbazine 50mg capsules 50 50361 C Alliance
Pharmaceuticals Ltd
Prochlorperazine 12.5mg/1ml 10 523 C Stemetil
solution for injection ampoules
Prochlorperazine 3mg buccal 50 504 L M
tablets
Prochlorperazine 5mg tablets 28 124 L M
Prochlorperazine 5mg/5ml oral 100 ml 334 C Stemetil Syrup
solution
Procyclidine 10mg/2ml solution for 5 8279 K A
injection ampoules
Procyclidine 2.5mg/5ml oral solution 150 ml 4100 C Rosemont
sugar free Pharmaceuticals Ltd
Procyclidine 5mg tablets 28 155 L M
Procyclidine 5mg/5ml oral solution 150 ml 6050 C Rosemont
sugar free Pharmaceuticals Ltd
Progesterone 100mg pessaries 21 1950 C Lutigest
Progesterone 200mg pessaries 15 895 C Cyclogest
Progesterone 25mg/1.112ml 7 5600 C Lubion
solution for injection vials
Progesterone 400mg pessaries 15 1296 C Cyclogest
Progesterone 8% vaginal gel 15 3083 C Crinone
1.125g applicators
Progesterone micronised 100mg 30 660 K C Utrogestan
capsules
Progesterone micronised 200mg 21 2100 C Utrogestan
vaginal capsules
Proguanil 100mg / Atovaquone 12 3775 K A
250mg tablets
Proguanil 100mg tablets 98 1195 C Paludrine
Proguanil 25mg / Atovaquone 12 626 C Malarone Paediatric
62.5mg tablets
Promazine 25mg tablets 100 4867 A
Promazine 25mg/5ml oral solution 150 ml 6019 C Rosemont
Pharmaceuticals Ltd
Promazine 50mg tablets 100 7495 A
Promazine 50mg/5ml oral solution 150 ml 7536 C Rosemont
Pharmaceuticals Ltd
Promethazine 25mg/1ml solution for 10 674 C Phenergan
injection ampoules
Promethazine 5mg/5ml oral solution 100 ml 328 C Phenergan Elixir
sugar free
Promethazine hydrochloride 10mg 56 3093 K A
tablets
Promethazine hydrochloride 20mg 8 189 C Sominex
tablets
16 269 C Sominex
Promethazine hydrochloride 25mg 56 2679 L M
tablets
Promethazine teoclate 25mg tablets 28 423 C Avomine

356
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Propafenone 150mg tablets 90 811 A


Propafenone 300mg tablets 60 934 C
Propamidine 0.1% eye drops S 10 ml 379 C Brolene
Propantheline bromide 15mg tablets 112 2074 C Pro-Banthine
Propiverine 15mg tablets 56 7100 K A
Propiverine 30mg modified-release 28 2445 C Detrunorm XL
capsules
Propiverine 45mg modified-release 28 2790 C Detrunorm XL
capsules
Propranolol 10mg tablets 28 78 L M
Propranolol 10mg/5ml oral solution 150 ml 3321 A
sugar free
Propranolol 160mg modified- 28 488 C Beta-Prograne
release capsules
Propranolol 160mg tablets 56 588 A
Propranolol 40mg tablets 28 78 L M
Propranolol 40mg/5ml oral solution 150 ml 4581 L A
sugar free
Propranolol 50mg/5ml oral solution 150 ml 5042 L A
sugar free
Propranolol 5mg/5ml oral solution 150 ml 2769 A
sugar free
Propranolol 80mg modified-release 28 495 C
capsules
Propranolol 80mg tablets 56 179 K M
Propylene glycol liquid 500 ml 581 C J M Loveridge Ltd
Propylthiouracil 100mg tablets 56 4671 A
Propylthiouracil 25mg tablets 28 3729 A
Propylthiouracil 50mg tablets 56 505 K A
Proxymetacaine 0.5% eye drops 20 1309 C Minims
0.5ml unit dose preservative proxymetacaine
free
Prucalopride 1mg tablets 28 4036 K A
Prucalopride 2mg tablets 28 4662 L M
Pseudoephedrine 30mg/5ml / 500 ml 367 C Galpseud Plus
Chlorphenamine 2mg/5ml oral Linctus
solution sugar free
Pseudoephedrine 30mg/5ml oral 100 ml 257 C Sudafed
solution Decongestant liquid
Pseudoephedrine 30mg/5ml oral 100 ml 167 C Care Decongestant
solution sugar free
Pseudoephedrine 60mg / 12 409 C Benadryl Allergy
Acrivastine 8mg capsules Relief Plus
Decongestant
Pseudoephedrine hydrochloride 12 321 C Multi-Action Actifed
60mg / Triprolidine 2.5mg
tablets
Pseudoephedrine hydrochloride 12 269 C Sudafed
60mg tablets Decongestant
24 225 C Galpseud
Purified water 5000 ml 354 A
Pyrazinamide 500mg tablets 30 4006 A

357
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Pyridostigmine bromide 12mg/1ml 150 ml 9000 C Viatris UK Healthcare


oral solution sugar free Ltd
Pyridostigmine bromide 60mg S 200 4546 A
tablets
Pyridoxine 10mg tablets 28 2009 K A
Pyridoxine 50mg tablets 28 2640 K A
Pyrimethamine 25mg tablets 30 1300 C Daraprim

Part VIIIA products Q

Quetiapine 100mg tablets 60 215 K M


Quetiapine 150mg modified-release 60 11310 C Seroquel XL
tablets
Quetiapine 150mg tablets 60 218 K M
Quetiapine 200mg modified-release 60 11310 C Seroquel XL
tablets
Quetiapine 200mg tablets 60 295 L M
Quetiapine 20mg/ml oral 150 ml 18100 C Rosemont
suspension sugar free Pharmaceuticals Ltd
Quetiapine 25mg tablets 60 126 K M
Quetiapine 300mg modified-release 60 17000 C Seroquel XL
tablets
Quetiapine 300mg tablets 60 367 K M
Quetiapine 400mg modified-release 60 22620 C Seroquel XL
tablets
Quetiapine 50mg modified-release 60 6766 C Seroquel XL
tablets
Quetiapine 600mg modified-release 30 7073 C Biquelle XL
tablets
Quinagolide 50microgram tablets S 6 5339 L A
and Quinagolide 25microgram
tablets
Quinagolide 75microgram tablets 30 14757 K A
Quinapril 10mg / 28 1175 C Accuretic
Hydrochlorothiazide 12.5mg
tablets
Quinapril 10mg tablets 28 860 C Accupro
Quinapril 20mg tablets 28 1079 C Accupro
Quinapril 40mg tablets 28 975 C Accupro
Quinapril 5mg tablets 28 860 C Accupro
Quinine bisulfate 300mg tablets 28 2083 K A
Quinine sulfate 200mg tablets 28 465 K M
Quinine sulfate 300mg tablets 28 209 L M

Part VIIIA products R

Rabeprazole 10mg gastro-resistant 28 586 K M


tablets
Rabeprazole 20mg gastro-resistant 28 840 L M
tablets
Raloxifene 60mg tablets 28 455 K A
Raltegravir 100mg chewable tablets 60 11785 C Isentress

358
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Drug Quantity Basic Price Category

Raltegravir 100mg granules sachets 60 21302 C Isentress


Raltegravir 25mg chewable tablets 60 2946 C Isentress
Raltegravir 400mg tablets 60 47141 C Isentress
Raltegravir 600mg tablets 60 47141 C Isentress
Ramipril 1.25mg capsules 28 122 K M
Ramipril 1.25mg tablets 28 113 K M
Ramipril 10mg capsules 28 122 K M
Ramipril 10mg tablets 28 126 K M
Ramipril 2.5mg capsules 28 118 K M
Ramipril 2.5mg tablets 28 124 K M
Ramipril 2.5mg/5ml oral solution 150 ml 17900 C Rosemont
sugar free Pharmaceuticals Ltd
Ramipril 5mg capsules 28 113 K M
Ramipril 5mg tablets 28 112 K M
Ranolazine 375mg modified- 60 4898 C Ranexa
release tablets
Ranolazine 500mg modified- 60 4898 C Ranexa
release tablets
Ranolazine 750mg modified- 60 4898 C Ranexa
release tablets
Rasagiline 1mg tablets 28 454 K M
Reboxetine 4mg tablets 60 1891 C Edronax
Repaglinide 1mg tablets 90 869 L A
Repaglinide 2mg tablets 90 891 L A
Repaglinide 500microgram tablets 90 415 K A
Rifabutin 150mg capsules 30 9038 C Mycobutin
Rifampicin 100mg/5ml oral 120 ml 427 C Rifadin
suspension
Rifampicin 150mg / Isoniazid 84 1909 C Rifinah
100mg tablets
Rifampicin 150mg capsules 100 7554 L A
Rifampicin 300mg / Isoniazid 56 2522 C Rifinah
150mg tablets
Rifampicin 300mg capsules 100 14528 K A
Rifaximin 200mg tablets 9 1515 C Xifaxanta
Rifaximin 550mg tablets 56 25923 C Targaxan
Riluzole 25mg/5ml oral suspension 300 ml 10000 C Teglutik
sugar free
Riluzole 50mg tablets 56 870 K A
Riociguat 1.5mg tablets 42 99736 C Adempas
Riociguat 1mg tablets 42 99736 C Adempas
Riociguat 2.5mg tablets 42 99736 C Adempas
Riociguat 2mg tablets 42 99736 C Adempas
Riociguat 500microgram tablets 42 99736 C Adempas
Risedronate sodium 30mg tablets 28 15528 A
Risedronate sodium 35mg tablets S 4 222 K M
Risedronate sodium 5mg tablets 28 2100 K A
Risperidone 1mg orodispersible 28 2598 A
tablets sugar free
Risperidone 1mg tablets 20 110 L M

359
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Risperidone 1mg/ml oral solution S 100 ml 313 K M


sugar free
Risperidone 25mg powder and S 1 7969 C Risperdal Consta
solvent for suspension for
injection vials
Risperidone 2mg orodispersible 28 3814 A
tablets sugar free
Risperidone 2mg tablets 60 166 K M
Risperidone 37.5mg powder and S 1 11132 C Risperdal Consta
solvent for suspension for
injection vials
Risperidone 3mg orodispersible 28 4350 A
tablets sugar free
Risperidone 3mg tablets 60 213 K M
Risperidone 4mg orodispersible 28 5029 A
tablets sugar free
Risperidone 4mg tablets 60 214 L M
Risperidone 500microgram 28 1828 A
orodispersible tablets sugar
free
Risperidone 500microgram tablets 20 243 K M
Risperidone 50mg powder and S 1 14276 C Risperdal Consta
solvent for suspension for
injection vials
Risperidone 6mg tablets 28 3650 L A
Rivaroxaban 10mg tablets 30 5400 C Xarelto
Rivaroxaban 15mg tablets 28 5040 C Xarelto
Rivaroxaban 15mg tablets and S 49 8820 C Xarelto
Rivaroxaban 20mg tablets
Rivaroxaban 1mg/ml oral S 250 ml 1800 C Xarelto
suspension sugar free
Rivaroxaban 2.5mg tablets 56 5040 C Xarelto
Rivaroxaban 20mg tablets 28 5040 C Xarelto
Rivastigmine 1.5mg capsules 28 366 K M
Rivastigmine 13.3mg/24hours 30 7797 C
transdermal patches
Rivastigmine 2mg/ml oral solution S 120 ml 9682 A
sugar free
Rivastigmine 3mg capsules 28 421 K M
Rivastigmine 4.5mg capsules 28 2353 A
Rivastigmine 4.6mg/24hours 30 7797 C
transdermal patches
Rivastigmine 6mg capsules 28 2719 A
Rivastigmine 9.5mg/24hours 30 1997 C Alzest
transdermal patches
Rizatriptan 10mg oral lyophilisates S 3 1337 C Maxalt Melt
sugar free
S 6 2674 C Maxalt Melt
S 12 5348 C Maxalt Melt
Rizatriptan 10mg orodispersible 3 152 L M
tablets sugar free
Rizatriptan 10mg tablets 3 336 K M

360
Part VIIIA 04/2023
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Drug Quantity Basic Price Category

Rizatriptan 5mg tablets 6 3279 A


Roflumilast 250microgram tablets 28 3520 C Daxas
Roflumilast 500microgram tablets 30 3771 C Daxas
Ropinirole 1mg tablets 84 4493 L M
Ropinirole 250microgram tablets 12 382 L M
Ropinirole 2mg modified-release 28 1254 C
tablets
Ropinirole 2mg tablets 28 1916 L M
Ropinirole 3mg modified-release 28 846 C Ipinnia XL
tablets
Ropinirole 4mg modified-release 28 2509 C
tablets
Ropinirole 500microgram tablets 28 742 K M
Ropinirole 5mg tablets 84 22107 K A
Ropinirole 6mg modified-release 28 1532 C Ipinnia XL
tablets
Ropinirole 8mg modified-release 28 4211 C
tablets
Rosuvastatin 10mg tablets 28 103 K M
Rosuvastatin 20mg tablets 28 132 K M
Rosuvastatin 40mg tablets 28 170 K M
Rosuvastatin 5mg tablets 28 91 K M
Rotavirus vaccine live oral S 1 3476 C Rotarix
suspension 1.5ml tube
Rotigotine 1mg/24hours 28 7724 C Neupro
transdermal patches
Rotigotine 2mg/24hours 28 8110 C Neupro
transdermal patches
Rotigotine 3mg/24hours 28 10235 C Neupro
transdermal patches
Rotigotine 4mg/24hours 28 12360 C Neupro
transdermal patches
Rotigotine 6mg/24hours 28 14993 C Neupro
transdermal patches
Rotigotine 8mg/24hours 28 14993 C Neupro
transdermal patches
Rufinamide 100mg tablets 10 515 C Inovelon
Rufinamide 200mg tablets 60 6177 C Inovelon
Rufinamide 400mg tablets 60 10296 C Inovelon
Rufinamide 40mg/ml oral S 460 ml 9471 C Inovelon
suspension sugar free
Rupatadine 10mg tablets 30 6648 K A
Rupatadine 1mg/ml oral solution 120 ml 1452 K A
Ruxolitinib 10mg tablets 56 285600 C Jakavi
Ruxolitinib 15mg tablets 56 285600 C Jakavi
Ruxolitinib 20mg tablets 56 285600 C Jakavi
Ruxolitinib 5mg tablets 56 142800 C Jakavi

Part VIIIA products S

Sacubitril 24mg / Valsartan 26mg 28 4578 C Entresto


tablets

361
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Sacubitril 49mg / Valsartan 51mg 56 9156 C Entresto


tablets
Sacubitril 97mg / Valsartan 103mg 56 9156 C Entresto
tablets
Safinamide 100mg tablets 30 6900 C Xadago
Safinamide 50mg tablets 30 6900 C Xadago
Salbutamol 100micrograms/dose S 200 dose 630 C Salamol Easi-
breath actuated inhaler CFC Breathe
free
Salbutamol 100micrograms/dose S 200 dose 275 C Salbulin Novolizer
dry powder inhalation cartridge
Salbutamol 100micrograms/dose S 200 dose 495 C Salbulin Novolizer
dry powder inhalation cartridge
with device
Salbutamol 100micrograms/dose S 200 dose 331 C Easyhaler
dry powder inhaler Salbutamol
Salbutamol 100micrograms/dose S 200 dose 150 C Ventolin Evohaler
inhaler CFC free
Salbutamol 2.5mg/2.5ml / 60 2410 C Combivent
Ipratropium bromide
500micrograms/2.5ml
nebuliser liquid unit dose vials
Salbutamol 2.5mg/2.5ml nebuliser 20 1204 L A
liquid unit dose vials
Salbutamol 200micrograms/dose S 60 dose 199 C Ventolin Accuhaler
dry powder inhaler
S 200 dose 663 C Easyhaler
Salbutamol
Salbutamol 2mg tablets 28 12487 K A
Salbutamol 2mg/5ml oral solution 150 ml 150 C Ventolin
sugar free
Salbutamol 4mg tablets 28 12544 K A
Salbutamol 500micrograms/1ml 5 191 C Ventolin
solution for injection ampoules
Salbutamol 5mg/2.5ml nebuliser 20 1120 K A
liquid unit dose vials
Salbutamol 5mg/5ml solution for 10 2481 C Ventolin
infusion ampoules
Salbutamol 5mg/ml nebuliser liquid S 20 ml 218 C Ventolin
Salicylic acid 12% / Lactic acid 4% S 8 g 298 C Salatac
gel
Salicylic acid 16.7% / Lactic acid S 15 ml 340 C Duofilm
15% paint
Salicylic acid 16.7% / Lactic acid S 10 ml 171 C Salactol
16.7% paint
Salicylic acid 2% / S 125 g 719 C Movelat
Mucopolysaccharide
polysulfate 0.2% cream
Salicylic acid 2% / S 125 g 719 C Movelat
Mucopolysaccharide
polysulfate 0.2% gel
Salicylic acid 2% ointment 450 g 1249 C Thornton & Ross Ltd
Salicylic acid 26% gel S 5 g 450 C Bazuka Extra
Strength

362
Part VIIIA 04/2023
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Drug Quantity Basic Price Category

Salicylic acid 26% solution S 10 ml 356 C Occlusal


Salicylic acid 40% medicated S 8 258 K C Scholl Corn Removal
plasters 40% plasters
washproof
S 30 323 K C Scholl Verruca
Removal System
Salmeterol 25micrograms/dose S 120 dose 2926 C
inhaler CFC free
Salmeterol 50micrograms/dose dry S 60 dose 3511 C Serevent Accuhaler
powder inhaler
Saxagliptin 2.5mg / Metformin 1g 56 3160 C Komboglyze
tablets
Saxagliptin 2.5mg / Metformin 56 3160 C Komboglyze
850mg tablets
Saxagliptin 2.5mg tablets 28 3160 C Onglyza
Saxagliptin 5mg / Dapagliflozin 28 4956 C Qtern
10mg tablets
Saxagliptin 5mg tablets 28 3160 C Onglyza
Selegiline 10mg tablets 100 3223 C Eldepryl
Selegiline 5mg tablets 100 1652 C Eldepryl
Selenium 100micrograms/2ml oral 20 2060 C Selenase
solution unit dose ampoules
Semaglutide 0.25mg/0.19ml S 1 7325 C Ozempic
solution for injection 1.5ml pre-
filled disposable device
Semaglutide 0.5mg/0.37ml solution S 1 7325 C Ozempic
for injection 1.5ml pre-filled
disposable device
Semaglutide 1mg/0.74ml solution S 1 7325 C Ozempic
for injection 3ml pre-filled
disposable device
Senna 15mg tablets 48 614 C Senokot Max
Strength
Senna 7.5mg tablets 60 198 M
Senna fruit 12.4% / Ispaghula S 250 g 630 C Manevac
54.2% granules
Sennosides 7.5mg/5ml oral solution 500 ml 878 K C Senokot Syrup 12
sugar free Years Plus
Sertraline 100mg tablets 28 128 L M
Sertraline 150mg tablets 30 1350 C Martindale
Pharmaceuticals Ltd
Sertraline 200mg tablets 30 1800 C Martindale
Pharmaceuticals Ltd
Sertraline 25mg tablets 28 1566 K A
Sertraline 50mg tablets 28 111 K M
Sevelamer 2.4g oral powder 60 16704 C Renvela
sachets sugar free
Sevelamer 800mg oral powder S 90 8352 C Renvela
sachets sugar free
Sevelamer 800mg tablets 180 3091 L M
Shark liver oil 3% / Yeast cell extract S 25 g 229 C Preparation H
1% ointment

363
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Shingles (Herpes Zoster) vaccine S 1 9996 C Zostavax


(live) powder and solvent for
suspension for injection 0.65ml
pre-filled syringes
Sildenafil 100mg tablets 4 90 L M
Sildenafil 10mg/ml oral suspension S 112 ml 18675 C Revatio
sugar free
S 122 ml 18675 C Rosemont
Pharmaceuticals Ltd
Sildenafil 20mg tablets 90 44633 C Revatio
Sildenafil 25mg tablets 4 77 M
Sildenafil 50mg tablets 4 83 L M
Silver nitrate 40% caustic pencils S 1 162 C Avoca
Silver nitrate 75% caustic 100 6811 C Avoca
applicators
Silver nitrate 95% caustic 100 7286 C Avoca
applicators
Silver nitrate 95% caustic pencils S 1 428 C Avoca Wart
Treatment Set
Simeticone 100mg capsules 8 115 C WindSetlers
24 376 C WindSetlers
Simeticone 40mg/ml oral S 55 ml 320 C Infacol
suspension sugar free
S 85 ml 466 C Infacol
Simeticone 42mg/5ml oral drops 100 ml 213 C Dentinox Infant colic
drops
Simple eye ointment S 4 g 5328 A
Simple linctus 200 ml 134 A
Simple linctus paediatric 200 ml 131 K A
Simple linctus paediatric sugar free 200 ml 129 C Care
Simple linctus sugar free 200 ml 165 A
Simvastatin 10mg tablets 28 75 K M
Simvastatin 20mg / Ezetimibe 10mg 28 3342 C
tablets
Simvastatin 20mg tablets 28 79 L M
Simvastatin 20mg/5ml oral 150 ml 18200 C Rosemont
suspension sugar free Pharmaceuticals Ltd
Simvastatin 40mg / Ezetimibe 10mg 28 3898 C
tablets
Simvastatin 40mg tablets 28 93 L M
Simvastatin 40mg/5ml oral 150 ml 26200 C Rosemont
suspension sugar free Pharmaceuticals Ltd
Simvastatin 80mg / Ezetimibe 10mg 28 4121 C
tablets
Simvastatin 80mg tablets 28 148 K M
Sirolimus 1mg tablets 30 8649 C Rapamune
Sirolimus 1mg/ml oral solution S 60 ml 16241 C Rapamune
sugar free
Sirolimus 2mg tablets 30 17298 C Rapamune
Sirolimus 500microgram tablets 30 6900 C Rapamune
Sitagliptin 100mg tablets 28 3326 C Januvia
Sitagliptin 25mg tablets 28 3326 C Januvia

364
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Sitagliptin 50mg tablets 28 3326 C Januvia


Soap spirit methylated 500 ml 443 A
Sodium alginate 225mg/dose / 30 665 C Gaviscon Infant
Magnesium alginate 87.5mg/
dose oral powder sachets
sugar free
Sodium alginate 500mg / Potassium 60 426 K C Gaviscon Advance
bicarbonate 100mg chewable
tablets sugar free
Sodium alginate 500mg/5ml / 500 ml 512 C Gaviscon Advance
Potassium bicarbonate 100mg/
5ml oral suspension sugar free
Sodium bicarbonate 420mg/5ml 100 ml 3980 C
(1mmol/ml) oral solution sugar
free
500 ml 19920 C Thamicarb
Sodium bicarbonate 500mg 56 446 K M
capsules
Sodium bicarbonate 500mg gastro- 100 1875 C Nephrotrans
resistant capsules
Sodium bicarbonate 600mg tablets 100 2679 A
Sodium bicarbonate 8.4% (1mmol/ 10 11444 K C AAH
ml) solution for injection 100ml Pharmaceuticals Ltd
bottles
Sodium bicarbonate 8.4% (1mmol/ 10 16020 C Martindale
ml) solution for injection 10ml Pharmaceuticals Ltd
ampoules
Sodium bicarbonate 8.4% (1mmol/ 10 11444 K C AAH
ml) solution for injection 250ml Pharmaceuticals Ltd
bottles
Sodium bicarbonate powder S 300 g 223 C Thornton & Ross Ltd
Sodium chloride 0.18% / Glucose S 1 240 C Polyfusor T
4% infusion 500ml
polyethylene bottles
Sodium chloride 0.9% eye drops 20 743 C Minims saline
0.5ml unit dose preservative
free
Sodium chloride 0.9% infusion 1litre S 1 412 C Polyfusor S
polyethylene bottles
Sodium chloride 0.9% infusion S 1 310 C Polyfusor S
500ml polyethylene bottles
Sodium chloride 0.9% nebuliser 20 701 L M
liquid 2.5ml unit dose
ampoules
Sodium chloride 0.9% solution for 10 429 K A
injection 10ml ampoules
Sodium chloride 0.9% solution for 20 1987 C Sodium chloride
injection 20ml ampoules Mini-Plasco
Sodium chloride 0.9% solution for 10 338 K A
injection 2ml ampoules
Sodium chloride 0.9% solution for 25 9350 C hameln pharma Ltd
injection 50ml vials
Sodium chloride 0.9% solution for 10 369 A
injection 5ml ampoules

365
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Sodium chloride 1.46g/5ml (5mmol/ 100 ml 1955 C SodiClor


ml) oral solution
Sodium chloride 292.5mg/5ml 100 ml 3316 A
(1mmol/ml) oral solution
Sodium chloride 30% solution for 10 6540 C Torbay
infusion 100ml vials Pharmaceuticals
Sodium chloride 30% solution for S 1 1536 C Martindale
infusion 50ml vials Pharmaceuticals Ltd
10 9020 C Torbay
Pharmaceuticals
Sodium chloride 30% solution for 10 8285 A
injection 10ml ampoules
Sodium chloride 600mg modified- 100 920 C Slow Sodium
release tablets
Sodium citrate 441.17mg/5ml oral S 30 ml 470 C Sodium citrate 0.3M
solution
Sodium citrate 4g oral granules 6 238 C Cystitis Relief
sachets
Sodium citrate 4g oral powder 6 173 C Numark cystitis
sachets treatment
Sodium citrate powder 500 g 785 C J M Loveridge Ltd
Sodium clodronate 400mg capsules 120 13983 C Clasteon
Sodium clodronate 520mg tablets 60 11444 C Loron
Sodium clodronate 800mg tablets 60 14643 C Clasteon
Sodium cromoglicate 100mg 100 10285 K A
capsules
Sodium cromoglicate 100mg/5ml 96 12186 C Brown & Burk UK Ltd
oral solution 5ml unit dose
ampoules sugar free
Sodium cromoglicate 2% eye drops S 13.5 ml 223 L M
Sodium cromoglicate 2% eye drops 30 1063 C Catacrom
0.3ml unit dose preservative (3xS10)
free
Sodium cromoglicate 2% eye drops S 10 ml 380 C
preservative free
S 13.5 ml 803 C Eycrom
Sodium dihydrogen phosphate 100 1939 C Phosphate Sandoz
anhydrous 1.936g effervescent (5xS20)
tablets
Sodium dihydrogen phosphate 10 820 C Lecicarbon C
anhydrous 340mg / Sodium
bicarbonate 250mg
suppositories
Sodium dihydrogen phosphate 10 820 C Lecicarbon A
anhydrous 680mg / Sodium
bicarbonate 500mg
suppositories
Sodium dihydrogen phosphate S 1 308 C Cleen Ready-to-use
dihydrate 18.1% / Disodium
hydrogen phosphate
dodecahydrate 8% 133ml
enema

366
Part VIIIA 04/2023
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Drug Quantity Basic Price Category

Sodium dihydrogen phosphate 90 ml 479 C Phospho-soda


dihydrate 542mg/ml / Disodium (2xS45)
hydrogen phosphate
dodecahydrate 240mg/ml oral
solution sugar free
Sodium feredetate (iron 27.5mg/ 500 ml 1495 C Sytron
5ml) oral solution sugar free
Sodium fluoride 0.05% mouthwash 250 ml 194 C Endekay
sugar free
Sodium fluoride 0.619% dental S 75 ml 322 L M
paste sugar free
Sodium fluoride 1.1% dental paste S 51 g 573 L M
sugar free
Sodium fluoride 50mg/ml dental S 75 ml 1815 C Colgate Duraphat
suspension sugar free
Sodium fusidate 2% ointment S 15 g 268 C Fucidin
S 30 g 455 C Fucidin
Sodium fusidate 250mg tablets 10 602 C Fucidin
100 5499 C Fucidin
Sodium fusidate 500mg powder and S 1 2195 C Essential Pharma Ltd
solvent for solution for infusion
vials
Sodium lauryl ether sulfo-succinate S 125 ml 259 C Dentinox Cradle Cap
6% / Sodium lauryl ether
sulfate 2.7% shampoo
Sodium oxybate 500mg/ml oral S 180 ml 36000 C Xyrem
solution sugar free
Sodium phenylbutyrate 500mg S 250 49300 C Ammonaps
tablets
Sodium picosulfate 5mg/5ml oral 300 ml 2740 K A
solution sugar free
Sodium polystyrene sulfonate 454 g 8111 C Resonium A
powder sugar free
Sodium valproate 100mg modified- 30 3000 C Epilim Chronosphere
release granules sachets sugar
free
Sodium valproate 100mg tablets 30 168 C Epilim
(3xS10)
Sodium valproate 150mg modified- S 30 276 C Episenta
release capsules
Sodium valproate 1g modified- 30 3000 C Epilim Chronosphere
release granules sachets sugar
free
Sodium valproate 200mg gastro- 30 251 K M
resistant tablets (3xS10)
100 838 K M
(10xS10)
Sodium valproate 200mg modified- 30 350 C Epilim Chrono
release tablets (3xS10)
Sodium valproate 200mg/5ml oral 300 ml 933 C Epilim Syrup
solution
Sodium valproate 200mg/5ml oral 300 ml 824 L M
solution sugar free

367
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Sodium valproate 250mg modified- 30 3000 C Epilim Chronosphere


release granules sachets sugar
free
Sodium valproate 300mg modified- S 30 456 C Episenta
release capsules
Sodium valproate 300mg modified- 30 524 C Epilim Chrono
release tablets (3xS10)
Sodium valproate 300mg/3ml 5 3500 C Episenta
solution for injection ampoules
Sodium valproate 400mg powder S 1 1332 C Epilim Intravenous
and solvent for solution for
injection vials
Sodium valproate 400mg/4ml 5 5790 C Wockhardt UK Ltd
solution for injection ampoules
Sodium valproate 500mg gastro- 30 590 L M
resistant tablets (3xS10)
100 1967 L M
(10xS10)
Sodium valproate 500mg modified- 30 3000 C Epilim Chronosphere
release granules sachets sugar
free
Sodium valproate 500mg modified- 30 873 C Epilim Chrono
release tablets (3xS10)
Sodium valproate 50mg modified- 30 3000 C Epilim Chronosphere
release granules sachets sugar
free
Sodium valproate 750mg modified- 30 3000 C Epilim Chronosphere
release granules sachets sugar
free
Sodium zirconium cyclosilicate 10g 3 3120 C Lokelma
oral powder sachets
30 31200 C Lokelma
Sodium zirconium cyclosilicate 5g 30 15600 C Lokelma
oral powder sachets
Solifenacin 10mg tablets 30 193 L M
Solifenacin 1mg/ml oral suspension 150 ml 2762 C Vesicare
sugar free
Solifenacin 5mg tablets 30 194 L M
Solifenacin 5mg/5ml oral solution 150 ml 7381 K A
sugar free
Solifenacin 6mg / Tamsulosin 30 2762 C Vesomni
400microgram modified-
release tablets
Somatropin (epr) 10mg/1.5ml S 1 23180 C Norditropin NordiFlex
solution for injection pre-filled
disposable devices
Somatropin (epr) 15mg/1.5ml S 1 34770 C Norditropin NordiFlex
solution for injection pre-filled
disposable devices
Somatropin (epr) 5mg/1.5ml S 1 11590 C Norditropin NordiFlex
solution for injection pre-filled
disposable devices

368
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Drug Quantity Basic Price Category

Somatropin (rbe) 1.2mg powder 7 14606 C Genotropin


and solvent for solution for MiniQuick
injection pre-filled disposable
devices
Somatropin (rbe) 1.4mg powder 7 17039 C Genotropin
and solvent for solution for MiniQuick
injection pre-filled disposable
devices
Somatropin (rbe) 1.6mg powder 7 19474 C Genotropin
and solvent for solution for MiniQuick
injection pre-filled disposable
devices
Somatropin (rbe) 1.8mg powder 7 21908 C Genotropin
and solvent for solution for MiniQuick
injection pre-filled disposable
devices
Somatropin (rbe) 10mg/1.5ml 5 73749 C Omnitrope SurePal
solution for injection cartridges 10
Somatropin (rbe) 10mg/2ml solution S 1 20300 C NutropinAq
for injection cartridges
3 60900 C NutropinAq
Somatropin (rbe) 12mg powder and S 1 20865 C Genotropin
solvent for solution for injection
cartridges
Somatropin (rbe) 12mg powder and S 1 20865 C Genotropin GoQuick
solvent for solution for injection
pre-filled disposable devices
Somatropin (rbe) 15mg/1.5ml 5 110622 C Omnitrope SurePal
solution for injection cartridges 15
Somatropin (rbe) 1mg powder and 7 12171 C Genotropin
solvent for solution for injection MiniQuick
pre-filled disposable devices
Somatropin (rbe) 200microgram 7 2435 C Genotropin
powder and solvent for solution MiniQuick
for injection pre-filled
disposable devices
Somatropin (rbe) 24mg powder and S 1 43200 C Humatrope
solvent for solution for injection
cartridges
Somatropin (rbe) 2mg powder and 7 24342 C Genotropin
solvent for solution for injection MiniQuick
pre-filled disposable devices
Somatropin (rbe) 400microgram 7 4868 C Genotropin
powder and solvent for solution MiniQuick
for injection pre-filled
disposable devices
Somatropin (rbe) 4mg powder and S 1 6828 C Zomacton
solvent for solution for injection
vials
Somatropin (rbe) 5.3mg powder S 1 9215 C Genotropin
and solvent for solution for
injection cartridges

369
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Somatropin (rbe) 5.3mg powder S 1 9215 C Genotropin GoQuick


and solvent for solution for
injection pre-filled disposable
devices
Somatropin (rbe) 5mg/1.5ml 5 36874 C Omnitrope SurePal 5
solution for injection cartridges
Somatropin (rbe) 600microgram 7 7303 C Genotropin
powder and solvent for solution MiniQuick
for injection pre-filled
disposable devices
Somatropin (rbe) 6mg powder and S 1 10800 C Humatrope
solvent for solution for injection
cartridges
Somatropin (rbe) 800microgram 7 9737 C Genotropin
powder and solvent for solution MiniQuick
for injection pre-filled
disposable devices
Somatropin (rmc) 12mg/1.5ml S 1 27816 C Saizen
solution for injection cartridges
Somatropin (rmc) 20mg/2.5ml S 1 46360 C Saizen
solution for injection cartridges
Somatropin (rmc) 6mg/1.03ml S 1 13908 C Saizen
solution for injection cartridges
Sotalol 160mg tablets 28 496 K A
Sotalol 40mg tablets 28 96 L M
Sotalol 80mg tablets 28 108 K M
Soya oil 82.95% / Lauromacrogols S 500 ml 666 C Balneum Plus
15% bath oil
Soya oil 84.75% bath oil S 500 ml 538 C Balneum
Spironolactone 100mg tablets 28 187 L M
Spironolactone 12.5mg tablets 28 2135 K A
Spironolactone 25mg tablets 28 136 M
Spironolactone 50mg / Furosemide 28 797 C Lasilactone
20mg capsules
Spironolactone 50mg tablets 28 211 L M
Squill oxymel 2000 ml 3270 C J M Loveridge Ltd
Sterculia 62% / Frangula 8% 60 712 C Normacol Plus
granules 7g sachets gluten free
Sterculia 62% / Frangula 8% 500 g 845 C Normacol Plus
granules gluten free
Sterculia 62% granules 7g sachets 60 667 C Normacol
gluten free
Sterculia 62% granules gluten free 500 g 792 C Normacol
Stiripentol 250mg capsules 60 28400 C Diacomit
Stiripentol 250mg oral powder 60 28400 C Diacomit
sachets
Stiripentol 500mg capsules 60 49300 C Diacomit
Stiripentol 500mg oral powder 60 49300 C Diacomit
sachets
Strontium ranelate 2g granules 28 14991 C Aristo Pharma Ltd
sachets sugar free
Sucralfate 1g/5ml oral suspension 200 ml 17465 C Sigma
sugar free Pharmaceuticals Plc

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Drug Quantity Basic Price Category

Sucroferric oxyhydroxide (iron 90 17900 C Velphoro


500mg) chewable tablets
Sulfadiazine 500mg tablets 56 43891 K A
Sulfadiazine silver 1% cream S 50 g 385 C Flamazine
S 250 g 1032 C Flamazine
S 500 g 1827 C Flamazine
Sulfasalazine 250mg/5ml oral 500 ml 12500 C Rosemont
suspension sugar free Pharmaceuticals Ltd
Sulfasalazine 500mg gastro- 112 6718 L M
resistant tablets
Sulfasalazine 500mg suppositories 10 330 C Salazopyrin
Sulfasalazine 500mg tablets 112 5904 L M
Sulfur sublimed powder 500 g 768 C J M Loveridge Ltd
Sulindac 100mg tablets 56 2979 A
Sulindac 200mg tablets 56 3830 A
Sulpiride 200mg tablets 30 328 L M
Sulpiride 200mg/5ml oral solution 150 ml 9364 C Essential Pharma Ltd
sugar free
Sulpiride 400mg tablets 30 2250 A
Sumatriptan 100mg tablets 6 146 K M
Sumatriptan 10mg/0.1ml nasal 2 1416 C Imigran
spray unit dose (2xS1)
Sumatriptan 20mg/0.1ml nasal 6 4247 C Imigran
spray unit dose (6xS1)
Sumatriptan 3mg/0.5ml solution for S 2 3950 A
injection pre-filled disposable
devices
Sumatriptan 50mg tablets 6 120 K M
Sumatriptan 6mg/0.5ml solution for S 2 4500 A
injection pre-filled disposable
devices
Sumatriptan 6mg/0.5ml solution for S 2 5096 C Imigran Subject
injection pre-filled syringes with
device
Sumatriptan 6mg/0.5ml solution for S 2 4849 C Imigran Subject
injection syringe refill
Surgical spirit 200 ml 151 C Thornton & Ross Ltd

Part VIIIA products T

Tacalcitol 4micrograms/g lotion S 30 ml 1273 C Curatoderm


Tacalcitol 4micrograms/g ointment S 30 g 1340 C Curatoderm
S 100 g 3086 C Curatoderm
Tacrolimus 0.03% ointment S 30 g 2333 C Protopic
S 60 g 4255 C Protopic
Tacrolimus 0.1% ointment S 30 g 1525 L M
S 60 g 3050 L M
Tacrolimus 1mg capsules S 50 8028 C Prograf
Tacrolimus 1mg granules sachets 50 35665 C Modigraf
sugar free

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Drug Quantity Basic Price Category

Tacrolimus 1mg modified-release S 50 7159 C Advagraf


capsules
S 100 14317 C Advagraf
Tacrolimus 1mg modified-release S 30 5910 C Envarsus
tablets
Tacrolimus 200microgram granules 50 7130 C Modigraf
sachets sugar free
Tacrolimus 2mg capsules S 50 11100 C Adoport
Tacrolimus 3mg modified-release S 50 21476 C Advagraf
capsules
Tacrolimus 4mg modified-release S 30 23640 C Envarsus
tablets
Tacrolimus 500microgram capsules S 50 6188 C Prograf
Tacrolimus 500microgram modified- S 50 3579 C Advagraf
release capsules
Tacrolimus 5mg capsules S 50 29658 C Prograf
Tacrolimus 5mg modified-release S 50 26692 C Advagraf
capsules
Tacrolimus 750microgram capsules S 50 5175 C Adoport
Tacrolimus 750microgram modified- S 30 4433 C Envarsus
release tablets
§ Tadalafil 10mg tablets 4 96 M
§ Tadalafil 2.5mg tablets 28 3056 L A
§ Tadalafil 20mg tablets 4 107 M
§ Tadalafil 5mg tablets 28 193 L M
Tafluprost 15micrograms/ml / 30 1450 C Taptiqom
Timolol 5mg/ml eye drops (3xS10)
0.3ml unit dose preservative
free
Tafluprost 15micrograms/ml eye S 3 ml 1139 C Saflutan
drops
Tafluprost 15micrograms/ml eye 30 1220 C Saflutan
drops 0.3ml unit dose (3xS10)
preservative free
Tamoxifen 10mg tablets 30 3801 A
Tamoxifen 10mg/5ml oral solution 150 ml 9900 C Rosemont
sugar free Pharmaceuticals Ltd
Tamoxifen 20mg tablets 30 249 L M
Tamoxifen 40mg tablets 30 9517 K A
Tamsulosin 400microgram / 30 369 L M
Dutasteride 500microgram
capsules
Tamsulosin 400microgram 30 115 L M
modified-release capsules
Tamsulosin 400microgram 30 1047 C Flomaxtra XL
modified-release tablets
Tapentadol 100mg modified-release 56 4235 C Tapimio
capsules
Tapentadol 100mg modified-release 56 4982 C Palexia SR
tablets
Tapentadol 150mg modified-release 56 6352 C Tapimio
capsules

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Drug Quantity Basic Price Category

Tapentadol 150mg modified-release 56 7473 C Palexia SR


tablets
Tapentadol 200mg modified-release 56 8469 C Tapimio
capsules
Tapentadol 200mg modified-release 56 9964 C Palexia SR
tablets
Tapentadol 20mg/ml oral solution 100 ml 1780 C Palexia
sugar free
Tapentadol 250mg modified-release 56 10587 C Tapimio
capsules
Tapentadol 250mg modified-release 56 12455 C Palexia SR
tablets
Tapentadol 25mg modified-release 56 872 C Ationdo SR
tablets
Tapentadol 50mg modified-release 28 1059 C Tapimio
capsules
56 2117 C Tapimio
Tapentadol 50mg modified-release 28 1246 C Palexia SR
tablets
56 2491 C Palexia SR
Tapentadol 50mg tablets 28 1246 C Palexia
Tapentadol 75mg tablets 28 1868 C Palexia
56 3737 C Palexia
Tartaric acid powder S 500 g 1157 C J M Loveridge Ltd
Teicoplanin 200mg powder and S 1 393 C Targocid
solvent for solution for injection
vials
Teicoplanin 400mg powder and S 1 732 C Targocid
solvent for solution for injection
vials
Telmisartan 20mg tablets 28 445 K M
Telmisartan 40mg / 28 1361 C
Hydrochlorothiazide 12.5mg
tablets
Telmisartan 40mg tablets 28 316 K M
Telmisartan 80mg / 28 1699 A
Hydrochlorothiazide 12.5mg
tablets
Telmisartan 80mg / 28 2043 L A
Hydrochlorothiazide 25mg
tablets
Telmisartan 80mg tablets 28 238 L M
Temazepam 10mg tablets 28 2626 K M
Temazepam 10mg/5ml oral solution 300 ml 21925 L A
sugar free
Temazepam 20mg tablets 28 2651 K M
Temocillin 1g powder for solution for S 1 2545 C Negaban
injection vials
Tenofovir 123mg tablets 30 10260 C Viread
Tenofovir 163mg tablets 30 13598 C Viread
Tenofovir 204mg tablets 30 17019 C Viread
Tenofovir 245mg tablets 30 2839 A
Tenoxicam 20mg tablets 30 1342 C Mobiflex

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Drug Quantity Basic Price Category

Terazosin 10mg tablets 28 809 A


Terazosin 2mg tablets 28 277 L A
Terazosin 5mg tablets 28 508 L A
Terbinafine 1% cream S 15 g 172 K M
S 30 g 344 K M
Terbinafine 1% gel S 15 g 358 C Lamisil AT
Terbinafine 1% solution S 4 g 570 C Lamisil Once
Terbinafine 1% spray S 15 ml 358 C Lamisil AT
Terbinafine 250mg tablets 14 145 K M
Terbutaline 2.5mg/5ml solution for 10 2009 C Bricanyl
injection ampoules
Terbutaline 500micrograms/1ml 5 648 C Bricanyl
solution for injection ampoules
Terbutaline 500micrograms/dose S 120 dose 830 C Bricanyl Turbohaler
dry powder inhaler
Terbutaline 5mg tablets 100 1473 C Bricanyl
Terbutaline 5mg/2ml nebuliser liquid 20 943 K A
unit dose vials
Teriparatide 600micrograms/2.4ml S 1 27188 C Forsteo
solution for injection pre-filled
disposable devices
Testosterone 16.2mg/g gel S 88 g 3111 C Testogel
(20.25mg per actuation)
Testosterone 2% gel (10mg per S 60 g 2863 C Tostran
actuation)
Testosterone 20mg/g transdermal S 85.5 g 2522 C Testavan
gel (23mg per actuation)
Testosterone 50mg/5g gel unit dose 30 3111 C Testogel
sachets
Testosterone 50mg/5g gel unit dose 30 3050 C Testim
tube
Testosterone enantate 250mg/1ml 3 9212 C Alliance
solution for injection ampoules Pharmaceuticals Ltd
Testosterone undecanoate 1g/4ml S 1 8711 C Nebido
solution for injection vials
Tetanus immunoglobulin human S 1 25000 C Bio Products
250unit solution for injection Laboratory Ltd
vials
Tetrabenazine 25mg tablets 112 10769 A
Tetracaine 0.5% eye drops 0.5ml 20 1110 C Minims
unit dose preservative free
Tetracaine 1% eye drops 0.5ml unit 20 1110 C Minims
dose preservative free
Tetracaine 4% gel S 1.5 g 108 C Ametop
Tetracosactide 1mg/1ml suspension S 1 34628 C Synacthen Depot
for injection ampoules
Tetracosactide 250micrograms/1ml S 1 3800 C Synacthen
solution for injection ampoules
Tetracycline 250mg tablets 28 2437 L A
Thalidomide 50mg capsules 28 29848 C
Theophylline 200mg modified- 56 329 C Uniphyllin Continus
release tablets

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Drug Quantity Basic Price Category

Theophylline 300mg modified- 56 530 C Uniphyllin Continus


release tablets
Theophylline 400mg modified- 56 628 C Uniphyllin Continus
release tablets
Thiamine 100mg tablets 100 482 L M
Thiamine 50mg tablets 100 338 K M
Tiagabine 10mg tablets 100 10409 C Gabitril
Tiagabine 15mg tablets 100 15613 C Gabitril
Tiagabine 5mg tablets 100 5204 C Gabitril
Tiaprofenic acid 300mg tablets 56 1495 C Surgam 300
Tibolone 2.5mg tablets 28 413 L M
Ticagrelor 60mg tablets 56 5460 C Brilique
Ticagrelor 90mg orodispersible 56 5460 C Brilique
tablets sugar free
Ticagrelor 90mg tablets 56 5460 C Brilique
Timolol 0.25% eye drops S 5 ml 266 K M
Timolol 0.25% eye gel S 2.5 ml 312 C Timoptol-LA
Timolol 0.5% eye drops S 5 ml 266 K M
Timolol 0.5% eye gel S 2.5 ml 312 C Timoptol-LA
Timolol 10mg / Bendroflumethiazide 30 6308 A
2.5mg tablets
Timolol 10mg tablets 30 4058 A
Timolol 1mg/g gel eye drops 0.4g 30 749 C Tiopex
unit dose preservative free (3xS10)
Timolol 2.5mg/ml eye drops S 5 ml 845 C Eysano
preservative free
Timolol 5mg/ml eye drops S 5 ml 965 C Eysano
preservative free
Timothy grass pollen allergen 30 8012 C Grazax
extract 75,000 SQ-T oral
lyophilisates sugar free
Tinzaparin sodium 10,000units/ 10 6248 C LEO Pharma
0.5ml solution for injection pre-
filled syringes
Tinzaparin sodium 12,000units/ 10 7497 C Innohep
0.6ml solution for injection pre-
filled syringes
Tinzaparin sodium 14,000units/ 10 8736 C LEO Pharma
0.7ml solution for injection pre-
filled syringes
Tinzaparin sodium 16,000units/ 10 9996 C LEO Pharma
0.8ml solution for injection pre-
filled syringes
Tinzaparin sodium 18,000units/ 10 11246 C LEO Pharma
0.9ml solution for injection pre-
filled syringes
Tinzaparin sodium 2,500units/ 10 2129 C LEO Pharma
0.25ml solution for injection
pre-filled syringes
Tinzaparin sodium 20,000units/2ml 10 11094 C Innohep
solution for injection vials

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Drug Quantity Basic Price Category

Tinzaparin sodium 3,500units/ 10 2979 C LEO Pharma


0.35ml solution for injection
pre-filled syringes
Tinzaparin sodium 4,500units/ 10 3830 C LEO Pharma
0.45ml solution for injection
pre-filled syringes
Tinzaparin sodium 40,000units/2ml S 1 3591 C Innohep
solution for injection vials
Tinzaparin sodium 8,000units/0.4ml 10 4998 C LEO Pharma
solution for injection pre-filled
syringes
Tioconazole 283mg/ml medicated S 12 ml 2874 A
nail lacquer
Tioguanine 40mg tablets 25 7635 C Aspen Pharma
Trading Ltd
Tiotropium bromide 10microgram S 30 2580 C Braltus
inhalation powder capsules
with device
Tiotropium bromide 18microgram 30 3350 C Spiriva
inhalation powder capsules (3xS10)
Tiotropium bromide 18microgram S 30 3487 C Spiriva
inhalation powder capsules
with device
Tiotropium bromide 2.5micrograms/ S 60 dose 3250 C Spiolto Respimat
dose / Olodaterol
2.5micrograms/dose inhalation
solution cartridge CFC free
Tiotropium bromide 2.5micrograms/ S 60 dose 3250 C Spiolto Respimat
dose / Olodaterol
2.5micrograms/dose solution
for inhalation cartridge with
device CFC free
Tiotropium bromide 2.5micrograms/ S 60 dose 2300 C Spiriva Respimat
dose inhalation solution
cartridge CFC free
Tiotropium bromide 2.5micrograms/ S 60 dose 2300 C Spiriva Respimat
dose solution for inhalation
cartridge with device CFC free
Tirbanibulin 10mg/g ointment 5 5900 C Klisyri
250mg sachets
Titanium ointment S 30 g 334 C Metanium Nappy
Rash
Tizanidine 2mg tablets 120 784 L M
Tizanidine 4mg tablets 120 4005 A
Tobramycin 240mg/6ml solution for S 1 1920 C Pfizer Ltd
injection vials
Tobramycin 28mg inhalation powder S 224 179000 C Tobi Podhaler
capsules with device
Tobramycin 300mg/4ml nebuliser 56 118700 C Bramitob
liquid ampoules
Tobramycin 300mg/5ml nebuliser 56 108237 K A
liquid ampoules (8xS7)

376
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Drug Quantity Basic Price Category

Tobramycin 80mg/2ml solution for S 1 537 C Flynn Pharma Ltd


injection vials
5 2080 C Pfizer Ltd
Tocilizumab 162mg/0.9ml solution 4 91312 C RoActemra
for injection pre-filled
disposable devices
Tocilizumab 162mg/0.9ml solution 4 91312 C RoActemra
for injection pre-filled syringes
Tocofersolan 50mg/ml oral solution 20 ml 5455 C Vedrop
sugar free
Tolbutamide 500mg tablets 28 11299 K A
Tolcapone 100mg tablets 100 9520 C Tasmar
Tolfenamic acid 200mg tablets 10 2708 A
Tolnaftate 1% liquid spray S 150 ml 452 K C Scholl Athlete's Foot
Tolterodine 1mg tablets 56 223 L M
Tolterodine 2mg modified-release 28 1160 C Neditol XL
capsules
Tolterodine 2mg tablets 56 280 L M
Tolterodine 4mg modified-release 28 2578 C
capsules
Tolvaptan 7.5mg tablets 10 44808 C Samsca
Topiramate 100mg tablets 60 460 K M
Topiramate 100mg/5ml oral S 280 ml 28500 C Rosemont
suspension sugar free Pharmaceuticals Ltd
Topiramate 15mg capsules 60 1479 C Topamax
Topiramate 200mg tablets 60 3146 L A
Topiramate 25mg capsules 60 2218 C Topamax
Topiramate 25mg tablets 60 457 K M
Topiramate 50mg capsules 60 3645 C Topamax
Topiramate 50mg tablets 60 477 K M
Topiramate 50mg/5ml oral S 150 ml 19900 C Rosemont
suspension sugar free Pharmaceuticals Ltd
Torasemide 10mg tablets 28 1322 K A
Torasemide 2.5mg tablets 28 378 C Torem 2.5
Torasemide 5mg tablets 28 1012 K A
Toremifene 60mg tablets 30 2908 C Fareston
Tramadol 100mg modified-release 60 1447 C
capsules
Tramadol 100mg/2ml solution for 5 400 C Zydol
injection ampoules
Tramadol 100mg/ml oral drops S 10 ml 2500 C Advanz Pharma
Tramadol 150mg modified-release 60 2171 C Zamadol SR
capsules
Tramadol 200mg modified-release 60 2893 C
capsules
Tramadol 37.5mg / Paracetamol 60 968 C Tramacet
325mg effervescent tablets
sugar free
Tramadol 37.5mg / Paracetamol 60 180 K A
325mg tablets
Tramadol 400mg modified-release 28 2851 C Zamadol 24hr
tablets

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04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Tramadol 50mg capsules 30 87 K M


100 290 K M
Tramadol 50mg modified-release 60 724 C Zamadol SR
capsules
Tramadol 50mg modified-release 60 460 C Zydol SR
tablets
Tramadol 50mg orodispersible 60 712 C Zamadol Melt
tablets sugar free
Tramadol 50mg soluble tablets 100 1333 C Zydol
sugar free
Tramadol 50mg/5ml oral solution 100 ml 450 C Morningside
sugar free Healthcare Ltd
Tramadol 75mg / Dexketoprofen 20 552 C Skudexa
25mg tablets
Trandolapril 1mg capsules 28 2020 A
Trandolapril 2mg capsules 28 230 K A
Trandolapril 4mg capsules 28 1084 A
Trandolapril 500microgram 14 168 A
capsules
Tranexamic acid 500mg tablets 60 663 K M
Tranexamic acid 500mg/5ml 5 750 C Bowmed Ibisqus Ltd
solution for injection ampoules
10 1547 C
Tranylcypromine 10mg tablets 28 51432 L A
Travoprost 40micrograms/ml / S 2.5 ml 623 K M
Timolol 5mg/ml eye drops
Travoprost 40micrograms/ml eye S 2.5 ml 198 K M
drops
Travoprost 40micrograms/ml eye 30 749 C Visutrax
drops 0.1ml unit dose (6xS5)
preservative free
Trazodone 100mg capsules 56 305 K M
Trazodone 100mg tablets 56 2675 C Accord Healthcare
Ltd
Trazodone 100mg/5ml oral solution 120 ml 27498 K A
sugar free
Trazodone 150mg tablets 28 222 L M
Trazodone 50mg capsules 84 287 K M
Trazodone 50mg tablets 84 2343 C Accord Healthcare
Ltd
Trazodone 50mg/5ml oral solution 120 ml 1069 K M
sugar free
Tretinoin 0.025% / Erythromycin 4% S 25 ml 705 C Aknemycin Plus
solution
Tretinoin 10mg capsules 100 32500 C Neon Healthcare Ltd
Triamcinolone 55micrograms/dose S 120 dose 739 C Nasacort
nasal spray
Triamcinolone acetonide 40mg/1ml 5 745 C Kenalog
suspension for injection vials
Triamcinolone acetonide 50mg/5ml S 1 363 C Adcortyl Intra-
suspension for injection vials articular / Intradermal

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Drug Quantity Basic Price Category

Triamcinolone hexacetonide 20mg/ 10 12000 C Esteve


1ml suspension for injection Pharmaceuticals Ltd
ampoules
Triamterene 50mg / Chlortalidone 28 18500 C DHP Healthcare Ltd
50mg tablets
Trientine 200mg capsules S 100 307513 C Cufence
Trifarotene 50micrograms/g cream S 75 g 2775 C Aklief
Trifluoperazine 1mg tablets 112 5912 C Advanz Pharma
Trifluoperazine 1mg/5ml oral 200 ml 13688 C Advanz Pharma
solution sugar free
Trifluoperazine 5mg tablets 112 13489 C Advanz Pharma
Trifluoperazine 5mg/5ml oral 150 ml 4540 K A
solution sugar free
Trihexyphenidyl 2mg tablets 84 392 L M
Trihexyphenidyl 5mg tablets 84 2062 A
Trihexyphenidyl 5mg/5ml oral 200 ml 9400 C Rosemont
solution Pharmaceuticals Ltd
Trimethoprim 100mg tablets 28 103 L M
Trimethoprim 200mg tablets 6 54 K M
14 126 K M
Trimethoprim 50mg/5ml oral 100 ml 715 L M
suspension sugar free
Trimipramine 10mg tablets 28 17918 A
Trimipramine 25mg tablets 28 20050 A
Trimipramine 50mg capsules 28 21750 A
Triptorelin 11.25mg powder and S 1 20700 C Decapeptyl SR
solvent for suspension for
injection vials
Triptorelin acetate 3.75mg powder S 1 8169 C Gonapeptyl Depot
and solvent for suspension for
injection pre-filled syringes
Triptorelin acetate 3mg powder and S 1 6900 C Decapeptyl SR
solvent for suspension for
injection vials
Triptorelin embonate 22.5mg S 1 41400 C Decapeptyl SR
powder and solvent for
suspension for injection vials
Tropicamide 0.5% eye drops 0.5ml 20 1174 C Minims
unit dose preservative free
Tropicamide 1% eye drops S 5 ml 160 C Mydriacyl
Tropicamide 1% eye drops 0.5ml 20 1188 C Minims
unit dose preservative free
Trospium chloride 20mg tablets 60 1143 K M
Trospium chloride 60mg modified- 28 2305 C Regurin XL
release capsules
Typhoid polysaccharide S 1 1116 C Typhim Vi
25micrograms/0.5ml vaccine
solution for injection pre-filled
syringes
10 11160 C Typhim Vi
Typhoid vaccine (live, oral, strain S 3 1477 C Vivotif
ty21a) gastro-resistant
capsules

379
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Drug Quantity Basic Price Category

Part VIIIA products U

Ulipristal 30mg tablets S 1 1405 C EllaOne


Ulipristal 5mg tablets 28 11413 C Esmya
Umeclidinium bromide S 30 dose 3250 C Anoro Ellipta
65micrograms/dose / Vilanterol
22micrograms/dose dry
powder inhaler
Umeclidinium bromide S 30 dose 2750 C Incruse Ellipta
65micrograms/dose dry
powder inhaler
Urea 5% / Lauromacrogols 3% S 50 g 281 C E45 Itch Relief
cream
S 100 g 428 C E45 Itch Relief
S 500 g 1499 C
Urea 5% cream S 50 ml 636 C Eucerin Dry Skin
Relief
75 ml 572 C Eucerin Dry Skin
Relief
Urea 5% scalp application S 100 ml 705 C Eucerin
DermoCapillaire
Calming
Urea [13-C] 45mg oral powder S 1 2000 C Helicobacter Test
breath test kit sugar free INFAI for children
Urea [13-C] 50mg tablets breath S 1 2125 C diabact UBT
test kit
Urea [13-C] 75mg oral powder S 1 1920 C Helicobacter Test
breath test kit sugar free INFAI
Urea hydrogen peroxide 5% ear S 8 ml 341 C Otex
drops
Urofollitropin 150unit powder and 10 55800 C Fostimon
solvent for solution for injection
vials
Ursodeoxycholic acid 150mg tablets 60 2170 K A
Ursodeoxycholic acid 250mg 60 996 K M
capsules
Ursodeoxycholic acid 250mg tablets 60 1800 C Cholurso
Ursodeoxycholic acid 250mg/5ml 250 ml 2698 C Ursofalk
oral suspension sugar free
Ursodeoxycholic acid 300mg tablets 60 5355 L A
Ursodeoxycholic acid 500mg tablets 100 8000 C Ursofalk

Part VIIIA products V

Valaciclovir 250mg tablets 60 12328 C Valtrex


Valaciclovir 500mg tablets 10 1270 L M
Valganciclovir 450mg tablets 60 102740 A
Valganciclovir 50mg/ml oral solution R 100 ml 23032 C Valcyte
sugar free
Valproic acid 250mg gastro- 30 569 C
resistant tablets

380
Part VIIIA 04/2023
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Drug Quantity Basic Price Category

Valproic acid 500mg gastro- 30 1137 C


resistant tablets
Valsartan 160mg / 28 1598 K A
Hydrochlorothiazide 12.5mg
tablets
Valsartan 160mg / 28 3097 A
Hydrochlorothiazide 25mg
tablets
Valsartan 160mg capsules 28 987 K M
Valsartan 160mg tablets 28 1469 A
Valsartan 320mg tablets 28 1817 A
Valsartan 3mg/ml oral solution 160 ml 720 C Diovan
Valsartan 40mg capsules 28 463 K M
Valsartan 40mg tablets 7 996 K A
Valsartan 80mg / 28 2364 A
Hydrochlorothiazide 12.5mg
tablets
Valsartan 80mg capsules 28 756 K M
Valsartan 80mg tablets 28 1122 A
Vancomycin 125mg capsules 28 13249 A
Vancomycin 1g powder for solution S 1 1125 C Bowmed Ibisqus Ltd
for infusion vials
10 12500 C Flynn Pharma Ltd
Vancomycin 250mg capsules 28 13175 A
Vancomycin 500mg powder for S 1 549 C Bowmed Ibisqus Ltd
solution for infusion vials
10 6250 C Flynn Pharma Ltd
§ Vardenafil 10mg orodispersible 4 1967 C Levitra
tablets sugar free
§ Vardenafil 10mg tablets 4 1068 A
§ Vardenafil 20mg tablets 4 512 L A
§ Vardenafil 5mg tablets 4 646 L A
Varicella immunoglobulin 250mg S 1 75000 C Varicella-Zoster
solution for injection vials
Varicella vaccine (live) powder and S 1 2731 C Varilrix
solvent for solution for injection
0.5ml vials
Varicella vaccine (live) powder and S 1 3028 C Varivax
solvent for suspension for
injection 0.5ml vials
Venlafaxine 150mg modified- 28 410 C Vensir XL
release capsules
Venlafaxine 150mg modified- 30 390 C Venlalic XL
release tablets
Venlafaxine 225mg modified- 28 4711 C Efexor XL
release capsules
Venlafaxine 225mg modified- 30 3360 C Venlalic XL
release tablets
Venlafaxine 37.5mg modified- 28 525 C
release capsules
Venlafaxine 37.5mg modified- 30 660 C Venlalic XL
release tablets
Venlafaxine 37.5mg tablets 56 403 K M

381
04/2023 Part VIIIA
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Drug Quantity Basic Price Category

Venlafaxine 37.5mg/5ml oral 150 ml 16200 C Rosemont


solution sugar free Pharmaceuticals Ltd
Venlafaxine 75mg modified-release 28 286 C Vensir XL
capsules
Venlafaxine 75mg modified-release 30 260 C Venlalic XL
tablets
Venlafaxine 75mg tablets 56 1091 K M
Venlafaxine 75mg/5ml oral solution 150 ml 21200 C Rosemont
sugar free Pharmaceuticals Ltd
Verapamil 120mg modified-release 28 771 C Half - Securon SR
tablets
Verapamil 120mg tablets 28 311 L M
Verapamil 160mg tablets 56 3153 C Accord Healthcare
Ltd
Verapamil 240mg modified-release 28 555 C Securon SR
tablets
Verapamil 40mg tablets 84 151 L M
Verapamil 40mg/5ml oral solution 150 ml 15885 C Essential Pharma Ltd
sugar free
Verapamil 5mg/2ml solution for 5 541 C Securon IV
injection ampoules
Verapamil 80mg tablets 84 228 L M
Vigabatrin 100mg soluble tablets 100 6647 C Kigabeq
sugar free
Vigabatrin 500mg oral powder 50 2460 C Sabril
sachets sugar free
Vigabatrin 500mg soluble tablets 50 14872 C Kigabeq
sugar free
Vigabatrin 500mg tablets 100 4441 C Sabril
Vildagliptin 50mg / Metformin 1g 60 3568 C Eucreas
tablets
Vildagliptin 50mg / Metformin 60 3568 C Eucreas
850mg tablets
Vildagliptin 50mg tablets 56 2974 L A
Vitamin B compound strong tablets 28 118 L M
Vitamin B compound tablets 28 6641 K A
Vitamins A and D capsules BPC 84 842 A
1973
Vitamins B and C high potency 20 2253 C Pabrinex
intramuscular solution for (2xS10)
injection 5ml and 2ml
ampoules
Vitamins capsules 1000 1549 A
Voriconazole 100mg tablets 28 27568 C Aristo Pharma Ltd
Voriconazole 200mg tablets 28 63367 A
Voriconazole 200mg/5ml oral R 75 ml 55137 C VFEND
suspension
Voriconazole 50mg tablets 28 18440 K A
Vortioxetine 10mg tablets 28 2772 C Brintellix
Vortioxetine 20mg tablets 28 2772 C Brintellix
Vortioxetine 5mg tablets 28 2772 C Brintellix

Part VIIIA products W

382
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Warfarin 1mg tablets 28 77 K M


Warfarin 1mg/ml oral suspension 150 ml 17000 C Rosemont
sugar free Pharmaceuticals Ltd
Warfarin 3mg tablets 28 81 M
Warfarin 500microgram tablets 28 176 L M
Warfarin 5mg tablets 28 93 K M
Water for injections 100ml bottles 20 3902 C B.Braun Medical Ltd
Water for injections 100ml vials 25 8250 C hameln pharma Ltd
Water for injections 10ml ampoules 10 434 K A
Water for injections 10ml vials 25 5445 C hameln pharma Ltd
Water for injections 1litre bottles S 1 518 C Polyfusor W
Water for injections 20ml ampoules 20 1443 C Water for injections
Mini-Plasco
Water for injections 2ml ampoules 10 316 K A
Water for injections 500ml bottles S 1 430 C Polyfusor W
Water for injections 5ml ampoules 10 348 K A
White soft paraffin 15% / Liquid S 50 g 162 C Emcrem
paraffin 6% cream
S 500 g 425 C Emcrem
White soft paraffin 15% / Liquid S 150 g 306 C
paraffin light 6% cream
S 350 ml 465 C Oilatum Junior
S 500 ml 528 C
White soft paraffin 50% / Liquid 500 g 457 C Alliance Healthcare
paraffin 50% ointment (Distribution) Ltd
White soft paraffin solid 500 g 403 A
Wild cherry syrup 2000 ml 3028 C J M Loveridge Ltd
Wool fat solid 500 g 2061 C J M Loveridge Ltd

Part VIIIA products X

Xipamide 20mg tablets 140 1946 C Diurexan


Xylometazoline 0.05% nasal drops S 10 ml 266 K C Otrivine Child
Xylometazoline 0.1% nasal drops S 10 ml 234 C Otrivine Adult
Xylometazoline 0.1% nasal spray S 10 ml 265 C Otrivine Adult
Xylometazoline 70micrograms/dose S 70 dose 499 C Otrivine Extra Dual
/ Ipratropium bromide Relief
84micrograms/dose nasal
spray

Part VIIIA products Y

Yellow fever vaccine (live) powder S 1 3972 C Stamaril


and solvent for suspension for
injection 0.5ml vials
Yellow soft paraffin solid 500 g 451 C J M Loveridge Ltd

Part VIIIA products Z

383
04/2023 Part VIIIA
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

§ Zanamivir 5mg inhalation powder S 20 1636 C Relenza


blisters with device
Zidovudine 300mg / Lamivudine 60 30012 C Combivir
150mg tablets
Zinc acetate 25mg capsules 250 13200 C Wilzin
Zinc acetate 50mg capsules 250 24200 C Wilzin
Zinc and Castor oil ointment 500 g 515 A
Zinc oxide 12.5% / Dimeticone S 115 g 890 C Sprilon
1.04% spray
Zinc oxide 283.5mg / Lidocaine 12 313 C Germoloids
13.2mg suppositories
24 528 C Germoloids
Zinc oxide 6.6% / Lidocaine 0.7% S 25 g 299 C Germoloids
cream
S 55 g 545 L C Germoloids
Zinc oxide 6.6% / Lidocaine 0.7% S 25 ml 312 C Germoloids
ointment
S 55 ml 516 C Germoloids
Zinc oxide impregnated medicated 4 1590 C Zipzoc
stockings
10 3975 C Zipzoc
Zinc oxide powder S 500 g 1099 C J M Loveridge Ltd
Zinc sulfate 220mg capsules 30 695 C
250 5792 C Zincomed
Zinc sulfate monohydrate 125mg 90 1772 C Solvazinc
effervescent tablets sugar free (3xS30)
Zinc undecenoate 20% / S 70 g 304 C Mycota
Undecenoic acid 2% powder
Zinc undecenoate 20% / S 25 g 201 C Mycota
Undecenoic acid 5% cream
Zolmitriptan 2.5mg orodispersible 6 266 L M
tablets sugar free
Zolmitriptan 2.5mg tablets 6 896 K M
12 1792 K M
Zolmitriptan 5mg orodispersible 6 1135 L A
tablets sugar free
Zolmitriptan 5mg tablets 6 3600 C Glenmark
Pharmaceuticals
Europe Ltd
Zolmitriptan 5mg/0.1ml nasal spray 6 3650 C Zomig
unit dose (6xS1)
Zolpidem 10mg tablets 28 136 K M
Zolpidem 5mg tablets 28 159 K M
Zonisamide 100mg capsules 56 2592 L M
Zonisamide 100mg/5ml oral 250 ml 18190 C Desizon
suspension
Zonisamide 25mg capsules 14 803 L A
Zonisamide 50mg capsules 56 2198 L M
Zopiclone 3.75mg tablets 28 97 K M
Zopiclone 7.5mg tablets 28 99 K M
Zuclopenthixol 10mg tablets S 100 806 C Clopixol
Zuclopenthixol 25mg tablets S 100 1613 C Clopixol

384
Part VIIIA 04/2023
BASIC PRICES OF DRUGS

Drug Quantity Basic Price Category

Zuclopenthixol 2mg tablets S 100 314 C Clopixol


Zuclopenthixol acetate 50mg/1ml 5 2421 C Clopixol Acuphase
solution for injection ampoules
Zuclopenthixol decanoate 200mg/ 10 3151 C Clopixol
1ml solution for injection
ampoules
Zuclopenthixol decanoate 500mg/ 5 3718 C Clopixol-Conc
1ml solution for injection
ampoules

385

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