147 01/2019 Part VIIIA BASIC PRICES OF DRUGS Drug Quantity Basic Price Category Part VIIIA - Basic Prices of Drugs Product List Part VIIIA products A Abatacept 125mg/1ml solution for injection pre-filled disposable devices 4 120960 C Orencia ClickJect Abatacept 125mg/1ml solution for injection pre-filled syringes 4 120960 C Orencia Acacia spray dried powder 250 g 1569 C J M Loveridge Ltd Acamprosate 333mg gastro- resistant tablets 168 3375 A Acarbose 100mg tablets 90 1903 A Acarbose 50mg tablets 90 1151 A Acebutolol 100mg capsules 84 1497 C Sectral Acebutolol 200mg capsules 56 1918 C Sectral Acebutolol 400mg tablets 28 1862 C Sectral Aceclofenac 100mg tablets 60 963 A Acemetacin 60mg capsules 90 2820 C Emflex Acenocoumarol 1mg tablets 100 462 C Sinthrome Acetazolamide 250mg modified- release capsules 30 1666 C Diamox SR Acetazolamide 250mg tablets 112 1387 L M Acetic acid 2% ear spray S 5 ml 410 C EarCalm Acetone liquid 50 ml 83 A Acetylcysteine 200mg oral powder sachets sugar free 30 11250 A Acetylcysteine 2g/10ml solution for infusion ampoules 10 2126 C Martindale Pharmaceuticals Ltd Acetylcysteine 5% eye drops S 10 ml 1690 C Ilube Acetylcysteine 600mg capsules 30 3995 A Acetylcysteine 600mg effervescent tablets sugar free 30 8950 C Aceteff Aciclovir 200mg dispersible tablets 25 86 A Aciclovir 200mg tablets 25 97 K M Aciclovir 200mg/5ml oral suspension sugar free 125 ml 3576 A Aciclovir 3% eye ointment S 4.5 g 934 C Zovirax Aciclovir 400mg dispersible tablets 56 1198 A Aciclovir 400mg tablets 56 235 L M Aciclovir 400mg/5ml oral suspension sugar free 100 ml 3947 A Aciclovir 5% cream S 2 g 109 A S 10 g 545 A Aciclovir 800mg dispersible tablets 35 1098 A Aciclovir 800mg tablets 35 311 K M Acipimox 250mg capsules 90 4633 C Olbetam Acitretin 10mg capsules 60 2380 A Acitretin 25mg capsules 60 5524 A Aclidinium bromide 375micrograms/ dose dry powder inhaler S 60 dose 2860 C Eklira
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147
01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price CategoryPart VIIIA - Basic Prices of Drugs Product List
Part VIIIA products A
Abatacept 125mg/1ml solution for injection pre-filled disposable devices
4 120960 C Orencia ClickJect
Abatacept 125mg/1ml solution for injection pre-filled syringes
4 120960 C Orencia
Acacia spray dried powder 250 g 1569 C J M Loveridge LtdAcamprosate 333mg gastro-
resistant tablets168 3375 A
Acarbose 100mg tablets 90 1903 AAcarbose 50mg tablets 90 1151 AAcebutolol 100mg capsules 84 1497 C SectralAcebutolol 200mg capsules 56 1918 C SectralAcebutolol 400mg tablets 28 1862 C SectralAceclofenac 100mg tablets 60 963 AAcemetacin 60mg capsules 90 2820 C EmflexAcenocoumarol 1mg tablets 100 462 C SinthromeAcetazolamide 250mg modified-
release capsules30 1666 C Diamox SR
Acetazolamide 250mg tablets 112 1387 L MAcetic acid 2% ear spray S 5 ml 410 C EarCalmAcetone liquid 50 ml 83 AAcetylcysteine 200mg oral powder
sachets sugar free30 11250 A
Acetylcysteine 2g/10ml solution for infusion ampoules
10 2126 C Martindale Pharmaceuticals Ltd
Acetylcysteine 5% eye drops S 10 ml 1690 C IlubeAcetylcysteine 600mg capsules 30 3995 AAcetylcysteine 600mg effervescent
Ampicillin 500mg capsules 28 4030 AAmpicillin 500mg powder for
solution for injection vials10 7830 A
Anagrelide 500microgram capsules 100 39481 K AAnastrozole 1mg tablets 28 188 L MAntazoline 0.5% / Xylometazoline
0.05% eye dropsS 10 ml 335 C Otrivine-Antistin
Apixaban 2.5mg tablets 60 5700 C EliquisApixaban 5mg tablets 56 5320 C EliquisApomorphine 30mg/3ml solution for
injection pre-filled disposable devices
5 12391 C APO-go PEN
Apomorphine 50mg/10ml solution for infusion pre-filled syringes
5 7311 C APO-go
Apomorphine 50mg/5ml solution for injection ampoules
5 7311 C APO-go
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Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Apraclonidine 1% eye drops 0.25ml unit dose preservative free
24(12xS2)
7785 C Iopidine
Apraclonidine 5mg/ml eye drops S 5 ml 1088 C IopidineApremilast 30mg tablets 56 55000 C OtezlaAqueous calamine cream S 100 g 143 C Thornton & Ross LtdAqueous cream 100 g 77 K M
500 g 385 K MArachis oil 130ml enema S 1 4750 AArachis oil liquid 200 ml 292 C J M Loveridge LtdAripiprazole 10mg orodispersible
tablets sugar free28 7897 K A
Aripiprazole 10mg tablets 28 224 L MAripiprazole 15mg orodispersible
tablets sugar free28 7897 K A
Aripiprazole 15mg tablets 28 289 K MAripiprazole 1mg/ml oral solution 150 ml 10042 K AAripiprazole 30mg tablets 28 1207 K AAripiprazole 400mg powder and
solvent for suspension for injection pre-filled syringes
S 1 22041 C Abilify Maintena
Aripiprazole 400mg powder and solvent for suspension for injection vials
S 1 22041 C Abilify Maintena
Aripiprazole 5mg tablets 28 306 K MArnica montana gel S 50 ml 400 C Atrogel Arnica
S 100 ml 662 C Atrogel ArnicaArtificial saliva lozenges 30 350 C AS Saliva OrthanaAscorbic acid 100mg tablets 28 1430 AAscorbic acid 200mg tablets 28 1986 AAscorbic acid 500mg tablets 28 2687 AAscorbic acid 50mg tablets 28 1505 AAscorbic acid powder 100 g 547 C J M Loveridge LtdAsenapine 10mg sublingual tablets
sugar free60 10260 C Sycrest
Asenapine 5mg sublingual tablets sugar free
60 10260 C Sycrest
Aspirin 150mg suppositories 10 1867 C Martindale Pharmaceuticals Ltd
Aspirin 300mg dispersible tablets 32 179 L M100 559 L M
Aspirin 300mg gastro-resistant tablets
100 2467 K A
Aspirin 300mg suppositories 10 3589 AAspirin 300mg tablets 32 342 L AAspirin 75mg dispersible tablets 28 52 K M
Atorvastatin 20mg tablets 28 77 L MAtorvastatin 30mg tablets 28 2451 AAtorvastatin 40mg tablets 28 95 L MAtorvastatin 60mg tablets 28 2829 L AAtorvastatin 80mg tablets 28 151 L MAtovaquone 750mg/5ml oral
suspension sugar freeS 226 ml 48637 C Wellvone
Atropine 1% eye drops S 10 ml 13188 K AAtropine 1% eye drops 0.5ml unit
dose preservative free20 1510 C Minims
Atropine 1mg/1ml solution for injection ampoules
10 8607 A
Atropine 3mg/10ml solution for injection pre-filled syringes
S 1 729 A
Atropine 400micrograms/1ml solution for injection ampoules
10 9296 A
Atropine 600microgram tablets 28 5292 C Wockhardt UK LtdAtropine 600micrograms/1ml
solution for injection ampoules10 1171 A
§ 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 28 140 L M
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Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Part VIIIA products B
Azathioprine 50mg tablets 56 201 L MAzelaic acid 15% gel S 30 g 748 C FinaceaAzelaic acid 20% cream S 30 g 449 C SkinorenAzelastine 0.05% eye drops S 8 ml 640 C OptilastAzelastine 140micrograms/dose
nasal sprayS 22 ml 1050 C Rhinolast
Azilsartan medoxomil 20mg tablets 28 1680 C EdarbiAzilsartan medoxomil 40mg tablets 28 1680 C EdarbiAzilsartan medoxomil 80mg tablets 28 1995 C EdarbiAzithromycin 15mg/g eye drops
0.25g unit dose preservative free
6 699 C Azyter
Azithromycin 200mg/5ml oral suspension
R 15 ml 406 C Zithromax
R 22.5 ml 610 C ZithromaxR 30 ml 1104 C Zithromax
Azithromycin 250mg capsules 6 366 K MAzithromycin 250mg tablets 4 119 L MAzithromycin 500mg tablets 3 100 L MAztreonam 75mg powder and
solvent for nebuliser solution vials with device
S 84 218153 C Cayston
Baclofen 10mg tablets 84 107 L MBaclofen 5mg/5ml oral solution
sugar free300 ml 408 K M
Balsalazide 750mg capsules 130 3042 C ColazideBambuterol 10mg tablets 28 2892 C Bambec
30 3099 C BambecBambuterol 20mg tablets 28 1577 C BambecBeclometasone 0.025% cream S 30 g 6800 ABeclometasone 0.025% ointment S 30 g 6800 ABeclometasone 100micrograms/
Beeswax white solid 500 g 816 C J M Loveridge LtdBendroflumethiazide 2.5mg tablets 28 50 K MBendroflumethiazide 5mg tablets 28 56 K MBenperidol 250microgram tablets 112 11731 C AnquilBenzalkonium chloride 0.5%
shampooS 250 ml 569 C Dermax Therapeutic
Benzocaine 20% dental gel sugar free
S 5.3 g 298 C Orajel Extra Strength
Benzocaine 5mg / Tyrothricin 1mg lozenges
24 243 C Tyrozets
Benzoin compound tincture 500 ml 1153 C J M Loveridge LtdBenzoin tincture 500 ml 995 C J M Loveridge LtdBenzoyl peroxide 3% / Clindamycin
1% gelS 30 g 1314 C Duac Once Daily
Benzoyl peroxide 4% cream S 50 g 413 C BrevoxylBenzoyl peroxide 5% / Clindamycin
1% gelS 30 g 1314 C Duac Once Daily
S 60 g 2628 C Duac Once DailyBenzoyl peroxide 5% gel S 30 g 544 C Acnecide
S 50 g 544 C Acnecide WashS 60 g 1068 C Acnecide
Benzydamine 0.15% mouthwash sugar free
S 300 ml 652 K M
Benzydamine 0.15% oromucosal spray sugar free
S 30 ml 365 L M
Benzydamine 3% cream S 35 g 263 C DifflamS 100 g 684 C Difflam
Benzyl benzoate crystals 500 g 1588 C J M Loveridge LtdBenzylpenicillin 1.2g powder for
solution for injection vials25 12718 K A
Benzylpenicillin 600mg powder for solution for injection vials
2 627 K A
Betahistine 16mg tablets 84 162 L M
156
Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Betahistine 8mg tablets 84 113 L MBetaine oral powder S 180 g 34700 C CystadaneBetamethasone 0.1% / Neomycin
0.5% ear/eye/nose dropsS 10 ml 239 C Betnesol-N
Betamethasone 0.1% ear/eye/nose drops
S 10 ml 232 C Betnesol
Betamethasone 0.1% eye ointment S 3 g 141 C BetnesolBetamethasone 0.1% foam S 100 g 975 C BettamousseBetamethasone 4mg/1ml solution
Bisacodyl 5mg suppositories 5 104 C DulcolaxBisoprolol 1.25mg tablets 28 68 K MBisoprolol 10mg / Aspirin 100mg
capsules30 750 C Aspire Pharma Ltd
Bisoprolol 10mg / Aspirin 75mg capsules
30 550 C Aspire Pharma Ltd
Bisoprolol 10mg tablets 28 65 K MBisoprolol 2.5mg tablets 28 61 K MBisoprolol 3.75mg tablets 28 78 K MBisoprolol 5mg / Aspirin 100mg
capsules30 750 C Aspire Pharma Ltd
Bisoprolol 5mg / Aspirin 75mg capsules
30 550 C Aspire Pharma Ltd
Bisoprolol 5mg tablets 28 59 K MBisoprolol 7.5mg tablets 28 87 K MBlack currant syrup 500 ml 1086 C J M Loveridge LtdBoric acid powder 500 g 607 C J M Loveridge LtdBrimonidine 0.2% eye drops S 5 ml 255 K MBrimonidine 2mg/ml / Timolol 5mg/
ml eye dropsS 5 ml 1000 C Combigan
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Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Brimonidine 3mg/g gel S 30 g 3369 C MirvasoBrinzolamide 10mg/ml / Brimonidine
2mg/ml eye dropsS 5 ml 923 C Simbrinza
Brinzolamide 10mg/ml / Timolol 5mg/ml eye drops
S 5 ml 1105 C Azarga
Brinzolamide 10mg/ml eye drops S 5 ml 200 K MBrivaracetam 100mg tablets 56 12964 C BriviactBrivaracetam 10mg tablets 14 3464 C BriviactBrivaracetam 25mg tablets 56 12964 C BriviactBrivaracetam 50mg tablets 56 12964 C BriviactBrivaracetam 50mg/5ml oral
solution sugar free300 ml 11583 C Briviact
Brivaracetam 75mg tablets 56 12964 C BriviactBromfenac 900micrograms/ml eye
dropsS 5 ml 850 C Yellox
Bromocriptine 10mg capsules 100 6950 C ParlodelBromocriptine 1mg tablets 100 6766 K ABromocriptine 2.5mg tablets 30 7497 ABromocriptine 5mg capsules 100 3757 C ParlodelBudesonide 100micrograms/dose /
Formoterol 6micrograms/dose dry powder inhaler
S 120 dose 2800 C Symbicort 100/6 Turbohaler
Budesonide 100micrograms/dose dry powder inhaler
S 200 dose 1425 C Pulmicort Turbohaler 100
Budesonide 1mg/2ml nebuliser liquid unit dose vials
Canagliflozin 100mg tablets 30 3920 C InvokanaCanagliflozin 300mg tablets 30 3920 C InvokanaCanagliflozin 50mg / Metformin 1g
tablets60 3920 C Vokanamet
Canagliflozin 50mg / Metformin 850mg tablets
60 3920 C Vokanamet
Candesartan 16mg tablets 28 81 L MCandesartan 2mg tablets 7 196 L MCandesartan 32mg tablets 28 119 L MCandesartan 4mg tablets 7 48 K MCandesartan 8mg tablets 28 77 L MCapsaicin 0.025% cream S 45 g 1771 C ZacinCapsaicin 0.075% cream S 45 g 1458 C AxsainCapsicum tincture 500 ml 1336 C J M Loveridge LtdCaptopril 12.5mg tablets 56 110 L ACaptopril 25mg tablets 56 80 K MCaptopril 25mg/5ml oral solution
sugar free100 ml 10894 C Noyada
Captopril 50mg tablets 56 154 L ACaptopril 5mg/5ml oral solution
sugar free100 ml 9821 C Noyada
Carbamazepine 100mg tablets 84 207 C TegretolCarbamazepine 100mg/5ml oral
suspension sugar free300 ml 731 K A
Carbamazepine 125mg suppositories
5 12000 A
Carbamazepine 200mg modified-release tablets
56 520 C Tegretol Prolonged Release
Carbamazepine 200mg tablets 84 383 C TegretolCarbamazepine 250mg
suppositories5 14000 C Essential Pharma Ltd
Carbamazepine 400mg modified-release tablets
56 1024 C Tegretol Prolonged Release
Carbamazepine 400mg tablets 56 502 C TegretolCarbimazole 10mg tablets 100 8132 ACarbimazole 15mg tablets 100 11598 ACarbimazole 20mg tablets 100 10507 L M
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Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Carbimazole 5mg tablets 100 2723 L MCarbocisteine 250mg/5ml oral
solution300 ml 855 A
Carbocisteine 375mg capsules 120 459 K MCarbocisteine 750mg/10ml oral
solution 10ml sachets sugar free
15 385 A
Carbomer '980' 0.2% eye drops S 10 g 280 C GelTears Ophthalmic Gel
Carbomer '980' 0.2% eye drops 0.6ml unit dose preservative free
30 542 C Viscotears
Carbomer 974P 0.25% eye gel S 10 g 450 C LiquiviscCarmellose 0.5% eye drops 0.4ml
unit dose preservative free30 480 C Celluvisc
Carmellose 1% eye drops 0.4ml unit dose preservative free
30 300 C Celluvisc
Carvedilol 12.5mg tablets 28 77 K MCarvedilol 25mg tablets 28 97 L MCarvedilol 3.125mg tablets 28 77 L MCarvedilol 6.25mg tablets 28 81 L MCefaclor 125mg/5ml oral
suspensionR 100 ml 413 C Distaclor
Cefaclor 125mg/5ml oral suspension sugar free
R 100 ml 516 C Keftid
Cefaclor 250mg capsules 21 680 C KeftidCefaclor 250mg/5ml oral
Cetomacrogol cream (Formula A) 500 g 336 L ACetrimide 0.5% cream S 15 g 56 C Cetrimide Antiseptic
First AidS 30 g 50 C Numark AntisepticS 50 g 275 C Cetavlex
Chloral hydrate 143.3mg/5ml oral solution BP
150 ml 24425 A
Chlorambucil 2mg tablets 25 4287 AChloramphenicol 0.5% eye drops S 10 ml 144 K MChloramphenicol 0.5% eye drops
0.5ml unit dose preservative free
20 1143 C Minims
Chloramphenicol 0.5% eye drops preservative free
S 10 ml 1012 C Eykappo
Chloramphenicol 1% eye ointment S 4 g 196 L MChloramphenicol 10% ear drops S 10 ml 8572 K AChloramphenicol 1g powder for
solution for injection vialsS 1 2200 A
Chloramphenicol 250mg capsules 60 37700 AChloramphenicol 5% ear drops S 10 ml 6369 AChlordiazepoxide 10mg capsules 100 1780 AChlordiazepoxide 10mg tablets 100 4950 C A A H
Ciprofloxacin 0.3% eye drops S 5 ml 470 C CiloxanCiprofloxacin 100mg tablets 6 211 ACiprofloxacin 250mg tablets 10 80 K MCiprofloxacin 250mg/5ml oral
suspensionR 100 ml 2129 C Ciproxin
Ciprofloxacin 2mg/ml ear drops 0.25ml unit dose preservative free
15 601 C Cetraxal
Ciprofloxacin 500mg tablets 10 92 K MCiprofloxacin 750mg tablets 10 800 ACisplatin 100mg/100ml solution for
infusion vialsS 1 5088 A
Cisplatin 50mg/50ml solution for infusion vials
S 1 2651 A
Citalopram 10mg tablets 28 86 K MCitalopram 20mg tablets 28 98 L MCitalopram 40mg tablets 28 99 K MCitalopram 40mg/ml oral drops
sugar freeS 15 ml 358 K M
Citric acid monohydrate powder 500 g 436 C J M Loveridge LtdClarithromycin 125mg/5ml oral
suspensionR 70 ml 340 K M
Clarithromycin 250mg tablets 14 120 K M
166
Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Clarithromycin 250mg/5ml oral suspension
R 70 ml 431 L M
Clarithromycin 500mg modified-release tablets
7 672 C
Clarithromycin 500mg powder for solution for infusion vials
S 1 945 C Klaricid IV
Clarithromycin 500mg tablets 14 189 K MClemastine 1mg tablets 60 666 C TavegilClindamycin 1% / Tretinoin 0.025%
gelS 30 g 1194 C Treclin
Clindamycin 1% alcoholic solution S 30 ml 434 C Dalacin T TopicalClindamycin 1% aqueous lotion S 30 ml 508 C Dalacin T TopicalClindamycin 1% gel S 30 g 866 C ZindaclinClindamycin 150mg capsules 24 309 L MClindamycin 2% vaginal cream S 40 g 1086 C DalacinClindamycin 300mg capsules 30 3829 L AClindamycin 75mg capsules 24 745 C Dalacin C
Clobetasol 500micrograms/g foam S 100 g 1106 C ClareluxClobetasol 500micrograms/g
shampooS 125 ml 915 C Etrivex
Clobetasone 0.05% cream S 15 g 411 C Eumovate Eczema & Dermatitis
S 30 g 186 C EumovateS 100 g 544 C Eumovate
Clobetasone 0.05% ointment S 30 g 186 C EumovateS 100 g 544 C Eumovate
Clomethiazole 192mg capsules 60 3280 AClomifene 50mg tablets 30 1015 C ClomidClomipramine 10mg capsules 28 129 L MClomipramine 25mg capsules 28 151 L MClomipramine 50mg capsules 28 169 K MClonazepam 2mg tablets 100 2926 L AClonazepam 2mg/5ml oral solution
sugar free150 ml 10836 A
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01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Clonazepam 500microgram tablets 100 2827 K AClonazepam 500micrograms/5ml
oral solution sugar free150 ml 6950 A
Clonidine 100microgram tablets 100 804 C CatapresClonidine 25microgram tablets 112 397 K MClopidogrel 300mg tablets 30 14254 C PlavixClopidogrel 75mg tablets 28 131 L MCloral betaine 707mg tablets 30 13859 AClotrimazole 1% cream S 20 g 89 K M
S 50 g 223 K MClotrimazole 1% solution S 20 ml 253 C CanestenClotrimazole 1% spray S 40 ml 472 C Canesten
DermatologicalClotrimazole 10% cream and
Clotrimazole 2% creamS 1 894 C Canesten Combi
Internal & ExternalClotrimazole 10% vaginal cream S 5 g 623 C Canesten InternalClotrimazole 100mg pessaries S 6 385 C CanestenClotrimazole 2% cream S 20 g 476 C Canesten ThrushClotrimazole 200mg pessaries S 3 341 C CanestenClotrimazole 500mg pessaries S 1 443 K MClotrimazole 500mg pessary and
Clotrimazole 2% creamS 1 573 C Canesten Combi
Clove oil liquid 10 ml 194 C Thornton & Ross LtdCoal tar 2.5% scalp lotion S 250 ml 474 C PsoridermCoal tar 4% shampoo S 150 ml 346 C Polytar ScalpCoal tar 40% bath emulsion S 200 ml 274 C PsoridermCoal tar 6% / Lecithin 0.4% cream S 225 ml 942 C PsoridermCoal tar extract 2% shampoo S 125 ml 390 C Neutrogena T/Gel
Therapeutic shampoo
S 250 ml 586 C Neutrogena T/Gel Therapeutic shampoo
Coal tar extract 5% shampoo S 250 ml 549 C Alphosyl 2 in 1Coal tar solution 5% cutaneous
emulsionS 100 ml 811 C Exorex
S 250 ml 1624 C ExorexCo-amilofruse 10mg/80mg tablets 28 1552 ACo-amilofruse 2.5mg/20mg tablets 28 595 ACo-amilofruse 5mg/40mg tablets 28 740 ACo-amilozide 2.5mg/25mg tablets 28 719 K ACo-amilozide 5mg/50mg tablets 28 129 K MCo-amoxiclav 125mg/31mg/5ml
Desogestrel 75microgram tablets 84 208 L MDexamethasone (base) 3.3mg/1ml
solution for injection ampoules10 2228 K A
Dexamethasone (base) 3.8mg/1ml solution for injection vials
10 2000 A
Dexamethasone (base) 6.6mg/2ml solution for injection ampoules
10 2200 A
Dexamethasone (base) 6.6mg/2ml solution for injection vials
5 2400 C Pfizer Ltd
Dexamethasone 0.1% / Tobramycin 0.3% eye drops
S 5 ml 537 C Tobradex
Dexamethasone 0.1% eye drops S 5 ml 142 C MaxidexS 10 ml 280 C Maxidex
Dexamethasone 0.1% eye drops 0.4ml unit dose preservative free
20 1048 C Dropodex
Dexamethasone 0.1% eye drops 0.5ml unit dose preservative free
20 1146 C Minims
Dexamethasone 0.1% eye drops preservative free
S 6 ml 975 C Eythalm
Dexamethasone 10mg/5ml oral solution sugar free
150 ml 9444 A
Dexamethasone 20mg/5ml oral solution sugar free
50 ml 4950 C Advanz Pharma
Dexamethasone 2mg soluble tablets sugar free
50 3001 A
Dexamethasone 2mg tablets 50 866 K MDexamethasone 2mg/5ml oral
solution sugar free150 ml 4230 C Dexsol
Dexamethasone 40mg tablets 10 20000 C NeofordexDexamethasone 4mg soluble
tablets sugar free50 6001 A
Dexamethasone 4mg tablets 50 8477 L ADexamethasone 500microgram
tablets28 951 L M
Dexamethasone 8mg soluble tablets sugar free
50 12001 A
Dexamethasone 8mg tablets 30 7200 C Teva UK LtdDexamfetamine 10mg tablets 30 3978 C AmfexaDexamfetamine 20mg tablets 30 7956 C AmfexaDexamfetamine 5mg tablets 28 2456 K ADexamfetamine 5mg/5ml oral
solution sugar free500 ml 11449 C Martindale
Pharmaceuticals LtdDexibuprofen 300mg tablets 60 947 C Seractil
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Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Dexibuprofen 400mg tablets 60 847 C SeractilDexketoprofen 25mg tablets 50 918 C KeralDiamorphine 100mg powder for
solution for injection ampoules5 5017 K A
Diamorphine 10mg powder for solution for injection ampoules
5 1450 K M
Diamorphine 10mg tablets 100 3375 ADiamorphine 30mg powder for
solution for injection ampoules5 1119 L M
Diamorphine 500mg powder for solution for injection ampoules
5 20183 K A
Diamorphine 500mg powder for solution for injection vials
5 23500 C Teva UK Ltd
Diamorphine 5mg powder for solution for injection ampoules
5 1379 L A
Diazepam 10mg tablets 28 63 K MDiazepam 10mg/2.5ml rectal
solution tube5 735 A
Diazepam 10mg/2ml solution for injection ampoules
10 550 A
Diazepam 2.5mg/1.25ml rectal solution tube
5 565 C Diazepam RecTubes
Diazepam 2mg tablets 28 54 K MDiazepam 2mg/5ml oral solution
sugar free100 ml 3994 K A
Diazepam 2mg/5ml oral suspension 100 ml 3175 C Sandoz LtdDiazepam 5mg tablets 28 56 MDiazepam 5mg/2.5ml rectal solution
tube5 585 A
Diazoxide 50mg tablets 100 4645 C EudemineDibrompropamidine 0.15% eye
ointmentS 5 g 398 C Golden Eye
Diclofenac 0.074% mouthwash sugar free
200 ml 1295 C Morningside Healthcare Ltd
Diclofenac 0.1% eye drops S 5 ml 668 C Voltarol Ophtha Multidose
Diclofenac 0.1% eye drops 0.3ml unit dose preservative free
5 400 C Voltarol Ophtha
40 3200 C Voltarol OphthaDiclofenac 1.16% gel S 100 g 463 C Voltarol EmulgelDiclofenac 100mg suppositories 10 364 C VoltarolDiclofenac 12.5mg suppositories 10 70 C VoltarolDiclofenac 140mg medicated
plasters2 599 C Voltarol
Diclofenac 16mg/ml topical solution S 60 ml 1600 C PennsaidDiclofenac 2.32% gel S 30 g 461 C Voltarol 12 Hour
Emulgel PS 50 g 659 C Voltarol 12 Hour
Emulgel PS 100 g 1121 C Voltarol 12 Hour
Emulgel PDiclofenac 25mg suppositories 10 124 C Voltarol
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01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Diclofenac 50mg suppositories 10 204 C VoltarolDiclofenac 75mg/3ml solution for
injection ampoules10 991 C Voltarol I/M
Diclofenac 75mg/ml solution for injection ampoules
5 2400 C Akis
Diclofenac potassium 25mg tablets 28 387 C Accord Healthcare Ltd
Dicobalt edetate 300mg/20ml solution for injection ampoules
6 11720 A
Dicycloverine 10mg tablets 100 23997 L ADicycloverine 10mg/5ml oral
solution120 ml 17609 L A
Dicycloverine 20mg tablets 84 26286 L ADiethylamine salicylate 10% cream S 50 g 149 C AlgesalDiethylstilbestrol 1mg tablets 28 11885 L ADiethylstilbestrol 5mg tablets 28 20800 C Teva UK LtdDiflucortolone 0.1% oily cream S 30 g 495 C Nerisone OilyDiflucortolone 0.3% oily cream S 15 g 470 C Nerisone ForteDigoxin 125microgram tablets 28 140 L MDigoxin 250microgram tablets 28 144 L MDigoxin 50micrograms/ml oral
solutionS 60 ml 535 C Lanoxin PG Elixir
Digoxin 62.5microgram tablets 28 139 L MDihydrocodeine 10mg/5ml oral
56 945 C Adizem-SRDiltiazem 120mg modified-release
tablets56 715 C Tildiem Retard
Diltiazem 180mg modified-release capsules
28 1037 C Adizem-XL
56 1415 C Adizem-SRDiltiazem 200mg modified-release
capsules28 629 C Tildiem LA 200
Diltiazem 240mg modified-release capsules
28 1152 C Adizem-XL
Diltiazem 300mg modified-release capsules
28 901 C Tildiem LA
Diltiazem 360mg modified-release capsules
28 1385 C Viazem XL
Diltiazem 60mg modified-release capsules
56 604 C Dilzem SR 60
Diltiazem 60mg modified-release tablets
84 4246 K A
Diltiazem 90mg modified-release capsules
56 850 C Adizem-SR
Diltiazem 90mg modified-release tablets
56 727 C Tildiem Retard
Dimeticone 22% / Benzalkonium chloride 0.1% cream
S 100 g 88 C Conotrane
Dimeticone 4% lotion S 50 ml 328 C HedrinS 150 ml 762 C Hedrin
Diphenhydramine 25mg tablets 20 278 C NytolDiphenhydramine 50mg tablets 20 407 C Nytol One-A-NightDiphtheria / Tetanus / Poliomyelitis
(inactivated) vaccine (adsorbed) suspension for injection 0.5ml pre-filled syringes
S 1 780 C Revaxis
Dipipanone 10mg / Cyclizine 30mg tablets
50 38653 C Advanz Pharma
Dipyridamole 100mg tablets 84 359 K MDipyridamole 200mg modified-
release / Aspirin 25mg capsules
100(2xS50)
935 C Molita
Dipyridamole 200mg modified-release capsules
S 60 1006 C
Dipyridamole 200mg/5ml oral suspension sugar free
150 ml 13353 A
Dipyridamole 25mg tablets 84 940 A
179
01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Dipyridamole 50mg/5ml oral suspension sugar free
150 ml 3940 C Rosemont Pharmaceuticals Ltd
Disopyramide 100mg capsules 84 2209 ADisopyramide 150mg capsules 84 2758 C A A H
Pharmaceuticals LtdDisopyramide 250mg modified-
release tablets60 3208 C Rythmodan Retard
Disulfiram 200mg tablets 50 10530 K ADithranol 0.1% cream S 50 g 377 C DithrocreamDithranol 0.25% cream S 50 g 404 C DithrocreamDithranol 0.5% cream S 50 g 466 C DithrocreamDithranol 1% cream S 50 g 542 C DithrocreamDithranol 2% cream S 50 g 679 C DithrocreamDocusate 100mg capsules 30 209 C DioctylDocusate 12.5mg/5ml oral solution
sugar free300 ml 838 A
Docusate 120mg/10g enema 6 2800 C NorgalaxDocusate 50mg/5ml oral solution
sugar free300 ml 919 A
Docusate sodium 0.5% ear drops S 10 ml 195 C WaxsolDomperidone 10mg tablets 30 97 K M
100 323 K MDomperidone 1mg/ml oral
suspension sugar free200 ml 1658 K A
Donepezil 10mg orodispersible tablets sugar free
28 846 A
Donepezil 10mg tablets 28 100 L MDonepezil 1mg/ml oral solution
sugar free150 ml 5082 K A
Donepezil 5mg orodispersible tablets sugar free
28 712 A
Donepezil 5mg tablets 28 78 K MDornase alfa 2.5mg/2.5ml nebuliser
Doxycycline 20mg tablets 56 1730 C PeriostatDoxycycline 40mg modified-release
capsules14 799 C Efracea
Doxycycline 50mg capsules 28 109 L MDronabinol 2.7mg/dose /
Cannabidiol 2.5mg/dose oromucosal spray
270(3xS90)
dose 37500 C Sativex
Dronedarone 400mg tablets 20 2250 C MultaqDulaglutide 0.75mg/0.5ml solution
for injection pre-filled disposable devices
4 7325 C Trulicity
Dulaglutide 1.5mg/0.5ml solution for injection pre-filled disposable devices
4 7325 C Trulicity
Duloxetine 20mg gastro-resistant capsules
28 421 L M
Duloxetine 30mg gastro-resistant capsules
28 190 L M
Duloxetine 40mg gastro-resistant capsules
56 638 L M
Duloxetine 60mg gastro-resistant capsules
28 251 L M
Dutasteride 500microgram capsules 30 322 L M
Edoxaban 15mg tablets 10 1750 C LixianaEdoxaban 30mg tablets 28 4900 C LixianaEdoxaban 60mg tablets 28 4900 C LixianaEflornithine 11.5% cream S 60 g 5687 C VaniqaEicosapentaenoic acid 460mg /
Docosahexaenoic acid 380mg capsules
28 1424 C Omacor
Eletriptan 20mg tablets 6 2250 C RelpaxEletriptan 40mg tablets 6 2250 C RelpaxEltrombopag 25mg tablets 28 77000 C RevoladeEltrombopag 50mg tablets 28 154000 C RevoladeEltrombopag 75mg tablets 28 231000 C RevoladeEmedastine 0.5mg/ml eye drops S 5 ml 731 C EmadineEmpagliflozin 10mg tablets 28 3659 C JardianceEmpagliflozin 12.5mg / Metformin
Enalapril 10mg tablets 28 153 L MEnalapril 2.5mg tablets 28 487 L MEnalapril 20mg /
Hydrochlorothiazide 12.5mg tablets
28 1998 A
Enalapril 20mg tablets 28 160 L MEnalapril 5mg tablets 28 153 L MEnoxaparin sodium 100mg/1ml
solution for injection pre-filled syringes
10 7230 C
Enoxaparin sodium 120mg/0.8ml solution for injection pre-filled syringes
10 8793 C
Enoxaparin sodium 150mg/1ml solution for injection pre-filled syringes
10 9991 C
Enoxaparin sodium 20mg/0.2ml solution for injection pre-filled syringes
10 2086 C
Enoxaparin sodium 300mg/3ml solution for injection vials
S 1 2133 C Clexane
Enoxaparin sodium 40mg/0.4ml solution for injection pre-filled syringes
10 3027 C
Enoxaparin sodium 60mg/0.6ml solution for injection pre-filled syringes
10 3926 C
Enoxaparin sodium 80mg/0.8ml solution for injection pre-filled syringes
10 5513 C
Entacapone 200mg tablets 30 344 L MEntecavir 1mg tablets 30 36326 C BaracludeEntecavir 500microgram tablets 30 36326 C BaracludeEntecavir 50micrograms/ml oral
solution sugar free210 ml 42380 C Baraclude
Enzalutamide 40mg capsules 112 273467 C XtandiEphedrine 0.5% nasal drops S 10 ml 190 AEphedrine 1% nasal drops S 10 ml 194 AEphedrine 30mg/1ml solution for
injection ampoules10 5480 A
Ephedrine hydrochloride 15mg tablets
28 5816 K A
Ephedrine hydrochloride 30mg tablets
28 8816 K A
Epinastine 500micrograms/ml eye drops
S 5 ml 990 C Relestat
182
Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Eplerenone 25mg tablets 28 470 L MEplerenone 50mg tablets 28 613 L MEpoetin alfa 1,000units/0.5ml
solution for injection pre-filled syringes
6 3318 C Eprex
Epoetin alfa 10,000units/1ml solution for injection pre-filled syringes
6 33185 C Eprex
Epoetin alfa 2,000units/0.5ml solution for injection pre-filled syringes
6 6637 C Eprex
Epoetin alfa 20,000units/0.5ml solution for injection pre-filled syringes
S 1 11062 C Eprex
Epoetin alfa 3,000units/0.3ml solution for injection pre-filled syringes
6 9955 C Eprex
Epoetin alfa 30,000units/0.75ml solution for injection pre-filled syringes
S 1 19911 C Eprex
Epoetin alfa 4,000units/0.4ml solution for injection pre-filled syringes
6 13274 C Eprex
Epoetin alfa 40,000units/1ml solution for injection pre-filled syringes
S 1 26548 C Eprex
Epoetin alfa 5,000units/0.5ml solution for injection pre-filled syringes
6 16592 C Eprex
Epoetin alfa 6,000units/0.6ml solution for injection pre-filled syringes
6 19911 C Eprex
Epoetin alfa 8,000units/0.8ml solution for injection pre-filled syringes
6 26548 C Eprex
Epoetin beta 10,000units/0.6ml solution for injection pre-filled syringes
6 42085 C NeoRecormon
Epoetin beta 2,000units/0.3ml solution for injection pre-filled syringes
6 8417 C NeoRecormon
Epoetin beta 20,000units/0.6ml solution for injection pre-filled syringes
6 84171 C NeoRecormon
Epoetin beta 3,000units/0.3ml solution for injection pre-filled syringes
6 12625 C NeoRecormon
Epoetin beta 30,000units/0.6ml solution for injection pre-filled syringes
4 84171 C NeoRecormon
Epoetin beta 4,000units/0.3ml solution for injection pre-filled syringes
6 16834 C NeoRecormon
183
01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Epoetin beta 5,000units/0.3ml solution for injection pre-filled syringes
6 21042 C NeoRecormon
Epoetin beta 500units/0.3ml solution for injection pre-filled syringes
6 2105 C NeoRecormon
Epoetin beta 6,000units/0.3ml solution for injection pre-filled syringes
6 25250 C NeoRecormon
Eprosartan 300mg tablets 28 731 C TevetenEprosartan 400mg tablets 56 1830 AEprosartan 600mg tablets 28 1431 C TevetenErdosteine 300mg capsules 20 500 C ErdotinErgocalciferol 300,000units/1ml
Estradiol valerate 2mg tablets 84 730 C ProgynovaEstriol 0.01% cream with applicator S 1 2498 AEstriol 0.1% cream S 15 g 445 C OvestinEtanercept 25mg/0.5ml solution for
injection pre-filled syringes4 35750 C Enbrel
Etanercept 50mg/1ml solution for injection pre-filled syringes
4 71500 C Enbrel
Ethambutol 100mg tablets 56 1151 AEthambutol 400mg tablets 56 4274 AEthanol 90% including duty 100 ml 1380 C J M Loveridge LtdEthinylestradiol 10microgram
Etodolac 300mg capsules 60 814 C EccoxolacEtodolac 600mg modified-release
tablets30 1550 C Lodine SR
Etonogestrel 68mg implant S 1 8343 C NexplanonEtoricoxib 120mg tablets 28 1460 L AEtoricoxib 30mg tablets 28 1201 L AEtoricoxib 60mg tablets 28 351 K MEtoricoxib 90mg tablets 28 291 L MEucalyptus oil liquid 500 ml 1637 C J M Loveridge LtdExemestane 25mg tablets 30 664 K MExenatide 10micrograms/0.04ml
solution for injection 2.4ml pre-filled disposable devices
S 1 8189 C Byetta
Exenatide 2mg powder and solvent for prolonged-release suspension for injection pre-filled disposable devices
4 7336 C Bydureon
Exenatide 5micrograms/0.02ml solution for injection 1.2ml pre-filled disposable devices
S 1 8189 C Byetta
Ezetimibe 10mg tablets 28 208 L M
Famciclovir 125mg tablets 10 5345 C FamvirFamciclovir 250mg tablets 21 15534 AFamciclovir 500mg tablets 14 17981 L AFamotidine 20mg tablets 28 2198 AFamotidine 40mg tablets 28 3898 AFebuxostat 120mg tablets 28 2436 C AdenuricFebuxostat 80mg tablets 28 2436 C AdenuricFelbinac 3% gel S 30 g 226 C Traxam Pain Relief
Gel
187
01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
S 100 g 803 C TraxamFelbinac 3.17% foam S 100 g 841 C TraxamFelodipine 10mg modified-release
Hypromellose 0.3% eye drops S 10 ml 121 L MHypromellose 0.32% eye drops S 10 ml 499 C ArtelacHypromellose 0.5% eye drops S 10 ml 81 C Isopto PlainHypromellose 1% eye drops S 10 ml 94 C Isopto Alkaline
Ibandronic acid 150mg tablets S 1 98 L MIbandronic acid 3mg/3ml solution
for injection pre-filled syringesS 1 6540 A
Ibandronic acid 50mg tablets 28 722 K MIbuprofen 10% gel S 100 g 579 C Ibugel ForteIbuprofen 100mg/5ml oral
Itraconazole 100mg capsules 15 292 L MItraconazole 50mg/5ml oral solution
sugar free150 ml 5921 K A
Ivabradine 2.5mg tablets 56 8148 K AIvabradine 5mg tablets 56 658 L MIvabradine 7.5mg tablets 56 489 K MIvermectin 10mg/g cream S 30 g 1829 C Soolantra
Kaolin and Morphine mixture 200 ml 171 C Thornton & Ross LtdKaolin poultices S 200 g 276 C KL Pharmaceutical
LtdKetoconazole 2% cream S 30 g 424 C NizoralKetoconazole 2% shampoo S 120 ml 336 A
205
01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Part VIIIA products L
Ketoprofen 100mg modified-release capsules
56 2393 C Oruvail 100
Ketoprofen 2.5% gel S 50 g 153 K MS 100 g 306 K M
Ketoprofen 200mg modified-release capsules
28 2385 C Oruvail 200
Ketorolac 0.5% eye drops S 5 ml 300 C AcularKetotifen 1mg/5ml oral solution
sugar free300 ml 891 C Zaditen Elixir
Ketotifen 250micrograms/ml eye drops
S 5 ml 780 C Zaditen
Ketotifen 250micrograms/ml eye drops 0.4ml unit dose preservative free
30 695 C Ketofall
Labetalol 100mg tablets 56 468 L MLabetalol 100mg/20ml solution for
injection ampoules5 6968 K A
Labetalol 200mg tablets 56 843 L MLabetalol 400mg tablets 56 1541 ALabetalol 50mg tablets 56 379 C TrandateLacidipine 2mg tablets 28 261 L MLacidipine 4mg tablets 28 257 L MLacosamide 100mg tablets 56 8650 C VimpatLacosamide 10mg/ml oral solution
sugar freeS 200 ml 2574 C Vimpat Syrup
Lacosamide 150mg tablets 56 12974 C VimpatLacosamide 200mg tablets 56 14416 C VimpatLacosamide 50mg tablets 14 1081 C VimpatLactulose 10g/15ml oral solution
15ml sachets sugar free10 251 A
Lactulose 3.1-3.7g/5ml oral solution 500 ml 228 L MLamivudine 100mg tablets 28 7407 K ALamivudine 150mg tablets 60 14332 C EpivirLamivudine 300mg tablets 30 15751 C EpivirLamotrigine 100mg dispersible
tablets sugar free56 364 L M
Lamotrigine 100mg tablets 56 1689 K MLamotrigine 200mg tablets 56 1932 K MLamotrigine 25mg dispersible
tablets sugar free56 199 L M
Lamotrigine 25mg tablets 56 619 K MLamotrigine 2mg dispersible tablets
sugar free30 1881 C Lamictal Dispersible
Lamotrigine 50mg tablets 56 1024 K MLamotrigine 5mg dispersible tablets
sugar free28 643 L M
Lanreotide 120mg/0.5ml solution for injection pre-filled syringes
S 1 93700 C Somatuline Autogel
206
Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Lanreotide 30mg powder and solvent for suspension for injection vials
S 1 32300 C Somatuline LA
Lanreotide 60mg/0.5ml solution for injection pre-filled syringes
S 1 55100 C Somatuline Autogel
Lanreotide 90mg/0.5ml solution for injection pre-filled syringes
Latanoprost 50micrograms/ml eye drops 0.2ml unit dose preservative free
30(6xS5)
849 C Monopost
90(18xS5)
2547 C Monopost
Leflunomide 10mg tablets S 30 575 L MLeflunomide 15mg tablets S 30 4600 C medac UKLeflunomide 20mg tablets S 30 615 L MLemon spirit 100 ml 1297 C J M Loveridge LtdLenalidomide 10mg capsules 21 378000 C RevlimidLenalidomide 15mg capsules 21 396900 C RevlimidLenalidomide 2.5mg capsules 21 342600 C RevlimidLenalidomide 20mg capsules 21 416850 C RevlimidLenalidomide 25mg capsules 21 436800 C RevlimidLenalidomide 5mg capsules 21 357000 C RevlimidLenalidomide 7.5mg capsules 21 367500 C RevlimidLercanidipine 10mg tablets 28 261 L MLercanidipine 20mg tablets 28 339 K MLetrozole 2.5mg tablets 14 86 L MLeuprorelin 11.25mg powder and
solvent for suspension for injection pre-filled syringes
S 1 22572 C Prostap 3 DCS
207
01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Leuprorelin 22.5mg powder and solvent for suspension for injection vials
S 1 19186 C Lutrate
Leuprorelin 3.75mg powder and solvent for suspension for injection pre-filled syringes
S 1 7524 C Prostap SR DCS
Leuprorelin 3.75mg powder and solvent for suspension for injection vials
S 1 6395 C Lutrate
Levetiracetam 100mg/ml oral solution sugar free
S 300 ml 778 K M
Levetiracetam 1g granules sachets sugar free
60 7627 C Desitrend
Levetiracetam 1g tablets 60 838 L MLevetiracetam 250mg granules
sachets sugar free60 2241 C Desitrend
Levetiracetam 250mg tablets 60 319 L MLevetiracetam 500mg granules
sachets sugar free60 3946 C Desitrend
Levetiracetam 500mg tablets 60 477 L MLevetiracetam 500mg/5ml solution
for infusion ampoules10 12731 C Desitrend
Levetiracetam 500mg/5ml solution for infusion vials
10 12731 C Keppra
Levetiracetam 750mg tablets 60 666 L MLevobunolol 0.5% eye drops S 5 ml 185 C BetaganLevobunolol 0.5% eye drops 0.4ml
unit dose preservative free30 998 C Betagan Unit Dose
Losartan 100mg tablets 28 106 L MLosartan 12.5mg tablets 28 295 L MLosartan 2.5mg/ml oral suspension
sugar freeS 200 ml 5368 C Cozaar
Losartan 25mg tablets 28 67 L MLosartan 50mg /
Hydrochlorothiazide 12.5mg tablets
28 113 L M
Losartan 50mg tablets 28 82 K MLoteprednol 0.5% eye drops S 5 ml 550 C LotemaxLurasidone 18.5mg tablets 28 9072 C LatudaLurasidone 37mg tablets 28 9072 C LatudaLurasidone 74mg tablets 28 9072 C LatudaLymecycline 408mg capsules 28 401 L M
Memantine 10mg tablets 28 123 L MMemantine 10mg/ml oral solution
sugar freeS 50 ml 5479 K A
Memantine 20mg orodispersible tablets sugar free
28 4998 C Valios
Memantine 20mg soluble tablets sugar free
28 5818 C Alzhok
Memantine 20mg tablets 28 142 L MMemantine 5mg/10mg/15mg/20mg
tablets treatment initiation packS 28 4313 C Ebixa
Menadiol 10mg tablets 100 20449 AMeningococcal polysaccharide A,
C, W135 and Y vaccine powder and solvent for solution for injection 0.5ml pre-filled syringes
S 1 3000 C Nimenrix
Menthol 0.5% in Aqueous cream S 500 g 1607 C DermacoolMenthol 1% in Aqueous cream S 100 g 397 C Dermacool
500 g 1659 C DermacoolMenthol 2% in Aqueous cream S 500 g 1697 C DermacoolMenthol and Eucalyptus inhalation 100 ml 139 AMenthol crystals 5 g 127 AMeprobamate 400mg tablets 84 19763 AMeptazinol 200mg tablets 112 2211 C MeptidMercaptamine 150mg capsules S 100 19000 C CystagonMercaptamine 50mg capsules S 100 7000 C CystagonMercaptopurine 20mg/ml oral
suspension100 ml 17000 C Xaluprine
214
Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Mercaptopurine 50mg tablets 25 4915 AMeropenem 1g powder for solution
for injection vials10 16930 C Fresenius Kabi Ltd
Meropenem 500mg powder for solution for injection vials
Methylprednisolone 100mg tablets 20 4832 C MedroneMethylprednisolone 16mg tablets 30 1717 C MedroneMethylprednisolone 2mg tablets 30 388 C MedroneMethylprednisolone 40mg/1ml /
Lidocaine 10mg/1ml (1%) suspension for injection vials
S 1 394 C Depo-Medrone with Lidocaine
Methylprednisolone 4mg tablets 30 619 C MedroneMethylprednisolone 80mg/2ml /
Lidocaine 20mg/2ml (1%) suspension for injection vials
S 1 706 C Depo-Medrone with Lidocaine
Methylprednisolone acetate 120mg/3ml suspension for injection vials
S 1 896 C Depo-Medrone
Methylprednisolone acetate 40mg/1ml suspension for injection vials
S 1 344 C Depo-Medrone
218
Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Methylprednisolone acetate 80mg/2ml suspension for injection vials
S 1 618 C Depo-Medrone
Metoclopramide 10mg tablets 28 56 K MMetoclopramide 10mg/2ml solution
for injection ampoules10 265 A
Metoclopramide 5mg/5ml oral solution sugar free
150 ml 1977 A
Metoprolol 100mg tablets 28 85 L MMetoprolol 50mg tablets 28 82 L MMetronidazole 0.75% cream S 30 g 660 C
S 40 g 988 C RozexMetronidazole 0.75% gel S 15 g 447 C Anabact
S 40 g 2263 C MetrogelMetronidazole 0.75% vaginal gel S 40 g 431 C ZidovalMetronidazole 200mg tablets 21 170 L MMetronidazole 200mg/5ml oral
suspension100 ml 3293 A
Metronidazole 400mg tablets 21 518 K MMetronidazole 500mg suppositories 10 1518 C FlagylMetronidazole 500mg tablets 21 3925 L AMetronidazole 500mg/100ml
infusion 100ml bags20 6386 C A A H
Pharmaceuticals LtdMetyrapone 250mg capsules 100 36366 C MetopironeMianserin 10mg tablets 28 1236 K AMianserin 30mg tablets 28 2805 K AMiconazole 0.16% dry powder
sprayS 100 g 363 C Daktarin Aktiv
Miconazole 1.2g vaginal capsules S 1 294 C Gyno-DaktarinMiconazole 2% cream S 30 g 182 C DaktarinMiconazole 2% powder S 20 g 295 C DaktarinMiconazole 20mg/g oromucosal gel
sugar freeS 15 g 378 C Daktarin
S 80 g 438 C DaktarinMidazolam 10mg/1ml oromucosal
Midodrine 2.5mg tablets 100 5505 C BramoxMidodrine 5mg tablets 100 7505 C BramoxMinocycline 100mg capsules 28 1309 C AkneminMinocycline 100mg modified-
release capsules56 2008 C Minocin MR
Minocycline 100mg tablets 28 1415 L AMinocycline 50mg capsules 56 1527 C Aknemin 50Minocycline 50mg tablets 28 619 AMinoxidil 10mg tablets 60 3068 C LonitenMinoxidil 2.5mg tablets 60 888 C LonitenMinoxidil 5mg tablets 60 1583 C LonitenMirabegron 25mg modified-release
tablets30 2900 C Betmiga
Mirabegron 50mg modified-release tablets
30 2900 C Betmiga
Mirtazapine 15mg orodispersible tablets
30 165 K M
Mirtazapine 15mg tablets 28 133 L MMirtazapine 15mg/ml oral solution
sugar freeS 66 ml 4951 A
Mirtazapine 30mg orodispersible tablets
30 214 K M
Mirtazapine 30mg tablets 28 103 L MMirtazapine 45mg orodispersible
tablets30 207 L M
Mirtazapine 45mg tablets 28 135 L MMisoprostol 200microgram tablets 60 1003 C CytotecMizolastine 10mg modified-release
tablets30 692 C Mizollen
Moclobemide 150mg tablets 30 2210 AMoclobemide 300mg tablets 30 1399 C ManerixModafinil 100mg tablets 30 406 L MModafinil 200mg tablets 30 757 K MMometasone 0.1% cream S 30 g 275 K M
S 100 g 917 K MMometasone 0.1% ointment S 30 g 332 K M
S 100 g 1107 K MMometasone 0.1% scalp lotion S 30 ml 436 C EloconMometasone 200micrograms/dose
dry powder inhalerS 30 dose 1570 C Asmanex Twisthaler
S 60 dose 2354 C Asmanex TwisthalerMometasone 400micrograms/dose
dry powder inhalerS 30 dose 2178 C Asmanex Twisthaler
S 60 dose 3605 C Asmanex Twisthaler
220
Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Mometasone 50micrograms/dose nasal spray
S 140 dose 160 M
Montelukast 10mg tablets 28 113 L MMontelukast 4mg chewable tablets
Morphine sulfate 10mg/1ml solution for injection ampoules
10 984 K A
Morphine sulfate 10mg/5ml oral solution
300 ml 503 L M
Morphine sulfate 15mg/1ml solution for injection ampoules
10 1074 C Martindale Pharmaceuticals Ltd
Morphine sulfate 20mg/1ml solution for injection ampoules
10 5970 A
Morphine sulfate 20mg/ml oral solution sugar free
120 ml 1950 C Oramorph
Morphine sulfate 30mg/1ml solution for injection ampoules
10 1149 A
Morphine sulfate 50mg/50ml solution for infusion vials
S 1 578 A
Morphine sulfate 5mg/5ml solution for injection ampoules
10 3960 C Torbay Pharmaceuticals
Morphine sulfate 60mg/2ml solution for injection ampoules
5 1007 C Wockhardt UK Ltd
Mouthwash solution tablets S 100 1554 C Actavis UK LtdMoxifloxacin 0.5% eye drops S 5 ml 980 C MoxivigMoxifloxacin 400mg tablets 5 954 AMoxisylyte 40mg tablets 112 9022 C OpilonMoxonidine 200microgram tablets 28 102 K MMoxonidine 300microgram tablets 28 111 L MMoxonidine 400microgram tablets 28 101 L MMupirocin 2% cream S 15 g 526 C BactrobanMupirocin 2% nasal ointment S 3 g 424 C Bactroban NasalMupirocin 2% ointment S 15 g 526 C BactrobanMycophenolate mofetil 1g/5ml oral
suspension sugar freeS 175 ml 11516 C CellCept
Mycophenolate mofetil 250mg capsules
100 8226 A
Mycophenolate mofetil 500mg tablets
50 557 L M
Mycophenolic acid 180mg gastro-resistant tablets
120 9672 C Myfortic
Mycophenolic acid 360mg gastro-resistant tablets
120 19343 C Myfortic
Nabilone 1mg capsules 20 19600 C Kinedexe UK LtdNabilone 250microgram capsules 20 15000 C Kinedexe UK LtdNabumetone 500mg tablets 56 690 ANadolol 80mg tablets 28 600 C CorgardNaftidrofuryl 100mg capsules 84 504 L MNalmefene 18mg tablets 14 4242 C SelincroNaloxegol 12.5mg tablets 30 5520 C MoventigNaloxegol 25mg tablets 30 5520 C Moventig
222
Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Naloxone 400micrograms/1ml solution for injection ampoules
10 4275 L A
Naltrexone 50mg tablets 28 3036 K ANaproxen 125mg/5ml oral
suspension sugar free100 ml 11900 A
Naproxen 250mg effervescent tablets sugar free
20(2xS10)
5272 C Stirlescent
Naproxen 250mg gastro-resistant tablets
56 199 L M
Naproxen 250mg tablets 28 89 K MNaproxen 250mg/5ml oral
Ondansetron 4mg tablets 10 85 K MOndansetron 4mg/2ml solution for
injection ampoules5 2997 C Zofran Flexi-amp
227
01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
10 750 C Hameln Pharmaceuticals Ltd
Ondansetron 4mg/5ml oral solution sugar free
50 ml 3812 A
Ondansetron 8mg oral lyophilisates sugar free
10 7194 C Zofran Melt
Ondansetron 8mg orodispersible films sugar free
10 5700 C Setofilm
Ondansetron 8mg orodispersible tablets
10 8543 A
Ondansetron 8mg tablets 10 173 MOndansetron 8mg/4ml solution for
injection ampoules5 5995 C Zofran Flexi-amp
Opicapone 50mg capsules 30 9390 C OngentysOrange syrup 500 ml 1114 C J M Loveridge LtdOrange tincture BP 2001 100 ml 1020 C J M Loveridge LtdOrlistat 120mg capsules 84 2092 K MOrlistat 60mg capsules 84 3070 C AlliOrphenadrine 50mg/5ml oral
100 717 L MParacetamol 500mg suppositories 10 3650 AParacetamol 500mg tablets 32 51 K M
100 159 K MParacetamol 500mg/5ml oral
solution sugar free200 ml 1800 C Advanz Pharma
Paracetamol 500mg/5ml oral suspension sugar free
150 ml 2400 A
Paracetamol 60mg suppositories 10 1195 C AlvedonParaffin hard MP 43-46C solid 500 g 511 C J M Loveridge LtdParaffin hard solid 500 g 360 C J M Loveridge LtdParoxetine 10mg tablets 28 566 L MParoxetine 10mg/5ml oral
suspension sugar free150 ml 912 C Seroxat Liquid
Paroxetine 20mg tablets 30 104 L MParoxetine 30mg tablets 30 176 L MParoxetine 40mg tablets 28 1741 L APeginterferon alfa-2a
135micrograms/0.5ml solution for injection pre-filled syringes
S 1 10776 C Pegasys
Penciclovir 1% cream S 2 g 370 C Fenistil Cold SorePenicillamine 125mg tablets 56 4500 APenicillamine 250mg tablets 56 8877 APentazocine 25mg tablets 28 2478 K APentazocine 50mg capsules 28 2850 C MylanPentoxifylline 400mg modified-
Peppermint oil liquid 100 ml 1377 C J M Loveridge LtdPeppermint water BP 1973 100 ml 805 APeppermint water concentrated 100 ml 1039 C J M Loveridge LtdPerampanel 10mg tablets 28 14000 C FycompaPerampanel 12mg tablets 28 14000 C FycompaPerampanel 2mg tablets 7 3500 C Fycompa
28 14000 C FycompaPerampanel 4mg tablets 28 14000 C FycompaPerampanel 6mg tablets 28 14000 C FycompaPerampanel 8mg tablets 28 14000 C FycompaPergolide 1mg tablets 100 12138 APergolide 250microgram tablets 100 3603 APericyazine 10mg tablets 84 7200 APericyazine 10mg/5ml oral solution 100 ml 8280 APericyazine 2.5mg tablets 84 2790 A
231
01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Perindopril arginine 10mg tablets S 30 1065 C Coversyl ArgininePerindopril arginine 2.5mg tablets S 30 443 C Coversyl ArgininePerindopril arginine 5mg /
Indapamide 1.25mg tabletsS 30 951 C Coversyl Arginine
PlusPerindopril arginine 5mg tablets S 30 628 C Coversyl ArgininePerindopril erbumine 2mg tablets 30 186 L MPerindopril erbumine 4mg /
Pioglitazone 15mg tablets 28 184 L MPioglitazone 30mg tablets 28 252 L MPioglitazone 45mg tablets 28 314 L MPiperacillin 2g / Tazobactam 250mg
powder for solution for injection vials
S 1 765 C Tazocin
Piracetam 1.2g tablets 60 1097 C NootropilPiracetam 333.3mg/ml oral solution
sugar free300 ml 1631 C Nootropil 33%
Piracetam 800mg tablets 90 1175 C NootropilPiroxicam 0.5% gel S 60 g 161 L M
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01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
S 112 g 301 L MPiroxicam 10mg capsules 56 490 APiroxicam 20mg capsules 28 447 APiroxicam 20mg orodispersible
tablets sugar free30 1053 C Feldene Melt
Pivmecillinam 200mg tablets 10 540 C SelexidPizotifen 1.5mg tablets 28 127 MPizotifen 500microgram tablets 28 100 L MPodophyllotoxin 0.15% cream S 5 g 1783 C WarticonPodophyllotoxin 0.5% solution S 3 ml 1486 C Warticon
S 3.5 ml 1449 C CondylinePosaconazole 100mg gastro-
Tafluprost 15micrograms/ml eye drops 0.3ml unit dose preservative free
30(3xS10)
1220 C Saflutan
Tamoxifen 10mg tablets 30 3885 L ATamoxifen 10mg/5ml oral solution
sugar free150 ml 3500 C Rosemont
Pharmaceuticals LtdTamoxifen 20mg tablets 30 203 L MTamoxifen 40mg tablets 30 6372 K ATamsulosin 400microgram /
Dutasteride 500microgram capsules
30 1980 C Combodart
Tamsulosin 400microgram modified-release capsules
30 387 A
Tamsulosin 400microgram modified-release tablets
30 1047 C Flomaxtra XL
Tapentadol 100mg modified-release tablets
56 4982 C Palexia SR
Tapentadol 150mg modified-release tablets
56 7473 C Palexia SR
Tapentadol 200mg modified-release tablets
56 9964 C Palexia SR
Tapentadol 20mg/ml oral solution sugar free
100 ml 1780 C Palexia
Tapentadol 250mg modified-release tablets
56 12455 C Palexia SR
250
Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Tapentadol 50mg modified-release tablets
28 1246 C Palexia SR
Tapentadol 50mg tablets 28 1246 C PalexiaTapentadol 75mg tablets 28 1868 C PalexiaTartaric acid powder 500 g 1097 C J M Loveridge LtdTazarotene 0.05% gel S 30 g 1409 C ZoracTazarotene 0.1% gel S 30 g 1480 C ZoracTeicoplanin 200mg powder and
solvent for solution for injection vials
S 1 393 C Targocid
Teicoplanin 400mg powder and solvent for solution for injection vials
S 1 732 C Targocid
Telmisartan 20mg tablets 28 111 K MTelmisartan 40mg /
Hydrochlorothiazide 12.5mg tablets
28 1361 C
Telmisartan 40mg tablets 28 106 L MTelmisartan 80mg /
Telmisartan 80mg tablets 28 143 L MTemazepam 10mg tablets 28 113 L MTemazepam 10mg/5ml oral solution
sugar free300 ml 18327 K A
Temazepam 20mg tablets 28 139 K MTenofovir 123mg tablets 30 10260 C VireadTenofovir 163mg tablets 30 13598 C VireadTenofovir 204mg tablets 30 17019 C VireadTenofovir 245mg tablets 30 3025 ATenoxicam 20mg tablets 30 1342 C MobiflexTerazosin 10mg tablets 28 797 K ATerazosin 2mg tablets 28 151 L MTerazosin 5mg tablets 28 227 K ATerbinafine 1% cream S 15 g 108 L M
S 30 g 216 L MTerbinafine 1% gel S 15 g 358 C Lamisil ATTerbinafine 1% solution S 4 g 570 C Lamisil OnceTerbinafine 1% spray S 15 ml 328 C Lamisil ATTerbinafine 250mg tablets 14 124 L MTerbutaline 2.5mg/5ml solution for
injection ampoules10 2009 C Bricanyl
Terbutaline 500micrograms/1ml solution for injection ampoules
5 648 C Bricanyl
Terbutaline 500micrograms/dose dry powder inhaler
S 100 dose 830 C Bricanyl Turbohaler
Terbutaline 5mg tablets 100 1473 C BricanylTerbutaline 5mg/2ml nebuliser liquid
unit dose vials20 404 A
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01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Teriparatide 600micrograms/2.4ml solution for injection pre-filled disposable devices
S 1 27188 C Forsteo
Testosterone 16.2mg/g gel (20.25mg per actuation)
S 88 g 3111 C Testogel
Testosterone 2% gel (10mg per actuation)
S 60 g 2867 C Tostran
Testosterone 40mg capsules 60 1710 C Restandol TestocapTestosterone 50mg/5g gel unit dose
sachets30 3111 C Testogel
Testosterone 50mg/5g gel unit dose tube
30 3200 C Testim
Testosterone enantate 250mg/1ml solution for injection ampoules
3 8574 A
Testosterone undecanoate 1g/4ml solution for injection vials
Vildagliptin 50mg tablets 56 3335 C GalvusVitamin B compound strong tablets 28 282 L MVitamin B compound tablets 28 2663 AVitamins A and D capsules BPC
197384 842 A
Vitamins B and C high potency intramuscular solution for injection 5ml and 2ml ampoules
20 2253 C Pabrinex
Vitamins B and C high potency intravenous solution for injection 5ml and 5ml ampoules
20 2253 C Pabrinex
Vitamins capsules 1000 1548 AVoriconazole 200mg tablets 28 77113 K AVoriconazole 50mg tablets 28 19469 K AVortioxetine 10mg tablets 28 2772 C BrintellixVortioxetine 20mg tablets 28 2772 C BrintellixVortioxetine 5mg tablets 28 2772 C Brintellix
259
01/2019 Part VIIIABASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Part VIIIA products W
Part VIIIA products X
Part VIIIA products Y
Part VIIIA products Z
Warfarin 1mg tablets 28 59 K MWarfarin 1mg/ml oral suspension
sugar free150 ml 10800 A
Warfarin 3mg tablets 28 62 K MWarfarin 500microgram tablets 28 131 L MWarfarin 5mg tablets 28 66 K MWater for injections 100ml vials 25 7500 AWater for injections 10ml ampoules 10 263 AWater for injections 2ml ampoules 10 173 AWater for injections 5ml ampoules 10 240 AWhite soft paraffin 10% spray S 250 ml 597 C DermamistWhite soft paraffin 15% / Liquid
paraffin 6% creamS 50 g 162 C Emcrem
S 500 g 425 C EmcremWhite soft paraffin 15% / Liquid
paraffin light 6% creamS 150 g 306 C
S 350 ml 465 C Oilatum JuniorS 500 ml 528 C
White soft paraffin 50% / Liquid paraffin 50% ointment
500 g 457 C Alliance Healthcare (Distribution) Ltd
White soft paraffin 95% / Liquid paraffin 5% ointment
S 50 g 128 C Diprobase
S 500 g 599 C DiprobaseWhite soft paraffin solid 500 g 364 K AWild cherry syrup 2000 ml 2348 C J M Loveridge LtdWool fat solid 500 g 1963 C J M Loveridge Ltd
Xipamide 20mg tablets 140 1946 C DiurexanXylometazoline 0.05% nasal drops S 10 ml 191 C Otrivine ChildXylometazoline 0.1% nasal drops S 10 ml 218 C Otrivine AdultXylometazoline 0.1% nasal spray S 10 ml 218 C Otrivine Adult
Yellow soft paraffin solid 500 g 3820 K A
Zafirlukast 20mg tablets 56 1775 C AccolateZinc and Castor oil ointment 500 g 550 AZinc oxide 12.5% / Dimeticone
1.04% sprayS 115 g 890 C Sprilon
Zinc oxide impregnated medicated stockings
4 1388 C Zipzoc
10 3470 C ZipzocZinc oxide powder 500 g 1043 C J M Loveridge Ltd
260
Part VIIIA 01/2019BASIC PRICES OF DRUGS
Drug Quantity Basic Price Category
Zinc sulfate 220mg capsules 30 695 C250 5792 C Zincomed