* version as of july 2021. revised in accordance with

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* Medicines which are exempted from Value-Added Tax (VAT).

* Version as of July 2021. Revised in accordance with Department Circular No. 2021- 0289, "Exemption from Value-Added Tax of Certain Medicines under Executive Order No. 104"

** One of the twenty-two (22) products under price-freeze

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Generic Name Dosage Strength and Form Maximum

Retail Price (MRP)

MRP with SC/PWD

discounts Old Retail

Price

Anti-hypertensive Medicines

Amlodipine + Bisoprolol

5 mg + 10 mg tablet* 22.82 18.26 29.45 5 mg + 5 mg tablet* 22.90 18.32 29.45 10 mg + 5 mg tablet* 24.35 19.48 40.40

Amlodipine + Hydrochlorothiazide + Olmesartan Medoxomil

37.5 mg film-coated tablet* 18.59 14.87 23.66 57.5 mg film-coated tablet 30.75** 21.96 30.75 62.5 mg film-coated tablet 31.25** 22.32 31.25

Amlodipine + Hydrochlorothiazide + Valsartan

5 mg + 160 mg + 25 mg film-coated tablet* 27.68 22.15 52.33 10 mg + 160 mg + 25 mg film-coated tablet* 29.03 23.23 53.44 10 mg + 320 mg + 25 mg film-coated tablet* 34.51 27.61 66.67

Amlodipine + Indapamide 10 mg + 1.5 mg modified-release tablet 28.50** 20.36 28.50

Amlodipine + Indapamide + Perindopril

5 mg + 1.25 mg + 5 mg film-coated tablet* 44.75** 35.80 44.75 10 mg + 1.25 mg + 5 mg film-coated tablet* 50.00** 40.00 50.00 10 mg + 2.5 mg + 10 mg film-coated tablet* 51.84 41.48 66.50

Amlodipine + Perindopril 2.5 mg + 3.5 mg tablet* 20.70 16.56 26.00

Bisoprolol + Hydrochlorothiazide

2.5 mg + 6.25 mg film-coated tablet* 16.36 13.09 25.00 5 mg + 6.25 mg film-coated tablet* 19.30 15.44 32.00

Eprosartan 600 mg film-coated tablet* 41.17 32.93 52.25 Eprosartan + Hydrochlorothiazide 600 mg + 12.5 mg film-coated tablet* 36.97 29.58 49.53

Imidapril 10 mg tablet* 25.62 20.50 32.88 Indapamide + Perindopril 2.5 mg + 10 mg film-coated tablet* 30.51 24.41 61.50 Levamlodipine 2.5 mg tablet* 11.84 9.47 14.29 Nimodipine 30 mg film-coated tablet 44.70 31.93 53.05

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Retail Price (MRP)

MRP with SC/PWD


Price

Antidiabetic Medicines Dapagliflozin 10 mg film-coated tablet* 44.20** 35.36 44.20 Empagliflozin 10 mg film-coated tablet* 55.31** 44.24 55.31

Empagliflozin + Metformin

5 mg + 500 mg film-coated tablet* 33.83 27.06 41.52 5 mg + 1 g film-coated tablet* 41.52** 33.22 41.52 12.5 mg + 500 mg film-coated tablet* 41.52** 33.22 41.52 12.5 mg + 1 g film-coated tablet* 41.52** 33.22 41.52

Insulin Aspart 100 IU/mL, 3 mL pre-filled pen* 424.04 339.23 790.75 Insulin Aspart + Insulin Aspart Protamine Crystalline 100 IU/mL, 3 mL pre-filled pen 477.26 340.90 881.00

Insulin Degludec 100 U/mL, 3 mL pre-filled pen* 763.40 610.72 1,278.57 Insulin Detemir 100 U/mL, 3 mL pre-filled pen* 691.67 553.34 948.21 Insulin Glulisine 100 IU/mL, 3 mL pre-filled pen* 435.18 348.14 818.75

Insulin Lispro 100 U/mL, 3 mL pre-filled pen* 420.53 336.43 731.25 100 IU/mL, 10 mL vial* 1,192.25 953.80 1,232.59

Linagliptin 5 mg film-coated tablet* 55.78** 44.62 55.78

Linagliptin + Metformin

2.5 mg + 500 mg film-coated tablet* 30.56** 24.44 30.56 2.5 mg + 850 mg film-coated tablet* 30.36** 24.29 30.36 2.5 mg + 1 g film-coated tablet* 30.36** 24.29 30.36

Metformin + Saxagliptin 500 mg + 5 mg extended-release tablet* 68.02 54.42 68.50 1 g + 5 mg extended-release tablet* 68.38 54.70 68.50

Metformin + Sitagliptin

500 mg + 50 mg film-coated tablet* 30.31** 24.24 30.31 850 mg + 50 mg film-coated tablet* 32.14** 25.71 32.14 1 g + 50 mg film-coated tablet* 32.55** 26.04 32.55 1 g + 100 mg extended-release tablet* 62.50** 50.00 62.50

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Retail Price (MRP)

MRP with SC/PWD


Price

Saxagliptin 2.5 mg film-coated tablet* 47.80 38.24 67.08 5 mg film-coated tablet* 57.00** 45.60 57.00

Sitagliptin 25 mg film-coated tablet* 46.19 36.95 53.12 50 mg film-coated tablet* 53.19** 42.55 53.19 100 mg film-coated tablet* 65.37 52.29 67.13

Anti-Neoplastic / Anti-Cancer Medicines

Afatinib 30 mg film-coated tablet* 3,623.04 2,898.43 7,687.50 40 mg film-coated tablet* 3,537.04 2,829.63 7,687.50

Bevacizumab 100 mg, 4 mL vial* 20,933.84 16,747.07 38,946.00 400 mg, 16 mL vial* 72,041.94 57,633.55 130,396.00

Cetuximab 5 mg/mL, 20 mL vial* 15,243.38 12,194.70 31,538.20 Denosumab 60 mg/mL, 1 mL pre-filled syringe (SC)* 12,110.00 9,688.00 20,500.00 Erlotinib 150 mg film-coated tablet* 1,890.01 1,512.01 4,180.00

Goserelin 3.6 mg pre-filled syringe (SC) 5,783.12 4,130.80 6,990.00 10.8 mg pre-filled syringe (SC) 19,725.85 14,089.89 19,990.00

Lapatinib 250 mg film-coated tablet 486.68 389.34 676.80 Panitumumab 20 mg/mL, 5 mL vial 28,929.94 20,664.24 57,240.00 Pertuzumab 30 mg/mL, 14 mL vial* 155,460.42 124,368.34 222,822.60 Regorafenib 40 mg film-coated tablet 2,853.62 2,038.30 3,570.00

Rituximab 100 mg/ 10 mL, 10 mL vial* 12,244.68 9,795.74 23,502.39 500 mg/ 50 mL, 50 mL vial* 59,606.74 47,685.39 106,355.50

Trastuzumab 150 mg vial* 32,546.55 26,037.24 50,776.28

Trastuzumab Emtansine 100 mg vial* 81,662.91 65,330.33 158,270.00 160 mg vial* 131,150.23 104,920.18 158,270.00

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Retail Price (MRP)

MRP with SC/PWD


Price

Immunosuppresants Azathioprine 50 mg tablet* 38.02 30.42 56.28 Basiliximab 20 mg vial* 67,476.86 53,981.49 95,690.00 Ciclosporin 100 mg/mL, 50 mL oral solution* 8,308.55 6,646.84 16,329.65

Etanercept 25 mg/ 0.5 mL, 0.5 mL pre-filled syringe (SC)* 6,660.21 5,328.17 14,740.70

Golimumab 50 mg/ 0.5 mL, 0.5 mL pre-filled autoinjector 61,648.50 44,034.64 119,000.00 Immunoglobulin Anti-Thymocyte 25 mg vial 16,402.57 11,716.12 24,228.00

Mycophenolic Acid 360 mg enteric coated tablet* 84.25 67.40 116.75 Secukinumab 150 mg vial 23,822.77 17,016.26 30,052.00

Sirolimus 0.5 mg tablet* 186.21 148.97 215.00 1 mg tablet* 247.15 197.72 377.63

Tacrolimus 0.5 mg prolonged-release capsule* 67.19 53.75 139.30 1 mg prolonged-release capsule* 117.29 93.83 237.00

Tocilizumab 200 mg/ 10 mL, 10 mL vial* 13,006.22 10,404.98 20,815.20 400 mg/ 20 mL, 20 mL vial* 25,741.82 20,593.45 55,507.20

Tofacitinib 5 mg film-coated tablet 814.26 581.61 1,531.99 Ustekinumab 45 mg/ 0.5 mL, 0.5 mL pre-filled syringe 160,923.83 114,945.59 244,659.80

Analgesics

Morphine

10 mg modified-release tablet 16.00 11.43 32.00 30 mg modified-release tablet 41.58 29.70 83.15 60 mg modified-release tablet 108.69 77.64 217.38

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Retail Price (MRP)

MRP with SC/PWD


Price

Naloxone + Oxycodone

2.5 mg + 5 mg prolonged-release tablet 124.13 88.66 248.25 5 mg + 10 mg prolonged-release tablet 113.50 81.07 227.00 10 mg + 20 mg prolonged-release tablet 214.00 152.86 428.00 20 mg + 40 mg prolonged-release tablet 351.00 250.71 702.00

Oxycodone 10 mg controlled-release tablet 175.39 125.28 234.00 10 mg/mL, 1 mL vial 775.23 553.74 1,550.46 10 mg/mL, 2 mL vial 1,284.96 917.83 2,569.94

Parecoxib 40 mg ampule 478.01 341.44 693.00 Anti-Asthmatic & Chronic Obstructive Pulmonary Disease (COPD) Medicines

Fluticasone 500 mcg/ 2mL, 2 mL nebules 85.00** 60.71 85.00 Formoterol 12 mcg dry power for inhalation, capsule 24.88 17.77 40.00

Indacaterol 150 mg inhalation powder, capsule 79.11 56.51 85.93 300 mcg inhalation powder, capsule 77.21 55.15 89.68

Procaterol 10 mcg/ dose, 200 doses lung metered dose inhaler 842.78 601.99 1,365.50

Roflumilast 500 mcg film-coated tablet 88.69 63.35 95.00

Tiotropium Bromide 18 mcg powder for inhalation, capsule 92.28 65.91 117.00 2.5 mcg per dose, 60 doses (4 mL) 2,988.26 2,134.47 3,360.75

Anticoagulants

Apixaban 2.5 mg film-coated tablet 91.17 65.12 91.75 5 mg film-coated tablet 90.98 64.99 91.75

Ticagrelor 90 mg film-coated tablet 80.25** 57.32 80.25

Tinzaparin 4500 anti-XA IU, 0.45 mL pre-filled syringe* 312.89 250.31 538.50 10,000 anti-XA IU, 2 mL vial (SC)* 904.46 723.57 1,729.00

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Retail Price (MRP)

MRP with SC/PWD


Price

Tirofiban 250 mcg/mL, 50 mL vial 12,016.12 8,582.94 21,369.40 Triflusal 300 mg capsule 45.57 32.55 49.50

Anti-Angina Isosorbide Dinitrate 0.1%, 10 mL ampule 696.81 497.72 864.75

Ivabradine 5 mg film-coated tablet* 33.81 27.05 63.00 7.5 mg film-coated tablet* 34.10 27.28 66.25

Agents affecting bone metabolism

Calcitonin (Salmon) 100 IU/mL, 1 mL ampule 466.79 333.42 643.20 200 IU nasal spray, 14 doses 4,274.99 3,053.56 4,873.00

Ibandronic Acid 6 mg/ 6 mL, 6 mL vial 10,762.26 7,687.33 19,380.00 Antiemetic medicines

Palonosetron 75 mcg/ 1.5 mL, 1.5 mL vial 1,280.26 914.47 2,318.00

Ramosetron 100 mcg oral disintegrating tablet* 839.94 671.95 1,290.00 300 mcg/ 2 mL, 2 mL ampule 1,420.05 1,014.32 1,480.00

Psoriasis, Seborrhea & Ichthyosis Preparations Betamethasone + Calcipotriol 500 mcg + 50 mcg/ g, 30 g gel 1,726.70 1,233.36 1,924.00 Betamethasone + Salicylic Acid 0.5 mg + 30 mg/ g, 5 g ointment 229.38 163.84 434.00

Antidepressants

Vortioxetine

5 mg film-coated tablet 53.57 38.27 72.00 10 mg film-coated tablet 98.83 70.59 119.00 20 mg film-coated tablet 99.08 70.77 196.50

Iron Chelating Agent Deferoxamine 500 mg vial 245.96 175.68 448.00

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Retail Price (MRP)

MRP with SC/PWD


Price

Growth Hormone Inhibitor Octreotide 20 mg vial 67,857.95 48,469.96 126,420.00

Antiviral Ganciclovir 500 mg vial 2,299.90 1,642.78 4,001.00

Fibrinolytic Alteplase 50 mg, 50 mL vial 38,186.81 27,276.30 50,000.00

Hematopoietic Agent Lenograstim 263 mcg/mL, 1 mL vial 5,599.27 3,999.48 8,540.00

Mucolytic Erdosteine 175 mg/ 5 mL, 60 mL suspension 186.09 132.92 213.75

Parenteral Nutritional Product Alanyl-Glutamine 200 mg/mL, 100 mL solution for infusion 2,489.26 1,778.04 3,205.25

Phosphate Binder Sevelamer 800 mg film-coated tablet* 50.21 40.17 88.00

Surfactant Beractant 25 mg/mL, 8 mL vial 19,600.27 14,000.19 28,000.38

* version as of july 2021. revised in accordance with

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