| Effective August 15, 2009 |
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| Active Ingredient/ Molecule |
Dosage
Strength and Form |
(Brand
Name) |
GMAP(PhP) |
| ANTI-HYPERTENSIVE |
| 1 |
Telmisartan |
40
mg tablet |
(Micardis) |
25.75 |
| Telmisartan 40 mg + Hydrochlorothiazide 12.5 mg
tablet |
(Micardis
plus) |
25.00 |
| 80 mg tablet |
(Micardis) |
44.50 |
| Telmisartan 80 mg + Hydrochlorothiazide 12.5 mg
tablet |
(Micardis
plus) |
44.50 |
| 2 |
Irbesartan |
150
mg tablet |
Sanofi-Aventis
via Winthrop |
24.38 |
| Irbesartan 150 mg + Hydrochlorothiazide 12.5 mg
tablet |
Sanofi-Aventis
via Winthrop |
25.13 |
| 300 mg tablet |
Sanofi-Aventis
via Winthrop |
40.00 |
| Irbesartan 300 mg + Hydrochlorothiazide 12.5 mg
tablet |
Sanofi-Aventis
via Winthrop |
41.50 |
| ANTI-THROMBOTIC |
| 3 |
Clopidogrel |
75
mg film-coated tablet |
(Plavix) |
61.75 |
| ANTI-DIABETIC/ANTIHYPOGLYCEMIC |
| 4 |
Gliclazide |
30
mg Modified Release tablet |
(Diamicron
MR) |
7.50 |
| 80 mg tablet |
(Diamicron) |
7.50 |
| ANTIBIOTIC/ANTIBACTERIAL |
| 5 |
Piperacillin + Tazobactam |
Piperacillin
2 g + Tazobactam 250 mg vial |
(Tazocin) |
730.20 |
| Piperacillin 4 g + Tazobactam 500 mg vial |
(Tazocin) |
1,270.06 |
| 6 |
Ciprofloxacin |
500
mg tablet |
(Ciprobay) |
41.91 |
| 500 mg tablet (Extended Release) |
(Ciprobay
XR) |
49.62 |
| 1 g tablet |
(Ciprobay) |
72.55 |
| 250 mg tablet |
(Ciprobay) |
32.57 |
| 2 mg/mL (100 mL) for Injection |
(Ciprobay) |
942.00 |
| 2 mg/mL (50 mL) or 100 mg IV Infusion (50 mL) |
(Ciprobay) |
720.43 |
| 400 mg (200 mL) for Injection |
(Ciprobay) |
1,603.59 |
| 7 |
Metronidazole |
125
mg/5 mL (60 mL) Suspension |
(Flagyl) |
65.50 |
| 500 mg tablet |
Sanofi-Aventis
via Winthrop |
11.75 |
| 500 mg (100 mL) IV Infusion |
(Flagyl) |
189.75 |
| 8 |
Co-Amoxiclav |
625 mg tablet |
(Augmentin) |
48.90 |
| (Amoxicillin + Clavulanic acid) |
375 mg tablet |
(Augmentin) |
39.75 |
| 1 g tablet |
(Augmentin) |
71.15 |
| 600 mg vial for Injection |
(Augmentin) |
343.75 |
| 1.2 g vial for Injection |
(Augmentin) |
578.40 |
| Amoxicillin 200 mg + Clavulanic acid 28.5 mg/5 mL (70 mL)
Suspension |
(Augmentin) |
277.75 |
| Amoxicillin 125 mg + Clavulanic acid 31.25 mg/5 mL (60 mL)
Suspension |
(Augmentin) |
189.00 |
| Amoxicillin 250 mg + Clavulanic acid 62.5 mg/5 mL (60 mL)
Suspension |
(Augmentin) |
324.25 |
| Amoxicillin 400 mg + Clavulanic acid 57 mg/5 mL (70 mL)
Suspension |
(Augmentin) |
470.25 |
| Amoxicillin 400 mg + Clavulanic acid 57 mg/5 mL (35 mL)
Suspension |
(Augmentin) |
261.90 |
| ANTI-NEOPLASTICS/
ANTI-CANCER |
| 9 |
Bleomycin |
15
mg vial/ampul for Injection |
(Blenoxane) |
3,520.00 |
| 10 |
Carboplatin |
10
mg/mL (15 mL) vial or 150 mg for Injection |
(Paraplatin) |
1,805.00 |
| 11 |
Cisplatin |
50
mg Powder vial for Injection |
(Platinol) |
1,125.00 |
| 12 |
Cyclophosphamide |
50
mg tablet |
(Cytoxan) |
17.50 |
| 200 mg vial for Injection |
(Endoxan) |
175.00 |
| 500 mg vial for Injection |
(Platinol) |
324.50 |
| 1 g or 1000 mg vial for Injection (no innovator
locally) |
Qualimed |
577.50 |
| 13 |
Etoposide
(No innovator locally) |
100
mg tablet |
Qualimed |
565.00 |
| 14 |
Mercaptopurine |
50
mg tablet |
(Puri-nethol) |
39.50 |
| 15 |
Methotrexate
sodium (No innovator
locally) |
2.5 mg tablet |
Qualimed |
11.00 |
| |
50 mg/2 mL vial
for Injection |
Qualimed |
306.00 |
| 16 |
Mesna |
400
mg ampul for Injection |
(Uromitexan) |
166.67 |
