2017 DPRI | Fifth Edition
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ACKNOWLEDGEMENTS The 2017 Edition of the Drug Price Reference Index (DPRI) is a fruit of hard work, dedication and team efforts of the Department of Health (DOH) Pharmaceutical Division’s System Support Unit supervised by Ms. Vanessa J. Saulog – Obera, together with her team members namely: Mr. Achilles V. Aragona who also prepared the cover design and layout of the booklet, Ms. Priscilla Margarette H. Alimario, Mr. John Lester M. Custodio, Ms. Geny C. Belmonte, Mr. Christian M. Villostas and their team leader Mr. Jeffrey T. Castro; The Electronic Drug Price Monitoring System (EDPMS) team for providing market intelligence led by Mr. Patrick D. Acuna, and his team members: Ms. Grace N. Lagunzad, and Ms. Arlyn A. Rabi; Mr. Aris Posadas for continuously enhancing the DPRI website and database; Mr. Adell Azuelo for the printing of booklet procurement; To all NDP Compliance Officers and EDPMS Helpdesks who aid in the implementation of the DPRI and to the DOH-Pharmaceutical Division family with our OIC-Chief Irene V. Florentino-Farinas for their support; All DOH Retained / Specialty Hospitals and Regional Offices for contributing their data to the Department of Health; The Drug Price and Access Advisory Committee (DPAAC) who provided recommendations for the improvement of the policy headed by Governor Roberto Pagdanganan as Chairman, Dr. Alvin Caballes as Vice-chairman, and the members of the committee: Dr. Michael Abrigo, Dr. John Wong and Mr. Oscar Picazo; We also recognize and thank our Health Secretary Francisco T. Duque and former Health Secretary Dr. Paulyn Jean B. Rosell – Ubial, and OIC – Assistant Secretary Enrique A. Tayag for their unwavering support and commitment to enforce the DPRI in the government.
Manila, Philippines 18 December 2017 Corazon I. Flores, MD, MPH, CESO IV Director III
2017 DPRI | Fifth Edition
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OVERVIEW The high and extremely variable prices of medicines in the Philippines impact on access to effective, efficient and equitable health care. In 2009, a study conducted by Health Action International revealed that there was extreme variability in the procurement prices of essential medicines across the national and local public health facilities in the country. On average, originator brands and generic equivalents were procured almost 16 times and 3 times higher, respectively, compared to prices available on the international market.1 The DOH-Central Bids and Awards Committee (DOH-COBAC) and DOH Hospitals were shown to have more efficient procurement prices compared to provincial and municipal health facilities, thus leading to variability in access to essential medicines across the Philippines. Republic Act (RA) 9502 or the Universally Accessible Cheaper and Quality Medicines Act of 2008 gave the DOH instruments to monitor and regulate the prices of drugs and medicines to protect consumers and the public procuring entities from excessive mark-ups applied to prices of medicines resulting from information asymmetry and the lack of effective market competition. To address these issues, the DOH Pharmaceutical Division (formerly NCPAM) established a Drug Price Reference Index (DPRI) for all essential medicines to guide all national and local government health facilities in the efficient sourcing of pharmaceutical products in the public sector. What is the Drug Price Reference Index (DPRI)? The DPRI lists the ceiling prices of essential medicines for government bidding and procurement set by the DOH for all National and Local Government Health Facilities and Government Agencies. Winning bid prices of essential medicines within the DPRI ceiling reflect efficient and effective procurement in the government. Their transparency and enforcement ensure consumer access to medicines and protection from excessive price mark-ups on medicines. The DPRI only reflects the acquisition costs including landed cost, packaging, drug content, quality assurance, manufacturing overheads and Food and Drug Administration (FDA) fees. The DPRI excludes other costs such as pharmacy services, preparation and storage fees, and other reasonable pharmacy mark-ups, which are now being evaluated by the DOH. The DPRI aims to improve the efficiency and good governance in the pricing and procurement of medicines in the public sector through establishing a transparent and publicly available reference price for affordable and quality medicines. It also aims to guide the Philippine Health Insurance Corporation (PHIC) in setting reimbursement caps for medicines both for inpatient and outpatient services. Who should use the DPRI? All government entities should be guided by the DPRI when procuring medicines. It shall be applied to all forms of procurement such as public bidding, direct contracting, shopping, negotiated procurement, emergency procurement and consignment to ensure that the government achieves the best value for money in sourcing essential medicines.
___________________________________ 1
Douglas B, Tisocki K (2009) Public Procurement Prices of Medicines in the Philippines. Health Action International.
2017 DPRI | Fifth Edition
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What are the sources of Price Data? In general, the DPRI is calculated based on the prevailing market price collected by the DOH through the Electronic Drug Price Monitoring System (EDPMS) from different drug establishments which includes, Drug Stores, Drug Chains, Private Hospital Pharmacy and Government Hospital Pharmacy nationwide. How the Drug Price Reference Index (DPRI) determined? The reference price is set at the Median or the 50th percentile across the range of prevailing market prices of essential medicines for each preparation and strength but further reducing the value by 30% to offset the estimated average retail mark-up. However, prices of innovator products included in the data set are excluded in the calculation except for those cases wherein the innovator products comprises at least 70% of the total data set How often is the DPRI updated? The DPRI is updated annually. All DOH hospitals and ROs submits a copy of their latest purchase orders to the DOH Pharmaceutical Division. Price data uploaded by all drug establishment nationwide is extracted and analyzed together with the procurement gathered from DOH facilities. The updated DPRI is based on the current retail price data of medicines. How to set the ABC of medicines not included in this edition? For some medicines not listed in this edition, the method on setting the ABC shall depend on the discretion of the procuring entity (e.g. review of historical awarded price, market survey, MIMS). Occurrence of Bid Failure All procuring entities are advised to submit the list of medicines that resulted to bid failure at DOH-PD. The report should comply the template provided by DOH-PD that can be downloaded at their website at www.dpri.doh.gov.ph.
2017 DPRI | Fifth Edition
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GENERIC NAME 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.
25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40.
Acetazolamide Acetylcysteine Acetylcysteine Acetylcysteine Acetylcysteine Aciclovir Aciclovir Aciclovir Aciclovir Adenosine Albumin, Human Albumin, Human Alcohol, Ethyl Alendronate Alfuzosin All-in-One Admixtures ("3-in-1" or "dual energy" solutions) All-in-One Admixtures ("3-in-1" or "dual energy" solutions) Allopurinol Allopurinol Alprazolam Alprazolam Aluminum Hydroxide + Magnesium Hydroxide Aluminum Hydroxide + Magnesium Hydroxide Aluminum Hydroxide + Magnesium Hydroxide Amikacin Amikacin Amikacin Amikacin Amikacin Amikacin Amikacin Amikacin Amino Acid Solutions for Hepatic Failure Amino Acid Solutions for Hepatic Failure Amino Acid Solutions for Infants Amino Acids, Crystalline Standard Amino Acids, Crystalline Standard Aminophylline Amiodarone Amiodarone
41.
Amlodipine
17. 18. 19. 20. 21. 22. 23. 24.
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME
DPRI (Php) (Ceiling Price)
A 250 mg Tablet 100 mg Sachet 200 mg Sachet 200 mg/mL, 25 mL Bottle 600 mg Effervescent Tablet 200 mg Tablet 25 mg/mL, 10 mL Vial 400 mg Tablet 800 mg Tablet 3 mg/mL, 2 mL Vial 20%, 50 mL Bottle 25%, 50 mL Bottle 70% solution, 500 mL Bottle 70 mg Tablet (As Sodium Salt) 10 mg Tablet (as Hydrochloride) "3 in 1" 1400 Kcal Bottle
25.38 11.54 14.62 1,813.85 29.23 9.23 1,184.97 30.77 47.69 1,069.76 3,250.00 3,984.62 53.08 196.06 43.81 2,884.62
"3 in 1" 1900 Kcal Bottle
5,736.15
100 mg Tablet 300 mg Tablet 250 mcg Tablet 500 mcg Tablet 225 mg + 200 mg/5 mL, 120 mL Suspension 225 mg + 200 mg/5 mL, 180 mL Suspension 225 mg + 200 mg/5 mL, 60 mL Suspension 100 mg powder Vial (As Sulfate) 100 mg/mL, 2 mL Vial (As Sulfate) 125 mg/mL, 2 mL Ampule (As Sulfate) 125 mg/mL, 2 mL Vial (As Sulfate) 250 mg/mL, 2 mL Ampule (As Sulfate) 250 mg/mL, 2 mL Vial (As Sulfate) 50 mg/mL, 2 mL Ampule (As Sulfate) 50 mg/ml, 2 ml Vial (As Sulfate) 7%, 500 mL Bottle 8%, 500 mL Bottle 6%, 100 mL Bottle 8%, 500 mL Plastic Bottle 9.12%, 20 mL Ampule 25 mg/mL, 10 mL Ampule 200 mg Tablet (As Hydrochloride) 50 mg/mL, 3 mL Ampule (As Hydrochloride) 10 mg Tablet (As Besilate/Camsylate)
6.92 13.82 19.67 32.92 40.77 222.31 59.23 41.15 143.85 156.19 76.83 679.81 103.54 220.65 61.54 784.00 1,047.77 521.32 991.71 230.77 45.38 30.00 279.23 11.16 4|Page
GENERIC NAME
STRENGTH / FORM / VOLUME
42. 43.
Amlodipine Amoxicillin
44.
Amoxicillin
45.
Amoxicillin
46. 47. 48. 49.
Amoxicillin Amoxicillin Amoxicillin Amphotericin B (Lipid Complex)
50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69.
Amphotericin B (Non-Lipid Complex) Ampicillin + Sulbactam Ampicillin + Sulbactam Ampicillin + Sulbactam Ampicillin Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Ascorbic Acid (Vitamin C) Asparaginase Aspirin Atenolol Atorvastatin Atorvastatin Atorvastatin Atorvastatin Atracurium
70. 71.
Atropine Azithromycin
72.
Azithromycin
5 mg Tablet (As Besilate/Camsylate) 100 mg/mL, 10 mL Drops (As Trihydrate) 100 mg/mL, 15 mL Drops (As Trihydrate) 125 mg/5 mL, 60 mL Suspension (As Trihydrate) 250 mg Capsule (As Trihydrate) 250 mg/5 mL, 60 mL Suspension 500 mg Capsule (As Trihydrate) 50 mg Vial (As Cholesteryl Complex, Colloidal Dispersion) 50 mg Vial 1.5 g Vial 250 mg + 125 mg Vial (As Sodium Salt) 500 mg + 250 mg Vial (As Sodium Salt) 1 g Vial (As Sodium Salt) 100 mg/5 mL, 120 mL Syrup 100 mg/5 mL, 60 mL Syrup 100 mg/ml, 15 mL Oral Drops 100 mg/ml, 30 mL Oral Drops 100 mg/ml, 60 mL Oral Drops 250 mg/mL, 2 mL Ampule 500 mg Tablet 10,000 IU Vial 80 mg Tablet 50 mg Tablet 10 mg Tablet 20 mg Tablet 40 mg Tablet 80 mg Tablet 10 mg/mL, 2.5 mL Ampule (As Besilate) 1 mg/mL, 1 mL Ampule (As Sulfate) 200 mg/5 mL, 15 mL Suspension (As Base/As Dihydrate) 500 mg Tablet (As Base/As Dihydrate)
73.
Azithromycin
500 mg Vial (As Base/As Dihydrate)
Baclofen Beractant Betahistine Betahistine Betamethasone Cream Biperiden Bisacodyl
B 10 mg Tablet 25 mg/mL, 4 mL Vial 24 mg Tablet (As Hydrochloride) 8 mg Tablet (As Hydrochloride) 0.1%, 5 g Tube (As Valerate) 2 mg Tablet (As Hydrochloride) 10 mg Suppository
74. 75. 76. 77. 78. 79. 80.
2017 DPRI | Fifth Edition
DPRI (Php) (Ceiling Price) 7.35 56.15 42.15 50.00 2.31 94.62 5.77 10,438.46 3,328.25 688.89 241.44 442.69 38.46 93.85 44.73 56.15 79.23 44.62 46.54 3.85 2,180.77 2.31 8.08 11.54 15.38 19.33 26.58 273.28 37.12 328.46 80.77 763.46
16.92 10,325.78 54.12 15.77 221.67 12.92 37.69 5|Page
GENERIC NAME 81. 82. 83. 84.
Bisacodyl Bisacodyl Bleomycin Budesonide + Formoterol
85.
Budesonide
86. 87.
Bumetanide Bupivacaine
88. 89.
Bupivacaine Bupivacaine
90.
Bupivacaine
91. 92.
Butamirate Butorphanol
93.
95. 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. 111.
Calcium Carbonate + Cholecalciferol (Vit. D3) Calcium Carbonate + Cholecalciferol (Vit. D3) Calcium Carbonate Calcium Carbonate Calcium Folinate (Leucovorin Calcium) Calcium Folinate (Leucovorin Calcium) Calcium Folinate (Leucovorin Calcium) Calcium Gluconate Calcium Gluconate Candesartan Candesartan Capecitabine Captopril Carbamazepine Carboplatin Carboplatin Carvedilol Carvedilol Cefadroxil
112.
Cefadroxil
113. 114.
Cefadroxil Cefalexin
115.
Cefalexin
116.
Cefalexin
94.
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 5 mg Suppository 5 mg Tablet 15 mg Vial (As Sulfate) 160 mcg + 4.5 mcg x 60 doses Dry Powder Inhaler (As Fumarate Dihydrate) 250 mcg/mL, 2 mL Respiratory Solution (Nebule) 1 mg Tablet 0.5%, 10 mL Ampule (As Hydrochloride) 0.5%, 10 mL Vial (As Hydrochloride) 0.5%, 4 mL (spinal) with 8% Dextrose Ampule (As Hydrochloride) 0.5%, 5 mL Ampule (As Hydrochloride) 50 mg MR Tablet (As Citrate) 2 mg/mL, 1 mL Vial (As Tartrate) C 1.25 g (equiv. to 500 mg elemental calcium) + 250 IU Tablet 600 mg elementa Ca + 400 IU Vit. D3 Tablet 500 mg Tablet 600 mg Tablet 10 mg/mL, 5 mL Ampule 10 mg/mL, 5 mL Vial 50 mg powder Vial 10%, 10 mL Ampule 10%, 10 mL Vial 16 mg Tablet (As Cilexetil) 8 mg Tablet (As Cilexetil) 500 mg Tablet 25 mg Tablet 200 mg Tablet 10 mg/mL, 15 mL Vial 10 mg/mL, 45 mL Vial 25 mg Tablet 6.25 mg Tablet 125 mg/5 mL, 60 mL Syrup (As Monohydrate) 250 mg/5 mL, 60 mL Suspension (As Monohydrate) 500 mg Capsule 100 mg/mL, 15 mL Drops (As Monohydrate) 125 mg/5 mL, 60 mL Bottle (As Monohydrate) 250 mg Capsule (As Monohydrate)
DPRI (Php) (Ceiling Price) 30.77 15.38 2,353.85 838.46
69.23 22.52 406.68 325.42 457.69 615.38 14.22 436.22 6.73 6.33 5.12 6.15 488.46 280.19 213.65 76.96 68.88 25.27 14.62 84.20 3.85 5.00 918.06 3,088.00 14.19 8.46 146.54 87.69 10.77 34.62 46.15 3.85 6|Page
GENERIC NAME 117.
Cefalexin
118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129. 130. 131. 132. 133. 134.
Cefalexin Cefazolin Cefazolin Cefepime Cefepime Cefepime Cefixime Cefixime Cefixime Cefixime Cefixime Cefotaxime Cefotaxime Cefoxitin Ceftazidime Ceftazidime Ceftriaxone
135.
Ceftriaxone
136. 137.
Cefuroxime Cefuroxime
138.
Cefuroxime
139. 140. 141. 142. 143. 144. 145. 146.
Cefuroxime Cefuroxime Cefuroxime Cefuroxime Celecoxib Celecoxib Celecoxib Cetirizine
147.
Cetirizine
148. 149.
Cetirizine Cetirizine
150. 151.
Chloramphenicol Chloramphenicol
152. 153. 154. 155.
Chloramphenicol Chlorphenamine (Chlorpheniramine) Chlorphenamine (Chlorpheniramine) Chlorpromazine
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 250 mg/5 mL, 60 mL Bottle (As Monohydrate) 500 mg Capsule (As Monohydrate) 1 g Vial (As Sodium Salt) 500 mg Vial (As Sodium Salt) 1 g Vial (As Hydrochloride) 2 g Vial (As Hydrochloride) 500 mg Vial (As Hydrochloride) 100 mg Capsule (As Trihydrate) 100 mg/5 mL, 30 mL Suspension 100 mg/5 mL, 60 mL Suspension 20 mg/mL, 10 mL Suspension 200 mg Capsule (As Trihydrate) 1 g Vial (As Sodium Salt) 500 mg Vial (As Sodium Salt) 1 g Vial (As Sodium Salt) 1 g Vial (As Sodium Salt) 500 mg Vial (As Pentahydrate) 1 g + 10 mL diluent Vial (As Disodium/Sodium Salt) 500 mg + 5 mL diluent Vial (As Disodium/Sodium Salt) 1.5 g Vial 125 mg/5 mL, 50 mL Suspension (As Axetil) 125 mg/5 mL, 70 mL Suspension (As Axetil) 250 mg Vial 250 mg/5 mL, 60 mL Suspension 500 mg Tablet (As Axetil) 750 mg Vial 100 mg Capsule 200 mg Capsule 400 mg Capsule 1 mg/mL, 30 mL Bottle (As Dihydrochloride) 1 mg/mL, 60 mL Bottle (As Dihydrochloride) 10 mg Tablet (As Dihydrochloride) 10 mg/mL, 10 mL Oral Drops (As Dihydrochloride) 1 g Vial (As Sodium Succinate) 125 mg/5 mL, 60 mL Suspension (As Palmitate) 500 mg Capsule (As Palmitate) 10 mg/mL,1 mL Ampule (As Maleate) 4 mg Tablet (As Maleate) 100 mg Tablet (As Hydrochloride)
DPRI (Php) (Ceiling Price) 61.54 10.02 125.50 214.72 1,486.92 3,020.67 864.96 68.46 450.35 515.08 192.31 31.23 224.23 740.77 814.87 338.46 651.94 576.92 566.15 371.15 180.77 238.46 266.04 238.46 45.69 292.31 15.19 19.23 34.46 113.85 188.63 16.71 121.54 50.00 57.69 4.62 31.15 1.00 6.54 7|Page
GENERIC NAME 156. 157. 158. 159. 160. 161. 162. 163. 164. 165. 166. 167. 168. 169. 170. 171. 172. 173.
Chlorpromazine Cilostazol Cilostazol Cinnarizine Cinnarizine Ciprofloxacin Ciprofloxacin Ciprofloxacin Cisplatin Cisplatin Cisplatin Clarithromycin Clarithromycin Clarithromycin Clarithromycin Clarithromycin Clindamycin Clindamycin
174.
Clindamycin
175. 176.
Clindamycin Clindamycin
177. 178. 179. 180. 181.
Clobetasol Cream Clobetasol Ointment Clonazepam Clonidine Clonidine
182. 183. 184.
Clonidine Clopidogrel Cloxacillin
185.
Cloxacillin
186. 187. 188.
Cloxacillin Clozapine Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Co-Amoxiclav (Amoxicillin + Potassium Clavulanate)
189. 190. 191. 192.
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 200 mg Tablet (As Hydrochloride) 100 mg Tablet 50 mg Tablet 25 mg Tablet 75 mg Capsule 2 mg/mL, 100 mL Vial (As Lactate) 2 mg/mL, 50 mL Vial (As Lactate) 500 mg Tablet (As Hydrochloride) 1 mg/mL, 10 mL Vial 1 mg/mL, 50 mL Vial 50 mg powder Vial 125 mg/5 mL, 25 mL Suspension 125 mg/5 mL, 50 mL Suspension 125 mg/5 mL, 70 mL Suspension 250 mg/5 mL, 70 mL Suspension 500 mg Tablet 150 mg Capsule (As Hydrochloride) 150 mg/mL, 2 mL Ampule (As Phosphate) 150 mg/mL, 4 mL Ampule (As Phosphate) 300 mg Capsule (As Phosphate) 75 mg/5 mL, 60 mL Suspension (As Palmitate Hydrochloride) 0.05%, 5 g Tube (As Propionate) 0.05%, 5 g Tube (As Propionate) 2 mg Tablet 150 mcg Tablet (As Hydrochloride) 150 mcg/mL, 1 mL Ampule (As Hydrochloride) 75 mcg Tablet (As Hydrochloride) 75 mg Tablet 125 mg/5 mL, 60 mL Bottle (As Sodium Salt) 250 mg/5 mL, 60 mL Bottle (As Sodium Salt) 500 mg Capsule (As Sodium Salt) 100 mg Tablet 1 g Tablet 200 mg (As Trihydrate) + 28.5 mg/5 mL, 70 mL Suspension 250 mg (As Trihydrate) + 125 mg Tablet 250 mg (As Trihydrate) + 62.5 mg/5 mL, 100 mL Suspension 250 mg (As Trihydrate) + 62.5 mg/5 mL, 60 mL Suspension
DPRI (Php) (Ceiling Price) 11.52 25.73 13.85 2.31 100.00 300.00 602.17 12.31 269.23 731.54 672.69 184.62 302.50 520.31 750.46 43.08 6.15 361.77 710.93 11.54 372.60 228.15 230.00 12.69 23.08 157.69 17.69 22.12 33.85 53.85 6.15 44.62 53.85 209.13 30.58 192.31 190.58
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GENERIC NAME 193.
201. 202. 203.
Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) Colchicine Cotrimoxazole (Sulfamethoxazole + Trimethoprim) Cotrimoxazole (Sulfamethoxazole + Trimethoprim) Cotrimoxazole (Sulfamethoxazole + Trimethoprim) Cotrimoxazole (Sulfamethoxazole + Trimethoprim) Cotrimoxazole (Sulfamethoxazole + Trimethoprim) Cyclophosphamide Cytarabine Cytarabine
204. 205. 206. 207.
Dacarbazine Dactinomycin (Actinomycin D) Dexamethasone Dexamethasone
208.
Dexamethasone
209.
Dexamethasone
210. 211. 212.
Diazepam Diazepam Diclofenac
213.
Diclofenac
214. 215. 216. 217. 218. 219. 220. 221.
Dicycloverine (Dicyclomine) Dicycloverine (Dicyclomine) Digoxin Digoxin Digoxin Diltiazem Diltiazem Diphenhydramine
222. 223. 224.
Diphenhydramine Diphenhydramine Diphenhydramine
225.
Dobutamine
194. 195. 196. 197. 198. 199. 200.
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 400 mg (As Trihydrate) + 57 mg/5 mL, 70 mL Suspension 500 mg (As Trihydrate) + 125 mg Tablet 500 mcg Tablet 200 mg + 40 mg/5 mL, 60 mL Suspension 400 mg + 80 mg Capsule
DPRI (Php) (Ceiling Price) 321.92 32.62 3.08 26.92 2.31
400 mg + 80 mg Tablet
1.92
400 mg + 80 mg/5 mL, 60 mL Suspension 800 mg+160 mg Tablet
46.15
500 mg powder Vial 100 mg powder Vial 100 mg/mL, 5 mL Vial D 200 mg Vial 500 mcg powder Vial 4 mg Tablet 4 mg/mL, 2 mL Ampule (As Sodium Phosphate) 4 mg/mL, 2 mL Vial (As Sodium Phosphate) 5 mg/mL, 1 mL Ampule (As Sodium Phosphate) 5 mg Tablet 5 mg/mL, 2 mL Ampule 25 mg/mL, 3 mL Ampule (As Sodium Salt) 50 mg Tablet (As Sodium or Potassium Salt) 10 mg Tablet (As Hydrochloride) 10 mg/5 mL, 60 mL Syrup 250 mcg Tablet 250 mcg/mL, 2 mL Ampule 50 mcg/mL, 60 mL Elixir 30 mg Tablet (As Hydrochloride) 60 mg Tablet (As Hydrochloride) 12.5 mg/ 5 mL, 60 mL Syrup (As Hydrochloride) 25 mg Capsule (As Hydrochloride) 50 mg Capsule (As Hydrochloride) 50 mg/mL, 1 mL Ampule (As Hydrochloride) 1 mg/mL, 250 mL D5W Pre-mixed (As Hydrochloride)
235.88 176.44 390.38
3.56
776.35 400.00 21.73 70.58 88.23 113.73 12.02 138.46 57.54 3.17 1.15 50.00 4.62 194.59 674.62 7.69 6.15 26.92 1.54 2.35 133.85 902.69
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GENERIC NAME 226.
Dobutamine
227.
Dobutamine
228.
Dobutamine
229.
Docetaxel
230. 231. 232. 233.
Docetaxel Domperidone Domperidone Dopamine
234.
Dopamine
235.
Dopamine
236.
Dopamine
237. 238.
Doxorubicin Doxorubicin
239. 240. 241.
Doxorubicin Doxycycline Dydrogesterone
242. 243. 244. 245.
Enalapril Enalapril Enalapril Enoxaparin
246.
Enoxaparin
247.
Enoxaparin
248. 249.
Ephedrine Epinephrine
250. 251. 252.
Epirubicin Epirubicin Epoetin Alfa (recombinant human erythropoietin) Epoetin Alfa (recombinant human erythropoietin) Epoetin Alfa (recombinant human erythropoietin) Epoetin Alfa (recombinant human erythropoietin) Epoetin Beta (recombinant erythropoietin) Ertapenem
253. 254. 255. 256. 257.
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 12.5 mg/mL, 20 mL Vial (As Hydrochloride) 2 mg/mL, 250 mL D5W Pre-mixed (As Hydrochloride) 50 mg/mL, 5 mL Ampule (As Hydrochloride) 20 mg/0.5 mL, 0.5 mL Vial (Anhydrous) 40 mg/mL, 2 mL Vial (Anhydrous) 1 mg/mL, 60 mL Suspension 10 mg Tablet 1.6 mg/mL, 250 mL D5W Pre-mixed (As Hydrochloride) 20 mg/mL, 10 mL Ampule (As Hydrochloride) 40 mg/mL, 5 mL Ampule (As Hydrochloride) 800 mcg/mL, 250 mL D5W Pre-mixed (As Hydrochloride) 10 mg powder Vial (As Hydrochloride) 2 mg/mL, 25 mL Vial (As Hydrochloride) 50 mg powder Vial (As Hydrochloride) 100 mg Capsule (As Hyclate) 10 mg Tablet E 10 mg Tablet (As Maleate) 20 mg Tablet (As Maleate) 5 mg Tablet (As Maleate) 100 mg/mL, 0.2 mL Pre-filled syringe (As Sodium Salt) 100 mg/mL, 0.4 mL Pre-filled syringe (As Sodium Salt) 100 mg/mL, 0.6 mL Pre-filled syringe (As Sodium Salt) 50 mg/mL, 1 mL Ampule (As Sulfate) 1 mg/mL, 1 mL Ampule (As Hydrochloride) 10 mg Vial (As Hydrochloride) 50 mg Vial (As Hydrochloride) 2000 IU/0.5 mL Pre-filled syringe
DPRI (Php) (Ceiling Price) 500.00 848.41 519.23 1,795.42 8,400.00 107.69 7.69 490.00 111.54 115.38 523.08 426.02 1,689.23 1,538.46 17.88 51.83 8.46 12.43 7.85 516.15 650.00 861.15 91.54 66.23 934.23 3,733.85 438.46
4000 IU/0.4 mL Pre-filled syringe
784.62
4000 IU/mL, 1 mL Pre-filled Glass Syringe 4000 IU/mL, 1 mL Vial
777.69
5000 IU/0.3 ml Pre-filled syringe 1 g Vial (As Sodium Salt)
1,278.98 3,088.56
847.69
10 | P a g e
GENERIC NAME 258.
Erythromycin
259. 260. 261. 262. 263.
Erythromycin Erythromycin Eye Ointment Erythromycin Eye Ointment Escitalopram Esmolol
264. 265. 266. 267.
Ethambutol Etoposide Etoposide Etoposide
268. 269. 270. 271. 272. 273.
Famotidine Felodipine Fenofibrate Fenofibrate Fenofibrate Fentanyl
274. 275.
Fentanyl Ferrous Salt
276.
Ferrous Salt
277.
Ferrous Sulfate + Folic Acid
278.
Ferrous Sulfate
279. 280. 281. 282. 283. 284. 285. 286. 287. 288. 289.
Filgrastim Filgrastim Filgrastim Finasteride Fluconazole Fluconazole Fluconazole Fluconazole Fluorouracil Fluoxetine Flupentixol
290. 291.
Fluphenazine Fluticasone + Salmeterol
292.
Fluticasone + Salmeterol
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 200 mg/5 mL, 60 mL Suspension (As Ethyl Succinate) 500 mg Tablet (As Stearate) 0.5%, 3.5 g Tube 0.5%, 5 g Tube 10 mg Tablet (As Oxalate) 10 mg/mL, 10 mL Vial (As Hydrochloride) 400 mg Tablet (As Hydrochloride) 100 mg Vial 20 mg/mL, 5 mL Ampule 20 mg/mL, 5 mL Vial F 20 mg Lyophilized Powder Vial 5 mg MR Tablet 145 mg Tablet 160 mg Tablet 200 mg Capsule 50 mcg/mL, 10 mL Ampule (As Citrate) 50 mcg/mL, 2 mL Ampule (As Citrate) (equiv. to 30 mg elemental iron/5 mL), 60 mL Syrup (As Sulfate) equiv. to 60 mg elemental iron Tablet (As Sulfate or Fumarate) 60 mg elemental iron + 400 mcg folic acid Tablet 15 mg elemental iron/0.6 mL, 15 mL Drops 150 mcg/0.6 mL Vial 300 mcg/1.2 mL Vial 300 mcg/mL Vial 5 mg Tablet 150 mg Capsule 2 mg/mL, 100 mL Vial 200 mg Capsule 50 mg Capsule 50 mg/mL, 10 mL Vial 20 mg Capsule 20 mg/mL, 1 mL Ampule (As Decanoate) 25 mg/mL, 10 mL Vial (As Decanoate) 125 mcg (As Propionate) + 25 mcg (As Xinafoate) x 120 doses Metered Dose Inhaler 250 mcg (As propionate) + 25 mcg (As Xinafoate) x 120 doses Metered Dose Inhaler
DPRI (Php) (Ceiling Price) 57.69 7.69 185.77 176.92 41.15 793.85 3.85 354.18 392.31 379.04 212.40 13.08 26.15 32.31 15.38 390.38 188.49 26.92 2.88 3.85 37.69 1,076.15 3,230.77 3,587.69 38.48 230.77 4,513.96 582.88 149.36 113.36 35.87 386.93 580.77 362.87
549.23
11 | P a g e
GENERIC NAME 293.
Fluticasone + Salmeterol
294.
Fluticasone + Salmeterol
295. 296. 297.
Folic Acid Folic Acid Fondaparinux
298. 299. 300. 301. 302. 303.
Furosemide Furosemide Furosemide Fusidate Sodium/Fusidic Acid Cream Fusidate Sodium/Fusidic Acid Ointment Fusidate/Fusidic Acid Ointment
304. 305. 306. 307. 308. 309. 310. 311. 312. 313. 314. 315. 316. 317.
Gabapentin Gabapentin Gemcitabine Gemcitabine Gentamicin Gentamicin Gentamicin Eye Drops Glibenclamide Gliclazide Gliclazide Gliclazide Glipizide Glucose (Dextrose) Glyceryl Trinitrate (Nitroglycerine)
318. 319. 320. 321.
Haloperidol Haloperidol Haloperidol Haloperidol
322.
Heparin
323.
Heparin
324.
Hydralazine
325.
Hydrocortisone
326.
Hydrocortisone
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 500 mcg (As Propionate) + 50 mcg (As Xinafoate) x 60 doses Dry Powder Inhaler 50mcg (As Propionate) + 25mcg (As Xinafoate) x 120 doses Metered Dose Inhaler 5 mg Capsule 5 mg Tablet 2.5 mg/0.5 mL Solution (As Sodium Salt) 10 mg/mL, 2 mL Ampule 20 mg Tablet 40 mg Tablet 2%, 5 g Tube 2%, 5 g Tube 2%, 1.5 g (Medicated Surgical Dressing) Sachet (As Sodium) G 100 mg Capsule 300 mg Capsule 1 g Vial (As Hydrochloride) 200 mg Vial (As Hydrochloride) 40 mg/mL, 2 mL Ampule (As Sulfate) 40 mg/mL, 2 mL Vial (As Sulfate) 0.3%, 5 mL Bottle (As Sulfate) 5 mg Tablet 30 mg MR Tablet 60 mg MR Tablet 80 mg Tablet 5 mg Tablet 50%, 50 mL Vial 5 mg Patch H 20 mg Tablet 5 mg Tablet 5 mg/mL, 1 mL Ampule 50 mg/mL, 1 mL Ampule (As Decanoate) 1000 IU/mL, 5 mL Vial (As Sodium Salt) 5000 IU/mL, 5 mL Vial (As Sodium Salt) 20 mg/mL, 1 mL Ampule (As Hydrochloride) 100 mg powder Vial (As Sodium Succinate) 125 mg/mL, 2 mL Vial (As Sodium Succinate)
DPRI (Php) (Ceiling Price) 1,695.68
261.42
6.15 5.38 1,604.29 36.92 1.54 2.31 286.43 278.28 109.62
22.88 25.58 8,076.92 1,711.54 38.27 76.92 115.38 2.31 6.54 20.00 6.92 15.77 61.27 99.34 23.94 23.85 400.00 1,129.23 138.35 300.00 232.69 92.31 612.40
12 | P a g e
GENERIC NAME 327.
Hydrocortisone
328.
Hydrocortisone
329.
Hydrocortisone
330. 331. 332. 333. 334. 335. 336. 337.
Hydrocortisone Cream Hydroxyethyl Starch Hydroxyurea Hydroxyzine Hydroxyzine Hydroxyzine Hyoscine Hyoscine
338. 339. 340. 341. 342.
I.V. Fluids, 0.9% Sodium Chloride I.V. Fluids, 0.9% Sodium Chloride I.V. Fluids, 0.9% Sodium Chloride I.V. Fluids, 0.9% Sodium Chloride I.V. Fluids, 0.9% Sodium Chloride
343.
I.V. Fluids, 10% Dextrose in Water
344.
348. 349.
I.V. Fluids, 5% Dextrose in 0.3% Sodium Chloride I.V. Fluids, 5% Dextrose in 0.3% Sodium Chloride I.V. Fluids, 5% Dextrose in 0.9% Sodium Chloride I.V. Fluids, 5% Dextrose in 0.9% Sodium Chloride I.V. Fluids, 5% Dextrose in Lactated Ringer's I.V. Fluids, 5% Dextrose in Lactated Ringer's
350. 351.
I.V. Fluids, 5% Dextrose in Water I.V. Fluids, 5% Dextrose in Water
352.
I.V. Fluids, 5% Dextrose in Water
353.
I.V. Fluids, Balanced Multiple Maintenance Solution with 5% Dextrose for Adult I.V. Fluids, Balanced Multiple Maintenance Solution with 5% Dextrose for Pedia I.V. Fluids, Balanced Multiple Replacement Solution with 5% Dextrose I.V. Fluids, Balanced Multiple Replacement Solution with 5% Dextrose I.V. Fluids, Lactated Ringer's Solution
345. 346. 347.
354. 355. 356. 357.
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 250 mg powder, Vial (As Sodium Succinate) 50 mg/mL, 2 mL Vial (As Sodium Succinate) 500 mg powder, Vial (As Sodium Succinate) 1%, 5 g Tube 6%, 500 mL Bottle 500 mg Capsule 10 mg Tablet (As Dihydrochloride) 25 mg Tablet (As Dihydrochloride) 50 mg/ml, 1 ml Vial 10 mg Tablet (As N-butyl Bromide) 20 mg/mL, 1 mL Ampule (As N-butyl Bromide) I 1 L Plastic Bottle / Glass Bottle / Bag 100 mL Bottle 20 mL Ampule 50 mL Bottle 500 mL Plastic Bottle / Glass Bottle / Bag 500 mL Plastic Bottle / Glass Bottle / Bag 1 L Plastic Bottle / Glass Bottle / Bag
DPRI (Php) (Ceiling Price) 130.77 161.92 146.81 157.88 784.62 27.50 10.77 19.62 410.38 6.15 63.08
76.92 92.90 35.56 53.85 83.85 88.46 92.31
500 mL Plastic Bottle / Glass Bottle / Bag 1 L Plastic Bottle / Glass Bottle / Bag
81.13
500 mL Plastic Bottle / Glass Bottle / Bag 1 L Plastic Bottle / Glass Bottle / Bag 500 mL Plastic Bottle / Glass Bottle / Bag 1 L Plastic Bottle / Glass Bottle / Bag 250 mL Plastic Bottle / Glass Bottle / Bag 500 mL Plastic Bottle / Glass Bottle / Bag 1 L Plastic Bottle / Glass Bottle / Bag
84.62
500 mL Plastic Bottle / Glass Bottle / Bag 1 L Plastic Bottle / Glass Bottle / Bag 500 mL Plastic Bottle / Glass Bottle / Bag 1 L Plastic Bottle / Glass Bottle / Bag
84.62
79.81 80.77 84.62 111.74 76.92 84.62 83.08 100.78 81.95 84.62 13 | P a g e
GENERIC NAME
STRENGTH / FORM / VOLUME
358.
I.V. Fluids, Lactated Ringer's Solution
359. 360. 361. 362. 363. 364. 365. 366. 367. 368. 369. 370.
Ibuprofen Ibuprofen Ibuprofen Ibuprofen Ifosfamide Ifosfamide Immunoglobulin, Hepatitis B (human) Immunoglobulin, Normal, Human (IGIV) Immunoglobulin, Rabies (human) Immunoglobulin, Tetanus (Human) Immunoglobulin, Tetanus (Human) Insulin, Biphasic Isophane Human 70/30 (recombinant DNA) Insulin, Biphasic Isophane Human 70/30 (recombinant DNA)
500 mL Plastic Bottle / Glass Bottle / Bag 100 mg/5 mL, 60 mL Bottle 200 mg Tablet 200 mg/5 mL, 60 mL Bottle 400 mg Tablet 1 g Vial 2 g Vial 0.5 mL Vial 50 mg/mL, 50 mL Vial 150 IU/mL, 2 mL Vial 250 IU/mL, 1 mL Pre-filled syringe 250 units/mL, 1 mL Vial 100 IU/mL (Equiv. to 3.571 mg/mL), 5 mL Vial 70% isophane suspension + 30% soluble insulin in 100 IU/mL, 10 mL Vial 100 IU/mL, 10 mL Vial 100 IU/mL, 10 mL Vial
371.
372. 373.
375. 376.
Insulin, Isophane Human Insulin, Regular (Recombinant DNA, human) Intraocular Irrigating Solution (balanced salt solution) Iohexol Iopamidol
377.
Iopamidol
378.
Iopamidol
379.
Iopromide
380.
Iopromide
381.
Ioversol
382.
Ipratropium + Salbutamol
383. 384. 385. 386. 387. 388. 389.
Irbesartan + Hydrochlorothiazide Irbesartan + Hydrochlorothiazide Irbesartan Irbesartan Isoflurane Isoniazid + Rifampicin + Ethambutol Isoniazid + Rifampicin + Pyrazinamide + Ethambutol Isoniazid Isosorbide Dinitrate
374.
390. 391.
2017 DPRI | Fifth Edition
500 mL Bottle 300 mg iodine/mL, 50 mL Vial 612 mg/mL equiv. to 300 mg iodine, 100 mL Vial 612 mg/mL equiv. to 300 mg iodine, 50 mL Vial 755 mg/mL equiv. to 370 mg iodine, 50 mL Vial 300 mg/mL equiv. to 623 mg iodine, 50 mL Vial 370 mg/mL equiv. to 769 mg iodine, 50 mL Vial 636 mg/mL equiv. to 300 mg/mL iodine, 50 mL Vial 500 mcg (As Bromide Anhydrous) + 2.5 mg (As Base) x 2.5 mL (unit dose) Respiratory Solution 150 mg + 12.5 mg Tablet 300 mg + 12.5 mg Tablet 150 mg Tablet 300 mg Tablet 100 mL Bottle 75 mg + 150 mg + 275 mg Tablet 75 mg + 150 mg + 400 mg + 275 mg Tablet 200 mg/5 mL, 60 mL Syrup 1 mg/mL, 10 mL Ampule
DPRI (Php) (Ceiling Price) 83.11 66.15 6.15 105.85 6.54 1,567.31 2,692.31 1,435.67 5,845.73 4,501.40 914.32 900.00 549.12 625.38
600.00 736.54 500.00 1,275.00 2,544.27 1,365.38 1,615.38 1,664.20 1,928.33 1,427.78 29.23
22.12 36.69 16.33 26.65 2,867.31 8.36 10.58 26.92 651.24 14 | P a g e
GENERIC NAME 392. 393. 394. 395. 396. 397. 398.
Isosorbide Dinitrate Isosorbide Dinitrate Isosorbide-5-Mononitrate Isosorbide-5-Mononitrate Isosorbide-5-Mononitrate Isoxsuprine Isoxsuprine
399.
Itraconazole
400.
Ketamine
401.
Ketorolac
402.
Lactulose
403. 404. 405. 406. 407. 408. 409. 410. 411. 412. 413.
Lagundi (Vitex Negundo L.) Lagundi (Vitex Negundo L.) Lagundi (Vitex Negundo L.) Lamotrigine Lansoprazole Lansoprazole Latanoprost Levofloxacin Levofloxacin Levofloxacin Levothyroxine
414. 415. 416. 417. 418. 419. 420. 421. 422. 423. 424. 425. 426. 427. 428.
Levothyroxine Levothyroxine Lidocaine Lidocaine Lidocaine Lidocaine Lidocaine Lipids Lithium Carbonate Loperamide Loratadine Losartan + Hydrochlorothiazide Losartan + Hydrochlorothiazide Losartan Losartan
429.
Magnesium Sulfate
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 10 mg Tablet 5 mg Tablet 30 mg MR Capsule 30 mg MR Tablet 60 mg MR Tablet 10 mg Tablet (As Hydrochloride) 5 mg/mL, 2 mL Ampule (As Hydrochloride) 100 mg Capsule K 50 mg/mL, 10 mL Vial (As Hydrochloride) 30 mg/mL, 1mL Ampule (As Tromethamol) L 3.3 g/5 mL (3.35 g/5 mL), 120 mL Syrup 300 mg Tablet 300 mg/5 mL, 60 mL Syrup 600 mg Tablet 50 mg Tablet 30 mg Capsule 30 mg MR Tablet 50mcg/mL, 2.5mL Bottle 5 mg/mL,100 mL Vial 500 mg Tablet 750 mg Tablet 100 mcg Tablet (As Anhydrous Sodium) 25 mcg Tablet (As Anhydrous Sodium) 50 mcg Tablet (As Anhydrous Sodium) 10%, 50 mL Spray (As Hydrochloride) 2%, 1.8 mL w/ Epinephrine Carpule 2%, 5 mL Ampule (As Hydrochloride) 2%, 5 mL Vial (As Hydrochloride) 2%, 50 mL Vial (As Hydrochloride) 10%, 500 mL Bottle 450 mg MR Tablet 2 mg Capsule (As Hydrochloride) 10 mg Tablet 100 mg + 25 mg Tablet 50 mg +12.5 mg Tablet 100 mg Tablet (As Potassium Salt) 50 mg Tablet (As Potassium Salt) M 250 mg/mL, 10 mL Ampule (As Heptahydrate)
DPRI (Php) (Ceiling Price) 9.23 8.85 12.69 12.31 12.69 16.92 169.23 76.08 1,304.33 92.31
215.38 2.69 75.50 4.62 20.77 25.77 98.00 1,055.62 1,184.62 52.31 76.86 8.46 3.92 4.62 2,651.00 21.54 27.12 47.81 65.38 1,119.42 6.15 5.77 16.62 29.12 15.77 13.85 10.00 63.65
15 | P a g e
GENERIC NAME 430.
Magnesium Sulfate
431.
Magnesium Sulfate
432.
Magnesium Sulfate
433. 434. 435. 436. 437. 438. 439. 440. 441. 442. 443. 444. 445. 446. 447. 448. 449. 450. 451. 452. 453. 454.
Mannitol Mannitol Mebendazole Mebendazole Mebendazole Mecobalamin Mecobalamin Medroxyprogesterone Mefenamic Acid Mefenamic Acid Mefenamic Acid Mefenamic Acid Mefenamic Acid Meropenem Meropenem Mesna Metformin Hydrochloride Metformin Hydrochloride Methotrexate Methotrexate Methyldopa Methylergometrine
455.
Methylergometrine
456.
Methylprednisolone
457.
Methylprednisolone
458. 459. 460.
Methylprednisolone Methylprednisolone Methylprednisolone
461.
Methylprednisolone
462.
Methylprednisolone
463.
Methylprednisolone
464. 465.
Metoclopramide Metoclopramide
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 250 mg/mL, 10 mL Vial (As Heptahydrate) 250 mg/mL, 20 mL Vial (As Heptahydrate) 500mg/mL, 2mL Ampule (As Heptahydrate) 20%, 250 mL Bottle 20%, 500 mL Bottle 100 mg/5 mL, 30 mL Suspension 100 mg/5 mL, 60 mL Suspension 500 mg Tablet 500 mcg Tablet 500 mcg/mL, 1 mL Ampule 150 mg/mL, 1 mL Vial (As Enanthate) 250 mg Capsule 250 mg Tablet 50 mg/5 mL, 60 mL Suspension 500 mg Capsule 500 mg Tablet 1 g Vial (As Trihydrate) 500 mg Vial (As Trihydrate) 100 mg/mL, 4 mL Ampule 500 mg Tablet (As Hydrochloride) 850 mg Tablet (As Hydrochloride) 2.5 mg Tablet (As Base) 25 mg/mL, 2 mL Vial (As Base) 250 mg Tablet 125 mcg Tablet (As Hydrogen Maleate or Maleate) 200 mcg/mL, 1 mL Ampule (As Hydrogen Maleate or Maleate) 1 g/16 mL + Diluent Vial (As Sodium Succinate) 125 mg/mL, 2 mL + diluent Vial (As Sodium Succinate) 16 mg Tablet 4 mg Tablet 40 mg (single dose) Vial (As Sodium Succinate) 40 mg/mL, 1 mL Vial (As Sodium Acetate) 500 mg lyophilized powder Vial (As Sodium Succinate) 500 mg/8.0 mL + Diluent Vial (As Sodium Succinate) 10 mg Tablet (As Hydrochloride) 5 mg/5 mL, 60 mL Syrup (As Base and As Hydrochloride)
DPRI (Php) (Ceiling Price) 56.77 57.20 59.58 175.46 192.31 50.77 26.92 3.85 17.22 315.38 58.65 3.08 10.00 35.77 11.15 19.62 1,982.83 1,168.86 167.46 3.85 7.69 9.46 205.38 11.54 7.69 65.00 5,146.58 1,333.52 42.31 12.77 716.89 346.73 2,034.62 3,796.51 6.92 30.77
16 | P a g e
GENERIC NAME 466.
Metoclopramide
467. 468. 469.
Metoprolol (as Tartrate) Metoprolol (as Tartrate) Metronidazole
470. 471. 472. 473. 474. 475. 476.
479. 480.
Metronidazole Metronidazole Midazolam Midazolam Midazolam Midazolam Modified Fluid Gelatin (Formerly Polymerisate of Degraded Succinylated Gelatin) Monobasic Sodium Phosphate, Dibasic Sodium Phosphate Monobasic Sodium Phosphate, Dibasic Sodium Phosphate Montelukast Montelukast
481. 482.
Montelukast Montelukast
483. 484. 485. 486. 487. 488. 489. 490. 491. 492. 493.
Morphine (As Sulfate) Morphine (As Sulfate) Morphine (As Sulfate) Multivitamins Multivitamins Multivitamins Multivitamins Multivitamins Mupirocin Cream Mupirocin Ointment Mupirocin Ointment
494.
Nalbuphine
495.
Naloxone
496. 497.
Naproxen Neomycin + Polymyxin B + Fluocinolone Acetonide Ear Drops
498.
Neostigmine
477. 478.
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 5 mg/mL, 2 mL Ampule (As Base and As Hydrochloride) 100 mg Tablet (As Tartrate) 50 mg Tablet (As Tartrate) 125 mg/5 mL, 60 mL Suspension (As Benzoate) 5 mg/mL, 100 mL Vial 500 mg Tablet 1 mg/mL, 5 mL Ampule 15 mg Tablet 5 mg/mL, 3 mL Ampule 5 mg/mL,1 mL Ampule 4% solution, 500 mL Bottle
DPRI (Php) (Ceiling Price) 36.15 5.15 3.08 34.62 92.31 3.85 145.38 29.23 220.38 159.08 942.73
19 g/ 7 g solution per 133 mL Bottle (Enema) 48 g/18 g per 45 mL solution Bottle
238.60
10 mg Tablet (As Sodium Salt) 4 mg Chewable Tablet (As Sodium Salt) 4 mg Sachet (As Sodium Salt) 5 mg Chewable Tablet (As Sodium Salt) 10 mg Tablet (As Sulfate) 10 mg/mL, 1 mL Ampule (As Sulfate) 30 mg Tablet (As Sulfate) for adults Capsule for adults Tablet per 1 mL, 15 mL Drops per 5 mL, 120 mL Syrup per 5 mL, 60 mL Syrup 2%, 15 g Tube 2%, 15 g Tube 2%, 5 g Tube N 10 mg/mL, 1 mL Ampule (As Hydrochloride) 400 mcg/mL, 1 mL Ampule (As Hydrochloride) 550 mg Tablet (As Sodium Salt) 3.5 mg neomycin + 10,000 units polymyxin B + 0.025% floucinolone acetonide/mL, 5 mL Bottle (As Sulfate) 500 mcg/mL, 1 mL Ampule (As Methyl Sulfate)
26.15 15.62
248.73
16.15 17.69 35.30 90.72 76.92 8.46 5.38 52.50 97.88 52.69 192.23 176.92 192.31 103.00 415.04 16.73 214.62
144.97
17 | P a g e
GENERIC NAME 499.
Nicardipine
500.
Nicardipine
501. 502. 503. 504. 505. 506. 507. 508.
Nifedipine Nifedipine Nifedipine Nimodipine Norepinephrine Norepinephrine Norepinephrine Nystatin
509.
Octreotide
510. 511. 512. 513. 514. 515. 516. 517.
Ofloxacin Ofloxacin Ofloxacin Ofloxacin Eye Drops Olanzapine Omeprazole Omeprazole Omeprazole
518.
Ondansetron
519.
Ondansetron
520.
Ondansetron
521.
525. 526. 527. 528. 529. 530. 531. 532.
Oral Rehydration Salts (ORS 75replacement) Oral Rehydration Salts (ORS 75replacement) Oral Rehydration Salts (ORS 75replacement) Oral Rehydration Salts (ORS 75replacement) Oxacillin Oxaliplatin Oxaliplatin Oxycodone Oxycodone Oxycodone Oxycodone Oxytocin
533. 534.
Paclitaxel Paclitaxel
522. 523. 524.
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 1 mg/mL, 10 mL Ampule (As Hydrochloride) 1 mg/mL, 2 mL Ampule (As Hydrochloride) 10 mg Capsule 30 mg MR Tablet 5 mg Capsule 30 mg Tablet 1 mg/mL, 10 mL Ampule 1 mg/mL, 2 mL Ampule (As Bitartrate) 1 mg/mL, 4 mL Ampule 100,000 units/mL, 30 mL Suspension O 100 mcg/mL, 1 mL Ampule (As Acetate) 2 mg/mL, 100 mL Vial 200 mg Tablet 400 mg Tablet 0.3%, 5 mL Bottle 10 mg Tablet 20 mg Capsule 40 mg Capsule 40 mg powder vial + 10 mL solvent Ampule 2 mg/mL, 2 mL Ampule (As Hydrochloride) 2 mg/mL, 4 mL Ampule (As Hydrochloride) 8 mg Tablet (As Hydrochloride Dihydrate) 20.5 g Sachet
DPRI (Php) (Ceiling Price) 1,030.85 206.71 4.62 36.92 3.85 42.69 1,615.06 500.00 986.47 192.31 681.23 1,465.48 42.38 61.15 288.46 83.38 19.23 34.58 480.62 452.31 484.62 206.15 8.85
4.1 g Sachet
11.73
5.125 g Sachet
7.69
2.17 g Sachet
6.15
500 mg Vial (As Sodium Salt) 2 mg/mL, 25 mL Vial 2 mg/mL, 50 mL Vial 10 mg Tablet (As Hydrochloride) 10 mg/mL, 1 mL Ampule 10 mg/mL, 2 mL Ampule 20 mg Tablet (As Hydrochloride) 10 IU/mL, 1 mL Ampule P 6 mg/mL, 16.7 mL Vial 6 mg/mL, 43.4 mL Vial
146.15 4,112.50 2,812.50 146.79 1,205.65 1,907.88 286.27 76.92 5,500.00 10,211.54 18 | P a g e
GENERIC NAME 535. 536. 537. 538. 539. 540. 541. 542. 543. 544. 545. 546. 547. 548.
Paclitaxel Paracetamol Paracetamol Paracetamol Paracetamol Paracetamol Paracetamol Paracetamol Penicillin G Benzathine (benzathine benzylpenicillin) Penicillin G Crystalline Penicillin G Crystalline Peritoneal Dialysis Solution Permethrin Lotion Pethidine
549.
Phenobarbital
550. 551.
Phenytoin Phenytoin
552.
Phenytoin
553.
Phytomenadione
554. 555. 556. 557. 558.
Piperacillin + Tazobactam Piperacillin + Tazobactam Potassium Chloride Potassium Chloride Potassium Chloride
559. 560. 561. 562. 563. 564. 565. 566. 567. 568. 569. 570. 571.
Potassium Citrate Povidone Iodine (Solution) Prednisolone Prednisolone Eye Drops Prednisone Prednisone Prednisone Prednisone Propofol Propofol Propranolol Propranolol Pyridostigmine
572. 573. 574.
Quetiapine Quetiapine Quetiapine
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 6 mg/mL, 5 mL Vial 10 mg/mL, 100 mL Vial 100 mg/ml, 15 mL Drops 125 mg Suppository 150 mg/mL, 2 mL Ampule 250 mg Suppository 250 mg/5 mL, 60 mL Bottle 500 mg Tablet 1,200,000 units Vial 1 MU Vial (As Sodium Salt) 5 MU Vial (As Sodium Salt) Sterile with 1.5% dextrose, 1 L Bottle 5%, 60 mL Bottle 50 mg/mL, 2 mL Ampule (As Hydrochloride) 120 mg/mL (130 mg/mL), 1 mL Ampule (As Sodium Salt) 100 mg Capsule (As Sodium Salt) 30 mg/5 mL, 120 mL Suspension (As Sodium Salt) 50 mg/mL, 2 mL Ampule (As Sodium Salt) 10 mg/mL, 1 mL Ampule (As Mixed Micelle) 2 g + 250 mg Vial (As Sodium Salt) 4 g + 500 mg Vial (As Sodium Salt) 2 mEq/mL, 10 mL Vial 2 mEq/mL, 20 mL Vial 750 mg durules (equiv. to approximately 10 mEq) Tablet 10 mEq Tablet 10%, 1 gallon Bottle 5 mg Tablet 1%, 5 mL Bottle 10 mg Tablet 10 mg/5 mL, 60 mL Suspension 20 mg Tablet 5 mg Tablet 10 mg/mL, 20 mL Ampule 10 mg/mL, 20 mL Vial 10 mg Tablet (As Hydrochloride) 40 mg Tablet (As Hydrochloride) 60 mg Tablet (As Bromide) Q 100 mg Tablet (As Fumarate) 200 mg Tablet (As Fumarate) 300 mg Tablet (As Fumarate)
DPRI (Php) (Ceiling Price) 2,309.62 472.69 50.00 11.54 37.12 13.08 95.72 2.69 123.46 16.92 38.46 74.04 173.12 253.85 649.23 31.46 399.81 831.54 50.00 593.20 976.97 61.54 59.14 22.31 11.92 661.54 2.12 243.62 4.23 130.77 6.46 2.12 516.92 492.31 10.81 16.77 36.92 61.54 80.10 73.08 19 | P a g e
GENERIC NAME 575. 576.
Ranitidine Ranitidine
577. 578. 579. 580. 581. 582. 583. 584.
Ranitidine Rifampicin + Isoniazid + Ethambutol Hydrochlorde Rifampicin Risperidone Risperidone Risperidone Rocuronium Ropivacaine
585. 586.
Rosuvastatin Rosuvastatin
587.
Salbutamol
588.
Salbutamol
589. 590. 591.
Salbutamol Salbutamol Salbutamol
592. 593. 594. 595. 596. 597. 598. 599. 600. 601. 602. 603. 604. 605. 606. 607. 608. 609. 610. 611. 612. 613. 614.
Sambong (Blumea Balsamifera) Sertraline Serum, Anti-rabies (equine) Serum, Anti-tetanus (ATS) (equine) Sevoflurane Silver Sulfadiazine Cream Silver Sulfadiazine Cream Silver Sulfadiazine Cream Silver Sulfadiazine Cream Simvastatin Simvastatin Simvastatin Sodium Bicarbonate Sodium Bicarbonate Sodium Chloride Somatostatin Somatostatin Standard Senna Concentrate Standard Senna Concentrate Sterile Water For injection Sterile Water For injection Sterile Water For injection Streptokinase
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME R 150 mg Tablet (As Hydrochloride) 25 mg/mL, 2 mL Ampule (As Hydrochloride) 300 mg Tablet (As Hydrochloride) 75 mg + 150 mg + 275 mg Tablet 200 mg/5 mL, 60 mL Suspension 1 mg Tablet 2 mg Tablet 4 mg Tablet 10 mg/mL, 5 mL Vial (As Bromide) 10 mg/mL, 10 mL Ampule (As Bromide) 10 mg Tablet (As Calcium Salt) 20 mg Tablet (As Calcium Salt) S 1 mg/mL, 2.5 mL (unit dose) Nebule (As Sulfate) 100 mcg/dose x 200 doses Metered Dose Inhaler (As Sulfate) 2 mg Tablet (As Sulfate) 2 mg/5mL, 60 mL Syrup (As Sulfate) 2 mg/mL, 2.5 mL (unit dose) Nebule (As Sulfate) 500 mg Tablet 50 mg Tablet (As Hydrochloride) 200 IU/mL, 5 mL Vial 1500 IU/mL, 1 mL Ampule 250 mL Bottle 1%, 15 g Tube 1%, 20 g Tube 1%, 25 g Tube 1%, 500 g Jar 10 mg Tablet 20 mg Tablet 40 mg Tablet 1 meq/mL, 50 mL Ampule 1 meq/mL, 50 mL Vial 2.5 mEq/mL, 20 mL Vial 250 mcg Vial 3 mg Vial 187 mg Tablet 374 mg Tablet 1 L Bottle 100 mL Bottle 50 mL Bottle 1,500,000 IU Vial
DPRI (Php) (Ceiling Price) 5.08 57.69 4.62 8.17 83.46 37.12 44.62 94.92 574.62 459.16 21.42 29.23 12.40 233.50 1.54 53.85 11.54 6.54 38.42 1,246.15 84.62 13,134.62 173.08 226.92 142.31 2,314.82 4.62 7.69 12.18 123.85 129.31 60.08 859.23 5,638.69 9.23 12.50 100.38 63.65 44.62 7,516.92 20 | P a g e
GENERIC NAME 615. 616. 617. 618.
Streptomycin Sucralfate Sugammadex Suxamethonium (Succinylcholine)
619. 620. 621. 622. 623. 624. 625.
Tamoxifen Tamsulosin Telmisartan + Hydrochlorothiazide Telmisartan + Hydrochlorothiazide Telmisartan Telmisartan Terbutaline
626. 627. 628.
Thiamazole (Methimazole) Thiopental Sodium Tinzaparin
629.
Tiotropium
630. 631. 632. 633. 634. 635.
Tobramycin + Dexamethasone Eye Drops Tobramycin + Dexamethasone Eye Ointment Tobramycin Eye Drops Tramadol Tramadol Tramadol
636.
Tramadol
637. 638. 639. 640. 641.
Tranexamic Acid Tranexamic Acid Tranexamic Acid Trimetazidine Trimetazidine
642.
Ursodeoxycholic Acid
643.
Vaccine, Hepatitis B (recombinant DNA)
644. 645.
Vaccine, Hepatitis B (recombinant DNA) Vaccine, Pneumococcal Polyvalent
646.
Vaccine, Rabies Chick Embryo Cell (Purified Inactivated) Vaccine, Tetanus Toxoid Vaccine, Vero Cell (purified) Valaciclovir Valproate Disodium/Valproic Acid
647. 648. 649. 650.
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 1 g Vial (As Sulfate) 1 g Tablet 100 mg/mL, 2 mL Vial 20 mg/mL, 10 mL Vial (As Chloride) T 20 mg Tablet (As Citrate) 200 mcg Capsule (As Hydrochloride) 40 mg + 12.5 mg Tablet 80 mg + 12.5 mg Tablet 40 mg Tablet 80 mg Tablet 500 mcg/mL, 1 mL Ampule (As Sulfate) 5 mg Tablet 1 g + 50 mL diluent Vial 10,000 anti-XA IU/mL, 2 mL Vial (As Sodium) 18 mcg/dose Dry Powder Inhaler (As Bromide) 0.3% + 0.1%, 5 mL Bottle 0.3% + 0.1%, 3.5 g Tube
DPRI (Php) (Ceiling Price) 26.92 45.15 5,377.54 303.15 16.31 49.23 19.23 34.23 19.23 34.02 96.73 5.42 2,143.88 1,414.62 87.62 201.15 436.37
0.3%, 5 mL Bottle 100 mg MR Tablet (As Hydrochloride) 50 mg Capsule (As Hydrochloride) 50 mg/ml, 1 ml Ampule (As Hydrochloride) 50 mg/ml, 2 ml Ampule (As Hydrochloride) 100 mg/mL, 5 mL Ampule 500 mg Capsule 500 mg Tablet 20 mg Tablet (As Hydrochloride) 35 mg Tablet (As Hydrochloride) U 250 mg Capsule V 10 mcg/0.5 mL (Pediatric) Monodose Vial 20 mcg/mL, 1 mL Vial 25 mcg/0.5 mL, 0.5 mL Pre-filled syringe 2.5 IU/mL, 1 dose + 1 mL diluent Vial
223.08 76.92 7.69 78.46
1,307.69
0.5 mL Ampule 2.5 IU/0.5 mL Vial + diluent 500 mg Tablet (As Hydrochloride) 250 mg Tablet
90.88 1,230.77 149.02 27.77
84.62 100.00 21.54 13.85 6.83 14.50 48.56 346.15 609.62 923.08
21 | P a g e
GENERIC NAME 651. 652. 653. 654. 655. 656. 657.
Valproic Acid Valproic Acid Valsartan Valsartan Vancomycin Vancomycin Verapamil
658. 659. 660. 661.
Verapamil Vincristine Vincristine Vitamin B1 B6 B12
662. 663. 664.
Vitamin B1 B6 B12 Vitamin B1 B6 B12 Vitamin B1 B6 B12
665. 666. 667.
Warfarin Warfarin Warfarin
668.
Zinc
669.
Zinc
2017 DPRI | Fifth Edition
STRENGTH / FORM / VOLUME 250 mg/5 mL, 120 mL Syrup 500 mg/5 mL, 5 mL Vial 160 mg Tablet 80 mg Tablet 1 g Vial (As Hydrochloride) 500 mg Vial (As Hydrochloride) 2.5mg/ml, 2mL Ampule (As Hydrochloride) 40 mg Tablet (As Hydrochloride) 1 mg/mL, 1 mL Vial (As Sulfate) 1 mg/mL, 2 mL Vial (As Sulfate) 100 mg + 100 mg + 1 mg, 3 mL Ampule 100 mg + 5 mg + 50 mcg Capsule 100 mg + 5 mg + 50 mcg Tablet 250 mg + 250 mg + 1000 mcg Tablet W 1 mg Tablet (As Sodium Salt) 2.5 mg Tablet (As Sodium Salt) 5 mg Tablet (As Sodium Salt) Z 27.5 mg/mL (Equiv. to 10 mg Elemental Zinc), 15 mL Oral Drops (As Sulfate Monohydrate) 55 mg/5 mL (Equiv. to 20 mg Elemental Zinc), 60 mL Syrup (As Sulfate Monohydrate)
DPRI (Php) (Ceiling Price) 473.27 2,896.48 35.20 21.54 743.08 1,259.81 207.69 30.48 269.42 555.96 69.23 3.85 2.88 12.69 21.08 26.15 32.69 65.87
69.83
22 | P a g e
